Search Results (1,117)

Background/Objectives: Ataxia is quite common in pediatric neuromotor disorders and has a highly heterogeneous etiology. Mobility difficulties and functional limitations reflect the lack of coordination in this population. The aim of this study is to assess the effectiveness of an intensive program of Functional Partial Body Weight Support Treadmill Training (FPBWSTT) on the mobility and functionality of children with ataxia. Methods: Through a stratified randomized control trial, a sample of 18 children with progressive and non-progressive ataxia and GMFCS II-IV (mean age: 14 years; standard deviation: 2.5) was assessed prior to the intervention, post-intervention, and 2 months after its end. Motor and functional skills were assessed with the Gross Motor Function Measure (GMFM, items D-E), the Pediatric Balance Scale (PBS), a 10 m walk test (10 MWT), a 6 min walk test (6 MWT), the Scale for Assessment and Rating Ataxia (SARA), the TimedUp and Go (TUG) test, spatiotemporal gait parameters, and kinetic and kinematic variables of the pelvis and lower limb. Results: Statistically significant interactions and changes in favor of the FPBWSTT were found in all functional assessments and spatiotemporal gait parameters (p < 0.05), the majority of which were maintained for two months. There was no statistical interaction or change in kinematic parameters (p > 0.05), while kinetic variables were insufficiently collected and were not statistically analyzed. Conclusions: The FPBWSTT is more effective on the mobility and functionality of children with ataxia who are 8–18 years old, compared to typical physiotherapy. Kinematic variables may not be sensitive indicators of change over a short period of time and/or in this population. Full article

Background/Objectives: The aims of this study were to establish the relationship between hand grip strength (HGS) and sleep disturbances, as well as to correlate HGS with the perception of general health status. Methods: A cross-sectional study was conducted among Physical Therapy students. Participants completed the International Physical Activity Questionnaire–Short Form (IPAQ-SF), the Pittsburgh Sleep Quality Index (PSQI), and the General Health Questionnaire (GHQ-12). HGS was measured using a dynamometer and self-reported anonymously. Results: A total of 145 students participated (58.6% males; mean age: 21.0 ± 3.9 years). The average HGS was 42.4 kg in the dominant hand and 39.2 kg in the non-dominant one. Poor subjective sleep quality was reported by 27.5%; 84.1% slept less than 7 h. GHQ-12 scores indicated that 31.7% may be experiencing emotional distress. HGS was inversely correlated with PSQI scores in both dominant (ρ = –0.211; p = 0.019) and non-dominant hands (ρ = –0.178; p = 0.049). Students with GHQ-12 scores >12 had significantly lower HGS. No significant correlation was found between HGS and physical activity intensity. Conclusions: Lower hand grip strength was correlated with poor sleep quality and higher GHQ-12 scores, independently of physical activity levels. These findings suggest that HGS may serve as a simple and accessible indicator of psychological vulnerability in university students. Full article

Background: Fibromyalgia is a chronic rheumatological disease that affects the musculoskeletal system, primarily characterized by widespread chronic pain and other symptoms that significantly impact the quality of life of those who suffer from it, being more prevalent in the female population. In this context, among the non-pharmacological treatments available for this condition, resistance exercise has shown to be a promising intervention. The aim of this systematic review was to determine the optimal intensity of resistance exercise in patients with fibromyalgia and evaluate its effects and benefits. Methods: An exhaustive literature search was carried out in the PubMed, Scopus, SciELO, Web of Science, ScienceDirect, and PEDro databases. After the selection process, from the 405 studies initially identified, 17 met the established inclusion criteria. Subsequently, the methodological quality of the studies was evaluated using the Cochrane RoB 2 tool. Results: From the 405 studies initially identified, 17 met the established inclusion criteria. The results indicate that among the interventions studied, progressive intensity is the most recommended, where it is suggested to start with 40% of 1RM. This is followed, in order of recommendation, by low- and medium-intensity exercises, while high-intensity exercises are, in principle, the least used. Furthermore, the analysis of the effects of progressive intensity exercise showed promising results, including a significant decrease in pain, an increase in physical functionality, and, consequently, an improvement in quality of life. Conclusions: These findings suggest that progressive resistance exercise is an effective intervention for treating patients with fibromyalgia. Full article

