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Birinder Singh B. Cheema, Marissa Lassere, Ronald Shnier and Maria A. Fiatarone Singh

The purpose of this article is to document a rotator cuff tear sustained by an elderly woman performing progressive resistance training (PRT) in a recent randomized controlled clinical trial. The patient was a sedentary 73-y-old Caucasian woman. Investigation revealed an acute, full-thickness tear of the right supraspinatus secondary to performing a shoulder press exercise. Further investigation via MRI revealed degenerative disease of the acromioclavicular joint including lateral downsloping of the acromion and an anteroinferior acromial spur, which would presdispose to impingement. Conservative management was implemented in this case for over 6 months with minimal success. The patient remained functionally limited in virtually all activities of daily living. Given the medical history, health status, physical condition, and age of our patient, it is probable that degenerative changes predisposed the patient to the injury. To our knowledge this is the first published report of an older adult sustaining a rotator cuff tear during PRT.

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Margaret K. Danilovich, David E. Conroy and T. George Hornby

-reporting the targeted RPE intensity, actual HR reserve during training was, on average, 16% under our targeted goal (Table  2 ). Participants took an average of 850.4 steps per 30-min intervention session, which represented approximately 50% of the total daily steps at baseline. There were no adverse events

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Noureddin Nakhostin Ansari, Parisa Alaei, Soofia Naghdi, Zahra Fakhari, Shiva Komesh and Jan Dommerholt

experienced no serious discomfort and adverse events attributed to the DN except mild pain and muscle soreness. Table  1 displays the mean values for the pre- and post-DN outcome variables. After DN at T1 and T2, values for all outcome measures increased compared with pre-DN at T0. Values at T2 follow

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Xiao Bao, Jie-Wen Tan, Ying Long, Howe Liu and Hui-Yu Liu

were clinical data for 3 groups. Values were presented as a number, mean (SD). Safety Outcomes No adverse events occurred during the study such as chest distress, palpitation, falling, and hyperventilation reactions to the face mask or hypoxic air. Discussion This was the first study to investigate the

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Nicholas Hattrup, Hannah Gray, Mark Krumholtz and Tamara C. Valovich McLeod

is grade B evidence to demonstrate early controlled aerobic exercise, either alone or in combination with a multimodal treatment plan, may reduce the duration of symptoms following recovery and appears to cause little to no adverse events. Search Strategy Terms Used to Guide Search Strategy • P

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Elizabeth F. Teel, Stephen W. Marshall, L. Gregory Appelbaum, Claudio L. Battaglini, Kevin A. Carneiro, Kevin M. Guskiewicz, Johna K. Register-Mihalik and Jason P. Mihalik

serious adverse events (AEs) related to exercise therapy reported in previous studies. 16 Such caution is consistent with animal models suggesting that exercise too close to injury may be detrimental to recovery. 17 To inform acute concussion exercise guidelines, interventions should first undergo a

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Timothy J.H. Lathlean, Paul B. Gastin, Stuart V. Newstead and Caroline F. Finch

wellness at this level will help to optimize player management and has the potential to reduce the risk of adverse events, such as injury. Practical Applications 1. This study provides evidence for associations between training and match loads and elite junior AF player wellness. 2. Self-reported loads are

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Wei Duan-Porter, Remy R. Coeytaux, Jennifer R. McDuffie, Adam P. Goode, Poonam Sharma, Hillary Mennella, Avishek Nagi and John W. Williams Jr.

Background:

This study describes evidence of yoga’s effectiveness for depressive disorders, general anxiety disorder (GAD), panic disorder (PD), and posttraumatic stress disorder (PTSD) in adults. We also address adverse events associated with yoga.

Methods:

We searched multiple electronic databases for systematic reviews (SRs) published between 2008 and July 2014, randomized controlled trials (RCTs) not identified in eligible SRs, and ongoing RCTs registered with ClincalTrials.gov.

Results:

We identified 1 SR on depression, 1 for adverse events, and 3 addressing multiple conditions. The high-quality depression SR included 12 RCTs (n = 619) that showed improved short-term depressive symptoms (standardized mean difference, –0.69, 95% confidence interval, –0.99 to –0.39), but there was substantial variability (I2 = 86%) and a high risk of bias for 9 studies. Three SRs addressing multiple conditions identified 4 nonrandomized studies (n = 174) for GAD/PD and 1 RCT (n = 8) and 2 nonrandomized studies (n = 22) for PTSD. We separately found 1 RCT (n = 13) for GAD and 2 RCTs (n = 102) for PTSD. Collectively, these studies were inconclusive for the effectiveness of yoga in treating GAD/PD and PTSD. The high-quality SR for adverse events included 37 primary reports (n = 76) in which inversion postures were most often implicated. We found 5 ongoing trials (3 for PTSD).

Conclusions:

Yoga may improve short-term depressive symptoms, but evidence for GAD, PD, and PTSD remain inconclusive.

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Bareket Falk

for children and adolescents, as it is for mature adults. But is it? What are those statements based on? To a great extent, they rely on the fact that prospective studies of resistance training in children and adolescents rarely report any such injuries or adverse events. Most reports of resistance