The purpose of the study was to evaluate the effect of a repeated 1-week intensive programme in patients with mid-stage Huntington's disease on stability and quality of life. 12 patients completed two 1-week programmes, separated by a one-year interval. Each programme consisted of a 120-minute intervention in the form of a fitness exercise, procedures targeting static and dynamic postural stability, procedures of respiratory physiotherapy and orofacial region therapy. The patient completed a total of 4 evaluations using the Sit to Stand Test, Timed up and Go Test and completed the quality of life SF-36 questionnaire. Statistically significant changes have been shown in the Sit-and-stand test in both years. Weaker but still significant changes were found in the TUG test only in the first year, while there was improvement in the second intervention year that was not statistically significant. Evaluation of the quality of life suggested a positive influence of physical activity in the dimensions: restriction caused by emotional problems, somatic pain and change of health. Our results suggest that a repeated, intensive one-week intervention can have a positive influence on postural stability and can contribute to the improvement of some quality of life dimensions in patients with mid-stage HD.

• MeSH
• chůze klasifikace   MeSH
• dospělí MeSH
• ergoterapie MeSH
• Huntingtonova nemoc * rehabilitace   MeSH
• kvalita života MeSH
• lidé středního věku MeSH
• muzikoterapie MeSH
• posturální rovnováha MeSH
• terapie cvičením metody   MeSH
• výsledek terapie MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH

The main purpose of the study was to explore whether gait velocity predicts the level of separate and overall physical fitness. In this study, we asked one hundred and twenty older adults over the age of 60 (mean ± SD age 71 ± 7 38 years, height 159 ± 21 cm, weight 70 ± 13 kg) to complete a Senior Fitness Test battery to assess the level of physical fitness and walked across the Zebris pressure platform (Munich, Germany) to measure gait velocity. To calculate overall physical fitness, we summed z-score values of each physical fitness test. Pearson’s coefficient (r) was used to determine the level of correlation and coefficient of determination (r2) for variance explained between gait velocity and physical fitness. Respondents conducted a battery of six tests: “chair stand in 30 s”, “arm curl in 30 s”, “2–minute step test”, “chair sit-and-reach test”, “back scratch test” and “8-feet up-and-go test”. Gait velocity was significantly correlated with chair stand in 30 sec (r=0.45, r2=20%, p<0.001), arm curl in 30 sec (r=0.56, r2=31%, p<0.001), 2-minute step test (r=0.44, r2=19%, p<0.001), chair sit-and-reach test (r=0.46, r2=21%, p<0.001), back scratch test (r=0.30, r2=9%, p<0.001) and 8-feet up-and-go test (r=-0.23, r2=5%, p=0.011). Gait velocity was not significantly correlated with waist circumference (r=0.12, r2=1%, p=0.189). Overall physical fitness was strongly correlated with gait velocity (r=0.75, r2=56%, p<0.001). In conclusion this study shows that gait velocity may be an easy and quick screening tool to predict the level of separate and overall physical fitness in a sample of older adults.

Cílem studie je přispět k rozšíření poznatků o úrovni výkonnosti a zdravotně orientované zdatnosti studentek oboru Fyzioterapie, reprezentované studentkami tohoto oboru na Fakultě zdravotnických studií UJEP v Ústí n. L. Výsledné hodnoty porovnáváme s hodnotami dosaženými obecnou populací a studentkami oboru Tělesná výchova a sport. Studentky absolvovaly tyto testy: progresivní člunkový běh na 20 metrů, hod plným míčem obouruč 2 kg těžkým, skok daleký z místa odrazem snožmo, výdrž ve shybu na hrazdě − držení podhmatem, leh-sed opakovaně po dobu jedné minuty, hluboký předklon v sedu, Iowa Brace test. Dále jsme vypočítali BMI. Ve své studii jsme si položili dvě otázky. První, jaká je úroveň motorických schopností studentek Fyzioterapie tedy studentek VŠ ve srovnání s obecnou populací, a druhou, jaký je rozdíl v úrovni motorických schopností mezi studentkami studijního oboru Fyzioterapie a oboru Tělesná výchova a sport. Z výsledků vyplynulo, že studentky oboru Fyzioterapie měly shodnou úroveň motorických schopností jako obecná populace. Se studentkami oboru Tělesná výchova a sport měly shodnou úroveň pouze ve dvou testech, a to v hlubokém předklonu v sedu – flexibilitě a ve výdrži ve shybu na hrazdě.

