Skip to main content Accessibility help
×
×
Home

Perceived Barriers to Physical Activity and Exercise for Individuals with Spinal Cord Injury

  • John Keegan (a1), Jessica Brooks (a2), John Blake (a3), Veronica Muller (a1), Sandra Fitzgerald (a4) and Fong Chan (a5)...

Abstract

This study investigated the relationship between functional disability and perceived barriers to physical activity and exercise in persons with Spinal Cord Injury (SCI). Participants were 144 individuals with SCI (mean age was 44 years old; 61% were male participants; 41.3% had spinal cord lesion at the cervical level, 43.7% at the thoracic level, and 14.3% at the lumbar level) from the National Spinal Cord Injury Association in the United States. Data on physical activity and exercise participation were collected using a cross-sectional online survey and analysed using multivariate analysis of variance and hierarchical regression analysis. The primary research findings indicate that level of functional disability was a predictor of perceived barriers to physical activity and exercise. Moreover, health barriers were found to be a partial mediator for functional disability and physical health-related quality of life, suggesting perceived barriers may help to explain the association between functional disability and physical health-related quality of life.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Perceived Barriers to Physical Activity and Exercise for Individuals with Spinal Cord Injury
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Perceived Barriers to Physical Activity and Exercise for Individuals with Spinal Cord Injury
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Perceived Barriers to Physical Activity and Exercise for Individuals with Spinal Cord Injury
      Available formats
      ×

