scholarly journals Cerebral mechanisms underlying the effects of music during a fatiguing isometric ankle-dorsiflexion task

2016 ◽  
Vol 53 (10) ◽  
pp. 1472-1483 ◽  
Author(s):  
Marcelo Bigliassi ◽  
Costas I. Karageorghis ◽  
Alexander V. Nowicky ◽  
Guido Orgs ◽  
Michael J. Wright
Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 81
Author(s):  
Su Min Son ◽  
Min Cheol Chang

We describe the successful application of hinged ankle−foot orthoses (AFOs) in a cerebral palsied (CP) patient with gait instability due to a disrupted medial lemniscus (ML). The patient was a 27-month-old male CP child with gait instability who presented with reduced knee flexion and ankle dorsiflexion, with severe genu recurvatum on his right lower extremity during gait. The patient had no motor weakness or spasticity. Conventional magnetic resonance imaging (MRI) revealed no definite abnormal lesion. However, diffusion tensor tractography (DTT) showed disruption of the left ML, consistent with right hemiplegic symptoms. The integrity of the major motor-related neural tracts, including the corticospinal and corticoreticulospinal tracts, was preserved. We considered that the patient’s abnormal gait pattern was related to the disrupted ML state. We applied hinged AFOs, which immediately resulted in a significantly stabilized gait. The angles of knee flexion and ankle dorsiflexion increased. Our findings indicate that the application of hinged AFOs could be a useful therapeutic option for CP patients with gait instability related to ML disruption. In addition, we showed that DTT is a useful tool for identifying the causative brain pathology in CP patients, especially when conventional brain MRIs show no specific lesion.


The Foot ◽  
2021 ◽  
pp. 101842
Author(s):  
Giovanni Manzi ◽  
Alessio Bernasconi ◽  
Julien Lopez ◽  
Jean Brilhault

Symmetry ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1075
Author(s):  
Denisa Manojlović ◽  
Martin Zorko ◽  
Darjan Spudić ◽  
Nejc Šarabon

Patellofemoral pain (PFP) is often associated with impaired muscle strength, flexibility, and stability. It has been suggested that inter-leg asymmetries have an important role in increasing the risk of musculoskeletal injuries, including PFP. Thus, the aim of this study was to identify significant asymmetries and determine the effects of a symmetry targeted exercise program in patients with PFP. Eighteen patients aged 13 to 54 years (24.17 ± 12.52 years) with PFP participated in this study. Strength, flexibility and stability outcomes of the trunk, hip, knee and ankle muscles were assessed. A single-group pretest–posttest design was used to assess changes in inter-leg and agonist–antagonist asymmetries resulting from the 8-week period of the supervised exercise program. Results indicated a significant improvement in inter-leg symmetry regarding bilateral stance in a semi-squat position (p = 0.020, d = 0.61, df = 17) and ankle plantarflexion (p = 0.003, d = 0.32, df = 17) and ankle dorsiflexion strength (p < 0.001, d = 0.46, df = 17). In addition, the ratio of ankle dorsiflexion/plantarflexion (p = 0.036, d = 1.14, df = 17) and hip extension/flexion (p = 0.031, d = 0.94, df = 16) changed significantly during the intervention period. To our knowledge, this was the first study to evaluate inter-leg asymmetries resulting from a period of a supervised exercise program. The results indicate that an exercise program focusing on individual asymmetries may influence specific deficits and contribute to better rehabilitation outcomes.


Author(s):  
Tarcísio Silva Coelho ◽  
Ana Carolina Bittencourt ◽  
Rodrigo Bazan ◽  
Luciana Aparecida Pascucci Sande de Souza ◽  
Gustavo José Luvizutto

2016 ◽  
Vol 55 (4) ◽  
pp. 688-692 ◽  
Author(s):  
Laura J. Kleeblad ◽  
Annelies F. van Bemmel ◽  
Inger N. Sierevelt ◽  
Hendrik A. Zuiderbaan ◽  
Diederik A. Vergroesen

2018 ◽  
Vol 28 (1) ◽  
pp. 015026 ◽  
Author(s):  
Mingjing Cai ◽  
Wei-Hsin Liao ◽  
Junyi Cao

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Andrea Ancillao ◽  
Eduardo Palermo ◽  
Stefano Rossi

Uniaxial Hand-Held Dynamometer (HHD) is a low-cost device widely adopted in clinical practice to measure muscle force. HHD measurements depend on operator’s ability and joint movements. The aim of the work is to validate the use of a commercial HHD in both dorsiflexion and plantarflexion ankle strength measurements quantifying the effects of HHD misplacements and unwanted foot’s movements on the measurements. We used an optoelectronic system and a multicomponent load cell to quantify the sources of error in the manual assessment of the ankle strength due to both the operator’s ability to hold still the HHD and the transversal components of the exerted force that are usually neglected in clinical routine. Results showed that foot’s movements and angular misplacements of HHD on sagittal and horizontal planes were relevant sources of inaccuracy on the strength assessment. Moreover, ankle dorsiflexion and plantarflexion force measurements presented an inaccuracy less than 2% and higher than 10%, respectively. In conclusion, the manual use of a uniaxial HHD is not recommended for the assessment of ankle plantarflexion strength; on the contrary, it can be allowed asking the operator to pay strong attention to the HHD positioning in ankle dorsiflexion strength measurements.


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