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Aims: To explore the effectiveness of sports activities to improve the psychological status through progression in anxiety and depression level of Spinal Cord Injury patients. Methods: The design of the study was prior and after an experimental design of quantitative research. The data were collected from inpatient SCI Unit, Centre for the Rehabilitation of the Paralysed (CRP), Bangladesh. The study involved thirtyone (31) male participants with SCI selected by conveniently and they were participating in sports three weeks. The assessor was blind (Single blinded study). The dependable variable was psychological status (anxiety and depression), assessed with Strait-trait anxiety inventory X2 for anxiety, Depression Measurement Scale and Mahmudul Hasan Imran1, Sharmin Alam2, Kazi Imdadul Haque3, KM Amran Hossain4, Shamima Islam Nipa5, Md. Forhad Hossain6 Affiliations: 1Centre Manager, CRP (Centre for the Rehabilitation of the Paralysed), BAU Branch, Mymensingh, Bangladesh; 2Clinical Physiotherapist, Department of Physiotherapy CRP (Centre for the Rehabilitation of the Paralysed), BAU Branch, Mymensingh, Bangladesh; 3Clinical Physiotherapist, Spinal Cord Injury Unit, CRP (Centre for the Rehabilitation of the Paralysed) ,Savar, Dhaka, Bangladesh; 4Clinical Physiotherapist, Musculoskeletal Unit CRP (Centre for the Rehabilitation of the Paralysed), Mirpur, Dhaka, Bangladesh; 5Lecturer, Department of Rehabilitation Science, Bangladesh Health Professions Institute, Savar, Dhaka, Bangladesh; 6Professor, Department of Statistic, Jahangirnagar University, Savar, Dhaka, Bangladesh. Corresponding Author: Shamima Islam Nipa, Lecturer, Department of Rehabilitation Science, Bangladesh Health Professions Institute, Savar, Dhaka, Bangladesh-1343; Email: shamimamrs2017@gmail.com Received: 28 March 2018 Accepted: 26 June 2018 Published: 19 July 2018 Hospital Anxiety and Depression Score (HADS) for Anxiety & depression. Independent variables included socio-demographic factors (age, sex, marital status etc), sports, type of paralysis and type of patients. Data analyzed by paired T-test considering the questionnaire as parametric Test in SPSS 20 version. Results: Analysis of difference revealed major positive change and reduced the anxiety and depression level of SCI patients after participating in sports. The mean age was 34.81 years and the paraplegic patient was 25 and tetraplegic 6, while the complete patient was 16 and incomplete 15. Mean score between Strait Trait Anxiety-X2 (STAI-X2) before 55.9 and after 45.9, Depression Measurement Scale (DMS) 104.9 and 76.3, Hospital Anxiety Depression Scale (HADS) for anxiety 13.1 and 10 and HADS for depression 13.7 and 10.3. There was significance variance within Scale. In addition, paraplegic and incomplete participants were more improved then tetraplegic and complete participants. The ‘p’ value of the variable is (<0.05). Conclusion: Sports activities play an important role to alleviate anxiety and depression level after spinal cord injury. Both were hampering their quality of life. The study would indicate that improvement was higher in paraplegic and incomplete person with SCI.

Impact of sports on psychological status: Anxiety and depression for the spinal cord injury patients