Effect of acceptance and commitment therapy on rehabilitation patients with spinal cord injury

Volume 5, Issue 4, August 2020     |     PP. 66-75      |     PDF (178 K)    |     Pub. Date: September 22, 2020
DOI:    212 Downloads     3455 Views  

Author(s)

Gang-Huang, Anhui Wannan Rehabilitation Hospital, Wuhu City Fifth People's Hospital, Department of Rehabilitation Medicine, China.
Bin Lai Lin, Anhui Wannan Rehabilitation Hospital, Wuhu City Fifth People's Hospital, Department of Rehabilitation Medicine, China.
Jian Hui Hu, Anhui Wannan Rehabilitation Hospital, Wuhu City Fifth People's Hospital, Department of Rehabilitation Medicine, China.
Fu Hua Qiu, Anhui Wannan Rehabilitation Hospital, Wuhu City Fifth People's Hospital, Department of Rehabilitation Medicine, China.
Wen Ya Zhang, Anhui Wannan Rehabilitation Hospital, Wuhu City Fifth People's Hospital, Department of Rehabilitation Medicine, China.
Zhi Liang Zhang, Anhui Wannan Rehabilitation Hospital, Wuhu City Fifth People's Hospital, Department of Rehabilitation Medicine, China.
Hong Fan, Anhui Wannan Rehabilitation Hospital, Wuhu City Fifth People's Hospital, Department of Rehabilitation Medicine, China.
Min Lu, Anhui Wannan Rehabilitation Hospital, Wuhu City Fifth People's Hospital, Department of Rehabilitation Medicine, China.
Jiang Bo Li, Wuhu City Second People's Hospital, Affiliated to Wannan Medical College, Clinical psychology Department, China.

Abstract
This study aimed to explore the differences between the effectiveness of using a combination of rehabilitation and acceptance commitment therapy (ACT), and rehabilitation therapy alone for the treatment of spinal cord injury (SCI). The newly admitted patients with spinal cord injury whose post-traumatic stress disorder (PTSD) score was higher than 38 points were randomly categorized into the treatment group and control group, with 30 patients in each group. One group underwent ACT and rehabilitation treatment, while the other underwent rehabilitation treatment only. PTSD and functional independence measure (FIM) scores were evaluated. Changes in scores were compared between the two groups before, one month, two months, and three months after treatment. The total PTSD score in SCI patients who were treated with ACT was significantly different before and after treatment (P<0.05). Total FIM scores were also significantly different before and after treatment (P<0.05). The FIM score in the treatment group was significantly higher than that in the control group after 2 and 3 months of treatment (P<0.05). The combination of rehabilitation therapy and ACT could immediately reduce stress levels and significantly improve impaired function, lifelong self-care ability, and the impact of rehabilitation therapy.

Keywords
Acceptance commitment therapy, Spinal cord injury, Motor function, Stress level, Rehabilitation therapy

Cite this paper
Gang-Huang, Bin Lai Lin, Jian Hui Hu, Fu Hua Qiu, Wen Ya Zhang, Zhi Liang Zhang, Hong Fan, Min Lu, Jiang Bo Li, Effect of acceptance and commitment therapy on rehabilitation patients with spinal cord injury , SCIREA Journal of Clinical Medicine. Volume 5, Issue 4, August 2020 | PP. 66-75.

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