Efficacy of a Rehabilitation Program Using Mirror Therapy and Cognitive Therapeutic Exercise on Upper Limb Functionality in Patients with Acute Stroke.

Applying evidence-based therapies in stroke rehabilitation plays a crucial role in this process, as they are supported by studies and results that demonstrate their effectiveness in improving functionality, such as mirror therapy (MT), cognitive therapeutic exercise (CTE), and task-oriented training. The aim of this study was to assess the effectiveness of MT and CTE combined with task-oriented training on the functionality, sensitivity, range, and pain of the affected upper limb in patients with acute stroke. A longitudinal multicenter study recruited a sample of 120 patients with acute stroke randomly and consecutively, meeting specific inclusion and exclusion criteria. They were randomly allocated into three groups: a control group only for task-oriented training (TOT) and two groups undergoing either MT or CTE, both combined with TOT. The overall functionality of the affected upper limb, specific functionality, sensitivity, range of motion, and pain were assessed using the Fugl-Meyer Assessment Upper Extremity (FMA-UE) scale validated for the Spanish population. An initial assessment was conducted before the intervention, a second assessment after completing the 20 sessions, and another three months later. ANCOVA analysis revealed statistically significant differences between the assessments and the experimental groups compared to the control group, indicating significant improvement in the overall functionality of the upper limb in these patients. However, no significant differences were observed between the two experimental groups. The conclusion drawn was that both therapeutic techniques are equally effective in treating functionality, sensitivity, range of motion, and pain in the upper limb following a stroke.

Use, Validity and Reliability of Inertial Movement Units in Volleyball: Systematic Review of the Scientific Literature.

The use of inertial devices in sport has become increasingly common. The aim of this study was to examine the validity and reliability of multiple devices for measuring jump height in volleyball. The search was carried out in four databases (PubMed, Scopus, Web of Sciences and SPORTDiscus) using keywords and Boolean operators. Twenty-one studies were selected that met the established selection criteria. The studies focused on determining the validity and reliability of IMUs (52.38%), on controlling and quantifying external load (28.57%) and on describing differences between playing positions (19.05%). Indoor volleyball was the modality in which IMUs have been used the most. The most evaluated population was elite, adult and senior athletes. The IMUs were used both in training and in competition, evaluating mainly the amount of jump, the height of the jumps and some biomechanical aspects. Criteria and good validity values for jump counting are established. The reliability of the devices and the evidence is contradictory. IMUs are devices used in volleyball to count and measure vertical displacements and/or compare these measurements with the playing position, training or to determine the external load of the athletes. It has good validity measures, although inter-measurement reliability needs to be improved. Further studies are suggested to position IMUs as measuring instruments to analyze jumping and sport performance of players and teams.

Effects of Early-Childhood-Based Interventions Influencing Bones: A Systematic Review.

A healthy lifestyle from early childhood is a crucial factor that influences bone-related factors in adulthood. In this context, physical education or psychomotricity from early childhood is an important opportunity to face this problem. The present article aims to systematically summarize school-based interventions, evaluated through randomized controlled trial design, that influence the bones of children from early childhood. A systematic review of relevant articles was carried out using four main databases (PubMed, ProQuest Central (including 26 databases), Scopus, and Web of Sciences) until 12 November 2023. From a total of 42 studies initially found, 12 were included in the qualitative synthesis. In brief terms, from early childhood and during puberty, children's bones are particularly responsive to exercise, making this an ideal time for interventions to maximize bone health. Therefore, incorporating physical activity into school curriculums is a strategic approach for enhancing bone health in children. Mainly, plyometric exercises can significantly enhance bone density and geometry. Nevertheless, collaboration among educators, healthcare professionals, and parents is key for designing and implementing these effective interventions.

Concurrent Validity and Reliability of Devices to Measure Jump Height in Men's Handball Players.

