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Combination Effects of Sensorimotor Training and Transcranial Direct Current Stimulation on Balance Ability in Soccer Players


Affiliations
1 Department of Physical Therapy, Samsung Electronics Musculoskeletal Disorders Prevention Center, Gwangsan-gu, Gwangju, Korea, Democratic People's Republic of
2 Department of Physical Therapy, College of Health and Welfare, Dongshin University 185, Gunjae-ro, Naju, Chonnam, Korea, Democratic People's Republic of
     

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Background/Objectives: The purpose of the present study was to investigate the effects of sensorimotor training and transcranial direct current stimulation (tDCS) on changes in proprioception and static and dynamic balance in soccer players. Methods/Statistical analysis: Ten soccer players with at least 5 years of experience playing soccer participated in the study. The players were randomly assigned to group I (n=5, only sensorimotor training) and group II (n=5, both sensorimotor training and tDCS). Each group underwent training once a day for 5 days. Proprioception was assessed using 4D-MT, while balance ability was assessed using BIO Rescue. Assessments were performed before, immediately after, and 5 days after a match. Finding: The comparison results with regard to proprioception (reproduction of ankle dorsiflexion and plantar flexion angles), static balance ability (surface area ellipse), and dynamic balance ability (limits of stability in forward, backward, and whole directions) confirmed that group II had a greater recovery to pre match levels in comparison to group I. Improvements/Applications: For soccer players who need to recover quickly after a vigorous soccer match, applying tDCS together with sensorimotor training can have a positive effect on improving proprioception and balance ability.

