Participation and autonomy, independence in activities of daily living and upper extremity functioning in individuals with spinal cord injury
Abstract Improvements in care and rehabilitation have resulted in a higher proportion of people living with spinal cord injury (SCI), which calls for an increased focus on participation and autonomy. This observational cross-sectional study investigated the impact of SCI on autonomy and how it corre...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2024-04-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-024-59862-2 |
| _version_ | 1797199554221703168 |
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| author | Lamprini Lili Katharina S. Sunnerhagen Tiina Rekand Margit Alt Murphy |
| author_facet | Lamprini Lili Katharina S. Sunnerhagen Tiina Rekand Margit Alt Murphy |
| author_sort | Lamprini Lili |
| collection | DOAJ |
| description | Abstract Improvements in care and rehabilitation have resulted in a higher proportion of people living with spinal cord injury (SCI), which calls for an increased focus on participation and autonomy. This observational cross-sectional study investigated the impact of SCI on autonomy and how it correlates to activity performance and upper extremity functioning. A total of 25 adults (mean age 58 years) with chronic cervical or thoracic SCI were included. Self-perceived autonomy was measured with Impact on Participation and Autonomy questionnaire, independence in activities of daily living (ADL) with Spinal Cord Independence Measure, upper extremity functioning with Action Research Arm Test (ARAT) and kinematic measures of the drinking task. The results showed that most participants perceived injury-related restrictions in outdoor autonomy (80%), family role (76%), and in indoor autonomy (72%). Independence in self-care (r = 0.72), mobility (r = 0.59) and upper extremity kinematics of movement time (r = 0.63) and smoothness (r = 0.49) were correlated to indoors autonomy. Social life autonomy was correlated to self-care (r = 0.50) and ARAT (r = 0.41). In conclusion, autonomy was perceived restricted after SCI in several major life areas and correlated with independence in ADL and upper extremity functioning. The aspects of autonomy should be considered more in goal setting and clinical decision-making. |
| first_indexed | 2024-04-24T07:17:36Z |
| format | Article |
| id | doaj.art-8c0eaed99f5248f289be8baaa15f9c2d |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-24T07:17:36Z |
| publishDate | 2024-04-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-8c0eaed99f5248f289be8baaa15f9c2d2024-04-21T11:14:12ZengNature PortfolioScientific Reports2045-23222024-04-011411910.1038/s41598-024-59862-2Participation and autonomy, independence in activities of daily living and upper extremity functioning in individuals with spinal cord injuryLamprini Lili0Katharina S. Sunnerhagen1Tiina Rekand2Margit Alt Murphy3Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of GothenburgDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of GothenburgDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of GothenburgDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of GothenburgAbstract Improvements in care and rehabilitation have resulted in a higher proportion of people living with spinal cord injury (SCI), which calls for an increased focus on participation and autonomy. This observational cross-sectional study investigated the impact of SCI on autonomy and how it correlates to activity performance and upper extremity functioning. A total of 25 adults (mean age 58 years) with chronic cervical or thoracic SCI were included. Self-perceived autonomy was measured with Impact on Participation and Autonomy questionnaire, independence in activities of daily living (ADL) with Spinal Cord Independence Measure, upper extremity functioning with Action Research Arm Test (ARAT) and kinematic measures of the drinking task. The results showed that most participants perceived injury-related restrictions in outdoor autonomy (80%), family role (76%), and in indoor autonomy (72%). Independence in self-care (r = 0.72), mobility (r = 0.59) and upper extremity kinematics of movement time (r = 0.63) and smoothness (r = 0.49) were correlated to indoors autonomy. Social life autonomy was correlated to self-care (r = 0.50) and ARAT (r = 0.41). In conclusion, autonomy was perceived restricted after SCI in several major life areas and correlated with independence in ADL and upper extremity functioning. The aspects of autonomy should be considered more in goal setting and clinical decision-making.https://doi.org/10.1038/s41598-024-59862-2Spinal cord injuryAutonomyParticipationIndependenceActivities of daily livingUpper extremity |
| spellingShingle | Lamprini Lili Katharina S. Sunnerhagen Tiina Rekand Margit Alt Murphy Participation and autonomy, independence in activities of daily living and upper extremity functioning in individuals with spinal cord injury Scientific Reports Spinal cord injury Autonomy Participation Independence Activities of daily living Upper extremity |
| title | Participation and autonomy, independence in activities of daily living and upper extremity functioning in individuals with spinal cord injury |
| title_full | Participation and autonomy, independence in activities of daily living and upper extremity functioning in individuals with spinal cord injury |
| title_fullStr | Participation and autonomy, independence in activities of daily living and upper extremity functioning in individuals with spinal cord injury |
| title_full_unstemmed | Participation and autonomy, independence in activities of daily living and upper extremity functioning in individuals with spinal cord injury |
| title_short | Participation and autonomy, independence in activities of daily living and upper extremity functioning in individuals with spinal cord injury |
| title_sort | participation and autonomy independence in activities of daily living and upper extremity functioning in individuals with spinal cord injury |
| topic | Spinal cord injury Autonomy Participation Independence Activities of daily living Upper extremity |
| url | https://doi.org/10.1038/s41598-024-59862-2 |
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