• Home
  • Erasmus MC
  • Department of Rehabilitation Medicine
  • Johannes B Bussmann
Johannes B Bussmann

Johannes B Bussmann
Erasmus MC | Erasmus MC · Department of Rehabilitation Medicine

PhD

About

188
Publications
58,966
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
9,062
Citations
Introduction
I’m supervising research on Physical behaviour monitoring in chronic conditions. We aim at understanding and improving physical behaviour of people with chronic conditions, with focus on the use of technology in the “at home” situation. Physical behaviour is often affected in people with chronic conditions, and understanding and improving patients’ physical behaviour is crucial for optimizing treatment. For this, objective, feasible and valid measurements are needed. Technology offers the opportunity to measure physical behaviour in a feasible and valid way, by prolonged unsupervised measurements during daily life of people. I initiated the ICAMPAM conference series and the International Society for the Measurement of Physical Behaviour.

Publications

Publications (188)
Article
Research Objectives To study daily variability in fatigue after subarachnoid hemorrhage (SAH) using the ecological momentary assessment (EMA) method. Design Observational study with repeated-measures of fatigue during 7 consecutive days using EMA. Setting General community. Participants Patients (n=42) with SAH who suffer from chronic fatigue, r...
Article
There is growing evidence that sedentary behavior is a risk factor for somatic and mental health. However, there is still a lack of objective field methods, which can assess both components of sedentary behavior: the postural (sitting/lying) and the movement intensity part. The purpose of the study was to compare the validity of different accelerom...
Article
Objective To evaluate changes in duration of physical activity (PA) and sedentary behavior (SB) from discharge to one year after inpatient rehabilitation in ambulatory people with spinal cord injury (SCI). Design Longitudinal cohort study with objective measurements of physical behavior at discharge, 6 months and 12 months post-discharge. Setting...
Article
Purpose : A simple single-unit activity monitor (Activ8), which is based on a tri-axial accelerometer, measures specific body postures and movements, and has potential for research and clinical practice to monitor and optimize physical behavior of people with chronic conditions. However, the validity of the Activ8 in people with lower-limb amputati...
Article
Full-text available
Background: A cost-effectiveness trial (the Space Bop study) on the added value of botulinum toxin injections (BoNT-A) in the leg muscles, as part of a multimodal intervention for ambulatory children with spastic cerebral palsy in the context of a single distinct cycle of care was performed recently by our group. For a broad set of effect outcomes...
Article
Full-text available
Introduction: To set up and guide interventions with the aim to increase physical activity and lower sedentary behavior valid monitoring of physical behavior is essential. The aim of this study was to evaluate the validity of the single-unit Activ8 activity monitor to classify several body postures and movements. Methods: Twelve healthy adults p...
Article
Full-text available
Purpose: Existing physical activity interventions do not reach a considerable proportion of physically disabled people. This study assessed feasibility and short-term effects of Activity Coach+, a community-based intervention especially targeting this hard-to-reach population. Methods: Feasibility was determined by reach, dropouts, and compliance w...
Article
Full-text available
Background: Different interventions are offered to children with cerebral palsy (CP) to improve the activity domain of the international classification of functioning (ICF). In therapy settings, the focus is mostly on motor capacity, but the ultimate goal is to improve motor performance. We therefore examined if changes in motor capacity outcomes...
Article
Full-text available
Background: Accurate measurement of physical behaviour is paramount to better understand lifestyle, health, and functioning, particularly in adults with physical disability as they may be at higher risk of sedentary lifestyle and subsequent negative health consequences. This study aimed: 1) to evaluate the criterion validity of a novel and clinica...
Article
Full-text available
Background: Multiple sclerosis often leads to fatigue and changes in physical behavior (PB). Changes in PB are often assumed as a consequence of fatigue, but effects of interventions that aim to reduce fatigue by improving PB are not sufficient. Since the heterogeneous nature of MS related symptoms, levels of PB of fatigued patients at the start o...
Article
Background and objective: The purpose of this study is to determine whether patients, classified by their treating consultant in rehabilitation medicine as avoider or persister, show differences in a large set of detailed outcomes of actual, objectively measured daily physical behaviour. Methods: In this explorative cross-sectional study, 16 pat...
Conference Paper
Ambulatory sensing of gait kinematics using inertial measurement units (IMUs) usually uses sensor fusion filters. These algorithms require measurement updates to reduce drift between segments. A full body IMU suit can use biomechanical relations between body segments to solve this. However, when minimising the sensor set, we lose a lot of this info...
Article
OBJECTIVE. We investigated whether demographic, disease-related, or personal baseline determinants can predict a positive response to energy conservation management (ECM). METHOD. We conducted a secondary analysis of a single-blind, two-parallel-arms randomized controlled trial that included ambulatory adults with severe MS-related fatigue. Therapy...
