The impact of pain on spiritual well-being in people with a spinal cord injury

Objective: To test a model of spiritual well-being and resilience among individuals with spinal cord injuries and their family members. Design: Prospective cross-sectional observational data were analyzed by structural equation modelling. Setting: Inpatient and community services at one rehabilitation hospital. Subjects: Individual with spinal cord injury ( n = 50) and family member ( n = 50) dyads. Interventions: Standard rehabilitation, both inpatient and community. Main measure(s): Functional assessment of chronic illness therapy – spiritual well-being scale – expanded, Connor–Davidson resilience scale, positive and negative affect scale, depression anxiety and stress scale–21, satisfaction with life scale. Results: Median time post-injury was 8.95 months (IQR (interquartile range) = 14.15). Individuals with spinal cord injury and family members reported high scores for both spiritual well-being (66.06 ± 14.89; 68.42 ± 13.75) and resilience (76.68 ± 13.88; 76.64 ± 11.75), respectively. Analysis found the model had acceptable fit (e.g. chi-square goodness of fit statistic = 38.789; P = .263). For individuals with spinal cord injury, spiritual well-being was positively associated with resilience which, in turn, was associated with increasing positive affect and satisfaction with life. Among family members, spiritual well-being was positively associated with resilience. Resilience was then associated with lowered levels of depression and mediated the impact of depression on satisfaction with life. Limited evidence was found for mutual dyadic links, with the only significant pathway finding that resilience in the individual with spinal cord injury was associated with increased satisfaction with life among family members. Conclusion: Increased spirituality and resilience make a significant contribution (both independently and in combination) to positive psychological outcomes for both individuals with spinal cord injury and their family members.

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Spiritual well-being and quality of life in patients with spinal cord injury: A study from Iran

Journal of Spinal Cord Medicine ◽

10.1080/10790268.2018.1466479 ◽

2018 ◽

Vol 41 (6) ◽

pp. 653-658

Author(s):

Marzieh Hajiaghababaei ◽

Hooshang Saberi ◽

Parvin Rahnama ◽

Ali Montazeri

Keyword(s):

Quality Of Life ◽

Spinal Cord ◽

Spinal Cord Injury ◽

Well Being ◽

Cord Injury ◽

Spiritual Well Being

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Assessment of the relationship of spiritual well-being to depression and quality of life for persons with spinal cord injury

Disability and Rehabilitation ◽

10.3109/09638288.2016.1152600 ◽

2016 ◽

Vol 39 (5) ◽

pp. 491-496 ◽

Cited By ~ 14

Author(s):

Catherine S. Wilson ◽

Martin Forchheimer ◽

Allen W. Heinemann ◽

Anne Marie Warren ◽

Cheryl McCullumsmith

Keyword(s):

Quality Of Life ◽

Spinal Cord ◽

Spinal Cord Injury ◽

Well Being ◽

Cord Injury ◽

Spiritual Well Being ◽

Relationship Of ◽

The Relationship

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Poster 98 Spiritual Well-Being After Spinal Cord Injury: Opportunities for Treatment

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2012.08.134 ◽

2012 ◽

Vol 93 (10) ◽

pp. e42

Author(s):

Martin Forchheimer ◽

Catherine Wilson

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Well Being ◽

Cord Injury ◽

Spiritual Well Being

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The benefits of hydrotherapy to patients with spinal cord injuries

African Journal of Disability ◽

10.4102/ajod.v7i0.450 ◽

2018 ◽

Vol 7 ◽

Cited By ~ 4

Author(s):

