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Staying active after rehab: Physical activity perspectives with a spinal cord injury beyond functional gains.
Baehr, Laura A; Kaimal, Girija; Hiremath, Shivayogi V; Trost, Zina; Finley, Margaret.
  • Baehr LA; Department of Physical Therapy and Rehabilitation Science, Drexel University, Philadelphia, PA, United States of America.
  • Kaimal G; Creative Arts Therapies Department, Drexel University, Philadelphia, PA, United States of America.
  • Hiremath SV; Department of Health and Rehabilitation Sciences, Temple University, Philadelphia, PA, United States of America.
  • Trost Z; Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, United States of America.
  • Finley M; Department of Physical Therapy and Rehabilitation Science, Drexel University, Philadelphia, PA, United States of America.
PLoS One ; 17(3): e0265807, 2022.
Article in English | MEDLINE | ID: covidwho-1759962
ABSTRACT
Lifestyle physical activity following spinal cord injury (SCI) is critical for functional independence, mental wellness, and social participation, yet nearly 50% of individuals with SCI report no regular exercise. The objective of this study was to better understand factors leading to this participation gap by capturing the physical activity perspectives of individuals living with SCI. We completed small group interviews with nine individuals living with SCI across the United States. Iterative thematic analysis systematically revealed meaningful core concepts related to physical activity engagement with SCI. Emergent themes revealed challenges to lifestyle physical activity behavior including gaps in physical activity education, isolation during psychological adjustment, and knowledge limitations in community exercise settings. A secondary theme related to the COVID-19 pandemic emerged, highlighting additional environmental constraints affecting participation. Our findings suggest that most physical activity education is delivered during inpatient rehabilitation and is related to physical function. Lifetime physical activity strategies are achieved through self-education and peer networking. Personal motivators for physical activity include secondary condition prevention, while social and emotional barriers prevent regular adherence. These findings can inform the development and delivery of physical activity programs to maximize physical activity engagement in individuals living with chronic SCI.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Spinal Cord Injuries Type of study: Prognostic study / Qualitative research Limits: Adult / Aged / Female / Humans / Male / Middle aged Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0265807

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Spinal Cord Injuries Type of study: Prognostic study / Qualitative research Limits: Adult / Aged / Female / Humans / Male / Middle aged Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0265807