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Predictors of Reduced Frequency of Physical Activity 3 Months After Injury : Findings From the Prospective Outcomes of Injury Study

HARCOMBE H; SAMARANAYAKA A; DERRETT S
PHYS THER , 2016, vol. 96, n° 12, p. 1885-1895
Doc n°: 180677
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.2522/ptj.20160038
Descripteurs : KA1 - ETUDES - KINESITHERAPIE, DA4 - TRAUMATISMES - APPAREIL LOCOMOTEUR

Physical inactivity is a risk factor for noncommunicable diseases.
Incurring an injury has been identified as a barrier to physical activity.
However, it is not known which factors, if any, are associated with reduced
activity among general injury populations. OBJECTIVE:
The 2 study objectives
were: (1) to investigate changes in physical activity frequency from before an
injury to 3 months after the injury and (2) to examine the association of
preinjury, injury-related, and postinjury factors with reduced physical activity
frequency in participants with a range of injury types. DESIGN: This was a cohort
study. METHODS: Participants (N=2,856) who were 18 to 64 years of age were asked
about preinjury demographic and health factors, injury-related factors, and
postinjury factors. Data were collected through telephone interviewing (88%), a
postal questionnaire (11%), and face-to-face interviewing (0.5%) 3 months after
the injury. RESULTS: Of the 2,793 participants for whom complete physical
activity data were available, 55% (n=1,536) had reduced physical activity 3
months after the injury event. Preinjury and injury-related factors associated
with a greater risk of reduced physical activity included living with non-family
members; a lower extremity dislocation, sprain, or strain; and an injury with
greater anatomical severity. Postinjury factors associated with reduced physical
activity included greater disability, pain or discomfort, poor general health,
not having returned to work, and having a worse-than-expected recovery 3 months
after the injury. A large proportion (61%) of this cohort with injuries was seen
by physical therapists. LIMITATIONS: Data collection was retrospective and based
on participant recall. CONCLUSIONS: A large proportion of participants had
reduced physical activity 3 months after the injury. Knowledge about preinjury,
injury-related, and postinjury characteristics associated with reduced physical
activity may help health care professionals identify people at risk of not
returning to their preinjury physical activity frequency.
CI - (c) 2016 American Physical Therapy Association.

Langue : ANGLAIS

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