فهرست مطالب amir hossein abedi yekta

Electroacupuncture and exercise therapy have been used to treat knee osteoarthritis, but evidence for adding cupping to this treatment is lacking. Therefore, this study aimed to investigate the effect of cupping and acupuncture combined with exercise on knee osteoarthritis.

This randomized control trial was done on 56 patients with knee osteoarthritis. We had two groups: a control and an intervention group. Both groups received electroacupuncture and exercise therapy programs. The intervention group received cupping after electroacupuncture plus exercise therapy. The Western Ontario and McMaster Universities Index (WOMAC) questionnaire and Visual Analogue Scale (VAS) measured patient outcomes before and after treatment.

All patients' VAS and WOMAC scores decreased in these two groups after treatment. The difference between VAS and WOMAC scores and pain and knee function was significant compared to the intervention group with the control group (p<0.05). The difference in knee stiffness was not significant comparing the intervention group with the control group (p>0.05).

Adding cupping therapy following electroacupuncture and exercise therapy significantly decreased pain and improved function.

Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality worldwide. The aim of this study was to investigate the effects of inspiratory muscle training (IMT) and aerobic exercise on healthrelated quality of life of patients with COPD.

This randomized controlled clinical trial was conducted on 60 patients with moderate to severe COPD, who were referred to Imam Hossein Hospital of Tehran, Iran in 2016. The patients were randomly assigned to four groups and treated for eight weeks. Group 1 (n=16) participated in 16 sessions of IMT (15 minutes per session), group 2 (n=14) performed aerobic exercises twice a week (40 minutes per session), group 3 (n=15) performed IMT and aerobic exercises, and group 4 (n=15) received no intervention, except for routine treatments (control). Quality of life was evaluated based on the Saint George’s Respiratory Questionnaire (SGRQ) at baseline, week 4, and week 8 after the intervention.

After eight weeks, all four groups experienced a significant improvement in their quality of life (P<0.05), and group 3 (IMT and aerobic exercise) showed the greatest improvement. However, quality of life improvement in group 4 (control) was less than the other three groups (P<0.05).

Aerobic exercise and IMT were more effective than routine protocols in improving the quality of life of COPD patients. Furthermore, shortterm IMT plus aerobic exercise had the greatest impact on improving the health-related quality of life of COPD patients and could be used in the management of these patients.

Many studies have shown a high prevalence of vitamin D deficiency in different communities. Due to multiple roles of vitamin D in the body, this study was aimed to determine the effect of oral vitamin D3 on ventilatory threshold-1 in a condition of vitamin D deficiency. Recent study performed on 25 healthy young adults with the serum levels of 25 Hydroxyvitamin D3 lower than 20 ng/ml, had referred to the sports medicine clinic of Taleghani Hospital of Tehran, in a one-year period (2016-2017). After primary evaluation, baseline ventilatory threshold-1 were determined by cardiopulmonary exercise testing (CPET). Then persons were treated with 50,000 IU/week of oral vitamin D3 for 8 weeks, and one week after the completion of treatment, ventilator threshold-1 was measured again, similar to the beginning conditions of the study, and its changes were studied. The mean baseline ventilatory threshold-1 of participants before any intervention was 22.46 ± 6.45 (ml/kg/min), and after 8 weeks of treatment by 50000 IU/week of oral vitamin D3, increased to 26.79 ± 5.33 (ml/kg/min) at the end of study, which there was a statistically significant increase in ventilatory threshold-1 (p<0.001). Recent study showed that proper treatment of the vitamin D deficiency, improves ventilatory threshold-1 in healthy young adults.

The purpose of the present study was to systematically evaluate the scientific evidence about the impact of pre-competition sexual activity on athletic performance.

Using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement, PubMed, Scopus, ISI Web of Science, Cochrane Library, ProQuest, Physiotherapy Evidence Database(PEDro), and Google Scholar searches were performed with appropriate keywords without time and language restrictions for studies evaluating the impact of sexual activity on athletic performance. The titles and abstracts were reviewed by two independent reviewers. The methodological quality of the studies and the risk of bias were checked using the quality assessment tool of the Critical Appraisal Skills Program (CASP).

