Maryam Abbaszadeh-amirdehi - Academia.edu (original) (raw)
Papers by Maryam Abbaszadeh-amirdehi
Journal of Modern Rehabilitation
Introduction: This study aimed to assess the satisfaction of physiotherapy students with the gene... more Introduction: This study aimed to assess the satisfaction of physiotherapy students with the general structure of objective structured clinical examination (OSCE). Materials and Methods: A researcher-made questionnaire consisting of eight items was distributed to 43 graduate and undergraduate physiotherapy students to evaluate the general structure of OSCE. Data analysis was done through SPSS software v. 20, considering a significance level of P<0.05. Results: Among 43 participants with a mean age of 23.7±2.4 years old, the percentage of desirable attitude toward attractiveness of the OSCE was 46.6%, being fair was 21%, identifying strengths and weaknesses was 53.5%, the ability to assess knowledge and information was 11.7%, good assessment of practical skills was 30.3%, good assessment of clinical diagnosis skills was 34.9%, and appropriateness was 34.9%. In total, 88.4% of the participants believed that OSCE increases students’ stress. The total satisfaction of all the particip...
Journal of Modern Rehabilitation, 2022
Introduction: This study aimed to investigate the effect of head and neck stabilization exercises... more Introduction: This study aimed to investigate the effect of head and neck stabilization exercises on improving balance in older adults with forward head posture. Materials and Methods: Thirty elderly participants with forward head posture and Mean±SD age of 65.7±5.2 years were examined. The forward head posture was measured by plumb line and craniovertebral angle. Elderly balance was evaluated before and after 8 weeks of head and neck stabilization exercises with Timed Up and Go (TUG) and Functional Reach (FR) tests. The paired t-test was used to examine the changes that occurred after the intervention. Results: The results showed that head and neck stabilization exercises in the elderly significantly changed TUG test (8.3 s before the intervention, 7.8 s after the intervention; P=0.03) and FR test (23.4 cm before the intervention, 24.7 cm after the intervention; P=0.01) omitted. No significant statistical changes were observed in the amount of the craniovertebral angle after the in...
Journal of Babol University of Medical Sciences, 2020
J Babol Univ Med Sci; 22; 2020; PP: 31-38 Received: Jun 14 2019, Revised: Jul 22 2019, Accepted: ... more J Babol Univ Med Sci; 22; 2020; PP: 31-38 Received: Jun 14 2019, Revised: Jul 22 2019, Accepted: Sep 1 2019. ABSTRACT BACKGROUND AND OBJECTIVE: Abnormal head posture can lead to pain, physical limitations, falls and fractures that have a negative impact on people's quality of life. Since head orientation in sagittal view varies according to different body postures, this study was conducted to investigate the effect of two standing and sitting postures on sagittal view. METHODS: This observational study was performed on 70 elderly people referred to Elderly Health Center of Babol University of Medical Sciences. In order to measure the craniovertebral angle to determine the direction of the head in the sagittal view, participants were photographed in both standing and sitting positions. After initial evaluation, participants were divided into two groups of head posture (forward head posture and normal head posture) based on craniovertebral angle, with an angle of less than 51° as ...
Acupuncture in Medicine, 2020
Background: To compare the effectiveness of ischaemic compression (IC) applied directly to the kn... more Background: To compare the effectiveness of ischaemic compression (IC) applied directly to the knee versus dry needling (DN) with respect to pain, functional status and sensitivity to mechanical stimulation of vastus medialis obliquus (VMO) myofascial trigger points (MTrPs) in patients with patellofemoral pain syndrome (PFPS). Methods: A total of 54 patients with unilateral PFPS aged 20–30 years were selected randomly from patients referred to physical therapy clinics of Babol University of Medical Sciences in Iran. Twenty-seven patients were allocated to either IC or DN groups. Three sessions of treatment were applied over 1 week with follow-up at 1 week, 1 month and 3 months. Primary outcome measures comprised the Kujala questionnaire score for functional status, numerical pain rating scale (NPRS) for pain intensity and pressure pain threshold (PPT) for sensitivity to mechanical stimulation; these were measured and recorded before treatment and 1 week, 1 month and 3 months after t...
