scholarly journals Efficacy of lower-limb muscle training modalities in severely dyspnoeic individuals with COPD and quadriceps muscle weakness: results from the DICES trial

Thorax ◽  
2014 ◽  
Vol 69 (6) ◽  
pp. 525-531 ◽  
Author(s):  
Maurice J H Sillen ◽  
Frits M E Franssen ◽  
Jeannet M L Delbressine ◽  
Anouk W Vaes ◽  
Emiel F M Wouters ◽  
...  
Thorax ◽  
2014 ◽  
Vol 69 (10) ◽  
pp. 953.2-954 ◽  
Author(s):  
Maurice J H Sillen ◽  
Frits M E Franssen ◽  
Jeannet M L Delbressine ◽  
Anouk W Vaes ◽  
Emiel F M Wouters ◽  
...  

2020 ◽  
Vol 15 (2) ◽  
pp. 63-73
Author(s):  
Young-Joo Moon ◽  
Won-Bin Shin ◽  
Gwang-Hyun Ryu ◽  
Ji-Yun Lee ◽  
Hyun-A Jeon ◽  
...  

2012 ◽  
Vol 67 (11) ◽  
pp. 1246-1252 ◽  
Author(s):  
C. P. Carty ◽  
R. S. Barrett ◽  
N. J. Cronin ◽  
G. A. Lichtwark ◽  
P. M. Mills

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 214-214
Author(s):  
Yamanoi Jyunya

Abstract Objectives Chronic stroke survivors tend to be inactive, often with sarcopenia, and have decreased physical function and activities of daily living. Muscle atrophy and weakness differ between sarcopenia patients and stroke patients. Therefore, it is difficult to evaluate physiotherapy and intervention for sarcopenic patients with stroke. The purpose of this study was to identify muscles that cause muscle weakness and muscle atrophy in stroke sarcopenia patients. Methods The subjects were 117 chronic stroke survivors who were 65 years or older. Subjects were determined using the criteria of the Asian Working Group on Sarcopenia in 2019 to determine the presence of sarcopenia and were classified into sarcopenia group (SG, n = 60) and non sarcopenia group (nSG, n = 57). Atrophy assessments obtained unaffected lower limb muscle thickness (iliopsoas, gluteus maximus, gluteus medius, hamstrings, quadriceps femoris, tibialis anterior, triceps surae) using B-mode of transverse ultrasound imaging. Strength assessments obtained unaffected lower limb muscle strength (flexion, extension, abduction, adduction, external rotation and internal rotation of hip joint, flexion and extension of knee joint, planter flexion and dorsiflexion of ankle joint) using handheld dynamometer. We conducted a Student's t-test to compare the two groups. A P-value of <0.05 was considered to show statistical significance for all analyses. When the significance level is less than 0.05, the power is also calculated, and it is considered that the significant difference can be secured when P < 0.05 and power >0.8. We conducted with the approval of the ethics committee of Aichi Saiseikai Rehabilitation Hospital (201,908). Results SG had muscle atrophy in all muscles compared to nSG (P < 0.05, power >0.8). SG had muscle weakness in all joint direction compared to nSG (P < 0.05, power >0.8). In particular, extension of knee joint and planter flexion of ankle joint muscle weakness, quadriceps femoris and triceps surae muscle atrophy occurred (P < 0.01, power >0.8). Conclusions Assessment and intervention of skeletal muscle in stroke sarcopenia patients should focus on the knee joint and ankle joint. Funding Sources The authors declare no conflicts of interest associated with this manuscript.


2018 ◽  
Vol 69 (2) ◽  
pp. 191-195
Author(s):  
Raluca Ecaterina Haliga ◽  
Bianca Codrina Morarasu ◽  
Manuela Ursaru ◽  
Viorica Irimioaia ◽  
Laurentiu Sorodoc

AbstractAcute organophosphate (OP) poisoning can be deadlier than any other type of chemical poisoning. So far, only a few cases have been described that include extensive neurological complications. We present an outstanding case of severe oral OP poisoning with intermediate syndrome developed on the fourth day after hospital admission. The clinical picture involved weakness of the proximal upper and lower limb muscles and several muscles supplied by motor cranial nerves, but, what is peculiar, the distal upper and lower limb muscles were also affected (forearms, hands, legs, and feet). To our knowledge, this is a unique presentation, as lower limb muscle weakness was reported only in the context of delayed polyneuropathy. Another remarkable feature was the involvement of six of the twelve cranial nerves, which makes this case of intermediate syndrome the first with such a spread of muscle weakness and provides new insights into the polymorphic clinical manifestations of acute OP poisoning.


2017 ◽  
Vol 57 ◽  
pp. 38-39
Author(s):  
Marije Goudriaan ◽  
Catherine Huenaerts ◽  
Marleen Van den Hauwe ◽  
Guy Molenaers ◽  
Nathalie Goemans ◽  
...  

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