Observational studySpinal cord2026
Spinal cord injury is associated with reduced cognitive capacity to self-regulate, organise and adapt to new situations.
Observational study in Spinal cord, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designCross-sectional observational cohort study
objectivesTo investigate differences in executive function (EF) in adults with spinal cord injury (SCI) compared with able-bodied (AB) controls across tasks imposing varying levels of executive demand, and to examine implications for targeted cognitive screening.
settingTwo SCI units in New South Wales (SCI), Australia, and the community of New South Wales, Australia (able-bodied).
methodsExecutive function was assessed in 40 adults with acute SCI and 32 AB controls using the Neuropsychiatry Unit Cognitive Assessment Tool (NUCOG). Two multivariate analyses of covariance (MANCOVA) were conducted to compare group performance across tasks requiring higher-order EF processes and tasks characterised by minimal EF demand, controlling for age, sex, and years of education.
resultsA significant multivariate group difference was observed across EF tasks, with individuals with SCI demonstrating significantly lower performance on categorical fluency, abstraction, and Digit Span Reverse following correction for multiple comparisons. No significant group differences were observed across tasks characterised by minimal EF demand.
conclusionAdults with SCI exhibit selective impairments in higher-order executive functioning that emerge under increased cognitive demand, while performance on low-demand tasks remains relatively preserved. These findings highlight the importance of assessing EF components at the task level and support the need for targeted screening approaches sensitive to higher-order executive deficits to optimise rehabilitation outcomes.
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