Study on the effect of functional movement on the recurrence of patients with ankylosing spondylitis after treat-to-target therapy / 中华风湿病学杂志

Objective:To investigate the effect of functional movement assessment on the recurrence of patients with ankylosing spondylitis (AS) after treat-to-target therapy.Methods:The clinical data of 61 patients with AS in Chengdu were collected including clinical symptoms and AS disease activity (ASDAS). After 24 weeks adalimumab treatment, motor function score of AS patients(ASDAS<1.3) was assessed by functional movement screen (FMS), then adalimumab was discontinued and the rest of the concurrent drugs were continued until the disease relapse or up to 1 year. The data of the two groups were compared using t-test analysis and Cox proportionate hazard model. Results:① The recurrence rate of patients with AS after treat-to-target therapy within 1 year follow-up was 57.4%; ② The recurrence group was younger [(27±7) vs (31±6), t=5.96, P=0.02], the ASADAS value was at the high end when adalimumab was withdrawal [(1.29±0.07) vs (0.87±0.16), t=177.31, P<0.01], and the FMS value was lower after treat-to-target [(12.9±2.7) vs (16.2±1.9), t=29.23, P<0.01], The time to reaching the treatment target was longer [(2.9±1.2) month vs (1.7±0.6) month, t=19.89, P<0.01] than the stable group; ③ The cut-off value of the FMS test of AS patients after treat-to-target therapy was 14.25 (sensitivity was 84.6%, specificity was 80%) . The time to treat-to-target was a risk factor for recurrence ( RR=2.285, P<0.05), and the FMS value after treat-to-target was a protective factor ( RR=0.625, P<0.05). Conclusion:After discontinuing the adalimumab, about half of the patients relapse. The time reaching the treatment target and the FMS value after treat-to-target therapy are the risk factors for disease recurrence.

Influence of function movement on the outcome of ankylosing spondylitis under the treat-to-target stratery / 中华风湿病学杂志

Objective:To investigate the effect of baseline function movement assessment of ankylosing spondylitis (AS) on treatment outcomes.Methods:The clinical data of 90 patients with AS who met the medical insurance treatment for major disease in Chengdu were collected including clinical symptoms, functional movement screen (FMS) and ankylosing spondylitis disease activity score (ASDAS) after 24 weeks adalimumab treatment. They were divided into the non-treat-to-target group and the non-treat-to target group based on the ASDAS score, t-test or χ2 test was used to compare the differences between the two groups. Logistic regression model was used to analyze the influence of baseline FMS on the outcome of patients reaching the treatment target. Results:① The two groups were different in the FMS [(15.8±2.3) vs (12. 6±2.5), t=6.17, P<0.001], squat [(2.2±0.6) vs (1.7±0.5), t=3.57, P=0.001], hurdle spanning [(2.2±0.7) vs (1.8±0.6), t=2.11, P=0.038], straight lunge [(2.3±0.7) vs (1.7±0.5), t=4.23, P<0.001], shoulder flexibility [(2.5±0.6) vs (2.2±0.8), t=2.21, P=0.037], active straight leg raise [(2.1±0.6) vs (1.8±0.6), t=2.35, P=0.021], spinal stabilization pushups [(2.4±0.7) vs (1.8±0.8), t=3.76, P<0.001], body rotation stability [(2.2±0.7) vs (1.6±0.8), t=3.42, P=0.001] at baseline. ② The two groups were different in ASDAS score [(0.96±0.28) vs (2.19±0.52), t=14.69, P=0.000], FMS [(17.4±1.9) vs (12.7±2.8), t=9.77, P<0.001], deep squat [(2.6±0.5) vs (1.5±0.5), t=9.09, P<0.001], hurdle step [(2.2±0.6) vs (1.8±0.8), t=2.80, P=0.006], straight lunge [(2.6±0.6) vs (1.8±0.9), t=4.85, P<0.001], shoulder flexibility [(2.8±0.4) vs (2.5±0.5), t=2.10, P=0.038], active straight leg raise [(2.2±0.6) vs (1.9±0.8), t=2.46, P=0.016], spinal stability push-ups [(2.8±0.4) vs (1.6±0.7), t=10.36, P<0.001], and body rotation stability [(2.3±0.7) vs (1.6±0.8), t=4.76, P<0.001] at the end of the observation. ③ The cut-off value of the FMS for predicting whether AS patients meet the standard at baseline was 14.25 points (Sensitivity 0.733, specificity 0.800). ④ Logistic regression results showed that in the baseline, FMS series of action tests, squat [ OR (95% CI)=0.155 (0.035, 0.677), P=0.013], straight lunge [ OR (95% CI)=0.375 (0.148, 0.953), P=0.039], spinal stability push-ups [ OR(95% CI)=0.136(0.043, 0.436), P=0.001], and body rotation stability [ OR(95% CI)=0.308 (0.121, 0.780), P=0.013] were the influencing factors of the AS patient's treatment outcome ( P<0.05). Conclusion:The AS patients in the non-treat-to-target group have better FMS tests at baseline and at the end of the study than the non-treat-to-target group. Squats, straight lunges, remember stable push-ups, and body rotation stability are the influencing factors for the treatment outcomes of AS patients at baseline.

