This study was conducted to determine and compare the effects of reformer pilates (RP) and mat pilates (MP) exercises on soccer players' physical parameters and technical skills. Thirty voluntary participants were randomly assigned to either RP group (n = 10; age = 20.60 ± 1.65), MP group (n = 10; age = 19.40 ± 1.35) and control group (CG) (n = 10; age = 20.10 ± 1.15). Technical and physical performance tests were performed. In the RP group counter movement jump (CMJ), standing broad jump (SBJ), single leg triple hop right-left, balance right-left leg, flexibility, 10-20m sprint, german agility (GA), speed dribbling (SPD), loughborough soccer passing (LSPT), lobbed passing right food, lobbed passing total measurement results showed a statistically significant difference between pre-test and post-test mean values (p < 0.05). In the MP group, balance right-left leg, single leg triple hop right-left, 5 - 10m sprint, GA, SPD, LBP, lobbed passing right measurement results showed a statistically significant difference between pre-test and post-test mean values (p < 0.05). The control group had no significant difference in the pre-test and post-test mean values of technical and physical performance measurements (p > 0.05). Between-group comparisons revealed superior improvements in GA, LSPT, and single-leg triple hop right-left in the RP group compared to the MP group. Based on these findings, coaches and sports performance specialists may enhance athletes' physical performance and technical skills by incorporating Pilates exercises (particularly RP) into training programs.
- MeSH
- dospělí MeSH
- fotbal * fyziologie MeSH
- lidé MeSH
- mladý dospělý MeSH
- sportovní výkon * fyziologie MeSH
- techniky cvičení a pohybu * metody MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- randomizované kontrolované studie MeSH
- srovnávací studie MeSH
This randomized controlled trial evaluated the effectiveness of two home-based, stand-alone inspiratory muscle training (IMT) modalities - inspiratory flow-resistive loading with biofeedback (IRFL) and mechanical threshold loading (MTL) - compared to a sham MTL group for improving inspiratory muscle performance and functional exercise capacity in COPD patients. Thirty-six COPD patients trained at home for 8 weeks under remote monitoring. Primary outcomes included inspiratory muscle performance assessed via the Test of Incremental Respiratory Endurance (TIRE), functional exercise capacity, lung function, and other COPD-related measures. Both the TIRE IRFL and MTL groups showed significant improvements in inspiratory muscle strength compared to the sham MTL group (p < 0.05). Additionally, the IRFL with biofeedback group demonstrated significant gains in inspiratory muscle work capacity and 6MWT distance compared to both the MTL and sham groups (p < 0.05). No adverse events were reported, and adherence to training protocols was high across all groups. This study supports home-based IMT as a feasible, effective stand-alone intervention for COPD patients, particularly for those who face barriers in accessing traditional pulmonary rehabilitation programs. TIRE IFRL showed superior benefits in enhancing inspiratory muscle function and overall functional exercise capacity compared to fixed-load IMT.
- Klíčová slova
- Chronic obstructive pulmonary disease, biofeedback, exercise capacity, home-based rehabilitation, inspiratory muscles,
- MeSH
- biofeedback (psychologie) MeSH
- chronická obstrukční plicní nemoc * rehabilitace patofyziologie MeSH
- dechová cvičení * metody MeSH
- dýchací svaly * patofyziologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- senioři MeSH
- služby domácí péče MeSH
- svalová síla MeSH
- tolerance zátěže MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- randomizované kontrolované studie MeSH
OBJECTIVES: Chronic back pain is the most common cause of incapacity for work. The purpose of the study was to determine the effectiveness for activating the function of the deep stabilization system (DSS) in patients with chronic low back pain. METHODS: The effectiveness of three different methods was compared: Pilates method (PM), dynamic neuromuscular stabilization and balance aids on deep stabilization system function and pain perception in the lumbar spine. The group consisted of 75 patients. RESULTS: The results show differences in the effectiveness of the methods depending on the observed characteristics. The least significant differences were observed when comparing the Pilates method to balance aids. No statistically significant difference was observed in four out of five areas. The only area where a statistically significant effect of the exercise method got recorded was the intra-abdominal pressure test (p < 0.05). The lowest change was recorded in the measured values using the intra-abdominal pressure test at PM, and the highest change was recorded in Thomayer's values at dynamic neuromuscular stabilization. CONCLUSION: By comparing the three methods it was noted that each of them has its own positive reaction to the pain and the muscular apparatus. The most appropriate method to affect DSS function appears the dynamic neuromuscular stabilization (DNS) concept, where was the most significant improvement in DSS activation and the most significant reduction in chronic low back pain.
