Purpose: The purpose of this study was to compare the effects of two different approaches of dual-task training and executive training on lower limb muscular activity in older adults with balance impairment. Methods: This was a quasi-experimental study performed with a pre-test and post-test method. Thirty old adults (Mean±SD age=73.8±4.6 y, height=1.65±0.06 m, weight=69.17±12.67 kg) were randomly assigned to one of the three groups: two experimental groups included Cognitive Dual-Task training (CDT; participants did exercises under the dual-task condition with cognitive tasks, such as forward counting, simple visual search task, etc.) and Executive Function training (EF; included a mixture of 20 tasks involving working memory tasks, inhibitory and speed of processing tasks), and a control group. The training session lasted 45 min and was held three times a week for eight weeks. Gait muscle activity under single-task and Dual-Task (DT) conditions was recorded before and after training. Results: during the stance phase of normal walking, the amplitude of Electromyography (EMG) activity of right Tibialis Anterior (TA) muscle in the post-test was about 32% lower than that in the pre-test in the CDT group (P=0.011), and no statistically significant change was between pre- and post-training in the EF and control groups (P>0.05). During the swing phase of DT walking, the amplitude of EMG activity of the right Vastus Lateralis (VL) muscle in the post-test was about 15.5% higher than that in the pre-test in the CDT group (P=0.013), and in the right VL muscle during the post-test was lower than that in the pre-test in the EF group (P=0.01). In the CDT group, right ankle co-contraction during the stance phase in the post-test was statistically different from that in the pre-test. In all three groups, muscular EMG asymmetry demonstrated no statistically significant change between pre- and post-training measures (P>0.05). Conclusion: Overall, both training groups showed similar muscular activity in the post-test than pre-test; however, in the EF training group, walking velocity improved more than that in the CDT group. Therefore, because of improvements in both walking velocity and muscle activities after EF training, this training mode is suggested for older adults.
{"title":"Effect of Cognitive Training on Lower Limb Muscular Activity in Older Adults With Balance Impairment During Walking","authors":"Elaheh Azadian, A. Jafarnezhadgero","doi":"10.32598/ptj.11.4.495.1","DOIUrl":"https://doi.org/10.32598/ptj.11.4.495.1","url":null,"abstract":"Purpose: The purpose of this study was to compare the effects of two different approaches of dual-task training and executive training on lower limb muscular activity in older adults with balance impairment. Methods: This was a quasi-experimental study performed with a pre-test and post-test method. Thirty old adults (Mean±SD age=73.8±4.6 y, height=1.65±0.06 m, weight=69.17±12.67 kg) were randomly assigned to one of the three groups: two experimental groups included Cognitive Dual-Task training (CDT; participants did exercises under the dual-task condition with cognitive tasks, such as forward counting, simple visual search task, etc.) and Executive Function training (EF; included a mixture of 20 tasks involving working memory tasks, inhibitory and speed of processing tasks), and a control group. The training session lasted 45 min and was held three times a week for eight weeks. Gait muscle activity under single-task and Dual-Task (DT) conditions was recorded before and after training. Results: during the stance phase of normal walking, the amplitude of Electromyography (EMG) activity of right Tibialis Anterior (TA) muscle in the post-test was about 32% lower than that in the pre-test in the CDT group (P=0.011), and no statistically significant change was between pre- and post-training in the EF and control groups (P>0.05). During the swing phase of DT walking, the amplitude of EMG activity of the right Vastus Lateralis (VL) muscle in the post-test was about 15.5% higher than that in the pre-test in the CDT group (P=0.013), and in the right VL muscle during the post-test was lower than that in the pre-test in the EF group (P=0.01). In the CDT group, right ankle co-contraction during the stance phase in the post-test was statistically different from that in the pre-test. In all three groups, muscular EMG asymmetry demonstrated no statistically significant change between pre- and post-training measures (P>0.05). Conclusion: Overall, both training groups showed similar muscular activity in the post-test than pre-test; however, in the EF training group, walking velocity improved more than that in the CDT group. Therefore, because of improvements in both walking velocity and muscle activities after EF training, this training mode is suggested for older adults.","PeriodicalId":436083,"journal":{"name":"Physical Treatments: Specific Physical Therapy Journal","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127294881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: Various kinematics and kinetics methods have been proposed for the assessment of jumping ability as a critical skill in professional volleyball players, but little is known about the accuracy and differences between these methods. Therefore, the objective of the current study was to answer the question “Is there any difference between the results of various kinetic methods in the assessment of block jump height in volleyball players or not?” Methods: Twenty-one healthy male junior volleyball players of the Iran national team performed the block jump task on a force platform. Three common formulas mostly used in literature based on kinetics output of force platform were selected for the comparison of resultant jump height. Descriptive analysis, Shapiro-Wilk test, and ANOVA were used for statistical calculations (p<0.05). Results: The results showed no significant difference between the means of block jump heights measured based on different kinetic methods in volleyball players. Conclusion: Formula calculation methods are very valid for measuring the jump height of the block jump and lead to very similar results for estimating jump height and are also replaceable with each other.