Keywords

Sensorimotor Training, tDCS, Proprioception, Balance, Soccer Player.
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  • Wisloff U, Helgerud J, Hoff J. Strength and endurance of elite soccer players. Medi Sci Sports Exerc. 30(3); 1998: 462-467.
  • Wong P, Hong Y. Soccer injury in the lower extremities. Br J Sports Med. 39(8); 2005: 473-482.
  • Gutierrez GM, Jackson ND, Dorr KA, Margiotta SE, Kaminski TW. Effect of fatigue on neuromuscular function at the ankle. J Sport Rehabil. 16(4); 2007: 295-306.
  • Fong DT, Hong Y, Chan LK. Yung PS, Chan KM. A systematic review on ankle injury and ankle sprain in sports. Sports Med. 37(1); 2007: 73-94.
  • Kobayashi T, Gamada K. Lateral ankle sprain and chronic ankle instability: A critical review. Foot Ankle Spec. 7(4); 2014: 298-326.
  • Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 42(2): 2007; 311-319.
  • Hertel J. Functional anatomy, pathomechanics and pathophysiology of lateral ankle instability. J Athl Train. 37(4); 2002: 364-375.
  • McCriskin BJ, Cameron KL, Orr JD, Waterman BR. Management and prevention of acute and chronic lateral ankle instability in athletic patient populations. World J Orthop. 6(2); 2015: 161-171.
  • Palmieri RM, Ingersoll CD, Cordova ML, Kinzey SJ, Stone MB, Krause BA. The effects of a simulated knee joint effusion on postural control in healthy subjects. Arch Phys Med Rehabil. 84(7); 2003: 1076-1079.
  • Day RW, Wildermuth BP. Proprioceptive training in the rehabilitation of lower extremity injuries. In: Grana WH, Lombardo JA, Sharkey BJ et al. (ed), Adv Sport Med Fitness, Chicago, IL: Year Book. 1988.
  • Pau M, Arippa F, Leban B, Corona F, Ibba G, Todde F, Scorcu M. Relationship between static and dynamic balance abilities in Italian professional and youth league soccer players. Phys Ther Sport. 16(3); 2015: 236-241.
  • Rimando CR, Devora K, Viray B, Canlas J, Eugenio E, Ferrer FD, Galvez JM, IIagan M, Meria RA, Refuerzo JC. Effectiveness of plyometrics in addition to conventional training of female soccer varsity players with ligamental knee injuries in re-injury prevention. WCPT Congress 2015, Physiotherapy. 101(1); 2015: 1284.
  • Li L, Han J, Waddington G, Adams R. Ankle proprioception and soccer skills in youth recreational players. Med Sci Sports Exerc. 49(5); 2017: 1029-1030.
  • Jeong TG, Park JS, Choi JD, Lee JY, Kim JS. The effects of sensorimotor training on balance and muscle activation during gait in older adults. J Korean Soc Phys Ther. 23(4); 2011: 29-36.
  • Janda V, Vavrova M. Sensory motor stimulation. In: Lebenson C. (ed). Rehabilitation of the spine: a practitioner`s manual. Baltimore: Williams and Wikins.1996.
  • Wagner T, Fregni F, Fecteau S, Grodzinsky A, Zahn M, Pascual-Leone A. Transcranial direct current stimulation: a computer-based human model study. Neuroimage. 35(3); 2007: 1113-1124.
  • Fregni F, Freedman S, Pascual-Leone A. Recent advances in the treatment of chronic pain with non-invasive brain stimulation techniques. Lancet Neurol. 6(2); 2007: 188-191.
  • Fregni F, Gimenes R, Valle AC, Ferreira MJ, Rocha RR, Natalle L, Bravo R, Rigonatti SP, Freedman SD, Nitsche MA, Pascual-Leone A, Boggio PS. A randomized, sham-controlled, proof of principle study of transcranial direct current stimulation for the treatment of pain in fibromyalgia. Arthritis Rheum. 54(12); 2006: 3988-3998.
  • Silva G, Miksad R, Freedman SD, Pascual-Leone A, Jain S, Gomes DL, Amancio EJ, Boggio PS, Correa CF, Fregni F. Treatment of cancer of pain with noninvasive brain stimulation. J Pain Symptom Manage. 34(4); 2007: 342-345.
  • Kiani A, Hellquist E, Ahlgvist K, Gedeborg R, Michaelsson K, Byberg L. Prevention of soccer-related knee injuries in teenaged girls. Arch Intern Med. 170(1); 2010: 43-49.
  • Matsunaga K, Nitsche MA, Tsuji S, Rothwell JC. Effect of transcranial DC sensorimotor cortex stimulation on somatosensory evoked potentials in humans. Clin Neurophysiol. 115(2): 2004; 456-460.
  • Ragert P, Vandermeeren Y, Camus M, Cohen LG. Improvement of spatial tactile acuity by transcranial direct current stimulation. Clin Neurophysiol. 119(4); 2008: 805-811.
  • Cha SM, Kang MH, Moon DC, Oh JS. Effect of the short foot exercise using an electromyography biofeedback on medial longitudinal arch during static standing position. Phys Ther Korea. 24(1); 2017: 9-18.
  • Kim JD, Cha YJ, Youn HJ. Effects of emphasized initial contact auditory feedback gait training on balance and gait in stroke patients. J Korean Soc Phys Med. 10(4); 2015: 49-57.
  • Wong P, Hong Y. Soccer injury in the lower extremities. Br J Sports Med. 39(8); 2005: 473-482.
  • Willems T, Witvrouw E, Verstuyft J, Vaes P, De Clercg D. Proprioception and muscle strength in subjects with a history of ankle sprain and chronic instability. J Athl Train. 37(4); 2002: 487-493.
  • Denegar CR, Miller SJ 3rd. Can chronic ankle instability be prevented? Rethinking management of lateral ankle sprains. J Athl Train. 37(4); 2002: 430-435.
  • Mohammadi F, Roozdar A. Effects of fatigue due to contraction of evertor muscles on the ankle joint position sense in male soccer players. Am J Sports Med. 38(4); 2010: 824-828.
  • Ribeiro F, Oliveira J. Aging effects on joint proprioception: the role of physical activity in proprioception preservation. Eur Rev Aging Phys Act. 4(2); 2007: 71-76.
  • Brito J, Fontes I, Ribeiro F, Raposo A, Krustrup P, Rebelo A. Postural stability decrease in elite young soccer players after a competitive soccer match. Phys Ther Sport. 13(3); 2012: 175-179.
  • Lee HK, Lee JC, Song GH. The effects of rhythmic sensorimotor training in unstable surface on balance ability of elderly women. J Korean Soc Phys Med. 9(2); 2014: 181-191.
  • Tanaka S, Takeda K, Otaka Y, Kita K, Osu R, Honda M, Sadato N, Hanakawa T, Watanabe K. Sling session of transcranial direct current stimulation transiently increases knee extensor force in patients with hemiparetic stroke. Neurorehabil Neural Repair. 25(6); 2011: 565-569.
  • Jeffery DT, Norton JA, Roy FD, Gorassini MA. Effects of transcranial direct current stimulation on the excitability of the leg motor cortex. Exp Brain Res. 182(2); 2007: 281-287.
  • Talelli P, Rothwell J. Does brain stimulation after stroke have a future? Curr Opin Neurol. 2006;19(6):543-550.
  • Boggio PS, Catro LO, Savagim EA, Braite R, Cruze VC, Rocha RR, Rigonatti SP, Silva MT, Fregni F. Enhancement of non-dominant hand motor function by anodal transcranial direct current stimulation. Neurosci Lett. 404(1-2); 2006: 232-236.
  • Shumway-Cook A, Horak FB. Assessing the influence of sensory interaction of balance. Suggestion from the field. Phys Ther. 66(10); 1986: 1548-1550.
  • Bae YS, Um KM, Kim NS. The effect of proprioceptive exercise of ankle joint on postural alignment in woman elderly person. J Kor Soc Phys Ther. 21(3); 2009: 53-60.
  • Chiang JH, Wu G. The influence of foam surfaces on biomechanical variables contributing to postural control. Gait Posture. 5(3); 1997: 239-245.
  • Zheng X, Alsop DC, Schlaug G. Effects of transcranial direct current stimulation (tDCS) on human regional cerebral blood flow. Neuroimage. 58(1); 2011: 26-33.
  • Horak FB, Nashner LM. Central programming of postural movements: adaptation to altered support-surface configurations. J Neurophysiol. 55(6); 1986: 1369-1381.
  • Runge CF, Shupert CL, Horak FB. Ankle and hip postural strategies defined by joint torques. Gait Posture. 10(2); 1999: 161-170.

