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https://www.readbyqxmd.com/read/28101556/time-for-food-training-physiatrists-in-nutritional-prescription
#1
Rani Polak, Marie Dacey, Edward M Phillips
INTRODUCTION: Sub-optimal nutrition is a leading factor in all-cause mortality, the preponderance of non-communicable chronic diseases, and various health conditions that are treated by physiatrists, such as stroke and musculoske-letal disorders. Furthermore, patients with chronic pain have a high prevalence of nutritional deficiencies, and malnutrition has been associated with limited rehabilitation outcomes in elderly patients with hospital-associated deconditioning. Thus, physiatrists may find it valuable to include nutrition in their patient services...
January 18, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28081223/high-intensity-jump-training-is-tolerated-during-60-days-of-bed-rest-and-is-very-effective-in-preserving-leg-power-and-lean-body-mass-an-overview-of-the-cologne-rsl-study
#2
Andreas Kramer, Jakob Kümmel, Edwin Mulder, Albert Gollhofer, Petra Frings-Meuthen, Markus Gruber
PURPOSE: Space agencies are looking for effective and efficient countermeasures for the degrading effects of weightlessness on the human body. The aim of this study was to assess the effects of a novel jump exercise countermeasure during bed rest on vitals, body mass, body composition, and jump performance. METHODS: 23 male participants (29±6 years, 181±6 cm, 77±7 kg) were confined to a bed rest facility for 90 days: a 15-day ambulatory measurement phase, a 60-day six-degree head-down-tilt bed rest phase (HDT), and a 15-day ambulatory recovery phase...
2017: PloS One
https://www.readbyqxmd.com/read/28066619/clinical-management-of-chronic-obstructive-pulmonary-disease-patients-with-muscle-dysfunction
#3
REVIEW
Joaquim Gea, Carme Casadevall, Sergi Pascual, Mauricio Orozco-Levi, Esther Barreiro
Muscle dysfunction is frequently observed in chronic obstructive pulmonary disease (COPD) patients, contributing to their exercise limitation and a worsening prognosis. The main factor leading to limb muscle dysfunction is deconditioning, whereas respiratory muscle dysfunction is mostly the result of pulmonary hyperinflation. However, both limb and respiratory muscles are also influenced by other negative factors, including smoking, systemic inflammation, nutritional abnormalities, exacerbations and some drugs...
November 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28062324/a-home-based-exercise-intervention-for-non-small-cell-lung-cancer-patients-post-thoracotomy
#4
REVIEW
Amy J Hoffman, Ruth Ann Brintnall
OBJECTIVES: There are no evidenced-based rehabilitative guidelines for postsurgical non-small cell lung cancer (NSCLC) patients. This qualitative study provides evidence on the acceptability of an effective postsurgical exercise intervention targeting the self-management of cancer-related fatigue to fill this gap. DATA SOURCES: Qualitative perspective of 37 individuals randomized to a 6-week exercise program following hospital discharge post-thoracotomy for NSCLC...
January 3, 2017: Seminars in Oncology Nursing
https://www.readbyqxmd.com/read/28050606/long-term-exposure-to-space-s-microgravity-alters-the-time-structure-of-heart-rate-variability-of-astronauts
#5
Kuniaki Otsuka, Germaine Cornelissen, Satoshi Furukawa, Yutaka Kubo, Mitsutoshi Hayashi, Koichi Shibata, Koh Mizuno, Tatsuya Aiba, Hiroshi Ohshima, Chiaki Mukai
BACKGROUND: Spaceflight alters human cardiovascular dynamics. The less negative slope of the fractal scaling of heart rate variability (HRV) of astronauts exposed long-term to microgravity reflects cardiovascular deconditioning. We here focus on specific frequency regions of HRV. METHODS: Ten healthy astronauts (8 men, 49.1 ± 4.2 years) provided five 24-hour electrocardiographic (ECG) records: before launch, 20.8 ± 2.9 (ISS01), 72.5 ± 3.9 (ISS02) and 152.8 ± 16...
