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Reabilitacijos Mokslai : Slauga, Kineziterapija, Ergoterapija
Number of Followers: 3  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2029-3194 - ISSN (Online) 2538-8673
Published by Lithuanian Sports University Homepage  [3 journals]
  • Effects of Self-Massage and Foot Exercises on Lumbar Spine Pain and
           Functional Condition in Sedentary Men

    • Authors: Adrija Gorodeckaitė, Ligita Šilinė
      Pages: 1 - 10
      Abstract: Background. Lumbar pain is one of the most common disorders of the musculoskeletal system in workers who sit for prolonged periods of time. Prolonged sitting hours change muscle activity and create tension, which negatively affects the structure of the fascia. Myofascial exercises for the posterior superficial chain have been shown to reduce lumbar pain, but the effect of self-massage and foot exercises on the functional condition of the lumbar in office workers is unclear. The aim. To assess the effect of self-massage and foot exercises on lumbar pain and functional condition in male office workers. Methods. The study included 20 men (25.8 ± 2,6 year) (10 in the experimental group, 10 in the control group) engaged in sedentary work and experiencing chronic non-specific lumbar pain. Before and after the study, a pain intensity assessment was performed using the numerical rating scale (NRS), a functional status assessment using the Oswestry questionnaire, and an assessment of the superficial length of the back superficial chain (lower part) using the toe reach test. For the experimental group, 5 times a week for 10 weeks for 10 minutes, self-massage was applied to each foot; and 3 times a week for 30 minutes, exercises for the feet. Results. After self-massage and foot exercises, the intensity of pain and functional disability decreased significantly (p <0.001), and the length of the back superficial chain (lower part) increased (p <0.001). Functional disability increased in the control group (p <0.001). After the study, functional disability differed significantly between groups (p = 0.02). Conclusion. Self-massage and foot exercises improved functional condition and reduced lumbar pain in male office workers. Keywords: low back pain, fascia, myofascial chain, massage, physiotherapy.
      PubDate: 2022-05-31
      DOI: 10.33607/rmske.v1i26.1180
      Issue No: Vol. 1, No. 26 (2022)
  • Transcutaneous Electrical Nerve Stimulation and Dynamic Neuromuscular
           Stabilization are Equally Effective in Patients of Different Ages with
           Spinal Degeneration

    • Authors: Skirmantė Danytė, Vilma Dudonienė
      Pages: 11 - 20
      Abstract: Background. Back pain is the most common symptom caused by intervertebral disc degeneration, thus various interventions are used to relieve it, including transcutaneous electrical nerve stimulation and dynamic neuromuscular stabilization. The aim. To determine the effect of transcutaneous electrical nerve stimulation and dynamic neuromuscular stabilization on the static endurance of trunk muscles, back pain and functional disability in individuals of different ages with intervertebral disc degeneration. Methods. The study included 40 individuals diagnosed with lumbar disc degeneration. According to age, the subjects were divided into two groups: the first (n = 22), with a mean age of 34.27 ± 7.81 yrs. and the second (n = 18) with a mean age of 55.28 ± 5.86 yrs. Both groups underwent transcutaneous electrical nerve stimulation and dynamic neuromuscular stabilization to relieve back pain. The duration of the study was 8 weeks. Before the intervention, after 4 weeks and after 8 weeks of the intervention, the static endurance of the trunk muscles and the pain intensity were assessed according to the numerical analog pain scale and the functional disability according to the Roland-Morris questionnaire. Results. Transcutaneous electrical nerve stimulation and dynamic neuromuscular stabilization of eight-week duration significantly increased static endurance of trunk muscles, reduced pain intensity, and functional disability in different age groups. No significant differences were found between groups after either 4 or 8 weeks of intervention. Conclusion. The use of transcutaneous electrical nerve stimulation and dynamic neuromuscular stabilization may reduce back pain and functional impairment in patients with intervertebral disc degeneration, regardless the age of patients. Keywords: transcutaneous electrical nerve stimulation, dynamic neuromuscular stabilization, back pain, disc degeneration.  
      PubDate: 2022-05-31
      DOI: 10.33607/rmske.v1i26.1181
      Issue No: Vol. 1, No. 26 (2022)
  • Impact of Rehabilitation Interventions on Walking Endurance in Children
           with Cerebral Palsy. A Systematic Literature Review

