ABSTRACT

Objective : The purpose of this study is to describe the self-care, productivity, and leisure problems identified by individuals with a spinal cord injury, and to examine the relationships among time-use patterns, activities of daily living, and occupation performance and satisfaction. Methods : We analyzed time-use using a 'Time-table' that was divided into thirty minutes for each occupational area. Also, a Modified Barthel Index (MBI) and Canadian Occupational Performance Measure (COPM) were conducted on 19 SCI patients in a rehabilitation hospital. Results : A total of 84 occupational performance issues were identified, with self-care goals being identified the most frequently (71.4%). The higher the MBI score, the more time for self-care was needed (p<.05), while the SCI sample showed more time for passive leisure than active leisure. Conclusion : The results showed the occupational performance issues identified by individuals with a spinal cord injury, and that the balance among occupational areas was broken. Therefore, our study suggests that occupational therapists need to include such analysis and re-built time-use pattern, and consider the patients' priorities during goal-setting for individuals with a spinal cord injury.