Quality of Life among Persons with Paraplegic Spinal Cord Injury

Md. Shofiqul Islam, Humayra Jahan, Mohammad Sohrab Hossain, Md. Fazlul Karim Patwary


Purpose: This article aimed to examine quality of life (QoL) among persons with paraplegic spinal cord injury (SCI), to determine their socio-demographic details, and to measure the different levels of performance in correlation with the International Classification of Functioning, Disability and Health (ICF).

Method: A descriptive cross–sectional study was conducted with a structured questionnaire to collect information from 45 persons with paraplegic SCI. Data was collected by purposive sampling technique and face-to-face interviews.

Results: Most of the participants (47%, n=21) were in the age group of 20-30 years, with a mean age of 33.53 (± 11.14) years. There were more men (89%, n=40) than  women (11%, n=5) and the ratio was 8:1. The most common occupation was farming (27%, n=12), followed by daily labour (22%, n=10). Fall from a height (58%, n=26) was the most common cause of injury. A high percentage of participants (36%, n=16) rated their quality of life (QoL) as poor. Depression was felt very often (44%, n=20), where as happiness lasted for only a little while (38%, n=17).Older participants faced problems at work more often than younger persons. Males and those who worked in public places faced problems in dressing or bathing independently. Married participants were more dissatisfied regarding income and the amount of work they were able to do. Those who had met with road accidents had more emotional problems than others. Association analysis showed that by increasing happiness and decreasing depression participants’ quality of life could improve.  

Conclusion: The study demonstrated that spinal cord injury greatly affects quality of life (QoL) and gives rise to more problems, especially in the areas of physical and mental health. It is necessary to take steps to improve the physical and emotional status of paraplegic spinal cord injury clients, as this will eventually lead to improvement in their quality of life


Quality of Life; spinal cord injury; paraplegic

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Ali DKA, Tawfiq NB (2013). Assessment of spinal cord injured persons' quality of life. Kufa Journal for Nursing Science, 3(1): 231-243.

Andresen EM, Fouts BS, Romeis JC, Brownson CA (1999). Performance of health-related quality-of-life instruments in a spinal cord injured population. Archives of Physical Medicine and Rehabilitation, 80: 877-884. http://dx.doi.org/10.1016/S0003-9993(99)90077-1

Chen Y, Tang Y, Vogel LC, Devivo MJ (2013). Causes of spinal cord injury. Topics in Spinal Cord Injury Rehabilitation, 19(1): 1-8. http://dx.doi.org/10.1038/sc.2013.48. http://dx.doi.org/10.1038/sc.2013.6. PMid:23459123

Geyh S, Fellinghauer BAG, Kirchberger I, Post MWM (2010). Cross-cultural validity of four quality of life scales in persons with spinal cord injury. Health and Quality of Life Outcomes, 8(94): 2-16. http://dx.doi.org/10.1186/1477-7525-8-94

Gurcay E, Bal A, Eksioglu E, Cakci A (2010). Quality of life in patients with spinal cord injury. International Journal of Rehabilitation Research, 33(4): 356-8. http://dx.doi.org/10.1097/MRR.0b013e328338b034. PMid:20354443

Hoque MF, Hasan Z, Razzak ATMA, Helal SU (2012). Cervical spinal cord injury due to fall while carrying heavy load on head: a problem in Bangladesh. Spinal Cord, 50(4): 275–77. http://dx.doi.org/10.1038/sc.2011.153. PMid:22143680

Kawanishi CY, Greguol M (2013). Physical activity, quality of life, and functional autonomy of adults with spinal cord injuries. Adapted Physical Activity Quarterly, 30(4): 317–37. http://dx.doi.org/10.1123/apaq.30.4.317. PMid:24197622

Kreuter M, Steen AS, Erkholm B, Bystrom U, Brown DJ (2005). Health and quality of life of persons with spinal cord lesion in Australia and Sweden. Spinal Cord, 43(2): 123–129. http://dx.doi.org/10.1038/sj.sc.3101692. PMid:15545980

Leduc BE, Lepage Y (2002). Health-related quality of life after spinal cord injury. Disability and Rehabilitation, 24(4): 196–202. http://dx.doi.org/10.1080/09638280110067603. PMid:11926260

Manns PJ, Chad KE (1999). Determining the relation between quality of life, handicap, fitness, and physical activity for persons with spinal cord injury. Archives of Physical Medicine and Rehabilitation, 80: 1566–71. http://dx.doi.org/10.1016/S0003-9993(99)90331-3

Mothe AJ, Tator CH (2013). Review of transplantation of neural stem progenitor cells for spinal cord injury. International Journal of Developmental Neuroscience, 31(7): 701–713. http://dx.doi.org/10.1016/j.ijdevneu.2013.07.004. PMid:23928260

