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Stratified exercise therapy does not improve outcomes compared with usual exercise therapy in people with knee osteoarthritis (OCTOPuS study): a cluster randomised trial.

J. Knoop; J Dekker; J.M. van Dongen; M van der Leeden; M. de Rooij; W.F. Peter; W. de Joode; L. van Bodegom-Vos; N. Lopuhaä; K.L. Bennell; W.F. Lems; M. van der Esch; T.P. Vliet Vlieland; R.W.J.G. Ostelo

QUESTION: In people with knee osteoarthritis, how much more effective is stratified exercise therapy that distinguishes three subgroups (high muscle strength subgroup, low muscle strength subgroup, obesity subgroup) in reducing knee pain and improving physical function than usual exercise therapy? DESIGN: …

2022AlgemeenArtikel

Patients' and clinicians' experiences with stratified exercise therapy in knee osteoarthritis: a qualitative study.

J. Knoop; J.W. de Joode; H. Brandt; J Dekker; R.W.J.G. Ostelo

BACKGROUND: We have developed a model of stratified exercise therapy that distinguishes three knee osteoarthritis (OA) subgroups ('high muscle strength subgroup', 'low muscle strength subgroup', 'obesity subgroup'), which are provided subgroup-specific exercise therapy (supplemented by a dietary intervention …

2022AlgemeenArtikel

Immediate patient perceptions following lumbar spinal fusion surgery: semi-structured multi-centre interviews exploring the patient journey and experiences of lumbar fusion surgery (FuJourn).

A. Rushton; B. Elena; F. Jadhakhan; A. Masson; Bart Staal; M.L. Verra; A. Emms; M. Reddington; A. Cole; P.C. Willems; L. Benneker; N.R. Heneghan; A. Soundy

PURPOSE: To understand the patient journey to Lumbar Spinal Fusion Surgery (LSFS) and patients' experiences of surgery. METHODS: Qualitative study using interpretive phenomenological analysis. Adult participants following LSFS were recruited from 4 UK clinical sites using purposive sampling to ensure …

2022AlgemeenArtikel

Guideline adherence of physiotherapists in the treatment of patients with low back pain: A qualitative study.

G.P.G. Lemmers; J.D. Bier; G.P. Westert; Bart Staal; P.J. van der Wees; Wim van Lankveld

RATIONALE: Adherence rates to guidelines show room for improvement, and increase in adherence to guidelines may potentially lead to better outcomes and reduced costs of treatment. To improve adherence, it is essential to understand the considerations of physiotherapists regarding the assessment and management …

2022AlgemeenArtikel

Prognostic factors for outcome following lumbar spine fusion surgery: a systematic review and narrative synthesis.

R.J. Achttien; A. Powell; K. Zoulas; Bart Staal; A. Rushton

PURPOSE: The objective of this study was to identify and evaluate the value of prognostic factors related to disability, pain and quality of life (QoL) for adult patients undergoing lumbar spine fusion surgery (LSFS). METHODS: Two reviewers independently searched the literature, assessed eligibility, …

2022AlgemeenArtikel

Estimating fat-free mass in overweight and obese older adults using bioelectrical impedance analysis

van Beek, Simone (Student); Meijer, Gijs (Student); van Dronkelaar, Carliene; Verreijen, Amelie

Background & aims: Overweight and obesity can cause several health risks, and weight loss can help reduce them. However, weight loss in older adults is associated with loss of muscle mass and bone mineral density. To prevent this, it is important to monitor changes in FFM. Bioelectrical impedance analysis …

2022GezondheidBachelor

Challenges in the implementation and evaluation of a transmural palliative care pathway for acutely hospitalized older adults; lessons from the PalliSupport program

van Doorne, I.; van Schie, V.M.W.; Parlevliet, J.L.; Willems, D.L.; van Rijn, M. (Lectoraat Geïntegreerde Complexe Zorg); Buurman, B.M.

OBJECTIVES: To improve transmural palliative care for acutely admitted older patients, the PalliSupport transmural care pathway was developed. Implementation of this care pathway was challenging. The aim of this study was to improve understanding why the implementation partly failed. DESIGN: A qualitative …

2022AlgemeenArtikel

The Cardiac Care Bridge transitional care program for the management of older high-risk cardiac patients

Verweij, Lotte; Petri, Adrianne C. M.; MacNeil-Vroomen, Janet L.; Jepma, Patricia; Latour, Corine H. M. (Lectoraat Geïntegreerde Complexe Zorg); Peters, Ron J. G.; Scholte op Reimer, Wilma J. M.; Buurman, Bianca M.; Bosmans, Judith E.

Objective To evaluate the cost-effectiveness of the Cardiac Care Bridge (CCB) nurse-led transitional care program in older (≥70 years) cardiac patients compared to usual care. Methods The intervention group (n = 153) received the CCB program consisting of case management, disease management and home-based …

2022AlgemeenArtikel

Longitudinal training models for entrusting students with independent patient care?

Bonnie, Linda H.A.; Cremers, Gaston R.; Nasori, Mana; Kramer, Anneke W.M.; van Dijk, Nynke

Objective: The participation of students from both undergraduate medical education (UGME) and postgraduate medical education (PGME) in independent patient care contributes to the development of knowledge, skills and the professional identity of students. A continuing collaboration between students and …

2022AlgemeenAndersoortig materiaal

Assessing Changes in Fear of Movement in Patients attending Cardiac Rehabilitation

ter Hoeve, Nienke; Keessen, Paul (Lectoraat Oefentherapie); den Uijl, Iris; Visser, Bart (Lectoraat Oefentherapie); Kraaijenhagen, Roderik A.; Sunamura, Madoka; Scholte op Reimer, Wilma J. M.; Latour, Corine H. M. (Lectoraat Geïntegreerde Complexe Zorg); Jørstad, Harald T.; van den Berg-Emons, Hendrika J. G.

Objectives: The primary objective was to determine the responsiveness of the Dutch version of the 13-item Tampa Scale for Kinesiophobia for cardiac patients (TSK-NL Heart). The secondary objective was to assess changes in kinesiophobia during cardiac rehabilitation. Methods: Kinesiophobia was measured …

2022AlgemeenArtikel

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