Early vocational rehabilitation after spinal cord injury: A survey of service users

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.

Spinal Cord ◽  
2019 ◽  
Vol 57 (5) ◽  
pp. 396-403 ◽  
Author(s):  
Marcel W. M. Post ◽  
◽  
Jacqueline M. P. Leenders ◽  
Marga Tepper ◽  
Govert J. Snoek ◽  
...  

2020 ◽  
Vol 101 (12) ◽  
pp. 2144-2156 ◽  
Author(s):  
Jan D. Reinhardt ◽  
James Middleton ◽  
Andrea Bökel ◽  
Apichana Kovindha ◽  
Athanasios Kyriakides ◽  
...  

2020 ◽  
Author(s):  
Mohammad Anwar Hossain ◽  
K M Amran Hossain ◽  
Mohamed Sakel ◽  
Md. Feroz Kabir ◽  
Karen Saunders ◽  
...  

AbstractStudy DesignA prospective cross-sectional survey.ObjectiveThe study aimed to examine the Knowledge, Attitudes, and Practices (KAP) of people living with Spinal cord injury (SCI) towards COVID-19 and their psychological status during in-patient rehabilitation in Bangladesh.SettingThe Centre for the Rehabilitation of the Paralyzed (CRP) and the National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), two tertiary level hospitals in Dhaka, Bangladesh.MethodsFrom July to September 2020, a prospective, cross-sectional survey of SCI subjects, 13-78 years of age, carried out in two SCI rehab centers in Bangladesh. Data has been collected by face to face interview through a pretested, and language validated questionnaire on KAP and Depression, Anxiety, Stress (DASS). Ethical approval and trial registration obtained prospectively. As all the patients were previously living with Spinal cord injury (SCI), therefore, all the patients admitted/ attend SCI rehab centers were considered as SCI positive samples.ResultsA total of 207 people with SCI responded, 87%were male, and 13% were female with mean age34.18±12.9 years. 33.8% was tetraplegic and 66.2% was paraplegic and 63.8% of them were diagnosed ASIA-A, with motor score 45.38±19.5, sensory score 97.2±52, SpO2 95.07±3.3, and Vo2max 35.7±3.7mL/kg/min. 178 people had at least one health issue. Overall knowledge score was 8.59±2.3 out of 12, depression 11.18±8, anxiety 7.72±5.1, and stress was 9.32±6.7 from a total of 21 scores each. There was a correlation between Knowledge and DASS with age (P<.05); and Knowledge with gender (P<.05), and education (P<.01). Binary logistic regression found a higher association of Knowledge and DASS with gender (OR 6.6, 6.6, .95, 6.6; P<.01); and young age (OR.418, P<.01), illiterate (OR3.81, P<.01), and rural people (OR.48, P<.05) with knowledge. A linear relation was noted between depression and anxiety scores (r.45, P<.01) and stress scores (r.58, P<.01). A positive attitude was reported for the majority of subjects. SCI Persons reported they and the caregiver followed health advisory in consulting health professionals (65.7%), isolation (63.8%), droplet precaution (87.4%), and hygiene (90.3%).ConclusionsDuring in-patient rehabilitation in Bangladesh, the majority of SCI reported that they had communicated with health professionals and practiced behaviors that would reduce transmission and risk of COVID-19.


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 ◽  
Vol 7 (1) ◽  
Author(s):  
Johnson Blessyolive ◽  
Selvaraj Samuelkamaleshkumar ◽  
Suresh Annpatriciacatherine ◽  
Arumugam Elango ◽  
Guru Nagarajan

2011 ◽  
Vol 17 (2) ◽  
pp. 74-88 ◽  
Author(s):  
Terri Roberton ◽  
Romola S. Bucks ◽  
Timothy C. Skinner ◽  
Gary T. Allison ◽  
Sarah A. Dunlop

AbstractThis study examined barriers to physical activity reported individuals with spinal cord injury (SCI) and the degree to which these barriers differed across varying degrees of independence. Participants were 65 individuals recruited from the Western Australian Spinal Cord Injury database. Data on physical activity participation and perceived barriers to physical activity participation were collected using a cross-sectional survey and analysed using independent samples t-tests. We found that, regardless of level of ambulation or ability to transfer, few participants reported being physically active. While there were no significant differences in the amount of barriers reported by individuals with different levels of independence, the type of barriers reported varied across groups.


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