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Does outpatient physical therapy with the aim of improving health-related physical fitness influence the level of physical activity in patients with long-term musculoskeletal conditions?

  • I. Holm
    Affiliations
    Division of Surgery and Clinical Neuroscience, Orthopaedic Department, Section of Research, Oslo University Hospital, Oslo, Norway

    Institute of Health and Society, Medical Faculty, University of Oslo, P.O. Box 1089, Blindern, NO-0318 Oslo, Norway
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  • A.T. Tveter
    Correspondence
    Corresponding author at: University of Oslo, Institute of Health and Society, Pb 1089 Blindern, N-0317 Oslo, Norway. Tel.: +47 91115550.
    Affiliations
    Institute of Health and Society, Medical Faculty, University of Oslo, P.O. Box 1089, Blindern, NO-0318 Oslo, Norway
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  • T. Moseng
    Affiliations
    Institute of Health and Society, Medical Faculty, University of Oslo, P.O. Box 1089, Blindern, NO-0318 Oslo, Norway
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  • H. Dagfinrud
    Affiliations
    Institute of Health and Society, Medical Faculty, University of Oslo, P.O. Box 1089, Blindern, NO-0318 Oslo, Norway

    National Resource Center for Rehabilitation in Rheumatology, Diakonhjemmets Hospital, P.O. Box 23, Vinderen, NO-0319 Oslo, Norway
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Published:December 22, 2014DOI:https://doi.org/10.1016/j.physio.2014.11.005

      Abstract

      Objective

      To evaluate any change in self-reported level of physical activity in patients receiving a general physical exercise programme in addition to disease-specific physiotherapy treatment.

      Design

      Pre–post-intervention study.

      Setting

      Outpatient physiotherapy clinics.

      Participants

      One hundred and ninety patients with long-term musculoskeletal conditions attending outpatient physiotherapy were recruited from seven physiotherapy clinics.

      Interventions

      Physiotherapy including disease-specific modalities and a general individually tailored exercise programme. Patients were evaluated at baseline and at the end of the programme.

      Main outcome measures

      International Physical Activity Questionnaire short form (IPAQ-sf) and COOP WONCA functional assessment charts.

      Results

      Forty-two patients were excluded from the analysis because they did not complete the IPAQ-sf correctly or dropped out during the treatment period. There was a significant increase in the number of metabolic equivalent task (MET)-min/week for vigorous and moderate-intensity activities, walking and total physical activity. The number of exercise sessions per week increased from 1.8 [standard deviation (SD) 0.9] to 2.2 (SD 1.2) (P = 0.001). The proportion of patients with a low level of physical activity decreased by 12%, and the proportion of the participants who did not/could not exercise decreased from 26% to 8%. The COOP WONCA charts showed significant improvements in the physical fitness, feelings, daily activities and social activities items.

      Conclusion

      A significant increase was found in the number of MET-min/week for all activity levels. Therefore, a general physical exercise programme initiated by a physiotherapist led to a positive change in level of physical activity.

      Keywords

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