Hemiparetic Positioning of Patients With Hemiplegia

2017 ◽  
Vol 10 (2) ◽  
pp. 129-134
Author(s):  
Rhonda Winegar ◽  
Helen Lach ◽  
Rebecca Lorenz ◽  
Debra Henderson
Keyword(s):  
Evaluation Criteria ◽  
Interdisciplinary Team ◽  
Functional Independence ◽  
Upper Body ◽  
Lower Body ◽  
Rehabilitation Hospital ◽  
Improved Outcomes ◽  
Written Materials ◽  
Functional Independence Measurement

Nature and scope of the project: Patients with hemiplegia may develop pain, decreased strength, sensation, and tone impacting functional ability of the affected arm when patients are not positioned correctly. The purpose of this quality improvement (QI) project was to evaluate improvements in the function of patients with hemiplegia in a rehabilitation hospital after implementing a hemiparetic positioning program. Project implementation: Education on hemiparetic positioning developed by an interdisciplinary team was offered to all nursing and therapy staff over a 1-month with follow-up and written materials. Evaluation criteria: The outcome measures for this project were Functional Independence Measurement (FIM) scores. Changes in FIM scores of patients hospitalized 3 months before the project were compared with a sample hospitalized after the project to see if outcomes improved. Outcomes: The sample consisted of 91 (pre-QI = 27, post-QI = 64) hospitalized patients with hemiplegia. All patients had significant improvements in FIM scores from admission to discharge. There were no significant differences observed between the groups on FIM change scores using Mann–Whitney U test: transfers from bed/chair/wheelchair (z = −.822, p = .411), upper body dressing (z = −.104, p = .917), lower body dressing (z = −1.120, p = .263), and toileting (z = −1.259, p = .208).

scholarly journals THE IMPACT OF 3 MONTHS OF SUPERVISED EXERCISE ON CHANGE IN FUNCTION: COMPARISONS BY ARTHRITIS STATUS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S34-S35
Author(s):  
Lauren M Abbate ◽  
Katherine Hall ◽  
Megan Pearson ◽  
Richard Sloane ◽  
Kelli D Allen ◽  
...  
Keyword(s):  
Physical Function ◽  
Upper Body ◽  
Lower Body ◽  
Time Points ◽  
Supervised Exercise ◽  
Mean Differences ◽  
The Impact ◽  
Usual Gait Speed ◽  
Minute Walk

Abstract Physical activity is an established intervention for the management of arthritis. This study evaluated the effect of 3 months of participation in Gerofit on physical function by arthritis status. Participants, 519 Veterans aged ≥ 65 years self-reported either no arthritis (NA) (49%), upper body arthritis (UB) (8.2%), lower body arthritis (LB) (12.7%), or both upper and lower body arthritis (UB&LB) (30.4%) upon enrollment. Physical function measures [10-meter usual gait speed (m/s) (GS), arm curls (AC), chair stands (CS), and 6-minute walk (yards) (SMW)] were assessed at baseline and follow-up. Mean differences between time points were calculated. At baseline, compared to NA, LB and UB&LB had slower GS (1.10 and 1.06 vs 1.13) and shorter SMW distance (468.8 and 448.8 vs 490.7). All groups tended to increase physical function, with greatest improvement among LB (GS=0.27, AC=2.06, CS=2.52, SMW=42.53). Participation in Gerofit is associated with functional gains, regardless of burden of disease.

scholarly journals Kung Fu Training Improves Physical Fitness Measures in Overweight/Obese Adolescents: The “Martial Fitness” Study

2010 ◽  
Vol 2010 ◽  
pp. 1-10 ◽  
Author(s):  
Tracey W. Tsang ◽  
Michael R. Kohn ◽  
Chin Moi Chow ◽  
Maria Antoinette Fiatarone Singh
Keyword(s):  
Physical Fitness ◽  
Cardiovascular Fitness ◽  
Upper Body ◽  
Muscle Endurance ◽  
Lower Body ◽  
Obese Adolescents ◽  
Kung Fu ◽  
Body Muscle ◽  
Physical Measurements

