JOURNAL OF BODYWORK AND MOVEMENT THERAPIES最新文献

Background: Neuroinflammation contributes to degeneration of neurons in people with Parkinson's disease (PD). The concentrations of inflammatory cytokines, IL-1β, IL-6, and TNF-α, are often increased in people with PD and are associated with various non-motor symptoms. Qigong exercise is a mind-body practice which has been used as a rehabilitation intervention for people with PD. A previous study showed a strong association between sleep quality and inflammatory status. This study investigated the effect of Qigong on inflammatory status in people with PD and explored potential relationships between inflammatory status and sleep quality in this population.

Methods: The study was a randomized controlled trial. A total of 17 participants completed the 12-week intervention (Qigong (n = 8), sham Qigong (n = 9)). Questionnaires were utilized to assess non-motor symptoms, including sleep quality. Inflammatory cytokines were measured by a high sensitivity antibody-based multiplex assay.

Results: After the 12-week intervention, a decreasing trend in the concentrations of IL-1β and IL-6 was found in the Qigong group. Moderate to strong correlations were found between changes in IL-1β concentrations and sleep quality.

Conclusion: Inflammation is an important aspect of PD. This study explored the inflammatory status after a mind-body exercise. Further studies need to extend our findings to confirm the effect of Qigong in people with PD.

McConnell's patellar taping is indicated for the treatment of women with Patellofemoral Pain Syndrome, however the literature points to controversial evidence, and does not establish the effect on postural control. This is a randomized trial study that aimed to compare the effect of McConnell taping (MT) with a Placebo taping (PT), during functional tasks that assess dynamic postural control, such as squatting and ascending/descending stairs, using a force platform among women with patellofemoral pain syndrome (PFPS). The participants were randomly assigned to two treatment groups: MT (n = 15) and PT (n = 15). The primary outcome was dynamic postural control in the unipodal squatting test and the test of ascending and descending steps evaluated using a force platform, before and after the application of the intervention. The results showed that in the single leg squat exercise, the MT group performed better compared to the PT group in the center of pressure oscillation area (A-COP), and anteroposterior and mediolateral velocity. For ascending stairs, the PT group performed better in the A-COP compared to the MT group. The stair descent showed no differences between the groups or moments of assessment. So, MT can be used to improve postural control in single-legged squat exercises.

Introduction: Aging causes changes in stance control and muscle function. However, strength exercises can mitigate these negative effects. Intervention practices are classified into open kinetic chain (OKC) and closed kinetic chain (CKC), but it is unclear whether there are differences between them regarding muscle power and balance in the older people. Thus, this study aimed to investigate the acute effect of an intervention in OKC and CKC on stance control and muscle power in the older people.

Methods: This study is a randomized clinical trial. A total of 29 older people participated in this study, divided into 3 groups: control group (CG) (n = 9), open kinetic chain group (OKCG) (n = 10), and closed kinetic chain group (CKCG) (n = 10). Stance control was evaluated on a force platform under bipedal, semi-tandem, and unipedal support conditions. Muscle power assessed based on the time to perform the sit-to-stand test (STS). The acute intervention in OKC and CKC consisted of 2 exercises for each intervention group.

Results: There was no difference between acute interventions in OKC and CKC on stance control and muscle power. The time in STS was shorter in the CKCG compared to the CG. The largest oscillations of the center of pressure (COP) were found in the unipedal stance condition.

Conclusion: An acute intervention in OKC and CKC did not differentiate stance balance and muscle power in the older people. However, CKC exercises are more effective for functional tasks than OKC exercises. The greater complexity of the task (unipedal support) causes greater stance oscillations in the older people.

The objective of this study was to examine how the menstrual cycle affects knee joint position sense (JPS) and dynamic balance. Forty-five physically active women (age 20.87 ± 0.54 years) participated in this study. Pain was measured with a Visual Analogue Scale (VAS). Knee JPS was measured using the passive-active repositioning method using a digital inclinometer. The modified Star Excursion Balance Test was used to assess dynamic balance (SEBT). The VAS scores were higher in the menses phase compared to the mid-luteal phase (p < 0.001) and mid-follicular phase (p = 0.002). No significant differences were found between phases of the menstrual cycle for JPS in 30° (p > 0.05) and 60° of knee flexion (p > 0.05). There were significant differences in the anterior (p = 0.028), posteromedial (p < 0.001), and posterolateral (p < 0.001) directions of the modified SEBT. The values of the anterior direction in a mid-follicular phase were higher than the menses phase (p = 0.017). Mid-luteal phase values in the posteromedial direction were greater than mid-follicular phase (p = 0.008) and menses phase (p < 0.001). The values of the posterolateral direction in the mid-luteal phase (p < 0.001) and mid-follicular phase (p = 0.009) were higher than in the menses phase. In conclusion, the knee JPS did not change during the menstrual cycle in physically active women. However, the dynamic balance performance was at the lowest level in the menses phase. The risk of injury should be considered during menstruation, especially in activities that require dynamic balance skills in physically active women.

Background: Muscle strength is often used as an indirect indicator of metabolic health across different age groups in healthy individuals. However, in kidney transplant recipients, this measure may be less accurate due to metabolic changes induced by immunosuppressive medications.

Aim: To compare muscle strength between kidney transplant recipients with metabolic syndrome (MS) and those without this condition.

Methods: A cross-sectional analytical study was conducted with 29 participants (22 men and seven women) aged 18-50 years, having undergone a kidney transplant for over a year and without experiencing graft failure. To determine the presence of MS, the criteria proposed by the National Cholesterol Education Program (NCEP) Adult Treatment Panel III (ATP-III) was used. Biochemical markers (triglyceride, total cholesterol, HDL, LDL, and glucose levels) were evaluated through a capillary sample. Muscle strength was assessed through three tests: long jump, elbow flexion, and grip strength.

