Gerhart K A, Bergstrom E, Charlifue S W, Menter R R, Whiteneck G G
Research Department, Craig Hospital, Englewood, CO 80110.
Arch Phys Med Rehabil. 1993 Oct;74(10):1030-4. doi: 10.1016/0003-9993(93)90057-h.
Functional changes were assessed in a group of 279 individuals with long-term spinal cord injuries. All had sustained their initial injuries 20 to 47 years ago and all had received initial and postinjury follow-up care at one of two British spinal cord injury treatment centers. Twenty-two percent reported that the need for physical assistance from others had increased over the years. Most (45%) needed additional help with transfers; others needed more assistance with dressing, mobility, and toileting. When compared to those whose need for help had not increased, significant differences were found by age: as a group, and when separated by level and severity of injury, those needing more help were older, and those with cervical injuries needed help at younger ages than their counterparts with lower level injuries. Those needing more help also had significantly more reports of shoulder pain, fatigue and weakness, weight gain, and postural changes. They used more attendant care, and perceived their quality of life to be lower than those whose level of function had not changed over time.
对一组279名长期脊髓损伤患者的功能变化进行了评估。所有人在20至47年前遭受了初次损伤，并且都在英国两个脊髓损伤治疗中心之一接受了初次和伤后随访护理。22%的人报告称，多年来对他人身体协助的需求有所增加。大多数人（45%）在转移时需要额外帮助；其他人在穿衣、活动和如厕方面需要更多协助。与那些对帮助需求未增加的人相比，按年龄发现了显著差异：总体而言，以及按损伤水平和严重程度分开来看，需要更多帮助的人年龄更大，并且颈椎损伤患者比损伤水平较低的同龄人在更年轻的时候就需要帮助。需要更多帮助的人肩部疼痛、疲劳和虚弱、体重增加以及姿势改变的报告也明显更多。他们使用了更多的护理服务，并且认为自己的生活质量低于功能水平未随时间变化的人。
