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https://www.readbyqxmd.com/read/27903338/-ultrasound-imaging-increases-first-attempt-success-rate-of-neuraxial-block-in-elderly-patients
#1
J Geng, X L Chen, X D Wang, X Y Guo, M Li
Objective: To verify whether preprocedural ultrasound of the lumbar spine could improve first-attempt success rate (defined as a successful neuraxial anesthesia with only one skin puncture) of neuraxial block in elderly patients. Methods: From septemble 2015 to February 2016, 200 elderly patients undergoing lower-limb surgery with neuraxial block at the Peking Universty Third Hospital were enrolled in this study.RandA 1.0 software was used to randomize patients into two groups: conventional surface landmark-guided group (group LM) and ultrasound-assisted group (group US)...
November 22, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27900185/benefits-of-a-novel-concept-of-home-based-exercise-with-the-aim-of-preventing-aspiration-pneumonia-and-falls-in-frail-older-women-a-pragmatic-controlled-trial
#2
Katsuhiko Takatori, Daisuke Matsumoto, Munenori Nishida, Shinnichiro Matsushita, Tatsuya Noda, Tomoaki Imamura
AIM: To investigate whether home-based exercise with the aim of preventing aspiration pneumonia and accidental falls improves swallowing-related and physical functions in community-dwelling frail older women. METHODS: Participants were 266 community-dwelling frail older women in a long-term care prevention class (mean (SD): age 75 (5) years). Participants were allocated to either an intervention group or a control group. In the intervention group, participants were asked to perform, at least three times a week for 6 months, a home-based exercise programme that was specifically developed to prevent aspiration pneumonia and accidental falls...
2016: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/27895574/robot-assisted-rehabilitation-of-ankle-plantar-flexors-spasticity-a-3-month-study-with-proprioceptive-neuromuscular-facilitation
#3
Zhihao Zhou, Yao Sun, Ninghua Wang, Fan Gao, Kunlin Wei, Qining Wang
In this paper, we aim to investigate the effect of proprioceptive neuromuscular facilitation (PNF)-based rehabilitation for ankle plantar flexors spasticity by using a Robotic Ankle-foot Rehabilitation System (RARS). A modified robot-assisted system was proposed, and seven poststroke patients with hemiplegic spastic ankles participated in a 3-month robotic PNF training. Their impaired sides were used as the experimental group, while their unimpaired sides as the control group. A robotic intervention for the experimental group started from a 2-min passive stretching to warming-up or relaxing the soleus and gastrocnemius muscles and also ended with the same one...
2016: Frontiers in Neurorobotics
https://www.readbyqxmd.com/read/27893474/hypertrophy-and-explosive-reactive-functioning-in-sedentary-men-following-10-weeks-of-whole-body-vibration
#4
Jens Ebing, Ulf Gast, Christoph Hauptmann, Dieter Felsenberg, Daniel L Belavý
The objective of this study was to determine the impact of vertical (Power-plate; POW) and side-alternating (Galileo; GAL) whole-body vibration exercise on muscle mass and lower-limb neuromuscular function. Forty-three sedentary male subjects (18-30yr) randomized into three groups underwent two upper-body exercise sessions per week for 10 weeks. Two groups of subjects underwent additional squat exercises on the GAL (N=15) or POW (N=14) devices. The third group was control. On magnetic resonance imaging, volume of the thigh muscles was measured...
November 16, 2016: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/27891243/a-comprehensive-musculoskeletal-and-peripheral-nervous-system-assessment-of-war-related-bilateral-upper-extremity-amputees
#5
Mostafa Allami, Batool Mousavi, Mehdi Masoumi, Ehsan Modirian, Hadi Shojaei, Fatemeh Mirsalimi, Maryam Hosseini, Pirouz Pirouzi
BACKGROUND: Upper limb amputations are one of the unpleasant war injuries that armed forces are exposed to frequently. The present study aimed to assess the musculoskeletal and peripheral nervous systems in Iraq-Iran war veterans with bilateral upper extremity amputation. METHODS: The study consisted of taking a history and clinical examinations including demographic data, presence and location of pain, level of amputation, passive and active ranges of movement of the joints across the upper and lower extremities and spine, manual palpation, neurological examination, blood circulation pulses and issues related to a prosthetic limb...
