Appendix 1: Spinal cord injury secondary conditions scale modified additional items

□ Cardiac problems	□ 0 □ 1 □ 2 □ 3	An irregular heart rate often called atrial fibrillation or ventricular fibrillation. A heart attack occurs when blood supply to the heart muscle is blocked, and the muscle, or a part of it, dies. Heart failure occurs when the heart is not pumping effectively and fluid accumulates in the lungs
□ High blood pressure	□ 0 □ 1 □ 2 □ 3	High blood pressure is diagnosed by a doctor, and occurs when your systolic blood pressure is over 140 mmHg (top number) or your diastolic is over 90 mmHg (bottom number)
□ Fracture	□ 0 □ 1 □ 2 □ 3	A crack or break in a bone
□ Neurological deterioration	□ 0 □ 1 □ 2 □ 3	A reduction in your motor function and/or a negative change in your sensory function after discharge from rehabilitation
□ Psychological distress	□ 0 □ 1 □ 2 □ 3	This may be feelings of unable to cope effectively, a change in emotional status (e.g., anxious, depressed mood), mental discomfort, decreased self-esteem
		Note: There is a separate item for depression
□ Depression	□ 0 □ 1 □ 2 □ 3	Symptoms include depressed mood, loss of interest or pleasure, feelings of guilt or low self-worth. Depression is diagnosed and being treated by a physician or by a psychologist
□ Other:	□ 0 □ 1 □ 2 □ 3	Additional information:
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