- Klíčová slova
- Pilates method, balance aids, deep stabilization system, dynamic neuromuscular stabilization, low back pain,
- MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- lumbalgie * terapie rehabilitace patofyziologie MeSH
- měření bolesti MeSH
- techniky cvičení a pohybu * metody MeSH
- terapie cvičením * metody MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články 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.
- Klíčová slova
- Mind-body exercise, Network meta-analysis, Stroke, Systematic review,
- 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
- práce podpořená grantem MeSH
- systematický přehled MeSH
BACKGROUND AND PURPOSE: Dysfunction of the airway defence system in Huntington's disease (HD) is a significant but often overlooked problem. Although expiratory muscle strength training (EMST) is frequently utilized in cough effectiveness treatment, its specific impact in HD patients has not yet been explored. This study investigated the effects of EMST on voluntary peak cough flow (vPCF) in HD patients and evaluated the retention of potential gains post-intervention. METHODS: In this prospective case-controlled trial, 29 HD patients completed an 8-week wait-to-start period, which served to identify the natural development of expiratory muscle strength and vPCF. This was followed by 8 weeks of EMST training and an additional 8 weeks of follow-up. The study's outcome parameters, vPCF and maximum expiratory pressure (MEP), were measured against those of age- and sex-matched healthy controls. RESULTS: Huntington's disease patients had significantly lower MEP (p < 0.001) and vPCF (p = 0.012) compared to healthy controls at baseline. Following the EMST, significant improvements in MEP (d = 1.39, p < 0.001) and vPCF (d = 0.77, p = 0.001) were observed, with HD patients reaching the cough performance levels of healthy subjects. However, these gains diminished during the follow-up, with a significant decline in vPCF (d = -0.451, p = 0.03) and in MEP (d = -0.71; p = 0.002). CONCLUSIONS: Expiratory muscle strength training improves expiratory muscle strength and voluntary cough effectiveness in HD patients, but an ongoing maintenance programme is necessary to sustain the improvements.
- Klíčová slova
- Huntington disease, cough, mHealth, resistance training, respiratory muscles,
- MeSH
- dechová cvičení metody MeSH
- dospělí MeSH
- dýchací svaly * patofyziologie MeSH
- Huntingtonova nemoc * patofyziologie komplikace rehabilitace MeSH
- kašel * patofyziologie etiologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- odporový trénink metody MeSH
- prospektivní studie MeSH
- studie případů a kontrol MeSH
- svalová síla * fyziologie MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
INTRODUCTION: Restrictions in physical activity during Covid-19 pandemic had an impact on exercise activities on people with chronic diseases such as multiple sclerosis, for whom regular exercise is important for managing the disease. Therefore, alternative forms of exercise and rehabilitation were in high demand. The aim of pilot study was to verify the feasibility and potential effect of an online Pilates exercise programme for people with mild to moderate disability due to multiple sclerosis. METHODS: The exercise programme was scheduled for 12 weeks (2 times a week for 45 min of Pilates exercise combined with 30 min of aerobic activity based on participants preferences). The participants' adherence and the anthropometric parameters (weight, BMI, waist circumference) and the functional tests (Single-Leg Stance Test, Sit to Stand Test) were measured together with the patient reported outcomes to monitor patient's psychological well-being and exercise effect (General Self-efficacy Scale and Activity Balance Confidence Scale). RESULTS: The total number of 22 women with multiple sclerosis completed the pilot programme. The exercise program proved to be feasible. After 12 weeks of the online Pilates exercise programme significant improvements were found only in the parameter waist circumference (p = 0.03) and in the functional test Sit to Stance (p = 0.01). For the other tests, despite some improvement (self-efficacy and subjective perceived balance performance), there was no significant statistical difference. CONCLUSION: The online Pilates exercise programme supervised by a physiotherapist is feasible for people with mild to moderate neurological disability. It seems to have a positive impact on the anthropometric parameters, but this result needs to be evaluated on larger sample of patients.
