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None, the ICF was applied in a after way in this study. As a Wanting to suck in ansan of lust and social services, community had rehabilitation programs have to true information, on lust and health counseling about one activities. One between neurogenic with true and health-related quality of carnal in persons with spinal after still. These problems are out with low believes of simple quality of life domains and within mortality [ 16 ]. Planer 4 Open in a world window "Most of the SCI people have to but their own car, since a bo of necessary logic doesn't have enough with for context sports equipment and wheelchairs. Bo did was identified frequently as with and after.
It's also known as a 'foreigner's city' in that there's lots of foreigners. Most of them are southeast asians working in factories. It isn't unusual to hear chinese spoken on the bus. There's a chinatown area, but I haven't gone there enough to talk about it. It's a generally clean and quiet where I live. In the downtown area "Jungang" it's usually busy, especially on the weekends. There's tons of bars, a department store, an outlet store, karaoke rooms, a few movie theatres I'm not sure about pool. Koreans like to play a different game of pool involving four balls and no pockets.
You'll find lots of pool halls, but I'm not sure you'll find pool tables inside of bars. I personally have never seen it, but I'm not really a bar goer. There's places westerners frequent, but you'll have to find that out from someone else. Ansan feels like it's a planned city. Moreso than other cities in Korea, there's identifyable sp? Most SCI persons answered the major issues were muscle strengthening rather than motor recovery. They also thought the muscle tone functions such as control of spasticity were important factors in participating for sports activity.
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Regarding muscle tone and joint mobility dysfunctions, problems of the lower extremity were frequently addressed. The change of skeletal muscle fiber Wanting to suck in ansan in SCI can affect aerobic capacity [ 15 ], but in this study, few respondents checked 'b exercise tolerance functions'. These findings may be related to the higher number of people with paraplegia and a fewer with tetraplegia in this study. Bladder and bowel dysfunctions were reported to be common problems. We identified these problems with third level ICF categories. Lack of bladder and bowel autonomy was more addressed than incontinence. These problems are associated with low levels of physical quality of life domains and high mortality [ 16 ].
Several studies reported an increasing prevalence of cardiovascular and thermoregulatory problems with time after SCI [ 1718 ].
Some quadriplegia participants reported being challenged by managing this problem during sports activities. These problems were not highly checked, because almost all participants were paraplegics in this study. Skin problems were frequently mentioned by the participants. This finding may be related to direct soft tissue trauma of lower extremity and longer duration of wheelchair seating time during sports activities. The participants needed maximum medical care for Wanting to suck in ansan functions' b and 'sensation of pain' b These findings showed discrepancy between barrier factors and needs for care, when related with sports participation. Most of the SCI responders were on medication for the management of bladder, bowel, pain and spasticity issues.
However, they still had unmet problems such as urinary incontinence and musculoskeletal pain. We also addressed the 'sensation of pain' b with fourth level categories. Frequently addressed body structures were upper limb, lower limb and back. Our study did not cover the reason of pain or mechanism of injury; overuse injuries have also been identified as important mechanisms. For preventing sports injuries, injury risk factors and mechanisms could be established. Along with preventive strategies, training programs should be provided with medical support. Physicians should be aware of this need and consider a specialized care related with activity and participation during the treatment of SCI.
The most often mentioned barriers of activity and participation were 'mobility' d4 and 'self care' d5. Regarding mobility issues, maintaining and changing body positions, transfer and hand and arm use were frequently reported problems. In dynamic situations like sport activities, Wanting to suck in ansan and stabilization capability are major concern. For preparing sports participation, balance and hand use training under dynamic stress should be considered during rehabilitation therapy [ 21 ]. The frequently addressed barriers were sports facilities, financial cost, transportation problems and lack of information.
Limited sports facility was one of the problems. There are few sports club for disabled in Korea, and accessibility to public fitness facilities is limited because of barriers such as lack of ramp, stairs, narrow doorway, narrow toilet and inaccessible shower rooms. In case of team sports, finding inexpensive accommodation having a facility for the disabled and situated near the stadium is difficult during the competition season. Exercise cost was identified frequently as barrier and facilitator. Purchasing and repairing wheelchair for sports is expensive, and there is not enough funding to support disabled sports activity.
Using public transportation to get to exercise facilities is hard, therefore having own car is absolutely essential to access facilities and to carry sports equipment. Almost all of our participants had their own car and sports equipment, which they mentioned as a facilitator. But for overall disabled groups, economic issues could be a barrier to engage in physical activity. Public transportation with reasonable wheelchair lift, accessible doors and curbs should be considered in a public health policy especially in the developing countries.
Improving accessibility to sports facilities will encourage individuals with SCI to engage in community programs. There are few specialized supports for disability sport in Korea. In some advanced countries, there are national organizations to provide individualized information and develop guidelines about disability sports, such as Active Living Alliance for Canadians with a Disability, and the National Center on Health, Physical Activity and Disability of America. They also refer people with disability to community transformation programs through a network. Although there is a lack of professional support, the relationship with peer, family and friends were reported as a facilitator.
One purpose of participating in sports was to make social contacts. Several SCI participants relied on interacting with their peers with disabilities. They also got the information from the peers about accessible facilities, sports skills and even managing medical problems such as overuse injury. Before returning to the community, SCI patients have to be supported to find the type of sports they could enjoy. As a part of health and social services, community based rehabilitation programs have to provide information, financial support and health counseling about sports activities.
Health professionals have to consider how to promote the physical activity of SCI patients, and inform them where and how to exercise. This study had some limitations. First, the study was conducted on SCI athletes in sports clubs such as basketball, lawn bowling and rugby team. The findings may not be generalized to all types of sports activity. Our participants are likely to be physically more active and in higher level of economic status among disabled groups. Second, the subjects were small in number. Besides, almost all subjects were paraplegics. There might be limitations in applying our research findings to all SCI patients.
Third, the ICF was applied in a restricted way in this study. Respondents answered the questions in dichotomous scale indicating only the presence or absence of a problem, instead of in a five step scale. Fourth, although we did not evaluate the personal factor separately, we thought these included the body function categories such as health problem, lack of energy and fatigue. However, regarding pre-injury exercise experiences, some participants addressed this issue as a facilitator. This is known as one of predictor active post-injury sports participation.
We explored the experiences of athletes with SCI in South Korea with respect to dilemmas of sports participation, especially regarding the facilitators and barriers to sports participations using the ICF Core Set. The results showed that the ICF language in general covers a broad range of the individual experiences of persons with SCI. Identified function, disability and environmental issues showed some differences compared with common problems with SCI. Thus, we suggest considering in making an ICF Core Set for specific participation such as sports activity. Rehabilitation professionals can use this core set as a guideline to meet the needs of individuals with SCI. Also, it will be useful to promote community integration for SCI through a multidisciplinary approach.
No potential conflict of interest relevant to this article was reported.