Auxetic structures used in kinesiology tapes can improve form-fitting and personalization.

Each year 65% of young athletes and 25% of physically active adults suffer from at least one musculoskeletal injury that prevents them from continuing with physical activity, negatively influencing their physical and mental well-being. The treatment of musculoskeletal injuries with the adhesive elastic kinesiology tape (KT) decreases the recovery time. Patients can thus recommence physical exercise earlier. Here, a novel KT based on auxetic structures is proposed to simplify the application procedure and allow personalization. This novel KT exploits the form-fitting property of auxetics as well as their ability to simultaneously expand in two perpendicular directions when stretched. The auxetic contribution is tuned by optimizing the structure design using analytical equations and experimental measurements. A reentrant honeycomb topology is selected to demonstrate the validity of the proposed approach. Prototypes of auxetic KT to treat general elbow pains and muscle tenseness in the forearm are developed.

Utilização da fisioterapia na reabilitação de bezerro com poliartrite e paresia neuromuscular: relato de caso / Use of physiotherapy in the rehabilitation of calves with polyarthritis and neuromuscular paresis: case report / Uso de la fisioterapia en la rehabilitación de un ternero con poliartritis y parisia neuromuscular: reporte de caso

A reabilitação animal na medicina veterinária é um campo recente, porém crescente a cada dia. Neste sentido, a fisioterapia veterinária atua trazendo inúmeros benefícios, como melhoria dos movimentos, redução da dor, edema e outras. Interfere ainda no tempo de recuperação, redução de custos para o proprietário, podendo ser hoje utilizada como um tratamento na recuperação pós-cirúrgica. Desta forma, objetivou-se relatar o uso da fisioterapia em uma bezerra com poliartrite e paresia neuromuscular. O animal apresentou um aumento de volume nas articulações cárpicas e társicas após histórico de onfalite, permanecendo em decúbito esternal por vários dias. O proprietário resolveu aplicar ferro dextrano na região glútea do animal, o que causou uma lesão de nervo isquiático. Foram instituídos protocolos medicamentosos e fisioterápicos, que culminaram no estímulo da marcha, propriocepção, além de hipertrofia muscular. Porém, em virtude de complicações resultantes de onfalite, o animal veio a óbito.(AU)

Animal rehabilitation in veterinary medicine is a recent field, but growing every day. In this sense, veterinary physiotherapy works bringing numerous benefits, such as improved movements, reduced pain, edema and others. Reducing the recovery time, reducing costs for the owner, and today it can be used as a treatment in post-surgical recovery. In this sense, the objective was to report the use of physiotherapy in a heifer with polyarthritis and neuromuscular paresis. The animal showed an increase in volume in the carpal and tarsal joints after a history of omphalitis, remaining in sternal decubitus for several days. The owner decided to apply iron dextran to the animal's gluteal region, which caused an injury to the sciatic nerve. Medicinal and physical therapy protocols were instituted, which culminated in the stimulation of gait, proprioception, in addition to muscle hypertrophy. However, due to complications resulting from omphalitis, the animal died.(AU)

La rehabilitación animal en medicina veterinaria es un campo reciente, pero en crecimiento cada día. En este sentido, la fisioterapia veterinaria actúa aportando numerosos beneficios, como mejora de los movimientos, reducción del dolor, edemas y otros. Disminución del tiempo de recuperación, reducción de costos para el propietario, pudiendo ser utilizado hoy en día como tratamiento en la recuperación posquirúrgica. En ese sentido, el objetivo fue reportar el uso de fisioterapia en una vaquilla con poliartritis y paresia neuromuscular. El animal presentó un aumento de volumen en las articulaciones del carpo y del tarso tras un antecedente de onfalitis, permaneciendo en decúbito esternal durante varios días. El propietario decidió aplicar hierro dextrano en la región glútea del animal, lo que provocó una lesión en el nervio ciático. Se instauraron protocolos farmacológicos y de fisioterapia, que culminaron con estimulación de la marcha, propiocepción, además de hipertrofia muscular. Sin embargo, debido a complicaciones derivadas de la onfalitis, el animal falleció.(AU)

La telerehabilitación durante la pandemia COVID-19: experiencia de las familias de niños con condiciones crónicas complejas / Telerehabilitation during the COVID-19 pandemic: experience of families of children with complex chronic conditions

