脊髓损伤使用手动轮椅者对体力活动指南的依从性及其与肩部疼痛的关系。
Adherence to Physical Activity Guidelines in Manual Wheelchair Users With Spinal Cord Injury and the Association With Shoulder Pain.
机构信息
From the Swiss Paraplegic Research, Nottwil, Switzerland (WHKdV, UA, FMB, CP); Institute for Biomechanics, Department of Health Sciences and Technology, ETH Zurich, Switzerland (FMB); Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, the Netherlands (SdG); Amsterdam Rehabilitation Research Center | Reade, Amsterdam, the Netherlands (SdG); Swiss Paraplegic Centre, Nottwil, Switzerland (IE-H); and Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland (IE-H, CP).
出版信息
Am J Phys Med Rehabil. 2024 Nov 1;103(11S Suppl 3):S303-S309. doi: 10.1097/PHM.0000000000002584. Epub 2024 Jul 1.
OBJECTIVE
The aim of the study is to investigate the association between adherence to spinal cord injury-specific physical activity guidelines in manual wheelchair users with spinal cord injury and shoulder pain prevalence.
DESIGN
This is a cross-sectional analysis of the SwiSCI Community Survey 2022 data, assessing aerobic activity and muscle strength training adherence in manual wheelchair users with spinal cord injury and shoulder pain prevalence. Logistic regression analysis was used to identify the association between meeting the physical activity guidelines and shoulder pain.
RESULTS
Low adherence to aerobic activity and strength training guidelines are observed, with 46% and 64% of the study sample not meeting the respective guidelines. The low adherence to physical activity guidelines contrasts with the general Swiss population from which around 75% is physically active for more than 2.5 hrs a week. Manual wheelchair users present a high prevalence of shoulder pain (40%) and nonadherence to aerobic guidelines in the study sample correlates with 1.55-1.97 higher odds of having shoulder pain.
CONCLUSIONS
Aerobic activity adherence is associated with lower shoulder pain prevalence, emphasizing its potential for injury prevention. Overall, the presented findings necessitate further longitudinal studies and interventions for a comprehensive understanding and effective management of shoulder pain in manual wheelchair users with spinal cord injury.
目的
本研究旨在探讨脊髓损伤患者遵循脊髓损伤特定体力活动指南与肩痛患病率之间的关系。
设计
这是对 2022 年 SwiSCI 社区调查数据的横断面分析，评估了脊髓损伤手动轮椅使用者的有氧运动和肌肉力量训练依从性与肩痛患病率。采用逻辑回归分析来确定符合体力活动指南与肩痛之间的关联。
结果
观察到低水平的有氧运动和力量训练指南依从性，研究样本中有 46%和 64%的人不符合各自的指南。体力活动指南的低依从性与瑞士一般人群形成鲜明对比，瑞士一般人群中约有 75%的人每周进行超过 2.5 小时的体育活动。手动轮椅使用者的肩痛患病率较高（40%），研究样本中不符合有氧运动指南与肩痛的发生几率增加 1.55-1.97 倍相关。
结论
有氧运动的依从性与较低的肩痛患病率相关，强调了其在预防损伤方面的潜力。总之，这些发现需要进一步的纵向研究和干预措施，以全面了解和有效管理脊髓损伤手动轮椅使用者的肩痛。
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