Terry J. Ellapen ◽

Henriëtte V. Hammill ◽

Mariëtte Swanepoel ◽

Gert L. Strydom

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Full Text ◽

Spinal Cord Injuries ◽

Cardiovascular Responses ◽

Well Being ◽

Gait Kinematics ◽

Cord Injury ◽

The Impact

Background: Many patients with spinal cord injury (PWSCI) lead sedentary lifestyles, experiencing poor quality of life and medical challenges. PWSCI don’t like to participate in land-based-exercises because it’s tedious to perform the same exercises, decreasing their rehabilitative compliance and negatively impacting their well-being. An alternative exercise environment and exercises may alleviate boredom, enhancing compliance.Objectives: Discuss the benefits of hydrotherapy to PWSCI concerning underwater gait-kinematics, thermoregulatory and cardiovascular responses and spasticity.Methodology: A literature surveillance was conducted between 1998 and 2017, through the Crossref meta-database and Google Scholar, according to the PRISMA procedures. Key search words were water-therapy, aquatic-therapy, hydrotherapy, spinal cord injury, rehabilitation, human, kinematics, underwater gait, cardiorespiratory, thermoregulation and spasticity. The quality of each paper was evaluated using a modified Downs and Black Appraisal Scale. The participants were records pertaining to PWSCI and hydrotherapy. The outcomes of interest were: hydrotherapy interventions, the impact of hydrotherapy on gait-kinematics, thermoregulation during water submersion and cardiorespiratory function of PWSCI. Omitted records included: non-English publications from before 1998 or unrelated to hydrotherapy and PWSCI. The record screening admissibility was performed as follows: the title screen, the abstract screen and the full text screen.Results: Literature search identified 1080 records. Upon application of the exclusion criteria, 92 titles, 29 abstracts and 17 full text records were eligible. Only 15 records were selected to be included in this clinical commentary. Evidence shows a paucity of randomised control trials (RCT) conducted in this field.Conclusion: Hydrotherapy improves PWSCI underwater gait-kinematics, cardiorespiratory and thermoregulatory responses and reduces spasticity.

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The Impact of Sub-maximal Exercise on Neuropathic Pain, Inflammation, and Affect Among Adults With Spinal Cord Injury: A Pilot Study

Frontiers in Rehabilitation Sciences ◽

10.3389/fresc.2021.700780 ◽

2021 ◽

Vol 2 ◽

Author(s):

Kendra R. Todd ◽

Jan W. Van Der Scheer ◽

Jeremy J. Walsh ◽

Garett S. Jackson ◽

Gabriel U. Dix ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Neuropathic Pain ◽

Aerobic Exercise ◽

Perceived Exertion ◽

Maximal Exercise ◽

Well Being ◽

Post Exercise ◽

Cord Injury ◽

The Impact

Introduction: Persons with spinal cord injury (SCI) often report high levels of neuropathic pain (NP) and poor well-being, which may result from increased inflammation. This study examined the impact of sub-maximal aerobic exercise on NP, inflammation and psychological affect among adults with SCI.Methods: Eight active adults with tetraplegia (n-4, AIS A-C) and paraplegia (n = 4, AIS A-C) performed 30-min of arm-crank aerobic exercise and reported their ratings of perceived exertion (RPE) each minute. Measures of NP, affect, and inflammatory cytokines (IL-6, IL-10, IL-1ra, TNF-α) were taken pre-(T0), immediately post-(T1), and 90-min post-exercise (T2).Results: NP decreased between T0 and T1 for tetraplegics (−60%, d = 0.47; CI = −0.32, 2.02) and paraplegics (−16%, d = 0.15; CI = −0.30, 0.90). Correlations between change in cytokines and change in NP were medium-to large for tetraplegics (rs ranged from −0.820 to 0.965) and paraplegics (rs ranged from −0.598 to 0.833). However, the pattern of correlations between change in cytokines and affect was inconsistent between groups. Lower baseline levels of IL-1ra predicted greater decreases in NP immediately post-exercise (r = 0.83, p = 0.01).Conclusion: Sub-maximal exercise can positively impact NP for some persons with SCI. Further experimental research should identify the optimal exercise intensity to reduce NP for persons with SCI, in addition to understanding biomarkers which may predict changes in NP.Clinical Trial Registration:www.ClinicalTrials.gov, identifier NCT03955523.

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