[en] Introduction: to design an effective Occupational Therapy intervention for people with spinal cord injury it is important to know how environmental factors influence the participation in activities of daily life in this population. However, research in the Spanish context is scarce. Objective: to analyze the environmental factors and barriers that face people with spinal cord injury in Galicia. Methodology: quantitative analytical cross-sectional design. 36 Galician people with spinal cord injury were included. The environmental factors were evaluated through the CHIEF-SF and HACE scales. In addition, sociodemographic, clinical, and daily performance-related data were collected through an ad-hoc questionnaire. Descriptive and bivariate statistical analyses were conducted. Results: participants report a higher frequency of physical and structural barriers, services and assistance. On the other hand, they perceive few attitudinal and social barriers, and enough basic mobility and transport devices. Occupations with the greatest perceived impact due to the injury were instrumental activities of daily living and leisure. Residents in rural or semi-urban environments perceive a greater impact of barriers in mobility, transport and communication devices than those who reside in urban surroundings. Finally, significant and moderate correlations are observed between different occupational areas and the presence of barriers in the environment. Conclusions: people with spinal cord injury in Galicia perceive different factors in their physical and social environments, which can limit their performance in daily occupations, depending on the environment in which they reside and other sociodemographic and clinical variables.

[gl] Introdución: na intervención desde Terapia Ocupacional en persoas con lesión medular é importante coñecer como inflúen os factores ambientais na participación en actividades da vida diaria desta poboación, mais os estudos na nosa contorna son escasos. Obxectivo: analizar os factores e barreiras do entorno das persoas con lesión medular en Galicia. Metodoloxía: deseño transversal analítico cuantitativo. Participaron 36 persoas galegas con lesión medular. Os factores ambientais foron avaliados a través das ferramentas HACE e CHIEF-SF. Ademais, recopiláronse datos sociodemográficos, clínicos e relacionados co desempeño diario a través dun cuestionario ad-hoc. Utilizáronse análises estatísticas descritivas e bivariadas. Resultados: os participantes informan dunha maior frecuencia de barreiras físicas e estruturais, servizos e asistencia. Por outra banda, perciben poucas barreiras actitudinais e sociais e dispositivos básicos de mobilidade e transporte suficientes. As ocupacións con maior impacto percibido debido á lesión foron actividades instrumentais da vida diaria e lecer e tempo libre. Os residentes en entornos rurais ou semiurbanos perciben un maior impacto das barreiras nos dispositivos de mobilidade, transporte e comunicación que os que residen en entornos urbanos. Finalmente, obsérvanse correlacións significativas e moderadas entre as distintas áreas ocupacionais e a presenza de barreiras ambientais. Conclusións: as persoas con lesión medular en Galicia perciben diferentes factores nos seus entornos físicos e sociais, que poden limitar o seu desempeño nas ocupacións diarias, dependendo do entorno no que residan e doutras variables sociodemográficas e clínicas.