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Community reintegration of persons with traumatic spinal cord injury in Northern India: a cross-sectional study

Since early interventions have improved survival in traumatic spinal cord injury (TSCI), there is a shift toward addressing long-term outcomes like community reintegration and social participation. Despite its importance, community reintegration remains under-researched, particularly in Northern India. This study aims to explore societal reintegration in people with TSCI in Northern India using the Craig Handicap Assessment and Reporting Technique–Short Form (CHART-SF). The CHART-SF examines the impact of age, gender, injury level, terrain, and the ASIA impairment scale (AIS) on physical independence, cognitive independence, mobility, occupation, social integration, and economic self-sufficiency. This cross-sectional observational study included 91 individuals with TSCI who had an injury duration greater than 1 year and received inpatient and outpatient services from our department in a tertiary health care centre between October 2022 and April 2024. Community reintegration scores were low in all areas measured by the CHART-SF, such as physical independence (38.5), cognitive independence (64.5), mobility (38.9), social integration (70.9), and economic self-sufficiency, with occupation (13.6) being the most affected domain. The mean CHART-SF score was 226.4 (56.8) out of a maximum of 600, indicating poor reintegration. Being motor complete (AIS A–B) was moderately-to-strongly associated with worse physical independence (rpb = 0.91, P 

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Posted in: Journal Article Abstracts on 12/31/2025 | Link to this post on IFP |
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