Munce SEP, Perrier L, Tricco AC, Straus SE, Fehlings MG, Kastner M., Jang E, Webster F, Jaglal SB (2013). Impact of quality improvement strategies on the quality of life and well-being of individuals with spinal cord injury : a systematic review protocol. Systematic Reviews Journal, 2(14): 2-5. http://dx.doi.org/10.1186/2046-4053-2-14

New PW, Farry A, Baxter D, Noonan VK (2013). Prevalence of non-traumatic spinal cord injury in Victoria, Australia. Spinal Cord, 51: 99–102. http://dx.doi.org/10.1038/sc.2012.61. PMid:22665222

Ning GZ, Wu Q, Li YL, FengSQ (2012). Epidemiology of traumatic spinal cord injury in Asia: a systematic review. Journal of Spinal Cord Medicine, 35(4): 229–239. http://dx.doi.org/10.1179/2045772312Y.0000000021 PMid:22925749 PMCid:PMC3425879

Nwankwo OE, Uche EO (2013). Epidemiological and treatment profiles of spinal cord injury in southeast Nigeria. Spinal Cord, 51: 448–52. http://dx.doi.org/10.1038/sc.2013.10. PMid:23478671

Oyinbo CA (2011). Secondary injury mechanisms in traumatic spinal cord injury : a nugget of this multiply cascade. Acta Neurobiologiae Experimentalis, 71: 281–299.

Putzke JD, Richards JS, DeVivo MJ (2001). Quality of life after spinal cord injury caused by gunshot. Archives of Physical Medicine and Rehabilitation, 82(7): 949–54. http://dx.doi.org/10.1053/apmr.2001.23973. PMid:11441384

Rabadi MH, Mayanna SK, Vincent AS (2013). Predictors of mortality in veterans with traumatic spinal cord injury. Spinal Cord, 51(10): 784–88.

http://dx.doi.org/10.1038/sc.2013.77. PMid:23896672

Rahman KAA, Ibrahim BSKK, Jamil MMA, Leman AM (2012). The development of control system via brain computer interface (BCI) - functional electrical stimulation (FES) for paraplegic subject. International Journal of Integrated Engineering, 4(3): 59–64.

Razzak A, Helal SU, Nuri RP (2011). Life expectancy after spinal cord injury in a developing country-a retrospective study at CRP, Bangladesh. Asia Pacific Disability Rehabilitation Journal, 22(2): 114-23. http://dx.doi.org/10.5463/dcid.v22i2.34

Saadat S, Javadi M, Divshali BS, Tavakoli AH, Ghodsi SM, Montazeri A, Rahimi-Movaghar V (2010). Health-related quality of life among individuals with long-standing spinal cord injury : a comparative study of veterans and non-veterans. BMC Public Health, 10(6): 1-7. http://dx.doi.org/10.1186/1471-2458-10-6

Singh R, Sharma SC, Mittal R, Sharma A (2003). Traumatic spinal cord injuries in Haryana : an epidemiological study. Indian Journal of Community Medicine, 28(4): 184-86.

Smith TF, Russel HF, Kelly EH, Mulcahey MJ, Betz RR, Voge LC (2013). Examination and measurement of coping among adolescents with spinal cord injury. Spinal Cord, 51(9): 710–14. http://dx.doi.org/10.1038/sc.2013.65. PMid:23896670

Tasiemski T, Priebe MM, Wilski M (2013). Life satisfaction and life values in people with spinal cord injury living in three Asian countries : A multicultural study. The Journal of Spinal Cord Medicine, 36(2): 118-26.

http://dx.doi.org/10.1179/2045772312Y.0000000074 PMid:23809526 PMCid:PMC3595959

Tucker CA, Cieza A, Riley AW, Stucki G, Lai JS, Ustun TB, Kostanjsek N, Riley W, Forrest CB (2014). Concept analysis of the Patient reported outcomes measurement information system (PROMIS®) and the international classification of functioning, disability and health (ICF). Quality of Life Research, 23(6), 1677-1686. http://dx.doi.org/10.1007/s11136-014-0622-y. PMid:24500657

World Health Organisation (2001).International Classification of Functioning, Disability and Health (ICF).Geneva, Switzerland/

Wyndaele M, Wyndaele JJ (2006). Review incidence , prevalence and epidemiology of spinal cord injury : what learns a worldwide literature survey. Spinal Cord, 44: 523–52. http://dx.doi.org/10.1038/sj.sc.3101893. PMid:16389270

DOI: http://dx.doi.org/10.5463/dcid.v27i3.477


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