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Therapeutic effects of hippotherapy in the elderly: a review of the literature 老年海马疗法的治疗效果:文献综述
Q4 Health Professions Pub Date : 2021-06-21 DOI: 10.18176/archmeddeporte.00044
Luisa Gámez-Calvo, J. Gamonales, Kiko León, Jesús Muñoz-Jiménez
The present work aims to carry out a structured and bibliographic review based on the results found regarding the terms Hippotherapy and Elderly people. For the reference search, the following keywords in English, Hippotherapy and Elderly, were used as descriptors, these keywords being always entered in databases of the same language. The computerized databases SCOPUS, WOS, SPORTDiscus were used. PubMed and Cochrane. To limit the search for documents, four inclusion criteria were introduced: i) Mention at least some of the characteristics of Hippotherapy for the elderly (minimum 20 words that mention the subject), ii) Select only scientific documents (journal articles) These articles may have an experimental design or be review articles, iii) Be accessible and be available in full text or with access to the abstract, and iiii) Be written in Spanish, English or Portuguese. The results show that the papers on Hippotherapy in the elderly address different research topics and show that equestrian therapies have beneficial therapeutic effects in the elderly population. Hippotherapy interventions improve static balance and dynamic balance, postural balance, functional mobility, flexibility, muscular strength, gait and cadence of steps. They reduce spasticity, causing a decrease in the risk of falls and an improvement in the quality of life of the elderly. In addition, they cause benefits on a psychological level, reducing levels of stress and depression, which produces an improvement in the quality of sleep and positively influences mood.
目前的工作旨在开展一个结构化的和书目审查的基础上,发现有关术语的Hippotherapy和老年人的结果。在参考文献检索中,使用以下英文关键词Hippotherapy和Elderly作为描述符,这些关键词总是在同一语言的数据库中输入。采用计算机数据库SCOPUS、WOS、SPORTDiscus。PubMed和Cochrane。为了限制文献检索,我们引入了四个纳入标准:i)至少提到老年人希波疗法的一些特征(至少20个单词提及主题),ii)仅选择科学文献(期刊文章)这些文章可能具有实验设计或评论文章,iii)可访问并可获得全文或可访问摘要,iii)以西班牙语,英语或葡萄牙语撰写。结果表明,关于老年海马疗法的论文涉及不同的研究主题,并表明马术疗法对老年人群具有有益的治疗效果。海马疗法干预可改善静态平衡和动态平衡、姿势平衡、功能机动性、柔韧性、肌肉力量、步态和步伐节奏。它们可以减少痉挛,降低跌倒的风险,提高老年人的生活质量。此外,它们在心理层面上也有好处,减少压力和抑郁,从而改善睡眠质量,对情绪产生积极影响。
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引用次数: 1
Hospital-associated functional decline and possible interventions based on physical activity, a review of the literature 医院相关功能下降和基于体力活动的可能干预措施,文献综述
Q4 Health Professions Pub Date : 2020-12-28 DOI: 10.18176/ARCHMEDDEPORTE.00018
Bethia Pacheco, L. C. Venegas-Sanabria, Diego Chavarro-Carvaja
Hospital functional impairment is defined as the loss of the ability to perform at least one of the basic activities of daily living with respect to the baseline situation of the person (2 weeks before the onset of acute illness). Its prevalence has been increasing due to the demographic transition of the last few years, which has caused aging to become a challenge with great impact on the health of people, their families and the health system. One of the main consequences of the increase in hospitalizations in the elderly is hospital functional impairment. This condition has multiple consequences in the short, medium and long term, which include increased hospital stay, increased costs of care, increased morbidity and mortality, among others. One of the stages of hospital functional impairment, which corresponds to the functional decline during hospitalization, is modifiable; hence the importance of identification and timely management to intervene at risk patients. Among the interventions that are proposed to deal with this condition are specialized geriatric care, comprehensive management with a multidisciplinary team, nutritional support and physical activity. The latter has been shown to have beneficial effects on physical, cognitive and neuropsychiatric symptoms in the elderly; Therefore, it has been included in multiple hospital protocols as the main non-pharmacological intervention to reduce dependence and impact on functional hospital deterioration.The objective of this literature review is to describe the definition, epidemiology, risk factors, complications, factors associated with functional recovery and intervention programs described for the treatment. Additionally, describe the interventions that include physical activity in elderly patients hospitalized for acute pathologies and possible functional outcomes in this population.
