Physiological Recovery Research Articles

Enhanced recovery after surgery (ERAS) a multimodal perioperative care pathway in cesarean deliveries

Enhanced Recovery After Surgery (ERAS) is an evidence based perioperative program applied for early recovery of patients after surgery to reduce the postoperative surgical stress and hasten early physiological and functional recovery. The present study is focused on application of ERAS protocol in the branch of obstetrics following cesarean sections.The primary objective is to compare the efficacy between post-operative recommendations of ERAS protocols and traditional post-operative care in cesarean sections. A total of 300 patients were included in this study from November 2020 to October 2022 from the inpatient department of Obstetrics and Gynaecology of Pradyumna Bal Memorial hospital, KIMS, Bhubaneswar. Out of 300 patients, 150 were in ERAS group and 150 were in control (conventional) group. The median Length of stay (LOS) of ERAS and control group were 3 and 5 days respectively (p<0.01). The median patient satisfaction score on Likert scale was 4 and 3 for ERAS and control group respectively (p<0.01).The application of ERAS in post-operative period after cesarean has showed significant results in decreasing length of stay and better patient satisfaction score.

Frailty and Malnutrition as Predictors of Major Complications Following Posterior Thoracolumbar Fusion in Elderly Patients: A Retrospective Cohort Study

Background ContextThe number of elderly patients with degenerative spinal deformity (DSD) is increasing, and posterior thoracolumbar fusion surgery is an effective treatment option, but there are often postoperative major complications, which may hinder the benefit for elderly patients. Currently, there is no consensus on the best risk assessment technique for predicting major complications in elderly patients undergoing long-segment fusion surgery. PurposeThis study constructs a risk assessment model using the Modified 5-Item Frailty Index (mFI-5) and serum albumin and evaluates its predictive value. Study DesignThis is a retrospective analysis of a prospectively established database of DSD. Patient SampleConsecutive patients (aged 65 and older) who underwent open posterior thoracolumbar fusion surgery for DSD between April 2018 and December 2023 were included. Outcome MeasuresOutcome measures included postoperative major complications, length of hospital stay [LOS], readmission and reoperation within 30 days, discharge disposition, physiological function recovery. MethodsThe study reviewed consecutive patients who underwent open posterior thoracolumbar fusion surgery for DSD. Patients were divided into three groups based on the presence or absence of frailty or frailty combined with malnutrition. Spearman ρ analysis was used to assess the correlation between mFI-5 and serum albumin levels. Univariate analyses and multivariate logistic regression were conducted to explore the relationship between frailty and malnutrition defined by mFI-5 and serum albumin and major postoperative complications. Finally, the Receiver Operating Characteristic (ROC) curve was used to evaluate the predictive value of this model for major complications. ResultsCompared to the Normal group (n = 59), both the Frailty group (n = 121) and the Frailty and Malnutrition group (n = 50) had higher rates of major complications (21.5% vs. 8.5%, p = .035; 28% vs. 8.5%, p = .002). Multivariate logistic regression showed that frailty and malnutrition status, higher ASA score, and more bleeding were independent predictors of major postoperative complications. The ROC curve demonstrated that frailty combined with malnutrition defined by mFI-5 and serum albumin had a larger area under the curve compared to mFI-5 or serum albumin alone (AUC: 0.676; 95% CI: 1.101-14.129; p < .001). ConclusionsCompared to considering frailty or malnutrition alone, the combined assessment of frailty and malnutrition using mFI-5 and serum albumin is valuable in predicting major complications in elderly patients undergoing posterior thoracolumbar fusion surgery. Level of evidenceIII

Enhanced recovery after surgery (ERAS) improves outcomes in elderly patients undergoing short-level lumbar fusion surgery: a retrospective study of 333 cases

