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https://www.readbyqxmd.com/read/29667507/effect-of-inspiratory-muscle-training-imt-on-aerobic-capacity-respiratory-muscle-strength-and-rate-of-perceived-exertion-in-paraplegics
#1
Sonali Soumyashree, Jaskirat Kaur
OBJECTIVES: The purpose is to study the effect of inspiratory muscle training on aerobic capacity, respiratory muscle strength and rate of perceived exertion in paraplegics. STUDY DESIGN: Randomized controlled trial. SETTINGS: Rehabilitation department in Indian Spinal Injuries Centre, New Delhi. PARTICIPANTS: A sample of 30 paraplegics (T1-T12) were randomly allocated into two groups: inspiratory muscle training (IMT) group and control group...
April 18, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29660948/the-cardiac-autonomic-nervous-system-response-to-different-daily-demands-among-patients-at-the-sub-acute-phase-post-ischemic-stroke-and-healthy-controls
#2
Noa Raphaely Beer, Nachum Soroker, Nathan M Bornstein, Michal Katz Leurer
BACKGROUND: Autonomic disturbances are a common phenomenon in patients' post-stroke, characterized by hypo function of the para-sympathetic and/or overactive sympathetic system. The impact of autonomic disturbances on physical therapy tasks during the rehabilitation period has not yet been assessed. OBJECTIVE: To describe the response of the cardiac autonomic nervous system during different tasks, among patients and age-matched healthy controls. METHODS: 19 patients in the subacute phase post first-ever ischemic stroke, and 16 controls...
April 7, 2018: NeuroRehabilitation
https://www.readbyqxmd.com/read/29657376/smoke-inhalation-injury-etiopathogenesis-diagnosis-and-management
#3
REVIEW
Kapil Gupta, Mayank Mehrotra, Parul Kumar, Anoop Raj Gogia, Arun Prasad, Joseph Arnold Fisher
Smoke inhalation injury is a major determinant of morbidity and mortality in fire victims. It is a complex multifaceted injury affecting initially the airway; however, in short time, it can become a complex life-threatening systemic disease affecting every organ in the body. In this review, we provide a summary of the underlying pathophysiology of organ dysfunction and provide an up-to-date survey of the various critical care modalities that have been found beneficial in caring for these patients. Major pathophysiological change is development of edema in the respiratory tract...
March 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29653069/breathing-exercises-must-be-a-real-and-effective-intervention-to-consider-in-women-with-fibromyalgia-a-pilot-randomized-controlled-trial
#4
Pablo Tomás-Carús, Jaime C Branco, Armando Raimundo, José A Parraca, Nuno Batalha, Clarissa Biehl-Printes
BACKGROUND/OBJECTIVE: Respiratory problems can aggravate pain located in the coincident areas with tender points in the upper half of the body in patients with fibromyalgia (FM) and easily become fatigued, thus can lead to a decrease in the functionality of daily activities. The purpose of this study was to examine the effects of a breathing exercises program on pain thresholds tolerance on tender points and FM impact on daily life. METHODS/DESIGN: Thirty-five women with FM (age 34-67 years) were randomly assigned to an exercise group (n = 18), performing breathing exercises (30 min/session, 7 times/week; for 12 weeks), or to a control group (n = 17)...
April 13, 2018: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/29652761/effect-of-inspiratory-muscle-training-in-the-management-of-patients-with-asthma-a-randomized-controlled-trial
#5
Neslihan Duruturk, Manolya Acar, Mustafa Ilgaz Doğrul
PURPOSE: The aim of this study was to investigate the effects of inspiratory muscle training (IMT) on respiratory muscle strength, exercise capacity, dyspnea, fatigue, quality of life, and daily living activities of asthmatic patients. METHODS: Thirty-eight asthmatic patients, between 18 and 65 years of age, were enrolled in the study and randomly divided into 2 groups; IMT (n = 20) or control (n = 18). Participants in the IMT group performed 30 breaths using a patient-specific threshold pressure device, twice daily for 6 wk at 50% maximal inspiratory pressure (MIP), in addition to "breathing training" during this period...
