Development, validity and effects of paraplegia fitness integrated training (PARAFIT) program to increase physical activity and fitness in individuals with spinal cord injury / Noor Hafifi Noor Hisham

Individuals with spinal cord injury (SCI) have low levels of physical activity (PA), exercise self-efficacy (ESE), physical fitness, and adherence to exercise. Secondary complications such as cardiovascular disease, diabetes, and obesity may occurred as a result of these factors. Therefore, there is...

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Main Author:	Noor Hisham, Noor Hafifi
Format:	Thesis
Language:	English
Published:	2022
Subjects:	Orthopedic surgery
Online Access:	https://ir.uitm.edu.my/id/eprint/75628/1/75628.pdf
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id	my-uitm-ir.75628
record_format	uketd_dc
spelling	my-uitm-ir.756282023-05-26T03:42:59Z Development, validity and effects of paraplegia fitness integrated training (PARAFIT) program to increase physical activity and fitness in individuals with spinal cord injury / Noor Hafifi Noor Hisham 2022 Noor Hisham, Noor Hafifi Orthopedic surgery Physical medicine. Physical therapy. Including massage, exercise, occupational therapy, hydrotherapy, phototherapy, radiotherapy, thermotherapy, electrotherapy Individuals with spinal cord injury (SCI) have low levels of physical activity (PA), exercise self-efficacy (ESE), physical fitness, and adherence to exercise. Secondary complications such as cardiovascular disease, diabetes, and obesity may occurred as a result of these factors. Therefore, there is a need to develop a program to enhance active lifestyle after SCI. This study aims to develop an exercise program and education tool called Paraplegia Fitness Integrated Training (PARAFiT) and examine its effects on the level of PA, ESE, physical fitness, and adherence to exercise. The development consisted of phase I (validity of the study) and phase II (the experimental study). The non-randomized controlled trial study was designed for wheelchair-bound SCI individuals whereby the participants (n=44) were non-randomly assigned to either an intervention group (PARAFiT combined with conventional physiotherapy) or control group (conventional physiotherapy alone) with 22 participants in each group. Participants in the PARAFiT group (n=19) and control group (n=20) completed their involvements in the 16-week experiment. The Physical Activity Scale for Individuals with Physical Disabilities (PASIPD) and the Exercise Self-Efficacy Scale (ESES) were utilized to measure the level of PA and ESE respectively at baseline, 8th week, 12th week, and 16th week. The physical fitness outcome for cardiorespiratory fitness, shoulder strength and hand grip strength utilized the 6 Minute Push Test (6-MPT), BIODEX isokinetic machine, and JAMAR® handheld dynamometer respectively at the 4 th week and 8 th week. The exercise adherence was monitored throughout the program using an exercise diary. In phase I, the development shows that the program was consisted of five topics such as (1) The types of PA and exercise (2) The benefits of PA and exercise (3) Coping strategies (4) Formulation of goal settings (5) The risk and safety. The content experts also stated the education material was 75% valid to be able to increase the PA level after SCI. The pilot study was shown that the PARAFiT program was safe and highly adhered by the consumers. In phase II, the results of the 2-way repeated measure mix ANOVA showed no significant differences in PA (p = 0.356) but significant in ESE (p = 0.001) levels between the intervention and control groups from baseline to week 16th . 2022 Thesis https://ir.uitm.edu.my/id/eprint/75628/ https://ir.uitm.edu.my/id/eprint/75628/1/75628.pdf text en public phd doctoral Universiti Teknologi MARA (UiTM) Faculty of Health Science Manaf, Haidzir
institution	Universiti Teknologi MARA
collection	UiTM Institutional Repository
language	English
advisor	Manaf, Haidzir
topic	Orthopedic surgery Orthopedic surgery
spellingShingle	Orthopedic surgery Orthopedic surgery Noor Hisham, Noor Hafifi Development, validity and effects of paraplegia fitness integrated training (PARAFIT) program to increase physical activity and fitness in individuals with spinal cord injury / Noor Hafifi Noor Hisham
