Purpose: In the literature, it has been shown that the functional capacity of patients with liver transplant is reduced and fatigue is an important problem. The aim of our study was to compare the respiratory muscle strength, kinesiophobia and fatigue perception of healthy subjects and liver transplant patients. Methods: Nine liver transplantation patients (mean age: 39.9±13.7 years, mean time after transplantation: 7±5.9 years) and nine age and gender matched healthy controls participated in this study. Maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) were measured using a portable mouthpiece pressure device. The Tampa Scale for Kinesiophobia was used to assess kinesiophobia. Fatigue Impact Scale (FIS) and Fatigue Severity Scale (FSS) were used to evaluate fatigue perception. Results: There was no significant difference between the groups in terms of respiratory muscle strength and FSS scores (p>0.05). Kinesiophobia scores, physical fatigue, cognitive fatigue and social fatigue dimensions of FIS were significantly higher in patients with liver transplantation when compared with controls (p<0.05). Conclusion: Respiratory muscle strengths are preserved in patients with chronic liver transplantation. Patients9 kinesiophobia, impact of fatigue on physical, social and cognitive functions in daily life are affected negatively compared to healthy subjects. The kinesophobia and the parameters of fatigue should be assessed comprehensively in rehabilitation of liver transplantation patients.
This study aimed to examine early motor repertoire using Prechtl General Movement Assessment (GMA) and later developmental functioning of infants with cystic fibrosis (CF).Early motor repetoire was evaluated using Prechtl GMA, and developmental functioning was assessed using Bayley Scales of Infant and Toddler Development-Third Edition (Bayley-III) in infants with CF and their peers who were neurotypical, as the control group.Twelve infants with CF clinically stable and 12 infants who were neurotypical, with respective median post-term ages of 14 and 13 weeks, were assessed using GMA. At 24 to 36 months, the Bayley-III was applied to the CF group (median post-term age = 27.5 months) and the control group (median post-term age = 27.0 months). Fidgety movements were absent in 5 infants with CF, whereas all infants who were neurotypical had normal fidgety movements. The Motor Optimality Score was significantly lower in the CF group (median = 18.5) compared with the control group (median = 26). The CF group had significantly lower composite scores in the Bayley-III cognition, language, and motor domains compared with the control group.Cognitive, language, and motor development was delayed in infants with CF. Developmental functioning of infants with CF should be assessed as early as possible and monitored, and age-specific early intervention programs should be considered when necessary.Infants with CF may have motor, cognitive, and language developmental delays compared with peers who are neurotypical during early childhood, and hospitalization was negatively correlated with motor development at 24 to 36 months of age. This study highlights the importance of early assessment of developmental functioning and age-specific, early intervention programs when necessary in infants with CF.It is important to assess developmental functioning as early as possible in infants with CF and to consider age-specific early intervention programs when necessary.
Introduction and background: Because of the use of accessory respiratory muscles during arm exercises, contributions of ventilation reduces. There is limited study about the effects of upper extremity strength training on activities of daily living (ADL) in patients with COPD
Aim and objectives: The aim of this study was to investigate the effect of upper extremity strength training on respiratory muscle strength, ADL and fatigue perception in patients with COPD.
Methods:Seventeen COPD patients (mean FEV1= 45.9±14.6%) were included in the study. Respiratory muscle strength, ADL (ADL simulation test) and fatigue perception (Fatigue Severity Scale-FSS) were evaluated before and after training. Physiologic responses and number of cycles (erasing board, washing dishes, removing weights, inserting and removing lights) completed in 10 min during ADL test were recorded. Strength training was given to patients for 8 weeks.
Results: MIP values and number of cycles in ADL simulation test of patients were significantly increased with training (p=0.045, p=0.001 respectively).Dyspnea perception levels during ADL test and FSS scores were significantly reduced after training (p = 0.021, p=0.026 respectively).