    • Authors: Ieva Kavaliauskaitė, Jovita Petrulytė, Lina Budrienė, Juozas Raistenskis
      Pages: 21 - 39
      Abstract: Background. Decreased walking endurance in children with CP results in impaired gait function and adversely affects participation. Appropriate rehabilitation interventions can significantly increase walking endurance and associated functional efficiency. The aim. To evaluate the effectiveness of different rehabilitation interventions for walking endurance of children with CP by analyzing scientific research. Methods. The selection of articles was performed in the “PubMed” database, according to the keywords and criteria identifying the study topic. The selection scheme was performed according to the PRISMA guidelines. Results. 15 articles were included in the systematic review. Statistically significantly (p<0,05) higher walking endurance was found after: “Gait Trainer GT1” workout; muscle strength-power training; strength-endurance training + usual interventions (INT) and passive movement intervention, all compared to INT. Also, after: treadmill + INT (vs. walking + INT); treadmill with the “3DCaLT” robotic system (vs. treadmill); virtual reality with treadmill + INT (vs. treadmill + INT); whole-body vibration (vs. placebo). Conclusions. In children with cerebral palsy, certain gait training, muscle strength training, and passive movement interventions increase walking endurance more effectively compared to non-combined usual interventions. When choosing from several gait training interventions, the effectiveness of walking endurance training depends on the specifics of the intervention. Also, walking endurance is effectively enhanced by whole-body vibration (compared to placebo) and a virtual reality component combined with gait training (compared to the same intervention without a virtual reality component). Keywords: children, cerebral palsy, walking endurance, rehabilitation, systematic review.  
      PubDate: 2022-05-31
      DOI: 10.33607/rmske.v1i26.1182
      Issue No: Vol. 1, No. 26 (2022)
  • Effect of Kinesiotaping and Sham Taping on Knee Function in Knee
           Osteoarthritis. A Randomized Clinical Trial

    • Authors: Laura Žlibinaitė , Ivan Bruner, Gintarė Katkutė , Vilma Dudonienė
      Pages: 40 - 49
      Abstract: Background. The prevalence of knee osteoarthritis has increased significantly and continued to increase in recent decades. Different interventions are used for the treatment: therapeutic exercises, kinesiotaping and placebo. The application of these therapies remains controversial. The aim. To determine the effect of kinesiotaping and sham taping on knee function and patient’s functional mobility in knee osteoarthritis. Methods. A randomized clinical trial (ClinicalTrials.gov Identifier: NCT05320562) was performed in one of the Lithuanian clinics. Thirty patients with osteoarthritis of the knee (age 58.1 ± 3.9 years) were randomly assigned to three groups of ten patients. Patients in the control group received therapeutic exercises; the sham taping group received therapeutic exercise and sham taping; and the kinesiotaping group received therapeutic exercises and kinesiotaping. Results. Subjects’ knee pain decreased by an average of two points after the interventions (p <0.05) in all three groups. Results of “Up and go” test improved significantly in the sham taping and kinesiotaping groups. The results of the 10-meter walking test improved significantly in the kinesiotaping group. Thigh muscle strength improved after the interventions (p <0.05) in all three groups. Knee range of motion significantly improved only in the kinesiotaping group. Conclusions. All three interventions significantly reduced subjects’ knee pain and increased thigh muscle strength, but kinesiotaping significantly improved subjects’ functional mobility. Keywords: knee osteoarthritis, kinesiotaping, therapeutic exercises, sham taping, pain.
      PubDate: 2022-05-31
      DOI: 10.33607/rmske.v1i26.1183
      Issue No: Vol. 1, No. 26 (2022)
  • The Effect of Different Physiotherapy Programs on Pain, Balance and Trunk
           Functional Capacity in Adolescents with Low Back Pain

