ABSTRACT
OBJECTIVE: To investigate the associations of impaired muscle strength and gait function with the severity of erectile dysfunction (ED) in men undergoing dialysis. METHODS: This cross-sectional study included 63 men undergoing dialysis. ED was assessed with the Sexual Health Inventory for Men (SHIM). Patients were divided into the mild/moderate (SHIM score ≥8) and severe ED groups (SHIM score ≤7). Correlations between variables were analyzed using Spearman's rank correlation coefficient. Multivariable logistic regression analyses were performed to evaluate the impact of impaired grip strength and gait function on the severity of ED. RESULTS: The median age of the study participants was 62 years; all had ED, with 67% having severe ED. Spearman's rank correlation test demonstrated significant negative and positive correlations between gait function and SHIM score (ρ = -0.257, p = 0.042) and between grip strength and SHIM score (ρ = 0.305, p = 0.015), respectively. In the multivariable analyses, impaired grip strength was significantly associated with severe ED (odds ratio [OR]: 4.965, p = 0.017), whereas gait function was not (OR: 3.147, p = 0.064). CONCLUSION: Impaired muscle strength was significantly associated with severe ED, whereas impaired gait function had a marginal effect on this erectile condition.
Subject(s)
Erectile Dysfunction , Cross-Sectional Studies , Erectile Dysfunction/etiology , Gait , Hand Strength , Humans , Male , Renal DialysisABSTRACT
OBJECTIVE: The purpose of this exploratory study was to determine whether a single session of vibration therapy (VT) would improve muscular and functional performance in individuals with symptomatic peripheral artery disease (PAD). METHODS: In a randomized, balanced cross-over design fourteen PAD participants with intermittent claudication (mean ± standard deviation; age, 73.9 ± 4.6 years; height, 172.6 ± 68.4 cm; body mass, 85.2 ± 15.7 kg) performed VT and control that involved repeated chair rises, timed up-and-go test, and 6-minute walk test. Each intervention was separated by at least 2 days. Wearable VT devices were positioned on the right and left lower limbs that were turned on during functional testing but were turned off for the control intervention. RESULTS: VT significantly improved (P < .05) repeated chair rises and timed up-and-go test compared with control with a small effect size of 0.46 and 0.45, respectively. Similarly, a significant (P < .01) and meaningful change in 6-minute walk test was noted in VT compared with control. CONCLUSIONS: This exploratory study suggest that VT may enhance functional strength, mobility, and walking performance by extending the onset of claudication and increasing walking distance in PAD with intermittent claudication. However, further study is required to confirm and extend these preliminary findings and determine the potential mechanisms of action in VT.
Subject(s)
Intermittent Claudication/physiopathology , Intermittent Claudication/therapy , Muscle, Skeletal/physiopathology , Peripheral Arterial Disease/physiopathology , Peripheral Arterial Disease/therapy , Vibration/therapeutic use , Aged , Cross-Over Studies , Female , Humans , Male , Walk TestABSTRACT
In an attempt to define feasible means to improve compliance with current recommendations on resistance training in older subjects, published evidence on the efficacy and safety of minimally supervised home-based resistance training (MSHBRT) on muscle strength and functionality was systematically evaluated in this population segment for the first time. We performed a meta-analysis using the following data sources: MEDLINE (Ovid), EMBASE and Cochrane, with a total of 1160 subjects with a mean age of 72⯱â¯6.3 years. MSHBRT modestly increased lower body strength (MD 0.6 Kg, 95% CI, 0.16-1.04) in a diverse population of older adults including subjects with significant age-related diseases. Although earlier evidence indicates that larger increments in muscle performance and function can be attained through more intense and directly supervised resistance training, MSHBRT may comprise a useful and inexpensive method to preserve and even enhance lower body muscle strength in older adults.
Subject(s)
Muscle Strength/physiology , Resistance Training/methods , Aged , Female , Humans , MaleABSTRACT
Objective of the study was to investigate effects of task specific circuit gait training to improve gait parameters and mobility among sub-acute and chronic stroke patients. A randomized control trial was conducted on stroke survivors of either gender being capable of standing 10 seconds and having 2-4 score on Rankin Modified Scale. Sample comprised of 30 participants randomly assigned into two groups. Training was given for a session of 40-50 minutes for 3-4 days/week for six weeks. Timed get up and go test (TUG), Cadence, Step Length and Step Width assessed measures of concern. The sample included 16 males and 14 females with mean age of 54.10 ± 10.10 years. After six weeks, significant improvement was recorded in TUG (p=0.014). Cadence (p=0.001), step length (p<0.001) and step width (p=0.009) were also significantly improved. Circuit gait training improves mobility and gait in stroke patients.
