Premature Ventricular Contractions As A Result Of Subacute Myocarditis In A Professional Football Player, Charlotte Pirquet, Daniel Underberg, Brian Osler, Derek Schwabe-Warf, David Shipon

Department of Medicine Faculty Papers

BACKGROUND: Return-to-play (RTP) decisions for professional athletes with arrhythmias are challenging, particularly when the diagnosis is uncertain.

CASE SUMMARY: A 33-year-old professional football player presented for RTP evaluation of premature ventricular contractions (PVCs) and atypical chest pain. Work-up was significant for fragmented R waves and PVCs on electrocardiogram as well as late gadolinium enhancement on cardiac magnetic resonance imaging. Positron emission tomography scan was normal. These findings suggested possible subacute myocarditis. He elected to rest for 2 to 3 months and was treated with guideline-directed medical therapy. Risk stratification highlighted increased risks associated with late gadolinium enhancement and incomplete genetic …

Changes In Insulin, Leptin, Resistin And Irisin Levels And Their Associations With Blood Pressure After An 8-Week Supervised, Online “Hiit Mama” Program Vs. Self-Performed Moderate-To-Vigorous Physical Activity During Pregnancy - A Randomized Controlled Trial, Anna Szumilewicz, Junjiang Sun, Rita Santos-Rocha, Jan Mieszkowski, Andrzej Kochanowicz

Baltic Journal of Health and Physical Activity

We aimed to determine changes in insulin, leptin, resistin, and irisin levels and their associations with blood pressure (BP) during pregnancy, following an 8-week high-intensity interval training (HIIT) or a self-performed moderate-to-vigorous physical activity (MVPA). The study involved 54 Caucasian women in uncomplicated, singleton pregnancy (age 32 ± 4 years, week of gestation 24 ± 4, mean ± SD). They were randomly allocated to the 8-week supervised, online “HIIT Mama” program (HIIT group, n = 34) or educational intervention and self-performed MVPA (EDU group, n = 20). All participants maintained normotension throughout the study. The HIIT program in-duced a statistically …

Optimizing Interventions For Major Depressive Disorder And Provider Burnout: Self-Speak Exercise Dosing (Sed), Laureen Maloney-Gepfert

Lynchburg Journal of Medical Science

ABSTRACT

Major Depressive Disorder (MDD) is ranked highest among mental illnesses in the United States (US) and significantly contributes to the mental health care crisis. Patients experience resistance to pharmacologic interventions, side effects, co-morbidities, and mental health provider shortages. Subsequently, 33 % of Serious Mental Illnesses (SMIs) are being redirected to Primary Care Providers (PCPs). Concurrently, prescriber mental health is in crisis. Growing workloads for physicians and Advanced Practice Providers (APPs) have increased provider burnout syndrome (BOS). Major Depressive Disorder and BOS are positively affected by exercise, Cognitive Restructuring (CR), and Behavioral Activation (BA). Sports medicine and psychology research shows …

Relationship Between E-Sports And Physical Activity Participation: Validation Of The E-Sports Addiction Scale (Esas), Olivér Szabella, Lili Kassay, Attila Szabo

Baltic Journal of Health and Physical Activity

Background: E-sports are becoming increasingly popular. Considering the addictive potential of video games, e-sports might be more addictive than traditional sports. This study assessed the addiction risk in regular e-sports players and its relationship with other physical exercise habits. Method: A sample of 116 (93.1% males; mean age = 23.91±4.47) e-sports players answered questions online on play and exercise habits and completed the E-sports Addiction Scale (ESAS) derived from the revised Exercise Addiction Inventory (EAI-R). Results: The ESAS showed excellent model fit, allowing researchers to assess the risk of e-sports addiction in future studies. The risk rate of e-sports addiction …

The Relationship Between Individualised Speed Thresholds And Changes In Aerobic Fitness In Elite Professional Youth Soccer Players. A Case Study, Ronan Kavanagh, Kevin Mcdaid, David Rhodes, Jill Alexander, Damian Harper, Rafael Oliveira, Kieran Berry, Mark Connor, Piotr Zmijewski, Ryland Morgans

