EFFECTIVENESS OF COMMUNITY-BASED REHABILITATION FOR PEOPLE WITH PHYSICAL DISABILITIES IN NGHE AN
Main Article Content
Abstract
Research Objective: To evaluate the improvement of mobility through community-based rehabilitation (CBR) interventions for individuals with physical disabilities in Nghe An. Study Subjects and Methods: The study involved 285 individuals with physical disabilities aged 18 years and older, with mild and severe disabilities, from three communes/wards: Chau Binh, Dien Ngoc, and Hung Hoa in Nghe An, from June 2023 to December 2024. This community-based intervention study used a pre-post design without a control group, assessing changes in mobility at three time points: before, 6 months after, and 12 months after the intervention. Results: There was a significant improvement in the independence of mobility activities such as sitting, standing, and moving both indoors and outdoors after the intervention (p < 0.001). The proportion of individuals requiring assistance and dependence decreased significantly. Pain levels decreased, but gait did not change after 12 months. Conclusion: Community-based rehabilitation interventions have proven effective in improving the mobility of individuals with physical disabilities. This model should be maintained and expanded to enhance the quality of life for individuals with disabilities
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Keywords
Rehabilitation, physical rehabilitation, individuals with physical disabilities, mobility improvement.
References
2. Cao Minh Châu (2019), Phục hồi chức năng, Nhà xuất bản giáo dục.
3. Tổng cục thống kê, Thông cáo báo chí về kết quả điều tra Người khuyết tật năm 2023. 2024: Hà Nội.
4. Nguyễn Hồng Quang, Nguyễn Xuân Bái và Phạm Văn Trọng (2020), "Thực trạng người khuyết tật vận động và phục hồi chức năng cho người khuyết tật vận động dựa vào cộng đồng tại huyện Thống Nhất, tỉnh Đồng Nai", Tạp chí Y học Việt Nam,. 2(496), tr. 149-153.
5. Okoro, C.A., et al., Prevalence of Disabilities and Health Care Access by Disability Status and Type Among Adults — United States, 2016. MMWR Morb Mortal Wkly 2018. 67: p. 882–887.
6. Programme, H.N.A., Disability: prevalence and impact. A Nationwide Household Survey Using Washington Group Methodology. 2020.
7. Eurostat, Level of disability. 2024.
8. Hashemi, G., Qualitative exploration of access to primary healthcare for people with disabilities in Guatemala., in PhD thesis. 2025, London School of Hygiene & Tropical Medicine: London
9. Kumurenzi, A., et al., Effectiveness of interventions by non-professional community-level workers or family caregivers to improve outcomes for physical impairments or disabilities in low resource settings: systematic review of task-sharing strategies. Human Resources for Health, 2023. 21(1): p. 48.
10. Ru, X., et al., Community-Based Rehabilitation to Improve Stroke Survivors' Rehabilitation Participation and Functional Recovery. Am J Phys Med Rehabil, 2017. 96(7): p. e123-e129.