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Grace S, Engel R, Barnes LAJ, Bradbury J. The step in time study: A feasibility study of a mobile app for measuring walking ability after massage treatment in patients with osteoarthritis. BMC Complement Med Ther 2023; 23:95. [PMID: 36998002 PMCID: PMC10061376 DOI: 10.1186/s12906-023-03898-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Accepted: 02/27/2023] [Indexed: 03/31/2023] Open
Abstract
Abstract
Background
Massage therapy is a popular intervention for those suffering osteoarthritis, however, there is a paucity of evidence to support its effectiveness in osteoarthritis. A simple measure that could potentially assess the benefits of massage treatment is walking speed which is a predictor of mobility and survival length, particularly in ageing populations. The primary aim of the study was to assess the feasibility of using a phone app to measure walking ability in people with osteoarthritis.
Methods
This feasibility study used a prospective, observational design to collect data from massage practitioners and their clients over a 5-week period. Feasibility outcomes included practitioner and client recruitment and protocol compliance. The app MapMyWalk was used to record average speed for each walk. Pre-study surveys and post-study focus groups were conducted. Clients received massage therapy in a massage clinic and were instructed to walk in their own local community for 10 min every other day. Focus group data were analysed thematically. Qualitative data from clients’ pain and mobility diaries were reported descriptively. Average walking speeds were graphed for each participant in relation to massage treatments.
Results
Fifty-three practitioners expressed interest in the study, 13 completed the training, with 11 successfully recruiting 26 clients, 22 of whom completed the study. 90% of practitioners collected all required data. A strong motivation for participating practitioners was to contribute to evidence for massage therapy. Client compliance with using the app was high, but low for completing pain and mobility diaries. Average speed remained unchanged for 15 (68%) clients and decreased for seven (32%). Maximum speed increased for 11 (50%) clients, decreased for nine (41%) and remained unchanged for two (9%). However, data retrieved from the app were unreliable for walking speed.
Conclusions
This study demonstrated that it is feasible to recruit massage practitioners and their clients for a study involving mobile/wearable technology to measure changes in walking speed following massage therapy. The results support the development of a larger randomised clinical trial using purpose-built mobile/wearable technology to measure the medium and long-term effects of massage therapy on people with osteoarthritis.
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Noseworthy M, Peddie L, Buckler EJ, Park F, Pham M, Pratt S, Singh A, Puterman E, Liu-Ambrose T. The Effects of Outdoor versus Indoor Exercise on Psychological Health, Physical Health, and Physical Activity Behaviour: A Systematic Review of Longitudinal Trials. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1669. [PMID: 36767034 PMCID: PMC9914639 DOI: 10.3390/ijerph20031669] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Revised: 01/08/2023] [Accepted: 01/09/2023] [Indexed: 06/18/2023]
Abstract
A growing body of research is exploring the potential added health benefits of exercise when performed outdoors in nature versus indoors. This systematic review aimed to compare the effects of exercise in outdoor environments versus indoor environments on psychological health, physical health, and physical activity behaviour. We searched nine databases from inception to March 2021 for English language, peer-reviewed articles: MEDLINE, Embase, PubMed, Scopus, Web of Science, CINAHL, SportsDiscus, GreenFile, and CENTRAL. We included randomized and non-randomized trials that compared multiple bouts of exercise in outdoor versus indoor environments, and that assessed at least one outcome related to physical health, psychological health, or physical activity behaviour. Due to minimal outcome overlap and a paucity of studies, we performed a narrative synthesis. We identified 10 eligible trials, including 7 randomized controlled trials, and a total of 343 participants. Participant demographics, exercise protocols, and outcomes varied widely. In the 10 eligible studies, a total of 99 comparisons were made between outdoor and indoor exercise; all 25 statistically significant comparisons favoured outdoor exercise. Interpretation of findings was hindered by an overall high risk of bias, unclear reporting, and high outcome heterogeneity. There is limited evidence for added health or behaviour benefits of outdoor exercise versus indoor exercise. Rigorous randomized controlled trials are needed with larger samples and clear reporting.
