The evidence from a large number of trials with about 1,415 patients in total suggested that inspiratory muscle training in patients with heart failure improved cardiac functions, especially the 6-minute walking distance and maximum suction pressure.
By searching PubMed, EMbase, the Cochrane Library, Web of Science, CBM, WanFang, VIP, and CNKI databases about the effects of inspiratory muscle training on cardiopulmonary function in patients with heart failure, this meta-analysis analyzed 20 randomized controlled trials with 1,415 patients and concluded that inspiratory muscle training seemed to be a useful strategy for improving exercise capacity and inspiratory muscle strength in heart failure patients, which could improve 6-minute walking distance and maximum inspiratory pressure, but not the peak oxygen uptake, first second forced expiratory volume, and forced vital capacity. The conclusion could provide some reference and consultation for clinical practice. However, the quality of included studies was low, new large-scale randomized controlled trials were needed to confirm the findings of this systematic review.
Objective: To systematically evaluate the therapeutic effects of inspiratory muscle training (IMT) on cardiopulmonary functions in patients with heart failure. Methods: PubMed, EMbase, the Cochrane Library, Web of Science, CBM, WanFang Data, VIP, and CNKI databases were searched to collect randomized controlled trials about the effects of IMT on cardiopulmonary function in patients with heart failure. Meta-analysis was performed using RevMan 5.3 software after two researchers independently screened the literatures, extracted the data, and evaluated the risk of bias. Results: A total of 20 articles with 1,415 patients were included. Meta-analysis showed that IMT was able to increase the 6-minute walking distance (mean difference (MD) = 59.41, 95% confidence interval (CI) (51.02-67.80), P < 0.001) and maximum inspiratory pressure (MD = 15.59, 95% CI (12.96-18.21), P < 0.001) in patients with heart failure compared with the control group. But there was no statistical difference in peak oxygen uptake (MD = 1.37, 95% CI (-0.57-3.30), P = 0.17), first second forced expiratory volume (MD = -5.79, 95% CI (-12.23-0.65), P = 0.08) and forced vital capacity (MD = -0.45, 95% CI (-6.39-5.49), P = 0.88) between the control and the experimental group. Conclusion: Available evidence suggested that IMT seemed to be a useful strategy for improving exercise capacity and inspiratory muscle strength in heart failure patients. Limited by the quantity and quality of the included studies, the above conclusions need to be verified by more high-quality studies.
As a safety and operable therapy, mirror therapy is very helpful for the recovery of stroke, the relief of pain, and the improvement of cognitive dysfunction and speech dysfunction though activating mirror neuron. It is a supplementary treatment in the rehabilitation process, which is very conducive to the widespread use and application.
The development of mirror therapy has been widely used today in all aspects of rehabilitation programs, such as the recovery of dysfunctions, sensation, dyskinesia and language, especially the improvement of pain and exercise capacity. This review focused the mechanisms of mirror therapy, reported the possible mechanisms that may involve in the therapy such as the activated mirror neuron, prevention of learned disuse of the affected limb, and facilitating motor pathways. This review also introduced the application in the rehabilitation of various diseases, such as in the recovery of stroke, the relief of pain, and the improvement of cognitive dysfunction and speech dysfunction, which provided new directions for the study of mechanisms and the treatment of diseases.
Mirror therapy was first proposed for the treatment of phantom limb pain after amputation. In recent years, it is widely used in many diseases, which shows greatly effective. As a safety and operable therapy, mirror therapy is very helpful for the recovery of stroke, the relief of pain, and the improvement of cognitive dysfunction and speech dysfunction though activating mirror neuron. It is a supplementary treatment in the rehabilitation process, which is very conducive to the widespread use and application. Therefore, this review elaborated on the mechanisms and clinical application of mirror therapy, with a view to providing a new direction for the study of mechanisms and the treatment of diseases.
Self-created pelvic floor muscle rehabilitation was initially proved to have the function of decreasing the quantity of stress urinary incontinence (SUI) instead of the frequency of incontinence.
