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Journal of Sport Rehabilitation May 2017Elastic bandages are commonly used in sports to treat and prevent sport injuries. (Review)
Review
CONTEXT
Elastic bandages are commonly used in sports to treat and prevent sport injuries.
OBJECTIVE
To conduct a systematic review assessing the effectiveness of elastic bandaging in orthopedic- and sports-injury prevention and rehabilitation.
EVIDENCE ACQUISITION
The researchers searched the electronic databases MEDLINE, CINAHL, SPORTDiscus, EMBASE, and Physiotherapy Evidence Database (PEDro) with keywords elastic bandaging in combination, respectively, with first aid, sports injuries, orthopedic injuries, and sports injuries prevention and rehabilitation. Research studies were selected based on the use of the term elastic bandaging in the abstract. Final selection was made by applying inclusion and exclusion criteria to the full text. Studies were included if they were peer-reviewed clinical trials written in English on the effects of elastic bandaging for orthopedic-injury prevention and rehabilitation.
EVIDENCE SYNTHESIS
Twelve studies met the criteria and were included in the final analysis. Data collected included number of participants, condition being treated, treatment used, control group, outcome measures, and results. Studies were critically analyzed using the PEDro scale.
CONCLUSIONS
The studies in this review fell into 2 categories: studies in athletes (n = 2) and nonathletes (n = 10). All included trials had moderate to high quality, scoring ≥5 on the PEDro scale. The PEDro scores for the studies in athletes and nonathletes ranged from 5 to 6 out of 10 and from 5 to 8 out of 10, respectively. The quality of studies was mixed, ranging from higher- to moderate-quality methodological clinical trials. Overall, elastic bandaging can assist proprioceptive function of knee and ankle joint. Because of the moderate methodological quality and insufficient number of clinical trials, further effects of elastic bandaging could not be confirmed.
Topics: Ankle Joint; Athletic Injuries; Compression Bandages; Humans; Knee Joint; Orthopedics; Proprioception; Randomized Controlled Trials as Topic
PubMed: 27632889
DOI: 10.1123/jsr.2015-0126 -
American Journal of Physical Medicine &... Jul 2022Individuals with chronic ankle instability experience recurring sprains and impaired proprioception, and the effect of external support in the proprioception of injured... (Meta-Analysis)
Meta-Analysis
OBJECTIVE
Individuals with chronic ankle instability experience recurring sprains and impaired proprioception, and the effect of external support in the proprioception of injured ankles is still inconsistent in existing studies. Therefore, this study aimed to investigate whether external support could enhance the proprioception of injured ankles in patients with chronic ankle instability.
DESIGN
This was a systematic review and meta-analysis.
RESULTS
Eight studies from PubMed, Embase, Cochrane Library, Web of Science, SPORTDiscus, Scopus, and CINAHL were finally included after applying the exclusion criteria. Meta-analyses revealed a significantly higher joint position sense on inversion with a weighted mean difference of 1.25 degrees and plantar flexion (weighted mean difference, 1.74 degrees) and lower kinesthesia in eversion (weighted mean difference = -0.70 degrees) with the application of external support in the injured ankles of patients with chronic ankle instability.
CONCLUSION
Applying external support has statistically significant negative effects on kinesthesia and a positive effect on the active joint position sense in the injured ankles of patients with chronic ankle instability. However, this study did not support the restoration of proprioception deficits as a mechanism of external support in preventing reinjuries, owing to its potentially negative effect on kinesthesia, clinically small changes in proprioception, and poor methodologic quality of existing studies.
Topics: Ankle; Ankle Injuries; Ankle Joint; Humans; Joint Instability; Proprioception
PubMed: 34508060
DOI: 10.1097/PHM.0000000000001876 -
Sensors (Basel, Switzerland) Jul 2023Children and adolescents with sensorineural hearing loss (SNHL) often experience motor skill disturbances, particularly in balance and gait, due to potential vestibular... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
Children and adolescents with sensorineural hearing loss (SNHL) often experience motor skill disturbances, particularly in balance and gait, due to potential vestibular dysfunctions resulting from inner ear damage. Consequently, several studies have proposed the use of virtual reality-based games as a technological resource for therapeutic purposes, aiming to improve the balance and gait of this population.
