Effects of Cardiorespiratory Fitness and Muscle-Resistance Training After Stroke.

Effects of cardiorespiratory fitness and muscle-resistance training after stroke.

Filed under: Rehab Centers

PM R. 2012 Nov; 4(11): 901-7
Brogårdh C, Lexell J

Stroke is a leading cause of long-term disability. The physical and cognitive impairments after an ischemic or hemorrhagic stroke often lead to activity limitations and participation restrictions. Many persons after stroke have a sedentary lifestyle, are physically inactive, and have a low fitness level. Physical fitness training is known to be beneficial for persons with a number of comorbid conditions or risk factors for stroke. Although exercise and physical activity are considered valuable, the evidence of their benefits after stroke is still insufficient. In this review, we summarize published randomized controlled trials regarding the effects of cardiorespiratory fitness and muscle-resistance training after stroke on physical function, activity, participation, life satisfaction, and mood. We discuss various barriers that can impede the ability to perform exercise, and the importance of reducing these barriers to increase physical fitness levels after the completion of usual stroke rehabilitation, thereby enhancing leisure, well-being, and participation in society.
HubMed – rehab


Exercise in muscle pain disorders.

Filed under: Rehab Centers

PM R. 2012 Nov; 4(11): 889-93
Thompson JM

Muscle pain disorders range from local or regional (myofascial pain) to widespread (fibromyalgia). Many people with muscle pain have decreased fitness. Exercise intolerance is a common feature as well, and yet exercise plays an important role in the treatment of muscle pain disorders. Results of studies have shown repeatedly, via multiple modes and methods of delivery, that exercise is at least as effective as the best pharmacologic treatments. An understanding by clinicians and their patients of the unique benefits of a carefully crafted exercise program is one step in the successful management of these often frustrating muscle pain disorders.
HubMed – rehab


Exercise for patients with osteoporosis: management of vertebral compression fractures and trunk strengthening for fall prevention.

Filed under: Rehab Centers

PM R. 2012 Nov; 4(11): 882-8
Sinaki M

Maintenance of bone health and quality requires mechanical strain, but the mechanical force needs to be within the bone’s biomechanical competence. In osteoporosis, compression of vertebral bodies can be insidious. Therefore, absence of pain does not necessarily indicate absence of vertebral microfracture and deformity. Further, patients with previous vertebral fractures are at risk for further vertebral fractures and their associated morbidity. Exercise is a part of the comprehensive management of patients with osteoporosis and has been associated with improvement of quality of life and lowered risk of future fracture. The exercise prescription needs to match the needs of the patient. If exercise is not prescribed properly, then it may have negative consequences. In general, an exercise program, therapeutic or recreational, needs to address flexibility, muscle strength, core stability, cardiovascular fitness, and gait steadiness. As with pharmacotherapy, therapeutic exercises need to be individualized on the basis of musculoskeletal status and an individual’s exercise interest. In osteoporosis, axial strength and stability are of primary importance. In particular, a spinal extensor strengthening program should be performed with progressive measured resistance as tolerated. To address falls and fractures, an exercise program should also include balance and lower extremity strength training. Proper dosing of oral cholecalciferol and calcium supplements can enhance the effect of strengthening exercises. Finally, a coordinated approach, such as the Spinal Proprioception Extension Exercise Dynamic (SPEED) program, can improve back extensor strength, the level of physical activity, and locomotion, and reduce back pain and fear and risk of falls.
HubMed – rehab


The role and efficacy of exercise in persons with cancer.

Filed under: Rehab Centers

PM R. 2012 Nov; 4(11): 874-81
Eickmeyer SM, Gamble GL, Shahpar S, Do KD

Improvements in cancer screening, diagnosis, and treatment have resulted in an increasing population of cancer survivors with impairments in physical function, cancer-related symptoms, and reduced quality of life. Exercise and physical activity have therapeutic value at multiple points along the cancer disease continuum, spanning disease prevention, treatment, survivorship, prognostic outcomes, and end-of-life issues. Molecular mechanisms for the influence of exercise in persons with cancer include altering tumor initiation pathways and affecting hormonal, inflammatory, immune, and insulin pathways. Physical activity has been found to play a role in the prevention of certain malignancies, including breast, colon, and other cancers. An increasing amount of evidence indicates that physical activity may affect prognostic outcomes in certain cancer diagnoses, especially breast cancer. Structured exercise and physical activity interventions can be helpful in addressing specific survivorship issues, including overall quality of life, cardiorespiratory impairment, cancer-related fatigue, and lymphedema. Exercise also may be helpful during the palliative care phase to alleviate symptoms and increase physical well-being. This article will familiarize physiatrists with the current state of evidence regarding the role and efficacy of exercise in persons with cancer.
HubMed – rehab



County Line Chiropractic Medical & Rehab Centers Sponsors the Sunrise Chamber of Commerce – County Line Chiropractic Medical & Rehab Centers are proud members of the Sunrise Chamber of Commerce. Our company had the opportunity to sponsor a breakfast at the Crowne Plaza hotel in Sunrise. Dr. Hajisafari and Chief Marketing Officer Tiffany DiPanni informed members from the chamber commerce about chiropractic care. Ifyou have back pain, had a injury, or have been in a car accident, please give us a call to schedule an appointment 1-800-811-1231 We have five locations in South Florida. For all of our locations log on to our website at COUNTYLINECHIRO.com


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