Article

OBJECTIVE: To assess the relations between measures of activity with dyspnea and
satisfaction with life in chronic spinal cord injury (SCI).
DESIGN: Cross-sectional survey. SETTING: Five SCI centers. PARTICIPANTS: Between July
2012 and March 2015, subjects (N=347) with traumatic SCI >/=1 year after injury
who used a manual wheelchair or walked with or without an assistive device
reported hours spent away from home or yard on the previous 3 days, sports
participation, and planned exercise. INTERVENTIONS: Not applicable. MAIN OUTCOME
MEASURES: Satisfaction with Life Scale (SWLS) and dyspnea. Dyspnea was defined as
shortness of breath when hurrying on the level or going up a slight hill, going
slower than people the same age on the level because of breathlessness, or
stopping for breath when going at your own pace, or after about 100yd (or after a
few minutes) on the level. RESULTS: Dyspnea prevalence was 30%. Adjusting for
asthma or chronic obstructive pulmonary disease, mobility mode, race, and season,
there was a significant linear trend between greater SWLS scores and quartiles of
time spent away from the home or yard (P=.0002). SWLS score was greater if
participating in organized sports (P=.01), although was not significantly greater
with planned exercise (P=.093). Planned exercise was associated with a reduced
odds ratio (OR) of dyspnea (.57; 95% confidence interval [CI], .34-.95; P=.032),
but organized sports was not (P=.265). Dyspnea was not significantly increased in
persons who spent the fewest hours outside their home or yard (</=7h) compared
with people who spent the most hours outside their home or yard (>23h) (OR=1.69;
95% CI, 0.83-3.44; P=.145). CONCLUSIONS: In SCI, a planned exercise program is
associated with less dyspnea. An active lifestyle characterized by greater time
spent away from home or yard and sports participation is associated with greater
SWLS scores.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS