Cognitive Behavior Therapy combined with Physical Exercise for Adults with Chronic Diseases Systematic Review and Meta-Analysis
OPEN ACCESS https://archipel.uqam.ca/10922/1/Bernard%202018%20CBTEx.pdf
Effects of Strength Training in Multiple sclerosis patientsDaniel Yazbek
1) A systematic review of 4 randomized controlled trials investigating the effects of progressive resistance training (PRT) in patients with multiple sclerosis found that PRT can improve muscle strength and size.
2) Meta-analysis of the 3 studies measuring leg strength showed a significant mean increase in strength for patients undergoing PRT compared to controls.
3) While the studies had some limitations, overall they provide evidence that PRT can provide health benefits for MS patients and help increase muscle strength and size. Larger and higher quality studies are still needed.
This randomized controlled trial evaluated the effectiveness of Pilates for chronic low back pain. Sixty patients were randomly assigned to an experimental group that received Pilates twice a week for 90 days in addition to medication, or a control group that received only medication. Outcomes including pain, function, quality of life, medication use, and flexibility were measured at baseline and 45, 90, and 180 days. The Pilates group had significantly greater improvements in pain, function, and some quality of life domains compared to the control group. The Pilates group also used less pain medication. This study provides evidence that Pilates can improve pain and function for patients with chronic low back pain.
This document summarizes and compares different models of back schools for treating chronic low back pain. It discusses the original Swedish back school model and how various programs have modified the content, format, and length. Several recent randomized controlled trials that compared different back school models to other treatments are highlighted. The studies found that back schools based on biopsychosocial principles led to better long-term outcomes than traditional models. Spinal manipulation was also found to result in lower disability scores compared to back school or individual physiotherapy. Overall, back schools may be considered as part of multidisciplinary treatment, though more research is still needed.
The Effectiveness of Energy Conservation Techniques in Reducing Fatigue in C...Crimson-Arthritis
The Effectiveness of Energy ConservationTechniques in Reducing Fatigue in Clients with Multiple Sclerosis by Sarsak HI* in Researches in Arthritis & Bone Study Crimson Publishers: Journal of Bone Disease
Effects of Wii versus traditional supervised exercise on the functional fitne...spastudent
Effects of Wii versus traditional supervised exercise on the functional fitness of moderately frail Chinese population- A Pilot Study
Nanyang Polytechnic
Physiotherapy
This study examined whether early improvement in neck function predicted overall response to a cervical strengthening program for chronic neck pain. 214 patients completed a 3-week strengthening program and were assessed for changes in neck disability index (NDI) scores. Patients with a positive change in NDI scores after 3 weeks had a 25 times greater odds of overall improvement. Early improvement likely reflects motor skill acquisition rather than muscle hypertrophy. While early responders saw small additional gains, continued strengthening may provide further benefits like reduced muscle co-activation.
Effects of Strength Training in Multiple sclerosis patientsDaniel Yazbek
1) A systematic review of 4 randomized controlled trials investigating the effects of progressive resistance training (PRT) in patients with multiple sclerosis found that PRT can improve muscle strength and size.
2) Meta-analysis of the 3 studies measuring leg strength showed a significant mean increase in strength for patients undergoing PRT compared to controls.
3) While the studies had some limitations, overall they provide evidence that PRT can provide health benefits for MS patients and help increase muscle strength and size. Larger and higher quality studies are still needed.
This randomized controlled trial evaluated the effectiveness of Pilates for chronic low back pain. Sixty patients were randomly assigned to an experimental group that received Pilates twice a week for 90 days in addition to medication, or a control group that received only medication. Outcomes including pain, function, quality of life, medication use, and flexibility were measured at baseline and 45, 90, and 180 days. The Pilates group had significantly greater improvements in pain, function, and some quality of life domains compared to the control group. The Pilates group also used less pain medication. This study provides evidence that Pilates can improve pain and function for patients with chronic low back pain.
This document summarizes and compares different models of back schools for treating chronic low back pain. It discusses the original Swedish back school model and how various programs have modified the content, format, and length. Several recent randomized controlled trials that compared different back school models to other treatments are highlighted. The studies found that back schools based on biopsychosocial principles led to better long-term outcomes than traditional models. Spinal manipulation was also found to result in lower disability scores compared to back school or individual physiotherapy. Overall, back schools may be considered as part of multidisciplinary treatment, though more research is still needed.
The Effectiveness of Energy Conservation Techniques in Reducing Fatigue in C...Crimson-Arthritis
The Effectiveness of Energy ConservationTechniques in Reducing Fatigue in Clients with Multiple Sclerosis by Sarsak HI* in Researches in Arthritis & Bone Study Crimson Publishers: Journal of Bone Disease
Effects of Wii versus traditional supervised exercise on the functional fitne...spastudent
Effects of Wii versus traditional supervised exercise on the functional fitness of moderately frail Chinese population- A Pilot Study
Nanyang Polytechnic
Physiotherapy
This study examined whether early improvement in neck function predicted overall response to a cervical strengthening program for chronic neck pain. 214 patients completed a 3-week strengthening program and were assessed for changes in neck disability index (NDI) scores. Patients with a positive change in NDI scores after 3 weeks had a 25 times greater odds of overall improvement. Early improvement likely reflects motor skill acquisition rather than muscle hypertrophy. While early responders saw small additional gains, continued strengthening may provide further benefits like reduced muscle co-activation.
