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Spinal Cord Injuries: Clinical, Functional, and Emotional Status
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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“HADS has been validated and translated into Swedish [29].”
From Strengthened General Self-Efficacy with Multidisciplinary Vocational Rehabilitation in Women on Long-Term Sick Leave: A Randomised Controlled Trial. (2018) · cites this paper as [29]
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Metadata
- 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 › 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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