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Return to work after spinal cord injury.

P C Tomassen1, M W Post, F W van Asbeck

  • 1Rehabilitation Centre De Hoogstraat, Utrecht, The Netherlands.

Spinal Cord
|April 13, 2000
PubMed
Summary

Return to work after spinal cord injury (SCI) is low, especially for those with physically demanding pre-injury jobs. Factors like male gender, lighter jobs, and higher education predict successful return to gainful employment.

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Area of Science:

  • Rehabilitation Medicine
  • Occupational Health
  • Spinal Cord Injury Research

Background:

  • Spinal cord injury (SCI) significantly impacts an individual's ability to return to gainful employment.
  • Understanding predictors of return to work is crucial for effective rehabilitation and support strategies.

Purpose of the Study:

  • To identify factors predicting return to work after spinal cord injury (SCI).
  • To specifically investigate the role of pre-injury job's physical intensity in employment outcomes post-SCI.

Main Methods:

  • A survey methodology was employed, conducting interviews with 234 individuals with SCI.
  • Participants were aged 18-65 and employed at the time of injury.
  • Logistic regression analyses were used to identify significant predictors of returning to work.

Main Results:

  • Only 37% of individuals returned to gainful employment post-SCI.
  • Those with heavy (25%) or strenuous (21%) pre-injury physical jobs had lower return-to-work rates.
  • Significant predictors included being male (OR 3.70), light/moderate pre-injury work (OR 3.16), high Barthel Index (OR 2.76), and higher education (OR 2.12-2.14).

Conclusions:

  • A minority of individuals return to gainful employment after SCI, even in less physically demanding roles.
  • Intensive inpatient rehabilitation and long-term job-seeking support, including career transition, are vital for improving employment outcomes.

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