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

Seo Yeon Yoon, Ja-Ho Leigh, Jieun Lee and Wan Ho Kim
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Seo Yeon Yoon: Department of Rehabilitation Medicine, Bundang Jesaeng General Hospital, Seongnam, Gyeonggi-do 13590, Korea
Ja-Ho Leigh: Department of Rehabilitation Medicine, Seoul National University Hospital, College of Medicine, Seoul National University, Seoul 03080, Korea
Jieun Lee: Department of Health Convergence, Graduate School of Ewha Womans University, Seoul 03760, Korea
Wan Ho Kim: Department of Rehabilitation Medicine, National Rehabilitation Center, Seoul 01022, Korea

IJERPH, 2020, vol. 17, issue 9, 1-10

Abstract: 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) ( n = 322) and spinal-cord injuries (SCI) ( n = 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 ( p < 0.05). Onset duration was negatively correlated with cognition, relationships, participation, and summary scores in ABI participants ( p < 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.

Keywords: brain injury; spinal-cord injury; disability; World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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