Spinal Cord Injuries

作者：Christofer Lundqvist, A SlÖSTEEN, Christian Blomstrand, Bengt I. Lind, M SULLlVAN · 发表于：Spine · 年份：1991 · DOI：10.1097/00007632-199101000-00014 · 被引用次数：160 · 研究领域：Spinal Cord Injury Research、Traumatic Brain Injury Research、Cardiac Arrest and Resuscitation

Ninety-eight patients with traumatic spinal cord injury, at a median age of 33.5 years (range, 16–72 years), with nonremarkable distributions of neurologic characteristics were investigated at a median of 2.3 years (range, 0.1–23 years) after injury. Functioning, mood disturbances, and overall quality of life were recorded with established self-assessment instruments. Physical dysfunction levels were moderate, being proportionate to neurologic impairment. Psychosocial functions, mood states, and quality-of-life perceptions did not differ from those of a control population sample. Psychosocial function and mood disturbances varied greatly during the first 4 years after injury, but patients' later recordings expressed predominantly a balanced emotional state and a rewarding social life. Progress in this direction consisted of clearly lessened physical dysfunction 1 year after injury and better psychosocial function and well-being after 2 years, whereas patterns of social activities and contacts became gradually less inhibited during a 4-year period after injury. Analysis of complications in patients' histories that affected function and mood showed severe pain to be the only complication that related to lower quality-of-life scores. Urinary incontinence and infection and autonomous dysref lexia related to inhibited self-care performance; spasticity related to impaired ambulation and feeding skills. Gainful employment was the only demographic factor linked to high quality-of-lif...