Our huge database of exercise guides are broken up into specific muscle groups and exercise categories. If you’re looking to work on toning up your butt, just choose this muscle group from the list and you’re all set. If you are interested in getting started using kettlebells, then choose this option from the exercise types list and you will have access to over 100 muscle building, fat burning kettlebell exercises! We have included easy to access dropdown lists to choose from along with a detailed “muscle map” below which shows the area of the body where each muscle group is located. Just click on the body part you want to tighten up and you’re on your way to a firmer physique! From free weight exercises using dumbbells and barbells, all the way to bodyweight movements, our extensive database of exercise guides really has a workout solution for anyone who is interested in living a healthier lifestyle.
The St Thomas method, however, did not survive World War II, besides the mentioned indications of use in Australia a decade later, and Randell’s work has since been forgotten. Various factors might attribute to this, including the tragic loss in 1940 when two bombs hit St Thomas hospital killing four physiotherapists including Thomas;29 Sydney Morning Herald [Internet]. Thomas BM: Obituary (1940). 2014 Oct 23 [cited 2015 Aug 30]. Available from: http://www.tiveyfamilytree.com/Barbara-Mortimer-Thomas-Death-Article-SMH-11-9-1940.htm. [Google Scholar] and the promotion of rival London obstetric group, led by Grantly Dick-Read and Physiotherapist Helen Heardman, with the concept of natural childbirth. This movement gained favor with the healthcare establishments, chartered physiotherapists and the general public at the ultimate expense of the St Thomas Project.23 Raphael AJ. Natural childbirth in twentieth century England; PhD thesis. London: Queen Mary University of London; 2010. [Google Scholar] Randell left St Thomas physiotherapy school in 1945, just before the Chartered Society of Physiotherapy imposed a new syllabus.37 The National Archives [Internet]. Saint Thomas’ hospital: physiotherapy school. 2009 Aug 12 [cited 2015 Sep 23]. Available from: http://discovery.nationalarchives.gov.uk/details/rd/bdb0366b-f3e1-45d3-a685-887f9f9bc8ac. [Google Scholar] She received the royal title of OBE and extended her career interest with a focus on gynecological cases; in 1948, she co-founded the Obstetric Association of Chartered Physiotherapists, was awarded an honorary fellowship of the Chartered Society of Physiotherapists and was later remembered as the pioneer of modern women’s health physiotherapy (Figures 1, 5–7).38 Pelvic Obstetric and Gynaecological Physiotherapy [Internet]. A brief history. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://pogp.csp.org.uk/brief-history-acpwh. [Google Scholar]
One almost overall finding, at least in endurance and strengthendurance athletes having OTS, is a diminished maximal lactate concentration, whereas submaximal values remain unchanged or slightly reduced.10 12 This is confirmed in the present study where OTS patients did not reach maximal lactate concentrations above 8 mmol l−1. Two out of the four NFO patients did not reach [La]max of 8 mmol l−1 at the first exercise test either (for one patient [La]max was missing). Thus, although low [La]max has frequently been described as a diagnostic marker for OTS, from these results, it does not seem sensitive enough to distinguish OTS from NFO.
Here's a way to tone the thighs and butt without a reformer. Begin by kneeling. Lean to the left, placing your left hand on the mat under the shoulder and your right hand behind the head with the elbow pointing up. Raise your right leg until it is parallel to the floor. Holding the torso steady, kick the leg to the front and then to the back, knee straight. Do five reps on each side.
Static Hold. Static holds are familiar to some as a great strengthening technique used in yoga. They can be performed with bodyweight movements — get in the top of a plank or a deep squat position and hold — or they can be done by holding weights (in a slightly contracted position or with full lock out). Our tip? Time how long you can hold a plank to see improvement from week to week.
In both groups, men had a higher proportion of cycling, cross-country skiing and jogging sessions compared to women (Fig. 4). Men also had a higher proportion of sessions with combined endurance and resistance training and domestic activities than women. In contrast, women had a higher proportion of walking, swimming and dancing sessions than men. There were no sex differences in resistance training and other types of endurance training (Fig. 4).
Vinylcise has been historically neglected, and probably for good reason: it's terrible, and not very effective—at least not since we've had visual media alternatives. Can you imagine trying to follow along to an audio-only workout? At any rate, these workout records first appeared in the early 1920s, and were usually accompanied by a paper foldout with exercise diagrams (see the image). The earliest of these records appear to be the set of five Wallace Reducing Records released in 1920-1922 by the Wallace Institute of Chicago and pressed by Columbia Records. These records were marketed towards women, aiming to help them "get thin to music." Other exercise records of the 1920s included Victor Records for Health Exercises, released in 1922, the Battle Creek Sanitarium Health Ladder, directed by John Harvey Kellogg and released by Columbia Records in 1923, and Walter Camp's Daily Dozen, released in 1924.

