scholarly journals Benefit of Wearing an Activity Tracker in Sarcoidosis

2020 ◽  
Vol 10 (3) ◽  
pp. 97
Author(s):  
Marjolein Drent ◽  
Marjon Elfferich ◽  
Ellen Breedveld ◽  
Jolanda De Vries ◽  
Bert Strookappe

Sarcoidosis causes many disabling symptoms, including fatigue and exercise limitations, which have been shown to improve by physical activity programs. The aim of this study was to estimate the effect of continuous activity monitoring using an electronic activity tracker (AT) on exercise performance and fatigue of sarcoidosis patients, compared to controls (cohort study), and the effect of additional personal coaching (randomized trial) over a period of 3 months. Fifty-four sarcoidosis patients received an AT (Group Ia: 27 with coaching and Group Ib: 27 without). A historical group of sarcoidosis patients (Group II; n = 41) who did not follow a physical activity program served as controls. Exercise performance of patients wearing an AT (Group I) improved compared with controls (Group II), including the 6MWD, % predicted (∆4.4 ± 9.1 versus ∆0.7 ± 5.0, respectively), and fatigue levels decreased (∆−3.9 ± 5.7 versus ∆−1.8 ± 5.3). Patients with coaching (Group Ia) showed greater improvement of exercise capacity over time than patients without coaching (Group Ib) as shown by the Steep Ramp Test results (watts: ∆20.2 ± 33.8 versus ∆5.7 ± 26.4; and SRT, VO2max, % predicted: ∆1.6 ± 2.6 versus ∆0.7 ± 2.3). Sarcoidosis patients wearing an AT achieved improvement of exercise performance and reduction of fatigue. We therefore recommend encouraging sarcoidosis patients to wear an AT to stimulate physical activity and reduce fatigue. The additional benefit of coaching needs to be explored in future studies.

Author(s):  
Eko Wibowo ◽  
J. Alex Pangkahila ◽  
S. Indra Lesmana ◽  
Nengah Sandi ◽  
I Putu Adiartha Griadhi ◽  
...  

Osteoarthritis of the knee joint is a chronic degenerative joint disease, with slowly progressive runs, where the structure of joints have a pathological changes. Characterized by imbalances of regeneration and degeneration that causes pain, impaired joint mobility or limited range of motion (LGS), stiffness, instability and muscles weakness arround the joint. The purpose of this study was to compare functional ability level in the additional kinesiotaping for quadriceps setting exercise in patients with osteoarthritis of the knee joint. This research uses experimental methode with pre-test and post-test group design. Number of samples of the first group 9 patients were given quadriceps setting exercise with a duration of 3 sets, 10 repetitions, three times a week for 3 weeks, in second group were 9 patients given kinesiotaping combine with quadriceps setting with 3-days used and 2-day intervals. The results showed : (1) there is an increase functional ability test results in the treatment group I. Related t-test results show mean ± SB pre test (28.18 ± 2.84) and the mean ± SB post test (31.41 ± 3.31) with p = 0.000 (p <0.05). (2) there is increased functional ability test results in the treatment group II. Results related t-test showed mean ± SB pre test (26.48 ± 3.74) and (31.30 ± 3.33) with p = 0.000 (p <0.05). (3) there are significant differences in test results koos in the treatment group I and group II treatment. Comparison test results show mean ± SB group I (3.22 ± 1.65) and the mean ± SB group II (4.82 ± 1.12) with p = 0.003 (p> 0.05). It was concluded that the addition kinesiotaping the quadriceps setting exercise can improve functional ability of patients with osteoarthritis of the knee joint. There is a significant difference in functional enhancement between the quadriceps setting treatment and the addition of kinesiotaping to the quadriceps setting exercise. The addition of kinesiotaping to the quadriceps setting exercise is better than the quadricep setting exercise to improve functional ability in patients with knee osteoarthritis.


