| Titre : | Effect of Severe Distal Tibia, Ankle, and Mid- to Hindfoot Trauma on Meeting Physical Activity Guidelines 18 Months After Injury (2022) |
| Auteurs : | Kevin H. McLaughlin ; Stuart L. Mitchell ; Kristin R. Archer ; Hiral Master ; Saam Morshed ; Joshua L. Gary ; Clifford B. Jones ; Ellen J. MacKenzie ; Lisa Reider |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 3, 2022) |
| Article en page(s) : | p. 409-417.e2 |
| Note générale : | https://doi.org/10.1016/j.apmr.2021.07.805 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Exercice physique ; Facteurs de risque ; Réadaptation |
| Résumé : |
Objective
To examine the effect of severe lower extremity trauma on meeting Physical Activity Guidelines for Americans (PAGA) 18 months after injury and perform an exploratory analysis to identify demographic, clinical, and psychosocial factors associated with meeting PAGA. Design Secondary analysis of observational cohort study. Setting A total of 34 United States trauma centers Participants A total of 328 adults with severe distal tibia, ankle and mid- to hindfoot injuries treated with limb reconstruction (N=328). Interventions None. Main Outcome Measures The Paffenbarger Physical Activity Questionnaire was used to assess physical activity levels 18 months after injury. Meeting PAGA was defined as combined moderate- and vigorous-intensity activity ≥150 minutes per week or vigorous-intensity activity ≥75 minutes per week. Results Fewer patients engaged in moderate- or vigorous-intensity activity after injury compared with before injury (moderate: 44% vs 66%, P<.001 vigorous: vs p patients spent minutes per week in combined moderate- to vigorous-intensity activity before injury compared with postinjury confidence interval the adjusted odds of meeting paga were lower for depression ratio ci women and black or hispanic prior more likely meet after> Conclusions Patients spend significantly less time in moderate- to vigorous-intensity physical activity after injury. Patients with depression are less likely to meet PAGA. Although the causal relationship is unclear, results highlight the importance of screening for depression. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321013642#! |
Bibliothèques HE Vinci
