30 results on '"de Rooij, Mariëtte"'
Search Results
2. Stratified exercise therapy does not improve outcomes compared with usual exercise therapy in people with knee osteoarthritis (OCTOPuS study): a cluster randomised trial
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Knoop, Jesper, Dekker, Joost, van Dongen, Johanna M, van der Leeden, Marike, de Rooij, Mariette, Peter, Wilfred FH, de Joode, Willemijn, van Bodegom-Vos, Leti, Lopuhaä, Nique, Bennell, Kim L, Lems, Willem F, van der Esch, Martin, Vliet Vlieland, Thea PM, and Ostelo, Raymond WJG
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- 2022
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3. Moderators of the effect of therapeutic exercise for knee and hip osteoarthritis: a systematic review and individual participant data meta-analysis
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Holden, Melanie A, primary, Hattle, Miriam, additional, Runhaar, Jos, additional, Riley, Richard D, additional, Healey, Emma L, additional, Quicke, Jonathan, additional, van der Windt, Danielle A, additional, Dziedzic, Krysia, additional, van Middelkoop, Marienke, additional, Burke, Danielle, additional, Corp, Nadia, additional, Legha, Amardeep, additional, Bierma-Zeinstra, Sita, additional, Foster, Nadine E, additional, Brown, Jenny, additional, Ingram, Carol, additional, Hickson, Sheila, additional, Taylor, Robert, additional, Walker, Christine, additional, Abbott, J Haxby, additional, Allen, Kelli, additional, Bennell, Kim, additional, Bossen, Daniel, additional, Chaipinyo, Kanda, additional, Cochrane, Tom, additional, de Rooij, Mariëtte, additional, Risberg, May Arna, additional, Fitzgerald, G Kelley, additional, French, Helen, additional, Hale, Leigh, additional, Henriksen, Marius, additional, Hinman, Rana S, additional, Hopman-Rock, Marijke, additional, Hurley, Michael, additional, Keogh, Justin, additional, Veenhof, Cindy, additional, Knoop, Jesper, additional, Krauss, Inga, additional, Levinger, Pazit, additional, McCarthy, Christopher, additional, Messier, Stephen P, additional, Heinonen, Ari, additional, Osteras, Havard, additional, Anwer, Shahnawaz, additional, Lacerda, Ana Cristina R, additional, Ganesh, Shankar, additional, Steinhilber, Benjamin, additional, Suzuki, Yusuke, additional, Hunt, Michael A, additional, Talbot, Laura, additional, Teirlinck, Carolien, additional, Doherty, Michael, additional, Tsai, Pao-Feng, additional, Wallis, Jason A, additional, and Yilmaz Menek, Merve, additional
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- 2023
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4. Moderators of the effect of therapeutic exercise for knee and hip osteoarthritis: a systematic review and individual participant data meta-analysis
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Holden, Melanie A, Hattle, Miriam, Runhaar, Jos, Riley, Richard D, Healey, Emma L, Quicke, Jonathan, van der Windt, Danielle A, Dziedzic, Krysia, van Middelkoop, Marienke, Burke, Danielle, Corp, Nadia, Legha, Amardeep, Bierma-Zeinstra, Sita, Foster, Nadine E, Brown, Jenny, Ingram, Carol, Hickson, Sheila, Taylor, Robert, Walker, Christine, Abbott, J Haxby, Allen, Kelli, Bennell, Kim, Bossen, Daniel, Chaipinyo, Kanda, Cochrane, Tom, de Rooij, Mariëtte, Risberg, May Arna, Fitzgerald, G Kelley, French, Helen, Hale, Leigh, Henriksen, Marius, Hinman, Rana S, Hopman-Rock, Marijke, Hurley, Michael, Keogh, Justin, Veenhof, Cindy, Knoop, Jesper, Krauss, Inga, Levinger, Pazit, McCarthy, Christopher, Messier, Stephen P, Heinonen, Ari, Osteras, Havard, Anwer, Shahnawaz, Lacerda, Ana Cristina R, Ganesh, Shankar, Steinhilber, Benjamin, Suzuki, Yusuke, Hunt, Michael A, Talbot, Laura, Teirlinck, Carolien, Doherty, Michael, Tsai, Pao-Feng, Wallis, Jason A, Yilmaz Menek, Merve, Holden, Melanie A, Hattle, Miriam, Runhaar, Jos, Riley, Richard D, Healey, Emma L, Quicke, Jonathan, van der Windt, Danielle A, Dziedzic, Krysia, van Middelkoop, Marienke, Burke, Danielle, Corp, Nadia, Legha, Amardeep, Bierma-Zeinstra, Sita, Foster, Nadine E, Brown, Jenny, Ingram, Carol, Hickson, Sheila, Taylor, Robert, Walker, Christine, Abbott, J Haxby, Allen, Kelli, Bennell, Kim, Bossen, Daniel, Chaipinyo, Kanda, Cochrane, Tom, de Rooij, Mariëtte, Risberg, May Arna, Fitzgerald, G Kelley, French, Helen, Hale, Leigh, Henriksen, Marius, Hinman, Rana S, Hopman-Rock, Marijke, Hurley, Michael, Keogh, Justin, Veenhof, Cindy, Knoop, Jesper, Krauss, Inga, Levinger, Pazit, McCarthy, Christopher, Messier, Stephen P, Heinonen, Ari, Osteras, Havard, Anwer, Shahnawaz, Lacerda, Ana Cristina R, Ganesh, Shankar, Steinhilber, Benjamin, Suzuki, Yusuke, Hunt, Michael A, Talbot, Laura, Teirlinck, Carolien, Doherty, Michael, Tsai, Pao-Feng, Wallis, Jason A, and Yilmaz Menek, Merve
- Abstract
Background Many international clinical guidelines recommend therapeutic exercise as a core treatment for knee and hip osteoarthritis. We aimed to identify individual patient-level moderators of the effect of therapeutic exercise for reducing pain and improving physical function in people with knee osteoarthritis, hip osteoarthritis, or both. Methods We did a systematic review and individual participant data (IPD) meta-analysis of randomised controlled trials comparing therapeutic exercise with non-exercise controls in people with knee osteoathritis, hip osteoarthritis, or both. We searched ten databases from March 1, 2012, to Feb 25, 2019, for randomised controlled trials comparing the effects of exercise with non-exercise or other exercise controls on pain and physical function outcomes among people with knee osteoarthritis, hip osteoarthritis, or both. IPD were requested from leads of all eligible randomised controlled trials. 