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1.
Rev Prat ; 70(3): 279-285, 2020 Mar.
Artigo em Francês | MEDLINE | ID: mdl-32877058

RESUMO

Medical prescription of physical activity. The prescription is "a therapeutic recommendation, possibly prescribed, made by a doctor". Up-to-date recommendations exist, relayed by the authorities which formalized this act of prescription by a law for long-term ailments. The medical prescription of physical activity and sports is directed to carriers of chronic pathologies for which it will have a therapeutic action and an action of prevention of the complications. It will include, at best, besides the precision of the four parameters characterizing this activity (type, intensity, duration and frequency of the sessions), advice of daily struggle against the sedentary lifestyle. It should be personalized, to consider the patient's condition and a possible risk incurred. It remains however to provide the skills to the prescribers, informed but not always trained, and to ensure the possibilities of practical realization of the exercises appearing on the medical prescription.


Assuntos
Terapia por Exercício , Exercício Físico , Prescrições , Humanos , Comportamento Sedentário
2.
Medicine (Baltimore) ; 99(34): e21889, 2020 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-32846850

RESUMO

Electromyographic biofeedback (EMG-BF) therapy provides information on the state of contraction of the targeted muscles and relaxation of their antagonists, which can facilitate early active range of motion (RoM) after elbow surgery. Our aim in this study was to calculate the minimum detectable change (MDC) during EMG-BF therapy, initiated in the early postoperative period after elbow surgery.This study is an observational case series. EMG-BF of muscle contraction and relaxation was provided during active elbow flexion and extension exercises. Patients completed 3 sets of 10 trials each of flexion and extension over 4 weeks. The total range of flexion-extension motion and scores on the Japanese Society for Surgery of the Hand version of the disability of the arm, shoulder, and hand questionnaire and the Japanese version of the Patient-Rated Elbow Evaluation were obtained at baseline and weekly during the 4-week intervention period. A prediction formula was developed from the time-series data obtained during the intervention period, using the least-squares method. The estimated value was calculated by removing the slope from the prediction formula and adding the initial scores to residuals between the measured scores and predicted scores individually. Systematic error, MDC at the 95th percentile cutoff (MDC95), repeatability of the measures, and the change from the baseline to each time-point of intervention were assessed.The MDC95 was obtained for all 3 outcome measures and the range of values was as follows: RoM, 8.3° to 22.5°; Japanese version of the Patient-Rated Elbow Evaluation score, 17.6 to 30.6 points; and disability of the arm, shoulder, and hand questionnaire subscale: disability and symptoms score, 14.2 to 22.9 points.The efficacy of EMG-BF after elbow surgery was reflected in earlier initiation of elbow RoM after surgery and improvement in patient-reported upper limb function scores. The calculated MDC95 cut-offs could be used as reference values to assess the therapeutic effects of EMG-BF in individuals.


Assuntos
Biorretroalimentação Psicológica/métodos , Cotovelo/cirurgia , Amplitude de Movimento Articular/fisiologia , Reabilitação/métodos , Adulto , Idoso , Avaliação da Deficiência , Cotovelo/patologia , Eletromiografia , Terapia por Exercício/métodos , Feminino , Humanos , Japão/epidemiologia , Masculino , Pessoa de Meia-Idade , Contração Muscular/fisiologia , Relaxamento Muscular/fisiologia , Medidas de Resultados Relatados pelo Paciente , Período Pós-Operatório , Reabilitação/tendências , Reprodutibilidade dos Testes , Inquéritos e Questionários , Resultado do Tratamento
3.
Rev Med Suisse ; 16(701): 1405-1411, 2020 Aug 05.
Artigo em Francês | MEDLINE | ID: mdl-32833355

RESUMO

Muscle injuries are one of the most common injuries in professional and recreational sports. Their impact on absence during the games is therefore major. There are many risk factors, the main ones being a previous muscle injury, a lack of strength in the muscle in question, and the age of the athlete. Preventive medicine in this field, although essential, remains perfectible and the various preventive measures are sometimes not fully studied, or present variable evidence. Stretching, neuro-muscular exercises, muscle strengthening, nutrition or genetics can all be part of the most comprehensive preventive possible approach.