April 11, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
https://www.readbyqxmd.com/read/29629606/cancer-and-complementary-therapies-current-trends-in-survivors-interest-and-use
#6
Maryam Qureshi, Erin Zelinski, Linda E Carlson
BACKGROUND: Cancer survivors use complementary therapies (CTs) for a variety of reasons; however, with interest and use reportedly on the rise and a widening range of products and practices available, there is a need to establish trends in and drivers of interest. We aimed to determine (1) frequencies of use, level of interest, and barriers for 30 specific CTs and (2) whether physical symptoms, perceived stress (PS), or spiritual well-being were related to interest levels. METHOD: A total of 212 cancer outpatients were surveyed at the Tom Baker Cancer Centre in Calgary, Canada...
April 1, 2018: Integrative Cancer Therapies
https://www.readbyqxmd.com/read/29616481/preoperative-rehabilitation-in-lung-cancer-patients-yoga-approach
#7
Giovanni Barassi, Rosa Grazia Bellomo, Antonella Di Iulio, Achille Lococo, Annamaria Porreca, Piera Attilia Di Felice, Raoul Saggini
Lung cancer is one of the leading causes of cancer death worldwide. Surgical removal remains the best option for most tumors of this type. Reduction of cigarette consumption in patients with lung cancer candidates for the surgery could limit the impact of tobacco on postsurgical outcomes. Breathing exercises appear to help combat cigarette cravings. Yoga exercise benefits have been studied in lung cancer survivors, rather than in the preoperative setting. In this study, we have recruited 32 active smokers affected by lung cancer and being candidates for pulmonary surgery...
April 4, 2018: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/29615918/skeletal-muscle-pyruvate-dehydrogenase-phosphorylation-and-lactate-accumulation-during-sprint-exercise-in-normoxia-and-severe-acute-hypoxia-effects-of-antioxidants
#8
David Morales-Alamo, Borja Guerra, Alfredo Santana, Marcos Martin-Rincon, Miriam Gelabert-Rebato, Cecilia Dorado, José A L Calbet
Compared to normoxia, during sprint exercise in severe acute hypoxia the glycolytic rate is increased leading to greater lactate accumulation, acidification, and oxidative stress. To determine the role played by pyruvate dehydrogenase (PDH) activation and reactive nitrogen and oxygen species (RNOS) in muscle lactate accumulation, nine volunteers performed a single 30-s sprint (Wingate test) on four occasions: two after the ingestion of placebo and another two following the intake of antioxidants, while breathing either hypoxic gas (PI O2 = 75 mmHg) or room air (PI O2 = 143 mmHg)...
2018: Frontiers in Physiology
https://www.readbyqxmd.com/read/29606104/study-protocol-randomized-controlled-trial-reducing-symptom-burden-in-patients-with-heart-failure-with-preserved-ejection-fraction-using-ubiquinol-and-or-d-ribose
#9
Janet D Pierce, Diane E Mahoney, John B Hiebert, Amanda R Thimmesch, Francisco J Diaz, Carol Smith, Qiuhua Shen, Dinesh Pal Mudaranthakam, Richard L Clancy
BACKGROUND: Heart failure (HF), the leading cause of morbidity and mortality in the US, affects 6.6 million adults with an estimated additional 3 million people by 2030. More than 50% of HF patients have heart failure with preserved left ventricular ejection fraction (HFpEF). These patients have impaired cardiac muscle relaxation and diastolic filling, which investigators have associated with cellular energetic impairment. Patients with HFpEF experience symptoms of: (1) fatigue; (2) shortness of breath; and (3) swelling (edema) of the lower extremities...
April 2, 2018: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/29604403/slow-loaded-breathing-training-improves-blood-pressure-lung-capacity-and-arm-exercise-endurance-for-older-people-with-treated-and-stable-isolated-systolic-hypertension
#10
Chulee Ublosakka-Jones, Phailin Tongdee, Orathai Pachirat, David A Jones
BACKGROUND: Hypertension and reduced lung function are important features of aging. Slow loaded breathing training reduces resting blood pressure and the question is whether this can also improve lung function. METHODS: Thirty-two people (67 ± 5 years, 16 male) with controlled isolated systolic hypertension undertook an eight weeks randomised controlled training trial with an inspiratory load of 25% maximum inspiratory pressure (MIP) at 6 breaths per minute (slow loaded breathing; SLB) or deep breathing control (CON)...