description	Individuals with spinal cord injury (SCI) have low levels of physical activity (PA), exercise self-efficacy (ESE), physical fitness, and adherence to exercise. Secondary complications such as cardiovascular disease, diabetes, and obesity may occurred as a result of these factors. Therefore, there is a need to develop a program to enhance active lifestyle after SCI. This study aims to develop an exercise program and education tool called Paraplegia Fitness Integrated Training (PARAFiT) and examine its effects on the level of PA, ESE, physical fitness, and adherence to exercise. The development consisted of phase I (validity of the study) and phase II (the experimental study). The non-randomized controlled trial study was designed for wheelchair-bound SCI individuals whereby the participants (n=44) were non-randomly assigned to either an intervention group (PARAFiT combined with conventional physiotherapy) or control group (conventional physiotherapy alone) with 22 participants in each group. Participants in the PARAFiT group (n=19) and control group (n=20) completed their involvements in the 16-week experiment. The Physical Activity Scale for Individuals with Physical Disabilities (PASIPD) and the Exercise Self-Efficacy Scale (ESES) were utilized to measure the level of PA and ESE respectively at baseline, 8th week, 12th week, and 16th week. The physical fitness outcome for cardiorespiratory fitness, shoulder strength and hand grip strength utilized the 6 Minute Push Test (6-MPT), BIODEX isokinetic machine, and JAMAR® handheld dynamometer respectively at the 4 th week and 8 th week. The exercise adherence was monitored throughout the program using an exercise diary. In phase I, the development shows that the program was consisted of five topics such as (1) The types of PA and exercise (2) The benefits of PA and exercise (3) Coping strategies (4) Formulation of goal settings (5) The risk and safety. The content experts also stated the education material was 75% valid to be able to increase the PA level after SCI. The pilot study was shown that the PARAFiT program was safe and highly adhered by the consumers. In phase II, the results of the 2-way repeated measure mix ANOVA showed no significant differences in PA (p = 0.356) but significant in ESE (p = 0.001) levels between the intervention and control groups from baseline to week 16th .
format	Thesis
qualification_name	Doctor of Philosophy (PhD.)
qualification_level	Doctorate
author	Noor Hisham, Noor Hafifi
author_facet	Noor Hisham, Noor Hafifi
author_sort	Noor Hisham, Noor Hafifi
title	Development, validity and effects of paraplegia fitness integrated training (PARAFIT) program to increase physical activity and fitness in individuals with spinal cord injury / Noor Hafifi Noor Hisham
title_short	Development, validity and effects of paraplegia fitness integrated training (PARAFIT) program to increase physical activity and fitness in individuals with spinal cord injury / Noor Hafifi Noor Hisham
title_full	Development, validity and effects of paraplegia fitness integrated training (PARAFIT) program to increase physical activity and fitness in individuals with spinal cord injury / Noor Hafifi Noor Hisham
title_fullStr	Development, validity and effects of paraplegia fitness integrated training (PARAFIT) program to increase physical activity and fitness in individuals with spinal cord injury / Noor Hafifi Noor Hisham
title_full_unstemmed	Development, validity and effects of paraplegia fitness integrated training (PARAFIT) program to increase physical activity and fitness in individuals with spinal cord injury / Noor Hafifi Noor Hisham
title_sort	development, validity and effects of paraplegia fitness integrated training (parafit) program to increase physical activity and fitness in individuals with spinal cord injury / noor hafifi noor hisham
granting_institution	Universiti Teknologi MARA (UiTM)
granting_department	Faculty of Health Science
publishDate	2022
url	https://ir.uitm.edu.my/id/eprint/75628/1/75628.pdf
_version_	1783736069310644224

Development, validity and effects of paraplegia fitness integrated training (PARAFIT) program to increase physical activity and fitness in individuals with spinal cord injury / Noor Hafifi Noor Hisham

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