Babu Heavenna, Sriraman Sheetal, Karthikbabu Suruliraj, Sophia P, Kumar Senthil N S
Physiotherapist and Public Health Researcher, Ontario, Canada.
Pediatric Resident, SUNY Downstate Health Sciences University, Brooklyn, NY, USA.
Indian J Community Med. 2024 Jan-Feb;49(1):52-55. doi: 10.4103/ijcm.ijcm_421_22. Epub 2024 Jan 12.
Social and community participation are major indicators to assess the adequacy of treatment and rehabilitation in patients with spinal cord injury (SCI). This study examined the relationship between functional independence, level of disability, and social and community participation among people with SCI in India.
In this cross sectional study, 110 persons with SCI, aged 18 years and above participated in a community setting, in Karnataka, India. Spinal Cord Independence Measure Version III-self-reporting (SCIM III-SR), Craig Handicap Assessment and Reporting Technique (CHART), and WHO Disability Assessment Schedule 2.0 (WHODAS) were the clinical outcome measures. Spearman's correlation and stepwise multiple linear regression were done to determine association and identify the factors determining the community participation of people with SCI.
CHART physical independence had a positive correlation with SCIM self-care (R = 0.446) and SCIM mobility (r = 0.434). CHART cognitive independence (R = -0.38) and CHART mobility (R = -0.396) had a weak correlation with WHODAS. SCIM self-care and SCIM mobility (R = 0.34) were determinants of CHART cognitive independence. SCIM respiratory and sphincter management and SCIM self-care (R = 0.327) were determinants of CHART mobility.
Self-care and mobility of people with SCI determine their ability to successfully reintegrate into the community, warranting a comprehensive community rehabilitation program.
社会和社区参与是评估脊髓损伤（SCI）患者治疗和康复充分性的主要指标。本研究调查了印度SCI患者的功能独立性、残疾程度与社会和社区参与之间的关系。
在这项横断面研究中，110名年龄在18岁及以上的SCI患者在印度卡纳塔克邦的社区环境中参与研究。脊髓独立性评定量表第三版自我报告（SCIM III-SR）、克雷格残疾评估与报告技术（CHART）和世界卫生组织残疾评定量表2.0（WHODAS）为临床结局指标。采用Spearman相关性分析和逐步多元线性回归分析来确定关联，并识别决定SCI患者社区参与的因素。
CHART身体独立性与SCIM自我护理（R = 0.446）和SCIM移动性（r = 0.434）呈正相关。CHART认知独立性（R = -0.38）和CHART移动性（R = -0.396）与WHODAS呈弱相关。SCIM自我护理和SCIM移动性（R = 0.34）是CHART认知独立性的决定因素。SCIM呼吸和括约肌管理以及SCIM自我护理（R = 0.327）是CHART移动性的决定因素。
SCI患者的自我护理和移动性决定了他们成功重新融入社区的能力，因此需要一个全面的社区康复计划。
