Health-enhancing physical activity interventions in non-ambulatory people with severe motor impairments – a scoping review
AbstractPurpose Non-ambulatory people with severe motor impairments due to chronic neurological diagnoses are forced into a sedentary lifestyle. The purpose of this scoping review was to understand the type and amount of physical activity interventions performed in this population as well as their e...
Ausführliche Beschreibung
Autor*in: |
Eveline S. Graf [verfasserIn] Claudio Perret [verfasserIn] Rob Labruyère [verfasserIn] J. Carsten Möller [verfasserIn] Markus Wirz [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
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2023 |
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In: Annals of Medicine - Taylor & Francis Group, 2021, 55(2023), 1 |
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Übergeordnetes Werk: |
volume:55 ; year:2023 ; number:1 |
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Link aufrufen |
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DOI / URN: |
10.1080/07853890.2023.2219065 |
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Katalog-ID: |
DOAJ097587273 |
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520 | |a AbstractPurpose Non-ambulatory people with severe motor impairments due to chronic neurological diagnoses are forced into a sedentary lifestyle. The purpose of this scoping review was to understand the type and amount of physical activity interventions performed in this population as well as their effect.Methods PubMed, Cochran and CINAHL Complete were systematically searched for articles describing physical activity interventions in people with a chronic, stable central nervous system lesion. The outcome measures needed to include physiological or psychological variables, measures of general health or quality of life.Results Of the initial 7554 articles, 34 were included after the title, abstract, and full-text screening. Only six studies were designed as randomized-controlled trials. Most interventions were supported by technologies, mainly functional electrical stimulation (cycling or rowing). The duration of the intervention ranged from four to 52 weeks. Endurance and strength training interventions (and a combination of both) were performed and over 70% of studies resulted in health improvements.Conclusions Non-ambulatory people with severe motor impairments may benefit from physical activity interventions. However, the number of studies and their comparability is very limited. This indicates the need for future research with standard measures to develop evidence-based, specific recommendations for physical activity in this population.Key messagesPhysical activity interventions can have health benefits in non-ambulatory people with severe motor impairments.Even simple, low-tech interventions allow for health-enhancing training. | ||
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10.1080/07853890.2023.2219065 doi (DE-627)DOAJ097587273 (DE-599)DOAJcfcd1b7b16544056b1398d7b53886d98 DE-627 ger DE-627 rakwb eng Eveline S. Graf verfasserin aut Health-enhancing physical activity interventions in non-ambulatory people with severe motor impairments – a scoping review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AbstractPurpose Non-ambulatory people with severe motor impairments due to chronic neurological diagnoses are forced into a sedentary lifestyle. The purpose of this scoping review was to understand the type and amount of physical activity interventions performed in this population as well as their effect.Methods PubMed, Cochran and CINAHL Complete were systematically searched for articles describing physical activity interventions in people with a chronic, stable central nervous system lesion. The outcome measures needed to include physiological or psychological variables, measures of general health or quality of life.Results Of the initial 7554 articles, 34 were included after the title, abstract, and full-text screening. Only six studies were designed as randomized-controlled trials. Most interventions were supported by technologies, mainly functional electrical stimulation (cycling or rowing). The duration of the intervention ranged from four to 52 weeks. Endurance and strength training interventions (and a combination of both) were performed and over 70% of studies resulted in health improvements.Conclusions Non-ambulatory people with severe motor impairments may benefit from physical activity interventions. However, the number of studies and their comparability is very limited. This indicates the need for future research with standard measures to develop evidence-based, specific recommendations for physical activity in this population.Key messagesPhysical activity interventions can have health benefits in non-ambulatory people with severe motor impairments.Even simple, low-tech interventions allow for health-enhancing training. Physical activity severe motor impairment scoping review nervous system lesion physiology psychology Medicine R Claudio Perret verfasserin aut Rob Labruyère verfasserin aut J. Carsten Möller verfasserin aut Markus Wirz verfasserin aut In Annals of Medicine Taylor & Francis Group, 2021 55(2023), 1 (DE-627)324531095 (DE-600)2028104-3 13652060 nnns volume:55 year:2023 number:1 https://doi.org/10.1080/07853890.2023.2219065 kostenfrei https://doaj.org/article/cfcd1b7b16544056b1398d7b53886d98 kostenfrei https://www.tandfonline.com/doi/10.1080/07853890.2023.2219065 kostenfrei https://doaj.org/toc/0785-3890 Journal toc kostenfrei https://doaj.org/toc/1365-2060 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 55 2023 1 |
