Assessment Of Physical Performance Research Articles

Objectively Measured Physical Activity in Patients with Coronary Artery Disease: A Cross-Validation Study.

Physical activity (PA) and sedentary behavior (SB) levels in healthy adults are predominately based on self-reporting measures, which generally overestimate PA but underestimate SB. Patients with coronary artery disease (CAD) eligible for cardiac rehabilitation (CR) follow an individualized program; thus, objective assessment of physical performance and regular daily activity is required. This study aimed to compare self-reported and objectively measured PA and SB in patients with CAD prior to out-patient CR. We included 91 patients with CAD and assessed their PA with an accelerometer for 8 days prior to CR, along with the short form of the international physical activity questionnaire. We found that most patients were sedentary (61%, ~8 h/day), and on average performed 63 min/day of moderate-to-vigorous-intensity physical activity (MVPA). Males performed less daily light-intensity physical activity (−5%, p = 0.011) and performed more MVPA (+2%, p = 0.002) compared to females. Maximal aerobic capacity was significantly associated with MVPA (Spearman rho = 0.483, p < 0.001) and MVPA > 10 min bouts (Spearman rho = 0.391, p < 0.001). Self-reported measures overestimated MVPA (total MVPA, +108 min/day, p < 0.001; MVPA > 10 min bouts, +152 min, p < 0.001) and underestimated SB (−174 min/day, p < 0.001) compared to objective measures. There was no significant correlation between methods in MVPA (Spearman rho = 0.147, p = 0.165)), MVPA > 10 min bouts (Spearman rho = −0.059, p = 576), and SB (Spearman rho = 0.139, p = 0.187). Quantitative analysis demonstrated the huge proportional bias for MVPA, MVPA > 10 min bouts, and SB. Our findings demonstrate that self-reported physical activity provides inaccurate estimates of MVPA and SB in patients with CAD entering the ambulatory CR. This strongly supports the more objective assessments of daily PA, preferably using an accelerometer.

Hospitalization is associated with handgrip strength decline in older adults: a longitudinal study

Hospitalization episodes in older people are considered critical events because they act in a complex interaction among immobilization effects. The purpose of this study was to evaluate the effects of hospitalization on older adults' handgrip strength (HGS) and to identify factors related to its performance on the test. A cohort study was conducted in a hospital in Natal, Brazil, and enrolled all patients aged 60years and older between January 2014, and April 2015.Cognitive (Leganés Cognitive Test) and functional status (Katz Index, Lawton Scale and Functional limitation Nagi), physical performance (HGS and gait speed) and depressive symptom assessment (GDS-15) were evaluated at admission and discharge time, as well as information about health and functional status prior to hospitalization. Linear Mixed Models were used to create a predictive model for handgrip strength. A total of 1168 hospitalized older adults were evaluated. A significant decrease in HGS means was observed between admission and discharge time for men (28.12 ± 10.35 and 20.22 ± 14.08 Kgf, p < 0.01) and for women (19.18 ± 7.87 and 14.88 ± 9.79 Kgf, p < 0.01). Undergoing surgery and basal values of the Katz Index were associated with worse HGS performance at discharge. A significant decline in handgrip strength during the hospitalization period was observed, which was more pronounced in men. Performing surgery during hospitalization was an important factor for HGS decline in men and women. This study reinforces the importance of early mobilization and muscle strength loss prevention protocols in hospitalized older patients.

Assessment of Physical Therapy Students Performance during Clinical Practice

Aim: To assess the clinical performance of (DPT) students in Lahore by using assessment of physical therapist practice questionnaire (APP). Methodology: A descriptive cross sectional survey was conducted by using simple random sampling technique. Total 91 students of final year DPT among Lahore were selected for this study. 60% of the students from each college were enrolled. The data was collected by using the standardized questionnaire named assessment of physical therapy questionnaire (APP). Whole information was kept confidential. The data was analyzed by SPSS 23. Results: Results showed that global rating score at APP questionnaire was 62.4% (57 out of 91) reflecting overall good performance during the clinical rotation, 18.68% (17 out of 91) students present satisfactory results ranges, 14.29% (13 out of 91) present acceptable performance and 4.40 % ( 4 out of 91) students showed inappreciable performance. There mean age of 91 students were 21.25 with standard deviation 0.9236. The Pearson chi square test p=0.948, p &lt;0.005. It reveals that there is no significant variation between gender and overall performance of students during clinical rotation Conclusion: This study concluded that maximum final year DPT students showed good performance during clinical practice, indicated that curriculum for DPT students is good enough to make student professionally competent. Key words: Clinical practice, APP questionnaire and DPT students

