57803
2022
2022
deu
20
25
6
01
38
article
Thieme
Stuttgart
Arbeitsgrp ReMove-It
1
2022-02-21
2022-02-21
--
Akzeptanz und Nutzung eines telemedizinischen Rehabilitationsprogramms für Patienten mit Knie- oder Hüft-Totalendoprothese
Objective of the study: The long-term use of telemedical programs depends not only on their effectiveness, but also on patient acceptance and satisfaction. The effectiveness of telemedical exercise therapy for patients after implantation of a total knee or hip prosthesis and subsequent rehabilitation has already been examined in a randomized controlled study. This article focuses on the patient's acceptance and usage behaviour with regard to the tele-rehabilitation system.
Methodology: 48 patients (53 +/- 7 years; 26 women; 35 hip/13 knee TEP) were questioned after a three-month telemedical movement therapy using the Telehealth Usability Questionnaire (TUQ) to determine the acceptance of the technology. The questionnaire consisted of 21 items (seven-point Likert scale) in six scales (e. g. usefulness, quality of interactions, reliability). System-specific questions were summarized on an additional scale. The results were presented as a percentage of the scale (100 estimates complete agreement). The usage behaviour was examined using system-generated process data for training and integrated voice/text messages.
Results: The TUQ scales "Usefulness" (Mdn 95.2) and "Ease of use and learnability" (Mdn 92.9) were rated the highest, while "Reliability" (Mdn 57.1) and "Quality of interactions" ( Mdn 71.4) showed the lowest levels. The system-specific scale was placed in the upper quartile (Mdn 85.7).
In the first week, 39 patients (81%) and in the second 45 patients (94%) performed at least one training exercise with the system. The proportion of active patients (>= 1 exercise/week) decreased in the further course to 75% (n=36) in the 7th week and 48% (n=23) in the 12th week. The system communication options were initially used frequently after the start of therapy: in the first week, 42 patients (88%) sent messages, 47 patients (98%) received messages from their therapist respectively. In week 7, 9 (19%) and 13 (27%) patients sent/received messages via the system respectively.
Conclusion: Most of the patients perceived telemedical movement therapy as useful and user-friendly and seemed to be largely satisfied with the system. This proved to be well suited for short-term use of 6 to 8 weeks following subsequent rehabilitation.
Ziel der Studie: Die langfristige Nutzung telemedizinischer Angebote hängt nicht nur von deren Wirksamkeit, sondern auch von der Akzeptanz und Zufriedenheit der Patienten ab. Für eine telemedizinische Bewegungstherapie für Patienten nach Implantation einer Knie- oder Hüft-Totalendoprothese und erfolgter Anschlussrehabilitation wurde die Wirksamkeit bereits in einer randomisiert kontrollierten Studie untersucht. Dieser Beitrag fokussiert die Akzeptanz und das Nutzungsverhalten der Patienten hinsichtlich des eingesetzten telerehabilitativen Systems.
Methodik: Zur Erfassung der Technikakzeptanz wurden 48 Patienten (53±7 Jahre; 26 Frauen; 35 Hüft-/13 Knie-TEP) im Anschluss an eine dreimonatige telemedizinische Bewegungstherapie mittels des Telehealth Usability Questionnaire befragt. Der Fragebogen besteht aus 21 Items (siebenstufige Likert-Skala) in sechs Skalen (z. B. Nützlichkeit, Qualität der Interaktionen, Verlässlichkeit). In einer zusätzlichen Skala wurden systemspezifische Fragen zusammengefasst. Die Ergebnisse wurden als Skalenprozent (100 ≙ vollkommene Zustimmung) dargestellt. Das Nutzungsverhalten wurde anhand systemgenerierter Prozessdaten zum Training sowie zu integrierten Sprach-/Textnachrichten untersucht.
Ergebnisse: Die TUQ-Skalen „Nützlichkeit“ (Mdn 95,2) sowie „Benutzerfreundlichkeit und Erlernbarkeit“ (Mdn 92,9) wurden am höchsten bewertet, während die „Verlässlichkeit“ (Mdn 57,1) und „Qualität der Interaktionen“ (Mdn 71,4) die geringsten Ausprägungen zeigten. Die systemspezifische Skala wurde im oberen Quartil eingeordnet (Mdn 85,7).