12 potential moderators of interest were explored to ascertain whether they were associated with short-term (12 weeks), medium-term (6 months), and long-term (12 months) effects of exercise on self-reported pain and physical function, in comparison with non-exercise controls. Overall intervention effects were also summarised. This study is prospectively registered on PROSPERO (CRD42017054049). Findings Of 91 eligible randomised controlled trials that compared exercise with non-exercise controls, IPD from 31 randomised controlled trials (n=4241 participants) were included in the meta-analysis. Randomised controlled trials included participants with knee osteoarthritis (18 [58%] of 31 trials), hip osteoarthritis (six [19%]), or both (seven [23%]) and tested heterogeneous exercise interventions versus heterogeneous non-exercise controls, with variable risk of bias. Summary meta-analysis results showed that, on average, compared with non-exercise controls, therapeutic exercise reduced pain on a standardised 0–100 scale (with 100 corresponding to
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- 2023
5. Comorbidity, Obesity, and Exercise Therapy in Patients with Knee and Hip Osteoarthritis
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de Rooij, Mariëtte, Lems, Willem F., van der Leeden, Marike, Dekker, Joost, and Dekker, Joost, editor
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- 2014
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6. Psychological strategies in osteoarthritis of the knee or hip
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Dekker, Joost, primary, Bossen, Daniel, additional, Holla, Jasmijn, additional, de Rooij, Mariëtte, additional, Veenhof, Cindy, additional, and van der Leeden, Marike, additional
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- 2016
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7. Osteoarthritis of the hip or knee: which coexisting disorders are disabling?
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Reeuwijk, Kerstin G., de Rooij, Mariëtte, van Dijk, Gabriella M., Veenhof, Cindy, Steultjens, Martijn P., and Dekker, Joost
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- 2010
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8. Comorbidity, Obesity, and Exercise Therapy in Patients with Knee and Hip Osteoarthritis
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de Rooij, Mariëtte, primary, Lems, Willem F., additional, van der Leeden, Marike, additional, and Dekker, Joost, additional
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- 2013
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9. Structured clinical reasoning for exercise prescription in patients with comorbidity
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van der Leeden, Marike, primary, Stuiver, Martijn M., additional, Huijsmans, Rosalie, additional, Geleijn, Edwin, additional, de Rooij, Mariëtte, additional, and Dekker, Joost, additional
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- 2018
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10. Efficacy of tailored exercise therapy on physical functioning in patients with knee osteoarthritis and comorbidity : A randomized controlled trial
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de Rooij, Mariëtte, van der Leeden, Marike, Cheung, John, van der Esch, Martin, Häkkinen, Arja, Haverkamp, Daniël, Roorda, Leo D., Twisk, Jos, Vollebregt, Joke, Lems, Willem F., Dekker, Joost, Rehabilitation medicine, APH - Societal Participation & Health, APH - Health Behaviors & Chronic Diseases, AII - Inflammatory diseases, AMS - Activities and Participation, Epidemiology and Data Science, Amsterdam Movement Sciences - Rehabilitation & Development, Rheumatology, APH - Mental Health, APH - Aging & Later Life, and ACS - Atherosclerosis & ischemic syndromes
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polvet ,hoitomenetelmät ,kuntoutus ,nilverikko ,harjoitushoito ,knee osteoarthritis ,liikuntahoito ,komorbiditeetti - Abstract
Objective: To evaluate the efficacy on physical functioning and safety of tailored exercise therapy in patients with knee osteoarthritis (OA) and comorbidities. Methods: In a randomized controlled trial, 126 participants were included with a clinical diagnosis of knee OA and at least 1 of the following target comorbidities: coronary disease, heart failure, type 2 diabetes mellitus, chronic obstructive pulmonary disease, or obesity (body mass index ≥30 kg/m2), with severity score ≥2 on the Cumulative Illness Rating Scale. The intervention group received a 20-week, individualized, comorbidity-adapted exercise program consisting of aerobic and strength training and training of daily activities. The control group received their current medical care for knee OA and were placed on a waiting list for exercise therapy. Primary outcome measures were the Western Ontario and McMaster Universities Osteoarthritis Index, subscale physical functioning (WOMAC-pf), and the 6-minute walk test (6MWT). Measurements were performed at baseline, after 20 weeks (directly posttreatment), and at 3 months posttreatment. Results: Statistically significant physical functioning differences over time were found between the intervention and control group (WOMAC: B = −7.43 [95% confidence interval (95% CI) −9.99, −4.87], P < 0.001; and 6MWT: B = 34.16 [95% CI 17.68, 50.64], P < 0.001) in favor of the intervention group. At 3 months followup, the mean improvements in the intervention group were 33% on the WOMAC scale and 15% on the 6MWT. These improvements are of clinical relevance. No serious adverse events occurred during the intervention. Conclusion: This is the first study showing that tailored exercise therapy is efficacious in improving physical functioning and safe in patients with knee OA and severe comorbidities.
