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Evaluating motor deficits in multiple sclerosis using jump and hop tests : a review of current evidence
Eva Žura, Adis Burzić, Erik Paulin, Žiga Kozinc, 2025, pregledni znanstveni članek

Opis: Multiple sclerosis (MS) is a chronic neurological disease that often leads to subtle motor impairments even in early stages. Traditional clinical assessments may fail to detect these early deficits. Jump and hop tasks, requiring complex neuromuscular coordination, have emerged as promising functional assessments in neurological populations. This review aims to synthesize current evidence on the use of jump- and hop-based assessments to evaluate motor performance in people with MS (pwMS). A systematic search of PubMed and Scopus was conducted in April 2025. Studies were included if they involved pwMS, used jump or hop tasks, and reported performance, kinetic, or kinematic outcomes. Nine studies met inclusion criteria. Countermovement jumps (CMJ) were most frequently used and consistently detected motor deficits in pwMS, including reduced flight time, jump height, and power output. Single-leg CMJ tests identified asymmetries correlated with disability scores. Bipedal hops revealed impaired coordination and anticipatory control. One study assessed motor fatigability through repetitive jumping, while another evaluated the patient experience of sensor-based jump testing. Jump and hop assessments provide potentially sensitive, non-invasive tools for detecting early motor impairments in MS. They offer potential for improving clinical monitoring and guiding individualized rehabilitation strategies.
Ključne besede: multiple sclerosis, balance, jumps
Objavljeno v RUP: 07.01.2026; Ogledov: 123; Prenosov: 1
.pdf Celotno besedilo (355,35 KB)
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The effect of gamification-based exercises on footA systematic review and meta-analysis : a posture in children and adolescents with flatfoot:
Ebrahim Ebrahimi, Rahman Sheikhhoseini, Žiga Kozinc, Seyed Alihossein Nourbakhsh, 2025, pregledni znanstveni članek

Opis: BackgroundGamification has emerged as a novel approach in rehabilitation. This systematic review and meta-analysis aimed to evaluate the effectiveness of gamification-based exercises on foot posture in children and adolescents with flatfoot. MethodsA systematic review and meta-analysis were conducted in accordance with PRISMA guidelines, utilizing the PubMed, Scopus, Web of Science, and Google Scholar databases to search for original and peer-reviewed articles with selected keywords from inception to July 2025. The quality of the included studies was assessed using the Joanna Briggs Institute checklist. Statistical analysis was conducted with Comprehensive Meta-Analysis software version 3. To evaluate data heterogeneity, the Q-test and I2 statistic were applied. Egger’s test was used to assess publication bias. ResultsAfter searching the mentioned databases, 2160 articles were found. Finally, seven articles were included in the current review. It was shown that gamification-based exercise had a significant effect, leading to a reduction in navicular drop (95% CI = −1.796 to −0.516, p = 0.000) and an increase in balance scores (95% CI = −1.647 to −0.462, p = 0.000), compared to the passive control groups that did not receive any intervention. However, no significant differences were seen in the Staheli index (95% CI = −3.298 to 0.023, p = 0.053). High heterogeneity was noted in the navicular drop test (95% CI = −2.412 to −0.603, p = 0.001). Egger’s test indicated no statistically significant publication bias for either navicular drop (p = 0.080) or Staheli index (p = 0.210). ConclusionThe results showed that exercise with gamification may be effective in improving foot alignment in children and adolescents. Specifically, positive effects were evident when using the navicular drop test, whereas no significant changes were detected with the Staheli index. However, interpretation should be made cautiously due to the limited number of studies and lack of age or gender stratification.
Ključne besede: flatfoot, gamification, therapeutic exercise, meta-analysis
Objavljeno v RUP: 04.12.2025; Ogledov: 264; Prenosov: 6
.pdf Celotno besedilo (1015,24 KB)
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