- Splenectomy is not associated with a higher tricuspid regurgitant jet velocity in people with sickle cell anemia. [Journal Article]
- PBPediatr Blood Cancer 2019 Jul 19; :e27928
- CONCLUSIONS: The lack of difference in TRV between the two groups is most likely because members of the comparator nonsurgical group in many cases experienced autoinfarction of the spleen in childhood. Splenectomy does not seem to confer additional risk for the development of a higher TRV in HbSS, unlike in patients with thalassemia or other hemolytic anemias. This could be an important consideration when weighing the risks and benefits of splenectomy in patients with HbSS.
- The effect of exercise on quality of life, fatigue, physical function and safety in advanced solid tumor cancers: a meta-analysis of randomized control trials. [Review]
- JPJ Pain Symptom Manage 2019 Jul 15
- CONCLUSIONS: Exercise is associated with clinically meaningful improvements in QoL, function, and 6-MWT in some patients with metastatic cancer. Despite poor reporting of safety, there was no signal of increased harm from exercise in this setting.
- [Assessment of walking function in neurological practice]. [Journal Article]
- ZNZh Nevrol Psikhiatr Im S S Korsakova 2019; 119(5):120-125
- An accurate diagnosis of the existing defect of motor function in patients with neurological pathology is necessary for the optimal formulation of the rehabilitation program, selection of drug therap…
An accurate diagnosis of the existing defect of motor function in patients with neurological pathology is necessary for the optimal formulation of the rehabilitation program, selection of drug therapy and evaluation of the effectiveness of treatment. In current clinical practice, clinical scales such as the Dynamic Gait Index, the Rivermid Mobility Index, the Hauser Walk Index, the Stand Up and Go Test, the MDS-UPDRS III are used most often to assess walking function. Evaluation of walking function using valid scales is very accessible, however, it has such a disadvantage as subjectivity. That's why the study of motor functions by instrumental methods gains more prominence. The most well-known methods of objective walking assessment include an analysis of human movements using accelerometers, three-dimensional video analysis, sub-metric, goniometric and impregnation methods. Each of these methods has both advantages and disadvantages. The main requirement to objective methods of assessing walking functions in neurological pathology is the universality of the complex (the accuracy of measurements, regardless of the type of walking disorder), the ability to determine both temporal and spatial characteristics of the step, the ease of use. Considering these requirements, the use of the 'Induction Analyzer of the kinematic parameters of walking' seems promising in the diagnosis of motor disorders.
- Effect of exercise therapy on physical performance and functional balance in patients on maintenance renal hemodialysis: randomized controlled study. [Journal Article]
- JEJ Exerc Rehabil 2019; 15(3):472-480
- Physical performance (PP) and functional balance (FB) abnormalities are frequently encountered problems in patients on maintenance renal hemodialysis (MRH). Although the exercise therapy is an adjunc…
Physical performance (PP) and functional balance (FB) abnormalities are frequently encountered problems in patients on maintenance renal hemodialysis (MRH). Although the exercise therapy is an adjunctive to the routine medical care for patients with chronic kidney disease of various stages; but the benefits as well as the long-term effects of different exercises on the PP and FB in patients on MRH are not yet fully described. In this study; Sixty-six patients on MRH (36 males, 30 females), age 35-45 years, were randomly assigned into one of the three groups: aerobic exercise training group (AETG), resistance exercise training group (RETG), and control group (CG). The PP (evaluated using the 6-min walk test "6MWT") and the FB (evaluated via the Berg balance scale "BBS") were the main study outcomes evaluated prestudy (evaluation-1), after 3 months (evaluation-2) and 2 months poststudy cessation (evaluation-3). Results revealed that the PP and FB mean values and percentages of changes at evaluation-2 were 444.25±21.83 (33.1%), 413.57±28.55 (22.52%), 337±12.23 (0.33%) m, 50.05±0.89 (22.95%), 49.95±2.06 (22.52%), 41.28±1.75 (0.94%) for AETG, RETG, and CG respectively. At evaluation-3; the PP and FB mean values and the percentage of changes were 425±21.49 (27.36), 366.86±17.47 (8.5%), 336.68 (0.42%) m, 44.4±1.85 (8.06%), 42.95±2.04 (5.003%), 39.48±2.06 (-4.44%) for AETG, RETG, and CG respectively. In conclusions; both aerobic exercise training (AET) and resistance exercise training (RET) have favorable effects, with the AET has higher short and long-term favorable effects on the PP and FB than RET in patients on MRH.
- Aerobic exercise training in Kartagener's syndrome: case report. [Journal Article]
- JEJ Exerc Rehabil 2019; 15(3):468-471
- Kartagener's syndrome is a rare, autosomal recessive inherited disease, which is characterized by a triad of chronic sinusitis, bronchiectasis, and situs inversus. In this report, we aimed to represe…
Kartagener's syndrome is a rare, autosomal recessive inherited disease, which is characterized by a triad of chronic sinusitis, bronchiectasis, and situs inversus. In this report, we aimed to represent the effect of aerobic exercise training in addition to chest physiotherapy in an outpatient with Kartagener's syndrome. An 18-year-old female diagnosed with Kartagener's syndrome applied with the complaints of productive cough and dyspnea with exertion and attended pulmonary rehabilitation program comprising exercise training in addition to standard treatment. Aerobic exercise training was performed three times weekly at 80% of the peak heart rate, for 8 weeks as supervised sessions. Respiratory physiotherapy and postural exercises were taught to the patient to be performed at home each day of the week. Before and after pulmonary rehabilitation program, incremental shuttle walk test (ISWT) was performed; dyspnea and fatigue were assessed using Borg Scale. Pulmonary function test was evaluated using spirometer. The patient wore activity monitor for 7 consecutive days before and after training. After pulmonary rehabilitation program, 90-m increase in ISWT was observed. We recommend exercise training in patients with Kartagener's syndrome to increase exercise capacity. Further randomized control trial is needed to clarify the effects.
