Pub Date : 2024-05-01DOI: 10.31189/2165-7629-13-s2.389
Dr Vicky Phillips, D. N. Mundell, Mr Chris Sinclair, Dr. Patrick Owen
Personal injury and illness compensation claimants are more likely to experience persistent pain and poorer clinical/vocational outcomes than non-compensated clients. Evidence supports the effectiveness of pain science coaching to help people understand and re-train their pain system. This consequently reduces pain intensity, improves function and quality of life. However, the effectiveness of telehealth-delivered, exercise physiologist-led pain science coaching is yet to be evaluated. This study aimed to determine the effectiveness of an accredited exercise physiologist-led pain science coaching intervention via telehealth in Australian life insurance claimants. This pragmatic cohort study included 1,275 claimants receiving a pain science coaching intervention supported by life insurance compensation. Ethics was approved via Deakin University Human Research Ethics Committee (2023-347). Outcome measures were pain intensity (11 item numerical pain rating scale, range: 0-10 points) and function (two 11-item patient-specific functional scale, range: 0-20 points). Linear mixed models determined within-group change over time. Clients (female: 75%, male: 25%) had a mean (SD) age of 50 (10) years (range: 20-69 years) and claim duration of 2 (2) years (range: 0-20 years). Mean (SD) intervention duration was 10 (6) weeks (range: 3-41 weeks), financial cost was A$1,149 (A$202; range: A$510-A$2,040) and included 5 (1) hours (range: 2-11 hours) of pain science coaching. Following the intervention, pain intensity decreased 25% (estimated marginal mean change [95%CI]: -1.49 [-1.59, -1.40] points, P<0.001) and function increased 76% (4.41 [4.21, 4.62] points, P<0.001). Changes surpassed established clinically meaningful effect thresholds for pain intensity (1.17 points) and function (2.6 points). Client Net Promotor Score was +60 (Australian Healthcare Index benchmark ≥ +30) and 91% were satisfied with the intervention. An exercise physiologist-led pain science coaching intervention resulted in clinically meaningful improvements in pain intensity and function in compensation claimants. Clients reported high satisfaction rates.
{"title":"EXERCISE PHYSIOLOGIST-LED PAIN SCIENCE COACHING VIA TELEHEALTH IMPROVED PAIN AND FUNCTION IN LIFE INSURANCE CLAIMANTS: A PRAGMATIC COHORT STUDY","authors":"Dr Vicky Phillips, D. N. Mundell, Mr Chris Sinclair, Dr. Patrick Owen","doi":"10.31189/2165-7629-13-s2.389","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.389","url":null,"abstract":"\u0000 \u0000 Personal injury and illness compensation claimants are more likely to experience persistent pain and poorer clinical/vocational outcomes than non-compensated clients. Evidence supports the effectiveness of pain science coaching to help people understand and re-train their pain system. This consequently reduces pain intensity, improves function and quality of life. However, the effectiveness of telehealth-delivered, exercise physiologist-led pain science coaching is yet to be evaluated. This study aimed to determine the effectiveness of an accredited exercise physiologist-led pain science coaching intervention via telehealth in Australian life insurance claimants.\u0000 \u0000 \u0000 \u0000 This pragmatic cohort study included 1,275 claimants receiving a pain science coaching intervention supported by life insurance compensation. Ethics was approved via Deakin University Human Research Ethics Committee (2023-347). Outcome measures were pain intensity (11 item numerical pain rating scale, range: 0-10 points) and function (two 11-item patient-specific functional scale, range: 0-20 points). Linear mixed models determined within-group change over time.\u0000 \u0000 \u0000 \u0000 Clients (female: 75%, male: 25%) had a mean (SD) age of 50 (10) years (range: 20-69 years) and claim duration of 2 (2) years (range: 0-20 years). Mean (SD) intervention duration was 10 (6) weeks (range: 3-41 weeks), financial cost was A$1,149 (A$202; range: A$510-A$2,040) and included 5 (1) hours (range: 2-11 hours) of pain science coaching. Following the intervention, pain intensity decreased 25% (estimated marginal mean change [95%CI]: -1.49 [-1.59, -1.40] points, P<0.001) and function increased 76% (4.41 [4.21, 4.62] points, P<0.001). Changes surpassed established clinically meaningful effect thresholds for pain intensity (1.17 points) and function (2.6 points). Client Net Promotor Score was +60 (Australian Healthcare Index benchmark ≥ +30) and 91% were satisfied with the intervention.\u0000 \u0000 \u0000 \u0000 An exercise physiologist-led pain science coaching intervention resulted in clinically meaningful improvements in pain intensity and function in compensation claimants. Clients reported high satisfaction rates.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141042129","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 : 2024-05-01DOI: 10.31189/2165-7629-13-s2.383
Mrs Kirrily Gould, Dr Rhiannon Dowla
With the evidence supporting the extensive benefits of exercise for people experiencing substance use disorders (SUD) rapidly growing, the demand for clinical exercise interventions in SUD services is expanding through Australia. However, at present there are no clear safety considerations or guidelines specific to SUD, leaving exercise physiologists falling to broader guidelines when working with SUD, often using those developed for severe mental illness (SMI). When working with SUD, many considerations differ to those being treated with SMI. This includes differences in the common comorbidities seen in SUD compared to SMI, as well as considerations relating to withdrawal and craving management. Furthermore, the different impacts and considerations of each substance class in relation to exercise needs to be elucidated. Therefore, standardised safety considerations and contraindications need to be developed to allow Exercise Physiologists to provide safe and effective interventions for those in the withdrawal and recovery phase of SUD. This call for action proposes the development of a multidisciplinary informed clinical exercise guideline for safety protocols, considerations and contraindications for physical activity-based interventions within substance use disorder treatment.
