Article

Activités de la vie quotidienne
Maladie chronique
OBJECTIVES: (1) To give an overview of the impact of a variety of chronic
physical conditions on accelerometry-based levels of everyday physical activity
and to identify high-risk conditions; and (2) to compare these objectively
assessed activity levels with the levels estimated by rehabilitation physicians.
Participant's home environment. Patients (n=461) with 18 chronic
physical (sub)conditions and able-bodied subjects (n=96).
We summarized data on the level of everyday physical activity as objectively
measured with an accelerometry-based activity monitor. Thirty-one rehabilitation
physicians filled in a questionnaire designed to obtain their estimates of the
level of physical activity in patients with the various conditions. RESULTS: Only
4 of the studied conditions had normal activity levels (>/=90% of the able-bodied
level). Persons with transtibial amputation (vascular), spinal cord injury, and
myelomeningocele (wheelchair dependent) had the lowest levels of activity, less
than 40% of the able-bodied level. In general, rehabilitation physicians were
aware of the inactive lifestyles, but considerably underestimated the magnitude
of inactivity in the high-risk conditions. CONCLUSIONS: This is the first study
to provide an objectively assessed activity spectrum in a variety of chronic
physical conditions. We hope this study will increase the awareness of health
professionals as to which chronic physical conditions are at increased risk for
an inactive lifestyle, and will contribute to adaptation of patient management
accordingly.
CI - Copyright (c) 2010 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS