Physical Activity and Sedentary Behavior From Discharge to 1 Year After Inpatient Rehabilitation in Ambulatory People With Spinal Cord Injury
| Autor: | Ilse J. W. van Nes, Marcel W M Post, Rita J G van den Berg-Emons, Jos Dekkers, Karin Postma, Rutger Osterthun, Johannes B. J. Bussmann, Tijn van Diemen |
|---|---|
| Přispěvatelé: | Extremities Pain and Disability (EXPAND), Rehabilitation Medicine |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Time Factors FITNESS medicine.medical_treatment Aftercare Physical Therapy Sports Therapy and Rehabilitation Walking PART Sitting Quadriplegia Rehabilitation Centers RECOMMENDATIONS 03 medical and health sciences 0302 clinical medicine BENEFITS medicine Spinal cord injuries Humans Longitudinal Studies Tetraplegia Spinal cord injury Exercise Aged ASSOCIATIONS Rehabilitation business.industry Physical activity Sedentary behavior ADULTS Middle Aged medicine.disease Confidence interval Patient Discharge TIME INDIVIDUALS ACCELEROMETRY Cohort Ambulatory Physical therapy Female HEALTH 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Archives of Physical Medicine and Rehabilitation, 101(12), 2061-2070. W B SAUNDERS CO-ELSEVIER INC Archives of Physical Medicine and Rehabilitation, 101(12), 2061-2070. W.B. Saunders |
| ISSN: | 1532-821X 0003-9993 |
| Popis: | Objective: To evaluate changes in duration of physical activity (PA) and sedentary behavior (SB) from discharge to 1 year after inpatient rehabilitation in ambulatory people with spinal cord injury (SCI).Design: Longitudinal cohort study with objective measurements of physical behavior at discharge and at 6 and 12 months post discharge.Setting: Three rehabilitation centers and the participant's home environment.Participants: Participants (N= 47) with ambulatory function were consecutively recruited from the self-management and self-efficacy in patients with SCI cohort (age 18 years or older, recent SCI, expected inpatient stay >4wk). Mean age was 54.5 +/- 12.9 years, all had incomplete lesions, 53% were men, 49% had tetraplegia, and 51% were community ambulators at discharge.Interventions: Not applicable.Main Outcome Measures: Duration (min) of PA (summed duration of walking, cycling, running, and wheeling) and SB (sitting/lying).Results: Mean duration of PA increased by 21 min/d (95% confidence interval, 7-35) and SB decreased by 64 min/d (95% confidence interval, -94 to -35) from discharge to 6 months after inpatient rehabilitation. No changes were found in the second half-year. One year after discharge mean PA was 116 +/- 59 min/d and mean SB was 665 +/- 121 min/d. The increase in PA was the result of an almost doubling of time spent walking. Variability in physical behavior and its change was large. Older age and lower ambulation level were associated with lower PA, lower ambulation level with higher SB, and tetraplegia was associated with a reduced increase in PA.Conclusions: At group level, duration of PA and SB improved following inpatient rehabilitation in ambulatory people with SCI. However, there were large differences between individuals. Levels 1 year after discharge were still unfavorable, particularly regarding SB. (C) 2020 by the American Congress of Rehabilitation Medicine |
| Databáze: | OpenAIRE |
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