Article

OBJECTIVE: To assess, for people with subacute spinal cord injury, if
rehabilitation that is reinforced with the addition of a behavioral intervention
to promote physical activity leads to a better health, participation and quality
of life. DESIGN: Randomized controlled trial. SETTING: Rehabilitation centers.
PARTICIPANTS: A total of 39 participants analyzed (45 included), with subacute
spinal cord injury in inpatient rehabilitation, dependent on a manual wheelchair
(33% tetraplegia, 62% motor complete, 150 +/-74 days postinjury). INTERVENTION: A
behavioral intervention promoting physical activity after discharge, involving 13
individual sessions delivered by a coach trained in motivational interviewing,
beginning two months before and ending six months after discharge from inpatient
rehabilitation. MAIN MEASURES: Physical capacity as determined during a maximal
exercise test, body mass index, blood pressure, fasting lipid profile, and social
participation (IMPACT-S) and quality of life (SF-36) were determined using
questionnaires. Measurements were performed two months before discharge, at
discharge, and six and 12 months after discharge from inpatient rehabilitation. B
represents the between-group difference. RESULTS: Twelve months after discharge,
significant intervention effects were found for diastolic blood pressure (B =
-11.35 mmHg, 95% CI = -19.98 to -2.71), total cholesterol (B = -0.89 mmol/L, 95%
CI = -1.59 to -0.20), low-density lipoprotein cholesterol (B = -0.63 mmol/L, 95%
CI = -1.25 to -0.00) and participation (B = 9.91, 95% CI = 3.34 to 16.48).
CONCLUSIONS: A behavioral intervention promoting physical activity after
discharge from inpatient rehabilitation improves social participation and seems
to reduce risk factors for cardiovascular disease in people with subacute spinal
cord injury.

Langue : ANGLAIS