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  4. Satisfaction with life, health and well-being: comparison between non-traumatic spinal cord dysfunction, traumatic spinal cord injury and Australian norms

Satisfaction with life, health and well-being: comparison between non-traumatic spinal cord dysfunction, traumatic spinal cord injury and Australian norms

Spinal Cord Series and Cases, 2019 · DOI: 10.1038/s41394-019-0193-9 · Published: May 9, 2019

Spinal Cord InjuryParticipationRehabilitation

Simple Explanation

This study compares how satisfied people with non-traumatic spinal cord dysfunction (NTSCD) are with their lives and health compared to those with traumatic spinal cord injury (TSCI) and the general Australian population. The study found no significant difference in life satisfaction between the NTSCD and TSCI groups, but both groups reported lower satisfaction than the general Australian population. People with NTSCD reported more difficulties in performing functional tasks compared to those with TSCI, and they also reported lower vitality.

Study Duration
August 2016 and November 2017
Participants
41 participants: NTSCD (n = 14) and TSCI (n = 27)
Evidence Level
Cross-sectional survey

Key Findings

  • 1
    There were no significant differences in life satisfaction between NTSCD and TSCI groups, but both groups scored lower than the Australian non-disabled sample.
  • 2
    Significant differences were found between NTSCD and TSCI groups in physical functioning, role limitations physical, and vitality domains of the SF-36.
  • 3
    Both NTSCD and TSCI groups had lower scores in all eight domains of the SF-36 compared to the Australian sample, except for role limitations emotional.

Research Summary

The study compared self-reported satisfaction with life, health, and well-being between individuals with non-traumatic spinal cord dysfunction (NTSCD), traumatic spinal cord injury (TSCI), and the general Australian population. No significant difference in life satisfaction was found between the NTSCD and TSCI groups, but both groups reported lower life satisfaction than the general Australian population. Individuals with NTSCD reported more difficulties in completing functional tasks and lower vitality compared to those with TSCI, potentially due to age and differences in rehabilitation services.

Practical Implications

Targeted Rehabilitation

Rehabilitation programs should address the specific needs of individuals with NTSCD, focusing on improving physical function and vitality.

Community Support

Increased community support and resources are needed for individuals with NTSCD to address social isolation and unmet needs.

Equitable Access

Advocate for equitable access to rehabilitation services and funding for individuals with NTSCD, similar to those available for individuals with TSCI.

Study Limitations

  • 1
    Small sample sizes
  • 2
    Self-selected participant sampling
  • 3
    Lack of information regarding completeness of injury, or co-morbidities

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