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

Gang Huang; Bin Lai Lin; Jian Hui Hu; Fu Hua Qiu; Wen Ya Zhang; Zhi Liang Zhang; Hong Fan; Min Lu; Jiang Bo Li

doi:10.1016/j.conctc.2021.100778

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

Contemp Clin Trials Commun. 2021 Jul 6:24:100778. doi: 10.1016/j.conctc.2021.100778. eCollection 2021 Dec.

Authors

Gang Huang¹, Bin Lai Lin¹, Jian Hui Hu¹, Fu Hua Qiu¹, Wen Ya Zhang¹, Zhi Liang Zhang¹, Hong Fan¹, Min Lu¹, Jiang Bo Li²

Affiliations

¹ Anhui Wannan Rehabilitation Hospital, Wuhu City Fifth People's Hospital, Department of Rehabilitation Medicine, China.
² 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; Motor function; Rehabilitation therapy; Spinal cord injury; Stress level.