Age-related Variation in Mobility Independence Among Wheelchair Users with Spinal Cord Injury: A Cross-sectional Study

Overview

Journal J Spinal Cord Med

Date 2015 Apr 3

PMID 25832471

Citations 7

Authors

Timo Hinrichs

Veronika Lay

Ursina Arnet

Inge Eriks-Hoogland

Hans Georg Koch

Taina Rantanen

Jan D Reinhardt

Martin W G Brinkhof

Affiliations

Soon will be listed here.

Abstract

Objective: To evaluate age-related variation in mobility independence among community-living wheelchair users with spinal cord injury (SCI).

Design: Community Survey (2011-2013) as part of the Swiss Spinal Cord Injury Cohort Study.

Setting: Community.

Participants: Individuals aged 16 years or older with traumatic or non-traumatic SCI permanently residing in Switzerland and using a wheelchair for moving around moderate distances (10-100 m).

Interventions: Not applicable.

Outcome Measures: Mobility-related items of the Spinal Cord Independence Measure-Self Report were matched to the three principal domains "changing basic body position," "transferring oneself" and "moving around." Binary outcomes ("independence" vs. "no independence") were created for every domain and analyzed using multivariable logistic regression (adjusted for sex, socioeconomic factors, SCI characteristics, and health conditions).

Results: Regression analyses (N = 949; 27% women; median age 51, interquartile range 41-61) showed a decline in the odds of independence (odds ratio; 95% confidence interval) with increasing age for "changing basic body position" (age 16-30 (reference), 31-45 (0.99; 0.53-1.83), 46-60 (0.64; 0.33-1.21), 61-75 (0.45; 0.22-0.92), 76+ (0.18; 0.07-0.44); P < 0.001), "transferring oneself" (age 16-30 (reference), 31-45 (0.77; 0.37-1.61), 46-60 (0.39; 0.18-0.84), 61+ (0.05; 0.02-0.14); P < 0.001), and "moving around" (age 16-30 (reference), 31-45 (0.79; 0.42-1.48), 46-60 (0.49; 0.26-0.94), 61-75 (0.49; 0.24-1.01), 75+ (0.11; 0.04-0.30); P < 0.001).

Conclusions: Mobility independence was negatively associated with age in wheelchair users with SCI. Future longitudinal analyses are required to gain further insights into the causal factors for the age-related decline.

Citing Articles

Association Between the Availability of Mobility Assistive Products and Participation Outcomes in Individuals With Spinal Cord Injury in Switzerland.

Fong A, Gemperli A, de Vries W Top Spinal Cord Inj Rehabil. 2023; 29(4):96-107.

PMID: 38076498 PMC: 10704211. DOI: 10.46292/sci22-00030.

Exercise and aerobic capacity in individuals with spinal cord injury: A systematic review with meta-analysis and meta-regression.

Hodgkiss D, Bhangu G, Lunny C, Jutzeler C, Chiou S, Walter M PLoS Med. 2023; 20(11):e1004082.

PMID: 38011304 PMC: 10712898. DOI: 10.1371/journal.pmed.1004082.

Change in mobility independence over 5 years for persons with chronic spinal cord injury.

de Vries W, Fellinghauer C, Arnet U, Eriks-Hoogland I J Spinal Cord Med. 2021; 47(1):125-134.

PMID: 34726572 PMC: 10795633. DOI: 10.1080/10790268.2021.1991164.

Understanding the Global Challenges to Accessing Appropriate Wheelchairs: Position Paper.

Gowran R, Bray N, Goldberg M, Rushton P, Barhouche Abou Saab M, Constantine D Int J Environ Res Public Health. 2021; 18(7).

PMID: 33804868 PMC: 8036353. DOI: 10.3390/ijerph18073338.

MRI evaluation of shoulder pathologies in wheelchair users with spinal cord injury and the relation to shoulder pain.

Arnet U, de Vries W, Eriks-Hoogland I, Wisianowsky C, van der Woude L, Veeger D J Spinal Cord Med. 2021; 45(6):916-929.

PMID: 33617411 PMC: 9661987. DOI: 10.1080/10790268.2021.1881238.

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