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Manual therapy and dry needling improve mobility, pain and reduce fear of COVID-19 in temporomandibular disorder patients: Randomized controlled trial 手法治疗和干针疗法可改善颞下颌关节紊乱症患者的活动能力、疼痛并减轻对 COVID-19 的恐惧：随机对照试验
IF 1.4 Q2 Health Professions
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
Pub Date : 2024-05-27 DOI: 10.1016/j.jbmt.2024.05.015
Caio César Quintiliano Ferreira , Karen Rodrigues Lima , Marco Fabrício Dias-Peixoto , Débora Ribeiro Orlando , Paula Midori Castelo , Luciano José Pereira , Eric Francelino Andrade

Background and purpose

The COVID-19 pandemic exacerbated pain and joint mobility outcomes in patients with temporomandibular disorders (TMD), being that effective treatments are of clinical interest. We aimed to evaluate the effects of manual therapy (MT) and dry needling (DN), compared to cognitive-behavioral therapy/control (CO), on pain, articular mobility, and fear of COVID-19 in patients with TMD.

Materials and methods

Sixty participants with myofascial TMD were randomly assigned to three groups: MT, DN, and CO. Participants received four weeks of treatment (30 min per week). The participants completed the Fear of COVID- 19 Scale, the Visual Analog Scale, and mandibular mobility was assessed. Data were collected before the intervention (T1), after the last treatment session (T2), and 30 days after the end of treatment (T3). The data were analyzed using two-way Mixed-Design ANOVA, considering the group effect (DN x MT x CO), time (T1, T2, and T3), and the interaction time × group in the observed variance of outcomes.

Results

We observed an interaction effect of time × group for maximum mouth opening, protrusion, and pain. The maximum mouth opening increased in the DN and MT groups (p = 0.005), while protrusion increased in the DN group (p = 0.007; test power = 97%, large effect size). A decrease in pain scores over time was observed in the DN and MT groups (p < 0.001; test power>99%, large effect size). The fear of COVID-19 score decreased in the DN and MT groups after 30 days (p = 0.033).

Conclusion

DN and MT improve pain, joint mobility, and fear of COVID-19 in patients with TMD.

背景和目的COVID-19大流行加剧了颞下颌关节紊乱症（TMD）患者的疼痛和关节活动度，因此有效的治疗方法备受临床关注。我们旨在评估手法治疗（MT）和干针疗法（DN）与认知行为疗法/对照组（CO）相比，对 TMD 患者疼痛、关节活动度和对 COVID-19 的恐惧的影响：MT组、DN组和CO组。参与者接受为期四周的治疗（每周 30 分钟）。参与者完成 COVID- 19 恐惧量表、视觉模拟量表，并对下颌活动度进行评估。数据收集于干预前（T1）、最后一次治疗后（T2）和治疗结束后 30 天（T3）。数据采用双向混合设计方差分析，在观察结果的方差中考虑了组效应（DN x MT x CO）、时间（T1、T2 和 T3）以及时间 × 组的交互作用。DN 组和 MT 组的最大张口度增加（p = 0.005），而 DN 组的突出度增加（p = 0.007；检验功率 = 97%，效应量大）。随着时间的推移，DN 组和 MT 组的疼痛评分有所下降（p <0.001；测试功率>99%，大效应量）。30 天后，DN 组和 MT 组对 COVID-19 的恐惧评分下降（p = 0.033）。
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引用次数: 0
Inter-rater-reliability, intra-rater-reliability and validity of clinical tests to assess cervical spine motor control abilities: A systematic review of diagnostic accuracy studies 评估颈椎运动控制能力的临床测试的评分者间可靠性、评分者内可靠性和有效性：诊断准确性研究的系统回顾
IF 1.4 Q2 Health Professions
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
Pub Date : 2024-05-20 DOI: 10.1016/j.jbmt.2024.01.026
Bernard Engelmann , Jacob Marten Switters , Hannu Luomajoki

Background

Research into the aetiology of spinal pain has shown a clear tendency towards a sensorimotor control perspective. In contrast to the lumbar spine, the available motor control tests for the cervical spine are extremely varied, little studied and sometimes very costly.

