Correlates of physical activity in ambulatory people with spinal cord injury during the first year after inpatient rehabilitation.

Autor: Postma K; Rijndam Rehabilitation, Rotterdam, The Netherlands. kpostma@rijndam.nl.; Department of Rehabilitation Medicine, Erasmus MC University Medical Center, Rotterdam, The Netherlands. kpostma@rijndam.nl., van Diemen T; Department of Rehabilitation, Sint Maartenskliniek, Nijmegen, The Netherlands., Post MWM; Center of Excellence for Rehabilitation Medicine, UMC Brain Center, University Medical Centre Utrecht, Utrecht University and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.; University of Groningen, University Medical Centre Groningen, Centre for Rehabilitation, Groningen, The Netherlands., Stolwijk-Swüste JM; Center of Excellence for Rehabilitation Medicine, UMC Brain Center, University Medical Centre Utrecht, Utrecht University and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.; Department of Spinal Cord Injury and Orthopedics, De Hoogstraat Rehabilitation, Utrecht, The Netherlands., van den Berg-Emons RJG; Department of Rehabilitation Medicine, Erasmus MC University Medical Center, Rotterdam, The Netherlands., Osterthun R; Rijndam Rehabilitation, Rotterdam, The Netherlands.; Department of Rehabilitation Medicine, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Jazyk: angličtina
Zdroj: Spinal cord [Spinal Cord] 2024 May; Vol. 62 (5), pp. 249-254. Date of Electronic Publication: 2024 Mar 20.
DOI: 10.1038/s41393-024-00982-x
Abstrakt: Study Design: Longitudinal cohort study.
Objectives: Examine the longitudinal association between mobility and level of physical activity (PA) and explore which other factors are also associated with level of PA in ambulatory people with Spinal Cord Injury (SCI) during the first-year post-inpatient rehabilitation.
Setting: Three SCI-specialized rehabilitation centers and the Dutch community.
Methods: Forty-seven adults with recent SCI and ambulatory function were included. All had motor incomplete lesions, 49% had tetraplegia, and the mean age was 55 ± 13 years. Duration of accelerometry-based all-day PA and self-reported level of mobility, exertion of walking, pain, fatigue, depressive mood symptoms, fear of falling, exercise self-efficacy, and attitude toward PA were measured just before discharge from inpatient rehabilitation and 6 and 12 months after discharge. All data were longitudinally analyzed using generalized estimating equations analyses. Models were corrected for age, lesion level, and time since injury.
Results: Mobility was longitudinally associated with level of PA (beta: 4.5, P < 0.001, R 2 : 41%). In addition, lower levels of exertion of walking (beta: -5.6, P < 0.001), fear of falling (beta: -34.1, P < 0.001), and higher levels of exercise self-efficacy (beta: 2.3, P = 0.038) were associated with higher levels of PA. Exertion of walking and fear of falling were associated with level of PA independent of mobility.
Conclusions: Mobility, exertion of walking, fear of falling, and exercise self-efficacy seem to be correlates of level of PA in ambulatory people with SCI during the first year after inpatient rehabilitation. Targeting these factors using an interdisciplinary approach may enhance levels of PA in this population.
(© 2024. The Author(s), under exclusive licence to International Spinal Cord Society.)
Databáze: MEDLINE
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