Development of an Aquatic Exercise Training Protocol for the Asthmatic Population

The purpose of this article is to propose creation of a consistent, measureable 12-week aquatic exercise progression for individuals diagnosed with asthma. An aquatic exercise option not requiring swim skills may offer real value, but no previous literature explicitly describes a standardized non-swimming aquatic exercise progression. Participants were diagnosed, medically managed asthmatics in a rural community. Guidelines set forth by AEA and ACSM were used in the development of the exercise program and progression. By the end of the 12 weeks, instructors were challenging participants with multi-level travel sets and complex timed sequences meeting programmatic goals for exercise intensity progression. In conclusion, this 12-week aquatic exercise protocol could effectively be prescribed by aquatic exercise specialists to increase physical activity in an asthmatic population. The design may be used in research studies as a consistent and measurable treatment protocol

The Impact of an Aquatic Exercise Protocol on Physiologic Measures Within an Asthmatic Population

Individuals suffering from asthma typically have subnormal exercise tolerance and poor physical fitness. The purpose of this case series study was to examine the impact of a new aquatic exercise protocol on physiological variables in a group of asthmatics. Participants were medically diagnosed and managed asthmatics in a rural community. A total of 8 males and 12 females were accepted into the study with 7 males and 9 females completing the 12-week study. Physiological measures were taken pre- and posttreatment with paired t-tests used for analyses. Increases in VO2max (pre-treatment mean (M) = 31.244 SD = 9.772; post-treatment M = 33.431, SD = 10.387; partial ç²= .257, p \u3c 0.038); lean body muscle mass (pre-treatment M = 119.606, SD = 28.210; post-treatment M = 122.012, SD = 30.475; partial ç²= .237, p \u3c 0.047); and blood glucose (pre-treatment M = 83.937, SD = 7.584; post-treatment M = 89.812, SD = 7.799; partial ç²= .603, p \u3c 0.000), were seen from pre- to posttreatment. The protocol was well tolerated and enjoyed by the participants suggesting it is useful in the asthmatic population. Our results predicted a need for larger sample size in future research ranging from 8 to 218 participants depending upon the dependent measure

Speech and Language Therapy for Acquired Central Dysgraphia in Neurological Patients: A Systematic Review to Describe and Identify Trainings for Clinical Practice

PURPOSE: Acquired central dysgraphia is a heterogeneous neurological disorder that usually co-occurs with other language disorders. Written language training is relevant to improve everyday skills and as a compensatory strategy to support limited oral communication. A systematic evaluation of existing writing treatments is thus needed. METHOD: We performed a systematic review of speech and language therapies for acquired dysgraphia in studies of neurological diseases (PROSPERO: CRD42018084221), following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) checklist with a search on several databases for articles written in English and published until August 31, 2021. Only methodological well-designed studies were included. Further assessment of methodological quality was conducted by means of a modified version of the Downs and Black checklist. RESULTS: Eleven studies of 43 patients in total were included. For each study, we collected data on type of population, type of impairment, experimental design, type of treatment, and measured outcomes. The studies had a medium level of assessed methodological quality. An informative description of treatments and linkages to deficits is reported. CONCLUSIONS: Although there is a need for further experimental evidence, most treatments showed good applicability and improvement of written skills in patients with dysgraphia. Lexical treatments appear to be more frequently adopted and more flexible in improving dysgraphia and communication, especially when a multimodal approach is used. Finally, the reported description of treatment modalities for dysgraphia in relation to patients' deficits may be important for providing tailored therapies in clinical management

The impact of an aquatic exercise protocol on physiologic measures within an asthmatic population

Washington State University National Aquatics and Sports Medicine Institute. Research funded by a grant from the National Swimming Pool Foundation.Hildenbrand, K., Fresen, T. S., Barbosa-Leiker, C., Nordio, S., Becker, B., & Miller, A. J. (2010, March 26). The impact of an aquatic exercise protocol on physiologic measures within an asthmatic population. Poster presented at the Washington State University Academic Showcase, Pullman, WA

