Feasibility and effects of 6-month home-based digitally supported E-Fit program utilizing high-intensity interval exercises in girls with adolescent idiopathic scoliosis: a randomized controlled pilot study

Author(s):  
RWL Lau ◽  
KY Cheuk ◽  
EMS Tam ◽  
SSC Hui ◽  
JCY Cheng ◽  
...  

Adolescent idiopathic scoliosis (AIS) patients have lower physical activities when compared with healthy controls, and are associated with lower bone mineral density (BMD), muscle strength and poorer quality of life (QoL). We aimed to assess the feasibility and effects of 6-month home-based digitally supported E-Fit comprised of high-intensity interval exercises for AIS patients. 40 AIS girls aged 11-14 were randomly assigned to E-Fit or control group. E-Fit group participated in an online 6-month home-based exercise program. At baseline, 6-months and 12-months follow-up, BMD using dual-energy X-ray absorptiometry, muscle functions, physical activity using Modified Baecke Questionnaire (MBQ), and QoL using Scoliosis Research Society-22 (SRS-22r) and feedback questionnaire were investigated. 14 in E-Fit and 16 in control group completed the study. Both groups had similar baseline characteristics. At 6-months, E-Fit group showed better improvement and significant interaction effect in left femoral neck bone mineral content (p=0.021) and isometric curl up test (p=0.04). Left arm lean mass showed better improvement between 6-months and 12-months follow-up (p=0.046) and whole-body areal BMD had significant interaction effect at 12-months follow-up (p=0.077). Improvement on self-image, work and sports participation were noted in E-Fit group across time. 70% of E-Fit participants were positive towards domestic application via online platform. E-Fit showed some benefits on bone health, muscle functions, physical activity and QoL measures. Current study indicated some potential physical and psychological benefits of E-Fit for AIS girls. E-Fit was feasible to conduct online at home and might have value of promoting exercise habits among relatively inactive AIS girls.

Author(s):  
Rufina Wing-Lum Lau ◽  
Ka-Yee Cheuk ◽  
Bobby Kin-Wah Ng ◽  
Elisa Man-Shan Tam ◽  
Alec Lik-Hang Hung ◽  
...  

Background: Adolescent idiopathic scoliosis (AIS) patients have lower physical activity levels than normal adolescents, and there is an association with poorer bone and muscle health. This study evaluated the effects of a home-based exercise intervention (E-Fit) on bone mineral density (BMD), muscle function, and quality of life (QoL) in AIS-affected girls. Methods: A total of 40 AIS females aged 11 to 14 years were randomly assigned to the E-Fit or control group. The E-Fit group performed modified 7-min high-intensity interval training (HIIT) 5 days per week for 6 months. Outcome measures including BMD using dual-energy X-ray absorptiometry (DXA), muscle strength and endurance tests, physical activity levels, and QoL using self-reported questionnaires were assessed at baseline and at 6-month and 12-month follow-up. Results: In total, 14 patients in the E-Fit and 16 in the control group completed the study. The E-Fit group showed a marginally significant interaction effect in the whole body areal BMD at the 6- (p = 0.096) and 12-month follow-ups (p = 0.085). The left arm lean mass in the E-Fit group showed a statistically significant interaction effect between the 6- and 12-month follow-ups (p = 0.046). The E-Fit group showed improvements in physical activity participation, as measured by the Modified Baecke Questionnaire (MBQ), with a significant interaction effect in work index (p = 0.043), sport index (p = 0.050), and total score (0.016) from baseline to the 12-month follow-up. Improvement on self-image were noted in E-Fit group across time. Conclusion: The present results provided some evidence to support the positive benefits of E-Fit for bone health and muscle function in AIS girls.


2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Fan Feng ◽  
Hongxing Shen ◽  
Xiuyuan Chen ◽  
Zude Liu ◽  
Jianwei Chen ◽  
...  

