137,471 results match your criteria Therapeutic Exercise


Voluntary and magnetically evoked muscle contraction protocol in males with Duchenne muscular dystrophy: safety, feasibility, reliability, and validity.

Muscle Nerve 2021 May 11. Epub 2021 May 11.

Division of Rehabilitation Science, Department of Rehabilitation Medicine, Medical School-University of Minnesota, Minneapolis, MN.

Introduction: Clinical trials addressing treatments for Duchenne muscular dystrophy (DMD) require reliable and valid measurement of muscle contractile function across all disease severity levels. This work aimed to evaluate a protocol combining voluntary and evoked contractions to measure strength and excitability of wrist extensor muscles, for safety, feasibility, reliability, and discriminant validity between males with DMD and controls.

Methods: Wrist extensor muscle strength and excitability were assessed in males with DMD (N=10; mean 15. Read More

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The effect of prior radiation on the success of ventral skull base reconstruction: A systematic review and meta-analysis.

Head Neck 2021 May 11. Epub 2021 May 11.

Department of Otolaryngology - Head & Neck Surgery, M. D. Anderson Cancer Center, Houston, Texas, USA.

The incidence of cerebrospinal fluid leak after ventral skull base reconstruction is a primary outcome of interest to skull base surgeons. Exposure to pre-operative radiation may put patients at an increased risk of skull base reconstructive failure. A systematic search identified studies which included patients receiving ventral skull base reconstruction in the setting of pre-operative radiation. Read More

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"Like Peanut Butter and Jelly": A Qualitative Study of Chiropractic Care and Home Exercise Among Older Adults with Spinal Disability.

Arthritis Care Res (Hoboken) 2021 May 10. Epub 2021 May 10.

Palmer College of Chiropractic, United States.

Objective: A mixed methods, randomized controlled trial comparing short- and long-term chiropractic care and exercise therapy for spinal disability in older adults found no between-group differences in the primary outcome. However, those who received long-term management reported greater improvement in neck pain, self-efficacy, function, and balance. This nested qualitative study explored participants' perceptions of the benefits and drawbacks of chiropractic and exercise for spine-related outcomes, with an emphasis on understanding what makes treatment for spine-related problems worthwhile. Read More

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Chin Tuck Against Resistance Exercise for Dysphagia Rehabilitation: A Systematic Review.

J Oral Rehabil 2021 May 10. Epub 2021 May 10.

Department of Occupational Therapy, Seoul North Municipal Hospital, 38, Yangwonyeok-ro, Jungnang-gu, Seoul, Republic of Korea.

Background: Chin tuck against resistance (CTAR) exercise has been recently reported to be a new therapeutic exercise method that can help improve swallowing function in patients with dysphagia. However, due to the differences in exercise protocols, methods, and the tools used across studies of CTAR exercise, an overall systematic review of these studies is necessary.

Objective: The present study investigated the exercise protocols, methods, and tools used in various studies of CTAR exercise and summarized their findings. Read More

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The Effects of Exergame on Postural Control in Individuals with Ataxia: a Rater-Blinded, Randomized Controlled, Cross-over Study.

Cerebellum 2021 May 11. Epub 2021 May 11.

Faculty of Physical Therapy and Rehabilitation, Hacettepe University, 06100, Ankara, Turkey.

Exergame trainings might have therapeutic value in ataxic patients. The aim of this study was to investigate the effect of exergame training with an exercise program on postural control by comparing it with traditional balance and coordination exercise program. Nineteen patients were randomly allocated to two groups. Read More

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Postoperative Rehabilitation of Rotator Cuff Repair: A Systematic Review.

Sports Med Arthrosc Rev 2021 Jun;29(2):119-129

Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD.

Rotator cuff tears are the most common cause of shoulder disability and can cause significant pain and dysfunction. This systematic review summarizes the latest research on rehabilitation following arthroscopic rotator cuff repair. Studies were eligible for inclusion if they pertained to postoperative rehabilitation following arthroscopic rotator cuff repair and were published between 2003 and 2019 with a level of evidence of 1 or 2. Read More

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Pulmonary hypertension and home-based (PHAHB) exercise intervention: protocol for a feasibility study.