{"title":"Block Jump Height Assessment Based on Kinetic Approach in Volleyball Players: Is There any Difference Between Methods?","authors":"A. Fatahi, Razieh Yousefian Molla, M. Ameli","doi":"10.32598/ptj.11.4.200.3","DOIUrl":"https://doi.org/10.32598/ptj.11.4.200.3","url":null,"abstract":"Purpose: Various kinematics and kinetics methods have been proposed for the assessment of jumping ability as a critical skill in professional volleyball players, but little is known about the accuracy and differences between these methods. Therefore, the objective of the current study was to answer the question “Is there any difference between the results of various kinetic methods in the assessment of block jump height in volleyball players or not?” Methods: Twenty-one healthy male junior volleyball players of the Iran national team performed the block jump task on a force platform. Three common formulas mostly used in literature based on kinetics output of force platform were selected for the comparison of resultant jump height. Descriptive analysis, Shapiro-Wilk test, and ANOVA were used for statistical calculations (p<0.05). Results: The results showed no significant difference between the means of block jump heights measured based on different kinetic methods in volleyball players. Conclusion: Formula calculation methods are very valid for measuring the jump height of the block jump and lead to very similar results for estimating jump height and are also replaceable with each other.","PeriodicalId":436083,"journal":{"name":"Physical Treatments: Specific Physical Therapy Journal","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130900111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jaseel M Javath, Arnold Fredrick D’Souza, S. Rebello
Purpose: Electrotherapy is a common intervention for the rehabilitation of Bell’s palsy. Low-level Laser Therapy (LLLT) and Electrical Stimulation (ES) are two therapeutic interventions for Bell’s palsy that have been proven to be superior to conventional treatments. To date, no clinical trial has compared the effectiveness of these two interventions. This pilot study was done to compare the effectiveness of LLLT and ES in the management of acute Bell’s palsy. Methods: This randomized clinical trial was done on 25 participants with acute Bell’s palsy who were randomized into two groups with 12 participants that received LLLT and 13 participants that received ES. All participants received 12 treatment sessions over two weeks. Sunnybrook Facial Grading System (SFGS) was used to assess facial symmetry and Facial Disability Index (FDI) for facial function. Outcomes were assessed at baseline and after two weeks. Results: There was a significant improvement in SFGS and FDI scores within both groups (P<0.005). There was no significant difference in SFGS and FDI scores between groups (P=0.164; P=0.423). Conclusion: There is no difference between LLLT and ES in improving facial symmetry and function in acute Bell’s palsy.
