Physical dose of therapeutic exercises in institutional neck rehabilitation
Wasenius, N., Karapalo, T., Sjögren, T., Pekkonen, M., & Mälkiä, E. (2013). Physical dose of therapeutic exercises in institutional neck rehabilitation. Journal of Rehabilitation Medicine, 45 (3), 300-307. doi:10.2340/16501977-1118
Published in
Journal of Rehabilitation MedicineDate
2013Discipline
FysioterapiaCopyright
© 2013 The Authors. Journal Compilation © 2013 Foundation of Rehabilitation Information
Objective: To determine the intensity and volume of therapeutic
exercises during a standard 13-day inpatient neck rehabilitation
course in relation to overall physical activity in
rehabilitation and everyday life.
Design: Cross-sectional study.
Methods: Subjects (n=19; 16 women and 3 men; mean age
48.6 years, standard deviation (SD) 6.6) with chronic nonspecific
neck pain were recruited from two inpatient neck
rehabilitation courses. Intensity and volume of therapeutic
exercises and physical activity were measured in metabolic
equivalents (METs) with an objective measurement device
and all-time recall questionnaire. Maximum oxygen uptake
was determined in METs (METc) by direct maximal cycle
ergometer.
Results: Subjects’ mean METc was 7.2 METs (SD 1.4) or
25.3 ml/kg/min (SD 4.8). Intensity of all therapeutic exercises
was 1.9 METs or 27 %METc (SD 5.1) and volume 7.7
MET-hours/week. Intensity of specific neck and shoulder exercises
was 2.0 METs or 28 %METc (SD 5.4) and volume 2.5
MET-hours/week. In addition, subjects were more active in
everyday life than in inpatient rehabilitation.
Conclusion: The therapeutic exercise dose failed to reach
previously reported target values for pain relief. The dose
of therapeutic exercises and confounding physical activity
should be carefully controlled in pain rehabilitation programmes.
...


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