By Phil Page PhD, PT, ATC, CSCS, FACSM

A record 38 new articles were added to the Academy in September.

Elastic Resistance

Muscle activation comparisons between elastic and isoinertial resistance: A meta-analysis. Aboodarda et al. Clin Biomech (Bristol, Avon). 2016 Sep 20;39:52-61.

This meta-analysis of EMG studies comparing elastic and isotonic resistance found no difference between the 2 modes of exercise in muscle activation levels.

Neck

A concise rehabilitation protocol for sub-acute and chronic non-specific neck pain. Noormohammadpour et al. Journal of Bodywork and Movement Therapies. 2016 Sep. Ahead of print.

The authors present the outcomes of an 8-week exercise protocol including elastic resistance for neck pain patients. A .05 difference in a small effect size is not relevant.

Effects of a 12-week neck muscles training on muscle function and perceived level of muscle soreness in amateur rugby players. Maconi M et al. Sport Sci Health. 2016 Sep 16. Ahead of print.

A 12-week cervical resistance training program using elastic bands resulted in improved strength, ROM, muscle activation, and less muscle soreness than an unblinded control group.

Cost-effectiveness of spinal manipulative therapy, supervised exercise, and home exercise for older adults with chronic neck pain. Leininger et al. Spine J. 2016 Sep. Ahead of print

Spinal manipulative therapy combined with exercise provides more pain relief than exercise alone in older adults with chronic neck pain.

Specific exercise training for reducing neck and shoulder pain among military helicopter pilots and crew members: a randomized controlled trial protocol. Murray et al. BMC Musculoskelet Disord. 2015 Aug 19;16:198.

This RCT study protocol will investigate the effectiveness of 20 weeks of TheraBand resistance band training for neck and shoulder strengthening on pain relief in Danish military helicopter pilots and crew.

Shoulder 

Physical Therapists’ Perceptions and Use of Exercise in the Management of Subacromial Shoulder Impingement Syndrome: Focus Group Study. Hanratty et al. Phys Ther. 2016 Sep;96(9):1354-63.

A focus group of expert physical therapists shared their use of exercise interventions for patients with shoulder impingement, including the importance of patient education and self-management.

Hand & Wrist

A longitudinal, qualitative study exploring sustained adherence to a hand exercise programme for rheumatoid arthritis evaluated in the SARAH trial. Nichols et al. Disabil Rehabil. 2016 Aug 24:1-8.

In this follow up of a rheumatoid arthritis exercise program using TheraBand products, factors related to exercise adherence were discussed.

Rehabilitation strategies for wrist sensorimotor control impairment: From theory to practice. Karagiannopoulos et al. J Hand Ther. 2016 Apr-Jun;29(2):154-65.

This article describes how exercise balls and the TheraBand Flexbar® can be used in wrist rehabilitation, as well as the underlying theory behind sensorimotor training. 

Lower Back

Effects of hip exercises for chronic low-back pain patients with lumbar instability. Lee SWKim SY. J Phys Ther Sci. 2015 Feb;27(2):345-8.

Performing hip strengthening with TheraBand resistance can be more effective than conventional therapy for chronic low back pain patients with lumbar instability. 

Hip

Comparison of Electromyographic Activity of the Superior and Inferior Portions of the Gluteus Maximus Muscle During Common Therapeutic Exercises. Selkowitz et al. J Orthop Sports Phys Ther. 2016 Sep;46(9):794-9.

This study examined the muscle activation of the gluteus maximus during several exercises including TheraBand tubing resistance, finding the ‘clam’ exercise had the highest activation (43% MVIC) of the upper gluteus maximus fibers .

Personalised Hip Therapy: development of a non-operative protocol to treat femoroacetabular impingement syndrome in the FASHIoN randomised controlled trial. Wall et al. Br J Sports Med. 2016 Oct;50(19):1217-23.

This protocol for hip impingement (FAI) was reviewed and tested by physiotherapists in the United Kingdom, and was noted to be safe and conservative alternative to hip surgery within the National Health System.

Knee

Efficacy of progressive aquatic resistance training for tibiofemoral cartilage in postmenopausal women with mild knee osteoarthritis: a randomised controlled trial. Munukka et al. Osteoarthritis Cartilage. 2016 Oct;24(10):1708-17.

