Health related quality of life of Spinal cord injury patients.

Phase 3

Not yet recruiting

Conditions: Sequelae of inflammatory diseasesof central nervous system,

Registration Number: CTRI/2022/08/044682

Lead Sponsor: DR DILAR AMITKUMAR RANA

Brief Summary: A spinal cord injury (SCI) is damage to the spinal cord that causes temporary or permanent changes in its function. Symptoms may include loss of muscle function, sensation, or autonomic function in the parts of the body served by the spinal cord below the level of the injury, thereby affecting the spinal cords ability to send and receive messages from the brain to the bodyâ€™s systems that control sensory, motor and autonomic function below the level of injury.

The International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI), commonly referred to as the ASIA Exam, was developed by the American Spinal Injury Association (ASIA) as a universal classification tool for Spinal Cord Injury based on a standardized sensory and motor assessment, with the most recent revised edition published in 2011.

Spinal cord injury (SCI) typically results in impaired motion and loss of function, both of which are associated with a decrease in quality of life Rehabilitation interventions that promote recovery of lost function through the implementation of compensatory techniques and equipment have been positively correlated with improvements in quality of life for persons with SCI (2) . Quality-of-life scores remain significantly below the level observed in similar populations without SCI. In a study by Kannisto et al (3), for example, individuals with SCI showed quality-of life scores nearly 10% below those recorded for healthy adults.

In initial stage patient is in spinal shock. Initial Medical care are most important for making patient more stable and prognosis.

In stage I, rehabilatation program starts to prevent complications and to maintain musculoskeletal properties and to enhance neurology. In stage II, active rehabitalation is performed by rehab team and patient is trained for further physical activity, transfer and selfcare with all activity of daily livings.

In stage III, after discharge home based and out patient department rehabilitation protocol is facilitated and practieced. (24) Medical management of SCI is designed first to save lives and second to minimize the consequences of the trauma, thereby optimizing the conditions for long-term survival with a good QL (Quality of life). With improved medical care the number of SCI survivors grows, thus making the need for better knowledge and understanding regarding subsequent disability and handicap more apparent. Quality of life is generally lower among the SCI than in the general population.

HRQoL is measure in intial stage, at time of discharge and after discharge in follow up .

â€¢ STAGE I: INITIAL ASSESSMENT AND INTERVIEW- WITHIN 2WEEKS

â€¢ STAGE II: AT TIME OF DISCHARGE- 10- 12 WEEKS ( 2-3 MONTHS )

â€¢ STAGE III:FOLOW UP IN OPD - > 9 MONTHS AFTER DISCHARGE

Participants will be invited for measurement session at the rehabilitation center where the Spinal Cord Independence Measure II (SCIM II), the Health related quality of life WHOQOL BREF , the Walking Index for Spinal Cord Injury II (WISCI), and the ASIA standard classification including the motor score (MS) were performed. During that visit, the number of falls the patient experiences during the previous 1 month will be recorded by interview.

From that visit onward, a 4-month prospective recording of the number of falls will be started using a specifically designed. HRQOL is subjective and value based ,involves the individualsâ€™ perception of both positive and negative in physical health, psychological health, social and environmental -dimensions.

As healthcare has improved, life expectancy following spinal cord injury (SCI) has increased. Spinal cord injured patients treated and followed in specialized units now have an almost normal life expectancy.1,6 Living with disability therefore becomes a life-long process for many injured persons, with a different set of problems presenting themselves at different stages in life.

We can analysis barrier and facilitator to such disable who living with spinal cord injury and improve their quality of life.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 150

Inclusion Criteria

Persons with Traumatic and non traumatic both SCI Patients with ASIA grade A,B,C,D both complete and incomplete injury Pressure sore ulcer grade 1 and 2 Conservative and operated.

Exclusion Criteria

Difficulty to understand Gujarat, Hindi and English Known psychiatric problem Known progressive disease Completely ambulatory person Person completely depend on an electric wheelchair Other musculoskeletal conditions like fracture Pressure sore grade 3 and 4.

Study & Design

Study Type: Observational

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1) Manual Muscle Testing	4 TO 8 WEEKS
2) American Spinal Cord Injury Association-ASIA	4 TO 8 WEEKS
3) Spinal Cord Independence Measures III- SCIM III	4 TO 8 WEEKS
4) who quality of life bref	4 TO 8 WEEKS
5) Walking index of spinal cord injury II-WISCI II	4 TO 8 WEEKS

Secondary Outcome Measures

Name	Time	Method
1) Manual Muscle Testing	2) American Spinal Cord Injury Association-ASIA

Trial Locations

Locations (4): AXON SPINE CENTRE
🇮🇳
Ahmadabad, GUJARAT, India
CONCEPT NEURO AND SPINECARE HOSPITAL
🇮🇳
Ahmadabad, GUJARAT, India
PUSHYA HOSPITAL
🇮🇳
Ahmadabad, GUJARAT, India
SPINE MEDICUS
🇮🇳
Ahmadabad, GUJARAT, India
AXON SPINE CENTRE
🇮🇳Ahmadabad, GUJARAT, India
DR HARSHIL PATEL MS SPINE SURGEON
Principal investigator
7069979988
Drhrp.1022@gmail.com