La telerehabilitación ha sido una solución rápida y efectiva para la atención de pacientes durante la pandemia COVID-19. Nuestro objetivo ha sido describir la experiencia de las familias de niños con condiciones crónicas complejas (CCC) asistidos con la modalidad de telerehabilitación durante la pandemia. Materiales y métodos: Se ha realizado un estudio observacional, descriptivo y transversal de tipo encuesta online. Se encuestaron familias de niños (1 mes a 5 años de edad) con al menos una CCC que recibieron seguimiento interdisciplinario a distancia durante la pandemia de 2 o más áreas de rehabilitación (kinesiología, fonoaudiología y terapia ocupacional) pertenecientes al Servicio de Kinesiología del Hospital de Pediatría Juan P Garrahan, durante marzo a octubre de 2020. Resultados: El 88,3% de los participantes (n=43) se expresó satisfecho con la modalidad de telerehabilitación. Entre los facilitadores seleccionados por los participantes se mencionan la reducción de tiempos, mayor frecuencia de consultas, disminución de gastos por traslados y mayor comodidad, mientras que entre las barreras se destacaron: el no vínculo con profesionales, alargue en tiempos de tratamiento, problemas de conectividad. El análisis estadístico no indicó diferencias significativas entre quienes se reportaron como más satisfechos según su estrato social (alto o bajo), la disponibilidad de wifi propio, o respecto a la edad del niño. Se reportaron diferencias significativas en cuanto a la distancia al hospital (p=0.034). Conclusión: Esta forma de intervención ofreció nuevas posibilidades de atención que podrían considerarse a futuro en el seguimiento de nuestros pacientes. (AU)

Telerehabilitation has been a fast and effective solution in patient care during the COVID-19 pandemic. Our aim was to describe the experience of families of children with complex chronic conditions (CCC) treated through telerehabilitation during the pandemic. Materials and methods: An observational, descriptive, cross-sectional, online survey study was conducted. Families of children (1 month to 5 years of age) with at least one CCC who received interdisciplinary remote follow-up during the pandemic from two or more rehabilitation areas (physical therapy, speech therapy, and occupational therapy) belonging to the Department of Physical Therapy of Hospital de Pediatría Juan P Garrahan, from March to October 2020, were surveyed. Results: 88.3% of the participants (n=43) expressed satisfaction with the telerehabilitation modality. Among the facilitators selected by the participants, the following were mentioned: time saving, greater frequency of consultations, reduction of travel expenses and greater comfort, while among the barriers, the following stood out: no connection with the professionals, longer treatment times, connectivity problems. Statistical analysis did not show significant differences between those who reported being more satisfied according to socioeconomic level (high or low), availability of their own wifi connection, or age of the child. A significant difference was found for distance to the hospital (p=0.034). Conclusion: This type of intervention provided new possibilities of care that could be considered in the future follow-up of our patients (AU)

Kinesitherapy for idiopathic facial palsy: A protocol of systematic review and meta-analysis.

BACKGROUND: Idiopathic facial nerve palsy (Bells palsy) is the most common acute mono-neuropathy which lack of effective treatments. Kinesitherapy as an alternative therapeutic approach was widely used in clinical. But the effects on Bells palsy outcome are still debated. METHODS: The aim of this study is to systematically review the therapeutic efficacy of kinesitherapy for Bells palsy. Database including PubMed, EMBASE, Cochrane Library, Chinese Biomedical database (CBM), Chinese National Knowledge Infrastructure (CNKI), Chinese Science and Technology Periodical database (VIP) and WangFang database will be searched to collect randomized controlled trails (RCTs) on kinesitherapy for Bells palsy from inception to Nov 2020. The therapeutic effects based on recovery rate, House-Brackmann (H-B) facial classification system, Sunny brook face grading system and adverse events after the treatment will be marked as the primary outcomes. RevMan V.5.3 software will be used to calculate the data synthesis as well as to perform meta-analysis if the results are appropriate. RESULTS: The literature will provide a high-quality synthesis of current evidence of kinesitherapy for Bells palsy from various comprehensive assessment, including the recovery rate, H-B facial classification, Sunny brook face scores, adverse events rate, Facial disability index (FDI), residual symptoms 6 months after onset, incomplete recovery rate after 1 year. CONCLUSION: The systematic review will provide up-to-date evidence to assess kinesitherapy for Bells palsy. PROSPERO REGISTRATION NUMBER: PROSPERO CRD42020215109.

Computer Kinesiology: New Diagnostic and Therapeutic Tool for Lower Back Pain Treatment (Pilot Study).

