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Lisón JF, García-Herreros S, Ricart B, Godoy EJ, Nozal S, Cotolí-Suarez P, Jordán-López J, Amer-Cuenca JJ, Salvador-Coloma P. Ultrasound Measurements and Physical Fitness of Elite Youth Basketball Players. Int J Sports Med 2023. [PMID: 36446604 DOI: 10.1055/a-1989-9602] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
The countermovement jump, the V-cut test, the muscle thickness and the adjacent subcutaneous fat thickness of the gastrocnemius medialis and rectus femoris are important physiological indicators for success in basketball. The aims of this study were to evaluate between-age-category and between-gender differences in these indicators and examine the relationships between physical tests and ultrasound measurements. The measurements were recorded in a sample of 131 elite basketball players (66 males) who played in three age-categories (U14, U16, or U18). We performed two-way analysis of covariance tests and age-adjusted partial correlation analyses. U16 and U18 males showed better performance in the countermovement jump and V-cut tests and lower adjacent subcutaneous fat thickness of the gastrocnemius medialis and rectus femoris compared to the U14 males (p≤.001) and to age-category equivalent female players (p≤.001). Comparisons between the age categories in females did not show significant differences in any of the study variables. Adjacent subcutaneous fat thickness of the gastrocnemius medialis explained 22.3% of the variation for the countermovement jump result and 12.9% of the variation for the V-cut result in males (p<.01). This study is the first to show the association and predictive role of subcutaneous fat thickness measured by ultrasound in physical performance of male and female elite youth basketball players.
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Affiliation(s)
- Juan Francisco Lisón
- Department of Biomedical Sciences, Faculty of Health Sciences, University CEU Cardenal Herrera, CEU Universities, Alfara del Patriarca, Spain.,CIBER of Physiopathology of Obesity and Nutrition CIBERobn, CB06/03 Carlos III Health Institute, Madrid, Spain
| | - Sergio García-Herreros
- Dawako Medtech, S.L. - Dpto. Medical Imaging (Ultrasound).,Physiotherapy, Faculty of Physiotherapy, Universitat de Valencia, Valencia, Spain
| | - Borja Ricart
- Physical Education and Sports Department, University of Valencia, Valencia, Spain.,Alqueria LAB, Valencia Basket, Valencia, Spain
| | - Eduardo Jorge Godoy
- Dawako Medtech, S.L. - Dpto. Medical Imaging (Ultrasound).,Computational Multiscale Simulation Lab, Department of Computer Science, Universitat de Valencia, Valencia, Spain
| | - Sara Nozal
- Dawako Medtech, S.L. - Dpto. Medical Imaging (Ultrasound)
| | - Pedro Cotolí-Suarez
- Physical Education and Sports Department, University of Valencia, Valencia, Spain.,Alqueria LAB, Valencia Basket, Valencia, Spain
| | - Jaime Jordán-López
- Department of Biomedical Sciences, Faculty of Health Sciences, University CEU Cardenal Herrera, CEU Universities, Alfara del Patriarca, Spain
| | - Juan José Amer-Cuenca
- Department of Nursing and Physiotherapy, Faculty of Health Sciences, University CEU Cardenal Herrera, CEU Universities, Alfara del Patriarca, Spain
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García-Gollarte F, Mora-Concepción A, Pinazo-Hernandis S, Segura-Ortí E, Amer-Cuenca JJ, Arguisuelas-Martínez MD, Lisón JF, Benavent-Caballer V. Effectiveness of a Supervised Group-Based Otago Exercise Program on Functional Performance in Frail Institutionalized Older Adults: A Multicenter Randomized Controlled Trial. J Geriatr Phys Ther 2023; 46:15-25. [PMID: 34417416 DOI: 10.1519/jpt.0000000000000326] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
BACKGROUND AND PURPOSE Because of its high prevalence and association with negative health-related outcomes, frailty is considered one of the most important issues associated with human aging and its mitigation is among the essential public health goals for the 21st century. However, very few studies have focused on institutionalized older adults, despite the knowledge that frailty can be reversible when identified and treated from its earliest stages. Therefore, the objective of this study was to evaluate the effects of a supervised group-based multicomponent exercise program intervention with or without oral nutritional supplementation on functional performance in frail institutionalized older adults. METHODS This was a multicenter randomized controlled trial study with a 6-month intervention period. A total of 111 frail institutionalized older adults (75 years or older) who met at least 3 of the 5 Fried frailty criteria were randomly allocated to the control group (CG; n = 