Pub Date : 2019-04-02DOI: 10.17352/2455-5487.000061
H. Azanmasso, E. Tchonda, E. Alagnidé, S. Lahrabli, F. Lmidmani, A. E. Fatimi
Objective: Spina bifida is one of the first caused of disability with children in USA. This incidence was estimated to 3.5 per 10000 habitants. In France, it was mostly, 0.5 per 1000 habitants. The improvement in neuro surgy and in urology allowed a veritable reduction of mortality with spina bifida. Method: It was a retrospective descriptive and analytic study with children suffering of spina bifida and followed up between january 2013 and december 2015 at the department of Physical Medicine of Casablanca. Results: Twenty six patients were followed up. The average age was 11.9 +/- 5.8 years. These urinary disorders were frequency 100%, urinary incontinence 65.4%, urgency 73.1% and intermittent stream or training 46.2% with significant post void residual 26.9%. In urodynamic studies, bladder sphincter dysynergia was 7.7%, low bladder compliance with 61.5%, phasic or terminal detrusor overactivity 84.6% with 38.5% dangerous. In ultrason, they were 23.1% fight bladder with urinary retrogress and two children had dilatation of upper urinary tract and end stage renal disease, in list for renal transplantation.
{"title":"Neuro-urological surveillance of Spina bifida in Morocco","authors":"H. Azanmasso, E. Tchonda, E. Alagnidé, S. Lahrabli, F. Lmidmani, A. E. Fatimi","doi":"10.17352/2455-5487.000061","DOIUrl":"https://doi.org/10.17352/2455-5487.000061","url":null,"abstract":"Objective: Spina bifida is one of the first caused of disability with children in USA. This incidence was estimated to 3.5 per 10000 habitants. In France, it was mostly, 0.5 per 1000 habitants. The improvement in neuro surgy and in urology allowed a veritable reduction of mortality with spina bifida. \u0000Method: It was a retrospective descriptive and analytic study with children suffering of spina bifida and followed up between january 2013 and december 2015 at the department of Physical Medicine of Casablanca. \u0000Results: Twenty six patients were followed up. The average age was 11.9 +/- 5.8 years. These urinary disorders were frequency 100%, urinary incontinence 65.4%, urgency 73.1% and intermittent stream or training 46.2% with significant post void residual 26.9%. In urodynamic studies, bladder sphincter dysynergia was 7.7%, low bladder compliance with 61.5%, phasic or terminal detrusor overactivity 84.6% with 38.5% dangerous. In ultrason, they were 23.1% fight bladder with urinary retrogress and two children had dilatation of upper urinary tract and end stage renal disease, in list for renal transplantation.","PeriodicalId":90608,"journal":{"name":"Journal of novel physiotherapy and physical rehabilitation","volume":"152 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78218771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-18DOI: 10.29328/journal.jnpr.1001024
Maurizio Falso, Silvia Zani, Eleonora Cattaneo, M. Zucchini, Franco Zucchini
Background: A structured multidisciplinary team is very important during every phase of the amputation process and a good communicative team guarantees a greater tranquility for the patient, thanks to more homogenous information, that is already discussed between the clinicians. Aim: The aim of this study was to defi ne the effi cacy and outcome value of an innovative procedure tool (TRIA-MF protocol) in the treatment of lower limb amputees before and after prosthesis use with the purpose to quantify the quality of the procedure and its economic impact on the clinical patients’ recovery. Setting: A rehabilitation institute for the treatment of neurological and orthopaedic gait disorders. Methods: 12 patients (4 women and 8 males) subjected to lower limb amputation and admitted according to the principles of inclusion criteria of the TRIA-MF protocol at the Rehabilitation Department of the Clinical Institute Città di Brescia were recruited in this study. All patients were included in an integrated and task-specifi c management protocol of the amputee, which allowed to follow the rehabilitation process from amputation to the fi nal restoration, for a period of 6 months for each patient. Patients were evaluated 5 times during the study, collecting their degree of pain (VAS), their independence profi le (Barthel Index) and the cirtometry of their amputation stump. Data on the duration of their admission to the rehabilitation unit, the inter-time between the amputation and acquisition of the temporary prosthesis, and between temporary prosthesis acquisition and the fi nal prosthesis acquisition were also reported. Results: Patients of our sample, at the end of their hospitalization, highlight a signifi cant modifi cation of the temporal data at 1 month and 6 months from their hospital discharge. A statistical signifi cant increase of the Barthel Index value was observed in all patients recruited in this study proceeding from time T0 to time T4; in the same way, a statistical signifi cant decrease of the VAS scale was observed in all patients recruited proceeding from time T0 to time T4; the cirtometry of the amputation stump (expressed in cm) showed a statistical signifi cant decrease in all patients recruited proceeding from time T0 to time T4. We haven’t observed a statistical signifi cant correlation between the duration of the rehabilitative hospitalization and our clinical data; no statistical signifi cant correlation was observed between the amputation stump cirtometry time-related modifi cation and our intertime data. Conclusion: The protocol was found to be a clear and relevant tool with the defi nition of the operational profi le for each single professional fi gure involved; it could also be considered as an optimal tool for coding the management and evaluation of the effectiveness of amputee treatment, with a related high reproducibility, sensitivity and specifi city profi le. In line with the literature, the TRIA-MF protocol has allowed us
