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Search Results (280)

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Keywords = Y-Balance test

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12 pages, 638 KB  
Article
Proprioception and Balance in Young Adults with Pes Planus
by Fatma Betul Yardimci, Zeynep Yilmaz and Bahar Anaforoglu
J. Am. Podiatr. Med. Assoc. 2026, 116(4), 50; https://doi.org/10.3390/japma116040050 - 8 Jul 2026
Viewed by 85
Abstract
Background: Pes planus is a common foot deformity that may lead to both structural and functional consequences. This alteration in foot morphology has been associated with changes in neurosensory mechanisms such as proprioception and balance. This study aims to evaluate proprioception and [...] Read more.
Background: Pes planus is a common foot deformity that may lead to both structural and functional consequences. This alteration in foot morphology has been associated with changes in neurosensory mechanisms such as proprioception and balance. This study aims to evaluate proprioception and balance parameters in young adults with pes planus by comparing them with healthy individuals. Methods: This case–control study, which had a quantitative and cross-sectional design, included a total of 90 volunteer university students aged 18–30. The presence of pes planus was assessed using the Navicular Drop Test. Proprioception assessment was performed using a digital goniometer to measure active and passive joint position sense, while balance assessment was performed using the Y Balance Test. Results: The groups were similar in terms of demographic and anthropometric characteristics (p > 0.05). In the proprioception assessment, a significant difference was observed in active joint position sense scores in individuals with pes planus (p = 0.032). In contrast, no significant difference was found between the two groups in terms of passive joint position sense (p = 0.769). According to the Y Balance Test results, no difference was observed in the anterior and posteromedial directions (p = 0.690 and p = 0.806). At the same time, the balance performance of individuals with pes planus was significantly lower in the posterolateral direction (p = 0.045). Conclusions: Young individuals with flexible pes planus showed differences in active joint position sense and balance performance in the posterolateral direction. This situation shows that pes planus may be associated with not only structural but also neurosensory functions. The findings highlight the importance of planning protective interventions early. In the future, there is a need for longitudinal studies conducted with larger and more heterogeneous samples, including rigid type pes planus. Full article
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15 pages, 270 KB  
Article
Association Between Isometric Hip Muscle Strength and Y-Balance Test Performance in Healthy Adults
by Dragana Rasic, Kristijan Zulle, Bojan Miletic and Hrvoje Vlahovic
J. Clin. Med. 2026, 15(13), 5170; https://doi.org/10.3390/jcm15135170 - 2 Jul 2026
Viewed by 120
Abstract
Background/Objectives: Dynamic balance during the Y-Balance Test (YBT) relies on coordinated multi-joint control of the lower extremity. Although hip muscle strength is considered important for YBT performance, the relative contribution of individual hip muscle groups remains insufficiently understood. This study aimed to [...] Read more.
Background/Objectives: Dynamic balance during the Y-Balance Test (YBT) relies on coordinated multi-joint control of the lower extremity. Although hip muscle strength is considered important for YBT performance, the relative contribution of individual hip muscle groups remains insufficiently understood. This study aimed to examine the associations between isometric hip abduction, external rotation, and extension strength and YBT performance in healthy adults. Methods: In this cross-sectional study, 104 healthy adults underwent assessment of isometric hip abduction, external rotation, and extension strength using strap-stabilized handheld dynamometry. Hip extension strength was measured in the prone position with the knee flexed to 90°. Strength values were normalized and expressed as joint torque (Nm/kg). YBT performance was assessed in the anterior, posteromedial, and posterolateral directions and as a composite score. Associations were examined using Pearson correlation coefficients. To account for the dependency of bilateral measurements, a linear mixed model (LMM) was used to evaluate the collective and independent contribution of hip strength components to YBT performance, with sex, age, and BMI included as covariates. Results: All hip strength measures showed significant positive correlations with YBT performance (r = 0.19–0.49, p < 0.05). Hip extension strength demonstrated the strongest associations, particularly with posterolateral reach (r = 0.49). After adjustment for demographic covariates, sex was the strongest predictor of YBT performance across all directions (β = 7.8–8.9, p < 0.001), with males achieving higher scores than females. Hip extension and abduction strength were significant predictors of posterolateral reach (p < 0.05), whereas no hip strength variable independently predicted anterior reach or composite score after adjustment for demographic factors. No significant differences in YBT performance were observed between limbs. Conclusions: Sex was the strongest predictor of YBT performance in healthy adults. Hip extension and abduction strength were independently associated with posterolateral reach performance after controlling for demographic factors, suggesting that the association between hip muscle strength and dynamic balance may be direction-specific. These findings highlight the importance of accounting for sex when interpreting the relationship between hip strength and YBT performance. Full article
(This article belongs to the Section Sports Medicine)
14 pages, 274 KB  
Article
Integrating Plyometric and Flexibility Exercises via Traditional Games in Youth Rhythmic Gymnastics: A Randomized Controlled Trial
by Ghazi Racil, Stefano Vando, Johnny Padulo and Domenico Martone
Children 2026, 13(7), 884; https://doi.org/10.3390/children13070884 - 30 Jun 2026
Viewed by 241
Abstract
Background/Objectives: Standard plyometric, flexibility and balance drills are central to youth rhythmic gymnastics but can be limited by repetitive monotony and reduced engagement. This study evaluated whether embedding plyometric or flexibility exercises within traditional games improves physical performance and lower-limb flexibility in [...] Read more.
