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Related Concept Videos

Disorders of the Skeletal Muscle01:28

Disorders of the Skeletal Muscle

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The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Chest Physiotherapy01:24

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Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
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The Functions of the Skeletal System01:22

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The most apparent functions of the skeletal system are support, protection, and movement. However, bone tissue also performs several other critical metabolic functions. For one, the bone matrix acts as a reservoir for a number of minerals important to the functioning of the body, especially calcium and phosphorus. These minerals, present in the bone tissue, can be released back into the bloodstream when required. Calcium ions, for example, are essential for muscle contractions and controlling...
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Muscle Function Obtained with Motion Mode Ultrasound and Surface Electromyography during Core Endurance Exercise
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Association between core stability and physical function, functional performance in patients with systemic sclerosis.

Hazal Yakut1, Sevgi Özalevli1, Ahmet Merih Birlik2

  • 1School of Physical Therapy and Rehabilitation, Dokuz Eylül University, Izmir, Turkey.

International Journal of Rheumatic Diseases
|January 19, 2021
PubMed
Summary
This summary is machine-generated.

Systemic sclerosis (SSc) patients exhibit significantly impaired core stability, impacting their physical function and performance. Incorporating trunk muscle strengthening into SSc treatment plans is recommended to improve outcomes.

Keywords:
core stabilityfunctional performancephysical functionsystemic sclerosis

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Area of Science:

  • Rheumatology
  • Physical Therapy
  • Rehabilitation Medicine

Background:

  • Systemic sclerosis (SSc) is a chronic autoimmune disease characterized by fibrosis, vascular abnormalities, and immune dysregulation.
  • Impaired physical function and reduced quality of life are common in SSc patients.
  • The role of core stability in functional limitations in SSc is not well-understood.

Purpose of the Study:

  • To investigate the association between core stability and physical function in patients with SSc.
  • To evaluate the relationship between core stability and functional performance in SSc.
  • To determine if trunk muscle strength and endurance correlate with physical limitations in SSc.

Main Methods:

  • A cross-sectional study included 40 patients meeting the 2013 ACR/EULAR classification criteria for SSc.
  • Core stability was assessed using trunk muscle endurance tests (extensor and flexor) and trunk muscle strength (hand-held dynamometer, modified sit-up test).
  • Physical function was measured by the Health Assessment Questionnaire Disability Index (HAQ-DI), and functional performance by the 6-minute walking test (6MWT) and sit-to-stand test (STS).

Main Results:

  • SSc patients demonstrated significantly lower trunk extensor and flexor endurance times and muscle strength compared to healthy reference values.
  • Reduced core stability measures (endurance and strength) were significantly associated with poorer physical function (higher HAQ-DI scores).
  • Core stability was also significantly correlated with reduced functional performance, indicated by shorter 6MWT distances and longer STS test durations (all P < .05).

Conclusions:

  • Patients with SSc present with markedly reduced core stability.
  • Compromised core stability negatively impacts physical function and functional performance in SSc.
  • This study underscores the importance of assessing and training trunk muscles in SSc management to enhance physical function and performance.