2016: Military Medical Research
https://www.readbyqxmd.com/read/27882825/validity-and-reliability-of-a-low-cost-digital-dynamometer-for-measuring-isometric-strength-of-lower-limb
#6
Natalia Romero-Franco, Pedro Jiménez-Reyes, Juan A Montaño-Munuera
Lower limb isometric strength is a key parameter to monitor the training process or recognise muscle weakness and injury risk. However, valid and reliable methods to evaluate it often require high-cost tools. The aim of this study was to analyse the concurrent validity and reliability of a low-cost digital dynamometer for measuring isometric strength in lower limb. Eleven physically active and healthy participants performed maximal isometric strength for: flexion and extension of ankle, flexion and extension of knee, flexion, extension, adduction, abduction, internal and external rotation of hip...
November 24, 2016: Journal of Sports Sciences
https://www.readbyqxmd.com/read/27880057/ankle-plantarflexor-spasticity-is-not-differentially-disabling-for-those-who-are-weak-following-traumatic-brain-injury
#7
Gavin Williams, Megan Banky, Dean McKenzie, John Olver
PRIMARY OBJECTIVES: The main aim of this study was to determine whether the presence of distal lower-limb spasticity had a greater impact on mobility for those who had greater levels of muscle paresis following traumatic brain injury (TBI). RESEARCH DESIGN: This was a cross-sectional cohort study of convenience. Seventy-five people attending physiotherapy for mobility limitations following TBI participated in this study. All participants had sustained a moderate-severe TBI and were grouped according to the presence or absence of ankle plantarflexor spasticity for comparison...
November 23, 2016: Brain Injury: [BI]
https://www.readbyqxmd.com/read/27874176/effects-of-tai-chi-on-cognition-and-fall-risk-in-older-adults-with-mild-cognitive-impairment-a-randomized-controlled-trial
#8
Somporn Sungkarat, Sirinun Boripuntakul, Nipon Chattipakorn, Kanokwan Watcharasaksilp, Stephen R Lord
OBJECTIVES: To examine whether combined center- and home-based Tai Chi training can improve cognitive ability and reduce physiological fall risk in older adults with amnestic mild cognitive impairment (a-MCI). DESIGN: Randomized controlled trial. SETTING: Chiang Mai, Thailand. PARTICIPANTS: Adults aged 60 and older who met Petersen's criteria for multiple-domain a-MCI (N = 66). INTERVENTION: Three weeks center-based and 12 weeks home-based Tai Chi (50 minutes per session, 3 times per week)...
November 22, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27872897/physiotherapy-practice-patterns-for-management-of-patients-undergoing-thoracic-surgeries-in-india-a-survey
#9
Sagarika Sultanpuram, Gopala Krishna Alaparthi, Shyam Krishnan Krishnakumar, Zulfeequer C P Ottayil
Aim. The aim of the current study is to determine the practice patterns of physiotherapists for patients undergoing thoracic surgeries in India. Materials and Methodology. A cross-sectional survey was conducted across India in which 600 questionnaires were sent in emails to physiotherapists. The questionnaire addressed assessment and treatment techniques of thoracic surgery. Results. A total of 234 completed questionnaires were returned with a response rate of 39%, with the majority of responses received from Telangana, Karnataka, and Andhra Pradesh...
2016: Surgery Research and Practice
https://www.readbyqxmd.com/read/27872641/muscle-functions-and-functional-performance-among-older-persons-with-and-without-low-back-pain
#10
Nor Azizah Ishak, Zarina Zahari, Maria Justine
This study aims to compare muscle functions and functional performances between older persons with and without low back pain (LBP) and to determine the association between muscle functions and functional performances. This is a cross-sectional study, involving 95 older persons (age = 70.27 ± 7.26 years). Anthropometric characteristics, muscle functions, and functional performances were measured. Data were analyzed using ANOVA, Pearson's correlation, and multiple linear regression. The functional performances showed no significant differences (females LBP versus non-LBP, males LBP versus non-LBP) (p < 0...
2016: Current Gerontology and Geriatrics Research
https://www.readbyqxmd.com/read/27863279/evidence-of-compensatory-joint-kinetics-during-stair-ascent-and-descent-in-parkinson-s-disease
#11
Zachary J Conway, Peter A Silburn, Tim Blackmore, Michael H Cole
BACKGROUND: Stair ambulation is a challenging activity of daily life that requires larger joint moments than walking. Stabilisation of the body and prevention of lower limb collapse during this task depends upon adequately-sized hip, knee and ankle extensor moments. However, people with Parkinson's disease (PD) often present with strength deficits that may impair their capacity to control the lower limbs and ultimately increase their falls risk. OBJECTIVE: To investigate hip, knee and ankle joint moments during stair ascent and descent and determine the contribution of these joints to the body's support in people with PD...
