Cardiopulmonary physical therapy journal最新文献

英文中文

CSM 2023 Cardiovascular and Pulmonary Poster Abstracts csm2023心血管和肺海报摘要

Cardiopulmonary physical therapy journal

Pub Date : 2023-01-01 DOI: 10.1097/cpt.0000000000000220

引用次数: 0

Physical Therapy Management of Postacute Sequelae of COVID-19 in Outpatient Settings: A Scoping Review 门诊COVID-19急性后后遗症的物理治疗管理:一项范围综述

Cardiopulmonary physical therapy journal

Pub Date : 2022-12-26 DOI: 10.1097/CPT.0000000000000217

Kylie Scott, Summer Ankrum, E. Lindsey, Oskar Lopez, Jessica Beitner, Cyndi Reck, Mallory A. Kargela

Purpose: The devasting effects of the coronavirus disease 2019 (COVID-19) pandemic have warranted the rapid development of evidence surrounding the physical therapy (PT) management of the disease within inpatient settings. However, the medical community is still working to define the long-term effects of COVID-19, referred to as Postacute Sequalae of SARS-CoV-2 (PASC), and ways for physical therapists to manage them in outpatient settings. The primary objective of this review was to summarize the available evidence related to the PT management of PASC in outpatient settings. Methods: A systematic search in PubMed, Cumulative Index to Nursing and Allied Health Literature, Cochrane CENTRAL, Academic Search Complete, and MedLine yielded systematic and scoping reviews and randomized controlled trials, among others. Data extraction was performed independently by 2 reviewers with 8 studies included. Results: Only 3 publications were specific to the outpatient setting area, with 5 more studies that focused on outpatient practice as part of a multisetting study, or the postacute setting. Although the limited number and quality of publications creates challenges applying the interventions provided across a population, each were specific to PASC. Conclusions: This review supports the need for further research focused on the PT management of patients who are experiencing PASC in outpatient settings.

目的：2019冠状病毒病（新冠肺炎）大流行的毁灭性影响使得围绕住院环境中该疾病的物理治疗（PT）管理的证据得以迅速发展。然而，医学界仍在努力确定新冠肺炎的长期影响，即严重急性呼吸系统综合征冠状病毒2型急性后遗症（PASC），以及物理治疗师在门诊环境中管理这些影响的方法。本综述的主要目的是总结与门诊环境中PASC PT管理相关的可用证据。方法：在PubMed、护理和相关健康文献累积指数、Cochrane CENTRAL、Academic search Complete和MedLine中进行系统检索，得出系统和范围综述以及随机对照试验等。数据提取由2名评审员独立进行，包括8项研究。结果：只有3篇出版物专门针对门诊环境，另有5篇研究将门诊实践作为多环境研究或急性后环境的一部分。尽管出版物的数量和质量有限，在人群中应用所提供的干预措施带来了挑战，但每种干预措施都是针对PASC的。结论：这篇综述支持了对门诊PASC患者PT管理进行进一步研究的必要性。

{"title":"Physical Therapy Management of Postacute Sequelae of COVID-19 in Outpatient Settings: A Scoping Review","authors":"Kylie Scott, Summer Ankrum, E. Lindsey, Oskar Lopez, Jessica Beitner, Cyndi Reck, Mallory A. Kargela","doi":"10.1097/CPT.0000000000000217","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000217","url":null,"abstract":"Purpose: The devasting effects of the coronavirus disease 2019 (COVID-19) pandemic have warranted the rapid development of evidence surrounding the physical therapy (PT) management of the disease within inpatient settings. However, the medical community is still working to define the long-term effects of COVID-19, referred to as Postacute Sequalae of SARS-CoV-2 (PASC), and ways for physical therapists to manage them in outpatient settings. The primary objective of this review was to summarize the available evidence related to the PT management of PASC in outpatient settings. Methods: A systematic search in PubMed, Cumulative Index to Nursing and Allied Health Literature, Cochrane CENTRAL, Academic Search Complete, and MedLine yielded systematic and scoping reviews and randomized controlled trials, among others. Data extraction was performed independently by 2 reviewers with 8 studies included. Results: Only 3 publications were specific to the outpatient setting area, with 5 more studies that focused on outpatient practice as part of a multisetting study, or the postacute setting. Although the limited number and quality of publications creates challenges applying the interventions provided across a population, each were specific to PASC. Conclusions: This review supports the need for further research focused on the PT management of patients who are experiencing PASC in outpatient settings.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"64 - 74"},"PeriodicalIF":0.0,"publicationDate":"2022-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46299402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Survey of Home Cleaning Practices With Noninvasive Ventilation Equipment 使用无创通风设备的家庭清洁实践调查