34, mean age = 87.3 ± 5.3 years), a supervised group-based multicomponent Otago Exercise Program group (OEP; n = 39, mean age = 86 ± 5.9 years), or a supervised group-based multicomponent exercise program intervention with oral nutritional supplementation (OEP+N; n = 38, mean age = 84.9 ± 6 years). Measurements included the Timed Up and Go test (TUG), Berg Balance Scale (BBS), Short Physical Performance Battery, repeated chair stand test (STS-5), handgrip strength (HGS), 10-m walking test, and 6-minute walking test, both at baseline and after the 6-month intervention period. RESULTS AND DISCUSSION The between-group analysis by 2-way analysis of covariance showed significant improvement in the TUG [{OEP vs CG: -8.2 seconds, 95% CI [-13.3 to -2.9]; P < .001}; {OEP vs OEP+N: -7.3 seconds, 95% CI [-12.4 to -2.2]; P = .002}], BBS [{OEP vs CG; 8.2 points, 95% CI [5.2 to 11.2]; P < .001}; [{OEP+N vs CG: 4.6 points, 95% CI [1.6 to 7.6]; P < .001}; {OEP vs OEP+N: 3.5 points, 95% CI [0.6 to 6.5]; P = .011}], and HGS [{OEP vs CG: 3.4 kg, 95% CI [1.5 to 5.3]; P < .001}; {OEP+N vs CG: 3.6 kg, 95% CI [1.7 to 5.5]; P < .001}]. Additionally, the within-group analysis showed a significant improvement in the TUG (-6.9 seconds, 95% CI [-9.8 to -4.0]; P < .001) and BBS (4.3 points, 95% CI [2.6 to 5.9]; P < .001) in the OEP group. A significant decrease in the BBS and HGS was shown in the CG. CONCLUSIONS A 6-month supervised group-based multicomponent exercise intervention improved the levels of mobility, functional balance, and HGS in frail institutionalized older adults. Further research will be required to evaluate the nutritional supplementation effects on functional performance to better determine its clinical applicability for tackling frailty.
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Affiliation(s)
| | | | | | - Eva Segura-Ortí
- Department of Physical Therapy, University CEU Cardenal Herrera, CEU Universities, Valencia, Spain
| | - Juan José Amer-Cuenca
- Department of Physical Therapy, University CEU Cardenal Herrera, CEU Universities, Valencia, Spain
| | | | - Juan Francisco Lisón
- Department of Biomedical Sciences, University CEU Cardenal Herrera, CEU Universities, Valencia, Spain
- Centro de Investigación Biomédica en Red Fisiopatología Obesidad y Nutrición, Instituto Carlos III, Madrid, Spain
| | - Vicent Benavent-Caballer
- Department of Physical Therapy, University CEU Cardenal Herrera, CEU Universities, Valencia, Spain
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Moltó IN, Albiach JP, Amer-Cuenca JJ, Segura-Ortí E, Gabriel W, Martínez-Gramage J. Wearable Sensors Detect Differences between the Sexes in Lower Limb Electromyographic Activity and Pelvis 3D Kinematics during Running. Sensors (Basel) 2020; 20:E6478. [PMID: 33198427 PMCID: PMC7697594 DOI: 10.3390/s20226478] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Revised: 11/09/2020] [Accepted: 11/10/2020] [Indexed: 12/18/2022]
Abstract
Each year, 50% of runners suffer from injuries. Consequently, more studies are being published about running biomechanics; these studies identify factors that can help prevent injuries. Scientific evidence suggests that recreational runners should use personalized biomechanical training plans, not only to improve their performance, but also to prevent injuries caused by the inability of amateur athletes to tolerate increased loads, and/or because of poor form. This study provides an overview of the different normative patterns of lower limb muscle activation and articular ranges of the pelvis during running, at self-selected speeds, in men and women. METHODS 38 healthy runners aged 18 to 49 years were included in this work. We examined eight muscles by applying two wearable superficial electromyography sensors and an inertial sensor for three-dimensional (3D) pelvis kinematics. RESULTS the largest differences were obtained for gluteus maximus activation in the first double float phase (p = 0.013) and second stance phase (p = 0.003), as well as in the gluteus medius in the second stance phase (p = 0.028). In both cases, the activation distribution was more homogeneous in men and presented significantly lower values than those obtained for women. In addition, there was a significantly higher percentage of total vastus medialis activation in women throughout the running cycle with the median (25th-75th percentile) for women being 12.50% (9.25-14) and 10% (9-12) for men. Women also had a greater range of pelvis rotation during running at self-selected speeds (p = 0.011). CONCLUSIONS understanding the differences between men and women, in terms of muscle activation and pelvic kinematic values, could be especially useful to allow health professionals detect athletes who may be at risk of injury.
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Affiliation(s)
- Iván Nacher Moltó
- Department of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, 46113 Valencia, Spain; (J.J.A.-C.); (E.S.-O.); (J.M.-G.)
| | - Juan Pardo Albiach
- Embedded Systems and Artificial Intelligence Group, Universidad Cardenal Herrera-CEU, CEU Universities, 46113 Alfara del Patriarca, Spain;
| | - Juan José Amer-Cuenca
- Department of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, 46113 Valencia, Spain; (J.J.A.-C.); (E.S.-O.); (J.M.-G.)
| | - Eva Segura-Ortí
- Department of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, 46113 Valencia, Spain; (J.J.A.-C.); (E.S.-O.); (J.M.-G.)
| | - Willig Gabriel
- Laboratorio de Investigaciones Biomecánicas, Cátedra de Anatomía Funcional y Biomecánica, Universidad de Buenos Aires, Buenos Aires 1107, Argentina;
| | - Javier Martínez-Gramage
- Department of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, 46113 Valencia, Spain; (J.J.A.-C.); (E.S.-O.); (J.M.-G.)
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Martínez-Gramage J, Albiach JP, Moltó IN, Amer-Cuenca JJ, Huesa Moreno V, Segura-Ortí E. A Random Forest Machine Learning Framework to Reduce Running Injuries in Young Triathletes. Sensors (Basel) 2020; 20:s20216388. [PMID: 33182357 PMCID: PMC7664858 DOI: 10.3390/s20216388] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Revised: 10/27/2020] [Accepted: 11/06/2020] [Indexed: 12/31/2022]
Abstract
Background: The running segment of a triathlon produces 70% of the lower limb injuries. Previous research has shown a clear association between kinematic patterns and specific injuries during running. Methods: After completing a seven-month gait retraining program, a questionnaire was used to assess 19 triathletes for the incidence of injuries. They were also biomechanically analyzed at the beginning and end of the program while running at a speed of 90% of their maximum aerobic speed (MAS) using surface sensor dynamic electromyography and kinematic analysis. We used classification tree (random forest) techniques from the field of artificial intelligence to identify linear and non-linear relationships between different biomechanical patterns and injuries to identify which styles best prevent injuries. Results: Fewer injuries occurred after completing the program, with athletes showing less pelvic fall and greater activation in gluteus medius during the first phase of the float phase, with increased trunk extension, knee flexion, and decreased ankle dorsiflexion during the initial contact with the ground. Conclusions: The triathletes who had suffered the most injuries ran with increased pelvic drop and less activation in gluteus medius during the first phase of the float phase. Contralateral pelvic drop seems to be an important variable in the incidence of injuries in young triathletes.
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Affiliation(s)
- Javier Martínez-Gramage
- Department of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, 46115 Valencia, Spain; (I.N.M.); (J.J.A.-C.); (E.S.-O.)
- Correspondence: ; Tel.: +34-617024366
| | - Juan Pardo Albiach
- Embedded Systems and Artificial Intelligence Group, Universidad Cardenal Herrera-CEU, CEU Universities, 46115 Valencia, Spain;
| | - Iván Nacher Moltó
- Department of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, 46115 Valencia, Spain; (I.N.M.); (J.J.A.-C.); (E.S.-O.)
| | - Juan José Amer-Cuenca
- Department of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, 46115 Valencia, Spain; (I.N.M.); (J.J.A.-C.); (E.S.-O.)
| | - Vanessa Huesa Moreno
- Triathlon Technification Program, Federación Triatlón Comunidad Valencian, 46940 Manises, Spain;
| | - Eva Segura-Ortí
- Department of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, 46115 Valencia, Spain; (I.N.M.); (J.J.A.-C.); (E.S.-O.)
