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"Therapeutic exercise"

Donguk Jo, Michael J Del Bel, Daniel McEwen, Jennifer O'Neil, Olivia S Mac Kiddie, Inmaculada C Álvarez-Gallardo, Lucie Brosseau
RATIONALE: Exercise programs for the management of fibromyalgia are well recognized as being effective. However, the incomplete descriptions of exercise programs make replication and implementation difficult. Also, existing reporting tools have not been validated in relation to pain relief as well as with each other. OBJECTIVES: This study aimed to evaluate the description of exercise programs in randomized control trials for the management of fibromyalgia using different assessment tools, and the correlations of each tool in relation to effectiveness of pain relief of fibromyalgia, and the correlations between each tool...
December 5, 2018: Clinical Rehabilitation
Markus Wirz, Hubertus J A van Hedel
This chapter covers balance, gait, and falls in individuals with spinal cord injury (SCI) from a clinical perspective. First, the consequences of an SCI on functioning are explained, including etiology, clinical presentation, classification, and epidemiologic data. Then, the specific aspects of balance disorders, gait disorders, and falls are discussed with respect to motor complete (cSCI) and incomplete (iSCI) SCI. Typically, these activities are affected by impaired afferent and efferent nerves, but not by central nervous processing...
2018: Handbook of Clinical Neurology
Wai Leung Ambrose Lo, Di Lei, Le Li, Dong Feng Huang, Kin-Fai Tong
BACKGROUND: Chronic musculoskeletal neck and back pain are disabling conditions among adults. Use of technology has been suggested as an alternative way to increase adherence to exercise therapy, which may improve clinical outcomes. OBJECTIVE: The aim was to investigate the self-perceived benefits of an artificial intelligence (AI)-embedded mobile app to self-manage chronic neck and back pain. METHODS: A total of 161 participants responded to the invitation...
November 26, 2018: JMIR MHealth and UHealth
Britta Tetzlaff, Anne Barzel, Anne Stark, Gesche Ketels, Martin Scherer
PURPOSE: The study aim was to analyze whether ambulatory therapy of chronic stroke patients contains elements that specifically address "Activity and participation", and to what extent participation as a major goal in rehabilitation is realized in ambulatory care. METHOD: Qualitative and quantitative content analysis of standard therapy of 71 chronic stroke patients with upper limb impairment. 469 statements on therapy of 34 therapists were analyzed using data-driven and concept-driven coding based on the International Classification of Functioning, Disability and Health framework...
November 18, 2018: Disability and Rehabilitation
Renan L Monteiro, Cristina D Sartor, Jane S S P Ferreira, Milla G B Dantas, Sicco A Bus, Isabel C N Sacco
BACKGROUND: Diabetic polyneuropathy (DPN) negatively affects foot and ankle function (strength and flexibility), which itself affects the daily physical activity and quality of life of patients. A physical therapy protocol aiming to strengthen the intrinsic and extrinsic foot muscles and increase flexibility may be a promising approach to improve lower-extremity function, prevent further complications, and improve autonomy for daily living activities in these patients. Thus, the inclusion of a specific foot-related exercises focused on the main musculoskeletal impairments may have additional effects to the conventional interventions in the diabetic foot...
November 14, 2018: BMC Musculoskeletal Disorders
J A Del Blanco Muñiz, A Zaballos Laso
INTRODUCTION: Headache is a very common phenomenon with a high economic and psychosocial impact. Tension-type headache (TTH) is the most prevalent (40%), especially amongst adult western women. The aim was to evaluate the existing evidence on the effectiveness of physiotherapy techniques in treating TTH. METHODS: Literature review of randomised clinical trials (RCT) and systematic reviews, published over the last five years, on the physiotherapy techniques most used in treating TTH: therapeutic exercise, suboccipital inhibition, cervical manip-ulation, massage, joint mobilisation and puncture...
November 14, 2018: Anales del Sistema Sanitario de Navarra
Judith Vloothuis, Marja Depla, Cees Hertogh, Gert Kwakkel, Erwin van Wegen
PURPOSE: Caregiver-mediated exercises are a novel way of delivering augmented exercise therapy for patients with stroke, in which patients do additional therapeutic exercises together with a caregiver. This explorative qualitative study is part of the CARE4STROKE trial and focused on how participants manage these exercises together. The research questions were: (1) how do the patient-caregiver couples exercise together? and (2) what does exercising together bring about, besides more hours of practice? METHODS: Semi-structured interviews were conducted with patients and caregivers who participated in the CARE4STROKE intervention...
