Implementing and evaluating the comprehensive integration of physical activity into a major health system: study design and protocol.

Introduction: The healthcare sector has great potential for promoting physical activity (PA) for chronic disease prevention, treatment and management; however, multiple adoption and implementation barriers exist, ranging from practice integration to information flow. In 2016, Exercise is Medicine Greenville (EIMG), a comprehensive clinic-to-community approach that involves PA assessment, recommendation and/or prescription and provider-based referral of patients to community-based PA programmes, was launched by Prisma Health in Greenville, South Carolina, USA. Since inception, variability has emerged in adoption and implementation, impacting patient reach, referral rates and engagement in the community-based PA programmes, highlighting the need for closer evaluation and refinement of strategies to maximise programme impact.

Effects of Core-Musculature Fatigue on Maximal Shoulder Strength.

Context: Core stability has been shown to affect lower-extremity motion, but activation of the core has also been observed just before movements of the upper extremity. However, there is limited evidence regarding the effects that core musculature has on upper-extremity strength.

Objective: To determine the effects of core fatigue on maximal shoulder strength.