In der ersten Woche führten 39 Patienten (81%), in der zweiten 45 Patienten (94%) mindestens eine Trainingsübung mit dem System durch. Der Anteil aktiver Patienten (≥1 Übung/Woche) reduzierte sich im weiteren Verlauf auf 75% (n=36) in der 7. Woche und 48% (n=23) in der 12. Woche. Die systemeigenen Kommunikationsmöglichkeiten wurden nach Therapiestart zunächst häufig genutzt: in der ersten Woche sendeten 42 Patienten (88%) Nachrichten, 47 Patienten (98%) erhielten Nachrichten von ihrem Therapeuten. In der 7. Woche sendeten/erhielten 9 (19%) bzw. 13 (27%) Patienten Nachrichten über das System.
Schlussfolgerung: Die Patienten nahmen die telemedizinische Bewegungstherapie überwiegend als nützlich und benutzerfreundlich wahr und schienen im Wesentlichen mit dem System zufrieden, das sich damit für den kurzfristigen Einsatz von 6 bis 8 Wochen im Anschluss an eine Anschlussrehabilitation als gut geeignet zeigte.
Bewegungstherapie und Gesundheitssport : B & G ; offizielles Organ des Deutschen Verbandes für Gesundheitssport und Sporttherapie e.V. (DVGS)
Acceptance and use of a telemedical rehabilitation program for patients with total knee or hip replacement
10.1055/a-1714-3629
1613-0863
1613-3269
outputup:dataSource:WoS:2022
WOS:000758389900004
Salzwedel, A (corresponding author), Univ Potsdam, Fak Gesundheitswissensch Brandenburg, Rehabil Med, Neuen Palais 10,Haus 12, D-14469 Potsdam, Germany., annett.salzwedel@fgw-brandenburg.de
Salzwedel, Annett
2023-02-06T10:12:02+00:00
sword
importub
filename=package.tar
a84ade3df2d3d7cc962ac11727bcf439
2136938-0
2141948-6
false
true
Miralem Hadzic
Sarah Eichler
Heinz Völler
Annett Salzwedel
eng
uncontrolled
Telemedicine
eng
uncontrolled
tele-rehabilitation
eng
uncontrolled
acceptance
eng
uncontrolled
use
eng
uncontrolled
orthopaedic
eng
uncontrolled
rehabilitation
deu
uncontrolled
Telemedizin
deu
uncontrolled
Telerehabilitation
deu
uncontrolled
Akzeptanz
deu
uncontrolled
Nutzung
deu
uncontrolled
orthopädische Rehabilitation
Medizin und Gesundheit
Spiele und Freizeitaktivitäten für drinnen
Sportarten, Sportspiele
Referiert
Department Sport- und Gesundheitswissenschaften
Import
58192
2022
eng
359
363
5
92
article
Elsevier Science
Amsterdam
1
2021-12-11
2022-02-01
--
Test-retest reliability of center of pressure measures for postural control assessment in older cardiac patients
Background
Elderly patients are a growing population in cardiac rehabilitation (CR). As postural control declines with age, assessment of impaired balance is important in older CR patients in order to predict fall risk and to initiate counteracting steps. Functional balance tests are subjective and lack adequate sensitivity to small differences, and are further subject to ceiling effects. A quantitative approach to measure postural control on a continuous scale is therefore desirable. Force plates are already used for this purpose in other clinical contexts, therefore could be a promising tool also for older CR patients. However, in this population the reliability of the assessment is not fully known.
Research question
Analysis of test-retest reliability of center of pressure (CoP) measures for the assessment of postural control using a force plate in older CR patients.
Methods
156 CR patients (> 75 years) were enrolled. CoP measures (path length (PL), mean velocity (MV), and 95% confidence ellipse area (95CEA)) were analyzed twice with an interval of two days in between (bipedal narrow stance, eyes open (EO) and closed (EC), three trials for each condition, 30 s per trial), using a force plate. For test-retest reliability estimation absolute differences (& UDelta;: T0-T1), intraclass correlation coefficients (ICC) with 95% confidence intervals, standard error of measurement and minimal detectable change were calculated.
