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“Exercise Therapy”

Abdullah Hussain, Rohina Khizer Mufti, Maryam Shahid
OBJECTIVE: To find the frequency and determinants of patients preferring complementary and alternative medicine over registered medical doctors.. METHODS: This cross-sectional study was conducted at Services Hospital, Mayo Hospital and Jinnah Hospital in Lahore, Pakistan, from June 8 to August 20, 2017.A pre-tested self-administered questionnaire was used to collect data. SPSS 20 was used for data analysis. . RESULTS: Of the 385 subjects, 200(51...
June 2018: JPMA. the Journal of the Pakistan Medical Association
Pedro L Valenzuela, Sara Pancorbo, Alejandro Lucia, Francisco Germain
STUDY DESIGN: Randomized, double blind, parallel groups, sham-controlled trial. OBJECTIVE: To analyse the acute effects of spinal manipulative therapy (SMT) on performance and autonomic modulation. SUMMARY OF BACKGROUND DATA: The use of SMT is progressively spreading from the clinical to the sporting context owing to its purported ergogenic effects. However, its effects remain unclear. METHODS: . 37 male recreational athletes (aged 37 ± 9 years) who had never received SMT were assigned to a sham (n = 19) or actual SMT group (n = 18)...
October 15, 2018: Spine
Anna Cheshire, Damien Ridge, Lucy Clark, Peter White
PURPOSE: This study explored patient experiences of Guided graded Exercise Self-help (GES) delivered as part of a randomised controlled trial for people with chronic fatigue syndrome/myalgic encephalomyelitis. The trial found that GES was better than specialist medical care at reducing fatigue and improving physical functioning. METHODS: Semi-structured interviews were conducted with patients reporting improvement (n = 9) and deterioration (n = 10), and analysis involved thematic "constant comparison...
October 16, 2018: Disability and Rehabilitation
Hanna Xu, Michael C Verre
The prevalence of type 2 diabetes mellitus in children and adolescents has increased worldwide over the past three decades. This increase has coincided with the obesity epidemic, and minority groups are disproportionately affected. The American Diabetes Association recommends screening for type 2 diabetes beginning at 10 years of age or the onset of puberty in children who are overweight or obese and have two additional risk factors. Diagnostic criteria include a fasting blood glucose level of 126 mg per dL or greater, a two-hour plasma glucose level of 200 mg per dL or greater during an oral glucose tolerance test, an A1C level of 6...
November 1, 2018: American Family Physician
Roberta de Matos Brunelli Braghin, Elisa Cavalheiro Libardi, Carina Junqueira, Natalia Camargo Rodrigues, Marcello Henrique Nogueira-Barbosa, Ana Claudia Muniz Renno, Daniela Cristina Carvalho de Abreu
OBJECTIVE: To evaluate the effects of individual and combination therapies (low-level laser therapy and physical exercises) on pain, stiffness, function, and spatiotemporal gait variables in subjects with bilateral knee osteoarthritis (OA). METHODS: Subjects with knee OA (Grades 1-3) were evaluated and randomized into four groups: Control Group (CG), untreated; Laser Group (LG), treated with laser at 808 nm, 5.6 J; Exercise Group (EG), treated with exercise; and Laser + Exercise Group (LEG), treated with laser and exercises...
October 16, 2018: Disability and Rehabilitation
Jen Jen Chen, Dan M Cooper, Fadia Haddad, Anna Sladkey, Eliezer Nussbaum, Shlomit Radom-Aizik
Introduction: Cross-infection risk from contact exposure limits exercise opportunities in children with cystic fibrosis (CF). The purpose of this study is to evaluate the feasibility of a new live-streamed platform which delivered supervised and interactive group exercise sessions to CF children via digital devices while avoiding contact exposure. Methods: Ten CF children participated in a 6-week tele-exercise program. The program consisted of three 30-min sessions per week for a total of 18 sessions and included aerobic, resistance, and flexibility exercises...
2018: Frontiers in Public Health
Renly Lim, Mhairi Kerr, Elizabeth E Roughead
Background: It is not known if the medicines and services for COPD are used in Australia according to the COPD-X guideline. This study examined the use of medicines and health services for COPD among an Australian cohort to determine if they were consistent with recommendations. Methods: The administrative claims data from the Australian Government Department of Veterans' Affairs were used and included persons aged ≥50 years who were using medicines for COPD in April 2016...
