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Physical Deconditioning


Presentation

  • RESULTS: There is conflicting evidence that cardiovascular deconditioning is present in CLBP and limited evidence for wasting of the multifidus muscle. No study examined the effectiveness of cardiovascular training specifically.[ncbi.nlm.nih.gov]
  • Pattern A is seen earlier, where the potential for cardiopulmonary disease is present, but not manifest.[mhmedical.com]
  • The objectives of the present study were, firstly, to test the assumption that long-term non-specific LBP leads to a decrease of the level of physical activity (disuse), secondly, to evaluate any development of physical deconditioning as a result of disuse[ncbi.nlm.nih.gov]
  • The present study tested the hypothesis that HDBR deconditioning would modify the forebrain organization for heart rate (HR) control during baroreflex unloading.[ncbi.nlm.nih.gov]
  • Data are presented as mean SD and statistical significance was achieved at p 0.05).[archive.rubicon-foundation.org]
Hypoxemia
  • –Pulmonary (lungs): mild lung collapse, pneumonia, decreased oxygen to the organs (hypoxemia), increased difficulty breathing with activity and at rest.[sralab.org]
Loss of Appetite
  • –Digestive (gastrointestinal and bowel): loss of appetite, constipation. –Urinary: loss of bladder control (incontinence), bladder infection, electrolyte imbalance.[sralab.org]
Orthostatic Hypotension
  • In contrast to the exercise control group, the saline and dobutamine groups developed orthostatic hypotension, tachycardia, and accentuation of the renin-aldosterone response over the 3-wk treatment period; for the saline group, this is best explained[ncbi.nlm.nih.gov]
  • Some of these effects include: –Cardiovascular (heart): decrease in cardiac output, faster heart rates at rest and with activity, decreased blood pressure in upright positions (orthostatic hypotension), decreased ability to exercise.[sralab.org]
Chest Pain
  • Stop exercising and notify your doctor if your heart rate remains elevated for more than five or six minutes after you stop exercising or if you experience any type of chest pain, nausea, shortness of breath or other signs of cardiac distress, warns the[livestrong.com]
Osteopenia
  • This physical deconditioning contributes in varying degrees to lifelong medical complications, including accelerated cardiovascular disease, insulin resistance, osteopenia, and visceral obesity.[ncbi.nlm.nih.gov]
  • Decreased physical activity alone without actual confinement to bed may result in skeletal calcium loss. 15 Gaber et al. 16 have shown that patients with CLBP have an increased incidence of osteopenia and osteoporosis.[clinicalgate.com]
Confusion
  • –Psychological: confusion, disorientation, anxiety, depression. These changes can affect the ability to do self care, to walk, to engage in leisure activities and to work.[sralab.org]

Treatment

  • Our findings indicate that 24 h of HDBR minimized the impact of diuretic treatment on baseline autonomic and cardiovascular variables.[ncbi.nlm.nih.gov]
  • Exercise, hemodynamic, and metabolic studies were performed at base line and at the termination of the 3-wk treatment period.[ncbi.nlm.nih.gov]

Prognosis

  • […] overweight/obesity, insulin resistance, hypertension, and dyslipidemia—the latter as depressed high-density lipoprotein cholesterol and elevated triglycerides—are strongly associated with physical deconditioning, which is common after SCI/D and worsens the prognosis[link.springer.com]

Etiology

  • Med Sci Sports Exerc 18(5):541–544 PubMed CrossRef Google Scholar DeMarco VG, Johnson MS, Whaley-Connell AT, Sowers JR (2010) Cytokine abnormalities in the etiology of the cardiometabolic syndrome.[link.springer.com]

Epidemiology

  • The journal strives to provide its readers with a variety of topics including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on[ingentaconnect.com]
  • Lancet 1(8335):1212–1213 PubMed CrossRef Google Scholar LaPorte RE, Adams LL, Savage DD, Brenes G, Dearwater S, Cook T (1984) The spectrum of physical activity, cardiovascular disease and health: an epidemiologic perspective.[link.springer.com]
  • Sport Sciences, University of Ferrara, b Department of Rehabilitation Medicine, Hospital University of Ferrara, c Vascular Diseases Center, University of Ferrara, Ferrara, d Nephrology Dialysis Unit, Civil Hospital Imola, Imola, e CNR-IFC, Clinical Epidemiology[karger.com]
  • He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education.[lifeinthefastlane.com]
Sex distribution
Age distribution

Pathophysiology

  • This chapter reviews the pathophysiology related to conditions and behaviors that underlie cardiopulmonary disease. We examine ...[mhmedical.com]
  • Pathophysiologically, bedrest patients see an increase in the excretion of calcium into the urine - which makes kidney stones a major risk factor ( something I have lots of experience with unfortunately-- 15-30% of patients on bedrest for more than 5[katertots.com]
  • JAMA 294(23):2981–2988 PubMed CrossRef Google Scholar Castro JP, El-Atat FA, McFarlane SI, Aneja A, Sowers JR (2003) Cardiometabolic syndrome: pathophysiology and treatment.[link.springer.com]

Prevention

  • This physical therapy education article is focused on deconditioning syndrome, its symptoms, causes, and what you can do to prevent it.[orthorehabpt.com]
  • Physical therapy (PT) interventions can help to prevent cardiopulmonary diseases from developing, even among individuals with risk factors.[mhmedical.com]
  • The American College of Cardiology , a 31,000-member nonprofit professional medical society and teaching institution, is dedicated to fostering optimal cardiovascular care and disease prevention through professional education, promotion of research, leadership[news-medical.net]
  • J Phys Act Health 11(7):1393–1400 PubMed CrossRef Google Scholar The Diabetes Prevention Program (DPP) Research Group (2002) The Diabetes Prevention Program (DPP): description of lifestyle intervention.[link.springer.com]
  • Decondition may result from decreased physical activity , prescribed bed rest , orthopedic casting , paralysis , aging , etc. [1] [2] A particular interest in the study of deconditioning is in aerospace medicine , to diagnose, fight, and prevent adverse[en.wikipedia.org]

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