Personal Exercise Research Articles

Review of court decisions: a theoretical and legal study of the practice of the European Court of Human Rights

The study is devoted to clarifying the main theoretical-legal and practical issues that arise when a person exercises the right to appeal a court decision.
 Issues such as the institution of appeals against court decisions, which are relevant for procedural law, are considered, such as the observance of reasonable proportionality between the right of a person to access the courts of higher instances and the observance of legal certainty in the state.
 As a result of the study, the legal nature of the institution of appeal against a court decision that has not entered into force, as well as one that has entered into force, is revealed. The latter is defined as an extraordinary form of judicial protection, its main features are analyzed.
 To ensure the reliability and completeness of the obtained results, a complex of general scientific and special methods was applied, the complex use of which ensured the achievement of the goals and objectives of the research, as well as the persuasiveness of the formulated conclusions. In particular, the dialectical method was used to study the legal nature of the right to appeal court decisions and private disputes. Methods of analysis and synthesis were used in the formulation of basic concepts, such as "appeal", "cassation review", "procedural filters", etc. The empirical basis of the research was made up of the materials of the judicial practice of the European Court of Human Rights, in particular, both modern legal positions of the international jurisdictional body and key cases were used.
 It was concluded that although access to the court of appeal is subject to indirect restrictions, access to the court of cassation is subject to so-called cassation filters. Such a definition is related both to the role of the cassation instance as a higher court and its definition as a "court of law", and to revised decisions that have entered into force and that shake the already defined legal position of the parties. Nevertheless, strict cassation filters cannot help against the influx of cassation appeals for those states whose citizens have a low level of trust in the courts of first instance.

Le temps d’une chanson : abord médiatisé de la blessure de guerre en thérapie de groupe

Post-traumatic stress disorders are a major concern for the armed forces. Certain pathognomonic symptoms of psychological trauma are expressed by isolation and avoidance behavior that are antithetical to the principle of group unity and cohesion that is so fundamental in the military. The Robert Picqué military hospital is located in the heart of a region where many operational regiments are stationed. For the past 20 years, the French army has been deployed in different countries at war, on foreign missions or OPEX (Afghanistan, Lybia, Mali) and interior operations or OPINT. The Robert Picqué psychiatric department has adapted its clinical activity to admit and treat the many soldiers who have been injured and has developed a multidisciplinary and integrative approach, which includes group therapy, to treat PTSD. In this context, the combination of two health professionals, one an occupational therapist and the other a psychomotor therapist, has resulted in the creation of an original therapeutic approach using musical and creative mediation in group activities. The benefits of therapeutic synergy help to build a framework for free expression and includes the use of songs and personal creative exercises using a variety of media. From the patients’ artistic creations, their drawings and writing, we can see how this double mediation favors social bonding and makes it possible to understand the personal, family, and professional repercussions of PTSD. Thus, the time of a song provides the patients with a space of relief, of security and the development of a collective elaboration of their suffering.

A qualitative evaluation of a clinic versus home exercise rehabilitation program for adults with multiple sclerosis: The tele-exercise and multiple sclerosis (TEAMS) study

BackgroundSubstantial evidence supports therapeutic exercise for improving health and function in people with multiple sclerosis (MS). However, few studies have considered the patients’ perspective. ObjectiveThis study explored perspectives of adults with MS following participation in a 3-month clinic- and home-based exercise rehabilitation program. MethodsTwenty participants with MS were interviewed using a semi-structured interview guide on the design and implementation processes of the exercise programs as well as any perceived facilitators or barriers to exercise. Data analysis was conducted using a thematic analysis approach to generate themes from the transcribed interviews. ResultsKey facilitators of exercise for people with MS included perceived improvements in physical health and function, activity participation, and psychosocial health. Mismatched level of exercise with their stage of post-diagnosis and/or functional ability and limited human interaction emerged as barriers to exercise. ConclusionsParticipation in the exercise program was a positive experience for people with MS. Despite the provision of a high level of adaptation and tailored exercise plan and delivery, self-directed exercise continued to present challenges for people with MS. Additionally, the importance of seeking cost-effective ways to maintain motivational support was implicit in participant responses. The findings provided an improved understanding of personal experiences and exercise perspectives that can inform future intervention strategies aimed at promoting sustained exercise participation.

