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CURRENT ISSUEEUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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European Journal of Physical and Rehabilitation Medicine 2016 May 12

Does adapted physical activity-based rehabilitation improve mental and physical functioning? A randomized trial

Cecilie RØE 1, 3, Line PREEDE 3, Håkon DALEN 2, Erik BAUTZ-HOLTER 1, 2, 3, Astrid NYQUIST 2, Leiv SANDVIK 4, Martin SAEBU 2

1 Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway; 2 Beitostølen Healthsports Centre, Beitostølen, Norway; 3 Faculty of Medicine, University of Oslo, Oslo, Norway; 4 Department of Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway

BACKGROUND: Persons with chronic disabilities face a wide variety of problems with functioning that affect their level of physical activity and participation. We have limited knowledge about the effect of adapted physical activity (APA)-based rehabilitation on perceived mental and physical functioning.
DESIGN: Randomized controlled trial.
SETTING: In-patient rehabilitation at Beitostølen Healtsports Center.
AIM: The main aim of this study was to evaluate the effect of APA-based rehabilitation compared to waiting-list on perceived mental and physical functioning. Secondly, we wanted to assess whether improvement in self-efficacy, motivation, pain and fatigue during rehabilitation was related to the effect of the intervention.
METHODS: Persons above 17 years (men and women) with chronic disabilities who applied for a rehabilitation stay, were randomized to an adapted physical activity-based rehabilitation intervention (n=304) or waiting-list with delayed rehabilitation. A total of 246 consented and were allocated to four week intervention or a waiting-list control group. The main outcome was physical and mental functioning evaluated four weeks after rehabilitation using the Medical Outcomes Study 12-Item Short-Form Health Survey (SF-12).
RESULTS: Compared to waiting-list the adapted physical activity-based intervention improved physical and mental functioning. Improvement in physical functioning during rehabilitation was related to reduced pain, improved motivation and self-efficacy.
CONCLUSION: The results indicate that an adapted physical activity-based rehabilitation program improves functioning. Improved efficacy for managing disability may mediate the improvement in mental functioning.
CLINICAL REHABILITATION IMPACT: Adapted physical activity-based rehabilitation should be considered during the development of rehabilitation strategies for people with chronic disabilities. Motivational and self-efficacy aspects must be addressed when organizing and evaluating rehabilitation programs.

language: English


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