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Titre : | Effect of Long-Term Physical Activity and Acute Exercise on Markers of Systemic Inflammation in Persons With Chronic Spinal Cord Injury: A Systematic Review (2015) |
Auteurs : | Céline R. Neefkes-Zonneveld ; Arjan J. Bakkum ; Nicolette C. Bishop |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2015/1, 2015) |
Article en page(s) : | p. 30-42 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Exercice physique ; Paraplégie ; Rééducation et réadaptation ; Tétraplégie ; Traumatismes de la moelle épinière |
Mots-clés: | Cytokines ; Paraplegia ; Exercise ; Spinal cord injuries ; Quadriplegia |
Résumé : |
Objective To evaluate the effect of long-term physical activity (PA) and acute exercise on markers of systemic inflammation in persons with chronic spinal cord injury (SCI). Data Sources We searched PubMed (MEDLINE), EMBASE, Central Register of Controlled Trials, CINAHL, and PEDro, involving variations of the Medical Subject Headings: SCI, PA, exercise, and inflammation. No time or language restrictions were applied. Study Selection Except for case reports, we included any type of study, both sexes, all ages, with SCI, resulting in the inclusion of 11 studies. PA included leisure or work activity, including exercise. Data Extraction Two authors independently scanned titles and abstracts and read the articles included. One author extracted and the second double-checked the data. The methodological quality and evidence were rated by using the Cochrane Risk of Bias tool or the Newcastle-Ottawa Scale and the Grading of Recommendations Assessment, Development and Evaluation approach. Data Synthesis The included studies had a high risk of bias and very low levels of evidence. Meta-analyses were performed (random-effects model or generic inverse variance method). The acute interleukin-6 (IL-6) response to exercise was the same for individuals with SCI and able-bodied individuals (P=.91); however, responses were higher in those with paraplegia than in those with tetraplegia (weighted mean difference, 1.19, P<.0001 and p=".003," respectively compared with physically inactive people sci active had lower plasma c-reactive protein levels mean difference crp concentrations were after the exercise intervention than before> Conclusions PA and exercise may improve systemic markers of low-grade inflammation in those with SCI, particularly IL-6 and CRP. The change in IL-6 and CRP levels seems to be greater in those with paraplegia than in those with tetraplegia. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314005000 |