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Results for “Exercise Movement Techniques”

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At least 307 records · Page 17Linked to original sources

PubMed1997

Development of a cadence curl-up test for college students.

The purpose of this study was to evaluate a cadence curl-up test in a college population as compared to the American Alliance for Health, Physical Education, Recreation and Dance (AAHPERD) 1-min sit-up test (Association for Research and Professional Councils and Societies, 1985) and the Robertson 1-min curl-up test (Robertson & Magnusdottir, 1987). A cadence curl-up test, referred to as the GT curl-up test, was set at 25 repetitions per minute. A total of 205 college students completed three trials consisting of one AAHPERD sit-up trial and two GT curl-up trials. A subsample (n = 85) completed the Robertson curl-up test as a fourth trial. Trials were counterbalanced with 7 days rest between each test. To evaluate content validity, electromyography signals from selected muscle sites were measured on 6 participants for each of the three tests. Mean scores and standard deviations for the GT curl-up test, AAHPERD sit-up test, and Robertson curl-up test were M = 46.2, SD = 17.8; M = 46.4, SD = 10.2; and M = 69.7, SD = 14.1), respectively. Pearson product moment correlations among the three tests were low to moderate (r < or = .50). The intraclass correlation reliability estimate for the GT curl-up test was 0.92. In 1-min speed tests, repeated rapid trunk flexion can adversely affect technique and has raised safety concerns (Jette, Sidney & Cicutti, 1984; Faulkner, Sprigings, McQuarrie, & Bell, 1989; Cooper Institute for Aerobics Research, 1994). The Robertson test also requires the use of a curl-up frame. In the GT cadence test these drawbacks are minimized due to a slower, more controlled movement with an objective endpoint that is not dependent on special equipment. Moreover, our EMG findings supported previous reports that curl-up exercise with feet unanchored minimizes rectus femoris involvement. Based on the results of this study, the CT curl-up test was found to be a reliable field test with logical validity supporting its relevance as an index of abdominal muscular endurance among college students.

Abdomen↗

PubMed2005

The effects of plyometric versus dynamic stabilization and balance training on lower extremity biomechanics.

BACKGROUND: Neuromuscular training that includes both plyometric and dynamic stabilization/balance exercises alters movement biomechanics and reduces ACL injury risk in female athletes. The biomechanical effects of plyometric and balance training utilized separately are unknown. HYPOTHESIS: A protocol that includes balance training without plyometric training will decrease coronal plane hip, knee, and ankle motions during landing, and plyometric training will not affect coronal plane measures. The corollary hypothesis was that plyometric and balance training effects on knee flexion are dependent on the movement task tested. STUDY DESIGN: Controlled laboratory study. METHODS: Eighteen high school female athletes participated in 18 training sessions during a 7-week period. The plyometric group (n = 8) performed maximum-effort jumping and cutting exercises, and the balance group (n = 10) used dynamic stabilization/ balance exercises during training. Lower extremity kinematics were measured during the drop vertical jump and the medial drop landing before and after training using 3D motion analysis techniques. RESULTS: During the drop vertical jump, both plyometric and balance training reduced initial contact (P = .002), maximum hip adduction angle (P = .015), and maximum ankle eversion angle (P = .020). During the medial drop landing, both groups decreased initial contact (P = .002) and maximum knee abduction angle (P = .038). Plyometric training increased initial contact knee flexion (P = .047) and maximum knee flexion (P = .031) during the drop vertical jump, whereas the balance training increased maximum knee flexion (P = .005) during the medial drop landing. CONCLUSION: Both plyometric and balance training can reduce lower extremity valgus measures. Plyometric training affects sagittal plane kinematics primarily during a drop vertical jump, whereas balance training affects sagittal plane kinematics during single-legged drop landing. CLINICAL RELEVANCE: Both plyometric and dynamic stabilization/balance exercises should be included in injury-prevention protocols.

Adolescent↗

PubMed2004

The displaced equine soft palate as a source of abnormal respiratory noise during expiration.

REASONS FOR PERFORMING STUDY: To develop the technique of respiratory sound analysis for the diagnosis of dorsal displacement of the equine soft palate. OBJECTIVES: To show that 1) the displaced soft palate can spontaneously vibrate in the presence of expiratory airflow; 2) the observed frequency of vibration can be detected in respiratory sound recordings; and 3) the frequency of vibrations measured in cadaveric specimens are similar to those obtained from audio spectra in exercising horses with DDSP. METHODS: Palatal movements and respiratory sounds were recorded from artificially ventilated cadaveric heads. The fundamental mode of palate vibrations calculated from high-speed videoendoscopic recordings was compared with frequencies detected in the audio spectra and with data collected from exercising horses with DDSP. RESULTS: Palate vibrations occurred when air was blown through the trachea. The fundamental mode of vibrations was present in the audio spectra and was not significantly different from those recorded in vivo. CONCLUSIONS: Vibrations of the soft palate are the probable source of expiratory sounds recorded in horses with DDSP. POTENTIAL RELEVANCE: This study strengthens the case for the application of respiratory sound analysis in the diagnosis of DDSP in exercising horses.

Animals↗

PubMed2003

Outcome of orthodontic space closure with a missing maxillary central incisor.

Orthodontic space closure is one of the treatment alternatives when a maxillary central incisor is missing. Because no systematic analysis of such treatment results is available, a sample of 20 consecutively treated patients was examined in a follow-up study. All patients had received orthodontic treatment with the objective of closing the space for the missing central incisor. Biologic features and the clinical appearance of the recontoured lateral incisor (test tooth) replacing the missing tooth were compared with the neighboring intact central incisor, which served as control tooth. The patients' opinions regarding the treatment and the result were recorded in a questionnaire. The position of the examined teeth and the appearance of the surrounding soft tissues were similar in the test and control teeth. However, in some patients (25%), certain aspects of the recontoured incisor crown (such as the width at the gingival margin) mismatched the appearance of the controls. A somewhat increased mobility and probing pocket depth on the mesial aspect was recorded for some test teeth. No obvious detrimental effects were observed on the radiographs. Most patients expressed satisfaction with the treatment result. It is concluded that orthodontic mesialization of the lateral incisor to replace a missing central incisor is a valid treatment modality, if the indications for such treatment are present and careful attention to detail in orthodontic and restorative treatment is exercised.

Adolescent↗

PubMedDate not supplied

The evolution of early mobilization of the repaired flexor tendon.

The most important difference between the various approaches to postoperative digital flexor tendon rehabilitation is how the repaired tendon is treated during the first three to six weeks, in the earliest stages of healing. Early mobilization is the most commonly reported method of managing the healing flexor tendon. There are many different protocols and abundant research to support published approaches to tendon management. With so many choices, today's hand therapist must understand not only what those choices are, but also why and when to use them. There is no one correct way to manage a repaired flexor tendon; the specialist who does not understand how current techniques evolved is ill-equipped to design the appropriate treatment for a given patient. This article presents an overview of management options and how they have been developed over time, with special attention to changes in splint and exercise design in the crucial first few weeks after repair.

Finger Injuries↗

PubMed1995

The current significance of physiotherapeutic measures in the treatment of Parkinson's disease.

Physical measures as adjuvant therapy in Parkinson's disease have so far received insufficient investigation from the viewpoint of either their clinical effectiveness or of their theoretical rationale, although they are widely prescribed in practice and contribute a substantial cost factor to the overall treatment. Most attention has been devoted to movement therapy, which may admittedly only achieve minor improvements in motor performance but contributes substantially to subjective improvement of the well-being of the patients and to the maintenance of their physiological functions. Speech therapy seems to be effective only for patients who are highly motivated and have not suffered any psychological deficits and who continue exercising on their own. Massage, ergonomic treatment approaches and the nowadays fashionable area of various relaxation techniques have received very little attention. Our own trials with vibro-massage (swing-exbusar) for the loosening of muscular rigidity have led to no sustained improvement, and our attempts to improve speech defects in Parkinsonian patients by the application of laser acupuncture have likewise not resulted in improvement.

Acupuncture Therapy↗

PubMed2002

[The modified technique of continuous suprascapular nerve block. A safe technique in the treatment of shoulder pain].

This study assesses a modified approach for suprascapular nerve block in a single shot and continuous catheter technique for the treatment of chronic shoulder pain. After thorough anatomic examinations, a new technique was performed in 30 patients by inserting the catheter into the suprascapular fossa. Complications of the technique, time of onset, effect and patient satisfaction were evaluated. The results show that there were no complications due to the technique and only one patient had a minor VAS score during physiotherapeutic exercise. Local inflammation occurred in one patient and dislocation of the catheter in another patients. Patient satisfaction (97%) was very high. The modified technique of continuous suprascapular nerve block is a safe and easy-to-perform technique in the treatment of acute and chronic shoulder pain.

