The Experts below are selected from a list of 11145 Experts worldwide ranked by ideXlab platform
Martin Brochu - One of the best experts on this subject based on the ideXlab platform.
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Lifestyle habits and Physical Capacity in patients with moderate or severe metabolic syndrome.
Metabolic Syndrome and Related Disorders, 2012Co-Authors: Martin Sénéchal, Danielle R. Bouchard, Isabelle J. Dionne, Martin BrochuAbstract:Abstract Background: Metabolic is a heterogeneous concept that includes five elements, each of which has individual thresholds that might be different when considered as a criterion in the metabolic syndrome. Therefore, some individuals might present different levels of metabolic syndrome. This study aims to identify two different severities of patients with metabolic syndrome—moderate versus severe—and the respective association of these severities with lifestyle habits and Physical Capacity. Methods: The sample included 2,281 adults aged between 19 and 85 years from the National Health and Nutrition Examination Survey (NHANES) study. Subjects were subcategorized into three groups: No metabolic syndrome, moderate metabolic syndrome, or severe metabolic syndrome. Physical activity and dietary habits were assessed by questionnaires. Cardiorespiratory fitness (CRF) was measured in adults aged
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Changes in objective and self-reported measures of Physical Capacity after an intervention in obese older women.
Journal of Women & Aging, 2010Co-Authors: Danielle R. Bouchard, Lisa Soucy, Martin Sénéchal, Isabelle J. Dionne, Martin BrochuAbstract:The aim of this study was to determine if objective and self-reported measures of Physical Capacity are two equivalent methods to detect changes following an intervention in obese older women. 36 obese women aged between 55 and 75 years participated in a 3-month study with the aim of improving Physical Capacity by caloric restriction and/or resistance training. Physical Capacity was measured objectively with 10 different tests and self-reported with the SF-36 Physical functioning score (SF-36 PF score). Then the performance-to-objective tests were computed using quartiles to provide a baseline global Physical Capacity score. The mean percentage of change of the 10 tests as well as the SF-36 PF score were also calculated after the study. Body composition was measured by dual-energy X-ray (DXA) absorptiometry. The baseline global Physical Capacity score and the SF-36 PF score were significantly correlated at baseline (r = 0.43; P < 0.01). Eight out of the 10 objective tests of Physical Capacity improved aft...
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sarcopenic obesity and Physical Capacity in older men and women data from the nutrition as a determinant of successful aging nuage the quebec longitudinal study
Obesity, 2009Co-Authors: Danielle R. Bouchard, Isabelle J. Dionne, Martin BrochuAbstract:Sarcopenia and obesity have been independently associated with Physical Capacity impairments. However, few studies have investigated the impact of sarcopenic/obesity on Physical Capacity in older individuals using objective measures of Physical Capacity and body composition. This study included 904 older individuals aged between 68 and 82 years old. Body composition (fat mass (FM) and lean body mass (LBM) by dual-energy X-ray absorptiometry (DXA)), Physical Capacity (timed up and go, chair stands, walking speed at normal and fastest pace, and one leg stand), sum of reported chronic conditions and Physical activity level were measured. A global Physical Capacity score was then calculated giving a maximal score of 20. Finally, four groups were created within genders based on sarcopenia and obesity ((i) nonsarcopenic/nonobese; (ii) sarcopenic/nonobese; (iii) nonsarcopenic/obese; (iv) sarcopenic/obese). The four groups were significantly different for the sit-to-stand test and the one leg stand test (P < 0.05) and only for the one leg stand test in women (P < 0.05). In both genders results for the global Physical Capacity score revealed that both obese groups (sarcopenic and nonsarcopenic) were similar (P = 0.14 in men and P = 0.19 in women) and had a lower global Physical Capacity score compared to nonsarcopenic/nonobese individuals (P < 0.05). In addition, sarcopenic women displayed a higher score than both obese nonsarcopenic and obese sarcopenic groups (P < 0.01). Sarcopenic/obese men and women do not display lower Physical Capacity compared to nonsarcopenic/obese individuals in this cohort of well-functioning older men and women. Obesity per se appears to contribute more to lower Physical Capacity than sarcopenia.