Cardiopulmonary physical therapy journal

Pub Date : 2022-11-07 DOI: 10.1097/CPT.0000000000000215

Yiwei Qu, Maree A Milross, Olivia A McGuiness, C. Menadue, A. Piper

Supplemental Digital Content is Available in the Text. Purpose: Home noninvasive ventilation (NIV) equipment is often observed to be dirty, potentially increasing patients' risk of respiratory infection. This study aimed to describe the cleaning practices of home NIV patients. Methods: This single-site, cross-sectional, observational study surveyed 100 patients from the respiratory failure clinic regarding cleaning instructions, cleaning habits, barriers, and motivators to cleaning. Open-ended responses were analyzed with basic content analysis and closed categorical responses with frequencies and percentages. Results: Of 100 participants, 77% responded. Cleaning instructions most commonly recalled included cleaning with soapy water for masks (26/47, 55%), head straps (19/47, 40%), and tubing (21/47, 45%); vinegar solution for humidifiers (9/39, 23%); and replacing filters (14/39, 36%). Fourteen respondents reported barriers to cleaning, including forgetfulness (7/14, 50%) and physical difficulties (6/14, 43%). Commonly reported cleaning practices included soapy water to soak masks (28/77, 36%) and tubing (35/77, 46%), weekly masks (34/77, 44%) and tubing cleaning (29/77, 38%), vinegar solution to clean humidifiers for the 36 humidifier users (15/36, 44%), monthly humidifier cleaning (13/36, 36%), and monthly filter cleaning/replacement (36/77, 47%). Conclusion: Few respondents could recall specific instructions about when and how to clean their equipment. Many reported routine cleaning, with varied methods and frequencies. Our results will inform future NIV equipment cleaning educational package design.

文本中提供了补充数字内容。目的：家庭无创通气（NIV）设备经常被观察到很脏，可能会增加患者感染呼吸道的风险。本研究旨在描述家庭NIV患者的清洁实践。方法：这项单点、横断面、观察性研究调查了来自呼吸衰竭诊所的100名患者，涉及清洁说明、清洁习惯、障碍和清洁动机。开放式回答采用基本内容分析法进行分析，封闭式分类回答采用频率和百分比进行分析。结果：在100名参与者中，77%的人做出了回应。最常见的清洁说明包括用肥皂水清洁口罩（26/47，55%）、头带（19/47，40%）和管道（21/47，45%）；加湿器用醋溶液（9/39，23%）；更换过滤器（14/39，36%）。14名受访者报告了清洁障碍，包括健忘（7/14，50%）和身体困难（6/14，43%）。常见的清洁方法包括用肥皂水浸泡口罩（28/77，36%）和管道（35/77，46%），每周用口罩（34/77，44%）和管道清洁（29/77，38%），用醋溶液清洁36名加湿器用户的加湿器（15/36，44%），每月清洁加湿器（13/36，36%），以及每月清洁/更换过滤器（36/77，47%）。结论：很少有受访者能回忆起关于何时以及如何清洁设备的具体说明。许多人报告说，日常清洁的方法和频率各不相同。我们的研究结果将为未来NIV设备清洁教育包的设计提供信息。

