A longitudinal follow-up study of 149 spinal cord injured patients is
presented. Ninety two patients have been visited and interviewed at ho
me 7-10 years after injury (28% died during the follow-up). Disability
was assessed using the Functional Independence Measure (FIM), and was
correlated with the neurological level, impairment and spasticity. Th
e handicap was assessed using the Reintegration to Normal Living Index
(RNLI). Multivariate analysis showed a correlation with age, neurolog
ical impairment, sexual impairment, living conditions and social life.
There was a high correlation with depression and the Functional Indep
endence Measure. The early neurological examination correlated with th
eir long term disability but not with their handicap.