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- 2017
11. Structured clinical reasoning for exercise prescription in patients with comorbidity.
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van der Leeden, Marike, Stuiver, Martijn M., Huijsmans, Rosalie, Geleijn, Edwin, de Rooij, Mariëtte, and Dekker, Joost
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DRUG prescribing ,EXERCISE ,MEDICAL personnel ,MEDICAL protocols ,PROFESSIONAL employee training ,DECISION making in clinical medicine ,COMORBIDITY ,PHYSICIAN practice patterns ,PSYCHOSOCIAL factors - Abstract
Purpose: Exercise therapy is an effective intervention in a variety of chronic diseases. The prescription of exercise therapy is usually directed toward an index disease. The presence of comorbidity may require adaptations to the exercise program as intended for the index disease. This paper aims to structure the clinical reasoning process of health professionals when prescribing exercise therapy for the individual patient with an index disease and comorbidity. Methods: We adapted the previously published strategy for developing guidelines and protocols on comorbidity-adapted exercise to a version that can be used for individual exercise prescription. Results: Essential steps and considerations involved in prescribing an exercise program to an individual patient with comorbidity are described. A case description is used as an example of how the proposed strategy leads to clinical decisions. Conclusions: The proposed strategy may have a role in educational and professional development. The advanced clinical expertise needed for safe and effective exercise therapy in patients with a complex health status is emphasized. The presence of comorbidity may require adaptations to exercise therapy. We describe the essential steps and considerations involved in prescribing an exercise program to an individual patient with an index disease and comorbidity. The proposed strategy can be used to structure the clinical reasoning process of health professionals. [ABSTRACT FROM AUTHOR]
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- 2020
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12. Prognosis of pain and physical functioning in patients with knee osteoarthritis : Systematic review and meta-analysis
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de Rooij, Mariëtte, van der Leeden, Marike, Heymans, Martijn W, Holla, Jasmijn F M, Häkkinen, Arja, Lems, Willem F, Roorda, Leo D, Veenhof, Cindy, Sanchez-Ramirez, Diana C, de Vet, Henrica C W, and Dekker, Joost
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Research Support, Non-U.S. Gov't ,Journal Article ,Review ,Meta-Analysis - Abstract
OBJECTIVES: To systematically summarise the literature on 1) the course of pain in patients with knee OA; 2) prognostic factors that predict deterioration of pain; 3) the course of physical functioning; and 4) prognostic factors that predict deterioration of physical functioning in persons with knee OA. METHODS: A search was conducted in PubMed, CINAHL, Embase, Psych-INFO, and SPORTDiscus up to January 2014. A meta-analysis and a qualitative data synthesis were performed. RESULTS: Of the 58 studies included, 39 were of high quality. High heterogeneity across studies (I(2) > 90%) and within study populations (reflected by large standard deviations of change scores) was found. Therefore, the course of pain and physical functioning was interpreted to be indistinct. We found strong evidence for a number of prognostic factors predicting deterioration in pain (e.g. higher knee pain at baseline, bilateral knee symptoms and depressive symptoms). We also found strong evidence for a number of prognostic factors predicting deterioration in physical functioning (e.g. worsening in radiographic osteoarthritis, worsening of knee pain, lower knee extension strength, lower walking speed and higher comorbidity count). CONCLUSION: Because of high heterogeneity across studies and within study populations, no conclusions can be drawn with regard to the course of pain and physical functioning. These findings support current research efforts to define subgroups or phenotypes within knee osteoarthritis populations. Strong evidence was found for knee characteristics, clinical factors, and psychosocial factors as prognostics of deterioration of pain and physical functioning. This article is protected by copyright. All rights reserved.
