Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 11 , Pages 2094-2101 , November 2008

A Prospective Study on Physical Activity Levels After Spinal Cord Injury During Inpatient Rehabilitation and the Year After Discharge

  • Rita J. van den Berg-Emons, PhD

      Affiliations

    • Department of Rehabilitation Medicine, Erasmus Medical Center, Rotterdam, The Netherlands
    • Corresponding Author InformationCorrespondence to Rita J. van den Berg-Emons, PhD, Erasmus Medical Center, Department of Rehabilitation Medicine, PO Box 2040, 3000 CA Rotterdam, The Netherlands
    • ,
  • Johannes B. Bussmann, PhD

      Affiliations

    • Department of Rehabilitation Medicine, Erasmus Medical Center, Rotterdam, The Netherlands
    • ,
  • Janneke A. Haisma, MD, PhD

      Affiliations

    • Department of Rehabilitation Medicine, Erasmus Medical Center, Rotterdam, The Netherlands
    • ,
  • Tebbe A. Sluis, MD

      Affiliations

    • Rijndam Rehabilitation Center, Rotterdam, The Netherlands
    • ,
  • Lucas H. van der Woude, PhD

      Affiliations

    • Research Institute MOVE, Institute for Fundamental & Clinical Human Movement Sciences, Faculty of Human Movement Sciences, Vrije Universiteit, Amsterdam, The Netherlands
    • Rehabilitation Center Amsterdam, The Netherlands
    • ,
  • Michael P. Bergen, MD, PhD

      Affiliations

    • Rijndam Rehabilitation Center, Rotterdam, The Netherlands
    • ,
  • Henk J. Stam, MD, PhD, FRCP

      Affiliations

    • Department of Rehabilitation Medicine, Erasmus Medical Center, Rotterdam, The Netherlands

