Protocol for: Sheffield Obesity Trial (SHOT): A randomised controlled trial of exercise therapy and mental health outcomes in obese adolescents [ISRCNT83888112]

Background While obesity is known to have many physiological consequences, the psychopathology of this condition has not featured prominently in the literature. Cross-sectional studies have indicated that obese children have increased odds of experiencing poor quality of life and mental health. However, very limited trial evidence has examined the efficacy of exercise therapy for enhancing mental health outcomes in obese children, and the Sheffield Obesity Trial (SHOT) will provide evidence of the efficacy of supervised exercise therapy in obese young people aged 11–16 years versus usual care and an attention-control intervention. Method/design SHOT is a randomised controlled trial where obese young people are randomised to receive; (1) exercise therapy, (2) attention-control intervention (involving body-conditioning exercises and games that do not involve aerobic activity), or (3) usual care. The exercise therapy and attention-control sessions will take place three times per week for eight weeks and a six-week home programme will follow this. Ninety adolescents aged between 11–16 years referred from a children's hospital for evaluation of obesity or via community advertisements will need to complete the study. Participants will be recruited according to the following criteria: (1) clinically obese and aged 11–16 years (Body Mass Index Centile > 98th UK standard) (2) no medical condition that would restrict ability to be active three times per week for eight weeks and (3) not diagnosed with insulin dependent diabetes or receiving oral steroids. Assessments of outcomes will take place at baseline, as well as four (intervention midpoint) and eight weeks (end of intervention) from baseline. Participants will be reassessed on outcome measures five and seven months from baseline. The primary endpoint is physical self-perceptions. Secondary outcomes include physical activity, self-perceptions, depression, affect, aerobic fitness and BMI

Pengetahuan Pekerja Pengrajin Tempe TEntang Penggunaan Metode Terapi Latihan Model William Dan Kenzie Di Desa Pliken Kembaran Banyumas

Appropriate body mechanics decrease the risk of injury musculoskeletal, case body movement, prevent fatigue and decrease the amount of energy that used. The purpose this research is to identify in-depth of the knowledge with in worker tempe makers about USAge of exercise therapy WIilliam and Kenzie method and its benefit in Pliken Kembaran Banyumas. The research methodology used was qualitative research with phenomenology approach.Collecting data through in-depth interview with amount 5 participant. The result of research shows that knowledge with in worker tempe makers about exercise therapy very various, like understanding of exercise therapy, exercise therapy method and benefit its, caused by life experience factor, age, salary and information. Improve knowledge about USAge of exercise therapy method and its benefit for worker tempe makers through counseling

Penatalaksanaan Fisioterapi Pada Kasus Pneumothoraks Dextra Di RSU PKU Muhammadiyah Yogyakarta

Background: Pneumothorax dextra is a respiratory disorder with symptoms of asphyxia, reduced thorax expansion and functional activity disturbances. The disorder can be overcome by using exercise therapy such as Breathing Exercise, Thoracic Exercise, Cuping, and ambulation transfer. The exercise therapy is modality used to relieve asphyxia and to increase thoracic expansion. Purpose: Purpose of the research is to know effect of exercise therapy on pneumothorax dextra case by mitigating asphyxia and increasing thoracic expansion. Method: The research uses quasi-experimental method with one group pre-andposttest design. Functional ability is measured by using Disability Index. Results of Analysis: Results of statistical test indicated better condition after administration of therapy with exercise therapy modality of Breathing exercise, Thoracic expansion exercise, Cuping, and Ambulation Transfer. Conclusion: Function ability of pneumothorax dextra patient can be improved by using exercise therapy such as Breathing Exercise, Thoracic Exercise, Thoracic Expansion exercise, Cuping, and Ambulation Transfer

A Pilot Study: The Beneficial Effects of Combined Statin-exercise Therapy on Cognitive Function in Patients with Coronary Artery Disease and Mild Cognitive Decline.