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- 2016
13. Tailoring exercise interventions to comorbidities and treatment-induced adverse effects in patients with early stage breast cancer undergoing chemotherapy: a framework to support clinical decisions
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van der Leeden, Marike, primary, Huijsmans, Rosalie J., additional, Geleijn, Edwin, additional, de Rooij, Mariëtte, additional, Konings, Inge R., additional, Buffart, Laurien M., additional, Dekker, Joost, additional, and Stuiver, Martijn M., additional
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- 2017
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14. Course and predictors of pain and physical functioning in patients with hip osteoarthritis : Systematic review and meta-analysis
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de Rooij, Mariëtte, van der Leeden, Marike, Heymans, Martijn W, Holla, Jasmijn F M, Häkkinen, Arja, Lems, Willem F, Roorda, Leo D, Veenhof, Cindy, Sanchez-Ramirez, Diana C, de Vet, Henrica C W, Dekker, Joost, de Rooij, Mariëtte, van der Leeden, Marike, Heymans, Martijn W, Holla, Jasmijn F M, Häkkinen, Arja, Lems, Willem F, Roorda, Leo D, Veenhof, Cindy, Sanchez-Ramirez, Diana C, de Vet, Henrica C W, and Dekker, Joost
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- 2016
15. Prognosis of pain and physical functioning in patients with knee osteoarthritis: Systematic review and meta-analysis
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Hersenen-Medisch 2, Brain, de Rooij, Mariëtte, van der Leeden, Marike, Heymans, Martijn W, Holla, Jasmijn F M, Häkkinen, Arja, Lems, Willem F, Roorda, Leo D, Veenhof, Cindy, Sanchez-Ramirez, Diana C, de Vet, Henrica C W, Dekker, Joost, Hersenen-Medisch 2, Brain, de Rooij, Mariëtte, van der Leeden, Marike, Heymans, Martijn W, Holla, Jasmijn F M, Häkkinen, Arja, Lems, Willem F, Roorda, Leo D, Veenhof, Cindy, Sanchez-Ramirez, Diana C, de Vet, Henrica C W, and Dekker, Joost
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- 2016
16. Course and predictors of pain and physical functioning in patients with hip osteoarthritis: Systematic review and meta-analysis
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Hersenen-Medisch 2, Brain, Fysiotherapiewetenschap, RF&S Team 1 Medisch, de Rooij, Mariëtte, van der Leeden, Marike, Heymans, Martijn W, Holla, Jasmijn F M, Häkkinen, Arja, Lems, Willem F, Roorda, Leo D, Veenhof, Cindy, Sanchez-Ramirez, Diana C, de Vet, Henrica C W, Dekker, Joost, Hersenen-Medisch 2, Brain, Fysiotherapiewetenschap, RF&S Team 1 Medisch, de Rooij, Mariëtte, van der Leeden, Marike, Heymans, Martijn W, Holla, Jasmijn F M, Häkkinen, Arja, Lems, Willem F, Roorda, Leo D, Veenhof, Cindy, Sanchez-Ramirez, Diana C, de Vet, Henrica C W, and Dekker, Joost
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- 2016
17. Prognosis of Pain and Physical Functioning in Patients With Knee Osteoarthritis: A Systematic Review and Meta-Analysis.
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de Rooij, Mariëtte, van der Leeden, Marike, Heymans, Martijn W., Holla, Jasmijn F. M., Häkkinen, Arja, Lems, Willem F., Roorda, Leo D., Veenhof, Cindy, Sanchez-Ramirez, Diana C., de Vet, Henrica C. W., Dekker, Joost, de Rooij, Mariëtte, and Häkkinen, Arja
- Abstract
Objective: To systematically summarize the literature on the course of pain in patients with knee osteoarthritis (OA), prognostic factors that predict deterioration of pain, the course of physical functioning, and prognostic factors that predict deterioration of physical functioning in persons with knee OA.Methods: A search was conducted in PubMed, CINAHL, Embase, Psych-INFO, and SPORTDiscus up to January 2014. A meta-analysis and a qualitative data synthesis were performed.Results: Of the 58 studies included, 39 were of high quality. High heterogeneity across studies (I(2) >90%) and within study populations (reflected by large SDs of change scores) was found. Therefore, the course of pain and physical functioning was interpreted to be indistinct. We found strong evidence for a number of prognostic factors predicting deterioration in pain (e.g., higher knee pain at baseline, bilateral knee symptoms, and depressive symptoms). We also found strong evidence for a number of prognostic factors predicting deterioration in physical functioning (e.g., worsening in radiographic OA, worsening of knee pain, lower knee extension muscle strength, lower walking speed, and higher comorbidity count).Conclusion: Because of high heterogeneity across studies and within study populations, no conclusions can be drawn with regard to the course of pain and physical functioning. These findings support current research efforts to define subgroups or phenotypes within knee OA populations. Strong evidence was found for knee characteristics, clinical factors, and psychosocial factors as prognostics of deterioration of pain and physical functioning. [ABSTRACT FROM AUTHOR]- Published
- 2016
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18. Tailoring exercise interventions to comorbidities and treatment-induced adverse effects in patients with early stage breast cancer undergoing chemotherapy: a framework to support clinical decisions.
