Factors affecting social participation restriction in individuals with spinal cord injury

Salima Mulla, Navami Upadhyaya, Sailee Shetkar, Anushka Sanap

Department of Community Physiotherapy, Shri Dharmasthala Manjunatheshwar College of Physiotherapy, Shri Dharmasthala Manjunatheshwar University,
Dharwad, Karnataka, India

ABSTRACT

Traumatic Spinal Cord Injury (SCI) is considered as a major disability and also life-threatening condition that carries a high risk of morbidity and mortality. The objective of this study was to discover the factors affecting social participation restriction in the individuals with SCI. Traumatic SCI patients details were collected from medical records of S.D.M Hospital, 30 patients in total were interviewed face to face with items of CHART-SF in the vernacular language. Responses were obtained and calculated as per the manual scoring for CHART-SF. Descriptive analysis was used for finding mean, median, a standard deviation and the median scores for the main domains of CHART-SF which were, for physical independence 32 which is considered to be moderately handicap, cognitive independence 100 which is not handicap, mobility 14 severe handicap, occupation 13.75. The statistical tests used were Kruskal Wallis ANOVA and Mann-Whitney U test to compare the variables (each domain of CHART-SF) with demographic variables and by Spearman’s rank correlation method. We also found the association in between the variables of CHART-SF. All statistics were done with SPSS version 25. A probability value of p ≤ 0.05 was considered to indicate a significant difference. Thus, there is a strong need to focus on planning the better rehabilitation and awareness programs for the betterment of quality of life of people with SCI, highlighting on major aspects/factors affected under these domains that is mobility, physical independence, and occupation in and around Hubli-Dharwad.

Keywords:

Traumatic Spinal cord injury, Participation, Barriers, Environmental factors.