Exercise tolerance level in relation to practice short-term exercise program in type 2 diabetic patience with stable myocardial infarction

Diabetes mellitus is a risk factor for developing myocardial infarction. Regular exercises have positive effects on glycemic control, weight reduction, blood pressure and improvement in exercise tolerance in diabetic patients with stable myocardial infarction. The aim of this study was to evaluate the effect of practicing regular exercise program on exercise tolerance level in type 2 diabetic patients with stable myocardial infarction. 30 male patients [56.55 +/- 11.3 years] had type 2 diabetes [157.7 +/- 16.8 mg/dl] with stable myocardial infarction were participated in the study. Following baseline assessments, participants were categorized into two groups; exercise and control. Patients of the exercise group were enrolled in an outpatient hospital-based, supervised exercise program 3 times per week for 8 weeks supervised by the physical therapist. Data of pre- and post-measures were collected and statistically analyzed. On comparing the mean post-measured parameters between the exercise and control groups, the results showed a significant increase in mean 6-minute walked distance [395.16 +/- 42.67 Vs. 334.63 +/- 45.28m]. There were also significant reduction of mean blood glucose level [137.2 +/- 13.7 Vs. 161.5 +/- 18.8 mg.dl] decrease of mean resting heart rate [76.6 +/- 9.93 Vs. 80.8 +/- 8.72 bpm] and of mean waist circumference [102.6 +/- 3.74 Vs. 108.2 +/- 3.87 cm] for post-measures of exercise and control groups respectively. Participaation in a regular supervised exercise program in type 2 diabetic patients with stable myocardial infarction was associated with improvement in exercise tolerance level. Improved glycemic control, systolic blood pressure and body weight have been demonstrated in such patients after practicing the exercise program

Effect of pelvic floor exercises and faradic current stimulation in elderly males with idiopathic detrusor overactivity

The purpose of the present study was to determine the effect of pelvic floor exercises and faradic current stimulation to sacral dermatomes on parameters of frequency/volume charts [FVC's] in patients with idiopathic detrusor overactivity. 42 male patients [mean age 69.40 +/- 2.70 years] with idiopathic detrusor overactivity participated in the study. Patients were categorized into three homogenous groups; exercise, stimulation and control, each group included 14 patients. Patients of the exercise group received a program of pelvic floor exercise while patients of the stimulation group received a program of faradic current stimulation to sacral dermatomes. The results showed a highly significant [p<0.01] reduction of mean number of episodes of emergency per 24-hour between pre- and post-intervention measures for exercise and stimulation groups, in which it was 5.52 +/- 0.54 vs. 1.6 +/- 0.353 and 5.52 +/- 0.51 vs. 2.7 +/- 0.36 respectively. While on comparing pre- and post-intervention mean voids frequency per 24-hour for exercise and stimulation groups, the results showed a highly significant [p<0.01] increase in the mean values of pre-intervention measures in which it was 9.77 +/- 0.70 vs. 5.83 +/- 0.76 and 9.66 +/- 0.57 vs. 8.09 +/- 0.69 respectively. Multiple paired comparisons of the mean parameters of FVC's using Dunnett t test among exercise, stimulation and control groups after the intervention showed a high statistical significant difference [p<0.01] of all parameters of FVC's in exercise group. While post-intervention results of electrical stimulation group showed that there were insignificant differences of means; daytime voiding frequency, nighttime voiding volume, total voids volume per 24-hour, fluid intake per 24-hour and functional bladder capacity in milliliters. The results showed the efficacy of practicing pelvic floor exercise and electrical stimulation programs in improving bladder functions. Pelvic floor exercises were more efficient in improving bladder functions than that occurred with electrical stimulation

Effects of regular exercise program in patients with intermittent claudication

Peripheral arterial disease [PAD] is a leading cause of morbidity due to ambulatory limitations associated with intermittent claudication. Both smoking and family history of cardiovascular disease are independently associated with a significantly increased risk for peripheral atherosclerosis in adults. The ankle-brachial index [ABI] is a useful tool for the diagnosis of PAD. The ability to walk for a distance is a quick and inexpensive performance- measure, and an important component of quality of life, since it reflects the capacity to undertake day-to-day activities or, conversely, functional limitation. Conservative management was advocated for claudicants with mild-to-moderate symptoms, while interventional treatment was confined to patients with severe symptoms. The methods of exercise prescription include establishing a training intensity that produces moderate claudication pain within the first five minutes of treadmill walking. Exercise treatment can produce a significant and clinically meaningful increase in walking distance in most patients with claudication who adhere to it. The aim of the study was to evaluate the effect of a supervised exercise program on ABI and walking distance in patients with intermittent claudication. Thirty-two patients [22 males and 10 females] aged 54.62 +/- 5.23 years complained from intermittent claudication due to PAD secondary to atherosclerosis were participated in the study. Patients were categorized into two groups; exercise group, which included 12 males and 5 females; and control group included 10 males and 5 females. ABI was calculated after 15 minutes of supine rest. By using a h and held Doppler with a 5-MHz probe, blood pressure [BP] measurements were obtained. The 6-minute walk test was conducted according to st and ardized protocol. Initial claudication distance [ICD] and absolute claudication distance [ACD] were measured for all participants. Patients of exercise group were enrolled in a regular treadmill exercise program for 12 weeks, three times per week, under physical therapy supervision in a st and ard hospital gym. Patients of the control group were asked to practice their usual life style activities. The same test measures were applied at the end of the study program for both groups. On comparing the final evaluations for exercise and control groups, it was found a significant [p<0.05] difference of ABI, ICD and ACD. ABI was 0.9310.24 vs. 0.68 +/- 0.36, ICD was 283.37 +/- 15.65 meter vs. 202.88 +/- 12.87 meter and ACD was 540.65 +/- 26.38 meter vs. 458.51 +/- 23.72 meter for both groups respectively. BMI of both groups showed insignificant [p>0.05] difference, where it was 24.4515.34 Kg/m[2] vs. 26.9314.61 Kg/m[2] respectively. Exercise rehabilitation is an effective therapy to improve functional independence in patients with PAD limited by intermittent claudication. Exercise therapy decreases claudication symptoms, improve functional ability, and greatly enhance quality of life. Supervised exercise program is effective for improving claudication symptoms