127,135 results match your criteria Therapeutic Exercise


Effects of Whole-Body Electromyostimulation Associated with Dynamic Exercise on Functional Capacity and Heart Rate Variability After Bariatric Surgery: a Randomized, Double-Blind, and Sham-Controlled Trial.

Obes Surg 2020 May 24. Epub 2020 May 24.

Cardiopulmonary Physical Therapy Laboratory, Federal University of Sao Carlos- UFSCar, Rod. Washington Luis, km 235, São Carlos, SP, CEP: 13565-905, Brazil.

Purpose: Bariatric surgery is the most effective treatment for morbid obesity. In association with dietary restrictions, the ability to exercise in the immediate post-surgical phase is limited. In this context, whole-body electromyostimulation (WB-EMS), strategy that stimulates various muscle groups, in conjunction with physical exercise, holds promise for improving functional capacity, and cardiac autonomic control, following surgery. Read More

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http://dx.doi.org/10.1007/s11695-020-04724-9DOI Listing

Effect of preparative rehabilitation on recovery after cardiac surgery: a systematic review.

Ann Phys Rehabil Med 2020 May 21. Epub 2020 May 21.

Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, 4/F Main Clinical Block and Trauma Centre, Prince of Wales Hospital, Shatin, New Territories, Hong Kong, China. Electronic address:

Background: Physical prehabilitation (preparative rehabilitation) programs may have beneficial effects on enhancing physical strength and functional status before surgery, but their effects on postoperative recovery are unclear.

Objectives: This systematic review investigated the effectiveness of physical prehabilitation programs before cardiac surgery on postoperative recovery and other perioperative outcomes.

Methods: We searched for reports of randomised controlled trials of any prehabilitation programs that included physical activity or an exercise training component in adults undergoing elective cardiac surgery, published in any language, from six bibliographic databases (last search on June 20, 2019). Read More

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http://dx.doi.org/10.1016/j.rehab.2020.03.014DOI Listing

Efficacy of Liu-zi-jue in Patients with 2019 Novel Coronavirus Pneumonia (COVID-19): structured summary of a study protocol for a randomized controlled trial.

Trials 2020 May 23;21(1):416. Epub 2020 May 23.

Tuina Department, Yue yang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China.

Objectives: Efficacy of conventional treatment plus the complementary therapy Liu-zi-jue (a mind-body exercise) to treat patients with mild COVID-19.

Trial Design: The study is a single-center 2 arm, randomized controlled trial with parallel-group design. Read More

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http://dx.doi.org/10.1186/s13063-020-04383-2DOI Listing

Independent and combined effect of home-based progressive resistance training and nutritional supplementation on muscle strength, muscle mass and physical function in dynapenic older adults with low protein intake: A randomized controlled trial.

Arch Gerontol Geriatr 2020 May 13;89:104098. Epub 2020 May 13.

Postgraduate Program in Reabilitation and Functional Performance, Department of Physical Therapy - Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Minas Gerais, Brazil. Electronic address:

Background: With the aging phenomenon, there is growing interest in developing effective strategies to counteract dynapenia, the age-related loss of muscle strength. The positive effect of progressive resistance training on muscle strength is well known, however, the effect of nutritional supplementation or its synergistic effect along with exercise on muscle strength is not a consensus in the literature, especially in populations with low protein intake.

Methods: We analyzed the muscle strength (handgrip strength and sit-to-stand test), muscle mass, body mass index, insulin resistance, and physical function (gait speed, timed up & go test, and single-leg-stance test) of 69 dynapenic older adults with low protein intake, before and after the intervention period of three months. Read More

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http://dx.doi.org/10.1016/j.archger.2020.104098DOI Listing

Non-pharmacological interventions for methamphetamine use disorder: a systematic review.

Drug Alcohol Depend 2020 May 13;212:108060. Epub 2020 May 13.

Research Division, Institute of Mental Health, 10 Buangkok View, Singapore.

Background: Methamphetamine (METH) use is on the rise globally, with the number of treatment seekers increasing exponentially across the globe. Evidence-based therapies are needed to meet rising treatment needs. This systematic review intends to appraise the existing evidence to identify effective non-pharmaceutical approaches for the treatment of METH use disorder. Read More

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http://dx.doi.org/10.1016/j.drugalcdep.2020.108060DOI Listing

The effect of exercise on cardiometabolic risk factors in adults with chronic spinal cord injury: A systematic review.

Arch Phys Med Rehabil 2020 May 20. Epub 2020 May 20.

Department for Health, University of Bath. Electronic address:

Objective: To determine the effects of exercise on individual cardiometabolic syndrome (CMS) risk factors in adults with chronic spinal cord injury (SCI).

Data Sources: English language searches of PubMed, Web of Science, EMBASE, and Scopus (01/01/1970 to 31/07/2019).