{"title":"Low-level Laser Therapy Versus Electrical Stimulation for the Management of Acute Bell’s Palsy: A Randomized Clinical Trial","authors":"Jaseel M Javath, Arnold Fredrick D’Souza, S. Rebello","doi":"10.32598/ptj.11.4.508.1","DOIUrl":"https://doi.org/10.32598/ptj.11.4.508.1","url":null,"abstract":"Purpose: Electrotherapy is a common intervention for the rehabilitation of Bell’s palsy. Low-level Laser Therapy (LLLT) and Electrical Stimulation (ES) are two therapeutic interventions for Bell’s palsy that have been proven to be superior to conventional treatments. To date, no clinical trial has compared the effectiveness of these two interventions. This pilot study was done to compare the effectiveness of LLLT and ES in the management of acute Bell’s palsy. Methods: This randomized clinical trial was done on 25 participants with acute Bell’s palsy who were randomized into two groups with 12 participants that received LLLT and 13 participants that received ES. All participants received 12 treatment sessions over two weeks. Sunnybrook Facial Grading System (SFGS) was used to assess facial symmetry and Facial Disability Index (FDI) for facial function. Outcomes were assessed at baseline and after two weeks. Results: There was a significant improvement in SFGS and FDI scores within both groups (P<0.005). There was no significant difference in SFGS and FDI scores between groups (P=0.164; P=0.423). Conclusion: There is no difference between LLLT and ES in improving facial symmetry and function in acute Bell’s palsy.","PeriodicalId":436083,"journal":{"name":"Physical Treatments: Specific Physical Therapy Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131113799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: Usually, about 25% of the patients treated with corticosteroids after kidney transplantation suffer from the complication of Avascular Necrosis (AVN) of the femoral head. This study aims to compare the effect of Neuromuscular Electric Stimulation (NMES) and traditional treatment (infrared and decrease weight-bearing) on Harris hip score. Methods: Twenty patients who developed AVN of the femoral head after kidney transplantation were divided into two groups. The first group was treated by NMES and stretching and strengthening exercises 3 sessions a week for 3 months. The second group was treated by Traditional Treatment (TT) and stretching and strengthening exercises 3 sessions a week for 3 months. Results: Harris hip score component was measured before the intervention and then three months after the intervention using the t-test. After the intervention, significant differences were found between both groups in pain, support, distance walked, limping, putting on shoes and socks, climbing stairs, sitting, flexion (all P<0.001), external rotation (P=0.014), abduction (P=0.030), adduction (P<0.001), public transportation (P=0.010), and total hip score (P<0.001). Conclusion: TT exercises accompanied by NMES were more effective than TT alone for AVN of femoral head patients and could stop the progressive worsening of hip joint mobility.
{"title":"Neuromuscular Electric Stimulation Versus Traditional Treatment on Harris Hip Score in Cases of Avascular Necrosis of Femoral Head After Kidney Transplantation","authors":"Manal K. Youssef","doi":"10.32598/ptj.11.3.439.3","DOIUrl":"https://doi.org/10.32598/ptj.11.3.439.3","url":null,"abstract":"Purpose: Usually, about 25% of the patients treated with corticosteroids after kidney transplantation suffer from the complication of Avascular Necrosis (AVN) of the femoral head. This study aims to compare the effect of Neuromuscular Electric Stimulation (NMES) and traditional treatment (infrared and decrease weight-bearing) on Harris hip score. Methods: Twenty patients who developed AVN of the femoral head after kidney transplantation were divided into two groups. The first group was treated by NMES and stretching and strengthening exercises 3 sessions a week for 3 months. The second group was treated by Traditional Treatment (TT) and stretching and strengthening exercises 3 sessions a week for 3 months. Results: Harris hip score component was measured before the intervention and then three months after the intervention using the t-test. After the intervention, significant differences were found between both groups in pain, support, distance walked, limping, putting on shoes and socks, climbing stairs, sitting, flexion (all P<0.001), external rotation (P=0.014), abduction (P=0.030), adduction (P<0.001), public transportation (P=0.010), and total hip score (P<0.001). Conclusion: TT exercises accompanied by NMES were more effective than TT alone for AVN of femoral head patients and could stop the progressive worsening of hip joint mobility.","PeriodicalId":436083,"journal":{"name":"Physical Treatments: Specific Physical Therapy Journal","volume":"88 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127995663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: Frequent and powerful jumps and landings in volleyball exert significant stresses on lower extremities which can be determinant of injury prevalence. This study aimed to investigate the possible correlation between Maximum Jump (MJ) performance and force-time variables of volleyball block landing. Methods: Thirty elite junior volleyball players (Mean±SD of age: 18.140±1.125 y, sports background: 4.390±0.957 y, and height: 197.100±3.161 cm) performed three block jumps, and best of trials was considered for further analysis. The study data were collected by the KISTLER force platform (1000 Hz). Force-time, velocity-time, and displacement-time were obtained using the Excel program. The Kolmogorov-Smirnov and Pearson correlation coefficient were used for assessing data normality and possible correlations between variables using SPSS v. 21 (P<0.05). Results: Peak vertical impact forces were reported in a range of 1.8-3.5 BW (F1, F2) during 27 to 83 ms of peak times (T1, T2). Significant positive correlations were obtained between temporal variables of time of peaks (T1, T2), the time elapsed between peaks (TP), and end of landing time (Tf). A significant negative correlation was found between F2 and T2 and a significant positive correlation between MJ performance with peak vertical forces (F1, F2). Conclusion: According to the findings, T1 has little impact on shock absorption. Coaches and volleyball players should consider the importance of soft landing through increasing T2, which decreases F2, not only for performance improvement but also for reducing injuries.
