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DANCE Rehabilitation EXperience (DANCEREX-DTx): Protocol for a randomized controlled trial on effectiveness of digital therapeutics in chronic neurological disabilities.

OBJECTIVE: Rehabilitation is an important player in preventing and reducing the high impact of disability on everyday functioning in chronic neurological diseases (CNDs), especially if timely, intensive, and multidimensional. However, to date, rehabilitation is often a service accessible only to a few people, and the issue of a progressive decrease in treatment adherence still remains to be addressed. This study protocol describes an RCT whose aim is to test the effectiveness in terms of adherence of DANCE Rehabilitation EXperience (DANCEREX-DTx), a new digital therapeutic solution which combi

The Role of Exercise in Cancer-Related Sarcopenia and Sarcopenic Obesity.

One of the most common adverse effects of cancer and its therapeutic strategies is sarcopenia, a condition which is characterised by excess muscle wasting and muscle strength loss due to the disrupted muscle homeostasis. Moreover, cancer-related sarcopenia may be combined with the increased deposition of fat mass, a syndrome called cancer-associated sarcopenic obesity. Both clinical conditions have significant clinical importance and can predict disease progression and survival. A growing body of evidence supports the claim that physical exercise is a safe and effective complementary therapy f

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… In terms of proteolytic pathways attenuation, the similar effects were observed after endurance training in lung-cancer-bearing mice receiving chemotherapy [ 107 ]. …

Mobilization and Exercise Intervention for Patients With Multiple Myeloma: Clinical Practice Guidelines Endorsed by the Canadian Physiotherapy Association.

ObjectiveIndividuals with multiple myeloma (MM) often have reduced functional performance due to the cancer itself or as a direct side effect of cancer treatments. Physical therapy is a part of cancer rehabilitation; however, no guidelines are available to provide information and direction for physical therapists managing patients with MM. The goal of this guideline is to provide recommendations based on a systematic review and consensus process that physical therapists can use to manage patients with MM.MethodsA systematic review of the literature published until August 2018 was performed in

Research on predicting the progression of multiple myeloma treated with bortezomib based on multimodal ensemble learning.

BackgroundMultiple myeloma (MM) is a malignancy characterized by abnormal plasma cell proliferation. While bortezomib has improved outcomes, significant individual variability persists. Accurate early prediction of patient progression is crucial for optimizing therapeutic intensity and improving long-term survival. Developing an automated, multimodal prediction model can provide clinicians with a robust tool for personalized prognosis, thereby reducing the burden of ineffective treatments on patients.MethodsWe enrolled 207 newly diagnosed MM (NDMM) patients treated with bortezomib. Based on 2-

Cancer Therapy and Exercise Intolerance: The Heart Is But a Part: JACC: CardioOncology State-of-the-Art Review.

The landscape of cancer therapeutics is continually evolving, with successes in improved survivorship and reduced disease progression for many patients with cancer. Improved cancer outcomes expose competing comorbidities, some of which may be exacerbated by cancer therapies. The leading cause of disability and death for many early-stage cancers is cardiovascular disease (CVD), which is often attributed to direct or indirect cardiac injury from cancer therapy. In this review, the authors propose that toxicities related to conventional and novel cancer therapeutics should be considered beyond th

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… Effect of endurance training on muscle microvascular filtration capacity and vascular bed morphometry in the elderly. Acta Physiol (Oxf) 2006;187:399–406. doi: 10.1111/j.1748-1716.2006.01585.x. 167. Paterson C., Fryer S., Zieff G., et al. …

Unraveling the triad of immunotherapy, tumor microenvironment, and skeletal muscle biomechanics in oncology.

The intricate interaction between skeletal muscle biomechanics, the tumor microenvironment, and immunotherapy constitutes a pivotal research focus oncology. This work provides a comprehensive review of methodologies for evaluating skeletal muscle biomechanics, including handheld dynamometry, advanced imaging techniques, electrical impedance myography, elastography, and single-fiber experiments to assess muscle quality and performance. Furthermore, it elucidates the mechanisms, applications, and limitations of various immunotherapy modalities, including immune checkpoint inhibitors, adoptive ce

Understanding challenges and barriers to quality end-of-life care for patients with hematologic malignancies: a GIMEMA survey.

