Search Results (20)

In volleyball, successful offensive performance is influenced not only by physical muscle function but also by injury status. The purpose of this study was to analyze the relationship between muscle function—including strength, balance, and symmetry—and injury history in relation to offensive performance (OP) and ultimately sought to find factors required to improve OP. The final analysis included 60 players in attacking positions (36 in the symmetry group and 24 in the asymmetry group). Muscle strength was assessed using isokinetic testing for shoulder and knee extension. Balance was evaluated using the Upper Quarter Y-Balance Test (UQ-YBT) and the Lower Quarter Y-Balance Test (LQ-YBT). The asymmetry index (AI, ≥10%) was calculated by comparing the dominant and non-dominant sides. The results showed that the asymmetry group had a higher injury rate and lower offensive performance (OP) than the symmetry group (p < 0.05). In multiple regression analysis, no significant predictors were found on the non-dominant side, whereas significant variables were identified only on the dominant side. The key variables influencing OP were shoulder and knee extension strength, UQ-YBT scores, and the AI of knee extension. A 13.8% improvement in shoulder extension strength on the dominant side increased the likelihood of enhanced offensive performance (OP) by 2.54 times. A 10.5% improvement in the asymmetry index (AI) of knee extension was associated with a 1.52-fold increase in OP (p < 0.05). Shoulder and knee flexion did not significantly affect OP in any of the tests (p > 0.05). In conclusion, offensive performance in volleyball is associated with the greater shoulder and knee extension strength of the dominant side, as well as positive changes in UQ-YBT scores and the AI of knee extension. Full article

Background: Healthcare restrictions on non-urgent services during the COVID-19 pandemic led to limited access to rehabilitation and delayed treatment, potentially affecting early and mid-term recovery following anterior cruciate ligament reconstruction (ACLR). However, little is known about its specific consequences on muscle strength recovery in recreational and amateur athletes. Objectives: This study aimed to compare short-term clinical outcomes in ACLR patients before, during, and after the pandemic, spanning from 2020 to 2022. Methods: We conducted a retrospective review of 126 patients who underwent ACLR using a hamstring tendon autograft. Patients were grouped based on the timing of surgery and matched for gender. Clinical outcomes and muscle strength parameters were evaluated using an isokinetic dynamometer. Results: Male patients exhibited no significant differences in muscle strength across all time frames (control, 2020, 2021, and 2022). In contrast, female patients who underwent surgery in 2020 and 2021 showed higher extension asymmetry index deficits (Q-AI: 34.09 ± 14.59% and 36.47 ± 16.36%, respectively) and increased flexion deficits in 2021 (H-AI: 25.14 ± 11.41%). Significant differences were observed in quadriceps and hamstring peak torque values, both absolute and normalized. By 2022, the female group exhibited a reduced extension deficit (Q-AI: 18.64 ± 14.49%) comparable to pre-pandemic levels (Q-AI: 19.84 ± 12.37%), indicating a recovery of knee extensor strength. Conclusion: Our study showed gender-specific differences in muscle strength recovery after ACLR during the COVID-19 pandemic, with females showing poorer outcomes than males at 5 months post-operation. Larger studies with extended follow-up are needed to clarify the pandemic’s impact and gender-specific responses. Full article

Adolescent idiopathic scoliosis (AIS) is treated with various forms of conservative care or surgery, depending on the degree of severity. When AIS is detected early, it can be monitored and initially treated with reduced invasiveness to prevent further progression. AIS manifests itself through deformations of the trunk, which are mostly identified as asymmetries in manual clinical examination. Torsobarography is a new pressure-based surface topographic system for posture analysis and evaluates such associated morphologic asymmetries. The aim of this study is to investigate the diagnostic validity of torsobarography by examining correlation of extracted torsobarographic indices with the Cobb angle and its ability to differentiate between different severities of scoliosis: no scoliosis, mild scoliosis, and moderate scoliosis. A total of 87 subjects (51 females and 36 males) were examined with torsobarography. Six torsobarographic indices were calculated for all subjects: torsobarography angle (TBA), sagittal imbalance index (SII), torso asymmetry index (TAI), shoulder asymmetry angle (SAA), waist asymmetry angle (WAA), and pelvis asymmetry Angle (PAA). These indices were correlated with the Cobb angle, and the differences between severities were statistically analyzed. Three out of six indices (TBA, TAI, and WAA) were able to significantly distinguish between mild and moderate scoliosis. Additionally, those indices showed moderate correlation ($\rho$ = 0.37–0.50) with the Cobb angle measurements. The WAA was the only statistically significant index capable of differentiating between no scoliosis and moderate scoliosis. This study is the first to demonstrate that torsobarography can distinguish between different severities of scoliosis and thus identify a scoliotic deformity that requires bracing over monitoring. Full article