{"title":"TRIA-MF protocol as an innovative tool in the comprehensive treatment and outcome evaluation of lower limb amputees before and after prosthesis use","authors":"Maurizio Falso, Silvia Zani, Eleonora Cattaneo, M. Zucchini, Franco Zucchini","doi":"10.29328/journal.jnpr.1001024","DOIUrl":"https://doi.org/10.29328/journal.jnpr.1001024","url":null,"abstract":"Background: A structured multidisciplinary team is very important during every phase of the amputation process and a good communicative team guarantees a greater tranquility for the patient, thanks to more homogenous information, that is already discussed between the clinicians. Aim: The aim of this study was to defi ne the effi cacy and outcome value of an innovative procedure tool (TRIA-MF protocol) in the treatment of lower limb amputees before and after prosthesis use with the purpose to quantify the quality of the procedure and its economic impact on the clinical patients’ recovery. Setting: A rehabilitation institute for the treatment of neurological and orthopaedic gait disorders. Methods: 12 patients (4 women and 8 males) subjected to lower limb amputation and admitted according to the principles of inclusion criteria of the TRIA-MF protocol at the Rehabilitation Department of the Clinical Institute Città di Brescia were recruited in this study. All patients were included in an integrated and task-specifi c management protocol of the amputee, which allowed to follow the rehabilitation process from amputation to the fi nal restoration, for a period of 6 months for each patient. Patients were evaluated 5 times during the study, collecting their degree of pain (VAS), their independence profi le (Barthel Index) and the cirtometry of their amputation stump. Data on the duration of their admission to the rehabilitation unit, the inter-time between the amputation and acquisition of the temporary prosthesis, and between temporary prosthesis acquisition and the fi nal prosthesis acquisition were also reported. Results: Patients of our sample, at the end of their hospitalization, highlight a signifi cant modifi cation of the temporal data at 1 month and 6 months from their hospital discharge. A statistical signifi cant increase of the Barthel Index value was observed in all patients recruited in this study proceeding from time T0 to time T4; in the same way, a statistical signifi cant decrease of the VAS scale was observed in all patients recruited proceeding from time T0 to time T4; the cirtometry of the amputation stump (expressed in cm) showed a statistical signifi cant decrease in all patients recruited proceeding from time T0 to time T4. We haven’t observed a statistical signifi cant correlation between the duration of the rehabilitative hospitalization and our clinical data; no statistical signifi cant correlation was observed between the amputation stump cirtometry time-related modifi cation and our intertime data. Conclusion: The protocol was found to be a clear and relevant tool with the defi nition of the operational profi le for each single professional fi gure involved; it could also be considered as an optimal tool for coding the management and evaluation of the effectiveness of amputee treatment, with a related high reproducibility, sensitivity and specifi city profi le. In line with the literature, the TRIA-MF protocol has allowed us","PeriodicalId":90608,"journal":{"name":"Journal of novel physiotherapy and physical rehabilitation","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73064873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-11DOI: 10.29328/journal.jnpr.1001023
Falso Maurizio, D. Michela, Cattaneo Eleonora
{"title":"Influence of an integrated rehabilitative treatment on the modification of body representation in patients affected by Unilateral Spatial Neglect","authors":"Falso Maurizio, D. Michela, Cattaneo Eleonora","doi":"10.29328/journal.jnpr.1001023","DOIUrl":"https://doi.org/10.29328/journal.jnpr.1001023","url":null,"abstract":"","PeriodicalId":90608,"journal":{"name":"Journal of novel physiotherapy and physical rehabilitation","volume":"230 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73358476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-28DOI: 10.17352/2455-5487.000060
Freitas M, S. S
Background: The increased scientific recognition of Quality of Life (QOL) and adaptive behavior constructs implies changes in practice aligned with the supports person-centred provision. The alignment between these constructs is been recently proven at theoretical level but it still lacks of practical evidences-based.
