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Peer-reviewedCC BYScientific Reports

Postural reeducation and oral device interaction in rhythmic gymnasts: effects of byte use on stiffness-related performance and low back pain perception

  1. 1Department of Dentistry, Faculty of Medical Sciences, Albanian University
  2. 2ITEM-Innovation in Manual and Physical Therapies Research Group, Physiotherapy Department, UCAM Universidad Católica San Antonio de Murcia
  3. 3Physiotherapy Department, UCAM Universidad Católica San Antonio de Murcia

Abstract

This randomized controlled trial investigated the effects of combining Global Postural Therapy (GPT) with a customized intraoral device (Byte) on stiffness-related performance and perceived stiffness in elite rhythmic gymnasts with low back pain. Seventeen athletes were randomly assigned to a Byte group (n = 8) or a control No Byte group receiving GPT alone (n = 9). Both groups completed a 12-week supervised postural re-education program focused on global muscle chain stretching, spinal alignment, and neuromuscular control. Functional stiffness was assessed across four post-intervention sessions using a Baiobit sensor to measure jump performance variables (maximum speed, height, force, concentric and eccentric phases, flight, and contact time), while perceived stiffness was evaluated using a visual analogue scale (VAS). Both groups improved in maximum speed, height, and force (η² = 0.25–0.31; p < 0.05), with no significant group × time interaction (p > 0.05). A significant reduction in perceived stiffness was observed in the Byte group compared with controls (p = 0.015; η² = 0.35). These findings suggest that adding a customized intraoral device to GPT did not produce additional improvements in objective stiffness-related performance over 12 weeks. However, the Byte group showed descriptively lower subjective stiffness values, which may indicate a potential perceptual effect associated with the device. Further research is required to clarify the clinical relevance and underlying mechanisms of these findings.

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BibTeX
@article{qorri2026postural,
  title = {{Postural reeducation and oral device interaction in rhythmic gymnasts: effects of byte use on stiffness-related performance and low back pain perception}},
  author = {Erda Qorri and Jasemin Todri and Juan Martínez-Fuentes and Orges Lena},
  journal = {Scientific Reports},
  year = {2026},
  month = jul,
  doi = {10.1038/s41598-026-63007-y},
  url = {https://doi.org/10.1038/s41598-026-63007-y},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Postural reeducation and oral device interaction in rhythmic gymnasts: effects of byte use on stiffness-related performance and low back pain perception
AU  - Erda Qorri
AU  - Jasemin Todri
AU  - Juan Martínez-Fuentes
AU  - Orges Lena
PY  - 2026
DA  - 2026/07/01
JO  - Scientific Reports
DO  - 10.1038/s41598-026-63007-y
UR  - https://doi.org/10.1038/s41598-026-63007-y
AB  - This randomized controlled trial investigated the effects of combining Global Postural Therapy (GPT) with a customized intraoral device (Byte) on stiffness-related performance and perceived stiffness in elite rhythmic gymnasts with low back pain. Seventeen athletes were randomly assigned to a Byte group (n = 8) or a control No Byte group receiving GPT alone (n = 9). Both groups completed a 12-week supervised postural re-education program focused on global muscle chain stretching, spinal alignment, and neuromuscular control. Functional stiffness was assessed across four post-intervention sessions using a Baiobit sensor to measure jump performance variables (maximum speed, height, force, concentric and eccentric phases, flight, and contact time), while perceived stiffness was evaluated using a visual analogue scale (VAS). Both groups improved in maximum speed, height, and force (η² = 0.25–0.31; p < 0.05), with no significant group × time interaction (p > 0.05). A significant reduction in perceived stiffness was observed in the Byte group compared with controls (p = 0.015; η² = 0.35). These findings suggest that adding a customized intraoral device to GPT did not produce additional improvements in objective stiffness-related performance over 12 weeks. However, the Byte group showed descriptively lower subjective stiffness values, which may indicate a potential perceptual effect associated with the device. Further research is required to clarify the clinical relevance and underlying mechanisms of these findings.
SN  - 2045-2322
ER  -