{"title":"The Relationship Between Maximum Jump Performance and Force-time Variables of Block Landing Skill in Junior Elite Volleyball Players","authors":"A. Fatahi, R. Molla, M. Ameli","doi":"10.32598/ptj.11.3.416.2","DOIUrl":"https://doi.org/10.32598/ptj.11.3.416.2","url":null,"abstract":"Purpose: Frequent and powerful jumps and landings in volleyball exert significant stresses on lower extremities which can be determinant of injury prevalence. This study aimed to investigate the possible correlation between Maximum Jump (MJ) performance and force-time variables of volleyball block landing. Methods: Thirty elite junior volleyball players (Mean±SD of age: 18.140±1.125 y, sports background: 4.390±0.957 y, and height: 197.100±3.161 cm) performed three block jumps, and best of trials was considered for further analysis. The study data were collected by the KISTLER force platform (1000 Hz). Force-time, velocity-time, and displacement-time were obtained using the Excel program. The Kolmogorov-Smirnov and Pearson correlation coefficient were used for assessing data normality and possible correlations between variables using SPSS v. 21 (P<0.05). Results: Peak vertical impact forces were reported in a range of 1.8-3.5 BW (F1, F2) during 27 to 83 ms of peak times (T1, T2). Significant positive correlations were obtained between temporal variables of time of peaks (T1, T2), the time elapsed between peaks (TP), and end of landing time (Tf). A significant negative correlation was found between F2 and T2 and a significant positive correlation between MJ performance with peak vertical forces (F1, F2). Conclusion: According to the findings, T1 has little impact on shock absorption. Coaches and volleyball players should consider the importance of soft landing through increasing T2, which decreases F2, not only for performance improvement but also for reducing injuries.","PeriodicalId":436083,"journal":{"name":"Physical Treatments: Specific Physical Therapy Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130548111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: Anterior cruciate ligament injury is one of the most severe knee injuries that often has a non-contact mechanism and follows an incorrect knee joint alignment. The present study aimed to compare the effect of predictable and unpredictable cutting direction on knee joint kinematics in ball and racket athletes. Methods: The present study was quasi-experimental, and the subjects included 48 female adolescent athletes from badminton (n=12), table tennis (n=12), basketball (n=12), and handball (n=12). After the initial evaluations, the cutting maneuver was performed in predictable and unpredictable ways and recorded by a three-dimension motion analysis. Also, 1-way ANOVA and post hoc tests were used to compare the kinematic parameters of the knee between the ball and racket athletes. Results: The results of the statistical test showed a significant difference in the kinematic parameters of knee flexion (P=0.003), knee valgus (P=0.001), and tibia rotation (P=0.001) between the ball (basketball and handball) and racket athletes (badminton and table tennis) in the predictable cutting. But in the unpredictable cutting, there were no significant differences in the kinematic parameters of the knee flexion (P=0.86), knee valgus (P=0.56), and tibia rotation (P=0.18). Conclusion: The results indicated that ball athletes showed an increased kinematic risk factor such as decreased knee flexion, increased knee valgus, and tibia rotation more than rocket athletes. Therefore, injury prevention programs are more critical in ball athletes.
{"title":"Comparison of Knee Kinematic Factors Between Ball and Rocket Athletes in Predictable and Unpredictable Cutting Maneuvers","authors":"E. Hosseini, A. Daneshjoo, M. Sahebozamani","doi":"10.32598/ptj.11.3.498.2","DOIUrl":"https://doi.org/10.32598/ptj.11.3.498.2","url":null,"abstract":"Purpose: Anterior cruciate ligament injury is one of the most severe knee injuries that often has a non-contact mechanism and follows an incorrect knee joint alignment. The present study aimed to compare the effect of predictable and unpredictable cutting direction on knee joint kinematics in ball and racket athletes. Methods: The present study was quasi-experimental, and the subjects included 48 female adolescent athletes from badminton (n=12), table tennis (n=12), basketball (n=12), and handball (n=12). After the initial evaluations, the cutting maneuver was performed in predictable and unpredictable ways and recorded by a three-dimension motion analysis. Also, 1-way ANOVA and post hoc tests were used to compare the kinematic parameters of the knee between the ball and racket athletes. Results: The results of the statistical test showed a significant difference in the kinematic parameters of knee flexion (P=0.003), knee valgus (P=0.001), and tibia rotation (P=0.001) between the ball (basketball and handball) and racket athletes (badminton and table tennis) in the predictable cutting. But in the unpredictable cutting, there were no significant differences in the kinematic parameters of the knee flexion (P=0.86), knee valgus (P=0.56), and tibia rotation (P=0.18). Conclusion: The results indicated that ball athletes showed an increased kinematic risk factor such as decreased knee flexion, increased knee valgus, and tibia rotation more than rocket athletes. Therefore, injury prevention programs are more critical in ball athletes.","PeriodicalId":436083,"journal":{"name":"Physical Treatments: Specific Physical Therapy Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132380755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: Physicians report balance disorders and fatigue as the symptoms of Multiple Sclerosis (MS) disease. The present study compares the effect of transcranial Direct Current Stimulation (tDCS) and core stability training on the balance and disability of patients with MS. Methods: This is a pre-test, post-test experiment study. The statistical population included all patients with MS who reffered to Rofaydeh Rehabilitation Hospital in Tehran City, Iran, in the winter of 2019. A total of 30 male and female patients aged 27-70 years were selected through available and purposive sampling methods and then randomly divided into experimental and control groups (each group 15 persons). The initial measurements of the participants’ kinetic variables of postural control were carried out by the posturography device, and afterward, Kurtzke Expanded Disability Status Scale (EDSS) was employed to measure disability. The participants’ training included core stability training for 8 weeks (30-40 min, 3 sessions per week) with 20 min online cerebellar transcranial direct current stimulation, 2 sessions per week (The first and third sessions). Then, the research variables were measured again. Results: The results demonstrated the significant influence of cerebellar tDCS on the variables of postural control equilibrium in the second sensory condition (P<0.001), third sensory condition (P<0.001), fourth sensory condition (P<0.001), fifth sensory condition (P=0.034), and combine equilibrium (P<0.001). Besides, the cerebellar current stimulation enhanced the sensory performance of the experimental group in using the vestibular system input data (P<0.001) and vision (P<0.001), but it had no significant effect on the ability to use somatosensory input (P=0.203) and vision preference (P=0.343). This research also revealed that the cerebellar current stimulation decreased EDSS in MS patients (P=0.026). Conclusion: The cerebellar tDCS has a beneficial effect on balance, EDSS, and modified fatigue impact scale in MS patients. The study findings also indicate that the cerebellum, vestibular system, and visual system are related, and they have an impact on balance, and cerebellar stimulation can facilitate learning motor skills.
