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Respiratory and functional benefits of manual diaphragmatic release for cleaning-laborers exposed to occupational hazards. 人工释放横膈膜对接触职业危害的清洁工人的呼吸和功能有好处。
IF 1.5 Q3 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1002/pri.70001
Alshimaa R Azab, Ragab K Elnaggar, Dalia G Hamouda, Ghfren S Aloraini, Alaa S Alhegaili, Ahmed S Ahmed, Maged A Basha, Ashwag S Alsharidah, FatmaAlzahraa H Kamel, Ahmed A Elshehawy

Background and purpose: To examine the respiratory and functional benefits of manual diaphragmatic release for Cleaning-Laborers Exposed to Occupational Hazards.

Methods: A randomized controlled trial of 36 participants aged 35-45 years was randomly allocated into two groups. The experimental group (n = 18); received manual diaphragm release along with respiratory training exercises, and the control group (n = 18); received respiratory training exercises only. Three times/week for 12 consecutive weeks. The serum immunoglobulin E level, pulmonary functions [forced expiratory volume in one second (FEV1), forced vital capacity (FVC), FEV1/FVC, and peak expiratory flow (PEF) rate (PEF)], chest wall mobility, and 6 min walk-test performance were assessed pre- and post-intervention.

Results: There was a greater decline in serum immunoglobulin levels (p = 0.003; Partial η2 = 0.23) and enhancement in pulmonary functions [FEV1 (p = 0.025, Partial η2 = 0.14), FVC (p = 0.017, Partial η2 = 0.16), FEV1/FVC (p = 0.028, Partial η2 = 0.13), and PEF (p = 0.012, Partial η2 = 0.17) in the experimental group. Further, there was a greater increase in chest mobility at the xiphoid level (p = 0.002, Partial η2 = 0.25) in the experimental group, but this was not the case at the axillary level (p = 0.29, Partial η2 = 0.03). Still, the 6 min walk-test performance improved more significantly in the experimental group (p = 0.002, Partial η2 = 0.24).

Conclusion: The diaphragmatic release technique may offer a promising approach for mitigating distressing respiratory symptoms, enhancing immune function, and improving 6 min walk-test performance among cleaning laborers with work-related respiratory hazards.

Trial registration: The study was retrospectively registered at XXX (ID: NCT05802355).

背景和目的:研究手动横膈膜松解术对暴露于职业危害的清洁工人的呼吸和功能益处:一项随机对照试验将 36 名 35-45 岁的参与者随机分为两组。实验组(18 人)接受人工横膈膜松解术和呼吸训练,对照组(18 人)仅接受呼吸训练。每周三次,连续 12 周。对干预前后的血清免疫球蛋白 E 水平、肺功能[一秒用力呼气容积(FEV1)、用力肺活量(FVC)、FEV1/FVC 和呼气峰流速(PEF)]、胸壁活动度和 6 分钟步行测试成绩进行评估:结果:血清免疫球蛋白水平下降幅度更大(p = 0.003; Partial η2 = 0.23),肺功能[FEV1(p = 0.025, Partial η2 = 0.14)、FVC(p = 0.017,Partial η2 = 0.16)、FEV1/FVC(p = 0.028,Partial η2 = 0.13)和 PEF(p = 0.012,Partial η2 = 0.17)。此外,实验组剑突水平的胸部活动度增加较多(p = 0.002,部分η2 = 0.25),但腋窝水平的胸部活动度增加较少(p = 0.29,部分η2 = 0.03)。尽管如此,实验组的 6 分钟步行测试成绩改善更明显(p = 0.002,部分η2 = 0.24):结论:横膈膜松解技术为缓解呼吸道不适症状、增强免疫功能、提高有呼吸道相关工作危险的清洁工人的 6 分钟步行测试成绩提供了一种很有前景的方法:该研究已在 XXX 进行了回顾性注册(ID:NCT05802355)。
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引用次数: 0
Tele-rehabilitation in COVID-19 survivors (TERCOV): An investigator-initiated, prospective, multi-center, real-world study. COVID-19 幸存者远程康复(TERCOV):一项由研究者发起的前瞻性多中心真实世界研究。
IF 1.5 Q3 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1002/pri.2137
Geyi Wen, Lulu Yang, Shiwei Qumu, Xuanming Situ, Jieping Lei, Biqin Yu, Bing Liu, Yajun Liang, Jiaze He, Rujuan Wang, Fang Ni, Changrong Wu, Xing Zheng, Yao Yin, Jing Lin, Jiangping Bao, Ting Yang, Yi Hu, Zhenshun Cheng, Guangyun Guo

Introduction: Center-based rehabilitation is limited by COVID-19 infectivity and social distancing policy. We hypothesized that discharged patients benefit from 8-week home-based tele-rehabilitation (tele-PR) using mobile phones and low-cost instruments.