{"title":"Adaptive Behavior and Quality of Life of adults with intellectual disabilities: Psychomotor Therapy as support","authors":"Freitas M, S. S","doi":"10.17352/2455-5487.000060","DOIUrl":"https://doi.org/10.17352/2455-5487.000060","url":null,"abstract":"Background: The increased scientific recognition of Quality of Life (QOL) and adaptive behavior constructs implies changes in practice aligned with the supports person-centred provision. The alignment between these constructs is been recently proven at theoretical level but it still lacks of practical evidences-based.","PeriodicalId":90608,"journal":{"name":"Journal of novel physiotherapy and physical rehabilitation","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77165053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-02DOI: 10.29328/journal.jnpr.1001022
Alon Gad
{"title":"Functional Electrical Stimulation (FES): Clinical successes and failures to date","authors":"Alon Gad","doi":"10.29328/journal.jnpr.1001022","DOIUrl":"https://doi.org/10.29328/journal.jnpr.1001022","url":null,"abstract":"","PeriodicalId":90608,"journal":{"name":"Journal of novel physiotherapy and physical rehabilitation","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81782078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-15DOI: 10.17352/2455-5487.000059
C. Ambrósio, R. Aguiar, I. Cunha, A. Barcelos
Temporomandibular joint dysfunction (TMD) is characterized by the presence of signs and symptoms that lead to functional changes in this joint. Most of the times with a multifactorial etiology, it can be associated to systemic diseases, such as rheumatoid arthritis (RA). Objectives: to evaluate the prevalence of TMD in a cohort of women with RA, as well as possible links between its presence and disease activity and duration, smoking and frequent consumption of chewing gum, compared with a control group of healthy controls.
{"title":"Temporomandibular Joint Dysfunction in a cohort of women with Rheumatoid Arthritis","authors":"C. Ambrósio, R. Aguiar, I. Cunha, A. Barcelos","doi":"10.17352/2455-5487.000059","DOIUrl":"https://doi.org/10.17352/2455-5487.000059","url":null,"abstract":"Temporomandibular joint dysfunction (TMD) is characterized by the presence of signs and symptoms that lead to functional changes in this joint. Most of the times with a multifactorial etiology, it can be associated to systemic diseases, such as rheumatoid arthritis (RA). \u0000Objectives: to evaluate the prevalence of TMD in a cohort of women with RA, as well as possible links between its presence and disease activity and duration, smoking and frequent consumption of chewing gum, compared with a control group of healthy controls.","PeriodicalId":90608,"journal":{"name":"Journal of novel physiotherapy and physical rehabilitation","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81293194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-30DOI: 10.17352/2455-5487.000058
R. Baxter, Kirk Chalmers, Amber Hurry, K. Koysombat, Fionnuala Geoghegan, Peter Malkin, G. Ampat
Background: Running is a widely accessible sport with millions of participants in the UK alone. Whilst running has been recognised to have significant health benefits, it does come with a risk of injury. Running-related injuries (RRIs) are seen more commonly in novice runners compared to athletes. Currently, there is ongoing debate as to what is the major cause of RRIs with some suggesting it is down to the differences in striking pattern. RRIs cause a substantial economic burden. There is no clear guidance as to whether the use of an orthotic truly prevents injury and improves running performance.
{"title":"Does the use of an orthotic increase comfort, decrease injury and improve running performance?","authors":"R. Baxter, Kirk Chalmers, Amber Hurry, K. Koysombat, Fionnuala Geoghegan, Peter Malkin, G. Ampat","doi":"10.17352/2455-5487.000058","DOIUrl":"https://doi.org/10.17352/2455-5487.000058","url":null,"abstract":"Background: Running is a widely accessible sport with millions of participants in the UK alone. Whilst running has been recognised to have significant health benefits, it does come with a risk of injury. Running-related injuries (RRIs) are seen more commonly in novice runners compared to athletes. Currently, there is ongoing debate as to what is the major cause of RRIs with some suggesting it is down to the differences in striking pattern. RRIs cause a substantial economic burden. There is no clear guidance as to whether the use of an orthotic truly prevents injury and improves running performance.","PeriodicalId":90608,"journal":{"name":"Journal of novel physiotherapy and physical rehabilitation","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82756330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-15DOI: 10.17352/2455-5487.000057
D. Abramson
Background: Patients with shoulder impingement syndrome (SIS) suffer pain and disability and present enormous health and fi nancial challenges to the NHS. There is limited evidence for many of the commonly used physiotherapy treatment interventions. Research suggests deprivation, age, gender and attendance are possible predictors of poor treatment outcome in common MSK conditions. The present author set up and ran a physiotherapy led group based SIS class to improve generic health outcomes and reduce shoulder pain and disability.
