Repetitive Exercise Research Articles

Technology and Care: Starting From Human-Centered Compassion

The rapid development of technology in recent years has not only transformed everyday life but also profoundly impacted the fields of healthcare and caregiving. Approaches to care that are technology-based and human-centered may be used to provide care services that are more efficient, accurate, and personalized and that, ultimately, improve our quality of life and overall health. First, intelligent health monitoring systems can generate customized health management plans based on individual health conditions and needs, allowing chronic diseases to be managed more effectively and helping prevent disease onset. Examples of these systems include smart medication dispensers (Gargioni et al., 2024) and fall prevention exercise apps for older adult patients (Czuber et al., 2024). Also, in clinical settings, especially in the context of monitoring patients in operating rooms and intensive care units, visualization technologies are using psychology and cognitive neuroscience principles to leverage human sensory perception to improve caregiver understanding of information. Patient data are presented using different shapes, colors, and animation frequencies, which are more effectively perceived, integrated, and interpreted than other formats (e.g., numbers). This helps healthcare professionals effectively perceive and identify potential medical issues, enhancing their situational awareness, helping them make better decisions, and improving patient safety (Gasciauskaite et al., 2023). In the field of rehabilitation, Krishnan et al. (2024) developed a wearable rehabilitation device to facilitate gait rehabilitation in post-stroke patients that exhibits better durability, modularity, and usability than previous technologies. In addition, for patients with upper limb impairments who experience varying degrees of ability loss in performing activities of daily living, robotic platforms have been introduced to facilitate intensive and repetitive exercises that strengthen motor skills and neuroplasticity (Bucchieri et al., 2023). In conclusion, human-centered technology care is a field ripe with potential that combines the power of technology with human-centered care to improve support and service capabilities. Articles in this issue explore the application of social robots in nursing practice, the applicability of smart technology in cardiac and elderly care, and the opportunities for next-generation smart care. We look forward to seeing more human-centered technology care solutions in the future that further promote health, well-being, and comprehensive social development.

Muscle Strength Asymmetries of the Lower Limbs and Trunk in Ballet Dancers.

Ballet dancers are expected to use their bodies symmetrically during training, because dance movements are performed on both sides. However, there is a general belief that ballet training encourages the use of one side of the body more than the other. Frequent repetition of a particular exercise can lead to body asymmetries and musculoskeletal injuries. The aim of this cross-sectional study was to investigate the presence of lower limbs and trunk muscle strength asymmetries in ballet dancers and secondly to assess whether there is a difference between professional dancers and ballet students. Ballet students (n=19) and professional ballet dancers (n=23) performed maximal voluntary isometric contractions of the trunk (flexion, extension, lateral flexion), hip (flexion, extension, adduction, abduction, external and internal rotation), knee (flexion, extension) and ankle (flexion, extension) on isometric dynamometer. The results showed that the percentage of ballet dancers with contralateral muscle strength asymmetries >10% ranged from 22.5% (ballet students) to 31.6% (professional dancers). The percentage of ballet dancers deviating by >10% from the normative maximum torque agonist/antagonist ratio ranged from 56.5% to 100%. A statistically significant difference between ballet students and professional ballet dancers was found in the trunk flexion/extension ratio (t(40) = -3 .55; p = 0.001; d = 0.55). This study revealed strength asymmetries in the lower limbs and trunk in ballet dancers, both professionals and students. Further research is needed to develop appropriate complementary exercise to address and eliminate asymmetries in muscle strength in ballet dancers.

Muscle Strength Preservation During Repeated Sets of Fatiguing Resistance Exercise: A Secondary Analysis.

