Article

OBJECTIVE: To identify associations between objective and self-reported measures
of physical activity (PA) and relationships with depression and satisfaction with
life (SWL) in persons with spinal cord injury (SCI).
DESIGN: Retrospective,
cross-sectional study of objectively measured wheelchair propulsion (WCP) from 2
studies in which an odometer was attached to participants' wheelchairs to record
daily speed and distance. Self-reported data were collected in a separate study
examining dyspnea, PA, mood, and SWL. SETTING: Outpatient clinic in a
rehabilitation center. PARTICIPANTS: Individuals (N=86) with traumatic SCI who
use a manual wheelchair. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES:
Objective measures of PA included average daily distance and speed of WCP
measured by an odometer. Self-report questionnaires included demographics, the
24-hour recall of transfers, Physical Activity Recall Assessment for People with
SCI, the Patient Health Questionnaire-2 (PHQ-2) to document depressive symptoms,
and the Satisfaction With Life Scale (SWLS). RESULTS: Both objective measures of
WCP, average daily distance and speed, were predicted by the combination of
self-reported daily time away from home/yard and lower frequency of car transfers
([r=.367, P=.002] and [r=.434, P<.001], respectively). Daily distance of WCP was
negatively correlated with depression (PHQ-2) (r=-.309, P=.004). Time in leisure
PA was the only significant predictor of SWLS scores (r=.321, P=.003).
CONCLUSIONS: Short-term recall of hours away from home/yard not spent driving or
riding in a vehicle is suggested as a self-report measure that is moderately
related to overall WCP PA in this population. Results of this study suggest that
depression is related to decreased PA and WCP activity, while SWL is related to
leisure PA.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS