‘Everyone's so kind and jolly it boosts my spirits, if you know what I mean’: A humanising perspective on exercise programme participation

Introduction: Arthrosis is considered as a disease of the whole locomotor system, which may be prevented and treated at early stages. Gonarthrosis develops gradually within 10-15 years, interfering with daily activities and capability for work. Aquatic exercises are considered as a potentially effective therapeutic intervention in persons with knee arthrosis. Aim: Assessment of the effectiveness of a 4-week aquatic treadmill exercise programme, with respect to the measurement of pain, balance, function, and mobility. Materials and Methods: The study covered 15 patients with gonarthrosis, using a 4-week cycle of exercises. The results of measurements included a visual-analogue scale for assessing pain, Time Up and Go (TUG) for balance, 6-meter walk test for mobility and Lequesne index for function. The exercise protocol covered an aquatic treadmill using water jets to destabilize while standing, and achieve high ratings of perceived exertion during walking. Results: The comparison of results obtained by the patients after 20 interventions, with those obtained before therapy allowing the presumption that on the level of significance α= 0.05 there occurred statistically significant differences in the results of the tests performed (p<0.05). This concerned both pain complaints (VAS scale, Lequesne index of severity for arthrosis of the knee), as well as functional tests TUG, and measurement of the range of motion (p = 0.041-0.001). Conclusions: Based on the results of the study a decrease was observed in pain complaints, improvement of the range of motion in the joints, balance and function, after participation in a 4-week aquatic treadmill exercise programme, which contained the components of balance and endurance training.

Effect of Scapular Position-Motion Maintenance Exercise Programme During Post Traumatic Shoulder Immobilization

Indian Journal of Public Health Research & Development ◽

10.37506/v11/i1/2020/ijphrd/193906 ◽

2020 ◽

Vol 11 (1) ◽

pp. 702 ◽

Cited By ~ 1

Author(s):

Trusha Shambhubhai Goti ◽

Sandeep Babasaheb Shinde

Keyword(s):

Exercise Programme ◽

Post Traumatic

Original Article Effect of Scapular Position:Motion Maintenance Exercise Programme During Post Traumatic Shoulder Immobilization

Indian Journal of Public Health Research & Development ◽

10.37506/v11/i2/2020/ijphrd/194751 ◽

2020 ◽

Vol 11 (2) ◽

pp. 52

Author(s):

Trusha Shambhubhai Goti ◽

Sandeep Babasaheb Shinde

Keyword(s):

Exercise Programme ◽

Post Traumatic

14. Supported Exercise Programme for Adults with Congenital Heart Disease (SEA CHange)

International Journal of Cardiology Congenital Heart Disease ◽

10.1016/j.ijcchd.2020.100042 ◽

2021 ◽

Vol 2 ◽

pp. 100042

Author(s):

Shelagh Brown ◽

Elaine Muirhead ◽

Niki Walker ◽

Jim Mearns

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Congenital Heart ◽

Exercise Programme

Efficacy of interventions to increase physical activity for people with heart failure: a meta-analysis

Open Heart ◽

10.1136/openhrt-2021-001687 ◽

2021 ◽

Vol 8 (1) ◽

pp. e001687

Author(s):

Aliya Amirova ◽

Theodora Fteropoulli ◽

Paul Williams ◽

Mark Haddad

Keyword(s):

