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|Title||Activity limitation and Community Integration among Adults with Spinal Cord Injuries in Gaza Strip|
This study aimed to assess activity limitation (AL) and community integration (CI) among adults with spinal cord injury, and to study factors that may affect CI for spinal cord injury patients in Gaza Strip (GS). Study design and methodology: A cross-sectional design was used in this study. It included 120 adults with spinal cord injury (SCI), 105 males and 15 females living in the community for at least three months after the injury. The researcher used non-probability convenience sampling. The data collected using a structured interview questionnaire to assess CI and the functional independence measure (FIM) to assessALin the period from 8 March to 20 June 2008. Collected data was entered and analyzed using SPSS (for significance testing, Chi-Square statistical test was used). Results: The mean age of the individuals in this study was 34.9 years. A great percent of them shows high level of CI 58.3% and independency in Activity of Daily Living (ADL) including self-activities, shopping, banking, and transportation 65%. There is no significant relationship between the level of education, level of injury andAL, while other factors as age, gender, marital status (MS), cause of injury, type of injury there is no relationship. There is significant statistical relationship between gender and the level of injury and CI, P=0.029, while other variables as age, gender, MS, cause of injury, type of injury and duration of living with SCI has no significant statistical relationship with CI. There is very strong statistical significant relationship between AL and CI, P= 0.001. Conclusion: The study concluded that most of the individuals with SCI have High level of CI and independency in ADL, there is relationship between AL and CI, as the most independent individuals with SCI the high level of CI. The level of education and the level of injury, the higher level of education the higher level of independency, also affect the independency level. Individuals with cervical level lesion show the lowest level of CI and more dependency in the ADL. Concentration on achieving independency in ADL during the rehabilitation period is of great importance in the outcome of CI after discharge to home, and improving the level of education of the same importance.
|Publisher||the islamic university|
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