title: An Exploratory Analysis of the Potential Association Between SCI Secondary Health Conditions and Daily Activities.
abstract: BACKGROUND
  Secondary health conditions (SHCs) are common following traumatic spinal cord injury (tSCI) and are believed to influence a person's ability to participate in daily activities (DAs). This association should be understood so that health care providers may target interventions with clarity and purpose to manage SHCs and facilitate DAs to maximal effect.
  
  
  OBJECTIVE
  To explore the association between SHCs and DAs expressed as the increased chance of not participating as much as wanted in a DA when an SHC is present.
  
  
  METHODS
  Community-dwelling persons with tSCI (n = 1,137) responded to the SCI Community Survey. The occurrence and frequency of 21 SHCs were determined. The extent of participation in 26 DAs was measured. The relative risk (RR) of not participating as much as wanted in a DA when a SHC is present was calculated.
  
  
  RESULTS
  When some SHC were present, the RR of not participating as much as wanted increased significantly (range, 15%-153%; P < .001). Certain SHCs (light-headedness/dizziness, fatigue, weight problems, constipation, shoulder problems) were associated with a greater chance of not participating in many DAs. No single SHC was associated with every DA and conversely not every DA was associated with an SHC.
  
  
  CONCLUSIONS
  Maximizing participation in DAs requires minimizing SHCs in every instance. Understanding the association between SHCs and DAs may facilitate targeted care resulting in less severe SHCs, greater participation in DAs, and benefits to both the individual and society.
authors.affiliation: Vancouver General Hospital , Vancouver , Canada ; Rick Hansen Institute , Vancouver , Canada.
authors.forename: John
authors.initials: J
authors.lastname: Cobb
authors.affiliation: Center for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS) and Université Laval , Quebec City , Canada.
authors.forename: Frédéric S
authors.initials: FS
authors.lastname: Dumont
authors.affiliation: Center for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS) and Université Laval , Quebec City , Canada.
authors.forename: Jean
authors.initials: J
authors.lastname: Leblond
authors.affiliation: Rick Hansen Institute , Vancouver , Canada.
authors.forename: So Eyun
authors.initials: SE
authors.lastname: Park
authors.affiliation: Rick Hansen Institute , Vancouver , Canada ; Division of Spine, Department of Orthopedics, University of British Columbia , Vancouver , Canada.
authors.forename: Vanessa K
authors.initials: VK
authors.lastname: Noonan
authors.affiliation: Center for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS) and Université Laval , Quebec City , Canada.
authors.forename: Luc
authors.initials: L
authors.lastname: Noreau
keywords: activities of daily living; participation; secondary health conditions; social integration; traumatic spinal cord injury