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https://www.readbyqxmd.com/read/27918865/evidence-based-practice-in-the-management-of-lower-limb-lymphedema-after-gynecological-cancer
#1
Lisandra Fossari Iwersen, Fabiana Flores Sperandio, Ariana Machado Toriy, Marina Palú, Clarissa Medeiros da Luz
PURPOSE: Lower limb lymphedema (LLL) is characterized as a physical-functional chronic complication that impacts the quality of life of women who have gone through treatment for gynecological cancer. The present study aims to check the conservative treatments available for lymphedema after gynecological cancer in the context of evidence-based practice. METHODS: The selection criteria included papers from May 1993 discussing treatment protocols used in LLL after treatment for gynecological cancer...
December 5, 2016: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/27917755/changes-in-physical-activity-and-function-with-transition-to-retirement-living-a-pilot-study
#2
Kayla Regan, Brittany Intzandt, Karli Swatridge, Anita Myers, Eric Roy, Laura E Middleton
This pilot study examined changes in physical activity and function among older adults moving from community dwellings to retirement living. Twelve community-dwelling older adults, recruited from the wait-lists of two retirement living facilities, were assessed prior to and following the transition to retirement living. Physical activity was assessed using an Actigraph (GT3X+) activity monitor; physical activity by type was reported with the CHAMPS activity questionnaire. Physical function was assessed using the Senior Fitness Test...
December 2016: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/27917739/do-cognitive-and-physical-functions-age-in-concert-from-age-70-to-76-evidence-from-the-lothian-birth-cohort-1936
#3
Stuart J Ritchie, Elliot M Tucker-Drob, John M Starr, Ian J Deary
The present study concerns the relation of mental and bodily characteristics to one another during ageing. The 'common cause' theory of ageing proposes that declines are shared across multiple, seemingly-disparate functions, including both physical and intellectual abilities. The concept of 'reserve' suggests that healthier cognitive (and perhaps bodily) functions from early in life are protective against the effects of senescence across multiple domains. In three waves of physical and cognitive testing data from the longitudinal Lothian Birth Cohort 1936 (n = 1,091 at age 70 years; n = 866 at 73; n = 697 at 76), we used multivariate growth curve modeling to test the 'common cause' and 'reserve' hypotheses...
December 5, 2016: Spanish Journal of Psychology
https://www.readbyqxmd.com/read/27917612/fear-of-falling-and-physical-function-in-older-adults-with-cataract-exploring-the-role-of-vision-as-a-moderator
#4
Anna Palagyi, Jonathon Q Ng, Kris Rogers, Lynn Meuleners, Peter McCluskey, Andrew White, Nigel Morlet, Lisa Keay
AIM: To examine fear of falling and associated factors in a cohort of older adults with cataract, and investigate the interplay of vision and physical function with respect to fear of falling. METHODS: We analyzed baseline data from a longitudinal study of adults aged ≥65 years referred for cataract surgery. Fear of falling was assessed by the Short Falls Efficacy Scale-International. Physical function was determined by the Short Physical Performance Battery...
December 4, 2016: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/27917268/effects-of-the-genium-knee-system-on-functional-level-stair-ambulation-perceptive-and-economic-outcomes-in-transfemoral-amputees
#5
M Jason Highsmith, Jason T Kahle, Matthew M Wernke, Stephanie L Carey, Rebecca M Miro, Derek J Lura, Bryce S Sutton
Compared to non-microprocessor knees, the C-Leg microprocessor knee (MPK) is bioenergentically and economically more efficient and safer for transfemoral amputation (TFA) patients. The Genium MPK has demonstrated improvements in perceived function, knee kinematics, and physical functional performance compared to C-Leg. Clinical and health economic analyses have not been conducted with the Genium knee system. The purpose of this study was to determine if laboratory determined benefits of Genium are detectable using common clinical assessments and if there are economic benefits associated with its use...
