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The effectiveness of foam rolling with and without vibration and static stretching on range of motion, muscle strength and proprioception of the ankle joint in adults with chronic ankle instability 有振动和无振动泡沫滚动法以及静态拉伸法对慢性踝关节不稳定成人踝关节活动范围、肌肉力量和本体感觉的影响
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-20 DOI: 10.1016/j.jbmt.2024.11.026
Chao-Yen Chen , Hsien-Kai Hsu , Nai-Jen Chang

Background

People with chronic ankle instability (CAI) have insufficient ankle dorsiflexion range of motion (DFROM) and decreases proprioception and muscle strength. Foam roller with and without vibration as a warm-up intervention may have benefits for healthy populations, but the effect on applied to injured individuals is still lacking, especially in CAI. Therefore, we aimed to compare the acute effects of three warm-up interventions, including vibration foam rolling (VR), foam rolling (FR), and static stretching (SS) in adults with CAI.

Methods

This study was a randomized, counterbalanced crossover trial. Eligible sixteen adults with CAI received all three interventions (VR, FR, and SS) in unilateral CAI leg in a randomized order. Each intervention included 6 sets, 30 s each, targeting the ankle dorsiflexors and plantarflexors, with a 30-s rest time in between. Ankle dorsiflexion range of motion (DFROM), muscle strength, and ankle proprioception were measured before and immediately after each intervention.

Results

VR significantly improved ankle DFROM and muscle strength by over 30% compared to the pre-intervention, whereas FR improved DFROM by 23.68%, and SS did not improve DFROM. Additionally, VR was more significantly effective than SS in improving ankle DFROM and maximal strength. The ankle joint repositioning error angle did not have significantly different.

Conclusions

Our results suggest that VR and FR interventions may be incorporated into warm-ups for adults with CAI to improve ankle DFROM. Furthermore, VR offers additional benefits in increasing muscle strength, especially compared to SS.
背景慢性踝关节不稳定(CAI)患者的踝关节背屈活动范围(DFROM)不足,本体感觉和肌肉力量下降。泡沫滚筒带振动和不带振动作为热身干预措施可能对健康人群有益,但对受伤者的应用效果仍缺乏研究,尤其是对 CAI 患者。因此,我们旨在比较三种热身干预措施(包括振动泡沫滚动(VR)、泡沫滚动(FR)和静态拉伸(SS))对 CAI 成人的急性效果。符合条件的 16 名 CAI 成人按照随机顺序在单侧 CAI 腿部接受了所有三种干预(振动泡沫滚动、FR 和 SS)。每种干预包括 6 组,每组 30 秒,针对踝关节背屈和跖屈,中间休息 30 秒。结果与干预前相比,VR 显著改善了踝关节背屈活动范围(DFROM)和肌肉力量,改善幅度超过 30%,而 FR 改善了 DFROM 23.68%,SS 没有改善 DFROM。此外,在改善踝关节DFROM和最大肌力方面,VR比SS更有效。结论我们的研究结果表明,VR 和 FR 干预措施可纳入 CAI 成人的热身运动中,以改善踝关节 DFROM。此外,与 SS 相比,VR 在增加肌肉力量方面具有额外的优势。
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引用次数: 0
Investigating the impact of various insole applications on balance and postural stability in the elderly 调查各种鞋垫应用对老年人平衡和姿势稳定性的影响
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-20 DOI: 10.1016/j.jbmt.2024.11.024
Başar Öztürk , Arzu Razak Özdinçler , Ahmet Koçyiğit , Begüm Kara Kaya , Eylül Pınar Kısa

Objectives

Aging leads to physical and cognitive declines, notably affecting balance and motor skills, making falls a prevalent health concern among the elderly. Falls, a significant health issue among the elderly, often stem from these impairments. This study aims to investigate the impact of different insole materials, specifically cork and silicone, on balance and postural stability in the elderly.

Methods

A randomized controlled trial was conducted at the Istanbul Barinyurt Elderly Care Center with 24 participants, divided into two groups to test cork and silicone insoles. Balance parameters, plantar pressure, the Timed Up and Go (TUG) test, and the Five Times Sit-to-Stand Test were used as measures. Data analysis was performed using the Mann-Whitney U and Wilcoxon tests.

Results

Post-intervention, the cork insole group showed significant improvements in balance, maximum plantar pressure, and functional mobility tests compared to the silicone insole group. While both insoles enhanced certain balance parameters and walking performance, cork insoles proved more effective in key outcomes. Additionally, maximum plantar pressure for the cork insoles group decreased significantly, indicating better pressure distribution and potentially enhanced balance.

Conclusion

Cork insoles are superior to silicone insoles in improving balance and postural stability among the elderly. This study supports using cork insoles as part of fall prevention strategies, emphasizing the importance of material properties in orthopedic insole design. Future research should explore long-term effects and integrate insoles with other postural stability methods for comprehensive elderly care.
目标衰老会导致身体和认知能力下降,特别是影响平衡和运动技能,使跌倒成为老年人普遍关注的健康问题。跌倒作为老年人的一个重要健康问题,往往源于这些障碍。本研究旨在调查不同鞋垫材料(特别是软木和硅胶)对老年人平衡和姿势稳定性的影响。方法在伊斯坦布尔 Barinyurt 老年护理中心进行了一项随机对照试验,将 24 名参与者分为两组,分别测试软木和硅胶鞋垫。试验采用平衡参数、足底压力、定时起立(TUG)测试和五次坐立测试作为测量指标。结果干预后,与硅胶鞋垫组相比,软木鞋垫组在平衡、最大足底压力和功能活动度测试方面有显著改善。虽然两种鞋垫都能提高某些平衡参数和行走能力,但软木鞋垫在关键结果上更为有效。此外,软木鞋垫组的最大足底压力明显降低,这表明压力分布更好,并有可能增强平衡能力。结论软木鞋垫在改善老年人平衡能力和姿势稳定性方面优于硅胶鞋垫。这项研究支持将软木鞋垫作为预防跌倒策略的一部分,强调了材料特性在矫形鞋垫设计中的重要性。未来的研究应探索长期效果,并将鞋垫与其他姿势稳定方法结合起来,为老年人提供全面的护理。
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引用次数: 0
Clustering of shoulder movement patterns using K-means algorithm based on the shoulder range of motion 基于肩部运动范围,使用 K-means 算法对肩部运动模式进行聚类
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-19 DOI: 10.1016/j.jbmt.2024.11.034
Gyeong-tae Gwak, Ui-jae Hwang, Jun-hee Kim

Objectives

This study aimed to classify and identify shoulder movement patterns based on shoulder joint range of motion (RoM) by applying the K-means clustering algorithm.

Design

Observational study using data from the 5th Size Korea Anthropometric Survey (2003–2004).

Setting

Data analysis focused on anonymized shoulder RoM measurements from a national survey.

Participants

Analysis included 541 participants after excluding those with incomplete shoulder RoM data.

Main Outcome Measures

Identification of clusters based on measurements of shoulder flexion, extension, internal rotation, external rotation, horizontal adduction, and horizontal abduction.

Results

Eight distinct clusters were identified, each showing unique shoulder mobility characteristics. Clusters 1 and 5 had the lowest flexion ranges, whereas clusters 7 and 8 exhibited low internal rotation and horizontal adduction. Clusters 2 and 6 displayed the highest flexion and overall high flexibility, while clusters 3 and 4 presented moderate flexion with low horizontal adduction.

Conclusions

This observational study categorized shoulder movement into eight clusters, revealing diverse mobility patterns across the general population. This clustering provides a basis for potential research into the correlation between specific movement patterns and musculoskeletal disorders, aiding in the development of targeted therapeutic strategies.
设计使用第五次韩国人体测量调查(2003-2004 年)的数据进行观察研究。设置数据分析侧重于全国性调查中的匿名肩关节活动范围测量数据。主要结果测量根据肩关节屈曲、伸展、内旋、外旋、水平内收和水平外展的测量结果确定聚类。结果确定了八个不同的聚类,每个聚类都显示出独特的肩关节活动度特征。群组 1 和 5 的屈伸幅度最小,而群组 7 和 8 的内旋和水平内收幅度较小。结论这项观察性研究将肩关节活动分为八个群组,揭示了普通人群中不同的活动模式。这种分类为研究特定运动模式与肌肉骨骼疾病之间的相关性提供了基础,有助于制定有针对性的治疗策略。
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引用次数: 0
Cyclic yoga improves anthropometric indices, musculoskeletal disorders, and blood pressure in middle-aged women 循环瑜伽改善中年女性的人体测量指数、肌肉骨骼疾病和血压
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-19 DOI: 10.1016/j.jbmt.2024.11.020
Somayeh Momeni, Seyedeh Soolmaz Mahdioun, Azar Aghayari