Results
Under EO condition ICC were excellent for PL and MV (0.95) and good for 95CEA (0.88) with & UDelta; of 10.1 cm (PL), 0.3 cm/sec (MV) and 1.5 cm(2 )(95CEA) respectively. Under EC condition ICC were excellent (> 0.95) for all variables with larger & UDelta; (PL: 21.7 cm; MV: 0.7 cm/sec; 95CEA: 2.4 cm(2))
Significance
In older CR patients, the assessment of CoP measures using a force plate shows good to excellent test retest reliability.
Gait & posture : official journal of Gait and Clinical Movement Analysis Society (GCMAS) and European Society of Movement Analysis in Adults and Children (ESMAC)
10.1016/j.gaitpost.2021.12.011
34920361
0966-6362
1879-2219
outputup:dataSource:WoS:2022
WOS:000792034300018
Salzwedel, A (corresponding author), Univ Potsdam, Fac Hlth Sci Brandenburg, Dept Rehabil Med, Neuen Palais 10, D-14469 Potsdam, Germany., dobberke.fdh@fdst.de; omar.baritello@fgw-brandenburg.de; <br /> m_hadzic@web.de; heinz.voeller@klinikamsee.com; <br /> saraheichler@t-online.de; annett.salzwedel@fgw-brandenburg.de
Salzwedel, Annett
2023-02-27T12:50:47+00:00
sword
importub
filename=package.tar
1e095fd34a8900e5039d08814a4526e5
1500471-5
1162323-8
false
true
Jeanette Dobberke
Omar Baritello
Miralem Hadzic
Heinz Völler
Sarah Eichler
Annett Salzwedel
eng
uncontrolled
Cardiac rehabilitation
eng
uncontrolled
Older patients
eng
uncontrolled
Postural control
eng
uncontrolled
Test-retest
eng
uncontrolled
reliability
eng
uncontrolled
Force plate
Medizin und Gesundheit
Spiele und Freizeitaktivitäten für drinnen
Sportarten, Sportspiele
Referiert
Import
Fakultät für Gesundheitswissenschaften
54957
2021
2022
eng
1
9
9
postprint
Universitätsverlag Potsdam
Potsdam
1
2022-05-10
2022-05-10
--
Whole-Body EMS Superimposed Walking and Nordic Walking on a Treadmill—Determination of Exercise Intensity to Conventional Exercise
Electrical muscle stimulation (EMS) is an increasingly popular training method and has become the focus of research in recent years. New EMS devices offer a wide range of mobile applications for whole-body EMS (WB-EMS) training, e.g., the intensification of dynamic low-intensity endurance exercises through WB-EMS. The present study aimed to determine the differences in exercise intensity between WB-EMS-superimposed and conventional walking (EMS-CW), and CON and WB-EMS-superimposed Nordic walking (WB-EMS-NW) during a treadmill test. Eleven participants (52.0 ± years; 85.9 ± 7.4 kg, 182 ± 6 cm, BMI 25.9 ± 2.2 kg/m2) performed a 10 min treadmill test at a given velocity (6.5 km/h) in four different test situations, walking (W) and Nordic walking (NW) in both conventional and WB-EMS superimposed. Oxygen uptake in absolute (VO2) and relative to body weight (rel. VO2), lactate, and the rate of perceived exertion (RPE) were measured before and after the test. WB-EMS intensity was adjusted individually according to the feedback of the participant. The descriptive statistics were given in mean ± SD. For the statistical analyses, one-factorial ANOVA for repeated measures and two-factorial ANOVA [factors include EMS, W/NW, and factor combination (EMS*W/NW)] were performed (α = 0.05). Significant effects were found for EMS and W/NW factors for the outcome variables VO2 (EMS: p = 0.006, r = 0.736; W/NW: p < 0.001, r = 0.870), relative VO2 (EMS: p < 0.001, r = 0.850; W/NW: p < 0.001, r = 0.937), and lactate (EMS: p = 0.003, r = 0.771; w/NW: p = 0.003, r = 0.764) and both the factors produced higher results. However, the difference in VO2 and relative VO2 is within the range of biological variability of ± 12%. The factor combination EMS*W/NW is statistically non-significant for all three variables. WB-EMS resulted in the higher RPE values (p = 0.035, r = 0.613), RPE differences for W/NW and EMS*W/NW were not significant. The current study results indicate that WB-EMS influences the parameters of exercise intensity. The impact on exercise intensity and the clinical relevance of WB-EMS-superimposed walking (WB-EMS-W) exercise is questionable because of the marginal differences in the outcome variables.
Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe
10.25932/publishup-54957
urn:nbn:de:kobv:517-opus4-549575
1866-8364
715417
Version of record
Verch, Ronald
<a href="http://publishup.uni-potsdam.de/opus4-ubp/frontdoor/index/index/docId/54956">Bibliographieeintrag der Originalveröffentlichung/Quelle</a>
false
true
CC-BY - Namensnennung 4.0 International
Ronald Verch
Josefine Stoll
Miralem Hadzic
Andrew Quarmby
Heinz Völler
Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe
760
eng
uncontrolled
electrical muscle stimulation
eng
uncontrolled
walking
eng
uncontrolled
Nordic walking
eng
uncontrolled
treadmill
eng
uncontrolled
exercise intensity
Psychologie
open_access
Department Psychologie
Green Open-Access
Universität Potsdam
https://publishup.uni-potsdam.de/files/54957/phr760.pdf
54956
2021
2021
eng
1
9
9
12
article
Frontiers Research Foundation
Lausanne, Schweiz
1
2021-10-04
2021-10-04
--
Whole-Body EMS Superimposed Walking and Nordic Walking on a Treadmill—Determination of Exercise Intensity to Conventional Exercise
Electrical muscle stimulation (EMS) is an increasingly popular training method and has become the focus of research in recent years. New EMS devices offer a wide range of mobile applications for whole-body EMS (WB-EMS) training, e.g., the intensification of dynamic low-intensity endurance exercises through WB-EMS. The present study aimed to determine the differences in exercise intensity between WB-EMS-superimposed and conventional walking (EMS-CW), and CON and WB-EMS-superimposed Nordic walking (WB-EMS-NW) during a treadmill test. Eleven participants (52.0 ± years; 85.9 ± 7.4 kg, 182 ± 6 cm, BMI 25.9 ± 2.2 kg/m2) performed a 10 min treadmill test at a given velocity (6.5 km/h) in four different test situations, walking (W) and Nordic walking (NW) in both conventional and WB-EMS superimposed. Oxygen uptake in absolute (VO2) and relative to body weight (rel. VO2), lactate, and the rate of perceived exertion (RPE) were measured before and after the test. WB-EMS intensity was adjusted individually according to the feedback of the participant. The descriptive statistics were given in mean ± SD. For the statistical analyses, one-factorial ANOVA for repeated measures and two-factorial ANOVA [factors include EMS, W/NW, and factor combination (EMS*W/NW)] were performed (α = 0.05). Significant effects were found for EMS and W/NW factors for the outcome variables VO2 (EMS: p = 0.006, r = 0.736; W/NW: p < 0.001, r = 0.870), relative VO2 (EMS: p < 0.001, r = 0.850; W/NW: p < 0.001, r = 0.937), and lactate (EMS: p = 0.003, r = 0.771; w/NW: p = 0.003, r = 0.764) and both the factors produced higher results. However, the difference in VO2 and relative VO2 is within the range of biological variability of ± 12%. The factor combination EMS*W/NW is statistically non-significant for all three variables. WB-EMS resulted in the higher RPE values (p = 0.035, r = 0.613), RPE differences for W/NW and EMS*W/NW were not significant. The current study results indicate that WB-EMS influences the parameters of exercise intensity. The impact on exercise intensity and the clinical relevance of WB-EMS-superimposed walking (WB-EMS-W) exercise is questionable because of the marginal differences in the outcome variables.
