Profile of patients with spinal cord injuries in Kwazulu-Natal, South Africa: Implications for vocational rehabilitation

The Journal of Spinal Cord Medicine, 2019 · DOI: 10.1080/10790268.2018.1428264 · Published: January 1, 2019

Spinal Cord Injury Rehabilitation Public Health

Simple Explanation

This study examines the characteristics of individuals with spinal cord injuries (SCI) in KwaZulu-Natal (KZN), South Africa, focusing on factors relevant to their employment prospects. Understanding these factors is crucial for developing effective vocational rehabilitation programs. The research highlights the demographic, socioeconomic, and injury-related profiles of SCI patients in KZN. This includes age, gender, employment status, education level, and the nature and severity of their injuries. By identifying key factors that influence employment among individuals with SCI, the study aims to inform the development of rehabilitation models tailored to the specific needs of this population in KZN, ultimately improving their quality of life and integration into the workforce.

Study Duration

2009-2012

Participants

188 individuals who sustained SCI

Evidence Level

Not specified

Key Findings

1
The average annual incidence rate of SCI in KZN was 12.3 per 100,000 population. The majority of participants were male (62%) with a male to female ratio of 6:4, and the mean age was 36.69 years.
2
Non-traumatic events were the most common cause of SCI (54%), with infective spondylitis being a major contributing factor. Motor vehicle accidents accounted for 64% of traumatic SCI cases.
3
Most lesions were classified as incomplete (66%), and the thoracic region of the spine was most frequently affected (50%).

Research Summary

This study provides a profile of SCI patients in KwaZulu-Natal, highlighting demographic, socioeconomic, and injury-related characteristics. The findings reveal a slightly different profile compared to other regions in South Africa and Africa, with a higher prevalence of non-traumatic SCI. The study identifies key factors that influence employment outcomes among PLWSCI in KZN, such as age, gender, education level, and the nature and severity of their injuries. These factors should be considered when developing rehabilitation models to improve employment opportunities. The conclusion emphasizes the need for targeted interventions that address the specific needs of SCI patients in KZN, including vocational rehabilitation programs, accessibility improvements, and support for individuals with retroviral disease. This holistic approach is essential for promoting economic participation and improving the quality of life for PLWSCI.

Practical Implications

Develop Targeted Rehabilitation Programs

Rehabilitation programs should be tailored to address the specific needs of SCI patients in KZN, considering their demographic characteristics, injury profiles, and socioeconomic circumstances.

Improve Accessibility and Infrastructure

Efforts should be made to improve the accessibility of communities and workplaces for PLWSCI, including modifications to infrastructure and transportation services.

Address the Impact of Retroviral Disease

The high prevalence of retroviral disease among SCI patients in KZN necessitates a holistic approach to care that includes disease management and prevention strategies in the workplace.

Study Limitations

1
Missing employment information in 39% of the medical files.
2
Employment rates upon discharge were not documented.
3
Limited research about the relationship between the causes of SCI and employment.

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