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‘Good Start’ for spinal cord injury management: an occupational therapy initiative of Bangladesh

Authors:
  • Bangladesh Health Professions Institute

Abstract

This paper aims to share the experience of a recent occupational therapy practice initiative for assisting in successful transition from the rehabilitation centre to the home setting. Considering the low resources and limited funds availability, this project has shown how the occupational therapist (OT) can facilitate a ‘Good Start ’ for the life of a person with spinal cord injury at home. A smooth transition to home can be facilitated by traveling along with the patient and his/her family after discharge, by sharing the transport cost, and by physically observing the patient’s home and giving technical support to family members to modify the home environment. This project is a good model for OTs working within developing countries like Bangladesh.
... Hanson, Nabavi, et Yuen, 2001); comme étant la réalisation des habitudes de vie selon le modèle de processus de production du handicap (PPH; ex. Dumont, Gervais, Fougeyrollas, et Bertrand, 2005;Lemay, 2011); ou comme étant la reprise des activités et des rôles sociaux antérieurs en fin de réadaptation (Ullah et Erna, 2013). Cette absence de consensus s'inscrit même au niveau des terminologies employées, tant pour l'IC que pour la participation sociale. ...
... Stratégies de recherche par mots-clés : ("OccupaƟonal therap*" OR "OccupaƟonal therapy pracƟce*" OR "OccupaƟonal therapy intervenƟon*") AND ("Community integraƟon" OR "Community reintegraƟon" OR "Social integraƟon" OR "Social reintegraƟon" OR Inclus* OR "Inclusive communit*" OR "Social parƟcipaƟon" OR "Social inclusion") AND ("Stroke" OR "MulƟple sclerosis" OR "TraumaƟc brain injur*" OR "TBI*" OR "TraumaƟc brain injur*" OR "Acquired brain injur*" OR "Head injur*" OR "Spinal cord injur*" OR Parapleg* OR Quadripleg*). Plusieurs avenues d'interventions soulevées pour cette population peuvent être classées dans la dimension physique de l'IC car elles ont pour objet les déplacements dans la communauté (Lemay, 2011), l'accessibilité de l'environnement (Barclay, McDonald, Lentin, et Bourke-Taylor, 2016;Lysack, Komanecky, Kabel, Cross, et Neufeld, 2007;Price et al., 2011;Sekaran et al., 2010;Ullah et Erna, 2013), la disponibilité des soins de santé, les politiques gouvernementales en matière de santé (Lysack et al., 2007;Sekaran et al., 2010), et la pratique d'activités sportives. ...
Article
Description Bien que l’intégration communautaire (IC) constitue l’ultime but en réadaptation, elle s’actualise rarement en clinique. But Le but de cette étude était de (a) synthétiser l’état des connaissances ergothérapiques liées à l’IC auprès de personnes atteintes d’un trouble neurologique et (b) dresser un portrait de l’opérationnalisation du concept d’IC au sein de ces écrits. Méthodologie Un examen de la portée fut réalisé en double sélection pour ultimement retenir 47 écrits, touchant quatre populations sélectionnées. Les thématiques propres à l’ensemble des clientèles ont été dégagées par analyse de contenu et les constats touchant l’évolution des connaissances ont fait l’objet de synthèses itératives. Résultats Les écrits retenus concernent le traumatisme craniocérébral ( n = 21, 9 devis expérimentaux [EXP]), les blessures médullaires ( n = 11, 4 EXP), l’accident vasculaire cérébral ( n = 9, 4 EXP) et la sclérose en plaques ( n = 4, 1 EXP). L’IC est employée de façon interchangeable avec la participation sociale: 51 % des écrits définissent l’IC uniquement à partir d’un outil de mesure et 10 % n’offrent aucune définition de l’IC. La dimension physique de l’IC est plus étudiée que les dimensions sociale et psychologique. Conséquences Les pratiques innovantes doivent viser l’affiliation et l’exercice d’une pleine citoyenneté afin de soutenir une habilitation durable.
Article
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Article
Full-text available
This study assessed the efficacy of a community-based program designed to provide Independent Living services (ILS) to people with new, traumatic spinal cord injuries (SCI). The program was implemented in six communities throughout the US served by Model SCI Care Systems where services are provided by Centers for Independent Living. Participants consisted of eighty-one people with new, traumatic SCI (38% intervention participants and 62% comparison group members). Each group was assessed with regard to ILS received, unmet needs for services, satisfaction with services and three outcomes: perceived control, quality of life and societal participation. Results show that program participants and comparison group subjects differed little in terms of either measures of ILS or the outcome measures. There were numerous associations between ILS and outcomes; those who felt that they did not need ILS tended to have superior outcomes to both those who received these services and those who said that they had unmet needs. Advocacy services had the strongest association with study outcomes. The study highlights the importance of minimizing the need for ILS. It also indicates that there is a need for improved communication among rehabilitation professionals working in large medical institutions and those working in community organizations.
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Spinal cord injury (SCI) implies a drastic change in the quality of life of an individual, and this fact must be considered by the physiatrist. The aim of this study was to assess the degree of disability shown by patients with spinal cord injury at 5 years post-SCI. For this purpose we used the Craig Handicap Assessment and Reporting Technique (CHART) scale which included the evaluation of occupation, physical independence, mobility, social integration and economic self-sufficiency. A questionnaire was mailed to 243 patients who were admitted over a one-year period to the Hospital Nacional de Parapléjicos in Toledo, Spain. From these, we received 90 answers. No significant differences were observed when they were compared to the 90 patients who answered the questionnaire. 30% of the patients had less than 333 points on the scale, meaning that they could be considered severely disabled, while a score higher than 438 points was seen in 46.7% of the patients: most of these individuals were younger than 18 and had less severe neurologic injuries. Despite the enormous impact of SCI, according to the scale used most patients have scores above the disability level.
Challenges to complete home environment modification for persons with paraplegia using wheel chair following rehabilitation at CRP. Unpublished Undergraduate Thesis
  • S M Rashiduzzaman