Physical Activity ◽

Heart Failure ◽

Meta Analysis ◽

Behavioural Change ◽

Mode Of Delivery ◽

Random Effect ◽

Random Effect Model ◽

Action Planning ◽

Exercise Programme ◽

Effect Model

ObjectivesThis meta-analysis aims to (1) evaluate the efficacy of physical activity interventions in heart failure and (2) to identify intervention characteristics significantly associated with the interventions’ efficacy.MethodsRandomised controlled trials reporting intervention effects on physical activity in heart failure were combined in a meta-analysis using a random-effect model. Exploratory meta-analysis was performed by specifying the general approach (eg, cardiac rehabilitation), strategies used (eg, action planning), setting (eg, centre based), mode of delivery (eg, face to face or online), facilitator (eg, nurse), contact time and behavioural change theory use as predictors in the random-effect model.ResultsInterventions (n=21) had a significant overall effect (SMD=0.54, 95% CI (0.13 to 0.95), p<0.0005). Combining an exercise programme with behavioural change intervention was found efficacious (SMD=1.26, 95% CI (0.26 to 2.26), p<0.05). Centre-based (SMD=0.98, 95% CI (0.35 to 1.62), and group-based (SMD=0.89, 95% CI (0.29 to 1.50),) delivery by a physiotherapist (SMD=0.84, 95% CI (0.03 to 1.65),) were significantly associated with efficacy. The following strategies were identified efficacious: prompts/cues (SMD=3.29, 95% CI (1.97 to 4.62)), credible source (standardised mean difference, SMD=2.08, 95% CI (0.95;3.22)), adding objects to the environment (SMD=1.47, 95% CI (0.41 to 2.53)), generalisation of the target behaviour SMD=1.32, 95% CI (0.22 to 2.41)), monitoring of behaviour by others without feedback (SMD=1.02, 95% CI (0.05 to 1.98)), self-monitoring of outcome(s) of behaviour (SMD=0.79, 95% CI (0.06 to 1.52), graded tasks (SMD=0.73, 95% CI (0.22 to 1.24)), behavioural practice/rehearsal (SMD=0.72, 95% CI (0.26 to 1.18)), action planning (SMD=0.62, 95% CI (0.03 to 1.21)) and goal setting (behaviour) (SMD=0.56, 95% CI (0.03 to 1.08)).ConclusionThe meta-analysis suggests intervention characteristics that may be suitable for promoting physical activity in heart failure. There is moderate evidence in support of an exercise programme combined with a behavioural change intervention delivered by a physiotherapist in a group-based and centre-based settings.PROSPERO registerationCRD42015015280.

Implementation of the Activate injury prevention exercise programme in English schoolboy rugby union

BMJ Open Sport & Exercise Medicine ◽

10.1136/bmjsem-2020-001018 ◽

2021 ◽

Vol 7 (2) ◽

pp. e001018

Author(s):

Craig Barden ◽

Keith A Stokes ◽

Carly D McKay

Keyword(s):

Injury Prevention ◽

Injury Risk ◽

Behavioural Change ◽

Exercise Programme ◽

Rugby Union ◽

Support Staff ◽

Barriers To Implementation ◽

Common Barriers ◽

Perceptions Of School ◽

Intervention Uptake

ObjectivesThe implementation of the Activate injury prevention exercise programme has not been assessed in an applied context. This study aimed to (1) describe the knowledge and perceptions of school rugby coaches and players towards injury risk, prevention and Activate and (2) evaluate Activate implementation in schoolboy rugby using the reach, effectiveness, adoption, implementation and maintenance framework.MethodsBespoke electronic surveys were administered to coaches (including support staff) and players at participating English schools (2018–2020). Most questions and statements were answered using a 7-point Likert scale. At baseline, participants detailed their Activate awareness and perceptions of injury risk and prevention in schoolboy rugby. At postseason, participants reported Activate use throughout the study and their perceptions towards the programme.ResultsAt baseline, significant differences existed between coaches (n=106) and players (n=571) in Activate awareness (75% and 13% respectively; χ2=173.5, p<0.001). Coaches perceived rugby had a significantly greater injury risk than players, while holding more positive perceptions towards injury prevention. At postseason, coaches reported greater Activate adoption compared with players (76% and 18% respectively; χ2=41.8, p<0.001); 45% of players were unaware if they used the programme. Median session adherence was twice weekly, with a median duration of 10–15 min. This suggests Activate was not implemented as intended, with recommendations of three 20 min sessions per week. Both groups identified common barriers to implementation, such as lack of time and inclusion of a ball.ConclusionCoaches are instrumental in the decision to implement Activate. Targeting behavioural change in these individuals is likely to have the greatest impact on intervention uptake.