4 months of aquatic exercise in post menopausal females with mild knee arthritis may improve knee articular cartilage health.

The Impact of Fitness on Surgical Outcomes: The Case for Prehabilitation. Myers JN, Fonda H. 2016. Curr Sports Med Rep. Jul-Aug;15(4):282-9.

This article reviews the effectiveness of exercise before surgery (aka ‘Prehabilitation’), including using elastic resistance for total knee replacement.

Efficacy of live feedback to improve objectively monitored compliance to prescribed, home-based, exercise therapy-dosage in 15 to 19 year old adolescents with patellofemoral pain- a study protocol of a randomized controlled superiority trial (The XRCISE-AS-INSTRUcted-1 trial). Riel et al. BMC Musculoskelet Disord. 2016 Jun 2;17:242.

This RCT study protocol will investigate the effectiveness of feedback from the Bandcizer® sensor using home-based TheraBand exercises over 6 weeks in adolescents with anterior knee pain. 

Foot & Ankle

Gait analysis and functional outcomes after twelve-week rehabilitation in patients with surgically treated ankle fractures. Suciu et al. Gait Posture. 2016 Sep;49:184-9.

A 12-week rehabilitation program including TheraBand resistance exercise and balance board exercises improved gait patterns in patients suffering bimalleolar ankle fractures.

A soft ankle brace increases soleus Hoffman reflex amplitude but does not modify presynaptic inhibition during upright standing. Pavailler et al. Gait Posture. 2016 Sep;49:448-50.

The cutaneous afferent input provided by an ankle brace may contribute to an increased excitability of the soleus ankle muscle, which may improve postural stability.

A Prospective Randomized Trial Comparing Surgical and Nonsurgical Treatments of Acute Achilles Tendon Ruptures. Lantto et al. Am J Sports Med. 2016 Sep;44(9):2406-14.

Rehabilitation exercises including elastic resistance training are almost as effective as surgery for Achilles tendon ruptures; however, surgery provides faster and better recovery of muscle strength.

Geriatrics/ Chronic Disease

Effect of exercise performance by elderly women on balance ability and muscle function. Lee HC et al. J Phys Ther Sci. 2015 Apr;27(4):989-92.

An 8 week exercise program with TheraBand resistance significantly improves muscular strength and endurance, as well as balance, in older women.

The effect of additional core stability exercises on improving dynamic sitting balance and trunk control for subacute stroke patients: a randomized controlled trial. Cabanas-Vales R et al. Clin Rehabil. 2016 Oct;30(10):1024-1033.

Adding stability exercises using an exercise ball in addition to conventional therapy for subacute stroke patients improves gait, trunk control, balance in sitting and standing, and ADL.

The effect of Monkey Chair and Band exercise system on shoulder range of motion and pain in post-stroke patients with hemiplegia. Jeon et al. J Phys Ther Sci. 2016 Aug;28(8):2232-7.

A 12 week exercise program using TheraBand resistance for post-stroke patients with hemiplegia reduced shoulder pain and improve movement significantly more than a non-exercising control group.

A Preliminary Study on the Efficacy of a Community-Based Physical Activity Intervention on Physical Function-Related Risk Factors for Falls Among a Breast Cancer Survivors. Lee et al. Am J Phys Med Rehabil. 2016 Aug;95(8):561-70.

A 6-week exercise program including TheraBand resistance can reduce risk factors of falling and improve physical function in breast cancer survivors.

Effects of 12-week exercise training on osteocalcin, high-sensitivity C-reactive protein concentrations, and insulin resistance in elderly females with osteoporosis. Ahn et al. J Phys Ther Sci. 2016 Aug; 28(8):2227-31.

A 12 week program of resistance training with elastic bands significantly improved bone mineral density in osteoporotic women and reduced inflammatory markers.

Sports Rehab & Performance

Ankle Injury Prevention Programs for Soccer Athletes Are Protective: A Level-I Meta-Analysis. Grimm et al. J Bone Joint Surg Am. 2016 Sep 7;98(17):1436-43.

Exercise programs including unstable surfaces such as balance boards and foam pads reduce the risk of ankle injury by 40% in soccer players.

The Efficacy of Injury Prevention Programs in Adolescent Team Sports: A Meta-analysis. Soomro et al. Am J Sports Med. 2016 Sep;44(9):2415-24.