Personalised exercise therapy and self-management support for people with multimorbidity: Development of the MOBILIZE intervention

BackgroundTo our knowledge, there is no intervention which includes personalised exercise therapy and self-management support for people with multimorbidity, although these interventions may be as effective as for people with single chronic conditions. Therefore, we developed a novel intervention, including personalised exercise therapy and self-management support for people with multimorbidity.MethodsWe followed the Medical Research Council framework and conducted one scoping review, five systematic reviews, two registry-based studies, one qualitative interview study and a mixed-methods feasibility study. Following an iterative approach, together with feedback from people with multimorbidity and relevant stakeholders, we developed the MOBILIZE intervention.ResultsThe intervention included 24 (60 minutes) sessions of personalised exercise therapy and 24 (30 minutes) sessions of self-management support twice a week for 12 weeks, delivered in small groups by specifically trained physiotherapists. The intervention targets physiological, psychosocial, behavioural, and contextual factors to improve health-related quality of life and physical function in people living with multimorbidity.ConclusionsWe developed a personalised exercise therapy and self-management support programme for people with multimorbidity. The intervention will be tested for its safety and effectiveness in a randomised controlled trial.

Healthy Lifestyle Behavior, Goal Setting, and Personality among Older Adults: A Synthesis of Literature Reviews and Interviews.

Despite the well-known health benefits of adopting a healthy lifestyle, older adults' self-determination, goals, and motivation, as well as other personality factors, are known to influence their healthy lifestyle behaviors, yet these interactions have rarely been discussed. The literature that investigated and discussed the interaction of personality, goals, and healthy lifestyle behaviors among older adults was reviewed. In addition, interview responses from older adults regarding their experiences in participating in a real-life physical activity intervention and its relationship with their personality traits and goal setting were synthesized using content analysis. The current review highlights the relationship between healthy living practices, goal setting, and personalities, and it is backed up and expanded upon by interviews with participants. People with different personality types are likely to have diverse views on HLBs. Individuals who are more conscientiousness or extraverted are more likely to adopt HLBs than those who are not. It is suggested that a meta-analysis should be conducted on the relationship between personality, goal setting, and physical exercise or other specific HLBs. In addition, future research should focus on various types of HLB therapies that take into account personality and goal setting.

Compliance with a personalised home exercise programme in chronic low back pain patients after a multidisciplinary programme: A pilot randomised controlled trial.

Chronic low back pain (CLBP) is a very common problem throughout the world. One treatment possibility is the multidisciplinary programme (MP) in a rehabilitation centre, which provides intensive rehabilitation through physical exercise to quickly improve the patient conditions. Patients nevertheless do not always continue the exercises when they return home. This study thus evaluated compliance with a personalised home-based programme for CLBP patients post-MP. A randomised controlled single-blind trial was conducted. Thirty patients were randomised into two groups and participated in an MP for 4 weeks. They were then given an exercise booklet for home rehabilitation. In addition, each patient in the experimental group constructed a personalised exercise programme with a physiotherapist. The control group was only encouraged to continue the exercises at home. To assess therapeutic compliance, both groups were asked to document each completed exercise in a logbook. In addition, pain intensity, flexibility, muscle endurance, activity limitations, participation restrictions, and beliefs about physical activity were assessed at the beginning and end of the MP and again after 12 weeks at home. Compliance was good for all activities in both groups, but there were no significant differences between groups. All participants improved on the criteria by the end of MP, and both groups maintained the improvements in most of the criteria at 3-month follow-up. This study showed the effectiveness of an MP for CLBP in the short and medium term. However, future research should focus on longer-term compliance.

