Research Report Abstracts - Gesundheit

eS1296
Analysis: Data analyses with SPSS 17. Differences between
two measurements were tested with Wilcoxon and paired
t-tests; results in time were evaluated with General Linear
Model and Wilks’ Lambda. P-value for significance 0.05.
Results: 1146 women and 98 men, mean age resp. 44.0
and 53.7 yrs; most of them being Moroccan and Turkish;
59.8–34.7% having no school education at all; 59.2–69.5%
suffering from chronic diseases. Stamina condition increased
with time (Wilks’ Lambda, F = 42,99; p = 0.000). Quality of
Life (EuroQol tariff score) was higher at T1 en T2 than at T0
(paired t-test, p = 0.000 en p = 0.000), and increased also with
time (Wilks’ Lambda, F = 19,12; p = 0.000). Pain decreased,
experienced health was better. Walking or sporting weekly
increased from T0 to T2 with 31.3%. The percentage with a
monthly of 1–3 GP consults decreased from 55.8% (T0) to
42.8% (T2) (Wilcoxon; p = 0.000). Patients experienced that
exercising positively affected their functioning and mood.
This is the first programme that clearly showed good results
in this patient group. Weakness: waiting-list RCT was impossible
because of no-show of patients.
Conclusions: All outcome measures showed 10–20% better
results at T1, and were maintained 3–6 months later. Men
need another approach than women and experienced different
kinds of problems. Further work could focus on other
immigrant groups and longer follow-up.
Implications: Results point at the importance of tailor-made
programmes and information retrieval from participants
themselves. This has implications for PT education and health
policy, and is of interest for an internationally diverse audience.
Keywords: Healthy living programme; Immigrants; Low
educated patients
Funding acknowledgements: Governmental funding
(ZonMw).
Ethics approval: Ethics approval not required: patients
received the best possible treatment.
Research Report Poster Display
Number: RR-PO-302-20-Thu Thursday 23 June 12:00
RAI: Exhibit Halls2&3
INTRINSIC RISK FACTORS AND THE EFFECTS OF
PROPHYLACTIC BRACING ON THE
DEVELOPMENT OF PATELLOFEMORAL PAIN IN
MALE SUBJECTS
Van Tiggelen D. 1,2 , Coorevits P. 2 , Cowan S. 3 , Bernard E. 1 ,
Thijs Y. 2 , Witvrouw E. 2
1Military Hospital Queen Astrid, Physical Medicine and
Rehabilitation, Brussels, Belgium, 2Ghent University –
Artevelde University College, Faculty of Medicine & Health
Sciences, Gent, Belgium, 3University of Melbourne, Melbourne
School of Health Sciences, Melbourne, Australia
Purpose: The aetiology of patellofemoral pain (PFP) is multifactorial.
Both intrinsic and extrinsic risk factors play a role
in the development of PFP. Patellofemoral bracing can be
used as a preventative method in subjects undergoing strenuous
training.
Relevance: Individuals with intrinsic risk factors for PFP
could be identified to provide them with patellofemoral
braces as preventative method.
Participants: 169 male officer cadets volunteered for the
study.
Methods: Peak torque of the knee extensor and flexors, the
onset of the VMO and VL, the joint position sense (JPS) of
the knee, the range of motion and anthropometrical characteristics
were measured. A military physical fitness test (MPFT)
was assessed prior to the start of their basic military training
(BMT). Forty-three subjects were randomly assigned to the
intervention group wearing patellofemoral braces during the
BMT.
Analysis: Variables on a continuous scale were compared
between the braced and control groups before the
BMT with independent samples t-tests, after the normality
and homogeneity of variance was checked with the
Kolmogorov–Smirnov test and Levene’s test, respectively.
χ 2 statistics (and Fisher exact tests where appropriate) were
used to compare nominal data between the two groups. A
stepwise binary logistic regression was performed in order to
find out which of the risk factors could significantly predict
the development of PFP. For all tests statistical significance
was accepted at the 5% level.
Results: After BMT less recruits in the brace group developed
PFP compared to the control subjects (16.3% versus
33.7%; p = 0.042). A delayed onset of the VMO-VL, poor
JPS, lower peak torque of the knee extensors and a low score
on the MPFT were predictive variables in the development
of PFP.
Conclusions: The incidence of PFP in predisposed individuals
could be downsized using patellofemoral bracing if
intrinsic risk factors are identified.
Implications: Physical intrinsic risk factors predict the development
of PFP during strenuous training sessions. The use