Assuntos
Traumatismos em Atletas/prevenção & controle , Extremidade Inferior , Esportes , Traumatismos em Atletas/genética , Exercício Físico , Terapia por Exercício , Humanos , Força Muscular
4.
Medicine (Baltimore) ; 99(34): e21592, 2020 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-32846768

RESUMO

OBJECTIVE: This trial aims to evaluate the efficacy and safety of the Baduanjin exercise in patients with acute myocardial infarction (AMI). METHODS: A single-center, open, randomized controlled clinical trial will be conducted to evaluate the effectiveness of the Baduanjin exercise on the rehabilitation of AMI patients. It plans to enroll 64 patients. Patients will be divided evenly into 2 groups using a random number table method. There will be 32 cases in each group. Patients in the experimental group will be treated with standardized drug therapy combined with Baduanjin exercise, while patients in the control group will be treated with standardized drug therapy combined with routine exercise. The primary outcome is the peak oxygen consumption (Peak VO2) during cardiopulmonary exercise test (CPET). The secondary outcomes include CPET, echocardiography, Seattle angina pectoris scale, hospital depression and anxiety scale, Pittsburgh Sleep Quality Index scale, scores of 4 examinations, and diagnostic methods of traditional Chinese medicine and composite endpoint events, etc. DISCUSSION:: This study will be the first to evaluate the effect of the Baduanjin exercise on the Peak VO2 in patients with AMI. STUDY REGISTRATION: This study has been registered on the Chinese Clinical Trial Registry (No: ChiCTR1800016209, protocol version 1.2).


Assuntos
Reabilitação Cardíaca/métodos , Terapia por Exercício , Infarto do Miocárdio/reabilitação , Terapia Combinada , Humanos , Medicina Tradicional Chinesa , Infarto do Miocárdio/tratamento farmacológico , Ensaios Clínicos Controlados Aleatórios como Assunto , Resultado do Tratamento
5.
Medicine (Baltimore) ; 99(34): e21646, 2020 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-32846775

RESUMO

INTRODUCTION: People with multiple sclerosis (PwMS) experience a wide range of disabilities which negatively impact their quality of life (QOL). Several interventions have been used in PwMS such as medication, physical therapy exercises and stem cell therapy to improve their QOL. However, there is a limited evidence on the benefits of combining interventions. The purpose of this study is to explore the effect of combining physical therapy exercises (PTE) and Wharton Jelly mesenchymal stem cell (WJ-MSCs) injections on motor and non-motor symptoms versus each intervention alone in PwMS. METHODS: Sixty PwMS will be allocated to either PTE, WJ-MSCs, or a combined group, followed up for 12 months and examined using a comprehensive battery of measures. Participants in the PTE group will receive 2 sessions per week of a supervised exercise program for 6 months followed by a home exercise program for another 6 months. The WJ-MSCs group will receive 3 WJ-MSCs injections in the first 6 months then they will be encouraged to follow an active life style. The third group will receive both interventions. DISCUSSION: This study will aid in a better understanding of the combined effect of physical therapy and mesenchymal stem cell therapy. The results from this proposed study may reduce disability, improve QOL in PwMS, and consequently, reduce the cost associated with the life-time care of these individuals worldwide. TRIAL REGISTRATION NUMBER: NCT03326505.


