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Kwon Y, Park C, Oh W, You JSH. Potential adverse effects of face mask use on cardiopulmonary function and thermoregulation in robotic stroke rehabilitation during the COVID-19 pandemic. NeuroRehabilitation 2024; 54:287-295. [PMID: 38143384 DOI: 10.3233/nre-230150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2023]
Abstract
BACKGROUND The coronavirus disease (COVID-19) pandemic led to the implementation of wearing face masks and social distancing in stroke rehabilitation to prevent airborne transmission and contain the virus. The use of masks causes hypoxia and dyspnea in patients with stroke, predisposing them to other harmful medical conditions. Despite the clinical importance of the potential risk of wearing masks during robotic stroke rehabilitation, no clinical evidence is available in the literature. OBJECTIVE To examine the effects of stroke robotic rehabilitation with and without using a face mask on cardiopulmonary fatigue, muscle fatigue, O2 saturation, pulse, blood pressure (BP), and temperature in healthy adults and patients with hemiparetic stroke. METHOD A total of 30 participants, comprising 20 males and 10 females, were enrolled in a case-control study and a cross-sectional randomized controlled trial conducted at the Center for Rehabilitation Hospital. The study population included 15 individuals with hemiparetic stroke (mean age: 57.26±8.69) and 15 healthy adult controls (mean age: 30.20±9.86). All participants underwent a 30-minute familiarization session, followed by experimental masked and unmasked robotic interactive gait training (RIGT) for at least 30 minutes. Clinical tests included the Borg Rating of Perceived Exertion, muscle fatigue via surface electromyography, O2 saturation, pulse, BP, and temperature. RESULTS An analysis of covariance showed that compared to RIGT without a mask, RIGT with a mask showed adverse effects on BRPE, O2 saturation, and right rectus femoris muscle fatigue (P < 0.05) in the control and experimental groups. CONCLUSION The clinical study revealed that compared to RIGT without a mask, RIGT with a mask affected cardiopulmonary fatigue, muscle fatigue, O2 saturation, pulse, and BP in healthy adults and participants with hemiparetic stroke.
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Affiliation(s)
- Yundae Kwon
- Department of Physical Therapy, Sports Movement Artificial-Intelligence Robotics Technology (SMART) Institute, Yonsei University, Wonju, South Korea
- Department of Physical Therapy, Yonsei University, Wonju, South Korea
| | - Chanhee Park
- Department of Physical Therapy, Sports Movement Artificial-Intelligence Robotics Technology (SMART) Institute, Yonsei University, Wonju, South Korea
- Department of Physical Therapy, Yonsei University, Wonju, South Korea
| | - Wonjun Oh
- Department of Physical Therapy, Sports Movement Artificial-Intelligence Robotics Technology (SMART) Institute, Yonsei University, Wonju, South Korea
- Department of Physical Therapy, Yonsei University, Wonju, South Korea
| | - Joshua Sung H You
- Department of Physical Therapy, Sports Movement Artificial-Intelligence Robotics Technology (SMART) Institute, Yonsei University, Wonju, South Korea
- Department of Physical Therapy, Yonsei University, Wonju, South Korea
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Bichler CS, Niedermeier M, Gufler A, Gálffy M, Sperner-Unterweger B, Kopp M. A case-control study on physical activity preferences, motives, and barriers in patients with psychiatric conditions. Compr Psychiatry 2021; 111:152276. [PMID: 34600310 DOI: 10.1016/j.comppsych.2021.152276] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 08/26/2021] [Accepted: 09/21/2021] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND Physical activity in individuals diagnosed with psychiatric conditions (patients) has antidepressant and anxiolytic effects, but levels of physical activity are still low in this population. This study aimed to identify physical activity preferences, motives, and perceived barriers in patients compared to individuals without a diagnosed psychiatric condition (controls). METHODS A total of 230 patients (age = 39.5 ± 14.0 years, 80% female) with major depression (34%), anxiety disorders (38%), or post-traumatic stress disorder (28%) completed a cross-sectional online survey to assess preferences, motives, and perceived barriers to physical activity (measured by the EMI-2). This group consisted of 100 patients with a clinical diagnosis (clinical subset) and 130 with self-reported psychiatric conditions (confirmed by the PHQ-4) from online help forums (online subset). Comparisons between patients of the clinical and the online subsets were performed and are referenced whenever significant. The patients group was compared to a healthy control group matched by sex and age (n = 230, age = 39.4 ± 14.9 years, 80% female). RESULTS More patients reported insufficient physical activity levels and more daily sitting hours (measured by the IPAQ) compared to controls. Patients reported lower preference in more ambitious types of physical activity, such as hiking, cycling, and running. The commonly most preferred type of physical activity in both groups was walking and yoga. Patients had fewer motives and more perceived barriers to physical activity in comparison to the control group. Some differences in motives and perceived barriers to physical activity were also found between patients of the clinical and the online subset. CONCLUSIONS Findings of low physical activity levels in patients are consistent with the literature. Due to the patients' lack of motivation and perception of barriers, health care providers should consider offering different and individualized forms of physical activity. Easier types of physical activity, such as walking and yoga, appear to be the most feasible and provide a good starting point to overcome perceived barriers to physical activity.
