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Exercise prescription

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https://www.readbyqxmd.com/read/28427790/exercise-and-ckd-skeletal-muscle-dysfunction-and-practical-application-of-exercise-to-prevent-and-treat-physical-impairments-in-ckd
#1
Baback Roshanravan, Jorge Gamboa, Kenneth Wilund
Patients with chronic kidney disease experience substantial loss of muscle mass, weakness, and poor physical performance. As kidney disease progresses, skeletal muscle dysfunction forms a common pathway for mobility limitation, loss of functional independence, and vulnerability to disease complications. Screening for those at high risk for mobility disability by self-reported and objective measures of function is an essential first step in developing an interdisciplinary approach to treatment that includes rehabilitative therapies and counseling on physical activity...
April 18, 2017: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/28422553/psychometric-properties-of-the-brazilian-portuguese-version-of-the-parmed-x-for-pregnancy
#2
Roberta Bgeginski, Diogo A DeSousa, Bruna M Barroso, Janete Vettorazzi, Michelle F Mottola, Felipe B Schuch, José Geraldo L Ramos
BACKGROUND: The Physical Activity Readiness Medical Examination (PARmed-X) for Pregnancy aims to facilitate the communication between the health care provider, the fitness professional and the pregnant woman. The purpose of the present study was to test the psychometric properties of the Brazilian Portuguese version of the PARmed-X for Pregnancy. METHODS: Reliability and validity of psychometric properties of the Brazilian Portuguese version of the PARmed-X for Pregnancy were tested in 107 women recruited from the Hospital de Clínicas de Porto Alegre...
April 19, 2017: Journal of Physical Activity & Health
https://www.readbyqxmd.com/read/28420250/the-european-association-of-preventive-cardiology-exercise-prescription-in-everyday-practice-and-rehabilitative-training-expert-tool-a-digital-training-and-decision-support-system-for-optimized-exercise-prescription-in-cardiovascular-disease-concept-definitions
#3
Dominique Hansen, Paul Dendale, Karin Coninx, Luc Vanhees, Massimo F Piepoli, Josef Niebauer, Veronique Cornelissen, Roberto Pedretti, Eva Geurts, Gustavo R Ruiz, Ugo Corrà, Jean-Paul Schmid, Eugenio Greco, Constantinos H Davos, Frank Edelmann, Ana Abreu, Bernhard Rauch, Marco Ambrosetti, Simona S Braga, Olga Barna, Paul Beckers, Maurizio Bussotti, Robert Fagard, Pompilio Faggiano, Esteban Garcia-Porrero, Evangelia Kouidi, Michel Lamotte, Daniel Neunhäuserer, Rona Reibis, Martijn A Spruit, Christoph Stettler, Tim Takken, Cajsa Tonoli, Carlo Vigorito, Heinz Völler, Patrick Doherty
Background Exercise rehabilitation is highly recommended by current guidelines on prevention of cardiovascular disease, but its implementation is still poor. Many clinicians experience difficulties in prescribing exercise in the presence of different concomitant cardiovascular diseases and risk factors within the same patient. It was aimed to develop a digital training and decision support system for exercise prescription in cardiovascular disease patients in clinical practice: the European Association of Preventive Cardiology Exercise Prescription in Everyday Practice and Rehabilitative Training (EXPERT) tool...
January 1, 2017: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/28413219/contemporary-biopsychosocial-exercise-prescription-for-chronic-low-back-pain-questioning-core-stability-programs-and-considering-context
#4
Peter Stilwell, Katherine Harman
This commentary explores the importance of considering the biopsychosocial model and contextual factors when prescribing exercise. Diverse exercise programs for patients with chronic low back pain (CLBP) produce similar outcomes, without one specific exercise protocol demonstrating clear superiority. One clear barrier to positive outcomes is poor exercise adherence. We suggest that there are certain common contextual factors present in all exercise prescription scenarios that may impact adherence and health-related outcomes...
