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In addition, female IBS-D patients were more likely to regard their bowel problems as limiting the clothing they could wear (item 21) and to want to avoid strenuous activity (item 22) and long trips (item 27).
An instrument with items based around strenuous and difficult items about walking and climbing stairs will not perform well in a population with longstanding RA since most will have difficulty in many categories.
Some children reported that the KOOS did not reflect the problems they experienced, due to the limited number of items dedicated to strenuous activities.
The second, related, problem that was encountered with items referring to strenuous activities such as walking or running more than a mile or working in the garden is that patients indicate they can, in principle, perform the tasks referred to in the items but are nevertheless reluctant to do so because they know that they will suffer increased fatigue, stiffness and pain in the days after.
Analyses at item level in this study revealed that age explained the decreased HRQOL, especially for items that reflect more strenuous physical activities in the physical dimension.
There were a few patients complaining of difficulties in answering item 8 (How much difficulties do you experience doing push-ups or other strenuous exercises because of your shoulder?) and item 9 (How much has your shoulder affected your ability to throw hard or far?) in WORC because they never did strenuous shoulder activities like push-ups or had never tried to throw hard or far.
Physical activity was reported in terms of mild, moderate and strenuous physical activity while the sedentary behaviors included items like duration of watching TV and videos, doing academic work, and using a computer.
This measure includes three open-ended items that measure the frequency of strenuous (e.g., jogging), moderate (e.g., fast walking), and mild (e.g., easy walking) exercises for periods of more than 15 minutes.
Within instrument handling the questionnaire included 5 items; reachability of the instruments without strenuous movement, use of forceful movement with the arm, performing clinical work with the arm above the shoulder height, four-handed dentistry and bending and twisting the neck during clinical work.
Mental and physical workload was examined using two single items asking whether the respondents perceived their work as very light, light, strenuous or very strenuous mentally or physically, and dichotomised as heavy or light.
The subscale on physical functioning has ten items related to self-care, mobility, and light and strenuous activities, whereas the mental health subscale comprises five questions about positive as well as negative emotions and mood states [ 8].
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