Jump up ^ Silverman MN, Deuster PA (October 2014). "Biological mechanisms underlying the role of physical fitness in health and resilience". Interface Focus. 4 (5): 20140040. doi:10.1098/rsfs.2014.0040. PMC 4142018. PMID 25285199. Importantly, physical exercise can improve growth factor signalling directly or indirectly by reducing pro-inflammatory signalling [33]. Exercise-induced increases in brain monoamines (norepinephrine and serotonin) may also contribute to increased expression of hippocampal BDNF [194]. In addition, other growth factors—insulin-like growth factor-1 (IGF-1) and vascular endothelial growth factor—have been shown to play an important role in BDNF-induced effects on neuroplasticity [33,172,190,192], as well as exerting neuroprotective effects of their own [33,214,215], thereby contributing to the beneficial effects of exercise on brain health.
Since this move is more difficult, you may sometimes use a kipping motion to propel your body higher into the air in order for your chest to touch the bar. HOW TO DO IT: Start by hanging from a secured bar with your hands slightly wider than shoulder-width apart. While squeezing the traps together and engaging the abs, pull yourself up to the bar and touch your chest to the bar. MUSCLES USED: Back, core, shoulders and chest.
Rock climbing is one of the most physically challenging sports, testing strength, endurance, flexibility, and stamina. Good climbers have to build and maintain each of these assets. This is revised and updated edition of the classic book, Conditioning for Climbers, provides climbers of all ages and experience with the knowledge and tools to design and follow a comprehensive, personalized exercise program.
Static Hold. Static holds are familiar to some as a great strengthening technique used in yoga. They can be performed with bodyweight movements — get in the top of a plank or a deep squat position and hold — or they can be done by holding weights (in a slightly contracted position or with full lock out). Our tip? Time how long you can hold a plank to see improvement from week to week.

