Pelletier C A, Latimer-Cheung A E, Warburton D E, Hicks A L
Department of Kinesiology, McMaster University, Hamilton, ON, Canada.
School of Kinesiology and Health Studies, Queen's University, Kingston, ON, Canada.
Spinal Cord. 2014 May;52(5):392-5. doi: 10.1038/sc.2014.16. Epub 2014 Feb 18.
Sixteen-week follow-up study.
To evaluate the efficacy of referral from a health-care provider to regular exercise combined with 16 weeks of counselling support following discharge from inpatient or outpatient spinal cord injury (SCI) rehabilitation.
Two rehabilitation centres in Canada.
Seventeen participants (age 42.1±10.6 years, C3-T12, ASIA impairment score A-C) were recruited at discharge from inpatient (n=9; 5.2±1.3 months post-injury) or outpatient (n=8; 14.2±3.8 months post-injury) rehabilitation and were given a referral for regular exercise. Telephone counselling support was provided and adherence to the prescribed program was monitored for 16 weeks.
There was a nonsignificant difference in exercise adherence rates (percentage of available sessions attended) between participants discharged from inpatient (71.4±44.9%) and those from outpatient (39.5±27.2%) rehabilitation programs. The most common barriers to participation were physical health problems (50%) and transportation (36%). An exercise beliefs questionnaire revealed that participants value exercise at discharge from rehabilitation, despite the common report of a relative lack of confidence in their ability to perform or adapt aerobic and resistance exercises to their specific capabilities.
A system of direct referral and ongoing counselling support following discharge from either inpatient or outpatient SCI rehabilitation appears to encourage sustained participation, although future health promotion strategies should continue to provide specific information about how to adapt and complete aerobic and resistance exercises.
Rick Hansen Institute and Ontario Neurotrauma Foundation.
为期16周的随访研究。
评估在住院或门诊脊髓损伤（SCI）康复出院后，由医疗服务提供者转介至定期锻炼并结合16周咨询支持的效果。
加拿大的两个康复中心。
17名参与者（年龄42.1±10.6岁，损伤平面C3 - T12，美国脊髓损伤协会损伤分级A - C级）在住院（n = 9；受伤后5.2±1.3个月）或门诊（n = 8；受伤后14.2±3.8个月）康复出院时被招募，并收到定期锻炼的转介。提供电话咨询支持，并对规定项目的依从性进行16周的监测。
从住院康复项目出院的参与者（71.4±44.9%）和从门诊康复项目出院的参与者（39.5±27.2%）之间的锻炼依从率（参加的可用课程百分比）无显著差异。参与的最常见障碍是身体健康问题（50%）和交通问题（36%）。一份锻炼信念问卷显示，尽管普遍报告对自己进行或根据自身特定能力调整有氧和抗阻锻炼的能力相对缺乏信心，但参与者在康复出院时重视锻炼。
住院或门诊SCI康复出院后的直接转介和持续咨询支持系统似乎鼓励持续参与，尽管未来的健康促进策略应继续提供有关如何调整和完成有氧及抗阻锻炼的具体信息。
里克·汉森研究所和安大略省神经创伤基金会。