Objective

Review the quality and choice of the available cervical spine motor control tests. The diagnostic accuracy of the current low technology motor control tests was evaluated in a systematic review.

Method

A search for reliability and discriminative validity studies was conducted in the Pubmed MEDLINE® database (NCBI) and the Cochrane Central Register of Controlled Trials, according to the PRISMA–DTA protocol. Quality Appraisal for Reliability Studies (QAREL) and Standards for Reporting Diagnostic accuracy studies (STARD) were conducted to assess the quality of the included studies. The statistical parameters of ICC, kappa-value, sensitivity, specificity, Diagnostic Odds Ratio, Area Under the Curve, mean, standard deviation and/or the confidence interval were extracted.

Results

Two movement control test batteries, one head-eye-coordination test battery and the craniocervical flexion test were found to be standing out in terms of reliability, validity, applicability and cost-effectiveness (Kappa and ICC scores >0.8 for reliability and AUC 0,83 for validity.)

Discussion

To date only one study was published for each of the test batteries. Nevertheless, the risk of bias compared to all other cervical motor control tests found was significantly lower. Moreover, the application is possible completely without technical equipment, which makes the findings of the present work accessible to the majority of healthcare professionals.

背景对脊柱疼痛病因的研究表明，人们明显倾向于从感觉运动控制的角度来研究脊柱疼痛。与腰椎相比，现有的颈椎运动控制测试种类繁多，研究较少，有时还非常昂贵。目的回顾现有颈椎运动控制测试的质量和选择。方法根据 PRISMA-DTA 协议，在 Pubmed MEDLINE® 数据库（NCBI）和 Cochrane 对照试验中央登记册中搜索可靠性和鉴别有效性研究。可靠性研究质量评估（QAREL）和诊断准确性研究报告标准（STARD）用于评估纳入研究的质量。提取了 ICC、卡帕值、灵敏度、特异性、诊断率比、曲线下面积、平均值、标准偏差和/或置信区间等统计参数。结果发现，两组运动控制测试、一组头眼协调测试和颅颈屈曲测试在可靠性、有效性、适用性和成本效益方面均有突出表现（可靠性方面的 Kappa 值和 ICC 值为 0.8，有效性方面的 AUC 值为 0.83。不过，与所有其他颈椎运动控制测试相比，该测试的偏差风险明显较低。此外，该方法的应用完全不需要技术设备，这使得大多数医疗专业人员都可以使用本研究的结果。
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引用次数: 0
Effects of multiple cold-water immersion during pre-season on recovery performance in under-20 male soccer players: A randomized controlled trial 季前赛期间多次冷水浸泡对 20 岁以下男子足球运动员恢复表现的影响：随机对照试验
IF 1.4 Q2 Health Professions
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
Pub Date : 2024-05-18 DOI: 10.1016/j.jbmt.2024.05.004
Scheila M. Pinheiro , Glauko A.F. Dantas , Leonardo D.R. Silva , Gabriel S. Trajano , Germanna M. Barbosa , Paulo M.S. Dantas

Introduction

This study was designed to evaluate the effects of multiple cold-water immersions performed daily during the preseason period on biochemical, clinical, and neuromuscular aspects of muscle damage of soccer players.

Methods

This two-arm, prospectively registered, randomized controlled trial, blinded to statistician and assessors, was conducted at professional football club facilities. Twenty-three under-20 semi-professionals male soccer players were randomly allocated into cold water immersion group (bathtub with water and ice at 10 °C ± 1 °C for 10 min) or control group (rest for 10 min), every day, after training sessions during a preseason. Primary outcome was change in creatine kinase (CK) concentration, and secondary outcomes were changes in vertical jump performance, strength and perception of recovery at baseline (T0) and after protocol training (T1).

