scholarly journals Exercise programme intervention for persons with motor ataxia (Programa de ejercicios de intervención para personas con ataxia motora)

Retos ◽  
2020 ◽  
pp. 602-605
Author(s):  
Samuel Honório ◽  
Marco Batista ◽  
João Serrano ◽  
João Petrica ◽  
Helena Mesquita ◽  
...  

Abstract. Introduction: Ataxia affects the nervous system by decreasing balance and coordination most mostly in the trunk, arms and legs. Physical activity is used to help lowering the symptoms of this disease. Objective: The study objective aims to determine the effects of an exercise program intervention focused on quality of life of this person in terms of body composition, hemodynamic parameters and functional capacity. Methods: A Longitudinal study-case with the exercise sessions performed in a gymnasium with a specialized Personal Trainer. A 43 years old male individual with motor ataxia as participated with a pre and post-test assessments with an exercise program comprised sessions twice a week of 30 minutes each, for 6 months, focused on cardio-fitness, strength and body stabilization. The Scale for the Assessment and Rating of Ataxia was applied to evaluate Gait, Stance, Sitting, Finger Chase, Nose-finger Test, Fast alternating hand movements and Heel-chin slide, and the program SPSS (v20) to present descriptive statistics to express the participant’s improvements. Results: This study indicates that rehabilitation can improve health, well-being and life quality improvements in individuals with ataxia, however, a larger study is required to have analyse if these variables would suffer significant changes in all participants. Besides the improvements in body composition and blood pressure, benefits in all variables of SARA scale were observed, except in “Sitting” were the value remained unchanged. Conclusions: This type of exercise programme intervention can promote capacity and health-related quality of life. This study provides evidence for maintaining physical activity programs in patients with ataxia. Resumen. Introducción: La ataxia afecta al sistema nervioso al disminuir el equilibrio y la coordinación, sobre todo en el tronco, los brazos y las piernas. La actividad física se utiliza para ayudar a disminuir los síntomas de esta enfermedad. Objetivo: El objetivo del estudio es determinar los efectos de una intervención de un programa de ejercicio enfocado a la calidad de vida de esta persona en términos de composición corporal, parámetros hemodinámicos y capacidad funcional. Métodos: Un estudio-caso longitudinal con las sesiones de ejercicio realizadas en un gimnasio con un Personal Trainer especializado. Un varón de 43 años con ataxia motora que participó en una evaluación pre y post prueba con un programa de ejercicios compuesto por sesiones dos veces por semana de 30 minutos cada una, durante 6 meses, centradas en el cardio-fitness, la fuerza y la estabilización corporal. Se aplicó la Escala para la Valoración y Clasificación de la Ataxia para evaluar la Marcha, la Postura, la Sentada, la Persecución con los Dedos, la Prueba de los Dedos de la Nariz, los Movimientos Alternados Rápidos de la Mano y el Deslizamiento del Talón-Mentón, y el programa SPSS (v20) para presentar estadísticas descriptivas para expresar las mejoras del participante. Resultados: Esto estudio es indicativo que la rehabilitación puede mejorar la salud, el bienestar y la calidad de vida de los individuos con ataxia, sin embargo, se requiere un estudio más amplio para analizar si estas variables sufrirían cambios significativos en todos los participantes. Además de las mejoras en la composición corporal y la presión sanguínea, se observaron beneficios en todas las variables de la escala de SARA, excepto en "Sentado", donde el valor permaneció sin cambios. Conclusiones: Esta intervención realizada con estos ejercicios puede promover la capacidad y la calidad de vida relacionada con la salud. Este estudio proporciona evidencia para mantener programas de actividad física en pacientes con ataxia.

2021 ◽  
Vol 10 (17) ◽  
pp. 3826
Author(s):  
Juan Rodríguez-Mansilla ◽  
Abel Mejías-Gil ◽  
Elisa María Garrido-Ardila ◽  
María Jiménez-Palomares ◽  
Jesús Montanero-Fernández ◽  
...  

