Team Rehabilitation for Spinal Cord-Injured Patients with Mental Disorders

VernacularTitle:精神疾患を合併する脊髄損傷者のリハビリテーション
Author: Yuko URAKAMI
Publication Type:Journal Article
Keywords: mental disorder; spinal cord injury; liaison psychiatry; Activities of Daily Living : ADL; Classification of American Spinal Injury Association
From:The Japanese Journal of Rehabilitation Medicine 2007;44(2):97-106
CountryJapan
Language:Japanese
Abstract: The purpose of this study was to evaluate the effectiveness of therapeutic intervention via liaison-psychiatry by a psychiatrist to the team rehabilitation for spinal cord-injured patients with mental disorders. Out of 652 spinal cord-injured patients who underwent rehabilitation during post-acute stages in our hospital from April 2000 to March 2006, 82 patients aged from 19 to 65 with mental disorders according to the diagnostic criteria of DSM-IV-TR were selected. In order to assess the effectiveness of this comprehensive team approach, the outcomes of these 82 patients were compared with the outcomes of 82 control patients without mental disorders. As a result, there were no significant differences of the acquired BI (Barthel Index), FIM (Functional Independence Measure), and abilities of transfer between the two groups. In addition, 35 out of 82 patients went back to their home. These results demonstrate the effectiveness of liaison psychiatry in conducting the comprehensive team rehabilitation for spinal cord-injured patients with mental disorders.