Associations between time since onset of injury and participation in Dutch people with long-term spinal cord injury
| Autor: | Jacinthe J Adriaansen, Sonja de Groot, C. A. J. Smit, Marcel W M Post, Leonie S de Ruijter |
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| Přispěvatelé: | SMART Movements (SMART), Extremities Pain and Disability (EXPAND) |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Time Factors Cross-sectional study SATISFACTION COMMUNITY PARTICIPATION Negative association Quadriplegia REHABILITATION-PARTICIPATION 03 medical and health sciences 0302 clinical medicine Leisure Activities Quality of life QUALITY-OF-LIFE medicine Humans ICF MEASURE ACTIVITIES SCREENER PREDICTORS Spinal cord injury Tetraplegia Spinal Cord Injuries Aged Netherlands Paraplegia business.industry DISABILITY Mean age General Medicine Middle Aged medicine.disease Time since injury Cross-Sectional Studies Neurology Wheelchairs UTRECHT SCALE Physical therapy Female Neurology (clinical) SOCIAL-PARTICIPATION 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Spinal Cord, 56(12), 1134-1143. Nature Publishing Group |
| ISSN: | 1476-5624 1362-4393 |
| Popis: | Study design Multicentre cross-sectional study.Objectives To describe relationships between time since injury (TSI) and participation in individuals with tetraplegia and paraplegia.Setting Community sample from the NetherlandsMethods Individuals (N= 265) aged 28-65 years, living with spinal cord injury (SCI) for >= 10 years, age at injury between 18-35 years and using a wheelchair for everyday mobility in three TSI strata: 10-19, 20-29, and >= 30 years post-injury. The Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-Participation) was used, which consists of three scales: Frequency (including subscales for Productive, Leisure, and Social activities), Restrictions, and Satisfaction. Linear regression analyses were used to study the effect of TSI on participation, and to adjust for personal and lesion characteristics, for individuals with tetraplegia and paraplegia separately.Results Mean age was 48.4 years, with a mean TSI of 24 years. About 73.6% were male, 40.4% had tetraplegia and 81.9% had a motor complete injury. In individuals with tetraplegia (N= 107), longer TSI was independently associated with lower scores on the Frequency scale (p = 0.025) and the subscale frequency of Leisure activities (p = 0.004). In individuals with paraplegia (N= 158), longer TSI was independently associated with lower scores on the subscale frequency of Productive activities (p = 0.006). TSI was not associated with participation Restrictions and Satisfaction with participation.Conclusions Longer TSI is associated with a reduced frequency of participation in individuals with long-term SCI. Interestingly, this negative association is not accompanied by a similar association in the person's experience of participation. |
| Databáze: | OpenAIRE |
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