Attachment and Employment Outcomes for People With Spinal Cord Injury

2016 ◽  
Vol 60 (2) ◽  
pp. 77-87 ◽  
Author(s):  
John Blake ◽  
Jessica Brooks ◽  
Hannah Greenbaum ◽  
Fong Chan
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
The United States ◽  
Mediation Effect ◽  
Full Time ◽  
Anxious Attachment ◽  
Cord Injury ◽  
Quantitative Descriptive ◽  
Full Time Employment ◽  
The Relationship

The purpose of this article is to evaluate the mediation effect of hope on the relationship between attachment and full-time employment for people with spinal cord injury (SCI). Quantitative descriptive research design using logistic regression, multiple regression, and correlational techniques were used. Eighty-four persons with SCI were recruited from several SCI advocacy organizations in Canada, the United Kingdom, and the United States. The results show that secure attachment, anxious attachment, and hope were significantly related to employment. Hope was found to be a significant mediator of the relationship between attachment and full-time employment. Results provide support for the use of hope-based interventions by vocational rehabilitation counselors working with individuals with SCI.

Traumatic Spinal Cord Injury

2018 ◽  
Author(s):  
Ryan Martin ◽  
Lara Zimmermann ◽  
Kee D. Kim ◽  
Marike Zwienenberg ◽  
Kiarash Shahlaie
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Surgical Management ◽  
Burst Fracture ◽  
Compression Fracture ◽  
The United States ◽  
Traumatic Spinal Cord Injury ◽  
Early Management ◽  
Pressure Therapy ◽  
Cord Injury

Traumatic spinal cord injury currently affects approximately 285,000 persons in the United States and carries with it significant morbidity and cost. Early management focuses on adequate ventilation and hemodynamic resuscitation of the patient and limiting motion of the spine to prevent a second injury. Medical management targets maintenance of adequate blood flow to the spinal cord, whereas surgical management focuses on decompression, realignment, and stabilization of the vertebral column. In this chapter, we discuss the approach to the patient with traumatic spinal cord injury, injury types, and medical and surgical management. This review contains 9 figures, 4 tables and 30 references Key Words: American Spinal Injury Association score, burst fracture, Chance fracture, compression fracture, hangman, mean arterial pressure therapy, odontoid fracture, spinal cord injury, traction

Relationship of Exercise and Hospital Readmission After Spinal Cord Injury: A Secondary Analysis

2021 ◽  
Vol 76 (1) ◽  
Author(s):  
Stephanie Kubiak ◽  
Elliot Sklar
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Hospital Readmission ◽  
Low Cost ◽  
Hospital Readmissions ◽  
Secondary Analysis ◽  
Inpatient Rehabilitation ◽  
The United States ◽  
Exercise Participation ◽  
Cord Injury

Importance: After spinal cord injury (SCI), as many as 45% of people experience at least one hospital readmission within 1 yr. Identification of feasible low-cost interventions to reduce hospital readmissions after SCI is needed. Objective: To explore whether a relationship exists between routine exercise and hospital readmission rates 1 yr after SCI. Design: We conducted a secondary analysis of data from the SCIRehab Project, a prospective cohort study. Setting: Five SCI inpatient rehabilitation facilities across the United States. Participants: Participants were people age 12 yr and older who had sustained an SCI, were admitted to a participating inpatient rehabilitation facility, completed the 12-mo postinjury interview, and reported exercising either monthly or not at all since discharge (N = 520). Outcomes and Measures: The SCIRehab Project conducted 12-mo post–inpatient rehabilitation discharge interviews. As part of the interviews, self-reported hospital readmissions and exercise frequencies since discharge (self-reported number of months, average days per week, and average minutes per day of exercise participation) were collected and analyzed. Results: A χ2 analysis determined that a significant correlation (φ = −.091, p = .038) exists between monthly exercise and hospital readmissions 1 yr postinjury. Compared with those who did not exercise, participants who exercised monthly had 8.4% fewer hospital readmissions. Conclusions and Relevance: A relationship exists between exercise and hospital readmission, but follow-up research is needed to determine whether regular exercise reduces hospital readmissions among this population. What This Article Adds: After discharge, 44% of the participants did not exercise during the first year after injury. Identifying or implementing accessible community exercise programs is an area of opportunity for occupational therapy practitioners and future researchers to explore.

Traumatic Spinal Cord Injury

2018 ◽  
Author(s):  
Ryan Martin ◽  
Lara Zimmermann ◽  
Kee D. Kim ◽  
Marike Zwienenberg ◽  
Kiarash Shahlaie
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Surgical Management ◽  
Burst Fracture ◽  
Compression Fracture ◽  
The United States ◽  
Traumatic Spinal Cord Injury ◽  
Early Management ◽  
Pressure Therapy ◽  
Cord Injury

Traumatic spinal cord injury currently affects approximately 285,000 persons in the United States and carries with it significant morbidity and cost. Early management focuses on adequate ventilation and hemodynamic resuscitation of the patient and limiting motion of the spine to prevent a second injury. Medical management targets maintenance of adequate blood flow to the spinal cord, whereas surgical management focuses on decompression, realignment, and stabilization of the vertebral column. In this chapter, we discuss the approach to the patient with traumatic spinal cord injury, injury types, and medical and surgical management. This review contains 9 figures, 4 tables and 30 references Key Words: American Spinal Injury Association score, burst fracture, Chance fracture, compression fracture, hangman, mean arterial pressure therapy, odontoid fracture, spinal cord injury, traction

scholarly journals The relationship between pressure offloading and ischial tissue health in individuals with spinal cord injury: An exploratory study

2019 ◽  
Vol 42 (sup1) ◽  
pp. 186-195 ◽  
Author(s):  
Sharon Gabison ◽  
Sunita Mathur ◽  
Ethne L. Nussbaum ◽  
Milos R. Popovic ◽  
Mary C. Verrier
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Exploratory Study ◽  
Cord Injury ◽  
The Relationship
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