Abstract
Study design:
Retrospective cross-sectional study with anonymous postal data collection.
Objective:
Regaining the best possible mobility and independence is not only the focus of the rehabilitation process for individuals with spinal cord injury (SCI), but also represents an important criterion for the individual's quality of life (QoL). Therefore, if and to what extent physical exercise (PE) influences the QoL of individuals with SCI was investigated.
Setting:
The period of investigation extended from September 2007 to January 2008. Data were acquired from the BG Trauma Hospital Hamburg database and the German Wheelchair Sport Federation databases.
Methods:
Analysis of 277 questionnaires of individuals with acquired SCI between the age of 16 and 65 years with complete wheelchair dependency in everyday life and lesion level lower C5.
Results:
In all, 51.5% of all individuals were reported being actively involved in sports as opposed to 48.5% individuals not participating in sports. Individuals actively involved in sports have higher employment rate than physically inactive individuals with SCI. PE was identified as the main influencing determinant of QoL. This was particularly within the physical and psychological dimensions.
Conclusion:
In discovering the potential of individuals with SCI for getting involved in PE, the improvement of physical and coordinative skills with interaction between individuals with SCI and external sport groups should be an inherent part of the rehabilitation process. Individuals not having access to PE should be given the opportunity to participate in wheelchair mobility courses. This may improve the adherence to PE of individuals with SCI in post-clinical settings.
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References
Levine S . The meanings of health, illness, and quality of life. In: Guggenmoos-Holzmann I, Bloomfield K, Brenner H, Flick U (eds). Quality of Life and Health. Concepts, Methods and Applications. Blackwell: Berlin, 1995 pp 7–16.
Fuhrer MJ . Subjectifying quality of life as a medical rehabilitation outcome. Disabil Rehabil 2000; 22: 481–489.
Joyce CRB, McGee HM, O’Boyle C (ed). Individual quality of life: approaches to conceptualisation and assessment. Harwood: Amsterdam, 1999, pp 3–9.
Fayers PM, Machin D . Quality of Life. The assessment, analysis, and interpretation of patient oriented outcomes. 2nd edn. Wiley: West Sussex, 2000, p 4.
Kind P . Measuring quality of life in evaluating clinical interventions: an over-view. Ann Med 2001; 33: 323–327.
Brenner MH . Quality of life assessment in medicine: A historical view of basicscience and applications. In: Guggenmoos-Holzmann I, Bloomfield K, Brenner H, Flick U (eds). Quality of Life and Health. Concepts, Methods and Applications. Blackwell: Berlin, 1995, pp 41–57.
Schönherr MC, Groothoff JW, Mulder GA, Eisma WH . Participation and satisfaction after spinal cord injury: results of a vocational and leisure outcome study. Spinal Cord 2005; 43: 241–248.
De Vivo MJ, Richards JS . Community reintegration and quality of life following spinal cord injury. Paraplegia 1992; 30: 108–112.
Eisenberg MG, Saltz CC . Quality of life among aging spinal cord injures persons: long term rehabilitation outcomes. Paraplegia 1991; 29: 514–520.
Gerhart KA . Spinal cord injury outcomes in a population-based sample. J Trauma 1991; 31: 1529–1535.
Fuhrer MJ, Rintala DH, Hart KA, Clearman R, Young ME . Relationship of life satisfaction to impairment, disability, and handicap among persons with spinal cord injury living in the community. Arch Phys Med 1992; 73: 552–557.
Evans RL, Hendricks RD, Connis RT, Haselkorn JK, Ries KR, Mennet TE . Quality of life after spinal cord injury: a literature critique and meta-analysis (1983–1992). J Am Paraplegia Soc 1993; 17: 60–66.
Tasiemski T, Kennedy P, Gardner BP, Tylor N . The association of sports and physical recreation with life satisfaction in a community sample of people with spinal cord injuries. Neurorehabilitation 2005; 20: 253–265.
Hess DW, Meade MA, Forchheimer M, Tate DG . Psychological well-being and intensity of employment in individuals with a spinal cord injury. Top Spinal Cord Inj Rehabil 2004; 9: 1–10.
Noreau L, Shephard RJ . Spinal cord injury, exercise and quality of life. Sports Med 1995; 20: 226–250.
Hanssen-Doose A, Schüle K . Development and validation of a generic QOL-instrument with an integrated physical activity component (QOL feedback). Qual Life Res 2006; 1 (Suppl.): A-132.
Haran MJ, King MT, Stockler MR, Marial O, Lee BB . Validity of the SF-36 Health Survey as an outcome measure for trials in people with spinal cord injury. CHERE Working Paper 2007/4, CHERE, Sydney 2007. Available at http://www.chere.uts.edu.au/pdf/wp2007_4.pdf.
Payne JK, Held J, Thorpe J, Shaw H . Effect of exercise on biomarkers, fatigue, sleep disturbances, and depressive symptoms in older woman with breast cancer receiving hormonal therapy. Oncol Nurs Forum 2008; 35: 635–642.
Hicks AL, Martin KA, Ditor DS, Latimer AE, Craven C, Bugaresti J, McCartney N . Long-term exercise training in persons with spinal cord injury: effects on strength, arm ergometry performance and psychological well-being. Spinal Cord 2003; 41: 34–43.
Exner G . Querschnittlähmungen. In: BAR Rehabilitation und Teilhabe; Ärzte Verlag: Köln 2005, pp 197–203.
Acknowledgements
The investigation is part of the project ‘Participation Through Mobility For Individuals With SCI’ sponsored by the German Statutory Accident Insurance (DGUV) and was realized in close cooperation with Peter Richarz from the German Wheelchair Sports Federation (DRS).
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Anneken, V., Hanssen-Doose, A., Hirschfeld, S. et al. Influence of physical exercise on quality of life in individuals with spinal cord injury. Spinal Cord 48, 393–399 (2010). https://doi.org/10.1038/sc.2009.137
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DOI: https://doi.org/10.1038/sc.2009.137
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