The aim of this study was to demonstrate the effectiveness of the diagnostic and therapeutic medical information system Computer Kinesiology in physiotherapy in patients with low back pain who were not responding to conventional therapy. Computer Kinesiology is primarily intended for the diagnostics and therapy of functional disorders of the locomotor system. This pilot study population included 55 patients (Group 1) with acute and chronic back pain and 51 persons (Group 2) without back pain. The third group was a control group of 67 healthy volunteers with no evidence of musculoskeletal pathologies and no back pain. All 173 subjects were examined three times by the diagnostic part of the Computer Kinesiology method. Groups 1 and 2 were treated after every diagnostics. Group 3 was not treated. The effect was evaluated by H score. Improvements after therapy were defined by reducing the H score by at least 1 point. In Group 1, the H score decreased by at least 1 point in 87.3% (95% CI: 75.5-94.7) and in Group 2 in 78.4% (95% CI: 64.7-88.7). There was no change of distribution of H Score grade in Group 3. The improvement neither depended on gender, age, and BMI nor was it influenced by the length of the therapy. This study demonstrated a high therapeutic efficacy of the Computer Kinesiology system in patients with back pain (Group 1) and in persons without back pain (Group 2) who used the Computer Kinesiology system for primary and secondary prevention of back pain.

The physical demands of mixed martial arts: A narrative review using the ARMSS model to provide a hierarchy of evidence.

The physical demands of mixed martial arts (MMA) training and competition is not yet well quantified. The Applied Research Model for the Sport Sciences (ARMSS) provides a framework through which to conduct sport science, determining pertinent questions to test research findings in real-world settings. The aim of this review was to evaluate MMA research within the context of ARMSS to critically analyse our understanding of the physical requirements of MMA training and competition. Research databases were searched, with 70 peer-reviewed articles being discussed in relation to the specific stage of the ARMSS in which their results best fit. MMA research was found to be mostly foundational and descriptive in nature and has generally not developed along systematic lines. The internal and external loads and responses to training and competition have not been adequately identified. Therefore, it is not currently possible to state which variables are key predictors of success, or how coaches can optimally manipulate these variables. We propose that MMA research be refocused to be conducted within ARMSS. Specifically, stage 2 studies describing the physical, physiological and technical demands of MMA training and competition, and stage 3 studies determining the physiological predictors of performance should be initially prioritised.

Quantification of Postures for Low-Height Object Manipulation Conducted by Manual Material Handlers in a Retail Environment.

Occupational Applications Manual material handlers performing stocking tasks spent substantial amounts of time in bent postures but used traditional stoops and squats infrequently. Instead, they often used split-legged stoops and squats, where one foot is further forward than the other, and one-legged ("golfer's") lifts. During object manipulation, the distance workers reached away from their body, and the height at which they manipulated objects, were correlated with the posture used by the worker. Workers also stayed in different postures for different lengths of time. It is likely that certain postures are more comfortable for the workers to remain in, provide additional mobility or operational radius, or require less energy to use. Understanding these factors in more detail could lead to improved worker training programs, where the postures taught not only have low injury risk but are comfortable so are actually adopted and used by the workers.

Technical Abstract Background Musculoskeletal disorders are relatively common among manual material handlers. This may be due in part to challenging postures used by workers. Purpose Studying the kinematics of manual material handlers in the workplace will provide quantitative data on how they move and what postures they adopt. With these data, some insights can be determined about why workers chose certain postures. Methods We conducted an on-site workplace study to capture the full-body kinematics of manual material handlers (stockers) using inertial measurement units. We organized the observed bends into six classes: stooping, fore-aft squatting, split-legged stooping with one-heel raised, split-legged stooping with no heels raised, one-legged lifting, and mixed lifting, which include multiple forms while remaining bent. These classes were based on a new general classification of bending and lifting postures that we developed, which enumerates all of the possible forms. We quantified how frequently and for what duration the workers bent and lifted, and determined how often they performed asymmetric motions while bending. We determined the range of motion of the hand positions during each bent posture, which provides a measure of the workspace afforded by the posture. Results Workers rarely used symmetric squats and infrequently used symmetric stoops typically studied in lab settings. Instead, they used a variety of different postures that have not been well-characterized. Of the 666 bending postures recorded during the experiment, 27.3% were stoops lifts, 22.1% were one-legged lifts, 20.3% were split-legged bends with both heels on the ground, and 12.3% were split-legged bends with a heel raised. Only 4.6% of the postures were squats and only one participant used this posture. Different bending postures were correlated with different ranges of hand position used in object manipulation. One-legged lifting corresponded to bends with the hands furthest away from the body along the sagittal axis. Conclusions While our study was exploratory, we observed many kinematic forms that have not been studied much in the past, such as split-legged stooping and one-legged lifting, suggesting that future work should be done to understand the biomechanics of these postures.

Myoelectrical activity of muscles stabilizing the sacroiliac joints before and after the use of elastic tapes in women suffering from Pregnancy-related Pelvic Girdle Pain.

