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Article History

Received: 27 August 2025

Revised: 24 July 2026

Accepted: 11 August 2026

First Online: 15 August 2026

Ethics

Competing interests: The authors declare no competing interest.

Ethical approval: This study received approval from the Institutional Review Board (IRB) and Ethical Review Board (ERB) of the Centre for the Rehabilitation of the Paralysed (CRP), following the Declaration of Helsinki and Bangladesh Medical Research Council (BMRC) guidelines (IRB clearance number: CRP/BHPI/IRB/07/2024/921). Permission to use the ADS-R questionnaire was obtained via email from the original author. Additional permission was secured from the Rehabilitation Wing Department at CRP to facilitate smooth data collection and the conduct of the research. I declare that this manuscript is original, has not been published previously, and is not under consideration for publication elsewhere.

Consent to participate: Participation in this study was entirely voluntary, and informed consent was obtained from all participants before data collection. Participants were informed that they would not receive any direct personal benefit from the study; however, their contributions may help improve future rehabilitation processes for individuals with spinal cord injury. They were also assured of their right to withdraw from the study at any point without any consequences, should they lose interest or feel uncomfortable.