scholarly journals Longitudinal employment outcomes of an early intervention vocational rehabilitation service for people admitted to rehabilitation with a traumatic spinal cord injury

Spinal Cord ◽  
2017 ◽  
Vol 55 (8) ◽  
pp. 743-752 ◽  
Author(s):  
G Hilton ◽  
C A Unsworth ◽  
G C Murphy ◽  
M Browne ◽  
J Olver
Spinal Cord ◽  
2020 ◽  
Vol 58 (9) ◽  
pp. 1037-1039
Author(s):  
Christopher S. Ahuja ◽  
Jetan H. Badhiwala ◽  
Michael G. Fehlings

2003 ◽  
Vol 12 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Amanda E. Young ◽  
Gregory C. Murphy

Traumatic spinal cord injury (SCI) has a dramatic effect on the lives of those affected. As those injured are typically relatively young adults, the interruption to careers and vocational plans is often significant. While return to work following SCI has been well investigated, little is known about the process by which people regain employment post-injury. This investigation aimed to study participants' perceptions regarding the adequacy of the vocational rehabilitation services they received. Data was collected through personal interview with 168 persons with a SCI who were employed at the time of their injury. Participants were asked if they believed they could have been assisted by additional services provided with the aim of facilitating their return-to-work attempts. More than half of the participants believed they would have benefited from additional services. The most commonly requested additional services were: more discussion of vocational options and alternatives, and the timely follow-up of vocational issues. Analysis of subgroup differences indicated that rural-based study participants had clear and precise ideas for how vocational rehabilitation services might be improved.


2021 ◽  
pp. 1-11
Author(s):  
Deborah L. Snell ◽  
Jonathan J. Hackney ◽  
Jasjot Maggo ◽  
Rachelle A. Martin ◽  
Joanne L. Nunnerley ◽  
...  

BACKGROUND: Early vocational rehabilitation following spinal cord injury (SCI) improves return to work (RTW) outcomes, but there is limited information about who benefits from such interventions, why and in what contexts. OBJECTIVE: We aimed to describe demographic and clinical characteristics and RTW outcomes of adults with SCI who received early vocational rehabilitation. We sought to identify key mechanisms of early vocational rehabilitation. METHODS: This is a cross-sectional survey of people with SCI recruited from the New Zealand Spinal Trust Vocational Rehabilitation Service, who had sustained an SCI within the previous five years. RESULTS: Of the 37 people who responded to the survey, 54% returned to paid work (90% of whom retained their pre-injury employment). Those in autonomous roles returned to work faster with greater odds of returning to their pre-injury employer and role. Participants highlighted the importance of feeling hopeful about RTW while still in the spinal unit as a key mechanism of effect within the early vocational intervention. CONCLUSIONS: Findings suggested key mechanisms of early vocational intervention could be framed by models of hope. However, for gains to be optimised, continuity of support beyond the acute stage was suggested as an area for future research.


2011 ◽  
Vol 25 (3) ◽  
pp. 149-162 ◽  
Author(s):  
Juan Carlos Arango-Lasprilla ◽  
Elizabeth da Silva Cardoso ◽  
Lisa M. Wilson ◽  
Maria G. Romero ◽  
Fong Chan ◽  
...  

2018 ◽  
Vol 1 (2) ◽  
pp. 34
Author(s):  
Mochamad Targib Alatas

Early surgical treatment for traumatic spinal cord injury (SCI) patients has been proven to yield better improvement on neurological state, and widely practiced among surgeons in this field. However, it is not always affordable in every clinical setting. It is undeniable that surgery for chronic SCI has more challenges as the malunion of vertebral bones might have initiated, thus requires more complex operating techniques. In this case series, we report 7 patients with traumatic SCI whose surgical intervention is delayed due to several reasons. Initial motoric scores vary from 0 to 3, all have their interval periods supervised between outpatient clinic visits. On follow up they demonstrate significant neurological development defined by at least 2 grades motoric score improvement. Physical rehabilitation also began before surgery was conducted. These results should encourage surgeons to keep striving for the patient’s best interest, even when the injury has taken place weeks or even months before surgery is feasible because clinical improvement for these patients is not impossible. 


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