Mention de date : 2016
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Ajouter le résultat dans votre panierCombining Fast-Walking Training and a Step Activity Monitoring Program to Improve Daily Walking Activity After Stroke: A Preliminary Study / Kelly A. Danks in Archives of Physical Medicine and Rehabilitation, 2016/9 suppl. (2016)
Titre : Combining Fast-Walking Training and a Step Activity Monitoring Program to Improve Daily Walking Activity After Stroke: A Preliminary Study Type de document : Article Auteurs : Kelly A. Danks ; Ryan Pohlig ; Darcy S. Reisman Article en page(s) : pp. S185–S193 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Activité motrice ; Rééducation et réadaptationMots-clés : Motor activity Stroke Résumé : bjectives
To determine preliminary efficacy and to identify baseline characteristics predicting who would benefit most from fast walking training plus a step activity monitoring program (FAST+SAM) compared with fast walking training (FAST) alone in persons with chronic stroke.
Design
Randomized controlled trial with blinded assessors.
Setting
Outpatient clinical research laboratory.
Participants
Individuals (N=37) >6 months poststroke.
Interventions
Subjects were assigned to either FAST, which was walking training at their fastest possible speed on the treadmill (30min) and overground 3 times per week for 12 weeks, or FAST+SAM. The step activity monitoring program consisted of daily step monitoring with an activity monitor, goal setting, and identification of barriers to activity and strategies to overcome barriers.
Main Outcome Measures
Daily step activity metrics (steps/day [SPD], time walking per day), walking speed, and 6-minute walk test (6MWT) distance.
Results
There was a significant effect of time for both groups, with all outcomes improving from pre- to posttraining (all P values <.05 the fast was superior to for with a larger increase in group. interventions had differential effectiveness based on baseline step activity. sequential moderated regression models demonstrated that subjects levels of activity and distances were below mean intervention more effective than vs spd p overall model> Conclusions
The addition of a step activity monitoring program to a fast walking training intervention may be most effective in persons with chronic stroke who have initial low levels of walking endurance and activity. Regardless of baseline performance, the FAST+SAM intervention was more effective for improving walking endurance.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117972
in Archives of Physical Medicine and Rehabilitation > 2016/9 suppl. (2016) . - pp. S185–S193[article]
Titre : Evaluation of a Physical Activity Behavior Change Program for Individuals With a Brain Injury Type de document : Article Auteurs : Simon Driver ; Anne Woolsey Article en page(s) : pp. S194–S200 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Exercice physique ; Promotion de la santé ; Rééducation et réadaptationMots-clés : Exercise Health promotion Physical fitness Aptitude physique Stroke Résumé : Objective
To investigate the effectiveness of a physical activity intervention for use within a comprehensive outpatient rehabilitation program for individuals with brain injury.
Design
Quasi-experimental comparison group design with 3-month follow-up.
Setting
Comprehensive outpatient rehabilitation clinic that is a transitional setting between acute inpatient rehabilitation and community dwelling.
Participants
Individuals (N=47) with a brain injury were enrolled into either the intervention (n=22; 8 women, 14 men; mean age, 48.68y) or control group (n=25; 9 women, 16 men; mean age, 46.23y).
Intervention
Consisted of an 8-week informational and social/behavioral program that focused on enabling individuals to become independently active. The control group completed the standard of care typically available to patients in comprehensive outpatient rehabilitation.
Main Outcome Measures
Behavioral Risk Factor Surveillance Survey self-report physical activity items, Exercise Self-Efficacy Scale, and Mayo-Portland Adaptability Inventory-4.
Results
The intervention group reported significantly (P<.001 greater weekly activity self-efficacy and rehabilitation outcomes at the completion of program as well follow-up when compared with control group. significantly individuals in experimental group reported increasing their from minutes preprogram to postprogram confidence interval follow-up.> Conclusions
Findings suggest that the intervention may be effective in increasing the physical activity behaviors of individuals engaged in a comprehensive outpatient rehabilitation program after brain injury.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117973
in Archives of Physical Medicine and Rehabilitation > 2016/9 suppl. (2016) . - pp. S194–S200[article]
Titre : Pain, Fatigue, and Physical Activity in Osteoarthritis: The Moderating Effects of Pain- and Fatigue-Related Activity Interference Type de document : Article Auteurs : Susan L. Murphy ; Stacey Schepens Niemiec ; Angela K. Lyden Article en page(s) : pp. S201–S209 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthrose ; Douleur chronique ; Fatigue ; Rééducation et réadaptationMots-clés : Accelerometry Accélérométrie Chronic pain Osteoarthritis Résumé : Objective
To examine how self-reported pain- and fatigue-related activity interference relates to symptoms and physical activity (PA) in daily life among people with knee or hip osteoarthritis.
