e56 Physical activity and PRM / Annals of Physical and Rehabilitation Medicine 59S (2016) e51–e58
Material/patients and methods A literature research in PubMed
and Pedro databases was performed with the following keywords:
martial arts, rehabilitation, chronic disease, neurologic disorders,
heart disease, chronic obstructive pulmonary disease, musculo-
squelettal disorders, low back pain. Abstracts had to include an
intervention being a martial arts program for a determined period
with clearly defined measured criteria. Two independent reviewers
did the literature research and the article analysis.
Results Eighty-one abstracts were found, 1 meta-analysis and
3 randomized controlled studies were analyzed. Patients under-
went a martial arts program controlled versus medical treatment
only. Primary outcome were respectively: UPDRS, postural control
and balance for Parkinson’s disease; VO2peak for post-myocardial
infarction rehabilitation; forced expiratory volume in one second
for chronic obstructive pulmonary disease respiratory rehabilita-
tion; pain and functional capacity in low back pain. It seems the
only martial art studied is Tai Chi Chuan. In Parkinson’s diseases,
there is a significant difference compared to the control group:
UPDRS –4.34, Functional Reach Test 3.89, Berg Balance scale 4.25. In
post-myocardial infarction, VO2peak was significantly improved by
5.2 mL/kg/min. For COPD, average FEV1 after Tai Chi training was
improved at 1.43 L versus 1.21 (47.6% of predicted FEV1 vs. 41.2)
within the Tai Chi group and versus 1.18 L (42%) for the controlled
group after Tai Chi training. Concerning lower back pain, patients
reported improvements in pain and functional capacity (pain VAS
1.3 and Rolland Morris scale 2.6).
Discussion–conclusion All these results seem to show that Tai
Chi Chuan is an effective complementary strategy associated with
medical and rehabilitation care of chronic diseases and larger scale
studies could confirm them. Further more, it would be interesting
to study the effects of other martial arts with different intervention
modalities.
Keywords Martial arts; Rehabilitation; Chronic disease;
Neurologic disorders; Heart disease; Chronic obstructive
pulmonary disease; Musculosquelettal disorders; Low back pain
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
http://dx.doi.org/10.1016/j.rehab.2016.07.128
Posters
PO097
The advantage of an educational
therapeutic program in osteogenesis
imperfecta in an eastern Algerian
population
Soumaya Lemai ∗ , Assya Benhabiles
Faculté de médecine, rééducation fonctionnelle, Constantine, Algeria
∗ Corresponding author.
E-mail address: lemaisoumaya@yahoo.fr (S. Lemai)
Opinion/feedback Osteogenesis imperfecta (OI) is a genetic dis-
ease characterized by bone fragility and low bone mass, rare disease
(with an estimated prevalence of 1 per 10,000 to 20,000), and
is responsible for fractures, long bone and vertebral deformities
(spinal deformities). IOs are genetic and hereditary diseases, usu-
ally autosomal dominant, and are transmitted from generation to
generation. In our country, Algeria, the rate of consanguinity is 38%
to 40%, which results in an increase in “hereditary diseases”. On
the other hand, therapists face difficulties with patient care, made
worse by the lack of a prevention policy. Faced with this situation,
we have set up a multidisciplinary consultation since 2009 to sup-
port these patients, the only one in the region, where we follow up
52 patients (2 to 24 years old). The MPR physician’s role in this team
is essential in supporting the patients and their families as soon as
the diagnosis is announce; through a simple therapeutic education
program based on our working conditions and the specificities of
our population. This experience helped improve the lives of these
children and their entourage, waiting for the establishment of a
genuine policy of prevention of hereditary diseases.
Keywords Osteogenesis imperfecta; Consanguinity;
Multidisciplinarity; Eductional therapeutic program; Policy of
prevention
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
http://dx.doi.org/10.1016/j.rehab.2016.07.129
PO098
Physical activity among a cohort of
hemodialysed Lebanese patients
Khalil ghoussoub ∗ , Bernard Ghanem , Dania Nehme Chelala ,
Serge Finianos , Hiba Azar , Zakhia Naoum , Kassem Bdeiri
Hôtel-Dieu de France, MPR, Beyrouth, Liban
∗ Corresponding author.
E-mail address: kgsoub@hotmail.com (K. ghoussoub)
Objective The purpose of the study is to identify factors that may
influence the functional limitations of hemodialysis patients and
analyze their level of physical activity.
Material/patients and methods Cross-sectional descriptive study,
for adult patients on chronic hemodialysis in the Hôtel-Dieu de
France Hospital. A 32-item questionnaire explores the personal
data, etiology of renal failure, associated defects, technical data
of hemodialysis and seniority, the current seat and pain. Physical
activity was assessed by the modified BAECKE score. The informa-
tion processing is performed with SPSS (Spearman tests, ANOVA
and logistic regression). The significance level is 0.05 with infor-
mation processing is performed with SPSS (Spearman tests, ANOVA
and logistic regression). The significance level is 0.05 with descrip-
tive, univariate and multivariate analysis.
Results Descriptive analysis. Fifty patients. Mean age 58 years,
56% are female. BMI: 5.71 kg/m2 . Work 70% before dialysis and
40% after. Etiology of failure: diabetes 28%, hypertension 24% and
20% hereditary connectivitis 12%, chronic urinary tract infections
8% and 2% idiopathic. Joint pain 36%, cardiac failure 26%. Dialysis:
three times per week 66%. Average length of dialysis 82 months.
Sports: 52% of moderate intensity on the score do BAECKE total
(ST) between 1 and 14.78 average 5.36. Univariate analysis. Items
related to a total score of BAECKE low: older age (P = 0.002), lack
of employment (P = 0), chronic urinary tract infections (P = 0.009),
osteoarthritis (P = 0.003) or pain joints (P = 0), a high frequency of
dialysis per week (P = 0), the presence of current pain (P = 0.024).
Multivariate analysis. Aggravating factors: chronic infections of the
urinary tract (P = 0.012), the presence of articular pain (P = 0.024),
and a high frequency of dialysis per week (P = 0.004).
Discussion–conclusion The study focuses on factors influencing
the decline in physical activity among hemodialysis patients and
shows that most patients do not work and have no physical activ-
ity and sport. It would be imperative to enable multidisciplinary
management and emphasize the role of rehabilitation and exercise
in improving the handicap.
Keywords Hemodialysis; Physical activity; Risk factors
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
http://dx.doi.org/10.1016/j.rehab.2016.07.130