Methods: The TERCOV (Tele-rehabilitation in COVID-19 survivors) is an investigator-initiated, prospective, multi-center, real-world study. After proper assessment, 186 discharge patients received tele-PR by smartphone, including breathing exercise, respiratory muscle training, aerobic exercise, and resistance training. Physicians, physiotherapists, and nurses provided guidance through smartphone applications. The primary outcome was six-minute walk distance (6MWD). The secondary outcomes included hand grip, short physical performance battery, maximal inspiratory pressure, maximal expiratory pressure, self-rating anxiety/depression scale (SAS/SDS), 36-item short-form health survey (SF-36) and international physical activity questionnaire.

Results: Dyspnea subgroups were more functionally impaired. After tele-PR, improvements were observed in exercise capacity(∆6MWD: 16.80 m, 95% CI 1.18-32.42, p < 0.0001), limb muscle function (∆SPPB 0.25 points, 95% CI 0.05-0.46), respiratory muscle strength (∆MIP 16.50 cm H2O, 95% CI 9.22-23.78, p < 0.0001; ∆MEP: 12.09 cm H2O, 95% CI 3.48-20.70, p = 0.0002), health-related quality of life (∆SF-36 49.85, 95% CI: 21.01-78.69, p < 0.0001), physical activity(∆HEPA 13.01%, p = 0.0029). Anxiety reduced in patients with mMRC ≥ 2 (∆SAS = -4.19 points, CI -8.16 to -0.22, p = 0.03). Greater change was seen in dyspnea patients.

Implications on physiotherapy practice: Supervised/semi-supervised tele-PR is a promising option during the pandemic. Patients with Dyspnea benefit more.

导言:COVID-19感染性和社会疏远政策限制了中心康复。我们假设,出院患者可从使用手机和低成本工具进行的为期 8 周的家庭远程康复(tele-PR)中获益:TERCOV(COVID-19幸存者远程康复)是一项由研究者发起的前瞻性多中心真实世界研究。经过适当评估后,186 名出院患者通过智能手机接受了远程康复训练,包括呼吸运动、呼吸肌训练、有氧运动和阻力训练。医生、理疗师和护士通过智能手机应用程序提供指导。主要结果是六分钟步行距离(6MWD)。次要结果包括手部握力、短期体能测试、最大吸气压力、最大呼气压力、焦虑/抑郁自评量表(SAS/SDS)、36 项短式健康调查(SF-36)和国际体能活动问卷:结果:呼吸困难亚组的功能受损更严重。远程物理治疗后,运动能力有所提高(∆6MWD:16.80 m,95% CI 1.18-32.42,p 对物理治疗实践的影响):在大流行期间,有监督/半监督的远程物理治疗是一种很有前景的选择。呼吸困难患者受益更多。
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引用次数: 0
The point prevalence of stress incontinence among young adult Jordanian women based on activity levels. 根据活动量计算约旦年轻成年女性压力性尿失禁的发病率。
IF 1.5 Q3 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1002/pri.70000
Thaer S Manaseer, Saad M Al-Nassan

Background: Stress Urinary incontinence (SUI) is a common condition among women of all ages. The point prevalence of SUI among young adult Jordanian women is less explored.

Objectives: To examine the point prevalence of SUI among this sample based on activity level, and whether the affected women have shared their complaints with healthcare providers and/or received education related to UI.

Methods: This was a cross-sectional survey-based study. Participants with diseases that affect the control of micturition were excluded. The International Consultation on Incontinence Questionnaire-UI Short-Form was used to calculate the point prevalence of UI. The Tegner activity scale was used to classify participants based on their physical activity levels. The participants reported whether they shared their complaints with a healthcare provider or received education about this health problem.

