Journal of clinical exercise physiology最新文献

{"title":"EXERCISE PHYSIOLOGIST-LED PAIN SCIENCE COACHING VIA TELEHEALTH IMPROVED PAIN AND FUNCTION IN LIFE INSURANCE CLAIMANTS: A PRAGMATIC COHORT STUDY","authors":"Dr Vicky Phillips, D. N. Mundell, Mr Chris Sinclair, Dr. Patrick Owen","doi":"10.31189/2165-7629-13-s2.389","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.389","url":null,"abstract":"\u0000 \u0000 Personal injury and illness compensation claimants are more likely to experience persistent pain and poorer clinical/vocational outcomes than non-compensated clients. Evidence supports the effectiveness of pain science coaching to help people understand and re-train their pain system. This consequently reduces pain intensity, improves function and quality of life. However, the effectiveness of telehealth-delivered, exercise physiologist-led pain science coaching is yet to be evaluated. This study aimed to determine the effectiveness of an accredited exercise physiologist-led pain science coaching intervention via telehealth in Australian life insurance claimants.\u0000 \u0000 \u0000 \u0000 This pragmatic cohort study included 1,275 claimants receiving a pain science coaching intervention supported by life insurance compensation. Ethics was approved via Deakin University Human Research Ethics Committee (2023-347). Outcome measures were pain intensity (11 item numerical pain rating scale, range: 0-10 points) and function (two 11-item patient-specific functional scale, range: 0-20 points). Linear mixed models determined within-group change over time.\u0000 \u0000 \u0000 \u0000 Clients (female: 75%, male: 25%) had a mean (SD) age of 50 (10) years (range: 20-69 years) and claim duration of 2 (2) years (range: 0-20 years). Mean (SD) intervention duration was 10 (6) weeks (range: 3-41 weeks), financial cost was A$1,149 (A$202; range: A$510-A$2,040) and included 5 (1) hours (range: 2-11 hours) of pain science coaching. Following the intervention, pain intensity decreased 25% (estimated marginal mean change [95%CI]: -1.49 [-1.59, -1.40] points, P<0.001) and function increased 76% (4.41 [4.21, 4.62] points, P<0.001). Changes surpassed established clinically meaningful effect thresholds for pain intensity (1.17 points) and function (2.6 points). Client Net Promotor Score was +60 (Australian Healthcare Index benchmark ≥ +30) and 91% were satisfied with the intervention.\u0000 \u0000 \u0000 \u0000 An exercise physiologist-led pain science coaching intervention resulted in clinically meaningful improvements in pain intensity and function in compensation claimants. Clients reported high satisfaction rates.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141042129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CALL FOR ACTION: GUIDELINES FOR PHYSICAL ACTIVITY BASED INTERVENTIONS IN ADDICTION","authors":"Mrs Kirrily Gould, Dr Rhiannon Dowla","doi":"10.31189/2165-7629-13-s2.383","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.383","url":null,"abstract":"With the evidence supporting the extensive benefits of exercise for people experiencing substance use disorders (SUD) rapidly growing, the demand for clinical exercise interventions in SUD services is expanding through Australia. However, at present there are no clear safety considerations or guidelines specific to SUD, leaving exercise physiologists falling to broader guidelines when working with SUD, often using those developed for severe mental illness (SMI). When working with SUD, many considerations differ to those being treated with SMI. This includes differences in the common comorbidities seen in SUD compared to SMI, as well as considerations relating to withdrawal and craving management. Furthermore, the different impacts and considerations of each substance class in relation to exercise needs to be elucidated. Therefore, standardised safety considerations and contraindications need to be developed to allow Exercise Physiologists to provide safe and effective interventions for those in the withdrawal and recovery phase of SUD. This call for action proposes the development of a multidisciplinary informed clinical exercise guideline for safety protocols, considerations and contraindications for physical activity-based interventions within substance use disorder treatment.","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141033136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE RELIABILITY AND VALIDITY OF THE BALANCE MAT","authors":"Dr Isaac Selva Raj, Prof Ken Nosaka","doi":"10.31189/2165-7629-13-s2.304","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.304","url":null,"abstract":"\u0000 \u0000 Reliable and accurate postural sway assessment tools are important for monitoring the postural stability of individuals so that interventions can be evaluated, and balance ability is better assessed. The Balance Mat (PSI, ACT, Australia) is a new postural sway assessment device that is relatively cheap and highly portable, but it is yet to be scientifically validated and its reliability tested. Therefore, the aims of this project were to assess the test-retest reliability and validity of the Balance Mat (BM).