Quality of life after traumatic spinal cord injury in a developing context: the influence of contextual factors and injury characteristics.

Our results highlight that employment plays an important role in QoL for individuals who sustained a TSCI. They also suggest that increased time since the injury is most likely to provide individuals an opportunity to develop efficient coping strategies, allowing for greater overall adjustment and life satisfaction, leading to a better quality of life.IMPLICATIONS FOR REHABILITATIONSince the time of the injury was found to be improved QoL, there is a need to improve the health care system of Individuals with SCI.As the employment is a significant factor positively influencing QoL, vocational rehabilitation programs should be included during the rehabilitation processes.Rehabilitation stakeholders need to continue lobbying for social and political changes that support expanded employment options for individuals who sustained a TSCI in order to improve their quality of life.