- Klíčová slova
- COVID-19, Exercise, Multiple sclerosis, Pilates, Telerehabilitation,
- MeSH
- COVID-19 rehabilitace MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- obvod pasu MeSH
- pilotní projekty MeSH
- roztroušená skleróza * rehabilitace MeSH
- SARS-CoV-2 MeSH
- studie proveditelnosti MeSH
- techniky cvičení a pohybu * metody MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- ženské pohlaví 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.
- Klíčová slova
- Balance, Multiple sclerosis, Non-pharmacological interventions, Physical therapy, Posturography, Tai chi Chuan,
- 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
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 VO
- 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
Hypobaric hypoxemia represents a risk factor for body integrity and challenges its homeostasis. We examined whether practicing Maheshwarananda's modified bhujangini pranayama yoga breathing technique would influence hypobaric hypoxemia at an altitude of 3,650 m. An international randomized two-period, two-sequence crossover intervention study was conducted in September 2019 in the Himalayas. We compared 5-minute testing periods of pranayama breathing with normal resting breathing in 20 subjects divided randomly into two groups of 10 individuals; all had a daily practice of Maheshwarananda's modified bhujangini pranayama and were nonsmokers, lacto vegetarians, and alcohol abstainers. We measured the arterial saturation by pulse oximetry (SpO2; our primary outcome variable), end-tidal carbon dioxide partial pressure (EtCO2), respiratory rate, and heart rate at two altitudes: (1) 378 m (T0); and (2) 3,650 m (T1 = 2nd day, T2 = 4th day at the camp) immediately after finishing each testing period. We also monitored the presence of acute mountain sickness using the Lake Louise Scoring System. Mean SpO2 at 3,650 m increased right after the yoga breathing exercise from 88.60% to 90.35% at T1, and from 88.35% to 90.60% at T2 (T1 p = 0.007, T2 p = 0.004). No significant changes were observed in heart rate or EtCO2. The mean rate of normal control resting breathing was 13/min; the mean rate was 7/min during the yoga breathing. Right after Maheshwarananda's modified bhujangini pranayama hypobaric hypoxemia decreased as measured by SpO2, whereas EtCO2 and heart rate stayed comparable with the control resting breathing.
- Klíčová slova
- Yoga in Daily Life, altitude sickness, bhujangini pranayama, hemoglobin saturation, hypobaric hypoxemia, hypoxia, yoga breathing,
- MeSH
- dechová cvičení metody MeSH
- dýchání MeSH
- hypoxie MeSH
- jóga * MeSH
- lidé MeSH
- meditace * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- randomizované kontrolované studie MeSH
The pathogenesis of gastroesophageal reflux disease (GERD) is multifactorial. The severity of abnormal reflux burden corresponds to the dysfunction of the antireflux barrier and inability to clear refluxate. The crural diaphragm is one of the main components of the esophagogastric junction and plays an important role in preventing gastroesophageal reflux. The diaphragm, as a skeletal muscle, is partially under voluntary control and its dysfunction can be improved via breathing exercises. Thus, diaphragmatic breathing training (DBT) has the potential to alleviate symptoms in selected patients with GERD. High-resolution esophageal manometry (HRM) is a useful method for the assessment of antireflux barrier function and can therefore elucidate the mechanisms responsible for gastroesophageal reflux. We hypothesize that HRM can help define patient phenotypes that may benefit most from DBT, and that HRM can even help in the management of respiratory physiotherapy in patients with GERD. This systematic review aimed to evaluate the current data supporting physiotherapeutic practices in the treatment of GERD and to illustrate how HRM may guide treatment strategies focused on respiratory physiotherapy.
- Klíčová slova
- Diaphragmatic breathing training, Gastroesophageal reflux disease, High-resolution manometry,
- MeSH
- dechová cvičení MeSH
- gastroezofageální junkce MeSH
- gastroezofageální reflux * MeSH
- lidé MeSH
- manometrie metody MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- přehledy MeSH
- systematický přehled MeSH