BMJ Open 2021 May 10;11(5):e045460. Epub 2021 May 10.

School of Health and Human Performance, Dublin City University, Dublin, Ireland.

Introduction: Novel therapies for pulmonary hypertension (PH) have improved survival and slowed disease progression. However, patients still present with symptoms of exertional dyspnoea and fatigue, which impacts their ability to perform activities of daily living, reduces exercise tolerance and impairs their quality of life (QoL). Exercise training has shown to be safe and effective at enhancing QoL and physical function in PH patients, yet it remains an underused adjunct therapy. Read More

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Effects of Bilberry and Oat intake on lipids, inflammation and exercise capacity after Acute Myocardial Infarction (BIOAMI): study protocol for a randomized, double-blind, placebo-controlled trial.

Trials 2021 May 10;22(1):338. Epub 2021 May 10.

Department of Cardiology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Background: Bilberries from Sweden, rich in polyphenols, have shown cholesterol-lowering effects in small studies, and the cholesterol-lowering properties of oats, with abundant beta-glucans and potentially bioactive phytochemicals, are well established. Both may provide cardiometabolic benefits following acute myocardial infarction (AMI), but large studies of adequate statistical power and appropriate duration are needed to confirm clinically relevant treatment effects. No previous study has evaluated the potential additive or synergistic effects of bilberry combined with oats on cardiometabolic risk factors. Read More

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Improvement of freezing of gait in patients with Parkinson's disease by music exercise therapy: a study protocol for a randomized controlled trial.

Trials 2021 May 10;22(1):335. Epub 2021 May 10.

Department of Neurological Rehabilitation, Shanghai Second Rehabilitation Hospital, No. 25, Lane 860, Changjiang Road, Baoshan District, Shanghai, 200441, China.

Background: Progression of freezing of gait, a common pathological gait in Parkinson's disease, is an important risk factor for diagnosing the disease and has been shown to predispose patients to easy falls, loss of independent living ability, and reduced quality of life. Treating Parkinson's disease with freezing of gait is very difficult, while the use of medicine and operation has been ineffective. Music exercise therapy, which entails listening to music as you exercise, has been proposed as a treatment technology that can change patients' behavior, emotions, and physiological activity. Read More

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A multimodal approach to cancer-related cachexia: from theory to practice.

Expert Rev Anticancer Ther 2021 May 10. Epub 2021 May 10.

Medical Oncology, Department of Medicine, University of Verona Hospital Trust, 37134, Verona, Italy.

: Cachexia represents a relevant issue in oncological care, which is still lacking effective therapies. Although the incidence of cancer cachexia varies across cancer types, it is responsible for approximately a quarter of cancer-related deaths. The pathophysiology of this syndrome is multifactorial, including weight loss, muscle atrophy and impairment of the pro-/anti-inflammatory balance. Read More

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Usual Medical Care for Patellofemoral Pain Does Not Usually Involve Much Care: 2-Year Follow-Up in the Military Health System.

J Orthop Sports Phys Ther 2021 May 10:1-25. Epub 2021 May 10.

Discipline of Physiotherapy, School of Health Sciences, The University of Newcastle, Callaghan, Australia.

Objectives: To identify the most common type and timing of interventions used to initially manage patellofemoral pain (PFP), and if exercise therapy as an initial treatment was associated with decreased likelihood of recurrence of PFP.

Design: Retrospective cohort.

Methods: Active duty military service members (n=74,408) aged 18 to 50 years and diagnosed with PFP between 2010 and 2011 were included. Read More

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Effect of Pelvic Floor Symptoms on Women's Participation in Exercise: A Mixed-Methods Systematic Review With Meta-Analysis.

J Orthop Sports Phys Ther 2021 May 10:1-54. Epub 2021 May 10.

Department of Physiotherapy, Monash University, Melbourne, Australia.

Objective: To (i) review the effect of pelvic floor (PF) symptoms (urinary incontinence [UI], pelvic organ prolapse [POP], anal incontinence [AI]) on exercise participation in women, and (ii) explore PF symptoms as a barrier to exercising.