Effects of Virtual Reality with Cerebral Palsy Childrenspastudent
This document summarizes a study that investigated the effects of virtual reality (VR) physiotherapy on balance in children with cerebral palsy. The study hypothesized that VR would have no additional effects beyond conventional physiotherapy in improving balance. The study involved 12 children who received either conventional therapy alone or conventional therapy plus VR games for 6 weeks. Results found no significant differences in balance improvements between the two groups, supporting the hypothesis that VR provided no additional benefits beyond conventional therapy alone for balance in children with cerebral palsy.
Interactive Games as a Rehabilitation Tool for Elderly with Dementia: A Pilot...spastudent
The study aimed to investigate the effects of Wii Bowling on selective attention, simple reaction time, and quality of life in elderly with dementia. Twenty elderly with mild dementia were recruited and randomly assigned to an intervention or control group. The intervention group played Wii Bowling twice a week for 4 weeks, while the control group received usual day care activities. Results showed improvements in quality of life domains of family and self as a whole for the intervention group. The study provides preliminary evidence that interactive games like Wii Bowling may benefit elderly with dementia.
Exergames for Patients in Acute Care Settings: Systematic Review of the Repor...Games for Health Europe
TRACK 7 (1)| SELF MANAGEMENT PART 2 | DAY 2 - 1 NOV 2016
Ruud Krols, Senior Researcher & physiotherapist | University Hospital Zurich (CH)
Games for Health Europe 2016
This randomized controlled trial examined the effects of a goal setting intervention on self-efficacy, treatment efficacy, adherence, and treatment outcomes in patients undergoing low back pain rehabilitation. 48 military personnel with low back pain were randomly assigned to an experimental goal setting group, a therapist-led exercise group, or a non-therapist led exercise group. Adherence was higher in the experimental goal setting group compared to the non-therapist led group. Self-efficacy was also higher in the experimental group compared to the other two groups. However, treatment outcomes did not differ significantly between the groups. The findings provide partial support for using goal setting to enhance adherence in clinical rehabilitation.
Pilot Study of Massage in Veterans with Knee OsteoarthritisMichael Juberg
This pilot study assessed the feasibility and preliminary efficacy of Swedish massage therapy for 25 veterans with knee osteoarthritis. The study found high retention and adherence rates, suggesting massage was feasible and acceptable for veterans. Veterans receiving 8 weekly one-hour massage sessions experienced statistically significant improvements in self-reported knee pain, stiffness, function, and quality of life, as well as trends toward improved range of motion. The results support further study of massage as a treatment approach for knee osteoarthritis in veterans.
This meta-analysis reviewed 16 randomized controlled trials comparing the effectiveness of motor control exercises (MCE) to other treatments for chronic or recurrent low back pain. The analysis found that MCE was superior to general exercise in reducing both disability in the short, intermediate, and long term, and pain in the short and intermediate term. MCE was also superior to minimal interventions like advice or placebo for both pain and disability outcomes at all time periods. Compared to spinal manual therapy, MCE demonstrated superior results for reducing disability but not pain. The studies varied in quality but provided evidence that MCE can better improve pain and disability for low back pain over the short to long term compared to other common treatments.
This study examined the feasibility of using Fitbit Flex activity trackers in a 7-week walking program for 12 individuals with schizophrenia spectrum disorder (SSD). Participants received weekly step count goals and meetings to discuss physical activity. Most participants increased daily step counts, and reported improvements in performance and satisfaction with activities. While no changes in body composition were found, participants identified the Fitbit, step count increases, and praise as motivators for physical activity. Medication side effects were the primary barrier reported. The study demonstrates that wearable trackers may help track and encourage walking in individuals with SSD.
Wii Fit balance training was compared to conventional balance therapy in outpatients with subacute stroke. Patients were randomly assigned to 30 minutes of either Wii Fit balance games under supervision twice a week for 8 weeks, or conventional balance exercises, both with additional home practice. The Berg Balance Scale and Dynamic Gait Index assessed balance and fall risk at baseline and post-intervention. Secondary measures included walking speed, fatigue, and independence in daily activities. The study hypothesized that Wii Fit balance training would be more effective for improving balance after stroke compared to conventional therapy in an outpatient setting.
Brough et al perspectives on the effects and mechanisms of CST a qualitative ...Nicola Brough
This document summarizes a qualitative study on the effects and mechanisms of craniosacral therapy according to users' views. 29 participants were interviewed about their experiences with craniosacral therapy. Most participants reported improvements in at least two dimensions of holistic wellbeing: body, mind and spirit. Experiences during therapy included altered perceptual states and specific sensations and emotions. Participants emphasized the importance of the therapeutic relationship. The emerging theory from the study suggests that the trusting relationship in craniosacral therapy allows clients to experience altered states of awareness, which facilitates a new understanding of the interrelatedness of body, mind and spirit and an enhanced ability to care for oneself and manage health problems.
This document summarizes a workshop convened by the National Institutes of Health and Centers for Disease Control and Prevention to discuss the feasibility of conducting a randomized clinical trial to estimate the long-term health effects of intentional weight loss in obese individuals. While short-term studies show weight loss reduces disease risk factors, little is known about long-term health outcomes. Observational studies have limitations and results are inconclusive. Workshop participants agreed a well-designed randomized trial could provide clearer answers about long-term health risks and benefits of weight loss, informing clinical practice and policy.