Physical Performance Assessment in Adolescents with Autonomic Dysfunction

This work is based on the results of a study of assessing physical performance in adolescents with autonomic dysfunctions, depending on gender and the presence of perinatal pathology in the anamnesis. We examined 243 adolescents 12-18 years old with clinically and laboratory-instrumental confirmed dysfunction of the autonomic nervous system - autonomic dystonia syndrome (ADS). The average age of the clinical manifestation of ADS in girls was 12.2 ± 1.8 years, in boys - 13.5 ± 2.1 years. As a result of the study, it was revealed that adolescents with perinatal pathology are less hardy than adolescents without a history of perinatal pathology.

Coaches’ Assessment of Players Physical Performance: Subjective and Objective Measures are needed when Profiling Players

ABSTRACT This mixed methods study aimed to assess the agreement between coaches ranking of youth rugby league players compared against objective physical performance data and gather coaches’ subjective descriptions of their players performance. Five hundred and eight male rugby league players (U16 n = 255, U18 n = 253) completed a fitness testing battery of anthropometric and physical performance measures. Subsequently, 22 rugby (n = 11) and strength and conditioning (S&C) coaches (n = 11) ranked each player’s physical qualities using a 4-point Likert scale (1 – top 25%; 2–25–50%; 3–50–75%; and 4 – bottom 25%) and described their performance. U16 S&C coaches displayed fair agreement when assessing players body mass (39.3%, κ = 0.20). U18 rugby coaches demonstrated fair agreement for strength and size (42.5%, κ = 0.23) and body mass (48.7%, κ = 0.31) whilst both U18 rugby and S&C coaches showed fair agreement levels for endurance (39.8%, κ = 0.25, 44.3%, κ = 0.29), respectively. Three higher-order themes were identified from coaches’ descriptions of players including physical, rugby and attitude characteristics when evaluating performance. Overall, coaches cannot accurately assess players physical performance against fitness testing data. Though, findings suggest coaches adopt a multidimensional approach when evaluating players performance. Practitioners within talent development systems should utilise both objective and subjective assessments when making decisions regarding players performance. Highlights Rugby and S&C coaches cannot accurately assess all aspects of players physical performance. The greatest assessment agreement was for body mass, strength and size, and endurance, while the poorest were for strength, acceleration, and maximum speed. Rugby and S&C coaches considered rugby, physical and attitude attributes when evaluating players. Findings highlight the complex nature of physical profiling. Subjective and objective measures are required to provide an accurate description of players physical performance.

Reliability of Virtual Physical Performance Assessments in Veterans During the COVID-19 Pandemic

ObjectiveTo determine the reliability of 3 physical performance tests performed via a telehealth visit (30-s arm curls test, 30-s chair stand test, 2-min step test) among community-dwelling older veterans. DesignCross sectional study. SettingVirtual. ParticipantsVeterans (N=55; mean age 75y) who enrolled in Gerofit, a virtual group exercise program. InterventionsNot applicable. Main Outcome MeasuresParticipants were tested by 2 different assessors at 1 time point. The intraclass correlation coefficient (ICC) with 95% confidence intervals and Bland-Altman plots were used as measures of reliability. To assess generalizability, ICCs were further evaluated by health conditions (type 2 diabetes, arthritis, obesity, depression). ResultsAssessments were conducted among 55 participants. The ICC was above 0.98 for all 3 tests across health conditions and Bland-Altman plots indicated that there were no significant systematic errors in the measurement. ConclusionsThe virtual physical performance measures appear to have high reliability and the findings are generalizable across health conditions among veterans. Thus, they are reliable for evaluating physical performance in older veterans in virtual settings.

Correlates of night-time and exercise-associated lower limb cramps in healthy adults.

