JOURNAL OF BODYWORK AND MOVEMENT THERAPIES最新文献

The analysis of the impact of a 5-min massage session on the gastrocnemius contractile and passive mechanical properties in young adults - a randomized controlled trial.

Background: The effect of massage therapy on the muscle properties is unclear. New technologies make investigation more in-depth and reliable.

Objectives: This study examined the effects of a 5-min massage session on the muscle stiffness and tone reduction in healthy young adults.

Materials and methods: Participants aged between 19 and 24 were randomly assigned to an intervention group (IG) (n = 40) or a control group (CG) (n = 40). The IG participated in a 5-min massage session of the lateral and medial gastrocnemius muscle (LGCM and MGCM respectively). The muscle contractile properties were assessed by tensiomyography (TMG). It measured maximal displacement (Dm), delay time (Td) and contraction time (Tc). Oscillation frequency (F) and stiffness (S) were used to assess muscle passive mechanical properties. These measurements were collected by MytonPro.

Results: There were no differences between the groups in the pre-test measurements. The results of mixed-model ANOVA showed significant (p < 0.05) time × group interactions, with greater alteration in the IG compared to the CG in the LGCM for Dm (%diff = 22.5, ƞp² = 0.41), Td (%diff = 3.63, ƞp² = 0.02), Tc (%diff = 13.38, ƞp² = 0.1), F (%diff = 5.55, ƞp² = 0.07) and in the MGCM for Dm (%diff = -14.34, ƞp² = 0.06), F (%diff = -7.53, ƞp² = 0.12). No difference (p > 0.05) was noticed in other variables.

Conclusions: A 5-min massage session impacts the contractile and passive mechanical properties of the LGCM and MGCM. The size and direction of changes may depend on the muscle type, its geometry as well as other factors.

Purpose: Hypertension is associated with autonomic nervous system (ANS) dysregulation. Heart rate variability (HRV) monitoring is frequently used as a gauge of the ANS balance. The aim of the present study was to assess the effects of yoga and naturopathy on the autonomic variables in patients with hypertension.

Methods: 262 hypertensive patients were randomly allocated to the study group (SG) or control group (CG) in a randomized controlled trial. For ten days, the SG (n = 131) group got received naturopathic treatments and yoga, whereas the CG (n = 131) group did not. HRV which was examined at the beginning and end of the 10-day intervention period and again after 9 months, served as the study's main endpoint.

Result: There was a significant change in the frequency domain of heart rate variability with a significant increase in High frequency (HF) and a significant decrease in low frequency (LF) and LF/HF (all p < 0.05) were observed after follow-up in both SG and CG, but the magnitude of change was more in SG with a significant difference in LF/HF between group.

Conclusion: Results of this study suggest that 10 days of integrated yoga and naturopathy intervention produces a shift of vagal activity towards parasympathetic activity.

Clinical trial registration number: CTRI/2019/01/016883.

Introduction: Postural control involves the coordination of muscle synergies of lower limb for the performance of postural strategies. However, the relationship between muscle function and postural control of older adults with different levels of physical activity has not yet been fully elucidated. The aim of this study was to analyze the influence of muscle function of lower limb on postural control in tasks with disturbance in the visual and somatosensory systems of older adults with different levels of physical activity.

Methods: 61 older adults participated in this study. The assessment of postural control was performed using posturography in tasks with visual and somatosensory systems disturbance. To assess peak torque and mean power of the lower limb, an isokinetic dynamometer was used. A regression test was performed to investigate the association between muscle function and posture. The regression model was adjusted for the level of physical activity.

Results: The complexity of the task and level of physical activity influenced the association between muscle function and postural control. The conditions that involved simultaneous disturbance in the visual and somatosensory systems were the ones that showed the greatest combination of associations, regardless of the stance type.

Conclusion: The ability to produce ankle and hip muscle power seems to be crucial for the postural control of the older adults in tasks that involve reducing the base of support associated with disturbances in the visual and somatosensory system. Physical activity programs for older adults should include strength and power training for the ankle, knee, and hip muscles, with emphasis on hip abductors.

