Cardiopulmonary physical therapy journal最新文献_第5页

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

Secondary Analysis of Walking Activities during the Acute Stroke Hospital Stay and Cerebrovascular Health. 急性脑卒中住院期间步行活动与脑血管健康的二次分析。

Cardiopulmonary physical therapy journal Pub Date : 2022-07-01 DOI: 10.1097/CPT.0000000000000196

Alicen A Whitaker, Madison L Henry, Allegra Morton, Jaimie L Ward, Sarah M Eickmeyer, Michael G Abraham, Sandra A Billinger

{"title":"Secondary Analysis of Walking Activities during the Acute Stroke Hospital Stay and Cerebrovascular Health.","authors":"Alicen A Whitaker, Madison L Henry, Allegra Morton, Jaimie L Ward, Sarah M Eickmeyer, Michael G Abraham, Sandra A Billinger","doi":"10.1097/CPT.0000000000000196","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000196","url":null,"abstract":"Purpose: Physical activity within the hospital post-stroke is recommended for cardiovascular and musculoskeletal health, but no studies have examined cerebrovascular health. We hypothesized individuals who walked farther distances (FARhigh) during the acute phase of stroke recovery in a hospital setting would have a higher resting middle cerebral artery blood velocity (MCAv) and a greater cerebrovascular response (CVR) to moderate-intensity exercise at 3-months post-stroke, compared to individuals who walked shorter distances (FARlow).Methods: At 3-month post-stroke, we recorded 90-seconds of resting baseline (BL) MCAv followed by 6-minutes of moderate-intensity exercise. We calculated CVR as the change in MCAv from BL to steady-state exercise. We retrospectively collected farthest distance walked within the hospital post-stroke from the electronic medical record. Participants were classified as FARhigh or FARlow based on average farthest walking distance.Results: Twenty participants completed the study, age 63 (15) years. BL MCAv was not different between groups (p = 0.07). In comparison to FARlow, we report a higher CVR in FARhigh's ipsilesional ( <math><mover><mi>x</mi> <mo>¯</mo></mover> </math> = 7.38 (5.42) vs <math><mover><mi>x</mi> <mo>¯</mo></mover> </math> = 2.19 (3.53), p = 0.02) and contralesional hemisphere ( <math><mover><mi>x</mi> <mo>¯</mo></mover> </math> = 8.15 (6.37) vs <math><mover><mi>x</mi> <mo>¯</mo></mover> </math> = 2.06 (4.76), p = 0.04).Conclusions: Physical activity during the hospital stay post-stroke may support cerebrovascular health after discharge. Prospective studies are needed to support this finding.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"33 3","pages":"130-137"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9327803/pdf/nihms-1754547.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9729200","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

The Association of the Medical Research Council Scale and Quantitative Computerized Dynamometry in Patients After Critical Illness: An Exploratory Study 医学研究委员会量表与危重症患者计算机定量测功的相关性：一项探索性研究

Cardiopulmonary physical therapy journal Pub Date : 2022-05-18 DOI: 10.1097/CPT.0000000000000207

A. Michalski, Leanna Souza-Barros, Priscila Robles, Ji Cameron, M. Herridge, S. Mathur

{"title":"The Association of the Medical Research Council Scale and Quantitative Computerized Dynamometry in Patients After Critical Illness: An Exploratory Study","authors":"A. Michalski, Leanna Souza-Barros, Priscila Robles, Ji Cameron, M. Herridge, S. Mathur","doi":"10.1097/CPT.0000000000000207","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000207","url":null,"abstract":"Purpose: The purpose of this study was to determine the association between isometric peak torque obtained using the Biodex dynamometer (gold standard) to the Medical Research Council (MRC) scale for knee extension (KE), ankle dorsiflexion (DF), and shoulder flexion (SF) in patients after intensive care unit (ICU) discharge. Methods: A cross-sectional observational substudy was conducted. Adults with at least 7 days of mechanical ventilation were recruited from a parent study of outcomes after critical illness. Muscle strength of KE, DF, and SF was measured using the MRC scale (grades 0–5) and the Biodex dynamometer (peak torque, % predicted) at 3 months post-ICU discharge. Results: Twenty participants were included in the study. The median and interquartile ranges for MRC scores for KE, DF, and SF were 4.5 (IQR = 1), 4.5 (IQR = 1), 4.0 (IQR = 1), respectively. No significant correlations were found between isometric peak torque and MRC scores for any muscle group at 3 months post-ICU discharge. Conclusion: Medical Research Council scale may be limited in the ability to detect muscle weakness post-ICU discharge. Quantitative dynamometry is recommended in the post-ICU period to identify individuals with muscle weakness who may benefit from physical rehabilitation.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"33 1","pages":"166 - 170"},"PeriodicalIF":0.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47067074","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

Self-reported Vital Sign Assessment Practices of Neurologic Physical Therapists 神经物理治疗师自我报告生命体征评估实践

Cardiopulmonary physical therapy journal Pub Date : 2022-04-11 DOI: 10.1097/CPT.0000000000000206

