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[Brain-jogging].

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Exercise Therapy↗

Assumptions about fitness and exercise among elderly persons.

There may be differential benefits from regular exercise for elderly persons, and their rationales about exercise can influence the likelihood that they will do it. 98 elderly persons (29 men, M age = 66.3 yr., SD = 9.1, Range = 51-90 and 69 women, M age = 72.7 yr., SD = 10.3, Range = 53-94) were given two self-report surveys of 13 items each consisting of statements about jogging, not jogging, or engaging in other forms of exercise. Only one man and one woman completed the "reasons for jogging" form, while 96 elderly persons completed the "reasons for not jogging" form. A two-way (repeated-measures) analysis of variance indicated a significant main effect for differences among 10 items dealing with "reasons for not jogging." These reasons included engaging in another form of aerobic activity (such as walking), having a health condition that prevented jogging, and jogging as too uncomfortable.

Adult↗

On the epidemiology of running injuries. The 1984 Bern Grand-Prix study.

Using a survey questionnaire design, we investigated the incidence, site, and nature of jogging injuries among all participants of a popular 16 km race. The response rate was 83.6%. Of 4,358 male joggers, 45.8% had sustained jogging injuries during the 1 year study period, 14.2% had required medical care, and 2.3% had missed work because of jogging injuries. Occurrence of jogging injuries was independently associated with higher weekly mileage (P less than 0.001), history of previous running injuries (P less than 0.001), and competitive training motivation (P = 0.03). Higher mileage was also associated with more frequent medical consultations due entirely to jogging-related injuries. In 33 to 44 year olds (N = 1,757), the number of years of running was inversely related to incidence of injuries (P = 0.02). Injuries were not significantly related to race running speed, training surface, characteristics of running shoes, or relative weight. Achillodynia and calf muscle symptoms were the two most common overuse injuries and occurred significantly more often among older runners with increased weekly mileage. We conclude that jogging injuries are frequent, that the number of firmly established etiologic factors is low, and that, in recommending jogging, moderation should be the watchword.

Adolescent↗

Usefulness of self-efficacy in predicting overexertion during programmed exercise in coronary artery disease.

Overexertion during group jogging was evaluated in relation to self-perceived functional capacity and ability to self-monitor exertional heart rate in 40 men, mean age 55 +/- 9 years, with documented coronary artery disease. Patients' confidence in their ability to jog various distances was measured with a jog self-efficacy (SE) scale before a group exercise program was begun. Depression, type A personality, and performance of symptom-limited treadmill exercise were also assessed. Later, each patient was monitored with ambulatory (Holter) electrocardiography during programmed group jogging. Ambulatory monitoring disclosed significant noncompliance with exercise prescriptions: 33% of patients exceeded their prescribed range of 70% to 85% of maximal treadmill heart rate for at least 10 minutes of the 20-minute exercise bout. Another 25% spent 10 minutes or longer exercising below the prescribed range. Pretest jog SE predicted the number of minutes patients exercised above or below the prescribed intensity, but depression, type A and treadmill performance measures did not. Self-monitoring accuracy (the amount of agreement between exercise heart rate recorded by the electrocardiogram and by the patient) was also related to the number of minutes patients exercised outside the prescribed range. Comparison of SE and self-monitoring accuracy variables revealed that "overachievers" were patients who overestimated their ability to jog, while "underachievers" were those who overestimated their heart rate during exercise. Self-perceptions and self-monitoring skills appear to be important independent predictors of behavioral compliance to exercise guidelines.

Adult↗

Exercise and arthritis. Exercise and the back.

Some of the positive benefits from participating in aerobic activity have already been addressed. However, an individual's ability to participate in many aerobic activities may be contingent on the ability to maintain a neutral or a stabilized spine. For example, the individual for whom jogging has been painful may be able to jog after he or she has learned trunk stabilization and is able to keep the spine in his or her pain-free position. Although Williams contended that jogging was an inappropriate activity for the individual with a low-back problem, contrary to this notion, White believes that jogging is more apt to protect a person from low-back pain than to cause it. Although no association was found between mileage run and osteoarthritis, jogging is not for all individuals who present with LBP or related arthritic conditions. Moreover, poor biomechanics in running can exacerbate existing low-back problems as well as bring about new ones as compensatory adaptations are made. For example, poor running technique might include excessive forward lean; this must be counterbalanced by contraction of the back extensors, which then may become overly tired or produce high intersegmental forces on the discs. We advocate an upright posture with minimal forward lean. The biomechanics of running also are most important from the perspective of shock absorption. Factors to consider in addition to running within the neutral spine excursion include cushioning footstrike by "giving" at the ankle, knee, and hip joints. In addition to good biomechanics, it would also be important to use an excellent quality training shoe and to run on a soft track as opposed to harder surfaces; hills should probably be avoided for most symptomatic individuals until they become strong. Nachemson indicates that in addition to recommending jogging for LBP, he most commonly recommends backstroke swimming, brisk walking, and stairclimbing. Bicycle riding (stationary or actual) would be another good activity; I personally endorse cross-country ski machines such as the NordicTrack (Chaska, Minnesota). The latter provides an excellent opportunity to develop aerobic conditioning without impact; moreover it incorporates the tenets of stabilization training because it is essential that the skier uses the abdominal muscles to brace and stabilize the trunk. Cross-country ski machines do, however, present certain coordination requirements to which not all individuals can adapt readily. In conclusion, although exercise is by no means a panacea, it very well may be nature's elixir that will enable some individuals beset by mechanical problems of the back to assume a more active and enjoyable life.

Arthritis↗