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Expiratory tasks may facilitate transversus abdominis (TrA) activity for spinal stabilization. The purpose of this study was to verify whether a combination of pursed-lip breathing (PLB) and use of an expiratory threshold loading (ETL) device to increase expiratory resistance would promote TrA contraction comparable to that for a stabilization exercise.
Twenty healthy men performed expiratory tasks or an abdominal drawing-in maneuver (ADIM). Expiratory tasks comprised combinations of ETL settings with 0%, 5%, or 15% of maximum expiratory pressure, and mouthpieces with a normal shape or pursed-lip shape. B-mode ultrasound imaging of the TrA, internal oblique, and external oblique muscles was performed to determine percentage changes in muscle thickness. Percentage changes among tasks were statistically compared for each muscle.
TrA thickness increased with normal lips at 15% ETL, with PLB with 5% ETL, and with ADIM (p<0.01 each). Internal oblique thickness increased under all PLB conditions (p<0.01 each). No significant differences in external oblique thickness were seen for any tasks. The total thickness of the lateral abdominal muscles was significantly increased not only for 15% ETL tasks and ADIM, but also for PLB with 5% ETL (p<0.02 each).
These results indicated that PLB with 5% ETL could facilitate the same level of TrA activity as the ADIM. PLB with 5% ETL was the only task that simultaneously increased overall lateral abdominal muscles, including the internal obliques, and might be readily applicable in clinical situations.
These results indicated that PLB with 5% ETL could facilitate the same level of TrA activity as the ADIM. PLB with 5% ETL was the only task that simultaneously increased overall lateral abdominal muscles, including the internal obliques, and might be readily applicable in clinical situations.
Spinal cord injuries (SCI) have physiological, emotional, and economic consequences in the lives of affected people. Resistance training (RT) is efficient in improving several physiological factors, quality of life, and body composition.
Due to the scarce literature on RT analyzed separately, the objective of this systematic review is to analyze the effects of RT with no association to other techniques, in aspects related to the quality of life and body composition of people The research for the articles was carried out in the Pubmed, Cochrane, and Web of Science databases using the terms "Spinal cord injuries" AND "Resistance Training" OR "Strength training". Given the scarcity of evidence on the subject, no deadline was set for the study to be eligible for analysis.
The research for the articles was carried out in November of 2020 and returned 349 results, of which 220 remained after the elimination of duplicates, with 145 being excluded after title analysis. Seventy-five abstracts were analyzed and 70 studies were excluded, leaving 5 complete articles for a thorough analysis with SCI. Despite the I
being 87%, the meta-analysis revealed an overall effect of Z=4.79 (P<0.00001).
After analyzing the main results, we concluded that RT is feasible, secure, and promotes significant improvements in maximum strength, local muscular endurance, power, and muscular isometric voluntary contraction in people with spinal cord injury.
After analyzing the main results, we concluded that RT is feasible, secure, and promotes significant improvements in maximum strength, local muscular endurance, power, and muscular isometric voluntary contraction in people with spinal cord injury.
The main aim of this pilot study was to examine the effect of diaphragmatic breathing exercise on urinary incontinence treatment. The secondary purpose was to compare the effect of pelvic floor muscle exercises and diaphragmatic breathing exercises on urinary incontinence women.
Participants were randomized into two groups pelvic floor muscle exercises (Group PFM n=20) and diaphragmatic breathing exercises (Group DB n=20). Exercise programs consisted of 1 set of contractions per day and each set included 30 repetitions for 6 weeks. Women were asked to complete forms of Incontinence Impact Questionnaire (IIQ-7) and the Urogenital Distress Inventory (UDI-6), Incontinence Quality of Life (I-QOL), and Overactive Bladder (OAB-V3) before starting the program and again at the end of the 6-week program.
IIQ-7, I-QOL, and OAB-V3 scores significantly improved in both groups, after exercises. There were no difference between groups in the post-exercise scores. Total score of the UDI-6 was statistically significantly decreased higher in the DB exercises group. UDI-6 Urge Symptoms decreased statistically significantly only in the DB exercises group. Even though there was a decrease in the PFM group, but it was not significant.
Diaphragmatic breathing exercises may be an alternative to pelvic floor muscle exercises in the treatment of urinary incontinence. CLINICALTRIALS.
NCT04991675.
NCT04991675.
We hypothesized that latent MTrPs might decrease gluteus medius muscle strength in healthy individuals. This study aimed to investigate the relationship between latent MTrPs and gluteus medius muscle strength in a group of healthy adults.
Forty-eight healthy men were included in the study. Trigger point examination for the gluteus medius was performed bilaterally. Infigratinib inhibitor Subjects with one or more trigger points on the dominant side and those without any trigger point were assigned to two groups. Muscle strength for the gluteus medius was assessed with a manual muscle tester using the "break test" technique on both sides. For statistical analysis, the independent sample t-test was used to compare the intergroup differences.
