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Both low-load-high-repetitions (LLHR) and Pilates programs constitute popular forms of exercise, accompanied by health benefits for the participants involved. Notably, the effect of such programs on aerobic fitness is still controversial. The aim of this study was to examine the effects of both programs on physical fitness and body composition on previously inactive adult women.
Twenty-six women (39.8±9.1y) were assigned to a LLHR program, and sixteen women (39.1±12.2y) were assigned to a Pilates program. Both programs were performed in a group setting, 3 times per week for 3 months. Aerobic fitness, flexibility, handgrip strength and lower extremities explosiveness were assessed by a battery of field testing. Total body fat and trunk fat levels were assessed by bioelectrical impedance analysis. Heart rate response during exercise was recorded once every month by using a telemetry system.
Aerobic fitness, lower extremities explosive power, left arm handgrip strength and body composition significantly imlates program failed to improve physical fitness-related parameters except flexibility levels.
the aim of this study was to analyze the association between upper limb muscular fitness and spinal pain in the cervical, thoracic, and lumbar regions among young people.
Cross-sectional study involving a probabilistic sample of 1054 participants (547 female) with ages ranging from 10 to 17 years, from Brazil. The dependent variable was pain in the cervical, thoracic, and lumbar regions of the spine, assessed by a self-report instrument. The independent variable was muscular fitness, verified using the 90° push-up test with the cut-offs proposed by FITNESSGRAM. The covariates were age, sex, socioeconomic status, physical activity, and body mass index. Ordinal logistic regression was adopted to conduct the multivariate association and estimate the Odds Ratios (OR). Two separate analyses were conducted one with the whole sample and the other with only participants who reported pain.
The prevalences of spine pain in the cervical, thoracic, and lumbar regions were 24.4, 28.3, and 31.0%. In the whole sample, young people who achieved the criterion-referenced standard for muscular fitness were less likely to present high intensity pain in the thoracic region (OR=0.67, 0.50-0.90). The same occurred when analyzing only those who reported pain for cervical region (OR=0.48, 0.29-0.79). No association was found between muscular fitness and lumbar pain.
Upper limb muscular fitness can be used as an additional tool to prevent high levels of spine pain in the thoracic region among young people as well as the severity of cervical pain in those who report pain.
Upper limb muscular fitness can be used as an additional tool to prevent high levels of spine pain in the thoracic region among young people as well as the severity of cervical pain in those who report pain.
Falls, which are common events after stroke, may lead to activity limitations and increased dependence. It is important to identify which commonly employed clinical measures could differentiate individuals, who are fallers from the non-fallers.
To investigate specific cut-off values of clinical measures that could discriminate fallers and non-fallers individuals with chronic stroke.
This cross-sectional study involved 105 community-dwelling individuals with stroke. The primary outcome was report of falls over the last six months. The clinical predictors included measures of mobility (walking speed, stair ascent/descent cadences, time to perform the Timed Up and Go test, and ABILOCO) and the Fall Efficacy Scale - International (FES-I) scores. To identify which measures were able to detect between-group differences, independent Student's t-tests were employed. For measures which were able to discriminate fallers from the non-fallers, the Receiver Operating Characteristics (ROC) and the Area Under the ROC Curve (AUC) were calculated.
Out of the 105 participants (61 men), 41% reported falls over the previous 6 months. CPT inhibitor molecular weight Stair ascent cadence, ABILOCO, and FES-I scores significantly differentiated the groups, but only the FES-I demonstrated acceptable discriminatory ability (AUC=0.71). The optimal FES-I cut-off score was 28 points (sensitivity=0.71; specificity=0.57; positive predictive value=51%; and negative predictive value=74%).
The FES-I demonstrated good discriminatory ability to classify individuals with chronic stroke, who were fallers from the non-fallers. The use of the established cut-off value of 28 points is recommended and may help clinical reasoning and decision-making in stroke rehabilitation.
The FES-I demonstrated good discriminatory ability to classify individuals with chronic stroke, who were fallers from the non-fallers. The use of the established cut-off value of 28 points is recommended and may help clinical reasoning and decision-making in stroke rehabilitation.
The purpose of the study was to compare the effects of spinal and peripheral dry needling with peripheral dry needling alone, in addition to a strength and proprioception home exercise program, on pain, balance, strength, proprioception, and functional limitations among individuals with a history of a lateral ankle sprain.
The study design is a single-blinded, repeated measures randomized clinical trial. Thirty-four participants, aged 18-50, with a history of a lateral ankle sprain within the last twelve months were randomly assigned into a peripheral dry needling (PDN) group or a spinal and peripheral dry needling (SPDN) group. Outcome measures included a pain assessment, strength testing, Modified Clinical Test of Sensory Integration and Balance, physical performance on hop tests, Cumberland Ankle Instability Tool and the Foot and Ankle Disability Index assessed at baseline, one week, and at four to six weeks.
The mixed model ANOVAs showed significant side by time interaction (p<0.05) for inverter/dorsiflexion strength and significant improvements in side, time, and side by time (p<0.05) for the CAIT.
Trigger point dry needling demonstrated short-term improvements in strength of the inverters/dorsiflexors and the CAIT scores on the involved side at one week and at four to six weeks irrespective of a PDN or SPDN approach.
These results suggest that improvements in strength and function can be achieved with PDN without additional needling at the corresponding spinal level.
These results suggest that improvements in strength and function can be achieved with PDN without additional needling at the corresponding spinal level.