    • Authors: Lina Budrienė, Gabrielė Gudaitė
      Pages: 50 - 62
      Abstract: Background. Low back pain is a common problem, adversely affecting balance and strategy for controlling the trunk muscles. There are various methods to treat low back pain, therefore, studies comparing the effectiveness of different programs can help improve the rehabilitation program for patients with low back pain. The aim. To evaluate the effect of trunk stabilization and balance exercises performed with different devices on pain, balance and trunk functional capacity in adolescents with low back pain. Methods. 12 adolescents with low back pain participated in this study. They were divided into two groups. The first group received 20 minutes of stabilization exercises and 10 minutes of balance training using the Biodex balance system. The second group received 20 minutes of stabilization exercises and 10 minutes of balance training using a vibration platform. All subjects were evaluated before and after 10 physiotherapy procedures. Self-reported pain, balance and static endurance of trunk muscles were assessed before and after the interventions. Results. Both programs significantly reduced pain, improved control of the center of gravity within the base of support, reduced the time required to shift weight in different paths, reduced sway index in conditions of eyes open or eyes closed on a firm or foam surface, improved dynamic and static overall postural stability and increased static endurance of trunk muscles. Improvement in control of the center of gravity within the base of support, and reduction in the time required to shift weight in different paths, were more significant in the group that received balance training using the Biodex balance system compared with that in the group that received balance training using a vibration platform. Conclusions. Balance training using the Biodex balance system was more effective in improving control of the center of gravity within the base of support and reducing the time required to shift weight in different paths than balance training using a vibration platform. Keywords: low back pain, balance, trunk stability, Biodex balance system, vibration platform.    
      PubDate: 2022-05-31
      DOI: 10.33607/rmske.v1i26.1184
      Issue No: Vol. 1, No. 26 (2022)
  • Pilates Exercise Impact on Functional Movements, Core Stability and Risk
           of Injuries in Handball Players

    • Authors: Veronika Šniurevičienė, Laura Baumann , Laura Žlibinaitė
      Pages: 63 - 72
      Abstract: Background. Handball is a dynamic and physically demanding sport, especially due to the excessive contact of players during the game. The high velocity of the game, high number of matches and the athletic conditioning puts a strain on the musculoskeletal system, leading to a high risk of injury. Prior research substantiates the belief that a better spinal stabilization function due to the application of Pilates exercises would help to achieve better sports results and reduce the risk of injuries. The aim. To evaluate the impact of a Pilates exercise program on functional movements, core stability and risk of injuries in young handball players. Methods. 12 professional handball players aged 18.25 ± 0.45 years participated in the study. A Pilates exercise program was applied in addition to the regular handball training. The program lasted for 8 weeks, with the sessions organized on-line, twice a week for 60 minutes. Before and after the program, functional movements were assessed using the Functional Movement Screen (FMS) method, core stability was assessed by McGill core muscle isometric endurance tests, dynamic stability and associated injury risk was assessed by modified star excursion balance test. Results. After the application of the Pilates exercise program, the evaluation of functional movements according to FMS scores significantly improved (p < 0.05). The isometric endurance ratio of the right and left side core muscles significantly improved (p < 0.05), and the isometric strength endurance ratio between the right side and back muscles also improved (p < 0.05). No significant change in either the total index of dynamic stability of the arms or legs, which indicates the risk of injury was found after the Pilates exercise program. Conclusion. This study illustrates the idea that a Pilates exercise program improved quality of the handball players’ functional movements and the isometric strength of some core-stabilizing muscles, while the risk of injuries did not change. Keywords: movement quality, static endurance, dynamic stability, athletes, core stabilization exercise.
      PubDate: 2022-05-31
      DOI: 10.33607/rmske.v1i26.1185
      Issue No: Vol. 1, No. 26 (2022)
  • Effect of “IPPON” and “Judo 9+” Interventions on Balance and
           Coordination in Young Judo Athletes