We explored correlates of night-time and exercise-associated lower limb cramps in participants of the 1000 Norms Project. A volunteer community sample of healthy people aged ≥18 y underwent assessment of motor function and physical performance, and were questioned about muscle cramps in the previous 3mo. Of 491 (221 female) participants age 18-101 y (mean: 59.12; SD: 18.03), about 1 in 3 experienced night-time lower limb cramps, and about 1 in 4 experienced exercise-associated lower limb cramps. For night-cramps, a one unit increase in Beighton score (greater whole-body flexibility) was associated with a 31% reduced odds of cramps (odds ratio [OR]=0.69, 95% confidence interval [CI]:0.45, 0.99) and passing all three lesser-toe strength tests was associated with 50% reduced odds of cramps (OR=0.50, 95% CI: 0.32, 0.78). For exercise-associated cramps, participants in the fourth (lowest arch) quartile of Foot Posture Index were 2.1 times (95% CI: 1.11, 3.95) more likely to experience cramps than participants in the first (highest arch) quartile. Odds of experiencing both types of cramps versus no cramps were lower with passing all three lesser-toe strength tests (OR=0.40, 95% CI: 0.19, 0.85) and better performance in the six-minute walk test (OR=0.997, 95% CI: 0.996, 0.998). People who experienced both exercise-associated and night-time cramps were less functional. The association between night-time cramps with less whole-body flexibility and reduced lesser-toe flexor strength should be explored to determine causation. Planovalgus (low-arched) foot type was independently associated with exercise-associated cramps. The effectiveness of foot orthoses for secondary prevention of exercise-associated cramps in people with low-arched feet should be explored.

Neoadjuvant prehabilitation therapy for locally advanced non-small-cell lung cancer: Optimizing outcomes throughout the trajectory of care.

e20545 Background: Prehabilitation is well established for improving outcomes in cancer surgery. Combining prehabilitation with neoadjuvant treatments may provide an opportunity to rapidly initiate cancer-directed therapy while improving functional status in preparation for local consolidation. In this proof-of-concept study, we analyzed non-small-cell lung cancer patients who underwent simultaneous prehabilitation and neoadjuvant therapy. Methods: We retrospectively analyzed all patients who underwent neoadjuvant treatment for non-small-cell lung cancer followed by curative intent surgery at the McGill University Health Center between 2015-2020. Patients who were screened for the prehabilitation program were identified. Screening included assessment of physical performance, nutritional status and signs for anxiety and depression. 6-minute-walk test was used as a functional outcome parameter of prehabilitation. Results: We identified a total of 93 patients who underwent neoadjuvant therapy. Of these, 12 patients were screened to undergo a prehabilitation program. For 1 patient surgical intervention was too soon to complete the program, 1 patient dropped out after the first and another patient was deemed fit to undergo surgery without intervention. Thus, 9 patients completed full neoadjuvant prehabilitation therapy. Postoperative median length of stay was 2 days (IQR 1-5) and there were no mortalities. We found major complications in 1 patient and minor complications (prolonged air leak) in 2 cases. Patients improved their 6-minute-walk test despite undergoing neoadjuvant treatment by a mean of 35 meters (SD 39). Conclusions: Neoadjuvant prehabilitation therapy is feasible and associated with encouraging results. The performance of all measures remains a logistic challenge. With multimodal strategies for lung cancer treatment becoming key to optimal outcomes, neoadjuvant prehabilitation therapy is a concept worthy of prospective multi-center evaluation.

Singapore multidisciplinary consensus recommendations on muscle health in older adults: assessment and multimodal targeted intervention across the continuum of care

BackgroundThe rapidly aging societies worldwide and in Singapore present a unique challenge, requiring an integrated multidisciplinary approach to address high-value targets such as muscle health. We propose pragmatic evidence-based multidisciplinary consensus recommendations for the assessment and multi-modal management of muscle health in older adults (≥65 years) across the continuum of care.MethodsThe recommendations are derived from an in-depth review of published literature by a multidisciplinary working group with clinical experience in the care of the older population in both acute and community settings.ResultsThe panel recommends screening for muscle impairment using the SARC-F questionnaire, followed by assessment for low muscle strength (handgrip strength or 5-times chair stand test ≥10 s as a surrogate for lower limb strength) to diagnose possible/probable sarcopenia. For uncomplicated cases, lifestyle modifications in exercise and diet can be initiated in the community setting without further assessment. Where indicated, individuals diagnosed with possible/probable sarcopenia should undergo further assessment.Diagnosis of sarcopenia should be based on low muscle strength and low muscle mass (bioimpedance analysis, dual-energy X-ray absorptiometry or calf circumference as a surrogate). The severity of sarcopenia should be determined by assessment of physical performance (gait speed or 5-times chair stand test ≥12 s as a surrogate for gait speed). To treat sarcopenia, we recommend a combination of progressive resistance-based exercise training and optimization of nutritional intake (energy, protein and functional ingredients). High quality protein in sufficient quantity, to overcome anabolic resistance in older adults, and distributed throughout the day to enable maximum muscle protein synthesis, is essential. The addition of resistance-based exercise training is synergistic in improving the sensitivity of muscle protein synthesis response to the provision of amino acids and reducing anabolic resistance. An expected dose-response relationship between the intensity of resistance-based training, lean mass and muscle strength is described.ConclusionsReviewed and endorsed by the Society of Rehabilitation Medicine Singapore and the Singapore Nutrition and Dietetics Association, these multidisciplinary consensus recommendations can provide guidance in the formulation of comprehensive and pragmatic management plans to improve muscle health in older adults in Singapore and Asia.

