scholarly journals Home-based rehabilitation in patients over 60 with stabilized ankylosing spondylitis during the COVID-19 pandemic

2021 ◽  
pp. 1-9
Author(s):  
Kyunghwan Cho ◽  
Austin Kang
Keyword(s):  
Ankylosing Spondylitis ◽  
Expert Panel ◽  
Rehabilitation Program ◽  
Exercise Rehabilitation ◽  
Fast Walking ◽  
Low Intensity ◽  
Rehabilitation Programs ◽  
Home Based ◽  
Rehabilitation Goal ◽  
At Home

BACKGROUND: COVID-19 has become a significant healthcare issue, particularly challenging for patients with ankylosing spondylitis (AS), because immune-related diseases and their treatments could adversely affect the susceptibility to or severity of a viral infection. OBJECTIVE: This study is conducted to present an exercise rehabilitation program that patients older than 60 years with AS can do at home during the COVID-19 pandemic. METHODS: Three Delphi surveys were conducted to reach a consensus on home-based rehabilitation programs. This study recruited ten experts and performed three Delphi rounds for a month. RESULTS: The expert panel suggested that home-based rehabilitation for the patients should be carried out with a clear rehabilitation goal. Their final recommendations are to institute a program aimed to ease symptoms, such as pain and stiffness; encourage patients to consult with experts regularly to ensure that they perform exercise rehabilitation properly at home; add fast walking and stretching to the rehabilitation program; and see if indoor cycling, Pilates, or yoga could be appropriate. CONCLUSIONS: This study suggests that patients with AS over 60 should repeat low-intensity exercises, such as stretching, for an hour a day, four to six times a week during the COVID-19 pandemic.

scholarly journals Comparison of two different models of rehabilitation programs following total knee replacement operations

2020 ◽  
Vol 47 (1) ◽  
Author(s):  
Rabab S. Zaghlol ◽  
Sahar S. Khalil ◽  
Ahmed M. Attia ◽  
Ghada A. Dawa
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
High Intensity ◽  
Rating Scale ◽  
Rehabilitation Program ◽  
Low Intensity ◽  
Rehabilitation Programs ◽  
Patient Reported ◽  
Total Knee ◽  
Functional Gain

Abstract Background Total knee replacement operation (TKR) is the treatment of choice in severe knee osteoarthritis (OA). Rehabilitation post-TKR is still not well studied. The aim of this study was to compare between the high-intensity (HI) rehabilitation program and the low-intensity (LI) rehabilitation program following TKR. Results At 1 month following the TKR operations, significant improvements were found in the first group compared to the second group in all the measured parameters except for the knee range of motion (ROM). At 3 and 12 months follow-up periods, there were statistically significant differences between both groups in all the evaluated parameters except for the numeric pain rating scale and the knee ROM. Conclusions Both high-intensity and low-intensity rehabilitation programs are effective; however, HI program had superior functional gain and patient-reported outcomes compared to the LI program. Moreover, HI group has a long-term functional gain.

Maintaining Effects of Pulmonary Rehabilitation at Home in Chronic Obstructive Pulmonary Disease: A Systematic Literature Review

2021 ◽  
pp. 108482232199037
Author(s):  
Duarte Pinto ◽  
Lissa Spencer ◽  
Soraia Pereira ◽  
Paulo Machado ◽  
Paulino Sousa ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Literature Review ◽  
Pulmonary Rehabilitation ◽  
Rehabilitation Program ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Maintenance Strategies ◽  
Rehabilitation Programs ◽  
Home Based ◽  
Pulmonary Rehabilitation Program

To systematize strategies that may support patients with Chronic Obstructive Pulmonary Disease to maintain the effects of pulmonary rehabilitation over time. This systematic literature review was conducted, and the evidence was electronically searched in the Web of Science, Scopus, and EBSCO databases. This review included randomized controlled clinical trials, published until September 2019, that addressed components of an unsupervised home-based pulmonary rehabilitation program, maintenance strategies following outpatient pulmonary rehabilitation programs, as well as data on outcomes for quality of life, exercise performance, and dyspnea. A final sample of 5 articles was obtained from a total of 1693 studies. Data for final synthesis were grouped into 2 categories: components of unsupervised home-based pulmonary rehabilitation programs and maintenance strategies. An unsupervised home-based pulmonary rehabilitation program should consist of an educational component, an endurance training component, and a strength training component. When patients are transferred to the home environment, it is important to include more functional exercises specifically adapted to the patient’s condition, goals, and needs.