    • Authors: Eglė Naudžiūnaitė, Vaida Aleknavičiūtė-Ablonskė , Justinas Bubelis
      Pages: 73 - 82
      Abstract: Background. One of the most important skills for judo players is coordination. In judo it is standard to focus more on strength and endurance rather than coordination. Recently coordination of judo players has become a popular topic, and the importance of coordination development has been introduced to researchers. There is a lack of research about the effect of coordination training on balance and coordination changes in judo athletes. The aim. To determine the effect of “IPPON intervention” and “Judo 9+” intervention on balance and coordination. Methods. Seven (5 boys, 2 girls) judo athletes aged 13.5±1.6 yrs., height 1.6±0.13 m, weighs 57.6±14.6 kg with training experience exceeding 9 months (3.7±2.4 years) were recruited for the intervention. A coordination training program formed out of two programs (“IPPON” intervention and “Judo 9+”) was applied for 4 weeks. Static and dynamic balance, coordination of athletes was tested before and after the intervention. Results. Statistically significant differences in coordination, static and dynamic balance of judo athletes were not found after 4 weeks of coordination training. While comparing test results before and after coordination training, we found increases (p > 0.05) of posterolateral reach in right leg (4.14 cm), anterior (0.71 cm) and posteromedial (1.14 cm) reach in left leg in a modified star excursion test, an improvement was found in the Harre coordination test (0.72 s). Conclusion. The four-week IPPON intervention and Judo 9+ exercise program was too short to significantly improve the coordination and dynamic balance of the judo sport. Keywords: static balance, dynamic balance, coordination
      PubDate: 2022-05-31
      DOI: 10.33607/rmske.v1i26.1186
      Issue No: Vol. 1, No. 26 (2022)
  • Effects of Different Physiotherapy Interventions on Pain and Function in
           Persons Experiencing Lower Back Pain

    • Authors: Gabrielė Elijošiūtė, Dovilė Kielė
      Pages: 83 - 92
      Abstract: Background. Lower back pain is one of the most common reasons people seek help from a physiotherapist. One of the techniques used in rehabilitation is resistance exercises with instability, such as exercises with TRX belts or on unstable planes. The aim. To evaluate the effects of different interventions on pain and functional status in individuals with lower back pain. Methods. The study included 30 subjects (mean age 47.53 ± 5.412) with lower back pain. Subjects in the study group underwent lower back stabilization exercises with TRX straps and in the control group using unstable planes. The tests were performed twice: before and after 15 intervention sessions. Results. Pain intensity after interventions was significantly reduced (p<0.05) in both groups. In the group with exercises with TRX belts, the pain was significantly reduced more (p<0.05) than in the group on unstable planes. Torso muscle endurance after interventions was significantly increased (p<0.05) in both groups. Abdominal and back muscle endurance after interventions increased significantly (p<0.05) in both groups. In the group with exercises with TRX belts, the endurance of the left and right torso muscles and abdominal and back muscles was significantly increased (p<0.05) compared to the group where exercises were performed on unstable planes. The amplitudes of lower back flexion after interventions were significantly increased (p<0.05) in both groups, as were the amplitudes of lower back and left flexion (p<0.05). However, no significant difference was found between groups (p>0.05). Conclusions. After the interventions, the functional condition of both groups improved and the intensity of the experienced pain decreased. Exercise with TRX straps improved the endurance of the lateral torso and abdominal muscles more and reduced pain more than exercises on unstable planes for individuals experiencing lower back pain. Keywords: lower back pain, stabilization exercises, unstable planes, TRX straps.
      PubDate: 2022-05-31
      DOI: 10.33607/rmske.v1i26.1187
      Issue No: Vol. 1, No. 26 (2022)
  • Short and Long-term Effects of Mobilization with Movement and Eccentric
           Overload to Hand Pain and Function in the Treatment of Lateral