Frontiers in physiology / Frontiers Research Foundation
10.3389/fphys.2021.715417
1664-042X
34671269
715417
Verch, Ronald
<a href="https://doi.org/10.25932/publishup-54957">Zweitveröffentlichung in der Schriftenreihe Postprints der Universität Potsdam : Humanwissenschaftliche Reihe ; 760</a>
WOS:000717154500001
2564217-0
Verch, R (corresponding author), Univ Potsdam, Univ Outpatient Clin Potsdam, Dept Sports & Hlth Sci, Clin Exercise Sci, Potsdam, Germany.
CC-BY - Namensnennung 4.0 International
Ronald Verch
Josefine Stoll
Miralem Hadzic
Andrew Quarmby
Heinz Völler
eng
uncontrolled
electrical muscle stimulation
eng
uncontrolled
walking
eng
uncontrolled
Nordic walking
eng
uncontrolled
treadmill
eng
uncontrolled
exercise intensity
Medizin und Gesundheit
Referiert
Publikationsfonds der Universität Potsdam
Department Sport- und Gesundheitswissenschaften
Gold Open-Access
Fakultät für Gesundheitswissenschaften
57837
2020
2020
eng
574
579
6
9
17
article
English China Online Journals, ECOJ
Windsor [u.a.]
1
2020-09-28
2020-09-28
--
Test-retest reliability of the Mini Nutritional Assessment- Short Form (MNA-SF) in older patients undergoing cardiac rehabilitation
Journal of geriatric cardiology
10.11909/j.issn.1671-5411.2020.09.007
33117422
1671-5411
outputup:dataSource:WoS:2020
WOS:000598095300006
Salzwedel, Annett (corresponding author), Univ Potsdam, Fac Hlth Sci Brandenburg, Dept Rehabil Med, Potsdam, Germany., annett.salzwedel@fgw-brandenburg.de
Salzwedel, Annett
2023-02-09T06:27:26+00:00
sword
importub
filename=package.tar
07a71b2760e38f1c6a49fe2fdfe5e065
2421391-3
false
true
Fritz Kather
Miralem Hadzic
Teresa Hehle
Sarah Eichler
Julia Klein
Heinz Völler
Annett Salzwedel
eng
uncontrolled
Cardiac rehabilitation
eng
uncontrolled
Malnutrition
eng
uncontrolled
Octogenarians
eng
uncontrolled
Test-retest
eng
uncontrolled
reliability
Medizin und Gesundheit
Referiert
Department Sport- und Gesundheitswissenschaften
Import
Gold Open-Access
44095
2019
2019
eng
12
2
6
article
jmir rehab
Toronto
1
2019-04-02
2019-04-02
--
The Effectiveness of Telerehabilitation as a Supplement to Rehabilitation in Patients After Total Knee or Hip Replacement
Background: Telerehabilitation can contribute to the maintenance of successful rehabilitation regardless of location and time. The aim of this study was to investigate a specific three-month interactive telerehabilitation routine regarding its effectiveness in assisting patients with physical functionality and with returning to work compared to typical aftercare.
Objective: The aim of the study was to investigate a specific three-month interactive telerehabilitation with regard to effectiveness in functioning and return to work compared to usual aftercare.
Methods: From August 2016 to December 2017, 111 patients (mean 54.9 years old; SD 6.8; 54.3% female) with hip or knee replacement were enrolled in the randomized controlled trial. At discharge from inpatient rehabilitation and after three months, their distance in the 6-minute walk test was assessed as the primary endpoint. Other functional parameters, including health related quality of life, pain, and time to return to work, were secondary endpoints.
Results: Patients in the intervention group performed telerehabilitation for an average of 55.0 minutes (SD 9.2) per week. Adherence was high, at over 75%, until the 7th week of the three-month intervention phase. Almost all the patients and therapists used the communication options. Both the intervention group (average difference 88.3 m; SD 57.7; P=.95) and the control group (average difference 79.6 m; SD 48.7; P=.95) increased their distance in the 6-minute-walk-test. Improvements in other functional parameters, as well as in quality of life and pain, were achieved in both groups. The higher proportion of working patients in the intervention group (64.6%; P=.01) versus the control group (46.2%) is of note.
