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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:
CreatorsEmailPitt UsernameORCID
Riggins, MS
Kankipati, Ppak33@pitt.eduPAK33
Oyster, ML
Cooper, RARCOOPER@pitt.eduRCOOPER
Boninger, MLboninger@pitt.eduBONINGER
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: 05 Feb 2019 03:55
URI: http://d-scholarship.pitt.edu/id/eprint/14743

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