JOURNAL OF BODYWORK AND MOVEMENT THERAPIES最新文献

Background

Chronic ankle instability (CAI) is frequently seen in basketball, where ankle sprains are common due to repetitive movements such as jumping, landing, deceleration and acceleration.

Objective

This study investigated the effects of CAI on core stabilization, dynamic balance, and agility in university-level basketball players.

Materials and methods

The study included 22 basketball players with CAI (8F, 3M; 20.09 ± 1.04 years) and without CAI (8F, 3M; 21.27 ± 2.24 years), registered as team players in the Yeditepe University basketball teams. Participants divided into two groups: the chronic ankle instability group (CAIG) and the control group (CG). The participants' core stabilization was evaluated using the McGill Core Endurance Test, dynamic balance was evaluated with the Y Balance Test and the T Test was used to evaluate agility.

Results

According to the results of an independent t-test, significant differences were observed between groups including posteromedial (p = 0.03) and posterolateral (p = 0.03) reach distances, trunk flexion (p = 0.04) and trunk extension (p = 0.03) tests. According to the logistic regression analysis, Y Balance Test posteromedial and posterolateral reach distances, trunk flexion and trunk extension tests in the McGill Core Endurance Test were found to be statistically significant on the presence of CAI (p < 0.05).

Conclusion

Including core stabilization and dynamic balance exercises in the training program may be beneficial to improve core stabilization and dynamic balance parameters and prevention of CAI in university-level basketball players with CAI.

Background

Lumbar Spinal Stenosis (LSS) is a slow progressive degenerative disorder associated with chronic pain and disability. Although consensus-based international guidelines for invasive treatment of patients with LSS exist, few consensus-based guidelines for optimal conservative management strategies have been published.

Objective

To achieve manual therapists’ consensus on optimal physiotherapeutic management strategies for LSS.

Methods

The study employed a three-round, email–based International Delphi survey. All qualified members of the International Maitland Teacher Association (IMTA) (n = 30) were invited to participate.

Results

Twelve IMTA teachers participated in the study. Eight essential physiotherapy management strategies were identified, as follows: 1. Detailed assessment with in-depth interview; 2. Recognition of red flags, contraindications and precautions; 3. Neurological examination; 4. Postural and movement analysis with related ergonomics; 5. Functional analysis; 6. Individualized treatment based on assessment findings and research evidence; 7. Aerobic training and 8. Patient education.

Conclusion

This Delphi survey provides a foundation for physiotherapists to individualize and optimise management approaches for patients with LSS. With a growing elderly population, there is an increasing need for evidence-based conservative management guidelines based on high quality research.

Introduction

The purpose of this study was to investigate lower limb tendinopathy incidence over 3 seasons in Brazilian youth elite athletes.

Design

Prospective epidemiological study.

Methods

A prospective study was performed during 2015, 2016 and 2017 seasons, with a total of 1553 Brazilian youth athletes (1.195 male and 358 female) out of 6 sports (volleyball, basketball, judo, gymnastics, tennis and futsal). The mean age was 14.1 (11.2; 17.0) years, mean height was 1.75 (1.55; 1.95) meters and mean body mass was 59.4 (42.0; 76.4) kilograms. The diagnosis of lower limb tendinopathy (LLT) was made by an experienced sports physician based on a detailed history and clinical exam. The incidence of LLT was determined by number of injuries/total exposure hours x 1000.

Results

In total, 100 LLT were recorded during the 3 seasons. The most frequent type of LLT was patellar (79%), adductor (12%) and Achilles (9%). The frequency of patellar tendinopathy was higher in male's volleyball, basketball and female volleyball (41%, 25%, 13%, respectively) and the frequency of Achilles tendinopathy was higher in basketball and female volleyball (33%,22%). The LLT incidence was 2.5/1000h in 2015, 4.2/1000h in 2016 and 2.1/1000h in 2017.

Conclusion

Lower limb tendinopathies are relatively common in youth elite athletes. In 3-season, the most frequent type was patellar tendinopathy. A higher LLT incidence was observed in male volleyball athletes when compared to female volleyball athletes. Basketball athletes presented a higher frequency of patellar, adductor and Achilles tendinopathies in 3-seasons when compared to other sports.

Background

Presence of pes planus is known to effect balance. In this study, it was aimed to examine the immediate effects of IASTM and PMT on static and dynamic balance in young adults with pes planus.