We found that most studies on this topic had low methodological quality. Out of the456 articles retrieved in the search, only seven met the inclusion criteria of the review. In four of these studies, sexual activity10–12 hours before competition did not alter short-term physiological testing results including maximum-effort grip strength test, hamstring flexibility, reaction time, aerobic power (stair-climbing exercise), VO2max (treadmill and cycle ergometer test), sub-maximal graded-exercise test, muscular endurance, oxygen pulse, double product, testosterone, cortisol, blood glucose concentrations, and mental concentration. In one study, significantly higher differences were reported for post-maximal stress test heart rate at 5 and 10 minutes during two hours of recovery period after sexual intercourse, which disappeared when a maximal stress test was performed 10 hours after sexual activity. In another study immediately after sexual intercourse, 40% of long-distance athletes had difficulty during intensive loading, while in 90% of the addressed athletes, sexual activity 12 hours before the endurance test did not have an influence on performance.

Based on mainly low-quality and heterogeneously designed studies, it can be concluded that having sex at least 10–12 hours before athletic events does not negatively influence physiological test results and possibly athletic performance. However, having sex immediately or a few hours before a competition has negative psychological or physiological effects on athletic performance.

The most common reproductive endocrine disorder of reproductive age women is a Poly cystic ovary syndrome (PCOS) Metabolic syndrome has been more reported in patients with PCOS in comparison to general population. Few investigations have been performed to evaluate the independent effect of exercise on biochemical and clinical symptoms of patients with PCOS. The aim of the study was to find the effect of home base aerobic-strengthening exercises on anthropometric and hormonal variables of patients with PCOS.
MaterialsandIn this randomized controlled trial twenty women in the exercise group performed aerobic, strengthening exercises; the other 20 participants in the control group were advised to continue their previous physical activity pattern. Blood pressure, Waist to Hip ratio (WHR), BMI along with hormonal variables(including insulin related factors, sexual hormones and inflammatory factors) were assessed at baselineand after the 12 week intervention).
16patients in the exercise group and 14 patients in control group finished the study. TheWHR (pWe can conclude that 12 weeks combined aerobic-strengthening exercise program in women with poly cystic ovary syndrome can lead to a reduction of waist to hip ratio (WHR) and some cardiovascular risk factors (including insulin, FBS, HOMA index and HsCRP) along with an increase of prolactine level in these patients.

Nowadays, the Waist-Hip Ratio is considered one of the most important indices in predicting the risk of cardiovascular diseases. The usual method for calculating this index is by measuring the waist and hip circumferences with a measuring tape. However, bioelectrical impedance analysis (BIA) devices are also capable of calculating this ratio. Hence, the goal of this study was to calculate this ratio with the BIA device and to compare it with the manual method done with measuring tape. A cross-sectional study was conducted on 270 individuals attending the Sports Medicine Department of Taleghani Hospital. Height, weight, waist and hip circumference were measured, and the body mass index (BMI) and waist-hip ratio (WHR) were calculated. Using the BIA technique, the body fat percentage (BFP) and WHR were calculated. The absolute and difference percentage between the values calculated by the device and measuring tape were calculated and the determinant factors of this difference were examined. The mean absolute difference between the two methods was 0.054 and the difference percentage was 0.064. Kappa’s correlation coefficient between the two variables was 0.024, which indicates poor correlation between the findings of the two methods. Based on linear regression analysis, BFP, height, BMI, and total body water (TBW) significantly affected the difference percentage. On the contrary, age, waist circumference, hip circumference, and absolute body fat did not have such an effect. The absolute difference was 0.069 in women and 0.05 in men, which was statistically significant (p = 0.025). Taking the manual waist-hip ratio method as the gold standard, the BIA method lacks adequate accuracy. Many variables such as, gender, BFP, TBW, BMI and height affect the accuracy of this method. Hence, until this technique is modified based on the aforementioned variables, we recommend avoiding the application of this method for WHR calculation.