{"title":"Survey of Home Cleaning Practices With Noninvasive Ventilation Equipment","authors":"Yiwei Qu, Maree A Milross, Olivia A McGuiness, C. Menadue, A. Piper","doi":"10.1097/CPT.0000000000000215","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000215","url":null,"abstract":"Supplemental Digital Content is Available in the Text. Purpose: Home noninvasive ventilation (NIV) equipment is often observed to be dirty, potentially increasing patients' risk of respiratory infection. This study aimed to describe the cleaning practices of home NIV patients. Methods: This single-site, cross-sectional, observational study surveyed 100 patients from the respiratory failure clinic regarding cleaning instructions, cleaning habits, barriers, and motivators to cleaning. Open-ended responses were analyzed with basic content analysis and closed categorical responses with frequencies and percentages. Results: Of 100 participants, 77% responded. Cleaning instructions most commonly recalled included cleaning with soapy water for masks (26/47, 55%), head straps (19/47, 40%), and tubing (21/47, 45%); vinegar solution for humidifiers (9/39, 23%); and replacing filters (14/39, 36%). Fourteen respondents reported barriers to cleaning, including forgetfulness (7/14, 50%) and physical difficulties (6/14, 43%). Commonly reported cleaning practices included soapy water to soak masks (28/77, 36%) and tubing (35/77, 46%), weekly masks (34/77, 44%) and tubing cleaning (29/77, 38%), vinegar solution to clean humidifiers for the 36 humidifier users (15/36, 44%), monthly humidifier cleaning (13/36, 36%), and monthly filter cleaning/replacement (36/77, 47%). Conclusion: Few respondents could recall specific instructions about when and how to clean their equipment. Many reported routine cleaning, with varied methods and frequencies. Our results will inform future NIV equipment cleaning educational package design.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"87 - 96"},"PeriodicalIF":0.0,"publicationDate":"2022-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46795465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Cardiovascular and Pulmonary Research: The Year (2021) in Review: Erratum 心血管和肺部研究:回顾年(2021年):勘误

Cardiopulmonary physical therapy journal

Pub Date : 2022-10-24 DOI: 10.1097/cpt.0000000000000213

引用次数: 0

The Influence of Kinesiology Tape on Breathing Mechanics in College-Aged Individuals–A Randomized Trial 运动机能胶带对大学老年人呼吸力学的影响——一项随机试验

Cardiopulmonary physical therapy journal

Pub Date : 2022-10-24 DOI: 10.1097/CPT.0000000000000211

Kelly M Lindenberg, Nancy K. Shipe, K. Kletzli, Rebecca Cannizzaro, Jonathan Timko, K. Calhoun

Purpose: Kinesiology Tape (KT) has been used to improve mobility and muscle activation. Limited research has studied its effect on respiratory function. The purpose of this study was to investigate the influence of KT on chest wall excursion (CWE) and magnitude of respiratory muscle activation. Methods: Ninety subjects were randomly assigned to receive KT, sham tape, or no tape around the lower thoracic region. Measures, including CWE, maximal inspiratory pressure (MIP), and surface electromyography (sEMG) of intercostal and scalene muscles, were taken during a maximal inspiratory effort before (T-B) and after (T-1) tape application. Subjects continued to wear the tape and returned 48 hours later for another set of measurements (T-2). Repeated measures Analysis of Variance and post-hoc paired t-tests were used to determine the influence of tape. Results: No significant differences were identified for sEMG amplitude or CWE. Maximal inspiratory pressure scores showed no significant between-group effect; however, a significant within-group effect was found. Post-hoc analyses revealed significant differences between T-B and T-2 and T-1 and T-2 for all groups. Conclusion: Kinesiology Tape application did not show increased muscle activation, CWE, or MIP compared with sham and control scenarios. A significant training effect for MIP was identified. Future research should investigate KT effects in other age groups or with the presence of pulmonary pathology.

目的：运动机能胶带（KT）已被用于改善活动能力和肌肉激活。对其对呼吸功能的影响研究有限。本研究的目的是研究KT对胸壁偏移（CWE）和呼吸肌激活程度的影响。方法：90名受试者被随机分配在下胸部周围接受KT、假胶带或无胶带。在应用胶带之前（T-B）和之后（T-1），在最大吸气力期间测量肋间肌和斜角肌的CWE、最大吸气压力（MIP）和表面肌电图（sEMG）。受试者继续佩戴胶带，48小时后返回进行另一组测量（T-2）。重复测量方差分析和事后配对t检验用于确定胶带的影响。结果：sEMG振幅和CWE无明显差异。最大吸气压力评分组间无显著性差异；然而，发现了显著的组内效应。事后分析显示，所有组的T-B和T-2以及T-1和T-2之间存在显著差异。结论：与假手术和对照方案相比，应用运动学胶带并没有显示出肌肉激活、CWE或MIP的增加。MIP的训练效果显著。未来的研究应调查KT在其他年龄组或存在肺部病理的情况下的影响。

