Search

UNLABELLED: An international consensus process resulted in exercise and physical activity recommendations for individuals with osteoporosis. Emphasis was placed on strength, balance, and postural alignment. Rather than providing generic restrictions, activity should be encouraged while considering impairments, fracture risk, activity history, and preference, and guidance on spine sparing techniques should be provided. INTRODUCTION: The objectives of this study were to establish expert consensus on key questions posed by patients or health care providers regarding recommended assessment domains to inform exercise prescription, therapeutic goals of exercise, and physical activity and exercise recommendations for individuals with osteoporosis or osteoporotic vertebral fracture. METHODS: The Too Fit To Fracture expert panel identified researchers and clinicians with expertise in exercise and osteoporosis and stakeholder groups. We delivered a modified online Delphi survey (two rounds) to establish consensus on assessment, exercise, and physical activities for three cases with varying risk (osteoporosis based on bone mineral density; 1 spine fracture and osteoporosis; multiple spine fractures, osteoporosis, hyperkyphosis, and pain). Duplicate content analyses of free text responses were performed. RESULTS: Response rates were 52% (39/75) and 69% (48/70) for each round. Key consensus points are the following: (a) Current physical activity guidelines are appropriate for individuals with osteoporosis without spine fracture, but not for those with spine fracture; (b) after spine fracture, physical activity of moderate intensity is preferred to vigorous; (c) daily balance training and endurance training for spinal extensor muscles are recommended for all; (d) providing guidance on spine-sparing techniques (e.g., hip hinge) during activities of daily living or leisure, considering impairments, fracture risk, activity history, and preference, is recommended rather than providin

SUMMARY: A consensus process was conducted to develop exercise recommendations for individuals with osteoporosis or vertebral fractures. A multicomponent exercise program that includes balance and resistance training is recommended. INTRODUCTION: The aim was to develop consensus on exercise recommendations for older adults: (1) with osteoporosis and (2) with osteoporotic vertebral fracture(s). METHODS: The Grading of Recommendations Assessment, Development, and Evaluation method was used to evaluate the quality of evidence and develop recommendations. Outcomes important for decision making were nominated by an expert panel and patient advocates. They included falls, fractures, bone mineral density (BMD), and adverse events for individuals with osteoporosis/vertebral fractures, and pain, quality of life, and function for those with vertebral fracture. Meta-analyses evaluating the effects of exercise on the outcomes were reviewed. Observational studies or clinical trials were reviewed when meta-analyses were not available. Quality ratings were generated, and informed the recommendations. RESULTS: The outcome for which evidence is strongest is falls. Point estimates of the effects of exercise on falls, fractures, and BMD vary according to exercise type. There is not enough evidence to quantify the risks of exercise in those with osteoporosis or vertebral fracture. Few trials of exercise exist in those with vertebral fracture. The exercise recommendations for exercise in individuals with osteoporosis or osteoporotic vertebral fracture are conditional. The panel strongly recommends a multicomponent exercise program including resistance and balance training for individuals with osteoporosis or osteoporotic vertebral fracture. The panel recommends that older adults with osteoporosis or vertebral fracture do not engage in aerobic training to the exclusion of resistance or balance training. CONCLUSIONS: The consensus of our international panel is that exercise is recommended

UNLABELLED: An international consensus process identified the following research priorities in osteoporosis and exercise: study of exercise in high-risk cohorts, evaluation of multimodal interventions, research examining translation into practice and a goal to examine fracture outcomes. INTRODUCTION: To identify future research priorities related to exercise for people with osteoporosis with and without osteoporotic spine fracture via international consensus. METHODS: An international expert panel and representatives from Osteoporosis Canada led the process and identified opinion leaders or stakeholders to contribute. A focus group of four patient advocates identified quality of life, mobility, activities of daily living, falls, bone mineral density, and harms as outcomes important for decision-making. Seventy-five individuals were invited to participate in an online survey asking respondents to define future research priorities in the area of osteoporosis and exercise; the response rate was 57%. Fifty-five individuals from seven countries were invited to a half-day consensus meeting; 60% of invitees attended. The results of the online survey, knowledge synthesis activities, and results of the focus group were presented. Nominal group technique was used to come to consensus on research priorities. RESULTS: Research priorities included the study of exercise in high-risk cohorts (e.g., ≥ 65 years, low BMD, moderate/high risk of fracture, history of osteoporotic vertebral fractures, hyperkyphotic posture, functional impairments, or sedentary), the evaluation of multimodal interventions, research examining translation into practice, and a goal to examine fracture outcomes. The standardization of outcomes or protocols that could be evolved into large multicentre trials was discussed. CONCLUSIONS: The research priorities identified as part of the Too Fit To Fracture initiative can be used to inform the development of multicentre collaborations to evaluate and implement st

