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16 pages, 1004 KB  
Article
Evaluation of Muscle Oxygenation Responses to Eccentric Exercise and Recovery Enhancement Using Capacitive–Resistive Electric Transfer and Vibration Therapy
by Łukasz Oleksy, Anna Mika, Maciej Daszkiewicz, Martyna Sopa, Miłosz Szczudło, Maciej Kuchciak, Artur Stolarczyk, Olga Adamska, Paweł Reichert, Zofia Dzięcioł-Anikiej and Renata Kielnar
J. Clin. Med. 2026, 15(2), 794; https://doi.org/10.3390/jcm15020794 - 19 Jan 2026
Viewed by 153
Abstract
Background: Although Capacitive–Resistive Electric Transfer (TECAR) and vibration therapy (VT) are increasingly used in sports recovery, their effects on muscle oxygenation remain unclear. Objectives: This study compared the short-term influence of TECAR and VT on muscle oxygenation following eccentric exercise in young, active [...] Read more.
Background: Although Capacitive–Resistive Electric Transfer (TECAR) and vibration therapy (VT) are increasingly used in sports recovery, their effects on muscle oxygenation remain unclear. Objectives: This study compared the short-term influence of TECAR and VT on muscle oxygenation following eccentric exercise in young, active adults. We hypothesized that both interventions would support early metabolic recovery, as reflected by changes in muscle oxygenation, and potentially reduce the risk of musculoskeletal overuse. Methods: Forty-one young, recreationally active adults (age: 19 ± 2 years; height: 168 ± 9 cm; body mass: 63 ± 13 kg) were randomized into two groups: TECAR therapy and VT. Muscle oxygenation was assessed at baseline, post-exercise, and post-intervention using the arterial occlusion method with a MOXY muscle oxygenation monitor (Fortiori Design LLC, USA). The primary variables were mVO2 (muscle oxygen consumption), ΔSmO2 (change in oxygen saturation during occlusion), and ΔtHb (change in hemoglobin level during occlusion). Data were analyzed using a two-way repeated-measures ANOVA with post hoc Tukey tests, and statistical significance was set at p < 0.05. Results: Eccentric exercise significantly reduced mVO2 in both groups (VT: −0.18 ± 0.40 to −1.62 ± 0.70; TECAR: −0.12 ± 0.40 to −1.24 ± 0.70), indicating decreased metabolic demand. Following recovery, mVO2 increased in both groups (VT: −0.86 ± 0.50; TECAR: −0.35 ± 0.40), with no significant between-group differences (p > 0.05). ΔSmO2 also decreased after exercise (VT: −0.7 ± 0.4 to −3.2 ± 0.9; TECAR: −0.9 ± 0.6 to −3.45 ± 0.7). After recovery, ΔSmO2 partially returned to baseline (VT: −2.6 ± 0.8; TECAR: −1.35 ± 0.4), with no significant between-group differences. ΔtHb increased following exercise in both groups (VT: 0.03 ± 0.04 to 0.13 ± 0.09; TECAR: 0.03 ± 0.04 to 0.15 ± 0.07) and decreased after recovery to similar levels (VT: −0.05 ± 0.05; TECAR: −0.06 ± 0.04; p > 0.05). Conclusions: Both TECAR and VT were associated with improved muscle oxygenation during early recovery after eccentric exercise, as reflected by increases in mVO2 and comparable ΔtHb responses. Although ΔSmO2 tended to decrease more after VT, this difference was not statistically significant and should be interpreted cautiously. Overall, both modalities appear to be effective recovery-supporting strategies, while further controlled studies are needed to clarify their role in different athletic populations and exercise contexts. Full article
(This article belongs to the Special Issue Clinical Aspects of Return to Sport After Injuries: 2nd Edition)
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25 pages, 856 KB  
Article
Immediate Effect of Whole-Body Vibration Exercise Performed in Vertical Versus Side-Alternating Displacement Modes on Physiological Parameters, Perception of Effort, Strength and Functionality in Adults with Obesity
by Aline Reis-Silva, André Luiz Bandeira Dionizio Cardoso, Ana Carolina Coelho-Oliveira, Daniel Batouli-Santos, Gabriel Siriano Damasceno dos Santos, Jennyfer Silva Mazini, Ana Gabriellie Valério-Penha, Alessandra Andrade-Nascimento, Marcia Cristina Moura-Fernandes, Redha Taiar, Alessandro Sartorio, Danúbia da Cunha de Sá-Caputo and Mario Bernardo-Filho
Diagnostics 2026, 16(2), 316; https://doi.org/10.3390/diagnostics16020316 - 19 Jan 2026
Viewed by 175
Abstract
Background: Obesity, defined as an abnormal accumulation of body fat, is becoming a global epidemic. Individuals with obesity may present with increased abdominal fat, which is associated with hypertension, altered respiratory mechanics, higher resting heart rate, and may contribute to an increased [...] Read more.
