Extension Movements Research Articles

Effectiveness of Ali Satia Graha massage therapy method on increasing range of motion and reducing knee pain in pre-elderly

This study aims to test the effectiveness of the Ali Satia Graha massage therapy method on increasing Range Of Motion (ROM) and reducing knee pain in pre-elderly. This study is a pre-experimental study using a One Group Pretest-Posttest research design. The population in this study was pre-elderly patients with knee injuries at the Ali Satia Graha Method Sports Injury Massage Therapy Service at Plaza UNY. The study used incidental sampling with a sample size of 17 people. The data collected were: (1) The scale of Range Of Motion (ROM) of the knee joint was measured using a goniometer. (2) The scale of knee joint pain was measured using the Numeric Rating Scale (NRS). The data analysis technique used a quantitative descriptive analysis and hypothesis testing using the Wilcoxon Signed Rank Test with a significance level of 5%. The results of the study showed that: (1) massage therapy could reduce knee joint flexion motion pain with an effectiveness of 54.9%. (2) Massage therapy could reduce knee joint extension motion pain with an effectiveness of 56.1%. (3) Massage therapy could increase the Range Of Motion (ROM) of knee joint flexion with an effectiveness of 10.2%. (4) Massage therapy could increase the Range Of Motion (ROM) of knee joint extension with an effectiveness of 48.8%. It can be concluded that the massage therapy applied in the Ali Satia Graha Method Sports Injury Massage Therapy Service was effective in increasing ROM and reducing knee joint pain in pre-elderly.

The role of early orthotic intervention in the management of post-traumatic elbow contractures: Study protocol for phase II double-blinded randomised controlled trial

Background Restoration of full elbow extension following trauma is difficult and influenced by the injury profile, surgeon preference, patient and environmental factors. The literature suggests that orthotic interventions are effective in improving contractures when movement plateaus despite normal therapeutic interventions. It is not known if extension orthotic intervention is more superior to standard treatment regardless of when it is commenced. The literature lacks patient-reported considerations to contracture management using elbow orthoses. Methods and analysis This protocol describes a Phase II double blinded randomised controlled feasibility trial (RCT) and mixed methods study, aimed to examine outcome with extension in an orthotic intervention group (OG) versus control (CG). All participants will undergo six weekly therapy sessions, which include a standardised therapeutic program. OG participants will be provided with an additional extension orthosis and the outcome is assessed according to the change in elbow extension motion after 6 weeks of intervention. Data will be collected via questionnaires, logbooks, feedback forms, and semi-structured interviews at baseline and final assessments for descriptive statistical analysis. Under the guidance of a statistician, all quantitative data will be evaluated using the appropriate parametric or non-parametric analyses to evaluate for systematic differences between groups. Preliminary extension gains are used to determine the final sample size required to achieve adequate power for a full-scaled RCT. Interview data on OG participants will be qualitatively analysed using the “five-factorial dimensions of adherence” framework to identify key differences in the influencers between adherent or non-adherent groups. Trial registration number ANZCTR ACTRN12619001402134p.

Evaluation of a novel robotic testing method for stability and kinematics of total knee arthroplasty.

This work developed a novel preclinical test of total knee replacements (TKRs) in order to explain TKR instability linked to patient dissatisfaction. It was hypothesized that stability tests on the isolated moving prostheses would provide novel comparative data on the stability and kinematics among TKR designs. Three TKR designs, DePuy Synthes Attune MS, Stryker Triathlon and Zimmer Biomet Persona MC, were assessed using a robotic arm while flexing-extending 0-140°. Tests imposed 710 N body weight combined with three tibial loads: no anterior-posterior (AP) force, 90 N anterior or 90 N posterior force. Other load effects were minimized and the kinematics was recorded. Each implant was tested six times to investigate the repeatability of the method. Data were analysed using statistical parametric mapping with one-way analysis of variance (ANOVA). If significance was found (p < 0.05), post hoc t tests with Bonferroni correction were used to contrast groups. Significant differences were found throughout flexion-extension. Femoral rollback, AP stability, coupled internal-external rotation and AP position (roll-back) were all influenced by implant design. AP stability of the TKRs reduced with flexion reaching Attune 15 mm, Persona 13 mm and Triathlon 21 mm at 140° flexion. Tractive rolling significantly affected kinematics in the less congruent Triathlon design, with 6 mm different paths between flexion and extension motion (p < 0.05 across 5-100°). Paradoxical anterior femoral sliding in early flexion (0-40°) occurred in Persona and Triathlon designs. The novel testing technique provides, for the first time, comparative data on the inherent stability and kinematics of the TKR implants themselves across the arc of flexion-extension, independent of variables including soft tissue behaviour and surgical technique. The data show how much each prosthesis can contribute to the stability and motion of the implanted knee. Similar data from a wider range of designs will enable more informed decisions regarding implant design choice, aiming to reduce the prevalence of TKR instability in patients. Controlled laboratory study.

