Barriers to participate in activity of daily livings in the community among the persons with spinal cord injury

Abstract

Purpose: The purpose of the study was to find out the barriers to participate in activity of daily livings in the community among the persons with spinal cord injury. Objectives: To assess the Socio-demographic information, understanding, communicating, mobility, Self-care, getting along with people, household activities, work activities and participation. Methodology: It was a cross sectional study. 50 samples were conveniently selected from Savar and Dhamrai Upazilla of Dhaka district of Bangladesh for the study. Among them 78% (n=39) was male and 22% (n=11) was female. Interviewer administered Bengali version of The World Health Organization Disability Assessment Scale II (WHODAS II) 36 items was applied to people with spinal cord injury living in their own community who completed their rehabilitation from CRP. Results: In the study the total participants were 50. The minimum age was 20 years old and the maximum age was 80. Each item of WHODAS 2.0 questioner was rated on a 5-point scale, from 1 (no difficulty) to 5 (extreme difficulty/cannot do). The instrument produces a total score (disability level) and 6 domain scores, ranging from 0 (best) to 100 (worst). The disability score was calculated using the Statistical Package for the Social Sciences (SPSS). In this study, the greatest limitation was found in the domains of 'mobility' (mean ±SD: 76.88 ± 30.38). The least limitation was found in 'cognition' domain (mean± SD: 21.40 ± 23.95). Other domains, mean± SD were 55.20 ± 35.47 for 'Self-care', 30.50 ± 27.42 for 'getting along', 61.20 ± 29.20 for 'household activity', and 46.43 ± 23.14 for 'work or school activity' 50.25 ± 20.50 for 'participation' and 47.59 ± 25.88 for total score. Conclusion: This study provides a common metric of the impact of spinal cord injury in terms of functioning of ADLS. Most barriers among the community living spinal cord injured people is mobility and self-care activities. Keyword: Spinal cord injury, activity of daily living, barriers, participation, community.