Background: Obesity, defined as an abnormal accumulation of body fat, is becoming a global epidemic. Individuals with obesity may present with increased abdominal fat, which is associated with hypertension, altered respiratory mechanics, higher resting heart rate, and may contribute to an increased cardiovascular risk. Physiological parameters, such as heart rate, blood pressure, respiratory rate, and oxygen saturation, can change hours before the occurrence of a clinically relevant adverse event. Thus, physiological parameters can be considered good predictors of clinical deterioration. Obesity is also associated with physical dysfunctions that can impair physical performance. The non-pharmacological therapeutic strategy for the treatment of obesity involves lifestyle modifications, including a healthy diet and regular physical exercise. Whole-body vibration (WBV) exercise, a type of physical activity, has demonstrated benefits in several specific populations, including obese individuals. Objectives: The objective of this study was to evaluate the immediate effects of a single whole-body vibration (WBV) exercise session, consisting of 15 sets, using a vibration platform (VP) with alternating vertical or lateral displacement, on physiological parameters, perceived exertion, strength, and functionality in obese adults. Methods: Seventy-two obese adult participants were randomly divided into three groups (vertical group, alternating lateral group, and placebo group). Physiological parameters were assessed before, during, and after the intervention, in addition to perceived exertion, functionality, and muscle strength. Results: When comparing the results before and after the intervention, the heart rate–pressure product increased significantly in the alternating lateral group (p = 0.005), and heart rate increased significantly (p = 0.0001) and then decreased significantly (p = 0.030) only in the alternating lateral group. Post hoc analysis revealed a significant increase in perceived exertion in the lateral alternation group, from the period before the intervention to the 10th set (p = 0.006) and from the period before to the period after the intervention (p = 0.011). In the vertical group, a significant increase was observed from the period before the intervention to the 10th set (p = 0.020). Conclusions: In conclusion, considering all the findings of this study, whole-body vibration (WBV) exercise promoted some immediate changes in physiological parameters and perception of effort in obese adults. WBV exercise with the alternating vibration platform induced significant fluctuations in heart rate and increased the heart rate–blood pressure product, although with values within the normal range. Perception of effort increased in all groups. Considering the absence of discrepant changes in physiological parameters, impact on the cardiovascular system, and fatigue, the WBV exercise intervention in side-alternating or vertical vibration vibratory platforms can be considered a viable non-conventional exercise option for the obese population. Full article
(This article belongs to the Section Clinical Diagnosis and Prognosis)
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19 pages, 857 KB  
Article
Acute and Chronic Effects of Whole-Body Vibration Training on Oxidative Stress and Cellular Damage Markers in Young Healthy Women
by Halina Gattner, Justyna Adamiak, Olga Czerwińska-Ledwig, Sylwia Mętel, Magdalena Kępińska-Szyszkowska and Anna Kurkiewicz-Piotrowska
Int. J. Mol. Sci. 2026, 27(2), 899; https://doi.org/10.3390/ijms27020899 - 16 Jan 2026
Viewed by 180
Abstract
The acute (single-session) and chronic (12-week) effects of whole-body vibration training (WBVT) on oxidative stress, muscle damage, and deoxyribonucleic acid (DNA) damage were evaluated in inactive women (20.48 ± 1.72 years). Participants were assigned to vibration training (EVG, n = 17), traditional exercise [...] Read more.
The acute (single-session) and chronic (12-week) effects of whole-body vibration training (WBVT) on oxidative stress, muscle damage, and deoxyribonucleic acid (DNA) damage were evaluated in inactive women (20.48 ± 1.72 years). Participants were assigned to vibration training (EVG, n = 17), traditional exercise (EXG, n = 12), or control groups (CON, n = 17). Blood was collected pre- and post- the first and last sessions for EVG and EXG and at baseline and after 12 weeks for the CON. A significant main effect of time was observed for total antioxidant capacity (TAC, p < 0.001), indicating long-term enhancement of the antioxidant barrier across all groups. Analysis of change scores (Δ) revealed that the 12-week intervention significantly dampened the acute post-exercise response for white blood cells (WBCs, p < 0.001), neutrophils (NEUTs, p = 0.010), and myoglobin (Mb, p = 0.004), confirming systemic adaptation in both training groups. A significant reduction in total oxidant status (TOS, p = 0.042) was also noted between the first and last sessions. Significant main effects of group were found for WBCs, NEUTs, 8-hydroxy-2′-deoxyguanosine (8-OHdG), Mb, body mass, and fat-free mass, reflecting persistent baseline differences; however, no significant group-by-time interactions were identified. In conclusion, while WBVT did not show superior effects, it is a safe modality, comparable to traditional exercise, for improving oxidative stress tolerance and muscle recovery. Full article
(This article belongs to the Special Issue Biological and Molecular Aspects of Exercise Adaptation)
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21 pages, 8711 KB  
Article
Phylogenetic and Morphological Analysis of Wing Base Articulation in Vespidae (Hymenoptera): A Cladistic Approach
by Hasin Ullah, Xiaojuan Huang, Yao Zhang, Jia Li, Danyang Zhu, Chenlu Yang, Yuan Hua, Lian-Xi Xing and Jiangli Tan
Insects 2026, 17(1), 39; https://doi.org/10.3390/insects17010039 - 27 Dec 2025
Viewed by 430
Abstract
Insect wing base sclerites are crucial to wing function and evolution, yet their diversity beyond order-level comparisons remains poorly understood. We examine variation in wing base sclerites across Vespidae, focusing on the axillary sclerites (1Ax, 2Ax, and 3Ax), the shoulder sclerite, and associated [...] Read more.
