Ejercicios físicos diarios de intensidad moderada en el interior del aula mejora la fuerza de tren inferior y la agilidad en escolares: un estudio cuasi experimental (Daily moderate-intensity physical exercises inside the classroom improves lower body str

El estudio tuvo como objetivo determinar los cambios en la condición física y en el índice de masa corporal que se producen en una intervención de 16 semanas en escolares en . Setenta tres escolares (n=34 niñas; n=39 niños) con edad entre los 8 y 9 años recibieron las siguientes evaluaciones: flexibilidad de la musculatura dorsal de espalda (mediante la prueba de weels), fuerza muscular (mediante la prueba pararse y sentarse), agilidad (mediante la prueba 4x10m shuttle run) y índice de masa corporal (IMC) utilizando un estadiómetro y una balanza. Se aplicó un programa de entrenamiento con ejercicios de flexibilidad, fuerza y resistencia (30 minutos, 5x/semana). Hubo una disminución del IMC (diferencia de 0.60kg/cm2 en ambos géneros), aumento de la fuerza (10.4 repeticiones en niñas y 11.6 en niños) y mejora de la agilidad (0.91 segundos en niñas y 0.71 segundos en niños: p<0.05 en todas las comparaciones y tamaño de efecto entre 0.20-1.77 en niñas y 0.18-2.34 en niños). El índice de obesidad y sobrepeso entre el alumnado de la clase se vio reducido en un 5.3% y 5.9%, respectivamente. No hubo diferencias respecto a la flexibilidad (p>0.05). Un entrenamiento diario en el interior del aula sin implementación y en un espacio de un metro cuadrado , mejora la fuerza de tren inferior y la agilidad en escolares. Abstract. The objective of the study was to determine the changes in physical condition and body mass index that occur in a 16-week intervention in schoolchildren inside the classroom. Seventy-three schoolchildren (n=34 girls; n=39 boys) between the ages of 8 and 9 received the following evaluations: flexibility of the dorsal back muscles, through the weels test, muscular strength, through the standing and sitting test, agility, through the 4x10m shuttle test run and body mass index (BMI) using a stadiometer and scale. A training program was applied with flexibility, strength and resistance exercises were performed (30 minutes, 5x/ week). There was a decrease in BMI, (difference of 0.60kg/cm2 in both genders), increase in strength (10.4 repetitions in girls and 11.6 in boys) and improvement of the agility (0.91 seconds in girls and 0.71 seconds in boys), p<0.05 in all comparisons and effect size between 0.20-1.77 in girls and 0.18-2.34 in boys. The rate of obesity and overweight among the students in the class was reduced by one 5.3% and 5.9% respectively. There were no differences in flexibility (p>0.05). A daily training in schoolchildren without implementation and in a space of one square meter decreases BMI, improves lower body strength and agility in schoolchildren.

The Effects of Elastic Band Exercises with PNF on Shooting Speed and Accuracy in Ball Hockey Players during the COVID-19 Pandemic

The coronavirus pandemic has affected life and left one of the strongest negative effects on sport. The aim of our study was to evaluate how a simple exercise performed with elastic resistance during the COVID-19 pandemic, when athletes cannot train, affects the basic shooting characteristics of ball hockey players. Extra-league ball hockey players (N = 30, age 19–37 years) were randomly divided into an experimental group, which performed elastic resistance exercises with Proprioceptive Neuromuscular Facilitation (PNF) elements for eight weeks, and a control group, which did not perform any exercises. Before the start of the experiment and after it was completed, the speed and accuracy of shooting were measured. In experimental group, there was no decrease after 8 weeks in the shooting speed, and in the control group, there was a statistically significant decrease. There was a deterioration in the accuracy of shooting in both groups; however, in the experimental group, the deterioration was not significant. The results show that even three simple exercises with elastic resistance according to the PNF concept performed 10 times per day for eight weeks can maintain the level of basic skills of ball hockey players—the speed and accuracy of shooting—even when no other training is performed.

Effects of exercise on patients with Down syndrome

Patients with Down syndrome have a delay in neuropsychomotor development. For this reason, physiotherapy is indicated early, in order to stimulate motor activities and provide a better quality of life. To verify the effects of exercise on the quality of life of patients with Down syndrome. A non-systematic review was carried out through a search in the PEDro database, with randomized clinical trials, published between 2008 and 2019, using the following keywords: exercise down, down syndrome physiotherapy. Six studies were included for review. Strength increased with various exercises in the 5 studies in which it was evaluated. Three studies showed improved balance with the use of resistance, isokinetic and stabilization exercises. Two articles evaluated physical function, based on resistance exercises, and only one improved. One article assessed blood glucose, fat, cholesterol and blood pressure, but there were no significant differences. Exercise improves important aspects such as strength and balance, with different types of intervention for patients with Down syndrome, reinforcing the importance of early physical therapy.

