P Kennedy1, A Cox, A Mariani. 1. Oxford Doctoral Course in Clinical Psychology, University of Oxford, Oxford, UK. paul.kennedy@hmc.ox.ac.uk
Abstract
STUDY DESIGN: Case series, consecutive sample, survey. OBJECTIVES: To examine the incidence of spinal cord injuries sustained as a result of falls compared with other causes, and to investigate rehabilitation outcomes between these two groups. SETTINGS: Tertiary care, spinal cord injury rehabilitation unit (National Spinal Injuries Center), Stoke Mandeville Hospital, UK. METHODS: Demographic information and descriptive statistics were examined for individuals sustaining their injury via falls vs non-falls. Statistical analysis investigated rehabilitation outcomes between the groups. RESULTS: The etiology of spinal cord injury (SCI) reported is similar to previous findings. Individuals who sustained their SCI as a result of falls and other causes made equal improvements from the start to end of rehabilitation, according to the Needs Assessment Checklist, a clinical measure of individual rehabilitation needs in 10 domains. However, those in the falls group achieved less overall throughout rehabilitation, and this was significant at pre-discharge for the areas of bladder management, mobility and discharge. CONCLUSION: Results highlight the need for specific consideration to be made of the rehabilitation needs of individuals who sustain SCI as a result of a fall, and for these to be addressed in rehabilitation programming.
STUDY DESIGN: Case series, consecutive sample, survey. OBJECTIVES: To examine the incidence of spinal cord injuries sustained as a result of falls compared with other causes, and to investigate rehabilitation outcomes between these two groups. SETTINGS: Tertiary care, spinal cord injury rehabilitation unit (National Spinal Injuries Center), Stoke Mandeville Hospital, UK. METHODS: Demographic information and descriptive statistics were examined for individuals sustaining their injury via falls vs non-falls. Statistical analysis investigated rehabilitation outcomes between the groups. RESULTS: The etiology of spinal cord injury (SCI) reported is similar to previous findings. Individuals who sustained their SCI as a result of falls and other causes made equal improvements from the start to end of rehabilitation, according to the Needs Assessment Checklist, a clinical measure of individual rehabilitation needs in 10 domains. However, those in the falls group achieved less overall throughout rehabilitation, and this was significant at pre-discharge for the areas of bladder management, mobility and discharge. CONCLUSION: Results highlight the need for specific consideration to be made of the rehabilitation needs of individuals who sustain SCI as a result of a fall, and for these to be addressed in rehabilitation programming.
Authors: Craig A Bauman; James D Milligan; Tejal Patel; Sarah Pritchard; Tammy Labreche; Sharon Dillon-Martin; Alexandra Ilich; John J Riva Journal: J Can Chiropr Assoc Date: 2014-09
Authors: Elina Johansson; Teemu M Luoto; Aki Vainionpää; Anna-Maija Kauppila; Mauri Kallinen; Eija Väärälä; Eerika Koskinen Journal: Spinal Cord Date: 2020-11-04 Impact factor: 2.473