Evaluation of the physical activity scale for individuals with physical disabilities in people with spinal cord injury

Abstract

Study design: Cross-sectional study. Objectives: To evaluate the physical activity scale for individuals with physical disabilities (PASIPD) in people with spinal cord injury (SCI). Setting: Eight Dutch rehabilitation centers with a specialized SCI unit. Methods: The PASIPD was examined by comparing group scores of people with different personal (age, gender and body mass index) and lesion characteristics (level (paraplegia/tetraplegia), completeness, time since injury (TSI)) in 139 persons with SCI 1 year after discharge from in-patient rehabilitation. Relationships between PASIPD scores and measures of activities (wheelchair skills, Utrecht Activity List, mobility range and social behavior subscales of the SIP68) and fitness (peak oxygen uptake, peak power output and muscular strength) were determined. Results: Persons with tetraplegia had significantly lower PASIPD scores than those with paraplegia (Po0.02). Persons with longer TSI had lower PASIPD scores than persons with shorter TSI (Po0.03). PASIPD scores showed moderate correlations with activities (0.36-0.51, Po0.01) and weak-tomoderate correlations with fitness parameters (0.25-0.36, Po0.05). Conclusion: In a fairly homogeneous group of persons with SCI, 1 year after in-patient rehabilitation, the PASIPD showed weak-to-moderate relationships with activity and fitness parameters. There seems to be a limited association between self-reported activity level and fitness in people with SCI.

Functioning and Physical Activity after Spinal Cord Injury.

“…Our study confirms that during the primary rehabilitation program, housework skills training is given too little attention and people with SCI after discharge at home have a lot of problems. The authors [25,38] agrees with our study results, and state, that the activity in housework's is improving with each year after SCI onset by naturally engaging in different life situations, and authors recommends that during inpatient rehabilitation currently pay more trainings and purposeful activities for housekeeping skills. Krause et al [22] in the longitudinal studies confirm our findings, that people after SCI onset mostly in long-term period go to the field and going to handle social affairs.…”

A more active lifestyle in persons with a recent spinal cord injury benefits physical fitness and health

“…To our knowledge, only one previous study has assessed this relation in persons with a recent SCI. 10 In that study, in which a questionnaire was used to ascertain activity level, a weak correlation was found. More research is necessary to elucidate this relationship.…”

“…This relation has also been studied in persons with a SCI. [5][6][7][8][9][10][11] However, these studies all used questionnaires to determine physical activity level. Although studies have shown that when using questionnaires there is a risk of overestimation and that self-reported activity level is only weakly related to objectively measured activity level.…”

Nesportuojančių Asmenų Po Nugaros Smegenų Pažeidimo Fizinis Pajėgumas

“…Fizinis aktyvumas ugdo ir stiprina visas organizmo sistemas ir jo funkcijas, yra naudingas įvairių sveikatos sutrikimų prevencijai, didina fizinį pajėgumą [1,4,2,10]. Nors fizinis aktyvumas yra labai svarbus lėtinių ligų prevencijai, tačiau tyrimai rodo, kad vis mažiau žmonių leidžia laisvalaikį fiziškai aktyviai [4,3]. PSO 2010 metų duomenimis, nepakankamas fizinis aktyvumas yra ketvirta pagal dažnį bendrojo mirtingumo priežastis.…”