title: Health-related quality of life in persons with traumatic spinal cord lesion in Helsinki.
abstract: OBJECTIVE
  To estimate the health-related quality of life (HRQoL) of persons with spinal cord lesion.
  
  
  METHODS
  The study design was cross-sectional.
  
  
  METHODS
  All adult citizens in Helsinki with traumatic spinal cord lesion were identified. The final study group comprised 117 subjects, corresponding to a participation rate of 77%.
  
  
  METHODS
  HRQoL was assessed by a generic 15-dimensional self-administered instrument (15D). Clinical examination was based on the manual of the American Spinal Injury Association. Examinations were performed on all subjects by the same experienced physician and physiotherapist.
  
  
  RESULTS
  The average 15D score of the study group was significantly lower (p<0.001) than that measured in the age-matched general population sample. Subjects with spinal cord lesion had significantly more problems due to the neurological lesion but also on the dimensions of sleeping, discomfort and symptoms and vitality. In regression analysis of the study group the only variable explaining HRQoL was the neurological level of the lesion. Spinal cord lesion caused more depression and distress in persons with motor incomplete lesion than those with motor complete lesion.
  
  
  CONCLUSIONS
  Persons with spinal cord lesion had lower HRQoL than the population in general. The results indicate that spinal cord lesion may cause problems in the areas of sleeping, discomfort and symptoms or vitality, in particular. More attention should be paid to finding ways of improving the situation of persons with motor incomplete lesion, especially in terms of psychological function.
authors.affiliation: Käpylä Rehabilitation Centre, Finnish Association of People with Mobility Disabilities, Helsinki, Finland. antti.dahlberg@invalidiliitto.fi
authors.forename: Antti
authors.initials: A
authors.lastname: Dahlberg
authors.forename: Hannu
authors.initials: H
authors.lastname: Alaranta
authors.forename: Harri
authors.initials: H
authors.lastname: Sintonen
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D005387:Finland; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011788:Quality of Life; D012959:Socioeconomic Factors; D013119:Spinal Cord Injuries / Q000150:complications / Q000503:physiopathology / Q000523:psychology* / Q000534:rehabilitation; D011795:Surveys and Questionnaires