Results: Five hundred women (median age = 20 years, BMI = 22) participated (118 competitive athletes, 192 recreational, and 190 sedentary). The overall point prevalence of SUI was 14% (n = 61). A chi-square test of independence showed a significant difference in the point prevalence of SUI between women with different activity levels, χ2 (12) = 12.07, p < 0.01. The point prevalence of SUI among competitive athletes, recreational women, and sedentary women was 21%, 8%, and 11%, respectively. None of those with SUI have shared their complaints with healthcare providers or received education related to SUI.

Conclusion: SUI is prevalent among young adult Jordanian women, with the highest prevalence observed in those engaged in competitive athletic activities. The affected women refrain from disclosing their SUI-related concerns to healthcare practitioners and lack sufficient knowledge about this health issue.

背景:压力性尿失禁(SUI)是各个年龄段女性的常见病。关于约旦年轻成年女性中压力性尿失禁的点流行率的研究较少:目的:根据活动水平研究尿失禁在该样本中的点流行率,以及受影响的妇女是否向医疗保健提供者倾诉和/或接受过与尿失禁相关的教育:这是一项基于横断面调查的研究。不包括患有影响排尿控制疾病的参与者。国际尿失禁咨询问卷-UI简表用于计算尿失禁的点流行率。泰格纳活动量表用于根据参与者的体力活动水平对其进行分类。参与者还报告了他们是否向医疗保健提供者倾诉或接受过有关这一健康问题的教育:500名女性(中位年龄=20岁,体重指数=22)参加了此次调查(118名竞技运动员、192名休闲运动员和190名久坐者)。SUI的总发病率为14%(n=61)。独立的卡方检验结果显示,不同活动水平的女性在 SUI 点患病率上存在显著差异,χ2 (12) = 12.07,P 结论:膀胱尿道炎在约旦年轻成年女性中很普遍,在从事竞技体育活动的女性中发病率最高。受影响的女性不愿向医护人员透露与 SUI 相关的问题,对这一健康问题也缺乏足够的了解。
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引用次数: 0
Effects of shuttle balance exercises on gait speed, postural control, and quality of life in older males: A randomized controlled trial. 穿梭平衡练习对老年男性步速、姿势控制和生活质量的影响:随机对照试验
IF 1.5 Q3 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1002/pri.2135
Zahra Mohammadian, Mohammad Alimoradi, Rodrigo Ramirez-Campillo

Background and purpose: Enhancing physical function and quality of life in older adults at higher risk of falls is challenging because of the lack of established interventions. This study examines the impact of a 6-week balance training program using the shuttle balance device on gait speed, postural control, and quality of life in older men.

Methods: This single-blinded randomized controlled trial was conducted in a research laboratory. Thirty-two participants aged ≥60 years were randomly assigned to either an experimental group (EG; n = 16) or a control group (CG; n = 14). The EG participated in a 6-week shuttle balance exercise program, while the CG maintained regular physical activity routines. The main outcome measures included gait speed (assessed via the timed up and go test), postural control (assessed via center of pressure data on a force plate), and quality of life (evaluated using the SF-36 questionnaire).

Results: Post-intervention, the EG showed significant improvements compared with the CG (p < 0.05). The 95% confidence intervals for the differences between groups were as follows: closed eyes (CE) mean velocity (-39.07, -0.13), CE sway area (-48.86, -0.18), SF-36 total score (9.01, 16.81), SF-36 physical functioning (7.00, 24.81), SF-36 physical role functioning (1.80, 27.57), SF-36 pain (15.01, 36.82), SF-36 general health state (7.48, 26.08), SF-36 vitality (5.60, 28.35), and SF-36 mental health (0.21, 21.12).

Discussion: A 6-week shuttle balance training program significantly improves postural control and quality of life in older males. These findings suggest the potential effectiveness of shuttle balance exercises in enhancing physical function and well-being in this population. Further research is needed to validate these findings and explore the long-term effects with larger sample sizes.