November 9, 2016: Gait & Posture
https://www.readbyqxmd.com/read/27862037/early-onset-limb-girdle-muscular-dystrophy-2l-in-a-female-athlete
#12
Patrick R Blackburn, Duygu Selcen, Jessica L Jackson, Kimberly J Guthrie, Margot A Cousin, Nicole J Boczek, Kristin E Clift, Eric W Klee, Elliot L Dimberg, Paldeep S Atwal
INTRODUCTION: Limb-girdle muscular dystrophy-2L (LGMD2L) is an autosomal recessive muscular dystrophy caused by pathogenic variants in anoctamin-5 (ANO5). The disorder is characterized by weakness of the hip and shoulder girdles and of the lower limbs, with muscle atrophy. METHODS: We describe a woman with progressive weakness beginning at age 22 years in conjunction with back pain and myoglobinuria during physical exertion. Her serum CK levels ranged from 1,200-8,000 IU/L between the ages 22 and 34 years, and she was seen for a constant steady decline in muscle strength, which led to consultation for genetic testing...
November 11, 2016: Muscle & Nerve
https://www.readbyqxmd.com/read/27854209/aceneuramic-acid-extended-release-administration-maintains-upper-limb-muscle-strength-in-a-48-week-study-of-subjects-with-gne-myopathy-results-from-a-phase-2-randomized-controlled-study
#13
Zohar Argov, Yoseph Caraco, Heather Lau, Alan Pestronk, Perry B Shieh, Alison Skrinar, Tony Koutsoukos, Ruhi Ahmed, Julia Martinisi, Emil Kakkis
BACKGROUND: GNE Myopathy (GNEM) is a progressive adult-onset myopathy likely caused by deficiency of sialic acid (SA) biosynthesis. OBJECTIVE: Evaluate the safety and efficacy of SA (delivered by aceneuramic acid extended-release [Ace-ER]) as treatment for GNEM. METHODS: A Phase 2, randomized, double-blind, placebo-controlled study evaluating Ace-ER 3 g/day or 6 g/day versus placebo was conducted in GNEM subjects (n = 47). After the first 24 weeks, placebo subjects crossed over to 3 g/day or 6 g/day for 24 additional weeks (dose pre-assigned during initial randomization)...
March 3, 2016: Journal of Neuromuscular Diseases
https://www.readbyqxmd.com/read/27852617/sex-differences-in-the-effect-of-fish-oil-supplementation-on-the-adaptive-response-to-resistance-exercise-training-in-older-people-a-randomized-control-trial
#14
Mariasole Da Boit, Rachael Sibson, Selvaraj Sivasubramaniam, Judith R Meakin, Carolyn A Greig, Richard M Aspden, Frank Thies, Stewart Jeromson, D Lee Hamilton, John R Speakman, Catherine Hambly, Arduino A Mangoni, Thomas Preston, Stuart R Gray
BACKGROUND: Resistance exercise increases muscle mass and function in older adults, but responses are attenuated compared with younger people. Data suggest that long-chain n-3 polyunsaturated fatty acids (PUFAs) may enhance adaptations to resistance exercise in older women. To our knowledge, this possibility has not been investigated in men. OBJECTIVE: We sought to determine the effects of long-chain n-3 PUFA supplementation on resistance exercise training-induced increases in muscle mass and function and whether these effects differ between older men and women...
November 16, 2016: American Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/27851693/the-correlation-between-recordable-meps-and-motor-function-during-spinal-surgery-for-resection-of-thoracic-spinal-cord-tumor
#15
LanJun Guo, Yan Li, Ruquan Han, Adrian W Gelb
BACKGROUND: Motor evoked potentials (MEPs) are commonly used during surgery for spinal cord tumor resection. However, it can be difficult to record reliable MEPs from the muscles of the lower extremities during surgery in patients with preoperative weakness due to spinal cord compression. In this study, motor function of patients' lower extremities and their association with intraoperative MEP recording were compared. PATIENTS AND METHODS: Patients undergoing thoracic spinal cord tumor resection were studied...
