Physical strain in daily life of wheelchair users with spinal cord injuries

Janssen, Thomas W J; Oers, C. A. J. M. Van; Woude, L.H.V. van der; Hollander, A. P.

doi:10.1249/00005768-199406000-00002

Cited by 143 publications

(92 citation statements)

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“…2 In our study, ADL tasks were responsible for approximately 50% of time spent doing moderate-and heavy-intensity activities, supporting the preexisting notion that lifestyle activity can be particularly taxing for individuals with SCI. 10 Surprisingly, demographic factors such as age, injury duration or lesion level (paraplegic/tetraplegic) were not related to physical activity participation. Although Dearwater et al 1 suggested that people with paraplegia were more active than those with tetraplegia, their data came from a diverse sample from an in-patient rehabilitation setting.…”

Section: Discussionmentioning

confidence: 89%

“…Selfreport physical activity measures developed for the general population are not applicable for the vast majority of individuals with SCI, most of whom use a wheelchair for mobility and expend substantial energy through activities of daily living (ADLs). 10 Thus, the PARA-SCI was developed. 3 Briefly, this assessment is administered by a semistructured interview, providing an estimate of time (in minutes) spent participating in mild-, moderate-and heavy-intensity physical activities ( Table 1).…”

Section: Methodsmentioning

confidence: 99%

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Physical activity is related to lower levels of pain, fatigue and depression in individuals with spinal-cord injury: a correlational study

et al. 2008

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Study design: This was a prospective cross-sectional study for people with chronic spinal cord injury (SCI). Objectives: To (1) evaluate the intensity level and nature of physical activity in community-dwelling individuals living with SCI, and (2) explore the relation between descriptive individual variables (for example, lesion level), secondary complications and participation in physical activity. Setting: Urban community setting. Methods: A total of 49 subjects with SCI who used a manual wheelchair for primary mode of mobility (mean years since injury, 11.8; mean age, 43.7 years; 67% paraplegia) completed the physical activity recall assessment for people with SCI (PARA-SCI).Results: Approximately 50% of reported physical activity among individuals with SCI is due to activities of daily living. The amount of physical activity was not related to lesion level, age, body mass index or waistline size. Greater heavy-intensity activity was related to lower levels of pain and fatigue and higher levels of self-efficacy, whereas higher amounts of mild-intensity activity and total activity were related to less depressive symptoms. Conclusions: Activities of daily living are a large component for physical activity among individuals with SCI. It appears that greater physical activity is associated with less secondary complications (pain, fatigue and depression) in individuals with SCI.

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Section: Discussionmentioning

confidence: 89%

Section: Methodsmentioning

confidence: 99%

Physical activity is related to lower levels of pain, fatigue and depression in individuals with spinal-cord injury: a correlational study

et al. 2008

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“…However, activities such as transferring and wheeling do require activation of major muscle groups and as a result can be very strenuous. 9,10 The increased strain accompanying these ADL may deter participation and consequently limit opportunities for community integration. However, it has been demonstrated that increased fitness reduces the strain of ADL.…”

Section: Introductionmentioning

confidence: 99%

Activities of daily living performed by individuals with SCI: relationships with physical fitness and leisure time physical activity

2008

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Study Design: Cross-sectional. Objectives: To examine patterns of participation in activities of daily living (ADL) and fitness-related factors associated with these patterns among individuals with spinal cord injury (SCI). Setting: Centre for Health Promotion and Rehabilitation at McMaster University, School of Kinesiology and Health Studies at Queen's University. Methods: Forty-eight participants completed the Physical Activity Recall Assessment for People with Spinal Cord Injury (PARA-SCI) and a fitness test assessing cardiovascular fitness (VO 2max and peak power output (Po)). The most commonly reported ADL were extracted from the PARA-SCI data for analysis. Results: Women tended to spend more time participating in domestic and personal care ADL than men. Compared to individuals with tetraplegia, individuals with paraplegia tended to spend more time transferring, cleaning and preparing food and less time wheeling, toileting and dressing. Fitness and participation in leisure time physical activity (LTPA) were associated with certain ADL. Participants with higher levels of fitness spent more time partaking in ADL wheeling and cleaning. Moreover, greater time spent participating in moderate-and heavy-intensity LTPA was positively correlated with time spent engaged in certain ADL. Conclusion: By identifying common ADL performed by individuals with SCI, the study findings begin to provide direction for developing strategies to optimize ADL participation. Future research should examine fitness as a way to help individuals with SCI optimize their ADL participation.

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“…4,5,7,9 Previous studies indeed showed that physical strain in daily life of persons with SCI was too low to maintain or improve physical ®tness. 13,14 The e ect of physical activity on the lipid and (apo)lipoprotein pro®les in persons with SCI has, until now, only been investigated in a cross-sectional set-up. 4,5,9,10,15 More favorable risk pro®les were reported in wheelchair athletes 4,5 and moderately active subjects with tetraplegia, 9 in comparison with their sedentary counterparts.…”

Section: Introductionmentioning

confidence: 99%

Changes in lipid, lipoprotein and apolipoprotein profiles in persons with spinal cord injuries during the first 2 years post-injury

et al. 1999

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Objective: To investigate changes in lipid, lipoprotein and apolipoprotein pro®les in persons with spinal cord injury (SCI) during the ®rst 2 years post-injury, and to determine whether changes in risk pro®les were associated with sport activity and/or changes in physical capacity parameters. Design: Risk pro®les and physical capacity were investigated in 19 subjects with recent SCI during rehabilitation (t1) and +1 year after discharge from rehabilitation (t2). Main outcome measures: Changes in total plasma cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triglycerides (TG), apolipoprotein-A1 (ApoA1), apolipoprotein-B (ApoB) concentrations, the ratios TC/HDL-C, LDL-C/HDL-C, ApoA1/ApoB and HDL-C/ApoA1, and physical capacity (maximal isometric strength, sprint power output, maximal power output, aerobic power). Results: Risk pro®le parameters changed towards more favorable values at t2, except for HDL-C (P=0.06), TG and HDL-C/ApoA1. Sport activity and changes of the physical capacity were the most important determinants of changes in lipid and (apo)lipoprotein pro®les, showing more favorable values with larger increases of the physical capacity and in persons who were physically active. Conclusion: Results show that the lipid and (apo)lipoprotein pro®les improve in persons with SCI during the ®rst 2 years post-injury, and that improving the physical capacity or being physically active can improve the lipid and (apo)lipoprotein pro®les.

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Physical strain in daily life of wheelchair users with spinal cord injuries

Cited by 143 publications

References 0 publications

Physical activity is related to lower levels of pain, fatigue and depression in individuals with spinal-cord injury: a correlational study

Physical activity is related to lower levels of pain, fatigue and depression in individuals with spinal-cord injury: a correlational study

Activities of daily living performed by individuals with SCI: relationships with physical fitness and leisure time physical activity

Changes in lipid, lipoprotein and apolipoprotein profiles in persons with spinal cord injuries during the first 2 years post-injury

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