背景和目的:由于缺乏成熟的干预措施,因此提高跌倒风险较高的老年人的身体功能和生活质量具有挑战性。本研究探讨了使用穿梭平衡装置进行为期 6 周的平衡训练对老年男性步速、姿势控制和生活质量的影响:这项单盲随机对照试验在研究实验室进行。32名年龄≥60岁的参与者被随机分配到实验组(EG;n = 16)或对照组(CG;n = 14)。实验组参加为期 6 周的穿梭平衡训练,而对照组则保持常规体育锻炼。主要结果指标包括步速(通过定时起立和前进测试进行评估)、姿势控制(通过力板上的压力中心数据进行评估)和生活质量(通过 SF-36 问卷进行评估):干预后,EG 与 CG 相比有显著改善(P 讨论):为期 6 周的穿梭平衡训练计划能显著改善老年男性的姿势控制和生活质量。这些研究结果表明,穿梭平衡训练在提高这类人群的身体功能和生活质量方面具有潜在的有效性。还需要进一步的研究来验证这些发现,并通过更大的样本量来探索其长期效果。
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引用次数: 0
Influence of whole-body vibration and drop jump on the range of motion in the ankle joint and running parameters-A randomized crossover study. 全身振动和落跳对踝关节活动范围和跑步参数的影响--随机交叉研究。
IF 1.5 Q3 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1002/pri.2132
Paulina Ewertowska, Bartosz Zbigniew Zapadka, Marta Głażewska, Łukasz Poniatowski, Kacper Tuptanowski, Zbigniew Ossowski, Dariusz Czaprowski, Michał Krzysztofik

Background and purpose: Warm-up (WU) is a commonly practiced technique aimed at preparing athletes for physical activity. Although coaches and athletes consider WU essential, there is still an ongoing debate about its effectiveness. This might be due to the fact that WU procedures often rely on experiences rather than scientific research. During WU, athletes may pursue intermediate goals such as ensuring proper ranges of motion in joints, which seem crucial particularly for runners' ankle joints. Hence, the aim of this study was to evaluate influence of whole-body vibration (WBV), drop jump (DJ), and a combination of both (WBV + DJ) in terms of ankle dorsiflexion and running parameters among recreational runners.

Methods: Sixteen runners performed as a WU: five sets of 30 s calf raises without WBV (CTRL), five sets of 30 s calf raises during WBV, five sets of six DJ, five sets of 30 s calf raises during WBV followed by 6 DJ. Range of motion (ROM) of the ankle joint was measured in a prone position using an inclinometer for the soleus and gastrocnemius muscles, separately. Measurements were conducted before and after WU, and after a 3000 m run.

Results: There was no interaction for time and WU for left (p = 0.926) and right (p = 0.738) soleus muscle as well as for left (p = 0.748) and right (p = 0.197) gastrocnemius muscles. No difference (p = 0.914) for the running time was found.

Discussion: WBV, drop jumps, or a combination of both did not affect ankle dorsiflexion and running time.

背景和目的:热身(WU)是一种常用的技术,旨在让运动员为体育活动做好准备。尽管教练员和运动员都认为热身是必不可少的,但对其有效性的争论仍在继续。这可能是由于热身运动的程序通常依赖于经验而非科学研究。在 WU 过程中,运动员可能会追求中间目标,如确保关节的适当活动范围,这似乎对跑步者的踝关节尤为重要。因此,本研究旨在评估全身振动(WBV)、落差跳(DJ)以及两者结合(WBV + DJ)对休闲跑步者踝关节背屈和跑步参数的影响:16 名跑步者进行了 WU:5 组 30 秒小腿抬高,不含 WBV(CTRL);5 组 30 秒小腿抬高,WBV 期间;5 组 6 次 DJ;5 组 30 秒小腿抬高,WBV 期间,然后 6 次 DJ。在俯卧位时使用倾斜仪分别测量比目鱼肌和腓肠肌的踝关节活动范围(ROM)。测量在 WU 前后和 3000 米跑步后进行:结果:左侧比目鱼肌(p = 0.926)和右侧比目鱼肌(p = 0.738)以及左侧腓肠肌(p = 0.748)和右侧腓肠肌(p = 0.197)的时间与 WU 没有交互作用。跑步时间没有差异(p = 0.914):讨论:WBV、下蹲跳或两者的结合不会影响踝关节外翻和跑步时间。
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引用次数: 0
Effectiveness and efficiency of aquatic therapy on independence in activities of daily living and mobility in post-acute spinal cord injury: A matched case-control study. 水疗对急性脊髓损伤后日常生活自理能力和活动能力的效果和效率:一项匹配病例对照研究。
IF 1.5 Q3 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1002/pri.2141
Alejandro García-Rudolph, Jordi Finestres, Mark Andrew Wright, Josep Medina Casanovas, Eloy Opisso

