Barriers to personal hygiene in persons with spinal cord injury during the COVID‑19 pandemic and lockdown: A rehabilitation perspective of two cases

Journal of Family Medicine and Primary Care, 2022 · DOI: 10.4103/jfmpc.jfmpc_2271_21 · Published: May 14, 2022

Spinal Cord Injury COVID-19 Rehabilitation

Simple Explanation

The study discusses how the COVID-19 pandemic has presented unique challenges for people with spinal cord injuries (SCI) in maintaining personal hygiene. It highlights the difficulties faced by two paraplegic individuals in accessing safe water, managing self-catheterization, and maintaining hygiene of assistive devices due to mobility restrictions and increased dependence on caregivers. The study emphasizes the importance of primary care providers in offering health education and support at the community level to promote hygienic practices among individuals with disabilities during the pandemic.

Study Duration

Not specified

Participants

Two paraplegic individuals

Evidence Level

Case Report

Key Findings

1
Mobility restriction in SCI directly hinders hand hygiene practices, making it difficult for individuals to maintain cleanliness.
2
The pandemic has increased the dependence of SCI patients on caregivers for activities of daily living, including hygiene-related tasks.
3
Lack of awareness regarding the hygiene of assistive aids, such as wheelchairs, negatively impacts the overall hygienic status of individuals with SCI.

Research Summary

This case report highlights the unique hygiene-related challenges faced by individuals with spinal cord injury (SCI) during the COVID-19 pandemic and lockdown, focusing on two paraplegic patients. The study identifies barriers such as mobility restrictions, increased dependence on caregivers, and concerns regarding the hygiene of assistive devices. The authors suggest that simple health education, improved access to primary care providers, and economical hygienic practices can significantly benefit the SCI population during the pandemic.

Practical Implications

Improved Access to Primary Care

Enhancing access to primary care services at the community level can provide better knowledge and support for individuals with SCI in maintaining hygiene.

Targeted Health Education

Simple health education and awareness programs can address specific hygiene concerns and promote economical hygienic practices among individuals with SCI.

Assistive Device Hygiene

Raising awareness about the importance of cleaning and maintaining assistive devices can improve the overall hygienic status of individuals with SCI.

Study Limitations

1
Limited to two case studies, which may not represent the broader SCI population.
2
Focuses on a specific socioeconomic context, potentially limiting generalizability.
3
Lack of quantitative data on the impact of interventions.

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