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Int. J. Environ. Res. Public Health 2015, 12(4), 4116-4127; doi:10.3390/ijerph120404116

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

1
School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei 11031, Taiwan
2
Office of Medical Affairs, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
3
Graduate Institute of Injury Prevention and Control, College of Public Health and Nutrition, Taipei Medical University, Taipei 11031, Taiwan
4
Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
5
Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan
6
Department of Physical Medicine and Rehabilitation, Wan Fang Hospital, Taipei Medical University, Taipei 11696, Taiwan
7
School of Occupational Therapy, Chung Shan Medical University, Taichung City 40201 Taiwan
8
Department of Rehabilitation and Movement Science, College of Nursing and Health Sciences, University of Vermont, Burlington, VT 05401, USA
9
Swiss Paraplegic Research, Nottwil 6207, Switzerland
10
Department of Public Health, Tzu Chi University, Hualien City 97004, Taiwan
11
Chinese Association of Early Intervention Profession for Children with Developmental Delays, Hualien City 97064, Taiwan
12
School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei 10055, Taiwan
13
Radiation Oncology Department, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561,Taiwan
These authors contributed equally to this work.
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 21 January 2015 / Revised: 1 April 2015 / Accepted: 2 April 2015 / Published: 14 April 2015
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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. View Full-Text
Keywords: disability; traumatic brain injury (TBI); spinal cord injury (SCI); World Health Organization Disability Assessment Schedule (WHODAS 2.0); International Classification of Functioning, Disability, and Health (ICF) disability; traumatic brain injury (TBI); spinal cord injury (SCI); World Health Organization Disability Assessment Schedule (WHODAS 2.0); International Classification of Functioning, Disability, and Health (ICF)
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Kuo, C.-Y.; Liou, T.-H.; Chang, K.-H.; Chi, W.-C.; Escorpizo, R.; Yen, C.-F.; Liao, H.-F.; Chiou, H.-Y.; Chiu, W.-T.; Tsai, J.-T. 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. Int. J. Environ. Res. Public Health 2015, 12, 4116-4127.

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