Next Article in Journal
Cardiovascular Responses to Eccentric Cycling Based on Perceived Exertion Compared to Concentric Cycling, Effect of Pedaling Rate, and Sex
Next Article in Special Issue
Assessing Regional Weather’s Impact on Spinal Cord Injury Survivors, Caregivers, and General Public in Miami, Florida
Previous Article in Journal
Psychometric Performance of the Stony Brook Scar Evaluation Scale and SCAR-Q Questionnaire in Dutch Children after Pediatric Surgery
Previous Article in Special Issue
The Effect of Lower Limb Combined Neuromuscular Electrical Stimulation on Skeletal Muscle Signaling for Glucose Utilization, Myofiber Distribution, and Metabolic Function after Spinal Cord Injury
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
IJERPH
Volume 21
Issue 1
10.3390/ijerph21010058
ijerph-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Effect of Training for an Athletic Challenge on Illness Cognition in Individuals with Chronic Disability: A Prospective Cohort Study

by
Joy M. DeShazo
1,†,
Ingrid Kouwijzer
2,3,*,†,
Sonja de Groot
2,3,
Marcel W. M. Post
4,5,
Linda J. M. Valent
6,
Christel M. C. van Leeuwen
4,
Huacong Wen
1,
Rachel E. Cowan
1 and
on behalf of the HandbikeBattle Group
‡
1
Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, AL 35294, USA
2
Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, 1081 BT Amsterdam, The Netherlands
3
Amsterdam Rehabilitation Research Center|Reade, 1054 HW Amsterdam, The Netherlands
4
Center of Excellence for Rehabilitation Medicine, UMCU Brain Center, University Medical Center Utrecht and De Hoogstraat Rehabilitation, 3583 TM Utrecht, The Netherlands
5
Center for Rehabilitation, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands
6
Research and Development, Heliomare Rehabilitation Center, 1949 EC Wijk aan Zee, The Netherlands
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
‡
HandbikeBattle Group are listed in Acknowledgments.
Int. J. Environ. Res. Public Health 2024, 21(1), 58; https://doi.org/10.3390/ijerph21010058
Submission received: 7 October 2023 / Revised: 19 December 2023 / Accepted: 25 December 2023 / Published: 30 December 2023
(This article belongs to the Special Issue Spinal Cord Injury Rehabilitation, Treatment, and Health Related Quality of Life)
Browse Figures
Versions Notes

Abstract

Illness cognitions (IC) influence how a patient adapts to a chronic disease. The aim was (1) to determine if training for a handcycling mountain time trial (HandbikeBattle) improves IC and (2) to identify factors associated with IC change scores. Persons with a chronic disability (N = 220; including N = 151 with spinal cord disorder) trained 5 months and participated in the time trial. The IC Questionnaire measured helplessness, acceptance, perceived benefits and was assessed before training (T1), after training (T2), and four months after the event (T3). Age, sex, body mass index (BMI), time since injury (TSI), disability characteristics, self-efficacy, mental health (MH) and musculoskeletal pain were obtained at T1. Multilevel regression analyses showed that helplessness decreased (from 11.96 to 11.28, p < 0.01) and perceived benefits increased (from 16.91 to 17.58, p < 0.01) from T1 to T2. For helplessness this decrease persisted during follow-up (11.16 at T3). Changes in helplessness were associated with self-efficacy (p = 0.02), MH (p = 0.02) and lesion completeness (p = 0.02), and were independent of disability type (p = 0.66), lesion level (p = 0.30) and demographics such as sex (p = 0.29) and age (p = 0.67). Training with peers may improve helplessness and perceived benefits in individuals with a chronic disability. Especially individuals with MH problems might benefit from training for an athletic challenge with peers to improve illness cognitions, and ultimately, quality of life.
Keywords: spinal cord injury; adaptive sport; psychological adaptation; appraisals; longitudinal study; exercise; wheelchair spinal cord injury; adaptive sport; psychological adaptation; appraisals; longitudinal study; exercise; wheelchair

Share and Cite

MDPI and ACS Style

DeShazo, J.M.; Kouwijzer, I.; de Groot, S.; Post, M.W.M.; Valent, L.J.M.; van Leeuwen, C.M.C.; Wen, H.; Cowan, R.E.; on behalf of the HandbikeBattle Group. Effect of Training for an Athletic Challenge on Illness Cognition in Individuals with Chronic Disability: A Prospective Cohort Study. Int. J. Environ. Res. Public Health 2024, 21, 58. https://doi.org/10.3390/ijerph21010058

AMA Style

DeShazo JM, Kouwijzer I, de Groot S, Post MWM, Valent LJM, van Leeuwen CMC, Wen H, Cowan RE, on behalf of the HandbikeBattle Group. Effect of Training for an Athletic Challenge on Illness Cognition in Individuals with Chronic Disability: A Prospective Cohort Study. International Journal of Environmental Research and Public Health. 2024; 21(1):58. https://doi.org/10.3390/ijerph21010058

Chicago/Turabian Style

DeShazo, Joy M., Ingrid Kouwijzer, Sonja de Groot, Marcel W. M. Post, Linda J. M. Valent, Christel M. C. van Leeuwen, Huacong Wen, Rachel E. Cowan, and on behalf of the HandbikeBattle Group. 2024. "Effect of Training for an Athletic Challenge on Illness Cognition in Individuals with Chronic Disability: A Prospective Cohort Study" International Journal of Environmental Research and Public Health 21, no. 1: 58. https://doi.org/10.3390/ijerph21010058

APA Style

DeShazo, J. M., Kouwijzer, I., de Groot, S., Post, M. W. M., Valent, L. J. M., van Leeuwen, C. M. C., Wen, H., Cowan, R. E., & on behalf of the HandbikeBattle Group. (2024). Effect of Training for an Athletic Challenge on Illness Cognition in Individuals with Chronic Disability: A Prospective Cohort Study. International Journal of Environmental Research and Public Health, 21(1), 58. https://doi.org/10.3390/ijerph21010058

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop