Exercise Prescription In Rehabilitation Research Articles

Analysis of prescription compliance and influencing factors in cardiac rehabilitation after surgery in children with congenital heart disease based on generalized trust theory.

To understand the compliance, influencing factors, and action path of family cardiac rehabilitation exercise prescriptions for children after congenital heart disease surgery. A random sampling method was used to select 200 paediatric patients and their parents from a paediatric hospital in Shanghai. Among them, 57 cases (28.5%) of children's families followed the cardiac rehabilitation exercise prescription. Path analysis showed that peak oxygen uptake exerted a negative impact on the compliance of family cardiac-rehabilitation prescriptions for patients after congenital heart disease surgery through doctor-patient trust, with a standardized path coefficient of -0.246 (P = 0.001). Disease-related knowledge exerted a positive effect on the compliance of family cardiac-rehabilitation prescriptions for children after congenital heart surgery through doctor-patient trust, with a standardized path coefficient of 0.353 (P < 0.001). The dimension of friend support in social support had a direct positive effect on the compliance of family cardiac-rehabilitation prescriptions for children after cardiac surgery, with a standardized path coefficient of 0.641 (P = 0.006). The compliance of cardiac rehabilitation exercise prescription in children with congenital heart disease is not good and is affected by many factors, and there is a complex path relationship between various factors; the kilogram oxygen consumption of the child, the disease-related knowledge of the caregiver, and social support all play important roles in the compliance of the child's family's health prescription. ChiCTR2200062022.

Comparison of Forward and Reverse Wingate Anaerobic Tests: A Brief Technical Note.

BackgroundThe Wingate anaerobic test (WAT) is traditionally performed in the forward pedaling direction on a cycle ergometer. However, reverse (backward) pedaling during a WAT test may be a novel way to convey meaningful information related to performance and rehabilitation. This study compared peak power measurements between 30-second forward pedaling WAT (FWAT) with a 30-second reverse pedaling WAT (RWAT).Methods10 male and 10 female participants (age 27.6 ± 7.31 yrs, mass 74.9 ± 21.3 kg and height 172.6 ± 10.9 cm) volunteered to participate. Participants performed one FWAT and one RWAT at 7.5% of body mass on a specially modified Monark cycle ergometer. Tests were separated 2 days of rest. Peak power output (PPO), mean power output (MPO), relative PPO (RPPO), relative MPO (RMPO), fatigue index (%FI), and rating of perceived exertion (RPE) were measured.ResultsThe FWAT power measurements were all significantly greater (p < 0.05) than RWAT power measurements except MPO (p > 0.05); and that RPE was significantly greater (p < 0.05) in FWAT than RWAT. Specifically, FWAT vs. RWAT (M ± SD) are as follows: PPO watts (w) = 731.7 ± 237.1 vs. 529.6 ± 192.2; RPPO w/kg = 10.2 ± 2.3 vs. 7.2 ± 1.6; MPO w = 510.2 ± 162.1 vs. 415.1 ± 146.2; RMPO w/kg = 7.3 ± 1.5 vs. 5.8 ± 1.3; %FI = 49.2 ± 8.7 vs. 37.4 ± 13.7; and RPE = 19.4 ± 1.1 vs. 15.8 ± 1.5. Gender did not impact the relative differences in these relationships.ConclusionPractitioners and clinicians may use this information to begin to understand the power and perceived exertion relationships of forward versus reverse pedaling during a WAT; exercise prescription for rehabilitation and performance may benefit.

The use of periodized exercise prescription in rehabilitation: a systematic scoping review of literature

Objective: To describe the use of periodized exercise prescription with patients in the context of rehabilitation. Data source: The following databases were searched: The Cochrane Central Register of Controlled Trials, MEDLINE, PubMed, CINAHL, ScienceDirect, PEDro, Web of Science, SPORTDiscus, SAGE and Google Scholar. Databases were searched from inception to March 2018. Results: The literature search yielded 1772 articles with 1755 being excluded leaving 17 articles in total for the full review. Methodological quality and internal validity of the included papers were lacking. The included studies failed to indicate in which phase rehabilitation had occurred. Programme structure relating to the use of a familiarization phase, sequencing of exercises and structuring of specific phases (i.e. macrocycle, mesocycle and microcycle) was not present and lacked consistency across the board. Conclusion: Periodization models of exercise prescription are being used within a variety of population groups in the rehabilitation setting. Integration of periodization principles into a rehabilitation programme still however remains a challenge. Although there is a lack of consistency with regard to the structure and implementation of a periodized model of exercise prescription in the rehabilitation context, it seems to be an alternative way in which to prescribe exercise within the rehabilitation setting.

The Usefulness of the Rate Pressure Product (RPP) for Cardiac Rehabilitation Exercise Prescription

The Usefulness of the Rate Pressure Product (RPP) for Cardiac Rehabilitation Exercise Prescription

Pulmonary Rehabilitation Exercise Prescription in Chronic Obstructive Pulmonary Disease: Review of Selected Guidelines: AN OFFICIAL STATEMENT FROM THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION.

