Jump up ^ Rhodes, J. S; Van Praag, H; Jeffrey, S; Girard, I; Mitchell, G. S; Garland Jr, T; Gage, F. H (2003). "Exercise increases hippocampal neurogenesis to high levels but does not improve spatial learning in mice bred for increased voluntary wheel running". Behavioral Neuroscience. 117 (5): 1006–16. doi:10.1037/0735-7044.117.5.1006. PMID 14570550.
Major variants: reverse ~ (curling the pelvis towards the shoulders), twisting ~ or side ~ (lifting one shoulder at a time; emphasis is on the obliques), cable ~ (pulling down on a cable machine while kneeling), sit-up ~ (have [chest] touch your knees), vertical crunch (propping up to dangle legs and pulling knees to the [ chest] or keeping legs straight and pulling up legs to a 90 degree position). Reverse hanging crunch (using gravity boots or slings to hang head down and pulling to a 90 or 180 degree form)
Who says you have to jump, grunt, strain and punish your body to get amazing results from your workout? Not with PiYo. PiYo combines the muscle-sculpting, core-firming benefits of Pilates with the strength and flexibility advantages of yoga. And, we crank up the speed to deliver a true fat-burning, low impact workout that leaves your body looking long, lean and incredibly defined.
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Publications, establishment recognition, and public support followed the success. In 1932, Fairbairn was elected President of the Royal College of Obstetricians and Gynecologists.31 Fairbairn JS. Obituary. BJOG: An International Journal of Obstetrics and Gynaecology. 1944;51:152–6.10.1111/bjo.1944.51.issue-2[Crossref] [Google Scholar] In 1936, Morris (in collaboration with Randell) published ‘Maternity and Post-Operative Exercises,’ that illustrated exercises for pregnant and puerperal women and those who had been operated on. The book emphasized breathing, relaxation, conscious training of the pelvic floor muscles, and re-establishing good posture.32 Morris M. Maternity and post-operative exercises. London: Heinemann; 1936. [Google Scholar] A year later, Morris published ‘Basic Physical Training’ for the general public, dedicated to ‘all those who, realising the inter-dependence of mental and physical well-being, are working to raise the standard of health.’33 Morris M. Basic physical training. London: Heinemann; 1937. [Google Scholar] In 1939, Randell published her seminal textbook ‘Training for Childbirth - From the Mothers Point of View’ which described her philosophy in detail with related anatomy and pathology and exercise descriptions and instructions.25 Randell M. Training for childbirth from a mother's point of view. 4th ed. London: J. & A. Churchill Ltd.; 1949. [Google Scholar] This was followed up in 1949 with ‘Fearless Childbirth’, a practical manual for mothers-to-be.34 Randell M. Fearless childhood. London: J. & A. Churchill Ltd.; 1953. [Google Scholar]
Anaerobic exercise, which includes strength and resistance training, can firm, strengthen, and tone muscles, as well as improve bone strength, balance, and coordination.[3] Examples of strength moves are push-ups, pull-ups, lunges, and bicep curls using dumbbells.[3] Anaerobic exercise also include weight training, functional training, eccentric training, interval training, sprinting, and high-intensity interval training increase short-term muscle strength.[3][5]
This is so that every muscle in your body can be targeted. Also, it provides variation so that you don't get bored and give up. If you don't like exercise, revert to what your ancestors did instead and walk everywhere, move constantly and do plenty of physical work at least once a day, such as chopping wood, gardening, carry loads or cleaning your house vigorously.
This move requires a great deal of strength, balance and flexibility. HOW TO DO IT: Start by standing on one leg. The opposite leg can be held out in front of your body with your hands on the non-working leg. Think about rooting your foot into the ground while you squat down and back so that the glutes pass below parallel. MUSCLES USED: Glutes, quads, hamstrings and calves.
