No abstract

No abstract

Reduction in isometric strength of the scapulohumeral muscles is a commonly seen impairment in overhead athletes afflicted with shoulder impingement syndrome (SIS). The purpose of this study was to compare the effects of two different treatment programs: progressive resistance exercises plus manual therapy (PRE plus MT) and motor control exercises (MCE), on isometric strength of upper trapezius (UT), middle trapezius (MTr), lower trapezius (LT), serratus anterior (SA), supraspinatus (Supr.), anterior deltoid (A.D), and latissimus dorsi (LD). 80 male university-level overhead athletes clinically diagnosed with SIS were randomly allocated into either of the two groups: PRE plus MT and MCE group. Athletes in the PRE plus MT group underwent graduated exercises with resistance elastic band, stretching exercises, and mobilization of the thoracic and shoulder joints. MCE group was submitted to motor control exercises in varied planar positions. Athletes in both groups underwent management 3 times a week for 8 weeks. Isometric strength of UT, MTr, LT, Supr, A.D, SA, and LD was measured at three-time points: baseline, 4th week, and 8th week. Relative to baseline, both interventions were found to be effective in increasing and optimizing the isometric strength of muscles ( p < 0.05 ) except for supraspinatus in the MCE group ( p > 0.05 ). However, athletes in PRE plus MT group presented a more pronounced increase in isometric strength than those in the MCE group. Between groups analysis found the largest isometric strength improvement in PRE plus MT group for A.D, followed by Supr. and UT muscles ( p < 0.05 ; effect size: 0.39 to 0.40). The study concluded that compared to MCE, PRE plus MT provides greater improvement in the isometric strength of scapulohumeral muscles.

Objective: The purpose of this study was to compare the effects of neuromuscular training (NMT) and quadriceps training (QT) on the altered gait patterns and Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index in patients with knee osteoarthritis (OA) and varus malalignment. Methods: Sixty-six patients with knee pain ≥2 on 100-mm visual analog scale, radiographic knee OA changes ≥2 on Kellgren-Lawrence grading scale, and genu varum were allocated randomly into either the neuromuscular training group or quadriceps training group. Twelve weeks of supervised exercise protocol was given to the participants of both groups, which included 3 sessions per week. Primary outcomes were gait variables and self-reported physical function (WOMAC index). Results: Of 66 knee OA patients, only 31 (94%) in the NMT group and 28 (84.8%) in the QT group completed the exercise protocol and were included in the analysis. There was a significant improvement in gait velocity (P = .022), stride length (P = .009), and global WOMAC index (P = .011) in the NMT group compared to the QT group. However, the scores of cadence (P = .226), gait cycle (P = .332), and double limb support (P = .054) were not found significant in the NMT group compared with the QT group. Conclusion: The NMT group showed improvement in some of the gait parameters as well as improvement in pain, stiffness, and functional limitation compared with conventional QT. No additional improvement was found in cadence, gait cycle, and double limb support in patients who received NMT.

No abstract

No abstract

No abstract

No abstract