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
- Respiratory Muscles * MeSH
- Dyspnea MeSH
- Humans MeSH
- Hospitals MeSH
- Critical Care MeSH
- Patient Discharge MeSH
- Aged MeSH
- Physical Functional Performance MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
OBJECTIVE: Cognitive decline is a key characteristic of Huntington's disease (HD). This study aimed to investigate the diagnostic accuracy of a cognitive battery with six tests used by most HD research centers to assess cognitive impairment in HD. METHOD: In total, 106 HD patients in different disease stages with more (HD-CD, N = 30) and less cognitive impairments (HD-NC, N = 70) and 100 healthy controls (NC) were matched by age, sex, and education and were examined using a standardized protocol including cognitive, motor, and functional assessments. RESULTS: One-way between-groups analysis of variance showed that controls performed significantly better than HD patients and that HD-NC significantly outperformed HD-CD patients in all cognitive tests (NC > HD-NC > HD-CD), with all Games-Howell post-hoc tests p < .001. Analyses using area under the receiver-operating characteristic curve (AUC) disclosed the diagnostic accuracy of all tests included in the battery to discriminate between NC and HD patients with AUC ranging from 0.809 to 0.862 (all p < .001) and between HD-CD and HD-NC patients with AUC ranging from 0.833 to 0.899 (all p < .001). In both analysis, Stroop Color Naming Test showed the highest discriminative potential. Additional analyses showed that cognitive deficits in all domains progressed with disease duration. Moreover, cognitive performance correlated with the severity of motor and functional impairment (all p < .001) and with the Disease Burden Score regardless of disease duration and age. CONCLUSION: Our results indicate that the cognitive battery is a suitable tool for assessing cognitive impairment in HD.
- MeSH
- Huntington Disease * complications diagnosis MeSH
- Cognition MeSH
- Humans MeSH
- Neuropsychological Tests MeSH
- Cost of Illness MeSH
- Physical Functional Performance MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- MeSH
- Adult MeSH
- Geriatrics MeSH
- Middle Aged MeSH
- Humans MeSH
- Aged MeSH
- Physical Fitness MeSH
- Health Status MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Aged MeSH
Palpační zhodnocení stavu pánevního dna by mělo být jedním ze základních vyšetření prováděných všemi odborníky, kteří se podílejí na léčbě močové inkontinence, fekální inkontinence, prolapsu pánevních orgánů, sexuálních dysfunkcí, pelvic pain sy. Je nejenom základní podmínkou stanovení správné diagnózy a optimálního léčebného postupu, ale umožňuje rovněž hodnocení výsledků terapie. Cílem práce je podat přehled vyšetřovacích metod funkčního stavu pánevního dna s důrazem na jednoduché palpační vaginální vyšetření podle tzv. PERFECT. schématu.
Palpation evaluation of the pelvic floor condition should be among the basic examinations performed by all specialists, who participate in the therapy of urinary incontinence, fecal incontinence, pelvic organ prolapse, sexual dysfunctions, pelvic pain syndrome etc. It is not only the precondition for the establishment of correct diagnosis and optimal therapeutic procedure, but makes it possible to evaluate the results of therapy. The work was intended to present a survey of examination methods for evaluating functional condition of pelvic floor with emphasis to simple palpation vaginal examination according to the PERFECT scheme.
High-intensity interval training (HIIT) is frequently utilized as a method to reduce body mass. Its intensity of work results in a number of beneficial adaptive changes in a relatively short period of time. Irisin is a myokine and adipokine secreted to the blood during exercise and it takes part in the regulation of energy metabolism. It is a vital issue from the prophylaxis point of view as well as treatment through exercise of different diseases (e.g., obesity, type-2 diabetes). The aim of this study was to evaluate changes in irisin concentration, body composition, and aerobic and anaerobic performance in men after HIIT. Eight weeks of HIIT following the Tabata protocol was applied in the training group (HT) (n = 15), while a sedentary group (SED) (n = 10) did not participate in fitness activities within the same time period. Changes of irisin, body composition, and aerobic and anaerobic performance were evaluated after graded exercise test (GXT) and Wingate anaerobic test (WAnT) before and after eight weeks of training. Training resulted in an increased of blood irisin concentration (by 29.7%) p < 0.05), VO2max increase (PRE: 44.86 ± 5.74 mL·kg-1·min-1; POST: 50.16 ± 5.80 mL kg-1·min-1; p < 0.05), reduction in percent body fat (PRE: 14.44 ± 3.33%; POST: 13.61 ± 3.16%; p < 0.05), and increase of WAnT parameters (p < 0.05) in the HT group. No changes were observed in the SED group. HIIT resulted in beneficial effects in the increase in blood irisin concentration, physical performance, and reduced fat content. The HIIT may indicate an acceleration of base metabolism. This effect can be utilized in the prevention or treatment of obesity.