Most studios offer yoga mats for your use, but you should purchase a fitness mat if working out at home. You’ll also need comfortable clothing, as you will flex your body into a variety of positions. You will most likely be barefoot, so purchasing specific footwear is not usually necessary. Other items such as straps and balls can accompany yoga routines, but they may not be necessary right away or even at all. A water bottle and towel will help you to stay hydrated and comfortable during your class. You will be bending and stretching, so it’s best to avoid heavy meals a few hours before your class.

In the fourth and final week of the program, you’ll train four days in a four-way split that hits each bodypart just once (except for calves and abs, which are each trained twice). Four-day splits are common among experienced lifters because they involve training fewer bodyparts (typically 2–3) per workout, which gives each muscle group ample attention and allows you to train with higher volume. As you’ll see, chest and triceps are paired up, as are back with biceps and quads with hamstrings, each a very common pairing among novice and advanced bodybuilders. Shoulders are trained more or less on their own, and you’ll alternate hitting calves and abs—which respond well to being trained multiple times per week—every other workout. No new exercises are introduced in Week 4 so that you can focus on intensity in your workouts instead of learning new movements.


After 5 min warm up at 20% of peak power output, subjects performed a time to exhaustion at 85% of peak power output. Exhaustion was defined as a decrease in cadence below 40 cpm for a duration ≥ 10 s or when the subject voluntarily stopped. Subjects were not aware of the time elapsed during the time to exhaustion test. Verbal encouragements were provided by an experimenter naïve of time to exhaustion during the previous sessions.
Major findings: Within a few decades of the turn of the 20th century, a cluster of mind–body exercise methods emerged from at least six pioneering founders: Checkley, Müller, Alexander, Randell, Pilates, and Morris. Each was based upon a similar exercise philosophy and similar functional movement-harmonizing exercises. This renaissance of independent mind–body schools occurred in parallel with the demise of the 18th and 19th century gymnasium Physical Culture movement and the concurrent emergence of bodybuilding and strength training. Even though mostly forgotten today, Western mind–body exercise methods enjoyed celebrated success during the first half of the 20th century, were hailed by medical and allied health practitioners and practiced by millions from society’s elite to deprived minorities.
This DVD is focused on strength training — you can choose whether you want to do an upper body workout, a lower body workout, an abs and back routine, or a quickie 10-minute total body workout. But don't think you have to already be super buff to jump in: This workout is designed for people of any fitness level — though you will need some equipment for it, like a stretch band and exercise ball.
Choose clothes that suit your activity. In general, wear clothes that won’t restrict your movement or blood flow. For some forms of exercise, like biking, you might want to wear form-fitting clothes, but they still shouldn’t be too tight. Looser workout clothes are better for strength training, brisk walking, and sports such as basketball or soccer.[35]
Studies show that with fibromyalgia, the initial rise in oxidative stress will begin to decrease as you continue your workout; however, with CFS, prolonged exercise can increase the oxidative stress and the associated pain. This is where you might feel malaise after exercise as well. You can see why it is necessary to start slow and work up with consistency. Having severe M.E. myself, I know it can be done and it does take persistence. 

I've given this program a good 6 weeks so far. I'm 5-10 pounds overweight with some physical issues and a history of car crash injuries. I have a medical degree and a background in nutrition and fitness with several years of yoga (various disciplines) under my belt. Overall, I do like the program, but there are some VERY important things you should know before purchasing and participating..
* Exercise isn't supposed to be fun or enjoyable (that's what recreation is for). Exercise is a means-to-an-end. It shouldn't be something you look forward to, nor should you dread doing it; it should just be part of your lifestyle... like eating or sleeping. If you DO look forward to it, and even crave it, you could be hooked on the endorphin rush you get from doing an activity that is considered by the body to be over-doing it. And since the body would rather you not do this, it would be prudent to respect the body's wishes.
Resistance bands serve as another space and equipment saver. These elastic bands typically have handles on the end, and you can perform a variety of exercises with them. If you'd like to increase the intensity and resistance, you can use two bands at once. Surgical tubing makes and extremely inexpensive resistance band, provided you create a safe way to hold onto the ends so that you don't accidentally let go.

