Research Report Abstracts - Gesundheit

eS434
Research Report Poster Display
Number: RR-PO-208-15-Tue Tuesday 21 June 13:00
RAI: Exhibit Halls 2&3
THE IMPACT OF SAILING BASED
PHYSIOTHERAPY ON THE QUALITY OF LIFE OF
PERSONS WITH STROKE
Groll C.
Physiosail Christina Groll, Osnabrück, Germany
Purpose: The purpose of this pilot study is to evaluate a physiotherapy,
which is based on sailing to improve the quality of
life of persons with stroke.
Relevance: Stroke is one of the most common reasons of disability
in industrial nations und results in a reduced quality of
life. Physiotherapy can improve the quality of life of chronicle
stroke patients insufficiently. On the one hand a lot of the
acquired abilities are not used in daily life and on the other
hand these people often have a lack of motivation caused by
life-long therapy.
Participants: Four men and four women, in average 53 (±10)
years old, took part. The mean duration since stroke was 7 ±5
years. All of them had a hemiplegic and a decreased quality
of life. They were in physiotherapeutic treatment for all the
years after stroke.
Methods: The participants were sailing for 20 hours across
a lake in Münster (Germany) instructed by a physiotherapist.
The patients accomplished all of the sailing tasks by themselves
and were supported from the physiotherapists with
typically hands-on techniques.
Analysis: Triangulation was used, whereas the participants’
perspective on their quality of life was evaluated by guided
interviews and interpreted with a combination of interpretative
patterns analysis and content analysis according to
Mayring. Furthermore quantitative data was evaluated using
the Stroke Impact Scale.
Results: The quantitative data showed a significant improvement
of the quality of life. The qualitative data supported this
thesis. The clearest changes were reported in terms of selfperception
and perception of others as well as self-esteem
and empowerment. Due to their sailing activities the participants
could leave the patient-role caused by sailing sport and
switch to an identity of a sporty, active sailor. Furthermore an
increased use of the affected arm was assessed and reported
from the sailors, because the participants used all available
resources.
Conclusions: A physiotherapeutic concept based on a leisure
activity like sailing can improve the quality of life of persons
with stroke in many respects. The exercises doing by sailing
are more meaningful and motivating for the patients than
traditional therapy. The fact, that they are training by doing
an activity and not by doing an exercise improves the use
of “new” abilities in daily life. Nevertheless sailing based
physiotherapy could be an efficient addition but should not
be used instead.
Implications: This study should be inspire physiotherapists
working with children or adults with chronic disease or disabilities
to integrate leisure activities in therapy.
Keywords: Stroke; Quality of life; Leisure activity based
physiotherapy
Funding acknowledgements: The study is the Master Thesis
of the author and was written at the University of Applied
Sciences Hildesheim/Holzminden/Göttingen and was supervised
by Prof. Dr. Annette Probst and Holm Thieme (MSc
physioth.).
Ethics approval: In Germany exist no ethic committee,
where master thesis in physiotherapy could be submitted.
The Declaration of Helsinki where used.
Research Report Platform Presentation
Number: RR-PL-3316 Wednesday 22 June 11:45
RAI: Elicium 2
SHORT-TERM EFFECTS OF ECCENTRIC
TRAINING ON LATERAL EPICONDYLALGIA—A
RANDOMIZED CONTROLLED TRIAL
Söderberg J., Grooten W., Äng B.O.
Karolinska Institute, Neurobiology, Caring Sciences and
Society (NVS), Huddinge, Sweden
Purpose: The aim of this study was to evaluate the shortterm
effects of daily eccentric exercises in long-term lateral
epicondylalgia.
Relevance: Since the natural long-term course of epicondylalgia
seems encouraging for most of those affected, it is
important to study early effects. This is particularly so since
many individuals report high levels of initial pain and painrelated
disability, resulting in high direct and indirect social
costs.
Participants: Forty-two subjects with lateral epicondylalgia
were randomly assigned to a six-week home exercise regimen
receiving eccentric training for their wrist extensors and a
forearm band, or a control group receiving a forearm band
only. Thirty-seven (88%) subjects completed both the midand
end intervention follow-up.
Methods: The exercise group members were instructed to
perform 2 × 8 − 12 repetitions once a day during the first
week, while the instruction for the following two weeks was
to progress to twice a day. At the mid examination follow-up
in week three, the instruction was to progress to 3 × 8 − 12
twice a day. The exercisers were told to adjust their resisted
weight so that they were able to perform the prescribed repetitions
during pain-free intervals, i.e. ≤2 on Borg’s scale. With
the elbow flexed 70 degrees, the subjects were instructed to
sit on a chair with the affected forearm pronated and resting
on a table with the wrist and hand over the edge, holding
a bucket of water as a training weight. They should place
the non-affected hand over the one holding the bucket and
slowly lift it with the non-affected hand, thus avoiding the