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Sarcopenic/obesity and Physical Capacity in older men and women: data from the Nutrition as a Determinant of Successful Aging (NuAge)-the Quebec longitudinal Study.
Obesity, 2009Co-Authors: Danielle R. Bouchard, Isabelle J. Dionne, Martin BrochuAbstract:Sarcopenia and obesity have been independently associated with Physical Capacity impairments. However, few studies have investigated the impact of sarcopenic/obesity on Physical Capacity in older individuals using objective measures of Physical Capacity and body composition. This study included 904 older individuals aged between 68 and 82 years old. Body composition (fat mass (FM) and lean body mass (LBM) by dual-energy X-ray absorptiometry (DXA)), Physical Capacity (timed up and go, chair stands, walking speed at normal and fastest pace, and one leg stand), sum of reported chronic conditions and Physical activity level were measured. A global Physical Capacity score was then calculated giving a maximal score of 20. Finally, four groups were created within genders based on sarcopenia and obesity ((i) nonsarcopenic/nonobese; (ii) sarcopenic/nonobese; (iii) nonsarcopenic/obese; (iv) sarcopenic/obese). The four groups were significantly different for the sit-to-stand test and the one leg stand test (P < 0.05) and only for the one leg stand test in women (P < 0.05). In both genders results for the global Physical Capacity score revealed that both obese groups (sarcopenic and nonsarcopenic) were similar (P = 0.14 in men and P = 0.19 in women) and had a lower global Physical Capacity score compared to nonsarcopenic/nonobese individuals (P < 0.05). In addition, sarcopenic women displayed a higher score than both obese nonsarcopenic and obese sarcopenic groups (P < 0.01). Sarcopenic/obese men and women do not display lower Physical Capacity compared to nonsarcopenic/obese individuals in this cohort of well-functioning older men and women. Obesity per se appears to contribute more to lower Physical Capacity than sarcopenia.
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impact of resistance training with or without caloric restriction on Physical Capacity in obese older women
Menopause, 2009Co-Authors: Danielle R. Bouchard, Lisa Soucy, Martin Sénéchal, Isabelle J. Dionne, Martin BrochuAbstract:Objective: To investigate the specific impact of resistance training (RT) with or without caloric restriction (CR) on Physical Capacity in obese older women. Results: Body weight, total fat mass, percentage of fat mass, and body mass index (kg/m 2 ) significantly decreased in the CR and CR + RT groups (P G 0.01), whereas only the CR group showed a significant decrease in lean body mass (P G 0.05) after the 3-month program. The global Physical Capacity score significantly improved in the RT group (10.0 T 8.8%; P G 0.01), compared with the C group after 3 months. Conclusion: Overall, the 3-month RT program alone had a greater effect on Physical Capacity than CR or CR + RT. Thus, a 3-month RT could help prevent long-term decreases in Physical Capacity in obese older women.
Lucas H V Van Der Woude - One of the best experts on this subject based on the ideXlab platform.
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Physical Capacity after 7 weeks of low-intensity wheelchair training
Disability and Rehabilitation, 2010Co-Authors: Rosaline Van Den Berg, Sonja De Groot, Karin M. A. Swart, Lucas H V Van Der WoudeAbstract:Purpose. To simulate the effect of low-intensity exercise in early rehabilitation, we investigated the effect of a 7-week low-intensity norm duration hand rim wheelchair training on the Physical Capacity in untrained able-bodied individuals.Method. Twenty-five able-bodied participants were randomly assigned to an experimental and control group: 10 participants exercised 7 weeks, three times a week at 30% heart rate reserve (HRR) for 30 min (experimental group). The control group consisted of 15 participants who did not receive training. Physical Capacity (maximal isometric strength, sprint power, peak power output and peak oxygen uptake) and submaximal performance [heart rate (HR), oxygen uptake (VO2), mechanical efficiency (ME)] were assessed pre- and post-training. The levels of upper-body discomfort were determined with the use of a Local Perceived Discomfort scale.Results. Compared to the control group the experimental group significantly improved on sprint power (+31.2%), peak aerobic power output (+...