Aim. To examine the efficacy of a six-month Kung Fu (KF) program on physical fitness in overweight/obese adolescents.Methods. Subjects were randomly assigned to the KF or sham exercise (Tai Chi, TC) control group. Physical measurements in cardiovascular fitness and muscle fitness occurred at baseline and after 6 months of training thrice weekly.Results. Twenty subjects were recruited. One subject was lost to follow-up, although overall compliance to the training sessions was46.7±27.8%. At follow-up, the cohort improved in absolute upper (P=.002) and lower (P=.04) body strength, and upper body muscle endurance (P=.02), without group differences. KF training resulted in significantly greater improvements in submaximal cardiovascular fitness (P=.03), lower body muscle endurance (P=.28; significant 95% CI: 0.37–2.49), and upper body muscle velocity (P=.03) relative to TC training.Conclusions. This short-term KF program improved submaximal cardiovascular fitness, lower body muscle endurance, and muscle velocity, in overweight/obese adolescents with very low baseline fitness.

scholarly journals Efecto del incremento de la actividad física sobre la condición física en un grupo de adolescentes con sobrepeso y/u obesidad

2021 ◽  
Vol 10 (1) ◽  
pp. 17-28
Author(s):  
IM. Ruiz López ◽  
M. Martín-Matillas ◽  
M. Delgado-Fernández ◽  
E. Delgado-Rico ◽  
C. Campoy Folgoso ◽  
...  
Keyword(s):  
Cardiorespiratory Fitness ◽  
Strength Test ◽  
World Health ◽  
Upper Body ◽  
Lower Body ◽  
Explosive Strength ◽  
Fitness Tests ◽  
Two Phases ◽  
Health Organization

Se analiza el efecto del incremento de actividad física (AF) para conseguir el cumplimiento de recomendaciones de AF para la mejora de la salud  según la Organización Mundial de la Salud  en un grupo de 42 adolescentes (28 chicas) con sobrepeso/obesidad (IMC=29.37±4.5 Kg/m²). El tratamiento de 12 semanas de duración consistió en la prescripción y seguimiento de AF en dos fases: intensiva (seguimiento semanal) y extensiva (seguimiento quincenal). El nivel de AF se valoró mediante el cuestionario Physician-based Assessment and Counseling  y  la condición física  mediante pruebas de fuerza isométrica del tren superior, fuerza explosiva de piernas y capacidad cardiorrespiratoria de la batería ALPHA. Tras el tratamiento se observa una mejora significativa (p<0,05) en capacidad cardiorrespiratoria. En conclusión, se muestra que incrementando la práctica de AF y cumpliendo las recomendaciones semanales de 300 minutos de AF moderada-vigorosa los adolescentes mejoraron su capacidad cardiorrespiratoria. This study evaluated the effect of increased physical activity (PA) to achieve PA recommendations according to the World Health Organization for improving health in a group of 42 adolescents (28 girls) with overweight / obesity (BMI = 29.37 ± 4.5 Kg / m²). The 12 weeks treatment consisted in the prescription and follow-up of the PA guidelines divided in two phases: intensive (weekly follow-up) and extensive (fortnightly follow-up). PA level was assessed using the Physician-based Assessment and Counseling questionnaire and the Physical Fitness using upper body isometric strength test, lower body explosive strength test and cardiorespiratory fitness test, all from the ALPHA battery fitness tests. After treatment, a significant improvement was observed (p <0.05) in cardiorespiratory fitness. In conclusion, this study shows that increasing PA practice and meeting the weekly recommendations of 300 minutes of moderate-vigorous PA, the adolescents’ group improved their cardiorespiratory fitness.