随着支持运动对药物使用障碍（SUD）患者有广泛益处的证据迅速增加，澳大利亚对药物使用障碍服务中临床运动干预的需求也在不断扩大。然而，目前还没有明确的安全考虑因素或专门针对药物滥用障碍的指导原则，这使得运动生理学家在为药物滥用障碍患者提供服务时，往往会采用那些针对严重精神疾病（SMI）制定的更广泛的指导原则。在治疗 SUD 时，许多注意事项与治疗 SMI 时的注意事项不同。这包括 SUD 与 SMI 常见合并症的不同，以及与戒断和渴求管理相关的注意事项。此外，还需要阐明每一类药物对运动的不同影响和注意事项。因此，需要制定标准化的安全考虑因素和禁忌症，以便运动生理学家能够为处于戒断和恢复阶段的 SUD 患者提供安全有效的干预措施。本行动呼吁建议制定多学科临床运动指南，以指导药物使用障碍治疗中基于体育活动的干预措施的安全协议、注意事项和禁忌症。
{"title":"CALL FOR ACTION: GUIDELINES FOR PHYSICAL ACTIVITY BASED INTERVENTIONS IN ADDICTION","authors":"Mrs Kirrily Gould, Dr Rhiannon Dowla","doi":"10.31189/2165-7629-13-s2.383","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.383","url":null,"abstract":"With the evidence supporting the extensive benefits of exercise for people experiencing substance use disorders (SUD) rapidly growing, the demand for clinical exercise interventions in SUD services is expanding through Australia. However, at present there are no clear safety considerations or guidelines specific to SUD, leaving exercise physiologists falling to broader guidelines when working with SUD, often using those developed for severe mental illness (SMI). When working with SUD, many considerations differ to those being treated with SMI. This includes differences in the common comorbidities seen in SUD compared to SMI, as well as considerations relating to withdrawal and craving management. Furthermore, the different impacts and considerations of each substance class in relation to exercise needs to be elucidated. Therefore, standardised safety considerations and contraindications need to be developed to allow Exercise Physiologists to provide safe and effective interventions for those in the withdrawal and recovery phase of SUD. This call for action proposes the development of a multidisciplinary informed clinical exercise guideline for safety protocols, considerations and contraindications for physical activity-based interventions within substance use disorder treatment.","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141033136","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 : 2024-05-01DOI: 10.31189/2165-7629-13-s2.304
Dr Isaac Selva Raj, Prof Ken Nosaka
Reliable and accurate postural sway assessment tools are important for monitoring the postural stability of individuals so that interventions can be evaluated, and balance ability is better assessed. The Balance Mat (PSI, ACT, Australia) is a new postural sway assessment device that is relatively cheap and highly portable, but it is yet to be scientifically validated and its reliability tested. Therefore, the aims of this project were to assess the test-retest reliability and validity of the Balance Mat (BM). Seventeen participants (age range 18 – 67) were recruited, and they performed nine balance tests. The reference method for obtaining balance measurements was the AMTI AccuSway-Optimized force platform (Advanced Mechanical Technology, Inc., MA, USA), which was placed below the BM so that force plate and BM data were collected simultaneously. Each participant performed two trials for each test, which were 20 seconds in duration each. From the BM software, the sway variance, mean sway distance, sway range, sway velocity, and sway path were obtained for each trial. From the force platform, the following centre of pressure (COP) measurements were obtained: standard deviation of the radial displacement of the COP; mean radial displacement of the COP; 95% confidence ellipse area; average velocity of the COP; and COP path length. Spearman’s rank-order correlation coefficient was used to test the validity and reliability of the BM. For the comparison between BM and force plate data, correlation coefficients ranged from 0.63 to 0.79 (p<0.001). For the test-retest reliability analyses, correlation coefficients ranged from 0.77 to 0.85 (p<0.001) among the nine tests. The strong to very strong positive correlations suggest that the BM is a valid and reliable tool for assessing postural sway.
{"title":"THE RELIABILITY AND VALIDITY OF THE BALANCE MAT","authors":"Dr Isaac Selva Raj, Prof Ken Nosaka","doi":"10.31189/2165-7629-13-s2.304","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.304","url":null,"abstract":"\u0000 \u0000 Reliable and accurate postural sway assessment tools are important for monitoring the postural stability of individuals so that interventions can be evaluated, and balance ability is better assessed. The Balance Mat (PSI, ACT, Australia) is a new postural sway assessment device that is relatively cheap and highly portable, but it is yet to be scientifically validated and its reliability tested. Therefore, the aims of this project were to assess the test-retest reliability and validity of the Balance Mat (BM).\u0000 \u0000 \u0000 \u0000 Seventeen participants (age range 18 – 67) were recruited, and they performed nine balance tests. The reference method for obtaining balance measurements was the AMTI AccuSway-Optimized force platform (Advanced Mechanical Technology, Inc., MA, USA), which was placed below the BM so that force plate and BM data were collected simultaneously. Each participant performed two trials for each test, which were 20 seconds in duration each. From the BM software, the sway variance, mean sway distance, sway range, sway velocity, and sway path were obtained for each trial. From the force platform, the following centre of pressure (COP) measurements were obtained: standard deviation of the radial displacement of the COP; mean radial displacement of the COP; 95% confidence ellipse area; average velocity of the COP; and COP path length. Spearman’s rank-order correlation coefficient was used to test the validity and reliability of the BM.\u0000 \u0000 \u0000 \u0000 For the comparison between BM and force plate data, correlation coefficients ranged from 0.63 to 0.79 (p<0.001). For the test-retest reliability analyses, correlation coefficients ranged from 0.77 to 0.85 (p<0.001) among the nine tests.\u0000 \u0000 \u0000 \u0000 The strong to very strong positive correlations suggest that the BM is a valid and reliable tool for assessing postural sway.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141023663","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 : 2024-05-01DOI: 10.31189/2165-7629-13-s2.472
Dr Cloe Cummins, Mr Caleb Handley, Mr Glen Charlton, Dr Kathleen Shorter