{"title":"The Influence of Kinesiology Tape on Breathing Mechanics in College-Aged Individuals–A Randomized Trial","authors":"Kelly M Lindenberg, Nancy K. Shipe, K. Kletzli, Rebecca Cannizzaro, Jonathan Timko, K. Calhoun","doi":"10.1097/CPT.0000000000000211","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000211","url":null,"abstract":"Purpose: Kinesiology Tape (KT) has been used to improve mobility and muscle activation. Limited research has studied its effect on respiratory function. The purpose of this study was to investigate the influence of KT on chest wall excursion (CWE) and magnitude of respiratory muscle activation. Methods: Ninety subjects were randomly assigned to receive KT, sham tape, or no tape around the lower thoracic region. Measures, including CWE, maximal inspiratory pressure (MIP), and surface electromyography (sEMG) of intercostal and scalene muscles, were taken during a maximal inspiratory effort before (T-B) and after (T-1) tape application. Subjects continued to wear the tape and returned 48 hours later for another set of measurements (T-2). Repeated measures Analysis of Variance and post-hoc paired t-tests were used to determine the influence of tape. Results: No significant differences were identified for sEMG amplitude or CWE. Maximal inspiratory pressure scores showed no significant between-group effect; however, a significant within-group effect was found. Post-hoc analyses revealed significant differences between T-B and T-2 and T-1 and T-2 for all groups. Conclusion: Kinesiology Tape application did not show increased muscle activation, CWE, or MIP compared with sham and control scenarios. A significant training effect for MIP was identified. Future research should investigate KT effects in other age groups or with the presence of pulmonary pathology.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"75 - 80"},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43961321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

In Vitro Exercise-Induced Endothelial Shear Stress Protects the Vascular Endothelium 体外运动诱导的内皮剪切应力对血管内皮的保护作用

Cardiopulmonary physical therapy journal

Pub Date : 2022-10-24 DOI: 10.1097/CPT.0000000000000214

M. Amador, Jonathan A. Huerta, M. A. Garcia, D. Conde, A. Gurovich

Purpose: To determine whether exercise-induced levels of endothelial shear stress (ESS) observed in vivo upregulates endothelial protective proteins in vitro. Methods: In vivo carotid ESS was obtained from previously published data. Human umbilical vein endothelial cells were seeded in a collagen-coated Y-luer slides with a bifurcation that mimics the common carotid artery and its bifurcation. Four duplicate groups were exposed to 5 hours of resting ESS (18 dynes/cm2) followed by 1 hour of ESS at 18 dynes/cm2 × heart rate (HR) 60 pulses per minute (ppm) (control), 35 dynes/cm2 × HR 100 ppm (low), 50 dynes/cm2 × HR 120 ppm (moderate), or 60 dynes/cm2 × HR 150 ppm (high). After ESS exposure, cells were stained to identify cell nucleus, phosphorylated endothelial NO synthase (eNOSp), and intracellular actin concentrations using immunohistochemistry. Confocal microscopy images captured areas exposed to varying degrees of shear stress within the “common” artery, the bifurcation, and the distal branches of the bifurcation. Results: Images showed a higher expression of eNOSp and actin that is generally intensity and location dependent. High shear stress (HSS) showed the greatest eNOSp expression compared with all conditions at the after-bifurcation site (P < .05). Interestingly, HSS continued to result in greater expression of actin at the bifurcation site across all 4 intensities, where blood flow is known to be more turbulent. Conclusions: These findings may support the hypothesis that high shear stress plays an important protective endothelial role in relation to individualized exercise prescription as a contribution to precision medicine. Impact Statement: Endurance exercise intensity has a direct impact in endothelial cell homeostasis at the physiological and molecular levels. When a physical therapist prescribes endurance exercise for cardiovascular diseases, the goal should be to deliver precision medicine to enhance patient's health outcomes.