AIoT-Based Ergometer for Physical Training in Frail Elderly with Cognitive Decline: A Pilot Randomized Control Trial

PurposeReduced physical activity is reported in the elderly, especially in institutional residents. Institutionalized older adults exhibit a high prevalence of frailty. In this work, we developed an artificial intelligence of things (AIoT)-based feedback assistive strengthening ergometer (AIFASE), for the physical strengthening of the elderly with intelligent assistance.MethodsWe conducted a 12-week intervention in a long-term care facility. In total, 16 participants (84.38 ± 6.0 years; 4 males and 12 females) were recruited with 1:1 randomization of exercise to control groups. The muscle strength of the lower extremities, timed up and go test (TUG), and Short-form Physical Performance Battery (SPPB) of the participants were measured. The AIFASE system allows the clinical staff to record the personal physical performance of the elderly and generates personalized exercise prescriptions accordingly. AIFASE also displays the current usage status of all ergometers and the users’ physiological conditions. The algorithms were developed to generate warning alerts when the training workload was too large by personal physiological detection. AIFASE automatically customized the exercise prescription according to the user’s exercise performance.ResultsAfter a 12-week AIFASE intervention, the intervention group exhibited significant improvements in the strength of the hip flexor, Semi-Tandem Stand, and Tandem Stand.ConclusionIn this study, we developed an AIoT ergometer that delivered customized physical training prescriptions to improve the physical performance of long-term care facility residents. We believe that the application of AIFASE will help improve the quality of institutional care.

Building bespoke exercise: The clinical reasoning processes of physiotherapists when prescribing exercise for persons with musculoskeletal disorders.

This qualitative study aimed to explore physiotherapists' clinical reasoning when prescribing exercise for persons with musculoskeletal disorders. A constructivist grounded theory inspired methodological approach was used. Six physiotherapists working in the United Kingdom were recruited via purposive sampling. Data collection and analysis included semi-structured interviews, memo writing, coding, and a constant comparative method. A concept of 'building bespoke exercise' has been generated to conceptualise the participants' clinical reasoning when prescribing exercise. The findings of this study highlight processes of co-designing and co-constructing exercise programmes in collaboration with persons receiving care. Physiotherapists can use this study to reflect on their own clinical reasoning to inform their own practice.

Dynamic multi-objective sequence-wise recommendation framework via deep reinforcement learning

Sequence-wise recommendation, where recommend exercises to each student step by step, is one of the most exciting tasks in the field of intelligent tutoring systems (ITS). It is important to develop a personalized sequence-wise recommendation framework that immerses students in learning and helps them acquire as much necessary knowledge as possible, rather than merely focusing on providing non-mastered exercises, which is referred to optimize a single objective. However, due to the different knowledge levels of students and the large scale of exercise banks, it is difficult to generate a personalized exercise recommendation for each student. To fully exploit the multifaceted beneficial information collected from e-learning platforms, we design a dynamic multi-objective sequence-wise recommendation framework via deep reinforcement learning, i.e., DMoSwR-DRL, which automatically select the most suitable exercises for each student based on the well-designed domain-objective rewards. Within this framework, the interaction between students and exercises can be explicitly modeled by integrating the actor–critic network and the state representation component, which can greatly help the agent perform effective reinforcement learning. Specifically, we carefully design a state representation module with dynamic recurrent mechanism, which integrates concept information and exercise difficulty level, thus generating a continuous state representation of the student. Subsequently, a flexible reward function is designed to simultaneously optimize the four domain-specific objectives of difficulty, novelty, coverage, and diversity, providing the students with a trade-off sequence-wise recommendation. To set up the online evaluation, we test DMoSwR-DRL on a simulated environment which can model qualitative development of knowledge level and predicts their performance for a given exercise. Comprehensive experiments are conducted on four classical exercise-answer datasets, and the results show the effectiveness and advantages of DMoSwR-DRL in terms of recommendation quality.

Serum concentrations of ketones increase after hand-ergometer exercise in persons with cervical spinal cord injuries: a preliminary prospective study.