Design: Mixed-methods systematic review with meta-analysis.

Literature Search: Eight databases systematically searched to September 2020. Read More

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Assessing Vascular Function in Patients With Neck Pain, Headache, and/or Orofacial Pain: Part of the Job Description of Physical Therapists.

J Orthop Sports Phys Ther 2021 May 10:1-12. Epub 2021 May 10.

Faculty of Medicine and Health Sciences, School of Health Sciences, Division of Physiotherapy and Sport Rehabilitation, University of Nottingham, UK.

Synopsis: Vascular serious adverse events (SAEs) can occur after manipulating, mobilizing, prescribing exercise for and examining the cervical spine. Patients presenting with neck pain and headache who develop a vascular SAE during or after treatment may have vascular flow limitations that were unrecognized and aggravated by treatment. Patients with neck pain and headache-the first non-ischemic symptoms of arterial dissection-frequently access a physical therapist as a first point provider who may or may not have specialist training in orthopedic manual physical therapy (OMPT). Read More

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Experiences of responsiveness to exercise in people with chronic whiplash: A qualitative study.

Musculoskelet Sci Pract 2021 Apr 21;54:102380. Epub 2021 Apr 21.

Faculty of Medicine & Health, The University of Sydney, NSW, Australia; John Walsh Centre for Rehabilitation Research, Royal North Shore Hospital, NSW, Australia. Electronic address:

Exercise is recommended in clinical guidelines for the treatment of chronic whiplash associated disorders (WAD). However, randomised controlled trials have shown similar effects for comprehensive exercise programs and advice. To date, there is no clear understanding of why some individuals with WAD appear to respond to exercise whilst others do not. Read More

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Suppression of Cancer-associated bone loss through dynamic mechanical loading.

Bone 2021 May 7:115998. Epub 2021 May 7.

Stony Brook University, Department of Biomedical Engineering, Stony Brook, NY, USA.

Patients afflicted with or being treated for cancer constitute a distinct and alarming subpopulation who exhibit elevated fracture risk and heightened susceptibility to developing secondary osteoporosis. Cancer cells uncouple the regulatory processes central for the adequate regulation of musculoskeletal tissue. Systemically taxing treatments to target tumors or disrupt the molecular elements driving tumor growth place considerable strain on recovery efforts. Read More

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The Spread of COVID-19 Among 15,000 Physical Therapists in Italy: A Cross-Sectional Study.

Phys Ther 2021 May 8. Epub 2021 May 8.

IRCCS San Camillo Hospital, Laboratory of Rehabilitation Technologies, Venice, Italy.

Objectives: The purpose of this study was to explore the prevalence, personal- and work-related exposures, and signs and symptoms among physical therapists during the first wave of coronavirus disease 2019 (COVID-19) in Italy.

Methods: This cross-sectional, survey-based study collected demographic and exposure data from physical therapists from April to May 2020. All physical therapists working in an inpatient and outpatient care in Italy were eligible. Read More

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Immersive Virtual Reality to Improve Outcomes in Veterans With Stroke: Protocol for a Single-Arm Pilot Study.

JMIR Res Protoc 2021 May 10;10(5):e26133. Epub 2021 May 10.

Research and Development Service, James A Haley Veterans' Hospital, Tampa, FL, United States.

Background: Over the last decade, virtual reality (VR) has emerged as a cutting-edge technology in stroke rehabilitation. VR is defined as a type of computer-user interface that implements real-time simulation of an activity or environment allowing user interaction via multiple sensory modalities. In a stroke population, VR interventions have been shown to enhance motor, cognitive, and psychological recovery when utilized as a rehabilitation adjunct. Read More

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Anti-cancer Therapy Leads to Increased Cardiovascular Susceptibility to COVID-19.

Front Cardiovasc Med 2021 23;8:634291. Epub 2021 Apr 23.

Faculty Research Centre for Sport, Exercise and Life Sciences, Faculty of Health and Life Sciences, Coventry University, Coventry, United Kingdom.

