Swiss Paraplegic Research (SPF), Guido A Zäch Strasse 4, Nottwil, Switzerland.
Disabil Health J. 2013 Jul;6(3):165-76. doi: 10.1016/j.dhjo.2013.01.006. Epub 2013 Mar 7.
To prevent secondary conditions and to improve and maintain health, regular physical activity is recommended as an important component of a health-promoting lifestyle for persons with spinal cord injury (SCI). However, participation in physical activity is low in persons with SCI, especially in women.
The objective of this study is to identify (1) categories of functioning, the environment and personal factors that influence participation in physical activity in persons with SCI and (2) gender differences within identified factors.
An explorative qualitative study design using both focus groups and individual interviews based on a semi-structured interview guide was used. Statements were linked to categories or chapters of the four components of functioning (body structures, body functions, activities and participation) and of the environment included in the International Classification of Functioning, Disability and Health (ICF) and a recently developed list of personal factors. An in-depth analysis of the statements was performed to identify relevant associations and gender differences.
Twenty-six persons (13 female, 13 male) participated in the study. Sixty-seven categories and four chapters from all components of functioning and environmental factors included in the ICF and 33 subdivisions of personal factors were found to be associated with physical activity in persons with SCI. Gender differences could be assigned to areas of gender roles, social support, athletic identity, interests, and general behavioral patterns.
This study contributes to a comprehensive understanding of participation in physical activity in persons with SCI and presents a first step toward the identification of gender differences. The results should be validated by further quantitative research.
为了预防继发性疾病，提高和维持健康，有规律的身体活动被推荐作为脊髓损伤（SCI）患者促进健康生活方式的一个重要组成部分。然而，SCI 患者的身体活动参与度较低，尤其是女性。
本研究的目的是确定（1）影响 SCI 患者身体活动参与的功能类别、环境和个人因素，以及（2）确定因素内的性别差异。
采用基于半结构化访谈指南的探索性定性研究设计，包括焦点小组和个人访谈。陈述与国际功能、残疾和健康分类（ICF）的四个功能组成部分（身体结构、身体功能、活动和参与）和环境类别或章节以及最近开发的个人因素列表相关联。对陈述进行深入分析，以确定相关关联和性别差异。
26 名参与者（13 名女性，13 名男性）参与了这项研究。从 ICF 包含的所有功能组成部分和环境因素中发现了 67 个类别和 4 个章节，以及个人因素的 33 个细分领域与 SCI 患者的身体活动相关。性别差异可归因于性别角色、社会支持、运动身份、兴趣和一般行为模式等领域。
本研究有助于全面了解 SCI 患者的身体活动参与情况，并提出了识别性别差异的第一步。结果应通过进一步的定量研究进行验证。