Background and purpose: Aquatic therapy (AT), though potentially effective, lacks studies on clinical efficacy in patients with spinal cord injury (SCI). A recent study analyzing interviews with rehabilitation professionals on its clinical application reported that the scarce evidence of AT benefits was one of the actual barriers to its successful integration into clinical practice. We seek to provide evidence by comparing independence in activities of daily living (ADLs) and functional ambulation capacity in patients following rehabilitation which included AT and matched controls who followed rehabilitation without AT (non-AT).

Methods: Functional Independence Measure (FIM), Spinal Cord Independence Measure (SCIM-III), Walking Index for Spinal Cord Injury (WISCI-II) and its minimal clinically important difference (WISCI-II/MCID) were assessed. The AT group followed the Halliwick concept. We performed nonparametric nearest-neighbor k:1 matching for age, time since injury to admission, FIM at admission, level of injury (paraplegia/tetraplegia), completeness and cause of injury (traumatic, non-traumatic). The rehabilitation program comprised four daily hours of intensive treatment from the multidisciplinary team. Both groups received the same total number of rehabilitation hours at the same specialized clinical center and were admitted to follow inpatient rehabilitation within 2 months after injury.

Results: A total of 29 patients with SCI who followed AT (admitted between 2017 and 2023) were compared to historical matches selected from 551 inpatients with SCI (admitted between 2014 and 2023). For k = 1, the groups showed no significant differences in gains, efficiency, or effectiveness in FIM and SCIM-III; significant differences were observed in WISCI-II gain (p = 0.018) and WISCI-II efficiency (p = 0.046) in favor of the AT group; the proportion of patients achieving WISCI-II/MCID was significantly higher for the AT group (75.9% vs. 48.3%) (p = 0.030). These results were confirmed for k = 2.

Conclusion: The AT group performed similarly in independence for performing ADLs and significantly better in ambulation than the matched historical controls.

背景和目的:水疗(AT)虽然可能有效,但缺乏对脊髓损伤(SCI)患者临床疗效的研究。最近的一项研究分析了与康复专业人员就水疗的临床应用进行的访谈,结果表明,缺乏有关水疗益处的证据是阻碍水疗成功融入临床实践的实际障碍之一。我们试图通过比较接受包括辅助器具在内的康复治疗的患者和接受无辅助器具康复治疗(非辅助器具)的匹配对照组在日常生活活动(ADLs)中的独立性和功能性行走能力来提供证据:方法:评估功能独立性测量(FIM)、脊髓独立性测量(SCIM-III)、脊髓损伤步行指数(WISCI-II)及其最小临床意义差异(WISCI-II/MCID)。AT 组遵循 Halliwick 概念。我们对年龄、受伤后到入院的时间、入院时的 FIM、受伤程度(截瘫/四肢瘫痪)、完整性和受伤原因(创伤性、非创伤性)进行了非参数近邻 k:1 匹配。康复计划包括多学科团队每天四小时的强化治疗。两组患者在同一专科临床中心接受的康复治疗总时数相同,并在伤后两个月内接受住院康复治疗:研究人员将从 551 名 SCI 住院患者(2014 年至 2023 年间入院)中挑选出的 29 名接受 AT 治疗的 SCI 患者(2017 年至 2023 年间入院)与历史配对患者进行了比较。对于 k = 1,两组在 FIM 和 SCIM-III 的收益、效率或有效性方面没有显著差异;在 WISCI-II 的收益(p = 0.018)和 WISCI-II 的效率(p = 0.046)方面观察到显著差异,AT 组更胜一筹;AT 组达到 WISCI-II/MCID 的患者比例显著更高(75.9% 对 48.3%)(p = 0.030)。这些结果在 k = 2.结论中得到了证实:AT组患者在日常生活自理能力方面的表现类似,而在行走能力方面则明显优于匹配的历史对照组。
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引用次数: 0
The effect of physiotherapy intervention on functional outcomes among COVID-19 patients: Clinical experimental study. 物理治疗干预对 COVID-19 患者功能结果的影响:临床实验研究。
IF 1.5 Q3 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1002/pri.2136
Athar Abufara, Akram Amro, Muntaser S Ahmad

Background: COVID-19 is a highly contagious virus that causes pneumonia, which quickly progresses to acute respiratory distress. In the case of COVID-19, physiotherapy is critical in non-invasive support management, postural changes, chest physiotherapy (CPT), and bed mobility. This study aims to look into the effects of physiotherapy intervention on functional outcome levels in COVID-19 patients in the acute stage.

