Academic literature on the topic 'Chronic Exercise Protocol'

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Journal articles on the topic "Chronic Exercise Protocol"

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Pereira-Neto, Elisio A., Hayley Lewthwaite, Terry Boyle, Kylie Johnston, Hunter Bennett, and Marie T. Williams. "Effects of exercise training with blood flow restriction on vascular function in adults: a systematic review and meta-analysis." PeerJ 9 (July 7, 2021): e11554. http://dx.doi.org/10.7717/peerj.11554.

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Background Blood flow restricted exercise (BFRE) improves physical fitness, with theorized positive effects on vascular function. This systematic review and meta-analysis aimed to report (1) the effects of BFRE on vascular function in adults with or without chronic health conditions, and (2) adverse events and adherence reported for BFRE. Methodology Five electronic databases were searched by two researchers independently to identify studies reporting vascular outcomes following BFRE in adults with and without chronic conditions. When sufficient data were provided, meta-analysis and exploratory meta-regression were performed. Results Twenty-six studies were included in the review (total participants n = 472; n = 41 older adults with chronic conditions). Meta-analysis (k = 9 studies) indicated that compared to exercise without blood flow restriction, resistance training with blood flow restriction resulted in significantly greater effects on endothelial function (SMD 0.76; 95% CI [0.36–1.14]). No significant differences were estimated for changes in vascular structure (SMD −0.24; 95% CI [−1.08 to 0.59]). In exploratory meta-regression analyses, several experimental protocol factors (design, exercise modality, exercised limbs, intervention length and number of sets per exercise) were significantly associated with the effect size for endothelial function outcomes. Adverse events in BFRE studies were rarely reported. Conclusion There is limited evidence, predominantly available in healthy young adults, on the effect of BFRE on vascular function. Signals pointing to effect of specific dynamic resistance exercise protocols with blood flow restriction (≥4 weeks with exercises for the upper and lower limbs) on endothelial function warrant further investigation.
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Simonelli, Carla, Michele Vitacca, Nicolino Ambrosino, Simonetta Scalvini, Francesca Rivadossi, Manuela Saleri, Aubin G. Fokom, Ilaria Speltoni, Riccardo Ghirardi, and Mara Paneroni. "Therapist Driven Rehabilitation Protocol for Patients with Chronic Heart and Lung Diseases: A Real-Life Study." International Journal of Environmental Research and Public Health 17, no. 3 (February 5, 2020): 1016. http://dx.doi.org/10.3390/ijerph17031016.

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Therapist driven protocols may help to tailor rehabilitation programs to individual patients. We aimed to test the feasibility, safety, and clinical usefulness of a therapist driven protocol for rehabilitation including exercise training of patients with heart or lung diseases. An internal audit elaborated the Cardio-Respiratory Exercise Maugeri Algorithm (CREMA) based on: (a) standardized baseline assessments, (b) decision-making pathways, and (c) frequency/intensity/time/type (FITT) of prescription for each exercise. Outpatients (n = 620) with chronic heart disease (CHD), recent myocardial revascularization (REVASC), chronic airway (Obstructive), and restrictive lung (Restrictive) diseases underwent exercise training according to CREMA during 4 years. Peripheral muscle strengthening was the most prescribed exercise (83.6%), while arm endurance training was the least frequently (0.75%). Exercise prescription varied widely among the disease groups (interval training 19–47%, balance 35–49%, lower limb muscle training 6–15%). After training, REVASC patients were the best improvers in the 6 min walking distance (+48.7 (56.1) m), maximal inspiratory pressure (+9.6 (15.4) cmH2O), and daily steps (+1087.2 (3297.1) n/day). Quadriceps and biceps strength, maximal expiratory pressure, and balance improved in all groups, without significant differences. Minor side effects were observed in 11.2% of the patients. The CREMA therapist driven protocol was feasible, safe, and useful for prescribing tailored training programs. Exercise prescriptions and training response differed among diseases.
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Meyer, Philippe, Eve Normandin, Mathieu Gayda, Guillaume Billon, Thibaut Guiraud, Laurent Bosquet, Annick Fortier, Martin Juneau, Michel White, and Anil Nigam. "High-Intensity Interval Exercise in Chronic Heart Failure: Protocol Optimization." Journal of Cardiac Failure 18, no. 2 (February 2012): 126–33. http://dx.doi.org/10.1016/j.cardfail.2011.10.010.