The aim of this study is to contribute expansion of knowledge about the level of the performance and health oriented fitness at represented students of Physiotherapy on Faculty of Health Studies Jan Evangelista Purkyně University in Ústí nad Labem. We compare resulting values with the values that were obtained by general population and students of Physical education and sports. Students participated these tests: progressive run for 20 meters, 2 kg heavy ball throw with both hands, standing long jump with both legs together, flexed – arm hang forward grip for woman, sit-up test 1 minute, deep bend in sitting position, Iowa Brace and calculated Body mass index (BMI). We asked two questions for our study. First, what is the level of motor skills students of Physiotherapy so academic students, what is the difference of level of motor skills between students of Physiotherapy compared with general population and second, what is the difference of the level of motor skills between students of Physiotherapy and students of Physical education and sports. Results showed that students of Physiotherapy had the same level of motor skills such as general population. Students of Physiotherapy had the same level in only two tests – deep bend in sitting position – flexibility and flexed-arm hang forward grip for woman with students of Physical education and sports.

• Klíčová slova
• měření a testování, tělesná výchova a sport,
• MeSH
• dospělí MeSH
• fyzioterapie (obor) klasifikace   MeSH
• index tělesné hmotnosti MeSH
• lidé MeSH
• mladiství MeSH
• motorické dovednosti klasifikace   MeSH
• statistika jako téma MeSH
• studenti * MeSH
• tělesná výchova klasifikace   MeSH
• tělesná výkonnost * MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mladiství MeSH
• ženské pohlaví * MeSH

OBJECTIVE: The authors conducted a randomized control trial to examine the effect of the Exercise Dance for Seniors (EXDASE) program on lower-body functioning among older individuals from residential care facilities in the Czech Republic. METHOD: Participants were randomly assigned into an experimental or control group. The experimental group completed a 3-month EXDASE program. Lower-body functioning was assessed using four performance-based measures. A 2 (group) x 2 (test) general linear model for repeated measures was used to explore whether differences in performance could be attributed to the intervention. RESULTS: The authors found Group x Test interactions for the chair stand test, F(1, 50) = 14.37, p < .001, the 2-minute step test, F(1, 50) = 7.33, p = .009, the chair sit-and-reach test, F(1, 50) = 5.28, p = .026, and the timed up-and-go test, F (1, 44) = 6.59, p = .014, indicating that the experimental group outperformed the control group from pretest to posttest. DISCUSSION: A relatively simple dance-based exercise can support lower-body functioning in previously sedentary, frail older adults.

• MeSH
• bérec fyziologie   MeSH
• hodnocení programu MeSH
• křehký senior MeSH
• lidé MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• tanec fyziologie   MeSH
• terapie cvičením metody   MeSH
• ubytovací zařízení MeSH
• výsledek terapie MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• randomizované kontrolované studie MeSH
• Geografické názvy
• Česká republika MeSH