Development of an Electromyography Signal Acquisition Prototype and Statistical Validation Against a Commercial Device

Electromyography (EMG) stands out as an accessible and inexpensive method for identifying muscle contractions on the surface and within deeper muscle tissues. Using specialized electronic circuits for amplification and filtering can help develop simple but effective systems for detecting and analyzing these signals. However, EMG devices developed by research teams frequently lack rigorous methodologies for validating the quality of the signals they record compared to those obtained by commercial systems that have undergone extensive testing and regulatory approval for market release. This underscores the critical need for standardized validation techniques to reliably assess the performance of experimental devices relative to established commercial equipment. Hence, this study introduces a methodology for the development and statistical validation of a laboratory EMG circuit compared with a professional device available on the market. The experiment simultaneously recorded the muscle electrical activity of 18 volunteers using two biosignal acquisition devices—a prototype EMG and a commercial system—both applied in parallel at the same recording site. Volunteers performed a series of finger and wrist extension movements to elicit myoelectric activity in these forearm muscles. To achieve this, it was necessary to develop not only the EMG signal conditioning board, but also two additional interface boards: one for enabling parallel recording on both devices and another for synchronizing the devices with the task programmatically controlled in Python that the volunteers were required to perform. The EMG signals generated during these tasks were recorded simultaneously by both devices. Subsequently, 22 feature indices commonly used for classifying muscular activity patterns were calculated from two-second temporal windows of the recordings to extract detailed temporal and spatial characteristics. Finally, the Mean Absolute Percentage Error (MAPE) was computed to compare the indices from the prototype with those from the commercial device, using this method as a validation system to assess the quality of the signals recorded by the prototype relative to the commercial equipment. A concordance of 87.6% was observed between the feature indices calculated from the recordings of both devices, suggesting high effectiveness and reliability of the EMG signals recorded by the prototype compared to the commercial device. These results validate the efficacy of our EMG prototype device and provide a solid foundation for the future evaluation of similar devices, ensuring their reliability, accuracy, and suitability for research or clinical applications.

Simultaneous Hydrogenation of an Insulated Diarylacetylene Dimer Incorporated as Axle Molecules in a Cyclodextrin-Based [c2]Daisy Chain Rotaxane.

The [c2]daisy chain rotaxane is an attractive interlocked molecule for the development of functional materials because of its unique mechanical properties that respond to various external stimuli, resulting in extension and contraction motions along the molecular axis. The synthesis of several 'impossible' [2]rotaxanes that do not exhibit obvious binding motifs between their axle and wheel moieties has been achieved through further chemical modification of their axle moieties within pre-prepared [2]rotaxanes. However, no 'impossible' [c2]daisy chain rotaxane has been synthesized using similar strategies until now. In this study, we investigated the hydrogenation of diarylacetylene moieties within a permethylated α-cyclodextrin (PM α-CD)-based [c2]daisy chain rotaxane using Pd/C or Pd/CaCO3 under hydrogen. A new [c2]daisy chain rotaxane featuring two diarylethane moieties was successfully synthesized through the simultaneous full hydrogenation of the insulated diarylacetylene moieties under optimized conditions. The new rotaxane is classified as an 'impossible' [c2]daisy chain rotaxane due to the lack of obvious binding motifs between diarylethane and the PM α-CD. This work demonstrates for the first time that the insulated axle moieties of [c2]daisy chain rotaxanes can undergo novel chemical modifications using a synthetic strategy employing transition-metal-catalyzed hydrogenation, which can potentially advance the development of nanoarchitectures with functional interlocked molecules.