Background/Objectives: Standard plyometric, flexibility and balance drills are central to youth rhythmic gymnastics but can be limited by repetitive monotony and reduced engagement. This study evaluated whether embedding plyometric or flexibility exercises within traditional games improves physical performance and lower-limb flexibility in young female gymnasts. Methods: Forty-two female gymnasts (age 13.7 ± 1.5 years) were randomly assigned (1:1:1, permuted-block randomization with allocation concealment) to a game-based plyometric group (PECG), a game-based flexibility group (FECG), or a standard gymnastics control (GE). Over 8 weeks (five sessions per week) the experimental groups performed their protocols immediately before regular training, with load recalibrated every two weeks. Squat jump (SJ), countermovement jump (CMJ) and hip flexibility were pre-specified primary outcomes; agility, Stork balance and Y-Balance were exploratory. Linear mixed models tested Group × Time interactions, with within-group effect sizes expressed as Cohen’s d. Results: Significant Group × Time interactions emerged for the squat jump (F2,39 = 6.09, p = 0.005) and countermovement jump (F2,39 = 6.77, p = 0.003), favoring PECG (SJ β = 1.90; CMJ β = 1.86). FECG produced the largest flexibility gains, with significant Group × Time interactions for hip abduction and left hip flexion; a marked within-group increase in right hip extension (β = 2.65) was not accompanied by a significant interaction and is interpreted with caution. PECG also improved agility (p = 0.001), static balance and several Y-Balance directions. No injuries or dropouts were recorded. Conclusions: An 8-week game-based intervention enhanced physical performance in adolescent rhythmic gymnasts, with effects largely specific to the training modality: plyometric games improved explosive power, agility and dynamic balance, whereas flexibility games improved range of motion. Given the small sample, the findings should be regarded as preliminary and hypothesis-generating. Full article
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32 pages, 26755 KB  
Article
Novel Sulfonate Derivatives Functionalized with Triazole–Hydrazone Moieties: Synthesis, Characterization, DFT, Targeting Brain Tumors via DNA Damage, Cytotoxicity, Migration Suppression, Antimicrobial Activity, and In Silico Study
by Yasemin Ünver, Meryem Evecen, Fatih Çelik, Ali Aydın, Halil İbrahim Güler, Kadriye İnan Bektaş and Tuğba Usta
Molecules 2026, 31(13), 2281; https://doi.org/10.3390/molecules31132281 - 30 Jun 2026
Viewed by 271
Abstract
In this study, a new series of (E)-4-((2-(2-(4-amino-3-methyl-5-oxo-4,5-dihydro-1H-1,2,4-triazol-1-yl)acetyl)hydrazono)methyl)phenyl 4-halogenobenzenesulfonates (3a3d), where 3a = F, 3b = Cl, 3c = Br, and 3d = I, were successfully synthesized via a straightforward synthetic route. The structures of the obtained compounds were [...] Read more.
