Research and News
Posts tagged neuromuscular
Physical therapy with Thera-Band products effective after surgical repair of ankle fracture
May 4th
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After surgery to repair an ankle fracture, physical therapy exercise is usually prescribed; however, no randomized, controlled studies have evaluated the effectiveness of a rehabilitation program after removing the post-operative cast. A prospective, randomized, controlled trial (RCT) was published by researchers in Sweden to evaluate a standardized, but individually-suited training program supervised by a physiotherapist.
105 patients were randomly assigned to a control group or physical therapy group after an average of 6 weeks in a plaster cast. The control group received “usual care”: advice and self-directed exercise. While 76% of subjects in the control group also attended physical therapy sessions on their own, their exercises were not the standardized program of the experimental group.
The physical therapy program began 1 week after cast removal and lasted 12 weeks, with 2 sessions per week. Patients also performed exercises at home between physical therapy visits. The neuromuscular training program consisted of range of motion (ROM) exercises, strengthening, balance training, and closed-kinetic chain exercises. Patients used Thera-Band® resistance bands for ankle strengthening exercises as well as wobble board and mini-trampoline exercises for balance training. Download the article and More >
Balance training program effective for basketball players
Apr 15th
Several studies have shown that balance exercises and “neuromuscular training” are effective at reducing injuries in athletes. Neuromuscular exercises typically incorporate products such as Thera-Band® Stability Trainers, Stability Discs, balance boards, and exercise balls. Athletic training researchers wanted to determine if a neuromuscular training program was effective at improving balance in high school athletes.
Two groups of female basketball players were assigned to either a 6-week neuromuscular exercise program or a control group (the subjects weren’t randomized; they were assigned to a group based on their school). Athletes were tested for their static balance and dynamic balance; the static balance test (BESS) used foam pads to create an unstable surface to evaluate postural stability.
The exercise group completed a twice a week, 6-week program that included 4 training stations: functional strengthening, plyometrics, agility training, and balance training. Each session lasted about 1.5 hours. The functional training station utilized elastic band loops and exercise balls, and the balance station utilized foam rolls.
After analysis of the 50 athletes completing the study, the authors found significant improvements in both static and dynamic balance. While these results may sound intuitive, other studies have shown no increase in balance with more simple balance exercises, possibly due to a More >
Neuromuscular exercise program effective for ACL Rehabilitation
Mar 16th
Rehabilitation after ACL reconstruction usually involves 6 months of physical therapy, including strength and balance exercises. Traditional ACL rehab has focused on increasing strength of knee and lower extremity muscles. More recently, “neuromuscular” exercise programs that de-emphasize strength training have been used successfully in Europe.
Physical therapy researchers in Norway compared 2 types of ACL rehabilitation in 74 post operative patients. In the study, published in the American Journal of Sports Medicine, patients were randomly assigned to a traditional exercise program or a neuromuscular exercise program. The neuromuscular program (described in a separate study) included balance exercises on foam pads, wobble boards, and mini-trampolines. Download their rehabilitation protocol here. Plyometric and agility exercises were also included. Each group was tested for their strength, pain, function, and quality of life.
At a 2-year follow-up, the neuromuscular exercise group significantly increased in function and pain compared to the strengthening group, while the strengthening group only improved in hamstring strength. The authors suggested that both balance and strength exercises be included in ACL rehabilitation program. Thera-Band® Stability Trainers and balance boards are ideal for use in a neuromuscular rehabilitation program.
Reference: Risberg MA, Holm I. The long-term effect of 2 postoperative rehabilitation programs after anterior cruciate ligament reconstruction: a randomized controlled clinical trial More >
Proprioceptive Exercises: Are they effective?
Feb 4th
Neuromuscular and proprioceptive exercises are increasing in popularity during rehabilitation following sports injuries such as ankle sprains and ACL tears. These interventions typically include balance exercises such as Thera-Band® kicks and balance board training. Researchers from Germany completed a systematic review of studies evaluating the effectiveness of proprioceptive and neuromuscular training. 15 clinical trials involving ankle sprains and ACL rehabilitation met the researchers’ inclusion criteria.
The authors concluded that proprioceptive exercise and neuromuscular training are effective at improving function, decreasing symptoms of instability, and preventing re-injury after ankle sprains. Surprisingly, the authors concluded that neuromuscular training was not more effective than strengthening exercise for post-operative ACL reconstruction. In addition, proprioceptive training after injury had no effect on muscle strength, muscle activation or edema, and had more impact on dynamic balance than static balance. There was conflicting evidence on training effects on joint position sense and muscle reaction.
The researchers recommended that training must last 6 to 12 weeks, but the wide variety of exercise and prescription (volume and intensity) made it difficult to recommend specific dosages of exercise. They also commented on the poor methodological quality, lack of applicable studies on shoulder exercises, and need for more research. Based on the evidence, there is moderate evidence that proprioceptive exercises should More >
