FITNESS AND CONDITIONING DURING SPINAL CORD INJURY (SCI) REHABILITATION.

Abstract

Little is known of the outcome and effectiveness of clinical rehabilitation on physical activity, mobility, fitness, functioning in society or quality of life. A multi-disciplinary research collaboration and multicenter prospective cohort study (www.scionn.nl) was conducted and studied the course of restoration of mobility of persons with spinal cord injury (SCI). The International Classification of Functioning, Disability and Health (ICF) served as a conceptual framework. A total of 225 SCI from eight Dutch specialized units participated. A variety of physical tests and questionnaires were administered at standardized moments during (3x) rehabilitation, and one and five years after rehabilitation. Results over time were analyzed with multi-level regression analysis (p<0.05). Multi-level analyses showed significant improvements in fitness and functioning in a wide range of outcome measures. positive during rehabilitation (but not BMI). Profiles showed a tendency to deteriorate after rehabilitation. Longitudinal multi-center research during and after regular SCI rehabilitation proves feasible and fruitful; results show positive trends at the group level regarding rehabilitation treatment and development towards a more active lifestyle

Keywords

• -

FITNESS AND CONDITIONING DURING SPINAL CORD INJURY (SCI) REHABILITATION.

Abstract

Keywords

• -

References

1. Arnet U, (2012). Handcycling: A biophysical analysis. Docoral Thesis in Faculty of Human Movement Sciences, VU University: Amsterdam. p. 191.
2. Bloemen-Vrencken J, (2006). Health problems after spinal cord injury rehabilitation: Who cares?. Thesis in Health Sciences, University of Maastricht: Maastricht.
3. de Groot S, Dallmeijer AJ, Post MW, van der Woude L. (2007). Mechanical efficiency and wheelchair performance during and after spinal cord injury rehabilitation. International Journal of Sports Medicine, 28(10), 880-6.
4. de Groot S, Dallmeijer AJ, van Asbeck FW, Post MW, Bussmann JB, van der Woude LH. (2008). The longitudinal relationship between lipid profile and physical capacity in persons with a recent spinal cord injury. Spinal Cord, 46(5), 344-51.
5. de Groot P. (2005). Cardiovascular adaptations in spinal cord-injuried individuals. Doctoral Thesis in Medical Sciences, Radboud University, Nijmegen.
6. Haisma JA, (2008). Physical capacity and complications during and after inpatient rehabilitation for spinal cord injury. Thesis in Medical Sciences, Erasmus University Rotterdam: Rotterdam.
7. Kilkens OJ, (2005). Manual wheelchair skill performance of persons with spinal cord injuries. Thesis in Health Science, University of Maastricht: Maastricht.
8. Valent LJM, (2009). The effects of hand cycling on physical capacity in persons with spinal cord injury. Doctoral thesis in Human Movement Sciences, Vrije Universiteit: Amsterdam.

9. Van Dijk Fv, Dormolen MV, Kompier M, Meijman T. (1990.) Herwaardering model arbeidsbelastbaarheid (Dutch). TSG, 68(1), 3-10.
10. Van Drongelen S, (2005). Upper extremity load during wheelchair-related tasks in subjects with a spinal cord injury, thesis in Human Movement Sciences, Vrije Universiteit: Amsterdam. p. 157.
11. Van Koppenhagen CF, (2013). Life satisfaction and wheelchair exercise capacity in the first years after spinal cord injury, in Universitair Medisch Centrum (UMC) Utrecht, University of Utrecht: Utrecht. p. 160.
12. Van Velzen JM, de Groot S, Post MW, Slootman JH, van Bennekom CA, van der Woude LH. (2009). Return to work after spinal cord injury: is it related to wheelchair capacity at discharge from clinical rehabilitation? American Journal of Physical Medicine and Rehabilitation, 88(1), 47-56.
13. WHO (World Health Organisation). (2001). International Classification of Functioning, Disability and Health, World Health Organisation: Geneva.