Baltic Journal of Health and Physical Activity

Background: This study aimed to examine the dose-response relationship between training load and aspects of physical fitness in English Premier League (EPL) U23 soccer players. Materials and Methods: Seven male EPL U23 outfield soccer players (age 20.1±1.1 years) participated in this study and performed the Bronco test on five occasions within one season. Individualised running thresholds were employed using maximal aerobic speed (MAS), anaerobic speed reserve (ASR) and maximal sprint speed (MSS) values utilising a GPS system. Results: No significant differences in the Bronco performance between the tests (p > 0.05, ES = 0.101) were observed. Distance covered above 30% …

Improving Adls, Iadls, And Qol In Breast Cancer Survivors, Tincy Samuel, Rebecca King

Fall 2024 OTD Capstone Symposium

Breast cancer and its treatment can significantly impact breast cancer survivor’s ability to perform Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), and Quality of Life (QoL). Physical activity programs have been found to positively impact various aspects of quality of life in breast cancer patients, including physical condition, state of mind, and selfesteem. However, there is a gap in the OT practice and the literature regarding how to improve independence in ADLs, IADLs, and overall quality of life in breast cancer survivors. A program was created to improve Activities of Daily Living (ADLs), Instrumental Activities of …

Exercise As A Therapeutic Intervention And Its Effects On The Quality Of Life Of Those Diagnosed With Amyotrophic Lateral Sclerosis, Theresa Stettner, Helen Carey, Cynthia Haynes

Fall 2024 OTD Capstone Symposium

The standard of care for those with ALS includes range of motion, limb relaxation, trunk balance, and gait training (Braga et al., 2018). This study examines perceived quality of life in ALS clients before and after an in-person exercise program and home exercise program to evaluate the benefits of exercise as exercise does not exacerbate symptoms of ALS (Meng et al., 2020). Daily occupation performance requires functional ability which may be preserved through exercise (Kalron et al., 2021).

Utilization Of Blood Flow Restriction Therapy With A Former Triathlete After Total Knee Arthroplasty: A Case Report, Christopher Keating, Stephanie Muth, Pt, Phd, Cameron Hui, Lisa T. Hoglund

Department of Physical Therapy Faculty Papers

INTRODUCTION AND PURPOSE: Knee osteoarthritis (OA) is a common condition that limits function and reduces quality of life. Total knee arthroplasty (TKA) is a surgical procedure that replaces the joint surfaces to address anatomical changes due to knee OA. While TKA improves symptoms and function, postoperative impairments are common, including reduced quadriceps strength. Blood flow restriction (BFR) may be a viable option for patients following TKA, as it can improve strength with a minimal amount of joint loading compared to traditional strength training. The purpose of this case report is to describe the impact of BFR use in an individual …

Terapi Latihan Pada Fase Satu Pasca Operasi Rekonstruksi Ruptur Anterior Cruciate Ligamentum Sinistra, Aunike Arum Meta Wurgani, Irawan Wibisono

Jurnal Fisioterapi Terapan Indonesia

Anterior Cruciate Ligament (ACL) reconstruction is a surgical procedure involving the grafting of the ACL using tendon tissue. This procedure aims to restore knee stability and joint fixation following an ACL injury. Post-ACL reconstruction often leads to complications such as pain, edema, reduced range of motion, and muscle weakness. The physiotherapy program in this case aims to evaluate the effects of physiotherapy interventions, including quadriceps setting, hamstring setting, straight leg raise (SLR), heel slide, ankle pumping, bridging, and prone hang exercises, in reducing edema and pain, as well as improving the range of motion and muscle strength in the knee …

Estrogen-Related Receptor Signaling In Skeletal Muscle Fitness, Danesh Sopariwala, Hao Nguyen, Vihang Narkar

Faculty, Staff and Student Publications

Skeletal muscle is a highly plastic tissue that can alter its metabolic and contractile features, as well as regenerative potential in response to exercise and other conditions. Multiple signaling factors including metabolites, kinases, receptors, and transcriptional factors have been studied in the regulation of skeletal muscle plasticity. Recently, estrogen-related receptors (ERRs) have emerged as a critical transcriptional hub in control of skeletal muscle homeostasis. ERRα and ERRγ - the two highly expressed ERR sub-types in the muscle respond to various extracellular cues such as exercise, hypoxia, fasting and dietary factors, in turn regulating gene expression in the skeletal muscle. On …

