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  4. Functioning and Disability Analysis of Patients with Traumatic Brain Injury and Spinal Cord Injury by Using the World Health Organization Disability Assessment Schedule 2.0

Functioning and Disability Analysis of Patients with Traumatic Brain Injury and Spinal Cord Injury by Using the World Health Organization Disability Assessment Schedule 2.0

International Journal of Environmental Research and Public Health, 2015 · DOI: 10.3390/ijerph120404116 · Published: April 14, 2015

Spinal Cord InjuryBrain InjuryPublic Health

Simple Explanation

This study compares the function and disability levels of patients with traumatic brain injuries (TBI) and spinal cord injuries (SCI). It uses the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) to assess these levels. The study found that TBI patients generally experience greater difficulties in cognition, self-care, relationships, daily activities, and social participation compared to SCI patients. Factors such as age, sex, type of injury, socioeconomic status, where someone lives, and how severe their impairment is, all contribute to the level of disability experienced by individuals with TBI and SCI.

Study Duration
September 2012 and August 2013
Participants
2664 cases (1316 TBI, 1348 SCI)
Evidence Level
Not specified

Key Findings

  • 1
    Patients with TBI exhibited poorer cognition, self-care, relationships, life activities, and participation in society compared to those with SCI.
  • 2
    Age, sex, injury type, socioeconomic status, place of residence, and severity of impairment were identified as independent factors influencing WHODAS 2.0 scores.
  • 3
    The WHODAS 2.0 is a generic assessment instrument appropriate for assessing the complex disability associated with TBI and SCI.

Research Summary

This study compared function and disability in TBI and SCI patients using the WHODAS 2.0, analyzing data from Taiwan’s national disability registry between September 2012 and August 2013. The findings indicated that TBI patients experienced greater disability than SCI patients in several domains, including cognition, self-care, relationships, life activities, and social participation. The study identified several factors that independently contribute to disability, including age, sex, injury type, socioeconomic status, place of residence, and severity of impairment.

Practical Implications

Rehabilitation Focus

Rehabilitation programs should be tailored to address the specific needs of TBI and SCI patients, with a particular emphasis on improving cognition, self-care, relationships, and social participation for TBI patients.

Holistic Assessment

The WHODAS 2.0 can be used to assess the multifaceted aspects of disability in TBI and SCI patients, providing a comprehensive and holistic perspective on their functional limitations.

Policy and Support

Policymakers and healthcare providers should consider the socioeconomic factors and living environments that contribute to disability in TBI and SCI patients when designing support programs and services.

Study Limitations

  • 1
    Cross-sectional design limits causal inference.
  • 2
    Numerous evaluators may introduce variability in WHODAS 2.0 scores.
  • 3
    Findings limited to Taiwan, cultural differences may affect generalizability.

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