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https://www.readbyqxmd.com/read/28770543/feasibility-and-safety-of-virtual-reality-based-early-neurocognitive-stimulation-in-critically-ill-patients
#1
Marc Turon, Sol Fernandez-Gonzalo, Mercè Jodar, Gemma Gomà, Jaume Montanya, David Hernando, Raquel Bailón, Candelaria de Haro, Victor Gomez-Simon, Josefina Lopez-Aguilar, Rudys Magrans, Melcior Martinez-Perez, Joan Carles Oliva, Lluís Blanch
BACKGROUND: Growing evidence suggests that critical illness often results in significant long-term neurocognitive impairments in one-third of survivors. Although these neurocognitive impairments are long-lasting and devastating for survivors, rehabilitation rarely occurs during or after critical illness. Our aim is to describe an early neurocognitive stimulation intervention based on virtual reality for patients who are critically ill and to present the results of a proof-of-concept study testing the feasibility, safety, and suitability of this intervention...
December 2017: Annals of Intensive Care
https://www.readbyqxmd.com/read/28763290/powered-air-purifying-respirator-use-in-healthcare-effects-on-thermal-sensations-and-comfort
#2
Jeffrey B Powell, Jung-Hyun Kim, Raymond J Roberge
Twelve subjects wore an N95 filtering facepiece respirator (N95 FFR), one tight-fitting full facepiece powered air-purifying respirator (PAPR), two loose-fitting PAPRs, and one elastomeric/PAPR hybrid for 1 hr each during treadmill walking at 5.6 km/h while undergoing physiological and subjective response monitoring. No significant interaction (p≥.05) was noted between the five respirators in heart rate, respiratory rate, oxygen saturation, transcutaneous carbon dioxide, and perceptions of breathing effort or discomfort, exertion, facial heat, and overall body heat...
August 1, 2017: Journal of Occupational and Environmental Hygiene
https://www.readbyqxmd.com/read/28746470/relationship-between-ventilation-heterogeneity-and-exercise-intolerance-in-adults-with-sickle-cell-anemia
#3
A J Lopes, C L Marinho, U D Alves, C E A Gonçalves, P O Silva, E C Botelho, R Bedirian, A R Soares, M C P Maioli
Sickle cell anemia (SCA) causes dysfunction of multiple organs, with pulmonary involvement as a major cause of mortality. Recently, there has been growing interest in the nitrogen single-breath washout (N2SBW) test, which is able to detect ventilation heterogeneity and small airway disease when the results of other pulmonary function tests (PFTs) are still normal. Thus, the objectives of the present study were to assess the heterogeneity in the ventilation distribution in adults with SCA and to determine the association between the ventilation distribution and the clinical, cardiovascular, and radiological findings...
July 20, 2017: Brazilian Journal of Medical and Biological Research, Revista Brasileira de Pesquisas Médicas e Biológicas
https://www.readbyqxmd.com/read/28738672/physiological-and-physical-responses-to-wearing-compression-garments-during-soccer-matches-and-recovery
#4
Diego Marqués-Jiménez, Julio Calleja-González, Iñaki Arratibel, Anne Delextrat, Fernando Uriarte, Nicolás Terrados
BACKGROUND: There is not enough information on the effects of compression therapy in soccer players during recovery after matches. So the objective of this study was to examine the effect of wearing compression garments during soccer matches and during recovery period on physical responses. METHODS: Eighteen semi-professional soccer players participated in this study. A two-stage crossover design was chosen. Participants acted as controls in one match and were assigned to an experimental group (compression stockings group, full-leg compression group, shorts group) in the other match...
July 24, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/28738671/inertial-flywheel-resistance-training-and-muscle-oxygen-saturation
#5
Rafael Timón, Jesús G Ponce-González, José L González-Montesinos, Guillermo Olcina, Alejandro Pérez-Pérez, José Castro-Piñero
BACKGROUND: The inertial flywheel device causes an increase in eccentric overload during training. The aim was to study muscle oxygen saturation produced during an inertial flywheel squat training, comparing it with a barbell squat training. METHODS: Twelve male adults performed a barbell squat training (3 x 8 reps, 75-80% 1RM) and a flywheel squat training (3 x 8 reps, all-out). Muscle oxygen saturation (%SmO2), total hemoglobin (tHb), reoxygenation, heart rate (HR), lactate, vertical jumps, maximal voluntary isometric contraction and rated perceived exertion (RPE) were studied...
