Anshini Gupta, Osama Neyaz, Raj Kumar Yadav, Paras Yadav, Hrishikesh Das
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This cross-sectional observational study included 91 individuals with TSCI who had an injury duration greater than 1 year and received inpatient and outpatient services from our department in a tertiary health care centre between October 2022 and April 2024. Community reintegration scores were low in all areas measured by the CHART-SF, such as physical independence (38.5), cognitive independence (64.5), mobility (38.9), social integration (70.9), and economic self-sufficiency, with occupation (13.6) being the most affected domain. The mean CHART-SF score was 226.4 (56.8) out of a maximum of 600, indicating poor reintegration. Being motor complete (AIS A-B) was moderately-to-strongly associated with worse physical independence (rpb = 0.91, P < 0.001), mobility (0.87, P < 0.001), occupation status (0.56, P < 0.001), and overall community reintegration (0.84, P < 0.001). The cognitive independence (64.5) and social integration scores (70.93) were not correlated with any demographic and injury variables assessed and were among the highest-scoring domains. The results suggest significant challenges in societal reintegration among individuals with TSCI in Northern India, particularly in mobility, physical independence, and occupation. While cognitive and social integration were relatively better, overall reintegration remained low. 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引用次数: 0
摘要
由于早期干预提高了创伤性脊髓损伤(TSCI)患者的生存率,因此有一个转向解决长期结果,如社区重返社会和社会参与。尽管它很重要,但对社区重新融合的研究仍然不足,特别是在印度北部。本研究旨在利用克雷格残疾评估和报告技术-短表格(CHART-SF)探索印度北部TSCI患者的社会重新融入。CHART-SF研究了年龄、性别、损伤程度、地形和ASIA损伤量表(AIS)对身体独立性、认知独立性、流动性、职业、社会融合和经济自给自足的影响。这项横断面观察性研究包括91名损伤持续时间超过1年的TSCI患者,他们在2022年10月至2024年4月期间在三级卫生保健中心接受了我科的住院和门诊服务。在CHART-SF测量的所有领域,如身体独立性(38.5)、认知独立性(64.5)、流动性(38.9)、社会融合(70.9)和经济自给自足,社区重新融入得分都很低,其中职业(13.6)是受影响最大的领域。平均CHART-SF评分为226.4分(56.8分),满分为600分,表明重返社会状况不佳。运动完全(AIS A-B)与较差的身体独立性有中等到强烈的相关性(rpb = 0.91, P
Community reintegration of persons with traumatic spinal cord injury in Northern India: a cross-sectional study.
Since early interventions have improved survival in traumatic spinal cord injury (TSCI), there is a shift toward addressing long-term outcomes like community reintegration and social participation. Despite its importance, community reintegration remains under-researched, particularly in Northern India. This study aims to explore societal reintegration in people with TSCI in Northern India using the Craig Handicap Assessment and Reporting Technique-Short Form (CHART-SF). The CHART-SF examines the impact of age, gender, injury level, terrain, and the ASIA impairment scale (AIS) on physical independence, cognitive independence, mobility, occupation, social integration, and economic self-sufficiency. This cross-sectional observational study included 91 individuals with TSCI who had an injury duration greater than 1 year and received inpatient and outpatient services from our department in a tertiary health care centre between October 2022 and April 2024. Community reintegration scores were low in all areas measured by the CHART-SF, such as physical independence (38.5), cognitive independence (64.5), mobility (38.9), social integration (70.9), and economic self-sufficiency, with occupation (13.6) being the most affected domain. The mean CHART-SF score was 226.4 (56.8) out of a maximum of 600, indicating poor reintegration. Being motor complete (AIS A-B) was moderately-to-strongly associated with worse physical independence (rpb = 0.91, P < 0.001), mobility (0.87, P < 0.001), occupation status (0.56, P < 0.001), and overall community reintegration (0.84, P < 0.001). The cognitive independence (64.5) and social integration scores (70.93) were not correlated with any demographic and injury variables assessed and were among the highest-scoring domains. The results suggest significant challenges in societal reintegration among individuals with TSCI in Northern India, particularly in mobility, physical independence, and occupation. While cognitive and social integration were relatively better, overall reintegration remained low. The injury severity, terrain, and other demographic factors influenced outcomes, especially in physical domains.
期刊介绍:
International Journal of Rehabilitation Research is a quarterly, peer-reviewed, interdisciplinary forum for the publication of research into functioning, disability and contextual factors experienced by persons of all ages in both developed and developing societies. The wealth of information offered makes the journal a valuable resource for researchers, practitioners, and administrators in such fields as rehabilitation medicine, outcome measurement nursing, social and vocational rehabilitation/case management, return to work, special education, social policy, social work and social welfare, sociology, psychology, psychiatry assistive technology and environmental factors/disability. Areas of interest include functioning and disablement throughout the life cycle; rehabilitation programmes for persons with physical, sensory, mental and developmental disabilities; measurement of functioning and disability; special education and vocational rehabilitation; equipment access and transportation; information technology; independent living; consumer, legal, economic and sociopolitical aspects of functioning, disability and contextual factors.