September 2016: Technology and Innovation
https://www.readbyqxmd.com/read/27916919/health-related-quality-of-life-and-associated-factors-of-frontline-railway-workers-a-cross-sectional-survey-in-the-ankang-area-shaanxi-province-china
#6
Xiaona Zhang, Gang Chen, Feng Xu, Kaina Zhou, Guihua Zhuang
After validation of the widely used health-related quality of life (HRQOL) generic measure, the Short Form 36 version 2 (SF-36v2), we investigated the HRQOL and associated factors of frontline railway workers in China. Ground workers, conductors, and train drivers were selected from Ankang Precinct by using a stratified cluster sampling technique. A total of 784 frontline railway workers participated in the survey. The reliability and validity of SF-36v2 was satisfactory. The physical component summary (PCS) scores of three subgroups attained the average range for the USA general population, whereas the mental component summary (MCS) scores were well below the range...
November 30, 2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27915405/long-term-functional-outcomes-and-knee-alignment-of-computer-assisted-navigated-total-knee-arthroplasty
#7
V Sardana, J M Burzynski, M Khan, N Stone, B S Weening, P K Zalzal
INTRODUCTION: This retrospective study examined the relationship between the mechanical axis throughout a functional arc of motion and functional outcome scores in patients undergoing computer-assisted navigation-based total knee arthroplasty (CAN-TKA) at 6-year follow-up. MATERIALS AND METHODS: The Stryker eNact Precision Knee Navigation System was utilized to obtain pre- and postoperative alignment measurements throughout the functional arc of motion. Patients were contacted via telephone and asked to complete the Short Form-12 and Western Ontario and McMaster Universities, which have been demonstrated to be reliable, valid, and sensitive assessment tools in this patient population...
December 3, 2016: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27914601/effects-of-aquatic-exercise-on-muscle-strength-and-functional-performance-of-individuals-with-osteoarthritis-a-systematic-review
#8
Fernanda de Mattos, Neiva Leite, Arthur Pitta, Paulo Cesar Barauce Bento
Water-based exercises are recommended for people with osteoarthritis (OA), due to the beneficial effects on physical function, quality of life and symptom reduction. However, the effects on muscle strength are still controversial. The aim of this review was to assess and compare the effects of aquatic exercise programs on muscle strength and physical function in people with OA. A systematic search was performed at Pubmed, Scopus and Web of Science databases. Clinical trials with interventions involving aquatic exercises for individuals with OA were included...
November 2016: Revista Brasileira de Reumatologia
https://www.readbyqxmd.com/read/27913870/managing-knee-osteoarthritis-with-yoga-or-aerobic-strengthening-exercise-programs-in-older-adults-a-pilot-randomized-controlled-trial
#9
Corjena Cheung, Jean F Wyman, Ulf Bronas, Teresa McCarthy, Kyle Rudser, Michelle A Mathiason
Although exercise is often recommended for managing osteoarthritis (OA), limited evidence-based exercise options are available for older adults with OA. This study compared the effects of Hatha yoga (HY) and aerobic/strengthening exercises (ASE) on knee OA. Randomized controlled trial with three arms design was used: HY, ASE, and education control. Both HY and ASE groups involved 8 weekly 45-min group classes with 2-4 days/week home practice sessions. Control group received OA education brochures and weekly phone calls from study staff...
December 2, 2016: Rheumatology International
https://www.readbyqxmd.com/read/27913559/physical-activity-as-intervention-for-age-related-loss-of-muscle-mass-and-function-protocol-for-a-randomised-controlled-trial-the-lisa-study
#10
Christian Skou Eriksen, Ellen Garde, Nina Linde Reislev, Cathrine Lawaetz Wimmelmann, Theresa Bieler, Andreas Kraag Ziegler, Anne Theil Gylling, Kasper Juel Dideriksen, Hartwig Roman Siebner, Erik Lykke Mortensen, Michael Kjaer
INTRODUCTION: Physical and cognitive function decline with age, accelerating during the 6th decade. Loss of muscle power (force×velocity product) is a dominant physical determinant for loss of functional ability, especially if the lower extremities are affected. Muscle strength training is known to maintain or even improve muscle power as well as physical function in older adults, but the optimal type of training for beneficial long-term training effects over several years is unknown...
