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Topic Review
Research Trends on Exercise-Induced Muscle Damage
Exercise-induced muscle damage (EIMD) is a phenomenon that occurs following novel or unaccustomed exercise, particularly if the exercise includes a high number of eccentric contractions. The damage process is normally accompanied by a temporary decrease in muscle function (both muscle force and range of motion), increased swelling of the involved muscle group, increased circulation of muscle-specific proteins, and delayed-onset muscle soreness (DOMS). Most of the symptoms and signs of EIMD are present immediately after the initial exercise bout and persist for up to 14 days. 
  • 715
  • 03 Nov 2022
Topic Review
Physiotherapeutic Scoliosis-Specific Exercise Methodologies for Adolescent Idiopathic Scoliosis
Due to the multifactorial etiology of scoliosis, a comprehensive treatment plan is essential for conservative management. Physiotherapeutic scoliosis-specific exercise (PSSE) methods have lately gained popularity for the conservative treatment of scoliosis. Inappropriate management of adolescent idiopathic scoliosis (AIS) could result in serious health problems. Conservative interventions that aid in stabilizing spine curvature and improving esthetics are preferred for scoliosis treatment. Bracing has traditionally been the mainstay of treatment, but growing evidence suggests that PSSE physiotherapy allows effective management of idiopathic adolescent scoliosis. Currently, there are the following PSSE physiotherapy schools in Europe: Schroth, SEAS, BSPTS, FED, FITS, Lyon, Side Shift, and DoboMed. The methodologies of these schools are similar, in that they focus on applying corrective exercises in three planes, developing stability and balance, breathing exercises, and posture awareness. Although high-quality research supporting the effectiveness of PSSE physiotherapy in the treatment of AIS is lacking, existing evidence indicates that PSSE physiotherapy helps to stabilize spinal deformity and improve patients’ quality of life.
  • 709
  • 05 Aug 2022
Topic Review
Nutrition/Exercise in Upper Gastrointestinal Cancers
Malnutrition and muscle wasting are associated with impaired physical functioning and quality of life in oncology patients. Patients diagnosed with upper gastrointestinal (GI) cancers are considered at high risk of malnutrition and impaired function. Due to continuous improvement in upper GI cancer survival rates, there has been an increased focus on multimodal interventions aimed at minimizing the adverse effects of cancer treatments and enhancing survivors’ quality of life. 
  • 697
  • 28 Sep 2021
Topic Review
Smart Sensing Chair for Sitting Posture Monitoring
Smart sensing chairs, equipped with advanced sensor technologies such as Force Sensing Resistors (FSRs), show significant potential in mitigating the negative health impacts of incorrect sitting postures, which can lead to spinal misalignment and musculoskeletal disorders. Research emphasizes the use of sophisticated machine learning techniques, including Convolutional Neural Networks (CNNs) and Artificial Neural Networks (ANNs), for classifying sitting postures. Notably, these advanced models do not always outperform traditional models due to the limitations of the training datasets, which often lack sufficient diversity in representing different human body types and health conditions. This finding underscores the critical need for datasets that more accurately reflect the demographic and physiological diversity of users. Additionally, this research highlights a significant opportunity for innovation in user feedback mechanisms within smart sensing chairs, suggesting that enhanced interactive features could improve posture correction efforts and overall user health outcomes.
  • 696
  • 13 May 2024
Topic Review
Mechanical Properties of Animal Tendons
In medical and bioengineering research, animal tendons are commonly utilized as surrogates for human ones for mechanical testing. Due to the differences among human tendons of different anatomical districts, different animal species can be better suited for specific purposes. Indeed, the mechanical response of animal tendons to an external load is strictly related to its complex and highly organized hierarchical structure, which ranges from nano- to macroscale. In a broader sense, the mechanical properties of tendons during tensile tests are affected by several distinct factors, due in part to tendon nature (anatomical site, age, training, injury, etc.) but also depending on the experimental setup and settings. Thus, there are similarities between animal and human tendons that should be considered in the biomechanical evaluation. 
  • 692
  • 12 Mar 2022
Topic Review
Apps for Coronary Heart Disease
Mobile health applications (MHA) are discussed to contribute in overcoming this gap in treatment by fostering CHD management. First, MHA may support daily monitoring of activities and symptoms. Second, adherence to treatment and lifestyle changes can be increased by self-tracking, feedback, and reminder functions of MHA.
  • 681
  • 28 Oct 2021
Topic Review
Trans-Spinal Electrical Stimulation Therapy for Rehabilitation after SCI
Spinal cord injury (SCI) is one of the most debilitating injuries in the world. Complications after SCI, such as respiratory issues, bowel/bladder incontinency, pressure ulcers, autonomic dysreflexia, spasticity, pain, etc., lead to immense suffering, a remarkable reduction in life expectancy, and even premature death. Traditional rehabilitations for people with SCI are often insignificant or ineffective due to the severity and complexity of the injury. Two most promising noninvasive spinal cord electrical stimulation methods of SCI rehabilitation treatment, namely, trans-spinal direct current stimulation (tsDCS) and trans-spinal pulsed current stimulation (tsPCS).