Objective Hypercholesterolemia, a risk factor in cognitive impairment, can be treated with statins. However, cognitive decline associated with "statins" (HMG-CoA reductase inhibitors) is a clinical concern. This pilot study investigated the effects of combining statins and regular exercise on cognitive function in coronary artery disease (CAD) patients with prior mild cognitive decline. Methods We recruited 43 consecutive CAD patients with mild cognitive decline. These patients were treated with a statin and weekly in-hospital aerobic exercise for 5 months. We measured serum lipids, exercise capacity, and cognitive function using the mini mental state examination (MMSE). Results Low-density lipoprotein cholesterol levels were significantly decreased, and maximum exercise capacity (workload) was significantly increased in patients with CAD and mild cognitive decline after treatment compared with before. Combined statin-exercise therapy significantly increased the median (range) MMSE score from 24 (22-25) to 25 (23-27) across the cohort (p<0.01). Changes in body mass index (BMI) were significantly and negatively correlated with changes in the MMSE. After treatment, MMSE scores in the subgroup of patients that showed a decrease in BMI were significantly improved, but not in the BMI-increased subgroup. Furthermore, the patients already on a statin at the beginning of the trial displayed a more significant improvement in MMSE score than statin-naïve patients, implying that exercise might be the beneficial aspect of this intervention as regards cognition. In a multivariate logistic regression analysis adjusted for age >65 years, sex, and presence of diabetes mellitus, a decrease in BMI during statin-exercise therapy was significantly correlated with an increase in the MMSE score (odds ratio: 4.57, 95% confidence interval: 1.05-20.0; p<0.05). Conclusion Statin-exercise therapy may help improve cognitive dysfunction in patients with CAD and pre-existing mild cognitive decline

Feasibility and acceptability of exercise interventions for adults with tendinopathy: a mixed methods review.

This is a protocol for a review that aims to explore the feasibility and acceptability of any exercise intervention for the treatment of any tendinopathy. The first specific review question is: What is the current knowledge about the feasibility of delivering exercise interventions for tendinopathy from the perspective of those delivering and receiving interventions? Specifically: a) How feasible is the delivery of exercise therapy for tendinopathy in terms of rates (e.g. of adherence, attendance, fidelity); and b) What are patients' and healthcare professionals' perceptions of the feasibility of exercise therapy for tendinopathy? The second specific review question is: What is the current knowledge about acceptability of receiving exercise therapy for tendinopathy from the perspective of people with tendinopathy? Specifically: a) How acceptable is exercise therapy in terms of tolerability; and b) What are patients' and healthcare professionals' perceptions of the acceptability of exercise therapy for tendinopathy

Is Cryotherapy with Exercise Therapy More Effective than Exercise Therapy Alone in Reducing Symptoms Associated with Ankylosing Spondylitis?

Objective: The objective of this systematic EBM review is to determine “Is Cryotherapy with Exercise Therapy More Effective than Exercise Therapy Alone in Reducing Symptoms Associated with Ankylosing Spondylitis?” Study Design: A comprehensive review of three randomized controlled trials (RCTs). Data Sources: PubMed database was used to find all three articles referenced in this review. Each article was published in a peer-reviewed journal and published after 2010. Outcome Measured: The outcome considered for this review was subjective reduction in disease activity measured using the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) which consists of 6 questions regarding clinical manifestations of AS. BASDAI was calculated using a numerical rating scale of 0 (no symptoms) to 10 (very severe). Results: Stanek et al. demonstrated a greater reduction in disease activity after intervention with cryotherapy compared to exercise therapy alone, with the difference in ending BASDAI being 1.4 and a p-value of 0.001. Straburzyńska-Lupa et al. also demonstrated statistical significance of cryotherapy over exercise therapy, although the difference in ending BASDAI was not as large at 0.39, and a p-value of 0.041. Księżopolska-Orłowska et al. demonstrated not only greater significance of cryotherapy over exercise therapy directly post trial, but also lasting significant reduction in BASDAI three months post-trial, with a p-value of \u3c 0.001 at the three-month mark, compared to the exercise therapy only group which did not demonstrate significance at this assessment. Conclusion: All three RCTs considered in this study showed cryotherapy in addition to exercise therapy resulted in a statistically significant greater reduction in symptomatic disease activity as compared to exercise therapy alone. Several limitations were identified, and further studies arewarranted to confirm validity, however systemic cryotherapy demonstrates significant potential as a therapeutic agent in the treatment of AS

PENGARUH EXERCISE THERAPY JOINT MOBILITY TERHADAP TINGKAT NYERI SENDI LUTUT DAN TINGKAT MOBILITAS PADA LANSIA DI RUMAH ASUH ANAK DAN LANSIA GRIYA ASIH LAWANG