Comparison of Human Interpretation and a Rule-Based Algorithm for Instrumented Sit-to-Stand Test.

BackgroundThe five times sit-to-stand test (5STS) is one of the most commonly used tests to assess the physical performance of lower extremities. This study assessed the correlation between human interpretation (5STShuman) and a rule-based algorithm (5STSrule) using instrumented 5STS with two sensors.MethodsWe analyzed clinical records of 148 patients who visited the geriatric outpatient clinic of Asan Medical Center between December 2020 and March 2021 and underwent physical performance assessment using the electronic Short Physical Performance Battery (eSPPB) protocol. For STS, time-weight and time-distance curves were constructed using a loadcell and light detection and ranging (LiDAR). We manually assessed the grids of these curves to calculate 5STShuman, while 5STSrule used an empirical rule-based algorithm. ResultsIn the study population, the mean 5STShuman and 5STSrule times, i.e., 12.2±0.4 and 11.4±0.4 seconds, respectively, did not differ significantly (p=0.232). Linear regression analysis showed that 5STShuman and 5STSrule were positively correlated (β=0.99, R2=0.99). The measures also did not differ (p=0.381) in classifying sarcopenia according to the Asian Working Group Society criteria, with C-indices of 0.826 for 5STShuman and 0.820 for 5STSrule.ConclusionAn empirical rule-based algorithm correlated with human-interpreted 5STS and had comparable classification ability for sarcopenia.

Prospective, Multicenter Evaluation of a Polyherbal Supplement alongside Standard-of-Care Treatment for Mild Knee Osteoarthritis.

Background This study aimed to provide clinical information on general and joint performance from individuals taking Tregocel® (containing curcuminoid and extracts of the herbs Harpagophytum procumbens, Boswellia serrata, Apium graveolens, and Zingiber officinale) alongside a standard therapy of symptomatic mild knee osteoarthritis (OA). Methods This was a multicenter, open-label, prospective, single-arm study, in which Tregocel® was supplemented for 36 weeks. Participants with symptomatic mild knee OA requiring pharmacologic treatment for pain were enrolled. Physical performance (6-minute walk test, WOMAC-pain and functional domain, and heel-thigh distance flexion test), general performance (WOMAC questionnaire), and VAS (Visual Analogue Scale) assessment of knee pain, as well as anti-inflammatory and analgesic medication consumption, were assessed. Results Between January and April 2019, 107 participants were enrolled and analysed in per protocol population. Mean age was 59.7 (SD 10.8) years, and there were 68.2% women. Mean observation time was 291.1 (SD 7.7) days. Mean increase in 6MWT result observed at the end of the study was 26.0 (SD 30.4) m (p < 0.001). Median VAS score decreased from 60.0 (IQR 50–72) mm at the beginning of the study to 21.0 (IQR 14–30) mm after 36 weeks of product administration (p < 0.001). Regular knee OA medications were taken in 99.1% of subjects at baseline decreasing to 55.1% at the end of the Tregocel® supplementation. Conclusions During Tregocel® supplementation, participants observed improved functional capacity confirmed in the distance in 6MWT and in the heel-thigh distance flexion test, decreased level of pain, and improved WOMAC scores for all domains.

Preoperative paraspinous muscle sarcopenia and physical performance as prognostic indicators in non-small-cell lung cancer.

