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Bernardine M. Pinto, Bess H. Marcus, Robert B. Patterson, Mary Roberts, Andrea Colucci and Christina Braun

Exercise has been shown to improve walking ability in individuals with arterial claudication. This study compared the effects of an on-site supervised exercise program and a home exercise program on quality of life and psychological outcomes in these individuals. Sixty individuals were randomly assigned to a 12-week on-site or a 12-week home-based exercise program. Quality of life, mood and pain symptoms, and walking ability were examined at baseline, posttreatment, and at 6 months follow-up. Individuals in the on-site exercise program showed significantly greater improvements in walking ability. Although sample size limited the ability to detect significant differences between groups on quality of life and psychological measures, both groups were comparable on improvements in quality of life and in mood. These data suggest that a home exercise program with weekly feedback may provide improved quality of life and mood benefits for individuals with arterial claudication but does not provide improvements in walking equivalent to those provided by an on-site exercise program.

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Sharon L. Olson, Shu-Shi Chen and Ching-Yi Wang

Objective:

To determine exercise efficacy in improving dynamic balance in community-dwelling elderly with a fall history.

Methods:

Thirty-five participants were randomly assigned to a treatment (TG; n = 19, 77 ± 7 yr) or control group (CG; n = 16, 75 ± 8 yr). The TG received an individualized home exercise program, and the CG received phone calls twice per week for 12 weeks. Participants’ dynamic-balance abilities— directional control (DC), endpoint excursion (EE), maximum excursion (ME), reaction time (RT), and movement velocity (MV)—were measured using the Balance Master at 75% limits of stability. Functional reach (FR) was also measured.

Results:

At 12 weeks the TG demonstrated significant improvements in DC (p < .0025), EE (p < .0005), and ME (p < .0005), but the CG did not. No significant group differences were found for MV, RT, or FR.

Conclusions:

Excursion distances and directional control improved but not reaction time, suggesting that exercises requiring quick responses may be needed.

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Joseph M. Day, Robert Barry Dale and Elizabeth Kennedy

, with the rise in health care costs, many patients and rehabilitation specialists are opting to reduce the number of on-site visits and focus on home exercise programs (HEP). As a result, many rehabilitation specialists and patients now depend on HEPs as the primary intervention to treat LE. Focused

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Gregory G. Billy and Sayers J. Miller

An avid weightlifter presented with complaints of right arm and hand numbness. His workup was consistent with neurologic thoracic outlet syndrome with severe conduction block at the level of the supraclavicular fossa. He chose conservative treatment, which focused on correction of thoracic and cervical segmental dysfunction, upper crossed syndrome muscle imbalances, and upper trunk and anterior forward head postural concerns. Upon completion of the therapy program and continuation of a home exercise program, his conduction block and symptoms resolved. Conservative treatment may be an effective alternative to surgery for neurologic thoracic outlet syndrome.

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James W. Youdas, Timothy J. McLean, David A. Krause and John H. Hollman

Context:

Posterior calf stretching is believed to improve active ankle dorsiflexion range of motion (AADFROM) after acute ankle-inversion sprain.

Objective:

To describe AADFROM at baseline (postinjury) and at 2-wk time periods for 6 wk after acute inversion sprain.

Design:

Randomized trial.

Setting:

Sports clinic.

Participants:

11 men and 11 women (age range 11–54 y) with acute inversion sprain.

Intervention:

Standardized home exercise program for acute inversion sprain.

Main Outcome Measure:

AADFROM with the knee extended.

Results:

Time main effect on AADFROM was significant (F 3,57 = 108, P < .001). At baseline, mean active sagittal-plane motion of the ankle was 6° of plantar flexion, whereas at 2, 4, and 6 wk AADFROM was 7°, 11°, and 11°, respectively.

Conclusions:

AADFROM increased significantly from baseline to week 2 and from week 2 to week 4. Normal AADFROM was restored within 4 wk after acute inversion sprain.

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Nicole Kahle and Michael A. Tevald

To determine the effect of core muscle strengthening on balance in community-dwelling older adults, 24 healthy men and women between 65 and 85 years old were randomized to either exercise (EX; n = 12) or control (CON; n = 12) groups. The exercise group performed a core strengthening home exercise program thrice weekly for 6 wk. Core muscle (curl-up test), functional reach (FR) and Star Excursion Balance Test (SEBT) were assessed at baseline and follow-up. There were no group differences at baseline. At follow-up, EX exhibited significantly greater improvements in curl-up (Cohen’s d = 4.4), FR (1.3), and SEBT (>1.9 for all directions) than CON. The change in curl-up was significantly correlated with the change in FR (r = .44, p = .03) and SEBT (r > .61, p ≤ .002). These results suggest that core strengthening should be part of a comprehensive balance-training program for older adults.

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Lorraine J. Phillips and Marcia Flesner

This qualitative study investigated individual and situational factors influencing physical activity (PA) practices of elders in residential-care/assisted-living (RC/ AL) communities. This article describes the results of focus-group interviews involving 47 residents across 6 RC/AL settings. Thematic analysis revealed 6 themes: staying active, past PA experiences, value of PA, barriers to PA, strategies to facilitate PA, and support needs to promote PA. Staying active meant walking indoors and out, attending chair-exercise programs, performing professionally prescribed home exercises, and using available exercise equipment. Past PA experiences shaped current preferences and practices. Participants agreed that exercise helped maintain physical functioning but recounted cognitive and situational barriers to PA. Lack of dedicated exercise space and short corridors hampered efforts to stay active. Participants wished for individualized home exercise programs and supervised exercise sessions. Future research should examine the extent to which the physical environment and PA programming in RC/AL communities affect elders’ PA.

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John J. Fraser and Jay Hertel

are empirically assessed prior to prescription. Therefore, the purpose of this preliminary randomized control trial was to assess the effectiveness of a 4-week IFM home exercise program on rating of perceived difficulty, motor performance, and IFM activation in healthy, recreationally active young

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Tim Henwood, Sharon Hetherington, Madeleine Purss, Kevin Rouse, Julie Morrow and Michele Smith

a low risk of falling. Participation included a baseline and follow-up assessment and regular participation in an in-home exercise program for 18 weeks. Client eligibility was discussed by HCWs with the project manager, an accredited exercise physiologist experienced in working with older people

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Claudia Meyer, Sophie Hill, Keith D. Hill and Briony Dow

-being of person with dementia  • Supportive relationship between person with dementia and caregiver, with supportive extended family nearby  • Person with dementia keen to be involved with family social network  • Willingness of caregiver to undertake home exercise program with person with dementia