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Gómez-González IM, Castro-García JA, Merino-Monge M, Sánchez-Antón G, Hamidi F, Mendoza-Sagrera A, Molina-Cantero AJ. Emotional State Measurement Trial (EMOPROEXE): A Protocol for Promoting Exercise in Adults and Children with Cerebral Palsy. J Pers Med 2024; 14:521. [PMID: 38793103 PMCID: PMC11122634 DOI: 10.3390/jpm14050521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Revised: 04/24/2024] [Accepted: 05/09/2024] [Indexed: 05/26/2024] Open
Abstract
BACKGROUND The protocol described in this paper is part of a research project coordinated between three Spanish universities, where a technology aimed at improving the quality of life of people with cerebral palsy will be developed. Part of the proposed technology will consist of an interface and a series of applications to increase motivation for daily physical activity. The basis of these developments is the measurement of the emotional state of the subjects. METHODS The experimental protocol is designed with two research objectives, on the one hand to identify the emotional state through physiological signals, and on the other to determine whether music can be a motivating factor to promote physical activity. It is specifically designed for subjects with cerebral palsy, taking into account the special characteristics of this population. These are people with whom it is difficult to use questionnaires to have a basis to contrast with the measured physiological signals, so measurements must be taken in carefully chosen daily-life situations. DISCUSSION We hope our findings show which physiological parameters are the most robust to measure the emotional state and how to design rehabilitation and physical activity promotion routines that are motivating, in addition to being able to avoid risk factors during the performance of these routines. TRIAL REGISTRATION NCT05621057.
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Affiliation(s)
- Isabel M. Gómez-González
- Departamento de Tecnología Electrónica, E.T.S.I. Informática, Universidad de Sevilla, 41012 Sevilla, Spain; (J.A.C.-G.); (M.M.-M.); (G.S.-A.); (A.J.M.-C.)
- Instituto Universitario de Investigación de Ingeniería Informática, Universidad de Sevilla, 41012 Sevilla, Spain
| | - Juan A. Castro-García
- Departamento de Tecnología Electrónica, E.T.S.I. Informática, Universidad de Sevilla, 41012 Sevilla, Spain; (J.A.C.-G.); (M.M.-M.); (G.S.-A.); (A.J.M.-C.)
- Instituto Universitario de Investigación de Ingeniería Informática, Universidad de Sevilla, 41012 Sevilla, Spain
| | - Manuel Merino-Monge
- Departamento de Tecnología Electrónica, E.T.S.I. Informática, Universidad de Sevilla, 41012 Sevilla, Spain; (J.A.C.-G.); (M.M.-M.); (G.S.-A.); (A.J.M.-C.)
| | - Gemma Sánchez-Antón
- Departamento de Tecnología Electrónica, E.T.S.I. Informática, Universidad de Sevilla, 41012 Sevilla, Spain; (J.A.C.-G.); (M.M.-M.); (G.S.-A.); (A.J.M.-C.)
| | - Foad Hamidi
- Information Systems Department, University of Maryland, College Park, MD 20742, USA;
| | | | - Alberto J. Molina-Cantero
- Departamento de Tecnología Electrónica, E.T.S.I. Informática, Universidad de Sevilla, 41012 Sevilla, Spain; (J.A.C.-G.); (M.M.-M.); (G.S.-A.); (A.J.M.-C.)