Up to five-week delay in primary repair of Zone 2 flexor tendon injuries: outcomes and complications

Journal of Hand Surgery (European Volume) ◽

10.1177/17531934211024435 ◽

2021 ◽

pp. 175319342110244

Author(s):

Giovanni Munz ◽

Andrea Poggetti ◽

Luca Cenci ◽

Anna Rosa Rizzo ◽

Marco Biondi ◽

...

Keyword(s):

Flexor Tendon ◽

Primary Repair ◽

Early Mobilization ◽

Exercise Programme ◽

Tendon Injuries ◽

Level Of Evidence ◽

Active Motion ◽

Active Flexion ◽

Surgical Methods ◽

Flexor Tendon Injuries

We report the outcomes of delayed primary repair of flexor tendons in Zone 2 in 31 fingers and thumb (28 patients) averaging 15 days (range 4–37) after injury in 2020. The delay was longer than usual due to the COVID-19 pandemic. The tendons were repaired with a 6-strand core suture (M-Tang method) or a double Tsuge suture and a peripheral suture. This was followed by an early, partial-range, active flexion exercise programme. Adhesions in four digits required tenolysis. These patients were not with longest delay. Outcomes of two improved after tenolysis. The other two patients declined further surgery. One finger flexor tendon ruptured in early active motion. This was re-repaired, and final outcome was good. Overall excellent and good results using the Tang criteria were in 27 out of 31 fingers and thumbs (87%). The time elapsed between the injury and surgery is not an important risk factor for a good outcome, rather it depends on proper surgical methods, the surgeon's experience and early mobilization, properly applied. Adhesions may occur, but they can be managed with tenolysis. Level of evidence: IV

Experiences engaging in a group-based physiotherapist-led exercise programme for adults living with HIV and complex multimorbidity: a qualitative study

BMJ Open ◽

10.1136/bmjopen-2020-045158 ◽

2021 ◽

Vol 11 (7) ◽

pp. e045158

Author(s):

Tina S. Homayouni ◽

Alex Ruth ◽

Zoe Abbott-Tate ◽

Helen Burger ◽

Shaera Rahim ◽

...

Keyword(s):

Exercise Programme ◽

Community Dwelling ◽

People Living With Hiv ◽

Demographic Questionnaire ◽

Flexible Schedule ◽

Health Related ◽

Qualitative Descriptive ◽

Perceived Impacts ◽

Exercise Programmes ◽

Living With Hiv

ObjectiveTo explore experiences participating in a group-based physiotherapist (PT)-led exercise programme among people living with HIV and complex multimorbidity.DesignWe conducted a qualitative descriptive study using semistructured interviews.Recruitment and settingWe recruited community-dwelling adults living with HIV who engaged in a group-based PT-led exercise programme within an HIV-specialty hospital in Toronto, Canada. Interviews were conducted in-person or by telephone.ParticipantsEight men and two women with a median age of 58 years and median of six concurrent conditions in addition to HIV, who had attended ≥2 classes of the exercise programme.Data collectionInterviews explored (1) reasons for engaging in the programme, (2) experiences with exercise prior to and after joining the programme, (3) facilitators and barriers to engagement and (4) perceived impacts of participation on health and disability. We administered the HIV Disability Questionnaire and a demographic questionnaire.ResultsExperiences spanned perspectives prior to, during and after the PT-led exercise programme. Reasons for engaging in the programme included addressing health-related goals. Participants identified accessibility, the flexible schedule, interprofessional staff and the HIV-specific, group-based environment as facilitators to engagement. Participants reported high attendance rates, but identified episodic health challenges and overcrowded space as potential barriers to attending exercise classes. Perceived impacts on health and disability outcomes included improved physical, mental, social and cognitive health, and activities of daily living. Anticipated or actual experiences transitioning to independent exercise included facilitators (supportive programme leaders) and barriers (challenges motivatiing self to exercise alone).ConclusionsFeatures of the programme that facilitated engagement included the interprofessional, group-based environment that offered tailored exercise in an HIV-specific facility, whereby participants perceived benefits in domains of health and disability. However, challenges transitioning to independent exercise remain. Group-based PT-led exercise programmes may facilitate engagement in exercise among adults living with HIV and complex multimorbidity.