Nuzzo, JL. Muscle strength preservation during repeated sets of fatiguing resistance exercise: A secondary analysis. J Strength Cond Res 38(6): 1149-1156, 2024-During sustained or repeated maximal voluntary efforts, muscle fatigue (acute strength loss) is not linear. After a large initial decrease, muscle strength plateaus at approximately 40% of baseline. This plateau, which likely reflects muscle strength preservation, has been observed in sustained maximal isometric and repeated maximal isokinetic contractions. Whether this pattern of fatigue occurs with traditional resistance exercise repetitions with free weights and weight stack machines has not been overviewed. Here, the aim was to determine whether the number of repetitions completed across 4 or more consecutive repetitions-to-failure tests exhibits the same nonlinear pattern of muscle fatigue. A secondary analysis was applied to data extracted as part of a recent meta-analysis on repetitions-to-failure tests. Studies were eligible if they reported mean number of repetitions completed in 4-6 consecutive repetitions-to-failure tests at a given relative load. Twenty-nine studies were included. Overall, the results show that the number of repetitions completed in consecutive repetitions-to-failure tests at a given load generally decreases curvilinearly. The numbers of repetitions completed in sets 2, 3, 4, 5, and 6 were equal to approximately 70, 55, 50, 45, and 45% of the number of repetitions completed in set 1, respectively. Longer interset rest intervals typically attenuated repetition loss, but the curvilinear pattern remained. From the results, a chart was created to predict the number of repetitions across 6 sets of resistance exercise taken to failure based on the number of repetitions completed in set 1. The chart is a general guide and educational tool. It should be used cautiously. More data from a variety of exercises, relative loads, and interset rest intervals are needed for more precise estimates of number of repetitions completed during repeated sets of fatiguing resistance exercise.

Virtual Fitness Trainer Using AI: A Research Paper

Abstract: Our research delves into the creation of a Virtual Fitness Trainer using Artificial Intelligence (AI) to offer personalized workout guidance and real-time feedback. This project harnesses advanced computer vision, machine learning, and natural language processing techniques to develop an intelligent system capable of accurately detecting human poses, tracking exercise repetitions, and providing corrective feedback. Utilizing Python's OpenCV library to capture live webcam feeds, processed by MediaPipe's BlazePose tool for precise pose estimation, our application employs a novel topology with 33 keypoints, enhancing the accuracy of body movement analysis. The frontend interface, designed with Flask, HTML, CSS, and Bootstrap, ensures an intuitive user experience, allowing selection from various exercises such as squats, curls, jumping jacks, push-ups, lateral raises, and pull-ups. Each exercise page offers detailed instructions and demonstration videos for correct technique execution. The system processes live video streams frame-by-frame, converting them into formats suitable for pose analysis and accuracy assessment. BlazePose tracks user movements in real-time, displaying a 33-keypoint exoskeleton via OpenCV, aiding in understanding body movements and tracking progress through repetition counts. The system also provides real-time feedback on exercise form, suggesting corrective actions to optimize the workout and minimize injury risks. Our Virtual Fitness Trainer addresses the limitations of existing fitness apps by enabling accurate, independent home workouts, bridging the gap left by the absence of gyms and personal trainers. It highlights AI's potential in fitness, with future advancements expected to enhance gesture recognition, adaptive workout plans, and integration with biometric data from wearables. As AI algorithms evolve, the Virtual Fitness Trainer aims to become indispensable for achieving health and wellness goals, offering a convenient, engaging, and supportive platform.

Impact of squat set configuration on mechanical performance in paired sets of upper-body exercises.

Paired sets and alternative set configurations (e.g., cluster sets) are frequently employed by strength and conditioning practitioners; however, their synergistic impact remains underexplored in research. This study aimed to elucidate whether the set configuration used in a lower-body exercise affects mechanical performance during paired sets of upper-body exercises. Twenty-one resistance-trained individuals (14 men and 7 women) randomly completed three experimental sessions that involved four sets of five repetitions at 75%1RM during both the bench press and bench pull exercises. The three experimental sessions varied solely in the activity conducted during the inter-set rest periods of each upper-body exercise: (i) Traditional squat - six squat repetitions without intra-set rest at 65%1RM; (ii) Rest redistribution squat - two clusters of three repetitions of the squat exercise at 65%1RM with 30s of intra-set rest; and (iii) Passive rest - no exercise. The rest redistribution set configuration allowed the sets of the squat exercise to be performed at a faster velocity than the traditional set configuration (p = 0.037). However, none of the mechanical variables differed between the exercise protocols neither in the bench press (p ranged from 0.279 to 0.875) nor in the bench pull (p ranged from 0.166 to 0.478). Although rest redistribution is an effective strategy to alleviate fatigue during the sets in which it is implemented, it does not allow subjects to perform better in subsequent sets of the training session.