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Terzic M, Aimagambetova G, Norton M, Della Corte L, Marín-Buck A, Lisón JF, Amer-Cuenca JJ, Zito G, Garzon S, Caruso S, Rapisarda AMC, Cianci A. Scoring systems for the evaluation of adnexal masses nature: current knowledge and clinical applications. J OBSTET GYNAECOL 2020; 41:340-347. [PMID: 32347750 DOI: 10.1080/01443615.2020.1732892] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Adnexal masses are a common finding in women, with 20% of them developing at least one pelvic mass during their lifetime. There are more than 30 different subtypes of adnexal tumours, with multiple different subcategories, and the correct characterisation of the pelvic masses is of paramount importance to guide the correct management. On that basis, different algorithms and scoring systems have been developed to guide the clinical assessment. The first scoring system implemented into the clinical practice was the Risk of Malignancy Index, which combines ultrasound evaluation, menopausal status, and serum CA-125 levels. Today, current guidelines regarding female patients with adnexal masses include the application of International Ovarian Tumours Analysis simple rules, logistic regression model 1 (LR1) and LR2, OVERA, cancer ovarii non-invasive assessment of treating strategy, and assessment of Different Neoplasias in the adnexa. In this scenario, the choice of the scoring system for the discrimination between benign and malignant ovarian tumours can be complex when approaching patients with adnexal masses. This review aims to summarise the available evidence regarding the different scoring systems to provide a complete overview of the topic.
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Affiliation(s)
- Milan Terzic
- Department of Medicine, Nazarbayev University School of Medicine, Astana, Kazakhstan.,Department of Obstetrics and Gynecology, National Research Center of Mother and Child Health, University Medical Center, Astana, Kazakhstan.,Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - Gulzhanat Aimagambetova
- Department of Biomedical Sciences, Nazarbayev University School of Medicine, Astana, Kazakhstan
| | - Melanie Norton
- Department of Urogynaecology, Whittington Hospital, London, UK
| | - Luigi Della Corte
- Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy
| | - Alejandro Marín-Buck
- Department of Surgery, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.,Department of Gynecology, Hospital Provincial de Castellón, Castellón, Spain
| | - Juan Francisco Lisón
- Department of Medicine, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.,CIBER of Physiopathology of Obesity and Nutrition CIBERobn, CB06/03 Carlos III Health Institute, Madrid, Spain
| | - Juan José Amer-Cuenca
- Department of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain
| | - Gabriella Zito
- Department of Obstetrics and Gynecology, Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy
| | - Simone Garzon
- Department of Obstetrics and Gynecology, "Filippo Del Ponte" Hospital, University of Insubria, Varese, Italy
| | - Salvatore Caruso
- Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy
| | - Agnese Maria Chiara Rapisarda
- Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy
| | - Antonio Cianci
- Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy
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Segura-Orti E, Martínez-Olmos FJ, Ortega-Perez L, Gómez-Conesa A, Amer-Cuenca JJ, Valtueña-Gimeno N, Meléndez-Oliva E, Martínez-Gramage J, García-Testal A, Montañez-Aguilera J, Arguisuelas-Martínez D, Benavent-Caballer V, Salvador-Coloma P, Ferrer-Sargues F, Biviá-Roig G, Ferrer-Salvá A, Gil-Gómez JA. SP421VIRTUAL REALITY EXERCISE DURING HEMODIALYSIS TO IMPROVE HEALTH RELATED QUALITY OF LIFE: RANDOMIZED CONTROLLED TRIAL. Nephrol Dial Transplant 2019. [DOI: 10.1093/ndt/gfz103.sp421] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Eva Segura-Orti
- Universidad CEU Cardenal Herrera - Campus Moncada, Moncada, Spain
| | | | | | | | | | | | | | | | | | | | | | | | | | | | - Gemma Biviá-Roig
- Universidad CEU Cardenal Herrera - Campus Moncada, Moncada, Spain
| | - Ana Ferrer-Salvá
- Universidad CEU Cardenal Herrera - Campus Moncada, Moncada, Spain
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Ortega-Pérez de Villar L, Martínez-Olmos FJ, Junqué-Jiménez A, Amer-Cuenca JJ, Martínez-Gramage J, Mercer T, Segura-Ortí E. Test-retest reliability and minimal detectable change scores for the short physical performance battery, one-legged standing test and timed up and go test in patients undergoing hemodialysis. PLoS One 2018; 13:e0201035. [PMID: 30133445 PMCID: PMC6104925 DOI: 10.1371/journal.pone.0201035] [Citation(s) in RCA: 58] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2017] [Accepted: 07/06/2018] [Indexed: 12/11/2022] Open