Results

Analysis of Covariance (ANCOVA) showed a statistically significant time-group interactions for CK concentration, with an average reduction of 280.39 U/L (CI95% = −519.14, −41.64; d = 0.55) in the cold-water immersion compared to the control group. No differences between groups were observed in any other measures.

Conclusion

Multiple cold-water immersions at 10 °C for 10 min decreases CK concentration but does not change any clinical and neuromuscular markers of muscle damage in soccer players during a 9-day preseason.

导言：本研究旨在评估季前赛期间每天多次冷水浸泡对足球运动员肌肉损伤的生化、临床和神经肌肉方面的影响。方法：本研究在专业足球俱乐部设施内进行，是一项双臂、前瞻性注册、随机对照试验，对统计人员和评估人员实行盲法。23 名 20 岁以下的半职业男子足球运动员在季前赛期间每天训练结束后被随机分配到冷水浸泡组（在浴缸中加入 10 °C ± 1 °C 的水和冰块，浸泡 10 分钟）或对照组（休息 10 分钟）。主要结果是肌酸激酶（CK）浓度的变化，次要结果是基线（T0）和方案训练后（T1）垂直跳跃成绩、力量和恢复感的变化。结果方差分析（ANCOVA）显示，肌酸激酶浓度的时间组间交互作用具有统计学意义，与对照组相比，冷水浸泡组的肌酸激酶浓度平均降低了 280.39 U/L (CI95% = -519.14, -41.64; d = 0.55)。结论：在为期 9 天的季前赛中，多次在 10°C 冷水中浸泡 10 分钟会降低 CK 浓度，但不会改变足球运动员肌肉损伤的任何临床和神经肌肉指标。
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引用次数: 0
Strain of the vertebral artery during passive neck movements and spinal manipulation of the cervical spine: An observational study 颈部被动运动和颈椎手法时椎动脉的应变：观察研究
IF 1.4 Q2 Health Professions
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
Pub Date : 2024-05-18 DOI: 10.1016/j.jbmt.2024.05.011
Caroline Fagundes , Walter Herzog

Background

Neck pain is a common condition, and a frequent treatment is chiropractic cervical spinal manipulation therapy (cSMT). However, cervical spinal manipulations have been associated with excessive cervical artery elongations, allegedly causing arterial dissection leading to stroke.

Purpose

The primary purpose of this study was to quantify the total vertebral artery elongations during cSMT, and secondarily, quantify the vertebral artery elongations during the pre-manipulative orientation of the head and neck and the subsequent elongations during the actual thrust.

Methods

Vertebral artery strains were measured at the cervical levels C0–C1, C1–C2, and C2–C3 using piezoelectric crystals that were sutured to the wall of the left and right vertebral artery in three cadavers. Vertebral artery strains were measured continuously for a full set of passive range of motion testing and for the chiropractic spinal manipulation.

Findings

For the range of motion testing, the greatest average vertebral artery strains at the C0–C1 level were 6.9% for ipsilateral flexion-rotation, at the C1–C2 level 4.3% for contralateral rotation, and at the C2–C3 level 3.7% for contralateral flexion-rotation. For the chiropractic spinal manipulation, the average maximal strains at the C0–C1, C1–C2 and C2–C3 levels were 1.3%, 0.1%, and 1.0%, respectively. The maximal average vertebral artery strains in the pre-manipulative phase were 0.5% and the corresponding maximal vertebral artery strains during the manipulative thrust was 1.1%.

Interpretation

Passive range of motion testing produced strains in the vertebral artery were 5.3 times (C0–C1), 7.2 times (C1–C2), and 3.7 times (C2–C3) greater than the corresponding strains during chiropractic spinal manipulation, suggesting that strains in the vertebral artery during chiropractic spinal manipulation were much smaller than the strains that can occur during normal everyday movements of the head and neck. Furthermore, vertebral artery strains in the pre-manipulative phase did not contribute to the peak strains on the contralateral vertebral artery and helped reduce strains on the ipsilateral side.