OBJECTIVE
The objective of this systematic review is to evaluate the quality of evidence derived from randomized or quasi-randomized controlled trials that employed virtual reality-based games to enhance the balance and/or gait of children and adolescents with SNHL.
METHODS
A comprehensive search was conducted across nine databases, encompassing articles published in any language until 1 July 2023. The following inclusion criteria were applied: randomized or quasi-randomized controlled trials involving volunteers from both groups with a clinical diagnosis of bilateral SNHL, aged 6-19 years, devoid of physical, cognitive, or neurological deficits other than vestibular dysfunction, and utilizing virtual reality-based games as an intervention to improve balance and/or gait outcomes.
RESULTS
Initially, a total of 5984 articles were identified through the searches. Following the removal of duplicates and screening of titles and abstracts, eight studies remained for full reading, out of which three trials met the eligibility criteria for this systematic review. The included trials exhibited a very low quality of evidence concerning the balance outcome, and none of the trials evaluated gait. The meta-analysis did not reveal significant differences in balance improvement between the use of traditional balance exercises and virtual reality-based games for adolescents with SNHL (effect size: -0.48; [CI: -1.54 to 0.57]; = 0.37; I = 0%).
CONCLUSION
Virtual reality-based games show promise as a potential technology to be included among the therapeutic options for rehabilitating the balance of children and adolescents with SNHL. However, given the methodological limitations of the trials and the overall low quality of evidence currently available on this topic, caution should be exercised when interpreting the results of the trials analyzed in this systematic review.
Topics: Humans; Child; Adolescent; Postural Balance; Exercise Therapy; Hearing Loss, Sensorineural; Gait; Virtual Reality
PubMed: 37514897
DOI: 10.3390/s23146601 -
Integrative Cancer Therapies 2023This systematic review and meta-analysis aimed to determine whether chemotherapy-induced peripheral neuropathy (CIPN) affects the risk of falls and physical function in... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
This systematic review and meta-analysis aimed to determine whether chemotherapy-induced peripheral neuropathy (CIPN) affects the risk of falls and physical function in patients with cancer.
METHODS
A literature search was conducted in the CINAHL, Scopus, and PubMed databases for articles published from January 1950 to April 2022. Seven review authors retrieved studies using predetermined eligibility criteria, extracted the data, and evaluated the quality.
RESULTS
Nine studies were included in the analysis. Patients with CIPN had a significantly higher risk of falls than those without CIPN (risk ratio = 1.38, 95% confidence interval [CI] =1.18-1.62). Patients with CIPN had lower grip strength (standardized mean difference [SMD] =-0.42, 95% CIs = -0.70 to -0.14, = .003), longer chair stand time (SMD = 0.56, 95% CIs = -0.01 to 1.17, = .05), worse timed up and go test time (SMD = 0.79, 95% CIs = 0.41 to 1.17, < .0001), and lower mean Fullerton Advanced Balance scale score (SMD = -0.81, 95% CIs = -1.27 to -0.36, = .005) than patients without CIPN. There were no significant differences in gait speed ( = .38) or Activities-specific Balance Confidence Scale score ( = .09) between patients with and without CIPN.
CONCLUSIONS
This systematic review and meta-analysis demonstrated that patients with CIPN are prone to falls and impaired balance function and muscle strength.
Topics: Humans; Antineoplastic Agents; Postural Balance; Time and Motion Studies; Neoplasms; Peripheral Nervous System Diseases
PubMed: 37822238
DOI: 10.1177/15347354231185110 -
Gait & Posture Jul 2022Because pregnant women show a high risk of falling, some researchers examined their balance during static standing. This systematic review summarized the findings from... (Review)
Review
BACKGROUND
Because pregnant women show a high risk of falling, some researchers examined their balance during static standing. This systematic review summarized the findings from all studies evaluating static balance in women during pregnancy and postpartum.