Methods: A total of 60 severe COVID-19 patients (54 males and 6 females) with a mean age of 50 years were studied. The intervention group (n = 30) had two daily physiotherapy sessions that included positioning, CPT, cardio exercises, breathing exercises, and early mobility, whereas the control group (n = 30) received only standard medical care. Patients were tested twice at the baseline and discharge using peripheral oxygen saturation, respiratory rate (RR) test, dyspnea rate, two-min walk test, and spirometer scores, forced vital capacity (FVC) and forced expiratory volume in one second (FEV1).

Results: The two groups improved significantly between the baseline and discharge ratings. The intervention group, on the other hand, significantly improved all outcome indicators at discharge (p-value = 0.00). This study found that physiotherapy management improved oxygen saturation, RR, dyspnea, and lung function tests in COVID-19 patients except in FVC (p-value = 0.402) and FEV1(p-value = 0.114).

Conclusion: Physiotherapist interventions with COVID-19 patients increase respiratory function and treatment time.

背景:COVID-19 是一种传染性极强的病毒,可引起肺炎,并迅速发展为急性呼吸窘迫。对于 COVID-19 患者,物理治疗在无创支持管理、体位改变、胸部物理治疗(CPT)和床上移动方面至关重要。本研究旨在探讨物理治疗干预对 COVID-19 患者急性期功能结果水平的影响:研究对象为 60 名重症 COVID-19 患者(54 名男性和 6 名女性),平均年龄为 50 岁。干预组(30 人)每天进行两次物理治疗,包括体位、CPT、有氧运动、呼吸运动和早期活动,而对照组(30 人)只接受标准医疗护理。患者在基线和出院时接受了两次测试,包括外周血氧饱和度、呼吸频率(RR)测试、呼吸困难率、两分钟步行测试、肺活量计评分、用力肺活量(FVC)和一秒用力呼气容积(FEV1):两组患者的基线评分和出院评分均有明显改善。而干预组在出院时所有结果指标均有明显改善(P 值 = 0.00)。本研究发现,物理治疗可改善 COVID-19 患者的血氧饱和度、RR、呼吸困难和肺功能测试,但 FVC(P 值 = 0.402)和 FEV1(P 值 = 0.114)除外:结论:物理治疗师对 COVID-19 患者的干预可增加呼吸功能和治疗时间。
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引用次数: 0
A systematic review and meta-analysis on effect of different exercise training on grip strength and upper extremity muscle strength in patients with type 2 diabetes mellitus. 关于不同运动训练对 2 型糖尿病患者握力和上肢肌力影响的系统综述和荟萃分析。
IF 1.5 Q3 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1002/pri.2130
Mamta Boora, Manoj Malik, Jaspreet Kaur

Background: Individuals with type 2 diabetes mellitus (T2DM) are prone to musculoskeletal complications, particularly in the upper extremities (UE), which can significantly impair their grip strength and UE muscle strength. This review will provide valuable insights for developing optimized exercise interventions aimed at enhancing upper limb functionality and improving patient outcomes.

Aim: To determine the effect of different exercise training on grip strength & UE muscle strength in patients suffering from T2DM.

Methodology: A comprehensive search from electronic databases was performed based on the selection criteria and 13 randomized controlled trials (RCT's) were included in the study. Mean changes in grip strength and UE muscle strength were the primary outcome measures. Included studies ranked high on the PEDro rating scale and eta-analysis was performed by Rev Man 5.4 software.

Results: Meta-analysis results indicated that there was a statistically significant improvement in UE muscle strength of experimental group when compared to control group (mean differences [MD] = 2.91, 95% confidence interval = 0.12, 5.71; p = 0.04) with moderate heterogeneity (I2 = 49%, p < 0.07). Grip strength improved significantly in the experimental group when compared to the control group with (MD = 2.93, 95% CL = -0.00, 5.86; p = 0.05) and moderate heterogeneity (I2 = 66%, p < 0.08).