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  • Combination Effects of Sensorimotor Training and Transcranial Direct Current Stimulation on Balance Ability in Soccer Players

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Authors

Wan-Seo Park
Department of Physical Therapy, Samsung Electronics Musculoskeletal Disorders Prevention Center, Gwangsan-gu, Gwangju, Korea, Democratic People's Republic of
Sea-Hyun Bae
Department of Physical Therapy, College of Health and Welfare, Dongshin University 185, Gunjae-ro, Naju, Chonnam, Korea, Democratic People's Republic of
Kyung-Yoon Kim
Department of Physical Therapy, College of Health and Welfare, Dongshin University 185, Gunjae-ro, Naju, Chonnam, Korea, Democratic People's Republic of

Abstract


Background/Objectives: The purpose of the present study was to investigate the effects of sensorimotor training and transcranial direct current stimulation (tDCS) on changes in proprioception and static and dynamic balance in soccer players. Methods/Statistical analysis: Ten soccer players with at least 5 years of experience playing soccer participated in the study. The players were randomly assigned to group I (n=5, only sensorimotor training) and group II (n=5, both sensorimotor training and tDCS). Each group underwent training once a day for 5 days. Proprioception was assessed using 4D-MT, while balance ability was assessed using BIO Rescue. Assessments were performed before, immediately after, and 5 days after a match. Finding: The comparison results with regard to proprioception (reproduction of ankle dorsiflexion and plantar flexion angles), static balance ability (surface area ellipse), and dynamic balance ability (limits of stability in forward, backward, and whole directions) confirmed that group II had a greater recovery to pre match levels in comparison to group I. Improvements/Applications: For soccer players who need to recover quickly after a vigorous soccer match, applying tDCS together with sensorimotor training can have a positive effect on improving proprioception and balance ability.

Keywords


Sensorimotor Training, tDCS, Proprioception, Balance, Soccer Player.

References