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At some point, every working person will face the decision about whether to retire, and the resulting decision emerges about when to do it. It can always be undone, and a return to work in some form can ensue, but the decision tree must be negotiated in some manner whether once or multiple times. Financial professionals obviously have a significant role in the financial capacity of their clients to do so. All have probably also encountered their clients' attitudes, quandaries, questions, issues, eligibility, and challenges about both the decision and the capacity in some form or another. Aside from finances and related issues, others such as health, age, personal and spousal life expectancy, family care responsibilities, socioeconomic conditions, anxiety, and innumerable others may go into the process. For some, all of these are negotiated quickly and successfully. Others may require additional resources and understanding on the part of the financial professional. Understanding some of the personal and demographic dynamics can assist in making the decision process more successful for both. [ABSTRACT FROM AUTHOR]

Abstract Bioelectronic devices such as neural stimulation and recording devices require stable low‐impedance electrode interfaces. Various forms of nitridated titanium are used in biointerface applications due to robustness and biological inertness. In this work, stoichiometric TiN thin films are fabricated using a dual Kaufman ion‐beam source setup, without the necessity of substrate heating. These layers are remarkable compared to established forms of TiN due to high degree of crystallinity and excellent electrical conductivity. How this fabrication method can be extended to produce structured AlN, to yield robust AlN/TiN bilayer micropyramids, is described. These electrodes compare favorably to commercial TiN microelectrodes in the performance metrics important for bioelectronics interfaces: higher conductivity (by an order of magnitude), lower electrochemical impedance, and higher capacitive charge injection with lower faradaicity. These results demonstrate that the Kaufman ion‐beam sputtering method can produce competitive nitride ceramics for bioelectronics applications at low deposition temperatures.

Polyhydroxyalkanoates (PHAs) are biobased and biodegradable polymers that may be considered to replace fossil-based materials. However, their widespread deployment is slowed down because of the high production cost and their low quality. Using methane during the generation of poly(3-hydroxybutyrate-co-3-hydroxyvalerate) (PHB-co-HV) could reduce the production costs, which are usually owed to the carbon source used, and enhance the performance of the material. In fact, the properties of PHB-co-HV make it more suitable than the most common homopolymer, named poly(3-hydroxybutyrate) (PHB), for many applications since it is more flexible, has a wider thermal processing range, a lower crystallinity and permeability to water. In this work, the production of Poly(3-hydroxybutyrate-co-3-hydroxyvalerate) was simulated using an innovative process scheme consisting of two bioreactors working in series equipped with a gas recycling unit, which was designed to increase the methane mass transfer from the gas to the liquid. During the first step, a Methylocystis dominated culture was grown on ammonia and methane to reach a high cell concentration; then, the cells were moved to the second bioreactor and subjected to nutrients starvation to favour the metabolic pathway addressed to the accumulation of PHB-co-HV. The effect of the variation of valeric acid concentration (100-400 ppm), which was used as co-substrate, on the fraction of PHB-co-HV stored in the cells and the percentage of 3-hydroxyvalerate (3-HV) was investigated: results showed that the highest the valeric acid concentration, the lower the total polymer content and the higher the HV fraction accumulated.

Thanks to their properties, fossil fuel-based plastics are widely used daily (for industrial, domestic and environmental applications). However, they are not biodegradable, and their end of life is the cause of one of the most dangerous pollution in the world. Plastic, if recovered, can be recycled or used to recover energy, but it is not possible to recover all the tons of waste produced, so some end up in landfills. Therefore all non-recycled and non-collected plastic can take up to a thousand years to degrade. So the scientific idea is to produce biodegradable plastic capable of replacing conventional plastics. One possible solution is the poly(3-Hydroxybutyrate) (PHB) of the polyhydroxyalkanoates (PHA) family. PHB is a biopolymer accumulated in intracellular granules, under unfavourable growth conditions, by many prokaryotes and can be extracted with eco-friendly solvents. In particular, the extraction phase consists of the disruption of the cells and the subsequent separation of the biopolymer from the non-biopolymeric material (non-PHB). Currently, solvent extraction is the most used method for PHB recovery because it guarantees a high recovery yield and keeps the characteristics of the extracted biopolymer almost unaltered. In this study, the extraction of PHB with eco-friendly solvents was investigated. Simulations were carried out using 1,2-propylene carbonate as the solvent and acetone as the anti-solvent. Two process schemes were analyzed, without and with the recirculation of solvents (by distillation) and with two different types of biomass (wet and dry). The present work aims to study the final recovery yield in different operating conditions and the influence of PHB solubility on the process. The simulation results confirm the importance of solubility for optimizing the extraction process and underline the problem related to the lack of data in the literature.