目的：确定在体内观察到的运动诱导的内皮剪切应力（ESS）水平是否在体外上调内皮保护蛋白。方法：从先前发表的数据中获得体内颈动脉ESS。将人脐静脉内皮细胞接种在胶原包被的Y路厄载玻片中，该载玻片具有模拟颈总动脉及其分叉的分叉。四个重复组暴露于5小时的静息ESS（18达因/cm2），然后以18达因/厘米2×心率（HR）每分钟60个脉冲（ppm）（对照）、35达因/平方厘米×HR 100 ppm（低）、50达因/cm2×HR 120 ppm（中等）或60达因/cm 2×HR 150 ppm（高）的ESS 1小时。ESS暴露后，使用免疫组织化学对细胞进行染色以鉴定细胞核、磷酸化内皮NO合成酶（eNOSp）和细胞内肌动蛋白浓度。共聚焦显微镜图像捕捉了“共同”动脉、分叉和分叉远端分支内暴露于不同程度剪切应力的区域。结果：图像显示eNOSp和肌动蛋白的高表达，这通常是强度和位置依赖性的。与分叉后部位的所有条件相比，高剪切应力（HSS）显示出最大的eNOSp表达（P<.05）。有趣的是，HSS在所有4个强度的分叉部位继续导致肌动蛋白的更高表达，其中已知血流更湍流。结论：这些发现可能支持这样一种假设，即高剪切应力在个体化运动处方中起着重要的保护内皮作用，这有助于精准医学。影响声明：耐力运动强度在生理和分子水平上对内皮细胞稳态有直接影响。当理疗师为心血管疾病开耐力运动处方时，目标应该是提供精确的药物来提高患者的健康结果。

{"title":"In Vitro Exercise-Induced Endothelial Shear Stress Protects the Vascular Endothelium","authors":"M. Amador, Jonathan A. Huerta, M. A. Garcia, D. Conde, A. Gurovich","doi":"10.1097/CPT.0000000000000214","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000214","url":null,"abstract":"Purpose: To determine whether exercise-induced levels of endothelial shear stress (ESS) observed in vivo upregulates endothelial protective proteins in vitro. Methods: In vivo carotid ESS was obtained from previously published data. Human umbilical vein endothelial cells were seeded in a collagen-coated Y-luer slides with a bifurcation that mimics the common carotid artery and its bifurcation. Four duplicate groups were exposed to 5 hours of resting ESS (18 dynes/cm2) followed by 1 hour of ESS at 18 dynes/cm2 × heart rate (HR) 60 pulses per minute (ppm) (control), 35 dynes/cm2 × HR 100 ppm (low), 50 dynes/cm2 × HR 120 ppm (moderate), or 60 dynes/cm2 × HR 150 ppm (high). After ESS exposure, cells were stained to identify cell nucleus, phosphorylated endothelial NO synthase (eNOSp), and intracellular actin concentrations using immunohistochemistry. Confocal microscopy images captured areas exposed to varying degrees of shear stress within the “common” artery, the bifurcation, and the distal branches of the bifurcation. Results: Images showed a higher expression of eNOSp and actin that is generally intensity and location dependent. High shear stress (HSS) showed the greatest eNOSp expression compared with all conditions at the after-bifurcation site (P < .05). Interestingly, HSS continued to result in greater expression of actin at the bifurcation site across all 4 intensities, where blood flow is known to be more turbulent. Conclusions: These findings may support the hypothesis that high shear stress plays an important protective endothelial role in relation to individualized exercise prescription as a contribution to precision medicine. Impact Statement: Endurance exercise intensity has a direct impact in endothelial cell homeostasis at the physiological and molecular levels. When a physical therapist prescribes endurance exercise for cardiovascular diseases, the goal should be to deliver precision medicine to enhance patient's health outcomes.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"81 - 86"},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49666174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

End of the Road, Beginning of a New Era 路的尽头，新时代的开始

Cardiopulmonary physical therapy journal

Pub Date : 2022-10-01 DOI: 10.1097/cpt.0000000000000216

A. Gurovich

引用次数: 0

Maximal Respiratory Pressure Reference Values for Hopi Children Ages 4-13. 4-13岁霍皮族儿童最大呼吸压参考值。

Cardiopulmonary physical therapy journal

Pub Date : 2022-07-01 DOI: 10.1097/cpt.0000000000000195

David A Arnall, Arnold G Nelson, Christopher M Hearon

Anthropometric variables will influence maximal respiratory pressure (MRP) values. Since significant variations exist in pulmonary nomograms amongst different races, it is important that tribe specific tables of normal maximal inspiratory pressures (MIP) and maximal expiratory pressures (MEP) be developed. To date, MRP prediction equations do not exist for Hopi children.

Purpose: The purpose of this study was to develop MRP reference values and prediction equations for Hopi children in the ages 4-13 years.

Methods: A cross-sectional study was undertaken with 288 healthy children (125 male, 163 female), a 36% representative population of all the Hopi Native children attending Hopi Tribal Elementary Schools in Arizona. MIP and MEP values were measured.