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10.1080/07853890.2023.2219065 doi (DE-627)DOAJ097587273 (DE-599)DOAJcfcd1b7b16544056b1398d7b53886d98 DE-627 ger DE-627 rakwb eng Eveline S. Graf verfasserin aut Health-enhancing physical activity interventions in non-ambulatory people with severe motor impairments – a scoping review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AbstractPurpose Non-ambulatory people with severe motor impairments due to chronic neurological diagnoses are forced into a sedentary lifestyle. The purpose of this scoping review was to understand the type and amount of physical activity interventions performed in this population as well as their effect.Methods PubMed, Cochran and CINAHL Complete were systematically searched for articles describing physical activity interventions in people with a chronic, stable central nervous system lesion. The outcome measures needed to include physiological or psychological variables, measures of general health or quality of life.Results Of the initial 7554 articles, 34 were included after the title, abstract, and full-text screening. Only six studies were designed as randomized-controlled trials. Most interventions were supported by technologies, mainly functional electrical stimulation (cycling or rowing). The duration of the intervention ranged from four to 52 weeks. Endurance and strength training interventions (and a combination of both) were performed and over 70% of studies resulted in health improvements.Conclusions Non-ambulatory people with severe motor impairments may benefit from physical activity interventions. However, the number of studies and their comparability is very limited. This indicates the need for future research with standard measures to develop evidence-based, specific recommendations for physical activity in this population.Key messagesPhysical activity interventions can have health benefits in non-ambulatory people with severe motor impairments.Even simple, low-tech interventions allow for health-enhancing training. Physical activity severe motor impairment scoping review nervous system lesion physiology psychology Medicine R Claudio Perret verfasserin aut Rob Labruyère verfasserin aut J. Carsten Möller verfasserin aut Markus Wirz verfasserin aut In Annals of Medicine Taylor & Francis Group, 2021 55(2023), 1 (DE-627)324531095 (DE-600)2028104-3 13652060 nnns volume:55 year:2023 number:1 https://doi.org/10.1080/07853890.2023.2219065 kostenfrei https://doaj.org/article/cfcd1b7b16544056b1398d7b53886d98 kostenfrei https://www.tandfonline.com/doi/10.1080/07853890.2023.2219065 kostenfrei https://doaj.org/toc/0785-3890 Journal toc kostenfrei https://doaj.org/toc/1365-2060 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 55 2023 1 |
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10.1080/07853890.2023.2219065 doi (DE-627)DOAJ097587273 (DE-599)DOAJcfcd1b7b16544056b1398d7b53886d98 DE-627 ger DE-627 rakwb eng Eveline S. Graf verfasserin aut Health-enhancing physical activity interventions in non-ambulatory people with severe motor impairments – a scoping review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AbstractPurpose Non-ambulatory people with severe motor impairments due to chronic neurological diagnoses are forced into a sedentary lifestyle. The purpose of this scoping review was to understand the type and amount of physical activity interventions performed in this population as well as their effect.Methods PubMed, Cochran and CINAHL Complete were systematically searched for articles describing physical activity interventions in people with a chronic, stable central nervous system lesion. The outcome measures needed to include physiological or psychological variables, measures of general health or quality of life.Results Of the initial 7554 articles, 34 were included after the title, abstract, and full-text screening. Only six studies were designed as randomized-controlled trials. Most interventions were supported by technologies, mainly functional electrical stimulation (cycling or rowing). The duration of the intervention ranged from four to 52 weeks. Endurance and strength training interventions (and a combination of both) were performed and over 70% of studies resulted in health improvements.Conclusions Non-ambulatory people with severe motor impairments may benefit from physical activity interventions. However, the number of studies and their comparability is very limited. This indicates the need for future research with standard measures to develop evidence-based, specific recommendations for physical activity in this population.Key messagesPhysical activity interventions can have health benefits in non-ambulatory people with severe motor impairments.Even simple, low-tech interventions allow for health-enhancing training. Physical activity severe motor impairment scoping review nervous system lesion physiology psychology Medicine R Claudio Perret verfasserin aut Rob Labruyère verfasserin aut J. Carsten Möller verfasserin aut Markus Wirz verfasserin aut In Annals of Medicine Taylor & Francis Group, 2021 55(2023), 1 (DE-627)324531095 (DE-600)2028104-3 13652060 nnns volume:55 year:2023 number:1 https://doi.org/10.1080/07853890.2023.2219065 kostenfrei https://doaj.org/article/cfcd1b7b16544056b1398d7b53886d98 kostenfrei https://www.tandfonline.com/doi/10.1080/07853890.2023.2219065 kostenfrei https://doaj.org/toc/0785-3890 Journal toc kostenfrei https://doaj.org/toc/1365-2060 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 55 2023 1 |