Background: The functional deficits in people with fibromyalgia can be related to the level of physical activity performed. This study investigated the effectiveness of an active exercise programme versus exercise for well-being improving pain, flexibility, static balance, perceived exertion and quality of life of women with fibromyalgia; Methods: A randomised, single-blind, controlled trial was conducted. A total of 141 of women diagnosed with fibromyalgia were enrolled and randomised to an active exercise program group (n = 47), where they performed physical active exercises, an exercise for well-being group (n = 47), which performed the Qi Gong exercises named ‘the twenty Wang Ziping figures for health and longevity’, and a control group (n = 47), which did not receive any intervention, for a period of 4 weeks. Measures were taken at baseline and after the treatment. The primary outcome measures were static balance and centre of gravity (Wii-Fit Nintendo ©), flexibility (test de Wells and Dillon), pain (Visual Analogue Scale) and quality of life (Spanish-Fibromyalgia Impact Questionnaire). The secondary outcome measure was the perceived exertion during activity (BORG Scale). Results: In total, 93 participants completed the study. The mean value of the age was 52.24 ± 6.19. The post intervention results showed statistically significant improvements in the exercise for well-being and the active exercise programme groups vs. the control group in relation to pain (p = 0.006 active exercise programme group, p = 0.001 exercise for well-being group), static balance (p < 0.001 active exercise programme group) and quality of life (p < 0.001 active exercise programme group, p = 0.002 exercise for well-being group). In addition, the mean scores related to perceived fatigue during the sessions were 6.30 ± 1.88 for the active exercise programme group and 5.52 ± 1.55 for the exercise for well-being group. These differences were not significant. Conclusions: The active exercise program and exercise for well-being improved flexibility, static balance, pain and quality of life of women with fibromyalgia. The participants of the active exercise programme achieved better results that those of the exercise for well-being.


10.2196/14435 ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. e14435 ◽  
Author(s):  
Yoon Kim ◽  
Jinserk Seo ◽  
So-Yeon An ◽  
Dong Hyun Sinn ◽  
Ji Hye Hwang

Background Exercise is predicted to have a positive effect among hepatocellular carcinoma (HCC) patients. However, these patients are hesitant to start and build up an exercise program for one major reason: the vague fear of developing hepatic decompensation, a potentially fatal condition that can lead to death. Integrating mobile health (mHealth) with individualized exercise programs could be a possible option for promoting physical capacity among HCC patients. Objective The aim of this study was to evaluate the efficacy and safety of rehabilitation exercises, which have been individually prescribed via an mHealth app, on physical fitness, body composition, biochemical profile, and quality of life among HCC patients. Methods A total of 37 HCC patients were enrolled in a 12-week course with an mHealth app program targeted to HCC patients. The wearable wristband device Neofit (Partron Co) was provided to participants, and recorded daily physical data, such as the number of steps, calorie expenditure, exercise time, and heart rate. Each participant was given an individualized rehabilitation exercise program that was prescribed and adjusted at the 6-week midintervention period based on the assessment results. At baseline, 6-week, and 12-week sessions, participants’ physical fitness levels (ie, 6-minute walk test, grip strength test, and 30-second chair stand test) were measured. Physical activity levels, as measured by the International Physical Activity Questionnaire-Short Form (IPAQ-SF); body composition (ie, body mass index, body fat percentage, and muscle mass); biochemical profiles; and quality of life, as measured by the European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire C30, were assessed at baseline and at the end point. At the 6-week midpoint, exercise intensity was individually adjusted. Results Of the 37 patients, 31 (84%) completed the 12-week intervention. Grip strength improved significantly after 12 weeks of the intervention. The 30-second chair stand test and the 6-minute walk test showed significant improvement from 0 to 6 weeks, from 0 to 12 weeks, and from 6 to 12 weeks. Muscle mass and the IPAQ-SF score increased significantly after 12 weeks of the intervention without biochemical deterioration. Conclusions Following 12 weeks of mHealth care, including an individually prescribed rehabilitation exercise program, we saw significant improvements in physical fitness, body composition, and physical activity without any complication or biochemical deterioration among compensated HCC patients who had completed therapy.