J. O'Brien, H. Wallmann, Jaclynne Karaffa, Marissa Kleilein, Katherine R. Prewitt, H. Schreiber, Hannah Zimmerman

{"title":"Self-reported Vital Sign Assessment Practices of Neurologic Physical Therapists","authors":"J. O'Brien, H. Wallmann, Jaclynne Karaffa, Marissa Kleilein, Katherine R. Prewitt, H. Schreiber, Hannah Zimmerman","doi":"10.1097/CPT.0000000000000206","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000206","url":null,"abstract":"Purpose: This study's purpose was to describe the vital sign assessment (VSA) practices of physical therapists (PTs) during evaluation and treatment of patients with neurologic conditions. Methods: A survey was distributed to clinicians from a clinical site database and the Academy of Neurologic Physical Therapy's list serve. Respondents included US licensed PTs who treat patients with neurologic conditions. Results: Usable surveys included 133 US PTs with 69.2% doctorally prepared and 79.7% American Physical Therapy Association (APTA) members. Although 58.6% of survey respondents indicated that VSA is an essential part of the PT evaluation, at evaluation, only 37.6% and 39.1% of respondents always take heart rate (HR) and blood pressure (BP), and only 8.3% of respondents always take respiratory rate (RR). During treatment, only 14.3% of respondents report taking HR or BP at each session, while only 5.3% always take RR. Board certification was correlated with an increased frequency of HR assessment (P = .0027) and BP (P = 0.038) at evaluation, while importance of VSA strongly correlated with increased assessment of HR (P = 0.000), BP (P = 0.000), and RR (P = 0.003) at evaluation and with HR (P = 0.000) and BP (0.000) during treatment. Conclusions: Although VSA by neurologic PTs is higher than other identified PT groups, it is still below-recommended assessment guidelines.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"30 - 38"},"PeriodicalIF":0.0,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46863970","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

The Effect of Music Listening During Pulmonary or Cardiac Rehabilitation on Clinical Outcomes: A Systematic Review and Meta-analysis 肺或心脏康复期间听音乐对临床结果的影响:系统回顾和荟萃分析

Cardiopulmonary physical therapy journal Pub Date : 2022-04-06 DOI: 10.1097/CPT.0000000000000204

Hannah E. Frank, P. Munro, I. Clark, A. Lee

{"title":"The Effect of Music Listening During Pulmonary or Cardiac Rehabilitation on Clinical Outcomes: A Systematic Review and Meta-analysis","authors":"Hannah E. Frank, P. Munro, I. Clark, A. Lee","doi":"10.1097/CPT.0000000000000204","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000204","url":null,"abstract":"Supplemental Digital Content is Available in the Text. Purpose: To determine the effects of music listening during pulmonary rehabilitation (PR) or cardiac rehabilitation (CR) or their corresponding maintenance programs on clinical outcomes in people with respiratory or cardiac conditions. Methods: Studies were identified from 4 electronic databases. Two reviewers independently reviewed randomized controlled or crossover studies examining the effects of music listening compared with no music listening in individuals undertaking PR or CR or corresponding maintenance programs. Methodologic quality was assessed using the Cochrane Risk of Bias tool. Results: Nine studies were included. Music listening during PR improved the incremental shuttle walk distance (mean difference [MD] of 73 m [95% CI 25.9–119.8]) compared with no music listening. This impact was absent in a CR maintenance program. When applied during PR programs, music listening had no effect on quality of life (standardized MD −4.6 points [95% CI −11.8 to 2.6]). Music listening had inconsistent effects on dyspnea and fatigue during PR and PR maintenance programs, but no impact on physical activity levels following CR or CR maintenance programs. Conclusions: Music listening during PR improved exercise capacity, but had no effect on quality of life. When applied during CR or CR maintenance, the impact on physical activity was negligible.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"13 - 29"},"PeriodicalIF":0.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47829297","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

Effect of Test Interface on Respiratory Muscle Activity and Pulmonary Function During Respiratory Testing in Healthy Adults: A Pilot Study. 试验界面对健康成人呼吸试验中呼吸肌活动和肺功能的影响:一项初步研究。

Cardiopulmonary physical therapy journal Pub Date : 2022-04-01 DOI: 10.1097/cpt.0000000000000183

Elaheh Sajjadi, Patrick C Mabe, Yasin B Seven, Barbara K Smith

{"title":"Effect of Test Interface on Respiratory Muscle Activity and Pulmonary Function During Respiratory Testing in Healthy Adults: A Pilot Study.","authors":"Elaheh Sajjadi, Patrick C Mabe, Yasin B Seven, Barbara K Smith","doi":"10.1097/cpt.0000000000000183","DOIUrl":"https://doi.org/10.1097/cpt.0000000000000183","url":null,"abstract":"Purpose: The mouthpiece is the standard interface for spirometry tests. Although the use of a mouthpiece can be challenging for patients with orofacial weakness, maintaining a proper seal with a facemask can be an issue for healthy individuals during forceful efforts. We compared respiratory muscle activity and tests using a mouthpiece and facemask in healthy adults to investigate whether they can be used interchangeably.Methods: In this observational study, subjects (n=12) completed forced vital capacity, maximal respiratory pressure, and peak cough flow with a mouthpiece and facemask. Root mean square values of the genioglossus, diaphragm, scalene, and sternocleidomastoid were compared between conditions.Results: When switching from a mouthpiece to a facemask, significantly higher values were seen for peak cough flow (average bias= -54.36 L/min, p<0.05) and the difference seen with MEP and MIP were clinically significant (average bias: MEP=27.33, MIP=-5.2). Additionally, submental activity was significantly greater when MIP was conducted with a mouthpiece. No significant differences were seen in respiratory muscle activity during resting breathing or spirometry.Conclusion: There are clinically significant differences with cough and MEP tests and neck muscles are activated differently based on interface. Considering the small sample size, our findings suggest a facemask may be used to complete some PFTs.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"33 2","pages":"87-95"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9488548/pdf/nihms-1738734.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9227368","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

Current Research, Exciting Future 当前研究，令人兴奋的未来

Cardiopulmonary physical therapy journal Pub Date : 2022-04-01 DOI: 10.1097/cpt.0000000000000205

A. Gurovich

引用次数: 0