Prefrontal Cortex and Supplementary Motor Area Activation During Robot-Assisted Weight-Supported Over-Ground Walking in Young Neurological Patients: A Pilot fNIRS Study.

Rehabilitation therapy devices are designed for practicing intensively task-specific exercises inducing long-term neuroplastic changes underlying improved functional outcome. The Andago enables over-ground walking with bodyweight support requiring relatively high cognitive demands. In this study, we investigated whether we could identify children and adolescents with neurological gait impairments who show increased hemodynamic responses of the supplementary motor area (SMA) or prefrontal cortex (PFC) measured with functional near-infrared spectroscopy (fNIRS) when walking in Andago compared to walking on a treadmill.

Should We Use Unilateral or Bilateral Tasks to Assess Maximal and Explosive Knee Extensor Strength in Patients with Knee Osteoarthritis? A Cross-Sectional Study.

Deficits in maximal and explosive knee extensor strength, which are usually assessed with unilateral tasks, are substantial in patients with knee osteoarthritis (KOA). The aim of this study was to investigate the clinical relevance of unilateral vs. bilateral tasks for assessing knee extensor strength in patients with KOA.

Dynamic multi-segmental postural control in patients with chronic non-specific low back pain compared to pain-free controls: A cross-sectional study.

Reduced postural control is thought to contribute to the development and persistence of chronic non-specific low back pain (CNLBP). It is therefore frequently assessed in affected patients and commonly reported as the average amount of postural sway while standing upright under a variety of sensory conditions. These averaged linear outcomes, such as mean centre of pressure (CP) displacement or mean CP surface areas, may not reflect the true postural status.

Postural sensorimotor training versus sham exercise in physiotherapy of patients with chronic non-specific low back pain: An exploratory randomised controlled trial.

Unlabelled: Sensorimotor training (SMT) is popularly applied as exercise in rehabilitation settings, particularly for musculoskeletal pain. With insufficient evidence on its effect on pain and function, this exploratory randomised controlled trial investigated the potential effects of SMT in rehabilitation of chronic non-specific low back pain. Two arms received 9x30 minutes physiotherapy with added interventions: The experimental arm received 15 minutes of postural SMT while the comparator arm performed 15 minutes of added sub-effective low-intensity training.

Respiratory muscle endurance training reduces chronic neck pain: A pilot study.

Background: Patients with chronic neck pain show also respiratory dysfunctions.

Objective: To investigate the effects of respiratory muscle endurance training (RMET) on chronic neck pain.

Methods: In this pilot study (single-subject design: 3 baseline measurements, 4 measurements during RMET), 15 neck patients (49.

Good reproducibility of heart rate variability after orthostatic challenge in patients with a history of acute coronary syndrome.

Background: Several parameters of heart rate variability (HRV) have been shown to predict the risk of sudden cardiac death (SCD) in cardiac patients. There is consensus that risk prediction is increased when measuring HRV during specific provocations such as orthostatic challenge. For the first time, we provide data on reproducibility of such a test in patients with a history of acute coronary syndrome.

Early life stress in fathers improves behavioural flexibility in their offspring.

Traumatic experiences in childhood can alter behavioural responses and increase the risk for psychopathologies across life, not only in the exposed individuals but also in their progeny. In some conditions, such experiences can however be beneficial and facilitate the appraisal of adverse environments later in life. Here we expose newborn mice to unpredictable maternal separation combined with unpredictable maternal stress (MSUS) for 2 weeks and assess the impact on behaviour in the offspring when adult.

Reproducibility of peripheral arterial tonometry measurements in male cardiovascular patients.

Background: Assessment of endothelial function of the microvasculature by peripheral arterial tonometry (EndoPAT(®)) has gained increasing popularity in patients with cardiovascular risk factors. Only limited knowledge about its reproducibility in patients with coronary artery disease (CAD) is available. We therefore aimed to quantify reproducibility of EndoPAT(®) parameters in patients with stable CAD.