BackgroundDespite the associations of both preoperative sarcopenia and physical performance with post‐operative mortality in non‐small‐cell lung cancer (NSCLC), there have been no comprehensive studies of the impact of physical status on prognosis. This study was performed to investigate the prognostic significance of preoperative sarcopenia and physical performance in NSCLC.MethodsThis retrospective cohort study was performed in NSCLS patients undergoing curative lung resection at a university hospital between January 2014 and December 2017. The patients were divided into four groups according to the skeletal muscle index [sarcopenia (lowest sex‐specific tertile) and non‐sarcopenia] and 6 min walking distance (6MWD) [short distance (<400 m) and long distance (≥400 m)]. Sarcopenia was assessed by preoperative cross‐sectional areas of right and left paraspinous muscles at the level of the 12th thoracic vertebra from computed tomography images, and physical performance was determined by preoperative 6MWD. The primary and secondary endpoints were post‐operative overall survival (OS) and disease‐free survival (DFS).ResultsThe 587 patients [mean age: 68.5 ± 8.8 years, 399 men (68%)] included in the study were divided into the non‐sarcopenia/long‐distance group (58%), sarcopenia/long‐distance group (26%), non‐sarcopenia/short‐distance group (9%), and sarcopenia/short‐distance group (7%). A total of 109 (18.6%) deaths and 209 (35.6%) combined endpoints were observed over a mean follow‐up of 3.1 ± 1.3 years. After adjusting for other covariates, the sarcopenia/short‐distance group showed significant associations with shorter OS (hazard ratio, 3.38; 95% confidence interval, 1.79–6.37; P < 0.001) and DFS (hazard ratio, 2.11; 95% confidence, 1.27–3.51; P = 0.004) compared with the non‐sarcopenia/long‐distance group on multivariate analyses. Although not significant, adding skeletal muscle index and 6MWD to the pre‐existing risk model increased the area under the curve on time‐dependent receiver operating characteristic curve analysis for OS and DFS, except within 2 years of surgery.ConclusionsThe presence of both preoperative paraspinous muscle sarcopenia and short distance in 6MWD had an adverse effect on post‐operative prognosis in patients with NSCLC, suggesting that preoperative assessment of thoracic sarcopenia and physical performance may be useful for risk stratification of surgical candidates with potential for targeted interventions.

The Association Between Injurious Falls and Older Adults' Cognitive Function: The Role of Depressive Mood and Physical Performance.

BackgroundThe impact of falls on cognitive function is unclear. We explored whether injurious falls are associated with cognitive decline in older adults, and evaluated the role of changes in psychological and physical health as mediators of such association.MethodsThis prospective study involved 2267 community-dwelling participants in the Swedish National study on Aging and Care in Kungsholmen (≥60 years). Data on injurious falls (ie, falls requiring medical attention) during each 3-year time interval of follow-up were obtained from national registers. Assessment of cognitive function (Mini-Mental State Examination), depressive mood (Montgomery-Åsberg Depression Rating Scale), and physical performance (walking speed) were carried out every 3 or 6 years over a 12-year follow-up. The association between falls and cognition was estimated through linear mixed-effects models, and the mediating role of changes in depressive mood and physical performance was tested using mediation analysis.ResultsAfter adjusting for potential confounders, individuals who experienced injurious falls had a greater annual decline in Mini-Mental State Examination in the subsequent time interval (β = −1.49, 95% CI: −1.84; −1.13), than those who did not. The association increased with the occurrence of ≥2 falls (β = −2.13, 95% CI: −2.70; −1.56). Worsening of walking speed and depressive mood explained around 26% and 8%, respectively, of the association between falls and cognitive decline.ConclusionsInjurious falls are associated with greater cognitive decline, and this association is partly mediated by worsening of physical performance and, in a lesser extent, of depressive mood. These findings suggest that physical deficits and low mood are potential therapeutic targets for mitigating the association between falls and cognitive decline.

Varied speeds of video demonstration do not influence the learning of a dance skill.

The effects of slow-motion and real time video speed demonstration, under mixed-modeling conditions (skilled model plus self-observation), were examined to identify whether there was an optimal demonstration speed, or combination thereof, for learning the dance pirouette en dehors skill. Fifty-one participants were randomly assigned to one of three groups with different video demonstration speeds: (1) slow-motion, (2) real-time, or (3) a combination of slow-motion and real-time. Following a pre-test, participants completed eight blocks of nine training trials (comprised of five physical and four observational practice trials). Physical performance and cognitive representation assessments revealed that participants' scores significantly improved for both assessments throughout acquisition (p's<0.05), as well as from pre- to post-test (p's<0.001), indicating learning of the skill. There were no significant differences, however, between the three experimental groups. These findings suggest that both real-time and slow-motion video demonstration, or their combined presentation, do not yield differences in motor learning outcomes related to the pirouette en dehors.