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McConnell K, McFeeters C, Marley J, Crawford A, Pedlow K. A co-designed mixed methods study on community-based gym exercise for non-ambulant adults with childhood onset disability. Disabil Rehabil 2024:1-9. [PMID: 38702917 DOI: 10.1080/09638288.2024.2346628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Accepted: 04/19/2024] [Indexed: 05/06/2024]
Abstract
PURPOSE Explore community-based gym exercise for non-ambulant adults with childhood-onset disability. MATERIALS AND METHODS Non-ambulant adults with childhood-onset disability participated in four, weekly gym sessions co-facilitated by physiotherapists and exercise professionals. Practicalities of participating in the sessions were recorded via uptake and attrition, weekly surveys, and focus groups. Perspectives of those who designed/delivered the study were gathered via weekly debrief meetings. Quantitative data were analysed descriptively, qualitative data were analysed thematically. RESULTS Ten non-ambulant adults with childhood-onset disability participated; 70% completed all exercise sessions. Focus groups identified three themes. "I wouldn't be able to exercise…there's no option for a community-based setting" described the lack of opportunities for exercise in gyms. "You don't realise the benefit of coming here" highlighted benefits of exercise. "We can do better" had two sub-themes: problem solving and ingredients for community-based gym exercise. Weekly feedback and debrief meetings identified practicalities related to equipment, exercises, and collaborative working between facilitators. CONCLUSIONS Whilst there is an interest in community-based gym exercise for non-ambulant adults with childhood-onset disability, there remains a lack of inclusive gyms. Co-design of inclusive gym guidelines and condition-specific physical activity referral scheme may enhance opportunities for participation in gym exercise for adults with childhood-onset disability.
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Affiliation(s)
- Karen McConnell
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK
| | | | - Joanne Marley
- School of Health Sciences, Ulster University, Londonderry, UK
| | | | - Katy Pedlow
- School of Health Sciences, Ulster University, Londonderry, UK
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Molina-Cantero AJ, Pousada García T, Pacheco-da-Costa S, Lebrato-Vázquez C, Mendoza-Sagrera A, Meriggi P, Gómez-González IM. Physical Activity in Cerebral Palsy: A Current State Study. Healthcare (Basel) 2024; 12:535. [PMID: 38470646 PMCID: PMC10930677 DOI: 10.3390/healthcare12050535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2023] [Revised: 02/09/2024] [Accepted: 02/19/2024] [Indexed: 03/14/2024] Open
Abstract
This document analyzes a survey conducted in three geographical areas in Spain, focusing on centers for individuals with cerebral palsy (CP). The study aims to determine the adherence rate to recommended physical activity guidelines, assess if there is a decline in interest in physical activity over time, identify the stage at which this decline occurs, and explore potential mechanisms, tools, or strategies to sustain long-term engagement in regular physical activity for this population. The 36-item questionnaire comprises multiple-choice, open-ended, and Likert scale-type questions. Data were collected on physical activity frequency and duration, daily living activities, and demographics. Statistical analysis identified patterns and relationships between variables. Findings reveal that only a 17.6% meets the World Health Organization (WHO) recommendations regarding regular physical activity (RPA), decreasing in frequency or number of days a week, (3.7 d/w to 2.9 d/w; p < 0.01) and duration (50.5 min/d to 45.2 min/d; p < 0.001) with age, especially for those with higher Gross Motor Function Classification System (GMFCS) mobility levels. Obesity slightly correlates with session duration (ρ = -0.207; p < 0.05), not mobility limitations. Gender has no significant impact on mobility, communication, or physical activity, while age affects variables such as body mass index (BMI) and engagement (p < 0.01). A substantial proportion follows regular physical activities based on health professionals' advice, with interest decreasing with age. To improve adherence, focusing on sports-oriented goals, group sessions, and games is recommended. These findings emphasize the importance of personalized programs, particularly for older individuals and those with greater mobility limitations.
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Affiliation(s)
- Alberto J. Molina-Cantero
- Departamento de Tecnología Electrónica, ETS Ingeniería Informática, Universidad de Sevilla, Avda de Reina Mercedes sn., 41012 Sevilla, Spain; (A.J.M.-C.); (C.L.-V.)
| | | | - Soraya Pacheco-da-Costa
- Neuromusculoskeletal Physical Therapy in Stages of Life Research Group (FINEMEV), Physical Therapy Degree, Department of Nursing and Physical Therapy, Faculty of Medicine and Health Sciences, Universidad de Alcalá de Henares, Autovía A2, km 33.200, 28805 Alcalá de Henares, Spain;
| | - Clara Lebrato-Vázquez
- Departamento de Tecnología Electrónica, ETS Ingeniería Informática, Universidad de Sevilla, Avda de Reina Mercedes sn., 41012 Sevilla, Spain; (A.J.M.-C.); (C.L.-V.)
