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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Effects of Respiratory Resistance Training with a Concurrent Flow Device on Respiratory Muscle Strength and Functional Capacity in End Stage Renal Disease

Naglaa E. Tolba, Nesreen G. El Nahas, Safy Kaddah, Samah M. Ismail

Naglaa E. Tolba, Nesreen G. El Nahas, Safy Kaddah, Samah M. Ismail – Effects of Respiratory Resistance Training with a Concurrent Flow Device on Respiratory Muscle Strength and Functional Capacity in End Stage Renal Disease. Fizjoterapia Polska 2021; 21(3); 44-50

Abstract
Background. Patients undergoing maintenance hemodialysis (HD) suffer from respiratory symptoms, uremic myopathy and protein catabolism leading to reduction of functional capacity and respiratory muscle strength. Objective. To determine the efficacy of intradialytic respiratory training using concurrent flow resistance (CFR) on respiratory muscle strength and functional capacity. Subjects and methods. Forty patients with end stage renal disease on hemodialysis for at least 4 months, with their age ranged from 30 – 40 of both sexes (20 men and 20 women) participated in this study at hemodialysis center of Fayoum University Hospital, Fayoum, Egypt. A Single- interventional study group designed. The study period was 12 weeks. Maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP), selected pulmonary function test, Functional capacity and fatigue severity scale (FSS) were evaluated before and after the study. Results. There was significant improvement in MIP, MEP, FEV1%, FVC%, 6MWT and FSS by 61.37%, 63.01%, 58.26%, 55.12%, 36.48% and 22.35% respectively, while no significant difference was recorded regarding to FEV1/FVC% ratio. Conclusion. It can be concluded that respiratory training using concurrent flow resistance (CFR) device for 12 weeks was effective therapeutic technique to improve respiratory muscle strength and functional capacity in patients with end stage renal disease on hemodialysis.
Key words:
Expand-a-Lung, Respiratory muscle strength, Functional capacity, Hemodialysis
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Influence of coronary artery bypass grafting (CABG) procedure and inpatient (phase 1) and outpatient (phase 2) cardiac rehabilitation on functional capacity in patients post myocardial infarction (MI) within first 12 months after the procedure

Dorota Fudalej, Zbigniew Nowak, Michał Plewa

Dorota Fudalej, Zbigniew Nowak, Michał Plewa – Influence of coronary artery bypass grafting (CABG) procedure and inpatient (phase 1) and outpatient (phase 2) cardiac rehabilitation on functional capacity in patients post myocardial infarction (MI) within first 12 months after the procedure. Fizjoterapia Polska 2002; 2(4); 285-289

Abstract
Background. The objective of this study was to assess the influence of complex treatment on functional capacity in patients with chronic coronary artery disease (CAD). Treatment consisted of CABG procedure and subsequent inpatient (phase 1) and outpatient (phase 2) cardiac rehabilitation programs.Material and methods. The study group consisted of 46 male patients aged from 36-68 (x = 51 ± 9.4), whose phase 1 rehabilitation program was initiated in 1st day after CABG procedure and lasted for consecutive 7 days. Phase 2 of rehabilitation consisted of group exercise sessions performed at outpatient exercise centre and 16 cycles of interval training performed on cycle ergometer. Results and conclusions. The results of stress test obtained before CABG procedure and 6 and 12 months later were compared. It was found that patients’ functional capacity improved considerably. The adequate tolerance of exercises performed according to proposed program was noted as well.

Key words:
coronary artery bypass graft, cardiac rehabilitation, functional capacity

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Comparison of the effectiveness of two health resort therapy programs in office workers with the pain in the cervical spine occurring in the course of degenerative changes

Ewa Puszczałowska-Lizis, Kamila Dobrucka, Izabela Zbrońska

E. Puszczałowska-Lizis, K. Dobrucka, I. Zbrońska – Comparison of the effectiveness of two health resort therapy programs in office workers with the pain in the cervical spine occurring in the course of degenerative changes. Fizjoterapia Polska 2019; 19(4); 126-135

Abstract
Background. Back problems become a medical and social problem in the era of modern civilization. Wide variety of pain syndromes, their recurrent character and persisting pain in chronic cases prompts the search for effective diagnostic and therapeutic methods. The aim of the study was to compare the effectiveness of two spa therapy programs in alleviating pain and eliminating functional limitations in office workers with degenerative disease of the cervical spine.
Material and methods. The study involved 144 office workers aged 45-55, staying on a rehabilitation stay due to pain in the cervical spine caused by degenerative changes. Patients were divided into two groups depending on the rehabilitation programme administered. Research tools was functional tests of the cervical spine (Valsalva, Kernig, compression test and traction test), linear measurements of ranges of cervical spine, NRS scale and NDI questionnaire. The data were analyzed based on the Chi-square test, Student t test, Mann Whitney U test, Wilcoxon test.
Results. In both groups, after improvement, a statistically significant improvement was noted in terms of functional test results, cervical spine movement ranges, NRS scale values and NDI index. The differences in the results obtained in Test II in relation to I were significantly greater for patients from group I. The application of both therapeutic programs had an effect on alleviating pain and improving functional capacity.
Conclusions. Application of both programs contributed to the relief intensity of pain and improved functional capacity, however, the extent of improvement was significantly greater in the case of patients subjected to a program containing mud therapy.

Key words:
cervical spine, pain, functional capacity, balneotherapy

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