Quality of life of patients with spinal cord injury


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Background. Patients with spinal cord injury (SCI) have a reduced quality of life (QOL); furthermore, patients with tetraplegia require more help in implementing previous life «habits», which is directly correlated to the severity of neurological damage, and quality of life may be the goal of rehabilitation. Objective. Assessment of the QOL of SCI patients and detection of the leading problems of their daily activities. Methods. The study included 80 SCI chronic patients, which were divided into two subgroups: paraplegia (40 patients) and tetraplegia (40 patients); the control group for assessing the quality of life consisted of 15 conditionally healthy subjects. The patient’s examination included the Canadian Occupational Performance Measure (COPM), Beck Depression Inventory, Montreal Cognitive Assessment (MoCA), QOL questionnaire (WHOQOL-BREF), and the Functional Independence Measure (FIM) motor scale. Results. According to the COPM, a total of 262 problems were identified, on average 3.3 problems per patient; 47% of them related to self-care, 26% to productivity, 27% to leisure; patients with tetraplegia had more problems with self-care, patient with paraplegia -with productivity and leisure. When assessing QOL, a statistically significant decrease was found in the main group by mental health domain (53±18.1 versus 68±8.8 points) and social relations (62±18.9 against 83±16.5 points) in comparison with control group, as well as in patients with tetraplegia in comparison with paraplegia according to the physical health domain (46±6.4 versus 56±10.2 points). A moderate correlation (R) was also found between the FIM and the COPM “performance" 0.55 (p<0.05), “satisfaction" 0.63 (p>0.05); between the WHOQOL-BREF health and environment domain and COPM “performance" 0.69 and “satisfaction" 0.52, respectively (p<0.05). Conclusion. The QOL of SCI patients is unevenly reduced, and patients with paraplegia have a greater interest in solving problems related to everyday productivity and leisure, and a higher QOL in the physical health domain, while patients with tetraplegia are more focused on tasks related to self-care.

Full Text

Restricted Access

About the authors

Fedor A. Bushkov

Rehabilitation Center “Overcoming"

Email: bushkovfedor@mail.ru
neurologist Moscow, Russia

S. V Kosyaeva

Rehabilitation Center “Overcoming"

Moscow, Russia

A. Yu Suroegina

Rehabilitation Center “Overcoming"

