scholarly journals Effects of a Traditional versus an Alternative Strengthening Exercise Program on Shoulder Pain, Function and Physical Performance in Individuals with Subacromial Shoulder Pain: A Randomized Controlled Trial

Sports ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 48
Author(s):  
Simon Schedler ◽  
Dennis Brueckner ◽  
Marco Hagen ◽  
Thomas Muehlbauer
Keyword(s):  
Shoulder Pain ◽  
Physical Performance ◽  
Exercise Program ◽  
Training Group ◽  
Isometric Strength ◽  
Training Device ◽  
Strengthening Exercise ◽  
Elastic Bands ◽  
Shoulder Flexibility ◽  
Alternative Training

A manual shoulder-training device may represent an alternative training device to improve symptoms and function in patients with subacromial shoulder pain by strengthening the external rotators. Thus, we examined the effects of a traditional versus an alternative strengthening exercise program on shoulder pain/function and physical performance in individuals with subacromial shoulder pain. Fifty-six adults with subacromial shoulder pain were randomly assigned to a passive control group (CON; n = 20), a traditional training group (TRA; n = 19), or an alternative training group (ALT; n = 17). Both training groups conducted a progressive home-based strengthening exercise program for the external rotators for eight weeks using elastic bands only (TRA group) or in combination with the shoulder-training device (Schulterhilfe®) (ALT group). Pre- and post-training assessment included measures of shoulder pain/function (i.e., shoulder pain and disability index (SPADI)) and physical performance (i.e., shoulder flexibility, maximal isometric strength, and strength endurance). We found significant test × group interactions in most of the investigated variables. Post hoc analyses showed significant training-related improvements for proxies of shoulder pain/function, shoulder flexibility, maximal isometric strength, and strength endurance in favor of the ALT and TRA group in comparison to the CON group. Further, larger and more frequent effects were found for the ALT compared to the TRA group. Measures of shoulder pain/function and physical performance can be significantly improved by both training regimens in individuals with subacromial shoulder pain. However, strength training using elastic bands with the manual shoulder device (ALT group) as compared to elastic bands (TRA group) only was more effective and may thus be a recommendable alternative in order to mitigate subacromial shoulder pain.

scholarly journals Effects of Aerobic Exercise on the Physical Performance and Incidence of Treatment-Related Complications After High-Dose Chemotherapy

Blood ◽  
1997 ◽  
Vol 90 (9) ◽  
pp. 3390-3394 ◽  
Author(s):  
Fernando Dimeo ◽  
Sebastian Fetscher ◽  
Winand Lange ◽  
Roland Mertelsmann ◽  
Joseph Keul
Keyword(s):  
Aerobic Exercise ◽  
Cancer Patients ◽  
Physical Performance ◽  
Randomized Study ◽  
Exercise Program ◽  
Interval Training ◽  
Training Group ◽  
High Dose Chemotherapy ◽  
Control Group ◽  
High Dose

Abstract Loss of physical performance is a universal problem of cancer patients undergoing chemotherapy. We postulated that this impairment can be partially prevented by aerobic exercise. In a randomized study, 33 cancer patients receiving high-dose chemotherapy followed by autologous peripheral blood stem cell transplantation (training group, T) performed an exercise program consisting of biking on an ergometer in the supine position after an interval-training pattern for 30 minutes daily during hospitalization. Patients in the control group (C, n = 37) did not train. Maximal physical performance was assessed with a treadmill test by admission and discharge. Physical performance of the two groups was not different on admission. The decrement in performance during hospitalization was 27% greater in the control group than in the training group (P = .05); this resulted in a significantly higher maximal physical performance at discharge in the trained patients (P = .04). Duration of neutropenia (P = .01) and thrombopenia (P = .06), severity of diarrhea (P = .04), severity of pain (P = .01), and duration of hospitalization (P = .03) were reduced in the training group. We conclude that aerobic exercise can be safely carried out immediately after high-dose chemotherapy and can partially prevent loss of physical performance. Based on the potential significance of the observed outcomes, further studies are warranted to confirm our results.

scholarly journals Effects of Neuromuscular Electrical Stimulation Combined with Exercises versus an Exercise Program on the Physical Characteristics and Functions of the Elderly: A Randomized Controlled Trial

2021 ◽  
Vol 18 (5) ◽  
pp. 2463
Author(s):  
Eun Mi Jang ◽  
So Hyun Park
Keyword(s):  
Electrical Stimulation ◽  
Muscle Mass ◽  
Lower Limb ◽  
Neuromuscular Electrical Stimulation ◽  
Exercise Program ◽  
The Elderly ◽  
Exercise Group ◽  
Low Intensity ◽  
Strengthening Exercise ◽  
Low Intensity Exercise

