Purpose The present study aimed to investigate the effects of neck and trunk stabilization exercises on upper limb and visuoperceptual function in children with cerebral palsy. The Jebson-Taylor hand ...function test and the Korean Developmental Test of Visual Perception-2 (K-DTVP-2) test were utilised. Subjects and Methods The study subjects were 11 schoolchildren who had paraplegia caused by premature birth, and who had been diagnosed with periventricular leukomalacia. Kinesitherapy was implemented in individual children for eight weeks, twice a week, for 45 minutes at a time. After a preliminary evaluation, kinesitherapy, including neck and trunk stabilization exercises common to all the children, was implemented for eight weeks according to the functioning and level of each child. A post evaluation was performed after the eight weeks of kinesitherapy. Results The intervention showed a significant effect in five subcategories of the Jebson-Taylor hand function test, as well as according to the K-DTVP-2 test. Conclusion Because neck and trunk stabilization exercises requiring positive participation by the children included fundamental elements of daily living motion, the exercises might have had a positive effect on upper limb and visuoperceptual function.
Purpose
To summarise recommendations about 21 selected non-surgical interventions for recent onset (<12 weeks) non-specific neck pain (NP) and cervical radiculopathy (CR) based on two guidelines from ...the Danish Health Authority.
Methods
Two multidisciplinary working groups formulated recommendations based on the GRADE approach.
Results
Twelve recommendations were based on evidence and nine on consensus. Management should include information about prognosis, warning signs, and advise to remain active. For treatment, guidelines suggest different types of supervised exercise and manual therapy; combinations of exercise and manual therapy before medicine for NP; acupuncture for NP but not CR; traction for CR; and oral NSAID (oral or topical) and Tramadol after careful consideration for NP and CR.
Conclusion
Recommendations are based on low-quality evidence or on consensus, but are well aligned with recommendations from guidelines from North America. The working groups recommend intensifying research relating to all aspects of management of NP and CR.
Cross knee curl-up is an ideal variation of abdominal curl up exercise to strengthen abdominal musculature without excessive lumbar flexion which can increase the loads on the disc and ligaments. In ...addition, slowly forced expiration can facilitate the activation of the abdominal musculature. The purpose of this study was to determine the effects of slowly forced expiration on activity of abdominal muscles, such as rectus abdominis (RA), external oblique (EO), and transverse abdominis/internal oblique (TrA/IO), while cross knee curl-up. Eleven young and healthy subjects (6 males and 5 females) participated. All subjects performed the cross knee curl-up slowly forced expiration and natural breathing. Paired t-test was performed in normalized electromyogram (EMG) muscle activity of the bilateral RA, EO, and TrA/IO to compare the differences between the cross curl-up with slowly forced expiration and natural breathing. Statistical significance was set at .05. There were no significant differences in normalized EMG muscle activity of the bilateral RA, EO, and TrA/IO between the cross curl-up with slowly forced expiration and natural breathing. The finding of this study designates that slowly forced expiration does not induce increasing activity of abdominal muscle in cross knee curl-up; hence, learning step of breathing control might not be necessary to strengthen abdominal muscle in cross knee curl-up.
Introduction Forward head posture is a common postural deviation in people of all ages; however, the new online way of life could accentuate this disorder. It involves hyperextension of upper ...cervical vertebrae (C1–C3) and flexion of lower cervical vertebrae (C4–C7). The aim of the study was to examine the effect of different exercises on forward head posture. Methods The electronic databases of PubMed and Cochrane Library (Embase, ClinicalTrials.gov, and International Clinical Trials Registry Platform) were comprehensively searched for randomized controlled trials or clinical trials that investigated different exercises for forward head posture published between January 1, 2010 and March 31, 2020. The studies had to examine at least 1 of the following outcomes: pain, forward head posture parameters, Neck Disability Index, balance, and cervical position sense. PEDro score was used to assess the methodological quality of these studies. Results Overall, 19 studies were found that met the inclusion and exclusion criteria. On assessing by PEDro scale, the methodological quality of the studies was 7/10. Conclusions Stabilizing exercises and posture correction exercises are effective for the management of forward head posture. Adding manual therapy with these exercises could also be an effective way to treat forward head posture.