EEG sensorimotor rhythms dynamics in children with cerebral palsy during the course of neurorehabilitation, depending in the success of their imagination of movements

An analysis of changes in sensorimotor rhythms of the electroencephalogram (EEG) and features of the restoration of motor functions during a course of neurorehabilitation using a non-invasive brain-computer-hand exoskeleton interface was carried out in 50 children aged 7–15 years of both sexes suffering from cerebral palsy (CP). EEG was recorded in 32 leads under conditions of rest and kinesthetic imagination of hand extension movements. Depending on the success of the classifier program in determining imaginary states based on the EEG pattern, the children were divided into two groups – with high and low success when imagining movements. In children of the studied groups, when undergoing a course of neurorehabilitation, differences were revealed in the nature of changes in EEG amplitude in the sensorimotor mu (8–13 Hz) and beta (15–25 Hz) rhythms frequency ranges. When imagining movements of the right hand, intergroup differences for the mu rhythm reached the level of statistical significance in the medial electrodes of the fronto-central and parietal areas of the neocortex, for the beta rhythm – in the medial lead of the parietal region. Children in the group with high success showed a decrease or slight increase in the amplitude of the mu- and beta rhythm in these brain areas at the last session of the course compared to the first. We hypothesize that children in this group are not only better able to kinesthetically imagine movements throughout the course of neurorehabilitation, but also, based on feedback signals, learn to effectively adjust their strategies for movement imagination. Children in the group with low success showed an increase in the amplitude of sensorimotor rhythms in these brain areas, indicating the development of inhibition in the frontoparietal motor network. Patients, whose conditions were determined more accurately by the classifier, achieved higher rates of motor rehabilitation. The results of the study are important for clarifying the brain mechanisms of motor functions restoration in patients with cerebral palsy under the influence of a course of neurorehabilitation.

Regional variations of mechanical responses of IVD to 7 different motions: An in vivo study combined with FEA and DFIS

The abnormal mechanical behaviour of a lumbar intervertebral disc (IVD) is commonly recognized as a direct indicator of intervertebral disc degeneration (IDD). However, current methods cannot evaluate the patient-specific mechanical performance of an IVD in vivo during movement. This study establishes a patient-specific (PS) model that combines the kinematics parameters of the lumbar spine obtained with a dual fluoroscopic imaging system (DFIS) and a finite-element (FE) method for the first time to reveal the mechanical behaviours of IVDs in vivo under seven motions. Three healthy participants were recruited for this study. CT images were obtained to create finite-element models of L3-L5 spine segments. Meanwhile, participants were required to take specific positions including upright standing, flexion, extension, left and right lateral bending, as well as left and right axial torsion in the DFIS. The in vivo kinematic parameters, calculated by registering the CT images with images obtained with DFIS, were considered as loading conditions in FE simulations. Significant differences of von Mises stresses and principal strains were found between PS model and GN model which employing a generalized moment as loading conditions, former resulting in up to 76.74 % lower strain than the GN model. Also, considerable differences were observed for five anatomical regions of the IVD (L3-L5). Under all motions, the stress in the centre region (nucleus pulposus) was the lowest, while the stress in the posterior region was the highest in extension motion. Therefore, activities such as stretching with an extension, should be avoided by patients with a herniated disc, in which the posterior region was the herniation site. The PS model combining in vivo kinematics and FE simulations shows the potential in the design and assessment of patient-specific implants.