2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e39-e40
Author(s):  
Sumeet Bhardwaj ◽  
Alexandre McDougall ◽  
Navpreet Dhillon ◽  
Jasleen Grewal ◽  
Sharon Burey

Abstract BACKGROUND Exercise has been shown to have long term effects in improving social skills, scholastic performance and quality of life in all children. Unfortunately, physical education courses continue to have their dedicated curricular times reduced. Students may have as little as one period of curricular physical activity per week. Conversely, there is middle school in Windsor, Ontario that has implemented a daily curricular period dedicated to physical activity. This study aimed to assess the effects of this schools’ exercise programme on their students’ social skills, scholastic performance and quality of life. OBJECTIVES Our objective is to study the effects of a daily physical activity period as part of an educational curriculum on student physical fitness, academic performance and self reported quality of life. DESIGN/METHODS We undertook a naturalistic observational study that examined the results of a daily exercise program for Grade 7 students attending École Secondaire E.J. Lajeunesse in Windsor. At this school, all students in Grade 7 and Grade 8 participate in a daily one-and-a-half-hour exercise programme consisting of two different streams: hockey or dance. All Grade 7 students and their families attending the school were asked to participate in our research trial. To study the effects of the exercise programme, student physical fitness, academic performance, and self-rated quality of life were assessed. Specific outcome measures used include: 20 metre sprint test, beep test, squat strength, bench press strength, the Pediatric Quality of Life Inventory, academic grades in mathematics, English and French, and academic learning skills. RESULTS Due to difficulties in participant recruitment and retention, only the following results could be analyzed. After one year of the structured hockey exercise program, the participants demonstrated significant increases in sprint speed (p < 0.0001), beep test (p < 0.005), squat strength (p < 0.0001) and bench press strength (p < 0.0001). There was also an increase in scores assessing organization, independence, collaboration, initiative and self regulation. An increase was noted in the participant’s grades in English and French. Little change was seen in mathematics and science grades. CONCLUSION After one year of consistent exercise, study participants demonstrated significant improvements in physical fitness, learning skills and language studies performance. Our results outline multiple benefits of implementing an organized daily physical period as part of the educational curriculum. A follow up to this preliminary study is currently underway to evaluate the effectiveness of school exercise programs on ADHD symptoms.


2019 ◽  
Author(s):  
Yoon Kim ◽  
Jinserk Seo ◽  
So-Yeon An ◽  
Dong Hyun Sinn ◽  
Ji Hye Hwang

BACKGROUND Exercise is predicted to have a positive effect among hepatocellular carcinoma (HCC) patients. However, these patients are hesitant to start and build up an exercise program for one major reason: the vague fear of developing hepatic decompensation, a potentially fatal condition that can lead to death. Integrating mobile health (mHealth) with individualized exercise programs could be a possible option for promoting physical capacity among HCC patients. OBJECTIVE The aim of this study was to evaluate the efficacy and safety of rehabilitation exercises, which have been individually prescribed via an mHealth app, on physical fitness, body composition, biochemical profile, and quality of life among HCC patients. METHODS A total of 37 HCC patients were enrolled in a 12-week course with an mHealth app program targeted to HCC patients. The wearable wristband device Neofit (Partron Co) was provided to participants, and recorded daily physical data, such as the number of steps, calorie expenditure, exercise time, and heart rate. Each participant was given an individualized rehabilitation exercise program that was prescribed and adjusted at the 6-week midintervention period based on the assessment results. At baseline, 6-week, and 12-week sessions, participants’ physical fitness levels (ie, 6-minute walk test, grip strength test, and 30-second chair stand test) were measured. Physical activity levels, as measured by the International Physical Activity Questionnaire-Short Form (IPAQ-SF); body composition (ie, body mass index, body fat percentage, and muscle mass); biochemical profiles; and quality of life, as measured by the European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire C30, were assessed at baseline and at the end point. At the 6-week midpoint, exercise intensity was individually adjusted. RESULTS Of the 37 patients, 31 (84%) completed the 12-week intervention. Grip strength improved significantly after 12 weeks of the intervention. The 30-second chair stand test and the 6-minute walk test showed significant improvement from 0 to 6 weeks, from 0 to 12 weeks, and from 6 to 12 weeks. Muscle mass and the IPAQ-SF score increased significantly after 12 weeks of the intervention without biochemical deterioration. CONCLUSIONS Following 12 weeks of mHealth care, including an individually prescribed rehabilitation exercise program, we saw significant improvements in physical fitness, body composition, and physical activity without any complication or biochemical deterioration among compensated HCC patients who had completed therapy.