BackgroundDegenerative lumbar disease significantly impairs the quality of life in elderly individuals, with short-segment lumbar degenerative disease being particularly prevalent. When conservative treatment proves ineffective, surgical intervention becomes the optimal choice for managing lumbar disease. The implementation of Enhanced Recovery After Surgery (ERAS) in spinal surgery has been progressively refined, leading to greater patient benefits. However, age and the associated decline in physiological function remain critical factors influencing surgical decision-making. Currently, there is a paucity of research focused on elderly patients undergoing lumbar fusion surgery to substantiate that advanced age does not diminish the benefits derived from ERAS in this demographic.MethodsThis is a retrospective cohort study of prospectively collected data. Patients who underwent short-segment (1 or 2 segments) transforaminal lumbar interbody fusion (TLIF) under the care of the same surgical team at our institution were recruited, and divided into no-ERAS-elder, ERAS-elder, and ERAS-younger groups. Subsequently, time to physiological function recovery and other outcomes were compared.ResultsThe outcomes of the ERAS-elder group (n = 113) and the no-ERAS-elder group (n = 120) were compared. The overall physiological function recovery was significantly faster (6.71 ± 2.6 days vs. 8.6 ± 2.67 days, p = 0.01) in the ERAS-elder group. Next, the outcomes of the ERAS-elder group (n = 113) were compared with those of the ERAS-younger group (n = 100), and no significant difference in total physiological function recovery was found between the two groups (6.71 ± 2.6 days vs. 6.14 ± 1.63 days, p = 0.252).ConclusionsThis study shows that the implementation of the ERAS program can effectively shorten the recovery time of physiological function in elderly patients after short-segment lumbar surgery, reduce the incidence of some complications, alleviate pain, and significantly shorten the length of hospital stay. ERAS enables elderly patients to achieve outcomes comparable to those of younger patients.

Associations between prenatal distress, mitochondrial health, and gestational age: findings from two pregnancy studies in the USA and Turkey.

Pregnancy outcomes are influenced by maternal distress but the pathways underlying these effects are still unknown. Mitochondria, crucial for stress adaptation and energy production, may link psychosocial stress to its biological effects, especially during pregnancy when energy demands significantly increase. This study explores two mitochondrial markers-circulating cell-free mitochondrial DNA (cf-mtDNA) and Growth Differentiation Factor-15 (GDF15)-as potential mitochondrial health indicators linking maternal distress to pregnancy outcomes in two longitudinal studies from the USA and Turkey. We analyzed biological, demographic, and psychological data from women in two pregnancy studies: EPI (N=187, USA, Mean age=29.6(SD=6.2) and BABIP (N=198, Turkey, Mean age=32.4(SD=4.0)). Data were collected at multiple time points during the perinatal period, including late 2nd and 3rd trimester, with EPI also including additional data at early 2nd trimester and 4-14 months postpartum. Prenatal maternal psychological distress was measured as perceived stress, anxiety, and depressive symptoms. Plasma cf-mtDNA and GDF15 levels were assessed using qPCR and ELISA, respectively. Statistical analyses included Wilcoxon signed-rank tests, Spearman correlations, and Mann-Whitney tests. Plasma cf-mtDNA levels did not change significantly during pregnancy in either study. Plasma GDF15 levels increased from early to late pregnancy in both studies and significantly decreased postpartum in EPI. Perinatal maternal distress in the late 2 nd and 3 rd trimesters was not associated with cf-mtDNA or GDF15 in either study. Metabolic distress, measured as higher pre-pregnancy BMI, was negatively correlated with GDF15 in the late 2 nd trimester in EPI and showed a similar trend in BABIP. Similarly, higher maternal psychological distress in the early 2 nd trimester were associated with lower cf-mtDNA and a trend for lower GDF15 in EPI. Finally, higher pre-pregnancy BMI and maternal distress in late pregnancy were linked to a smaller decline in GDF15 from late pregnancy to postpartum in EPI, suggesting an interaction between metabolic stress, prenatal distress and post-pregnancy physiological recovery. This study identified distinct patterns of plasma cf-mtDNA and GDF15 levels during the perinatal period across studies from two countries, revealing unique associations between maternal characteristics, prenatal distress, and pregnancy outcomes, suggesting that maternal distress can interact with energy mobilization during pregnancy.