The purpose of this study was to assess the effect of adding core stability to usual care for pregnant women with lumbar and pelvic girdle (LPG) pain.
This was a repeated-measures design randomized ...controlled trial with blinded outcome assessors. Thirty-five pregnant women with LPG pain were recruited from prenatal health care providers. They were allocated to 2 study groups to receive either usual prenatal care (control group, n = 17) or usual care with core stability exercises focusing on the pelvic floor muscles and deep abdominal muscles (exercise group, n = 18) for 10 weeks. The visual analog scale, score on the Oswestry Disability Index, and the World Health Organization's Quality of Life Brief Version (WHOQOL-BREF) were evaluated with analysis of variance at pre-intervention, post-intervention, at the end of pregnancy, and 6 weeks after childbirth.
There was a statistically significant interaction of group and time for all outcome measures except for the Social category (P = .18) in the WHOQOL-BREF questionnaire. The analysis of the group within time showed that mean scores in the exercise group were substantially improved at the post-intervention, end of pregnancy, and 6-week follow-up evaluation, except in the Environment category (end of pregnancy: P = .36; 6-week follow-up: P = .75) in the WHOQOL-BREF questionnaire.
The results of this study indicate that the addition of core stability exercises was more effective than the usual care alone in pain relief, improving disability, and quality of life of pregnant women with LPG pain.
Introduction: This study aimed to investigate the effect of head and neck stabilization exercises on improving balance in older adults with forward head posture. Materials and Methods: Thirty elderly ...participants with forward head posture and Mean±SD age of 65.7±5.2 years were examined. The forward head posture was measured by plumb line and craniovertebral angle. Elderly balance was evaluated before and after 8 weeks of head and neck stabilization exercises with Timed Up and Go (TUG) and Functional Reach (FR) tests. The paired t-test was used to examine the changes that occurred after the intervention. Results: The results showed that head and neck stabilization exercises in the elderly significantly changed TUG test (8.3 s before the intervention, 7.8 s after the intervention; P=0.03) and FR test (23.4 cm before the intervention, 24.7 cm after the intervention; P=0.01) omitted. No significant statistical changes were observed in the amount of the craniovertebral angle after the intervention. Conclusion: Based on the study results, performing the head and neck stabilization exercises did not cause significant changes in the craniovertebral angle but improved the dynamic balance of the elderly.
To evaluate the effectiveness of scapular stabilization exercises (SSE) in the treatment of subacromial pain syndrome (SAPS).
Clinical randomized controlled trials (RCTs) on SSE in the treatment of ...SAPS were searched electronically in PubMed, Science Direct, Cochrane Central Register of Controlled Trials (CENTRAL), EBSCOhost, Physiotherapy Evidence Database (PEDro), Web of Science, and other databases from 2000 to 2022, supplemented by manual search. Final RCTs were selected based on inclusion and exclusion criteria, and the Physiotherapy Evidence Database scale was used to evaluate the methodological quality of the study. A meta-analysis was conducted on data using the RevMan5.4 software.
Eight RCTs involving 387 participants were included. The meta-analysis showed that the experimental group (SSE) had greater improvements in the Visual Analog Scale score Weighted Mean Difference (WMD) = -0.94, 95% CI (-1.23, -0.65),
< 0.001 and the Shoulder Pain and Disability Index score WMD = -10.10, 95% CI (-18.87, -1.33),
= 0.02 than the control group (conventional physical therapy). However, range of motion (ROM) was not found to be greater in the experimental group than in the control group.
Existing evidence moderately supports the efficacy of SSE for reducing pain and improving function in SAPS, without significant improvement in ROM. Future research should focus on larger, high-quality, standardized protocols to better understand SSE's effects across diverse SAPS populations, treatment, and outcome measures.
https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=307437, CRD42022307437.
To examine the feasibility of three physiotherapy interventions for the treatment of diastasis recti abdominis (DRA): core stabilization exercises, abdominal corset and a combination of exercise and ...abdominal corset.
Forty-five women 6 to 12 weeks postpartum who were diagnosed with DRA by a gynecologist/obstetrician were recruited for the study. The women were randomly divided into three groups: core stabilization exercises (1st group), the combination of exercise and abdominal corset (2nd group) and abdominal corset (3rd group). The treatment session for each group continued for 8 weeks. Outcome measurements were pain evaluation, inter-rectus distance (IRD) measured using ultrasound, trunk flexion strength and endurance, balance with open eyes/closed with a balance board, and Oswestry Disability Index (ODI).
