Cardiovascular Disease Risk in Adults With Spastic Bilateral Cerebral Palsy.
Cardiovascular disease risk in adults with spastic bilateral cerebral palsy.
J Rehabil Med. 2013 Jul 4;
Slot WM, Roebroeck ME, Nieuwenhuijsen C, Bergen MP, Stam HJ, Burdorf A, Berg-Emons RJ
Objective: To explore: (i) cardiovascular disease risk factors and the 10-year clustered risk of a fatal cardiovascular event in adults with spastic bilateral cerebral palsy; and (ii) relationships between the 10-year risk and body fat, aerobic fitness and physical activity. Design: Cross-sectional study. Subjects: Forty-three adults with spastic bilateral cerebral palsy without severe cognitive impairment (mean age 36.6 years (standard deviation 6); 27 men). Methods: Biological and lifestyle-related risk factors and the 10-year risk according to the Systematic Coronary Risk Evaluation (SCORE) were assessed. Relationships were studied using multivariable linear regression analysis. Results: The following single risk factors were present: hypertension (n?=?12), elevated total cholesterol (n?=?3), low high-density lipoprotein cholesterol (n?=?5; all men), high-risk waist circumference (n?=?11), obesity (body mass index; n?=?5; all men), reduced aerobic fitness (on average 80% of reference values), reduced level of everyday physical activity (on average 78% of reference values) and smoking (n=9). All participants had a 10-year risk <1%. Corrected for gender, participants with higher waist circumference (??=?0.28; p?=?0.06) or body mass index (?=0.25; p?=?0.08) tended to have a higher 10-year risk. Conclusion: In this relatively young adult sample of people with spastic bilateral cerebral palsy several single cardiovascular disease risk factors were present. The 10-year fatal cardiovascular disease risk was low, and higher body fat tended to be related to higher 10-year risk. HubMed – rehab
Efficacy of strengthening or aerobic exercise on pain relief in people with knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials.
Clin Rehabil. 2013 Jul 4;
Tanaka R, Ozawa J, Kito N, Moriyama H
Objective:We performed a systematic review and meta-analysis of randomized controlled trials to investigate the differences in the efficacies between strengthening and aerobic exercises for pain relief in people with knee osteoarthritis.Data sources:This search was applied to Medline, Cochrane Central Register of Controlled Trials, the Physiotherapy Evidence Database, and the Cumulative Index to Nursing and Allied Health Literature. All literature published from each source’s earliest date to March 2013 was included.Review methods:Trials comparing the effects of exercise intervention with those of either non-intervention or psycho-educational intervention were collected. Meta-analysis was performed for trials in which therapeutic exercise was carried out with more than three sessions per week up to eight weeks, for pain in people with knee osteoarthritis. All trials were categorised into three subgroups (non-weight-bearing strengthening exercise, weight-bearing strengthening exercise, and aerobic exercise). Subgroup analyses were also performed.Results:Data from eight studies were integrated. Overall effect of exercise was significant with a large effect size (standardised mean difference (SMD): -0.94; 95% confidence interval -1.31 to -0.57). Subgroup analyses showed a larger SMD for non-weight-bearing strengthening exercise (-1.42 [-2.09 to -0.75]) compared with weight-bearing strengthening exercise (-0.70 [-1.05 to -0.35]), and aerobic exercise (-0.45 [-0.77 to -0.13]).Conclusion:Muscle strengthening exercises with or without weight-bearing and aerobic exercises are effective for pain relief in people with knee osteoarthritis. In particular, for pain relief by short-term exercise intervention, the most effective exercise among the three types is non-weight-bearing strengthening exercise. HubMed – rehab
Long-term effect of motivational interviewing on clinical and psychological outcomes and health-related quality of life in cardiac rehabilitation patients with poor motivation in Hong Kong: a randomized controlled trial.
Clin Rehabil. 2013 Jul 4;
Chair SY, Chan SW, Thompson DR, Leung KP, Ng SK, Choi KC
Objective:To investigate the long-term effects of motivational interviewing on clinical outcomes, psychological outcomes, health-related quality of life among cardiac rehabilitation patients with poor motivation.Design:A randomized controlled trial with blind data collectors.Setting:Cardiac rehabilitation centre.Subjects:A total of 146 cardiac rehabilitation patients with poor motivation.Intervention:All participants received usual care, including exercise and education, while those in the experimental group also received 10 sessions of motivational interviewing, each lasting 30-45 minutes.Main measures:Clinical and psychological outcomes and health-related quality of life were assessed at baseline and at six, nine and 12 months for both groups.Result:There was no significant difference between the two groups at baseline on demographic and clinical outcomes except for monthly family income (p = 0.034). Patients in the experimental group had higher increases in health-related quality of life (SF-36) scores in bodily pain (88.7 SD 16.7 vs. 87.6 SD 18.7 at month 12, p = 0.044) and role limitation owing to emotional problems (86.9 SD 19.2 vs. 78.6 SD 21.8 at month 9, p = 0.019; 85.8 SD 18.9 vs. 76.9 SD 23.9 at month 12, p = 0.022). No statistically significant group difference was found among other outcomes.Conclusion:The long-term effect of motivational interviewing on clinical and psychological outcomes and health-related quality of life in studied patients is limited. HubMed – rehab
Detox Rehab Centers | Drug Rehab Addiction Treatment | Detox Rehab Centers – http://nyrehabcenter.org Detox Rehab Centers concentrates on helping addicts get sober and clean via counseling, sober facilities, and New York detox program…