Introduction: Fibromyalgia is a chronic syndrome characterized by constant and generalized pain associated with sleep disturbance, depression, muscle stiffness, fatigue and cognitive disorders. Among non-pharmacological treatments, physical exercise stands out as a low-cost approach.

Aim: To summarize and analyze evidence on the effects of resistance training on pain, functionality and quality of life in women with fibromyalgia.

Methods: Following the PRISMA method, this systematic review included clinical trials assessing the effects of resistance training on pain, quality of life and functionality in female patients with fibromyalgia, regardless age. The researches were conducted in April 2021 in PubMed, Cochrane, Web of Science and Scopus databases, using the search strategy: ("fibromyalgia") AND ("strength training" OR "resistance training") AND ("quality of life" OR "pain" OR "functionality"). This study was registered in PROSPERO (CRD number: 42,021,246,245), and the risk of bias was assessed using the Version 2 of the Cochrane Risk-of-Bias tool (RoB 2).

Results: The search resulted in 125 studies (760 women), of which 16 were eligible for this review. Risk of bias assessment resulted in high (n = 5), moderate (n = 6) and low (n = 5) risks. Resistance training has proven to be an important non-pharmacological treatment tool for fibromyalgia, reducing pain, and improving patients' functionality and quality of life.

Conclusion: The available evidence suggests that resistance training performed twice weekly, with progressive loads ranging from 40 to 80% of one-repetition maximum and a total duration of 4-24 weeks, appears to be an effective and safe therapeutic approach.

Background: A strong core is a key to stability, posture, and strength. To reduce back pain and improve functional movement deep abdominal muscles are targeted. Use a sphygmomanometer for reliable, objective core muscle strength and stability measurements based on the resistance applied. A pressure biofeedback unit (PBU) can provide feedback on core muscle function, helping to enhance lumbopelvic stability and overall core function.

Methods: A study compared two devices in assessing core strength. Electronic databases like PubMed, MEDLINE and Google Scholar were used to search for relevant articles. Two independent reviewers conducted the screening process to identify studies that met the required criteria.

Results: The review includes 22 studies comparing a sphygmomanometer and a pressure biofeedback unit in core muscle strength. A sphygmomanometer provides core strength and stability, but pressure biofeedback improves lumbopelvic stability and core muscle function.

Conclusion: The study found that the sphygmomanometer is reliable and effective in measuring core muscle strength. It targeted deep abdominal muscles, reduce low back pain and improve functional activity.

Objective: To systematically review, summarize and appraise evidence on the factors determining quality of life (QoL) after total knee arthroplasty (TKA) in individuals with knee osteoarthritis.

Methods: We searched six databases (PubMed, Scopus, Web of Science, CINAHL, EMBASE, and ProQuest) using appropriate search terms to identify the relevant literature published on the factors determining QoL following TKA. Two reviewers independently performed the study screening and study selection. A third reviewer was consulted in case of any disagreement. The methodological quality of the included studies was assessed using the Modified Downs and Black Index checklist. This review was registered in PROSPERO (CRD42022352887) and reported according to the PRISMA checklist.

Results: We identified a total of 8517 studies, 29 of which were included. Advanced age; female sex; increased body mass index (BMI); the presence of comorbidities such as diabetes; contralateral knee pain; poor preoperative status; psychological and pain-related factors such as the presence of pain catastrophizing; central sensitization; kinesiophobia; anxiety; depression; chronic pain; psychological distress; low level of optimism; and reduced patient satisfaction were used to determine post-TKA QoL scores. High BMI and depression were the most common factors evaluated in these studies. Overall, the methodological quality of the included studies varied from high to low.

Conclusion: After TKA, the overall QoL score improved. However, there are a few physical, behavioral, and psychological factors that influence QoL. Identifying these factors could aid clinicians and health professionals in treating and rehabilitating patients by helping them improve patient prognosis after TKA.

Background: The pain, external knee adduction moment (EKAM), and muscle co-contraction are increased in knee osteoarthritis (KOA). Massage therapy decreases pain in KOA, yet KOA is a mechanical disease and biomechanical changes need to be investigated as well. Therefore, the current study aims to investigate the effectiveness of massage on these outcomes in individuals with medial KOA.

