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Cognitive functional therapy as a complementary treatment for posture and disability of chronic neck pain: secondary analysis of a randomized controlled trial

Javdaneh Norollah, Shams Arash, Shojaedin Sadredin, Rydzik Łukasz, Ambroży Tadeusz, Chwała Wiesław

Acta of Bioengineering and Biomechanics

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2022

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Vol. 24, no. 4

75--83

EN

The aim of this study was to compare the effects of scapular stabilization exercise with and without cognitive functional therapy (CFT) on disability and scapular kinematics in people suffering from chronic neck pain. Methods: A total of 72 patients with chronic non-specific neck pain were randomized into scapular stabilization exercise alone, n = 24, combined (scapular stabilization exercise + CFT), n = 24, and a control group, n = 24. Scapular kinematic and disability were measured at baseline and after the intervention. Results: Statistically significant differences in neck pain and disability scale (NPAD) were found when the multimodal physiotherapy group including a cognitive functional approach was compared with stabilization exercises group at 6 weeks (effect size (95%CI) = –1.63 (–2.55, –.71); P = 0.019)). Regarding the neck disability index (NDI), a significant between-group difference was observed at six-week (effect size (95%CI) = –2.69 (–3.80, –1.58); P = 0.007), with the superiority of effect in multimodal physiotherapy group. A significant between-group difference was observed in the scapular upward rotation and scapular osterior tilt at 30°, 60°, 90° and 120° of shoulder adduction. Conclusions: A group-based multimodal rehabilitation program including scapular stabilization exercise plus cognitive functional therapy was superior to group-based stabilization exercises alone for decreasing disability and, improving scapular kinematic in patients with chronic neck pain.

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Effects of vibration and passive resting on muscle stiffness and restitution after submaximal exercise analyzed by elastography

Chwała Wiesław, Pogwizd Paweł

Acta of Bioengineering and Biomechanics

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2021

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Vol. 23, no. 2

3--11

EN

Purpose: The research aimed to assess the influence of vibration therapy on acceleration of muscles regeneration process after physical effort. Verification of the pace of motor capabilities recovery in fatigued muscles was performed with the use of the measurement method applying shear-wave elastography. It took into account an alteration in muscle stiffness affected by created passive stresses and accompanying deformations connected with muscles work above their resting length. Methods: The research included 42 young males aged 20–24. They all were a homogeneous group regarding body build indices (body height 175.4 ± 8.1 cm; body mass 75.5 ± 8.32 kg) and the level of physical activity. Muscles of lower limbs (hip and knee joints extensors and flexors plantaris) were subject to submaximal exercise of the auxotonic muscle work character after a 90 s warm-up. The exercise comprised 20-fold overcoming the load at the level of 75% of maximal strength abilities without rest, by alternating between extension and flexion of lower limbs joints at the leg press placed at 45° angle upward and monitoring of angle setting of lower limbs joints. The post-exercise restitution used a vibration stimulus of variable frequency ranging from 20 to 50 Hz and amplitude of 0.5 mm, and passive resting in the control group. For an objective assessment of the applied vibration effect, a 5-fold measurement of rectus femoris muscles stiffness of both limbs at the middle of venter took place after each stage of the experiment. Results: After warm-up, a considerable increase of the examined muscles stiffness, that did not vary significantly, was observed. In the DW experimental group (vibration massage), where post-exercise restitution was enhanced by vibration, significantly lower values of muscle stiffness were registered after each of the post-exercise regeneration stages in relation to the DB control group (passive rest). After the I regeneration stage, a value of the Δ σ _r1-s variable ( p < 0.05) lower by 16% was noticed in favour of the group enhanced by vibration. Whereas, values of muscles stiffness after the II stage of regeneration, Δ σ _r2-s were by 14% lower in favour of DW group ( p < 0.005). Conclusions: Enhancement of the post-exercise relaxation of muscles by vibration treatment significantly lowered the values of post-exercise muscles stiffness and turned out to be a more effective method of restitution than passive resting. Recovery of the level of muscles stiffness from before the exercise was much slower in the control group than in the one enhanced by vibration. The improved method of muscle stiffness measurement with the use of shear-wave elastography with a special head attachment turned out to be a useful tool to assess post-exercise muscles restitution.

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Absolute and relative reliability of several measures of static postural stability calculated using a GYKO inertial sensor system

Jaworski Janusz, Ambroży Tadeusz, Lech Grzegorz, Spieszny Michał, Bujas Przemysław, Żak Michał, Chwała Wiesław

Acta of Bioengineering and Biomechanics

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2020

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Vol. 22, no. 2

93--99

EN

The aim of this study was to analyse absolute and relative reliability of a number of postural static stability measures obtained from a GYKO inertial sensor system in young adults. Methods: The study examined 29 healthy non-athlete young adults. A test was performed for 30 s while standing on one foot, without moving, with eyes open and arms relaxed along the sides of the body. The examinations were performed twice, with a one-week interval. Relative reliability was measured using the intraclass correlation coefficient (ICC) and the 95% confidence interval (95% CI), whereas the absolute reliability was evaluated based on the standard error of measurement (SEM) and the minimal detectable change (MDC). Results: The results of this study showed moderate to good relative reliability scores for all the postural stability measures, with ICC values ranging from 0.62 to 0.70. For most of the analysed variables, SEM% ranged from ca. 10 to 14%. Relatively high SEM% values were obtained only for two variables (Area, Convex Hull Area). Conclusions: The low costs of GYKO inertial sensor systems, the fast and easy installation, the mobility and high reliability of the measurement of postural stability show that it can be effective alternative to stabilographic platforms.

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Photogrammetric evaluation of body posture of 6-year-old boys training judo, in three repeated assessments

Walaszek Robert, Chwała Wiesław, Sterkowicz-Przybycień Katarzyna, Burdacka Katarzyna, Burdacki Marcin, Kurowski Paweł

Acta of Bioengineering and Biomechanics

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2019

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Vol. 21, no. 3

149--157

EN

The purpose of this work was to assess changes in body posture in a group of 6-year-old boys training judo, compared to a control group, in three repeated examinations. Methods: The study included 88 boys aged 6. Fifty-one of them started judo training in sports clubs at the beginning of the school year (JU). The control group included 37 boys attending reception classes in primary schools, selected at random (NT). Body posture was assessed 3 times at 3-month intervals, according to the general methodology of the Moire’s technique, and 15 body posture indices were obtained as a result: 7 in the sagittal plane, 1 in the axial plane and 7 in the coronal plane. The system for photogrammetric body posture assessment of CQ Elektronik System was used in this study. Results: The ANOVA test showed that neither the group factor – the fact of judo training – nor the time factor had any significant effect on the number of “deviations from normal values” of body posture ( p > 0.05). Statistically significant intergroup differences were noted for six body posture indices measured with the Moire’s method. Conclusions: Steadily decreasing numbers of “deviations from normal values” of body posture indices in the JU group were observed over the three examinations. Regular 6-month judo training had a statistically significant effect on a decrease of body rotation in the axial plane – the effect of judo training may be considered corrective in this case.