Field-based sports are characterised by their intermittent nature requiring both, multidirectional locomotion and, sports-specific movements at a range of intensities. Traditionally, athlete-monitoring has focused on quantifying workload based on movement intensity with minimal regard to the direction of locomotion [1]. The aim of this study was to develop and evaluate an algorithm to detect and classify multidirectional movement using signal characteristics from a microtechnology device. Rugby league referees (n=13) undertook a match-play simulation protocol (i.e., changes in movement speed and locomotion direction) [2], with microtechnology and video data collected across five-trials. Video data was reviewed to identify movement anomalies outside of the simulation protocol for exclusion. From the 100Hz microtechnology data, acceleration measures were used to classify the start and end point of each movement (i.e., backwards, forwards, sideways or other) or marked for exclusion from the algorithm development. The classified sensor data was processed in Python (v3.11), where data were split into training and testing datasets. A Recurrent Neural Network (Long Short-Term Memory) [3] was implemented to develop and validate an algorithm. Model performance was assessed via accuracy, sensitivity, precision and Area Under the Receiver Operating Characteristic Curve (AUC), using the testing dataset. The accuracy of the model was 0.973 ± 0.010. Sensitivity and precision of the model varied between movement direction, but was >0.928 and >0.922, respectively. The AUC of the model was 0.988 ± 0.007. The current study highlights the effectiveness of a microtechnology based algorithm for automatically classifying multidirectional locomotion of various velocities. Practically, such algorithm can be used to inform evidence-based training in relation to multidirectional locomotion. Whilst model performance was very-high, further research should examine the feasibility of applying the algorithm to match-play datasets to enhance athlete-monitoring processes.
{"title":"DEVELOPMENT OF A NOVEL ALGORITHM FOR THE AUTOMATIC DETECTION OF MULTIDIRECTIONAL LOCOMOTION WITHIN TEAM SPORTS","authors":"Dr Cloe Cummins, Mr Caleb Handley, Mr Glen Charlton, Dr Kathleen Shorter","doi":"10.31189/2165-7629-13-s2.472","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.472","url":null,"abstract":"\u0000 \u0000 Field-based sports are characterised by their intermittent nature requiring both, multidirectional locomotion and, sports-specific movements at a range of intensities. Traditionally, athlete-monitoring has focused on quantifying workload based on movement intensity with minimal regard to the direction of locomotion [1]. The aim of this study was to develop and evaluate an algorithm to detect and classify multidirectional movement using signal characteristics from a microtechnology device.\u0000 \u0000 \u0000 \u0000 Rugby league referees (n=13) undertook a match-play simulation protocol (i.e., changes in movement speed and locomotion direction) [2], with microtechnology and video data collected across five-trials. Video data was reviewed to identify movement anomalies outside of the simulation protocol for exclusion. From the 100Hz microtechnology data, acceleration measures were used to classify the start and end point of each movement (i.e., backwards, forwards, sideways or other) or marked for exclusion from the algorithm development. The classified sensor data was processed in Python (v3.11), where data were split into training and testing datasets. A Recurrent Neural Network (Long Short-Term Memory) [3] was implemented to develop and validate an algorithm. Model performance was assessed via accuracy, sensitivity, precision and Area Under the Receiver Operating Characteristic Curve (AUC), using the testing dataset.\u0000 \u0000 \u0000 \u0000 The accuracy of the model was 0.973 ± 0.010. Sensitivity and precision of the model varied between movement direction, but was >0.928 and >0.922, respectively. The AUC of the model was 0.988 ± 0.007.\u0000 \u0000 \u0000 \u0000 The current study highlights the effectiveness of a microtechnology based algorithm for automatically classifying multidirectional locomotion of various velocities. Practically, such algorithm can be used to inform evidence-based training in relation to multidirectional locomotion. Whilst model performance was very-high, further research should examine the feasibility of applying the algorithm to match-play datasets to enhance athlete-monitoring processes.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141031417","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 : 2024-05-01DOI: 10.31189/2165-7629-13-s2.507
Ms Mary Johnson, Ms Allison Maher, Ms Michelle Bennett, Ms Tanya Buettikofer, Dr Hsin-Chia Carol Huang, Associate Professor Phil Gaughwin, Ms Veronica Rainbird, Professor Imogen Mitchell, Professor Bernie Bissett
The University of Canberra Hospital Post-COVID Recovery Clinic is one of Australia’s few multidisciplinary outpatient clinics. Our model includes personally-prescribed exercise of both inspiratory and peripheral muscles. We have treated > 200 people with Long COVID with no serious adverse events, and our model is highly acceptable to consumers. This paper offers a detailed description of our methodology capturing how we achieve safe, tailored personal exercise, and carefully manage post-exertional symptom exacerbation (PESE). Initial screening appointments last 2 hours, and clients are referred for medical review if they have signs or symptoms of an acute or life-threatening complication (e.g. unexplained chest pain). Individualised exercise programs are prescribed, progressed, and monitored by an Exercise Physiologist or Physiotherapist initially on an individual basis, then in a supervised group setting. The group program consists of twice weekly sessions of 60 minutes duration. Clients attending group therapies are provided with a home exercise program to enable self-management. Clients are screened at baseline assessment for PESE triggered by participation in activities of daily living. All clients receive education about activity modification and pacing strategies. For clients experiencing PESE, activity is not progressed until they can tolerate 2 weeks of activity without PESE. For peripheral muscles, progressive resistance exercises are prescribed at a submaximal intensity (RPE 4-6/10), with 4-6 exercises completed 3 days/week. Once able to tolerate ADLs, low intensity cardiovascular exercise is gradually introduced with increased monitoring from a clinician. For patients with dyspnoea, high-intensity inspiratory muscle training is prescribed as 5 sets of 6 breaths at least 50% of their maximal inspiratory pressure (30 breaths total) 5 days per week. Our experience indicates that it is possible to safely prescribe exercise in people with Long COVID, incorporating both peripheral and inspiratory muscle training, while carefully monitoring and managing PESE.
