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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici
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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.