November 15, 2016: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/27837041/acute-effects-of-resistance-exercise-with-continuous-and-intermittent-blood-flow-restriction-on-hemodynamic-measurements-and-perceived-exertion
#16
Gabriel R Neto, Jefferson S Novaes, Verônica P Salerno, Michel M Gonçalves, Bruna K L Piazera, Thais Rodrigues-Rodrigues, Maria S Cirilo-Sousa
This study compared the acute effects of low-intensity resistance exercise (RE) sessions for the upper limb with continuous and intermittent blood flow restriction (BFR) and high-intensity RE with no BFR on lactate, heart rate, double product (DP; heart rate times systolic blood pressure), and perceived exertion (RPE). Ten recreationally trained men (1-5 years strength training; age mean = 19 ± 0.82 years) performed three experimental protocols in random order: (a) low-intensity RE at 20% one-repetition maximum (1RM) with intermittent BFR (LI + IBFR), (b) low-intensity RE at 20% 1RM with continuous BFR (LI + CBFR), and (c) high-intensity RE at 80% 1RM...
November 11, 2016: Perceptual and Motor Skills
https://www.readbyqxmd.com/read/27834556/the-relationships-between-muscle-power-and-physical-activity-in-older-men-with-chronic-obstructive-pulmonary-disease
#17
María Hernández, Fabrício Zambom-Ferraresi, Pilar Cebollero, Javier Hueto, José Antonio Cascante, María M Antón
The purpose of this study was to determine the potential relationship between muscle power of the lower extremities and the physical activity in older men with chronic obstructive pulmonary disease (COPD). Forty-four men (70.3 ± 6.7 years old) with moderate-to-severe COPD completed the six-minute walk test (6MWT), BODE (body mass index, obstruction, dyspnea, and exercise), a one-repetition maximum strength of the quadriceps femoris (1RMQF), and muscle power at 50% and 70% 1RMQF. Physical activity was measured using an accelerometer...
November 11, 2016: Journal of Aging and Physical Activity
https://www.readbyqxmd.com/read/27825536/are-falls-prevention-programs-effective-at-reducing-the-risk-factors-for-falls-in-people-with-type-2-diabetes-mellitus-and-peripheral-neuropathy-a-systematic-review-with-narrative-synthesis
#18
REVIEW
Yu Gu, Sarah M Dennis
BACKGROUND: Diabetic peripheral neuropathy (DPN) is a common complication of type-2 diabetes mellitus (T2DM) that predisposes the elderly to a higher falls risk. Falls prevention programs with a component of weight-bearing exercises are effective in decreasing future falls in the elderly. However, weight-bearing exercise was only recently recommended in guidelines for exercise for people with T2DM and DPN. Since then, there have been an increasing number of studies to evaluate the effectiveness of falls prevention programs on this targeted population...
October 8, 2016: Journal of Diabetes and its Complications
https://www.readbyqxmd.com/read/27821924/association-of-actn3-polymorphisms-with-bmd-and-physical-fitness-of-elderly-women
#19
Seok-Ki Min, Seung-Taek Lim, Chang-Sun Kim
[Purpose] Association of ACTN3 polymorphism with bone mineral density and the physical fitness of elderly women is still unclear. Therefore, this study investigated the association between ACTN3 genotype and bone mineral density, and the physical fitness of elderly women. [Subjects and Methods] Sixty-eight elderly women (67.38 ± 3.68 years) were recruited at a Seongbuk-Gu (Seoul, Korea) Medical Service Public Health Center. Measurements of physical fitness included muscle strength, muscle endurance, flexibility, agility, balance and VO2max...
October 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27815705/neural-biomechanical-and-physiological-factors-involved-in-sex-related-differences-in-the-maximal-rate-of-isometric-torque-development
#20
J Greig Inglis, Kyle McIntosh, David A Gabriel
OBJECTIVE: Recent research has reported that lower maximal rate of torque development (dτ/dt max) exhibited by females, relative to males, during knee extension can be accounted for by normalization to a maximal voluntary contraction (MVC); however, this was not seen in the upper limb. PURPOSE: The aim of the current work was to examine the contribution of maximum strength (τmax), twitch contraction time (CT), muscle fiber condition velocity (MFCV), and rate of muscle activation (Q30) to sex-differences in the dτ/dt max during maximal isometric dorsiflexion...
November 4, 2016: European Journal of Applied Physiology
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