| | | | - Paolo Meriggi
- IRCCS Fondazione Don Carlo Gnocchi, Via Capecelatro 66, 20148 Milano, Italy;
| | - Isabel M. Gómez-González
- Departamento de Tecnología Electrónica, ETS Ingeniería Informática, Universidad de Sevilla, Avda de Reina Mercedes sn., 41012 Sevilla, Spain; (A.J.M.-C.); (C.L.-V.)
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da Silva APAF, Bassi-Dibai D, Moreira BL, Gava AD, Takahasi HY, Salomão LGPB, Cacere M, de Freitas Thomaz F, Dibai-Filho AV. Cross-cultural adaptation, reliability and validation of the Gillette Functional Assessment Questionnaire (FAQ) into Brazilian Portuguese in patients with cerebral palsy. BMC Pediatr 2023; 23:165. [PMID: 37038163 PMCID: PMC10088132 DOI: 10.1186/s12887-023-03989-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Accepted: 04/03/2023] [Indexed: 04/12/2023] Open
Abstract
BACKGROUND The purpose of this study was to translate, cross-culturally adapt and validate the Gillette Functional Assessment Questionnaire (FAQ) into Brazilian Portuguese. METHODS The translation and cross-cultural adaptation was carried out in accordance with international recommendations. The FAQ was applied to a sample of 102 patients diagnosed with cerebral palsy (CP). Construct validity was assessed using Spearman's correlation coefficient (rho), and the FAQ score was correlated with the Functional Mobility Scale (FMS) and Gross Motor Function Classification Scale (GMFCS). A subsample of 50 patients was used to assess reliability using intraclass correlation coefficient (ICC), standard error of measurement (SEM) and minimum detectable difference (MDD). Ceiling and floor effects were also evaluated. RESULTS The Brazilian version of the FAQ showed excellent test-retest reliability by the assessment of the physiotherapist (ICC = 0.99) and respondent (ICC = 0.97), as well as excellent inter-examiner reliability (ICC = 0.94). The SEM was 0.23 (physiotherapist), 0.47 (respondent) and 0.64 (inter-examiner), while the MDD was 0.64 (physiotherapist), 1.29 (respondent) and 1.76 (inter-examiner). The classification of gross motor function showed a high correlation with the FAQ applied by the physiotherapist (rho = -0.89) and by the respondent (rho = -0.87). The FMS-5 m was highly correlated with the FAQ applied by the physiotherapist and the respondent (rho = 0.88 and rho = 0.87, respectively). The FMS-50 and FMS-500 presented very high correlation with the FAQ applied by the physiotherapist (rho = 0.91 for both) and high correlation with the FAQ applied by the respondent (rho = 0.89 and rho = 0.88, respectively). The Brazilian version of the FAQ did not present the ceiling and floor effects. CONCLUSION The FAQ presented adequate psychometric properties in patients with CP, indicating that it is possible to use it as a measure of functional gait mobility in Brazil.
