Publications by authors named "Nicholas Bourgeois"
Exercise training in solid organ transplant candidates and recipients.
Curr Opin Organ Transplant
August 2024
Purpose Of Review: Exercise training programs are an integral part of the management of solid organ transplantation (SOT) candidates and recipients. Despite this, they are not widely available and specific guidelines on exercise parameters for each type of organ are not currently provided. A review of this topic could help clinicians to prescribe appropriate exercise regimens for their patients.
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- The study tested a 12-week virtual physical prehabilitation program for lung transplant candidates, focusing on improving exercise capacity, frailty, strength, and quality of life.
- Despite no significant changes in the primary outcome (6MWD) or some secondary outcomes, most participants either maintained or improved in specific tests like the five-times sit-to-stand test (5STS).
- The results suggest that the program can help maintain or enhance physical function for patients while they await transplantation.
Purpose Of The Conference: The 2022 Banff-Canadian Society of Transplantation Meeting in Banff, Alberta, brought together transplant professionals to review new developments across various aspects of solid organ transplantation (SOT) in Canada.
Sources Of Information: Presentations included consensus recommendations from expert-led forums; experiences with new procedures and legislation; reports from public health data repositories; original clinical and laboratory research; and industry updates regarding novel technologies. Speakers referenced articles and reports published in peer-reviewed journals and online, and unpublished data and preliminary findings.
Unlabelled: Measures of exercise capacity, frailty, and physical function are commonly used in lung transplant candidates and recipients to evaluate their physical limitations and the effects of exercise training and to select candidates for transplantation. It is unclear how these measures are related to clinical outcomes and healthcare utilization before and after lung transplantation. The purpose of this scoping review was to describe how measures of exercise capacity, physical function, and frailty are related to pre- and posttransplant outcomes.
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- Home-based exercise programs for lung transplant candidates could be a cost-effective way to improve fitness before surgery.
- A study of 159 patients showed that while many experienced a decrease in their 6-minute walk distance (6MWD) leading up to the transplant, a notable portion (25.8%) improved their distance.
- There is a moderate correlation between 6MWD before transplant and 6MWD after, but changes in 6MWD were not significantly linked to mechanical ventilation duration or hospital stays, indicating the need for further research on these home exercise programs.
Background: Walking with a load at the ankle during gait training is a simple way to resist lower limb movements to induce functional muscle strengthening. This study investigated the effects of walking with different loads attached above the paretic ankle on biomechanical gait parameters during over ground walking in post-stroke participants.
Methods: Ten participants with moderate chronic hemiparesis were evaluated while walking over ground with three different loads (0.