Finite element analysis of biomechanical investigation on diverse internal fixation techniques in oblique lumbar interbody fusion

BackgroundTo establish a three-dimensional finite element model of the lumbar spine and investigate the impact of different fixation techniques on the biomechanical characteristics of oblique lumbar interbody fusion (OLIF).MethodsThe study aimed to establish and validate a comprehensive three-dimensional model of the lower lumbar spine (L3-S1) using the finite element method. L4-L5 was selected as the surgical segment, and four distinct OLIF surgical models were constructed: Stand-alone (SA), unilateral cortical bone trajectory screw (UCBT), bilateral cortical bone trajectory screw (BCBT), and bilateral pedicle screw (BPS). The models were underwent a pure moment of 10N·m to simulate lumbar extension, flexion, left bending, right bending, left and right rotation movements. Subsequently, the range of motion (ROM), cage stress, and fixation stress were calculated.ResultsIn the L3-L5 segment, the BCBT group showed the most limited range of motion (ROM) under exercise load, indicating superior stability within this group. The ROM and cage stress values were found to be highest in the SA group. In contrast, the cage and internal fixation stress in the BPS group were observed to be lowest (9.91 ~ 53.83MPa, 44.93 ~ 84.85 MPa). With the exception of right bending and right rotation, the UCBT group demonstrated higher levels of internal fixation stress (102.20 ~ 164.62 MPa).ConclusionsThe study found that OLIF-assisted internal fixation improved segmental stability and reduced cage stress. The BPS group had advantages over the CBT group in preventing endplate damage and reducing the risk of cage subsidence. However, BCBT group has distinct merits in maintaining surgical segment stability, distributing stress load on the spinal motor unit, and reducing the likelihood of adjacent segment degeneration (ASD).

A reliable and valid assessment of upper limb movement quality after stroke: the observational Drinking Task Assessment.

To develop and evaluate the reliability and validity of a new observational Drinking Task Assessment (DTA) designed to assess quality of movement in task performance after stroke. Reliability and validity. The DTA measures movement time and movement quality (smoothness, trunk, shoulder, elbow, and grasp movements) on a 4-level ordinal scale. Thirty participants with chronic stroke were assessed independently by 2 therapists. Intra-class correlation (ICC), standard error of measurement (SEM) and minimal real difference (MRD), weighted kappa, percentage of agreement, and Svensson method were used for reliability assessment. Motion capture-based kinematics and established clinical scales were used to evaluate validity. The absolute SEM and MRD for movement time were 0.4 and 1 s (11%), respectively. The ICC (≥ 0.93) and weighted kappa (0.71-1.0) showed good to excellent agreement for intra- and inter-rater reliability. DTA showed strong correlations with Fugl-Meyer Assessment (0.74), Action Research Arm Test (0.93), and kinematic measures of smoothness (0.93), trunk displacement (0.91), elbow extension (0.73), and shoulder movements (0.56), indicating good construct validity. The new DTA proved to be a reliable and valid tool for assessment of movement quality during task performance after stroke.

SPORTS CUPPING FOR SUPRASPINATUS TENDINOSIS: A CASE STUDY

Supraspinatus tendinosis is a common source of shoulder pain. This tendinopathy is in most cases caused by an impingement of the supraspinatus tendon on the acromion as it passes between the acromion and the humeral head. Pain, and a decrease in range of motion, strength and functionality are the main complaints that accompany this injury. Being one of the well-established techniques, Sports wet cupping therapy (WCT) was used to treat a case of Supraspinatus tendinosis in this study. This paper aims to report the improved case of supraspinatus tendinosis using the treatment with sports cupping. We used sports cupping therapy for treatment of this patient. This case is measured and assessed by visual analogue scale (VAS), shoulder range of motion (ROM) and shoulder physical examination. Results show the VAS decreased from 10 to 1 and the patient showed nearly full shoulder range of motion in forward flexion, abduction, extension, internal rotation and external rotation. In addition, the physical examination of shoulder and MRI was improved. Sports cupping treatment with wet cupping therapy is found to be helpful to relieve pain and recover function of shoulder joint.

The outcomes of surgical treatment of complex radial head fractures.

