As the global population ages, interventions that support physical and respiratory health in older adults are essential. This study investigates the experiences of older participants in a combined 8-week Tai Chi and Inspiratory Muscle Training (IMT) program, aiming to explore the facilitators and barriers to participation. Thirty-one adults aged 60+ were recruited and assigned to either an experimental or sham IMT plus Tai Chi intervention with a double-blind, randomized controlled trial approach.
View Article and Find Full Text PDFJ Sports Med Phys Fitness
July 2025
Introduction: Alzheimer's Disease (AD) is a form of dementia defined as a degenerative neurological condition associated with cognitive and functional decline above the natural and irreversible structural changes in body tissues caused by ageing. AD is the most common form of cognitive impairment in the population over 65 years old, also associated with poor functional mobility (FM) and balance, which can lead to falls in elderly populations.
Evidence Acquisition: This systematic review, conducted according to the PRISMA and PROSPERO guidelines, assesses the effectiveness of various physical exercise interventions in improving functional mobility, balance and reducing the risk of falls in patients with Alzheimer's older than 65 years.
Pre-operative rehabilitation is an effective means of reducing Length of Stay (LoS), but little evidence is available on its influence on Total Hip Replacement (THR) patients. Hence, a review of UK-based experimental studies to evaluate the effect of physical therapy on LoS was performed. Subsequently, a narrative synthesis was employed to develop a three-round Delphi study targeting UK clinicians.
View Article and Find Full Text PDFInt J Orthop Trauma Nurs
August 2025
This paper explores a theoretical framework for integrating Inspiratory Muscle Training (IMT) into enhanced recovery pathways, emphasising its potential role in mitigating respiratory decline, reducing hospital stays, and improving functional mobility for selected patients. IMT has shown benefits in high-risk surgical populations, including those with chronic respiratory conditions, obesity, obstructive sleep apnea, and frailty. Standardised screening protocols involving respiratory muscle function tests are recommended to identify suitable candidates, with structured IMT programs ideally commencing 6-8 weeks before surgery.
View Article and Find Full Text PDFBackground: The World Health Organization reported that one of the major challenges for all countries in the next few years will be the development of preventive approaches to care for older adults. After COVID-19, multimodal interventions have been created to enhance older health, especially targeting respiratory muscles (e.g.
View Article and Find Full Text PDFBackground: Post-viral issues following acute infection with coronavirus disease 2019 (COVID-19), referred to widely as long COVID, are associated with episodic, persistent, and disabling symptoms affecting quality of life and functional status. Evidence demonstrates a significant impairment and long disease course, but there remains limited empirical data to profile and determine the fluctuating symptom profile of long COVID.
Methods: We devised a 16-week, multicentre prospective cohort observation study to profile changes in patient-reported outcomes, and biological, physiological, psychological, and cognitive parameters following diagnosis and/or referral to an established long COVID clinic.
The following systematic review aimed to gather information on the effectiveness of Respiratory Muscle Training (RMT) with Multiple Sclerosis (MS) patients. The method followed the ENTREQ and PRISMA protocol. MEDLINE, Cochrane, and Science Direct databases were used to source relevant literature.
View Article and Find Full Text PDFObjective: To determine the effects of multifactorial inspiratory muscle training (IMT) combined with Otago Exercise Programme (OEP) on balance and quality of life (QoL) in patients with diabetes.
Methods: Pretest-post-test randomised controlled trial.
Setting: Rehabilitation Department of Pakistan Railway General Hospital.
Introduction: Numerous studies within the school and academic contexts have underscored the profound impact of psychometric variables such as academic self-efficacy, self-esteem, and loneliness on academic achievement among children. Although physical activities and dance practices are known to bolster academic self-efficacy and enhance academic outcomes, the effect of Artistic Sports Activities on these psychological determinants among left-behind children (LBC) in rural schools remains underexplored.
Method: This study was conducted from September 2020 to January 2022 among 405 LBCs aged 9 to 13 from six randomly selected primary schools in Hunan Province, China.
Disaster Med Public Health Prep
November 2023
Introduction: Inspiratory muscle training (IMT) has been widely used in both healthy and diseased populations especially in older adults, and its effects have been proven not only on inspiratory muscle strength but also on dyspnea, exercise capacity, quality of life, and other health parameters.
Aim: This study aims to review the effects of IMT on balance and functional ability of healthy and diseased populations.
Methods: A systematic literature search was conducted on MEDLINE, EMBASE, AMED, and Cochrane Central Register of Controlled Trials (CENTRAL).
Background: Current approaches to support patients living with post-COVID condition, also known as Long COVID, are highly disparate with limited success in managing or resolving a well-documented and long-standing symptom burden. With approximately 2.1 million people living with the condition in the UK alone and millions more worldwide, there is a desperate need to devise support strategies and interventions for patients.
View Article and Find Full Text PDFIntroduction: Although there is considerable research indicating that physical exercise and dance can strengthen children's self-efficacy, and children's self-efficacy can predict students' academic achievement at a wide range of academic levels. Few studies have been conducted using Latino Dance to improve self-efficacy in Left-Behind Children (LBC), especially the two aspects of student academic self-efficacy and general self-efficacy, while the mediator role of self-esteem between student academic self-efficacy and general self-efficacy has been less explored in previous research.
Methods: This study proposed to examine Latino Dance interventions to improve general self-efficacy and students' academic self-efficacy among LBC students in rural areas to boost students' academic performance, and the research team hypothesised that general self-efficacy, students' academic self-efficacy and self-esteem would improve following the intervention and that outcomes will have a significant positive correlation as students' self-esteem can mediate both their academic self-efficacy and their general self-efficacy.
Int J Environ Res Public Health
November 2022
The 6-min walk test (6MWT) and incremental shuttle walk test (ISWT) are widely used measures of exercise tolerance, which depict favorable performance characteristics in a variety of cardiac and pulmonary conditions. Both tests are valid and reliable method of assessing functional ability in cardiac rehabilitation population. Several studies have calculated the minimal clinically important difference (MCID) of these exercise tests in different populations.
View Article and Find Full Text PDFInspiratory muscle training (IMT) improved balance ability and respiratory muscle function in healthy older adults. The current study is a retrospective analysis to explore the relationship between inspiratory muscle function, balance ability, and adaptation to IMT. All participants (total = 129; IMT = 60; age range = 65-85 years) performed inspiratory and balance assessments, including the mini-balance evaluation system test, maximal inspiratory pressure, and peak inspiratory flow tests.
View Article and Find Full Text PDFThe inspiratory muscles contribute to balance via diaphragmatic contraction and by increasing intra-abdominal pressure. We have shown inspiratory muscle training (IMT) improves dynamic balance significantly with healthy community-dwellers. However, it is not known how the magnitude of balance improvements following IMT compares to that of an established balance program.
View Article and Find Full Text PDFTo examine the effects of 8-week unsupervised, home-based inspiratory muscle training (IMT) on the balance and physical performance of healthy older adults. Fifty-nine participants (74 ± 6 years) were assigned randomly in a double-blinded fashion to either IMT or sham-IMT, using a pressure threshold loading device. The IMT group performed 30-breath twice daily at ~50% of maximal inspiratory pressure (MIP).
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