Paraplegia: A postal survey of morbidity trends in India

N. Gupta, J. Solomon, K. Raja

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Study design: Postal survey from August 2004 to May 2006. Objective: To ascertain the morbidity trends in individuals with paraplegia in India and to find its association with demographic characteristics. Settings: India. Methods: The questionnaire was mailed to the identified individuals (n = 600) whose addresses were obtained from the medical records section of our hospital and by contacting non-government organizations (NGOs), working for individuals with paraplegia in various cities. The causes of morbidities surveyed were respiratory complications, use of catheter, pressure sores, spasticity, postural hypotension, pain and fractures. Data were analysed using nonparametric test of association (Goodman Kruskal Tau). Results: A total of 276 (46%) individuals responded. Of all the morbidities studied, pain was the leading cause (57.2%) followed by spasticity (39.1%), pressure sore (28.3%), postural hypotension (10.1%), respiratory complications, and fractures (5.8%). We found significant associations between various morbidities and demographics and between morbidities themselves. Conclusion: The most common cause for morbidity was pain. Ambulation reduced the incidence of secondary complications. Sponsorship: This study was funded in part by Indian Association of Physiotherapists. © 2007 International Spinal Cord Society All rights reserved.
Original languageEnglish
Pages (from-to)664-670
Number of pages7
JournalSpinal Cord
Volume45
Issue number10
DOIs
Publication statusPublished - 2007

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Paraplegia
India
Morbidity
Orthostatic Hypotension
Pressure Ulcer
Pain
Demography
Physical Therapists
Walking
Medical Records
Surveys and Questionnaires
Spinal Cord
Catheters
Organizations
Incidence

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Gupta, N. ; Solomon, J. ; Raja, K. / Paraplegia: A postal survey of morbidity trends in India. In: Spinal Cord. 2007 ; Vol. 45, No. 10. pp. 664-670.
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note = "Cited By :2 Export Date: 10 November 2017 CODEN: SPCOF Correspondence Address: Gupta, N.; Department of Physiotherapy, Sardar Bhagwan Singh Post-Graduate Institute of Biomedical Sciences and Research, Balawala, Dehradun, India References: Awareness and Prevention. [http://www.isiconline.org/aware.htm.]; Chhabra HS. Life after SCI in India - Results of a survey of 53 centres. [http://www.iscos.org.uk/abstract13.html.]; Morton, S.C., Anti-microbial prophylaxis for urinary tract infection in persons with spinal cord dysfunction (2002) Arch Phys Med Rehabil, 83, pp. 129-138; Chen, D., Apple, D.F., Hudson, L.M., Bode, R.K., Medical complications during acute rehabilitation following spinal cord injury - current experience of the model systems (1999) Arch Phys Med Rehabil, 80, pp. 1397-1401; Illman, A., Stiller, K., Williams, M., The prevalence of orthostatic hypotension during physiotherapy treatment in patients with an acute spinal cord injury (2000) Spinal Cord, 38, pp. 741-747; Winslow, C., Rozovsky, J., Effect of spinal cord injury on the respiratory system (2003) Am J Phys Med Rehabil, 82, pp. 803-814; Skold, C., Levi, R., Seiger, A., Spasticity after traumatic spinal cord injury: Nature, severity, and location (1999) Arch Phys Med Rehabil, 80, pp. 1548-1557; Siddall, P.J., Taylor, D.A., Cousins, M.J., Classification of pain following spinal cord injury (1997) Spinal Cord, 35, pp. 69-75; Raina, D., Osteoporosis in spinal injured-prevention and management (2004) Proceedings of the 2nd International Spine and Spinal injuries Conference, pp. 115-117. , New Delhi, India Mar 12-14, pp; Devadasan, N., Health financing protecting the poor (2004) Proceedings of the IAPSM Conference, , Chandigarh, India Mar; Weitzenkamp, D.A., Jones, R.H., Whiteneck, G.G., Young, D.A., Ageing with spinal cord injury:cross-sectional and longitudinal effects (2001) Spinal Cord, 39, pp. 301-309; Rintala, D.H., Loubser, P.G., Castro, J., Hart, K.A., Fuhrer, M.J., Chronic pain in a community based sample of men with spinal cord injury: Prevalence, severity and relationship with impairment, disability, handicap and subjective well-being (1998) Arch Phys Med Rehabil, 79, pp. 604-614; Anke, W.A.G., Stenehjem, A.E., Stanghelle, K.J., Pain and life quality within 2 years of spinal cord injury (1995) Paraplegia, 33, pp. 555-559; Turner, J.A., Cardenas, D.D., Warms, C.A., McClellan, C.B., Chronic pain associated with spinal cord injuries: A community survey (2001) Arch Phys Med Rehabil, 82, pp. 501-508; Klotz R, Joseph PA, Ravaud JF, Wiart L, Barat M, The Tetrafigap Group. Tetrafigap survey on the long-term outcome of tetraplegic spinal cord injured persons: Part III. Medical complications and associated factors. Spinal Cord 2002; 40: 457-467; Stormer, S., Chronic pain/dysaesthesia in spinal cord injury patients:results of a multicentre study (1997) Spinal Cord, 35, pp. 446-455; Levi, R., Hutling, C., Nash, M.S., Seiger, A., The Stockholm spinal cord injury study: 1. Medical problems in a regional SCI population (1995) Paraplegia, 33, pp. 308-315; McKinley, W.O., Jackson, A.B., Cardenas, D.D., DeVivo, M.J., Long term medical complications after traumatic spinal cord injury: A regional model systems analysis (1999) Arch Phys Med Rehabil, 80, pp. 1402-1410",
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Paraplegia: A postal survey of morbidity trends in India. / Gupta, N.; Solomon, J.; Raja, K.

