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Introduction
Spinal cord injury (SCI) causes sensory, motor and autonomic
impairments, but often also a variety of secondary conditions.
Long-term secondary conditions can occur on different
domains, for example, physical (bladder and bowel problems,
pain, spasms, pressure sores and sexuality), psychological
(anxiety and depression) and social (transport, finance,
equipment, housing, care management and employment).1–4
Patients report an average of 8–14 secondary conditions
per year.1,5 Many are potentially preventable or reducible.5–7
They may cause morbidity and rehospitalizations along with
increased costs of care and decreased quality of life.3,7–9 The
prevalence of secondary conditions and rehospitalization
rates in persons with SCI does not diminish over time,
suggesting that persons with SCI need long-time follow-up
and that health education and long-term care can be
improved.
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