Article
Cardiac & Cardiovascular Systems
Haluk Tekerlek, Melda Saglam, Ali Cem Kucukdagli, Hayrettin Hakan Aykan, Naciye Vardar-Yagli, Ebru Calik-Kutukcu, Deniz Inal-Ince, Tevfik Karagoz
Summary: Cardiorespiratory responses were assessed in Fontan patients using the 6-minute walk test (6MWT) and incremental shuttle walk test (ISWT). It was found that both tests showed significant changes in heart rate, oxygen saturation, dyspnea, and leg fatigue. The ISWT, which is safer and provides more pronounced exercise-induced responses, can be used as a field test to evaluate exercise capacity in Fontan patients.
Article
Respiratory System
Josuel Ora, Emanuela Prendi, Beatrice Ludovica Ritondo, Xhesika Pata, Florian Spada, Paola Rogliani
Summary: Pulmonary rehabilitation improves exercise tolerance in NCFB patients, with a modest impact on respiratory function.
Article
Rehabilitation
Yasemin Acar, Nursen Ilcin, Ismail Sari, Fatos Onen
Summary: This study measured the functional exercise capacity of AS patients using the ISWT and identified factors associated with this test. The results showed that functional exercise capacity was decreased in patients with AS, and it was associated with sex, height, functionality, spinal mobility, and muscular endurance.
PHYSIOTHERAPY THEORY AND PRACTICE
(2023)
Article
Computer Science, Theory & Methods
Ryan McConville, Gareth Archer, Ian Craddock, Michal Kozlowski, Robert Piechocki, James Pope, Raul Santos-Rodriguez
Summary: The paper discusses the application of the Vesta digital health platform in the homes of patients undergoing heart valve interventions, using activity recognition, sleep analysis, and indoor localization to derive health indicators and provide deeper insights into patient health, well-being, and recovery within their home environment.
FUTURE GENERATION COMPUTER SYSTEMS-THE INTERNATIONAL JOURNAL OF ESCIENCE
(2021)
Review
Respiratory System
Ganghee Chae, Eun Jae Ko, Sei Won Lee, Hyun Jung Kim, Sang Gyu Kwak, Donghwi Park, Seung Won Ra
Summary: The study investigated the correlation between peak VO2 and 6MWT and ISWT distances in COPD patients through a meta-analysis.
There was a significant correlation between peak VO2 and 6MWT and ISWT distances, with ISWT showing a stronger correlation compared to 6MWT.
The exercise capacity of COPD patients may affect the strength of the relationship between peak VO2 and walking distance in both field tests.
BMC PULMONARY MEDICINE
(2022)
Article
Surgery
Vanessa Ferreira, Claire Lawson, Francesco Carli, Celena Scheede-Bergdahl, Stephanie Chevalier
Summary: The novel multimodal prehabilitation intervention was feasible in lung cancer patients awaiting surgery within a preoperative timeframe. There was high adherence to the intervention with some positive effects observed, although the study was interrupted by the COVID-19 pandemic.
INTERNATIONAL JOURNAL OF SURGERY
(2021)
Article
Rehabilitation
Aline Marsico, Simone Dal Corso, Etiene F. De Carvalho, Vivian Arakelian, Shane Phillips, Roberto Stirbulov, Igor Polonio, Flavia Navarro, Fernanda Consolim-Colombo, Lawrence P. Cahalin, Luciana M. Malosa Sampaio
Summary: This study compared physiological responses among three field walk tests and cardiopulmonary exercise testing in patients with pulmonary hypertension. The incremental shuttle walk test (ISWT) achieved the highest physiological response, making it the most effective test for assessing functional capacity of PH patients.
EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
(2021)
Article
Medicine, General & Internal
Han Tae Kim, Soo Jeong Jo, Joong Ho Jo, Dohun Kim, Si-Wook Kim, Seung Hyuk Nam, Hyun-Ho Kong
Summary: The walking speed in a 10-meter walk test is significantly correlated with exercise capacity assessed by the 6-minute walk test and cardiopulmonary exercise test in patients who underwent lung resection for lung cancer. This correlation is particularly strong in patients with low exercise capacity who require pulmonary rehabilitation.
