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Full-Text Articles in Medicine and Health Sciences

Proceedings From The Second Annual Society For Neurosports Conference, William R. Kochen May 2021

Proceedings From The Second Annual Society For Neurosports Conference, William R. Kochen

NeuroSports

Proceedings from the Second Annual Society for NeuroSports Conference


Physical Activity Interventions For Older Adults In The Age Of Covid-19 And Beyond, Rachel N. Bragg, K. Jason J. Crandall May 2021

Physical Activity Interventions For Older Adults In The Age Of Covid-19 And Beyond, Rachel N. Bragg, K. Jason J. Crandall

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 2: Issue 1, Article 6, 2021. As the coronavirus (COVID-19) pandemic continues, it is important to understand why older adults are at higher risk for more severe morbidity and higher mortality compared to younger age groups. At the same time, there is a growing body of evidence suggesting physical activity and exercise can have positive benefits for older adults’ health. Point of application #1: The first step in keeping older adults active is motivating them to adhere to a structured program either at home, in a community setting, or in a long-term care ...


Balance Training: The Effectiveness Of Exercise In Traumatic Brain Injury, Haley Dennis May 2021

Balance Training: The Effectiveness Of Exercise In Traumatic Brain Injury, Haley Dennis

Healthcare Studies Pre-Professional Day

The brain plays a major role in every function of the human body. Traumatic brain injuries can cause setbacks for individuals’ physical abilities, and that is why exercise is very important for this population. This internship consisted of a Neuro Fit program through Supportive Living, Inc. to support brain injury survivors. The main focus of the exercise program was to improve the balance of three participants by observing their independent abilities at week 1, and to consistently practice balance exercises for 12 consecutive weeks. Each exercise plan was created and catered to the three participants’ own physical abilities and goals ...


Northeast Arc: The Benefits Of Age Parity And Abi, Ashley Sacco May 2021

Northeast Arc: The Benefits Of Age Parity And Abi, Ashley Sacco

Healthcare Studies Pre-Professional Day

This project was conducted to find out the impact of age parity and exercise on an individual diagnosed with an Acquired Brain Injury. I worked one-on-one with a 22-year-old male twice a week, encouraging an increase in physical activity through creative exercises and therapeutic game-playing. The overall goal was to assist and support this individual with maintaining physical, mental and emotional wellness in the face of so much loss at such a young age. By brainstorming and connecting with the on-site physical therapist, I was able to create an environment where the individual and I connected easily on age-related topics ...


The Study Of High Intensity Interval Training's Effect On Enjoyment, Keali Mari May 2021

The Study Of High Intensity Interval Training's Effect On Enjoyment, Keali Mari

Theses/Capstones/Creative Projects

This study assessed participant’s level of enjoyment in high-intensity training over moderate intensity-training. High intensity interval training is defined as short bouts of exercise performed at a near-maximal effort with rest periods or light activity in between. High intensity interval training involves repeatedly exercising at a high intensity for 30 seconds to several minutes, separated by 1-5 minutes of recovery. This type of exercise has sparked the interest of many active people due to its decreased time commitment and the benefits it elicits. The results of this study show that high intensity interval training induces a higher enjoyment rate ...


Controlling Dentistry-Related Musculoskeletal Disorders With Ergonomic Interventions In Lahore, Pakistan, Marriyam Nasar, Farwa Rubab, Hazik Bin Shahzad, Minam Qureshi, Maham Shahid, Pakiza Batool Apr 2021

Controlling Dentistry-Related Musculoskeletal Disorders With Ergonomic Interventions In Lahore, Pakistan, Marriyam Nasar, Farwa Rubab, Hazik Bin Shahzad, Minam Qureshi, Maham Shahid, Pakiza Batool

Makara Journal of Health Research

Background: Musculoskeletal disorders (MSDs) usually result from a prolonged static position and repetitive movements. A comfortable environment, appropriate working position, and multiple short breaks could alleviate MSDs. While the occasional back or neck ache is not a cause for alarm, regularly occurring pain or discomfort, if ignored, may further develop into an injury or career-ending disability.

Methods: A total of 370 dentists were selected from two dental hospitals and multiple dental clinics in Lahore, Pakistan. Current MSDs were recorded with the Standardized Nordic Questionnaire (SNQ). Information sheets containing dental ergonomics and back and tendon-gliding exercises were distributed among the participants ...