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10.1080/07853890.2023.2219065 doi (DE-627)DOAJ097587273 (DE-599)DOAJcfcd1b7b16544056b1398d7b53886d98 DE-627 ger DE-627 rakwb eng Eveline S. Graf verfasserin aut Health-enhancing physical activity interventions in non-ambulatory people with severe motor impairments – a scoping review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AbstractPurpose Non-ambulatory people with severe motor impairments due to chronic neurological diagnoses are forced into a sedentary lifestyle. The purpose of this scoping review was to understand the type and amount of physical activity interventions performed in this population as well as their effect.Methods PubMed, Cochran and CINAHL Complete were systematically searched for articles describing physical activity interventions in people with a chronic, stable central nervous system lesion. The outcome measures needed to include physiological or psychological variables, measures of general health or quality of life.Results Of the initial 7554 articles, 34 were included after the title, abstract, and full-text screening. Only six studies were designed as randomized-controlled trials. Most interventions were supported by technologies, mainly functional electrical stimulation (cycling or rowing). The duration of the intervention ranged from four to 52 weeks. Endurance and strength training interventions (and a combination of both) were performed and over 70% of studies resulted in health improvements.Conclusions Non-ambulatory people with severe motor impairments may benefit from physical activity interventions. However, the number of studies and their comparability is very limited. This indicates the need for future research with standard measures to develop evidence-based, specific recommendations for physical activity in this population.Key messagesPhysical activity interventions can have health benefits in non-ambulatory people with severe motor impairments.Even simple, low-tech interventions allow for health-enhancing training. Physical activity severe motor impairment scoping review nervous system lesion physiology psychology Medicine R Claudio Perret verfasserin aut Rob Labruyère verfasserin aut J. Carsten Möller verfasserin aut Markus Wirz verfasserin aut In Annals of Medicine Taylor & Francis Group, 2021 55(2023), 1 (DE-627)324531095 (DE-600)2028104-3 13652060 nnns volume:55 year:2023 number:1 https://doi.org/10.1080/07853890.2023.2219065 kostenfrei https://doaj.org/article/cfcd1b7b16544056b1398d7b53886d98 kostenfrei https://www.tandfonline.com/doi/10.1080/07853890.2023.2219065 kostenfrei https://doaj.org/toc/0785-3890 Journal toc kostenfrei https://doaj.org/toc/1365-2060 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 55 2023 1 |
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10.1080/07853890.2023.2219065 doi (DE-627)DOAJ097587273 (DE-599)DOAJcfcd1b7b16544056b1398d7b53886d98 DE-627 ger DE-627 rakwb eng Eveline S. Graf verfasserin aut Health-enhancing physical activity interventions in non-ambulatory people with severe motor impairments – a scoping review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier AbstractPurpose Non-ambulatory people with severe motor impairments due to chronic neurological diagnoses are forced into a sedentary lifestyle. The purpose of this scoping review was to understand the type and amount of physical activity interventions performed in this population as well as their effect.Methods PubMed, Cochran and CINAHL Complete were systematically searched for articles describing physical activity interventions in people with a chronic, stable central nervous system lesion. The outcome measures needed to include physiological or psychological variables, measures of general health or quality of life.Results Of the initial 7554 articles, 34 were included after the title, abstract, and full-text screening. Only six studies were designed as randomized-controlled trials. Most interventions were supported by technologies, mainly functional electrical stimulation (cycling or rowing). The duration of the intervention ranged from four to 52 weeks. Endurance and strength training interventions (and a combination of both) were performed and over 70% of studies resulted in health improvements.Conclusions Non-ambulatory people with severe motor impairments may benefit from physical activity interventions. However, the number of studies and their comparability is very limited. This indicates the need for future research with standard measures to develop evidence-based, specific recommendations for physical activity in this population.Key messagesPhysical activity interventions can have health benefits in non-ambulatory people with severe motor impairments.Even simple, low-tech interventions allow for health-enhancing training. Physical activity severe motor impairment scoping review nervous system lesion physiology psychology Medicine R Claudio Perret verfasserin aut Rob Labruyère verfasserin aut J. Carsten Möller verfasserin aut Markus Wirz verfasserin aut In Annals of Medicine Taylor & Francis Group, 2021 55(2023), 1 (DE-627)324531095 (DE-600)2028104-3 13652060 nnns volume:55 year:2023 number:1 https://doi.org/10.1080/07853890.2023.2219065 kostenfrei https://doaj.org/article/cfcd1b7b16544056b1398d7b53886d98 kostenfrei https://www.tandfonline.com/doi/10.1080/07853890.2023.2219065 kostenfrei https://doaj.org/toc/0785-3890 Journal toc kostenfrei https://doaj.org/toc/1365-2060 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 55 2023 1 |