Spark People shares short videos for all different types of workouts. There are several categories -- Abs, Cardio, Yoga and Pilates, as well as others that diver into healthy cooking and eating ideas. These workouts are great when you are pinched for time. Choose a 10-12 minute routine and squeeze in some activity where you normally would have skipped it altogether.
1. Most studies claiming to debunk Super Slow are nonsense. A new Super Slow trainee, or someone particularly elderly or frail uses as many as 10 repetitions per exercise - over 3 minutes of time. For normal adults, once they are comfortable with Super Slow, repetition numbers go way down, to 2-4 repetitions for most upper body exercises and 3-6 repetitions for most lower body exercises.
A pair of small hand-weights adds punch to a Pilates workout at home. For this move, imagine you are twirling the weights like sparklers on the Fourth of July. Stand with the weights held at your thighs. Turn them slightly in to face each other and make eight small circles. Each circle should be a little higher until the hands are overhead. Make eight circles in the opposite direction as you lower the arms. Repeat 2-3 times.
Mix-and-match interval training works magic in Natalie Jill's Rev4 Rev It Up. The four 10-minute routines hit different trouble zones so you can do them as stand-alones—"I definitely felt I got a good workout after each," one tester said—or combine them for a total-body session. Testers loved that they could "switch things up for time-pressed mornings" and gave props to instructor Jill's "nice energy." Expect a variety of planks and booty-shaping moves.
A typical yoga class involves different types of breathing and stretching exercises. You will need a yoga mat on which you will spend the majority of your workout. A series of warm up exercises involving breathing and stretching usually begins the class. From there, you will engage in a variety of yoga positions designed to stretch and work your muscles. This involves holding your body in challenging poses designed to work a variety of muscle groups at the same time. A cool-down period with breathing exercises will end your session.
Our findings show that older adults are able to perform both MCT and HIIT without strict supervision. Furthermore, older adults randomized to MCT versus HIIT have different patterns of exercise type and location of exercise, while there are no differences in social setting of exercise. The observed sex differences were the same in both training groups. Clinicians and researchers might capitalize on our findings when planning future exercise interventions targeting older adults. Our findings may also provide important information for future public health initiatives in order to provide tailored exercise recommendations.
The Canadian Society for Exercise Physiology has published "The Canadian Physical Activity, Fitness & Lifestyle Approach", which details fitness assessment protocols. One such protocol, the mCAFT, is designed to give information about the aerobic fitness of a person, while using minimal equipment. The subject works by lifting its own body weight up and down double steps (40.6 cm in height total) while listening to set cadences from a compact disc. The end-stage of the age and gender specific stepping rate requires 85% of the age-predicted maximum heart rate. The heart rate increases approximately in a linear fashion from 50% to 100% of maximal oxygen intake. The heart rate does not decrease significantly during the first fifteen seconds of recovery. Thus, one can predict an aerobic fitness using the heart rate right after exercise of a known sub-maximal rate of working.
Dietary nitrate supplementation increases circulating nitrite concentration, and the subsequent reduction of nitrite to nitric oxide is promoted in hypoxic environments. Given that PO2 is lower in Type II compared with Type I muscle, this article examines the hypothesis that the ergogenicity of nitrate supplementation is linked to specific effects on vascular, metabolic, and contractile function in Type II muscle.