Insect wing base sclerites are crucial to wing function and evolution, yet their diversity beyond order-level comparisons remains poorly understood. We examine variation in wing base sclerites across Vespidae, focusing on the axillary sclerites (1Ax, 2Ax, and 3Ax), the shoulder sclerite, and associated structures. The first axillary sclerite shows distinct regional differentiation and bears a well-sclerotized knob that influences wing articulation. Additionally, 2Ax in Vespidae is a single, triangular structure with three attachment points, distinct from the two-part composition in some other wasps, which facilitates high-frequency wing vibrations. Our findings also highlight variable fusion patterns in 3Ax and its interaction with 2Ax, contributing to wing flexibility. The basiradial bridge, connecting the subcostal and radial veins, reinforces wing stability and articulation. Phylogenetic analysis based on wing-base morphology does not support the monophyly of Vespidae and differs from molecular hypotheses, but it refines previous morphological interpretations. The well-supported subfamily relationships confirm Vespinae as a monophyletic group and reveal a close association among Polistinae, Stenogastrinae, and Eumeninae, as represented by Polistes, Eustenogaster, and Oreumenes, respectively, suggesting evolutionary transitions in social behavior within the family Vespidae. The absence of a fourth axillary sclerite challenges earlier hypotheses, providing new insights into Hymenopteran wing base evolution. Two articulation models are proposed for forewings and hindwings, supported by three-dimensional reconstructions of axillary sclerites, indirect and direct flight muscles, and their attachment sites. These results refine interpretations of wasp wing mechanics, evolution, and morphological diversification across taxa. Full article
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14 pages, 1159 KB  
Article
Comparison of Vocal Fold Vibratory Characteristics in Adductor Spasmodic Dysphonia and Muscle Tension Dysphonia Using High-Speed Videolaryngoscopy with 2D and Line Digital Kymography
by Nayeon Choi, Su Na Park and GilJoon Lee
J. Clin. Med. 2025, 14(24), 8695; https://doi.org/10.3390/jcm14248695 - 8 Dec 2025
Viewed by 378
Abstract
Background/Objectives: Differentiating adductor spasmodic dysphonia (AdSD) from muscle tension dysphonia (MTD) is challenging because their auditory–perceptual features often overlap. We examined whether high-speed videolaryngoscopy (HSV) combined with two-dimensional digital kymography (2D-DKG) and line DKG yields qualitative signs and quantitative metrics that distinguish AdSD [...] Read more.
Background/Objectives: Differentiating adductor spasmodic dysphonia (AdSD) from muscle tension dysphonia (MTD) is challenging because their auditory–perceptual features often overlap. We examined whether high-speed videolaryngoscopy (HSV) combined with two-dimensional digital kymography (2D-DKG) and line DKG yields qualitative signs and quantitative metrics that distinguish AdSD from MTD. Methods: We analyzed vocal fold vibration in eight patients with AdSD, eight with primary MTD, and eleven vocally healthy controls using a multifunctional system integrating HSV, 2D-DKG, and line DKG. Qualitative features (glottal closure, mucosal wave, phase and amplitude symmetry, oscillatory breaks, and supraglottic hyperfunction) and quantitative indices (closed quotient [CQ], speed quotient [SQ], phase symmetry index [PSI], amplitude symmetry index [ASI]) were assessed. Group differences were tested with one-way ANOVA and Scheffé post hoc comparisons. Results: Oscillatory breaks were observed in 75% of AdSD cases and in 0% of MTD and controls, whereas supraglottic hyperfunction occurred in 100% of MTD and in 0% of AdSD and controls. Quantitatively, CQ, SQ, PSI, and ASI differed between dysphonic groups and controls (p < 0.05), but no quantitative index discriminated against AdSD from MTD. Conclusions: HSV with 2D-/line-DKG provides complementary, objective information on vibratory patterns and supraglottic behavior, supporting targeted qualitative assessment in the clinical differentiation between AdSD and MTD, and highlighting the need for its incorporation into clinical practice as a procedure to assist in the complex diagnostic distinction between these conditions. Full article
(This article belongs to the Section Otolaryngology)
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16 pages, 1216 KB  
Article
Effect of Neck Muscle Vibration Prior to Motor Learning on Short-Latency SEP Peak Amplitudes and Motor Performance
by Alexandre Kalogerakis, Paul Yielder, Hailey Tabbert and Bernadette Murphy
Brain Sci. 2025, 15(12), 1311; https://doi.org/10.3390/brainsci15121311 - 5 Dec 2025
Viewed by 492
Abstract
Background/Objectives: Neck muscle vibration alters neural processing, sensorimotor integration, and proprioception in healthy adults. Significant differential changes in the N18 and N24 somatosensory evoked potential (SEP) peak amplitudes, coupled with altered motor learning, occurred when completion of a force-matching task took place [...] Read more.
