ArticleArchives of rehabilitation research and clinical translation2025
Rates of Employment and Return to Work After Spinal Cord Lesion Onset in Israel.
Article in Archives of rehabilitation research and clinical translation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Real-world participation after spinal cord injury: longitudinal associations with return to work and long-term social integration.European journal of physical and rehabilitation medicine · 2026Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Objective: To assess the employment rates, rates of return to work (RTW) in Israel, and factors affecting these rates after the onset of traumatic and nontraumatic spinal cord lesions (SCLs). Design: Longitudinal retrospective cohort study, collecting demographic, clinical, and employment data from hospital records and by phone interviews. Setting: A rehabilitation medical center. Participants: Inpatients with SCLs (N=487) and no comorbidities, aged 43±14 years at SCL onset, 72% men, 45% traumatic, admitted to rehabilitation between 2010 and 2022. Interventions: Not applicable. Main Outcome Measures: Rates of employment and RTW, and factors affecting them. Results: Patients' American Spinal Injury Association Impairment Scale grades at discharge from rehabilitation were A, B, C, D, and E (normal according to the International Standards for Neurological Classification of Spinal Cord Injury(in 16.2%, 2.9%, 16.6%, 64.1%, and 0.2% of cases, respectively. The mean discharge Spinal Cord Independence Measure III score was 68±19). Before SCL onset, 79% of the patients had been employed. At any time after SCL onset, one-third (33.1%; 95% CI, 28.9%-37.2%) of the sample were employed; 29.7% and 35.8% for traumatic vs nontraumatic SCL. The RTW rate for those previously employed was 36.9% (95% CI, 32.0%-41.9%); 29% and 43.9% for traumatic vs nontraumatic SCL. Employment was independently related to former employment, education, and higher discharge Spinal Cord Independence Measure III scores ( Conclusions: Employment and RTW rates after SCL were low compared to those of people with other disabilities nationwide and to people with SCL in Western countries. The main catalysts were patient motivation and rehabilitation, and the main obstacles were disability and pain. To enhance employment after SCL, rehabilitation and an adequate national policy should be implemented. Rehabilitation should include vocational training and management of complications, pain, and patients' motivation.
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