Psychosocial reintegration post-traumatic spinal cord injury in Rwanda: An exploratory study

South African Journal of Physiotherapy

Field Value
Title Psychosocial reintegration post-traumatic spinal cord injury in Rwanda: An exploratory study
Creator Kanyoni, Maurice Wikmar, Lena N. Philips, Joliana Tumusiime, David K.
Subject Rehabilitation; Neurology community reintegration; spinal cord injury; Rwanda; paraplegia; quadriplegia; resource-constrained; East Africa
Description Background: Traumatic spinal cord injury (TSCI) survivors are confronted by both physical and psychosocial barriers when returning to their communities. Therefore, reintegration is an important aspect of their journey back into social life.Objectives: To assess psychosocial reintegration after TSCI in Rwanda.Method: All community-dwelling adults who were registered in the previous epidemiological study were recruited and injury characteristics questionnaire and the Sydney Psychosocial Reintegration Scale version 2 (SPRS-2) were used to collect data through a telephone interview.Results: The study traced 58 participants, 77.6% (n = 45) were male and 56.9% (n = 33) were categorised with paraplegia. Overall, the results show poor community reintegration. The SPRS-2 and domain mean (SD) scores were: overall SPRS-2 of 20.95 (11.56), occupational activity (OA) of 3.68 (4.31), interpersonal relationship (IR) of 7.11(4.31) and living skills (LS) of 7.43 (5.32). Gender significantly influenced overall SPRS-2 (p = 0.011) and two domains: OA (p = 0.005) and LS (p = 0.012). Level of injury was significantly associated with an OA domain score of SPRS-2 (p = 0.002). Gender explained 29% of the variance in the LS domain of SPRS-2, with males reporting better psychosocial reintegration.Conclusion: Gender strongly predicted psychosocial reintegration following a TSCI, which is an indication of the role of social support.Clinical Implications: Traumatic SCI rehabilitation should be holistic to help prepare the person to return to the community. There should be an assessment of an individual’s readiness to return to the community before discharge from the hospital.
Publisher AOSIS
Date 2024-02-29
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Exploratory study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajp.v80i1.1996
Source South African Journal of Physiotherapy; Vol 80, No 1 (2024); 7 pages 2410-8219 0379-6175
Language eng
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Coverage Africa; Rwanda 2019-2021 Male; female, 19 years old and above; black Africans living in the community
Rights Copyright (c) 2024 Maurice Kanyoni, Lena N. Wikmar, Joliana Philips, David K. Tumusiime