This paper describes a new method of measuring the three-dimensional movements of the lumbar using gyroscopic sensors. The sensors were attached to the trunk., and measured the angular rates of rotations in three dimensions. The signals were then integrated to obtain the orientation. The sensors also contained gravitometers and magnetometers which provided additional information for eliminating any drift of the gyroscopes. The reliability of the data provided by the inertial system was examined in a group of 19 young healthy subjects. The similarity of the movement-time curves obtained in repeated measurements was assessed by the coefficient of multiple correlation. The coefficients were found to be high, ranging from 0.972 to 0.991. The reliability was slightly lower for measuring axial rotation. The mean root mean square errors in determining the maximum ranges of movements ranged from 1.02 deg to 1.55 deg . The device did not only quantify the kinematic patterns in the primary plane of movements but also the accompanying movements in the other planes. Flexion and extension was found to be mainly confined to the sagittal plane, whereas lateral bending and axial rotation always accompanied each other. It was concluded that the inertial tracking device would be a useful tool for clinical measurement as well as biomechanical investigations.

This paper describes a new method of measuring the three-dimensional movements of the lumbar using gyroscopic sensors. The sensors were attached to the trunk., and measured the angular rates of rotations in three dimensions. The signals were then integrated to obtain the orientation. The sensors also contained gravitometers and magnetometers which provided additional information for eliminating any drift of the gyroscopes. The reliability of the data provided by the inertial system was examined in a group of 19 young healthy subjects. The similarity of the movement-time curves obtained in repeated measurements was assessed by the coefficient of multiple correlation. The coefficients were found to be high, ranging from 0.972 to 0.991. The reliability was slightly lower for measuring axial rotation. The mean root mean square errors in determining the maximum ranges of movements ranged from 1.02 deg to 1.55 deg . The device did not only quantify the kinematic patterns in the primary plane of movements but also the accompanying movements in the other planes. Flexion and extension was found to be mainly confined to the sagittal plane, whereas lateral bending and axial rotation always accompanied each other. It was concluded that the inertial tracking device would be a useful tool for clinical measurement as well as biomechanical investigations.

This paper describes a new method of measuring the three-dimensional movements of the lumbar using gyroscopic sensors. The sensors were attached to the trunk., and measured the angular rates of rotations in three dimensions. The signals were then integrated to obtain the orientation. The sensors also contained gravitometers and magnetometers which provided additional information for eliminating any drift of the gyroscopes. The reliability of the data provided by the inertial system was examined in a group of 19 young healthy subjects. The similarity of the movement-time curves obtained in repeated measurements was assessed by the coefficient of multiple correlation. The coefficients were found to be high, ranging from 0.972 to 0.991. The reliability was slightly lower for measuring axial rotation. The mean root mean square errors in determining the maximum ranges of movements ranged from 1.02 deg to 1.55 deg . The device did not only quantify the kinematic patterns in the primary plane of movements but also the accompanying movements in the other planes. Flexion and extension was found to be mainly confined to the sagittal plane, whereas lateral bending and axial rotation always accompanied each other. It was concluded that the inertial tracking device would be a useful tool for clinical measurement as well as biomechanical investigations.

Results of tobacco variety testing performed in Virginia 1960-1962

There is a need for additional varieties of black shank resistant tobacco to meet specific farm conditions and market demands. Va. 115 should fill a need for heavier leaf type than some presently available.

Performance trials are conducted to obtain data on plant characteristics, yield and quality of released varieties and advanced breeding lines for flue cured tobacco