Association between sleep quality and participation in people with spinal cord injury: A preliminary study

The Journal of Spinal Cord Medicine, 2023 · DOI: 10.1080/10790268.2021.1876818 · Published: May 1, 2023

Simple Explanation

Sleep is a basic need vital for well-being, often disrupted after a spinal cord injury (SCI). This disruption can lead to difficulty falling asleep and frequent awakenings, which can negatively impact a person's quality of life. Reduced participation, or involvement in real-life situations, is a significant challenge for individuals with SCI. This study explores how sleep quality affects participation in this population. The study found that better sleep quality is associated with more frequent and satisfactory participation in people with SCI. Promoting sleep quality may positively influence their engagement in daily life.

Study Duration
From May to July 2019
Participants
55 consecutive outpatients with spinal cord injury
Evidence Level
Cross-sectional study

Key Findings

  • 1
    Better sleep quality is associated with more frequent, less restricted, and more satisfactory participation in individuals with SCI.
  • 2
    Poor sleep quality is significantly associated with reduced participation frequency and less satisfaction with participation.
  • 3
    Age, number of hours slept, and time since injury are associated with satisfaction with participation.

Research Summary

This study investigates the relationship between sleep quality and participation in individuals with spinal cord injury (SCI). The results indicate that better sleep quality is associated with improved participation frequency and satisfaction among people with SCI. These findings highlight the importance of addressing sleep problems to enhance participation in this population. The study suggests that healthcare professionals should consider therapeutic approaches to improve sleep quality, which may positively impact participation and overall well-being in people with SCI.

Practical Implications

Clinical Practice

Healthcare professionals should prioritize assessing and addressing sleep problems in individuals with SCI to potentially improve their participation and overall quality of life.

Rehabilitation Strategies

Rehabilitation programs should incorporate interventions aimed at improving sleep quality, such as promoting healthy sleep habits and addressing factors that interfere with sleep.

Technological Interventions

Utilize technological devices for daily monitoring in people with SCI may trigger participation in social and work activities, improving their perceived well-being and supporting healthy sleep patterns.

Study Limitations

  • 1
    Small sample size from a single center limits generalizability.
  • 2
    Reliance on self-reported data may introduce recall or reporting bias.
  • 3
    Cross-sectional design precludes inferences about causal associations.

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