Article
Rehabilitation
Cemile Bozdemir Ozel, Hulya Arikan, Raziye Nesrin Demirtas, Melda Saglam, Ebru Calik-Kutukcu, Naciye Vardar-Yagli, Deniz Inal-Ince, Aysen Akalin, Ozgen Celer, Hazal Sonbahar-Ulu, Aslihan Cakmak
Summary: The study compared the physiological responses and exercise performance of patients with metabolic syndrome in two field tests. The incremental shuttle walk test may be a better assessment tool than the six-minute walk test, as it elicits more pronounced physiological responses. Gender and body mass index were key factors influencing exercise capacity in both tests.
DISABILITY AND REHABILITATION
(2021)
Article
Surgery
Joshua T. Slysz, Lu Tian, Lihui Zhao, Dongxue Zhang, Mary M. McDermott
Summary: Supervised exercise therapy (SET) has been shown to improve cardiovascular health in people with peripheral artery disease (PAD), with significant reductions in systolic blood pressure, pulse pressure, and heart rate. The degree of improvement in cardiovascular health is closely related to the improvement in walking performance in PAD patients.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Geriatrics & Gerontology
Jan A. Overgaard, Thomas Kallemose, Kathleen K. Mangione, Morten T. Kristensen
Summary: A 12-week physical therapy program with progressive resistive training (PRT) did not show superiority over a 6-week program in improving walking distance after hip fracture surgery. Hip fracture-related pain was relatively low and strength testing and training were well tolerated.
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
(2022)
Article
Rehabilitation
Alen Palackic, Stephanie Abazie, Ingrid Parry, Soman Sen, Ronald P. Mlcak, Jong O. Lee, David N. Herndon, Ludwik K. Branski, Steven E. Wolf, Heidi Spratt, Oscar E. Suman
Summary: This study compares the performance of pediatric patients with severe burns in the six-minute walk test and the Modified Bruce treadmill test. The results show that the Modified Bruce treadmill test challenges the cardiorespiratory system more, while the six-minute walk test is more clinically feasible for assessing submaximal functional exercise capacity.
JOURNAL OF REHABILITATION MEDICINE
(2022)
Article
Multidisciplinary Sciences
Fernando Gripp, Gilton de Jesus Gomes, Ricardo Augusto Leoni De Sousa, Jullia Alves de Andrade, Ilkilene Pinheiro Queiroz, Caique Olegario Diniz Magalhaes, Ricardo Cardoso Cassilhas, Flavio de Castro Magalhaes, Fabiano Trigueiro Amorim, Marco Fabricio Dias-Peixoto
Summary: High-Intensity Interval Training (HIIT) is a time-efficient approach that increases exercise adherence and improves health. This study compared the efficiency of a HIIT regime with a traditional long-duration Moderate-Intensity Continuous Training (MICT) regime in improving VO2 max of overweight untrained men. The results showed that HIIT was superior to MICT in increasing VO2 max.