Background/Objectives: In overhead throwing sports such as baseball and softball, upper extremity injuries are prevalent at both collegiate and high school levels. Currently, there is no universal assessment protocol to identify athletes at risk for injury or to determine their readiness to return to sport. This study aimed to investigate the relationship between shoulder internal rotation (IR) and external rotation (ER) isometric strength in a throwing position and three upper extremity functional tests among collegiate baseball players. It was hypothesized that there would not be significant correlations between shoulder IR and ER peak isometric force and the following functional assessments: the Upper Quarter Y Balance Test (YBT-UQ), seated single-arm shot put, and Closed Kinematic Chain Upper Extremity Strength Test (CKCUEST). Methods: Forty healthy collegiate baseball players volunteered for the study. After completing a self-guided warm-up, participants performed bilateral isometric shoulder IR and ER strength tests at 90 degrees of shoulder abduction and elbow flexion, followed by the three functional tests in random order. Relationships were analyzed using Pearson’s correlation coefficients (r), with a significance level set at p < 0.05. Results: Correlations were generally low, ranging from r = 0.001 to r = 0.551. Significant correlations were observed between the CKCUEST and dominant IR strength (r = 0.345, p = 0.031), dominant ER strength (r = 0.407, p = 0.010), and non-dominant ER strength (r = 0.551, p < 0.001). Additionally, a significant correlation was found between the dominant ER/IR strength ratio and the dominant arm superolateral reach on the YBT-UQ (r = −0.352, p = 0.026). No significant correlations were identified between isometric shoulder strength and the single-arm shot put. Conclusions: Most correlations were low to moderate, and only significant correlations between shoulder rotation isometric strength and one direction of the YBT-UQ and the CKCUEST were observed. Thus, shoulder rotation strength in a position similar to the cocking phase of overhead throwing may be valuable for return-to-sport criteria and injury screening for overhead athletes. However, further research is needed to validate these findings. Full article

This narrative review explores the significant evolution of sports rehabilitation, tracing its trajectory from basic exercise therapies of the early 20th century to the advanced, neuroplasticity-driven approaches of the 21st century, with a specific focus on anterior cruciate ligament reconstruction (ACLR). The primary aim is to understand how neuroplasticity, motor control, and sensorimotor retraining can optimize recovery, reduce reinjury risk, and enhance long-term athletic performance, and to synthesize current rehabilitation strategies that integrate innovative technologies, such as robotics, virtual reality (VR), and biofeedback systems, to address the neurocognitive deficits that contribute to the alarmingly high reinjury rates (9–29%) observed in young athletes post-ACLR. These deficits include impaired proprioception, motor control, and psychological factors like fear of reinjury. The methodology employed involves a narrative review of peer-reviewed literature from databases including PubMed, Scopus, and Web of Science. The synthesis of findings underscores the importance of holistic rehabilitation approaches, including targeted proprioceptive exercises, dual-task drills, and immersive VR training, in enhancing sensorimotor integration, decision-making, and athlete confidence. Furthermore, this review highlights the critical need for long-term monitoring and interdisciplinary collaboration between neuroscientists, physiotherapists, and engineers to refine rehabilitation protocols and ensure sustained recovery. By leveraging neuroplasticity and advanced technologies, the field can shift from a focus on purely physical restoration to comprehensive recovery models that significantly reduce reinjury risks and optimize athletic performance. Full article

Background/Objectives: Dribbling is a fundamental skill in soccer, but assessing the performance of youth players in this skill is complicated by the confounded effects of age and physical development. In this study, our aim was to quantify the interactive effects of age, height, and mass on the dribbling performance of 180 players between 10 and 21 years old from an elite Brazilian junior academy. Methods: For each player, we quantified their dribbling and sprinting speed along four different paths with varying curvature, and their ability to perform specific, directed dribbling drills using one or both feet. To characterise patterns of variation among player’s age, height, and mass—and to control for their confounding effects—we used a principal component analysis (PCA) to create a multivariate index of age and size (ASI). Results: Dribbling, sprinting, and directed dribbling were all positively associated with ASI; however, age alone was a better predictor of performance than ASI. Using multi-model inference, we found that a player’s overall dribbling was best predicted by models that included sprint speed and overall directed dribbling ability (p < 0.0001). When performing subsequent analyses that separate each of the directed dribbling drills into using dominant, non-dominant, or both feet, we found the best predictors of overall dribbling performance were sprinting and directed dribbling activities that use both feet. Conclusions: These results provide the first set of normative data for a detailed metric of dribbling performance and soccer-specific foot coordination that can allow players and coaches to compare and assess their performances relative to a single population of high-quality junior players Full article

