Gym Group Research Articles

Effects of Neuromuscular Training on Muscle Architecture, Isometric Force Production, and Stretch-Shortening Cycle Function in Trained Young Female Gymnasts.

Moeskops, S, Oliver, JL, Radnor, JM, Haff, GG, Myer, GD, Ramachandran, AK, Kember, LS, Pedley, JS, and Lloyd, RS. Effects of neuromuscular training on muscle architecture, isometric force production, and stretch-shortening cycle function in trained young female gymnasts. J Strength Cond Res 38(9): 1640-1650, 2024-This study evaluated the effects of a 10-month neuromuscular training (NMT) intervention on muscle architecture, isometric force production, and stretch-shortening cycle (SSC) function. Thirty-seven girls aged 6-12 years were placed into gymnastics + NMT (gNMT; n = 15), gymnastics only (GYM; n = 10), or maturity-matched control (CON; n = 12) groups. The gNMT group followed a 10-month NMT program in addition to gymnastics training, whereas the GYM group only participated in gymnastics training. Isometric midthigh pull (IMTP) and drop jump (DJ) kinetics were measured, in addition to muscle thickness, fascicle length, and pennation angle of the gastrocnemius medialis at baseline and at 4, 7, and 10 months. A 3 × 4 (group × time) repeated-measures ANCOVA (covariate, % predicted adult height) was used to evaluate within-group changes. Significance level was set at p < 0.05. Significant interaction effects were observed in muscle thickness, absolute (PF abs ) and relative peak force (PF rel ) in the IMTP and various DJ variables. The gNMT group demonstrated improvements in muscle thickness, IMTP PF abs and PF rel , and DJ kinetics, most commonly evidenced from 7 months onward. The GYM group's muscle thickness also significantly improved, accompanied by improvements in some DJ kinetics. The CON group did not experience any desirable changes. Overall, NMT elicited positive changes in muscle thickness, PF abs and PF rel , and SSC function to a greater extent than gymnastics training alone or growth and maturation. As most adaptations took 7 months, longer-term NMT programs should be implemented with youth female gymnasts.

The effect of structured brain gym and brisk walking training on the executive functions of university students: a single-blinded randomised controlled trial

ABSTRACT The purpose of the study was to investigate the effect of structured brain gym and brisk walking training on the executive functions (inhibitory control, working memory and cognitive flexibility) of university students. The study was designed as a single-blinded prospective randomised controlled trial with the participation of university students. 42 sedentary university students(18–25 years) joined in the study. The participants were randomly divided into three groups (two intervention groups and one control group): The Structured Brain Gym Group (SBGG), the Brisk Walking Group (BWG) and the Control Group (CG). The interventions consisted of 50-min exercise twice a week for an 8-week period. BWG attended into brisk walking programme as moderate-intensity aerobic exercise; meanwhile, SBGG performed structured brain gym activities. CG did not participate in any regular physical activities during the 8 weeks. Executive function tests (Stroop colour test, forward and backward digit span test, frontal assessment battery and verbal fluency test) were applied to the participants as a pre-test and post-test. Kruskal–Wallis, Wilcoxon test and Mann–Whitney U tests were used in the statistical analyses. According to the statistical analysis, both BWG and SBGG indicated significant improvement in inhibitory control (p < 0.05) and general frontal functions (p < 0.05) following the intervention. However, compared to BWG, the improvement in inhibitory control was better in SBGG. No change was found in working memory and cognitive flexibility in any of the groups. We can recommend that cognitively demanding and fun aerobic exercise tasks can be used to improve young adult’s inhibitory control.

Kesehatan Mental Dan Regulasi Diri Kebiasaan Makan Member Yoga Dan Gym

The productive period for men and women will face many challenges in life, starting from lifestyle, body image, career, quarter life crisis, education which can later lead to stress, anxiety disorders, depression, irregular eating patterns and not paying attention to the type of food consumed. The purpose of this study was to determine mental health and self-regulation of eating habits among yoga and gym members. The method used is descriptive quantitative and purposive sampling technique. The data collection technique uses the Self Reporting Questionnaire 29 questionnaire and the Self-Regulation of Eating Behavior Questionnaire. The results showed that the percentage of mental health in the yoga group in the category of anxiety and depression was 4%, symptoms of PTSD disorder were 4%. While the percentage of mental health results in the gym group with anxiety and depression categories was 23%, symptoms of psychotic disorders were 46%, and symptoms of PTSD disorders were 35%. Meanwhile, the percentage of results of self-regulation of eating habits in the yoga group was in the low category of 4%, medium 65% and high 31%. While the percentage of the results of self-regulation of eating habits in the gym group was in the low category of 8%, medium 58% and high 34%. The conclusion in this study is that the mental health of 20–30-year-old members of yoga is included in the good category and gym is included in the poor category. While the self-regulation of eating habits of yoga and gym members is mostly in the moderate category.

Ab. No. 120 Comparison of Brain Gym and Stretching in Type 2 Diabetes Mellitus Having Short Sleep Duration: A Randomized Clinical Trial

Introduction: Sleep disorders and poor sleep habits are extremely common in adults with Type 2 Diabetes Mellitus. Stretching exercises have shown to improve sleep quality and duration. Brain Gym exercises is a set of exercises which aids in managing sleep by providing mind and body relaxation. The present study aims to compare the effect of Brain Gym exercises and Stretching Exercises in Individuals with Type 2 Diabetes Mellitus having Short Sleep Duration using Pittsburg Sleep Quality Index. Methods: 36 participants were randomly allocated to either Group A or Group B. Group A received Stretching exercises and Group B received Brain Gym exercises. Pittsburg Sleep Quality Index and SF-12 scores were obtained pre and post intervention. Result: In the conducted study, the results indicated noteworthy improvements within both, the Brain Gym group and the stretching group, but there was no significant difference in the level of improvement achieved between the groups. Conclusion: The outcome of this study proposes that both the exercises exhibit notable improvement in sleep duration of the individuals.

Evaluation of the Effectiveness of a Nordic Walking and a Resistance Indoor Training Program: Anthropometric, Body Composition, and Functional Parameters in the Middle-Aged Population

Sedentary behaviors are increasing in the population, so strategies for the increment of physical activity levels are needed. The use of green space seems to be a valid support to be more active. The present study aimed to compare the effectiveness of a period of outdoor training (Nordic walking (NW)) with indoor resistance training (GYM) in a nonclinical population based on anthropometric characteristics, body composition, and functional parameters. This study was conducted on 102 participants (77 middle-aged people performed NW and 25 performed indoor training). Participants were measured twice: at baseline and after three months. Anthropometric measurements (weight, BMI, skinfolds, perimeters), body composition, bioelectrical impedance, vectorial analysis (BIA and BIVA), and physical tests were carried out. A two-way repeated measures analysis of variance (ANOVA) was performed to evaluate the effect of the treatments, groups, and sexes. There were several intervention effects linked to a decrease in fat parameters (such as skinfolds, fat mass, and percentage of fat mass). Considering the type of intervention, NW showed a higher increase in muscle mass and a higher decrease in fat parameters than the GYM group. In conclusion, the two types of training could represent a good way to remain active and prevent sedentary behaviors.

Clinical Implementation of Different Strategies for Exercise-Based Rehabilitation in Kidney and Liver Transplant Recipients: A Pilot Study.