Conclusions: The effect of the investigated telerehabilitation therapy in patients following knee or hip replacement was equivalent to the usual aftercare in terms of functional testing, quality of life, and pain. Since a significantly higher return-to-work rate could be achieved, this therapy might be a promising supplement to established aftercare.
JMIR Rehabilitation and Assistive Technologies
Randomized Controlled Trial
10.2196/14236
2369-2529
Universität Potsdam
PA 2019_98
2022.94
e14236
<a href=" https://doi.org/10.25932/publishup-44096">Zweitveröffentlichung in der Schriftenreihe Postprints der Universität Potsdam : Humanwissenschaftliche Reihe ; 589</a>
false
false
CC-BY-NC - Namensnennung, nicht kommerziell 4.0 International
Sarah Eichler
Annett Salzwedel
Sophie Rabe
Steffen Mueller
Frank Mayer
Monique Wochatz
Miralem Hadzic
Michael John
Karl Wegscheider
Heinz Völler
eng
uncontrolled
telerehabilitation
eng
uncontrolled
home-based
eng
uncontrolled
total hip replacement
eng
uncontrolled
total knee replacement
eng
uncontrolled
exercise therapy
eng
uncontrolled
aftercare
eng
uncontrolled
rehabilitation
Medizin und Gesundheit
open_access
Strukturbereich Kognitionswissenschaften
Referiert
Publikationsfonds der Universität Potsdam
Open Access
43725
2019
2019
eng
301
308
8
15
article
Dove Medical Press
Albany, Auckland
1
2019-08-14
2019-08-14
--
Patients’ expectations of returning to work, co-morbid disorders and work capacity at discharge from cardiac rehabilitation
Objective: We aimed to characterize patients after an acute cardiac event regarding their negative expectations around returning to work and the impact on work capacity upon discharge from cardiac rehabilitation (CR).
Methods: We analyzed routine data of 884 patients (52±7 years, 76% men) who attended 3 weeks of inpatient CR after an acute coronary syndrome (ACS) or cardiac surgery between October 2013 and March 2015. The primary outcome was their status determining their capacity to work (fit vs unfit) at discharge from CR. Further, sociodemographic data (eg, age, sex, and education level), diagnoses, functional data (eg, exercise stress test and 6-min walking test [6MWT]), the Hospital Anxiety and Depression Scale (HADS) and self-assessment of the occupational prognosis (negative expectations and/or unemployment, Würzburger screening) at admission to CR were considered.
Results: A negative occupational prognosis was detected in 384 patients (43%). Out of these, 368 (96%) expected not to return to work after CR and/or were unemployed before CR at 29% (n=113). Affected patients showed a reduced exercise capacity (bicycle stress test: 100 W vs 118 W, P<0.01; 6MWT: 380 m vs 421 m, P<0.01) and were more likely to receive a depression diagnosis (12% vs 3%, P<0.01), as well as higher levels on the HADS. At discharge from CR, 21% of this group (n=81) were fit for work (vs 35% of patients with a normal occupational prognosis (n=175, P<0.01)). Sick leave before the cardiac event (OR 0.4, 95% CI 0.2–0.6, P<0.01), negative occupational expectations (OR 0.4, 95% CI 0.3–0.7, P<0.01) and depression (OR 0.3, 95% CI 0.1–0.8, P=0.01) reduced the likelihood of achieving work capacity upon discharge. In contrast, higher exercise capacity was positively associated.
Conclusion: Patients with a negative occupational prognosis often revealed a reduced physical performance and suffered from a high psychosocial burden. In addition, patients’ occupational expectations were a predictor of work capacity at discharge from CR. Affected patients should be identified at admission to allow for targeted psychosocial care.