OBJECTIVES: The aim of this study was the analysis of activity of selected muscles stabilizing the sacroiliac joints in pregnant women suffering from pelvic pain and changes in the pattern in response to the implementation of Kinesio Taping (elastic tape). MATERIAL AND METHODS: Seventeen women with Pregnancy-related Pelvic Girdle Pain and 20 pregnant women without pain in the lumbar-pelvic complex were enrolled into the study. In patients with pelvic pain, the parameters describing the action of the muscles were assessed: before the tape was applied, immediately after application, 3 days into application and 5 days after the cessation of taping. In the control group, the test was carried out one time. The activity of the muscles was measured during extension of the hip from a four-point kneeling position. RESULTS: The gluteus maximus muscle shows higher resting activity values than in the control group, before and after application of the tape as well as five days after the removal of the tape. Before application, the gluteus maximus activates quicker than in the control group while the ipsilateral extensor spinae had a delayed activation when compared to the control group. CONCLUSIONS: The patterns of activation of tested muscles and their action potential values are different in the group of women with pelvic pain compared to the group without pelvic pain. The application of KT in the lumbar region appears to alter the activation of the GM muscle as well as improve activation of IES muscle during hip extension from the four-point-kneeling position.

Geotherapy combined with kinesiotherapy is efficient in reducing pain in patients with osteoarthritis.

INTRODUCTION: Patients with osteoarthritis (OA) suffer from a degenerative disease that causes several physical disabilities and pain. Despite the few studies involving exercise combined with geotherapy (a therapy using poultices made from earth materials such as clay or mud) for patients with OA, this subject is still under debate, as effect of the earth material remains unclear. The aim of this study was to compare pain, joint stiffness and disability in patients who underwent kinesiotherapy (K) or geotherapy combined with kinesiotherapy (GK). METHOD: This was a clinical randomized single-blinded prospective study, in which 48 individuals participated. Volunteers were evaluated for pain perception, pressure pain tolerance thresholds, and responded to questionnaires about pain, joint stiffness and physical disability (WOMAC) and about symptoms and disability (Lequesne Algofunctional Index). Patients in K group underwent 15 twice-weekly sessions of kinesiotherapy consisting of stretching and strengthening exercises for lower limbs. GK patients received a poultice of powder dolomite mixed with hot water on the knees for 25 min before each of the 15 sessions of the same kinesiotherapy program. RESULTS: Both interventions were effective in reducing pain, joint stiffness and physical disability (p < 0.001), and in increasing pressure pain thresholds (p < 0.05); however, patients who underwent GK presented a more pronounced reduction in pain perception (p = 0.006) than those in K group. They also exhibited more tolerance to pain in all sites evaluated. CONCLUSION: Both interventions were effective in reducing pain, joint stiffness and physical disability, but GK produced significantly better results in pain perception.

Exploring treatment of medial tibial stress syndrome via posture and the MyoKinesthetic system.

INTRODUCTION: A standard treatment protocol for medial tibial stress syndrome (MTSS) has not been identified. Clinical practice focuses on local evaluation and treatment neglecting a global approach. The MyoKinesthetic™ (MYK) System includes a full-body postural assessment to identify compensatory patterns that may lead to MTSS. The purpose of this study was to assess the effects of the MYK System in treating patients diagnosed with MTSS. METHOD: A multi-site exploratory study was used to assess the effects of the MYK System on perceived pain and disability in patients diagnosed with MTSS. Eighteen physically active patients (6 female, 12 male), ages 18-25 years (19.89 ±â€¯1.32) were treated with the MYK System. RESULTS: Paired T-tests were utilized to assess change. The change in patient reported pain was statistically significant (t(17) = 10.48, p < .001, Cohen's d = 2.48) and represented an average decrease of 96% in patient reported pain. The change in disablement was statistically significant (t(17) = 7.39, p < .001, Cohen's d = 1.74) and represented an average decrease of 88.2% in patient reported disablement. DISCUSSION: Participants treated with the MYK System experienced significant improvements and appear to surpass traditional interventions without the need of rest. CONCLUSION: Implementation of the MYK System to treat MTSS led to significant decreases in patient reported pain and dysfunction. A full-scale clinical investigation of the MYK System is warranted to determine its effects compared to traditional treatment options.

Practice day may be unnecessary prior to testing knee extensor strength in young healthy adults.

A practice session is common prior to strength testing. However, the benefits of practice have not been previously reported. The purpose of this study was to determine the effect of a practice session on peak torque, mean torque and between trial variability across three test days. We hypothesized that peak and mean torque would be higher and less variable the second and third test days than the first. Twenty-five healthy, young participants completed 3 maximal voluntary isometric and isokinetic knee extensions on three separate days. No difference in isometric torque was found between days 1 and 2, but there was a significant decrease in isokinetic torque (8.45 Nm). There was a significant decrease in both mean isometric and isokinetic torque from day 1 to day 3 (12.67 and 13.59 Nm). Contrary to our hypothesis, no benefit from a practice session was found. Healthy, young adults are able to produce peak knee extensor torques on the first day of testing and do not demonstrate any benefit from additional testing. Thus, a practice day preceding isometric and isokinetic knee extensor strength testing may not be necessary when testing healthy, young participants, and may, in fact, negatively impact subsequent strength measurements.

The effects of kinesiology taping on experimentally-induced thermal and mechanical pain in otherwise pain-free healthy humans: A randomised controlled repeated-measures laboratory study.

BACKGROUND: Kinesiology taping (KT) is used to manage musculoskeletal-related pain. There is a paucity of physiological studies evaluating the effect of KT on stimulus-evoked experimental pain. OBJECTIVE: To investigate the effect of KT (applied to lumbar region) on cutaneous somatosensation to noxious and innocuous stimuli in humans with a non-sensitised normally functioning nociceptive system using quantitative sensory testing (QST). METHODS: Fifty-four participants were randomised to one of three interventions: (i) KT (ii) standard 'rigid' taping (ST) (iii) sham taping (ShT). QST measurements were taken at lumbar sites pre-intervention (T1), during-intervention (T2) and during-intervention (T3) in the following sequence: warm-detection-threshold (WDT), heat-pain-threshold (HTPh), heat-pain-tolerance (HPTo), mechanical-detection-threshold (MDT), mechanical-pain-threshold (MPT) and pressure-pain-threshold (PPT). RESULTS: Mixed ANOVA revealed statistically significant interaction between Intervention and Time on MDT (p < .0005) and MPT (p < .0005) but not on WDT (p = .09), HPTh (p = .09), HPTo (p = .51) and PPT (p = .52) datasets. There was no significant simple main effect of Intervention on MDT at T2 (p = .68) and T3 (p = .24), and MPT at T2 (p = .79) and T3 (p = .54); post-hoc tests found KT and ST groups had higher (but non-significant) MDT and MPT than the ShT group. There was a significant simple main effect of Time on MDT and MPT for KT (p < .0005) and ST (p < .0005) groups; post-hoc tests found significant increases in MDT and MPT at T3 and T2 compared with T1 in both KT and ST groups. There was no significant simple main effect of Time on MDT (p = .13) nor MPT (p = .08) for the ShT group. CONCLUSION: Taping, irrespective of the elasticity, may modulate cutaneous mechanosensation. KT, ST and ShT seemed to have similar influence on cutaneous thermal and deep pressure nociception.

Decreased Lipid Profile and Oxidative Stress in Healthy Subjects Who Underwent Whole-Body Cryotherapy in Closed Cryochamber with Subsequent Kinesiotherapy.

OBJECTIVE: The aim of the study was to estimate the impact of whole-body cryotherapy (WBC) and subsequent kinesiotherapy on oxidative stress and lipid profile when performed in a closed cryochamber on healthy subjects. MATERIAL AND METHODS: The effect of ten WBC procedures lasting 3 minutes a day followed by a 60-minute session kinesiotherapy on oxidative stress and lipid profile in healthy subjects (WBC group, n = 16) was investigated. The WBC group was compared to the kinesiotherapy only (KT; n = 16) group. The routine parameters of oxidative stress (antioxidant enzymatic and nonenzymatic antioxidant status, lipid peroxidation products, total oxidative status (TOS), and oxidative stress index (OSI)) and lipid profile were estimated one day before the beginning and one day after the completion of the research program. RESULTS: After treatment, in the WBC group, a significant decrease of oxidative stress markers (TOS and OSI) and a significant increase of total antioxidant capacity were observed. The activity of plasma SOD-Mn and erythrocyte total SOD increased significantly in the WBC group. In the KT group, the erythrocyte activity of total SOD, CAT, and GR decreased significantly after the treatment. The levels of T-Chol and LDL-Chol decreased significantly after treatment in both groups, but the observed decrease of these lipid parameters in the WBC group was higher in comparison to the KT group. The level of TG decreased significantly after treatment in the WBC group only. CONCLUSION: WBC performed in a closed cryochamber followed by kinesiotherapy improves lipid profile and decreases oxidative stress in healthy subjects.

Manual Therapy With Cryotherapy Versus Kinesiotherapy With Cryotherapy for Knee Osteoarthritis: A Randomized Controlled Trial.

