Publication type: Conference poster
Type of review: Peer review (abstract)
Title: FRI0700-HPR lessons learnded from pilot implementation of physical activity recommendations in AXSPA exercise group therapy : less may be more
Authors: Rausch Osthoff, Anne-Kathrin
Vlieland, Thea Vliet
Braem, René
Walker, Béatrice
Niedermann Schneider, Karin
et. al: No
DOI: 10.1136/annrheumdis-2019-eular.7188
Published in: Annals of the Rheumatic Diseases
Volume(Issue): 78
Issue: Suppl. 2
Page(s): 1049
Conference details: Annual European Congress of Rheumatology, EULAR 2019, Madrid, 12–15 June 2019
Issue Date: Jun-2019
Publisher / Ed. Institution: BMJ Publishing Group
ISSN: 0003-4967
Language: English
Subject (DDC): 615.82: Physical therapy
616.7: Diseases of musculoskeletal system and orthopaedics
Abstract: Background The Ankylosing Spondylitis Association of Switzerland (SVMB) offers 68 exercise groups (EG) for people with axial Spondyloarthritis (axSpA). Participants exercise weekly with focus on strength and flexibility supervised by a physiotherapist (PT). Given the EULAR physical activity (PA) recommendations [1] and recent research [2, 3], the SVMB aims to further develop the concept of their EG by introducing: a) exercises in all dimensions, cardiorespiratory fitness, muscle strength, flexibility and neuromotor performance, according to the general PA recommendations [4]; b) individual exercise-coaching (three sessions in first six months) by the group PT, specifically trained in communication and action planning skills to support individual exercising, and c) bi-annual fitness-assessments for all exercise dimensions. Objectives To evaluate the new EG concept among the participating people with axSpA and PTs across four pilot groups. Methods After six months, a survey on the perception and satisfaction towards the new EG concept was sent to 30 people with axSpA, who rated the questions on a 0-10 numeric rating scale (0=not satisfied, 10=very satisfied). Semi-structured telephone-interviews were conducted with the PTs to explore their experiences with the new GE concept. People with axSpA: The survey’s response rate was 83% (25/30); of these, 15 (62%) participants were satisfied with the concept (mean 6.7±2.23) and 20 (80%) with the exercise-coaching (mean 7.7±2.92). 22 (88%) individuals defined a training goal and 15 (60%) achieved it. The exercise diary was used by 16 (64%) participants, five reported app-based. Reasons for not using the diary were the daily effort and problems with correctly allocating activities to exercise dimensions. A minority (n=7, 28%) reported to use a technical device for cardiovascular exercising. 17 (68%) were satisfied with the fitness-assessment (mean 7.5±1.78). PTs perceived the exercise-coaching as very useful for supporting individualised exercising. However, they emphasised that the frequency of the sessions should be flexibly based on the participant’s individual training goal and motivation. The PTs perceived controversial reactions to the fitness-assessments: increased but also decreased motivation towards exercising. Conclusion Exercise-coaching and fitness-assessments were generally appreciated; however, the frequency was perceived as too high. The GE concept will be adapted accordingly to improve feasibility for national implementation: the exercise-coachings will be reduced to two in the first six months, the first one compulsory for all participants, then bi-annually, according to individual needs and training goals. The fitness-assessments will take place annually instead of bi-annually. There is a need for easy-to-use exercise diaries, covering all exercise dimensions.
Fulltext version: Published version
License (according to publishing contract): Licence according to publishing contract
Departement: School of Health Sciences
Organisational Unit: Institute of Physiotherapy (IPT)
Published as part of the ZHAW project: Etablierung der internationalen Bewegungsempfehlungen für Rheuma-Betroffene in den Bechterew-Bewegungsgruppen
Appears in collections:Publikationen Gesundheit

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