Article
Full-text available
Background: High levels of sedentary time increases the risk of cardiovascular disease, including recurrent stroke. Objective: This study aimed to identify factors associated with high sedentary time in community-dwelling people with stroke. Methods: For this data pooling study, authors of published and ongoing trials that collected sedentary time...
Article
Full-text available
Objective: To determine the effectiveness of health-care interventions promoting physical activity, which use objective feedback on physical activity delivered using wearable activity monitors as part of the intervention. Intervention groups are compared with control groups receiving usual care or interventions without objective feedback. Data sour...
Article
Background. Several device-based instruments have been validated in the pediatric population, but none of these are clinically applicable and provide real-time feedback on actual physical activity in terms of postures and movements. A new device (Activ8) is promising for that purpose. Objective. The objective was to investigate the criterion validi...
Article
Full-text available
Purpose: Sedentary behavior is common in people with stroke and has devastating impact on their health. Quantifying it is important to provide people with stroke with adequate physical behavior recommendations. Sedentary behavior can be quantified in terms of posture (sitting) or intensity (low energy expenditure). We compared the effect of differe...
Article
Full-text available
Background The loss of the ability to walk is among the most prominent signs of Pompe disease. The associations with muscle strength have not been described. Objective The objective of this study was to estimate the associations of walking performance with muscle strength in 4 specific lower extremity muscle groups along with other factors in adul...
Article
Background: Fatigue affects 80% of persons with multiple sclerosis and is associated with daily physical functioning. Both fatigue and physical behaviour are multidimensional concepts. Objective: To study the association between the dimensions of physical behaviour and multiple sclerosis-related fatigue. Methods: Cross-sectional analysis of 21...
Article
Full-text available
Objective: Botulinum toxin (BoNT-A) is widely used in combined treatment for spastic cerebral palsy, but its added value preceding comprehensive rehabilitation for motor impairments, gait, and goal attainment has not been studied. Design: A comparative multi-centre trial, in which two groups underwent comprehensive rehabilitation (i.e. high-inte...
Article
Full-text available
Background: In stroke rehabilitation not only are the levels of physical activity important, but body postures and movements performed during one’s daily-life are also important. This information is provided by a new one-sensor accelerometer that is commercially available, low-cost, and user-friendly. The present study examines the accuracy of thi...
Article
Full-text available
Introduction/Background A stroke often results in functional impairments of the affected upper limb and in distorted upper limb use of the affected arm in daily life (ULUaff). It is currently unclear how ULUaff recovers after stroke and how it relates to upper limb function (ULF). Therefore, the aims of this study were to explore the recovery of UL...
Article
Objective: To develop and validate a clinically applicable and easy-to-use accelerometry-based device to measure arm use in people after stroke; the Activ8 arm use monitor (Activ8-AUM). Design: Development and validation study. Patients: A total of 25 people at different stages of rehabilitation after stroke were included in this study. Metho...
Conference Paper
Background Hip and knee osteoarthritis (OA) are a major cause of disability, yet relatively little is known on the relationship between OA and the total amount of physical activity. Objectives We investigated if OA-associated pain, functional disability and quality of life (QoL) are associated with objectively measured physical activity in patient...
Article
Full-text available
Background Hypoactive lifestyle contributes to the development of secondary complications and lower quality of life in wheelchair users. There is a need for objective and user-friendly physical activity monitors for wheelchair-dependent individuals in order to increase physical activity through self-monitoring, goal setting, and feedback provision....
Data
Complete data set of 16 participants. (XLSX)
Article
Background: Most people with long-term spinal cord injury (SCI) have a very inactive lifestyle. Higher activity levels have been associated with health benefits and enhanced quality of life. Consequently, encouraging an active lifestyle is important and behavioral interventions are needed to establish durable lifestyle changes. Objective: The He...
Article
Full-text available
Background: Aneurysmal subarachnoid hemorrhage (a-SAH) is a potential life-threatening stroke. Because survivors may be at increased risk for inactive and sedentary lifestyles, this study evaluates physical activity (PA) and sedentary behavior (SB) in the chronic phase after a-SAH. Methods: PA and SB were objectively measured at six months post...
Conference Paper
Full-text available
Oral presentation 48 AACPDM 2017: Evaluation of the added value of botulinum toxin treatment and intensive physiotherapy to improve body function and structure in children with spastic cerebral palsy Introduction: Botulinum neurotoxin injections (BoNT-A) followed by a period of intensive physiotherapy (iPT) and, if necessary, casting or ankle-foot...