In: Spinal Cord, Vol. 45, No. 10, 2007, p. 664-670.

Research output: Contribution to journalArticle

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T1 - Paraplegia: A postal survey of morbidity trends in India

AU - Gupta, N.

AU - Solomon, J.

AU - Raja, K.

N1 - Cited By :2 Export Date: 10 November 2017 CODEN: SPCOF Correspondence Address: Gupta, N.; Department of Physiotherapy, Sardar Bhagwan Singh Post-Graduate Institute of Biomedical Sciences and Research, Balawala, Dehradun, India References: Awareness and Prevention. [http://www.isiconline.org/aware.htm.]; Chhabra HS. Life after SCI in India - Results of a survey of 53 centres. [http://www.iscos.org.uk/abstract13.html.]; Morton, S.C., Anti-microbial prophylaxis for urinary tract infection in persons with spinal cord dysfunction (2002) Arch Phys Med Rehabil, 83, pp. 129-138; Chen, D., Apple, D.F., Hudson, L.M., Bode, R.K., Medical complications during acute rehabilitation following spinal cord injury - current experience of the model systems (1999) Arch Phys Med Rehabil, 80, pp. 1397-1401; Illman, A., Stiller, K., Williams, M., The prevalence of orthostatic hypotension during physiotherapy treatment in patients with an acute spinal cord injury (2000) Spinal Cord, 38, pp. 741-747; Winslow, C., Rozovsky, J., Effect of spinal cord injury on the respiratory system (2003) Am J Phys Med Rehabil, 82, pp. 803-814; Skold, C., Levi, R., Seiger, A., Spasticity after traumatic spinal cord injury: Nature, severity, and location (1999) Arch Phys Med Rehabil, 80, pp. 1548-1557; Siddall, P.J., Taylor, D.A., Cousins, M.J., Classification of pain following spinal cord injury (1997) Spinal Cord, 35, pp. 69-75; Raina, D., Osteoporosis in spinal injured-prevention and management (2004) Proceedings of the 2nd International Spine and Spinal injuries Conference, pp. 115-117. , New Delhi, India Mar 12-14, pp; Devadasan, N., Health financing protecting the poor (2004) Proceedings of the IAPSM Conference, , Chandigarh, India Mar; Weitzenkamp, D.A., Jones, R.H., Whiteneck, G.G., Young, D.A., Ageing with spinal cord injury:cross-sectional and longitudinal effects (2001) Spinal Cord, 39, pp. 301-309; Rintala, D.H., Loubser, P.G., Castro, J., Hart, K.A., Fuhrer, M.J., Chronic pain in a community based sample of men with spinal cord injury: Prevalence, severity and relationship with impairment, disability, handicap and subjective well-being (1998) Arch Phys Med Rehabil, 79, pp. 604-614; Anke, W.A.G., Stenehjem, A.E., Stanghelle, K.J., Pain and life quality within 2 years of spinal cord injury (1995) Paraplegia, 33, pp. 555-559; Turner, J.A., Cardenas, D.D., Warms, C.A., McClellan, C.B., Chronic pain associated with spinal cord injuries: A community survey (2001) Arch Phys Med Rehabil, 82, pp. 501-508; Klotz R, Joseph PA, Ravaud JF, Wiart L, Barat M, The Tetrafigap Group. Tetrafigap survey on the long-term outcome of tetraplegic spinal cord injured persons: Part III. Medical complications and associated factors. Spinal Cord 2002; 40: 457-467; Stormer, S., Chronic pain/dysaesthesia in spinal cord injury patients:results of a multicentre study (1997) Spinal Cord, 35, pp. 446-455; Levi, R., Hutling, C., Nash, M.S., Seiger, A., The Stockholm spinal cord injury study: 1. Medical problems in a regional SCI population (1995) Paraplegia, 33, pp. 308-315; McKinley, W.O., Jackson, A.B., Cardenas, D.D., DeVivo, M.J., Long term medical complications after traumatic spinal cord injury: A regional model systems analysis (1999) Arch Phys Med Rehabil, 80, pp. 1402-1410