December 2016: Heliyon
https://www.readbyqxmd.com/read/28044282/are-prepubertal-children-metabolically-comparable-to-well-trained-adult-endurance-athletes
#6
REVIEW
Sébastien Ratel, Anthony J Blazevich
It is well acknowledged that prepubertal children have smaller body dimensions and a poorer mechanical (movement) efficiency, and thus a lower work capacity than adults. However, the scientific evidence indicates that prepubertal children have a greater net contribution of energy derived from aerobic metabolism in exercising muscle and reduced susceptibility to muscular fatigue, which makes them metabolically comparable to well-trained adult endurance athletes. For example, the relative energy contribution from oxidative and non-oxidative (i...
January 2, 2017: Sports Medicine
https://www.readbyqxmd.com/read/28040344/-other-care-in-parkinson-s-disease-psychological-rehabilitation-therapeutic-education-and-new-technologies
#7
Julia Dupouy, Fabienne Ory-Magne, Christine Brefel-Courbon
Diagnosis of Parkinson's disease (PD) is often traumatic. It is then important to organize this announcement in order to support the patient in this major step of his care course. Anxiety and depression are present in about 50% of PD patients. Besides pharmacological treatment, cognitive-behavioral therapy induces improvement in anxio-depressive symptoms. We have to promote physical activity for PD patients, from the beginning of the disease, because it prevents from deconditioning, improves motor and non-motor symptoms, quality of life, and decreases loneliness...
December 28, 2016: La Presse Médicale
https://www.readbyqxmd.com/read/28000175/adaptation-to-microgravity-deconditioning-and-countermeasures
#8
REVIEW
Kunihiko Tanaka, Naoki Nishimura, Yasuaki Kawai
Humans are generally in standing or sitting positions on Earth during the day. The musculoskeletal system supports these positions and also allows motion. Gravity acting in the longitudinal direction of the body generates a hydrostatic pressure difference and induces footward fluid shift. The vestibular system senses the gravity of the body and reflexively controls the organs. During spaceflight or exposure to microgravity, the load on the musculoskeletal system and hydrostatic pressure difference is diminished...
December 20, 2016: Journal of Physiological Sciences: JPS
https://www.readbyqxmd.com/read/27994557/intervertebral-disc-swelling-demonstrated-by-3d-and-water-content-magnetic-resonance-analyses-after-a-3-day-dry-immersion-simulating-microgravity
#9
Loïc Treffel, Karen Mkhitaryan, Stéphane Gellee, Guillemette Gauquelin-Koch, Claude Gharib, Stéphane Blanc, Catherine Millet
Background: Vertebral deconditioning is commonly experienced after space flight and simulation studies. Disc herniation is quadrupled after space flight. Purpose: The main hypothesis formulated by the authors is that microgravity results in intervertebral disc (IVD) swelling. Study Design: The aim of the study was to identify the morphological changes of the spine and their clinical consequences after simulated microgravity by 3-day dry immersion (DI). The experimental protocol was performed on 12 male volunteers using magnetic resonance imaging and spectroscopy before and after DI...
2016: Frontiers in Physiology
https://www.readbyqxmd.com/read/27981906/locomotor-training-and-factors-associated-with-blood-glucose-regulation-after-spinal-cord-injury
#10
Philip D Chilibeck, Pierre A Guertin
BACKGROUND: Individuals with spinal cord injury (SCI) have increased rates of glucose intolerance, insulin insensitivity, and type II diabetes caused mainly by the deconditioning of paralyzed muscle. The purpose of this systematic review was to determine the effectiveness of locomotor training in individuals with SCI on blood glucose control. METHODS: We searched studies on locomotor training for individuals with SCI with outcomes of glucose, insulin, or outcomes that could change glucose handling (i...