RESEARCH QUESTION
Do pregnant and postpartum women show differences in static balance compared to non-pregnant women, and does static balance change during pregnancy and postpartum?
METHODS
Pubmed, Embase, CINAHL, and Web of Science databases were searched systematically from inception until Feb 23, 2022. Studies were eligible for inclusion if they measured COP sway with a force plate during bipedal static standing, and compared COP outcomes between healthy pregnant or postpartum women and non-pregnant women, and/or during different stages of pregnancy and the postpartum period. Methodological quality was assessed overall with a modified version of the Downs and Black checklist, and specifically related to COP measurement by using recommendations of Ruhe et al. (2010). The protocol was registered in PROSPERO (CRD42020166302).
RESULTS
Thirteen studies were included. Because methodological approaches varied greatly between studies, results were summarized descriptively. Studies reported either greater overall and anteroposterior COP sway magnitude, velocity and variability in women from the second half of pregnancy until six months postpartum compared to non-pregnant controls, or no differences in static balance. Changes in static balance throughout pregnancy were generally not found. Finally, there was no clear consensus on the influence of pregnancy on the reliance on visual inputs for balance control, and on whether differences in balance in pregnant and postpartum women reflect poorer balance or positive adaptations to the physical changes experienced during pregnancy.
SIGNIFICANCE
Methodological heterogeneity between studies prevented us from drawing strong conclusions regarding the effect of pregnancy on static balance. Assessing the methodological quality of the studies revealed weaknesses that should be taken into account in future studies.
Topics: Female; Humans; Postpartum Period; Postural Balance; Pregnancy
PubMed: 35667228
DOI: 10.1016/j.gaitpost.2022.05.033 -
Journal of Athletic Training 2010To (1) search the English-language literature for original research addressing the effect of cryotherapy on joint position sense (JPS) and (2) make recommendations... (Review)
Review
OBJECTIVE
To (1) search the English-language literature for original research addressing the effect of cryotherapy on joint position sense (JPS) and (2) make recommendations regarding how soon healthy athletes can safely return to participation after cryotherapy.
DATA SOURCES
We performed an exhaustive search for original research using the AMED, CINAHL, MEDLINE, and SportDiscus databases from 1973 to 2009 to gather information on cryotherapy and JPS. Key words used were cryotherapy and proprioception, cryotherapy and joint position sense, cryotherapy, and proprioception.
STUDY SELECTION
The inclusion criteria were (1) the literature was written in English, (2) participants were human, (3) an outcome measure included JPS, (4) participants were healthy, and (5) participants were tested immediately after a cryotherapy application to a joint.
DATA EXTRACTION
The means and SDs of the JPS outcome measures were extracted and used to estimate the effect size (Cohen d) and associated 95% confidence intervals for comparisons of JPS before and after a cryotherapy treatment. The numbers, ages, and sexes of participants in all 7 selected studies were also extracted.
DATA SYNTHESIS
The JPS was assessed in 3 joints: ankle (n = 2), knee (n = 3), and shoulder (n = 2). The average effect size for the 7 included studies was modest, with effect sizes ranging from -0.08 to 1.17, with a positive number representing an increase in JPS error. The average methodologic score of the included studies was 5.4/10 (range, 5-6) on the Physiotherapy Evidence Database scale.
CONCLUSIONS
Limited and equivocal evidence is available to address the effect of cryotherapy on proprioception in the form of JPS. Until further evidence is provided, clinicians should be cautious when returning individuals to tasks requiring components of proprioceptive input immediately after a cryotherapy treatment.
Topics: Ankle Joint; Biomechanical Phenomena; Confidence Intervals; Cryotherapy; Evoked Potentials, Somatosensory; Female; Health Status Indicators; Humans; Knee Joint; Male; Posture; Proprioception; Shoulder Joint; Somatosensory Disorders; Young Adult
PubMed: 20446845
DOI: 10.4085/1062-6050-45.3.306 -
Complementary Therapies in Clinical... Nov 2022Stroke is the leading cause of non-traumatic disability in adults, with balance and gait disturbances representing the main limitations of body functions. Dance therapy... (Review)
Review
INTRODUCTION
Stroke is the leading cause of non-traumatic disability in adults, with balance and gait disturbances representing the main limitations of body functions. Dance therapy (DT) has shown positive effects in older adults and in patients with neurological pathologies. This systematic review aims to examine the feasibility, acceptability and effects of DT in stroke rehabilitation, specifically on functional gains of gait and balance.
