COVID-19, a disease resulting from infection by the SARS-CoV-2 virus, which can determine several sequelae, including a significant physical-functional deficit. In this sense, rehabilitation becomes ...essential and part of the recovery process of affected individuals, regardless of the severity of the clinical presentation. Proprioceptive training can increase the effectiveness of rehabilitation for these patients, as it is a combination of balance training and functional capacity training, promoting important results.
To verify the effect of proprioceptive training on the muscle strength of individuals with acute post-COVID-19 sequelae.
Randomized controlled clinical trial. The volunteers were divided into 2 groups: Intervention Group (IG=28) and Control Group (GC=27). Three assessments were performed: initial assessment (TO), reassessment (T1) in the 6th session, and reassessment in the 12th session (T2). Sociodemographic data, muscle strength of the upper limbs by manual dynamometry and lower limbs by measuring functional mobility through the Timed Up and Go Test (TUG) were collected. The intervention program lasted 6 weeks, including physical training (twice a week for 60 minutes), divided into five phases: warm-up (10 minutes) involving joint mobility, stretching and breathing techniques; resistance training (20 minutes) walking; strength training (10 minutes) consisting of 7 exercises, with 2 sets of 10 repetitions for upper and lower limb muscle groups, using elastic bands, weights, graded according to the patient's capacity; balance training (10 minutes) consisting of static and dynamic exercises organized in 4 levels; and post-workout (10 minutes) composed of effort similar to warm-up. Descriptive statistics of the results were performed in the form of graphs of mean and standard deviation, for qualitative variables. When comparing manual dynamometry and TUG, an intention-to-treat analysis approach was used.
In manual dynamometry, it was observed that the GI presented 35.4+3.00kgf (MSE) in (T0) and 37.05+11.249kgf (MSE) in (T2). Regarding the performance in the TUG, in the GI individuals there was an improvement that varied from 7.67 seconds (T0) to 6.775 seconds (T2).
Individuals submitted to 6 weeks of proprioceptive training, showed an increase in the muscle strength of the UL and LL.
These data are important to better prevent functional repercussions in COVID-19 survivors; showing the benefits of proprioceptive training in gaining muscle strength and improving functional capacity inherent to rehabilitation programs for this population.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
Introduction: Complex scientific work to investigate and develop the factors determining performance is essential to improving sports performance. Creating the neuro-muscular connection is paramount, ...as it is the cornerstone of movement coordination, and the nervous system is the key to mental components.
Objective: Our study aims to demonstrate the positive effects of core-proprioceptive training on executive functions.
Method: The DEAC U13 girls' academy basketball players (n=12) participated in a 9-week core-proprioceptive training program. Before and after the program, the players' executive functions were measured with the Vienna Test System.
Result: A marked improvement in the measured parameters regarding the evolution of correct and incorrect responses and the reaction time. There is a significant reduction in the number of missed responses.
Conclusions: Core-proprioceptive training also improved nerve-muscle connectivity, affecting the quality of executive functions. The results may be implemented in designing training program.
It has become almost routine practice to incorporate balance exercises into training programs for athletes from different sports. However, the type of training that is most efficient remains unclear, ...as well as the frequency, intensity and duration of the exercise that would be most beneficial have not yet been determined. The following review is based on papers that were found through computerized searches of PubMed and SportDiscus from 2000 to 2016. Articles related to balance training, testing, and injury prevention in young healthy athletes were considered. Based on a Boolean search strategy the independent researchers performed a literature review. A total of 2395 articles were evaluated, yet only 50 studies met the inclusion criteria. In most of the reviewed articles, balance training has proven to be an effective tool for the improvement of postural control. It is difficult to establish one model of training that would be appropriate for each sport discipline, including its characteristics and demands. The main aim of this review was to identify a training protocol based on most commonly used interventions that led to improvements in balance. Our choice was specifically established on the assessment of the effects of balance training on postural control and injury prevention as well as balance training methods. The analyses including papers in which training protocols demonstrated positive effects on balance performance suggest that an efficient training protocol should last for 8 weeks, with a frequency of two training sessions per week, and a single training session of 45 min. This standard was established based on 36 reviewed studies.
The aim of this systematic review was to assess the effectiveness of proprioceptive/neuromuscular training in preventing sports injuries by using the best available evidence from methodologically ...well-conducted randomized controlled trials and controlled clinical trials without randomization.
Two independent researchers performed a literature search in various electronic databases and reference lists. The reviewers independently assessed trials for inclusion criteria and methodological quality and extracted the data. Focusing on studies of high methodological quality, relative risks (RR) and 95% confidence intervals (CI) were used to estimate treatment effects.