堪培拉大学医院 COVID 后康复诊所是澳大利亚为数不多的多学科门诊诊所之一。我们的模式包括个人规定的吸气和外周肌肉锻炼。我们已经治疗了 200 多名 Long COVID 患者，没有发生任何严重的不良事件，我们的模式也得到了消费者的高度认可。本文详细描述了我们的方法，介绍了我们如何实现安全、量身定制的个人锻炼，以及如何谨慎管理劳累后症状加重（PESE）。 初步筛查预约持续 2 个小时，如果客户有急性或危及生命的并发症（如不明原因的胸痛）的体征或症状，则会被转介到医疗机构进行复查。运动生理学家或物理治疗师会为患者制定个性化的运动计划，并对计划的进展情况进行监控，最初是针对个人，然后是在有监督的小组环境中进行。团体项目每周两次，每次 60 分钟。参加团体治疗的患者可获得一份家庭锻炼计划，以便进行自我管理。在进行基线评估时，会对参加日常生活活动的患者进行 PESE 筛查。所有客户都会接受有关活动调整和步调策略的教育。对于出现 PESE 的客户，在他们能够耐受 2 周的活动而不出现 PESE 之前，不会增加活动量。对于外周肌肉，规定以次最大强度（RPE 4-6/10）进行渐进阻力练习，每周 3 天，每次 4-6 次。一旦能够耐受日常活动，就可以逐渐引入低强度的心血管锻炼，并加强临床医生的监测。对于有呼吸困难的患者，高强度的吸气肌肉训练规定为每周 5 天 5 组，每组 6 次呼吸，呼吸量至少为最大吸气压力的 50%（共 30 次呼吸）。 我们的经验表明，在仔细监测和管理 PESE 的同时，可以安全地为长 COVID 患者开具运动处方，其中包括外周肌和吸气肌训练。
{"title":"EXERCISE PRESCRIPTION IN A MULTIDISCIPLINARY LONG COVID CLINIC: METHODOLOGY FROM AN AUSTRALIAN EXPERIENCE","authors":"Ms Mary Johnson, Ms Allison Maher, Ms Michelle Bennett, Ms Tanya Buettikofer, Dr Hsin-Chia Carol Huang, Associate Professor Phil Gaughwin, Ms Veronica Rainbird, Professor Imogen Mitchell, Professor Bernie Bissett","doi":"10.31189/2165-7629-13-s2.507","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.507","url":null,"abstract":"\u0000 \u0000 The University of Canberra Hospital Post-COVID Recovery Clinic is one of Australia’s few multidisciplinary outpatient clinics. Our model includes personally-prescribed exercise of both inspiratory and peripheral muscles. We have treated > 200 people with Long COVID with no serious adverse events, and our model is highly acceptable to consumers. This paper offers a detailed description of our methodology capturing how we achieve safe, tailored personal exercise, and carefully manage post-exertional symptom exacerbation (PESE).\u0000 \u0000 \u0000 \u0000 Initial screening appointments last 2 hours, and clients are referred for medical review if they have signs or symptoms of an acute or life-threatening complication (e.g. unexplained chest pain). Individualised exercise programs are prescribed, progressed, and monitored by an Exercise Physiologist or Physiotherapist initially on an individual basis, then in a supervised group setting. The group program consists of twice weekly sessions of 60 minutes duration. Clients attending group therapies are provided with a home exercise program to enable self-management. Clients are screened at baseline assessment for PESE triggered by participation in activities of daily living. All clients receive education about activity modification and pacing strategies. For clients experiencing PESE, activity is not progressed until they can tolerate 2 weeks of activity without PESE. For peripheral muscles, progressive resistance exercises are prescribed at a submaximal intensity (RPE 4-6/10), with 4-6 exercises completed 3 days/week. Once able to tolerate ADLs, low intensity cardiovascular exercise is gradually introduced with increased monitoring from a clinician. For patients with dyspnoea, high-intensity inspiratory muscle training is prescribed as 5 sets of 6 breaths at least 50% of their maximal inspiratory pressure (30 breaths total) 5 days per week.\u0000 \u0000 \u0000 \u0000 Our experience indicates that it is possible to safely prescribe exercise in people with Long COVID, incorporating both peripheral and inspiratory muscle training, while carefully monitoring and managing PESE.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141054586","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 : 2024-05-01DOI: 10.31189/2165-7629-13-s2.438
Ms Jacinta Durney, Prof Jeff Coombes, Dr Myles Young, Prof Nicholas Talley, Prof Ronald Plotnikoff, Dr Emily Hoedt, Dr Emily Cox
The efficacy of high intensity exercise for improving symptoms of chronic idiopathic constipation, a highly prevalent disorder of gut brain interaction (DGBI), remains uncertain. The aim of this case report was to investigate the feasibility, safety, and efficacy of 8-weeks of combined high-intensity interval training (C-HIIT) for a person (female, 23 years old) with chronic constipation. The participant enrolled in the C-HIIT for DGBI controlled trial that aims to recruit 32 participants with DGBI. Following comprehensive assessments of gastrointestinal symptoms, neuromuscular fitness, cardiorespiratory fitness and mental health, the participant completed an 8-week intervention consisting of thrice weekly 26-minute C-HIIT sessions. These consisted of a 3-minute aerobic warm-up (treadmill; 50-60% peak heart rate [HRpeak]) followed by 4-minutes of high-intensity aerobic exercise at ≥85% HRpeak. After 1-minute rest, eight whole body resistance exercises were performed. These involved continuous repetitions with good technique for 1-minute at an ≥8/10 (very hard) rating of perceived exertion; 1-minute rest separated each exercise. Adverse events were recorded throughout the intervention. The participant adhered to the intervention, attending 100% of sessions and reaching the prescribed intensity for 100% of aerobic and 80% of resistance exercises. Efficacy of the exercise training was indicated by a reduction in the severity of gastrointestinal symptoms measured via the irritable bowel syndrome-symptom severity scale (from 111 to 100) and the structured assessment of gastroIntestinal symptoms (39 to 12). There were some improvements in neuromuscular fitness (handgrip strength: 27 to 29.5 kg, 30-second sit to stands: 12 to 10 repetitions) and cardiorespiratory fitness (VO2max: 36.7 to 38.2 mL/kg/min). No changes were observed in mental health (Hospital Anxiety and Depression scale), and one non-serious adverse event (nausea post-eating), which was deemed not related to the intervention. The C-HIIT intervention in a person with DGBI was feasible, efficacious and safe.