Vascular Health and Risk Management
10.2147/VHRM.S216039
1176-6344
1178-2048
Universität Potsdam
PA 2019_70
1882.58
<a href="https://doi.org/10.25932/publishup-43726">Zweitveröffentlichung in der Schriftenreihe Postprints der Universität Potsdam : Humanwissenschaftliche Reihe ; 574</a>
CC-BY-NC - Namensnennung, nicht kommerziell 4.0 International
Annett Salzwedel
Rona Katharina Reibis
Miralem Hadzic
Hermann Buhlert
Heinz Völler
eng
uncontrolled
cardiac rehabilitation
eng
uncontrolled
return to work
eng
uncontrolled
work capacity
eng
uncontrolled
negative expectation
eng
uncontrolled
occupational prognosis
Medizin und Gesundheit
open_access
Strukturbereich Kognitionswissenschaften
Referiert
Publikationsfonds der Universität Potsdam
Open Access
43726
2019
2019
eng
301
308
8
574
postprint
1
2019-10-30
2019-10-30
--
Patients’ expectations of returning to work, co-morbid disorders and work capacity at discharge from cardiac rehabilitation
Objective: We aimed to characterize patients after an acute cardiac event regarding their negative expectations around returning to work and the impact on work capacity upon discharge from cardiac rehabilitation (CR).
Methods: We analyzed routine data of 884 patients (52±7 years, 76% men) who attended 3 weeks of inpatient CR after an acute coronary syndrome (ACS) or cardiac surgery between October 2013 and March 2015. The primary outcome was their status determining their capacity to work (fit vs unfit) at discharge from CR. Further, sociodemographic data (eg, age, sex, and education level), diagnoses, functional data (eg, exercise stress test and 6-min walking test [6MWT]), the Hospital Anxiety and Depression Scale (HADS) and self-assessment of the occupational prognosis (negative expectations and/or unemployment, Würzburger screening) at admission to CR were considered.
Results: A negative occupational prognosis was detected in 384 patients (43%). Out of these, 368 (96%) expected not to return to work after CR and/or were unemployed before CR at 29% (n=113). Affected patients showed a reduced exercise capacity (bicycle stress test: 100 W vs 118 W, P<0.01; 6MWT: 380 m vs 421 m, P<0.01) and were more likely to receive a depression diagnosis (12% vs 3%, P<0.01), as well as higher levels on the HADS. At discharge from CR, 21% of this group (n=81) were fit for work (vs 35% of patients with a normal occupational prognosis (n=175, P<0.01)). Sick leave before the cardiac event (OR 0.4, 95% CI 0.2–0.6, P<0.01), negative occupational expectations (OR 0.4, 95% CI 0.3–0.7, P<0.01) and depression (OR 0.3, 95% CI 0.1–0.8, P=0.01) reduced the likelihood of achieving work capacity upon discharge. In contrast, higher exercise capacity was positively associated.
Conclusion: Patients with a negative occupational prognosis often revealed a reduced physical performance and suffered from a high psychosocial burden. In addition, patients’ occupational expectations were a predictor of work capacity at discharge from CR. Affected patients should be identified at admission to allow for targeted psychosocial care.
Postprints der Universität Potsdam Humanwissenschaftliche Reihe
10.25932/publishup-43726
urn:nbn:de:kobv:517-opus4-437263
1866-8364
Vascular Health and Risk Management 15 (2019) S. 301–308 DOI: 10.2147/VHRM.S216039
<a href="http://publishup.uni-potsdam.de/43725">Bibliographieeintrag der Originalveröffentlichung/Quelle</a>
CC-BY-NC - Namensnennung, nicht kommerziell 4.0 International
Annett Salzwedel
Rona Katharina Reibis
Miralem Hadzic
Hermann Buhlert
Heinz Völler
Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe
574
eng
uncontrolled
cardiac rehabilitation
eng
uncontrolled
return to work
eng
uncontrolled
work capacity
eng
uncontrolled
negative expectation
eng
uncontrolled
occupational prognosis
Medizin und Gesundheit
open_access
Strukturbereich Kognitionswissenschaften
Referiert
Open Access
Universität Potsdam
https://publishup.uni-potsdam.de/files/43726/phr574.pdf
44096
2019
2019
eng
14
589
postprint
1
2019-12-16
2019-12-16
--
The Effectiveness of Telerehabilitation as a Supplement to Rehabilitation in Patients After Total Knee or Hip Replacement
Background: Telerehabilitation can contribute to the maintenance of successful rehabilitation regardless of location and time. The aim of this study was to investigate a specific three-month interactive telerehabilitation routine regarding its effectiveness in assisting patients with physical functionality and with returning to work compared to typical aftercare.