Method

The navicular drop test was used to diagnose pes planus. 51 individuals were included in the study and divided into three groups [IASTM (n:15), percussive massage (n:18) and control (n:18) groups] by simple randomization. Flamingo and Y Balance test was assessed before and immediately after intervention. Repeated Measures ANOVA test was used for the intergroup comparison, and the One-Way ANOVA test was used for the intragroup comparison, also post-hoc test with Tukey correction was performed.

Results

There was no significant difference in static balance between the three groups (p > 0.05). There was a significant difference in dynamic balance between groups (p < 0.05). Only IASTM group had significant differences at before and after intervention of all directions except for posterolateral direction of Y Balance Test (p < 0.05).

Conclusion

IASTM applied to the plantar fascia of individuals with pes planus have immediate effects on dynamic balance when compared to no intervention and percussive massage even within a small sample size.

Context-

Sacroiliac (SI) joint dysfunction accounts for altered postural stability which can cause a continuously intense pain level and range of disabilities.

Aim

To investigate the correlation of postural stability with pain, disability & QOL among sufferers of sacroiliac joint dysfunction.

Setting

This cross-sectional research was undertaken at Rehabilitation Centre, Jamia Hamdard University.

Method

A total of fifty participants were recruited using sample of convenience according to inclusion and exclusion criteria. After obtaining informed consent, three pain provocative tests and one motion palpation test were used to determine sacroiliac joint dysfunction. Humac balance master system (CSMi USB powered, Stoughton, USA), Visual analogue scale (VAS), modified Oswestry Disability Index (ODI) & WHO QOL-BREF (US version) were used to assess postural stability, pain, disability & Quality of life (QOL) respectively. Data analysis was done for correlation by SPSS version 24.0.

Result

Strong positive correlations were found between reaction time, VAS (r = 0.791) and modified ODI score (r = 0.576) and weak positive correlations between eyes closed solid surface (ECSS) component of modified clinical test of sensory interaction & balance with VAS (r = 0.333) and with modified ODI score (r = 0.304) and eyes open foam surface (EOFS) component with environmental component of QOL (r = 0.287). There were negative correlations between reaction time, physical health (r = −0.413), psychological health (r = −0.375), social relations (r = −0.305), and environment (r = −0.379) parameters of QOL.

Conclusion

According to the findings of the study, there were positive correlations of reaction time with pain and disability and negative correlations with QOL. Awareness of clinicians regarding the altered postural stability can help in improvising the assessment and treatment protocols for patients of SI dysfunction.

Background

Femoral head avascular necrosis (AVN) can contribute to substantial functional limitation. Although surgical intervention for advanced staged AVN can be useful, non-surgical interventions to improve functional independence of patients with hip AVN are not well described.

Objective

The purpose of this case report is to describe the physical therapy intervention provided to a patient with bilateral hip AVN.

Methods

The patient was a 56-year-old male presenting to physical therapy with bilateral femoral head AVN. Impairment-based manual therapy, therapeutic exercise, and education were provided to promote decreased pain and improved self-reported function.

Results

The patient completed eight visits over the course of 10 weeks. Clinically significant improvements were noted in pain ratings and functional level as measured by the Lower Extremity Functional Scale and Harris Hip Score. Improvements were maintained at a two-year follow up period.

Conclusion

Early identification and physical therapy intervention can contribute to promoting functional independence for patients with bilateral hip AVN. Early intervention could potentially reduce the need for surgical intervention. Further research is necessary to describe with detail the optimal methods to accomplish these goals.

Background

There is growing evidence of fascial involvement in musculoskeletal pathologies; thus, measuring the fascia's properties is clinically essential.

Objectives

1) to evaluate intra- and inter-tester reliability of sonographic measurements of deep fascia thickness in healthy individuals; 2) to assess whether fascial thickness in areas of fascial movement restriction (fascial densification in Stecco's Fascial Manipulation method), differs from contralateral areas with normal fascia.

Methods

Part 1 (reliability study): Fascial thickness was sonographically measured in 10 sites (5 on each side), twice by a single examiner to assess intra-rater reliability and once by a second examiner to evaluate inter-rater reliability.

Part 2 (cross-sectional study): Unilateral fascial movement restrictions were detected in 5 bilateral sites by palpation. The fascial thickness on the ultrasound image was measured at the restriction site and its normal contralateral side by a blinded assessor.

Results

21 healthy individuals were evaluated in part 1, 15 healthy individuals in part 2. Intra-tester reliability (Interclass correlation – ICC) values ranged from 0.677 to 0.975; inter-tester ICC values ranged from 0.473 to 0.966. No significant differences in fascia thickness between the right and left body sides were observed in most sites. Significant differences were found between the fascial thickness of the site of fascial movement restrictions vs. normal counterpart.