OBJECTIVE: The role of inspiratory muscle performance in functional performance in patients with coronavirus disease 2019 (COVID-19) is poorly understood. The purpose of this study was to perform a longitudinal examination of inspiratory and functional performance from intensive care unit (ICU) discharge (ICUD) to hospital discharge (HD) and symptoms at HD and 1 month after HD in patients with COVID-19. METHODS: Thirty patients (19 men, 11 women) with COVID-19 were included. Examination of inspiratory muscle performance at ICUD and HD was performed with an electronic manometer, which provided the maximal inspiratory pressure (MIP) and several other inspiratory measures. Examination of dyspnea and functional performance was performed at ICUD and HD with the Modified Borg Dyspnea Scale and the 1-minute sit-to-stand test (1MSST), respectively. RESULTS: The mean age was 71 (SD = 11) years, the mean length of ICU stay was 9 (SD = 6) days, and the mean length of hospital stay was 26 (SD = 16) days. Most of the patients were diagnosed with severe COVID-19 (76.7%) and had a mean Charlson Comorbidity Index of 4.4 (SD = 1.9), reflecting high comorbidity. The mean MIP of the entire cohort increased minimally from ICUD to HD (from 36 [SD = 21] to 40 [SD = 20] cm H2O), reflecting predicted values for men and women at ICUD and HD of 46 (25%) to 51 (23%) and 37 (24%) to 37 (20%), respectively. The 1MSTS score increased significantly from ICUD to HD (9.9 [SD = 7.1] vs 17.7 [SD = 11.1]) for the entire cohort but remained far below population-based reference values (2.5th percentile) for the majority of patients at ICUD and HD. At ICUD, MIP was found to be a significant predictor of a favorable change in 1MSTS performance (β = 0.308; odds ratio = 1.36) at HD. CONCLUSION: A significant reduction in inspiratory and functional performance exists in patients with COVID-19 at both ICUD and HD, with a greater MIP at ICUD being a significant predictor of a greater 1MSTS score at HD. IMPACT: This study shows that inspiratory muscle training may be an important adjunct after COVID-19.

• MeSH
• COVID-19 * MeSH
• dýchací svaly * MeSH
• dyspnoe MeSH
• lidé MeSH
• nemocnice MeSH
• péče o pacienty v kritickém stavu MeSH
• propuštění pacienta MeSH
• senioři MeSH
• tělesná a funkční výkonnost MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH

AIM: The purpose of this study was to investigate whether physical fitness variables are related to overweight or obesity in Korean women. METHODS: From 2007 to 2011, 10,790 women aged 20-82 years visited a public health centre for evaluation of cardiovascular function, health-related physical fitness, and motor-related physical fitness. We used the definitions of overweight and obesity provided in the World Health Organization's Asia-Pacific Standard Report. Cardiovascular function was evaluated using the Resting Heart Rate (RHR) and vital capacity. Health-related physical fitness was evaluated using the VO2max measure, sit-up number, grip strength, and sit-and-reach distance. Motor-related physical fitness was evaluated using the vertical-jump distance, side-step number, and balance (standing on 1 foot with eyes open) measure. RESULTS: The prevalence rates of overweight and obesity were 26.9% and 28.8%, respectively. Results are presented as odds ratios (with 95% confidence intervals) after adjusting for age and number of alcoholic drinks consumed per week, cigarettes smoked per day, and exercise sessions per week. When RHR increased by 1 beat per minute, overweight prevalence was 1.012 times higher (1.007-1.017, p < 0.001) and obesity prevalence was 1.006 times higher (1.000-1.011, p = 0.037). When VO2max increased by 1 mL x kg(-1) x min(-1), overweight was 0.949 times less prevalent (0.939-0.959, p < 0.001), and obesity was 0.916 times less prevalent (0.906-0.926, p < 0.001). As grip strength increased, overweight prevalence and obesity prevalence increased. An increase in vertical-jump distance by 1 cm was accompanied by a decrease in overweight prevalence by a factor of 0.975 (0.967-0.982, p < 0.001) and a decrease in obesity prevalence by a factor of 0.940 (0.932-0.948, p < 0.001). CONCLUSION: Overweight and obesity were associated with poor physical fitness as assessed by variables related to cardiovascular function and health-related and motor-related physical fitness.