The aim of this study was to evaluate the outcome of complex radial head fractures at mid-term follow-up, and determine whether open reduction and internal fixation (ORIF) or radial head arthroplasty (RHA) should be recommended for surgical treatment. Patients who underwent surgery for complex radial head fractures (Mason type III, ≥ three fragments) were divided into two groups (ORIF and RHA) and propensity score matching was used to individually match patients based on patient characteristics. Ultimately, 84 patients were included in this study. After a mean follow-up of 4.1 years (2.0 to 9.5), patients were invited for clinical and radiological assessment. The Mayo Elbow Performance Score (MEPS), Oxford Elbow Score (OES), and Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire score were evaluated. Patients treated with ORIF showed significantly better postoperative range of motion for flexion and extension (121.1° (SD 16.4°) vs 108.1° (SD 25.8°); p = 0.018). Postoperative functional scores also showed significantly better results in the ORIF group (MEPS 90.1 (SD 13.6) vs 78 (SD 20.5); p = 0.004). There was no significant difference between the groups in terms of the complication rate (RHA 23.8% (n = 10) vs ORIF 26.2% (n = 11)). Implant-related complications occurred in six cases (14.3%) in the RHA group and in five cases (11.9%) in the ORIF group. Irrespective of the patient's age, sex, type of injury, or number of fracture fragments, ORIF of the radial head should be attempted initially, if a stable reconstruction can be achieved, as it seems to provide a superior postoperative outcome for the patient compared to primary RHA. If reconstruction is not feasible, RHA is still a viable alternative. In the surgical treatment of complex radial head fractures, reconstruction shows superior postoperative outcomes compared to RHA. Good postoperative results can be achieved even after failed reconstruction and conversion to secondary RHA. Therefore, we encourage surgeons to favour reconstruction of complex radial head fractures, regardless of injury type or number of fragments, as long as a stable fixation can be achieved.

Effectiveness of the scapula mobilization technique on the neural mechanosensitivity of the upper limb neural test 1 in individuals with mechanical cervicalgia. A randomized controlled trial

Objectiveto observe whether the mobilization of the scapula improves the mechanosensitivity of the median nerve in patients with cervicalgia. Localized cervical pain caused by compression of a nerve root without presenting irradiated features along the nerve path is diagnosed as cervicalgia. Muscles around the scapula can be directly responsible of this compression. Methods60 adults diagnosed with cervicalgia and with a positive upper limb neural test 1(ULNT1) were recruited. Participants in the experimental group received a scapula mobilization technique. Participants in the control group, with electrodes on both sides of the neck and connected to turned off analgesic current device, received an abduction-adduction mobilization of the calcaneus in the lower limb contralateral to the painful area. The variables measured were pain, goniometry of elbow extension in movement for the median neurodynamic test (ULNT1) and hand grip strength. ResultsResults showed that the increase in strength (p = 0.01) and elbow extension movement (p = 0.01) and the decrease in pain (p < 0.01) from the intervention group showed significant changes compared to the changes from control group. ConclusionScapula mobilization technique in subjects presenting with cervicalgia and a positive ULNT1 significantly appears to help improve the neural mechanosensitivity of the median nerve and pain.

Grasping rehabilitation using motor imagery with or without neurofeedback after tetraplegia: a study protocol for a bicentric randomised controlled trial

IntroductionTetraplegia causes extensive sensorimotor deficits affecting activity, participation and quality of life. People with C6-C7 tetraplegia can learn to grasp objects by performing wrist extension movement (ie, tenodesis grasp), and...

