Background: Gluteus medius muscle (GMed) dysfunctions may be associated with pain and functional problems in the lumbar spine and lower limbs. The study sought to assess the effects of applying kinesio taping (KT) and rigid taping (RT) on GMed in the dominant leg of healthy individuals. Furthermore, an attempt was made to indicate which of the applied exercises brought about the greatest activation of GMed. Methods: The study included 90 individuals, with an average age of 21.79. The participants were randomly assigned to one of three groups: kinesio tape (KT), rigid tape (RT) and placebo tape (C). GMed activation was assessed using sEMG during the performance of such exercises as glute bridge, unilateral glute bridge, clamshell, pelvic drop and lunge. Each of the participants was examined three times—before taping, immediately after and 48 h after taping. Results: Before taping, the greatest GMed activation on the dominant side was noted in clamshell (54.12 %MVIC), whereas the lowest GMed activation was observed in glute bridge (36.35 %MVIC). The comparison of results obtained before and immediately after taping in all the groups revealed a statistically significant increase in GMed activation (p < 0.05), while the comparison of results achieved before and 48 h after taping showed significant differences in glute bridge in groups KT and RT. In all the groups, the differences in results obtained in the other exercises were not significant. Taking into account each of the applied exercises, at none of the three stages of examination were the differences between the groups significant. Conclusions: Regardless of the type of taping applied (KT, RT, C), a significant increase in GMed activation was noted in all the exercises immediately after taping. At none of the stages of examination were the differences between the groups significant.
BACKGROUND: Due to a significant burden associated with training sessions and matches, female football players often suffer from lumbar pain. Physical exercise is considered an effective form of therapy for this condition. The exercises in the Kinetic Control concept are one of the forms of motor control training. OBJECTIVE: The aim of the study was to evaluate the effectiveness of motor control training according to the Kinetic Control concept on the level of lumbar spine pain, degree of disability, functional level and load distribution of lower limbs in football players. METHODS: The study included 18 football players, randomly divided into two study groups: A – female players implementing their training plan with additional Kinetic Control training (n= 9) and B (control) – female players implementing their training plan only (n= 9). Pain intensity was measured using Visual Analogue Scale (VAS) and Laitinen’s questionnaire. Functional disability was assessed using Oswestry Disability Index (ODI) and Back Pain Functional Scale (BPFS). The asymmetry index was assessed in a balance test with open and closed eyes and a countermovement jump (CMJ). RESULTS: There was a significant statistical difference between the groups (p< 0.05) in measurements using VAS, ODI and BPFS, in favor of group A. Asymmetry index values in tests on the dynamometer platform did not differ significantly between the groups (p> 0.05). A statistically significant correlation was found between the asymmetry index score in the closed-eye balance test (r= 0.567, p= 0.049) and the CMJ landing phase (r= 0.641, p= 0.033), and the level of pain measured using VAS. CONCLUSIONS: Motor control training in the Kinetic Control concept reduced the pain symptoms of the lumbar spine and the degree of disability and increased the functional level in football female players.
Objectives: Patellar ligament tendinopathy, also known as jumper’s knee, is a group of pain symptoms of the anterior side of the knee joint. The Kinetic Control (KC) concept uses the movement control rating system, based on motor tests and exercises aimed at re-educating motor control. The present study explored the effects of motor control training on the KC concept in treating patella ligament tendinopathy in a female football player. Methods: The current case study was conducted on a 20-year-old female football player. She had been complaining of pain in the front of the right knee joint for two months. Her treatment involved KC training was conducted for 6 weeks (3 times a week for 30 minutes). To investigate the effectiveness of the presented therapy, the following tools were used: Visual Analogue Scale (VAS), The Victorian Institute of Sport Assessment–Patella (VISA-P scale), the Modified Laitinen Pain Questionnaire, Counter Movement Jump (CMJ) test on a dynamometric platform, and quadriceps muscle isometric test. The Asymmetry Index (AI) was applied to assess the asymmetry of quadriceps strength and lower limb loading. Results: The degree of pain (i.e. measured by the VAS) decreased from 7 points at pre-training to 1 point after 6 weeks of therapy. In the VISA-P measurement, pain decreased as a result of an increase in points from 53 to 82. Pain complaints (i.e. measured using the Laitinen questionnaire) decreased from 7 to 2 points. After treatment, the AI improved in all phases of the tests. Discussion: The achieved data indicated that the neuromuscular KC training was effective in treating patellar tendinopathy. However, it is necessary to conduct further studies with larger sample size.
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