Comparing Activity and Participation between Acquired Brain Injury and Spinal-Cord Injury in Community-Dwelling People with Severe Disability Using WHODAS 2.0

Central-nervous-system (CNS) injuries constitute a significant cause of morbidity (often resulting in long-term disability) and mortality. This cross-sectional study compared the activity and participation of community-dwelling people with severe disability from acquired brain injuries (ABI) ( = 322...

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Bibliographic Details
Published in:International journal of environmental research and public health 2020-04, Vol.17 (9), p.3031
Main Authors: Yoon, Seo Yeon, Leigh, Ja-Ho, Lee, Jieun, Kim, Wan Ho
Format: Article
Language:English
Subjects:
Brain injury
Classification
Cognition
Community involvement
Community participation
Disability
Hypoxia
Morbidity
People with disabilities
Polls & surveys
Questionnaires
Regression analysis
Rehabilitation
Risk analysis
Risk factors
Schedules
Social factors
Sociodemographics
Socioeconomic data
Socioeconomic factors
Socioeconomics
Stroke
Studies
Traumatic brain injury
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Summary:Central-nervous-system (CNS) injuries constitute a significant cause of morbidity (often resulting in long-term disability) and mortality. This cross-sectional study compared the activity and participation of community-dwelling people with severe disability from acquired brain injuries (ABI) ( = 322) and spinal-cord injuries (SCI) ( = 183) to identify risk factors related to disability. Data were collected through a questionnaire survey of community-dwelling people with severe disability attending 65 healthcare centers. The survey included the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) and sociodemographic factors. We categorized a registered grade of disability of 1 or 2 as severe disability. WHODAS 2.0 domain and summary scores were compared between the ABI and SCI groups, and risk factors associated with disability were identified through regression analysis. ABI participants had significantly higher disability in cognition and relationships, whereas patients with SCI had higher disability in mobility ( < 0.05). Onset duration was negatively correlated with cognition, relationships, participation, and summary scores in ABI participants ( < 0.05). Neither group's socioeconomic factors were associated with WHODA 2.0 scores. Understanding the different patterns of disability between SCI and ABI in community-dwelling people with severe disability helps establish future plans for the management of health resources.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph17093031