Methods: A cohort of fifteen participants with confirmed medial compartment KOA (2 males, 13 females, age: 61.33 (6.16) years; height: 1.62 (0.06) m; mass: 65.39 (4.04) kg; BMI: 24.74 (4.04) kg/m²) was given a six-week massage. Outcomes assessed pre- and post-intervention were: Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, temporal-spatial variables, knee joint kinematics and kinetics in sagittal, frontal, and transverse planes, vertical ground reaction force (GRF), and knee antagonist muscle co-contraction during gait. The paired t-test were used for statistical analysis.

Results: Fifteen participants completed the study. Significant improvements were observed in WOMAC scores (pain, stiffness, function, and total), walking speed, step length, 1st peak GRF, sagittal plane knee joint range of motion during stance, and medial muscle co-contraction in early and mid-stance (p < 0.05). However, no significant change was found in EKAM and knee adduction angular impulse (KAAI) (p > 0.05).

Conclusion: Massage therapy, as a stand-alone treatment, reduces pain, improves function, and decreases medial muscle co-contraction in individuals with medial KOA. Although EKAM did not change, the results suggest a reduction in medial muscle co-contraction might be a mechanism by which pain is improved.

Background: The Hand10 questionnaire is a short, easy-to-understand, visual questionnaire developed for the functional assessment of upper extremity disorders. It consists of visuals of each item as well as facial expressions that reflect the degree of difficulty during the function. It has been stated that the Hand10 questionnaire is suitable for application in the elderly population due to its stated features.

Objective: This study aimed to evaluate the validity of the Hand10 questionnaire in hand osteoarthritis, the prevalence of which increases with age.

Methods: Patients filled the Hand10, Disabilities of the Arm, Shoulder, and Hand (DASH), and Australian/Canadian Osteoarthritis Hand Index (AUSCAN) questionnaires, once. Validity of Hand10 was determined with DASH and AUSCAN questionnaires using Pearson Correlation Coefficient analysis.

Results: Sixty patients were enrolled in the study. The Hand10 score of the patients was 45.15 ± 25.81; DASH score was 76.31 ± 26.37, and AUSCAN score was 32.75 ± 15.58. The analysis revealed that Hand10 scores showed a positive correlation with DASH scores at a "very good" level (r = 0.71; p < 0.001; 95% confidence interval (CI) [0.55, 0.82]) and AUSCAN scores at an "excellent" level (r = 0.76; p < 0.001; 95% CI [0.63, 0.85]).

Conclusion: The Hand10 questionnaire is a valid tool in patients with hand OA. This questionnaire, which consists of ten items and includes pictures that have a positive effect on repeatability, is very practical in evaluating hand function in upper extremity disorders, especially in older age individuals.

Background: Virtual or Tele-exercise programs have emerged due to safety concerns of COVID-19 contamination for at-risk groups. However, blood glucose (BG) comparisons concerning in-person and virtual exercise programs need to be scientifically researched. Understanding and monitoring home-based teletraining effects on glycemia is vital for safe management of people with type-2 diabetes (T2DM).

Purpose: To verify a 12-week functional teletraining on the capillary BG and compare it with in-person exercise before the COVID-19 pandemic in people with T2DM.

Methods: T2DM participants underwent tele-exercise during the COVID-19 pandemic. It consisted of functional training (functional resistance training (FRT) for 12 weeks, 2 times a week, ∼60 min). Capillary BG was performed before and after (pre-post) each exercise session. The pre-post ΔBG for each session was considered for statistical analysis. Friedman's test with repetitive measures over time was performed to compare the ΔBG of the teletraining and the results of these participants before the pandemic. The minimum detectable difference was performed to verify clinical ΔBG for each session over the weeks.

Results: Similar responses were seen over time without a statistical time effect after the programs (p = 0.177). A noticeable minimum difference of 24.5 mg/dL was observed in the in-person group post-session in all sessions. The virtual group showed a minimum detectable difference of 21.1 mg/dL post-session with clinical relevance over the 12 weeks.

Conclusion: Despite the teletraining being twice weekly and the in-person program thrice weekly, both exhibited similar outcomes over time, with the virtual program showing significant clinical improvements in BG after each session.