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  4. Changes in the Health Condition after Using a Service Dog of a Person with Complete C5 Spinal Cord Injury: A Qualitative Single Case Study

Changes in the Health Condition after Using a Service Dog of a Person with Complete C5 Spinal Cord Injury: A Qualitative Single Case Study

Progress in Rehabilitation Medicine, 2019 · DOI: 10.2490/prm.20190001 · Published: January 1, 2019

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study explores how using a service dog changed the life of a man with a severe spinal cord injury. It looks at improvements in his physical abilities, motivation, social life, and overall well-being after getting a service dog. The study found that the service dog helped the man become more independent, active, and socially connected. It also improved his mood and gave him a greater sense of self-worth. By using a special framework (ICF), the researchers categorized the changes in the man's life, showing how the service dog affected different aspects of his health and daily living.

Study Duration
Not specified
Participants
A 48-year-old married man with complete C5 SCI
Evidence Level
Level IV: Qualitative Single Case Study

Key Findings

  • 1
    The participant experienced “increased vitality and motivation,” and “emergence of self-affirmation” after using a service dog.
  • 2
    The participant experienced “expansion of moving area” by carrying many items with him when he went outside, as the service dog assisted.
  • 3
    The participant reported a “reduction of psychological barrier” to asking for help from others when the service dog was present.

Research Summary

This qualitative study reports on an individual with a complete C5 SCI who used a service dog and experienced improvements in all the components of the ICF. The study demonstrated that the participant was able to clarify what the service dog could do for him and what caregivers should help him with, which brought him “increased vitality and motivation.” The participant experienced more interactions with other people, and public service providers offered to help him more often when he was going out with his service dog.

Practical Implications

Enhanced Rehabilitation Strategies

Service dogs can be integrated into rehabilitation programs for individuals with high cervical SCI to improve their overall health condition and quality of life.

Increased Independence

Service dogs can assist with ADLs, leading to greater independence and reduced reliance on caregivers for individuals with complete C5 SCI.

Social Inclusion

Service dogs can facilitate social interactions and reduce psychological barriers, promoting greater social inclusion for individuals with disabilities.

Study Limitations

  • 1
    The study design is a qualitative single case study, limiting generalizability.
  • 2
    Recall bias may affect the participant’s experiences prior to having a service dog.
  • 3
    The interview was based on the ICF rehabilitation sets, potentially missing other relevant changes.

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