In parallel, Prussian nationalist and exercise instructor Friedrich Ludwig Jahn (1778–1852) advocated strengthening one’s mind and body through gymnastics.8 The Historic society of Pennsylvania [Internet]. Progress turnverein. 2007 May 3 [cited 2015 Aug 30]. Available from: http://hsp.org/sites/default/files/legacy_files/migrated/findingaid3057progressturnverein.pdf. [Google Scholar] Jahn invented the standard equipment of modern gymnastics; the parallel bars, rings, balance beam, horse, and horizontal bar4 Bakewell S. Illustrations from the Wellcome Institute Library: Medical gymnastics and the Cyriax collection. Med Hist. 1997;41:487–95.10.1017/S0025727300063067[Crossref], [PubMed], [Web of Science ®] [Google Scholar] and in 1811, founded the Physical Culture Movement in Germany.8 The Historic society of Pennsylvania [Internet]. Progress turnverein. 2007 May 3 [cited 2015 Aug 30]. Available from: http://hsp.org/sites/default/files/legacy_files/migrated/findingaid3057progressturnverein.pdf. [Google Scholar] Ling and Jahn’s Physical Culture gained following and flourished in gymnasiums throughout Europe and later in the United States of America until the end of the 19th century. However, toward the end of the century, the original concept of harmonious interaction between the competitive and holistic exercise systems eroded and deteriorated. This was due to the late 19th century shift in the gymnasium environment toward harsh paramilitary style training.9–11 Checkley E. A natural method of physical training. New York (NY): William C. Bryant & Co.; 1890.


The link between physical health and exercise (or lack of it) was further established in 1949 and reported in 1953 by a team led by Jerry Morris.[147][148] Dr. Morris noted that men of similar social class and occupation (bus conductors versus bus drivers) had markedly different rates of heart attacks, depending on the level of exercise they got: bus drivers had a sedentary occupation and a higher incidence of heart disease, while bus conductors were forced to move continually and had a lower incidence of heart disease.[148]
When shopping, take some extra laps around the store. Instead of making your shopping trip efficient, take your time and stroll around the store a couple times. If that feels too aimless, add an objective of memorizing the store's layout. Or, when grocery shopping, don't group items on your list by type. Instead, randomize the order so that you get one thing from the produce section and then get something from a different section before getting your next produce item.
From the data mentioned previously, it can be concluded that in NFO and OTS, the neuroendocrine disorder is a hypothalamic dysfunction rather than a malfunction of the peripheral hormonal organs29 and that the distinction between NFO and OTS can be characterised by hypersensitivity versus insensitivity of glucocorticoid receptors. The interactive features of the periphery and the brain could be translated into possible immunological, psychological and endocrinological disturbances.
Reading customer reviews and comments is an excellent way to get some insider information about the exercise videos that you are interested in purchasing. These reviews are mostly given by people who have actually purchased the product in question and have given it a review and a star rating. Really pay attention to what these customers are saying. You can learn about what they liked and what they didn’t like. Even though not every customer is going to like every video they get, most people are honest about what they loved and didn’t love. Amazon is an excellent place to get these reviews and comments and check out the videos you are interested in.
Anaerobic exercise differs from aerobic exercise in that it is comprised by short bursts of a high-intensity activity such as that repeated during strength training. While aerobic exercise uses oxygen for fuel (an early definition of aerobic is, after all, "living only in the presence of oxygen"), anaerobic exercise draws its fuel from carbohydrates. Anaerobic exercise also produces lactic acid, unlike aerobic exercise. To get started with some anaerobic exercises, check out this list of anaerobic exercises you can do anywhere. While anaerobic exercise does not burn as many calories as aerobic exercise burns, it will still help to improve respiratory and cardiovascular fitness. Additionally, because anaerobic exercise depletes energy more quickly than the blood can replenish the muscles' oxygen, the body's anaerobic metabolism kicks in, burning glucose as fuel. Even after the the anaerobic activity has stopped, the metabolism remains increased for up to several hours. If anaerobic exercise is repeated often, it will even have an effect on your resting metabolic rate. This will cause your body to burn more calories in general—even when you're sleeping.

