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Long-term spinal cord injury: functional changes over time

K A Gerhart1, E Bergstrom, S W Charlifue

  • 1Research Department, Craig Hospital, Englewood, CO 80110.

Archives of Physical Medicine and Rehabilitation
|October 1, 1993
PubMed
Summary
This summary is machine-generated.

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Long-term spinal cord injury survivors often experience increased needs for physical assistance, particularly with transfers. Older age and cervical injuries are associated with greater assistance requirements and lower quality of life.

Area of Science:

  • Rehabilitation Medicine
  • Neurology
  • Gerontology

Background:

  • Long-term spinal cord injury (SCI) can lead to progressive functional decline.
  • Understanding functional changes over decades post-injury is crucial for patient care.

Purpose of the Study:

  • To assess long-term functional changes in individuals with spinal cord injuries.
  • To identify factors associated with increased need for physical assistance over time.

Main Methods:

  • Cross-sectional study of 279 individuals with SCI (20-47 years post-injury).
  • Data collected on need for physical assistance, demographics, injury characteristics, pain, fatigue, and quality of life.

Main Results:

  • 22% reported increased need for physical assistance.

Related Experiment Videos

  • Increased assistance was associated with older age, cervical SCI level, shoulder pain, fatigue, weight gain, and postural changes.
  • Those needing more help reported lower quality of life and used more attendant care.

    • Conclusions:

    • Functional decline and increased assistance needs are common in long-term SCI survivors.
    • Age, injury level, and secondary health issues significantly impact functional trajectories.
    • Interventions should address age-related changes and secondary complications to maintain quality of life in individuals with SCI.