(1) Background—The application of neuromuscular electrical stimulation (NMES) combined with low-intensity exercise to the elderly can be more efficient than low-intensity exercise only in terms of delaying the loss of muscle mass. We aimed to assess the adjunct of NMES to low-intensity lower limb strengthening exercise to prevent falls in frail elderly for a relatively short period of 4 weeks. (2) Methods—Thirty elderly women aged 65 or above were randomly categorized into three groups: control group (CON, n = 8), exercise group (EX, n = 10), and NMES with exercise group (EX + NMES, n = 9). The exercise group took part in a lower limb strengthening exercise program for one hour three times a week for four weeks. Furthermore, the NMES with exercise group had added NMES stimulation when exercising. The limbs’ muscle mass, body fat mass, calf circumference, grip force, five times sit-to-stand test, timed up-and-go test (TUG), one-leg stand test, and Y-balance test (YBT) were evaluated at baseline and 4 weeks after. (3) Results—Comparisons between the three groups showed that the TUG was significantly decreased and the YB was significantly increased in NMES with exercise group (p < 0.05). (4) Conclusions—These results suggested that a combination of NMES stimulation and exercises was more helpful in strengthening balance than exercises alone in the short term.

scholarly journals Rapid Transition to Telehealth Group Exercise and Functional Assessments in Response to COVID-19

2020 ◽  
Vol 6 ◽  
pp. 233372142098031
Author(s):  
Stephen C. Jennings ◽  
Kenneth M. Manning ◽  
Janet Prvu Bettger ◽  
Katherine M. Hall ◽  
Megan Pearson ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Performance ◽  
Exercise Program ◽  
Performance Testing ◽  
Group Exercise ◽  
Health Maintenance ◽  
Functional Assessments ◽  
Wide Scale ◽  
Rapid Transition ◽  
Exercise Classes

Exercise is critical for health maintenance in late life. The COVID-19 shelter in place and social distancing orders resulted in wide-scale interruptions of exercise therapies, placing older adults at risk for the consequences of decreased mobilization. The purpose of this paper is to describe rapid transition of the Gerofit facility-based group exercise program to telehealth delivery. This Gerofit-to-Home (GTH) program continued with group-based synchronous exercise classes that ranged from 1 to 24 Veterans per class and 1 to 9 classes offered per week in the different locations. Three hundred and eight of 1149 (27%) Veterans active in the Gerofit facility-based programs made the transition to the telehealth delivered classes. Participants’ physical performance testing continued remotely as scheduled with comparisons between most recent facility-based and remote testing suggesting that participants retained physical function. Detailed protocols for remote physical performance testing and sample exercise routines are described. Translation to remote delivery of exercise programs for older adults could mitigate negative health effects.

scholarly journals The Effect of Physiotherapy in the Treatment of Juvenile Idiopathic Arthritis

2019 ◽  
Vol 1 (14) ◽  
Author(s):  
Auksė Arbačiauskaitė ◽  
Vilma Dudonienė
Keyword(s):  
Quality Of Life ◽  
Juvenile Idiopathic Arthritis ◽  
Children And Adolescents ◽  
Physical Performance ◽  
Life Quality ◽  
Exercise Program ◽  
Aquatic Therapy ◽  
Physical Exercises ◽  
General Physical

Background. Juvenile idiopathic arthritis (JIA) is the most common and most diffcult chronic rheumatic disease in children. Exercise helps to avoid joint deformities or corrects them, also reduces pain and disease activity, normalizes physical function, growth and development, improves the patient’s quality of life. So far, there is no consensus on what kind of exercise is appropriate for children with juvenile idiopathic arthritis. Goal of the research. To defne the most often applied physiotherapy techniques and their impact on the treatment of children and adolescents with juvenile idiopathic arthritis analysing and summarizing scientifc articles. Methods. Twelve articles have been analysed. Systemic literature overview involved the articles on clinical research which were selected in the light of the following criteria: children with juvenile’s idiopathic arthritis; classic clinical tests performed; application of different physical exercises and survey of their accessibility; Childhood Health Assessment questionnaire; language and year of publication (2000–2015). Results. Research participants in the selected articles were 525 research children and adolescents with juvenile idiopathic arthritis. Their mean age ± SD was 11.2 ± 2.9 years (range 4–21 years). There were 348 (66%) girls and 177 (34%) boys. Aquatic therapy and Pilates workout had the strongest effect on pain relief, general physical performance and life quality, whereas balance and proprioception exercises had the best effect on balance and mobility. The results showed that regular physical exercises did not increase pain, they reduced the number of swollen joints, they were safe and effcient, also, that high-intensity aerobic exercises did not provide additional benefts, so it may suggest that low-intensity exercise program is more suitable for children with JIA because it is a slow and mild. Conclusion. Analysis of 12 articles have shown that general physical exercises (33.5%) and aquatic therapy (33.5%) are used most often, whereas balance-proprioception exercises are less frequent (17%), Pilates workout (8%) and Qigong relaxation (8%) are used very rarely. The most effcient methods for the improvement of general physical performance, quality of life, and reducing pain include aquatic therapy, Pilates workout and Qigong therapy. Balance-proprioception exercises are proved to be most effective in the improvement of mobility and balance.Keywords: juvenile idiopathic arthritis, physical exercises, training, physiotherapy, physical condition, life quality.