This document summarizes a presentation on physiotherapy for non-cancer chronic pain. It discusses that physiotherapy aims to restore and promote optimal physical function and quality of life for those with persistent pain. It provides an overview of evaluation processes in physiotherapy and various treatment modalities. It also summarizes evidence on approaches for common persistent pain conditions like low back pain, whiplash associated disorder, and osteoarthritis. Screening tools for risk of long-term disability are also briefly covered.
68 trends in neuropediatric physical therapy - publicadoNathanael Amparo
The document summarizes trends in physical therapy protocols for children with neuromotor deficits such as cerebral palsy. It describes intensive therapy programs using special suits with elastic cords that position the child's body correctly and allow them to perform activities. These programs, involving 3-4 hours of therapy per day for 4-5 weeks, have shown significant rehabilitation results. Objective assessment tools are also increasingly used to precisely plan and monitor treatment. While more research is still needed, intensive physical therapy protocols combined with special suits and functional assessments are becoming standard practice for rehabilitating children with neuromotor impairments.
This randomized controlled trial investigated the effectiveness of pulsatile dry cupping therapy compared to no intervention for knee osteoarthritis. 40 patients were randomly assigned to receive either 8 cupping sessions over 4 weeks or no treatment. Outcome measures including pain, stiffness, physical function, and quality of life were assessed at 4 and 12 weeks. At 4 weeks, cupping resulted in significantly greater improvements in pain, physical function, and quality of life scores compared to the control group. Many benefits were still present at 12 weeks, though some scores were no longer significantly different. The study provides preliminary evidence that cupping may be an effective treatment for relieving symptoms of knee osteoarthritis.
1. The document discusses the use of yoga as an alternative or complementary treatment to standardized pharmaceutical therapies for mental illnesses like depression and anxiety.
2. Several research studies presented in the document found that yoga led to reductions in heart rate, blood pressure, and stress hormones as well as improvements in immune functioning and psychological well-being.
3. The document argues that yoga engages the body's natural healing system and treats the underlying causes of illness rather than just suppressing symptoms like many pharmaceutical therapies.
This study examined whether pain-related psychosocial factors predicted whether treatment gains were maintained following participation in a physical rehabilitation program for musculoskeletal injuries. The study assessed 310 individuals at admission to rehabilitation, discharge, and 1-year follow up. It found that individuals with high scores on measures of pain catastrophizing and fear of pain at discharge were more likely to experience a return of their pain symptoms and failure to maintain treatment gains at the 1-year follow up. The results suggest that treatment gains may not be sustained long-term if end-of-treatment scores on catastrophizing and fear of pain remain elevated.
Five randomized controlled trials and one matched cohort study evaluated the effectiveness of continuous passive motion (CPM) after total knee arthroplasty. The studies compared outcomes between groups receiving conventional physical therapy with or without additional CPM treatment. The studies found no significant differences between groups for outcomes including range of motion, function, pain, and length of hospital stay. The studies concluded that CPM provided no additional benefits to patients recovering from total knee arthroplasty beyond conventional physical therapy alone.
This study examined the effects of using the upper limb tension test (ULTT) as a neural mobilization technique in addition to conservative treatment for patients with cervical radiculopathy. 40 patients were divided into a control group receiving conservative treatment only and an experimental group receiving conservative treatment plus ULTT. Outcome measures of cervical range of motion and pain were assessed before and after treatment. The results showed significantly greater improvements in cervical flexion, extension, and side flexion ranges of motion as well as pain levels for the experimental group compared to the control group, indicating that ULTT provides additional benefits for managing symptoms of cervical radiculopathy.
Effects of Virtual Reality with Cerebral Palsy Childrenspastudent
This document summarizes a study that investigated the effects of virtual reality (VR) physiotherapy on balance in children with cerebral palsy. The study hypothesized that VR would have no additional effects beyond conventional physiotherapy in improving balance. The study involved 12 children who received either conventional therapy alone or conventional therapy plus VR games for 6 weeks. Results found no significant differences in balance improvements between the two groups, supporting the hypothesis that VR provided no additional benefits beyond conventional therapy alone for balance in children with cerebral palsy.
Interactive Games as a Rehabilitation Tool for Elderly with Dementia: A Pilot...spastudent
The study aimed to investigate the effects of Wii Bowling on selective attention, simple reaction time, and quality of life in elderly with dementia. Twenty elderly with mild dementia were recruited and randomly assigned to an intervention or control group. The intervention group played Wii Bowling twice a week for 4 weeks, while the control group received usual day care activities. Results showed improvements in quality of life domains of family and self as a whole for the intervention group. The study provides preliminary evidence that interactive games like Wii Bowling may benefit elderly with dementia.
Exergames for Patients in Acute Care Settings: Systematic Review of the Repor...Games for Health Europe
TRACK 7 (1)| SELF MANAGEMENT PART 2 | DAY 2 - 1 NOV 2016
Ruud Krols, Senior Researcher & physiotherapist | University Hospital Zurich (CH)
Games for Health Europe 2016
This randomized controlled trial examined the effects of a goal setting intervention on self-efficacy, treatment efficacy, adherence, and treatment outcomes in patients undergoing low back pain rehabilitation. 48 military personnel with low back pain were randomly assigned to an experimental goal setting group, a therapist-led exercise group, or a non-therapist led exercise group. Adherence was higher in the experimental goal setting group compared to the non-therapist led group. Self-efficacy was also higher in the experimental group compared to the other two groups. However, treatment outcomes did not differ significantly between the groups. The findings provide partial support for using goal setting to enhance adherence in clinical rehabilitation.