{"title":"Does A Group Supervised Shoulder Impingement Class Improve Shoulder Pain, Disability and Generic Health Outcomes? A Summative Service Evaluation","authors":"D. Abramson","doi":"10.17352/2455-5487.000057","DOIUrl":"https://doi.org/10.17352/2455-5487.000057","url":null,"abstract":"Background: Patients with shoulder impingement syndrome (SIS) suffer pain and disability and \u0000present enormous health and fi nancial challenges to the NHS. There is limited evidence for many of the \u0000commonly used physiotherapy treatment interventions. Research suggests deprivation, age, gender \u0000and attendance are possible predictors of poor treatment outcome in common MSK conditions. The \u0000present author set up and ran a physiotherapy led group based SIS class to improve generic health \u0000outcomes and reduce shoulder pain and disability.","PeriodicalId":90608,"journal":{"name":"Journal of novel physiotherapy and physical rehabilitation","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81120461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2015-04-06DOI: 10.17352/2455-5487.000021
W. Reed, M. Liebschner, R. Sozio, J. Pickar, M. Gudavalli
Introduction Mechanoreceptor stimulation is theorized to contribute to the therapeutic efficacy of spinal manipulation. Use of mechanically-assisted spinal manipulation (MA-SM) devices is increasing among manual therapy clinicians worldwide. The purpose of this pilot study is to determine the feasibility of recording in vivo muscle spindle responses during a MA-SM in an intervertebral fixated animal model. Methods Intervertebral fixation was created by inserting facet screws through the left L5-6 and L6-7 facet joints of a cat spine. Three L6muscle spindle afferents with receptive fields in back muscles were isolated. Recordings were made during MA-SM thrusts delivered to the L7 spinous process using an instrumented Activator IV clinical device. Results Nine MA-SM thrusts were delivered with peak forces ranging from 68-122N and with thrust durations of less than 5ms. High frequency muscle spindle discharge occurred during MA-SM. Following the MA-SM, muscle spindle responses included returning to pre-manipulation levels, slightly decreasing for a short window of time, and greatly decreasing for more than 40s. Conclusion This study demonstrates that recording in vivo muscle spindle response using clinical MA-SM devices in an animal model is feasible. Extremely short duration MA-SM thrusts (<5ms) can have an immediate and/or a prolonged (> 40s) effect on muscle spindle discharge. Greater peak forces during MA-SM thrusts may not necessarily yield greater muscle spindle responses. Determining peripheral response during and following spinal manipulation may be an important step in optimizing its’ clinical efficacy. Future studies may investigate the effect of thrust dosage and magnitude.
{"title":"Neural Response During a Mechanically Assisted Spinal Manipulation in an Animal Model: A Pilot Study","authors":"W. Reed, M. Liebschner, R. Sozio, J. Pickar, M. Gudavalli","doi":"10.17352/2455-5487.000021","DOIUrl":"https://doi.org/10.17352/2455-5487.000021","url":null,"abstract":"Introduction Mechanoreceptor stimulation is theorized to contribute to the therapeutic efficacy of spinal manipulation. Use of mechanically-assisted spinal manipulation (MA-SM) devices is increasing among manual therapy clinicians worldwide. The purpose of this pilot study is to determine the feasibility of recording in vivo muscle spindle responses during a MA-SM in an intervertebral fixated animal model. Methods Intervertebral fixation was created by inserting facet screws through the left L5-6 and L6-7 facet joints of a cat spine. Three L6muscle spindle afferents with receptive fields in back muscles were isolated. Recordings were made during MA-SM thrusts delivered to the L7 spinous process using an instrumented Activator IV clinical device. Results Nine MA-SM thrusts were delivered with peak forces ranging from 68-122N and with thrust durations of less than 5ms. High frequency muscle spindle discharge occurred during MA-SM. Following the MA-SM, muscle spindle responses included returning to pre-manipulation levels, slightly decreasing for a short window of time, and greatly decreasing for more than 40s. Conclusion This study demonstrates that recording in vivo muscle spindle response using clinical MA-SM devices in an animal model is feasible. Extremely short duration MA-SM thrusts (<5ms) can have an immediate and/or a prolonged (> 40s) effect on muscle spindle discharge. Greater peak forces during MA-SM thrusts may not necessarily yield greater muscle spindle responses. Determining peripheral response during and following spinal manipulation may be an important step in optimizing its’ clinical efficacy. Future studies may investigate the effect of thrust dosage and magnitude.","PeriodicalId":90608,"journal":{"name":"Journal of novel physiotherapy and physical rehabilitation","volume":"11 1","pages":"20 - 27"},"PeriodicalIF":0.0,"publicationDate":"2015-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76421201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-07-07DOI: 10.17352/2455-5487.000002
