An Active Lifestyle Is Associated With Reduced Dyspnea and Greater Life Satisfaction in Spinal Cord Injury

Arch Phys Med Rehabil, 2016 · DOI: 10.1016/j.apmr.2016.02.010 · Published: October 1, 2016

Spinal Cord Injury Participation Rehabilitation

Simple Explanation

The study investigates the link between physical activity, breathing difficulties (dyspnea), and life satisfaction in people with spinal cord injuries (SCI). It explores how an active lifestyle might influence both breathing comfort and overall well-being in this population. Researchers assessed activity levels by looking at time spent away from home, participation in sports, and planned exercise routines. These measures were then compared with reports of dyspnea and scores on a life satisfaction scale. The goal was to determine if being more active—through exercise, sports, or simply spending time outside—could lead to less dyspnea and a greater sense of satisfaction with life for individuals living with SCI.

Study Duration

Between 7/2012–3/2015

Participants

347 subjects with traumatic SCI ≥ 1 year after injury

Evidence Level

Cross-sectional survey

Key Findings

1
A planned exercise program is associated with a 43% reduction in the odds ratio of reporting dyspnea.
2
More time spent away from one’s home and yard was linearly and positively associated with SWLS.
3
Participation in organized sports was also associated with a significantly greater SWLS.

Research Summary

This study assessed the relationship between activity levels, dyspnea, and life satisfaction in individuals with chronic SCI. The results indicate that planned exercise is linked to reduced dyspnea, while an active lifestyle, characterized by time spent away from home and sports participation, is associated with greater life satisfaction. These findings underscore the importance of promoting active lifestyles and exercise programs for individuals with SCI to improve both their respiratory health and overall well-being.

Practical Implications

Promote Exercise Programs

Encourage individuals with SCI to participate in planned exercise programs to reduce dyspnea.

Encourage Outdoor Activities

Promote activities that involve spending time away from home to enhance life satisfaction.

Support Sports Participation

Facilitate and support participation in organized sports to improve overall well-being in individuals with SCI.

Study Limitations

1
The rates of physical activity, exercise, and sports reported by this cohort cannot be extrapolated to other populations with SCI.
2
The study design does not allow for separation of cause and effect regarding the relationship between physical activity, exercise, and sports with dyspnea and SWLS.
3
The overall recruitment goal was not achieved, and additional subjects may have resulted in additional findings of statistical significance.

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