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Borel, Benoit, Steeve Provencher, Didier Saey, and François Maltais. "Responsiveness of Various Exercise-Testing Protocols to Therapeutic Interventions in COPD." Pulmonary Medicine 2013 (2013): 1–11. http://dx.doi.org/10.1155/2013/410748.

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Exercise intolerance is a key element in the pathophysiology and course of Chronic Obstructive Pulmonary Disease (COPD). As such, evaluating exercise tolerance has become an important part of the management of COPD. A wide variety of exercise-testing protocols is currently available, each protocol having its own strengths and weaknesses relative to their discriminative, methodological, and evaluative characteristics. This paper aims to review the responsiveness of several exercise-testing protocols used to evaluate the efficacy of pharmacological and nonpharmacological interventions to improve exercise tolerance in COPD. This will be done taking into account the minimally important difference, an important concept in the interpretation of the findings about responsiveness of exercise testing protocols. Among the currently available exercise-testing protocols (incremental, constant work rate, or self-paced), constant work rate exercise tests (cycle endurance test and endurance shuttle walking test) emerge as the most responsive ones for detecting and quantifying changes in exercise capacity after an intervention in COPD.
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De Lacerda, Filipe Ferrari Ribeiro, Marvyn de Santana Do Sacramento, Diego Passos Diogo, Alan Carlos Nery Dos Santos, Marcelo Trotte Motta, and Jefferson Petto. "Physical exercise in individuals in hemodialysis: benefits and best indications - systematic review." Revista Pesquisa em Fisioterapia 8, no. 3 (September 17, 2018): 404–19. http://dx.doi.org/10.17267/2238-2704rpf.v8i3.1933.

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INTRODUCTION: The number of patients with chronic chronic disease (CKD) on hemodialysis (HD) has increased. In Brazil, in 2012, the number of patients in HD was 97,586, with a mortality rate of 19%. Physical exercise (PE) is an adjuvant therapy capable of promoting glycemic control, blood pressure and other gains relevant to CKD control. OBJECTIVE: To describe the benefits of quality of life, care and the most effective protocols of physical exercise for the individual on hemodialysis. METHODS: Systematic review study. Consultations of the SciELO and PubMed databases between 2005 and 2016 on the physiological effects of exercise and the quality of life of the individual on hemodialysis. The cross-over descriptors used were: "hemodialysis" and "exercises", "hemodialysis" and "exercises" and "intradialitic" and "exercises". RESULTS: 23 articles were selected with different EF programs, 8 exercises, 6 resisted, 5 composed by the association of both, and 1 of a comparison between aerobic and resisted. A sample ranged from 6 to 103 patients. Intervention time of 2 to 4 months. All programs should be improved in relation to functional capacity, reduction of inflammation, improvement of arterial compliance and others. In resisted PE, one of the studies reported deleterious effects for the patients, while those with resisted and aerobic PE showed benefits. CONCLUSION: EF was able to prevent oxidative stress, reduce blood pressure and increase blood glucose, increase muscle volume and strength, and gain quality in life, but there was no agreement on the best protocol.
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Capogrosso, Roberta Francesca, Paola Mantuano, Anna Cozzoli, Francesca Sanarica, Ada Maria Massari, Elena Conte, Adriano Fonzino, et al. "Contractile efficiency of dystrophic mdx mouse muscle: in vivo and ex vivo assessment of adaptation to exercise of functional end points." Journal of Applied Physiology 122, no. 4 (April 1, 2017): 828–43. http://dx.doi.org/10.1152/japplphysiol.00776.2015.