Personalized Full-Body In-Bed Gym at home: lessons from personal experiences

Muscles and mobility deteriorate with age, and exercising is the only sure countermeasure. It is useful to offer safe and toll-free rehabilitation training, such as the Full-Body In-Bed Gym, easy to learn and perform at home. Based on my own experience, I suggest a 10-20-minute daily routine of easy and safe physical exercises that may improve the main 200-300 skeletal muscles used for everyday activities. Many of the exercises can be performed in bed (Full-Body In-Bed Gym), so hospital patients can learn this light workout before leaving the hospital. The routine consists of a series of repetitions of bodyweight exercises to be performed one after the other, without time breaks in between. Alternating sequences of arm and leg exercises are followed by moving body parts in lying and sitting positions in bed and by standing and sitting down. Progressive improvements can be tested by a series of push-ups on the bed or the floor. Starting from 3-5, the number of repetitions is increased by adding 5 more every week. To maintain or even shorten the total daily time of workout, each movement is then speeded up. The devoted time every morning (or at least 5 days a week) to train all the major muscles of the body can remain under 15 minutes. Because there are no breaks during and between sets, the final push-ups become very challenging. At the end of the daily workout, heart rate, depth, number of spontaneous ventilations, and frontal perspiration increase for several tens of minutes. Here is an example of how to implement the progression of the Full-Body In-Bed Gym, presenting an educational case report of a trained 80-year-old person in stable pharmacological management. Details of the workouts and the related results are presented in the 2024 book, How to Rejuvenate at 80’s. Positive results on quality of life, mental wellness, and persistence in a group of older adults were recently reported in a scientific publication. Although performed in bed, in addition to strengthening the main muscles, ventilatory ones included, Full-Body In-Bed Gym at home is a resistance training equivalent to a short jog. Started in early winter and continued regularly throughout spring and summer, Full-Body In-Bed Gym can help maintain the independence and mental wellness of elderly people. It is a simple approach that deserves further clinical trials.

Factors Influencing the Implementation of a Fall Prevention Exercise Program for Community-Dwelling Older Adults: A Qualitative Study Guided by the PRECEDE-PROCEED Model.

Multiple falls preventions exercise programs have been rolled out globally, however, few studies have explored the factors necessary for their implementation. This study aimed to investigate the factors influencing the implementation of "Steady Feet" (SF), a 12-week community fall prevention exercise intervention, for older adults living in Singapore. This study utilized purposive sampling to recruit two participant groups: (i) older adults who declined or withdrew from the program and (ii) providers of the program (eg, instructors). We conducted 22 semi-structured interviews, recordings were transcribed and translated, followed by thematic analysis. Data collection and analysis were informed by the PRECEDE-PROCEED framework, focusing on predisposing, enabling, and reinforcing factors. Findings revealed two predisposing, four enabling, and two reinforcing themes. Predisposing themes encompassed (i) knowledge, attitudes, and practices of older adults towards exercises and falls prevention, and (ii) perceptions and attitudes of providers towards SF. Both older adults and providers identified several enabling elements in implementing SF, emphasizing the significance of (i) accessibility, availability, and affordability. Providers highlighted (ii) tools and structural support for continual engagement, (iii) minimizing variations in capabilities through a competency development program, and (iv) fostering synergistic partnerships. Positive reinforcement included (i) the role of providers in engaging and promoting participation, (ii) family support, social networks, and (iii) incentives for older adults. Conversely, both groups highlighted negative reinforcements, including (iv) communication issues and (v) repetitive exercises, while providers specifically identified (vi) labor constraints as a deterrent for implementation. Findings indicate that effective implementation necessitates a multifaceted approach. Promoting participation involves engaging instructors, emphasizing social bonds and family involvement, offering incentives, and providing subsidized or free classes. A competency development program proved effective in reducing variations in providers' capabilities. Strengthening community partnerships, with management support, was crucial for ensuring the availability and accessibility of falls prevention programs.

