BackgroundWithin the structure of the skeletal muscle, there are fascicles of muscular fibers that are made up of serially distributed contractile elements. These elements are controlled by the nervous system, control which results in obtaining the muscular strength required for movement and its control. This study presents the neuromuscular assessment using tensiomyography method (TMG).MethodsWe studied two groups of soccer junior players, group 1 (experimental group) and group 2 (control group), each containing 15 soccer players; we have considered two situations of muscle training: the combination between the isometric-concentric contraction for group 1 and the concentric contraction for group 2. TMG is the electrical stimulation of the muscle group and the recording of the muscle parameters resulting after the isometric contraction: time contraction (Tc) and displacement (Dm) at rectus femoris muscle (RF), pointing out two moments T1 and T2.ResultsTc decreasing and the Dm increasing involve a good response following the muscle training. For group 1, the Tc evolution is 22.54 ms/22.45 ms (T1/T2) for the right RF and 22.65 ms/22.26 ms for the left RF, while for group 2 results in a Tc evolution of 24.33 ms/28.57 ms (T1/T2) for the right RF and 25.74 ms/28.61 ms for the left RF. Dm for group 1, results in a 6.57 mm/6.85 mm (T1/T2) for the right RF and 6.92 mm/7.06 mm for the left RF, while for group 2, the Dm evolution shows 7.45 mm/5.83 mm (T1/T) for the right RF and 7.41 mm/6.26 mm for the left RF. Also, the evaluation on motor test indicated better results on T2 for the experimental group. Summarizing the results of Student t-test, we found significant differences between the averages of the two groups in all parameters (p < 0.001), the experimental group registering better results than the control one.ConclusionsIt is possible to develop muscle training which can be monitored through TMG.

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In cerebral palsy (CP) the basis for rehabilitation comes from neuroplasticity. One of the leading therapeutic approaches used in the management of CP is the NDT Bobath therapy and Vojta therapy consists in trying to program the ideal movement patterns for the age. The aim of our research was to analyze, from a functional point of view, the evolution of the biomechanical parameters characterizing the balance, in children with CP. The group of 12 subjects average age of 7 ± 3.28 years. The subject’s evaluation included a functional clinical evaluation by Berg pediatric scale and a biomechanical evaluation performed using the “Stabilometry footboard PoData 2.00” for evaluation the body weight distribution on the foot level. The rehabilitation program was developed based on two methods, NDT Bobath and Vojta. A 90-min physiotherapy session starts with a Vojta therapy activation, for 20 min. Between the two therapies there is a 10-min break, then the session continues with NDT Bobath exercises within the 3 physical exercises proposed for 60 min. 5 days per week, 6 months. The analysis of the data collected before and after the application of the rehabilitation program, regarding the using the Berg scale indicates a progress of 32.35%, (p = 0.0001 < 0.05) and the effect size is large. The evolution of the data that indicate the distribution of body weight at the level of the two lower limbs, at the two moments pre/post, evaluation. For left side a progress of 8.39%, (p = 0.027 < 0.05) but a small effect size of 0.86. For right side a progress of 10.36% (p = 0.027 < 0.05) and also a small effect size of 0.86. Analyzing the results, we find that there is a left-right rebalancing in most patients. The favorable results that were obtained by drawing up a physiotherapy program composed of the combination of the two Vojta and NDT Bobath methods are proof of the fact that both methods are based on the creation of a stimulating peripheral pressure, which, if maintained, generates an extended stereotyped motor response. A pattern of symmetrical muscle contraction is thus created and thus balance and postural control can be achieved. The left-right rebalancing, proven by the percentage distribution analysis of the weight at the lower segmental level, demonstrated that the body alignment approach through the Vojta method on the one hand and the inhibitory facilitating postures/exercises promoted by the NDT Bobath method, allows obtaining a symmetry.

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