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Affiliation(s)
- Acácia Pinheiro Alvares Fernandes da Silva
- Postgraduate Program in Physical Education, Universidade Federal do Maranhão, Avenida dos Portugueses, 1966, Núcleo de Esportes, 1º andar, Vila Bacanga, São Luís, MA, CEP 65080805, Brasil
- Sarah Network of Rehabilitation Hospitals, São Luís, MA, Brazil
| | - Daniela Bassi-Dibai
- Postgraduate Program in Programs Management and Health Services, Universidade Ceuma, São Luís, MA, Brazil
| | | | | | - Henrique Yuji Takahasi
- Postgraduate Program in Physical Education, Universidade Federal do Maranhão, Avenida dos Portugueses, 1966, Núcleo de Esportes, 1º andar, Vila Bacanga, São Luís, MA, CEP 65080805, Brasil
- Sarah Network of Rehabilitation Hospitals, São Luís, MA, Brazil
| | | | - Marcela Cacere
- Postgraduate Program in Physical Education, Universidade Federal do Maranhão, Avenida dos Portugueses, 1966, Núcleo de Esportes, 1º andar, Vila Bacanga, São Luís, MA, CEP 65080805, Brasil
- Sarah Network of Rehabilitation Hospitals, São Luís, MA, Brazil
| | | | - Almir Vieira Dibai-Filho
- Postgraduate Program in Physical Education, Universidade Federal do Maranhão, Avenida dos Portugueses, 1966, Núcleo de Esportes, 1º andar, Vila Bacanga, São Luís, MA, CEP 65080805, Brasil.
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Heartbeat detector from ECG and PPG signals based on wavelet transform and upper envelopes. Phys Eng Sci Med 2023; 46:597-608. [PMID: 36877361 DOI: 10.1007/s13246-023-01235-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Accepted: 02/13/2023] [Indexed: 03/07/2023]
Abstract
The analysis of cardiac activity is one of the most common elements for evaluating the state of a subject, either to control possible health risks, sports performance, stress levels, etc. This activity can be recorded using different techniques, with electrocardiogram and photoplethysmogram being the most common. Both techniques make significantly different waveforms, however the first derivative of the photoplethysmographic data produces a signal structurally similar to the electrocardiogram, so any technique focusing on detecting QRS complexes, and thus heartbeats in electrocardiogram, is potentially applicable to photoplethysmogram. In this paper, we develop a technique based on the wavelet transform and envelopes to detect heartbeats in both electrocardiogram and photoplethysmogram. The wavelet transform is used to enhance QRS complexes with respect to other signal elements, while the envelopes are used as an adaptive threshold to determine their temporal location. We compared our approach with three other techniques using electrocardiogram signals from the Physionet database and photoplethysmographic signals from the DEAP database. Our proposal showed better performances when compared to others. When the electrocardiographic signal was considered, the method had an accuracy greater than 99.94%, a true positive rate of 99.96%, and positive prediction value of 99.76%. When photoplethysmographic signals were investigated, an accuracy greater than 99.27%, a true positive rate of 99.98% and positive prediction value of 99.50% were obtained. These results indicate that our proposal can be adapted better to the recording technology.
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When Movement Moves: Study Protocol for a Multi-Method Pre/Post Evaluation Study of Two Programmes; the Danish Team Twin and Cycling Without Age. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph181910008. [PMID: 34639309 PMCID: PMC8508096 DOI: 10.3390/ijerph181910008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Revised: 09/17/2021] [Accepted: 09/19/2021] [Indexed: 11/17/2022]
Abstract
Physical activity (PA) can improve physical, mental, and social health, leading to quality of life (QoL). However, some are unable to participate independently due to age-related impairments or disabilities. This study protocol presents the design, methods, outcomes, strengths and limitations of the study “When Movement Moves” (WMM). WMM investigates whether indirect PA in a social context, where persons are unable to participate independently, can result in outcomes similar to those of independent PA, by evaluating the effects of disabled’s, elderly, volunteers’, relatives’ and nursing staff’s participation in either the running programme (Team Twin) or cycling programme (Cycling Without Age). Both programmes seek to enhance QoL through indirect PA in a social context, making PA possible for elderly and disabled persons through PA conducted by abled-bodied volunteers. WMM is a multi-method 12–16-week pre/post evaluation with quality of life, physical, mental and social health as main outcomes. Pre/post measurements consist of questionnaires, clinical examinations, and physical and cognitive appraisal. Throughout, interviews and participant observations will be conducted. Combined results will provide essential knowledge on the effects and experiences of indirect PA. Explorative data will pave the way for further research. Findings may inform policies, guidelines and health promotion among the elderly and disabled.
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