Journal of Modern Rehabilitation

Effects of Hamstring Flossing on Balance and Foot Function in Female Patients with Plantar Fasciopathy: A Randomized Controlled Study

2025-06-03T11:04:20+0430

Background: A relation between hamstring tightness and Plantar Fasciopathy (PF) has been reported in the literature. Hamstring flossing was reported to improve hamstring flexibility, however its effect on balance and foot function in patients with PF was not clearly investigated. The aim of this study was to compare the efficacy of conventional physical therapy treatment protocol plus hamstring flossing with conventional physical therapy treatment protocol alone on balance and foot function in patients with PF.
Materials and Methods: Thirty patients with PF were randomly assigned into study group (A) patients received hamstring flossing in addition to the conventional physical therapy treatment protocol, whereas patients in control group (B) received only the conventional physical therapy treatment protocol. Foot function was evaluated by Foot Function Index (FFI), while Overall Stability Index (OSI) was assessed by the Biodex Balance system. The outcomes were evaluated at the baseline and after three weeks of intervention. The groups were compared using the two-way mixed design MANOVA test.
Results: Results revealed a significant improvement in the post testing mean values of FFI score and OSI compared with the pre testing ones in flossing and control groups (p = 0.001). No significant differences for both variables post-treatment between both groups were found (P>0.05).
Conclusion: The combination of conventional treatment of PF and hamstring flossing had no additive gain compared with conventional treatment only for managing patients with plantar fasciopathy

Logistic Regression Analysis of Functional Constipation Factors in the Elderly

2025-06-03T10:03:29+0430

Background: Machine learning software programs are of great interest at the scientific and applied levels in medical sciences today. There are various applications for these software programs in the field of diagnosis and treatment of diseases. Elderly people can benefit significantly from these software programs due to their physical limitations. The aim of this study is to develop and evaluate a supervised machine learning model for predicting functional constipation (FC) in the elderly.
Methods: The specific software in excel was designed as logistic regression supervised machine learning (LR-SML 402). This software development was based on a secondary analysis of source data, exclusive articles, and doctoral dissertations of elderly individuals with FC who underwent colorectal evaluations using advanced laboratory equipment. The correlation between labeled data and the output data of colorectal parameters was measured using 480 datasets from published sources and research labs. Strong correlations were obtained between variables such as age, body mass index, and Wexner's questionnaire with indicators of FC.
Results: To validate the performance of LR-SML 402, the results were compared with those of a neural network in SPSS software. The model designed in Excel software demonstrated strong capability in terms of sensitivity, specificity, and area under the curve (AUC).
Conclusion: The findings show that the supervised machine learning approach using logistic regression may provide meaningful clinical predictions in determining laboratory indicators of FC in the elderly. This approach can reduce the time and cost of diagnosis.

The Effectiveness of Plyometric Training and Aquatic Training on Patellar Tendinopathy among University Level Volleyball Players

2025-05-31T13:34:34+0430

Background: Patellar tendinopathy is a prevalent overuse injury among volleyball players due to the repetitive jumping, landing, and sudden directional changes. Plyometric training enhances tendon strength and neuromuscular coordination but involves high-impact movements that may worsen symptoms. Aquatic training provides a low-impact alternative, using water's buoyancy to reduce stress while improving strength and flexibility. This study aiming to evaluate their effectiveness in reducing pain and improving function in volleyball players with patellar tendinopathy.
Method: The study recruited volleyball players aged 18-24years with diagnosed patellar tendinopathy. A total of 30 university level volley ball players who were randomly assigned into two groups: Group A Plyometric training (n=15) and Group B Aquatic training (n =15). All the players underwent pre- test measurement with Numeric Pain Rating Scale (NPRS) The Victorian Institute of Sport Assessment (VISA) Patella (P) score and the post-test were measured at the end of sixth week.
Results: Comparing pre-test and post-test values of NPRS and VISA-P between groups revealed significant differences. Group B showed better outcomes, with a mean NPRS value of 1.73 ± 0.703 compared to Group A's 3.13 ± 0.743 (p ≤ 0.05, effect size d = 1.93). Similarly, Group B's mean VISA-P score (65.80 ± 5.37) was higher than Group A's (58.73 ± 5.29) (p ≤ 0.05, effect size d = 1.32). These results indicate that aquatic training treatment is more effective than plyometric training.
Conclusion: This study demonstrates that aquatic training is more effective than plyometric training in managing patellar tendinopathy in university volleyball players, showing significant improvements in symptoms.

Effect of Exercise-Induced Fatigue on Attention Networks of Active and Inactive Individuals: A Pilot Study

2025-05-24T09:30:07+0430

Background It has been shown that there are some neural contributions to muscle fatigue which decreases the neural drive to the muscle.
Aims This research was aimed to determine whether exercise-induced fatigue can affect cognitive functions, especially those involved in attentional control (i.e., alerting, orientation, and executive functions) and to identify any differences in attentional control between active and inactive individuals after exercise-induced fatigue.
Methods We divided 24 participants into active and inactive subgroups and used sub-maximum aerobic endurance training to induce fatigue to the exhaustion point.
ResultsThe results showed that fatiguing physical activity improved alertness in both groups, decreased orientation speed in the inactive group (and made no significant difference in the active group) and improved the executive control network of the active group. Fatiguing exercise also increased executive control errors in the inactive group.
Conclusions The effect of exercise-induced fatigue on attention networks depended on the participants’ level of physical fitness and the specific task used for measuring each of the attention networks.

The Effect of Sign Language on the Development of Language of Deaf and Hard-of-Hearing Children: Systematic Review

2025-05-04T11:04:32+0430

Objectives: To systematically review and evaluate the evidence regarding the effect of sign language on language development in deaf and hard-of-hearing children.
Method: A comprehensive search of electronic databases, including PubMed/MEDLINE, Web of Science, Scopus, EMBASE, Scholar Google, and ProQuest from 1995 until April 2024., with no language restrictions, was conducted. The two authors independently assessed the risk of bias using the Newcastle-Ottawa Scale.
Results: Six studies involving 259 participants found that sign language exposure benefits language development in deaf children with hearing aids/cochlear implants. Children exposed to sign language showed similar or even better-spoken language skills than those with limited sign language exposure. Encouraging parents to learn sign language can significantly support deaf children's communication and language development.
Conclusion: Deaf children with cochlear implants benefit most from a communication approach tailored to their needs. Early intervention, parental involvement, and a rich language environment (signed or spoken) are key. While sign language exposure shows promise, more research is needed, especially on its long-term effects and use by hearing parents. PROSPERO registration ID: CRD42023402357