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Higino WP, Aparecido de Souza R, Cavalcanti FDS, Cardoso ADS, Vasconcelos MV, Fernandes da Silva F, Leme JACA. Influence of repeated bouts of eccentric exercise on high-intensity aerobic performance. J Phys Ther Sci 2016; 28:2369-72. [PMID: 27630434 PMCID: PMC5011598 DOI: 10.1589/jpts.28.2369] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2016] [Accepted: 05/14/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] It is believed that eccentric high-intensity exercise can decrease performance in subsequent exercise. However, with repetition, the deleterious effects can be minimized. Thus, this study evaluated the influence of repeated bouts of eccentric exercise on subsequent high-intensity aerobic performance. [Subjects and Methods] Seven healthy and sedentary male volunteers were recruited. a) Visit 1: determination of maximum oxygen uptake (VO2max) and speed associated with maximum oxygen uptake (vVO2max) in incremental treadmill testing; b) Visit 2: run to exhaustion at vVO2max (Tlim control); c) Visit 3: 10 sets of 10 depth jumps, followed by a run to exhaustion at vVO2max (Tlim 1); d) Visit 4: after 6 weeks without any physical training, the volunteers carried out the same procedures as on the third visit (Tlim 2). Data were analyzed using one-way analysis of variance (ANOVA) with the post-hoc Tukey test. [Results] Significant differences were found between Tlim control and Tlim 1 (283.4 ± 47.7 s vs. 125.2 ± 64.1 s, respectively), these were not different from Tlim 2. [Conclusion] Eccentric exercise showed deleterious effects on subsequent high-intensity aerobic performance. These effects were minimized after the exercise protocol was repeated 6 weeks after the first event.
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Affiliation(s)
- Wonder Passoni Higino
- Group of Studies and Research in Health Sciences (GEP-CS), Federal Institute of Education, Science and Technology of the South of Minas Gerais (IFSULDEMINAS): Estrada de Muzambinho, km 35, Caixa Postal 02, 37890-000, Muzambinho, MG, Brazil
| | - Renato Aparecido de Souza
- Group of Studies and Research in Health Sciences (GEP-CS), Federal Institute of Education, Science and Technology of the South of Minas Gerais (IFSULDEMINAS): Estrada de Muzambinho, km 35, Caixa Postal 02, 37890-000, Muzambinho, MG, Brazil
| | | | | | | | - Fabiano Fernandes da Silva
- Group of Studies and Research in Health Sciences (GEP-CS), Federal Institute of Education, Science and Technology of the South of Minas Gerais (IFSULDEMINAS): Estrada de Muzambinho, km 35, Caixa Postal 02, 37890-000, Muzambinho, MG, Brazil; Biomedical Engineering Institute, Camilo Castelo Branco University (UNICASTELO), Brazil
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Tricás-Moreno JM, Lucha-López MO, Lucha-López AC, Salavera-Bordás C, Vidal-Peracho C. Optimizing physical therapy for ankylosing spondylitis: a case study in a young football player. J Phys Ther Sci 2016; 28:1392-7. [PMID: 27190490 PMCID: PMC4868250 DOI: 10.1589/jpts.28.1392] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2015] [Accepted: 12/12/2015] [Indexed: 12/02/2022] Open
Abstract
[Purpose] Ankylosing spondylitis is prevalent in men. Modern and expert consensus
documents include physical therapy among the strategies for the treatment of ankylosing
spondylitis. This study aimed to describe the physical therapy approach in an athlete with
ankylosing spondylitis. [Subject and Methods] The patient, refractory to treatment with
anti-inflammatory medication, showed pelvic and lumbar pain and joint, muscle, and
functional disorders, which were treated with orthopedic joint mobilization, dry needling,
exercise, and whole-body hyperthermia. [Results] After the treatment, pain relief, normal
joint mobility, improved muscle function, and return to activities of daily living and
competitive sporting activities were recorded. [Conclusion] The literature provides
evidence for the use of joint mobilization techniques; however, no previous studies have
used the same techniques and methods. There is no previous evidence for the use of dry
needling in this pathology. Exercise therapy has a higher level of evidence, and
guidelines with scientific support were followed. This research confirms the effectiveness
of hyperthermia for arthritis. The early stage of ankylosing spondylitis, and the young
age, good overall condition, and cooperative attitude of the patient led to positive
outcomes. In conclusion, a favorable response that promoted the remission of the disease
was observed.
