TY - JOUR
T1 - Wheelchair exercise capacity in spinal cord injury up to five years after discharge from inpatient rehabilitation
AU - Van Koppenhagen, Casper F.
AU - De Groot, Sonja
AU - Post, Marcel W.M.
AU - Van Asbeck, Floris W.A.
AU - Spijkerman, Dorien
AU - Faber, Willemijn X.M.
AU - Lindeman, Eline
AU - Van Der Woude, Lucas H.V.
PY - 2013/7/23
Y1 - 2013/7/23
N2 - Objective: To elucidate the course and determinants of wheelchair exercise capacity in spinal cord injury up to 5 years after discharge from inpatient rehabilitation, and to describe loss to follow-up. Design: Prospective cohort study, with measurements at the start and discharge from inpatient rehabilitation, 1 and 5 years after discharge. Subjects: A total of 225 wheelchair-dependent persons with spinal cord injury. Methods: Random coefficient analysis of the course and determinants of peak aerobic power output (POpeak) and peak oxygen uptake (VO2peak). Results: A total of 162 participants attended one or more peak exercise tests and were analysed. Significant changes were found for both V̇O2peak, and POpeak, between start and 5 years 2peak peak after discharge, and discharge and 5 years after discharge. No significant changes were found for V̇O, and POpeak be-No significant changes were found for V̇2peakand POpeak tween 1 year and 5 years after discharge. Age, gender, level and completeness of lesion were determinants for level of V̇Opeak and age, gender, and level of lesion for level of POpeak V̇O2peak POpeak No significant determinants were found for the course of wheelchair exercise capacity. The 63 participants who were not analysed were older, and showed more persons with a tetraplegia. Conclusion: Wheelchair exercise capacity of persons with spinal cord injury stabilizes between 1 and 5 years after discharge. The participants appear to be a positive selection of the total study group.
AB - Objective: To elucidate the course and determinants of wheelchair exercise capacity in spinal cord injury up to 5 years after discharge from inpatient rehabilitation, and to describe loss to follow-up. Design: Prospective cohort study, with measurements at the start and discharge from inpatient rehabilitation, 1 and 5 years after discharge. Subjects: A total of 225 wheelchair-dependent persons with spinal cord injury. Methods: Random coefficient analysis of the course and determinants of peak aerobic power output (POpeak) and peak oxygen uptake (VO2peak). Results: A total of 162 participants attended one or more peak exercise tests and were analysed. Significant changes were found for both V̇O2peak, and POpeak, between start and 5 years 2peak peak after discharge, and discharge and 5 years after discharge. No significant changes were found for V̇O, and POpeak be-No significant changes were found for V̇2peakand POpeak tween 1 year and 5 years after discharge. Age, gender, level and completeness of lesion were determinants for level of V̇Opeak and age, gender, and level of lesion for level of POpeak V̇O2peak POpeak No significant determinants were found for the course of wheelchair exercise capacity. The 63 participants who were not analysed were older, and showed more persons with a tetraplegia. Conclusion: Wheelchair exercise capacity of persons with spinal cord injury stabilizes between 1 and 5 years after discharge. The participants appear to be a positive selection of the total study group.
KW - Cohort
KW - Lost to follow-up
KW - Physical fitness
KW - Spinal cord injuries
KW - Wheelchair
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U2 - 10.2340/16501977-1149
DO - 10.2340/16501977-1149
M3 - Article
C2 - 23695781
AN - SCOPUS:84880255413
SN - 1650-1977
VL - 45
SP - 646
EP - 652
JO - Journal of Rehabilitation Medicine
JF - Journal of Rehabilitation Medicine
IS - 7
ER -