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Patient-Oriented Exercise Interventions
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Patient-Oriented Exercise Interventions

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Environmental Health".

Deadline for manuscript submissions: closed (30 April 2020) | Viewed by 8275

Special Issue Editor

Prof. Dr. Inga Krauss

E-Mail Website
Guest Editor
1. Medical Clinic, Department of Sports Medicine, University Hospital Tuebingen, Germany
2. Interfaculty Research Institute for Sports and Physical Activity Tuebingen, University of Tuebingen, Germany

Special Issue Information

Dear Colleagues,

Exercise is medicine. Its effect on disease pathogenesis and symptoms has been described for numerous psychiatric, neurological, metabolic, cardiovascular, pulmonary, musculoskeletal diseases, and cancer. Despite given evidence for the overall benefit of exercise regimens on health, the need for individualized training programs is frequently named yet rarely specified.

Individualization has face validity for patients’ benefit; however, there is an absolute need to get more inside into its advantages in terms of treatment effectiveness, safety, and exercise adherence.

Exercise dosage (frequency, intensity, duration, and type of exercise) as well as its setting and provider are potential starting points for individualization. In view of the biopsychosocial perspective of the International Classification of Functioning, Disability and Health, individualization can be based on individual body structure and function, activity, and participation as well as environmental and personal context factors. This may include but is not limited to exercise programs specifically designed for persons with specific bodily limitations, pain or existing co-morbidities, exercise programs accounting for individual external barriers, and facilitators, such as infrastructure or social environment, and exercises oriented towards personal context factors such as individual motives and preferences for exercise participation, genetic or epigenetic predispositions or other physical or psychological prerequisites, such as fitness level or self-efficacy.

This Special Issue seeks papers considering all aspects of person-oriented approaches for exercise programs in prevention, therapy, and rehabilitation. Observational studies, clinical trials, and corresponding sensitivity analysis as well as high-quality narrative and systematic reviews will be considered.

Prof. Dr. Inga Krauss
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Exercise
  • Individualization
  • Person orientation
  • Therapy
  • ICF (International Classification of Functioning, Disability and Health)
  • Chronic Disease
  • Dosage

Published Papers (2 papers)

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Research

13 pages, 2101 KiB  
Article
Efficacy of an Internet-Based Program to Promote Physical Activity and Exercise after Inpatient Rehabilitation in Persons with Multiple Sclerosis: A Randomized, Single-Blind, Controlled Study
by Peter Flachenecker, Anna Karoline Bures, Angeli Gawlik, Ann-Christin Weiland, Sarah Kuld, Klaus Gusowski, René Streber, Klaus Pfeifer and Alexander Tallner
Int. J. Environ. Res. Public Health 2020, 17(12), 4544; https://doi.org/10.3390/ijerph17124544 - 24 Jun 2020
Cited by 12 | Viewed by 4561
Abstract
Background: Multimodal rehabilitation improves fatigue and mobility in persons with multiple sclerosis (PwMS). Effects are transient and may be conserved by internet-based physical activity promotion programs. Objective: Evaluate the effects of internet-based physical activity and exercise promotion on fatigue, quality of life, and [...] Read more.
Background: Multimodal rehabilitation improves fatigue and mobility in persons with multiple sclerosis (PwMS). Effects are transient and may be conserved by internet-based physical activity promotion programs. Objective: Evaluate the effects of internet-based physical activity and exercise promotion on fatigue, quality of life, and gait in PwMS after inpatient rehabilitation. Methods: PwMS (Expanded Disability Status Scale (EDSS) ≤ 6.0, fatigue: Würzburg Fatigue Inventory for Multiple Sclerosis (WEIMuS) ≥ 32) were randomized into an intervention group (IG) or a control group (CG). After rehabilitation, IG received 3 months of internet-based physical activity promotion, while CG received no intervention. Primary outcome: self-reported fatigue (WEIMuS). Secondary outcomes: quality of life (Multiple Sclerosis Impact Scale 29, MSIS-29), gait (2min/10m walking test, Tinetti score). Measurements: beginning (T0) and end (T1) of inpatient rehabilitation, 3 (T2) and 6 (T3) months afterwards. Results: 64 of 84 PwMS were analyzed (IG: 34, CG: 30). After rehabilitation, fatigue decreased in both groups. At T2 and T3, fatigue increased again in CG but was improved in IG (p < 0.001). MSIS-29 improved in both groups at T1 but remained improved at T2 and T3 only in IG. Gait improvements were more pronounced in IG at T2. Conclusions: The study provides Class II evidence that the effects of rehabilitation on fatigue, quality of life, and gait can be maintained for 3–6 months with an internet-based physical activity and exercise promotion program. Full article
(This article belongs to the Special Issue Patient-Oriented Exercise Interventions)
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15 pages, 1189 KiB  
Article
A Practical Approach to Using Integrated Knowledge Translation to Inform a Community-Based Exercise Study
by Kirsten Suderman, Naomi Dolgoy, Janice Yurick, Christopher Sellar, Kathryn Nishimura, S. Nicole Culos-Reed, Anil A. Joy and Margaret L. McNeely
Int. J. Environ. Res. Public Health 2020, 17(11), 3911; https://doi.org/10.3390/ijerph17113911 - 1 Jun 2020
Cited by 13 | Viewed by 3411
Abstract
Background: Our aim was to understand cancer survivor needs prior to, and following the Alberta Cancer Exercise (ACE) pilot randomized trial as a means to inform implementation of a province-wide cancer-specific, community-based exercise program. Methods: Questionnaires and semi-structured stakeholder engagement sessions were conducted [...] Read more.
Background: Our aim was to understand cancer survivor needs prior to, and following the Alberta Cancer Exercise (ACE) pilot randomized trial as a means to inform implementation of a province-wide cancer-specific, community-based exercise program. Methods: Questionnaires and semi-structured stakeholder engagement sessions were conducted with cancer survivors to explore preferences, barriers and facilitators/benefits at two timepoints: (1) pre-ACE: prior to initiation of the ACE pilot trial (n = 13 survivors and n = 5 caregivers); and (2) post-ACE: following participation in the ACE pilot trial (n = 20 survivors). Descriptive statistics were used to summarize quantitative data from questionnaires. Stakeholder engagement data were analyzed using a framework analysis approach. Emergent themes were then mapped to actionable outcomes. Results: Pre-ACE, survivors indicated a preference for exercise programs that were (1) supervised by exercise specialists knowledgeable about cancer, (2) included support from other health care providers, (3) were held in community locations that were easily accessible. Post-ACE, participants identified (1) a lack of exercise counseling from health care providers, (2) the need for earlier introduction of exercise in the care pathway, and (3) supported referral to exercise programming. Conclusions: An integrated knowledge translation approach identified actionable outcomes to address survivor needs related to exercise in clinical cancer and community-based contexts. Full article
(This article belongs to the Special Issue Patient-Oriented Exercise Interventions)
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