Thermal Comfort and Restorative Benefits of Waterfront Green Spaces for College Students in Hot and Humid Regions

Global climate change presents a serious threat to the sustainable development of human society, highlighting the urgent need to develop effective adaptation strategies to mitigate the impact of climate-related disasters. Campus waterfront green spaces, integral to the blue-green infrastructure, have been demonstrated to facilitate stress recovery. However, in hot and humid regions, severe outdoor thermal conditions may impair students’ mental and physical health and cognitive function, leading to symptoms such as increased stress, anxiety, and depression. This study examined the influence of outdoor thermal environments on health recovery by selecting three different waterfront green spaces in this climate: Space A (medium water body, sky view factor (SVF) = 0.228), Space B (large water body, SVF = 0.808), and Space C (small water body, SVF = 0.292). The volunteers’ thermal comfort and the restorative benefits of these spaces were evaluated via the perceived restorativeness scale (PRS), heart rate (HR), and electrodermal activity (EDA). We found variations in the neutral physiological equivalent temperature (PET) across the spaces, with values of 28.1 °C (A), 28.9 °C (B), and 29.1 °C (C). The lowest skin conductance recovery rate (RSC) at 0.8811 was observed in Space B, suggesting suboptimal physiological recovery, despite higher scores in psychological recovery (fascination) at 15.23. The level of thermal comfort in this hot and humid region showed a negative correlation with the overall PRS score, the “being away” dimension, and heart rate recovery (RHR). At a lightly warm stress level, where PET increased from 31.0 to 35.7 °C, RSC peaked between 1.45 and 1.53 across all spaces. These insights provide guidance for urban designers and planners in creating waterfront green space designs that can improve the urban microclimate and promote thermal health, achieving sustainable health.

Remote physiological signal recovery with efficient spatio-temporal modeling.

Contactless physiological signal measurement has great applications in various fields, such as affective computing and health monitoring. Physiological measurements based on remote photoplethysmography (rPPG) are realized by capturing the weak periodic color changes. The changes are caused by the variation in the light absorption of skin surface during systole and diastole stages of a functioning heart. This measurement mode has advantages of contactless measurement, simple operation, low cost, etc. In recent years, several deep learning-based rPPG measurement methods have been proposed. However, the features learned by deep learning models are vulnerable to motion and illumination artefacts, and are unable to fully exploit the intrinsic temporal characteristics of the rPPG. This paper presents an efficient spatiotemporal modeling-based rPPG recovery method for physiological signal measurements. First, two modules are utilized in the rPPG task: 1) 3D central difference convolution for temporal context modeling with enhanced representation and generalization capacity, and 2) Huber loss for robust intensity-level rPPG recovery. Second, a dual branch structure for both motion and appearance modeling and a soft attention mask are adapted to take full advantage of the central difference convolution. Third, a multi-task setting for joint cardiac and respiratory signals measurements is introduced to benefit from the internal relevance between two physiological signals. Last, extensive experiments performed on three public databases show that the proposed method outperforms prior state-of-the-art methods with the Pearson's correlation coefficient higher than 0.96 on all three datasets. The generalization ability of the proposed method is also evaluated by cross-database and video compression experiments. The effectiveness and necessity of each module are confirmed by ablation studies.

Human Physiological Responses to Sitting and Walking in Green Spaces with Different Vegetation Structures: A Seasonal Comparative Study

This study seeks to address the gap in knowledge regarding the varying effects of vegetation on human perception and preference, and to comprehend how green spaces can better serve community needs. The research assessed the impact of different vegetation structures on physiological responses during two types of on-site perceptions: sitting and walking, in both winter and summer. The green spaces included single-layer grassland, single-layer woodland, tree-shrub-grass composite woodlands, and tree-grass composite woodlands, and a non-vegetated square. The findings indicated the following. (1) The physiological recovery effect of walking in green spaces is relatively greater than that of sitting; walking in green spaces with different vegetation types was found to enhance participants’ pNN50 values (p = 0). (2) During the summer, sitting and observing provided a better physiological recovery effect (p &lt; 0.05), whereas in the winter, walking was more beneficial (p &lt; 0.05). (3) Green spaces with vegetation were more beneficial for physiological recovery than the non-vegetated square, which could not sustain recovery effects for more than 1 min. Single-layer grassland and tree-shrub-grass composite woodlands had the most significant physiological recovery effects on health (p &lt; 0.01). (4) Based on these conclusions, it is suggested that a combination of sitting and walking can lead to improved recovery outcomes. Therefore, when visiting parks during extreme weather conditions, individuals should adjust the duration of their sitting and walking experiences to enhance their overall experience.

