EFFECTIVENESS OF AN UPPER EXTREMITY EXERCISE DEVICE AND TEXT MESSAGE REMINDERS TO EXERCISE IN ADULTS WITH SPINA BIFIDA: A PILOT STUDY
Identifieur interne : 003869 ( Pmc/Corpus ); précédent : 003868; suivant : 003870EFFECTIVENESS OF AN UPPER EXTREMITY EXERCISE DEVICE AND TEXT MESSAGE REMINDERS TO EXERCISE IN ADULTS WITH SPINA BIFIDA: A PILOT STUDY
Auteurs : Theresa M. Crytzer ; Brad E. Dicianno ; Andrea D. FairmanSource :
- Assistive technology : the official journal of RESNA [ 1040-0435 ] ; 2013.
Abstract
Obesity, deconditioning, cognitive impairment, and poor exercise tolerance are health issues concerning adults with spina bifida (SB). Our aim is to describe exercise participation and identify motivating tactics and exercise devices that increase participation.
In a quasi-experimental randomized crossover design, the GameCycle was compared to a Saratoga Silver I arm ergometer. Personalized free or low cost text/voice message reminders to exercise were sent.
Nineteen young adults with SB were assigned to either the GameCycle or Saratoga exercise group. Within each group, participants were randomized to receive reminders to exercise, or no reminders, then crossed over to the opposite message group after eight weeks. Before and after a 16 week exercise program we collected anthropometric, metabolic, exercise testing and questionnaire data, and recorded participation.
Miles traveled by the GameCycle group were significantly higher than the Saratoga exercise groups. No significant differences were found in participation between the message reminder groups. Low participation rates were seen overall.
Those using the GameCycle traveled more miles. Barriers to exercise participation may have superseded ability to motivate adults with SB to exercise even with electronic reminders. Support from therapists to combat deconditioning and develop coping skills may be needed.
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PubMed: 24620701
PubMed Central: 3955014
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PMC:3955014Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">EFFECTIVENESS OF AN UPPER EXTREMITY EXERCISE DEVICE AND TEXT MESSAGE REMINDERS TO EXERCISE IN ADULTS WITH SPINA BIFIDA: A PILOT STUDY</title>
<author><name sortKey="Crytzer, Theresa M" sort="Crytzer, Theresa M" uniqKey="Crytzer T" first="Theresa M." last="Crytzer">Theresa M. Crytzer</name>
<affiliation><nlm:aff id="A1">Veterans Affairs Pittsburgh Healthcare System, Human Engineering Research Laboratories; University of Pittsburgh School of Medicine, Department of Physical Medicine and Rehabilitation</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A3">Center for Assistive Technology</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A4">University of Pittsburgh, School of Health and Rehabilitation Sciences, Rehabilitation Science and Technology</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dicianno, Brad E" sort="Dicianno, Brad E" uniqKey="Dicianno B" first="Brad E." last="Dicianno">Brad E. Dicianno</name>
<affiliation><nlm:aff id="A1">Veterans Affairs Pittsburgh Healthcare System, Human Engineering Research Laboratories; University of Pittsburgh School of Medicine, Department of Physical Medicine and Rehabilitation</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Adult Spina Bifida Clinic</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A3">Center for Assistive Technology</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A4">University of Pittsburgh, School of Health and Rehabilitation Sciences, Rehabilitation Science and Technology</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fairman, Andrea D" sort="Fairman, Andrea D" uniqKey="Fairman A" first="Andrea D." last="Fairman">Andrea D. Fairman</name>
<affiliation><nlm:aff id="A4">University of Pittsburgh, School of Health and Rehabilitation Sciences, Rehabilitation Science and Technology</nlm:aff>
</affiliation>
</author>
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<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3955014</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">EFFECTIVENESS OF AN UPPER EXTREMITY EXERCISE DEVICE AND TEXT MESSAGE REMINDERS TO EXERCISE IN ADULTS WITH SPINA BIFIDA: A PILOT STUDY</title>
<author><name sortKey="Crytzer, Theresa M" sort="Crytzer, Theresa M" uniqKey="Crytzer T" first="Theresa M." last="Crytzer">Theresa M. Crytzer</name>
<affiliation><nlm:aff id="A1">Veterans Affairs Pittsburgh Healthcare System, Human Engineering Research Laboratories; University of Pittsburgh School of Medicine, Department of Physical Medicine and Rehabilitation</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A3">Center for Assistive Technology</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A4">University of Pittsburgh, School of Health and Rehabilitation Sciences, Rehabilitation Science and Technology</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dicianno, Brad E" sort="Dicianno, Brad E" uniqKey="Dicianno B" first="Brad E." last="Dicianno">Brad E. Dicianno</name>
<affiliation><nlm:aff id="A1">Veterans Affairs Pittsburgh Healthcare System, Human Engineering Research Laboratories; University of Pittsburgh School of Medicine, Department of Physical Medicine and Rehabilitation</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Adult Spina Bifida Clinic</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A3">Center for Assistive Technology</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A4">University of Pittsburgh, School of Health and Rehabilitation Sciences, Rehabilitation Science and Technology</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fairman, Andrea D" sort="Fairman, Andrea D" uniqKey="Fairman A" first="Andrea D." last="Fairman">Andrea D. Fairman</name>
<affiliation><nlm:aff id="A4">University of Pittsburgh, School of Health and Rehabilitation Sciences, Rehabilitation Science and Technology</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Assistive technology : the official journal of RESNA</title>
<idno type="ISSN">1040-0435</idno>
<imprint><date when="2013">2013</date>
