The effects of biofeedback training for efficient activation of infraspinatus on proprioception and EMG activity during shoulder external rotation

Yu, Il-Young; Ko, Min-Joo; Oh, Jae-Seop

doi:10.1016/j.jelekin.2023.102798

Cited by 1 publication

(2 citation statements)

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“…EMG-guided biofeedback is a therapeutic technique that uses EMG to measure muscle activity and provides patients with visual or auditory feedback to improve their control of those muscles, and it can be another tool for improving proprioception. 35,36,38 Furthermore, this patient experienced the need to use a motor trick to move his lower limbs (see the Case Presentation section) and improving proprioception and motor integration could play an important role in his rehabilitation process. In addition, whole-body proprioceptive training through Tai Chi exercises could also be important in SRDs where symptoms are limited to 1 limb, which may mask a more distributed segmental dystonia, as shown by Ogasawara et al 55 Finally, we integrated (3) dental interventions and swallowing rehabilitation for this patient.…”

Section: Discussionmentioning

confidence: 99%

“…To enhance the benefits of this treatment, neuromuscular reeducation was provided through Tai Chi exercises and EMG biofeedback. This approach helps to improve proprioception and muscle contraction efficiency, [32][33][34][35][36][37][38] which are essential for improving body control and posture 23,39,40 and can prevent further injury. [41][42][43][44] The combined approach consisted of gentle, lowimpact movements combined with EMG biofeedback.…”

Section: Management and Outcomesmentioning

confidence: 99%

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Treating Dystonia in a Soccer Player Through an Integrated Rehabilitative Approach: A Case Report

Giorgi,

Apostolo,

Bertelè

2024

Journal of Sport Rehabilitation

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Context: Sport-related dystonia is a rare form of activity-specific dystonia that can severely impair an athlete’s ability to perform. Due to a lack of data on the condition, it is difficult to diagnose and often overlooked, and no gold standard treatment has yet been defined. Case Presentation: We present a rare and challenging case of sport-related dystonia that affected a 24-year-old male professional soccer player. The patient presented with severe rigidity and dystonia of the right lower-extremity, particularly the ankle and foot. The symptoms set on >1 year prior to the presentation to our outpatient clinic. He began to complain of stiffness and difficulty moving his lower limbs, especially his right leg, initially when playing soccer, but then also when walking normally. On presentation, he was unable to run and walked with difficulty, supporting his body weight only on the outside of his right foot. He also reported a motor trick and reverse motor trick involving the oral musculature in order to move his lower limb more freely. Management and Outcomes: An integrated rehabilitation approach based on postural rehabilitation, neuromuscular rehabilitation, and dental intervention was used to successfully treat this condition. The approach included: (1) postural rehabilitation with the Mézières-Bertelè method to reduce muscular stiffness, (2) neuromuscular re-education with Tai Chi exercises and electromyography-guided biofeedback, and (3) dental intervention and swallowing rehabilitation to limit impaired oral habits (due to the relationship between his impaired lower limb movements and motor tricks of the oral musculature). After 7 months of integrated rehabilitation, the patient returned to professional soccer. Conclusions: This case report highlights the potential efficacy of an integrative rehabilitation approach for sports dystonia, particularly in cases where traditional treatments may not be effective. Such an approach could be considered a valuable option in the management of this rare, but debilitating, condition in athletes. Further research is needed to assess the effectiveness of this approach in larger populations.

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