Tiletamine/Zolazepam and Ketamine with Dexmedetomidine (TKD) Cocktail Is as Effective as Tiletamine/Zolazepam and Ketamine with Xylazine (TKX) in Providing Pig General Anesthesia.

This study aimed to evaluate dexmedetomidine as an alternative to xylazine in pigs. We compared TKD (0.05 mL/kg) to TKX (0.05 mL/kg) in 20 male pigs undergoing unilateral cryptorchid castration (short-term, 45-min) or bilateral cryptorchid castration (long-term, 90-min). We hypothesized that TKD would be comparable to TKX for both short-term and long-term anesthesia. Monitored parameters were classified into duration and physiological categories, including induction and recovery times, reflexes, heart rate (HR), respiratory rate (RR), arterial blood pressure, oxygen saturation (%SpO2), end-tidal carbon dioxide (ETCO2), and body temperature (TEMP). Isoflurane levels were also recorded, if used. Results showed no significant differences in duration parameters between TKD and TKX for either short-term or long-term anesthesia (induction: 1 min; recovery: 18-35 min). Physiological parameters were mostly similar between groups, although TKD caused slightly higher blood pressure during short-term anesthesia. Isoflurane levels (0.1-0.6%) were comparable between groups. Overall, the results suggest that TKD provides anesthesia comparable to TKX in pigs undergoing unilateral or bilateral cryptorchid surgery requiring short-term and long-term anesthesia.

Well-Being and Sustainable Utilization of Forest Environment with Diverse Vegetation Distributions

Forest landscape space is the basic unit of forest landscape resources. Healthy forest landscape resources can not only improve the sustainable cycle of forest ecological service function, but also have a positive impact on human health and well-being. Evidence supports the view that the forest environment is beneficial to people’s health, and further discussion of the dose response between environmental attributes and physical and mental recovery has been widely carried out by scholars. As an important component of environmental attributes, it is necessary to clarify the relationship between vegetation distribution and users’ health in order to better plan, design, and utilize forest environmental resources. This study mainly used the virtual immersive forest environment video in VR, and used the difference test in SPSS 23.0 to clarify whether the distribution of vegetation in the forest environment will affect the physiological and psychological recovery effect of users. The main results are as follows: (1) Experiencing the forest environment can promote users’ physiological and psychological health, and its recovery effect is significantly better than the indoor environment (p &lt; 0.05). (2) The distribution of vegetation in the forest environment will affect users’ physiological and psychological recovery effect. Among them, in the cluster and randomly distributed forest environments, the relaxation and concentration of users can be improved mainly by alleviating their negative emotions. In the evenly distributed forest environment, users mainly achieve the purpose of relaxation by improving their vitality and positive emotions. These results show that the distribution of vegetation is one of the factors for the restoration of forest environment. In the future design and management of the forest environment, the health and well-being of users can be effectively enhanced by getting involved with the vegetation distribution in the site, aiming to provide a scientific basis for the promotion of the rehabilitation function of forest landscape space and its sustainable utilization, thus promoting the sustainable development of forest resources and improving people’s quality of life.

A larval zebrafish model of cardiac physiological recovery following cardiac arrest and myocardial hypoxic damage.

