Interventional Programs for Community Reintegration after Spinal Cord Injury: A Scoping Review

Abstract

Advances in healthcare and technology have led to increased survival rates after spinal cord injury (SCI). To facilitate recovery, regain function, and promote quality of life after SCI, rehabilitation in the acute care setting is of paramount importance. After discharge from acute care, there is difficulty in accessing appropriate intervention to facilitate community reintegration. This review examined the content, strengths, limitations, and effectiveness of existing community reintegration intervention programs after SCI to promote the adoption of the existing programs or the development of new interventions for individuals with SCI in a low-resource setting. We conducted a review of the literature using Arksey and O'Malley's methodological framework. Six electronic databases were searched from the database inception to September 2022, including Medline, CINAHL, Web of Science, PsycINFO, Sabinet, and Global Health. A manual search of the selected references was also conducted. Seven articles met our inclusion criteria. Overall, 290 individuals participated in the included studies, 80% of the participants were males, and the majority of the participants had an injury at the thoracic level. The studies presented different interventional programs with varying contents addressing different aspects of community reintegration such as household duties, mobility, health maintenance, and recreation. All the identified programs have evidence of preliminary effectiveness in some domains of community reintegration (e.g., household duties, mobility, and health). However, most available programs are geared toward addressing a specific aspect of community reintegration and may not be suitable for individuals with complex needs. A robust program that encompasses all critical aspects of community reintegration (housing and household duties, mobility, recreation, health maintenance, pain management, sexuality, social support, and employment) may be required. Therefore, further development and validation of existing programs are warranted.