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Quality of life and psychological outcomes of body-weight supported locomotor training in spinal cord injured persons with long-standing incomplete lesions.
Piira, Anu; Lannem, Anne M; Gjesdal, Knut; Knutsen, Raymond; Jørgensen, Lone; Glott, Thomas; Hjeltnes, Nils; Knutsen, Synnøve F; Sørensen, Marit.
Afiliación
  • Piira A; Department of Health and Care Sciences, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway. anu.piira@kurbadet.no.
  • Lannem AM; North Norway Rehabilitation Center, Tromsø, Norway. anu.piira@kurbadet.no.
  • Gjesdal K; Sunnaas Rehabilitation Hospital, Nesodden, Norway.
  • Knutsen R; Department of Cardiology, Oslo university hospital Ullevål and Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
  • Jørgensen L; North Norway Rehabilitation Center, Tromsø, Norway.
  • Glott T; Department of Epidemiology and Biostatistics, Loma Linda University, Loma Linda, CA, USA.
  • Hjeltnes N; Department of Health and Care Sciences, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.
  • Knutsen SF; Department of Clinical Therapeutic Services, University Hospital North Norway, Tromsø, Norway.
  • Sørensen M; Sunnaas Rehabilitation Hospital, Nesodden, Norway.
Spinal Cord ; 58(5): 560-569, 2020 05.
Article en En | MEDLINE | ID: mdl-31848443
STUDY DESIGN: Health-related quality of life (HRQOL) data from two parallel independent single-blinded controlled randomized studies of manual (Study 1) and robotic (Study 2) locomotor training were combined (ClinicalTrials.gov #NCT00854555). OBJECTIVE: To assess effects of body-weight supported locomotor training (BWSLT) programs on HRQOL in persons with long-standing motor incomplete spinal cord injury and poor walking function. SETTINGS: Two inpatient rehabilitation facilities and one outpatient clinic in Norway. METHODS: Data were merged into intervention (locomotor training 60 days) or control group ("usual care"). Participants completed questionnaires before randomization and 2-4 weeks after the study period, including demographic characteristics, HRQOL (36-Item Short-Form Health Status Survey, SF-36), physical activity (The International Physical Activity Questionnaire Short Form, IPAQ-SF), exercise barrier self-efficacy (EBSE), and motivation for training (Behavioral Regulation in Exercise Questionnaire, BREQ). Physical outcomes i.e., Lower extremity motor score (LEMS) was assessed. The main outcome was change in HRQOL. Secondary outcomes included changes in IPAQ-SF, EBSE, BREQ, and physical outcomes. RESULTS: We recruited 37 of 60 predetermined participants. They were autonomously motivated with high baseline physical activity. BWSLT with manual or robot assistance did not improve HRQOL, though LEMS increased in the BWSLT group compared with control group. CONCLUSIONS: The study was underpowered due to recruitment problems. The training programs seem to benefit LEMS, but not other physical outcomes, and had minimal effects on HRQOL, EBSE, and motivation. Autonomous motivation and high physical activity prior to the study possibly limited the attainable outcome benefits, in addition to limitations due to poor baseline physical function.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos de la Médula Espinal / Terapia por Ejercicio / Rehabilitación Neurológica / Locomoción Tipo de estudio: Clinical_trials / Guideline Aspecto: Patient_preference Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Spinal Cord Asunto de la revista: NEUROLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Noruega Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos de la Médula Espinal / Terapia por Ejercicio / Rehabilitación Neurológica / Locomoción Tipo de estudio: Clinical_trials / Guideline Aspecto: Patient_preference Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Spinal Cord Asunto de la revista: NEUROLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Noruega Pais de publicación: Reino Unido