Two moves is better than one, right? You may want to do this move on a mat or a towel for padding. Start in a high plank position with core tight. Lower onto both forearms at the same time, maintaining a tight core and level hips. Now push back up onto hands at the same time to return to starting position. Finish by drawing right knee into chest, then left knee into chest, doing a mountain climber.
One remedy for the exercise doldrums is to keep exploring new types of movement, even if you’re already committed to a particular form of exercise. Novel activities — dance, martial arts, outdoor exercise — can work wonders for your brain, your mood, and your fascia. Massage, Rolfing, Feldenkrais, foam rolling, and other bodywork modalities can keep these tissues supple, too, so you can continue to move well, and without pain, for decades to come.
Founder Ken Hutchins' SuperSlow has been 'managed' by unscrupulous business partners, into a commercial entity bearing little resemblance to his original intention, (& no involvement with Mr Hutchins himself, nor any of his original associates). The -real- SS was revolutionary for its time, but Hutchins' new textbook, "The Renaissance of Exercise, a Vitruvian Adventure", is the result of his ongoing refinements over the past 18 years. Rather than pay over a $150 for the supposed historic value of a slim, soft-cover, dog-eared $10 book & it's relatively primitive ideas, get the new hard-cover textbook./It seems that one of the main criticisms os The Manual is "too much information". True, for a casual reader.The fact is, ANY exercise protocol is simple enough to write up on one or two pages: How many sets. How many reps. How many exercises. How often. About 10 exercise technique descriptions: Done. It's the precise whys, hows, & special cases that take a book to fulfill.
One way repeated ANOVAs (time: isotime from first to seventh minute and exhaustion) were used to test the time course of EMG RMS for all muscles, leg RPE, leg muscle pain and heart rate. Significant effect of time was explored with planned comparison (1st minute vs other time points, exhaustion vs other time points) adjusted with Holm-Bonferonni correction.
Before buying a workout DVD, take some time to learn about different types of exercise and how they affect the body. By learning about exercise types, you will be able to tailor your body's needs to exercises that work for you and that can help you achieve your fitness goals. There are three broad categories of exercise: aerobic exercise, anaerobic exercise, and flexibility exercise.
"Consider this: Dr. Kenneth Cooper (author of Aerobics, The New Aerobics, Aerobics for Women), the U.S. Air Force Cardiologist who coined the term 'aerobics" (meaning a form of exercise) and has promoted their use for over 25 years, now admits that he was wrong! According to Dr. Cooper, further research has shown that there is no correlation between aerobic endurance performance and health, longevity, or protection against heart disease. He will admit, however, that such activities do carry with them a great risk of injury. Further, he admits that gross-overuse activities such as running are damaging to the body." – Ken Hutchins, SuperSlow Exercise Guild
The second aim of this study was to describe the isokinetic muscle fatigue induced by high intensity OLDE and its recovery. Firstly, the absence of isometric KF MVC torque decrease confirms that our exercise only solicits the knee extensors and does not involve the knee flexors. Secondly, EMG RMS measured during KE MVCs shortly after exhaustion and during the recovery period was not altered by high intensity OLDE, confirming the results of a previous study . Therefore, as a decrease in knee extensors force production capacity can be observed without concomitant changes in EMG signal, our data combined with the data of a previous study  suggest that EMG signal cannot be used to investigate dynamic exercise-induced muscle fatigue. The lack of changes in EMG signal is likely to be caused by a potentiation of the maximal evoked muscular wave (M-wave) induced by high intensity OLDE . Finally, according to our hypothesis, isokinetic KE MVC torque quickly recovered and plateaued after exhaustion (within ~ 30 s at 60 and 100 deg/s, and within ~ 50 s at 140 deg/s). This quick recovery in torque production capacity is likely to be associated with recovery in both central and peripheral fatigue. This assumption is supported by one previous study in our laboratory demonstrating that not only peripheral and central fatigue, but also cortical and spinal excitability recovered shortly after exhaustion . Froyd et al.  also demonstrated a significant recovery in skeletal muscle function within 1–2 minutes after completion of a one-leg isokinetic time trial performed at high intensity. Taking all together, these results demonstrate that to fully appreciate the extent of neuromuscular alterations induced by high intensity dynamic exercise, assessment of muscle fatigue must be performed within 30 s of cessation of the exercise.
Exercise is any bodily activity that enhances or maintains physical fitness and overall health and wellness. It is performed for various reasons, including increasing growth and development, preventing aging, strengthening muscles and the cardiovascular system, honing athletic skills, weight loss or maintenance, and also for enjoyment. Many individuals choose to exercise outdoors where they can congregate in groups, socialize, and enhance well-being.
Rotator cuff impingement syndrome (RCIS) is a multifactored disease that can lead to functional limitations and an inability to participate in work, leisure, and sporting activities. This syndrome can be caused by many factors, such as weakness of the rotator cuff and periscapular muscles, decreased pectoral and rotator cuff muscle flexibility, abnormal motion patterns, extrinsic factors (eg, vibration exposure, use of hand tools, work-station height), and trauma. Kuhn provided a valuable synopsis of randomized controlled clinical trials in which the benefit of exercise for individuals with RCIS was examined. Substantial evidence1 exists to support the use of exercise for the management of this patient population. In addition, manual therapy has been shown1 to augment the effectiveness of exercise. However, we believe it is premature to label the proposed rehabilitation protocol as a criterion standard because of the lack of specific exercise descriptions, variability in the exercise programs, and inability to separate the effects of specific exercises on the measured outcomes that Kuhn noted. Furthermore, because RCIS is multifactored, use of the same exercise protocol to treat everyone with RCIS might not be the best standard of care.
Lisa Avellino, Fitness Director at NY Health and Wellness, says to grab a kitchen towel and engage in just 30 seconds of isometric motion with it. “Thirty seconds of opposing pull—like a human tug-a-war—will take any muscle to its maximum potential because you use your own bodyweight as resistance,” she explains. “The best part is that the stronger you are the more challenging the workout is, so you can never surpass maximum potential.” Speaking of the kitchen, check out these 25 Ways to Organize Your Kitchen for Weight Loss!
In 1904, Danish prize-winning athlete and gymnastics educator JP Müller followed Checkley’s exercise philosophy with the publication of ‘My System’. This book described how the relatively healthy, average person could keep fit, fortify health and stamina, and increase physical and mental efficiency with 15 min of daily exercise. He claimed: ‘If people only knew how much more, how much better and how much longer they can enjoy life, instead of being controlled by a weakly body, they have a strong and healthy one at their command!’15 Müller JP. My system. London: Link House; 1904. [Google Scholar] Müller was born a weak child and developed an exercise routine to re-build his own body, inspired by the harmony of ancient Greek statues. His routine included exercising natural functional movements, self-massage of skin in fascial lines, exposure to the sun, and bathing in cold water in addition to running on the balls of the feet as an aerobic activity.15,16 Müller JP. My system. London: Link House; 1904.
The European Commission - DG EAC - Directorate General for Education and Culture - has dedicated programs and funds for HEPA - Health Enhancing Physical Activity projects within its Horizon 2020 and Erasmus+ program, as research showed that too many Europeans are not physically active enough. Financing is available for increased collaboration between players active in this field across the EU and around the world, the promotion of HEPA in the EU and its partner countries and the European Sports Week. The DG EAC regularly publishes a Eurobarometer on sport and physical activity.
Video Abstract for the ESSR 45.2 article “Joint Loading in Runners Does Not Initiate Knee Osteoarthritis” from author Ross H Miller. Runners do not have a greater prevalence of knee osteoarthritis (OA) than non-runners. The hypothesis that joint loads in running do not cause OA is forwarded. Two mechanisms are proposed: 1) cumulative load, which is surprisingly low in running, is more important for OA risk than peak load, and 2) running conditions cartilage to withstand the mechanical stresses of running.