  • 668
  • 23 Mar 2022
Topic Review
Effect of Exercise on Mitochondria in Cardiovascular Disease
Mitochondria dysfunction is implicated in the pathogenesis of cardiovascular diseases (CVD). Exercise training is potentially an effective non-pharmacological strategy to restore mitochondrial health in CVD.
  • 663
  • 27 Oct 2022
Topic Review
Hyperbaric Oxygen Therapy in Children
The coronavirus disease (COVID-19) epidemic is a public health emergency of international concern. It was believed that SARS-CoV-2 virus was much less likely affect children. Statistics show that children account for 2–13% of all COVID-19 patients in individual countries. In the youngest population, acute respiratory failure is not as serious a problem as complications after COVID-19, mainly pediatric inflammatory multisystem syndrome (PIMS, MIS-C). Thirteen publications that quantitatively and qualitatively described the efficacy of HBOT application in the treatment of pediatric diseases were eligible among the studies; those relating to the use of hyperbaric oxygen therapy (HBOT) in the treatment of children with COVID-19 and its complications were not found. The bibliographic review showed that hyperbaric oxygen therapy can be used in the treatment of children after carbon monoxide poisoning, with soft tissue necrosis, bone necrosis, after burns, or after skin transplant. No evidence supported by research has been found in scientific journals on the effectiveness of the use of hyperbaric oxygen therapy in children with a history of COVID-19 infection. Research data are needed to develop evidence-driven strategies with regard to the use of HBOT therapy in the treatment of children and to reduce the number of pediatric patients suffering because of complications after COVID-19.
  • 657
  • 02 Feb 2023
Topic Review
Training on Cardiopulmonary Fitness
Heart failure (HF) is a common disease with an increasing prevalence worldwide and it is characterized by a low five-year survival of 35–55%, which affects cardiac function, exercise tolerance, and the daily life of patients. Cardiac rehabilitation is defined as a set of activities that aims to provide patients with heart disease with the best physical, mental, and social conditions, therefore, reducing the risk of death and acute events related to their illness. Previous studies have demonstrated that cardiac rehabilitation with physical exercise was beneficial to physical fitness, cardiac function, and quality of life in HF patients.
  • 623
  • 23 Jul 2021
Topic Review
Transcatheter Aortic Valve Implantation
Transcatheter aortic valve implantation (TAVI) is an increasingly widespread percutaneous intervention of aortic valve replacement (AVR). The target population for TAVI is mainly composed of elderly, frail patients with severe aortic stenosis (AS), multiple comorbidities, and high perioperative mortality risk for surgical AVR (sAVR). These vulnerable patients could benefit from cardiac rehabilitation (CR) programs after percutaneous intervention. To date, no major guidelines currently recommend CR after TAVI. However, emerging scientific evidence shows that CR in patients undergoing TAVI is safe, and improves exercise tolerance and quality of life. Moreover, preliminary data prove that a CR program after TAVI has the potential to reduce mortality during follow-up, even if randomized clinical trials are needed for confirmation. 
  • 616
  • 14 Apr 2021
Topic Review
Digital Twins for Home Remote Motor Rehabilitation
The COVID-19 pandemic created the need for telerehabilitation development, while Industry 4.0 brought the key technology. As motor therapy often requires the physical support of a patient’s motion, combining robot-aided workouts with remote control is a promising solution. This may be realised with the use of the device’s digital twin so as to give it an immersive operation. Such technology may be used for manual remote kinesiotherapy, combined with the safety systems predicting potentially harmful situations. The concept is universally applicable to rehabilitation robots.
  • 601
  • 18 Jan 2023
Topic Review
Non-invasive for Adult Flatfoot
the effect of orthoses on adult flatfoot on reducing pain could not deny, especially at the early stage of deformity [12, 13]. Exercises for flatfoot were widely used and given some benefits in terms of decreased pain [14]. Exercises were also effective at strengthening foot muscles forming an arch. Two primary treatments were designed, which are active and passive intervention. The voluntary muscles produced the active interventions (AI), and in case wearing foot orthoses while doing exercises also considered as active. For example, active interventions were to practice exercises alone or do both exercises and foot orthoses. Passive interventions (PI) did not require body effort and involuntary participants during treatment, such as foot orthoses and stretching at the same procedure.  The two main approaches were active intervention (AI) and passive intervention (PI) with exercise and foot orthoses. At present, the overall effects of the active and passive intervention on adult flatfoot are still unclear because the results depend on skeletal and muscle maturity and the individual’s awareness. Furthermore, flatfoot progresses silently without any acute syndrome of pain or functional impairment. Thus, noninvasive methods that can be used over the long term and are cost-effective could be adopted. 
