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Cited by 285Disability Education and EmploymentSpinal Cord Injury ResearchMedical Practices and Rehabilitation

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Return to work following spinal cord injury: a review

Lidal, Ingeborg Beate, Huynh, Tuan Khai, Biering-Sørensen, Fin·2007·Disability and Rehabilitation
DOI 10.1080/09638280701320839
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Abstract

PURPOSE: To review literature on return to work (RTW) and employment in persons with spinal cord injury (SCI), and present employment rates, factors influencing employment, and interventions aimed at helping people with SCI to obtain and sustain productive work. METHODS: A systematic review for 2000 - 2006 was carried out in PubMed/Medline, AMED, (ISI) Web of Science, EMBASE, CINAHL, PsycInfo and Sociological abstracts database. The keywords 'spinal cord injuries', 'spinal cord disorder', 'spinal cord lesion' or 'spinal cord disease' were cross-indexed with 'employment', 'return to work', 'occupation' or 'vocational'. RESULTS: Out of approximately 270 hits, 110 references were used, plus 13 more found elsewhere. Among individuals with SCI working at the time of injury 21 - 67% returned to work after injury. RTW was higher in persons injured at a younger age, had less severe injuries and higher functional independence. Employment rate improved with time after SCI. Persons with SCI employed ranged from 11.5% to 74%. Individuals who sustained SCI during childhood or adolescence had higher adult employment rates. Most common reported barriers to employment were problems with transportation, health and physical limitations, lack of work experience, education or training, physical or architectural barriers, discrimination by employers, and loss of benefits. Individuals with SCI discontinue working at younger age. CONCLUSIONS: This review confirmed low employment rates after SCI. Future research should explore interventions aimed at helping people with SCI to obtain and sustain productive work.

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Metadata

Authors
Lidal, I. B., Huynh, T. K., & Biering-Sørensen, F.
Affiliations
  • Sunnaas sykehus (NO)
  • Copenhagen University Hospital (DK)
Corresponding author
Lidal, Ingeborg Beate
ORCID
Lidal, Ingeborg Beate
Venue
Disability and Rehabilitation
Publisher
Informa UK Limited
Published
2007-01
Volume
29
Issue
17
Pages
1341-1375
ISSN
  • 0963-8288 (ISSN-L)
  • 1464-5165
DOI
10.1080/09638280701320839
OpenAlex
W2149745079
Cited by
285
References
0
Citations by year
2026: 9 · 2025: 12 · 2024: 15 · 2023: 11 · 2022: 19 · 2021: 20 · 2020: 12 · 2019: 17 · 2018: 18 · 2017: 19 · 2016: 16 · 2015: 23 · 2014: 27 · 2013: 11 · 2012: 13
FWCI
24.64
Type
journal article
Language
en
Open access
closed
Locations
  • Disability and Rehabilitation (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Education › Disability Education and Employment
  • Health Sciences › Medicine › Clinical Neurology › Spinal Cord Injury Research
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Keywords
spinal cord injury, return to work, employment, employment rate, barriers to employment, employment discrimination, vocational rehabilitation, functional independence, age at injury, work retention, disability benefits
MeSH terms
Adolescent, Adult, Aged, Employment, Female, Humans, Male, Middle Aged, Risk Factors, Spinal Cord Injuries, Stress, Psychological, Time Factors, Unemployment, Injury Severity Score, Databases, Factual

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