487 research outputs found

    Identifying Grasp and Pinch Patterns in Ceramic Interventions: Video Analysis of Adults Completing Ceramic Activities

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    Background: Occupation-based interventions are effective in hand rehabilitation. The purpose of this study was to identify the grasp and pinch patterns used during specific ceramic activities for rehabilitative interventions. Method: A convenience sample of 59 videos with 38 subjects were taken of adults without hand dysfunction completing various ceramic activities. Elementary Grasp Actions (EGA’s) were analyzed to identify the different grasps and pinch patterns. Results: The EGA’s occurred 279 times across 12 ceramics activities. The EGA’s with the highest frequencies include nonprehensile, pinch, and lateral pinch. Nonprehensile was the most frequently used grasp used by the left hand. The EGA’s with the most prolonged durations were nonprehensile, special pinch, and oblique. The mean frequency and duration of each grasp and pinch pattern for specific ceramic activities are presented. Conclusion: Therapists can use the results of this study to help individuals with hand dysfunction through specific ceramic activity interventions

    The Case for Coordinating Efforts to Establish Program Guidelines and Strengthen Physiology Undergraduate Degree Programs

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    Undergraduate degree programs named “Physiology” have existed for over 50 yr. The number of programs and enrolled students have been growing since ~2005 (5, 9). There are many thousands of students currently enrolled in physiology pro- grams across the United States and indeed across the world. Despite the long history and current popularity of the physiol- ogy major, there is no coordinated plan articulated for the design, administration, or assessment of degree programs in physiology at the undergraduate level. Although several professional societies have invested in under- graduate physiology education in various ways, none has under- taken the task of developing programmatic guidelines at the level of a degree program. This paper outlines the work being done by multiple stakeholders in physiology undergraduate education in the hopes of building a collaboration among interested parties. A large-scale collaboration could result in establishing consensus national programmatic guidelines. Through coordinated efforts, we ensure that entities with common educational interests are working together, and we collectively strengthen our programs to help our students succeed. The goals of this paper are to: 1) draw attention to the lack of national, program-level guidelines for physiology under- graduate degree programs; 2) share ongoing efforts by stake- holders in physiology undergraduate education; 3) suggest a mechanism for coordination among stakeholders; and 4) dis- cuss challenges and considerations for development of pro- grammatic guidelines for physiology programs

    Recommendations in Post-exercise Hypotension: Concerns, Best Practices and Interpretation

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    Post-exercise hypotension (PEH) is a clinically relevant phenomenon that has been widely investigated. However, the characteristics of study designs, such as familiarization to blood pressure measurements, duration of PEH assessments or strategies to analyze PEH present discrepancies across studies. Thus identifying key points to standardize across PEH studies is necessary to help researchers to build stronger study designs, to facilitate comparisons across studies, and to avoid misinterpretations of results. The goal of this narrative review of methods used in PEH studies was therefore to gather and find possible influencers in the characteristics of study design and strategies to analyze blood pressure. Data found in this review suggest that PEH studies should have at least two familiarization screening visits, and should assess blood pressure for at least 20 min, but preferably for 120 min, during recovery from exercise. Another important aspect is the strategy to analyze PEH, which may lead to different interpretations. This information should guide a priori study design decisions

    Differential Post-Exercise Blood Pressure Responses between Blacks and Caucasians

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    Post-exercise hypotension (PEH) is widely observed in Caucasians (CA) and is associated with histamine receptors 1- and 2- (H1R and H2R) mediated post-exercise vasodilation. However, it appears that blacks (BL) may not exhibit PEH following aerobic exercise. Hence, this study sought to determine the extent to which BL develop PEH, and the contri- bution of histamine receptors to PEH (or lack thereof) in this population. Forty-nine (22 BL, 27 CA) young and healthy subjects completed the study. Subjects were randomly assigned to take either a combined H1R and H2R antagonist (fexofenadine and ranitidine) or a con- trol placebo. Supine blood pressure (BP), cardiac output and peripheral vascular resistance measurements were obtained at baseline, as well as at 30 min, 60 min and 90 min after 45 min of treadmill exercise at 70% heart rate reserve. Exercise increased diastolic BP in young BL but not in CA. Post-exercise diastolic BP was also elevated in BL after exercise with histamine receptor blockade. Moreover, H1R and H2R blockade elicited differential responses in stroke volume between BL and CA at rest, and the difference remained follow- ing exercise. Our findings show differential BP responses following exercise in BL and CA, and a potential role of histamine receptors in mediating basal and post-exercise stroke vol- ume in BL. The heightened BP and vascular responses to exercise stimulus is consistent with the greater CVD risk in BL

    Postexercise hypotension as a clinical tool: a “single brick” in the wall

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    After an exercise session, a reduction of blood pressure (BP) is expected, a phenomenon called postexercise hypotension (PEH). PEH as a predictor of chronic training responses for BP has been broadly explored. It suggests that when PEH occurs after each exercise sessions, its benefits may summate over time, contributing to the chronic adaptation. Thus, PEH is an important clinical tool, acting as a “single brick” in the wall, and building the chronic effect of decreasing BP. However, there is large variation in the literature regarding methodology and results, creating barriers for understanding comparisons among PEH studies. Thus, the differences among subjects' and exercise protocols’ characteristics observed in the studies investigating PEH must be considered when readers interpret the results. Furthermore, understanding of these factors of influence might be useful for avoiding misinterpretations in future comparisons and how the subjacent mechanisms contribute to the BP reduction after exercise

    Comparison of morning versus evening aerobic-exercise training on heart rate recovery in treated hypertensive men: a randomized controlled trial

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    Heart rate recovery (HRR) is a marker of cardiac autonomic regulation and an independent predictor of mortality. Aerobic-exercise training conducted in the evening (evening training) produces greater improvement in resting cardiac autonomic control in hypertensives than morning training, suggesting it may also result in a faster autonomic restoration postexercise. This study compared the effects of morning training and evening training on HRR in treated hypertensive men. Forty-nine treated hypertensive men were randomly allocated into three groups: morning training, evening training and control. Training was conducted three times/week for 10 weeks. Training groups cycled (45 min, moderate intensity) while control group stretched (30 min). In the initial and final assessments of the study, HRR60s and HRR300s were evaluated during the active recovery (30 W) from cardiopulmonary exercise tests (CPET) conducted in the morning and evening. Between-within ANOVAs were applied (P ≤ 0.05). Only evening training increased HRR60s and HRR300 differently from control after morning CPET (+4 ± 5 and +7 ± 8 bpm, respectively, P < 0.05) and only evening training increased HRR300s differently from morning training and control after evening CPET (+8 ± 6 bpm, P < 0.05). Evening training improves HRR in treated hypertensive men, suggesting that this time of day is better for eliciting cardiac autonomic improvements via aerobic training in hypertensives
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