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Affiliation(s)
- Matt Noseworthy
- Aging, Mobility, and Cognitive Health Lab, University of British Columbia, Vancouver, BC V6T 2B5, Canada
| | - Luke Peddie
- School of Kinesiology, University of British Columbia, Vancouver, BC V6T 1Z1, Canada
| | - E. Jean Buckler
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC V8W 2Y2, Canada
| | - Faith Park
- School of Kinesiology, University of British Columbia, Vancouver, BC V6T 1Z1, Canada
| | - Margaret Pham
- School of Kinesiology, University of British Columbia, Vancouver, BC V6T 1Z1, Canada
| | - Spencer Pratt
- School of Kinesiology, University of British Columbia, Vancouver, BC V6T 1Z1, Canada
| | - Arpreet Singh
- School of Kinesiology, University of British Columbia, Vancouver, BC V6T 1Z1, Canada
| | - Eli Puterman
- School of Kinesiology, University of British Columbia, Vancouver, BC V6T 1Z1, Canada
| | - Teresa Liu-Ambrose
- Aging, Mobility, and Cognitive Health Lab, University of British Columbia, Vancouver, BC V6T 2B5, Canada
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Hsu RMCS, Cardoso FL, Varella MAC, Pires EM, Valentova JV. Comparing Different Typologies of Physical Activities With a Focus on Motivation. Front Psychol 2022; 13:790490. [PMID: 35645925 PMCID: PMC9137393 DOI: 10.3389/fpsyg.2022.790490] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Accepted: 04/11/2022] [Indexed: 12/15/2022] Open
Abstract
There are numerous classifications of physical activities (PAs). However, they lack precise grouping criteria and tend to vary according to each author. Among other factors, the individual’s level of motivation is considered an important aspect of PA maintenance. In this study, we aimed to (1) compare several PAs according to intrinsic (Interest, Enjoyment, and Competence) and extrinsic (Appearance, Fitness/Health, and Social) motives and (2) analyze PAs with and without previous grouping to explore which PAs are more similar based on the different motivational subscales. We recruited 1,421 physically active Brazilian participants (mean age = 26.83, SD = 10.49). The participants stated which PA they practiced most frequently, and they answered the revised motivation for PA measure. The data were analyzed with multivariate general linear models and Kruskal–Wallis. We found that some PAs consistently differed from others regarding motivational subscales. For example, participants practicing Walking showed less Interest/Enjoyment and Competence motives than participants engaged in several other PAs. Pilates was highlighted by a particularly low level of Social motivation in comparison to other PAs. Furthermore, using the previously suggested categorization of PAs, we also showed consistent distinctions considering each motivational subscale. Specifically, one group of PA (categorized as more Complex, Team, Vigorous, Hybrid, and Combative) scored higher on intrinsic motivation, while the other group of activities (categorized as more Organized, Individual, Moderate, Strength, and Rhythmic) scored higher on Appearance and Fitness/Health motives. Our results thus provide initial evidence for possible new methods of grouping PA types that can improve maintenance behavior using motivation as a grouping factor.
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Affiliation(s)
- Rafael Ming Chi Santos Hsu
- Department of Experimental Psychology, Institute of Psychology, University of São Paulo, São Paulo, Brazil
- *Correspondence: Rafael Ming Chi Santos Hsu,
| | - Fernando Luiz Cardoso
- Center of Physical Education, Physiotherapy, and Sports, State University of Santa Catarina, Florianópolis, Brazil
| | | | - Edvane Marlene Pires
- Psychological Orientation Nucleus, Police Academy, Civil Police of São Paulo, São Paulo, Brazil
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Brito HS, Carraça EV, Palmeira AL, Ferreira JP, Vleck V, Araújo D. Benefits to Performance and Well-Being of Nature-Based Exercise: A Critical Systematic Review and Meta-Analysis. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2022; 56:62-77. [PMID: 34919375 DOI: 10.1021/acs.est.1c05151] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Prior reviews point to the superior benefits of exercising in nature vs in conventional indoor venues, particularly in terms of well-being. However, physical exercise performance, neither in terms of efficacy nor efficiency, has not been sufficiently addressed by past reviews of this topic. Therefore, we conducted both a systematic review and meta-analysis of the experimental literature that relates to differences in exercise performance and well-being between exercising in nature and in conventional indoor venues. Forty-nine relevant studies─the outcome data of which were used for the systematic review─were located within the Web of Science, PubMed, and Scopus databases. The meta-analyses, using data from twenty-four of the relevant studies, revealed no significant overall environmental effect on task performance efficacy outcomes (p = 0.100). For nature-based exercise, however, marginally positive cognitive performance outcomes (p = 0.059), lower ratings of perceived exhaustion (p = 0.001), and higher levels of vigor (p = 0.017) were observed, indicating higher performance efficiency. As for the effects of environment on well-being, positive affect was significantly higher for nature-based exercise (p = 0.000), while perceived stress was significantly higher for indoor exercise (p = 0.032). These results must, however, be interpreted with caution. High levels of bias and between-study heterogeneity were observed. Nonetheless, given several noticeable trends in the results, it may be that exercising in nature enhances the efficiency of exercise task performance to a greater extent than does indoor exercise.
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Affiliation(s)
- Henrique S Brito
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada - Dafundo, 1499-002, Lisbon Portugal
| | - Eliana V Carraça
- CIDEFES, Faculdade de Educação Física e Desporto, Universidade Lusófona de Humanidades e Tecnologias, Campo Grande, 1749-024, Lisbon Portugal
| | - António L Palmeira
- CIDEFES, Faculdade de Educação Física e Desporto, Universidade Lusófona de Humanidades e Tecnologias, Campo Grande, 1749-024, Lisbon Portugal
| | - José P Ferreira
- CIDAF, Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, Estádio Universitário de Coimbra, 3040-248, Coimbra, Portugal
| | - Veronica Vleck
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada - Dafundo, 1499-002, Lisbon Portugal
| | - Duarte Araújo
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada - Dafundo, 1499-002, Lisbon Portugal
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