Assuntos
Terapia por Exercício , Transplante de Células-Tronco Mesenquimais , Esclerose Múltipla/terapia , Terapia Combinada , Humanos , Injeções , Ensaios Clínicos Controlados Aleatórios como Assunto , Método Simples-Cego
8.
Int J Sports Med ; 41(9): 629, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32750724

RESUMO

Dear EditorWe sincerely appreciate the nice comments by Drs. P.V. da Costa Ghignatti and R. Pereira de Lima 1 concerning our recent meta-analysis assessing the effects of physical exercise interventions on cardiovascular endpoints in childhood cancer survivors 2. They are quite right to remain that even non-significant improvements in cardiorespiratory fitness (CRF) might be clinically relevant. Indeed, we still do not know if CRF increments of a theoretically low magnitude (i. e., <1 metabolic equivalent) might have a prognostic value in the context of pediatric cancer and treatment-associated cardiotoxicity. We also agree that unsupervised exercise interventions are unlikely to be as effective as tailored programs, especially because the latter allow for intensity to being adequately controlled and thus gradually increased. It is indeed our opinion, after long years of experience working with children with cancer as well as with other debilitated clinical populations, that there is always room for physiological improvement and ideally loads should be gradually improved instead of remaining stable.


Assuntos
Sobreviventes de Câncer , Aptidão Cardiorrespiratória , Neoplasias , Criança , Exercício Físico , Terapia por Exercício , Humanos
9.
Int J Sports Med ; 41(9): 628-629, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32750723

RESUMO

Dear Editor,International Journal of Sports MedicineThe analysis of the study entitled "Exercise Interventions and Cardiovascular Health in Childhood Cancer: a Meta-Analysis" 1 was very interesting. The authors of this meta-analysis aimed to summarize the evidence on the effects of physical training intervention over three weeks on cardiovascular and cardiorespiratory outcomes in childhood cancer survivors (CCS). In addition, they addressed endpoints related not only to cardiac structure and function, but also to cardiorespiratory fitness.


Assuntos
Sobreviventes de Câncer , Neoplasias , Criança , Exercício Físico , Terapia por Exercício , Humanos , Aptidão Física
10.
Codas ; 32(4): e20180285, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32756852

RESUMO

PURPOSE: To compare the impact of isokinetic exercise (tongue suction on the palate) in the cervical region of Class I and Class II / 2nd Division participants, considering the average and the symmetry of Root Means Square (RMS) of suprahyoid and suboccipital muscles and cervical sensory reports. METHOD: 11 participants Class I and 19 Class II / 2nd Division, both genders, mean age 33.4 ± 14.1 years. For the analysis of RMS average and symmetry, electromyography was performed in the suboccipital and suprahyoid muscles, bilaterally, at rest and suction of water in the initial, intermediate and final phases. The cervical sensation was evaluated qualitatively during the exercises. RESULTS: the mean RMS did not differ between Classes (p=0.7), but showed an increase in the intermediate phase in the suboccipital musculature (p=0.0001) and decrease in the suprahyoid musculature. In symmetry, the suprahyoid musculature showed a significant difference between classes (p=0.0001) during the intermediate phase. In the Class I participant the symmetry was reestablished in the final phase, a fact that did not occur in Class II / 2nd Division. Regarding the cervical sensation, only the Class II / 2nd Division had expressive complaints. CONCLUSION: The Isokinetic suctioning exercise of the tongue against the palate, had an expressive repercussion with reports of discomfort and neck pain in the Class II / 2nd Division participants. On average RMS, there was no difference between the classes, but in the intermediate phase, the suboccipital muscles showed a significant increase in the activity. Symmetry in the suprahyoid musculature had a significant difference between the classes and asymmetry in the intermediate phase.