Congenital Syphilis Simulating Bone Neoplasm in 2-Month Old Infant – Case Report

2017 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Case Report ◽  
Congenital Syphilis ◽  
Eosinophilic Granuloma ◽  
Osteolytic Lesion ◽  
Lower Limbs ◽  
Upper Body ◽  
Elective Cesarean Section ◽  
Distal Fibula ◽  
X Ray

Introduction: Congenital Syphilis (CS) occurs through the transplacental transmission of Treponema pallidum in inadequately treated or non-treated pregnant women, and is capable of severe consequences such as miscarriage, preterm birth, congenital disease and/or neonatal death. CS has been showing an increasing incidence worldwide, with an increase of 208% from 2009 to 2015 in Brazil. Case report: 2-month old infant receives care in emergency service due to edema of right lower limb with pain in mobilization. X-ray with osteolytic lesion in distal fibula. Infant was sent to the Pediatrics Oncology clinic. Perinatal data: 7 prenatal appointments, negative serology at 10 and 30 weeks of gestation. End of pregnancy tests were not examined and tests for mother’s hospital admission were not requested. Mother undergone elective cesarean section at 38 weeks without complications. During the pediatric oncologist appointment, patient showed erythematous-squamous lesions in neck and other scar-like lesions in upper body. A new X-ray of lower limbs showed lesions in right fibula with periosteal reaction associated with aggressive osteolytic lesion compromising distal diaphysis, with cortical bone rupture and signs of pathological fracture, suggestive of eosinophilic granuloma. She was hospitalized for a lesion biopsy. Laboratory tests: hematocrit: 23.1 / hemoglobin 7.7 / leukocytes 10,130 (without left deviation) / platelets 638,000 / Negative Cytomegalovirus IgG and IgM and Toxoplasmosis IgG and IgM / VDRL 1:128. Congenital syphilis diagnosis with skin lesions, bone alterations and anemia. Lumbar puncture: glucose 55 / total proteins 26 / VDRL non reagent / 13 leukocytes (8% neutrophils; 84% monomorphonuclear; 8% macrophages) and 160 erythrocytes / negative VDRL and culture. X-ray of other long bones, ophthalmological evaluation and abdominal ultrasound without alterations. Patient was hospitalized for 14 days for treatment with Ceftriaxone 100mg/kg/day, due to the lack of Crystalline Penicillin in the hospital. She is now under outpatient follow-up. Discussion: CS is responsible for high rates of morbidity and mortality. The ongoing increase of cases of this pathology reflects a severe health issue and indicates failures in policies for the prevention of sexually transmitted diseases, with inadequate follow-up of prenatal and maternity protocols.

scholarly journals Central aortic hemodynamics following acute lower and upper-body exercise in a cold environment among patients with coronary artery disease

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Heidi E. Hintsala ◽  
Rasmus I. P. Valtonen ◽  
Antti Kiviniemi ◽  
Craig Crandall ◽  
Juha Perkiömäki ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Dynamic Exercise ◽  
Upper Body ◽  
Cold Environment ◽  
Lower Body ◽  
Static Exercise ◽  
Upper Body Exercise ◽  
Post Exercise ◽  
Artery Disease

AbstractExercise is beneficial to cardiovascular health, evidenced by reduced post-exercise central aortic blood pressure (BP) and wave reflection. We assessed if post-exercise central hemodynamics are modified due to an altered thermal state related to exercise in the cold in patients with coronary artery disease (CAD). CAD patients (n = 11) performed moderate-intensity lower-body exercise (walking at 65–70% of HRmax) and rested in neutral (+ 22 °C) and cold (− 15 °C) conditions. In another protocol, CAD patients (n = 15) performed static (five 1.5 min work cycles, 10–30% of maximal voluntary contraction) and dynamic (three 5 min workloads, 56–80% of HRmax) upper-body exercise at the same temperatures. Both datasets consisted of four 30-min exposures administered in random order. Central aortic BP and augmentation index (AI) were noninvasively assessed via pulse wave analyses prior to and 25 min after these interventions. Lower-body dynamic exercise decreased post-exercise central systolic BP (6–10 mmHg, p < 0.001) and AI (1–6%, p < 0.001) both after cold and neutral and conditions. Dynamic upper-body exercise lowered central systolic BP (2–4 mmHg, p < 0.001) after exposure to both temperatures. In contrast, static upper-body exercise increased central systolic BP after exposure to cold (7 ± 6 mmHg, p < 0.001). Acute dynamic lower and upper-body exercise mainly lowers post-exercise central BP in CAD patients irrespective of the environmental temperature. In contrast, central systolic BP was elevated after static exercise in cold. CAD patients likely benefit from year-round dynamic exercise, but hemodynamic responses following static exercise in a cold environment should be examined further.Clinical trials.gov: NCT02855905 04/08/2016.

