Hsiao-Yun Chang

Background: Chronic ankle instability (CAI) commonly develops after recurrent ankle sprains and is associated with deficits in proprioception and dynamic balance. Sports taping (ST) is frequently used to enhance joint stability but may restrict movement. Dynamic taping (DT) is a novel alternative elastic taping technique designed to provide support without restricting functional motion. Purpose: To compare the immediate effects of DT and ST on dynamic balance and proprioception in recreational athletes with CAI. Study Design: Single-blind randomized controlled trial. Methods: Twenty-eight participants with CAI were randomly assigned to either a DT group (n = 14) or an ST group (n = 14). Outcomes included joint position sense error (reproduction of angle measured using a smartphone App) and dynamic balance (assessed using the single-leg multiple hop stabilization test). Measurements were obtained before and 15 min after taping. A mixed-design, repeated-measures 2-way analysis of variance was used for statistical analysis. Results: Both groups exhibited significant improvements in joint position sense error over time (p < 0.05), with no significant group × time interaction (F (1,26) = 0.85, p = 0.366, η² = 0.03). A significant group × time interaction was observed in dynamic balance (F (1,26) = 20.42, p < 0.001, η² = 0.44), indicating that DT may enhance dynamic balance relative to ST. Conclusions: DT may enhance dynamic balance more than ST does, although both taping methods improve proprioception in individuals with CAI. However, these findings should be interpreted with caution, as the sample size was small and the assessment was conducted over a short period. Levels of Evidence: Level 2

INPLASY202590094 Effects of weighted ball training on throwing velocity and safety considerations for baseball pitchers: systematic review and meta-analysis Keywords: Baseball-specific training, Th…

Background/Objectives: Repeated spiking and serving movements in volleyball can lead to alterations in shoulder range of motion among athletes, potentially increasing the risk of shoulder instability and injury. Hence, assessing and understanding the shoulder range of motion of volleyball players is a critical concern. Therefore, this study aimed to understand and evaluate the bilateral shoulder joint range of motion (ROM) in high-school male volleyball athletes and to discover the adaptation characteristics. Methods: Forty high-school male volleyball athletes participated in this study. Shoulder ROM measurements were taken via video with an iPhone 12 Pro Max, and we analyzed the ROM data using Kinovea software (Version 0.9.5) for both the dominant and non-dominant side. The shoulder ROM measurements included shoulder hyper-extension (SE), flexion (SF), internal rotation (IR), external rotation (ER), horizontal adduction (Sadd), and horizontal abduction (Sabd). After taking shoulder ROM measurements, the total rotational range of motion (TROM) was calculated based on the participants’ shoulder internal rotation and external rotation data, and we calculated the incidence of glenohumeral internal rotation deficiency (GIRD) among participants. Paired samples t-tests were used to analyze shoulder ROM differences between the dominant and non-dominant side. Results: The dominant side of the shoulder showed significantly lower internal rotation (dominant side: 42.17 ± 11.23°; non-dominant side: 52.14 ± 10.46°; p = 0.000) and total rotational ROM (dominant side: 137.11 ± 13.09°; non-dominant side: 141.96 ± 13.22°; p = 0.021) compared to the non-dominant side. Conversely, the dominant side of the shoulder exhibited significantly greater external rotation (dominant side: 94.96 ± 10.02°; non-dominant side: 89.83 ± 7.84°; p = 0.001) and shoulder horizontal adduction (dominant side: 44.87 ± 8.10°; non-dominant side: 39.60 ± 7.24°; p = 0.000) than the non-dominant side. No significant differences were found in other measured parameters. The incidence of glenohumeral internal rotation deficiency (GIRD) among all subjects was 37.5%. Conclusions: High-school male volleyball athletes in this study exhibited tightness in the posterior shoulder of their dominant side, indicating specific adaptations in shoulder ROM and a considerable prevalence of GIRD, observed in approximately one-quarter of the athletes. In conclusion, these data suggest that stretching and eccentric muscle training focusing on the posterior shoulder have potential value in mitigating these adaptations and reducing the risk of shoulder injuries.