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the effects of upper body exercise on the Physical Capacity of people with a spinal cord injury a systematic review
Clinical Rehabilitation, 2007Co-Authors: L. J.m. Valent, Annet J. Dallmeijer, Han Houdijk, Eelkje Talsma, Lucas H V Van Der WoudeAbstract:Objective : To describe the effects of upper body training on the Physical Capacity of people with a spinal cord injury. Data sources : The databases of PubMed, CINAHL, Sport Discus and Cochrane were searched from 1970 to May 2006. Review methods : The keywords `spinal cord injury', `paraplegia', `tetraplegia' and `quadriplegia' were used in combination with `training'. The methodological quality of the included articles (both randomized controlled trials and controlled clinical trials) was assessed with the modified `van Tulder et al.' checklist. Studies were described with respect to population, test design, training protocol and mode of training. The training effects on Physical Capacity, reflected by peak power output (POpeak) and oxygen uptake (VO2peak), were summarized. Results : Twenty-five studies were included with a mean score of 8.8 out of 17 items on the quality checklist. The methodological quality was quite low, mostly because of the absence of randomized controlled trials. Therefore no meta...
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Physical Capacity and walking ability after lower limb amputation a systematic review
Clinical Rehabilitation, 2006Co-Authors: J M Van Velzen, Coen A. M. Van Bennekom, W Polomski, J Slootman, Lucas H V Van Der Woude, Han HoudijkAbstract:Objective: To review the influence of Physical Capacity on regaining walking ability and the development of walking ability after lower limb amputation.Design: A systematic search of literature was performed. The quality of all relevant studies was evaluated according to a checklist for statistical review of general papers.Subjects: Lower limb amputees.Main measures: Physical Capacity (expressed by aerobic Capacity, anaerobic Capacity, muscle force, flexibility and balance) and walking ability (expressed by the walking velocity and symmetry).Results: A total of 48 studies that complied with the inclusion criteria were selected. From these studies there is strong evidence for deterioration of two aspects of Physical Capacity (muscle strength and balance) and of two aspects of walking ability (walking velocity and symmetry) after lower limb amputation. Strong evidence was found for a relation between balance and walking ability.Conclusion: Strong evidence was only found for a relation between balance and wa...
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changes in Physical Capacity during and after inpatient rehabilitation in subjects with a spinal cord injury
Archives of Physical Medicine and Rehabilitation, 2006Co-Authors: Janneke A Haisma, Annet J. Dallmeijer, Johannes B J Bussmann, Henk J Stam, Tebbe A Sluis, Michael P Bergen, Sonja De Groot, Lucas H V Van Der WoudeAbstract:OBJECTIVE: To assess changes in Physical Capacity and its determinants in persons with a spinal cord injury. DESIGN: Prospective cohort study. Measurements at the start of active rehabilitation (t1), 3 months later (t2), at discharge (t3), and 1 year after discharge (t4). SETTING: Eight rehabilitation centers in The Netherlands. PARTICIPANTS: A total of 186 subjects at t1 and 123 subjects at t4. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Peak aerobic power output (POpeak), peak oxygen uptake (V(O2)peak), muscle strength of the upper extremity (manual muscle test, handheld dynamometry), and respiratory function (forced expiratory flow per second, forced vital Capacity). RESULTS: Random coefficient analysis demonstrated that the POpeak, V(O2)peak, strength, and respiratory function improved during inpatient rehabilitation, and that V(O2)peak, strength, and respiratory function continued to improve after discharge. Age, sex, and level and completeness of lesion were determinants of the change in components of Physical Capacity. CONCLUSIONS: Physical Capacity improves during inpatient rehabilitation, and some components continue to improve after discharge. Subpopulations have a different level of (change in) Physical Capacity. The components of Physical Capacity are related; intervention studies are needed to confirm whether training 1 component could improve another component.