Experimental study. To compare lipid profiles during moderate-intensity exercise between persons with cervical spinal cord injuries (SCIC) and able-bodied controls (AB). Wakayama Medical University, Japan. Six participants with SCIC and six AB performed 30-min arm-crank exercise at 50% VO2peak. Blood samples were collected before (PRE), immediately (POST), and 60 min after exercise (REC). Concentrations of serum free fatty acids ([FFA]s), total ketone bodies ([tKB]s), acetoacetic acid ([AcAc]s), insulin ([Ins]s), and plasma catecholamines and glucose ([Glc]p) were assessed. Catecholamine concentrations in SCIC were lower than AB throughout the experiment (P < 0.001) and remained unchanged, while increased at POST in AB (P < 0.01). [FFA]s remained unchanged in both groups with no differences between groups. [tKB]s in SCIC tended to increase at REC from PRE (P = 0.043), while remaining unchanged in AB (P > 0.42). [AcAc]s in SCIC increased at REC from PRE and POST (P < 0.01) while remaining unchanged in AB (interactions of Group × Time P = 0.014). [Glc]p and [Ins]s were comparable between the groups throughout the study. Serum ketone bodies in SCIC increased after exercise while remaining unchanged in AB, suggesting that suppressed uptakes of serum ketone bodies from blood to the muscles in SCIC would partially contribute the increased serum ketones.

Modeling Community Residents' Exercise Adherence and Life Satisfaction: An Application of the Influence of the Reference Group.

To expand the application area of the reference group and enrich exercise theoretical research, based on Stimulus-Organism-Response (SOR) framework, this study examines the external factors that motivate adherence to exercise. Taking reference group and strategy and cultural fit as the main stimuli, and personal investment and life satisfaction as mediating variables, this study explores the influence of external stimuli on residents’ exercise behavior. In order to enrich the sample size, two surveys of 734 Chinese residents in two cities (Xiamen vs. Fuzhou) were conducted using factor analyses, regression analysis, and t-test analysis. The results indicated that the reference group and strategic and cultural fit as external stimuli impact on residents’ personal investment, life satisfaction and exercise adherence, and that personal investment and life satisfaction as the organism has an impact on residents’ exercise adherence. Personal investment and life satisfaction play a chain mediating role between the reference group and exercise adherence, and between strategy and cultural fit and exercise adherence. Moreover, the t-test determined the differences between Xiamen and Fuzhou residents’ exercise adherence and life satisfaction. Residents’ surroundings affect their exercise behavior and life satisfaction. These findings have implications for policymaking aimed at promoting national exercise, which could gradually improve residents’ physical fitness, particularly in light of the current coronavirus emergency.

The Effects of YouTube Home Training Content Characteristics, Personal Health Awareness, and Exercise Awareness on Intention to Exercise Continuous Intention Using the Expectation-Confirmation Model

PURPOSE Since the COVID-19 pandemic, the demand for home training, with exercises or workouts at home, has steadily increased. As a result, the popularity of home training YouTube content, which shows how to use exercise equipment or workouts without professional influence, has also increased. Therefore, this study focused on the characteristics of YouTube home training content (specialization, diversity, and interaction), personal health awareness, exercise awareness, and expectation-confirmation model to identify which required exercise continuation intention through YouTube home training. METHODS SPSS and AMOS software were used to conduct frequency, reliability, and confirmatory factor analyses, as well as to conduct correlation analysis and construct a structural equation model.RESULTS First, health and exercise awareness had a positive effect on confirmation. Second, among the characteristics of home training content, only specialization had a positive effect on perceived usefulness. Third, confirmation had a positive effect on perceived usefulness and viewing satisfaction, perceived usefulness had a positive effect on viewing satisfaction and exercise continuation intention, and viewing satisfaction had a positive effect on exercise continuation intention, which proved the expectation-confirmation model in this study. CONCLUSIONS To increase exercise continuation intention through home training YouTube content, creators need to produce professional content that can stimulate viewers' internal motivation.

