Physical fitness in people with a spinal cord injury: the association with complications and duration of rehabilitation

J. A. Haisma*, J. B. J. Bussmann, H. J. Stam, T. A. R. Sluis, M. P. Bergen, M. W. M. Post, A. J. Dallmeijer, L. H. V. van der Woude

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

21 Citations (Scopus)

Abstract

Objective: To assess the association between physical fitness and its recovery over time on the one hand, and complications and duration of phases of rehabilitation on the other.Design and setting: Prospective cohort study at eight rehabilitation centres.Subjects: People with a spinal cord injury were assessed four times: at the start of active rehabilitation (n = 110), three months later (n = 92), at discharge (n = 137) and a year after discharge from inpatient rehabilitation (n = 91).Main measures: Physical fitness was defined as aerobic capacity, determined at each occasion by the peak oxygen uptake (peak Vo(2); L/min) and the peak power output (peak PO; W) during a maximal exercise test. On these occasions, spasticity, musculoskeletal and neurogenic pain were determined (1 =present; 0 = absent). During inpatient rehabilitation, complications (urinary tract infection, pulmonary infection or pressure sore) and bed rest were registered (1=complication; 0=no complications, and 1=bed rest; 0=no bed rest). Complications and bed rest occurring during the year after discharge were registered similarly.Results: Multilevel random coefficient analyses revealed associations in multivariate models (P
Original languageEnglish
Pages (from-to)932-940
Number of pages9
JournalClinical Rehabilitation
Volume21
Issue number10
DOIs
Publication statusPublished - Oct 2007

Research programs

  • EMC MUSC-01-46-01

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