Background

The new and therapeutic style of cyclic yoga, which is the art of aligning asana, pranayama, and yoga mudra techniques, can be used as a non-invasive style to improve or prevent some musculoskeletal disorders. For this purpose, this study was designed to investigate a selected course of cyclic yoga practice on some anthropometric indicators, musculoskeletal disorders, and blood pressure in middle-aged women.

Methods

ː Forty-two middle-aged women were assigned either to cyclic yoga (n = 21, 53.76 ± 4.073 years) or the control group (n = 21, 53.57 ± 4.781 years). The cyclic yoga group received yoga intervention for 10 weeks, three sessions per week, and 50–90 min per session. MANCOVA test was used for inter-group comparison, and variance with repeated measures was used for intra-group measurement.

Results

A 10-week of yoga training decreased weight, hip circumference, body mass index, percentage of body fat, waist-to-height ratio, round shoulder, thoracic kyphosis angle, lumbar lordosis angle, systolic blood pressure, and diastolic blood pressure. In addition, a significant increase in the percentage muscle mass variable was reported in the cyclic yoga group. There was also a difference between the two cyclic yoga and control groups in the post-test in the waist-to-height ratio, round shoulder, thoracic kyphosis angle, lumbar lordosis angle, systolic blood pressure, and diastolic blood pressure variables.

Conclusions

ː The results suggest that cyclic yoga exercises, as an effective therapeutic alternative, low-cost, and accessible lead to the improvement of the round shoulder, hyperkyphosis, hyperlordosis, some anthropometric indices, and blood pressure.
背景循环瑜伽是一种将体位法、呼吸法和瑜伽泥菩萨式技巧融为一体的新型治疗方式,可作为一种非侵入性方式用于改善或预防某些肌肉骨骼疾病。为此,本研究旨在调查选定的循环瑜伽练习课程对中年女性的一些人体测量指标、肌肉骨骼疾病和血压的影响。方法⃐ 42 名中年女性被分配到循环瑜伽组(21 人,53.76 ± 4.073 岁)或对照组(21 人,53.57 ± 4.781 岁)。循环瑜伽组接受为期 10 周的瑜伽干预,每周三次,每次 50-90 分钟。结果 进行为期 10 周的瑜伽训练后,体重、臀围、体重指数、体脂百分比、腰围与身高比、圆肩、胸椎前凸角、腰椎前凸角、收缩压和舒张压均有所下降。此外,循环瑜伽组的肌肉质量百分比变量也有明显增加。结论ː:研究结果表明,循环瑜伽运动作为一种有效的替代治疗方法,成本低廉,易于接受,可改善圆肩、脊柱后凸、腰椎前凸、某些人体测量指数和血压。
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引用次数: 0
Track and field coaches' perspective and experiences of including osteopaths in shared management of elite athletes: A descriptive phenomenological study 田径教练在精英运动员的共同管理中纳入骨科医生的观点和经验:描述性现象学研究
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-19 DOI: 10.1016/j.jbmt.2024.11.018
Roksana Fard, Mattia Cella, Luca Odorisio, Giacomo Consorti

Objectives

This study aimed to investigate the track and field elite athletes’ coaches' perspectives and experiences regarding their athletes' osteopathic treatments to contribute to the development of integrated management models based on their expectations and experiences.

Methods

Semi-structured interviews were used to collect data from Italian elite athletes’ coaches enrolled in the study. An inductive analysis of the interviews was conducted using a descriptive phenomenological methodology. Data saturation was assessed in parallel with the data gathering to determine the sample size. Two additional interviews verified data saturation.

Results

Data saturation was reached with 11 participants (female = 3; male = 9). Participants’ ages ranged from 28 to 70 years old. The analysis showed 1 overarching theme, “Shared decision-making on the track promotes performance and recovery,”

4 themes

(1) “Elite athletes' coaches work in a highly specialized multidisciplinary team characterized by mutual trust and oriented towards shared decision-making” (2) “Osteopathic treatment is perceived to be effective in managing injuries but it is recognized that its main purpose is to prevent them” (3) “Continuous therapeutic relationships addressing body awareness and psychosocial factors improve elite athletes’ performance” and (4) “Field-specific assessments performed by the osteopath inform training plan and recovery strategies”, and 16 categories.