Příspěvek, který je provázen videozáznamem, ukazuje mobilizační a měkké techniky uplatněné u kojenců. Tyto techniky jsou aplikovány nejen na krční páteř a svalstvo šíje, je třeba pracovat také s uvolněním pletence ramenního. Terapeutka si všímá diskrepance svalového tonu na podkladě změněné periferní, nebo centrální regulace svalového tonu. Je uplatňováno rovněž vyšetření 7 klasickými polohovými reakcemi dle Vojty a terapeutické ovlivnění globálních vzorců reflexní loko- mocí. U kojenců, kteří nejsou centrálně postiženi, často stačí 2 – 4 procedury. Zlepšená symetrie často urychlí spontánní vývoj kojence. Avšak i u kojenců centrálně postižených dojde někdy k radi- kálnímu zlepšení vývoje.
A contribution following by videotape has shown tissue techniques and reflexive therapy applied in new-born. These techniques are applied as for cervical spine as shudder blade. Physiotherapeutist pays attention disturbance of muscle tonus either peripheral neither central motor control. Investi- gation by 7 position reactions according to Vojta and a therapeutic influence by global motor patterns were performed, too. A better symmetry often enables spontaneous development of new-born. Even cerebral palsy children can evidently improve in development.
- MeSH
- Child MeSH
- Infant MeSH
- Cervical Vertebrae pathology MeSH
- Humans MeSH
- Neuromuscular Blockade etiology rehabilitation MeSH
- Motor Skills Disorders etiology rehabilitation MeSH
- Reflexotherapy methods MeSH
- Rehabilitation methods MeSH
- Muscle Hypertonia rehabilitation MeSH
- Check Tag
- Child MeSH
- Infant MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
Problematika péče o seniory je hlavní zdravotní a ekonomický problém, především v kontextu demografických trendů a měnícího se vzorce nemocnosti. Česká republika přitom patří mezi země, které mají nedostatečné údaje o funkčním stavu seniorů i přes to, že jsou tyto údaje nezbytné pro kvalitní dlouhodobou péči, její plánování i financování. Cílem tohoto článku je poukázat na potřebu a cíle funkčního hodnocení seniorů v akutní, následné i dlouhodobé péči a představit nástroje, pomocí kterých je možné funkční stav seniorů hodnotit, včetně představení možnosti využití elektronického systému pro sběr dat.
The issue of care for the elderly is a major health and economic problem, especially in the context of demographic trends and changing patterns of morbidity. Czech Republic belong to the countries that have no sufficient information about the functional status of elderly despite it is a fact that this data is necessary for quality long-term care, its planning and funding. The aim of this article is to highlight the needs and goals of functional assessment of older people under care and to introduce instruments through which it is possible to assess the functional status of older persons, including the possibilities of an electronic system for data collection.
- MeSH
- Activities of Daily Living classification MeSH
- Physical Endurance MeSH
- Geriatric Nursing * standards MeSH
- Humans MeSH
- Neuropsychological Tests MeSH
- Psychomotor Performance classification MeSH
- Data Collection MeSH
- Aged MeSH
- Health Status Indicators * MeSH
- Check Tag
- Humans MeSH
- Aged MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
- Review MeSH
Wheelchair basketball players are classified into four classes based on the International Wheelchair Basketball Federation competition system. The aim of this study was to investigate whether the IWBF functional classification for wheelchair basketball was related to different performance field-based tests. Forty wheelchair basketball athletes took part in the study. The players carried out five field tests, three of which were quantitative, related to the three conditional skills (strength, endurance and speed test) and two of the qualitative type (accuracy and shooting ability tests). Pearson's correlation was performed to analyse the correlation between the score obtained from functional classification and the results of the wheelchair performance tests. The IWBF class was not correlated (p <0.05) with any of the tests performed. Players with even major injuries, in their best wheelchair set-up, even achieved better times than upper-class players; therefore, the disability factor in these tests is not an index that determines performance disadvantage. The study shows that the functional classification does not affect the qualitative-quantitative performance, so the disabled athlete with a lower score is not disadvantaged in basketball.
