Participation in the community in people with neurological pathologies after rehabilitation: multi-center study in Argentina.
DOI:
https://doi.org/10.31053/1853.0605.v79.n1.32198Keywords:
community participation, nervous system diseases, exersice therapyAbstract
Introduction
Participation is the dynamic and complex interaction between the individual's health condition, bodily functions, activities that can be carried out and environmental factors. Measuring it helps to understand the impact of disability.
Objectives: Describe the activities and participation in subjects with neurological pathologies, discharged from hospitalization for rehabilitation. Secondly, to compare the clinical-demographic characteristics and the participation among wheelchair users with respect to non-users.
Material and method
Observational, prospective, cross-sectional, multicenter study. Based on a survey of people over 18 years of age with pathologies of neurological origin discharged from rehabilitation from 6 centers in Argentina.
Results
282 people responded, 69% men with an average age of 50 years and discharged 22 months ago. The most common diagnosis was cerebrovascular accident.
The self-perception of participation was 49 out of 90, and those who do not use a wheelchair report a higher level of participation. The greatest satisfaction was in areas of interpersonal relationships.
50% require assistance to use transportation in the community. 61% neither work nor study, nor do they engage in sports activities (65%).
61% of wheelchair users cannot go to places in the community because they are inaccessible.
Conclusion
Less participation in community activities was observed, mainly due to architectural barriers and difficulties in using transport in wheelchair users. The family occupies a central place so that they can integrate into the community.
Downloads
References
WHO | International Classification of Functioning, Disability and Health (ICF) [Internet]. WHO. Disponible en: http://www.who.int/classifications/icf/en/
D'Alisa S, Baudo S, Mauro A, Miscio G. How does stroke restrict participation in long-term post-stroke survivors? Acta Neurol Scand. 2005 Sep;112(3):157-62. doi: 10.1111/j.1600-0404.2005.00466.x.
Bhogal SK, Teasell RW, Foley NC, Speechley MR. Community reintegration after stroke. Top Stroke Rehabil. 2003 Summer;10(2):107-29. doi: 10.1310/F50L-WEWE-6AJ4-64FK.
Noonan VK, Miller WC, Noreau L; SCIRE Research Team. A review of instruments assessing participation in persons with spinal cord injury. Spinal Cord. 2009 Jun;47(6):435-46. doi: 10.1038/sc.2008.171.
Carpenter C, Forwell SJ, Jongbloed LE, Backman CL. Community participation after spinal cord injury. Arch Phys Med Rehabil. 2007 Apr;88(4):427-33. doi: 10.1016/j.apmr.2006.12.043.
Eyssen IC, Steultjens MP, Dekker J, Terwee CB. A systematic review of instruments assessing participation: challenges in defining participation. Arch Phys Med Rehabil. 2011 Jun;92(6):983-97. doi: 10.1016/j.apmr.2011.01.006.
Noonan VK, Kopec JA, Noreau L, Singer J, Dvorak MF. A review of participation instruments based on the International Classification of Functioning, Disability and Health. Disabil Rehabil. 2009;31(23):1883-901. doi: 10.1080/09638280902846947.
Mayo NE, Wood-Dauphinee S, Côté R, Durcan L, Carlton J. Activity, participation, and quality of life 6 months poststroke. Arch Phys Med Rehabil. 2002 Aug;83(8):1035-42. doi: 10.1053/apmr.2002.33984.
Yazicioglu K, Yavuz F, Goktepe AS, Tan AK. Influence of adapted sports on quality of life and life satisfaction in sport participants and non-sport participants with physical disabilities. Disabil Health J. 2012 Oct;5(4):249-53. doi: 10.1016/j.dhjo.2012.05.003.
Sale P, Mazzarella F, Pagliacci MC, Aito S, Agosti M, Franceschini M. Sport, free time and hobbies in people with spinal cord injury. Spinal Cord. 2012 Jun;50(6):452-6. doi: 10.1038/sc.2011.161.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Universidad Nacional de Córdoba
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The Faculty of Medical Sciences Journal (RFCM) subscribes to the Open Access policy and does not charge authors fees for publishing, nor does it charge readers fees for accessing published articles (APC).