The self-created pelvic floor muscle rehabilitation training exercise, based on Kaigl experiment and pelvic floor muscle training methods, has the function of decreasing the quantity of urinary incontinence on SUI in elderly women, indicating the potential application prospects of non-drug therapy on SUI.
Objective: Create a pelvic floor muscle rehabilitation program and explore its effects on stress urinary incontinence (SUI) in elderly women. Methods: Pelvic floor muscle rehabilitation was created based on Kaigl experiment and pelvic floor muscle training methods. 20 elderly women aged 65-75 years with SUI were randomly recruited for 10 weeks of pelvic floor muscle rehabilitation. Self-control study was used to compare the 72-hour average frequency of urinary incontinence, the average score of urinary incontinence questionnaire-simple form (ICIQ-SF) of international urinary incontinence advisory committee, the severity index of urinary incontinence and the weight of 1 hour urine pad before and after rehibition. Results: After 10 weeks of pelvic floor muscle rehabilitation training, the 72-hour average frequency of urinary incontinence was 1.02 ± 0.65 times, which was not statistically different from that before training (1.25 ± 0.71, P > 0.05). The score of ICIQ-SF was 5.95 ± 1.32, which was significantly lower than that before training (7.0 ± 1.38, P < 0.05), and the urinary incontinence severity index was 2.75 ± 0.89, which was significantly lower than that before training (3.95 ± 1.32, P < 0.01). The weight of 1 hour urine pad was 6.40 ± 2.29 g and was significantly lower than that before training (P < 0.01, 8.37 ± 2.24). Conclusion: Self-created pelvic floor muscle rehabilitation had the function of decreasing the quantity of urinary incontinence instead of the frequency of incontinence.
Exercise and Nutrition are complementary parts of a preventive and curative process to improve the quality of life, longevity and compress the life phase subject to disability. Physical activity and nutrition play an essential role both for the prevention of chronic non-communicable diseases and for their treatment. Nutraceuticals and exercise constitute the new frontier for healthy aging. We therefore motivate people by teaching them a new "life style", a delicate balance of adequate physical exercise and correct food hygiene, ensuring an unusual and surprising well-being and well-being, to which it will not be easier to give up.
There are numerous published theories that cover the different biological processes relating to ageing. No one seems to have integrated such complex and seemingly unrelated information into a holistic framework that explains in simple terms the key aspects of ageing and provides a set of daily practices for staying young and healthy. An attempt is made here to select a 6-dimensional framework symbolized by heart, mind, passion, focus, body and health, and correlate it to the mental, emotional, physical and health aspects of ageing. Based on grounded theory, this paper empirically correlates 30 practical methods that can be used to develop all six dimensions, with 18 key factors that were found to influence ageing: Neurogenesis; Epigenetic reprogramming; Removing dying cells; Mitochondria resuscitation; Calorie restriction; Plant-based diet; Regular physical activity; Chi Kung (Qigong); Overcoming anxiety, depression and stress; Positive mind-set; Some worrying; Vitamins and minerals; L-Theanine; Omega-3 and healthy fats; Coenzyme Q-10; Pyrroloquinoline quinone; Nitric oxide; Choline. In this study, 26 references were used to establish that all 18 of these seemingly unrelated key anti-ageing factors can be developed using 30 daily practices derived from the 6-dimensional framework. These simple daily practices can help people of all ages to stay young and healthy, and help older people who are living alone to self-improve their quality of life without needing anyone to look after them. Since many anti-ageing drugs seem to be ineffective, this study provides a holistic new research direction for using modern science and ancient human energy practices combined with wholesome nutrition to slow ageing and age-related illnesses.
TCM compress combined with modern rehabilitation is obviously superior to single rehabilitation training, which serves as a safe, simple, fast and effective therapeutic method for motor function rehabilitation of stroke patients.
For stroke patients, combined with non-drug therapy can significant improve the therapeutic effects of conventional medicine treatment. However, the standard of the treatment should be noteworthiness.
