Spinal cord injury in Iran

Spinal cord injury in Iran

 Spinal cord injury in Iran

 Spinal cord injuries (SCIs) can be devastating to patients, with potential life-long effects, and are associated with increased risk for psychological disorders, lower quality of life, spasticity and pain. Pain associated with SCI is related to impairments in daily activities, low quality of life, depression, anger and poor adjustment, anxiety and sleep and mood disorders. Health planners and social services should have full knowledge of these issues in order to plan schedules that address them. In this study, we aimed to understand the psychosocial problems of persons with SCI in Iran and to explore the requirements for minimizing these difficulties.

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Abstract: The purpose of the present study was to explore the perspectives and experiences of Iranian patients regarding barriers and facilitators to their ability to cope with spinal cord injury (SCI). A qualitative design, based on the content analysis approach, was used to collect and analyze the experiences of 18 patients with spinal cord injury in two centers in Tehran, Iran. After using purposeful sampling for selection of the participants, semi‐structured interviews were held for data collection. Lack of “knowledge”, “financial resources”, “employment opportunities”, “suitable facilities and accessibility” as well as “societal acceptance and support” emerged as barriers; and having “self‐confidence”, “religious beliefs”, “support networks” and “positive thinking” emerged as facilitators in coping with spinal cord injury. Participants believed that with these hindering factors in place, adapting to their new condition had been difficult, therefore they can only manage to adapt partially to their situation. Additional multidisciplinary endeavors are needed to help this group cope adequately and further research is required to influence policy making and legislation processes efficiently.

This was a descriptive cross-sectional study. and It was set by Brain and Spinal Cord Injury Research (BASIR) Center, Tehran University of Medical Sciences, Tehran, Iran.

Participants

One hundred nineteen persons with SCI referred to BASIR clinic to receive outpatient rehabilitation.

Methods: A population-based study was performed. In a random cluster sampling, 100 addresses were selected as the starting point of the survey for each cluster consisting of 25 households. To expand the geographic dimension of each cluster, the interviewers skipped 3 of 4 houses in gathering data for each study unit. Each person with traumatic SCI was evaluated initially by a nurse and then by a neurosurgeon by physical examination and spinal imaging at the hospital or at home.

Results: Ninety-seven percent of all surveyed agreed to participate in the study (2,425 households, or 9,006 persons). Four cases of SCI were identified. The point prevalence of SCI was 4.4 [95% CI = 1.2-11.4] per 10,000 people. Over the 5-year period from January 2003 through January 2008, the reported incidence rate of SCI was 2.2 (95% Cl = 0.27-8.00) per 10,000 people.

Conclusions: In this, the first published population-based study from Iran, the prevalence of traumatic SCI in Tehran ranged from 1.2 to 11.4 per 10,000 people. More research is required to determine the patterns and causes of SCI. Development of a nationwide SCI registry or surveillance system is fundamental to an understanding of the epidemiology, and hence the prevention, of this costly health problem.

10 common questions about Spinal cord injury in Iran

1What are the different types of spinal cord injuries?
Types and Levels of Spinal Cord Injury There are four sections of the spinal cord: cervical, thoracic, lumbar, and sacral. Each section of the spine protects different groups of nerves that control the body. The types and severity of spinal cord injuries can depend on the section of the spine that is injured
2Can you recover from a spinal cord injury?
The best chance for recovery of function following spinal cord injury is through prompt treatment. ... Aggressive physical therapy and rehabilitation after surgery also maximizes recovery. The majority of recovery occurs within the first six months after injury
3How do you get a spinal cord injury?
Spinal cord injuries may result from damage to the vertebrae, ligaments or disks of the spinal column or to the spinal cord itself. A traumatic spinal cord injury may stem from a sudden, traumatic blow to your spine that fractures, dislocates, crushes or compresses one or more of your vertebrae
4Are spinal cord injuries permanent?
In a complete injury, nerve damage obstructs all signals coming from the brain to the body below the injury. While there's almost always hope of recovering some function after a spinal cord injury, it is generally true that people with incomplete injuries have a better chance of getting more return
5What is a c5 spinal cord injury?
C5 Vertebrae. Damage to the spinal cord at the C5 vertebra affects the vocal cords, biceps, and deltoid muscles in the upper arms. Unlike some of the higher cervical injuries, a patient with a C5 spinal cord injury will likely be able to breath and speak on their own.
6What are the most common spinal injuries?
According to the National Spinal Cord Injury Statistical Center (NSCISC), the two most common types of spinal cord injuries are incomplete tetraplegia and paraplegia, with incomplete spinal cord injuries accounting for more than 65% of all SCIs.
7Can a person walk again after spinal cord injury?
The ability to walk has been restored following a spinal cord injury, using one's own brain power, according to research. The preliminary proof-of-concept study shows that it is possible to use direct brain control to get a person's legs to walk again
8Has anyone ever recovered from a spinal cord injury?
In very rare cases, people with spinal cord injury will regain some functioning years after the injury. However, only a small fraction of individuals sustaining a spinal cord injury recover all function
9Can spine injury be cured?
Unfortunately, there's no way to reverse damage to the spinal cord. But researchers are continually working on new treatments, including prostheses and medications that may promote nerve cell regeneration or improve the function of the nerves that remain after a spinal cord injury
10What can cause a spinal injury?
Spinal cord injuries may result from falls, diseases like polio or spina bifida (a disorder involving incomplete development of the brain, spinal cord, and/or their protective coverings), motor vehicle accidents, sports injuries, industrial accidents, shootings, and physical assaults, among other causes

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