PY - 2007

Y1 - 2007

N2 - Study design: Postal survey from August 2004 to May 2006. Objective: To ascertain the morbidity trends in individuals with paraplegia in India and to find its association with demographic characteristics. Settings: India. Methods: The questionnaire was mailed to the identified individuals (n = 600) whose addresses were obtained from the medical records section of our hospital and by contacting non-government organizations (NGOs), working for individuals with paraplegia in various cities. The causes of morbidities surveyed were respiratory complications, use of catheter, pressure sores, spasticity, postural hypotension, pain and fractures. Data were analysed using nonparametric test of association (Goodman Kruskal Tau). Results: A total of 276 (46%) individuals responded. Of all the morbidities studied, pain was the leading cause (57.2%) followed by spasticity (39.1%), pressure sore (28.3%), postural hypotension (10.1%), respiratory complications, and fractures (5.8%). We found significant associations between various morbidities and demographics and between morbidities themselves. Conclusion: The most common cause for morbidity was pain. Ambulation reduced the incidence of secondary complications. Sponsorship: This study was funded in part by Indian Association of Physiotherapists. © 2007 International Spinal Cord Society All rights reserved.

AB - Study design: Postal survey from August 2004 to May 2006. Objective: To ascertain the morbidity trends in individuals with paraplegia in India and to find its association with demographic characteristics. Settings: India. Methods: The questionnaire was mailed to the identified individuals (n = 600) whose addresses were obtained from the medical records section of our hospital and by contacting non-government organizations (NGOs), working for individuals with paraplegia in various cities. The causes of morbidities surveyed were respiratory complications, use of catheter, pressure sores, spasticity, postural hypotension, pain and fractures. Data were analysed using nonparametric test of association (Goodman Kruskal Tau). Results: A total of 276 (46%) individuals responded. Of all the morbidities studied, pain was the leading cause (57.2%) followed by spasticity (39.1%), pressure sore (28.3%), postural hypotension (10.1%), respiratory complications, and fractures (5.8%). We found significant associations between various morbidities and demographics and between morbidities themselves. Conclusion: The most common cause for morbidity was pain. Ambulation reduced the incidence of secondary complications. Sponsorship: This study was funded in part by Indian Association of Physiotherapists. © 2007 International Spinal Cord Society All rights reserved.

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DO - 10.1038/sj.sc.3102037

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