title: Persistent benefits of rehabilitation on pain and life quality for nonambulatory patients with spinal epidural metastasis.
abstract: We determined whether the benefits of directed rehabilitation for pain, depression, and satisfaction with life persisted for veterans who were nonambulatory after spinal epidural metastasis (SEM) treatment. Twelve consecutive veterans (paraplegic after SEM treatment) who received 2 weeks of directed rehabilitation were compared with a historical control group of thirty paraplegic veterans who did not receive rehabilitation. Subjects were followed until death. Pain levels, depression, satisfaction with life, and consumption of pain medication were measured. Subjects who received rehabilitation had less pain, consumed less pain medication, were less depressed, and had higher satisfaction with life. The benefits to the rehabilitated subjects persisted until their deaths. We conclude that spinal cord injury rehabilitation for nonambulatory subjects with SEM produces persistent benefits for pain, depression, and satisfaction with life.
authors.affiliation: Neurology Service 127(W), Louis Stokes Cleveland Department of Veterans Affairs Medical Center, 10701 East Boulevard, Cleveland, OH 44106, USA. robert.ruff1@va.gov
authors.forename: Robert L
authors.initials: RL
authors.lastname: Ruff
authors.forename: Suzanne S
authors.initials: SS
authors.lastname: Ruff
authors.forename: Xiaofeng
authors.initials: X
authors.lastname: Wang
mesh_terms: D000368:Aged; D000700:Analgesics / Q000627:therapeutic use; D016022:Case-Control Studies; D003863:Depression; D006801:Humans; D008875:Middle Aged; D051346:Mobility Limitation; D010045:Outpatients; D010146:Pain / Q000188:drug therapy / Q000209:etiology* / Q000534:rehabilitation*; D010166:Palliative Care; D017060:Patient Satisfaction; D011788:Quality of Life; D011878:Radiotherapy / Q000009:adverse effects; D013117:Spinal Cord Compression / Q000150:complications* / Q000209:etiology / Q000534:rehabilitation*; D013125:Spinal Neoplasms / Q000150:complications / Q000532:radiotherapy / Q000556:secondary*
chemical_list: D000700:Analgesics