Pilot Study of Massage in Veterans with Knee OsteoarthritisMichael Juberg
This pilot study assessed the feasibility and preliminary efficacy of Swedish massage therapy for 25 veterans with knee osteoarthritis. The study found high retention and adherence rates, suggesting massage was feasible and acceptable for veterans. Veterans receiving 8 weekly one-hour massage sessions experienced statistically significant improvements in self-reported knee pain, stiffness, function, and quality of life, as well as trends toward improved range of motion. The results support further study of massage as a treatment approach for knee osteoarthritis in veterans.
This meta-analysis reviewed 16 randomized controlled trials comparing the effectiveness of motor control exercises (MCE) to other treatments for chronic or recurrent low back pain. The analysis found that MCE was superior to general exercise in reducing both disability in the short, intermediate, and long term, and pain in the short and intermediate term. MCE was also superior to minimal interventions like advice or placebo for both pain and disability outcomes at all time periods. Compared to spinal manual therapy, MCE demonstrated superior results for reducing disability but not pain. The studies varied in quality but provided evidence that MCE can better improve pain and disability for low back pain over the short to long term compared to other common treatments.
This study examined the feasibility of using Fitbit Flex activity trackers in a 7-week walking program for 12 individuals with schizophrenia spectrum disorder (SSD). Participants received weekly step count goals and meetings to discuss physical activity. Most participants increased daily step counts, and reported improvements in performance and satisfaction with activities. While no changes in body composition were found, participants identified the Fitbit, step count increases, and praise as motivators for physical activity. Medication side effects were the primary barrier reported. The study demonstrates that wearable trackers may help track and encourage walking in individuals with SSD.
Wii Fit balance training was compared to conventional balance therapy in outpatients with subacute stroke. Patients were randomly assigned to 30 minutes of either Wii Fit balance games under supervision twice a week for 8 weeks, or conventional balance exercises, both with additional home practice. The Berg Balance Scale and Dynamic Gait Index assessed balance and fall risk at baseline and post-intervention. Secondary measures included walking speed, fatigue, and independence in daily activities. The study hypothesized that Wii Fit balance training would be more effective for improving balance after stroke compared to conventional therapy in an outpatient setting.
Brough et al perspectives on the effects and mechanisms of CST a qualitative ...Nicola Brough
This document summarizes a qualitative study on the effects and mechanisms of craniosacral therapy according to users' views. 29 participants were interviewed about their experiences with craniosacral therapy. Most participants reported improvements in at least two dimensions of holistic wellbeing: body, mind and spirit. Experiences during therapy included altered perceptual states and specific sensations and emotions. Participants emphasized the importance of the therapeutic relationship. The emerging theory from the study suggests that the trusting relationship in craniosacral therapy allows clients to experience altered states of awareness, which facilitates a new understanding of the interrelatedness of body, mind and spirit and an enhanced ability to care for oneself and manage health problems.
This document summarizes a workshop convened by the National Institutes of Health and Centers for Disease Control and Prevention to discuss the feasibility of conducting a randomized clinical trial to estimate the long-term health effects of intentional weight loss in obese individuals. While short-term studies show weight loss reduces disease risk factors, little is known about long-term health outcomes. Observational studies have limitations and results are inconclusive. Workshop participants agreed a well-designed randomized trial could provide clearer answers about long-term health risks and benefits of weight loss, informing clinical practice and policy.
This document summarizes a presentation on physiotherapy for non-cancer chronic pain. It discusses that physiotherapy aims to restore and promote optimal physical function and quality of life for those with persistent pain. It provides an overview of evaluation processes in physiotherapy and various treatment modalities. It also summarizes evidence on approaches for common persistent pain conditions like low back pain, whiplash associated disorder, and osteoarthritis. Screening tools for risk of long-term disability are also briefly covered.
68 trends in neuropediatric physical therapy - publicadoNathanael Amparo
The document summarizes trends in physical therapy protocols for children with neuromotor deficits such as cerebral palsy. It describes intensive therapy programs using special suits with elastic cords that position the child's body correctly and allow them to perform activities. These programs, involving 3-4 hours of therapy per day for 4-5 weeks, have shown significant rehabilitation results. Objective assessment tools are also increasingly used to precisely plan and monitor treatment. While more research is still needed, intensive physical therapy protocols combined with special suits and functional assessments are becoming standard practice for rehabilitating children with neuromotor impairments.
This randomized controlled trial investigated the effectiveness of pulsatile dry cupping therapy compared to no intervention for knee osteoarthritis. 40 patients were randomly assigned to receive either 8 cupping sessions over 4 weeks or no treatment. Outcome measures including pain, stiffness, physical function, and quality of life were assessed at 4 and 12 weeks. At 4 weeks, cupping resulted in significantly greater improvements in pain, physical function, and quality of life scores compared to the control group. Many benefits were still present at 12 weeks, though some scores were no longer significantly different. The study provides preliminary evidence that cupping may be an effective treatment for relieving symptoms of knee osteoarthritis.
1. The document discusses the use of yoga as an alternative or complementary treatment to standardized pharmaceutical therapies for mental illnesses like depression and anxiety.
2. Several research studies presented in the document found that yoga led to reductions in heart rate, blood pressure, and stress hormones as well as improvements in immune functioning and psychological well-being.
