Neuromuscular rehabilitation

Lederman, Eyal

doi:10.1016/b978-0-443-06969-7.00014-0

Cited by 25 publications

(27 citation statements)

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“…Addressing specificity of SMT, in a narrative review on the topic, Kim et al (2011) point out that there seems to be no formal definition of what SMT is or what it should entail [ 58 ]. When compared to other exercises, both approaches are likely to be equally effective in terms of improved function in CNLBP [ 41 ] or for injury prevention and it has been suggested that there might be no such thing as specific sensorimotor exercise [ 88 ]. Instead, improvements may be attributed to non-specific effects of exercise and physical activity [ 88 ].…”

Section: Discussionmentioning

confidence: 99%

“…When compared to other exercises, both approaches are likely to be equally effective in terms of improved function in CNLBP [ 41 ] or for injury prevention and it has been suggested that there might be no such thing as specific sensorimotor exercise [ 88 ]. Instead, improvements may be attributed to non-specific effects of exercise and physical activity [ 88 ]. In order to evaluate the specific effects of SMT, there must be some degree of standardization for implementation and recommendation [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

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Postural sensorimotor training versus sham exercise in physiotherapy of patients with chronic non-specific low back pain: An exploratory randomised controlled trial

et al. 2018

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Sensorimotor training (SMT) is popularly applied as exercise in rehabilitation settings, particularly for musculoskeletal pain. With insufficient evidence on its effect on pain and function, this exploratory randomised controlled trial investigated the potential effects of SMT in rehabilitation of chronic non-specific low back pain. Two arms received 9x30 minutes physiotherapy with added interventions: The experimental arm received 15 minutes of postural SMT while the comparator arm performed 15 minutes of added sub-effective low-intensity training. A treatment blinded tester assessed outcomes at baseline 2–4 days prior to intervention, pre- and post-intervention, and at 4-week follow-up. Main outcomes were pain and functional status assessed with a 0–100mm visual analogue scale and the Oswestry Disability Questionnaire. Additionally, postural control was analysed using a video-based tracking system and a pressure plate during perturbed stance. Robust, nonparametric multivariate hypothesis testing was performed. 22 patients (11 females, aged 32 to 75 years) with mild to moderate chronic pain and functional limitations were included for analysis (11 per arm). At post-intervention, average values of primary outcomes improved slightly, but not to a clinically relevant or statistically significant extent. At 4-week follow-up, there was a significant improvement by 12 percentage points (pp) on the functional status questionnaire in the SMT-group (95% confidence intervall (CI) = 5.3pp to 17.7pp, p < 0.001) but not in the control group (4 pp improvement, CI = 11.8pp to 19.2pp). However, group-by-time interaction effects for functional status (Q = 3.3, 19 p = 0.07) and pain (Q = 0.84, p = 0.51) were non-significant. Secondary kinematic outcomes did not change over time in either of the groups. Despite significant improvement of functional status after SMT, overall findings of this exploratory study suggest that SMT provides no added benefit for pain reduction or functional improvement in patients with moderate chronic non-specific low back pain.Trial registration: ClinicalTrials.gov NCT02304120 and related study protocol, DOI: 10.1186/1471-2474-15-382.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Postural sensorimotor training versus sham exercise in physiotherapy of patients with chronic non-specific low back pain: An exploratory randomised controlled trial

et al. 2018

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“…There are also some reports of radicular pain in the arms and hands due to osteoarthritis of the neck due to UCS [2]. Such adverse secondary changes resulting from this syndrome are also present in people with thoracic kyphosis in the glenohumeral joint [4,11].…”

Section: Introductionmentioning

confidence: 99%

The Effect of an 8-week NASM Corrective Exercise Program on Upper Crossed Syndrome

Abdolahzad¹,

Daneshmandi

2020

J. Sport Biomech.

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Objective Upper Crossed Syndrome (UCS) is a disorder caused by muscle imbalance of the upper quadrant of the body. Using National Academy of Sports Medicine (NASM) protocol for corrective exercises is one of the new approaches to restore muscle balance, and prevent/correct postural abnormalities. The purpose of the present study is to evaluate the effect of an 8-week NASM corrective exercise program on UCS. Methods Participants were 30 female students with forward head > 46 degrees, forward shoulder > 52 degree and thoracic kyphosis > 42 degrees, who were selected using a purposive sampling method and then randomly divided into control and intervention groups. The intervention group received corrective exercise program for eight weeks, three sessions per week. Forward head and shoulder angles were measured using side photography, and thoracic kyphosis angle was measured using a flexible ruler (r=0.093) before and after intervention. Paired t-test and analysis of covariance were used for data analysis at the significance level of P≤0.05. Results The mean angles of forward head, forward shoulder and thoracic kyphosis decreased significantly after 8 weeks of NASM corrective exercise in the intervention group compared to the control group. Conclusion Corrective trainers and therapists are advised to regularly use the NASM corrective exercise program proposed in this study for UCS patients.

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“…The corrective exercises were designed in 3 phases; at the first phase, the subject became familiar with her abnormality and subsequent musculoskeletal changes [23]. The exercises in this phase mostly focused on increasing the subject's awareness of being in an appropriate and symmetrical physical condition.…”

Section: Interventionmentioning

confidence: 99%

Effect of a Long-Term Corrective Exercises With Using Brace on Cobb Angle and Postural Control of a Girl With Adolescence Idiopathic Scoliosis

Gheitasi

Bayattork

Mahdavi

2019

PTJ

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Purpose: Scoliosis is a three-dimensional deformity of the spine in which the resulting imbalance accompanied by the changes in muscle and nervous components can harm the postural control. Various treatments have been suggested so far to correct scoliosis, in which using corrective exercises along with brace are essential to limit the growing curvature, improve spine stability and postural control, and reduce the degree of curvature. Methods: Our case was a 14-year-old girl who had a 40-degree thoracic curve (T6 to T11) toward the right and a 50-degree lumbar curvature (T12 to L4) toward the left. To evaluate her scoliosis, we took side view radiography for 4 to 6 months. Also, we used balance master posturography to assess the patient's postural control before and after the intervention. The patient's treatment process included a long-term implementation of a corrective exercise protocol in 3 phases plus using the Milwaukee brace. Results: The Cobb angle in the kyphosis curve showed a 15-degree improvement. Also, the Cobb angle showed a 32-degree correction in the thoracic curve and a 30-degree reduction in the lumbar curve. A significant improvement was observed in all of the tests of postural control, indicating improved balance and postural control of the subject during corrective exercises. Conclusion: Simultaneous using the brace and long-term corrective exercises with emphasis on the improvement of postural control could be useful in improving the scoliosis curves in an adolescent girl with idiopathic scoliosis.

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Neuromuscular rehabilitation

Cited by 25 publications

References 0 publications

Postural sensorimotor training versus sham exercise in physiotherapy of patients with chronic non-specific low back pain: An exploratory randomised controlled trial

Postural sensorimotor training versus sham exercise in physiotherapy of patients with chronic non-specific low back pain: An exploratory randomised controlled trial

The Effect of an 8-week NASM Corrective Exercise Program on Upper Crossed Syndrome

Effect of a Long-Term Corrective Exercises With Using Brace on Cobb Angle and Postural Control of a Girl With Adolescence Idiopathic Scoliosis

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