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Affiliation(s)
- José Miguel Tricás-Moreno
- Physiotherapy Research Unit, Faculty of Health Sciences, University of Zaragoza: C/Domingo Miral s/n, 50009, Zaragoza, Spain
| | - María Orosia Lucha-López
- Physiotherapy Research Unit, Faculty of Health Sciences, University of Zaragoza: C/Domingo Miral s/n, 50009, Zaragoza, Spain
| | - Ana Carmen Lucha-López
- Physiotherapy Research Unit, Faculty of Health Sciences, University of Zaragoza: C/Domingo Miral s/n, 50009, Zaragoza, Spain
| | | | - Concepción Vidal-Peracho
- Physiotherapy Research Unit, Department of Endocrinology and Nutrition, Specialty Medical Center Grande Covián, Spain
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Alghadir AH, Gabr SA, Al-Eisa E. Cellular fibronectin response to supervised moderate aerobic training in patients with type 2 diabetes. J Phys Ther Sci 2016; 28:1092-9. [PMID: 27190433 PMCID: PMC4868193 DOI: 10.1589/jpts.28.1092] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2015] [Accepted: 12/18/2015] [Indexed: 12/13/2022] Open
Abstract
[Purpose] Physical activity is one of the most pivotal targets for the prevention and
management of vascular complications, especially endothelial dysfunctions. Cellular
fibronectin is an endothelium-derived protein involved in subendothelial matrix assembly.
Its plasma levels reflect matrix alterations and vessel wall destruction in patients with
type II diabetes. This study investigated the influence of 12 weeks of supervised aerobic
training on cellular fibronectin and its relationship with insulin resistance and body
weight in type II diabetic subjects. [Subjects and Methods] This study included 50 men
with type II diabetes who had a mean age of 48.8 ± 14.6 years and were randomly divided
into two groups: an aerobic exercise group (12 weeks, three 50 minutes sessions per week)
and control group. To examine changes in cellular fibronectin, glycosylated hemoglobin,
insulin resistance, fasting insulin, fasting blood sugar, and lipid profile, 5 ml of blood
was taken from the brachial vein of patients before and 48 hours after completion of the
exercise period and after 12 hours of fasting at rest. Data analysis was performed using
the SPSS-16 software with the independent and paired t-tests. [Results] A significant
decrease was observed in body mass index and body fat percentage in the experimental
group. Compared with the control group, the aerobic exercise group showed a significant
decrease in cellular fibronectin, glycosylated hemoglobin, insulin resistance, fasting
insulin, fasting blood sugar, and lipid profile after 12 weeks of aerobic exercise. The
change in cellular fibronectin showed positive significant correlation with body mass
index, diabetic biomarkers, and physical activity level. [Conclusion] The results showed
that supervised aerobic exercise as a stimulus can change the levels of cellular
fibronectin as matrix metalloproteinase protein a long with improvement of insulin
sensitivity and glycosylated hemoglobin in order to prevent cardiovascular diseases in men
with diabetes
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Affiliation(s)
- Ahmad H Alghadir
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, KSA
| | - Sami A Gabr
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, KSA; Department of Anatomy, Faculty of Medicine, Mansoura University, Egypt
| | - Einas Al-Eisa
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, KSA
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Grbovic V, Jurisic-Skevin A, Djukic S, Stefanović S, Nurkovic J. Comparative analysis of the effects combined physical procedures and alpha-lipoic acid on the electroneurographic parameters of patients with distal sensorimotor diabetic polyneuropathy. J Phys Ther Sci 2016; 28:432-7. [PMID: 27065527 PMCID: PMC4792985 DOI: 10.1589/jpts.28.432] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2015] [Accepted: 10/30/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] Painful diabetic polyneuropathy occurs as a complication in 16% of all patients
with diabetes mellitus. [Subjects and Methods] A clinical, prospective open-label
randomized intervention study was conducted of 60 adult patients, with distal sensorimotor
diabetic neuropathy two groups of 30 patients, with diabetes mellitus type 2 with distal
sensorimotor diabetic neuropathy. Patients in group A were treated with combined physical
procedures, and patients in group B were treated with alpha lipoic acid. [Results] There
where a statistically significant improvements in terminal latency and the amplitude of
the action potential in group A patients, while group B patients showed a statistically
significant improvements in conduction velocity and terminal latency of n. peroneus. Group
A patients showed a statistically significant improvements in conduction velocity and
terminal latency, while group B patients also showed a statistically significant
improvements in conduction velocity and terminal latency. This was reflected in a
significant improvements in electrophysiological parameters (conduction velocity,
amplitude and latency) of the motor and sensory nerves (n. peroneus, n. suralis).
[Conclusion] These results present further evidence justifying of the use of physical
agents in the treatment of diabetic sensorimotor polyneuropathy.