Dataset related to article "Biofeedback as an Adjunctive Treatment for Post-stroke Dysphagia: A Pilot-Randomized Controlled Trial"

Nel file Excel con i raw data sono presenti le caratteristiche demografiche del campione, e per ogni paziente se sia stato assegnato al trattamento sperimentale o di controllo (codificati come 1;0). Si trovano inoltre i punteggi ai vari test che il paziente ha ottenuto nei 3 momenti di valutazione (v1=baseline; v2=valutazione post trattamento; v3=follow up) e per le diverse consistenze provate (solido, semisolido, liquido). Le scale nominate nel dataset sono: PAS-Penetration Aspiration Scale); Pooling Score (suddiviso in P-score e PSCA); FOIS (Functional Oral Intake Scale). Si riporta inoltre la presenza o assenza di cannula tracheale e nutrizione enterale (1;0)

Dataset related to article "Validity and reliability of the Italian translation of the Yale Pharyngeal Residue Severity Rating Scale"

Dataset description available on the downloadable file

Validity and reliability of the Italian translation of the Yale Pharyngeal Residue Severity Rating Scale

Objective: In the dysphagic patient, pharyngeal residues (PR) are associated with aspiration and poor quality of life. The assessment of PR using validated scales during flexible endoscopic evaluation of swallowing (FEES) is crucial for rehabilitation. This study aims to validate and test the reliability of the Italian version of the Yale Pharyngeal Residue Severity Rating Scale (IT-YPRSRS). The effects of training and experience in FEES on the scale were also determined. Methods: The original YPRSRS was translated into Italian according to standardised guidelines. Thirty FEES images were selected after consensus and proposed to 22 naive raters who were asked to assess the severity of PR in each image. Raters were divided into two subgroups by years of experience at FEES, and randomly by training. Construct validity, inter-rater, and intra-rater reliability were assessed by kappa statistics. Results: IT-YPRSRS showed substantial to almost perfect agreement (kappa > 0.75) in validity and reliability for both the overall sample (660 ratings), and valleculae/pyriform sinus sites (330 ratings each). No significant differences emerged between groups considering years of experience, and variable differences were observed by training. Conclusions: The IT-YPRSRS demonstrated excellent validity and reliability in identifying location and severity of PR

The ERA Registry Annual Report 2020 : a summary

Background The European Renal Association (ERA) Registry collects data on kidney replacement therapy (KRT) in patients with ESKD. This paper is a summary of the ERA Registry Annual Report 2020, also including comparisons among primary renal disease (PRD) groups. Methods Data were collected from 52 national and regional registries from 34 European countries and countries bordering the Mediterranean Sea: 35 registries from 18 countries providing individual level data and 17 registries from 17 countries providing aggregated data. Using this data, KRT incidence and prevalence, kidney transplantation rates, expected remaining lifetimes and survival probabilities were calculated. Results A general population of 654.9 million people was covered by the ERA Registry in 2020. The overall incidence of KRT was 128 per million population (p.m.p.). In incident KRT patients, 54% were older than 65 years, 63% were men and the most common PRD was diabetes mellitus (21%). Regarding initial treatment modality in incident patients, 85% received haemodialysis (HD), 11% received peritoneal dialysis (PD) and 4% received a pre-emptive kidney transplant. On 31 December 2020, the prevalence of KRT was 931 p.m.p. In prevalent patients, 45% were older than 65 years, 60% were men and glomerulonephritis was the most common PRD (18%). Of these patients, 58% were on HD, 5% on PD and 37% were living with a kidney transplant. The overall kidney transplantation rate in 2020 was 28 p.m.p., with a majority of kidney grafts from deceased donors (71%). The unadjusted 5-year survival, based on incident dialysis patient from 2011-15, was 41.8%. For patients having received a deceased donor transplant, the unadjusted 5-year survival probability was 86.2% and for patients having received a living donor transplant it was 94.4%. When comparing data by PRD group, differences were found regarding the distribution of age groups, sex and treatment modality received.Peer reviewe