Journal of musculoskeletal & neuronal interactions最新文献

Objectives: To determine precision errors and monitoring time intervals in imaged muscle properties and neuromuscular performance, and to explore growth-related factors associated with precision errors in children.

Methods: We included 35 children (mean age 10.5yrs) in the precision study cohort and 40 children (10.7yrs) in the follow-up study cohort. We assessed forearm and lower leg muscle properties (area, density) with peripheral quantitative computed tomography. We measured neuromuscular performance via maximal pushup, grip force, countermovement and standing long jump force, power, and impulse along with long jump length. We calculated precision errors (root-mean-squared coefficient of variation) from the precision cohort and monitoring time intervals using annual changes from the follow-up cohort. We explored associations between precision errors (coefficient of variation) and maturity, time interval (between repeated measures), and anthropometric changes using Spearman's rank correlation (p<0.05).

Results: Muscle measures exhibited precision errors of 1.3-14%. Monitoring time intervals were 1-2.6yrs, except muscle density (>43yrs). We identified only one association between precision errors and maturity (maximal pushup force: rho=-0.349; p=0.046).

Conclusions: Imaging muscle properties and neuromuscular performance measures had precision errors of 1-14% and appeared suitable for follow-up on ~2yr scales (except muscle density). Maximal pushup force appeared more repeatable in mature children.

Objectives: This study compared muscle growth in response to very low load resistance training with direct pulsed current (DPC) stimulation and traditional high load training.

Methods: Twenty-six resistance trained individuals had each leg assigned to one of two unilateral knee extension protocols: 1) 4 sets of 20 repetitions at ~10% one-repetition maximum (1RM) and inter-set rest periods of 30 s (DPC) and 2) 4 sets to muscular failure at ~70% 1RM (TRAD). Muscle thickness (MTH), 1RM strength, and local muscular endurance (LME) were measured before and after 8-weeks of training. An alpha level of 0.05 was used for all comparisons.

Results: MTH increased similarly between TRAD and DPC at the 50% (0.24 cm, 95%CI: 0.11-0.36), and the 60% anterior sites (0.25 cm, 95%CI: 0.10-.040), as well as the lateral (0.25 cm, 95%CI: 0.10-.040) and medial sites (0.21 cm, 95%CI: 0.10-0.31), but was greater for TRAD at the 40% anterior site (0.3 cm, 95%CI: 0.16-0.43). Changes in 1RM were greater for TRAD (10.2 kg, 95%CI: 5.8-14.4). LME increased similarly between protocols (5 repetitions, 95%CI: 3-7).

Conclusions: The current data suggest that very low load knee extension resistance training with DPC could be a viable training strategy for promoting skeletal muscle growth and local muscular endurance.

Objectives: The peripheral quantitative computed tomography (pQCT) is gaining popularity in the field of paediatric densitometry, however, very little is known about the precision errors of this method in diseased children. The aim of the study was to evaluate the precision errors of bone density, mass, dimensions, strength, mechanostat parameters and soft tissue at the forearm in diseased children.

Methods: Stratec XCT 2000L apparatus was used. The measurement sites were 4% and 66% of the forearm length. The study group consisted of 60 patients (31 girls) aged 5,7-18,0 yrs.

Results: We observed week relationships between precision errors and body size with r from -0,37 to 0,28. Relative precision errors (CV%_RMS) were from 0,85% for radius 66% cortical bone density to 3,82% for fat cross-sectional area to muscle cross-sectional area ratio. Least significant change (LSC) was from 2,73% to 10,59%, respectively.

Conclusion: Presented study reveal pQCT method at the forearm in diseased children as relatively precise technique. The results may help with planning and interpretation of pQCT studies in diseased children.

Objectives: The purpose of this study was to examine longitudinal growth changes in physical characteristics, muscle-tendon structure properties, and skeletal age in preadolescent boys and to compare the relationship between the changes in physical characteristics and muscle-tendon properties and the changes in chronological and skeletal ages.

Methods: Fourteen prepubescent boys (10.9 ± 1.1 years old at the onset of the study) participated in this study over two years (yearly). Maximal muscle strength and maximal strain of tendon structure during ramp isometric contraction and muscle and tendon thickness for knee extensors and plantar flexors were measured. In addition, skeletal age was assessed using Tanner-Whitehouse three method.

Results: Changes in height, thigh length, and lower leg length were highly correlated with changes in skeletal age but not chronological age. However, changes in the morphological and mechanical properties of muscle and tendon structure were not significantly associated with changes in chronological and skeletal ages.

Conclusion: The present preliminary results suggest that longitudinal growth changes in the long-axis of the body are highly correlated with skeletal age change, whereas those in the muscle-tendon structure properties were not.

The study objective was to assess bone quality measured by high resolution peripheral quantitative computed tomography (HR-pQCT) in competitive athletes. Medline, EMBASE and Sport Discus were searched through May 2022. Prior to submission, a follow-up database search was performed (January 2023). Studies of competitive athletes using HR-pQCT to assess bone quality were included. Athletes were aged between 14 and 45 years. Data extraction included study design and location (country), skeletal imaging modality and site, bone variables and any additional musculoskeletal-related outcome. Information identifying sports and athletes were also extracted. This review included 14 manuscripts and a total of 928 individuals (male: n=75; female: n=853). Athletes comprised 78% (n=722) of the included individuals and 93% of athletes were female. Assessment scores indicate the studies were good to fair quality. The athletes included in this review can be categorized into three groups: 1) healthy athletes, 2) athletes with compromised menstrual function (e.g., amenorrhoea), and 3) athletes with compromised bone health (e.g., bone stress injuries). When assessing bone quality using HR-pQCT, healthy competitive athletes had denser, stronger and larger bones with better microarchitecture, compared with controls. However, the same cannot be said for athletes with amenorrhoea or bone stress injuries.

