Abstract
Objective
To identify associations between objective and self-reported measures of physical
activity (PA) and relationships with depression and satisfaction with life (SWL) in
persons with spinal cord injury (SCI).
Design
Retrospective, cross-sectional study of objectively measured wheelchair propulsion
(WCP) from 2 studies in which an odometer was attached to participants' wheelchairs
to record daily speed and distance. Self-reported data were collected in a separate
study examining dyspnea, PA, mood, and SWL.
Setting
Outpatient clinic in a rehabilitation center.
Participants
Individuals (N=86) with traumatic SCI who use a manual wheelchair.
Interventions
Not applicable.
Main Outcome Measures
Objective measures of PA included average daily distance and speed of WCP measured
by an odometer. Self-report questionnaires included demographics, the 24-hour recall
of transfers, Physical Activity Recall Assessment for People with SCI, the Patient
Health Questionnaire-2 (PHQ-2) to document depressive symptoms, and the Satisfaction
With Life Scale (SWLS).
Results
Both objective measures of WCP, average daily distance and speed, were predicted by
the combination of self-reported daily time away from home/yard and lower frequency
of car transfers ([r=.367, P=.002] and [r=.434, P<.001], respectively). Daily distance of WCP was negatively correlated with depression
(PHQ-2) (r=−.309, P=.004). Time in leisure PA was the only significant predictor of SWLS scores (r=.321, P=.003).
Conclusions
Short-term recall of hours away from home/yard not spent driving or riding in a vehicle
is suggested as a self-report measure that is moderately related to overall WCP PA
in this population. Results of this study suggest that depression is related to decreased
PA and WCP activity, while SWL is related to leisure PA.
Keywords
List of abbreviations:
LTPA (leisure-time physical activity), PA (physical activity), PHQ-2 (Patient Health Questionnaire-2), QOL (quality of life), SWL (satisfaction with life), SWLS (Satisfaction With Life Scale), SCI (spinal cord injury), SCIMS (Spinal Cord Injury Model Systems), WCP (wheelchair propulsion)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: April 21, 2016
Footnotes
Supported in part by the National Institute on Disability, Independent Living, and Rehabilitation Research (grant nos. 90SI5007, 90SI5010); the U.S. Department of Veterans Affairs Rehabilitation Research and Development Service (Merit Review, award nos. B6618R, I01 RX000792); and the National Institutes of Health (grant no. R01 HD049774).
Disclosures: none.
Identification
Copyright
© 2016 by the American Congress of Rehabilitation Medicine
