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@#Introduction: This systematic review aimed to investigate the level of participation, obstacles, and facilitator factors that influence activities of daily living among persons with spinal cord injury (SCI). Methods: A comprehensive search was conducted in four online databases, namely Google Scholar, PubMed, OT Seeker, and Cochrane Library covering the ten-years period from January 2012 to December 2022. Inclusion criteria encompassed original published studies in English focusing on daily activities, work, participation, obstacles, and facilitators in persons with SCI. Non-peer review sources (e.g., abstracts, grey literature, preprints), and studies unrelated to occupational therapy were excluded. The selected studies were assessed for quality using McMaster University Occupational Therapy Evidence-Based Practice critical review form. Results: Out of the 678 articles identified, ten studies were included after the screening, exploring participation in daily living activities, employment, return to work, leisure activities, family tasks, and community mobility among persons with SCI. Obstacles and facilitators influencing participation in activities of daily living were classified using the International Classification of Functioning, Disability, and Health (ICF) framework. This review highlighted that long-term participation is challenging for persons with SCI, affected by obstacles such as body functions, pain, low self-esteem, and environmental and social factors. Conclusion: The findings underscore the importance of adopting a multidisciplinary rehabilitation approach to enhance participation in daily activities for persons with SCI. Occupational therapy plays a significant role in improving participation levels among persons with SCI.
RESUMO
This study was done to determine the frequency of anxiety, depression among those who exercise regularly and those who do not. A cross-sectional study was conducted at different gymnasiums of Karachi in July-August 2013. A total 269 individual's ages were 18 - 45 years completed a self-administered questionnaire to assess the data using simple descriptive statistics. One hundred and thirty four individuals were those who did not perform exercise which included females [55.0%] being more frequently anxious than male [46.4%]. Females [39.9%] were more frequently depressed as compared to males [26.4%] less depressed. Chi-square test showed association between anxiety levels and exercise was significantly increased in non-exercisers compared to regular exercisers found to be significant [p=0.015]. Individuals who performed regular exercise had a lower frequency of depression [28.9%] than non-exercisers [41.8%]. Physical exercise was significantly associated with lower anxiety and depression frequency amongst the studied adult population