Journal of Modern Rehabilitation, 2017
Non-specific mechanical neck pain is a common musculoskeletal complaint that is generally treated... more Non-specific mechanical neck pain is a common musculoskeletal complaint that is generally treated conservatively using electro/thermal therapeutic agents, exercise, soft tissue techniques, and manual therapy. In this review, we evaluated the effectiveness of Thoracic Manipulation (TM) compared to cervical manipulations, multi-level TM with singlelevel TM, and TM with other interventions such as electro/thermal therapy and exercise. Material and Methods: PubMed, Google scholar and PEDro database were searched from inception until May 2016 by the following keywords: "neck pain", "thoracic manipulation", "physical therapy treatment", "cervical manipulation", and different combinations. Quality of the included studies were evaluated using physiotherapy evidence database [PEDro] scale. Results: A total of 15 studies out of 47 based on PEDro score were included in this review. All studies measured pain intensity as a parameter indicating effectiveness of interventions, 9 studies measured disability as a key outcome and used either NDI or NPQ for its assessment. Conclusion: Thoracic manipulation is equally effective as cervical manipulation in reduction of pain and improving function. Thoracic manipulation is also more effective than electrotherapy or exercise therapy alone. When combined with multimodal neck program, thoracic manipulation for patients with neck pain significantly improves function and reduces pain intensity.
Acupuncture in Medicine, 2016
Background Active myofascial trigger points (MTrPs) are major pain generators in myofascial pain ... more Background Active myofascial trigger points (MTrPs) are major pain generators in myofascial pain syndrome. Dry needling (DN) is an effective method for the treatment of MTrPs. Objective To assess the immediate neurophysiological and clinical effects of DN in patients with upper trapezius MTrPs. Methods This was a prospective, clinical trial study of 20 patients with upper trapezius MTrPs and 20 healthy volunteers (matched for height, weight, body mass index and age), all of whom received one session of DN. Primary outcome measures were neuromuscular junction response (NMJR) and sympathetic skin response (SSR). Secondary outcomes were pain intensity (PI) and pressure pain threshold (PPT). Data were collected at baseline and immediately post-intervention. Results At baseline, SSR amplitude was higher in patients versus healthy volunteers (p<0.003). With respect to NMJR, a clinically abnormal increment and normal reduction was observed in patients and healthy volunteers, respectivel...
Journal of Bodywork and Movement Therapies, 2017
Introduction: Dry needling (DN) is a widely used in treatment of myofascial trigger points (MTrPs... more Introduction: Dry needling (DN) is a widely used in treatment of myofascial trigger points (MTrPs). The purpose of this pretest-posttest clinical trial was to investigate the neurophysiological and clinical effects of DN in patients with MTrPs. Methods: A sample of 20 patients (3 man, 17 women; mean age 31.7 AE 10.8) with upper trapezius MTrPs received one session of deep DN. The outcomes of neuromuscular junction response (NMJR), sympathetic skin response (SSR), pain intensity (PI) and pressure pain threshold (PPT) were measured at baseline and immediately after DN. Results: There were significant improvements in SSR latency and amplitude, pain, and PPT after DN. The NMJR decreased and returned to normal after DN. Conclusions: A single session of DN to the active upper trapezius MTrP was effective in improving pain, PPT, NMJR, and SSR in patients with myofascial trigger points. Further studies are needed.
BMJ open, Jan 28, 2013
Dry needling (DN) is an effective method for the treatment of myofascial trigger points (MTrPs). ... more Dry needling (DN) is an effective method for the treatment of myofascial trigger points (MTrPs). There is no report on the neurophysiological effects of DN in patients with MTrPs. The aim of the present study will be to assess the immediate neurophysiological efficacy of deep DN in patients with upper trapezius MTrPs. A prospective, controlled clinical trial was designed to include patients with upper trapezius MTrPs and volunteered healthy participants to receive one session of DN. The primary outcome measures are neuromuscular junction response and sympathetic skin response. The secondary outcomes are pain intensity and pressure pain threshold. Data will be collected at baseline and immediately after intervention. This study protocol has been approved by the Research Council, School of Rehabilitation and the Ethics Committee of Tehran University of Medical Sciences. The results of the study will be disseminated in a peer-reviewed journal and presented at international congresses.