Latar Belakang : Seiring dengan meningkatnya taraf kesehatan dan kesejahteraan, maka jumlah umat manusia yang mencapai usia lanjut semakin bertambah. Nyeri sendi merupakan keluhan utama dialami lansia gangguan sistem muskuloskeletal dan menghambat mobilitas penderitanya. Exercise therapy joint mobility adalah terapi non farmakologi berupa penggunaan gerakan tubuh aktif atau pasif untuk mempertahankan atau mengembalikan fleksibilitas sendi. Tujuan penelitian ini adalah untuk mengetahui pengaruh exercise therapy joint mobility terhadap tingkat nyeri sendi lutut dan tingkat mobilitas pada lansia. Metode : Desain penelitian ini adalah One Group Pretest-Posttest Design. Populasi adalah semua lansia di Rumah Asuh Anak dan Lansia Griya Asih Lawang berjumlah 19 lansia, sampel sebanyak 16 responden dengan teknik purposive sampling. Variabel independen exercise therapy joint mobility dilakukan 1-3 kali sehari dengan durasi 10-15 menit selama 3 minggu, variabel dependen adalah tingkat nyeri sendi lutut dan tingkat mobilitas. Analisa data menggunakan uji wilcokson. Hasil : Pengukuran tingkat nyeri sendi sebelum dan sesudah dilakukan intervensi terdapat penurunan dengan nilai rata-rata 3,00 menjadi 2,19. Untuk tingkat mobilitas terdapat peningkatan dengan nilai rata-rata 1,62 menjadi 2,44. Hasil uji analisa data ada pengaruh exercise therapy joint mobility terhadap tingkat nyeri sendi lutut dan tingkat mobilitas pada lansia di Rumah Asuh Anak dan Lansia Griya Asih Lawang dengan nilai probabilitas (P) = 0,000. Stimulus exercise therapy joint mobility akan mencapai otak terlebih dahulu sehingga menutup gerbang nyeri dan persepsi nyeri tidak muncul, dengan latihan teratur bermanfaat untuk kebugaran tubuh lansia dan sendi dapat melakukan pergerakan dengan baik terutama dalam kemampuan mobilisasi. Kesimpulan : Pengaruh positif exercise therapy joint mobility terhadap tingkat nyeri sendi lutut dan tingkat mobilitas pada lansia terjadi penurunan nyeri sendi lutut dan terjadi peningkatan tingkat mobilitas. Kata kunci : Exercise Therapy Joint Mobility, Nyeri Sendi, Lansia

Cost-effectiveness of exercise therapy in the treatment of non-specific neck pain and low back pain:a systematic review with meta-analysis

OBJECTIVE: To investigate the cost-effectiveness of exercise therapy in the treatment of patients with non-specific neck pain and low back pain. DESIGN: Systematic review of economic evaluations. DATA SOURCES: The search was performed in 5 clinical and 3 economic electronic databases. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: We included economic evaluations performed alongside randomised controlled trials. Differences in costs and effects were pooled in a meta-analysis, if possible, and incremental cost-utility ratios (ICUR) were descriptively analysed. RESULTS: Twenty-two studies were included. On average, exercise therapy was associated with lower costs and larger effects for quality-adjusted life-year (QALY) in comparison with usual care for subacute and chronic low back pain from a healthcare perspective (based on ICUR). Exercise therapy had similar costs and effect for QALY in comparison with other interventions for neck pain from a societal perspective, and subacute and chronic low back pain from a healthcare perspective. There was limited or inconsistent evidence on the cost-effectiveness of exercise therapy compared with usual care for neck pain and acute low back pain, other interventions for acute low back pain and different types of exercise therapy for neck pain and low back pain. CONCLUSIONS: Exercise therapy seems to be cost-effective compared with usual care for subacute and chronic low back pain. Exercise therapy was not (more) cost-effective compared with other interventions for neck pain and low back pain. The cost-utility estimates are rather uncertain, indicating that more economic evaluations are needed. REGISTRATION: PROSPERO, CRD42017059025

Prescribing Exercise for Chronic Pain Management

In light of the opioid crisis, practitioners are looking for alternative ways to effectively treat pain. Utilizing exercise modalities as a method of pain management is becoming increasingly popular and more research is being done in this area than ever before. This article analyzes different research regarding exercise therapy for pain management, as well as what type of exercise has been found to be most beneficial for patients in pain

Chronic fatigue syndrome; an approach combining self-management with graded exercise to avoid exacerbations.

Controversy regarding the aetiology and treatment of patients with chronic fatigue syndrome (CFS) continues to affect the medical professions. The Cochrane collaboration advises practitioners to implement graded exercise therapy for CFS sufferers using cognitive behavioural principles. In contrast there is evidence that exercise can induce symptom exacerbations in CFS where too vigorous exercise/activity promotes immune dysfunction, which in turn increases symptoms in patients with CFS. When designing and implementing an exercise programme it is important to be aware of both these seemingly opposing view points in order to deliver a programme without any detrimental effects on CFS pathophysiology. Using evidence from both the biological and clinical sciences, the present manuscript explains that graded exercise therapy for people with CFS can be safely undertaken without detrimental effects to the immune system. Exercise programs should be designed to cater for individual physical capabilities and should also account for the fluctuating nature of symptoms commonly reported by people with CFS. In line with cognitive behaviourally and graded exercise-based strategies, self-management for people with CFS involves encouraging the patients to pace their activities and respect their physical and mental limitations with the ultimate aim of improving their everyday function