Background/Objectives: Neck muscle vibration alters neural processing, sensorimotor integration, and proprioception in healthy adults. Significant differential changes in the N18 and N24 somatosensory evoked potential (SEP) peak amplitudes, coupled with altered motor learning, occurred when completion of a force-matching task took place following neck muscle vibration. It is currently unknown if neck muscle vibration also impacts acquisition of skills from visuomotor tracking tasks, a gap this research addresses. Methods: A total of 25 right-handed, healthy participants were divided into vibration (age: 21.7 ± 1.89, n = 13; 8 females) (V) and no-vibration (NV) control (age: 21.2 ± 3.03, n = 12; 6 females) groups. The vibration was device applied over the right sternocleidomastoid and left cervical extensor muscles. The participants underwent right-median-nerve stimulation at 2.47 Hz and 4.98 Hz to elicit SEPs. A total of 1000 sweeps were recorded and averaged using an ANT Neuro Waveguard 64-lead EEG cap (ANT Neuro, the Netherlands, Manufactured by Eemagine, Berlin, Germany)pre- and post-completion of a novel visuomotor tracing task (MTT). Post-acquisition, the NV group had a 10 min rest, and the V group received 10 min of vibration at 60 Hz before motor task completion, followed immediately by post-acquisition and retention 24 h after. Results: N18 peak: The V group exhibited a proportional amplitude increase of 19%, while the NV group exhibited a 36% decrease. There was a trend toward decreased retention in the V group. P25 showed a significant effect of time, with increases of 11% for V and 9% for NV. Conclusions: V resulted in N18 SEP changes post-MTT-skill-acquisition. Both groups appeared to learn, with the V trending towards less retention. Full article
(This article belongs to the Special Issue Somatosensory Evoked Potentials: Beyond Somesthesis)
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21 pages, 577 KB  
Review
The Present and Future of Sarcopenia Diagnosis and Exercise Interventions: A Narrative Review
by Hongje Jang, Jeonghyeok Song, Jeonghun Kim, Hyeongmin Lee, Hyemin Lee, Hye-yeon Park, Huijin Shin, Yeah-eun Kwon, Yeji Kim and JongEun Yim
Appl. Sci. 2025, 15(23), 12760; https://doi.org/10.3390/app152312760 - 2 Dec 2025
Viewed by 2024
Abstract
The aim of this review was to harmonize major consensus statements (European Working Group on Sarcopenia in Older People 2; Asian Working Group for Sarcopenia 2019; Foundation for the National Institutes of Health Sarcopenia Project operational criteria) into a stage- and setting-stratified algorithm. [...] Read more.
The aim of this review was to harmonize major consensus statements (European Working Group on Sarcopenia in Older People 2; Asian Working Group for Sarcopenia 2019; Foundation for the National Institutes of Health Sarcopenia Project operational criteria) into a stage- and setting-stratified algorithm. It maps diagnostic strata to dose-defined resistance and combined training, integrates multimodal and technology-enabled options (whole-body electrical muscle stimulation, whole-body vibration, virtual reality, AI-assisted telerehabilitation) with safety cues, and embeds nutrition (≥1.2 g/kg/day protein, vitamin D, key micronutrients) and education to sustain adherence. Sarcopenia is a consequential geriatric syndrome linked to falls, loss of independence, hospitalization, mortality, and psychosocial burden, yet translation to practice is hindered by heterogeneous definitions, diagnostics, and treatment guidance. Literature searches via PubMed/MEDLINE, EBSCO, SciELO, and Google Scholar (January 2000 to August 2025) yielded 354 records; after screening and deduplication, 132 peer-reviewed studies were included. We summarize tools for screening, strength, muscle mass, and function (e.g., Sarcopenia Five-Item Questionnaire, grip strength, dual-energy X-ray absorptiometry, gait speed) and identify resistance exercise as the cornerstone, with aerobic, balance, and flexibility training adding functional and metabolic benefits. Clinic-ready tables and figures operationalize a stepwise program across primary to severe sarcopenia and across acute or iatrogenic to community settings. Early screening plus structured, exercise-centered care, augmented by targeted nutrition and education, offers pragmatic, scalable benefits. Full article
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12 pages, 473 KB  
Review
Advances in Non-Pharmacological Strategies for DOMS: A Scoping and Critical Review of Recent Evidence
by Luigi Di Lorenzo, Alfonso Maria Forte, Valeria Agosti, Francesco Forte, Tiziana Lanciano, Nicola Pirraglia and Carmine D’Avanzo
J. Funct. Morphol. Kinesiol. 2025, 10(4), 452; https://doi.org/10.3390/jfmk10040452 - 20 Nov 2025
Viewed by 2558
Abstract
Background: Delayed Onset Muscle Soreness (DOMS) is a transient, exercise-induced condition characterized by muscle pain, stiffness, and functional impairment, particularly following eccentric or high-intensity physical activity. Recent advances in diagnostic imaging, neurophysiology, and therapeutic techniques have led to a reassessment of DOMS [...] Read more.
