scholarly journals The Effect of Exercise Intervention on Disability and Kinesiophobia in a Retired Athlete With Old Patella Fracture: A Case Report

2021 ◽  
Vol 12 ◽  
Author(s):  
Yuqin Su ◽  
Li Huang ◽  
Haowei Liu ◽  
Shifan Chen ◽  
Li Peng
Keyword(s):  
Exercise Intervention ◽  
Football Player ◽  
Patella Fracture ◽  
Post Intervention ◽  
Daily Life Activities ◽  
Vas Score ◽  
Relieve Pain ◽  
Lysholm Knee Score ◽  
Two Stages ◽  
Tampa Scale For Kinesiophobia

Objectives: To evaluate the effect of exercise intervention on disability, pain, and kinesiophobia in a retired athlete with old patella fracture.Methods: A 34-year-old retired football player with old patella fracture conducted the exercise intervention for 12 weeks, 1 h each time, three times a week. the retired football player completed the Lysholm Knee Score (LKS), Visual Analog Scale (VAS), and the Tampa Scale for Kinesiophobia (TSK) were measured at pre-intervention, mid-intervention, and post-intervention.Results: Based on the functional training perspective, the retired athlete was subjected to two stages of exercise intervention for a total of 12 weeks. The patient's LKS score increased from 76 to 95, and the pain level of various physical states was relieved. When walking, the VAS score was reduced from 3 to 1, and when running, the VAS score was reduced from 5 to 2. Jumping VAS score for actions was reduced from 6 to 3, and the VAS score for of daily life activities was reduced from 3 points to 2. The patient's TSK score from 50 to 37.Conclusion: A 12-week exercise intervention could improve knee joint function, relieve pain and relieve kinesiophobia.

scholarly journals Adherence to a Lifestyle Exercise and Nutrition Intervention in University Employees during the COVID-19 Pandemic: A Randomized Controlled Trial

2021 ◽  
Vol 18 (14) ◽  
pp. 7510
Author(s):  
Guillermo García Pérez de Sevilla ◽  
Olga Barceló Guido ◽  
María de la Paz De la Cruz ◽  
Ascensión Blanco Fernández ◽  
Lidia B. Alejo ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Effect Size ◽  
Exercise Intervention ◽  
Controlled Trial ◽  
Intervention Group ◽  
Nutrition Intervention ◽  
Sitting Time ◽  
Post Intervention ◽  
University Employees ◽  
Randomized Controlled

Healthy lifestyles should be encouraged in the workplace through the occupational health teams of the companies. The objective of the present study was to evaluate the adherence to a lifestyle intervention carried out in university employees during the COVID-19 pandemic and its impact on health-related quality of life (HrQoL). A randomized controlled trial following the CONSORT guidelines was performed, consisting of three supervised interventions lasting for 18 weeks: an educational intervention on healthy habits, a nutritional intervention, and a telematic aerobic and strength exercise intervention. Lifestyle and HrQoL were analyzed six months post-intervention to assess adherence. Twenty-three middle-aged participants completed the study. The intervention group significantly improved their lifestyle according to the Health Promoting Lifestyle Profile II questionnaire, especially in the categories of Health Responsibility, Physical Activity, and Nutrition, with a large effect size. Sitting time was reduced by 2.5 h per day, with a moderate effect size. Regarding HrQoL, the intervention group showed a clinically significant improvement in the Physical Component Summary. Despite the lockdown and the mobility restrictions caused by the COVID-19 pandemic, this intervention performed on university employees achieved adherence to a healthier lifestyle and improved their HrQoL, which is of great clinical relevance.

scholarly journals Analgesic Effect of Apotel Versus Pethidine After Hemilaminectomy

2019 ◽  
Vol 5 (4) ◽  
pp. 185-189
Author(s):  
Mohammadreza Emamhadi ◽  
◽  
Hamid Behzadnia ◽  
Seifollah Jafari ◽  
Mohammadreza Zamanidoust ◽  
...  
Keyword(s):  
Recovery Process ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Vas Score ◽  
Relieve Pain ◽  
Present Cross Sectional Study ◽  
Significant Difference ◽  
Vas Scores ◽  
The Difference