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Affiliation(s)
- Vesna Grbovic
- Center for Physical Medicine and Rehabilitation, Clinical Center Kragujevac, Serbia
| | - Aleksandra Jurisic-Skevin
- Center for Physical Medicine and Rehabilitation, Clinical Center Kragujevac, Serbia; Faculty of Medical Sciences, University of Kragujevac, Serbia
| | - Svetlana Djukic
- Faculty of Medical Sciences, University of Kragujevac, Serbia
| | | | - Jasmin Nurkovic
- Center for Physical Medicine and Rehabilitation, Clinical Center Kragujevac, Serbia; Department of Biomedical Sciences, State University of Novi Pazar, Serbia
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Çolak TK, Acar G, Dereli EE, Özgül B, Demirbüken İ, Alkaç Ç, Polat MG. Association between the physical activity level and the quality of life of patients with type 2 diabetes mellitus. J Phys Ther Sci 2016; 28:142-7. [PMID: 26957746 PMCID: PMC4755992 DOI: 10.1589/jpts.28.142] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2015] [Accepted: 10/14/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] Physical activity and regular exercise play an important role in glycemic control, which is considered an important part of the treatment of type 2 diabetes mellitus. This study evaluated physical activity level and its relationship with quality of life in patients with type 2 diabetes mellitus. [Subjects and Methods] We evaluated 129 subjects with type 2 diabetes mellitus through a face-to-face interview using the short version of the International Physical Activity Questionnaire and Diabetes-39. Demographic data, diabetes symptoms, time of initial diagnosis, and treatment procedure/approaches were recorded. [Results] Of the study subjects, 51 (39.5%) had low, 67 had moderate (51.9%), and 11 (8.5%) had high activity levels. The mean weekly sitting duration was 302 minutes. The mean weekly walking time was 231.7 minutes. Except for the "diabetes control" domain, scores for all the subgroups and the total score in the quality-of-life assessment had a statistically significant negative correlation with physical activity level. [Discussion] Physical inactivity negatively affects the quality of life of diabetic patients. A planned exercise education program and incorporation of exercise into the lifestyle can improve the quality of life of patients with type 2 diabetes mellitus.
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Affiliation(s)
- Tuğba Kuru Çolak
- Department of Physiotherapy and Rehabilitation, Faculty of
Health Sciences, Marmara University,
Turkey
| | - Gönül Acar
- Department of Physiotherapy and Rehabilitation, Faculty of
Health Sciences, Marmara University,
Turkey
| | - E. Elçin Dereli
- Department of Physiotherapy and Rehabilitation, School of
Health Sciences, Istanbul Bilgi University, Turkey
| | - Bahar Özgül
- Department of Physiotherapy and Rehabilitation, Faculty of
Health Sciences, Marmara University,
Turkey
| | - İlkşan Demirbüken
- Department of Physiotherapy and Rehabilitation, Faculty of
Health Sciences, Marmara University,
Turkey
| | - Çiğdem Alkaç
- Department of Internal Medicine, Istanbul Haydarpaşa Numune
Training and Research Hospital, Turkey
| | - M. Gülden Polat
- Department of Physiotherapy and Rehabilitation, Faculty of
Health Sciences, Marmara University,
Turkey
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Liu Y, Liu SX, Cai Y, Xie KL, Zhang WL, Zheng F. Effects of combined aerobic and resistance training on the glycolipid metabolism and inflammation levels in type 2 diabetes mellitus. J Phys Ther Sci 2015; 27:2365-71. [PMID: 26311110 PMCID: PMC4540883 DOI: 10.1589/jpts.27.2365] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2015] [Accepted: 04/18/2015] [Indexed: 12/26/2022] Open
Abstract
[Purpose] To investigate the effects of combined aerobic and resistance training on glycolipid metabolism and inflammation levels in type 2 diabetes mellitus patients. [Subjects and Methods] Forty-two diabetes patients were randomized to the conventional therapy group (n = 20) or intensive therapy group (n = 22). The control group contained 20 healthy people. The conventional therapy group received routine drug therapy and diet control, while the intensive therapy group additionally underwent combined aerobic and resistance training for 12 weeks. The oral glucose tolerance test and cardiopulmonary exercise testing were performed. Toll-like receptor 4 and NF-κBp65 protein and mRNA expressions were determined by qPCR and western blotting. ELISA was used to determine the expression levels of interleukin-18, interleukin-33, pentraxin-related protein 3, and human cartilage glycoprotein 39. [Results] After exercise training, the intensive therapy group had significantly lower postprandial blood glucose, postprandial insulin, and glycated hemoglobin level and insulin resistance index than the conventional therapy group. The intensive therapy group had significantly lower toll-like receptor 4 and NF-κBp65 protein and mRNA expressions, and serum interleukin-18 levels but significantly higher serum interleukin-33 levels. [Conclusion] Combined aerobic and resistance training can improve glycolipid metabolism and reduce low-grade inflammation in patients with diabetes mellitus patients.