Patients with hematologic malignancies often receive aggressive end-of-life (EOL) care, which may be partly related to hematologists' discomfort with discontinuing aggressive treatments at EOL. It is therefore important to investigate how hematologists perceive EOL care and how this affects their clinical practice. We assessed a cohort of Italian hematological oncologists through a GIMEMA online survey to explore their attitudes toward standard measures of quality EOL care, their opinions on barriers to providing this care, and potential interventions. EOL quality measures were defined accepta

Усталость при множественном склерозе: обзор сферы охвата фармакологических и нефармакологических мероприятий.

ВВЕДЕНИЕ: Усталость является весьма распространенным симптомом у людей с множественным склерозом. Он требует тщательной оценки и оперативного вмешательства в целях повышения качества их жизни и общего бремени болезней. Цель этого аналитического обзора состоит в том, чтобы обеспечить всеобъемлющее обобщение и обновление имеющихся данных об эффективности различных фармацевтических и нефармакологических мероприятий в связи с множественным склерозом (МС) усталости. МЕТОДЫ: Для обеспечения транспарентности и качества статей, выбранных для этого аналитического обзора, использовались предпочтительные

Relationship between Corticosteroid Dose and Physical Performance after HSCT: A Prospective Cohort Study.

ObjectivesThis study aimed to prospectively investigate the factors affecting the diminished ability of patients to stand up following hematopoietic stem cell transplantation (HSCT).MethodsFifty patients were enrolled in the study. Pre- and post-HSCT physical performance was assessed using the Short Physical Performance Battery (SPPB). Post-HSCT physical performance decline was defined as a decrease of at least 1 point in the SPPB chair rise score at hospital discharge compared with the pre-HSCT score. Factors associated with this decline were analyzed using multiple logistic regression.Result

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… The physical therapy program was composed of stretching exercises, resistance training for lower limbs, and endurance training using a cycle ergometer in the isolation room. Occupational therapy involved stretching exercises, resistance training for the upper limbs, and daily living activities. …

Impact of tele-exercise on quality of life, physical fitness, functional capacity and strength in different adult populations: a systematic review of clinical trials.

INTRODUCTION: This study aimed to review the impact of tele-exercise on different adult populations, comparing synchronous and asynchronous interventions and their effects on outcomes such as quality of life, physical fitness, functional capacity, strength, and pain. METHODS: Randomised clinical trials and quasi-experimental studies published between 2014 and 2024 were included, totalling 16 studies with 1,416 participants. The interventions varied between synchronous teleexercise (via videoconference) and asynchronous (via apps and recorded videos). The review followed the PRISMA guidelines,

Development, acceptability and uptake of an on-line communication skills education program targeting challenging conversations for oncology health professionals related to identifying and responding to anxiety and depression.

BackgroundAnxiety and depression screening and management in cancer settings occurs inconsistently in Australia. We developed a clinical pathway (ADAPT CP) to promote standardized assessment and response to affected patients and enhance uptake of psychosocial interventions. Health professional education is a common strategy utilised to support implementation of practice change interventions. We developed an interactive on-line education program to support staff communication and confidence with anxiety/depression screening and referral prior to the ADAPT CP being implemented in 12 oncology ser

Evaluation by electronic patient-reported outcomes of cancer survivors' needs and the efficacy of inpatient cancer rehabilitation in different tumor entities.

ObjectiveWe investigated cancer survivors' health-related quality of life (HRQOL), specific deficiencies related to underlying disease or treatment, and benefits of rehabilitation in a large variety of cancer entities.Patients and methodsElectronic patient-reported outcomes were performed as clinical routine procedures. Cancer survivors underwent a 3-week multidisciplinary inpatient rehabilitation. Twenty-one different cancer entities were analyzed separately before (T0) and by the end (T1) of rehabilitation. HRQOL, symptoms, and functions were assessed with EORTC-QLQ-C30 questionnaire, psycho

Обзор влияния мышечной вибрации на восстановление спасти.

ВВЕДЕНИЕ: В настоящем обзоре анализируются выгоды, связанные с вибрацией мышечных мышц (ВЧ) при лечении спастисти, способствующей углублению понимания и устойчивому улучшению моторных функций. Выводы могли бы способствовать отбору оптимальных протоколов по ТТС, направлять будущие исследования и давать представление о механизмах, с помощью которых ФТС может улучшить моторные функции у лиц, имеющих сенсибилизацию. МЕТОДЫ: Систематический поиск проводился с использованием онлайновых баз данных PubMed, Web of Science и Библиотеки Кокрана. Включая критерии: а) наличие у участников хронической спаст

Visual analysis of the research frontiers, hotspots and trends of exercise therapy intervention in tumor-related sleep-wake disorders.