Copyright

References

Hide All
Anneken, V., Hanssen-Doose, A., Hirschfeld, S., Scheuer, T., & Thietje, R. (2009). Influence of physical exercise on quality of life in individuals with spinal cord injury. Spinal Cord, 48, 393399.
Baron, R.M., & Kenny, D.A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 11731182.
Becker, H., Stuifbergen, A. K., & Sands, D. (1991). Development of a scale to measure barriers to health promotion activities among persons with disabilities. American Journal of Health Promotion, 5, 449454.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Earlbaum Associates.
Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155159.
Cripps, R.A., Lee, B.B., Wing, P., Weerts, E., Mackay, J., & Brown, D. (2011). A global map for traumatic spinal cord injury epidemiology: Towards a living data repository for injury prevention. Spinal Cord, 49, 493501.
Dearwater, S.R., LaPorte, R.E., Robertson, R.J., Brenes, G., Adams, L.L, & Becker, D. (1986). Activity in the spinal cord-injured patient: An epidemiologic analysis of metabolic parameters. Medicine and Science in Sports Exercise, 18, 541544.
Dijkers, M. (1997). Quality of life after spinal cord injury: A meta analysis of the effects of disablement components. Spinal Cord, 35, 829840.
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175191.
Ginis, K.A.M., Latimer, A.E., McKechnie, K., Ditor, D.S., McCartney, N., Hicks, A.L., & Craven, B.C. (2003). Using exercise to enhance subjective well-being among people with spinal cord injury: The mediating influences of stress and pain. Rehabilitation Psychology, 48, 157164.
Hoenig, H., McIntyre, L., Sloane, R., Branch, L. G., Truncali, A., & Horner, R. D. (1998). The reliability of a self-reported measure of disease, impairment, and function in persons with spinal cord dysfunction. Archives of Physical Medicine and Rehabilitation, 79, 378387.
Hunter, L. (2012). Challenging the reported disadvantages of e-questionnaires and addressing methodological issues of online data collection. Nurse Researcher, 20, 1120.
Keith, R.A., Granger, C.V., Hamilton, B.B., & Sherwin, F. S. (1987). The functional independence measure: A new tool for rehabilitation. Advances in Clinical Rehabilitation, 1, 618.
Kennedy, P., & Rogers, B. A. (2000). Anxiety and depression after spinal cord injury: A longitudinal analysis. Archives of Physical Medicine and Rehabilitation, 81, 932937.
Krause, J.S., & Saunders, L.L. (2011). Health, secondary conditions, and life expectancy after spinal cord injury. Archives of Physical Medicine and Rehabilitation, 92, 17701775.
Latimer, A.E., Ginis, K.A.M., & Craven, B.C. (2004). Psychosocial predictors and exercise intentions and behavior among individuals with spinal cord injury. Adapted Physical Activity Quarterly, 21, 7185.
MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002). A comparison of methods to test mediation and other intervening variable effects. Psychological Methods, 7, 83104.
Martin, K.A., Latimer, A.E., Francoeur, C., & Hanley, H. (2002). Sustaining exercise motivation and participation among people with spinal cord injuries - Lessons learned from a 9-month intervention. Palaestra, 18, 3851.
Myers, J., Lee, M., & Kiratli, J. (2007). Cardiovascular disease in spinal cord injury: An overview of prevalence, risk, evaluation, and management. American Journal of Physical Medicine & Rehabilitation/Association of Academic Physiatrists, 86, 142152.
Nash, M.S. (2005). Exercise as a health-promoting activity following spinal cord injury. Journal of Neurological Physical Therapy, 29, 87106.
Noreau, L., Shephard, R.J., Simard, C., Pare, G., & Pomerleau, P. (1993). Relationship of impairment and functional ability to habitual activity and fitness following spinal cord injury. International Journal of Rehabilitation Research, 16, 265275.
Nosek, M.A., Fuhrer, M.J., & Potter, C. (1995). Life satisfaction of people with physical disabilities: Relationship to personal assistance, disability status, and handicap. Rehabilitation Psychology, 40, 191202.
Olson, C. L. (1976). On choosing a test statistic in multivariate analysis of variance. Psychological Bulletin, 83, 579586.
Palmer, R.F., Graham, J.W., Taylor, B., & Tatterson, J. (2002). Construct validity in health behavior research: Interpreting latent variable models involving self-report and objective measures. Journal of Behavioral Medicine, 25, 525550.
Rimmer, J.H., Riley, B., Wang, E., Rauworth, A., & Jurkowski, J. (2004). Physical activity participation among persons with disabilities: Barriers and facilitators. American Journal of Preventive Medicine, 26, 419425.
Roberton, T., Bucks, R.S., Skinner, T.C., Allison, G.T., & Dunlop, S.A. (2011). Barriers to physical activity in individuals with spinal cord injury: A Western Australian study. Australian Journal of Rehabilitation Counselling, 17, 7488.
Scelza, W.M., Kalpakjian, C.Z., Zemper, E.D., & Tate, D.G. (2005). Perceived barriers to exercise in people with spinal cord injury. American Journal of Physical Medicine & Rehabilitation, 84, 576583.
Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7, 422445.
Vissers, M., Van dB-E, R., Sluis, T., Bergen, M., Stam, H., & Bussmann, H. (2008). Barriers to and facilitators of everyday physical activity in persons with a spinal cord injury after discharge from the rehabilitation centre. Journal of Rehabilitation Medicine, 40, 461467.
Ware, J.E. Jr., Kosinski, M., & Keller, S.D. (1996). A 12-item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220233.
Washburn, R.A., Zhu, W., McAuley, E., Frogley, M., & Figoni, S.F. (2002). The Physical Activity Scale for Individuals with Physical Disabilities: Development and evaluation. Archives of Physical Medicine and Rehabilitation, 83, 193200.
Wolfe, D.L., Martin Ginis, K.A., Latimer, A.E., Foulon, B.L., Eng, J.J., Hicks, A.L., & Hsieh, J.T.C. (2012). Physical Activity and SCI. In Eng, J.J., Teasell, R.W., Miller, W.C., Wolfe, D.L., Townson, A.F., Boily, J.T.C. Hsieh,…K. (Eds.), In Spinal Cord Injury Rehabilitation Evidence, Version 4.0 (Physical Activity section). Retrieved from http://www.scireproject.com/rehabilitation-evidence/physical-activity
World Health Organization. (2002). Towards a common language for functioning, disability and health: ICF. Geneva, Switzerland: Author.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Australian Journal of Rehabilitation Counselling
  • ISSN: 1323-8922
  • EISSN: 1838-6059
  • URL: /core/journals/australian-journal-of-rehabilitation-counselling
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed