Comparing the Impact of Upper Body Control and Core Muscle Stabilization Training on Landing Biomechanics in Individuals with Functional Ankle Instability: A Randomized Controlled Trial DOI Open Access
Daekook M. Nekar, Dong-Yeop Lee, Ji-Heon Hong

et al.

Healthcare, Journal Year: 2023, Volume and Issue: 12(1), P. 70 - 70

Published: Dec. 28, 2023

Functional ankle instability (FAI), which is characterized by recurrent sprains and perceived joint instability, arises from various factors contributing to compromised biomechanical control during activities, particularly those involving landing tasks. While current research predominantly addresses lower-extremity core stabilization interventions for FAI, the contribution of upper body biomechanics in this population remains insufficiently explored. In study, 42 participants (19 males, 23 females) with FAI were randomly assigned either upper-body training group (UBCTG) or muscle (CMSTG). The groups underwent six-week interventions, UBCTG receiving a dynamic exercise program including CMSTG static training. Pre- post-intervention assessments encompassed electromyography gastrocnemius, tibialis anterior, peroneus longus, motion analysis lower extremities, ground reaction force (GRF) readings single-leg-jump task. Additionally, balance was assessed using Y test self-reported measurements performed. results showed similar increases activation, movement, scores within both groups. However, significant between-group differences observed terms knee flexion angle, balance, scores, favoring UBCTG. Although peak vertical GRF significantly decreased time increased groups, more changes noted Our demonstrated that exercises additional enhance biomechanics, stability individuals FAI. Consequently, we recommend incorporating shoulder girdle exercises, proprioceptive drills, into

Language: Английский

Effect of Virtual Reality Therapy on Quality of Life and Self-Sufficiency in Post-Stroke Patients DOI Creative Commons

Marcela Dąbrowská,

Dalibor Pastucha,

Miroslav Janura

et al.

Medicina, Journal Year: 2023, Volume and Issue: 59(9), P. 1669 - 1669

Published: Sept. 15, 2023

: The consequences of stroke have a significant impact on self-sufficiency and health-related quality life (HRQoL). Virtual reality (VR)-based rehabilitation has the potential to these modalities, but information timing, volume, intensity is not yet available. aim this randomized controlled trial (1:1) was evaluate conventional combined with VR self-care domains HRQoL in patients ≤6 months post-stroke.

Language: Английский

Citations

10
Minimal Detectable Changes in the Five Times Sit-to-Stand Test in Older Japanese Adults with Sarcopenia Requiring Long-Term Care DOI Creative Commons
Lu Yin, Yohei Sawaya, Ryo Sato

et al.

Medicina, Journal Year: 2023, Volume and Issue: 59(11), P. 2019 - 2019

Published: Nov. 16, 2023

Background and Objectives: Although the importance of sarcopenia control has been suggested, there are no minimal detectable change (MDC) studies older adults with sarcopenia, to our knowledge, criteria for determining effectiveness interventions unknown. The purpose this study was calculate MDC in five times sit-to-stand test (FTSST) Japanese use it as an index determine future interventions. Materials Methods: This a cross-sectional conducted January February 2023. participants were using daycare rehabilitation. Thirty-eight performed FTSST twice week. Grip strength, walking speed, skeletal muscle mass measured presence sarcopenia. diagnosis defined low strength and/or physical function, based on Asian Working Group Sarcopenia 2019 diagnostic criteria. Participants further classified sarcopenic or non-sarcopenic. Intraclass correlation coefficients (ICCs) MDCs calculated overall, non-sarcopenia groups two measures. average difference variables used MDC. Results: Overall, ICC (1,1) 0.94, 2.87 s, MDC% 23.3%. group had 0.93, 3.12 24.0%. 0.95, 2.25 19.2%. Conclusions: Despite limitation data being only from population, we found that ≥3.12 s ≥24.0% clinically meaningful may help treatment. improvement decline should be determined by changes over longer period time than other conditions.

Language: Английский

Citations

4
Functional Rehabilitation for Medial Gastrocnemius Silent Contractures to Prevent Foot and Ankle Disorders: A Review DOI Creative Commons
Rafael A. Bernardes, Vítor Parola, Arménio Cruz

et al.

