Multiple sclerosis (MS) causes sleep disturbances in up to 70 % of individuals. These problems are linked to fatigue, mood and cognitive performance, thereby affecting the quality of life in people ...with MS (PwMS). The frequent and debilitating side effects of sleep medications prompt the exploration of alternative therapies.
Physical activity has shown benefits in improving sleep, reducing fatigue, and enhancing quality of life. Combined with a controlled exercise program tailored for PwMS, the study aims to analyze the impact of moderate physical exercise on sleep quality, cognitive function, quality of life, mood, and fatigue.
A single-center prospective cohort study was designed to assess the impact of a 12-week physical exercise program on patients with relapsing-remitting multiple sclerosis. Changes in sleep and activity parameters are evaluated using an actigraph and cognitive, quality of life, fatigue and mood changes are assessed through specific questionnaires before, during, and after the exercise program application.
23 patients completed the study (women = 84.6 %) Mean age was 37.2 years (SD 7.5). The mean EDSS score was 1.9, and 80.8 % were diagnosed within the last six years.
Significant improvements were noted in sleep efficiency between baseline and final measurements (χ2 = 27.5; p.adj = 0.004), sleep latency (χ2 = 275; p.adj = 0.000), sleep duration (χ2 = 251; p.adj = 0.001) and in the number of awakenings (χ2 = 269.5; p.adj = 0.000), with a decreased in total time in bed from 8.5 h to 7.35 h post-intervention. Regarding activity variables, an increase in caloric expenditure and an increase in the time participants engaged in light activity were observed. We found significant improvements in fatigue, quality of life and mood. Concerning neuropsychological exploration results, improvements were observed in all studied parameters, with statistically significant improvement in Verbal SRT (χ2 = 43; p = 0.022).
Our study showed a positive impact of a 12-week physical exercise program on sleep performance, cognition and mood in PwMS. The observed improvements underscore the potential of tailored exercise interventions in promoting a more comprehensive and holistic care paradigm for PwMS.
•“ACTIVE-FIT improved sleep, cognition, mood in PwMS. Rigorous methods, large sample, diverse outcomes”.
•Exercise programs are effective in reducing low back pain for both nursing staff: nurses and nursing assistants.•Focusing on back and trunk exercises provide evidence based for low back pain relief ...for nurses and nursing assistants.•Exercise program for nurses and nursing assistants are more successful in those under 40 years old engaging in shorter exercise (20 sessions).
Introduction: Nurses have a high prevalence of low back pain due to ergonomic hazards in healthcare workplaces. While exercise programs have been suggested as an intervention strategy, the effectiveness of low back pain programs has been inconsistent in the research literature. The purpose of study is to determine the effect of exercise programs to reduce low back pain among nursing staff. Methods: A systematic review and meta-analysis was conducted with five databases and systematically searched. Following the PRISMA guidelines, included studies evaluated low back pain relief among nurses or nursing assistants and described the exercise program. Two reviewers independently appraised, extracted, and synthesized all available studies. The study protocol was registered in PROSPERO (CRD42022359511). Results: A total of 296 articles with 1,355 nursing staff from nine countries were obtained. Nine randomized controlled trials with a moderate to low risk of bias quality were included. Exercise programs had a small but significant effect on low back pain of nursing staff (SMD = -0.48; 95% CI = -0.76 to −0.19; p = 0.03, I2 = 62%, p = 0.001). A subgroup analysis of nurses and nursing assistants showed moderate and small effects, respectively (I2 = 0% p < 0.0001, SMD −0.73 CI 95% -0.97 to –0.48, p = 0.76, and I2 = 0% p = 0.002, SMD −0.23 CI 95% -0.38 to −0.08, p < 0.88). Exercise for back and trunk exhibited a moderate effect on low back pain (SMD −0.56 CI 95% -0.86 to −0.25, p = 0.01, I2 = 66%, p < 0.0004). A subgroup analysis comparing age, under 40 years old revealed a moderate effect size (SMD = -0.59; 95% CI = -0.83to −0.35; p = 0.06; I2 = 64%, p < 0.0001). Conclusions: Exercise programs are an effective treatment to reduce low back pain in nurses and nursing assistants, especially among younger staff. Practical application: Back and trunk exercise programs should be recommended for nursing staff with low back pain.