Novel Use of 1-methylhistamine as a Biomarker of the Histamine Response to Exercise

Histamine is released within skeletal muscle during exercise, promoting a sustained post-exercise vasodilation and contributing to adaptive responses to exercise training. Tracking this response is complicated by the short half-life and localization of histamine, requiring invasive methods such as intramuscular microdialysis or arteriovenous catheterization. Surrogates based on regional blood flow to assess post-exercise vasodilation require skilled use of expensive equipment, such as ultrasonography. These approaches may not be available in many research or athletic settings. Therefore, we explored the use of 1-methylhistamine (1-MH), a primary metabolite of histamine, as a novel biomarker of histamine’s release in response to aerobic and resistance exercise. We hypothesized that urinary 1-MH production would increase following exercise and that it would be positively correlated with post-exercise femoral artery blood flow and vascular conductance. Six healthy (1F, 5M; 22±4y; 24.3±1.9 kg·m2) trained participants (VO2peak: 51.8±7.7 ml·kg−1·min−1; back squat 1-repetition maximum, 1-RM: 1.66±0.27 kg·bodyweight−1) completed two exercise sessions separated by 1-wk: Aerobic, 30-min of cycling exercise at 70% VO2peak; Resistance, 6 sets of 10 repetitions of back squat exercise at 70% 1-RM. Femoral artery blood flow and vascular conductance were measured and venous blood samples were obtained before, immediately after, and throughout 2-h of post-exercise recovery. Urine was collected during the 24-h before and 2-, and 24-h post-exercise. Histamine and 1-MH concentrations were measured via high-performance liquid chromatography. Results are presented as mean ± SD and were compared by repeated-measures ANOVA and Pearson’s correlations. Blood flow increased immediately after exercise vs before (Aerobic: 442±60 vs 184±58 mL·min−1, p<0.05; Resistance: 626±190 vs 194±54 mL·min−1, p<0.05) and remained elevated 30-min into recovery (Aerobic: 273±63, p<0.05; Resistance: 396±99 mL·min−1, p<0.05). The area under the curve for blood flow after exercise tended to be greater following resistance (16117±5504 mL) vs aerobic (8732±5360 mL, p=0.06) exercise. When averaged across exercise modes, urine 1-MH production was elevated 2-h post-exercise vs before (23.6±15.9 vs 9.2±5.9 μg/h, p<0.05). Urine 1-MH production tended to correlate with percent elevation in femoral artery blood flow (r=0.59, p=0.09) and correlated with the percent elevation in vascular conductance following exercise (r=0.53, p<0.05). These results demonstrate that both aerobic and resistance exercise elicit a histamine response and support the utility of urinary 1-MH production as a biomarker of histamine’s release in response to exercise. Supported by NIH grant R01 AG072805. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

43. Effects of Repetitive Head Impacts and Exercise on Neurobehavioral Symptoms and Cortical Thickness in Elite Former American Football Athletes

43. Effects of Repetitive Head Impacts and Exercise on Neurobehavioral Symptoms and Cortical Thickness in Elite Former American Football Athletes

Using of innovative methods during swimming lessons summary

The article offers theoretical and practical material on teaching swimming using innovative technologies during physical classes. In the modern scientific field, various concepts of swimming training have been developed, including holistic-separate, sequential, sequential-parallel and accelerated models, as well as those that use support and technical means. Within these models, different teaching methods and strategies are used, focused on specific pedagogical tasks and audience characteristics. Swimming is considered as a complex skill that requires the separate development of each swimming element: holding your breath, diving, surfacing, lying down, sliding, hand work, leg work, proper breathing. For ego acquisition, the method of repeated repetition of swimming exercises in water is used, which is a combination of studied exercises. Mastering a wide range of swimming movements in all types of swimming, from elementary to sports and elements of applied swimming, initially facilitates the choice of a simpler method, which facilitates the further study of others. In classes, not only standard, but also modular equipment should be used. This approach allows you to reduce the time needed to master swimming skills. The use of innovative technologies in the process of learning to swim contributes to the formation of interest in a healthy lifestyle, increases the level of swimming readiness and functional capabilities of the body. Swimming lessons are innovative in nature and are designed to develop skills that allow you to stay afloat in non-standard situations of everyday life. The article examines and summarizes data on the use of modern innovative methods and technologies of teaching swimming. When introducing innovative technologies into the process of learning to swim, it is necessary to adhere to such technological criteria as efficiency, systematicity, structuredness, scientificity, and procedurality. Innovative methods of teaching swimming include modern approaches and technologies that are designed to facilitate and improve the process of learning this skill. Similar methods can be gradually introduced into the process of physical education.