Journal of Bodywork and Movement Therapies, 2012
Inter-muscular coordination has an important role in proper function and prevention of injuries i... more Inter-muscular coordination has an important role in proper function and prevention of injuries in the knee joint. The purpose of this study was to characterize the effect of velocity and fatigue on the relative activation onset of hamstring to quadriceps muscles during knee extension. Thirty one healthy and non-athletic volunteers (24 women, 7 men) were recruited for the study. The onset time of vastus medialis, vastus lateralis, rectus femoris, medial and lateral hamstring were measured during maximum voluntary extension of the knee joint at velocities of 45° /s, 150° /s &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp; 300° /s before and after fatigue and the mean delay onset of all pairs of H-Q were measured. A two-way repeated measures ANOVA test was used to compare across the mean delayed onset of hamstring related to quadriceps muscles at various velocities. Hamstring muscle showed a delayed activation related to quadriceps and increasing the velocity of shortening has a prominent effect on the inter-muscular coordination with early activation of hamstring related to quadriceps muscles (F = 6.7, p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.002 for Biceps-rectus femoris, F = 6.31, p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.003 for semitendinosus-rectus femoris, F = 6.26, p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.003 for biceps-vastus lateralis, F = 5.98, p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.004 for semitendinosus-vastus lateralis, F = 3.19, p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.04 for biceps-vastus medialis and F = 3.2, p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.04 for semitendinosus-vastus medialis). This could predispose these muscles to over strain and possible injuries. The main effect of fatigue condition and its interaction with velocity however, showed statistically nonsignificant result.
Journal of Modern Rehabilitation, 2018
Forward Head Posture (FHP) is one of the most common faulty sagittal postures of the craniocervic... more Forward Head Posture (FHP) is one of the most common faulty sagittal postures of the craniocervical region in elderly adults. The sagittal alignment of the spine changes with different body positions. This study aimed to compare head postural alignment between sitting and standing positions in elder people with FHP. Materials and Methods: The head posture was assessed in 32 participants including 16 old adults with FHP (Mean±SD age=67.9±3.8 years) and 16 normal matched individuals (Mean±SD age=67.5±3.4 years). Side-view photographs were taken in standing and sitting positions to determine the amount of the craniovertebral angle. Results: The results of the paired t test indicated a significant difference between head postural alignment in sitting and standing positions for normal (P<0.003) group. However, there is no significant difference in sitting vs. standing in FHP group (P<0.09). Conclusion: The assessment of head postural alignment in elder people using craniovertebral angle in two different positions, sitting and standing, demonstrated no changes in the alignment of head at FHP participants. It may be due to need for keeping the forward gaze.
This could predispose these muscles to over strain and possible injuries. The main effect of fati... more This could predispose these muscles to over strain and possible injuries. The main effect of fatigue condition and its interaction with velocity however, showed statistically nonsignificant result. ª
Journal of Modern Rehabilitation
Introduction: This study aimed to assess the satisfaction of physiotherapy students with the gene... more Introduction: This study aimed to assess the satisfaction of physiotherapy students with the general structure of objective structured clinical examination (OSCE). Materials and Methods: A researcher-made questionnaire consisting of eight items was distributed to 43 graduate and undergraduate physiotherapy students to evaluate the general structure of OSCE. Data analysis was done through SPSS software v. 20, considering a significance level of P<0.05. Results: Among 43 participants with a mean age of 23.7±2.4 years old, the percentage of desirable attitude toward attractiveness of the OSCE was 46.6%, being fair was 21%, identifying strengths and weaknesses was 53.5%, the ability to assess knowledge and information was 11.7%, good assessment of practical skills was 30.3%, good assessment of clinical diagnosis skills was 34.9%, and appropriateness was 34.9%. In total, 88.4% of the participants believed that OSCE increases students’ stress. The total satisfaction of all the particip...
Journal of Modern Rehabilitation, 2022
Introduction: This study aimed to investigate the effect of head and neck stabilization exercises... more Introduction: This study aimed to investigate the effect of head and neck stabilization exercises on improving balance in older adults with forward head posture. Materials and Methods: Thirty elderly participants with forward head posture and Mean±SD age of 65.7±5.2 years were examined. The forward head posture was measured by plumb line and craniovertebral angle. Elderly balance was evaluated before and after 8 weeks of head and neck stabilization exercises with Timed Up and Go (TUG) and Functional Reach (FR) tests. The paired t-test was used to examine the changes that occurred after the intervention. Results: The results showed that head and neck stabilization exercises in the elderly significantly changed TUG test (8.3 s before the intervention, 7.8 s after the intervention; P=0.03) and FR test (23.4 cm before the intervention, 24.7 cm after the intervention; P=0.01) omitted. No significant statistical changes were observed in the amount of the craniovertebral angle after the in...