In this study, a new series of (E)-4-((2-(2-(4-amino-3-methyl-5-oxo-4,5-dihydro-1H-1,2,4-triazol-1-yl)acetyl)hydrazono)methyl)phenyl 4-halogenobenzenesulfonates (3a3d), where 3a = F, 3b = Cl, 3c = Br, and 3d = I, were successfully synthesized via a straightforward synthetic route. The structures of the obtained compounds were fully characterized and confirmed by spectroscopic techniques, including FT-IR, 1H NMR, and 13C NMR, as well as LC-MS/MS analysis. 1,2,4-triazole-based hydrazone derivatives (3a3d) were investigated using IR and NMR spectroscopy and DFT calculations. Intermolecular interactions, HOMO-LUMO, dipole moment, polarization, first-order hyperpolarizability, and molecular electrostatic potential studies on the molecules were examined. The HOMO and LUMO energy gap study supports the charge transfer probability in the molecules. These were conducted to investigate the reactivity and stability of heterocyclic molecules in bioactivity analysis. Electron density mapping within the molecular electrostatic potential plot and electrostatic potential representation within the iso-surface plot evaluated the concept of charge distribution in the molecule as nucleophilic reactions and electrophilic regions. The predicted nonlinear optical (NLO) properties of the molecules are much greater than those of urea. The results obtained from these investigations collectively provide evidence that the molecules possess nonlinear optical applications. Novel triazole–hydrazone-functionalized aryl sulfonate derivatives (3a3d) were evaluated for their anticancer potential against a panel of brain and non-brain cancer cell lines. Compound 3b exhibited the most favorable overall biological profile, displaying potent activity against SH-SY5Y neuroblastoma (GI = 7.59 μM) and U87MG glioblastoma cells (GI = 13.85 μM), together with the lowest toxicity toward normal FL fibroblasts (GI = 62.02 μM). Compounds 3c and 3d demonstrated remarkable potency against IDHmut-U87 glioma cells (GI = 3.87 and 3.27 μM, respectively), although their selectivity toward cancer cells was limited. DNA degradation studies revealed substantial fragmentation, particularly in C6 and SH-SY5Y cells, while migration assays indicated reduced cellular motility. Molecular docking studies identified compound 3b as the strongest PI3Kα binder, supporting a possible. In addition, the antimicrobial activities of compounds 3a3d were evaluated against selected Gram-positive and Gram-negative bacteria as well as Candida species using the broth microdilution method. The compounds exhibited measurable antimicrobial effects with MIC values ranging from 156 to 625 µg/mL, showing moderate growth inhibition against the tested microorganisms. Although the observed activity was lower than that of the reference antimicrobial agents, the results indicate that these triazole–hydrazone derivatives possess a detectable level of antimicrobial activity and provide a basis for further structural optimization. Collectively, the results suggest that compound 3b represents the most promising lead structure due to its balanced combination of potency, selectivity, and predicted target engagement. Molecular docking was performed to evaluate the binding potential of newly synthesized triazole derivatives (3a3d) against PI3Kα. The docking protocol was validated by re-docking alpelisib, yielding an RMSD of 0.64 Å. Among the tested compounds, 3b showed the most favorable binding energy (−9.94 kcal/mol) and estimated Ki value (52.13 nM), consistent with its superior in vitro activity. Its interactions with key PI3Kα residues, including Val851, Ser854, Met922, and Asp933, support a stable binding mode within the ATP-binding pocket. In silico ADME and toxicity analyses suggested acceptable drug-likeness characteristics, absence of major hepatotoxic, mutagenic, and carcinogenic liabilities, and moderate predicted acute toxicity profiles. These findings suggest that 3b is the most promising derivative for further validation. Full article
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17 pages, 281 KB  
Article
Analysis of Balance Characteristics in Female College Volleyball Players Based on Joint Range of Motion
by Yang Liu and Xiaoqin Zhao
Symmetry 2026, 18(7), 1105; https://doi.org/10.3390/sym18071105 - 29 Jun 2026
Viewed by 176
Abstract
Objective: Volleyball athletes require well-developed balance control during spiking, blocking, rapid movement, and landing. Joint range of motion (ROM) may also influence limb extension, support adjustment, and center-of-mass control. Previous studies have usually examined balance ability and joint ROM as separate factors related [...] Read more.
Objective: Volleyball athletes require well-developed balance control during spiking, blocking, rapid movement, and landing. Joint range of motion (ROM) may also influence limb extension, support adjustment, and center-of-mass control. Previous studies have usually examined balance ability and joint ROM as separate factors related to volleyball performance. However, the associations between dynamic balance, static balance, and multi-joint ROM in the upper and lower limbs remain insufficiently understood. This study therefore aimed to examine the relationship between balance performance and upper- and lower-limb joint ROM in female college volleyball athletes. Methods: Thirty-five female college volleyball athletes were included. Dynamic balance of the upper and lower limbs was assessed using the Y-Balance Test, and static balance was evaluated under eyes-open and eyes-closed conditions using a static balance platform. Upper- and lower-limb ROM was measured using an electronic goniometer and the knee-to-wall test. Paired-sample