Conclusion

TF athletes’ coaches aim to work in a highly specialized multidisciplinary team characterized by mutual trust and oriented towards shared decision-making to manage and prevent injuries and enhance performance.
本研究旨在调查田径精英运动员的教练员对其运动员接受整骨疗法的看法和经验,以根据他们的期望和经验促进综合管理模式的发展。采用描述性现象学方法对访谈进行归纳分析。在收集数据的同时对数据饱和度进行了评估,以确定样本量。结果11名参与者(女性=3;男性=9)达到了数据饱和。参与者的年龄从 28 岁到 70 岁不等。分析显示了一个总主题,即 "赛道上的共同决策可促进成绩和恢复"、"4个主题(1)"精英运动员的教练员在一个高度专业化的多学科团队中工作,其特点是相互信任并以共同决策为导向";(2)"骨科治疗被认为在处理损伤方面是有效的,但人们认识到其主要目的是预防损伤";(3)"针对身体意识和社会心理因素的持续治疗关系提高了精英运动员的表现";(4)"骨科医生进行的特定领域评估为训练计划和恢复策略提供了依据";16个类别。结论TF 运动员教练员的目标是在一个高度专业化的多学科团队中开展工作,其特点是相互信任和共同决策,以管理和预防伤病并提高成绩。
{"title":"Track and field coaches' perspective and experiences of including osteopaths in shared management of elite athletes: A descriptive phenomenological study","authors":"Roksana Fard,&nbsp;Mattia Cella,&nbsp;Luca Odorisio,&nbsp;Giacomo Consorti","doi":"10.1016/j.jbmt.2024.11.018","DOIUrl":"10.1016/j.jbmt.2024.11.018","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to investigate the track and field elite athletes’ coaches' perspectives and experiences regarding their athletes' osteopathic treatments to contribute to the development of integrated management models based on their expectations and experiences.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were used to collect data from Italian elite athletes’ coaches enrolled in the study. An inductive analysis of the interviews was conducted using a descriptive phenomenological methodology. Data saturation was assessed in parallel with the data gathering to determine the sample size. Two additional interviews verified data saturation.</div></div><div><h3>Results</h3><div>Data saturation was reached with 11 participants (female = 3; male = 9). Participants’ ages ranged from 28 to 70 years old. The analysis showed 1 overarching theme, “Shared decision-making on the track promotes performance and recovery,”</div></div><div><h3>4 themes</h3><div>(1) “Elite athletes' coaches work in a highly specialized multidisciplinary team characterized by mutual trust and oriented towards shared decision-making” (2) “Osteopathic treatment is perceived to be effective in managing injuries but it is recognized that its main purpose is to prevent them” (3) “Continuous therapeutic relationships addressing body awareness and psychosocial factors improve elite athletes’ performance” and (4) “Field-specific assessments performed by the osteopath inform training plan and recovery strategies”, and 16 categories.</div></div><div><h3>Conclusion</h3><div>TF athletes’ coaches aim to work in a highly specialized multidisciplinary team characterized by mutual trust and oriented towards shared decision-making to manage and prevent injuries and enhance performance.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"41 ","pages":"Pages 206-214"},"PeriodicalIF":1.2,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142720415","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}
引用次数: 0
Assessing the magnitude and direction of asymmetry in physical tests and morphological measurements in professional female soccer athletes 评估职业女子足球运动员在体能测试和形态测量中的不对称程度和方向
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-19 DOI: 10.1016/j.jbmt.2024.11.028
Rodrigo Ghedini Gheller, João Claudio Braga Pereira Machado, Nathalia Chris Oliveira Franco, João Victor Gama da Silva, Felipe Guerra Monteiro, Mateus Rossato

Objectives

To analyze the magnitude and direction of inter-limb asymmetries in vertical jump, T-test, isokinetic peak torque, and muscle volume in professional female soccer players.