Background: Delayed Onset Muscle Soreness (DOMS) is a transient, exercise-induced condition characterized by muscle pain, stiffness, and functional impairment, particularly following eccentric or high-intensity physical activity. Recent advances in diagnostic imaging, neurophysiology, and therapeutic techniques have led to a reassessment of DOMS pathophysiology and management. Objective: This scoping review aims to critically evaluate non-pharmacological strategies for DOMS management, focusing on clinical studies published between 2020 and 2025. Emphasis is placed on physical, thermal, neurophysiological, and nutritional interventions in athletic populations. Methods: A comprehensive literature search was conducted using PubMed, Scopus, and Web of Science. Included studies were randomized controlled trials, systematic reviews, meta-analyses, and high-quality scoping reviews. Methodological quality was assessed using PEDro, AMSTAR 2, and ROBIS tools. Key outcome measures included pain (VAS), functional recovery (ROM, performance), biochemical markers (CK, IL-6), and neuromuscular activation (iEMG). Results: Twenty-five studies met the inclusion criteria. Emerging strategies such as cryosauna, vibration therapy, percussive massage, and polyphenol supplementation demonstrated significant benefits in reducing DOMS-related symptoms and enhancing recovery. Evidence supports the integration of multimodal, personalized interventions over monotherapies. Imaging techniques (7T MRI, ultrasound) confirmed microstructural muscle changes consistent with DOMS, strengthening diagnostic precision. Conclusions: Non-pharmacological approaches to DOMS have evolved considerably, highlighting the importance of combining mechanical, thermal, and nutritional modalities. Personalized, multimodal recovery strategies appear most effective for symptom relief and performance restoration. Future studies should aim to standardize treatment protocols and outcome measures to improve clinical applicability. Full article
(This article belongs to the Section Functional Anatomy and Musculoskeletal System)
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12 pages, 1984 KB  
Article
Sensory Recovery After Free Muscle Flap Reconstruction—A Clinical Study of Protective and Discriminative Function of Free Gracilis and Latissimus Dorsi Muscle Flaps Without Neurotization
by Maximilian C. Stumpfe, Moritz Billner, Marc Hellweg, Maximilian Hirschmann, Rakan R. Al-Turki, Celena A. Sörgel, Vadym Burchak, Nikolaus Wachtel and Denis Ehrl
Med. Sci. 2025, 13(4), 262; https://doi.org/10.3390/medsci13040262 - 7 Nov 2025
Viewed by 579
Abstract
Background/Objectives: Free gracilis (GM) and latissimus dorsi muscle (LDM) flaps are reliable options for complex defect coverage, but long-term sensory outcomes remain underexplored. Sensory impairment, especially the loss of protective cutaneous sensation, increases the risk of injury, thermal damage, and ulceration in reconstructed [...] Read more.