December 2, 2016: BMJ Open
https://www.readbyqxmd.com/read/27912761/relationship-between-weight-status-and-health-related-quality-of-life-in-chinese-primary-school-children-in-guangzhou-a-cross-sectional-study
#11
Wei Liu, Rong Lin, Weijia Liu, Zhongshan Guo, Lihua Xiong, Bai Li, K K Cheng, Peymane Adab, Miranda Pallan
BACKGROUND: To investigate the association between weight status and health-related quality of life (HRQOL) among pupils in Guangzhou, China. METHODS: The study comprised 5781 children aged 8-12 years from 29 schools. Height and weight were objectively measured using standardized methods, and BMI z-score derived using the age and sex specific WHO reference 2007 for 5-19 years. Weight status was classified as underweight (<-2SD), healthy weight (between -2SD and 1SD), overweight/obesity (>1SD)...
December 3, 2016: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/27912040/patient-reported-outcomes-measurement-information-system-physical-function-item-bank-version-1-0-physical-function-assessment-for-athletic-patient-populations
#12
Leif P Madsen, Todd A Evans, Kelli R Snyder, Carrie L Docherty
CONTEXT: The Patient-Reported Outcomes Measurement Information System (PROMIS) item banks have been validated for general populations, but their application to high-functioning patient populations remains speculative. OBJECTIVE: To examine the measurement properties of the PROMIS physical function item bank, version 1.0, when applied to individuals representing high levels of physical ability. DESIGN: Cross-sectional study. SETTING: National Collegiate Athletic Association Division I and III collegiate athletic training rooms and intramural events...
September 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/27910255/dysphagia-is-associated-with-functional-decline-during-acute-care-hospitalization-of-older-patients
#13
Haruyo Matsuo, Yoshihiro Yoshimura, Naoki Ishizaki, Tsuyoshi Ueno
AIM: Physical function is considered to be associated with dysphagia: however, there is little data regarding the association between dysphagia and functional decline during hospitalization among older patients. The aim of the present study was to investigate the prevalence of dysphagia, and the association between dysphagia and functional status during hospitalization in older acute-care patients. METHODS: A total of 103 older patients without present or prior history of diseases that could directly impair swallowing and cause dysphagia (45 men and 58 women; mean age 80...
December 1, 2016: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/27909088/construct-validity-of-radiographs-of-the-feet-to-assess-joint-damage-in-patients-with-gout
#14
Bart Spaetgens, Caroline van Durme, Casper Webers, An Tran-Duy, Thea Schoonbrood, Annelies Boonen
OBJECTIVE: To investigate construct validity of radiographic damage of the feet in gout. METHODS: Radiographs of the feet were scored using the Sharp/van der Heijde method. Factors associated with damage were investigated by a negative binomial model, and contribution of damage to health by linear regressions. RESULTS: Age, disease duration, serum uric acid, and tophi were associated with being erosive and erosion score. Tophi were associated with joint space narrowing...
December 1, 2016: Journal of Rheumatology
https://www.readbyqxmd.com/read/27909084/sustained-benefits-of-exercise-based-motivational-interviewing-but-only-among-nonusers-of-opioids-in-patients-with-fibromyalgia
#15
Sunghye Kim, James E Slaven, Dennis C Ang
OBJECTIVE: Given the known side effects of opioids and their potential effects on cognition, we sought to evaluate the benefits of motivational interviewing (MI) to promote physical activity on 2 subsets of participants with fibromyalgia (FM): nonusers and users of opioids. METHODS: This was a secondary data analysis of a 36-week randomized controlled trial to assess the efficacy of MI to promote physical activity among participants with FM. Participants were randomized to 1 of 2 treatment arms: 6 phone-based MI sessions (n = 107) or 6 sessions of FM self-management instructions [attention control (AC), n = 109]...