The baseline testing included clinical examinations, physical tests and questionnaires about health and lifestyle. Age and sex were obtained from the National Population Registry. A previously described questionnaire provided information on physical activity level and sedentary time at baseline [19]. Detailed protocol for assessment of body weight (kg), body height (cm) and body mass index (BMI; kg/m2) is described elsewhere [19]. Testing of peak oxygen uptake (VO2peak; mL/kg/min) was performed either as walking on a treadmill or cycling on a stationary bike. The test started with 10 min at a chosen warm-up speed. Approximately every two minutes, either the incline of the treadmill was increased by 2%, or the speed was increased by 1 km/h. The test protocol ended when participants were no longer able to carry a workload due to exhaustion or until all the criteria for a maximal oxygen uptake were reached [22].
Tracy Anderson: The Method For Beginners. Choose from a handful of workout DVDs from this celebrity trainer. She’ll have you working up a sweat doing cardio or more targeted moves for the arms, legs, and core. Anderson’s queue of videos range from about $2.99 to $9.99. Considering that Anderson has her own collection of studios across the globe that run about $45 per class, this is a steal!
Degenhardt B [Internet]. Joe's anatomy. 2014 Sep 8 [cited 2015 Aug 30]. Available from: http://benjamindegenhardt.com/joes-anatomy/.  In 1912, Pilates moved to England to become a professional boxer. He found employment as a circus performer41 Contrology Pilates Method [Internet]. The history of Joseph and Clara Pilates. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://www.contrology-pilates-method.com/history_joe_pilates.asp. [Google Scholar] and fitness trainer for Scotland Yard.39 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. [Google Scholar] With the outbreak of World War I in 1914, being German, Pilates was placed in an ‘alien camp,’ initially in Lancaster where he trained fellow inmates and conceptualized his method of Contrology.41,42 Contrology Pilates Method [Internet]. The history of Joseph and Clara Pilates. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://www.contrology-pilates-method.com/history_joe_pilates.asp.
In 1937, Randell’s number-two Thomas was sent to Australia to lecture on the St Thomas Project, teach the exercises, and assist local physiotherapists with the program’s implementation.35 Evans EP. The history of the New South Wales branch of the Australian Physiotherapy Association. Aust J Physiother. 1955;1(2):76–8.10.1016/S0004-9514(14)60817-5[Crossref] [Google Scholar] There are multiple indications of an unknown video Thomas made during this visit, and it was reported later that as a result of the visit, the St Thomas method was implemented in maternity hospitals in Sydney and Melbourne; the exercises were used by physiotherapists on an individual basis and that Thomas was remembered as a pioneer of Australian antenatal physiotherapy.29,35,36 Sydney Morning Herald [Internet]. Thomas BM: Obituary (1940). 2014 Oct 23 [cited 2015 Aug 30]. Available from: http://www.tiveyfamilytree.com/Barbara-Mortimer-Thomas-Death-Article-SMH-11-9-1940.htm.
Endurance performance (i.e. exercise duration > 1 min) is extensively studied in exercise physiology using cycling and/or running exercise (e.g. [1–4]). Despite being close to real competition events by involving the whole-body, the use of cycling and/or running exercise presents some important limitations to understand the role of the central nervous system (CNS) in the regulation of muscle fatigue and endurance performance. Indeed, as whole-body exercise involves greater systemic responses than isolated exercise [5], it is difficult to interpret some specific experimental manipulations aiming to understand CNS processes regulating muscle fatigue and endurance performance (e.g. manipulation of III-IV muscle afferents [6, 7]). Furthermore, due to the need to transfer the participant from the treadmill/bicycle to the ergometer, the true extent of muscle fatigue at exhaustion is underestimated [8], leading to inconclusive results on how peripheral (i.e. fatigue produced by changes at or distal to the neuromuscular junction [9]) and central (i.e. decrease in maximal voluntary activation level [9]) components of muscle fatigue might interact between each other’s (for review see [2, 9]). Therefore, due to the aforementioned limitations, the development of a new exercise model is required to better investigate the CNS processes regulating endurance performance.
A simple example of an eccentric contraction is to hold something in your hand with your elbow bent. Slowly allow your elbow to straighten out while holding the weight.  You can visualize your bicep muscle lengthening as you are holding the weight while you are slowly straightening your elbow.  This is an eccentric contraction or eccentric loading of your bicep muscle.
You probably already spend one to three minutes brushing and flossing your teeth at least once a day. Why not brush your teeth while holding a deep squat, or while doing side leg lifts? These things are perfectly doable and add no additional time to your tooth-brushing activities. Simply tell yourself that you have no excuse for brushing your teeth without holding a deep squat. No matter how tired you are.
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.
Before anyone’s crowned Cap’n Crunch, remember form is key. Lie on your back with the knees bent and feet flat on the floor. With hands behind the head, place the chin down slightly and peel the head and shoulders off the mat while engaging the core. Continue curling up until the upper back is off the mat. Hold briefly, then lower the torso back toward the mat slowly.
Hormonal responses to the two exercise bouts are presented in fig 4A–D. Visual inspection led to the conclusion that there are no differences in relative cortisol response between the NFO and the OTS group. ACTH, PRL and GH responses are higher in the NFO group compared with the OTS group, especially in the second exercise bout. However, the SE of GH in the NFO group was probably too large to draw clear conclusions. Indeed, the main effect of group gave an F ratio of F1,7=1.4 for GH. For ACTH and PRL, F ratios were F1,7=5.1 and F1,6=14.7, both significant at p<0.05, confirming larger responses for the NFO group. Visual inspection led to the conclusion that this larger response was much more pronounced after the second exercise bout. Indeed, parametric results pointed in the direction of an interaction effect between test and group for ACTH and PRL (F1,7=4.1; p=0.084; F1,6=4.0; p=0.092).
Association of exercise type with sex in the MCT (a) and HIIT (b) groups. Data are presented as proportions of the total number of exercise sessions. Other type of endurance; treadmill, cross trainer, aerobics etc., Domestic activities; housework, gardening etc., Other: golf, bowling, horseback riding etc. *Significantly different from men (p < 0.05)
If you ask most busy people why they don’t exercise, by far the most common reason is that that they “don’t have time.” The effort of putting on workout clothes, going to the gym and showering is simply too onerous to fit in. Even the idea of a boring home workout or a 30-minute exercise tape can feel like too much of a commitment when we’re late for work or for a date.
These small exercises may sound like a lot to remember, but you can just start one-at-a-time until each thing becomes a true habit. The trick is to associate exercises with mini-cues. Tell yourself that “If I take the elevator three floors or lazily brush my teeth without squatting, then I am missing a huge opportunity for growth.” Once you have internalized these habits and associated them with a cue, you won’t really have to think about exercising at all.  It just happens.
Question: Can you get a solid abs workout from yoga? Answer: Hell yeah! Kathryn Budig, author of THe Women’s Health Big Book of Yoga, teaches a core-blasting yoga series in this 20-minute video. She directs you through strengthening poses all while giving tips on form with the type of encouragement and reassurance you’d get if you were actually in class. (Bonus: The serene backdrop helps put you in a yoga mindset.)
Flexibility exercise, or stretching, is a vital component of any exercise regimen. The primary purpose of flexibility training is to increase your range of motion, especially when it comes to muscles and joints. Although flexibility exercise will not improve your endurance or strength as cardio or anaerobic exercise would, flexibility training helps your body maintain its natural alignment. By doing so, flexibility exercise makes your body significantly less prone to injury during cardio or anaerobic exercise. Additionally, practicing flexibility training will increase your freedom of movement in a way that makes everyday activities easier. Tasks such as reaching up for an object on a shelf, getting up from a chair, or even sitting in confined spaces for long periods of time will greatly benefit from flexibility training.

