The Interval Kicking Program (IKP) as a Reprogramming Technique for the Soccer Player in an Anterior Cruciate Ligament (ACL) Rehabilitation: A Technical Report

Introduction. We can state as technical-athletic gestural movements that we might call clinical (pivoting, cutting maneuvers, sidestep cuts, changes of direction) associated with ACL injuries. Objective. This technical report was conducted to research methods of reprogramming basic technical skills in the soccer player after anterior cruciate ligament reconstructive surgery. Technical report results. The Interval Kicking Program (IKP) is a model proposed as a neuromotor remodelling of basic gestures and techniques after an ACL injury in soccer player. The teaching progression is ordered regarding the diversified techniques of passing and receiving the ball. The volume, intensity, and progression steps are governed by 1) clinical status (i.e., type of injury, conservative/surgical treatment type, type of sport), 2) performance status, and 3) objective evaluative analysis of periodic follow-ups. The steps provid-ed by the IKP can be 15 and end with the introduction of the player into technical drills with the presence of opponents the first sessions include about 30 minutes of sport-specific, low-intensity exercises, while in the last ones, the volume remains constant, but the intensity and technical complexity of the movements increase. Conclusions. In this technical report, we have highlighted how IKP can be a teaching model for reprogramming basic technical skills in the soccer player after injury. It remains fair to point out how aberrant technical movement partners, side-to-side asymmetries, and postur-al dysfunction are predictive of the risk of compliance and second injury. Further studies and insights are needed to customize the reprogramming of the soccer player’s gestural movements during return to play. © 2023, EDRA S.p.A. All rights reserved

Effect of segmental muscle vibration on upper extremity functional ability poststroke: A randomized controlled trial.

Abstract Background: Upper extremity functional impairments are common consequences of stroke. Therefore, continuous investigation of effective interventions for upper extremity functions after stroke is a necessity. Segmental muscle vibration (SMV) is one of the interventions that incorporate sensory stimulation to improve motor cortical excitability. The aim of this study was to investigate the influence of 5-minute SMV application along with supervised physical therapy (SPT) on improving activities of daily living and motor recovery on the hemiparetic upper extremity in patients with stroke. Methods: A sample of 37 patients poststroke (29 males) was randomly allocated to either SPT control group (n=18) or SPT and SMV (SPT-SMV) experimental group (n=19). All patients received 3 sessions per week of SPT for 8 weeks. The SPT-SMV experimental group received SMV at the end of each SPT session. Outcome measures used were Barthel index (BI), modified Ashworth scale, manual muscle testing, and goniometry for range of motion (ROM) assessment. Results: Thirty-four patients completed the study. Patients in both groups improved significantly after treatment in BI, elbow ROM, and elbow muscles strength. However, muscle tone in elbow joint of the hemiplegic upper extremity improved significantly after SMV only in the experimental group (SPT-SMV). Conclusion: The SPT intervention can improve functional outcomes of upper extremity in people after stroke. However, using SMV may have superior effect on improving muscle tone after stroke. Abbreviations: ADL = activities of daily living, BI = Barthel index, MAS = modified Ashworth scale, MMT = manual muscle testing, ROM = range of motion, SMV = segmental muscle vibration, SPT = supervised physical therapy, SPT-SMV = supervised physical therapy and segmental muscle vibration

Specificity of weightlifting bench exercises in kayaking sprint performance: A perspective for neuromuscular training

Several studies showed significant differences between bench lift exercises without investigating which is more related, in biomechanical and neuromuscular terms, to improve the sprint flatwater kayak performance. This study aims to compare the power-load and velocity-load neuromuscular parameters performed in prone bench pull (PBP), and bench press (BP) exercises to identify which of them meet the gesture specificity in sprint flatwater kayak performance. Ten elite kayakers participated in this study. Power-load, velocity-load relationships, the maximum dynamic strength, and the kayak sprint performance test were assessed. The power-load and velocity-load relationships showed significant differences between the PBP and BP for each considered load. The kayakers showed a significant correlation between maximum power performed on the PBP and the maximum velocity reached in the kayak sprint (r = 0.80, p < 0.01) and the stroke frequency (r = 0.61, p < 0.05). Conversely, the maximum power performed on the BP did not correlate with the kinematic parameters analyzed. In addition, the maximum dynamic strength in the PBP and BP did not correlate with the maximum velocity and stroke frequency. Furthermore, no significant difference was observed in both the bench exercises for the maximum dynamic strength (p > 0.05). The results of this study suggest that the maximal muscular power expressed in PBP exercise only seems to be more specific in kayak velocity performance compared with maximal dynamic strength and with all dynamic parameters recorded in the BP. This will allow coaches and trainers to use specific bench exercises for specific neuromuscular kayakers’ adaptations during the whole competitive season