医院功能损害是指相对于患者的基线情况(急性疾病发作前2周),丧失至少一项日常生活基本活动的能力。由于过去几年的人口结构转型,其流行率一直在上升,这导致老龄化成为一个挑战,对人们、他们的家庭和卫生系统的健康产生了巨大影响。老年人住院人数增加的主要后果之一是医院功能受损。这种情况在短期、中期和长期内会产生多种后果,包括住院时间增加、护理费用增加、发病率和死亡率增加等。医院功能损害的一个阶段,对应于住院期间的功能下降,是可改变的;因此识别和及时管理对高危患者进行干预的重要性。为应对这种情况而提出的干预措施包括专门的老年护理、多学科团队的综合管理、营养支持和体育活动。后者已被证明对老年人的身体、认知和神经精神症状有有益影响;因此,它已被纳入多个医院方案,作为主要的非药物干预措施,以减少对功能性医院恶化的依赖和影响。本文献综述的目的是描述治疗的定义、流行病学、危险因素、并发症、与功能恢复相关的因素和干预方案。此外,描述干预措施,包括因急性疾病住院的老年患者的身体活动以及该人群中可能的功能结果。
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引用次数: 1
Study of the high prevalence and cardiovascular risk factors: students aged 11 to 16 years from Caceres-Spain and Paranavaí-Brazil 高患病率和心血管危险因素研究:来自西班牙卡塞雷斯和Paranavaí-Brazil的11至16岁学生
Q4 Health Professions Pub Date : 2020-12-28 DOI: 10.18176/ARCHMEDDEPORTE.00011
Walcir Ferreira-Lima, Silvia Bandeira da Silva-Lima, Flávia Évelin Bandeira-Lima, Fellipe Bandeira-Lima, Amanda Santos, A. Andaki, J. Mota, C. Molena-Fernandes, J. P. Fuentes
Objective: to investigate the association of risk factors for the development of cardiovascular diseases in students from 11 to 16 years old in different contexts. Material and method: Sample composed by students of Cáceres - Spain (n = 165) and Paranavaí - Brazil (n = 237). Body Mass Index, level of physical activity, blood pressure, total cholesterol, low- and high-density lipoproteins, triglycerides and fasting blood glucose were analyzed. For the analysis of variables, the Kolmogorov-Smirnov tests, Student t, Mann-Whitney U, Chi-square, and Odds Ratio were used, with a 95% confidence interval, a value of p <0.05 was considered statistically significant. Results: Spanish students have higher average values of age, physical activity level, obesity in general, low- and high-density lipoproteins and fasting blood glucose (p <0.05). Brazilians had a greater accumulation of risk factors compared to the Spanish, specifically only 8.5% of Brazilians are exempt from RF compared to 28.2% of Spanish. It is observed that there is a higher prevalence of two RFs (G-BRA: 40.7% vs. G-ESP: 24.2%); and three or more RF (G-BRA 27.0% vs. G-ESP: 13.7%), considering a value of p <0.001. Being more active was associated with HDL levels among Brazilians. Although Spanish students had a higher prevalence of general obesity, they were more active. Conclusion: Spanish students showed better results in physical activity levels, fasting glucose concentration, high and low density lipoproteins, in addition to a lower number cardiovascular risk factors, despite being mainly from public schools; with higher average age and higher general obesity prevalence, compared to Brazilians
目的:探讨不同环境下11 ~ 16岁学生心血管疾病发生危险因素的相关性。材料与方法:样本由Cáceres -西班牙(n = 165)和Paranavaí -巴西(n = 237)的学生组成。分析了体重指数、体力活动水平、血压、总胆固醇、低脂蛋白和高密度脂蛋白、甘油三酯和空腹血糖。变量分析采用Kolmogorov-Smirnov检验、Student t检验、Mann-Whitney U检验、Chi-square检验、Odds Ratio检验,置信区间为95%,p <0.05为有统计学意义。结果:西班牙学生的年龄、体力活动水平、总体肥胖、低脂蛋白和高密度脂蛋白、空腹血糖平均值较高(p <0.05)。与西班牙人相比,巴西人的风险因素积累更大,特别是只有8.5%的巴西人免于RF,而西班牙人则为28.2%。观察到两种RFs的发生率较高(G-BRA: 40.7% vs G-ESP: 24.2%);三个或更多RF (G-BRA 27.0% vs G-ESP 13.7%),考虑到p <0.001的值。巴西人的运动水平与高密度脂蛋白水平有关。尽管西班牙学生普遍肥胖,但他们更活跃。结论:西班牙学生在体力活动水平、空腹血糖浓度、高低密度脂蛋白方面表现较好,心血管危险因素也较低,尽管主要来自公立学校;与巴西人相比,他们的平均年龄更高,总体肥胖率更高
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引用次数: 0
Intradialytic physical exercise in chronic kidney disease: a systematic review of health outcomes 慢性肾脏病透析内体育锻炼:健康结果的系统评价
Q4 Health Professions Pub Date : 2020-12-28 DOI: 10.18176/ARCHMEDDEPORTE.00017
Diego Fernández-Lázaro, J. Mielgo-Ayuso, M. Asensio, Alfredo Córdova Martínez, Alberto Caballero-García, C. Fernandez-Lázaro