While the focus of Pilates is strength training, you'll get some cardio in with moves like this. Stand with your belly pulled in and your arms overhead. Inhale and lower your head, bending the knees and swinging the arms back. Exhale and jump up with straight legs, reaching the arms overhead. Land with the knees slightly bent and return quickly to starting position. Do 8-10 reps at a rapid pace. You should be out of breath when you finish.
Too much exercise can be harmful. Without proper rest, the chance of stroke or other circulation problems increases, and muscle tissue may develop slowly. Extremely intense, long-term cardiovascular exercise, as can be seen in athletes who train for multiple marathons, has been associated with scarring of the heart and heart rhythm abnormalities. Specifically, high cardiac output has been shown to cause enlargement of the left and right ventricle volumes, increased ventricle wall thickness, and greater cardiac mass. These changes further result in myocardial cell damage in the lining of the heart, leading to scar tissue and thickened walls. During these processes, the protein troponin increases in the bloodstream, indicating cardiac muscle cell death and increased stress on the heart itself.
When stress is chronically induced, as in NFO and OTS, two specific mechanisms could occur: first, when corticosteroid levels are chronically too high, a hypersensitivity of the receptors will occur, this can lead to a disinhibition of CRHproducing neurons, which in turn will lead to an intensified release of ACTH (as seen in the second exercise bout in the NFO athletes). When the chronic stress situation continues and glucocorticoid receptors are chronically activated (which occurs in post-traumatic stress disorder17 and depression),25 a blunted ACTH response to CRH will occur.28
Around 1900, Tasmanian-born Australian professional reciter and theatrical producer Frederick Alexander developed a novel methodology to harmonize full-body functional movements. As a child, Alexander suffered respiratory ailments, leading to the initial purpose of developing the method – to normalize his personal voice function in order to materialize a stage performance dream. In 1902, Alexander established the Sydney Dramatic and Operatic Conservatorium and in 1904, moved to London to spread his teaching method. During the first years, Alexander focused on teaching ‘full chest breathing’ techniques mainly to stage artists and people with breathing pathologies.19 Staring J. Frederick Matthias Alexander 1869-1955. The Origins and History of the Alexander Technique. A medical historical analysis of F.M. Alexander’s life, work, technique, and writings. Nijmegen: Radboud Universiteit; 2005. [Google Scholar] However, he soon discovered that retrieving the natural ‘conscious control’ via mindful postures and movements resulted in benefits not only for the vocal health and performance but also the health and performance of the whole body and mind.20 Alexander FM. Man's supreme inheritance. London: Methuen; 1910. [Google Scholar] This holistic evolvement transformed the newly formed ‘Alexander Technique’ into a general remedy and preventative tool suitable for all populations. Alexander explained in his 1910 book ‘Man’s Supreme Inheritance:’20 Alexander FM. Man's supreme inheritance. London: Methuen; 1910. [Google Scholar]
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.
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.
Exercise and physical activity fall into four basic categories—endurance, strength, balance, and flexibility. Most people tend to focus on one activity or type of exercise and think they’re doing enough. Each type is different, though. Doing them all will give you more benefits. Mixing it up also helps to reduce boredom and cut your risk of injury.
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 main aim of this study was to test the reliability of a novel OLDE protocol performed at high intensity (workload fixed at 85% peak power output ). Isokinetic muscle fatigue and its recovery up to 40 s post exercise were also measured. Subjects visited the laboratory on four different days. During the first visit, subjects were familiarized with the OLDE protocol (see One Leg Dynamic Exercise for more details), and performed after 30 min recovery an incremental test to measure peak power output. After 30 min recovery following the incremental test, subjects were familiarized with neuromuscular testing (see Neuromuscular Function Tests for more details) and the time to exhaustion test. As suggested by Andersen et al. , torque and electromyographic (EMG) feedback were used to ensure a quick and reliable familiarization to the novel OLDE protocol. Each of the following three visits (reliability sessions) consisted of completion of the time to exhaustion test with neuromuscular testing pre and post-exercise. An overview of these three sessions can be seen in Fig 1.