Danielle R. Bouchard - One of the best experts on this subject based on the ideXlab platform.
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Lifestyle habits and Physical Capacity in patients with moderate or severe metabolic syndrome.
Metabolic Syndrome and Related Disorders, 2012Co-Authors: Martin Sénéchal, Danielle R. Bouchard, Isabelle J. Dionne, Martin BrochuAbstract:Abstract Background: Metabolic is a heterogeneous concept that includes five elements, each of which has individual thresholds that might be different when considered as a criterion in the metabolic syndrome. Therefore, some individuals might present different levels of metabolic syndrome. This study aims to identify two different severities of patients with metabolic syndrome—moderate versus severe—and the respective association of these severities with lifestyle habits and Physical Capacity. Methods: The sample included 2,281 adults aged between 19 and 85 years from the National Health and Nutrition Examination Survey (NHANES) study. Subjects were subcategorized into three groups: No metabolic syndrome, moderate metabolic syndrome, or severe metabolic syndrome. Physical activity and dietary habits were assessed by questionnaires. Cardiorespiratory fitness (CRF) was measured in adults aged
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Changes in objective and self-reported measures of Physical Capacity after an intervention in obese older women.
Journal of Women & Aging, 2010Co-Authors: Danielle R. Bouchard, Lisa Soucy, Martin Sénéchal, Isabelle J. Dionne, Martin BrochuAbstract:The aim of this study was to determine if objective and self-reported measures of Physical Capacity are two equivalent methods to detect changes following an intervention in obese older women. 36 obese women aged between 55 and 75 years participated in a 3-month study with the aim of improving Physical Capacity by caloric restriction and/or resistance training. Physical Capacity was measured objectively with 10 different tests and self-reported with the SF-36 Physical functioning score (SF-36 PF score). Then the performance-to-objective tests were computed using quartiles to provide a baseline global Physical Capacity score. The mean percentage of change of the 10 tests as well as the SF-36 PF score were also calculated after the study. Body composition was measured by dual-energy X-ray (DXA) absorptiometry. The baseline global Physical Capacity score and the SF-36 PF score were significantly correlated at baseline (r = 0.43; P < 0.01). Eight out of the 10 objective tests of Physical Capacity improved aft...
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sarcopenic obesity and Physical Capacity in older men and women data from the nutrition as a determinant of successful aging nuage the quebec longitudinal study
Obesity, 2009Co-Authors: Danielle R. Bouchard, Isabelle J. Dionne, Martin BrochuAbstract:Sarcopenia and obesity have been independently associated with Physical Capacity impairments. However, few studies have investigated the impact of sarcopenic/obesity on Physical Capacity in older individuals using objective measures of Physical Capacity and body composition. This study included 904 older individuals aged between 68 and 82 years old. Body composition (fat mass (FM) and lean body mass (LBM) by dual-energy X-ray absorptiometry (DXA)), Physical Capacity (timed up and go, chair stands, walking speed at normal and fastest pace, and one leg stand), sum of reported chronic conditions and Physical activity level were measured. A global Physical Capacity score was then calculated giving a maximal score of 20. Finally, four groups were created within genders based on sarcopenia and obesity ((i) nonsarcopenic/nonobese; (ii) sarcopenic/nonobese; (iii) nonsarcopenic/obese; (iv) sarcopenic/obese). The four groups were significantly different for the sit-to-stand test and the one leg stand test (P < 0.05) and only for the one leg stand test in women (P < 0.05). In both genders results for the global Physical Capacity score revealed that both obese groups (sarcopenic and nonsarcopenic) were similar (P = 0.14 in men and P = 0.19 in women) and had a lower global Physical Capacity score compared to nonsarcopenic/nonobese individuals (P < 0.05). In addition, sarcopenic women displayed a higher score than both obese nonsarcopenic and obese sarcopenic groups (P < 0.01). Sarcopenic/obese men and women do not display lower Physical Capacity compared to nonsarcopenic/obese individuals in this cohort of well-functioning older men and women. Obesity per se appears to contribute more to lower Physical Capacity than sarcopenia.
