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  4. One-year follow-up of Chinese people with spinal cord injury: A preliminary study

One-year follow-up of Chinese people with spinal cord injury: A preliminary study

The Journal of Spinal Cord Medicine, 2013 · DOI: 10.1179/1079026812Z.00000000059 · Published: January 1, 2013

Spinal Cord InjuryParticipationRehabilitation

Simple Explanation

This study investigated the functional outcomes of Chinese individuals with spinal cord injuries (SCI) over a one-year period. It examined how their functional status changed from the time of admission to a rehabilitation center, through discharge, and up to one year after being discharged into the community. The study tracked participants' functional abilities using the Functional Independence Measure (FIM), which assesses motor and cognitive skills. Researchers also collected information on the assistive devices used by participants and their engagement in life roles such as work or education. The findings revealed that while participants generally showed improvement in functional status, very few were able to return to productive life roles, such as employment or academic pursuits, one year after discharge. The study suggests the need for longer follow-up periods to understand the long-term well-being and community reintegration of individuals with SCI.

Study Duration
1 year
Participants
30 community-dwelling participants with traumatic SCI
Evidence Level
Longitudinal prospective design

Key Findings

  • 1
    Significant differences in FIM motor scores were found between the tetraplegia group and other diagnostic groups, indicating varying levels of functional improvement based on the severity and level of injury.
  • 2
    People in the ASIA D group demonstrated significant functional improvement even one year after discharge, suggesting that individuals with incomplete SCI can continue to make progress in their functional abilities long after completing initial rehabilitation.
  • 3
    Despite improvements in functional status, only a small percentage of participants were engaged in remunerative employment or academic pursuits one year post-discharge, highlighting challenges in community reintegration and return to productive life roles.

Research Summary

This study investigated the functional outcomes of Chinese individuals with traumatic SCI over a one-year period, using the FIM to measure functional status at multiple time points. The results showed significant functional improvements, particularly during the hospitalization period, but also indicated that individuals with ASIA D classification continued to improve even one year post-discharge. Despite functional gains, the study revealed a low rate of return to productive life roles, suggesting the need for continued support and services to facilitate community reintegration and employment for individuals with SCI.

Practical Implications

Enhanced Rehabilitation Programs

Develop more comprehensive rehabilitation programs that extend beyond the initial hospitalization period, with a focus on long-term functional gains and community reintegration.

Assistive Technology Provision

Ensure appropriate and ongoing provision of assistive technology tailored to individual needs, promoting independence and participation in daily activities.

Vocational Support

Implement vocational support programs that assist individuals with SCI in returning to employment or education, addressing both individual and societal barriers.

Study Limitations

  • 1
    Small sample size
  • 2
    Limited follow-up period
  • 3
    Lack of incorporation of community integration and quality of life parameters

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