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Does adapted physical activity‑based rehabilitation improve mental and physical functioning? A randomized trial.

Cecilie Røe1,2, Line Preede3, Håkon Dalen4

  • 1Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway - eller@medisin.uio.no.

European Journal of Physical and Rehabilitation Medicine
|May 13, 2016
PubMed
Summary

Adapted physical activity rehabilitation significantly improves physical and mental functioning in individuals with chronic disabilities. This approach enhances self-efficacy and motivation, crucial for managing disability and improving overall well-being.

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Area of Science:

  • Rehabilitation Medicine
  • Disability Studies
  • Physical Therapy

Background:

  • Chronic disabilities present significant challenges to physical activity and participation.
  • Limited understanding exists regarding the impact of adapted physical activity (APA) on perceived functioning.

Purpose of the Study:

  • To evaluate the effect of APA-based rehabilitation versus a waiting list on perceived mental and physical functioning.
  • To assess the relationship between improvements in self-efficacy, motivation, pain, and fatigue with the intervention's effect.

Main Methods:

  • Randomized controlled trial conducted in an inpatient rehabilitation center.
  • Participants (N.=246) aged 17+ with chronic disabilities were randomized to a 4-week APA intervention or a waiting list.
  • Physical and mental functioning assessed using the SF-12 survey post-intervention.

Main Results:

  • APA-based rehabilitation significantly improved physical and mental functioning compared to the waiting list.
  • Improvements in physical functioning were associated with reduced pain and enhanced motivation and self-efficacy.

Conclusions:

  • APA-based rehabilitation programs are effective in improving functioning for individuals with chronic disabilities.
  • Enhanced self-efficacy in managing disability may be a key mediator for improved mental functioning.