Abstract
Functional tests are commonly used for chronic kidney disease (CKD) patients undergoing hemodialysis (HD). However, the relative and absolute reliability of such physical performance-outcome assessments must first be determined in specific patient cohorts. The aims of this study were to assess the relative and the absolute reliability of the Short Physical Performance Battery (SPPB), One-Legged Stance Test (OLST), and Timed Up and Go (TUG) test, as well as the minimal detectable change (MDC) scores for these tests in CKD patients receiving HD. Seventy-one end-stage CKD patients receiving HD therapy, aged between 21 and 90 years, participated in the study. The patients completed two testing sessions one to two weeks apart and performed by the same examiner, comprising the following tests: the SPPB (n = 65), OLST (n = 62), and TUG test (n = 66). High intraclass correlation coefficients (≥0.90) were found for all the tests, suggesting that their relative reliability is excellent. The MDC scores for the 90% confidence intervals were as follows: 1.7 points for the SPPB, 11.3 seconds for the OLST, and 2.9 seconds for the TUG test. The reliability of the SPPB, OLST, and TUG test for this sample were all considered to be acceptable. The MDC data generated by these tests can be used to monitor meaningful changes in the functional capacity of the daily living-related activity of CKD patients on HD.
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Affiliation(s)
| | | | - Anna Junqué-Jiménez
- Nephrology Department, Hospital de Terrassa, Consorci Sanitari Terrassa, Terrassa, Spain
| | - Juan José Amer-Cuenca
- Department of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain
| | - Javier Martínez-Gramage
- Department of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain
| | - Tom Mercer
- Centre for Health, Activity and Rehabilitation Research School of Health Sciences, Queen Margaret University, Musselburgh, Edinburgh
| | - Eva Segura-Ortí
- Department of Physiotherapy, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain
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Benavent-Caballer V, Sendín-Magdalena A, Lisón JF, Rosado-Calatayud P, Amer-Cuenca JJ, Salvador-Coloma P, Segura-Ortí E. Physical factors underlying the Timed “Up and Go” test in older adults. Geriatr Nurs 2016; 37:122-7. [DOI: 10.1016/j.gerinurse.2015.11.002] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2015] [Revised: 11/06/2015] [Accepted: 11/16/2015] [Indexed: 12/25/2022]
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9
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Caballer VB, Lisón JF, Rosado-Calatayud P, Amer-Cuenca JJ, Segura-Orti E. Factors associated with the 6-minute walk test in nursing home residents and community-dwelling older adults. J Phys Ther Sci 2015; 27:3571-8. [PMID: 26696740 PMCID: PMC4681947 DOI: 10.1589/jpts.27.3571] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2015] [Accepted: 08/24/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The main objective of this study was to determine the contributions and extent
to which certain physical measurements explain performance in the 6-minute walk test in
healthy older adults living in a geriatric nursing home and for older adults dwelling in
the community. [Subjects] The subjects were 122 adults aged 65 and older with no cognitive
impairment who were independent in their daily activities. [Methods] The 6-minute walk
test, age, body mass index, walking speed, chair stand test, Berg Balance Scale, Timed
Up-and-Go test, rectus femoris cross-sectional area, Short Physical Performance Battery,
and hand-grip strength were examined. [Results] Strong significant associations were found
between mobility, lower-limb function, balance, and the 6-minute walk test. A stepwise
multiple regression on the entire sample showed that lower-limb function was a significant
and independent predictor for the 6-minute walk test. Additionally, lower-limb function
was a strong predictor for the 6-minute walk test in our nursing home group, whereas
mobility was found to be the best predictor in our community-dwelling group. [Conclusion]
Better lower-limb function, balance, and mobility result in a higher distance covered by
healthy older adults. Lower-limb function and mobility appeared to best determine walking
performance in the nursing home and community-dwelling groups, respectively.
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Affiliation(s)
| | | | | | | | - Eva Segura-Orti
- Department of Physiotherapy, University Cardenal Herrera-CEU, Spain
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10
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Benavent-Caballer V, Rosado-Calatayud P, Segura-Ortí E, Amer-Cuenca JJ, Lisón JF. The effectiveness of a video-supported group-based Otago exercise programme on physical performance in community-dwelling older adults: a preliminary study. Physiotherapy 2015; 102:280-6. [PMID: 26395209 DOI: 10.1016/j.physio.2015.08.002] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2014] [Accepted: 08/26/2015] [Indexed: 11/18/2022]
Abstract
OBJECTIVES To evaluate the short-term effects of a video-supported group-based Otago exercise programme (OEP) on physical performance variables in independent community-dwelling older adults. DESIGN Preliminary randomized controlled trial. SETTING Local senior centre. PARTICIPANTS Fifty-one adults aged 65 and older with no cognitive impairment. INTERVENTION Participants were randomly allocated to the intervention group (IG) or to the control group (CG). During 4 months, IG participants performed the exercise routine. MEASUREMENTS The primary outcome measure was the Timed 'Up-and-Go' test (TUG). Secondary outcome measurements included functional balance, one-leg balance, lower-limb function and aerobic endurance. All data were collected before and after intervention. RESULTS TUG scores showed a significant reduction in the performance time in the IG compared to CG after intervention [IG 7.5 (2.0) vs CG 8.8 (1.9), mean difference -1.3seconds, 95% confidence interval (CI) of the difference -2.3 to -0.1; P=0.03]. Secondary outcomes also showed a significant improvement in the performance of the functional balance [IG 54.9 (2.5) vs CG 51.4 (5.3), mean difference 3.5 points, 95% CI 1.2 to 5.8; P=0.003], one-leg balance [IG 39.1 (21.6) vs CG 15.6 (12.1), mean difference 23.5seconds, 95% CI 13.3 to 33.7; P<0.001] and lower extremity strength [IG 8.7 (3.8) vs CG 10.9 (3.3), mean difference -2.2seconds, 95% CI -4.2 to -0.1; P=0.035] in the IG compared to CG. CONCLUSION This study shows that, from a short-term perspective, a video-supported group-based OEP programme can significantly improve the levels of mobility, functional balance, one-leg balance and lower extremity strength in community-dwelling older adults. TRIAL REGISTRATION ClincicalTrials.gov ID: NCT02218411.
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Affiliation(s)
| | | | - E Segura-Ortí
- Department of Physiotherapy, University Cardenal Herrera-CEU, Spain.
| | - J J Amer-Cuenca
- Department of Physiotherapy, University Cardenal Herrera-CEU, Spain.
| | - J F Lisón
- Department of Physiotherapy, University Cardenal Herrera-CEU, Spain.
