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  4. Perceived Clinical Barriers to Employment for Males with Spinal Cord Injury in Saudi Arabia

Perceived Clinical Barriers to Employment for Males with Spinal Cord Injury in Saudi Arabia

Int. J. Environ. Res. Public Health, 2022 · DOI: https://doi.org/10.3390/ijerph19084747 · Published: April 14, 2022

Spinal Cord InjuryOccupational HealthRehabilitation

Simple Explanation

This study investigates the clinical barriers to employment perceived by males with spinal cord injury (SCI) in Saudi Arabia. It aims to understand how clinical attributes and perceptions affect their reintegration into the workforce, considering regional challenges. The study involved 121 male participants with SCI and found that mobility, bladder incontinence, spasticity, musculoskeletal pain, and neuropathic pain were the most commonly reported clinical barriers to employment. The findings highlight the need to consider secondary health conditions in goal setting when planning for employment among individuals with SCI, as perceived barriers differed between individuals with tetraplegia and paraplegia.

Study Duration
Not specified
Participants
121 male participants with SCI
Evidence Level
Cross-sectional survey

Key Findings

  • 1
    The most common reported clinical barriers to employment were mobility, bladder incontinence, spasticity, musculoskeletal pain, and neuropathic pain among males with SCI in Saudi Arabia.
  • 2
    Bladder incontinence was the most common perceived clinical barrier for individuals with paraplegia, while musculoskeletal pain was most common for those with tetraplegia.
  • 3
    A significant difference was observed for bowel incontinence as a reported barrier (p = 0.024) among adults less than thirty years of age compared to those older than thirty years.
  • 4
    Transfers as perceived barrier was significant (p=0.014) in participants with paraplegia and also significant (p=0.001) in individuals with tetraplegia.

Research Summary

This study explored perceived clinical barriers to employment among males with SCI in Saudi Arabia, revealing mobility, bladder incontinence, spasticity, musculoskeletal pain, and neuropathic pain as the most common barriers. The study found that the perceived barriers differed between individuals with tetraplegia and paraplegia, with bladder incontinence being more prominent in paraplegia and musculoskeletal pain in tetraplegia. The research highlights the importance of considering secondary health conditions in employment planning for individuals with SCI, emphasizing the need for tailored rehabilitation strategies.

Practical Implications

Tailored Rehabilitation Programs

Develop rehabilitation programs that specifically address the most common clinical barriers, such as mobility, incontinence, and pain, to improve employment prospects.

Age-Specific Interventions

Implement age-specific interventions to address barriers like bowel incontinence in younger adults and spasticity in older adults with SCI.

Assistive Technology and Workplace Adaptations

Promote the use of assistive technologies and workplace adaptations to overcome physical limitations and improve accessibility for individuals with SCI.

Study Limitations

  • 1
    Single-center cross-sectional study
  • 2
    Limited to males, neglecting the perspective of females with SCI
  • 3
    Questionnaire included limited barriers to employment

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