2011 ◽  
Vol 20 (5-6) ◽  
pp. 95-104 ◽  
Author(s):  
Matteo Merati ◽  
Alice Beretta ◽  
Luca Eid ◽  
Francesco Casolo ◽  
Nicola Lovecchio

Physical Activity Effects in Elderly Female: Evaluation through Six-minute Walking Test Study aim. Aerobic capacity is very important for elderly. Daily living activities, such as walking, doing housework and shopping, require a good strength, but also a good aerobic endurance. The aim of this study was to verify the effects of regular training activity on a typical daily action, such as deambulation. Material and methods. Twenty-six volunteer elderly women randomly divided into two groups, group II (age = 64,5 ± 3,58 years, weight = 61,67 ± 4,25 kg, height = 1,62 ± 0,04 m; BMI = 23,67 ± 1,79 kg m-2), group I (age = 65,21 ± 4,59 years, weight = 63,36 ± 7,59 kg, height = 1,62 ± 0,06 m; BMI = 24,1 ± 1,98 kg m-2) participated in this study. Groups performed endurance training for eight weeks (2 days per week, 1 hour each, for experimental group II; 1 day per week, 1 hour each, for experimental group I). Exercises involved in many possibilities of physical expression to keeping all body in motion for at least 30 min. During the second 30 min exercises for abdominal and lower limb muscles were proposed. The physical efficacy was tested through 6 min walking test. Results. After the training all people increased the distance in the test. Group II participants significantly improved their distance (pre-training = 636.25 m, post-training = 673.75 m). Group I reported also improvements (pre = 568.21 m; post = 600 m), but with a minor level of significance. Conclusions. Specific regular physical activity provides significant benefits adopting two sessions per week but it is also important do not underestimate the possibility, where people can not, of a one training session per week. Regular and adequate levels of physical activity allow improving daily living activity helping the elderly to keep their autonomy as long as possible.


Author(s):  
Ozgun Iyigun ◽  
Tugce Uzar ◽  
Irem Karaman ◽  
Adem Dirican ◽  
Sevket Ozkaya

Objective: The bronchodilator test is a useful method for measuring the changes in lung capacity with spirometry after inhaling a short-acting bronchodilator drug to diagnose patients with obstructive lung disease. Although its liquid form was available, the inhaler form of levosalbutamol is a relatively new short-acting bronchodilator. To measure the efficacy of levosalbutamol in acute bronchodilator reversibility, in this study, we aimed to compare the effects of salbutamol and new levosalbutamol/ipratropium combination on early reversibility and FEV1 changes observed in bronchodilator tests. Methods: Bronchodilator test results of forty-two patients who were selected according to the inclusion criteria were retrospectively analyzed. The results of spirometry analysis were evaluated for twenty-four patients who received salbutamol (Group I) and eighteen patients who received levosalbutamol/ipratropium combination (Group II). Reversibility levels were evaluated as the absolute and percentage changes in FEV1. Results: The changes of absolute and percentage values of mean FEV1 were 159±118 mL, 12.2%±11.4% in salbutamol (Group I) group and 233±191mL, 18.8%±15.6% in levosalbutamol / ipratropium (Group II) combination (p=0.025 and 0.048, respectively). Although no significant difference was observed in the reversibility results, Group II showed significantly improved FEV1 values compared to Group I. Conclusion: To the authors’ knowledge, this is the first study demonstrating that the combination of inhalation therapy with levosalbutamol and ipratropium bromide is more beneficial than salbutamol alone in terms of FEV1 improvement in bronchodilator test. We suggest that this combination can be a good candidate for utilization in diagnostic bronchodilator tests since it proved a specific higher improvement in FEV1 values.