Introduction: Chronic kidney disease (CKD) is a general term for heterogeneous disorders that affect the structure and function of the kidney. Complications of CKD significantly limit exercise (Ex) tolerance by reducing functional capacity, endurance, and strength. However, the practice of regular Ex contributes to delaying the progression of CKD and stimulating improvements in health-related quality of life (HRQOL). Ex performed during the period of hemodialysis may be the best option when stimulating adherence and being under medical supervision. The purpose of the paper is to examine the effectiveness of intradialytic (iHD) Ex on health outcomes in patients with CKD by identifying the most appropriate component of Ex. Material and method: Systematic review, based on PRISMA guidelines, performing a structured search in Medline, SciELO and Cochrane Library Plus databases. Publications from the last 5 years relating iHD Ex and CKD up to 31 December 2019 were included. The methodological quality of the articles was evaluated using the McMaster critical review form. Results: We found 7 articles that described increases in endurance, upper and lower limb muscle strength, and HRQL of CKD patients providing emotional, social and psychological improvements. In addition, iHD Ex is able to control oxidative stress, inflammation, improve the lipid profile and stimulate endothelial progenitor cells, which together reduce the risk of mortality associated with multiple comorbidities in CKD patients, especially cardiovascular ones. Conclusions:Ex provides improvements in physical function and capacity, HRQL and biological markers. Aerobic Ex, muscle strength Ex and combined Ex programs are used.
引言:慢性肾脏疾病(CKD)是影响肾脏结构和功能的异质性疾病的总称。CKD的并发症通过降低功能能力、耐力和力量显著限制了运动(Ex)耐受性。然而,定期Ex的实践有助于延缓CKD的进展,并促进健康相关生活质量(HRQOL)的改善。当刺激依从性并接受医疗监督时,在血液透析期间进行的Ex可能是最佳选择。本文的目的是通过确定Ex.的最合适成分来检查透析内(iHD)Ex.对CKD患者健康结果的有效性。材料和方法:基于PRISMA指南的系统综述,在Medline、SciELO和Cochrane Library Plus数据库中进行结构化搜索。包括截至2019年12月31日的过去5年中与iHD Ex和CKD相关的出版物。使用McMaster批评性评论表评估了文章的方法学质量。结果:我们发现7篇文章描述了CKD患者耐力、上肢和下肢肌肉力量以及HRQL的增加,提供了情感、社会和心理方面的改善。此外,iHD Ex能够控制氧化应激、炎症、改善脂质状况和刺激内皮祖细胞,共同降低CKD患者,尤其是心血管疾病患者的多种合并症相关的死亡率。结论:Ex可改善身体机能和容量、HRQL和生物标志物。使用有氧锻炼、肌肉力量锻炼和综合锻炼项目。
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引用次数: 10
Analgesic effects of physical exercise in patients with chronic musculoskeletal pain during confinement by the COVID -19 pandemic 在COVID-19大流行的分娩期间,体育锻炼对慢性肌肉骨骼疼痛患者的镇痛作用
Q4 Health Professions Pub Date : 2020-12-28 DOI: 10.18176/ARCHMEDDEPORTE.00014
J. Moreno, Sandra Sánchez Jorge, Davinia Vicente Campos, L. Berlanga
Introduction:The confinement experienced during the COVID-19 pandemic in Spain for more than two months,could severely affect the condition and quality of life of patients suffering from chronic musculoskeletal pain. Taking into account the analgesic effects that physical exercise can generate, a large part of the population has carried out some kind of physical exercise at home as a mechanism for pain control, during this period. Objective:The objective of this study was to know the type and dosage of the exercise performed, as well as the perception of the patient ́s pain during the confinament period. Material and method: An ad hoc survey by a Google Form was conducted in 86 patients to find out the health status of the patients, the type of exercise they performed and the dossage of the exercise, as well as whether they had perceived a reduction in their pain during the period of confinement. Results:The pain intensity was reduced significantly (p = 0.001) when some kind of exercise was done. Strength exercise exclusively was chosen by 51% of the population, and the frequencies and session time were not significantly different bet-ween the subjects who felt a reduction in pain and those who did not. Conclusion:A schedule of physical exercise 4 days a week, for at least 50 minutes and with intensities around 77% of HR-máx of aerobic or strength training would be recommended in patients with chronic pain, as a strategy for pain reduction. The results of our study do not advise, for patients with chronic pain, combined therapy sessions, regardless of the primary location of the pain.