Background: Postoperative pain is a common phenomenon, and its management affects considerably on the recovery process, and patients’ satisfaction. Apotel and pethidine are two conventional medicines used to relieve pain after operation. Objectives: The present study aimed to compare the effect of intravenous injection of Apotel and intramuscular injection of pethidine in relieving pain after hemilaminectomy. Materials & Methods: In the present cross-sectional study, 150 patients who underwent hemilaminectomy were recruited between May 2015 and November 2015. They were taking either Apotel (n=75) or pethidine (n=75) after the operation, which was done at Poursina Hospital affiliated to Guilan University of Medical Sciences, Rasht City, Iran. The patients’ pain levels were measured using visual analog scale (VAS), and the results were compared between the 2 groups. Results: There was no significant difference in the total VAS score between the Apotel and pethidine groups (P=0.189). However, there was a significant reduction in VAS score hours 2 (P=0.03) and 4 (P=0.004) hours after the injection of Apotel in this group, compared with those scores in the pethidine group. Also, VAS scores at other times (8, 12, 20, 28 hours after the injection) were lower than those in the pethidine group, but the difference was not significant. Conclusion: Apotel was better pain-killer in the early hours after the first injection compared to pethidine. But its effect was similar to pethidine at the late hours after the first injection. Therefore it seems that Apotel is better painkiller after laminectomy, especially in the early hours after the operation.

scholarly journals Changes in cardiorespiratory fitness and cardiovascular health in the workplace: a case study

2020 ◽  
Vol 32 (1) ◽  
pp. 1-4
Author(s):  
Georgia Torres ◽  
Philippe Gradidge ◽  
Demitri Constantinou
Keyword(s):  
Health Outcome ◽  
Cardiorespiratory Fitness ◽  
Cardiovascular Health ◽  
Exercise Intervention ◽  
Health Claims ◽  
Male Participant ◽  
Intervention Programme ◽  
Post Intervention ◽  
Medical Health

Background: Cardiorespiratory fitness (CRF) is an independent predictor of cardiovascular (CV) and all-cause mortality, contributing a higher proportion of CV risk compared to other traditionally recognised risk factors. However, CRF is not included in usual workplace wellness protocols and, as such, employers are not aware of the importance of this factor. Aim: The aim of this case study was to explore the effect of a 12-week exercise intervention programme on CRF, CV health and medical health claims in a male participant who was employed by a corporate company with existing chronic diseases. Findings: Health outcome measures improved after the 12-week exercise intervention programme. CRF showed the greatest improvement and medical health claims were lowered during the three-month post-intervention period. Implications: CRF should be included as a health outcome measure in worksite wellness programmes and monitored.

Effect of exercise on sleep and bi-directional associations with accelerometer-assessed physical activity in men with obesity

2020 ◽  
Author(s):  
Tatiana Plekhanova ◽  
Alex V. Rowlands ◽  
Melanie Davies ◽  
Charlotte L. Edwardson ◽  
Andrew Hall ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Aerobic Exercise ◽  
Sleep Duration ◽  
Exercise Intervention ◽  
Vigorous Physical Activity ◽  
Sleep Onset ◽  
Onset Time ◽  
Post Intervention

This study examined the effect of exercise training on sleep duration and quality and bidirectional day-to-day relationships between physical activity (PA) and sleep. Fourteen inactive men with obesity (49.2±7.9 years, BMI 34.9±2.8 kg/m²) completed a baseline visit, eight-week aerobic exercise intervention, and one-month post-intervention follow-up. PA and sleep were assessed continuously throughout the study duration using wrist-worn accelerometry. Generalised estimating equations (GEE) were used to examine associations between PA and sleep. Sleep duration increased from 5.2h at baseline to 6.6h during the intervention period and 6.5h at one-month post-intervention follow-up (p<0.001). Bi-directional associations showed that higher overall activity volume and moderate-to-vigorous physical activity (MVPA) were associated with earlier sleep onset time (p<0.05). Later timing of sleep onset was associated with lower overall volume of activity, most active continuous 30 minutes (M30CONT), and MVPA (p<0.05). Higher overall activity volume, M30CONT, and MVPA predicted more wake after sleep onset (WASO) (p<0.001), whereas greater WASO was associated with higher overall volume of activity, M30CONT, and MVPA (p<0.001). An aerobic exercise intervention increased usual sleep duration. Day-to-day, more PA predicted earlier sleep onset, but worse sleep quality and vice versa. Novelty: • Greater levels of physical activity in the day were associated with an earlier sleep onset time that night, whereas a later timing of sleep onset was associated with lower physical activity the next day in men with obesity • Higher physical activity levels were associated with worse sleep quality, and vice versa

