- Email: [email protected]
No. 186 Healthcare Utilization Associated With Obesity and Physical Disabilities
PM&R
No. 184 Factors of Risk Associated to Lower Back Pain of Lumbar Herniated Nucleus Pulposus. Salome Ochoa Sosa. Objective: Identify the main factors of risk associated to lower back pain of lumbar herniated nucleus pulposus in patients of economically active population. Case-control study conducted in 2010 in patients assisted at the Hospital Essalud in Huancayo, Peru. There were 72 cases and 72 control cases. Results: The main factors of risk in order of frequency: position troubles with OR of 3.24 (IC 95%: 1.17-1.98); hard job with OR of 2.12 (IC 95%: 1.56-3.96); moderated obesity with OR of 1.86 (IC 95%: 1.22-2.27); and manual transport of loads with OR of 1.82 (IC 95%: 1.11-2.79). Conclusions: There is a major probability that people get lower back pain of lumbar herniated nucleus pulposus when they work in hard activities, work with position troubles, do manual transport of loads, and have moderated obesity. No. 186 Healthcare Utilization Associated With Obesity and Physical Disabilities. Mark D. Peterson; Elham Mahmoudi, PhD. Objective: The purposes of this study were to estimate the annual healthcare utilization associated with high BMIs among adults with and without physical disabilities and examine associations between BMI, healthcare utilization, and chronic obesity-related comorbidities. Design: Weighted cross-sectional and multivariate methods were used to estimate healthcare utilization among adults with and without physical disabilities across standard BMI categories. Setting: The 2002-2011 Medical Expenditure Panel Survey (MEPS). Participants: Population representative sample of 215,107 individuals aged 18 years and older. Of those, 36,349 adults reported moderate or significant physical disabilities. Main Outcome Measures: The primary outcomes were annual total healthcare costs, physician office visits, and hospitalization. Results: Adults with physical disabilities had higher prevalence of obesity, were older, reported less exercise and had lower socioeconomic status (p<0.0001). Unadjusted healthcare costs for adults with physical disabilities were 4-times greater and was coincident with significantly greater frequency of medical provider office visits (12.9 vs. 4.5), higher prevalence of hospital visits (21% versus 6%), and more total nights of hospitalization (1.9 versus 0.25). Obese adults with physical disabilities incurred more than 2.5 times the adjusted total healthcare costs ($7885) than adults who were neither overweight/ obese nor physically disabled ($3178). Adults with physical disabilities also had significantly greater prevalence of chronic conditions across age categories e.g. type 2 diabetes, asthma, hypertension, cardiovascular conditions, joint pain, arthritis and stroke. Conclusions: Obesity is associated with increased healthcare utilization independent of age, race, education, and socioeconomic status; however there was a significantly greater burden among overweight and obese adults with physical disabilities. Obesity plus physical disabilities represents $23.9 billion/year or nearly 50% of the total costs attributable to obesity. This is likely due to the disproportionately higher prevalence of chronic conditions in this population and greater frequency of office visits. No. 187 Hipoterapia Como Alternativa Terapeutica En La Disminucion De Las Secuelas Psicomotoras Del Niño Discapacitado. Cecilia Carpio Barrio De Mendoza, Cmdte.; P.N.P. Carlos Farje Tong, Dra.; Emma Rivera La Plata. Introducción: Los objetivos del presente trabajo fueron: poder brindar este tratamiento a más niños discapacitados de bajos recursos en essalud a nivel nacional. Utilizar el recurso potencial en las zonas rurales como una alternativa terapéutica basado en la rbc y extra muros en el área urbana. Ampliar el aprovechamiento de infraestructuras y recursos de las unidades de caballería de la policía nacional y ejército del perú a nivel nacional. Determinar el grado de efectividad de la hipoterapia frente a las secuelas
Vol. 6, Iss. 8S2, 2014
S131
psicomotoras del niño con discapacidad. Determinar el grado de mejoramiento de la calidad de vida. Pacientes y Métodos: Niños con multideficiencia .niños entre 3 a 12 años. Niños con autorización médica. Pacientes que han recibido y reciben terapia convencional en algún servicio de rehabilitación o en colegios especiales y nunca hayan recibido hipoterapia. Variable independiente: hipoterapia: tratamiento especializado no convencional de rehabilitación que utiliza al caballo como recurso terapéutico de estimulación dos sesiones semanales de veinticinco minutos y la duración del ciclo terapéutico es 5 meses. Variables dependientes. Alteraciones del tono postural. Alteraciones del equilibrio. Alteraciones de la conciencia corporal. Alteraciones cognitivas cambios emocionales. Resultados: Con un nivel de confianza del 95% podemos afirmar que la hipoterapia disminuye significativamente las alteraciones del tono postural. Con un nivel de confianza del 95% podemos afirmar que la hipoterapia no disminuye significativamente las alteraciones del equilibrio. Con un nivel de confianza del 95% podemos afirmar que la hipoterapia disminuye significativamente las alteraciones de la conciencia corporal. Con un nivel de confianza del 95% podemos afirmar que hipoterapia disminuye significativamente las alteraciones cognitivas. Con un nivel de confianza del 95% podemos afirmar que hipoterapia disminuye significativamente las alteraciones emocionales. No. 188 Reliability of