JOVE-JOURNAL OF VISUALIZED EXPERIMENTS
(2022)
Article
Medicine, General & Internal
Mattia Bellan, Daniele Soddu, Piero Emilio Balbo, Alessio Baricich, Patrizia Zeppegno, Gian Carlo Avanzi, Giulia Baldon, Giuseppe Bartolomei, Marco Battaglia, Sofia Battistini, Valeria Binda, Margherita Borg, Vincenzo Cantaluppi, Luigi Mario Castello, Elisa Clivati, Carlo Cisari, Martina Costanzo, Alessandro Croce, Daria Cuneo, Carla De Benedittis, Simona De Vecchi, Alessandro Feggi, Martina Gai, Eleonora Gambaro, Eleonora Gattoni, Carla Gramaglia, Leonardo Grisafi, Chiara Guerriero, Eyal Hayden, Amalia Jona, Marco Invernizzi, Luca Lorenzini, Lucia Loreti, Maria Martelli, Paolo Marzullo, Erica Matino, Antonio Panero, Elena Parachini, Filippo Patrucco, Giuseppe Patti, Alice Pirovano, Pierluigi Prosperini, Riccardo Quaglino, Cristina Rigamonti, Pier Paolo Sainaghi, Camilla Vecchi, Erika Zecca, Mario Pirisi
Summary: The study examined the prevalence of lung function, exercise function, and psychological sequelae among survivors of severe COVID-19 four months after discharge. Over half of patients experienced reduced lung capacity, one-fifth had functional impairment, and about one-fifth showed symptoms of posttraumatic stress. These findings suggest that a significant proportion of COVID-19 survivors may continue to experience respiratory, functional, or psychological issues months after hospital discharge.
Article
Pediatrics
Mariana M. Reimberg, Raphael Ritti-Dias, Jessyca P. Selman, Rebeca S. Scalco, Gustavo F. Wandalsen, Dirceu Sole, Erik J. Hulzebos, Tim Takken, Simone Dal Corso, Fernanda C. Lanza
Summary: The study found that the modified shuttle test (MST) elicits maximal physiological response in children and adolescents with asthma, demonstrating convergent validity with the cardiopulmonary exercise test (CPET) and can be used as an alternative method for evaluating exercise capacity.
PEDIATRIC PULMONOLOGY
(2022)
Review
Rehabilitation
Lucy Fettes, Josephine Neo, Stephen Ashford, Irene J. Higginson, Matthew Maddocks
Summary: This study aimed to identify the trajectories and associations of disability in ADL in advanced cancer and/or respiratory disease, as well as appraise its measurement. The results showed that advanced cancer often follows trajectories of increasing disability, while respiratory disease does not predict any particular disability trajectory. Factors associated with increasing disability included frailty, multi-morbidity, cognitive impairment, and infection.
DISABILITY AND REHABILITATION
(2022)
Editorial Material
Nursing
Catherine J. Evans, Anna E. Bone, Deokhee Yi, Myfanwy Morgan, Matthew Maddocks, Juliet Wright, Fiona Lindsay, Irene J. Higginson
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2022)
Article
Health Care Sciences & Services
Katherine E. Sleeman, Rachel L. Cripps, Fliss E. M. Murtagh, Adejoke O. Oluyase, Mevhibe B. Hocaoglu, Matthew Maddocks, Catherine Walshe, Nancy Preston, Lesley Dunleavy, Andy Bradshaw, Sabrina Bajwah, Irene J. Higginson, Lorna K. Fraser
Summary: The study identified factors associated with increased busyness in palliative care services during the Covid-19 pandemic. Providing community care and publicly managed services were better able to respond to escalating needs. Staff shortages, homecare services, nursing care at home, Covid-19 cases, and publicly managed services were all associated with increased busyness in the services.
JOURNAL OF PALLIATIVE MEDICINE
(2022)
Article
Medicine, General & Internal
Andy Bradshaw, Lesley Dunleavy, Ian Garner, Nancy Preston, Sabrina Bajwah, Rachel Cripps, Lorna K. Fraser, Matthew Maddocks, Mevhibe Hocaoglu, Fliss E. M. Murtagh, Adejoke O. Oluyase, Katherine E. Sleeman, Irene J. Higginson, Catherine Walshe
Summary: This study explores the experiences and impact of palliative care staff working during the COVID-19 pandemic. The findings reveal that infection control constraints hindered the ability of staff to provide care aligned with their core values, resulting in moral distress. Despite organizational and team support, the prolonged management of these constraints led to cumulative impacts of moral distress and sometimes burnout. Solidarity with colleagues and making valued contributions provided some moral comfort.
