Physical Activity and Sedentary Behavior From Discharge to 1 Year After Inpatient Rehabilitation in Ambulatory People With Spinal Cord Injury: A Longitudinal Cohort Study

Karin Postma; Johannes B. J. Bussmann; Tijn van Diemen; Marcel W. M. Post; Jos Dekkers; Ilse J. W. van Nes; Rutger Osterthun; Rita J. G. van den Berg-Emons

doi:10.1016/j.apmr.2020.06.027

Physical Activity and Sedentary Behavior From Discharge to 1 Year After Inpatient Rehabilitation in Ambulatory People With Spinal Cord Injury: A Longitudinal Cohort Study

Karin Postma^*, Johannes B. J. Bussmann, Tijn van Diemen, Marcel W. M. Post, Jos Dekkers, Ilse J. W. van Nes, Rutger Osterthun, Rita J. G. van den Berg-Emons

^*Corresponding author for this work

EXtremities Pain Active lifestyle aNd Disability (EXPAND)

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Abstract

Objective: To evaluate changes in duration of physical activity (PA) and sedentary behavior (SB) from discharge to 1 year after inpatient rehabilitation in ambulatory people with spinal cord injury (SCI).

Design: Longitudinal cohort study with objective measurements of physical behavior at discharge and at 6 and 12 months post discharge.

Setting: Three rehabilitation centers and the participant's home environment.

Participants: Participants (N= 47) with ambulatory function were consecutively recruited from the self-management and self-efficacy in patients with SCI cohort (age 18 years or older, recent SCI, expected inpatient stay >4wk). Mean age was 54.5 +/- 12.9 years, all had incomplete lesions, 53% were men, 49% had tetraplegia, and 51% were community ambulators at discharge.

Interventions: Not applicable.

Main Outcome Measures: Duration (min) of PA (summed duration of walking, cycling, running, and wheeling) and SB (sitting/lying).

Results: Mean duration of PA increased by 21 min/d (95% confidence interval, 7-35) and SB decreased by 64 min/d (95% confidence interval, -94 to -35) from discharge to 6 months after inpatient rehabilitation. No changes were found in the second half-year. One year after discharge mean PA was 116 +/- 59 min/d and mean SB was 665 +/- 121 min/d. The increase in PA was the result of an almost doubling of time spent walking. Variability in physical behavior and its change was large. Older age and lower ambulation level were associated with lower PA, lower ambulation level with higher SB, and tetraplegia was associated with a reduced increase in PA.

Conclusions: At group level, duration of PA and SB improved following inpatient rehabilitation in ambulatory people with SCI. However, there were large differences between individuals. Levels 1 year after discharge were still unfavorable, particularly regarding SB. (C) 2020 by the American Congress of Rehabilitation Medicine

Original language	English
Pages (from-to)	2061-2070
Number of pages	10
Journal	Archives of Physical Medicine and Rehabilitation
Volume	101
Issue number	12
DOIs	https://doi.org/10.1016/j.apmr.2020.06.027
Publication status	Published - Dec-2020

Keywords

Exercise
Physical activity
Rehabilitation
Sedentary behavior
Spinal cord injuries
Walking
ADULTS
TIME
HEALTH
RECOMMENDATIONS
ACCELEROMETRY
ASSOCIATIONS
INDIVIDUALS
BENEFITS
FITNESS
PART

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Postma, K., Bussmann, J. B. J., van Diemen, T., Post, M. W. M., Dekkers, J., van Nes, I. J. W., Osterthun, R., & van den Berg-Emons, R. J. G. (2020). Physical Activity and Sedentary Behavior From Discharge to 1 Year After Inpatient Rehabilitation in Ambulatory People With Spinal Cord Injury: A Longitudinal Cohort Study. Archives of Physical Medicine and Rehabilitation, 101(12), 2061-2070. https://doi.org/10.1016/j.apmr.2020.06.027

