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Functioning and Disability Analysis of Patients with Traumatic Brain Injury and Spinal Cord Injury by Using the World Health Organization Disability Assessment Schedule 2.0

Author

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  • Chia-Ying Kuo

    (School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei 11031, Taiwan
    Office of Medical Affairs, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan)

  • Tsan-Hon Liou

    (Graduate Institute of Injury Prevention and Control, College of Public Health and Nutrition, Taipei Medical University, Taipei 11031, Taiwan
    Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
    Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)

  • Kwang-Hwa Chang

    (Graduate Institute of Injury Prevention and Control, College of Public Health and Nutrition, Taipei Medical University, Taipei 11031, Taiwan
    Department of Physical Medicine and Rehabilitation, Wan Fang Hospital, Taipei Medical University, Taipei 11696, Taiwan)

  • Wen-Chou Chi

    (School of Occupational Therapy, Chung Shan Medical University, Taichung City 40201 Taiwan)

  • Reuben Escorpizo

    (Department of Rehabilitation and Movement Science, College of Nursing and Health Sciences, University of Vermont, Burlington, VT 05401, USA
    Swiss Paraplegic Research, Nottwil 6207, Switzerland)

  • Chia-Feng Yen

    (Department of Public Health, Tzu Chi University, Hualien City 97004, Taiwan)

  • Hua-Fang Liao

    (Chinese Association of Early Intervention Profession for Children with Developmental Delays, Hualien City 97064, Taiwan
    School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei 10055, Taiwan)

  • Hung-Yi Chiou

    (School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei 11031, Taiwan)

  • Wen-Ta Chiu

    (School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei 11031, Taiwan
    These authors contributed equally to this work.)

  • Jo-Ting Tsai

    (Radiation Oncology Department, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561,Taiwan
    These authors contributed equally to this work.)

Abstract

The purpose of this study is to compare traumatic brain injuries (TBI) and spinal cord injuries (SCI) patients’ function and disability by using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0); and to clarify the factors that contribute to disability. We analyzed data available between September 2012 and August 2013 from Taiwan’s national disability registry which is based on the International Classification of Functioning, Disability, and Health (ICF) framework. Of the 2664 cases selected for the study, 1316 pertained to TBI and 1348 to SCI. A larger percentage of patients with TBI compared with those with SCI exhibited poor cognition, self-care, relationships, life activities, and participation in society (all p < 0.001). Age, sex, injury type, socioeconomic status, place of residence, and severity of impairment were determined as factors that independently contribute to disability (all p < 0.05). The WHODAS 2.0 is a generic assessment instrument which is appropriate for assessing the complex and multifaceted disability associated with TBI and SCI. Further studies are needed to validate the WHODAS 2.0 for TBI and SCI from a multidisciplinary perspective.

Suggested Citation

  • Chia-Ying Kuo & Tsan-Hon Liou & Kwang-Hwa Chang & Wen-Chou Chi & Reuben Escorpizo & Chia-Feng Yen & Hua-Fang Liao & Hung-Yi Chiou & Wen-Ta Chiu & Jo-Ting Tsai, 2015. "Functioning and Disability Analysis of Patients with Traumatic Brain Injury and Spinal Cord Injury by Using the World Health Organization Disability Assessment Schedule 2.0," IJERPH, MDPI, vol. 12(4), pages 1-12, April.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:4:p:4116-4127:d:48122
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    References listed on IDEAS

    as
    1. Wen-Chou Chi & Kwang-Hwa Chang & Reuben Escorpizo & Chia-Feng Yen & Hua-Fang Liao & Feng-Hang Chang & Hung-Yi Chiou & Sue-Wen Teng & Wen-Ta Chiu & Tsan-Hon Liou, 2014. "Measuring Disability and Its Predicting Factors in a Large Database in Taiwan Using the World Health Organization Disability Assessment Schedule 2.0," IJERPH, MDPI, vol. 11(12), pages 1-14, November.
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    Cited by:

    1. Seo Yeon Yoon & Ja-Ho Leigh & Jieun Lee & Wan Ho Kim, 2020. "Comparing Activity and Participation between Acquired Brain Injury and Spinal-Cord Injury in Community-Dwelling People with Severe Disability Using WHODAS 2.0," IJERPH, MDPI, vol. 17(9), pages 1-10, April.

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