Abstract：
UNASSIGNED: Spinal cord injury (SCI) is a life-changing condition, almost always leading to disability. The aim was to determine the period-prevalence of activity limitations, participation restrictions, and environmental barriers in community-dwelling persons with traumatic spinal cord injury (TSCI) in Kenya.
UNASSIGNED: A cross-sectional survey of 90 community-dwelling adult persons living with TSCI for more than 1 year, recruited from the database of the only specialised rehabilitation, in-patient, facility in Kenya. Modules of the International Spinal Cord Injury community survey (InSCI) used were demographic and injury characteristics; activity and participation; and environmental factors.
UNASSIGNED: Most prevalent activity limitations and participation restrictions in the total sample were using public transportation (90%), standing unsupported (83%), getting to destination (76%), and toileting (76%). The top environmental barriers were inadequate finances (96%), inaccessibility of public places (92%), and problems with long distance transportation (90%). Participants with tetraplegia were more affected with activity limitations and participation restrictions than those with paraplegia.
UNASSIGNED: Functioning problems and environmental barriers are prevalent among adults living with TSCI in Kenya. Although this is the best-case scenario with respect to healthcare services, where individuals received inpatient rehabilitation previously, a need exists to examine the principles and models of rehabilitation and explore the value proposition of primary care/community level rehabilitation to further optimise independence and functioning.
The functioning problems of persons with spinal cord injury (SCI) in Kenya appear to be diverse in nature, which calls for the evaluation of current rehabilitation services and models with the aim of bolstering independence and participation by including evidence-based interventions to standard treatment packages.A high degree of experiencing environmental challenges was found, calling for a whole-of-government approach to enhance inclusivity of persons with SCIs in society.It appears that additional resources or equity measures are allocated to persons with tetraplegia due to their accentuated experience of disability and negative environmental factors.
UNASSIGNED: A cross-sectional survey of 90 community-dwelling adult persons living with TSCI for more than 1 year, recruited from the database of the only specialised rehabilitation, in-patient, facility in Kenya. Modules of the International Spinal Cord Injury community survey (InSCI) used were demographic and injury characteristics; activity and participation; and environmental factors.
UNASSIGNED: Most prevalent activity limitations and participation restrictions in the total sample were using public transportation (90%), standing unsupported (83%), getting to destination (76%), and toileting (76%). The top environmental barriers were inadequate finances (96%), inaccessibility of public places (92%), and problems with long distance transportation (90%). Participants with tetraplegia were more affected with activity limitations and participation restrictions than those with paraplegia.
UNASSIGNED: Functioning problems and environmental barriers are prevalent among adults living with TSCI in Kenya. Although this is the best-case scenario with respect to healthcare services, where individuals received inpatient rehabilitation previously, a need exists to examine the principles and models of rehabilitation and explore the value proposition of primary care/community level rehabilitation to further optimise independence and functioning.
The functioning problems of persons with spinal cord injury (SCI) in Kenya appear to be diverse in nature, which calls for the evaluation of current rehabilitation services and models with the aim of bolstering independence and participation by including evidence-based interventions to standard treatment packages.A high degree of experiencing environmental challenges was found, calling for a whole-of-government approach to enhance inclusivity of persons with SCIs in society.It appears that additional resources or equity measures are allocated to persons with tetraplegia due to their accentuated experience of disability and negative environmental factors.
摘要：
■脊髓损伤（SCI）是一种改变生活的疾病，几乎总是导致残疾。目的是确定活动限制的时期流行率，参与限制,肯尼亚社区居住的创伤性脊髓损伤（TSCI）患者的环境障碍。
■对90名居住在TSCI中超过1年的社区成年人的横断面调查，从唯一的专业康复数据库中招募，在病人中，在肯尼亚的设施。使用的国际脊髓损伤社区调查（InSCI）的模块是人口统计学和损伤特征；活动和参与；和环境因素。
■总样本中最普遍的活动限制和参与限制是使用公共交通工具（90％），站立无支撑(83%)，到达目的地（76%），（76%）。最大的环境障碍是资金不足(96%)，公共场所无法进入(92%)，以及长途运输问题(90%)。与截瘫患者相比，四肢瘫痪患者受活动限制和参与限制的影响更大。
■在肯尼亚患有TSCI的成年人中普遍存在功能问题和环境障碍。尽管这是医疗保健服务的最佳情况，个人以前接受过住院康复治疗，有必要审查康复的原则和模式，并探索初级保健/社区一级康复的价值主张，以进一步优化独立性和功能。
肯尼亚脊髓损伤（SCI）患者的功能问题在本质上似乎是多种多样的，这要求对目前的康复服务和模式进行评估，目的是通过将循证干预措施纳入标准治疗方案来加强独立性和参与度。发现了高度的环境挑战，呼吁采取全政府的方法，以增强社会中与SCI人员的包容性。由于四肢瘫痪者的严重残疾经历和负面环境因素，似乎向他们分配了额外的资源或公平措施。
■对90名居住在TSCI中超过1年的社区成年人的横断面调查，从唯一的专业康复数据库中招募，在病人中，在肯尼亚的设施。使用的国际脊髓损伤社区调查（InSCI）的模块是人口统计学和损伤特征；活动和参与；和环境因素。
■总样本中最普遍的活动限制和参与限制是使用公共交通工具（90％），站立无支撑(83%)，到达目的地（76%），（76%）。最大的环境障碍是资金不足(96%)，公共场所无法进入(92%)，以及长途运输问题(90%)。与截瘫患者相比，四肢瘫痪患者受活动限制和参与限制的影响更大。
■在肯尼亚患有TSCI的成年人中普遍存在功能问题和环境障碍。尽管这是医疗保健服务的最佳情况，个人以前接受过住院康复治疗，有必要审查康复的原则和模式，并探索初级保健/社区一级康复的价值主张，以进一步优化独立性和功能。
肯尼亚脊髓损伤（SCI）患者的功能问题在本质上似乎是多种多样的，这要求对目前的康复服务和模式进行评估，目的是通过将循证干预措施纳入标准治疗方案来加强独立性和参与度。发现了高度的环境挑战，呼吁采取全政府的方法，以增强社会中与SCI人员的包容性。由于四肢瘫痪者的严重残疾经历和负面环境因素，似乎向他们分配了额外的资源或公平措施。
