Impact of aerobic versus resistive training on functional capacity in acute myeloid leukemia survivors: a comparative study

Mahmoud Saber Aref, Azza Abdelaziz Abd-Elhady, Raffat Mohammed Abd-Elfattah, Heba Ahmed Ali Abdeen

Mahmoud Saber Aref, Azza Abdelaziz Abd-Elhady, Raffat Mohammed Abd-Elfattah, Heba Ahmed Ali Abdeen – Impact of aerobic versus resistive training on functional capacity in acute myeloid leukemia survivors: a comparative study. Fizjoterapia Polska 2021; 21(5); 38-43

DOI: https://doi.org/10.56984/8ZG20986F

Abstract
Background. Cancer-related fatigue is a persistent symptom in acute myeloid leukemia survivors, with associated decreased functional capacity, which further deteriorates their quality of life. The current study aimed to compare between the impact of aerobic training and resistive training on functional capacity in acute myeloid leukemia (AML) survivors. Fifty nine patients with AML from both sexes aged between 35 and 45 years,were selected from hematology department in (BLINDED FOR PEER REVIEW), where the study was conducted. Patients were randomly assigned into two groups; Group (A) underwent aerobic training in the form of cycling within 50-60% of maximum heart rate. Group (B) underwent resistive training conducted in the form of a series of exercises using free weights, and dumbbells. Sessions were carried out three times per week, for a total of eight weeks period. Six minute walk test (6MWT), 10 repetitions maximum test (10 RM). Ventilatory functions test, fatigue severity assessment (FAS) and quality of life (QoL) scales were measured in both groups before and after the study period. Results. Significant improvement in 6MWT, maximum oxygen consumption (VO2 max) and vital capacity in group (A), significant improvement in fatigue and QoL in both groups and significant improvement in 10 RM test in group (B). Conclusion. Both aerobic and resistive training significantly improved functional capacity in acute myeloid leukemia survivors with a more significant improvement due to aerobic training.
Key words:
acute myeloid leukemia, aerobic training, resistive training, functional capacity, quality of life
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Effect of Extracorporeal Shock Wave Therapy on Pain Intensity, Functional Abilities, and Trunk Range of Motion in Patients with Chronic Lumbar Disc Prolapse: A Randomized Clinical Trial

Shaima M. Abdelmageed, Nagwa Ibrahim Rehab, Marwa M Mahfouz, Manal Bakry Abd El Fatah, Dina O. Galal, Mahmoud Y. Elzanaty

Shaima M. Abdelmageed, Nagwa Ibrahim Rehab, Marwa M Mahfouz, Manal Bakry Abd El Fatah, Dina O. Galal, Mahmoud Y. Elzanaty – Effect of Extracorporeal Shock Wave Therapy on Pain Intensity, Functional Abilities, and Trunk Range of Motion in Patients with Chronic Lumbar Disc Prolapse: A Randomized Clinical Trial. Fizjoterapia Polska 2021; 21(2); 116-120

DOI: https://doi.org/10.56984/8ZG0DD311

Abstract
Objectives. This research aimed to assess the impact of extracorporeal shock wave therapy (ESWT) on pain severity, functional abilities, and trunk range of motion in patients with lumbar disc prolapse (LDP). Methods. Design of study was randomized clinical study. Forty male patients had disc prolapse at L5–S1 spine segment with chronic pain. Patients have been randomly divided to two equal groups. The patients in study group received extracorporeal shock wave therapy (ESWT) in addition to conventional physical therapy program. Patients in control group were treated with the conventional physical therapy program which composed of electrotherapy using TENS (15 minutes) and exercise program. Visual analogue scale (VAS) was used to evaluate pain. Functional disability was evaluated by Oswestry disability index (ODI). The Back range of motion device (BROM) has been utilized to measure trunk motion (flexion, extension, side bending, external and internal rotation). For all patients prior to and after six weeks of the therapy program, all outcome measures were evaluated. Results. In the research and control groups, there was a substantial reduction in post-treatment VAS and ODI as compared to pre-therapy (p > 0.001). In both groups, there was a substantial increase in post-therapy ROM compared to pre-therapy (p > 0.001). The comparison among the study and post-therapy control groups showed a substantial decrease in the study group’s VAS and ODI relative to the control group (p > 0.001). There was also a substantial increase in the study group’s trunk flexion, extension, and rotation relative to that of the control group (p > 0.01). Conclusion. The ESWT had a significant analgesic effect and improved functional abilities relative to the conventional physiotherapy program in patients with LDP. Also ESWT had substantial enhancements in trunk ROM relative to conventional physiotherapy.
Key words:
extracorporeal shock wave therapy, lumbar disc prolapse, functional ability, pain
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