CONTEXT: Manual therapy and kinesiotherapy are used for knee osteoarthritis (OA). Yet, a clear evidence of the effects of manual therapy versus kinesiotherapy on knee OA is limited. The addition of cryotherapy to manual therapy or to kinesiotherapy may enhance the health benefits in patients with knee OA. OBJECTIVE: The study intended to evaluate the efficacy of manual therapy combined with cryotherapy versus kinesiotherapy combined with cryotherapy for patients with knee OA. DESIGN: The research team designed a randomized, controlled trial. SETTING: The study occurred in the Physiotherapy Outpatient Department of the Regional Hospital (Sandomierz, Poland). PARTICIPANTS: The participants were 128 females and males with knee OA, aged 40 to 80 y, who were patients in the department at the hospital. INTERVENTION: The participants were randomly assigned to an intervention group that received manual therapy combined with cryotherapy, the MT-C group (n = 64), or to a control group, which received kinesiotherapy combined with cryotherapy, the KIN-C group (n = 64). The participants in both groups received 10 treatments, 2 per wk for 5 wk. OUTCOME MEASURES: The primary outcome was measured using a visual analog scale pain ratings. The secondary outcome measured the quality of life using the Western Ontario and McMaster Universities questionnaire, knee extension, and flexion range of motion using the goniometer, and functional capacity using the 6-min walk test. RESULTS: After the treatments, the intervention group had significantly lower scores than the control group for pain, as well as significantly higher scores for quality of life, range of motion of the affected knee, and functional capacity. CONCLUSION: The patients achieved better health benefits from manual therapy when it was combined with cryotherapy.

Development, implementation, and effects of a cancer center's exercise-oncology program.

BACKGROUND: National and international bodies acknowledge the benefit of exercise for people with cancer, yet limited accessibility to related programing remains. Given their involvement in managing the disease, cancer centers can play a central role in delivering exercise-oncology services. The authors developed and implemented a clinically integrated exercise-oncology program at a major cancer center and evaluated its effectiveness and participant experience. METHODS: A hospital-based program with prescribed at-home exercise was developed and accepted referrals over a 42-month period (3.5 years). Implementation was conducted in 2 phases: a pilot phase for women with breast cancer and men with genitourinary cancer and a roll-out phase for all patients with cancer. Enrolled patients were assessed and received an exercise prescription as well as a program manual, resistance bands, and a stability ball from a kinesiologist. Program participation and effectiveness were evaluated up to 48 weeks after the baseline assessment using intention-to-treat analyses. Participants in the roll-out phase were asked to complete a program experience questionnaire at the completion of the 48-week follow-up. RESULTS: In total, 112 participants enrolled in the pilot, and 150 enrolled in the roll-out phase. Program attrition to 48 weeks was 48% and 65% in the pilot and roll-out phases, respectively. In participants who consented to research evaluation of their performance, objective and patient-reported measures of functional capacity improved significantly from baseline in both phases. Participants were highly satisfied with the program. CONCLUSIONS: Despite significant drop-out to program endpoints, our cancer-exercise program demonstrated clinically relevant improvement in functional outcomes and was highly appreciated by participants.

Effects of Massage Therapy and Kinesitherapy to Develop Hospitalized Preterm Infant's Anthropometry: A Quasi-Experimental Study.

PURPOSE: The aim of this study was to analyze the efficacy of massage therapy and kinesitherapy on the anthropometric development of hospitalized preterm infants applied by parents. DESIGN AND METHODS: A prospective quasi-experimental study was designed. Hospitalized preterm infants received a daily 15-minute session of massage therapy and kinesitherapy. The control group received regular medical and nursing care. RESULTS: The massage therapy and kinesitherapy protocol significantly improved the anthropometric parameters studied: weight (895.7 ±â€¯547.9 vs 541.8 ±â€¯536.2; p < 0.001) size (5.5 ±â€¯4.3 vs. 3.0 ±â€¯3.1; p < 0.001) and head circumference (4.2 ±â€¯3.2 vs 2.4 ±â€¯2.6; p < 0.001). CONCLUSIONS: The implementation of a massage therapy and kinesitherapy protocol is beneficial for the anthropometric development of hospitalized preterm infants. PRACTICE IMPLICATIONS: An easy to administer and cost-effective intervention such as massage therapy and kinesitherapy can improve the anthropometric development of preterm infants and reduce growth-related morbidity in the short, medium, and long term.

A study of reproducibility of kinesiology tape applications: review, reliability and validity.