November 1, 2018: Disability and Rehabilitation
Luigi Tesio, Chiara Malloggi, Calogero Malfitano, Carlo A Coccetta, Luigi Catino, Viviana Rota
Walking on a split-belt treadmill (each of the two belts running at a different speed) has been proposed as an experimental paradigm to investigate the flexibility of the neural control of gait and as a form of therapeutic exercise. However, the scarcity of dynamic investigations challenges the validity of the available findings. The aim of the present study was to investigate the dynamic asymmetries of lower limbs of healthy adults during adaptation to gait on a split-belt treadmill. Ten healthy adults walked on a split-belt treadmill mounted on force sensors, with belts running either at the same speed ('tied' condition) or at different speeds ('split' condition, 0...
December 2018: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
Inmaculada C Álvarez-Gallardo, Julia Bidonde, Angela Busch, Marie Westby, Glen P Kenny, Manuel Delgado-Fernández, Ana Carbonell-Baeza, Prinon Rahman, Gino De Angelis, Lucie Brosseau
BACKGROUND: This study aimed (1) to evaluate the therapeutic validity of exercise interventions included in a previous umbrella systematic review of high-quality randomized controlled trials (RCTs) in the management of fibromyalgia; and (2) to explore whether exercise interventions with high therapeutic validity and that meet the 2013 American College of Sports Medicine (ACSM) guidelines are positively associated with greater pain relief. METHODS: Therapeutic validity was evaluated based on the CONsensus on Therapeutic Exercise and Training (CONTENT) scale, in high methodological quality RCTs found in the nine systematic reviews of a previous umbrella review on exercise interventions in the management of fibromyalgia...
October 1, 2018: Journal of Sports Medicine and Physical Fitness
Licht Miyamoto
 Physical exercise is well known to be beneficial to our health. Therapeutic exercise is widely applicable to metabolic disorders, including obesity and diabetes. In addition, recent studies have suggested its potential benefit in the treatment of more various diseases such as mental disorders and cancer. 5'AMP-activated protein kinase (AMPK), which is an intracellular central metabolic sensor as well as a regulator, has been demonstrated to play significant roles in the contracting skeletal muscles, suggesting that AMPK should be one of the key molecules mediating metabolic effects during physical exercise...
2018: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
Barton N Bishop, Jay Greenstein, Jena L Etnoyer-Slaski, Heidi Sterling, Robert Topp
Background: Strengthening and activation of the gluteus maximus and gluteus medius while minimizing the contribution of the tensor fascia latae are important components in the treatment of many lower limb injuries. Previous researchers have evaluated a myriad of exercises that activate the gluteus maximus (GMax) and gluteus medius (GMed), however, limited research has been performed describing the role of the addition of elastic resistance to commonly used exercises. Purpose: The primary purpose of this study was to determine the gluteal-to-tensor fascia latae muscle activation (GTA index) and compare electromyographic muscle activation of the GMax, GMed, and TFL while performing 13 commonly prescribed exercises designed to target the GMax and GMed...
August 2018: International Journal of Sports Physical Therapy
John J Fraser, Jay Hertel
A healthy 19-year-old male college student (height = 177.8 cm, mass = 64.3 kg, body mass index = 20.3 kg/m2 , Foot Posture Index = -1) participating in a study sustained a grade 2 inversion lateral ankle sprain 3 days after completing patient-reported outcome measures. A treatment protocol including therapeutic exercises and midfoot mobilizations was provided. Patient-reported outcomes assessing physical health, mental health, and foot-ankle function were completed 3 days preinjury and 1, 3, and 12 weeks postinjury...
August 2018: Journal of Athletic Training
Rahman Sheikhhoseini, Shahnaz Shahrbanian, Parisa Sayyadi, Kieran O'Sullivan
OBJECTIVE: The purpose of this systematic review and meta-analysis was to summarize the results related to the effects of corrective exercises on postural variables in individuals with forward head posture (FHP). METHODS: A systematic review of the electronic literature through February 2017 was independently performed by 2 investigators. The electronic databases searched included PubMed, MEDLINE, Web of Science, ScienceDirect, Cochrane Central Register of Controlled Clinical Trials, Google Scholar, and Scopus...
July 2018: Journal of Manipulative and Physiological Therapeutics
Gabriele Grunig, Christina A Eichstaedt, Jeremias Verweyen, Nedim Durmus, Stephanie Saxer, Greta Krafsur, Kurt Stenmark, Silvia Ulrich, Ekkehard Grünig, Serhiy Pylawka
Rationale: Therapeutic exercise training has been shown to significantly improve pulmonary hypertension (PH), including 6-min walking distance and right heart function. Supplemental nightly oxygen also has therapeutic effects. A biomarker tool that could query critical gene networks would aid in understanding the molecular effects of the interventions. Methods: Paired bio-banked serum ( n = 31) or plasma ( n = 21) samples from the exercise or oxygen intervention studies, respectively, and bio-banked plasma samples ( n = 20) from high altitude induced PH in cattle were tested...
2018: Frontiers in Physiology
Mohammad Rahbar, Yaqhoub Salekzamani, Fatemeh Jahanjou, Fariba Eslamian, Alireza Niroumand, Neda Dolatkhah
BACKGROUND: Hippotherapy is a form of therapeutic exercise for conservative treatment of lumbar spine segmental instability and/or hypomobility in subjects with low back pain (LBP). OBJECTIVE: The current study evaluates the effects of a hippotherapy simulator on pain, disability, and range of motion (ROM) of the spinal column in subjects with mechanical LBP. METHODS: In a randomized clinical trial, 80 subjects were randomly assigned to either the control or intervention groups...
July 20, 2018: Journal of Back and Musculoskeletal Rehabilitation
Stephanie R Albin, Shane L Koppenhaver, Drew H Van Boerum, Thomas G McPoil, James Morgan, Julie M Fritz
Study design: Randomized clinical trial. Background: Patients with fractures to the talus and calcaneus report decreased functional outcomes and develop long-term functional limitations. Although physical therapy is typically not initiated until six weeks after fixation, there's little research on the optimal time to initiate a formal physical therapy program. Objectives: To assess whether initiating physical therapy including range of motion (ROM) and manual therapy two weeks post-operatively (EARLY) vs...
July 2018: Journal of Manual & Manipulative Therapy
Cinthia S M Amorim, Adriana S Espirito Santo, Marjorie Sommer, Amélia P Marques
OBJECTIVE: The aim of this literature review was to examine the effect of physical therapy in bruxism treatment. METHODS: The data sources used were Medline, Excerpta Medica Database, Cumulative Index of Nursing and Allied Health Literature, Physiotherapy Evidence Database, SPORTDiscus, Scientific Electronic Library Online, Web of Science, Cochrane Library, Scopus, and Literatura Latino-Americana e do Caribe em Ciências da Saúde. We included randomized and nonrandomized and controlled and noncontrolled clinical trials and interventions focused on physical therapy as treatment for sleep bruxism or awake bruxism...
June 2018: Journal of Manipulative and Physiological Therapeutics
Andrea K Daniels, Rudolph L Van Niekerk
Introduction: Attitudes, responses, and reactions of HIV-positive women in three sub-Saharan African regions toward a therapeutic exercise intervention, aimed to determine the presence of depression and low body self-image, were captured. This provided insight into body satisfaction and desire to exercise (Stage 1, n=60), body self-image and depression (Stage 2, n=60), and overall concerns around the often adverse side effects of antiretroviral treatment (ART). A program of therapeutic (specialty) exercise was developed for the experimental design (Stage 2), to quantify the psychological side effects of these variables...
2018: HIV/AIDS: Research and Palliative Care
Álvaro Megía García, Diego Serrano-Muñoz, Elisabeth Bravo-Esteban, Sara Ando Lafuente, Juan Avendaño-Coy, Julio Gómez-Soriano
OBJECTIVE: To determine whether transcutaneous electrical nerve stimulation (TENS) has an analgesic effect greater than placebo or other treatments in patients with fibromyalgia. Furthermore, it was intended to analyze the optimal application parameters to achieve a greater reduction of pain. DESIGN: A systematic review. DATA SOURCE: Randomized clinical trials on the effect of TENS on fibromyalgia in the databases Pubmed, Cochrane and PEDro until November 2016...
July 17, 2018: Atencion Primaria
Luis Ceballos Laita, Cristina Tejedor Cubillo, Teresa Mingo Gómez, Sandra Jiménez Del Barrio
The objective of this study was to determine the effects of corrective, therapeutic exercise techniques on subjects with adolescent idiopathic scoliosis. A systematic review was conducted by searching the Cochrane Library Plus, Pubmed, PEDro, and SCOPUS databases. Studies in patients diagnosed with adolescent idiopathic scoliosis that considered corrective, therapeutic exercise as an independent outcome measure and symptoms, functional capacity, Cobb's angle and/or other angles or body asymmetries as dependent outcome measures were included...
August 1, 2018: Archivos Argentinos de Pediatría
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