- Author
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van der Leeden, Marike, Huijsmans, Rosalie J., Geleijn, Edwin, de Rooij, Mariëtte, Konings, Inge R., Buffart, Laurien M., Dekker, Joost, and Stuiver, Martijn M.
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ALGORITHMS ,BREAST tumors ,CANCER chemotherapy ,CANCER patients ,EXERCISE therapy ,MEDICAL protocols ,DECISION making in clinical medicine ,COMORBIDITY - Abstract
Purpose:Delivery of exercise interventions to patients with early-stage breast cancer undergoing chemotherapy requires complex clinical decisions. The purpose of this study was to develop a framework to support clinical decisions for tailoring exercise interventions to common comorbidities and cancer treatment-induced adverse effects. Method:Tailored exercise prescriptions were developed in four steps, following the i3-S strategy. All steps were based on current best available evidence, complemented with expert opinions. First, common comorbidities and treatment-induced adverse effects were identified. In the subsequent steps, contra-indications and restrictions for exercise were described, along with possible exercise adaptations. In the final step, the obtained information was synthesized into a framework. Results:Prevalent comorbidities were hypertension, heart disease, diabetes mellitus, (osteo)arthritis, chronic obstructive pulmonary disease, and obesity. Adverse effects included conditions induced by pretreatment (e.g., lymphedema as a result of surgery) or by chemotherapy (e.g., reduced blood cell counts). Adaptations to the recommended exercise program were related to exercise tolerance, safety, and hygiene. A framework was proposed to guide clinical decisions during the exercise intervention. Conclusion:Comorbidities and adverse effects of breast cancer treatment require exercise adaptations. The proposed framework provides guidance on tailored exercise prescriptions in patients with breast cancer undergoing chemotherapy.Implications for RehabilitationExercise is recommended for patients with breast cancer undergoing chemotherapy, but requires complex clinical decisions of the health professional.We identified the most important comorbidities and adverse effects of breast cancer treatment, and the resultant contra-indications and restrictions to exercise.We incorporated these findings into a clinical decision framework that provides suggestions for exercise adaptations in patients with breast cancer undergoing chemotherapy. [ABSTRACT FROM PUBLISHER]
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- 2018
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19. Exercise and comorbidity: the i3-S strategy for developing comorbidity-related adaptations to exercise therapy
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Dekker, Joost, primary, de Rooij, Mariëtte, additional, and van der Leeden, Marike, additional
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- 2015
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20. Development of comorbidity-adapted exercise protocols for patients with knee osteoarthritis
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de Rooij, Mariëtte, primary, van der Leeden, Marike, additional, Avezaat, Ellis, additional, Häkkinen, Arja, additional, Klaver, Rob, additional, Maas, Tjieu, additional, Peter, Wilfred, additional, Roorda, Leo, additional, Lems, Willem, additional, and Dekker, Joost, additional
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- 2014
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21. Response to commentary on: ‘Restrictions and contraindications for exercise therapy in patients with hip and knee osteoarthritis and comorbidity’
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de Rooij, Mariëtte, primary, van der Leeden, Marike, additional, Roorda, Leo D., additional, Lems, Willem F., additional, and Dekker, Joost, additional
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- 2013
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22. Restrictions and contraindications for exercise therapy in patients with hip and knee osteoarthritis and comorbidity
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de Rooij, Mariëtte, primary, Steultjens, Martijn P M, additional, Avezaat, Ellis, additional, Häkkinen, Arja, additional, Klaver, Rob, additional, van der Leeden, Marike, additional, Maas, Tjieu, additional, Roorda, Leo D, additional, van der Velde, Hanneke, additional, Lems, Willem F, additional, and Dekker, Joost, additional
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- 2013
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23. Exercise and comorbidity: the i3-S strategy for developing comorbidity-related adaptations to exercise therapy.
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Dekker, Joost, de Rooij, Mariëtte, and van der Leeden, Marike
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OSTEOARTHRITIS treatment , *ADAPTABILITY (Personality) , *EXERCISE therapy , *KNEE , *MEDICAL protocols , *COMORBIDITY , *HUMAN services programs , *EVALUATION of human services programs - Abstract
Purpose: Exercise therapy is effective in a wide range of chronic diseases. Comorbid disease necessitates adaptations to exercise therapy. Guidance on how to develop such adaptations is currently not available. We present an innovative strategy for the development of comorbidity-related adaptations to exercise therapy in an index disease.Method: We previously developed comorbidity-related adaptations to exercise therapy in osteoarthritis. We now broaden this approach into a general strategy for the development of comorbidity-related adaptations to exercise therapy in an index disease.Results: The i3-S strategy consists of four steps. The first three steps involve creating an inventory of comorbid disease, an inventory of contraindications and restrictions on exercise therapy, and an inventory of potential adaptations to exercise therapy. In the fourth step, this information is synthesized into guidance on comorbidity-related adaptations to exercise therapy in the index disease. The adaptations concern physiological, behavioural and environmental factors.Conclusion: In view of the general effectiveness of exercise therapy and the high prevalence of comorbidity in older people, there is a great need for comorbidity-related adaptations to exercise therapy. We recommend to use and evaluate the i3-S strategy in future research.Implications for RehabilitationExercise therapy is effective in a wide range of chronic diseases.Comorbid disease necessitates adaptations to exercise therapy. Guidance on how to develop such adaptations is currently not available.We present an innovative strategy for the development of comorbidity-related adaptations to exercise therapy in an index disease.Researchers and clinicians can use this strategy to develop guidance on the adaptation of exercise therapy to comorbidity. [ABSTRACT FROM PUBLISHER]
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- 2016
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24. Response to commentary on: 'Restrictions and contraindications for exercise therapy in patients with hip and knee osteoarthritis and comorbidity'.
