关键词: body composition functional capacity mental health muscle strength spinal cord injury

Mesh : Humans Spinal Cord Injuries / physiopathology psychology Body Composition Muscle Strength Male Mental Health Adult Middle Aged Female COVID-19 / psychology Exercise Quality of Life Anxiety / physiopathology Depression / physiopathology

来  源:   DOI:10.3390/ijerph21070900   PDF(Pubmed)

Abstract:
Spinal cord injury (SCI) is a condition that significantly affects the quality of life (QoL) of individuals, causing motor, physiological, social, and psychological impairments. Physical exercise plays a crucial role in maintaining the health and functional capacity of these individuals, helping to minimize the negative impacts of SCI. The aim of this study was to evaluate the effect of detraining (DT) (reduction or cessation of physical exercise) during the pandemic on five individuals with thoracic SCI. We assessed muscle strength using strength tests, functional capacity using a functional agility test, mental health using anxiety and depression inventories, and body composition using dual-energy X-ray absorptiometry (DEXA). The results after 33 months of DT showed significant losses in functional agility and MS, as well as a worsening in symptoms of anxiety and depression. It was observed that total body mass and fat mass (FM) exhibited varied behaviors among the individuals. Similarly, the results for lean body mass were heterogeneous, with one participant showing significant deterioration. It is concluded that DT caused by the pandemic worsened the physical and mental condition of individuals with SCI, highlighting the importance of continuous exercise for this population and underscoring the need for individual assessments to fully understand the impacts of DT.
摘要:
脊髓损伤(SCI)是一种显着影响个体生活质量(QoL)的疾病,导致电机,生理,社会,和心理障碍。体育锻炼在维持这些人的健康和功能能力方面起着至关重要的作用,帮助最小化SCI的负面影响。这项研究的目的是评估大流行期间去训练(DT)(减少或停止体育锻炼)对五名胸部SCI患者的影响。我们用力量测试来评估肌肉力量,使用功能敏捷性测试的功能容量,使用焦虑和抑郁清单的心理健康,和身体成分使用双能X射线吸收法(DEXA)。DT33个月后的结果表明,功能敏捷性和MS显著丧失,以及焦虑和抑郁症状的恶化。观察到,个体之间的总体质量和脂肪质量(FM)表现出不同的行为。同样,瘦体重的结果是不均匀的,一名参与者表现出明显的恶化。结论是,大流行引起的DT使SCI患者的身体和精神状况恶化,强调了持续锻炼对该人群的重要性,并强调了进行个人评估以充分了解DT的影响的必要性。
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