Ultra-robust, stretchable electrodes based on superamphiphobic surface for personal exercise monitoring

The exploration of flexible electronic technology has been paid great attention recently, due to their promising applications such as health monitors and artificial electronic skins. To satisfy the requirement of practical applications, flexible and stretchable electrodes need to be further optimized in terms of mechanical robustness, sensing performance, and stability in extreme environments. Here, an ultra-robust and stretchable electrod is rationally designed and successfully fabricated via the synergistic combination of in situ growing silver nanoparticles (AgNPs)/acid-modified carbon nanotubes (ACNTs) conductive networks and superamphiphobic 1H, 1H, 2H, 2H-perfluorodecyltriethoxysilane modified carbon nanotubes-silica nanoparticles (FCNTs-SiO2). The obtained electrode shows a skin-like Young's modulus (2.3 MPa), high tensile strength (21.7 MPa), and good gas permeability. Owing to the conductive paths of ACNTs-bridged AgNPs, the strain sensor delivers a wide detection range of 155 %, a high gauge factor (denoted as GF) value up to 6.6 × 104 and a fast response time of 62 ms. The re-entrant structure constructed by spraying FCNTs-SiO2 along with chemcial composition endows the sensor with superamphiphobicity, which allows the sensor to fulfill its function under extreme environments (such as −60 ℃ to 60 ℃, corrosive liquids and non-polar liquids). The strain sensor can be used for monitoring high-frequency exercise and human health, indicating its potential application.

Preliminary feasibility and acute physiological effects of a single session of upper limb vibration training for persons with spinal cord injury

Context Strong upper limb musculature is essential for persons with spinal cord injury (SCI) to operate a manual wheelchair and live independently. Targeted upper limb vibration may be a viable exercise modality to build muscle efficiently while eliminating some of the barriers associated with exercise for persons with SCI. Objective The purpose of this study was to assess preliminary feasibility of completing a single exercise session of upper limb vibration and compare the acute physiological effects to a single session of standard dumbbell resistance exercise. Methods Individuals with SCI performed seven upper limb exercises (1) isometrically using a vibrating dumbbell at 30 Hz for 60 s (n = 22) and (2) using a standard isotonic resistance protocol (n = 15). Results Nineteen (86.4%) of 22 participants were able to perform all vibration exercises at 30 Hz but hold time success rates varied from 33% (side flies and front raises) to 95% (internal rotation). No significant differences were found between vibration exercise and standard resistance protocol for blood lactate, power output, and heart rate (P > 0.05). Perceptions of the training were positive, with most participants (>70%) expressing interest to train with vibration in the future. Conclusions Vibration training was not feasible for all participants, suggesting an individualized approach to starting weight and progression may be necessary. Similar acute physiological changes were seen between vibration exercise and standard resistance protocol, suggesting they could have similar benefits. Additional research is needed to determine if vibration exercise is feasible and beneficial to incorporate into a long-term training program.

MoveStrong at home: a feasibility study of a model for remote delivery of functional strength and balance training combined with nutrition education for older pre-frail and frail adults.

Exercise and nutrition interventions are often recommended for frailty; however, effective strategies are required for real-world implementation. Our primary aim was to assess the feasibility and acceptability of telephone and virtual delivery of MoveStrong, an 8-week exercise and nutrition program with a 4-week follow-up for older pre-frail and frail adults. A priori criteria for success included: recruitment (≥25/12 weeks), retention at follow-up (≥80%), and adherence to exercise and nutrition sessions (≥70%). We recruited community-dwelling Ontario residents; ≥60 years, ≥1 chronic condition, ≥1 FRAIL scale score. Participants received mailed materials, a personalized exercise program, 11 remote one-on-one training sessions with an exercise physiologist and 3 online dietitian-led nutrition education sessions. We completed exploratory analyses of secondary outcomes including physical function and dietary protein intake. Semi-structured interviews supported program evaluation. In total, 30 participants were enrolled. 28 (93%) participants completed program and follow-up assessments. Adherence to exercise and nutrition sessions (CI) was 84% (77%-91%) and 82% (70%-93%) respectively. At program end and follow-up [mean change (CI)], significant improvements were measured in 30-second chair stand test [3.50 (1.12-5.86), 4.54 (1.94-7.13) chair stands] and dietary protein intake [12.9 (5.7-20.0), 9.2 (0.4-18.1) g]. Overall, participants were satisfied with program delivery. Trial registration number: NCT04663685.