Adult↗

PubMed1996

The effect of wheelchair handrim tube diameter on propulsion efficiency and force application (tube diameter and efficiency in wheelchairs).

To determine the optimum tube diameter of a standard handrim-propelled wheelchair, the effect of tube size and shape on physiological and kinetic parameters was studied. Six able-bodied male subjects performed two tests on a wheelchair ergometer. Tests were performed against work loads comparable to every day use and with two different handrim tube diameters, a handrim with an oval 25 by 30 mm diameter (LR) and one with an 18 mm diameter (SR). The large tube diameter (LR) yielded slightly but significantly lower values for the physiological parameters. Gross mechanical efficiency was on average 7% for the LR and 6.3% for the SR. No significant results were found for force application parameters related to the direction of the applied force or the torque by the hand onto the handrim surface. As technique parameters could not explain the higher mechanical efficiency (ME) when using the LR, it is suggested that hand grip constraints in the push phase (finger flexor activity) might be responsible. Another possible explanation is that with a better hand grip using LR, less stabilization by the larger muscle groups at the elbow and shoulder is needed. The measured technique parameters seem to be determined by geometric constraints of the arm and shoulder. The technique requirements resulting from the forced trajectory of the propulsion movement are also likely to determine the technique parameters. Regarding the low mechanical efficiency of handrim propulsion, which is partly caused by the forced unfavorable trajectory of the hand, an alternative propulsion mechanism is suggested.

Adult↗

PubMed2006

A placebo-controlled trial of constraint-induced movement therapy for upper extremity after stroke.

BACKGROUND AND PURPOSE: Constraint-Induced Movement therapy (CI therapy) is a neurorehabilitation technique developed to improve use of the more affected upper extremity after stroke. A number of studies have reported positive effects for this intervention, but an experiment with a credible placebo control group has not yet been published. METHODS: We conducted a placebo-controlled trial of CI therapy in patients with mild to moderate chronic (mean=4.5 years after stroke) motor deficit after stroke. The CI therapy group received intensive training (shaping) of the more affected upper extremity for 6 hours per day on 10 consecutive weekdays, restraint of the less affected extremity for a target of 90% of waking hours during the 2-week treatment period, and application of a number of other techniques designed to produce transfer to the life situation. The placebo group received a program of physical fitness, cognitive, and relaxation exercises for the same length of time and with the same amount of therapist interaction as the experimental group. RESULTS: After CI therapy, patients showed large (Wolf Motor Function Test) to very large improvements in the functional use of their more affected arm in their daily lives (Motor Activity Log; P<0.0001). The changes persisted over the 2 years tested. Placebo subjects showed no significant changes. CONCLUSIONS: The results support the efficacy of CI therapy for rehabilitating upper extremity motor function in patients with chronic stroke.

Adult↗

PubMed1999

Mechanical energetic processes during the giant swing exercise before dismounts and flight elements on the high bar and the uneven parallel bars.

The purposes of this study were as follows: (1) To study the energy exchange between the body of the gymnast and the high bar and uneven parallel bars during forward and backward giant swings. (2) To examine the differences between the mechanical energy produced and the mechanical energy absorbed by the muscles during forward and backward giant swings on the high bar and the uneven parallel bars. The data were gathered during the gymnastic world championships in 1994. The experimental set up consisted of two video cameras (50 Hz) and two force measurement bars (500 Hz). A total of 101 giant swings before dismounts and flight elements performed by 33 male and 34 female gymnasts were analyzed. There are characteristically two main phases during forward and backward giant swings before dismounts and flight elements. During the first phase energy is transferred from the gymnast's body into the bar. During this phase of the backward giant swing the energy of the system decreases because the amount of energy decrease of the gymnast's body is more than the energy transferred into the high bar. An exception can be seen during the giant swings in which the gymnast used the power technique. During forward giant swings the energy of the system increases during the first phase. This occurs through active flexion of the hipjoint which produced the extra muscular energy. During the second phase energy is transferred from the bar back into the gymnast's body whose total energy increases. An increase in the energy of the system can only be achieved through muscular work. During the second phase of the backward giant swing the energy of the system increases. The forward giant swings performed on the uneven parallel bars showed a large energy loss during this phase. The energy deficit seen during the first phase of the backward giant swing can be improved by using the power technique. To achieve this the athlete must be in a bent position at the start of the giant swing exercise. Through extension at the shoulder and hip joints muscular energy can be put into the system.