Contemporary cardiac injury models in zebrafish larvae include cryoinjury, laser ablation, pharmacological treatment and cardiac dysfunction mutations. Although effective in damaging cardiomyocytes, these models lack the important element of myocardial hypoxia, which induces critical molecular cascades within cardiac muscle. We have developed a novel, tractable, high throughput in vivo model of hypoxia-induced cardiac damage that can subsequently be used in screening cardioactive drugs and testing recovery therapies. Our potentially more realistic model for studying cardiac arrest and recovery involves larval zebrafish (Danio rerio) acutely exposed to severe hypoxia (PO2=5-7 mmHg). Such exposure induces loss of mobility quickly followed by cardiac arrest occurring within 120 min in 5 days post fertilization (dpf) and within 40 min at 10 dpf. Approximately 90% of 5 dpf larvae survive acute hypoxic exposure, but survival fell to 30% by 10 dpf. Upon return to air-saturated water, only a subset of larvae resumed heartbeat, occurring within 4 min (5 dpf) and 6-8 min (8-10 dpf). Heart rate, stroke volume and cardiac output in control larvae before hypoxic exposure were 188±5 bpm, 0.20±0.001 nL and 35.5±2.2 nL/min (n=35), respectively. After briefly falling to zero upon severe hypoxic exposure, heart rate returned to control values by 24 h of recovery. However, reflecting the severe cardiac damage induced by the hypoxic episode, stroke volume and cardiac output remained depressed by ∼50% from control values at 24 h of recovery, and full restoration of cardiac function ultimately required 72 h post-cardiac arrest. Immunohistological staining showed co-localization of Troponin C (identifying cardiomyocytes) and Capase-3 (identifying cellular apoptosis). As an alternative to models employing mechanical or pharmacological damage to the developing myocardium, the highly reproducible cardiac effects of acute hypoxia-induced cardiac arrest in the larval zebrafish represent an alternative, potentially more realistic model that mimics the cellular and molecular consequences of an infarction for studying cardiac tissue hypoxia injury and recovery of function.

FicD sensitizes cellular response to glucose fluctuations in mouse embryonic fibroblasts

During homeostasis, the endoplasmic reticulum (ER) maintains productive transmembrane and secretory protein folding that is vital for proper cellular function. The ER-resident HSP70 chaperone, binding immunoglobulin protein (BiP), plays a pivotal role in sensing ER stress to activate the unfolded protein response (UPR). BiP function is regulated by the bifunctional enzyme filamentation induced by cyclic-AMP domain protein (FicD) that mediates AMPylation and deAMPylation of BiP in response to changes in ER stress. AMPylated BiP acts as a molecular rheostat to regulate UPR signaling, yet little is known about the molecular consequences of FicD loss. In this study, we investigate the role of FicD in mouse embryonic fibroblast (MEF) response to pharmacologically and metabolically induced ER stress. We find differential BiP AMPylation signatures when comparing robust chemical ER stress inducers to physiological glucose starvation stress and recovery. Wildtype MEFs respond to pharmacological ER stress by down-regulating BiP AMPylation. Conversely, BiP AMPylation in wildtype MEFs increases upon metabolic stress induced by glucose starvation. Deletion of FicD results in widespread gene expression changes under baseline growth conditions. In addition, FicD null MEFs exhibit dampened UPR signaling, altered cell stress recovery response, and unconstrained protein secretion. Taken together, our findings indicate that FicD is important for tampering UPR signaling, stress recovery, and the maintenance of secretory protein homeostasis.

How Do We Improve Sleep Quality After Total Joint Arthroplasty? A Systematic Review of Randomized Controlled Trials.

Despite the importance of sleep for physiological function, rehabilitation, and recovery, sleep quality after total joint arthroplasty (TJA) remains poor. The objective of this systematic review was to identify, summarize, and evaluate postoperative interventions aimed at improving sleep quality after TJA. A systematic review of PubMed (MEDLINE) and Scopus (Embase, MEDLINE, COMPENDEX) from inception to April 2024 was conducted (PROSPERO ID: CRD42023447317). Randomized controlled trials on interventions to improve sleep quality were included. Sleep outcomes, including the Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, Patient-Reported Outcome Measurement Information System-Sleep Disturbance, Numeric Rating Scale sleep scores,l9 were extracted. Descriptive statistics were used to analyze the available data. Of the 1,549 articles identified, seven randomized trials with a total of 840 patients were included (394 total hip arthroplasties [THA], 446 total knee arthroplasties [TKA]). Pittsburgh Sleep Quality Index was the most commonly used outcome for assessing sleep quality. Among THA studies, zolpidem, combined fascia iliaca compartment block (FICB) and dexmedetomidine (DEX), and perioperative methylprednisolone were shown to markedly improve postoperative sleep quality. Neither topical cannabidiol nor topical essential oil was found to improve postoperative sleep quality after TKA. Melatonin had no effect on sleep outcomes after TJA. Zolpidem, FICB + DEX, and perioperative methylprednisolone are effective interventions to improve sleep quality after THA. Topical cannabis, topical essential oil, and melatonin did not improve sleep quality. No effective sleep interventions for TKA patients were identified. Improving sleep quality remains a potential therapeutic goal to improve patient satisfaction after TJA. Continued investigation on this topic is therefore necessary.