Journal of Babol University of Medical Sciences, 2020
J Babol Univ Med Sci; 22; 2020; PP: 31-38 Received: Jun 14 2019, Revised: Jul 22 2019, Accepted: ... more J Babol Univ Med Sci; 22; 2020; PP: 31-38 Received: Jun 14 2019, Revised: Jul 22 2019, Accepted: Sep 1 2019. ABSTRACT BACKGROUND AND OBJECTIVE: Abnormal head posture can lead to pain, physical limitations, falls and fractures that have a negative impact on people's quality of life. Since head orientation in sagittal view varies according to different body postures, this study was conducted to investigate the effect of two standing and sitting postures on sagittal view. METHODS: This observational study was performed on 70 elderly people referred to Elderly Health Center of Babol University of Medical Sciences. In order to measure the craniovertebral angle to determine the direction of the head in the sagittal view, participants were photographed in both standing and sitting positions. After initial evaluation, participants were divided into two groups of head posture (forward head posture and normal head posture) based on craniovertebral angle, with an angle of less than 51° as ...
Acupuncture in Medicine, 2020
Background: To compare the effectiveness of ischaemic compression (IC) applied directly to the kn... more Background: To compare the effectiveness of ischaemic compression (IC) applied directly to the knee versus dry needling (DN) with respect to pain, functional status and sensitivity to mechanical stimulation of vastus medialis obliquus (VMO) myofascial trigger points (MTrPs) in patients with patellofemoral pain syndrome (PFPS). Methods: A total of 54 patients with unilateral PFPS aged 20–30 years were selected randomly from patients referred to physical therapy clinics of Babol University of Medical Sciences in Iran. Twenty-seven patients were allocated to either IC or DN groups. Three sessions of treatment were applied over 1 week with follow-up at 1 week, 1 month and 3 months. Primary outcome measures comprised the Kujala questionnaire score for functional status, numerical pain rating scale (NPRS) for pain intensity and pressure pain threshold (PPT) for sensitivity to mechanical stimulation; these were measured and recorded before treatment and 1 week, 1 month and 3 months after t...
Journal of Modern Rehabilitation, 2017
Non-specific mechanical neck pain is a common musculoskeletal complaint that is generally treated... more Non-specific mechanical neck pain is a common musculoskeletal complaint that is generally treated conservatively using electro/thermal therapeutic agents, exercise, soft tissue techniques, and manual therapy. In this review, we evaluated the effectiveness of Thoracic Manipulation (TM) compared to cervical manipulations, multi-level TM with singlelevel TM, and TM with other interventions such as electro/thermal therapy and exercise. Material and Methods: PubMed, Google scholar and PEDro database were searched from inception until May 2016 by the following keywords: "neck pain", "thoracic manipulation", "physical therapy treatment", "cervical manipulation", and different combinations. Quality of the included studies were evaluated using physiotherapy evidence database [PEDro] scale. Results: A total of 15 studies out of 47 based on PEDro score were included in this review. All studies measured pain intensity as a parameter indicating effectiveness of interventions, 9 studies measured disability as a key outcome and used either NDI or NPQ for its assessment. Conclusion: Thoracic manipulation is equally effective as cervical manipulation in reduction of pain and improving function. Thoracic manipulation is also more effective than electrotherapy or exercise therapy alone. When combined with multimodal neck program, thoracic manipulation for patients with neck pain significantly improves function and reduces pain intensity.
Acupuncture in Medicine, 2016
Background Active myofascial trigger points (MTrPs) are major pain generators in myofascial pain ... more Background Active myofascial trigger points (MTrPs) are major pain generators in myofascial pain syndrome. Dry needling (DN) is an effective method for the treatment of MTrPs. Objective To assess the immediate neurophysiological and clinical effects of DN in patients with upper trapezius MTrPs. Methods This was a prospective, clinical trial study of 20 patients with upper trapezius MTrPs and 20 healthy volunteers (matched for height, weight, body mass index and age), all of whom received one session of DN. Primary outcome measures were neuromuscular junction response (NMJR) and sympathetic skin response (SSR). Secondary outcomes were pain intensity (PI) and pressure pain threshold (PPT). Data were collected at baseline and immediately post-intervention. Results At baseline, SSR amplitude was higher in patients versus healthy volunteers (p<0.003). With respect to NMJR, a clinically abnormal increment and normal reduction was observed in patients and healthy volunteers, respectivel...