Feasibility and impact of a 1-minute daily functional exercise regimen prescribed to older adults by their primary care physician.

Despite the inverse relationship between physical activity (PA) and physical function, few older adults achieve PA recommendations. In response to observations that "lack of time" underlies reduced PA among older adults, recent work suggests even short bouts of PA can improve health and fitness. In addition, because they are frequently visited by older adults, an important conduit for PA promotion could be the primary care physician (PCP). However, most PCPs receive little training related to PA, rendering it difficult for them to offer meaningful counseling. Therefore, we explored the feasibility and impact of a PCP-prescribed one-minute daily functional exercise program, consisting of 30s each of bodyweight push-ups and squats, among 24 patients 60years of age or older. 42% of patients who were contacted started the exercise prescription and, over 24-weeks, completed approximately 114 sessions, while 75% completed at least half of the possible daily exercise sessions. As a group, the patients demonstrated increases in both maximal push-up and squat performance, though these increases plateaued following week-12. These preliminary results suggest that a PCP prescription of one-minute of daily functional exercise among older adult patients was feasible, acceptable, and effective for improving functional physical fitness. Given these findings, formal controlled research with recruitment from multiple clinics, random assignment to treatment conditions, and blinded assessments of objective functional physical performance should be pursued.

Вплив секційних занять з волейболу з комплексним використанням засобів спортивних ігор на функціональний стан студентів-юнаків 18-19 років в умовах закладу вищої освіти

The article presents the indicators of the functional state of male students in the process of sectional lessons in volleyball in a higher educational institution. Young men 18-19 years old from Zaporozhye State University took part in the experiment, they were engaged in volleyball in sectional classes. In contrast to the control group, in which the classes were conducted according to the traditional program, in the experimental group - according to the experimental program with the complex use of sports games. The goal was to scientifically substantiate an experimental program of sectional volleyball classes to improve the functional state of male students of a higher educational institution on the basis of the integrated use of sports games. The object of the research is the process of physical education of male students of higher educational institutions. The subject of the research is the influence of the experimental program of sectional lessons in volleyball on the functional state of male students of a higher educational institution. Research methods: analysis and generalization of scientific and methodological literature and documentary materials; pedagogical observation; pedagogical experiment; assessment of physical performance and aerobic capacity according to the PWC170 submaximal test; a package of computer programs for express assessment of the functional state of the cardiovascular and respiratory systems, physical health of students (computer programs «SHVSM» and «OVEREG», methods of mathematical statistics. The main task of the study: to assess the effectiveness of the influence of the experimental program of sectional volleyball lessons with complex use means of sports games for young students aged 18-19 years of higher educational institution on the functional state The analysis of the results of the experiment, in which the influence of the experimental program of sectional optional volleyball lessons with the integrated use of basketball and handball means for young students was studied, testified to rather high prospects of the proposed by us approach to improve the system of sectional elective classes in a higher educational institution.

Validation of the Russian version of the Fugl-Meyer Assessment of Physical Performance for assessment of patients with post-stroke paresis

To perform linguistic and cultural adaptation of the Fugl-Meyer Assessment of Physical Performance. The study for assessment of psychometric properties included 53 post-stroke patients with neurological deficit presented by hemiparesis of different severity. The patients were assessed twice: at admission and after 14 days of treatment and rehabilitation procedures. The Russian version of the Fugl-Meyer Assessment of Physical Performance was developed with consideration of language and cultural characteristics. Results of assessment of psychometric properties of the Russian-language version show its high validity, reliability and sensitivity. The developed Russian-language version of Fugl-Meyer Assessment of Physical Performance is recommended for using by neurologists and rehabilitation specialists both in everyday clinical practice and in clinical studies of patients with post-stroke paresis. The results obtained in the study show necessity for pre-training of specialists who perform assessment of patients with post-stroke paresis using the Fugl-Meyer Assessment of Physical Performance.

