Health of people with spinal cord injury in Singapore: implications for rehabilitation planning and implementation

Abstract

Purpose. This study aimed to provide a broad overview of the health of people with spinal cord injury (SCI) in Singapore, so as to highlight areas of potential need. These areas could then guide future research and rehabilitation programme development.

Methods. Demographic data, injury information and information about SCI-related secondary impairments, chronic conditions and their associated risk factors, medical and hospital utilisation, participation (Craig Handicap Assessment and Reporting Technique) and life satisfaction (Satisfaction with Life Scale) were collected via interviews from people living with traumatic SCI.

Results. On average, participants (50 men and 5 women) were aged 48.3  ±  16.54 years and had had their SCIs for 5 years. −75%% with tetraplegia. The most prevalent SCI-related secondary impairments were pain, spasms, bladder problems, bowel problems and oedema. Chronic conditions and their associated risk factors were prevalent. Participation and life satisfaction scores were lower than those reported for similar populations cross-culturally.

Conclusion. The study revealed several health areas that may be affecting the overall health of people with SCI in Singapore. By focusing on community reintegration and health promotion, physiotherapists and other rehabilitation professionals may augment health outcomes and improve the quality of life of this population in Singapore.

Keywords:

• Secondary impairments
• chronic conditions
• participation
• life satisfaction

Declaration of interest: The financial support of the University of British Columbia, Tan Tock Seng Rehabilitation Centre and the Singapore Physiotherapy Association towards the completion of this study is greatly appreciated.