Physical Activity In Managing Stress Among Managers During The Covid-19 Pandemic – A Systematic Review, Anna Hryniewicz, Anna Gmiąt, Magdalena Jaroch-Lidzbarska, Mariusz Lipowski

Baltic Journal of Health and Physical Activity

Introduction: During the COVID-19 pandemic managers experienced additional stress connected with taking responsibility for workers at the time of a worldwide crisis. Maintaining a high level of physical activity in this specific group possibly could have contributed to keeping both management skills and health condition at a high required standard. The purpose of this review is to verify the range of scientific interest on the subject of physical activity among managers as a stress coping strategy during the pandemic. Materials and Methods: For this systematic review six studies were chosen (two of them are qualitative descriptive, three are cross-sectional, one …

Health Consequences Of Low Energy Availability In Females And Their Underlying Physiological Mechanisms, Grace Parry

Senior Honors Theses

Low energy availability (LEA) is a state in which energy intake is insufficient to support energy expenditure while maintaining energy balance, which has been shown to result in gastrointestinal distress, immunosuppression, reduced metabolic rate, menstrual dysfunction, diminished bone health, and impaired cardiovascular function in females. Alterations to the microbiome and mucosal lining may propagate gastrointestinal complaints and compromised immune function associated with LEA. The pathophysiology of LEA is otherwise largely driven by hormonal adaptations. Diminished production of thyroid hormones is known to contribute to reduced metabolic rate. Decreases in leptin and insulin and increases in ghrelin disrupt reproductive function through …

Physical Exercise As Cytokine Modulator In Inflammatory Immune Response: A Systematic Review, Kartika Ratna Pertiwi, Evy Yulianti, Ukhti Jamil Rustiasari

Jurnal Keolahragaan

Physical exercise contributes to maintain our health, through its role in inflammatory immune response. Cytokines are proteins that mediate communication between immune cells, either as pro- or anti-inflammation agents. Nonetheless, the dominance of pro- over anti-inflammatory cytokines during a workout, is harmful to health. This systematic review aimed at determining the effect of physical activity in modulating pro- and anti-inflammatory cytokines during immune response. Following Preferred Reporting Items for Systematic Reviews (PRISMA) guideline, literature searching was conducted in 3 databases which were PUBMED/MEDLINE, DOAJ and GARUDA, using keywords, citation tracking and snowballing. Inclusion and exclusion criterias were used to screen, …

Comparison Of The Effect Of Aerobic And Resistance Exercise On Short Term Memory On Healthy Adults, Frederick P. Wijaya, Ery Hermawati M.Sc, Willy Handoko M.Biomed

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Background: Exercise is known to improve the cognitive function, including short-term memory. Exercise can induce structural and functional changes of the brain, i.e. synaptic plasticity. Exercise is categorized into two groups: aerobic exercise and resistance exercise. Studies have shown that both groups of exercises can improve short-term memory function.

Objectives: this research is aimed to compare the effect of aerobic and resistance exercise on short-term memory on healthy adults.

Methods: Participants were given the choice to be admitted into either exercise group, aerobic or resistance. Short-term memory (forward digit span) were measured before and after the intervention.

Results: there were …

Establishing Safe Thresholds To Improve Exercise Capacity In Collegiate Athletes With Inflammatory Bowel Disease (Ibd): A Critically Appraised Topic, Emily C. Roberts, Jenny Toonstra, Andrea Cripps

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Clinical Scenario: Inflammatory Bowel Disease (IBD) can present several challenges to athletic participation due to unpredictable disease activity and uncontrollable systemic symptoms that severely impact daily activities, and limit exercise/sports participation. Limited studies and a lack of standardized guidelines for physical activity (PA) and exercise are additional barriers for patients. Limited sources have determined that exercise interventions of low-to-moderate intensity are safe and feasible for IBD patients. In theory, such interventions could promote improvements in exercise capacity and overall well-being. Focused Clinical Question: Is there evidence to suggest that established safe exercise-intensities promote improvements in exercise capacity in collegiate athletes …

A 12-Year Retrospective Analysis Of Vo2max Values In College-Aged Student Athletes, Michelle Wilson, Scott Swanson

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

OBJECTIVE
To examine VO₂max values in a cohort of exercise physiology students over a 12-year time period.

