Effect of sacroiliac manipulation on postural sway in quiet standing: a randomized controlled trial.

BACKGROUND: Sacroiliac joint manipulation can alter joint and muscle control mechanisms through local and remote effects. Postural balance is controlled by supraspinal (rambling) and spinal-peripheral (trembling) mechanisms. A manipulation may interfere with postural control in quiet standing. OBJECTIVES: To evaluate the immediate effects of sacroiliac joint manipulation on postural control in patients with (1) sacroiliac dysfunction and (2) to determine whether rambling and trembling are affected by sacroiliac joint manipulation. METHODS: 32 patients aged between 20 and 50 years old were selected by convenience after confirmation of sacroiliac joint dysfunction by clinical examination. These patients were randomly allocated either to manipulation or sham manipulation group. Displacement, velocity and frequency of the center of pressure, rambling and trembling in the anterior-posterior and medial-lateral directions were our primary outcomes and analyzed immediately before and after the intervention in quiet standing. The physical therapists who performed the physical, biomechanical and statistical examinations, were all blinded to the patients' grouping. RESULTS: No differences were found between the two groups but trembling velocity (0.14 and -0.11 for intervention and sham group, respectively) and frequency (0.17 and 0.11 for intervention and sham group respectively) increased after intervention in the treatment group in the anterior-posterior direction. CONCLUSION: Generally, sacroiliac joint manipulation had no superiority than sham treatment regarding postural control as measured by rambling-trembling analysis of center of pressure. Manipulation may increase muscle activation in the treatment group due to increased trembling parameters. Trial number: IRCT2014072715932N8 - http://www.irct.ir/searchresult.php?keyword=%D8%B3%D9%88%DB%8C%D9%87&id=15932&field=&number=8&prt=13&total=10&m=1.

Functional and neuromuscular changes in the hamstrings after drop jumps and leg curls.

The purpose of this study was to use a holistic approach to investigate changes in jumping performance, kinaesthesia, static balance, isometric strength and fast stepping on spot during a 5-day recovery period, following an acute bout of damaging exercise consisted of drop jumps and leg curls, where specific emphasis was given on the hamstring muscles. Eleven young healthy subjects completed a series of highly intensive damaging exercises for their hamstring muscles. Prior to the exercise, and during the 5-day recovery period, the subjects were tested for biochemical markers (creatine kinase, aspartate aminotransferase, and lactate dehydrogenase), perceived pain sensation, physical performance (squat jump, counter movement jump, maximal frequency leg stamping, maximal isometric torque production and maximally explosive isometric torque production), kinaesthesia (active torque tracking) and static balance. We observed significant decreases in maximal isometric knee flexion torque production, the rate of torque production, and majority of the parameters for vertical jump performance. No alterations were found in kinaesthesia, static balance and fast stepping on spot. The highest drop in performance and increase in perceived pain sensation generally occurred 24 or 48 hours after the exercise. Damaging exercise substantially alters the neuromuscular functions of the hamstring muscles, which is specifically relevant for sports and rehabilitation experts, as the hamstrings are often stretched to significant lengths, in particular when the knee is extended and hip flexed. These findings are practically important for recovery after high-intensity trainings for hamstring muscles. Key PointsHamstring function is significantly reduced following specifically damaging exercise.It fully recovers 120 hours after the exercise.Prevention of exercise-induced muscle damage is cruicial for maintaining normal training regime.

Tournament Structure and Success of Players Based on Location in Men's Professional Tennis.

This article discusses the relationship between success of professional male tennis players according to the country and world region from which they originate and the professional tournament structure in men's tennis in that world region and country. The success of a country or world region was defined by the number of players in the top 300 ATP rankings and was calculated for seven time periods between 1975 and 2008. The results showed the correlations between the total number of top 300 ranked players, the total number of tournaments, and the annual tournament prize money of the specific country. The correlations were nearly perfect in the 1975-1990 period (r = 0.93-0.95; p < 0.01) but only high in the 2005-2008 period (r = 0.60-0.64; p < 0.01), suggesting that the association between the number of top 300 ranked tennis players and professional tournaments, while still significant, is in decline. These data should inform the policy and investment decisions of regional and national federations, particularly as they relate to domestic professional tennis tournament structures and to explore opportunities to include professional tournaments of neighbour countries in their player's development programs. Key PointsThis paper observes relation changes between the total number of players, total number of ATP tournaments and total annual prize money in particular continents from 1975 to 2008.The correlation between the tennis success, total number of tournaments and total annual prize money in tournaments was highest from 1975 to 1989 and was gradually decreasing from 1990 to 2008.The leading tennis countries organise over 20 ATP tournaments and entry professional tournaments per year. Tennis less developed countries very often is using the competition systems of the most successful tennis countries.Indications are that tennis will continue to become increasingly global and that this trend may be unlikely to reverse.

The effects of aging on the rambling and trembling components of postural sway: effects of motor and sensory challenges.

The effects of healthy aging on postural sway and its rambling and trembling components were studied. Young and elderly subjects stood quietly for 1 min in different postures, and with eyes open and closed. We found that age-related changes in postural sway and its components were similar to those observed in young participants in challenging conditions. These changes may therefore be viewed as secondary to the increased subjective perception of the complexity of postural tasks. Contrary to our expectations, stronger effects of age were seen in characteristics of rambling, not trembling. The commonly accepted hypothesis that older persons rely on vision more was not supported by this study: we found no significant interaction effects of age and vision on any of the sway characteristics. It was concluded that the reported higher reliance on vision in older persons may be task-specific. The results are compatible with the ideas that much of the age-related changes in postural sway emerge at the level of exploring the limits of stability and using the drift-and-act strategy. Our results suggest that the dominant view on rambling and trembling as reflecting supraspinal and peripheral mechanisms, respectively, may be too simplistic.

Adjusted saddle position counteracts the modified muscle activation patterns during uphill cycling.

The main aim of this project was to study muscle activity patterns during steep uphill cycling (UC) (i.e., with a gradient of 20%) with (1) normal saddle geometry and (2) with adjusted saddle position ASP (i.e., moving the saddle forward and changing the tilt of the saddle by 20%). Based on our preliminary case study, we hypothesized that: (1) during 20% UC muscle activity patterns would be different from those of level cycling (LC) and (2) during 20% UC with ASP muscle activity patterns would resemble those of LC. Twelve trained male cyclists were tested on an electromagnetically braked cycle ergometer under three conditions with the same work rate (80% of maximal power output) and cadence (90 rpm): level (LC), 20% UC and 20% UC with ASP. Electromyographic signals were acquired from m. tibialis anterior (TA), m. soleus (SO), m. gastrocnemius (GC), m. vastus lateralis (VL), m. vastus medialis (VM), m. rectus femoris (RF), m. biceps femoris (BF) and m. gluteus maximus (GM). Compared to LC, 20% UC significantly modified both the timing and the intensity of activity of the selected muscles, while muscles that cross the hip joint were the most affected (RF later onset, earlier offset, shorter range of activity and decrease in peak amplitude of 34%; BF longer range of activity; GM increase in peak amplitude of 44%). These changes in EMG patterns during 20% UC were successfully counteracted by the use of ASP and it was interesting to observe that the use of ASP during 20% UC was perceived positively by all cyclists regarding both comfort and performance. These results could have a practical relevance in terms of improving performance during UC, together with reducing discomfort.