Methods

Sixteen female soccer players participated in the study (22.7 ± 3.5 years, 60.4 ± 12.7 kg, 164.2 ± 8.7 cm). The following tests were applied; the unilateral countermovement jump (CMJ), T-test (agility), peak torque of concentric knee extensor (PT_Con_Q), concentric and eccentric knee flexor (PT_Con_H; PT_Ecc_H), and muscle volume of quadriceps (MV_Q) and gastrocnemius (MV_G). The interlimb asymmetry magnitude was calculated as the percentage difference between the stronger and weaker limbs. For the direction of asymmetry, a negative sign (−) was assigned when the non-dominant lower limb was the stronger one, and a positive sign (+) when the dominant lower limb was the stronger one.

Results

The asymmetry (%) values varied from 0.7 to 11.9%, with the highest values of asymmetry found in the CMJ, PT_Con_Q, PT_Con_H, and PT_Ecc_H tests. Moderate levels of agreement were observed for CMJ - Vol_G (K = 0.53; 75% agreement); PT_Con_Q - PT_Con_H (K = 0.48; 75% agreement); T-test - PT_Ecc_H (K = 0.43; 68.7% agreement). Fair levels of agreement were found between the T-test - Vol_Q (K = 0.21; 62.1% agreement); PT_Con_Q - PT_Ecc_H (K = 0.36; 68.8% agreement); and PT_Con_H - PT_Ecc_H (K = 0.31; 68.8% agreement).

Conclusions

We concluded that of greater asymmetries in the vertical jump and isokinetic torque tests. The direction of the asymmetry seems highly variable, however, the isokinetic tests showed greater agreements with the other tests.
方法 16 名女足运动员(22.7 ± 3.5 岁,60.4 ± 12.7 千克,164.2 ± 8.7 厘米)参加了研究。进行了以下测试:单侧反向移动跳跃(CMJ)、T 测试(敏捷性)、同心膝关节伸肌峰值扭矩(PT_Con_Q)、同心和偏心膝关节屈肌峰值扭矩(PT_Con_H;PT_Ecc_H)、股四头肌(MV_Q)和腓肠肌(MV_G)的肌肉体积。肢体间的不对称幅度是以较强肢体和较弱肢体之间的百分比差来计算的。对于不对称的方向,如果非优势下肢更强壮,则赋予负号(-),如果优势下肢更强壮,则赋予正号(+)。结果不对称(%)值从 0.7% 到 11.9% 不等,其中 CMJ、PT_Con_Q、PT_Con_H 和 PT_Ecc_H 测试的不对称值最高。CMJ - Vol_G (K = 0.53; 75% 一致性)、PT_Con_Q - PT_Con_H (K = 0.48; 75% 一致性)、T 测试 - PT_Ecc_H (K = 0.43; 68.7% 一致性) 的一致性处于中等水平。T 测试 - Vol_Q (K = 0.21; 62.1% 的吻合率); PT_Con_Q - PT_Ecc_H (K = 0.36; 68.8% 的吻合率); 和 PT_Con_H - PT_Ecc_H (K = 0.31; 68.8% 的吻合率)之间的吻合程度尚可。不对称的方向似乎变化很大,但是,等速测试与其他测试的一致性更高。
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引用次数: 0
Objective measures of stiffness and ratings of pain and stiffness in the gastrocnemii following delayed-onset muscle soreness 对延迟性肌肉酸痛后胃肠道僵硬程度的客观测量以及对疼痛和僵硬程度的评级
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-19 DOI: 10.1016/j.jbmt.2024.11.027
Luke McCarney, Noel Lythgo, Azharuddin Fazalbhoy, Ashleigh Moreland

Background

Muscle stiffness is commonly associated with a sensation of tightness, pain and movement difficulty. It is unclear, however, whether changes in muscle stiffness can be objectively identified by myotonometry across time. This study investigated whether a myotonometer (MyotonPRO) can detect changes in muscle stiffness by delayed-onset muscle soreness (DOMS).

Methods

Twenty-three healthy adults participated in this study. DOMS was achieved in the gastrocnemii by downhill-backwards walking on a motorised treadmill. Subjective ratings of gastrocnemii pain and stiffness were recorded using the numerical rating scale. The MyotonPRO was used to record and extract objective muscle stiffness data. Recordings were taken at baseline and over a three-week recovery period. Spearman's rho correlation analyses were conducted between objective measures and subjective ratings of pain and stiffness. Repeated measure ANOVA tests were conducted to investigate the effect of DOMS over time.