3. The document argues that yoga engages the body's natural healing system and treats the underlying causes of illness rather than just suppressing symptoms like many pharmaceutical therapies.
This study examined whether pain-related psychosocial factors predicted whether treatment gains were maintained following participation in a physical rehabilitation program for musculoskeletal injuries. The study assessed 310 individuals at admission to rehabilitation, discharge, and 1-year follow up. It found that individuals with high scores on measures of pain catastrophizing and fear of pain at discharge were more likely to experience a return of their pain symptoms and failure to maintain treatment gains at the 1-year follow up. The results suggest that treatment gains may not be sustained long-term if end-of-treatment scores on catastrophizing and fear of pain remain elevated.
Five randomized controlled trials and one matched cohort study evaluated the effectiveness of continuous passive motion (CPM) after total knee arthroplasty. The studies compared outcomes between groups receiving conventional physical therapy with or without additional CPM treatment. The studies found no significant differences between groups for outcomes including range of motion, function, pain, and length of hospital stay. The studies concluded that CPM provided no additional benefits to patients recovering from total knee arthroplasty beyond conventional physical therapy alone.
This study examined the effects of using the upper limb tension test (ULTT) as a neural mobilization technique in addition to conservative treatment for patients with cervical radiculopathy. 40 patients were divided into a control group receiving conservative treatment only and an experimental group receiving conservative treatment plus ULTT. Outcome measures of cervical range of motion and pain were assessed before and after treatment. The results showed significantly greater improvements in cervical flexion, extension, and side flexion ranges of motion as well as pain levels for the experimental group compared to the control group, indicating that ULTT provides additional benefits for managing symptoms of cervical radiculopathy.
This randomized clinical trial compared the effectiveness of mindfulness-based stress reduction (MBSR), cognitive behavioral therapy (CBT), and usual care for treating chronic low back pain. 342 adults with chronic low back pain were randomly assigned to receive MBSR, CBT, or usual care. At 26 weeks, participants receiving MBSR or CBT reported significantly greater improvement in back pain and functional limitations compared to usual care. There were no significant differences in outcomes between MBSR and CBT. These findings suggest that MBSR may be an effective treatment option for chronic low back pain.
Cognitive behavioral therapy (CBT) improved quality of life more than standard treatment alone in patients with chronic musculoskeletal pain. A randomized clinical trial assigned 93 patients to either CBT or standard treatment control groups. After 10 weeks, CBT resulted in a 54% reduction in pain levels compared to 28.9% for control. CBT also reduced depressive symptoms and improved physical limitations, general health, and limitations due to emotional problems domains of quality of life more than standard treatment alone. CBT was shown to be an effective addition to standard treatment for improving aspects of chronic pain.
Healthy aging is a multidimensional process influenced by genetics, lifestyle, environment and healthcare factors. It involves maintaining physical and cognitive function to allow well-being in older age. Key aspects of healthy aging include regular health assessments, nutrition, exercise, managing chronic conditions, mental health, vaccination, sleep, and injury prevention. Geriatric assessments evaluate multiple health domains. Nutrition, exercise, stress management and preventing smoking and excessive drinking promote healthy aging. Public health policies also play a role by supporting factors like financial security, housing, mobility and social connections in older adults.
Can Primary Care Provide Effective Management of Chronic Pain?epicyclops
This lecture was given by Professor Gary Macfarlane, Professor of Epidemiology at the University of Aberdeen, to the North British Pain Association Spring Scientific Meeting in Edinburgh on Friday 18th May, 2007. Professor Macfarlane is introduced by Dr Colin Rae. The lecture forms part of a conference "Blurring the Boundaries - Managing Pain in Primary Care and Secondary Care".
www.wspg.org.uk
The document summarizes a randomized controlled trial that examined whether increasing subjective well-being through a 12-week positive psychology intervention could improve physical health in healthy adults. 155 community participants were randomly assigned to a treatment or wait-list control group. The treatment group received weekly positive psychology exercises aimed at increasing happiness. Results found that the treatment improved self-reported physical health measures like number of sick days over the previous month, compared to the control group. Improvements in subjective well-being from the treatment also predicted decreases in number of sick days over time, providing some evidence for a causal link between happiness and physical health.
The document discusses cancer-related fatigue (CRF), including its multidimensional nature, potential causes, and challenges in managing it. It provides an overview of approaches to addressing fatigue, including through physical exercise, psychological and behavioral interventions, managing other symptoms, and other targeted interventions. The key message is that awareness, screening, and comprehensive assessment of potential contributing factors is important to diagnose specific types of fatigue and identify the most appropriate targeted interventions.
The document discusses cancer-related fatigue (CRF), including its multidimensional nature, potential causes, and challenges in managing it. It provides an overview of approaches to addressing fatigue, including through physical exercise, psychological and behavioral interventions, managing other symptoms, and other targeted interventions. The key message is that awareness, screening, and comprehensive assessment of potential contributing factors is important to diagnose specific types of fatigue and identify the most appropriate targeted interventions.
Effects of core stability training on older.pdfOdiSan4
Studies have demonstrated that elderly people with low back pain (LBP) may have poor postural
control compared to healthy older adults. Poor postural control is associated with poor balance performance and a
high risk of serious falls. A variety of training strategies are proposed for LBP therapy, particularly core stabilization
training. But this treatment for older people with LBP remains unclear.