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de Rooij, Mariëtte, van der Leeden, Marike, Roorda, Leo D., Lems, Willem F., and Dekker, Joost
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HIP joint diseases , *KNEE disease treatment , *OSTEOARTHRITIS treatment , *EXERCISE , *PATIENT compliance , *PHYSICAL therapy , *COMORBIDITY , *THERAPEUTICS - Abstract
The article presents the authors' reply to the commentary on their article which discusses the restrictions and contraindications on exercise therapy for hip and knee osteoarthritis (OA) patients. Topics discussed include adherence to exercise program, guidelines for hip and knee OA management, and comorbid diseases.
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- 2014
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25. Prognostic Factors and Changes in Pain, Physical Functioning, and Participation in Patients With Hip and/or Knee Osteoarthritis: A Systematic Review.
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Cijs B, Stekelenburg R, Veenhof C, Knoop J, Boymans T, de Rooij M, and Kloek C
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Objective: This study aimed to systematically synthesize literature on prognostic factors of changes in either direction (ie, worsening or improvement) in pain, physical functioning, and participation in patients with knee and/or hip osteoarthritis (OA)., Methods: Studies included in two preceding reviews underwent full-text screening for inclusion in the current review. Additionally, an extensive literature search was conducted in five databases. Title/abstract screening was performed using an active learning program. Inclusion criteria comprised patients diagnosed with knee and/or hip OA, with the dependent variable assessing pain, physical functioning, or participation. Potential associated prognostic factors were measured as independent variables. The methodologic quality of studies was assessed with the Hayden criteria., Results: A total of 31 studies were included in this systematic review. In patients with knee OA, pain worsening was associated with lower physical functioning (strong evidence) and with higher body mass index, ethnicity, and a higher comorbidity count (moderate evidence). Also, in patients with knee OA, pain improvement was associated with less pain at baseline (moderate evidence). In patients with knee and/or hip OA, worsening of physical functioning exhibited associations with higher body mass index, more pain, more hip pain, a higher comorbidity count, higher avoidance of activities (strong evidence), and ethnicity (moderate evidence). In patients with knee OA, improvement in physical functioning showed an association with higher vitality (moderate evidence). Regarding the remaining prognostic factors, there is weak, inconclusive, or inconsistent evidence for an association with the outcomes. In patients with hip OA, only weak evidence was found for three factors predicting a change in physical functioning., Conclusion: This review encompasses prognostic factors associated with changes in either direction (ie, worsening or improvement) in pain, physical functioning, and participation. The results are consistent with other reviews. Future research should place a stronger emphasis on patients with hip OA and participation as an outcome., (© 2024 The Author(s). Arthritis Care & Research published by Wiley Periodicals LLC on behalf of American College of Rheumatology.)
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- 2024
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26. Evaluation of an educational course for primary care physiotherapists on comorbidity-adapted exercise therapy in knee osteoarthritis: an observational study.
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de Rooij M, van der Leeden M, van der Esch M, Lems WF, Meesters JJL, Peter WF, Roorda LD, Terbraak MS, Vredeveld T, Vliet Vlieland TPM, and Dekker J
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- Comorbidity, Exercise Therapy, Humans, Primary Health Care, Osteoarthritis, Knee therapy, Physical Therapists
- Abstract
Objective: The objectives of the present study were to: (1) evaluate the effect of an educational course on competence (knowledge and clinical reasoning) of primary care physical therapists (PTs) in treating patients with knee osteoarthritis (KOA) and comorbidity according to the developed strategy; and (2) identify facilitators and barriers for usage., Method: The present research was an observational study with a pretest-posttest design using mixed methods. PTs were offered a postgraduate course consisting of e-learning and two workshops (blended education) on the application of a strategy for exercise prescription in patients with KOA and comorbidity. Competences were measured by questionnaire on knowledge (administered before and 2 weeks after the course), and a patient vignette to measure clinical reasoning (administered before the course and after a 6 month period of treating patients). Facilitators and barriers for using the strategy were assessed by a questionnaire and semi-structured interviews., Results: Thirty-four PTs were included. Competence (knowledge and clinical reasoning) improved significantly (p < 0.01). Fourteen out of 34 PTs had actually treated patients with KOA and comorbidity, during a 6-month period. The strategy was found to be feasible in daily practice. The main barriers included the limited number of (self-) referrals of patients, limited number of reimbursed treatment sessions by insurance companies and a suboptimal collaboration with (referring) physicians., Conclusion: A blended course on exercise therapy for patients with KOA and comorbidity seems to improve PTs' competence through increasing knowledge and clinical reasoning skills. Identified barriers should be solved before large-scale implementation of exercise therapy can take place in these complex patients., (© 2020 The Authors. Musculoskeletal Care published by John Wiley & Sons Ltd.)
