Rehabilitation: Proprioception, Incoordination, and Paresis.

Physiotherapeutic exercises aimed at stimulating motor control, flexibility, and stability are regularly employed in human physical therapy programs. Specifically, the use of such exercises has been shown to reduce both pain and reinjury. Pursuant to the equine patient, several core strengthening exercises and their role in activating deep epaxial musculature to subsequently improve postural motor control and alter thoracolumbar kinematics have been investigated. Both baited and passive exercises offer opportunities to facilitate stretching during dynamic phases and strengthening during static phases of exercise. Blanket recommendations regarding prescription of exercises is not advised, individual patient prescription should be considered in context of handler safety, specific rehabilitation goals, and patient ability to effectively complete the exercise.

The Reliability and Validity of a Novel Sport-Specific Balance Test to Differentiate Performance Levels in Elite Curling Players.

Balance as a skill and task-specific capacity is considered an essential physical quality in curling, required for executing effective stone delivery. However, no testing protocols have been developed to test curling-specific balance in the delivery position. Thus, the primary aim of this study was to investigate the reliability, validity and usefulness of a newly-developed, curling-specific balance test (CSBT) which involved the delivery position. The secondary aim was to examine the differences between elite and sub-elite curlers for core strength and flexibility, which have previously been identified as important qualities in curling and determinants of balance. Twenty curling players (13 females aged 19 ± 3.1 years; 7 males aged 19.6 ± 2.3 years) from five Swedish super-league curling clubs were divided into two groups according to playing level: elite and sub-elite. Variables included body mass, body height, body mass index, age, playing experience, training frequency, plank test, sit and reach test, standing single-leg balance test (SLBT) and CSBT. The CSBT was executed on a multiaxial tilting balance plate while mimicking the curling delivery position (i.e., a deep lunge position with the front foot on the plate). The participants completed the CSBT on three separate occasions, with each test consisting of three, 20-s attempts. Both the relative and absolute reliability were good for the CSBT (ICC = 0.90; CV = 14.5%). The CSBT demonstrated good measurement usefulness, being sensitive to detect moderate changes that exceeded 0.5 times the test standard deviation. Construct validity of the CSBT was evidenced by the large discriminatory capacity to differentiate expertise level in curling players (t-test: 2.85, p < 0.01; large ES), irrespective of other physical capacities (e.g., flexibility and core strength). However, the elite and sub-elite players also differed in age, playing experience and training frequency. Content validity was confirmed by a weak correlation (r = 0.21; 95%CI: -0.26 to 0.60) between the CSBT and SLBT, which suggests that curling-specific and standing balance should be considered as independent and task-specific motor skills. In conclusion, the CSBT can be used as a reliable, valid and useful tool for the assessment of curling-specific balance performance. In addition, longer and more extensive involvement in curling training contributed to superior specific balance in elite curlers.

Effects of core strength training on core stability.

[Purpose] To investigate the effects of core strength training on core stability with and without the Valsalva maneuver. [Participants and Methods] Twenty-four students were randomly assigned to the training and control groups. Students in the training group undertook a 4-week training program that included exercises for the transverse abdominis, multifidus, diaphragm, and pelvic floor muscles, whereas students in the control group performed their usual activities. Participants were required to perform four types of task with and without the Valsalva maneuver. Seated stabilometry was assessed according to the center of pressure (COP). [Results] In the training group, the rectus area in the quiet sitting position with the Valsalva maneuver was enlarged and the length of trajectory during a sudden perturbation task was decreased. No significant changes to the COP were seen in the control group. [Conclusion] Some parameters of core stability improved after participants completed a 4-week core strength training program.

Core strength training for patients with chronic low back pain.

[Purpose] Through core strength training, patients with chronic low back pain can strengthen their deep trunk muscles. However, independent training remains challenging, despite the existence of numerous core strength training strategies. Currently, no standardized system has been established analyzing and comparing the results of core strength training and typical resistance training. Therefore, we conducted a systematic review of the results of previous studies to explore the effectiveness of various core strength training strategies for patients with chronic low back pain. [Methods] We searched for relevant studies using electronic databases. Subsequently, we evaluated their quality by analyzing the reported data. [Results] We compared four methods of evaluating core strength training: trunk balance, stabilization, segmental stabilization, and motor control exercises. According to the results of various scales and evaluation instruments, core strength training is more effective than typical resistance training for alleviating chronic low back pain. [Conclusion] All of the core strength training strategies examined in this study assist in the alleviation of chronic low back pain; however, we recommend focusing on training the deep trunk muscles to alleviate chronic low back pain.

The effect of 12-week core strength training on dynamic balance, agility, and dribbling skill in adolescent basketball players.

