A number of medical reviews have indicated that exercise has a marked and persistent antidepressant effect in humans,[37][48][49][52][70][71] an effect believed to be mediated through enhanced BDNF signaling in the brain.[40][52] Several systematic reviews have analyzed the potential for physical exercise in the treatment of depressive disorders. The 2013 Cochrane Collaboration review on physical exercise for depression noted that, based upon limited evidence, it is more effective than a control intervention and comparable to psychological or antidepressant drug therapies.[70] Three subsequent 2014 systematic reviews that included the Cochrane review in their analysis concluded with similar findings: one indicated that physical exercise is effective as an adjunct treatment (i.e., treatments that are used together) with antidepressant medication;[52] the other two indicated that physical exercise has marked antidepressant effects and recommended the inclusion of physical activity as an adjunct treatment for mild–moderate depression and mental illness in general.[48][49] One systematic review noted that yoga may be effective in alleviating symptoms of prenatal depression.[72] Another review asserted that evidence from clinical trials supports the efficacy of physical exercise as a treatment for depression over a 2–4 month period.[37]
More recently, exercise was regarded as a beneficial force in the 19th century. After 1860, Archibald MacLaren opened a gymnasium at the University of Oxford and instituted a training regimen for 12 military officials at the university. This regimen was later assimilated into the training of the British Army.[145] Several mass exercise movements were started in the early twentieth century as well. The first and most significant of these in the UK was the Women's League of Health and Beauty, founded in 1930 by Mary Bagot Stack, that had 166,000 members in 1937.[146]

This reformer exercise is an efficient way to work the entire lower body.  Kneel on the reformer and round the back, keeping the arms straight. Use the butt muscles and thighs to push and pull your lower body back and forth. The platform will slide a few inches with each movement. Do five reps. As you get more advanced, do another five reps with the back arched.


Ready to take it to the next level? This workout with Chloe Bent is a full-length, 30-minute calorie burner that’s filled with dance moves that hit all the major muscle groups. After this dance routine, you’ll feel like your living room just became a stage. Take on this bodyweight routine at home when you need to spice up your cardio regimen. If you’re a beginner, don’t fret: This will be a great challenge for you.
Rake those leaves. Raking is already an excellent calorie-burning activity, so do it! Raking is not only great for your yard and lawn, but also for your body. Because your core (your back and abdomen) has to work to stabilize your body while your arms are maneuvering the rake, raking is good exercise for both your arms and core. Weirdly, there's a page all about raking as a workout, which you can read here.