2018: International Journal of Chronic Obstructive Pulmonary Disease
Adam Lee, Tomos E Walters, Edward P Gerstenfeld, Haris M Haqqani
Frequent ventricular ectopy is a common clinical presentation in patients suffering idiopathic ventricular outflow tract arrhythmias. These are focal arrhythmias that generally occur in patients without structural heart disease and share a predilection for characteristic anatomic sites of origin. Mechanistically, they are generally due to cyclic adenosine monophosphate (cAMP)-mediated triggered activity. As a result, there is typically an exercise or catecholamine related mode of induction and often a sensitivity to suppression with adenosine...
October 4, 2018: Heart, Lung & Circulation
İpek Özmen, Elif Yıldırım, Murat Öztürk, Birsen Ocaklı, Reyhan Yıldız, Rüya Aydın, Meral Karakış, Özgür Yılmaz, Emine Aksoy
OBJECTIVES: Chronic respiratory diseases exert a global health burden with high health care costs, morbidity, and mortality. The aim of the present study was to investigate the effect of pulmonary rehabilitation (PR) on emergency admission and hospitalization rates of patients with chronic respiratory disease. MATERIALS AND METHODS: In this retrospective cohort study, hospitalization rates and emergency admissions of patients before (December 2014-December 2015) and after PR (January 2015-December 2016) were investigated...
September 13, 2018: Turkish Thoracic Journal
Erika Klassen, Karl-Ruediger Wiebelitz, André-Michael Beer
BACKGROUND: Currently, there is a need for scientific evidence on the efficacy of classical massage therapy for chronic, unspecific back pain, especially for the improvement in functional impairment and long-term pain reduction. According to the National Health Care Guidelines, classical massage for nonspecific low back pain may only be prescribed in combination with exercise therapy and a share of the remuneration. Acupuncture, on the other hand, is recognised in the guidelines as an independent treatment for chronic back pain and is remunerated by health insurance companies...
October 15, 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
Francisco Valdez Dos Santos, Gerson Cipriano, Luciana Vieira, Adriana M Güntzel Chiappa, Graziella B F Cipriano, Paulo Vieira, Julio G Zago, Mariah Castilhos, Marianne L da Silva, Gaspar R Chiappa
BACKGROUND: Early mobilization can be employed to minimize the duration of intensive care. However, a protocol combining neuromuscular electrical stimulation (NMES) with early mobilization has not yet been tested in ICU patients. Our aim was to assess the efficacy of NMES, exercise (EX), and combined therapy (NMES + EX) on duration of mechanical ventilation (MV) in critically ill patients. METHODS: The participants in this randomized double-blind trial were prospectively recruited within 24 hours following admission to the intensive care unit of a tertiary hospital...
October 15, 2018: Physiotherapy Theory and Practice
M Libarle, Ph Simon, V Bogne, A Pintiaux, E Furet
Dysmenorrhea is one of the most common reasons for consultation in gynecology. The social and economic burdens are important. Dysmenorrhea may therefore be considered as a major public health issue. Its management is not yet optimal as dysmenorrhea still affects the quality of life of many patients. Primary dysmenorrhea, with no underlying organic cause, results from myometrial hyper contractility, arteriolar vasoconstriction, and tissue hypoxia. Secondary dysmenorrhea may involve the pathophysiological mechanisms of primary dysmenorrhea, but is mainly the expression of an underlying gynecological pathology...
2018: Revue Médicale de Bruxelles
Alessio Bricca, André Struglics, Staffan Larsson, Martijn Steultjens, Carsten B Juhl, Ewa M Roos
OBJECTIVE: To investigate the impact of exercise therapy on molecular biomarkers related to cartilage and inflammation in people at risk of, or with established, knee osteoarthritis by conducting a systematic review of randomized controlled trials (RCTs). METHODS: Literature search up to September 2017 in five major databases with no restriction on publication year or language. Data were extracted from the first available follow-up time point and we performed a narrative synthesis for the effect of exercise therapy on molecular biomarkers related to cartilage and inflammation...