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Affiliation(s)
- Carina S Bichler
- Department of Sport Science, University of Innsbruck, Fuerstenweg 176, 6020 Innsbruck, Austria.
| | - Martin Niedermeier
- Department of Sport Science, University of Innsbruck, Fuerstenweg 176, 6020 Innsbruck, Austria
| | - Andrea Gufler
- Department of Sport Science, University of Innsbruck, Fuerstenweg 176, 6020 Innsbruck, Austria
| | - Mátyás Gálffy
- University Hospital of Psychiatry II, Department of Psychiatry, Psychotherapy and Psychosomatics, Innsbruck Medical University, Anichstraße 35, 6020 Innsbruck, Austria
| | - Barbara Sperner-Unterweger
- University Hospital of Psychiatry II, Department of Psychiatry, Psychotherapy and Psychosomatics, Innsbruck Medical University, Anichstraße 35, 6020 Innsbruck, Austria
| | - Martin Kopp
- Department of Sport Science, University of Innsbruck, Fuerstenweg 176, 6020 Innsbruck, Austria
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García-Estela A, Angarita-Osorio N, Alonso S, Polo M, Roldán-Berengué M, Messaggi-Sartor M, Mur-Mila E, Vargas-Puertolas L, Pérez V, Duarte E, Colom F. Improving Depressive Symptoms through Personalised Exercise and Activation (IDEA): Study Protocol for a Randomised Controlled Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18126306. [PMID: 34200805 PMCID: PMC8296117 DOI: 10.3390/ijerph18126306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Revised: 06/04/2021] [Accepted: 06/07/2021] [Indexed: 11/28/2022]
Abstract
Individuals who suffer from depressive symptoms experience a substantial impact on psychosocial functioning, physical health, mortality, and quality of life. In the search for therapeutic strategies, exercise has been found to play a relevant part in its treatment. However, the promotion of exercise entails adherence difficulties that arose out of the tendency towards sedentarism led by symptomatology. Personalised exercise plans on top of usual care have the potential to enhance behavioural changes and mental health. The present study aims at evaluating the changes in functioning deriving from a blended intervention merging a psychological intervention with a personalised exercise programme based on medical assessment. We will conduct a three-arm randomised controlled trial in which 172 participants suffering from mild–moderate depressive symptoms will be allocated to Intervention A (personalised exercise group programme + app with motivational messages), B (personalised exercise group programme + app with no motivational messages) or control group (app with no motivational messages). Data regarding global functioning, well-being, symptoms, physical activity, and exercise capacity will be collected at baseline, 4, 12, and 36 weeks. The results of this trial will provide information about whether this physical activity support programme may be efficient for improving mental and physical health outcomes. Trial registration: ClinicalTrials.gov NCT04857944 (accessed on 15 April 2021). Registered April 2021.
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Affiliation(s)
- Aitana García-Estela
- Mental Health Research Group, Hospital del Mar Medical Research Institute (IMIM), 08003 Barcelona, Spain; (A.G.-E.); (N.A.-O.); (M.R.-B.); (E.M.-M.); (V.P.)
- Department of Psychiatry and Forensic Medicine, Faculty of Medicine, Autonomous University of Barcelona, 08193 Barcelona, Spain
| | - Natalia Angarita-Osorio
- Mental Health Research Group, Hospital del Mar Medical Research Institute (IMIM), 08003 Barcelona, Spain; (A.G.-E.); (N.A.-O.); (M.R.-B.); (E.M.-M.); (V.P.)
- Department of Psychiatry and Forensic Medicine, Faculty of Medicine, Autonomous University of Barcelona, 08193 Barcelona, Spain
| | - Sandra Alonso
- Department of Medicine, Faculty of Medicine, Autonomous University of Barcelona, 08193 Barcelona, Spain; (S.A.); (M.M.-S.); (E.D.)
- Physical Medicine and Rehabilitation Department, Hospital del Mar, Parc de Salut Mar, 08003 Barcelona, Spain
| | - Maria Polo
- Institute of Neuropsychiatry and Addictions, Hospital del Mar, Parc de Salut Mar, 08003 Barcelona, Spain; (M.P.); (L.V.-P.)
| | - Maria Roldán-Berengué
- Mental Health Research Group, Hospital del Mar Medical Research Institute (IMIM), 08003 Barcelona, Spain; (A.G.-E.); (N.A.-O.); (M.R.-B.); (E.M.-M.); (V.P.)
