Cited by 167Spinal Cord Injury ResearchMusculoskeletal pain and rehabilitationTraumatic Brain Injury Research

Spinal Cord Injuries: Clinical, Functional, and Emotional Status

LUNDQVIST, C, SlÖSTEEN, A, BLOMSTRAND, C, LIND, B, SULLlVAN, M·1991·Spine

Abstract

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-life scores

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Crossref · 10.1097/00007632-199101000-00014

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Authors
LUNDQVIST, C., SlÖSTEEN, A., BLOMSTRAND, C., LIND, B., & SULLlVAN, M.
Affiliations
Sahlgrenska University Hospital (SE)
Corresponding author
  • LUNDQVIST, C
  • BLOMSTRAND, C
Venue
Spine
Published
1991-01
Volume
16
Issue
1
Pages
78-83
ISSN
0362-2436 (ISSN-L)
OpenAlex
W4320573485
Cited by
167
References
0
Citations by year
2026: 1 · 2025: 2 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 2 · 2018: 3 · 2017: 2 · 2016: 6 · 2015: 1 · 2014: 6 · 2013: 5 · 2012: 5
FWCI
3.90
Type
journal article
Language
en
Open access
closed
Locations
Spine (publishedVersion)
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Spinal Cord Injury Research
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
Keywords
traumatic spinal cord injury, quality of life, mood disturbance, psychosocial functioning, physical dysfunction, social functioning, chronic pain, urinary incontinence, spasticity, self-care, employment, long-term outcomes

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