MAIN OUTCOME MEASUREMENT
Student’s VO₂max values were examined for the effects of gender (males vs. females) and athletic status (athlete vs. non-athlete). Significance was set at p

Establishing Safe Thresholds To Improve Exercise Capacity In Collegiate Athletes With Inflammatory Bowel Disease (Ibd): A Critically Appraised Topic, Emily C. Roberts, Jenny Toonstra, Andrea Cripps

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

CLINICAL SCENARIO
Crohn’s Disease (CD), Ulcerative Colitis (UC), and Indeterminate Colitis (IC) are forms of Inflammatory Bowel Disease (IBD), a complex auto-immune disorder of the GI tract. IBD can present several challenges to athletic participation due to unpredictable disease activity and uncontrollable systemic symptoms that severely impact daily activities and limit exercise/sports participation. Limited studies and a lack of standard guidelines for physical activity (PA) and exercise are additional barriers for patients. The limitation of studies and absence of standard guidelines are a particular concern for Athletic Trainers who may encounter collegiate athletes with IBD and must navigate the return-to-play …

Modulating Tumour Hypoxia In Prostate Cancer Through Exercise: The Impact Of Redox Signalling On Radiosensitivity, Malcolm Brown, Amélie Rébillard, Nicolas H. Hart, Dominic O’Connor, Gillian Prue, Joe M. O’Sullivan, Suneil Jain

Research outputs 2022 to 2026

Prostate cancer is a complex disease affecting millions of men globally. Radiotherapy (RT) is a common treatment modality although treatment efficacy is dependent upon several features within the tumour microenvironment (TME), especially hypoxia. A hypoxic TME heightens radioresistance and thus disease recurrence and treatment failure continues to pose important challenges. However, the TME evolves under the influence of factors in systemic circulation and cellular crosstalk, underscoring its potential to be acutely and therapeutically modified. Early preclinical evidence suggests exercise may affect tumour growth and some of the benefits drawn, could act to radiosensitise tumours to treatment. Intracellular perturbations in skeletal …

Does The Spinning Exercise Affect The Ovarian Reserve In Reproductive-Young Women?, Umit Gorkem, Faruk Yamaner, Erkan Demi̇Rkan, Hasan Ali Inal

Baltic Journal of Health and Physical Activity

Background:‪The aim of this study is to evaluate whether spinning exercise may have an impact on ovarian reserve capacity in reproductive young women.Material and methods:‪48 healthy women were included into this prospective cohort study and randomly categorized into control (n = 14) and experimental groups (n = 12). Spinning exercise sessions were conducted for 50 minutes three times a week for 8 weeks in the study group. The control group did not exercise. Immediately before and after the spinning program, each participant underwent the measurements of the body mass index, the waist circumference, the hip circumference as well as serum …

Hypertension, Physical Activity And Other Associated Factors In Military Personnel: A Cross-Sectional Study, Lilian Cristina Xavier Martins

Baltic Journal of Health and Physical Activity

Hypertension is a major concern in public health. In the world population over 25 years of age, its prevalence is of 40%, and studies on the amount of physical activity (PA) related to hypertension in active military personnel are scarce. To estimate the prevalence of hypertension in the Brazilian Army military personnel and to explore the association of PA levels and other risk factors.Material and methods:‪This is a cross-sectional study (N = 506). Self-reported prevalence of hypertension (outcome), PA and associated factors were examined (χ2, simple and multiple Poisson regression).Results:‪Prevalence of hypertension was lower (9.7%) than in the general population …

Iron Metabolism And Hepcidin Concentration In Teenagers Before And After Exercise In Relation To The Hfe Gene Status, Barbara Kaczorowska-Hac, Marcin Luszczyk, Jedrzej Antosiewicz, Jan Jacek Kaczor

