Spinal cord injury and outdoor experiences

Area of Science:

• Rehabilitation Medicine
• Environmental Psychology
• Disability Studies

Background:

• Anecdotal evidence suggests nature experiences are beneficial for spinal cord injury (SCI) rehabilitation clients, especially those with prior outdoor interests.
• North American SCI centers incorporate outdoor activities into rehabilitation programs.
• Existing literature highlights the role of leisure and recreation in post-SCI functional independence and quality of life.

Purpose of the Study:

• To review the existing literature on nature experiences and outdoor pursuits in SCI rehabilitation and adjustment.
• To identify the gap in empirical research regarding the effects of these activities.
• To underscore the need for systematic research on the value of outdoor experiences in SCI recovery and adaptation.

Main Methods:

• A literature review was conducted to explore the dynamics of nature experiences and outdoor pursuits within SCI rehabilitation.
• Analysis of studies on leisure and recreation post-SCI was performed to infer potential benefits.
• Identification of research lacunae in the specific area of outdoor activities for SCI adjustment.

Main Results:

• A significant lack of empirical research was found concerning the effects of nature experiences and outdoor pursuits in SCI rehabilitation.
• Studies on general leisure and recreation indicate positive impacts on functional independence, quality of life, and community re-integration.
• The review highlights the need for further investigation into these specific interventions.

Conclusions:

• There is a need for systematic research to determine the value and contribution of outdoor experiences in spinal cord injury rehabilitation.
• Further investigation is required to document how contact with 'blue-green nature' aids in identity reconstruction and adjustment to life with a physical disability.