In fact, cognitive deficits that present acutely post-injury appear to worsen over the initial 1–2 years post-injury. 12 These cognitive deficits occur in both younger and older individuals with SCI 2–5 during both acute 13 and chronic 14 stages. 2–6 The relative risk of cognitive impairment in persons with SCI is 13 times greater than in able-bodied individuals, 7 with deficits documented in attention, 2, 3, 8–10 concentration, 3, 8–10 new learning and memory (NLM), 3, 8, 9, 11 abstract reasoning, 3 and processing speed (PS). However, cognitive consequences also ensue, with up to 60% of individuals with SCI showing cognitive deficits. 1 Research commonly focuses on physical consequences of SCI and the majority of rehabilitation efforts target motor function. Traumatic spinal cord injury (SCI) is prevalent. SCI groups did not differ on any cognitive measure.Ĭonclusion: Individuals with SCI may display different patterns of cognitive performance based on their level of injury. In contrast, compared to HC the group with tetraplegia, showed a significantly impaired performance on a processing speed task, and both the tetraplegia and the paraplegia groups were similarly impaired on a verbal fluency measure. Results: Results indicated significantly lower test performance in individuals with paraplegia on new learning and memory testing compared to HC. Outcome Measures: Neuropsychological tests in the domains of attention, working memory, processing speed, executive control, and learning and memory. Participants: 59 individuals with SCI (30 with tetraplegia, 29 with paraplegia) and 30 age-matched healthy controls (HC). Setting: Non-profit rehabilitation research foundation. Context: While it is well recognized that physical and physiological changes are more prominent in individuals with higher neurologic levels of spinal cord injury (SCI), the impact of level of lesion on cognition is less clear.
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