Modello di riabilitazione cardiologica teleguidata durante pandemia da COVID-19

2020 ◽  
pp. 271-275
Author(s):  
Giovanni Pasanisi ◽  
Biagio Sassone ◽  
Jonathan Myers ◽  
Giorgio Chiaranda ◽  
Andrea Raisi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Physical Activity Intervention ◽  
Rehabilitation Program ◽  
Physical And Mental Health ◽  
Rehabilitation Programs ◽  
Home Based ◽  
Video Tutorials ◽  
Rapid Spread ◽  
Collateral Effects

Background. The COVID-19 pandemic has induced many governments to promote national lockdowns. Despite a period of quarantine is the best option and recommendation to stop the rapid spread of infections, this may have collateral effects on other dimensions of the isolated patients’ physical and mental health. Physical activity is the major component of cardiac rehabilitation programs that have been abruptly discontinued. Aims. To counteract physical inactivity during the COVID-19 outbreak we propose an home cardiac rehabilitation program under telemonitoring guidance, the home-bAsed physiCal acTivity Intervention during cOvid-19 quaraNtine (ACTION) study, testing its feasibility. Methods and results. ACTION is an observational study in cardiac outpatients referred to an exercise-based cardiac rehabilita-tion program. A program consisting of aerobic recommendations combined with a selection of strength and balance exercises is recommended. Video tutorials providing details of the workouts will be sent to patients. Selected patients can be followed during the home-sessions via video connection using current smartphone applications. Conclusions. The ACTION study could provide applicable results for safe and effective exercise therapy in outpatients with car-diovascular disease, while preventing the COVID-19 outbreak from generating adverse health consequences due to acute cessa-tion of physical activity. Findings from the ACTION study can also be useful after the end of COVID-19 outbreak for patients who cannot participate in traditional center- or home-based cardiac rehabilitation programs.

Effects of a home-based exercise rehabilitation program for cancer survivors

2019 ◽  
Vol 59 (5) ◽  
Author(s):  
Laura Stefani ◽  
Riggs Klika ◽  
Gabriele Mascherini ◽  
Francesca Mazzoni ◽  
Alice Lunghi ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Rehabilitation Program ◽  
Exercise Rehabilitation ◽  
Home Based

scholarly journals Eccentric Exercise Protocols for Patella Tendinopathy: Should we Really be Withdrawing Athletes from Sport? A Systematic Review

2012 ◽  
Vol 6 (1) ◽  
pp. 553-557 ◽  
Author(s):  
Adnan Saithna ◽  
Rajiv Gogna ◽  
Njalalle Baraza ◽  
Chetan Modi ◽  
Simon Spencer
Keyword(s):  
Systematic Review ◽  
Eccentric Exercise ◽  
Rehabilitation Program ◽  
Sufficient Evidence ◽  
High Quality ◽  
Exercise Rehabilitation ◽  
Rehabilitation Programs ◽  
High Quality Evidence ◽  
Patella Tendinopathy ◽  
Quality Evidence

The 2007 review by Visnes and Bahr concluded that athletes with patella tendinopathy should be withdrawn from sport whilst engaging in eccentric exercise (EE) rehabilitation programs. However, deprivation of sport is associated with a number of negative psychological and physiological effects. Withdrawal from sport is therefore a decision that warrants due consideration of the risk/benefit ratio. The aim of this study was to determine whether sufficient evidence exists to warrant withdrawal of athletes from sport during an eccentric exercise rehabilitation program. A systematic review of the literature was performed to identify relevant randomised trials. Data was extracted to determine whether athletes were withdrawn from sport, what evidence was presented to support the chosen strategy and whether this affected the clinical outcome. Seven studies were included. None of these reported high quality evidence to support withdrawal. In addition, three studies were identified in which athletes were not withdrawn from sport and still benefited from EE. This review has demonstrated that there is no high quality evidence to support a strategy of withdrawal from sport in the management of patella tendinopathy.

scholarly journals Strategies to Support Physical Activity Participation in Older Adults With Heart Failure

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 454-454
Author(s):  
Katherine Hall ◽  
Amy Pastva ◽  
Heather King ◽  
Sean Lowers ◽  
Julie Miller ◽  
...  
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
Older Adults ◽  
Exercise Program ◽  
Functional Independence ◽  
Rehabilitation Program ◽  
Exercise Rehabilitation ◽  
Supervised Exercise ◽  
Home Based ◽  
Health Burdens

