Describing Functioning in People Living With Spinal Cord Injury in Switzerland: A Graphical Modeling Approach.

Abstract:

OBJECTIVE:To describe functioning in people living with spinal cord injuries (SCI) in Switzerland. DESIGN:Secondary analysis of cross-sectional survey data. SETTING:Community, Switzerland. PARTICIPANTS:Individuals (N=1549) 16 years of age or older with a history of traumatic or nontraumatic SCI and permanently residing in Switzerland. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Functioning was operationalized through 4 domains: (1) impairments in body functions; (2) impairments in mental functions; (3) independence in performing activities; and (4) performance problems in participation. RESULTS:Univariate analysis indicated a high prevalence of problems in 5 areas: (1) housework; (2) climbing stairs; (3) tiredness; (4) spasticity; and (5) chronic pain. Graphical modeling showed a strong association among the four domains of functioning. Moreover, we found that the differences in the dependence structures were significant between the paraplegia SCI population and the tetraplegia SCI population. CONCLUSIONS:This study is a first study in the epidemiology of functioning of people living with SCI in Switzerland. Using univariate and graphical modeling approaches, we proposed an empirical foundation for developing hypotheses on functioning in each domain and category that could inform health systems on people's health needs.

journal_name

Arch Phys Med Rehabil

authors

Ehrmann C,Prodinger B,Gmünder HP,Hug K,Bickenbach JE,Stucki G

doi

10.1016/j.apmr.2018.04.015

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

1965-1981

issue

10

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(18)30288-0

journal_volume

99

pub_type

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