{"title":"The Effect of Transcranial Direct Current Stimulation and Core Stability Training on the Balance and Disability of Patients With Multiple Sclerosis","authors":"Soudabeh Raeisi, S. Sadati, M. Azimian","doi":"10.32598/ptj.11.3.477.1","DOIUrl":"https://doi.org/10.32598/ptj.11.3.477.1","url":null,"abstract":"Purpose: Physicians report balance disorders and fatigue as the symptoms of Multiple Sclerosis (MS) disease. The present study compares the effect of transcranial Direct Current Stimulation (tDCS) and core stability training on the balance and disability of patients with MS. Methods: This is a pre-test, post-test experiment study. The statistical population included all patients with MS who reffered to Rofaydeh Rehabilitation Hospital in Tehran City, Iran, in the winter of 2019. A total of 30 male and female patients aged 27-70 years were selected through available and purposive sampling methods and then randomly divided into experimental and control groups (each group 15 persons). The initial measurements of the participants’ kinetic variables of postural control were carried out by the posturography device, and afterward, Kurtzke Expanded Disability Status Scale (EDSS) was employed to measure disability. The participants’ training included core stability training for 8 weeks (30-40 min, 3 sessions per week) with 20 min online cerebellar transcranial direct current stimulation, 2 sessions per week (The first and third sessions). Then, the research variables were measured again. Results: The results demonstrated the significant influence of cerebellar tDCS on the variables of postural control equilibrium in the second sensory condition (P<0.001), third sensory condition (P<0.001), fourth sensory condition (P<0.001), fifth sensory condition (P=0.034), and combine equilibrium (P<0.001). Besides, the cerebellar current stimulation enhanced the sensory performance of the experimental group in using the vestibular system input data (P<0.001) and vision (P<0.001), but it had no significant effect on the ability to use somatosensory input (P=0.203) and vision preference (P=0.343). This research also revealed that the cerebellar current stimulation decreased EDSS in MS patients (P=0.026). Conclusion: The cerebellar tDCS has a beneficial effect on balance, EDSS, and modified fatigue impact scale in MS patients. The study findings also indicate that the cerebellum, vestibular system, and visual system are related, and they have an impact on balance, and cerebellar stimulation can facilitate learning motor skills.","PeriodicalId":436083,"journal":{"name":"Physical Treatments: Specific Physical Therapy Journal","volume":"45 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120904984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Letafatkar, Z. Mosallanezhad, M. Hadadnezhad, Majid Menhaj, S. Shojaedin
Purpose: This study aimed to evaluate the effect of conventional physiotherapy plus Dry Needling (DN) technique in patients with chronic nonspecific neck pain with Sternocleidomastoid (SCM) and Upper Trapezius (UT) muscles involvement. Methods: This study was designed as a single-blind randomized clinical trial. A total of 39 patients (19 men and 21 women) with chronic non-specific neck pain with a Mean±SD age of 38.13±5.68 years, a Mean±SD height of 168.28±8.34 cm, and a Mean±SD weight of 75.78±9.02 kg participated in this study. They were randomly divided into conventional physiotherapy (control group: n=19) and conventional physiotherapy plus DN (intervention group: n=20). SCM and UT muscle pain, neck disability, and thickness were assessed for all participants in the pre-test, post-test, and follow-up periods. This study was reviewed and approved by the Faculty of Physical Education and Sport Science, University of Kharazmi, Tehran, Iran. Repeated measures analysis of variance and Bonferroni post hoc tests were used for data analysis using SPSS v. 22. Results: The results of 1-way analysis of variance showed that pain, neck disability, and SCM and UT muscle thickness in the intervention group had a significant decrease compared to the control group in the post-test and follow-up period (P<0.05). Also, according to the results of the corrected Bonferroni post hoc test, the intervention group showed a greater effect size than the control group in the post-test and the follow-up periods in the above variables. Conclusion: The present study results show that adding DN to conventional physiotherapy for neck pain can increase the effectiveness of intervention in relieving pain, disability, and SCM and UT muscle thickness in people with chronic neck pain.