Conclusions

Intra- and inter-rater reliability of sonographic measuring fascial thickness was high, and fascial thickness of the site of fascial movement restrictions was greater than in the normal counterpart. Ultrasonography may be used as a reliable method to evaluate fascial alterations.

Cricket is one of the most well-known sports played in India. It not only comprises of aerobic activity but also includes complex-based movements like running, jumping, diving, catching, etc that depend on various individual factors such as height, weight, power, endurance, agility etc.

Objectives

The purpose of the study was to determine the relationship between BMI, Waist circumference with leg power in cricket players.

Design

The study was a cross-sectional assessment-based study.

Setting

Players from different clubs and associations were included.

Participants

43 male and female cricketers from both recreational and professional backgrounds, between the age group of 16–25 years were included in the study.

Main outcome measures

Participants were included according to the inclusion and exclusion criteria using validated screening tools and assessment protocols. The BMI, and WC using a weighing scale and measuring tape respectively, and leg power was measured using the vertical jump test which is a commonly used tool to measure an athlete's ability to explosively drive themselves off the ground in a vertical direction, providing insight into the strength and power generated by the lower muscles.

Results

A significant negative correlation was found between Waist circumference and Leg power with r value of −0.338 with p = 0.023. While a significant but weak negative correlation was found between BMI and Leg power with r value of −0.279 with p = 0.070.

Conclusion

Present study concluded that waist circumference has a significant negative correlation with leg power than BMI in cricketers.

Introduction

This study aimed to investigate the test-retest reliability of the L test under single and dual-task conditions in women with fibromyalgia. To analyze the concurrent validity of the L test and Timed Up and Go test (TUG) and the relationship between the L test and the impact of the disease.

Methods

A cross-sectional study with 22 women with fibromyalgia. The Intraclass Correlation Coefficient (ICC) 3,1 evaluated the reliability. The concurrent validity was established between the L test and the TUG. The Pearson product-moment correlation assessed the correlation between the L test and the impact of the disease.

Results

Results revealed an ICC of 0.95 (0.876–0.979) in the single condition with the stopwatch and 0.95 (0.872–0.978) with the Chronopic. In the dual-task condition 0.93 (0.832–0.971) with the stopwatch and 0.94 (0.854–0.975) with the Chronopic.

The L test and the TUG showed significant relationships with a stopwatch in the single (test-r = 0.839; retest-r = 0.897) and the dual-task conditions (test-r = 0.793; retest-r = 0.882). These findings were also found with the Chronopic in the single (test-r = 0.876; retest-r = 0.901) and the dual-task conditions (test-r = 0.872; retest-r = 0.897).

Significant relationships were found between the L test and the impact of the disease with a stopwatch in the single (test-r = 0.502; retest-r = 0.647) and the dual-task conditions (test-r = 0.428; retest-r = 0.571). And with the Chronopic in the single (test-r = 0.528; retest-r = 0.663) and the dual-task conditions (test-r = 0.482; retest-r = 0.608).

Conclusions

L test is a reliable tool under single and dual-task conditions in women with fibromyalgia. This test is a valid method when compared with the TUG, and it is related to the impact of the disease.

Introduction

The Constant-Murley Score (CMS) uses universal goniometry (UG), and the Shoulder Functional Reach Score (SFRS) uses visual estimation (VE). The CMS has validity challenges, and the SFRS has been critiqued for using VE. This study sought to determine the reliability and concurrent validity of VE when compared to the UG for shoulder flexion and abduction. Differences between symptomatic and asymptomatic shoulder and expert and novice raters were also explored.

Methods

Participants were included if they were at least 18 years old with unilateral, symptomatic shoulder pain, with no post-surgical contraindications. All conditions were randomized, and raters were blinded.

Results

The intertester reliability for UG had Intraclass Correlation Coefficient (ICC) values of 0.76–0.91 at visit one. VE had ICC values that ranged from 0.87 to 0.92 at visit one. VE test-retest reliability had ICC values from 0.81 to 0.94. At visit one, concurrent validity was demonstrated by rho values from 0.84 to 0.89. There were statistically significant differences between the shoulders (P ≤ 0.0448), and there were no differences between the raters (P ≥ 0.0960).

Discussion

UG and VE of active shoulder flexion and abduction are reliable and concurrently valid. Additionally, there were differences between symptomatic and asymptomatic shoulders, and there were no differences between novice and expert raters.

Conclusion

The SFRS may be reliable and valid for measuring shoulder motion using VE within and between treatment sessions. Future research should examine this in larger, more diverse participant populations.