TY - JOUR
T1 - Active LifestyLe Rehabilitation Interventions in aging Spinal Cord injury (ALLRISC)
T2 - A multicentre research program
AU - Van Der Woude, L. H.V.
AU - De Groot, S.
AU - Postema, K.
AU - Bussmann, J. B.J.
AU - Janssen, T. W.J.
AU - Post, M. W.M.
PY - 2013
Y1 - 2013
N2 - Background: With today's specialized medical care, life expectancy of persons with a spinal cord injury (SCI) has considerably improved. With increasing age and time since injury, many individuals with SCI, however, show a serious inactive lifestyle, associated with deconditioning and secondary health conditions (SHCs) (e.g. pressure sores, urinary and respiratory tract infections, osteoporosis, upper-extremity pain, obesity, diabetes, cardiovascular disease) and resulting in reduced participation and quality of life (QoL). Avoiding this downward spiral, is crucial. Objectives: To understand possible deconditioning and SHCs in persons aging with a SCI in the context of active lifestyle, fitness, participation and QoL and to examine interventions that enhance active lifestyle, fitness, participation and QoL and help prevent some of the SHCs. Methods: A multicentre multidisciplinary research program (Active LifestyLe Rehabilitation Interventions in aging Spinal Cord injury, ALLRISC) in the setting of the long-standing Dutch SCI-rehabilitation clinical research network. Results: ALLRISC is a four-study research program addressing inactive lifestyle, deconditioning, and SHCs and their associations in people aging with SCI. The program consists of a cross-sectional study (n = 300) and three randomized clinical trials. All studies share a focus on fitness, active lifestyle, SHCs and deconditioning and outcome measures on these and other (participation, QoL) domains. It is hypothesized that a self-management program, low-intensity wheelchair exercise and hybrid functional electrical stimulation-supported leg and handcycling are effective interventions to enhance active life style and fitness, help to prevent some of the important SHCs in chronic SCI and improve participation and QoL. Conclusion: ALLRISC aims to provide evidence-based preventive components of a rehabilitation aftercare system that preserves functioning in aging persons with SCI. Implications for Rehabilitation Rehabilitation aftercare is important to prevent secondary health complaints and deconditioning in persons aging with a spinal cord injury. Rehabilitation practice needs to develop a proper system of rehabilitation aftercare. Active lifestyle and fitness are important ingredients for a healthy perspective in persons aging with a spinal cord injury.
AB - Background: With today's specialized medical care, life expectancy of persons with a spinal cord injury (SCI) has considerably improved. With increasing age and time since injury, many individuals with SCI, however, show a serious inactive lifestyle, associated with deconditioning and secondary health conditions (SHCs) (e.g. pressure sores, urinary and respiratory tract infections, osteoporosis, upper-extremity pain, obesity, diabetes, cardiovascular disease) and resulting in reduced participation and quality of life (QoL). Avoiding this downward spiral, is crucial. Objectives: To understand possible deconditioning and SHCs in persons aging with a SCI in the context of active lifestyle, fitness, participation and QoL and to examine interventions that enhance active lifestyle, fitness, participation and QoL and help prevent some of the SHCs. Methods: A multicentre multidisciplinary research program (Active LifestyLe Rehabilitation Interventions in aging Spinal Cord injury, ALLRISC) in the setting of the long-standing Dutch SCI-rehabilitation clinical research network. Results: ALLRISC is a four-study research program addressing inactive lifestyle, deconditioning, and SHCs and their associations in people aging with SCI. The program consists of a cross-sectional study (n = 300) and three randomized clinical trials. All studies share a focus on fitness, active lifestyle, SHCs and deconditioning and outcome measures on these and other (participation, QoL) domains. It is hypothesized that a self-management program, low-intensity wheelchair exercise and hybrid functional electrical stimulation-supported leg and handcycling are effective interventions to enhance active life style and fitness, help to prevent some of the important SHCs in chronic SCI and improve participation and QoL. Conclusion: ALLRISC aims to provide evidence-based preventive components of a rehabilitation aftercare system that preserves functioning in aging persons with SCI. Implications for Rehabilitation Rehabilitation aftercare is important to prevent secondary health complaints and deconditioning in persons aging with a spinal cord injury. Rehabilitation practice needs to develop a proper system of rehabilitation aftercare. Active lifestyle and fitness are important ingredients for a healthy perspective in persons aging with a spinal cord injury.
KW - Active lifestyle
KW - Aftercare
KW - Exercise
KW - Prevention
KW - Rehabilitation
KW - Secondary health complaints
KW - Self-care
KW - Spinal cord injuries
KW - Work capacity
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U2 - 10.3109/09638288.2012.718407
DO - 10.3109/09638288.2012.718407
M3 - Article
C2 - 23030594
AN - SCOPUS:84878532522
SN - 0963-8288
VL - 35
SP - 1097
EP - 1103
JO - Disability and Rehabilitation
JF - Disability and Rehabilitation
IS - 13
ER -
