Cardiopulmonary physical therapy journal最新文献_第5页

Quantification of Tissue Oxygen Saturation in the Vastus Lateralis Muscle of Chronic Stroke Survivors during a Graded Exercise Test. 在分级运动测试中量化慢性中风存活者腹外侧肌的组织氧饱和度

Cardiopulmonary physical therapy journal Pub Date : 2023-01-01 Epub Date: 2022-11-07 DOI: 10.1097/cpt.0000000000000208

Allison S Hyngstrom, Jennifer N Nguyen, Toni D Uhrich, Michael T Wright, David D Gutterman, Brian D Schmit, Matthew J Durand

{"title":"Quantification of Tissue Oxygen Saturation in the Vastus Lateralis Muscle of Chronic Stroke Survivors during a Graded Exercise Test.","authors":"Allison S Hyngstrom, Jennifer N Nguyen, Toni D Uhrich, Michael T Wright, David D Gutterman, Brian D Schmit, Matthew J Durand","doi":"10.1097/cpt.0000000000000208","DOIUrl":"10.1097/cpt.0000000000000208","url":null,"abstract":"Purpose: This study examined tissue oxygen saturation (StO2) of the vastus lateralis (VL) muscles of chronic stroke survivors during a graded exercise test (GXT). We hypothesized the reduction in StO2 will be blunted in the paretic vs. non-paretic VL during a maximum-effort GXT.Methods: Chronic stroke survivors performed a GXT and StO2 of the VL in each leg was measured using near infrared spectroscopy. Twenty-six stroke survivors performed a GXT.Results: At rest, there was no difference in StO2 between the paretic and non-paretic VL (65±9% vs. 68±7%, respectively, p=0.32). The maximum change in StO2 from rest during the GXT was greater in the non-paretic vs. the paretic VL (-16±14% vs. -9±10%, respectively, p<0.001). The magnitude of the oxygen resaturation response was also greater in the non-paretic vs. the paretic VL (29±23% vs. 18±15%, respectively, p<0.001). VO2 Peak was associated with the magnitude of the VL StO2 change during (r2=0.54, p<0.0001) and after (r2=0.56, p<0.001) the GXT.Conclusions: During a GXT there is a blunted oxygen desaturation response in the paretic vs. the non-paretic VL of chronic stroke survivors. In the paretic VL there was a positive correlation between the oxygen desaturation response during the GXT and VO2 Peak.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"39-50"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9937433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10856916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

CSM 2023 Cardiovascular and Pulmonary Poster Abstracts csm2023心血管和肺海报摘要

Cardiopulmonary physical therapy journal Pub Date : 2023-01-01 DOI: 10.1097/cpt.0000000000000220

引用次数: 0

Physical Therapy Management of Postacute Sequelae of COVID-19 in Outpatient Settings: A Scoping Review 门诊COVID-19急性后后遗症的物理治疗管理:一项范围综述

Cardiopulmonary physical therapy journal Pub Date : 2022-12-26 DOI: 10.1097/CPT.0000000000000217

Kylie Scott, Summer Ankrum, E. Lindsey, Oskar Lopez, Jessica Beitner, Cyndi Reck, Mallory A. Kargela

{"title":"Physical Therapy Management of Postacute Sequelae of COVID-19 in Outpatient Settings: A Scoping Review","authors":"Kylie Scott, Summer Ankrum, E. Lindsey, Oskar Lopez, Jessica Beitner, Cyndi Reck, Mallory A. Kargela","doi":"10.1097/CPT.0000000000000217","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000217","url":null,"abstract":"Purpose: The devasting effects of the coronavirus disease 2019 (COVID-19) pandemic have warranted the rapid development of evidence surrounding the physical therapy (PT) management of the disease within inpatient settings. However, the medical community is still working to define the long-term effects of COVID-19, referred to as Postacute Sequalae of SARS-CoV-2 (PASC), and ways for physical therapists to manage them in outpatient settings. The primary objective of this review was to summarize the available evidence related to the PT management of PASC in outpatient settings. Methods: A systematic search in PubMed, Cumulative Index to Nursing and Allied Health Literature, Cochrane CENTRAL, Academic Search Complete, and MedLine yielded systematic and scoping reviews and randomized controlled trials, among others. Data extraction was performed independently by 2 reviewers with 8 studies included. Results: Only 3 publications were specific to the outpatient setting area, with 5 more studies that focused on outpatient practice as part of a multisetting study, or the postacute setting. Although the limited number and quality of publications creates challenges applying the interventions provided across a population, each were specific to PASC. Conclusions: This review supports the need for further research focused on the PT management of patients who are experiencing PASC in outpatient settings.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"64 - 74"},"PeriodicalIF":0.0,"publicationDate":"2022-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46299402","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}