IntroductionHematopoietic stem cells (HSC) reside in the bone marrow (BM) in specialized niches which provide support for their self-replication and differentiation into the blood cells. Recently, numerous studies using sophisticated molecular and microscopic technology have provided snap-shots information on the identity of the BM niches in mice. In adults, HSC are localized around arterioles and sinusoids/venules whereas in juvenile mice they are in close to the osteoblasts. However, although it is well recognized that in mice the nature of the hematopoietic niche change with age or after exposure to inflammatory insults, much work remains to be done to identify changes occurring under these conditions. The dynamic changes occurring in niche/HSC interactions as HSC enter into cycle are also poorly defined.MethodsWe exploit mice harboring the hCD34tTA/Tet-O-H2BGFP transgene to establish the feasibility to assess interactions of the HSC with their niche as they cycle. In this model, H2BGFP expression is driven by the TET trans-activator under the control of the human CD34 promoter which in mice is active only in the HSC. Since Doxycycline inhibits TET, HSC exposed to this drug no longer express H2BGFP and loose half of their label every division allowing establishing the dynamics of their first 1-3 divisions. To this aim, we first validated user-friendly confocal microscopy methods to determine HSC divisions by hemi-decrement changes in levels of GFP expression. We then tracked the interaction occurring in old mice between the HSC and their niche during the first HSC divisions.ResultsWe determined that in old mice, most of the HSC are located around vessels, both arterioles which sustain quiescence and self-replication, and venules/sinusoids, which sustain differentiation. After just 1 week of exposure to Doxycycline, great numbers of the HSC around the venules lost most of their GFP label, indicating that they had cycled. By contrast, the few HSC surrounding the arterioles retained maximal levels of GFP expression, indicating that they are either dormant or cycle at very low rates.ConclusionThese results reveal that in old mice, HSC cycle very dynamically and are biased toward interactions with the niche that instructs them to differentiate.

BackgroundFragility fractures are a major public health concern owing to their worrying and growing burden and their onerous burden upon health systems. There is now a substantial body of evidence that individuals who have already suffered a fragility fracture are at a greater risk for further fractures, thus suggesting the potential for secondary prevention in this field.PurposeThis guideline aims to provide evidence-based recommendations for recognizing, stratifying the risk, treating, and managing patients with fragility fracture. This is a summary version of the full Italian guideline.MethodsThe Italian Fragility Fracture Team appointed by the Italian National Health Institute was employed from January 2020 to February 2021 to (i) identify previously published systematic reviews and guidelines on the field, (ii) formulate relevant clinical questions, (iii) systematically review literature and summarize evidence, (iv) draft the Evidence to Decision Framework, and (v) formulate recommendations.ResultsOverall, 351 original papers were included in our systematic review to answer six clinical questions. Recommendations were categorized into issues concerning (i) frailty recognition as the cause of bone fracture, (ii) (re)fracture risk assessment, for prioritizing interventions, and (iii) treatment and management of patients experiencing fragility fractures. Six recommendations were overall developed, of which one, four, and one were of high, moderate, and low quality, respectively.ConclusionsThe current guidelines provide guidance to support individualized management of patients experiencing non-traumatic bone fracture to benefit from secondary prevention of (re)fracture. Although our recommendations are based on the best available evidence, questionable quality evidence is still available for some relevant clinical questions, so future research has the potential to reduce uncertainty about the effects of intervention and the reasons for doing so at a reasonable cost.

Neurofeedback (NF) is a biofeedback technique that teaches individuals self-control of brain functions by measuring brain activations and providing an online feedback signal to modify emotional, cognitive, and behavioral functions. NF approaches typically rely on a single modality, such as electroencephalography (EEG-NF) or a brain imaging technique, such as functional magnetic resonance imaging (fMRI-NF). The introduction of simultaneous EEG-fMRI tools has opened up the possibility of combining the high temporal resolution of EEG with the high spatial resolution of fMRI, thereby increasing the accuracy of NF. However, only a few studies have actively combined both techniques. In this study, we conducted a systematic review of EEG-fMRI-NF studies (N = 17) to identify the potential and effectiveness of this non-invasive treatment for neurological conditions. The systematic review revealed a lack of homogeneity among the studies, including sample sizes, acquisition methods in terms of simultaneity of the two procedures (unimodal EEG-NF and fMRI-NF), therapeutic targets field, and the number of sessions. Indeed, because most studies are based on a single session of NF, it is difficult to draw any conclusions regarding the therapeutic efficacy of NF. Therefore, further research is needed to fully understand non-clinical and clinical potential of EEG-fMRI-NF.

Bone fragility is the susceptibility to fracture due to poor bone strength. This condition is usually associated with aging, comorbidities, disability, poor quality of life, and increased mortality. International guidelines for the management of patients with bone fragility include a nutritional approach, mainly aiming at optimal protein, calcium, and vitamin D intakes. Several biomechanical features of the skeleton, such as bone mineral density (BMD), trabecular and cortical microarchitecture, seem to be positively influenced by micro- and macronutrient intake. Patients with major fragility fractures are usually poor consumers of dairy products, fruit, and vegetables as well as of nutrients modulating gut microbiota. The COVID-19 pandemic has further aggravated the health status of patients with skeletal fragility, also in terms of unhealthy dietary patterns that might adversely affect bone health. In this narrative review, we discuss the role of macro- and micronutrients in patients with bone fragility during the COVID-19 pandemic.

