# Gaps in recovery priorities between individuals with spinal cord injury and healthcare professionals

**Authors:** Soshi Samejima, Hajime Miyashita, Tatsuro Yamashita, Ryo Nakahara, Omer Faraz, Thomas Thordarson, Raza Malik, Rahul Sachdeva, Claire Shackleton, Andrei Krassioukov

PMC · DOI: 10.1038/s44401-026-00073-4 · Npj Health Systems · 2026-02-26

## TL;DR

This study shows that people with spinal cord injury and healthcare professionals have different views on recovery priorities, highlighting the need for better alignment.

## Contribution

The study identifies specific gaps in recovery priorities between individuals with SCI and healthcare professionals.

## Key findings

- Individuals with tetraplegia prioritize arm/hand function, while those with paraplegia prioritize bladder function.
- Healthcare professionals assume SCI patients prioritize blood pressure, mental health, and motor function, but patients prioritize bladder and bowel function.
- The study emphasizes the need to include autonomic function in goal setting and improve professional education.

## Abstract

It is essential to align the perspectives of healthcare professionals on recovery priorities for the targeted population to promote health and well-being. This study aimed to identify the functional recovery priorities of individuals with spinal cord injury (SCI) and to assess gaps in recovery priorities between individuals with SCI and healthcare professionals. A web-based survey was conducted with 103 individuals with SCI and 85 healthcare professionals in Japan. Individuals with tetraplegia most frequently selected arm/hand function, while individuals with paraplegia more commonly selected bladder function. Comparing individuals with SCI and clinicians, individuals with SCI prioritized bladder and bowel function, whereas the healthcare professionals group assumed that individuals with SCI prioritized blood pressure control, mental health, and motor function. This study highlighted differences between individuals with SCI and clinicians, underscoring the need to include autonomic function in goal setting and to strengthen education for healthcare professionals in these areas.

## Linked entities

- **Diseases:** spinal cord injury (MONDO:0043797)

## Full-text entities

- **Diseases:** cognitive impairment (MESH:D003072), Chronic pain (MESH:D059350), fecal incontinence (MESH:D005242), arteriovenous malformation (MESH:D001165), bowel dysfunction (MESH:D015212), Spinal Injury (MESH:D013124), autonomic dysreflexia (MESH:D020211), orthostatic hypotension (MESH:D007024), postoperative complication (MESH:D011183), infection (MESH:D007239), UTIs (MESH:D014552), birth defect (MESH:D000014), spina bifida (MESH:D016135), ASIA Impairment (MESH:D006478), SCI (MESH:D013119), bladder dysfunction (MESH:D001745), paraplegia (MESH:D010264), autonomic dysfunction (MESH:D001342), quadriplegia (MESH:D011782), neurogenic bladder (MESH:D001750), tumor (MESH:D009369), spinal stroke (MESH:C537776), Impairment (MESH:D060825), anxiety (MESH:D001007), traumatic brain injury (MESH:D000070642), spasticity (MESH:D009128), degenerative condition (MESH:D019636), Injury (MESH:D014947), NBD (MESH:D055496), Skin problems (MESH:D012871), AIS (MESH:C538175), pain (MESH:D010146)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12945684/full.md

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Source: https://tomesphere.com/paper/PMC12945684