Assuntos
Exercício Físico , Músculos do Pescoço/fisiologia , Língua , Adulto , Eletromiografia , Terapia por Exercício , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Treinamento de Resistência/métodos , Língua/fisiologia , Língua/fisiopatologia , Adulto Jovem
11.
Medicine (Baltimore) ; 99(31): e20105, 2020 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-32756073

RESUMO

OBJECTIVE: To conduct a meta-analysis and subgroup analysis investigating the effects of exercise on mild cognitive impairment (MCI) patients across specific cognitive domain outcomes. We also analyzed and identified the level of influence of exercise interventions on specific cognitive domains. METHODS: MEDLINE, EMBASE, Cochrane Library, Web of Science, CNKI, the Wan Fang Database, and CBM were searched from inception to April 2018. Randomized controlled trials of exercise interventions in MCI patients older than 55 years, with an outcome measure of cognitive function were included. RESULTS: Eleven studies with sufficient data met the inclusion criteria for the meta-analysis. Exercise interventions significantly improved general function (g mini-mental state examination Montreal cognitive assessment = 0.32, 95% the 95% confidence interval (CI) 0.1 to 0.54, P = .005 and g Alzheimer disease assessment scale-cognition = -0.45, 95% CI -0.82 to -0.08, P = .02); executive functions (g digit span forward test, digit span backward test, digit span forward test -B, stroop test-A, stroop test-B = 0.66, 95% CI 0.17 to 1.15, P = .008); memory (g Wechsler memory scale immediate recall and Wechsler memory scale delayed recall = 0.37, 95% CI 0.15 to 0.60, P = .001); language ability (g category verbal fluency test and letter verbal fluency test = 0.55, 95% CI 0.22 to 0.89, P = .001); and visuospatial ability (g block design score = 0.38, 95% CI 0.03 to 0.72, P = .03). However, the improvement exercise conferred on the trail-making test part B-A was not statistically significant (g trail-making test part B-A  = -0.25, 95% CI -0.88 to 0.39, P = .45). The preliminary ranking of the effect on the overall effect was as follows: Z language ability > Z executive functions >   memory > Z visuospatial ability. CONCLUSION: Exercise improves performance in the 5 cognitive domains. Across cognitive domains, language ability was the domain most affected by exercise. Besides, the kind of ranking (Z value) provides a new perspective for community health care workers to prescribe targeted exercise interventions for MCI patients.PROSPERO registration number: CRD42018093902.


Assuntos
Disfunção Cognitiva/terapia , Terapia por Exercício , Idoso , Cognição , Disfunção Cognitiva/psicologia , Função Executiva , Feminino , Humanos , Masculino , Rememoração Mental , Testes de Estado Mental e Demência , Pessoa de Meia-Idade , Ensaios Clínicos Controlados Aleatórios como Assunto
12.
Medicine (Baltimore) ; 99(31): e21373, 2020 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-32756125

RESUMO

BACKGROUND: Corona Virus Disease 2019 (COVID-19) is spreading fast starting late 2019. It mainly affects the human respiratory system. Many reports revealed that rehabilitation exercise can improve respiratory function and relieve the pressure from diseases, but there is no evidence to prove its effects on COVID-19. This protocol of systematic review and meta-analysis will clarify the safety and effectiveness of rehabilitation exercises on different COVID-19 patients. METHODS AND ANALYSIS: Related studies will be retrieved from Web of Science, Cochrane Library, PubMed, Chinese Biomedical Literature Database, Chinese National Knowledge Infrastructure, Chinese Scientific Journal Database, Wan fang Database, ClinicalTrials, WHO Trials, and Chinese Clinical Trial Registry. Pre-defined inclusion and exclusion criteria will be used by two researchers independently for extracting data from literatures. Clinical recovery time and effective rates will be assessed as the primary outcomes. Changes of patient's condition, pulmonary function, respiratory function and activity of daily living will be assessed as the secondary outcomes. Fixed effect model will be used for evaluating efficiency. Considering clinical heterogeneity, random effect model will be used for continuous outcomes. Funnel charts, subgroup analysis and sensitivity analysis will be used to explore sources of heterogeneity. Endnote X9.3 will be used to manage data screening. The statistical analysis will be completed by RevMan5.2 and Stata/SE 15.1 software. RESULT: This study will assess effects and safety for practicing rehabilitation exercises on COVID-19 patients. CONCLUSION: The conclusion of this study will provide evidence to prove the safety and effectiveness of rehabilitation exercises on COVID-19 patients.