July 24, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/28730886/is-the-10-m-incremental-shuttle-walk-test-a-useful-test-of-exercise-capacity-for-patients-referred-to-cardiac-rehabilitation
#6
Lisa C Hanson, Helen McBurney, Nicholas F Taylor
BACKGROUND: Field exercise tests are a feasible alternative to the symptom-limited exercise test for measuring exercise capacity in patients attending cardiac rehabilitation. AIMS: To evaluate the criterion validity of the 10 m incremental shuttle walk test (ISWT) as a useful tool for measurement of exercise capacity for patients eligible for cardiac rehabilitation. METHODS: Fifteen patients eligible for cardiac rehabilitation completed a treadmill symptom-limited exercise test and two ISWTs with the order of testing randomised...
July 1, 2017: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/28715342/quantitative-evaluation-of-rehabilitation-effect-on-peripheral-circulation-of-diabetic-foot
#7
Yao-Kuang Huang, Chang-Cheng Chang, Pin-Xing Lin, Bor-Shyh Lin
Diabetics may encounter different foot problems, which easily lead to infection, ulcers, and increased risk of amputation due to nerve or vascular injury. In order to reduce the risk of amputation, Buerger's exercise is one of the frequently used rehabilitation to improve the blood circulation in the lower limbs. However, it is difficult to evaluate the rehabilitation efficiency of Buerger's exercise objectively. In this study, a novel non-invasively optical system was developed to non-invasively monitor the change of the foot blood circulation before and after long-term Buerger's exercise...
July 13, 2017: IEEE Journal of Biomedical and Health Informatics
https://www.readbyqxmd.com/read/28704881/cardiovascular-and-autonomic-responses-to-a-maximal-exercise-test-in-elite-youngsters
#8
Cristina Blasco-Lafarga, Borja Camarena, Manuel Mateo-March
To analyze cardiovascular and autonomic responses in elite youngsters, 13 male cyclists (15.43±0.51 years) performed a graded-test until voluntary exhaustion. Oxygen consumption (VO2), blood lactate (BLa), arterial oxygen saturation (SaO2), respiratory exchange ratio (RER) and rating of perceived exertion (RPE) were collected, while heart rate (HR) was registered for heart rate variability (HRV) analyses, looking for linear and nonlinear comparisons. Cyclists reached maximal exertion [RPE: 19.14±0.94; BLa: 8...
September 2017: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/28704259/systemic-blood-pressure-at-exercise-in-hypoxia-in-hypertensive-and-normotensive-patients
#9
Laurent Winkler, François J Lhuissier, Jean-Paul Richalet
OBJECTIVES: The current study aimed to determine whether acute hypoxia exposure in laboratory conditions associated with exercise induces an increase in systemic blood pressure (BP) in normotensive and hypertensive patients, and whether hypertensive patients are more prone to develop severe acute mountain sickness (sAMS). Finally, to determine if BP changes at exercise in acute hypoxia in hypertensive patients are predictive factors for sAMS. METHODS: From 2012 to 2015, 852 normotensive and 106 hypertensive patients went through an acute hypoxia exercise test before a sojourn at high altitude...
July 12, 2017: Journal of Hypertension
https://www.readbyqxmd.com/read/28701470/effect-of-ferric-carboxymaltose-on-exercise-capacity-in-patients-with-chronic-heart-failure-and-iron-deficiency
#10
Dirk J van Veldhuisen, Piotr Ponikowski, Peter van der Meer, Marco Metra, Michael Böhm, Artem Doletsky, Adriaan A Voors, Iain C Macdougall, Stefan D Anker, Bernard Roubert, Lorraine Zakin, Alain Cohen-Solal
Background -Iron deficiency is common in patients with heart failure (HF), and is associated with reduced exercise capacity and poor outcomes. Whether correction of iron deficiency with (intravenous) ferric carboxymaltose (FCM) affects peak oxygen consumption [peak VO2], an objective measure of exercise intolerance in HF, has not been examined. Methods -We studied patients with systolic HF (left ventricular ejection fraction [LVEF] ≤45%) and mild to moderate symptoms despite optimal HF medication, Patients were randomized 1:1 to treatment with FCM for 24 weeks or standard of care...