Anti-cancer treatment regimens can lead to both acute- and long-term myocardial injury due to off-target effects. Besides, cancer patients and survivors are severely immunocompromised due to the harsh effect of anti-cancer therapy targeting the bone marrow cells. Cancer patients and survivors can therefore be potentially extremely clinically vulnerable and at risk from infectious diseases. Read More

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Metabolic syndrome and coronary artery disease in adults with congenital heart disease.

Authors:
Koichiro Niwa

Cardiovasc Diagn Ther 2021 Apr;11(2):563-576

Department of Cardiology, Cardiovascular Center, St Luke's International Hospital, Tokyo 104-8560, Japan.

In adults with congenital heart disease (ACHD), conditions acquired with aging, such as metabolic syndrome, hypertension, diabetes mellitus, and obesity, can negatively influence the original cardiovascular disease. Metabolic syndrome has a higher prevalence in ACHD than in the general population. In contrast, coronary artery disease shows a similar prevalence in adults with acyanotic CHD and the general population, while adults with cyanotic CHD, even after repair, have an even lower incidence of coronary artery disease than the general population/adults with acyanotic CHD. Read More

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Systematic assessment of health care perception in adults with congenital heart disease in Germany.

Cardiovasc Diagn Ther 2021 Apr;11(2):481-491

Department of Congenital Heart Disease and Pediatric Cardiology, German Heart Center Munich, Technical University Munich, Germany.

Background: The number of adults with congenital heart disease (ACHD) is steadily rising due to increased survival rate and improved medical resources. Accordingly, more than 330,000 ACHD are currently living in Germany. Almost all of them require lifelong specialized medical follow-up for their chronic heart disease, often accompanied by residua, sequelae, or comorbidities. Read More

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Motor Control and Ergonomic Intervention Home-Based Program: A Pilot Trial Performed in the Framework of the Motor Control Home Ergonomics Elderlies' Prevention of Falls (McHeELP) Project.

Cureus 2021 Apr 7;13(4):e14336. Epub 2021 Apr 7.

Physiotherapy, Physiotherapy Department, Faculty of Health and Care Sciences, University of West Attica (UNIWA), Athens, GRC.

Objectives Falls are a serious problem that can reduce living autonomy and health-related quality of life of older adults. A decrease in the muscular strength of the lower limbs and the deterioration of balance or motor performance deficits may lead to falls. "Motor Control Home Ergonomics Elderlies' Prevention of Falls" (McHeELP) is a novel motor control exercise program combined with ergonomic arrangements of the home environment. Read More

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[Improvement in platelet count and bleeding symptom during treatment with eltrombopag in a patient with X-linked thrombocytopenia].

Rinsho Ketsueki 2021 ;62(4):257-261

Department of Pediatrics, Graduate School of Medical and Dental Sciences, Kagoshima University.

Herein, we describe a 13-year-old male adolescent who had chronic thrombocytopenia since infancy. In this case, X-linked thrombocytopenia (XLT) was suspected owing to a family history of chronic thrombocytopenia and small-sized platelets. Moreover, the patient was refractory to immunoglobulin therapy. Read More

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Six-Month Community-Based Brisk Walking and Balance Exercise Alleviates Motor Symptoms and Promotes Functions in People with Parkinson's Disease: A Randomized Controlled Trial.

J Parkinsons Dis 2021 May 3. Epub 2021 May 3.

Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.

Background: In Parkinson's disease (PD), sustained aerobic exercise is a promising therapy in delaying motor disability. Brisk walking is a moderate intensity aerobic training, which could be translated to community practice at low cost, but its effects on motor symptoms remains unclear.

Objective: To determine the effectiveness of a six-month brisk walking and balance program in alleviating motor symptoms, and promoting functional, gait, and balance performance in people with PD. Read More

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[Effect of Sarcopenia on the Efficacy of Percutaneous Kyphoplasty in the Treatment of Osteoporotic Spinal Compression Fractures in Elderly Patients].

Zhongguo Yi Xue Ke Xue Yuan Xue Bao 2021 Apr;43(2):153-158

Department of Orthopedics,The Affiliated Jiangning Hospital of Nanjing Medical University,Nanjing 211100,China.

