Improving Outcomes in People with Spinal Cord Injury: Encouraging Results from a Multidisciplinary Advanced Rehabilitation Pathway
Spinal cord injury (SCI) consists of damage to any segment of the spinal cord extending to potential harm to nerves in the cauda equina. Rehabilitative efforts for SCI can involve conventional physiotherapy, innovative technologies, as well as cognitive treatment and psychological support. The aim o...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-01-01
|
| Series: | Brain Sciences |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2076-3425/14/2/140 |
| _version_ | 1797298758997770240 |
|---|---|
| author | Maria Grazia Maggio Mirjam Bonanno Alfredo Manuli Rocco Salvatore Calabrò |
| author_facet | Maria Grazia Maggio Mirjam Bonanno Alfredo Manuli Rocco Salvatore Calabrò |
| author_sort | Maria Grazia Maggio |
| collection | DOAJ |
| description | Spinal cord injury (SCI) consists of damage to any segment of the spinal cord extending to potential harm to nerves in the cauda equina. Rehabilitative efforts for SCI can involve conventional physiotherapy, innovative technologies, as well as cognitive treatment and psychological support. The aim of this study is to evaluate the feasibility of a dedicated, multidisciplinary, and integrated intervention path for SCI, encompassing both conventional and technological interventions, while observing their impact on cognitive, motor, and behavioral outcomes and the overall quality of life for individuals with SCI. Forty-two patients with SCI were included in the analysis utilizing electronic recovery system data. The treatment regimen included multidisciplinary rehabilitation approaches, such as traditional physiotherapy sessions, speech therapy, psychological support, robotic devices, advanced cognitive rehabilitation, and other interventions. Pre–post comparisons showed a significant improvement in lower limb function (Fugl Meyer Assessment-FMA < 0.001), global cognitive functioning (Montreal Cognitive Assessment-MoCA <i>p</i> < 0.001), and perceived quality of life at both a physical and mental level (Short Form-12-SF-12 <i>p</i> < 0.001). Furthermore, we found a significant reduction in depressive state (Beck Depression Inventory-BDI <i>p</i> < 0.001). In addition, we assessed patient satisfaction using the Short Form of the Patient Satisfaction Questionnaire (PSQ), offering insights into the subjective evaluation of the intervention. In conclusion, this retrospective study provides positive results in terms of improvements in motor function, cognitive functions, and quality of life, highlighting the importance of exploring multidisciplinary approaches. |
| first_indexed | 2024-03-07T22:39:42Z |
| format | Article |
| id | doaj.art-64071d89ed3146a8954e222a8428eed1 |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-07T22:39:42Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-64071d89ed3146a8954e222a8428eed12024-02-23T15:09:41ZengMDPI AGBrain Sciences2076-34252024-01-0114214010.3390/brainsci14020140Improving Outcomes in People with Spinal Cord Injury: Encouraging Results from a Multidisciplinary Advanced Rehabilitation PathwayMaria Grazia Maggio0Mirjam Bonanno1Alfredo Manuli2Rocco Salvatore Calabrò3IRCCS Centro Neurolesi Bonino-Pulejo, Cda Casazza, SS 113, 98123 Messina, ItalyIRCCS Centro Neurolesi Bonino-Pulejo, Cda Casazza, SS 113, 98123 Messina, ItalyA.O.U. Policlinico “G. Martino”, Via Consolare Valeria, 98124 Messina, ItalyIRCCS Centro Neurolesi Bonino-Pulejo, Cda Casazza, SS 113, 98123 Messina, ItalySpinal cord injury (SCI) consists of damage to any segment of the spinal cord extending to potential harm to nerves in the cauda equina. Rehabilitative efforts for SCI can involve conventional physiotherapy, innovative technologies, as well as cognitive treatment and psychological support. The aim of this study is to evaluate the feasibility of a dedicated, multidisciplinary, and integrated intervention path for SCI, encompassing both conventional and technological interventions, while observing their impact on cognitive, motor, and behavioral outcomes and the overall quality of life for individuals with SCI. Forty-two patients with SCI were included in the analysis utilizing electronic recovery system data. The treatment regimen included multidisciplinary rehabilitation approaches, such as traditional physiotherapy sessions, speech therapy, psychological support, robotic devices, advanced cognitive rehabilitation, and other interventions. Pre–post comparisons showed a significant improvement in lower limb function (Fugl Meyer Assessment-FMA < 0.001), global cognitive functioning (Montreal Cognitive Assessment-MoCA <i>p</i> < 0.001), and perceived quality of life at both a physical and mental level (Short Form-12-SF-12 <i>p</i> < 0.001). Furthermore, we found a significant reduction in depressive state (Beck Depression Inventory-BDI <i>p</i> < 0.001). In addition, we assessed patient satisfaction using the Short Form of the Patient Satisfaction Questionnaire (PSQ), offering insights into the subjective evaluation of the intervention. In conclusion, this retrospective study provides positive results in terms of improvements in motor function, cognitive functions, and quality of life, highlighting the importance of exploring multidisciplinary approaches.https://www.mdpi.com/2076-3425/14/2/140spinal cord injuryneurorehabilitationmultidisciplinary approachesinnovative technologies |
| spellingShingle | Maria Grazia Maggio Mirjam Bonanno Alfredo Manuli Rocco Salvatore Calabrò Improving Outcomes in People with Spinal Cord Injury: Encouraging Results from a Multidisciplinary Advanced Rehabilitation Pathway Brain Sciences spinal cord injury neurorehabilitation multidisciplinary approaches innovative technologies |
| title | Improving Outcomes in People with Spinal Cord Injury: Encouraging Results from a Multidisciplinary Advanced Rehabilitation Pathway |
| title_full | Improving Outcomes in People with Spinal Cord Injury: Encouraging Results from a Multidisciplinary Advanced Rehabilitation Pathway |
| title_fullStr | Improving Outcomes in People with Spinal Cord Injury: Encouraging Results from a Multidisciplinary Advanced Rehabilitation Pathway |
| title_full_unstemmed | Improving Outcomes in People with Spinal Cord Injury: Encouraging Results from a Multidisciplinary Advanced Rehabilitation Pathway |
| title_short | Improving Outcomes in People with Spinal Cord Injury: Encouraging Results from a Multidisciplinary Advanced Rehabilitation Pathway |
| title_sort | improving outcomes in people with spinal cord injury encouraging results from a multidisciplinary advanced rehabilitation pathway |
| topic | spinal cord injury neurorehabilitation multidisciplinary approaches innovative technologies |
| url | https://www.mdpi.com/2076-3425/14/2/140 |
| work_keys_str_mv | AT mariagraziamaggio improvingoutcomesinpeoplewithspinalcordinjuryencouragingresultsfromamultidisciplinaryadvancedrehabilitationpathway AT mirjambonanno improvingoutcomesinpeoplewithspinalcordinjuryencouragingresultsfromamultidisciplinaryadvancedrehabilitationpathway AT alfredomanuli improvingoutcomesinpeoplewithspinalcordinjuryencouragingresultsfromamultidisciplinaryadvancedrehabilitationpathway AT roccosalvatorecalabro improvingoutcomesinpeoplewithspinalcordinjuryencouragingresultsfromamultidisciplinaryadvancedrehabilitationpathway |