Chronic obstructive pulmonary disease (COPD) is associated with disabling dyspnea, skeletal muscle dysfunction, and significant morbidity and mortality. Current guidelines recommend pulmonary rehabilitation (PR) to improve dyspnea, functional capacity, and quality of life. Translating exercise science into safe and effective exercise training requires interpretation and use of multiple guidelines and recommendations. The purpose of this statement is to summarize for clinicians 3 current chronic obstructive pulmonary disease guidelines for exercise that may be used to develop exercise prescriptions in the PR setting. The 3 guidelines have been published by the American College of Sports Medicine, the American Thoracic Society/European Respiratory Society, and the American Association of Cardiovascular and Pulmonary Rehabilitation. In addition to summarizing these 3 guidelines, this statement describes clinical applications, explores areas of uncertainty, and suggests strategies for providing effective exercise training, given the diversity of guidelines and patient complexity.

Effects of rehabilitation management on gastric emptying function in older adults with diabetes

The relationship between gastric emptying dysfunction and blood glucose concentration in elderly with type 2 diabetes mellitus was investigated, and the effect of rehabilitation exercise prescription training on gastric emptying in the geriatric diabetic patients was evaluated. A total of 160 older type 2 diabetic adults and 30 cases of non-diabetic patients were studied with regard to the gastric half emptying time (GET1/2) of solid meals radiolabelled with 99mTc. Eighty delayed gastric emptying diabetic patients were randomly divided into 4 four groups: rehabilitation exercise + mosapride group (N = 20), rehabilitation exercise group (N = 20), mosapride group (N = 20), and control group (N = 20). The level of blood glucose was measured every six months in a two-year follow-up. The solid GET1/2 of regulated blood glycemic control patients showed no statistically significant differences from non-diabetic patients (P > 0.05). However, the value for poor blood glycemic control patients exhibited significant statistical differences compared with both non-diabetic (P < 0.01) and regulated blood glycemic control group patients (P < 0.01). It showed that the gastric emptying time improved in the rehabilitation exercise group, mosapride group and rehabilitation exercise group + mosapride group after two years of treatment (P < 0.05). Fasting blood glucose in both rehabilitation exercise group and rehabilitation exercise + mosapride group was significantly decreased. Postprandial blood glucose in the rehabilitation exercise group, mosapride group, rehabilitation exercise group + mosapride group was significantly decreased. High blood glucose level can delay gastric emptying in older type 2 diabetic patients. Gastric emptying and blood glucose control affect each other. It was shown that appropriate rehabilitation exercise combined with prokinetic agent may improve gastric emptying in some geriatric type 2 diabetic patients and help control their blood glucose.

Pulmonary Rehabilitation Exercise Prescription in Chronic Obstructive Lung Disease

Chronic obstructive pulmonary disease is a common, progressive disorder associated with disabling symptoms, skeletal muscle dysfunction, and substantial morbidity and mortality. Current national guidelines recommend pulmonary rehabilitation (PR) to improve dyspnea, functional capacity, and quality of life. Many PR exercise programs are based on guidelines from the American College of Sports Medicine. Recommendations have also been published by the American Association of Cardiovascular and Pulmonary Rehabilitation and the American Thoracic Society. Translating exercise science into effective training and clinical care requires interpretation and the use of diverse national PR guidelines and recommendations. Pulmonary rehabilitation clinicians often vary in their education and background, with most nurses and respiratory care practitioners lacking formal training in exercise physiology. Patients often have comorbidities that may further complicate exercise provision and prescription. This article describes the results of an informal, nonscientific survey of the American Association of Cardiovascular and Pulmonary Rehabilitation members exploring current PR exercise prescription practices as a basis for discussion and reviews current national exercise recommendations for chronic obstructive pulmonary disease. Further, it describes areas of uncertainty regarding exercise prescription in PR and suggests strategies for providing effective exercise training, given the diversity of guidelines, clinician preparedness, and patient complexity.

Workshop

This workshop is directly related to the model presented in the Groin Symposium – “Demystifying the Groin”. The focus of the workshop is for registrants to understand the eight subgroup classifications and tailor treatment appropriately. It will allow registrants to utilize clinical reasoning in the application of this model to objective assessment and treatment of groin pathology. In this workshop, the presenter will demonstrate appropriate objective examination related to groin pathology. Manual application of treatment will also be displayed as will subgroup appropriate exercise prescription for rehabilitation. Practically there will be demonstration of myofascial release techniques, targeted mobilization, the do's and do not's related to stretching etc. Registrants can expect to gain an understanding of how treatment and return to sport guidelines will alter dependent on subgroup categorization.

Functional Rehabilitation Exercise Prescription for Golfers

Functional Rehabilitation Exercise Prescription for Golfers

Net excitation of the motor unit pool varies with load type during fatiguing contractions

To identify the underlying physiological mechanisms for the difference in the time to failure for two types of fatiguing contractions, 20 subjects performed force and position tasks with the elbow flexor muscles at a comparable net muscle torque for a similar duration. Prior to terminating each task, blood flow was occluded to estimate the relative amount of feedback transmitted by small-diameter afferents to the spinal cord. Mean arterial pressure at the conclusion of the fatiguing contraction increased similarly for the two tasks (force: 119% +/- 14%; position: 114% +/- 15%). However, the final values for the electromyographic activity for the elbow flexor muscles (26% +/- 14% and 21% +/- 11%, respectively; P < 0.05), and the increase in the fluctuations in acceleration and force (225% +/- 152% and 154% +/- 53%, respectively; P < 0.05) in the sagittal plane, were significantly greater during the position task compared with the force task. These results suggest a different balance in the excitatory and inhibitory inputs to the spinal motor neurons for the two tasks, which has implications for the design of work tasks and exercise prescription in rehabilitation.