Empirical analysis on the reduction of sports injury by functional movement screening method under biological image data / Análise empírica sobre a redução de lesões esportivas pelo método de triagem de movimento funcional sob dados de imagens biológicas / Análisis empírico sobre la reducción de las lesiones deportivas mediante el método de detección del movimiento funcional con datos de imágenes biológicas

ABSTRACT Introduction: Sports recognition technology gradually mature. Among them, wearable sensors have attracted wide attention because of their accurate recognition. Objective: The following squats are used as an example to determine whether CNN and EMG signals determine whether functional motion is standard. Methods: Based on the FMS of EMG, 80 students of the same grade are randomly selected from the Physical Education School of XX University for the experiment and the results are verified. Results: The results show that the GBC can classify the EMG signal of the three functional movements more accurately, and the classification accuracy rate of squat, stride, and straight lunge squat is 91%, 89%, and 90%, respectively. The decision tree has a good ability to judge whether the functional movement is standard or not, and the accuracy of judgment can reach more than 98%. In conclusion, EMG-based FMS can effectively detect early sports injuries and plays a good role in reducing sports injuries. Conclusions: The classification effect of the squat is the most obvious, reaching 91%, and its recognition ability is the strongest. Level of evidence II; Therapeutic studies - investigation of treatment results.

RESUMO Introdução: A tecnologia de reconhecimento esportivo amadurece gradualmente, entre as quais, os sensores atraíram grande atenção devido ao seu reconhecimento preciso. Objetivo: Os seguintes agachamentos são usados como exemplo para ver se os sinais CNN e EMG determinam se o movimento funcional é padrão. Métodos: Com base no EMG FMS, 80 alunos da mesma série da XX Escola Universitária de Educação Física são selecionados aleatoriamente para o experimento e os resultados são verificados. Resultados: Os resultados mostram que o GBC pode classificar o sinal EMG dos três movimentos funcionais com maior precisão, e a taxa de precisão da classificação do agachamento, estocada e agachamento estocada reta é de 91%, 89% e 90%, respectivamente. A árvore de decisão tem uma boa capacidade de julgar se o movimento funcional é padrão ou não, e a precisão de julgamento pode chegar a mais de 98%. Em conclusão, a EMG baseada em EMG pode detectar efetivamente lesões esportivas precoces e desempenha um bom papel na redução de lesões esportivas. Conclusões: O efeito de classificação do agachamento é o mais evidente, chega a 91%, e sua capacidade de reconhecimento é a mais forte. Nível de evidência II; Estudos terapêuticos- investigação dos resultados do tratamento.

RESUMEN Introducción: La tecnología de reconocimiento deportivo va madurando gradualmente, entre los cuales, los sensores han atraído gran atención por su preciso reconocimiento. Objetivo: Las siguientes sentadillas se utilizan como ejemplo para saber si las señales CNN y EMG determinan si el movimiento funcional es estándar. Métodos: Con base en el FMS de EMG, se seleccionan al azar 80 estudiantes del mismo grado de la Escuela de Educación Física de la Universidad XX para el experimento y se verifican los resultados. Resultados: Los resultados muestran que el GBC puede clasificar la señal EMG de los tres movimientos funcionales con mayor precisión, y la tasa de precisión de clasificación de sentadilla, zancada y sentadilla con estocada recta es 91%, 89% y 90%, respectivamente. El árbol de decisiones tiene una buena capacidad para juzgar si el movimiento funcional es estándar o no, y la precisión del juicio puede alcanzar más del 98%. En conclusión, la EMG basada en EMG puede detectar de forma eficaz las lesiones deportivas tempranas y desempeña un buen papel en la reducción de las lesiones deportivas. Conclusiones: El efecto de clasificación de la sentadilla es el más evidente, alcanza el 91%, y su capacidad de reconocimiento es la más fuerte. Nivel de evidencia II; Estudios terapéuticos- investigación de los resultados del tratamiento.