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Affiliation(s)
- Yuan Liu
- Cardiac Rehabilitation Center, Department of
Rehabilitation, Xiangya Hospital, Central South University, China
| | - Sui-xin Liu
- Cardiac Rehabilitation Center, Department of
Rehabilitation, Xiangya Hospital, Central South University, China
| | - Ying Cai
- Cardiac Rehabilitation Center, Department of
Rehabilitation, Xiangya Hospital, Central South University, China
| | - Kang-ling Xie
- Cardiac Rehabilitation Center, Department of
Rehabilitation, Xiangya Hospital, Central South University, China
| | - Wen-liang Zhang
- Cardiac Rehabilitation Center, Department of
Rehabilitation, Xiangya Hospital, Central South University, China
| | - Fan Zheng
- Cardiac Rehabilitation Center, Department of
Rehabilitation, Xiangya Hospital, Central South University, China
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Tunkamnerdthai O, Auvichayapat P, Donsom M, Leelayuwat N. Improvement of pulmonary function with arm swing exercise in patients with type 2 diabetes. J Phys Ther Sci 2015; 27:649-54. [PMID: 25931700 PMCID: PMC4395684 DOI: 10.1589/jpts.27.649] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2014] [Accepted: 10/10/2014] [Indexed: 11/24/2022] Open
Abstract
[Purpose] Obesity and hyperglycemia play roles in the impairment of pulmonary function in
type 2 diabetes mellitus (T2DM) patients. Low-intensity exercise is known to reduce body
fat and improve hyperglycemia. The arm swing exercise (ASE), a low-intensity exercise, is
easy and convenient to perform without any equipment and is suitable for daily practice.
Therefore, we aimed to investigate the effects of ASE on lung function and obesity in
overweight T2DM patients. [Subjects and Methods] Twenty-four subjects continued their
daily life routines for 8 weeks (control period), and then performed ASE for 8 weeks (30
minutes per day, 3 days per week) (ASE period). Pulmonary function tests were performed,
and fasting blood glucose, haemoglobin A1c (HbA1c), lipid profiles, high-sensitive
C-reactive protein (HSCRP), insulin concentration, and anthropometric parameters were
measured before and after each period. [Results] After the ASE period, the forced vital
capacity, forced expiratory volume in the first second of expiration, and maximal
voluntary ventilation were increased when compared with after the control period. HbA1c, a
low-density lipoprotein, malondialdehyde, oxidized glutathione, and the percent body fat
were significantly decreased when compared with after the control period. However, other
parameters, such as lung volume, anthropometric parameters, and fasting blood glucose,
insulin, high-density lipoprotein, triglycerides, total cholesterol and glutathione
concentrations, showed no differences between the two periods. [Conclusion] These data
suggest that there is improvement of pulmonary functions in T2DM patients after ASE
training.
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Affiliation(s)
- Orathai Tunkamnerdthai
- Department of Physiology, Faculty of Medicine, Khon Kaen University, Thailand ; Exercise and Sport Sciences Research and Development Group, Faculty of Medicine, Khon Kaen University, Thailand
| | | | - Montana Donsom
- Queen Sirikit Heart Center of the Northeast, Faculty of Medicine, Khon Kaen University, Thailand
| | - Naruemon Leelayuwat
- Department of Physiology, Faculty of Medicine, Khon Kaen University, Thailand ; Exercise and Sport Sciences Research and Development Group, Faculty of Medicine, Khon Kaen University, Thailand
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Grabara M, Szopa J. Effects of hatha yoga exercises on spine flexibility in women over 50 years old. J Phys Ther Sci 2015; 27:361-5. [PMID: 25729168 PMCID: PMC4339138 DOI: 10.1589/jpts.27.361] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2014] [Accepted: 08/24/2014] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The aim of this study was to access the flexibility of the spine in women
practicing yoga as a part of the “University for Health” project. [Subjects and Methods]
The study included 56 women ranging in age between 50–79 and attending 90 minutes hatha
yoga sessions once a week. The measurements were performed twice-at the beginning of the
project and after its completion, i.e., after 20 weeks of classes. The range of spine
mobility in three planes was measured using a Rippstein plurimeter. The range of motion in
the sagittal and frontal planes was measured in a standing position with the feet
hip-width apart. The torsional range of motion of the subjects was measured with the trunk
bent at a right angle and the legs apart. The flexibility ranges of the spine and
hamstrings were also measured by the toe-touch test in a standing position. [Results] This
study showed that the applied yoga exercises increased spinal mobility and flexibility of
the hamstring muscles regardless of age. [Conclusion] Yoga exercises should be recommended
to the elderly to make their muscles more flexible and to increase the range of motion in
the joints, which is particularly important for improving their life quality.
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Affiliation(s)
- Małgorzata Grabara
- Department of Recreation, The Jerzy Kukuczka Academy of Physical Education: Mikolowska Street 72a, Poland
| | - Janusz Szopa
- Department of Recreation, The Jerzy Kukuczka Academy of Physical Education: Mikolowska Street 72a, Poland
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