Background/Objectives: Free gracilis (GM) and latissimus dorsi muscle (LDM) flaps are reliable options for complex defect coverage, but long-term sensory outcomes remain underexplored. Sensory impairment, especially the loss of protective cutaneous sensation, increases the risk of injury, thermal damage, and ulceration in reconstructed areas. This study aimed to systematically assess multidimensional sensory recovery after free muscle flap (FMF) reconstruction. Methods: In a prospective single-center study, 94 patients (49 GM, 45 LDM) underwent standardized sensory testing following FMF transfer. Five modalities were evaluated: pressure detection (Semmes-Weinstein monofilaments), vibration perception, two-point discrimination (2PD), sharp–dull differentiation, and temperature differentiation. Measurements were compared to contralateral healthy skin (CHS). Subgroup analyses were performed by anatomical region (head, trunk, extremities). Results: All sensory modalities were significantly impaired in FMF compared to CHS (p < 0.0001). Mean pressure thresholds were markedly higher in FMF (248.8 g) versus CHS (46.8 g). Vibration perception scores were reduced (FMF 3.97 vs. CHS 5.31), and 2PD was significantly poorer (11.6 cm vs. 4.7 cm). Sharp–dull and thermal discrimination were largely absent in FMF (positivity rates < 20%), with 58.5% of patients demonstrating only deep pressure sensation (≥300 g). No significant differences were found between GM and LDM in most modalities, except for worse 2PD in GM. Subgroup analyses confirmed uniform deficits across all anatomical regions. Conclusions: FMFs without neurotization result in profound, persistent sensory deficits, particularly the loss of protective sensation. Clinically, fascio-cutaneous flaps with nerve coaptation should be considered in functionally critical regions. Future strategies should focus on neurotization techniques to enhance sensory recovery. Full article
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11 pages, 1461 KB  
Article
Triceps Surae Ia Proprioceptive Weighting in Postural Control During Quiet Stance with Vision Occlusion
by Gordon R. Chalmers
J. Funct. Morphol. Kinesiol. 2025, 10(4), 430; https://doi.org/10.3390/jfmk10040430 - 5 Nov 2025
Viewed by 1436
Abstract
Background: Visual, vestibular, proprioceptive and cutaneous sensory information is important for postural control during quiet stance. When the reliability of one source of sensory information used to detect self-motion for postural control is reduced, there may be a reweighting of inputs within [...] Read more.
Background: Visual, vestibular, proprioceptive and cutaneous sensory information is important for postural control during quiet stance. When the reliability of one source of sensory information used to detect self-motion for postural control is reduced, there may be a reweighting of inputs within and/or across the remaining sensory systems determining self-motion for postural control. Muscle vibration, which creates an illusion of muscle stretch and a compensatory movement to shorten the vibrated muscle, may be used to determine the weighting of muscle spindle Ia proprioception in postural control. The objective of this study was to determine the effect of vision occlusion on triceps surae (TS) Ia proprioceptive weighting in postural control during quiet stance, utilizing an 80 Hz muscle vibration stimulus and a quantitative measure of the body’s anterior to posterior ground center of pressure (COP) response to TS muscle vibration in subjects standing freely. Methods: Subjects (N = 41; mean (standard deviation), 19.6(2.0) years) were examined as they stood with eyes open (EO) or eyes closed (EC). Ground COP was measured during quiet standing with and without bilateral vibration of the TS muscles. Results: The mean backward COP shift induced by TS vibration was significantly greater during the EC condition compared to EO (EC: −4.93(1.62) centimeters; EO: −3.21(1.33) centimeters; p = 6.85 × 10−10; Cohen’s d = 1.29). Thirty-seven subjects increased, and two subjects decreased their vibration-induced COP backward shift in the EC condition compared to EO, although the magnitude of the change varied. Conclusions: The results support the idea that, for most young subjects, there is an increased triceps surae Ia proprioceptive weighting for postural control during EC stance, possibly due to the need for postural control to depend more on non-visual feedback. Full article
(This article belongs to the Section Kinesiology and Biomechanics)
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19 pages, 1910 KB  
Systematic Review
The Effects of Vibration Therapy on Activities of Daily Living After Stroke: A Systematic Review and Meta-Analysis
by Jeong-Woo Seo, Jaeuk. U. Kim, Jung-Dae Kim and Ji-Woo Seok
J. Clin. Med. 2025, 14(21), 7682; https://doi.org/10.3390/jcm14217682 - 29 Oct 2025
Viewed by 2271
Abstract
Background/Objectives: Activities of daily living (ADL) are critical for independence after stroke, yet many survivors remain functionally limited. Vibration therapy (VT), including whole-body and focal modalities, has been proposed as an adjunct to enhance recovery, but effects on ADL remain unclear. This [...] Read more.
Background/Objectives: Activities of daily living (ADL) are critical for independence after stroke, yet many survivors remain functionally limited. Vibration therapy (VT), including whole-body and focal modalities, has been proposed as an adjunct to enhance recovery, but effects on ADL remain unclear. This study aimed to evaluate the overall effectiveness of VT on ADL and to identify moderating factors. Methods: A systematic review and meta-analysis were conducted following PRISMA 2020 guidelines. Thirteen controlled trials (12 RCTs, 1 nRCT) involving VT in stroke were included. Standardized mean differences (Hedges’ g) were synthesized using random-effects models. Meta-regression and subgroup analyses examined moderators such as session number, vibration parameters, stroke stage, and ADL subdomains. Risk of bias was assessed with RoB 2 and ROBINS-I. Results: VT produced a small but significant effect on ADL (Hedges’ g = 0.19; 95% CI: 0.06–0.33; p = 0.008), though significance was lost after adjustment for publication bias. Heterogeneity was moderate (I2 = 34%). Session number was the only significant moderator (p = 0.045), explaining ~24% of variance, with the greatest benefit in the 13–24 session range (g = 0.34; 95% CI: 0.05–0.63). Subgroup analysis showed improvement in physical function/mobility (g = 0.32; p = 0.048), but not in self-care or quality-of-life outcomes. Other parameters were not significant moderators. Conclusions: VT confers modest benefits for ADL after stroke, particularly in mobility-related domains. Session number appears clinically important, with 13–24 sessions suggesting an optimal dose window. Full article
(This article belongs to the Special Issue Clinical Perspectives in Stroke Rehabilitation)
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14 pages, 1727 KB  
Article
Postural and Muscular Responses to a Novel Multisensory Relaxation System in Children with Autism Spectrum Disorder: A Pilot Feasibility Study
by Laura Zaliene, Daiva Mockeviciene, Eugenijus Macerauskas, Vytautas Zalys and Migle Dovydaitiene
Children 2025, 12(11), 1455; https://doi.org/10.3390/children12111455 - 26 Oct 2025
Viewed by 777
Abstract
Background: Children with autism spectrum disorder (ASD) frequently show postural abnormalities and elevated muscle tone, which can hinder participation in education and rehabilitation. Evidence on the immediate physiological effects of standardized multisensory environments is limited. Objective: To evaluate feasibility, safety and short-term physiological/postural [...] Read more.
