Tehran University of Medical Sciences Journal of Orthopedic and Spine Trauma 2538-2330 12 2 2026 05 18 91 5 Roop Singh Senior Professor, Department of Orthopedics Surgery, Paraplegia and Rehabilitation, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, India Ram Mishra Ex Resident, Department of Orthopedics Surgery, Paraplegia and Rehabilitation, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, India Bhawna Verma Assistant Professor, College of Physiotherapy, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, India Svareen Kaur Ex Intern, Dr. Baba Saheb Ambedkar Medical College, New Delhi, India 2025 09 21 2026 05 18 Background: A substantial number of patients with spinal cord injury (SCI) need support and care for their daily activities, and this is usually provided by a family member. This responsibility may have several physical and emotional consequences. The aim of the present study was to assess the caregiver burden and the coping strategies used by caregivers of patients with SCI. Methods: A cross-sectional study on 50 primary caregivers of persons with SCI was conducted. The caregiver burden was assessed using Caregiver Burden Inventory (CBI) and Brief Coping Orientation to Problems Experienced (COPE) was used to assess the coping strategies used by the caregivers. Results: The majority of caregivers (82%) were under 50 years of age and were women (66%). 12% of participants faced severe burden and 32% faced moderate to severe burden. Coping strategies involved avoidant, problem-focused, and emotion-focused strategies. Avoidant strategies were associated with moderate to severe burden. Active coping strategies were significantly associated with little or no burden. Greater use of positive coping strategies was related with less amount of caregiver burden. The caregivers with highest burden were found to engage in self-distraction, denial, and behavioral disengagement. The utilization of problem-focused coping strategies, emotional support, and religious practices was most prevalent in caregivers where there was minimal or no burden. Conclusion: The study highlights that coping style plays a significant role in determining caregiver burden, with avoidant coping strategies being associated with higher burden, while active and positive coping strategies were associated with reduced burden. These findings emphasize the importance of promoting adaptive coping mechanisms and providing psychosocial support interventions to reduce caregiver burden and improve caregiver well-being. https://jost.tums.ac.ir/index.php/jost/article/view/716 https://jost.tums.ac.ir/index.php/jost/article/download/716/469