Student Competition (Knowledge Generation) ID 1984770

IF 2.4 Q1 REHABILITATION Topics in Spinal Cord Injury Rehabilitation Pub Date : 2023-09-01 DOI:10.46292/sci23-1984770s
Shajaky Parameswaran, Thomas P. Walden, Louise Brisbois, B. C. Craven
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Abstract

Following a traumatic spinal cord injury (tSCI), patients prioritize being able to manage their bowels independently. A reduction of independence can impact an individual’s quality of life. The current study investigates the relationships between sphincter control, level of independence and quality of life. We hypothesized that sphincter control would relate strongly to levels of independence and quality of life. Adults with tSCI who consented to participate in the Rick Hansen Spinal Cord Injury Registry at the Lyndhurst Rehabilitation Centre completed community follow-up interviews from 2014-2021. Data was collected at baseline, year 1, 2 and 5 (n = 330). Descriptive data and neurological level of injury (NLI) were collected, along with the Life Satisfaction Questionnaire (LiSAT-11), 36-item Short Form Survey Quality of Life measures (SF-36v2) and the Spinal Cord Independence Measure III (SCIM). Separate analyses were conducted for NLI C1-T10 (upper motor neuron [UMN] [n=280]), and T11-S5 (lower motor neuron [LMN] [n=50]). Associations between sphincter management and life satisfaction were calculated using Spearman’s correlation coefficient, adjusted for age and sex. SCIM had a moderate, yet significant relationship with LiSAT-11 (r2=0.48, p<0.001) for LMN, but no relationship for UMN (r2= 0.17, p<0.001). A weak relationship was observed between SCIM and SF-36v2 for LMN (r2=0.30, p=0.014) but no relationship for UMN (r2=0.01, p=0.59). Sphincter management scores after rehabilitation discharge are not a strong predictor of life satisfaction following tSCI suggesting that a multifaceted approach is required to assess an individuals’ quality of life post tSCI.
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学生竞赛(知识生成) ID 1984770
创伤性脊髓损伤 (tSCI) 后,患者会优先考虑能否独立处理大小便。独立性的降低会影响患者的生活质量。本研究调查了括约肌控制能力、独立程度和生活质量之间的关系。我们假设括约肌控制能力与独立程度和生活质量密切相关。 同意参加林德赫斯特康复中心里克-汉森脊髓损伤登记处(Rick Hansen Spinal Cord Injury Registry)的成人脊髓损伤患者在 2014-2021 年间完成了社区随访。数据收集时间为基线、第 1 年、第 2 年和第 5 年(n = 330)。收集了描述性数据和神经损伤程度(NLI),以及生活满意度问卷(LiSAT-11)、36 项简表生活质量调查(SF-36v2)和脊髓独立性测量 III(SCIM)。对 NLI C1-T10(上运动神经元 [UMN] [n=280])和 T11-S5(下运动神经元 [LMN] [n=50])进行了单独分析。使用斯皮尔曼相关系数计算括约肌管理与生活满意度之间的关系,并对年龄和性别进行调整。 对于 LMN 而言,SCIM 与 LiSAT-11 有中度但显著的关系(r2=0.48,p<0.001),但对于 UMN 则没有关系(r2= 0.17,p<0.001)。就 LMN 而言,SCIM 与 SF-36v2 之间的关系较弱(r2=0.30,p=0.014),但就 UMN 而言,两者之间没有关系(r2=0.01,p=0.59)。 康复出院后的括约肌管理评分并不能有力地预测创伤后脊柱侧弯术后的生活满意度,这表明需要采用多方面的方法来评估创伤后脊柱侧弯术后患者的生活质量。
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来源期刊
CiteScore
3.20
自引率
3.40%
发文量
33
期刊介绍: Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning
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