October 15, 2018: Arthritis Care & Research
Joana Ribeiro da Silva, Luísa Proença, Adélia Rodrigues, Rolando Pinho, Ana Ponte, Jaime Rodrigues, Mafalda Sousa, Rita Almeida, João Carvalho
Background: Obesity is an increasing worldwide problem associated with a vast number of comorbidities. Decreasing body weight by only 5-10% has been shown to slow and even prevent the onset of obesity-related comorbidities. Between pharmacological therapy and bariatric surgery a great variety of endoscopic techniques are available, the most common being intragastric balloon (IGB). The purpose of this study was to assess the safety, tolerance, and kinetics of IGBs in weight loss. The kinetics of weight loss were evaluated in 2 different contexts and phases: after the IGB's removal and after follow-up that varied between 6 and 12 months...
September 2018: GE Portuguese Journal of Gastroenterology
Nathanael Matei, Richard Camara, John H Zhang
Clinical and pre-clinical studies have reported a broad range of applications for hydrogen gas therapy. Classically, conventional antioxidant therapy is limited because it neutralizes both the detrimental and protective effects of reactive oxygen species. As a weak reducing agent, hydrogen gas avoids this paradox by reacting with strong oxidants while leaving other beneficial oxidants reactive. This review gathers a promising list of hydrogen gas applications that merit further mechanistic investigation and additional therapeutic trials...
July 2018: Medical Gas Research
Jonas Schröder, Tamaya van Criekinge, Elissa Embrechts, Xanthe Celis, Jolien Van Schuppen, Steven Truijen, Wim Saeys
PURPOSE: A motivational surrounding is desirable in stroke rehabilitation considering the need to train repetitively to improve balance, even after discharge from rehabilitation facilities. This review aims to investigate whether it is feasible to combine virtual reality (VR) which allows exercising in game-like environments with tele-rehabilitation in a community-dwelling stroke population. METHODS: Literature searches were conducted in five databases, for example, PubMed and the Cochrane Library...
October 14, 2018: Disability and Rehabilitation. Assistive Technology
Kristof Vandekerckhove, Kathleen De Waele, Aurelie Minne, Ilse Coomans, Katya De Groote, Joseph Panzer, Catherine Dhooge, Victoria Bordon, Daniel De Wolf, Jan Boone
BACKGROUND: Physical fitness is an important determinant of quality of life (QOL) after hematopoietic stem cell transplantation. Cardiac function can influence exercise performance. The aim of this study was to assess these factors and their interrelationship. PROCEDURE: Children underwent cardiopulmonary exercise testing (CPET) at least 1 year after hematopoietic stem cell transplantation (HSCT) and were compared with healthy controls. Systolic and diastolic heart function and left ventricle (LV) wall dimensions were measured...
October 14, 2018: Pediatric Blood & Cancer
William J Gregory, Jack Wilkinson, Ariane L Herrick
OBJECTIVE: The musculoskeletal features of systemic sclerosis (SSc) are a major cause of disability, causing limitations to movement and function. The study aim was to compare the effects of daily hand exercises with or without daily home wax bath hand treatment in patients with SSc. DESIGN: Assessor-blinded randomised controlled trial of parallel group design. SETTING: Single participating centre, undertaken in secondary care and in participants homes...
September 5, 2018: Physiotherapy
Kamila Pires de Carvalho, Mariana Tavares Miranda Lima, Fernanda Silva Mazzutti, Isis Danyelle Dias Custódio, Paula Philbert Lajolo Canto, Carlos Eduardo Paiva, Yara Cristina de Paiva Maia
PURPOSE: To study the use of functional capacity (FC) level and duration of aromatase inhibitor (AI) therapy with adiposity parameters in women with breast cancer. PATIENTS AND METHODS: FC was evaluated through the Health Assessment Questionnaire, which was assessed by classification and divided into 3 groups: G1 = mild to moderate difficulty, G2 = moderate to severe disability, and G3 = severe or very severe disability. Body mass, height, and waist circumference (WC) were measured, and body mass index (BMI) was calculated...
September 13, 2018: Clinical Breast Cancer
Leonard M Fleck
CHAT has its limits. It is a three-hour exercise. However, the real world problems of healthcare rationing and priority-setting are too complex for a three-hour exercise. What is needed, as a supplement, are sustained processes of rational democratic deliberation that can address the challenges to healthcare justice posed by costly emerging medical technologies, such as these targeted cancer therapies.
July 28, 2018: International Journal of Health Policy and Management
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