March 2017: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/28409595/exercise-prescriptions-in-older-adults
#5
Pearl Guozhu Lee, Elizabeth A Jackson, Caroline R Richardson
Regular physical activity and exercise are important for healthy aging and are beneficial for chronic disease management. Exercise prescriptions for older adults should account for the individual's health status and functional capacity. Any amount of exercise is better than being sedentary, even if health status prevents a person from achieving recommended goals. For most health outcomes, more benefits occur with physical activity performed at higher intensity, greater frequency, or longer duration. Guidelines recommend at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity and at least two days of muscle-strengthening activities per week...
April 1, 2017: American Family Physician
https://www.readbyqxmd.com/read/28404557/exercise-prescription-for-overhead-athletes-with-shoulder-pathology-a-systematic-review-with-best-evidence-synthesis
#6
REVIEW
Alexis A Wright, Eric J Hegedus, Daniel T Tarara, Samantha C Ray, Steven L Dischiavi
OBJECTIVE: To produce a best evidence synthesis of exercise prescription used when treating shoulder pathology in the overhead athlete. DESIGN: A systematic review of exercises used in overhead athletes including case studies and clinical commentaries. DATA SOURCES: MEDLINE, PubMed, SPORTDiscus and CINAHL from database inception through July 8, 2016. METHODS: We examined data from randomised controlled trials and prospective cohort (level I-IV evidence) studies that addressed exercise intervention in the rehabilitation of the overhead athlete with shoulder pathology...
April 12, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28402045/brachial-blood-flow-under-relative-levels-of-blood-flow-restriction-is-decreased-in-a-nonlinear-fashion
#7
J Grant Mouser, Carl J Ade, Christopher D Black, Debra A Bemben, Michael G Bemben
INTRODUCTION: Blood flow restriction (BFR), the application of external pressure to occlude venous return and restrict arterial inflow, has been shown to increase muscular size and strength when combined with low-load resistance exercise. BFR in the research setting uses a wide range of pressures, applying a pressure based upon an individual's systolic pressure or a percentage of occlusion pressure; not a directly determined reduction in blood flow. The relationship between relative pressure and blood flow has not been established...
April 12, 2017: Clinical Physiology and Functional Imaging
https://www.readbyqxmd.com/read/28401666/a-model-to-increase-rehabilitation-adherence-to-home-exercise-programmes-in-patients-with-varying-levels-of-self-efficacy
#8
Kelsey J Picha, Dana M Howell
Patient adherence to rehabilitation programmes is frequently low - particularly adherence to home exercise programmes. Home exercise programmes have been identified as complementary to clinic-based physical therapy in an orthopaedic setting. Barriers to patient adherence have previously been identified within the literature. Low self-efficacy is a barrier to adherence that clinicians have the ability to have an impact on and improve. The theory of self-efficacy is defined as a person's confidence in their ability to perform a task...
April 12, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28397984/physical-activity-prescription-by-primary-care-nurses-using-health-assets-study-design-of-a-randomised-controlled-trial-in-patients-with-cardiovascular-risk-factors
#9
Aina Riera-Sampol, Pedro Tauler, Miquel Bennasar-Veny, Alfonso Leiva, Guillem Artigues-Vives, Joan De Pedro-Gómez, Jordi Pericàs, Carlos Moreno, Maite Arbos, Antoni Aguilo
AIM: To analyse the efficacy of a 12-month multifactorial intervention by primary care nurses in increasing adherence to physical activity prescription (150 min/week) in patients with two or more cardiovascular risk factors and with cardiovascular risk up to 15% determined by the REGICOR equation. BACKGROUND: In Spain cardiovascular diseases are responsible for 30.5% of deaths. Regular physical activity decreases mortality risk due to cardiovascular diseases but the effectiveness of physical activity prescription in routine in primary care settings has been shown to be low...
