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

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Spinal Cord Injuries: Clinical, Functional, and Emotional Status

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

DOI 10.1097/00007632-199101000-00014

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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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Method
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BackgroundResult
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Method
Psychological or physiological
Abrantes‐Pais, F., Friedman, J. K., Lovallo, W. R., et al. (2007) · Neurology · doi:10.1212/01.wnl.0000262763.66023.be · Cited by 41
Quality of life in patients with chronic alveolar hypoventilation
Dellborg, C., Olofson, J., Midgren, B., et al. (2002) · European Respiratory Journal · doi:10.1183/09031936.02.00211902 · Cited by 36
“It has previously been adapted to Swedish conditions [19].”
Psychosocial adaptation to spinal cord injury as a function of time since injury
Livneh, H., & Martz, E. (2003) · International Journal of Rehabilitation Research · doi:10.1097/00004356-200309000-00005 · Cited by 35
Charcot–Marie–Tooth disease impairs quality of life
Shy, M. E., & Rose, M. R. (2005) · Neurology · doi:10.1212/01.wnl.0000181027.21574.df · Cited by 35
Palliative day care – a study of well-being and health-related quality of life
Svidén, G. A., Fürst, C., von Koch, L., et al. (2009) · Palliative Medicine · doi:10.1177/0269216309104891 · Cited by 33
Respiratory Function, Electrocardiography and Quality of Life in Individuals With Muscular Dystrophy
Ahlström, G., Gunnarsson, L., Kihlgren, A., Arvill, A., & Sjödén, P. (1994) · CHEST Journal · doi:10.1378/chest.106.1.173 · Cited by 33
Spinal arteriovenous malformations
Lundqvist, C., Andersen, O., Blomstrand, C., Svendsen, P., & Sullivan, M. (2009) · Acta Neurologica Scandinavica · doi:10.1111/j.1600-0404.1994.tb02734.x · Cited by 32
Self-citation
Impact of a Wheelchair Education Protocol Based on Practice Guidelines for Preservation of Upper-Limb Function: A Randomized Trial
Rice, L. A., Smith, I., Kelleher, A. R., et al. (2013) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2013.06.028 · Cited by 31
Health-related quality of life in persons with traumatic spinal cord lesion in Helsinki
Dahlberg, A., Alaranta, H., & Sintonen, H. (2005) · Journal of Rehabilitation Medicine · doi:10.1080/16501970510034413 · Cited by 30
“It has also been reported that HRQoL improves with the time since injury (8, 9).”
Background
A Prospective Study of Factors Influencing Return to Work After Traumatic Spinal Cord Injury in Taiwan
Lin, M., Hwang, H., Yu, W., et al. (2009) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2009.04.006 · Cited by 28
Quality of Life of Veterans With Chronic Spinal Cord Injury and Related Variables
Ebrahimzadeh, M. A., Soltani-Moghaddas, S. H., Birjandinejad, A., et al. (2014) · Archives of Trauma Research · doi:10.5812/atr.17917 · Cited by 26
Effects of Nicotine on Spinal Cord Injury Pain Vary Among Subtypes of Pain and Smoking Status: Results From a Randomized, Controlled Experiment
Richardson, E. J., Ness, T. J., Redden, D. T., Stewart, C. C., & Richards, J. S. (2012) · Journal of Pain · doi:10.1016/j.jpain.2012.09.005 · Cited by 25
Ultrasonographic Measures of the Acromiohumeral Distance and Supraspinatus Tendon Thickness in Manual Wheelchair Users With Spinal Cord Injury
Belley, A. F., Gagnon, D. H., Routhier, F., et al. (2016) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2016.06.018 · Cited by 23
Exercise training programs to improve hand rim wheelchair propulsion capacity: a systematic review
Zwinkels, M., Verschuren, O. W., Janssen, T. W. J., et al. (2014) · Clinical Rehabilitation · doi:10.1177/0269215514525181 · Cited by 22
Chapter 46 Pain following spinal cord injury
Siddall, P. J., & Finnerup, N. B. (2006) · Handbook of clinical neurology · doi:10.1016/s0072-9752(06)80050-3 · Cited by 22
Spinal Cord Injury Pain: Impact, Classification, Treatment Trends, and Implications From Translational Research.
Richards, J. S. (2005) · Rehabilitation Psychology · doi:10.1037/0090-5550.50.2.99 · Cited by 21

Authors: LUNDQVIST, C., SlÖSTEEN, A., BLOMSTRAND, C., LIND, B., & SULLlVAN, M.
Affiliations: Sahlgrenska University Hospital (SE)
Corresponding author: LUNDQVIST, C
BLOMSTRAND, C
ORCID: LUNDQVIST, C
BLOMSTRAND, C
Venue: Spine
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1991-01
Volume: 16
Issue: 1
Pages: 78-83
ISSN: 0362-2436 (ISSN-L)
DOI: 10.1097/00007632-199101000-00014
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 › Clinical Neurology › Spinal Cord Injury Research
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Clinical Neurology › 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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Spinal Cord Injuries: Clinical, Functional, and Emotional Status

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