t-tests were used to compare bilateral differences and differences between visual conditions. Pearson correlation analysis was performed to examine associations between joint ROM and balance performance, and false discovery rate (FDR) correction was applied to account for multiple comparisons. Results: (1) No significant bilateral difference was observed in upper-limb YBT-UQ performance (p > 0.05); for lower-limb YBT-LQ performance, a significant difference was found only in the anterior direction, with the right side showing higher values than the left side (p < 0.01). (2) Static balance parameters under the eyes-closed condition were significantly poorer than those under the eyes-open condition (p < 0.01); under the same visual condition, only the total sway path length of the right foot was significantly shorter than that of the left foot (p < 0.05). (3) The ranges of motion of right shoulder flexion, shoulder horizontal adduction, shoulder external rotation, elbow flexion, and knee-to-wall distance were significantly greater than that of the left side (all p < 0.05), and right hip internal rotation ROM was also significantly greater than that of the left side (p < 0.01). (4) Dynamic balance was correlated with selected joint ROM measures. Specifically, the anterior reach direction of the right YBT-LQ was positively correlated with hip flexion ROM (r = 0.593, p < 0.01) and knee-to-wall distance (r = 0.653, p < 0.01), and these correlations remained statistically significant after FDR correction. (5) Static balance parameters were correlated with selected lower-limb joint ROM measures in the original correlation analysis; however, these correlations did not remain significant after FDR correction. Conclusions: Female college volleyball athletes demonstrated a certain degree of bilateral asymmetry in dynamic balance and a pronounced dependence on visual input during static balance tasks. After FDR correction, the associations between the anterior reach direction of the right YBT-LQ and both hip flexion ROM and knee-to-wall distance remained stable, suggesting that these ROM measures may be related to anterior dynamic balance performance. These findings may provide a reference for postural control assessment and the development of sport-specific training programs for female volleyball athletes. Full article
(This article belongs to the Section Life Sciences)
14 pages, 1424 KB  
Article
Upper-Limb Dynamic Stability and Functional Symmetry in Experienced Taekwon-Do Athletes
by Tomasz Góra, Jacek Wąsik, Paulina Przepióra and Michalina Błażkiewicz
Symmetry 2026, 18(7), 1078; https://doi.org/10.3390/sym18071078 - 25 Jun 2026
Viewed by 688
Abstract
Combat sports are characterized by sport-specific asymmetrical movement patterns that may influence neuromuscular control, functional stability, and injury risk. Although lower-limb asymmetry has been widely investigated in taekwon-do experienced ITF taekwon-do practitioners, upper-limb functional symmetry remains insufficiently explored. Sixteen experienced male ITF taekwon-do [...] Read more.
Combat sports are characterized by sport-specific asymmetrical movement patterns that may influence neuromuscular control, functional stability, and injury risk. Although lower-limb asymmetry has been widely investigated in taekwon-do experienced ITF taekwon-do practitioners, upper-limb functional symmetry remains insufficiently explored. Sixteen experienced male ITF taekwon-do practitioners underwent assessment of hand grip strength and upper-limb dynamic stability using the Upper Quarter Y-Balance Test (UQYBT). Reach distances in anterior (AP), posteromedial (PM), and posterolateral (PL) directions were analyzed together with composite symmetry indices. Inter-limb differences were evaluated using paired Student’s t-tests, and associations between strength and dynamic stability variables were examined using Pearson’s correlations. Significant inter-limb asymmetry was observed only in the posteromedial (PM) UQYBT direction, with higher values for the left upper limb (p < 0.001; dz = 1.34). No significant inter-limb differences were observed for hand grip strength, anterior reach distance, posterolateral reach distance, or composite index values. Correlation analyses demonstrated weak-to-moderate and statistically non-significant relationships between hand grip strength and dynamic stability variables. Experienced taekwon-do athletes demonstrate movement-specific upper-limb asymmetry while maintaining relatively symmetrical overall dynamic stability and grip strength. The findings further suggest that upper-limb dynamic stability may depend more strongly on neuromuscular coordination and sport-specific motor control than on maximal grip strength alone. These findings suggest that asymmetry in taekwon-do may reflect a potential sport-specific adaptation rather than generalized neuromuscular dysfunction. Full article
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16 pages, 926 KB  
Article
Impact of a Hybrid Preventive Program Combining FIFA 11+ and Customized Neuromuscular Interventions on Lower-Limb Function and Performance in Recreational Mini-Football Players
by Roxana Mihaela Munteanu, Andrei Marian Feier, Bogdan Voicu, Diana Șandru, Arpad Solyom and Tudor Sorin Pop
Sports 2026, 14(7), 259; https://doi.org/10.3390/sports14070259 - 23 Jun 2026
Viewed by 239
Abstract
Background: Recreational mini-football is associated with a high incidence of lower-limb injuries, largely driven by neuromuscular deficits and insufficient exposure to structured preventive training. This study aimed to evaluate the effects of a hybrid injury-prevention program combining the FIFA 11+ protocol with [...] Read more.
