Quality of life and psychological outcomes of body-weight supported locomotor training in spinal cord injured persons with long-standing incomplete lesions
| Autor: | Nils Hjeltnes, Anu Mirjam Piira, Marit Sørensen, Thomas Glott, Raymond Knutsen, Synnove F. Knutsen, Lone Jørgensen, Knut Gjesdal, Anne Marie Lannem |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Randomization MEDLINE law.invention Young Adult 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Quality of life law Intervention (counseling) Outcome Assessment Health Care medicine Humans Outpatient clinic Single-Blind Method Spinal cord injury Spinal Cord Injuries Aged Norway business.industry Neurological Rehabilitation General Medicine Middle Aged medicine.disease Exercise Therapy Locomotor training Neurology Quality of Life Physical therapy Female Neurology (clinical) 0305 other medical science business Locomotion 030217 neurology & neurosurgery |
| Zdroj: | Spinal Cord. 58:560-569 |
| ISSN: | 1476-5624 1362-4393 |
| Popis: | Health-related quality of life (HRQOL) data from two parallel independent single-blinded controlled randomized studies of manual (Study 1) and robotic (Study 2) locomotor training were combined (ClinicalTrials.gov #NCT00854555). To assess effects of body-weight supported locomotor training (BWSLT) programs on HRQOL in persons with long-standing motor incomplete spinal cord injury and poor walking function. Two inpatient rehabilitation facilities and one outpatient clinic in Norway. Data were merged into intervention (locomotor training 60 days) or control group (“usual care”). Participants completed questionnaires before randomization and 2–4 weeks after the study period, including demographic characteristics, HRQOL (36-Item Short-Form Health Status Survey, SF-36), physical activity (The International Physical Activity Questionnaire Short Form, IPAQ-SF), exercise barrier self-efficacy (EBSE), and motivation for training (Behavioral Regulation in Exercise Questionnaire, BREQ). Physical outcomes i.e., Lower extremity motor score (LEMS) was assessed. The main outcome was change in HRQOL. Secondary outcomes included changes in IPAQ-SF, EBSE, BREQ, and physical outcomes. We recruited 37 of 60 predetermined participants. They were autonomously motivated with high baseline physical activity. BWSLT with manual or robot assistance did not improve HRQOL, though LEMS increased in the BWSLT group compared with control group. The study was underpowered due to recruitment problems. The training programs seem to benefit LEMS, but not other physical outcomes, and had minimal effects on HRQOL, EBSE, and motivation. Autonomous motivation and high physical activity prior to the study possibly limited the attainable outcome benefits, in addition to limitations due to poor baseline physical function. |
| Databáze: | OpenAIRE |
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