Aging Table 14: Systematic Review on Quality of Life and Community Reintegration

Author Year; Country

Date included in the review

Total Sample Size
Level of Evidence

Type of study




Sakakibara et al. 2012; Canada


Reviewed published articles from 1980 to 2011




Level of Evidence:

Modified Sackett scale (all were level 4)


Type of study:




Methods: Electronic databases were searched for peer-reviewed published studies reporting on age-related QoL changes over time in adults with traumatic SCI; data from relevant studies were transcribed into data extraction forms and analyzed by years post injury (YPI) and chronologic age. No interventions studied.

Outcome measures include various QoL measures ex: Satisfaction with Life Scale (SWLS), Quality of Life Index (QLI), Life Satisfaction Questionnaire (LSQ).


Databases: MEDLINE/PubMed, CINAHL, EMBASE and PsycINFO.

  1. In individuals with advanced YPI, overall QoL is consistently reported as good or excellent over time, however, with variations in different QoL domains.
  2. In 4 studies with samples with mean ages in the late teens and 20s and 5 or less YPI, both overall QoL and various domains of QoL were shown to significantly increase with age.
  3. 7 studies found individuals first assessed in their 20s (YPI ranging from 6-15 yrs) improved employment after 25 yrs of follow-up, but decreased satisfaction with social and sex lives, and general health. Similarly for individuals first assessed in their 30s, employment satisfaction increased but satisfaction with social and sex life, family relationships, recreational and life opportunities, emotional adjustment and control over life all diminished after a 9 year follow-up.
  4. 3 studies reported on individuals with at least 16 YPI and showed that although life satisfaction was variable over the yrs, after 16 yrs the reported life satisfaction was higher than at earlier follow-ups.