Effects of a Personalised Physical Exercise Program on University Workers Overall Well-Being: "UAL-Activa" Program.

Background and objectives: Regular individualised physical exercise (PE) is a habit that not only has consequences for overall health (physical, emotional, social and mental) but can also have positive effects on organisations and institutions, as it helps workers to improve their personal balance and recover from the effort of their working day, showing higher levels of energy, commitment and productivity. The aim of this study was to understand the relationship between the practice of PE and well-being in personal life and at work, as well as job satisfaction, overall health and the assessment of the personal training service provided by final-year students studying for a degree in Physical Activity and Sport Sciences. Methods: This study used a qualitative research methodology. There were 25 employees of the University of Almeria (UAL) (M = 52.16 ± 9.55 years), divided into two focus groups and participating in the physical exercise program “UAL Activa”. Results: The following three main themes, based on the results, emerged: (a) social well-being during PE practice, (b) assessment of the personal training service and (c) physical exercise as an emotional benefit at work. Conclusion. The workers’ interventions have shown that participating in a personalised PE program led by a personal trainer can improve overall health and mood, with a very positive influence on the working environment.

Therapists' experiences of remotely delivering cognitive-behavioural or graded-exercise interventions for fatigue: a qualitative evaluation.

Fatigue is a challenging feature of all inflammatory rheumatic diseases. LIFT (Lessening the Impact of Fatigue in inflammatory rheumatic diseases: a randomized Trial) included remotely delivered personalized exercise programme (PEP) or cognitive-behavioural approach (CBA) interventions. The aim of this nested qualitative evaluation was to understand rheumatology health professionals' (therapists') perspectives of delivering the interventions in the LIFT trial. A subgroup of therapists who had delivered the personalized exercise programme (PEP) and cognitive-behavioural approach (CBA) interventions took part in semi-structured telephone interviews. Seventeen therapists (13 women and 4 men) who delivered PEP (n = 8) or CBA (n = 9) interventions participated. Five themes were identified. In 'The benefits of informative, structured training', therapists described how they were able to practice their skills, and the convenience of having the LIFT manual for reference. When 'Getting into the swing of it', supporting patients gave therapists the confidence to tailor the content of the manual to each patient. Clinical supervision supported therapists to gain feedback and request assistance when required. In 'Delivering the intervention', therapists reported that patients valued the opportunity to talk about their fatigue and challenge their beliefs. In 'Challenges in delivering the LIFT intervention', therapists struggled to work in partnership with patients who lacked motivation or stopped engaging. Finally, in 'LIFT developing clinical skills', therapists gained confidence and professional satisfaction, seeing patients' fatigue improve over time. The findings support the provision of training for rheumatology health professionals to remotely deliver fatigue-management interventions. Insights from these trials can be used to better improve clinical practice and service provision.

Feasibility and Effects of an Immersive Virtual Reality Exergame Program on Physical Functions in Institutionalized Older Adults: A Randomized Clinical Trial.

One of the pillars which underpins active aging is found in the performance of physical activity. While adherence to physical activity programs has traditionally been low in older people, immersive virtual reality (IVR) could provide an alternative and complementary training mode. A randomized clinical trial was conducted to explore the feasibility and effects of a 10-week IVR exergame program on physical functions of 24 institutionalized older adults who were allocated to an experimental group (EG n = 13; 85.08 ± 8.48 years) and control group (CG n = 11; 84.82 ± 8.10 years). The IVR intervention was feasible, with no adverse effects being reported (no Simulator Sickness Questionnaire symptoms; low negative experience scores on the Game Experience Questionnaire < 0.34/4), no dropouts, high adherence, and good post-gaming usability (System Usability Scale > 73.96%). The EG showed significant improvements: Tinetti scores for balance (1.84 ± 1.06; p < 0.001), gait (1.00 ± 1.08; p < 0.001), total score (2.84 ± 1.67; p < 0.001), and handgrip (4.96 ± 4.22; p < 0.001) (pre–post assessment). The CG showed significantly worsened compared to the EG: Five times sit-to-stand test, Tinetti scores for balance, gait, and total score, and the Timed Up and Go test total score (post-assessment). The findings show that the IVR intervention is a feasible method to approach a personalized exercise program and an effective way by which to improve physical function in the target population.