\u0000 \u0000 \u0000 \u0000 Seventeen participants (age range 18 – 67) were recruited, and they performed nine balance tests. The reference method for obtaining balance measurements was the AMTI AccuSway-Optimized force platform (Advanced Mechanical Technology, Inc., MA, USA), which was placed below the BM so that force plate and BM data were collected simultaneously. Each participant performed two trials for each test, which were 20 seconds in duration each. From the BM software, the sway variance, mean sway distance, sway range, sway velocity, and sway path were obtained for each trial. From the force platform, the following centre of pressure (COP) measurements were obtained: standard deviation of the radial displacement of the COP; mean radial displacement of the COP; 95% confidence ellipse area; average velocity of the COP; and COP path length. Spearman’s rank-order correlation coefficient was used to test the validity and reliability of the BM.\u0000 \u0000 \u0000 \u0000 For the comparison between BM and force plate data, correlation coefficients ranged from 0.63 to 0.79 (p<0.001). For the test-retest reliability analyses, correlation coefficients ranged from 0.77 to 0.85 (p<0.001) among the nine tests.\u0000 \u0000 \u0000 \u0000 The strong to very strong positive correlations suggest that the BM is a valid and reliable tool for assessing postural sway.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141023663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DEVELOPMENT OF A NOVEL ALGORITHM FOR THE AUTOMATIC DETECTION OF MULTIDIRECTIONAL LOCOMOTION WITHIN TEAM SPORTS","authors":"Dr Cloe Cummins, Mr Caleb Handley, Mr Glen Charlton, Dr Kathleen Shorter","doi":"10.31189/2165-7629-13-s2.472","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.472","url":null,"abstract":"\u0000 \u0000 Field-based sports are characterised by their intermittent nature requiring both, multidirectional locomotion and, sports-specific movements at a range of intensities. Traditionally, athlete-monitoring has focused on quantifying workload based on movement intensity with minimal regard to the direction of locomotion [1]. The aim of this study was to develop and evaluate an algorithm to detect and classify multidirectional movement using signal characteristics from a microtechnology device.\u0000 \u0000 \u0000 \u0000 Rugby league referees (n=13) undertook a match-play simulation protocol (i.e., changes in movement speed and locomotion direction) [2], with microtechnology and video data collected across five-trials. Video data was reviewed to identify movement anomalies outside of the simulation protocol for exclusion. From the 100Hz microtechnology data, acceleration measures were used to classify the start and end point of each movement (i.e., backwards, forwards, sideways or other) or marked for exclusion from the algorithm development. The classified sensor data was processed in Python (v3.11), where data were split into training and testing datasets. A Recurrent Neural Network (Long Short-Term Memory) [3] was implemented to develop and validate an algorithm. Model performance was assessed via accuracy, sensitivity, precision and Area Under the Receiver Operating Characteristic Curve (AUC), using the testing dataset.\u0000 \u0000 \u0000 \u0000 The accuracy of the model was 0.973 ± 0.010. Sensitivity and precision of the model varied between movement direction, but was >0.928 and >0.922, respectively. The AUC of the model was 0.988 ± 0.007.\u0000 \u0000 \u0000 \u0000 The current study highlights the effectiveness of a microtechnology based algorithm for automatically classifying multidirectional locomotion of various velocities. Practically, such algorithm can be used to inform evidence-based training in relation to multidirectional locomotion. Whilst model performance was very-high, further research should examine the feasibility of applying the algorithm to match-play datasets to enhance athlete-monitoring processes.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141031417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EXERCISE PRESCRIPTION IN A MULTIDISCIPLINARY LONG COVID CLINIC: METHODOLOGY FROM AN AUSTRALIAN EXPERIENCE","authors":"Ms Mary Johnson, Ms Allison Maher, Ms Michelle Bennett, Ms Tanya Buettikofer, Dr Hsin-Chia Carol Huang, Associate Professor Phil Gaughwin, Ms Veronica Rainbird, Professor Imogen Mitchell, Professor Bernie Bissett","doi":"10.31189/2165-7629-13-s2.507","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.507","url":null,"abstract":"\u0000 \u0000 The University of Canberra Hospital Post-COVID Recovery Clinic is one of Australia’s few multidisciplinary outpatient clinics. Our model includes personally-prescribed exercise of both inspiratory and peripheral muscles. We have treated > 200 people with Long COVID with no serious adverse events, and our model is highly acceptable to consumers. This paper offers a detailed description of our methodology capturing how we achieve safe, tailored personal exercise, and carefully manage post-exertional symptom exacerbation (PESE).