Background: Recreational mini-football is associated with a high incidence of lower-limb injuries, largely driven by neuromuscular deficits and insufficient exposure to structured preventive training. This study aimed to evaluate the effects of a hybrid injury-prevention program combining the FIFA 11+ protocol with customized neuromuscular interventions on functional performance and injury-related risk factors. Methods: Forty male recreational mini-football players were included in a retrospective analysis of data collected during the routine implementation of a 12-week hybrid preventive training program. Participants were allocated to an intervention group (n = 20) or control group (n = 20) according to routine training practices rather than randomization. The intervention was performed twice weekly. Outcome measures included lower-limb strength (Kineo system), dynamic balance (Y-Balance Test), functional hop performance (Single Hop and Side Hop tests), and agility/change-of-direction ability (Illinois and 505 tests). Results: The intervention group demonstrated significantly greater improvements in lower-limb peak force across all muscle groups (all adjusted p < 0.001), as well as in single-leg hop, side hop, and agility/change-of-direction performance (all adjusted p < 0.001) compared to controls. No significant changes were observed in dynamic balance outcomes. Conclusions: A hybrid neuromuscular training program combining FIFA 11+ with customized exercises was associated with improvements in lower-limb strength, hop performance, and agility/change-of-direction ability in recreational mini-football players. These findings suggest that integrating customized exercises into standardized training programs may enhance functional performance and positively influence modifiable factors associated with injury risk. Full article
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23 pages, 52200 KB  
Article
Effect of Deformation Process on Mechanical Properties of Hot-Extruded Mg-Y-Zn-Gd-Zr-Ca Alloy
by He Guo, Wenxin Hu, Wei Wang, Feng Liu, Wei He, Zemin Yu, Xinyuan Wang and Yuming Lu
Crystals 2026, 16(6), 397; https://doi.org/10.3390/cryst16060397 - 18 Jun 2026
Viewed by 245
Abstract
Mg–Y–Zn alloys have attracted considerable attention for lightweight structural applications; however, the influence of extrusion temperature on microstructural evolution and the underlying mechanisms governing strength–ductility synergy remains insufficiently understood. In this study, a novel YZG921 (Mg–9Y–1.8Zn–1.2Gd–0.5Zr–0.3Ca, wt.%) alloy was fabricated by hot extrusion [...] Read more.
Mg–Y–Zn alloys have attracted considerable attention for lightweight structural applications; however, the influence of extrusion temperature on microstructural evolution and the underlying mechanisms governing strength–ductility synergy remains insufficiently understood. In this study, a novel YZG921 (Mg–9Y–1.8Zn–1.2Gd–0.5Zr–0.3Ca, wt.%) alloy was fabricated by hot extrusion at temperatures ranging from 480 to 520 °C. The microstructure, mechanical properties, and deformation behavior were systematically investigated using SEM, TEM, EBSD, in situ EBSD, and slip-trace analysis. The results show that extrusion temperature significantly affects the evolution of secondary phases, grain size, and texture intensity. At 500 °C, an 18R-LPSO phase was formed, accompanied by a more homogeneous distribution of secondary phases and the finest grain structure (~3.8 μm), whereas the average grain size remained close to 10 μm for the alloys extruded at 480 °C and 520 °C. Meanwhile, the maximum basal texture intensity decreased from 4.16 to 4.79 m.r.d. to 2.18–2.58 m.r.d. Mechanical testing revealed that the alloy extruded at 500 °C exhibited the optimum strength–ductility balance, with an ultimate tensile strength of 498.4 MPa and an elongation of 13.8%. In situ EBSD analysis showed that the fraction of low-angle grain boundaries increased from ~7% to 43% during tensile deformation, while the average KAM value increased from ~0.5° to 0.88°. Slip-trace analysis further demonstrated that plastic deformation was predominantly governed by basal slip, accounting for approximately 84.2% of the activated slip systems. The superior mechanical performance achieved at 500 °C is attributed to the synergistic effects of grain refinement, LPSO and second-phase strengthening, texture weakening, and sustained strain hardening. These findings provide insights into microstructure–property relationships and offer guidance for the optimization of thermomechanical processing parameters in Mg–Y–Zn alloys. Full article
(This article belongs to the Special Issue Metallurgy-Processing-Properties Relationship of Metallic Materials)
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29 pages, 5125 KB  
Article
Sustainable Production of High-Performance Antimicrobial Scaffold via an Engineered Halomonas Dual-Product Factory
by Ehab Marwan-Abdelbaset, Xiaoyun Lu and Dan Tan
Biomolecules 2026, 16(6), 889; https://doi.org/10.3390/biom16060889 - 17 Jun 2026
Viewed by 337
Abstract
This study presents a transformative “one-pot” biorefinery approach for the simultaneous production of hyaluronic acid (HA) and polyhydroxybutyrate (PHB) using an engineered, non-pathogenic Halomonas bluephagenesis TD01 chassis. By leveraging the principles of Next-Generation Industrial Biotechnology (NGIB), a one-step fermentation process was developed in [...] Read more.