Data were analysed using three different methods: visual inspection, parametric statistics and calculation of sensitivity for both OTS and NFO detection. Because the sample size was rather small (ie, maximal 5 for each group), data were first inspected visually. Parametric statistics and sensitivity calculation were used to support conclusions from visual inspection of the data. For the purpose of visual inspection, we created graphs with averages and SE for both the OTS and the NFO groups.


Our methodology, classes + 1:1 training incorporate what a lot of fitness methods are missing [regardless of pregnancy]. So while we provide you necessary tools and guide you to a strong + functional core and body, we won’t just teach you to “kegel”  or  “pull your belly button to your spine” because those techniques need to stay in the past. Instead, we create a balance in your pelvic floor and core that will continue to support you for life, preparing you for your birth marathon and motherhood with every pulse, hold, and full range move we guide you through. 


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.
I purchased Insanity a few years back and only lasted for 3-4 workouts. The workouts were too difficult for me and although I enjoyed it, I just failed to commit to it. Fast forward to July of this year..... I am not even sure why I attempted it again, but I am glad I did. First things first; this program is physically challenging to the point that I would recommend anyone going into it be cleared by their doctor BEFORE starting. Seeing a physician after you've injured yourself is the equivalent of closing the barn after the horses got out! There, it's been said. Now on to my review of this product.

Perhaps one of the best benefits of barre is that it’s fun! It incorporates the use of upbeat music and engaging choreography. When working out is fun and enjoyable, your chances of staying with the program greatly increase. The barre method also offers quick results. Barre helps strengthen and tone your muscles without increasing bulk, and it improves your posture. It also increases cardiovascular endurance and metabolism, which helps to quickly burn calories.