背景颈部疼痛是一种常见病，经常采用的治疗方法是脊椎推拿颈椎手法治疗（cSMT）。本研究的主要目的是量化颈椎手法治疗时椎动脉的总伸长量，其次是量化头颈部手法前定位时的椎动脉伸长量和实际推拿时的椎动脉伸长量。方法在颈椎 C0-C1、C1-C2 和 C2-C3 水平使用压电晶体测量椎动脉应变，压电晶体缝合在三具尸体的左右椎动脉壁上。结果在运动范围测试中，C0-C1 水平最大的平均椎动脉应变为同侧屈旋 6.9%，C1-C2 水平为对侧旋转 4.3%，C2-C3 水平为对侧屈旋 3.7%。在脊椎推拿中，C0-C1、C1-C2 和 C2-C3 水平的平均最大应变分别为 1.3%、0.1% 和 1.0%。推拿前阶段的最大平均椎动脉应变为 0.5%，推拿过程中相应的最大椎动脉应变为 1.1%。解释被动运动范围测试产生的椎动脉应变是脊椎推拿时相应应变的5.3倍（C0-C1）、7.2倍（C1-C2）和3.7倍（C2-C3），这表明脊椎推拿时的椎动脉应变远小于头颈部日常正常运动时可能产生的应变。此外，手法前阶段的椎动脉应变不会导致对侧椎动脉的峰值应变，并有助于减少同侧的应变。
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引用次数: 0
Spinal articulation exercise using an exercise ball enhances dynamic postural control 使用健身球进行脊柱关节锻炼可增强动态姿势控制能力
IF 1.4 Q2 Health Professions
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
Pub Date : 2024-05-15 DOI: 10.1016/j.jbmt.2024.05.013
Masaaki Nakajima , Yuki Miyake

Purpose

We hypothesized that exercises that selectively utilize local muscles responsible for segmental movements of the spine might promote local muscle activity and dynamic postural balance. In this study, we examined the effects of selective local muscle exercises (spinal articulation exercise) on dynamic postural control in healthy subjects.

Methods

The effects of spinal articulation exercise were examined using a deflated exercise ball for the postural sway in healthy students who were assigned to an exercise or control group. The independent variable was the extent of exposure to selective local muscle exercise, and the dependent variable was dynamic postural control. A stabilometer, which measures dynamic postural control, was used to evaluate the effectiveness of the exercises. In addition, center of gravity movements were assessed using a Gravicorder G-620 stabilometer in which the subject was asked to shift their center of gravity between 2 circles on a computer monitor. Pre- and post-intervention dynamic postural control was statistically evaluated between the exercise group and control group using the Mann-Whitney test.

Results

The post-intervention average COUNTS were significantly higher in the exercise group than in the control group (p = 0.003, r = 0.78). ENV. AREA was significantly smaller in the exercise group than in the control group (p = 0.036, r = 0.54). Furthermore, LNG/COUNTS were significantly smaller in the exercise group than in the control group (p = 0.024, r = 0.58).

Conclusions

Spinal articulation exercise may be used to enhance the dynamic postural balance of healthy young adults.