Study Selection: Articles were included if they met the following criteria: (1) original articles with statistical analysis, (2) participants were adults with a SCI sustained ≥ 1-year ago, (3) exercise intervention duration ≥ 2 weeks, and (4) included any CMS risk factor as an outcome. Read More

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http://dx.doi.org/10.1016/j.apmr.2020.04.020DOI Listing

Flexible insulin therapy with a hybrid regimen of insulin degludec and continuous subcutaneous insulin infusion with pump suspension before exercise in physically active adults with type 1 diabetes (FIT Untethered): a single-centre, open-label, proof-of-concept, randomised crossover trial.

Lancet Diabetes Endocrinol 2020 Jun;8(6):511-523

School of Kinesiology and Health Science, York University, Toronto, ON, Canada.

Background: People with type 1 diabetes who use continuous subcutaneous insulin infusion (CSII, or insulin pump therapy) often remove their pump before extended periods of exercise, but this approach might result in reduced glycaemic control and increased risk of hyperglycaemia and ketogenesis. We aimed to assess the efficacy and safety of a hybrid approach, in which basal insulin delivery was divided between CSII and a daily injection of insulin degludec.

Methods: In this single-centre, open-label, proof-of-concept, randomised crossover trial done at the LMC Diabetes & Endocrinology research centre, we recruited physically active and aerobically fit participants aged 18 years or older with type 1 diabetes who were using CSII. Read More

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http://dx.doi.org/10.1016/S2213-8587(20)30114-5DOI Listing

Significance of gastrointestinal tract in the therapeutic mechanisms of exercise in depression: Synchronism between brain and intestine through GBA.

Prog Neuropsychopharmacol Biol Psychiatry 2020 May 20:109971. Epub 2020 May 20.

Department of Anatomy, College of Basic Medical Sciences, Dalian Medical University, Dalian, Liaoning, China; National-Local Joint Engineering Research Center for Drug-Research and Development (R&D) of Neurodegenerative Diseases, Dalian Medical University, Dalian, Liaoning, China. Electronic address:

Researchers have made considerable progress in elucidating psychological and exercise correlates of major depressive disorder (MDD). However, as the largest immune organ, far less is known about the role of gastrointestinal (GI) tract in the therapeutic mechanisms of exercise in MDD. In addition to the sites of the digestive tract that absorb nutrients, the GI tract also serves as a protective barrier against organisms. Read More

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http://dx.doi.org/10.1016/j.pnpbp.2020.109971DOI Listing

Comprehensive cardiopulmonary assessment in Alpha Mannosidosis.

Pediatr Pulmonol 2020 May 23. Epub 2020 May 23.

Pediatric Pulmonary Institute, Ruth Children's Hospital, Rambam Health Care Campus, Haifa, Israel.

Introduction: Alpha mannosidosis is an extremely rare, progressive and complex lysosomal storage disease, characterized by mental retardation, hearing impairment, coarse facial features, skeletal abnormalities and pulmonary involvement. While bone marrow transplantation has been the only therapeutic option to date, nowadays new treatment options are being explored, which may affect pulmonary and exercise capacity.

Aim And Methods: To assess cardiopulmonary involvement in patients with Alpha mannosidosis by pulmonary function tests, cardiopulmonary exercise testing (CPET), and low irradiation chest CT. Read More

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http://dx.doi.org/10.1002/ppul.24864DOI Listing

Regular sweating activities for the treatment of cholinergic urticaria with or without acquired idiopathic generalized anhidrosis.

Dermatol Ther 2020 May 22. Epub 2020 May 22.

Department of Dermatology, Sapporo Medical University School of Medicine, Sapporo, Japan.

Cholinergic urticaria (CholU) decreases affected individuals' quality of life because they must avoid stimuli including exercise and hot bathing. Although case reports have indicated that regular sweating activities are effective for CholU with hypohidrosis, little evidence is available. This retrospective medical record review examined CholU patients who received any form of treatment at our hospital. Read More

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http://dx.doi.org/10.1111/dth.13647DOI Listing

Surface Electromyographic Biofeedback and the Effortful Swallow Exercise for Stroke-Related Dysphagia and in Healthy Ageing.

Dysphagia 2020 May 22. Epub 2020 May 22.

Centre of Human and Aerospace Physiological Sciences, King's College London, London, UK.

Dysphagia is common after stroke, leading to adverse outcome. The Effortful Swallow (ES) is recommended to improve swallowing but it is not known if dysphagic patients can increase muscle activity during the exercise or if age affects performance. Providing surface electromyographic (sEMG) biofeedback during dysphagia therapy may enhance exercise completion, but this has not been investigated and the technique's acceptability to patients is not known. Read More

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http://dx.doi.org/10.1007/s00455-020-10129-8DOI Listing

Effectiveness of voice therapy in patients with vocal fold nodules: a systematic search and narrative review.

Eur Arch Otorhinolaryngol 2020 May 22. Epub 2020 May 22.

Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal.

Background/objective: An adult with vocal fold nodules can suffer from hoarseness, breathiness and vocal fatigue, which, in turn, significantly affects their vocal participation as well as activities. A well-designed voice therapy program improves the quality of life and vocal functionality. This is a narrative review with a systematic search of the current literature about the effectiveness of voice therapy interventions in adults with vocal fold nodules. Read More

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http://dx.doi.org/10.1007/s00405-020-06059-8DOI Listing

Transition to forefoot strike reduces load rates more effectively than altered cadence.