Associations between regular physical exercise and physical, emotional, and cognitive health of older adults in China: an 8-year longitudinal study with propensity score matching.

The importance of healthy aging is growing in China as it has the largest number of older adults in the world and is one of the fastest-aging countries. This study aimed to examine the predictive value of regular physical exercise in relation to the physical, emotional, and cognitive health among samples of adults aged ≥60 years in China during an 8-year period. A total of 10,691 older adults were extracted from two waves of national data from the China Family Panel Studies in 2010 and 2018. To minimize the impact of selection bias on the findings, a longitudinal propensity score matching (LPSM) method was used to examine the relationships between regular physical exercise and emotional health (depression), between regular physical exercise and physical health (instrumental activities of daily living), and between regular physical exercise and cognitive health (cognitive ability) of older adults. After LPSM, 856 older adults were included in the study. In the regular physical exercise group, the average age of participants at baseline year was 65.67 years, with an average age of 65.90 years for 238 men and 65.45 years for 190 women, and in the non-physical exercise group, their average age at baseline year was 65.70 years, with an average age of 65.45 years for 253 men and 65.98 years for 175 women. LPSM indicated that regular physical exercise has been found to be effective in improving physical function and reducing depressive symptoms in old adults, even after controlling for background differences. However, the sensitivity analysis suggests that the positive association between regular physical exercise and cognitive function may not be sufficiently valid. The findings of this study indicate that engaging in long-term structured and repetitive physical exercise can have a significant positive effect on reducing depressive symptoms and improving the physical function of older adults. As a result, incorporating regular physical exercise into the lifestyle of older adults is recognized as an effective strategy for promoting healthy aging and reducing the strain on public health resources.

Effect of Wearable Vibration Therapy on Muscle Soreness, Joint Position Sense and Dynamic Balance

The aim of this study is to investigate the effects of wearable local vibration therapy (VT) on muscle soreness, joint position sense, and dynamic balance in recovery after squat exercise. Twenty males (age: 22.25±1.97 years) participated in the study. Muscle soreness, joint position sense, and dynamic balance were evaluated before exercise, 24 and 48 hours after exercise. All participants performed six sets of 10 repetitions of squat exercises. VT was applied to one thigh of the participants randomly for 10 minutes after exercise, and the other thigh was determined as the control. The muscle soreness increased significantly for VT (p.05). No significant difference was found between VT and control (p>0.05). No significant difference was found after exercise at knee joint position sense for both conditions (p>.05). No significant difference was observed between VT and control (p>.05). There was a significant difference between before exercise and 48 hours after exercise at anterior direction of the modified Star Excursion Balance Test for VT (p=.033). A significant difference was found between before exercise and 24 hours after exercise at posteromedial (p=.012) direction for VT. There was only significant difference at posteromedial (p=.028) direction at 24 hours after exercise between VT and control. The wearable local VT after squat exercise did not affect muscle soreness and knee joint position sense. However, local VT contributed to the improvement of dynamic balance.

RELATIONSHIP BETWEEN BURPEE TEST AND BODY COMPOSITION: A SAMPLE OF FEMALE UNIVERSITY STUDENTS

This study aimed to examine the relationship between the 30-second Burpee test and body composition and certain physical parameters in female students studying at the Social Sciences Vocational School, Special Security and Protection Program, Çankırı Karatekin University. Fifty volunteer students participated in the study, with an average age of 19.24±0.89 years, an average height of 164.66±5.94 cm, an average body weight of 60.94±4.44 kg, an average body fat percentage of 22.93±1.82%, and an average BMI of 25.92±2.68 kg/m2. The statistical analyses were performed using SPSS 23 (SPSS Inc., Chicago, IL, USA) software package. The variance homogeneity of the data was tested using Levene's Test, and the normal distribution analyses were conducted using the Shapiro-Wilk Test. Pearson Correlation Analysis was used for all parameter correlations. The significance level was set at p < 0.05. According to the findings of this study, which examined the relationship between the 30-second Burpee test and certain physiological parameters, the following results were obtained: a positive and statistically significant relationship was found between body mass and Burpee, height (cm) and standing long jump, body fat percentage (%) and sit-up test, as well as the number of exercise repetitions (p < 0.05). However, no statistically significant relationship was found between body composition and Flamingo balance, Assisted pull-up, and 10x5m tests (p > 0.05). In conclusion, the 30-second Burpee test can be beneficial for assessing strength endurance among physiological parameters, especially regarding body mass. Considering body composition, the statistically significant negative relationship between body weight and the 30-second Burpee (frequency) should be taken into consideration as a determining factor during test trials.

