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Browsing by Subject "Exercise therapy"

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    Moderate-vigorous physical activity improves long-term clinical outcomes without worsening pain in fibromyalgia
    (Wiley, 2013) Kaleth, Anthony S.; Saha, Chandan K.; Jensen, Mark P.; Slaven, James E.; Ang, Dennis C.; Exercise & Kinesiology, School of Health and Human Sciences
    Objective: To evaluate the relationship between long-term maintenance of moderate to vigorous physical activity (MVPA) and clinical outcomes in fibromyalgia (FM). Methods: Patients with FM (n = 170) received individualized exercise prescriptions and completed baseline and followup physical activity assessments using the Community Health Activities Model Program for Seniors questionnaire at weeks 12, 24, and 36. The primary outcome was the change in the Fibromyalgia Impact Questionnaire-Physical Impairment (FIQ-PI) score. The secondary outcomes included improvements in overall well-being (FIQ total score), pain severity ratings, and depression. Results: Using a threshold increase in MVPA of ≥10 metabolic equivalent hours/week above usual activities, 27 subjects (15.9%) increased and sustained (SUS-PA), 68 (40%) increased but then declined (UNSUS-PA), and 75 (44.1%) did not achieve (LO-PA) this benchmark. Compared to LO-PA subjects, both SUS-PA and UNSUS-PA subjects reported greater improvement in FIQ-PI (P < 0.01) and FIQ total score (P < 0.05). Additionally, the SUS-PA group reported greater improvement in pain severity compared to the LO-PA group (P < 0.05). However, there were no significant group differences between SUS-PA and UNSUS-PA for any primary or secondary outcome measure. Conclusion: Increased participation in MVPA for at least 12 weeks improved physical function and overall well-being in patients with FM. Although sustained physical activity was not associated with greater clinical benefit compared with unsustained physical activity, these findings also suggest that performing greater volumes of physical activity is not associated with worsening pain in FM. Future research is needed to determine the relationship between sustained MVPA participation and subsequent improvement in patient outcomes.
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    Outcomes of Individualized Personal Training Programs for Three Adult Siblings with Autism
    (2014-04-11) Sermersheim, Mitchel; Stanton, Kathleen; Swinford, Rachel
    The purpose of this study was to assess the efficiency of three 6-week individualized personal training programs for three adult brothers who have autism. Using a single subject design, physical activity levels, basic fitness measures, and interviews were used to construct three individualized training programs to fit the subjects needs. Findings from this study can guide professionals in the adapted physical activity field who work with adults who have autism. Individualized personal training programs may provide an avenue for treatment or behavior modification for adults with autism. In conclusion, the benefits of individualized personal training programs for adults with autism are not well established. However, the results of this study indicated that providing adults with autism with an individualized training program can be beneficial for the individual in more ways than one way. All three subjects saw improvements upon starting the program.
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    Task-Oriented Exercise to Reduce Activities of Daily Living Disability in Vulnerable Older Adults: A Feasibility Study of the 3-Step Workout for Life
    (Human Kinetics, 2016-07) Liu, Chiung-ju; Jones, Leah Y.; Formyduval, Alyssa R. M.; Clark, Daniel O.; Occupational Therapy, School of Health and Rehabilitation Sciences
    The purpose of this feasibility study was to evaluate the 3-Step Workout for Life program, a 10-week exercise program that included moderate-intensity muscle strength training followed by task-oriented training. Fourteen participants completed the program (mean age = 73 years; SD = 6.83). The Box and Block test (Z = -2.24, p = .03) and the 30-s chair stand test (Z = -2.21, p = .03) indicate improved physical functioning of the upper and lower extremities. More importantly, results of the function component from the Late-Life Function and Disability Instrument (Z = -2.04, p = .04) and motor skills scale from the Assessment of Motor and Process Skills (Z = -2.97, p = .003) indicate subjective and objective improvements on performing activities of daily living. Supplementing moderate-intensity muscle strength exercise with task-oriented training components is feasible. Preliminary data support the effectiveness of 3-Step Workout for Life in reducing late-life disability.
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