Houmann Clements (cablecream9)

Receiver operating characteristic curves identified a steps/day threshold for achieving outcomes. Two-hundred and twelve participants (mean ± SD; age= 62.8 ± 11.4 years, 53.3% female) had valid walking data at baseline. Each additional 1000 steps/day at 6-week after spine surgery was associated with 41% higher odds of achieving "best outcome" (95% CI=1.15, 1.74) and 38% higher odds of no opioid use (95% CI=1.09, 1.76) at 1-year. Walking ≥3500 steps/day was associated with 3.75 times the odds (95% CI=1.56, 9.02) of achieving "best outcome" and 2.37 times the odds (95% CI=1.07, 5.24) of not using opioids. Walking early after surgery may optimize patient-reported outcomes after lumbar spine surgery. A 3500 steps/day threshold may serve as an initial recommendation during early postoperative counseling. Walking early after surgery may optimize patient-reported outcomes after lumbar spine surgery. read more A 3500 steps/day threshold may serve as an initial recommendation during early postoperative counseling. To determine the response to a pulmonary rehabilitation (PR) program and minimal important differences (MIDs) for the Short Physical Performance Battery (SPPB) subtests and SPPB summary score in patients with Chronic Obstructive Pulmonary Disease (COPD). Retrospective analysis using distribution- and anchor-based methods. PR center in the Netherlands including a comprehensive 8-week inpatient and 14-week outpatient program of 40 sessions. 632 patients with COPD (age 65±8 years, 50% male, FEV 43 (27-47) % predicted) INTERVENTION Not applicable. Baseline and post PR results of the SPPB, consisting of three balance standing tests, 4-meter gait speed (4MGS) test and 5-repetition sit-to-stand (5STS) test. The chosen anchors were 6-minute walk test and COPD Assessment Test. Patients were stratified according to their SPPB summary scores into a low-performance, moderate-performance or high-performance group. 5STS (∆= -1.14 (-4.20- -0.93) seconds) and SPPB summary score (∆= 1 (0-2) points) improved afteuture research is needed to confirm MID estimates for SPPB in different centres. To determine reference values for the Headache Impact Test-6 (HIT-6) in a young, physically active cohort and to examine the influence of sex, concussion history, headache history, and competitive sport level on HIT-6 scores. Cross-Sectional. United States Service Academy. United States Service Academy cadets completed a HIT-6 questionnaire as part of their annual concussion baseline assessment. Cadets with a recent concussion were excluded from baseline testing. Not applicable. Reference values were calculated and stratified by sex, concussion history, headache history, and competitive sport level. Mann-Whitney U and Kruskal-Wallis tests were used to examine the impact of sex, concussion history, headache history, and competitive sport level on HIT-6 scores (p<0.05). Of the 3599 cadets baselined, 2,687 cadets (23% female) agreed to participate in the study and completed the HIT-6. Females reported significantly worse HIT-6 scores compared to males both with (p<0.001) and without (p<0.001) a concussion history. In both sexes, participants with a headache history reported worse scores than those with no headache/concussion history and a concussion history (all p's<0.005). Females who participated in intramural athletics reported worse HIT-6 scores at baseline than female intercollegiate athletes (p=0.003). This is the first study to stratify HIT-6 data by sex, concussion history, headache history, and sport level in a collegiate population at risk for concussions. Sex and headache history appear to influence HIT-6 scores and should be given special consideration when interpreting health-related quality of life deficits due to headache. This is the f