Pendampingan dan Pembinaan Kegiatan Baca Tulis Al Qur’an di Musholah Baitul Maghfiroh Desa Mekarjaya

This community service activity through mentoring and fostering Qur'an literacy activities is important in supporting the development of one's Qur'an literacy skills. Research and field practice show that ongoing effective mentoring can help children to gain a better understanding of the content of the Qur'an. The main focus of this mentoring and guidance is to improve the ability to read and write the Qur'an thoroughly and accurately, as well as ensure a deep understanding of the meaning and context of the verses of the Qur'an. This mentoring and coaching involves various methods and techniques, such as the use of interactive approaches, repetitive exercises, the use of educational technology, and the strengthening of tajweed skills. The ultimate goal of this mentoring and coaching is to create a learning environment that supports, motivates, and strengthens the individual's spiritual connection with the Qur'an, thus fostering continuous personal growth and strong character development in accordance with Islamic teachings

Evaluating the impact of movement tracking feedback on engagement with home exercise programmes of children with cerebral palsy using a new therapy app: a protocol for a mixed-methods single-case experimental design with alternating treatments

IntroductionChildren with cerebral palsy (CP) are prescribed home exercise programmes (HEPs) to increase the frequency of movement practice, yet adherence to HEPs can be low. This paper outlines the protocol...

Effects of repetitive ROM exercise training using a patient robot with musculoskeletal symptoms

Effects of repetitive ROM exercise training using a patient robot with musculoskeletal symptoms

The reverse stethoscope technique: a rapid intervention for old age hearing loss

ABSTRACT Objectives Presbycusis is highly prevalent, affecting between a third and two-thirds of elderly populations. Effective communication between patient and physician has been shown to directly correlate with the quality of patient care. The Reverse Stethoscope Technique (RST) involves placing the earpieces into the patient’s ears and speaking into the diaphragm. Here, we aim to show the RST is a simple and effective method to communicate with patients suffering from presbycusis in inpatient settings. Methods Medical inpatients aged >60 years old without cognitive impairment were included in the study. A simple repetition exercise of basic English sentences was performed with and without the RST to assess hearing ability. Patients then undertook a short questionnaire. Results Our study included 109 patients with varied ‘self-reported’ hearing. 50.5% of our cohort reported past communication difficulties with health-care professionals due to hearing difficulties. We identified that the RST increased the mean number of sentences a patient could repeat from 2.6 to 3.5 representing a statistically significant increase (p < 0.001). The technique was most beneficial for patients with ‘okay’ and ‘poor’ hearing. The majority of patients (77/109) also stated the technique reduced background noise. The RST was equally effective with facemasks. Conclusion Current techniques to enhance communication with patients with hearing loss are often underutilized or poorly accessible. Our study identified that the RST is a quick and effective solution that can be easily implemented for patients struggling to communicate with health-care professionals in inpatient scenarios.

Combined repetitive facilitative exercise under continuous neuromuscular electrical stimulation and task-oriented training for hemiplegic upper extremity during convalescent phase after stroke: before-and-after feasibility trial.

