Returning to Work After Spinal Cord Injury Are we "Investing in Regression"?

Detalhes bibliográficos
Autor(a) principal: Mesquita, José Luís; Serviço de Medicina Física e de Reabilitação - Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.
Data de Publicação: 2023
Outros Autores: Ferreira, Anabela; Serviço de Reabilitação de Adultos 1 - Centro de Medicina de Reabilitação de Alcoitão, Alcoitão, Portugal, Faria, Filipa; Serviço de Reabilitação de Adultos 1 - Centro de Medicina de Reabilitação de Alcoitão, Alcoitão, Portugal
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.25759/spmfr.462
Resumo: Introduction: A successful return to work following spinal cord injury has well documented physical and psychological health benefits. Nevertheless, the percentage of people returning to work actually decreased over the years. This study aims to identify the impact of injury severity, functional impairment, time since injury onset, level of education and the need to readapt the job on returning to work following SCI.Methods: A telephone interview was conducted with individuals with spinal cord injury admitted to a rehabilitation center during 2015. Fifty one patients agreed to participate, corresponding to individuals aged between 15 and 66 years, with injuries that occurred between 1976 and 2015 who were professionally active prior to injury. Each participant was asked about their level of education, current employment, need of changing employer or entering vocational rehabilitation and period of time until returning to work. Information was collected from discharge summaries on injury etiology, American Spinal Injury Association Impairment Scale and Functional Independence Measure.Results: About half of the patients (n=26; 51%) returned to work after injury. It was found that individuals who return to work have a higher level of education (p=0.02). Keeping the same employer is also a facilitating factor, allowing a quicker return (p=0.002). On the other hand, individuals who do not return to work do not have more severe neurological injuries (p=0.21) or lower levels of functional independence (p=0.13) than those who remain professionally active. Also, those who have lived with the injury longer do not have higher rates of return to work (p=0.36).Conclusion: Despite the progressive development of multidisciplinary care in the rehabilitation of spinal cord injury patients, return to work is a complex and undefined process. Its success does not seem to be fully determined by the impact of motor, sensory, autonomic and psychosocial dysfunction. Thus, expectations are created in individualized vocational rehabilitation, which must be enhanced by measures to facilitate reentering labor market.
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spelling Returning to Work After Spinal Cord Injury Are we "Investing in Regression"?Retorno à Atividade Profissional Após Lesão Medular Estaremos a “Investir no Retrocesso”?Employment; Return to Work; Spinal Cord InjuriesEmprego; Lesões Medulares; Reabilitação ProfissionalIntroduction: A successful return to work following spinal cord injury has well documented physical and psychological health benefits. Nevertheless, the percentage of people returning to work actually decreased over the years. This study aims to identify the impact of injury severity, functional impairment, time since injury onset, level of education and the need to readapt the job on returning to work following SCI.Methods: A telephone interview was conducted with individuals with spinal cord injury admitted to a rehabilitation center during 2015. Fifty one patients agreed to participate, corresponding to individuals aged between 15 and 66 years, with injuries that occurred between 1976 and 2015 who were professionally active prior to injury. Each participant was asked about their level of education, current employment, need of changing employer or entering vocational rehabilitation and period of time until returning to work. Information was collected from discharge summaries on injury etiology, American Spinal Injury Association Impairment Scale and Functional Independence Measure.Results: About half of the patients (n=26; 51%) returned to work after injury. It was found that individuals who return to work have a higher level of education (p=0.02). Keeping the same employer is also a facilitating factor, allowing a quicker return (p=0.002). On the other hand, individuals who do not return to work do not have more severe neurological injuries (p=0.21) or lower levels of functional independence (p=0.13) than those who remain professionally active. Also, those who have lived with the injury longer do not have higher rates of return to work (p=0.36).Conclusion: Despite the progressive development of multidisciplinary care in the rehabilitation of spinal cord injury patients, return to work is a complex and undefined process. Its success does not seem to be fully determined by the impact of motor, sensory, autonomic and psychosocial dysfunction. Thus, expectations are created in individualized vocational rehabilitation, which must be enhanced by measures to facilitate reentering labor market.Introdução: O retorno