SMA during supervised CR may effectively increase exercise maintenance, SEPA, and objective physical activity at 12 mos after myocardial infarction onset.

Background: The aim of the present paper was to establish a new objective scale to measure vitality related to activities of daily living in elderly patients with dementia. Methods: Cross‐sectional and longitudinal observational studies were carried out on patients and residents in long‐term care facilities. Reliability of the scale was examined by determining test–retest reliability, interrater reliability and internal consistency. Validity of the scale was evaluated with respect to criterion validity and predictive validity. Clinical usefulness of the scale was tested by measuring the time taken to perform scoring and evaluating the changes in the score before and after behavioral therapy for functional urinary incontinence. Results: The test–retest correlation coefficient was 0.98. Mean kappa coefficient of Vitality Index was 0.63. Interrater coefficient of variation was 0.14. Cronbach α of the Index was 0.88. Vitality Index was negatively correlated with Geriatric Depression Scale (GDS) (P < 0.01). A low score was an independent risk factor for survival. Behavioral therapy for functional urinary incontinence increased Activities of Daily Living (ADL) (P < 0.05) and Vitality Index (P < 0.05). Conclusion: Vitality Index could be a new tool to assess patients with dementia.

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Abstract.[Purpose] This review aimed: (1) to obtain all the facts regarding existing goal-setting methods in physical therapy; (2) to clarify the application status of the methods for stroke patients; and (3) to put forth a suggestion for the development of a format prepared by collaboration between stroke patients and physical therapists.[Methods] A systematic search was performed to identify the existing goal-setting methods and to obtain the relevant literature. We reviewed a total of 165 reports. [Results] We identified 8 types of goal-setting methods: Goal Attainment Scaling (GAS), the Canadian Occupational Performance Measure (COPM), goal forum intervention, and others. GAS was evaluated for its validity, reliability, and sensitivity for physically disabled children and the elderly, but there were no reports on the applicability of GAS to stroke patients. The COPM, which is a subjective measurement method using self-reporting, was evaluated for validity, reliability, and sensitivity for occupational therapy patients and physically disabled children. The goal forum intervention is a goal-setting method involving the collaboration of patients and physical therapists with the use of a check-list, but this method was developed for rheumatoid arthritis patients. [Conclusion] We recommend further studies on the development of a goal-setting method using a checklist for stroke patients and the evaluation of the validity and reliability of GAS for stroke patients.

At >18 mos after acute myocardial infarction, the exercise maintenance rate in our patients remains high, and exercise maintenance may be one of the factors contributing to improvement of health-related quality of life and leisure-time objective physical activity level.