Abstract Background Selective thoracolumbar/lumbar fusion technique was introduced to treat adolescent idiopathic scoliosis (AIS) patients with major thoracolumbar/lumbar curves. Theoretically, this surgical strategy could also be applied to syringomyelia patients. No previous study has specifically addressed the effectiveness of selective thoracolumbar/lumbar fusion for patients with syringomyelia-associated scoliosis. The aim of the study was to investigate the effectiveness of selective thoracolumbar/lumbar fusion for the surgical treatment of patients with syringomyelia-associated scoliosis. Methods From February 2010 to September 2016, 14 syringomyelia-associated patients with major thoracolumbar/lumbar curves were retrospectively reviewed. Besides, 30 Lenke 5C AIS patients were enrolled as a control group. Posterior selective thoracolumbar/lumbar fusion was performed for both groups. Patients’ demographic, operative, radiological, and quality of life data were reviewed with follow-up. Intragroup comparisons were performed for each parameter. Results The two groups were matched by age, gender, curve characteristics, duration of follow-up, and all preoperative radiographic parameters except for thoracic kyphosis. After surgery, the average correction rate of the major thoracolumbar/lumbar curve was 82.2 ± 7.8% in the syringomyelia group, which was not significantly different from that of AIS group (82.5 ± 10.6%, P = 0.47). A similar improvement of unfused thoracic curve was observed between the two groups (50.1 ± 16.5% vs. 48.5 ± 26.9%, P = 0.29). During the follow-up, the correction effect of scoliosis was well maintained, without aggravation of the original neural symptoms or fresh permanent neurological deficits. Of note, the number of fusion levels was significantly larger in syringomyelia group than that in AIS group (7.6 ± 1.4 vs. 6.5 ± 1.2, P < 0.01). The average follow up was 47.6 months (36–81 months). Conclusion Similar to AIS cases, syringomyelia-associated scoliosis can be effectively and safely corrected by selective thoracolumbar/lumbar fusion with satisfactory surgical outcomes. However, the syringomyelia group, on average, required an additional fused segment for treatment as compared to the AIS group (7.6 versus 6.5 in the AIS group).


1972 ◽  
Vol 34 (1) ◽  
pp. 245-246 ◽  
Author(s):  
Gary Butterfield

As a follow-up of a previous finding, 12 college student judges were asked to record frequency of “ah” and pause nonverbal speech nonfluencies for four interviewees. Lending some support to the previous finding, no significant interaction effect was found for the more reliably scored disruption, “ah,” in a 2 × 12 factorial analysis, but this was not the case for the less reliably scored disruption, pause.


Nutrients ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 164
Author(s):  
Miguel A. Rojo-Tirado ◽  
Pedro J. Benito ◽  
Jonatan R. Ruiz ◽  
Francisco B. Ortega ◽  
Blanca Romero-Moraleda ◽  
...  

Studies comparing different types of exercise-based interventions have not shown a consistent effect of training on long-term weight maintenance. The aim of this study was to compare the effects of exercise modalities combined with diet intervention on body composition immediately after intervention and at 3 years’ follow-up in overweight and obese adults. Two-hundred thirty-nine people (107 men) participated in a 6-month diet and exercise-based intervention, split into four randomly assigned groups: strength group (S), endurance group (E), combined strength and endurance group (SE), and control group (C). The body composition measurements took place on the first week before the start of training and after 22 weeks of training. In addition, a third measurement took place 3 years after the intervention period. A significant interaction effect (group × time) (p = 0.017) was observed for the fat mass percentage. It significantly decreased by 5.48 ± 0.65%, 5.30 ± 0.65%, 7.04 ± 0.72%, and 4.86 ± 0.65% at post-intervention for S, E, SE, and C, respectively. Three years after the intervention, the fat mass percentage returned to values similar to the baseline, except for the combined strength and endurance group, where it remained lower than the value at pre-intervention (p < 0.05). However, no significant interaction was discovered for the rest of the studied outcomes, neither at post-intervention nor 3 years later. The combined strength and endurance group was the only group that achieved lower levels of fat mass (%) at both post-intervention and 3 years after intervention, in comparison with the other groups.


