Four-year follow-up of surgical versus non-surgical therapy for chronic low back pain.

The objective of this study was to compare the long-term effectiveness of surgical and non-surgical treatment in patients with chronic low back pain. Two merged randomised clinical trials compared instrumented transpedicular fusion with cognitive intervention and exercises in 124 patients with disc degeneration and at least 1 year of symptoms after or without previous surgery for disc herniation. The main outcome measure was the Oswestry disability index. At 4 years… Continue reading

Multicenter randomized clinical trial of supervised exercise therapy with or without feedback versus walking advice for intermittent claudication.

The initial treatment for intermittent claudication is supervised exercise therapy (SET). Owing to limited capacity and patient transports costs of clinic-based SET, a concept of SET provided by local physiotherapists was developed. We hypothesized that provision of daily feedback with an accelerometer in addition to SET would further increase walking distance.  This multicenter randomized trial was set in vascular surgery outpatient clinics and included 304 patients with intermittent claudication. Patients… Continue reading

Hip strengthening reduces symptoms but not knee load in people with medial knee osteoarthritis and varus malalignment: a randomised controlled trial

The objective of this study was to determine whether hip abductor and adductor muscle strengthening reduces medial compartment knee load and improves symptoms in people with medial tibiofemoral OA and varus malalignment. In a randomised controlled trial, 89 participants were randomly allocated to a hip strengthening group or to a control group with no intervention. The strengthening group performed a physiotherapist-supervised home exercise program targeting the hip abductor and… Continue reading

Short-term exercise approaches on menopausal symptoms, psychological health, and quality of life in postmenopausal women.

This study was designed to determine the effects of different short-term exercise programs on menopausal symptoms, psychological health, and quality of life in postmenopausal women. Forty-two women were chosen from volunteering postmenopausal women presenting to the Department of Obstetrics and Gynecology of Bayindir Hospital between March and December 2009. The women aged 45-60 years and experiencing menopause naturally were included in the study. They were randomly divided into aerobic… Continue reading

Endurance training and cardiorespiratory conditioning after traumatic brain injury.

The objective of this study was to examine the importance of cardiorespiratory conditioning after traumatic brain injury (TBI) and provide recommendations for patients recovering from TBI. It was a review of the literature assessing the effectiveness of endurance training programs. A sedentary lifestyle and lack of endurance are common characteristics of individuals with TBI who have a reduction in peak aerobic capacity of 25% to 30% compared with healthy sedentary… Continue reading

Trunk muscle activity during lumbar stabilization exercises on both a stable and unstable surface.

The objectives of this study were to clarify whether differences in surface stability influence trunk muscle activity. Lumbar stabilization exercises on unstable surfaces are performed widely. One perceived advantage in performing stabilization exercises on unstable surfaces is the potential for increased muscular demand. However, there is little evidence in the literature to help establish whether this assumption is correct. METHODS: Nine healthy male subjects performed lumbar stabilization exercises. Pairs of… Continue reading

The effects of a home-based exercise program on physical function in frail older adults.

Exercise has been shown to improve physical function in frail older adults; however, the effects of exercise may vary with degree of frailty, the format and intensity of the exercise intervention, and level of supervision. This cohort study describes the effects of participation in a 6-week home-based exercise program on measures of physical function as well as exercise-related beliefs, including exercise self-efficacy and outcomes expectation, in frail older adults. Participants… Continue reading

Evidence for prescribing exercise as treatment in pediatric rheumatic diseases.

There has been an increasing recognition of adverse short-, mid-, or long-term effects associated with the treatment as well as the disease itself that impair the health-related quality of life and functional capacity of children and adolescents with rheumatic diseases. Interestingly, cumulative evidence has suggested that exercise training may benefit patients with juvenile idiopathic arthritis, juvenile systemic lupus erythematosus, juvenile dermatomyositis and juvenile fibromyalgia, attenuating several clinical symptoms related to… Continue reading

Assessment of compliance with prescribed activity by hemiplegic stroke patients after an exercise programme and physical activity education.

Although post-stroke exercise training programmes improve aerobic capacity and functional capacities in the short-term, the impact on exercise performance at home has not been established. The objective of this study was to assess compliance with prescribed physical activity by hemiplegic stroke patients. To compare the patients' stated activity with their actual activity. This was a prospective pilot study of nine hemiplegic patients following an exercise training programme. Each patient's activity… Continue reading

Three versus six months of exercise training in breast cancer survivors.

Breast cancer is the most prevalent type of cancer in American women. Exercise appears to diminish many of the side effects resulting from breast cancer and its treatment. Very little research, however, has compared the outcomes of varying lengths of combined aerobic and resistance training exercise interventions on physiological and psychological parameters in breast cancer survivors. The purpose of this study was to compare the physiological and psychological outcomes following… Continue reading

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