The Interprofessional Clinical and Therapeutic Team Strategy to Manage Spinal Cord Injuries

A popular comorbidity of spinal cord injuries is physical deconditioning that frequently prejudice the person to increased risk for secondary non-communicable diseases, such as non-dependent insulin diabetes mellitus, cardiovascular diseases, respiratory diseases, cardiorespiratory diseases, obesity, osteoporosis, arthritis and osteoarthritis. Clinical literature has shown that spinal cord injured individuals have a poor cardiometabolic risk profile that amplifies the likelihood of secondary non-communicable diseases. Components of physical deconditioning include muscle atrophy, decreased aerobic capacity, inflexibility and diminished muscle and endurance. Another problem associated with spinal cord injuries is reliance or dependence on others. The combination of poor physical conditioning and dependence on others often adversely impacts on the individual’s quality of life, limiting their social interaction with others. The adherence to habitual physical activity and exercises has shown to increase conditioning status, improve health and wellbeing, increase independence, and improve confidence and self-image and successful re-integration in community. Therefore it is of paramount importance to increase awareness of the benefits of habitual physical activity and exercise to spinal cord injured patients, medical and clinical practitioners, family and friends. This chapter intends to highlight the health benefits of habitual physical activity in relation to selected secondary non-communicable diseases, and, the importance of interprofessional clinical and therapeutic team strategy to improve the spinal cord injured individuals’ quality of life.

Download Full-text

Physical Activity, Quality of Life, and Functional Autonomy of Adults With Spinal Cord Injuries

Adapted Physical Activity Quarterly ◽

10.1123/apaq.30.4.317 ◽

2013 ◽

Vol 30 (4) ◽

pp. 317-337 ◽

Cited By ~ 18

Author(s):

Camilla Yuri Kawanishi ◽

Márcia Greguol

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Spinal Cord ◽

Spinal Cord Injury ◽

Spinal Cord Injuries ◽

Functional Independence ◽

Cord Injury ◽

Functional Autonomy ◽

Using Data

This study aimed to perform a systematic review of studies that address the influence of physical activity on the quality of life and functional independence of adult individuals with spinal cord injury. The review was performed using data obtained from the MEDLINE, CINAHL, SciELO, LILACS, SPORTDiscus, Web of Science, Academic Search Premier, and PEDro databases using the following keywords: quality of life; functional independence; autonomy; independence; physical activity; activities of daily living; physical exercise; tetraplegia; paraplegia; spinal cord injury; physical disabilities; and wheelchair. Eleven studies met the inclusion criteria. Although there was a lack of consensus among the selected studies, the majority of them presented a strong correlation between physical activity and variables of quality of life and/or functional independence. Thus, physical activity appears to have an important influence on social relationships, functional independence, psychological factors, and physical aspects, which can enhance quality of life and independence in the performance of daily activities.

Download Full-text

Physical Activity and Quality of Life in Hemodialysis Patients and Healthy Controls: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041978 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1978

Author(s):

Tjaša Filipčič ◽

Špela Bogataj ◽

Jernej Pajek ◽

Maja Pajek

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Everyday Life ◽

Habitual Physical Activity ◽

Healthy Controls ◽

Age And Gender ◽

Comorbidity Score ◽

Sf 36 ◽

And Gender

Hemodialysis (HD) patients have lower functional abilities compared to healthy people, and this is associated with lower physical activity in everyday life. This may affect their quality of life, but research on this topic is limited. Therefore, the present study aimed to determine the relationship between habitual physical activity and quality of life in HD patients and healthy controls. Ninety-three HD patients and 140 controls participated in the study. Quality of life was assessed using a 36-item medical outcomes study short-form health survey (SF-36). Human Activity Profile (HAP) was used to assess habitual physical activity. The adjusted activity score (AAS) from HAP, age, gender, fat tissue index (FTI), lean tissue index (LTI), and Davies comorbidity score were analyzed as possible predictors of the Physical Component Summary (PCS) of the SF-36. Three sequential linear models were used to model PCS. In Model 1, PCS was regressed by gender and age; in Model 2 the LTI, FTI, and Davies comorbidity scores were added. Model 3 also included AAS. After controlling for age and gender (ModelHD 1: p = 0.056), LTI, FTI, and Davies comorbidity score effects (ModelHD 2: p = 0.181), the AAS accounted for 32% of the variation in PCS of HD patients (ModelHD 3: p < 0.001). Consequently, the PCS of HD patients would increase by 0.431 points if the AAS increased by one point. However, in healthy controls, AAS had a lower impact than in the HD sample (B = 0.359 vs. 0.431), while the corresponding effects of age and gender (ModelH 1: p < 0.001), LTI, FTI, and Davies comorbidity score (ModelH 2: p < 0.001) were adjusted for. The proportion of variation in PCS attributed to AAS was 14.9% (ModelH 3: p < 0.001). The current study results showed that physical activity in everyday life as measured by the HAP questionnaire is associated to a higher degree with the quality of life of HD patients than in healthy subjects. Routine physical activity programs are therefore highly justified, and the nephrology community should play a leading role in this effort.