\u0000 \u0000 \u0000 \u0000 Initial screening appointments last 2 hours, and clients are referred for medical review if they have signs or symptoms of an acute or life-threatening complication (e.g. unexplained chest pain). Individualised exercise programs are prescribed, progressed, and monitored by an Exercise Physiologist or Physiotherapist initially on an individual basis, then in a supervised group setting. The group program consists of twice weekly sessions of 60 minutes duration. Clients attending group therapies are provided with a home exercise program to enable self-management. Clients are screened at baseline assessment for PESE triggered by participation in activities of daily living. All clients receive education about activity modification and pacing strategies. For clients experiencing PESE, activity is not progressed until they can tolerate 2 weeks of activity without PESE. For peripheral muscles, progressive resistance exercises are prescribed at a submaximal intensity (RPE 4-6/10), with 4-6 exercises completed 3 days/week. Once able to tolerate ADLs, low intensity cardiovascular exercise is gradually introduced with increased monitoring from a clinician. For patients with dyspnoea, high-intensity inspiratory muscle training is prescribed as 5 sets of 6 breaths at least 50% of their maximal inspiratory pressure (30 breaths total) 5 days per week.\u0000 \u0000 \u0000 \u0000 Our experience indicates that it is possible to safely prescribe exercise in people with Long COVID, incorporating both peripheral and inspiratory muscle training, while carefully monitoring and managing PESE.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141054586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COMBINED HIGH-INTENSITY INTERVAL TRAINING FOR PEOPLE WITH DISORDERS OF GUT BRAIN INTERACTION: A CASE REPORT","authors":"Ms Jacinta Durney, Prof Jeff Coombes, Dr Myles Young, Prof Nicholas Talley, Prof Ronald Plotnikoff, Dr Emily Hoedt, Dr Emily Cox","doi":"10.31189/2165-7629-13-s2.438","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.438","url":null,"abstract":"\u0000 \u0000 The efficacy of high intensity exercise for improving symptoms of chronic idiopathic constipation, a highly prevalent disorder of gut brain interaction (DGBI), remains uncertain. The aim of this case report was to investigate the feasibility, safety, and efficacy of 8-weeks of combined high-intensity interval training (C-HIIT) for a person (female, 23 years old) with chronic constipation.\u0000 \u0000 \u0000 \u0000 The participant enrolled in the C-HIIT for DGBI controlled trial that aims to recruit 32 participants with DGBI. Following comprehensive assessments of gastrointestinal symptoms, neuromuscular fitness, cardiorespiratory fitness and mental health, the participant completed an 8-week intervention consisting of thrice weekly 26-minute C-HIIT sessions. These consisted of a 3-minute aerobic warm-up (treadmill; 50-60% peak heart rate [HRpeak]) followed by 4-minutes of high-intensity aerobic exercise at ≥85% HRpeak. After 1-minute rest, eight whole body resistance exercises were performed. These involved continuous repetitions with good technique for 1-minute at an ≥8/10 (very hard) rating of perceived exertion; 1-minute rest separated each exercise. Adverse events were recorded throughout the intervention.\u0000 \u0000 \u0000 \u0000 The participant adhered to the intervention, attending 100% of sessions and reaching the prescribed intensity for 100% of aerobic and 80% of resistance exercises. Efficacy of the exercise training was indicated by a reduction in the severity of gastrointestinal symptoms measured via the irritable bowel syndrome-symptom severity scale (from 111 to 100) and the structured assessment of gastroIntestinal symptoms (39 to 12). There were some improvements in neuromuscular fitness (handgrip strength: 27 to 29.5 kg, 30-second sit to stands: 12 to 10 repetitions) and cardiorespiratory fitness (VO2max: 36.7 to 38.2 mL/kg/min). No changes were observed in mental health (Hospital Anxiety and Depression scale), and one non-serious adverse event (nausea post-eating), which was deemed not related to the intervention.\u0000 \u0000 \u0000 \u0000 The C-HIIT intervention in a person with DGBI was feasible, efficacious and safe.