Check your company's stock plan for the allowed methods and procedures. Once you do give notice to exercise with payment as required under your stock plan, it is unlikely that you can then change your decision to exercise or the exercise method, at least for tax purposes. This is illustrated by the case of Walter v. Commissioner, decided by the US Tax Court (TC Memo 2007-2, January 3, 2007). The employee attempted to change his original exercise instructions from a same-day sale to a cash exercise/hold. The Tax Court did not let him, holding that he had beneficial ownership of the stock when he initially exercised the options following the conditions under his stock plan.
If you want to form a gym habit, it can be difficult to know what to do or how to workout. Once you become immersed in exercise, it can feel like there’s not enough time to try all the different things! Plain and simple, this is just a knowledge gap. Learning how to workout is like learning anything else, it requires time, research and study. Hiring a personal trainer is the fastest route around this, but it also helps to be a “student of the game” by continuing to educate yourself.
Exercising looks different in every country, as do the motivations behind exercising.[2] In some countries, people exercise primarily indoors, and in others, people primarily exercise outdoors. People may exercise for personal enjoyment, health and well-being, social interactions, competition or training, etc. These differences could potentially be attributed to geographic location, social tendencies, or otherwise.

Remember, the real trick to getting stronger is to progressively move more and more weight, so keep in mind that these tricks and tips are meant to supplement that goal Fundamentals of resistance training: progression and exercise prescription. Kraemer, W.J., Ratamess, M.A. Human Performance Laboratory, Department of Kinesiology, University of Connecticut, Storrs, CT, USA; MEdicine and Science in Sports and Exercise; 2004 Apr;36(4):674-88.. Try out some new techniques and bulldoze that training plateau like a beast. Have you tried any of these techniques? What techniques help you build strength? Tell us in the comments below!
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.
How to: Facing down, place your hands slightly wider than shoulder-width apart. Place your toes on the floor. If that's too hard, start with your knees on the floor. Your body should make a straight line from shoulders to knees or feet. Keep your rear-end muscles and abs engaged. Bend your elbows to lower down until you almost touch the floor. Lift back up by pushing through your elbows, Keep your torso in a straight line throughout the move.
In his homeland of Denmark, Müller was a controversial figure. Some conceived his liberal philosophy and promotion of exposing the entire body to the sun to be anti-Lutheran and even pornography. During the last few years of his life, Müller returned to Denmark and vigorously promoted a natural ‘healing spring’, causing further resentment for being perceived as over-spiritual. After Müller’s death in 1938, a memorial bronze statue was erected by the Danish Government, however, he is since mostly forgotten by the general public (Figures 2–4).18 Larsen J. [Internet]. J.P. Muller, a Danish sportsman, world famous – and forgotten. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://www.learntomuller.com/j-p-muller-a-danish-sportsman-world-famous-and-forgotten/. [Google Scholar]
Time course of normalized EMG RMS for all muscles was analyzed with fully repeated measures 3 (session) x 10 (time: from 10 to 100% of time to exhaustion) ANOVA. Fully repeated measures 3 (session) x 11 (time: warm-up and from 10 to 100% of time to exhaustion) ANOVAs were used to analyze the time course of leg RPE, leg muscle pain, heart rate and cadence. Significant effect of time was explored with planned comparison (10% vs other time points, 100% vs other time points) adjusted with Holm-Bonferonni correction.
