Severity and Complications of Injury, Levels of Activity and Participation in Individuals with Spinal Cord Injury

Olumide Dada; Adelana Ogunleye

doi:10.21776/ub.ijds.2022.009.02.03

Authors

Olumide Dada University of Ibadan
Adelana Ogunleye University of Ibadan, Ibadan, Nigeria

DOI:

https://doi.org/10.21776/ub.ijds.2022.009.02.03

Keywords:

Spinal Cord Injury, Complications, Level of Activity, Level of Participation

Abstract

The cross-sectional survey investigated the prevalence of complications of SCI, levels of activity and participation and the associations among them. The ASIA impairment scale, Impact on Participation and Autonomy Questionnaire, Barthel’s index and Numeric Pain Rating Scale were used to assess participation, activity and pain respectively. Pain was the most prevalent complication among the 25 participants. 68% of them had high level of activity and 72% had moderate level of participation and autonomy. There was a significant association between level of activity and presence of pressure ulcer and bladder dysfunction but there was no significant association between pain and level of activity. There was significant association between level of participation and presence of pressure ulcer, bladder dysfunction and pain. There was no significant association between level of activity and participation. The level of activity and participation among individuals with SCI appeared to be influenced by presence of complications.

References

Atobatele, K. O., Olaleye, O. A., Fatoye, F. A., & Hamzat, T. K.(2018). Relationships between community reintegration and clinical and psychosocial attributes in individuals with spinal cord injury in a Nigerian city. Topics in Spinal Cord Injury Rehabilitation, 24(4), 306–314. https://doi.org/10.1310/sci16-00055

Breivik, H., Collett, B., Ventafridda, V., Cohen, R., & Gallacher, D.(2006). Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment. European Journal of Pain, 10(4), 287–333. https://doi.org/10.1016/j.ejpain.2005.06.009

Charlifue, S., Jha, A., & Lammertse, D.(2010). Aging with spinal cord injury. Physical Medicine and Rehabilitation Clinics of North America, 21(2), 383–402. https://doi.org/10.1016/j.pmr.2009.12.002

Galvin, L. R., & Godfrey, H. P. D.(2001). The impact of coping on emotional adjustment to spinal cord injury (SCI): Review of the literature and application of a stress appraisal and coping formulation. Spinal Cord, 39(12), 615–627. https://doi.org/10.1038/sj.sc.3101221

GBD 2016 Traumatic Brain Injury and Spinal Cord Injury Collaborators (2019). Global, regional, and national burden of traumatic brain injury and spinal cord injury, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet. Neurology, 18(1), 56–87. https://doi.org/10.1016/S1474-4422(18)30415-0

Haisma, J. A., Van der Woude, L. H., Stam, H. J., Bergen, M. P., Sluis, T. A., Post, M. W., & Bussmann, J. B.(2007). Complications following spinal cord injury: Occurrence and risk factors in a longitudinal study during and after inpatient rehabilitation. Journal of Rehabilitation Medicine, 39(5), 393–398. https://doi.org/10.2340/16501977-0067

Hammal, D., Jarvis, S. N., &Colver, A. F.(2004). Participation of children with cerebral palsy is influenced by where they live. Developmental Medicine and Child Neurology, 46(5), 292–298. https://doi.org/10.1017/s0012162204000489

Harvey, L. A.(2016). Physiotherapy rehabilitation for people with spinal cord injuries. Journal of Physiotherapy, 62(1), 4–11. https://doi.org/10.1016/j.jphys.2015.11.004

Hitzig, S. L., Tonack, M., Campbell, K. A., McGillivray, C. F., Boschen, K. A., Richards, K., & Craven, B. C.(2008). Secondary health complications in an aging Canadian spinal cord injury sample. American Journal of Physical Medicine and Rehabilitation, 87(7), 545–555. https://doi.org/10.1097/PHM.0b013e31817c16d6

Kang Y, Ding H, Zhou HX, Wei ZJ, Liu L, Pan DY, Feng SQ. Epidemiology of worldwide spinal cord injury: a literature review. Journal of Neurorestoratology. 2018;6:1-9

https://doi.org/10.2147/JN.S143236

Kirshblum, S. C., Burns, S. P., Biering-Sorensen, F., Donovan, W., Graves, D. E., Jha, A., Johansen, M., Jones, L., Krassioukov, A., Mulcahey, M. J., Schmidt-Read, M., & Waring, W.(2011). International standards for neurological classification of spinal cord injury (revised 2011). Journal of Spinal Cord Medicine, 34(6), 535–546. https://doi.org/10.1179/204577211X13207446293695

Langemo, D. K., Melland, H., Hanson, D., Olson, B., &Hunter, S.(2000). The lived experience of having a pressure ulcer: A qualitative analysis. Advances in Skin and WoundCare, 13(5), 225–235.

