A study of whether individual and dyadic relations between spirituality and resilience contribute to psychological adjustment among individuals with spinal cord injuries and their family members

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

Spinal Cord ◽

10.1038/sc.2016.75 ◽

2016 ◽

Vol 55 (1) ◽

pp. 105-111 ◽

Cited By ~ 16

Author(s):

P J Siddall ◽

L McIndoe ◽

P Austin ◽

P J Wrigley

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Well Being ◽

Cord Injury ◽

Spiritual Well Being ◽

The Impact

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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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Acquisition of a precision walking skill and the impact of proprioceptive deficits in people with motor-incomplete spinal cord injury

Journal of Neurophysiology ◽

10.1152/jn.00432.2018 ◽

2019 ◽

Vol 121 (3) ◽

pp. 1078-1084 ◽

Cited By ~ 4

Author(s):

Amanda E. Chisholm ◽

Taha Qaiser ◽

Alison M. M. Williams ◽

Gevorg Eginyan ◽

Tania Lam

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Visual Feedback ◽

Spinal Cord Injuries ◽

Sensory Function ◽

Joint Position ◽

Incomplete Spinal Cord Injury ◽

Cord Injury ◽

Rate Of Learning ◽

The Impact

Many people with motor-incomplete spinal cord injury (m-iSCI) experience difficulty navigating obstacles, such as curbs and stairs. The ability to relearn walking skills may be limited by proprioceptive deficits. The purpose of this study was to determine the capacity of participants to acquire a precision walking skill, and to evaluate the influence of proprioceptive deficits on the skill acquisition in individuals with m-iSCI. Sixteen individuals with m-iSCI and eight controls performed a precision walking task that required matching their foot height to a target during the swing phase. Proprioceptive deficits were quantified at the hip and knee for joint position and movement detection sense. Participants completed 600 steps of training with visual feedback. Pretraining and posttraining tests were conducted without visual feedback, along with a transfer test with an ankle weight. Posttraining and transfer tests were repeated 1 day later. Participants returned to the laboratory 1 wk later to repeat the training. Performance was calculated as the vertical distance between the target and actual foot height for each step. The posttraining and transfer performances were similar between groups. However, participants with m-iSCI had a slower rate of acquisition to achieve a similar performance level compared with controls. Acquisition rate and posttraining performance of the precision walking task were related to lower limb joint position sense among SCI participants. Although they can achieve a similar level of performance in a precision walking task, proprioceptive deficits impair the rate of learning among individuals with m-iSCI compared with able-bodied controls. NEW & NOTEWORTHY People with motor-incomplete spinal cord injuries are able to achieve the same level of performance accuracy on a precision walking task as able-bodied controls; however, the rate of learning is slower, indicating that more practice is required to stabilize performance. Our findings also show a relationship between impaired sensory function and reduced accuracy when performing a precision walking task after spinal cord injury.

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Men’s Adjustment to Spinal Cord Injury: The Unique Contributions of Conformity to Masculine Gender Norms

American Journal of Men s Health ◽

10.1177/1557988309332690 ◽

2009 ◽

Vol 4 (2) ◽

pp. 157-166 ◽

Cited By ~ 9

Author(s):

Shaun Michael Burns ◽

Sigmund Hough ◽

Briana L. Boyd ◽

Justin Hill

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Spinal Cord Injuries ◽

Gender Norms ◽

The United States ◽

Future Research ◽

Masculine Norms ◽

Cord Injury ◽

Future Research Directions ◽

The Impact

Men constitute 82% of the approximately 250,000 people in the United States living with a spinal cord injury. Unfortunately, however, little is known about the impact of men’s adherence to gender norms on their adjustment to such injuries. The present investigation examined the utility of masculine norms in explaining variance in depression beyond that accounted for by commonly identified predictors of men’s adjustment following spinal cord injury. As hypothesized, results suggested that men’s adherence to masculine norms accounted for unique variance in their depression scores beyond that contributed by social support, environmental barriers/access, and erectile functioning. Respondents who adhered to norms stressing the primacy of men’s work demonstrated lower rates of depression, whereas those who conformed to norms for self-reliance demonstrated higher depression scores. The authors discuss future research directions and potential psychotherapeutic strategies for working with men with spinal cord injuries.

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Satisfaction and meaning in life for persons with traumatic spinal cord injury

Acta Fisiátrica ◽

10.11606/issn.2317-0190.v27i4a177134 ◽

2020 ◽

Vol 27 (4) ◽

pp. 213-219

Author(s):

Fabiana Faleiros Santana Castro ◽

Karina de Fátima Bimbatti ◽

Adriane Aparecida Gonçalves de Carvalho ◽

Mariele Lenhari Gonçalves ◽

Filipe Gustavo Lopes ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Meaning In Life ◽

Satisfaction With Life ◽

Satisfaction With Life Scale ◽

Average Score ◽

Life Questionnaire ◽

Rehabilitation Process ◽

Cord Injury ◽

Life Scale

Objective: To analyze meaning in life, satisfaction with life, and the influence of sociodemographic variables in Brazilians with Spinal Cord Injury (SCI). This was a quantitative, cross-sectional, and descriptive study. Participants: Adults with traumatic SCI. Methods: The data were collected through the Survey Monkey platform using the Meaning in Life Questionnaire and the Satisfaction With Life Scale; the sample was composed of adults 18 years old or older with Traumatic SCI. Results: Most of the participants were male (75.5%), with a mean age of 36.22. The average score on the Satisfaction With Life Scale was 21.26, which corresponds to the Slightly satisfied category. The mean scores, respectively, for search and presence of meaning in life were 22.61 and 25.32, indicating that most participants find life meaningful even though they don’t explicitly search for meaning. There were significant associations between satisfaction with life and the meaning in life. Conclusion: In the rehabilitation process for people with Traumatic SCI, the assessment of satisfaction and the meaning of life must be managed together along with other psychological variables. Considering the complex life context of people suffering from a Traumatic SCI, there is a need for both holistic and individualized understanding during the rehabilitation process.

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