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Sarcopenic/obesity and Physical Capacity in older men and women: data from the Nutrition as a Determinant of Successful Aging (NuAge)-the Quebec longitudinal Study.
Obesity, 2009Co-Authors: Danielle R. Bouchard, Isabelle J. Dionne, Martin BrochuAbstract:Sarcopenia and obesity have been independently associated with Physical Capacity impairments. However, few studies have investigated the impact of sarcopenic/obesity on Physical Capacity in older individuals using objective measures of Physical Capacity and body composition. This study included 904 older individuals aged between 68 and 82 years old. Body composition (fat mass (FM) and lean body mass (LBM) by dual-energy X-ray absorptiometry (DXA)), Physical Capacity (timed up and go, chair stands, walking speed at normal and fastest pace, and one leg stand), sum of reported chronic conditions and Physical activity level were measured. A global Physical Capacity score was then calculated giving a maximal score of 20. Finally, four groups were created within genders based on sarcopenia and obesity ((i) nonsarcopenic/nonobese; (ii) sarcopenic/nonobese; (iii) nonsarcopenic/obese; (iv) sarcopenic/obese). The four groups were significantly different for the sit-to-stand test and the one leg stand test (P < 0.05) and only for the one leg stand test in women (P < 0.05). In both genders results for the global Physical Capacity score revealed that both obese groups (sarcopenic and nonsarcopenic) were similar (P = 0.14 in men and P = 0.19 in women) and had a lower global Physical Capacity score compared to nonsarcopenic/nonobese individuals (P < 0.05). In addition, sarcopenic women displayed a higher score than both obese nonsarcopenic and obese sarcopenic groups (P < 0.01). Sarcopenic/obese men and women do not display lower Physical Capacity compared to nonsarcopenic/obese individuals in this cohort of well-functioning older men and women. Obesity per se appears to contribute more to lower Physical Capacity than sarcopenia.
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impact of resistance training with or without caloric restriction on Physical Capacity in obese older women
Menopause, 2009Co-Authors: Danielle R. Bouchard, Lisa Soucy, Martin Sénéchal, Isabelle J. Dionne, Martin BrochuAbstract:Objective: To investigate the specific impact of resistance training (RT) with or without caloric restriction (CR) on Physical Capacity in obese older women. Results: Body weight, total fat mass, percentage of fat mass, and body mass index (kg/m 2 ) significantly decreased in the CR and CR + RT groups (P G 0.01), whereas only the CR group showed a significant decrease in lean body mass (P G 0.05) after the 3-month program. The global Physical Capacity score significantly improved in the RT group (10.0 T 8.8%; P G 0.01), compared with the C group after 3 months. Conclusion: Overall, the 3-month RT program alone had a greater effect on Physical Capacity than CR or CR + RT. Thus, a 3-month RT could help prevent long-term decreases in Physical Capacity in obese older women.
Annet J. Dallmeijer - One of the best experts on this subject based on the ideXlab platform.