Purpose: The purpose of the study was to examine the impact of core strength training on the dynamic balance, agility, and dribbling ability of adolescent basketball players. Methods: A randomized controlled between-subjects design was employed. Forty-four male adolescent basketball players (aged 14.41 ± 3.22 years) were randomly divided into two groups: the core strength training (CST) group and the conventional training (CT) group. The CST program included 1-h sessions, three times/week for 12 weeks. In contrast, the CT group provided a thorough physical training program that targeted general conditioning rather than focusing solely on core strength. Three measurements were used to evaluate performance in players: the Star Excursion Balance Test, the Illinois Agility Test, and the Dribbling Test conducted at T0 (week 0), T1 (week 6), and T2 (week 12), respectively. Results: Compared to the CT group, the CST group showed a greater improvement (p < 0.05) in dynamic balance, particularly in the anterior, posteromedial, and posterolateral directions, with significant interaction effects (p < 0.05) observed in these measures. Additionally, Bonferroni post-hoc revealed that the CST group demonstrated notably better agility (p < 0.05) at T2; whereas, improvements in dribbling skills were significant (p < 0.05) within the CST group from T1 to T2, but not when compared to the CT group (p > 0.05). Conclusion: The 12-week CST program significantly improved dynamic balance, agility, and dribbling skills in adolescent basketball players, demonstrating its potential as a valuable training component. Future research should explore CST's impact on other sport-specific elements and its applicability to female players.

Association between core strength and dynamic balance of throwing hand in professional healthy cricket fast bowlers: A cross sectional study.

BACKGROUND: The core musculature gets activated by feed forward fashion during the movement of upper extremity, as in kinetic chain of throwing, shoulder muscle contributes larger dynamic balance and also in reversed manner. Aim of the current study was to associate the strength of core and the dynamic balance of throwing hand in cricket fast bowlers. METHODS: 72 subjects were initially screened for eligibility, and ultimately, 55 male participants from various cricket coaching academies, aged 19.1 ± 2.6 on average, were included. The mean BMI of the participants was 20.9. The assessments included the Modified Upper Quarter Y Balance Test (mUQYBT)- Medial (M), Supero-Lateral reach (SL), Infero-Lateral reach(IL) along with Core measures- 600 Abdominal flexion test (600 AFT), right side plank test (RSP), Left side plank test (LSP), Beiring Sorenson test (BST), all of which were successfully completed. RESULTS: Based on our findings, we observed a mild positive correlation between the values of mUQYBT and core measures. We employed Pearson's coefficient to evaluate the association, and the R2 values were utilized to quantify the amount of variability. The resulting scores were RSP to SL (r = 0.38, R2 = 0.14), LSP to SL (r = 0.43, R2 = 0.19), LSP to RSP (r = 0.790, R2 = 0.62), BSP to Composite score (r = 0.29, R2 = 0.08), SL to 600 AFT* (r = 0.231, R2 = 0.05) and BMI to IL* (r = -0.107, R2 = 0.01). CONCLUSION: In conclusion, a positive correlation was exhibited between dynamic balance and core strength in healthy cricket fast bowlers. Educating bowlers on proper movement techniques and prescribing targeted exercises can enhance dynamic balance, reducing the risk of injuries.

Maximizing the performance of badminton athletes through core strength training: Unlocking their full potential using machine learning (ML) modeling.

Core strength training plays an essential role in maximizing performance for badminton athletes. The core muscles in the abdominal, back, and hip regions provide stability, enable efficient power transfer between the upper and lower body, and allow for rapid changes in direction - all crucial components for success in badminton. However, optimizing core training requires an understanding of its impact on sport-specific skills. A variety of exercises targeting the abdominal, back, and hip muscles are discussed. Incorporating core strength training into regular regimens can improve athletes' overall strength, endurance, balance, control, and prevent injuries. This study investigates the effects of various core exercises on stability, agility, and power in badminton players. A comprehensive literature review was conducted to explore the biomechanical demands of badminton and how core musculature contributes to movements like serving, smashing, and lunging. Studies assessing the effects of core training programs in related racquet sports were also examined. The results indicate that targeted core exercises significantly improve athletes' stability, agility, and power output. Exercises targeting the abdominal, back, and hip muscles enhance performance capabilities while reducing injury risk. Machine learning (ML) techniques are then applied to further analyze the relationship between core training and athletic performance. An Artificial Neural Network (ANN) is developed using a dataset of athletes' training histories, metrics, and injury profiles. The model predicts enhancements to stability, agility, and strength from optimized core strengthening routines. Validation confirms the network accurately captures the complex interactions between training variables and physical attributes. This integrated approach provides evidence-based guidelines for tailoring individualized training regimens to unleash players' full abilities. ANNs hold promise for analyzing large datasets on athletes' performance metrics, training variables, and injury histories to design personalized training programs. Linear regression analysis confirmed the ANN's accurate predictions. The findings emphasize integrating data-driven core strength training tailored for badminton into comprehensive programs can help optimize physical abilities and elevate performance levels.

