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Direct referral and physical activity counselling upon discharge from spinal cord injury rehabilitation.
- Source :
-
Spinal cord [Spinal Cord] 2014 May; Vol. 52 (5), pp. 392-5. Date of Electronic Publication: 2014 Feb 18. - Publication Year :
- 2014
-
Abstract
- Study Design: Sixteen-week follow-up study.<br />Objective: 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.<br />Setting: Two rehabilitation centres in Canada.<br />Methods: 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.<br />Results: 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.<br />Conclusion: 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.<br />Sponsorship: Rick Hansen Institute and Ontario Neurotrauma Foundation.
- Subjects :
- Adult
Canada
Counseling
Female
Follow-Up Studies
Humans
Male
Middle Aged
Patient Compliance
Patient Discharge
Rehabilitation Centers
Surveys and Questionnaires
Exercise Therapy methods
Motor Activity physiology
Referral and Consultation
Spinal Cord Injuries physiopathology
Spinal Cord Injuries rehabilitation
Subjects
Details
- Language :
- English
- ISSN :
- 1476-5624
- Volume :
- 52
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Spinal cord
- Publication Type :
- Academic Journal
- Accession number :
- 24534780
- Full Text :
- https://doi.org/10.1038/sc.2014.16