Impact of Tai Chi and Aerobic Exercise on Cognitive Function, Balance, Cardiovascular Fitness, and Quality of Life in Older Adults: Randomized Control Trial.

Introduction Tai chi, an ancient Chinese martial art, was originally developed for combat and self-defense. Over time, it has evolved into both a sport and a form of exercise. This gentle, low-impact exercise involves performing a series of deliberate, flowing motions while focusing on deep, slow breaths. This study investigates the effects of chen tai chi and aerobic exercises on cognition, balance, cardiopulmonary fitness, and quality of life in older adults. Methodology This study employed a single-blinded randomized control trial design, enrolling 60 participants aged between 60 and 75 years. Participants were divided into three groups: Group A (aerobics), Group B (chen tai chi), and Group C (control). Exercise sessions were held four days per week over a period of four weeks. Evaluations included the Montreal Cognitive Assessment for cognition, a one-leg stand test for static balance, a Timed Up and Go Test for dynamic balance, a six-minute walk test for cardiopulmonary fitness, and a health-related quality-of-life scale. Assessments were conducted at baseline, immediately after the intervention, and at follow-up was taken after eight weeks. Results Post-intervention, improvements were observed in cognition and static balance across all groups. Within-group analysis revealed that the aerobics group experienced statistically significant enhancements in cognition (p = 0.0001) and static balance (p = 0.01). Although no statistically significant differences were found between groups in terms of dynamic balance, cardiopulmonary fitness, and quality of life, the within-group analysis showed significant improvements in the aerobics group in dynamic balance (p = 0.0009), cardiopulmonary fitness (p = 0.03), and quality of life (p = 0.0001). Conclusion Compared to chen tai chi and no intervention, the study concludes that aerobic exercise has a more pronounced effect on improving cognition, balance, cardiopulmonary fitness, and quality of life in older adults. Aerobic exercise is recommended as an effective method to prevent frailty and promote independence among the elderly.

Translation, cross-cultural adaptation, reliability, validation of King's Health Questionnaire in the Marathi language.

Introduction: Outcome measurement is a crucial component of contemporary professional practice. Many Indian rehabilitation facilities employ the King's Health Questionnaire (KHQ), but there has never been an official Marathi translation with its reliability and validity. Materials and Methods: As per the recommendations for cross-cultural validation of an outcome assessment, KHQ was translated into the Marathi language at a tertiary hospital in Pune, India. A study was conducted to assess the dependability of 123 patients from tertiary hospitals in India. The reliability of the study was assessed by two competent physiotherapists. The interrater reliability of the KHQ total scores and each item was evaluated using Cronbach's alpha coefficient. To compare the interrater dependability with the findings of other investigations, the intraclass correlation (ICC) coefficient was determined. Results: When evaluated by domain, the KHQ's standardized Cronbach's alpha ranged from 0.49-0.92. All domains had reliability that was rated as moderate to strong by ICC, and the severity rating scale varied from 0.53 to 0.81. The Pearson correlation coefficient between KHQ and short form-36 (SF-36) in the majority of related areas was found to be weak to moderate, with values ranging from -0.27 to -0.53. Conclusions: The Marathi version of the KHQ was translated and adapted for use in Marathi language-speaking Indian women with urinary incontinence complaints. It represents an important instrument for the evaluation of incontinent women in clinical research with good interrater reliability and validity with SF-36 quality-of-life measure.

The use of salmonid epithelial cells to characterize the toxicity of Tenacibaculum maritimum soluble extracellular products.

AIMS: This study assessed how the etiological agent of mouth rot in farmed Atlantic salmon, Tenacibaculum maritimum, induces toxicity in host salmonid barrier cells, and determined whether environmental changes are relevant for these effects. METHODS AND RESULTS: Tenacibaculum maritimum soluble extracellular products (ECPs) were collected and used to treat Atlantic salmon and rainbow trout intestinal barrier cell lines as a comparative model of bacterial-salmonid cell interactions. Cellular assays that examine cell membrane integrity, marker expression, and metabolic activity revealed that T. maritimum ECPs induced salmonid epithelial cell death through an apoptosis mechanism. Changes in salinity (25, 29, and 33 ppt) and temperature (12°C, 18°C, and 24°C) within the natural ranges observed in Pacific Northwest aquaculture facilities affected bacterial growth and cytotoxicity of T. maritimum ECPs. CONCLUSIONS: Our results suggest epithelial barriers as targets of T. maritimum-mediated toxicity in farmed mouth rot-infected Atlantic salmon. The induction of apoptosis by T. maritimum soluble ECPs may also help to explain the absence of overt inflammation typically reported for these fish.

The Effect of Muscle Energy Technique and Posture Correction Exercises on Pain and Function in Patients with Non-specific Chronic Neck Pain Having Forward Head Posture-a Randomized Controlled Trail.

Background: Neck pain is a common problem in individuals despite different types of working patterns. Forward head posture is a common identified cause of chronic neck pain in patients. The effect of long-term forward head posture can be loss of function which can limit individuals' capacity to work or do activities of daily living; hence it becomes necessary to intervene with muscle strengthening to improve neck stability, as well as mobility. Purpose: To assess effectiveness of muscle energy technique (MET) and posture correction exercises on pain and function in patients with non-specific chronic neck pain having forward head posture. Study Setting: Outpatient department of Dr. D. Y. Patil College of Physiotherapy, Pune, India. Participants: Both males and females between the ages of 21-60 years with a cranio-vertebral angle of less than 48° were included in study. Research Design: A randomized clinical trial. Methodology: MET group received muscle energy treatment + posture correction exercises, and control group receiving neck range of motion treatment. Outcomes measures were pain (Numerical Pain Rating Scale), function (Neck Disability Index), and cranio-vertebral angle (MB ruler). Results: Forty-eight subjects were included in the analysis, with 23 participants in Group A (MET) and 25 in Group B (Control). While both groups showed within-group improvements, Group A had significantly greater decreases in neck pain (p < .001), Neck Disability Index scores (p < .001), and significantly greater improvements in cranio-vertebral angles (p < .025) compared to group B. Conclusion: The combined effect of MET and posture correction exercises provides significantly greater results than neck range of motion treatment, and muscle energy technique should be included in the treatment of non-specific chronic neck pain in individuals with forward head posture.