Optimal Design of a Bilateral Stand-Alone Robotic Motion-Assisted Finger Exoskeleton for Home Rehabilitation

This paper presents a novel exoskeleton robot that can be used at home to rehabilitate the index fingers of stroke-affected patients. This exoskeleton is designed as a one-degree-of-freedom four-bar mechanism able to guide the human index finger to perform a finger curl exercise motion. The proposed device is the only lateral, stand-alone mechanism built to date that can carry the weight of the human hand, thus making the user free from wearing it. The design starts by tracing the trajectory of the index finger using ‘Angulus’ software. ‘SALAR Mechanism Synthesizer’ software is used for dimensional synthesis of the four-bar mechanism. Using additive manufacturing technology, a prototype of the proposed device is developed. Static force analysis is performed to select the most appropriate actuator for producing the required torque to manipulate the fingers effectively. The kinematics of the index finger while performing a finger curl exercise is obtained. The proposed linkage mechanism can drive the index fingers of both hands. Simulation and experimental results proved the feasibility and effectiveness of the proposed design to be used for index finger rehabilitation for a wide range of users and applications by making simple minor alterations in the design. Also, a scheme for when the device can be used for rehabilitating the middle finger together with the index finger when performing flexion and extension motions is discussed.

Test–Retest Reliability of Concentric and Eccentric Muscle Strength in Knee Flexion–Extension Controlled by Functional Electromechanical Dynamometry in Female Soccer

In the field of sports performance, sports medicine, and physical rehabilitation, there is a great interest in the development of protocols and reliable techniques and instruments for the evaluation of strength produced by athletes. In the last ten years, women’s football has increased its popularity and participation in numerous countries, which has contributed to players developing more professionally and requiring more specific muscle strength training to improve their performance. The aim of this study was to analyze the absolute and relative test–retest reliabilities of peak muscle strength in knee flexion (FLE) and extension (EXT) controlled using a functional electromechanical dynamometer (FEMD) in a group of seventeen professional female soccer players (age = 18.64 ± 0.62 years; weight = 54.72 ± 7.03 kg; height = 1.58 ± 0.04 m; BMI = 21.62 ± 2.70 kg/m2). Peak muscle strength was measured with knee flexion (FLE) and extension (EXT) movements at a speed of 0.4 m·s−1 unilaterally in a concentric phase (CON) and an eccentric phase (ECC). No significant mean differences were found in the test–retest analysis (p &gt; 0.05; effect size &lt; 0.14), and high reliability was reported for peak muscle strength assessments in both the CON (ICC) = 0.90–0.95) and the ECC (ICC = 0.85–0.97). Furthermore, stable repeatability was presented for extension in the CON (CV = 7.39–9.91%) and ECC (CV = 8.65–13.64). The main findings of this study show that peak muscle strength in knee flexion and extension in CON and ECC is a measure with acceptable absolute reliability and extremely high relative reliability using the FEMD in professional female soccer players.

Ventral body wall closure: Mechanistic insights from mouse models and translation to human pathology.

The ventral body wall (VBW) that encloses the thoracic and abdominal cavities arises by extensive cell movements and morphogenetic changes during embryonic development. These morphogenetic processes include embryonic folding generating the primary body wall; the initial ventral cover of the embryo, followed by directed mesodermal cell migrations, contributing to the secondary body wall. Clinical anomalies in VBW development affect approximately 1 in 3000 live births. However, the cell interactions and critical cellular behaviors that control VBW development remain little understood. Here, we describe the embryonic origins of the VBW, the cellular and morphogenetic processes, and key genes, that are essential for VBW development. We also provide a clinical overview of VBW anomalies, together with environmental and genetic influences, and discuss the insight gained from over 70 mouse models that exhibit VBW defects, and their relevance, with respect to human pathology. In doing so we propose a phenotypic framework for researchers in the field which takes into account the clinical picture. We also highlight cases where there is a current paucity of mouse models for particular clinical defects and key gaps in knowledge about embryonic VBW development that need to be addressed to further understand mechanisms of human VBW pathologies.

Agreement in Knee Flexion and Hip Extension Range of Motion Assessment between Digital Goniometer and Video-based Motion Tracking Technology

Precise range of motion (ROM) measurements are critical for diagnosing musculoskeletal impairments, planning treatment strategies and monitoring rehabilitation progress. This study compares the reliability and accuracy of ROM measurements using the EasyAngle electronic goniometer device and the Kemtai pose estimation video-based motion tracking software. Participants performed hip extension and knee flexion movements, with measurements taken by two examiners using both tools. The results show that both EasyAngle and Kemtai provide high inter-repetition reliability for knee flexion (ICC 0.93 and. 0.91) and hip extension (ICC 0.96 and 0.93). Kemtai generally overestimated ROM compared to EasyAngle, with relative agreement ranging from poor to good (ICC = 0.71 for knee flexion, ICC = 0.66 for hip extension). Future development and research should focus on refining digital tools like Kemtai to enhance their accuracy and reliability. Given its low cost and ease of use, Kemtai could be a useful tool for clinical practice.

