1,137 research outputs found
The Obesity Epidemic: Survey of Current Physical Therapy Trends in North Dakota
Background and Purpose. Many different health professionals are involved in the prevention and treatment of obesity. The APTA believes that physical therapists should be in a leadership role among other health care providers in providing patient education and instruction regarding physical activity. The purpose of this study was to determine current practice trends among physical therapists in the state of North Dakota relating to patients who are overweight or obese.
Subjects and Methods. Three hundred surveys were mailed to randomly selected physical therapists licensed in the State of North Dakota. The survey consisted of23 questions concerning level of training, referral rates, comfort level in treating patients who are overweight or obese, and interventions provided to these patients.
Results. Of the 300 surveys sent out, 136 (45.3%) were completed and returned for inclusion in this study. Those physical therapists who indicated they had advanced training did not have significantly higher comfort level in treating patients who are overweight or obese. Similarly there was no significant difference between advanced training and discussion or recording of weight status. Seventy-five percent of therapists surveyed had not received any referrals for weight management in the past year. Appearance, weight/height measurements, body mass index (BMI), and patient opinion were the most commonly used methods to assess weight status. The most frequently used interventions included patient education, aerobic exercise, and strength training.
Discussion and Conclusion. Physical therapists have appropriate education to identify at-risk patients and provide intervention to improve weight status, but are not currently active in promoting themselves as members of the weight management team. Additional training may be necessary in the areas of objective methods of assessing weight status and weight management programs for patients with other co-morbidities
Determinants of Time to Fatigue during Non-Motorized Treadmill Exercise
Treadmill exercise is commonly used for aerobic and anaerobic conditioning. During non-motorized treadmill exercise, the subject must provide the power necessary to drive the treadmill belt. The purpose of this study was to determine what factors affected the time to fatigue on a pair of non-motorized treadmills. Twenty subjects (10 males/10 females) attempted to complete five minutes of locomotion during separate trials at 3.22, 4.83, 6.44, 8.05, 9.66, and 11.27 km (raised dot) h(sup -1). Total exercise time (less than or equal to 5 min) was recorded. Exercise time was converted to the amount of 15 second intervals completed. Peak oxygen uptake (VO2) was measured using a graded exercise test on a standard treadmill, and anthropometric measures were collected from each subject before entering into the study. A Cox proportional hazards regression model was used to determine significant predictive factors in a multivariate analysis. Non-motorized treadmill speed and absolute peak VO2 were found to be significant predictors of exercise time, but there was no effect of anthropometric characteristics. Gender was found to be a predictor of treadmill time, but this was likely due to a higher peak VO2 in males than in females. These results were not affected by the type of treadmill tested in this study. Coaches and therapists should consider the cardiovascular fitness of an athlete or client when prescribing target speed since these factors are related to the total exercise time than can be achieved on a non-motorized treadmill
Kinematic Differences Between Motorized and Nonmotorized Treadmill Locomotion
There are few scientific publications comparing human locomotion between motorized and nonmotorized treadmills. Lakomy (1987) and Gamble et al (1988) reported that forward lean is greater on a nonmotorized treadmill to aid in the generation of horizontal force necessary for belt propulsion, but there are no data concerning lower limb kinematics. During long-term spaceflight, astronauts use locomotive exercise to mitigate the physiological effects caused by long-term exposure to microgravity. A critical decision for mission planners concerns the requirements for a treadmill to be used during potential trips to the Moon and Mars. Treadmill operation in an un-powered configuration could reduce mission resource demands, but also may impact the efficacy of treadmill exercise countermeasures. To ascertain the most appropriate type of treadmill to be used, it is important to understand biomechanical differences between motorized (M) and nonmotorized (NM) locomotion. The purpose of this evaluation was to test for differences in lower limb kinematics that occur during M and NM treadmill locomotion at two speeds. It was hypothesized that hip and knee joint angle trajectories would differ between the conditions
Stroke impact on mortality and psychologic morbidity within the Childhood Cancer Survivor Study.