Objectives: The aim of this study was to investigate the determinants of six-minute walk test (6MWT) distance in women with systemic sclerosis.

Methods: In this cross-sectional study, 36 women with systemic sclerosis were assessed using the Medsger Systemic Sclerosis Severity Scale (MSS), modified Rodnan Skin Score (mRSS), Health Assessment Questionnaire (HAQ), University of California Scleroderma Clinical Study Consortium Gastrointestinal Tract Scale, quadriceps strength measurement, Milliken Activities of Daily Living Scale (MAS), and International Physical Activity Questionnaire. The 6MWT was performed to assess the participants' functional capacity and examine factors affecting functional capacity.

Results: 6MWT distance was moderately associated with disease severity, with 14 participants walking less than 80% of the predicted distance. 6MWT distance was also significantly correlated with spirometry values and MSS, mRSS, HAQ, and MAS scores (p<0.05). In linear regression analysis, MSS and MAS scores were identified as independent predictors of 6MWD and accounted for 42.5% of variance (R2 = 0.425).

Conclusion: Disease severity and activities of daily living are independently associated with functional capacity in women with scleroderma, with MSS and MAS scores accounting for 42.5% of variance in 6MWT distance in the linear regression model.

Objective: The objective of this study was to provide practical guidance for the prevention of painful accessory navicular among recruits by comparing and analyzing the plantar pressure parameters of individuals with normal foot, flat foot, and accessory navicular.

Methods: After training, a total of 90 military recruits were included in this study, comprising 30 with normal foot, 30 with flat foot, and 30 with painful accessory navicular. The plantar pressure distribution was measured for all participants.

Results: In individuals with flat feet, there was an increase in plantar pressure on the medial side of the forefoot, as well as a significant increase in pressure on the medial side of the heel and arch (P<0.05). Conversely, there was a significant decrease in pressure on the lateral side of the heel and arch (P<0.05). In patients with painful accessory navicular, the medial pressure on the foot arch showed a further increase (P<0.001), while the lateral pressure on the foot arch exhibited a further decrease (P<0.001), indicating highly significant differences.

Conclusion: Compared to participants with flat feet, participants with accessory navicular demonstrated faster and more impulsive impact on the ground within the same stress area, resulting in more noticeable pain caused by the injury to the accessory navicular.

Objective: This study aims to examine the effect of kinesio tape (KT) applied to different parts of the body on speed, agility and flexibility.

Method: 32 male volunteers aged 18-38 years participated in the study. KT was applied to the quadriceps and gastrocnemius muscles of the athletes at 4 different times with intervals of one week. As measurements, 30-meter sprint test, agility T test and sit and reach test for flexibility were performed. Independent samples T-Test and Mann Whitney U test, repeated measures analysis of variance and the Friedman test were used for statistical analysis.

Results: No significant difference was found between the speed, agility and flexibility values of KT applied to quadriceps and gastrocnemius muscles (p>0.05). It was found that there was an increase in agility performance in both muscle groups in the 48^th hour measurements after the KT application, it increased speed performance only in gastrocnemius muscle (p<0.05) and did not increase flexibility performance in both muscle groups. There was no statistically significant improvement in the 30^th minute and 24^th hour measurements (p>0.05).

Conclusion: It can be suggested that applying KT to quadriceps and gastrocnemius muscles with 25-50% tension for 48 hours is effective in improving the agility performance.

This review aimed to validate the therapeutic potential of Bushen Tiansui decoction (BSTSD), a traditional Chinese formulation, in treating delayed union of fractures. Comprehensive database searches identified randomized controlled trials up to September 13, 2022, assessing BSTSD's efficacy in delayed fracture healing. Outcomes were bone metabolism indexes and Harris hip scores. Quality and risk assessments were conducted using the Cochrane Collaboration's tools. Data were analyzed using RevMan software, with sensitivity analysis through Stata. BSTSD significantly improved bone GLA protein (SMD=1.76, P<0.00001) and alkaline phosphatase (SMD=1.31, P<0.00001). Additionally, Harris hip scores for pain, function, deformity, and motion showed marked improvement. BSTSD treatment also demonstrated enhanced clinical efficiency (RR=1.27, P<0.00001) with fewer complications. Sensitivity analyses indicated consistent results. BSTSD shows promise in treating delayed fracture unions, yet conclusions necessitate further high-quality research for validation.

Objective: To evaluate the effectiveness of precise rehabilitation therapy guided by three-dimensional computed tomography (3D-CT) reconstruction technology in hip fracture patients through a retrospective cohort study.

Method: Data were retrospectively collected from 60 patients aged over 60 who had undergone hip fracture surgery. They were divided into two groups based on their chosen rehabilitation method: a control group and a test group. The study collected demographic data, fracture characteristics, and quality of life indicators to assess the impact of rehabilitation on economic indicators and daily living activities (ADL). Additionally, it included assessments of muscle strength, joint mobility, hip function, postoperative complications, and records of hospitalization information and costs. Cognitive function was also assessed postoperatively.

Results: There were no significant differences in demographic data, fracture characteristics, ADL, or Fugl-Meyer assessment (FMA) between the two groups. However, the test group exhibited significantly higher post-surgery muscle strength recovery and hip mobility compared to the control group (P<0.05). Additionally, the test group had significantly fewer hospitalization days and lower hospitalization costs than the control group (P<0.05).

Conclusion: Precise rehabilitation therapy guided by 3D-CT reconstruction technology for hip fracture surgery patients can enhance early muscle strength recovery, improve mobility of the affected limb, reduce hospitalization duration and costs, and enhance overall patient recovery outcomes.