Dr. Colado has continued his scientific investigations on the efficacy of elastic resistance, this time comparing free weight exercise training to elastic tubing exercises using the Thera-Band Exercise Station. His results are published in the International Journal of Sports Medicine. 42 women were randomly assigned to either a free weight exercise group, a Thera-Band exercise group, or a non-exercising control group. The two exercise groups performed the same 15 upper and lower body exercises using the OMNI perceived exertion scale to standardize intensity between the groups. The intervention lasted eight weeks for two to four sessions per week. Subjects were tested for muscular strength before and after the training program. 

After the eight week program, both exercise groups reported up to 29% improvement in upper and lower body strength, while the control group did not.  There was no significant difference in improvements between the two exercise groups. The researchers concluded, “…the use of elastic tubing in strength training in young adults is effective and can yield results that are equivalent to those obtained with weight machines and free weights.”

One of the most important advantages of the Exercise Station is the fact that there is no need for multiple weights, barbells or dumbbells of varying resistance. The Exercise Station, combined with a Thera-Band® Pro Series SCP Exercise Ball provides all the resistance necessary for an effective strength training program.  It requires no more than a 6’x6’ space and can easily be placed under a bed or against a wall when not in use.

REFERENCE: Colado JC et al. A comparison of elastic tubing and isotonic resistance exercises. International Journal of Sports Medicine. Published Online 2010.

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While physicians are the most influential at encouraging people to begin exercising, less than 50% of physicians recommend exercise as part of their patient’s treatment, and even less among those with cardiovascular disease. This number will hopefully increase as physicians understand that the benefits of physical activity usually outweigh the risks. The American College of Sports Medicine (ACSM) has launched a new initiative encouraging physicians to write prescriptions for physical activity through their “Exercise is Medicine” campaign.

German researchers at Ruhr-University in Bochum Germany have started a feasibility study on a 12-week multi-modal home exercise program including Thera-Band resistance bands. General practitioners and exercise therapists will work together to provide the well-rounded home exercise program along with physical activity counseling and exercise consultation, pedometers, educational material, telephone counseling, and home visits. Each participant receives 2 meter yellow and red Thera-Band resistance bands. Participants will be community-dwelling older adults over 70 years of age without serious cardiovascular, metabolic, pulmonary, or neurological conditions. The goal of the feasibility study is to prepare for a randomized controlled trial of the intervention with eventual dissemination in primary medical care.

REFERENCE: Hinrichs T, et al. Feasibility of a multidimensional home-based exercise programme for the elderly with structured support given by the general practitioner’s surgery: study protocol of a single arm trial preparing an RCT [ISRCTN58562962]. BMC Geriatr. 2009 Aug 17;9:37.

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Disclosure: Thera-Band Academy provided bands for this study, but did not provide monetary support

The resistance exercise group used Thera-Band® resistance bands or weight equipment in their home. They performed 3 to 4 upper and lower body exercises for 2 sets of 12 to 20 repetitions with progression in the resistance levels.  The aerobic exercise group performed enjoyable weight-bearing activities such as walking, jogging, or dancing. Subjects were assessed before the study, half-way through the study (6 months), and at the end of the 12 month study for body weight, aerobic capacity, muscle strength, and body fat.

Women in both exercise groups maintained or reduced their body weight while the control group gained significantly more weight. Both exercise groups also significantly increased their strength and aerobic capacity compared to the control group after 12 months. The authors concluded that both aerobic and resistance exercise training during and following cancer treatment are effective at preventing weight gain.

Even though both exercise types were effective, adherence rates in the resistance exercise group was less than the aerobic exercise group (65% vs. 79% respectively at 12 months); in fact, many in the resistance exercise group had included aerobic exercise as part of their routine. The authors suggested that the combination of aerobic and strength training during chemotherapy “may be an important goal during and following treatment to reduce cancer survivors’ risks for recurrence with other co-morbidities associated with sedentary lifestyles and being overweight.” In summary, Thera-Band elastic resistance can effectively be used to improve strength and maintain body weight in women during and after cancer treatment.

REFERENCE: Schwartz AL and Winters-Stone K. Effects of a 12-month randomized controlled trial of aerobic or resistance exercise during and following cancer treatment in women. 2009. Phys Sports Med. 3(37):1-6

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Disclosure: Thera-Band Academy provided bands for this study, but did not provide monetary funding.

An experienced physiotherapist supervised the exercises which were performed 1 to 2 times a day for 10 to 15 minutes with 2 to 4 exercises. The exercises were individually prescribed and progressed by the physiotherapist based on the pilots’ progress toward motor control and movement quality, rather than a specific number of sets and repetitions. Pilots progressed through a specific set of exercises over 6 weeks. Using Thera-Band resistance bands, the exercises gradually challenged the neck and shoulder muscle function from non-postural to postural exercises, and endurance-strength exercises. (Download the helicopter pilot exercise protocol here)

After the 6-week program, the exercise group significantly decreased their muscle activation levels (measured with EMG) of the sternocleidomastoid (SCM) muscle during the cranio-cervical flexion test compared to the control group. This suggests the participants in the exercise group were more efficient at using their deep neck flexors by reducing the contribution of the superficial neck flexors. The late Professor Vladimir Janda MD often noted that overactive SCM muscles contributes to his “upper crossed syndrome” resulting in neck pain. Pilots with higher levels of compliance had more reduction in SCM activity, indicating a dose-effect of the exercise program.

At a 12-month follow up after the program, the exercise group had reduced their incidence of neck pain within the previous 3 months from 76% to 44%, and from 38% to 15% within the previous week, whereas the incidence rates were unchanged in the control group. In addition, the exercise group was 2 to 3 times less likely to have neck pain than the control group. The authors concluded that the exercise program including Thera-Band resistance can be a “preventive strategy for military pilots.”

REFERENCE Ang BO, Monnier A, Harms-Ringdahl K. Neck/shoulder exercise for neck pain in air force helicopter pilots: a randomized controlled trial. Spine (Phila Pa 1976). 2009 Jul 15;34(16):E544-51.

Visit the Thera-Band Academy Neck Pain Resource Center here

Previously, German researchers created a strength and proprioceptive training program using Thera-Band elastic resistance and Stability Trainers. The results, published in 2003 noted improvements in strength and proprioception. The authors felt that a balance training component was important to prevent fall-related injuries in persons with hemophilia.

More recently, researchers at the University of Tennessee Health Sciences Center created an individualized 6-week program using Thera-Band resistance in 33 patients with bleeding disorders. They used 3 levels of progression based the participant’s strength. Download the Thera-Band exercise protocol here. The patients then used a specific color of Thera-Band resistance corresponding to the prescribed intensity (% of an isometric manual muscle test). Subjects also performed stretching and cardiovascular exercise.  A physical therapist supervised the program 2 days a week. At the end of the 6-week program, there were no injuries, pain, edema, or bleeding episodes reported. The patients significantly improved their range of motion, strength, and cardiovascular status without causing additional hemarthrosis.

This individualized exercise program using Thera-Band resistance in hemophilia was safe and effective; however, the study was limited by a small sample size and presence of additional health conditions among subjects. As reported by Heilberg et al (2003) the addition of a proprioceptive training component to Thera-Band strengthening may provide additional benefits, though more research is needed.

 Reference: Mulvany R et al. Effects of a 6-week, individualized, supervised exercise program for people with bleeding disorders and hemophilic arthritis.Phys Ther. 2010 Apr;90(4):509-26.

Visit the Thera-Band Academy Hemophilia Resource Center here