Artrite e movimento

Bewegen ist ein zentrales Element für einen erfolgreichen Umgang mit einer rheumatoiden Arthritis (RA). Bewegen reduziert Schmerzen, Einschränkungen an Gelenken und Muskulatur, verbessert die Alltagsbewältigung, steigert allgemein die Gesundheit, das Wohlbefinden und die Fitness und hat damit einen grossen Einfluss auf die Lebensqualität. Gemäss neuer Forschung kann Bewegen sogar die Entzündung direkt positiv beeinflussen. Bewegen ist Medizin!Bouger est un élément essentiel pour bien gérer la polyarthrite rhumatoïde (PR). L’activité physique atténue les douleurs, améliore la motricité au niveau des muscles et des articulations, ainsi que la gestion du quotidien ou encore la santé, le bien-être et la forme en général, ce qui a donc une grande influence sur la qualité de vie. Selon les recherches récentes, le fait de bouger pourrait même avoir un effet positif directement sur l’inflammation. Bouger, c’est soigner!Il movimento è un tassello fondamentale per gestire efficacemente l’artrite reumatoide (AR). Muoversi riduce i dolori, le limitazioni articolari e muscolari, semplifica lo svolgimento delle attività quotidiane, migliora le condizioni generali di salute, il benessere e la forma fisica ed è pertanto determinante per la qualità di vita. Le più recenti ricerche mostrano che il movimento può addirittura influenzare direttamente e positivamente la flogosi. Muoversi è un toccasana

Transfer of knowledge and skills : learning portfolio in the master of science in physiotherapy (MScPT)

Background: The three-year part-time MSc programme at the Zurich University of Applied Sciences (UAS Zurich) provides physiotherapists with competencies for working as clinical specialists in a specific clinical focus area (e.g. musculoskeletal, paediatrics) and for tasks in evidence-based physiotherapy development and in research. The students transfer the acquired knowledge in research methods and extended physiotherapy skills into practice by completing three 150-hours internships, i.e. in a research setting, in the field of physiotherapy development and in a clinical setting. These internships provide important learning opportunities. To foster the learning process, the students are required to create and manage a learning portfolio, supported by a personal mentor, with whom they meet up over two years, once a semester, for 60-90 minutes per session. In the first meeting the mentor guides the student in analysing his/her own learning process, setting individual goals and developing an action plan in order to reach the goals in the following period. Subsequently the student implements the planned actions on his/her own and reflects on the transfer of his/her knowledge and skills into practice. In the following meetings the student and mentor (re )assess the progress in the attainment of the individual goals, discuss possible barriers and facilitators, individual strengths and weaknesses. Together they set new goals and develop an appropriate action plan for the next semester. The overall average time expenditure per student for the learning portfolio is about 16 hours. Purpose: The purpose of this study was to evaluate whether the learning portfolio and the personal mentorship are adequate methods for supporting the students in their individual learning process. Methods: An online survey, using EvaSys, was performed. The graduates who completed the learning portfolio in 2018 (n=19) were asked to judge the framework of the learning portfolio, i.e. the concept of guided and autonomous learning, the number of meetings with the mentor, the expenditure of time, and its usefulness on a 4-point scale (1=very adequate, 2=adequate, 3= little adequate, 4=not at all adequate). Results: In total, 13 students (68%) answered the questionnaire. Eleven students (84.6%) judged the concept ‘very adequate’ or ‘adequate’. Ten students (76.9%) considered the number of meetings with the mentor as ‘very adequate’ or ‘adequate’. Nine students (69.2%) judged the expenditure of time for the learning portfolio as ‘very adequate’ or ‘adequate’. Ten students (76.9%) rated the usefulness of the learning portfolio with ‘very adequate’ or ‘adequate’. Conclusions: The learning portfolio together with a personal mentor seems to be a powerful tool for the majority of the students. It helps them to reflect on the acquired knowledge and skills and to develop strategies for transferring theory into practice. Implications: The internships and the learning portfolio play an important role in the MSc programme. They contribute to the development of the students and the PT profession alike. In order to increase the number of students who consider the learning portfolio as useful, certain adaptations, e.g. more flexibility regarding the amount of meetings with the mentor, are needed

How can the international clinical guidelines for knee osteoarthritis management be implemented systematically in Switzerland?

