Factors affecting rehabilitation participation in patients with spinal cord injury.

IF 1.3 4区医学 Q4 CLINICAL NEUROLOGY

Neurosciences Pub Date : 2025-07-01 DOI:10.17712/nsj.2025.3.20240085

Gul M Civelek, Selen Tulunoglu, Zuhal Ozisler

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引用次数: 0

Abstract

Objectives: To investigate the factors affecting participation in rehabilitation in patients with spinal cord injury.

Methods: Our prospective clinical follow-up study included 87 patients with spinal cord injuries who were hospitalized in a tertiary Physical Therapy and Rehabilitation Hospital. General characteristics of the patients were noted. Depression, neuropathic pain, independence in activities of daily living, and participation in the rehabilitation program were assessed using the Beck Depression Scale, DN-4 score, Spinal Cord Injury Independence Measure (SCIM), and Pittsburgh Rehabilitation Participation Scale, respectively.

Results: Nearly one-third of patients (31%) showed low participation. The frequency of tetraplegics was higher, the median motor score was statistically lower, the rate of training in the locomat and mechanical balance devices was lower, and the median Beck Depression Scale score was higher in the lower participation group (p=0.043, p<0.001, p=0.007 and p<0.001, p=0.019, respectively). The determinant factors for low participation in rehabilitation were low motor score p<0.001, not receiving locomat training p=0.006, presence of neuropathic pain p=0.016, and high Beck Depression Scale scores p=0.040. Patients with high participation showed greater improvement in SCIM scores (p=0.030).

Conclusion: Our results confirm the importance of rehabilitation participation. Patients should be encouraged to participate in rehabilitation and problems such as neuropathic pain and depression should be appropriately addressed and solved. Intensive rehabilitation including locomat and mechanical balance training is recommended.

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影响脊髓损伤患者参与康复的因素。

目的：探讨影响脊髓损伤患者参与康复的因素。方法：我们的前瞻性临床随访研究纳入了87例在三级物理治疗康复医院住院的脊髓损伤患者。记录患者的一般特征。分别采用贝克抑郁量表、DN-4评分、脊髓损伤独立性量表（SCIM）和匹兹堡康复参与量表评估抑郁、神经性疼痛、日常生活活动的独立性和康复计划的参与程度。结果：近三分之一（31%）的患者参与率较低。低参与组出现四肢瘫痪的频率较高，运动评分中位数较低，使用运动和机械平衡装置的训练率较低，贝克抑郁量表得分中位数较高（p=0.043, pp=0.007, pp=0.019）。运动评分低（pp=0.006）、神经性疼痛（p=0.016）、贝克抑郁量表（Beck Depression Scale）评分高（p=0.040）是低参与康复的决定因素。参与程度高的患者SCIM评分改善更大（p=0.030）。结论：本研究结果证实了康复参与的重要性。应鼓励患者参与康复，并适当处理和解决神经性疼痛和抑郁等问题。建议强化康复，包括运动和机械平衡训练。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurosciences 医学-临床神经学

CiteScore

1.40

自引率

0.00%

发文量

审稿时长

4.5 months

期刊介绍： Neurosciences is an open access, peer-reviewed, quarterly publication. Authors are invited to submit for publication articles reporting original work related to the nervous system, e.g., neurology, neurophysiology, neuroradiology, neurosurgery, neurorehabilitation, neurooncology, neuropsychiatry, and neurogenetics, etc. Basic research withclear clinical implications will also be considered. Review articles of current interest and high standard are welcomed for consideration. Prospective workshould not be backdated. There are also sections for Case Reports, Brief Communication, Correspondence, and medical news items. To promote continuous education, training, and learning, we include Clinical Images and MCQ’s. Highlights of international and regional meetings of interest, and specialized supplements will also be considered. All submissions must conform to the Uniform Requirements.