Preliminary evidence from a 2012 review indicated that physical training for up to four months may increase sleep quality in adults over 40 years of age.[78] A 2010 review suggested that exercise generally improved sleep for most people, and may help with insomnia, but there is insufficient evidence to draw detailed conclusions about the relationship between exercise and sleep.[79]
Hessel J [Internet]. Joseph H. Pilates biography. 2015 Jul 8 [cited 2015 Aug 30]. Available from: http://www.jillianhessel.com/pilates_biography.html.  He claimed that ‘sports are wonderful … but of little value for correcting whats wrong with you … corrective exercise is the only way to build a beautiful, strong, youthful body.’44 Readers Digest [Internet]. Ray MB. Cutting a fine figure (1934). 2012 Dec 13 [cited 2015 Aug 30]. Available from: http://www.isofit.com.hk/assets/files/193410_Readers_Digest_Joe_Pilates_Interview.pdf. [Google Scholar] He explained in his 1939 book ‘Your Health’: ‘Practically all human ailments are directly traceable to wrong habits which can only be corrected through the immediate adoption of right (natural, normal) habits’ … ‘the present day efforts of our so-called health departments are in vain so far as physical health is concerned’ … ‘this condition will prevail until such time as marks the recognition of a standard formation of sound and sane physical culture, based upon the natural laws of life.’45 Pilates J. Your health. Nevada: Presentation Dynamics; 1934. [Google Scholar] In his 1945 book ‘Return to Life Through Contrology,’ Pilates clearly supported Checkley, Müller, and Alexander stating that ‘Contrology is not a system of haphazard exercises designed to produce only bulging muscles’ … ‘Rather, it was conceived to limber and stretch muscles and ligaments so that your body will be as supple as that of a cat and not muscular like the body of a brewery-truck horse.’46 Pilates J, Miller WJ. Return to life through Contrology. Nevada: Presentation Dynamics; 1945. [Google Scholar] In this book, Pilates presented a list of 34 full-body equipment-free exercises, which if performed regularly at home, were promised to ‘give you suppleness, natural grace, and skill that will be unmistakably reflected in the way you walk, in the way you play, and in the way you work’ … ‘You will find your body development approaching the ideal, accompanied by renewed mental vigor and spiritual enhancement’. Pilates famously stated: ‘Physical fitness is the first requisite of happiness.’46 Pilates J, Miller WJ. Return to life through Contrology. Nevada: Presentation Dynamics; 1945. [Google Scholar] As with Müller,15 Müller JP. My system. London: Link House; 1904. [Google Scholar] Randell,25,26 Randell M. Training for childbirth from a mother's point of view. 4th ed. London: J. & A. Churchill Ltd.; 1949.
Video Abstract for the ESSR 46.1 article “Sedentary Behaviors and Adiposity in Young People: Causality and Conceptual Model” from author Stuart Biddle. Research on sedentary behavior and adiposity in youth dates back to the 1980s. Sedentary behaviors, usually screen time, can be associated with adiposity. While the association is usually small but significant, the field is complex, and results are dependent on what sedentary behaviors are assessed, and may be mediated and moderated by other behaviors.
Instructor Inés Aaranós leads this full 30-minute Zumba dance session on the beach. You might want to practice a few basic Zumba moves before diving into this full-length video, however. It’s fast-paced and without any breaks, leaving you no time to fall behind. It’s also cardio-intensive, but does feature some bodyweight strength moves to provide you with a well-rounded workout. Complete this routine a few times and see how you improve.
Burpees: One of the most dreaded moves in fitness, burpees make up a cornerstone of CrossFit workouts. Starting from standing, athletes bend down and plant their hands, kick back into a plank position, and perform a push-up. The legs are then brought back in, and the movement culminates with a slight jump up and hands clapped overhead. (The feet have to leave the ground for it to count!) Now repeat 100 times, just for funsies.
This reformer exercise is an efficient way to work the entire lower body.  Kneel on the reformer and round the back, keeping the arms straight. Use the butt muscles and thighs to push and pull your lower body back and forth. The platform will slide a few inches with each movement. Do five reps. As you get more advanced, do another five reps with the back arched.
The goal with exercise is to work WITH our bodies and slowly condition over time. This is not a quick process because creating a “heal-thy” lifestyle takes diligence and consistency. The best way to avoid Post Exercise Malaise is to increase both duration and intensity SLOWLY over time and include adequate rest breaks and recovery time in between workouts.
In the present study, we measured muscle endurance by completion of time to exhaustion tests where the subject has to maintain a fix workload for as long as possible. All time to exhaustion tests lasted less than ten minutes, confirming that OLDE was performed at high intensity. The duration of the time to exhaustion tests in the present study is in accordance with previous studies using the same exercise on a different ergometer [11, 17, 18]. Relative reliability refers to the degree to which individuals maintain their position in a sample with repeated measurements [30]. The ICC value of 0.795 can be interpreted as a questionable reliability (ICC < 0.8), close to the threshold for good reliability (0.8 < ICC < 0.9) [19]. However, as no consensus really exists on threshold to interpret ICC results [31], the practical significance of its value has to be determined with caution by the readers according to their future use of the present protocol. Absolute reliability refers to the degree to which repeated measurements vary for individuals [30]. Traditionally, time to exhaustion tests are known to present a greater CV (CV > 10%) than time trials (i.e. subjects has to perform the greater amount of work possible in a fixed time/distance; CV < 5%) [20]. Interestingly, in our study the CV is below 10%, confirming the great reliability of our novel high intensity OLDE protocol to measure muscle endurance, this despite the small sample size, chosen to be in accordance with previously published studies using the same protocol [8, 11, 17]. This great reliability is confirmed by the typical error of measurement value of 0.30 min, corresponding to 5% of the averaged performance value. Finally, as the typical error of measurement value was slightly above the smallest worthwhile change calculated (0.28 min), it is unlikely that our novel high intensity OLDE protocol can be used to detect small differences in performance.
Also, it stands to reason that if something is done that is very intense, it can't be done for very long, or very often. Therefore, we could walk on a treadmill for an hour, and do that daily, without much problem – or gain. But an activity that is very intense, by necessity, can be done only briefly, and infrequently (to give the body time to recover, and then to compensate, which means growth). The Superslow protocol is only a means to an end; and that end is to provide exercise to the body that is intense enough to stimulate the body to make its own internal improvements.
The barre method uses your own body weight for resistance and focuses on small, deliberate movements that focus on specific groups of muscles, specifically muscles that aren’t used in other workouts. Muscles are worked to the point of fatigue, and then stretched for relief. Proper form, body alignment and posture is stressed, which in turn leads to an overall strengthening of core muscles and the appearance of an aligned, lean body.
I personally admit to having roller-coaster exercise habits myself. I’ll be a gym rat for three months, followed by four months of sloth and busy-ness. A few years ago, I finally realized how crappy I felt when I hadn’t exercised, and I resolved to find some way to ensure I was at least getting some exercise every day -- even when I couldn’t make it to the gym.
These leisurely pursuits have their place, but there’s no substitute for the intensity of intervals and strength training or plyometrics. “When you reduce your intensity, athletic performance declines,” he says. “Cardiovascular fitness and other physiological metrics drop off.” Bone density suffers, too — particularly in women. In short, when you stop pushing yourself, you’ll become less fit, less healthy.
At the end of each pregnancy journey, you’re greeted by the mother of all marathons and we want to help you prepare for your birth experience in the best possible ways. Our Bloom classes as well as our 1:1 foundational crash courses were designed with empowerment in mind. We can’t promise you’ll find gentle workouts behind our studio door [you’ve got a marathon to train for] but we can promise that each workout will give you the safest, most effective, mind + body focused workout you’ll find in the prenatal world. Our workouts will make you sweat, challenging you both mentally and physically, while we integrate our signature techniques seamlessly into each exercise you move through. Think of it as childbirth education meets a safe sweat session gifting you tools to be used time and time again.
For active types, nagging injuries nag a little louder; hard workouts deplete you a bit more. For serious recreational athletes, performance begins to drop, even if you maintain your training regimen. Whatever your sport of choice — be it distance running, competitive cycling, or pick-up basketball — you can expect your performance to plateau and recovery to take a bit longer.
“The best exercise you can do if you only have 30 seconds each day is to learn and practice diaphragmatic breathing,” explains Carla Chickedantz, a personal trainer with Crunch gyms. “Diaphragmatic breathing is the most basic, original strength building technique that each and every human uses to build core strength as a newborn baby. As adults, we lose this skill and rely on auxiliary muscles in the chest, shoulders, and neck for respiration. This causes all sorts of problems. During our workouts, we often focus on the front, back and sides of the core, and neglect the top and bottom. Yes, the core is like a canister with the diaphragm at the top and pelvic floor at the bottom.”
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^ Jump up to: a b Denham J, Marques FZ, O'Brien BJ, Charchar FJ (February 2014). "Exercise: putting action into our epigenome". Sports Med. 44 (2): 189–209. doi:10.1007/s40279-013-0114-1. PMID 24163284. Aerobic physical exercise produces numerous health benefits in the brain. Regular engagement in physical exercise enhances cognitive functioning, increases brain neurotrophic proteins, such as brain-derived neurotrophic factor (BDNF), and prevents cognitive diseases [76–78]. Recent findings highlight a role for aerobic exercise in modulating chromatin remodelers [21, 79–82]. ... These results were the first to demonstrate that acute and relatively short aerobic exercise modulates epigenetic modifications. The transient epigenetic modifications observed due to chronic running training have also been associated with improved learning and stress-coping strategies, epigenetic changes and increased c-Fos-positive neurons ... Nonetheless, these studies demonstrate the existence of epigenetic changes after acute and chronic exercise and show they are associated with improved cognitive function and elevated markers of neurotrophic factors and neuronal activity (BDNF and c-Fos). ... The aerobic exercise training-induced changes to miRNA profile in the brain seem to be intensity-dependent [164]. These few studies provide a basis for further exploration into potential miRNAs involved in brain and neuronal development and recovery via aerobic exercise.