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Effects of Hand Cycle Training on Physical Capacity in Individuals With Tetraplegia: A Clinical Trial
Physical Therapy, 2009Co-Authors: L. J.m. Valent, H. J. Slootman, T. W. Janssen, Annet J. Dallmeijer, Han Houdijk, M.w.m. Post, Lucas H. V. Van Der WoudeAbstract:BACKGROUND: Regular Physical activity is important for people with tetraplegia to maintain fitness but may not always be easily integrated into daily life. In many countries, hand cycling has become a serious option for daily mobility in people with tetraplegia. However, little information exists regarding the suitability of this exercise mode for this population. OBJECTIVE: The purpose of this study was to evaluate the effects of a structured hand cycle training program in individuals with chronic tetraplegia. DESIGN: Pretraining and posttraining outcome measurements of Physical Capacity were compared. SETTING: Structured hand cycle interval training was conducted at home or in a rehabilitation center in the Netherlands. PARTICIPANTS: Twenty-two patients with tetraplegia (American Spinal Injury Association Impairment Scale classification A-D) at least 2 years since injury participated. INTERVENTION: The intervention was an 8- to 12-week hand cycle interval training program. MEASURES: Primary outcomes of Physical Capacity were: peak power output (POpeak) and peak oxygen uptake (Vo(2)peak), as determined in hand cycle peak exercise tests on a motor-driven treadmill. Secondary outcome measures were: peak muscle strength (force-generating Capacity) of the upper extremities (as assessed by handheld dynamometry), respiratory function (forced vital Capacity and peak expiratory flow) and participant-reported shoulder pain. RESULTS: Significant improvements following a mean of 19 (SD=3) sessions of hand cycle training were found in POpeak (from 42.5 W [SD=21.9] to 50.8 W [SD=25.4]), Vo(2)peak (from 1.32 L.min(-1) [SD=0.40] to 1.43 L.min(-1) [SD=0.43]), and mechanical efficiency, as reflected by a decrease in submaximal oxygen uptake. Except for shoulder abduction strength, no significant effects were found on the secondary outcomes. LIMITATIONS: Common health complications, such as urinary tract infections, bowel problems, and pressure sores, led to dropout and nonadherence. CONCLUSION: Patients with tetraplegia were able to improve their Physical Capacity through regular hand cycle interval training, without participant-reported shoulder-arm pain or discomfort.
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The longitudinal relationship between lipid profile and Physical Capacity in persons with a recent spinal cord injury.
Spinal Cord, 2007Co-Authors: De Sonja Groot, Annet J. Dallmeijer, Marcel W. M. Post, E. L. D. Angenot, Van Der Lucas WoudeAbstract:Study design: A multicenter prospective cohort study. Objective: To determine the longitudinal relationship between Physical Capacity and lipid profile in persons with spinal cord injury (SCI) during and 1 year after rehabilitation. Setting: Eight Dutch rehabilitation centers with a specialized SCI unit. Methods: A total of 206 subjects with SCI (78 with tetraplegia) participated. The longitudinal relationship between lipid profiles (total cholesterol (TC), high-(HDL) and low-density lipoprotein (LDL) and triglycerides (TG) and Physical Capacity (peak power output (POpeak), peak oxygen uptake (VO(2)peak), and muscle strength) was investigated during inpatient SCI rehabilitation (start, 3 months later, discharge) and 1 year after discharge. A correction was made for the possible confounding variables age, body mass index, gender, time since injury, lesion level and completeness. Results: HDL and the ratios LDL/HDL and TC/HDL showed a significant and favorable relationship with VO(2)peak, POpeak and muscle strength. TG was positively related to POpeak and muscle strength. Conclusions: More favorable lipid profiles were seen in people with a higher Physical Capacity after correction for personal and lesion characteristics. Therefore, improving the Physical Capacity by being active during daily life or in sport may further improve the lipid profile and thus reduce the risk for coronary heart disease.
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the effects of upper body exercise on the Physical Capacity of people with a spinal cord injury a systematic review
Clinical Rehabilitation, 2007Co-Authors: L. J.m. Valent, Annet J. Dallmeijer, Han Houdijk, Eelkje Talsma, Lucas H V Van Der WoudeAbstract:Objective : To describe the effects of upper body training on the Physical Capacity of people with a spinal cord injury. Data sources : The databases of PubMed, CINAHL, Sport Discus and Cochrane were searched from 1970 to May 2006. Review methods : The keywords `spinal cord injury', `paraplegia', `tetraplegia' and `quadriplegia' were used in combination with `training'. The methodological quality of the included articles (both randomized controlled trials and controlled clinical trials) was assessed with the modified `van Tulder et al.' checklist. Studies were described with respect to population, test design, training protocol and mode of training. The training effects on Physical Capacity, reflected by peak power output (POpeak) and oxygen uptake (VO2peak), were summarized. Results : Twenty-five studies were included with a mean score of 8.8 out of 17 items on the quality checklist. The methodological quality was quite low, mostly because of the absence of randomized controlled trials. Therefore no meta...