Biomechanical Phenomena↗

PubMed1995

Scapular taping in the treatment of anterior shoulder impingement.

The purpose of this case report is to describe how taping designed to promote proximal scapular stability was used in conjunction with other physical therapy interventions to manage a patient with anterior shoulder impingement. The taping technique is described in detail. The evaluation and treatment of a patient with an 8-month history of shoulder pain are described as an example of when this type of taping procedure may be indicated. This case report demonstrates that a patient was able to return to all of his regular overhead sports activities without pain following scapular taping used in combination with a home exercise program. Presumably, the improved resting position of the scapula corrected faulty scapulothoracic joint movements.

Adult↗

PubMed1996

Use-dependent alterations of movement representations in primary motor cortex of adult squirrel monkeys.

This study was undertaken to document plastic changes in the functional topography of primary motor cortex (M1) that are generated in motor skill learning in the normal, intact primate. Intracortical microstimulation mapping techniques were used to derive detailed maps of the representation of movements in the distal forelimb zone of M1 of squirrel monkeys, before and after behavioral training on two different tasks that differentially encouraged specific sets of forelimb movements. After training on a small-object retrieval task, which required skilled use of the digits, their evoked-movement digit representations expanded, whereas their evoked-movement wrist/forearm representational zones contracted. These changes were progressive and reversible. In a second motor skill exercise, a monkey pronated and supinated the forearm in a key (eyebolt)-turning task. In this case, the representation of the forearm expanded, whereas the digit representational zones contracted. These results show that M1 is alterable by use throughout the life of an animal. These studies also revealed that after digit training there was an areal expansion of dual-response representations, that is, cortical sectors over which stimulation produced movements about two or more joints. Movement combinations that were used more frequently after training were selectively magnified in their cortical representations. This close correspondence between changes in behavioral performance and electrophysiologically defined motor representations indicates that a neurophysiological correlate of a motor skill resides in M1 for at least several days after acquisition. The finding that cocontracting muscles in the behavior come to be represented together in the cortex argues that, as in sensory cortices, temporal correlations drive emergent changes in distributed motor cortex representations.

Animals↗

PubMed1985

Gated thallium tomography--potential for improved accuracy in the detection of coronary artery disease.

Gated thallium-201 myocardial tomography incorporating perfusion profile analysis was used alone, to assess left ventricular wall perfusion and left ventricular wall movement together in 29 consecutive patients, without prior infarction, who presented with chest pain. All patients had had coronary and left ventricular angiography. The proportion of false positive perfusion defects was reduced when an analysis of corresponding wall movement was made. This combined technique resulted in an improved specificity compared with standard 201Tl myocardial tomography. This approach shows the functional effect of reversible ischaemia on regional myocardial contractility and would appear to be particularly useful in the assessment of patients who present with atypical chest pain.

Adult↗

PubMed1979

[Judo -- a contribution to rehabilitation (author's transl)].

A judo group was formed at the Wolfsburg sports club with twenty 9 to 15 years old children who received treatment at the centre for developmental diagnostics and pediatrics. The children suffered primarily from more or less pronounced cerebral motor disturbances. Other functional disturbances such as perceptual disorders, language and reactive behavioural disturbances completed the picture of minimal brain-damage. The training programme attributed more importance to functional judo exercises than to perfect judo techniques. Allowances were made for individual difficulties. After 15 months of training improvements were observed in the motor, psychological and perceptual fields. This is why the authors believe it is worthwile to consider judo also in connection with rehabilitation.

Adolescent↗

PubMed2002

Relationship between in vivo muscle force at different speeds of isokinetic movements and myosin isoform expression in men and women.