Do ambient urban odors evoke basic emotions?

Fragrances, such as plant odors, have been shown to evoke autonomic response patterns associated with Ekman's (Ekman et al., 1983) basic emotions happiness, surprise, anger, fear, sadness, and disgust. Inducing positive emotions by odors in highly frequented public spaces could serve to improve the quality of life in urban environments.

Respiratory dysfunction in patients with chronic neck pain - influence of thoracic spine and chest mobility.

Patients with chronic neck pain exhibit various musculoskeletal deficits and respiratory dysfunction. As there is a link between thoracic and cervical spine motion, the aim of this study was to investigate the relationship between thoracic spine and chest mobility with respiratory function and neck disability. Nineteen patients with chronic neck pain (7 male, 46.

Lactate minimum is valid to estimate maximal lactate steady state in moderately and highly trained subjects.

Some evidence exists that the determination of maximal lactate steady state (MLSS) with lactate minimum (LM) in highly trained athletes is not as accurate as in less trained athletes. Therefore, we compared power output at LM with power output MLSS in moderately up to highly trained subjects. 63 subjects performed a test on a cycle ergometer to determine power output at LM and 3 or more constant-load tests of 30 minutes to determine power output at MLSS.

Exercise testing in pediatric lung transplant candidates with cystic fibrosis.

Exercise testing is considered an important prognostic tool for the selection of pediatric lung transplant candidates with end-stage CF lung disease. To better understand the current practice as it pertains to exercise testing, a self-administered questionnaire was distributed to 25 pediatric lung transplant centers within the IPLTC across Australia, Europe, and North America. All centers perform standardized exercise tests.

Effects of different respiratory muscle training regimes on fatigue-related variables during volitional hyperpnoea.

We compared the effects of the most commonly used respiratory muscle (RM) training regimes: RM endurance training (RMET; normocapnic hyperpnoea) and inspiratory resistive training (IMT), on RM performance. Twenty-six healthy men were randomized into 3 groups performing 4 weeks of RMET, IMT or sham-training. Lung function, RM strength and endurance were tested before and after training.

Development of respiratory muscle contractile fatigue in the course of hyperpnoea.

To assess the development of inspiratory and expiratory muscle fatigue during normocapnic hyperpnoea, we studied fourteen healthy men performing 8min hyperpnoea, 6min pause, 8min hyperpnoea, etc., until task failure. Twitch transdiaphragmatic (P(di,tw)) and gastric (P(ga,tw)) pressures were measured during cervical and thoracic magnetic nerve stimulation, before hyperpnoea, after every 8min of hyperpnoea, and at task failure (i.

Effect of respiratory muscle endurance training on respiratory sensations, respiratory control and exercise performance: a 15-year experience.

Respiratory muscle endurance training (RMET) can improve respiratory muscle endurance as well as cycling and swimming endurance. Whether these improvements are caused by reduced perception of adverse respiratory sensations and/or a change in ventilatory output remains unclear. We re-analysed nine (five randomized controlled) RMET studies performed in our laboratory.

Respiratory control, respiratory sensations and cycling endurance after respiratory muscle endurance training.

Respiratory muscle endurance training (RMET) was shown to increase endurance performance in healthy subjects. Reduced adverse respiratory sensations might contribute to this improvement. In the present study, we aimed to assess the relationship between changes in respiratory sensations and changes in ventilation and endurance performance after RMET.

Increased fatigue resistance of respiratory muscles during exercise after respiratory muscle endurance training.

Respiratory muscle fatigue develops during exhaustive exercise and can limit exercise performance. Respiratory muscle training, in turn, can increase exercise performance. We investigated whether respiratory muscle endurance training (RMT) reduces exercise-induced inspiratory and expiratory muscle fatigue.

ICAT-MS-MS time course analysis of atrophying mouse skeletal muscle cytosolic subproteome.