April 11, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28394730/resistance-training-prescription-with-different-load-management-methods-improves-phase-angle-in-older-women
#10
Alex S Ribeiro, Brad J Schoenfeld, Mariana F Souza, Crisieli M Tomeleri, Analiza M Silva, Denílson C Teixeira, Luís B Sardinha, Edilson S Cyrino
The purpose of the present study was to investigate the effect of two different resistance training (RT) prescription methods on phase angle (PA) in older women. Seventy-six older women (68.5 ± 5.7 years) were randomly assigned to one of three groups: two training groups that performed an eight-week RT programme either in a constant load (CT, n = 25) or an ascending pyramidal load (PR, n =  26) routine three times per week, or a control group (CG, n =  25) that performed no exercise. The CT programme consisted of three sets of 8-12 repetition maximum (RM) with a constant load for the three sets, whereas the PR training consisted of three sets of 12/10/8 RM with incremental loads for each set...
April 10, 2017: European Journal of Sport Science
https://www.readbyqxmd.com/read/28386651/exercise-for-multimorbid-patients-in-primary-care-one-prescription-for-all
#11
Philipe de Souto Barreto
The purpose of this article was to discuss guidelines for the management of the most prevalent chronic diseases treated by primary care physicians (PCPs) in order to identify the best exercise regimen for each clinical population, and to provide preliminary guidance for primary care providers on exercise counselling in the 'real-world' context of multimorbidity. After a search of the PubMed electronic database, the 11 most prevalent conditions currently treated by PCPs were identified. The recommendations provided by recognised learned/scientific societies for the management of each disease were then examined and any recommendations involving physical activity and exercise were identified...
April 6, 2017: Sports Medicine
https://www.readbyqxmd.com/read/28381272/a-higher-effort-based-paradigm-in-physical-activity-and-exercise-for-public-health-making-the-case-for-a-greater-emphasis-on-resistance-training
#12
James Steele, James Fisher, Martin Skivington, Chris Dunn, Josh Arnold, Garry Tew, Alan M Batterham, David Nunan, Jamie M O'Driscoll, Steven Mann, Chris Beedie, Simon Jobson, Dave Smith, Andrew Vigotsky, Stuart Phillips, Paul Estabrooks, Richard Winett
It is well known that physical activity and exercise is associated with a lower risk of a range of morbidities and all-cause mortality. Further, it appears that risk reductions are greater when physical activity and/or exercise is performed at a higher intensity of effort. Why this may be the case is perhaps explained by the accumulating evidence linking physical fitness and performance outcomes (e.g. cardiorespiratory fitness, strength, and muscle mass) also to morbidity and mortality risk. Current guidelines about the performance of moderate/vigorous physical activity using aerobic exercise modes focuses upon the accumulation of a minimum volume of physical activity and/or exercise, and have thus far produced disappointing outcomes...
April 5, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28371175/exercise-for-chronic-musculoskeletal-pain-a-biopsychosocial-approach
#13
John Booth, G Lorimer Moseley, Marcus Schiltenwolf, Aidan Cashin, Michael Davies, Markus Hübscher
Chronic musculoskeletal pain (CMP) refers to ongoing pain felt in the bones, joints and tissues of the body that persists longer than 3 months. For these conditions, it is widely accepted that secondary pathologies or the consequences of persistent pain, including fear of movement, pain catastrophizing, anxiety and nervous system sensitization appear to be the main contributors to pain and disability. While exercise is a primary treatment modality for CMP, the intent is often to improve physical function with less attention to secondary pathologies...
March 30, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28366821/considerations-of-the-principles-of-resistance-training-in-exercise-studies-for-the-management-of-knee-osteoarthritis-a-systematic-review
#14
REVIEW
Claire Minshull, Nigel Gleeson
OBJECTIVE: To evaluate the methodological quality of resistance training interventions for the management of knee osteoarthritis. DATA SOURCES: A search of the literature for studies published up to 10(th) August 2015 was performed on Medline (OVID platform), PubMed, EMBase and PEDRo databases. Search terms associated with 'osteoarthritis'; 'knee' and 'muscle resistance exercise' were used.. STUDY SELECTION: Studies were included in the review if they were published in the English language and met the following criteria : 1) muscle resistance training was the primary intervention; 2) RCT design; 3) treatment arms included at least a muscle conditioning intervention and a non-exercise control group; 4) participants had osteoarthritis of the knee; ...