(1) Background: The advancement of technologies has made morphological assessment rapid and reliable. A combination of 3D body scanning (3D-BS) and bioelectrical impedance (BIA) could be essential in monitoring the morphological status of athletes and the general population and their symmetries for coaches, researchers and medical professionals. (2) Methods: The current study presents the use of Inbody-720 BIA and 3D-BS NX-16 for analyzing the asymmetry profile of an athlete in 2 min on a sample of 106 male judo competitors from the following age categories: older boys—U14 (N = 24), younger cadets—U16 (N = 31), cadets—U18 (N = 17), juniors—U21 (N = 19) and seniors (N = 15). Variables observed were arm lean mass, upper arm, elbow, forearm and wrist girth, leg lean mass, thigh length, thigh, knee and calf girth. The paired sample t-test, asymmetry index (AI) and Kruskal–Wallis analysis were used at p ≤ 0.05; (3) Results: Morphological asymmetries were detected in all age categories: seniors—three, U21—four, U18—three, U16—five and U14—four. The most common asymmetrical variable in all categories was the forearm girth, while thigh length, knee girth and upper arm girth presented symmetrical variables in all age categories. AI showed that the size of the asymmetries did not differentiate between the age groups. (4) Conclusions: The current study demonstrated great potential for combining BIA and 3D-BS for rapid asymmetry detection that would allow for monitoring and quick adjustments to the training process in youth to senior age categories. Full article

Background: To investigate the geometry of the aortoiliac (AI) segment and its correlation with sex, age, and cardiovascular (CV) risk factors. Methods: Abdominal and pelvic CTA/MRA scans of 204 subjects (120 males; median age: 53 [IQR, 27–75] years) without AI steno-occlusive disease or scoliosis were retrospectively analyzed. The participants were enrolled consecutively, ensuring the representation of each age decade. An in-house written software was developed to assess AI elongation using the tortuosity index (TI) and absolute average curvature (AAC). Aortic bifurcation angle, common iliac artery (CIA) take-off and planarity angles, bifurcation asymmetry, and deviation from optimal bifurcation were calculated and evaluated. Demographic data, CV risk factors, and medical history were collected from electronic health records. Results: The elongation of the iliac arteries was more pronounced in males (TI: left CIA, p = 0.011; left EIA, p < 0.001; right CIA, p = 0.023; right EIA, p < 0.001; AAC: left EIA, p < 0.001; right EIA, p = 0.001). Age significantly influenced TI and AAC in all AI segments (all p < 0.001), but was also positively associated with the aortic bifurcation angle (p < 0.001), both CIA planarities (left, p < 0.001; right, p = 0.002), aortic bifurcation asymmetry (p = 0.001), and radius discrepancy (p < 0.001). Significant positive correlations were found between infrarenal aortic TI/AAC and chronic kidney disease (CKD) (p = 0.027 and p = 0.016), AAC of both CIAs and hypertension (left, p = 0.027; right, p = 0.012), right CIA take-off angle and CKD (p = 0.031), and left CIA planarity and hyperlipidemia (p = 0.006). Conclusion: Sex, age, and CV risk factors have a significant effect on the geometry of the AI segment. Full article