Upper Body Aerobic Exercise as a Possible Predictor of Lower Body Performance

2015 ◽  
Vol 86 (7) ◽  
pp. 599-605 ◽  
Author(s):  
Carl J. Ade ◽  
Ryan M. Broxterman ◽  
Jesse C. Craig ◽  
Susanna J. Schlup ◽  
Samuel L. Wilcox ◽  
...  
Keyword(s):  
Aerobic Exercise ◽  
Upper Body ◽  
Lower Body

scholarly journals Effects of the lower jaw position on athletic performance of elite athletes

2020 ◽  
Vol 6 (1) ◽  
pp. e000886
Author(s):  
John Patrick Haughey ◽  
Peter Fine
Keyword(s):  
Athletic Performance ◽  
Positive Impact ◽  
Elite Athletes ◽  
Upper Body ◽  
Lower Body ◽  
Lower Jaw ◽  
Hamstring Flexibility ◽  
Jaw Position ◽  
Upper Body Power ◽  
Lower Body Power

When an athlete wears a mouthguard, the position of the lower jaw is changed by virtue of the teeth being unable to occlude. Little research is available in in this area, which have indicated both positive impact and no positive impact.ObjectivesThis study aims to explore the influence of the lower jaw position on athletic performance in elite athletes.MethodsA repeated measures study compared two lower jaw positions, the athlete’s normal (habitual) bite and the lower jaw position when the muscles of mastication are at physiological rest (physiological rest bite). 15 athletes completed a medicine ball putt (upper body power), vertical jump (lower body power), sit and reach (composite hamstring flexibility), passive knee flexion (hamstring muscle length) and star excursion balance (stability and balance) tests in each condition.ResultsPaired t-tests showed the physiological rest bite had significant (p<0.05) positive effect on athletic performance for each test. On average the physiological rest bite provided an increase of lower body power (5.8%), upper body power (10%), hamstring flexibility (14%) and balance and stability (4.8%) compared to the habitual bite.ConclusionThis study provides evidence of the need for further research to confirm if the lower jaw position can be optimised for athletic performance in athletes.

scholarly journals Effects of a Comprehensive Pulmonary Rehabilitation in Severe Post-COVID-19 Patients

2021 ◽  
Vol 18 (5) ◽  
pp. 2695
Author(s):  
Marc Spielmanns ◽  
Anna-Maria Pekacka-Egli ◽  
Sabine Schoendorf ◽  
Wolfram Windisch ◽  
Matthias Hermann
Keyword(s):  
Acute Phase ◽  
Pulmonary Rehabilitation ◽  
Lung Diseases ◽  
Rating Scale ◽  
Functional Independence ◽  
Significant Enhancement ◽  
Walk Test ◽  
Prospective Design ◽  
Feeling Thermometer ◽  
Functional Independence Measurement

Background: Severe COVID-19 infection often leads to impairments requiring pulmonary rehabilitation (PR) following the acute phase. Little is known about the efficacy of PR in these patients. We therefore compared post-COVID-19 patients (PG) referred to PR patients with other lung diseases (LG). Methods: 99 PG were admitted to PR. In a prospective design, the results of PG were collected and compared to the results of LG of 2019 (n = 419) according to Functional Independence Measurement (FIM), Cumulative Illness Rating Scale (CIRS), 6-min walk test (6-MWT), duration of PR, and Feeling Thermometer (FT). Results: According to age, sex, and CIRS, both groups showed no significant differences. The improvements in the 6-MWT in the pre to post comparison were on average 180 (±101) meters for PG and 102 (±89) meters for LG (p < 0.001). FT showed a significant enhancement for PG of 21 (±14) points and for LG of 17 (±16) points (p < 0.039), while FIM significantly increased by 11 (±10) points in PG and 7 (±8) points in LG (p < 0.001). Conclusions: Comprehensive PR in PG is very effective according to the results in FIM, 6-MWT and FT. Therefore, we recommend PR following severe post-COVID-19 infections.