From a total of 32 relevant studies, 7 methodologically well-conducted studies were considered for this review. Pooled analysis revealed that multi-intervention training was effective in reducing the risk of lower limb injuries (RR = 0.61, 95% CI = 0.49-0.77, P < 0.01), acute knee injuries (RR = 0.46, 95% CI = 0.28-0.76, P < 0.01), and ankle sprain injuries (RR = 0.50, 95% CI = 0.31-0.79, P < 0.01). Balance training alone resulted in a significant risk reduction of ankle sprain injuries (RR = 0.64, 95% CI = 0.46-0.9, P < 0.01) and a nonsignificant risk reduction for injuries overall (RR = 0.49, 95% CI = 0.13-1.8, P = 0.28). Exercise interventions were more effective in athletes with a history of sports injury than in those without.
On the basis of the results of seven high-quality studies, this review showed evidence for the effectiveness of proprioceptive/neuromuscular training in reducing the incidence of certain types of sports injuries among adolescent and young adult athletes during pivoting sports. Future research should focus on the conduct of comparative trials to identify the most appropriate and effective training components for preventing injuries in specific sports and populations.
The aim of this systematic review was to evaluate the effectiveness of proprioceptive training in the prevention of lower extremity injuries, especially the ankle and knee joint, in team athletes. ...PRISMA recommendations were applied for this research. PubMed, ScienceDirect, and BioMed Central were used to identify relevant studies. The methodological quality of studies was assessed using the Physiotherapy Evidence Database-PEDro scale. Only 7 research met the eligibility criteria, and their outcomes were presented. Proprioceptive training has been shown to be very effective in preventing ankle injuries, especially in recurrent ankle sprains. However, in 3 of 4 studies lacked the effects of proprioceptive training in the prevention of knee and ACL injuries. Based on the results of the analyzed research, I can conclude that proprioceptive training is a very effective training tool in the prevention of ankle sprains in the population of team athletes, but proprioceptive training is not sufficient as the only training component in preventing knee injuries.
Achilles tendon injury is a major clinical problem because it prevents proper functioning of the patient. The recommended procedure in the event of tendon rupture is surgical treatment - ...reconstruction of tendon reconstruction. The aim of surgical treatment of Achilles tendon rupture is to bring back its function by restoring the correct length and tension of the tendon and to obtain the highest possible functional state of the patient. The selection of the optimal post-operative rehabilitation programme with a predominance of functional physiotherapy elements is an essential part of the treatment of Achilles tendon rupture. A proper rehabilitation after the surgery enables the patient to achieve better functional results. During the surgery proprioceptors are damaged, that is why the treatment working on three levels of motor control should be introduced as fast as possible, such as kinesthetic or proprioceptive training.
Achilles tendon injury is a major clinical problem because it prevents proper functioning of the patient. The recommended procedure in the event of tendon rupture is surgical treatment - ...reconstruction of tendon reconstruction. The aim of surgical treatment of Achilles tendon rupture is to bring back its function by restoring the correct length and tension of the tendon and to obtain the highest possible functional state of the patient. The selection of the optimal post-operative rehabilitation programme with a predominance of functional physiotherapy elements is an essential part of the treatment of Achilles tendon rupture. A proper rehabilitation after the surgery enables the patient to achieve better functional results. During the surgery proprioceptors are damaged, that is why the treatment working on three levels of motor control should be introduced as fast as possible, such as kinesthetic or proprioceptive training.
•Experimental group received prowling, proprioceptive training & routine treatment.•Control group received only routine physiotherapy treatment.•Experimental group improved in knee hyperextension and ...dorsiflexion.•Experimental group also improved in WGS score & time taken to cover the distance.•Control group improved only in time taken to cover the distance.
Knee hyperextension is seen in 40–68% of ambulating hemiparetics. If left untreated it may lead to laxity of posterior structures of knee resulting in early degeneration of knee leading to pain, reduced independence in activities of daily living (ADL), deformities and instability. In this study we hypothesize walking with bent knee attitude (prowling) along with proprioceptive training may help to reduce knee hyperextension during the stance phase of gait cycle.
To test the efficacy of prowling along with proprioceptive training on knee hyperextension range, dorsiflexion range and spatio temporal parameters of gait using Wisconsin gait scale (WGS) as compared to routine physiotherapy.
32 subjects were randomized into 2 groups- experimental and control groups. Both the groups were given routine physiotherapy. Experimental group received an additional treatment consisting of prowling along with proprioceptive training. Knee hyperextension and ankle dorsiflexion ranges were videotaped and analysed using Kinovea software, and for spatio-temporal gait parameters WGS was used.
In our study, the experimental group showed significant improvement over the control group with regards to knee hyperextension, dorsiflexion range and WGS score. Pre post intervention analysis, within the group, for time taken to cover the distance revealed significant improvement, however between group analysis did not reveal any significant difference.
Prowling along with proprioceptive training is effective in reducing knee hyperextension, increasing dorsiflexion range and improving spatio-temporal gait parameters.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPCLJ, UPUK, ZRSKP
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