Low physical activity in patients diagnosed with head and neck cancer.

BACKGROUND: This pilot study aimed to describe physical activity (PA) and self-perceived function, health and quality of life (QoL) prior to oncological treatment in patients with head and neck cancer (HNC). METHODS: In a prospective study including 49 patients, self-perceived PA (Saltin-Grimby scale) and health-related QoL (European Organization for Research and Treatment of Cancer Quality of Life questionnaire Core 30 and EQ-5D) were assessed. Further, PA was also measured by an accelerometer attached to the thigh for eight consecutive days. The accelerometer PA was compared to the PA of a reference population assessed with the same method. Results presented are from data collected before start of oncological treatment. RESULTS: The patients (44-79 years, 65% males) spent most of their time in sedentary behavior: a median of 555 minutes/day in bed (39% of total) and 606 minutes/day sitting (41%). Only 129 minutes/day were spent moving/walking. Patients with higher education, reduced physical function and higher fatigue were less physically active (P ≤ .01). Further, the different PA measures demonstrated a pattern of being less physically active compared to the reference population. CONCLUSIONS: Patients diagnosed for HNC may have low PA level. Assessment of PA from accelerometer data may be an important component of oncological treatment to identify patients in need for PA intervention that may enhance treatment outcome.

Evaluation of selected indices of gait asymmetry for the assessment of running asymmetry.

BACKGROUND: The methods of running asymmetry evaluation are not as highly developed as the methods of gait evaluation. RESEARCH QUESTION: Which asymmetry indices used in the gait analysis best characterize the asymmetry of the running movement? METHODS: The kinematics of the sprint in a straight run over a distance of 50 m was evaluated using the X-sens system. Three indices (Ia, IS, SA) were based on discrete values from the first point of contact of the foot with the ground (1% of the running cycle phase) and were called discrete coefficients. Furthermore, two indices (SI, RAI) were used to evaluate asymmetry over the entire running cycle and were termed continuous coefficients. The study examined 21 elite and non-professional middle-distance runners of both sexes. The evaluation of the usefulness of individual indices for the evaluation of gait asymmetry was performed by means of the analysis of ROC curves and evaluation of data scatter on Bland-Altman charts. RESULTS: The values of discrete and continuous asymmetry coefficients were different to each other. In Bland-Altman plots there was a meaningful variety of discrete coefficients and a small variety of continuous coefficients. The analysis of ROC curves proves this assumption. Including the real curve course of angular placement in particular joints it is observed that continuous coefficients describe asymmetry of movement more precisely. SIGNIFICANCE: It was found that the so-called continuous indices SI and RAI ensure the best identification of the phenomenon of movement asymmetry.

Correction to: Effect of the Neurofeedback-EEG Training During Physical Exercise on the Range of Mental Work Performance and Individual Physiological Parameters in Swimmers.

The original version of the article unfortunately contained an error in the co-author details such as family name and e-mail address.

Effect of the Neurofeedback-EEG Training During Physical Exercise on the Range of Mental Work Performance and Individual Physiological Parameters in Swimmers.

The aim of the study was to demonstrate the effects of the Neurofeedback-EEG training during physical exercise on the improvements in mental work performance and physiological parameters. The study examined seven swimmers based on the following anthropometric measurements: body height, body mass and body composition. The Kraepelin's work curve test, EEG and EMG during physical exercise were also performed. The athletes followed 20 Neurofeedback-EEG training sessions on the swimming ergometer for 4 months. Most mean indices of partial measures of the work curve were significantly modified (p < 0.05) following the Neurofeedback-EEG training. Mean level of maximal oxygen uptake in study participants was over 55 ml/kg/min, with statistically significant differences documented between the first and the second measurements. No significant differences were found in the fatigue rate between the measurements 1 and 2. The improved mental work performance following the Neurofeedback-EEG training facilitates optimization of psychomotor activities.

Postural stability pattern as an important safety factor of firefighters.

BACKGROUND: Firefighting is a hazardous profession that involves high fall risk and is crucial component for the safety of people. OBJECTIVE: The aim of this study was to identify factors that impact on postural stability patterns of firefighters. METHODS: The study examined 177 Polish firefighters from the National Firefighting and Rescue System (NFRS) aged 31.9±10.1 years, with body height of 179.6±5.93, body mass of 83.9±11.0 and BMI of 26.0±3.03. Postural stability was evaluated by means of the Balance System SD (Biodex USA) set at the level 12 of instability, in a sportswear, bunker gear, with and without visual input. The fall risk test (FRI) was also performed. Four indices were analysed: overall stability index (OSI), anterior-posterior stability index (APSI), medial-lateral stability index (MLSI), and fall risk index (FRI). RESULTS: Mean results for fall risk index (FRI) were in the normal range for all age groups regardless of the type of clothing the firefighters were wearing. Individual results obtained in the fall risk test, 128 firefighters were in the normal range for their age, furthermore, 10 firefighters obtained better results than the normal range, 34 firefighters had worse results and 5 people failed to complete the test. Postural stability with eyes closed was found to decline with age. Wearing bunker gear did not have an effect on postural stability. CONCLUSIONS: Balance tests should be integrated into the firefighting training routines in order to improve balance and support fall prevention. Exercises with reduced visual input should also be incorporated into the training methodology.