Effect of Exercise on Mental Health and Health-related Quality of Life in Adults with Spinal Cord Injury: A Systematic Review and Meta-Analysis.
Journal: Archives of physical medicine and rehabilitation
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Affiliated Institutions:
School of Health and Exercise Sciences, University of British Columbia, Kelowna, BC Canada; International Collaboration on Repair Discoveries (ICORD), Blusson Spinal Cord Centre (BSCC), University of British Columbia, Vancouver, BC, Canada. Electronic address: matteo.ponzano@ubc.ca.
School of Health and Exercise Sciences, University of British Columbia, Kelowna, BC Canada; International Collaboration on Repair Discoveries (ICORD), Blusson Spinal Cord Centre (BSCC), University of British Columbia, Vancouver, BC, Canada. Electronic address: robert.buren@ubc.ca.
School of Health and Exercise Sciences, University of British Columbia, Kelowna, BC Canada; International Collaboration on Repair Discoveries (ICORD), Blusson Spinal Cord Centre (BSCC), University of British Columbia, Vancouver, BC, Canada. Electronic address: adamsnt@student.ubc.ca.
Division of Physical Medicine & Rehabilitation, Department of Medicine, University of British Columbia, Vancouver, BC, Canada. Electronic address: jane.jun@ubc.ca.
Institute for Work & Health, Toronto, ON, Canada Institute for Work & Health, Toronto, ON, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Department of Kinesiology, Brock University, St. Catharines, ON, Canada. Electronic address: dmack@brocku.ca.
School of Health and Exercise Sciences, University of British Columbia, Kelowna, BC Canada; International Collaboration on Repair Discoveries (ICORD), Blusson Spinal Cord Centre (BSCC), University of British Columbia, Vancouver, BC, Canada; Division of Physical Medicine & Rehabilitation, Department of Medicine, University of British Columbia, Vancouver, BC, Canada; Centre for Chronic Disease Prevention and Management, University of British Columbia, Kelowna, BC, Canada. Electronic address: kathleen_martin.ginis@ubc.ca.
Abstract summary
To determine the effect of exercise interventions on mental health and health-related quality of life (HRQoL) in individuals with SCI.We searched Embase, CINAHL, Medline, PsychINFO and SPORTDiscus from inception to September 2023.We included randomized controlled trials that: 1) involved participants >18 years old with a SCI; 2) administered an exercise intervention; 3) measured subjective well-being, psychological well-being, social well-being, and/or HRQoL as outcomes. We reported standardized means differences (d) with a 95% confidence interval (CI), assessed the risk of bias by using the Revised Cochrane Risk-of-bias Tool for Randomized Trials (RoB 2), and the certainty of the evidence using GRADE.Nineteen studies (797 participants, mean age < 65 years in every study) were included. Exercise improved overall well-being (d = 0.494; 95% CI 0.268, 0.720; low certainty evidence), subjective well-being (d = 0.543; 95% CI 0.270, 0.816; low certainty evidence), psychological well-being (d = 0.499; 95% CI 0.193, 0.805; low certainty evidence), social well-being (d = 0.452; 95% CI 0.151, 0.752; low certainty evidence), and HRQoL (d = 0.323; 95% CI 0.072, 0.574; low certainty evidence). Four serious adverse events probably attributable to the interventions were reported in three studies.Exercise interventions can improve well-being and HRQoL in adults with SCI <65 years of age. Additional research is needed to determine effectiveness in adults ≥ 65 years of age.
Authors & Co-authors:
Ponzano
Buren
Adams
Jun
Jetha
Mack
Martin
Study Outcome
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