目的:本研究旨在评价常规物理治疗加干针(DN)技术治疗累及胸锁乳突肌(SCM)和上斜方肌(UT)的慢性非特异性颈部疼痛的疗效。方法:本研究采用单盲随机临床试验。共39例慢性非特异性颈部疼痛患者(男19例，女21例)，平均±SD年龄38.13±5.68岁，平均±SD身高168.28±8.34 cm，平均±SD体重75.78±9.02 kg。随机分为常规物理治疗组(对照组19例)和常规物理治疗加DN治疗组(干预组20例)。在测试前、测试后和随访期间对所有参与者的SCM和UT肌肉疼痛、颈部残疾和厚度进行评估。本研究由伊朗德黑兰哈拉兹米大学体育与运动科学学院审查并批准。使用SPSS v. 22进行数据分析，采用重复测量方差分析和Bonferroni事后检验。结果:单因素方差分析结果显示，干预组在测试后及随访期间疼痛、颈部失能、SCM和UT肌肉厚度均较对照组显著降低(P<0.05)。此外，根据校正后的Bonferroni事后检验结果，干预组在上述变量的后测和随访期间均表现出比对照组更大的效应量。结论:本研究结果表明，在常规颈部疼痛物理治疗的基础上加入DN可提高慢性颈部疼痛患者疼痛、残疾、SCM和UT肌肉厚度的干预效果。
{"title":"Dry Needling Plus Conventional Physiotherapy for Patients With Chronic Nonspecific Neck Pain: A Randomized Clinical Trial","authors":"A. Letafatkar, Z. Mosallanezhad, M. Hadadnezhad, Majid Menhaj, S. Shojaedin","doi":"10.32598/PTJ.11.2.42.20","DOIUrl":"https://doi.org/10.32598/PTJ.11.2.42.20","url":null,"abstract":"Purpose: This study aimed to evaluate the effect of conventional physiotherapy plus Dry Needling (DN) technique in patients with chronic nonspecific neck pain with Sternocleidomastoid (SCM) and Upper Trapezius (UT) muscles involvement. Methods: This study was designed as a single-blind randomized clinical trial. A total of 39 patients (19 men and 21 women) with chronic non-specific neck pain with a Mean±SD age of 38.13±5.68 years, a Mean±SD height of 168.28±8.34 cm, and a Mean±SD weight of 75.78±9.02 kg participated in this study. They were randomly divided into conventional physiotherapy (control group: n=19) and conventional physiotherapy plus DN (intervention group: n=20). SCM and UT muscle pain, neck disability, and thickness were assessed for all participants in the pre-test, post-test, and follow-up periods. This study was reviewed and approved by the Faculty of Physical Education and Sport Science, University of Kharazmi, Tehran, Iran. Repeated measures analysis of variance and Bonferroni post hoc tests were used for data analysis using SPSS v. 22. Results: The results of 1-way analysis of variance showed that pain, neck disability, and SCM and UT muscle thickness in the intervention group had a significant decrease compared to the control group in the post-test and follow-up period (P<0.05). Also, according to the results of the corrected Bonferroni post hoc test, the intervention group showed a greater effect size than the control group in the post-test and the follow-up periods in the above variables. Conclusion: The present study results show that adding DN to conventional physiotherapy for neck pain can increase the effectiveness of intervention in relieving pain, disability, and SCM and UT muscle thickness in people with chronic neck pain.","PeriodicalId":436083,"journal":{"name":"Physical Treatments: Specific Physical Therapy Journal","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132932084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammad Hossein Archin, M. K. Ardakani, Fereshteh Hosseini, Fariba Kheirmahi
{"title":"Epidemiology of Shoulder and Elbow Injuries in Iranian Baseball Premier League","authors":"Mohammad Hossein Archin, M. K. Ardakani, Fereshteh Hosseini, Fariba Kheirmahi","doi":"10.32598/ptj.10.2.444.1","DOIUrl":"https://doi.org/10.32598/ptj.10.2.444.1","url":null,"abstract":"","PeriodicalId":436083,"journal":{"name":"Physical Treatments: Specific Physical Therapy Journal","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122646575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of Extracorporeal Shockwave Therapy Versus Stretching in the Treatment of Athletes With Chronic Plantar Fasciitis","authors":"A. Abdoli, B. Roohi","doi":"10.32598/ptj.9.2.117","DOIUrl":"https://doi.org/10.32598/ptj.9.2.117","url":null,"abstract":"","PeriodicalId":436083,"journal":{"name":"Physical Treatments: Specific Physical Therapy Journal","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122406973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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