Quality of Life Instrument Specific to Knee and Hip Osteoarthritis. Rodriguez Eliana; Ramírez Carolina (School of Physical Therapy, Industrial University of Santander, Bucaramanga, Santander Colombia, Rodriguez Milagros). Disclosure: None. Objective: To assess the internal consistency, reliability, and agreement level of the specific instrument for the Outcome Osteoarthritis Knee And Hip Quality Of Life (OOAKHQOL). Design: Evaluation of diagnostic technologies with cross-section sampling. Setting: School of Physical Therapy, Bucaramanga, Colombia. Participants: 24 subjects were included 5 male subjects and 10 females (647 years old) with medical diagnosis of knee osteoarthrtitis (OA). Interventions: Before the first measurement each participant had a period of familiarization with the instrument and then the OOAKHQOL was used and then again 6 days before the first evaluation. Main Outcome Measures: 43 items are included in the instrument and 5 attributes: physical activity, mental health, pain, support social, social activities. Level of Evidence: Level 1. Results: The internal consistency of each attribute was analyzed with Cronbach’s alpha test and testretest reliability with the intraclass correlation coefficient (ICC2K) and agreement limits were stablished by the Bland and Altman method. We found a good internal consistency (08) for physical activity, mental health, and pain attributes; and acceptable (07) for social support and social activities. Reliability was good (ICC 08) for physical activity and mental health; aceptable (07) for social support and pain; and poor (â&¤06) for the social activities attribute. Agreement level was moderate in all attributes except for social support and social activities. Conclusions: The results of this study indicate that the instrument shows a moderate internal consistency and reliability and agreement level. Our findings support the use of this instrument in controlled clinical trials. The instrument familiarization is necessary to ensure confident results. No. 191 Effects of Listening to Music on the Self-Efficacy for Exercise in Healthy Elderly People: A Pilot Study. Hiromi Sakai; Naoto Kamide; Osamu Ito; Masahiro Kohzuki. Objectives: Continuation is indispensable to enhance the effects of care preventive exercises. However it is not easy for elderly people to continue the exercises. The self-efficacy for exercise is an important psychological factor to lead to continuation of exercise. We performed a non-randomized trial to determine whether listening to favorite and synchronized music led to improved self-efficacy for exercise and continuation of exercise for care prevention in independent elderly people. Materials and Methods: A total of 66 community-dwelling elderly people who independently maintained activities of daily living participated in this study. A group of
No. 184 Factors of Risk Associated to Lower Back Pain of Lumbar Herniated Nucleus Pulposus. Salome Ochoa Sosa. Objective: Identify the main factors of risk associated to lower back pain of lumbar herniated nucleus pulposus in patients of economically active population. Case-control study conducted in 2010 in patients assisted at the Hospital Essalud in Huancayo, Peru. There were 72 cases and 72 control cases. Results: The main factors of risk in order of frequency: position troubles with OR of 3.24 (IC 95%: 1.17-1.98); hard job with OR of 2.12 (IC 95%: 1.56-3.96); moderated obesity with OR of 1.86 (IC 95%: 1.22-2.27); and manual transport of loads with OR of 1.82 (IC 95%: 1.11-2.79). Conclusions: There is a major probability that people get lower back pain of lumbar herniated nucleus pulposus when they work in hard activities, work with position troubles, do manual transport of loads, and have moderated obesity. No. 186 Healthcare Utilization Associated With Obesity and Physical Disabilities. Mark D. Peterson; Elham Mahmoudi, PhD. Objective: The purposes of this study were to estimate the annual healthcare utilization associated with high BMIs among adults with and without physical disabilities and examine associations between BMI, healthcare utilization, and chronic obesity-related comorbidities. Design: Weighted cross-sectional and multivariate methods were used to estimate healthcare utilization among adults with and without physical disabilities across standard BMI categories. Setting: The 2002-2011 Medical Expenditure Panel Survey (MEPS). Participants: Population representative sample of 215,107 individuals aged 18 years and older. Of those, 36,349 adults reported moderate or significant physical disabilities. Main Outcome Measures: The primary outcomes were annual total healthcare costs, physician office visits, and hospitalization. Results: Adults with physical disabilities had higher prevalence of obesity, were older, reported less exercise and had lower socioeconomic status (p<0.0001). Unadjusted healthcare costs for adults with physical disabilities were 4-times greater and was coincident with significantly greater frequency of medical provider office visits (12.9 vs. 4.5), higher prevalence of hospital visits (21% versus 6%), and more total nights of hospitalization (1.9 versus 0.25). Obese adults with physical disabilities incurred more than 2.5 times the adjusted total healthcare costs ($7885) than adults who were neither overweight/ obese nor physically disabled ($3178). Adults with physical disabilities also had significantly greater prevalence of chronic conditions across age categories e.g. type 2 diabetes, asthma, hypertension, cardiovascular conditions, joint pain, arthritis and