METHODS
A systematic search was carried out for articles published in the MEDLINE, PEDro, Web of Science, Scopus and CINHAL in February 2021 and updated in April 2021.
RESULTS
Eight studies were included (2 clinical cases, 5 case series and 1 randomized controlled trial), 7 of them in patients with chronic stroke and only 1 in subacute stroke phase. The most widely used dance modality was tango and ballet, with sessions ranging from 30 to 110 min. DT seems to show positive effects on post-stroke body functions and activities such as gait and balance. Reported dropout rates are inconsistent, no adverse effects were reported, and participant satisfaction was high.
CONCLUSION
Given the heterogeneity and uneven quality of the included studies, strong conclusions cannot be put forward on the effectiveness of DT in post-stroke body function and activities. Nevertheless, DT seems to be safe and acceptable therapy for patients, and no adverse effects have been reported. More studies with a high level of evidence and feasibility are needed to determine the patient profile, the characteristics of the intervention, the participation rate and the role of the rehabilitation professional most likely to generate optimal benefit.
Topics: Humans; Aged; Dance Therapy; Feasibility Studies; Stroke Rehabilitation; Stroke; Gait; Postural Balance
PubMed: 36084579
DOI: 10.1016/j.ctcp.2022.101662 -
F1000Research 2022Knee osteoarthritis (OA) is a musculoskeletal disorder that causes pain and increasing loss of function, resulting in reduced proprioceptive accuracy and balance.... (Meta-Analysis)
Meta-Analysis
Knee osteoarthritis (OA) is a musculoskeletal disorder that causes pain and increasing loss of function, resulting in reduced proprioceptive accuracy and balance. Therefore, the goal of this systematic review and meta-analysis is to evaluate the effectiveness of balance training on pain and functional outcomes in knee OA. "PubMed", "Scopus", "Web of Science", "Cochrane", and "Physiotherapy Evidence Database" were searched for studies conducted between January 2000 and December 2021. Randomized controlled trials (RCTs) that investigated the effectiveness of balance training in knee OA, as well as its effects on pain and functional outcome measures, were included. Conference abstracts, case reports, observational studies, and clinical commentaries were not included. Meta-analysis was conducted for the common outcomes, i.e., Visual Analog Scale (VAS), The Timed Up and Go (TUG), Western Ontario and McMaster Universities Arthritis Index (WOMAC). The PEDro scale was used to determine the quality of the included studies. This review includes 22 RCTs of which 17 articles were included for meta-analysis. The included articles had 1456 participants. The meta-analysis showed improvement in the VAS scores in the experimental group compared to the control group [ = 92%; mean difference= -0.79; 95% CI= -1.59 to 0.01; p<0.05] and for the WOMAC scores the heterogeneity ( ) was 81% with a mean difference of -0.02 [95% CI= -0.44 to 0.40; p<0.0001]. The TUG score was analyzed, the was 95% with a mean difference of -1.71 [95% CI= -3.09 to -0.33; p<0.0001] for the intervention against the control group. Balance training significantly reduced knee pain and improved functional outcomes measured with TUG. However, there was no difference observed in WOMAC. Although due to the heterogeneity of the included articles the treatment impact may be overestimated. The current systematic review was registered in PROSPERO on 7th October 2021 (registration number CRD42021276674).
Topics: Humans; Databases, Factual; Ontario; Osteoarthritis, Knee; Pain; Pain Measurement; Postural Balance
PubMed: 38444514
DOI: 10.12688/f1000research.111998.2 -
BMC Musculoskeletal Disorders Oct 2023Dual-task training has been a popular intervention for individuals with balance impairments. However, the effects of dual-task training on chronic ankle instability... (Meta-Analysis)
Meta-Analysis
BACKGROUND
Dual-task training has been a popular intervention for individuals with balance impairments. However, the effects of dual-task training on chronic ankle instability (CAI) have not been comprehensively analyzed and reliable clinical evidence is scarce. The purpose of this systematic review and meta-analysis is to evaluate the effectiveness of dual-task training on postural stability and functional ability in individuals with CAI.