Jump up ^ Olsen CM (December 2011). "Natural rewards, neuroplasticity, and non-drug addictions". Neuropharmacology. 61 (7): 1109–1122. doi:10.1016/j.neuropharm.2011.03.010. PMC 3139704. PMID 21459101. Similar to environmental enrichment, studies have found that exercise reduces self-administration and relapse to drugs of abuse (Cosgrove et al., 2002; Zlebnik et al., 2010). There is also some evidence that these preclinical findings translate to human populations, as exercise reduces withdrawal symptoms and relapse in abstinent smokers (Daniel et al., 2006; Prochaska et al., 2008), and one drug recovery program has seen success in participants that train for and compete in a marathon as part of the program (Butler, 2005). ... In humans, the role of dopamine signaling in incentive-sensitization processes has recently been highlighted by the observation of a dopamine dysregulation syndrome in some patients taking dopaminergic drugs. This syndrome is characterized by a medication-induced increase in (or compulsive) engagement in non-drug rewards such as gambling, shopping, or sex (Evans et al., 2006; Aiken, 2007; Lader, 2008).
Although there is evidence of Pilates teaching standing exercises at Jacob’s Pillow,48 YouTube [Internet]. Difusión de Pilates. Joseph Pilates holistic video (1932). 2014 Dec 14 [cited 2015 Aug 30]. Available from: https://www.youtube.com/watch?v=BynuIO3smSI. [Google Scholar] he excluded standing exercises from his 34 exercise Contrology home routine, in contrast to the documented repertoires of Checkley,9 Checkley E. A natural method of physical training. New York (NY): William C. Bryant & Co.; 1890. [Google Scholar] Müller,15 Müller JP. My system. London: Link House; 1904. [Google Scholar] Randell,25 Randell M. Training for childbirth from a mother's point of view. 4th ed. London: J. & A. Churchill Ltd.; 1949. [Google Scholar] Vaughan,47 Youtube [Internet]. Vaughan, K. Childbirth as an athletic feat (1939). 2009 Feb 23 [cited 2015 Aug 30]. Available from: https://www.youtube.com/watch?v=g9wRBWDxReY. [Google Scholar] and Morris33 Morris M. Basic physical training. London: Heinemann; 1937. [Google Scholar] that were dominated by standing exercises. He explained: ‘Note that all the exercises are performed while you are in a sitting or reclining position. This is done to relieve your heart from undue strain as well as to take advantage of the more normal (original) visceral organs.’46 Pilates J, Miller WJ. Return to life through Contrology. Nevada: Presentation Dynamics; 1945. [Google Scholar]
Aerobic exercise induces mitochondrial biogenesis and an increased capacity for oxidative phosphorylation in the mitochondria of skeletal muscle, which is one mechanism by which aerobic exercise enhances submaximal endurance performance.[98] [92][99] These effects occur via an exercise-induced increase in the intracellular AMP:ATP ratio, thereby triggering the activation of AMP-activated protein kinase (AMPK) which subsequently phosphorylates peroxisome proliferator-activated receptor gamma coactivator-1α (PGC-1α), the master regulator of mitochondrial biogenesis.[92][99][100]
Anaerobic tips for beginners: build up your aerobic capabilities and some baseline level strength a bit before trying to sprint or do activities that require explosive movement. If you do decide to do anaerobic exercise, shorten the timeframe for which you perform the exercise. For example, sprint for 10 seconds instead of 30. Do three sets of five box jumps instead of 15.
Celebrity fitness instructor Tracy Anderson (clients include Madonna, Gwyneth Paltrow, and Jennifer Lopez) offers six 10-minute, total-body dance workouts in this DVD. The first lesson covers basic steps, while the other workouts have titles like "Cardio Party" and "Sweat Fest." Don't worry if you have two left feet: Even novice dancers can master these moves.
Two incremental graded exercise tests until exhaustion were performed, with 4 h of rest in between. One hour before each test, the athletes received a standardised meal (2315 kJ, 73% carbohydrate, 19% protein, 8% fat). Athletes arrived in the laboratory at 07:00 after an overnight fast. The first blood sample was collected as they arrived. Immediately after the first exercise test, the second blood sample was drawn. The third and fourth blood samples were drawn before and immediately after the second test. A schematic overview of the protocol can be found in fig 1. Because it is known that venepuncture increases blood prolactin, going back to baseline within 30 min, blood was drawn before and after each test (four punctures) creating the same “stress” in each situation. The study protocol was approved by the university ethical committee.