Effectiveness of Proprioceptive Neuromuscular Facilitation on Walking Speed, Discomfort, and Knee Extension in an Acute Stroke Patient: A Case Study

This study investigates the impact of proprioceptive neuromuscular facilitation (PNF) on improving functional mobility in a stroke patient, with a focus on walking speed, discomfort levels, and knee extension range of motion (ROM). PNF techniques were applied over four weeks to assess their effectiveness. The patient's walking performance was evaluated using the 6-minute walk test (6MWT), and discomfort was measured using the visual analogue scale (VAS) during walking and knee extension movements in both seated and standing positions. The results revealed a significant reduction in 6MWT time from 16.47 seconds to 14.2 seconds post-intervention. VAS scores showed a marked decrease in discomfort during the 6MWT from 8 to 1 and during knee extension from 7 to 4 in both positions. Additionally, the knee extension ROM increased significantly, with the most pronounced improvement observed in the seated position (from 141.3° to 158.5°). These findings suggest that PNF is an effective therapeutic approach for enhancing walking performance and reducing discomfort related to hamstring stiffness in acute stroke patients. The study's limitations include its single-case design, limiting the generalizability of the results. Future research with a larger sample size and more objective assessment tools is recommended to validate these findings.

Effectiveness of Transcranial Direct Current Stimulation (tDCS) during a Virtual Reality Task in Women with Fibromyalgia-A Randomized Clinical Study.

Fibromyalgia (FM) is a chronic condition characterized by widespread musculoskeletal pain, fatigue, and impaired motor performance. This study aimed to investigate the effects of transcranial direct current stimulation (tDCS) during virtual reality (VR) tasks on the motor performance of women with FM. Participants were divided into two groups: Group A received active tDCS for 10 days followed by sham tDCS for 10 days, while Group B received the opposite sequence. Both groups performed VR tasks using MoveHero software (v. 2.4) during the tDCS sessions. Motor performance was assessed by the number of hits (movement with correct timing to reach the targets) and absolute (accuracy measure) and variable (precision measure) errors during VR tasks. Participants were 21 women, aged 30-50 years, and diagnosed with FM. Group A, which received active tDCS first, presented significant improvements in motor performance (number of hits and absolute and variable errors). The benefits of active tDCS persisted into the sham phase, suggesting a lasting neuroplastic effect. tDCS during VR tasks significantly improved motor performance in women with FM, particularly in complex, extensive movements. These findings indicate that tDCS enhances neuroplasticity, leading to sustained motor improvements, making it a promising therapeutic tool in FM rehabilitation.

Whole-Head Noninvasive Brain Signal Measurement System with High Temporal and Spatial Resolution Using Static Magnetic Field Bias to the Brain.

Noninvasive brain signal measurement techniques are crucial for understanding human brain function and brain-machine interface applications. Conventionally, noninvasive brain signal measurement techniques, such as electroencephalography, magnetoencephalography, functional magnetic resonance imaging, and near-infrared spectroscopy, have been developed. However, currently, there is no practical noninvasive technique to measure brain function with high temporal and spatial resolution using one instrument. We developed a novel noninvasive brain signal measurement technique with high temporal and spatial resolution by biasing a static magnetic field emitted from a coil on the head to the brain. In this study, we applied this technique to develop a groundbreaking system for noninvasive whole-head brain function measurement with high spatiotemporal resolution across the entire head. We validated this system by measuring movement-related brain signals evoked by a right index finger extension movement and demonstrated that the proposed system can measure the dynamic activity of brain regions involved in finger movement with high spatiotemporal accuracy over the whole brain.