Jump up ^ Linke SE, Ussher M (2015). "Exercise-based treatments for substance use disorders: evidence, theory, and practicality". Am J Drug Alcohol Abuse. 41 (1): 7–15. doi:10.3109/00952990.2014.976708. PMC 4831948. PMID 25397661. The limited research conducted suggests that exercise may be an effective adjunctive treatment for SUDs. In contrast to the scarce intervention trials to date, a relative abundance of literature on the theoretical and practical reasons supporting the investigation of this topic has been published. ... numerous theoretical and practical reasons support exercise-based treatments for SUDs, including psychological, behavioral, neurobiological, nearly universal safety profile, and overall positive health effects.
This is a two-fold explanation: 1) how long it takes to train per session and 2) how frequently we recommend training. We believe – and basic muscle physiology principles state – that the best way to stimulate a muscle is by short, intense bouts of exercise. Not in long, drawn-out workouts, which simply can’t be as intense. Ideally, a resistance training workout should only last 20 to 30 minutes. Longer workouts are typically less intense and can release catabolic hormones (which we don’t want). When it comes to exercise, “more” is not necessarily “better.” Working out is merely a method of stimulating your results. Your actual gains or improvements occur when your body “recovers” from the exercise. If you exercise before your muscles are completely recovered from a bout of exercise, you’re just … beating a dead horse. You need to find the right “dose” of exercise for you. Too little exercise limits your progress, but too much or too frequent exercise doesn’t allow your body to recover properly and may hinder your progress as well. The ideal frequency of your training may change over time based on things like your specific genetics or how intensely you train. Our clients typically train only once or twice per week, with only a handful ever training more frequently than that. The best way to know how frequently you should train is through very detailed and accurate record keeping. Your personal trainer at SMX will always monitor your training. Once a fair amount of data is compiled by your trainer, we can dial in and fine-tune how frequently and what intensities are ideal for you to maximize your results.
Wildman S. Kafka's Calisthenics. Slate [Internet]. 2011 Jan 21 [cited 2015 Aug 30]. Available from: http://www.slate.com/articles/life/fitness/2011/01/kafkas_calisthenics.html.  He was conferred a knighthood by the King of Denmark in 1919 and his work was granted patronage by the Prince of Wales in 1925.15,16 Müller JP. My system. London: Link House; 1904.