• MeSH
• cvičení * MeSH
• dospělí MeSH
• funkční vyšetření srdce MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladý dospělý MeSH
• nadváha epidemiologie   patofyziologie   MeSH
• obezita epidemiologie   patofyziologie   MeSH
• prevalence MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• tělesná výkonnost MeSH
• tělesné váhy a míry MeSH
• zdravé chování MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladý dospělý MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Geografické názvy
• Korejská republika MeSH

Relatively little expert attention is paid to assessing the fitness or motor performance standard of children with mild intellectual disability, or children at special schools, in the Czech Republic. The aim of our research was therefore to ascertain the standard of selected fitness indicators among children attending practical elementary schools and to compare the findings with same-age children at ordinary elementary schools. Five field motor tests focusing mainly on fitness (Standing broad jump, Repeated sit-ups, 12-minute run, 4 x 10 m shuttle run, Sit and reach test) were conducted on 153 children attending special schools in Prague (age 10,62 ± 0,56 years) and, for comparison, 99 children from ordinary elementary schools (age 10,40 ± 0,57 years). Compared to their typically developing peers, the fitness of the children from special schools, in other words pupils with mainly mild intellectual disability, was statistically (p = 0.05) and substantively (Cohen’s d index) different. The biggest differences in performance were found in the Repeated sit-ups test; the smallest in running tests. The primary reason for this should be sought both in their intellectual disability and the specific attributes associated with it and also in the insufficient standard of external conditions (school, family). The research results highlight the urgent need to devote due attention and space to the motor abilities of special school pupils, as there is no doubt that even children with mild intellectual disability possess the sufficient prerequisites to develop their movement abilities.

• MeSH
• dítě MeSH
• financování organizované MeSH
• lidé MeSH
• mentální retardace MeSH
• mladiství MeSH
• psychomotorický výkon fyziologie   MeSH
• školy trendy   MeSH
• speciální vzdělávání trendy   MeSH
• statistika jako téma MeSH
• tělesná výchova metody   MeSH
• tělesná výkonnost fyziologie   psychologie   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• Geografické názvy
• Česká republika MeSH

The purpose of the present study was to reveal the differences in physical fitness between trained adolescents (basketball players, with regular training of six 90 minute training sessions pro week) and untrained pubertal boys of the same age (16 years), through several physical fitness tests (Astrand's submaximal aerobic test to predict O2max, vertical and standing long jumps, grip strength test, sit and reach test, joint mobility of lower limbs, speed shuttle run test and skinfold measurements). The second aim was to compare the fitness level between adolescent basketball players with the same training program but living and training in urban and/or rural areas. Altogether 33 pubertal basketball players (BBP) and 33 untrained adolescents (UA) of the same age (16 years) participated in this study. Basketball players (BBP) were divided into urban (n= 17) a rural area (n= 16) subgroups. It had been found that BBP had higher values in aerobic capacity (O2max), in vertical and horizontal jump, in joint mobility and they attained lower percentages of body fat in comparison with the control group (UA). Between the two subgroups of BBP, urban BBP had higher values in body weight, joint mobility (sit and reach test) and absolute values of aerobic capacity (but not in relative values) in comparison with rural BBP subgroup. In summary, the results suggest that regularly training in adolescents, such as basketball as applied here, improves O2max, muscle power and flexibility, and cause a decrease of percentages of body fat, independently the effect of biological and bodily maturation.

• MeSH
• antropometrie metody   MeSH
• basketbal fyziologie   MeSH
• fyziologie dýchací soustavy MeSH
• lidé MeSH
• mladiství MeSH
• průřezové studie MeSH
• rozsah kloubních pohybů fyziologie   MeSH
• složení těla fyziologie   MeSH
• statistika jako téma MeSH
• svalová síla MeSH
• tělesná výkonnost fyziologie   psychologie   MeSH
• tuková tkáň fyziologie   metabolismus   MeSH
• vitální kapacita fyziologie   MeSH
• Check Tag
• lidé MeSH
• mladiství MeSH

