scholarly journals Level of Exercise Participation in Individuals with Traumatic Spinal Cord Injury During Inpatient Rehabilitation: A Cross-sectional Study

2021 ◽  
Vol 19 (1) ◽  
pp. 32-38
Author(s):  
Shambhu Prasad Adhikari ◽  
Shraddha Adhikari ◽  
Chanda Rana ◽  
Rubee Dev

Background: The outcome of exercises depends on participants’ level of exercise participation. We aimed to investigate the level of exercise participation in individuals with traumatic spinal cord injury during inpatient rehabilitation.Methods: All participants with traumatic spinal cord injury undergoing inpatient physiotherapy at a rehabilitation center were recruited. Participants with hearing/visual problems were excluded. Hopkins Rehabilitation Engagement Rating Scale and Pittsburgh Rehabilitation Participation Scale were used to evaluate exercise participation levels. One-way ANOVA and unpaired t-test were used to compare level of participation between groups. Pearson’s correlation and Chi-square tests were used to evaluate correlation and association. Results: Thirty-five participants with mean age 37.1 ± 11.7 years completed the study. Hopkins Rehabilitation Engagement Rating Scale and Pittsburgh Rehabilitation Participation Scale demonstrated a low level of exercise participation in 31.4 % and 42.9 % participants respectively. Participants with an incomplete injury had high exercise participation levels compared to complete injuries. There were significant group differences (p < 0.001, effect size = 0.8) between complete and incomplete injuries and among various levels of injuries. The level of exercise participation was significantly associated with injury levels and type (p < 0.001, Phi = 0.7 to 0.9). Conclusions: The exercise participation level was high for incomplete compared to complete injuries in Nepalese individuals with traumatic spinal cord injury. The demographic and socio-economical factors were not associated with level of exercise participation.Keywords: Exercise participation; rehabilitation; spinal cord injury

Cephalalgia ◽  
2015 ◽  
Vol 36 (5) ◽  
pp. 403-412
Author(s):  
Liis Sabre ◽  
Mariann Rugo ◽  
Toomas Asser ◽  
Janika Kõrv ◽  
Mark Braschinsky

Background Patients with traumatic spinal cord injury (TSCI) often suffer from different types of pain. However, headaches after TSCI have not been studied. Aim The aim of this article is to examine the occurrence of headache among patients with TSCI. Methods This cross-sectional study included individuals with TSCI from 1997 to 2012 in Estonia. Patients with TSCI were interviewed via telephone. The interview was based on a questionnaire specifically designed to identify headache type using the International Classification of Headache Disorders, third edition (beta version). Results There were 73 patients with a mean age 37.1 ± 10.6 years. The mean time since TSCI was 7.5 ± 4.0 years. The most frequently mentioned pain was headache (71%), followed by back pain (60%) and pain in neck (44%). Headaches were more frequent after the trauma compared with the headaches before TSCI (71% vs 51%, p = 0.02). Headaches that arose after TSCI were not related to the concomitant brain injury ( p = 0.15). The occurrence of headache did not depend on the severity or the level of the TSCI. Eighty-five percent of patients had not contacted any physician and headache was not diagnosed. Conclusions This is the first study that evidentially shows that headache is the most prevalent pain condition after TSCI. Despite this, the majority of patients never consult a physician, nor is their headache diagnosed or appropriately managed. This indicates that further studies are needed to provide evidence regarding the prevalence and causes of headache and its impact on quality of life.


2018 ◽  
Vol 25 (1) ◽  
pp. 36-39
Author(s):  
Victor Figueiredo Leite ◽  
Daniel Rubio de Souza ◽  
Marta Imamura ◽  
Linamara Rizzo Battistella

There is scarce data about intra-hospital complications in acute traumatic spinal cord injury (TSCI). Objective: To report characteristics of complications in patients with TSCI in a major trauma center. Method: This is a cross-sectional study with 434 patients with acute TSCI from 2004 to 2014. Outcomes were frequency and description of complications, length of hospital stay (LOS), and causes of increased LOS. Results: Patients presented at least 1 complication in 82.2% of the cases: urinary tract infection (UTI) = 64.4%, pressure ulcers (PU) = 50.6%, and pneumonia = 23.7%. Pneumonia, intubation and cases of surgical corrections for PU were independently associated with increased LOS. Conclusion: UTIs and PUs were the most frequent complications. Investigating its causes and consequences is paramount in the care of patients with SCI. Possible reasons for such complications could comprise time, and frequency of repositioning in bed. Investigating intra-hospital complications is paramount in SCI centers.


Spinal Cord ◽  
2018 ◽  
Vol 57 (4) ◽  
pp. 331-338 ◽  
Author(s):  
A. Halvorsen ◽  
A. L. Pettersen ◽  
S. M. Nilsen ◽  
K. Krizak Halle ◽  
E. Elmenhorst Schaanning ◽  
...  

Pain ◽  
1987 ◽  
Vol 29 (1) ◽  
pp. 39-48 ◽  
Author(s):  
Gary Davidoff ◽  
Elliot Roth ◽  
Mary Guarracini ◽  
James Sliwa ◽  
Gary Yarkony

Sign in / Sign up

Export Citation Format

Share Document