title: Differences in health, participation and life satisfaction outcomes in adults following paediatric- versus adult-sustained spinal cord injury.
abstract: METHODS
  Cross-sectional.
  
  
  OBJECTIVE
  To compare differences in self-reported health status, participation and life satisfaction outcomes between adults with a spinal cord injury (SCI) sustained during paediatric (P) versus adulthood (A) years.
  
  
  METHODS
  Ontario, Canada.
  
  
  METHODS
  Secondary analysis of data from the Study of Health and Activity in People with SCI. Eighty-seven participants who sustained an SCI prior to age 19 (M±s.e.=25±1.5 years postinjury (YPI)) were matched for lesion level (C2-L5), severity (complete/incomplete), gender, age, education and ethnicity with 87 participants who sustained an SCI at ⩾age 19 years (MYPI=12.8±1.1).
  
  
  RESULTS
  Those with a paediatric SCI reported significantly less pain, fewer visits to the physician in the past year, greater functional independence, social participation, occupational participation and minutes per day of moderate-to-vigorous physical activity than those who sustained an SCI in adulthood. No significant differences were found for the measures of depression, perceived health status or life satisfaction (P>0.05). With the exception of moderate-to-vigorous physical activity and visits to the physician in the past year, between-group differences were independent of YPI.
  
  
  CONCLUSIONS
  Regardless of time since injury, people who sustained a paediatric SCI reported better health and greater participation than those injured in adulthood. Nevertheless, both groups scored well below able-bodied normative values for all measures. The results highlight the importance of a comprehensive life-course approach to SCI rehabilitation, irrespective of age at the time of injury.
authors.affiliation: Department of Kinesiology, Physical Activity Centre for Excellence, McMaster University, Hamilton, Ontario, Canada.
authors.forename: J K
authors.initials: JK
authors.lastname: Ma
authors.affiliation: Brain Center Rudolf Magnus and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.|University of Groningen, University Medical Center Groningen, Center for Rehabilitation, Department of Rehabilitation Medicine, Groningen, The Netherlands.
authors.forename: M W M
authors.initials: MW
authors.lastname: Post
authors.affiliation: CanChild Centre for Childhood Disability Research, Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
authors.forename: J W
authors.initials: JW
authors.lastname: Gorter
authors.affiliation: Department of Kinesiology, Physical Activity Centre for Excellence, McMaster University, Hamilton, Ontario, Canada.
authors.forename: K A
authors.initials: KA
authors.lastname: Martin Ginis
mesh_terms: D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D003863:Depression; D005260:Female; D006801:Humans; D007899:Leisure Activities; D008297:Male; D009043:Motor Activity; D009864:Ontario; D010146:Pain / Q000209:etiology; D017060:Patient Satisfaction; D010549:Personal Satisfaction; D012919:Social Behavior; D013119:Spinal Cord Injuries / Q000523:psychology* / Q000628:therapy*