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ISSN: 2376-0281
International
Journal of Neurorehabilitation
Weerasekara et al., Int J Neurorehabilitation Eng 2016, 3:3
http://dx.doi.org/10.4172/2376-0281.1000217
Open Access Research Article
Volume 3 • Issue 3 • 1000217
Int J Neurorehabilitation
ISSN: 2376-0281 IJN, an open access journal
*Corresponding author: RMIM Weerasekara, Department of Physiotherapy,
Faculty of Allied Health Sciences, University of Peradeniya, Sri Lanka, Tel:
94715530186; E-mail: isankweerasekara@yahoo.com
Received June 27, 2016; Accepted June 29, 2016; Published June 30, 2016
Citation: Weerasekara RMIM, Banneheka BMHSK, Sivananthawerl T, Fahim ACM
(2016) Awareness among School Athletes about “The Handling and Transferring
Techniques of a Suspected Spinal Cord Injured Athlete”. Int J Neurorehabilitation
3: 217. doi:10.4172/2376-0281.1000217
Copyright: © 2016 Weerasekara RMIM, et al. This is an open-access article
distributed under the terms of the Creative Commons Attribution License, which
permits unrestricted use, distribution, and reproduction in any medium, provided
the original author and source are credited.
Keywords: Spinal cord injury; Awareness; First aid; Handling and
transferring; School; Athlete; Sport injuries
Introduction
Traumatic Spinal Cord Injury (SCI) is a trauma to the spinal cord
and cauda-equina, resulting in temporary or permanent sensory and/
or motor function loss below the level of lesion. Road traic accidents,
falls from heights and violence are common causes of SCI [1]. Sport
injuries including diving into shallow water, collapse of a rugby
scrum [2] should not be neglected during the risk assessment. Even
though spinal cord injury related sport is less common, still it carries a
morbidity which limits the day today activities of an athlete [3].
Proper techniques in handling and transferring of the spinal cord
injured patient immediately ater the trauma may prevent further
neurological damage and resulting complications. As management of
SCI should begin at the site of the injury, awareness of proper techniques
of acute management would avoid the complications in injured
patients [2]. Furthermore, increasing awareness should be focused as
a preventive strategy to reduce the burden to the health resources [4].
Efective implementation of primary prevention strategies
requires a considerable awareness level of proper handling and
techniques at the injury site. Most commonly athletes start their sports
career at school levels. herefore, raising the awareness at school level
is important and readily implemented. To date, level of awareness
among school athletes had not been evaluated specially in developing
countries. In this study, we aimed to evaluate the awareness about
proper handling and transferring techniques of patients with SCI
among school athletes.
Materials and Methods
his is a cross-sectional study. List of national schools and formal
approval for data collection at these schools were obtained from Zonal
Educational Department, Kandy, Sri Lanka. Ten schools were selected
randomly. Approval to conduct the study at each school was also
obtained from the head of the institution. his study was approved
Abstract
Background: Traumatic Spinal Cord Injury (SCI) among athletes frequently associated with temporary or
permanent sensory and/or motor function loss below the level of lesion. This carries high morbidity which may limit the
day to day activities. Awareness of proper techniques in early management of a spinal cord injured patients may limit
complications. The main objective of this study is to evaluate the awareness about proper handling and transferring
techniques of patient with a SCI among school athletes.
Methods: Self-administered questionnaires with questions related to handling and transferring techniques of
patient with a SCI were randomly distributed among school athletes (12-20 years) in Kandy (Sri Lanka) educational
zone. Single total score representing the level of awareness was scored after evaluating the answers. These scores
were then compared using Mann Whitney and Kruskal-Wallis to explore the awareness.
Results: Among 243 of school athletes (Male, 50.2%; Female, 49.2%), Age: median=15, IQR=1) interviewed,
overall mean awareness level score was 50.8% (17.9 ± SD).
Conclusion: The awareness of proper handling of SCI patient did not differ in relation to gender, age, level of
engagement in sports. Although overall awareness level of the questions based on handling and transferring techniques
was moderate, there was an inadequate level of awareness regarding the handling of some important emergency situations.
Awareness among School Athletes about “The Handling and Transferring
Techniques of a Suspected Spinal Cord Injured Athlete”
RMIM Weerasekara
1
*, BMHSK Banneheka
1
, T Sivananthawerl
2
and Fahim Mohamed
3
Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Sri Lanka
2Department of Crop Science, Faculty of Agriculture, University of Peradeniya, Peradeniya, Sri Lanka
3Department of Pharmacy, Faculty of Allied Health Sciences, University of Peradeniya, Sri Lanka
by Ethics Review Committee, Faculty of Medicine, University of
Peradeniya (2012/EC/38).
Self-administered questionnaires consisting of questions related to
proper handling and transferring techniques of a spinal cord injured
athlete were randomly distributed among 243 school athletes of 10
national schools (Appendix 1). Questions were prepared referring to
the guidelines of recognised professional bodies [2,5,6]. General initial
steps such as proper maintenance of stability of the neck/head and body,
turning, liting, and transferring of the patient were interviewed during
the study. Other safety techniques that should be considered during the
event (sports) in the ield as injuries while wearing a helmet, while the
players in water etc. were also questioned.
Single total score representing the level of awareness, was given
ater evaluating the answers given by each student for questions from
10-22 in the questionnaire (Appendix 1). hese score were compared
according to the gender, age, level of engagement and duration of
engaged period in sports. he categorical variables were summarised
using percentage (%) while continuous variables were summarised
using median with IQR and mean (± standard deviation) where
appropriate. Mann Whitney test and Kruskal-Walli test were used to
compare diferent variables since most variables were non-normally
distributed.