درخت حوزه‌های تخصصی

Introduction: The aim of present study was to determine the effect of biofeedback training on electrical activity of trapezius muscles and range of motion in people with shoulder impingement syndrome. Martials and Methods: In this study, 20 patients with shoulder impingement syndrome in age range of 20-40 y were selected as the statistical sample and were divided into experimental (n=10) and control (n=10) groups. The experimental group trained by using EMG biofeedback for 8 weeks and 3 sessions per week. The control group was applied only for pre-test and posttest measurements. For data collection, surface electromyography was used to analyze the muscle activity patterns of trapezius muscles (upper, middle, lower), and a goniometer was executed to evaluate the flexion. Shapiro-Wilk test was used to confirm the normality of the data and covariance analysis test was applied to compare pre-test and post-test. Correlated t-test was used to examine within-group changes. Results: In this study, after 8 weeks of biofeedback training in the experimental group, a significant improvement in the electrical activity of the middle trapezius (P=0.000) and lower trapezius muscles (P=0.016) was observed. In addition, a significant improvement in the amount of flexion range of motion (P=0.000) was indicated in the experimental group compared to the pretest and also the control group (P=0.05). However, no significant difference was shown in the muscle activity of the upper trapezius muscle (P=0.776). Conclusion: The present study showed that biofeedback training is effective to improve the electrical activity of trapezius muscle and flexion in people with SIS.

The musculoskeletal and support systems along with biomechanical factors lead to tissue adaptations in the skeletal, musculoskeletal and nervous systems, resulting in changes in movement pattern. The aim of this study was to investigate the effect of tactile feedback along with corrective exercises on the degree of thoracic kyphosis in people with Hyperkyphosis . Twenty patients with postural kyphosis greater than 42 were selected voluntarily and randomly divided into experimental and control groups. In the pre-test and post-test, the degree of kyphosis of both groups was measured using a flexible ruler. In the intervention phase, both groups performed corrective exercises for 8 weeks, 3 sessions per week and each session for 30 to 45 minutes. With this difference, the experimental group received tactile feedback, but the control group did not receive any feedback. The results of 2-factor analysis of variance showed that tactile feedback along with corrective exercises (D = -12%) compared to corrective exercises (D = -8%) led to a reduction in kyphosis in people with Hyperkyphosis (P = 0.018).It seems that tactile feedback with changes in sensory inputs can be an effective complement to corrective exercises to reduce the degree of kyphosis.