2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
D Marinov ◽  
E Valtcheva

Abstract Background Adolescent idiopathic scoliosis affects 2-3% of all teenagers. It is one of the most common chronic conditions in this age group, but studies on the physical activity (PA) of AIS patients are scarce. The available trials report conflicting findings when comparing the PA of children with AIS to healthy controls. Considering its possible role in the development of AIS and the potential benefits of PA, the topic should be further researched. This study aims to investigate the subject by comparing the physical activity of children with AIS to a group of healthy peers. Methods The study included 80 teenagers (aged 11-18 years) with AIS and 65 healthy age and gender-matched controls from Varna, Bulgaria. Data was collected after receiving informed consent from the parents. Children with chronic conditions (except AIS) were excluded. Information on AIS was taken from the available medical documentation. Data on PA during the last 7 days was collected via a standardized physical activity questionnaire for adolescents (PAQ-A). PAQ-A results vary from 1 (lowest PA) to 5 (highest PA). PAQ-A=2.75 has been found to correspond to the minimum recommended by WHO for this age group - 60mins of daily moderate to vigorous PA. Results None of the participants with AIS reported reduced PA due to impaired or restricted physical functions. The majority of children (78.8%) had mild scoliotic curvatures (Cobb angle 10°-20°). The mean PAQ-A score in AIS cases was 2.59 compared to 2.88 in controls. There was a statistically significant difference in PAQ-A score between the two groups (t = 2.722, p &lt; 0.001). 59% of AIS had a PAQ-A score under 2.75, indicating that they do not meet the minimum PA recommendation by WHO, compared to 31% of the control group. Conclusions Patients with AIS have significantly lower PA than their healthy peers. The majority of children with AIS do not meet the minimum PA recommendations by the WHO. Key messages Our study reveals that children with AIS and mild curvatures have lower PA than their healthy peers despite not reporting impaired or restricted physical functions. Future prospective studies should investigate whether PA plays a role in the etiology of AIS.


2019 ◽  
Vol 5 (1) ◽  
pp. 26
Author(s):  
Omar Syarief Natasubagyo ◽  
Sri Kusrohmaniah

This study aimed to see the effectivity of psychoeducation to increase the depression literacy. It was hyphotesized that psychoeducation might increase depression literacy in treatment group higher than control group. Using randomized pretest and posttest control group experiment design and multiple choice depression literacy test to obtain data, 35 participants consisted of non-psychology/medicine student with age ranging from 18 – 24 years old were randomly placed at treatment and control group. Using Mixed ANOVA to analyze the data, the results showed non-significant effect of group (F = 1.965; p = 0.171). However, there was significant interaction effect (F = 8.665; p = 0.006). Mean differences was higher in treatment group at 4.688 compared to control group at 1.684. This showed that psychoeducation increase depression literacy, with higher enhancement at treatment group. Thus, the hypothesis of the study was accepted


Author(s):  
Sang-Hee Won ◽  
Duck-Won Oh ◽  
Min Shen

BACKGROUND: The benefits of spinal realignment and stabilization in scoliosis need to be examined. OBJECTIVE: We aimed to investigate the long-term effect of a neuromuscular stabilization technique (NST) on Cobb’s angle in patients with adolescent idiopathic scoliosis. METHODS: Twenty females recruited from two hospitals participated in this study. On the basis of convenience of location, participants were allocated to either the experimental group (EG) that underwent the NST, or the control group (CG) that received education for a home exercise program. The NST for the EG was performed for an average of 30 min per session, three times a week for six months, and consisted of spinal realignment and stabilization. Then, 12- and 18-month measurements for long-term follow-ups were conducted for the EG. The outcome measure was Cobb’s angle. RESULTS: Between-group comparison revealed a statistically significant difference at post-test (t=-3.26, p< 0.01) but not pre-test (t=-1.36, p= 0.19). Participants of the EG (-6.20 ± 2.49∘) showed greater differences between pre- and post-test scores compared to participants of the CG (-1.40 ± 0.52∘) (p< 0.05). Within-group comparisons showed a significant difference in both groups (p< 0.05). In the EG, Cobb’s angle significantly changed across the follow-up sessions (p< 0.05), indicating more improvements by the 12-month (8.50 ± 4.03∘) and 18-month (6.60 ± 3.89∘) follow-ups. CONCLUSION: This study shows that the NST may be a beneficial option to correct spinal alignments in patients with adolescent idiopathic scoliosis.


