The Antidepressant Effects of Exercise: A Review

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DEPRESSION & EXERCISE A REVIEW OF THE LITERATURE BY SEAN PIERCE

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Abstract: Low back pain is considered one of the commonest condition in the western and industrialized countries. It is estimated that up to 50% of adults experience low back pain during their life span. People of all age group can be effected by this menace irrespective to their gender and quality of life. It has become one of the leading causes for the visit to physician thus also puts a heavy burden on the currency of the country. Physiotherapy is the most widely used form of treatment adopted for gaining relief from low back pain. The exercises include stretching, strengthening, range of motion exercises, McKenzie therapy and core stability exercises other techniques like muscle energy technique etc. It has been concluded in various studies core stability exercises and muscle energy technique are beneficial in low back pain patients but comparison of their effect needs to be established to provide early and better relief from the disability. Therefore objective of the study was to compare the effect of core stability exercises and muscle energy techniques on low back pain patients. 60 subjects aged 18 – 45 years with low back pain were made part of the study based on inclusion and exclusion criteria and were then divided into three groups named A, B and C. Group A received core stability exercise and conventional physiotheraphy and group B received muscle energy techniques and conventional physiotherapy. The exercise program was given on alternate days with a total of 24 sessions and progression of the activity was made within the tolerance of the patient. Pre and post treatment readings were taken of pain, ROM and quality of life scale. Results were analyzed using paired, unpaired t- test and ANOVA. Results showed that there is significant effect on pain, ROM and quality of life scale in the three groups but group A was clinically more significant than the other groups. The study concluded that patients with low back pain are benefitted more by core stability exercises. So, core stability exercises should be practiced more. Keywords: Low Back Pain, Core Stabilization Exercises, Muscle Energy Technique.

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Background Parkinson disease is a neurological syndrome usually resulting from deficiency of neurotransmitter dopamine as the consequence of degenerative, vascular or inflammatory changes in the basal ganglia. Aerobic exercise is physical exercise of low to high intensity that depends primarily on the aerobic energy-generating process. Objective of the study was to review the effect of aerobic exercise on walking capacity in subject with Parkinson disease. Methods. Total of 7 articles reviewed, which supports aerobic exercise and walking capacity and conclusion made on the basis of results reviewed. Conclusion. Thus based on the various results achieved in the previous studies, this literature review concluded that the aerobic exercises can be a great way to improve walking capacity in patients with Parkinsonism.

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Low back pain (LBP) is a multifactorial issue that is prevalent across most human populations, westernised, rural and indigenous. Deconditioning of the lumbar extensor musculature is a commonly associated factor and has been shown prospectively to be a risk factor for development of LBP. Here an explanation concerning lumbar spine and pelvic anatomic evolution is offered in attempt to integrate these findings. It appears that anatomically modern humans may be predisposed to LBP as a consequence of their evolutionary heritage; the compromise of relatively strong hip/trunk extensors and relatively weak lumbar extensors in combination with a long flexible lumbar spine.

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Background: Yoga as a mode of therapy has become extremely popular, and a great number of studies and systematic reviews offer scientific evidence of its potential in treating a wide range of psychosomatic conditions. Healthy life can be considered as a by-product of practicing yogic techniques since it has been observed that yoga practitioners are physically and mentally healthier and have better coping skills to stressors than the normal population. Aims and objective: This review paper details some of the health promoting benefits of yoga with regard to cardiovascular health and discusses mechanisms for such beneficial physiological, biochemical and psychological effects. Psycho-neuro-endocrine changes including correction of Gamma Amino-Butyric Acid (GABA) activity, and parasympathetic activation coupled with decreased reactivity of sympathoadrenal system and Hypothalamo-Pituitary-Adrenal (HPA) axis are highlighted. Conclusion: Though most studies and reviews suggest a number of areas where yoga may be beneficial for cardiovascular health, more research is required to establish these benefits conclusively. It is important to develop objective measures of various mind-body therapies and their techniques while including them in intervention trials. In conclusion, we can say that yoga has preventive, promotive as well as curative potential as an adjunct therapy and that a yogic lifestyle confers many advantages to the practitioner.

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Abstract This informative report focuses on filling information gaps regarding adherence to physical activity and exercise in the health care spectrum of older adults and an overview of the benefits of physical activity for OAs. Healthy People 2000, 2010, and 2020 are public health programs from the US Department of Health and Human Services that set national goals and objectives for promoting health and preventing disease. The programs include ten leading health indicators that reflect major health problems, which concern OAs. Exercise and physical activity are among the most important factors affecting health and longevity, but exercise adherence is a significant hindrance in achieving health goals in the elderly. Exercise adherence in OAs is a multifactorial problem encompassing many bio-psychosocial factors. Factors affecting adherence in the elderly include socioeconomic status, education level, living arrangements, health status, pacemakers, physical fitness, and depression. Improving adherence could have a significant impact on longevity, quality of life, and health care costs. Keywords: Geriatric Medicine, Health Care, Health Professionals, Exercise Adherence Introduction Geriatric health care delivery is a major public health issue. Geriatrics refers to diagnosing and treating older adults (OA) with complex medical conditions and social problems. A recent report from the World Health Organization (WHO) stated, “OA are generally defined according to a range of characteristics including chronological age, change in social role and changes in functional capabilities. In high-resourced countries older age is generally defined in relation to retirement from paid employment and receipt of a pension, at 60 or 65 years. With increasing longevity some countries define a separate group of oldest people, those over 85 years. In low-resourced countries with shorter life-spans, older people may be defined as those over 50 years” (World Health Organization, 2010a). OA are the largest and fastest growing segment of the population, which present significant challenges to the health care system. Understanding the factors contributing to the health practices of OA is important for professionals, paraprofessionals, and paid and unpaid caregivers who need basic and continuing geriatric education to improve care. Adherence to physical activity and exercise programs is a critical but poorly understood area for promoting health and longevity. The terms physical activity and exercise are often used interchangeably, but they are different. Physical activity involves movement produced by skeletal muscles that require energy from metabolism. It is grouped as occupational, sports, conditioning, household, or other activities. Exercise is a subset of physical activity that is planned, structured, and repetitive. It promotes health, fitness, and skill and the results of the program can be measured with specific tests (Caspersen, Powell, & Christenson, 1985; F.

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Abstract: Low back pain has been a matter of concern, affecting up to 90% of population at some point in their lifetime, up to 50% have more than one episode. People of all age group can be affected by this menace irrespective to their gender and quality of life. It has become one of the leading causes for the visit to physician thus also puts a heavy burden on the currency of the country. Physiotherapy is the most widely used form of treatment adopted for gaining relief from low back pain. The exercises include stretching, strengthening, range of motion exercises, McKenzie therapy and core stability exercises other techniques like Proprioceptive neuromuscular facilitation program etc. It has been concluded in various studies core stability exercises and Proprioceptive neuromuscular facilitation are beneficial in low back pain patients but comparison of their effect needs to be established to provide early and better relief from the disability. Therefore objective of the study was to compare the effect of Proprioceptive neuromuscular facilitation program and Core stabilization exercises on low back pain patients. 40 subjects aged 30 – 50 years with low back pain for more than 4 weeks were made part of the study based on inclusion and exclusion criteria and were then divided into two groups named A, B. Group A received Proprioceptive neuromuscular facilitation and group B received Core stabilization exercises and hot pack given initially for 10-15 minutes to the lower back. The exercise program was given for 4 weeks with a total of 24 sessions and progression of the activity was made within the tolerance of the patient. Pre and post treatment readings were taken of pain, Oswestry Disability Questionnaire and Functional Reach Test. Results were analyzed using paired, unpaired t- test. Results showed that there is significant effect on pain, Oswestry Disability Questionnaire and Functional Reach Test in the two groups but group A was clinically more significant than groups B. The study concluded that patients with low back pain are benefitted more by Proprioceptive neuromuscular facilitation program. So, Proprioceptive neuromuscular facilitation program should be practiced more. Keywords: Low Back Pain, Core Stabilization Exercises, Proprioceptive Neuromuscular Facilitation.

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