Type 2 Diabetes - A Change For A Better Life, Hilary Greene Apr 2021

Type 2 Diabetes - A Change For A Better Life, Hilary Greene

MSN Capstone Projects

Cardiovascular disease has been known to be the leading cause of mortality in patients with type 2 diabetes. With diabetes on the rise in the United States, it is important to assess changes in these patients to decrease the risk of developing cardiovascular disease or a major cardiovascular event such as a myocardial infarction, stroke, or death. If able to address healthy alternatives to patients to reduce the risks of major cardiovascular events such as a myocardial infarction or stroke, it could potentially save many lives. As a nurse educator, it is important to provide patients with the education they ...


Effect Of A Virtual Reality-Enhanced Exercise And Education Intervention On Patient Engagement And Learning In Cardiac Rehabilitation: Randomized Controlled Trial., Victoria Gulick, Daniel Graves, Shannon Ames, Pavitra Parimala Krishnamani Apr 2021

Effect Of A Virtual Reality-Enhanced Exercise And Education Intervention On Patient Engagement And Learning In Cardiac Rehabilitation: Randomized Controlled Trial., Victoria Gulick, Daniel Graves, Shannon Ames, Pavitra Parimala Krishnamani

Department of Rehabilitation Medicine Faculty Papers

BACKGROUND: Cardiac rehabilitation (CR) is clinically proven to reduce morbidity and mortality; however, many eligible patients do not enroll in treatment. Furthermore, many enrolled patients do not complete their full course of treatment. This is greatly influenced by socioeconomic factors but is also because of patients' lack of understanding of the importance of their care and a lack of motivation to maintain attendance.

OBJECTIVE: This study aims to explore the potential benefits of virtual reality (VR) walking trails within CR treatment, specifically with regard to patient knowledge retention, satisfaction with treatment, and the overall attendance of treatment sessions.

METHODS: New ...


The Effect Of Nutrition And Exercise On Mental Health, Rebekah Owen Apr 2021

The Effect Of Nutrition And Exercise On Mental Health, Rebekah Owen

Senior Honors Theses

Research has shown nutrition and exercise are especially effective in helping relieve mental illness. Mental health can be aided through dietary alterations such as increasing intake of omega-3 fatty acids, fermented foods, certain vitamins, minerals, and amino acids. Proper nutritional patterns help regulate neurotransmitters and assist in the betterment of brain functioning, offering protection from and maintenance of mental illness. Furthermore, the Mediterranean diet provides to be most beneficial for mental health compared to the standard American diet which contains additives harmful to the human brain. Physical exercise also provides to be a possible therapy for those suffering from mental ...


Gme: Gym In Medical Education-Maintaining Physical And Mental Well Being During The Covid-19 Pandemic, Brian J. Nguyen, Elana A. Meer, Joyce E. Nguyen Mar 2021

Gme: Gym In Medical Education-Maintaining Physical And Mental Well Being During The Covid-19 Pandemic, Brian J. Nguyen, Elana A. Meer, Joyce E. Nguyen

Journal of Wellness

No abstract provided.


Nox4 Mediates Skeletal Muscle Metabolic Responses To Exercise, Kalyn S. Specht, Shashi Kant, Heather Learnard, Maura Campbell, Amada D. Caliz, Yongmei Pei, Michaella M. Reif, John F. Keaney Jr., Siobhan M. Craige Mar 2021

Nox4 Mediates Skeletal Muscle Metabolic Responses To Exercise, Kalyn S. Specht, Shashi Kant, Heather Learnard, Maura Campbell, Amada D. Caliz, Yongmei Pei, Michaella M. Reif, John F. Keaney Jr., Siobhan M. Craige

Open Access Publications by UMMS Authors

OBJECTIVE: The immediate signals that couple exercise to metabolic adaptations are incompletely understood. Nicotinamide adenine dinucleotide phosphate oxidase 4 (Nox4) produces reactive oxygen species (ROS) and plays a significant role in metabolic and vascular adaptation during stress conditions. Our objective was to determine the role of Nox4 in exercise-induced skeletal muscle metabolism.

METHODS: Mice were subjected to acute exercise to assess their immediate responses. mRNA and protein expression responses to Nox4 and hydrogen peroxide (H2O2) were measured by qPCR and immunoblotting. Functional metabolic flux was measured via ex vivo fatty acid and glucose oxidation assays using (14)C-labeled palmitate and ...


