RehabWire - Volume 4, No. 9, December 2002

RehabWire for December looks at research on diet, exercise, and health promotion for people with disabilities. A second special edition features a separate issue on general reference selections for 2002 (see No. 10).

NIDRR Projects: Research in the New Millennium.

Improving Muscular Use and Cardio-Respiratory Demand in Spinal-Cord-Injured Patients Performing Functional Electronically Stimulated Leg Cycle Ergonometry, University of California/Davis (H133G020137) led by Maury Hull, PhD. Kristi E. Wilson, PhD, Project Officer.
Abstract: THis project develops new stimulation patterns for a functional electrically stimulated (FES) leg cycle ergometer (LCE) that enable spinal-cord-injured persons to exercise with greater benefit.

Rehabilitation Research and Training Center in Neuromuscular Diseases, Universtiy of California/Davis (H133B980008) led by Craig McDonald, MD. Theresa San Agustin, MD, Project Officer.
Abstract: This project conducts research designed to enhance the quality of life of people with neuromuscular diseases. Program areas include: interventions to preserve functional capacity including management of weakness and respiratory insufficiency due to muscle wasting, exercise interventions, treatment of exercise related fatigue, pain interventions, and dietary interventions.
Find out more at: www.rehabinfo.net.

Rehabilitation Research and Training Center on Aging with a Disability, Los Amigos Research and Education Institute, Inc. (LAREI) (H133B980024) led by Bryan J. Kemp, PhD. Kristi E. Wilson, PhD, Project Officer.
Abstract: This project assists people who are aging with a disability by conducting a series of research studies using a database of more than 1,000 people who represent a variety of disabilties. Research projects include the natural course of aging with a disability, preventing secondary complications such as diabetes and thyroid disorders, and improving bone density through a regimen of exercise and vitamins.
Find out more at: www.agingwithdisability.org.

person exercising with therapist standing nearby

Rehabilitation Engineering Research Center on Recreational Technologies and Exercise Physiology Benefiting Persons with Disabilities (RERC Rec-Tec), University of Illinois at Chicago (H133E020715) led by James H. Rimmer, PhD. William Peterson, Project Officer.
Abstract: This program researches access to recreational opportunities and physical endurance of people with disabilities, targeting four primary areas: (1) increased access to fitness and recreatione environments; (2) interventions to increase physical activity and recreation participation; (3) adherence strategies to reduce physical activity relapse and dropout rates; and (4) randomized clinical trials to evaluate improvements in health and function.

Secondary Prevention Trial of Exercise and Diet for Improvement of Physical Fitness, Independence, and Overall Health in Adult Paraplegics, University of Illinois/Chicago (H133G990143) led by Carol Braunschweig, PhD. Theresa San Agustin, MD, Project Officer.
Abstract: This project investigates the impact of an exercise intervention coupled with nutrition education on the strength and fitness of a sample of overweight paraplegics with chronic illnesses. This intervention improves cardiovascular fitness and strength leading to improved independence and improved overall health.
Find out more at: www.uic.edu/orgs/sci-adapt.

Project PATH (Promoting Access, Transition, and Healing), University of New Hampshire (H133G000150) led by Janet Sable, PhD. Theresa San Agustin, MD, Project Officer.
Abstract: This project performs a randomized, controlled trial of Project PATH (Promoting Access, Transition, and Health), a community-based health promotion wellness program for people with new spinal cord injuries (SCIs). This health-promoting program involves a variety of interventions including wellness education, an individualized fitness program, recreation skill development with family and friends, community accessibility and advocacy, and peer advising.
Find out more at: www.unh.edu/rmp/rmpfiles/path.htm.

Rehabilitation Research and Training Center: Health and Wellness Consortium, Oregon Health and Science University (H133B990019) led by Gloria Krahn, PhD. Theresa San Agustin, MD, Project Officer.
Abstract: The Center has a comprehensive program of research, training, technical assistance, and dissemination with primary attention given to the physical and mental aspects of health for people with long-lasting disabilities. Interconnected research areas include evaluating health assessment definitions, practices, policies, and measurement; their impact on health promotion; and investigating the relationship between selected health maintenance strategiesand the incidence and severity of secondary conditions and other functional outcomes.
Find out more at: www.healthwellness.org.

Health Promotion for Women Aging with Disability, Baylor College of Medicine (H133G000226) led by Rosemary B. Hughes, PhD. Theresa San Agustin, MD, Project Officer.
Abstract: The project studies whetehr an intervention to improve self-efficacy and connectedness improves health-promoting behaviors, which is related to improved physical and psychological health. The research is based on two hypotheses: First, women aging with physical disabilities who participate in a health promotion workshop intervention report higher levels of connectedness and self-efficacy in disability management after the intervention and at a three-month follow-up; and second, connectedness in social and intimate relationships and self-efficacy in disability management significantly predict health promoting behaviors, which predict physical and psychological health outcomes among women aging with physical disabilities, when severity of disability and socioeconomic status are controlled.
Find out more at: www.bcm.tmc.edu/crowd.

New Research: Selections from REHABDATA

Nash, M.S., Jacobs, P.L., Woods, J.M., Clark, J.E., Pray, T.A., Pumarejo, A.E. (2002). A comparison of 2 circuit exercise training techniques for elicitng matched metabolic responses in persons with paraplegia. Archives of Phyiscal Medicine and Rehabilitation, 83(2), 201-209. W.B. Saunders, a Harcourt Health Sciences Company. Accession Number: J43750.
Abstract: Study compared the effects of circuit resistance training on a multistation isointertial exercise system (MultiGym) or on a customized system of resistance bands (ElasticGym) by persons with paraplegia. No significant effects of test condition were observed on acute metabolic response or heart rate. Average rating of perceived exertion was significantly higher in testing under the ElasticGym condition.

Gur, H., Cakin, N., Akova, B., Okay, E., Kucukoglu, S. (2002) Concentric versus combined concentric-eccentric isokinetic training: Effects on functional capacity and symptoms in patients with osteoarthrosis of the knee. Archives of Physical Medicine and Rehabilitation, 83(3), 308-316. American Congress of Rehabilitation Medicine. Accession Number: J43763.
Abstract: Study compares the effects of concentric and combined concentric-eccentric isokinetic resistance training on functional capacity, symptoms, muscle strength, and cross-sectional ara in patients with osteoarthrosis of both knees. The results indicate that those using concentric-eccentric had greater improvement in functional capacity than those using concentric; however, improvements in pain measurements were better in the concentric group compared with the concentric-eccentric group.

Mercer, T.H., Crawford, C., Gleeson, N.P., Naish, P.F. (2002) Low-volume exercise rehabilitation improves functional capacity and self-reported functional status of dialysis patients. American Journal of Physical Medicine and Rehabilitation, 81(3), 162-167. Association of Academic Physiatrists. Accession Number: J43847.
Abstract: Study examines the effects of low-volume exercise on the functional capacity and self-reported functional status of dialysis patients. Results revealed significant improvements in objetctively determined walking and stair-climbing ability, self-reported walking speed, and self-reported exercise tolerance for the experimental group.

Greenlund, K.J., Giles, W.H., Keenan, N.L., Croft, J.B., Mensah, G.A. (2002) Physician advice, patient actions, and health-related quality of life in secondary prevention of stroke through diet and exercise. Stroke, 33(2), 565-571. American Heart Association. Accession Number: J43906.
Abstract: Study examines the prevalence of physician counseling on actions to reduce the risk of stroke, whether patients followed the physicians' advice, and whether engaging in these actions resulted in differences in health-related quality of life.

Rimmer, J.H., Braddock, D. (2002) Health promotion for people with physical, cognitive, and sensory disabilities: An emerging national priority. American Journal of Health Promotion, 16(4), 220-224. University of Illinois/Chicago. Accession Number: J43960.
Abstract: Article emphasizes the importance of health promotion for people with physical, cognitive, and sensory disabilities which includes efforts to prevent secondary conditions associated with the primary impairment. Discusses the impact of physical activity, nutrition, and health behavior on disability. Describes the impact of physical activity, nutrition, and health behavior on disability. Describes three health promotion programs for people with physical and cognitive disabilities.

three abstract figures in exercise positions

Martin, K.A., Latimer, A.E., Francoeur, C., Hanley, H., Watson, K., Hicks, A.L., McCartney, N. (2002) Sustaining exercise motivation and participating among people with spinal cord injuries: Lessons learned from a 9-month intervention. Palaestra, 18(1), 38-40, 51. Accession Number: J44006.
Abstract: Following a 9-month exercise training program for people with spinal cord injury (SCI), focus group discussions were conducted to elicit perceived benefits and barriers to exercise in general, as well as suggestions for ways to promote exercise among people with SCI. Benefits included physical gains and an improved sense of well-being. Participants indicated that accessibility, personal trainers, and social support motivated them the most to overcome barriers.

 Suman, O.E., Mlcak, R.P., Herndon, D.N. (2002) Effect of exercise training on pulmonary function in children with thermal injury. Journal of Burn Care & Rehabilitation, 23(4), 288-293. University of Texas Medical Branch American Burn Association. Accession Number: J44064.
Abstract: Study examined the effects of an exercise program on pulmonary function in severely burned children. Results indicated an increase in pulmonary function in the exercise group that was not observed in the no-exercise control group.

Stulbarg, M.S., Carrieri-Kohlman, V., Demir-Deviren, S., Nguyen, H.Q., Adams, L., Tsang, A.H., Duda, J., Gold, W.M., Paul, S. (2002) Exercise training improves outcomes of ayspnea self-management program. Journal of Cardiopulmonary Rehabilitation, 22(2), 109-121. American Association of Cardiovascular and Pulmonary Rehabilitation and the Canadian Association of Cardiac Rehabilitation. Accession Number: J44086.
Abstract: Study examined how the addition of supervised exercise training to a self-management program, as well as the number of training sessions, affects dyspnea (shortness of breath), exercise performance, and health-related quality of life (HRQL). Results indicated a dose-dependent improvement in dyspnea and exercise performane with an increasing number of supervised exercise sessions. Improvements in HRQL were comparable across treatment groups.

Lieberman, L.J. (2002) Fitness for individuals who are visually impaired or deafblind. RE:view, 34(1), 13-23. Accession Number: J44101.
Abstract: Article suggests physical activities for people who are deafblind or visually impaired to improve their health-related fitness. Activities discusses includes running, bicycling, swimming, aerobics, and exercise training in health clubs or at home.

Brown, S. (2002) Readings in independent living: New directions in living well. Rehabilitation Research and Training Center on Independent Living Center Management and Services, Independent Living Research Utilization (ILRU) at The Institute for Rehabilitation and Research (TIRR). Accession Number: O14355.
Abstract: Describes New Directions fitness facility and Living Well with a Disability Program, a wellness program of which New Directions is a part. Living Well is an 8-week program that promotes health and wellness as a means of reducing the significance and occurrence of secondary conditions. It includes workshops on goal setting, problem solving, communication, pain management, depression, and nutrition.