Background: Children with autism spectrum disorder (ASD) frequently show postural abnormalities and elevated muscle tone, which can hinder participation in education and rehabilitation. Evidence on the immediate physiological effects of standardized multisensory environments is limited. Objective: To evaluate feasibility, safety and short-term physiological/postural responses to an automated multisensory smart relaxation system in children with severe ASD. Methods: In a single-session pilot across three sites, 30 children (27 boys; 6–16 years) underwent pre–post postural observation and bilateral surface EMG of the upper trapezius, biceps brachii and rectus abdominis. The system delivered parameterized sound, vibration, and mild heat. EMG was normalized to a quiet-sitting baseline. Results: The intervention was well tolerated with no adverse events. Most children sat independently (25/30; 80%) and a majority stood up unaided after the session (24/30; 76.9%). Postural profiles reflected common ASD features (neutral trunk 76%, forward head 52%, rounded/protracted shoulders 46%), while limb behavior was predominantly calm (73%). Normalized EMG amplitudes were low, with no significant pre–post changes and no meaningful left–right asymmetries (all p > 0.05; Cohen’s d < 0.20), indicating physiological calmness rather than tonic co-contraction. Conclusions: A single session with a smart multisensory relaxation system was safe, feasible, and physiologically calming for children with severe ASD, without increasing postural or muscular tension. The platform’s standardization and objective monitoring support its potential as a short-term calming adjunct before therapy or classroom tasks. Larger, gender-balanced, multi-session trials with behavioral outcomes are warranted. Full article
(This article belongs to the Section Global Pediatric Health)
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24 pages, 1048 KB  
Systematic Review
The Potential of Focal Muscle Vibration Therapy in the Management of Parkinson’s Disease: A Systematic Review
by Daniel Rafti, Andreea-Bianca Uzun, Lavinia Bodeanu, Liliana-Elena Stanciu, Marius-Nicolae Popescu and Madalina-Gabriela Iliescu
J. Clin. Med. 2025, 14(21), 7472; https://doi.org/10.3390/jcm14217472 - 22 Oct 2025
Viewed by 1427
Abstract
Background and Objectives: Parkinson’s disease is the second most common neurodegenerative disorder after Alzheimer’s disease, and its incidence increases with age, being particularly high in people over 70 years of age. For patients with this condition, medical rehabilitation can have a profound impact, [...] Read more.
Background and Objectives: Parkinson’s disease is the second most common neurodegenerative disorder after Alzheimer’s disease, and its incidence increases with age, being particularly high in people over 70 years of age. For patients with this condition, medical rehabilitation can have a profound impact, helping to improve mobility, preserve functional autonomy, and enhance quality of life. Focal vibration stimulation is a promising, well-tolerated, and easy-to-apply method with potential to facilitate motor activity and support the motor learning process, making it also useful in gait reeducation for patients with various neurological conditions. This systematic review aims to analyze the existing scientific evidence on the effectiveness of focal muscle vibration therapy in managing symptoms of Parkinson’s disease. Materials and Methods: This systematic review of the literature was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and the protocol was registered in PROSPERO under the protocol registration number CRD420251120737. Searches were conducted in five databases (PubMed, PEDro, ScienceDirect, Cochrane Library, Web of Science). The selection criteria targeted original clinical studies, published in English between 2010 and the present, that investigated focal muscle vibration therapy in patients with Parkinson’s disease and were fully available, excluding review papers, meta-analyses, books, and articles inaccessible in full text. Version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2) was used to assess the quality of the included studies. Results: The results of the studies were interpreted individually for each study, and the main information was synthesized in a comparative table to facilitate analysis. The final analysis included five studies that investigated the effects of focal muscle vibration in patients with Parkinson’s disease. The results suggest that this form of stimulation may offer benefits for patients with gait disorders, improving balance and stability. Among the study’s limitations are the small number of included articles (n = 5) and the restriction to English-language publications, which may limit the applicability of the results. Conclusions: Given the promising results, focal muscle vibration therapy could represent a useful option in the management of Parkinson’s disease. Integrating this method into rehabilitation plans could bring significant functional benefits, but further studies are needed to confirm its long-term effectiveness and to establish standardized application protocols. No external funding was received for the conduct of this review. Full article
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17 pages, 555 KB  
Article
Effect of Plantar Sensory Stimulation on Sensorimotor Organization in General Joint Hypermobility: A Randomized Controlled Study
by Ramazan Yildiz, Ayse Yildiz, Onur Camli, Hüseyin Akkaya, Mehmet Aydin and Zekiye Basaran
Healthcare 2025, 13(20), 2572; https://doi.org/10.3390/healthcare13202572 - 13 Oct 2025
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Abstract
Background: Individuals with generalized joint hypermobility (GJH) often exhibit altered sensorimotor control, which may contribute to balance and proprioception deficits. This study investigated the effects of sensory training applied to the plantar surface on sensorimotor organization components, including light touch, vibration, two-point discrimination, [...] Read more.
