scholarly journals Effects of a Targeted Exercise Program on Inter-Leg Asymmetries in Patients with Patellofemoral Pain

Symmetry ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1075
Author(s):  
Denisa Manojlović ◽  
Martin Zorko ◽  
Darjan Spudić ◽  
Nejc Šarabon
Keyword(s):  
Exercise Program ◽  
Patellofemoral Pain ◽  
Ankle Dorsiflexion ◽  
Intervention Period ◽  
Single Group ◽  
Rehabilitation Outcomes ◽  
Supervised Exercise ◽  
Ankle Muscles ◽  
Supervised Exercise Program ◽  
Hip Extension

Patellofemoral pain (PFP) is often associated with impaired muscle strength, flexibility, and stability. It has been suggested that inter-leg asymmetries have an important role in increasing the risk of musculoskeletal injuries, including PFP. Thus, the aim of this study was to identify significant asymmetries and determine the effects of a symmetry targeted exercise program in patients with PFP. Eighteen patients aged 13 to 54 years (24.17 ± 12.52 years) with PFP participated in this study. Strength, flexibility and stability outcomes of the trunk, hip, knee and ankle muscles were assessed. A single-group pretest–posttest design was used to assess changes in inter-leg and agonist–antagonist asymmetries resulting from the 8-week period of the supervised exercise program. Results indicated a significant improvement in inter-leg symmetry regarding bilateral stance in a semi-squat position (p = 0.020, d = 0.61, df = 17) and ankle plantarflexion (p = 0.003, d = 0.32, df = 17) and ankle dorsiflexion strength (p < 0.001, d = 0.46, df = 17). In addition, the ratio of ankle dorsiflexion/plantarflexion (p = 0.036, d = 1.14, df = 17) and hip extension/flexion (p = 0.031, d = 0.94, df = 16) changed significantly during the intervention period. To our knowledge, this was the first study to evaluate inter-leg asymmetries resulting from a period of a supervised exercise program. The results indicate that an exercise program focusing on individual asymmetries may influence specific deficits and contribute to better rehabilitation outcomes.

374 Cognitive Behavioral Therapy with Exercise in Adults with Insomnia and Short Sleep: Daytime Function Outcomes from a Pilot Study

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A149-A149
Author(s):  
Andrew Kubala ◽  
Mara Egeler ◽  
Daniel Buysse ◽  
Martica Hall ◽  
Emma Barinas-Mitchell ◽  
...  
Keyword(s):  
Sleep Duration ◽  
Behavioral Therapy ◽  
Exercise Program ◽  
Short Sleep Duration ◽  
Post Intervention ◽  
Short Sleep ◽  
Supervised Exercise ◽  
Daytime Function ◽  
Supervised Exercise Program ◽  
Insomnia Severity

Abstract Introduction Cognitive behavioral therapy for insomnia (CBT-I) is efficacious, but there is mixed evidence as to whether improvement is blunted in adults with insomnia and short sleep duration. Exercise training can reduce physiologic hyperarousal and may increase homeostatic sleep drive, which could potentiate CBT-I treatment effects. This pilot study explored changes in self-reported outcomes from a CBT-I intervention augmented by exercise training in a sample of adults with insomnia and objective short sleep duration. Methods Eight adults (50% female, 62.5% white) with insomnia disorder and short sleep duration (mean actigraphic TST &lt;6.5 hr) completed a 12-week single-arm trial. Participants self-administered the online “Sleep Healthy Using the Internet” (SHUT-I) CBT-I program with additional staff guidance while completing a supervised exercise program (EX; 150 min/wk of moderate-intensity aerobic exercise and 2 days/wk of strength training). Participants completed assessments of self-reported sleep and daytime function pre- and post-intervention, including the Insomnia Severity Index (ISI), Flinders Fatigue Scale (FFS), Ford Insomnia Response to Stress Test (FIRST), Perceived Stress Scale (PSS), and Epworth Sleepiness Scale (ESS). Differences between timepoints were analyzed using paired t-tests and Cohen’s d effect size calculations. Results Insomnia severity significantly decreased after the intervention (ISI: p&lt;0.001, d=2.99), with 75% reporting post-intervention ISI ≤ 7. Likewise, fatigue significantly decreased after the intervention (FFS: p=0.032, d=0.95). Symptoms of stress-related sleep reactivity and stress were also reduced (FIRST: p=0.012, d=1.19; PSS: p=0.014, d=1.14). Though nonsignificant, large reductions in sleepiness were additionally observed (ESS: p=0.058, d=0.80). Conclusion In this pilot trial among patients with insomnia and short sleep duration, online CBT-I plus a supervised exercise program resulted in a significant reduction in insomnia severity. The intervention also produced large and meaningful reductions in fatigue and stress, which are common daytime impairments in patients with insomnia. Future research should attempt to disentangle the independent contributions of CBT-I and exercise on outcomes in this population. Support (if any) NIH: K23HL118318

scholarly journals “Intermittent claudication a real pain in the calf”—Patient experience of diagnosis and treatment with a supervised exercise program

2017 ◽  
Vol 35 (3) ◽  
pp. 131-135 ◽  
Author(s):  
Amy-Elizabeth Harwood ◽  
Edward Broadbent ◽  
Joshua Phillip Totty ◽  
George Edward Smith ◽  
Ian Clifford Chetter
Keyword(s):  
Intermittent Claudication ◽  
Patient Experience ◽  
Exercise Program ◽  
Diagnosis And Treatment ◽  
Supervised Exercise ◽  
Supervised Exercise Program

scholarly journals Managing Substance Use Disorder through a Walking/Running Training Program

2020 ◽  
Vol 14 ◽  
pp. 117822182093668 ◽  
Author(s):  
Chia-Liang Dai ◽  
Ching-Chen Chen ◽  
George B Richardson ◽  
Howard R. D. Gordon
Keyword(s):  
Substance Use ◽  
Training Program ◽  
Substance Use Disorder ◽  
Sense Of Belonging ◽  
Exercise Program ◽  
Perceived Barriers ◽  
Finish Line ◽  
Supervised Exercise ◽  
Exercise Training Program ◽  
Supervised Exercise Program

While emerging studies have demonstrated the benefit of exercise in Substance Use Disorder (SUD) recovery outcomes, lack of motivation to engage in exercise has been indicated as one of many perceived barriers that contribute to low recruitment and adherence rates in SUD treatment. The current study aimed to explore participants’ perceptions of attending a supervised exercise program (boot camp workouts, walking/running practice, and a race event) while in treatment for SUD. A total of 109 participants were recruited to a 14-week exercise training program and 61 chose to participate in, and completed, a race at the close of the program. Interviews were conducted during weeks 6 through 14 and data were examined using Thematic Analysis. Three main themes were identified: (1) pushing forward recovery through running, (2) gaining a sense of achievement by crossing the finish line, and (3) building a sense of belonging in the program. Implications for SUD recovery programs are discussed.

Association between Baseline Fitness and Exercise Adherence during a 26-Week Supervised Exercise Program

2017 ◽  
Vol 49 (5S) ◽  
pp. 560
Author(s):  
Danielle M. Ostendorf ◽  
Zhaoxing Pan ◽  
Seth A. Creasy ◽  
Emmanuel Seyoum ◽  
Kristen Bing ◽  
...  
Keyword(s):  
Exercise Program ◽  
Exercise Adherence ◽  
Supervised Exercise ◽  
Supervised Exercise Program ◽  
Baseline Fitness
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