引用次数: 1

Survey of Home Cleaning Practices With Noninvasive Ventilation Equipment 使用无创通风设备的家庭清洁实践调查

Cardiopulmonary physical therapy journal Pub Date : 2022-11-07 DOI: 10.1097/CPT.0000000000000215

Yiwei Qu, Maree A Milross, Olivia A McGuiness, C. Menadue, A. Piper

{"title":"Survey of Home Cleaning Practices With Noninvasive Ventilation Equipment","authors":"Yiwei Qu, Maree A Milross, Olivia A McGuiness, C. Menadue, A. Piper","doi":"10.1097/CPT.0000000000000215","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000215","url":null,"abstract":"Supplemental Digital Content is Available in the Text. Purpose: Home noninvasive ventilation (NIV) equipment is often observed to be dirty, potentially increasing patients' risk of respiratory infection. This study aimed to describe the cleaning practices of home NIV patients. Methods: This single-site, cross-sectional, observational study surveyed 100 patients from the respiratory failure clinic regarding cleaning instructions, cleaning habits, barriers, and motivators to cleaning. Open-ended responses were analyzed with basic content analysis and closed categorical responses with frequencies and percentages. Results: Of 100 participants, 77% responded. Cleaning instructions most commonly recalled included cleaning with soapy water for masks (26/47, 55%), head straps (19/47, 40%), and tubing (21/47, 45%); vinegar solution for humidifiers (9/39, 23%); and replacing filters (14/39, 36%). Fourteen respondents reported barriers to cleaning, including forgetfulness (7/14, 50%) and physical difficulties (6/14, 43%). Commonly reported cleaning practices included soapy water to soak masks (28/77, 36%) and tubing (35/77, 46%), weekly masks (34/77, 44%) and tubing cleaning (29/77, 38%), vinegar solution to clean humidifiers for the 36 humidifier users (15/36, 44%), monthly humidifier cleaning (13/36, 36%), and monthly filter cleaning/replacement (36/77, 47%). Conclusion: Few respondents could recall specific instructions about when and how to clean their equipment. Many reported routine cleaning, with varied methods and frequencies. Our results will inform future NIV equipment cleaning educational package design.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"87 - 96"},"PeriodicalIF":0.0,"publicationDate":"2022-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46795465","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}

引用次数: 1

Cardiovascular and Pulmonary Research: The Year (2021) in Review: Erratum 心血管和肺部研究:回顾年(2021年):勘误

Cardiopulmonary physical therapy journal Pub Date : 2022-10-24 DOI: 10.1097/cpt.0000000000000213

引用次数: 0

The Influence of Kinesiology Tape on Breathing Mechanics in College-Aged Individuals–A Randomized Trial 运动机能胶带对大学老年人呼吸力学的影响——一项随机试验

Cardiopulmonary physical therapy journal Pub Date : 2022-10-24 DOI: 10.1097/CPT.0000000000000211

Kelly M Lindenberg, Nancy K. Shipe, K. Kletzli, Rebecca Cannizzaro, Jonathan Timko, K. Calhoun

{"title":"The Influence of Kinesiology Tape on Breathing Mechanics in College-Aged Individuals–A Randomized Trial","authors":"Kelly M Lindenberg, Nancy K. Shipe, K. Kletzli, Rebecca Cannizzaro, Jonathan Timko, K. Calhoun","doi":"10.1097/CPT.0000000000000211","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000211","url":null,"abstract":"Purpose: Kinesiology Tape (KT) has been used to improve mobility and muscle activation. Limited research has studied its effect on respiratory function. The purpose of this study was to investigate the influence of KT on chest wall excursion (CWE) and magnitude of respiratory muscle activation. Methods: Ninety subjects were randomly assigned to receive KT, sham tape, or no tape around the lower thoracic region. Measures, including CWE, maximal inspiratory pressure (MIP), and surface electromyography (sEMG) of intercostal and scalene muscles, were taken during a maximal inspiratory effort before (T-B) and after (T-1) tape application. Subjects continued to wear the tape and returned 48 hours later for another set of measurements (T-2). Repeated measures Analysis of Variance and post-hoc paired t-tests were used to determine the influence of tape. Results: No significant differences were identified for sEMG amplitude or CWE. Maximal inspiratory pressure scores showed no significant between-group effect; however, a significant within-group effect was found. Post-hoc analyses revealed significant differences between T-B and T-2 and T-1 and T-2 for all groups. Conclusion: Kinesiology Tape application did not show increased muscle activation, CWE, or MIP compared with sham and control scenarios. A significant training effect for MIP was identified. Future research should investigate KT effects in other age groups or with the presence of pulmonary pathology.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"75 - 80"},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43961321","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}

引用次数: 1

In Vitro Exercise-Induced Endothelial Shear Stress Protects the Vascular Endothelium 体外运动诱导的内皮剪切应力对血管内皮的保护作用

