Wilhelmsen Terese, Lannem Anne Marie, Sørensen Marit, Augutis Marika, Gustafsson Henrik
Department of Educational Sciences, University of South-Eastern Norway, 3045 Drammen, Norway.
Research Department, Sunnaas Rehabilitation Hospital, 1450 Nesoddtangen, Norway.
J Funct Morphol Kinesiol. 2023 Dec 25;9(1):7. doi: 10.3390/jfmk9010007.
This study explored the physical, social, and psychological benefits of an active rehabilitation (AR) camp as experienced by participants with spinal cord injury (SCI), and perceived fitness and mastery of being physically active six months after the camp. The study used a mixed-method design with pre- ( = 23), post- ( = 23), and follow-up questionnaires ( = 18) and individual interviews ( = 8). Fuzzy qualitative comparative analysis (fsQCA) was used to analyze the quantitative data and qualitative content analysis was used to analyze the qualitative data. Results showed that benefits were mainly experienced in the social and psychological domains. As for the physical domain, younger and more recently injured persons with tetraplegia reported more benefits. Six months after the camp, being in the preparation stage of change and being somewhat physically active were necessary and sufficient conditions for experiencing mastery of physical activity regardless of injury type, but only persons with paraplegia experienced fitness benefits. Qualitative data shed further light on the perceived benefits of the camp. The knowledge gained from this study might help practitioners to tailor interventions to individual needs and researchers to ask questions that take into consideration the complexity of active rehabilitation and changes in physical activity behavior for people with SCI.
本研究探讨了脊髓损伤（SCI）参与者所体验到的积极康复（AR）营在身体、社会和心理方面的益处，以及营期结束六个月后他们对身体健康状况和身体活动技能掌握程度的认知。该研究采用了混合方法设计，包括前测（n = 23）、后测（n = 23）和随访问卷（n = 18）以及个人访谈（n = 8）。运用模糊定性比较分析（fsQCA）对定量数据进行分析，采用定性内容分析对定性数据进行分析。结果表明，益处主要体现在社会和心理领域。在身体领域，年龄较小且近期受伤的四肢瘫痪者报告的益处更多。营期结束六个月后，无论损伤类型如何，处于改变的准备阶段且有一定身体活动量是体验到身体活动技能掌握的必要且充分条件，但只有截瘫患者体验到了身体适应性方面的益处。定性数据进一步揭示了参与者对该康复营益处的认知。本研究所得知识可能有助于从业者根据个体需求调整干预措施，并帮助研究人员提出考虑到SCI患者积极康复的复杂性和身体活动行为变化的问题。
