{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:51:55Z","timestamp":1747151515587,"version":"3.40.5"},"reference-count":28,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,3,18]],"date-time":"2023-03-18T00:00:00Z","timestamp":1679097600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The scheduling of clinical rehabilitative exercise should combine best possible delivery of exercise with the most efficient use of time, facilities, equipment, and personnel. However, it is not clear whether distribution of a fixed amount of exercise volume is more efficient over a longer time period in a week (distributed manner) than over a shorter time period in a week (massed manner).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the effects of distributed versus massed within\u2010 and between\u2010session exercise scheduling on balance, exercise performance, and pain perception in middle\u2010aged women with knee pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Thirty\u2010four middle\u2010aged female volunteers (mean age \u00b1 SD, 56.0\u2009\u00b1\u20095.2\u2009years old; mean weight \u00b1 SD, 66.9\u2009\u00b1\u20097.6\u2009kg; mean body mass index [BMI] \u00b1 SD, 27.7\u2009\u00b1\u20092.8\u2009kg\/m<jats:sup>2<\/jats:sup>) were randomly assigned to one of the three groups consisting of Rehabilitative Massed Scheduling (RMS); Rehabilitative Distributed Scheduling (RDS); or Control group (CG).<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Isometric strength, balance, functional movement performance, and pain perception were assessed at baseline (pre), at week 8 (mid), and 1\u2009week after the full 12\u2009weeks (post) of exercise training or no\u00a0intervention (CG).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant improvements in balance, functional movement performance, and pain perception were found after both RDS and RMS after 8 and 12\u2009weeks compared to the control group (<jats:italic>p<\/jats:italic>\u00a0\u02c2\u00a0.05). Examination of the net changes (% \u2206) between RDS and RMS showed a statistically significant difference only in the right 30\u2010second arm curl records of individuals in the RDS group, which were significantly higher than the RMS group at the post\u2010test (<jats:italic>p<\/jats:italic>\u00a0\u02c2\u00a0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Rehabilitative training providers are advised to distribute the drills of rehabilitative exercise training within and between the sessions of exercise per week only when a positive Bottom\u2010Up Rise Strength Transfer effect (BURST) effect of exercise training is needed. Otherwise, if the whole amount of rehabilitative exercise work is identical the benefit of going five versus three times per week to the rehabilitation centers would be similar.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.12951","type":"journal-article","created":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T08:43:38Z","timestamp":1674117818000},"page":"1223-1238","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Rehabilitative exercise scheduling: Effects on balance, functional movement performance, and pain perception in middle\u2010aged women with knee pain: A randomized controlled trial"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6019-8205","authenticated-orcid":false,"given":"Mahdi","family":"Hosseinzadeh","sequence":"first","affiliation":[{"name":"Department of Sport Injuries and Corrective Exercises Sport Sciences Research Institute Tehran 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