scholarly journals Effects of Augmented-Reality-Based Exercise on Muscle Parameters, Physical Performance, and Exercise Self-Efficacy for Older Adults

2020 ◽  
Vol 17 (9) ◽  
pp. 3260 ◽  
Author(s):  
Sangwan Jeon ◽  
Jiyoun Kim
Keyword(s):  
Skeletal Muscle ◽  
Augmented Reality ◽  
Physical Performance ◽  
Self Efficacy ◽  
Exercise Program ◽  
The Elderly ◽  
Step Test ◽  
Control Group ◽  
Skeletal Muscle Index ◽  
Experimental Group

This study was intended to determine the applicability of an augmented-reality-based muscle reduction prevention exercise program for elderly Korean women by observing changes in exercise self-efficacy and verifying the effectiveness of the program in the elderly after the application of the program. A total of 27 participants, who were elderly women aged 65+ and had not participated in any exercise programs until this study, were recruited for this study. They were divided into an experimental group (13 people) and a control group (14 people), and then the augmented-reality-based muscle reduction prevention exercise program was applied. This was a 30-min program, which included regular, aerobic, and flexibility exercises, and it was applied 5 times a week for 12 weeks. As a result of observing changes, it was found that the appendicular skeletal muscle mass (ASM) (F = 11.222, p < 0.002) and the skeletal muscle index (SMI) (kg/m2) (F = 10.874, p < 0.003) muscle parameters increased more in the experimental group compared to the control group, and there was a significant increase in gait speed (m/s) (F = 7.221, p < 0.005). For physical performance, as a result of conducting the Senior Fitness Test (SFT), a significant change was observed in the chair stand test (F = 5.110, p < 0.033), 2-min step test (2MST) (F = 6.621, p < 0.020), and the timed up-and-go test (TUG) (F = 5.110, p < 0.032) and a significant increase was also observed for exercise self-efficacy (F = 20.464, p < 0.001). Finally, the augmented-reality-based exercise program in this study was found to be effective in inducing physical activity in the elderly. Therefore, the augmented-reality-based muscle reduction prevention exercise program is considered to be effective in increasing the sustainability of exercise, thus preventing muscle reduction in the elderly.

Exercise for Mild Balance Dysfunction: Research into Practice

2015 ◽  
Vol 23 (4) ◽  
pp. 588-596
Author(s):  
Susan Williams ◽  
Claudia Meyer ◽  
Frances Batchelor ◽  
Keith Hill
Keyword(s):  
Home Visit ◽  
Controlled Trial ◽  
Exercise Program ◽  
Community Dwelling ◽  
Community Settings ◽  
Balance Performance ◽  
Randomized Controlled ◽  
Normal Limits ◽  
Home Based ◽  
Strengthening Exercise

The objective of this study was to determine whether improved balance outcomes achieved in a randomized controlled trial (RCT) using balance screening to identify mild balance dysfunction and home exercises could be translated into community settings. Community-dwelling people aged over 65 who expressed concerns about their balance, had less than two falls in the preceding 12 months, and who had mild balance impairment on screening were given an individualized home-based balance and strengthening exercise program with intermittent home-visit support by a physiotherapist. Of 71 participants assessed (mean age 77.3 years, 76% female), 58 (82%) completed the six-month intervention. Twenty six percent of participants regained balance performance within normal limits—similar to those achieved in the previous RCT. Successful results from a previous RCT were able to be translated into community settings, with a similar magnitude of effect on balance and mobility.

scholarly journals Proprioceptive Neuromuscular Facilitation Improves Balance and Knee Extensors Strength of Older Fallers

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Marcelo Pinto Pereira ◽  
Mauro Gonçalves
Keyword(s):  
Exercise Program ◽  
Knee Extensor ◽  
Training Group ◽  
Knee Extension ◽  
Knee Extensors ◽  
Control Group ◽  
Extension Rate ◽  
Neuromuscular Activation ◽  
Activation Level ◽  
Proprioceptive Neuromuscular Facilitation

Falls are one of the major problems for elderly people and proprioceptive exercises have been suggested as an alternative in rehabilitation and preventive programs. The purpose of this study was to investigate the influence of a proprioceptive neuromuscular facilitation (PNF) exercise program on balance, knee extension and flexion isometric torque, and knee extension rate of force development (RFD). Fourteen older faller subjects (>60 years) were equally assigned into two groups: a control group (CG: n=7) and a training group (TG: n=7). The PNF training program was performed for 10 weeks on TG, with a frequency of three times per week. Patients were assessed before and after the PNF program, with respect to balance (Berg Balance Scale score—BBS), knee maximal isometric extension and flexion torque, knee extensor RFD, and knee extensors and flexors neuromuscular activation level and coactivation level around the knee. After 10 weeks, balance (P<0.001) and knee extension torque (P=0.05) were improved in TG while no differences were found for CG. These improvements were mainly attributed to central nervous system adaptations, since no differences were found for neuromuscular activation level and coactivation.

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