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The ability of developing collateral vessels in obliterative arteriosclerosis decreases with age. A so-called interval-walking exercise, i.e., repeated walking with interposed test periods, will be effective as long as performed regularly. Cardiopulmonary or joint diseases may diminish the efficiency of this therapy.
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In this article, a proposal for adjustment of the Classification of Impairments and the Classification of Disabilities of the International Classification of Impairments, Disabilities, and Handicaps is presented. This proposal is a result of a project conducted by the Dutch National Institute for Research and Postgraduate Education in Physical Therapy. The project was executed in collaboration with the professional national organizations of five health professions: occupational therapy, chiropody, Cesar therapy (exercise therapy), Mensendieck therapy (exercise therapy), and physical therapy. The proposal includes reformulated definitions of impairment and disability, an inventory of the impairments and disabilities that are relevant for the health professions that participated in the project, a description of the domain of the Classification of Impairments and the Classification of Disabilities, a new subdivision for both classifications in chapters, and a set of "types of characteristics" and "characteristics" that subdivide the different chapters of the two classifications.
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The authors report on the effect of a combined training programme decreasing blood pressure in male patients with essential hypertension (stage I and II) treated formerly not effectively with propranolol. Basis of the exercise treatment was the frequency of training which was established from the individual loading tests before the series of therapy. In three collectives of patients with hypertension of different age decreases of systolic as well as diastolic blood pressure could be ascertained statistically. With the help of the xenon-133 muscle clearance in most cases an improvement of the peripheral microcirculation could be proved. The mean functional vascular cross section (A) significantly increased under the training therapy.
Benign paroxysmal positional vertigo (BPPV) is a common condition that often resolves spontaneously, but can cause significant distress to a patient. Management of this condition includes no intervention, medication, surgery, physical exercises and more recently 'particle repositioning' manoeuvres. Repositioning manoeuvres aim to relocate free-floating particles from the posterior semicircular canal into the utricle where they will no longer cause vertiginous symptoms. This article describes the different exercises and repositioning manoeuvres in use and examines their efficacy. In the light of this review a management strategy for BPPV is suggested.
The authors followed for at least two years 483 patients (430 coronary prone patients and 53 with proved coronary heart disease), to determine whether physical training could decrease coronary risk factors and improve exercise tolerance in the trained group as compared with the conventionally treated group (way of life, diet, drugs). There was no significant difference among the two groups for blood lipid profile, blood pressure (at rest and during exercise), functional capacity and mortality. In the authors' opinion this could be explained by the inadequate training program (45 minutes twice a week) and by a possible overlapping of the groups.
Although home-based physiotherapy (PT) has an important role in the management of knee osteoarthritis (OA), the optimal frequency of monitoring by the physiotherapist is not known. Ninety-six patients with bilateral Kellgren Lawrence grade 3 OA were divided into two groups. All patients received the same PT program but group 1 was monitored at 1, 2, 3, 6, 12 and 24 weeks, while group 2 was seen at 3 and 24 weeks. At the end of the study, both groups had improved their Hospital for Special Surgery score (P<0.05), and there was no statistically significant difference between the groups. We conclude that the frequency of visits for a home-based exercise program can be decreased without affecting the success of the therapy.
Current work presents the results of spirometric examinations in 124 children aged 5 to 16 years (mean age 12.1 years) suffering from idiopathic scoliosis. Children were treated according to asymmetric respiratory exercises method applied in period of 24 days. Healthy children living in Upper Silesia industrial region were the control group. Examined scoliotic group was characterized by generally mild lung function impairment, although the values of spirometric indexes tended to deplete with time of duration and severity of the scoliosis. Especially the tendency of the forced expiratory volume in first second (FEV1) decrease was apparent, as well as maximal expiratory flows MEF50 and MEF25, in conjunction with Cobb angle increase. Slight but evident increase of forced vital capacity (FVC) and FEV1 was observed as a result of rehabilitation utilizing asymmetric respiratory exercises method.
OBJECTIVE: The aim of our study is to find out in which clinical and sociodemographic parameters patients who take part in kinetic therapy and those, who don't, differ. METHODS: 38 patients of a psychiatric university clinic who regularly took part in movement therapy were compared with 32 patients who did not. RESULTS: The participants had a higher level of education, obtained fewer psychotropic drugs and were assessed as slightly less impaired by their disorder. CONCLUSIONS: Our findings cannot fully explain what determines participation in kinetic therapy. Other factors like the cut-off of five times for assignment, the therapist's influence and the theory of self-efficacy need to be discussed.
Previous research has documented high rates of noncompliance to prescribed medical therapy in patients recovering from myocardial infarction (MI). This study was undertaken to determine if patients who subsequently drop out of a structured cardiac rehabilitation program could be prospectively distinguished from those who remain in the program based upon their initial baseline characteristics. Thirty-five consecutive patients with recent MIs underwent comprehensive physical and psychological assessments at entry into the program, and were followed for a period of 1 year. The 14 patients who dropped out of the program could be distinguished from the compliers on the basis of their reduced left ejection fraction assessed by first pass radionuclide angiography at rest and during peak exercise. In addition, their psychological profiles assessed by the MMPI indicated the dropouts were more depressed, hypochondriacal, anxious, and introverted and had lower ego strength than those who remained in the program. Statistical analysis further indicated that psychological variables were associated with noncompliance independently of physical status. These findings suggest that MI patients who are unlikely to adhere to this form of medical therapy may be prospectively identified based upon their initial physical and psychological characteristics.
From a total of 130 male patients following myocardial infarction a symptom-limited stress cycling ergometer was carried out at the beginning as well as at the end of a 4-week rehabilitation, as well as controls of body weight, the Broca-Index, and Triglyzeride, Cholesterol, HDL-Cholesterol, LDL-Cholesterol and VLDL-Cholesterol fractions. With regard to the Broca-Index, the patients received respectively a 1600 Kcal normal diet (Broca-Index 1.00, n = 34), a 1100 Kcal reductional diet (Broca-Index 1.20, n = 67) and a 600 Kcal reductional diet (Broca-Index 1.32, n = 29). During the whole duration of their stay, the patients underwent a program of physical exercise related to their personal physical performance, which consisted of gymnastic, cycle training, swimming (facultative) and physical training. The improvements of the physical performance were statistically significant, and consisted of 19.4% (normal diet), 18.2% (1100 Kcal diet), namely 11.3% in the 600 Kcal diet group. Weight, Broca-Index and parameters of fat-metabolism remained unchanged under a normal diet. In both reductional diet groups a significant reduction of weight and Broca-Index as well as all blood-fat-metabolism parameters were noted, with the exception of the HDL-Cholesterol fraction, which remained unchanged. Statistical significant correlations between weight reduction, namely increases of physical performance and parameters of blood-fat-metabolism were only noted in cases of a 600 Kcal diet. The noted changes in weight, physical performance and blood-fat-metabolism can be considered as a reduction of the cardiovascular risk profile.
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