stroke. Conclusions: Obesity is associated with increased healthcare utilization independent of age, race, education, and socioeconomic status; however there was a significantly greater burden among overweight and obese adults with physical disabilities. Obesity plus physical disabilities represents $23.9 billion/year or nearly 50% of the total costs attributable to obesity. This is likely due to the disproportionately higher prevalence of chronic conditions in this population and greater frequency of office visits. No. 187 Hipoterapia Como Alternativa Terapeutica En La Disminucion De Las Secuelas Psicomotoras Del Niño Discapacitado. Cecilia Carpio Barrio De Mendoza, Cmdte.; P.N.P. Carlos Farje Tong, Dra.; Emma Rivera La Plata. Introducción: Los objetivos del presente trabajo fueron: poder brindar este tratamiento a más niños discapacitados de bajos recursos en essalud a nivel nacional. Utilizar el recurso potencial en las zonas rurales como una alternativa terapéutica basado en la rbc y extra muros en el área urbana. Ampliar el aprovechamiento de infraestructuras y recursos de las unidades de caballería de la policía nacional y ejército del perú a nivel nacional. Determinar el grado de efectividad de la hipoterapia frente a las secuelas
Vol. 6, Iss. 8S2, 2014
S131
psicomotoras del niño con discapacidad. Determinar el grado de mejoramiento de la calidad de vida. Pacientes y Métodos: Niños con multideficiencia .niños entre 3 a 12 años. Niños con autorización médica. Pacientes que han recibido y reciben terapia convencional en algún servicio de rehabilitación o en colegios especiales y nunca hayan recibido hipoterapia. Variable independiente: hipoterapia: tratamiento especializado no convencional de rehabilitación que utiliza al caballo como recurso terapéutico de estimulación dos sesiones semanales de veinticinco minutos y la duración del ciclo terapéutico es 5 meses. Variables dependientes. Alteraciones del tono postural. Alteraciones del equilibrio. Alteraciones de la conciencia corporal. Alteraciones cognitivas cambios emocionales. Resultados: Con un nivel de confianza del 95% podemos afirmar que la hipoterapia disminuye significativamente las alteraciones del tono postural. Con un nivel de confianza del 95% podemos afirmar que la hipoterapia no disminuye significativamente las alteraciones del equilibrio. Con un nivel de confianza del 95% podemos afirmar que la hipoterapia disminuye significativamente las alteraciones de la conciencia corporal. Con un nivel de confianza del 95% podemos afirmar que hipoterapia disminuye significativamente las alteraciones cognitivas. Con un nivel de confianza del 95% podemos afirmar que hipoterapia disminuye significativamente las alteraciones emocionales. No. 188 Reliability of Quality of Life Instrument Specific to Knee and Hip Osteoarthritis. Rodriguez Eliana; Ramírez Carolina (School of Physical Therapy, Industrial University of Santander, Bucaramanga, Santander Colombia, Rodriguez Milagros). Disclosure: None. Objective: To assess the internal consistency, reliability, and agreement level of the specific instrument for the Outcome Osteoarthritis Knee And Hip Quality Of Life (OOAKHQOL). Design: Evaluation of diagnostic technologies with cross-section sampling. Setting: School of Physical Therapy, Bucaramanga, Colombia. Participants: 24 subjects were included 5 male subjects and 10 females (647 years old) with medical diagnosis of knee osteoarthrtitis (OA). Interventions: Before the first measurement each participant had a period of familiarization with the instrument and then the OOAKHQOL was used and then again 6 days before the first evaluation. Main Outcome Measures: 43 items are included in the instrument and 5 attributes: physical activity, mental health, pain, support social, social activities. Level of Evidence: Level 1. Results: The internal consistency of each attribute was analyzed with Cronbach’s alpha test and testretest reliability with the intraclass correlation coefficient (ICC2K) and agreement limits were stablished by the Bland and Altman method. We found a good internal consistency (08) for physical activity, mental health, and pain attributes; and acceptable (07) for social support and social activities. Reliability was good (ICC 08) for physical activity and mental health; aceptable (07) for social support and pain; and poor (â&¤06) for the social activities attribute. Agreement level was moderate in all attributes except for social support and social activities. Conclusions: The results of this study indicate that the instrument shows a moderate internal consistency and reliability and agreement level. Our findings support the use of this instrument in controlled clinical trials. The instrument familiarization is necessary to ensure confident results. No. 191 Effects of Listening to Music on the Self-Efficacy for Exercise in Healthy Elderly People: A Pilot Study. Hiromi Sakai; Naoto Kamide; Osamu Ito; Masahiro Kohzuki. Objectives: Continuation is indispensable to enhance the effects of care preventive exercises. However it is not easy for elderly people to continue the exercises. The self-efficacy for exercise is an important psychological factor to lead to continuation of exercise. We performed a non-randomized trial to determine whether listening to favorite and synchronized music led to improved self-efficacy for exercise and continuation of exercise for care prevention in independent elderly people. Materials and Methods: A total of 66 community-dwelling elderly people who independently maintained activities of daily living participated in this study. A group of