This study presents a transformative “one-pot” biorefinery approach for the simultaneous production of hyaluronic acid (HA) and polyhydroxybutyrate (PHB) using an engineered, non-pathogenic Halomonas bluephagenesis TD01 chassis. By leveraging the principles of Next-Generation Industrial Biotechnology (NGIB), a one-step fermentation process was developed in nutrient-rich 40-LBG-Y medium, achieving a balanced metabolic flux that yielded 1.99 g/L and high-molecular-weight (HMw) HA (9.6 × 106 Da) as the highest HA-Mw reported by heterogeneous bacteria, alongside intracellular PHB (0.68 to 1.6 g/L). A bioactive HA-PHB nanoparticle scaffold was fabricated, exhibiting a highly porous, interconnected 3D sponge-like architecture with a significant particle size shift from 12 nm to 450 nm, confirming successful polymer complexation. Antimicrobial evaluations revealed that the scaffold exhibited preliminary antimicrobial potential against representative Gram-positive and Gram-negative strains against Staphylococcus aureus, Klebsiella variicola, and Candida albicans. Notably, while Pseudomonas aeruginosa metabolically exploited purified HA, the integrated scaffold reversed this effect, providing preliminary antimicrobial potential by sterically hindering bacterial hyaluronidases. Furthermore, Halomonas-derived HA consistently outperformed Moringa oil and complex emulsions in preliminary tests against a wide range of pathogenic microbes. These results demonstrate that this dual-product platform provides a sustainable, cost-effective source of high-performance functional materials for advanced antimicrobial coatings and clinical wound management. Full article
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29 pages, 4368 KB  
Article
Effects of a 6-Week Hip and Ankle Mobility-Based Rehabilitation Program on Clinical, Neuromuscular, and Functional Outcomes in Male Collegiate Athletes with Patellofemoral Pain: A Randomized Controlled Trial
by Hengquan Xu, Zhaozhi Feng, Yue Dou and Gang Wang
Life 2026, 16(6), 1013; https://doi.org/10.3390/life16061013 - 17 Jun 2026
Viewed by 381
Abstract
Patellofemoral pain (PFP) in athletes is associated with lower-limb kinetic-chain constraints, yet rehabilitation strategies targeting both hip and ankle mobility remain insufficiently examined. This assessor-blinded randomized controlled trial investigated the effects of a 6-week hip and ankle mobility-based rehabilitation program in male collegiate [...] Read more.
Patellofemoral pain (PFP) in athletes is associated with lower-limb kinetic-chain constraints, yet rehabilitation strategies targeting both hip and ankle mobility remain insufficiently examined. This assessor-blinded randomized controlled trial investigated the effects of a 6-week hip and ankle mobility-based rehabilitation program in male collegiate athletes with PFP. Forty-eight participants were assigned using computer-generated 1:1 randomization to an intervention group (n = 24) or a control group (n = 24). The intervention group completed supervised hip and ankle mobility rehabilitation three times weekly, whereas the control group maintained regular sport-specific training only. Co-primary outcomes were pain intensity assessed using a 10-cm visual analog scale (VAS) and knee-related function assessed using the Kujala score. Secondary outcomes included hip rotation range of motion, weight-bearing ankle dorsiflexion, vastus medialis–vastus lateralis (VM–VL) onset timing, Y-Balance Test (YBT) composite score, and countermovement jump (CMJ) height. Significant group × time interactions favored the intervention group for VAS (p < 0.0001; partial η2 = 0.436; change difference: −1.54 cm; 95% CI: −2.06 to −1.02) and Kujala score (p < 0.0001; partial η2 = 0.285; change difference: 8.00 points; 95% CI: 4.24 to 11.76). Significant interactions were also observed for hip internal and external rotation range of motion, weight-bearing ankle dorsiflexion, VM–VL onset timing during a controlled squat task, and YBT composite score (all p ≤ 0.0405; partial η2 = 0.088–0.374). No significant group × time interaction was observed for CMJ height (p = 0.0511; partial η2 = 0.080). These findings suggest that, compared with regular sport-specific training alone, adding a supervised hip and ankle mobility-based rehabilitation program may improve pain, knee-related function, targeted mobility outcomes, VM–VL onset timing during a controlled squat task, and dynamic balance in the short term. However, because the control group did not receive an active or attention-matched intervention, these findings should be interpreted as the added effect of the supervised rehabilitation program rather than as definitive evidence of mobility-specific treatment effects. In addition, because patellar tracking, knee kinematics, joint kinetics, and patellofemoral joint loading were not directly measured, the findings should be interpreted as clinical and functional outcome changes rather than direct evidence of a confirmed biomechanical mechanism. Trial registration: NCT07542236. Full article
(This article belongs to the Special Issue Sports Biomechanics, Injury, and Physiotherapy)
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13 pages, 499 KB  
Case Report
Prehabilitation with Low-Load Blood Flow Restricted Resistance Exercise Training Attenuates Muscle Inhibition of Quadriceps Femoris Muscle in Polytraumatized Patient: A Case Report
by Matej Ipavec, Alan Kacin and Tina Tomc Žargi
Appl. Sci. 2026, 16(12), 6079; https://doi.org/10.3390/app16126079 - 16 Jun 2026
Viewed by 176
Abstract
Background: Severe knee trauma and chronic cruciate ligament insufficiency are commonly accompanied by marked quadriceps femoris (QF) atrophy and weakness. High-load strengthening is often poorly tolerated by patients with compromised joint stability; therefore, low-load blood flow restriction resistance training (LL-BFRT) may serve as [...] Read more.