ResumoFundamento:A doença cardiovascular está entre as principais causas de morte entre pacientes transplantados. Embora esses pacientes possam teoricamente se beneficiar de programas de reabilitação baseada em exercícios (RBE), sua implementação ainda é um desafio.Objetivo:Apresentamos nossa experiência inicial em diferentes modos de realização de um programa piloto de RBE em receptores de transplante de rim e fígado.Métodos:Trinta e dois pacientes transplantados renais ou hepáticos foram convidados para um programa de RBE de 6 meses realizado na academia do hospital, na academia comunitária ou em casa, de acordo com a preferência do paciente. O nível de significância adotado foi de 5%.Resultados:Dez pacientes (31%) não completaram o programa. Entre os 22 que completaram, 7 treinaram na academia do hospital, 7 na academia comunitária e 8 em casa. O efeito geral foi um aumento de 11,4% nos METs máximos (tamanho do efeito de Hedges g = 0,39). O grupo de academia hospitalar teve um aumento nos METs de 25,5% (g = 0,58, tamanho de efeito médio) versus 10% (g = 0,25) e 6,5% (g = 0,20) para os grupos de academia comunitária e em casa, respectivamente. Houve efeito benéfico nas pressões arteriais sistólica e diastólica, maior para os grupos academia hospitalar (g= 0,51 e 0,40) e academia comunitária (g= 0,60 e 1,15) do que para os pacientes treinando em casa (g= 0,07 e 0,10). Nenhum evento adverso significativo foi relatado durante o seguimento.Conclusão:Programas de RBE em receptores de transplante de rim e fígado devem ser incentivados, mesmo que sejam realizados fora da academia do hospital, pois são seguros com efeitos positivos na capacidade de exercício e nos fatores de risco cardiovascular.

Effects of a 10-Month Neuromuscular Training Program on Strength, Power, Speed, and Vault Performance in Young Female Gymnasts.

This study aimed to evaluate a 10-month neuromuscular training (NMT) intervention on isometric and dynamic kinetics, standing long jump (SLJ) distance, speed, and sport-specific performance. Forty-three prepubertal female gymnasts were allocated into either a gymnastics + NMT (gNMT; n = 16), gymnastics only (GYM, n = 15), or maturity-matched control (CON; n = 12) group. The gNMT followed a 10-month, twice-weekly NMT program that targeted movement competency, strength, power, and speed. Vaulting vertical take-off velocity, speed, SLJ distance, and kinetics during an isometric mid-thigh pull (IMTP), countermovement jump (CMJ), and drop jump (DJ) were measured at baseline and thereafter at 4, 7, and 10 months. Within-group differences were calculated using 3 × 4 repeated-measures ANCOVA. Interaction effects were observed for SLJ distance and various IMTP, DJ, and vaulting variables. The gNMT showed significant improvements in IMTP absolute force and SLJ distance after 4 months and each subsequent testing session. IMTP relative force and various CMJ and DJ kinetics significantly improved in the gNMT from 7 months. Significant gains in speed and vaulting take-off velocity occurred after 10 months. The GYM group achieved some significant improvements in CMJ impulse, absolute isometric strength, and DJ spring-like behavior, whereas the CON group did not experience any changes. The addition of NMT to gymnastics training improved various isometric and dynamic kinetics, SLJ distance, speed, and vaulting take-off velocity in the gNMT, changes that were not equally evidenced for GYM or CON. The threshold for most of the training-induced adaptations observed in IMTP relative force, CMJ and DJ kinetics, sprint speed, and vaulting were achieved after 7 months, emphasizing the efficacy of long-term NMT programs for young gymnasts.

Fundamental motor and social skills of children: the role of Brain Gym exercise

ABSTRACT The present study aims to examine the effects of Brain Gym exercise on development of fundamental motor and social skills. Eighty-four children (Mage: 9.55±1.09 years) were selected and randomly assigned to two groups of 42: the Brain Gym and the control group. Participants in the Brain Gym group attended sixteen training sessions. The gross motor skills were measured using the test of gross motor development – 3rd edition (Ulrich, Test of gross motor development (3rd ed.). Austin: Pro-Ed.http://www.kines.umich.edu/tgmd3, 2016; TGMD-3) while social skills were assessed through the Matson Evaluation of Social Skills with Youngsters (MESSY; Matson, J. L., Rotatori, A. F., & Helsel, W. J., Development of a rating scale to measure social skills in children: The Matson Evaluation of Social Skills with Youngsters (MESSY). Behaviour Research and Therapy, 21(4),335–340,1983). The results showed that the Brain Gym group outperformed the control group in posttest and follow-up stages in terms of all variables.