Evaluating the effects of a structured exercise intervention on physical self-worth in men with prostate cancer: Addressing an unmet need.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 11625-11625 ◽  
Author(s):  
Richard Francis Dunne ◽  
Charles E. Heckler ◽  
Julia Ellen Inglis ◽  
Po-Ju Lin ◽  
Chunkit Fung ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Body Image ◽  
Exercise Intervention ◽  
Controlled Trial ◽  
Unmet Need ◽  
Secondary Analysis ◽  
Self Esteem ◽  
Depression And Anxiety ◽  
Post Intervention ◽  
Self Worth

11625 Background: Improving body image and self-esteem are top ASCO priorities in the survivorship care of men with prostate cancer (PCa). Body image and global self-esteem, influenced by physical self-worth, are negatively affected by PCa treatment. We investigate whether exercise can improve physical self-worth in men treated for PCa and if improving self-worth is associated with changes in quality of life (QoL) and mental health. Methods: We performed a secondary analysis of a phase II randomized controlled trial comparing the effects of Exercise for Cancer Patients(EXCAP), a structured, 6-week, home-based exercise intervention, to usual care (UC) in men with non-metastatic PCa receiving radiation or Androgen Deprivation Therapy (ADT). The Physical Self-Perception Profile (PSPP), a valid 30-item questionnaire where higher scores indicate greater physical self-worth, was assessed at pre- and post-intervention. Changes between arms were compared using ANCOVA. Spearman correlations were calculated for pre/post-intervention change scores for PSPP and QoL, depression, and anxiety as measured by the Functional Assessment of Cancer Therapy (FACT), Center of Epidemiologic Studies Depression (CES-D) scale, and State-Trait Anxiety Inventory (STAI), respectively. Results: Fifty-eight men were randomized; average age was 67.1 years. Physical self-worth at baseline moderated the effect of the intervention. Compared to UC, EXCAP improved physical self-worth in those with baseline PSPP scores above the median (p < 0.04). Exercisers with baseline PSPP scores in the top quartile demonstrated a more significant improvement over UC (p < 0.01). Improvements in physical self-worth were associated with improved QoL (r = 0.29, p = 0.04), depression (r = -0.28, p = 0.04) and anxiety (r = -0.30, p = 0.03). Conclusions: Exercise significantly improves physical self-worth in men with PCa on radiation or ADT, and greater physical self-worth is associated with improved QoL, depression and anxiety. Those with higher baseline physical self-worth derived the most benefit from exercise. Exercise should be prescribed to boost self-esteem and body image in men receiving radiation or ADT for PCa. Clinical trial information: NCT00815672.

scholarly journals Auditory feedback alters postural control and functional ability in patients with chronic stroke

2020 ◽  
Author(s):  
Hee Sung Lim ◽  
Jiseon Ryu ◽  
Sihyun Ryu
Keyword(s):  
White Noise ◽  
Inclination Angle ◽  
Auditory Feedback ◽  
Exercise Intervention ◽  
Center Of Pressure ◽  
Dynamic Balance ◽  
Effective Means ◽  
Center Of Mass ◽  
Chronic Stroke ◽  
Post Intervention

Abstract Background: This study aimed to investigate the effect of white noise on dynamic balance in patients with stroke and the pre- and post-intervention changes in dynamic balance during walking by analyzing the anterior-posterior (A-P) and medial-lateral (M-L) center of pressure (CoP) range and velocity, center of mass (CoM), and A-P/M-L inclination angle using CoM-CoP and to establish the basis for using auditory feedback as an effective means of exercise intervention by bringing changes in dynamic balance abilities of patients with chronic stroke and retain the necessary abilities for maintaining independent and functional daily living.Methods: Nineteen patients with chronic stroke (age: 61.2±9.8 years, height: 164.4±7.4 cm, weight: 61.1±9.4 kg, paretic side (R/L): 11/8, duration: 11.6±4.9 years) were included as study participants. Auditory feedback used white noise, and all participants listened for 20 minutes mixing six types of natural sounds with random sounds. The dynamic balancing ability was evaluated during the walking, and the variables were the center of pressure (CoP), the center of mass (CoM), CoP-CoM inclined angle.Results: There is a significant increase in the A-P CoP range, A-P inclination angle, and gait speed on the paretic and non-paretic sides following white noise intervention (p<.05). In addition, the changes in CoP velocity on the paretic and non-paretic sides increased in both the A-P and M-L directions but not significantly.Conclusion: Our findings confirmed the positive effect of using white noise as auditory feedback through a more objective and quantitative assessment using CoP-CoM inclination angle as an evaluation indicator for assessing dynamic balance in patients with chronic stroke. The A-P and M-L inclination angle can be employed as a useful indicator for evaluating other exercise programs and intervention methods for functional enhancement of patients with chronic stroke in terms of their effects on dynamic balance and effectiveness.

scholarly journals Is radiofrequency use in arthroscopic treatment of isolated medial meniscus horizontal cleavage tears more effective than mechanical debridement in young adults?

2020 ◽  
pp. 76-76
Author(s):  
Özgür Korkmaz ◽  
Uğur Kasman ◽  
Sıtkı Çeçen
Keyword(s):  
Clinical Outcomes ◽  
Medial Meniscus ◽  
Knee Score ◽  
Arthroscopic Partial Meniscectomy ◽  
Vas Score ◽  
Bipolar Radiofrequency ◽  
Lysholm Knee Score ◽  
The Mean ◽  
Early Clinical Outcomes

Introduction/Objective. Arthroscopic mechanical hand tools, motorized shavers, and bipolar radiofrequency are used in arthroscopic partial meniscectomy. The aim of this study is to evaluate efficacy of radiofrequency on early clinical outcomes in patients who underwent arthroscopic partial meniscectomy with horizontal cleavage tear and without additional intraarticular knee pathology. Methods. A total of 37 patients complied with the study criteria. Patients were divided into two groups according to usage of bipolar radiofrequency. Patients were evaluated by using visual analog scale (VAS) and Tegner Lysholm knee scores at the end of the first year follow-up. Results. Twenty-two patients comprised the shaver-using group. Preoperative mean VAS score was 7.9 ? 0.8, and the Tegner Lysholm knee score was 49.6 ? 9.6. Fifteen patients comprised the bipolar radiofrequency-using group. Preoperative VAS score was 7.8 ? 0.9, and the Tegner Lysholm knee score was 52.2 ? 10.7. The mean VAS score was 1.2 ? 0.9, and the mean Tegner Lysholm knee score was 89.5 ? 8.1 in shaver used group at last follow-up. At the last postoperative follow-up, the mean VAS score was 1.1 ? 1, and the Tegner Lysholm knee score was 88.8 ? 7.3 in the bipolar radiofrequency-using group. No statistically significant differences between the VAS and Tegner Lysholm knee scores of the preoperative and postoperative controls of the two groups were observed (p?0.05). Conclusion. Radiofrequency use has no effect on early clinical outcomes in the arthroscopic treatment of isolated medial meniscus posterior horn horizontal cleavage tears; we do not recommend its use

scholarly journals Impact on the quality of life after mitral clip implantation

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
J Valverde Bernal ◽  
J Ruiz Gabalda ◽  
FJ Delgado Sanchez ◽  
G Berga Congost ◽  
A Marquez Lopez
Keyword(s):  
Quality Of Life ◽  
Mitral Regurgitation ◽  
Short Form ◽  
Mitral Insufficiency ◽  
Short Term ◽  
Post Intervention ◽  
Daily Life Activities ◽  
Katz Index ◽  
Sf 36

Abstract Background and objectives Mitral regurgitation is a very limiting disease for the patient. The objetctive is to analitze the effectiveness of the mitral clip implantation on the quality of life and the degree of dependence in patients with mitral regurgitation Methods Almost experiment study of time series. The quality of life was evaluated with the Minnesota Living With Heart Failure (MLWHFQ) and Short-Form 36 (SF-36) questionnaire, 6 months before the intervention, 1 day before, 1 month after and 6 months later. The degree of dependence was evaluated with the Katz Index. The intervention was considered effective when the MLWHDQ decreased in 10 points and/or the Katz Index 1 point. Other variables were socio-demographic and clinical factors Results Twenty patients were introduced with a mean age of 78,6 ± mostly men (75%) and with very prevalent cardiovascular risk factors. The total MLWHFQ score decreased significantly after the intervention by 26.63 points (p = 0.004) and in the physical dimension by 12.13 points (p = 0.004) and 5.75 points (p = 0.007). In contrast, the modification of the score in the Katz Index was 0.14 points (p = 0.257) There was a significant decrease in pre and post intervention symptoms: dyspnea (p = 0.063), fatigue (p = 0.000) and maleolar oedema (p = 0.063) In the SF-36 health transition question, 75% of patients reported feeling better or much better after 6 months of the intervention. Conclusions These results suggest that mitral clip implantation improves short-term quality of life in patients with mitral insufficiency, although it doesn"t change the degree of dependence for short-term daily life activities. In addition, mitral clip implantation improves the limiting symptoms of these patients and the health perception at 6 months.