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Progressive weakness is a typical feature of Duchenne muscular dystrophy (DMD) patients and is exacerbated in the benign mdx mouse model by in vivo treadmill exercise. We hypothesized a different threshold for functional adaptation of mdx muscles in response to the duration of the exercise protocol. In vivo weakness was confirmed by grip strength after 4, 8, and 12 wk of exercise in mdx mice. Torque measurements revealed that exercise-related weakness in mdx mice correlated with the duration of the protocol, while wild-type (WT) mice were stronger. Twitch and tetanic forces of isolated diaphragm and extensor digitorum longus (EDL) muscles were lower in mdx compared with WT mice. In mdx, both muscle types exhibited greater weakness after a single exercise bout, but only in EDL after a long exercise protocol. As opposite to WT muscles, mdx EDL ones did not show any exercise-induced adaptations against eccentric contraction force drop. qRT-PCR analysis confirmed the maladaptation of genes involved in metabolic and structural remodeling, while damage-related genes remained significantly upregulated and angiogenesis impaired. Phosphorylated AMP kinase level increased only in exercised WT muscle. The severe histopathology and the high levels of muscular TGF-β1 and of plasma matrix metalloproteinase-9 confirmed the persistence of muscle damage in mdx mice. Therefore, dystrophic muscles showed a partial degree of functional adaptation to chronic exercise, although not sufficient to overcome weakness nor signs of damage. The improved understanding of the complex mechanisms underlying maladaptation of dystrophic muscle paves the way to a better managment of DMD patients. NEW & NOTEWORTHY We focused on the adaptation/maladaptation of dystrophic mdx mouse muscles to a standard protocol of exercise to provide guidance in the development of more effective drug and physical therapies in Duchenne muscular dystrophy. The mdx muscles showed a modest functional adaptation to chronic exercise, but it was not sufficient to overcome the progressive in vivo weakness, nor to counter signs of muscle damage. Therefore, a complex involvement of multiple systems underlies the maladaptive response of dystrophic muscle.
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Reis, Aline S., Laisa L. Paineiras-Domingos, Eloá Moreira-Marconi, Márcia C. Moura-Fernandes, Hervé Quinart, François Constant Boyer, Mario Fristh Neves, Redha Taiar, Mario Bernardo-Filho, and Danúbia C. Sá-Caputo. "Composição corporal na síndrome metabólica: Proposta de um protocolo de ensaio clínico randomizado avaliando o efeito do exercício de vibração de corpo inteiro." Brazilian Journal of Health and Biomedical Sciences 18, no. 1 (June 3, 2019): 33–40. http://dx.doi.org/10.12957/bjhbs.2019.53058.

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Introduction: Metabolic syndrome (MetS) is characterized bya group of cardiovascular risk factors, such as hypertension,hyperglycemia, hypercholesterolemia, low high-density cholesteroland increased abdominal fat. Over the years, changesin body composition occur, with accelerated loss of lean massand increased fat mass, favoring cardiometabolic disorders.A strong relationship exists between physical inactivity andthe presence of multiple risk factors for MetS. Thus, physicalexercise has been recommended for the prevention of cardiovascular,chronic and MetS diseases. Whole-body vibration(WBV) exercise can be considered to be an exercise modalitythat benefits the muscular strength and cardiovascular healthof elderly, sick and healthy people. Individuals with MetSare unmotivated to perform physical exercise regularly and,therefore, new approaches to intervention for this populationare desirable. Objectives: The aim of this study is to presenta protocol to verify the effect of WBV exercise on the bodycomposition of MetS individuals. Methods: Randomized controlledtrial with MetS individuals that will be allocated to anintervention group (WBVG) and a control group (CG). Participantswill be placed barefoot on the base of a side alternatingvibrating platform, with 130º knee flexion. Individuals (WBVGand CG) will perform the protocol for 12 weeks, twice a week.The CG subjects will perform the exercises at 5Hz throughoutthe intervention and those from the WBVG will perform the5Hz exercises in the first session, adding 1Hz per session, endingthe protocol at 16Hz. The body composition will be evaluatedbefore and after the protocol using bioelectrical impedanceanalysis. Discussion: Studies involving WBV exercise haveshown improvement in composition in individuals withdifferent conditions (healthy and unhealthy). Conclusion: Theproposed protocol will permit the acquisition of findings thatwill be relevant in the evaluation of the effect of the WBV onthe body composition of MetS individuals due to its ease ofrealization, low cost and safety.Keywords: Whole body vibration exercise; Metabolic syndrome;Physical activity.
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Rodríguez-Sanz, Jacobo, Miguel Malo-Urriés, Jaime Corral-de-Toro, Carlos López-de-Celis, María Orosia Lucha-López, José Miguel Tricás-Moreno, Ana I. Lorente, and César Hidalgo-García. "Does the Addition of Manual Therapy Approach to a Cervical Exercise Program Improve Clinical Outcomes for Patients with Chronic Neck Pain in Short- and Mid-Term? A Randomized Controlled Trial." International Journal of Environmental Research and Public Health 17, no. 18 (September 10, 2020): 6601. http://dx.doi.org/10.3390/ijerph17186601.

