BACKGROUND: The study aimed to analyze the effect of respiratory muscle endurance training (RMT) on performance and respiratory function in professional road cyclists during the off-season period. METHODS: Twenty professional road cyclists from the Czech Republic were divided into the control (CON) (N.=10) and the RMT (N.=10) groups. Cyclists from the RMT group accomplished 30 sessions over 10 weeks. Performance in the incremental cycling test and respiratory capacity via test were assessed before and after 10 weeks in both groups. The comparison between and within the groups was performed, together with effect size and delta % (P<0.05). RESULTS: Significant effects on respiratory function during the exercise, on lung volume utilization at 90% of VO2max (TV-90%) and maximal voluntary ventilation (MVV) were found in RMT compared to the CON group, with a moderate effect size (0.71 and 0.61), and improvements of 13% and 14%, respectively. Parameters of performance in the cycling protocol and respiratory function at rest presented better values in the RMT group, however with no significance and in minor magnitude. CONCLUSIONS: Using RMT during off-season benefits professional road cyclists by improving the major efficiency of respiratory function during progressive efforts. Therefore, the protocol of RMT could be used as an ergogenic aid during this period in order to maintain respiratory adaptations, optimizing the pre-season training. Adjustments can be made to improve the parameters outcomes.

• MeSH
• cyklistika fyziologie   MeSH
• dechová cvičení metody   MeSH
• dýchací svaly fyziologie   MeSH
• dýchání MeSH
• fyzická vytrvalost * fyziologie   MeSH
• lidé MeSH
• roční období MeSH
• vytrvalostní trénink * MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

INTRODUCTION: One of the most debilitating problems encountered by people with multiple sclerosis (MS) is the loss of balance and coordination. Our study aimed to comprehensively evaluate the effectiveness of one year of Tai-chi exercise in patients with MS using both subjective and objective methods, including posturography. METHODS: This was a single-group longitudinal one-year study performed from the 1st of January 2019 to the 1st of January 2020. The primary outcomes of interest were the Mini-Balance Evaluation Systems Test (Mini-BESTest) and static posturography measures as objective methods to detect subtle changes associated with postural control/balance impairment. Secondary outcomes were measures of depression, anxiety, cognitive performance, and quality of life. All objective and subjective parameters were assessed four times: at baseline, and after three, six and 12 months of regular Tai-chi training. The difference was calculated as a subtraction of baseline values from every timepoint value for each measurement. If the normality test was passed, parametric one-sample t-test was used, if failed, Wilcoxon signed ranks test was used to test the difference between the baseline and each timepoint. Alpha was set to 0.017 using Bonferroni correction for multiple comparisons. RESULTS: Out of 25 patients with MS enrolled, 15 women with MS (mean age 44.27 years) were included for statistical analyses after completing the 12-month program. After 12 months, significant improvements were found in all objective balance and gait tests: Mini-BESTest (p<0.001), static posturography measures (total area of the centre of foot pressure - TA; p = 0.015), 25 Feet Walk Test (25FWT; p = 0.001), anxiety (Beck Anxiety Inventory - BAI; p = 0.005) and cognition tests (Paced Auditory Serial Addition Test - PASAT; p = 0.003). Measures of depression (Beck Depression Inventory - BDI; p = 0.071), cognition (Symbol Digit Modalities Test - SDMT; p = 0.079), and health-related quality of life (European Quality of Life 5-Dimensions Questionnaire - EQ-5D-5L; p = 0.095) showed a trend of improvement but were not significant, which could be the result of a small sample and increased bias due the type II error. CONCLUSION: According to these preliminary results, this study indicates the possible beneficial effects of long-term Tai-chi training on patients with MS. Although these findings need to be confirmed by further studies with a larger sample of participants of both genders and require more rigorous randomized controlled trials (RCT) design, our findings support the recommendation of regular and long-term Tai-chi exercise in patients with MS. GOV IDENTIFIER (RETROSPECTIVELY REGISTERED): NCT05474209.

• MeSH
• dospělí MeSH
• kognice MeSH
• kvalita života MeSH
• lidé MeSH
• posturální rovnováha MeSH
• prospektivní studie MeSH
• roztroušená skleróza * komplikace   terapie   MeSH
• taiči * MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

Theoretical frameworks and models provide a roadmap for clinical practice and research by explaining and predicting the processes that influence intervention outcomes. They serve as the basis for understanding, conceptualizing, and designing nursing and social science intervention studies. Yet what is often not clearly understood is how theory actually guides intervention development and testing. What do we really mean when we describe an intervention as theoretically driven and how does a research scientist go about making this happen? The purpose of this article is to provide an exemplar of how theory guided the development of an evidence-based nursing intervention developed to reduce sexual risk behaviors (The Health Improvement Project for Teens). This approach can be used as a guide or framework applicable to other intervention programs in development. We also discuss the need in the Czech Republic for more rapid integration of broader theoretical approaches to guide intervention development and continued focus on the development and testing of nursing interventions. While still in its initial stages of development, nurse and social scientists in the Czech Republic can quickly build rigorous interventions by expanding the use of the broad array of useful theories that can guide intervention development.