J Sport Health Sci 2020 May 17;9(3):248-257. Epub 2019 Jul 17.

Spaulding National Running Center, Harvard Medical School, Cambridge, MA 02138, USA; Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA 02115, USA.

Background: Excessive vertical impacts at landing are associated with common running injuries. Two primary gait-retraining interventions aimed at reducing impact forces are transition to forefoot strike and increasing cadence. The objective of this study was to compare the short- and long-term effects of 2 gait-retraining interventions aimed at reducing landing impacts. Read More

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http://dx.doi.org/10.1016/j.jshs.2019.07.006DOI Listing

Effects of walnut intake on anthropometric characteristics: A systematic review and dose-response meta-analysis of randomized controlled trials.

Complement Ther Med 2020 May 10;50:102395. Epub 2020 Apr 10.

Department of Endocrinology, Xi'an Traditional Chinese Medicine Hospital, Xi'an City, Shaanxi Province, 710021, China. Electronic address:

Background & Objective: Effects of walnut intake on anthropometric measurements have been inconsistent among clinical studies. Thus, we conducted a meta-analysis of randomized clinical trials (RCTs) to evaluate and quantify the effects of walnut intake on anthropometric characteristics.

Methods: We carried out a systematic search of all available RCTs up to June 2019 in the following electronic databases: PubMed, Scopus, Web of Science and Google Scholar. Read More

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http://dx.doi.org/10.1016/j.ctim.2020.102395DOI Listing

Study protocol: improving cognition in people with progressive multiple sclerosis: a multi-arm, randomized, blinded, sham-controlled trial of cognitive rehabilitation and aerobic exercise (COGEx).

BMC Neurol 2020 May 22;20(1):204. Epub 2020 May 22.

Department of Biostatistics, University of Alabama at Birmingham, Birmingham, USA.

Background: Cognitive dysfunction affects up to 70% of people with progressive MS (PMS). It can exert a deleterious effect on activities of daily living, employment and relationships. Preliminary evidence suggests that performance can improve with cognitive rehabilitation (CR) and aerobic exercise (EX), but existing data are predominantly from people with relapsing-remitting MS without cognitive impairment. Read More

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http://dx.doi.org/10.1186/s12883-020-01772-7DOI Listing

Better Objective Sleep Was Associated with Better Subjective Sleep and Physical Activity; Results from an Exploratory Study under Naturalistic Conditions among Persons with Multiple Sclerosis.

Int J Environ Res Public Health 2020 May 18;17(10). Epub 2020 May 18.

Center of Affective, Stress and Sleep Disorders (ZASS), University of Basel, Psychiatric Clinics (UPK), 4002 Basel, Switzerland.

Persons with multiple sclerosis (PwMS) often complain about sleep problems. There is less known about objective sleep-electroencephalography (EEG) dimensions within naturalistic conditions (i.e. Read More

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http://dx.doi.org/10.3390/ijerph17103522DOI Listing

A Blended Learning System to Improve Motivation, Mood State, and Satisfaction in Undergraduate Students: Randomized Controlled Trial.

J Med Internet Res 2020 May 22;22(5):e17101. Epub 2020 May 22.

Department of Physical Therapy, University of Granada, Granada, Spain.

Background: Smartphone-based learning, or mobile learning (m-learning), has become a popular learning-and-teaching strategy in educational environments. Blended learning combines strategies such as m-learning with conventional learning to offer continuous training, anytime and anywhere, via innovative learning activities.

Objective: The main aim of this work was to examine the short-term (ie, 2-week) effects of a blended learning method using traditional materials plus a mobile app-the iPOT mobile learning app-on knowledge, motivation, mood state, and satisfaction among undergraduate students enrolled in a health science first-degree program. Read More

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http://dx.doi.org/10.2196/17101DOI Listing

Exercise training reverses cardiac aging phenotypes associated with heart failure with preserved ejection fraction in male mice.

Aging Cell 2020 May 22:e13159. Epub 2020 May 22.

Corrigan Minehan Heart Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Heart failure with preserved ejection fraction (HFpEF) is the most common type of HF in older adults. Although no pharmacological therapy has yet improved survival in HFpEF, exercise training (ExT) has emerged as the most effective intervention to improving functional outcomes in this age-related disease. The molecular mechanisms by which ExT induces its beneficial effects in HFpEF, however, remain largely unknown. Read More

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http://dx.doi.org/10.1111/acel.13159DOI Listing

Combinational Approach of Genetic SHP-1 Suppression and Voluntary Exercise Promotes Corticospinal Tract Sprouting and Motor Recovery Following Brain Injury.

Neurorehabil Neural Repair 2020 May 22:1545968320921827. Epub 2020 May 22.

Niigata University, Niigata, Japan.

