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

International Journal of Environmental Research and Public Health

Chia-Ying Kuo¹  Tsan-Hon Liou⁴  Kwang-Hwa Chang⁴  Wen-Chou Chi⁷  Reuben Escorpizo⁵  Chia-Feng Yen⁶  Hua-Fang Liao³  Hung-Yi Chiou¹  Wen-Ta Chiu¹  Jo-Ting Tsai² 

[1] School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei 11031, Taiwan; E-Mails:;Radiation Oncology Department, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561,Taiwan; E-Mail:;Chinese Association of Early Intervention Profession for Children with Developmental Delays, Hualien City 97064, Taiwan; E-Mail:;Graduate Institute of Injury Prevention and Control, College of Public Health and Nutrition, Taipei Medical University, Taipei 11031, Taiwan; E-Mails:;Department of Rehabilitation and Movement Science, College of Nursing and Health Sciences, University of Vermont, Burlington, VT 05401, USA; E-Mail:;Department of Public Health, Tzu Chi University, Hualien City 97004, Taiwan; E-Mail:;School of Occupational Therapy, Chung Shan Medical University, Taichung City 40201 Taiwan; E-Mail:

关键词: 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);   

DOI  :  10.3390/ijerph120404116

来源: mdpi

【 摘 要 】

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.

【 授权许可】

CC BY   
© 2015 by the authors; licensee MDPI, Basel, Switzerland.