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Background: Patients with fibromyalgia experience chronic, widespread pain. It remains a misunderstood disorder with multimodal treatments providing mixed results. Objectives: To examine the effects of radial shockwave therapy (RSWT) compared to placebo on pain, pain catastrophizing, psychological indices, blood markers, and neuroimaging. Study-related experiences were also explored qualitatively. Methods: Quantitative sensory testing (QST), Visual Analog Scale (VAS), Beighton Scoring Screen (BSS), Pain Catastrophizing Scale (PCS), blood biomarker (Interleukin (IL)-6 and IL-10), and brain fMRI were measured pre- and post-treatment along with a post-treatment survey. The RSWT group received five treatments (one week apart over five-week period) to the three most painful areas (500 shocks at 1.5 bar and 15 Hz, then 1000 shocks at 2 bar and 8 Hz, and finally 500 shocks at 1.5 bar and 15 Hz) versus sham treatment for the placebo group. Results: There were no statistically significant differences in the BSS for hypermobility (p =.21; d =.74), PCS (p =.70; d =.22), VAS (p =.17–.61; d =.20–.83) scores, QST for skin temperature and stimuli (p =.14–.65; d =.25–.88), and for the pressure pain threshold (p =.71–.93; d =.05–.21). The VAS scores had clinically significant changes (MCID greater than 13.90) with improved pain scores in the RSWT group. Neuroimaging scans revealed no cortical thickness changes. Post-treatment surveys revealed pain and symptom improvements and offered hope to individuals. Conclusion: RSWT was implemented safely, without any negative treatment effects reported, and acted as a pain modulator to reduce sensitivity. Clinical Trials Registration: ClinicalTrials.gov identification number NCT02760212 [ABSTRACT FROM AUTHOR]

This study explored the effects of no braces, softshell (AE), and semi-rigid (T1) ankle braces on time to complete a modified agility task, as well as lower extremity muscle activity and impulse during the change of direction component of the task. Thirty-nine healthy, active individuals completed a modified agility task under the three brace conditions. Time to complete the modified agility task, along with mean surface electromyographic activity (sEMG) and impulse during the deceleration and propulsive phases of the task were measured. There were no significant differences across conditions with respect to sEMG or impulse measures during the deceleration or propulsive phases. There was a significant change in time to complete the modified agility task, F(2,76) = 17.242, p< 0.001, ηp2 = 0.312. Post-hoc analysis revealed a significant increase in time to complete the modified agility task when wearing the AE (0.16 (95% CI, 0.062 to 0.265) seconds, p< 0.001) and T1 (0.20 (95% CI, 0.113 to 0.286) seconds, p< 0.001) ankle braces compared to no braces. It appears that performance on a modified agility task may be diminished when wearing ankle braces, although sEMG activity and impulse are unaffected. [ABSTRACT FROM AUTHOR]

Many individuals with Intellectual Disabilities (ID) do not participate in regular physical activity and exhibit a sedentary lifestyle leading to obesity, cardiovascular disease, diabetes, and muscular atrophy, among others. The purpose of this study was to investigate the effect of a 6-week progressive and combined training program on muscular strength and cardiovascular endurance of young adults with moderate global delay. Three, one-hour sessions per week, for 6 weeks, involved full body resistance and cardiorespiratory training. A 10 maximum-repetition (RM) seated chest and leg press performance, as well as Legers 20m shuttle run were administered at the pre-, mid- and post- times. The progressive training principle was applied after the mid-test. The results showed significant improvements in muscular strength and cardiorespiratory endurance confirming that combined and progressive training protocol resulted in faster gains as compared to past approaches that involved programs that were less intense but longer in duration. [ABSTRACT FROM AUTHOR]

Purpose: To investigate the effects of patellar taping (Leukotape® (LT), Pinetown, South Africa, Kinesio Tape (KT), Dortmund, Germany, or no tape) on lower extremity kinematics in runners with and without patellofemoral pain syndrome (PFPS). Methods: In total, 20 healthy individuals and 12 with PFPS ran on a treadmill under different taping conditions and lower extremity kinematics and stride characteristics were obtained using Peak Motus Software, Colorado, USA. Data were analyzed using descriptive statistics and mixed factorial analysis of variance (p < 0.05). Results: Significant taping effects were found for hip (F(2,60) = 16.79, p = 0.0001) and knee (F(2,60) = 17.27, p = 0.0001) flexion angles at initial contact, and peak hip flexion angles during swing (F(2,60) = 6.55, p = 0.003). Increased flexion was noted with LT more than KT and no tape conditions. Similarly, peak knee flexion angles during stance (F(2,60) = 3.51, p = 0.03) and flight time (F(2,60) = 5.01, p = 0.01) revealed significant taping effects, with LT resulting in more flexion (p = 0.04) and shorter flight times (p = 0.01) than the no tape condition. Furthermore, a significant taping effect was seen for peak knee flexion angle during swing (F(2,60) = 4.96, p = 0.01), with the KT resulting in less flexion than LT (p = 0.04) and no tape conditions (p = 0.04). Conclusion: The application of tape during running may impact on hip and knee flexion angles at initial contact, as well as flight time. [ABSTRACT FROM AUTHOR]