scholarly journals Correlation of Exercise Capacity with Functional Disability in Patients with Osteoarthritis of Knee

2021 ◽  
Vol 9 (4) ◽  
pp. 3883-3887
Author(s):  
Swati V. Kubal ◽  
◽  
Kshitija S. Ghole ◽  
Keyword(s):  
Exercise Capacity ◽  
Upper Limb ◽  
Lower Limb ◽  
Functional Disability ◽  
Ring Test ◽  
Care Hospital ◽  
Osteoarthritis Of Knee ◽  
Koos Score ◽  
Lower Limb Exercise ◽  
Limb Exercise

Introduction: Osteoarthritis of knee is a progressive joint disease which produces pain, inflammation and destruction of joint which in turn leads to range of motion limitation and walking disabilities. Affection in physical functioning is determined not only by just activities involving lower limb capacity but also by the activities which require use of upper extremities. Hence in this study, 6MWD and no. of rings moved in 6 minutes were taken as an outcome measures for determining the exercise capacity. KOOS is a self-administered questionnaire which was used in its cross culturally adapted format for determining the functional disability in patients. Objectives: 1. To study correlation of exercise capacity with functional disability in patients with osteoarthritis of knee. 2. To study correlation of upper limb exercise capacity with lower limb exercise capacity in patients with osteoarthritis of knee. Methods: Cross sectional, observational study including 30 patients of either gender having unilateral osteoarthritis of knee conducted in a tertiary care hospital. Results: No. of rings moved in 6 minutes and global KOOS score showed no statistically significant correlation. 6MWD and global KOOS score showed no statistically significant correlation. 6 minute walk distance and 6 minute peg board ring test showed no statistically significant correlation. Conclusion: The study suggests that there is no correlation of exercise capacity with functional disability in patients with osteoarthritis of knee. Also, there is no correlation found between upper limb exercise capacity and lower limb exercise capacity in patients with osteoarthritis of knee. KEY WORDS: Knee osteoarthritis, Knee pain, squat depth, functional disability, cardiorespiratory endurance, Knee Injury and Osteoarthritis Outcome Score, Quality of life.

Kinesiophobia and Outcomes of Lower Extremity Exercise Regime in Subjects with Knee Osteoarthritis: A Case Series

2021 ◽  
Vol 15 (10) ◽  
pp. 2631-2632
Author(s):  
Inayat Fatima ◽  
Danish Hassan ◽  
Wajida Perveen ◽  
Misbah Amanat Ali ◽  
Zahid Mehmood Bhatti ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Lower Limb ◽  
Health Centre ◽  
Case Series ◽  
Exercise Program ◽  
Walk Distance ◽  
Exercise Regime ◽  
Koos Score ◽  
Lower Limb Exercise ◽  
Limb Exercise

Aim: To estimate the effectiveness of lower limb exercise regime in subjects with knee osteoarthritis in terms of Kinesiophobia. Methodology: This was a case series, conducted in the Physiotherapy Department Health Centre University of the Punjab Lahore after ethical approval from June 2018 to February 2019 on 44 patients with knee Osteoarthritis. Non-probability purposive sampling technique was used to enroll the participants according to predefined inclusion and exclusion criteria. Lower limb exercise regime was applied for eight weeks, thrice a week. TAMPA scale for Kinesiophobia (TSK), KOOS and 6 min walk test (6MWT) were used to measure the outcomes. Paired sample T test was applied to find the difference before and after LLEP. Statistical significance was set at P= 0.05 Results: Mean age of the participants was 52±6.54 years ranging from 41-65 years. The mean difference in pre and post treatment KOOS Score was 15.13±12.38 (P=.000), 14.34±7.97 (P=.000) for TAMPA Score and 196.00±94.01 (P=.000) for 6 Mint walk distance. Conclusion: Lower limb exercise program is found effective in the management of knee osteoarthritis. Subjects undergoing in 8 weeks lower limb exercise program showed improvement in KOOS Score, reduction in TAMPA Score, and improvement in 6 mint walk distance. Keywords: Knee Osteoarthritis, Kinesiophobia, TAMPA, knee osteoarthritis outcome score (KOOS), Lower limb exercise regime,

