Impaired Mobility in Intellectually Disabled Patients: A Single-Centre Study from Saudi Arabia

TABASSUM ALVI

doi:10.53350/pjmhs221631090

Author(s)

TABASSUM ALVI Department of Psychiatry, College of Medicine, Majmaah University, 11952, Almajmaah, Kingdom of Saudi Arabia.

Abstract

People with impaired mobility have higher rates of morbidity, disability, and mortality. Patients with impaired mobility as well as having intellectual disabilities can face more challenges in compensating for a mobility limitation. In KSA, individuals with disabilities constitute 7.1% of the total population. The objectives of our study were to find out (1) The prevalence of impaired mobility among ID patients (2) The association between gender and age of ID patients with impaired mobility (3) The association between ID and impaired mobility in the study population. Methodology: A Cross-sectional observational study was conducted on 147 patients admitted with intellectual disability in Rehabilitation Center Majmaah, Saudi Arabia. Data was collected using pre-designed research tools from the clinical records regarding the level of disability and impairment in mobility. All the data was entered in the SPSS software 23 and statistical analysis was done. A 95% degree of freedom with a p-value of<0.05 was considered statistically significant. Results: Out of 147 patients, 102 (69.38%) patients had impaired mobility. Out of 102 patients, 24(23.07%) patients had mild difficulty,16(15.68%) patients could walk with support and 62 (60.78%) patients were completely bedridden. More than half, about 63(61.76%) were males and 39 (38.23%) were females. Most of them were in an age range of 11yeras to 40 years. A statistically significant association was found between age and impaired mobility for patients who were mobile with support(p=0.05) and those who were completely bedridden (p=0.044) respectively. A significant association was also found between the impairment in mobility and the severity of ID (p<0.001). Conclusion: There was a male preponderance (almost twofold at all levels of mobility limitation) in ID patients in our study population. About two-thirds of the patients with impaired mobility were bed-ridden. All patients with profound ID and about onethird of patients (30%) with severe ID were bedridden.

Publication Details

Page(s) 1090-1092

DOI 10.53350/pjmhs221631090

Published Journal: Pakistan Journal of Medical and Health Sciences, Volume: 16, Issue: 03, Year: 2022

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Keywords

Rehabilitation, Mobility, Saudi Arabia, intellectual disability

References

Kelly F,Kelly C,O'Donohoe A .2012 .. Annual report of the national intellectual disability database committee, : .

2 Pahor M,Guralnik JM,Ambrosius WT,Blair S,Bonds DE,Church TS,Espeland MA,Fielding RA,Gill TM,Groessl EJ,King AC . .Effect of structured physical activity on prevention of major mobility disability in older adults: the LIFE study randomized clinical trial. Jama. 2014 Jun, 311(23) : 2387-96.

3 Musich S,Wang SS,Ruiz J,Hawkins K,Wicker E. . .The impact of mobility limitations on health outcomes among older adults. 2018 Mar, 1(2) : 162-9.

4 Cleaver S,Hunter D,Ouellette‐Kuntz H D . .Physical mobility limitations in adults with intellectual disabilities: a systematic review. Journal of Intellectual Disability Research, 53(2) : 93-105.

Eyman RK,Grossman HJ,Chaney RH,Call TL . .The life expectancy of profoundly handicapped people with mental retardation. 1990 Aug, 30(9) : 584-9.

Alsalem MA . .Towards New Disability Paradigms: Generating Equality in Saudi Arabian Policy in Light of the Convention on the Rights of Persons with Disabilities. 2021 Oct, 11 : 1-5.

Cleaver S,Ouellette‐Kuntz H,Hunter D H . .Relationship between mobility limitations and the places where older adults with intellectual disabilities live. 2008 Dec;5, (4) : 253-8.

Milaat Abdullah . .Population-based survey of childhood disability in Eastern Jeddah using the ten questions tool. 2001 Jan, 1(5) : 199-20.

9 Dunn K,Rydzewska E,Fleming M,Cooper SA,Al-Ghamdi YS,Omer MI,Khalil MK,Ali SA,Barmada RA,Abdelgader MH. . .Clinical evaluation of disabled children in Al-Qassim region, Saudi Arabia. Neurosciences Journal. 2002 Oct, 1(4) : 272-7.

Cleaver S,Ouellette‐Kuntz H,Hunter D. .2009 .The prevalence and severity of physical mobility limitations in older adults with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 22(5) : 477-86.

Stancliffe RJ,Anderson LL . .Factors associated with meeting physical activity guidelines by adults with intellectual and developmental disabilities. 2017 Mar, 1(62) : 1-4.

HM Evenhuis . .Medical aspects of ageing in a population with intellectual disability: III. Mobility, internal conditions, and cancer. Journal of Intellectual Disability Research, 41(1) : 8-18.

14 Nakamura F,Ooie K. . .A study on mobility improvement for intellectually disabled student commuters. 2017 Jul, 1(2) : 74-81.