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- 2020
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27. Stratified exercise therapy compared with usual care by physical therapists in patients with knee osteoarthritis: A randomized controlled trial protocol (OCTOPuS study).
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Knoop J, Dekker J, van der Leeden M, de Rooij M, Peter WFH, van Bodegom-Vos L, van Dongen JM, Lopuhäa N, Bennell KL, Lems WF, van der Esch M, Vliet Vlieland TPM, and Ostelo RWJG
- Subjects
- Cost-Benefit Analysis, Exercise Therapy methods, Female, Health Care Costs, Humans, Male, Musculoskeletal Manipulations economics, Pain Measurement methods, Randomized Controlled Trials as Topic economics, Resistance Training economics, Treatment Outcome, Exercise Therapy economics, Osteoarthritis, Knee economics, Osteoarthritis, Knee therapy, Pain Measurement economics
- Abstract
Objectives: Knee osteoarthritis (OA) is characterized by its heterogeneity, with large differences in clinical characteristics between patients. Therefore, a stratified approach to exercise therapy, whereby patients are allocated to homogeneous subgroups and receive a stratified, subgroup-specific intervention, can be expected to optimize current clinical effects. Recently, we developed and pilot tested a model of stratified exercise therapy based on clinically relevant subgroups of knee OA patients that we previously identified. Based on the promising results, it is timely to evaluate the (cost-)effectiveness of stratified exercise therapy compared with usual, "nonstratified" exercise therapy., Methods: A pragmatic cluster randomized controlled trial including economic and process evaluation, comparing stratified exercise therapy with usual care by physical therapists (PTs) in primary care, in a total of 408 patients with clinically diagnosed knee OA. Eligible physical therapy practices are randomized in a 1:2 ratio to provide the experimental (in 204 patients) or control intervention (in 204 patients), respectively. The experimental intervention is a model of stratified exercise therapy consisting of (a) a stratification algorithm that allocates patients to a "high muscle strength subgroup," "low muscle strength subgroup," or "obesity subgroup" and (b) subgroup-specific, protocolized exercise therapy (with an additional dietary intervention from a dietician for the obesity subgroup only). The control intervention will be usual best practice by PTs (i.e., nonstratified exercise therapy). Our primary outcome measures are knee pain severity (Numeric Rating Scale) and physical functioning (Knee Injury and Osteoarthritis Outcome Score subscale daily living). Measurements will be performed at baseline, 3-month (primary endpoint), 6-month (questionnaires only), and 12-month follow-up, with an additional cost questionnaire at 9 months. Intention-to-treat, multilevel, regression analysis comparing stratified versus usual care will be performed., Conclusion: This study will demonstrate whether stratified care provided by primary care PTs is effective and cost-effective compared with usual best practice from PTs., (© 2019 The Authors. Physiotherapy Research International published by John Wiley & Sons Ltd.)
- Published
- 2020
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28. Efficacy of Tailored Exercise Therapy on Physical Functioning in Patients With Knee Osteoarthritis and Comorbidity: A Randomized Controlled Trial.
- Author
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de Rooij M, van der Leeden M, Cheung J, van der Esch M, Häkkinen A, Haverkamp D, Roorda LD, Twisk J, Vollebregt J, Lems WF, and Dekker J
- Subjects
- Aged, Cardiovascular Diseases diagnosis, Cardiovascular Diseases epidemiology, Cardiovascular Diseases therapy, Comorbidity, Diabetes Mellitus, Type 2 diagnosis, Diabetes Mellitus, Type 2 epidemiology, Diabetes Mellitus, Type 2 rehabilitation, Exercise Therapy trends, Female, Humans, Male, Middle Aged, Osteoarthritis, Knee epidemiology, Rehabilitation Centers trends, Single-Blind Method, Treatment Outcome, Exercise physiology, Exercise Therapy methods, Osteoarthritis, Knee diagnosis, Osteoarthritis, Knee rehabilitation, Recovery of Function physiology
- Abstract
Objective: To evaluate the efficacy on physical functioning and safety of tailored exercise therapy in patients with knee osteoarthritis (OA) and comorbidities., Methods: In a randomized controlled trial, 126 participants were included with a clinical diagnosis of knee OA and at least 1 of the following target comorbidities: coronary disease, heart failure, type 2 diabetes mellitus, chronic obstructive pulmonary disease, or obesity (body mass index ≥30 kg/m
2 ), with severity score ≥2 on the Cumulative Illness Rating Scale. The intervention group received a 20-week, individualized, comorbidity-adapted exercise program consisting of aerobic and strength training and training of daily activities. The control group received their current medical care for knee OA and were placed on a waiting list for exercise therapy. Primary outcome measures were the Western Ontario and McMaster Universities Osteoarthritis Index, subscale physical functioning (WOMAC-pf), and the 6-minute walk test (6MWT). Measurements were performed at baseline, after 20 weeks (directly posttreatment), and at 3 months posttreatment., Results: Statistically significant physical functioning differences over time were found between the intervention and control group (WOMAC: B = -7.43 [95% confidence interval (95% CI) -9.99, -4.87], P < 0.001; and 6MWT: B = 34.16 [95% CI 17.68, 50.64], P < 0.001) in favor of the intervention group. At 3 months followup, the mean improvements in the intervention group were 33% on the WOMAC scale and 15% on the 6MWT. These improvements are of clinical relevance. No serious adverse events occurred during the intervention., Conclusion: This is the first study showing that tailored exercise therapy is efficacious in improving physical functioning and safe in patients with knee OA and severe comorbidities., (© 2016, American College of Rheumatology.)- Published
- 2017
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29. Course and predictors of pain and physical functioning in patients with hip osteoarthritis: Systematic review and meta-analysis.