Background: Severe impairment in motor function following a stroke can pose a significant challenge during rehabilitation since the patients are unable to carry out active forms of rehabilitation, such as task-specific training. Thus, in such a case, passive movement can be utilized. The aim of this systematic review and meta-analysis is to determine from the literature the evidence on the effects of passive movement compared with a control on recovery outcomes post stroke. Method: Four databases, PubMED, Embase, Web of Science (WoS), and CENTRAL, were searched. Data on the study participants’ characteristics, such as the mean age, the mean time since stroke, the protocol of the experimental and control interventions, the mean scores on the outcomes assessed post intervention and at follow-up, and the number of participants in both the experimental and control groups were extracted. Result: Four studies (n = 166), with two having a moderate quality and two having a high methodological quality, were included in the study. The test for overall effects showed that passive movement is superior to the control at improving the recovery of function (SMD = 0.82, 95% CI = 0.40 to −1.24, p = 0.0002) post intervention. However, the results of the individual domains showed that the experimental group is only superior to the control at improving motor function (SMD = 0.70, 95% CI = 0.21 to 1.18, p = 0.005) and disability (SMD = 0.81, 95% CI = 0.32 to 1.31, p = 0.001). Conclusions: Evidence for the effects of passive movement on recovery outcomes in patients with stroke seems to be low. Therefore, the clinical decision on its application requires reflection, and further randomized controlled trials need to be carried out to determine the evidence. Full article

Background/Objectives: Dual tasks are increasingly being employed in research on concussion, since they provide a somewhat more realistic representation of the demands athletes face on the field. While single cognitive and motor tasks have revealed persisting autonomic alterations in concussed athletes, the unique autonomic response required by a dual task remains unexplored in this population. The purpose of this study was to evaluate autonomic responses in asymptomatic athletes with a history of concussion (m = 5.46 months ± 2.00) following a complex dual task. Methods: Heart rate variability (HRV), a biomarker of autonomic regulation, was measured in 34 athletes (16 concussed, 18 controls) aged 17 to 24. HRV data were collected using the Polar H10 chest belt. Five-minute segments were extracted under four conditions: rest, following a cognitive task (switch task), after a dual task combining both motor and cognitive components, and after the same dual task preceded by 20 min of aerobic exercise. A series of 4 × 2 mixed-design ANOVAs were conducted to assess the differences between the conditions and groups. Results: The results indicated a significant increase in a global marker of HRV (i.e., the standard deviation of normal-to-normal intervals (SDNN)) following the switch task compared to rest (p = 0.014) only in concussed participants. These results suggest that the switch task may stimulate frontal regions and promote a parasympathetic response, as reflected by the rise in HRV. Notably, the effect of the switch task disappeared when combined with the motor component of the dual task, whether it was preceded by aerobic exercise or not. Conclusions: The dual task results indicate potential competing mechanisms between the motor and cognitive components of the task, which future studies using similar protocols should consider. Meanwhile, the switch task appears sufficiently demanding to reveal autonomic alterations, which, when measured through HRV, may constitute a relevant clinical tool for assessing athletes’ readiness to return to sport and academic study. Full article

Objectives: The present study examined the sensory preferences adopted by students over three years of training in a specialized training program for security forces (STPSF). It determines their impact on karate performance metrics. Methods: Thirty-one students aged 20 to 26 (SD = 0.81) completed the modified Visual, Aural, Read/Write, and Kinesthetic questionnaire (VARK), a tool designed to help identify students’ preferred learning styles. This research suggests a theoretical model in which the balanced and optimal engagement of visual, auditory, and kinesthetic modalities rather than a strict mathematical equation might provide an optimal foundation for improving proficiency in martial arts. Balanced engagement of these sensory modalities can foster a deeper understanding of karate techniques, improve performance, minimize dependence on a single sensory channel, and bolster real-time adaptability. The students were tested at two points: once at the beginning of their enrolment and again after completing their three-year training program. Results: After a relatively intensive intervention over three years, the findings suggest a positive shift in the ratio of the primary modalities, moving toward an optimal balance. Considering the ideal sensory balance of 50:50:50%, the visual modality increased from 45.8 to 50.4, approaching the optimal value. The auditory modality, initially above the ideal level at 53.8, adjusted closer to balance, reaching 51.9. In contrast, the kinesthetic modality slightly decreased from 50 to 47.5, indicating a minor deviation from the ideal state. It was further confirmed that a higher technical level, such as the third kyu, exhibits an equal distribution, approaching the optimal use of the three modalities: visual 51.5 auditory 47.6 and kinesthetic 50.7. Moreover, the progress toward an optimal synergy and a more efficient evaluation of situational possibilities within the decision-making process was more frequently noted in females than in male students. Conclusions: Acknowledging students’ sensory processing preferences can assist the teacher, trainer, coach, and student in advancing interaction, optimizing learning strategies, improving performance, promoting analytical skills, and fostering self-assurance and determination. Full article

