The Relationship between Physical Activity Levels and Mental Health in Individuals with Spinal Cord Injury in South Korea

Kim, Dong Il; Lee, Jeongmin; Park, Hyuna; Jeon, Justin Y

doi:10.3390/ijerph17124423

Cited by 16 publications

(9 citation statements)

References 42 publications

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“…The Patient Health Questionnaire‐9 (PHQ‐9) and the General Anxiety Disorder‐7 (GAD‐7) scale were two of the validated tools used 22,23 . The PHQ‐9 has been found to be a highly sensitive (100%) and specific (84%) screening tool for depression that is used extensively among individuals with SCI 18,24,25 . GAD‐7 has also been used in this population, but to a lesser extent 18 .…”

Section: Methodsmentioning

confidence: 99%

“…16,17 Furthermore, self-isolation introduced to prevent the spread of infection may have additional unintended negative effects, such as limiting access to in-person care aides and negatively affecting the physical and mental health of individuals with SCI. 18 In a meta-analysis of 19 studies spanning 35,676 pa, Williams and Murray 11 estimated the mean prevalence of depression among individuals with SCI to be 22.2%, with a lower-bound estimate of 18.7% to an upper-bound estimate of 26.3%. 11 To this end, fear and anxiety of contracting COVID-19 and perceived vulnerability may be further contributors to worsening mental health.…”

Section: Introductionmentioning

confidence: 99%

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Effect of the COVID‐19 pandemic on individuals with spinal cord injury: Mental health and use of telehealth

Mesa

Grasdal

Leong³

et al. 2022

PM&R

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Introduction Limited access to health care services and the self‐isolation measures due to the coronavirus disease 2019 (COVID‐19) pandemic may have had additional unintended negative effects, affecting the health of individuals with spinal cord injury (SCI). Objectives To examine the perceived influence of the COVID‐19 pandemic on individuals with SCI. First, this study looked to understand how the pandemic affected the use and perception of telehealth services for these individuals. Second, it investigated the effect of COVID‐19 on mental health. Design Cross‐sectional online survey. Setting Individuals with SCI living in the community in British Columbia, Canada. Patients This survey was offered to individuals with SCI and had 71 respondents, with 34% living in a rural setting and 66% in an urban setting. Interventions Not applicable. Main Outcome Measures Telehealth utility, Patient Health Questionnaire‐9 (PHQ‐9), Generalized Anxiety Disorder 7 (GAD‐7), Fear of COVID‐19 scale (FCV‐19S), and Perceived Vulnerability to Disease (PVD). Results Telehealth use in the SCI population has increased from 9.9% to 25.4% over the pandemic, with rates of telehealth use in urban centers nearing those of rural participants. Thirty‐one percent of respondents had probable depression and 7.0% had probable generalized anxiety disorder as measured by a score of ≥10 on the PHQ‐9 and GAD‐7, respectively. The mean scores on FCV‐19S and PVD were 17.0 (6.6 SD) and 4.29 (1.02 SD), respectively. Conclusion Telehealth use during COVID‐19 has more than doubled. It is generally well regarded by respondents, although only a fourth of the SCI population has reported its use. With this in mind, it is important to understand the barriers to further adoption. In addition, higher rates of probable depression were seen than those estimated by pre‐pandemic studies in other countries.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of the COVID‐19 pandemic on individuals with spinal cord injury: Mental health and use of telehealth

Mesa

Grasdal

Leong³

et al. 2022

PM&R

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“…For adults with spinal cord injury (SCI), aerobic exercise is beneficial for improving indices of physical [ 1 ] and mental [ 2 ] health. On this theme, scientific guidelines published in 2018 describe the dose of aerobic exercise required to improve cardiorespiratory fitness and cardiometabolic health in adults with SCI [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Rethinking aerobic exercise intensity prescription in adults with spinal cord injury: time to end the use of “moderate to vigorous” intensity?