Abstract Physical activity (PA) is recommended for people living with heart failure (HF). Despite evidence of its benefits, participation in PA is low in this population, putting them at risk for loss of functional independence and additional health burdens. The aim of this pilot study was to ask older adults living with stable, chronic HF to identify strategies to support regular PA. Patients in an outpatient HF rehabilitation program were recruited to participate in focus groups about their PA knowledge, attitudes, and preferences as part of a stakeholder engagement project. At the beginning of the focus group, participants completed a questionnaire listing 8 potential strategies to optimize PA, and were asked to identify the top 4 strategies that they thought would be most beneficial to support regular PA participation. This was the focus of the current analysis. Thirteen adults with HF (M age=65; 46% female; 62% African American; M BMI=32.6 kg/m2) were enrolled. Top-rated strategies endorsed by participants to support long-term adherence to PA included provision of an exercise guide to support home-based exercise and supplement health provider-supervised exercise sessions (69%), group education classes (64%), completion of fitness assessments at regular intervals (62%), and provision of a transition pathway from an exercise rehabilitation program to a community-based exercise program (62%). The remaining strategies were endorsed by fewer than 50% of participants, and included remote delivery and support options. These results have important implications for future program development and implementation efforts to support PA among older adults with stable, chronic HF.

The Impact of Home-Based Exercise Rehabilitation on Functional Capacity in Patients With Acute Ischemic Stroke: A Randomized Controlled Trial

2019 ◽  
Vol 32 (3) ◽  
pp. 141-147
Author(s):  
Mohammad Saadatnia ◽  
Hossein Shahnazi ◽  
Fariborz Khorvash ◽  
Fatemeh Esteki-Ghashghaei
Keyword(s):  
Randomized Controlled Trial ◽  
Ischemic Stroke ◽  
Daily Living ◽  
Controlled Trial ◽  
Intervention Group ◽  
Rehabilitation Program ◽  
Control Group ◽  
Exercise Rehabilitation ◽  
Randomized Controlled ◽  
Home Based

One of the major consequences of stroke impairments is hemiparesis, which affects activities of daily living and contributes sedentary lifestyle. The purpose of this study was evaluation of the effectiveness of home-based exercise rehabilitation incentive on daily living activities and functional capacity among acute ischemic patients. This randomized controlled trial was done from August 2017 to September 2018. Iranian subjects with unilateral ischemic stroke were recruited from inpatient wards at educational hospital. Patients were randomly assigned to the home-based rehabilitation program (intervention group) or usual care (control group). National Institute of Health Stroke Scale (NIHSS), Barthel Index Score (BI), Modified Rankin Scale (MRS), and Fugl-Meyer Upper and Lower Extremity Sensorimotor Score were evaluated in both groups at baseline and 3 months later. Intervention group received home-based rehabilitation exercise program for 3 months. Control group did not receive home-based rehabilitation program and incentive telephone call. All data were collected and analyzed by SPSS software (Version 20.0; SPSS Inc., Chicago, Illinois) using chi-square test to compare demographic variables, and independent and paired t-tests to between- and within-group assessment, respectively. Forty ischemic stroke patients (20 intervention group and 20 control group) were examined. Results showed BI, Fugl-Meyer Upper and Lower Extremity Score, and MRS score in the interventional group were significantly higher than the control group after 3-month home-based exercise rehabilitation ( p < .001). Providing a home rehabilitation program in this study resulted in a motor recovery on ischemic stroke survivors in the acute phase of recovery. This was assumed to be cost-effective intervention in low-income countries

Home-Based Cardiac Rehabilitation in a Young Athletic Woman Following Spontaneous Coronary Artery Dissection

2016 ◽  
Vol 5 (1) ◽  
pp. 6-11
Author(s):  
Mark A. Patterson ◽  
Sharonne N. Hayes ◽  
Ray W. Squires ◽  
Marysia S. Tweet
Keyword(s):  
Coronary Artery ◽  
Cardiac Rehabilitation ◽  
Rehabilitation Program ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Coronary Artery Dissection ◽  
Rehabilitation Programs ◽  
Home Based ◽  
Exercise Physiologist

Spontaneous coronary artery dissection is a cause of myocardial infarction in young apparently healthy individuals. While most cardiac rehabilitation programs are fully capable of caring for these individuals in a supervised setting, their young age and often very physically fit condition can necessitate a different set of issues for their care versus the care for a more traditional patient. This case study describes a young, physically fit woman diagnosed with spontaneous coronary artery dissection who underwent a home-based cardiac rehabilitation program administered by a clinical exercise physiologist.

Sign in / Sign up

Export Citation Format

Share Document