ObjectiveTo systematically understand the research frontiers, hotspots and development trends of exercise therapy in the intervention of tumor-related sleep-wake disorders, and to provide scientific basis for follow-up research.MethodsDownloaded the original research papers on February 26, 2024, from the Web of Science core collection database, on tumor-associated sleep-wake disorders. The data that met the inclusion criteria were imported into the Bibliometric Analysis Platform (http://biblimetric.com), CiteSpace 6.3.R1 and VOSviwer1.6.20 software for visual analysis, and imported into Excel2

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… Regular endurance training combined with resistance training can improve mental health, sleep, quality of life, and physical health in cancer survivors ( 56 ). …

Combining rehabilitation nursing with nutritional intervention to improve self-care ability and nutritional status in elderly stroke patients: a randomized controlled trial.

This study was a randomized controlled trial (RCT) investigating the effects of combining rehabilitation nursing with nutritional intervention on self-care ability and nutritional status in elderly stroke patients. Three hundred elderly stroke patients admitted to a hospital from 2021 to 2023 were randomly allocated to either an experimental group (n = 150) receiving rehabilitation nursing combined with nutritional intervention, or a control group (n = 150) receiving standard care. Changes in clinical efficacy, self-care ability, nutritional status indicators, and recovery of motor function we

Long-term effectiveness and cost-effectiveness of an 18-week supervised exercise program in patients treated with autologous stem cell transplantation: results from the EXIST study.

PURPOSE: To evaluate the long-term effectiveness and cost-effectiveness of a supervised 18-week high-intensity exercise program compared with usual care in patients treated with autologous stem cell transplantation. METHODS: One hundred nine patients were randomly assigned to the exercise intervention (n = 54) or the usual care control group (n = 55). Data on cardiorespiratory fitness (VO2peak), handgrip strength, general fatigue, and health-related quality of life (quality-adjusted life years [QALYs]) were collected at baseline (T0), after completion of the exercise intervention or at a simi

Unraveling the link between cardiorespiratory fitness and cancer: a state-of-the-art review.

Cardiorespiratory fitness (CRF) not only reflects an individual's capacity to perform physical activities but also encapsulates broader effects on the basic biology of aging. This review aims to summarize the evidence on the influence of CRF on overall and site-specific cancer risks. It delves into the biological mechanisms through which CRF may exert its effects, explores the clinical implications of these findings, identifies gaps in the current evidence base, and suggests directions for future research. The synthesis of findings reveals that higher CRF levels (general threshold of > 7 METs)

Количественная оценка резерва движения в множестве склероза с помощью дневных квантовой активности.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Обычные клинические оценки по множественным склерозам (МС), таким, как расширенная шкала взносов для инвалидов (EDSS), часто не учитывают тонкие функциональные изменения. Хотя акселерометрия является объективным показателем реальной моторной активности, большинство ежедневных сводок концентрируются на средних значениях, игнорируя как пиковые характеристики, так и их изменчивость в течение дня. Эта дневная максимальная изменчивость показателей может отражать способность человека поддерживать высокую активность, несмотря на усталость, явление, которое мы называем наблюдаем

Fatty Infiltration of Multifidus Muscles: An Easily Overlooked Risk Factor for the Severity of Osteoporotic Vertebral Fractures.

ObjectivesOsteoporotic vertebral fractures (OVFs) are a critical public health concern requiring urgent attention, and severe OVFs impose substantial health and economic burdens on patients and society. Analysis of the risk factors for severe OVF is imperative to actively prevent the occurrence of this degenerative disorder. This study aimed to investigate the risk factors associated with the severity of OVF, with a specific focus on changes in the paraspinal muscles.MethodsA total of 281 patients with a first-time single-level acute OVF between January 2016 and January 2023 were enrolled in t

Электромиографическая биоприемлемая подготовка мышечных мышц тазового пола к недержанием мочевого мозга у женщин: систематический обзор и метаанализ.

КОЛИЧЕСТВО: Мышечная подготовка по половому признаку (ПФМТ) является предпочтительной начальной терапией для недержание мочевого мозга у женщин; однако достижение надлежащей активации мышц и поддержание сохранности с течением времени зачастую сопряжено с трудностями. Электромиографический биоэффициент (EGM-BF) может облегчить обучение моторным навыкам в ходе PFMT; однако его дополнительные преимущества по сравнению с только PFMT остаются неопределенными. ЦЕЛЬ: Мы изучили клинические последствия поддерживаемого ГРП-БФ ПФМТ и стандартного ПФМТ для женщин с СУП. МЕТОДЫ: Этот систематический обзор