. Brain injury often causes severe motor dysfunction, leading to difficulties with living a self-reliant social life. Injured neural circuits must be reconstructed to restore functions, but the adult brain is limited in its ability to restore neuronal connections. Read More

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http://dx.doi.org/10.1177/1545968320921827DOI Listing

Initial Evidence for Brain Plasticity Following a Digital Therapeutic Intervention for Depression.

Chronic Stress (Thousand Oaks) 2019 Jan-Dec;3:2470547019877880. Epub 2019 Sep 18.

Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Background: Digital therapeutics such as cognitive-emotional training have begun to show promise for the treatment of major depressive disorder. Available clinical trial data suggest that monotherapy with cognitive-emotional training using the Emotional Faces Memory Task is beneficial in reducing depressive symptoms in patients with major depressive disorder. The aim of this study was to investigate whether Emotional Faces Memory Task training for major depressive disorder is associated with changes in brain connectivity and whether changes in connectivity parameters are related to symptomatic improvement. Read More

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http://dx.doi.org/10.1177/2470547019877880DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219906PMC
September 2019

Multi-classifier prediction of knee osteoarthritis progression from incomplete imbalanced longitudinal data.

Sci Rep 2020 May 21;10(1):8427. Epub 2020 May 21.

School of Computing Science, Newcastle University, 1 Science Square, Newcastle, NE4 5TG, UK.

Conventional inclusion criteria used in osteoarthritis clinical trials are not very effective in selecting patients who would benefit from a therapy being tested. Typically majority of selected patients show no or limited disease progression during a trial period. As a consequence, the effect of the tested treatment cannot be observed, and the efforts and resources invested in running the trial are not rewarded. Read More

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http://dx.doi.org/10.1038/s41598-020-64643-8DOI Listing

Acute ischaemic stroke following cisplatin-based chemotherapy for testicular cancer.

BMJ Case Rep 2020 May 20;13(5). Epub 2020 May 20.

Department of Medical Oncology, The Canberra Hospital, Canberra, Australian Capital Territory, Australia.

Cisplatin is a widely used chemotherapeutic agent for many cancer types. Its toxicity profile includes drug-induced vascular damage. Clinicians should be aware of its varied presentation, including acute and chronic vascular events involving the arterial and venous system. Read More

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http://dx.doi.org/10.1136/bcr-2020-235005DOI Listing

Physiological Stratification of Patients With Angina Due to Coronary Microvascular Dysfunction.

J Am Coll Cardiol 2020 May;75(20):2538-2549

British Heart Foundation Centre of Excellence and National Institute for Health Research Biomedical Research Centre at the School of Cardiovascular Medicine and Sciences, Kings College London, London, United Kingdom. Electronic address:

Background: Coronary microvascular dysfunction (CMD) is defined by diminished flow reserve. Functional and structural CMD endotypes have recently been described, with normal and elevated minimal microvascular resistance, respectively.

Objectives: This study determined the mechanism of altered resting and maximal flow in CMD endotypes. Read More

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http://dx.doi.org/10.1016/j.jacc.2020.03.051DOI Listing

Participation in and outcomes from a 12-month tailored exercise programme for people with multiple sclerosis (MSTEP©): a randomized trial.

Clin Rehabil 2020 May 21:269215520923089. Epub 2020 May 21.

Department of Kinesiology and Physical Education, McGill University, Montreal, QC, Canada.

Objective: To estimate, among people with multiple sclerosis, the extent to which a personally tailored exercise programme (MSTEP©) resulted in greater improvements in exercise capacity and related outcomes over 12 months in comparison with general exercise guidelines.

Design: Two-group randomized trial.

Subjects: Ambulatory and sedentary. Read More

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http://dx.doi.org/10.1177/0269215520923089DOI Listing

Comparison of Physiotherapy Approaches in Low Back Pain: A Randomized Controlled Trial.

Korean J Fam Med 2020 May 22. Epub 2020 May 22.

Department of Physiotherapy and Rehabilitation, Private Guven Hospital, Ankara, Turkey.

Background: The purpose of this study was to compare the effectiveness of rehabilitation approaches in individuals with low back pain (LBP) on pain, spinal mobility, disability, and muscular strength.

Methods: Ninety volunteers were included and divided into four groups depending on the rehabilitation approach. Group 1, soft tissue mobilization techniques and stabilization exercises (n=24; 11 females (F), 13 males (M); group 2, Kinesio Taping and stabilization exercises (n=24; 12F, 12M); group 3, stabilization exercises (n=22; 11F, 11M); and group 4, reflex therapy and stabilization exercises (n=20; 10F, 10M). Read More

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http://dx.doi.org/10.4082/kjfm.20.0025DOI Listing

Mental simulation practice has beneficial effects on patients' physical function following lower limb arthroplasty: a systematic review and meta-analysis.

Arch Phys Med Rehabil 2020 May 10. Epub 2020 May 10.

Science and Research Centre, Institute for Kinesiology Research, Koper, Slovenia; Faculty of Sport and Physical Education, University of Niš, Niš, Serbia.