Early motor skills and development have also shown to be related to physical activity and performance later in life. Children who have more proficient motor skills early on are more inclined to being physically active, and thus tend to perform well in sports and have better fitness levels. Early motor proficiency has a positive correlation to childhood physical activity and fitness levels, while less proficiency in motor skills results in a tendency to partake in a more sedentary lifestyle.[20]


Jumping and throwing moves, punches, kicks, and swinging a club or a racket all require power, which comes from your core—and, yes, causes those ab muscles to cinch. "The core is the crossroads of your system, helping transfer force between your upper and lower body," says Rick Richey, a faculty member for the National Academy of Sports Medicine in New York City. Add medicine ball throws to your sets: A study in the Journal of Strength & Conditioning Research found they are ideal core strengtheners. (Don't just stop at tossing, medicine balls can be used for a full body workout.)
Physical exercise is important for maintaining physical fitness and can contribute to maintaining a healthy weight, regulating digestive health, building and maintaining healthy bone density, muscle strength, and joint mobility, promoting physiological well-being, reducing surgical risks, and strengthening the immune system. Some studies indicate that exercise may increase life expectancy and the overall quality of life.[10] People who participate in moderate to high levels of physical exercise have a lower mortality rate compared to individuals who by comparison are not physically active.[11] Moderate levels of exercise have been correlated with preventing aging by reducing inflammatory potential.[12] The majority of the benefits from exercise are achieved with around 3500 metabolic equivalent (MET) minutes per week.[13] For example, climbing stairs 10 minutes, vacuuming 15 minutes, gardening 20 minutes, running 20 minutes, and walking or bicycling for transportation 25 minutes on a daily basis would together achieve about 3000 MET minutes a week.[13] A lack of physical activity causes approximately 6% of the burden of disease from coronary heart disease, 7% of type 2 diabetes, 10% of breast cancer and 10% of colon cancer worldwide.[14] Overall, physical inactivity causes 9% of premature mortality worldwide.[14]
After familiarization, a preliminary OLDE incremental test was performed until exhaustion to measure peak power output. For males, the incremental test started with the isotonic resistance set at 4 N·m (~ 7.4 W) for 1 min, and increased each minute by 3 N·m (~ 4.5 W) to exhaustion. For females, the isotonic resistance was set up at 4 N·m (~ 7.4 W) for 1 min and increased each minute by 2 N·m (~ 3.7 W). Exhaustion was defined as a decrease in cadence below 40 cpm for a duration ≥ 10 s or when the subject voluntarily stopped.
This online exercise and equipment guide is an interactive reference tool that describes how to perform all pieces of resistance training exercise equipment in the ARC with proper technique and form. It provides descriptions on how to correctly perform other basic resistance exercises which involve dumbbells and free weights. To use this “muscle map” you may search using the name of the exercise, the anatomical muscle group, or the body part. You may also search by location of interest, including the Fitness Lab, Wellness Lab, and the Circuit upstairs.
If you've been to yoga before, you'll recognize this as a near chaturanga—but a little faster. Start in a down dog position with hands on the ground, hips high in the air, and feet on the ground so you form a triangle shape. In a fluid motion, dive head toward the floor, coming into a low push-up position, and then swoop chest forward and up so you end in an upward dog position. From there, push hips up to return to starting position.
It’s not an exact science, but when you hear the term plyometric, you can go ahead and think jumping and breathlessness. Examples would include squat jumps, box jumps, broad jumps, and burpees. One of the main purposes of these explosive exercises is increasing power, says Laferrera. Having more power means you can recruit muscle fiber faster and more efficiently, which pays off when you’re moving heavy objects or working on sprinting drills in the gym, adds Lefkowith. Plus, because these moves get your heart rate up, they’re big calorie-burners. Here are seven plyometric moves you can do at home.

