TY  - JOUR
A1  - Puschmann, Anne-Katrin
A1  - Lin, Chiao-I
A1  - Wippert, Pia-Maria
T1  - Sustainability of a motor control exercise intervention
BT  - Analysis of long-term effects in a low back pain study
JF  - Frontiers in sports and active living
N2  - Development of chronic pain after a low back pain episode is associated with increased pain sensitivity, altered pain processing mechanisms and the influence of psychosocial factors. Although there is some evidence that multimodal therapy (such as behavioral or motor control therapy) may be an important therapeutic strategy, its long-term effect on pain reduction and psychosocial load is still unclear. Prospective longitudinal designs providing information about the extent of such possible long-term effects are missing. This study aims to investigate the long-term effects of a homebased uni- and multidisciplinary motor control exercise program on low back pain intensity, disability and psychosocial variables. 14 months after completion of a multicenter study comparing uni- and multidisciplinary exercise interventions, a sample of one study center (n = 154) was assessed once more. Participants filled in questionnaires regarding their low back pain symptoms (characteristic pain intensity and related disability), stress and vital exhaustion (short version of the Maastricht Vital Exhaustion Questionnaire), anxiety and depression experiences (the Hospital and Anxiety Depression Scale), and pain-related cognitions (the Fear Avoidance Beliefs Questionnaire). Repeated measures mixed ANCOVAs were calculated to determine the long-term effects of the interventions on characteristic pain intensity and disability as well as on the psychosocial variables. Fifty four percent of the sub-sample responded to the questionnaires (n = 84). Longitudinal analyses revealed a significant long-term effect of the exercise intervention on pain disability. The multidisciplinary group missed statistical significance yet showed a medium sized long-term effect. The groups did not differ in their changes of the psychosocial variables of interest. There was evidence of long-term effects of the interventions on pain-related disability, but there was no effect on the other variables of interest. This may be partially explained by participant's low comorbidities at baseline. Results are important regarding costless homebased alternatives for back pain patients and prevention tasks. Furthermore, this study closes the gap of missing long-term effect analysis in this field.
KW  - MiSpEx
KW  - low back pain
KW  - long-term effects
KW  - multidisciplinary intervention
KW  - sustainability
Y1  - 2021
U6  - https://doi.org/10.3389/fspor.2021.659982
SN  - 2624-9367
VL  - 3
SP  - 1
EP  - 8
PB  - Frontiers Media
CY  - Lausanne, Schweiz
ER  - 
TY  - JOUR
A1  - Zech, Philipp
A1  - Perez Chaparro, Camilo Germán Alberto
A1  - Schuch, Felipe
A1  - Wolfarth, Bernd
A1  - Rapp, Michael Armin
A1  - Heissel, Andreas
T1  - Effects of Aerobic and Resistance Exercise on Cardiovascular Parameters for People Living With HIV
BT  - a Meta-analysis
JF  - JANAC-Journal of the Association of Nurses in AIDS Care
N2  - People living with HIV (PLWH) have limited exercise capacity because of anemia, neuromuscular disorders, and pulmonary limitations. We used a meta-analysis to examine the effect of aerobic and resistance exercise alone and in combination on cardiovascular parameters. Subgroup meta-analyses were conducted and long-term effects of exercise were investigated. A systematic literature search was conducted up to July/August 2017. The Physiotherapy Evidence Database-scale was used to rate quality and assess the risk of bias on the papers. Standardized mean differences (SMDs) were calculated to assess the effect of exercise. Posttreatment comparison between the exercise and control groups revealed moderate and large effect sizes in favor of the intervention group for VO2max (SMD50.66, p < .0001) and the 6-minute walk test (SMD = 1.11, p = .0001). Exercise had a positive effect on cardiovascular parameters in PLWH. Exercise can be a prevention factor for PLWH dealing with multiple comorbidities.
KW  - aerobic exercise
KW  - cardiovascular
KW  - HIV
KW  - long-term effects
KW  - physical exercise
KW  - resistance training
Y1  - 2019
U6  - https://doi.org/10.1097/JNC.0000000000000006
SN  - 1055-3290
SN  - 1552-6917
VL  - 30
IS  - 2
SP  - 186
EP  - 205
PB  - Lippincott Williams & Wilkins
CY  - Philadelphia
ER  -