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141058076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THRIVING IN MOTION – YOUTH MOVES: MOVEMENT FOR TRANS AND GENDER DIVERSE YOUNG FOLK","authors":"Mrs Felicity Austin, Dr Kemi Wright, Benjamin Quick, Greta Edwards, Kayleen Russell, Benjamin Kramer, A/Prof Bonnie Furzer","doi":"10.31189/2165-7629-13-s2.370","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.370","url":null,"abstract":"\u0000 \u0000 Gender diverse young people have lower rates of exercise, and higher rates of mental and physical health challenges, perpetuated by a lack of trans-friendly physical activity providers and environments. Our collaborative project aimed to create and support community-based exercise opportunities for trans and gender diverse young people (15-25yrs) to increase participation and improve their physical and mental health outcomes. Alongside feasibility data from 18 months delivery, two case studies will be presented (23 yrs non-binary individual, presenting with disordered eating and exercise, neurodivergence and mental illness; 18yrs transfeminine presenting with neurodivergence and participation barriers).\u0000 \u0000 \u0000 \u0000 Through targeted community collaboration with young people and multidisciplinary support services, a supportive and inclusive structured exercise program was created. Specifically, we delivered and evaluated the feasibility of the exercise program for gender diverse young people; and educated the wider exercise and health community on inclusive exercise practices.\u0000 \u0000 \u0000 \u0000 Forty-six gender diverse young people participated across the delivery of 11 x 8-10 week programs in 5 Perth metro locations, totalling 4518 exercise therapy hours. On average 100% of participants reported a score higher than 3/5 for program enjoyment, 79% of participants reported a score higher than 3/5 for motivation to return. Participants on average increased weekly physical activity participation by 50% since commencing the program, and 100% of participants would recommend the program to other trans peers.\u0000 \u0000 \u0000 \u0000 In WA, the absence of exercise opportunities for gender diverse young people prompted our tailored program. We prioritized inclusivity, safety, and participant-specific needs. Our proactive approach included health screenings, upskilling staff, and encouraging a supportive environment. Listening to participant expectations, involving a Youth Advisory Group, and engaging a Youth Engagement Officer proved vital for program success. Our reflections incorporate the significance of tailored, inclusive programs and community involvement in fostering active, safe spaces.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141030881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PAINFUL VS NON-PAINFUL EXERCISE IN PEOPLE WITH KNEE OSTEOARTHRITIS: A FEASIBILITY STUDY","authors":"Mr Adrian Ram, Matthew D Jones, A/Prof Jeanette Thom, Dr John Booth, Dr Mitchell T. Gibbs, Mr Anurag Pandit, Mr Alexandre Kovats, Mr Pramod Ram","doi":"10.31189/2165-7629-13-s2.471","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.471","url":null,"abstract":"\u0000 \u0000 Painful exercise reduces pain in the short-term compared to non-painful exercise in people with chronic pain. However, integration of painful exercise into knee osteoarthritis (OA) treatment is contentious among clinicians, with the clinical implications unknown. This study aimed to explore the feasibility of painful versus non-painful exercise in people with knee OA.\u0000 \u0000 \u0000 \u0000 Participants were randomised into a painful (INT; RPE 5-6) or non-painful (CON; RPE 4-5) who performed exercise twice per week for 6 weeks. Both groups also received standardised education. The primary outcomes were feasibility, assessed using participant recruitment, retention, adherence, and compliance rates. Secondary outcomes included pain, function, strength, pressure pain thresholds, psychosocial measures and adverse events. Immediate pre- and post-exercise pain were also measured.\u0000 \u0000 \u0000 \u0000 21 people with knee OA (66 ± 9 years old; BMI: 29.4 ± 8.1) completed the study. Feasibility was achieved and supported by high rates of recruitment (INT = 89%, CON 89%), retention (INT = 91%, CON = 100%), adherence (INT = 91%, CON = 92%), and compliance (INT = 72%, CON = 81%). Pain reduced in both groups (mean difference [95% CI]; INT = -0.7 [-1.8 to 0.4]; CON = -1.5 [-2.7 to 0.4]), and strength (1-RM leg press) improved with a moderate effect in favour of INT (12.8 [0.2 to 25.9], d = 0.97, p = 0.046).\u0000 \u0000 \u0000 \u0000 Incorporating painful exercise into treatment for individuals with knee OA is feasible. Several potential benefits include positive changes in maladaptive beliefs and behaviours and enhanced systemic benefits associated with higher intensity exercise. Future research comparing the efficacy of painful versus non-painful exercise in knee OA and other chronic musculoskeletal conditions is warranted.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141033939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EXPLORING PSYCHOLOGICAL NEED SATISFACTION AND MOTIVATION TO EXERCISE AND PHYSICAL ACTIVITY IN AN ARAB CONTEXT","authors":"Mrs Banan Suwan, Associate Professor Paul Grimshaw, Dr. Bridget McFadden, Dr. Merilyn Lock","doi":"10.31189/2165-7629-13-s2.327","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.327","url":null,"abstract":"\u0000 \u0000 Promoting physical activity (PA) requires an understanding of PA behavior, its correlates, and its determinants. This study aimed to assess self-reported PA behavior of adults in Qatar and understand the associations between self-determination theory (SDT) based motivational processes and PA behavior.