Author(s):  
Verónica Gavilanes ◽  
Eva Mendoza de Graterol ◽  
Blanca Costales

Introducción: el envejecimiento implica alteraciones funcionales, cognitivas psicológicas y sociales que disminuyen la calidad de vida de los adultos mayores. Objetivo: determinar el efecto de la intervención de enfermería para el bienestar holístico del adulto mayor. Método: investigación cuantitativa, diseño cuasi-experimental de un sólo grupo (150 adultos mayores), con pretest-postest utilizando tres instrumentos: Barthel, Zimet y el test de Minimental,  intervención de enfermería con estrategias de autocuidado de actividad física y terapia de reminiscencia, durante 12 meses, datos procesados con el software estadístico (SPSS Estatistics 24.0 para windows), por medio de distribución porcentual y la prueba de T de Student con una significancia estadística (p<0.05). Resultados: predominó la edad de 60-64 años (36,7%), género masculino 62,7%, ubicación en el Instituto Geriátrico Sagrado Corazón 53,4%, después de la intervención de enfermería se incrementó la percepción de apoyo social, la independencia de las actividades básicas de la vida diaria para la alimentación, deambular, subir y bajar escaleras, hábitos fisiológicos e higiénicos, en el estado cognitivo se evidenció disminución del deterioro cognitivo y aumento de la evaluación borderline y normal, con una diferencia significativa p<0,001 por medio de la escala de Zimet, índice de Barthel y el test de Minimental con las estrategias de autocuidado de actividad física y terapia de reminiscencia. Conclusiones: se obtuvo una elevación de la percepción de apoyo social, la independencia para realizar las actividades básicas de la vida diaria y aumento del estado cognitivo, que incrementaron el bienestar y la calidad de vida de los adultos mayores. Palabras claves: adulto mayor, estrategias de enfermería, escala de Zimet, índice de Barthel y el test de Minimental   Abstract Introduction: Aging implies functional, cognitive, psychological and social alterations that decrease the quality of life of older adults. Objective: To determine the effect of the nursing intervention for the holistic well-being of the elderly. Method: Quantitative investigation, quasi-experimental design of a single group (150 older adults), with pretest-posttest using three tools: Barthel, Zimet and the Minimental test, nursing intervention with self-care strategies of physical activity and reminiscence therapy, for 12 months, data processed with statistical software (SPSS Statistics 24.0 for Windows), by means of percentage distribution and Student's T-Test with statistical significance (p <0.05). Results: the age of 60-64 years predominated (36.7%), male gender 62.7%, location in Instituto Geriátrico Sagrado Corazón 53.4%, after the nursing intervention, the perception of social support increased, the independence of basic activities of daily life for eating, walking, going up and down stairs, physiological and hygienic habits, in the cognitive state a decrease in cognitive deterioration was evidenced and an increase in borderline and normal evaluation, with a significant difference p <0.001 using the Zimet scale, Barthel's index and the Minimental test with the self-care strategies of physical activity and reminiscence therapy. Conclusions: an increase of the perception of social support, independence to carry out the basic activities of daily life and an increase in cognitive status was obtained, which increased the well-being and quality of life of the elderly.      


