A1 Journal article (refereed)
The effects of technology-utilising rehabilitation on rehabilitees' physical activity : a prospective cohort study (2022)


Vuorenpää, S., Anttila, M.-R., Kivistö, H., & Sjögren, T. (2022). The effects of technology-utilising rehabilitation on rehabilitees' physical activity : a prospective cohort study. European Journal of Physiotherapy, 24(6), 364-371. https://doi.org/10.1080/21679169.2021.1912169


JYU authors or editors


Publication details

All authors or editors: Vuorenpää, Sanna; Anttila, Marjo-Riitta; Kivistö, Heikki; Sjögren, Tuulikki

Journal or series: European Journal of Physiotherapy

ISSN: 2167-9169

eISSN: 2167-9177

Publication year: 2022

Publication date: 02/08/2021

Volume: 24

Issue number: 6

Pages range: 364-371

Publisher: Taylor & Francis

Publication country: United Kingdom

Publication language: English

DOI: https://doi.org/10.1080/21679169.2021.1912169

Publication open access: Not open

Publication channel open access: Channel is not openly available

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/78343


Abstract

Purpose
The aim of this study was to investigate the effects of technology-utilising rehabilitation on different intensities of physical activity (PA) and determine the explanatory factors of PA change.

Material and methods
This was a prospective cohort study. Cardiac, musculoskeletal and vocational rehabilitees (N = 36) had 6 months of rehabilitation, which included guided training and counselling face-to-face as well as through distance technology. PA (total, light, moderate, vigorous) was measured by an activity tracker. Biopsychosocial questionnaires, waist circumference, PA measurements and m-coach activity were used to determine the factors that influence PA change.

Main results
Technology-utilising rehabilitation improved light PA (+20 min/d, 95% CI 4–35 min/d, p = 0.002). Within subgroups, only cardiac rehabilitees improved their light physical activity (LPA) (p = 0.014), but the change was not significantly different compared with subgroups. There were no differences in the change in moderate, vigorous or total PA in either the study group or the subgroups. The improvement of LPA was related to lower age (p = 0.004) and lower activity (p = 0.004) at the baseline, impairments in experienced psychological health (p = 0.016) and satisfaction with social relationships (p = 0.014), improved satisfaction with environment (p = 0.002), strengthened significance of exercise (p = 0.037) and weakened pleasure of exercise (p = 0.040). The model explained 47% of the variation in the change in LPA.

Conclusion
Technology-utilising PA training seems to be a complex phenomenon in the rehabilitation context that is related to both biopsychosocial and environmental factors. This should be considered in future PA research and rehabilitation.


Keywords: rehabilitation; physical activity; remote participation; remote access; remote services; technology; activity (properties); tracking; people with musculoskeletal disabilities; heart diseases; biopsychology

Free keywords: distance technology; rehabilitation; physical activity; cardiac rehabilitee; musculoskeletal rehabilitee; vocational rehabilitee


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Ministry reporting: Yes

Reporting Year: 2022

JUFO rating: 1


Last updated on 2024-03-04 at 19:55