Design
Cross-sectional study with a 7-day repeated-measures assessment period.
Setting
General community.
Participants
Participants (N=154; mean age, 65y; 60% women [n=92]) with knee or hip osteoarthritis and pain lasting ≥3 months.
Interventions
Not applicable.
Main Outcome Measures
Pain- or fatigue-related activity interference items on the Brief Pain Inventory or Brief Fatigue Inventory, respectively, from baseline survey, momentary pain and fatigue severity (measured 5times/d for 7d), and PA measured with a wrist-worn accelerometer over 7 days. We hypothesized that perception of pain- and fatigue-related activity interference would moderate the association between symptoms (pain or fatigue) and PA. People with higher pain- or fatigue-related activity interference were thought to have stronger negative associations between momentary ratings of pain and fatigue and PA than did those with lower activity interference.
Results
Pain-related activity interference moderated the association between momentary pain and PA, but only in the first part of the day. Contrary to expectation, during early to midday (from wake-up time through 3 pm), low pain-related interference was associated with stronger positive associations between pain and PA but high pain-related interference was associated with a small negative association between pain and PA. Fatigue-related activity interference did not moderate the relation between fatigue and activity over the course of a day.
Conclusions
Depending on a person's reported level of pain-related activity interference, associations between pain and PA were different earlier in the day. Only those with high pain-related activity interference had lower levels of PA as pain increased and only in the morning. High pain-related activity interference may be important to address, particularly to maintain PA early in the day despite pain.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117974
in Archives of Physical Medicine and Rehabilitation > 2016/9 suppl. (2016) . - pp. S201–S209[article]
Titre : Increasing Physical Activity and Participation in People With Multiple Sclerosis: A Review Type de document : Article Auteurs : Deborah Backus Article en page(s) : pp. S210–S217 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Rééducation et réadaptation ; Santé ; Sclérose en plaquesMots-clés : Exercise Health Multiple sclerosis Résumé : Multiple sclerosis (MS) is a chronic progressive disease of the central nervous system (CNS) affecting >2.5 million people worldwide. Damage to neurons in the CNS causes various sensorimotor and cognitive symptoms, such as fatigue, pain, spasticity, memory deficits, and impairment of mobility. Until the late 1990s, it was believed that symptoms of MS would be worsened with physical exertion and people with MS were encouraged to limit physical activity and exertion. Not only has emerging evidence suggested that physical activity, including exercise, is safe for people with MS, there is also evidence that at least some of the disability that occurs after MS is due to secondary deconditioning from the sedentary lifestyle adopted because of the symptoms of MS, not just CNS damage alone. Therefore, not only is physical activity safe, it is also required for maintaining function and health in people with MS. The purpose of this article is to review the unique physical and social barriers to physical activity in people with MS, including those with moderate to severe disability who use a wheelchair or scooter for mobility. We will discuss how existing guidelines for physical activity may not meet the needs of people with MS and present evidence-based considerations for promoting physical activity in people with MS. Ultimately, the goal is to overcome the barriers to physical activity and improve health, participation, and quality of life in people with MS. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117975
in Archives of Physical Medicine and Rehabilitation > 2016/9 suppl. (2016) . - pp. S210–S217[article]
Titre : Association of Psychosocial Factors With Physical Activity and Function After Total Knee Replacement: An Exploratory Study Type de document : Article Auteurs : Gregory M. Dominick ; Joseph A. Zeni ; Daniel K. White Article en page(s) : pp. S218–S225 Langues : Anglais (eng) Descripteurs : HE Vinci
Activité motrice ; Arthroplastie prothétique de genou ; Psychologie ; Rééducation et réadaptationMots-clés : Arthroplasty replacement knee Motor activity Psychology Résumé : Objectives
To examine the association between self-efficacy, social support, and fear of movement with physical activity and function at baseline and after 12 weeks of physical therapy.
Design
Nonrandomized cohort study, repeated-measures design.
Setting
Outpatient rehabilitation clinic within the general community.