{"title":"COMBINED HIGH-INTENSITY INTERVAL TRAINING FOR PEOPLE WITH DISORDERS OF GUT BRAIN INTERACTION: A CASE REPORT","authors":"Ms Jacinta Durney, Prof Jeff Coombes, Dr Myles Young, Prof Nicholas Talley, Prof Ronald Plotnikoff, Dr Emily Hoedt, Dr Emily Cox","doi":"10.31189/2165-7629-13-s2.438","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.438","url":null,"abstract":"\u0000 \u0000 The efficacy of high intensity exercise for improving symptoms of chronic idiopathic constipation, a highly prevalent disorder of gut brain interaction (DGBI), remains uncertain. The aim of this case report was to investigate the feasibility, safety, and efficacy of 8-weeks of combined high-intensity interval training (C-HIIT) for a person (female, 23 years old) with chronic constipation.\u0000 \u0000 \u0000 \u0000 The participant enrolled in the C-HIIT for DGBI controlled trial that aims to recruit 32 participants with DGBI. Following comprehensive assessments of gastrointestinal symptoms, neuromuscular fitness, cardiorespiratory fitness and mental health, the participant completed an 8-week intervention consisting of thrice weekly 26-minute C-HIIT sessions. These consisted of a 3-minute aerobic warm-up (treadmill; 50-60% peak heart rate [HRpeak]) followed by 4-minutes of high-intensity aerobic exercise at ≥85% HRpeak. After 1-minute rest, eight whole body resistance exercises were performed. These involved continuous repetitions with good technique for 1-minute at an ≥8/10 (very hard) rating of perceived exertion; 1-minute rest separated each exercise. Adverse events were recorded throughout the intervention.\u0000 \u0000 \u0000 \u0000 The participant adhered to the intervention, attending 100% of sessions and reaching the prescribed intensity for 100% of aerobic and 80% of resistance exercises. Efficacy of the exercise training was indicated by a reduction in the severity of gastrointestinal symptoms measured via the irritable bowel syndrome-symptom severity scale (from 111 to 100) and the structured assessment of gastroIntestinal symptoms (39 to 12). There were some improvements in neuromuscular fitness (handgrip strength: 27 to 29.5 kg, 30-second sit to stands: 12 to 10 repetitions) and cardiorespiratory fitness (VO2max: 36.7 to 38.2 mL/kg/min). No changes were observed in mental health (Hospital Anxiety and Depression scale), and one non-serious adverse event (nausea post-eating), which was deemed not related to the intervention.\u0000 \u0000 \u0000 \u0000 The C-HIIT intervention in a person with DGBI was feasible, efficacious and safe.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141058076","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 : 2024-05-01DOI: 10.31189/2165-7629-13-s2.370
Mrs Felicity Austin, Dr Kemi Wright, Benjamin Quick, Greta Edwards, Kayleen Russell, Benjamin Kramer, A/Prof Bonnie Furzer
Gender diverse young people have lower rates of exercise, and higher rates of mental and physical health challenges, perpetuated by a lack of trans-friendly physical activity providers and environments. Our collaborative project aimed to create and support community-based exercise opportunities for trans and gender diverse young people (15-25yrs) to increase participation and improve their physical and mental health outcomes. Alongside feasibility data from 18 months delivery, two case studies will be presented (23 yrs non-binary individual, presenting with disordered eating and exercise, neurodivergence and mental illness; 18yrs transfeminine presenting with neurodivergence and participation barriers). Through targeted community collaboration with young people and multidisciplinary support services, a supportive and inclusive structured exercise program was created. Specifically, we delivered and evaluated the feasibility of the exercise program for gender diverse young people; and educated the wider exercise and health community on inclusive exercise practices. Forty-six gender diverse young people participated across the delivery of 11 x 8-10 week programs in 5 Perth metro locations, totalling 4518 exercise therapy hours. On average 100% of participants reported a score higher than 3/5 for program enjoyment, 79% of participants reported a score higher than 3/5 for motivation to return. Participants on average increased weekly physical activity participation by 50% since commencing the program, and 100% of participants would recommend the program to other trans peers. In WA, the absence of exercise opportunities for gender diverse young people prompted our tailored program. We prioritized inclusivity, safety, and participant-specific needs. Our proactive approach included health screenings, upskilling staff, and encouraging a supportive environment. Listening to participant expectations, involving a Youth Advisory Group, and engaging a Youth Engagement Officer proved vital for program success. Our reflections incorporate the significance of tailored, inclusive programs and community involvement in fostering active, safe spaces.