Rural Residents' Perspectives On An Mhealth Or Personalized Health Coaching Intervention: Qualitative Study With Focus Groups And Key Informant Interviews, Nancy Schoenberg, Madeline Dunfee, Hannah Yeager, Matthew Rutledge, Angela Pfammatter, Bonnie Spring Feb 2021

Rural Residents' Perspectives On An Mhealth Or Personalized Health Coaching Intervention: Qualitative Study With Focus Groups And Key Informant Interviews, Nancy Schoenberg, Madeline Dunfee, Hannah Yeager, Matthew Rutledge, Angela Pfammatter, Bonnie Spring

Behavioral Science Faculty Publications

BACKGROUND: Compared with national averages, rural Appalachians experience extremely elevated rates of premature morbidity and mortality. New opportunities, including approaches incorporating personal technology, may help improve lifestyles and overcome health inequities.

OBJECTIVE: This study aims to gather perspectives on whether a healthy lifestyle intervention, specifically an app originally designed for urban users, may be feasible and acceptable to rural residents. In addition to a smartphone app, this program-Make Better Choices 2-consists of personalized health coaching, accelerometer use, and financial incentives.

METHODS: We convened 4 focus groups and 16 key informant interviews with diverse community stakeholders to assess perspectives on this ...


The Effect Of Covid-19 On The Physical Activity And Recreational Habits Of University Students, Trinidad Leal Jr., Daniel J. Burt Feb 2021

The Effect Of Covid-19 On The Physical Activity And Recreational Habits Of University Students, Trinidad Leal Jr., Daniel J. Burt

International Journal of Exercise Science: Conference Proceedings

Due to COVID-19 a majority of states across the nation were put on lockdown, limiting the recreational activities an individual could partake in, like utilizing gyms and workout studios. Pre and Post-lockdown physical activity, fitness, and recreational habits could be measured through a series of questions using a Qualtrics survey. PURPOSE: The purpose of the study is to review how the COVID-19 shutdowns influenced the level of physical activity engaged in prior to and during the lockdown. Additionally, this study served to investigate how college students have decided to utilize their time recreationally during the pandemic. METHODS: Enrolled students in ...


Acute Multiple Deep Vein Thrombosis, Tara Tralewski, Vered Arbel, Terry Nicola, Tal Amasay Feb 2021

Acute Multiple Deep Vein Thrombosis, Tara Tralewski, Vered Arbel, Terry Nicola, Tal Amasay

International Journal of Exercise Science: Conference Proceedings

CASE HISTORY: The patient was a 49-year-old male who presented to the clinic for further evaluation right calf swelling and pain. He reported that the pain began approximately three weeks before the visit while in physical therapy for ACL knee surgery rehab. The patient recalls performing a lateral stepping exercise when he experienced a sharp pain in his groin that radiated down his leg to his toes on the right side. The pain in his groin eventually subsided but continued experiencing aching pains and swelling in the right calf. He initially had difficulty walking on his right leg but wearing ...


Synergistic Effect Of Exercise And Phellodendron Amurense On Muscle Mass Preservation In A Prostate Cancer Mouse Model, Javier Valencia, Paul Rivas, Julidza Balderas, Addanki P. Kumar, Darpan I. Patel Feb 2021

Synergistic Effect Of Exercise And Phellodendron Amurense On Muscle Mass Preservation In A Prostate Cancer Mouse Model, Javier Valencia, Paul Rivas, Julidza Balderas, Addanki P. Kumar, Darpan I. Patel

International Journal of Exercise Science: Conference Proceedings

Muscle loss has detrimental effects on the body. It leads to a reduction in physical function, strength, endurance, and quality of life. In men with prostate cancer (PCa), a large percentage of men will suffer from muscle loss, a debilitating adverse effect caused by both the chronic illnesses or from the treatment of these illnesses. Studies have shown that the implementation of a routine exercise elicits muscle preservation in patients with PCa. Previously, our group has found that the natural product phellodendron amurense (PA) preserves muscle mass similar to exercise. PURPOSE: The purpose of this study is to test the ...