Participants
Adults (N=49) undergoing outpatient physical therapy for total knee replacement (TKR).
Interventions
Not applicable.
Main Outcome Measures
Self-efficacy for exercise (SEE), fear of movement, leisure-time physical activity (LTPA), 6-minute walk test (6MWT), and Knee Outcome Survey–Activities of Daily Living Scale (KOS-ADLS) were assessed at baseline and 12 weeks.
Results
Mean functional change scores significantly increased at 12 weeks for the 6MWT (95% confidence interval [CI], 42.3–106.2), KOS-ADLS (95% CI, 12.7–23.3), and LTPA (95% CI, 6.5–26.1). Self-efficacy and fear of movement were not significantly associated with function at baseline or 12 weeks. Participants with lower SEE had 6 fewer metabolic equivalents per week of improvement in LTPA than those with high self-efficacy (95% CI, −27.9 to 14.8), and those with high fear of movement had 26.1m less improvement in the 6MWT than those with low fear of movement (95% CI, −42.2 to 94.5). Most participants reported having no family or peer support for exercise.
Conclusions
Physical therapy for TKR improves physical function and self-reported physical activity. High fear of movement and low SEE may be associated with less improvement in physical activity and function over time.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117976
in Archives of Physical Medicine and Rehabilitation > 2016/9 suppl. (2016) . - pp. S218–S225[article]
Titre : Inpatient Walking Activity to Predict Readmission in Older Adults Type de document : Article Auteurs : Steve R. Fisher ; James E. Graham ; Kenneth J. Ottenbacher Article en page(s) : pp. S226–S231 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Gériatrie ; Réadmission du patient ; Rééducation et réadaptationMots-clés : Accelerometry Accélérométrie Activities of daily living Geriatrics Patient readmission Résumé : Objective
To compare the 30-day readmission predictive power of in-hospital walking activity and in-hospital activities of daily living (ADLs) in older acutely ill patients. In addition, we sought to identify preliminary walking thresholds that could support the targeting of interventions aimed at minimizing rehospitalizations.
Design
Prospective, observational clinical cohort study. Step counts during hospitalization were assessed via accelerometry. ADL function was assessed within 48 hours of admission.
Setting
Acute care hospital.
Participants
One hundred sixty-four ambulatory persons aged 65 years and older admitted to the hospital from the community with an acute medical illness.
Interventions
Not applicable.
Main Outcome Measures
Readmission back to the index hospital (yes vs no) within 30 days of discharge.
Results
Twenty-six patients (15.8%) were readmitted within 30 days of discharge. Walking activity during hospitalization was more strongly and significantly associated with 30-day readmission (odds ratio=0.90; 95% confidence interval, 0.82–0.98) than ADL function (odds ratio=0.45; 95% confidence interval, 0.14–1.45) after adjusting for relevant readmission risk factors. The predictive accuracy (area under the curve) was highest for models that included walking activity and changed little with the addition of ADLs. A walking threshold of 275 steps or more per day identified patients at reduced 30-day readmission risk.
Conclusions
Walking activity was a stronger predictor of readmission than ADLs. Monitoring patient activity during hospitalization may provide clinicians with valuable information on early readmission risk not captured by measures of ADLs. Further study is needed to replicate these findings and monitor walking activity posthospitalization to further advance our understanding of readmission risk.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117977
in Archives of Physical Medicine and Rehabilitation > 2016/9 suppl. (2016) . - pp. S226–S231[article]
Titre : Exercise Is Medicine Initiative: Physical Activity as a Vital Sign and Prescription in Adult Rehabilitation Practice Type de document : Article Auteurs : Rachel E. Cowan Article en page(s) : pp. S232–S237 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Exercice physique ; Rééducation et réadaptation ; Santé publique ; Sclérose en plaques ; Traumatismes de la moelle épinièreMots-clés : Brain injuries Lésions encéphaliques Exercise Multiple sclerosis Public health Spinal cord injuries Stroke Résumé : To support rehabilitation health care professionals' efforts to increase physical activity levels among their outpatient rehabilitation and postdischarge patients, we review the Exercise is Medicine (EIM) initiative. The EIM initiative was launched in 2007 jointly by the American College of Sports Medicine and American Medical Association. Three principles underlie the EIM initiative. First, physical activity should be monitored as a vital sign; second, physical activity is an effective medical modality and should be prescribed; and third, success of their vision requires top down and bottom up efforts by 3 key stakeholder groups: health care providers, exercise professionals, and the community. The target weekly physical activity level is 150 minutes of moderate-to-vigorous physical activity, as established by the Centers for Disease Control and Prevention and World Health Organization. Persons falling below the weekly target physical activity level should be prescribed physical activity and/or referred to an exercise professional for implementation support. Selection of an exercise professional for referral is based on the patient's risk stratification and need to participate in clinically supervised physical activity. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117978
