Therapeutic path of Brazilians with spinal cord injury until rehabilitation

Abstract The start of rehabilitation directly affects the effectiveness of treatment. This is a quantitative, exploratory, analytical, and cross-sectional study, with 618 Brazilian adults with spinal cord injury (SCI). Participants were predominantly male (68.90%), with a mean age of 38.04 years (SD...

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Main Authors: Fabiana Faleiros, Leticia Noelle Corbo, Julia Maria D’Andrea Greve, Silvia Helena Henriques, Adriana Dutra Tholl, Wiliam César Alves Machado, Denise Galuf Tate
Format: Article
Language:English
Published: Nature Portfolio 2025-03-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-87022-7
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author Fabiana Faleiros
Leticia Noelle Corbo
Julia Maria D’Andrea Greve
Silvia Helena Henriques
Adriana Dutra Tholl
Wiliam César Alves Machado
Denise Galuf Tate
author_facet Fabiana Faleiros
Leticia Noelle Corbo
Julia Maria D’Andrea Greve
Silvia Helena Henriques
Adriana Dutra Tholl
Wiliam César Alves Machado
Denise Galuf Tate
author_sort Fabiana Faleiros
collection DOAJ
description Abstract The start of rehabilitation directly affects the effectiveness of treatment. This is a quantitative, exploratory, analytical, and cross-sectional study, with 618 Brazilian adults with spinal cord injury (SCI). Participants were predominantly male (68.90%), with a mean age of 38.04 years (SD = 9.85), with higher education (49.50%), receiving social security benefits (63.60%), and with a monthly income of up to 3 minimum wages (55.10%). The main cause of SCI was traffic accident (40.80%) and 58.70% of the participants had paraplegia. Moreover, 19.40% had not undergone any rehabilitation and the mean time to start rehabilitation after SCI was 17.68 months (SD = 38.80). Participants with the highest level of education were 4.30 times more likely to undergo rehabilitation. The results suggest that those who were more educated and with higher income also had greater access to rehabilitation programs and sought these programs earlier. In contrast, those with less resources had fewer opportunities for rehabilitation. The optimization of referral systems in the health care network, outreach programs, and a greater supply of rehabilitation centers can increase access to rehabilitation among people with SCI.
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spelling doaj-art-dc7cad4e41e44d9b9b5c15fd4588d4d82025-08-20T03:41:49ZengNature PortfolioScientific Reports2045-23222025-03-011511710.1038/s41598-025-87022-7Therapeutic path of Brazilians with spinal cord injury until rehabilitationFabiana Faleiros0Leticia Noelle Corbo1Julia Maria D’Andrea Greve2Silvia Helena Henriques3Adriana Dutra Tholl4Wiliam César Alves Machado5Denise Galuf Tate6Ribeirão Preto College of Nursing, University of São PauloRibeirão Preto College of Nursing, University of São PauloMedical School, University of São PauloRibeirão Preto College of Nursing, University of São PauloDepartment of Nursing, Universidade Federal de Santa CatarinaUniversidade Federal do Estado do Rio de JaneiroUniversity of Michigan Medical SchoolAbstract The start of rehabilitation directly affects the effectiveness of treatment. This is a quantitative, exploratory, analytical, and cross-sectional study, with 618 Brazilian adults with spinal cord injury (SCI). Participants were predominantly male (68.90%), with a mean age of 38.04 years (SD = 9.85), with higher education (49.50%), receiving social security benefits (63.60%), and with a monthly income of up to 3 minimum wages (55.10%). The main cause of SCI was traffic accident (40.80%) and 58.70% of the participants had paraplegia. Moreover, 19.40% had not undergone any rehabilitation and the mean time to start rehabilitation after SCI was 17.68 months (SD = 38.80). Participants with the highest level of education were 4.30 times more likely to undergo rehabilitation. The results suggest that those who were more educated and with higher income also had greater access to rehabilitation programs and sought these programs earlier. In contrast, those with less resources had fewer opportunities for rehabilitation. The optimization of referral systems in the health care network, outreach programs, and a greater supply of rehabilitation centers can increase access to rehabilitation among people with SCI.https://doi.org/10.1038/s41598-025-87022-7Therapeutic pathSpinal cord injuriesRehabilitation servicesHealth service accessibility
spellingShingle Fabiana Faleiros
Leticia Noelle Corbo
Julia Maria D’Andrea Greve
Silvia Helena Henriques
Adriana Dutra Tholl
Wiliam César Alves Machado
Denise Galuf Tate
Therapeutic path of Brazilians with spinal cord injury until rehabilitation
Scientific Reports
Therapeutic path
Spinal cord injuries
Rehabilitation services
Health service accessibility
title Therapeutic path of Brazilians with spinal cord injury until rehabilitation
title_full Therapeutic path of Brazilians with spinal cord injury until rehabilitation
title_fullStr Therapeutic path of Brazilians with spinal cord injury until rehabilitation
title_full_unstemmed Therapeutic path of Brazilians with spinal cord injury until rehabilitation
title_short Therapeutic path of Brazilians with spinal cord injury until rehabilitation
title_sort therapeutic path of brazilians with spinal cord injury until rehabilitation
topic Therapeutic path
Spinal cord injuries
Rehabilitation services
Health service accessibility
url https://doi.org/10.1038/s41598-025-87022-7
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