Ortostatická hypotenze je defi nována jako pokles systolického krevního tlaku o 20 mm Hg nebo diastolického krevního tlaku o 10 mm Hg během tříminutového stání, srovnáváme-li hodnoty s krevním tlakem naměřeným vsedě nebo vleže. Je výsledkem neadekvátní fyziologické odpovědi krevního tlaku na posturální změny. Ortostatická hypotenze může být akutní nebo chronická, dále symptomatická nebo asymptomatická. Mezi časté symptomy patří závratě, neostré vidění, slabost, únava, nausea, palpitace a bolesti hlavy. Mezi méně časté symptomy patří synkopa, dušnost, bolesti na hrudi a bolesti krku a ramen. Mezi příčiny se řadí dehydratace nebo krevní ztráta, neurologická onemocnění, kardiovaskulární nebo endokrinní onemocnění a účinek některých farmak. Hodnocení suspektní ortostatické hypotenze začíná identifi kováním odstranitelných příčin a nalezením farmakologických příčin spojených s tímto stavem. Test na sklopném stole může pomoci v potvrzení diagnózy suspektní ortostatické hypotenze v případech, kdy jsou standardní ortostatické příznaky nediagnostické. Dále může přispět k hodnocení odpovědi na léčbu pacientů s vegetativní dysbalancí. Cíle terapie zahrnují zlepšení hypotenze bez výrazné hypertenze vleže, odstranění ortostatických symptomů a prodloužení času stání. Léčba zahrnuje korekci odstranitelných příčin, a pokud je to možné, také přerušení podávání medikace, která je v příčinné souvislosti. Nefarmakologická terapie by měla být nabídnuta všem pacientům. U pacientů, kteří na ni nereagují adekvátně, je prokázán příznivý účinek podávání fludrocortisonu, midodrinu a pyridostigminu.

Orthostatic hypotension is defi ned as a decrease in systolic blood pressure of 20 mm Hg or a decrease in diastolic blood pressure of 10 mm Hg within three minutes of standing when compared with blood pressure from the sitting or supine position. It results from an inadequate physiologic response to postural changes in blood pressure. Orthostatic hypotension may be acute or chronic, as well as symptomatic or asymptomatic. Common symptoms include dizziness, lightheadedness, blurred vision, weakness, fatigue, nausea, palpitations, and headache. Less common symptoms include syncope, dyspnea, chest pain, and neck and shoulder pain. Causes include dehydration or blood loss; disorders of the neurologic, cardiovascular, or endocrine systems; and several classes of medications. Evaluation of suspected orthostatic hypotension begins by identifying reversible causes and underlying associated medical conditions. Head-up tilt-table testing can aid in confi rming a diagnosis of suspected orthostatic hypotension when standard orthostatic vital signs are nondiagnostic; it also can aid in assessing treatment response in patients with an autonomic disorder. Goals of treatment involve improving hypotension without excessive supine hypertension, relieving orthostatic symptoms, and improving standing time. Treatment includes correcting reversible causes and discontinuing responsible medications, when possible. Nonpharmacologic treatment should be off ered to all patients. For patients who do not respond adequately to nonpharmacologic treatment, fludrocortisone, midodrine, and pyridostigmine are pharmacologic therapies proven to be beneficial.

• MeSH
• dehydratace MeSH
• diferenciální diagnóza MeSH
• farmakologické účinky MeSH
• farmakoterapie metody   využití   MeSH
• fludrokortison terapeutické užití   MeSH
• hypovolemie MeSH
• kardiovaskulární nemoci MeSH
• klinický obraz nemoci MeSH
• kompresní obvazy využití   MeSH
• lidé MeSH
• midodrin terapeutické užití   MeSH
• nemoci endokrinního systému MeSH
• nemoci nervového systému MeSH
• ortostatická hypotenze diagnóza   klasifikace   terapie   MeSH
• postura těla MeSH
• pyridostigmin-bromid terapeutické užití   MeSH
• rizikové faktory MeSH
• spánek fyziologie   MeSH
• tekutinová terapie MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• přehledy MeSH