Efficacy of hydrotherapy versus gym treatment in primary total knee prosthesis due to osteoarthritis: a randomized controlled trial

Physiotherapy is postulated as an effective treatment after total knee arthroplasty (TKA). The objective of the study was to assess the efficacy of hydrotherapy versus gym kinesitherapy during the second phase of treatment in TKA patients, with regard to the improved gait test, pain, stiffness, joint balance, muscle strength and inflammation. A controlled and randomized trial was carried out. TKA patients received a first rehabilitative phase (15 60-minutes sessions) at the gym. In the second phase (15 40-minute sessions), one group performed physiotherapy in a gym and another in a swimming pool. Different variables were assessed (basal, after 15 and after 30 ses-sions): functional capacity, pain and stiffness with WOMAC index, joint balance with goniometer; muscle strength with Lovett scale, and result of 6-minute gait test. A total of 115 patients participated, 59 (51.3%) in the gym group and 56 (48.7?%) in the pool group. After the second phase of re-habilitation, higher clinical improvements were observed in the pool group, with statistically significant differences in pain (p?=?0.005), stiffness (p?=?0.010), joint balance (p?=?0.027) and muscle strength (p?=?0.049) in the operated knee, and in the result of the 6-minute gait test (p?=?0.002). In TKA patients, hydrotherapy during the second phase of rehabilitative treatment was more effective than gym physiother-apy in terms of improved pain, stiffness, joint balance, muscle strength and gait testing.

Positive Impact of Organized Physical Exercise on Quality of Life and Fatigue in Children and Adolescents With Cancer.

Background: Cancer and its treatment can cause serious health issues that impair physical and mental well-being in children and adolescents. Exercise may be a valid strategy for managing some symptoms, including fatigue. In the light of our experience, we provide further justification for including exercise as part of routine childhood cancer care.Methods: Forty-four children and adolescents who had solid cancers not contraindicating their movement were invited to join an in-hospital 6-week supervised exercise program, and asked afterwards to complete validated quality of life and fatigue scales. The program consisted of personalized workout sessions of aerobic, resistance and flexibility exercises. The results obtained on the scales were compared between 21 patients who engaged in the exercise program (GYM group) and 23 who refused (No-GYM group), examining the different dimensions of health-related quality of life (physical, emotional, cognitive, social) and fatigue (general, sleep/rest, cognitive) in the two groups.Results: Being diagnosed with cancer initially prompted all but one of the respondents to drop-out of previous routine exercise or sports although their continuation had not been contraindicated. After 6 weeks of exercise, the GYM group's scores for quality of life and fatigue showed a statistically significant better perceived emotional functioning, and a trend toward a better social functioning than in the No-GYM group.Conclusion: We suggest that exercise improves the satisfaction of children and adolescents with cancer with their physical, mental and social functioning. We would emphasize the potential benefits of general practitioners discussing and recommending exercise for their young patients with cancer.

Effects of resistance training on postural control in Parkinson's disease: a randomized controlled trial.

Postural instability affects Parkinson's disease (PD) patients' postural control right from the early stages of the disease. The benefits of resistance training (RT) for balance and functional capacity have been described in the literature, but few studies have been conducted showing its effects on PD patients' postural control. To investigate the effects of a three-month RT intervention on static posturography (SP) measurements and clinical functional balance assessment among PD patients. Seventy-four patients were randomly assigned to a three-month RT intervention consisting of using weightlifting machines at a gym (gym group) or RT consisting of using free weights and elastic bands (freew group), or to a control group. The participants were evaluated at baseline, three months and six months. We evaluated changes of SP measurements under eyes-open, eyes-closed and dual-task conditions (primary endpoint), along with motor performance and balance effects by means of clinical scales, dynamic posturography and perceptions of quality of life (secondary endpoints). There were no significant interactions in SP measurements among the groups. Unified Parkinson Disease Rating Scale (UPDRS-III) motor scores decreased in both RT groups (p<0.05). Better perceived quality of life for the mobility domain was reported in the gym group while functional balance scores improved in the freew group, which were maintained at the six-month follow-up (p<0.05). This study was not able to detect changes in SP measurements following a three-month RT intervention. Both RT groups of PD patients showed improved motor performance, with positive balance effects in the freew group and better perceived quality of life in the gym group.

The Effects of Brain Gym and Coloring Pictures on Cognitive Functions of the Elderly

Elderly phase is the final process of human age in growth and development. Aging is a change that impacts physical and cognitive functions. The decrease of cognitive functions can interfere with all activities of the elderly. The objective of this research is to investigate the effects of brain gym and coloring pictures on the cognitive functions of the elderly. This study used a quasi-experimental design with a pre-test and post-test without a control group. Purposive sampling was applied to select the respondents at an elderly nursing home. The total sample was 30 respondents that included 15 respondents of the brain gym intervention group and 15 respondents of the coloring picture intervention group. The results showed that there was no significant difference in cognitive function before and after the intervention given to the coloring picture group with the p-value 0.414&gt; α (0.05). Meanwhile, there was a significant difference in cognitive function before and after the intervention given to the brain gym group with the p-value 0.025 &lt;α (0.05). The management of nursing home should provide the brain gym activities to improve the cognitive functions of the elderly. Keywords: The elderly, brain gym, coloring pictures.

Associations of sarcopenia components with physical activity and nutrition in Australian older adults performing exercise training

BackgroundThe risk of progressive declines in skeletal muscle mass and strength, termed sarcopenia, increases with age, physical inactivity and poor diet. The purpose of this study was to explore and compare associations of sarcopenia components with self-reported physical activity and nutrition in older adults participating in resistance training at Helsinki University Research [HUR] and conventional gyms for over a year, once a week, on average.MethodsThe study looked at differences between HUR (n = 3) and conventional (n = 1) gyms. Muscle strength (via handgrip strength and chair stands), appendicular lean mass (ALM; via dual energy X-ray absorptiometry) and physical performance (via gait speed over a 4-m distance, short physical performance battery, timed up and go and 400-m walk tests) were evaluated in 80 community-dwelling older adults (mean ± SD 76.5 ± 6.5 years). Pearson correlations explored associations for sarcopenia components with self-reported physical activity (via Physical Activity Scale for the Elderly [PASE]) and nutrition (via Australian Eating Survey).ResultsNo differences in PASE and the Australian Recommended Food Score (ARFS) were observed between HUR and conventional gyms, however HUR gym participants had a significantly higher self-reported protein intake (108 ± 39 g vs 88 ± 27 g; p = 0.029) and a trend to have higher energy intake (9698 ± 3006 kJ vs 8266 ± 2904 kJ; p = 0.055). In both gym groups, gait speed was positively associated with self-reported physical activity (r = 0.275; p = 0.039 and r = 0.423; p = 0.044 for HUR and conventional gyms, respectively). ALM was positively associated with protein (p = 0.047, r = 0.418) and energy (p = 0.038, r = 0.435) intake in the conventional gym group. Similar associations were observed for ALM/h2 in the HUR group. None of the sarcopenia components were associated with ARFS in either gym group.ConclusionOlder adults attending HUR and conventional gyms had similar self-reported function and nutrition (but not protein intake). Inadequate physical activity was associated with low gait speed and inadequate nutrition and low protein ingestion associated with low lean mas, even in older adults participating in exercise programs. Optimal physical activity and nutrition are important for maintaining muscle mass and function in older adults.

Effects of COVID-19 Lockdown on Adherence to Individual Home- or Gym-Based Exercise Training among Women with Postmenopausal Osteoporosis.

Adherence is important for an exercise program’s efficacy. This study aims at investigating whether the COVID-19 lockdown had different consequences on the adherence to an exercise program specifically designed for women with postmenopausal osteoporosis when administered as individual home training (IHT) or gym group training (GGT). At the start of the lockdown, which imposed the temporary closure of any gym activities, GGT participants were invited to continue to exercise at home. IHT participants continued to exercise at home as usual. Adherence was recorded via logs and measured as the percentage of exercise sessions actually performed out of the total number of scheduled sessions in three 1-month periods: one before (PRE) and two after (M1 and M2) the beginning of lockdown. Before lockdown, IHT (66.8% ± 26.6) and GGT (76.3% ± 26.6) adherence were similar. During lockdown, IHT participation increased (M1: 81.5% ± 31.0; M2: 88.0% ± 28.3), while that of GGT showed no statistical differences (M1: 79.4% ± 34.2; M2: 80.6% ± 36.4). Exercise protocols based on supervised gym practice must consider the possibility of disruptive events, which could cause a sudden interruption of gym activity and include educational initiatives to instruct participants to exercise effectively and safely without a trainer’s direct supervision.

LUNG FUNCTIONS IN STUDENTS UNDERGOING GYM TRAINING AND SEDENTARY MEDICAL STUDENTS - A COMPARATIVE STUDY

Constant and consistent exercise improves the efficiency of our lungs, and everyone, especially young adults, need to work on this organ along with the rest of their body for a healthier life. Hence the present pilot study was undertaken to show that consistent GYM training would exhibit a significantly greater lung capacity. Aim: To compare the lung functions in students undergoing gym training and sedentary students. Material and Methods: This Pilot study was conducted in 40 healthy male medical students in the age group of 20 to 30yrs. The recruited students were divided into two groups - Group1 with Gym training and Group2 Sedentary students. Both the groups were age and BMI matched in order to minimize the confounding factors and make the study reproducible. Lung functions of both the groups were assessed by a computerized RMS Spirometer Helios 401.Unpaired t - test was used for statistical analysis. Results: The study revealed that the Mean % FEV1 of Group1 (4.28) was significantly higher as compared to Group 2 subjects (3.30) Mean percent of FEV1 /FVC also had a higher value for Gym group (94.41) than sedentary group (87.36). Mean % FEF (25 – 75) was 5.57 and PEFR was 8.96 in Group1 as compared to 4.33 and 6.30 in Group2 respectively. FVC did not show significant change. Conclusion: We concluded that a physically active lifestyle improves the lung functions and delays its decline. Therefore, it's imperative that the younger generation should incorporate some form of regular exercise regimen in their lifestyle for their physical and mental wellbeing.

Effect of moderate-intensity seated exercise on the management of metabolic outcomes in hypertensive individuals with or without exercise habits

BackgroundWe aimed to evaluate the effect of moderate-intensity seated exercise on metabolic outcomes in hypertensive individuals with or without exercise habits. MethodsForty-two hypertensive individuals volunteered for this study and were classified into 3 groups by their habits and place for moderate-intensity exercise prior to this study: NONE (<2 days/week or no exercise; n = 13), HOME (≥30 min/day and ≥2 days/week at home; n = 15), and GYM (≥30 min/day and ≥2 days/week at a hospital gym; n = 14). They performed their daily activities as usual and seated exercise (stepping and stepping with trunk rotation; a range of 11–13 on the Borg rating of perceived exertion scale) for at least 15 min/day and at least 3 days/week for 12 weeks. ResultsThirty-five participants (age: 67.7 ± 5.9 years) completed the study, and there was no difference among the 3 groups regarding weekly exercise. The homeostasis model assessment of insulin resistance (HOMA-IR) value in the NONE group was significantly higher than that in the GYM group at baseline (p < 0.05), but it decreased significantly after 12 weeks (from 2.2 ± 0.8 to 1.7 ± 0.7, p < 0.05). Changes in HOMA-IR in the NONE group after 12 weeks was greater than that in the HOME and GYM groups (both p < 0.01). The HOME and GYM groups showed no significant changes in any of the variables. ConclusionModerate-intensity seated exercise may be an effective strategy to improve insulin resistance in hypertensive individuals without exercise habits.

