سید حامد موسوی

Background: Dynamic knee valgus (DKV) is due to the weakness of the thigh abductor muscles and the vastus medialis muscle, which increases the internal rotation of the thigh and increases the possibility of anterior cruciate ligament (ACL) injury. The amount of DKV in women is higher than men, which is one of the reasons for the possibility of more injury in women. Aim: The aim of the present study was the effect of acute soccer functional fatigue on knee and trunk kinematic factors in female soccer players with and without DKV during single leg landing. Materials and Methods: The present study is quasi-experimental research conducted on 28 female soccer players who were selected using purposeful and convenience sampling. They were classified into two groups with and without DKV. The subjects performed a single leg soccer landing, and the kinematic changes of the participants' trunk and knees were recorded through high-speed video cameras (SONY camera) in two sagittal and frontal planes and analyzed by Kinovea software. The data were analyzed in SPSS-26 software using a mixed ANOVA statistical test.Results The results revealed a significant interaction effect between fatigue conditions and groups on knee and trunk joint angles in frontal plane in the initial contact with the ground in single leg landing. The results showed that fatigue significantly reduced knee flexion and increased knee valgus and trunk lateral flexion increased significantly after fatigue. Conclusion: The results indicated the acute effect of fatigue on knee and trunk kinematics of female soccer players with DKV. Therefore, by increasing the amount of knee and trunk flexion and correcting the landing technique, the possibility of ACL injury in fatigue can be reduced.

Background: Instrument Assisted Soft Tissue Mobilization (IASTM) and electrotherapy have shown to help alleviating post-operation complications and affect gait kinematics and muscle strength.Aim: This case study aimed to manage the post-operative complications in a patient with investigate excessive ankle stiffness with kinetics, kinematics and Electromyography (EMG) approach.Materials and Methods: A 41-year-old female with post-operation complications including decreased right ankle range of motion (ROM) and strength underwent a 12-week of IASTM and Electrotherapy. Gait analysis was performed before and after the intervention.Results: The results showed notable improvements in ankle 3-dimensional (3D) ROM, power, moment, velocity, cadence, step length, ground reaction force (GRF) and decreased stiffness, muscles activity, single and double support time. Ankle dorsiflexion ROM was not notably increased during gait.Conclusion: Findings suggest that a 12-week intervention of IASTM and electrotherapy can improve gait mechanics and reduce muscle activity in a patient with excessive ankle stiffness.

Background: Low back pain is a common musculoskeletal condition that can impact a person's ability to walk and move comfortably. Pronated foot posture has been suggested as a potential contributor to low back pain, and this study examines its impact on muscle activity during gait in individuals with low back pain. Aim: This study aimed to investigate whether pronated foot alters the activity timing of trunk and lower limb muscles during gait in low back pain patients. Materials and Methods: The sample of this study included 32 men with low back pain and pronated foot. Participants were divided into control (n=15, with foot pronated only) and experimental (n=17, with both low back pain and foot pronated) groups. The experimental group did resistance training with Thera-band for 12 weeks, 3 sessions per week. A wireless electromyography system with 9 pairs of bipolar surface electrodes was used to record the electromyography activity timing of back and lower limb muscles (sample rate: 2000 Hz). Two-way ANOVA was used for statistical analysis. Results: Significant between-group differences were found at baseline onset of EMG activity timing for gastrocnemious medialis ( P <0.001), gluteus medius ( P <0.001) and erector spinae at 3rd lumbar vertebral level ( P =0.001) muscles. Results indicated significant main effects of “Time” for erector spinae at 3rd lumbar vertebral level offset ( P =0.023), significant main effects of “group” for tibialis anterior offset ( P = 0.039) and for erector spinae at 3rd lumbar vertebral level offset ( P = 0.010). Conclusion: The selected training program changed the timing of erector spinae at 3rd lumbar vertebral level in older adults with both low back pain and pronated feet during walking.