Whereas repetitive facilitative exercise (RFE) affects primarily recovery of motor impairment after stroke, task-oriented training (TOT) focuses on facilitating daily use of the affected upper extremity. However, feasibility of combined RFE and TOT has not been reported. We originated "task-oriented RFE," as a new combination therapy for patients with hemiplegic upper extremity after subacute stroke, to examine its feasibility in convalescent rehabilitation wards. This is a before-and-after pilot study. Eight patients with hemiplegic upper extremity after subacute stroke received the task-oriented RFE program for 6 weeks at 80 min per day (20-60 min of TOT applied after 60-20 min of RFE under continuous neuromuscular electrical stimulation) in a convalescent rehabilitation ward. In the current program, we introduced the Aid for Decision-making in Occupation Choice (ADOC) iPad application as a goal-setting method for determining tasks. Feasibility was assessed with adherence to the protocol, adverse events in response to the intervention, and preliminary efficacy. Motor functions, amount of use and quality of movement in the hemiparetic upper extremity, and satisfaction of the patients were evaluated with Fugl-Meyer Assessment (FMA), the Action Research Arm Test (ARAT), the motor activity log (MAL) for the amount of use (AOU) and quality of movement (QOM) of the paralyzed hand, and ADOC. All participants accomplished the program, which was implemented as originally planned; neither nonattendance nor an adverse event occurred during the study. Favorable outcomes were obtained with all measures; mean changes in FMA, ARAT in the dominant hand, MAL-AOU, and MAL-QOM were greater than minimal clinically important differences. Mean changes in ADOC were greater than the minimal detectable change. The task-oriented RFE program was safe, well-tolerated, beneficial, and feasible within 80 min a day of occupational therapy, which means also within the procedural constraints of the Japanese health insurance system during the convalescent phase. Future studies are warranted to examine whether combined RFE and TOT enhances the efficacies of each program alone.

The Effect of special exercises on some of the functional variables and offensive skills of the players of the National Youth Squash

The importance of research is through the knowledge of the role of special exercises and the preparation of a set of special exercises according to the correct scientific bases in sports training and the adoption of modern methods and methods and knowledge of the impact of some functional variables and offensive skills of the national team of youth squash game, through the researcher's experience and record his observations and diagnosis about these games found The level of special physical abilities, including the ability to endure the force and speed in the young players in most games, which involve the decline of the level of physical performance and skill in the last half of the squash games, Due to the decrease in the concentration of lactic acid and some other functional variables to be studied, the most important objectives: To identify the effect of special exercises in some functional variables of the players of the national team for youth Squash. The members of the research sample to recognize the impact of special exercises in some of the offensive skills of the national youth team Balasquash individuals sample research. The researcher used the experimental method in one of its basic determinants (by identifying the one group with the pre-test and the post-test). The sample was chosen by the intentional method and included (6) squash players aged (19-17) years. The most important conclusions: The development of the capacity resulting from the special exercises came in line with what has been implemented to the level of the members of the research sample, which was reflected clearly on the skill performance. The repetition of exercises within the training modules that have been applied positively affected the development of the muscles of the arms and legs together and reflected in Directly on the development of functional capabilities. Special exercises have a positive effect in raising the skill level of some offensive skills in squash.

Pengaruh Frekuensi Latihan Fisik Submaksimal Terhadap Kadar Serum Glutamic Pyruvic Transaminase (SGPT) Tikus Putih (Rattus norvegicus) Betina Galur Wistar

Abstract&#x0D; According to WHO data (2020), individuals with inadequate physical exercise develop a mortality risk of 20-30% compared to individuals with adequate physical exercise. Regular physical exercise has a positive impact in maintaining a healthy lifestyle, whereas acute intense physical exercise such as in untrained individuals can have a negative impact through the occurrence of oxidative stress. Physical exercise with repetition of exercise can form an adaptation mechanism thereby increasing the work of endogenous antioxidants and inhibiting the formation of ROS. Meanwhile, acute physical exercise without repetition of exercise can cause a decrease in endogenous antioxidant levels and an increase in ROS. Increased ROS induces oxidative stress, which then plays a role in liver damage. This study aims to determine the effect of submaximal physical exercise frequency on SGPT levels, an indicator of liver damage. This research was a laboratory experimental study with a post-test only control group design using 27 Wistar female white rats which were divided into 3 groups; K1 was given standard feed for 4 weeks, K2 was given standard feed for 4 weeks, submaximal physical exercise on days 1 to 14 and 21 of the study, and K3 was given standard feed for 4 weeks and submaximal physical exercise on day 21 of the study. After intervention, all groups of rats were taken for blood to calculate SGPT levels and then the results of the data were analyzed statistically. The results of the Kruskal-Wallis test showed a significance of 0.479 (p&gt;α) with α=0.05, which means that there was no significant difference in the frequency of submaximal physical exercise on SGPT levels in female Wistar rats (Rattus norvegicus). The conclusion of this study showed that there was no effect of the frequency of submaximal physical exercise on SGPT levels in female Wistar rats (Rattus norvegicus).