</imprint>
</series>
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<profileDesc><textClass></textClass>
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</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">Obesity, deconditioning, cognitive impairment, and poor exercise tolerance are health issues concerning adults with spina bifida (SB). Our aim is to describe exercise participation and identify motivating tactics and exercise devices that increase participation.</p>
</sec>
<sec id="S2"><title>Design</title>
<p id="P2">In a quasi-experimental randomized crossover design, the GameCycle was compared to a Saratoga Silver I arm ergometer. Personalized free or low cost text/voice message reminders to exercise were sent.</p>
</sec>
<sec id="S3"><title>Methods</title>
<p id="P3">Nineteen young adults with SB were assigned to either the GameCycle or Saratoga exercise group. Within each group, participants were randomized to receive reminders to exercise, or no reminders, then crossed over to the opposite message group after eight weeks. Before and after a 16 week exercise program we collected anthropometric, metabolic, exercise testing and questionnaire data, and recorded participation.</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">Miles traveled by the GameCycle group were significantly higher than the Saratoga exercise groups. No significant differences were found in participation between the message reminder groups. Low participation rates were seen overall.</p>
</sec>
<sec id="S5"><title>Conclusions</title>
<p id="P5">Those using the GameCycle traveled more miles. Barriers to exercise participation may have superseded ability to motivate adults with SB to exercise even with electronic reminders. Support from therapists to combat deconditioning and develop coping skills may be needed.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8917250</journal-id>
<journal-id journal-id-type="pubmed-jr-id">2015</journal-id>
<journal-id journal-id-type="nlm-ta">Assist Technol</journal-id>
<journal-id journal-id-type="iso-abbrev">Assist Technol</journal-id>
<journal-title-group><journal-title>Assistive technology : the official journal of RESNA</journal-title>
</journal-title-group>
<issn pub-type="ppub">1040-0435</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24620701</article-id>
<article-id pub-id-type="pmc">3955014</article-id>
<article-id pub-id-type="manuscript">NIHMS530671</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>EFFECTIVENESS OF AN UPPER EXTREMITY EXERCISE DEVICE AND TEXT MESSAGE REMINDERS TO EXERCISE IN ADULTS WITH SPINA BIFIDA: A PILOT STUDY</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Crytzer</surname>
<given-names>Theresa M.</given-names>
</name>
<degrees>DPT, ATP</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A3">3</xref>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dicianno</surname>
<given-names>Brad E.</given-names>
</name>
<degrees>MD, MS</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fairman</surname>
<given-names>Andrea D.</given-names>
</name>
<degrees>MOT, OTR/L, CPRP</degrees>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Veterans Affairs Pittsburgh Healthcare System, Human Engineering Research Laboratories; University of Pittsburgh School of Medicine, Department of Physical Medicine and Rehabilitation</aff>
<aff id="A2"><label>2</label>
Adult Spina Bifida Clinic</aff>
<aff id="A3"><label>3</label>
Center for Assistive Technology</aff>
<aff id="A4"><label>4</label>
University of Pittsburgh, School of Health and Rehabilitation Sciences, Rehabilitation Science and Technology</aff>
<aff id="A5"><label>5</label>
Philadelphia University, Department of Occupational Therapy</aff>
<pub-date pub-type="nihms-submitted"><day>27</day>
<month>11</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub"><season>Winter</season>
<year>2013</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>15</day>
<month>3</month>
<year>2014</year>
</pub-date>
<volume>25</volume>
<issue>4</issue>
<fpage>181</fpage>
<lpage>193</lpage>
<abstract><sec id="S1"><title>Background</title>
<p id="P1">Obesity, deconditioning, cognitive impairment, and poor exercise tolerance are health issues concerning adults with spina bifida (SB). Our aim is to describe exercise participation and identify motivating tactics and exercise devices that increase participation.</p>
</sec>
<sec id="S2"><title>Design</title>
<p id="P2">In a quasi-experimental randomized crossover design, the GameCycle was compared to a Saratoga Silver I arm ergometer. Personalized free or low cost text/voice message reminders to exercise were sent.</p>
</sec>
<sec id="S3"><title>Methods</title>
<p id="P3">Nineteen young adults with SB were assigned to either the GameCycle or Saratoga exercise group. Within each group, participants were randomized to receive reminders to exercise, or no reminders, then crossed over to the opposite message group after eight weeks. Before and after a 16 week exercise program we collected anthropometric, metabolic, exercise testing and questionnaire data, and recorded participation.</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">Miles traveled by the GameCycle group were significantly higher than the Saratoga exercise groups. No significant differences were found in participation between the message reminder groups. Low participation rates were seen overall.</p>
</sec>
<sec id="S5"><title>Conclusions</title>
<p id="P5">Those using the GameCycle traveled more miles. Barriers to exercise participation may have superseded ability to motivate adults with SB to exercise even with electronic reminders. Support from therapists to combat deconditioning and develop coping skills may be needed.</p>
</sec>
</abstract>
<kwd-group><kwd>Spina Bifida</kwd>
<kwd>Myelomeningocele</kwd>
<kwd>Upper Extremity</kwd>
<kwd>Arm Ergometry</kwd>
<kwd>Exercise Test</kwd>
<kwd>Exercise</kwd>
<kwd>Physical Activity</kwd>
<kwd>Hydrocephalus</kwd>
<kwd>Cognition</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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