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Factors Associated with Decision to Participate in Physical Activity by People with Spinal Cord Injury: An Analysis using Decision Tree


  • Department of Social Welfare, Daejin University, South Korea
  • Department of Special Physical Education, Yeungnam University, South Korea


Background/Objectives: The purpose of this study is to analyze the effects of interactions between factors that determine whether or not to participate in physical activities by people with spinal cord injury. Methods/Statistical Analysis: Subjects of this analysis include people, who are over 19 years of age, with spinal cord injury (260 males and 56 female). A decision tree analysis was used for this research. Findings: The study results are as follow: Most important factors that determine one’s participation in physical activities despite previous spinal cord injury were shown to be in the sequence of personal care providers and personal assistants (e340), disability grade, design, construction and buildings product and technology of building for private use (e155), carrying out daily routine (d230), protective function of the skin (d810); the rate of participation in physical activity is the highest when classified as significant impacts in personal care providers and personal assistants (e340), and affected and no affected and mild in disability grade. Application/Improvements: In conclusion, an analysis of the interactions between factors is effective in understanding whether to participate in physical activities or not.

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  • Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: The evidence. Canadian Medical Association Journal. 2006; 174(6):801–9.
  • Jacobs PL, Nash MS. Exercise recommendations for individuals with spinal cord injury. Sports Medicine. 2004; 34(11):727–51.
  • Galea MP. Spinal cord injury and physical activity: Preservation of the body. Spinal Cord. 2012; 50(5):344–51.
  • Foulon BL, Lemay V, Ainsworth V, Ginis KAM. Enhancing physical activity guidelines: A needs survey of adults with spinal cord injury and health care professionals. Adapted Physical Activity Quarterly. 2012; 29(4):329–45.
  • Ministry of Culture, Sports and Tourism. Study on national survey of the disabled person. Seoul: Minstry of Culture, Sports and Tourism. Available from:
  • Kirshblum SC, Burns SP, Biering-Sorensen F, Donovan W, Graves DE, Jha A, Johansen M, Johes L, Krassioukov A, Mulcahey MJ, Schmidt-Read M, Waring W. International Standards for Neurological Classification of Spinal cord Injury (revised 2011). Journal of Spinal Cord Medicine. 2011; 34(6):535–46.
  • Ginis KAM, Jorgensen S, Stapleton J. Exercise and sport for persons with spinal cord injury. Exercise and Sports for Health Promotion, Disease, and Disability. 2012; 9(11):894–900.
  • McVeigh SA, Hitzig SL, Craven BC. Influence of sport participation on community integration and quality of life: A comparison between sport participants and non-sport participants with spinal cord injury. Journal of Spinal Cord Medicine. 2009; 32(2):115–24.
  • Groot DS, Post MW, Snoek GJ, Schuitemaker M, van der Woude LH. Longitudinal association between lifestyle and coronary heart disease risk factors among individuals with spinal cord injury. Spinal Cord. 2013; 51(4):314–8.
  • Ginis KAM, Latimer-Cheung A, Corkum S, Ginis S, Anathasopoulos P, Arbour-Nicitopoulos K, Gainforth H. A case study of a community-university multidisciplinary partnership approach to increasing physical activity participation among people with spinal cord injury. Translational Behavioral Medicine. 2012; 2(4):516–22.
  • Ginis KAM, Jetha A, Mack DE, Hetz S. Physical activity and subjective well-being among people with spinal cord injury: A meta-analysis. Spinal Cord. 2010; 48(1):65–72.
  • Sweet SN, Ginis KAM, Tomasone JR. Investigating intermediary variables in the physical activity and quality of life relationship in persons with spinal cord injury. Health Psychology. 2013; 32(8):877–85.
  • Vissers M, van den Berg-Emons R, Sluis T, Bergen M, Stam H, Bussmann H. Barriers to and facilitators of everyday physical activity in persons with a spinal cord injury after discharge from the rehabilitation centre. Journal of Rehabilitation Medicine. 2008; 40(6):461–7.
  • Rimmer JH, Riley B, Wang E, Rauworth A, Jurkowski J. Physical activity participation among persons with disabilities: Barriers and facilitators. American Journal of Preventive Medicine. 2004; 26(5):419–25.
  • Scelza WM, Kalpakjian CZ, Zemper ED Tate DG. Perceived barriers to exercise in people with spinal cord injury. American Journal of Physical Medicine and Rehabilitation. 2005; 84(8):576–83.
  • Cardenas DD, Hoffman JM, Kirshblum S, McKinley W. Etiology and incidence of rehospitalization after traumatic spinal cord injury: A multicenter analysis. Archives of Physical Medicine and Rehabilitation. 2004; 85(11):1757–63.
  • Kehn M, Kroll T. Staying physically active after spinal cord injury: A qualitative exploration of barriers and facilitators to exercise participation. BMC Public Health. 2009; 9(1):168.
  • World Health Organization. International classification of functioning, disability and health. Geneva: WHO; 2001.
  • Ewert T, Fuessl M, Cieza A, Andersen C, Chatterji S, Kostanjsek N, Stucki G. Identification of the most common patient problems in patients with chronic conditions using the ICF checklist. Journal of Rehabilitation Medicine. 2004; 36(1):22–9.
  • Cieza A, Kirchberger I, Biering-Sørensen F, Baumberger M, Charlifue S, Post MW, Campbell R, Kovindha A, Ring H, Sinnott A, Kostanjsek N, Stucki, G. ICF core sets forindividuals with spinal cord iinjury in the long-term context. Spinal Cord. 2010; 48(4):305–12.
  • Bickenbach J, Cieza A, Rauch A, Stuck, G, editors. ICF core sets: Manual for clinical practice for the ICF research branch, in cooperation with the WHO collaborating centre for the family of international classifications in Germany (DIMDI). Goettingen: Hogrefe Publishing; 2012.
  • Marcus BH, Selby VC, Niaura RS, Rossi JS. Self-efficacy and the stages of exercise behavior change. Research Quarterly for Exercise and Sport. 1998; 63(1):60–6.
  • Norman GJ, Benisovich SV, Nigg CR, Rossi JS. Examining three exercise staging algorithms in two samples. 19th Annual Meeting of the Society of Behavioral Medicine; 1998.
  • Shin EK, Lee HN. Factors influencing social participation in people with musculoskeletal conditions: Applying ICF relevant categories. Korean Academy of Social Welfare. 2013; 65(1):5–31.
  • Yonsei University Center for Social Welfare Research, Samyook Rehabilitation Center. A report of development of korean standard disability classification. Daejeon: Statistics Korea. Available from:
  • Potts WJE, Rothman L, Laucas, B, Patetta MJ. Decision tree modeling: Course notes. Cary: SAS Institute; 2001.
  • Gelis A, Dupeyron A, Legros P, Benaim C, Pelissier J, Fattal C. Pressure ulcer risk factors in persons with spinal cord injury part 2: The chronic stage. Spinal Cord. 2009; 47(9):651–61.


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