Objective: The aim of the study was to investigate a specific three-month interactive telerehabilitation with regard to effectiveness in functioning and return to work compared to usual aftercare.
Methods: From August 2016 to December 2017, 111 patients (mean 54.9 years old; SD 6.8; 54.3% female) with hip or knee replacement were enrolled in the randomized controlled trial. At discharge from inpatient rehabilitation and after three months, their distance in the 6-minute walk test was assessed as the primary endpoint. Other functional parameters, including health related quality of life, pain, and time to return to work, were secondary endpoints.
Results: Patients in the intervention group performed telerehabilitation for an average of 55.0 minutes (SD 9.2) per week. Adherence was high, at over 75%, until the 7th week of the three-month intervention phase. Almost all the patients and therapists used the communication options. Both the intervention group (average difference 88.3 m; SD 57.7; P=.95) and the control group (average difference 79.6 m; SD 48.7; P=.95) increased their distance in the 6-minute-walk-test. Improvements in other functional parameters, as well as in quality of life and pain, were achieved in both groups. The higher proportion of working patients in the intervention group (64.6%; P=.01) versus the control group (46.2%) is of note.
Conclusions: The effect of the investigated telerehabilitation therapy in patients following knee or hip replacement was equivalent to the usual aftercare in terms of functional testing, quality of life, and pain. Since a significantly higher return-to-work rate could be achieved, this therapy might be a promising supplement to established aftercare.
Postprints der Universität Potsdam : Humanwissenschaftliche Reihe
Randomized Controlled Trial
10.25932/publishup-44096
urn:nbn:de:kobv:517-opus4-440965
1866-8364
e14236
JMIR Rehabilitation and Assistive Technologies 6 (2019) 2 e14236 DOI: 10.2196/14236
<a href="http://publishup.uni-potsdam.de/44095">Bibliographieeintrag der Originalveröffentlichung/Quelle</a>
false
true
CC-BY-NC - Namensnennung, nicht kommerziell 4.0 International
Sarah Eichler
Annett Salzwedel
Sophie Rabe
Steffen Mueller
Frank Mayer
Monique Wochatz
Miralem Hadzic
Michael John
Karl Wegscheider
Heinz Völler
Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe
589
eng
uncontrolled
telerehabilitation
eng
uncontrolled
home-based
eng
uncontrolled
total hip replacement
eng
uncontrolled
total knee replacement
eng
uncontrolled
exercise therapy
eng
uncontrolled
aftercare
eng
uncontrolled
rehabilitation
Medizin und Gesundheit
open_access
Strukturbereich Kognitionswissenschaften
Referiert
Open Access
Universität Potsdam
https://publishup.uni-potsdam.de/files/44096/phr589_1.pdf
52281
2018
2018
eng
21
22
2
39
other
Oxford Univ. Press
Oxford
1
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2018-08-25
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Impact of self-assessment of return to work on employable discharge from multi-component cardiac rehabilitation
Impact of self-assessment of return to work on employable discharge from multi-component cardiac rehabilitation. Retrospective unicentric analysis of routine data from cardiac rehabilitation in patients below 65 years of age. Presentation in the "Cardiovascular rehabilitation revisited" high impact abstract session during ESC Congress 2018.
European heart journal
0195-668X
1522-9645
wos:2018
European-Society-of-Cardiology Congress
AUG 25-29, 2018
WOS:000459824000062
Munich, GERMANY
2021-10-18T14:40:01+00:00
sword
importub
filename=package.tar
6698c3775196214d49cc9fec4cabf178
Annett Salzwedel
Miralem Hadzic
Hermann Buhlert
Heinz Völler
Medizin und Gesundheit
Department Sport- und Gesundheitswissenschaften
Import