Upper-Limb and Lower-Limb Exercise Training in Patients with Chronic Airflow Obstruction

CHEST Journal ◽  
1990 ◽  
Vol 97 (5) ◽  
pp. 1077-1082 ◽  
Author(s):  
Fiona R. Lake ◽  
Kathryn Henderson ◽  
Tom Briffa ◽  
Janet Openshaw ◽  
A. William Musk
Keyword(s):  
Exercise Training ◽  
Upper Limb ◽  
Lower Limb ◽  
Airflow Obstruction ◽  
Lower Limb Exercise ◽  
Limb Exercise

scholarly journals Effect of aerobic and resistance exercise on central hemodynamic responses in severe chronic heart failure

2002 ◽  
Vol 93 (1) ◽  
pp. 175-180 ◽  
Author(s):  
Craig Cheetham ◽  
Daniel Green ◽  
Julie Collis ◽  
Lawrence Dembo ◽  
Gerard O'Driscoll
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Resistance Exercise ◽  
Upper Limb ◽  
Lower Limb ◽  
Exercise Heart Rate ◽  
Heart Catheterization ◽  
Lower Limb Exercise ◽  
Central Hemodynamic ◽  
Limb Exercise

Exercise is now considered an important component of management in chronic heart failure (CHF), but little is known about central hemodynamic changes that occur during different exercise modalities in these patients. Seventeen patients (ejection fraction 25 ± 2%) undertook brachial artery and right heart catheterization and oxygen consumption assessment at rest, during submaximal and peak cycling (Cyc), and during submaximal upper and lower limb resistance exercise. Cardiac output (CO) increased relative to baseline during peak Cyc ( P < 0.05) but did not change during submaximal Cyc or upper or lower limb exercise. Heart rate (HR) was lowest during upper limb exercise and progressively increased during lower limb exercise, submaximal Cyc, and peak Cyc, with significant differences between each of these ( P< 0.01). Conversely, stroke volume (SV) decreased during submaximal Cyc and lower limb exercise and was lower during peak and submaximal Cyc and lower limb exercise than during upper limb exercise ( P < 0.05). CHF patients are dependent on increases in HR to increase CO during exercise when SV may decline. Resistance exercise, performed at appropriate intensity, induces a similar hemodynamic burden to aerobic exercise in patients with CHF.

scholarly journals A comparison of passive hindlimb cycling and active upper-limb exercise provides new insights into systolic dysfunction after spinal cord injury

2017 ◽  
Vol 313 (5) ◽  
pp. H861-H870 ◽  
Author(s):  
Kathryn M. DeVeau ◽  
Kathryn A. Harman ◽  
Jordan W. Squair ◽  
Andrei V. Krassioukov ◽  
David S. K. Magnuson ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Upper Limb ◽  
Lower Limb ◽  
Contractile Function ◽  
Left Ventricular ◽  
Cardiac Contractile ◽  
Cord Injury ◽  
Lower Limb Exercise ◽  
Limb Exercise