à atividade profissional após a ocorrência de lesão medular apresenta benefícios de saúde bem documentados. Apesar de tudo, a taxa de empregabilidade tem vindo a reduzir progressivamente ao longo das últimas décadas. O nosso objetivo foi identificar o impacto da gravidade da lesão, da independência funcional, do nível de escolaridade e do tempo de evolução da lesão na reintegração profissional dos doentes com lesão medular.Métodos: Foi conduzida uma entrevista telefónica a uma população de doentes com diagnóstico de lesão medular internados em centro de reabilitação durante o ano de 2015. Cinquenta um doentes aceitaram participar, correspondendo a indivíduos com idades entre os 15 e os 66 anos, com lesões ocorridas entre 1976 e 2015 e profissionalmente ativos previamente à lesão. Foram questionados acerca do nível de escolaridade, emprego desempenhado à data da entrevista, necessidade de mudança de empregador ou readaptação do posto de trabalho e período de tempo até ao retorno profissional. Foi recolhida informação clínica dos relatórios de alta sobre a etiologia da lesão, classificação (American Spinal Injury Association Impairment Scale) e Medida de Independência Funcional.Resultados: Cerca de metade dos doentes (n=26; 51%) voltou a trabalhar após a lesão. Verificou-se que os indivíduos que retomam a atividade profissional apresentam um nível de escolaridade superior (p=0,02). Manter o mesmo empregador também é um fator facilitador, permitindo um retorno mais célere (p=0,002). Por outro lado, os indivíduos que não regressam ao trabalho não apresentam lesões neurologicamente mais graves (p=0,21) nem níveis inferiores de independência funcional (p=0,13), relativamente aos que se mantêm profissionalmente ativos. Também quem vive com a lesão há mais tempo não apresenta maiores índices de retorno à atividade profissional (p=0,36).Conclusão: Apesar do desenvolvimento progressivo dos cuidados multidisciplinares prestados na reabilitação do doente com lesão medular, o retorno à atividade profissional é um processo complexo e mal definido. O seu sucesso não parece ser inequivocamente determinado pelo impacto da disfunção motora, sensitiva, autonómica e psicossocial. Assim, criam-se expetativas na reabilitação vocacional individualizada e potenciada pela implementação de medidas que facilitem a reintegração no mercado de trabalho.Sociedade Portuguesa de Medicina Física e de Reabilitação2023-11-17info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.25759/spmfr.462https://doi.org/10.25759/spmfr.462Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação; v. 35, n. 3 (2023): Ano 31; 81-900872-9204reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://spmfrjournal.org/index.php/spmfr/article/view/462https://spmfrjournal.org/index.php/spmfr/article/view/462/269https://spmfrjournal.org/index.php/spmfr/article/downloadSuppFile/462/94https://spmfrjournal.org/index.php/spmfr/article/downloadSuppFile/462/95https://spmfrjournal.org/index.php/spmfr/article/downloadSuppFile/462/96https://spmfrjournal.org/index.php/spmfr/article/downloadSuppFile/462/97https://spmfrjournal.org/index.php/spmfr/article/downloadSuppFile/462/98https://spmfrjournal.org/index.php/spmfr/article/downloadSuppFile/462/99Copyright (c) 2023 Revista da Sociedade Portuguesa de Medicina Física e de Reabilitaçãohttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessMesquita, José Luís; Serviço de Medicina Física e de Reabilitação - Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.Ferreira, Anabela; Serviço de Reabilitação de Adultos 1 - Centro de Medicina de Reabilitação de Alcoitão, Alcoitão, PortugalFaria, Filipa; Serviço de Reabilitação de Adultos 1 - Centro de Medicina de Reabilitação de Alcoitão, Alcoitão, Portugal2023-11-24T06:15:19Zoai:ojs.spmfrjournal.org:article/462Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T23:19:38.457477Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Returning to Work After Spinal Cord Injury Are we "Investing in Regression"?
Retorno à Atividade Profissional Após Lesão Medular Estaremos a “Investir no Retrocesso”?
title Returning to Work After Spinal Cord Injury Are we "Investing in Regression"?
spellingShingle Returning to Work After Spinal Cord Injury Are we "Investing in Regression"?
Mesquita, José Luís; Serviço de Medicina Física e de Reabilitação - Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.
Employment; Return to Work; Spinal Cord Injuries
Emprego; Lesões Medulares; Reabilitação Profissional
title_short Returning to Work After Spinal Cord Injury Are we "Investing in Regression"?
title_full Returning to Work After Spinal Cord Injury Are we "Investing in Regression"?
title_fullStr Returning to Work After Spinal Cord Injury Are we "Investing in Regression"?
title_full_unstemmed Returning to Work After Spinal Cord Injury Are we "Investing in Regression"?
title_sort Returning to Work After Spinal Cord Injury Are we "Investing in Regression"?
author Mesquita, José Luís; Serviço de Medicina Física e de Reabilitação - Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.
author_facet Mesquita, José Luís; Serviço de Medicina Física e de Reabilitação - Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.
