Relationship between functional independence and community integration of people with spinal cord injury in Bangladesh
DesignProspective, cross-sectional study.ObjectivesTo determine the functional outcome and home and social integration of people who had spinal cord injury and completed their inpatient rehabilitation.SettingCentre for the Rehabilitation of the Paralysed (CRP), Bangladesh.MethodsSpinal Cord Independ...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Rehabilitation Sciences |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fresc.2024.1435656/full |
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| author | Shazal Kumar Das Md Bakhtiar Saiba Muhammad Sabrin Michael Curtin Ehsanur Rahman Zahid Bin Sultan Nahid Zakia Rahman Md. Furatul Haque Md. Fazlul Karim Patwary Md. Jahangir Alam Md. Emran Hossain Md. Atiar Rahman Shafiqul Islam Md. Ashfaquzzaman Md. Anowar Khasru Parvez |
| author_facet | Shazal Kumar Das Md Bakhtiar Saiba Muhammad Sabrin Michael Curtin Ehsanur Rahman Zahid Bin Sultan Nahid Zakia Rahman Md. Furatul Haque Md. Fazlul Karim Patwary Md. Jahangir Alam Md. Emran Hossain Md. Atiar Rahman Shafiqul Islam Md. Ashfaquzzaman Md. Anowar Khasru Parvez |
| author_sort | Shazal Kumar Das |
| collection | DOAJ |
| description | DesignProspective, cross-sectional study.ObjectivesTo determine the functional outcome and home and social integration of people who had spinal cord injury and completed their inpatient rehabilitation.SettingCentre for the Rehabilitation of the Paralysed (CRP), Bangladesh.MethodsSpinal 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.ResultsA 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.ConclusionA 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. |
| format | Article |
| id | doaj-art-b62570a39e734c78bb196e22021b4b46 |
| institution | Kabale University |
| issn | 2673-6861 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Rehabilitation Sciences |
| spelling | doaj-art-b62570a39e734c78bb196e22021b4b462025-01-13T11:40:16ZengFrontiers Media S.A.Frontiers in Rehabilitation Sciences2673-68612024-12-01510.3389/fresc.2024.14356561435656Relationship between functional independence and community integration of people with spinal cord injury in BangladeshShazal Kumar Das0Md Bakhtiar1Saiba Muhammad Sabrin2Michael Curtin3Ehsanur Rahman4Zahid Bin Sultan Nahid5Zakia Rahman6Md. Furatul Haque7Md. Fazlul Karim Patwary8Md. Jahangir Alam9Md. Emran Hossain10Md. Atiar Rahman11Shafiqul Islam12Md. Ashfaquzzaman13Md. Anowar Khasru Parvez14Department of Physiotherapy, Bangladesh Health Professions Institute, Dhaka, BangladeshDepartment of Physiotherapy, Khwaja Badrudduja Modern Hospital, Gazipur, BangladeshDepartment of Physiotherapy, Bangladesh Health Professions Institute, Dhaka, BangladeshSchool of Allied Health, Exercise and Sports Sciences, Charles Sturt University, Albury, NSW, AustraliaDepartment of Physiotherapy, Jashore University of Science and Technology, Jashore, BangladeshDepartment of Physiotherapy, SAIC College of Medical Science and Technology, Dhaka, BangladeshDepartment of Physiotherapy, SAIC College of Medical Science and Technology, Dhaka, BangladeshDepartment of Physiotherapy, SAIC College of Medical Science and Technology, Dhaka, BangladeshDepartment of Microbiology, Jahangirnagar University, Dhaka, BangladeshDepartment of Physiotherapy, Mymensingh College of Phsyiotherapy and Health Science, Mymensigh, BangladeshDepartment of Physiotherapy, Bangladesh Health Professions Institute, Dhaka, BangladeshDepartment of Physiotherapy, Centre for the Rehabilitation of the Paralysed, Dhaka, BangladeshDepartment of Physiotherapy, Chittagong Medical College, Chittagong, BangladeshDepartment of Physiotherapy, Centre for the Rehabilitation of the Paralysed, Dhaka, BangladeshDepartment of Microbiology, Jahangirnagar University, Dhaka, BangladeshDesignProspective, cross-sectional study.ObjectivesTo determine the functional outcome and home and social integration of people who had spinal cord injury and completed their inpatient rehabilitation.SettingCentre for the Rehabilitation of the Paralysed (CRP), Bangladesh.MethodsSpinal 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.ResultsA 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.ConclusionA 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.https://www.frontiersin.org/articles/10.3389/fresc.2024.1435656/fullprospectivecommunity integrationspinal cord injurycross sectional studyfunctional independence |
| spellingShingle | Shazal Kumar Das Md Bakhtiar Saiba Muhammad Sabrin Michael Curtin Ehsanur Rahman Zahid Bin Sultan Nahid Zakia Rahman Md. Furatul Haque Md. Fazlul Karim Patwary Md. Jahangir Alam Md. Emran Hossain Md. Atiar Rahman Shafiqul Islam Md. Ashfaquzzaman Md. Anowar Khasru Parvez Relationship between functional independence and community integration of people with spinal cord injury in Bangladesh Frontiers in Rehabilitation Sciences prospective community integration spinal cord injury cross sectional study functional independence |
| title | Relationship between functional independence and community integration of people with spinal cord injury in Bangladesh |
| title_full | Relationship between functional independence and community integration of people with spinal cord injury in Bangladesh |
| title_fullStr | Relationship between functional independence and community integration of people with spinal cord injury in Bangladesh |
| title_full_unstemmed | Relationship between functional independence and community integration of people with spinal cord injury in Bangladesh |
| title_short | Relationship between functional independence and community integration of people with spinal cord injury in Bangladesh |
| title_sort | relationship between functional independence and community integration of people with spinal cord injury in bangladesh |
| topic | prospective community integration spinal cord injury cross sectional study functional independence |
| url | https://www.frontiersin.org/articles/10.3389/fresc.2024.1435656/full |
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