Objective: To determine the effectiveness of mental simulation practice (MSP) on measures of physical function recovery in patients who have undergone a joint replacement surgery of lower limbs.

Data Sources: A systematic review was conducted using CINAHL, PubMed/MEDLINE, Embase, SPORT Discus, PEDro, Cochrane Register of Controlled Trials and Google Scholar from earliest record to 16 August 2019.

Study Selections: The following inclusion criteria were used to determine eligibility for studies: 1) randomised and matched controlled trials recruiting male and female adults who underwent primary unilateral joint arthroplasty; 2) the study examined effects of MSP intervention on measures of physical function recovery (both performance-based and patient self-reported); 3) measures of interest were compared between MSP and control groups. Read More

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http://dx.doi.org/10.1016/j.apmr.2020.04.004DOI Listing

Safety, feasibility and efficacy of side-alternating vibration therapy on bone and muscle health in children and adolescents with musculoskeletal disorders: A pilot trial.

J Paediatr Child Health 2020 May 21. Epub 2020 May 21.

Liggins Institute, University of Auckland, Auckland, New Zealand.

Aims: A pilot study was performed to establish the safety, feasibility and efficacy of vibration therapy (VT) on bone and muscle health in children and adolescents with a range of musculoskeletal disorders.

Methods: Seventeen participants (15.7 years ± 2. Read More

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http://dx.doi.org/10.1111/jpc.14913DOI Listing

Jaw exercise therapy for the treatment of trismus in head and neck Cancer: a prospective three-year follow-up study.

Support Care Cancer 2020 May 20. Epub 2020 May 20.

Department of Otorhinolaryngology, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden.

Purpose: This study aims to examine effects of jaw exercise on trismus 3 years following completion of a post-radiotherapy jaw exercise intervention.

Methods: Prospective study including 50 patients with head-and-neck cancer receiving radiotherapy and/or chemotherapy, plus a matched control group. The intervention group underwent 10 weeks of jaw exercise training. Read More

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http://dx.doi.org/10.1007/s00520-020-05517-7DOI Listing

Pulmonary Rehabilitation and Asthma.

Front Pharmacol 2020 6;11:542. Epub 2020 May 6.

Istituti Clinici Scientifici Maugeri IRCCS, Respiratory Rehabilitation of the Istitute of Tradate (VA), Tradate, Italy.

Asthma is a chronic inflammatory disease characterized by airflow limitation and variable respiratory symptoms. It is characterized by variable symptoms such as cough, wheeze, chest tightness, and shortness of breath which vary in intensity and time. In order to reach a comprehensive approach of disease management, the importance of non-pharmacological treatment in addition to pharmacological therapy has been recently highlighted. Read More

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http://dx.doi.org/10.3389/fphar.2020.00542DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219266PMC

Lung Volume Reduction in Pulmonary Emphysema.

Semin Respir Crit Care Med 2020 May 20. Epub 2020 May 20.

Department of Respiratory Medicine, Royal Brompton Hospital, London, United Kingdom.

Severe emphysema with hyperinflation presents a therapeutic challenge. Inhaled medication has limited efficacy in individuals with mechanical constraints to the respiratory pump and impaired gas exchange. Lung volume reduction surgery (LVRS) reestablishes some semblance of normal physiology, resecting grossly expanded severely diseased tissue to restore the function of compromised relatively healthy lung, and has been shown to significantly improve exercise capacity, quality of life, and survival, especially in individuals with upper-lobe predominant emphysema and low-baseline exercise capacity, albeit with higher early morbidity and mortality. Read More

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http://dx.doi.org/10.1055/s-0040-1702192DOI Listing

Physical Exercise Ameliorates the Cognitive Function and Attenuates the Neuroinflammation of Alzheimer's Disease via miR-129-5p.

Dement Geriatr Cogn Disord 2020 May 20:1-7. Epub 2020 May 20.

Department of Neurology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China,

Introduction: Physical exercise has a significant neuroprotective role in Alzheimer's disease (AD), but the underlying mechanisms remain elusive.

Objective: This study aimed to explore the molecular mechanisms of physical exercise by analyzing the role of microRNA-129-5p (miR-129-5p) in AD mice and patients.

Methods: AD mice and patients were treated with 4-week and 3-month physical exercise, respectively. Read More

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http://dx.doi.org/10.1159/000507285DOI Listing

Patients' experiences and effects of non-pharmacological treatment for myalgic encephalomyelitis/chronic fatigue syndrome - a scoping mixed methods review.

Int J Qual Stud Health Well-being 2020 Dec;15(1):1764830

Faculty of Health Studies, VID Specialized University , Oslo, Norway.

Purpose: The EU COST Action 15111 collaboration on myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) aims to assess current research and identify knowledge gaps in Europe. Presently, our purpose is to map the effects of non-pharmacological therapies (NPTs) for ME/CFS, and what patients find important in the treatment process.