scholarly journals Prehabilitation during a pandemic: preoperative exercise to improve fitness in patients undergoing complex surgery for cancer of the lung or oesophagus, the PRE-HIIT trial: an updated study protocol

2021 ◽  
Vol 4 ◽  
pp. 4
Author(s):  
Grainne Sheill ◽  
Emer Guinan ◽  
Linda O'Neill ◽  
Emily Smyth ◽  
Charles Normand ◽  
...  
Keyword(s):  
High Intensity ◽  
Exercise Intervention ◽  
Interval Training ◽  
Well Being ◽  
Postoperative Recovery ◽  
High Intensity Interval Training ◽  
Post Intervention ◽  
High Intensity Interval ◽  
The Impact ◽  
Cancer Of The Lung

Background: Pre-operative fitness is an established predictor of postoperative outcome; accordingly, targeting pre-operative fitness through exercise prehabilitation has logical appeal. Exercise prehabilitation for patients with cancer of the lung or oesophagus is challenging to implement due to the short opportunity for intervention between diagnosis and surgery. In addition, there are now additional challenges to providing prehabilitation during the coronavirus disease 2019 (COVID-19) pandemic due to concerns about social distancing and minimising patient contact. The PRE-HIIT project will examine the influence of virtually delivered exercise prehabilitation on physiological outcomes and postoperative recovery. Methods: The PRE-HIIT randomised controlled trial (RCT) will compare a 2-week high intensity interval training programme to standard preoperative care in a cohort of patients with thoracic and oesophageal cancers. A protocol for this study has been published previously. As a result of the COVID-19 pandemic, changes to the study assessment battery and the mode of intervention delivery have been made. The PRE-HIIT programme will now be a home-based intervention. Both the exercise intervention and standard care will be delivered via telehealth. The recruitment target for the study remains 78 participants. There is no change to the primary outcome of the study; cardiorespiratory fitness. Secondary outcomes include measures of pulmonary and physical function, quality of life and post-operative morbidity. Outcomes will be measured at baseline and post-intervention. The impact of PRE-HIIT on well-being will be examined qualitatively with interviews post-intervention (T1). This revised protocol will also explore participant’s satisfaction with delivery of prehabilitation via telehealth. The healthcare costs associated with the PRE-HITT programme will also be examined. Discussion: The overall aim of this RCT is to examine the effect of tailored, individually prescribed high intensity interval training on pre-operative fitness and postoperative recovery for patients undergoing complex surgical resections. Trial registration: ClinicalTrials.Gov NCT03978325 07/06/2019

Physical intervention to relieve pain in women with primary dysmenorrhoeaA new perspective

2020 ◽  
Vol 11 (4) ◽  
pp. 5071-5075
Author(s):  
Sujatha B ◽  
Jagatheesan Alagesan ◽  
Tinu Priya R ◽  
Sarumathi S
Keyword(s):  
Standard Deviation ◽  
Treatment Protocol ◽  
Control Group ◽  
P Value ◽  
Daily Life Activities ◽  
Primary Dysmenorrhoea ◽  
Relieve Pain ◽  
Post Test ◽  
New Perspective ◽  
Experimental Group

Dysmenorrhoea is menstruation with pain involving abdominal cramps. It can affect females daily life activities and productivity. Aim of the study is to find the effectiveness of exercise and various stretching techniques used as a treatment protocol for primary dysmenorrhoea. Forty-five students were selected based on a questionnaire. Out of this, 38 subjects were selected and divided into two groups as the control group (n=19) and the experimental group (n=19). Each group were given separate exercise protocol. The post-test value will be taken after eight weeks (2 menstrual cycles). The exercises were performed from the sixth day of the menstrual cycle. The results were determined from the statistical analysis. It has been revealed that there is a significant improvement in the experimental group than the control group. In the control group, the pre-test mean is 7.84, with the standard deviation being 1.30 and the post-test mean 5.10 with a standard deviation of 1.96. P-value in the control group was less than 0.0001. In the experimental group, the pre-test mean is 7.52, with the standard deviation being 1.54 and the post-test mean being 4.57 and a standard deviation of 2.19. P-value in the experimental group was less than 0.0001. The overall results show that there is a significant improvement in pain (VAS) in both treatment groups. The results obtained suggested that both strengthening and stretching techniques have a positive effect on the treatment of primary dysmenorrhoea. The improvement is more significant in the experimental group.

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