Effect of a single session of ear acupuncture on pain intensity and postural control in individuals with chronic low back pain: a randomized controlled trial

ABSTRACT Background Ear Acupuncture (EA) is a form of acupuncture in which needles are applied to the external ear and has been used in multiple painful conditions. Low back pain (LBP) is highly prevalent in active individuals and causes high economic burden to health systems worldwide. LBP affects the person’s ability to keep balance, especially in challenging conditions. Objective The aim of the study was to examine the effects of a single session of EA on pain intensity and body sway during postural tasks. Method Eighty adults with LBP and pain intensity equal to or greater than 4 (0-10 scale) were randomly allocated (1:1) to EA group (EAG) or placebo group (PG). Initially, the level of pain intensity was assessed. Next, participants stood still on a force plate either with feet in parallel or in semi-tandem and with eyes open or closed. Then, the EAG was treated with EA for 20 min and the PG was treated with detuned ultrasound. After the treatment, pain intensity was assessed again and the postural test was repeated. Pain intensity was the primary outcome and center of pressure sway area and speed were the secondary outcomes measured. Results Results revealed that pain intensity decreased in both groups after treatment, but decreased more in the EAG. For postural control, no effect of treatment and no interaction between treatment and postural condition on body sway were found. Conclusion Those findings indicate that EA is better than placebo to reduce pain, but neither treatment has any effect on postural control.

Ground reaction forces during level ground walking with body weight unloading

Background: Partial body weight support (BWS) systems have been broadly used with treadmills as a strategy for gait training of individuals with gait impairments. Considering that we usually walk on level ground and that BWS is achieved by altering the load on the plantar surface of the foot, it would be important to investigate some ground reaction force (GRF) parameters in healthy individuals walking on level ground with BWS to better implement rehabilitation protocols for individuals with gait impairments. Objective: To describe the effects of body weight unloading on GRF parameters as healthy young adults walked with BWS on level ground. Method: Eighteen healthy young adults (27±4 years old) walked on a walkway, with two force plates embedded in the middle of it, wearing a harness connected to a BWS system, with 0%, 15%, and 30% BWS. Vertical and horizontal peaks and vertical valley of GRF, weight acceptance and push-off rates, and impulse were calculated and compared across the three experimental conditions. Results: Overall, participants walked more slowly with the BWS system on level ground compared to their normal walking speed. As body weight unloading increased, the magnitude of the GRF forces decreased. Conversely, weight acceptance rate was similar among conditions. Conclusions: Different amounts of body weight unloading promote different outputs of GRF parameters, even with the same mean walk speed. The only parameter that was similar among the three experimental conditions was the weight acceptance rate. .

Vertical jump fatigue does not affect intersegmental coordination and segmental contribution / Fadiga em salto vertical não afeta a coordenação intersegmental e contribuição segmental / Fatiga salto vertical no afecta a la coordinación entre segmentos y la contribución segmentaria

The aim of this study was to describe the intersegmental coordination and segmental contribution during intermittent vertical jumps performed until fatigue. Seven male visited the laboratory on two occasions: 1) the maximum vertical jump height was determined followed by vertical jumps habituation; 2) participants performed intermittent countermovement jumps until fatigue. Kinematic and kinetic variables were recorded. The overall reduction in vertical jump height was 5,5%, while the movement duration increased 10% during the test. The thigh segment angle at movement reversal significantly increased as the exercise progressed. Non-significant effect of fatigue on movement synergy was found for the intersegmental coordination pattern. More than 90% of the intersegmental coordination was explained by one coordination pattern. Thigh rotation contributed the most to the intersegmental coordination pattern, with the trunk second and the shank the least. Therefore, one intersegmental coordination pattern is followed throughout the vertical jumps until fatigue and thigh rotation contributes the most to jump height...

"Fadiga em salto vertical não afeta a coordenação intersegmental e contribuição segmental." O objetivo deste estudo foi descrever a coordenação entre segmentos e suas contribuições durante saltos verticais intervalados realizados até a fadiga. Sete indivíduos visitaram o laboratório em duas ocasiões: 1) foi determinada a altura máxima do salto vertical e realizada familiarização com saltos verticais; 2) participantes realizaram saltos verticais em contramovimento até a fadiga. Foram coletadas variáveis cinemáticas e cinéticas. A altura do salto vertical reduziu 5,5% e duração do movimento aumentou 10%. O ângulo da coxa no instante de reversão do movimento aumentou durante o exercício. A fadiga na sinergia do movimento não influenciou na coordenação intersegmental. Acima de 90% da coordenação entre segmentos foi explicada por um padrão coordenativo. A rotação da coxa foi o que mais contribuiu com o padrão coordenativo, seguido pelo tronco e perna. Portanto, em saltos verticais realizados até a fadiga, a coordenação intersegmental é mantida e a rotação da coxa tem maior contribuição na altura do salto...

"Fatiga salto vertical no afecta a la coordinación entre segmentos y la contribución segmentaria." El objetivo fue describir la coordinación entre los segmentos y sus contribuciones durante los saltos verticales realizadas hasta la fatiga. Siete sujetos visitaron laboratorio dos ocasiones: 1) determinó la máxima altura en el salto vertical y amistad con los saltos verticales; 2) participantes completaron saltos verticales contramovimento la fatiga. Se recogieron las variables cinemáticas y cinéticas. La altura del salto vertical disminuyó 5,5% y la duración del movimiento se incrementó 10%. El ángulo del muslo en instante de inversión del movimiento aumentó durante ejercicio. No hubo efecto de fatiga en sinergia de movimiento para la coordinación de movimientos. Más del 90% de coordinación entre sectores ha sido explicado por un patrón coordinativo. La rotación del muslo fue mayor contribuyente la coordinación de movimientos, seguido por tronco y piernas. En los saltos verticales realizados hasta la fatiga se mantiene coordinación entre segmentos y rotación del muslo tiene mayor contribución en altura del tacón...