Background: We established a model of diet-induced obesity in Sprague–Dawley rats that produces, in addition to obesity, metabolic syndrome and musculoskeletal degeneration. Prebiotic fiber and aerobic exercise interventions have been shown to rescue bones and joints from degeneration, but it has yet to be shown if muscle degeneration can also be stopped with these interventions. Objectives: This study was aimed at determining if prebiotic fiber supplementation and/or aerobic exercise can prevent muscular alterations in our rat model of obesity. Methods: Using a high-fat/high-sucrose (HFS) diet-induced rat model of obesity, 12-week-old male Sprague–Dawley rats were randomly divided into sedentary (HFS, n = 12), exercise (HFS + E, n = 12), prebiotic fiber supplementation (HFS + F, n = 12), or combined intervention (HFS + F + E, n = 12) groups for 12 weeks, with eight chow-fed animals as controls. Muscle triglyceride levels were measured using colorimetric assays, collagen content was assessed histologically, and CD68 immunohistochemistry was performed on the vastus lateralis (VL) and soleus muscles. Group comparisons were conducted using the Kruskal–Wallis test and chi-squared effect statistics (χ2). Results: VL triglyceride (χ2 = 10.481, p = 0.033) and collagen content in both VL and soleus (χ2 = 23.148, p < 0.001 and χ2 = 34.166, p < 0.001 respectively) were higher in all HFS-diet intervention groups compared to the chow-fed Control group. Lean body mass did not differ among groups (χ2 = 3.9192, p = 0.417). The HFS group exhibited increased total cholesterol and triglyceride levels (χ2 = 11.693, p = 0.019; and χ2 = 21.663, p < 0.001 respectively) and starkly reduced whole-body insulin sensitivity (χ2 = 18.046, p = 0.001) compared to the Control or to the exercise and fiber supplementation groups. Conclusions: Despite the effectiveness of aerobic exercise and prebiotic fiber supplementation in preventing the systemic metabolic disturbances induced by the HFS diet, muscular alterations persisted. Prebiotic fiber supplementation led to the highest muscle collagen content, suggesting potential adaptative muscular response to the systemic insult caused by the HFS diet. Full article

Background/Objectives: Human tendon properties influence athletic performance, and it was shown that Achilles tendon (AT) stiffness correlates with an athlete’s jumping performance across sports. However, the findings on this relationship between basketball and soccer are different. Hence, this study examined the relationship between AT stiffness and jumping performance in male athletes. Methods: Sixty-six males (24.9 ± 4.7 years; twenty-two basketball players (22.0 ± 4.1 years), and forty-four soccer players (26.3 ± 4.4 years)) participated. Reactive jumping performance (reactive strength index (RSI), jump height (JH), and ground contact time (GCT)) were assessed using drop jumps (fall height: 30 cm), and AT stiffness (supine position) was measured using the MyotonPro. Results: Soccer players had a significantly higher AT stiffness (826.8 ± 90.5 N/m) than basketball players (754.1 ± 80.1 N/m, p = 0.002), but no differences were found in JH, RSI, or GCT (p > 0.05). JH and AT stiffness significantly correlated in basketball players (r = 0.448) but not in soccer players (r < 0.100). The multiple linear regression indicated that AT stiffness is significantly influenced by the sport type (soccer or basketball), while age, mass, and height remained non-significant. Conclusions: Despite higher AT stiffness in soccer players (which can be explained by different activity regimens), a moderate correlation between jumping performance and AT stiffness was evident only in basketball. Given the versatile demands of both sports, tendon characteristics appear to have an influence on jumping performance. For future studies, investigating tendon characteristics represents a valuable addition to training and therapy scheduling. Full article

