Author:
Chang Fengshui,Zhang Qi,Xie Haixia,Yang Yuhui,Sun Mei,Wu Airong,Wu Jinghua,Chen Gang,Shen Feng,Li Chengyue,Lu Jun
Abstract
Abstract
Background
Specialized Institution-Based Rehabilitation (SIBR) is the cornerstone of care and treatment for individuals with spinal cord injury, but most people with chronic spinal cord injury (CSCI) living in China have no SIBR experience after acute care hospital discharge. In 2009, an SIBR facility was set up in Shanghai (China) to fill this important gap in care. The purpose of the study was to evaluate the effectiveness of an integrated rehabilitation training program among individuals with CSCI living in Shanghai.
Methods
A within-subject pre-posttest design was used to evaluate the SIBR. The sample included 455 individuals ≥1 year post-SCI, who were older than 18 years of age and were enrolled in a rehabilitation center in Shanghai, China, between 2013 and 2019. The data included individuals’ sociodemographic and injury characteristics, and twenty-three indicators were used as outcome measurements to evaluate basic life skills and their applications in family and social life. Multivariate linear regression was conducted to determine which factors might have influenced the effectiveness of the SIBR.
Results
All basic life skills and their applications in family and social life were improved, but with variations across socio-demographics. Female individuals with CSCI had better outcomes in basic life skills than did males. In terms of basic life skills and their applications in family and social life, individuals with a low level (thoracic or lumbosacral) of injury achieved more significant functional gains than those with a higher level (cervical). The baseline score was also a relevant factor in functional outcome.
Conclusions
Even for individuals with a long SCI history, SIBR training can improve basic life skills and the applications of those skills in family and social life settings.
Funder
National Natural Science Foundation of China
the China Scholarship Council
Shanghai Pujiang Program of the Shanghai Municipal Human Resources and Social Security Bureau
Project of key disciplines construction from the Shanghai Disabled Persons' Federation
the National Science & Technology Pillar Program during the Twelfth Five-year Plan Period
The 111 Project
a major project of the National Social Science Fund of China
Publisher
Springer Science and Business Media LLC
Reference45 articles.
1. Yang R, Guo L, Wang P, Huang L, Tang Y, Wang WH, et al. Epidemiology of spinal cord injuries and risk factors for complete injuries in Guangdong, China: a retrospective study. PLoS One. 2014;9(1):e84733.
2. Chen XY, Chen D, Chen CH, Wang K, Tang L, Li YZ, et al. The epidemiology and disease burden of traumatic spinal cord injury in China: a systematic review [article in China]. Chin J Evidence-Based Med. 2018;18:143–50.
3. Silva NA, Sousa N, Reis RL, Salgado AJ. From basics to clinical: a comprehensive review on spinal cord injury. Prog Neurobiol. 2014;114:25–57.
4. Hachem LD, Ahuja CS, Fehlings MG. Assessment and management of acute spinal cord injury: from point of injury to rehabilitation. J Spinal Cord Med. 2017;40(6):665–75.
5. DeVivo MJ, Kartus PL, Stover SL, Fine PR. Benefits of early admission to an organised spinal cord injury care system. Paraplegia. 1990;28(9):545–55.
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