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dc.contributor.authorRausch Osthoff, Anne-Kathrin-
dc.contributor.authorVlieland, Thea Vliet-
dc.contributor.authorBraem, René-
dc.contributor.authorWalker, Béatrice-
dc.contributor.authorNiedermann Schneider, Karin-
dc.date.accessioned2020-02-06T10:06:32Z-
dc.date.available2020-02-06T10:06:32Z-
dc.date.issued2019-06-
dc.identifier.issn0003-4967de_CH
dc.identifier.issn1468-2060de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/19384-
dc.description.abstractBackground 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.de_CH
dc.language.isoende_CH
dc.publisherBMJ Publishing Groupde_CH
dc.relation.ispartofAnnals of the Rheumatic Diseasesde_CH
dc.rightsLicence according to publishing contractde_CH
dc.subject.ddc615.82: Physiotherapiede_CH
dc.subject.ddc616.7: Krankheiten des Bewegungsapparates und Orthopädiede_CH
dc.titleFRI0700-HPR lessons learnded from pilot implementation of physical activity recommendations in AXSPA exercise group therapy : less may be morede_CH
dc.typeKonferenz: Posterde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Physiotherapie (IPT)de_CH
dc.identifier.doi10.1136/annrheumdis-2019-eular.7188de_CH
zhaw.conference.detailsAnnual European Congress of Rheumatology, EULAR 2019, Madrid, 12–15 June 2019de_CH
zhaw.funding.euNode_CH
zhaw.issueSuppl. 2de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.start1049de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume78de_CH
zhaw.publication.reviewPeer review (Abstract)de_CH
zhaw.funding.zhawEtablierung der internationalen Bewegungsempfehlungen für Rheuma-Betroffene in den Bechterew-Bewegungsgruppende_CH
zhaw.author.additionalNode_CH
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Rausch Osthoff, A.-K., Vlieland, T. V., Braem, R., Walker, B., & Niedermann Schneider, K. (2019). FRI0700-HPR lessons learnded from pilot implementation of physical activity recommendations in AXSPA exercise group therapy : less may be more [Conference poster]. Annals of the Rheumatic Diseases, 78(Suppl. 2), 1049. https://doi.org/10.1136/annrheumdis-2019-eular.7188
Rausch Osthoff, A.-K. et al. (2019) ‘FRI0700-HPR lessons learnded from pilot implementation of physical activity recommendations in AXSPA exercise group therapy : less may be more’, in Annals of the Rheumatic Diseases. BMJ Publishing Group, p. 1049. Available at: https://doi.org/10.1136/annrheumdis-2019-eular.7188.
A.-K. Rausch Osthoff, T. V. Vlieland, R. Braem, B. Walker, and K. Niedermann Schneider, “FRI0700-HPR lessons learnded from pilot implementation of physical activity recommendations in AXSPA exercise group therapy : less may be more,” in Annals of the Rheumatic Diseases, Jun. 2019, vol. 78, no. Suppl. 2, p. 1049. doi: 10.1136/annrheumdis-2019-eular.7188.
RAUSCH OSTHOFF, Anne-Kathrin, Thea Vliet VLIELAND, René BRAEM, Béatrice WALKER und Karin NIEDERMANN SCHNEIDER, 2019. FRI0700-HPR lessons learnded from pilot implementation of physical activity recommendations in AXSPA exercise group therapy : less may be more. In: Annals of the Rheumatic Diseases. Conference poster. BMJ Publishing Group. Juni 2019. S. 1049
Rausch Osthoff, Anne-Kathrin, Thea Vliet Vlieland, René Braem, Béatrice Walker, and Karin Niedermann Schneider. 2019. “FRI0700-HPR Lessons Learnded from Pilot Implementation of Physical Activity Recommendations in AXSPA Exercise Group Therapy : Less May Be More.” Conference poster. In Annals of the Rheumatic Diseases, 78:1049. BMJ Publishing Group. https://doi.org/10.1136/annrheumdis-2019-eular.7188.
Rausch Osthoff, Anne-Kathrin, et al. “FRI0700-HPR Lessons Learnded from Pilot Implementation of Physical Activity Recommendations in AXSPA Exercise Group Therapy : Less May Be More.” Annals of the Rheumatic Diseases, vol. 78, no. Suppl. 2, BMJ Publishing Group, 2019, p. 1049, https://doi.org/10.1136/annrheumdis-2019-eular.7188.


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