Background: Individuals with generalized joint hypermobility (GJH) often exhibit altered sensorimotor control, which may contribute to balance and proprioception deficits. This study investigated the effects of sensory training applied to the plantar surface on sensorimotor organization components, including light touch, vibration, two-point discrimination, proprioception, muscle strength, and balance, in individuals with GJH. Methods: This randomized controlled trial included 65 asymptomatic individuals aged 18–25 years with a Beighton score of 5 or higher. The participants were randomly assigned to either the treatment (n = 32) or control (n = 33) group. The treatment group was given a 2-week home program that included plantar sensory training and an informative brochure on healthy foot care; the control group was given only the brochure. Light touch, two-point discrimination, vibration sense, proprioception, muscle strength, and balance parameters were assessed before and after the intervention. Results: Compared to the control group, the treatment group demonstrated significant improvements in light touch (p < 0.01), two-point discrimination (p < 0.01), vibration sense (p < 0.01), and proprioceptive accuracy (p < 0.01). Balance performance improved markedly in the posterolateral direction (+8.3 cm, p < 0.01), while anterior and posteromedial directions showed moderate but nonsignificant gains. Muscle strength showed no statistically significant changes across groups (p > 0.05). The control group exhibited no meaningful pre-post changes. Conclusions: Sensory training directed at the plantar surface results in positive changes in various components of sensorimotor organization in individuals with GJH. Full article
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28 pages, 1951 KB  
Review
Badminton Racket Coatings and Athletic Performance: Review Based on Functional Coatings
by Houwei Tian and Guoyuan Huang
Coatings 2025, 15(10), 1186; https://doi.org/10.3390/coatings15101186 - 9 Oct 2025
Viewed by 2833
Abstract
As a key piece of equipment in badminton, the surface treatment technology of rackets has garnered significant attention in the fields of material science and sports engineering. This study is the first to systematically review research on racket coatings, integrating interdisciplinary knowledge on [...] Read more.
As a key piece of equipment in badminton, the surface treatment technology of rackets has garnered significant attention in the fields of material science and sports engineering. This study is the first to systematically review research on racket coatings, integrating interdisciplinary knowledge on the classification of functional coatings, their performance-enhancing principles, and their relationship with competitive levels, thereby addressing a gap in theoretical research in this field. This study focuses on four major functional coating systems: superhydrophobic coatings (to improve environmental adaptability and reduce air resistance), anti-scratch coatings (to prolong the life of the equipment), vibration-damping coatings (to optimise vibration damping performance), and strength-enhancing coatings (to safeguard structural stability). In badminton, differences in player skill levels and usage scenarios lead to variations in racket materials, which, in turn, result in different preparation processes and performance effects. The use of vibration-damping materials alleviates the impact force on the wrist, effectively preventing sports injuries caused by prolonged training; leveraging the aerodynamic properties of superhydrophobic technology enhances racket swing speed, thereby improving hitting power and accuracy. From the perspective of performance optimization, coating technology improves athletic performance in three ways: nanocomposite coatings enhance the fatigue resistance of the racket frame; customized damping layers reduce muscle activation delays; and surface energy regulation technology improves grip stability. Challenges remain in the industrial application of environmentally friendly water-based coatings and the evaluation system for coating lifespan under multi-field coupling conditions. Future research should integrate intelligent algorithms to construct a tripartite optimization system of “racket-coating-user” and utilize digital sports platforms to analyze its mechanism of influence on professional athletes’ tactical choices, providing a theoretical paradigm and technical roadmap for the targeted development of next-generation smart badminton rackets. Full article
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