Moscow, Russia

References

  1. What quality of life? The WHOQOL Group. World Health Organization Quality of Life Assessment. World Health Forum. 1996;17:354-56.
  2. Dijkers M.P Individualization in quality of life measurement: instruments and approaches. Arch Phys Med Rehabil. 2003;84(4 Suppl. 2):S3e14. doi: 10.1053/apmr. 2003.50241.
  3. Davidoff G.N., Roth E.J., Richards J.S. Cognitive deficits in spinal cord injury: epidemiology and outcome. Arch Phys Med Rehabil. 1992;73(3):275-84.
  4. Williams R., Murray A. Prevalence of depression after spinal cord injury: a meta-analysis. Arch Phys Med Rehabil. 2015;96:133-40. Doi:10.1016/j. apmr. 2014.08.016.
  5. Lidal I.B., Hjeltnes N., Reislien J. Employment of persons with spinal cord lesions injured more than 20 years ago. Disabil Rehabil. 2009;31:2174-84. doi: 10.3109/09638280902946952.
  6. Fader R.A. Depression and spinal cord injury. Neuroepidemiology. 2005;25(2):53-54. doi: 10.1159/000086283.
  7. Andersen S.R., Biering-Sorensen F. Pain, Spasticity and quality of life in individuals with traumatic spinal cord injury in Denmark. Spinal Cord. 2016;54:973-79. doi: 10.1038/sc.2016.46.
  8. Townsend E. Enabling Empowerment: Using Simulations versus Real Occupations Canadian J Occupational Therapy. 1996;63(2):114-28. doi: 10.1177/000841749606300204.
  9. Boakye M., Leigh B.C., Skelly A.C. Quality of life in persons with spinal cord injury: comparisons with other populations. J Neurosurg Spine. 2012;17(1 Suppl):29-37. doi: 10.3171/2012.6.AOSPINE1252.
  10. Noreau L., Fougeyrollas P. Long-term consequences of spinal cord injury on social participation: the occurrence of handicap situations. Disabil Rehabil. 2000;22(4):170-80. doi: 10.1080/096382800296863.
  11. Hosseini S.M., Oyster M.L., Kirby R.L., et al. Manual wheelchair skills capacity predicts quality of life and community integration in persons with spinal cord injury. Arch Phys Med Rehabil. 2012;93(12):2237-doi: 10.1016/j.apmr.2012.05.021.
  12. Tate D.G., Forchheimer M., Bombardier C.H., et al. Differences in quality of life outcomes among depressed spinal cord injury trial participants. Arch Phys Med Rehabil. 2015; 96(2):340-48. doi: 10.1016/j.apmr.2014. 09.036.
  13. Ginis M. K.A., Jetha A., Mack D.E., Hetz S. Physical activity and subjective well-being among people with spinal cord injury: a meta-analysis. Spinal Cord. 2010;48(1):65-72. Doi: 10.1038/ sc.2009.87.
  14. Canadian Association of Occupational Therapists. Enabling occupation: an occupational therapy perspective. Ottawa: CAOT Publications, 1997.
  15. Law M., Baptiste S., Carswell A., et al. Canadian Occupational Performance Measure, third edition. Ottawa: CAOT Publications ACE, 1998
  16. Yang S.Y., Lin C.Y., Lee Y.C., Chang J.H. The Canadian occupational performance measure for patients with stroke: a systematic review. J Phys Ther Sci. 2017;29(3):548-55. Doi: 10.1589/ jpts.29.548.
  17. Cup E.H., Scholte op Reimer W.J., Thijssen M.C., van Kuyk-Minis M.A. Reliability and validity of the Canadian Occupational Performance Measure in stroke patients. Clin Rehabil. 2003;17(4):402-9. doi: 10.1191/0269215503cr635oa.
  18. Law M., Baptiste S., McColl M, et al. The Canadian occupational performance measure: an outcome measure for occupational therapy. Canad J Occup Ther. 1990;57:82-7.
  19. Carswell A., McColl M.A., Baptiste S., et al. The Canadian Occupational Performance Measure: A research and clinical literature review. Canad J Occup Ther. 2004;71(4):210-22. doi: 10.1177/000841740407100406.
  20. World Health Organization. Programme on mental health : WHOQOL user manual, 2012 revision. World Health Organization. 1998. URL: https:// apps.who.int/iris/handle/10665/77932.
  21. Hill M.R., Noonan V.K., Sakakibara B.M., Miller W.C. SCIRE Research Team. Quality of life instruments and definitions in individuals with spinal cord injury: a systematic review. Spinal Cord. 2010;48(6):438-50.doi: 10.1038/sc.2009.164.
  22. Donnelly C, Eng J.J., Hall J., et al. Client-centred assessment and the identification of meaningful treatment goals for individuals with a spinal cord injury. Spinal Cord. 2004;42(5):302-7. doi: 10.1038/sj.sc.3101589.
  23. Dedding C., Cardol M., Eyssen I.C., et al. Validity of the Canadian Occupational Performance Measure: a client-centred outcome measurement. Clin Rehabil. 2004;18(6):660-67. doi: 10.1191/0269215504cr746oa.
  24. Post M., Noreau L. Quality of life after spinal cord injury. J Neurol Phys Ther. 2005;29:139-46. doi: 10.1097/01.npt.0000282246.08288.67.
  25. Wressle E., Eeg-Olofsson A.M., Marcusson J., Henriksson C. Improved client participation in the rehabilitation process using a client-centred goal formulation structure. J Rehabil Med. 2002;34(1):5-11. doi: 10.1080/165019702317242640.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies