1
|
Merovitz-Budning L, Wexler A, Vance J, Dam J, Yan J, Saba N, Coulter L, Lemay JF, Musselman KE, Cheung L. Investigating adaptive sport participation for adults aged 50 years or older with spinal cord injury or disease: A descriptive cross-sectional survey. J Spinal Cord Med 2024:1-20. [PMID: 38315149 DOI: 10.1080/10790268.2024.2304920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2024] Open
Abstract
CONTEXT Spinal cord injury or disease (SCI/D) can lead to health challenges that are exacerbated with aging. Adaptive sport is understood to provide health benefits for the SCI/D population. Prior literature investigating adaptive sport in this population pertains to adults with SCI/D who are <50 years of age. However, most Canadians with SCI/D are >50 years of age. OBJECTIVES This study aimed to: (1) Compare demographics of those who do and do not participate in adaptive sport; (2) Describe the characteristics of adaptive sport that adults aged ≥50 years with SCI/D participate in; and (3) Identify barriers and facilitators to adaptive sport participation in this age group. METHODS This descriptive, cross-sectional survey was carried out using an online survey. Analytical statistics were used to address objective one, while descriptive statistics were employed for objectives two and three. PARTICIPANTS Responses from 72 adults aged ≥50 years, residing in Canada, living with a SCI/D for >6 months were included in the analysis. RESULTS Findings revealed that adaptive sport participants aged ≥50 years with SCI/D were more likely to identify as men, be younger individuals (50-59 years), and report greater satisfaction with physical health (P < 0.05). Adaptive sport participants most commonly played individual sports at the recreational level. Common barriers pertained to physical capacity, travel, and COVID-19; common facilitators included social support, desire to improve health, and having friends/peers who also participate. CONCLUSION Future research should investigate strategies to enhance facilitators and mitigate barriers to adaptive sport participation in order to improve access.
Collapse
Affiliation(s)
- Lily Merovitz-Budning
- Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada
| | - Aaron Wexler
- Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada
| | - Jessica Vance
- Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada
| | - Jessica Dam
- Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada
| | - Jiaqi Yan
- Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada
| | - Nadine Saba
- Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada
| | - Lee Coulter
- Islanders Sledge Hockey Club, Markham, Canada
| | - Jean-François Lemay
- School of Physical and Occupational Therapy, Faculty of Medicine, Université de Montréal, Montréal, Canada
- CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, Canada
| | - Kristin E Musselman
- Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada
- Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada
- KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, Canada
| | - Lovisa Cheung
- Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada
- Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada
- KITE-Toronto Rehabilitation Institute, University Health Network, Toronto, Canada
| |
Collapse
|
2
|
The Effects of Physical Exercise on Depression for Individuals with Spinal Cord Injury: a Systematic Review. CURRENT PHYSICAL MEDICINE AND REHABILITATION REPORTS 2022. [DOI: 10.1007/s40141-022-00370-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/10/2022]
|
3
|
Yasuoka Y, Nishimura Y, Kinoshita T, Koike Y, Umemoto Y, Tajima F. Fourteen-year change in activities of daily living of a quadriplegic, ventilator-managed patient injured by high cervical spinal cord injury during infancy: a case report. BMC Pediatr 2022; 22:507. [PMID: 36008853 PMCID: PMC9414331 DOI: 10.1186/s12887-022-03573-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Accepted: 08/22/2022] [Indexed: 11/16/2022] Open
Abstract
Background Rehabilitation of patients with high cervical spinal cord injury (CSCI) to improve activities of daily living (ADL) is challenging due to severe paralysis. In addition, pediatric patients with CSCI are rare, and literature describing ADL changes as the patient grows are limited. In this case report, we present the long-term change in ADL over time in a girl with severe high CSCI from an injury during infancy. Case presentation A 2 years and 6 months old girl, who was injured in a traffic accident, was diagnosed with C3 CSCI, resulting in complete quadriplegia and respiratory paralysis below C3. Thus, she was managed with a ventilator. Rehabilitation for quadriplegia, respiratory dysfunction, and autonomic neuropathy was started on the fifth day after the injury while she was in the intensive care unit. Six months after the injury, the patient was transferred to a hospital. Thereafter, she was discharged with nursing and care guidance provided to her family and environmental changes at home. Afterwards, she continued to acquire skills through writing training using a mouse stick, computer operation training, and electric wheelchair operation training, which enabled her to improve her ADL despite her severe disability. In terms of education, she was able to go through a regular elementary school, a regular junior high school, and then to a senior high school of a support school. Conclusions We believe that training that utilizes current technology and changes in the environment that are appropriate for daily life are important for improving the ADL of children with severe CSCI.
Collapse
Affiliation(s)
- Yoshinori Yasuoka
- Division of Rehabilitation, Wakayama Medical University Hospital, 811-1 Kimiidera, Wakayama, 641-8510, Japan.,Department of Rehabilitation Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8509, Japan
| | - Yukihide Nishimura
- Department of Rehabilitation Medicine, Iwate Medical University, 2-1-1 Idaidouri, Yahaba-cho, Shiwa-gun, Iwate, 028-3694, Japan.
| | - Tokio Kinoshita
- Division of Rehabilitation, Wakayama Medical University Hospital, 811-1 Kimiidera, Wakayama, 641-8510, Japan.,Department of Rehabilitation Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8509, Japan
| | - Yumi Koike
- Division of Rehabilitation, Wakayama Medical University Hospital, 811-1 Kimiidera, Wakayama, 641-8510, Japan.,Department of Rehabilitation Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8509, Japan
| | - Yasunori Umemoto
- Division of Rehabilitation, Wakayama Medical University Hospital, 811-1 Kimiidera, Wakayama, 641-8510, Japan.,Department of Rehabilitation Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8509, Japan
| | - Fumihiro Tajima
- Division of Rehabilitation, Wakayama Medical University Hospital, 811-1 Kimiidera, Wakayama, 641-8510, Japan.,Department of Rehabilitation Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8509, Japan
| |
Collapse
|
4
|
Eller OC, Willits AB, Young EE, Baumbauer KM. Pharmacological and non-pharmacological therapeutic interventions for the treatment of spinal cord injury-induced pain. FRONTIERS IN PAIN RESEARCH 2022; 3:991736. [PMID: 36093389 PMCID: PMC9448954 DOI: 10.3389/fpain.2022.991736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Accepted: 08/05/2022] [Indexed: 11/29/2022] Open
Abstract
Spinal cord injury (SCI) is a complex neurophysiological disorder, which can result in many long-term complications including changes in mobility, bowel and bladder function, cardiovascular function, and metabolism. In addition, most individuals with SCI experience some form of chronic pain, with one-third of these individuals rating their pain as severe and unrelenting. SCI-induced chronic pain is considered to be "high impact" and broadly affects a number of outcome measures, including daily activity, physical and cognitive function, mood, sleep, and overall quality of life. The majority of SCI pain patients suffer from pain that emanates from regions located below the level of injury. This pain is often rated as the most severe and the underlying mechanisms involve injury-induced plasticity along the entire neuraxis and within the peripheral nervous system. Unfortunately, current therapies for SCI-induced chronic pain lack universal efficacy. Pharmacological treatments, such as opioids, anticonvulsants, and antidepressants, have been shown to have limited success in promoting pain relief. In addition, these treatments are accompanied by many adverse events and safety issues that compound existing functional deficits in the spinally injured, such as gastrointestinal motility and respiration. Non-pharmacological treatments are safer alternatives that can be specifically tailored to the individual and used in tandem with pharmacological therapies if needed. This review describes existing non-pharmacological therapies that have been used to treat SCI-induced pain in both preclinical models and clinical populations. These include physical (i.e., exercise, acupuncture, and hyper- or hypothermia treatments), psychological (i.e., meditation and cognitive behavioral therapy), and dietary interventions (i.e., ketogenic and anti-inflammatory diet). Findings on the effectiveness of these interventions in reducing SCI-induced pain and improving quality of life are discussed. Overall, although studies suggest non-pharmacological treatments could be beneficial in reducing SCI-induced chronic pain, further research is needed. Additionally, because chronic pain, including SCI pain, is complex and has both emotional and physiological components, treatment should be multidisciplinary in nature and ideally tailored specifically to the patient.
Collapse
Affiliation(s)
- Olivia C. Eller
- Department of Cell Biology and Physiology, University of Kansas Medical Center, Kansas City, KS, United States
| | - Adam B. Willits
- Department of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, United States
| | - Erin E. Young
- Department of Cell Biology and Physiology, University of Kansas Medical Center, Kansas City, KS, United States
- Department of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, United States
| | - Kyle M. Baumbauer
- Department of Cell Biology and Physiology, University of Kansas Medical Center, Kansas City, KS, United States
- Department of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, United States
| |
Collapse
|
5
|
Effects of an Adapted Sports Intervention on Elderly Women in Need of Long-Term Care: A Pilot Study. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12063097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study aimed to evaluate the effects of an adapted sports intervention on elderly women in need of long-term care (NLTC). Although participation in sports activities positively impacts subjective health status, few studies have evaluated the safety, comfort, and effectiveness of competitive sports in elderly women in NLTC. In this study, ten elderly women in NLTC (age: 80.6 ± 8.2 years) were asked to participate in boccia, a sport adapted to prevent falls. Participants completed the Profile of Mood States 2nd Edition Short-Form and the Medical Outcome Study 36-Item Short-Form Health Survey Version 2. The results showed an improvement in mood states (anger–hostility, tension–anxiety, and total mood disturbance) of elderly women in the NLTC group compared with the control group. Therefore, boccia, an adapted sport, can be considered a safe and competitive option for such women.
Collapse
|
6
|
Mehta S, Ahrens J, Abu-Jurji Z, Marrocco SL, Upper R, Loh E, Cornell S, Wolfe DL. Feasibility of a virtual service delivery model to support physical activity engagement during the COVID-19 pandemic for those with spinal cord injury. J Spinal Cord Med 2021; 44:S256-S265. [PMID: 34779728 PMCID: PMC8604449 DOI: 10.1080/10790268.2021.1970885] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND The current pandemic has reduced access to safe, monitored physical activity (PA) programs for persons with spinal cord injury (SCI). The use of telerehabilitation has the potential for continuing activity engagement without risking virus exposure. The present study evaluates the feasibility and efficacy of an online group-based PA program for persons with SCI. METHODS This preliminary pre-post study delivered an online group-based PA program to persons with SCI. The program consisted of 1-hour sessions twice weekly for six weeks. Online PA satisfaction questionnaires were assessed at post-treatment. Psychosocial subscales from the NeuroQOL-SF were assessed. RESULTS Participants were adult females between 3 and 32 years post-injury, 1 tetraplegic and 3 paraplegics (n = 4). All participants were highly satisfied with the online instruction, overall content, and videoconferencing platform. Participants stated that the online program was beneficial for their overall physical and psychosocial wellbeing. The program resulted in improvement in anxiety and satisfaction with social roles and activities. CONCLUSION The current pilot study demonstrates the acceptability and limited efficacy of an online PA program for those with SCI. The program resulted in improved overall perceived wellbeing and satisfaction with social roles and activities. These results have important implications for the clinical implementation of online PA programs in a hospital and community setting.
Collapse
Affiliation(s)
- Swati Mehta
- Parkwood Institute Research, Lawson Health Research Institute, LondonON, Canada,Department of Physical Medicine and Rehabilitation, Western University, LondonON, Canada,Correspondence to: Swati Mehta, Parkwood Research Institute, 550 Wellington Road South, London, ONN6C 0A7, Canada; Ph (519) 685 4292 x 42359.
| | - Jess Ahrens
- Parkwood Institute Research, Lawson Health Research Institute, LondonON, Canada
| | - Zeina Abu-Jurji
- Parkwood Institute Research, Lawson Health Research Institute, LondonON, Canada
| | | | - Randy Upper
- Parkwood Institute Research, Lawson Health Research Institute, LondonON, Canada
| | - Eldon Loh
- Parkwood Institute Research, Lawson Health Research Institute, LondonON, Canada,Department of Physical Medicine and Rehabilitation, Western University, LondonON, Canada
| | - Stephanie Cornell
- Parkwood Institute Research, Lawson Health Research Institute, LondonON, Canada,Parkwood Institute, St. Joseph’s Health Care London, LondonON, Canada
| | - Dalton L. Wolfe
- Parkwood Institute Research, Lawson Health Research Institute, LondonON, Canada,Department of Physical Medicine and Rehabilitation, Western University, LondonON, Canada
| |
Collapse
|
7
|
Quality of Life and Physical Activity of Persons with Spinal Cord Injury. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18179148. [PMID: 34501739 PMCID: PMC8430911 DOI: 10.3390/ijerph18179148] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/10/2021] [Revised: 08/24/2021] [Accepted: 08/27/2021] [Indexed: 11/19/2022]
Abstract
The higher quality of life of people with spinal cord injury is closely related with their reintegration into the social environment. Social reintegration is a demanding and complex process, requiring individuals to become active again and acquire age-, gender-, and culture-appropriate roles and social status. It also involves independence and productive behavior as part of multiple interpersonal relationships with family, friends, and others. In order to establish whether individuals with spinal cord injury who are physically active subjectively rate their quality of life to be higher compared to those who are not, sixty-two respondents from Slovenia with spinal cord injury were interviewed. Thirty-one of them were physically active, and 31 were not. The level of injury of the responders was from Th6–Th12. The participants gave the highest assessments to their interpersonal relationships, and the lowest to their satisfaction with material prosperity. Data comparison showed that subjective estimates in all areas of quality of life are higher in respondents who were involved in physical activity after their injury. The results may encourage persons with spinal cord injury to participate more often in sports programs, and also encourage others to do so.
Collapse
|
8
|
Osmotherly PG, Thompson E, Rivett DA, Haskins R, Snodgrass SJ. Injuries, practices and perceptions of Australian wheelchair sports participants. Disabil Health J 2020; 14:101044. [PMID: 33248931 DOI: 10.1016/j.dhjo.2020.101044] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 10/12/2020] [Accepted: 11/15/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Data regarding injuries in community-based wheelchair sport athletes is limited and long-term management of injuries and their impact upon participation unexplored. Little data examines benefits and barriers to wheelchair sports participation across the community. HYPOTHESIS The prevalence and nature of injuries sustained by wheelchair sports participants and injury prevention and management strategies will be associated with level of sports participation. STUDY DESIGN Cross-sectional survey. METHODS Members of Wheelchair Sports New South Wales (WSNSW) completed a questionnaire developed from interviews with sports participants. Items examined demographics, sports played, injuries sustained, prevention and management practices, benefits and barriers to participation. Injury types and their management were collected for the previous 12 months. RESULTS Seventy-one questionnaires were returned. Injuries were sustained by 59% of respondents, with 28% reporting injuries in the past twelve months. Injuries most frequently affected the shoulder (25%), were primarily muscle strains (32%), and commonly caused by contact (48%). Injury prevention strategies were reported by 75% of respondents most commonly involving warm-up and stretching activities. Participation benefits included improvements in fitness (85%), opportunities for friendship (83%), improvements in self-care abilities (83%) and setting/achieving goals (91%). Barriers included cost of sports wheelchairs (68%), availability of competitions/competitors (62%), and distance required for travel for training/competition (71%). CONCLUSION Injuries in wheelchair sports participants and benefits and barriers to participation are multi-faceted. Injury types, their management and prevention strategies were identified. Perceived benefits were found in the domains of health, socialisation and skills. Strategies aimed at raising participation rates should focus on promoting the physical, social and skill-related benefits.
Collapse
Affiliation(s)
- Peter G Osmotherly
- School of Health Sciences, The University of Newcastle, Callaghan, NSW, 2308, Australia.
| | - Erin Thompson
- School of Health Sciences, The University of Newcastle, Callaghan, NSW, 2308, Australia
| | - Darren A Rivett
- School of Health Sciences, The University of Newcastle, Callaghan, NSW, 2308, Australia
| | - Robin Haskins
- School of Health Sciences, The University of Newcastle, Callaghan, NSW, 2308, Australia; John Hunter Hospital Outpatient Service, Hunter New England Local Health District, Lookout Rd, New Lambton, NSW, 2305, Australia
| | - Suzanne J Snodgrass
- School of Health Sciences, The University of Newcastle, Callaghan, NSW, 2308, Australia
| |
Collapse
|
9
|
Sports participation and quality of life in individuals with visual impairment. Ir J Med Sci 2020; 190:429-436. [PMID: 32583312 DOI: 10.1007/s11845-020-02285-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2020] [Accepted: 06/16/2020] [Indexed: 12/21/2022]
Abstract
BACKGROUND The positive effects of sports participation on health can be an important issue for rehabilitation of visually impaired individuals. AIMS Our aim was to determine the relationship between sports participation and quality of life in individuals with visual impairment. METHODS The study included 100 athletes who participated in national games for people with visual impairment and 100 subjects who did not participate in sports as the control group. The two groups were matched according to age, gender, visual acuity and visual field. The Short-Form Health Survey (SF-36) was applied for assessment of quality of life. RESULTS All subjects had best corrected visual acuity less than 6/60 and/or visual field less than central 10 degrees in radius in the better eye. The sociodemographic characteristics of the study and control groups were similar except the level of education being higher in the athlete group and level of income higher in the control group. All of the SF-36 scores were higher among athletes compared to controls. Duration of sports activities (years) was positively correlated with Physical Functioning score. There were no significant relations between SF-36 scores and weekly sports participation time (hours). Athletes who had visual loss at an earlier age had better scores in Physical Functioning and Role Limitations due to Physical Problems. CONCLUSIONS Sports activities had positive relationships with all domains of the quality of life in individuals with visual impairment. Thus, appropriate sports activities would increase the success of rehabilitation programs and their quality of life.
Collapse
|
10
|
The Relationship between Physical Activity Levels and Mental Health in Individuals with Spinal Cord Injury in South Korea. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17124423. [PMID: 32575553 PMCID: PMC7344782 DOI: 10.3390/ijerph17124423] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Revised: 06/15/2020] [Accepted: 06/17/2020] [Indexed: 12/16/2022]
Abstract
Background: The aim of this study was to assess the relationship between physical activity (PA) levels and mental health in individuals with spinal cord injury (SCI). Methods: Three hospitals in the Seoul metropolitan area were invited to recruit patients with SCI (n = 103). PA levels were measured by the Leisure Score Index of the Godin Leisure-Time Exercise Questionnaire (GLTEQ). The Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder-7 (GAD-7) questionnaire, and Multidimensional Scale of Perceived Social Support (MSPSS) were used to assess mental health. Results: Compared to the least physically active participants (1st tertile, 44.09 ± 52.74 min/week), the most physically active participants (3rd tertile, 670.86 ± 354.97 min/week) scored significantly lower on PHQ-9 (17.03 ± 5.70 vs. 12.49 ± 4.01, p < 0.001), GAD-7 (13.24 ± 4.78 vs. 9.86 ± 3.15, p < 0.001), while significantly higher MSPSS (51.24 ± 10.17 vs. 61.37 ± 11.90, p < 0.001) after the results were adjusted for age, gender, American Spinal Cord Injury Association impairment scale, and impaired spinal cord levels. Multivariate linear regression analysis showed that the PA was a significant predictor of depression (β = −1.50, p = 0.01), anxiety (β = −1.12, p = 0.02), and social support (β = 4.04, p = 0.01). Conclusion: Higher PA participation was associated with lower depression, anxiety, and higher social support scores.
Collapse
|
11
|
More Than Just a Game: The Public Health Impact of Sport and Physical Activity for People With Disabilities (The 2017 DeLisa Lecture). Am J Phys Med Rehabil 2019; 98:1-6. [PMID: 30286017 DOI: 10.1097/phm.0000000000001063] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Although people with disabilities make up a large proportion of our global population and are known to be disproportionately impacted by sedentary lifestyles leading to chronic disease, programs promoting physical activity often fail to address their unique needs. Both environmental and attitudinal factors also act as barriers to full participation. In this context, increasing evidence shows the positive impact of physical activity and sport on outcomes related to physical health, mental health, community participation, and, in some cases, neurorecovery for people with disabilities. Thus, participation should be seen not only as a medical intervention but also as a rights-based issue. We, as physiatrists, can be agents of change by promoting concepts of universal design and inclusion in physical activity and sport programs.
Collapse
|
12
|
Vancini RL, Gomes AA, de Paula-Oliveira H, de Lira C, Rufo-Tavares W, Andrade MS, Sarro KJ, Sampaio MM, Viana RB, Nikolaidis PT, Rosemann T, Knechtle B. Quality of Life, Depression, Anxiety Symptoms and Mood State of Wheelchair Athletes and Non-athletes: A Preliminary Study. Front Psychol 2019; 10:1848. [PMID: 31456720 PMCID: PMC6700361 DOI: 10.3389/fpsyg.2019.01848] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2019] [Accepted: 07/26/2019] [Indexed: 11/17/2022] Open
Abstract
The present study aims to compare quality of life, depression, anxiety symptoms, and profile of mood state of wheelchair athletes and non-athletes. Thirty-nine basketball and rugby wheelchair athletes (n = 23, nine women, age 36.0 ± 10.0 years; body mass 66.2 ± 13.8 kg; height 170.0 ± 8.5 cm) and non-athletes (n = 16, 4 women, 39.0 ± 14.2 years; body mass 79.6 ± 17.2 kg; height 170.0 ± 6.4 cm) were recruited. Quality of life, anxiety and depressive symptoms and mood disorders were evaluated by the Medical Outcomes Short-Form Health Survey (SF-36), State-Trait Anxiety Inventory, Beck Depression Inventory and Profile of Mood State questionnaire, respectively. Comparison between groups (non-athletes vs. athletes) was performed using Student’s t-test for independent samples. No differences (p > 0.05) were found between non-athletes vs. athletes regards to quality of life, depressive and anxiety symptoms and profile of mood state. Overall, non-athletes and athletes presented medium anxiety symptoms and mild to moderate depressive symptoms. In conclusion, the wheelchair athletes and non-athletes presented similar quality of life, depressive and anxiety symptoms, and profile of mood state.
Collapse
Affiliation(s)
- Rodrigo Luiz Vancini
- Centro de Educação Física e Desportos, Laboratório de Força e Condicionamento, Universidade Federal do Espírito Santo, Vitória, Brazil
| | - Andressa Amato Gomes
- Centro de Educação Física e Desportos, Laboratório de Força e Condicionamento, Universidade Federal do Espírito Santo, Vitória, Brazil
| | - Hudson de Paula-Oliveira
- Centro de Educação Física e Desportos, Laboratório de Força e Condicionamento, Universidade Federal do Espírito Santo, Vitória, Brazil
| | - Claudio de Lira
- Setor de Fisiologia Humana e do Exercício, Laboratório de Avaliação do Movimento Humano, Faculdade de Educação Física e Dança, Universidade Federal de Goiás, Goiânia, Brazil
| | - Weverton Rufo-Tavares
- Centro de Educação Física e Desportos, Laboratório de Força e Condicionamento, Universidade Federal do Espírito Santo, Vitória, Brazil
| | | | - Karine Jacon Sarro
- Faculdade de Educação Física, Universidade Estadual de Campinas, Campinas, Brazil
| | | | - Ricardo Borges Viana
- Setor de Fisiologia Humana e do Exercício, Laboratório de Avaliação do Movimento Humano, Faculdade de Educação Física e Dança, Universidade Federal de Goiás, Goiânia, Brazil
| | | | - Thomas Rosemann
- Institute of Primary Care, University of Zurich, Zurich, Switzerland
| | - Beat Knechtle
- Institute of Primary Care, University of Zurich, Zurich, Switzerland.,Medbase St. Gallen Am Vadianplatz, St. Gallen, Switzerland
| |
Collapse
|
13
|
Abstract
The health benefits of regular recreational physical activity are well known in reducing secondary health consequences of a sedentary lifestyle in the general population. However, individuals with physical disabilities participate less frequently in recreational activity compared with those without disabilities. Although evidence on the impact of recreational physical activity on quality of life in this population is in its infancy, regular recreational and sports activity participation has shown to have a positive association with improvements in quality of life, life satisfaction, community reintegration, mood, and employment in those with disabilities. Facilitators of participating in adaptive sports include a desire to improve social support, physical fitness, health, and fun. Unfortunately, those with disabilities face numerous barriers to participate in adaptive sports including accessibility, transportation, awareness, finances, and physical and cognitive impairments. Further studies are needed to investigate facilitators and barriers to participating in adaptive sports to capitalize on the physical and psychosocial benefits of regular recreational activity. The aim of this article is to review the available literature on the effects of adaptive sports participation on quality of life.
Collapse
|
14
|
Niemiro GM, Edwards T, Barfield JP, Beals JW, Broad EM, Motl RW, Burd NA, Pilutti LA, DE Lisio M. Circulating Progenitor Cell Response to Exercise in Wheelchair Racing Athletes. Med Sci Sports Exerc 2018; 50:88-97. [PMID: 28806276 DOI: 10.1249/mss.0000000000001402] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
INTRODUCTION Circulating progenitor cells (CPC) are a heterogeneous population of stem/progenitor cells in peripheral blood that participate in tissue repair. CPC mobilization has been well characterized in able-bodied persons but has not been previously investigated in wheelchair racing athletes. The purpose of this study was to characterize CPC and CPC subpopulation mobilization in elite wheelchair racing athletes in response to acute, upper-extremity aerobic exercise to determine whether CPC responses are similar to ambulatory populations. METHODS Eight participants (three females; age = 27.5 ± 4.0 yr, supine height = 162.5 ± 18.6 cm, weight = 53.5 ± 10.9 kg, V˙O2peak = 2.4 ± 0.62 L·min, years postinjury = 21.5 ± 6.2 yr) completed a 25-km time trial on a road course. Blood sampling occurred before and immediately after exercise for quantification of CPC (CD34), hematopoietic stem and progenitor cells (HSPC) (CD34/CD45), hematopoietic stem cells (HSC) (CD34/CD45/CD38), CD34 adipose tissue (AT)-derived mesenchymal stromal cells (MSC) (CD45/CD34/CD105/CD31), CD34 bone marrow (BM)-derived MSC (CD45/CD34/CD105/CD31), and endothelial progenitor cells (EPC) (CD45/CD34/VEGFR2) via flow cytometry. Blood lactate was measured before and after trial as an indicator of exercise intensity. RESULTS CPC concentration increased 5.7-fold postexercise (P = 0.10). HSPC, HSC, EPC, and both MSC populations were not increased postexercise. Baseline HSPC populations were significantly positively correlated to absolute V˙O2peak (rho = 0.71, P < 0.05) with HSC trending to positively correlate to V˙O2peak (rho = 0.62, P = 0.10). AT-MSC populations were trending to be negatively correlated to baseline V˙O2peak (rho = -0.62, P = 0.058). The change in CPC, EPC, and AT-MSC pre- and postexercise significantly positively correlated to the change in lactate concentrations (rho = 0.91 P = 0.002, 0.71 P = 0.047, 0.81 P = 0.02, respectively, all P < 0.05). CONCLUSION These data suggest that CPC content in wheelchair racing athletes is related to cardiorespiratory fitness, and responses to exercise are positively related to exercise intensity.
Collapse
Affiliation(s)
- Grace M Niemiro
- 1Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, IL; 2Department of Health and Human Performance, Radford University, Radford, VA; 3U.S. Paralympics, Colorado Springs, CO; 4Department of Physical Therapy, University of Alabama-Birmingham, Birmingham, AL; 5Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, ON, CANADA; and 6School of Human Kinetics, Brain and Mind Research Institute, and Centre for Neuromuscular Disease, University of Ottawa, Ottawa, ON, CANADA
| | | | | | | | | | | | | | | | | |
Collapse
|
15
|
Lape EC, Katz JN, Losina E, Kerman HM, Gedman MA, Blauwet CA. Participant-Reported Benefits of Involvement in an Adaptive Sports Program: A Qualitative Study. PM R 2017; 10:507-515. [PMID: 29111464 DOI: 10.1016/j.pmrj.2017.10.008] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Revised: 10/16/2017] [Accepted: 10/23/2017] [Indexed: 10/18/2022]
Abstract
BACKGROUND Although participation in adaptive sports offers numerous benefits for persons with disabilities, a substantial number of eligible persons do not take part. Previous studies have identified personal and environmental factors that promote or inhibit adaptive sports participation. However, these studies have considered a relatively narrow range of factors. OBJECTIVE To use qualitative research techniques to identify novel factors that influence participation in a community-based adaptive sports program. DESIGN Qualitative focus group study. SETTING Community-based adaptive sports programs affiliated with a rehabilitation hospital network. PARTICIPANTS Participants were recruited from among 134 adults who registered for the sports program in 2013-2014. Participants with mobility or sensory impairment, absence of cognitive impairment, and English proficiency were included. The 90 former participants with adequate contact information were contacted, and 17 participated in the focus groups. METHODS Two moderators led each of 3 audio-recorded focus groups using a moderator's guide. We conducted a thematic analysis of transcript data to identify perceived benefits, barriers, and facilitators of participation. RESULTS Our analysis identified 5 themes: physical well-being and health/safety; interpersonal and social relationships; intrapersonal and beliefs/attitudes; physical environment; and access. Participants experienced participation both as physically beneficial and as transformative in terms of how they view themselves. However, programs drew on limited personal resources and sometimes presented a perceived risk of injury. Finding information about and transportation to programs was a challenge. Participants formed an informal community that modeled what athletes with disabilities are capable of, helping to overcome initial doubts. CONCLUSIONS To gain the benefits of participation, athletes overcame significant barriers, several of which may be modifiable, including transportation and difficult-to-find information about program offerings. The importance of community and raising awareness of athletes' own abilities suggests a key role for mentorship. Our study contributes to the understanding of experiential aspects that motivate participation in adaptive sports. LEVEL OF EVIDENCE IV.
Collapse
Affiliation(s)
- Emma C Lape
- Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, 75 Francis St, BTM 5016, Boston, MA 02115.,Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA; Department of Medicine, Harvard Medical School, Boston, MA; Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA; Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Boston, MA.,Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA; Department of Orthopedic Surgery, Harvard Medical School, Boston, MA; Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA; Department of Biostatistics, Boston University School of Public Health, Boston, MA.,Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA.,Kelley Adaptive Sports Research Institute, Spaulding Rehabilitation Network, Boston, MA.,Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA; Kelley Adaptive Sports Research Institute, Spaulding Rehabilitation Network, Boston, MA; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Brigham and Women's Hospital, Boston, MA
| | - Jeffrey N Katz
- Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, 75 Francis St, BTM 5016, Boston, MA 02115.,Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA; Department of Medicine, Harvard Medical School, Boston, MA; Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA; Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Boston, MA.,Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA; Department of Orthopedic Surgery, Harvard Medical School, Boston, MA; Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA; Department of Biostatistics, Boston University School of Public Health, Boston, MA.,Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA.,Kelley Adaptive Sports Research Institute, Spaulding Rehabilitation Network, Boston, MA.,Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA; Kelley Adaptive Sports Research Institute, Spaulding Rehabilitation Network, Boston, MA; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Brigham and Women's Hospital, Boston, MA
| | - Elena Losina
- Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, 75 Francis St, BTM 5016, Boston, MA 02115.,Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA; Department of Medicine, Harvard Medical School, Boston, MA; Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA; Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Boston, MA.,Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA; Department of Orthopedic Surgery, Harvard Medical School, Boston, MA; Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA; Department of Biostatistics, Boston University School of Public Health, Boston, MA.,Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA.,Kelley Adaptive Sports Research Institute, Spaulding Rehabilitation Network, Boston, MA.,Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA; Kelley Adaptive Sports Research Institute, Spaulding Rehabilitation Network, Boston, MA; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Brigham and Women's Hospital, Boston, MA
| | - Hannah M Kerman
- Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, 75 Francis St, BTM 5016, Boston, MA 02115.,Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA; Department of Medicine, Harvard Medical School, Boston, MA; Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA; Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Boston, MA.,Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA; Department of Orthopedic Surgery, Harvard Medical School, Boston, MA; Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA; Department of Biostatistics, Boston University School of Public Health, Boston, MA.,Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA.,Kelley Adaptive Sports Research Institute, Spaulding Rehabilitation Network, Boston, MA.,Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA; Kelley Adaptive Sports Research Institute, Spaulding Rehabilitation Network, Boston, MA; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Brigham and Women's Hospital, Boston, MA
| | - Marissa A Gedman
- Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, 75 Francis St, BTM 5016, Boston, MA 02115.,Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA; Department of Medicine, Harvard Medical School, Boston, MA; Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA; Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Boston, MA.,Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA; Department of Orthopedic Surgery, Harvard Medical School, Boston, MA; Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA; Department of Biostatistics, Boston University School of Public Health, Boston, MA.,Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA.,Kelley Adaptive Sports Research Institute, Spaulding Rehabilitation Network, Boston, MA.,Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA; Kelley Adaptive Sports Research Institute, Spaulding Rehabilitation Network, Boston, MA; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Brigham and Women's Hospital, Boston, MA
| | - Cheri A Blauwet
- Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, 75 Francis St, BTM 5016, Boston, MA 02115.,Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA; Department of Medicine, Harvard Medical School, Boston, MA; Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA; Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Boston, MA.,Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA; Department of Orthopedic Surgery, Harvard Medical School, Boston, MA; Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA; Department of Biostatistics, Boston University School of Public Health, Boston, MA.,Orthopaedic and Arthritis Center for Outcomes Research, Brigham and Women's Hospital, Boston, MA.,Kelley Adaptive Sports Research Institute, Spaulding Rehabilitation Network, Boston, MA.,Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA; Kelley Adaptive Sports Research Institute, Spaulding Rehabilitation Network, Boston, MA; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Brigham and Women's Hospital, Boston, MA
| |
Collapse
|
16
|
Association among practice frequency on depression and stress among competitive US male wheelchair rugby athletes with tetraplegia. Spinal Cord 2017; 55:957-962. [PMID: 28508888 DOI: 10.1038/sc.2017.40] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2016] [Revised: 03/26/2017] [Accepted: 03/28/2017] [Indexed: 11/09/2022]
Abstract
STUDY DESIGN Cross-sectional. OBJECTIVES To determine whether frequency of training is related to self-reported lower psychological distress, defined as depressive symptomology and perceived stress, among the US male wheelchair rugby athletes with tetraplegia. SETTING United States. METHODS Survey data were collected on a convenience sample at wheelchair rugby tournaments from January-April 2016. Participants self-reported depressive symptomology (CES-D-10), perceived stress scale (PSS), and frequency of rugby practice. Covariate-adjusted regression models were conducted among the full sample and a subsample of individuals who reported spinal cord injury (SCI) as the nature of their disability. RESULTS Participants included 150 males with tetraplegia, and 87% identified the nature of their disability as SCI. Participants were primarily Caucasian with an average age of ~35 years. Participants scored low on measures of depressive symptomology (mean=5.63; s.d.=4.35) and perceived stress (mean=4.63; s.d.=2.73). Sixty-seven percent of the participants practiced two or more times per week. Results of the main analyses indicated that practicing wheelchair rugby two times or more (compared to once a week or less) was significantly associated with lower depressive symptomology and perceived stress among the full sample and subsample of individuals with SCI. CONCLUSIONS Greater frequency of wheelchair rugby participation was associated with lower levels of psychological distress. Future research should examine the directional and mechanistic relationship between frequency of sports participation and psychological distress to inform the benefits of adaptive sport.
Collapse
|
17
|
Performance-Focussed Sport – An Avenue to Gold-Medal Clinical Outcomes for People with Neurological Impairments? BRAIN IMPAIR 2016. [DOI: 10.1017/brimp.2016.5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
This paper investigates the premise that long-term engagement in performance-focussed sports training may lead to significantly enhanced clinical outcomes for people with neurological impairments (NI). The minimum volume of moderate-intensity activity recommended for good health is 450 MET.minutes/week, although evidence from the general population indicates that outcomes may be enhanced by completing up to five times this volume (2250 MET.minutes/week) at vigorous (rather than moderate) intensity. Most studies evaluating physical activity interventions for people with NI deliver low volumes (<450 MET.minutes/week), which may explain why evidence for some clinical outcomes is weak. Athletes (with or without NI) who aim to achieve high-level sports performance undertake an increasingly large volume of vigorous intensity physical activity over several seasons. Evidence that people with NI may enhance clinical outcomes through performance-focussed sports training includes: evidence from studies investigating the benefits of high-intensity and/or high volume clinical exercise; scientific evidence from elite/high-level athletes; and anecdotal evidence from Paralympic athlete testimonials. Additionally, sports participants with NI may also accrue an important array of psychosocial benefits, including higher rates of employment, and higher satisfaction with life and social integration. Rigorous, prospective, longitudinal clinical monitoring of people with NI undertaking performance-focussed sports training are required to evaluate its clinical utility.
Collapse
|
18
|
Barak S, Mendoza-Laiz N, Fuentes MTG, Rubiera M, Huyzler Y. Psychosocial effects of competitive Boccia program in persons with severe chronic disability. ACTA ACUST UNITED AC 2016; 53:973-988. [DOI: 10.1682/jrrd.2015.08.0156] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2015] [Revised: 04/14/2016] [Indexed: 11/05/2022]
Affiliation(s)
- Sharon Barak
- The Edmond and Lily Safra Children’s Hospital, Chaim Sheba Medical Center, Ramat Gan, Israel; Kaye Academic College of Education, Beer-Sheba, Israel
| | - Nuria Mendoza-Laiz
- Facultad de Ciencias del Deporte, Universidad de Castilla La Mancha-Toledo, Spain
| | | | - Maria Rubiera
- CRE de Discapacidad y Dependencia, IMSERSO, León, Spain
| | - Yeshayahu Huyzler
- Zinman College of Physical Education and Sport Sciences and Israel Sport Center for the Disabled, Israel
| |
Collapse
|
19
|
Luchauer B, Shurtleff T. Meaningful Components of Exercise and Active Recreation for Spinal Cord Injuries. OTJR-OCCUPATION PARTICIPATION AND HEALTH 2015; 35:232-8. [PMID: 27505903 DOI: 10.1177/1539449215601069] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This qualitative study used focus groups to identify meaningful components of exercise and active recreation (E/AR) related to consistent participation for those with spinal cord injury (SCI). Transcripts from each focus group were analyzed with classical content analysis, grounded theory coding, and meaning condensation using the International Classification of Function, Disability and Health (ICF). Variables within each of the ICF domains (body structures and functions, activities/participation, and environment) were indicated as meaningful components leading to increased participation, independence, and reasons why people consistently participated in E/AR. Occupational therapists can utilize these components to implement therapeutic intervisions, which provide clients with a sense of purpose and being, thus improving outcomes in meaningful occupations.
Collapse
Affiliation(s)
- Bryna Luchauer
- Washington University School of Medicine in St. Louis, St. Louis, MO
| | - Timothy Shurtleff
- Washington University School of Medicine in St. Louis, St. Louis, MO
| |
Collapse
|
20
|
Sahlin KB, Lexell J. Impact of Organized Sports on Activity, Participation, and Quality of Life in People With Neurologic Disabilities. PM R 2015; 7:1081-1088. [DOI: 10.1016/j.pmrj.2015.03.019] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2014] [Revised: 03/22/2015] [Accepted: 03/25/2015] [Indexed: 10/23/2022]
|
21
|
Do Overhead Sports Increase Risk for Rotator Cuff Tears in Wheelchair Users? Arch Phys Med Rehabil 2015; 96:484-8. [DOI: 10.1016/j.apmr.2014.09.032] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2014] [Revised: 09/24/2014] [Accepted: 09/25/2014] [Indexed: 11/23/2022]
|
22
|
van Koppenhagen CF, Post M, de Groot S, van Leeuwen C, van Asbeck F, Stolwijk-Swüste J, van der Woude L, Lindeman E. Longitudinal relationship between wheelchair exercise capacity and life satisfaction in patients with spinal cord injury: A cohort study in the Netherlands. J Spinal Cord Med 2014; 37:328-37. [PMID: 24621019 PMCID: PMC4064582 DOI: 10.1179/2045772313y.0000000167] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
OBJECTIVE To examine the relationship between wheelchair exercise capacity and life satisfaction in persons with spinal cord injury from the start of active inpatient rehabilitation up to 5 years after discharge. DESIGN Prospective cohort study. SUBJECTS Persons with spinal cord injury, aged 18-65 years, and wheelchair dependent at least for long distances. METHOD Measurements at the start of active rehabilitation, after 3 months, at discharge from inpatient rehabilitation, and 1 and 5 years after discharge. A peak wheelchair exercise test was performed to record peak oxygen uptake (VO2peak) and peak power output (POpeak). Life satisfaction was measured as current life satisfaction and change of life satisfaction in comparison with life after spinal cord injury. Relationships between (changes in) exercise capacity and (changes in) life satisfaction were analyzed random coefficient analysis, corrected for possible confounders (age, gender, level of lesion, functional status, secondary impairments, pain, and sports activity) if necessary. RESULTS Of 225 persons included, 130 attended two or more peak exercise tests, who were include in the analyses. Mean age at start was 39 years, 75% were male, 73% had paraplegia, and 76% had a traumatic lesion. Mean POpeak increased during the study from 32.9 to 55.9 Watts, mean VO2peak from 1.02 to 1.38 l/minute, and mean life satisfaction from 5.7 to 7.8. An increase of POpeak with 10 W was associated with a 0.3-point increase of life satisfaction (P = 0.01). An increase of VO2peak with 0.1 l/minute was associated with a 0.1-point increase of life satisfaction (P = 0.049). Conclusion High(er) wheelchair exercise capacity is related to high(er) life satisfaction in spinal cord injury patients.
Collapse
Affiliation(s)
- Casper Floris van Koppenhagen
- Correspondence to: Casper Floris van Koppenhagen, MD, Rehabilitation Centre De Hoogstraat Revalidatie, Rembrandtkade 10, 3583 TM Utrecht, The Netherlands.
| | | | | | | | - Floris van Asbeck
- Rehabiliation centre De Hoogstraat Revalidatie, Utrecht, The Netherlands
| | | | - Lucas van der Woude
- University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, Groningen, The Netherlands
| | | |
Collapse
|
23
|
Hitzig SL, Craven BC, Panjwani A, Kapadia N, Giangregorio LM, Richards K, Masani K, Popovic MR. Randomized trial of functional electrical stimulation therapy for walking in incomplete spinal cord injury: effects on quality of life and community participation. Top Spinal Cord Inj Rehabil 2013; 19:245-58. [PMID: 24244090 DOI: 10.1310/sci1904-245] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
BACKGROUND Functional electrical stimulation (FES) therapy has been applied to achieve functional benefits post spinal cord injury (SCI), but little is known about its effects on well-being. OBJECTIVE Using a parallel-group randomized controlled trial (RCT) design (NCT00201968), the effects of a FES-assisted walking intervention on quality of life and participation post SCI were compared to a non-FES exercise program. METHODS Individuals with chronic (≥18 months) incomplete SCI (level C2 to T12, AIS C or D) were randomized to a FES-assisted walking (intervention) or aerobic/resistance training (control) sessions 3 times a week for 16 weeks. The Spinal Cord Independence Measure (SCIM), Satisfaction With Life Scale, Lawton Instrumental Activities of Daily Living, Craig Handicap and Assessment Reporting Technique, Reintegration to Normal Living Index, and perceptions of intervention(s) outcomes were completed at baseline, 4, 6, and 12 months. Repeated measures general linear models were used to assess between-group differences. Perceptions of intervention(s) were analyzed using qualitative content analysis. RESULTS Thirty-four individuals were randomized (17 per group); 27 remained at 12 months. The FES group had a significant increase (P < .01) on SCIM mobility subscores (mean [SD] = 17.27 [7.2] to 21.33 [7.6]) compared to the exercise group (mean [SD] = 19.9 [17.1] to 17.36 [5.5]). Although no significant between-group differences were detected for other outcomes, both groups reported positive gains in well-being from trial participation. CONCLUSIONS The present study provides insight into the perceived benefits acquired by participating in an RCT comparing exercise to FES therapy and serves as a model for pinpointing domains of well-being that could be targeted for assessment in future SCI trials.
Collapse
Affiliation(s)
- Sander L Hitzig
- Lyndhurst Centre, Toronto Rehabilitation Institute - University Health Network , Toronto, Ontario , Canada
| | | | | | | | | | | | | | | |
Collapse
|
24
|
Participation in organized sports is positively associated with employment in adults with spinal cord injury. Am J Phys Med Rehabil 2013; 92:393-401. [PMID: 23478458 DOI: 10.1097/phm.0b013e3182876a5f] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE The aim of this study was to determine the association between participation in organized sports programs and employment in adults with chronic spinal cord injury. DESIGN This is a cross-sectional study of 149 adults with chronic spinal cord injury. Motor level and completeness of injury were confirmed by physical examination. Information related to demographics, employment, level of education, body mass index, duration of injury, participation in individually planned exercise, and participation in organized sports was obtained using a standardized questionnaire. Multivariable logistic regression analyses were used to assess factors associated with employment. RESULTS In univariate analyses, employment was associated with younger age (P = 0.001) and a higher level of education (P = 0.01), whereas obesity decreased the likelihood of employment (P = 0.04). Participation in organized sports approached significance (P = 0.06). In the multivariable analysis and after adjusting for age, education, and body mass index, participation in organized sports was significantly associated with employment (odds ratio, 2.4; P = 0.04). Sex, duration of injury, wheelchair use, and participation in individually planned exercise were not significantly associated with employment (P = 0.16-0.94). CONCLUSIONS In the adults with chronic spinal cord injury, participation in organized sports was positively associated with employment. Further studies are necessary to determine the causative nature of this association and how various factors related to sports participation may contribute.
Collapse
|
25
|
The Paralympic Movement: Using Sports to Promote Health, Disability Rights, and Social Integration for Athletes With Disabilities. PM R 2012; 4:851-6. [DOI: 10.1016/j.pmrj.2012.08.015] [Citation(s) in RCA: 79] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2012] [Accepted: 08/21/2012] [Indexed: 11/23/2022]
|
26
|
Chockalingam N, Thomas NB, Duval L. Should preparation for elite sporting participation be included in the rehabilitation process of war-injured veterans? Prosthet Orthot Int 2012; 36:270-7. [PMID: 22918903 DOI: 10.1177/0309364612447096] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND Participation in sport and exercise training, while aiding in the reintegration and confidence building of wounded service personnel, also has potential to prepare them for elite sport competition. It is this encouragement of the war injured to use sport and recreational physical activity as a means of rehabilitation back into civilian life, which has become the worldwide phenomenon of Paralympic sport. OBJECTIVES This paper evaluates existing research relating to the incidence of types of war injuries and the use of sport within the rehabilitation process. STUDY DESIGN Literature review. METHODS Initial searches were conducted in the electronic databases EBSCOHost, ScienceDirect and Pubmed using the keywords 'veterans' and 'sport' or 'physical activity'. These searches were then supplemented by tracking all key references from the appropriate articles identified. A narrative literature review methodology was employed. RESULTS Although it is clear from the reported literature that further development of available rehabilitation services is necessary to provide the required level of care for the types of mental and physical injuries and the concept of 'therapeutic recreation' is becoming popular, there is still a need for the development of specific protocols to identify individuals who can participate and excel in a specific sport at an elite level. CONCLUSIONS Drawing on the US military experience it can be argued that sport in the UK and other parts of the world should be more widely recognized as a component of rehabilitation. This is not just for the role that sport can play as a tool for rehabilitation but also for the intrinsic and extrinsic benefits that participation in elite sport can offer.
Collapse
|
27
|
Miki Y, Kanayama C, Nakashima S, Yamasaki M. Health-Related Quality of Life in Active Persons with Spinal Cord Injury. ACTA ACUST UNITED AC 2012. [DOI: 10.7600/jspfsm.61.177] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
28
|
Crawford A, Hollingsworth HH, Morgan K, Gray DB. People with mobility impairments: Physical activity and quality of participation. Disabil Health J 2011; 1:7-13. [PMID: 21122706 DOI: 10.1016/j.dhjo.2007.11.004] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2007] [Revised: 11/12/2007] [Accepted: 11/13/2007] [Indexed: 11/18/2022]
Abstract
BACKGROUND we sought to describe the characteristics of physical activity levels, health, community integration, and social participation of people with mobility impairments. METHODS based on responses to a participation survey, respondents, located primarily in the Midwestern United States, were divided into 3 physical activity groups: high, low, and inactive. We chose a purposeful sample of 604 people with mobility limitations who had a diagnosis of spinal cord injury, multiple sclerosis, cerebral palsy, stroke, or poliomyelitis. The Participation Survey/Mobility (PARTS/M) was used to measure participation in 6 domains and 20 different activities, the Physical Activity and Health Status (SF-36) was used to measure health and quality of life, and the Reintegration to Normal Living Index (RNL) was used to measure integration into the community. RESULTS people with mobility impairments who were identified as having a high level of physical activity reported greater participation, better health, and a higher level of reintegration to normal community living compared with participants who described their physical activity level as low or inactive. CONCLUSION positive health status and superior community participation were found in a high physical activity group compared with low active or inactive groups of people with mobility impairments and limitations.
Collapse
Affiliation(s)
- Angela Crawford
- Program in Occupational Therapy and Department of Neurology, Washington University, School of Medicine, St. Louis, MO 63108, USA
| | | | | | | |
Collapse
|
29
|
|
30
|
Kerstin W, Gabriele B, Richard L. What promotes physical activity after spinal cord injury? An interview study from a patient perspective. Disabil Rehabil 2009; 28:481-8. [PMID: 16513581 DOI: 10.1080/09638280500211932] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
PURPOSE Physical activity in people with traumatic spinal cord injury (SCI) is of importance not only for maintaining health but also for increasing the possibilities of living an independent life. Physical inactivity leads to poorer muscular and cardiovascular conditioning and sub-optimal levels of functioning. To help people with SCI to achieve optimum physical activity, it is important to understand what promotes the incorporation of regular physical activity into daily life. The aim of this study was thus to identify factors that may promote participation in physical activity among people with spinal cord injuries. METHOD Qualitative multiple case studies. Sixteen participants with SCI were interviewed. RESULT Four main themes of promoting factors could be identified. They were: using cognitive and behavioural strategies; finding supporting environmental solutions; exploring motivation post injury; and capturing new frames of reference. CONCLUSION By utilising the motivational power of role models, together with the other motivational factors identified in this study, such as identifying relevant individual motives post injury and capturing new frames of reference, the process towards physical active life may be facilitated.
Collapse
|
31
|
Groff DG, Lundberg NR, Zabriskie RB. Influence of adapted sport on quality of life: Perceptions of athletes with cerebral palsy. Disabil Rehabil 2009; 31:318-26. [DOI: 10.1080/09638280801976233] [Citation(s) in RCA: 60] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
32
|
McVeigh SA, Hitzig SL, Craven BC. Influence of sport participation on community integration and quality of life: a comparison between sport participants and non-sport participants with spinal cord injury. J Spinal Cord Med 2009; 32:115-24. [PMID: 19569458 PMCID: PMC2678282 DOI: 10.1080/10790268.2009.11760762] [Citation(s) in RCA: 79] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
BACKGROUND/OBJECTIVE To determine whether community integration and/or quality of life (QoL) among people living with chronic spinal cord injury (SCI) are superior among sport participants vs non-sport participants. STUDY DESIGN Cross-sectional study. PARTICIPANTS/METHODS Persons (n=90) living in the community with SCI (ASIA Impairment Scale A-D), level C5 or below, > 15 years of age, >12 months postinjury, and requiring a wheelchair for >1 hours/day were divided into 2 groups based on their self-reported sport participation at interview: sport participants (n=45) and non-sport participants (n 5). RESULTS Independent-sample t tests revealed that both Community Integration Questionnaire (CIQ) and Reintegration to Normal Living Index (RNL) total mean scores were higher among sport participants vs nonsport participants (P < 0.05). Significant correlation between CIQ and RNL total scores was found for all participants (Pearson correlation coefficients, P < 0.01). Logistic regression analysis revealed that the unadjusted odds ratio of a high CIQ mean score was 4.75 (95% CI 1.7, 13.5) among current sport participants. Similarly, the unadjusted odds ratio of a high RNL score was 7.00 (95% CI 2.3, 21.0) among current sport participants. Regression-adjusted odds ratios of high CIQ and high RNL scores were 1.36 (95% CI 0.09, 1.45) and 0.15 (95% CI 0.04, 0.55), respectively. The odds ratio for pre-SCI sport participation predicting post-SCI sport participation was 3.06 (95% CI 1.23, 7.65). CONCLUSIONS CIQ and QoL scores were higher among sport participants compared to non-sport participants. There was an association between mean CIQ and RNL scores for both groups. Sport participants were 4.75 and 7.00 times as likely to have high CIQ and QoL scores. Both groups had a similar likelihood of high CIQ and RNL scores after adjusting for important confounders. Individuals who participated in sports prior to SCI were more likely to participate in sports post-SCI.
Collapse
Affiliation(s)
- Sonja A McVeigh
- Division of Physical Medicine and Rehabilitation and Neurosurgery, Nova Scotia Rehabilitation Centre, Dalhousie University, Nova Scotia, Canada.
| | - Sander L Hitzig
- 1Divisions of Physical Medicine and Rehabilitation and Neurosurgery, Nova Scotia Rehabilitation Centre, Dalhousie University, Nova Scotia, Canada; 2Toronto Rehabilitation Institute, Lyndhurst Centre, Toronto, Ontario, Canada; 3University of Toronto, Department of Medicine, Toronto Rehabilitation Institute, Lyndhurst Centre, Toronto, Ontario, Canada
| | - B. Cathy Craven
- 1Divisions of Physical Medicine and Rehabilitation and Neurosurgery, Nova Scotia Rehabilitation Centre, Dalhousie University, Nova Scotia, Canada; 2Toronto Rehabilitation Institute, Lyndhurst Centre, Toronto, Ontario, Canada; 3University of Toronto, Department of Medicine, Toronto Rehabilitation Institute, Lyndhurst Centre, Toronto, Ontario, Canada
| |
Collapse
|
33
|
Cowan R, Malone L, Nash M. Exercise is Medicine™: Exercise Prescription After SCI to Manage Cardiovascular Disease Risk Factors. Top Spinal Cord Inj Rehabil 2009. [DOI: 10.1310/sci1403-69] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
|
34
|
A preliminary evaluation of the motivational model of pain self-management in persons with spinal cord injury-related pain. THE JOURNAL OF PAIN 2008; 9:606-12. [PMID: 18359668 DOI: 10.1016/j.jpain.2008.01.338] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2007] [Revised: 01/28/2008] [Accepted: 01/31/2008] [Indexed: 11/21/2022]
Abstract
UNLABELLED Chronic pain commonly accompanies long-term disabilities such as spinal cord injury (SCI). Research suggests that patient motivation to engage in adaptive pain coping strategies, such as exercise/stretching and task persistence, is an important factor in determining the impact that this pain will have on quality of life. One recently proposed model (the Motivational Model of Pain Self-Management) suggests that motivation to manage pain is influenced by 2 primary variables: Beliefs about the importance of engaging in pain self-management (ie, perceived importance) and beliefs about one's own ability to engage in these behaviors (ie, self-efficacy). The purpose of this study was to provide a preliminary test of this model in a sample of 130 adults with SCI who completed a return by mail survey. Measures included a numerical rating scale of pain intensity and the revised version of the Multidimensional Pain Readiness to Change Questionnaire. Mediation analyses were performed using multiple regression. Results suggested that the effects of perceived importance and self-efficacy on exercise behavior were mediated by readiness to engage in exercise, consistent with the proposed model. However, the model could not be established for the outcome of task persistence. PERSPECTIVE This study tests a model describing motivation to engage in pain management behaviors (ie, "readiness to change") in adults with SCI. This model could potentially aid clinicians in their conceptualization of the factors that affect patient motivation to manage pain.
Collapse
|
35
|
Abstract
Motivation underpins successful tennis performance, representing one of the game's foremost psychological skills. This paper elaborates on its role in tennis play, and takes an overview of the current state of motivation research applied to tennis. First, the importance of motivation in player and coach performance is explored. The body of evidence pertaining to players' motives for participation and the relevance of goal achievement motivation in tennis is then examined. Finally, the efficacy of motivational climates created by significant others is discussed in light of current practice.
Collapse
Affiliation(s)
- Miguel Crespo
- International Tennis Federation, Development/Coaching Department, C/Tirso de Molina, 21, 6-21, 46015, Valencia, Spain.
| | | |
Collapse
|
36
|
Gioia MC, Cerasa A, Di Lucente L, Brunelli S, Castellano V, Traballesi M. Psychological impact of sports activity in spinal cord injury patients. Scand J Med Sci Sports 2006; 16:412-6. [PMID: 17121643 DOI: 10.1111/j.1600-0838.2005.00518.x] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To investigate whether sports activity is associated with better psychological profiles in patients with spinal cord injury (SCI) and to evaluate the effect of demographic factors on psychological benefits. METHODS The State-Trait Anxiety Inventory, Form X2 (STAI-X2), the Eysenck Personality Questionnaire for extraversion (EPQ-R (E)) and the questionnaire for depression (QD) were administered in a cross-sectional study of 137 males with spinal cord injury including 52 tetraplegics and 85 paraplegics. The subjects were divided into two groups according to sports activity participation (high frequency vs no sports participation). Moreover, multiple regression analysis was adopted to investigate the influence of demographic variables, such as age, educational level, occupational status and marital status, on psychological variables. RESULTS Analysis of variance revealed significant differences among the groups for anxiety (STAI-X2), extraversion (EPQ-R (E)) and depression (QD). In particular, SCI patients who did not practice sports showed higher anxiety and depression scores and lower extraversion scores than sports participants. In addition, with respect to the paraplegics, the tetraplegic group showed the lowest depression scores. Following multiple regression analysis, only the sports activity factor remained as an independent factor of anxiety scores. CONCLUSION These findings demonstrate that sports activity is associated with better psychological status in SCI patients, irrespective of tetraplegia and paraplegia, and that psychological benefits are not emphasized by demographic factors.
Collapse
Affiliation(s)
- M C Gioia
- Fondazione Santa Lucia IRCSS, Rome, Italy
| | | | | | | | | | | |
Collapse
|
37
|
|
38
|
Affiliation(s)
- Marca L Sipski
- Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, Alabama 35233, USA
| | | |
Collapse
|
39
|
O'Neill SB, Maguire S. Patient perception of the impact of sporting activity on rehabilitation in a spinal cord injuries unit. Spinal Cord 2004; 42:627-30. [PMID: 15289808 DOI: 10.1038/sj.sc.3101651] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE To establish patients' perception of the effect of sport on rehabilitation. DESIGN Single investigator telephone questionnaire survey. SETTING Spinal Cord Injuries Unit, Musgrave Park Hospital, Belfast, Northern Ireland, UK. METHOD A telephone questionnaire was administered to patients admitted over a 12-month period. Information on patient demographics, sports participation before and after injury and patients' perception of the impact of sports on rehabilitation was recorded. RESULTS In all, 33 (84.6%) of the 39 patients could be contacted and all completed the questionnaire. Of the respondents 27 (81.8%) had a diagnosis of spinal cord injury. Six (18.2%) were female and 20 (60.6%) were below 45 years.A total of 15 (45.5%) patients previously participated in regular sporting activity. At least 24 (72.7%) tried one sport during admission. In all, 14 reported taking part in regular sporting activity after discharge, although 23 expressed a desire to do so. Of those 60% who had regularly exercised continued to do so and 27% of those who reported no regular sport, before injury, commenced regular active exercise. A general benefit of sporting activity was recognised by 78.8% and a rehabilitation benefit by 69.7%. Self-reported benefits included increase in fitness, quality of life, confidence and social contact. CONCLUSION A high proportion of patients perceived sporting activity as beneficial. Patients exercising before injury were more likely to exercise after injury. All inpatients were introduced to sport by staff, emphasising the importance of this rehabilitation opportunity in planning in-patient care.
Collapse
Affiliation(s)
- S B O'Neill
- Department of Rehabilitation Medicine, Royal Victoria Hospital, Belfast, UK
| | | |
Collapse
|
40
|
Saikkonen J, Karppi P, Huusko TM, Dahlberg A, Mäkinen J, Uutela T. Life situation of spinal cord-injured persons in Central Finland. Spinal Cord 2004; 42:459-65. [PMID: 15111996 DOI: 10.1038/sj.sc.3101618] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
STUDY DESIGN Individual interview and questionnaire of a regional spinal cord-injured (SCI) population. OBJECTIVE Local health care centres are mainly responsible for the SCI patients health care and rehabilitation after initial hospitalization in Finland. The purpose of the present study was to study aspects of the SCI patients life situation and their opinion of the health care services after 1 year since the injury. SETTING Regional study in Central Finland. METHODS Subjects were individually interviewed in their homes using a semi-structured questionnaire, the Functional Independence Measure (FIM) and the Beck Depression Inventory (BDI). RESULTS The female/male ratio was 1:4. The mean age at the time of injury was 34 years in female and 40 in male. Traffic accidents accounted for 46% of the injuries. In all, 48 subjects (63%) used electrical or manual wheelchair or both. Most subjects regarded their living conditions as good having enough personal assistance in their everyday life. Only 10% of the subjects were employed. Half of the subjects had had out-patient physiotherapy, but no other therapies after 1 year since the injury. More than half of the subjects were dissatisfied with the current health care services. Many had experienced complications after the initial hospitalization, especially urinary tract infections, decubitus ulcers and neurogenic-type pain. FIM classified well according to the disability groups. The motor complete tetraplegic group had the lowest mean scores (63) and the recovered group the highest ones (122). There was no association between the FIM and the BDI results. There was a correlation between the BDI and the subject's age at the time of the injury and the year of the injury. The older the subjects were when injured, the higher were the BDI scores, that is, they had more depressive symptoms. Those injured in the 1990s had the highest BDI scores. Nearly one-third of the subjects had mild, moderate or severe depression. CONCLUSIONS The reported medical complications, depression and dissatisfaction with the health care services support a life-long care for SCI patients in Jyväskylä Central hospital, not in the local health care centres. The psychological services, for example, prevention and treatment of depression, in particular, require more attention.
Collapse
Affiliation(s)
- J Saikkonen
- Jyväskylä Central Hospital, Department of Rehabilitation, Jyväskylä, Finland
| | | | | | | | | | | |
Collapse
|
41
|
Calmels P, Béthoux F, Roche G, Fayolle-Minon I, Picano-Gonard C. [Evaluation of the handicap and the quality of life in spinal cord injuries: study in a population of 58 patients living at home]. ANNALES DE READAPTATION ET DE MEDECINE PHYSIQUE : REVUE SCIENTIFIQUE DE LA SOCIETE FRANCAISE DE REEDUCATION FONCTIONNELLE DE READAPTATION ET DE MEDECINE PHYSIQUE 2003; 46:233-40. [PMID: 12832139 DOI: 10.1016/s0168-6054(03)00084-9] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
GOAL The main purpose of this study was to identify objective factors (social and economic status, impairments, functional limitations) contributing to the subjective quality of life of subjects presenting with residual neurological deficits from a traumatic spinal cord injury (SCI) and living at home. SUBJECTS AND METHOD This is a cross-sectional descriptive study of a sample of SCI patients followed at a Physical Medicine and Rehabilitation facility. After informed consent was obtained, a clinical and functional examination was conducted and questionnaires were filled out by the subjects. The following parameters were assessed: impairments (sensory and motor ASIA scores), disability (Barthel Index and Functional Independence Measure), and quality of life (Reintegration to Normal Living Index and Nottingham Health Profile). RESULTS Fifty-eight subjects completed the study (mean age 41.38 +/-13.55 years and mean delay from onset 6.24 +/- 6.06 years). There was a strong significant correlation between the level of quality of life and the current age, the age at the time of the accident and the disability level, particularly for the dimensions of physical independence, social integration and mobility. CONCLUSION Our results are consistent with published data, which identify age as a determining factor of quality of life after SCI. Our review of the literature indicated that time from onset influences quality of life. Longitudinal studies, taking into account the levels of social participation, are needed to better understand the impact of time on quality of life after SCI.
Collapse
Affiliation(s)
- P Calmels
- Service de MPR, département de médecine physique et réadaptation, Gip Exercice, université Jean-Monnet, hôpital Bellevue, centre hospitalier universitaire Saint-Etienne, France.
| | | | | | | | | |
Collapse
|