The aim of this report is to review the literature dealing with the postoperative correction of rib hump (RH) after spinal operations for adolescent idiopathic scoliosis (AIS) and its aetiological implications of hump postoperative fate for IS. Recommendations related to RH deformity for the follow-up of younger asymmetric but not scoliotic children are provided, and the concept that clinical monitoring of the chest deformity is more important than merely an initially negative radiographic examination (curve less than 10°) is underlined. Additionally, guidelines are provided based on the segments T1–T12 rib index (RI) in the existing lateral preoperative radiographs for the optimal selection of the rib level for a successfully costoplasty. This review is based on the collected articles that used either the RI method, derived from the double rib contour sign (DRCS) at the lateral spinal radiographs, or alternative methods for the assessment of the RH deformity and presented the results of the operative treatment of the scoliotic spine on RH. A total of 19 relevant articles published from 1976 to 2022 were found in PubMed. Findings: All the above articles show that not only is the hump incompletely corrected, but it recurs and worsens during the follow-up and even more intensively in skeletally immature operated scoliosis children. Conclusions and Future Directions: Surgery straightens the spine, yet the RH is corrected approximately only as much as the spinal derotation. The only way to correct the RH more is with costoplasty, which, however, is not performed in most cases for many reasons. The key reason for this phenomenon is the fact that the RH deformity (RHD) is mainly due to the asymmetric development of the ribs and much less so due to the rotation of the vertebrae in the thoracic spine. Surgery on the spine cannot limit the asymmetry of the ribs or stop the mechanism that causes their asymmetrical growth. The results presented in all the reviewed articles support the important protagonistic role of RHD on scoliogenesis, which precedes the subsequent formed spinal deformity. Full article

Brain hemispheres develop rather symmetrically, except in the case of pathology or intense training. As school experience is a form of training, the current study tested the influence of pedagogy on morphological development through the cortical thickness (CTh) asymmetry index (AI). First, we compared the CTh AI of 111 students aged 4 to 18 with 77 adults aged > 20. Second, we investigated the CTh AI of the students as a function of schooling background (Montessori or traditional). At the whole-brain level, CTh AI was not different between the adult and student groups, even when controlling for age. However, pedagogical experience was found to impact CTh AI in the temporal lobe, within the parahippocampal (PHC) region. The PHC region has a functional lateralization, with the right PHC region having a stronger involvement in spatiotemporal context encoding, while the left PHC region is involved in semantic encoding. We observed CTh asymmetry toward the left PHC region for participants enrolled in Montessori schools and toward the right for participants enrolled in traditional schools. As these participants were matched on age, intelligence, home-life and socioeconomic conditions, we interpret this effect found in memory-related brain regions to reflect differences in learning strategies. Pedagogy modulates how new concepts are encoded, with possible long-term effects on knowledge transfer. Full article

This study compares the accuracy and effectiveness of our novel 3D-printed titanium cutting guides with intraoperative surgical navigation for performing intraoral condylectomy in patients with mandibular condylar osteochondroma (OC). A total of 21 patients with mandibular condylar OC underwent intraoral condylectomy with either 3D-printed cutting guides (cutting guide group) or with surgical navigation (navigation group). The condylectomy accuracy in the cutting guide group and navigation group was determined by analyzing the three-dimensional (3D) discrepancies between the postoperative computed tomography (CT) images and the preoperative virtual surgical plan (VSP). Moreover, the improvement of the mandibular symmetry in both groups was determined by evaluating the chin deviation, chin rotation and mandibular asymmetry index (AI). The superimposition of the condylar osteotomy area showed that the postoperative results were very close to the VSP in both groups. The mean 3D deviation and maximum 3D deviation between the planned condylectomy and the actual result were 1.20 ± 0.60 mm and 2.36 ± 0.51 mm in the cutting guide group, and 1.33 ± 0.76 mm and 4.27 ± 1.99 mm in the navigation group. Moreover, the facial symmetry was greatly improved in both groups, indicated by significantly decreased chin deviation, chin rotation and AI. In conclusion, our results show that both 3D-printed cutting-guide-assisted and surgical-navigation-assisted methods of intraoral condylectomy have high accuracy and efficiency, while using a cutting guide can generate a relatively higher surgical accuracy. Moreover, our cutting guides exhibit user-friendly features and simplicity, which represents a promising prospect in everyday clinical practice. Full article