Developing Person-Centered, Interactive, Systematic, Effective Rehabilitation (PISER) for Persons with Parkinson’s - The Outcomes of a Pilot Intervention

Aim: To describe the development and outcomes of a rehabilitation intervention for persons with Parkinson’s and their near-ones. Material and methods: Customer-understanding-based intervention development; and a pilot study: a random sample of persons with PD (n=18) and their near-ones (n=7) were divided into subgroups: Persons with PD, Gym rehabilitation; Persons with PD, Home rehabilitation; Near-ones, Gym rehabilitation; Near-ones, Home rehabilitation. Data included clinical measurements, scores from a PDQ-39 questionnaire and a simple diary, analyzed with descriptive statistics. Results: The PISER intervention was established to be feasible in relation to study and data collection procedures, outcome measures and to recruitment of persons with PD. After the eight-week intervention, both Persons with PD subgroups and Near-ones in Gym group had better clinical outcomes and better emotional, social and communicative health-related quality of life. Near-ones, Home rehabilitation had marginally poorer clinical outcomes, but still reported better cognitive well-being. Conclusions: The PISER intervention was shown to be feasible. By engaging in systematic physical activity, persons with PD and near-ones maintained or developed their functional capacity, psychosocial well-being and certain aspects of health-related quality of life. An eight-week rehabilitation intervention had a positive impact on self-management, especially in gym-groups, in which the participants enjoyed the social aspects of group rehabilitation and received individual instruction and feedback during physical activity. This kind of person-centered, systematic physical activity intervention may prevent inactivity and fall risks, and delay onset of activity limitations. It is vital that healthcare professionals and clients with PD together analyze and discuss the meaning of physical activity and self-rehabilitation.

Evaluating Parent Gym: a community implemented universal parenting programme

PurposeThere is growing evidence of the efficacy and effectiveness of targeted parenting programmes but the evidence for universal parenting programmes is much less developed. The purpose of this paper is to evaluate the effectiveness of Parent Gym, a parenting programme delivered in schools.Design/methodology/approachIn this paper a quasi-experimental design was utilised. Parents were recruited to the Parent Gym programme comprising six two-hour weekly sessions. Parents completed measures of their parenting efficacy, parenting satisfaction, interest in parenting and mental well-being at pre- and post-course. Comparative data were derived from a retrospectively-defined randomly selected group of non-participant parents at two time points, equivalent to the length of the Parent Gym course.FindingsChanges in the Parent Gym group were compared with the comparison group using repeated measures mixed 2×2 ANOVAs, which accounted for the potential effect of demographic characteristics (parent gender, ethnicity, parent age, parent education level and single parent status), and their potential interaction with group membership. Parenting satisfaction showed a significantly greater increase for the Parent Gym group with a large effect size (d=0.80). Regarding parenting efficacy, there was a significant time × group interaction indicating efficacy scores increased in the Parent Gym group but decreased in the comparison group (d=1.93). Mental well-being also improved for the Parent Gym group from below the national norm before the course (d=−0.26) to significantly greater than the national norm at post-course (d=0.29).Research limitations/implicationsA limitation of the present study is the absence of data on outcomes for children. Second, the administration of the research at local level, primarily the distribution and collection of the measures and return to the research team for analysis, is a potential source of data loss: both pre- and post-programme data were available on 55 per cent of Parent Gym parents, similar to other community studies. Third, the present study did not include a longer term follow-up after the programme ended. Future research is required to examine the sustainability of effects produced from community implemented programmes.Practical implicationsFindings from the present study indicate that a universal programme, Parent Gym, was effective in aiding the positive development of aspects of parenting behaviour, namely parents’ self-efficacy, parenting satisfaction and mental well-being, when delivered in community settings. This demonstrates its potential as part of a regular service delivery option of evidence-based support for parents.Social implicationsSuccessful parenting requires both the development of parenting skills and a positive relationship between parent and child. Parents vary in the resources (e.g. family) available to develop positively. Evidence-based parenting programmes have an important role in aiding parenting development, both those targeted at parents with most challenges and those (universal) aimed across the population. This study demonstrated that the universal Parent Gym programme is effective across a wide range of parents and has the potential to be a positive social resource for community delivery.Originality/valueThis is the first rigorous study of Parent Gym. It adds to the limited evidence about parenting programmes delivered outside of trials, as part of normal service delivery. With this evidence, parent choice of a suitable evidence-based programme is increased.

