The Effect of Traditional and Stabilization-Oriented Exercises on Deep Stabilization System Function in Elite Futsal Players

Effect of different neuromuscular training modalities on postural stability in healthy recreation people: a randomized controlled trial

This study aimed to determine the effects of dynamic neuromuscular stabilization (DNS), whole-body vibration (WBV), and a combination of DNS and WBV (MIX) training modalities on postural stability (PS) in healthy recreation participants. The 179 participants (age 24.02 ± 2.07 years) were divided into the gender-balanced groups: MIX (n = 47), DNS (n = 45), WBV (n = 44), and control group (CONTROL, n = 43) and underwent two months treatment. The single and double-leg Center of Force (COF) parameters were collected. A 2 × 4 mixed-design analysis of covariances captured no changes from initial to final testing in all PS measures of WBV and CONTROL (p ≥ 0.30) and indicated trivial improvements (mean Hedge's g) within the groups of the most PS measures (g≥-0.42, p ≤ 0.001). However, we noticed medium to large MIX and DNS improvements in left-leg COF (MIX: g ≤ 2.11; DNS: g ≤ 1.74) and double-leg COF (MIX: g ≤ 2.49; DNS: g ≤ 1.23). Contrast analysis further confirmed that MIX and DNS improved PS measures more than WBV and CONTROLS while showing higher improvements of MIX than DNS (mean difference in changes [95% Confidence Intervals]) in left-leg for 1.16 mm [0.37 mm, 1.95 mm] and double-leg COF for 0.67 mm [0.85 mm, 0.49 mm]. Combined DNS and WBV modalities expressed higher improvements in PS measures than single modalities and controls. However, further research is warranted to clarify the differences in DNS, WBV, and combined intervention effects on PS measures.

Exploring Injury Prevention Strategies for Futsal Players: A Systematic Review

Futsal carries a high risk of injury for players. This systematic review aimed to assess the existing literature on injury prevention strategies for futsal players. The literature was searched using PubMed, Web of Science, and Scopus databases from inception to 20 March 2024. Relevant articles were searched using the terms "futsal" AND "injury" AND "prevention". Fourteen studies were included in the review. The review identified several injury prevention strategies with potential benefits for futsal players. Structured warm-up routines were shown to improve balance and eccentric strength and to reduce total, acute, and lower limb injuries. Proprioceptive training methods were suggested to improve joint stability and landing mechanics, which may reduce the risk of injury. Furthermore, multicomponent methods that include components such as core stability and flexibility have shown potential for reducing injury rates in futsal players. Finally, by reducing fatigue and improving movement control, strength training procedures designed to correct muscular imbalances may improve performance, which may ultimately minimize the risk of injury. This systematic review demonstrates the potential benefits of different injury prevention strategies for futsal players. The combination of several strategies, such as proprioceptive training, multicomponent programs, warm-up routines, and strength training specifically designed to address muscular imbalances, appears promising.

Conditioning Strategies for Improving Handball Throwing Velocity: A Systematic Review and Meta-Analyses

Ball throwing velocity is essential for scoring goals in handball; the crucial question is how to develop throwing velocity in highly trained handball players. Therefore, this systematic review aims to summarize effective conditioning strategies to improve throwing velocity in elite male players and to perform a meta-analysis on which training system can provide the highest increase in throwing velocity. The literature was analyzed using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) in PubMed, Scopus, and Web of Science. Thirteen studies (sample n = 174) were included: five resistance training studies, one core training study, one study on repeated shuffle sprint training with small-sided games, and one on eccentric overload training. Effect size comparison showed that resistance training is the most effective strategy for improving throwing velocity in elite handball players (d > 0.7). Core training showed a small effect (d = 0.35). Small-sided game (SSG) training showed different results, from a significant positive effect (d = 1.95) to a negative effect (d = -2.03), and eccentric overload training showed a negative effect (d = -0.15). Resistance training is the most effective strategy for improving throwing velocity in elite handball players, while core training and SSGs can improve throwing velocity in youth athletes. Due to the small number of studies focusing on elite handball players, there is a need for more studies on advanced resistance training methods, e.g., contrast, complex, ballistic training, because much greater demands are placed on handball performance assumptions.

Correlation between palpatory assessment and pressure sensors in response to postural trunk tests

BACKGROUND: The evaluation of postural trunk muscle function is a critical component of clinical assessment in patients with musculoskeletal pain and dysfunction. Postural activation of the trunk muscles has been evaluated by various methods. This study evaluates the correlation between subjective assessment of postural trunk muscle function with an objective measurement of abdominal wall expansion. METHODS: Twenty-five healthy participants (16 women, 9 men, age 22.4 years) were assessed. The subjective assessment was performed by two experienced Dynamic Neuromuscular Stabilization (DNS) clinicians evaluating the quality of trunk stabilization using five postural stability tests through palpation and observation. Interrater reliability was determined using an intraclass correlation coefficients (ICC). Objective measurement was performed using a new device (DNS Brace) which externally measures abdominal wall pressure. Spearman rank correlations were calculated for both palpation and observation measures with DNS Brace data. RESULTS: The interrater reliability (ICC2,k) estimates demonstrated moderate reliability in palpation measures for three DNS tests: Hip flexion test, Diaphragm test, & Intra-abdominal pressure regulation test (IAPRT) (ICC = 0.645–0.707). For observation measures, good reliability was found in IAPRT (ICC = 0.835), and three tests demonstrated moderate reliability: Hip flexion test, Diaphragm test, & Breathing Stereotype (ICC = 0.577–0.695). Correlation analysis demonstrated several moderate to strong correlations between palpation and DNS brace values (Assessor 1): IAPRT, rs= 0.580, p= 0.002, Diaphragm test, rs= 0.543, p= 0.005, (Assessor 2): IAPRT, rs= 0.776, p< 0.001, Breathing Stereotype, rs= 0.625, p= 0.001, Diaphragm test, rs= 0.519, p= 0.008, Hip Flexion test, rs= 0.536, p= 0.006, and Arm Elevation test, rs= 0.460, p= 0.021. For observation, several moderate correlations were demonstrated with DNS brace values (Assessor 1): Arm Elevation test, rs= 0.472, p= 0.017, (Assessor 2) Diaphragm test, rs= 0.540, p= 0.005, IAPRT rs= 0.475, p= 0.016, Hip Flexion test, rs= 0.485, p= 0.014, and Arm Elevation, rs= 0.451, p= 0.024. CONCLUSION: Based on inter-rater reliability and DNS brace correlations with trained DNS professionals, the IAPRT, Diaphragm test, and Hip Flexion test may prove useful when assessing asymptomatic individuals. More research is needed in order to establish the utility of DNS brace and clinical testing both in asymptomatic and back pain populations. DNS tests must be supplemented by further examinations for definitive clinical decision making.