METHODS
PubMed, Web of Science, EBSCO, Cochrane Library, Physiotherapy Evidence Database (PEDro), and China National Knowledge Infrastructure (CNKI) were researched from inception to November 2022. This study was conducted by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Two reviewers assessed the studies for inclusion and extracted data. The Cochrane Risk of Bias list was used to assess the risk of bias in included studies. Mean differences (MD) with a 95% confidence interval (CI) were calculated with the RevMan 5.3 software.
RESULTS
A total of 7 randomized controlled trials with 192 CAI met the inclusion criteria. The meta-analysis results showed that compared with the control group, dual-task training significantly improved the Y-balance test (MD = 1.60, 95% CI: -0.00 to 3.21, P = 0.050) and reduced COP-area (MD = - 0.94, 95% CI: -1.62 to - 0.26, P = 0.007) in individuals with CAI. However, there is no significant difference between dual-task training and the control group on COP-velocity (MD = - 0.26, 95% CI: -0.70 to 0.17, P = 0.240), hop test (MD = - 0.20, 95% CI: -0.66 to 0.26, P = 0.386) and BESS (MD = - 1.24, 95% CI: -2.95 to 0.48, P = 0.157) in individuals with CAI.
CONCLUSION
This meta-analysis showed that dual-task training may be effective in improving static and dynamic postural stability. However, more high-quality randomized controlled trials are needed to verify the short and long-term effectiveness of dual-task training on CAI.
Topics: Humans; Ankle; Ankle Joint; Physical Therapy Modalities; Joint Instability; Activities of Daily Living; Postural Balance
PubMed: 37833685
DOI: 10.1186/s12891-023-06944-3 -
Physical Therapy in Sport : Official... Nov 2023Proprioceptive training and resistance training are physiotherapy treatment methods for Chronic Ankle Instability (CAI). (Meta-Analysis)
Meta-Analysis Review
Efficacy of resistance training with elastic bands compared to proprioceptive training on balance and self-report measures in patients with chronic ankle instability: A systematic review and meta-analysis.
BACKGROUND
Proprioceptive training and resistance training are physiotherapy treatment methods for Chronic Ankle Instability (CAI).
OBJECTIVE
To compare the efficacy of proprioceptive training to resistance training with elastic bands for treating CAI as measured by the Star Excursion Balance Test (SEBT), the Foot and Ankle Ability Measure (FAAM), and the Cumberland Ankle Instability Tool (CAIT).
METHOD
Our systematic study and meta-analysis was based on the PICOS and PRISMA protocols. The PubMed, PEDro, and ScienceDirect databases were searched for randomized clinical trials on proprioceptive and resistance training. Risk of bias was assessed according to Cochrane guidelines and quality of evidence was reported using the Grading of Recommendations Assessment, Development, and Evaluation approach (GRADE).
RESULTS
Five studies involving 259 patients were included in the review. According to the findings of the meta-analysis, proprioceptive training was similarly effective with resistance training in SEBT and FAAM measures. Compared with resistance exercise, proprioceptive training demonstrated some benefits in CAIT scores (weighted mean difference [WMD] = -2.21, 95% CI = -4.05-0.36), but these intervention results were not clinically significant (MDC, MCID score >3 points).
CONCLUSION
Low-quality evidence from studies showed that neither of the interventions was superior on the SEBT or the FAAM scores in individuals with CAI because no clinically significant differences were found. More high-quality studies comparing the two interventions are needed to draw firm conclusions.
Topics: Humans; Resistance Training; Self Report; Ankle; Ankle Joint; Postural Balance; Joint Instability; Chronic Disease
PubMed: 37801793
DOI: 10.1016/j.ptsp.2023.09.009