Conclusion: This review indicated a positive role of supervised resistance & aerobic exercises on UE muscle strength in patients with T2DM. Due to lack of RCT's, grip strength needs to be explored by further investigations in these patients.

背景:2型糖尿病(T2DM)患者容易出现肌肉骨骼并发症,尤其是上肢(UE)并发症,会严重影响患者的握力和上肢肌力。目的:确定不同运动训练对 T2DM 患者握力和上肢肌力的影响:根据选择标准对电子数据库进行了全面搜索,13 项随机对照试验(RCT)被纳入研究。握力和上肢肌力的平均变化是主要的结果测量指标。纳入的研究在 PEDro 评级表中排名靠前,并使用 Rev Man 5.4 软件进行了 eta 分析:元分析结果表明,与对照组相比,实验组的上举肌力有统计学意义上的显著改善(平均差 [MD] = 2.91,95% 置信区间 = 0.12,5.71;P = 0.04),异质性适中(I2 = 49%,P 2 = 66%,P 结论:实验组的上举肌力与对照组相比有统计学意义上的显著改善(平均差 [MD] = 2.91,95% 置信区间 = 0.12,5.71;P = 0.04),异质性适中(I2 = 49%,P 2 = 66%):本综述表明,有监督的阻力和有氧运动对 T2DM 患者的上肢肌力有积极作用。由于缺乏相关研究,需要对这些患者的握力进行进一步研究。
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引用次数: 0
Preoperative physiotherapy for improving the reserve capacity in a patient with esophageal cancer and frailty: A case report. 通过术前物理治疗提高食道癌合并体弱患者的储备能力:病例报告。
IF 1.5 Q3 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1002/pri.2138
Yusuke Takahashi, Kazuki Okura, Ririko Sakamoto, Kakeru Hasegawa, Yushi Nagaki, Akiyuki Wakita, Yusuke Sato

Introduction: Frailty is significantly correlated with a higher incidence of medical complications during hospitalization after esophagectomy. As frailty is thought to be a reversible condition, improving the reserve capacity through preoperative physical therapy is expected to reduce the risk of postoperative pulmonary complications (PPCs). Herein, we report our experience with preoperative physical therapy in a patient with esophageal cancer who was considered to have inadequate fitness for surgery owing to poor physical performance.

Case presentation: A 72-year-old man (height: 169.5 cm, weight: 54.7 kg, body mass index: 18.9 kg/m2) with esophagogastric junction tumors (cStage IIIA) was hospitalized and scheduled to undergo surgery based on preoperative screening. He was categorized as frail according to the revised Japanese version of the Cardiovascular Health Study criteria and the Mini Nutritional Assessment Short-Form indicated severe malnutrition. We focused on physical therapy to improve exercise tolerance and prevent PPCs and devised a short-term intensive physical therapy program comprising minimal exercises that the patient could perform efficiently. The program consisted of only inspiratory muscle training and aerobic exercises. His maximal inspiratory pressure (MIP) and 6-min walking distance improved by 30 cm H2O and 145 m, respectively, on the day before surgery compared with those on day 8. The percentage predicted value of the MIP improved from 56.6% at the start of physical therapy to 102.9% on the day before surgery. On day 43, the patient underwent subtotal esophagectomy and was able to ambulate on postoperative day 5 without respiratory complications.

Conclusion: We conducted a short-term, intensive, and minimal preoperative physical therapy program for a patient with esophageal cancer who had physical frailty. Preoperative physical therapy to increase the reserve capacity may result in a favorable postoperative course even in patients with physical frailty.