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Chronic neck pain is one of today’s most prevalent pathologies. The International Classification of Diseases categorizes four subgroups based on patients’ associated symptoms. However, this classification does not encompass upper cervical spine dysfunction. The aim is to compare the short- and mid-term effectiveness of adding a manual therapy approach to a cervical exercise protocol in patients with chronic neck pain and upper cervical spine dysfunction. Fifty-eight subjects with chronic neck pain and upper cervical spine dysfunction were recruited (29 = Manual therapy + Exercise; 29 = Exercise). Each group received four 20-min sessions, one per week during four consecutive weeks, and a home exercise regime. Upper flexion and flexion-rotation test range of motion, neck disability index, craniocervical flexion test, visual analogue scale, pressure pain threshold, global rating of change scale, and adherence to self-treatment were assessed at the beginning, end of the intervention and at 3- and 6-month follow-ups. The Manual therapy + Exercise group statistically improved short- and medium-term in all variables compared to the Exercise group. Four 20-min sessions of Manual therapy + Exercise along with a home-exercise program is more effective in the short- to mid-term than an exercise protocol and a home-exercise program for patients with chronic neck pain and upper cervical dysfunction.
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Gutmann, Boris, Andreas Mierau, Thorben Hülsdünker, Carolin Hildebrand, Axel Przyklenk, Wildor Hollmann, and Heiko Klaus Strüder. "Effects of Physical Exercise on Individual Resting State EEG Alpha Peak Frequency." Neural Plasticity 2015 (2015): 1–6. http://dx.doi.org/10.1155/2015/717312.

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Previous research has shown that both acute and chronic physical exercises can induce positive effects on brain function and this is associated with improvements in cognitive performance. However, the neurophysiological mechanisms underlying the beneficial effects of exercise on cognitive processing are not well understood. This study examined the effects of an acute bout of physical exercise as well as four weeks of exercise training on the individual resting state electroencephalographic (EEG) alpha peak frequency (iAPF), a neurophysiological marker of the individual’s state of arousal and attention, in healthy young adults. The subjects completed a steady state exercise (SSE) protocol or an exhaustive exercise (EE) protocol, respectively, on two separate days. EEG activity was recorded for 2 min before exercise, immediately after exercise, and after 10 min of rest. All assessments were repeated following four weeks of exercise training to investigate whether an improvement in physical fitness modulates the resting state iAPF and/or the iAPF response to an acute bout of SSE and EE. The iAPF was significantly increased following EE (P=0.012) but not following SSE. It is concluded that the iAPF is increased following intense exercise, indicating a higher level of arousal and preparedness for external input.
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van Campen, C. (Linda) M. C., and Frans C. Visser. "Comparing Idiopathic Chronic Fatigue and Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) in Males: Response to Two-Day Cardiopulmonary Exercise Testing Protocol." Healthcare 9, no. 6 (June 5, 2021): 683. http://dx.doi.org/10.3390/healthcare9060683.