J. Unick, S. Gaussoin, J. Bahnson, R. Crow, J. Curtis, T. Killean, J. Regensteiner, K. Stewart, R. Wing, J. Jakicic
PURPOSETo examine whether a subjective measure of moderate-intensity exercise (12-13 on Borg's ratings of perceived exertion scale; RPE) corresponds to the target heart rate for moderate-intensity exercise (40-59% heart rate reserve; %HRR) and to determine the characteristics of those for whom RPE does not appropriately estimate exercise intensity.METHODS3582 individuals with type 2 diabetes (age: 58.3±6.8 years; BMI: 35.9±5.9 kg/m2) underwent a maximal exercise test and minute-by-minute HR and RPE were recorded. Linear regression was used to determine the %HRR corresponding to an RPE of 12 and 13 for each individual.RESULTSAt an RPE of 12 or 13, 57% of participants fell within the target 40-59%HRR range, while 37% and 6% fell above and below this range, respectively. Participants with a %HRR ≥60% (above range) were more likely to be female (OR: 1.19; 95% CI: 1.01,1.40), African American (OR: 1.65; 95% CI: 1.35, 2.02) or Hispanic (OR: 1.57; 95% CI: 1.27, 1.95), have a higher BMI (OR: 1.03; 95% CI 1.01, 1.04) and HRmax (OR: 1.02; 95% CI: 1.01, 1.02), and lower fitness (OR: 0.90; 95% CI: 0.85, 0.94) and RPEmax (OR: 0.68; 95% CI: 0.63, 0.73), compared to those within the target 40-59%HRR range (p-values'<0.05).CONCLUSIONSRPE appropriately gauges exercise intensity in approximately half of overweight individuals with type 2 diabetes; however, more than one-third of participants were at an increased risk of exercising at a higher than prescribed intensity when using RPE. Future studies should continue to examine the characteristics of individuals for whom RPE appropriately estimates exercise intensity and for those whom it does not.
{"title":"Validity of Ratings of Perceived Exertion in Patients with Type 2 Diabetes.","authors":"J. Unick, S. Gaussoin, J. Bahnson, R. Crow, J. Curtis, T. Killean, J. Regensteiner, K. Stewart, R. Wing, J. Jakicic","doi":"10.17352/2455-5487.000002","DOIUrl":"https://doi.org/10.17352/2455-5487.000002","url":null,"abstract":"PURPOSE\u0000To examine whether a subjective measure of moderate-intensity exercise (12-13 on Borg's ratings of perceived exertion scale; RPE) corresponds to the target heart rate for moderate-intensity exercise (40-59% heart rate reserve; %HRR) and to determine the characteristics of those for whom RPE does not appropriately estimate exercise intensity.\u0000\u0000\u0000METHODS\u00003582 individuals with type 2 diabetes (age: 58.3±6.8 years; BMI: 35.9±5.9 kg/m2) underwent a maximal exercise test and minute-by-minute HR and RPE were recorded. Linear regression was used to determine the %HRR corresponding to an RPE of 12 and 13 for each individual.\u0000\u0000\u0000RESULTS\u0000At an RPE of 12 or 13, 57% of participants fell within the target 40-59%HRR range, while 37% and 6% fell above and below this range, respectively. Participants with a %HRR ≥60% (above range) were more likely to be female (OR: 1.19; 95% CI: 1.01,1.40), African American (OR: 1.65; 95% CI: 1.35, 2.02) or Hispanic (OR: 1.57; 95% CI: 1.27, 1.95), have a higher BMI (OR: 1.03; 95% CI 1.01, 1.04) and HRmax (OR: 1.02; 95% CI: 1.01, 1.02), and lower fitness (OR: 0.90; 95% CI: 0.85, 0.94) and RPEmax (OR: 0.68; 95% CI: 0.63, 0.73), compared to those within the target 40-59%HRR range (p-values'<0.05).\u0000\u0000\u0000CONCLUSIONS\u0000RPE appropriately gauges exercise intensity in approximately half of overweight individuals with type 2 diabetes; however, more than one-third of participants were at an increased risk of exercising at a higher than prescribed intensity when using RPE. Future studies should continue to examine the characteristics of individuals for whom RPE appropriately estimates exercise intensity and for those whom it does not.","PeriodicalId":90608,"journal":{"name":"Journal of novel physiotherapy and physical rehabilitation","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75823066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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