Background: Severe knee trauma and chronic cruciate ligament insufficiency are commonly accompanied by marked quadriceps femoris (QF) atrophy and weakness. High-load strengthening is often poorly tolerated by patients with compromised joint stability; therefore, low-load blood flow restriction resistance training (LL-BFRT) may serve as an effective alternative. Case presentation: A 38-year-old male presented 27 months after motorcycle-related polytrauma with right knee pain, instability, complete anterior and posterior cruciate ligament ruptures, and partial QF denervation after femoral nerve injury. Before surgery, he completed a supervised 5-week LL-BFRT prehabilitation program (13 sessions). Results: Lean thigh circumference increased by 5.9% proximally and 17.7% distally. Voluntary activation increased from 87.2% to 92.5%, and maximal QF EMG median frequency decreased by 7.4%. Knee extensor isometric and concentric (60°/s) peak torque increased by 52.4% and 36.9%, respectively. QF isometric endurance time increased from 48.5 to 61.8 s. Stair-climbing time decreased from 18.9 to 10.6 s, repetitions in the step-down test increased from 10 to 17, and the Y-balance test composite score increased from 77.7% to 99.4%. Conclusions: Substantial physiological and clinical improvements in QF voluntary activation, maximal strength, endurance, and lower limb function were observed following a short-term LL-BFRT program in a patient with multiple ligament injuries. Changes in lean thigh circumference were consistent with possible improvements in muscle size; however, muscle hypertrophy was not directly assessed. Full article
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12 pages, 4550 KB  
Article
Effect of Laser Power on Microstructure and Mechanical Properties of GH4141 + 0.2 wt.% Y2O3 Alloy Fabricated by Laser Powder Bed Fusion
by Hongsong Song, Yu Wu, Zijun Zhao, Yu Pan and Bingqing Chen
Coatings 2026, 16(6), 712; https://doi.org/10.3390/coatings16060712 - 15 Jun 2026
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Abstract
GH4141 + 0.2 wt.% Y2O3 superalloy was fabricated using laser powder bed fusion (LPBF) technology and subjected to solution and ageing heat treatments. The effects of laser power (1100, 1300, 1500 W) on the microstructure and mechanical properties of the [...] Read more.
GH4141 + 0.2 wt.% Y2O3 superalloy was fabricated using laser powder bed fusion (LPBF) technology and subjected to solution and ageing heat treatments. The effects of laser power (1100, 1300, 1500 W) on the microstructure and mechanical properties of the ODS nickel-based superalloy were investigated. The results indicate that as the laser power increased from 1100 W to 1300 W, defects such as cracks and pores in the specimens decreased, the grains were refined, and the microstructure became more uniform; when the laser power was further increased to 1500 W, the grain size coarsened significantly, precipitation phases at the grain boundaries became coarser or locally aggregated, and crack sensitivity increased. EDS analysis revealed enrichment of C, Cr, Mo and Ti in the dark phases at the grain boundaries, which may be associated with MC-type and M23C6-type carbides; no significant agglomeration of Y2O3 particles was observed in the matrix. Room-temperature tensile properties exhibited a pattern of initially increasing and then decreasing with increasing laser power. The tensile strength and elongation after fracture of the specimens were relatively similar under 1100 W and 1500 W conditions, whilst the specimen tested at 1300 W achieved the optimal balance of strength and toughness, with a tensile strength of 1460 MPa and an elongation after fracture of 14.3%, representing increases of approximately 9.8% and 54% compared to the 1100 W and 1500 W conditions, respectively. At 760 °C, the 1300 W specimens still maintained excellent high-temperature strength. Full article
(This article belongs to the Special Issue Advances in Surface Welding Techniques for Metallic Materials)
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17 pages, 523 KB  
Systematic Review
Preseason Screening Tests and Physical Assessments as Predictors of Injury in Handball Players: A Systematic Review
by Stelios Hadjisavvas, Irene-Chrysovalanto Themistocleous, Elena Papamichael, Michalis A. Efstathiou, Christina Michailidou and Manos Stefanakis
Sports 2026, 14(6), 234; https://doi.org/10.3390/sports14060234 - 5 Jun 2026
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Abstract
Background: Preseason screening is widely used in handball to identify athletes at increased risk of injury, yet the prognostic value of different screening approaches remains unclear. The aim of this study was to systematically review the evidence on preseason screening tests and physical [...] Read more.
