Research Report Abstracts - Gesundheit

eS34
but soon decreased and then returned to the basal level after
30 minutes. The phosphorylation level of Akt with 30 minutes
of stretching was similar to that with 15 minutes of stretching.
The phosphorylation level of Akt after second period of
stretching was similar to the first period.
Conclusions: Extending the duration of the stretching did
not enhance the effect on suppressing the muscle atrophy.
It is because the protein synthesis does not improve as
thought from the phosphorylation of Akt even if the duration
is extended. On the other hand, increasing the frequency
enhance the effect on suppressing the muscle atrophy. It is
because that muscle protein synthesis occur twice a day as
thought from the phosphorylation of Akt.
Implications: Even the patient who is comatose or for whom
rest is necessary may prevent atrophy with use of stretching
if the best stretching method is clarified. The early stage
rehabilitation becomes possible if it does so.
Keywords: Muscle atrophy; Stretching; Akt
Funding acknowledgements: This study was supported by
JSPS KAKENHI.
Ethics approval: All experiments were approved by the
Animal Care Committee of the Nagoya University Graduate
School of Medicine.
Research Report Platform Presentation
Number: RR-PL-825 Tuesday 21 June 08:30
RAI: Elicium D201-202
INITIAL NON-ATTENDANCE FOR OUT-PATIENT
PHYSIOTHERAPY IN A NIGERIAN TERTIARY
HOSPITAL: EVALUATION AND PREDICTION
Mbada C. 1 , Ajayi O. 1 , Agbeja O. 2 , Johnson O. 1 , Awotidebe
T. 1 , Akinwande O. 3
1College of Health Sciences, Obafemi Awolowo University,
Department of Medical Rehabilitation, Ile-Ife, Nigeria,
2University of Uyo Teaching Hospital, Physiotherapy
Department, Uyo, Nigeria, 3University College Hospital,
Physiotherapy, Ibadan, Nigeria
Purpose: This study estimated the rate of initial nonattendance
for out-patient physiotherapy and also identified
patients at risk of missing an appointment using a prediction
model.
Relevance: Non-attendance for physiotherapy appointments
has been associated with elevated costs, scheduling conflicts
and interruption of continuity of care. Nonetheless, this has
not been put into empirical perspective in Sub-Sahara Africa.
Participants: 1069 patients’ case charts were reviewed but
only 930 were with complete information and were analyzed.
Methods: A retrospective study was conducted on physiotherapy
out-patient clinic attendances at the Obafemi
Awolowo University Teaching Hospitals Complex, Ile-Ife,
Nigeria from 2006 to 2008. Initial non-attendance was
defined as having 2 or more consecutive or/and greater than
50% failed appointments subsequent to the first appointment.
Data were gleaned on environmental and demographic
factors (age, sex, month of appointment and location of residence),
referrer factor (source of referral) ‘and illness factor
(diagnosis).
Analysis: Data was summarized using frequency and percentages.
Logistic regression was used to determine the
prediction model for initial non-attendance. Alpha level was
set at p < 0.05.
Results: The total non-attendance rate was 57.3%. Nonattendance
rate was higher among patients with neurological
conditions (72.5%). More male than female patients (58.6%
vs. 56%) were likely to fail to attend as were referrals from
general practitioner (68%) sources compared with those from
consultant (60.2%), physiotherapist (38.7%) and self (30%)
respectively. Age, sex, month of appointment and residence
locations, source of referral and patient’s diagnosis were statistically
significant in predicting whether or not a patient
would attend scheduled appointments. The logistic regression
model’s diagnostic accuracy to predict non-attendance
could account for only 11.4% variability.
Conclusions: Non-attendance for out-patient physiotherapy
is common among Nigerian patients. Some variables have
shown to account for and predict non-attendance but not
without significant errors.
Implications: Understanding the problem of non-attendance
may help to prevent the attendant consequences and also
improve access to physiotherapy services.
Keywords: Non-attendance; Out-patient; Physiotherapy
Funding acknowledgements: None.
Ethics approval: This stuudy was approved by the Ethics
and Reseach Committee of the Obafemi Awolowo University
Teaching Hospitals Complex, Ile-Ife, Nigeria.
Research Report Poster Display
Number: RR-PO-210-7-Wed Wednesday 22 June 12:00
RAI: Exhibit Halls2&3
HAPTIC INTERFACE FOR HAND
REHABILITATION IN PERSONS WITH A STROKE
Agostini M. 1 , Turolla A. 1 , Cocco L. 1 , Daud O.A. 2 , Oboe
R. 3 , Piron L. 1,4
1Fondazione Ospedale San Camillo - IRCCS, Laboratory
of Robotics and Kinematics, Venice, Italy, 2University of
Trento, Mechanical and Structural Engineering, Trento, Italy,
3University of Padua, Menagment and Engineering, Padua,
Italy, 4Fondazione Ospedale San Camillo - IRCCS, Stoke
Rehabilitation, Venice, Italy
Purpose: Six months after a stroke, the upper limb is not functional
in 30–66% of patients. For this persons is fundamental
to regain at least the capability of using their hand. The neurorehabilitation
has poor instruments and specific treatments
for the functional rercovery of the hand. The use of virtual