Impact Of Physical Independence On Participation Restriction In Individuals With Spinal Cord Injury
DOI:
https://doi.org/10.63682/jns.v14i7.6292Keywords:
Traumatic SpinSl cord injury, Physical Independence, Social Participation, Barriers, QOLAbstract
Traumatic Spinal Cord Injury (SCI) is a critical condition that significantly impacts an individual’s physical functioning, social participation, and overall quality of life. Individuals with SCI often encounter numerous challenges in reintegrating into the community, primarily due to participation restrictions stemming from reduced physical independence. Understanding the barriers and facilitators that influence physical independence is essential for enhancing rehabilitation outcomes and community involvement. This cross-sectional study aimed to explore factors influencing physical independence-related participation restrictions among individuals with SCI. Data were collected from 30 individuals with traumatic SCI through face- to-face interviews using the CHART-SF questionnaire, administered in the local vernacular language, across KLE Hubli Co-operative Hospital and nearby rehabilitation centers in Hubballi, Karnataka. The responses were scored following CHART-SF guidelines, and descriptive statistics, including mean, median, and standard deviation, were calculated using SPSS version 26.0. The median score in the Physical Independence domain indicated a severe handicap (score of 14), with a significance level set at p ≤ 0.05. The findings underscore the pressing need for targeted rehabilitation and awareness programs, focusing on improving physical independence and thereby enhancing the quality of life for individuals with SCI in and around the Hubballi region
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References
World Health Organization, International Spinal Cord Society. International perspectives on spinal cord injury. World Health Organization; 2013.
Post MW, van Leeuwen CM. Psychosocial issues in spinal cord injury: a review. Spinal cord. 2012 May;50(5):382-9.
Manns PJ, Chad KE. Components of quality of life for persons with a quadriplegic and paraplegic spinal cord injury. Qualitative health research. 2001 Nov;11(6):795-811.
Ginis KA, Jörgensen S, Stapleton J. Exercise and sport for persons with spinal cord injury. Pm&r. 2012 Nov 1;4(11):894-900.
Üstün TB, Chatterji S, Bickenbach J, Kostanjsek N, Schneider M. The International Classification of Functioning, Disability and Health: a new tool for understanding disability and health. Disability and rehabilitation. 2003 Jan 1;25(11-12):565-71.
Frisbie JH. Breathing pattern in tetraplegic patients. Spinal Cord. 2002 Aug;40(8):424- 5.
Bach JR, Kim H, Zimbelman J. Physical independence and employment of individuals with high-level spinal cord injury. Am J Phys Med Rehabil. 2011;90(11):877–884.
Coster W, Bedell G, Law M, Khetani MA, Teplicky R, Liljenquist K, Gleason K, KAO YC. Psychometric evaluation of the Participation and Environment Measure for Children and Youth. Developmental Medicine & Child Neurology. 2011 Nov;53(11):1030-7.
Craig, A., Nicholson, Perry, K. N., Guest, R., & Middleton, J. W. (2004). Adjusting to spinal cord injury: Role of self-efficacy, coping, and social support. Disability and Rehabilitation, 26(10), 701–708.
World Health Organization. International Classification of Functioning, Disability and Health (ICF). Geneva: World Health Organization; 2001.
Whiteneck G, Dijkers MP. Difficult to measure constructs: conceptual and methodological issues concerning participation and environmental factors. Archives of physical medicine and rehabilitation. 2009 Nov 1;90(11):S22-35.
Mulla S, Upadhyaya N, Shetkar S, Sanap A. Factors affecting social participation restriction in individuals with spinal cord injury. Journal of medical pharmaceutical and allied sciences. 1882 May;11(3).
Mahaveer N, Komal KB, Jain M. Impact of Mobility On Participation Restriction In Individuals With Spinal Cord Injury. American Journal of Psychiatric Rehabilitation. 2025 May 8;28(5):25-30.
Friedrich M, Jacobsen F, Müller R. Social participation in persons with spinal cord injury: The role of social support and environmental barriers. Disabil Rehabil. 2011;33(5):450–6.
Craig A, Tran Y, Middleton J. Psychological impact of spinal cord injury: A review. Spinal Cord. 2009;47(2):110–6.
Bensley KM, Fortney J, Chan G, Dombrowski JC, Ornelas I, Rubinsky AD, Lapham GT, Glass JE, Williams EC. Differences in receipt of alcohol‐related care across rurality among va patients living with HIV with unhealthy alcohol use. The Journal of Rural Health. 2019 Jun;35(3):341-53.
Saunders LL, Krause JS. Psychological factors affecting alcohol use after spinal cord injury. Spinal Cord. 2011 May;49(5):637-42.
McKinley WO, Seel RT, Lammertse DP. The effects of age and gender on functional outcomes following spinal cord injury. Arch Phys Med Rehabil. 2002;83(9):1205-9.
Scivoletto G, Tamburella F, Laurenza L, Di Donna V, Molinari M. The impact of the severity of spinal cord injury on functional recovery and complications. Spinal Cord. 2008;46(8):547-52.
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