The latent MTrP group demonstrated lower abduction muscle strength in the dominant gluteus medius. Moreover, the latent MTrP group showed higher abduction muscle strength in the non-dominant gluteus medius (p<0.05). Intergroup comparison revealed that gluteus medius abduction muscle strenthe lumbopelvic junction, should not be ignored in clinical practice, and treatment should be applied when detected.
Research in India has recognized Type 2 Diabetes Mellitus (t2dm) and prediabetes (pdm) as psychosomatic metabolic endocrine disorders characterized by glycemic disharmony. This review aimed at collating information from published e-papers on mechanism of action (MOA) of yoga therapy(YT) and integrated approach of yoga therapy (IAYT) on pdm and t2dm.
Content on YT and the MOA on prevention and management of t2dm were extracted from online sources such as PubMed, Google Scholar, Cochrane library and Library genesis. This review included 58 articles related to prediabetes, t2dm, pre-diabetes to t2dm conversion, mechanism of action of Yoga, Yoga and t2dm, prediabetes and yoga. Articles related to type 1 diabetes, diabetes insipidus and gestational diabetes were excluded.
Current scientific review resulted in understanding the different mechanisms involved in rejuvenating effect of Yoga as YT and IAYT in prediabetes and t2dm. However, the various mechanisms by which the interventions work are understood either through a single or combined impact on regaining autonomic balance, vagal modulation, regulation of hormones and thereby attaining glycemic control. Moreover, these mechanisms are the forthcomings of the cross talk between brain, mind and body systems under branches of neurophysiology, neuroendocrinology, psychophysiology, psycho neuroendocrinology and/or neuropsychology.
Evidence sought from published research works proclaim YT based life style modification for prevention and management of t2dm. Summing up, the effect is stipulated based on the approach, method of practice, time of the day, belief and dedication of the practitioners.
Evidence sought from published research works proclaim YT based life style modification for prevention and management of t2dm. Summing up, the effect is stipulated based on the approach, method of practice, time of the day, belief and dedication of the practitioners.
To determine bed height adjustment for maintaining neutral lumbar position as a function of anthropometric dimensions.
80 physical therapy students performed passive shoulder flexion and straight leg raising tasks on standard versus the adjustable bed. The lumbar angle was measured at the start and finish of tasks. The rate of perceived exertion was measured immediately after each task. The most comfortable bed height in relation to some anatomical landmarks was measured.
Mean bed height for shoulder flexion tasks was significantly higher than for straight leg raising. The mean adjusted bed heights for both tasks were significantly higher and with less exertion felt by the participants, compared to the standard bed height (0.715m). The third knuckle of the hand and the radial styloid process of the wrist were established as the most valuable anthropometric landmarks for bed height adjustment.
The above landmarks are recommended to maintain a neutral lumbar position while adjusting bed heights for manual tasks. Each manual task requires adjustment of the bed height. Further studies are needed to confirm our results.
The above landmarks are recommended to maintain a neutral lumbar position while adjusting bed heights for manual tasks. Each manual task requires adjustment of the bed height. Further studies are needed to confirm our results.
Knee osteoarthritis (OA) is the most common condition that causes pain and disability in adults over 50 years old. The application of acupuncture, as a method of complementary intervention, could be beneficial for pain relief and knee function in patients with knee OA.
Analyze the effectiveness of acupuncture versus control interventions in patients with knee OA.
An electronic search was performed in the MEDLINE (via PubMed), EMBASE, PEDro, Cochrane CENTRAL, CINAHL, Web of Science and LILACS databases. The eligibility criteria for selecting systematic reviews included clinical trials that compared acupuncture versus control interventions for pain intensity in patients with knee OA.
A total of 15 systematic reviews met the eligibility criteria for the quantitative synthesis. In the short term, the mean difference (MD) for pain intensity was-0.32cm (95% CI=-0.57 to-0.08, p=0.01). There was a very low quality of evidence according to the GRADE rating. In the short term, the mean difference (MD) for knee ture in pain intensity and knee function.
Pain is a complex sensory experience and can be influenced by psychosocial factors, such as romantic relationships.
To evaluate the association between marital status and temporomandibular disorder-related chronic pain.
Patients diagnosed with temporomandibular disorder (TMD) through Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I were assessed for chronic pain and marital and socioeconomic status, according to Axis II. Multinomial logistic regression models assessed the association between chronic pain and the predictive variables.
Three hundred and ten patients were included in the sample, the majority being female (74.5%), single (52.3%), and diagnosed with chronic pain (85.1%). The adjusted analysis showed about a 5-time greater chance of chronic pain occurrence with high disability in individuals who were married or in a common-law marriage (OR 5.99; 95% CI 1.45-24.73). Also, women were 7.62 times more likely to develop chronic pain with high disability (OR 7.62; 95% CI 2.
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