{"title":"Effect of high-intensity interval training versus moderate-intensity continuous training on plasminogen activator inhibitor-1 in Type 2 diabetic women","authors":"A. Ahmad, Faten E. Ali, H. Ali","doi":"10.5114/areh.2022.122031","DOIUrl":"https://doi.org/10.5114/areh.2022.122031","url":null,"abstract":"Introduction: Thrombotic events in Type-2 diabetes are influenced by elevated plasminogen activator inhibitor-1 (PAI-1). This study compares the effects of high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) on PAI-1 level in Type-2 diabetic women. Material and methods : Twenty-six women with Type-2 diabetes were recruited and assigned to two groups; of these, 18 completed the study: a HIIT group (n = 8, 42.1 ± 6.8 years, 33.1 ± 4.95 kg/m 2 ) and a MICT group (n = 10, 41.1 ± 2.9 years, 35.2 ± 2.6 kg/m 2 ). Outcome measures were PAI-1, glycosylated hemoglobin (HbA1c), and body mass index (BMI). The HIIT group performed 4 × 4-min working phases at 85–90% of peak HR (heart rate), followed by 3-min active rest intervals. At 65–75% of peak HR, the MICT group exercised for 30 minutes. Both exercise interventions included a war - m-up and a cool-down period and were performed on a treadmill for eight weeks. Results: The HIIT group showed significant reductions in PAI-1 (29.09 ± 2.67 vs. 37.42 ± 3.52 ng/mL, p < 0.001) and HBA1c (6.45 ± 0.50 vs. 8.34 ± 0.44%, p < 0.001) compared to baseline. The MICT group showed significant reductions in PAI-1 (30.37 ± 2.92 vs. 38.49 ± 2.40 ng/mL, p < 0.001) and HbA1c (6.78 ± 0.36 vs. 8.15 ± 0.63%, p < 0.001) compared to baseline. The differences in these outcomes between groups were not significant. BMI was not significantly changed in either group. Conclusions: MICT could be as effective as HIIT for reducing elevated PAI-1 and HbA1c levels in obese women with Type 2 diabetes, regardless of BMI changes. However, the less vigorous MICT may be preferable in this patient population to improve fibrinolysis and hyperglycemia.","PeriodicalId":52524,"journal":{"name":"Postepy Rehabilitacji","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71062900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of manual therapy on pain, disability and neural mobility in patients of lumbar prolapsed intervertebral disc: a randomized controlled trial","authors":"Varun Singh, M. Malik","doi":"10.5114/areh.2022.119699","DOIUrl":"https://doi.org/10.5114/areh.2022.119699","url":null,"abstract":"Introduction: Lumbar prolapsed intervertebral disc (PIVD) is a common health issue affecting young and middle-aged populations. The aim of the present study was to determine the effect of manual therapy interventions on pain, disability, and neural mobility in lumbar PIVD patients. Material and methods: Eighty-eight participants were assigned to four groups (22 people in each group): Spinal Mobilization with Leg Movement (SMWLM) group, High-Velocity Low Amplitude (HVLA) thrust group, Neural Mobilization (NM) group and Control Treatment (CT) group. The outcomes measures, viz. changes in pain, disability, and straight leg raise range of motion (SLR ROM), were assessed at baseline, after four weeks of treatment, and after a six-week follow-up. Results: The greatest mean improvement was seen in the SMWLM group, with a VAS score of 6.05 ± 1.32, compared to the HVLA group (3.68 ± 0.75), NM group (3.2 ± 0.62) and CT group (1.91 ± 1.22), ODI score of 15.65 ± 2.43 compared to the HVLA group (11.89 ± 1.29), NM group (10.85 ± 1.53) and CT group (3.77 ± 2.43) and a SLR ROM score of 15.06 ± 3.1 compared to the HVLA group (7.89 ± 2.21), NM group (7.07 ± 2.58) and CT group (1.59 ± 2.58). Conclusions: SMWLM group showed the most significant mean change for visual analog scale, Oswestry Disability Index, and SLR ROM compared to other groups. SMWLM may be a better viable choice in conservative management of lumbar PIVD.","PeriodicalId":52524,"journal":{"name":"Postepy Rehabilitacji","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71062942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Şule Hantal, U. Şaylı, F. Subasi, E. Çil, E. Koç, Aslı Yeral, Tolga Akyol
