Document Detail

Changes in physical capacity during and after inpatient rehabilitation in subjects with a spinal cord injury.
MedLine Citation:
PMID:  16731207     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess changes in physical capacity and its determinants in persons with a spinal cord injury. DESIGN: Prospective cohort study. Measurements at the start of active rehabilitation (t1), 3 months later (t2), at discharge (t3), and 1 year after discharge (t4). SETTING: Eight rehabilitation centers in The Netherlands. PARTICIPANTS: A total of 186 subjects at t1 and 123 subjects at t4. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Peak aerobic power output (POpeak), peak oxygen uptake (V(O2)peak), muscle strength of the upper extremity (manual muscle test, handheld dynamometry), and respiratory function (forced expiratory flow per second, forced vital capacity). RESULTS: Random coefficient analysis demonstrated that the POpeak, V(O2)peak, strength, and respiratory function improved during inpatient rehabilitation, and that V(O2)peak, strength, and respiratory function continued to improve after discharge. Age, sex, and level and completeness of lesion were determinants of the change in components of physical capacity. CONCLUSIONS: Physical capacity improves during inpatient rehabilitation, and some components continue to improve after discharge. Subpopulations have a different level of (change in) physical capacity. The components of physical capacity are related; intervention studies are needed to confirm whether training 1 component could improve another component.
Janneke A Haisma; Johannes B Bussmann; Henk J Stam; Tebbe A Sluis; Michael P Bergen; Annet J Dallmeijer; Sonja de Groot; Lucas H van der Woude
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  87     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-05-29     Completed Date:  2006-07-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  741-8     Citation Subset:  AIM; IM    
Department of Rehabilitation Medicine, Erasmus MC, University Medical Center, 3000 CA Rotterdam, The Netherlands.
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MeSH Terms
Muscle, Skeletal / physiology
Oxygen Consumption / physiology
Physical Endurance / physiology*
Prospective Studies
Respiratory Function Tests
Spinal Cord Injuries / physiopathology*,  rehabilitation*

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