简介虚弱与食管切除术后住院期间较高的医疗并发症发生率明显相关。由于虚弱被认为是一种可逆的状况,因此通过术前物理治疗来提高储备能力有望降低术后肺部并发症(PPCs)的风险。在此,我们报告了我们对一名食道癌患者进行术前物理治疗的经验,该患者因体能状况不佳而被认为不适合手术:一位 72 岁的男性(身高:169.5 厘米,体重:54.7 千克,体重指数:18.9 千克/平方米)患有食管胃交界处肿瘤(c 阶段 IIIA),根据术前筛查结果住院并计划接受手术。根据日本修订版心血管健康研究标准,他被归类为体弱者,而迷你营养评估短表显示他严重营养不良。我们将重点放在物理治疗上,以提高患者的运动耐受力,预防 PPCs,并制定了一个短期强化物理治疗计划,其中包括患者能够有效完成的最低限度的运动。该计划仅包括吸气肌训练和有氧运动。与第 8 天相比,患者手术前一天的最大吸气压力(MIP)和 6 分钟步行距离分别提高了 30 厘米水深和 145 米。MIP 预测值的百分比从物理治疗开始时的 56.6% 提高到了手术前一天的 102.9%。第 43 天,患者接受了食管次全切除术,术后第 5 天就可以下床活动,没有出现呼吸系统并发症:我们为一名身体虚弱的食管癌患者实施了短期、强化和最低限度的术前物理治疗计划。即使是体质虚弱的食管癌患者,通过术前物理治疗来提高储备能力也能使其术后恢复良好。
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引用次数: 0
Does cognitive function affect functional capacity and perceived fatigue severity after exercise in patients with coronary artery disease? 认知功能是否会影响冠心病患者运动后的功能能力和感知疲劳的严重程度?
IF 1.5 Q3 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1002/pri.2139
Dilara Saklıca, Naciye Vardar-Yağlı, Ahmet Hakan Ateş, Hikmet Yorgun

Background & objective: Successful execution of exercise-based cardiac rehabilitation programs, an important branch of physiotherapy in individuals with coronary artery disease (CAD), depends on adequate cognitive abilities. It has been identified that coronary microvascular dysfunction, marked by reduced coronary flow reserve, is associated with impaired cerebral blood flow, affecting haemodynamic and cognitive performance. This study aimed to investigate how cognitive function influences functional capacity and differences in fatigue perception in CAD patients.

Methods: Fifty CAD patients, with an average age of 59.40 ± 6.58 years, were evaluated for comorbidities (Charlson comorbidity index), number of CAD risk factors (hypertension, diabetes mellitus, dyslipidaemia, smoking, and physical inactivity), cognitive performance (Montreal cognitive assessment scale [MoCA]), functional capacity (incremental shuttle walk test [ISWT]), exercise-induced fatigue (Modified Bourg Scale), and physical activity (PA) levels (international physical activity questionnaire-short form).

Results: Analyses focused on the links between MoCA scores and CRF, ISWT outcomes, and differences in fatigue perception. Findings revealed a strong positive link between MoCA scores and ISWT performance (r = 0.83, p < 0.001), and a strong inverse relationship between CRF and MoCA scores (r = -0.95, p < 0.001). In addition, MoCA score was positively correlated with differences in fatigue perception (r = 0.88, p < 0.001).

Conclusion: These results highlight the critical role of cognitive function in determining functional capacity and managing fatigue in CAD patients. They also suggest that cognitive interventions may be a potential adjunctive approach in physiotherapy programmes.

背景与目的:以运动为基础的心脏康复计划是冠状动脉疾病(CAD)患者物理治疗的一个重要分支,其成功实施取决于足够的认知能力。研究发现,以冠状动脉血流储备减少为特征的冠状动脉微血管功能障碍与脑血流受损有关,从而影响血流动力学和认知能力。本研究旨在探讨认知功能如何影响 CAD 患者的功能能力以及疲劳感的差异:方法:50 名 CAD 患者,平均年龄为 59.40±6.58岁,对他们的合并症(夏尔森合并症指数)、CAD危险因素数量(高血压、糖尿病、血脂异常、吸烟和缺乏运动)、认知能力(蒙特利尔认知评估量表[MoCA])、功能能力(增量穿梭步行测试[ISWT])、运动引起的疲劳(修正布尔格量表)和体力活动(PA)水平(国际体力活动问卷-简表)进行了评估:分析的重点是 MoCA 评分与 CRF、ISWT 结果以及疲劳感差异之间的联系。研究结果表明,MoCA 评分与 ISWT 成绩之间存在很强的正相关性(r = 0.83,p 结论:MoCA 评分与 ISWT 成绩之间存在很强的正相关性:这些结果凸显了认知功能在决定 CAD 患者的功能能力和控制疲劳方面的关键作用。这些结果还表明,认知干预可能是物理治疗计划的一种潜在辅助方法。
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引用次数: 0
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Physiotherapy Research International
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