The purpose of the current investigation was to examine the effects of exercise intensity on asymmetry in pedal forces when the accumulation of fatigue is controlled for, and to assess the reliability of asymmetry outcomes during cycling. Participants completed an incremental cycling test to determine maximal oxygen consumption and the power that elicited maximal oxygen consumption (pVO₂max). Participants were allotted 30 min of recovery before then cycling at 60%, 70%, 80%, and 90% of pVO₂max for 3 min each, with 5 min of active recovery between each intensity. Participants returned to the laboratory on separate days to repeat all measures. A two-way repeated measures analysis of variance (ANOVA) was utilized to detect differences in power production AI at each of the submaximal exercise intensities and between Trials 1 and 2. Intraclass correlations were utilized to assess the test–retest reliability for the power production asymmetry index (AI). An ANOVA revealed no significant intensity–visit interactions for the power production AI (f = 0.835, p = 0.485, η² = 0.077), with no significant main effects present. ICC indicated excellent reliability in the power production AI at all intensities. Exercise intensity did not appear to affect asymmetry in pedal forces, while excellent reliability was observed in asymmetry outcomes. Full article

Background: This study aimed to compare brain asymmetry in patients with schizophrenia (SCZ), bipolar disorder (BPD), and healthy controls to test whether asymmetry patterns could discriminate and set boundaries between two partially overlapping severe mental disorders. Methods: We applied a fully automated voxel-based morphometry (VBM) approach to assess structural brain hemispheric asymmetry in magnetic resonance imaging (MRI) anatomical scans in 60 participants (SCZ = 20; BP = 20; healthy controls = 20), all right-handed and matched for gender, age, and education. Results: Significant differences in gray matter asymmetry were found between patients with SCZ and BPD, between SCZ patients and healthy controls (HC), and between BPD patients and HC. We found a higher asymmetry index (AI) in BPD patients when compared to SCZ in Brodmann areas 6, 11, and 37 and anterior cingulate cortex and an AI higher in SCZ patients when compared to BPD in the cerebellum. Conclusion: Our study found significant differences in brain asymmetry between patients with SCZ and BPD. These promising results could be translated to clinical practice, given that structural brain changes detected by MRI are good candidates for exploration as biological markers for differential diagnosis, besides helping to understand disease-specific abnormalities. Full article

Biometric identification uses person recognition techniques based on the extraction of some of their physical or biological properties, which make it possible to characterize and differentiate one person from another and provide irreplaceable and critical information that is suitable for application in security systems. The extraction of information from the electrical biosignal of the human brain has received a great deal of attention in recent years. Analysis of EEG signals has been widely used over the last century in medicine and as a basis for brain–machine interfaces (BMIs). In addition, the application of EEG signals for biometric recognition has recently been demonstrated. In this context, EEG-based biometric systems are often considered in two different applications: identification (one-to-many classification) and authentication (one-to-one or true/false classification). In this article, we establish a methodology for selecting and reducing the minimum number of EEG sensors necessary to carry out effective biometric identification of individuals. Two methodologies were applied, one based on principal component analysis and the other on the Wilcoxon signed-rank test in order to reduce the number of electrodes. This allowed us to identify, according to the methodology used, the areas of the cerebral cortex that would allow selection of the minimum number of electrodes necessary for the identification of individuals. The methodologies were applied to two databases, one with 13 people with self-collected recordings using low-cost EEG equipment, EMOTIV EPOC+, and another publicly available database with recordings from 109 people provided by the PhysioNet BCI. Full article

The objective of this study was to determine and compare leg asymmetry between preferred dominant and non-dominant legs in muscular power and balance among sub-elite soccer (football) players in Qatar. Thirty-two professional local soccer players from the Qatar Stars League (Second Division) participated in the study (23.1 ± 6.1 years). They were classified according to their preferred dominant leg (preferred leg to kick the ball). Twenty-two players had a right dominant leg, and the remaining ten had a left dominant leg. Countermovement jump (CMJ) was used to measure unilateral and bilateral vertical jump performances. The Y-balance test (YBT) was used to assess dynamic balance. No significant differences were found between the dominant and non-dominant leg for CMJ flight height (p > 0.05; asymmetry index (AI) = 1.83 ± 11.46) or the relative and absolute reach distance derived from the YBT (p > 0.05; AI (relative) = −0.45 ± 9.68, AI (absolute) = −0.60 ± 12.3). Bilateral asymmetry in dynamic balance was not significant for any of the anterior, posteromedial, or the posterolateral reaching directions (p > 0.05). The selected football players demonstrated an acceptable level of leg symmetry for power and dynamic balance. These findings may prove helpful for the assessment and evaluation of talents and should help to develop and optimize training regimes. Full article