Active upper-limb and passive lower-limb exercise are two interventions used in the spinal cord injury (SCI) population. Although the global cardiac responses have been previously studied, it is unclear how either exercise influences contractile cardiac function. Here, the cardiac contractile and volumetric responses to upper-limb (swim) and passive lower-limb exercise were investigated in rodents with a severe high-thoracic SCI. Animals were divided into control (CON), SCI no exercise (NO-EX), SCI passive hindlimb cycling (PHLC), or SCI swim (SWIM) groups. Severe contusion SCI was administered at the T2 level. PHLC and SWIM interventions began on day 8 postinjury and lasted 25 days. Echocardiography and dobutamine stress echocardiography were performed before and after injury. Cardiac contractile indexes were assessed in vivo at study termination via a left ventricular pressure-volume conductance catheter. Stroke volume was reduced after SCI (91 µl in the NO-EX group vs. 188 µl in the CON group, P < 0.05) and was reversed at study termination in the PHLC (167 µl) but not SWIM (90 µl) group. Rates of contraction were reduced in NO-EX versus CON groups (6,079 vs. 9,225 mmHg, respectively, P < 0.05) and were unchanged by PHLC and SWIM training. Similarly, end-systolic elastance was reduced in the NO-EX versus CON groups (0.67 vs. 1.37 mmHg/µl, respectively, P < 0.05) and was unchanged by PHLC or SWIM training. Dobutamine infusion normalized all pressure indexes in each SCI group (all P < 0.05). In conclusion, PHLC improves flow-derived cardiac indexes, whereas SWIM training displayed no cardiobeneficial effect. Pressure-derived deficits were corrected only with dobutamine, suggesting that reduced β-adrenergic stimulation is principally responsible for the impaired cardiac contractile function after SCI. NEW & NOTEWORTHY This is the first direct comparison between the cardiac changes elicited by active upper-limb or passive lower-limb exercise after spinal cord injury. Here, we demonstrate that lower-limb exercise positively influences flow-derived cardiac indexes, whereas upper-limb exercise does not. Furthermore, neither intervention corrects the cardiac contractile dysfunction associated with spinal cord injury.

Brachial artery adaptation to lower limb exercise training: role of shear stress

2012 ◽  
Vol 112 (10) ◽  
pp. 1653-1658 ◽  
Author(s):  
Gurpreet K. Birk ◽  
Ellen A. Dawson ◽  
Ceri Atkinson ◽  
Andrew Haynes ◽  
N. Timothy Cable ◽  
...  
Keyword(s):  
Shear Stress ◽  
Exercise Training ◽  
Upper Limb ◽  
Brachial Artery ◽  
Lower Limb ◽  
Vascular Function ◽  
Exercise Bout ◽  
Lower Limb Exercise ◽  
Cycle Training ◽  
Limb Exercise

Lower limb exercise increases upper limb conduit artery blood flow and shear stress, and leg exercise training can enhance upper limb vascular function. We therefore examined the contribution of shear stress to changes in vascular function in the nonexercising upper limbs in response to lower limb cycling exercise training. Initially, five male subjects underwent bilateral brachial artery duplex ultrasound to measure blood flow and shear responses to 30-min cycling exercise at 80% of maximal heart rate. Responses in one forearm were significantly ( P < 0.05) attenuated via cuff inflation throughout the exercise bout. An additional 11 subjects participated in an 8-wk cycle training study undertaken at a similar intensity, with unilateral cuff inflation around the forearm during each exercise bout. Bilateral brachial artery flow-mediated dilation responses to a 5-min ischemic stimulus (FMD%), an ischemic handgrip exercise stimulus (iEX), and endothelium-independent NO donor administration [glyceryl trinitrate (GTN)] were measured at 2, 4, and 8 wk. Cycle training increased FMD% in the noncuffed limb at week 2, after which time responses returned toward baseline levels (5.8 ± 4.1, 8.6 ± 3.8, 7.4 ± 3.5, 6.0 ± 2.3 at 0, 2, 4 and 8 wk, respectively; ANOVA: P = 0.04). No changes in FMD% were observed in the cuffed arm. No changes were evident in response to iEX or GTN in either the cuffed or noncuffed arms ( P > 0.05) across the 8-wk intervention period. Our data suggest that lower limb cycle training induces a transient increase in upper limb vascular function in healthy young humans, which is, at least partly, mediated via shear stress.

Fatiguing intermittent lower limb exercise influences corticospinal and corticocortical excitability in the nonexercised upper limb

2011 ◽  
Vol 4 (2) ◽  
pp. 90-96 ◽  
Author(s):  
Kyohei Takahashi ◽  
Atsuo Maruyama ◽  
Kohji Hirakoba ◽  
Masato Maeda ◽  
Seiji Etoh ◽  
...  
Keyword(s):  
Upper Limb ◽  
Lower Limb ◽  
Lower Limb Exercise ◽  
Limb Exercise
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