Department of Physiotherapy, School of Medical Sciences, Kathmandu University, Dhulikhel, Nepal.
Spinal Injury Rehabilitation Center, Sanga, Nepal.
J Nepal Health Res Counc. 2021 Apr 23;19(1):32-38. doi: 10.33314/jnhrc.v19i1.2912.
The outcome of exercises depends on participants' level of exercise participation. We aimed to investigate the level of exercise participation in individuals with traumatic spinal cord injury during inpatient rehabilitation.
All participants with traumatic spinal cord injury undergoing inpatient physiotherapy at a rehabilitation center were recruited. Participants with hearing/visual problems were excluded. Hopkins Rehabilitation Engagement Rating Scale and Pittsburgh Rehabilitation Participation Scale were used to evaluate exercise participation levels. One-way ANOVA and unpaired t-test were used to compare level of participation between groups. Pearson's correlation and Chi-square tests were used to evaluate correlation and association.
Thirty-five participants with mean age 37.1 ± 11.7 years completed the study. Hopkins Rehabilitation Engagement Rating Scale and Pittsburgh Rehabilitation Participation Scale demonstrated a low level of exercise participation in 31.4 % and 42.9 % participants respectively. Participants with an incomplete injury had high exercise participation levels compared to complete injuries. There were significant group differences (p < 0.001, effect size = 0.8) between complete and incomplete injuries and among various levels of injuries. The level of exercise participation was significantly associated with injury levels and type (p < 0.001, Phi = 0.7 to 0.9).
The exercise participation level was high for incomplete compared to complete injuries in Nepalese individuals with traumatic spinal cord injury. The demographic and socio-economical factors were not associated with level of exercise participation.
锻炼的效果取决于参与者的锻炼参与水平。我们旨在调查创伤性脊髓损伤患者在住院康复期间的锻炼参与水平。
招募在康复中心接受物理治疗的所有创伤性脊髓损伤患者。排除有听力/视力问题的患者。使用霍普金斯康复参与量表和匹兹堡康复参与量表评估锻炼参与水平。使用单因素方差分析和独立样本 t 检验比较组间参与水平。使用 Pearson 相关和卡方检验评估相关性和关联性。
35 名平均年龄为 37.1 ± 11.7 岁的参与者完成了研究。霍普金斯康复参与量表和匹兹堡康复参与量表分别显示 31.4%和 42.9%的参与者锻炼参与水平较低。不完全损伤的参与者比完全损伤的参与者具有更高的锻炼参与水平。完全和不完全损伤以及各种损伤水平之间存在显著的组间差异（p < 0.001，效应量=0.8）。锻炼参与水平与损伤水平和类型显著相关（p < 0.001，Phi 值为 0.7 至 0.9）。
尼泊尔创伤性脊髓损伤患者中，不完全损伤的锻炼参与水平高于完全损伤。人口统计学和社会经济因素与锻炼参与水平无关。
