abstract: 'Background: Community reintegration is a major outcome of rehabilitation

  after the acute phase in people with spinal cord injury (PWSCI).

  Objective: To investigated clinical and socio-demographic factors

  determining community participation in PWSCI, living in the greater

  eThekwini Municipality, KwaZulu-Natal province.

  Method: Our quantitative, cross-sectional study had a convenient sample

  of 41 PWSCI. A trained interviewer obtained socio-demographic

  information using a structured questionnaire. Participants completed the

  Reintegration to Normal Living Index (RNLI). Descriptive statistics were

  used in summarising the data; inferential statistics, -a t-test and

  analysis of variance (ANOVA) assessed the association of clinical and

  socio-demographic factors with the extent of community reintegration. A

  multiple linear regression investigated the determinants of community

  reintegration with the alpha level set at p = 0.05.

  Results: Mean age of the participants was 41 years (s.d.: 10, range

  25-66), with the majority (n = 32, 78\%) being male. The mean RNLI score

  was 68\% (s.d.: 22, range 24-100). Participants scored higher on the

  RNLI if they were male (mean difference {[}MD] 18\%, 95\% confidence

  interval {[}CI]: 2-34), were employed (MD 16\%, 95\% CI: 0-32), had a

  salary (MD 19\%, 95\% CI: 5-32) and had no muscle spasms (MD 14\%, 95\%

  CI: 1-27. Muscle spasms (p = 0.012, 95\% CI: 3.85-29.05) and being

  female PWSCI (p = 0.010, 95\% CI: -35.75 to -5.18) were significant

  negative predictors of community reintegration.

  Conclusion: Community reintegration may be influenced by socio-economic

  factors. Special interventions for muscle spasms and support for women

  living with spinal cord injuries may enhance community reintegration.

  Clinical implication: Therapists need to focus on community

  reintegration with female PWSCI and on returning to PWSCI to work as

  this was improved community reintegration.'
affiliation: 'Naidoo, D (Corresponding Author), Univ KwaZulu Natal, Fac Hlth Sci,
  Dept Occupat Therapy, Durban, South Africa.

  Nadasan, Thayananthee; Pefile, Ntsikelelo, Univ KwaZulu Natal, Fac Hlth Sci, Dept
  Physiotherapy, Durban, South Africa.

  Ogunlana, Michael O.; Naidoo, Deshini, Univ KwaZulu Natal, Fac Hlth Sci, Dept Occupat
  Therapy, Durban, South Africa.

  Ogunlana, Michael O., Fed Med Ctr, Dept Physiotherapy, Abeokuta, Nigeria.'
article-number: a1631
author: Buys, Estelle and Nadasan, Thayananthee and Pefile, Ntsikelelo and Ogunlana,
  Michael O. and Naidoo, Deshini
author-email: naidoodes@ukzn.ac.za
author_list:
- family: Buys
  given: Estelle
- family: Nadasan
  given: Thayananthee
- family: Pefile
  given: Ntsikelelo
- family: Ogunlana
  given: Michael O.
- family: Naidoo
  given: Deshini
da: '2023-09-28'
doi: 10.4102/sajp.v78i1.1631
eissn: 2410-8219
files: []
issn: 0379-6175
journal: SOUTH AFRICAN JOURNAL OF PHYSIOTHERAPY
keywords: 'community reintegration; spinal cord injury; functioning; participation;

  Reintegration to Normal Living Index (RNLI)'
keywords-plus: 'NORMAL LIVING INDEX; SOUTH-AFRICA; SOCIAL-PARTICIPATION; CAPE-TOWN;

  EMPLOYMENT; INDIVIDUALS; ASSOCIATION; VALIDATION; DISABILITY; BARRIERS'
language: English
month: MAY 27
number: '1'
number-of-cited-references: '39'
orcid-numbers: 'Govender, Pragashnie/0000-0003-3155-3743

  Pefile, Ntsikelelo/0000-0001-8856-8482

  Ogunlana, Michael/0000-0001-6877-6938

  Naidoo, Deshini/0000-0001-6276-221X'
papis_id: c632c56611bdd3ec12329820a7924b59
ref: Buys2022clinicssociodemograp
researcherid-numbers: 'Govender, Pragashnie/G-5213-2013

  NAIDOO, DESHINI/IAM-6465-2023

  '
times-cited: '0'
title: Clinics and socio-demographic determinants of community reintegration in people
  with spinal cord injury in eThekwini Municipality, KwaZulu-Natal province
type: article
unique-id: WOS:000811474900001
usage-count-last-180-days: '1'
usage-count-since-2013: '1'
volume: '78'
web-of-science-categories: Rehabilitation
year: '2022'