Findings

No significant correlations were found between the objective measures and subjective ratings of pain (p = 0.22) or stiffness (p = 0.51). Myotonometry identified significant effects of DOMS on muscle stiffness (p < 0.001) over time. Significant effects of DOMS on subjective pain and stiffness rating data were found over time (p < 0.001).

Interpretations

Although DOMS was found to affect objective measures of muscle stiffness, these changes were not associated with subjective ratings. Future studies could replicate this study using other myotonometry methods to further investigate muscle stiffness and involve a larger cohort. Other work should investigate muscle stiffness in clinical musculoskeletal conditions resulting from injury or chronic pain.
背景肌肉僵硬通常与紧绷感、疼痛和运动困难有关。然而,目前还不清楚肌肉僵硬度的变化是否能通过肌电计客观地识别出来。本研究调查了肌强计(MyotonPRO)能否通过延迟性肌肉酸痛(DOMS)检测出肌肉僵硬度的变化。通过在电动跑步机上进行下坡-倒退行走来实现胃肠肌肉的 DOMS。使用数字评分量表记录胃肠部疼痛和僵硬的主观评分。MyotonPRO 用于记录和提取肌肉僵硬度的客观数据。记录时间为基线和三周的恢复期。客观测量值与疼痛和僵硬度的主观评分之间进行了斯皮尔曼 rho 相关性分析。结果在客观测量与疼痛(p = 0.22)或僵硬(p = 0.51)的主观评分之间没有发现明显的相关性。肌张力测定发现,随着时间的推移,DOMS 对肌肉僵硬有明显影响(p < 0.001)。虽然 DOMS 会影响肌肉僵硬度的客观测量,但这些变化与主观评分无关。未来的研究可以使用其他肌张力测量方法复制这项研究,以进一步调查肌肉僵硬程度,并让更多的人参与进来。其他研究还应该对因受伤或慢性疼痛导致的临床肌肉骨骼状况中的肌肉僵硬程度进行调查。
{"title":"Objective measures of stiffness and ratings of pain and stiffness in the gastrocnemii following delayed-onset muscle soreness","authors":"Luke McCarney,&nbsp;Noel Lythgo,&nbsp;Azharuddin Fazalbhoy,&nbsp;Ashleigh Moreland","doi":"10.1016/j.jbmt.2024.11.027","DOIUrl":"10.1016/j.jbmt.2024.11.027","url":null,"abstract":"<div><h3>Background</h3><div>Muscle stiffness is commonly associated with a sensation of tightness, pain and movement difficulty. It is unclear, however, whether changes in muscle stiffness can be objectively identified by myotonometry across time. This study investigated whether a myotonometer (MyotonPRO) can detect changes in muscle stiffness by delayed-onset muscle soreness (DOMS).</div></div><div><h3>Methods</h3><div>Twenty-three healthy adults participated in this study. DOMS was achieved in the gastrocnemii by downhill-backwards walking on a motorised treadmill. Subjective ratings of gastrocnemii pain and stiffness were recorded using the numerical rating scale. The MyotonPRO was used to record and extract objective muscle stiffness data. Recordings were taken at baseline and over a three-week recovery period. Spearman's rho correlation analyses were conducted between objective measures and subjective ratings of pain and stiffness. Repeated measure ANOVA tests were conducted to investigate the effect of DOMS over time.</div></div><div><h3>Findings</h3><div>No significant correlations were found between the objective measures and subjective ratings of pain (p = 0.22) or stiffness (p = 0.51). Myotonometry identified significant effects of DOMS on muscle stiffness (p &lt; 0.001) over time. Significant effects of DOMS on subjective pain and stiffness rating data were found over time (p &lt; 0.001).</div></div><div><h3>Interpretations</h3><div>Although DOMS was found to affect objective measures of muscle stiffness, these changes were not associated with subjective ratings. Future studies could replicate this study using other myotonometry methods to further investigate muscle stiffness and involve a larger cohort. Other work should investigate muscle stiffness in clinical musculoskeletal conditions resulting from injury or chronic pain.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"41 ","pages":"Pages 187-193"},"PeriodicalIF":1.2,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142720413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute effects of myofascial release technique on flexibility and pain: Outcome for chronic low back pain 肌筋膜释放技术对柔韧性和疼痛的急性影响:慢性腰背痛的治疗效果
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-18 DOI: 10.1016/j.jbmt.2024.11.035
Ozan Çetinyol , Seda Saka , Ayşenur Çetinkaya

Background

Myofascial release technique (MFR) is frequently used in the treatment of patients with chronic low back pain (CLBP), but there are limited studies on the acute effects of this technique. It was aimed to determine the acute effect of MFR technique on pain and flexibility in CLBP.

Methods

Forty CLBP patients (19 female; 21 male) with an average age of 40 years were randomized as MFR technique and classical massage groups. A single session of technique was applied to each group. Outcome measurements consisted of the Visual Analogue Scale (VAS), Sit and Reach Test (SRT), Straight Leg Raise Test (SLRT), and Modified Schober Test.

Results

In within-group comparisons, all outcome measures (except right-SLRT) improved statistically significantly in both groups after interventions (p˂0.05). ANCOVA was conducted to determine whether there were significant differences in between groups after intervention while controlling for age. The analysis showed that VAS, SRT and left-SLRT results were significantly more improved after the MFR technique compared with classical massage (p˂0.05).

Conclusion

In conclusion, the MFR technique is a safe and effective method for the immediate relief of pain and the enhancement of flexibility. Furthermore, it demonstrates superior efficacy in pain relief and flexibility improvement compared to classical massage, which is another manual therapy technique.
背景肌筋膜松解技术(MFR)常用于慢性腰背痛(CLBP)患者的治疗,但有关该技术急性期效果的研究却很有限。方法将 40 名平均年龄为 40 岁的慢性腰背痛患者(19 名女性;21 名男性)随机分为肌筋膜松解术组和传统按摩组。每组各进行一次按摩。结果测量包括视觉模拟量表(VAS)、坐位和前伸试验(SRT)、直腿抬高试验(SLRT)和改良舒伯试验。结果在组内比较中,两组在干预后所有结果测量(除右侧-SLRT)均有显著的统计学改善(p˂0.05)。在控制年龄的前提下,进行方差分析以确定干预后组间是否存在明显差异。分析表明,与传统按摩相比,MFR 技术对 VAS、SRT 和左侧-SLRT 结果的改善幅度更大(p˂0.05)。此外,与传统按摩(另一种手法治疗技术)相比,它在缓解疼痛和改善柔韧性方面具有更优越的疗效。
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引用次数: 0
Immediate effect of ischemic loading on quadriceps muscle output by using a pneumatic cuff 使用气动袖带对股四头肌输出缺血负荷的即时影响
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-17 DOI: 10.1016/j.jbmt.2024.11.033
Tomoki Kakehashi , Shinomiya Ryota , Mayu Komatsu , Masaaki Nakajima

Introduction

Transient ischemic conditioning (TIC) is a technique that involves short periods of ischemia followed by reperfusion, which may enhance muscle strength by increasing blood flow and improving energy supply to muscle fibers. This study aims to investigate the effect of TIC on quadriceps strength and examine its potential as a warm-up exercise in rehabilitation.

Methods

Fifteen healthy male participants underwent TIC on the quadriceps. Ischemia was induced for 5 min, followed by reperfusion. Muscle strength was assessed at baseline, 10 min post-intervention, and 20 min post-intervention.

Results

TIC applied to the quadriceps resulted in a significant increase in muscle strength compared to baseline (p ≤ 0.05). This increase in strength was observed at both 10 min and 20 min after the intervention.

Discussion

The results suggest that TIC can passively enhance muscle strength without inducing muscle fatigue. Therefore, TIC could be a valuable tool in rehabilitation where maintaining or improving muscle strength is essential.