Methods: A scoping mixed methods literature review of European studies identified 16 papers fulfiling our inclusion criteria. Read More

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http://dx.doi.org/10.1080/17482631.2020.1764830DOI Listing
December 2020

Using Biosensors and Digital Biomarkers to Assess Response to Cardiac Rehabilitation: Observational Study.

J Med Internet Res 2020 May 20;22(5):e17326. Epub 2020 May 20.

Mobile Health Unit, Limburg Clinical Research Center (LCRC), Faculty of Medicine and Life Sciences, Hasselt University (UHasselt), Diepenbeek, Belgium.

Background: Cardiac rehabilitation (CR) is known for its beneficial effects on functional capacity and is a key component within current cardiovascular disease management strategies. In addition, a larger increase in functional capacity is accompanied by better clinical outcomes. However, not all patients respond in a similar way to CR. Read More

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http://dx.doi.org/10.2196/17326DOI Listing

Impact of seated and standing positions on triceps surae muscle activation in unilateral Achilles tendon rupture.

Transl Sports Med 2020 Jan 20;3(1):3-8. Epub 2019 Oct 20.

Department of Physical Therapy, University of Delaware, 540 S. College Ave, Newark, DE 19713, USA.

Heel-rises are commonly used in the rehabilitation of individuals following Achilles tendon rupture, however, the impact of tendon elongation on triceps surae activation in seated versus standing positions has not been investigated. The purpose of this study was to investigate changes in triceps surae activation during seated compared to standing heel-rises in individuals with Achilles tendon rupture and its relationship to tendon elongation. Ten individuals with a history of Achilles tendon rupture were included in this study. Read More

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http://dx.doi.org/10.1002/tsm2.117DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236791PMC
January 2020

Melatonin Therapy Improves Cardiac Autonomic Modulation in Pinealectomized Patients.

Front Endocrinol (Lausanne) 2020 30;11:239. Epub 2020 Apr 30.

Department of Physiology and Biophysics, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil.

The purpose of this investigational study was to assess the effects of melatonin replacement therapy on cardiac autonomic modulation in pinealectomized patients. This was an open-label, single-arm, single-center, proof-of-concept study consisting of a screening period, a 3-month treatment period with melatonin (3 mg/day), and a 6-month washout period. The cardiac autonomic function was determined through heart rate variability (HRV) measures during polysomnography. Read More

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http://dx.doi.org/10.3389/fendo.2020.00239DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213221PMC

Gait and Functional Mobility in Multiple Sclerosis: Immediate Effects of Transcranial Direct Current Stimulation (tDCS) Paired With Aerobic Exercise.

Front Neurol 2020 5;11:310. Epub 2020 May 5.

NYU Langone Health, Department of Neurology, New York, NY, United States.

Walking impairments are a debilitating feature of multiple sclerosis (MS) because of the direct interference with daily activity. The management of motor symptoms in those with MS remains a therapeutic challenge. Transcranial direct current stimulation (tDCS) is a type of non-invasive brain stimulation that is emerging as a promising rehabilitative tool but requires further characterization to determine its optimal therapeutic use. Read More

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http://dx.doi.org/10.3389/fneur.2020.00310DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214839PMC

Feasibility of a Randomized Controlled Trial of Paediatric Interdisciplinary Pain Management Using Home-Based Telehealth.

J Pain Res 2020 1;13:897-908. Epub 2020 May 1.

Physiotherapy Department, Perth Children's Hospital, Perth, Western Australia, Australia.

Purpose: Chronic pain is common in adolescents. Evidence-based guidelines recommend interdisciplinary treatment, but access is limited by geography. The development of hybrid programs utilizing both face-to-face and videoconference treatment may help overcome this. Read More

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http://dx.doi.org/10.2147/JPR.S217022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200248PMC

Balancing Value Bracketing with the Integration of Moral Values in Psychotherapy: Evaluation of a Clinical Practice from the Perspective of Catholic Moral Theology.

Linacre Q 2019 May 13;86(2-3):207-224. Epub 2019 Aug 13.

Divine Mercy University, Arlington, VA, USA.

Value bracketing is a clinical practice proposed by graduate-level mental health counseling educators to help therapists-in-training learn how to avoid imposing their private values on clients as well as how to manage value conflicts with clients that emerge during the course of therapy. With value bracketing during professional work, a therapist does not refer to his or her private values so as not to influence a client's decision-making process. When some academic writers describe this practice, however, they risk overemphasizing the distinction made between a therapist's private values and the professional values that regulate his or her clinical work. Read More

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http://dx.doi.org/10.1177/0024363919856810DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699052PMC

Outcomes of infants and children undergoing surgical repair of ventricular septal defect: a review of the literature and implications for research with an emphasis on pulmonary artery hypertension.

Cardiol Young 2020 May 20:1-8. Epub 2020 May 20.

Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA.