July 12, 2017: Circulation
https://www.readbyqxmd.com/read/28687271/number-of-thoracotomies-predicts-impairment-in-lung-function-and-exercise-capacity-in-patients-with-congenital-heart-disease
#11
Jan Müller, Peter Ewert, Alfred Hager
OBJECTIVE: Many patients with congenital heart disease (CHD) require surgery to ensure survival into adulthood. But history of previous thoracotomies is associated with respiratory muscle weakness, impairments in chest wall compliance, and moderately to severely impaired lung function. This study evaluated the impact of thoracotomies on functional outcome in patients with CHD. PATIENTS AND METHODS: In total 1372 adolescents and adults with CHD (32.4±11.5 years, 624 female), who underwent spirometry and cardiopulmonary exercise testing in our institution from January 2010 to August 2015, were analyzed...
July 4, 2017: Journal of Cardiology
https://www.readbyqxmd.com/read/28686083/ischemic-preconditioning-enhances-critical-power-during-a-3-minute-all-out-cycling-test
#12
Patrick J Griffin, Richard A Ferguson, Conor Gissane, Stephen J Bailey, Stephen D Patterson
This study tested the hypothesis that ischemic preconditioning (IPC) would increase critical power (CP) during a 3 minute all-out cycling test. Twelve males completed two 3 minute all-out cycling tests, in a crossover design, separated by 7 days. These tests were preceded by IPC (4 x 5 minute intervals at 220 mmHg bilateral leg occlusion) or SHAM treatment (4 x 5 minute intervals at 20 mmHg bilateral leg occlusion). CP was calculated as the mean power output during the final 30 s of the 3 minute test with W' taken as the total work done above CP...
July 7, 2017: Journal of Sports Sciences
https://www.readbyqxmd.com/read/28685454/delayed-onset-of-reoxygenation-in-inactive-muscles-after-high-intensity-exercise
#13
Takuya Osawa, Keisuke Shiose, Hideyuki Takahashi
Oxygenation, measured by near-infrared spectroscopy (NIRS), in inactive muscles decreases during high-intensity exercise because of the decrease of oxygen supply. However, there have been few reports regarding recovery of inactive muscle oxygenation after exercise. This study was performed to examine reoxygenation in the biceps brachii muscle (BB) after supramaximal cycling exercise. Six active young male volunteers (age: 22  ±  3 years, peak oxygen uptake (VO2peak): 53.8  ±  5.4 mL/kg/min, mean  ±  S...
2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/28685426/effects-of-8-weeks-training-on-systemic-and-muscle-oxygen-dynamics-in-university-rugby-players
#14
Shun Takagi, Ryotaro Kime, Masatsugu Niwayama, Kuniaki Hirayama, Shizuo Sakamoto
The aim of this study was to investigate the effects of 8 weeks of training on O2 dynamics in university rugby players. University rugby players (n = 15) participated in 5 strength training sessions and 4 field-based training sessions per week for 8 weeks. Before and after 8-weeks' training, the subjects performed ramp cycling exercise until exhaustion. Muscle O2 saturation (SmO2), relative changes from rest in deoxygenated hemoglobin concentration (∆Deoxy-Hb) and total hemoglobin concentration, cardiac output (CO), and pulmonary O2 uptake (VO2) were monitored continuously during exercise...
2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/28685425/multi-site-measurements-of-muscle-o2-dynamics-during-cycling-exercise-in-early-post-myocardial-infarction
#15
Shun Takagi, Ryotaro Kime, Norio Murase, Masatsugu Niwayama, Takuya Osada, Toshihito Katsumura
The aim of this study was to compare the muscle oxygen dynamics between early post-myocardial infarction (n = 12; MI) and age-matched elderly subjects without MI (n = 12; CON) in several leg muscles during ramp cycling exercise. Muscle oxygen saturation (SmO2), deoxygenated-hemoglobin concentration (∆deoxy-Hb), and total-hemoglobin concentration (∆total-Hb) were monitored continuously at the distal site of vastus lateralis (VLd), proximal site of the vastus lateralis (VLp), rectus femoris (RF), vastus medialis (VM), gastrocnemius medialis (GM), and tibialis anterior (TA) muscles by near infrared spatial resolved spectroscopy...
2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/28685423/dorsiflexor-muscle-oxygenation-during-low-moderate-and-submaximal-sustained-isometric-contraction
#16
Adkham Paiziev, Martin Wolf, Fikrat Kerimov
Sustained isometric contractions of skeletal muscles produce intramuscular pressures that lead to blood flow restriction. Thus, we have the paradox of rising O2 demand due to muscle activity and at the same time reduced blood flow. The aim was to assess muscle oxygenation during sustained isometric low (30%), moderate (60%) and submaximal [90% of maximal voluntary contraction (MVC)] contraction of the dorsiflexor muscle. Experiments were conducted on the dominant (right) leg of 8 male students (age 19 ± 2 years, weight 75 ± 6 kg)...
