Original Article
 
Impact of sports on psychological status: Anxiety and depression for the spinal cord injury patients
Mahmudul Hasan Imran1, Sharmin Alam2, Kazi Imdadul Haque3, KM Amran Hossain4, Shamima Islam Nipa5, Md. Forhad Hossain6
1Centre Manager, CRP (Centre for the Rehabilitation of the Paralysed), BAU Branch, Mymensingh, Bangladesh
2Clinical Physiotherapist, Department of Physiotherapy CRP (Centre for the Rehabilitation of the Paralysed), BAU Branch, Mymensingh, Bangladesh
3Clinical Physiotherapist, Spinal Cord Injury Unit, CRP (Centre for the Rehabilitation of the Paralysed) ,Savar, Dhaka, Bangladesh
4Clinical Physiotherapist, Musculoskeletal Unit CRP (Centre for the Rehabilitation of the Paralysed), Mirpur, Dhaka, Bangladesh
5Lecturer, Department of Rehabilitation Science, Bangladesh Health Professions Institute, Savar, Dhaka, Bangladesh
6Professor, Department of Statistic, Jahangirnagar University, Savar, Dhaka, Bangladesh.

Article ID: 100043D05MI2018
doi: 10.5348/100043D05MI2018OA

Corresponding Author:
Shamima Islam Nipa
Lecturer, Department of Rehabilitation Science
Bangladesh Health Professions Institute Savar, Dhaka, Bangladesh-1343

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How to cite this article
Imran MH, Alam S, Haque KI, Hossain KMA, Nipa SI, Hossain MF. Impact of sports on psychological status: Anxiety and depression for the spinal cord injury patients. Edorium J Disabil Rehabil 2018;4:100043D05MI2018.


ABSTRACT

Aims: To explore the effectiveness of sports activities to improve the psychological status through progression in anxiety and depression level of Spinal Cord Injury patients. Methods: The design of the study was prior and after an experimental design of quantitative research. The data were collected from inpatient SCI Unit, Centre for the Rehabilitation of the Paralysed (CRP), Bangladesh. The study involved thirtyone (31) male participants with SCI selected by conveniently and they were participating in sports three weeks. The assessor was blind (Single blinded study). The dependable variable was psychological status (anxiety and depression), assessed with Strait-trait anxiety inventory X2 for anxiety, Depression Measurement Scale and Hospital Anxiety and Depression Score (HADS) - for Anxiety & depression. Independent variables included socio-demographic factors (age, sex, marital status etc), sports, type of paralysis and type of patients. Data analyzed by paired T-test considering the questionnaire as parametric Test in SPSS 20 version.

Results: Analysis of difference revealed major positive change and reduced the anxiety and depression level of SCI patients after participating in sports. The mean age was 34.81 years and the paraplegic patient was 25 and tetraplegic 6, while the complete patient was 16 and incomplete 15. Mean score between Strait Trait Anxiety-X2 (STAI-X2) before 55.9 and after 45.9, Depression Measurement Scale (DMS) 104.9 and 76.3, Hospital Anxiety Depression Scale (HADS) for anxiety 13.1 and 10 and HADS for depression 13.7 and 10.3. There was significance variance within Scale. In addition, paraplegic and incomplete participants were more improved then tetraplegic and complete participants. The ‘p’ value of the variable is (<0.05).

Conclusion: Sports activities play an important role to alleviate anxiety and depression level after spinal cord injury. Both were hampering their quality of life. The study would indicate that improvement was higher in paraplegic and incomplete person with SCI.

Keywords: Anxiety, Depression, Psychological status, Spinal cord injury, Sports


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Acknowledgements
First of all, I would like to pay my gratitude to Almighty Allah who gave me the passion to complete this study. I wish to thank all of the especially whose help to accomplish this study and I am very thankful to sports people with SCI patients for their continuous support and kind assistance in this research.
Author Contributions
Mahmudul Hasan Imran – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sharmin Alam – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Kazi Imdadul Haque – Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
KM Amran Hossain – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Shamima Islam Nipa – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Md. Forhad Hossain – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Consent Statement
Written informed consent was obtained from the patient for publication of this study.
Conflict of Interest
Author declares no conflict of interest.
Copyright
© 2018 Mahmudul Hasan Imran et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.

About the Authors

Mahmudul Hasan Imran is working as a Centre Manager, Centre for the Rehabilitation of the Paralysed (CRP) Bangladesh Agricultural University Branch and he completed M. Sc in Rehabilitation Science in 2016 from Bangladesh Health Professions’ Institute (BHPI) affiliated to the University of Dhaka. He graduated in Physiotherapy from BHPI in 2012. He attended a conference of Asian Spinal Cord Network (ASCoN) 2017 at Thailand.
Email: mhimran_physio@yahoo.com



Sharmin Alam is working as a Clinical Physiotherapist in Centre for the Rehabilitation of the Paralysed (CRP) & she completed Masters in Developmental Studies at Jahangirnagar University in 2017. She graduated in Physiotherapy from BHPI in 2014 and attended a conference of Asian Spinal Cord Network (ASCoN) 2017 at Thailand and she participated thesis poster contest at ASCoN conference 2017. Her Research interest is included spinal cord injury, musculoskeletal condition of physiotherapy, gynecology of physiotherapy.
Email: Sharminalam980@gmail.com



Kazi Imdadul Hoque is working as a Clinical Physiotherapist in Centre for the Rehabilitation of the Paralysed (CRP) at Spinal Cord Injury Unit (CRP) & Student of Masters in Rehabilitation Science in Bangladesh Health Professions’ Institute (BHPI) affiliated to the University of Dhaka. He graduated in Physiotherapy from BHPI in 2014 and he attended International spinal cord injury society (ISCoS) 2017 at Scotland and Asian Spinal Cord Network (ASCoN) conference 2017 at Thailand.
Email: shoyebpt@gmail.com



Kazi Md. Amran Hossain is working as a Clinical Physiotherapist in Centre for the Rehabilitation of the Paralysed (CRP) & Post-graduate Physiotherapy student in Bangladesh Health Professions’ Institute (BHPI) affiliated to the University of Dhaka. He graduated in Physiotherapy from BHPI in 2014 and completed leadership short course form the University of Melbourne as a part of Australia Awards. Besides, he is the office secretary of Bangladesh Physiotherapy Association (BPA), member organization of WCPT. He has 3 international conference paper & Intended to work on the extensive professional development of Physiotherapy in Bangladesh.
Email: amranphysio@gmail.com



Shamima Islam Nipa is working as a Lecturer-Department of Rehabilitation Science at Department of Rehabilitation Science, Bangladesh Health Professions Institute, Under the university of Dhaka, Bangladesh. She earned the undergraduate degree in Physiotherapy from Bangladesh Health Professions Institute, Under the university of Dhaka, Bangladesh and postgraduate degree from Rehabilitation Science from Bangladesh Health Professions Institute, Under the university of Dhaka, Bangladesh. She has published 10 research papers in national and international journals. Her research interests include Gynecological Physiotherapy, Women with Spinal cord lesion & Vocational Rehabilitation. She intends to pursue PhD in future.
Email: Shamimamrs2017@gmail.com



Md. Forhad Hossain, Professor, Department of Statistics, Jahangirnagar University, Savar, Dhaka, Bangladesh. He did his Ph. D. from Institute of Statistical Mathematics (ISM), Tokyo, Japan and had published about thirty papers in national and international academic journals and book. His research interest include Basic Statistics and Mathematical Statistics, Biostatistics, and regression analysis.