TY - JOUR
T1 - Longitudinal relationship between wheelchair exercise capacity and life satisfaction in patients with spinal cord injury
T2 - A cohort study in the Netherlands
AU - Van Koppenhagen, Casper Floris
AU - Post, Marcel
AU - De Groot, Sonja
AU - Van Leeuwen, Christel
AU - Van Asbeck, Floris
AU - Stolwijk-Swus̈te, Janneke
AU - Van Der Woude, Lucas
AU - Lindeman, Eline
PY - 2014/5
Y1 - 2014/5
N2 - Objective: To examine the relationship between wheelchair exercise capacity and life satisfaction in persons with spinal cord injury from the start of active inpatient rehabilitation up to 5 years after discharge. Design: Prospective cohort study. Subjects: Persons with spinal cord injury, aged 18-65 years, and wheelchair dependent at least for long distances. Method: Measurements at the start of active rehabilitation, after 3 months, at discharge from inpatient rehabilitation, and 1 and 5 years after discharge. A peak wheelchair exercise test was performed to record peak oxygen uptake (VO 2peak) and peak power output (POpeak). Life satisfaction was measured as current life satisfaction and change of life satisfaction in comparison with life after spinal cord injury. Relationships between (changes in) exercise capacity and (changes in) life satisfaction were analyzed random coefficient analysis, corrected for possible confounders (age, gender, level of lesion, functional status, secondary impairments, pain, and sports activity) if necessary. Results: Of 225 persons included, 130 attended two or more peak exercise tests, who were include in the analyses. Mean age at start was 39 years, 75% were male, 73% had paraplegia, and 76% had a traumatic lesion. Mean POpeak increased during the study from 32.9 to 55.9 Watts, mean VO2peak from 1.02 to 1.38 l/ minute, and mean life satisfaction from 5.7 to 7.8. An increase of POpeak with 10 W was associated with a 0.3-point increase of life satisfaction (P = 0.01). An increase of VO 2peak with 0.1 l/minute was associated with a 0.1-point increase of life satisfaction (P = 0.049). Conclusion: High(er) wheelchair exercise capacity is related to high(er) life satisfaction in spinal cord injury patients.
AB - Objective: To examine the relationship between wheelchair exercise capacity and life satisfaction in persons with spinal cord injury from the start of active inpatient rehabilitation up to 5 years after discharge. Design: Prospective cohort study. Subjects: Persons with spinal cord injury, aged 18-65 years, and wheelchair dependent at least for long distances. Method: Measurements at the start of active rehabilitation, after 3 months, at discharge from inpatient rehabilitation, and 1 and 5 years after discharge. A peak wheelchair exercise test was performed to record peak oxygen uptake (VO 2peak) and peak power output (POpeak). Life satisfaction was measured as current life satisfaction and change of life satisfaction in comparison with life after spinal cord injury. Relationships between (changes in) exercise capacity and (changes in) life satisfaction were analyzed random coefficient analysis, corrected for possible confounders (age, gender, level of lesion, functional status, secondary impairments, pain, and sports activity) if necessary. Results: Of 225 persons included, 130 attended two or more peak exercise tests, who were include in the analyses. Mean age at start was 39 years, 75% were male, 73% had paraplegia, and 76% had a traumatic lesion. Mean POpeak increased during the study from 32.9 to 55.9 Watts, mean VO2peak from 1.02 to 1.38 l/ minute, and mean life satisfaction from 5.7 to 7.8. An increase of POpeak with 10 W was associated with a 0.3-point increase of life satisfaction (P = 0.01). An increase of VO 2peak with 0.1 l/minute was associated with a 0.1-point increase of life satisfaction (P = 0.049). Conclusion: High(er) wheelchair exercise capacity is related to high(er) life satisfaction in spinal cord injury patients.
KW - Cohort
KW - Life satisfaction
KW - Longitudinal
KW - Physical fitness
KW - Spinal cord injury
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U2 - 10.1179/2045772313Y.0000000167
DO - 10.1179/2045772313Y.0000000167
M3 - Article
C2 - 24621019
AN - SCOPUS:84903772953
SN - 1079-0268
VL - 37
SP - 328
EP - 337
JO - Journal of Spinal Cord Medicine
JF - Journal of Spinal Cord Medicine
IS - 3
ER -