2019 ◽  
Vol 26 (1) ◽  
Author(s):  
Hasroni Fathurrahman ◽  
Doddy M Soebadi ◽  
Lukman Hakim

Objective: To analyze, measure, compare, prove, and evaluate effectiveness of silodosin, diclofenac sodium, and the combination of both drugs in pain management after stent removal. Materials & Methods: Thirty-three patients were divided into three groups. Group I was given diclofenac Sodium 50 mg, group II was given silodosin 8 mg and group III was given the combination of diclofenac sodium 50 mg and silodosin 8 mg. The Wong Baker Pain Scale (WBPS) was assessed serially: two hours before the DJ stent removal, during DJ stent removal, and after the DJ stent removal (2 hours and 24 hours after). The data was analyzed by ANOVA and Kruskal-Wallis test. Results: In this study, 33 patients who underwent DJ stent removal were obtained. Wong Baker was presented in median (min-max) form. The WBPS study in each group did not differ statistically significant. Lowest WBPS during DJ stent removal was found in group III. Group III was better and statistically significant in reducing pain compared to group I and group II (p<0.05). WBPS two hours after removal in each group decreased and group III was better and statistically significant in reducing pain compared to group II, whereas group III compared to group I had an equivalent effectiveness. While the WBPS 24 hours after removal had the same value and did not differ significantly. No side effects or adverse events were found in the use of diclofenac sodium, silodosin, and their combinations. Conclusion: Single oral dose of diclofenac sodium combined with silodosin is effective to reduce pain after DJ stent removal.


Author(s):  
Meghan McCue ◽  
Kara Marlatt ◽  
John Sirard

Purpose: The purpose of this study was to examine weight, diet, and physical activity (PA) changes in youth over summer vacation. Methods: Thirty healthy subjects (19 male, 11 female; mean age + SEM 10.0+0.1 yrs) were assessed before the end of the 2009/2010 school year (baseline), and prior to the start of the 2010/2011 school year (post-test).Results: Significant (p< 0.05) increases in height, weight, body mass index (BMI), and BMI percentile-for-age were observed. Percent time spent in light (p=0.002) and moderate (p=0.014) PA intensities both decreased, while time spent being sedentary significantly (p=0.006) increased. No significant diet changes were reported. Conclusion: This healthy youth population increased time spent being sedentary at the expense of light and moderate PA over summer vacation. The result was an increase in BMI and BMI percentile-for-age. Future studies are needed to examine ways to prevent this decline in PA in youth over summer vacation.


2022 ◽  
Vol 29 ◽  
pp. 107327482110566
Author(s):  
Anna Lewandowska ◽  
Grzegorz Rudzki ◽  
Tomasz Lewandowski ◽  
Aleksandra Stryjkowska-Góra ◽  
Sławomir Rudzki

Background Colorectal cancer defined as cancer of the colon or rectum, is the third most frequently diagnosed cancer in men and the second in women, and, according to the World Health Organization database GLOBOCAN, it accounts for nearly 1.4 million new cases annually worldwide. The occurrence of colorectal cancer is associated with nonmodifiable risk factors, including age and hereditary factors, as well as with modifiable environmental and lifestyle factors. Methods The study included 800 patients, 400 diagnosed with colorectal cancer and 400 within the control group, who gave their written informed consent to participate in the study. Patients with cancer other than colorectal cancer were randomly selected for control group I, and patients with no cancer diagnosis were selected for control group II. The method used was a case-control study – an observational and analytical study with a control group, conducted among patients of the Clinical Oncology Centre and the Provincial Hospital in the years 2019–2020. The study comparing the exposure was carried out in a group of people who developed the endpoint, that is colorectal cancer, with the exposure in a well-matched group of controls who did not reach the endpoint. Assessment of activity and BMI was used according to WHO recommendations, as well as the expert system. The data were tested for the distribution and the homogeneity of variance was validated before applying the parameter tests. Comparison of quantitative variables between groups was performed using ANOVA. Results The mean age of the patients was 64.53 ± 8.86 years, of the control group I – 59.64 ± 9.33 and the control group II – 57.5 (7.83). There was a strong positive association between the incidence of ulcerative colitis and the risk of colorectal cancer ( P < .01). Among obese subjects, the risk of developing colorectal cancer was 1.27 (95% CI, 1.06–1.53) compared with nonobese subjects. A strong positive relationship was found between low physical activity converted to metabolic equivalent of MET effort per week and the risk of colorectal cancer ( P < .001). The relative risk for current smokers was 2.17 (95% CI 1.79–2.66). There was an association between higher fat consumption and higher red meat consumption and the risk of developing colorectal cancer ( P < .01). Conclusions Obesity, low physical activity, active and passive smoking and high salt and red meat consumption have been associated with an increased risk of colorectal cancer. These findings provide further evidence of the importance of maintaining a healthy lifestyle.