To determine the acute action of cigarette smoking on cardiorespiratory function under stress, the immediate effects of cigarette smoking on the ventilatory, gas exchange, and cardiovascular responses to exercise were studied in nine healthy male subjects. Each subject performed an incremental exercise test to exhaustion on two separate days, one without smoking (control) and one after smoking 3 ... [Show full abstract]Read more

Add tai chi to your exercise routine. Tai chi is a Chinese martial art that involves sequences of slow movements. It can help improve your balance, flexibility, and concentration, and it’s a good way to manage stress. Since it’s a low impact form of exercise, it’s a good option if you’re elderly, have a history of medical issues, or have recently suffered an injury.[28]
Not near our studio? That’s okay, The Bloom Method can be implemented into the fitness method or gym workout of your choice. While we offer our studio concept + cutting-edge classes through our online platform, Studio Bloom, we can also help customize our methodology into any way you choose to move your body. Reach out to use and we’ll connect you directly to one of our Bloom coaches for an optimal learning experience.
At the twilight of his career, despite his personal success and loyal group of followers, Pilates was disappointed his philosophy was not adopted by all. However, a group of his followers became recognized mind–body educators in their own right. His dream was realized by them in the 1980s, when Contrology moved into and has since remained within mainstream acceptance and popularity as ‘Pilates.’39,42 Balanced Body, Inc. [Internet]. Origins of Pilates. 2015 Aug 30 [cited 2015 Aug 30]. Available from: https://www.pilates.com/BBAPP/V/pilates/origins-of-pilates.html.
It features 12 different 30-second exercises, with five seconds of rest in between. It’s great for beginners and athletes, syncs with your iPhone Health App to take your other daily movement into account, and the workout library has 22 presets that you can customize to create thousands of variations. You can swipe right or left during the exercises to see how much time you have left, watch the instructor, or listen to music from your iTunes.
Pharmacologic beta-adrenergic blockade reduces maximal heart rate (HR) during exercise but variable results have been reported for minute ventilation (VE), CO2 output (VCO2), and O2 uptake (VO2). A total group of 19 subjects with mild asthma was studied. We studied 16 subjects from the group who received placebo or pindolol, a beta-adrenergic antagonist, during 1-min incremental exercise on a ... [Show full abstract]Read more
We prefer 1-min incremental exercise testing on a cycle ergometer rather than constant work studies because of its speed, repeatability, and ease of identification of the anaerobic threshold. Although values such as VO2 and anaerobic threshold from both types of studies are reported to be comparable, we questioned whether VD/VT and AaPO2, which depend on simultaneous arterial blood and mixed ... [Show full abstract]Read more
The good-morning is a weight training exercise in which a barbell, two dumbbells, or no weight at all is held on the shoulders, behind the head. The person bends forward and bows at the hips and recovers to upright. The good-morning is so called because the movement resembles bowing to greet someone. It involves the hamstrings but is primarily used to strengthen the lower back; the degree of knee bend used will change the focus – nearly straight-legged involving the hamstrings most.
Although exercise testing is useful in the diagnosis and management of cardiovascular and pulmonary diseases, a rapid comprehensive method for measurement of ventilation and gas exchange has been limited to expensive complex computer-based systems. We devised a relatively inexpensive, technically simple, and clinically oriented exercise system built around a desktop calculator. This system ... [Show full abstract]Read more

Stuck in the strength training doldrums? Our best piece of fitness advice is that "Variety is key." Greatist has shared all sorts of ways to take workouts from "hum drum" to "hot stuff." We're now turning our eye to eight effective strength training techniques. So grab that workout log and a pen, because here are some great ways to challenge the status quo and add a little variety to the normal gym routine.

Making older adults exercise and keeping them in exercise programs is a major challenge. Understanding how older adults prefer to exercise may help developing tailored exercise programs and increase sustained exercise participation in ageing populations. We aimed to describe exercise patterns, including frequency, intensity, type, location and social setting of exercise, in older adults instructed to follow continuous moderate-intensity training (MCT) or high-intensity interval training (HIIT) over a one-year period.
This stands for rate of perceived exertion, and refers to intensity. It’s a point of reference that trainers often use to communicate how hard you should be working since what feels easy or challenging is different for everyone. On the RPE scale a 1 pretty much means zero effort while a 10 means you’re working harder than you thought you possibly could.
Outdoors in nearby area and in nature was the most frequently reported exercise location in both training groups. This finding is in line with previous studies reporting that older adults prefer to exercise close to home [23, 30] and outdoors [23]. Interestingly, outdoors was the most common exercise location in both warmer and colder months despite the fact that colder months in Norway consist of more snow, higher prevalence of ice and relatively fewer hours of daylight compared to warmer months. The HIIT group had a higher proportion of sessions at a gym and sport facility compared to the MCT group. This finding is likely related to the fact that the HIIT group reported a higher proportion of sessions with exercise types commonly performed at these locations (e.g. swimming and other types of endurance training) compared to the MCT group. Some older adults might feel that it is easier to reach a high-intensity level with activities located at a gym and sports facility compared to outdoors.
Resting hormone concentrations have been a topic of many studies and discussions. It has been suggested that conflicting results were, at least partly, because of a lack of standardisation in both the way overtraining was measured and in the hormone measurement protocols used. Results from the present study show that variability in resting hormone concentrations is also present within groups of NFO and OTS patients. The arguments for contradictory findings are not valid within this study where blood was drawn at the same time of day always after an overnight fast. However, the diurnal variation in cortisol cannot be ruled out with this protocol because tests are separated by 4 h. However, each test was done with the same protocol and timing so that the data were collected in a standardised manner. One possible reason why the cortisol levels do not show the same pattern as ACTH might be because of this diurnal variation. Therefore, it must be concluded that resting hormone concentrations are not sensitive enough, at least not to diagnose unexplained underperformance in athletes. It has been suggested that hormonal reactions to stress tests are more sensitive.1 11
HIIT training is a type of interval training but more high-intensity, as the name implies. :) It entails getting your heart rate up close to its max, then briefly resting before doing it again. HIIT is well-known for being a very time efficient way of burning calories. Here’s an example, which you would do on a treadmill. Total workout time is five minutes:
In a studio, you can try the Pilates hundred on a reformer, a spring-based resistance machine. Lie on your back with your legs in table-top position or extended at a 45-degree angle. Pull the straps down next to your abdomen. Curl the head and shoulders up and pulse your arms up and down. Breathe in for five and out for five until you reach 100 pulses. If any move doesn't feel right, check with a fitness professional.
Challenge yourself with interval training. Interval training involves alternating high-intensity and low-intensity exercises, and it’s a great way to burn calories. Since it involves high-intensity activities, such as running or sprinting, it's best to include interval training in your routine if you're already used to regular exercise. For a good, basic interval session, try doing a sprint-walk routine.[15]

Description. The patient put one hand over the same shoulder with the palm touching the back and reached down the back. He/she placed the other hand up the back from the waist with the palm facing outwards. Pointing the middle fingers of each hand towards each other, patient tried to touch the fingers of each hand in the middle of the back. The number of inches (centimeters) between the extended middle fingers was measured. The test was always done with the right hand over the shoulder and the left behind the back.
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