Clinical Pilates in Practice: Locomotion & Dynamic Posture (June 2022)
Jun 01, 2022
This review article explains the networks that the trunk in vertebrates with limbs, and also how the central nervous system acts dynamically on the musculoskeletal system.
KEY POINTS: LOCOMOTION & DYNAMIC POSTURE
- Dynamic control of gait is supported by:
- Locomotor activity that is produced by specialized rhythmogenic spinal circuits called central pattern generators (CPGs), and which cyclically drive axial and leg muscle activity (p.8)
- Posture control systems which involve long spinal/supraspinal loops, and the integration of various sensory inputs (e.g. proprioceptive, visual and vestibular) at various supraspinal levels resulting in long latency responses (p.8).
- Dynamic balance in limbed vertebrates requires proper coordination of all...
Clinical Pilates in Practice: Joint Impairment & Gait in Juvenile Idiopathic Arthritis (July 2020)
Jul 01, 2020
Researchers used a musculoskeletal model to predict joint contact forces and investigate the variations of joint contact forces due to joint impairment in 18 juvenile idiopathic arthritis patients.
KEY POINTS: JOINT IMPAIRMENT & GAIT BIOMECHANICS IN JUVENILE IDIOPATHIC ARTHRITIS
- Juvenile idiopathic arthritis (JIA) is the commonest rheumatic condition in childhood, although the etiology remains unknown.
- JIA encompasses several subgroups but most generally presents as peripheral arthritis.
- Clinical presentation includes fever, joint swelling and pain, hepatomegaly, lymphadenopathy, cardiac involvement, splenomegaly, and skin rashes.
- Medical imaging of JIA:
- Ultrasound is used to assess joint synovial and tendon inflammation.
- MRI helps with...
Clinical Pilates in Practice: Biomechanics of Functional Tasks (May 2020)
May 01, 2020
This small study of healthy volunteers explored differences in the coronal biomechanics of the trunk, pelvis, hip, and knee joints, as well as gluteus medius muscle activity during walking and step down tasks.
KEY POINTS: BIOMECHANICS OF FUNCTIONAL TASKS
- Functional impairment of glute med can lead to excessive lateral trunk bending, which is often observed in people with knee problems.
- During gait, the following was observed:
- Increased contralateral pelvic drop and pelvic obliquity excursion, compared to step-down tasks.
- Increased lateral bending versus step-down tasks.
- Significantly greater knee adduction, compared to step-down tasks.
- Peak hip...