2019 ◽  
Vol 87 (4) ◽  
pp. 179-187
Author(s):  
Wioletta Waksmańska ◽  
Halina Woś ◽  
Rafał Bobiński

Aim. The aim of the research was to analyze the incidence of abnormal body weight values and to assess eating habits and physical activity of nurses.Material and Methods. The studies involved all first‑year nursing students of the second degree daily studies, working as a nurse. The women’s eating habits were analyzed based the diet. The questionnaire allowed the researchers to determine daily consumption of each particular dietary component (proteins, carbohydrates, fats, fatty acids, vitamins) as well as the women’s calorie consumption.Results. The analysis showed that the group of underweight participants was comprised of 5 students (group I), the group of participants with normal body weight — of 43 students (group II), and the group of participants with excessive body weight — of 10 students (group III). Group II students spent the longest time on (moderate and intense) physical activity (on average 378 minutes/week), whereas group III students — the shortest (on average 203 minutes/week). While analyzing the average protein intake, it was found that all groups exceeded its daily requirement. The intake of sodium and cholesterol was exceeded more than twice of the recommended amount. A very low intake of vitamin D — covering from 40 to 48% of the daily requirement — was observed in all groups.Conclusions. Despite the fact that the nurses’ diet includes all nutrients necessary for the body, it is not properly balanced which obliges to raising awareness of types of consumed food.


2020 ◽  
Vol 15 (2) ◽  
pp. 121
Author(s):  
Suharto Suharto ◽  
Suriani Suriani

Lumbar spondylosis is a condition of lower back pain caused by disc degeneration and facet joint which is characterized by osteophyte growth in the vertebral body precisely at the inferior and superior corpus edges, causing problems of pain, spasm, and impaired lumbar flexibility. The purpose of this study was to determine the difference in effect between the Ichemic compression technique (ICT) and Myofascial Release Technique (MRT) on the improvement of Lumbar Flexibility in patients with lumbar spondylosis, which was carried out at the Physiotherapy Clinic of TK II Pelamonia Hospital Makassar. The number of research subjects obtained as many as 20 people who meet the research criteria Then randomized into 2 groups: the treatment group I with ICT as many as 10 people and the treatment group II as many as 10 people with MRT. The research results show that the administration of Ichemic Compression Technique can increase lumbar flexibility with a mean difference 1,250. Whereas MRT administration can increase lumbar flexibility with a mean difference of 1,950. Wilcoxon test results of the treatment group I on the flexibility component obtained p value = 0.004 (p <0.05) while the treatment group II on the lumbar flexibility component obtained p value = 0.004 (p <0.05) which means that the provision of ICT with MRT can produce significant effect on increasing lumbar flexibility in patients with lumbar spondylosis. Mann Whitney test results on the lumbar flexibility component for treatment groups I and II p value = 0.035 (p <0.05). If seen from the mean values above, it can be concluded that the administration of Myofascial Release Technique (MRT) can result in a greater increase in lumbar flexibility compared to the Intermitten compression technique.  Keywords: Ichemic compression technique., Lumbar flexibility, Myofascial Release Technique, Lumbar Spondylosis 


2019 ◽  
Vol 13 (3) ◽  
pp. 205-11
Author(s):  
Isabel Rosa ◽  
Joaquim Rodeia ◽  
Pedro Xavier Fernandes ◽  
Raquel Teixeira ◽  
Hugo Ribeiro ◽  
...  

Introduction: The aims were to assess residual deltoid ligament instability after lateral malleolus osteosynthesis and to compare the outcomes of deltoid suture and syndesmotic fixation. Methods: A consecutive series of 65 eligible patients with a displaced or minimally displaced fibula fracture identified on a stress radiograph were prospectively enrolled. The patients were randomized into two groups, namely, group I (deltoid repair) and group II (syndesmotic fixation). We assessed the competence of the deltoid ligament intraoperatively using a manual stress test. Only the patients with residual medial instability (Medial Clear Space greater than 4 mm) were randomly assigned for treatment by deltoid ligament repair with anchor or syndesmotic fixation. Results: Of all the patients, 60 (92.2%) had positive preoperative manual stress test results. After fracture osteosynthesis, the test results were still positive in 13 (21.6%) patients, 8 (13.3%) patients from group I, both superficial and deep layers sutured with a bone anchor, and 5 patients (8.3%) from group II, stabilized with a syndesmotic 4-cortical screw. At the end of the surgery, a new manual stress test was performed, which proved stability in all the patients. The average follow-up period was 23.5 months. In groups I and II, the AOFAS scores were 95 and 93, the EQ-5D measures were 0.758 and 0.743, the visual analogue scale (VAS) scores were 16.7 and 19.2, and the Medial Clear Space values were 2.7 ± 0.5 mm and 2.6 ± 0.4 mm, respectively, without statistically significant differences. Conclusion: In 21.6% of cases, residual medial instability persisted after osteosynthesis of the lateral malleolus. The deltoid repair and syndesmotic fixation groups showed similar functional and radiological outcomes. Level of Evidence II; Therapeutic Studies; Prospective Comparative Study.


2019 ◽  
Vol 12 (4) ◽  
pp. 77-82
Author(s):  
E. V. Yani ◽  
E. N. Orlova ◽  
V. A. Golikova

Clinical data on new directions in combined treatment of neurotrophic keratitis, including anti-inflammatory therapy are presented.Purpose. To compare the effectiveness of bromfenac 0.09 %, nepafenac 0.1 % and indomethacin 0.1 % eye drops in the treatment of neurotrophic keratitis (NK).Materials and methods. 22 NK patients, aged 34 to 78, were divided into three groups. Group I received bromfenac 0.09 %, group II, nepafenac 0.1 %, and group III, indomethacin 0.1 %. Ophthalmic tests included visometry, biomicroscopy, corneal sensitivity determination, as well as diagnostic tests to determine indicators of tear production (Schirmer test, Norn test, LIPCOF test), and measuring lacrimal meniscus height.Results. Between visits V2 and V3, patients of group III showed an increase in conjunctival irritation to an average of 2.3 points, while groups I and II revealed the condition of the conjunctiva at 0.9 and 1.1 points, respectively. The lesion area was evaluated in points (max = 20) and averaged on V1 6.8 points in group I, 5.9 points in group II and 7.2 points in group III. Keratopathy in group I which was estimated at 3.8 points before V2, dropped to 1.4 points by V3. In group III it was 1.7 points by V3. In group II, keratopathy showed only 4.1 points by V3. The average Norn test on the day of treatment showed 2.7 seconds in group I, 2.5 seconds in group II, and 3.1 seconds in group III. No significant increase in Schirmer's test results in all groups was recorded.Conclusion. The use of non-steroidal anti-inflammatory eye drops of various groups — bromfenac 0.09%, nepafenac 0.1 % and indomethacin 0.1 % — gave a positive result in NK therapy. However, bromfenac 0.09% instillations administered once a day produce a higher anti-inflammatory effect then the same quantity of nepafenac 0.1% and indomethacin 0.1 % instillations.


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