Journal of Bodywork and Movement Therapies, 2017
Introduction: Dry needling (DN) is a widely used in treatment of myofascial trigger points (MTrPs... more Introduction: Dry needling (DN) is a widely used in treatment of myofascial trigger points (MTrPs). The purpose of this pretest-posttest clinical trial was to investigate the neurophysiological and clinical effects of DN in patients with MTrPs. Methods: A sample of 20 patients (3 man, 17 women; mean age 31.7 AE 10.8) with upper trapezius MTrPs received one session of deep DN. The outcomes of neuromuscular junction response (NMJR), sympathetic skin response (SSR), pain intensity (PI) and pressure pain threshold (PPT) were measured at baseline and immediately after DN. Results: There were significant improvements in SSR latency and amplitude, pain, and PPT after DN. The NMJR decreased and returned to normal after DN. Conclusions: A single session of DN to the active upper trapezius MTrP was effective in improving pain, PPT, NMJR, and SSR in patients with myofascial trigger points. Further studies are needed.
BMJ open, Jan 28, 2013
Dry needling (DN) is an effective method for the treatment of myofascial trigger points (MTrPs). ... more Dry needling (DN) is an effective method for the treatment of myofascial trigger points (MTrPs). There is no report on the neurophysiological effects of DN in patients with MTrPs. The aim of the present study will be to assess the immediate neurophysiological efficacy of deep DN in patients with upper trapezius MTrPs. A prospective, controlled clinical trial was designed to include patients with upper trapezius MTrPs and volunteered healthy participants to receive one session of DN. The primary outcome measures are neuromuscular junction response and sympathetic skin response. The secondary outcomes are pain intensity and pressure pain threshold. Data will be collected at baseline and immediately after intervention. This study protocol has been approved by the Research Council, School of Rehabilitation and the Ethics Committee of Tehran University of Medical Sciences. The results of the study will be disseminated in a peer-reviewed journal and presented at international congresses.
Journal of Bodywork and Movement Therapies, 2012
Inter-muscular coordination has an important role in proper function and prevention of injuries i... more Inter-muscular coordination has an important role in proper function and prevention of injuries in the knee joint. The purpose of this study was to characterize the effect of velocity and fatigue on the relative activation onset of hamstring to quadriceps muscles during knee extension. Thirty one healthy and non-athletic volunteers (24 women, 7 men) were recruited for the study. The onset time of vastus medialis, vastus lateralis, rectus femoris, medial and lateral hamstring were measured during maximum voluntary extension of the knee joint at velocities of 45° /s, 150° /s &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp; 300° /s before and after fatigue and the mean delay onset of all pairs of H-Q were measured. A two-way repeated measures ANOVA test was used to compare across the mean delayed onset of hamstring related to quadriceps muscles at various velocities. Hamstring muscle showed a delayed activation related to quadriceps and increasing the velocity of shortening has a prominent effect on the inter-muscular coordination with early activation of hamstring related to quadriceps muscles (F = 6.7, p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.002 for Biceps-rectus femoris, F = 6.31, p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.003 for semitendinosus-rectus femoris, F = 6.26, p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.003 for biceps-vastus lateralis, F = 5.98, p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.004 for semitendinosus-vastus lateralis, F = 3.19, p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.04 for biceps-vastus medialis and F = 3.2, p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.04 for semitendinosus-vastus medialis). This could predispose these muscles to over strain and possible injuries. The main effect of fatigue condition and its interaction with velocity however, showed statistically nonsignificant result.
Journal of Modern Rehabilitation, 2018
Forward Head Posture (FHP) is one of the most common faulty sagittal postures of the craniocervic... more Forward Head Posture (FHP) is one of the most common faulty sagittal postures of the craniocervical region in elderly adults. The sagittal alignment of the spine changes with different body positions. This study aimed to compare head postural alignment between sitting and standing positions in elder people with FHP. Materials and Methods: The head posture was assessed in 32 participants including 16 old adults with FHP (Mean±SD age=67.9±3.8 years) and 16 normal matched individuals (Mean±SD age=67.5±3.4 years). Side-view photographs were taken in standing and sitting positions to determine the amount of the craniovertebral angle. Results: The results of the paired t test indicated a significant difference between head postural alignment in sitting and standing positions for normal (P<0.003) group. However, there is no significant difference in sitting vs. standing in FHP group (P<0.09). Conclusion: The assessment of head postural alignment in elder people using craniovertebral angle in two different positions, sitting and standing, demonstrated no changes in the alignment of head at FHP participants. It may be due to need for keeping the forward gaze.
This could predispose these muscles to over strain and possible injuries. The main effect of fati... more This could predispose these muscles to over strain and possible injuries. The main effect of fatigue condition and its interaction with velocity however, showed statistically nonsignificant result. ª