Dr Anna Campbell's keynote speech 'The Importance of Staying Active after a Cancer Diagnosis' at the SCPN's 'Be Active Against Cancer' conference, Tuesday 4th February 2014.
Motivational Enhancement Therapy in Addition to Physical
Therapy Improves Motivational Factors and Treatment
Outcomes in People With Low Back Pain: A Randomized
Controlled Trial
To Compare The Effect Of Core Stability Exercises And Muscle Energy Technique...IOSR Journals
Abstract: Low back pain is considered one of the commonest condition in the western and industrialized
countries. It is estimated that up to 50% of adults experience low back pain during their life span. People of all
age group can be effected by this menace irrespective to their gender and quality of life. It has become one of
the leading causes for the visit to physician thus also puts a heavy burden on the currency of the country.
Physiotherapy is the most widely used form of treatment adopted for gaining relief from low back pain. The
exercises include stretching, strengthening, range of motion exercises, McKenzie therapy and core stability
exercises other techniques like muscle energy technique etc. It has been concluded in various studies core
stability exercises and muscle energy technique are beneficial in low back pain patients but comparison of their
effect needs to be established to provide early and better relief from the disability. Therefore objective of the
study was to compare the effect of core stability exercises and muscle energy techniques on low back pain
patients. 60 subjects aged 18 – 45 years with low back pain were made part of the study based on inclusion and
exclusion criteria and were then divided into three groups named A, B and C. Group A received core stability
exercise and conventional physiotheraphy and group B received muscle energy techniques and conventional
physiotherapy. The exercise program was given on alternate days with a total of 24 sessions and progression of
the activity was made within the tolerance of the patient. Pre and post treatment readings were taken of pain,
ROM and quality of life scale. Results were analyzed using paired, unpaired t- test and ANOVA. Results showed
that there is significant effect on pain, ROM and quality of life scale in the three groups but group A was
clinically more significant than the other groups. The study concluded that patients with low back pain are
benefitted more by core stability exercises. So, core stability exercises should be practiced more.
Keywords: Low Back Pain, Core Stabilization Exercises, Muscle Energy Technique.
Work related musculoskeletal disorders in physical therapistsTuğçehan Kara
This study examined work-related musculoskeletal disorders (WMSDs) in physical therapists through a prospective cohort study with 1-year follow up. The study found that 57.5% of physical therapists reported a WMSD in the follow up year, with a 1-year prevalence rate of 28% and incidence rate of 20.7%. Risk factors for low back WMSDs included patient transfers, repositioning, bent/twisted postures, and job strain. Risk factors for wrist/hand WMSDs included soft tissue work, joint mobilization, and manual therapy techniques. The study recommends safer patient handling policies and further research to examine the link between physical therapy exposures and WMSDs.
Marietta van der Linden & Gillian Robinson - Exercise and MS related fatigueMS Trust
Fatigue is a common and debilitating symptom of multiple sclerosis (MS). The document discusses primary and secondary causes of MS-related fatigue and reviews evidence that exercise can help reduce fatigue. It finds that exercise, particularly balance training, has a moderate beneficial effect on fatigue compared to no exercise. However, the optimal type, dose, and mechanisms of how exercise impacts fatigue remain unclear and more research is needed to provide definitive guidance. Barriers to exercise for people with MS include fatigue itself as well as physical ability, variability in symptoms, fear, and accessibility issues.
Psychosocial interventions for fatigue during cancer treatment with palliativ...Maja Miljanović
Psychosocial interventions aim to reduce fatigue in cancer patients receiving palliative treatment through changing cognitions, emotions, behaviors, and social interactions. Such interventions include cognitive behavioral therapy, coping skills training, mindfulness, and psychoeducation. They teach patients to change thoughts, actions, or feelings related to symptoms. While psychosocial interventions show promise for managing cancer-related fatigue, it remains unclear if they are effective for patients receiving palliative cancer treatment specifically. This review will evaluate evidence from randomized controlled trials on the effectiveness of psychosocial interventions for reducing fatigue in patients with incurable cancer receiving palliative cancer treatment.
The document discusses a client named Glenn who underwent pre-screening that revealed high risk during exercise due to medical conditions. An exercise program was implemented based on GP recommendations to help manage his conditions and reduce disease risks. Pre-screening methods are discussed as an effective way to reduce adverse events during exercise.
This study examined the prognosis of 118 patients with chronic low back pain who participated in a private, community-based group exercise program over 12 months. The patients experienced substantial improvements in pain intensity, disability, function and bothersomeness during the study period. Pain intensity and bothersomeness improved most in the first 6 months, while disability and function continued improving throughout the full year. At 12 months, 25% of patients were fully recovered from their back pain. Baseline pain intensity predicted 10% of the variation in pain outcomes at 12 months, while duration of current episode, disability, and education level together predicted 15% of the variation in disability outcomes.
Similar to Cognitive Behavior Therapy combined with Physical Exercise for Adults with Chronic Diseases Systematic Review and Meta-Analysis (20)
COMMENT FAIRE ÉVOLUER LES COMPORTEMENTS DE SES PROCHES VERS DES PRATIQUES
MOINS CARBONÉES ?
