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Repositorio Institucional de la Universidad de Murcia

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Browsing by Subject "Upper extremity"

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    Acute neuromuscular responses in upper limb after nordic walking training in youth females
    (Murcia: Servicio de publicaciones de la Universidad de Murcia, 2019) Martínez Lemos, Iván; Janura, Miroslaw; Abrantes, Joao; Svoboda, Zdeněk; García García, Oscar
    Nordic walking (NW) is a practical form of healthy exercise. Up to now, few studies have been conducted on the non-clinical population and few has analysed muscular response after NW training. This study aimed to assess mechanical and neuromuscular changes of deltoideusand triceps brachiifollowing short-term NW training. Twenty-four healthy and physically active females were randomly assigned to an NW group (NWG) (n =12) or control group (n =12). Training was carried out over a 6-week period (18 sessions) on a treadmill (4.5 km/h; 2% gradient). Mechanical and neuromuscular response wasmeasured before and after training. Tensiomyography was usedto assess maximum radial displacement, time contraction, time delay, sustain time, and half-relaxation time ofdeltoideusand triceps brachii. Heart rate (HR), and rating of perceived exertion (RPE) were used to control the training intensity.Mixed-design factorial analysis of variance (mixed ANOVA) was used to detect changes in the mechanical and neuromuscular characteristics after a NW training. During NW training, HR (115.83 bpm), 36.7% of HR reserve and RPE (10.25) corresponding to light intensity were reported. After the training period, only a moderate increase (6.25%, p =0.02; η2=0.06) in delay time for the triceps brachiiwere reported. A short-term and low to moderate intensity training conducted with a specific NW technique was not sufficient to modify the tricepsbrachii anddeltoideus mechanical-neuromuscular response in healthy and young females.
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    Effect of cognitive multisensory rehabilitation on upper extremity function in stroke patients: A randomized controlled trial
    (Universidad de Murcia, Servicio de Publicaciones, 2024) El-Din Mahmoud, Lama Saad; Mohamed, Omnia Shokry; Yacoub, Osama; Sadik Badawy, Mohammad
    The aim of this study was to examine the impact of upper extremity (UE) rehabilitation based on neurocognitive multisensory therapy in stroke patients, focusing on assessing its effects on the recovery of UE function and suggesting it as a post-stroke therapeutic method. The study was conducted as a randomized, prospective, controlled trial with a pre- and post-experimental design. Thirty stroke patients were equally divided into study and control groups and evaluated before and after treatment. Outcome measures included the Action Research Arm Test (ARAT), Manual Function Test (MFT), Motor Evaluation Scale for Upper Extremity in Stroke Patients (MESUPES), and Fugl Myer Assessment upper extremity (FMA-UE). Both groups received a specific physiotherapy program, while the study group also received Cognitive Multisensory Rehabilitation (CMR). All analyses were performed using SPSS (version 25). There were no significant differences between the groups in age, weight, height, BMI, duration of illness, MMSE, sex, or spasticity grade distribution (p > 0.05). Post-treatment comparison between both groups showed a statistically significant increase in the ARAT, MFT, MESUPES, and FMA-UE scores in the study group compared to the control group (p < 0.05). For stroke patients, CMR intervention is considered a beneficial neuro-rehabilitation strategy for enhancing upper extremity sensorimotor capabilities through physical therapy.

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