Baltic Journal of Health and Physical Activity

Background: ‪The aim of the study was to compare the influence of exercise on iron metabolism and hepcidin concentration between carriers of His63Asp mutation (H63D polymorphism) and wild type HFE gene males. Iron is an essential micronutrient required for various biological processes. Systemic iron homeostasis is maintained in a hormone-like negative feedback mechanism by the 25-amino acid peptide hepcidin. Hepcidin controls duodenal iron absorption and iron recycling from senescent erythrocytes using tissue macrophages through the down-regulation of the sole known iron cell exporter, ferroportin-1. Exercise may induce an inflammatory response that leads to changes in iron metabolism. Material and methods: …

Physical Activity Patterns And Dietary Habits Of Undergraduate Students, Ebenezer Essaw, Monday Omoniyi Moses, Daniel Afrifa, Isaac Kwaku Acheampong, Winifred Mensah, Lemuel Owusu

Baltic Journal of Health and Physical Activity

Background: ‪Data about physical activity report card for Ghanaian children and youth are available but reports on physical activity patterns and dietary habits of undergraduates are scarce. Material and methods: ‪This cross-sectional study sampled 278 participants (161 males, 117 females, mean age = 20.73 ± 1.72 years). Blood pressure, heart rate, physical activity patterns and dietary habits were measured. Results: ‪Most (83.1%) of the sample predominantly engaged in household activities. Time spent on treadmill/ cycling activities is significantly higher in females than males (P = 0.018). Day/week for high intensity sports was higher in males (P = 0.005), while household …

Effect Of A Combined Exercise Program (Aerobic And Rebound Therapy) With Two Different Ratios On Some Physical And Motor Fitness Indices In Intellectually Disabled Girl, Amir Hossein Haghighi, Fatemeh Mohammadtaghipoor, Mohammadreza Hamedinia, Javad Harati

Baltic Journal of Health and Physical Activity

Background: ‪Individuals with intellectual disability (ID) are mostly neglected and hardly exercised. The purpose of this study was to investigate the effect of a combined program (aerobic and rebound therapy) with two different ratios on some physical and motor fitness indices in intellectually disabled girls. Material and methods: ‪A total of 24 girls with ID (13–17 years old with an IQ of 50 to 70) were selected and randomly divided into two experimental and one control group. Experimental groups performed a combined aerobic rebound therapy program with two different proportions: (group 1 performed 10 minutes of aerobic exercises and 20 …

The Effect Of Breath-Hold Diving On Selected Adaptive Mechanisms In The Circulatory-Respiratory System In Simulated Static And Dynamic Apnoea, Magdalena Solich-Talanda, Robert Mikolajczyk, Robert Roczniok, Aleksandra Zebrowska

Baltic Journal of Health and Physical Activity

Background: ‪Current research results indicate high adaptation of an organism to long-term apnoea. Breathing techniques allow increasing the volume of the inhaled air and thus prolong the breath-hold time at rest and during physical effort. The purpose of this study was to assess the impact of breath-hold on adaptations of the respiratory and circulatory systems and cardiopulmonary-respiratory reactions at rest and during physical effort in persons practising freediving. Material and methods: ‪The study involved 17 athletes practising breath-hold diving, at the mean age of 38.4 ±8.4 years. Spirometry tests to evaluate static and dynamic lung indicators were conducted. The heart …

Macronutrients And Water – Do They Matter In The Context Of Cognitive Performance In Athletes?, Ewa Karpecka, Barbara Fraczek

Baltic Journal of Health and Physical Activity

Proper nutrition is a key factor in physical performance, but there are also indications of an impact of dietary components on the brain function. Therefore, the aim of the study was to assess the impact of macronutrients and water on cognitive performance. Assumptions of the Mediterranean diet correlate with better global cognition, episodic memory, lower risk of cognitive impairment and neurodegenerative diseases. In turn, a high-fat and high-sugar diet shows the opposite effect. Omega-3 fatty acids could be used as a preventive tool for cognitive decline, but there is still insufficient evidence if supplementation improves cognitive functions. The proper intake …