Background: Pulmonary vascular disease resulting from CHDs may be the most preventable cause of pulmonary artery hypertension worldwide. Many children in developing countries still do not have access to early closure of clinically significant defects, and the long-term outcomes after corrective surgery remain unclear. Focused on long-term results after isolated ventricular septal defect repair, our review sought to determine the most effective medical therapy for the pre-operative management of elevated left-to-right shunts in patients with an isolated ventricular septal defect. Read More

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http://dx.doi.org/10.1017/S1047951120001146DOI Listing

Feasibility of a stratified blended physiotherapy intervention for patients with non-specific low back pain: a mixed methods study.

Physiother Theory Pract 2020 May 20:1-13. Epub 2020 May 20.

Department of Rehabilitation, Physiotherapy Science & Sports, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.

: Integrating web-based or mobile components and face-to-face components within a treatment process is called blended care. As part of the participatory development of a blended physiotherapeutic intervention for patients with low back pain (e-Exercise LBP), a proof of concept study was carried out and showed promising results.: To investigate the feasibility of the e-Exercise LBP prototype for patients and physiotherapists to improve the intervention. Read More

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http://dx.doi.org/10.1080/09593985.2020.1756015DOI Listing

How the COVID-19 infection tsunami revolutionized the work of respiratory physiotherapists: an experience from Northern Italy.

Monaldi Arch Chest Dis 2020 May 19;90(2). Epub 2020 May 19.

Cardiac Rehabilitation, ICS Maugeri IRCCS, Institute of Lumezzane.

Due to COVID-19 outbreak, to lighten the burden of acute and critical care hospitals, some respiratory rehabilitation departments have been used to host patients with COVID-19 in the post-acute phase. This new and unexpected situation required a change of roles and scheduling of the rehabilitation teams. In this manuscript we describe the unexpected and urgent organizational change of the Cardio-Pulmonary Rehabilitation (CPR) service during the COVID-19 emergency in a Northern Italian rehabilitation hospital, focusing on the Respiratory Physiotherapists' (RPTs) role. Read More

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http://dx.doi.org/10.4081/monaldi.2020.1085DOI Listing

Soluble ST2 and Soluble Markers of Fibrosis: Emerging Roles for Prognosis and Guiding Therapy.

Curr Cardiol Rep 2020 May 19;22(6):41. Epub 2020 May 19.

Division of Cardiovascular Medicine, University of California, San Diego, La Jolla, CA, USA.

Purpose Of Review: Biomarkers of cardiac fibrosis closely track the disease state that gives rise to heart failure. The purpose of this review is to highlight recent data on the use of soluble ST2, galectin-3, and procollagen, three markers of cardiac fibrosis, for aiding with prognostication, and to explore the use of these biomarkers for guiding therapy.

Recent Findings: Soluble ST2, galectin-3, and procollagen are prognostic in both acute and chronic heart failure, and data are emerging as to their potential uses for guiding therapies. Read More

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http://dx.doi.org/10.1007/s11886-020-01288-zDOI Listing

Novel and reliable DACTylitis glObal Sonographic (DACTOS) score in psoriatic arthritis.

Ann Rheum Dis 2020 May 19. Epub 2020 May 19.

Academic Rheumatology Centre, Dipartimento di Scienze Cliniche e Biologiche, Università degli Studi di Torino, MFRU, Turin, Italy

Objectives: Dactylitis is one of the most typical features of psoriatic arthritis (PsA), with a high lifetime prevalence and inclusion in PsA clinical indices. Musculoskeletal ultrasonography (Msk-US) can readily detect inflammatory involvement of finger anatomical structures particular to dactylitis and monitor therapeutic effects. In this study, we aim to identify the characteristic lesions in PsA dactylitis of the hands, assess the reliability of Msk-US in scoring those lesions and develop a DACTylitis glObal Sonographic (DACTOS) score. Read More

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http://dx.doi.org/10.1136/annrheumdis-2020-217191DOI Listing

Supervised exercise protocol for lower limbs in subjects with chronic venous disease: an evaluator-blinded, randomized clinical trial.

Trials 2020 May 19;21(1):414. Epub 2020 May 19.

PneumoCardioVascular Lab/HUOL Hospital Universitário Onofre Lopes, Empresa Brasileira de Serviços Hospitalares (EBSERRH) Departamento de Fisioterapia Universidade Federal do Rio Grande do Norte, Campus Universitário Central, Caixa Postal 1524/ Campus Universitário Lagoa Nova, Natal, Rio Grande do Norte, CEP: 59078-900, Brazil.

Background: Chronic venous insufficiency (CVI) causes pathophysiological changes in the lower-limb muscles, particularly the calf muscles, and limits ankle range of motion (ROM). These changes reduce functional activities and decrease quality of life (QOL). Although several studies have shown the benefits of exercise (strengthening the calf muscles to improve calf-muscle pumping and QOL) in patients with CVI, few studies are randomized controlled trials. Read More

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http://dx.doi.org/10.1186/s13063-020-04314-1DOI Listing

Inconsistent descriptions of lumbar multifidus morphology: A scoping review.

BMC Musculoskelet Disord 2020 May 19;21(1):312. Epub 2020 May 19.

Anesthesiology Pain Center, University of Groningen, University Medical Center Groningen, Location Beatrixoord, Dilgtweg 5, Haren, the Netherlands.