Hutchinson

Goosey‐Tolfrey

2021

Spinal Cord

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Study design Cohort study. Objectives To investigate and critique different methods for aerobic exercise intensity prescription in adults with spinal cord injury (SCI). Setting University laboratory in Loughborough, UK. Methods Trained athletes were split into those with paraplegia (PARA; n = 47), tetraplegia (TETRA; n = 20) or alternate health condition (NON-SCI; n = 67). Participants completed a submaximal step test with 3 min stages, followed by graded exercise test to exhaustion. Handcycling, arm crank ergometry or wheelchair propulsion were performed depending on the sport of the participant. Oxygen uptake (V̇O2), heart rate (HR), blood lactate concentration ([BLa]) and ratings of perceived exertion (RPE) on Borg’s RPE scale were measured throughout. Lactate thresholds were identified according to log-V̇O2 plotted against log-[BLa] (LT1) and 1.5 mmol L−1 greater than LT1 (LT2). These were used to demarcate moderate (<LT1), heavy (>LT1, < LT2) and severe (>LT2) exercise intensity domains. Results Associations between percentage of peak V̇O2 (%V̇O2peak) and HR (%HRpeak) with RPE differed between PARA and TETRA. At LT1 and LT2, %V̇O2peak and %HRpeak were significantly greater in TETRA compared to PARA and NON-SCI (P < 0.05). The variation in %V̇O2peak and %HRpeak at lactate thresholds resulted in large variability in the domain distribution at fixed %V̇O2peak and %HRpeak. Conclusions Fixed %V̇O2peak and %HRpeak should not be used for aerobic exercise intensity prescription in adults with SCI as the method does not lead to uniform exercise intensity domain distribution.

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“…In this study participation in moderate PA was higher as compared to mild and heavy PA. Whereas a study was done in South Korea reported that mild PA performed by the SCI patients were higher than moderate and heavy PA Although the reports from this study also shows that slight depression was associated with PA but it did not associate depression with different intensity levels of PA [24]. A study was done by Ganesh et al on paraplegia patients to find out about the PA levels in Odisha, India.…”

Section: Discussionmentioning

confidence: 57%

Level of physical activity and its association with depression among chronic spinal cord injury patients at a paraplegic centre in Peshawar

Babar¹,

Musa²,

Ali³

et al. 2022

Iberoam J Med

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Introduction: Spinal cord injury results in disability, limited participation in physical activities, and mental health problems which greatly affects the quality of life of the injured person. Engaging in physical activity is necessary for optimal recovery in individuals with spinal cord injury. Chronic spinal cord injury patients suffer from many secondary complications which become a challenge for the patient and the health care community to manage due to which recovery will be complex and difficult. The aim of this study is to find out the association of physical activity with depression among chronic spinal cord injury patients at Paraplegic Centre Peshawar. Material and methods: This study was a cross-sectional survey in which a consecutive sampling technique was used. Data was collected from n=109 spinal cord injury patients in which 85 (78.0%) were males and 24 (22.0%) were females. Physical activity was measured using the PARA-SCI scale and the CESD-R-10 questionnaire was used to assess depression. Results: The average minutes of participating in mild physical activity was 67.72 ± 17.98 minutes/week, moderate physical activity was 140.79 ± 33.47 minutes/week, heavy physical activity was 21.92 ± 9.18 minutes/week and total PA was 247.93 ± 55.76. P value= .004 for mild physical activity with depression, p value= .097 for moderate physical activity with depression, p value= .137 for heavy physical activity with depression and p value= .001 for total physical activity with depression. Conclusions: Mild and total physical activity was associated with depression. Moderate and heavy physical activity was not associated with depression.

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The Relationship between Physical Activity Levels and Mental Health in Individuals with Spinal Cord Injury in South Korea

Cited by 16 publications

References 42 publications

Effect of the COVID‐19 pandemic on individuals with spinal cord injury: Mental health and use of telehealth

Effect of the COVID‐19 pandemic on individuals with spinal cord injury: Mental health and use of telehealth

Rethinking aerobic exercise intensity prescription in adults with spinal cord injury: time to end the use of “moderate to vigorous” intensity?

Level of physical activity and its association with depression among chronic spinal cord injury patients at a paraplegic centre in Peshawar

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