OBJECTIVES: To assess the change over time in the physical activity level after a spinal cord injury (SCI), to explore its determinants, and to compare the physical activity level 1 year after discharge from the rehabilitation center with the level in able-bodied persons. DESIGN: Prospective cohort study. Measurements were obtained at the start of active rehabilitation, 3 months later, at discharge, 2 months after discharge, and 1 year after discharge. SETTING: Rehabilitation center in The Netherlands and the participant's home. PARTICIPANTS: Persons (n=40) with SCI. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The physical activity level, as indicated by the duration of dynamic activities (ie, wheelchair driving, walking, cycling, noncyclic movement) per day, and the intensity of everyday activity; both were measured with an accelerometry-based activity monitor during 2 consecutive weekdays. RESULTS: Random coefficient analyses showed that the duration of dynamic activities and the intensity of everyday activity increased during inpatient rehabilitation at rates of 41% and 19%, respectively (P<.01). Shortly after discharge, there was a strong decline (33%; P<.001) in the duration of dynamic activities. One year after discharge, this decline was restored to the discharge level but was low in comparison with levels in able-bodied persons. The level of lesion and completeness of lesion were determinants of the change in the physical activity level after discharge. CONCLUSIONS: The physical activity level increased during inpatient rehabilitation, but this increase did not continue after discharge, and the level 1 year after discharge was distinctly lower than the level in able-bodied persons. Subpopulations had a different change over time in the physical activity level after discharge.
OBJECTIVES: To assess the change over time in the physical activity level after a spinal cord injury (SCI), to explore its determinants, and to compare the physical activity level 1 year after discharge from the rehabilitation center with the level in able-bodied persons. DESIGN: Prospective cohort study. Measurements were obtained at the start of active rehabilitation, 3 months later, at discharge, 2 months after discharge, and 1 year after discharge. SETTING: Rehabilitation center in The Netherlands and the participant's home. PARTICIPANTS: Persons (n=40) with SCI. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The physical activity level, as indicated by the duration of dynamic activities (ie, wheelchair driving, walking, cycling, noncyclic movement) per day, and the intensity of everyday activity; both were measured with an accelerometry-based activity monitor during 2 consecutive weekdays. RESULTS: Random coefficient analyses showed that the duration of dynamic activities and the intensity of everyday activity increased during inpatient rehabilitation at rates of 41% and 19%, respectively (P<.01). Shortly after discharge, there was a strong decline (33%; P<.001) in the duration of dynamic activities. One year after discharge, this decline was restored to the discharge level but was low in comparison with levels in able-bodied persons. The level of lesion and completeness of lesion were determinants of the change in the physical activity level after discharge. CONCLUSIONS: The physical activity level increased during inpatient rehabilitation, but this increase did not continue after discharge, and the level 1 year after discharge was distinctly lower than the level in able-bodied persons. Subpopulations had a different change over time in the physical activity level after discharge.
Authors: Bart Dekker; Olaf Verschuren; Astrid C J Balemans; Nadia Baart; Frank Tubbing; Casper F van Koppenhagen; Marcel W M Post Journal: Spinal Cord Date: 2018-06-28 Impact factor: 2.772
Authors: Sara J Mulroy; Patricia E Hatchett; Valerie J Eberly; Lisa Lighthall Haubert; Sandy Conners; JoAnne Gronley; Eric Garshick; Philip S Requejo Journal: Arch Phys Med Rehabil Date: 2016-04-22 Impact factor: 3.966
Authors: Geoff B Coombs; Diana Vucina; Hannah G Caldwell; Otto F Barak; Tanja Mijacika; Amanda H X Lee; Zoe K Sarafis; Jordan W Squair; Andrei V Krassioukov; Aaron A Phillips; Zeljko Dujic; Philip N Ainslie Journal: Spinal Cord Date: 2019-07-09 Impact factor: 2.772
Authors: Geoff B Coombs; Otto F Barak; Aaron A Phillips; Tanja Mijacika; Zoe K Sarafis; Amanda H X Lee; Jordan W Squair; Tyler D Bammert; Noah M DeSouza; Daniel Gagnon; Andrei V Krassioukov; Zeljko Dujic; Christopher A DeSouza; Philip N Ainslie Journal: Am J Physiol Heart Circ Physiol Date: 2018-12-21 Impact factor: 4.733
Authors: L Montesinos-Magraner; L López-Bueno; A Gómez-Garrido; M Gomis; L M González; X García-Massó; P Serra-Añó Journal: Spinal Cord Date: 2016-03-01 Impact factor: 2.772
Authors: Dominik Zbogar; Janice J Eng; Jeremy W Noble; William C Miller; Andrei V Krassioukov; Mary C Verrier Journal: Arch Phys Med Rehabil Date: 2017-06-13 Impact factor: 3.966