Factors Influencing Social and Community Participation of People with Spinal Cord Injury in Karnataka, India

Indian Journal of Community Medicine, 2024 · DOI: 10.4103/ijcm.ijcm_421_22 · Published: January 12, 2024

Spinal Cord Injury Rehabilitation Public Health

Simple Explanation

This study investigates the connection between independence, disability level, and community involvement for individuals with spinal cord injuries (SCI) in India. The study involved 110 SCI patients in Karnataka, India, assessing their functional independence, disability, and community participation using standardized measures. The findings highlight that self-care and mobility significantly influence the successful reintegration of individuals with SCI into their communities.

Study Duration

Not specified

Participants

110 persons with SCI

Evidence Level

Cross-sectional study

Key Findings

1
CHART physical independence showed a positive correlation with SCIM self-care and SCIM mobility, indicating that greater physical independence is associated with better self-care and mobility.
2
CHART cognitive independence and CHART mobility had a weak negative correlation with WHODAS, suggesting that greater cognitive independence and mobility are associated with lower levels of disability.
3
SCIM self-care and SCIM mobility were identified as determinants of CHART cognitive independence, implying that self-care and mobility skills are important for cognitive aspects of community reintegration.

Research Summary

This study examined the relationship between functional independence, level of disability, and social and community participation among people with SCI in India. The study found a positive correlation between CHART physical independence and the self‑care domain of SCIM. Self‑care and mobility of people with SCI determine their ability to successfully reintegrate into the community, warranting a comprehensive community rehabilitation program.

Practical Implications

Comprehensive Rehabilitation Programs

The study highlights the need for comprehensive community rehabilitation programs that focus on improving self-care and mobility skills for individuals with SCI.

Targeted Interventions

Caregivers and policymakers can use the study's findings to develop targeted interventions that address the specific needs of individuals with SCI, particularly in the areas of self-care and mobility.

Promoting Physical Independence

Encouraging self-care activities such as bathing, grooming, feeding, and dressing can enhance physical independence and overall community reintegration for individuals with SCI.

Study Limitations

1
The study did not consider the role of exercise, psychological factors, perceived emotional support, perceived environmental barriers, economic burden of the disease, and socioeconomic status.
2
The scores of CHART, WHODAS, and SCIM are the subjective reporting of study participants.
3
The actual objective measure of community reintegration is lacking.

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