- Author
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de Rooij M, van der Leeden M, Heymans MW, Holla JF, Häkkinen A, Lems WF, Roorda LD, Veenhof C, Sanchez-Ramirez DC, de Vet HC, and Dekker J
- Subjects
- Comorbidity, Disease Progression, Exercise, Health Behavior, Humans, Osteoarthritis, Hip complications, Osteoarthritis, Hip physiopathology, Pain Measurement, Prognosis, Osteoarthritis, Hip rehabilitation, Pain etiology
- Abstract
Objective: To systematically summarize the literature on: (i) the course of pain and physical functioning; and (ii) predictors of deterioration of pain and physical functioning in patients with osteoarthritis of the hip., Methods: A literature search was conducted in PubMed, CINAHL, Embase, PsychINFO and SPORTDiscus up to July 2015. Meta-analyses and qualitative data syntheses were performed., Results: Eleven of the 15 included studies were of high quality. With regard to the course of pain and physical functioning, high heterogeneity was found across studies (I² > 71%) and within study populations (reflected by large standard deviations (SDs) of change scores). Therefore, the course of pain and physical functioning was interpreted to be indistinct. Clinical characteristics (higher comorbidity count and presence of knee osteoarthritis), health behaviour factors (no supervised exercise and physical inactivity) and socio-demographics (lower education) were found to predict deterioration of pain (weak evidence). Higher comorbidity count and lower vitality were found to predict deterioration of physical functioning (strong evidence). For several other predictive factors weak evidence was found (e.g. bilateral hip pain, increase in hip pain (change), bilateral knee pain, presence of knee osteoarthritis)., Conclusion: Because of high heterogeneity across studies and within study populations, no conclusions can be drawn with regard to the course of pain and physical functioning. Several clinical characteristics, health behaviours and psychosocial factors prognosticate deterioration of pain and physical functioning. These findings may guide future research aimed at the identification of subgroups of patients with hip osteoarthritis.
- Published
- 2016
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30. Knee joint stabilization therapy in patients with osteoarthritis of the knee and knee instability: subgroup analyses in a randomized, controlled trial.
- Author
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Knoop J, van der Leeden M, Roorda LD, Thorstensson CA, van der Esch M, Peter WF, de Rooij M, Lems WF, Dekker J, and Steultjens MP
- Subjects
- Adult, Aged, Female, Humans, Joint Instability physiopathology, Male, Osteoarthritis, Knee physiopathology, Self Report, Severity of Illness Index, Treatment Outcome, Joint Instability rehabilitation, Knee Joint physiopathology, Osteoarthritis, Knee rehabilitation
- Abstract
Objective: To test whether knee stabilization therapy, prior to strength/functional training, may have added value in reducing activity limitations only in patients with knee osteoarthritis who have knee instability and (i) low upper leg muscle strength, (ii) impaired knee proprioception, (iii) high knee laxity, or (iv) frequent episodes of knee instability., Design: Subgroup analyses in a randomized controlled trial comparing 2 exercise programmes (with/without knee stabilization therapy) (STABILITY; NTR1475)., Patients: Participants from the STABILITY-trial with clinical knee osteoarthritis and knee instability (n = 159)., Methods: Effect modification by upper leg muscle strength, knee proprioception, knee laxity, and patient-reported knee instability were determined using the interaction terms "treatment group subgroup factor", with the outcome measures WOMAC physical function (primary), numeric rating scale pain and the Get up and Go test (secondary)., Results: Effect modification by muscle strength was found for the primary outcome (p = 0.01), indicating that patients with greater muscle strength tend to benefit more from the experimental programme with additional knee stabilization training, while patients with lower muscle strength benefit more from the control programme., Conclusion: Knee stabilization therapy may have added value in patients with instability and strong muscles. Thus it may be beneficial if exercises target muscle strength prior to knee stabilization.
- Published
- 2014
- Full Text
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