Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/8067
Title: One-year follow-up of Chinese people with spinal cord injury : a preliminary study
Authors: Chan, SCC 
Chan, APS
Keywords: Activities of daily living
Assistive technology
Community reintegration
Employment
Hong Kong
International Standards for Neurological Classification of Spinal Cord Injury
Paraplegia
Quality of life
Rehabilitation
Spinal cord injuries
Tetraplegia
Treatment outcomes
Issue Date: 2013
Publisher: American Paraplegia Society
Source: Journal of spinal cord medicine, 2013, v. 36, no. 1, p. 12-23 How to cite?
Journal: Journal of spinal cord medicine 
Abstract: Background: A tertiary spinal cord injury (SCI) center was established in the northern region of Hong Kong, China and a multidisciplinary SCI rehabilitation program was developed to reintegrate patients into the community. Objective: To investigate functional outcomes for Chinese people with SCI across a 1-year period. Design: Longitudinal prospective design. Methods: Thirty community-dwelling participants with traumatic SCI were recruited. Functional status was measured using functional independence measure (FIM) on admission, upon discharge, 1-month, 3-month, 6-month, and 1-year post-discharge. Information on use of assistive devices and life role were also obtained. Results: Twenty-three (76.67%) participants were men. Seventeen participants (10 with tetraplegia and 7 with paraplegia) were classified ASIA A, B, or C; 13 (7 with tetraplegia and 6 with paraplegia) were classified as ASIA D. Significant differences in FIM motor scores were only found between the tetraplegia group and three other diagnostic groups using Bonferroni post-hoc tests of repeated measure ANOVA (analysis of variance) (P < 0.05). Longitudinally, contrast tests of repeated measure ANOVA showed significant differences during the hospitalization period for all diagnostic groups. People in the ASIA D group showed significant functional improvement even after 1-year post-discharge (P < 0.05). At 1-year post-discharge, only two participants were engaged in either remunerative employment or academic pursuit. Conclusion: Despite functional status improvement, few people with traumatic SCI were re-engaged in productive life role 1 year after discharge. Studies with longer follow-up would be beneficial.
URI: http://hdl.handle.net/10397/8067
ISSN: 1079-0268
EISSN: 2045-7723
DOI: 10.1179/1079026812Z.00000000059
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