This exercise is similar in movement to the back squat; however, the bar sits in the front rack position across the collarbones and shoulders of the athlete. HOW TO DO IT: As you drive back up, it is imperative that you raise your elbows to the sky to keep the bar in the correct position. The core should be tight to prevent the back from rounding. If you have mobility issues in the front rack position, you can cross your forearms in front of your body, parallel to the ground. MUSCLES USED: Glutes, quads, hamstrings, calves and core.
There are many things a consumer can do to minimize unsatisfactory purchases when it comes to exercise videos. We have put together a buyer’s guide that will give you a lot of information on learning as much as you can about exercise videos and what they are about BEFORE you spend the money. When you are armed with this information you can be more assured that the videos you decide to purchase will actually be ones you use.
How much space do you have to exercise? – Do you have plenty of space to move around freely without hitting or running into anything? If you get kickboxing style exercise videos will you be able to follow the moves without taking out a living room lamp? Knowing how much space you will have to work out will help you match the exercise videos your purchase to the space you will be using to watch them and follow along.
Trainer Sara Haley loves 30 seconds a day of a core building exercise called resistance fight, which is especially great for those who’ve had children. “Lie on your back and lift one leg up to tabletop so that your knee is in line with your hip. Take your opposite hand and push against your thigh,” she says. “As you try to push your leg away with your hand, resist by pushing your leg into your hand in opposition. While all this is happening, you should be focusing on pulling your navel towards your spine and closing your rib cage. You may feel your body start to shake.” Be sure to hold for 15 seconds on each side. If your ears perked up at the mention of this being a great move for moms, then make sure you also look out for your kiddos with our report on 13 Scary Ingredients in Your Kid’s Lunch Box, Exposed!.
Interestingly, one of our subjects presented both a CV and a time to exhaustion greater than the other subjects. As both CV and time to exhaustion are known to increase when the intensity of the exercise decreases , it is likely that this subject did not reach its true peak power output during the incremental test, and then performed the three time to exhaustion tests at an intensity below 85% of peak power output. This result is of particular importance for future research aiming to manipulate endurance performance using this protocol. Indeed, when the true peak power output is not reached during the incremental test, due to an increase in variability, it might be harder to detect significant changes in muscle endurance. Therefore, in order to better understand the variability in reaching the true peak power output of subjects, further studies should investigate the reliability of the incremental test used in the present study.
Jump up ^ Rao AK, Chou A, Bursley B, Smulofsky J, Jezequel J (January 2014). "Systematic review of the effects of exercise on activities of daily living in people with Alzheimer's disease". Am J Occup Ther. 68 (1): 50–56. doi:10.5014/ajot.2014.009035. PMC 5360200. PMID 24367955. Alzheimer’s disease (AD) is a progressive neurological disorder characterized by loss in cognitive function, abnormal behavior, and decreased ability to perform basic activities of daily living [(ADLs)] ... All studies included people with AD who completed an exercise program consisting of aerobic, strength, or balance training or any combination of the three. The length of the exercise programs varied from 12 weeks to 12 months. ... Six studies involving 446 participants tested the effect of exercise on ADL performance ... exercise had a large and significant effect on ADL performance (z = 4.07, p < .0001; average effect size = 0.80). ... These positive effects were apparent with programs ranging in length from 12 wk (Santana-Sosa et al., 2008; Teri et al., 2003) and intermediate length of 16 wk (Roach et al., 2011; Vreugdenhil et al., 2012) to 6 mo (Venturelli et al., 2011) and 12 mo (Rolland et al., 2007). Furthermore, the positive effects of a 3-mo intervention lasted 24 mo (Teri et al., 2003). ... No adverse effects of exercise on ADL performance were noted. ... The study with the largest effect size implemented a walking and aerobic program of only 30 min four times a week (Venturelli et al., 2011).