目的我们假设，有选择性地利用负责脊柱节段运动的局部肌肉进行锻炼，可能会促进局部肌肉活动和动态姿势平衡。在这项研究中，我们考察了选择性局部肌肉锻炼（脊柱衔接锻炼）对健康受试者动态姿势控制的影响。方法使用放气健身球对健康学生的姿势摇摆进行脊柱衔接锻炼，并将他们分配到锻炼组或对照组，考察脊柱衔接锻炼的效果。自变量是选择性局部肌肉锻炼的暴露程度，因变量是动态姿势控制。测量动态姿势控制的稳定计被用来评估锻炼的效果。此外，还使用 Gravicorder G-620 稳定计对重心运动进行了评估，要求受试者在电脑显示器上的两个圆圈之间移动重心。采用 Mann-Whitney 检验对运动组和对照组干预前后的动态姿势控制进行了统计评估。结果运动组干预后的平均 COUNTS 显著高于对照组（p = 0.003，r = 0.78）。ENV.运动组的环境面积明显小于对照组（p = 0.036，r = 0.54）。此外，锻炼组的 LNG/COUNTS 明显小于对照组（p = 0.024，r = 0.58）。
{"title":"Spinal articulation exercise using an exercise ball enhances dynamic postural control","authors":"Masaaki Nakajima ,&nbsp;Yuki Miyake","doi":"10.1016/j.jbmt.2024.05.013","DOIUrl":"10.1016/j.jbmt.2024.05.013","url":null,"abstract":"<div><h3>Purpose</h3><p>We hypothesized that exercises that selectively utilize local muscles responsible for segmental movements of the spine might promote local muscle activity and dynamic postural balance. In this study, we examined the effects of selective local muscle exercises (spinal articulation exercise) on dynamic postural control in healthy subjects.</p></div><div><h3>Methods</h3><p>The effects of spinal articulation exercise were examined using a deflated exercise ball for the postural sway in healthy students who were assigned to an exercise or control group. The independent variable was the extent of exposure to selective local muscle exercise, and the dependent variable was dynamic postural control. A stabilometer, which measures dynamic postural control, was used to evaluate the effectiveness of the exercises. In addition, center of gravity movements were assessed using a Gravicorder G-620 stabilometer in which the subject was asked to shift their center of gravity between 2 circles on a computer monitor. Pre- and post-intervention dynamic postural control was statistically evaluated between the exercise group and control group using the Mann-Whitney test.</p></div><div><h3>Results</h3><p>The post-intervention average COUNTS were significantly higher in the exercise group than in the control group (p = 0.003, r = 0.78). ENV. AREA was significantly smaller in the exercise group than in the control group (p = 0.036, r = 0.54). Furthermore, LNG/COUNTS were significantly smaller in the exercise group than in the control group (p = 0.024, r = 0.58).</p></div><div><h3>Conclusions</h3><p>Spinal articulation exercise may be used to enhance the dynamic postural balance of healthy young adults.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141026779","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
Balance evaluation in individuals with type 2 diabetes mellitus with and without peripheral neuropathy 对伴有或不伴有周围神经病变的 2 型糖尿病患者进行平衡评估
IF 1.4 Q2 Health Professions
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
Pub Date : 2024-05-15 DOI: 10.1016/j.jbmt.2024.05.010
Luciana Rocha Nunes Nogueira , Claudio Mardey Nogueira , Alex Eduardo da Silva , Gustavo José Luvizutto , Luciane Aparecida Pascucci Sande de Sousa

Background and aims

Peripheral Diabetic Neuropathy (PDN) is the major complication of diabetes, and sensory-motor impairments can compromise balance, increasing the risk of falls and consequently can lead to functional disability. Thus, this study aims to evaluate the sensory and motor aspects of balance in individuals with type 2 diabetes mellitus with and without PDN.

Methods

This is a cross-sectional study which analyzed balance in 51 individuals, divided into three groups: G1 – individuals with Peripheral Diabetic Neuropathy; G2 - individuals with diabetics and without PDN; and G3 – individuals without Diabetes Mellitus. As for the instruments used to evaluate balance, specific tests based on model system approach were applied: MiniBESTest and the modified Clinical Test of Sensory Integration of Balance (mCTSIB).

Results

It was observed that individuals in G1 showed balance impairment in mCTSIB and MiniBESTest compared to G2 and G3. In individuals with diabetics without PDN (G2) there was a reduction in tandem position time on the unstable surface and worse anticipatory postural adjustments (APA) and reactive postural response (RPR) compared to individuals without diabetes (G3).

Conclusion

PDN showed impairments in both static and dynamic balance, with alterations in sensory orientation, decreased anticipatory and reactive postural response. However, individuals with diabetes and without PDN also present worsening response in tandem position time on the unstable surface, APA and RPR tasks.