Stress Response After Race And Endurance Training Sessions And Competitions In Arabian Horses, O. Witkowska-Piłaszewicz, J. Grzędzicka, J. Seń, M. Czopowicz, M. Żmigrodzka, A. Winnicka, A. Cywińska, Craig N. Carter Jan 2021

Stress Response After Race And Endurance Training Sessions And Competitions In Arabian Horses, O. Witkowska-Piłaszewicz, J. Grzędzicka, J. Seń, M. Czopowicz, M. Żmigrodzka, A. Winnicka, A. Cywińska, Craig N. Carter

Veterinary Diagnostic Laboratory Faculty Publications

Assuring a high level of animal welfare is a critical aspect of contemporary animal husbandry. Equine athletes begin their careers at a very young age when they are still developing and they are both physically and mentally immature. Lack of scientific knowledge of the stress related to horse racing impedes the development of optimal training programs to attain equilibrium between the best sport results and optimal welfare. This study aimed to determine the influence of the intensity and type of physical activity on peripheral blood cortisol concentration. Thirty untrained Arabians, 9 endurance and 21 race horses were enrolled in this ...


Addressing Exercise And Physical Therapy In Older Patients In Colchester, Vt, Adam Morehead Jan 2021

Addressing Exercise And Physical Therapy In Older Patients In Colchester, Vt, Adam Morehead

Family Medicine Clerkship Student Projects

Participation in physical activities remains low among much of the older adult population, particularly during the winter months. Many individuals who are active during warmer times of the year become more sedentary during the winter, and this physical inactivity can contribute to declining health. This project sought to develop a simple brochure outlining several simple exercises that can be performed safely at home without equipment to be distributed to patients at wellness visits to encourage indoor exercise.


Resources For Staying Active During The Covid-19 Pandemic, Peter K. Twining Jan 2021

Resources For Staying Active During The Covid-19 Pandemic, Peter K. Twining

Family Medicine Clerkship Student Projects

During the COVID-19 pandemic, many patients find it difficult to stay active. Staying active when gyms are closed and school sports are cancelled can make staying active especially difficult. The purpose of this project was to compile a list of resources for patients to use to stay active and healthy at home during the pandemic.


Chlamydia In Ohio 2019, Jennifer Schmitz Jan 2021

Chlamydia In Ohio 2019, Jennifer Schmitz

Scholarship in Medicine - All Papers

Objective: Chlamydia Trachomatis is becoming an increasingly large national problem with severe consequences on the medical health care system. Methods: With data collected from County Health Ranking, with research that has been conducted at governmental and nongovernmental levels throughout the community, state and national level. Increases in rates of chlamydia can be linked to an increased number of testing or increased accuracy of testing while decreased numbers of incidence can be due to low reporting from that county. Conducting correlation and comparison may reveal additional links to the rising rates of Chlamydia. Results: We found a positive correlation between rate ...


Smoking Cessation Associated Weight Gain: The Role Of Diet And Exercise Counseling In Quitting Smoking, Benjamin D. Kagan Jan 2021

Smoking Cessation Associated Weight Gain: The Role Of Diet And Exercise Counseling In Quitting Smoking, Benjamin D. Kagan

Family Medicine Clerkship Student Projects

Weight gain is a common unintended consequence of quitting smoking due to a combination of physiologic and behavioral factors. Counseling focused on diet and exercise reduces weight gain associated with smoking cessation. Reduction of weight gain related to smoking cessation maximizes the health benefit of quitting tobacco.


Inclusive Local And Online Resources To Stay Active During The Covid-19 Pandemic, Collin B. Montgomery Jan 2021

Inclusive Local And Online Resources To Stay Active During The Covid-19 Pandemic, Collin B. Montgomery

Family Medicine Clerkship Student Projects

The COVID-19 pandemic has interrupted daily life in an innumerable amount of ways. Through gym closures and overcrowded, unsafe public spaces, maintaining exercise routines and reaching physical activity recommendations is increasingly difficult for many people. As a result of this, there has been an increasing emphasis on at home exercise and routines people can do at home. However, many of these resources are not inclusive of populations such as the elderly, people with disabilities, and the otherwise deconditioned as the exercises can be too strenuous or require specific equipment. The goal of this project was to compile a list of ...


Low-Cost At-Home Cardio Solutions For Patients During The Covid-19 Pandemic, Anna G. Quinlan Jan 2021

Low-Cost At-Home Cardio Solutions For Patients During The Covid-19 Pandemic, Anna G. Quinlan

Family Medicine Clerkship Student Projects

No abstract provided.