This powerful upper-body toner can be done on a mat, reformer, or Wunda chair. If using a mat, sit with your legs straight in front of you, feet together and flexed. Press your hands flat on the mat, look down, and use your upper body strength to lift your backside and upper legs. Swing yourself forward and backward before lowering slowly to the mat. Do five reps.
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.
When performed at high intensity until exhaustion, OLDE has been shown to induce both peripheral and central fatigue [11, 17, 18]. However, as the exercise performed in these studies did not take place on the same ergometer where neuromuscular function was tested, the extent of peripheral and central fatigue remained unclear. To avoid the need to transfer the participant from the exercising ergometer to the dynamometer (to assess muscle fatigue), we recently developed in our laboratory a OLDE protocol on a dynamometer, reducing the time delay between cessation of the exercise and start of neuromuscular testing . In this study, we demonstrated that both peripheral and central fatigue significantly recovered between exhaustion and after three minutes, but also that high intensity OLDE alters cortical and spinal excitability. Previous studies [8, 11, 17, 18] describing muscle fatigue induced by high intensity OLDE focused only on isometric muscle fatigue (i.e. muscle fatigue measured during isometric contractions) and did not describe the extent of isokinetic muscle fatigue (i.e. muscle fatigue measured during isokinetic contractions) and its recovery. Consequently, an additional aim of this study was to describe the isokinetic muscle fatigue and its recovery induced by high intensity OLDE.
^ Jump up to: a b c Schuch FB, Vancampfort D, Rosenbaum S, Richards J, Ward PB, Stubbs B (July 2016). "Exercise improves physical and psychological quality of life in people with depression: A meta-analysis including the evaluation of control group response". Psychiatry Res. 241: 47–54. doi:10.1016/j.psychres.2016.04.054. PMID 27155287. Exercise has established efficacy as an antidepressant in people with depression. ... Exercise significantly improved physical and psychological domains and overall QoL. ... The lack of improvement among control groups reinforces the role of exercise as a treatment for depression with benefits to QoL.
Alternatively, anaerobic means an “absence of free oxygen.” It’s any form of high-intensity exercise that leaves you winded relatively quickly. A well developed aerobic system can produce energy for a long time, while your anaerobic capabilities cease anywhere from 10–120 seconds. Weightlifting, sprinting, plyometrics and HIIT are examples of anaerobic exercise. Explosiveness and an ability to generate power and or speed in small bursts is a trait of athletes that require anaerobic capabilities. Interestingly, the more developed your aerobic system, the longer it takes to burn through your anaerobic system. In this respect, you can think of aerobic exercise as a building block for anaerobic capacity.
A Polar (www.polar.fi) heart rate monitor (belt and watch) is used to measure heart rate continuously. A transmitter belt is fastened around the chest while the watch is held by a nearby observer. If at any time during the experiment the heart rate exceeds the predetermined ceiling (85% of age-predicted max heart rate) the experiment should be stopped immediately.
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.
