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At least 397 records · Page 22Linked to original sources

Ambulatory oxygen therapy, exercise, and survival with advanced chronic obstructive pulmonary disease (the Nocturnal Oxygen Therapy Trial revisited).

The NOTT study showed improved survival in COT patients who received LTOT for longer periods (mean 17.7 h/d, median 19.4 h/d) from an ambulatory oxygen system, compared with the survival of NOT patients who received oxygen for a mean of 11.8 h/d from a stationary system. The differences in survival could have been due to the method or the duration of oxygen therapy, or both. An increase in cardiac output and increased oxygenation of the arterial blood (oxygen content) results in increased tissue oxygen transport. In addition, COT was associated with better survival and reduced hospitalizations, compared with NOT patients who were unable to increase their walking level.

Ambulatory Care↗

Exercise therapy for Parkinson's disease.

The outcomes of two different 12-week exercise programs were assessed by machine measurements of motor signs, tests of grip strength, motor coordination and speed, and neurophysiologic determinations of long-latency stretch responses in two groups of Parkinson patients matched for age, sex and stage of disease. The programs tested included an exercise program developed by the United Parkinson Foundation and a program of upper body karate training. Outcomes of these programs were similar. The majority of patients in both groups showed improvements in gait, tremor, grip strength and motor coordination on tasks requiring fine control. In one task involving whole body coordination there was a decline in function, while muscle rigidity was unchanged. The findings suggest that exercise is a useful adjunct to pharmacologic therapy.

Exercise Therapy↗

[Voice exercise therapy versus electrostimulation therapy in patients with unilateral vocal fold paralysis].

BACKGROUND: Several behavioural voice treatment procedures have been suggested for unilateral vocal fold paresis. However, data regarding their effectiveness and efficiency are sparse. Here we compare the outcome of traditional voice treatment versus electrostimulation voice exercise. METHODS: A total of 24 patients participated voluntarily in a prospective randomised trial. Vocal fold irregularity and maximum phonation time were used as dependent variables. RESULTS: Statistical analysis indicated slight though not significant differences favouring electrostimulation supported vocal exercises. DISCUSSION: Further studies are needed to fully explore the benefits and effectiveness of the various treatment procedures. These studies should include subjective parameters (voice handicap) as well as efficacy parameters.

Adult↗