Rehabilitation outcome in people with spinal cord injuries resulting from diving in South Korea

Spinal Cord Series and Cases, 2022 · DOI: https://doi.org/10.1038/s41394-022-00509-7 · Published: April 1, 2022

Spinal Cord Injury Trauma Rehabilitation

Simple Explanation

This study looks at spinal cord injuries (SCI) caused by diving accidents in South Korea, focusing on how these injuries affect people's lives after rehabilitation. It examines the circumstances surrounding the accidents and the impact on marital and employment status. The research found that most SCI from diving accidents happen to young men in swimming pools, especially in holiday lodges where the water is shallow and safety measures are lacking. The study also reveals that these injuries can lead to divorce and unemployment. The study emphasizes the need for better education on diving safety, especially for young people, and suggests placing warning signs in swimming pools and natural water bodies. The research can help prevent diving-related SCI in countries with growing leisure activities.

Study Duration

20 Years

Participants

33 patients with spinal cord injury

Evidence Level

Not specified

Key Findings

1
SCI due to diving accidents most commonly occurred in swimming pools in holiday lodges (36.4%).
2
Five out of 13 married couples with motor complete SCI were divorced or separated after injury.
3
Eight persons resumed work or studies after the injury, with a mean return time of 33 (24.4) months.

Research Summary

This retrospective study analyzed 33 patients with SCI due to diving accidents in South Korea, revealing that these injuries predominantly affect young men and often result in severe functional impairment and changes in marital and employment status. The study found that most accidents occurred in shallow swimming pools at holiday lodges, highlighting the impact of environmental risk factors. The C4 vertebra was the most common neurologic level of injury. The authors conclude that increased education and awareness, along with improved safety measures at swimming locations, are crucial for preventing future SCI from diving accidents, especially in developing countries.

Practical Implications

Enhanced Safety Education

Implement targeted educational programs for young people about the risks associated with diving, regardless of their swimming proficiency.

Improved Safety Measures

Mandate clear depth indicators and diving warning signs in swimming pools, especially in holiday lodges and sports centers.

Rehabilitation Support

Provide comprehensive rehabilitation and vocational support for individuals with SCI to improve their chances of returning to work or education and maintaining marital stability.

Study Limitations

1
There was a time interval between the point of retrospective chart review and the point of telephone interview.
2
Participants were not admitted to our hospital immediately after the injury.
3
The sample size was relatively small; thus, further research is be needed, for example, based on the national statistics of SCI.

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