BACKGROUND: Literature addressing the mechanical properties of kinesiology tape is quite scarce. There are no studies which focus on the mechanical characteristics of kinesiology tape, its mechanical properties, nor its adherence following the ISO international standard test methods for tape elongation. METHODS: This study quantified the mechanical characteristics of 380 samples of kinesiology tape from 19 different brands and in 4 different colors using a dynamometer. Mechanical testing was controlled by UNE EN ISO 13934-1. RESULTS: Significant differences were found between tape brands in terms of grammage, maximum force tenacity, work, pre-elongation and percentage elongation (P < .001). Regarding kinesiology tape color, statistically significant differences were found between tape brands in terms of grammage, maximum force and tenacity (P < .001), work and pre-elongation (P < .05). When adherence was studied, statistically significant differences were found between tape brands in terms of maximum force and work (P < .001). CONCLUSIONS: The different kinesiology tapes presented different behaviors with regard to rupture and removal when applied to skin in dry state, wet state and after being submerged in artificial acidic sweat solution. Therefore, different kinesiology tape brands will produce different levels of strain even though the same elongation is used. Depending on the characteristics (body dimensions) and properties (skin elongation) of each subject in the sample, bandages with different elongations must be applied to achieve the same strain in all of the tapes and therefore produce the same effect. The absence of these data at this time limits the reliability of previous clinical studies, makes comparing their findings impossible and presents new challenges for research in this field.

Cinesioterapia aplicada em crianças e adultos queimados: uma revisão integrativa da literatura / Applied kinesiotherapy in children and burned adults: an integrating literature review / Cinesioterapia aplicada en niños y adultos quemados: una revisión integral de la literatura

Objetivo: O objetivo deste estudo foi identificar, apresentar e discutir os achados da literatura referentes a ensaios clínicos que evidenciam a aplicação da cinesioterapia em crianças e adultos queimados. Questionou-se quais são os programas de exercícios terapêuticos mais eficazes para a prática clínica do fisioterapeuta nesses pacientes. Método: Este estudo foi realizado a partir de uma revisão integrada de literatura. As buscas iniciaram-se no período de 31 de agosto de 2018 até 12 de outubro de 2018, nas bases de dados PEDro, PubMed, Medline, LILACS e SciELO. Foram encontrados 435 artigos, porém, apenas 5 foram selecionados e analisados de acordo com os critérios de inclusão e a qualidade metodológica da escala PEDro. Resultados: Os estudos encontrados aplicaram a cinesioterapia com programas de exercícios dos tipos isométricos, isocinéticos, isotônicos, aeróbicos e resistidos em crianças e adultos queimados entre a faixa etária de 6 a 65 anos de idade, aos quais visavam facilitar a recuperação dos lesados de acordo com o grau e profundidade da queimadura, classificadas em agudas e crônicas de 2o a 3o grau, possuindo 23,87% a 45% da área total de superfície corporal queimada. Conclusão: Mediante a escassez de estudos sobre o tema, conclui-se que a fisioterapia com exercícios resistidos, isométricos e aeróbicos após alta-hospitalar 5 vezes por semana, durante 6 a 12 semanas, proporciona melhores resultados para crianças queimadas. E por 3 vezes na semana, durante 12 semanas, a fisioterapia com exercícios aeróbicos e resistidos aquáticos e em terra é eficaz para adultos com queimaduras.

Objective: The objective of this study was to identify, present and discuss the findings of the literature regarding clinical trials that demonstrate the application of kinesiotherapy in burned children and adults, wondered which are the most effective therapeutic exercise programs for the physiotherapists clinical practice in these patients. Methods: This study was conducted from an integrated literature review. The searches began in the period from August 31, 2018 until October 12, 2018, in the databases PEDro, PubMed, Medline, LILACS and SciELO. We found 435 articles, but only 5 were selected and analyzed according to the inclusion criteria and the methodological quality of the PEDro scale. Results: The kinesiotherapy was performed with isometric, isokinetic, isotonic, aerobic and resisted exercise programs in children and adults burned between the ages of 6 and 65 years, with the purpose of facilitating the recovery of the injured with the degree and depth of the burn, classified as acute and chronic from 2nd to 3rd degree, with 23.87% to 45% of the total body surface area burned. Conclusion: Due to the scarcity of studies on the subject, it can be concluded that physiotherapy with resisted, isometric and aerobic exercises after hospital discharge 5 times a week for 6 to 12 weeks provides better results for children who are burned. And for 3 times a week for 12 weeks physical therapy with aerobic and resisted aquatic and ground exercises are effective for adults with burns.

