The relationship between quality of life and change in mobility 1 year postinjury in individuals with spinal cord injury

Riggins, MS and Kankipati, P and Oyster, ML and Cooper, RA and Boninger, ML (2011) The relationship between quality of life and change in mobility 1 year postinjury in individuals with spinal cord injury. Archives of Physical Medicine and Rehabilitation, 92 (7). 1027 - 1033. ISSN 0003-9993

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Abstract

Riggins MS, Kankipati P, Oyster ML, Cooper RA, Boninger ML. The relationship between quality of life and change in mobility 1 year postinjury in individuals with spinal cord injury. Objective: To examine quality-of-life (QOL) factors and change in mobility in individuals with traumatic spinal cord injury (SCI) 1 year after injury. Design: Retrospective case study of National SCI Database data. Setting: SCI Model Systems (SCIMS) sites (N=18). Participants: Subjects (N=1826; age >18y) who presented to an SCIMS site after traumatic SCI between June 2004 and July 2009 and returned for 1-year follow-up. All subjects had FIM mobility data for both assessments. Interventions: Not applicable. Main Outcome Measures: Assessment of impairment based on Lower-Extremity Motor Score. Assessment of QOL based on Craig Handicap Assessment and Reporting Technique, Patient Health Questionnaire, Satisfaction With Life Scale, Self-perceived Health Status, and pain severity scores. Results: Of the sample, 55 individuals transitioned from walking to wheelchair use within 1 year of discharge. This group had the highest number of individuals from minority groups (52.8%) and the lowest employment rate (7.3%). Compared with individuals who transitioned from wheelchair use to walking or maintained wheelchair use or ambulation, the walking-to-wheelchair transition group had significantly lower QOL scores (P<.01), including higher depression (P<.01) and higher pain severity (P<.001). Conclusions: Individuals with SCI who transitioned from walking at discharge to wheelchair use within 1 year had low QOL factors, including high pain and depression scores. Rehabilitation professionals should consider encouraging marginal ambulators to work toward functional independence from a wheelchair, rather than primary ambulation during acute inpatient rehabilitation. © 2011 American Congress of Rehabilitation Medicine.

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Details

Item Type:	Article
Status:	Published
Creators/Authors:	Creators Email Pitt Username ORCID Riggins, MS Kankipati, P pak33@pitt.edu PAK33 Oyster, ML Cooper, RA RCOOPER@pitt.edu RCOOPER Boninger, ML boninger@pitt.edu BONINGER 0000-0001-6966-919X
Centers:	Other Centers, Institutes, Offices, or Units > Human Engineering Research Laboratories
Date:	1 July 2011
Date Type:	Publication
Journal or Publication Title:	Archives of Physical Medicine and Rehabilitation
Volume:	92
Number:	7
Page Range:	1027 - 1033
DOI or Unique Handle:	10.1016/j.apmr.2011.02.010
Schools and Programs:	School of Health and Rehabilitation Sciences > Rehabilitation Science and Technology
Refereed:	Yes
ISSN:	0003-9993
MeSH Headings:	Adolescent; Adult; Aged; Aged, 80 and over; Continental Population Groups; Depression--psychology; Employment--psychology; Female; Humans; Male; Marital Status; Middle Aged; Mobility Limitation; Pain--psychology; Personal Satisfaction; Quality of Life--psychology; Regression Analysis; Retrospective Studies; Spinal Cord Injuries--psychology; Spinal Cord Injuries--rehabilitation; Walking--psychology; Wheelchairs--psychology; Young Adult
PubMed ID:	21704781
Date Deposited:	04 Oct 2012 14:03
Last Modified:	01 Sep 2023 14:55
URI:	http://d-scholarship.pitt.edu/id/eprint/14743

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