Response to Group Exercise Outcomes Differ by Baseline Physical Activity in Individuals With Spinal Cord Injury: An Exploratory Analysis.

IF 3.6 3区医学 Q2 CLINICAL NEUROLOGY

Journal of Neurologic Physical Therapy Pub Date : 2026-06-26 DOI:10.1097/NPT.0000000000000572

Margaret A Finley, Laura A Baehr, Michael Bruneau, Shivayogi V Hiremath, June Maloney, Martha Childress, James Morrison, Emelia Perry

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引用次数: 0

Abstract

Background and purpose: Nearly 50% of individuals with spinal cord injury (SCI) report no regular physical activity (PA). We developed a novel group tele-exercise program for individuals with SCI to address barriers to exercise and influence individual determinants of PA behavior. The purpose was to compare outcomes of exercisers versus non-exercisers based on self-reported PA at baseline following participation in an 8-week program, Tele-Exercise to promote Empowered Movement in individuals with SCI (TEEMS).

Methods: Individuals with chronic SCI (n = 51, 24 non-exercisers) participated. Primary outcomes (Exercise Self-Efficacy Scale for SCI, Multidimensional Outcome Expectations for Exercise, Leisure Time PA Questionnaire for SCI, Subjective Quality of Life) and secondary outcomes (sleep, pain interference, domains of SCI Quality of Life) were assessed pre-, post-, and 8 weeks following program completion (retention).

Results: Pre-program non-exercisers reported lower exercise expectations (P = 0.02), weekly minutes of moderate- to high-intensity PA (P < 0.001), total weekly PA (P < 0.001), and self-esteem (P = 0.01) compared with exercisers. Non-exercisers improved in exercise self-efficacy (P = 0.02) and increased moderate- to high-intensity PA (P = 0.01), eliminating the group difference. Non-exercisers demonstrated large effects for greater participation in social roles (d = 0.92), satisfaction with social roles (d = 1.0), and self-esteem (d = 0.92) post-program. Self-evaluative expectations of exercise improved in non-exercisers and exercisers (P < 0.001) with no difference between groups. Changes were maintained at retention.

Discussion and conclusions: For individuals with SCI, especially non-exercisers, participation in Tele-Exercise to promote Empowered Movement in individuals with SCI positively impacted personal determinants of PA behavior, along with improved self-esteem and social participation. Improved exercise self-efficacy, influenced by exercise knowledge gained during program participation and increased expectations of internal exercise outcomes, was found.

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脊髓损伤患者对群体运动结果的反应不同于基线体力活动：一项探索性分析。

背景和目的：近50%的脊髓损伤（SCI）患者报告没有规律的身体活动（PA）。我们为脊髓损伤患者开发了一种新颖的群体远程锻炼计划，以解决运动障碍并影响个人行为的决定因素。目的是比较锻炼者和非锻炼者在参与一个为期8周的项目后的结果，该项目名为远程锻炼以促进SCI患者的授权运动（TEEMS）。方法：慢性脊髓损伤患者（51例，非运动者24例）参与研究。主要结果（SCI运动自我效能量表、运动多维结果期望、SCI休闲时间PA问卷、主观生活质量）和次要结果（睡眠、疼痛干扰、SCI生活质量领域）在项目完成前、后和8周后（保留）进行评估。结果：与锻炼者相比，计划前不锻炼者报告的运动期望（P = 0.02）、每周中高强度PA分钟（P < 0.001）、每周总PA （P < 0.001）和自尊（P = 0.01）较低。非锻炼者运动自我效能提高（P = 0.02），中高强度PA增加（P = 0.01），消除了组间差异。非锻炼者在锻炼后对社会角色的参与度（d = 0.92）、对社会角色的满意度（d = 1.0）和自尊（d = 0.92）均有较大影响。非锻炼者和锻炼者的运动自我评价期望均有改善（P < 0.001），组间无差异。变更保持在保留状态。讨论和结论：对于脊髓损伤患者，特别是非运动者，参与远程运动促进脊髓损伤患者的授权运动，积极影响个人行为的决定因素，同时提高自尊和社会参与。研究发现，在项目参与过程中获得的运动知识和对内部运动结果的期望提高了运动自我效能感。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Neurologic Physical Therapy CLINICAL NEUROLOGY-REHABILITATION

CiteScore

5.70

自引率

2.60%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Neurologic Physical Therapy (JNPT) is an indexed resource for dissemination of research-based evidence related to neurologic physical therapy intervention. High standards of quality are maintained through a rigorous, double-blinded, peer-review process and adherence to standards recommended by the International Committee of Medical Journal Editors. With an international editorial board made up of preeminent researchers and clinicians, JNPT publishes articles of global relevance for examination, evaluation, prognosis, intervention, and outcomes for individuals with movement deficits due to neurologic conditions. Through systematic reviews, research articles, case studies, and clinical perspectives, JNPT promotes the integration of evidence into theory, education, research, and practice of neurologic physical therapy, spanning the continuum from pathophysiology to societal participation.