TY - JOUR
T1 - Relationship between functional independence and community integration of people with spinal cord injury in Bangladesh
AU - Das, Shazal Kumar
AU - Bakhtiar, Md
AU - Sabrin, Saiba Muhammad
AU - Curtin, Michael
AU - Rahman, Ehsanur
AU - Nahid, Zahid Bin Sultan
AU - Rahman, Zakia
AU - Haque, Md Furatul
AU - Patwary, Md Fazlul Karim
AU - Alam, Md Jahangir
AU - Hossain, Md Emran
AU - Rahman, Md Atiar
AU - Islam, Shafiqul
AU - Ashfaquzzaman, Md
AU - Parvez, Md Anowar Khasru
N1 - Publisher Copyright:
2024 Das, Bakhtiar, Sabrin, Curtin, Rahman, Nahid, Rahman, Haque, Patwary, Alam, Hossain, Rahman, Islam, Ashfaquzzaman and Parvez.
PY - 2024
Y1 - 2024
N2 - Design: Prospective, cross-sectional study. Objectives: To determine the functional outcome and home and social integration of people who had spinal cord injury and completed their inpatient rehabilitation. Setting: Centre for the Rehabilitation of the Paralysed (CRP), Bangladesh. Methods: Spinal Cord Independence Measure (SCIM) and Community Integration Questionnaire (CIQ) were used to analyse the relationship between the functional outcome and home and social integration at the end of rehabilitation. Descriptive and inferential statistics were performed to analyse the data. Results: A total of two hundred participants (181 men and 19 women) were recruited for the study. Among the participants, 92.5% of them reported a history of trauma or accident, including road traffic accidents, falls and other injuries. Approximately 60% of participants presented with paraplegia and 62.5% of participants were categorized on the ASIA Impairment Scale (AIS) as Grade A, complete spinal cord injury. Participants with paraplegia and participants with a Grade B, incomplete injury, on the AIS were functionally more independent (p = 0.011)) compared with participants with tetraplegia and other AIS grades. Participants with paraplegia reported having a more active lifestyle (p = 0.040) in their home and social activities compared to those with tetraplegia. There was no significant association found between functional independence at pre-discharged and community integration one-month post-discharge of the people with SCI. Conclusion: A month after discharge, there is no statistically significant relationship between community reintegration and functional independence. A measure of functional independence may not be a suitable indicator of community integration. It is proposed that to monitor a person's community integration the CIQ could be used with a measure of quality of life as this would indicate a person's contentment with their level of community integration.
AB - Design: Prospective, cross-sectional study. Objectives: To determine the functional outcome and home and social integration of people who had spinal cord injury and completed their inpatient rehabilitation. Setting: Centre for the Rehabilitation of the Paralysed (CRP), Bangladesh. Methods: Spinal Cord Independence Measure (SCIM) and Community Integration Questionnaire (CIQ) were used to analyse the relationship between the functional outcome and home and social integration at the end of rehabilitation. Descriptive and inferential statistics were performed to analyse the data. Results: A total of two hundred participants (181 men and 19 women) were recruited for the study. Among the participants, 92.5% of them reported a history of trauma or accident, including road traffic accidents, falls and other injuries. Approximately 60% of participants presented with paraplegia and 62.5% of participants were categorized on the ASIA Impairment Scale (AIS) as Grade A, complete spinal cord injury. Participants with paraplegia and participants with a Grade B, incomplete injury, on the AIS were functionally more independent (p = 0.011)) compared with participants with tetraplegia and other AIS grades. Participants with paraplegia reported having a more active lifestyle (p = 0.040) in their home and social activities compared to those with tetraplegia. There was no significant association found between functional independence at pre-discharged and community integration one-month post-discharge of the people with SCI. Conclusion: A month after discharge, there is no statistically significant relationship between community reintegration and functional independence. A measure of functional independence may not be a suitable indicator of community integration. It is proposed that to monitor a person's community integration the CIQ could be used with a measure of quality of life as this would indicate a person's contentment with their level of community integration.
KW - community integration
KW - cross sectional study
KW - functional independence
KW - prospective
KW - spinal cord injury
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U2 - 10.3389/fresc.2024.1435656
DO - 10.3389/fresc.2024.1435656
M3 - Article
C2 - 39723157
AN - SCOPUS:85212970826
SN - 2673-6861
VL - 5
SP - 1
EP - 10
JO - Frontiers in Rehabilitation Sciences
JF - Frontiers in Rehabilitation Sciences
M1 - 1435656
ER -