{"title":"THRIVING IN MOTION – YOUTH MOVES: MOVEMENT FOR TRANS AND GENDER DIVERSE YOUNG FOLK","authors":"Mrs Felicity Austin, Dr Kemi Wright, Benjamin Quick, Greta Edwards, Kayleen Russell, Benjamin Kramer, A/Prof Bonnie Furzer","doi":"10.31189/2165-7629-13-s2.370","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.370","url":null,"abstract":"\u0000 \u0000 Gender diverse young people have lower rates of exercise, and higher rates of mental and physical health challenges, perpetuated by a lack of trans-friendly physical activity providers and environments. Our collaborative project aimed to create and support community-based exercise opportunities for trans and gender diverse young people (15-25yrs) to increase participation and improve their physical and mental health outcomes. Alongside feasibility data from 18 months delivery, two case studies will be presented (23 yrs non-binary individual, presenting with disordered eating and exercise, neurodivergence and mental illness; 18yrs transfeminine presenting with neurodivergence and participation barriers).\u0000 \u0000 \u0000 \u0000 Through targeted community collaboration with young people and multidisciplinary support services, a supportive and inclusive structured exercise program was created. Specifically, we delivered and evaluated the feasibility of the exercise program for gender diverse young people; and educated the wider exercise and health community on inclusive exercise practices.\u0000 \u0000 \u0000 \u0000 Forty-six gender diverse young people participated across the delivery of 11 x 8-10 week programs in 5 Perth metro locations, totalling 4518 exercise therapy hours. On average 100% of participants reported a score higher than 3/5 for program enjoyment, 79% of participants reported a score higher than 3/5 for motivation to return. Participants on average increased weekly physical activity participation by 50% since commencing the program, and 100% of participants would recommend the program to other trans peers.\u0000 \u0000 \u0000 \u0000 In WA, the absence of exercise opportunities for gender diverse young people prompted our tailored program. We prioritized inclusivity, safety, and participant-specific needs. Our proactive approach included health screenings, upskilling staff, and encouraging a supportive environment. Listening to participant expectations, involving a Youth Advisory Group, and engaging a Youth Engagement Officer proved vital for program success. Our reflections incorporate the significance of tailored, inclusive programs and community involvement in fostering active, safe spaces.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141030881","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 : 2024-05-01DOI: 10.31189/2165-7629-13-s2.471
Mr Adrian Ram, Matthew D Jones, A/Prof Jeanette Thom, Dr John Booth, Dr Mitchell T. Gibbs, Mr Anurag Pandit, Mr Alexandre Kovats, Mr Pramod Ram
Painful exercise reduces pain in the short-term compared to non-painful exercise in people with chronic pain. However, integration of painful exercise into knee osteoarthritis (OA) treatment is contentious among clinicians, with the clinical implications unknown. This study aimed to explore the feasibility of painful versus non-painful exercise in people with knee OA. Participants were randomised into a painful (INT; RPE 5-6) or non-painful (CON; RPE 4-5) who performed exercise twice per week for 6 weeks. Both groups also received standardised education. The primary outcomes were feasibility, assessed using participant recruitment, retention, adherence, and compliance rates. Secondary outcomes included pain, function, strength, pressure pain thresholds, psychosocial measures and adverse events. Immediate pre- and post-exercise pain were also measured. 21 people with knee OA (66 ± 9 years old; BMI: 29.4 ± 8.1) completed the study. Feasibility was achieved and supported by high rates of recruitment (INT = 89%, CON 89%), retention (INT = 91%, CON = 100%), adherence (INT = 91%, CON = 92%), and compliance (INT = 72%, CON = 81%). Pain reduced in both groups (mean difference [95% CI]; INT = -0.7 [-1.8 to 0.4]; CON = -1.5 [-2.7 to 0.4]), and strength (1-RM leg press) improved with a moderate effect in favour of INT (12.8 [0.2 to 25.9], d = 0.97, p = 0.046). Incorporating painful exercise into treatment for individuals with knee OA is feasible. Several potential benefits include positive changes in maladaptive beliefs and behaviours and enhanced systemic benefits associated with higher intensity exercise. Future research comparing the efficacy of painful versus non-painful exercise in knee OA and other chronic musculoskeletal conditions is warranted.