Effects of Brain-Computer Interface Controlled Functional Electrical Stimulation on Motor Recovery in Stroke Survivors: a Systematic Review

Purpose of Review: This systematic review aimed to investigate the effects of BCI-FES on motor recovery in patients with stroke. Recent Findings: Nine studies met the eligibility criteria. Six studies were randomized controlled trials, and three were pilot studies. To date, the effectiveness of BCI-FES in patients with stroke has not been systematically reviewed. Summary: The BCI-FES intervention may improve upper extremity function post-stroke. There is moderate evidence for positive effects of BCI-FES on gait and weak evidence for positive effects of BCI-FES on balance post-stroke. Further randomized controlled trials with a larger sample size are strongly warranted to confirm our findings

Virtual reality for balance and mobility rehabilitation following traumatic brain injury: A systematic review of randomized controlled trials

Background: Balance and mobility deficits are most prevalent impairments in patients with traumatic brain injury (TBI). The evidence has proposed that rehabilitation plays an important role in improving balance and mobility post-TBI. Virtual reality (VR) is a computer technology that provides immersed users to generate feedback such as visual, audio, and haptic. Objective: This review aimed to examine the effects of the VR treatment intervention on balance and mobility in patients with TBI and to define the most effective VR treatment protocol. Methods: SCOPUS, PEDro, PubMed, REHABDATA, EMBASE, and the web of science were searched for experimental trials examining the impacts of VR training on balance and mobility in patients with TBI from inception until July 2022. Physiotherapy Evidence Database (PEDro) scale was used to assess the methodological quality of the selected studies. Results: Five randomized controlled trials (RCTs) met the inclusion criteria. The PEDro scores ranged from 6 to 8, with a median of 6. A total of 157 patients with TBI were included in this review, 31.2% of whom were females. The findings showed that VR intervention is not superior to traditional physiotherapy interventions in improving balance and mobility post- TBI. Conclusions: The preliminary findings showed that the influence of VR on the balance and mobility ability in patients with TBI is promising. Combining VR with other concurrent rehabilitation interventions may show more significant improvements in balance and mobility compared to VR interventions alone. The optimal VR treatment protocol remains unclear. Further randomized controlled trials are strongly needed

Efficacy of proprioceptive neuromuscular facilitation on spasticity in patients with stroke: a systematic review

purpose: this review was conducted to investigate the effects of proprioceptive neuromuscular facilitation (PNF) on spasticity post-stroke.materials and methods: PubMed, SCOPUS, PEDro, CINAHL, MEDLINE, REHABDATA, and Web of Science databases were searched until may 2020. the methodological quality was evaluated using the physiotherapy evidence database (PEDro) scale. many inclusion and exclusion criteria of the studies were determined.Results: Six studies were included in this systematic review. three were pilot studies, clinical controlled trials (n = 2), and randomized controlled trials (n = 1). the scores on the PEDro scale ranged from two to five, with a median score of three. the findings of this study showed heterogeneous evidence on the benefits of the PNF intervention on spasticity post-stroke.Conclusion: The evidence for the effect of the PNF on spasticity in patients with stroke was limited. further strong clinical trials with long-term follow-up are needed

ATS Core Curriculum 2020. Adult Pulmonary Medicine

The American Thoracic Society Core Curriculumupdates clinicians annually in adult and pediatric pulmonary disease, medical critical care, and sleep medicine in a 3- to 4-year recurring cycle of topics. The topics of the 2020 Pulmonary Core Curriculum include pulmonary vascular disease (submassive pulmonary embolism, chronic thromboembolic pulmonary hypertension, and pulmonary hypertension) and pulmonary infections (community-acquired pneumonia, pulmonary nontuberculous mycobacteria, opportunistic infections in immunocompromised hosts, and coronavirus disease [COVID-19]). Copyright © 2020 by the American Thoracic Society.Open access journalThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]