Helping People Overcome Barriers To Exercise Through In-Office Pt Exercise Evaluation Referrals, Matthew Charles Hill Brandt Jan 2021

Helping People Overcome Barriers To Exercise Through In-Office Pt Exercise Evaluation Referrals, Matthew Charles Hill Brandt

Family Medicine Clerkship Student Projects

Utilization of a poster in a primary care exam room advertising Physical Therapy Exercise Evaluations in an effort to help patients overcome barriers to exercising. The goal of the project is to capture people in the contemplative/preparatory stage of behavior change and help them reach the action and maintenance phases to improve health.


Effectiveness Of Physical Therapy Interventions For Women With Dysmenorrhea: A Systematic Review, Emily Hammond, Abigail Applegate, Emma Caldwell, Hayley Witmer, Amy Tremback-Ball Jan 2021

Effectiveness Of Physical Therapy Interventions For Women With Dysmenorrhea: A Systematic Review, Emily Hammond, Abigail Applegate, Emma Caldwell, Hayley Witmer, Amy Tremback-Ball

Student Research Poster Presentations 2021

Background and aims: Primary dysmenorrhea, or painful menstruation, is common in menstruating females. However, in some, it can cause intense pain, disrupt activities of daily living, and impact quality of life. The treatment of dysmenorrhea does not traditionally include physical therapy. A systematic review was conducted to explore the role of physical therapy in treating dysmenorrhea. Methods: A search was performed in August 2020 and January 2021 using EBSCOhost, Academic Search Ultimate, CINAHL Complete, and MEDLINE. Search terms included exercise or physical activity or fitness AND dysmenorrhea or menstrual pain or painful menstruation. Inclusion criteria were articles that were peer-reviewed ...


The Effects Of Exercise Interventions For Patients With Venous Lower Limb Ulcers: A Systematic Review, Jordan Hoffman, Christian San Pedro, Sabrina Mendez Jan 2021

The Effects Of Exercise Interventions For Patients With Venous Lower Limb Ulcers: A Systematic Review, Jordan Hoffman, Christian San Pedro, Sabrina Mendez

Student Research Poster Presentations 2021

The Effects of Exercise Interventions for Patients with Venous Lower Limb Ulcers: A Systematic Review

Student Researchers: Christian San Pedro, SPT Jordan Hoffman, SPT Sabrina Mendez, SPT

Mentored by: Kristen Karnish, PT, MPH, DEd, GCS, CEEAA

Background:

Approximately 30 million Americans are affected by vascular disease with greater numbers world wide. Chronic wound care is costly, as seen by the 1.5 billion dollars Medicare spent treating wounds in 2014. Vascular disease can predispose individuals to lower limb ulcers, chronic wounds, necrosis, and amputation. In patients with chronic wounds, exercise has been hypothesized to decrease healing times by triggering cortisol ...


Effect Of Exercise On Blood Pressure And Body Mass Index In At-Risk Populations, Jared Crum, Victoria Patterson, Riley Jarvis Jan 2021

Effect Of Exercise On Blood Pressure And Body Mass Index In At-Risk Populations, Jared Crum, Victoria Patterson, Riley Jarvis

Williams Honors College, Honors Research Projects

Higher blood pressure and basal metabolic rate (BMI) are health problems in the United States (U.S.), but particularly in high risk minority populations, in part because of limited access to adequate resources to help themselves become healthier. This Honors Paper aimed to examine the effect of an exercise intervention on blood pressure and BMI in high risk minority populations. The honors project is a part of the Finding A Better You (FABU) project by College of Health Profession faculty Dr. Murrock, Dr. MacCracken, and Dr. Juvancic-Heltzel. The FABU project assessed at risk individuals (lower income older adults) in Summit ...


Impact Of Covid-19 On Ohio's National Parks Visitation, Ryan Grzeschik Jan 2021

Impact Of Covid-19 On Ohio's National Parks Visitation, Ryan Grzeschik

Williams Honors College, Honors Research Projects

The COVID-19 pandemic has fundamentally changed the way in which society operates in order to get the novel disease under control. Businesses throughout the United States have had to close or reduce provided services, stay at home orders have secluded many people, and social distancing limits contact between others so many are turning to the parks system to cope with these changes. This study aims to find how the visitation of national parks in Ohio have been affected through the first six months of the pandemic. Visitation statistics were compared from March to August of 2020 to those same months ...


