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Titre : | Cardiovascular Stress During Inpatient Spinal Cord Injury Rehabilitation (2017) |
Auteurs : | Dominik Zbogar ; Janice J. Eng ; Jeremy W. Noble |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/12, 2017) |
Article en page(s) : | p. 2449-2456 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Autorapport ; Ergothérapie ; Rééducation et réadaptation ; Rythme cardiaque ; Traumatismes de la moelle épinière |
Mots-clés: | Accelerometry ; Accélérométrie ; Heart rate ; Occupational therapy ; Self report ; Spinal cord injuries |
Résumé : |
Objectives (1) To measure the amount of cardiovascular stress, self-reported physical activity, and accelerometry-measured physical activity by individuals with spinal cord injury (SCI) during physical therapy (PT) and occupational therapy (OT); and (2) to investigate the relations between these measures. Design Observational study. Setting Two inpatient SCI rehabilitation centers. Participants Patients with SCI (N=87) were recruited from consecutive admissions to rehabilitation. Interventions Not applicable. Main Outcome Measures Heart rate was recorded by a Holter monitor, whereas physical activity was captured by self-report (Physical Activity Recall Assessment for People with SCI questionnaire) and real-time wrist accelerometry during a total of 334 PT and OT inpatient sessions. Differences between individuals with paraplegia and tetraplegia were assessed via Mann-Whitney U tests. Spearman correlations were used to explore the relation between measurements of physical activity and heart rate. Results Time spent at a heart rate within a cardiovascular training zone (≥40% heart rate reserve) was low and did not exceed a median of 5 minutes. In contrast, individuals reported at least 60 minutes of higher-intensity time during therapy. There was a low but statistically significant correlation between all measures. Conclusions The cardiovascular stress incurred by individuals with SCI during inpatient PT and OT sessions is low and not sufficient to obtain a cardiovascular training effect to optimize their neurologic, cardiovascular, or musculoskeletal health; this represents a lost opportunity to maximize rehabilitation. Self-reported minutes of higher-intensity physical activity do not reflect actual time spent at a higher intensity measured objectively via a heart rate monitor. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317303854 |