Randomized Trial of Two Exercise Programs to Increase Physical Activity and Health-Related Quality of Life for Persons With Spinal Cord Injury

IF 2.4 Q1 REHABILITATION
J. Butzer, A. Kozlowski, Rachel Hern, Cally Gooch
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引用次数: 1

Abstract

Objectives: To compare the effectiveness of two different interventions that promote physical activity in individuals with traumatic spinal cord injury (SCI) and determine the effect of relapse prevention. Methods: A sequential, multiple assignment, randomized trial was conducted at a universally designed community-based exercise facility. Participants were individuals with traumatic SCI, >3 months post injury, levels C5 to T12, age ≥18 years (N = 79). After randomization, Bridge Program participants completed an 8-week personalized, less intense, exercise program informed by American College of Sports Medicine (ACSM) guidelines and supported with hands-on peer mentoring, exercise of choice, and caregiver training. Structured Exercise participants completed an 8-week program in a group format based on ACSM guidelines. After intervention, participants were randomized to receive or not receive relapse prevention for 6 months. The time and intensity of physical activity and psychological change in depression, anxiety, self-efficacy, and function were assessed with self-reported measures. Results: Compared to baseline, physical activity increased post intervention for both the Bridge and Structured Exercise programs. Compared to baseline, participants in the Bridge Program recorded fewer anxiety symptoms. No significant changes were noted for either program in depressive symptoms, self-efficacy, or function. There was no difference in relapse prevention between the two groups at 6 months. Conclusions: The Bridge Program, a novel personalized exercise program with peer support, exercise of choice, and caregiver training, and a structured exercise program both improved self-reported physical activity, but the Bridge Program also reduced anxiety symptoms. This study provides important insight into the limitations of commonly used measures of physical activity and psychosocial domains in people with SCI.
两种锻炼方案提高脊髓损伤患者体力活动和健康相关生活质量的随机试验
目的:比较两种促进外伤性脊髓损伤(SCI)患者身体活动的不同干预措施的有效性,并确定预防复发的效果。方法:在一个普遍设计的社区运动设施中进行了一项连续、多任务、随机试验。参与者为创伤性脊髓损伤患者,损伤后3个月,C5至T12级,年龄≥18岁(N = 79)。随机化后,桥梁项目参与者完成了一个为期8周的个性化、低强度的运动项目,该项目遵循美国运动医学学院(ACSM)的指导方针,并得到了同伴指导、运动选择和护理人员培训的支持。结构化锻炼参与者根据ACSM指南以小组形式完成了为期8周的计划。干预后,参与者随机接受或不接受6个月的复发预防。用自我报告的方法评估身体活动的时间和强度以及抑郁、焦虑、自我效能和功能方面的心理变化。结果:与基线相比,桥式和结构化运动项目的身体活动在干预后都有所增加。与基线相比,桥梁项目的参与者记录的焦虑症状较少。两种方案在抑郁症状、自我效能或功能方面均未发现显著变化。6个月时两组在预防复发方面无差异。结论:桥梁计划是一种新颖的个性化运动计划,包括同伴支持、运动选择和护理人员培训,以及一种结构化的运动计划,两者都改善了自我报告的身体活动,但桥梁计划也减少了焦虑症状。这项研究为脊髓损伤患者常用的身体活动和心理社会领域测量方法的局限性提供了重要的见解。
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来源期刊
CiteScore
3.20
自引率
3.40%
发文量
33
期刊介绍: Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning
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