- Institute of Neuropsychiatry and Addictions, Hospital del Mar, Parc de Salut Mar, 08003 Barcelona, Spain; (M.P.); (L.V.-P.)
| | - Monique Messaggi-Sartor
- Department of Medicine, Faculty of Medicine, Autonomous University of Barcelona, 08193 Barcelona, Spain; (S.A.); (M.M.-S.); (E.D.)
- Physical Medicine and Rehabilitation Department, Hospital del Mar, Parc de Salut Mar, 08003 Barcelona, Spain
- Rehabilitation Research Group, Hospital del Mar Medical Research Institute (IMIM), 08003 Barcelona, Spain
| | - Estanislao Mur-Mila
- Mental Health Research Group, Hospital del Mar Medical Research Institute (IMIM), 08003 Barcelona, Spain; (A.G.-E.); (N.A.-O.); (M.R.-B.); (E.M.-M.); (V.P.)
- Department of Psychiatry and Forensic Medicine, Faculty of Medicine, Autonomous University of Barcelona, 08193 Barcelona, Spain
- Institute of Neuropsychiatry and Addictions, Hospital del Mar, Parc de Salut Mar, 08003 Barcelona, Spain; (M.P.); (L.V.-P.)
| | - Laura Vargas-Puertolas
- Institute of Neuropsychiatry and Addictions, Hospital del Mar, Parc de Salut Mar, 08003 Barcelona, Spain; (M.P.); (L.V.-P.)
| | - Víctor Pérez
- Mental Health Research Group, Hospital del Mar Medical Research Institute (IMIM), 08003 Barcelona, Spain; (A.G.-E.); (N.A.-O.); (M.R.-B.); (E.M.-M.); (V.P.)
- Department of Psychiatry and Forensic Medicine, Faculty of Medicine, Autonomous University of Barcelona, 08193 Barcelona, Spain
- Institute of Neuropsychiatry and Addictions, Hospital del Mar, Parc de Salut Mar, 08003 Barcelona, Spain; (M.P.); (L.V.-P.)
| | - Esther Duarte
- Department of Medicine, Faculty of Medicine, Autonomous University of Barcelona, 08193 Barcelona, Spain; (S.A.); (M.M.-S.); (E.D.)
- Physical Medicine and Rehabilitation Department, Hospital del Mar, Parc de Salut Mar, 08003 Barcelona, Spain
- Rehabilitation Research Group, Hospital del Mar Medical Research Institute (IMIM), 08003 Barcelona, Spain
| | - Francesc Colom
- Mental Health Research Group, Hospital del Mar Medical Research Institute (IMIM), 08003 Barcelona, Spain; (A.G.-E.); (N.A.-O.); (M.R.-B.); (E.M.-M.); (V.P.)
- Institute of Neuropsychiatry and Addictions, Hospital del Mar, Parc de Salut Mar, 08003 Barcelona, Spain; (M.P.); (L.V.-P.)
- Centre for Biomedical Research in Mental Health Network (CIBERSAM), 28029 Madrid, Spain
- Department of Basic, Evolutive and Education Psychology, Faculty of Psychology, Autonomous University of Barcelona, 08193 Barcelona, Spain
- Correspondence: ; Tel.: +34-933160400
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de Oliveira Tavares VD, Vancampfort D, Hallgren M, Heissel A, Chaparro CGAP, Solmi M, Tempest GD, de Oliveira Neto L, Galvão-Coelho NL, Firth J, Schuch FB. Reliability and validity of physical fitness tests in people with mental disorders: A systematic review and meta-analysis. PHYSIOTHERAPY RESEARCH INTERNATIONAL 2021; 26:e1904. [PMID: 33772978 DOI: 10.1002/pri.1904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Revised: 12/07/2020] [Accepted: 03/09/2021] [Indexed: 11/08/2022]
Abstract
BACKGROUND Several tests are available to assess the different components of physical fitness, including cardiorespiratory fitness, muscular strength, and flexibility. However, the reliability and validity of physical fitness tests in people with mental disorders has not been meta-analyzed. AIMS To examine the reliability, concurrent, and convergent validity of physical fitness tests in people with mental disorders. METHODS Studies evaluating the reliability, concurrent, and convergent validity of physical fitness tests in people with mental disorders were searched from major databases until January 20, 2020. Random-effects meta-analyses were performed pooling (1) reliability: test-retest correlations at two-time points, (2) convergent validity between submaximal tests and maximal protocols, or (3) concurrent validity between two submaximal tests. Associations are presented using r values and 95% confidence intervals. Methodological quality was assessed using the Quality Appraisal of Reliability Studies and the Critical Appraisal Tool. RESULTS A total of 11 studies (N = 504; 34% females) were included. Reliability of the fitness tests, produced r values ranging from moderate (balance test-EUROFIT; [r = 0.75 (0.60-0.85); p = 0.0001]) to very strong (explosive leg power EUROFIT; [r = 0.96 (0.93-0.97); p = 0.0001]). Convergent validity between the 6-min walk test (6MWT) and submaximal cardiorespiratory tests was moderate (0.57 [0.26-0.77]; p = 0.0001). Concurrent validity between the 2-min walk test and 6MWT (r = 0.86 [0.39-0.97]; p = 0.0004) was strong. CONCLUSION The present study demonstrates that physical fitness tests are reliable and valid in people with mental disorders.