March 28, 2018: Experimental Gerontology
https://www.readbyqxmd.com/read/29590255/use-of-cardiopulmonary-exercise-testing-to-assess-early-ventilatory-changes-related-to-occupational-particulate-matter
#11
T P Chao, E F Sperandio, T L V P Ostolin, V R Almeida, M Romiti, A R T Gagliardi, R L Arantes, V Z Dourado
Spirometry has been used as the main strategy for assessing ventilatory changes related to occupational exposure to particulate matter (OEPM). However, in some cases, as one of its limitations, it may not be sensitive enough to show abnormalities before extensive damage, as seen in restrictive lung diseases. Therefore, we hypothesized that cardiopulmonary exercise testing (CPET) may be better than spirometry to detect early ventilatory impairment caused by OEPM. We selected 135 male workers with at least one year of exposure...
March 26, 2018: Brazilian Journal of Medical and Biological Research, Revista Brasileira de Pesquisas Médicas e Biológicas
https://www.readbyqxmd.com/read/29588948/adverse-perinatal-events-treatment-gap-and-positive-family-history-linked-to-the-high-burden-of-active-convulsive-epilepsy-in-uganda-a-population-based-study
#12
Angelina Kakooza-Mwesige, Donald Ndyomugyenyi, George Pariyo, Stefan Swartling Peterson, Paul Michael Waiswa, Edward Galiwango, Eddie Chengo, Rachael Odhiambo, Derrick Ssewanyana, Christian Bottomley, Anthony K Ngugi, Charles R J C Newton
Objective: To determine the prevalence of active convulsive epilepsy (ACE) and describe the clinical characteristics and associated factors among a rural Ugandan population. Methods: The entire population in Iganga/Mayuge Health Demographic Surveillance Site (IM-HDSS) was screened using two questions about seizures during a door-to-door census exercise. Those who screened positive were assessed by a clinician to confirm diagnosis of epilepsy. A case control study with the patients diagnosed with ACE as the cases and age/sex-matched controls in a ratio of 1:1 was conducted...
June 2017: Epilepsia Open
https://www.readbyqxmd.com/read/29575588/exercise-on-transition-uncoupling-of-ventilatory-gas-exchange-and-cardiac-hemodynamic-kinetics-accompany-pulmonary-oxygen-stores-depletion-to-impact-exercise-intolerance-in-human-heart-failure
#13
Erik H Van Iterson, Joshua R Smith, Thomas P Olson
AIM: In contrast to knowledge that heart failure (HF) demonstrate peak exercise uncoupling across ventilation, gas-exchange, and cardiac hemodynamics, whether this dyssynchrony follows that at the exercise on-transition is unclear. This study tested whether exercise on-transition temporal lag for ventilation relative to gas-exchange and oxygen pulse (O2 pulse) couples with effects from abnormal pulmonary gaseous oxygen store (O2store ) contributions to V̇O2 to interdependently precipitate persistently elevated ventilatory demand and low oxidative metabolic capacity in HF...
March 25, 2018: Acta Physiologica
https://www.readbyqxmd.com/read/29570539/comparison-between-slow-components-of-hr-and-v-combining-dot-above-o2-kinetics-functional-significance
#14
Lucrezia Zuccarelli, Simone Porcelli, Letizia Rasica, Mauro Marzorati, Bruno Grassi
PURPOSE: Aerobic exercise prescription is often based on a linear relationship between pulmonary oxygen consumption (V[Combining Dot Above]O2) and heart rate (HR). The aim of the present study was to test the hypothesis that during constant work rate (CWR) exercises at different intensities the slow component of HR kinetics occurs at lower work rate and is more pronounced that the slow component of V[Combining Dot Above]O2 kinetics. METHODS: Seventeen male (age, 27±4yr) subjects performed on a cycle ergometer an incremental exercise to voluntary exhaustion and several CWR exercises: 1) moderate CWR exercises (MODERATE), below gas exchange threshold (GET); 2) heavy CWR exercise (HEAVY), at 45% of the difference between GET and V[Combining Dot Above]O2 peak (□); 3) severe CWR exercise (SEVERE), at 95% of Δ; 4) "HRCLAMPED" exercise in which work rate was continuously adjusted to maintain a constant HR, slightly higher than that determined at GET...
March 22, 2018: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/29570467/efficacy-of-bedside-respiratory-muscle-training-in-patients-with-stroke-a-randomized-controlled-trial
#15
Hyun-Joon Yoo, Sung-Bom Pyun
OBJECTIVES: Inspiratory and the expiratory muscles are important for effective respiratory function. This study aimed to investigate the efficacy of bedside respiratory muscle training on pulmonary function and stroke-related disabilities in stroke rehabilitation. DESIGN: Patients with stroke (N=40) in a rehabilitation unit were randomly assigned to either the intervention group (N1=20) or control group (N2=20). Both groups participated in a conventional stroke rehabilitation program...