Analysis of Power Output Time Series in Response to Supramaximal Exercise: An Approach Through Dynamic Factor Analysis

2011 ◽  
Vol 23 (1) ◽  
pp. 3-16 ◽  
Author(s):  
Paula Marta Bruno ◽  
Fernando Duarte Pereira ◽  
Renato Fernandes ◽  
Gonçalo Vilhena de Mendonça
Keyword(s):  
Factor Analysis ◽  
Power Output ◽  
Soccer Players ◽  
Upper Body ◽  
Dynamic Factor Analysis ◽  
Dynamic Factor ◽  
Lower Body ◽  
Supramaximal Exercise ◽  
Output Time ◽  
Pattern Of Variation

The responses to supramaximal exercise testing have been traditionally analyzed by means of standard parametric and nonparametric statistics. Unfortunately, these statistical approaches do not allow insight into the pattern of variation of a given parameter over time. The purpose of this study was to determine if the application of dynamic factor analysis (DFA) allowed discriminating different patterns of power output (PO), during supramaximal exercise, in two groups of children engaged in competitive sports: swimmers and soccer players. Data derived from Wingate testing were used in this study. Analyses were performed on epochs (30 s) of upper and lower body PO obtained from twenty two healthy boys (11 swimmers and 11 soccer players) age 11–12 years old. DFA revealed two distinct patterns of PO during Wingate. Swimmers tended to attain their peak PO (upper and lower body) earlier than soccer players. As importantly, DFA showed that children with a given pattern of upper body PO tend to perform similarly during lower body exercise.

Cardiorespiratory responses to exercise distributed between the upper and lower body

1983 ◽  
Vol 54 (5) ◽  
pp. 1403-1407 ◽  
Author(s):  
M. M. Toner ◽  
M. N. Sawka ◽  
L. Levine ◽  
K. B. Pandolf
Keyword(s):  
Respiratory Exchange Ratio ◽  
Venous Return ◽  
Minute Ventilation ◽  
Peripheral Resistance ◽  
Upper Body ◽  
Lower Body ◽  
Upper Body Exercise ◽  
Cardiorespiratory Responses ◽  
Muscle Groups ◽  
Constant Power Output

The present study examined the influence that distributing exercise between upper (arm crank exercise) and lower (cycle exercise) body muscle groups had on cardiorespiratory responses to constant power output (PO) exercise. Six male volunteers completed five submaximal exercise bouts of 7-min duration at both 76 and 109 W. The arm PO/total PO (% arm) for these bouts was approximately 0, 20, 40, 60, and 100%. At 76 W, O2 uptake (VO2) did not change (P greater than 0.05) from 0 to approximately 20% arm (approximately 1.30 1 x min-1) but increased with increasing percent arm values up to 100% (1.58 1 x min-1). At 109 W, VO2 increased throughout the range of 0 (1.70 1 x min-1) to 100% arm (2.33 1 x min-1). In general, minute ventilation (VE) and respiratory exchange ratio (R) increased with increased percent arm values at 76 and 109 W. The heart rate (HR) responses remained unchanged from 0 to 60% arm at both 76 and 109 W; however, between 60 and 100% arm, a 26-beats x min-1 increase was observed at 76 W (143 beats x min-1 at 100% arm) and a 45-beats x min-1 increase at 109 W (174 beats x min-1 at 100% arm). These data suggested that during upper body exercise, the increased VO2 associated with increased percent arm values was not accompanied by an elevated HR response when at least 40% of the PO was performed by the lower body. This might be attributed to a facilitated venous return and/or a decreased total peripheral resistance when the lower body was involved in the exercise.

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