December 16, 2016: Current Pharmaceutical Design
https://www.readbyqxmd.com/read/27941237/disentangling-the-health-benefits-of-walking-from-increased-exposure-to-falls-in-older-people-using-remote-gait-monitoring-and-multi-dimensional-analysis
#11
Matthew A Brodie, Yoshiro Okubo, Janneke Annegarn, Rainer Wieching, Stephen R Lord, Kim Delbaere
Falls and physical deconditioning are two major health problems for older people. Recent advances in remote physiological monitoring provide new opportunities to investigate why walking exercise, with its many health benefits, can both increase and decrease fall rates in older people. In this paper we combine remote wearable device monitoring of daily gait with non-linear multi-dimensional pattern recognition analysis; to disentangle the complex associations between walking, health and fall rates. One week of activities of daily living (ADL) were recorded with a wearable device in 96 independent living older people prior to completing 6 months of exergaming interventions...
January 2017: Physiological Measurement
https://www.readbyqxmd.com/read/27932051/functional-and-exercise-limitations-after-a-first-episode-of-pulmonary-embolism-results-of-the-elope-prospective-cohort-study
#12
Susan R Kahn, Andrew M Hirsch, Arash Akaberi, Paul Hernandez, David R Anderson, Philip S Wells, Marc Rodger, Susan Solymoss, Michael J Kovacs, Lawrence Rudski, Avi Shimony, Carole Dennie, Christopher Rush, William H Geerts, Shawn D Aaron, John T Granton
BACKGROUND: We aimed to determine the frequency and predictors of exercise limitation after pulmonary embolism (PE), and to assess its association with health-related quality of life (HRQOL) and dyspnea. METHODS: 100 patients with acute PE were recruited at five Canadian hospitals from 2010-2013. Cardiopulmonary exercise testing (CPET) was performed at 1 and 12 months. Quality of life, dyspnea, six-minute walk distance (6MWD), residual clot burden (perfusion (Q) scan; CT pulmonary angiography (CTPA)), cardiac function (echocardiogram) and pulmonary function tests (PFT) were measured during follow-up...
December 5, 2016: Chest
https://www.readbyqxmd.com/read/27884421/interpreting-the-incremental-cardiopulmonary-exercise-test
#13
REVIEW
Samir Nusair
The incremental cardiopulmonary exercise test (CPET) is an increasingly used diagnostic method that serves to evaluate patients with chief complaint of dyspnea during exercise. Performing maximal symptom-limited CPET can show if the tested subject has a reduced exercise capacity and give clues to the mechanism of such exercise capacity reduction, cardiac, pulmonary, or pulmonary vascular source. In this review, it is suggested that the evaluation of the complex results of CPET should be performed by first determining if myocardial/circulatory insufficiency is present and second if there is gas exchange abnormality...
February 1, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/27829967/does-virtual-reality-based-kinect-dance-training-paradigm-improve-autonomic-nervous-system-modulation-in-individuals-with-chronic-stroke
#14
Luciana Maria Malosá Sampaio, Savitha Subramaniam, Ross Arena, Tanvi Bhatt
BACKGROUND: Physical inactivity and low resting heart rate variability (HRV) are associated with an increased cardiovascular deconditioning, risk of secondary stroke and mortality. Aerobic dance is a multidimensional physical activity and recent research supports its application as a valid alternative cardiovascular training. Furthermore, technological advances have facilitated the emergence of new approaches for exercise training holding promise, especially those methods that integrate rehabilitation with virtual gaming...
October 2016: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/27826713/trend-of-endurance-level-among-healthy-inner-city-children-and-adolescents-over-three-decades
#15
Raysa Morales-Demori, Omar Jamil, Maria Serratto
The aim of this study was to understand how endurance time, a proxy for physical fitness, has changed in healthy inner-city children and adolescents in the past three decades. This was a retrospective cross-sectional study. This study used exercise stress test in a laboratory of an inner-city teaching hospital. We reviewed all consecutive healthy children and adolescents who underwent an exercise Bruce protocol treadmill test from 1983 to 2010. The study population was divided into five groups of 5-year intervals based on the year of testing...