BackgroundPoor socioeconomic and health-related quality of life (HRQOL) outcomes in survivors of childhood cancer can lead to distress and overall negatively impact the lives of these individuals. The current report has highlighted the impact of stroke and stroke recurrence on mortality, psychological HRQOL, and socioeconomic outcomes within the Childhood Cancer Survivor Study (CCSS).MethodsThe CCSS is a retrospective cohort study with longitudinal follow-up concerning survivors of pediatric cancer who were diagnosed between 1970 and 1986. Mortality rates per 100 person-years were calculated across 3 periods: 1) prior to stroke; 2) after first stroke and before recurrent stroke; and 3) after recurrent stroke. Socioeconomic outcomes, the standardized Brief Symptoms Inventory-18, the Medical Outcomes Study 36-Item Short Form Health Survey, and the CCSS-Neurocognitive Questionnaire also were assessed.ResultsAmong 14,358 participants (median age, 39.7 years), 224 had a stroke after their cancer diagnosis (single stroke in 161 patients and recurrent stroke in 63 patients). Based on 2636 deaths, all-cause late mortality rates were 0.70 (95% CI, 0.68-0.73) prior to stroke, 1.03 (95% CI, 0.73-1.46) after the first stroke, and 2.42 (95% CI, 1.48-3.94) after the recurrent stroke. Among 7304 survivors, those with stroke were more likely to live with a caregiver (single stroke odds ratio [OR], 2.3 [95% CI, 1.4-3.8]; and recurrent stroke OR, 5.3 [95% CI, 1.7-16.8]) compared with stroke-free survivors. Stroke negatively impacted task efficiency (single stroke OR, 2.4 [95% CI, 1.4-4.1] and recurrent stroke OR, 3.3 [95% CI, 1.1-10.3]) and memory (single stroke OR, 2.1 [95% CI, 1.2-3.7]; and recurrent stroke OR, 3.5 [95% CI, 1.1-10.5]).ConclusionsStroke and stroke recurrence are associated with increased mortality and negatively impact HRQOL measures in survivors of pediatric cancer
A Comparison of Anaerobic Power Tests using Cycle Ergometry and Non-motorized Treadmill Ergometry at Optimized Loads
International Journal of Exercise Science 16(4): 1293-1305, 2023. The purpose of this study was to compare performance markers derived from a 30-second maximal bout on a cycle ergometer (CE) and non-motorized treadmill (NMT) under optimized loads. Recreationally active participants (n = 40) volunteered for the study. Force-velocity tests on the CE and NMT were used to determine optimal resistance for peak power (PP) production. The remaining visits were randomized and counterbalanced, with a single 30-second maximal test on CE or NMT to assess PP, mean power (MP), fatigue index (FI), over the course of the 30-second test, and maximum heart rate (HRmax) and blood lactate (BLa-) taken 1-minute post. Results were that PP and MP were higher (P\u3c0.05) on CE compared to NMT for both sexes. FI did not differ among males (P=0.201) whereas females showed higher FI (P=0.002) on the CE. HRmax and BLa- were higher (P\u3c0.05) after NMT for both sexes. There was no difference for optimal braking force on NMT between males (16.65±4.49%BW) and females (14.30±3.10%BW) (P=0.061). CE optimal torque factor was higher for males (0.78±0.16 Nm/kg) compared to females (0.62±0.14 Nm/kg) (P=0.001). Overall, CE produced higher power output using optimized loads in recreationally active males and females, while NMT test resulted in a higher HRmax andBLa- concentration. These tests for anaerobic power, when performed with optimized loads, produced different results for several variables, therefore these modalities should not be considered interchangeable. Practitioners should consider which modality best mimics the activities of the person being tested when selecting a protocol
Conservation Tools: The Next Generation of Engineering--Biology Collaborations
The recent increase in public and academic interest in preserving
biodiversity has led to the growth of the field of conservation technology.
This field involves designing and constructing tools that utilize technology to
aid in the conservation of wildlife. In this article, we will use case studies
to demonstrate the importance of designing conservation tools with
human-wildlife interaction in mind and provide a framework for creating
successful tools. These case studies include a range of complexities, from
simple cat collars to machine learning and game theory methodologies. Our goal
is to introduce and inform current and future researchers in the field of
conservation technology and provide references for educating the next
generation of conservation technologists. Conservation technology not only has
the potential to benefit biodiversity but also has broader impacts on fields
such as sustainability and environmental protection. By using innovative
technologies to address conservation challenges, we can find more effective and
efficient solutions to protect and preserve our planet's resources
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