Impaired balance is associated with an increased risk of lower extremity injuries. The purpose of this study was to investigate the relationship between age, anthropometric measurement, and asymmetry index (AI) in an adolescent high school population. Twenty-six male students (15 ± 1.0 years) were randomly selected. Body composition, measurements of vertical jump height using a countermovement jump test (CMJ), and dynamic single stance balance using the Y-balance test (YBT), were collected over 4 weeks. Hierarchical multiple linear regression analyses were used as dimension reduction techniques in four different blocks to determine valid predictors for AIs. In the first regression analysis, controlling for age, body mass, height, and body mass index (BMI), the regression coefficient (B = 0.383, 95% confidence interval [CI] [0.088, 0.679], p < 0.05) associated with body fat indicated that with each additional unit of body fat, the YBT AI increased by 0.383 units. In the second regression analysis, controlling for age, body mass, and BMI, the regression coefficients associated with height (B = −1.692, 95% CI [−3.115, −0.269], p < 0.05] and body fat percentage (B = 0.529, 95% CI [0.075, 0.983], p < 0.05) indicated that with each additional unit of height or body fat percentage, the CMJ AI decreased by 1.692 units and increased by 0.529 units. Grouping participants based on body fat percentage had a significant effect on the AIs (p < 0.05) of the CMJ and YBT. The AI of the CMJ was 15% higher, and that of the YBT was 7% higher in non-obese students than obese students. These findings contribute to the knowledge of the local community and the emerging body of literature on motor skills and competence related to weight in this population. Full article

Axial twisting of the spine has been previously shown to be affected by scoliosis with decreased motion and asymmetric twisting. Existing methods for evaluating twisting may be cumbersome, unreliable, or require radiation exposure. In this study, we present an automated surface topographic measurement tool to evaluate global axial rotation of the spine, along with two measurements: twisting range of motion (T_ROM) and twisting asymmetry index (T_ASI). The aim of this study is to evaluate the impact of scoliosis on axial range of motion. Adolescent idiopathic scoliosis (AIS) patients and asymptomatic controls were scanned in a topographic scanner while twisting maximally to the left and right. T_ROM was significantly lower for AIS patients compared to control patients (69.1° vs. 78.5°, p = 0.020). T_ASI was significantly higher for AIS patients compared to control patients (29.6 vs. 19.8, p = 0.023). After stratifying by scoliosis severity, both T_ROM and T_ASI were significantly different only between control and severe scoliosis patients (Cobb angle > 40°). AIS patients were then divided by their major curve region (thoracic, thoracolumbar, or lumbar). ANOVA and post hoc tests showed that only T_ROM is significantly different between thoracic AIS patients and control patients. Thus, we demonstrate that surface topographic scanning can be used to evaluate twisting in AIS patients. Full article

The role of MR Arterial-Spin-Labeling Cerebral Blood Flow maps (ASL-CBF) in the assessment of pediatric focal epilepsy is still debated. We aim to compare the Seizure Onset Zone (SOZ) detection rate of three methods of evaluation of ASL-CBF: 1) qualitative visual (qCBF), 2) z-score voxel-based quantitative analysis of index of asymmetry (AI-CBF), and 3) z-score voxel-based cluster analysis of the quantitative difference of patient’s CBF from the normative data of an age-matched healthy population (cCBF). Interictal ASL-CBF were acquired in 65 pediatric patients with focal epilepsy: 26 with focal brain lesions and 39 with a normal MRI. All hypoperfusion areas visible in at least 3 contiguous images of qCBF analysis were identified. In the quantitative evaluations, clusters with a significant z-score AI-CBF ≤ −1.64 and areas with a z-score cCBF ≤ −1.64 were considered potentially related to the SOZ. These areas were compared with the SOZ defined by the anatomo-electro-clinical data. In patients with a positive MRI, SOZ was correctly identified in 27% of patients using qCBF, 73% using AI-CBF, and 77% using cCBF. In negative MRI patients, SOZ was identified in 18% of patients using qCBF, in 46% using AI-CBF, and in 64% using cCBF (p < 0.001). Quantitative analyses of ASL-CBF maps increase the detection rate of SOZ compared to the qualitative method, principally in negative MRI patients. Full article