Seasonal variations in psychophysiological stress recovery from street greenery: A virtual reality study on vegetation structures and configurations

The benefits of street greenery for well-being in urban development are widely recognized. However, few studies have explored seasonal variations in the psychophysiological stress recovery effects of different street greenery. To address this gap, we conducted field research in the Guanzhong region of China and created virtual streetscapes representing different seasons using Mars 2020 software. This study categorized vegetation into various layers based on their biological attributes: deciduous and evergreen trees for the arbor layer, evergreen and colourful foliage hedges for the shrub layer, observable and unobservable flowering herbs for the herb layer. They were then classified into Tree, Tree-Shrub, Tree-Herb, and Tree-Shrub-Herb structures, all of which had different seasons and vegetation configurations. 1,136 participants were recorded for psychophysiological changes in different street greenery virtual reality scenarios. The results were as follows: 1. Streets with greenery exhibited greater stress recovery effects than those without greenery. Seasonally, the physiological stress recovery effects were greater in autumn and winter, and there was an interaction between season, structure, configuration factors. 2. Overall, the Tree-Shrub structure was most effective for stress recovery, the Tree-Shrub-Herb structure was least effective. However, the Tree-Shrub-Herb structure proved to be the best in winter. 3. Rich color and stable green coverage were most effective for improving psychological and physiological stress recovery, respectively. However, the optimal vegetation types and configurations for stress recovery vary with specific viewing periods within each season. These findings offer a theoretical foundation and practical reference for designing health-oriented street greenery and seasonal landscapes in future.

Effect of stocking density and feeding regimes on physiological recovery in stunted Labeo rohita fingerlings reared in cages

Aim: To find out the physiological recovery status of stunted fingerling of Labeo rohita reared in floating net cages at different stocking densities and feeding rations in cages. Methodology: Stunted fingerling (8 months) of L. rohita with an average body weight of 38.23 ± 1.90 g and length 14.65 ± 0.30 cm were stocked in cages at different densities viz. T1 (10), T2 (15), T3 (20) and T4 (25) fish m-3 and varying levels of feeding rations such as 3, 4, 5 and 6% for 330 days with crude protein (28%) pellet were fed twice a day. The 4×4 factorial design was used, and each stocking density and feeding level were triplicated. A total of 48 numbers of square shaped floating net cage, made of HDPE, each measuring 27 m-3 with 6 mm mesh size were used for the experiment. Results: A significant physiological recovery was observed in the T1 (10*5 and 10*6) treatment groups, which showed highest Hb (11.23± 0.08 g d l-1), RBC (2.83 ± 0.03 ×106 cum m-1), PCV (45.76 ± 0.16 %) and lymphocyte (69.32 ± 0.12 %) content at the end of the experiment. Similarly, significant changes were observed in glucose, cortisol, and lactate dehydrogenase, which were highest in T4 and normal in T1 group as the experiment progressed. Interpretation: The result of present study recommends that cage culture of stunted Labeo rohita is possible in Indian reservoirs with lower stocking density 10 m-2 and feeding ration of 5% body weight which maintains better physiological conditions for optimal growth of fish. Key words: Cage culture, Feeding ration, Labeo rohita, Physiological parameters, Stunted, Stocking density

Trajectory of pelvic floor muscle training adherence in Chinese women with postpartum stress urinary incontinence and its related factors: A longitudinal study

