Purpose:The long-term situation of children with spinal cord injury(SCI)was investigated,and suggestions for helping them better return to the society were provided.Methods:SCI patients less than 18 years old hospital...Purpose:The long-term situation of children with spinal cord injury(SCI)was investigated,and suggestions for helping them better return to the society were provided.Methods:SCI patients less than 18 years old hospitalized in Beijing Boai Hospital from January 2011 to December 2020 were retrospectively analyzed.Information including motor function,complications,characteristic changes,self-care abilities,school attendance and social participation were collected by telephone interview and electronic questionnaire.All the answers were statistically analyzed.Results:A total of 86 cases were enrolled,77 girls and 9 boys,with a median injury age of 6 years and 2 months.The follow-up time was 3-130 months.The main cause of trauma in these children was sport injury(66.3%),the thoracic spinal cord was involved the most(91.9%),and complete SCIs accounted for the majority(76.7%).In terms of complications,children with complete SCIs were more likely to have urinary incontinence,constipation and characteristic changes(p<0.05);whereas the incomplete SCIs often have spasticity(p<0.05).As to the daily living abilities,children with incomplete lumbar SCIs were more capable to accomplish personal hygiene,transfer,and bathing independently than those with complete injuries,or cervical/thoracic SCIs,respectively(p<0.05).Moreover,children older than 9 years care more able to dress and transfer independently than the youngers(p<0.05).Wheelchair users accounted for 84.9%and more than half of them were able to propel wheelchair independently,and those who move passively in wheelchairs were mostly introverted kids(p<0.05).Almost all(93.8%)children with incomplete injuries were able to walk independently.Most(79.1%)children continued to attending school,and 41.9%participated in interest classes.Unfortunately,67.4%of the children spent less time playing with their peers than before the injury.Conclusion:SCIs impair physical structures and function of children,affect their independence in daily living,and restrict school attendance and social interaction.Comprehensive rehabilitation after injury is a systematic work.Medical staff and caregivers should not only pay attention to neurological function,but also help them improve self-care abilities.It is also important to balance rehabilitation training and school work and social participation.展开更多
基金National Key R&D Program of China(grant no.2019YFB1312505)。
文摘Purpose:The long-term situation of children with spinal cord injury(SCI)was investigated,and suggestions for helping them better return to the society were provided.Methods:SCI patients less than 18 years old hospitalized in Beijing Boai Hospital from January 2011 to December 2020 were retrospectively analyzed.Information including motor function,complications,characteristic changes,self-care abilities,school attendance and social participation were collected by telephone interview and electronic questionnaire.All the answers were statistically analyzed.Results:A total of 86 cases were enrolled,77 girls and 9 boys,with a median injury age of 6 years and 2 months.The follow-up time was 3-130 months.The main cause of trauma in these children was sport injury(66.3%),the thoracic spinal cord was involved the most(91.9%),and complete SCIs accounted for the majority(76.7%).In terms of complications,children with complete SCIs were more likely to have urinary incontinence,constipation and characteristic changes(p<0.05);whereas the incomplete SCIs often have spasticity(p<0.05).As to the daily living abilities,children with incomplete lumbar SCIs were more capable to accomplish personal hygiene,transfer,and bathing independently than those with complete injuries,or cervical/thoracic SCIs,respectively(p<0.05).Moreover,children older than 9 years care more able to dress and transfer independently than the youngers(p<0.05).Wheelchair users accounted for 84.9%and more than half of them were able to propel wheelchair independently,and those who move passively in wheelchairs were mostly introverted kids(p<0.05).Almost all(93.8%)children with incomplete injuries were able to walk independently.Most(79.1%)children continued to attending school,and 41.9%participated in interest classes.Unfortunately,67.4%of the children spent less time playing with their peers than before the injury.Conclusion:SCIs impair physical structures and function of children,affect their independence in daily living,and restrict school attendance and social interaction.Comprehensive rehabilitation after injury is a systematic work.Medical staff and caregivers should not only pay attention to neurological function,but also help them improve self-care abilities.It is also important to balance rehabilitation training and school work and social participation.