Cardiopulmonary physical therapy journal Pub Date : 2022-10-24 DOI: 10.1097/CPT.0000000000000214

M. Amador, Jonathan A. Huerta, M. A. Garcia, D. Conde, A. Gurovich

{"title":"In Vitro Exercise-Induced Endothelial Shear Stress Protects the Vascular Endothelium","authors":"M. Amador, Jonathan A. Huerta, M. A. Garcia, D. Conde, A. Gurovich","doi":"10.1097/CPT.0000000000000214","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000214","url":null,"abstract":"Purpose: To determine whether exercise-induced levels of endothelial shear stress (ESS) observed in vivo upregulates endothelial protective proteins in vitro. Methods: In vivo carotid ESS was obtained from previously published data. Human umbilical vein endothelial cells were seeded in a collagen-coated Y-luer slides with a bifurcation that mimics the common carotid artery and its bifurcation. Four duplicate groups were exposed to 5 hours of resting ESS (18 dynes/cm2) followed by 1 hour of ESS at 18 dynes/cm2 × heart rate (HR) 60 pulses per minute (ppm) (control), 35 dynes/cm2 × HR 100 ppm (low), 50 dynes/cm2 × HR 120 ppm (moderate), or 60 dynes/cm2 × HR 150 ppm (high). After ESS exposure, cells were stained to identify cell nucleus, phosphorylated endothelial NO synthase (eNOSp), and intracellular actin concentrations using immunohistochemistry. Confocal microscopy images captured areas exposed to varying degrees of shear stress within the “common” artery, the bifurcation, and the distal branches of the bifurcation. Results: Images showed a higher expression of eNOSp and actin that is generally intensity and location dependent. High shear stress (HSS) showed the greatest eNOSp expression compared with all conditions at the after-bifurcation site (P < .05). Interestingly, HSS continued to result in greater expression of actin at the bifurcation site across all 4 intensities, where blood flow is known to be more turbulent. Conclusions: These findings may support the hypothesis that high shear stress plays an important protective endothelial role in relation to individualized exercise prescription as a contribution to precision medicine. Impact Statement: Endurance exercise intensity has a direct impact in endothelial cell homeostasis at the physiological and molecular levels. When a physical therapist prescribes endurance exercise for cardiovascular diseases, the goal should be to deliver precision medicine to enhance patient's health outcomes.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"81 - 86"},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49666174","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}

引用次数: 1

End of the Road, Beginning of a New Era 路的尽头，新时代的开始

Cardiopulmonary physical therapy journal Pub Date : 2022-10-01 DOI: 10.1097/cpt.0000000000000216

A. Gurovich

引用次数: 0

Maximal Respiratory Pressure Reference Values for Hopi Children Ages 4-13. 4-13岁霍皮族儿童最大呼吸压参考值。

Cardiopulmonary physical therapy journal Pub Date : 2022-07-01 DOI: 10.1097/cpt.0000000000000195

David A Arnall, Arnold G Nelson, Christopher M Hearon

{"title":"Maximal Respiratory Pressure Reference Values for Hopi Children Ages 4-13.","authors":"David A Arnall, Arnold G Nelson, Christopher M Hearon","doi":"10.1097/cpt.0000000000000195","DOIUrl":"https://doi.org/10.1097/cpt.0000000000000195","url":null,"abstract":"Anthropometric variables will influence maximal respiratory pressure (MRP) values. Since significant variations exist in pulmonary nomograms amongst different races, it is important that tribe specific tables of normal maximal inspiratory pressures (MIP) and maximal expiratory pressures (MEP) be developed. To date, MRP prediction equations do not exist for Hopi children.Purpose: The purpose of this study was to develop MRP reference values and prediction equations for Hopi children in the ages 4-13 years.Methods: A cross-sectional study was undertaken with 288 healthy children (125 male, 163 female), a 36% representative population of all the Hopi Native children attending Hopi Tribal Elementary Schools in Arizona. MIP and MEP values were measured.Results: Age and the inverse of body mass were consistently significant predictors of the MRPs for both sexes. Predictions using the derived Hopi equations were significantly different (p≤0.001) than those using the equations for Navajo and Caucasian youth across both sexes, making it important for this population to have specific formulae to provide more accurate reference values.Conclusions: These data were collected from the children of Hopi ancestry resulting in MIP and MEP reference equations which should be used when measuring MIP and MEP in these children ages 4-13 years.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"33 3","pages":"123-129"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9456492/pdf/nihms-1752950.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9787305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Transitions and New Ideas 转型与新理念

Cardiopulmonary physical therapy journal Pub Date : 2022-07-01 DOI: 10.1097/cpt.0000000000000212

A. Gurovich

引用次数: 0