Dilemmas of Korean Athletes With a Spinal Cord Injury to Participate in Sports: A Survey Based on the ICF Core Set for Spinal Cord Injury
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Objective To explore the experiences of athletes with spinal cord injury (SCI) in Korea with respect to dilemmas of participating in sports with regards to the facilitators and barriers, using the International Classification of Functioning, Disability and Health (ICF).Methods The facilitators and barriers to sports participation of individuals with SCI were examined using 112 ICF categories. A questionnaire in dichotomous scale was answered, which covered the subjects ‘Body functions’, ‘Body structures’, ‘Activity and participation’ and ‘Environmental factors’. Data analysis included the use of descriptive statistics to examine the frequency and magnitude of reported issues. Results Sixty-two community-dwelling participants were recruited. Frequently addressed barriers in ‘Body functions’ were mobility related problems such as muscle and joint problems, bladder and bowel functions, pressure ulcers, and pain. In ‘Activity and participation’, most frequently reported were mobility and self-care problems. Highly addressed barriers in ‘Environmental factors’ were sports facilities, financial cost, transportation problems and lack of information. Relationships such as peer, family and friends were the most important facilitators. Conclusion Numerous barriers still exist for SCI survivors to participate in sports, especially in the area of health care needs and environmental factors. Our results support the need for a multidisciplinary approach to promote sports participation.
Abstract
Objective To explore the experiences of athletes with spinal cord injury (SCI) in Korea with respect to dilemmas of participating in sports with regards to the facilitators and barriers, using the International Classification of Functioning, Disability and Health (ICF).Methods The facilitators and barriers to sports participation of individuals with SCI were examined using 112 ICF categories. A questionnaire in dichotomous scale was answered, which covered the subjects ‘Body functions’, ‘Body structures’, ‘Activity and participation’ and ‘Environmental factors’. Data analysis included the use of descriptive statistics to examine the frequency and magnitude of reported issues. Results Sixty-two community-dwelling participants were recruited. Frequently addressed barriers in ‘Body functions’ were mobility related problems such as muscle and joint problems, bladder and bowel functions, pressure ulcers, and pain. In ‘Activity and participation’, most frequently reported were mobility and self-care problems. Highly addressed barriers in ‘Environmental factors’ were sports facilities, financial cost, transportation problems and lack of information. Relationships such as peer, family and friends were the most important facilitators. Conclusion Numerous barriers still exist for SCI survivors to participate in sports, especially in the area of health care needs and environmental factors. Our results support the need for a multidisciplinary approach to promote sports participation.
참고문헌 (22)
- Garshick E, "A prospective assessment of mortality in chronic spinal cord injury", Spinal Cord, 43, pp.408~416 (2005)
- Nash MS, "Exercise as a health-promoting activity following spinal cord injury", J Neurol Phys Ther, 29, pp.87~106 (2005)
- Forchheimer M, "Enhancing community reintegration following spinal cord injury", NeuroRehabilitation, 19, pp.103~113 (2004)
- McKinley WO, "Long-term medical complications after traumatic spinal cord injury: a regional model systems analysis", Arch Phys Med Rehabil, 80, pp.1402~1410 (1999)
- Rimmer JH, "Physical activity participation among persons with disabilities: barriers and facilitators", Am J Prev Med, 26, pp.419~425 (2004)
- The results of the research on needs and actual conditions of people with spinal cord injury in Korea, "Korea Spinal Cord Injury Association", Korea Spinal Cord Injury Association, ~ (2012)
- Cieza A, "ICF Core Sets for individuals with spinal cord injury in the longterm context", Spinal Cord, 48, pp.305~312 (2010)
- Scelza WM, "Perceived barriers to exercise in people with spinal cord injury", Am J Phys Med Rehabil, 84, pp.576~583 (2005)
- Tasiemski T, "Athletic identity and sports participation in people with spinal cord injury", Adapt Phys Activ Q, 21, pp.364~378 (2004)
- Barclay L, "Social and community participation following spinal cord injury: a critical review", Int J Rehabil Res, 38, pp.1~19 (2015)
- 김창국, "재활스포츠 프로그램이 만성 척수손상장애인의 스포츠 참여도, 재활스포츠 인식도, 자아효능감에 미치는 영향", 한국사회체육학회지, 20(2), pp.773~781 (2003), 한국사회체육학회
- 이문숙, "스포츠 참가가 척수장애인의 사회적 지지와 장애수용감에 미치는 영향", 한국특수체육학회지, 19(2), pp.91~102 (2011), 한국특수체육학회
- Chang FH, "Community participation measures for people with disabilities: a systematic review of content from an international classification of functioning, disability and health perspective", Arch Phys Med Rehabil, 94, pp.771~781 (2013)
- Pagliacci MC, "A multicentre follow-up of clinical aspects of traumatic spinal cord injury", Spinal Cord, 45, pp.404~410 (2007)
- Grimby G, "Muscle fiber composition in patients with traumatic cord lesion", Scand J Rehabil Med, 8, pp.37~42 (1976)
- Liu CW, "Relationship between neurogenic bowel dysfunction and health-related quality of life in persons with spinal cord injury", J Rehabil Med, 41, pp.35~40 (2009)
- Price MJ, "Thermoregulation during exercise in individuals with spinal cord injuries", Sports Med, 36, pp.863~879 (2006)
- Phillips WT, "Effect of spinal cord injury on the heart and cardiovascular fitness", Curr Probl Cardiol, 23, pp.641~716 (1998)
- Gelis A, "Pressure ulcer risk factors in persons with spinal cord injury part 2: the chronic stage", Spinal Cord, 47, pp.651~661 (2009)
- Taylor D, "Sports injuries in athletes with disabilities: wheelchair racing", Paraplegia, 33, pp.296~299 (1995)
- Bernard PL, "Balance and stabilization capability of paraplegic wheelchair athletes", J Rehabil Res Dev, 31, pp.287~296 (1994)
- Survey on physical activity of people with disability in Korea, "Korea Ministry of Culture, Sports and Tourism", Ministry of Culture, Sports and Tourism, ~ (2013)