Assuntos
Betacoronavirus , Infecções por Coronavirus/reabilitação , Terapia por Exercício/métodos , Pneumonia Viral/reabilitação , Infecções por Coronavirus/virologia , Feminino , Humanos , Masculino , Metanálise como Assunto , Pandemias , Pneumonia Viral/virologia , Projetos de Pesquisa , Revisões Sistemáticas como Assunto , Resultado do Tratamento
13.
Medicine (Baltimore) ; 99(31): e21542, 2020 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-32756208

RESUMO

BACKGROUND: Chronic nonspecific low back pain (CNLBP) has become a major global public health problem. Its high incidence rate and high disability rate are so damaging both to individuals and communities. At present, many countries' clinical guidelines recommend exercise therapy. Breath therapy is one of the exercise therapies, playing an important role in exercise therapy. Some studies have shown that breath therapy has a considerable therapeutic effect on low back pain, but there is no specific conclusion. The aim of our study is to answer the question: if breath therapy is effective and safe for CNLBP? METHODS: The following databases will be searched: English databases (including Web of Science, the Cochrane Library (Central), EMBASE, MEDLINE, Allied and Alternative Medicine) and Chinese databases (including Chinese National Knowledge Infrastructure, Wanfang data and Chinese Scientific Journals Database [VIP]). The literature search will be constructed around search terms for breath therapy, search terms for chronic nonspecific low back pain and search terms for randomized controlled trials. The primary outcomes were related to duration, intensity, attack frequency of pain, and the secondary outcomes were related to physical function, quality of life, and adverse events related to interventions. Endnote software 9.1 will be applied in selecting study, Review Manager software 5.3 will be applied in analyzing and synthesizing. RESULTS: The results will provide evidence to judge whether breath therapy is effective and safe for CNLBP. CONCLUSION: Our research will provide reliable evidence of breath therapy for CNLBP. REGISTRATION: International Prospective Register of Systematic Reviews (PROSPERO) CRD42020156340.


Assuntos
Terapia por Exercício/métodos , Dor Lombar/terapia , Doença Crônica , Terapia por Exercício/efeitos adversos , Humanos , Desempenho Físico Funcional , Qualidade de Vida , Ensaios Clínicos Controlados Aleatórios como Assunto , Projetos de Pesquisa
15.
Medicine (Baltimore) ; 99(32): e21577, 2020 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-32769904

RESUMO

OBJECTIVES: To analyze the influence of Baduanjin exercise on blood pressure in patients with essential hypertension. METHODS: Randomized controlled trials were identified in Chinese and English databases to study the impact of Baduanjin exercise on essential hypertension. Qualified trials were selected and methodologic quality was critically evaluated. Two reviewers selected studies independently of each other. RESULTS: Twelve trials were included. There was a significant difference between the Baduanjin exercise intervention and control groups with regard to the change in systolic blood pressure (SBP) [SMD = - 1.80, 95% CI (- 2.86, - 0.73), P = .0009] and diastolic blood pressure (DBP) [SMD = -0.22, 95% CI (-2.00, -0.57), P = .0004]. Taking into account the subgroup analyses, the combined results showed that Baduanjin plus Antihypertensive drugs significantly reduced both SBP and DBP over a period > 12 weeks in all studies. CONCLUSIONS: Compared with control interventions, Baduanjin exercise seems to be an effective physical exercise in treating essential hypertension. Different training durations can lead to different effects.


Assuntos
Hipertensão Essencial/terapia , Terapia por Exercício/normas , Exercício Físico/fisiologia , Terapia por Exercício/métodos , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto/estatística & dados numéricos
16.
BMJ Open ; 10(8): e039305, 2020 08 27.
Artigo em Inglês | MEDLINE | ID: mdl-32859666

RESUMO

INTRODUCTION: The Promoting Activity, Independence and Stability in Early Dementia (PrAISED) randomised controlled trial (RCT) is evaluating a home-based, face-to-face, individually tailored, activity and exercise programme for people living with dementia. Social distancing requirements following the COVID-19 pandemic necessitated rapid changes to intervention delivery. METHODS AND ANALYSIS: A mixed-methods process evaluation will investigate how the changes were implemented and the impact that these have on participants' experience. An implementation study will investigate how the intervention was delivered during the pandemic. A study on the mechanisms of impact and context will investigate how these changes were experienced by the PrAISED participants, their carers and the therapists delivering the intervention. The study will commence in May 2020. ETHICS AND DISSEMINATION: The PrAISED RCT and process evaluation have received ethical approval number 18/YH/0059. The PrAISED process evaluation will enable us to understand how distancing and isolation affected participants, their activity and exercise routines and whether the therapy programme could be continued with remote support. This will be valuable both in explaining trial results and also contribute to understanding and designing new ways of delivering home-based services and rehabilitation interventions for people with dementia and their carers. TRIAL REGISTRATION NUMBER: ISRCTN15320670; Pre-results.


Assuntos
Disfunção Cognitiva/terapia , Infecções por Coronavirus , Demência/terapia , Exercício Físico , Promoção da Saúde , Vida Independente , Pandemias , Pneumonia Viral , Avaliação de Processos em Cuidados de Saúde , Atividades Cotidianas , Betacoronavirus , Cuidadores , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/virologia , Terapia por Exercício , Feminino , Serviços de Assistência Domiciliar , Humanos , Masculino , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Projetos de Pesquisa , Isolamento Social
18.
Medicine (Baltimore) ; 99(27): e20764, 2020 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-32629655

RESUMO

BACKGROUND: Cervical spondylosis (CS) is a common disease due to the modern lifestyle. Yijinjin, a kind of traditional Chinese exercise, is frequently used for the prevention of CS by Traditional Chinese Medicine doctors. However, there is no relevant systematic review show its effectiveness and safety. The study aims to evaluate the effectiveness and safety of Yijinjing for patients with CS. METHODS: The following electronic databases will be searched from the respective dates of database inception to June 1st, 2020: The Cochrane Library, Web of Science, Springer, EMBASE, MEDLINE, the World Health Organization International Clinical Trials Registry Platform, the Chinese Biomedical Literature Database, China National Knowledge Infrastructure, Wanfang database, the Chinese Scientific Journal Database, and other sources. All published randomized controlled trials (RCTs) and blinded researches that are relevant to the subject of interest only will be contained. Two independent researchers will operate article retrieval, duplication removing, screening, quality evaluation, and data analyses by Review Manager (V.5.3.5). Meta-analyses, subgroup analysis and/or descriptive analysis will be performed based on the included data conditions. RESULTS: High-quality synthesis and/or descriptive analysis of current evidence will be provided from the neck disability index, neck pain questionnaire questionnaires, patient satisfaction scale and adverse reactions. CONCLUSION: This study will provide the evidence of whether Yijinjing is an effective and safe intervention for people with CS. PROSPERO REGISTRATION NUMBER: CRD42020164706.