• MeSH
• hraní rolí MeSH
• lidé MeSH
• mladiství MeSH
• motivace MeSH
• ošetřovatelství - vzorové postupy * MeSH
• ošetřovatelství metody   organizace a řízení   MeSH
• psychodrama metody   MeSH
• psychometrie metody   MeSH
• psychosociální intervence metody   MeSH
• rizikový sex prevence a kontrola   MeSH
• sexuální chování psychologie   MeSH
• teoretické modely * MeSH
• Check Tag
• lidé MeSH
• mladiství MeSH

This study conducted pairwise and network meta-analysis to evaluate the effectiveness of three mind-body exercise interventions (Tai Chi, Qigong, and yoga) on physical capacity, psychological well-being, and quality of life in stroke patients. The research encompassed 30 studies involving 2107 participants and utilized the Risk of Bias 2.0 tool for quality assessment. Pairwise analysis revealed that all three mind-body exercises significantly enhanced patients' quality of life. Tai Chi demonstrated the most comprehensive improvements in balance, limb motor function, activities of daily living, and depression. Network meta-analysis indicated that Qigong was the most effective in improving balance and quality of life for post-stroke patients, followed by Tai Chi. These findings underscore the positive impact of mind-body exercises on both physical and psychosocial outcomes in stroke patients. However, further research involving rigorously designed and adequately powered trials is necessary to enhance the level of evidence in this area.

• MeSH
• cévní mozková příhoda * MeSH
• činnosti denního života MeSH
• kvalita života MeSH
• lidé MeSH
• síťová metaanalýza MeSH
• taiči * MeSH
• terapie cvičením MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• metaanalýza MeSH
• systematický přehled MeSH

Publikace se zaměřuje na použití humoru ve zdravotnictví a při péči o pacienta, Například při práci zdravotního klauna. Určeno odborné veřejnosti.

• Klíčová slova
• zdravotní klaun,
• MeSH
• dobrovolníci v nemocnici MeSH
• komunikace MeSH
• péče o pacienta MeSH
• terapie smíchem MeSH
• vtip a humor jako téma MeSH
• vztahy mezi zdravotnickým pracovníkem a pacientem MeSH
• Publikační typ
• monografie MeSH

• Konspekt
• Fyzioterapie. Psychoterapie. Alternativní lékařství
• NLK Obory
• psychologie, klinická psychologie
• psychoterapie

• MeSH
• jóga MeSH
• lidé MeSH
• spondylolistéza * klasifikace   rehabilitace   MeSH
• terapie cvičením * metody   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• přehledy MeSH

• MeSH
• aplikace inhalační MeSH
• balneologie * metody   MeSH
• dechová cvičení metody   MeSH
• dietoterapie metody   MeSH
• dítě MeSH
• hydroterapie metody   MeSH
• lázně MeSH
• lidé MeSH
• masáž metody   MeSH
• plicní nemoci * rehabilitace   terapie   MeSH
• terapie bahnem metody   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• Publikační typ
• přehledy MeSH

• MeSH
• antibakteriální látky terapeutické užití   MeSH
• aplikace inhalační MeSH
• bakteriální infekce etiologie   komplikace   MeSH
• cystická fibróza * diagnóza   genetika   terapie   MeSH
• dechová cvičení metody   MeSH
• dietoterapie metody   MeSH
• genetické testování metody   MeSH
• lidé MeSH
• malabsorpční syndromy etiologie   terapie   MeSH
• novorozenecký screening metody   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• přehledy MeSH

• MeSH
• antibakteriální látky terapeutické užití   MeSH
• aplikace inhalační MeSH
• cilie patologie   MeSH
• dechová cvičení metody   MeSH
• diferenciální diagnóza MeSH
• elektronová mikroskopie metody   MeSH
• genetické testování metody   MeSH
• infekce dýchací soustavy etiologie   MeSH
• infertilita etiologie   MeSH
• lidé MeSH
• oxid dusnatý analýza   MeSH
• poruchy ciliární motility * diagnóza   patologie   terapie   MeSH
• situs inversus etiologie   MeSH
• videomikroskopie metody   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• přehledy MeSH

• MeSH
• anamnéza metody   MeSH
• bronchodilatancia terapeutické užití   MeSH
• bronchopulmonální dysplazie * diagnóza   etiologie   terapie   MeSH
• dechová cvičení metody   MeSH
• hormony kůry nadledvin terapeutické užití   MeSH
• lidé MeSH
• nutriční podpora MeSH
• oxygenoterapie MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• přehledy MeSH