Lidal, I. B., Huynh, T. K., &Biering-Sørensen, F.(2007). Return to work following spinal cord injury: A review. Disability and Rehabilitation, 29(17), 1341–1375. https://doi.org/10.1080/09638280701320839

Mahan, S. T., Mooney, D. P., Karlin, L. I., &Hresko, M. T.(2009). Multiple level injuries in pediatric spinal trauma. Journal of Trauma, 67(3), 537–542. https://doi.org/10.1097/TA.0b013e3181ad8fc9

Meyers, A. R., Andresen, E. M., & Hagglund, K. J.(2000). A model of outcomes research: Spinal cord injury. Archives of Physical Medicine and Rehabilitation, 81(12), Suppl. 2, S81–S90. https://doi.org/10.1053/apmr.2000.20629

Obalum, D. C., Giwa, S. O., Adekoya-Cole, T. O., & Enweluzo, G. O.(2009). Profile of spinal injuries in Lagos, Nigeria. Spinal Cord, 47(2), 134–137. https://doi.org/10.1038/sc.2008.93

Paker, N., Soy, D., Kesiktaş, N., Nur Bardak, A., Erbil, M., Ersoy, S., & Ylmaz, H.(2006). Reasons for rehospitalization in patients with spinal cord injury: 5 years’ experience. International Journal of Rehabilitation Research. 29(1), 71–76. https://doi.org/10.1097/01.mrr.0000185953.87304.2a

Perenboom, R. J., Wijlhuizen, G. J., Garre, F. G., Heerkens, Y. F., &van Meeteren, N. L.(2012). An empirical exploration of the relations between the health components of the International Classification of Functioning, Disability and Health (ICF). Disability and Rehabilitation, 34(18), 1556–1561. https://doi.org/10.3109/09638288.2011.647233

Pilusa, S, Myezwa, H, & Potterton, J. (2021). Secondary health conditions in people with spinal cord injury in South Africa: Prevalence and associated factors. SAMJ: South African Medical Journal, 111(12), 1211-1217. https://dx.doi.org/10.7196/samj.2021.v111i12.15761

Rekand, T., Hagen, E. M., &Grønning, M.(2012). Chronic pain following spinal cord injury. Tidsskrift for den NorskeLaegeforening: Tidsskrift for Praktisk Medicin, Ny Raekke, 132(8), 974–979. https://doi.org/10.4045/tidsskr.11.0794

Savic, G., Charlifue, S., Glass, C., Soni, B., Gerhart, K., & Ali Jamous (2010). British Ageing with SCI Study: Changes in Physical and Psychosocial Outcomes over Time. Topics in Spinal Cord Injury Rehabilitation, 15(3), 41–53. https://doi.org/10.1310/sci1503-41

Sipski, M. L., & Richards, J. S.(2006). Spinal cord injury rehabilitation: State of the science. American Journal of Physical Medicine and Rehabilitation, 85(4), 310–342. https://doi.org/10.1097/01.phm.0000202105.87011.bf

Stucki, G.(2005). International Classification of Functioning, Disability, and Health (ICF): A promising framework and classification for rehabilitation medicine. American Journal of Physical Medicine and Rehabilitation, 84(10), 733–740. https://doi.org/10.1097/01.phm.0000179521.70639.83

Van Leeuwen, C. M., Post, M. W., van Asbeck, F. W., Bongers-Janssen, H. M., van der Woude, L. H., de Groot, S., & Lindeman, E.(2012).Life satisfaction in people with spinal cord injury duringthefirst five years after discharge from inpatient rehabilitation. Disability and Rehabilitation, 34(1), 76–83. https://doi.org/10.3109/09638288.2011.587089

Whiteneck, G., & Dijkers, M. P.(2009). Difficult to measure constructs: Conceptual and methodological issues concerning participation and environmental factors. Archives of Physical Medicine and Rehabilitation, 90(11), Suppl., S22–S35. https://doi.org/10.1016/j.apmr.2009.06.009

World Bank (Literacy rate, adult total (% of people ages 15 and above). Data as of September 2021 https://data.worldbank.org/indicator/SE.ADT.LITR.ZS. accessed 7 March, 2022

World Health Organization. (2013). Spinal cord injury. Assessed on 12/05/2020. https://www.who.int/news-room/fact-sheets/detail/spinal-cord-injuryYuen, H. K., &Hanson, C.(2002). Body image and exercise in people with and without acquired mobility disability. Disability and Rehabilitation, 24(6), 289–296. https://doi.org/10.1080/09638280110086477