ObjectiveNumerous studies have shown that pelvic floor muscle training (PFMT) adherence in women with postpartum stress urinary incontinence is low and influenced by many factors. However, most previous studies have been cross-sectional studies on PFMT adherence. Neglecting physiological and psychological recovery after childbirth may lead to changes in the adherence to PFMT. This longitudinal study investigated the developmental trajectory of PFMT adherence at 8, 10, and 12 weeks postpartum and the associated factors in China. MethodsA total of 213 women with postnatal stress urinary incontinence who visited the obstetric pelvic floor clinic of a Grade A tertiary specialist maternity hospital in Beijing, China between January 2018 and January 2019 were selected. Compliance levels were measured using PFMT compliance questionnaires at 8, 10, and 12 weeks postpartum. Data on self-efficacy, postpartum social support, and other influencing factors were collected at 12 weeks postpartum. Differences in PFMT compliance scores were analyzed using repeated-measures analysis of variance. Multiple stepwise linear regression analyses were used for multivariate analysis. ResultsThe PFMT compliance scores at 8, 10, and 12 weeks postpartum were 13.47 ​± ​4.42, 10.76 ​± ​4.46, and 7.95 ​± ​5.54, which were at a moderate level and showed a decreasing trend over time. Multiple stepwise line regression analysis showed that the factors influencing compliance with PFMT in women with postpartum stress urinary incontinence were knowledge-attitude-practice of PFMT (t ​= ​4.251, P ​< ​0.001), postpartum social support level (t ​= ​4.304, P ​< ​0.001), and self-efficacy level of PFMT (t ​= ​8.577, P ​< ​0.001). ConclusionThe PFMT compliance of Chinese women with postpartum stress urinary incontinence was moderate, with a downward trend. More effective methods should be chosen to improve women's PFMT compliance based on their situation, such as improving patient self-efficacy, social support, and knowledge-attitude-practice.

Effects of Pulsed Electromagnetic Field Treatment on Skeletal Muscle Tissue Recovery in a Rat Model of Collagenase-Induced Tendinopathy: Results from a Proteome Analysis.

Tendon disorders often result in decreased muscle function and atrophy. Pulsed Electromagnetic Fields (PEMFs) have shown potential in improving tendon fiber structure and muscle recovery. However, the molecular effects of PEMF therapy on skeletal muscle, beyond conventional metrics like MRI or markers of muscle decline, remain largely unexplored. This study investigates the metabolic and structural changes in PEMF-treated muscle tissue using proteomics in a rat model of Achilles tendinopathy induced by collagenase. Sprague Dawley rats were unilaterally induced for tendinopathy with type I collagenase injection and exposed to PEMFs for 8 h/day. Gastrocnemius extracts from untreated or PEMF-treated rats were analyzed with LC-MS/MS, and proteomics differential analysis was conducted through label-free quantitation. PEMF-treated animals exhibited decreased glycolysis and increased LDHB expression, enhancing NAD signaling and ATP production, which boosted respiratory chain activity and fatty acid beta-oxidation. Antioxidant protein levels increased, controlling ROS production. PEMF therapy restored PGC1alpha and YAP levels, decreased by tendinopathy. Additionally, myosins regulating slow-twitch fibers and proteins involved in fiber alignment and force transmission increased, supporting muscle recovery and contractile function. Our findings show that PEMF treatment modulates NAD signaling and oxidative phosphorylation, aiding muscle recovery through the upregulation of YAP and PGC1alpha and increasing slow myosin isoforms, thus speeding up physiological recovery.

Acute Effects of Foam Rolling vs. Vibration Foam Rolling on Blood Flow Parameters in Professional Soccer Players: A Randomized Crossover Design.

Padrón-Cabo, A, Alonso-Calvete, A, Radzimiński, Ł, Rey, E, and Lorenzo-Martínez, M. Acute Effects of foam rolling vs. vibration foam rolling on blood flow parameters in professional soccer players: a randomized crossover design. J Strength Cond Res XX(X): 000-000, 2024-The study aimed to compare the effects of foam roller (FR) and vibration foam roller (VFR) on blood flow parameters, measured by Doppler ultrasonography in professional soccer players. A randomized crossover design was used, and 10 professional soccer players participated in 3 experimental sessions: FR, VFR, and a control condition (CC). The maximum velocity (MVel) and maximum volume (MVol) blood flow parameters were measured in the common femoral artery of the dominant leg at 5 different time points as follows: before (pre), immediately after (post 0'), 10 (post 10'), 20 (post 20'), and 30 minutes (post 30') after the intervention. Both FR and VFR involved two 45-second sets with 15-second rest between sets in the quadriceps and hamstring, while CC required sitting for 240 seconds. The FR condition showed a significant increase in MVel (p < 0.01) at all time points after the intervention, and an increase in MVol (p < 0.05) only at post 0' compared with pre. The VFR condition showed a significant (p < 0.05) increase in MVel at post 0' and post 10' and an increase (p < 0.05) in MVol at post 0' compared with pre. In comparison with CC, the FR and VFR conditions presented significantly (p < 0.05) higher MVel values at post 0', post 10', post 20', and post 30' than CC. For both FR and VFR conditions, the MVol not only revealed a significant (p < 0.05) increase at post 0' but also at post 10' for VFR compared with CC. In summary, the FR and VFR interventions demonstrated a similar increase in blood flow parameters, suggesting that both strategies may accelerate physiological recovery in elite soccer players.