Background: Preseason screening is widely used in handball to identify athletes at increased risk of injury, yet the prognostic value of different screening approaches remains unclear. The aim of this study was to systematically review the evidence on preseason screening tests and physical assessments in relation to subsequent injury outcomes in handball players. Methods: A systematic review was conducted according to PRISMA guidelines. PubMed, MEDLINE, CINAHL, and Scopus were searched on 14 March 2026. The first 100 results from Google Scholar were also screened, and backward citation searching was performed. Eligible studies included handball players and examined preseason or baseline screening, functional, musculoskeletal, or physical performance assessments in relation to prospectively recorded injury outcomes. Two independent reviewers performed study selection, data extraction, and risk-of-bias assessment using the QUIPS tool. Due to substantial heterogeneity in screening tools, injury outcomes, and follow-up procedures, meta-analysis was not performed. Results: Eight studies were included. Most were prospective cohorts involving adolescent, youth elite, or elite adult handball players. Shoulder-specific screening variables, particularly external rotation strength, strength imbalances, total rotational motion, and selected rotational adaptations, showed more consistent associations with subsequent shoulder-related outcomes. In contrast, broader movement-screening tools, including the Functional Movement Screen, the 9+ screening battery, and the upper quarter Y-Balance Test, generally showed limited associations with overall injury outcomes. Conclusions: Shoulder-specific preseason assessments may be more closely associated with subsequent shoulder-related outcomes than broader movement-screening tools, although the available evidence remains limited, heterogeneous, and derived exclusively from observational studies. Full article
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14 pages, 3314 KB  
Article
Association of Masseter Muscle Shear Modulus and Thickness with Y-Balance Test Performance Among Healthy Adults
by Natalia Grygierczyk, Małgorzata Pałac, Maciej Bogacz and Paweł Linek
Appl. Sci. 2026, 16(11), 5695; https://doi.org/10.3390/app16115695 - 5 Jun 2026
Viewed by 291
Abstract
The relationship between the stomatognathic system and balance remains poorly understood. This cross-sectional observational study aimed to evaluate associations between ultrasound-assessed masseter muscle shear modulus and thickness and Y-Balance Test performance in healthy adults. Forty-seven individuals were initially recruited, of whom 35 were [...] Read more.
The relationship between the stomatognathic system and balance remains poorly understood. This cross-sectional observational study aimed to evaluate associations between ultrasound-assessed masseter muscle shear modulus and thickness and Y-Balance Test performance in healthy adults. Forty-seven individuals were initially recruited, of whom 35 were included in the final analysis (17 women and 18 men; mean age: 22.4 ± 3.3 years). Masseter muscle shear modulus and thickness were assessed bilaterally using ultrasound. Y-Balance Test performance was analysed in the anterior, posteromedial, and posterolateral directions, as well as by composite score and side-to-side asymmetry. For the main analyses based on mean values, Pearson’s correlation showed that higher masseter muscle shear modulus was associated with a lower reach distance in the posterolateral direction (r = −0.495, p = 0.003) and the posteromedial direction (r = −0.414, p = 0.013), and with a lower composite score (r = −0.501, p = 0.002). No statistically significant correlations were found between masseter muscle thickness and Y-Balance Test outcomes. No statistically significant associations remained between masseter muscle shear modulus asymmetry and Y-Balance Test asymmetry after FDR correction. These results suggest a possible association between masseter muscle shear modulus, but not thickness, and Y-Balance Test performance among healthy adults. Full article
(This article belongs to the Special Issue Advanced Biomedical Imaging Technologies and Their Applications)
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12 pages, 3614 KB  
Article
Effects of a Warm-Up Sequence on Postural Balance in Unmanipulated and Manipulated Sensory Conditions
by Aurélien Speller, Julien Maitre, Mathias Da Costa, Nicolas Rabadan, Frédéric Noé and Thierry Paillard
Biomechanics 2026, 6(2), 51; https://doi.org/10.3390/biomechanics6020051 - 1 Jun 2026
Viewed by 392
Abstract
Objectives: The aim of this study was to compare postural balance before (PRE) and 10 min after (POST) a warm-up sequence, under unmanipulated and manipulated sensory conditions using tendon vibration. Methods: Forty-three participants were divided into two groups: warm-up (n = 23) [...] Read more.
Objectives: The aim of this study was to compare postural balance before (PRE) and 10 min after (POST) a warm-up sequence, under unmanipulated and manipulated sensory conditions using tendon vibration. Methods: Forty-three participants were divided into two groups: warm-up (n = 23) and control (n = 20). The warm-up sequence consisted of 17 min exercises. Bipedal postural balance was assessed using a force platform. Spatio-temporal parameters of the displacement of the centre of the feet pressure (CoP) were recorded. PRE-POST differences were tested using paired sample Wilcoxon signed rank tests. Spearman’ correlations were performed to assess whether beneficial effects of warm-up were related to the participant’s balance abilities at baseline. Results: In the unmanipulated condition, the CoP surface and the CoP Y velocity significantly increased POST-warm-up. In the manipulated condition, CoP parameters significantly decreased post warm-up. In both conditions, moderate to strong correlations were observed, thus suggesting that subjects’ abilities to take advantage from the warm-up sequence depended on participants’ intrinsic balance abilities. Conclusions: Participants who exhibited the worst postural balance at baseline benefited more from the effects of the warm-up. Since the effects of the same warm-up sequence differ from one individual to another, the content of the optimal warm-up should be sought for each individual before a performance. Full article
(This article belongs to the Section Gait and Posture Biomechanics)
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