Michael Brach

Publications (87) View all

• Conference Proceeding: Effekte eines Bewegungsprogramms für chronisch kranke, mobilitätseingeschränkte Ältere mit Unterstützung durch die hausärztliche Praxis - Design der HOMEfit-Studie

  A. Moschny, B. Bücker, M. Brach, R. Klaaßen-Mielke, M. Trampisch, S. Wilm, P. Platen, S. Löscher, T. Hinrichs
  46. Kongress der Deutschen Gesellschaft für Allgemeinmedizin und Familienmedizin e.V. (DEGAM), Rostock; 09/2012
• Article: An exercise programme for community-dwelling, mobility-restricted and chronically ill older adults with structured support by the general practitioner's practice (HOMEfit) : From feasibility to evaluation.

  T Hinrichs, M Brach, C Bucchi, A Moschny, S Wilm, U Thiem, P Platen
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  ABSTRACT: Programmes containing health-enhancing physical exercise should be evaluated using standards that are just as rigorous as those required for drug development. In contrast to new medicines, exercise programmes are highly complex. This has to be taken into account when designing the research plan. In order to illustrate the development process of a "complex intervention", we use the example of an exercise programme for community-dwelling, mobility-restricted and chronically ill older adults. Based on a framework for evaluation of complex interventions (Medical Research Council [MRC], UK), a research plan was set up containing the phases: development, feasibility, evaluation, implementation. The development phase resulted in the design of a home-based exercise programme in which the target group is approached and supported via their general practitioner and an exercise therapist. A feasibility study was performed. Three quantitative criteria for feasibility (adoption, safety, continuing participation) were statistically confirmed which permitted the decision to proceed with the research plan. So far, the MRC framework has proved to be valuable for the development of the new programme.
  Zeitschrift für Gerontologie + Geriatrie 04/2012; 46:56-63. · 0.61 Impact Factor
• Article: Painful Movements and Mobility after Urological Surgery: Studying the Feasibility of Pre-operative Exercise, A New Mobility Test and a Randomised Controlled Trial Protocol with Cystectomy Patients in Intensive Care [ISRCTN32898285]

  Michael Brach, Joerg Haasenritter, Elisabeth Kirchner, Heidi Bauder-Mißbach, Elsbeth Betschon, Anna M Eisenschink, Andreas Drabner, Eva - Maria Panfil
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  ABSTRACT: Background: Cystectomy and ileal neobladder are standard procedures in bladder cancer treatment. Regaining mobility quickly after surgery, however, is aggravated by the facts that median laparotomy is used to access the abdomen, and that there are severe tissue violations during surgery. These result in post-operative movement-related pain and in restrictions of functional mobility. Movement patterns, which were self-evident before surgery, cause severe pain or even cannot be performed. Motor exercise with urological patients, before they undergo surgery, seems to be helpful to overcome such restrictions faster. Thus, regeneration could be supported. Methods: We planned a randomised controlled trial to study the effects of patient education based on the Viv-Arte conception, a kinesthetic mobilisation framework. In addition, we designed a new mobility test (MOTPA – Mobility Test for Patients in Acute Care) for subtle discrimination of the regeneration progress. The target group included patients scheduled for cystectomy in an intensive care setting. The primary outcomes were functional mobility (MOTPA), pain (visual analog scale) and post-surgical hospital residence time (intensive and general care units). Conclusions: Preliminary results show that the study design and the test are feasible. In-depth data analysis is to be published. Expanding the field of application of both training and test is to be discussed. Trial registration: Current Controlled Trials ISRCTN32898285
  WebmedCentral NURSING. 03/2012; 3(3-ISSN 2046-1690):WMC003102.
• Article: Context-Sensitive User-Centered Scalability: An Introduction Focusing on Exergames and Assistive Systems in Work Contexts

  O. Korn, M. Brach, A. Schmidt, T. Hörz, R. Konrad
  E-Learning and Games for Training, Education, Health and Sports. 02/2012;
• Article: Development of the Lie-to-Sit-to-Stand-to-Walk Transfer (LSSWT) test for early mobilization in older patients in geriatric rehabilitation.

  A Reicherz, M Brach, J Cerny, S Nicolai, C Becker, U Lindemann
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  ABSTRACT: Early discharge from a rehabilitation center is only possible, if patients are able to do basic transfers independently (e.g., get up from bed and walk to the toilet). Against this background, the Lie-to-Sit-to-Stand-to-Walk Transfer (LSSWT) test was developed in order to quantify complex transfer abilities in older adults. This study was to evaluate the reliability and validity of this instrument. A total of 24 older patients (80.25±8.10 years) of a geriatric rehabilitation unit performed the LSSWT test. Expert ratings were used to measure criterion validity. The Timed Up & Go test (TUG) was administered to assess construct validity. Furthermore, the time score of the LSSWT test was correlated with the Trunk Control Test (TCT), balance performance, the Chair Stand Test (CST) and gait speed. Intra- and interrater reliability were measured, conducting the LSSWT test on consecutive days. The coefficients of correlation between the LSSWT test and the expert ratings as well as the TUG test were r=-0.82 and r=0.83, respectively. Furthermore, the association with the TCT, balance, CST, and gait speed were r=-0.51, r=-0.45, r=0.47, and r=-0.72, respectively. The results of intrarater reliability and interrater reliability were ICC=0.96 and ICC=0.77, respectively. The study shows that the LSSWT test is a valid measure for quantifying difficulties in transfer abilities of patients during geriatric rehabilitation. The good correlation between LSSWT test and TUG test indicates good construct validity, but also that the LSSWT test provides additional information. Interrater reliability was moderate; therefore, the training of the supervisors should be re-evaluated. Further research is needed to establish cut-off values for discharge decision and to analyze the use of the LSSWT test in different subgroups.
  Zeitschrift für Gerontologie + Geriatrie 04/2011; 44(4):262-7. · 0.61 Impact Factor