@article{0cb12fff427e4817a8c47d0f28207f8d,

title = "Physical Activity and Sedentary Behavior From Discharge to 1 Year After Inpatient Rehabilitation in Ambulatory People With Spinal Cord Injury: A Longitudinal Cohort Study",

abstract = "Objective: To evaluate changes in duration of physical activity (PA) and sedentary behavior (SB) from discharge to 1 year after inpatient rehabilitation in ambulatory people with spinal cord injury (SCI).Design: Longitudinal cohort study with objective measurements of physical behavior at discharge and at 6 and 12 months post discharge.Setting: Three rehabilitation centers and the participant's home environment.Participants: Participants (N= 47) with ambulatory function were consecutively recruited from the self-management and self-efficacy in patients with SCI cohort (age 18 years or older, recent SCI, expected inpatient stay >4wk). Mean age was 54.5 +/- 12.9 years, all had incomplete lesions, 53% were men, 49% had tetraplegia, and 51% were community ambulators at discharge.Interventions: Not applicable.Main Outcome Measures: Duration (min) of PA (summed duration of walking, cycling, running, and wheeling) and SB (sitting/lying).Results: Mean duration of PA increased by 21 min/d (95% confidence interval, 7-35) and SB decreased by 64 min/d (95% confidence interval, -94 to -35) from discharge to 6 months after inpatient rehabilitation. No changes were found in the second half-year. One year after discharge mean PA was 116 +/- 59 min/d and mean SB was 665 +/- 121 min/d. The increase in PA was the result of an almost doubling of time spent walking. Variability in physical behavior and its change was large. Older age and lower ambulation level were associated with lower PA, lower ambulation level with higher SB, and tetraplegia was associated with a reduced increase in PA.Conclusions: At group level, duration of PA and SB improved following inpatient rehabilitation in ambulatory people with SCI. However, there were large differences between individuals. Levels 1 year after discharge were still unfavorable, particularly regarding SB. (C) 2020 by the American Congress of Rehabilitation Medicine",

keywords = "Exercise, Physical activity, Rehabilitation, Sedentary behavior, Spinal cord injuries, Walking, ADULTS, TIME, HEALTH, RECOMMENDATIONS, ACCELEROMETRY, ASSOCIATIONS, INDIVIDUALS, BENEFITS, FITNESS, PART",

author = "Karin Postma and Bussmann, {Johannes B. J.} and {van Diemen}, Tijn and Post, {Marcel W. M.} and Jos Dekkers and {van Nes}, {Ilse J. W.} and Rutger Osterthun and {van den Berg-Emons}, {Rita J. G.}",

year = "2020",

month = dec,

doi = "10.1016/j.apmr.2020.06.027",

language = "English",

volume = "101",

pages = "2061--2070",

journal = "Archives of Physical Medicine and Rehabilitation",

issn = "0003-9993",

publisher = "W B SAUNDERS CO-ELSEVIER INC",

number = "12",

}

Postma, K, Bussmann, JBJ, van Diemen, T, Post, MWM, Dekkers, J, van Nes, IJW, Osterthun, R & van den Berg-Emons, RJG 2020, 'Physical Activity and Sedentary Behavior From Discharge to 1 Year After Inpatient Rehabilitation in Ambulatory People With Spinal Cord Injury: A Longitudinal Cohort Study', Archives of Physical Medicine and Rehabilitation, vol. 101, no. 12, pp. 2061-2070. https://doi.org/10.1016/j.apmr.2020.06.027

Physical Activity and Sedentary Behavior From Discharge to 1 Year After Inpatient Rehabilitation in Ambulatory People With Spinal Cord Injury: A Longitudinal Cohort Study. / Postma, Karin; Bussmann, Johannes B. J.; van Diemen, Tijn et al.
In: Archives of Physical Medicine and Rehabilitation, Vol. 101, No. 12, 12.2020, p. 2061-2070.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Physical Activity and Sedentary Behavior From Discharge to 1 Year After Inpatient Rehabilitation in Ambulatory People With Spinal Cord Injury

T2 - A Longitudinal Cohort Study

AU - Postma, Karin

AU - Bussmann, Johannes B. J.

AU - van Diemen, Tijn

AU - Post, Marcel W. M.

AU - Dekkers, Jos

AU - van Nes, Ilse J. W.

AU - Osterthun, Rutger

AU - van den Berg-Emons, Rita J. G.