Background/Objectives: A major importance is now accorded to respiratory muscle weakness resulting from exposure to invasive mechanical ventilation (IMV) in intensive care unit patients. Some authors suggested that Inspiratory Muscle Training (IMT) could increase the chances of weaning off IMV. This systematic review examined the efficacy of IMT on weaning success in mechanically ventilated patients. Methods: A literature search was conducted on PubMed, Cochrane, and PEDro until June 2023. Weaning success, maximum inspiratory pressure (MIP), and Rapid Shallow Breathing Index (RSBI) were the outcome measures included. Results: Seven randomized controlled trials, including 517 participants under IMV for at least 48 h, were included in the review. From a qualitative point of view, a significant increase in MIP and a significant decrease in RSBI were found in the intervention group during the analysis. However, weaning success was the same between the intervention and control groups. No significant association was found between weaning success and the increase of MIP or the decrease of RSBI. Furthermore, it could not be demonstrated that a positive change in MIP or RSBI would increase the weaning success rates. Conclusions: From a qualitative point of view, IMT is effective in increasing MIP and decreasing RSBI. However, IMT has no significant impact on weaning success. Further research is recommended to analyze the effect of IMT on weaning success. Full article

Background/Objectives: Hip abductor weakness is a common issue in patients with lower back pain, knee osteoarthritis, and hip disorders, and compromises pelvic stability, gait control, and function. Side-lying hip abduction exercises are widely used as safe and effective interventions for patients unable to perform high-load or weight-bearing activities. However, the influence of ankle joint angles and distal muscle activity on the hip abductor muscles remains unclear. This study aimed to investigate the effects of ankle joint angles and activation states on unilateral right hip abductor strength and muscle activity. Methods: Fifteen healthy male adults (29.1 ± 5.4 years) participated. Surface electromyography (EMG) was used to measure the activity of the tensor fasciae latae (TFL), gluteus medius (G-med), gluteus maximus, tibialis anterior, and medial gas-trocnemius muscles. Hip abduction strength was evaluated in a side-lying position with the ankle positioned at three angles (neutral, dorsiflexion, and plantarflexion) and in three activation states (no activation, maximal dorsiflexion, and maximal plantarflexion). Two-factor (3 × 3) repeated measures ANOVA was used to analyze strength and EMG activity. Results: ANOVA revealed a significant interaction effect. The results of the simple main effects showed significantly higher hip abduction strength in dorsiflexion than in the neutral position and plantarflexion (p < 0.001). TFL and G-med EMG activities peaked during dorsiflexion, particularly under maximal dorsiflexion. Conclusions: These findings suggest that dorsiflexion enhances hip abductor strength and activity by increasing fascial tension (lateral line and superficial backline) and improving limb alignment. This approach may provide effective rehabilitation strategies. This is a load-adjustable training recovery approach that should be confirmed with future intervention studies. Full article

Background: Selecting the right linear position transducer (LPT) for velocity-based training monitoring sometimes presents uncertainties for coaches. Objectives: This study rigorously examined the test-retest reliability of three LPT–Cs using a simultaneous triangulation method of the same device during bench press (BP) and back squat (SQ) exercises performed on a Smith machine. Methods: Forty university students—13 females (23 ± 2 years) and 27 males (31.5 ± 6 years)—voluntarily participated in a randomized repeated-measures study. LPTs were randomly assigned numbers and placed at 5 cm apart to measure and collect bar displacement (∆S), mean propulsive velocity (MPV), peak velocity (PV), and time to peak velocity (T–PV). Each volunteer performed three BP and SQ attempts with pre-standardized loads (males: BP ≥ 40 kg and SQ ≥ 60 kg; females: BP ≥ 25 kg and SQ ≥ 40 kg). Results: The main findings of this study support a high degree of reliability for LPTs. For all variables, the absolute reliability presented significant values (p ≤ 0.05), with an intraclass correlation coefficient ≥ 0.995, a 95% confidence interval between 0.992–0.999, a coefficient of variation ≤ 10%, and a standard error of the mean ≤ 0.031. Conclusions: Scientists and coaches can use the LPT device as a reliable tool for monitoring velocity-based training by providing rigorous measurements of ∆S, MPV, PV, and T–PV during BP and SQ exercises. In addition, the smallest real difference reported may be useful in identifying minimal changes in ∆S within a single set (BP = 0.10 cm; SQ = 0.13 cm). Full article