Ferreira, Anabela; Serviço de Reabilitação de Adultos 1 - Centro de Medicina de Reabilitação de Alcoitão, Alcoitão, Portugal
Faria, Filipa; Serviço de Reabilitação de Adultos 1 - Centro de Medicina de Reabilitação de Alcoitão, Alcoitão, Portugal
author_role author
author2 Ferreira, Anabela; Serviço de Reabilitação de Adultos 1 - Centro de Medicina de Reabilitação de Alcoitão, Alcoitão, Portugal
Faria, Filipa; Serviço de Reabilitação de Adultos 1 - Centro de Medicina de Reabilitação de Alcoitão, Alcoitão, Portugal
author2_role author
author
dc.contributor.author.fl_str_mv Mesquita, José Luís; Serviço de Medicina Física e de Reabilitação - Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.
Ferreira, Anabela; Serviço de Reabilitação de Adultos 1 - Centro de Medicina de Reabilitação de Alcoitão, Alcoitão, Portugal
Faria, Filipa; Serviço de Reabilitação de Adultos 1 - Centro de Medicina de Reabilitação de Alcoitão, Alcoitão, Portugal
dc.subject.por.fl_str_mv Employment; Return to Work; Spinal Cord Injuries
Emprego; Lesões Medulares; Reabilitação Profissional
topic Employment; Return to Work; Spinal Cord Injuries
Emprego; Lesões Medulares; Reabilitação Profissional
description Introduction: A successful return to work following spinal cord injury has well documented physical and psychological health benefits. Nevertheless, the percentage of people returning to work actually decreased over the years. This study aims to identify the impact of injury severity, functional impairment, time since injury onset, level of education and the need to readapt the job on returning to work following SCI.Methods: A telephone interview was conducted with individuals with spinal cord injury admitted to a rehabilitation center during 2015. Fifty one patients agreed to participate, corresponding to individuals aged between 15 and 66 years, with injuries that occurred between 1976 and 2015 who were professionally active prior to injury. Each participant was asked about their level of education, current employment, need of changing employer or entering vocational rehabilitation and period of time until returning to work. Information was collected from discharge summaries on injury etiology, American Spinal Injury Association Impairment Scale and Functional Independence Measure.Results: About half of the patients (n=26; 51%) returned to work after injury. It was found that individuals who return to work have a higher level of education (p=0.02). Keeping the same employer is also a facilitating factor, allowing a quicker return (p=0.002). On the other hand, individuals who do not return to work do not have more severe neurological injuries (p=0.21) or lower levels of functional independence (p=0.13) than those who remain professionally active. Also, those who have lived with the injury longer do not have higher rates of return to work (p=0.36).Conclusion: Despite the progressive development of multidisciplinary care in the rehabilitation of spinal cord injury patients, return to work is a complex and undefined process. Its success does not seem to be fully determined by the impact of motor, sensory, autonomic and psychosocial dysfunction. Thus, expectations are created in individualized vocational rehabilitation, which must be enhanced by measures to facilitate reentering labor market.
publishDate 2023
dc.date.none.fl_str_mv 2023-11-17
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://doi.org/10.25759/spmfr.462
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dc.relation.none.fl_str_mv https://spmfrjournal.org/index.php/spmfr/article/view/462
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https://spmfrjournal.org/index.php/spmfr/article/downloadSuppFile/462/94
https://spmfrjournal.org/index.php/spmfr/article/downloadSuppFile/462/95
https://spmfrjournal.org/index.php/spmfr/article/downloadSuppFile/462/96
https://spmfrjournal.org/index.php/spmfr/article/downloadSuppFile/462/97
https://spmfrjournal.org/index.php/spmfr/article/downloadSuppFile/462/98
https://spmfrjournal.org/index.php/spmfr/article/downloadSuppFile/462/99
dc.rights.driver.fl_str_mv Copyright (c) 2023 Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação
http://creativecommons.org/licenses/by-nc-nd/4.0
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rights_invalid_str_mv Copyright (c) 2023 Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação
http://creativecommons.org/licenses/by-nc-nd/4.0
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv Sociedade Portuguesa de Medicina Física e de Reabilitação
publisher.none.fl_str_mv Sociedade Portuguesa de Medicina Física e de Reabilitação
dc.source.none.fl_str_mv Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação; v. 35, n. 3 (2023): Ano 31; 81-90
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