Gym-based exercise and home-based exercise with telephone support have similar outcomes when used as maintenance programs in adults with chronic health conditions: a randomised trial.

What is the effectiveness of gym-based exercise versus home-based exercise with telephone follow-up amongst adults with chronic conditions who have completed a short-term exercise program supervised by a health professional? A randomised, controlled trial with concealed allocation, intention-to-treat analysis, and blinded outcome assessment at baseline and 3, 6, 9 and 12 months. The participants were recruited following a 6-week exercise program at a community health service. One group of participants received a gym-based exercise program for 12 months (gym group). The other group received a home-based exercise program for 12 months with telephone follow-up for the first 10 weeks (home group). Outcome measures included European Quality of Life Instrument (EQ-5D), the Friendship Scale, the Hospital and Anxiety and Depression Scale, Phone-FITT, 6-minute walk test, body mass index and 15-second sit-to-stand test. There was no significant difference between study groups in the primary outcome (EQ-5D visual analogue scale, 0 to 100) across the 12-month intervention period, with an estimate (adjusted regression coefficient) of the difference in effects of 0 (95% CI -5 to 4). The gym group demonstrated slightly fewer symptoms of depression over the 12-month period compared to the home group (mean difference 0.8 points on a 21-point scale, 95% CI 0.1 to 1.6). Similar long-term clinical outcomes and long-term exercise adherence are achieved with the two approaches examined in this study. Participation in gym-based group exercise may improve mental health outcomes slightly more, although the mechanisms for this are unclear because there was no change in the selected measure of social isolation or other measures of health and wellbeing. This finding may also be a Type 1 error. Further research to reproduce these results and that investigates the economic efficiency of these models of care is indicated. ACTRN12610001035011. [Jansons P, Robins L, O'Brien L, Haines T (2017) Gym-based exercise and home-based exercise with telephone support have similar outcomes when used as maintenance programs in adults with chronic health conditions: a randomised trial. Journal of Physiotherapy 63: 154-160].

A Mixed Methods Small Pilot Study to Describe the Effects of Upper Limb Training Using a Virtual Reality Gaming System in People with Chronic Stroke.

Introduction. This small pilot study aimed to examine the feasibility of an upper limb rehabilitation system (the YouGrabber) in a community rehabilitation centre, qualitatively explore participant experiences, and describe changes after using it. Methods and Material. Chronic stroke participants attending a community rehabilitation centre in the UK were randomised to either a YouGrabber or a gym group and completed 18 training sessions over 12 weeks. The motor activity log, box and block, and fatigue severity score were administered by a blinded assessor before and after the intervention. Semistructured interviews were used to ascertain participants' views about using the YouGrabber. Results. Twelve participants (6 females) with chronic stroke were recruited. All adhered to the intervention. There were no adverse events, dropouts, or withdrawal. There were no significant differences between the YouGrabber and gym groups although there were significant within group improvements on the motor activity log (median change: 0.59, range: 0.2–1.25; p < 0.05) within the YouGrabber group. Participants reported that the YouGrabber was motivational but they expressed frustration with technical challenges. Conclusions. The YouGrabber appeared practical and may improve upper limb activities in people several months after stroke. Future work could examine cognition, cost effectiveness, and different training intensities.