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Affiliation(s)
- Vagner Deuel de Oliveira Tavares
- Laboratory of Hormone Measurement, Department of Physiology and Behavior, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Davy Vancampfort
- Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium
| | - Mats Hallgren
- Epidemiology of Psychiatric Conditions, Substance Use and Social Environment (EPiCSS), Global of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
| | - Andreas Heissel
- Social and Preventive Medicine, Department of Sports and Health Sciences, Intra-faculty Unit "Cognitive Sciences", Faculty of Human Science, and Faculty of Health Sciences Brandenburg, Research Area Services Research and e-Health, University of Potsdam, Potsdam, Germany
| | | | - Marco Solmi
- Neurosciences Department, University of Padua, Padua, Italy.,Neuroscience Center, University of Padua, Padua, Italy
| | - Gavin D Tempest
- Department of Sport, Exercise & Rehabilitation, Northumbria University, Newcastle-upon-Tyne, UK
| | | | - Nicole Leite Galvão-Coelho
- Laboratory of Hormone Measurement, Department of Physiology and Behavior, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Joseph Firth
- Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK
| | - Felipe Barreto Schuch
- Department of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria, Brazil
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Doose M, Ziegenbein M, Hoos O, Reim D, Stengert W, Hoffer N, Vogel C, Ziert Y, Sieberer M. Self-selected intensity exercise in the treatment of major depression: A pragmatic RCT. Int J Psychiatry Clin Pract 2015; 19:266-75. [PMID: 26265421 DOI: 10.3109/13651501.2015.1082599] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE The purpose of the study was to determine the therapeutic effect of physical exercise for patients with unipolar depression. Participants took part in an 8-week walking/running aerobic exercise program at a local sports club. METHODS Forty-six outpatients aged 18-65 years and diagnosed with mild to severe depression (ICD-10 criteria) were randomly assigned to an intervention group or wait list. Treatment as usual was continued. The Hamilton Rating Scale for Depression (HRSD-17) served as the main outcome measure. Secondary outcome measures were Beck Depression Inventory (BDI-II), Fitness Index (FI), and VO(2) max as estimated by Urho Kaleka Kekkonen or UKK 2-km Walk Test. RESULTS Out of forty-six participants, 24% dropped out. Participants attended 58% of exercise sessions. All randomized participants were included in intention-to-treat (ITT) analysis. Analysis of covariance or ANCOVA showed a large reduction of depressive symptoms in HRSD-17 scores (Cohen's d: 1.8; mean change 8.2, p < .0001). BDI-II (Cohen's d: 0.50; mean change: 4.7, p = 0.09), FI scores (Cohen's d: 0.27; mean change: 5.3, p = 0.08), and VO2 max did not change significantly. CONCLUSIONS We observed a large and clinically significant change in HRSD-17 scores. Moderate changes in BDI-II scores without clinical significance and small changes in physical fitness assessments were observed.
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Affiliation(s)
- Michael Doose
- a Department of Psychiatry , Social Psychiatry and Psychotherapy, Hannover Medical School , Germany.,b Department of Neurology , Klinikum Emden , Emden , Germany
| | | | - Olaf Hoos
- d Sports Center, Julius-Maximilians-University , Wuerzburg , Germany
| | - Dominik Reim
- d Sports Center, Julius-Maximilians-University , Wuerzburg , Germany
| | - Wojciech Stengert
- a Department of Psychiatry , Social Psychiatry and Psychotherapy, Hannover Medical School , Germany
| | - Niklas Hoffer
- a Department of Psychiatry , Social Psychiatry and Psychotherapy, Hannover Medical School , Germany
| | - Charlotte Vogel
- e Institute for Biostatistics, Hannover Medical School , Germany
| | - Yvonne Ziert
- e Institute for Biostatistics, Hannover Medical School , Germany
| | - Marcel Sieberer
- a Department of Psychiatry , Social Psychiatry and Psychotherapy, Hannover Medical School , Germany
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Knapen J, Vancampfort D, Moriën Y, Marchal Y. Exercise therapy improves both mental and physical health in patients with major depression. Disabil Rehabil 2014; 37:1490-5. [DOI: 10.3109/09638288.2014.972579] [Citation(s) in RCA: 193] [Impact Index Per Article: 19.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
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