2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/28684191/effects-of-oral-sodium-nitrate-on-forearm-blood-flow-oxygenation-and-exercise-performance-during-acute-exposure-to-hypobaric-hypoxia-4300%C3%A2-m
#17
Heath G Gasier, Anthony R Reinhold, Allison R Loiselle, Shawn E Soutiere, David M Fothergill
A reduction in oxygen transport contributes to impaired exercise capacity at high altitude. Since blood flow is mediated, in part, by nitric oxide (NO), we hypothesized that sodium nitrate provided before forearm grip exercise performed at a simulated altitude of 4300 m (hypobaric hypoxia (HH)) would increase forearm blood flow and oxygenation, and decrease the decrement in grip performance. In a double-blind, randomized crossover study, 10 healthy subjects (9 males and 1 female) performed continuous (CGrip) and repeated rhythmic (RGrip) isometric forearm exercise until task failure in normobaric normoxia (NN), 2...
July 3, 2017: Nitric Oxide: Biology and Chemistry
https://www.readbyqxmd.com/read/28682161/effect-of-swim-intensity-on-responses-to-dynamic-apnoea
#18
A Guimard, K Collomp, H Zorgati, S Brulaire, X Woorons, V Amiot, F Prieur
The aim of this study was to determine the influence of swim intensity on acute responses to dynamic apnoea. 9 swimmers performed one 50 m front crawl trial in four different conditions: at 400 m velocity (V400) with normal breathing (NB), at V400 in complete apnoea (Ap), at maximal velocity (Vmax) with NB and at Vmax in Ap. Peak heart rate (HRpeak), blood lactate concentration after exercise (Lacpost ex) and Borg rating of perceived exertion (RPE) were measured. Arterial oxygen saturation (SpO2) was monitored with a pulse oximeter at forehead level during and after exercise...
July 6, 2017: Journal of Sports Sciences
https://www.readbyqxmd.com/read/28671932/associations-of-exercise-tolerance-with-hemodynamic-parameters-for-pulmonary-arterial-hypertension-and-for-chronic-thromboembolic-pulmonary-hypertension
#19
Yasunori Tsuboi, Hidekazu Tanaka, Ryo Nishio, Takuma Sawa, Daisuke Terashita, Kazuhiko Nakayama, Seimi Satomi-Kobayashi, Yoshitada Sakai, Noriaki Emoto, Ken-Ichi Hirata
PURPOSE: Pulmonary arterial hypertension (PAH) and chronic thromboembolic pulmonary hypertension (CTEPH) are the main subgroups of pulmonary hypertension (PH). Despite differences in their etiologies, both diseases are characterized by vascular remodeling, resulting in progressive right heart failure. Noninvasive periodic evaluation of exercise tolerance has become increasingly important. Cardiopulmonary exercise testing (CPET) and a 6-minute walk test (6MWT) are now both recommended for evaluating exercise tolerance, but there is insufficient knowledge about possible differences in the associations of exercise tolerance with right heart catheterization (RHC) data for patients with PAH and CTEPH...
June 30, 2017: Journal of Cardiopulmonary Rehabilitation and Prevention
https://www.readbyqxmd.com/read/28649204/effects-of-dietary-nitrate-supplementation-on-physiological-responses-cognitive-function-and-exercise-performance-at-moderate-and-very-high-simulated-altitude
#20
Oliver M Shannon, Lauren Duckworth, Matthew J Barlow, Kevin Deighton, Jamie Matu, Emily L Williams, David Woods, Long Xie, Blossom C M Stephan, Mario Siervo, John P O'Hara
Purpose: Nitric oxide (NO) bioavailability is reduced during acute altitude exposure, contributing toward the decline in physiological and cognitive function in this environment. This study evaluated the effects of nitrate ([Formula: see text]) supplementation on NO bioavailability, physiological and cognitive function, and exercise performance at moderate and very-high simulated altitude. Methods:Ten males (mean (SD): [Formula: see text]: 60.9 (10.1) ml·kg(-1)·min(-1)) rested and performed exercise twice at moderate (~14...
2017: Frontiers in Physiology
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