March 30, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28357131/aquatic-therapy-for-boys-with-duchenne-muscular-dystrophy-dmd-an-external-pilot-randomised-controlled-trial
#15
Daniel Hind, James Parkin, Victoria Whitworth, Saleema Rex, Tracey Young, Lisa Hampson, Jennie Sheehan, Chin Maguire, Hannah Cantrill, Elaine Scott, Heather Epps, Marion Main, Michelle Geary, Heather McMurchie, Lindsey Pallant, Daniel Woods, Jennifer Freeman, Ellen Lee, Michelle Eagle, Tracey Willis, Francesco Muntoni, Peter Baxter
BACKGROUND: Standard treatment of Duchenne muscular dystrophy (DMD) includes regular physiotherapy. There are no data to show whether adding aquatic therapy (AT) to land-based exercises helps maintain motor function. We assessed the feasibility of recruiting and collecting data from boys with DMD in a parallel-group pilot randomised trial (primary objective), also assessing how intervention and trial procedures work. METHODS: Ambulant boys with DMD aged 7-16 years established on steroids, with North Star Ambulatory Assessment (NSAA) score ≥8, who were able to complete a 10-m walk test without aids or assistance, were randomly allocated (1:1) to 6 months of either optimised land-based exercises 4 to 6 days/week, defined by local community physiotherapists, or the same 4 days/week plus AT 2 days/week...
2017: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/28356245/exercise-prescription-and-the-doctor-s-duty-of-non-maleficence
#16
Jonathan Pugh, Christopher Pugh, Julian Savulescu
No abstract text is available yet for this article.
March 29, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28351441/-oxygen-therapy-not-required-for-all-copd-patients
#17
L E G W Vanfleteren
Long-term oxygen therapy in patients with pronounced hypoxia is an important and life-extending therapy. Many patients have only mild hypoxia, do not experience nocturnal desaturation, or experience desaturation only during exercise. While often applied in clinical practice, the clinical relevance of oxygen therapy was not clear in these patients. A recent randomized controlled trial has now revealed no additional value for long-term oxygen therapy in subjects with mild oxygen desaturation or exercise-induced oxygen desaturation only...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28347995/evidence-based-exercise-prescription-is-facilitated-by-the-consensus-on-exercise-reporting-template-cert
#18
EDITORIAL
Peter Kent, Peter B O'Sullivan, Jennifer Keating, Susan C Slade
No abstract text is available yet for this article.
March 27, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28344738/adherence-to-exercise-prescription-and-improvements-in-the-clinical-and-vascular-health-of-african-americans
#19
Dianne M Babbitt, Amanda M Perkins, Keith M Diaz, Deborah L Feairheller, Kathleen M Sturgeon, Praveen Veerabhadrappa, Sheara T Williamson, Jan Kretzschmar, Chenyi Ling, Hojun Lee, Heather Grim, Michael D Brown
Improvements in indices of vascular health and endothelial function have been inversely associated with hypertension, a risk factor for cardiovascular disease (e.g., myocardial infarction, stroke, and heart failure), renal failure, and mortality. Aerobic exercise training (AEXT) has been positively associated with improvements in clinical health values, as well as vascular health biomarkers, and endothelial function. The purpose of this study was to evaluate whether measures of exercise adherence were related to clinical outcome measures and indices of vascular health subsequent to a 6-month AEXT intervention in a middle-to-older aged African American cohort...
2017: International Journal of Exercise Science
https://www.readbyqxmd.com/read/28344695/are-we-adequately-preparing-the-next-generation-of-physicians-to-prescribe-exercise-as-prevention-and-treatment-residents-express-the-desire-for-more-training-in-exercise-prescription
#20
Kara Solmundson, Michael Koehle, Donald McKenzie
BACKGROUND: Physical activity (PA) is a key intervention for chronic disease, yet few physicians provide exercise prescription (EP). EP is an important component in larger strategies of reducing non-communicable disease (NCD). Our objective was to assess Family Medicine Residents (FMR) knowledge, competence, and perspectives of EP to help inform future curriculum development. METHODS: A 49-item cross-sectional survey was administered to 396 University of British Columbia FMR...
October 2016: Canadian Medical Education Journal
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