\u0000 \u0000 \u0000 \u0000 This cross-sectional study used an anonymous online questionnaire within Qatar comprising demographic questions, the International Physical Activity Questionnaire Short Form (IPAQ-SF), the Behavioral Regulation in Exercise Questionnaire (BREQ-3), and the Psychological Need Satisfaction in Exercise (PNSE) scale.\u0000 \u0000 \u0000 \u0000 Respondents (N = 347; nfemales=246, nmales=101) were 21.6% non-Arab expats, 63.7% Arab expats, and 14.7% Qatari nationals. The prevalence of sufficient PA (minimum of 600 MET·min per week according to the IPAQ-SF criteria) was 66%, while 34% of participants were insufficiently active. Males (x¯ = 1808.16±2517.47 MET·min·wk-1) were significantly more active than females (x¯ = 1049.40±1717.31 MET·min·wk-1; P=0.001), and reported more autonomous forms of regulation (x¯ identified=2.86, x¯ integrated=2.33, x¯ intrinsic=2.64) than females (x¯ identified=2.58, x¯ integrated=2.01, x¯ intrinsic=2.36; P<0.05), as well as higher perceived competence satisfaction (x¯ =3.89) than females (x¯ = 3.49; P=0.025). A bivariate correlation showed that total PA and moderate to vigorous physical activity (MVPA) were positively and significantly (P<0.01) associated with autonomous forms of regulation, namely, identified (rtotal_PA=0.16, rMVPA=0.15) integrated (rtotal_PA=0.26, rMVPA=0.25), and intrinsic (rtotal_PA=0.20, rMVPA=0.18) regulation, as well as perceived competence in exercise (rtotal_PA=0.21, rMVPA=0.18; P<0.01).\u0000 \u0000 \u0000 \u0000 The bivariate correlation results were consistent with the theoretical tenets of SDT, supporting the application of SDT to advance the understanding of psychological associations of PA in predominantly Arab populations. The observed gender gap in physical activity levels is consistent with previous research in Arab populations. Future research could target SDT constructs to promote PA behavior in Arab women through culturally sensitive interventions.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141039124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"UNDERSTANDING THE INDIVIDUALIZATION OF EXERCISE PRESCRIPTION FOR PEOPLE WITH CANCER: A SYSTEMATIC REVIEW","authors":"Brent Cunningham, Jamie E Chong, Ciaran Fariman, Tina Skinner, Grace Rose","doi":"10.31189/2165-7629-13-s2.337","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.337","url":null,"abstract":"\u0000 \u0000 The importance of prescribing individualized exercise for people with cancer to minimize injury risk and optimize outcomes has been echoed internationally in position and consensus statements. However, it is unclear what individualization processes are employed in exercise oncology research and how exercise individualisation is implemented for people with cancer. This study aimed to systematically review the available evidence to elucidate the individualisation methods being employed in exercise oncology research.\u0000 \u0000 \u0000 \u0000 A systematic search of PubMed, EMBASE, CINAHL, and Web of Science was performed following the PRISMA guidelines. Eligible randomised controlled trials (RCT), controlled trials (CT), pre-post trials, and comparison trials included men and women aged ≥18 years with a histologically confirmed diagnosis of cancer; undertaking any structured exercise protocol that was ‘individualized’, with or without supervision; and that explored outcomes of intervention fidelity (e.g., recruitment, attendance, adherence, attrition), and/or patient health and wellbeing (i.e., quality of life, symptom improvement, medication use, physical activity). Study quality was assessed using the Delphi list tool.\u0000 \u0000 \u0000 \u0000 Forty-nine studies were found to be eligible and subsequently included in the narrative synthesis. Study quality was on average 49% (range 14 to 100%). Individualization of the exercise prescription most occurred prior to intervention commencement (n=23, 47%), based on physiological results from baseline assessments (n=21, 43%). No study individualized exercise based on participant readiness to train. The exercise prescription was predominantly individualized via modulation of both the intensity and volume of exercise (11, 22%).\u0000 \u0000 \u0000 \u0000 Exercise prescription individualization for people with cancer is highly prescriptive and predetermined. Seldom has exercise prescription been individualized based on participant readiness to train. Future exercise oncology studies should include greater detail on the reporting of exercise individualization methods and rationale to enhance our understanding of the relationship between individualization and exercise adherence and attrition in people with cancer.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141036749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}