Biomechanical Performance and Relevant Mechanism of Physical Medicine and Rehabilitation for Neuromusculoskeletal Disorders

Objective: A growing body of research shows the promise and efficacy of EMG-based robot interventions in improving the motor function in stroke survivors. However, it is still controversial whether the effect of EMG-based robot is more effective than conventional therapies. This study focused on the effects of EMG-based robot on upper limb motor control, spasticity and activity limitation in stroke survivors compared with conventional rehabilitation techniques.

Methods: We searched electronic databases for relevant randomized controlled trials. Outcomes included Fugl-Meyer assessment scale (FMA), Modified Ashworth Scale (MAS), and activity level.

Result: Thirteen studies with 330 subjects were included. The results showed that the outcomes post intervention was significantly improved in the EMG-based robot group. Results from subgroup analyses further revealed that the efficacy of the treatment was better in patients in the subacute stage, those who received a total treatment time of less than 1000 min, and those who received EMG-based robotic therapy combined with electrical stimulation (ES).

Conclusion: The effect of EMG-based robot is superior to conventional therapies in terms of improving upper extremity motor control, spasticity and activity limitation. Further research should explore optimal parameters of EMG-based robot therapy and its long-term effects on upper limb function in post-stroke patients.

Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/; Identifier: 387070.

Objective: The aim of this study was to investigate the effects of acute Kinesio Taping (KT) intervention on the muscle strength and balance ability of college basketball players with functional ankle instability (FAI).

Methods: Thirty college basketball players with FAI were treated with acute KT to test the changes in their muscle strength and balance ability.

Results: After acute KT intervention, the ankle dorsiflexion moment and the ankle plantar flexion moment increased by 34% and 19.9%, respectively. The stable plane test with the subjects’ eyes open decreased by 1%, whereas that with the subjects’ eyes closed decreased by 1.1%. The swaying environment test with the subjects’ eyes open increased by 2.4%. The swaying plane test with the subjects’ eyes open increased by 5.1%, whereas that with the subjects’ eyes closed increased by 16.2%. The swaying environment test with the subjects’ eyes open plus the use of a plane increased by 12.1%.

Conclusion: KT can increase the isokinetic strength of the ankle dorsum muscle and plantar flexion of college basketball players with FAI. The effect of KT in the static balance test was weaker than that in the dynamic balance test. The findings indicate that KT can significantly improve the balance ability of college basketball players with FAI during dynamic sports.

Background: Functional ankle instability (FAI) is the primary classification of ankle injuries. Competitive activities have complicated movements that can result in ankle re-injury among patients with FAI. Unanticipated movement state (MS) and mental fatigue (MF) could also happen in these activities, which may further increase their joint injury risk.

Objective: This study aimed to clarify the biomechanical characteristics difference of the lower extremity (LE) between the injured side and the uninjured side among patients with FAI when they perform unanticipated side-step cutting after MF.

Methods: Fifteen males with unilateral FAI participated in this study (age: 20.7 ± 1.3 years, height: 173.6 ± 4.4 cm, weight: 70.1 ± 5.0 kg). They used the injured side and the uninjured side of LE to complete anticipated and unanticipated side-step cutting before and after MF. The kinematic and kinetics data were evaluated using three-way ANOVA with repeated measures.

Results: During patients with FAI performed anticipated side-step cutting, the ankle stiffness of both sides showed no significant change after MF; During they performed unanticipated side-step cutting, their injured side presented significantly lower ankle stiffness after MF, while the uninjured side did not have such change. In addition, after MF, the injured side exhibited increased ankle inversion, knee valgus and LR, but the uninjured side did without these changes.

Conclusion: Influenced by MF, when patients with FAI use their injured side of LE to perform side-step cutting, this side LE has a higher risk of musculoskeletal injuries such as lateral ankle sprains and anterior cruciate ligament injury. The ankle stiffness of the injured side will be further reduced when patients with FAI perform unanticipated side-step cutting, which increases ankle instability and the risk of re-injury.

Purpose: The purpose of this study was to examine biomechanical performance of the foot-up serve (FUS) in female tennis players at different skill levels.

Methods: FUS analysis was completed in the biomechanical laboratory by 32 female college tennis players at three different levels. During FUS, 3D-biomechanical data from tennis players’ lower limbs were collected. One-way ANOVA was used to examine differences in kinematic and kinetic data between groups

Results: Range of motion (ROM) of bilateral lower-limb joints revealed significant differences in kinematics performance during both the preparation and landing cushion phases (p < 0.05). During preparation, Level 3 was significantly longer than Level 2 (P-a = 0.042, P-b = 0.001, and P-c = 0.006). During the flight phase, significant differences between levels 1 and 3 (P-a:0.002) and levels 1 and 2 (P-c:0.000) were discovered (P-a:0.002 and P-c:0.000). There were significant height differences between levels 1 and 2 as well as between levels 1 and 3. (P-a = 0.001, P-c = 0.000). During serve preparation (P-c = 0.001) and landing, GRF’s peak was significantly higher than level 3. (P-c:0.007). Significant differences were found between groups in the LLS preparation stage, with level 3 significantly higher than levels 1 and 2. (P-a = 0.000, P-b = 0.001, and P-c = 0.000); during landing, level 2 LLS was significantly higher than levels 1 and 3. (P-a = 0.000, P-b = 0.000, and P-c = 0.035).

Conclusion: The range of motion of joints and the stiffness of the lower limbs have a significant impact on a tennis player’s FUS performance. A larger of joint mobility and lower-limb stiffness promote better performance during the FUS preparation stage.