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE
(2022)
Review
Health Care Sciences & Services
Emma J. Chapman, Erica Di Martino, Zoe Edwards, Kathryn Black, Matthew Maddocks, Michael Bennett
Summary: The study found that physical exercise interventions and energy conservation tactics are effective, while limited data are available on other interventions. Regular assessment of the impact of fatigue and emphasis on exercise and energy conservation are recommended. Pharmacological interventions are not supported as a routine approach, and further research on the efficacy of interventions recommended by guidelines is needed.
PALLIATIVE MEDICINE
(2022)
Article
Health Care Sciences & Services
Joanne Bayly, Andy Bradshaw, Lucy Fettes, Muhammed Omarjee, Helena Talbot-Rice, Catherine Walshe, Katherine E. Sleeman, Sabrina Bajwah, Lesley Dunleavy, Mevhibe Hocaoglu, Adejoke Oluyase, Ian Garner, Rachel L. Cripps, Nancy Preston, Lorna K. Fraser, Fliss E. M. Murtagh, Irene J. Higginson, Matthew Maddocks
Summary: This study found that rehabilitation services in palliative care during the Covid-19 pandemic mostly shifted to remote provision, with many team members being on sick leave, redeployed, or furloughed. Free text responses were categorized into four themes showing how rehabilitation services adapted and reconfigured to the challenges posed by Covid-19, affecting both clinicians' and patients' capacity to participate in rehabilitation programs.
PALLIATIVE MEDICINE
(2022)
Editorial Material
Orthopedics
Matthew Maddocks, Darren Brown
JOURNAL OF PHYSIOTHERAPY
(2022)
Article
Health Care Sciences & Services
Joanna M. Davies, Katherine E. Sleeman, Christina Ramsenthaler, Wendy Prentice, Matthew Maddocks, Fliss E. M. Murtagh
Summary: This study examined the association between socioeconomic position and the symptoms and concerns of older adult patients receiving specialist palliative care. It found that patients living in more deprived areas had higher scores on the communication and practical concerns subscale, indicating greater difficulties in these areas. However, deprivation was not associated with scores on the physical or emotional symptoms subscales. Targeting resources to address practical and communication concerns could be a strategy to reduce inequalities in end-of-life care.
PALLIATIVE MEDICINE
(2023)
Article
Infectious Diseases
Natalie St Clair-Sullivan, Kiersten Simmons, Richard Harding-Swale, Thomas Levett, Matthew Maddocks, Jonathan Roberts, Daniel Trotman, Deokhee Yi, Jaime H. Vera, Katherine Bristowe
Summary: This study aimed to explore the perceptions of older people living with HIV and HIV professionals towards frailty and routine screening for frailty. The study found that frailty was described as a series of losses around mobility, social inclusion, independence, and mental acuity. People living with HIV found it acceptable to explicitly use the word "frail" during screening if approached sensitively and provided with information and support. HIV professionals, on the other hand, had concerns about using the word "frail" for fear of causing distress or offense.
Article
Multidisciplinary Sciences
Mariana S. Sousa, Peter Martin, Miriam J. Johnson, Michael Lind, Matthew Maddocks, Alex Bullock, Meera Agar, Sungwon Chang, Slavica Kochovska, Irina Kinchin, Deidre Morgan, Belinda Fazekas, Valentina Razmovski-Naumovski, Jessica T. Lee, Malinda Itchins, Victoria Bray, David C. Currow
Summary: Anorexia is a common problem in lung cancer patients, affecting their response to chemotherapy and their ability to complete treatment, leading to worse outcomes and prognosis. Current therapies for cancer-related anorexia are limited and have side effects. This study aims to evaluate the safety and feasibility of anamorelin HCl as a potential treatment for anorexia in lung cancer patients. The study will assess various outcomes, including body weight, functional status, nutritional intake, and quality of life.
