Das Shazal Kumar, Bakhtiar Md, Sabrin Saiba Muhammad, Curtin Michael, Rahman Ehsanur, Nahid Zahid Bin Sultan, Rahman Zakia, Haque Md Furatul, Patwary Md Fazlul Karim, Alam Md Jahangir, Hossain Md Emran, Rahman Md Atiar, Islam Shafiqul, Ashfaquzzaman Md, Parvez Md Anowar Khasru
Department of Physiotherapy, Bangladesh Health Professions Institute, Dhaka, Bangladesh.
Department of Physiotherapy, Khwaja Badrudduja Modern Hospital, Gazipur, Bangladesh.
Front Rehabil Sci. 2024 Dec 11;5:1435656. doi: 10.3389/fresc.2024.1435656. eCollection 2024.
Prospective, cross-sectional study.
To determine the functional outcome and home and social integration of people who had spinal cord injury and completed their inpatient rehabilitation.
Centre for the Rehabilitation of the Paralysed (CRP), Bangladesh.
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.
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 ( = 0.011)) compared with participants with tetraplegia and other AIS grades. Participants with paraplegia reported having a more active lifestyle ( = 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.
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.
前瞻性横断面研究。
确定脊髓损伤患者完成住院康复后的功能结局以及家庭和社会融入情况。
孟加拉国瘫痪康复中心（CRP）。
采用脊髓独立测量量表（SCIM）和社区融入问卷（CIQ）分析康复结束时功能结局与家庭和社会融入之间的关系。进行描述性和推断性统计分析数据。
共招募了200名参与者（181名男性和19名女性）参与研究。在参与者中，92.5%报告有创伤或事故史，包括道路交通事故、跌倒和其他损伤。约60%的参与者表现为截瘫，62.5%的参与者在亚洲损伤量表（AIS）上被归类为A级，即完全性脊髓损伤。与四肢瘫和其他AIS等级的参与者相比，截瘫参与者和AIS为B级不完全损伤的参与者在功能上更独立（P = 0.011）。与四肢瘫参与者相比，截瘫参与者报告在家庭和社会活动中生活方式更积极（P = 0.040）。脊髓损伤患者出院前的功能独立性与出院后1个月的社区融入之间未发现显著关联。
出院1个月后，社区重新融入与功能独立性之间无统计学显著关系。功能独立性测量可能不是社区融入的合适指标。建议使用CIQ并结合生活质量测量来监测一个人的社区融入情况，因为这将表明一个人对其社区融入水平的满意度。