  • 600
  • 31 Aug 2021
Topic Review
Diagnosis and Prognosis of Food Selectivity in Autism
Autisms Spectrum Disorders (ASD) are characterized by core symptoms (social communication and restricted and repetitive behaviors) and related comorbidities, including sensory anomalies, feeding issues, and challenging behaviors. Children with ASD experience significantly more feeding problems than their peers. In fact, parents and clinicians have to manage daily the burden of various dysfunctional behaviors of children at mealtimes (food refusal, limited variety of food, single food intake, or liquid diet). These dysfunctional behaviors at mealtime depend on different factors that are either medical/sensorial or behavioral. 
  • 578
  • 06 Apr 2023
Topic Review
Linear Motor Driven Leg-Press Dynamometer
Regarding the acute responses after leg-press strength training with or without serial stretch-loading stimuli, visible changes were observed in the muscle force, rate of force development, and hormonal concentrations between pre- and postmenopausal women (only one study). Long-term studies revealed different training adaptations after performing leg-press strength training with unique serial stretch-loading stimuli. A positive trend for leg-press strength training with serial stretch-loading was recorded in the young population and athletes; however, more variable training effects favoring one or the other approach were achieved in the older population.
  • 566
  • 26 Apr 2022
Topic Review
Effects of COVID-19 on Rehabilitation Programs Outcomes
Consequences due to infection with SARS-CoV-2 virus can have a direct impact on skeletal muscle, due to the fact that both cardiac and skeletal muscle tissue show robust ACE2(angiotensin-converting enzyme 2) expression, suggesting a potential susceptibility to SARS-CoV-2 infection in both types of tissues. The musculoskeletal damage is firstly produced by the inflammatory effects, cytokine storm and muscle catabolism. However, myopathy, polyneuropathy and therapies such as corticoids were also considered important factors in muscle fatigue and functional incapacity. Pulmonary rehabilitation programs and early mobilization had a highly contribution during the acute phase and post-illness recovery process and helped patients to reduce dyspnea, increase the capacity of physical effort, overcome psychological disorders and improved the quality of their life. Muscular damage, as well as the decrease in the quality of life, are often a consequence of severe SARS-CoV-2 infection through: systemic inflammation, corticotherapy, prolonged bed rest and other unknown factors. Pulmonary rehabilitation programs and early mobilization had a highly contribution during the acute phase and post-illness recovery process and helped patients to reduce dyspnea, increase the capacity of physical effort, overcome psychological disorders and improve the quality of their life.
  • 566
  • 23 Sep 2022
Topic Review
Rehabilitation of Gait and Balance in Cerebral Palsy
Cerebral palsy (CP) is a congenital and permanent neurological disorder due to non-progressive brain damage that affects gross motor functions, such as balance, trunk control and gait. CP gross motor impairments yield more challenging right foot placement during gait phases, as well as the correct direction of the whole-body center of mass with a stability reduction and an increase in falling and tripping. For these reasons, robotic devices, thanks to their biomechanical features, can adapt easily to CP children, allowing better motor recovery and enjoyment. In fact, physiotherapists should consider each pathological gait feature to provide the patient with the best possible rehabilitation strategy and reduce extra energy efforts and the risk of falling in children affected by CP.
  • 559
  • 10 May 2023
Topic Review
Oxygen Consumption (VO2) and Surface Electromyography (sEMG)
Oxygen consumption (VO2) during strength training can be predicted through surface electromyography (sEMG) of local muscles. Surface electromyography (EMG; sEMG), one of the most common methods of measuring muscle activation, is an electrophysiological recording technique for detecting the electric potential across muscle fiber membranes.
  • 554
  • 22 Feb 2022
Topic Review
Breathing Exercises for Improving Influencing Cognitive Decline
Stroke is caused by a fall in blood supply to the brain or due to cerebral hemorrhage and is the most common cerebrovascular condition. With the increase in the average life expectancy as a result of lifestyle improvements and advances in health care, the number of patients with stroke has seen an upward trend. Furthermore, studies have shown a possible association between the coronavirus disease (COVID-19) and acute cerebrovascular diseases such as ischemic stroke, hemorrhagic stroke, and cerebral venous thrombosis. With the continuing COVID-19 pandemic, a steep increase in stroke incidence is therefore likely.
  • 546
  • 30 May 2022
Topic Review
Exercise's Effects on Nutritional Status in Cystic Fibrosis
Physical exercise is an important part of regular care for people with cystic fibrosis (CF). Exercise training can produce positive physiologic changes in children with CF without impairing their nutritional status. In fact, resistance exercise can help improve body mass. 
  • 544
  • 15 Apr 2022
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