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Daniel L. Borges, Mayara Gabrielle Silva, Luan Nascimento Silva, João Vyctor Fortes, Erika Thalita Costa, Rebeca Pessoa Assunção, Carlos Magno Lima, Vinícius José da Silva Nina, Mário Bernardo-Filho and Danúbia Sá Caputo

Background:

Physical activity is beneficial in several clinical situations and recommended for patients with ischemic heart disease, as well as for those undergoing cardiac surgery.

Methods:

In a randomized controlled trial, 34 patients underwent coronary artery bypass grafting. A randomized control group (n = 15) submitted to conventional physiotherapy. The intervention group (n = 19) received the same protocol plus additional aerobic exercise with cycle ergometer. Pulmonary function by spirometry, respiratory muscle strength by manovacuometry, and functional capacity through 6-minute walking test was assessed before surgery and at hospital discharge.

Results:

There was significant reduction in pulmonary function in both groups. In both groups, inspiratory muscle strength was maintained while expiratory muscle strength significantly decreased. Functional capacity was maintained in the intervention group (364.5 [324.5 to 428] vs. 348 [300.7 to 413.7] meters, P = .06), but it decreased significantly in control group patients (320 [288.5 to 393.0] vs. 292 [237.0 to 336.0] meters, P = .01). A significant difference in functional capacity was also found in intergroup analyses at hospital discharge (P = .03).

Conclusion:

Aerobic exercise applied early on coronary artery bypass grafting patients may promote maintenance of functional capacity, with no impact on pulmonary function and respiratory muscle strength when compared with conventional physiotherapy.

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Ahmadreza Nematollahi, Fahimeh Kamali, Ali Ghanbari, Zahra Etminan and Sobhan Sobhani

The aim of this study was to examine and compare the effects of conventional, multisensory, and dual-task exercises on balance ability in a group of older community dwellers over a four-week period. Forty-four older people were randomly assigned to one of the three training groups. The score on the Fullerton Advanced Balance (FAB) scale, gait stability ratio, and walking speed were evaluated at baseline and after four weeks of training. All three groups showed significant (p < .001) improvement in the FAB scores following the three training programs (on average, 3 points for the conventional and multisensory groups and 3.8 points for the dual-task group). The improvements were comparable across the three intervention groups (p = .23). There were no statistically significant differences, neither within nor between groups, in the gait stability ratio and walking speed across the three training groups. In a four-week period, all the training modes were effective in improving balance of older adults, with no significant superiority of one mode of training over another.

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Helen M. Binkley and Lauren E. Rudd

Physiotherapy Evidence Database scale (PEDro scale). The PEDro scale was selected because it was developed to assess the methodological quality of RCTs and clinical practice guidelines. Reliability and validity for the PEDro scale have been established. 46 – 48 The 11 items of the PEDro scale are shown in

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Miguel A. Sanchez-Lastra, Kyle J. Miller, Rodolfo I. Martínez-Lemos, Antón Giráldez and Carlos Ayán

, SPORTDiscus, CINAHL, The Cochrane Library, and the physiotherapy evidence database. The search was based on the population, intervention, comparison, and outcome strategy. Following the recommendations from Cochrane’s Handbook for Systematic Reviews of Interventions, 28 only terms regarding the population

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Daniela Mirandola, Guido Miccinesi, Maria Grazia Muraca, Eleonora Sgambati, Marco Monaci and Mirca Marini

Background:

Physical activity interventions are known to be effective in improving the physical and psychological complaints of breast cancer survivors.

Purpose:

To investigate the impact of a specific exercise training program on upper limb mobility and quality of life in breast cancer survivors.

Methods:

The study included 55 women recruited at the Cancer Rehabilitation Centre in Florence after the completion of breast cancer treatment and rehabilitative physiotherapy. All participants underwent an 8-week specific exercise training to improve upper limb mobility function and quality of life. Anthropometric parameters were measured, and each subject underwent a battery of fitness tests to assess shoulder-arm mobility, range of motion, and back flexibility before and after specific exercise program. All participants filled out the Short Form-12 and numerical rating scale questionnaires to assess the quality of life and to quantify back and shoulder pain intensity.

Results:

The evaluation of shoulder-arm mobility and self-reported questionnaire data revealed a statistically significant improvement after completion of our specific exercise program.

Conclusion:

An organized specific program of adapted physical activity can be effective in reducing the main adverse effects of surgery and oncological therapy, and may significantly improve shoulder-arm mobility and quality of life in breast cancer survivors.

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Cormac G. Ryan, Patricia Schofield and Denis J. Martin

Negative views of older adults can lead to suboptimal care. For older adults with persistent low back pain (LBP), promotion of physical activity by health care professionals is important. Health care professionals’ views of older adults are influenced by their training. This study aimed to compare recommendations for physical activity for managing persistent LBP offered by students in physiotherapy and occupational therapy to an older person vs. a younger person. In a cross-sectional online survey, participants (N = 77) randomly received a vignette of either a 40-yr-old or 70-yr-old patient with persistent LBP. Other than age, the vignettes were identical. There was no difference between the younger and older vignettes in the likelihood of participants making overall appropriate physical activity recommendations—63% vs. 59%, OR (95%CI) = 1.19 (0.48–2.99), p = .71—although there was a trend toward age bias on recommendations specific to daily activity. Postqualification education may be where ageist views need to be addressed.

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Marina Arkkukangas, Susanna Tuvemo Johnson, Karin Hellström, Elisabeth Anens, Michail Tonkonogi and Ulf Larsson

is, exercise should be supported and exercise adherence and progression is of utmost importance ( Sherrington et al., 2017 ). Since older adults’ engagement in PA and exercise is known to be generally low ( Basset, 2003 ), future research should focus on noncompliance to physiotherapy prescriptions

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Anna C. Severin, Brendan J. Burkett, Mark R. McKean, Aaron N. Wiegand and Mark G.L. Sayers

objective and self-reported outcomes . Physiotherapy, 101 ( 2 ), 204 – 213 . PubMed ID: 25597513 doi:10.1016/j.physio.2014.09.001 10.1016/j.physio.2014.09.001 Barela , A. M. , & Duarte , M. ( 2008 ). Biomechanical characteristics of elderly individuals walking on land and in water . Journal of

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Evelin Mäestu, Merike Kull, Kerli Mooses, Jarek Mäestu, Maret Pihu, Andre Koka, Lennart Raudsepp and Jaak Jürimäe

of Tartu, Institute of Sport Sciences and Physiotherapy, Research Group of Physical Activity for Health . Unpublished data; 2018 . 6. Estonian Sports Register . Records for the Year 2017 . Tartu, Estonia : Eesti Spordiregister . 2018 . www

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Rebecca Reynolds, Santhya and David Menzies

inform future collaborations in physical activity public health. Methods A survey was conducted through e-mail in 2015 of the 11 member organizations of the NPAA: Alzheimer’s Australia, Arthritis Australia, Australian Physiotherapy Association, Cancer Council Australia, Exercise and Sports Science