The dyadic effects of posttraumatic stress symptoms on the regulation of respiratory sinus arrhythmia following an acute stress induction among couples.

Posttraumatic stress symptoms (PTSS) can have detrimental influences on both individual and couple functioning, including how individuals respond to stressors and regulate emotions. Respiratory sinus arrhythmia (RSA) can serve as a key indicator of emotion regulation; however, few studies have examined psychophysiological stress reactions within a couple's context. Forty-three couples (N = 86 individuals) with a trauma history were assessed for PTSS and RSA at baseline. One partner then completed a stressor task using a film-clip depicting sexual assault. Afterward, the couple was reunited and completed a dyadic discussion task where both partners' RSA was continuously measured while they discussed the stressed partner's thoughts and feelings about the stressful film-clip. Moderated repeated measures actor-partner interdependence models were conducted, examining the self and coregulation of RSA and moderation of such regulation by PTSS. There was significant self-regulation from both partners, and a coregulation process whereby the nonstressed partner's RSA influenced the rate of change in RSA of their stressed partner. Additionally, greater PTSS in the nonstressed partner was associated with a weakening of both self and coregulation. Patterns of both self- and coregulation, within and between romantic partners emerged and illustrate the impact of PTSS within these dyadic physiologic processes. Findings have theoretical and clinical implications in physiological dyadic interactions and potential stress recovery, particularly emphasizing the relevance of examining biomarkers such as RSA among partners with a trauma history during recovery from stress. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Investigation of the Effect of Restricted Environmental Stimulation Technique (Floatation-REST) in Floatation Tank on Physical, Physiological, and Psychological Recovery Parameters of Football Players

Investigation of the Effect of Restricted Environmental Stimulation Technique (Floatation-REST) in Floatation Tank on Physical, Physiological, and Psychological Recovery Parameters of Football Players

Effects of different natural soundscapes on human psychophysiology in national forest park

Most of the current soundscape research content is limited to the discussion of the restoration effect of single-element soundscapes, but it is the combination of sounds that is common in outdoor activities, and there is no evidence that the restoration of natural soundscapes is better with multi-element combinations. In this study, the Zhangjiajie National Forest Park in China was used as the research object, and the physiological indices of the subjects were collected through electroencephalogram signals, and the POMS short-form psychological scale was used to understand the subjective psychological responses of the subjects to the soundscape. The results showed that (1) The psychophysiological restorative ability of the natural soundscape of the National Forest Park was confirmed, and the subjects’ psychological and physiological indices changed significantly and positively after listening to each section of the natural soundscape (p = 0.001). (2) The restorative effect of the multi-natural sound combination was ranked first in the overall ranking of the five natural soundscapes, and the multi-natural sound combination did indeed provide better restorative effects than the single-element sounds. (3) Gender does not usually have a significant effect on the restoration effect, and only Windy Sound among the four single-element nature sound landscapes and one multi-element combination of nature sound landscapes showed a significant gender difference, so in general, the effect of gender on the restoration effect of nature sound landscapes is not significant. In terms of research methodology, this study used cluster analysis to cluster the five types of natural soundscapes according to psychological and physiological recovery ability, and used ridge regression to construct mathematical models of the psychological and physiological recovery of each of the four natural soundscapes. The study of human physiological and psychological recovery from different types of natural soundscapes in China’s national forest parks will provide a basis for soundscape planning, design, and policy formulation in national forest parks.