How Do Physiotherapists Treat People with Knee Osteoarthritis and their evidence awareness: A cross-sectional survey among Indian Physiotherapists

Background: Evidence-based practice in the field of physiotherapy is of utmost importance and is the way ahead. Physiotherapists' knowledge of evidence in terms of assessment and management of knee OA may influence the implementation of evidence-based practice. However, physiotherapist’s practice patterns are usually based on their professional experience or expert opinions. The present study aimed to explore the evidence awareness among Indian physiotherapists and identify their practice patterns in patients with knee OA. Methods: An online cross-sectional survey was conducted among Indian physiotherapists. The survey was designed using current clinical practice guidelines and previously published similar studies. The survey consisted of three sections: (1) demographic details, (2) questions related to evidence awareness, (3) questions related to the practice patterns of Indian physiotherapists. The evidence awareness and practice patterns of physiotherapists were explored. Results: A total of 165 responses were received and analyzed. Most participants perceived footwear modifications (21.2%) and resistance exercises (44.2%) as having very strong evidence. Range of motion assessment and functional assessment was regarded as a must during the patient's initial visit. In terms of management strategies majority of the participants considered patient education (n=122), strengthening exercises (n=81), and therapeutic ultrasound (n=79) as their treatment of choice. Conclusion: Most physiotherapist assessment strategies were aimed at identifying impairments in patients. In line with the clinical practice guidelines, most physiotherapists use patient education and strengthening exercises to treat patients with knee OA. However, treatment modalities like ultrasound, TENS, and dry needling, which lack scientific support, are still being used by the physiotherapist. There is a lack of coherence between physiotherapists' evidence awareness and their choice of management strategies. KEY WORDS: Knee, Osteoarthritis, Survey, Resistance exercises.

Acute Effects of Low- and High-Speed Resistance Exercise on Cognitive Function in Frail Older Nursing-Home Residents: A Randomized Crossover Study

Aim. The present study investigated the acute effects of low- and high-speed resistance exercise on the cognitive function of frail older women living in nursing home. Materials and Methods. Ten institutionalized frail older women were recruited. Rey Auditory Verbal Learning Test and Stroop test were performed before, immediately after, 1 h after, and 24 h after the end of the experimental session. Participants randomly performed low- and high-speed resistance exercise and a control session. Exercise sessions were composed of 4 resistance exercises with 4–8 sets of 4–10 repetitions at moderate intensity. Results. Results indicated that the performance of Rey Auditory Verbal Learning Test was similarly increased immediately after both low- and high-speed resistance exercises. However, only improvements elicited by low-speed resistance exercise remained significant 1 h after the end of the exercise session. No acute effects of resistance exercise were observed on Stroop performance. Conclusion. Our findings indicated that both low- and high-speed resistance exercises acutely increased episodic memory in frail older women, whereas no changes on Stroop were observed.

Chronic Effect of a Cafeteria Diet and Intensity of Resistance Training on the Circulating Lysophospholipidome in Young Rats

The daily practice of physical exercise and a balanced diet are recommended to prevent metabolic syndrome (MetS). As MetS is a multifactorial disorder associated with the development of serious diseases, the advancement of comprehensive biomarkers could aid in an accurate diagnosis. In this regard, it is known that gut microbiota is altered in MetS, and especially, lipid metabolites species are highly modified, thus emerging as potential biomarkers. In preliminary studies, we observed that alterations in serum lysoglycerophospholipids (Lyso-PLs) were shared between animals with diet-induced MetS and those performing resistance exercises assiduously. Therefore, our objective was the targeted determination of the lysophospholipidome in young rats fed a standard (ST) or a cafeteria diet (CAF) and submitted to different training intensities to evaluate its potential as a biomarker of a detrimental lifestyle. Targeted metabolomics focused on lysophosphatidylcholines (Lyso-PCs) and lysophosphatidylethanolamines (Lyso-PEs) and multivariate statistics were used to achieve an integral understanding. Chronic intake of CAF altered the serological levels of both lipid subclasses. Twenty-two Lyso-PLs were significantly altered by CAF, from which we selected Lyso-PCs (14:0), (17:1) and (20:2) and Lyso-PEs (18:2) and (18:3) as they were enough to achieve an optimal prediction. The main effect of physical training was decreased Lyso-PEs levels with disparities among training intensities for each diet. We concluded that an examination of the lysophospholipidome reveals the general state of the metabolome in young female rats, especially due to intake of an MetS-inducing diet, thus highlighting the importance of this family of compounds in lipid disorders.

Rate of Force Development as an Indicator of Neuromuscular Fatigue: A Scoping Review

Because rate of force development (RFD) is an emerging outcome measure for the assessment of neuromuscular function in unfatigued conditions, and it represents a valid alternative/complement to the classical evaluation of pure maximal strength, this scoping review aimed to map the available evidence regarding RFD as an indicator of neuromuscular fatigue. Thus, following a general overview of the main studies published on this topic, we arbitrarily compared the amount of neuromuscular fatigue between the “gold standard” measure (maximal voluntary force, MVF) and peak, early (≤100 ms) and late (&gt;100 ms) RFD. Seventy full-text articles were included in the review. The most-common fatiguing exercises were resistance exercises (37% of the studies), endurance exercises/locomotor activities (23%), isokinetic contractions (17%), and simulated/real sport situations (13%). The most widely tested tasks were knee extension (60%) and plantar flexion (10%). The reason (i.e., rationale) for evaluating RFD was lacking in 36% of the studies. On average, the amount of fatigue for MVF (−19%) was comparable to late RFD (−19%) but lower compared to both peak RFD (−25%) and early RFD (−23%). Even if the rationale for evaluating RFD in the fatigued state was often lacking and the specificity between test task and fatiguing exercise characteristics was not always respected in the included studies, RFD seems to be a valid indicator of neuromuscular fatigue. Based on our arbitrary analyses, peak RFD and early phase RFD appear even to be more sensitive to quantify neuromuscular fatigue than MVF and late phase RFD.