Background: Lumbar multifidus (LM) is regarded as the major stabilizing muscle of the spine. The effects of exercise therapy in low back pain (LBP) are attributed to this muscle. A current literature review is warranted, however, given the complexity of LM morphology and the inconsistency of anatomical descriptions in the literature. Read More

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http://dx.doi.org/10.1186/s12891-020-03257-7DOI Listing

Aquatic exercising may improve sexual function in females with multiple sclerosis - an exploratory study.

Mult Scler Relat Disord 2020 Apr 26;43:102106. Epub 2020 Apr 26.

University of Basel, Psychiatric Clinics (UPK), Center of Affective, Stress and Sleep Disorders (ZASS), Basel, Switzerland; Kermanshah University of Medical Sciences (KUMS), Sleep Disorders Research Center, Kermanshah, Iran; Kermanshah University of Medical Sciences (KUMS), Substance Abuse Prevention Research Center, Health Institute, Kermanshah, Iran; University of Basel, Department of Sport, Exercise, and Health, Division of Sport Science and Psychosocial Health, Basel, Switzerland; Tehran University of Medical Sciences, School of Medicine, Tehran, Iran.

Background: Persons with multiple sclerosis (PwMS) report impaired sexual function, and this is particularly prevalent and burdensome for females with MS. The present study included a randomized controlled trial (RCT) design and examined the effect of aquatic exercise training on sexual function among females with MS.

Methods: The sample consisted of 60 married female PwMS (mean age: 37. Read More

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http://dx.doi.org/10.1016/j.msard.2020.102106DOI Listing

Non-Pharmacological interventions for the anxiety in patients with dementia. A cross-over randomised controlled trial.

Behav Brain Res 2020 May 16;390:112617. Epub 2020 May 16.

1st Department of Neurology, Aristotle University of Thessaloniki, Makedonia, 3 Despere Street, Thessaloniki, Greece. Electronic address:

Background: Behavioural and Psychiatric Symptoms in dementia (BPSD) tend to be a crucial and big problem in dementia. Anxiety several times remains under-diagnosed because it is often considered to be a psychological response to cognitive decline. As only the 10 % of patients were correctly treated, the pharmacological treatment should be well- considered. Read More

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http://dx.doi.org/10.1016/j.bbr.2020.112617DOI Listing

Comparison of intradialytic versus home-based exercise programs on physical functioning, physical activity level, adherence, and health-related quality of life: pilot study.

Sci Rep 2020 May 19;10(1):8302. Epub 2020 May 19.

Department of Physical Therapy, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.

Intradialytic exercise (ID) programs are effective and safe for hemodialysis (HD) patients to avoid functional deterioration. However, exercise is not routinely undertaken in most HD units, and we do not know if home-based (HB) programs are as effective as ID programs. The purpose of this study was to compare the effects of 16 weeks of ID exercise versus a HB exercise program for HD patients. Read More

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http://dx.doi.org/10.1038/s41598-020-64372-yDOI Listing

An investigation of the relationship between new fasting hormone asprosin, obesity and acute-chronic exercise: current systematic review.

Arch Physiol Biochem 2020 May 19:1-12. Epub 2020 May 19.

Faculty of Sports Sciences, Coaching Science Department, Mugla Sitki Kocman University, Muğla, Turkey.

The purpose of this study was to reveal the relationship between new fasting hormone asprosin, obesity, and acutechronic exercise. The prisma guidelines were followed in forming the methodological model of this review. The articles between 2016 and 2020 (including March) were identified by scanning Google Scholar, Pub Med, and Science Direct databases. Read More

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http://dx.doi.org/10.1080/13813455.2020.1767652DOI Listing

Delayed Injection of a Physically Cross-Linked PNIPAAm--PEG Hydrogel in Rat Contused Spinal Cord Improves Functional Recovery.

ACS Omega 2020 May 27;5(18):10247-10259. Epub 2020 Apr 27.

Aix Marseille Univ, CNRS, ISM, UMR 7287, Institut des Sciences du Mouvement: Etienne-Jules MAREY, Equipe, Plasticité des Systèmes Nerveux et Musculaire, (PSNM), Parc Scientifique et Technologique de Luminy, Faculté des Sciences du Sport de Marseille, CC910-163 Avenue de Luminy, F-13288 Marseille Cedex 09, France.

Spinal cord injury is a main health issue, leading to multiple functional deficits with major consequences such as motor and sensitive impairment below the lesion. To date, all repair strategies remain ineffective. In line with the experiments showing that implanted hydrogels, immunologically inert biomaterials, from natural or synthetic origins, are promising tools and in order to reduce functional deficits, to increase locomotor recovery, and to reduce spasticity, we injected into the lesion area, 1 week after a severe T10 spinal cord contusion, a thermoresponsive physically cross-linked poly(-isopropylacrylamide)-poly(ethylene glycol) copolymer hydrogel. Read More

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http://dx.doi.org/10.1021/acsomega.9b03611DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7226861PMC