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changes in Physical Capacity during and after inpatient rehabilitation in subjects with a spinal cord injury
Archives of Physical Medicine and Rehabilitation, 2006Co-Authors: Janneke A Haisma, Annet J. Dallmeijer, Johannes B J Bussmann, Henk J Stam, Tebbe A Sluis, Michael P Bergen, Sonja De Groot, Lucas H V Van Der WoudeAbstract:OBJECTIVE: To assess changes in Physical Capacity and its determinants in persons with a spinal cord injury. DESIGN: Prospective cohort study. Measurements at the start of active rehabilitation (t1), 3 months later (t2), at discharge (t3), and 1 year after discharge (t4). SETTING: Eight rehabilitation centers in The Netherlands. PARTICIPANTS: A total of 186 subjects at t1 and 123 subjects at t4. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Peak aerobic power output (POpeak), peak oxygen uptake (V(O2)peak), muscle strength of the upper extremity (manual muscle test, handheld dynamometry), and respiratory function (forced expiratory flow per second, forced vital Capacity). RESULTS: Random coefficient analysis demonstrated that the POpeak, V(O2)peak, strength, and respiratory function improved during inpatient rehabilitation, and that V(O2)peak, strength, and respiratory function continued to improve after discharge. Age, sex, and level and completeness of lesion were determinants of the change in components of Physical Capacity. CONCLUSIONS: Physical Capacity improves during inpatient rehabilitation, and some components continue to improve after discharge. Subpopulations have a different level of (change in) Physical Capacity. The components of Physical Capacity are related; intervention studies are needed to confirm whether training 1 component could improve another component.
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normative values and determinants of Physical Capacity in individuals with spinal cord injury
Journal of Rehabilitation Research and Development, 2002Co-Authors: Thomas W J Janssen, Annet J. Dallmeijer, Dirkjan Veeger, Luc H V Van Der WoudeAbstract:We reanalyzed data from five studies with similar or identical methodology performed by our laboratory to define normative values and determinants of Physical Capacity in individuals with tetraplegia and paraplegia. Each study consisted of a graded wheelchair exercise test to determine peak oxygen uptake and maximal power output and could additionally include a wheelchair sprint test to determine short-term (anaerobic) power output and/or an isometric strength test. The combined subject population included 166 individuals (20 women), varying considerably for age, body mass, lesion level, time since injury, and activity level. Ranges in Physical Capacity parameters were extensive and normative values for individuals with tetraplegia and paraplegia were established. These Physical Capacity norms could be used for evaluation of fitness status and training or therapeutic interventions. Multiple regression procedures indicated that 48-80% of the variance in Physical Capacity could be explained by lesion level and completeness, activity level, gender, age, body mass, and time since injury. Although Physical Capacity is largely determined by factors that cannot be altered, such as lesion level, age, and gender, changeable factors such as activity level and body mass play an additional role.
Han Houdijk - One of the best experts on this subject based on the ideXlab platform.