PY - 2020/12

Y1 - 2020/12

N2 - Objective: To evaluate changes in duration of physical activity (PA) and sedentary behavior (SB) from discharge to 1 year after inpatient rehabilitation in ambulatory people with spinal cord injury (SCI).Design: Longitudinal cohort study with objective measurements of physical behavior at discharge and at 6 and 12 months post discharge.Setting: Three rehabilitation centers and the participant's home environment.Participants: Participants (N= 47) with ambulatory function were consecutively recruited from the self-management and self-efficacy in patients with SCI cohort (age 18 years or older, recent SCI, expected inpatient stay >4wk). Mean age was 54.5 +/- 12.9 years, all had incomplete lesions, 53% were men, 49% had tetraplegia, and 51% were community ambulators at discharge.Interventions: Not applicable.Main Outcome Measures: Duration (min) of PA (summed duration of walking, cycling, running, and wheeling) and SB (sitting/lying).Results: Mean duration of PA increased by 21 min/d (95% confidence interval, 7-35) and SB decreased by 64 min/d (95% confidence interval, -94 to -35) from discharge to 6 months after inpatient rehabilitation. No changes were found in the second half-year. One year after discharge mean PA was 116 +/- 59 min/d and mean SB was 665 +/- 121 min/d. The increase in PA was the result of an almost doubling of time spent walking. Variability in physical behavior and its change was large. Older age and lower ambulation level were associated with lower PA, lower ambulation level with higher SB, and tetraplegia was associated with a reduced increase in PA.Conclusions: At group level, duration of PA and SB improved following inpatient rehabilitation in ambulatory people with SCI. However, there were large differences between individuals. Levels 1 year after discharge were still unfavorable, particularly regarding SB. (C) 2020 by the American Congress of Rehabilitation Medicine

AB - Objective: To evaluate changes in duration of physical activity (PA) and sedentary behavior (SB) from discharge to 1 year after inpatient rehabilitation in ambulatory people with spinal cord injury (SCI).Design: Longitudinal cohort study with objective measurements of physical behavior at discharge and at 6 and 12 months post discharge.Setting: Three rehabilitation centers and the participant's home environment.Participants: Participants (N= 47) with ambulatory function were consecutively recruited from the self-management and self-efficacy in patients with SCI cohort (age 18 years or older, recent SCI, expected inpatient stay >4wk). Mean age was 54.5 +/- 12.9 years, all had incomplete lesions, 53% were men, 49% had tetraplegia, and 51% were community ambulators at discharge.Interventions: Not applicable.Main Outcome Measures: Duration (min) of PA (summed duration of walking, cycling, running, and wheeling) and SB (sitting/lying).Results: Mean duration of PA increased by 21 min/d (95% confidence interval, 7-35) and SB decreased by 64 min/d (95% confidence interval, -94 to -35) from discharge to 6 months after inpatient rehabilitation. No changes were found in the second half-year. One year after discharge mean PA was 116 +/- 59 min/d and mean SB was 665 +/- 121 min/d. The increase in PA was the result of an almost doubling of time spent walking. Variability in physical behavior and its change was large. Older age and lower ambulation level were associated with lower PA, lower ambulation level with higher SB, and tetraplegia was associated with a reduced increase in PA.Conclusions: At group level, duration of PA and SB improved following inpatient rehabilitation in ambulatory people with SCI. However, there were large differences between individuals. Levels 1 year after discharge were still unfavorable, particularly regarding SB. (C) 2020 by the American Congress of Rehabilitation Medicine

KW - Exercise

KW - Physical activity

KW - Rehabilitation

KW - Sedentary behavior

KW - Spinal cord injuries

KW - Walking

KW - ADULTS

KW - TIME

KW - HEALTH

KW - RECOMMENDATIONS

KW - ACCELEROMETRY

KW - ASSOCIATIONS

KW - INDIVIDUALS

KW - BENEFITS

KW - FITNESS

KW - PART

U2 - 10.1016/j.apmr.2020.06.027

DO - 10.1016/j.apmr.2020.06.027

M3 - Article

SN - 0003-9993

VL - 101

SP - 2061

EP - 2070

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

IS - 12

ER -

Physical Activity and Sedentary Behavior From Discharge to 1 Year After Inpatient Rehabilitation in Ambulatory People With Spinal Cord Injury: A Longitudinal Cohort Study

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