The Biomechanical Analysis of Jumping Difficulty Movement in National Traditional Sports

In order to explore the relevant factors and the completion of difficult movements, this paper is an important theoretical basis for improving and constructing the evaluation of athletes’ movement quality. It presents a kinematic analysis of the difficult movements of competitive Tai Chi, taking the difficult movements of the swirl group of competitive aerobics as the research object. The data is collected by different methods. When completing difficult movements, due to different personal exercise habits, this paper takes the right leg as the swinging leg and the left leg as the take-off leg when completing the difficult movements. The test object in this paper adopts the traditional three-step up-step method. The starting time of the take-off stage is consistent with the illustration. By consulting experts for the stage division of the difficult movement, the two movement stages are equally divided into three stages according to the needs of the research: take-off, soaring, and landing. The results show that, from the moment the left foot hits the ground to the moment of maximum cushioning, the angles of the right knee are 176.48° and 165.06°, respectively, and the flexion of the right knee is not large; especially when the left foot touches the ground, the right leg is close to a straight line, indicating that the athlete’s body is in a straight line. The posture is relatively good, the left foot is used as the grounding leg, the angle of the knee joint is reduced from 160.82° to 124.41°, and the left knee buffer angle is 36.40°. As the right leg swings to the ground, the left knee and left hip are slightly stretched, and the right knee and right hip are slightly flexed. This change is also reflected in the fact that the center of gravity changes from the direction of the horizontal speed at this stage. Move the left side of the body slightly to the right. Difficulty movements are different in the landing stage, and their joint parameters are also different. When the landing leg touches the ground, there is no significant difference in the maximum cushioning time, the degree of torsion of the shoulder and the hip is different, the relative rotation position of the shoulder and the hip is opposite, and the posture of the shoulders at the time of landing is different. In teaching, the landing leg and the end direction of the rotation are not the same; it is necessary to strengthen the strength training of the legs, to experience the force feeling of the different degrees of rotation of the shoulder joint and the hip joint, as well as the spatial perception ability, and take the initiative to actively land. The magnitude of the rear cushion and the coordination of the trunk and the limbs are used to avoid unnecessary damage during the landing phase.

The effects of cognitive behavioral therapy on selected physical, physiological parameters, exercise and nutritional behaviors in diabetic persons.

Due to the high prevalence of diabetes in the world, it seems that one of the most important strategies to prevent and treat this disease are lifestyle changes. The present study aimed to investigate the effects of cognitive behavioral therapy on selected physical and psychological parameters, exercise, and nutritional behaviors in diabetic patients. This was a cross-sectional study of volunteers with type 2 diabetes. Patients were randomized into two groups: an intervention (n=32) and a control group (n=31). The Beck Physical Activity Questionnaire was used to assess physical activity in combination with the Beck Depression Inventory and the Pittsburgh Sleep Quality Index to assess the levels of depression and the quality of sleep. Cognitive behavior therapy (CBT) training consisted of six sessions of cognitive behavioral therapy interventions. The intervention consisted of a face-to-face individual counseling session. The patients received a special diet according to their basal metabolic rate (BMR). At all sessions, dietary advice was reviewed, and during the treatment period, they were asked to record their diet and physical activity. Body composition and blood samples were measured before and after three months of the experiment for both groups. Blood glucose, blood lipid profiles (except high-density lipoprotein), lifestyle, behavior patterns and body composition were significantly improved following CBT intervention (p≤0.05). CBT can play a key role in improving physiological and psychological parameters in diabetic patients.