in Archives of Physical Medicine and Rehabilitation > 2016/9 suppl. (2016) . - pp. S232–S237[article]
Titre : Model Programs to Address Obesity and Cardiometabolic Disease: Interventions for Suboptimal Nutrition and Sedentary Lifestyles Type de document : Article Auteurs : Mark S. Nash ; Jochen Kressler Article en page(s) : pp. S238–S246 Langues : Anglais (eng) Descripteurs : HE Vinci
Complications du diabète ; Mode de vie sédentaire ; Obésité ; Rééducation et réadaptationMots-clés : Diabetes complications Nutritional Physiological Phenomena Phénomènes physiologiques nutritionnels Obesity Sedentary lifestyle Résumé : Problems posed by obesity-related endocrine diseases embody a national health crisis. Caloric excess and sedentary lifestyle from which they develop also pose significant challenges for rehabilitation providers. Almost two thirds of the U.S. population are currently overweight or obese, a number that has increased by >10% within the last decade and is expected to grow. An overweight body habitus is strongly associated with clinical hazards, including cardiometabolic syndrome, diabetes hypertension, and coronary artery disease. The component health risks of the cardiometabolic syndrome include coalescing of risk factors that predict a health calamity unless effective interventions can be developed and widely adopted. Obesity by itself is now considered an American Diabetes Association–qualified disability, but it is also disturbingly prevalent in other physical disability groupings of adults and children. This monograph describes successes of the Diabetes Prevention Program (DPP), a National Institutes of Health multisite randomized controlled trial that reported significant weight reduction and a 58% decreased incidence of type-2 diabetes accompanying 1 year of structured lifestyle intervention. This treatment benefit (1) exceeded that of metformin pharmacotherapy, (2) was so powerful that the trial was closed before reaching endpoints, and (3) was judged cost-effective for the patient and society. The DPP roadmap incorporating physical activity, diet, and behavioral approaches has been widely adapted to specific community, faith, racial, ethnic, school, and national populations with excellent outcomes success. The lockstep physical activity approach, activity prescription, and long-term success of the program are described and compared with other programs to illustrate effective countermeasures for the pandemics of obesity and obesity-related cardioendocrine disease. We will illustrate adaptation of the DPP for a cohort of persons with disability from spinal cord injury and the benefits observed. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117979
in Archives of Physical Medicine and Rehabilitation > 2016/9 suppl. (2016) . - pp. S238–S246[article]
Titre : Bending the Arc of Exercise and Recreation Technology Toward People With Disabilities Type de document : Article Auteurs : James H. Rimmer ; Byron Lai ; Hui-Ju Young Article en page(s) : pp. S247–S251 Langues : Anglais (eng) Descripteurs : HE Vinci
Activité motrice ; Exercice physique ; Loisirs ; Personnes handicapées ; Récréation ; Rééducation et réadaptation ; Santé ; Technologie ; TélémédecineMots-clés : Disabled persons Exercise Health Motor activity Technology Telemedicine Video games Jeux vidéo Résumé : Most of the published research on exercise and disability has focused on short-term efficacy studies targeting specific disability groups. These studies often use grant-related or other financial resources to temporarily remove the many barriers that people with physical/mobility disability experience when attempting to become physically active. In this commentary, we explore how technology can be used to promote more sustainable physical activity outcomes in the home and community using a set of 4 overlapping domains: Access, Usability, Adherence, and Health and Function. In addition, we describe how the order in which these domains should be addressed will vary depending on the needs of the target group and the context of their environment. Finally, we provide examples of various types of technologies (eg, hardware and software) that can support the “afterlife” of successful short-term exercise and rehabilitation trials in people with physical/mobility disability who desire to self-manage their own health and maintain a regular and sustainable pattern of physical activity across their life span. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117980
in Archives of Physical Medicine and Rehabilitation > 2016/9 suppl. (2016) . - pp. S247–S251[article]