Retos ◽  
2017 ◽  
pp. 3-9
Author(s):  
Alfonso Javier García González ◽  
Facundo Froment

El propósito del presente estudio es investigar acerca de la relación existente entre la Autoestima manifestada por personas mayores de 65 años y la realización de actividad física. El autoconcepto y la Autoestima aparecen como componentes psicológicos fundamentales de la calidad de vida durante la adultez mayor y del bienestar personal. La Autoestima ha sido propuesta como un área de intervención para mejorar la calidad de vida en la población mayor.  La muestra la componen 184 personas mayores, de las que 92 realizan actividad física frecuentemente y otras 92 desarrollan un estilo de vida sedentario. Se aplicó el cuestionario de Autoestima personal de Rosenberg. Los resultados muestran diferentes niveles de Autoestima entre los mayores que realizan actividad física y los que no, siendo significativamente más alta en los primeros. Estudios con objetivos similares demuestran y apoyan la comprobación de la hipótesis de partida que establece la relación positiva entre la Autoestima y la realización de actividad física. Abstract. The purpose of this study is to investigate the relationship between self-esteem perceived by people over 65 and practicing of physical activity. Self-concept and self-esteem emerge as fundamental psychological components of quality of life in elderly and for personal well-being. Self-esteem has been proposed as an area of intervention to improve quality of life in senior citizens. The sample consisted of 184 elderly people, 92 of which often practiced physical activity, whereas the other 92 carried out a sedentary lifestyle. Rosenberg´s Personal Self-esteem questionnaire was applied. Results show different levels of self-esteem between elderly people who practice physical activity and those who do not, being significantly higher in the formers. Studies with similar goals support and corroborate the initial hypothesis that establishes a positive relationship between self-esteem and practicing physical activity.


Author(s):  
Manuel Ávila-García ◽  
María Esojo-Rivas ◽  
Emilio Villa-González ◽  
Pablo Tercedor ◽  
Francisco Javier Huertas-Delgado

Higher sedentary time and lower physical activity (PA) are associated with a poor health-related quality of life (HRQoL) in children. The aims of this study were: (1) to analyze the sedentary time, objectively measured PA levels (light, moderate, vigorous, and moderate-to-vigorous physical activity (MVPA)), and HRQoL dimensions (physical well-being, emotional well-being, self-esteem, family, friends, school, and total score) in children; and (2) to examine the association between sedentary time, PA levels, and HRQoL in children separately by sex. A total of 459 children (8.4 ± 0.4 years old, 50.54% males) from 15 schools in Granada (Spain) participated in the study. A tri-axial accelerometer was used to measure PA levels in the children for 7 consecutive days. The Revidierter KINDer Lebensqualitätsfragebogen (KINDL-R) questionnaire was used to determine the children’s HRQoL dimensions. The results showed that males presented more minutes engaged in MVPA than females. Both sedentary time and PA levels were associated with self-esteem and total score (all p < 0.05). In males, moderate and vigorous PA levels were associated with higher HRQoL, whereas light PA was associated with higher HRQoL in females. Future studies should take into account the use of activities with difference intensities in order to increase HRQoL in males and females.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Kathrin Wunsch ◽  
Claudio R. Nigg ◽  
Susanne Weyland ◽  
Darko Jekauc ◽  
Claudia Niessner ◽  
...  

Abstract Background Physical activity (PA) has beneficial effects on health and health-related quality of life (HRQoL), which is a protective factor of illness and mortality. The purpose of this examination was to investigate if self-reported and device-based measures of PA were related to HRQoL in adolescents. Methods Participants (N = 1565; 54.3% female; Mage = 14.37 years, SDage = 1.99) were recruited from 167 sample points across Germany. Adolescents self-reported their PA, supplemented by a 1-week examination of device-based PA using accelerometry. Additionally, they completed the multidimensional KIDSCREEN-27 to assess HRQoL. Results Results showed that self-reported PA was correlated with overall HRQoL, Physical Well-Being, Psychological Well-Being, Social Support & Peers, and School Environment, whereas device-based PA was only correlated with Physical as well as Psychological Well-Being. Further, self-reported PA significantly predicted all facets of HRQoL except for Autonomy and Parent Relations, whereas device-based PA solely heightened the amount of explained variance in the Physical Well-Being subscale. Conclusions Findings demonstrate the importance of self-reported PA as it is related to almost all facets of HRQoL. Both measures of PA are not congruent in their relationship with HRQoL and thus implications have to be carefully considered. Future studies should investigate the direct effect of PA on HRQoL and health in a longitudinal approach to account for the causality of effects.


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