December 1, 2016: Journal of Rheumatology
https://www.readbyqxmd.com/read/27908905/mortality-hospitalization-and-quality-of-life-among-patients-with-hepatitis-c-infection-on-hemodialysis
#16
David A Goodkin, Brian Bieber, Michel Jadoul, Paul Martin, Eiichiro Kanda, Ronald L Pisoni
BACKGROUND AND OBJECTIVES: Hepatitis C virus (HCV) infection is widely prevalent among patients on hemodialysis (HD), but very rarely treated. The aim of our study is to evaluate the burdens of HCV suffered by patients on HD. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: The Dialysis Outcomes and Practice Patterns Study is an international, prospective, cohort study of patients on HD. We reviewed the HCV status of 76,689 adults enrolled between 1996 and 2015. We compared HCV-positive (HCV+) with HCV-negative (HCV-) patients for risk of mortality, hospitalization, decline in hemoglobin concentration <8...
December 1, 2016: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/27908586/standard-wide-local-excision-or-bilateral-reduction-mammoplasty-in-large-breasted-women-with-small-tumours-surgical-and-patient-reported-outcomes
#17
R Di Micco, R L O'Connell, P A Barry, N Roche, F A MacNeill, J E Rusby
INTRODUCTION: Oncoplastic breast surgery is used to extend the role of breast-conserving surgery (BCS) to women with an unfavourable tumour to breast volume ratio. However, large-breasted women with a relatively small breast cancer may be offered bilateral reduction mammoplasty (BRM) despite being suitable for standard BCS as the more complex surgery may have advantages in terms of patient satisfaction and reduced adverse effects of radiotherapy. PATIENT AND METHODS: This retrospective study evaluated surgical and patient-reported outcome measures (PROMs) in large-breasted women with early (<3 cm) breast cancer, who have undergone unilateral standard BCS or BRM...
November 17, 2016: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27908276/changes-in-physical-functioning-among-men-and-women-aged-50-79-years-in-germany-an-analysis-of-national-health-interview-and-examination-surveys-1997-1999-and-2008-2011
#18
A K Buttery, Y Du, M A Busch, J Fuchs, B Gaertner, H Knopf, C Scheidt-Nave
BACKGROUND: This study examines changes in physical functioning among adults aged 50-79 years in Germany based on data from two German National Health Interview and Examination Surveys conducted in 1997-1999 (GNHIES98) and 2008-2011 (DEGS1). METHODS: Using cross-sectional data from the two surveys (GNHIES98, n = 2884 and DEGS1, n = 3732), we examined changes in self-reported physical functioning scores (Short Form-36 physical functioning subscale (SF-36 PF)) by sex and age groups (50-64 and 65-79 years)...
December 1, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27905906/discordance-between-self-reported-arthritis-and-musculoskeletal-signs-and-symptoms-in-older-women
#19
Tkt Lo, Lynne Parkinson, Michelle Cunich, Julie Byles
BACKGROUND: Arthritis is a gendered disease where women have a higher prevalence and more disability than men with arthritis of the same age. Health survey data is a major source of information for monitoring of the burden of arthritis. The validity of self-reported arthritis and the determinants of its accuracy among women have not been thoroughly studied. The objectives of this study were to: 1) examine the agreement between self-report diagnosed arthritis and musculoskeletal signs and symptoms in community-living older women; 2) estimate the sensitivity, specificity, and predictive values of self-reported arthritis; and 3) assess the factors associated with the disagreement...
December 1, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27904949/association-of-arthritis-and-vitamin-d-insufficiency-with-physical-disability-in-mexican-older-adults-findings-from-the-mexican-health-and-aging-study
#20
Luis M Valderrama-Hinds, Soham Al Snih, Martin A Rodriguez, Rebeca Wong
Arthritis and vitamin D insufficiency are prevalent in older adults and are risk factors for disability. The objective of this study was to examine the effect of co-occurring arthritis and vitamin D deficiency on upper-lower extremity functional limitations and disability in older adults. We examined 1533 participants aged ≥50 years from a subsample of the Mexican Health and Aging Study. Measures included sociodemographics, body mass index, comorbid conditions, falls, physical activity, physical function tests, functional limitations, activities of daily living (ADL), and vitamin D...
November 30, 2016: Rheumatology International
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