Publications by authors named "Raju Dhakal"

Purpose/objective: This study aims to explore the perspectives of rehabilitation professionals regarding the barriers to spinal cord injury (SCI) rehabilitation services in Nepal.

Research Method/design: A qualitative study involved 15 rehabilitation professionals working in the Spinal Injury Rehabilitation Center in Nepal. After obtaining informed consent, in-depth semistructured interviews were conducted using Zoom and phone calls between June and July 2023.

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Study Design: Cross-sectional study OBJECTIVES: To identify the prevalence of posttraumatic stress disorder (PTSD) among the individuals with traumatic spinal cord injury (TSCI) and to examine the relationships between demographic and clinical characteristics, and PTSD.

Setting: Spinal Injury Rehabilitation Center (SIRC) and Dhulikhel Hospital, Kathmandu University Hospital (DH, KUH), Kavrepalanchowk, Nepal.

Methods: Individuals above 18 years of age with TSCI of at least one month from trauma and admitted to SIRC and DH, KUH from June 2019 to May 2021 were included.

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This study explores the experiences of care received and management of disability for individuals with spinal cord injury and stroke following discharge from a specialty rehabilitation center, alongside perspectives on the potential role of telerehabilitation. We employed qualitative in-depth face-to-face interviews with patients who had accessed and been discharged from a specialist rehabilitation center in Nepal were used. Interviews sought perspectives of adjusting to, living with, and managing disability alongside the potential role of telerehabilitation in the community setting.

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Article Synopsis
  • Spinal cord injury (SCI) and acquired brain injury (ABI) significantly impact individuals, causing disabilities and decreased quality of life, especially in low and middle-income countries like Nepal, where rehabilitative care is limited.
  • The study implemented a telerehabilitation program connecting discharged patients with a multidisciplinary team via video conferencing, assessing its effectiveness and participant satisfaction.
  • Results showed improved functional independence, reduced depression and anxiety, and enhanced quality of life for participants, revealing that telerehabilitation is a feasible and well-received approach in Nepal's healthcare setting.
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Background: The AO Spine Patient Reported Outcome Spine Trauma has been validated in English and Dutch language, however, there is an absence of a translated and validated version in Nepali language. The purpose of this study was to translate the AO Spine Patient Reported Outcome Spine Trauma into Nepali and adapt cross-culturally as outlined by established guidelines, as well as test its psychometric properties among Nepali speaking spine trauma patients.

Methods: Patients were recruited from two Nepali centers as a cross-sectional multicenter validation study.

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Study Design: Systematic review.

Objective: To systematically review the evidence for the effectiveness of telerehabilitation as an intervention for people with spinal cord injury (SCI) in low-and middle-income countries (LMICs).

Setting: Not applicable.

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Background: Worldwide, stroke is the second leading cause of death and disability. The burden of stroke in countries like Nepal is increasing. The purpose of this study is to describe the epidemiology, clinical features, and functional outcomes of individuals with stroke in a rehabilitation hospital in Nepal.

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Study Design: Descriptive study.

Objectives: To describe functional outcomes using Spinal Cord Independence Measure III (SCIM III) following inpatient rehabilitation among individuals with complete spinal cord injury (SCI) in the low-income setting of Nepal; to evaluate functional changes from rehabilitation admission to discharge and to compare functional outcomes between neurological levels of injury (NLI) at discharge.

Setting: Spinal Injury Rehabilitation Centre (SIRC), Kavrepalanchowk, Nepal.

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Rehabilitation in Nepal.

Phys Med Rehabil Clin N Am

November 2019

As a low-income country with a significant burden of disease and frequent natural disasters, the need for rehabilitation in Nepal is significant. Rehabilitation services currently available in Nepal are limited, but the government has recently adopted a 10-year action plan to address rehabilitation needs nationwide. Rehabilitation education and training is necessary to provide and retain adequate multidisciplinary rehabilitation providers for current and future needs in Nepal.

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