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Effects of Hand Cycle Training on Physical Capacity in Individuals With Tetraplegia: A Clinical Trial
Physical Therapy, 2009Co-Authors: L. J.m. Valent, H. J. Slootman, T. W. Janssen, Annet J. Dallmeijer, Han Houdijk, M.w.m. Post, Lucas H. V. Van Der WoudeAbstract:BACKGROUND: Regular Physical activity is important for people with tetraplegia to maintain fitness but may not always be easily integrated into daily life. In many countries, hand cycling has become a serious option for daily mobility in people with tetraplegia. However, little information exists regarding the suitability of this exercise mode for this population. OBJECTIVE: The purpose of this study was to evaluate the effects of a structured hand cycle training program in individuals with chronic tetraplegia. DESIGN: Pretraining and posttraining outcome measurements of Physical Capacity were compared. SETTING: Structured hand cycle interval training was conducted at home or in a rehabilitation center in the Netherlands. PARTICIPANTS: Twenty-two patients with tetraplegia (American Spinal Injury Association Impairment Scale classification A-D) at least 2 years since injury participated. INTERVENTION: The intervention was an 8- to 12-week hand cycle interval training program. MEASURES: Primary outcomes of Physical Capacity were: peak power output (POpeak) and peak oxygen uptake (Vo(2)peak), as determined in hand cycle peak exercise tests on a motor-driven treadmill. Secondary outcome measures were: peak muscle strength (force-generating Capacity) of the upper extremities (as assessed by handheld dynamometry), respiratory function (forced vital Capacity and peak expiratory flow) and participant-reported shoulder pain. RESULTS: Significant improvements following a mean of 19 (SD=3) sessions of hand cycle training were found in POpeak (from 42.5 W [SD=21.9] to 50.8 W [SD=25.4]), Vo(2)peak (from 1.32 L.min(-1) [SD=0.40] to 1.43 L.min(-1) [SD=0.43]), and mechanical efficiency, as reflected by a decrease in submaximal oxygen uptake. Except for shoulder abduction strength, no significant effects were found on the secondary outcomes. LIMITATIONS: Common health complications, such as urinary tract infections, bowel problems, and pressure sores, led to dropout and nonadherence. CONCLUSION: Patients with tetraplegia were able to improve their Physical Capacity through regular hand cycle interval training, without participant-reported shoulder-arm pain or discomfort.
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the effects of upper body exercise on the Physical Capacity of people with a spinal cord injury a systematic review
Clinical Rehabilitation, 2007Co-Authors: L. J.m. Valent, Annet J. Dallmeijer, Han Houdijk, Eelkje Talsma, Lucas H V Van Der WoudeAbstract:Objective : To describe the effects of upper body training on the Physical Capacity of people with a spinal cord injury. Data sources : The databases of PubMed, CINAHL, Sport Discus and Cochrane were searched from 1970 to May 2006. Review methods : The keywords `spinal cord injury', `paraplegia', `tetraplegia' and `quadriplegia' were used in combination with `training'. The methodological quality of the included articles (both randomized controlled trials and controlled clinical trials) was assessed with the modified `van Tulder et al.' checklist. Studies were described with respect to population, test design, training protocol and mode of training. The training effects on Physical Capacity, reflected by peak power output (POpeak) and oxygen uptake (VO2peak), were summarized. Results : Twenty-five studies were included with a mean score of 8.8 out of 17 items on the quality checklist. The methodological quality was quite low, mostly because of the absence of randomized controlled trials. Therefore no meta...
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Physical Capacity and walking ability after lower limb amputation a systematic review
Clinical Rehabilitation, 2006Co-Authors: J M Van Velzen, Coen A. M. Van Bennekom, W Polomski, J Slootman, Lucas H V Van Der Woude, Han HoudijkAbstract:Objective: To review the influence of Physical Capacity on regaining walking ability and the development of walking ability after lower limb amputation.Design: A systematic search of literature was performed. The quality of all relevant studies was evaluated according to a checklist for statistical review of general papers.Subjects: Lower limb amputees.Main measures: Physical Capacity (expressed by aerobic Capacity, anaerobic Capacity, muscle force, flexibility and balance) and walking ability (expressed by the walking velocity and symmetry).Results: A total of 48 studies that complied with the inclusion criteria were selected. From these studies there is strong evidence for deterioration of two aspects of Physical Capacity (muscle strength and balance) and of two aspects of walking ability (walking velocity and symmetry) after lower limb amputation. Strong evidence was found for a relation between balance and walking ability.Conclusion: Strong evidence was only found for a relation between balance and wa...