Although there is a wide range of validated devices to measure vertical jump height, the degree of interchangeability among them is currently unknown. AIMS: The purpose of this study was to examine the concurrent validity and reliability of multiple devices to measure jump height in men's handball players. METHODS: Sixteen players (age = 24.0 ± 3.7 years old) performed three types of jumps (n= 144-squat jump (SJ), countermovement jump (CMJ) and Abalakov jump (ABK)) on a contact platform (CHRONOJUMP®) while simultaneously being measured with two inertial devices (WIMU® and VERT®) and recorded with a high-speed camera. Vertical jump height was analyzed according to each type of jump. RESULTS: The t-test showed statistically significant differences (p = 0.001) between the contact platform (reference standard) and the rest of the tools that tended to overestimate jump height in all jumps. SJ and CMJ proved to be the jump tests with the most stable reliability values in all devices (ICC: 0.92-0.98), except in the comparison with VERT®. CONCLUSIONS: Although all the analyzed devices proved to be valid and reliable in previous studies, they are not interchangeable. Therefore, it is suggested to always use the same type of device to evaluate vertical height jump.

What Is the Most Sensitive Test to Identify Fatigue through the Analysis of Neuromuscular Status in Male Elite Futsal Players?

The present study aimed to determine which of the neuromuscular status (NMS) monitoring tests (1: Counter-movement jump, CMJ; 2: back squat with additional load) is the most sensitive and effective for evaluating the state of fatigue in futsal players during the preseason. Seventeen professional futsal players were recruited for this study (age: 23.07 ± 6.76 years; height: 1.75 ± 0.06 m; body mass: 75.47 ± 7.47 kg; playing experience in elite: 5.38 ± 2.03 years). All of them were evaluated during the preseason phase in two tests (CMJ and back squat with additional load) before and after each training session (pre- vs. post-test). A jump platform was used to extract jump height during CMJ, while a linear position transducer was used to extract mean velocity (MV) and mean propulsive velocity (MPV) during the back squat exercise. Significant differences were obtained for intra-subject analysis for MV and MPV in loaded back squat exercise (p < 0.001), finding lower values during the post-test. In conclusion, the monitoring of NMS through the back squat provides greater sensitivity and objectivity in comparison with CMJ, due to a more direct neuromuscular extrapolation to the physical demands of futsal.

Reference Values for External and Internal Training Intensity Monitoring in Young Male Soccer Players: A Systematic Review.

Training intensity monitoring is a daily practice in soccer which allows soccer academies to assess the efficacy of its developmental interventions and management strategies. The current systematic review's purpose is to: (1) identify and summarize studies that have examined external and internal training intensity monitoring, and to (2) provide references values for the main measures for young male soccer players. A systematic review of EBSCO, PubMed, Scielo, Scopus, SPORTDiscus, and Web of Science databases was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. From the 2404 studies initially identified, 8 were fully reviewed, and their outcome measures were extracted and analyzed. From them, the following range intervals were found for training: rated perceived exertion (RPE) 2.3-6.3 au; session-RPE, 156-394 au; total distance, 3964.5-6500 m and; distance >18 km/h, 11.8-250 m. Additionally, a general tendency to decrease the intensity in the day before the match was Found. This study allowed to provide reference values of professional young male players for the main internal and external measures. All together, they can be used by coaches, their staff, or practitioners in order to better adjust training intensity.

Validity and reliability of linear position transducers and linear velocity transducers: a systematic review.

This systematic review aimed to summarise and analyse the evidence on the reliability and validity of linear tranducers (LTs) in exercises of different nature and different modes of execution. This systematic review was carried out under PRISMA guidelines, and was carried out using three databases (PubMed, Web of Sciences, and Scopus). Of the 351 initially found, 21 were included in the qualitative synthesis. The results reflected that linear position transducers (LPTs) were valid and reliable in monitoring movement velocity in non-plyometric exercises. However, precision and reliability were lower in execution protocols without isometric phase and in the execution of exercises in multiple planes of movement, with greater measurement errors at higher sampling frequencies. On the other hand, linear velocity transducers (LVTs) proved to be valid and reliable in measuring velocity during plyometric and non-plyometric exercises performed on the Smith machine, with less variation in measurement in the latter. Finally, the use of peak values is recommended, since they are less dependent on the technological errors of LTs. Therefore, the performance of non-plyometric exercises, carried out in the Smith machine and with an isometric phase in the execution of the movement, will help to minimise the technological error of the LTs.