References 

  1. Manns PJ, Chad KE. Determining the relation between quality of life, handicap, fitness, and physical activity for persons with spinal cord injury. Arch Phys Med Rehabil. 1999;80:1566–1571
  2. Stewart AL, Hays RD, Wells KB, Rogers WH, Spritzer KL, Greenfield S. Long-term functioning and well-being outcomes associated with physical activity and exercise in patients with chronic conditions in the Medical Outcomes Study. J Clin Epidemiol. 1994;47:719–730
  3. van den Berg-Emons HJ, Bussmann JB, Meyerink HJ, Roebroeck ME, Stam HJ. Body fat, fitness and level of everyday physical activity in adolescents and young adults with meningomyelocele. J Rehabil Med. 2003;35:271–275
  4. Noreau L, Shephard RJ, Simard C, Paré G, Pomerleau P. Relationship of impairment and functional ability to habitual activity and fitness following spinal cord injury. Int J Rehabil Res. 1993;16:265–275
  5. Noreau L, Shephard RJ. Spinal cord injury, exercise and quality of life. Sports Med. 1995;20:226–250
  6. Twisk JW, Kemper HC, van Mechelen W, Post GB, van Lenthe FJ. Body fatness: longitudinal relationship of body mass index and the sum of skinfolds with other risk factors for coronary heart disease. Int J Obes Relat Metab Disord. 1998;22:915–922
  7. Frankel HL, Coll JR, Charlifue SW, et al. Long-term survival in spinal cord injury: a fifty year investigation. Spinal Cord. 1998;36:266–274
  8. Groah SL, Weitzenkamp D, Sett P, Soni B, Savic G. The relationship between neurological level of injury and symptomatic cardiovascular disease risk in the aging spinal injured. Spinal Cord. 2001;39:310–317
  9. Myers J, Lee M, Kiratli J. Cardiovascular disease in spinal cord injury: an overview of prevalence, risk, evaluation, and management. Am J Phys Med Rehabil. 2007;86:142–152
  10. Buchholz AC, McGillivray CF, Pencharz PB. Physical activity levels are low in free-living adults with chronic paraplegia. Obes Res. 2003;11:563–570
  11. Monroe MB, Tataranni PA, Pratley R, Manore MM, Skinner JS, Ravussin E. Lower daily energy expenditure as measured by a respiratory chamber in subjects with spinal cord injury compared with control subjects. Am J Clin Nutr. 1998;68:1223–1227
  12. Munakata M, Kameyama J, Kanazawa M, Nunokawa T, Moriai N, Yoshinaga K. Circadian blood pressure rhythm in patients with higher and lower spinal cord injury: simultaneous evaluation of autonomic nervous activity and physical activity. J Hypertens. 1997;15:1745–1749
  13. Dearwater SR, LaPorte RE, Cauley JA, Brenes G. Assessment of physical activity in inactive populations. Med Sci Sports Exerc. 1985;17:651–655
  14. Yamasaki M, Irizawa M, Komura T, et al. Daily energy expenditure in active and inactive persons with spinal cord injury. J Hum Ergol (Tokyo). 1992;21:125–133
  15. Clarke KS. Caloric costs of activity in paraplegic persons. Arch Phys Med Rehabil. 1966;47:427–435
  16. Janssen TW, van Oers CA, van der Woude LH, Hollander AP. Physical strain in daily life of wheelchair users with spinal cord injuries. Med Sci Sports Exerc. 1994;26:661–670
  17. de Groot S, Dallmeijer AJ, Post MW, et al. Demographics of the Dutch multicenter prospective cohort study ‘Restoration of mobility in spinal cord injury rehabilitation’. Spinal Cord. 2006;44:668–675
  18. Marino RJ, Barros T, Biering-Sorensen F, et al. International standards for neurological classification of spinal cord injury. J Spinal Cord Med. 2003;26(Suppl 1):S50–S56
  19. ACSM. ACSM's guidelines for exercise testing and prescription. 6th ed.. Philadelphia: Lippincott, Williams & Wilkins; 2000;
  20. Haisma JA, Bussmann JB, Stam HJ, et al. Changes in physical capacity during and after inpatient rehabilitation in subjects with a spinal cord injury. Arch Phys Med Rehabil. 2006;87:741–748
  21. Dallmeijer AJ, Kilkens OJ, Post MW, et al. Hand-rim wheelchair propulsion capacity during rehabilitation of persons with spinal cord injury. J Rehabil Res Dev. 2005;42(3 Suppl 1):55–63
  22. Bussmann JB, Martens WL, Tulen JH, Schasfoort FC, van den Berg-Emons HJ, Stam HJ. Measuring daily behavior using ambulatory accelerometry: the Activity Monitor. Behav Res Methods Instrum Comput. 2001;33:349–356
  23. Meijer GA, Westerterp KR, Koper H, ten Hoor F. Assessment of energy expenditure by recording heart rate and body acceleration. Med Sci Sports Exerc. 1989;21:343–347
  24. Bouten CV, Westerterp KR, Verduin M, Janssen JD. Assessment of energy expenditure for physical activity using a triaxial accelerometer. Med Sci Sports Exerc. 1994;26:1516–1523
  25. Bussmann JB, Hartgerink I, van der Woude LH, Stam HJ. Measuring physical strain during ambulation with accelerometry. Med Sci Sports Exerc. 2000;32:1462–1471
  26. Bussmann JB, van den Berg-Emons HJ, Angulo SM, Stijnen T, Stam HJ. Sensitivity and reproducibility of accelerometry and heart rate in physical strain assessment during prosthetic gait. Eur J Appl Physiol. 2004;91:71–78
