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Unhandicapping the disabled: what is possible?

M Brown, W A Gordon, K Ragnarsson

    Archives of Physical Medicine and Rehabilitation
    |April 1, 1987
    PubMed
    Summary
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    Adequate resources significantly reduce the impact of spinal cord injury (SCI) on daily life. Even with SCI, individuals with good access to transportation and income maintain activity patterns similar to those without disabilities.

    Area of Science:

    • Rehabilitation Medicine
    • Disability Studies
    • Activity Pattern Analysis

    Background:

    • Spinal cord injury (SCI) can lead to significant disability.
    • External handicapping conditions like poor transportation and low income may exacerbate disability.
    • Understanding how resources impact daily activity patterns in SCI is crucial.

    Purpose of the Study:

    • To determine the relationship between handicapping conditions and disability in individuals with SCI.
    • To compare activity patterns of individuals with SCI and able-bodied individuals, focusing on resource access.
    • To explore the impact of adequate resources on mitigating disability effects in SCI.

    Main Methods:

    • Utilized Activity Pattern Indicators to analyze time allocation.

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  • Compared a matched sample of 22 able-bodied men and 22 men with SCI.
  • Focused on subjects with adequate resources, including education, income, and transportation.

    • Main Results:

    • High-resource individuals with SCI exhibited time allocation patterns similar to high-resource able-bodied individuals.
    • The SCI group spent significantly less time on active recreation and household tasks.
    • The SCI group demonstrated a slower activity tempo, switching activities 20% less often.

    Conclusions:

    • Adequate access to resources substantially decreases the impact of impairment in spinal cord injury.
    • Reducing external handicapping conditions is a key policy consideration for improving quality of life after SCI.
    • Further research is needed to fully understand resource implications and policy development for SCI populations.