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Samenvatting paper - Musculoskeletale revalidatie(L08D1a) $11.24
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Samenvatting paper - Musculoskeletale revalidatie(L08D1a)

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Samenvatting paper uit the gerontological society of America door Jan A. Overgaard: “Six Versus 12 Weeks of Outpatient Physical Therapy Including Progressive Resistance Training in Cognitively Intact Older Adults After Hip Fracture: A Multicenter Randomized Controlled Trial

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  • January 4, 2024
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  • 2023/2024
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Uit the gerontological society of America door Jan A. Overgaard: “Six Versus 12 Weeks of
Outpatient Physical Therapy Including Progressive Resistance Training in Cognitively Intact
Older Adults After Hip Fracture: A Multicenter Randomized Controlled Trial“


 P: Populatie
o Oudere volwassen 60+ jaar met een geopereerde hipfractuur en geen grote
medische condities en cognitief in orde
o 100 deelnemers van 81% vrouwen met gem leeftijd van 77 (SD van 8.1) en
gem 18 dagen geleden geopereerd
 I: interventie
o 12 weken van gestandaardiseerde progressieve weerstandstraining, 1h/sessie,
2x/week
o Warm up van 10 min op de stationary bike met Borg intensiteit 10 (schaal van
6-20)
o 10 min evenwichtsoefeningen
o 15 min functionele oefeningen
o 20 min of progressieve weerstandstraining= bilaterale leg press, unilaterale
knie-extensie 3 sets till failure(Week 1-2: 15 reps/set, week 3-4: 12 reps/set,
week 5-6: 10 reps/set, week 7-8: 10 reps/set, week 9-12= 8reps/set) met
sterke verbale motivatie
 C: controlegroep
o 6 weken van gestandaardiseerde progressieve weerstandstraining, 2x/week
 O: outcome
o Verandering in 6 minuten walk test : geen statistisch significant verschil in
o Secundary outcomes:
 Metingen van kracht: maximale vrijwillige isometrische
krachtproductie vd knie-extensoren, Best of 5
 Symmetrie vd kracht tussen de ledematen: maximale vrijwillige
isometrische moment per kg lichaamsgewicht vh l ledemaat
 Fysische performance: fast gait speed (10 meter walk test) timed up
and go (rechtstaan van stoel 3 m wandelen, terugdraaien en weer
zitten) en evenwichtstijd (short physical performance battery), best of
3 bij elke test waarbij wandelen nodig was gebruikte de deelnemers
een 4-wielige rolator
o Pijn: geen klinisch verschil: opgemeten na elke test ahv Verbal Rating Scale ( 5
items Likert-type schaal)
o Self reported measures
 Short form-36
 NMS
 Barthel-20 activities of daily living scale
 Eventuele belangr onderwerpen uit het deel discussie
o Er waren nog 109 andere mensen die in aanmerking kwamen maar die niet
wouden meedoen, die roept vraagtekens op rond de ontvankelijkheid vd
interventie
o Het gebruik van pijnstillers is niet gemonitord

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