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Graf</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Health-enhancing physical activity interventions in non-ambulatory people with severe motor impairments – a scoping review</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2023</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">AbstractPurpose Non-ambulatory people with severe motor impairments due to chronic neurological diagnoses are forced into a sedentary lifestyle. 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Health-enhancing physical activity interventions in non-ambulatory people with severe motor impairments – a scoping review |
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AbstractPurpose Non-ambulatory people with severe motor impairments due to chronic neurological diagnoses are forced into a sedentary lifestyle. The purpose of this scoping review was to understand the type and amount of physical activity interventions performed in this population as well as their effect.Methods PubMed, Cochran and CINAHL Complete were systematically searched for articles describing physical activity interventions in people with a chronic, stable central nervous system lesion. The outcome measures needed to include physiological or psychological variables, measures of general health or quality of life.Results Of the initial 7554 articles, 34 were included after the title, abstract, and full-text screening. Only six studies were designed as randomized-controlled trials. Most interventions were supported by technologies, mainly functional electrical stimulation (cycling or rowing). The duration of the intervention ranged from four to 52 weeks. Endurance and strength training interventions (and a combination of both) were performed and over 70% of studies resulted in health improvements.Conclusions Non-ambulatory people with severe motor impairments may benefit from physical activity interventions. However, the number of studies and their comparability is very limited. This indicates the need for future research with standard measures to develop evidence-based, specific recommendations for physical activity in this population.Key messagesPhysical activity interventions can have health benefits in non-ambulatory people with severe motor impairments.Even simple, low-tech interventions allow for health-enhancing training. |
abstractGer |
AbstractPurpose Non-ambulatory people with severe motor impairments due to chronic neurological diagnoses are forced into a sedentary lifestyle. The purpose of this scoping review was to understand the type and amount of physical activity interventions performed in this population as well as their effect.Methods PubMed, Cochran and CINAHL Complete were systematically searched for articles describing physical activity interventions in people with a chronic, stable central nervous system lesion. The outcome measures needed to include physiological or psychological variables, measures of general health or quality of life.Results Of the initial 7554 articles, 34 were included after the title, abstract, and full-text screening. Only six studies were designed as randomized-controlled trials. Most interventions were supported by technologies, mainly functional electrical stimulation (cycling or rowing). The duration of the intervention ranged from four to 52 weeks. Endurance and strength training interventions (and a combination of both) were performed and over 70% of studies resulted in health improvements.Conclusions Non-ambulatory people with severe motor impairments may benefit from physical activity interventions. However, the number of studies and their comparability is very limited. This indicates the need for future research with standard measures to develop evidence-based, specific recommendations for physical activity in this population.Key messagesPhysical activity interventions can have health benefits in non-ambulatory people with severe motor impairments.Even simple, low-tech interventions allow for health-enhancing training. |
abstract_unstemmed |
AbstractPurpose Non-ambulatory people with severe motor impairments due to chronic neurological diagnoses are forced into a sedentary lifestyle. The purpose of this scoping review was to understand the type and amount of physical activity interventions performed in this population as well as their effect.Methods PubMed, Cochran and CINAHL Complete were systematically searched for articles describing physical activity interventions in people with a chronic, stable central nervous system lesion. The outcome measures needed to include physiological or psychological variables, measures of general health or quality of life.Results Of the initial 7554 articles, 34 were included after the title, abstract, and full-text screening. Only six studies were designed as randomized-controlled trials. Most interventions were supported by technologies, mainly functional electrical stimulation (cycling or rowing). The duration of the intervention ranged from four to 52 weeks. Endurance and strength training interventions (and a combination of both) were performed and over 70% of studies resulted in health improvements.Conclusions Non-ambulatory people with severe motor impairments may benefit from physical activity interventions. However, the number of studies and their comparability is very limited. This indicates the need for future research with standard measures to develop evidence-based, specific recommendations for physical activity in this population.Key messagesPhysical activity interventions can have health benefits in non-ambulatory people with severe motor impairments.Even simple, low-tech interventions allow for health-enhancing training. |
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