Evidence map›Paper›PMID 40637549›Full record

ArticleThe journal of spinal cord medicine2026

A qualitative study uncovering rehabilitation challenges: Perspectives of individuals with spinal cord injury.

Muna Bhattarai, Sadiksha Karki, Anjita Khadka, Mandira Baniya, Raju Dhakal

Abstract read
In one paragraph

Article in The journal of spinal cord medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Muna BhattaraiHarris College of Nursing & Health Sciences, Texas Christian University, Fort Worth, Texas, USA.ORCID 0000-0002-8267-7271
Sadiksha KarkiSchool of Public Health, Texas A&M University, College Station, Texas, USA.
Anjita KhadkaSpinal Injury Rehabilitation Center, Sanga, Kavre, Nepal.
Mandira BaniyaSpinal Injury Rehabilitation Center, Sanga, Kavre, Nepal.
Raju DhakalSpinal Injury Rehabilitation Center, Sanga, Kavre, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextRehabilitation is an essential set of interventions to optimize functioning and minimize disability in individuals with spinal cord injuries (IwSCI). However, accessing rehabilitation services presents unique challenges for these individuals, particularly in low- and middle-income countries.

objectivesThis study aims to explore the perspectives of IwSCI regarding the challenges they face in accessing effective spinal cord injury (SCI) rehabilitation services in Nepal.

methodsIn this qualitative study, 16 participants with SCI were recruited from community settings and a rehabilitation center in Nepal. In-depth interviews were conducted either face-to-face or via cell phone between August and September 2023. The participants' responses were analyzed using a reflexive thematic analysis approach.

resultsQualitative analysis identified five overarching themes concerning the challenges experienced by IwSCI in accessing rehabilitation services in Nepal. Participants highlighted that personal challenges related to finances, education, and health, along with socio-cultural influences and caregiving, shortcomings in healthcare and support systems, limited services and resources within rehabilitation centers, and geographical and infrastructural barriers to accessibility hindered their ability to access or continue rehabilitation services.

conclusionsWhile rehabilitation is essential for managing secondary conditions improving functionality, and maximizing independence, IwSCI in Nepal experience significant challenges in receiving effective rehabilitation services. Collective efforts from families, communities, rehabilitation centers, and the government are vital to reducing these challenges and enhancing the effectiveness of SCI rehabilitation services in Nepal.

Indexed as

Health Services AccessibilityNeurological RehabilitationSpinal Cord InjuriesAdultFemaleHumansMaleMiddle AgedNepalQualitative ResearchRehabilitation CentersConsumers’ perspectiveNepalRehabilitation challengesRehabilitation servicesSpinal cord injury

Identifiers

PMID40637549
PMCPMC13123088

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.