The Relationship Between Quality of Life and Change in Mobility 1 Year Postinjury in Individuals With Spinal Cord Injury

• Published in: Archives of physical medicine and rehabilitation Vol. 92; no. 7; pp. 1027 - 1033
• Main Authors: Riggins, Melissa S., Kankipati, Padmaja, Oyster, Michelle L., Cooper, Rory A., Boninger, Michael L.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.07.2011; Elsevier
• Subjects: Adolescent; Adult; Age; Aged; Aged, 80 and over; Ambulation; Biological and medical sciences; Cerebrospinal fluid. Meninges. Spinal cord; Continental Population Groups; Data processing; Depression; Depression - psychology; Diseases of the osteoarticular system; Employment - psychology; Female; Humans; Inventories; Male; Marital Status; Medical sciences; Middle Aged; Miscellaneous; Mobility; Mobility Limitation; Nervous system (semeiology, syndromes); Neurology; Pain; Pain - psychology; Personal Satisfaction; Physical Medicine and Rehabilitation; Quality of life; Quality of Life - psychology; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Regression Analysis; Rehabilitation; Retrospective Studies; Spinal cord injuries; Spinal Cord Injuries - psychology; Spinal Cord Injuries - rehabilitation; Spinal cord injury; Walking; Walking - psychology; Wheelchair; Wheelchairs - psychology; Young Adult; AA; WW; CHART Occ; SDS; Ambulation; NSCID; WA; SWLS; SCIMS; SPHS; Quality of life; CHART; QOL; CHART Mob; Pain; AW; Wheelchair; SCI; Spinal cord injuries; Rehabilitation; CHART SI; LEMS; MDS; CHART PI; Craig Handicap Assessment and Reporting Technique Occupation subscale; ambulation to wheelchair; Craig Handicap Assessment and Reporting Technique Mobility subscale; ambulation to ambulation; Craig Handicap Assessment and Reporting Technique; National Spinal Cord Injury Database; major depressive syndrome; Spinal Cord Injury Model Systems; Satisfaction With Life Scale; spinal cord injury; Craig Handicap Assessment and Reporting Technique Physical Independence subscale; Severity of Depression Scale; wheelchair to wheelchair; Lower-Extremity Motor Score; Craig Handicap Assessment and Reporting Technique Social Integration subscale; wheelchair to ambulation; Self-perceived Health Status; Human; Nervous system diseases; Mobility; Reeducation; Orthopedics; Spinal cord trauma; Central nervous system disease; Spinal cord disease
• ISSN: 0003-9993; 1532-821X; 1532-821X
• DOI: 10.1016/j.apmr.2011.02.010

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. To examine quality-of-life (QOL) factors and change in mobility in individuals with traumatic spinal cord injury (SCI) 1 year after injury. Retrospective case study of National SCI Database data. SCI Model Systems (SCIMS) sites (N=18). 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. Not applicable. 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. 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). 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.