November 8, 2016: Pediatric Cardiology
https://www.readbyqxmd.com/read/27824689/eccentric-cycling-a-promising-modality-for-patients-with-chronic-heart-failure
#16
Lauren C Chasland, Daniel J Green, Andrew J Maiorana, Kazunori Nosaka, Andrew Haynes, Lawrence Dembo, Louise H Naylor
INTRODUCTION: Chronic heart failure (CHF) is characterized by dyspnea and poor exercise tolerance, which decreases aerobic capacity (V˙O2peak), a measure strongly correlated with quality of life and mortality. In healthy populations, eccentric (ECC) cycling can be performed at a lower oxygen demand for matched workload, compared to concentric (CON) cycling, but few studies have previously investigated ECC cycling in CHF. We hypothesized that, when matched for external workload (Watts), an ECC cycling bout would be performed at a lower cardiorespiratory load (V˙O2) than CON in patients with CHF...
November 7, 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27824285/increased-central-arterial-stiffness-after-spinal-cord-injury-contributing-factors-implications-and-possible-interventions
#17
Amanda H X Lee, Aaron A Phillips, Andrei V Krassioukov
Individuals with spinal cord injury (SCI) experience life-threatening cardiovascular events and various autonomic consequences in addition to the well-appreciated motor and neurological impairments. As a result, cardiovascular disease is a major cause of death after SCI, corresponding to a two-to-fourfold increased risk of cardiovascular events. A combination of neuroanatomical changes, unstable blood pressure, and rapid deconditioning as a result of decreased physical activity likely contributes to accelerated cardiovascular disease progression after SCI...
December 20, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/27818024/exertional-dyspnoea-in-chronic-respiratory-diseases-from-physiology-to-clinical-application
#18
Bruno-Pierre Dubé, François Vermeulen, Pierantonio Laveneziana
Dyspnoea is a complex, highly personalized and multidimensional sensory experience, and its underlying cause and mechanisms are still being investigated. Exertional dyspnoea is one of the most frequently encountered symptoms of patients with cardiopulmonary diseases, and is a common reason for seeking medical help. As the symptom usually progresses with the underlying disease, it can lead to an avoidance of physical activity, peripheral muscle deconditioning and decreased quality of life. Dyspnoea is closely associated with quality of life, exercise (in)tolerance and prognosis in various conditions, including chronic obstructive pulmonary disease, heart failure, interstitial lung disease and pulmonary hypertension, and is therefore an important therapeutic target...
November 3, 2016: Archivos de Bronconeumología
https://www.readbyqxmd.com/read/27779600/lumbar-spine-paraspinal-muscle-and-intervertebral-disc-height-changes-in-astronauts-after-long-duration-spaceflight-on-the-international-space-station
#19
Douglas G Chang, Robert M Healey, Alexander J Snyder, Jojo V Sayson, Brandon R Macias, Dezba G Coughlin, Jeannie F Bailey, Scott E Parazynski, Jeffrey C Lotz, Alan R Hargens
STUDY DESIGN: Prospective case series. OBJECTIVE: Evaluate lumbar paraspinal muscle (PSM) cross-sectional area and intervertebral disc (IVD) height changes induced by a 6-month space mission on the International Space Station. The long-term objective of this project is to promote spine health and prevent spinal injury during space missions and here on Earth. SUMMARY OF BACKGROUND DATA: National Aeronautics and Space Administration (NASA) crewmembers have a 4...
December 15, 2016: Spine
https://www.readbyqxmd.com/read/27772769/cardiovascular-dysfunction-in-untreated-parkinson-s-disease-a-multi-modality-assessment
#20
Stefano Strano, Alessandra Fanciulli, Massimiliano Rizzo, Paolo Marinelli, Paolo Palange, Dorina Tiple, Giuseppe De Vincentis, Giovanni Calcagnini, Federica Censi, Giuseppe Meco, Carlo Colosimo
BACKGROUND: The clinical presentation of Parkinson's disease (PD) includes a wide spectrum of non-motor features, including cardiovascular autonomic failure. OBJECTIVE: To evaluate cardiovascular autonomic status and cardiac functional capacity in drug-naïve PD patients. METHODS: 18 newly-diagnosed PD patients underwent laboratory cardiovascular autonomic function tests using power spectral analysis of the R-R interval, blood pressure (BP) short-term variability and non-invasive baroreflex sensitivity (BRS)...
November 15, 2016: Journal of the Neurological Sciences
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