Skeletal muscle atrophy is a process in which protein degradation exceeds protein synthesis, resulting in a decrease of the muscle's physiological cross-sectional area and mass, and is often a serious consequence of numerous health problems. We used the isotope-coded affinity tag (ICAT) labelling approach and MS-MS to protein profile cytosolic subcellular fractions from mouse tibialis anterior skeletal muscle undergoing 0, 4, 8, or 16 days of immobilisation-induced atrophy. For the validation of peptide and protein identifications statistical algorithms were applied to the sequence database search results in order to obtain consistent sensitivity/error rates for protein and peptide identifications at each immobilisation time point.

Impaired abdominal muscle contractility after high-intensity exhaustive exercise assessed by magnetic stimulation.

High-intensity exercise can induce diaphragm fatigue which can, in turn, limit exercise performance. We investigated whether expiratory muscles fatigue similarly during exhaustive exercise. Eleven healthy male volunteers cycled to exhaustion at 85% maximal power.

Influence of diaphragm and rib cage muscle fatigue on breathing during endurance exercise.

Inspiratory muscle fatigue (IMF) can develop during exhaustive exercise and cause tachypnea or rapid shallow breathing. We assessed the effects of rib cage muscle (RCM-F) and diaphragm fatigue (DIA-F) on breathing pattern and respiratory mechanics during high-intensity endurance exercise. Twelve healthy subjects performed a constant-load (85% maximal power) cycling test to exhaustion with prior IMF and a cycling test of similar intensity and duration without prior IMF (control).

Gender-specific usage of intramyocellular lipids and glycogen during exercise.

Purpose: Gender-specific differences in substrate utilization during exercise have been reported, typically such that women rely more on fat than men. This study investigated whether gender differences exist in the utilization of intramyocellular lipids (IMCL) and glycogen.

Methods: IMCL and glycogen, as well as total fat and carbohydrate (CHO) oxidation were measured in nine males and nine females before, during, and after an endurance exercise.

Glycogen reduction in non-exercising muscle depends on blood lactate concentration.

The purpose of this study was to determine for the first time by repeated non-invasive 13C-NMR spectrometry whether blood lactate concentration affects glycogen reduction in non-exercising muscle during prolonged (6 h) physical exercise in healthy adult males. Such an effect would indirectly show that glycogenolysis independent of nervous activation occurs in non-exercising muscle. After an overnight fast, 12 subjects performed alternating one-leg cycle exercise and arm cranking exercise at an average work load of 106 (SD 26) W [63 (9)% maximum oxygen consumption for one-leg exercise] and 69 (13) W [61 (10)% maximum oxygen consumption for arm cranking exercise], respectively.

Further glycogen decrease during early recovery after eccentric exercise despite a high carbohydrate intake.

Background: Delayed onset muscle soreness (DOMS) is a well-known phenomenon of athletes. It has been reported from muscle biopsies that the rate of muscle glycogen resynthesis is reduced after eccentric compared to concentric exercise.

Aim Of The Study: Try to compensate by a carbohydrate (CHO)-rich diet the decelerated glycogen resynthesis after eccentric exercise, measured by magnetic resonance spectroscopy.

Task failure from inspiratory resistive loaded breathing: a role for inspiratory muscle fatigue?

The use of non-invasive resistive breathing to task failure to assess inspiratory muscle performance remains a matter of debate. CO2 retention rather than diaphragmatic fatigue was suggested to limit endurance during inspiratory resistive breathing. Cervical magnetic stimulation (CMS) allows discrimination between diaphragmatic and rib cage muscle fatigue.

Health complaints and disabilities in patients supplied with foot orthoses for degenerative foot disorders.

This exploratory study attempted to estimate the severity of health complaints and disabilities in patients supplied with foot orthoses for degenerative foot disorders in the Netherlands. Information on the severity and the distribution of the complaints in these patients is important to acquire insight in the problems which these patients experience, and moreover is essential for further research, especially for evaluating effects of patients undergoing foot orthosis treatment. Patients with degenerative foot disorders aged 18 years and over were recruited from nine orthopaedic workshops over a period of three months in 2000.