Department of Rehabilitation, Laval University, Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Québec City, Canada.
Am J Phys Med Rehabil. 2010 Jul;89(7):584-97. doi: 10.1097/PHM.0b013e3181d89f32.
To explore what factors besides walking ability, e.g., additional health problems or complications, general health, and sociodemographic status, may be related to physical activity in adults with cerebral palsy.
We administered a questionnaire regarding sociodemographic and health-related factors of potential relevance to physical activity to 66 men (20-41 yrs) and 66 women (18-39 yrs) with various types of cerebral palsy. Data were analyzed using logistic regression.
Use of walking as the primary means of self-transport (walking ability) was associated with a higher odds of being physically active (odds ratio = 3.75; P = 0.002). Among those who could walk, being younger and having a positive perception of health were also associated with a higher odds of being active (odds ratios of 2.6 and 3.0, respectively). This was not true among nonwalkers. For individuals who walked, inactivity was associated with an increase in the severity (during the past 3 yrs) of several additional health problems or complications. For the nonwalkers, inactivity was most clearly associated with perceived range-of-motion limitations.
Among adults with cerebral palsy, the ability to walk, as expected, is associated with being physically active. The factors additionally related to physical activity differ between walkers and nonwalkers.
探索除行走能力以外的因素，例如其他健康问题或并发症、一般健康状况和社会人口统计学状况，与脑瘫成人的身体活动相关。
我们向 66 名男性（20-41 岁）和 66 名女性（18-39 岁）患有各种类型脑瘫的患者发放了一份关于可能与身体活动相关的社会人口学和健康因素的问卷。使用逻辑回归分析数据。
将步行作为主要的自主移动方式（行走能力）与更高的身体活动几率相关（优势比=3.75；P=0.002）。在能够行走的人群中，年龄较小和对健康的积极认知也与更高的活动几率相关（优势比分别为 2.6 和 3.0）。这在非步行者中并不成立。对于能够行走的个体，不活动与过去 3 年期间几项额外健康问题或并发症严重程度的增加相关。对于非步行者，不活动与感知到的活动范围受限最明显相关。
在脑瘫成人中，能够行走与身体活跃相关，这是意料之中的。与身体活动相关的因素在步行者和非步行者之间存在差异。