背景和目的周围糖尿病神经病变（PDN）是糖尿病的主要并发症，感觉运动障碍会影响平衡，增加跌倒的风险，从而导致功能障碍。因此，本研究旨在评估伴有或不伴有周围神经病变的 2 型糖尿病患者在感觉和运动方面的平衡能力：G1 - 患有糖尿病周围神经病变的人；G2 - 患有糖尿病但没有糖尿病周围神经病变的人；G3 - 没有糖尿病的人。至于用于评估平衡的工具，则采用了基于模型系统方法的特定测试：结果发现，与 G2 和 G3 相比，G1 患者在 mCTSIB 和 MiniBESTest 中表现出平衡障碍。与无糖尿病患者（G3）相比，无 PDN 的糖尿病患者（G2）在不稳定表面上的串联位置时间减少，预期姿势调整（APA）和反应姿势反应（RPR）更差。然而，糖尿病患者和非 PDN 患者在不稳定表面的串联位置时间、APA 和 RPR 任务中的反应也会恶化。
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引用次数: 0
Can Animal Assisted Interventions counteract apathy and improve physical activity levels in psychiatric patients with cognitive disability? A case study 动物辅助干预能否消除有认知障碍的精神病患者的冷漠并提高其身体活动水平？案例研究
IF 1.4 Q2 Health Professions
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
Pub Date : 2024-05-14 DOI: 10.1016/j.jbmt.2024.05.007
Claudia Cerulli , Arianna Murri , Elisa Grazioli , Eliana Tranchita , Francesca Tinè , Chiara De Santis Del Tavano , Vittorio Digiacomantonio , Marisa Nicolini , Attilio Parisi

Background

Patients with psychiatric disorders experience a reduced quality of life also due to the antipsychotic drugs assumed, that negatively affects their cognitive abilities. A healthy lifestyle, such as physical activity, can improve both functional abilities and mental health of patients with a dual diagnosis, psychiatric and cognitive. Despite this knowledge, these people are more sedentary than the general population, probably because of their apathy, core aspects of the illness. Animal Assisted Interventions (AAIs) seem to be a valid tool to stimulate them to practice physical exercise thanks to the empathy generated by the relationship with the animal.

Methods

This case study aims to evaluate the effect of 4 months AAIs on apathy and physical efficiency in 2 patients with dual diagnoses. Patient A and patient B, affected by psychiatric disorders and mild cognitive impairment, were recruited to perform an AAI, one with a dog and the other with a horse.

Results

At the end of the study data showed a decrease of apathy in both patients: −20,6% in patient A and −9.8% in patient B, as well as a reduction of psychiatric symptoms. Moreover, both patients improved the functional parameters evaluated through the Short Physical Battery Test (patient A = +33.3%; patient B = +28.6%).

Conclusions

The preliminary results of this case report suggest that well-structured, individualized AAIs, with a horse or with a dog, could be considered as a useful adjunctive therapy to the usual treatment programs to improve both functional abilities and mental health in psychiatric patients.

背景精神疾病患者的生活质量下降也是由于服用了抗精神病药物，这对他们的认知能力产生了负面影响。健康的生活方式，如体育锻炼，可以改善精神和认知双重诊断患者的功能能力和心理健康。尽管知道这一点，但这些人比普通人更喜欢久坐不动，可能是因为他们的冷漠，这也是疾病的核心问题。本病例研究旨在评估为期 4 个月的动物辅助干预对 2 名双重诊断患者的冷漠和身体效率的影响。患者 A 和患者 B 均患有精神障碍和轻度认知障碍，他们被招募来进行 AAI，其中一人与狗一起进行，另一人与马一起进行：-患者 A 的冷漠程度降低了 20.6%，患者 B 的冷漠程度降低了 9.8%，精神症状也有所减轻。结论本病例报告的初步结果表明，与马或狗一起进行结构合理、个性化的 AAI 可以被视为常规治疗方案的一种有效辅助疗法，可以改善精神病患者的功能能力和心理健康。
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引用次数: 0
The influence of unstable surfaces on ankle muscle activation during functional exercises 功能锻炼时不稳定表面对踝关节肌肉激活的影响
IF 1.4 Q2 Health Professions
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
Pub Date : 2024-05-10 DOI: 10.1016/j.jbmt.2024.05.006
Firat Tan , Gulcan Harput , Burak Ulusoy , Hande Guney-Deniz

Background

The study aims to compare how 3 balance platform designs affect ankle muscle activation during various functional exercises, all performed on the dominant limb.