ABSTRACT
BACKGROUND: To determine the effects of knee taping in combination with exercise and medical treatment on functional outcome and pain of patients with knee osteoarthritis (OA). MATERIALS AND METHODS: In a randomized single-blinded clinical trial, 36 patients with knee OA were randomly assigned to two study groups. Both groups received exercise and medical therapy for 6 weeks. In addition, the first group (20 patients) received taping in the first 3 weeks. Pain severity (assessed by visual analog scaling), weekly amount of analgesics consumption, timed get up and go test (TUG), and step tests were recorded at baseline, 3 and 6 weeks after the treatment and were further compared between two study groups. RESULTS: There was no significant difference between two groups in pain severity score (P = 0.228), step test score (P = 0.771), TUG test score (P = 0.821) and weekly amount of analgesics consumption (P = 0.873) at baseline. After 3 weeks, weekly amount of analgesics consumption (P = 0.006), pain severity (P < 0.001) was significantly lower in taping group whereas step test score (P = 0.006) was significantly higher in the taping group. After 6 weeks, patients in taping group had significantly lower pain severity (P = 0.011) and higher step test score (P = 0.042). However, there was no significant difference in TUG test score (P = 0.443) and weekly amount of analgesics consumption (P = 0.270) between two groups. CONCLUSION: Therapeutic knee taping may be an effective method for short-term management of pain and disability in patients with knee OA.
ABSTRACT
To evaluate several tests of physical performance for sarcopenia screening and assessment, by investigating physical performance and function in older women. 106 community-dwelling older women from a community in Shanghai were enrolled in this study. Physical function assessed by short physical performance battery (SPPB), timed get-up-and-go (TUG), handgrip strength, and usual gait speed were asked to perform. Total lean mass was determined by Dual energy X-ray absorptiometry, the relative appendicular skeletal muscle mass ( RASM) was defined as appendicular skeletal muscle mass/height2 . 13 individuals were diagnosed as sarcopenia according to a consensus diagnostic criteria for sarcopenia, as developed by the Asian Working Group for Sarcopenia ( AWGS) in 2014. Body mass index and handgrip strength in the sarcopenia group were significantly lower than those in the non-sarcopenia group (P=0. 026, P=0. 004 respectively), and there was no significant differences in the age, SPPB score, TUG, and usual gait speed. Linear regression analysis showed RASM was significantly positively correlated with body mass index (r=0. 842, P<0. 01), time to rise from a chair and return to the seated position five times (r=0. 203, P=0. 036),TUG(r=0. 258, P=0. 008)and grip strength (r=0. 217, P=0. 025), meanwhile, both body mass index and grip strength entered Logistic regression analysis. Low weight and low handgrip strength are independent predictive factors of sarcopenia in older women. Sarcopenia screening for older women with low body-weight and weak handgrip strength is more urgently required
ABSTRACT
As quedas adquirem maior relevância com o aumento da população idosa em termos de saúde pública e de aspectos socioeconômicos. As médias do tempo de realização do Timed Get Up and Go (TGUG) em pacientes idosos ambulatoriais com relato de quedas acidentais e recorrentes foram comparadas neste estudo de corte longitudinal retrospectivo. Observa-se que o tempo de realização do TGUG, em média, foi significativamente maior nos idosos com relato de quedas recorrentes...
Falls obtain more relevance with the rise of the aged population in terms of public health and socioeconomic issues. The averages of the time to perform the Timed Get Up and Go test (TGUG) in ambulatory elderly patients with story of accidental and recurrent falls were compared in this retrospective and longitudinal study. It is noted that the time to perform the TGUG, in average, was significantly higher in the elderly with story of recurrent falls...
Subject(s)
Humans , Aged , Accidental Falls , Aged , Postural BalanceABSTRACT
As quedas adquirem maior relevância com o aumento da população idosa em termos de saúde pública e de aspectos socioeconômicos. As médias do tempo de realização do Timed Get Up and Go (TGUG) em pacientes idosos ambulatoriais com relato de quedas acidentais e recorrentes foram comparadas neste estudo de corte longitudinal retrospectivo. Observa-se que o tempo de realização do TGUG, em média, foi significativamente maior nos idosos com relato de quedas recorrentes.(AU)
Falls obtain more relevance with the rise of the aged population in terms of public health and socioeconomic issues. The averages of the time to perform the Timed Get Up and Go test (TGUG) in ambulatory elderly patients with story of accidental and recurrent falls were compared in this retrospective and longitudinal study. It is noted that the time to perform the TGUG, in average, was significantly higher in the elderly with story of recurrent falls.(AU)