- The effects of sand surface training on changes in the muscle activity of the paretic side lower limb and the improvement of dynamic stability and gait endurance in stroke patients. [Journal Article]
- JEJ Exerc Rehabil 2019; 15(3):439-444
- Subjects were divided into two groups, for sand or general surface training. The gait abilities of the patients were evaluated with the Timed Up and Go (TUG) tests and the 6-min walk test (6MWT). Mus…
Subjects were divided into two groups, for sand or general surface training. The gait abilities of the patients were evaluated with the Timed Up and Go (TUG) tests and the 6-min walk test (6MWT). Muscle activity in the lower limbs was evaluated with surface electromyography obtained during general surface gait. Gait ability and muscle activity were re-evaluated after gait training for 6 weeks on a sand or general surface. The TUG test was performed 3 times, and an average of the three values was used for analysis. 6MWT was measured once under maximum effort. Electromyography was evaluated using average gait cycle values. In the TUG test, performance times decreased in both groups, while in the 6MWT, performance distance significantly increased only in the sand surface training group. Results from surface electromyography showed that activity of the rectus femoris, biceps femoris, and tibialis anterior muscles of the paretic side lower limb significantly decreased after the both interventions. When environments are similar, gait training is helpful for increasing dynamic stability; however, repeated training does not significantly improve gait endurance. Training on a continuously unstable bearing surface such as sand can improve gait endurance by utilizing diverse muscle groups and increasing joint motility. Sand surface training recruited the activity of more muscle groups than did general surface training, and sand-trained participants showed longer gait distances with lower muscle activity levels when they resumed general training than their general-surface-trained counterparts.
- Comparison of medial femoral cartilage deformation in normal adults according to gait conditions. [Journal Article]
- JEJ Exerc Rehabil 2019; 15(3):407-413
- This study aimed to explore the deformation of medial femoral cartilage in normal adults according to gait conditions. Overall, 76 normal adults without degenerative arthritis or a knee injury on med…
This study aimed to explore the deformation of medial femoral cartilage in normal adults according to gait conditions. Overall, 76 normal adults without degenerative arthritis or a knee injury on medical history were randomly assigned into control, flatland walk, slope walk, and stepper walk groups. The control group was rested for 30 min, the test group performed flatland walking, 16° slope walking, and stepper walking, respectively. The thickness of medial femoral cartilage before and after gait was evaluated through ultrasound test. Compared with the control group, a significant difference was noted for medial femoral cartilage deformation before and after gait in all the three groups. Comparison of the medial femoral cartilage deformation among the groups revealed a significant difference between the control group and the flatland walk, slope walk, and stepper walk groups (P<0.05). The flatland walk group had a significant difference between the slope walk group and stepper walk group (P<0.05), whereas no significant difference was noted between the slope walk and stepper walk groups (P>0.05). After a 30-min walk, the thickness of medial femoral cartilage was reduced, and a difference in deformation was noted according to gait conditions. The thickness of medial femoral cartilage was reduced more in the stepper walk and slope walk groups, wherein more load operates on the knee, than the flatland walk group.
- Long-Term Effects of Whole-Body Vibration on Human Gait: A Systematic Review and Meta-Analysis. [Systematic Review]
- FNFront Neurol 2019; 10:627
- CONCLUSIONS: WBV training can be effective for improving balance and gait speed in the elderly. The intervention is also effective in improving walking performance following stroke and in patients with knee osteoarthrosis. However, no effect was found on gait quality in the elderly or on balance in stroke and multiple sclerosis patients. The results are too heterogenous in COPD to conclude on the effect of the treatment. The results must be taken with caution due to the lack of data in some studies and the methodological heterogeneity in the interventions. Further research is needed to explore the possibility of establishing a standardized protocol targeting gait ability in a wide range of populations.
- Chinese Herbal Medicines Compared with N-Acetylcysteine for the Treatment of Idiopathic Pulmonary Fibrosis: A Systematic Review of Randomized Controlled Trials. [Review]
- EBEvid Based Complement Alternat Med 2019; 2019:5170638
- CONCLUSIONS: Some CHMs seem effective and safe as alternative remedies for patients with IPF, suggesting that further study of CHMs in the treatment of IPF is warranted. Although this systematic review suggests that CHMs may have positive effect on quality of life, 6-minute walk test distance, and lung function (TLC, DLOC%) and seem to be relatively safe during the course of treatment, the results must be treated with great caution because of the methodological flaws of the included trials. Long-term and high-quality trials are needed in the future to provide clear evidence for the use of CHMs.
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- Effectiveness of a Pulmonary Rehabilitation Program on Persistent Asthma Stratified for Severity. [Journal Article]
- RCRespir Care 2019 Jul 16
- CONCLUSIONS: Subjects with asthma at any GINA step seemed to benefit from a pulmonary rehabilitation program; analysis of our data highlighted that pulmonary rehabilitation was more beneficial in younger subjects with a smoking history and worse baseline exercise tolerance.