Objective:

To identify factors that are associated with sports participation following spinal cord injury (SCI).

Study Design:

Case–control study.

Setting:

Spinal Rehabilitation outpatient clinic in a tertiary hospital in Kuala Lumpur, Malaysia.

Participants:

Thirty-one sports participants (SP) and thirty-four non-sports participants (NSP) (N = 65) met the following inclusion criteria; chronic SCI more than one year, age between 18 and 50 years, both traumatic and non-traumatic SCI at C5 level and below, complete or incomplete SCI (AIS A-D) and mobilizing with either manual or motorized wheelchair independently.

Methods:

Face-to-face interviews were performed with a 22-item self-constructed questionnaire which contained four domains of variables; socio-demographic, SCI-related, environmental and sports-related factors. Data collection was done between June 2017 and May 2018.

Results:

Traumatic SCI, pre-injury interest in sports, pre-injury sports participation, ability to drive own vehicles, and being employed were significantly associated with sports participation post-SCI (p < 0.05). Multiple logistic regression revealed traumatic SCI (p = 0.012, OR 34.70, CI 2.21–545.90) and pre-injury interest in sports (p = 0.046, OR 29.10, CI 1.06–798.95) to be independent predictors of sports participation post-SCI.

Conclusion:

Traumatic SCI and pre-injury interest in sports were predictors of sports participation post-SCI. Pre-injury sports participation, being employed, and the ability to drive own vehicles were positively associated with sports participation. Findings from this study suggest a few crucial differences in facilitators and barriers to sports participation in Malaysia compared to other countries.

中文翻译：

---

马来西亚三级医院脊髓损伤患者参与体育活动的相关因素

客观的：

确定与脊髓损伤 (SCI) 后运动参与相关的因素。

学习规划：

病例对照研究。

环境：

马来西亚吉隆坡一家三级医院的脊柱康复门诊。

参加者：

31 名运动参与者 (SP) 和 34 名非运动参与者 (NSP)（N  = 65）符合以下纳入标准；慢性 SCI 超过一年，年龄在 18 至 50 岁之间，C5 级及以下的创伤性和非创伤性 SCI，完全或不完全 SCI (AIS AD) 并独立使用手动或电动轮椅活动。

方法：

使用包含四个变量域的 22 项自建问卷进行面对面访谈；社会人口学、SCI 相关、环境和体育相关因素。数据收集于 2017 年 6 月至 2018 年 5 月之间完成。

结果：

创伤性 SCI、受伤前对运动的兴趣、受伤前的运动参与、驾驶自己的车辆的能力和就业与 SCI 后的运动参与显着相关 (p < 0.05)。多元逻辑回归显示创伤性 SCI（p = 0.012，OR 34.70，CI 2.21-545.90）和受伤前对运动的兴趣（p = 0.046，OR 29.10，CI 1.06-798.95）是 SCI 后运动参与的独立预测因子。

结论：

创伤性脊髓损伤和受伤前对运动的兴趣是脊髓损伤后运动参与的预测因素。受伤前的体育参与、就业和驾驶自己车辆的能力与体育参与呈正相关。这项研究的结果表明，与其他国家相比，马来西亚在参与体育运动的促进因素和障碍方面存在一些重要差异。