Posts Tagged sling
The development of an effective and inexpensive device to restore and enhance the human musculoskeletal functions is of particular interest. Sling exercise therapy (SET) is one of the most effective developed tools in rehabilitation of musculoskeletal disorders, which has been successfully used in various applications ranging from diagnosis to treatment. To the best of our knowledge, SET has never been comprehended and reviewed previously. Therefore, it was highly required to further understand the role of SET in various therapeutic applications.
Inspired by this herein, this study is dedicated to emphasize the advancement in utilization of the SET in both diagnosis and treatment as well as their related challenges. This would be concluded by future perspectives of the SET.
There are various serious diseases affected thousands of people around worldwide such as low-back pain (LBP) and stroke. Those are subsequently requiring a highly efficient rehabilitation method. Predominately, the hydrotherapy, electrotherapy, and exercise therapy are the most common approaches utilized for musculoskeletal rehabilitation. SET is among most promising approach due to its low-cost, efficiency, and easiness. Furthermore, SET not only promises rapid recovery but also acts as diagnostic tool for detection of biomechanical chain defects. In particular, SET is based on slings attached to a particular part of human body using ropes and pulleys inside a sling system aiding to treat the impairments . There are two main categories of the SET including a traditional SET that is usually used for simple training . While Neurac involves a high level of neuromuscular activation which lead to strengthening muscles, improvement of the sensorimotor/balance, increasing range of motion (ROM), and resolution of pain as well as clinical diagnoses for different impairments. For example, various studies reported the significant effect of SET on restoration of the muscle skeletal functions after stroke and LBP in addition to improving the respiration and chest expansion -. Furthermore, SET has the ability to achieve multi-goals at the same time. For instance, Lee and coworkers reported the substantial effect of Neurac technique-based training on pain reduction, enhancement balance, regression fatigability, and treatment of chronic neck pain . Although SET made massive progress in the rehabilitation centers, but there are no previously reported reviews on the experimental results of SET. In pursuit of this aim, this review is dedicated to synopsize the most significant findings of SET in the therapeutic and diagnostic applications. This includes using SET in rehabilitations after sport injuries, stroke and LBP. This will be concluded with the current challenges and future prospective of SET.
[Abstract] The effect of upper limb casting on gait pattern. – International Journal of Rehabilitation Research
The effect of upper limb casting on gait pattern.
Casting of the arm may interfere with normal walking patterns because of additional load of the cast or prevention of arm swing.
This study aimed to determine the effect of applying various casts on temporospatial walking parameters, including gait velocity and cadence, step length, and single limb support.
A computerized gait system was used to assess these variables for 23 healthy individuals in four walking modes: normal walking, with a cast above the elbow and a sling, and with a cast below the elbow, with and without a sling. Thirteen participants had their dominant hand casted and 10 had their nondominant hand casted.
On average, casted participants took significantly smaller steps with the leg on the casted side and spent less time supported on the casted side. The least changes were noted with the arm in a cast below the elbow and no sling, and the greatest changes were noted with the arm in a cast above the elbow and in a sling. This difference was heightened when the dominant hand was casted and lessened when the nondominant hand was casted. No differences were found in walking velocity or cadence between the walking modes.
Casting of the upper limb has significant effects on gait, which should be taken into consideration, especially in individuals with previous gait abnormalities.