Physical Performance Assessments of Strength and Power in Women Collegiate Athletes

Physical Performance Assessments of Strength and Power in Women Collegiate Athletes

The use of non-traditional health system in physical culture by taijiquan

In the article the impact of regular taijiquan practice on the health level of people of different ages is considered. The practical experience of teachers of martial arts school „Peresvit‟ and scientific researches with the use of east sports and health technologies are analyzed and generalized. They will allow effectively and purposefully to improve physical, mental and spiritual health of human, applying various forms and methods of physical education, which will contribute to the formation of sustainable motivation for a healthy lifestyle. The pedagogical research was conducted from September, 14 to November 20, 2020 on the basis of the „All-Ukrainian Federation of Free Fight and Contact Martial Arts in Mixed Martial Arts‟. Except of physical education and involvement in the sports culture, people find new friends, gain knowledge about healthy lifestyles, the peculiarities of relationships between people, the life values, that help in solving problems outside the gym, and, as a result, improve health level, strengthen confidence in their own abilities and become healthy and successful people. Every year the federation conducts sports and health activities for school students in various picturesque places of Ukraine and the world, where everyone can demonstrate their results. And the best students have the opportunity to visit the legend, wrapped by the legends, the abode of the spirit of Martial Arts - the Shaolin Temple. A woman (n = 10) aged 30-35 years took part in the pedagogical experiment. The control measurement took place simultaneously for all participants. According to the internship program, a training program was developed, which included classes for two months on a schedule of Monday, Wednesday and Saturday for 1 hour and 30 minutes. The work plan is as follows: study and practice of basic exercises and basic movements of taijiquan; breathing and meditation in taijuan and tea ceremonies; performance of previously developed and studied movements in the complex; watching the movie "The Grandmaster". This technique and its application is aimed at the formation of basic physical and mental qualities, the impact on certain functional systems of the body, the activation of their backup capabilities and aims to expand knowledge on the construction of training sessions with different groups of the population, regardless of their knowledge in the field of physical education and sports and the ability to form a training load by means of taijiquan. After the training course, a pedagogical study was conducted in the direction of: anthropometric data (weight, height, age); risk assessment of cardiovascular diseases, authors Zapisochny A.Z, Dushanin S.A. 1980 (physical activity, ideal weight, blood pressure, etc.); assessment of physical performance by Ruffier test.

Pain and functional outcomes in adult survivors of childhood cancer: A report from the St. Jude Lifetime Cohort study.

Although survivors of childhood cancer are at risk of chronic pain, the impact of pain on daily functioning is not well understood. A total of 2836 survivors (mean age, 32.2 years [SD, 8.5 years]; mean time since diagnosis, 23.7 years [SD, 8.2 years]) and 343 noncancer community controls (mean age, 35.5 years [SD, 10.2 years]) underwent comprehensive medical, neurocognitive, and physical performance assessments, and completed measures of pain, health-related quality of life (HRQOL), and social functioning. Multinomial logistic regression models, using odds ratios and 95% confidence intervals (95% CIs), examined associations between diagnosis, treatment exposures, chronic health conditions, and pain. Relative risks (RRs) between pain and neurocognition, physical performance, social functioning, and HRQOL were examined using modified Poisson regression. Approximately 18% of survivors (95% CI, 16.1%-18.9%) versus 8% of controls (95% CI, 5.0%-10.9%) reported moderate to very severe pain with moderate to extreme daily interference (P < .001). Severe and life-threatening chronic health conditions were associated with an increased likelihood of pain with interference (odds ratio, 2.03; 95% CI, 1.62-2.54). Pain with daily interference was found to be associated with an increased risk of impaired neurocognition (attention: RR, 1.88 [95% CI, 1.46-2.41]; and memory: RR, 1.65 [95% CI, 1.25-2.17]), physical functioning (aerobic capacity: RR, 2.29 [95% CI, 1.84-2.84]; and mobility: RR, 1.71 [95% CI, 1.42-2.06]), social functioning (inability to hold a job and/or attend school: RR, 4.46 [95% CI, 3.45-5.76]; and assistance with routine and/or personal care needs: RR, 5.64 [95% CI, 3.92-8.10]), and HRQOL (physical: RR, 6.34 [95% CI, 5.04-7.98]; and emotional: RR, 2.83 [95% CI, 2.28-3.50]). Survivors of childhood cancer are at risk of pain and associated functional impairments. Survivors should be screened routinely for pain and interventions targeting pain interference are needed.