  27. Postma K, van den Berg-Emons HJ, Bussmann JB, Sluis TA, Bergen MP, Stam HJ. Validity of the detection of wheelchair propulsion as measured with an Activity Monitor in patients with spinal cord injury. Spinal Cord. 2005;43:550–557
  28. van den Berg-Emons H, Bussmann J, Balk A, Keijzer-Oster D, Stam H. Level of activities associated with mobility during everyday life in patients with chronic congestive heart failure as measured with an “activity monitor.”. Phys Ther. 2001;81:1502–1511
  29. van den Berg-Emons HJ, Bussmann JB, Brobbel AS, Roebroeck ME, van Meeteren J, Stam HJ. Everyday physical activity in adolescents and young adults with meningomyelocele as measured with a novel activity monitor. J Pediatr. 2001;139:880–886
  30. Bussmann JB, Grootscholten EA, Stam HJ. Daily physical activity and heart rate response in people with a unilateral transtibial amputation for vascular disease. Arch Phys Med Rehabil. 2004;85:240–244
  31. van den Berg-Emons RJ, Schasfoort FC, de Vos LA, Bussmann JB, Stam HJ. Impact of chronic pain on everyday physical activity. Eur J Pain. 2007;11:587–593
  32. Jain A, Martens WL, Mutz G, Weiss RK, Stephan E. Towards a comprehensive technology for recording and analysis of multiple physiological parameters within their behavioural and environmental context. Seattle: Hogrefe & Huber; 1996;
  33. Rasbash J, Browne W, Goldstein H. A user's guide to MLwiN. London: Ctr for Multilevel Modelling, Institute of Education, Univ London; 2002;
  34. Twisk JW. Applied longitudinal data analysis for epidemiology; a practical guide. Cambridge: Cambridge Univ Pr; 2003;
  35. American College of Sports Medicine Position Stand. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc. 1998;30:975–991
  36. Pate RR, Pratt M, Blair SN, et al. Physical activity and public health (A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine). JAMA. 1995;273:402–407
  37. van der Ploeg HP, Streppel KR, van der Beek AJ, et al. Successfully improving physical activity behavior after rehabilitation. Am J Health Promot. 2007;21:153–159
  38. van der Ploeg HP, Streppel KR, van der Beek AJ, et al. Counselling increases physical activity behaviour nine weeks after rehabilitation. Br J Sports Med. 2006;40:223–229
  39. Warms CA, Belza BL, Whitney JD, Mitchell PH, Stiens SA. Lifestyle physical activity for individuals with spinal cord injury: a pilot study. Am J Health Promot. 2004;18:288–291
  40. Vissers MM, van den Berg-Emons RJ, Bussmann JB, Sluis TA, Bergen MP, Stam HJ. Barriers to and facilitators of everyday physical activity in persons with a spinal cord injury after discharge from the rehabilitation center. J Rehabil Med. 2008;40:461–467
  41. Hjeltnes N. Cardiorespiratory capacity in tetra- and paraplegia shortly after injury. Scand J Rehabil Med. 1986;18:65–70
  42. Dallmeijer AJ, van der Woude LH, Hollander AP, van As HH. Physical performance during rehabilitation in persons with spinal cord injuries. Med Sci Sports Exerc. 1999;31:1330–1335
  43. Haisma JA, van der Woude LH, Stam HJ, Bergen MP, Sluis TA, Bussmann JB. Physical capacity in wheelchair-dependent persons with a spinal cord injury: a critical review of the literature. Spinal Cord. 2006;44:642–652
  44. Schönherr MC, Groothoff JW, Mulder GA, Eisma WH. Rehabilitation of patients with spinal cord lesions in The Netherlands: an epidemiological study. Spinal Cord. 1996;34:679–683
  45. van Asbeck FW, Post MW, Pangalila RF. An epidemiological description of spinal cord injuries in The Netherlands in 1994. Spinal Cord. 2000;38:420–424
  46. Post MW, de Witte LP, van Asbeck FW, van Dijk AJ, Schrijvers AJ. Predictors of health status and life satisfaction in spinal cord injury. Arch Phys Med Rehabil. 1998;79:395–401
  47. Trost SG, McIver KL, Pate RR. Conducting accelerometer-based activity assessments in field-based research. Med Sci Sports Exerc. 2005;37(11 Suppl):S531–S543
  48. Schasfoort FC, Bussmann JB, Zandbergen AM, Stam HJ. Impact of upper limb complex regional pain syndrome type 1 on everyday life measured with a novel upper limb-activity monitor. Pain. 2003;101:79–88
  49. van der Slot WM, Roebroeck ME, Landkroon AP, Terburg M, Berg-Emons RJ, Stam HJ. Everyday physical activity and community participation of adults with hemiplegic cerebral palsy. Disabil Rehabil. 2007;29:179–189

 Supported by the Johanna Child Fund and Child Fund Adriaanstichting (grant no. 2002/0067) and ZONmw Rehabilitation program (grant no. 1435.0003).

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

 Reprints are not available from the author.

PII: S0003-9993(08)00799-5

doi: 10.1016/j.apmr.2008.04.024

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 11 , Pages 2094-2101 , November 2008

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