Regular physical activity can bring significant health benefits to people of all ages, and the need for physical activity does not decrease with age, but it has been proven that it can prolong a ...healthier and more independent life, prevent disability and significantly contribute to improving the lives of the elderly. In addition to the fact that each type of physical activity to a certain extent improves motor skills (strength, coordination, balance, agility, ...), mental health (self-esteem, quality of life) and reduces the risk of cardiovascular and all other causes of death, regular participation in exercise promotes mobility and functional independence in adults. A fall is an event in which a participant without their own intention comes to a lying position on the ground or at a lower level. Regardless of the health status of the individual, falls are associated with insufficient movement, reduced opportunities to perform daily activities (dressing, bathing, housework, ...) and the risk of being admitted to institutions where the care of dependent persons is taken. Arthritis, depression, cognitive impairment, vision, problems with balance and unbalanced gait, decreased muscle mass, as well as excessive use of medication increase the risk of falling. The total volume and type of physical activity needed by the elderly is not very well defined. However, it can be concluded that the combination of physical activity (strength training, endurance training, exercises for the development of balance and mobility, ...) and adequate nutrition (sufficient intake of essential amino acids/protein sources) is of crucial importance for preserving physical condition, motor skills and the health status of persons of the third age, and thus also in the prevention of falls. The aim of this study is to describe and find the best training programs for the prevention of falls in the elderly.
This study aims to determine whether the development of an exercise program formulation model can improve the physical fitness of table tennis athletes through valid and practical applications. This ...research method uses the Borg & Gall model, and data collection uses observation, tests, and questionnaires. The data analysis in this study consisted of an analysis of the validity, practicality, and effectiveness. The findings of this study are the product resulting from the development of an exercise program suitable for mass use. This is reinforced by the results of expert evaluations of table tennis practitioners, the responses of coaches and athletes, as well as physical fitness tests for athletes. The results of the validity state that the product is categorized as very good, with a very high level of practicality for the response of coaches and athletes, and the preparation of an effective training program to improve the physical fitness of athletes.
Background
This two‐part study explored the safety, feasibility, and efficacy of a mild–moderate resistance isometric leg exercise program in ambulatory boys with Duchenne muscular dystrophy (DMD).
...Methods
First, we used a dose escalation paradigm with varying intensity and frequency of leg isometric exercise to determine the dose response and safety in 10 boys. Second, we examined safety and feasibility of a 12‐wk in‐home, remotely supervised, mild–moderate intensity strengthening program in eight boys. Safety measures included T2 MRI, creatine kinase levels, and pain. Peak strength and function (time to ascend/descend four stairs) were also measured.
Results
Dose‐escalation revealed no signs of muscle damage. Seven of the eight boys completed the 12‐wk in‐home program with a compliance of 84.9%, no signs of muscle damage, and improvements in strength (knee extensors P < .01; knee flexors P < .05) and function (descending steps P < .05).
Conclusions
An in‐home, mild–moderate intensity leg exercise program is safe with potential to positively impact both strength and function in ambulatory boys with DMD.
The present study aimed to verify the quarantine's effects during a serious viral outbreak on the cardiovascular and performance associated with the Yo-Yo test in a sample of professional soccer ...players. 20 high-level soccer players (
= 20; age: 26 ± 4 years-old; weight: 76.85 ± 6.7 kg; height: 179 ± 6 cm) participated in this study. The intermittent Yo-Yo test was performed pre- and post- COVID-19 quarantine in a random order. During each test, the soccer players' running performance outcomes were monitored using a portable 5-Hz GPS with a 100 Hz accelerometer and a paired
-test was conducted at a
-value of ≤ 0.05. The main results demonstrated significant differences between pre- versus post-COVID-19 quarantine in the following variables: relative distance (161.7 ± 5.9 > 141.1 ± 33.8 m/min), maximal speed (18.7 ± 0.9 > 18.2 ± 0.6 km/h), acceleration (60 ± 20 frequency > 52 ± 16 frequency), deceleration (34 ± 13 frequency > 27 ± 6 frequency), sprints > 19 km/h 0.8 (0.2;3)% >0.5 (0;0.5)%, and in high intensity running distance 16.48 (2.68;41.64)m > 0.827 (0.164;3.0)m. We concluded that COVID-19-related restrictions and quarantine COVID-19 demonstrated adverse effects on professional soccer players' Yo-Yo tests performance.