{"title":"Chronic ankle instability and associated factors in the general population: a pilot study","authors":"Şule Hantal, U. Şaylı, F. Subasi, E. Çil, E. Koç, Aslı Yeral, Tolga Akyol","doi":"10.5114/areh.2022.123138","DOIUrl":"https://doi.org/10.5114/areh.2022.123138","url":null,"abstract":"Introduction: Acute ankle sprains have a high recurrence rate associated with the development of chronic ankle instability (CAI). However, such damage can be ameliorated by understanding the contributing factors. Therefore, this study investigated the relationship between the associated independent factors and chronic instability. Material and methods: This cross-sectional study included 273 volunteers (F/M: 175/98, mean age, 34.4 ± 13.2 years; range, 18–78). Data was collected by a structured two-part questionnaire: (1) sociodemographic features, viz. age, gender, height, weight, dominant side, type and duration of physical activity, presence of chronic medical problems, and (2) general health conditions, viz. history of operation and trauma, number of painful regions, intensity, duration, of foot and ankle). Subjects are classified as having CAI with a Cumberland Ankle Instability Tool (CAIT) score ≤ 27. Results: The mean CAIT score was significantly lower in women than men. For both sides, the lowest CAIT scores were demonstrated by subjects with a Body Mass Index (BMI) ≥ 30.0 (p < 0.05). The total number of painful areas bila - terally, pain level, and CAIT score of the opposite ankle were determined as predictive factors of CAI (Right: R2 = 0.54","PeriodicalId":52524,"journal":{"name":"Postepy Rehabilitacji","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71063126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neuromuscular Exercise with Neuromuscular electrical \u0000stimulation in Knee Osteoarthritis: A Randomised Controlled Pilot","authors":"Jyoti Sabharwal, Shabnam Joshi","doi":"10.5114/areh.2022.121561","DOIUrl":"https://doi.org/10.5114/areh.2022.121561","url":null,"abstract":"Introduction: The present study describes the findings of a randomized controlled trial (RCT) investigating the ef - fects of neuromuscular exercise (NEMEX) with neuromuscular electrical stimulation (NMES) on pain, physical function, balance, range of motion and gait, based on various outcome measures, in patients with knee osteoarthritis (KOA). Material and methods: A group of 48 subjects with knee osteoarthritis was randomly allocated into four groups (group A: Conventional treatment; group B: NEMEX; group C: NMES; group D: NEMEX in combination with NMES & Conventional) with the following primary outcomes: feasibility, assessment procedure, adherence and acceptability of the intervention. The secondary outcomes were pain, on the visual analog scale (VAS), knee injury osteoarthritis out - come score (KOOS), timed up & go (TUG), range of motion (ROM), community balance & mobility scale (CBM&S) and dynamic gait index (DGI). Feasibility and acceptability were evaluated by number of subjects completed the pre and post-treatment data. Results: A significant improvement in VAS was noted after six weeks of treatment in group D (p = 0.0001) as com - pared to group A. KOOS sub variables and TUG test were significant at p = 0.0001, ROM (R) was significant at p = 0.01, ROM (L) significant at p = 0.11 and CBM&S, DGI were significant at p = 0.0001. Conclusions: This pilot trial suggests that fully-powered RCT is a feasible approach to investigating the effect of NEMEX with NMES in KOA. NEMEX with NMES may significantly reduce pain and fall risks, and improve ROM, balance and dynamic mobility in patients with KOA.","PeriodicalId":52524,"journal":{"name":"Postepy Rehabilitacji","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71062849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}