Raphael AJ. Natural childbirth in twentieth century England; PhD thesis. London: Queen Mary University of London; 2010. To create the method, Randell, (whose brother Francis William Randell and wife Jessie experienced two failed births in 1907 and 1913)24 Wildings & Thurleys, Cantophers & McConnells [Internet]. Hatches, matches and dispatches only. 2008 Nov 11 [cited 2015 Sep 23]. Available from: http://website.lineone.net/~hstjw/p32.htm#i549. [Google Scholar] was inspired by Ling’s philosophy and exercises of preventative medicine.22 Polden M, Mantle J. Physiotherapy in obstetrics and gynaecology. 2nd ed. Oxford: Butterworth Heinemann; 2004. [Google Scholar] Her repertoire included full-body movement exercises in the lying, sitting, and standing positions.25 Randell M. Training for childbirth from a mother's point of view. 4th ed. London: J. & A. Churchill Ltd.; 1949. [Google Scholar] The objectives of the pre-natal exercises were ‘to improve the physical and mental well being of the patient – encourage a cheerful and confident outlook towards her confinement and so to help herself effectively during labour’. Pre-natal training included education, stretching, relaxing, and deep breathing with many free arm movements to improve circulation. The daily home exercises were designed to improve muscle tone, increase flexibility, and control of movement. The post-natal exercises were designed to improve the condition of relaxed muscles, in particular the abdominal muscles, so that the figure is restored to normal after confinement.26 Wellcome Library [Internet]. Rodway H. Training for childbirth - and after (1940). 2015 Sep 24 [cited 2015 Oct 3]. Available from: http://wellcomelibrary.org/player/b16729006#?asi=0&ai=0. [Google Scholar] As a reflection of the women’s suffrage movement, Randell encouraged female students to use their knowledge and healthy physical ability to gain self-empowerment and help others to do the same. She encouraged women to teach spouses to perform and to teach the exercises calmly and confidently; to reinforce the teamwork between parents and to be of practical assistance during childbirth.25 Randell M. Training for childbirth from a mother's point of view. 4th ed. London: J. & A. Churchill Ltd.; 1949. [Google Scholar]
Video Abstract for the ESSR 44.4 article “The Age-Associated Reduction in Propulsive Power Generation in Walking” from author Jason R. Franz. Propulsive power generation during push-off in walking decreases with advancing age. A common explanation is an accommodation for sarcopenia and muscle weakness. Yet, muscle strengthening often yields disappointing outcomes for walking performance. We examine the hypothesis that declines in force or power generating capacity of propulsive leg muscles cannot fully explain the age-related reduction in propulsive power generation during walking.
Interval training is a type of training, which consists of alternating periods of high and low-intensity workouts interspersed with rest or relief periods. The high-intensity parts can be close to or in the anaerobic zone while the rest and relief periods involve lower intensity exercise. Interval training gets your rate up and burns more fat in less time than less intense forms of exercise. Here’s an example of an interval training routine:
After options vest, you may purchase the company stock at the option price any time before the options expire. But exercises, as well as sales, may be prohibited during any "blackout" periods, or allowed only during window periods. Company policies must be carefully followed, as well as federal and state securities laws. Optionholders are responsible for keeping up with current insider trading regulations.
The VE group consisted of 8 women and 12 men (age 69.6 ± 3.9 years; weight 70.7 ± 12.1 kg; height 161.3 ± 6.9 cm). The control group consisted of 6 women and 14 men (age 71.2 ± 3.7 years; weight 76.1 ± 12.3 kg; height 167.5 ± 9.8 cm). Only 20 subjects of the VE group and 8 of the control group correctly completed the trials (see Figure 1 and Limitation of the Study paragraph). Adherence to protocol of the VE group was checked daily by our motor scientist by means of a daily record where he noted the week and participation number, the mean HR of the sessions, the type of exercises, and the number of repetitions per set carried out. During the training period, no adverse events such as dizziness, musculoskeletal pain, or cardiovascular issues were recorded. After 12 weeks, there were significant improvements in strength, flexibility, balance, and agility tested by SFT. T0-T1 differences are shown in Figures Figures22 and and3.3. Namely, 5 tests out of 6 showed significant improvement: Chair Stand (T0 12.4 ± 2.4; T1 13.5 ± 2.6, p < 0.01), Arm Curl (T0 14.2 ± 3.6; T1 16.6 ± 3.6, p < 0.01), 2 min step (T0 98.2 ± 15.7; T1 108.9 ± 16.2, p < 0.01), Chair Sit-and-Reach (T0 −9.9 ± 7.7 cm; T1 1.7 ± 6.3 cm, p < 0.01), and Back Scratch (T0 −15.8 ± 10.9 cm; T1 −8.4 ± 13.1 cm, p < 0.01). Conversely, the 8-foot up and go test (T0 6.5 ± 7.6 sec; T1 4.5 ± 0.6 sec, p > 0.05) showed no significant statistical difference due to a high SD in T0 assessment.