In this study, Kinesio tape (KT) was applied in two different directions to the gastrocnemius muscle, the most important muscle in stance stability, to investigate the effect of different taping directions on overall balance and sensation systems before versus after muscle fatigue. The participants, comprising 45 healthy athletes, were randomly divided into three groups: the placebo taping group (PTG), the facilitation KT group (FKTG), and the inhibition KT group (IKTG). The tests involved in this study were a balance test, a superficial sensory function test, and a combined cortical sensation test. The data from these tests were collected before taping, after taping and a 10-min rest, and immediately after continuous heel raises were performed to fatigue. The results of the balance tests showed no significant group × time interaction, whether subjects stood barefoot on one foot or stood on a soft mat with eyes open or closed (p > 0.05). Only the sway distance and sway velocity of the center of pressure (COP) when subjects stood barefoot on one foot with eyes open were significantly higher in the inhibition taping group than in the placebo taping group (p < 0.05). In addition, significant differences were noted in the sway area and sway distance of the COP before taping, after taping, and after exercise to fatigue when the participants stood on the soft mat with their eyes open (p < 0.05). When the participants stood on the soft mat on one foot with their eyes closed, no significant differences were noted among the groups. When subjects stood on a soft mat on one foot with eyes open, significant improvements were noted after fatiguing exercise versus before taping for all three groups (p < 0.05). The results of the superficial sensory test showed no significant group × time interaction and no difference among the three taping conditions or before/after taping and after fatiguing exercise. Only in the two-point discrimination test was a sensory difference observed, with the facilitation taping group having a significantly shorter discrimination distance than the placebo taping and inhibition taping groups (p < 0.05). The present study showed that KT application for a simple balance task (e.g., barefoot on a hard floor with eyes open) may slightly influence postural control, especially when the inhibition method is used. However, more difficult balance tasks (e.g., barefoot on a soft mat with eyes closed) show no effect of KT application—either the facilitation method or the inhibition method—on posture control.

Purpose: This study aimed to use two different taping directions on the gastrocnemius muscle, the most important muscle for stance stability, to further investigate the effect of different taping directions on overall balance and sensation systems before versus after muscle fatigue.Methods: The participants were 45 healthy athletes who random control method was divided into 3 groups: Placebo taping group (PTG), Facilitation KT group (FKTG), and Inhabitation KT group (IKTG). The neuromuscular balance ability and sensory function test were before versus after muscle fatigue.Results: The two-point discrimination sensitivity of the facilitation taping group was significantly higher than that of the placebo taping group. The eyes open swaying distance of the inhibition taping group was significantly greater than that of the placebo taping group before taping, after taping, and after fatigue from exercise. The swaying speed was also significantly higher in the inhibition taping group than in the placebo and facilitation taping groups. When the participants stood barefoot on one foot with the eyes closed, no significant differences were noted among groups. When standing on a soft cushion on one foot with the eyes open, significant differences were noted between the inhibition taping group and both the placebo and facilitation taping groups before taping, after taping, and after fatigue from exercise . When standing on a soft cushion on one foot with the eyes closed, there were significant differences in the duration of standing among the three groups before taping and after fatigue from exercise.Conclusion: The results of the present study show that muscle taping effectively improves athletes’ proprioception. Therefore, muscle taping during exercise can help to increase the balance of, improve the performance of, and prevent ankle sprains in athletes.

This study investigated the effects of rowing with different seat cushion and cadence conditions on oxyhemoglobin (O2Hb) and total hemoglobin (tHb) levels of the erector spinae (ES) as well as the effects on heart rate (HR) and ratings of perceived exertion (RPE). Thirty healthy adults completed tests under three unstable air seat cushion pressure levels (0, 80, and 140 mmHg) and three rowing cadences (slow: 18 bpm, medium: 30 bpm, and fast: 36 bpm) on a rowing machine, for a total of nine test conditions. During the exercise period, rowing on cushions set to 80 mmHg resulted in greater O2Hb and tHb changes than did rowing at 0 mmHg (p < 0.05). When rowing cadence increased, the O2Hb and tHb decreased during the exercise period, whereas HR and RPE increased (p < 0.05). During the recovery period, O2Hb and tHb on cushions set to 140 mmHg during slow rowing were higher than those at 0 mmHg during slow rowing and 140 mmHg during fast rowing (p < 0.05). Rowing on an appropriate pressure of seat cushion and using a slow cadence contribute to increasing muscle oxygenation of low back during exercise.

Background and Objectives: Sleeper stretching (SS) can improve the shoulder’s range of motion (ROM) for pitchers with glenohumeral internal rotation deficit (GIRD). However, no evidence has proven the effect of Kinesio taping (KT) on shoulder strength and ROM. Therefore, this study compared the effects of SS and KT on shoulder rotation ROM, muscle strength, and sub-acromial distance in pitchers with GIRD. Materials and Methods: Thirty-one pitchers with GIRD were allocated into control, KT, and SS groups. Shoulder rotation ROM, muscle strength, and sub-acromial space were measured before and after treatment with SS or KT. Results: The results revealed that KT and SS significantly enhanced shoulder rotation ROM in pitchers with GIRD. External rotator strength significantly increased following KT but significantly decreased after SS. KT and SS exerted no effects on the sub-acromial space. Conclusions: KT and SS improve shoulder rotation ROM in pitchers with GIRD. In addition, KT improves shoulder external rotator strength, and SS reduces it.