Background: Spasm is one of the most serious physical impairment after stroke. The external-application of herbs has showed the curative effects on the spasm to some degree. This study was conducted to evaluate the effects of external-application of traditional Chinese medicine (TCM) based on both conventional medicine therapy and rehabilitation therapy in upper limb spasticity after stroke. Methods: A total of 100 patients with upper limb spasm after stroke (stroke occurred less than 1 month), have been recruited in Shunyi Hospital of Beijing Traditional Chinese Medicine Hospital. Patients were randomly allotted to two groups respectively (n = 50, respectively): the control group (conventional medicine therapy and rehabilitation therapy), and the treatment group (external-application of traditional Chinese medicine (TCM) based on conventional medicine therapy and rehabilitation therapy). The two groups were administered once a month for three months. The primary outcome were Modified Ashworth score and Fugl-Meyer assessment for upper limb. Results: Muscle tension and motor function were evaluated before and 4 weeks after treatments. There was a significant improvement in muscle tension and motor function in patients with stroke after the therapy of external-application herbs combined with conventional medicine therapy and rehabilitation therapy (P < 0.05). Conclusion: Patients’ kinematic function can be improved after the external-application of herbs and modern rehabilitation therapy in upper limb.
As early as 2000 years ago, Huangdineijing, a classic Traditional Chinese Medicine book, has recorded that the heart plays a leading role in the operation of all organs, and if the function of the heart is unnormal, then the organs of the subordinates cannot perform their duties, thus affecting the normal physiological function activities. It also pointed out that temperate physical activity could make the body's airflow smooth, qi and blood balanced, and visceral function active, which was conducive to the physical and mental health of the human body. In modern medicine, coronary heart disease is also one of the most common coronary disease which affects people's health. And physical activity is proved to be closely related to rehabilitation and prognosis of patients with coronary heart disease. Since physical activity is good for coronary heart disease, so what is the current level of physical activity in patients with coronary heart disease? And what is the causes of different levels of it? Here, we reviewed the measurement and influencing factors of physical activity for coronary heart disease patients. This literature provided a basis for medical personnels to develop personalized exercise program.
Taijiquan is a martial art of the highest order is culturally etched in the Chinese heritage and entrenched in wushu pulp fiction and kungfu movies. Therein lies the enigma. The gentle slow-motion practice cannot be more remote from the speed and power of combat. And adding to the mystique is the proposition that Taijiquan's kungfu prowess is not drawn from the physical strength of the musculature but from some "inner strength" or Neijin. This sacred belief was desecrated when a fighter thrashed a self-proclaimed Taijiquan grandmaster ignominiously in 10 seconds in an open match. Taijiquan was then derided as a bogus combat art. The incident shakes the foundation of Taijiquan and puts into questions many of its touted claims, which challenges the scientific quest of the art. The paper confronts the issue directly by studying the manifestation of Neijin in the framework of science to provide a scientific basis for the art. It transcribes the yin-yang metaphysics that regulates Taijiquan training in terms of the alignment of muscle actions to balance and to unify momentum, which develops the core strength of Neijin and the underlying life-force Qi energy. From this flows the kungfu marvels, which lie in the liveliness and agility of Neijin's response and in the force ensuing that is of the right vector values, all essential in the fluidity of combat application. The martial aspect of Taijiquan provides a concrete representation of Neijin, which gives an experiential insight into the multifaceted concept of Qi, and in turn a pathway to the exploration of Qi in physiology and thus in Qi energy medicine.
According to the earliest
historical book in China (Shangshu), during the reign of Emperor Yao more than
4,000 years ago, people in central plains suffered from diseases
such as joint pain due to the bad weather. So, they created some unique movements
to regulate and improve the bodily functions, such as stretching the body to dissipate heat,
curling up the body to keep out the cold. A large number of records in ancient
Chinese books showed that Qigong practice was quite popular in ancient times. In
particular, the book "Huangdi Neijing" describes in detail the
requirements of practicing Qigong and the effect that can make people live longer,
which is also known as "Daoyin". In modern
age, various types of Qigong are still very popular around the world, such as Taiji
Quan (Tai Chi), Baduan Jin, Wuqin Xi, and Six-character Formula in China, Yoga
in India, Heka in Egypt and so on.
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