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  4. Psychosocial reintegration post-traumatic spinal cord injury in Rwanda: An exploratory study

Psychosocial reintegration post-traumatic spinal cord injury in Rwanda: An exploratory study

South African Journal of Physiotherapy, 2024 · DOI: https://doi.org/10.4102/sajp.v80i1.1996 · Published: February 29, 2024

Spinal Cord InjuryRehabilitationPublic Health

Simple Explanation

Traumatic spinal cord injury (TSCI) survivors face challenges in returning to their communities, including physical and psychosocial barriers, making reintegration an important aspect of their journey back into social life. This study assesses the levels of community reintegration following TSCI in Rwanda to provide a foundation knowledge on what and how psychosocial reintegration is perceived and influenced. Data were collected through a telephone interview with two questionnaires: Demographic and injury characteristic questionnaire and SPRS-2.

Study Duration
1 year
Participants
58 community-dwelling adults with traumatic spinal cord injury
Evidence Level
Not specified

Key Findings

  • 1
    Overall, the study indicates poor community reintegration among TSCI survivors in Rwanda, with low scores on the Sydney Psychosocial Reintegration Scale version 2 (SPRS-2).
  • 2
    Gender significantly influences psychosocial reintegration, with males reporting better reintegration compared to females, particularly in occupational activity and living skills domains.
  • 3
    The level of injury (paraplegia vs. tetraplegia) is significantly associated with the occupational activity domain score of SPRS-2, indicating that the extent of physical impairment impacts reintegration.

Research Summary

This study assessed psychosocial reintegration after traumatic spinal cord injury (TSCI) in Rwanda, revealing poor community reintegration among participants. Gender and level of injury significantly influenced community reintegration, with males and those with paraplegia showing better reintegration outcomes. The findings highlight the need for holistic rehabilitation approaches that address both physical and psychosocial aspects to improve community reintegration for TSCI survivors in resource-constrained settings.

Practical Implications

Holistic Rehabilitation

Traumatic SCI rehabilitation should be holistic to prepare individuals for community reintegration, addressing both physical and psychosocial needs.

Pre-Discharge Assessment

Assess an individual’s readiness to return to the community before hospital discharge to identify and address potential barriers.

Targeted Interventions

Develop specific intervention programs to maximize community integration, considering gender and injury level to address specific challenges faced by different groups.

Study Limitations

  • 1
    Small sample size due to mortality and untraceable participants.
  • 2
    The instrument used in data collection is not tested for reliability and validity in the Rwandan context.
  • 3
    The study is limited by not having access to rehabilitation services

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