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  4. Participation and autonomy, independence in activities of daily living and upper extremity functioning in individuals with spinal cord injury

Participation and autonomy, independence in activities of daily living and upper extremity functioning in individuals with spinal cord injury

Scientific Reports, 2024 · DOI: 10.1038/s41598-024-59862-2 · Published: April 16, 2024

Spinal Cord InjuryParticipationRehabilitation

Simple Explanation

This study explores how spinal cord injury (SCI) affects a person's sense of independence and control over their daily life, known as autonomy. The study looks at how autonomy relates to the ability to perform daily activities and use the upper body effectively. The research involved 25 adults with SCI and used questionnaires and movement analysis to assess autonomy, independence in daily tasks, and upper body function.

Study Duration
Not specified
Participants
25 adults with chronic cervical or thoracic SCI
Evidence Level
Observational cross-sectional study

Key Findings

  • 1
    Participants with SCI reported feeling restricted in their autonomy, particularly in outdoor activities, family roles, and indoor activities.
  • 2
    Indoor autonomy was linked to independence in self-care and mobility, as well as the speed and smoothness of upper body movements.
  • 3
    Social life autonomy was associated with self-care abilities and upper extremity function.

Research Summary

This study investigated the impact of spinal cord injury (SCI) on autonomy and its correlation with activity performance and upper extremity functioning in 25 adults with chronic cervical or thoracic SCI. The results indicated that most participants perceived injury-related restrictions in outdoor autonomy, family role, and indoor autonomy. Autonomy was found to be correlated with independence in activities of daily living (ADL) and upper extremity functioning, suggesting these aspects should be considered in goal setting and clinical decision-making for SCI rehabilitation.

Practical Implications

Rehabilitation Focus

SCI rehabilitation should address autonomy and participation, especially independence in ADL and mobility.

Goal Setting

Individual goal setting and treatment planning after SCI should include aspects of autonomy and participation.

Clinical Decision-Making

The role of upper extremity function in different life impact areas of autonomy and participation should be considered in clinical decisions.

Study Limitations

  • 1
    Relatively small sample size
  • 2
    The role of contextual factors influencing autonomy were not specifically investigated
  • 3
    Several potential other factors potentially influencing the autonomy and participation e.g. cognitive functions, environmental factors, were not collected

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