Conclusions:Upper extremity muscle training increases inspiratory muscle strength and positively affects performance during ADLin patients with COPD. This type of training also decreases dyspnea perception during ADL and fatigue perception. Potentially positive effects of upper extremity training should be considered in pulmonary rehabilitation programs of patients who have difficulty because of dyspnea during ADL.
Aim: Core stability includes exercises associated with the prior activation of the local trunk muscles and should be advanced to include more intricate static, dynamic, and functional exercises that involving the coordinated contraction of spinal muscles.The aim of this study was to investigate the effect of core stabilization on balance, functional capacity and respiratory muscle strength in patients with bronchiectasis. Methods: Ten patients with bronchiectasis (mean age=14.6±3.72 years, 5 males, 5 females) were included in the study. A one hour core stabilization including mat, swissball and theraband exercises were applied for 3 days per week for 4 weeks. Functional capacity was evaluated with 6 minute walk test (6MWT). Respiratory and heart rate, and oxygen saturation, dyspnea, fatigue perception using a modified Borg dyspnea scale were recorded before and after the 6MWT. Respiratory muscle strength assessed using mouth pressure device. Functional balance was evaluated using the timed up an go test (TUG). Results: The 6MWT distance, MIP and MEP values were significantly increased after the stabilization training (p Conclusion: Short term stability training improves balance, functional capacity, respiratory muscle strength in children with bronchiectasis. Future studies needed to investigate the effects of the inclusion of stability exercises in pulmonary rehabilitation programs with wider sample size, to compare with other exercise modalities, and to examine long-term effects.
Background: Considering COVID-19 pandemic, self-isolation is recommended for preventive strategy in cystic fibrosis (CF) patients. Long-term social isolation and school closure may have adverse effects on physical health. Aim: This study aimed to examine the effect of a 6-week online exercise protocol on peripheral muscle function of pediatric CF patients. Methods: Thirty CF patients (age=11.16±3.02 years) were included in the study. Patients were allocated to either the telerehabilitation or control group. Exercise protocol was included exercises such as posture exercises, squat, crunch, oblique crunch, lunge. Online supervised exercise training was applied three times per week for six weeks in the telerehabilitation group. Same exercises were sent as an exercise brochure to the control group, and phone contacts were applied once a week to learn their session number. One session was lasted 30-45 minute. All patients were assessed for peripheral muscle function with the number of crunch repetitions, push-ups and squats before after the exercise training. Results: Peripheral muscle function parameters were increased each group. Patients who had an online exercise training improvements in crunch, push-up and squat were increased higher than the control group (p=0.008, p=0.015, p=0.002, respectively). Conclusions: Exercise training with online-supervised or follow-up is a beneficial effect on peripheral muscle function in CF patients. But this benefical effect is more in online-supervised exercise training. Exercise training programs can be applied with telerehabilitation approaches to decreased immobility due to social isolation in CF patients.
Aim: Respiratory function has a vital role in wind instrument playing. However, there is a lack of study investigating respiratory muscle strength and endurance. The purpose of the study was to examine respiratory parameters and exercise capacity in brass instrument players as compared with healthy controls. Materials and Methods: Sixteen brass instrument players (mean age: 29.87±10.53 years, nine males, seven females) and 14 healthy controls (mean age: 28.07±7.48 years, nine males, five females) were included in this study. Pulmonary function testing was performed. Respiratory muscle strength (maximal inspiratory pressure [MIP] and maximal expiratory pressure [MEP]) was measured using a mouth pressure device. Respiratory muscle endurance was assessed using incremental threshold loading. Incremental shuttle walk test (ISWT) was performed to determine exercise capacity. Results: Forced vital capacity (FVC), MIP, and MEP were significantly higher in brass instrument players than those of healthy controls (p<0.05). There was no statistically significant difference in respiratory muscle endurance and ISWT distance between the two groups (p>0.05). Conclusion: Respiratory function measured as strength is better in brass instrument players. Brass instrument players may have physiological advantages on respiratory muscle strength due to regular blowing training and greater use of assistive breathing. Patients with respiratory problems might be asked to play the brass instrument to see if there is an increase in the respiratory performance.
