Persons with spinal cord injury (SCI) now have an increased life expectancy. However, they are more susceptible to earlier age-related functional declines when compared to their nondisabled counterparts. Symptoms of new fatigue, pain, or weakness often precede new losses in function. The consequences of decline in function include increasing needs for personal assistance, equipment, and medical services. Underlying medical conditions are explored as potential contributing factors to the loss of function. Continued investigations of the etiology of pain, fatigue, and weakness along with enhanced clinical and support services are necessary to meet the changing needs of the aging SCI population.
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