Results: The mean age was 36 ± 11.3 years, and the average transplant time was 4.5 ± 2.8 years. The prevalence of MS was 58.6%. Transplant recipients with MS performed less in all tests assessing muscle strength than those without this condition (p < 0.001∗).

Conclusions: The main finding of this research is that kidney transplant patients with MS performed worse in muscle strength tests compared to those without the condition.

Background: Y-Balance Test (YBT) assesses postural stability. When is applied to patients after anterior cruciate ligament reconstruction (ACLR), it is not clear which variables influence its result.

Objective: To connect YBT and postural stability, quadriceps, hamstring, and gluteus complex muscle strength, ankle dorsiflexion range of motion (ADFROM).

Study design: Cross-sectional.

Methods: Fifty-nine participants (52 males and 7 females) with ACLR ≥6 months were evaluated. YBT anterior, posterolateral, posteromedial, and composite, isokinetic peak torque of the knee, strength of the gluteal complex with Hip Stability Isometric Test, ADFROM with Weight-Bearing Lunge Test, postural stability with Stability Index of Biodex Balance System® were applied.

Results: In the ACLR limb, the multivariate regression linear models pointed out an association between the quadriceps muscle strength and ADFRM with anterior, posteromedial and composite reaches (R² = 0.30; 0.23; 0.26). Hamstring muscle strength and ADFRM with posterolateral (R² = 0.13). In the uninjured limb, overall stability index and ADFRM with anterior reach (R² = 0.25), strength of gluteal complex with posteromedial (R² = 0.31), hamstring muscle strength, Overall and lateromedial stability indexes with posterolateral (R² = 0.20), hamstring muscle strength, Overall stability index, ADFRM and strength of gluteal complex with composite (R² = 0.32).

Conclusions: The quadriceps muscle strength and ADFRM are important variables for YBT performance in the ACLR limb. In the uninjured limb, ADFROM, the strength of the gluteal complex and hamstring, overall and lateromedial stability indexes are associated with YBT performance. We question the utility of the YBT to measure postural stability given the lack of association with other postural stability measures.

Background: Breast cancer represents the most common type of malignant neoplasm worldwide. Advances in diagnosis and treatment have increased the life expectancy of patients. However, the sequelae associated with the treatment of the disease such as chronic pain, kinesiophobia and loss of physical function in breast cancer survivors (BCS) are a long-term health problem. Therapeutic strategies are required for the treatment of chronic sequelae in this population.

Objectives: To evaluate the effectiveness of a pain neuroscience education (PNE) and therapeutic exercise (TE) for the treatment of chronic sequelae in BCS.

Methods: Quasi-experimental repeated measures study. The intervention lasted 9 weeks, with 3 educational and 24 exercise sessions. Pain frequency and intensity (VAS scale), neuropathic pain (DN4), kinesiophobia level (TSK-11V), central sensitization (CSI-Sp), functionality of the affected arm (ULFI-Sp) and active joint range (ROM) with goniometry were measured at baseline, 3rd, 6th and 9th week. Statistical analysis included Friedman's test and ANOVA according to normality criteria.

Results: A total sample of 26 BCS participate in the study. Significant statistical changes were found from the 3rd week of treatment in the frequency and intensity of pain, kinesiophobia and neuropathic pain (p < 0.05). All variables had significant changes at the 9th week (p = 0.001).

Conclusion: The results of the present investigation suggest that the combination of PNE and TE are effective in treating sequelae at short term in BCS with chronic pain.

Introduction: Using smartphones has increased exponentially, especially after the COVID-19 pandemic. However, there is a relationship between neck flexion angle during working with a smartphone and neck musculoskeletal disorders. Therefore, this study compares the effect of Kinesio taping and Repeated End Range Movements (RERM) on head and neck flexion angles changes during texting and discomfort after texting with a smartphone.

Method: Twenty-four smartphone users participated in this cross-over study. All of 24 subjects were experimented with the control, RERM and taping conditions. They filled Numeric Rating Scale questionnaire before and after 30 min of texting. In addition, their head and neck flexion angles were measured during the task by photogrammetry.

Results: In the RERM group, individuals felt significantly less discomfort than the control group after the task (P = 0.032). Although the slope of average head and neck flexion angles linear regression lines of all the three groups was positive before the break time, it became negative in the taping and control groups after the break time. In addition, the linear regression of average head and neck flexion angles of the RERM group was significantly different (P < 0.001).

Conclusion: RERM can effectively maintain normal head and neck movement pattern during and reduce neck discomfort after texting on smartphone.

A 24-years-old unmarried woman was diagnosed with polycystic ovarian syndrome (PCOS) and a complex right hemorrhagic para-ovarian cyst (POC) in January-2022. The patient started having cystic acne breakouts and weight gain in June-2021, and a stabbing pain in the right iliac region in December-2021. Thus, she visited a primary health center, South India and underwent ultrasonogram (USG) of pelvis and abdomen in a private diagnostic center in January-2022. USG report suggested PCOS with a complex right hemorrhagic POC. Physician advised her to undergo a surgery but due to fear she refused surgery. Then, she visited our hospital in March-2022 and underwent yoga and naturopathy treatments for 8-months. The results showed a reduction in ovary size with resolution of hemorrhagic POC. Thus, yoga and naturopathy could be considered as an alternative treatment in the management of PCOS with hemorrhagic POCs. However, further studies are required to warrant the results.