Methods

Fifteen healthy, active participants performed single-leg stance, single-leg squat, and forward lunge on BOSU® Ball, wobble board, stability trainer, and flat ground. Surface electromyography was used to measure Peroneus Longus, Tibialis Anterior, Gastrocnemius, and Soleus activation during these exercises on different platforms and flat ground. Repeated measures ANOVA with two factors (exercise and platform) were used for analysis.

Results

There was a significant interaction between balance platforms and exercises (p < 0.05). Soleus displayed the highest activation amplitudes during the single leg stance and single leg squat on BOSU®, and peroneus longus displayed the greatest activation amplitudes during the forward lunge on BOSU® (p < 0.05).

Conclusions

The present study findings indicated that exercises conducted on a flexible platform resulted in greater muscle activation levels when compared to those executed on both a rigid platform and flat ground. Based on the level of ankle muscle activation in the current study, exercises for the ankle would progress from exercises on to a flat ground to on a BOSU® in order to achieve progressively greater ankle muscle activation.

Level of evidence

Level III.

背景该研究旨在比较 3 种平衡平台设计如何影响各种功能性练习中的踝关节肌肉激活，所有练习均在优势肢体上进行。方法15 名健康、活跃的参与者在 BOSU® 球、摇摆板、稳定训练器和平地上进行单腿站立、单腿深蹲和前冲练习。使用表面肌电图测量在不同平台和平地上进行这些练习时腓肠肌、胫骨前肌、腓肠肌和腓肠肌的激活情况。结果平衡平台和练习之间存在显著的交互作用（p <0.05）。结论本研究结果表明，与在刚性平台和平地上进行的练习相比，在柔性平台上进行的练习会产生更大的肌肉激活水平。根据当前研究中的踝关节肌肉激活水平，踝关节练习应从在平地上练习逐步过渡到在 BOSU® 上练习，以逐步提高踝关节肌肉激活水平。
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引用次数: 0
Comparison of the effects of 4-week instrument assisted soft tissue mobilization and static stretching on strength, ROM, flexibility, and painthreshold in hamstring muscle shortness 为期 4 周的器械辅助软组织活动和静态拉伸对腿筋肌肉力量、活动度、柔韧性和痛阈的影响比较
IF 1.4 Q2 Health Professions
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
Pub Date : 2024-05-10 DOI: 10.1016/j.jbmt.2024.05.008
Gokhan Maras , Halime Arikan , Seyit Citaker
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引用次数: 0
Balance confidence and associated factors among patients with knee osteoarthritis 膝关节骨性关节炎患者的平衡信心及相关因素
IF 1.4 Q2 Health Professions
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
Pub Date : 2024-05-09 DOI: 10.1016/j.jbmt.2024.05.009
Jeneviv Nene John , Cynthia Oluchi Ugwu , Davidson Okwudili John , Obinna Chinedu Okezue , Ukamaka Gloria Mgbeojedo , Ogochukwu Chinedu Onuorah

Introduction

Knee osteoarthritis (KOA) is a progressive condition that results in decreased mobility, self-imposed restriction of activity, and impaired functions such as loss of self-efficacy, fear of falling, and balance impairments. This study assessed balance confidence and associated factors among patients with KOA.

Methods

This cross-sectional study involved 115 patients with KOA. The Western Ontario and McMaster University Osteoarthritis Index was used to evaluate pain, stiffness, and physical function while the Activity Specific Balance Confidence scale was used to assess the balance confidence. Pearson's chi-square test, Pearson's correlation and Spearman's rank correlation coefficient determined the association between variables.

Results

Greater number [67(58.3%)] of the participants had low levels of functioning in balance confidence. Significant associations were observed between balance confidence and pattern of KOA (X2 = 7.08, p = 0.029, φc = 0.248), fear of fall (X2 = 38.32, p = 0.001, φc = 0.577) and history of fall (X2 = 11.49, p = 0.003, φc = 0.316). Significant negative correlations were observed between balance confidence and pain (r = −0.498, p = 0.001), stiffness (r = −0.564, p = 0.01) and physical function (r = −0.676, p = 0.001).

Conclusion

The low levels of balance confidence and related factors are a cause for concern and highlight the need to assess and monitor balance confidence in KOA rehabilitation using balance confidence ratings. This could prompt the integration of physical therapy rehabilitation programs that target balance confidence and related factors to improve mobility, quality of life and outcome of rehabilitation.

简介：膝关节骨关节炎（KOA）是一种渐进性疾病，会导致活动能力下降、自我活动受限以及功能受损，如丧失自我效能感、害怕跌倒和平衡障碍。这项研究评估了 KOA 患者的平衡信心和相关因素。西安大略和麦克马斯特大学骨关节炎指数用于评估疼痛、僵硬和身体功能，而活动特定平衡信心量表用于评估平衡信心。皮尔逊卡方检验、皮尔逊相关和斯皮尔曼等级相关系数确定了变量之间的关联。平衡信心与 KOA 模式（X2 = 7.08，p = 0.029，φc = 0.248）、跌倒恐惧（X2 = 38.32，p = 0.001，φc = 0.577）和跌倒史（X2 = 11.49，p = 0.003，φc = 0.316）之间存在显著相关性。平衡信心与疼痛（r = -0.498，p = 0.001）、僵硬（r = -0.564，p = 0.01）和身体功能（r = -0.676，p = 0.001）之间呈显著负相关。这可能会促使针对平衡信心和相关因素的物理治疗康复计划的整合，以改善活动能力、生活质量和康复效果。
{"title":"Balance confidence and associated factors among patients with knee osteoarthritis","authors":"Jeneviv Nene John ,&nbsp;Cynthia Oluchi Ugwu ,&nbsp;Davidson Okwudili John ,&nbsp;Obinna Chinedu Okezue ,&nbsp;Ukamaka Gloria Mgbeojedo ,&nbsp;Ogochukwu Chinedu Onuorah","doi":"10.1016/j.jbmt.2024.05.009","DOIUrl":"https://doi.org/10.1016/j.jbmt.2024.05.009","url":null,"abstract":"<div><h3>Introduction</h3><p>Knee osteoarthritis (KOA) is a progressive condition that results in decreased mobility, self-imposed restriction of activity, and impaired functions such as loss of self-efficacy, fear of falling, and balance impairments. This study assessed balance confidence and associated factors among patients with KOA.</p></div><div><h3>Methods</h3><p>This cross-sectional study involved 115 patients with KOA. The Western Ontario and McMaster University Osteoarthritis Index was used to evaluate pain, stiffness, and physical function while the Activity Specific Balance Confidence scale was used to assess the balance confidence. Pearson's chi-square test, Pearson's correlation and Spearman's rank correlation coefficient determined the association between variables.</p></div><div><h3>Results</h3><p>Greater number [67(58.3%)] of the participants had low levels of functioning in balance confidence. Significant associations were observed between balance confidence and pattern of KOA (X2 = 7.08, p = 0.029, φc = 0.248), fear of fall (X2 = 38.32, p = 0.001, φc = 0.577) and history of fall (X2 = 11.49, p = 0.003, φc = 0.316). Significant negative correlations were observed between balance confidence and pain (r = −0.498, p = 0.001), stiffness (r = −0.564, p = 0.01) and physical function (r = −0.676, p = 0.001).</p></div><div><h3>Conclusion</h3><p>The low levels of balance confidence and related factors are a cause for concern and highlight the need to assess and monitor balance confidence in KOA rehabilitation using balance confidence ratings. This could prompt the integration of physical therapy rehabilitation programs that target balance confidence and related factors to improve mobility, quality of life and outcome of rehabilitation.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140910159","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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