TY  - JOUR
A1  - Peters, Stefan
A1  - Faller, Hermann
A1  - Pfeifer, Klaus
A1  - Meng, Karin
T1  - Experiences of Rehabilitation Professionals with the Implementation of a Back School for Patients with Chronic Low Back Pain: A Qualitative Study
JF  - Rehabilitation Research and Practice
N2  - A standardized curriculum back school (CBS) has been recommended for further dissemination in medical rehabilitation in Germany. However, implementation of self-management education programs into practice is challenging. In low back pain care, individual factors of professionals could be decisive regarding implementation fidelity. The study aim was to explore attitudes and experiences of professionals who conducted the back school. Qualitative interviews were led with 45 rehabilitation professionals. The data were examined using thematic analysis. Three central themes were identified: (a) “back school as a common thread,” (b) “theory versus practice,” and (c) “participation and patient-centeredness.” The CBS and its manual were frequently described positively because they provide structure. However, specified time was mentioned critically and there were heterogeneous perceptions regarding flexibility in conducting the CBS. Theory and practice in the CBS were discussed concerning amount, distribution, and conjunction. Participation and patient-centeredness were mainly mentioned in terms of amount and heterogeneity of participation as well as the demand for competences of professionals. Factors were detected that may either positively or negatively influence the implementation fidelity of self-management education programs. The results are explorative and provide potential explanatory mechanisms for behavior and acceptance of rehabilitation professionals regarding the implementation of biopsychosocial back schools.
KW  - Rehabilitation
Y1  - 2016
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-146053
VL  - 2016
IS  - 9
ER  - 
TY  - JOUR
A1  - Mages, Michelle
A1  - Shojaa, Mahdieh
A1  - Kohl, Matthias
A1  - Stengel, Simon von
A1  - Becker, Clemens
A1  - Gosch, Markus
A1  - Jakob, Franz
A1  - Kerschan-Schindl, Katharina
A1  - Kladny, Bernd
A1  - Klöckner, Nicole
A1  - Lange, Uwe
A1  - Middeldorf, Stefan
A1  - Peters, Stefan
A1  - Schoene, Daniel
A1  - Sieber, Cornel C.
A1  - Tholen, Reina
A1  - Thomasius, Friederike E.
A1  - Uder, Michael
A1  - Kemmler, Wolfgang
T1  - Exercise effects on Bone Mineral Density in men
JF  - Nutrients
N2  - In contrast to postmenopausal women, evidence for a favorable effect of exercise on Bone Mineral Density (BMD) is still limited for men. This might be due to the paucity of studies, but also to the great variety of participants and study characteristics that may dilute study results. The aim of the present systematic review and meta-analysis was to evaluate the effect of exercise on BMD changes with rational eligibility criteria. A comprehensive search of six electronic databases up to 15 March 2021 was conducted. Briefly, controlled trials ≥6 months that determined changes in areal BMD in men >18 years old, with no apparent diseases or pharmacological therapy that relevantly affect bone metabolism, were included. BMD changes (standardized mean differences: SMD) of the lumbar spine (LS) and femoral neck (FN) were considered as outcomes. Twelve studies with 16 exercise and 12 control groups were identified. The pooled estimate of random-effect analysis was SMD = 0.38, 95%-CI: 0.14–0.61 and SMD = 0.25, 95%-CI: 0.00–0.49, for LS and FN, respectively. Heterogeneity between the trials was low–moderate. Funnel plots and rank and regression correlation tests indicate evidence for small study publication bias for LS but not FN-BMD. Subgroup analyses that focus on study length, type of exercise and methodologic quality revealed no significant difference between each of the three categories. In summary, we provided further evidence for a low but significant effect of exercise on BMD in men. However, we are currently unable to give even rough exercise recommendations for male cohorts.
KW  - Bone Mineral Density
KW  - exercise
KW  - men
KW  - overview
Y1  - 2021
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-250247
SN  - 2072-6643
VL  - 13
IS  - 12
ER  -