与非疼痛性运动相比，疼痛性运动能在短期内减轻慢性疼痛患者的疼痛。然而，在膝关节骨性关节炎（OA）治疗中纳入疼痛运动在临床医生中存在争议，其临床影响尚不清楚。本研究旨在探讨膝关节OA患者进行有痛运动与无痛运动的可行性。 参与者被随机分为疼痛组（INT；RPE 5-6）和非疼痛组（CON；RPE 4-5），每周进行两次锻炼，为期 6 周。两组参与者都接受了标准化教育。主要结果是可行性，通过参与者招募率、保留率、坚持率和达标率进行评估。次要结果包括疼痛、功能、力量、压痛阈值、社会心理测量和不良事件。此外，还对运动前后的即时疼痛进行了测量。 21 名膝关节 OA 患者（66 ± 9 岁；BMI：29.4 ± 8.1）完成了研究。招募率（INT=89%，CON=89%）、保留率（INT=91%，CON=100%）、坚持率（INT=91%，CON=92%）和依从性（INT=72%，CON=81%）都很高。两组患者的疼痛均有所减轻（平均差异[95% CI]；INT = -0.7 [-1.8 to 0.4]；CON = -1.5 [-2.7 to 0.4]），力量（1-RM 压腿）有所改善，INT 的效果适中（12.8 [0.2 to 25.9]，d = 0.97，p = 0.046）。 将疼痛锻炼纳入膝关节 OA 患者的治疗是可行的。其潜在益处包括：积极改变不适应的信念和行为，以及与高强度运动相关的系统性益处。未来有必要对膝关节OA和其他慢性肌肉骨骼疾病患者进行研究，比较疼痛运动和非疼痛运动的疗效。
{"title":"PAINFUL VS NON-PAINFUL EXERCISE IN PEOPLE WITH KNEE OSTEOARTHRITIS: A FEASIBILITY STUDY","authors":"Mr Adrian Ram, Matthew D Jones, A/Prof Jeanette Thom, Dr John Booth, Dr Mitchell T. Gibbs, Mr Anurag Pandit, Mr Alexandre Kovats, Mr Pramod Ram","doi":"10.31189/2165-7629-13-s2.471","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.471","url":null,"abstract":"\u0000 \u0000 Painful exercise reduces pain in the short-term compared to non-painful exercise in people with chronic pain. However, integration of painful exercise into knee osteoarthritis (OA) treatment is contentious among clinicians, with the clinical implications unknown. This study aimed to explore the feasibility of painful versus non-painful exercise in people with knee OA.\u0000 \u0000 \u0000 \u0000 Participants were randomised into a painful (INT; RPE 5-6) or non-painful (CON; RPE 4-5) who performed exercise twice per week for 6 weeks. Both groups also received standardised education. The primary outcomes were feasibility, assessed using participant recruitment, retention, adherence, and compliance rates. Secondary outcomes included pain, function, strength, pressure pain thresholds, psychosocial measures and adverse events. Immediate pre- and post-exercise pain were also measured.\u0000 \u0000 \u0000 \u0000 21 people with knee OA (66 ± 9 years old; BMI: 29.4 ± 8.1) completed the study. Feasibility was achieved and supported by high rates of recruitment (INT = 89%, CON 89%), retention (INT = 91%, CON = 100%), adherence (INT = 91%, CON = 92%), and compliance (INT = 72%, CON = 81%). Pain reduced in both groups (mean difference [95% CI]; INT = -0.7 [-1.8 to 0.4]; CON = -1.5 [-2.7 to 0.4]), and strength (1-RM leg press) improved with a moderate effect in favour of INT (12.8 [0.2 to 25.9], d = 0.97, p = 0.046).\u0000 \u0000 \u0000 \u0000 Incorporating painful exercise into treatment for individuals with knee OA is feasible. Several potential benefits include positive changes in maladaptive beliefs and behaviours and enhanced systemic benefits associated with higher intensity exercise. Future research comparing the efficacy of painful versus non-painful exercise in knee OA and other chronic musculoskeletal conditions is warranted.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141033939","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 : 2024-05-01DOI: 10.31189/2165-7629-13-s2.327
Mrs Banan Suwan, Associate Professor Paul Grimshaw, Dr. Bridget McFadden, Dr. Merilyn Lock
Promoting physical activity (PA) requires an understanding of PA behavior, its correlates, and its determinants. This study aimed to assess self-reported PA behavior of adults in Qatar and understand the associations between self-determination theory (SDT) based motivational processes and PA behavior. This cross-sectional study used an anonymous online questionnaire within Qatar comprising demographic questions, the International Physical Activity Questionnaire Short Form (IPAQ-SF), the Behavioral Regulation in Exercise Questionnaire (BREQ-3), and the Psychological Need Satisfaction in Exercise (PNSE) scale. Respondents (N = 347; nfemales=246, nmales=101) were 21.6% non-Arab expats, 63.7% Arab expats, and 14.7% Qatari nationals. The prevalence of sufficient PA (minimum of 600 MET·min per week according to the IPAQ-SF criteria) was 66%, while 34% of participants were insufficiently active. Males (x¯ = 1808.16±2517.47 MET·min·wk-1) were significantly more active than females (x¯ = 1049.40±1717.31 MET·min·wk-1; P=0.001), and reported more autonomous forms of regulation (x¯ identified=2.86, x¯ integrated=2.33, x¯ intrinsic=2.64) than females (x¯ identified=2.58, x¯ integrated=2.01, x¯ intrinsic=2.36; P<0.05), as well as higher perceived competence satisfaction (x¯ =3.89) than females (x¯ = 3.49; P=0.025). A bivariate correlation showed that total PA and moderate to vigorous physical activity (MVPA) were positively and significantly (P<0.01) associated with autonomous forms of regulation, namely, identified (rtotal_PA=0.16, rMVPA=0.15) integrated (rtotal_PA=0.26, rMVPA=0.25), and intrinsic (rtotal_PA=0.20, rMVPA=0.18) regulation, as well as perceived competence in exercise (rtotal_PA=0.21, rMVPA=0.18; P<0.01). The bivariate correlation results were consistent with the theoretical tenets of SDT, supporting the application of SDT to advance the understanding of psychological associations of PA in predominantly Arab populations. The observed gender gap in physical activity levels is consistent with previous research in Arab populations. Future research could target SDT constructs to promote PA behavior in Arab women through culturally sensitive interventions.
