Longitudinal relationship between wheelchair exercise capacity and life satisfaction in patients with spinal cord injury: A cohort study in the Netherlands

Koppenhagen, Casper F. van; Post, Marcel W M; Groot, Sonja de; Leeuwen, Christel M. C. van; Asbeck, Floris van; Stolwijk-Swüste, Janneke M.; Woude, Lucas H V van der; Lindeman, Eline

doi:10.1179/2045772313y.0000000167

Cited by 41 publications

(29 citation statements)

References 43 publications

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“…The benefits include but are not limited to increased self-esteem [37], strength and endurance [38], social integration [39], physical independence [40] and life satisfaction [41]. In fact, the advantages of sport participation are so varied and impactful that these findings, along with overwhelming anecdotal evidence, assisted in the professional development of the field of therapeutic recreation [42].…”

Section: Impact Of Sports On Disabled Populationmentioning

confidence: 99%

The effect of adaptive sports on employment among people with disabilities

Lastuka

Cottingham

2015

Disability and Rehabilitation

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This result indicates that a substantial economic benefit would result from increased participation in adaptive sport, and therefore may justify additional funding to expand adaptive sport programs. Implications for Rehabilitation Employment rates are very low among individuals with physical disabilities, despite research indicating extensive benefits from employment. Participation in adaptive sport is associated with a higher likelihood of employment. Efforts to increase participation in adaptive sport could have a large economic benefit.

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Section: Impact Of Sports On Disabled Populationmentioning

confidence: 99%

The effect of adaptive sports on employment among people with disabilities

Lastuka

Cottingham

2015

Disability and Rehabilitation

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“…Systematic monitoring of wheelchair-specific fitness after inpatient rehabilitation could be part of such a model, since it can support the maintenance of fitness (1). Maintaining wheelchair-specific fitness in people with long-term ScI can help to support health, participation in society and quality of life (3)(4)(5)9). Monitoring can also help to target those in most need of interventions; this need may differ between inactive people with long-term ScI, as indicated by the high variance in fitness in our study.…”

Section: Implications and Limitationsmentioning

confidence: 93%

“…the mean POpeaks in the subgroups with paraplegia (51 W) and tetraplegia (19 W) were approximately 30% lower than the mean POpeak determined in a systematic review of studies on fitness of people with paraplegia (74 W) and tetraplegia (26 W) (12). Such low POpeak values are alarming, as POpeak has been negatively associated with strain during Adl, health, participation and even quality of life (3)(4)(5)32). Furthermore, mean POpeak in our study (41 W) was approximately equal to that of a group of people at the start of inpatient ScI rehabilitation (35 W) (28).…”

Section: Vo2peak (L/min)mentioning

confidence: 93%

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Wheelchair-specific fitness of inactive people with long-term spinal cord injury

Scheer¹,

Groot²,

Tepper³

et al. 2015

J Rehabil Med

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Objectives: To describe wheelchair-specific anaerobic work capacity, isometric strength and peak aerobic work capacity of physically inactive people with long-term spinal cord injury using outcomes of tests that are feasible for use in rehabilitation centres, and to determine associations among these fitness components. Design: Cross-sectional study. Participants: Manual wheelchair users with spinal cord injury for at least 10 years, who were inactive based on a norm score of a physical activity questionnaire (n = 29; 22 men; 20 with paraplegia; median age 53 years). Methods: Participants performed 3 exercise tests in their own wheelchair to determine: highest 5-s power output over 15-m overground sprinting (P5-15m); highest 3-s isometric push-force (Fiso); and peak power output (POpeak) and peak oxygen uptake (VO 2 peak) over a peak test. Conclusion: All fitness components measured in this sample were at relatively low levels, implying a specific need for interventions to improve wheelchair-specific fitness. The weak-to-moderate associations among components imply that separate tests should be used when monitoring wheelchair-specific fitness in rehabilitation centres.

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“…Aerobic capacity is an indirect measure of cardiovascular disease risk (Kohl 2001), and it has been suggested that low aerobic fitness increases the risk for cardiovascular disease after SCI (Hoffman 1986;Cowan et al 2010;de Groot et al 2013). Further, low aerobic fitness is associated with the inability to perform activities of daily living, increased frequency of urinary tract infections, and lower life satisfaction among individuals with SCI (Hjeltnes et al 1990;van Koppenhagen et al 2014). Conversely, peak aerobic capacity (VO 2 peak) is considered to be an excellent measure of both fitness and overall health in the able-bodied population (Aspenes et al 2011), and is associated with functional ability after SCI (Dallmeijer et al 2001).…”

Section: Introductionmentioning

confidence: 99%

Predicting peak oxygen uptake from submaximal exercise after spinal cord injury

Zepetnek

Hol

et al. 2016

Appl. Physiol. Nutr. Metab.

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The purpose of this study was to determine the validity of the 6-minute arm ergometry test (6MAT) in predicting peak oxygen consumption (VO 2 peak) in individuals with chronic spinal cord injury (SCI). Fifty-two individuals with chronic SCI (age 38±10 years; American Spinal Injury Association Impairment Scale A-D, neurological level of injury C1-L2, years post-injury 13±10 years) completed an incremental arm ergometry VO 2 peak test and a submaximal 6MAT. Oxygen consumption data from both tests were used to create a predictive equation with regression analysis. Subsequently, a cross-validation group of an additional ten individuals with SCI (age 39±13 years; AIS A-D, NLI C3-L3, YPI 9±9 years) were used to determine the predictive power of the equation. All participants were able to complete both the VO 2 peak and 6MAT assessments. Regression analysis yielded the following equation to predict VO 2 peak from end-stage 6MAT VO 2 : VO 2 peak (mL·kg −1 ·min −1 ) = 1.501(6MAT VO 2 ) -0.940. Correlation between measured and predicted VO 2 peak was excellent (r=0.89). No significant difference was found between measured (17.41±7.44 mL·kg −1 ·min −1 ) and predicted (17.42±6.61 mL·kg −1 ·min −1 ) VO 2 peak (p=0.97). When cross-validated with a sample of ten individuals with SCI, correlation between measured and predicted VO 2 peak remained high (r=0.89), with no differences between measured (18.81 ± 8.35 mL·kg −1 ·min −1 ) and predicted (18.73 ± 7.27 mL·kg −1 ·min −1 ) VO 2 peak (p=0.75). Results suggest that 6MAT VO 2 can be used to predict VO 2 peak among individuals with chronic SCI. The 6MAT should be used as a clinical tool for assessing aerobic capacity when peak exercise testing is not feasible.

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Longitudinal relationship between wheelchair exercise capacity and life satisfaction in patients with spinal cord injury: A cohort study in the Netherlands

Cited by 41 publications

References 43 publications

The effect of adaptive sports on employment among people with disabilities

The effect of adaptive sports on employment among people with disabilities

Wheelchair-specific fitness of inactive people with long-term spinal cord injury

Predicting peak oxygen uptake from submaximal exercise after spinal cord injury

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