Assuntos
Terapia por Exercício , Medicina Tradicional Chinesa , Espondilose/terapia , Terapia por Exercício/métodos , Humanos , Medicina Tradicional Chinesa/métodos , Resultado do Tratamento
19.
Kardiologiia ; 60(6): 938, 2020 Jul 07.
Artigo em Inglês | MEDLINE | ID: mdl-32720624

RESUMO

Background Sleep disturbance and ventilator inefficiency are considered two of the most critical complications for general human wellbeing, particularly in elderly heart failure (HF) patients. Studies examining the effect of low-intensity aerobic exercise in the treatment of sleep disturbance and ventilatory inefficiency in this population of patients are limited.Objective The purpose of the current pilot study was to check the effect of low-intensity aerobic exercise on the quality of sleep and ventilatory efficiency in elderly HF patients.Materials and methods Design: pilot study. SETTING: outpatient physical therapy clinic within Cairo University regional hospital. PARTICIPANTS: eight elderly HF patients (6 men, 2 women) with a mean age of 69.4±4.2 years. INTERVENTION: participants were recruited for a low-intensity exercise program (40 to 50% of maximum heart rate for 30-40 minutes), five sessions weekly for four weeks. Exercise intensity was monitored during the sessions using heart rate. OUTCOME MEASURE: sleep quality was assessed pre- and post- four weeks of exercise program usingthe Pittsburgh sleep quality index (PSQI) and ventilatory efficiency was assessed using cardiopulmonary exercise test.Results HF patients (II-III NYHA), mean age 69.4±4.2 years, body mass index 23.7±2.7 kg/m2, ejection fraction 32.7±4.5 %, VO2peak 16.27±4.2 ml/kg/min, VE/VCO2 30.81±12.7. The mean of global PSQI score ranged between 8.2 to 11.4 with a mean of 9.7±3.4 which indicates that the participants experienced sleep disturbance. The post-exercise assessment showed that patients have reported a significant improvement of all PSQI domains compared with baseline assessment (p<0.05). VO2peak significantly increased from 16.27±4.2 pre-intervention to 20.03±2.6 ml/kg/min post-intervention (p=0.049) whereas VE/VCO2 slightly decreased with a non-significant difference at the end of the study program (p=0.594) indicating animprovement of ventilator efficiencyand overall cardiorespiratory fitness.Conclusion Short-term application of low-intensity aerobic exercise (4 weeks) may improve the quality of sleep and ventilator efficiency in elderly HF patients. The study findings encourage elderly HF patients with sleep disturbance to adhere to the exercise training program. Also, cardiac rehabilitation programs with low intensity of aerobic exercise should be proposed to these patients by their health care provider.


Assuntos
Terapia por Exercício , Insuficiência Cardíaca , Idoso , Exercício Físico , Feminino , Humanos , Masculino , Projetos Piloto , Sono
20.
Stud Health Technol Inform ; 272: 346-349, 2020 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-32604673

RESUMO

Patients with multiple sclerosis (PwMS) increasingly use online services for managing their healthcare. The objective of this study was to investigate web log data (weblogs) generated by PwMS in the process of web-based telerehabilitation and correlate them with rehabilitation progress. The weblogs from 17 patients (female: 15, male 2; mean age: 60.1±11.4 years) were tracked for an average period of 153.6±38.3 days with the total number of log events and page visit records of 1,457 and 37,030, respectively. The time and frequency of patients' web visits were investigated as well as their adherence to prescribed exercise regimen. Rehabilitation progress was gauged by changes in quality of life, mobility, and sleep ascertained by measuring MSQOL, 2MWT and PSQI respectively. The changes in these metrics were correlated with system usage patterns. On average, PwMS visited 30 pages a day for 26.5 minutes, with a single login amounting for 27 pages in duration of 22.0 minutes. The average exercise program comprised 6.9 sets and 29.1 repetitions with average set and repetition completion rates of 46.5% and 72.6% respectively. A statistically significant association has been found between time spent in the online exercise mode and clinical improvements. The results of the study demonstrate that the patients had more pronounced outcome improvements when they increased the time of using the telerehabilitation system for home-based exercise. The results of this study could contribute to the development of more efficient home-based telerehabilitation systems.


Assuntos
Esclerose Múltipla , Telerreabilitação , Idoso , Terapia por Exercício , Feminino , Humanos , Internet , Masculino , Pessoa de Meia-Idade , Qualidade de Vida
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