Key Messages The challenges: International clinical guidelines for the conservative management of knee osteoarthritis (OA) recommend exercise, education, and weight control (if appropriate) as first-line treatment for all people with knee OA. However, findings from various health care settings have identified an underuse of exercise and education. A recent survey among medical specialists in Switzerland identified an evidence-performance gap, implying that the strong evidence in favour of exercise is not being transferred into clinical practice. On average, only 54% of patients with knee OA were reported to have been referred for specific exercise. The systematic application of structured exercise and education to translate the guideline recommendations into practice would help to overcome this evidence-performance gap in Switzerland. This policy brief summarises the main results from the above-mentioned survey, describes the challenges facing the improvement of conservative disease management (i.e. the systematic application of structured exercise and education) and presents options to address the challenges resulting in three key recommendations. Recommendations: The following describes the three key recommendations for the implementation of the clinical guideline’s recommendation of ‘exercise and education as first-line treatment’ into practice in Switzerland: Translation of guideline recommendations into a specific exercise and education programme Implementing a best-practice exercise and education programme in Switzerland could be a solution to translate the guideline recommendations into practice. There are existing structured exercise and education programmes for knee OA that are already successfully established throughout the world. Facilitation of the systematic application of exercise through standardised treatment pathways The education of health care professionals is important to increase their understanding of the need, the effectiveness and long-term benefits of exercise, as well as the advantages of a structured treatment pathway. This would facilitate the systematic application of exercise and education through standardised treatment pathways. A standardised treatment pathway could could also facilitate an improvement in interprofessional work collaboration. Promotion of the benefits of exercise in the long-term management of chronic diseases: To achieve a paradigm shift from the current situation of simply treating acute symptoms to structured exercise and education and self-management, it is essential to promote the benefits of exercise. The Swiss population should be informed and made aware of the fact that physical inactivity is a risk factor for knee OA related symptoms and that exercise is a beneficial intervention to prevent or improve these symptoms. Implementation considerations: Potential windows of opportunity: • There is high-quality evidence in favour of exercise reducing pain and improving function in people with knee OA. A Cochrane review from 2015 states that further research in this area is unlikely to change the evidence that exercise is beneficial for knee pain and physical function.1 • Financial pressure for cost-effective health care management. • Increased awareness of health and cost benefits of exercise for non-comunicable diseases, e.g. knee OA. • Existing exercise and education programmes for people with knee OA established throughout the world

Loss of abdominal fat and improvement of the cardiovascular risk profile by regular moderate exercise training in patients with NIDDM

Erworben im Rahmen der Schweizer Nationallizenzen (http://www.nationallizenzen.ch

Active over 45: a step-up jogging programme for inactive female hospital staff members aged 45+

Background: Inactive individuals face motivational obstacles for becoming and remaining physically active. Therefore, sustainable physical activity promotion programmes tailored to reach inactive individuals are needed. The aim of this study was to test the role of motivation and the effect and feasibility of a training programme. Methods: We enrolled physically inactive female hospital staff members aged 45 and older in an uncontrolled exercise trial. Follow-up assessments were at 3 and 12 months. The primary outcome was running distance (Cooper test). Secondary outcomes were level of physical activity (Freiburger Physical Activity Questionnaire) and body mass index. Results: Out of 1249 female hospital staff, 275 classified themselves as inactive and 250 (91%) of them were interested in the exercise programme. Of these, 68 (27%; mean age 53.2 years) agreed to participate in our study and 47 (69%) completed the programme. Average running distance increased by 255.70 m [95% confidence interval (CI) 208.09-303.31] at 3-month follow-up with a sustained benefit at 12-month follow-up (194.02; 95% CI 143.75-244.47). Physical activity level increased by 1152.52 kcal week−1 (95% CI 703.73-1601.32) at 3 months with a sustained benefit (1279.10 kcal week−1, 95% CI 826.80-1731.40) after 12 months. Notably, baseline motivation to become physically active was not associated with change in physical performance or physical activity level during the programme. Conclusion: The 3-month step-up jogging programme is a feasible and effective exercise intervention for physically inactive, middle-aged female hospital staff members. The intervention leads to sustained benefits independently of motivation to become more physically activ

Active over 45 : a step-up jogging programme for inactive female hospital staff members aged 45+

Erworben im Rahmen der Schweizer Nationallizenzen (http://www.nationallizenzen.ch) © The Author 2013. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.Background: Inactive individuals face motivational obstacles for becoming and remaining physically active. Therefore, sustainable physical activity promotion programmes tailored to reach inactive individuals are needed. The aim of this study was to test the role of motivation and the effect and feasibility of a training programme. Methods: We enrolled physically inactive female hospital staff members aged 45 and older in an uncontrolled exercise trial. Follow-up assessments were at 3 and 12 months. The primary outcome was running distance (Cooper test). Secondary outcomes were level of physical activity (Freiburger Physical Activity Questionnaire) and body mass index. Results: Out of 1249 female hospital staff, 275 classified themselves as inactive and 250 (91%) of them were interested in the exercise programme. Of these, 68 (27%; mean age 53.2 years) agreed to participate in our study and 47 (69%) completed the programme. Average running distance increased by 255.70 m [95% confidence interval (CI) 208.09-303.31] at 3-month follow-up with a sustained benefit at 12-month follow-up (194.02; 95% CI 143.75-244.47). Physical activity level increased by 1152.52 kcal week-1 (95% CI 703.73-1601.32) at 3 months with a sustained benefit (1279.10 kcal week−1, 95% CI 826.80–1731.40) after 12 months. Notably, baseline motivation to become physically active was not associated with change in physical performance or physical activity level during the programme. Conclusion: The 3-month step-up jogging programme is a feasible and effective exercise intervention for physically inactive, middle-aged female hospital staff members. The intervention leads to sustained benefits independently of motivation to become more physically active