Background: Cancer treatments may impair pulmonary function, respiratory muscle strength, and activities of daily life (ADL) in breast cancer survivors. Aim: The purpose was to investigate pulmonary function, respiratory muscle strength, and ADL performance in breast cancer survivors. Methods: Fifteen breast survivors (15F, age: 60.9±8.70 years) who underwent mastectomy or completed chemotherapy and/or radiotherapy treatment, without any metastasis or active disease were included. Spirometric measurements were performed. Respiratory muscle strength was measured using a portable mouthpiece pressure device. The ADL performance was assessed using Glittre ADL test. Results: The FEV1 was found to be 94.1±10.5% pred. The mean maximal inspiratory (MIP) and expiratory pressure (MEP) were 84.0±20.7 cmH2O and 101.9±26.2 cmH2O, respectively. The percentage of predicted of MIP and MEP were: 113.3±22.4% pred and 72.3±16.0% pred. The mean Glittre ADL test duration was 3.1±0.7 (2.3-4.1) minutes, which was lower than that of reference values. Conclusions: Breast cancer survivors had reduced expiratory muscle strength and impaired functional capability determined with ADL duration compared to the reference values of healthy adults. Considering the negative influences of functional limitation on health status, the strategies are needed to reverse this to prevent further unfavorable outcomes.
Introduction and background: Patients with chronic obstructive pulmonary disease (COPD) frequently experience activity restrictions and discomfort during activities of daily living (ADL). Aims and objectives: The aim of this study was to investigate the relationship between multidimensional disease severity and activities of daily living in patients with COPD. Methods: Fourty-two patients with COPD (27 males, 15 females, mean FEV1=51.85±15.80%) were included in the study. Multidimensional disease severity was determined with the ADO index. Activities of daily living (ADL) was assessed using London Chest ADL Scale (LCADL) and performance-based the Glittre ADL-Test. Results: The ADO index score was significantly correlated with the LCADL-physical activity domain score (r=0.329, p=0.035), the Glittre ADL-Test time (r=0.523, p<0.001), change in oxygen saturation (r=-0.401, p=0.008) and change in dyspnea perception (r=0.403, p=0.008) during the Glittre ADL-Test. Conclusions: Higher multidimensional disease severity is associated with worse ADL performance and higher oxygen desaturation and dyspnea perception during ADL in COPD. In addition, higher multidimensional disease severity is associated with higher dyspnea perception during physical activities from the patients of view. Activities of daily living should be evaluated comprehensively with performance-based ADL tests and subjective reports in patients with high disease severity.
Introduction: Restriction in daily activities, isolation and decreased outpatient visits can affect physical activity, disease management, and quality of life in patients with lung disease during COVID-19 pandemic. There have been no studies evaluating coronaphobia, physical activity level and quality of life in patients with non-cystic fibrosis (CF) bronchiectasis during the pandemic period. Aims: The aim was to compare coronaphobia, physical activity level, and quality of life in non-CF bronchiectasis and healthy individuals during COVID-19 pandemic. Methods: Thirty-one patients (30.87±13.88 years, 17F, 14M) and 35 healthy individuals (30.37±7.57 years, 21F, 14M) were included. Coronaphobia (Coronavirus 19 Phobia Scale, CP19-S), physical activity (Short form of the International Physical Activity Questionnaire, IPAQ-SF), and quality of life (Nottingham Health Profile, NHP) were evaluated. Results: There was a significant difference in NHP energy, pain and physical mobility scores and moderate-intensity physical activity levels between the groups (p <0.05). CP19-S scores were similar between the groups (p>0.05). Conclusions: We found reduced moderate-intensity physical activity level and impaired quality of life in patients with non-CF bronchiectasis. Patients with non-CF bronchiectasis and healthy individuals had a similar level of COVID-19 phobia. Physical activity counseling and telerehabilitation can gain importance to improve affected outcomes during the COVID-19 pandemic.