Sources:
https://www.carbone4.com/wp-content/uploads/2019/06/Publication-Carbone-4-Faire-sa-part-pouvoir-responsabilite-climat.pdf
https://www.yumpu.com/fr/document/view/64970015/shift1team-rapport-final
Changement climatique, sport et activité physiqueBERNARD Paquito
Nous vivons actuellement les conséquences sans commune mesure du changement climatique. Elles affectent toutes les strates de la vie comme la santé et les loisirs. Cette présentation abordera les liens entre sport, activité physique et changement climatique sur la base d’une analyse de la littérature scientifique. Plusieurs questions seront abordées: Que représente l'empreinte carbone des pratiques sportives ? Quelles sont les conséquences des catastrophes naturelles sur l’activité physique ? Bifurquer vers les transports actifs pour diminuer la pollution de l’air ? Demain, réaliserons-nous plus d’activité physique grâce à des saisons plus clémentes ? Comment penser l’activité physique et le sport dans un monde à 2°, à 3° ?
Activité physique, sédentarité et santé mentale : leçons de l'Enquête canadie...BERNARD Paquito
Activité physique, sédentarité et santé mentale : leçons de l'Enquête canadienne sur les mesures de la santé
Résumé de la publication suivante : https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0204682
Six minutes walk test for individuals with schizophrenia : a systematic reviewBERNARD Paquito
more details in : Bernard P, Romain AJ, Vancampfort D, Ninot G. Six minutes walk test for individuals with schizophrenia: systematic review. Disability and Rehabilitation (2015)
Bénéfices des activités physiques adaptées dans la prise en charge de sujets ...BERNARD Paquito
9e congrès de l'ANP3SM - 2011
Plus de détails dans la publication Bernard. P, Romain AJ, Esseul. E, Artigusse. M, Poy Y., Baghdadli. A, Ninot G. Barrières et motivation à l’activité physique chez l’adulte atteint de schizophrénie : revue de littérature systématique. Sciences & Sports (2013) 28, 247—252
EWOCS-I: The catalog of X-ray sources in Westerlund 1 from the Extended Weste...Sérgio Sacani
Context. With a mass exceeding several 104 M⊙ and a rich and dense population of massive stars, supermassive young star clusters
represent the most massive star-forming environment that is dominated by the feedback from massive stars and gravitational interactions
among stars.
Aims. In this paper we present the Extended Westerlund 1 and 2 Open Clusters Survey (EWOCS) project, which aims to investigate
the influence of the starburst environment on the formation of stars and planets, and on the evolution of both low and high mass stars.
The primary targets of this project are Westerlund 1 and 2, the closest supermassive star clusters to the Sun.
Methods. The project is based primarily on recent observations conducted with the Chandra and JWST observatories. Specifically,
the Chandra survey of Westerlund 1 consists of 36 new ACIS-I observations, nearly co-pointed, for a total exposure time of 1 Msec.
Additionally, we included 8 archival Chandra/ACIS-S observations. This paper presents the resulting catalog of X-ray sources within
and around Westerlund 1. Sources were detected by combining various existing methods, and photon extraction and source validation
were carried out using the ACIS-Extract software.
Results. The EWOCS X-ray catalog comprises 5963 validated sources out of the 9420 initially provided to ACIS-Extract, reaching a
photon flux threshold of approximately 2 × 10−8 photons cm−2
s
−1
. The X-ray sources exhibit a highly concentrated spatial distribution,
with 1075 sources located within the central 1 arcmin. We have successfully detected X-ray emissions from 126 out of the 166 known
massive stars of the cluster, and we have collected over 71 000 photons from the magnetar CXO J164710.20-455217.
Immersive Learning That Works: Research Grounding and Paths ForwardLeonel Morgado
We will metaverse into the essence of immersive learning, into its three dimensions and conceptual models. This approach encompasses elements from teaching methodologies to social involvement, through organizational concerns and technologies. Challenging the perception of learning as knowledge transfer, we introduce a 'Uses, Practices & Strategies' model operationalized by the 'Immersive Learning Brain' and ‘Immersion Cube’ frameworks. This approach offers a comprehensive guide through the intricacies of immersive educational experiences and spotlighting research frontiers, along the immersion dimensions of system, narrative, and agency. Our discourse extends to stakeholders beyond the academic sphere, addressing the interests of technologists, instructional designers, and policymakers. We span various contexts, from formal education to organizational transformation to the new horizon of an AI-pervasive society. This keynote aims to unite the iLRN community in a collaborative journey towards a future where immersive learning research and practice coalesce, paving the way for innovative educational research and practice landscapes.
ESA/ACT Science Coffee: Diego Blas - Gravitational wave detection with orbita...Advanced-Concepts-Team
Presentation in the Science Coffee of the Advanced Concepts Team of the European Space Agency on the 07.06.2024.
Speaker: Diego Blas (IFAE/ICREA)
Title: Gravitational wave detection with orbital motion of Moon and artificial
Abstract:
In this talk I will describe some recent ideas to find gravitational waves from supermassive black holes or of primordial origin by studying their secular effect on the orbital motion of the Moon or satellites that are laser ranged.
Or: Beyond linear.
Abstract: Equivariant neural networks are neural networks that incorporate symmetries. The nonlinear activation functions in these networks result in interesting nonlinear equivariant maps between simple representations, and motivate the key player of this talk: piecewise linear representation theory.