March 23, 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29565769/hyperadditive-ventilatory-response-arising-from-interaction-between-the-carotid-chemoreflex-and-the-muscle-mechanoreflex-in-healthy-humans
#16
Talita M Silva, Liliane C Aranda, Marcelle Paula-Ribeiro, Diogo M Oliveira, Wladimir Musetti Medeiros, Lauro C Vianna, Luiz E Nery, Bruno M Silva
Physical exercise potentiates the carotid chemoreflex control of ventilation (VE). Hyperadditive neural interactions may partially mediate the potentiation. However, some neural interactions remain incompletely explored. As the potentiation occurs even during low-intensity exercise, we tested the hypothesis that the carotid chemoreflex and the muscle mechanoreflex could interact in a hyperadditive fashion. Fourteen young healthy subjects inhaled, randomly, in separate visits, 12% O2 to stimulate the carotid chemoreflex, and 21% O2 as control...
March 22, 2018: Journal of Applied Physiology
https://www.readbyqxmd.com/read/29559613/clavicle-kirschner-wire-migration-into-left-lung-a-case-report
#17
Érica Lofrano Reghine, Caio César Inaco Cirino, André Amate Neto, Fabiana Rossi Varallo, Paulo Roberto Barbosa Évora, Tales Rubens de Nadai
BACKGROUND Kirschner wires are often used to perform osteosynthesis. Migration through tissue of these wires is a rare but well-known occurrence. CASE REPORT A 65-year-old female presented with light intensity pain complaints in the upper left chest area; personal history included left clavicle fracture 20 years ago that was treated surgically with fixation using a K-wire. Chest radiography showed the presence of metallic foreign body in the left pulmonary apex. An exploratory axillary thoracotomy was performed, and the foreign body was extracted by a pneumotomy...
March 21, 2018: American Journal of Case Reports
https://www.readbyqxmd.com/read/29557101/immersion-pulmonary-oedema-in-a-healthy-diver-not-exposed-to-cold-or-strenuous-exercise
#18
Olivier Castagna, Sébastien de Maistre, Bruno Schmid, Delphine Caudal, Jacques Regnard
In healthy divers, the occurrence of immersion pulmonary oedema (IPE) is commonly caused by contributory factors including strenuous exercise, cold water and negative-pressure breathing. Contrary to this established paradigm, this case reports on a 26-year-old, well-trained combat swimmer who succumbed to acute IPE during static immersion in temperate (21°C) water, while using a front-mounted counterlung rebreather. The incident occurred during repeated depth-controlled ascent practice at the French military diving school...
March 31, 2018: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/29549005/influence-of-dietary-nitrate-supplementation-on-lung-function-and-exercise-gas-exchange-in-copd-patients
#19
Mehrdad Behnia, Courtney M Wheatley, Alberto Avolio, Bruce D Johnson
BACKGROUND: During exercise as pulmonary blood flow rises, pulmonary capillary blood volume increases and gas exchange surface area expands through distention and recruitment. We have previously demonstrated that pulmonary capillary recruitment is limited in COPD patients with poorer exercise tolerance. Hypoxia and endothelial dysfunction lead to pulmonary vascular dysregulation possibly in part related to nitric oxide related pathways. PURPOSE: To determine if increasing dietary nitrate might influence lung surface area for gas exchange and subsequently impact exercise performance...
March 13, 2018: Nitric Oxide: Biology and Chemistry
https://www.readbyqxmd.com/read/29545685/oxygen-cost-of-thoracic-and-diaphragmatic-breathing-during-hyperventilation-in-healthy-males
#20
Nobuhisa Ishii, Kazuhide Tomita, Shinsuke Suetake, Yukako Okuno, Kenta Kawamura, Reiko Takeshima, Hirotaka Ohse, Shigeyuki Imura
[Purpose] It is unclear whether diaphragmatic breathing (DB) results in lower respiratory muscle oxygen consumption during dynamic exercise. The purpose of this study was to compare oxygen consumption in the respiratory muscles (VO2 rm) with thoracic breathing (TB) and with DB, in healthy males during hyperventilation. [Subjects and Methods] Ten healthy men participated in this study. The subjects sat on a chair with the backrest reclined at an angle of 60 degrees. Respiratory parameters were measured breath by breath, using an expired gas analyzer...
February 2018: Journal of Physical Therapy Science
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