Predictors of return-to-activity rate in stroke survivors with spinal cord injury
DOI:
https://doi.org/10.5281/zenodo.22815032Keywords:
stroke, spinal cord injury, return to activity, rehabilitation outcomes, functional recoveryAbstract
Background: Patients who sustain a spinal cord injury superimposed on a prior or concurrent stroke form a small but functionally complex population in which recovery of independent activity depends on the combined burden of two distinct central nervous system lesions rather than either alone [9,6].
Objective: This review synthesizes the published evidence on demographic, clinical, functional, and psychosocial predictors of return-to-activity rate in stroke survivors who also live with spinal cord injury, drawing on the separate but overlapping stroke and spinal cord injury outcomes literatures.
Methods: We synthesized cohort studies, registry analyses, and systematic reviews addressing return to work, community reintegration, and activities-of-daily-living recovery after stroke and after traumatic or non-traumatic spinal cord injury, focusing on predictors transferable to the combined-diagnosis population.
Findings: Younger age, milder initial neurological impairment, preserved cognition, and higher admission functional scores consistently predict faster and more complete return to activity in both conditions, while depression, lower pre-injury education, and delayed or fragmented rehabilitation access predict slower recovery [6,14,22].
Conclusions: Return-to-activity rate in this combined population is best predicted by a small set of overlapping clinical and psychosocial variables that rehabilitation teams can measure early and act on, supporting individualized, multidisciplinary planning rather than a single-diagnosis rehabilitation pathway.
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