Situación de discapacidad de la población adulta con lesión medular de la ciudad de Manizales

Abstract

Objective: To describe the degree of disability in adult population with spinal cord injury and correlate it with social-demographic, clinical and access features as well as sufficiency and satisfaction with rehabilitation  services in the city of Manizales (Colombia). Materials and methods: a descriptive correlational study with  forty-five 18 year old people with varied etiology, neurological level and completeness with more than six  months evolution was carried out in health and rehabilitation Institutions in Manizales (Colombia) between  the second semester 2009 and the first semester 2010. The WHO DAS II and the ASIA Impairment Scale were  used. Results: all participants reported some degree of disability. Significant associations were found  between the type of general disability and the type of affiliation to the public health system, professional  situation, neurological level, zone of partial preservation, sensory and motor ASIA rates, the lesion evolution  time, and number of complications. The complications significantly associated with disability were: urinary  tract infections, joint pain, autonomic dysreflexia and intestinal problems. As far as the use of rehabilitation  services no meaningful relationship was found with any of the variables but meaningful differences were  found between the groups that received accessories and vocational, labour, and educational guidance and  those that did not receive such guidance. Conclusions: the correlations found between social-demographic,  clinical and contextual variables concerning the situation of disabled people with spinal cord injury indicated  the need to implement public health interventions aimed at reducing its incidence, prevent associated  complications and promote integrated rehabilitation processes that foster social inclusion. 

Keywords:

Traumatismos de la médula espinal

evaluación de la discapacidad

rehabilitación

(Fuente: DeCS, BIREME)

Spinal cord injuries

disability evaluation

rehabilitation

(Source: MeSH, NLM)

Traumatismos da medula espinal

avaliação da deficiência física

reabilitação

(Fonte: DeCS, BIREME)

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