Adolescents can reduce their risk of sports injury by 40% using structured exercise programs including balance boards. 

Effects of drop height and surface instability on neuromuscular activation during drop jumps. Lesinski et al. Scand J Med Sci Sports. 2016 Jul 26.

The height of drop jumps onto an unstable surface such as a foam pad have little impact on muscle activation of the lower leg. 

Ankle Joint Angle and Lower Leg Musculotendinous Unit Responses to Cryotherapy. Akehi et al. J Strength Cond Res. 2016 Sep;30(9):2482-92.

Applying a Cramer® ice bag to the calf or ankle joint does not reduce ankle range of motion, but does increase calf muscle stiffness. 

Free-Weight Augmentation With Elastic Bands Improves Bench Press Kinematics in Professional Rugby Players. Garcia-Lopez et al. J Strength Cond Res. 2016 Sep;30(9):2493-9.

Adding elastic resistance bands to a free weight bench press exercise provides resistance that’s more evenly distributed over the full range of motion, providing an advantage for athletes needing a high level of strength and power.

Rigid & Kinesiology Taping

Kinesio taping and manual pressure release: Short-term effects in subjects with myofasical trigger point. Wen-Chao et al. J Hand Ther. 2016 Jan-Mar;29(1):23-9.

Kinesiology tape in addition to manual pressure release for upper trapezius trigger points leads to less muscle stiffness after 7 days than manual pressure release alone.

The effect of kinesiology tape on knee proprioception in healthy subjects. Torres R et al. J Bodywork Movement Ther. 2016. Sept. Ahead of print.

Kinesiology tape applied to the quadriceps muscle of healthy subjects does not influence knee proprioception measures.

Taping techniques for the wrist. Porretto-Loehrke A. J Hand Ther. 2016 Apr-Jun;29(2):213-6.

The author describes rigid and kinesiology tape applications for wrist instability and other conditions common in occupations such as athletes and musicians.

Therapeutic taping for soft tissue-based digit malrotation. Masker K. J Hand Ther. 2016 Jul-Sep;29(3):334-8.

The author describes a kinesiology taping technique for ‘malrotation’ (improper alignment) of the finger related to soft tissue dysfunction after a finger fracture.

Kinesio taping for chronic low back pain: A systematic review. Nelson N. J Bodyw Mov Ther. 2016 Jul;20(3):672-81.

This systematic review concluded that kinesiology tape is effective as an adjunctive therapy in chronic low back pain.

Effects of scapular taping in young adults with shoulder pain and scapular dyskinesis. Intelangelo et al. J Bodyw Mov Ther. 2016 Jul;20(3):525-32.

This case series reported that rigid tape applied to the scapula reduces pain, but does not change EMG or strength of shoulder muscles.

The effects of trunk kinesio taping on balance ability and gait function in stroke patients. Lee et al. J Phys Ther Sci. 2016 Aug;28(8):2385-8.

Applying kinesiology tape to the abdominals in ambulatory stroke patients may help improve balance, but does not improve gait.

Inefficacy of Kinesio-Taping(®) on early postoperative pain after ACL reconstruction: Prospective comparative study. Laborie M et al. Orthop Traumatol Surg Res. 2015 Dec;101(8):963-7.

Kinesiology tape applied for 3 days post-op ACL reconstruction did not reduce pain compared to patients not receiving tape.

The effect of kinesio taping versus stretching techniques on muscle soreness, and flexibility during recovery from nordic hamstring exercise. Ozmen et al. Journal of Bodywork and Movement Therapies. 2016 Sep. Ahead of print.

Kinesiology taping of the hamstring does not significantly reduce DOMS or improve flexibility after eccentric exercise.

Myofascial Therapy

The effect of adding myofascial techniques to an exercise programme for patients with anterior knee pain. Telles et al. Journal of Bodywork and Movement Therapies. 2016 Sep. Ahead of print.

The addition of myofascial techniques to a hip exercise program with TheraBand does not significantly improve clinical outcomes in anterior knee pain patients.

Do exercises with the Foam Roller have a short-term impact on the thoracolumbar fascia?—A randomized controlled trial. Griefahn et al. Journal of Bodywork and Movement Therapies. 2016 Sep. Ahead of print

Foam rolling may improve fascial mobility immediately afterward, but doesn’t change lumbar range of motion or pain sensitivity.

 

 

 

 

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