Article
Full-text available
Objective: Despite the widespread use of botulinum toxin in ambulatory children with spastic cerebral palsy, its value prior to intensive physiotherapy with adjunctive casting/orthoses remains unclear. Design: A pragmatically designed, multi-centre trial, comparing the effectiveness of botulinum toxin + intensive physiotherapy with intensive phy...
Article
Full-text available
Purpose: Increasing physical activity level is a generally effective intervention goal for patients who suffer from chronic cancer-related fatigue (CCRF). However, patients are unlikely to benefit equally from these interventions, as their behavioral starting points might vary substantially. Therefore, we explored patterns of physical behavior of...
Article
Objective To objectively measure changes in both moderate-to-vigorous physical activity (MVPA) and sedentary behavior (SB) during and after standard cardiac rehabilitation (CR). Design Prospective cohort study Setting Outpatient CR center Participants 135 patients with acute coronary syndrome (ACS) who completed CR. Intervention Multi-disciplin...
Article
Background: Fatigue is a frequently reported and disabling symptom in multiple sclerosis (MS). Objective: To investigate the effectiveness of an individual energy conservation management (ECM) intervention on fatigue and participation in persons with primary MS-related fatigue. Methods: A total of 86 severely fatigued and ambulatory adults with a d...
Article
Introduction: Sedentary behavior (SB) influences health status independently of physical activity. The formal definition of SB is: "any waking behavior characterized by an energy expenditure ≤1.5 METs while in a sitting or reclining posture". However, measuring SB mostly does not include both the intensity and postural component. The aim of this s...
Article
Study design: Follow-up measurement in a multicenter prospective cohort study. Objectives: To examine the prevalence of impaired respiratory function (pulmonary function and perceived respiratory function), the incidence of respiratory infection and the associations among these parameters in people with spinal cord injury (SCI) 5 years after ini...
Article
A short maximal steep ramp test (SRT, 25 W/10 s) has been proposed to guide exercise interventions in type 2 diabetes, but requires validation. This study aims to (a) determine the relationship between Wmax and reached during SRT and the standard ramp test (RT); (b) obtain test-retest reliability; and (c) document electrocardiogram (ECG) abnormalit...
Article
Full-text available
Background: Pompe disease is a proximal myopathy. We investigated whether exercise training is a safe and useful adjuvant therapy for adult Pompe patients, receiving enzyme replacement therapy. Methods: Training comprised 36 sessions of standardized aerobic, resistance and core stability exercises over 12 weeks. Before and after, the primary out...
Article
To describe the course of walking behaviour over a period of 1 year after stroke, using accelerometry, and to compare 1-year data with those from a healthy group. One-year follow-up cohort study. Twenty-three stroke patients and 20 age-matched healthy subjects. Accelerometer assessments were made in the participants' daily environment for 8 h/day d...
Article
Full-text available
To assess the longitudinal association between respiratory muscle strength and cough capacity in persons with recent spinal cord injury. Longitudinal analyses. Forty persons with recent spinal cord injury and impaired pulmonary function. Measurements were performed 4 weeks after the start of rehabilitation, 9 and 17 weeks after the first measuremen...
Article
To assess physical fitness and physical activity in inflammatory bowel disease (IBD) patients and whether fatigue is associated with impaired physical fitness and impaired physical activity. Ten patients with quiescent IBD and fatigue (fatigue group [FG]) based on the Checklist Individual Strength-Fatigue score of ≥35 were matched for age (±5 years...
Article
Objective Since 20 years, children with spastic CP are increasingly treated with botulinum toxin typeA (BtA) followed by intensive physiotherapy (iPT). The added value of BtA remains unclear. We therefore compared (cost-)effectiveness of BtA+iPT versus only iPT treatment in a (partly) randomized controlled trial. Methods Sixty-five children aged 4...
Article
Full-text available
Background Children who are wheelchair-dependent are at risk for developing unfavorable physical behavior; therefore, assessment, monitoring and efforts to improve physical behavior should start early in life. VitaMove is an accelerometer-based activity monitor and can be used to detect and distinguish different categories of physical behavior, inc...
Article
Full-text available
To assess if a 12-week exercise intervention to improve aerobic fitness, muscle strength and core stability also had an impact on fatigue, pain, activity and participation in adults with Pompe disease, an inherited neuromuscular disorder. Open label trial. Change was assessed by the chi-square test and the Wilcoxon signed rank test. Selected physio...
Article
Full-text available
Background. Mirror therapy is a priming technique to improve motor function of the affected arm after stroke. Objective. To investigate whether a mirror therapy-based action observation (AO) protocol contributes to motor learning of the affected arm after stroke. Methods. A total of 37 participants in the chronic stage after stroke were randomly al...