{"title":"EXPLORING PSYCHOLOGICAL NEED SATISFACTION AND MOTIVATION TO EXERCISE AND PHYSICAL ACTIVITY IN AN ARAB CONTEXT","authors":"Mrs Banan Suwan, Associate Professor Paul Grimshaw, Dr. Bridget McFadden, Dr. Merilyn Lock","doi":"10.31189/2165-7629-13-s2.327","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.327","url":null,"abstract":"\u0000 \u0000 Promoting physical activity (PA) requires an understanding of PA behavior, its correlates, and its determinants. This study aimed to assess self-reported PA behavior of adults in Qatar and understand the associations between self-determination theory (SDT) based motivational processes and PA behavior.\u0000 \u0000 \u0000 \u0000 This cross-sectional study used an anonymous online questionnaire within Qatar comprising demographic questions, the International Physical Activity Questionnaire Short Form (IPAQ-SF), the Behavioral Regulation in Exercise Questionnaire (BREQ-3), and the Psychological Need Satisfaction in Exercise (PNSE) scale.\u0000 \u0000 \u0000 \u0000 Respondents (N = 347; nfemales=246, nmales=101) were 21.6% non-Arab expats, 63.7% Arab expats, and 14.7% Qatari nationals. The prevalence of sufficient PA (minimum of 600 MET·min per week according to the IPAQ-SF criteria) was 66%, while 34% of participants were insufficiently active. Males (x¯ = 1808.16±2517.47 MET·min·wk-1) were significantly more active than females (x¯ = 1049.40±1717.31 MET·min·wk-1; P=0.001), and reported more autonomous forms of regulation (x¯ identified=2.86, x¯ integrated=2.33, x¯ intrinsic=2.64) than females (x¯ identified=2.58, x¯ integrated=2.01, x¯ intrinsic=2.36; P<0.05), as well as higher perceived competence satisfaction (x¯ =3.89) than females (x¯ = 3.49; P=0.025). A bivariate correlation showed that total PA and moderate to vigorous physical activity (MVPA) were positively and significantly (P<0.01) associated with autonomous forms of regulation, namely, identified (rtotal_PA=0.16, rMVPA=0.15) integrated (rtotal_PA=0.26, rMVPA=0.25), and intrinsic (rtotal_PA=0.20, rMVPA=0.18) regulation, as well as perceived competence in exercise (rtotal_PA=0.21, rMVPA=0.18; P<0.01).\u0000 \u0000 \u0000 \u0000 The bivariate correlation results were consistent with the theoretical tenets of SDT, supporting the application of SDT to advance the understanding of psychological associations of PA in predominantly Arab populations. The observed gender gap in physical activity levels is consistent with previous research in Arab populations. Future research could target SDT constructs to promote PA behavior in Arab women through culturally sensitive interventions.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141039124","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 : 2024-05-01DOI: 10.31189/2165-7629-13-s2.337
Brent Cunningham, Jamie E Chong, Ciaran Fariman, Tina Skinner, Grace Rose
The importance of prescribing individualized exercise for people with cancer to minimize injury risk and optimize outcomes has been echoed internationally in position and consensus statements. However, it is unclear what individualization processes are employed in exercise oncology research and how exercise individualisation is implemented for people with cancer. This study aimed to systematically review the available evidence to elucidate the individualisation methods being employed in exercise oncology research. A systematic search of PubMed, EMBASE, CINAHL, and Web of Science was performed following the PRISMA guidelines. Eligible randomised controlled trials (RCT), controlled trials (CT), pre-post trials, and comparison trials included men and women aged ≥18 years with a histologically confirmed diagnosis of cancer; undertaking any structured exercise protocol that was ‘individualized’, with or without supervision; and that explored outcomes of intervention fidelity (e.g., recruitment, attendance, adherence, attrition), and/or patient health and wellbeing (i.e., quality of life, symptom improvement, medication use, physical activity). Study quality was assessed using the Delphi list tool. Forty-nine studies were found to be eligible and subsequently included in the narrative synthesis. Study quality was on average 49% (range 14 to 100%). Individualization of the exercise prescription most occurred prior to intervention commencement (n=23, 47%), based on physiological results from baseline assessments (n=21, 43%). No study individualized exercise based on participant readiness to train. The exercise prescription was predominantly individualized via modulation of both the intensity and volume of exercise (11, 22%). Exercise prescription individualization for people with cancer is highly prescriptive and predetermined. Seldom has exercise prescription been individualized based on participant readiness to train. Future exercise oncology studies should include greater detail on the reporting of exercise individualization methods and rationale to enhance our understanding of the relationship between individualization and exercise adherence and attrition in people with cancer.
{"title":"UNDERSTANDING THE INDIVIDUALIZATION OF EXERCISE PRESCRIPTION FOR PEOPLE WITH CANCER: A SYSTEMATIC REVIEW","authors":"Brent Cunningham, Jamie E Chong, Ciaran Fariman, Tina Skinner, Grace Rose","doi":"10.31189/2165-7629-13-s2.337","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.337","url":null,"abstract":"\u0000 \u0000 The importance of prescribing individualized exercise for people with cancer to minimize injury risk and optimize outcomes has been echoed internationally in position and consensus statements. However, it is unclear what individualization processes are employed in exercise oncology research and how exercise individualisation is implemented for people with cancer. This study aimed to systematically review the available evidence to elucidate the individualisation methods being employed in exercise oncology research.\u0000 \u0000 \u0000 \u0000 A systematic search of PubMed, EMBASE, CINAHL, and Web of Science was performed following the PRISMA guidelines. Eligible randomised controlled trials (RCT), controlled trials (CT), pre-post trials, and comparison trials included men and women aged ≥18 years with a histologically confirmed diagnosis of cancer; undertaking any structured exercise protocol that was ‘individualized’, with or without supervision; and that explored outcomes of intervention fidelity (e.g., recruitment, attendance, adherence, attrition), and/or patient health and wellbeing (i.e., quality of life, symptom improvement, medication use, physical activity). Study quality was assessed using the Delphi list tool.\u0000 \u0000 \u0000 \u0000 Forty-nine studies were found to be eligible and subsequently included in the narrative synthesis. Study quality was on average 49% (range 14 to 100%). Individualization of the exercise prescription most occurred prior to intervention commencement (n=23, 47%), based on physiological results from baseline assessments (n=21, 43%). No study individualized exercise based on participant readiness to train. The exercise prescription was predominantly individualized via modulation of both the intensity and volume of exercise (11, 22%).\u0000 \u0000 \u0000 \u0000 Exercise prescription individualization for people with cancer is highly prescriptive and predetermined. Seldom has exercise prescription been individualized based on participant readiness to train. Future exercise oncology studies should include greater detail on the reporting of exercise individualization methods and rationale to enhance our understanding of the relationship between individualization and exercise adherence and attrition in people with cancer.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141036749","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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