TY - GEN
T1 - Prospective study on physical activity levels after spinal cord injury during inpatient rehabilitation and the year after discharge
AU - Van Den Berg-Emons, R. J.
AU - Bussmann, J. B.
AU - Haisma, J. A.
AU - Sluis, T. A.
AU - Van Der Woude, L. H.V.
AU - Bergen, M. P.
AU - Stam, H. J.
PY - 2010
Y1 - 2010
N2 - Purpose: To assess change over time in physical activity level (PAL) after spinal cord injury (SCI), to explore its determinants, and to compare PAL 1 year after discharge from the rehabilitation center with able-bodied level. Methods: PAL, as indicated by duration of dynamic activities per day and intensity of everyday activity, was measured in 40 persons with SCI with an accelerometry-based activity monitor during 2 consecutive weekdays. Measurements were obtained at start of active rehabilitation, 3 months later, at discharge, 2 months after discharge, and 1 year after discharge. Results: Random coefficient analyses demonstrated that duration of dynamic activities and 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 duration of dynamic activities. One year after discharge, this decline was restored to discharge level, but was low in comparison with able-bodied level. Level and completeness of lesion were determinants of change in PAL after discharge. Conclusion: PAL increased during inpatient rehabilitation, but this increase did not continue after discharge and level 1 year after discharge was distinctly lower than able-bodied level. Subpopulations had a different change over time in PAL after discharge.
AB - Purpose: To assess change over time in physical activity level (PAL) after spinal cord injury (SCI), to explore its determinants, and to compare PAL 1 year after discharge from the rehabilitation center with able-bodied level. Methods: PAL, as indicated by duration of dynamic activities per day and intensity of everyday activity, was measured in 40 persons with SCI with an accelerometry-based activity monitor during 2 consecutive weekdays. Measurements were obtained at start of active rehabilitation, 3 months later, at discharge, 2 months after discharge, and 1 year after discharge. Results: Random coefficient analyses demonstrated that duration of dynamic activities and 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 duration of dynamic activities. One year after discharge, this decline was restored to discharge level, but was low in comparison with able-bodied level. Level and completeness of lesion were determinants of change in PAL after discharge. Conclusion: PAL increased during inpatient rehabilitation, but this increase did not continue after discharge and level 1 year after discharge was distinctly lower than able-bodied level. Subpopulations had a different change over time in PAL after discharge.
UR - http://www.scopus.com/inward/record.url?scp=84865409856&partnerID=8YFLogxK
U2 - 10.3233/978-1-60750-080-3-134
DO - 10.3233/978-1-60750-080-3-134
M3 - Conference proceeding
AN - SCOPUS:84865409856
SN - 9781607500803
T3 - Assistive Technology Research Series
SP - 134
EP - 136
BT - Rehabilitation
A2 - van der Woude, L.H.V.
A2 - de Groot, S.
A2 - Hettinga, F.J.
A2 - Hoekstra, F.
A2 - Bijker, K.E.
A2 - Janssen, T.W.J.
A2 - Houdijk, J.H.P.
A2 - Dekker, R.
A2 - van Aanholt, P.C.T.
ER -