Article
Full-text available
This study assessed whether self-propelled wheelchair driving can be validly detected by a new method using a set of two commonly used accelerometers.In a rehabilitation centre, 10 wheelchair-bound persons with spinal cord injury (SCI) (aged 29–63 years) performed a series of representative daily activities according to a protocol including self-pr...
Article
Full-text available
Objective: To study physical behavior (PB) in detail in fatigued persons with multiple sclerosis (MS). Design: case-control explorative study. Setting: Outpatient rehabilitation department. PB monitoring was conducted in participants' daily environment. Participants: Twenty-three fatigued persons with MS were selected from an RCT. Cases were match...
Article
Full-text available
Background: People with spinal cord injury (SCI) may benefit from resistive inspiratory muscle training (RIMT). Current evidence is weak, and little is known about the effect on functional outcomes and long-term effects. Objective: The purpose of this study was to assess immediate and long-term effects of RIMT in people with SCI. Design: This...
Article
The Fugl-Meyer assessment scale (FM motor scale) is recognized as a robust scale of motor ability for patients after stroke, with a high predictive validity for outcome, but, if not used as a hierarchical scale, is time consuming. The hierarchical properties of the upper extremity (UE) and lower extremity (LE) sections of the FM motor scale have be...
Article
Full-text available
. Although most mirror therapy studies have shown improved motor performance in stroke patients, the optimal mirror training protocol still remains unclear. . To study the relative contribution of a mirror in training a reaching task and of unilateral and bimanual training with a mirror. . A total of 93 stroke patients at least 6 months poststroke...
Article
Full-text available
Background: TREFAMS is an acronym for TReating FAtigue in Multiple Sclerosis, while ACE refers to the rehabilitation treatment methods under study, that is, Aerobic training, Cognitive behavioural therapy, and Energy conservation management. The TREFAMS-ACE research programme consists of four studies and has two main objectives: (1) to assess the...
Article
Full-text available
The aim of this paper is to describe and discuss some perspectives on definitions, constructs, and outcome parameters of physical behavior. The paper focuses on the following constructs: Physical activity and active lifestyle vs. sedentary behavior and sedentary lifestyle; Amount of physical activity vs. amount of walking; Detailed body posture and...
Article
Our previous study showed that 6 months after total hip arthroplasty (THA) or total knee arthroplasty (TKA), patients reported having less difficulty with daily activities, showed better functional capacity, and performed activities in their natural environment faster compared to preoperatively. However, their actual daily activity level was not si...
Article
Full-text available
Pompe disease is a metabolic myopathy caused by the deficiency of acid α-glucosidase. In addition to enzyme replacement therapy (ERT), exercise training may help improve patients’ fitness and physical functioning. Thus, we studied the safety and efficacy of exercise training in adult Pompe patients.
Article
Objective: To describe changes in pulmonary function (PF) during the 5 years after inpatient rehabilitation in persons with spinal cord injury (SCI) and to study potential determinants of change. Design: Prospective cohort study. Setting: Eight rehabilitation centers with specialized SCI units. Participants: Persons with SCI (N=180). Interv...
Article
Full-text available
OBJECTIVES: To systematically review the effects of Energy-Conservation-Management (ECM)-treatment for fatigue in MS. We also studied the effect of ECM-treatment on restrictions in participation and quality of life (QoL). DATA SOURCES: PubMed, CINAHL, EMBASE and Web Of Knowledge were searched to identify relevant RCTs and CCTs. STUDY SELECTION: To...
Article
Full-text available
Physical activity is an important determinant of health and well-being in older persons and contributes to their social participation and quality of life. Hence, assessment tools are needed to study this physical activity in free-living conditions. Wearable motion sensing technology is used to assess physical activity. However, there is a lack of h...
Article
Objective: To gain insight into underlying mechanisms of inactive lifestyles among adults with spastic bilateral cerebral palsy (CP) with a focus on aerobic capacity, oxygen consumption, and physical strain during walking at preferred walking speed, as well as fatigue. Design: Cross-sectional. Setting: University hospital. Participants: Adul...
Article
Full-text available
This focus issue of Physiological Measurement follows the successful '2nd International Conference on Ambulatory Monitoring of Physical Activity and Movement (ICAMPAM2011)'. The conference was hosted by Glasgow Caledonian University in Glasgow, UK and was chaired by Professor Malcolm Granat from Glasgow Caledonian University's Active Living Researc...
Article
Purpose: To evaluate the effectiveness of a 16-week self-management intervention on physical activity level and self-management skills (self-efficacy, proactive coping and problem solving skills) in persons with chronic SCI. Method and design: Multicenter randomized controlled trial (RCT). Eighty persons with a SCI for at least 10 years and aged...