Purpose: The effects of lacking exercise due to increased sedentary behavior on physical and mental health are attracting attention. We developed an exercise program for sedentary behavior in desk ...workers and verified whether decreased body pain and weakness and improved subjective health are short-term effects.Subjects and Methods: We developed a 3-min exercise program comprising three among four types of exercises; standing on one leg (1 min on each side), squats (1 min), stretching (1 min), and deep breathing with eyes closed (1 min). The exercise program was performed in the morning and afternoon for 2 months (41 days) (3 types × twice daily × 41 days = 246 times) by 94 employees of University A. For easier implementation, radio exercises (part 1), widely recognized in Japan, were performed in the morning and afternoon before work. Participants were asked about their attributes, work situation, physical and mental conditions before and after implementation, and evaluation of the exercise program after implementation. Results: Exercise records and questionnaire responses were collected from 87 participants. The median number of exercises was 83 (interquartile range; 16–128). The participants were divided into two groups based on the median values. The level of lower back pain and friendship scores had an interaction and improved in the group that performed the exercise more frequently. A receiver operating characteristic curve was drawn based on the relationship between the group whose level of lower back pain was reduced by at least 2 of 11 points and that who did not, and the number of exercises. The cutoff value was 70 times, suggesting that performing exercise ≥ 70 times for 41 days decreased lower back pain. To continue implementing the exercise program, it was necessary to use free time, maintain motivation, and create a sense of unity in the workplace. Conclusions: We created an exercise program comprising four types of exercise for sedentary behavior in desk workers, which is performed in the morning and afternoon for 2 months. Improvements were seen in the degree of lower back pain and friendship score.
To determine in the long term whether supervised physiotherapy is more effective than a home exercise program for functional improvement and pain relief in patients with distal radius fracture (DRF).
...Randomized controlled trial.
Rehabilitation hospital.
A total of 74 patients older than 60 years with extra-articular DRF were randomly allocated into two groups.
The experimental group received 6 weeks of supervised physiotherapy (n = 37) and the control group received 6 weeks of home exercise program (n = 37).
The primary outcome was wrist/hand function assessed using the Patient-Rated Wrist Evaluation (PRWE) questionnaire; secondary outcomes were the pain visual analogue scale (VAS), grip strength and wrist flexion–extension active range of motion.
All patients completed the trial. For the primary outcome, at 6-weeks and 1-year follow-up, the PRWE questionnaire showed a mean difference between groups of 18.6 (95% CI 12.8 to 24.3) and 18.5 points (95% CI 12.7 to 24.2) respectively, these differences are clinically important. Conversely, at 2-year follow-up this effect decreases to 3.3 points (95% CI −2.4 to 9.0). For secondary outcomes, at 6-weeks and 1-year follow-up, in all measurements the effect size range from medium to large. Conversely, at 2-year follow-up only grip strength showed large effect size in favor of supervised physiotherapy, the rest of outcomes did not show difference between groups.
At the 6-week and 1-year follow-up, supervised physiotherapy was more effective for functional improvement and pain relief compared with a home exercise program in patients older than 60 years with extra-articular DRF. However, this effect decreases over time, at the 2-year follow-up, only grip strength showed a difference in favor of supervised physiotherapy.
Brazilian registry of clinical trials UTN no. U1111- 1249-2492. Registered 17 March 2020.
•Current evidence has shown controversial results regarding the effectiveness of supervised physiotherapy versus a home exercise program in elderly patients with DRFs.•At the 6-week and 1-year follow-up, supervised physiotherapy is more effective for functional improvement and pain relief.
•However, at the 2-year follow-up, only grip strength showed a difference in favor of supervised physiotherapy in these patients.
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