High-Intensity Exercise And Cognitive Function In Cognitively Normal Older Adults: A Pilot Randomised Clinical Trial, Belinda M. Brown, Natalie Frost, Stephanie R. Rainey-Smith, James Doecke, Shaun Markovic, Nicole Gordon, Michael Weinborn, Hamid R. Sohrabi, Simon M. Laws, Ralph N. Martins, Kirk I. Erickson, Jeremiah J. Peiffer Jan 2021

High-Intensity Exercise And Cognitive Function In Cognitively Normal Older Adults: A Pilot Randomised Clinical Trial, Belinda M. Brown, Natalie Frost, Stephanie R. Rainey-Smith, James Doecke, Shaun Markovic, Nicole Gordon, Michael Weinborn, Hamid R. Sohrabi, Simon M. Laws, Ralph N. Martins, Kirk I. Erickson, Jeremiah J. Peiffer

ECU Publications Post 2013

© 2021, The Author(s). Background: Physical inactivity has been consistently linked to increased risk of cognitive decline; however, studies examining the impact of exercise interventions on cognition have produced inconsistent findings. Some observational studies suggest exercise intensity may be important for inducing cognitive improvements; however, this has yet to be thoroughly examined in older adult cohorts. The objective of the current study was to evaluate the effect of systematically manipulated high-intensity and moderate-intensity exercise interventions on cognition. Methods: This multi-arm pilot randomised clinical trial investigated the effects of 6 months of high-intensity exercise and moderate-intensity exercise, compared with an inactive ...


Metabolomics And Lipidomics: Expanding The Molecular Landscape Of Exercise Biology, Mehdi R. Belhaj, Nathan G. Lawler, Nolan J. Hoffman Jan 2021

Metabolomics And Lipidomics: Expanding The Molecular Landscape Of Exercise Biology, Mehdi R. Belhaj, Nathan G. Lawler, Nolan J. Hoffman

ECU Publications Post 2013

Dynamic changes in circulating and tissue metabolites and lipids occur in response to exercise-induced cellular and whole-body energy demands to maintain metabolic homeostasis. The metabolome and lipidome in a given biological system provides a molecular snapshot of these rapid and complex metabolic perturbations. The application of metabolomics and lipidomics to map the metabolic responses to an acute bout of aerobic/endurance or resistance exercise has dramatically expanded over the past decade thanks to major analytical advancements, with most exercise-related studies to date focused on analyzing human biofluids and tissues. Experimental and analytical con-siderations, as well as complementary studies using animal ...


Evaluating A Web- And Telephone-Based Personalised Exercise Intervention For Individuals Living With Metastatic Prostate Cancer (Exerciseguide): Protocol For A Pilot Randomised Controlled Trial, Holly E. L. Evans, Cynthia C. Forbes, Daniel A. Galvão, Corneel Vandelanotte, Robert U. Newton, Gary Wittert, Suzanne Chambers, Andrew D. Vincent, Ganessan Kichenadasse, Nicholas Brook, Danielle Girard, Camille E. Short Jan 2021

Evaluating A Web- And Telephone-Based Personalised Exercise Intervention For Individuals Living With Metastatic Prostate Cancer (Exerciseguide): Protocol For A Pilot Randomised Controlled Trial, Holly E. L. Evans, Cynthia C. Forbes, Daniel A. Galvão, Corneel Vandelanotte, Robert U. Newton, Gary Wittert, Suzanne Chambers, Andrew D. Vincent, Ganessan Kichenadasse, Nicholas Brook, Danielle Girard, Camille E. Short

ECU Publications Post 2013

© 2021, The Author(s). Introduction: Preliminary research has shown the effectiveness of supervised exercise-based interventions in alleviating sequela resulting from metastatic prostate cancer. Despite this, many individuals do not engage in sufficient exercise to gain the benefits. There are many barriers, which limit the uptake of face-to-face exercise in this population including lack of suitable facilities, remoteness, and access to experts, significant fatigue, urinary incontinence and motivation. Technology-enabled interventions offer a distance-based alternative. This protocol describes a pilot two-armed randomised controlled study that will investigate the feasibility and preliminary efficacy of an online exercise and behavioural change tool (ExerciseGuide) amongst ...