Assessing Sports Injury Risks of Chinese Rugby Athletes Using Functional Movement Screen / 中国运动医学杂志

Objective To explore the effect of applying functional movement screen (FMS) in the sport injury risk assessment of Chinese rugby athletes.Methods Rrugby athletes of Chinese national and provincial teams were selected and their data were collected using the standard FMS test.Their non-impact injury of the lower limbs and trunk were tracked and recorded.FMS diagnostic value and diagnostic cut-off value were evaluated using the receiver operating characteristic curve (ROC) and odds ratio (OR).Results The area under curve of all,male and female rugby athletes was 0.780 (P=0.000),0.877 (P=0.001) and 0.7130 (P=0.013) respectively,with significant differences from AUC=0.5.FMS score optimal cut-off point of all,male and female rugby athletes corresponding to the maxi mum Youden index was 13.5,15.5 and 13.5 respectively.Among all,male and female rugby athletes,the injury rates of the positive group (with FMS score less than the corresponding optimal cutoff point) were significantly higher than that of the negative group (with FMS total score greater than a corresponding cut-off point)(P＜0.01),and OR value of the positive group was 25.85 (95％CI:3.34～200.23),25 (95％CI:2.36～264.80) and 14.22 (95％CI:1.76～114.92) respectively.Conclusion In China,the average FMS score of rugby athletes had a strong correlation with non-contact sport injury,which might become an assessment index of non-contact sport injury risks.There is a significant difference in FMS score optimal cut-off points between the male and female rugby athletes,with that of the female being 13.5 points and the male being 15.5 points.

The application of functional magnetic resonance imaging technology in oral function research / 口腔疾病防治

@#Functional magnetic resonance imaging is a new magnetic resonance imaging inspection method, which can reflect the imageological change of cerebral cortex when human body is doing various functional movements. The functional movements of the oral cavity such as chewing, gustation, swallowing which is closely related to the changes in the cerebral cortex. Recent years, scholars home and abroad had done many oral researches by fMRI. The results of these studies have great guiding significance to the clinical work and research. It indicates that we can explore more clinical diseases through fMRI technology. This article summarizes the application of fMRI in oral functional research.

Effects of functional training on movement performance and balance in elite fencing athletes with patellar tendinopathy / 中华物理医学与康复杂志

Objective To investigate the effect of functional training on knee pain,functional movement screen (FMS) score and balance in Chinese elite fencing athletes with patellar tendinopathy.Methods Twenty-four fencing athletes with a diagnosed patellar tendinopathy were randomized into a treatment group (TG) and a control group (CG),each of 12.Both groups were given routine physical therapy,while TG received motor function training in addition for eight weeks.Both groups completed the numerical rating scale (NRS),FMS and balance test before and after the intervention.Results After the intervention,the average PRS and FMS of TG were 2.08± 1.24 and 16.25±0.97 respectively,which significantly outperformed those of TG before the intervention and those of CG after the intervention (P＜0.05).Moreover,TG indicated superior results in parameters of static postural balance including center of pressure,total length of swinging pathway,maximal length of swinging pathway,and area of swinging pathway when compared to TG before the intervention and CG after the intervention(P＜0.05).Conclusion The motor functiontraining is effective in improving functional movement and balance in elite fencing athletes with patellar tendinopathy.

U.S. Coast Guard Academy Injury and Risk Factor Study.

Purpose: Injury rates and injury risk factors were examined for the first time among cadets undergoing Summer Warfare Annual Basic (SWAB) training at the U.S. Coast Guard Academy (USCGA). Methods: Participants were 778 men and 286 women from four years of SWAB training. Before SWAB training, the subjects were administered a Physical Fitness Assessment (PFA) (2-minute maximal effort sit-ups and 1.5 mile run) and functional movement screening (FMS) test. Height and weight were measured and, gender, age and ethnicity were obtained from administrative records. Training-related injuries were compiled from student medical records. The diagnosis, body part location, disposition, and limited duty days were recorded for each clinic visit. Results: During the 8 weeks of SWAB training, 23.8% of the women and 18.4% of the men were injured at least once. Compared to the men, the odds of an overall injury among women was 1.39 (95% confidence interval= 1.00-1.92). The odds of an overuse injury among women was 1.72 (95%confidence interval= 1.21-2.43) times higher than the men and the number of limited duty days for overuse injuries was also higher among the women (p <0.01). Independent risk factors for injuries among both men and women included lower aerobic fitness and lower functional movement screening scores. Conclusions: Female USCGA cadets were at higher risk of injuries, especially overusetype injuries. Specific factors that put cadets at higher injury risk included lower aerobic capacity and inefficient movement strategies. Future injury studies should focus on females, aerobic fitness, and movement strategies. Prevention strategies should be tested to reduce injuries to limit lost training time.