Download Full-text

Psychological and socioeconomic status, complications and quality of life in people with spinal cord injuries after discharge from hospital in Bangladesh: a cohort study

Spinal Cord ◽

10.1038/sc.2015.179 ◽

2015 ◽

Vol 54 (6) ◽

pp. 483-489 ◽

Cited By ~ 12

Author(s):

M S Hossain ◽

M A Rahman ◽

J L Bowden ◽

M M Quadir ◽

R D Herbert ◽

...

Keyword(s):

Quality Of Life ◽

Spinal Cord ◽

Socioeconomic Status ◽

Cohort Study ◽

Spinal Cord Injuries ◽

Discharge From Hospital

Download Full-text

Quality of life of traumatic spinal cord injured patients in Hong Kong

Acta Dermato Venereologica ◽

10.2340/16501977-0150 ◽

2008 ◽

Vol 40 (2) ◽

pp. 126-131 ◽

Cited By ~ 16

Author(s):

Y Hu ◽

JNF Mak ◽

YW Wong ◽

JCY Leong ◽

KDK Luk

Keyword(s):

Quality Of Life ◽

Spinal Cord ◽

Hong Kong ◽

Injured Patients ◽

Spinal Cord Injured

Download Full-text

HEALTH-RELATED QUALITY OF LIFE AMONG DISPENSARY OBSERVATION PATIENTS WITH CHRONIC ILLNESS IN BULGARIA

CBU International Conference Proceedings ◽

10.12955/cbup.v5.1049 ◽

2017 ◽

Vol 5 ◽

pp. 943-947

Author(s):

Teodora Dimcheva ◽

Boryana Levterova ◽

Desislava Bakova ◽

Nonka Mateva

Keyword(s):

Quality Of Life ◽

Chronic Diseases ◽

Subjective Assessment ◽

Cross Sectional Study ◽

Communicable Diseases ◽

Strong Impact ◽

Cross Sectional ◽

Non Communicable Diseases ◽

Chronic Respiratory Diseases

Introduction: The prevalence of chronic non-communicable diseases (NCDs) worldwide acquires epidemic dimensions. In Europe, five nosological groups (diabetes mellitus, cardiovascular disease, cancer, chronic respiratory diseases and mental disabilities) constitute 77% of NCDs and cause about 86% of deaths in the region.Objectives: This study aimed to assess the quality of life in patients with chronic non-communicable diseases under dispensary observation.Methods: The pilot cross-sectional study was performed among adult with chronic diseases in primary care practices in the Plovdiv district (the second largest in Bulgaria) from May to June 2013.Results: A total of 200 adults with chronic diseases participated in the study. The mean age was 55.6 years (range 25â€“95, standard deviation (SD) 16.9). The most common chronic diseases in our study were cardiovascular 51% (ischemic heart disease, hypertension, etc.), followed by endocrinology diseases (23%). There was statistically significant differences in the assessments of "general health" in different groups of participants by gender (Ď‡2 = 16.65, P <0.002), age (Ď‡2 = 12.57, P <0.05) and social status (Ď‡2 = 28.54, P <0.0001).Conclusion: The subjective assessment of health is a factor that has a strong impact on the quality of life of patients and is an important component in evaluating the effectiveness of provided health care for patients with chronic non-communicable diseases.

Download Full-text