Abstract
The history, physical characteristics and fitness status of 60 persons who had sustained a spinal cord injury at least 3 years previously were considered in relation to current occupation. All subjects had completed their education, 39 being gainfully employed and 21 unemployed. The general characteristics of the sample, mainly beneficiaries of the Quebec Automobile Insurance Plan, were typical of spinal cord injured individuals in North America. The working group had a significantly higher current level of education than those who were unemployed (p < .01). In terms of physical fitness, the workers were lighter, with a lower body mass index and a higher aerobic power (p < .05). Isokinetic testing suggested a trend toward a higher peak torque in the workers. The total work performed (Nm · kg-1) during an isokinetic endurance test (25 biphasic contraction at 180° · sec-1 ) was significantly higher in the workers, suggesting that such muscular endurance might be even more useful than greater peak isokinetic strength during vocational activities. However, the likelihood of employment was unrelated to habitual patterns of either aerobic exercise or overall physical activity. No significant differences of physical fitness or physical activity habits were found between workers holding sedentary versus physically demanding jobs. The results verified the positive relationship between physical fitness (body composition, aerobic power, muscular endurance) and the gainful employment of paraplegics, but failed to show any significant relationship between physical fitness and the acceptance of physically demanding work by such individuals.
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References
De Vivo M J, Fine P R (1982) Employment status of spinal cord injured patients 3 years after injury. Arch Phys Med Rehabil 63: 200–203.
De Vivo M J, Rott R D, Stover S L, Fine P R (1987) Employment after spinal cord injury. Arch Phys Med Rehabil 68: 494–98.
El Ghatit A Z, Hanson R W (1978) Variables associated with obtaining and sustaining employment among spinal cord injured males: follow-up of 760 veterans. J Chron Dis 31: 363–9.
Swenson E (1976) The relationship between locus of control expectancy and successful rehabilitation of spinal cord injured. Unpublished dissertation. Arizona State University, Phoenix Az.
Shadish W R, Hickman D, Arrick M C (1981) Psychological problems of spinal cord injury patients: emotional distress as a function of time and locus of control. J Consult Clin Psychol 49: 297–305.
Crisp R (1984) Locus of control as a predictor of adjustment to spinal cord injury. Aust Disabil Rev 1: 53–7.
Curtis K A, McClanahan S, Hall K M, Dillon D, Brown K F (1986) Health, vocational and functional status in spinal cord injured athletes and non-athletes. Arch Phys Med Rehabil 67: 862–65.
Granger C V, Albrecht G L, Hamilton B B (1979) Outcome of comprehensive medical rehabilitation measurement by PULSES Profile and Barthel Index. Arch Phys Med Rehabil 60: 145–154.
Fitness Canada (1986) Canadian Standardized Test of Fitness (CSFT). Operations Manual. 3rd ed. Fitness Canada, Ottawa.
Womersley J, Durnin J V (1977) A comparison of skinfold method with extent of overweight and various weight-height relationships. Brit J Nutr 38: 271–84.
Conrad S A, Kinasewitz G T, George R B (1984) Pulmonary Function Testing: Principles and Practice. Churchill Livingstone, New York.
American College of Sports Medicine (1986) Guidelines for Exercise Testing and Prescription. 3rd ed. Lea & Febiger, Philadelphia.
Canada Fitness Survey (1983) Fitness and Lifestyle in Canada. Fitness Canada, Ottawa.
Godin G, Shephard R J (1985) A simple method to assess exercise behaviour in the community. Can J Appl Sports Sci 10: 141–6.
Treischmann R (1974) Coping with a disability: a sliding scale of goals. Arch Phys Med Rehabil 55: 556–60.
Treischmann R (1980) The psychological, social and vocational adjustment to spinal cord injury. Ann Rev Rehabil 1: 304–18.
DeJong G, Branch L G, Corcoran P J (1984) Independent living outcomes on spinal cord injury: multivariate analyses. Arch Phys Med Rehabil 65: 66–73.
Goldberg R T, Freed M M (1973) Vocational adjustment, interests, work values and career plans of persons with spinal cord injuries. Scand J Rehabil Med 5: 3–11.
Brand R J, Paffenberger R S, Scholtz R I, Kampert J B (1979) Work activity and fatal heart attack studied by multiple logistic risk analysis. Am J Epidemiol 110: 52–62.
Paffenbarger R S, Hyde R T, Wing A L, Steinmetz C H (1984) A natural history of athleticism and cardiovascular health. JAMA 252: 491–95.
Shephard R J (1986) Exercise in coronary heart disease. Sports Med 3: 26–49.
Hjeltnes N (1982) Capacity for physical work and training after spinal injuries and strokes. Scand J Soc Med 29(suppl): 245–51.
Hoffman M D (1986) Cardiorespiratory fitness and training in quadriplegics and paraplegics. Sports Med 3: 312–330.
Shephard R J (1988) Sports medicine and the wheelchair athlete. Sports Med 5: 226–247.
Guttmann L (1976) Spinal Cord Injury: Comprehensive Management and Research. Blackwell Scientific, Oxford.
Hughes A L, Goldman R F (1970) Energy cost of hard work. J Appl Physiol 29: 570–72.
Sawka M N (1986) Physiology of upper body exercise. Exerc Sports Sci Rev 14: 175–211.
Bergh U, Kanstrup I L, Ekblom B (1976) Maximal oxygen uptake during exercise with various combinations of arm and leg work. J Appl Physiol 41: 191–196.
Zwiren L D, Bar-Or O (1975) Responses to exercise of paraplegics who differ in conditioning level. Med Sci Sports Exerc 7: 94–98.
Do M C, Bouisset C, Moynot C (1985) Are paraplegics handicapped in the execution of a manual task? Ergonomics 28: 1363–75.
Health and Welfare Canada (1988) Promoting Healthy Weight: A Discussion Paper. Ottawa.
Rabkin S W, Matheson F A, Hsu P H (1979) Relation of body weight to development of ischemic heart disease in a cohort of young North American men after a 26-year observation period: the Manitoba Study. Am J Cardiol 39: 452–8.
Health and Welfare Canada (1988) Canadian Guidelines for Healthy Weights. Ottawa
DeJong G (1981) Environmental Accessibility and Independent Living Outcomes. Michigan State University, East Lansing, Michigan.
Berkowitz M (1981) Disincentives and the Rehabilitation of Disabled Persons. Vol 2. Springer Verlag Publishing, New York.
Better S R, Fine P R, Simison D, Doss G H (1979) Disability benefits as disincentives to rehabilitation. Milbank Mem Fund Q 57: 412–427.
Walls R T, Masson C, Werner T J (1977) Negative incentives to vocational rehabilitation. Rehabil Lit 38: 143–50.
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Noreau, L., Shephard, R. Return to work after spinal cord injury: the potential contribution of physical fitness. Spinal Cord 30, 563–572 (1992). https://doi.org/10.1038/sc.1992.116
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DOI: https://doi.org/10.1038/sc.1992.116
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