The Instructor – This is one of the most important factors of your exercise video. If you don’t like the instructor, it will eventually irritate you enough to stop using it. Look for instructors that motivate you to work harder and push harder not work to end the video so you don’t have to listen to them anymore. It’s a plus for the instructor to actually have a fitness background of some kind, which is both for your safety and to give you the knowledge that the video has legitimate foundations in real fitness rather than just being something they did on a whim or for celebrity endorsement.
This move works best if you use a low bench. With the low bench at your right side, start with knees slightly bent and hips back. Shift weight to left foot then jump over the bench first with right foot, allowing the left foot to follow. Land lightly on right foot first then left foot. Reverse the move, starting with left foot, to return to starting position.
If watching Dancing With the Stars inspired you to get grooving, you should definitely try this DVD for a guided shape-up. Although I suggest shutting your curtains and banishing anyone else from the house while you shake it, learning the routines kept me focused and by the end, I was sweating and laughing (at myself). Skimpy sequined outfits and B-list celebs not required.
The two 20-minute high-energy kickboxing routines combined with other cardio moves eliminate boredom in this program. When I felt particularly ambitious, I did both together for one calorie-blasting 40-minute workout; I chose one or the other when I only had 20 minutes to spare in the morning. Make sure to do this in a spacious room, because the amount of kicking, punching and movement, as I unfortunately discovered, is not tailored to tiny spaces.
It's hard to pinpoint the first time exercise appeared visually on-screen—meaning on film or video, something that you could see, as opposed to hear—but one of the earliest is the 1928 film Exercise: A Film Lesson in Health and Hygiene. It isn't exactly instructional, but features a bunch of boy scouts showing off some rather bizarre group exercise routines. Check out the bit that starts around 1:22, where they ride each other like human chariots. Anyhow, this film is significant in that its primary purpose is to display and broadcast forms of exercise to an audience, and it seems to be the first to have done so.

The exercise videos became a series, and Fonda eventually released 23 workout videos. Fonda's exercise videos were such a success because they were the first media of their time to send the message that it was socially acceptable for women to participate in exercise culture and become muscular. Fonda's videos also helped to spark the aerobic exercise trend of the 1980s, not to mention the period's iconic fashion trend: a neon exercise outfit with a leotard and leg warmers. The aerobic exercise craze became so widespread that a Muppets parody tape titled Miss Piggy's Aerobique Exercise Workout Album was released in 1982. The album cover featured Miss Piggy in a Fonda-esque exercise outfit, complete with leg warmers and a leotard, in a pose imitating that which was famously modeled by Jane Fonda on the cover of her first tape.


One of the main reasons I don't do Pilates very often is that, for me, it gets too boring after a while. Enter this DVD. Made up of five 10-minute workouts, it kept me engaged because I was able to change up the routine often, or, if I only had a few minutes available, I could still squeeze in a workout with just one of the programs. I just might be a Pilates convert after all.
Jump up ^ Gallaugher, P. E; Thorarensen, H; Kiessling, A; Farrell, A. P (2001). "Effects of high intensity exercise training on cardiovascular function, oxygen uptake, internal oxygen transport and osmotic balance in chinook salmon (Oncorhynchus tshawytscha) during critical speed swimming". The Journal of Experimental Biology. 204 (Pt 16): 2861–72. PMID 11683441.
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.

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.
Jump up ^ Farina N, Rusted J, Tabet N (January 2014). "The effect of exercise interventions on cognitive outcome in Alzheimer's disease: a systematic review". Int Psychogeriatr. 26 (1): 9–18. doi:10.1017/S1041610213001385. PMID 23962667. Six RCTs were identified that exclusively considered the effect of exercise in AD patients. Exercise generally had a positive effect on rate of cognitive decline in AD. A meta-analysis found that exercise interventions have a positive effect on global cognitive function, 0.75 (95% CI = 0.32–1.17). ... The most prevalent subtype of dementia is Alzheimer’s disease (AD), accounting for up to 65.0% of all dementia cases ... Cognitive decline in AD is attributable at least in part to the buildup of amyloid and tau proteins, which promote neuronal dysfunction and death (Hardy and Selkoe, 2002; Karran et al., 2011). Evidence in transgenic mouse models of AD, in which the mice have artificially elevated amyloid load, suggests that exercise programs are able to improve cognitive function (Adlard et al., 2005; Nichol et al., 2007). Adlard and colleagues also determined that the improvement in cognitive performance occurred in conjunction with a reduced amyloid load. Research that includes direct indices of change in such biomarkers will help to determine the mechanisms by which exercise may act on cognition in AD.
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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