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

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.
The participants completed in total 69 492 exercise logs (33 608 HIIT group) during the year, of which 39 075 were received in prepaid envelopes and 30 417 in internet-based forms. Both groups performed 2.2 ± 1.3 exercise sessions per week. Almost 80% of the sessions in the MCT group were actually performed with moderate intensity (11–14 on the Borg scale), while almost 60% of the sessions in the HIIT group were performed with high intensity (≥15 on the Borg scale) (Fig. 2). In the MCT group, women had a significantly higher proportion of sessions with moderate intensity compared to men (81.7% vs. 74.9%, p < 0.01). In the HIIT group, men had a higher proportion of sessions with high intensity compared to women (63.7% vs. 52.3%, p < 0.01) (Fig. 2). In the MCT group, 9.6, 43 and 47.4% of the sessions had a duration of < 30 min, 30 min to 1 h, and more than 1 h, respectively. The corresponding percentages in the HIIT group were 10.1, 45 and 44.9%.

In recent years, the simple exercise DVD has morphed into a complete “home fitness system,” offering multiple discs with up to a dozen workouts that are combined in very prescriptive ways. They come complete with diets, making them more like plans than just exercise routines. And they cost a lot more than the $10 or $12 you’d spend on a workout DVD. It has been almost a decade since P90X, the leader of the trend, came on the market. The craze shows no sign of slowing down, so we decided to find out whether four leading DVD systems were worth it.
The beneficial effect of exercise on the cardiovascular system is well documented. There is a direct correlation between physical inactivity and cardiovascular mortality, and physical inactivity is an independent risk factor for the development of coronary artery disease. Low levels of physical exercise increase the risk of cardiovascular diseases mortality.[22]
This classic move helps flatten the tummy by using your abs efficiently. Hold on behind the knees, scoop the belly in, and curl down to the floor to get into position. Now curl the head and shoulders up slightly, lower back still pressed to the floor. Pump the arms up and down in small motions at your sides. Breathe in for five and out for five until you hit 50 pumps. Sit up and repeat for a total of 100 pumps.
Remember Billy Blanks, the guy behind the Tae Bo craze? Now his son, Billy Blanks, Jr. is getting in on the family business too. Along with his wife, Sharon Catherine Blanks, Billy Jr. will help you learn various types of dance styles in this fun-packed DVD. The duo takes you through six 5-minute cardio workouts utilizing dance styles from all over the world: hip-hop, Bollywood, African, disco, country, and "old-school" cardio. It's designed for the whole family so kids can join in too!
For Ready-Made or Make Your Own Workouts: Fitness Builder (iPhone or iPad)- This is one of my favorite exercise apps, offering a variety of ways to exercise. You can choose workouts based on the equipment you have, the muscle groups you want to work or the type of workout you're looking for. There are a range of ready-made workouts and you can also create your own workouts from the amazing database of exercises included.
In addition to determining the optimal position from which to initiate an exercise based on the patient's related impairments and level of pain, exercise dosage and progression are important aspects of a rehabilitation program. Intervention details, such as number of repetitions and sets, exercise order, and work-to-rest ratios, should be tailored to each patient based on his or her specific needs. The proposed protocol does not describe a method to determine the initial exercise intensity or the criteria for modification or progression. Using a criterion-based method to determine the initial intensity and progression would individualize these guidelines of the exercise program. In their randomized controlled trial designed to address the effectiveness of exercises to treat RCIS, Lombardi et al6 used a 6-repetition maximum load to establish the starting intensity of strengthening exercises. They6 also recommended a reevaluation every 2 weeks to make necessary adjustments to exercise intensity. Although we do not know whether the 6-repetition maximum-load criteria used in their study is optimal, it is an excellent example of a criterion-based method to determine initial exercise intensity and progression. Future research on exercise for the treatment of RCIS should include criterion-based methods to determine the optimal exercise dosage and progression.

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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