Article
Respiratory System
Claire M. Nolan, Susie J. Schofield, Matthew Maddocks, Suhani Patel, Ruth E. Barker, Jessica A. Walsh, Oliver Polgar, Peter M. George, Philip L. Molyneaux, Toby M. Maher, Paul Cullinan, William D. -C. Man
Summary: This study aimed to investigate the longitudinal change of four-metre gait speed (4MGS) in newly diagnosed individuals with idiopathic pulmonary fibrosis (IPF) and its association with adverse outcome. The study found that 4MGS declined over 6 months, and a decline of 0.07 m/s or more was significantly associated with increased risk of hospitalization/death. Therefore, 4MGS change has the potential to serve as a surrogate endpoint for interventions targeting hospitalization/death risk.
Article
Respiratory System
Matthew Maddocks, Lisa J. Brighton, Jennifer A. Alison, Lies ter Beek, Surya P. Bhatt, Nathan E. Brummel, Chris Burtin, Matteo Cesari, Rachael A. Evans, Lauren E. Ferrante, Oscar Flores-Flores, Frits M. E. Franssen, Chris Garvey, Samantha L. Harrison, Anand S. Iyer, Lies Lahouse, Suzanne Lareau, Annemarie L. Lee, William D. -C. Man, Alessandra Marengoni, Hamish J. C. McAuley, Dmitry Rozenberg, Jonathan P. Singer, Martijn A. Spruit, Christian R. Osadnik
Summary: People with respiratory disease have an increased risk of developing frailty, and rehabilitation plays an important role in managing frailty in this population. However, identifying frailty and delivering rehabilitation for these individuals remain challenging. This workshop aimed to outline definitions and concepts, synthesize evidence, and explore adaptation of programs for people with respiratory disease and frailty. Participants discussed the frailty rehabilitation paradox and highlighted the need for comprehensive assessment, tailored support, and exercise prescriptions that consider symptom burden and comorbidities. Research is required to expand understanding and explore telerehabilitation or home-based pulmonary rehabilitation for this population.
ANNALS OF THE AMERICAN THORACIC SOCIETY
(2023)
Article
Health Care Sciences & Services
Joanne Bayly, Hilde Hjelmeland Ahmedzai, Maria Grazia Blandini, Barbara Bressi, Augusto Tommaso Caraceni, Joana Carvalho Vasconcelos, Stefania Costi, Stefania Fugazzaro, Monica Guberti, Mai-Britt Guldin, May Hauken, Irene Higginson, Barry J. A. Laird, Julie Ling, Charles Normand, Lise Nottelmann, Line Oldervoll, Cathy Payne, A. Toby Prevost, Guro B. Stene, Elisa Vanzulli, Eduardo Veber, Guillaume Economos, Matthew Maddocks
Summary: This multinational trial aims to test the clinical and cost-effectiveness of a short-term palliative rehabilitation intervention for people with incurable cancer. Through comparative analysis, mixed-method evaluation, evidence synthesis, and Delphi consensus, the trial will contribute to the development of an international framework for palliative rehabilitation practice and policy.
PALLIATIVE CARE & SOCIAL PRACTICE
(2023)
Article
Infectious Diseases
Kate Alford, Shiraaz Sidat, Katherine Bristowe, Natalie St Clair-Sullivan, Gary Parteger, Maddocks Matthew, Deokhee Yi, Richard Harding, Tom Levitt, Stephen Bremner, Jaime H. Vera
Summary: This study explored the views of people with HIV and healthcare workers on routine screening for cognitive impairment. People with HIV were receptive to screening and saw it as relevant and important. Healthcare workers expressed concerns about implementing routine screening and questioned the validity of screening measures used. The study suggests that screening and subsequent detection of cognitive impairment may help people with HIV prepare for future issues and promote active management strategies.
Article
Respiratory System
Charles C. Reilly, Katherine Bristowe, Anna Roach, Matthew Maddocks, Irene J. Higginson
Summary: The aim of this study was to explore the accessibility and willingness of patients with chronic breathlessness to use an internet-based self-management intervention. The findings suggest that patients with internet access have the potential to benefit from the online intervention.