2012 ◽  
Vol 40 (4) ◽  
Author(s):  
Laura Vandenbosch ◽  
Eline Frison ◽  
Steven Eggermont

Sexual objectification in a vampire romance: An experimental study towards the effect of the movie Twilight on self-objectification among adolescent girls Sexual objectification in a vampire romance: An experimental study towards the effect of the movie Twilight on self-objectification among adolescent girls The present study investigates whether self-objectification is induced by exposure to a popular, but sexually objectifying teenage movie (i.e. Twilight). To test this hypothesis, an experiment in 70 adolescent girls (Mage = 15,07, SDage = 1,51) was conducted. Results showed, first, a significant effect of the Twilight movie on self-objectification. Girls who had been exposed to Twilight reported a higher level of self-objectification in the posttest compared to the pretest and to the control group. Second, a significant interaction effect of exposure to Twilight and strong identification with the main character was found. Findings are discussed in light of objectification theory.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Marinov ◽  
T Dimitrova ◽  
D Najdenova

Abstract Background Adolescent idiopathic scoliosis (AIS) is one of the most common chronic conditions in teenagers. There is an increasing amount of evidence suggesting that AIS is associated with low body mass, but the link between the condition and the nutritional status of the adolescents has not been well researched. This ongoing study aims to access the relationship between AIS and all the aspects of the nutritional status in-depth, including factors such as physical activity (PA). Methods Data is collected from 101 participants with AIS from Varna, Bulgaria using anthropometric measurements, clinical examination to determine the severity of the spinal curvature and questionnaires including a standardized questionnaire for PA of adolescents - PAQ-A. Participants were categorized into 3 groups of AIS severity according to Cobb Angle: mild (10°-19°), moderate (20°-39°) and severe (&gt;40°). Results Out of 101 participants, 81 had mild, 15 had moderate and 5 had severe scoliotic curvatures. None of the participants reported reduced PA due to impaired or restricted physical functions related to AIS. Only 40% of all subjects with AIS had PAQ-A score over 2.75, which corresponds to the international recommendations of &gt; 60 mins of daily moderate-vigorous PA. There was a strong negative correlation between PAQ-A score and AIS severity (Spearman's Correlation Coefficient = - .433, p &lt; 0.001). The mean PAQ-A score was 2.73 in mild curvatures compared to 1.98 in moderate and severe ones. Subjects with AIS were 4.8 times more likely to have mild severity if they met the PA recommendations (OR = 4,815 (95%CI, 1.268-18.279)). Those are preliminary results and data will be further compared to a control group. Conclusions The level of daily PA might have an impact on the severity of AIS. PA recommendations could be given to patients with AIS as a way of secondary prophylaxis against this chronic idiopathic disorder. Key messages This ongoing study is the first to investigate in-depth the association of all the aspects of nutritional status including PA with the incidence and severity of AIS. PA shows a significant negative correlation with AIS severity. PA recommendations might be a useful addition to the secondary prophylaxis of AIS.


2001 ◽  
Vol 49 (3) ◽  
pp. 293-297
Author(s):  
S. O. Bakare ◽  
M. G. M. Kolo ◽  
J. A. Oladiran

There was a significant interaction effect between the variety and the sowing date for the number of productive tillers, indicating that the response to sowing date varied with the variety. A significant reduction in the number of productive tillers became evident when sowing was delayed till 26 June in the straggling variety as compared to sowing dates in May. Lower numbers of productive tillers were also recorded when the sowing of the erect variety was further delayed till 10 July. The grain yield data showed that it is not advisable to sow the straggling variety later than 12 June, while sowing may continue till about 26 June for the erect variety in the study area.


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