Results: Age and the inverse of body mass were consistently significant predictors of the MRPs for both sexes. Predictions using the derived Hopi equations were significantly different (p≤0.001) than those using the equations for Navajo and Caucasian youth across both sexes, making it important for this population to have specific formulae to provide more accurate reference values.

Conclusions: These data were collected from the children of Hopi ancestry resulting in MIP and MEP reference equations which should be used when measuring MIP and MEP in these children ages 4-13 years.

人体测量变量将影响最大呼吸压力(MRP)值。由于不同种族的肺形态图存在显著差异，因此制定部落特有的正常最大吸气压力(MIP)和最大呼气压力(MEP)表是很重要的。迄今为止，霍皮族儿童的MRP预测方程尚不存在。目的:为霍皮族4 ~ 13岁儿童建立MRP参考值及预测公式。方法:对288名健康儿童(125名男性，163名女性)进行了一项横断面研究，占亚利桑那州霍皮部落小学所有霍皮土著儿童的36%。测定MIP和MEP值。结果:年龄和体重的反比是男女MRPs的显著预测因子。使用推导出的霍皮方程的预测结果与使用纳瓦霍和高加索青年的方程的预测结果存在显著差异(p≤0.001)，这使得对这一人群来说，有特定的公式来提供更准确的参考值非常重要。结论:这些数据收集自霍皮族血统的儿童，导致MIP和MEP参考方程，应用于测量这些儿童的MIP和MEP 4-13岁。

{"title":"Maximal Respiratory Pressure Reference Values for Hopi Children Ages 4-13.","authors":"David A Arnall, Arnold G Nelson, Christopher M Hearon","doi":"10.1097/cpt.0000000000000195","DOIUrl":"https://doi.org/10.1097/cpt.0000000000000195","url":null,"abstract":"Anthropometric variables will influence maximal respiratory pressure (MRP) values. Since significant variations exist in pulmonary nomograms amongst different races, it is important that tribe specific tables of normal maximal inspiratory pressures (MIP) and maximal expiratory pressures (MEP) be developed. To date, MRP prediction equations do not exist for Hopi children.Purpose: The purpose of this study was to develop MRP reference values and prediction equations for Hopi children in the ages 4-13 years.Methods: A cross-sectional study was undertaken with 288 healthy children (125 male, 163 female), a 36% representative population of all the Hopi Native children attending Hopi Tribal Elementary Schools in Arizona. MIP and MEP values were measured.Results: Age and the inverse of body mass were consistently significant predictors of the MRPs for both sexes. Predictions using the derived Hopi equations were significantly different (p≤0.001) than those using the equations for Navajo and Caucasian youth across both sexes, making it important for this population to have specific formulae to provide more accurate reference values.Conclusions: These data were collected from the children of Hopi ancestry resulting in MIP and MEP reference equations which should be used when measuring MIP and MEP in these children ages 4-13 years.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"33 3","pages":"123-129"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9456492/pdf/nihms-1752950.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9787305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Transitions and New Ideas 转型与新理念

Cardiopulmonary physical therapy journal

Pub Date : 2022-07-01 DOI: 10.1097/cpt.0000000000000212

A. Gurovich

引用次数: 0

Secondary Analysis of Walking Activities during the Acute Stroke Hospital Stay and Cerebrovascular Health. 急性脑卒中住院期间步行活动与脑血管健康的二次分析。

Cardiopulmonary physical therapy journal

Pub Date : 2022-07-01 DOI: 10.1097/CPT.0000000000000196

Alicen A Whitaker, Madison L Henry, Allegra Morton, Jaimie L Ward, Sarah M Eickmeyer, Michael G Abraham, Sandra A Billinger

Purpose: Physical activity within the hospital post-stroke is recommended for cardiovascular and musculoskeletal health, but no studies have examined cerebrovascular health. We hypothesized individuals who walked farther distances (FARhigh) during the acute phase of stroke recovery in a hospital setting would have a higher resting middle cerebral artery blood velocity (MCAv) and a greater cerebrovascular response (CVR) to moderate-intensity exercise at 3-months post-stroke, compared to individuals who walked shorter distances (FARlow).