Muscles, Journal Year: 2024, Volume and Issue: 3(4), P. 323 - 338

Published: Sept. 25, 2024

Medial gastrocnemius silent contractures (MGSCs) are prevalent, notably impacting functional status and increasing the risk of foot ankle disorders, especially among aging populations. Although traditionally managed by podiatrists physiotherapists, role rehabilitation nursing in addressing MGSCs is gaining recognition. This paper elucidates contributions to MGSC patients underscores its vital within multidisciplinary team. Initially, defines clinical physiological characteristics their implications disorders. It then meticulously explores interventions—including personalized stretching regimens, vibration therapy, balance exercises, judicious footwear selection—emphasizing efficacy enhancing muscle flexibility, joint mobility, postural stability. The emphasis on patient-centered approaches education foster treatment adherence positive outcomes. significance interdisciplinary collaboration highlighted, focusing how optimizes patient care mitigates complications. advocates for recognizing integrating managing MGSC-related emphasizing importance achieving successful

Language: Английский

Citations

1
Effectiveness of Proprioceptive Neuromuscular Facilitation Pattern on Upper Extremity and Scapula in Patients with Adhesive Capsulitis: A single centre assessor-blinded Randomised controlled trial (RCT) DOI
Abid Hasan Khan,

Md. Saruar Hossain Bhuiyan,

Md. Feroz Kabir

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 26, 2024

Abstract Background Adhesive capsulitis (AC) is a progressive inflammatory condition of the shoulder that causes functional limitations and leads to long-term disability. The study aimed elicit effectiveness Proprioceptive neuromuscular facilitation (PNF) compared standard physiotherapy approaches on AC. Methods An assessor-blinded single-centre Randomized control trial (RCT) was carried out 80 AC patients between May December 2023 in Bangladesh. Random assigned concealed allocated were recruited equally (n = 40) each PNF conventional capsular stretching group. experimental group received approach, affected for 24 sessions 6 weeks. Both groups electrical modalities as treatment. primary outcome pain measured by Numeric rating scale (NPRS) range motion universal goniometer. secondary limitation Shoulder disability index (SPADI). As per distribution data, non-parametric tests employed analyse superiority within with intention-to-treat analysis. Results Baseline compatibility noted all key variables (P > 0.05). had decrease baseline pattern positions < 0.001), more significant improvement 0.001). equal ROM 0.001) except abduction improvements 0.05), statistical Conclusions findings this support potential intervention weeks treatment capsulitis, showing pain, ROM, However, further multicentre trials follow-up design are needed fully understand AC, encouraging continued engagement area research. Trial registration: Australian New Zealand Clinical Registry (http://www.anzctr.org.au) (ACTRN12621001299897).

Language: Английский

Citations

0
Identifying optimal candidates and interventions in physical therapy and exoskeletal and end-effector robot-assisted gait training for balance, gait, and cognition: A longitudinal study of 190 patients with stroke DOI
Yunhwan Kim,

Heejun Kim,

Seonmi Park

et al.

Neurorehabilitation, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 8, 2024

Background Optimal candidates and interventions for advanced robot-assisted stroke gait rehabilitation remain unknown. Objective We aimed to determine the optimal therapeutic efficacy balance, sensorimotor locomotor functions, daily activity, cognition between lower-entering functional ambulation category (L-FAC) higher-entering FAC (H-FAC) groups. Methods 190 patients received conventional physical therapy (CPT), exoskeletal robotic-assisted training (RAGT), or end-effector RAGT (eRAGT), each comprising 60-min/session, two times per week 10–20 weeks. Standardized clinical tests included Fugl–Meyer assessment of lower extremities, Berg balance scale, FAC, modified Barthel index, mini-mental state examination. A two-way analysis variance was performed, with significance set at P < 0.05. Results Both groups demonstrated significant improvements. Compared H-FAC group, L-FAC group achieved most notable improvements in function, gait, after RAGT, followed by CPT eRAGT ( 0.05). Conclusions more effective than on function L-FAC. identified stroke.

Language: Английский

Citations

0
Comparing the Impact of Upper Body Control and Core Muscle Stabilization Training on Landing Biomechanics in Individuals with Functional Ankle Instability: A Randomized Controlled Trial DOI Open Access
Daekook M. Nekar, Dong-Yeop Lee, Ji-Heon Hong

et al.

Healthcare, Journal Year: 2023, Volume and Issue: 12(1), P. 70 - 70

Published: Dec. 28, 2023

Functional ankle instability (FAI), which is characterized by recurrent sprains and perceived joint instability, arises from various factors contributing to compromised biomechanical control during activities, particularly those involving landing tasks. While current research predominantly addresses lower-extremity core stabilization interventions for FAI, the contribution of upper body biomechanics in this population remains insufficiently explored. In study, 42 participants (19 males, 23 females) with FAI were randomly assigned either upper-body training group (UBCTG) or muscle (CMSTG). The groups underwent six-week interventions, UBCTG receiving a dynamic exercise program including CMSTG static training. Pre- post-intervention assessments encompassed electromyography gastrocnemius, tibialis anterior, peroneus longus, motion analysis lower extremities, ground reaction force (GRF) readings single-leg-jump task. Additionally, balance was assessed using Y test self-reported measurements performed. results showed similar increases activation, movement, scores within both groups. However, significant between-group differences observed terms knee flexion angle, balance, scores, favoring UBCTG. Although peak vertical GRF significantly decreased time increased groups, more changes noted Our demonstrated that exercises additional enhance biomechanics, stability individuals FAI. Consequently, we recommend incorporating shoulder girdle exercises, proprioceptive drills, into

Language: Английский

Citations

1