    • Authors: Lukas Svalbonas, Nerijus Masiulis, Giedrė Jurgelaitienė, Laura Janušonienė
      Pages: 93 - 102
      Abstract: Aim. To determine and compare short and long-term effects of mobilization with movement and eccentric overload to hand pain and function in the treatment of lateral epicondylitis. Problem of research & hypothesis. The eccentric overload exercises are one of the best methods in tendinopathy treatment. Mobilization with movement is largely used as an effective treatment method for lateral epicondylitis. Only the short-term effects of these methods in lateral epicondylitis are often evaluated, but no studies were found to use these methods in combination and to evaluate their long-term effects. Methods. The study included individuals (n=30) aged 30–54 years who had been diagnosed with lateral epicondylitis. Subjects were tested by assessing their perceived pain using the visual analogue scale (VAS); handgrip strength was assessed by a dynamometer. The QuickDASH questionnaire was used to assess hand function and perceived disability. Subjects were randomly divided into three groups: mobilization with movement group (n=10), eccentric overload group (n=10), and combined group (combined mobilization with movement and eccentric overload exercises) (n=10). All subjects got 10 physiotherapy procedures, short-term effect evaluated after 10 procedures of physiotherapy, long-term effect evaluated after 2, 6 and 12 weeks post treatment course. Results. Study results revealed that all treatment methods had a significant (p<0.05) effect on pain reduction, increase in handgrip strength as well as improvement in hand function and disability. In follow-up assessments at 2, 6 and 12 weeks after the treatment, the most altered indicators of pain intensity, pain-free handgrip strength and hand function were seen in the mobilization with movement group. Conclusions. An application of mobilization with movement in the treatment of lateral epicondylitis had the greatest positive effect on pain intensity, maximum handgrip strength and hand function and disability compared to mobilization with movement combined with eccentric overload and eccentric overload exercises alone. Keywords: lateral epicondylitis, mobilization with movement, eccentric overload, pain intensity, hand pain-free grip strength.
      PubDate: 2022-05-31
      DOI: 10.33607/rmske.v1i26.1188
      Issue No: Vol. 1, No. 26 (2022)
  • Effects of Static and Dynamic Exercises on Core Muscle Strength and

    • Authors: Monika Kibildaitė, Diana Nemčiauskienė, Laura Žlibinaitė
      Pages: 103 - 113
      Abstract: Background. Rehabilitation research is currently focused on the effects of exercise on patients with acute or chronic low back pain. However, there is a lack of preventive research investigating the effects of dynamic and static exercises on the strength and endurance of the core stability muscle in individuals engaged in leisure-time non-professional sports activities. The aim. To determine the effect of static and dynamic muscle exercises on core stability muscle strength and endurance. Methods. The study involved 12 volunteers (20–30 years old) engaged in leisure-time non-professional sports activities that did not experience back pain. Two groups were formed: the first (n = 7), in which the subjects performed static exercises, and the second (n = 5), in which the subjects performed dynamic exercises. The strength and endurance of the core flexor and extensor muscles were assessed at the beginning and end of the study. The study lasted 5 weeks. Exercise sessions were held 3 times a week for 20–30 minutes. Results. Strength and endurance of the core flexor and extensor muscles significantly increased in both groups. Comparing the effects of static and dynamic exercises on core flexor and extensor muscle strength and endurance, a statistically significant difference was observed in the change in core extensor muscle strength. Conclusions. The strength and endurance of the core flexor and extensor muscles increased both after dynamic exercise and static exercise interventions. Core muscle strength increased more after the dynamic exercise intervention. Keywords: core stability, isometric strength, physical therapy, exercise, young individuals.  
      PubDate: 2022-05-31
      DOI: 10.33607/rmske.v1i26.1189
      Issue No: Vol. 1, No. 26 (2022)
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