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  4. Comparison of rehabilitation outcomes following vascular-related and traumatic spinal cord injury

Comparison of rehabilitation outcomes following vascular-related and traumatic spinal cord injury

The Journal of Spinal Cord Medicine, 2011 · DOI: 10.1179/2045772311Y.0000000016 · Published: January 1, 2011

Spinal Cord InjuryCardiovascular ScienceRehabilitation

Simple Explanation

This study compares the rehabilitation outcomes of patients with vascular-related spinal cord injuries (VR-SCI) to those with traumatic spinal cord injuries (T-SCI). VR-SCI can lead to significant neurological issues such as weakness and sensory loss. The study matched VR-SCI and T-SCI patients for age, injury level, and completeness to see if the cause of the injury (vascular vs. traumatic) affects rehabilitation outcomes. The goal was to better describe the VR-SCI patient population and predict their outcomes. The findings suggest that when VR-SCI and T-SCI patients are matched for key characteristics, their rehabilitation outcomes are similar. This indicates that factors like age and injury severity may be more important than the cause of the injury itself.

Study Duration
10 years
Participants
30 VR-SCI patients and 573 T-SCI patients
Evidence Level
Not specified

Key Findings

  • 1
    Patients with VR-SCI were generally older and more likely to have paraplegia compared to those with T-SCI. Common causes of VR-SCI included post-surgical complications, arteriovenous malformations, and aortic dissection.
  • 2
    Common complications in VR-SCI patients included neurogenic bowel/bladder dysfunction, urinary tract infections, pain, and pressure ulcers.
  • 3
    When matched for age, injury level, and completeness, there were no significant differences in FIM change, FIM efficiency, length of stay, or discharge disposition between VR-SCI and T-SCI groups.

Research Summary

This study compared rehabilitation outcomes between vascular-related spinal cord injury (VR-SCI) and traumatic spinal cord injury (T-SCI) patients. VR-SCI patients tend to be older and have different injury characteristics than T-SCI patients. However, when matched for age, injury level, and completeness, rehabilitation outcomes were similar between the two groups. The study suggests that factors like age, injury level, and completeness may be more important determinants of rehabilitation outcome than the cause of the injury (vascular vs. traumatic).

Practical Implications

Rehabilitation Strategies

Rehabilitation strategies for VR-SCI patients should focus on maximizing functional outcomes, psychosocial adjustment, and community re-entry, while also minimizing secondary SCI complications.

Medical Management

Comprehensive inpatient rehabilitation programs must offer medical management, patient/family education, and long-term prevention of future medical issues.

Future Research

Future studies should examine differences in complication rates, long-term functional outcomes, and mortality between VR-SCI and T-SCI populations due to differences in demographics and co-morbidities.

Study Limitations

  • 1
    Small sample size of VR-SCI patients.
  • 2
    Study conducted at a single tertiary care rehabilitation center, which may limit generalizability.
  • 3
    Other between-group characteristics that could have affected outcomes may not have been measured or controlled for.

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