Effect Of Dynamic And Static Strength Training On Hormonal Activity In Elite Boxers, Eser Ağgön, Özturk Agırbaş, Hamit Hakan Alp, Izzet Uçan, Recep Gürsoy, Anthony C. Hackney

Baltic Journal of Health and Physical Activity

Background: The aim of this study was to determine hormonal responses to acute and chronic exposure to static and dynamic strength training programs using resistance bands in boxers. Material and methods: 19 male national boxers participated in the study. Boxers were instructed to perform strength exercises with resistance bands for 3 days a week for 8 weeks involving either dynamic (n=10) or static (n=9) resistance exercises. Blood samples were taken before exercise, immediately after the initial exercise session, and 8 weeks later following the last exercise session. Cortisol, growth hormone, adrenocorticotropic hormone adrenaline and noradrenaline levels were measured. Statistical analyses …

How Are The Physical Activity And Anxiety Levels Of The University Students Affected During The Coronavirus (Covid-19) Pandemic?, Zehra Güçhan Topcu, Beliz Belgen Kaygısız, Cisel Demiralp

Baltic Journal of Health and Physical Activity

Background: The Covid-19 pandemic has influenced all people’s lives. The aim of this study was to evaluate the level of physical activity and anxiety of university students during the pandemic, and then determine some associated factors with anxiety of these young adults. Material and methods: A web-based questionnaire was sent to the participants. International Physical Activity Questionnaire-Short Form (IPAQ-SF) and Beck Anxiety Inventory (BAI) were used to collect data about the levels of their physical activity and anxiety. Results: 247 participants (females = 151, males = 96) of the Faculty of Health Sciences whose mean ages were 21.46 ±2.1 years …

Determination Of Energy Intake And Dietary Habits And Their Relationship With Physical Activity Levels And Healthy Lifestyle Behaviours Of Primary Education And Pre-Service Teachers, Arzu Özkan, Taner Bozkuş, Ali Özkan, Gürhan Kayihan

Baltic Journal of Health and Physical Activity

Background: Participation in physical activity (PA) from a young age helps to build the foundation for a healthy life in the future. The purpose of this study was to investigate the relationships between energy intake, dietary habits, PA levels, and healthy lifestyle behaviours (HLSBs) in primary education and pre-service teachers. Material and methods: A total of 105 primary education teachers (69 female, 36 male) and 95 pre-service teachers (64 female, 31 male) participated voluntarily in this study. To determine energy intake and dietary habits, participants completed a form detailing what they had consumed during the previous 24 hours. The short …

A Comparison Of Balance And Leg Muscle Strength Between Tai Chi And Yoga In Older Adults: A Cross-Sectional Study, Mentari A. Jelita, Julia R. Tanjung, Ignatio R. Haryono, Nawanto A. Prastowo

Baltic Journal of Health and Physical Activity

Background: There is increasing evidence that practicing tai chi or yoga can improve the elderly’s physical performance. This study aimed to compare the effects of tai chi and yoga on balance and leg muscle strength in the elderly. Material & Methods: This cross-sectional study involved 90 elderly persons who practice tai chi (n = 36), yoga (n = 23), and a control group (n = 31). The balance function was assessed using the single-leg stance (SLS) test, while leg muscle strength (LMS) was assessed using a leg-back dynamometer. A Chi-square, Spearman rank test, one-way ANOVA with LSD post hoc were …

The Relationship Between Scapular Endurance And Core Endurance In Elite Amputee Football Players, Gurkan Gunaydin

Baltic Journal of Health and Physical Activity

Background: Body structure constitutes a kinetic chain with thoracolumbar fascia and this chain may induce a relationship between scapular and spinal stabilizers. Amputee soccer players use crutches during the game and, considering that the crutch use may also activate different muscle groups, the possibility of the relationship between scapular and spinal stabilizers becomes important for organizing training programs. The aim of this study is to determine the relationship between scapular endurance and core endurance in elite amputee players. Material and methods: Fifteen male amputee national football team players took part in the study. The players’ scapular endurance was evaluated by …