Certified Rehabilitation Counselor Practice

Which of the following is not a complication associated with spinal cord injury?

1. Urinary tract complications

2. Improvement in mental health

3. Pressure sores

4. Spasticity

The correct answer is: Improvement in mental health

The identified answer pertains to the fact that improvement in mental health is not considered a complication associated with spinal cord injury. Complications refer to negative effects or conditions that arise as a result of a primary issue, which in this case is a spinal cord injury. Individuals who experience a spinal cord injury often face numerous complications that can significantly impact their health and quality of life. For instance, urinary tract complications arise due to the loss of bladder control, which can lead to infections and various other renal issues. Pressure sores, or bedsores, occur due to prolonged immobility and lack of sensation in certain areas of the body, making them at risk for skin breakdown. Spasticity, which involves involuntary muscle contractions due to altered nerve function, can lead to significant motor impairment and discomfort. In contrast, while mental health can be adversely affected by spinal cord injury—often presenting challenges such as depression or anxiety—improvement in mental health is not a complication. Rather, emotional and psychological resilience may develop in some individuals due to support from rehabilitation efforts, therapy, and community, contributing positively to their overall well-being. Therefore, the notion that mental health might actually improve stands in contrast to the typical complications associated with spinal cord injuries.