The long-term effects after hematopoietic stem cell transplant on leg muscle strength, physical inactivity and fatigue
| Autor: | Akiko Tonosaki |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Activities of daily living Cancer Fatigue Physical activity Anxiety Leg muscle Physical medicine and rehabilitation Japan Quality of life Surveys and Questionnaires Activities of Daily Living Humans Medicine Muscle Strength Muscle Skeletal Leg Oncology (nursing) business.industry Hematopoietic Stem Cell Transplantation General Medicine medicine.anatomical_structure Muscle Fatigue Quality of Life Physical therapy Regression Analysis Female medicine.symptom Ankle business Body mass index |
| Zdroj: | European Journal of Oncology Nursing. 16:475-482 |
| ISSN: | 1462-3889 |
| DOI: | 10.1016/j.ejon.2011.11.005 |
| Popis: | Purpose The purpose of this study was to analyze the effects of leg muscle strength and fatigue on step-count as a measure of physical activity for people staying at home after hematopoietic stem cell transplantation (HSCT). Method Nineteen persons receiving HSCT were assessed from hospitalization until about 2 months after discharge. Mean daily step-count was taken as a measure of physical activity. Leg muscle strength was measured in three ways (knee extension, ankle plantar flexion, and ankle dorsiflexion strength) at two points in time (time of hospital discharge and after 2 months). Fatigue and anxiety were assessed using the Japanese Cancer Fatigue Scale and State-Trait Anxiety Inventory. Correlations between the above and factors affecting physical activity were also investigated by multiple regression analysis. Results Clinical follow-up measurements in subjects were made an average of 81.0 days after discharge. Subjects with higher mean step-count during hospitalization ( β = 0.647, p = 0.000) and greater ankle plantar flexion strength/kg ( β = 0.361, p = 0.021) reported higher mean step-count at home (adjusted R 2 = 0.701, p = 0.021). Subjects with body mass index 2 also showed higher step-counts at home compared to other subjects. Mean fatigue score at home was 16.8 (SD = 8.75), a level not associated with clinical problems, and the proportion of physical fatigue was significantly lower than during hospitalization. Conclusion Mean step-count at home was most strongly affected by ankle plantar flexion strength/kg, and increasing ankle plantar flexion strength/kg was shown to promote recovery of normal physical activities. |
| Databáze: | OpenAIRE |
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