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(1) Introduction: Multiple studies have shown that peak oxygen consumption is reduced in the majority of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS )patients, using the gold standard for measuring exercise intolerance: cardiopulmonary exercise testing (CPET). A 2-day CPET protocol has shown different results on day 2 in ME/CFS patients compared to sedentary controls. No comparison is known between ME/CFS and idiopathic chronic fatigue (ICF) for 2-day CPET protocols. We compared ME/CFS patients with patients with chronic fatigue who did not fulfill the ME/CFS criteria in a male population and hypothesized a different pattern of response would be present during the 2nd day CPET. (2) Methods: We compared 25 male patients with ICF who had completed a 2-day CPET protocol to an age-/gender-matched group of 26 male ME/CFS patients. Measures of oxygen consumption (VO2), heart rate (HR), systolic and diastolic blood pressure, workload (Work), and respiratory exchange ratio (RER) were collected at maximal (peak) and ventilatory threshold (VT) intensities. (3) Results: Baseline characteristics for both groups were similar for age, body mass index (BMI), body surface area, (BSA), and disease duration. A significant difference was present in the number of patients with fibromyalgia (seven ME/CFS patients vs. zero ICF patients). Heart rate at rest and the RER did not differ significantly between CPET 1 and CPET 2. All other CPET parameters at the ventilatory threshold and maximum exercise differed significantly (p-value between 0.002 and <0.0001). ME/CFS patients showed a deterioration of performance on CPET2 as reflected by VO2 and workload at peak exercise and ventilatory threshold, whereas ICF patients showed improved performance on CPET2 with no significant change in peak workload. (4) Conclusion: This study confirms that male ME/CFS patients have a reduction in exercise capacity in response to a second-day CPET. These results are similar to published results in male ME/CFS populations. Patients diagnosed with ICF show a different response on day 2, more similar to sedentary and healthy controls.
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Dissertations / Theses on the topic "Chronic Exercise Protocol"

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Pollock, Brandon Scott. "Changes in Body Composition and Resting Blood Pressure Among Adults Using Wii Fit Plus." University of Akron / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=akron1303141383.

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Marrara, Kamilla Tays. "Comparação de diferentes protocolos de treinamento físico nas atividades da vida diária em indivíduos com doença pulmonar obstrutiva crônica." Universidade Federal de São Carlos, 2007. https://repositorio.ufscar.br/handle/ufscar/5207.

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Made available in DSpace on 2016-06-02T20:19:05Z (GMT). No. of bitstreams: 1 DissKTM.pdf: 1102711 bytes, checksum: d76e056aa60fb57b915498ceaff325b0 (MD5) Previous issue date: 2007-02-23
Universidade Federal de Sao Carlos
Objective: To compare the effects of different physiotherapeutic intervention during simulation of activities of daily living (ADL) in patients with chronic obstructive pulmonary disease (COPD) moderate to severe. Methods: Thirty one patients with COPD (30%≤forced expiratory volume in first second (FEV1)<80% of predict), randomized in: Group PT (GPT, n=8): physical training (PT) in treadmill for 30 minutes; Group NIV (GNIV, n=9): PT associated to non-invasive ventilation (NIV) for 30 minutes; Group MT (GMT, n=8): PT of upper-limb and Control Group (CG, n=6), enduring six weeks, three times for week. In the test of ADL simulated: to erase blackboard, catch weight, elevate weight, sweep, to climb steps and walk in the treadmill, realizing five minutes each activity, except climb steps and walk with duration of six minutes. Results: Intragroup analysis: significative reduction of E/MVV in the post-treatment for PTG and NIVG in basal and walk. The MTG showed significative decrease erasing the blackboard and walk, being similar as for O2/ O2max. The dyspnea showed significative reduction for PTG to the walk, and increase in the CG post-treatment. The number of climbs on the steps redu
Objetivo: Comparar os efeitos das diferentes intervenções fisioterapêuticas na simulação das atividades da vida diária (AVD) realizadas por pacientes com DPOC apresentando obstrução moderada a grave. Métodos: Trinta e um indivíduos com DPOC (30%≤volume expiratório forçado no primeiro segundo (VEF1)<80% do previsto) randomizados em Grupo TF (GTF, n=8): treinamento físico (TF) em esteira rolante; Grupo VNI (GVNI, n=9): TF em esteira rolante associado à ventilação nãoinvasiva (VNI); Grupo TM (GTM, n=8): TF dos membros superiores (MMSS) e Grupo Controle (GC, n=6), por seis semanas, três vezes por semana. No teste das AVD simulava-se: apagar lousa, pegar peso, elevar peso, varrer, subir degrau e caminhar na esteira, com cinco minutos cada atividade, exceto subir degrau e caminhar que duravam seis minutos. Resultados: Análise intragrupo: redução significante da E/VVM no póstratamento para GTF e GVNI no basal e ao caminhar e diminuição significante ao apagar lousa e caminhar para GTM, sendo semelhante quanto à O2/ O2max para este grupo. A dispnéia reduziu significantemente para GTF ao caminhar pós-tratamento e aumentou no GC. O número de subidas no degrau reduziu significantemente para GC e aumentou no pós-tratamento para GTF, GVNI e GTM, bem como distância percorrida no GTF. Análise intergrupos: diferença significante para dispnéia no pós-tratamento, sendo maior para GC ao caminhar. Conclusão: Diferentes protocolos de TF utilizados proporcionaram benefícios à tolerância ao exercício físico, destacando que GTM apresentou melhor desempenho na atividade envolvendo sustentação dos MMSS, sugerindo adaptações metabólicas e melhor coordenação dos músculos participantes da elevação dos MMSS.
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Shu, Ming-Fang, and 徐敏芳. "The Effectiveness of Pulmonary Rehabilitation Exercise Protocol on the patients with Chronic Airway Obstructive Disease." Thesis, 1998. http://ndltd.ncl.edu.tw/handle/80679003351776615287.