Methods: At 3-month post-stroke, we recorded 90-seconds of resting baseline (BL) MCAv followed by 6-minutes of moderate-intensity exercise. We calculated CVR as the change in MCAv from BL to steady-state exercise. We retrospectively collected farthest distance walked within the hospital post-stroke from the electronic medical record. Participants were classified as FARhigh or FARlow based on average farthest walking distance.

Results: Twenty participants completed the study, age 63 (15) years. BL MCAv was not different between groups (p = 0.07). In comparison to FARlow, we report a higher CVR in FARhigh's ipsilesional ( $\bar{x}$ = 7.38 (5.42) vs $\bar{x}$ = 2.19 (3.53), p = 0.02) and contralesional hemisphere ( $\bar{x}$ = 8.15 (6.37) vs $\bar{x}$ = 2.06 (4.76), p = 0.04).

Conclusions: Physical activity during the hospital stay post-stroke may support cerebrovascular health after discharge. Prospective studies are needed to support this finding.

目的:中风后医院内的身体活动被推荐用于心血管和肌肉骨骼健康，但没有研究检查脑血管健康。我们假设，在医院中风恢复的急性期，与行走距离较短的个体(FARlow)相比，行走距离较远的个体(FARhigh)在中风后3个月时，对中等强度运动的静息大脑中动脉血流速度(MCAv)和脑血管反应(CVR)更高。方法:在中风后3个月，我们记录了90秒的静息基线(BL) MCAv，然后进行了6分钟的中等强度运动。我们计算CVR为MCAv从BL到稳态运动的变化。我们回顾性地从电子病历中收集脑卒中后在医院内行走的最远距离。参与者根据平均最远步行距离被划分为FARhigh或FARlow。结果:20名参与者完成了研究，年龄63(15)岁。各组间BL MCAv差异无统计学意义(p = 0.07)。与FARlow相比，我们报告了FARhigh的同侧半球(x¯= 7.38 (5.42)vs x¯= 2.19 (3.53)，p = 0.02)和对侧半球(x¯= 8.15 (6.37)vs x¯= 2.06 (4.76)，p = 0.04)的CVR更高。结论:脑卒中患者住院期间的体育活动有助于其出院后的脑血管健康。需要前瞻性研究来支持这一发现。

{"title":"Secondary Analysis of Walking Activities during the Acute Stroke Hospital Stay and Cerebrovascular Health.","authors":"Alicen A Whitaker, Madison L Henry, Allegra Morton, Jaimie L Ward, Sarah M Eickmeyer, Michael G Abraham, Sandra A Billinger","doi":"10.1097/CPT.0000000000000196","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000196","url":null,"abstract":"Purpose: Physical activity within the hospital post-stroke is recommended for cardiovascular and musculoskeletal health, but no studies have examined cerebrovascular health. We hypothesized individuals who walked farther distances (FARhigh) during the acute phase of stroke recovery in a hospital setting would have a higher resting middle cerebral artery blood velocity (MCAv) and a greater cerebrovascular response (CVR) to moderate-intensity exercise at 3-months post-stroke, compared to individuals who walked shorter distances (FARlow).Methods: At 3-month post-stroke, we recorded 90-seconds of resting baseline (BL) MCAv followed by 6-minutes of moderate-intensity exercise. We calculated CVR as the change in MCAv from BL to steady-state exercise. We retrospectively collected farthest distance walked within the hospital post-stroke from the electronic medical record. Participants were classified as FARhigh or FARlow based on average farthest walking distance.Results: Twenty participants completed the study, age 63 (15) years. BL MCAv was not different between groups (p = 0.07). In comparison to FARlow, we report a higher CVR in FARhigh's ipsilesional ( <math><mover><mi>x</mi> <mo>¯</mo></mover> </math> = 7.38 (5.42) vs <math><mover><mi>x</mi> <mo>¯</mo></mover> </math> = 2.19 (3.53), p = 0.02) and contralesional hemisphere ( <math><mover><mi>x</mi> <mo>¯</mo></mover> </math> = 8.15 (6.37) vs <math><mover><mi>x</mi> <mo>¯</mo></mover> </math> = 2.06 (4.76), p = 0.04).Conclusions: Physical activity during the hospital stay post-stroke may support cerebrovascular health after discharge. Prospective studies are needed to support this finding.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"33 3","pages":"130-137"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9327803/pdf/nihms-1754547.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9729200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

首页上一页

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Cardiopulmonary physical therapy journal

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