Objective To investigate the effect of sarcopenia on the efficacy of percutaneous kyphoplasty(PKP)in the treatment of osteoporotic spinal compression fracture(OSCF)in elderly patients. Methods From February 2017 to June 2018,a total of 77 elderly patients who met the inclusion and exclusion criteria were included in this study.Grip strength of dominant hand was measured by an electronic grip dynamometer with cut-off values of 27 kg for males and 16 kg for females. Read More

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Targeting the Cerebrovascular System: Next-Generation Biomarkers and Treatment for Mild Traumatic Brain Injury.

Neuroscientist 2021 May 8:10738584211012264. Epub 2021 May 8.

Department of Neuroscience, Monash University, Melbourne, Victoria, Australia.

The diagnosis, prognosis, and treatment of mild traumatic brain injuries (mTBIs), such as concussions, are significant unmet medical issues. The kinetic forces that occur in mTBI adversely affect the cerebral vasculature, making cerebrovascular injury (CVI) a pathophysiological hallmark of mTBI. Given the importance of a healthy cerebrovascular system in overall brain function, CVI is likely to contribute to neurological dysfunction after mTBI. Read More

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A novel approach utilizing laser acupuncture teletherapy for management of elderly-onset rheumatoid arthritis: A randomized clinical trial.

J Telemed Telecare 2021 May 9:1357633X211009861. Epub 2021 May 9.

Faculty of Physical Therapy, Orthopedic Physical Therapy, Beni-Suef University, Egypt.

Introduction: Rheumatoid arthritis (RA) disease is a systemic progressive inflammatory autoimmune disorder. Elderly-onset RA can be assumed as a benign form of RA. Until recently, face-to-face therapeutic sessions between health professionals and patients are usually the method of its treatment. Read More

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Gut Microbiome-Derived Metabolite Trimethylamine N-Oxide Induces Aortic Stiffening and Increases Systolic Blood Pressure With Aging in Mice and Humans.

Hypertension 2021 May 10:HYPERTENSIONAHA12016895. Epub 2021 May 10.

From the Department of Integrative Physiology, University of Colorado Boulder (V.E.B., A.G.C., R.A.G.-R., Z.J.S., B.P.Z., Z.S.C., A.E.B., N.S.V., J.J.R., D.A.H., M.C.Z., D.R.S.).

Aging is associated with stiffening of the large elastic arteries and consequent increases in systolic blood pressure (SBP), which together increase cardiovascular disease risk; however, the upstream mechanisms are incompletely understood. Using complementary translational approaches in mice and humans, we investigated the role of the gut microbiome-derived metabolite trimethylamine N-oxide (TMAO) in age-related aortic stiffening and increased SBP. Aortic stiffness was measured using carotid-femoral or aortic pulse wave velocity (PWV) in humans and mice, respectively. Read More

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Supine Cycling Exercise Enhances Cerebral Oxygenation of Motor-Related Areas in Healthy Male Volunteers.

Adv Exp Med Biol 2021 ;1269:295-300

Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan.

It has been reported that the cardiovascular response in the supine position is different from that in the sitting position. However, there are few reports on the effects of posture on cerebral oxygenation during exercise. Cycling exercises change oxygenated hemoglobin (OHb) and deoxygenated hemoglobin (HHb) levels in motor-related areas. Read More

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Relationship Between the Borg Scale Rating of Perceived Exertion and Leg-Muscle Deoxygenation During Incremental Exercise in Healthy Adults.

Adv Exp Med Biol 2021 ;1269:95-99

Institute for Human Movement and Medical Science, Niigata University of Health and Welfare, Niigata, Japan.

Introduction: The Borg scale rating of perceived exertion is a reliable indicator and widely used to monitor and guide exercise intensity. We aimed to evaluate the relationships between the Borg scale score and oxygenated hemoglobin (O2Hb) and deoxygenated hemoglobin (HHb) concentrations in the leg muscle as measured by near-infrared spectroscopy (NIRS) during cardiopulmonary exercise testing (CPET) in healthy adult men. We also investigated the relationships between the Borg scale score and the work rate (WR), heart rate (HR), oxygen uptake (VO), and minute ventilation (VE). Read More

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