In an attempt to explore the relationship between force production during voluntary contractions at different speeds of isokinetic movement and the myofibrillar protein isoform expression in humans, an improved isokinetic dynamometer that corrects for gravitation, controls for acceleration and deceleration, and identifies a maximum voluntary activation was used. Muscle torque recordings were compared at the same muscle length (knee angle) and the torque was calculated as the average torque at each angle over a large knee angle range (75 degrees -25 degrees ) to reduce the influence of small torque oscillation on the calculated torque. Muscle torque at fast (240 degrees s(-1)) versus slow (30 degrees s(-1)) speeds of movement, torque normalized to muscle cross-sectional area (specific tension), and absolute torque at fast speeds of movement were measured in 34 young healthy male and female short-, middle-, and long-distance runners. The relationship between the different measures of muscle function and the expression of myosin heavy chain (MyHC) isoforms using enzyme-histochemical and electrophoretic protein separation techniques were investigated. A significant correlation between the 240 degrees s(-1) vs 30 degrees s(-1) torque ratio and the relative area of the type II fibers and type II MyHC isoforms were observed in both the men (r=0.74; P<0.001) and the women (r=0.81; P<0.05). Thus, the present results confirm a significant relationship between in vivo human muscle function and the MyHC isoform expression in the contracting muscle.

Adolescent↗

PubMed2000

Spinal cord control of movement: implications for locomotor rehabilitation following spinal cord injury.

In recent years, our understanding of the spinal cord's role in movement control has been greatly advanced. Research suggests that body weight support (BWS) walking and functional electrical stimulation (FES), techniques that are used by physical therapists, have potential to improve walking function in individuals with spinal cord injury (SCI), perhaps long after the stage of spontaneous recovery. Walking is one of the most desired goals of people with SCI; however, we are obligated to be judicious in our claims of locomotor recovery. There are few controlled studies that compare outcomes of BWS training or FES with those of conventional interventions, and access to services using BWS training or FES may be restricted under managed care.

Persons with Disabilities↗

PubMed2004

In situ forces of the anterior and posterior cruciate ligaments in high knee flexion: an in vitro investigation.

The function of the anterior and posterior cruciate ligaments (ACL and PCL) in the first 120 degrees of flexion has been reported extensively, but little is known of their behavior at higher flexion angles. The aim of this investigation was to study the effects of muscle loads on the in situ forces in both ligaments at high knee flexion (>120 degrees). Eighteen fresh-frozen human knee specimens were tested on a robotic testing system from full extension to 150 degrees of flexion in response to quadriceps (400 N), hamstrings (200 N), and combined quadriceps and hamstrings (400 N/200 N) loads. The in situ forces in the ACL and PCL were measured using the principle of superposition. The force in the ACL peaked at 30 degrees of flexion (71.7 +/- 27.9 N in response to the quadriceps load, 52.3 +/- 24.4 N in response to the combined muscle load, 32.3 +/- 20.9 N in response to the hamstrings load). At 150 degrees, the ACL force was approximately 30 N in response to the quadriceps load and 20 N in response to the combined muscle load and isolated hamstring load. The PCL force peaked at 90 degrees (34.0 +/- 15.3 N in response to the quadriceps load, 88.6 +/- 23.7 N in response to the combined muscle load, 99.8 +/- 24.0 N in response to the hamstrings load) and decreased to around 35 N at 150 degrees in response to each of the loads. These results demonstrate that the ACL and PCL carried significantly less load at high flexion in response to the simulated muscle loads compared to the peak loads they carried in response to the same muscle loads at other flexion angles. The data could provide a reference point for the investigation of non-weight bearing flexion and extension knee exercises in high flexion. Furthermore, these data could be useful in designing total knee implants to achieve high flexion.

Aged↗

PubMed1993

Motor training in the therapy of Parkinson's disease.

Motor training techniques may be a helpful adjunct to medical treatment in improving motor function in patients with Parkinson's disease. Rational physical therapy should be based on a detailed understanding of the underlying nature of the motor deficit in Parkinson's disease. The design of training techniques should take into account the known neurophysiologic aspects of motor impairment in Parkinson's disease, such as the inability to initiate movement (akinesia), the inability to perform sequential movements, impairments in the pacing of rhythmic movements, and impairments in the predictability of movements. Training techniques are definitely necessary to prevent the sequelae, especially of the later stages of the disease, including contractures and muscle spasm. To increase voluntary motor activity, physiotherapeutic approaches must take into account specific aspects of the motor control deficit in Parkinson's disease. For example, physical therapy should emphasize large-amplitude movements and truncal activities and make use of cuing as a major facilitator in achieving rhythmic movement patterns. In addition, the psychosocial integration of the patient may be improved by physical exercises, particularly if these are provided in group therapy sessions.

Humans↗