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Wardini, Rima. "Compliance to Different Exercise-Training Protocols in Individuals with Chronic Obstructive Pulmonary Disease." Thesis, 2013. http://spectrum.library.concordia.ca/977923/1/Wardini_MSc_F2013.pdf.

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Rationale: Current guidelines for pulmonary rehabilitation suggest high-intensity exercise training for patients with chronic obstructive pulmonary disease (COPD). However, compliance to this type of training is problematic. Alternative approaches, such as training at the ventilatory threshold and interval training, have been proposed as easier to comply with. The objectives of this study were to: 1) compare patient compliance to three exercise-training protocols: continuous training at high-intensity (CTHI), continuous training at the ventilatory threshold (CTVT), and interval training (IT); 2) determine if a relationship exists between exercise compliance and baseline self-efficacy in COPD patients. Methods: Subjects were randomly assigned to one of the protocols and trained on a cycle ergometer three times per week for 12 weeks. Compliance to the training protocol was measured by attendance and compliance rates to the prescribed intensity. Compliance data were obtained through data tracking technology allowing second-by-second recording of exercise-training sessions. Self-efficacy was measured using the Self-Efficacy Scale. Results: Thirty-six subjects with moderate to severe COPD participated in the study. Attendance rates did not differ significantly between groups (Mean  SD: 70 ± 33% for CTHI, 82 ± 17% for CTVT, 63 ± 35% for IT, p = 0.229). Mean compliance rates were 85.6 ± 15.0 % for CTHI, 84.1 ± 15.1 % for CTVT, and 52.0 ± 41.8 % for IT (p=0.07). Self-efficacy did not correlate with mean attendance or mean compliance to the prescribed intensity. Conclusion: The present study suggests that IT may be associated with lower compliance rates than CTHI and CTVT.
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Books on the topic "Chronic Exercise Protocol"

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Wahls Protocol: A Radical New Way to Treat All Chronic Autoimmune Conditions Using Paleo Principles. Penguin Publishing Group, 2015.

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Wahls, Terry. Wahls Protocol: A Radical New Way to Treat All Chronic Autoimmune Conditions Using Paleo Principles. Penguin Random House, 2017.

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Lipman, Meegan, Jacqueline Calderone, Joel Yager, and Maryann Waugh. Wellness. Edited by Robert E. Feinstein, Joseph V. Connelly, and Marilyn S. Feinstein. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190276201.003.0022.

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Lifestyle behaviors that contribute to wellness, specifically those involving physical exercise, healthy nutrition and weight management, healthy sleep patterns, and stress reduction, are of significant concern to clinicians and patients. Attending to these areas is critical, not only to prevent illness but also to reduce the deleterious impacts of existing chronic diseases on morbidity and mortality. Integrated primary care practices can readily establish and employ protocols for systematically addressing these important areas of overall physical and emotional functioning. This chapter discusses ways that primary care practices and team members can emphasize wellness in their integrated care services. The discussion covers assessing patients’ lifestyle choices, providing advice for improving health behaviors, developing agreed-upon interventions, assisting patients with related health behavior modifications and alterations, and arranging for improved patient access to and engagement with resources and programs that promote overall wellness.
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Speed, Cathy. Pharmacological pain management in sports injuries. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199533909.003.0015.

