de Ruijter Leonie S, de Groot Sonja, Adriaansen Jacinthe J, Smit Christof A, Post Marcel W M
Amsterdam Rehabilitation Research Centre, Reade, Amsterdam, The Netherlands.
University of Groningen, University Medical Centre Groningen, Centre of Human Movement Sciences, Groningen, The Netherlands.
Spinal Cord. 2018 Dec;56(12):1134-1143. doi: 10.1038/s41393-018-0134-7. Epub 2018 May 23.
Multicentre cross-sectional study.
To describe relationships between time since injury (TSI) and participation in individuals with tetraplegia and paraplegia.
Community sample from the Netherlands METHODS: Individuals (N = 265) aged 28-65 years, living with spinal cord injury (SCI) for ≥10 years, age at injury between 18-35 years and using a wheelchair for everyday mobility in three TSI strata: 10-19, 20-29, and ≥30 years post-injury. The Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-Participation) was used, which consists of three scales: Frequency (including subscales for Productive, Leisure, and Social activities), Restrictions, and Satisfaction. Linear regression analyses were used to study the effect of TSI on participation, and to adjust for personal and lesion characteristics, for individuals with tetraplegia and paraplegia separately.
Mean age was 48.4 years, with a mean TSI of 24 years. About 73.6% were male, 40.4% had tetraplegia and 81.9% had a motor complete injury. In individuals with tetraplegia (N = 107), longer TSI was independently associated with lower scores on the Frequency scale (p = 0.025) and the subscale frequency of Leisure activities (p = 0.004). In individuals with paraplegia (N = 158), longer TSI was independently associated with lower scores on the subscale frequency of Productive activities (p = 0.006). TSI was not associated with participation Restrictions and Satisfaction with participation.
Longer TSI is associated with a reduced frequency of participation in individuals with long-term SCI. Interestingly, this negative association is not accompanied by a similar association in the person's experience of participation.
多中心横断面研究。
描述四肢瘫痪和截瘫患者受伤时间（TSI）与参与度之间的关系。
来自荷兰的社区样本
年龄在28 - 65岁之间、脊髓损伤（SCI）≥10年、受伤年龄在18 - 35岁之间且日常活动使用轮椅的个体（N = 265），分为三个受伤时间层：受伤后10 - 19年、20 - 29年和≥30年。使用乌得勒支康复参与评估量表（USER - 参与量表），该量表由三个分量表组成：频率（包括生产性、休闲和社交活动的子量表）、限制和满意度。分别对四肢瘫痪和截瘫个体进行线性回归分析，以研究受伤时间对参与度的影响，并对个人和损伤特征进行调整。
平均年龄为48.4岁，平均受伤时间为24年。约73.6%为男性，40.4%为四肢瘫痪，81.9%为运动完全性损伤。在四肢瘫痪个体（N = 107）中，较长的受伤时间与频率量表得分较低（p = 0.025）以及休闲活动子量表频率得分较低（p = 0.004）独立相关。在截瘫个体（N = 158）中，较长的受伤时间与生产性活动子量表频率得分较低（p = 0.006）独立相关。受伤时间与参与限制和参与满意度无关。
较长的受伤时间与长期脊髓损伤个体的参与频率降低有关。有趣的是，这种负相关在个体的参与体验中并未伴随类似的关联。
