Melissa T Nott1, Ian J Baguley2, Roxana Heriseanu3, Gerard Weber3, James W Middleton4, Sue Meares5, Jennifer Batchelor5, Andrew Jones6, Claire L Boyle3, Stephanie Chilko7. 1. School of Community Health, Charles Sturt University , Albury, NSW , Australia. 2. Brain Injury Rehabilitation Service , Westmead Hospital, Sydney, NSW , Australia. 3. Spinal Injuries Unit, Royal Rehabilitation Centre Sydney, Sydney, NSW , Australia. 4. NSW Statewide Spinal Cord Injury Service , Sydney, NSW , Australia. 5. Department of Psychology, Macquarie University , Sydney, NSW , Australia. 6. Concord Centre for Mental Health, Concord Hospital , Sydney, NSW , Australia. 7. Occupational Therapy Department, Balmain Hospital , Sydney, NSW , Australia.
Abstract
BACKGROUND: There are limited data on the interactions between concomitant spinal cord injury (SCI) and traumatic brain injury (TBI) in terms of medical, psychological, functional, and community outcomes. OBJECTIVE: To investigate the hypothesis that in addition to SCI-associated sensory-motor impairments, people with dual diagnosis would experience additional TBI-associated cognitive impairments that would have a negative impact on community reintegration. METHODS: Cross-sectional, case-matched study comparing a consecutive sample of participants with dual diagnosis (n = 30) to an SCI group (n = 30) and TBI group (n = 30). Participants who were on average 3.6 years postrehabilitation discharge were interviewed using a battery of standardized outcome measures. RESULTS: Length of rehabilitation stay was significantly longer in SCI and dual diagnosis participants. Fatigue, pain, sexual dysfunction, depression, and sleep disturbances were frequently reported by all groups. Similar levels of anxiety and depression were reported by participants in all groups, however TBI participants reported higher stress levels. All groups achieved mean FIM scores > 100. The dual diagnosis and SCI groups received more daily care and support than TBI participants. Similar levels of community reintegration were achieved by all groups with a high level of productive engagement in work, study, or volunteer activities. CONCLUSIONS: The findings of this study do not support the hypotheses. Postrehabilitation functioning was better than anticipated in adults with dual diagnosis. The contribution of rehabilitation factors, such as longer admission time to develop compensatory techniques and strategies for adaptation in the community, may have contributed to these positive findings.
BACKGROUND: There are limited data on the interactions between concomitant spinal cord injury (SCI) and traumatic brain injury (TBI) in terms of medical, psychological, functional, and community outcomes. OBJECTIVE: To investigate the hypothesis that in addition to SCI-associated sensory-motor impairments, people with dual diagnosis would experience additional TBI-associated cognitive impairments that would have a negative impact on community reintegration. METHODS: Cross-sectional, case-matched study comparing a consecutive sample of participants with dual diagnosis (n = 30) to an SCI group (n = 30) and TBI group (n = 30). Participants who were on average 3.6 years postrehabilitation discharge were interviewed using a battery of standardized outcome measures. RESULTS: Length of rehabilitation stay was significantly longer in SCI and dual diagnosis participants. Fatigue, pain, sexual dysfunction, depression, and sleep disturbances were frequently reported by all groups. Similar levels of anxiety and depression were reported by participants in all groups, however TBI participants reported higher stress levels. All groups achieved mean FIM scores > 100. The dual diagnosis and SCI groups received more daily care and support than TBI participants. Similar levels of community reintegration were achieved by all groups with a high level of productive engagement in work, study, or volunteer activities. CONCLUSIONS: The findings of this study do not support the hypotheses. Postrehabilitation functioning was better than anticipated in adults with dual diagnosis. The contribution of rehabilitation factors, such as longer admission time to develop compensatory techniques and strategies for adaptation in the community, may have contributed to these positive findings.
Authors: Annelies De Wolf; Amanda Lane-Brown; Robyn L Tate; James Middleton; Ian D Cameron Journal: Qual Life Res Date: 2010-06-27 Impact factor: 4.147
Authors: Stephen N Macciocchi; Brock Bowman; Jennifer Coker; David Apple; Donald Leslie Journal: Am J Phys Med Rehabil Date: 2004-01 Impact factor: 2.159
Authors: Blake M Hauser; John McNulty; Mark M Zaki; Saksham Gupta; David J Cote; Joshua D Bernstock; Yi Lu; John H Chi; Michael W Groff; Ayaz M Khawaja; Timothy R Smith; Hasan A Zaidi Journal: Injury Date: 2021-10-02 Impact factor: 2.586