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The perception of pain is a biological mechanism which warns that damage has occurred and protects against further damage, allowing healing to occur. Acute pain often acts as an indicator of injury severity and progression or healing. The same may apply in some with chronic injuries, but in others pain may not correlate with tissue damage and/or may not be a sign that the tissue needs to be protected from mechanical stress. The management of most sports injuries involves early mobilization where possible, and pain management in the treatment of these injuries is important to allow rehabilitation to proceed and to ease distress. Modalities play an important role in this respect, and are discussed elsewhere (Chapter 2.4). Injection therapies are also discussed elsewhere (Chapter 2.6). Thorough counselling of the athlete is a priority to ensure that he/she understands what the pain represents, as this will be likely to affect compliance. For example, a degree of pain during eccentric exercise protocols in the rehabilitation of chronic tendinopathies would be anticipated, and would not contraindicate continuation of a set programme. In contrast, when an athlete is returning to sporting activities after injury, pain that is experienced during the activity would not be acceptable, and the athlete is also advised during this period that conclusions as to the tissue’s reaction to activity should not be drawn until the day after the training session. Athletes should also be taught appropriate self-help strategies to manage their pain and when this involves medication, how and when to take it. Principles for the use of medications in pain management are given in ...
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Book chapters on the topic "Chronic Exercise Protocol"

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D. Zivkovic, Vesna, Ivona Stankovic, Lidija Dimitrijevic, Hristina Colovic, Dragan Zlatanovic, and Natasa Savic. "Rehabilitation Protocols for Children with Dysfunctional Voiding." In Pelvic Floor Disorders [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.98573.

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Dysfunctional voiding is a functional voiding disorder characterized by an intermittent uroflow rate due to involuntary intermittent contractions of the striated muscle of the external urethral sphincter or pelvic floor muscles (PFMs) during voiding in neurologically normal children. Symptoms include voiding difficulties as well as urgency, voiding frequency and, in some instances, urinary incontinence and/or nocturnal enuresis. Recurrent urinary tract infections, chronic constipation and/or fecal incontinence and vesicoureteral reflux (VUR) contribute to this condition. Urotherapy is the mainstay of the treatment. It starts with education and demystification and simple behavioral modifications. Specific measures include PFM exercises with various forms of biofeedback concentrating at the recognition of PFM function and their relaxation. However, the PFMs are part of the abdominal capsule and they act in coordination with lower abdominal muscles. These muscles need to be relaxed during voiding. Diaphragmatic breathing exercises were introduced to teach children abdominal muscle relaxation. Easy to learn exercises do not require any specific equipment and can be performed at all health care levels. Children from five years of age could benefit from these exercises. In children resistant to standard treatment, botulinum toxin type A application, intermittent catheterization and surgery in children with VUR are recommended.
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Baldwin, Andrew. "General practice." In Oxford Handbook of Clinical Specialties, 774–841. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198827191.003.0013.

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This chapter in the Oxford Handbook of Clinical Specialties explores the specialty of general practice. It explores common reasons for seeing a general practitioner (GP), general practice in the UK, differences between GPs and specialists, pressures of primary care, primary care models, primary care teams, and the concept of universal primary care. It discusses consultation models, patient-centredness, decision-making, continuity of care, and risk management. It reviews compliance and concordance in prescribing, as well as protocols, targets, and guidelines, telephone consulting, and home visits. It describes commonly encountered chronic disease and frailty as well as minor illness, medically unexplained symptoms, time off work, and fitness to work, drive, and fly. It investigates UK benefits for disability and illness and confirmation and certification of death. It examines social class and inequalities in health as well as social, psychological, and physical elements, prevention of disease, screening, and health education. It explains cardiovascular disease risk assessment, how to manage smoking cessation, alcohol and drug misuse, obesity, sleep problems, exercise, healthy eating, alternative/holistic medicine, and the GP’s role in dealing with intimate partner violence. It discusses GPs as managers and commissioners, as well as new ways of extending primary care, and expert patients.
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Conference papers on the topic "Chronic Exercise Protocol"

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Gladović, Neven, Luka Leško, and Martina Fudurić. "Effectiveness of manual yumeiho therapy and exercise on depression and neuropathic pain in patients suffering from chronic nonspecific low back pain." In 12th International Conference on Kinanthropology. Brno: Masaryk University Press, 2020. http://dx.doi.org/10.5817/cz.muni.p210-9631-2020-27.