简介:在西班牙新冠肺炎大流行期间,两个多月的监禁可能会严重影响慢性肌肉骨骼疼痛患者的病情和生活质量。考虑到体育锻炼可能产生的镇痛作用,在这段时间里,很大一部分人在家里进行了某种体育锻炼,作为控制疼痛的机制。目的:本研究的目的是了解所进行的运动的类型和剂量,以及患者在确诊期间对疼痛的感知。材料和方法:谷歌表格对86名患者进行了一项特别调查,以了解患者的健康状况、他们进行的运动类型和运动剂量,以及他们在禁闭期间是否感觉到疼痛减轻。结果:当进行某种运动时,疼痛强度显著降低(p=0.001)。51%的受试者完全选择了力量训练,疼痛减轻的受试对象和没有疼痛减轻的人之间的频率和训练时间没有显著差异。结论:建议慢性疼痛患者每周进行4天、至少50分钟的体育锻炼,强度约为有氧或力量训练HR-máx的77%,作为减轻疼痛的策略。我们的研究结果并不建议慢性疼痛患者进行联合治疗,无论疼痛的主要部位如何。
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引用次数: 6
Sweat rate and environmental factors in junior Laser class sailors 初级激光级水手的出汗率和环境因素
Q4 Health Professions Pub Date : 2020-12-03 DOI: 10.18176/archmeddeporte.0003
GJ Lorenzo González, J. Toro Prieto-Puga, T. Teresa Seoane Pillado, E. Fernández Windscheid
Introduction: Recent studies have reported differences in sweat rate (SR) in laser class (LC) sailors under extreme environmental conditions (EC). This study aimed to determine a ‘standard-like’ SR in junior Laser 4.7 sailors under ‘not-extreme’ weather conditions to achieve an adequate fluid replacement rate for training and racing sessions. Additionally, we analysed the hypothetical relationship between SR and certain environmental factors, not just considering them as independent variables, but also including them as a whole factor, usually known as ‘windchill’ (WCh). Material and method: Nine male elite junior Laser 4.7 class athletes were included in this descriptive study. They were monitored during the entire year of training and racing sessions, including national and international championships. Body mass changes as well as their food and fluid intake were measured for each sailor before and after sailing to estimate SR, absolute body mass change, and percentage body mass variation for all the sessions. Athletes were asked to maintain “ab libitum” fluid and food intake during the study. Environmental temperature, wind speed, and relative humidity were measured. Results: Significant differences (p = 0.012) were observed between training and racing sessions with respect to SR, 0.18 (±0.14) L.h−1 vs. 0.23 (± 0.12 L.h−1). Environmental temperature and WCh during racing showed an inverse relationship with SR. Discussion: This result suggests that increased fluid and food intake are required under cold weather conditions to maintain the ‘target’ weight during the competitions and improve performance.
简介:最近的研究报道了极端环境条件(EC)下激光级(LC)水手的出汗率(SR)的差异。本研究旨在确定在“非极端”天气条件下初级激光4.7水手的“标准”SR,以达到训练和比赛期间足够的液体替换率。此外,我们分析了SR与某些环境因素之间的假设关系,不仅将它们视为独立变量,而且还将它们作为一个整体因素,通常称为“风寒”(WCh)。材料与方法:选取9名男性优秀少年激光4.7级运动员为研究对象。在全年的训练和比赛期间,包括国内和国际锦标赛期间,他们都受到监控。测量每个水手在航行前后的体重变化以及他们的食物和液体摄入量,以估计所有会话的SR,绝对体重变化和体重变化百分比。在研究过程中,运动员被要求保持“无限制”的液体和食物摄入量。测量环境温度、风速和相对湿度。结果:训练和比赛阶段在SR方面观察到显著差异(p = 0.012),分别为0.18(±0.14)L.h−1和0.23(±0.12)L.h−1。讨论:这一结果表明,在寒冷的天气条件下,为了在比赛中保持“目标”体重和提高成绩,需要增加液体和食物的摄入量。
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引用次数: 0
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Archivos de Medicina del Deporte
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