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Titre : | Physical Activity and Sedentary Behavior From Discharge to 1 Year After Inpatient Rehabilitation in Ambulatory People With Spinal Cord Injury: A Longitudinal Cohort Study (2020) |
Auteurs : | Karin Postma ; Johannes B.J. Bussmann ; Tijn van Diemen ; Marcel W. Post ; Jos Dekkers ; Ilse J.W. van Nes ; Rutger Osterthun ; Rita J.G. van den Berg-Emons |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 12, 2020) |
Article en page(s) : | p. 2061-2070 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.06.027 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Exercice physique ; Marche à pied ; Mode de vie sédentaire ; Réadaptation ; Traumatismes de la moelle épinière |
Résumé : |
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 participants 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. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320304585 |