Disclaimer: No one is perfect, so please mind that there might be mistakes and typos.
dtubbenhauer@gmail.com
Corrected slides: dtubbenhauer.com/talks.html
ESR spectroscopy in liquid food and beverages.pptxPRIYANKA PATEL
With increasing population, people need to rely on packaged food stuffs. Packaging of food materials requires the preservation of food. There are various methods for the treatment of food to preserve them and irradiation treatment of food is one of them. It is the most common and the most harmless method for the food preservation as it does not alter the necessary micronutrients of food materials. Although irradiated food doesn’t cause any harm to the human health but still the quality assessment of food is required to provide consumers with necessary information about the food. ESR spectroscopy is the most sophisticated way to investigate the quality of the food and the free radicals induced during the processing of the food. ESR spin trapping technique is useful for the detection of highly unstable radicals in the food. The antioxidant capability of liquid food and beverages in mainly performed by spin trapping technique.
(June 12, 2024) Webinar: Development of PET theranostics targeting the molecu...Scintica Instrumentation
Targeting Hsp90 and its pathogen Orthologs with Tethered Inhibitors as a Diagnostic and Therapeutic Strategy for cancer and infectious diseases with Dr. Timothy Haystead.
The cost of acquiring information by natural selectionCarl Bergstrom
This is a short talk that I gave at the Banff International Research Station workshop on Modeling and Theory in Population Biology. The idea is to try to understand how the burden of natural selection relates to the amount of information that selection puts into the genome.
It's based on the first part of this research paper:
The cost of information acquisition by natural selection
Ryan Seamus McGee, Olivia Kosterlitz, Artem Kaznatcheev, Benjamin Kerr, Carl T. Bergstrom
bioRxiv 2022.07.02.498577; doi: https://doi.org/10.1101/2022.07.02.498577
8.Isolation of pure cultures and preservation of cultures.pdf
Cognitive Behavior Therapy combined with Physical Exercise for Adults with Chronic Diseases Systematic Review and Meta-Analysis
1. Cognitive Behavior Therapy combined with Physical Exercise for
Adults with Chronic Diseases
Systematic Review and Meta-Analysis
Bernard P, Romain AJ, Caudroit J, Chevance G, Carayol M, Gourlan M, Needham Dancause K,
Moullec G
Assistant Professor
Department of Physical Activity Sciences, Université du Québec à Montréal
Research Center, University Institute of Mental Health at Montreal
2. The comorbid psychological symptoms are highly prevalent among adults with
physical chronic disease.
Depressive/anxiety disorders & high level of fatigue or pain are associated with
poor adherence rate
reduced quality of life
unhealthy health behaviors (Atlantis et al., 2013)
3. Two empirically validated no pharmacological treatments to alleviate psychological
symptoms in adults with chronic disease,
Physical exercise interventions Cognitive behavior therapy (CBT)
(Pedersen & Saltin 2016) (Cuijpers et al. 2016)
6. Researchers have hypothesized an additive effect of CBT combined with
physical exercise (CBTEx) when compared to each intervention alone.
Previous RCTs with mixed results (COPD, diabetes, cancer....)
RCTs with multi-arms
VERSUS
Wait list ...
7. Aims
(1) to summarize the literature on the effects of CBTEx for depression, anxiety,
fatigue, and pain in adults with chronic disease
(2) to identify the potential moderators of efficacy
(3) to assess the additive effects of CBT combined with exercise on outcomes of
interest.
CBTEx versus CBT
CBTEx versus Ex
CBT versus Ex
8. Method
Participants
Adult with diagnosed chronic disease (e.g., COPD, diabetes, chronic fatigue, cancer…)
[World Health Organization (Alwan & Agis, 2011)]
Interventions
CBT according Cuijpers (2013) “therapy in which the therapist focuses on the impact that a patient’s
present dysfunctional thoughts affect current behaviour and functioning. CBT helps clients to evaluate, challenge,
and modify their dysfunctional beliefs ...“
Physical exercise (involving planned, structured, and repetitive movements )
home-based or supervised.
Control
Wait list, usual care or active control condition
Outcomes : Depression, anxiety, fatigue, or pain as a primary/secondary endpoint at post-
intervention time
Design : RCT
Exclusion criteria : Healthy participants, adults severe mental illness, counselling,
physiotherapy, relaxation, lifestyle interventions
9. Method
Data extraction
(i) population-related characteristics: age, proportion of women
(ii) intervention-related characteristics: length, frequency, nb of sessions, exercise type
(iii) risk of bias
(iv) total methodological quality score
Statistical analyses
‘Standardized Mean Change score using Raw score standardization (SMCR)’
(Higgins & Green, 2011)
Publication bias
Multivariate outliers
Univariate meta-regressions
.
“Metafor” package (Viechtbauer, 2010)
13. Results
CBT
CBT targeted
Fatigue (10% RCTs)
Pain (13%)
Depression/anxiety (10%)
Group format 53% RCTs
Most CBT interventions were provided by psychologists or CBT therapists
Exercise
Supervized in 63% RCTs
‘graded exercise’ (33% RCTs)
Physiotherapist or kinesiologists
14. Résultats
Risk of bias
Sequence Generation
Allocation Concealment
Blinding of Outcome Assessment
Incomplete Outcome Data
1 3 5 7 9 11 13 15 17 19 21 23 25 27
Light Unclear High
21. Discussion
Possible overstimated CBTEx effect for depression (Bernard et al. 2017)
« Common factors » between CBT & exercise
Therapeutic alliance
Changing expectations….
Possible contamination effect in CBT arms
CBTEx versus «partial » CBTEx
(Bishop et al. 2015)
22. Conclusion
The findings do no support an ADDITIVE effect of CBTEx
For a better mental health in adults with chronic disease
« let the patient choose »