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11
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Benavent-Caballer V, Rosado-Calatayud P, Segura-Ortí E, Amer-Cuenca JJ, Lisón JF. Effects of three different low-intensity exercise interventions on physical performance, muscle CSA and activities of daily living: a randomized controlled trial. Exp Gerontol 2014; 58:159-65. [PMID: 25131453 DOI: 10.1016/j.exger.2014.08.004] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2014] [Revised: 08/05/2014] [Accepted: 08/08/2014] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To evaluate the short-term effects of three different resistance training programs, conducted at low intensity, on physical performance, muscle cross-sectional area (CSA) and the capacity to perform daily tasks in older adults living in a geriatric nursing home. DESIGN Randomized controlled trial, with a 4-month intervention period. SETTING A geriatric nursing home in Valencia, Spain. PARTICIPANTS Eighty-nine adults aged 75 to 96 who were independent in their daily activities. INTERVENTION After a baseline assessment, the participants were randomly assigned to the control group or one of the three intervention groups: volitional contraction (VC; n=22), neuromuscular electrical stimulation (NMES; n=22), or neuromuscular electrical stimulation superimposed onto voluntary contractions (NMES+; n=22). The intervention focused on knee extension exercises and its intensity was set at 40% of one-repetition maximum (1RM). MEASUREMENTS The primary outcome measure was mobility. Secondary outcomes were rectus femoris CSA, balance, aerobic endurance, upper-body strength and the capacity to perform daily tasks. All data were collected at baseline and after the 4-month intervention period. RESULTS The two-way ANOVA analysis showed a significant group×time interaction effect for the mobility (P=.022), rectus femoris CSA (P=.001), and the capacity to perform daily tasks (P=.05). The within-group analysis found a more prominent effect in the NMES+ group. Significant improvements were seen in rectus femoris CSA and the capacity to perform daily tasks in all intervention groups. Mobility only improved in the NMES+ group (P=.026). CONCLUSION From a short-term perspective, NMES+ exercise training, performed at low intensity, can improve physical performance, muscle CSA, and the capacity to perform daily activities, and to partially mitigate age-related consequences in older adults.
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Affiliation(s)
- V Benavent-Caballer
- University Cardenal Herrera-CEU, Department of Physiotherapy, Avda. Seminari s/n., 46113 Moncada, Valencia, Spain.
| | - P Rosado-Calatayud
- University Cardenal Herrera-CEU, Department of Physiotherapy, Avda. Seminari s/n., 46113 Moncada, Valencia, Spain
| | - E Segura-Ortí
- University Cardenal Herrera-CEU, Department of Physiotherapy, Avda. Seminari s/n., 46113 Moncada, Valencia, Spain
| | - J J Amer-Cuenca
- University Cardenal Herrera-CEU, Department of Physiotherapy, Avda. Seminari s/n., 46113 Moncada, Valencia, Spain
| | - J F Lisón
- University Cardenal Herrera-CEU, Department of Physiotherapy, Avda. Seminari s/n., 46113 Moncada, Valencia, Spain
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Amer-Cuenca JJ, Goicoechea C, Girona-López A, Andreu-Plaza JL, Palao-Román R, Martínez-Santa G, Lisón JF. Pain relief by applying transcutaneous electrical nerve stimulation (TENS) during unsedated colonoscopy: a randomized double-blind placebo-controlled trial. Eur J Pain 2010; 15:29-35. [PMID: 20538494 DOI: 10.1016/j.ejpain.2010.05.006] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2010] [Revised: 05/05/2010] [Accepted: 05/10/2010] [Indexed: 01/14/2023]
Abstract
Transcutaneous electrical nerve stimulation (TENS) is a noninvasive alternative to traditional pain treatments. TENS has been studied in the past as a pain reduction modality in colonoscopy with limited success. Reviews and meta-analysis have shown that the inconclusive results of TENS may be due to the lack of randomized controlled trials and the difficulty in defining precise output parameters. The objective of this double-blind randomized placebo-controlled trial was to investigate the pain-relieving effect of a new application of TENS in unsedated screening colonoscopy. Ninety patients undergoing unsedated screening colonoscopy were randomly allocated to one of three groups: a control group (n=30), a group to receive active TENS (n=30), or a group to receive placebo TENS (n=30). A visual analogue scale (VAS) and a five-point Likert scale were used to assess pain 5 min into the procedure and at the end of the procedure. The patient's bloating sensation during colonoscopy and the effect on the duration of the procedure were also evaluated. Throughout the procedure, the active TENS group experienced a VAS pain score reduction ≥50% compared to the placebo TENS group (P<0.001) and the control group (P<0.001). On the five-point Likert scale, there was also a significant reduction in pain score in the active TENS group compared to the placebo TENS and control groups (P=0.009). No significant differences were found between the study groups as to the bloating sensation and the duration of the procedure. We conclude that TENS can be used as a pain relief therapy in unsedated screening colonoscopy.
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Affiliation(s)
- J J Amer-Cuenca
- Departamento de Fisioterapia, Facultad de Ciencias de la Salud, Universidad CEU-Cardenal Herrera, Ed. Seminario s/n, Moncada, Valencia, Spain.
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