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Introduction: Chronic low back pain is the leading cause of disability, which reduces quality of life and increases the healthcare costs. Psychosocial factors (depression, kinesiophobia and somatization) may also have an important role in the appearance and duration of chronic nonspecific low back pain. Depression may predispose low back pain, while the chronicity of pain affects the degree of disability, which is also related to mental health. Many studies suggest the association between depression and low back pain by explaining a significant physiological link. Different types of manual therapy are used in the treatment of chronic low back pain, but recent studies suggest that a rehabilitation models which combine manual therapy and exercise, provide better results compared to individual (separate) applications. The aim of this research was to examine the effects of the rehabilitation program, which in-cludes manual yumeiho therapy and exercise, on depression in people suffering from chronic nonspecific low back pain. Methods: The study included 21 participants, aged 40 to 60 (M=51.1, SD=5.9) who suffer from chronic nonspecific low back pain. The study included the initial and final depression test and the initial and final neuropathic pain test. Between the initial and the final testing, a three-week therapeutic procedure of yumeiho manual therapy and exercise was performed (15 treatments). Repeated estimates of depression and neuropathic pain were tested 30 and 60 days after the implementation of the rehabilitation protocol. Results: Statistically significant improvements were noted between the initial and the final test in both observed variables. Significant improvements (lower depression and neuropathic pain) have also been noted 30 and 60 days after the implementation of the rehabilitation pro-tocol (in relation to the initial state). Conclusion: The findings indicate that the rehabilitation protocol, involving manual yumeiho therapy and exercise, is an effective method for treating depression and neuropathic pain in people suffering from chronic nonspecific low back pain. Considering the lack of research on the effects of manual therapy by yumeiho technique, the results contribute to a better under-standing of technique which, although used in practice, has not been suficiently explored. Further research is required, on comparing this rehabilitation model to other methods, as well as longer follow-up in the post-rehabilitation period.
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Wardini, Rima, Amanda K. Rizk, Emilie Chan-Thim, Gregory Moullec, Myriam De Lorimier, and Véronique Pepin. "Compliance To Different Exercise-Training Protocols In Individuals With Chronic Obstructive Pulmonary Disease." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a4853.

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Rizk, Amanda K., Simon L. Bacon, Rima Wardini, Emilie Chan-Thim, Kim L. Lavoie, Myriam de Lorimier, and Véronique Pepin. "Physiological, Affective, And Symptomatic Response To Different Exercise-Training Protocols In Patients With Chronic Obstructive Pulmonary Disease." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a2382.

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Reports on the topic "Chronic Exercise Protocol"

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Wu, Lihua, Hongmei Lu, Ling Wu, Bo Qu, Yu Liu, and Mingquan Li. Effects of exercise on inflammation and nutrition outcomes in patients with chronic kidney disease: a protocol for systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, October 2020. http://dx.doi.org/10.37766/inplasy2020.10.0025.

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Shi, Jianglong, Yuemei Chen, Jian Li, Yu Zhou, Wentao Shu, Bo Liu, Song Ouyang, Wenjuan Cao, Tao Shen, and Liyun Liu. Effectiveness and safety of acupuncture versus conventional therapy for exercise intolerance in patients with chronic obstructive pulmonary disease: protocol for a systematic review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, April 2021. http://dx.doi.org/10.37766/inplasy2021.4.0131.

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Wu, Lihua, Hongmei Lu, Ling Wu, Bo Qu, Yu Liu, and Mingquan Li. Traditional Chinese exercises in adults with chronic kidney disease: A protocol for systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, October 2020. http://dx.doi.org/10.37766/inplasy2020.10.0016.

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