Objetivo: Este estudio busca identificar, presentar y discutir los hallazgos de la literatura referentes a los ensayos clínicos que evidencian la aplicación de la cinesioterapia en niños y adultos quemados, se preguntó cuales son los programas de ejercicios terapéuticos más eficaces para la práctica clínica del fisioterapeuta en estos pacientes. Método: Este estudio fue realizado a partir de una revisión integrada de literatura. Las búsquedas se iniciaron del 31 de agosto de 2018 hasta el 12 de octubre de 2018, en las bases de datos PEDro PubMed, Medline, LILACS y SciELO. Se encontraron 435 artículos, pero sólo 5 fueron seleccionados y analizados de acuerdo con los criterios de inclusión y la calidad metodológica de la escala PEDro. Resultados: Se encontraron estudios que aplicaron la cinesioterapia con ejercicios de los tipos isométricos, isocinéticos, isotónicos, aeróbicos y resistidos en niños y adultos quemados entre el grupo de edad de 6 a 65 años de edad, que tenían como objetivo facilitar la recuperación de los afectados de acuerdo con el grado y profundidad y clasificación de las quemaduras agudas y crónicas de 2o a 3o grado, con 23,87% a 45% del área total de superficie corporal quemada. Conclusión: la fisioterapia con ejercicios resistidos, isométricos y aeróbicos después de alta hospitalaria 5 veces por semana, durante 6 a 12 semanas proporcionan mejores resultados para niños quemados. Y 3 veces a la semana, durante 12 semanas la fisioterapia con ejercicios aeróbicos y resistidos acuáticos y en tierra son eficaces para adultos con quemaduras.

Estrategias de problematización e intervención de Kinesiología / Fisioterapia para un paciente con una afección ventilatoria crónica reagudizada / Problematizing strategies and intervention of Kinesiology / Physiotherapy for a patient with aggravated chronic ventilatory condition

La Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud (CIF), permite organizar la información mediante un lenguaje trans-disciplinario. Al respecto, es fundamental complementarlo con una epistemología propia para generar prácticas clínicas eficientes. La enfermedad pulmonar obstructiva crónica (EPOC), se ha convertido en una condicionante negativa de función, movimiento y salud en la población. Proponemos un modelo de razonamiento en kinesiología/fisioterapia para disfunciones del movimiento humano aplicado a una fase crónica ventilatoria irreversible. Paciente de 74 años con EPOC. Plantea como necesidad, la "mínima asistencia para realizar su aseo personal", lo que se estableció como contexto funcional crítico (CFC). Se entrenó progresivamente, según velocidad, por 36 sesiones, de 30 minutos. La espirometría no presentó cambios. Mejoró la capacidad de trabajo físico, calidad de vida y el CFC se hizo independiente. La intervención derivada del diagnóstico mediante estrategias de problematización permitió una mejora clínica eficiente de los indicadores evaluados.

The International Classification of Functioning, Disability and Health (CIF), make it possible to organize information through a trans-disciplinary language. In this regard, it is essential to complement it with an own epistemology to generate efficient clinical practices. Chronic obstructive pulmonary disease (COPD) has become a negative condition of function, movement and health in the population. We propose a model of reasoning in kinesiology/ physiotherapy for dysfunctions of human movement applied to an irreversible chronic ventilatory phase. Patient of 74 years old patient with COPD. As a necessity, it poses the "minimum assistance to perform personal hygiene", which was established as a critical functional context (CFC). He trained progressively, according to speed, for 36 sessions of 30 min. The spirometry did not change. The capacity for physical work, quality of life improved, and the CFC became independent. The intervention derived from the diagnosis by problematizing strategies allowed an efficient clinical improvement of the evaluated indicators.

Development and use of a mouth gag for oral experiments in rats.

OBJECTIVE: Rodent models such as mice and rats are often used in investigations of the oral cavity in the fields of periodontology and dental anesthesiology. When various treatments are performed in the oral cavity, it is very important to secure the visual field while keeping the animal's mouth fully opened, in order to ensure the consistency of experimental procedures. Therefore, we developed a standardized gag conforming to various degrees of oral cavity size of different aged rats. DESIGN: The gag was composed of a rectangular incisor-opening frame constructed from a stainless steel wire with retractors and a dial to alter the opening amounts. Wistar rats (n = 5) aged 4, 8, and 12 weeks were used to evaluate the suitability of the gag in oral cavity. As tests for application of gag in intraoral experiments, the ligature placement around the molars, drug injection into the gingiva, measurement of gingival blood flow rate, and installation of stimulation an electrode for somatosensory-evoked potentials into the molar were performed. RESULTS: Adjusting the opening dial enabled both the maintenance of open state and more favorable intraoral observation compared with tweezers as a control device in all different types of rats. Furthermore, our gag made it possible to facilitate the insertion of diverse instruments into the oral cavity and to achieve various experimental purposes. The stainless-steel gag can also be autoclaved and dry-heat sterilized. CONCLUSION: It was revealed that our mouth gag can be widely applied to various oral experiments in different old aged rats.