Background and objectives: Respiratory muscle fatigue is one of the important factors limiting sports performance due to the metaboreflex. This reflex will cause a decrease in blood flow to the extremities and accelerate exercising limb fatigue. Previous studies found that inspiratory muscle training (IMT) can effectively enhance the respiratory muscle endurance and reduce fatigue during long-duration exercise or aerobic exercise, thereby enhancing athletic performance. However, the mechanism between inspiratory muscle strength, change of limb blood flow and sports performance still requires investigation, especially in short-duration exercise, anaerobic or both aerobic and anaerobic exercise. The purpose of this study was to investigate the effects of 4-week inspiratory muscle training on respiratory muscle strength, limb blood flow change rate and sports performance in recreational 800-m college runners. Materials and Methods: Twenty healthy 800-m college runners randomized into the IMT group (11 subjects) and control group (9 subjects). IMT consisted of 30 inspiratory efforts twice daily, 5 days a week, with intensity at 50%, 60%, 70% and 80% of maximum inspiratory pressure (MIP) for 4 weeks, while a control group kept 50% of MIP for 4 weeks. An 800-m trial test, limb blood flow change rate by using Impedance Plethysmography, and MIP were as the outcome measured variables and be evaluated. All measured variables were assessed before and after 4-week IMT training. Two-way ANOVA was conducted for statistical analysis. Results: The results showed significantly interaction between groups and pre-posttest. IMT group significantly decreased limb blood flow change rate from 19.91 ± 11.65% to 9.63 ± 7.62% after received the IMT training program (p < 0.05). The MIP significantly improved from 112.95 ± 27.13 cmH₂O to 131.09 ± 28.20 cm H₂O in IMT group, and the 800-m trial test also shorted the running time from 162.97 ± 24.96 s to 156.75 ± 20.73 s. But the control group no significantly changed in MIP and 800-m trial test. Conclusions: Our results indicated that the 4-week IMT training (twice a day, 5 days a week) significantly improves participants’ inspiratory muscle strength, 800-m running performance and decreases the limb blood flow change rate.

Background and objectives: Faced with the serious problem of an aging population, exercise is one of the most effective ways to maintain the health of the elderly. In recent years, with the popularization of smartphones, the elderly have increasingly accepted technological products that incorporate artificial intelligence (AI). However, there is not much research on using artificial intelligence bracelets to enhance elders’ motivation and participation in exercise. Therefore, the purpose of this study is to evaluate the effectiveness of the combination of sports smart bracelets and multi-sport training programs on the motivation of the elderly in Macau. Materials and Methods: The study was conducted with a randomized trial design in a 12 week multi-sport exercise training intervention. According to the evaluation, a total of sixty elders’ pre- and post-test data were included in this study. Results: After 12 weeks of multi-sport exercise training, the evaluation scores on the exercise motivation scale (EMS) increased significantly in the group wearing exercise bracelets and those taking part in the multi-component exercise program, and the degree of progress reached a statistically significant level, but the control group did not show any statistically significant difference. The influence of the combination of sports smart bracelets and multi-sport training programs on elders’ motivation is clearer. Conclusions: The use of sports smart bracelets by elderly people in conjunction with diverse exercise training can effectively enhance elders’ motivation and increase their participation in regular exercise. The combination of sports smart bracelets and multi-sport training programs is worth promoting in the elderly population.

Background: Athletes with chronic ankle instability (CAI) often develop complications such as pain, instability, and reduced postural control and balance stability, all of which affect athletic performance. This study investigated the effects of a 4° medal wedge intervention on static and dynamic balance in athletes with CAI. Methods: The participants were 24 healthy and 25 CAI athletes. Participants received a 4° medial wedge applied at the rear foot insole and completed the experiment measurements before and after the wedge intervention. The main outcome measures included the area and path length of the center of pressure when participants performed single-leg standing balance in the closed eye condition and the dynamic balance scores of a multiple single-leg hop stabilization test. Results: The single-leg standing balance significantly improved in CAI (P = .027) and control groups (P = .005) after the medial wedge intervention. The dynamic balance scores significantly decreased from 53.00 ± 25.22 to 41.24 ± 21 48 (P = .015) in CAI group after medial wedge intervention. Conclusion: Wearing a 4° medial wedge applied at the rear foot insole improved static and dynamic balance immediately in athletes with CAI. We suggest that clinicians may provide the foot insole to improve balance deficit in athletes having CAI.