Statistically significant difference was observed in all outcome measures except the balance eyes closed results in the first group (p < 0.05). There was a statistically significant difference in all outcome measures in the second group (p < 0.05). Also, there was a statistically significant difference in visual analog scale, trunk flexor endurance, IRD results, balance with open eyes and ODI results in the third group (p < 0.05). When the values pre and post-treatment between the groups were examined, a statistically significant change was observed in trunk flexion strength, trunk flexor endurance, and balance with open eyes/closed parameters (p < 0.05).
Physiotherapy interventions as core stabilization exercises and the abdominal corset can positively impact IRD, trunk flexion muscle strength and endurance, balance and disability in DRA management. The combination of exercise and corset was found more effective in the postpartum process.
목적 본 연구는 대학 운동 선수들을 대상으로 8주간의 복부 확장 기법을 적용한 체간 안정화 운동이 신체 균형 능력 및 기능적 움직임에 영향을 미치는지 확인하는데 목적이 있었다.
방법 총 20명의 대학 운동 선수를 대상으로(AEM군 9명, 대조군 11명) 8주간의 체간 안정화 운동을 실시하였으며, AEM군은 체간 안정화 운동시 복부 확장 기법을 적용하여 ...운동을 실시하였고, 대조군은 호흡에 관련된 지시사항 없이 체간 안정화 운동을 실시하였다. 두 그룹 모두 체간 안정화 운동 적용 전·후 신체 균형 능력과 기능적 움직임에 대한 검사를 측정하여 두 그룹의 운동 적용 전·후의 상호작용을 검증하였다. 신체 균형 능력은 Lower Quarter Y-Balance Test (LQYBT), 기능적 움직임은 Functional Movement Screen (FMS) 검사를 실시하였다.
결과 왼쪽 LQYBT 결과 시기×집단 간의 유의한 차이가 나타났고(p =.041), 사후검증 결과 AEM군과 대조군 두 그룹 모두 유의한 차이를 나타냈다(p =.000, p =,000). 오른쪽 LQYBT 결과 시기×집단 간의 유의한 차이가 나타났고 (p =0.33), 사후검증 결과 AEM군과 대조군 두 그룹 모두 유의한 차이를 나타냈다(p =.000, p =,000). FMS 검사의 총점 결과 시기×집단 간의 유의한 차이가 나타났고(p =.039), 사후검증 결과 AEM군은 유의한 결과가 나타났으며(p =.001) 대조군에서는 유의 결과가 나타나지 않았다(p =.255).
결론 본 연구 결과를 통해 8주간의 복부 확장 기법을 적용한 체간 안정화 운동은 대학 운동 선수에게 있어 신체 균형 능력과 기능적 움직임에 긍정적인 영향을 미치는 것으로 나타났다.
PURPOSE This study aimed to investigate the effects of trunk stabilization exercise (TSE) with abdominal expansion maneuver (AEM) that lasted for 8 weeks on postural stability and functional movement in college athletes. METHODS Twenty college athletes participated in the program (AEM=9, Control=11) and were subjected to 8-week TSE. The AEM group performed exercise by applying AEM techniques during TSE, and control group performed TSE without breathing-related instructions. Both groups measured postural stability with lower-quarter Y-balance test (LQYBT) and functional movement with functional movement screen (FMS) before and after applying TSE to verify the interaction before and after this study with the two groups. Two-way repeated analysis of variance was performed to evaluate the differences between groups and time for an absolute value of LQYBT and FMS, followed by Bonferroni’s multiple comparison tests for post-hoc analysis. RESULTS As a result of the left and right LQYBT, there was a significant difference between the time x group (p=.041, p=.033), and post-hoc analysis indicated that there was a significant difference between the AEM and control groups (p=.000, p=,000). Furthermore, the FMS total score indicated that there was a significant difference between the time × group (p=.039), and the post-hoc analysis showed the AEM group had significant results (p=.001), while there were no significant results in the control group (p=.255). CONCLUSIONS Application of AEM during TSE seems to be effective with regard to postural stability and functional movement in college athletes.
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