Conclusion

TIC has shown potential as an effective method for improving muscle strength without causing fatigue. As such, it may be beneficial as a warm-up modality during rehabilitation, contributing to the recovery of motor function and muscle performance.
导言瞬时缺血调节(TIC)是一种短时间缺血后再灌注的技术,可通过增加血流量和改善肌肉纤维的能量供应来增强肌肉力量。本研究旨在探讨 TIC 对股四头肌力量的影响,并研究其作为康复热身运动的潜力。诱导缺血 5 分钟,然后进行再灌注。结果与基线相比,对股四头肌进行 TIC 可显著增强肌肉力量(p ≤ 0.05)。讨论结果表明,TIC 可以被动增强肌肉力量,而不会导致肌肉疲劳。因此,TIC 可以成为维持或改善肌肉力量的重要康复工具。因此,在康复过程中作为一种热身方式,它可能会对运动功能和肌肉表现的恢复有所帮助。
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引用次数: 0
Rehabilitation of back pain with laser associated with negative or positive pressure massage in workers: A randomized controlled trial 用激光配合负压或正压按摩治疗工人背痛:随机对照试验
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-17 DOI: 10.1016/j.jbmt.2024.11.032
Danielle Izabel Assis Chaves, Marco Antonio Carneiro de Jesus, Gabriella Dalarmi de Menezes, Lúcio Marques Vieira Souza, Gustavo Henrique Gonçalves, Fernanda Rossi Paolillo

Background and purpose

Work-related musculoskeletal disorders (WMSDs) are an array of conditions affecting the human locomotor system, such as muscles, tendons, nerves, bones, and joints. It is related to physiological, kinesiological and biomechanical changes which result in pain, paresthesia, inflammation, weakness, tiredness, heaviness in limbs, fatigue, reduced range of motion and/or compression of peripheral nerves. The aim of this study was to investigate the therapeutic effects of positive (massage gum) or negative pressure (vacuum therapy) combined with laser on the health of workers with back pain, investigating pain intensity, shoulder mobility, spinal flexibility, life quality, and well-being.

Methods

Twenty-one workers (female and male) aged between 20 and 60 years and who had medical referral for pain complaint in low back, neck and shoulders due to WMSDs participated in this study and were randomized into 3 groups: (1) Positive Pressure plus Laser Group (PPL): positive pressure using a massage gun was applied after the laser; (2) Negative Pressure plus Laser Group (NPL): negative pressure by vacuum was applied together with the laser and; (3) Control group (CG): without positive and negative pressure treatments or laser therapy. All workers received an educational booklet with postural orientation and suggestions focused on stretching exercises. Anamnesis, visual analogue scale (VAS) to assess pain intensity, and functional tests to assess spine flexibility and shoulders mobility were performed. Quality of life and well-being also were evaluated. The regions of lumbar, thoracic and cervical spine were treated once a week, totaling seven sessions.

Results

The main result was a reduced pain and an increased spinal flexibility, shoulders mobility, and quality of life in the PPL and NPL groups compared to the CG (p < 0.05). Furthermore, NPL showed better results compared to PPL (p < 0.05) for lumbar and cervical pain, as well as for right shoulder mobility.

Conclusion

Therefore, laser combined with negative pressure massage was more effective in reducing lumbar and cervical pain and increasing shoulder mobility compared to positive pressure massage in workers.
背景和目的与工作有关的肌肉骨骼疾病(WMSDs)是一系列影响人体运动系统(如肌肉、肌腱、神经、骨骼和关节)的疾病。它与生理、运动学和生物力学变化有关,导致疼痛、麻痹、发炎、虚弱、疲倦、肢体沉重、疲劳、活动范围减小和/或压迫周围神经。本研究旨在调查正压(按摩胶)或负压(真空疗法)结合激光对背痛工人健康的治疗效果,调查疼痛强度、肩部活动度、脊柱灵活性、生活质量和幸福感。方法21名年龄在20至60岁之间,因腰背、颈部和肩部疼痛而就诊的工人(女性和男性)参加了这项研究,并被随机分为3组:(1)正压加激光组(PPL):在激光治疗后使用按摩枪进行正压;(2)负压加激光组(NPL):在激光治疗的同时使用真空负压;(3)对照组(CG):不进行正负压治疗或激光治疗。所有工人都收到了一本教育手册,其中包括姿势指导和以伸展运动为主的建议。此外,还进行了病史、视觉模拟量表(VAS)以评估疼痛强度,以及功能测试以评估脊柱灵活性和肩部活动度。此外,还对生活质量和幸福感进行了评估。结果与 CG 相比,PPL 和 NPL 组的主要结果是疼痛减轻,脊柱灵活性、肩部活动度和生活质量提高(P < 0.05)。结论因此,与正压按摩相比,激光结合负压按摩能更有效地减轻工人的腰椎和颈椎疼痛,增加肩部活动度。
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JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
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