Effects of Movement Retraining and Lumbar Stabilization Exercises in Mechanical Low Back Pain: A Pilot Study.

Objective To determine and compare the effects of movement retraining (MR), lumbar stabilization exercises (LSE), and a combination of both these exercises on pain, flexibility, strength, and functional disability in chronic mechanical low back pain (CMLBP) patients. Materials and methods Fifteen CMLBP participants, aged 20-40 years, were randomly allocated into three groups. Group A (n=5) received MR, group B (n=5), LSE, and group C (n=5), a combination of MR and CSE, along with hot packs for eight weeks, thrice a week on alternate days. Outcomes used were the Numerical Pain Rating Scale (NPRS), Modified Modified Schober's Test (MMST), Pressure Biofeedback (PBU), Roland Morris Disability Questionnaire (RMDQ), and Movement Control (MC) dissociation tests to identify MC impairments and were assessed at pre-intervention, post-four weeks, and post-eight weeks. The data were analyzed using repeated measures ANOVA. The level of significance was considered at p-value<0.05. Results Participants with CMLBP significantly improved in all variables in all three groups (p-value≤0.05). On inter-group comparison, group A showed better improvement in lumbar extension range of motion than the other two groups, with a mean difference of MMST in group A of 0.62±0.30, group B of 0.52±0.22, and group C of 0.36±0.02, with a p-value ≤0.002. Group C showed more improvement in core strength, with a mean difference of 5.0±0.25 in group A, 3.2±0.56 in group B, and 5.2±0.57 in group C, with a p-value ≤0.03. A significant improvement was observed in NPRS, MMST flexion, RMDQ, and uncontrolled movements (UCMs). Conclusion All three methods of treatment are effective in the management of CMLBP. Clinically, kinetic control showed better improvement in reducing pain and improving lumbar flexion and extension range of motion. Functional disability was better improved with lumbar stabilization exercises, and core strength was improved with a combination of KC and LSE. However, a combination of MR and LSE helps improve core strength, and movement retraining improves lumbar extension.

Supporting Young Children's Physical Development through Tailored Motor Competency Interventions within a School Setting.

Background/Objectives: This study investigated how tailored motor competency (MC) interventions within a bespoke Scheme of Work (SOW) can support young children's physical development (PD) by enhancing fine motor skills (FMS) and gross motor skills (GMS). The objective was to enable children to meet curriculum developmental physical milestones. Methods: The longitudinal case study design was conducted over 19 weeks across three academic terms and focused on 25 children (12 boys and 13 girls aged between 5 and 6 years old). Interventions within the SOW were evaluated at six points to assess effectiveness and to make adjustments. Data collection included observations on FMS and GMS development. Results: Statistically significant improvements were observed in FMS and GMS after implementing the MC interventions. Notable improvements included hopping, running, climbing, kicking, catching, and using scissors (p < 0.05). Conclusions: The study underscores the importance of holistic approaches to PD, highlighting the need for early intervention and the crucial role of educators. The findings advocate for strategically planned MC interventions and practitioner observations to achieve longitudinal improvements in PD. The study recommends nationwide implementation to enhance PD outcomes, preparing children for lifelong and life-wide MC.

Integrated Rehabilitation Approach Utilizing Swiss Ball Training, Mulligan Taping, and Mobilization With Movement for Simultaneous Management of Sacroiliac Joint Dysfunction and Lateral Ankle Sprain in a Badminton Athlete: A Case Study.

This case report details an integrated rehabilitation plan implemented for a professional badminton player who presented with issues of sacroiliac joint (SIJ) dysfunction and a lateral ankle sprain. The integrated approach aimed to address both musculoskeletal issues, considering their potential reciprocal influences on biomechanics and functional performance. The athlete underwent a thorough initial assessment, including clinical examination, imaging, and biomechanical analysis. Treatment began with targeted interventions for acute ankle sprain management, such as rest, ice, compression, and elevation (RICE) followed by progressive exercises to restore ankle stability and range of motion (ROM). Concurrently, a specialized program was devised to address the underlying sacroiliac joint dysfunction through manual therapy, therapeutic exercises, and core stabilization routines. Throughout the rehabilitation process, the focus remained on integrated exercises that targeted both the ankle and sacroiliac joint, promoting optimal neuromuscular coordination and joint function specific to badminton demands. Regular reassessments guided the progression of interventions, ensuring a personalized and athlete-centric approach. The positive outcome highlights the importance of a holistic rehabilitation strategy in managing complex musculoskeletal conditions in athletes, facilitating efficient recovery, and reducing the risk of recurrence. This case report highlights the effectiveness of an integrated approach in enhancing performance and preventing reinjury in badminton athletes facing multifaceted musculoskeletal challenges.