Research Report Abstracts - Gesundheit

eS188
Analysis: The data obtained was compared employing the
ANOVA variance analysis model for repeated measurements.
Those factors yielding category differences on mean comparison
then underwent the Scheffé post-hoc test to verify level
of significance, two-by-two.
Results: BRT and MT groups presented significant improvement
in scores on the BT p < 0.006), PST (P = 0.034), UPDRS
(P = 0.000), PDQL(P = 0.000) after training. However, the
BRT group presented a significantly greater improvement in
scores on the BT (P = 0.021) and the PST (P = 0.036).
Conclusions: BRT improved balance performance in PD
patients compared to motor training only.
Implications: BRT can enhance the results of physiotherapeutic
treatment of balance dysfunctions in PD patients and
should be considered a new resource in physical therapy
practice for PD.
Keywords: Parkinson’s disease; Balance; Cues
Funding acknowledgements: None.
Ethics approval: Research Ethics Committee of Hospital
das Clinicas da Faculdade de Medicina da USP.
Research Report Poster Display
Number: RR-PO-305-3-Tue Tuesday 21 June 13:00
RAI: Exhibit Halls 2&3
QUALITY OF EXPERIENCE AND MOTOR
REHABILITATION: THE PATIENTS PERSPECTIVE
Cappellini F., Busin S., Chiappella C., Sartori R.D.G., Delle
Fave A.
Purpose: Motor rehabilitation programs in hospital are processes
of problem-solving and education promoting patients’
achievement of the highest attainable physical, functional and
social levels of well-being through rescuing and empowerment
of functions and capabilities. To adequately pursue this
goal, however, more information is needed on patients’ psychological
needs and resources during hospital rehabilitation.
Relevance: The analysis of the quality of experience during
hospitalization can shed light on the role of daily activities in
rescuing motor functions and in promoting health. It is also
important to identify the activities associated with optimal
experience, a structured and positive state of consciousness
characterized by the perception of high challenges balanced
with high personal skills, concentration, involvement, positive
mood and clear goals. In line with these premises, this
study aims at analyzing the daily activities and experience of
patients hospitalized in an Italian Rehabilitation Unit.
Participants: Participants were 30 women and 20 men aged
25–87 and admitted for orthopaedic pathologies (80%), neurological
disorders (18%) and respiratory syndromes (2%).
Patients voluntarily took part in the study and they were
selected based on: (a) the annual hospital pathology distribution;
(b) the annual hospital gender distribution; (c) absence
of mental disorders.
Methods: Through the Experience Sampling Method (ESM),
quantitative data were gathered in real time to evaluate
patients’ time budget and quality of experience. For one
week participants carried an electronic device sending acoustic
randomized signals 6–8 times a day. At signals receipt,
they provided descriptions of the ongoing activities and the
associated quality of experience. ESM included open-ended
questions about the ongoing activities and 0–12 Likerttype
scales measuring cognitive, affective and motivational
variables, challenges perceived in the ongoing activity and
personal skills in facing them.
Analysis: Answers to open-ended questions were assigned
numeric codes and then grouped into functional categories.
As concerns scaled variables, since each participant provided
repeated self-reports, their values were standardized
and t-tests were performed in order to compare the quality
of experience across daily activities. Through the Experience
Fluctuation Model (EFM) the experience fluctuation pattern
was analyzed on the basis of perceived challenges and skills.
Results: Data analysis showed that participants spent 10%
of their time in rehabilitation activities, such as physiotherapy,
kinetic and exercise carried out autonomously. They
prominently associated these tasks with the perception of
high challenges, concentration, involvement, desirability, and
short and long term goals. Physiotherapy was associated with
optimal experience in the 21.2% of the self-reports, exercise
in the 26% and kinetic in the 28.6%. The other daily domains
– namely maintenance, reading and watching TV – were
associated instead with the perception of low challenges.
Conclusions: Results showed that physiotherapy trainings
can offer opportunities for complex and positive experiences
which foster skill cultivation and well-being.
Implications: The prominently negative experiences
detected in association with the other daily domains point to
the need for planning changes in the structure of hospitalization,
in order to enhance patients’ autonomy and active
resources mobilization.
Keywords: Rehabilitation; Quality of experience; Optimal
experience
Funding acknowledgements: None.
Ethics approval: The study has been evaluated and approved
from the ethic committee of Hospital Luigi Sacco of Milan
07/10/’07.