Adherence to Physical Activity Guidelines in Manual Wheelchair Users With Spinal Cord Injury and the Association With Shoulder Pain.

IF 2.2 4区 医学 Q1 REHABILITATION
Wiebe H K de Vries, Ursina Arnet, Fransiska M Bossuyt, Sonja de Groot, Inge Eriks-Hoogland, Claudio Perret
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引用次数: 0

Abstract

Objective: The aim of the study is to investigate the association between adherence to spinal cord injury-specific physical activity guidelines in manual wheelchair users with spinal cord injury and shoulder pain prevalence.

Design: This is a cross-sectional analysis of the SwiSCI Community Survey 2022 data, assessing aerobic activity and muscle strength training adherence in manual wheelchair users with spinal cord injury and shoulder pain prevalence. Logistic regression analysis was used to identify the association between meeting the physical activity guidelines and shoulder pain.

Results: Low adherence to aerobic activity and strength training guidelines are observed, with 46% and 64% of the study sample not meeting the respective guidelines. The low adherence to physical activity guidelines contrasts with the general Swiss population from which around 75% is physically active for more than 2.5 hrs a week. Manual wheelchair users present a high prevalence of shoulder pain (40%) and nonadherence to aerobic guidelines in the study sample correlates with 1.55-1.97 higher odds of having shoulder pain.

Conclusions: Aerobic activity adherence is associated with lower shoulder pain prevalence, emphasizing its potential for injury prevention. Overall, the presented findings necessitate further longitudinal studies and interventions for a comprehensive understanding and effective management of shoulder pain in manual wheelchair users with spinal cord injury.

脊髓损伤手动轮椅使用者遵守体育锻炼指南的情况及其与肩痛的关系。
研究目的本研究旨在调查脊髓损伤手动轮椅使用者坚持脊髓损伤特定体育锻炼指南与肩痛患病率之间的关系:这是对2022年SwiSCI社区调查数据的横断面分析,评估脊髓损伤手动轮椅使用者的有氧活动和肌力训练坚持情况与肩痛患病率之间的关系。采用逻辑回归分析确定符合体育锻炼指南与肩痛之间的关联:结果:有氧运动和力量训练指南的依从性较低,分别有 46% 和 64% 的研究样本未达到相应的指南要求。对体育锻炼指南的遵守率较低,这与瑞士总人口的情况形成了鲜明对比,瑞士总人口中约有 75% 的人每周参加体育锻炼的时间超过 2.5 小时。手动轮椅使用者肩部疼痛的发病率很高(40%),而研究样本中不遵守有氧运动指南的人患肩部疼痛的几率要高出1.55-1.97:结论:坚持有氧运动与较低的肩痛发生率有关,这强调了有氧运动在预防损伤方面的潜力。总之,为了全面了解和有效管理脊髓损伤手动轮椅使用者的肩痛,有必要对上述研究结果进行进一步的纵向研究和干预。
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来源期刊
CiteScore
4.60
自引率
6.70%
发文量
423
审稿时长
1 months
期刊介绍: American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).
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