First Year Seminars have been found to positively impact student experience and retention in universities, especially in large-outcome measures such as grade point average, retention rates, and ultimately, graduation rates. Common learning experiences, a high-impact practice, such as course readings, a syllabus template, and discussion topics help to positively impact student learning. To evaluate authentic student learning, a campus First Year Experience rubric and Signature Assignment (SA) were developed for a more comprehensive assessment. With the integration of the SA into the course, assessment was refined through a multi-year process. Designed around key learning outcomes, the SA provides instructor and disciplinary flexibility and may serve as a potential model for other institutions looking to standardize the learning outcome evaluation across courses.

The COVID-19 pandemic has affected human life worldwide and forced the implementation of lockdown periods in order to reduce the physical interactions of people. Italy has been heavily affected by a large number of deaths. The government had to impose a long lockdown period during the spring of 2020. In this paper, we provide a critical analysis of the 2020 Italian spring lockdown (ISL) through observation of the spatiotemporal NOx pattern differences in connection with the social changes imposed by such restrictions. Different freely available sources of information are used: European Space Agency (ESA) TROPOspheric Monitoring Instrument (TROPOMI) measurements, ground-based measurements, and model estimates. The results show high NOx pollution levels, even during the lockdown, that suggest new approaches to sustainable mobility policies.

The article focuses on pediatric sore throats in the emergency department, highlighting the need to differentiate viral and bacterial causes, identify life-threatening conditions like epiglottitis, and implement effective diagnostic and treatment strategies.

Objective: People with multiple sclerosis (MS) might experience symptoms that are usually underestimated. Dysphagia should be evaluated within the Expanded Disability Status Scale (EDSS), but clinicians often do not assess it properly. The objectives of this study are as follows: To assess the prevalence of dysphagia in patients with MS utilizing the Swallowing Disturbance Questionnaire (SDQ); to examine the correlation with the EDSS; to investigate the relationship between dysphagia and clinico‐demographic characteristics of MS. Methods: In total, 177 MS patients underwent evaluations with EDSS, SDQ, cognitive functions, anxiety, depression, fatigue, and sleep quality tests. We compared clinico‐demographic data of patients with and without dysphagia and native‐EDSS to SDQ‐EDSS. Results: Out of the 177 MS patients, 56% of individuals were identified having dysphagia according to the SDQ with 41 patients exhibiting mild dysphagia, 31 showing moderate dysphagia and 27 patients having severe dysphagia. Only 6 patients had dysphagia recorded in the EDSS. SDQ‐EDSS scores were significantly higher than native scores. Dysphagia was associated with depressive symptoms and sleep quality. Interpretation: Dysphagia affects up to 56% of MS patients. The SDQ questionnaire is useful for identifying dysphagia, which can help in capturing disease progression and preventing complications like aspiration pneumonia. The SDQ‐EDSS was higher than the native‐EDSS, reflecting the poor ability of the native‐EDSS to evaluate certain symptoms such as dysphagia. The SDQ correlated with depressive symptoms, which are associated with a greater perception of MS symptoms, and poor sleep quality, which could be associated with the triggering of pathogenic mechanisms responsible for disease progression. [ABSTRACT FROM AUTHOR]

Prior evidence indicates that the erythroid cellular response to glucocorticoids (GC) has developmental specificity, namely, that developmentally more advanced cells that are undergoing or have undergone fetal to adult globin switching are more responsive to GC-induced expansion. To investigate the molecular underpinnings of this, we focused on the major developmental globin regulator BCL11A. We compared: (1) levels of expression and nuclear content of BCL11A in adult erythroid cells upon GC stimulation; (2) response to GC of CD34+ cells from patients with BCL11A microdeletions and reduced BCL11A expression, and; (3) response to GC of 2 cellular models (HUDEP-2 and adult CD34+ cells) before and after reduction of BCL11A expression by shRNA. We observed that: (1) GC-expanded erythroid cells from a large cohort of blood donors displayed amplified expression and nuclear accumulation of BCL11A; (2) CD34 + cells from BCL11A microdeletion patients generated fewer erythroid cells when cultured with GC compared to their parents, while the erythroid expansion of the patients was similar to that of their parents in cultures without GC, and; (3) adult CD34+ cells and HUDEP-2 cells with shRNA-depleted expression of BCL11A exhibit reduced expansion in response to GC. In addition, RNA-seq profiling of shRNA-BCL11A CD34+ cells cultured with and without GC was similar (very few differentially expressed genes), while GC-specific responses (differential expression of GILZ and of numerous additional genes) were observed only in control cells with unperturbed BCL11A expression. These data indicate that BCL11A is an important participant in certain aspects of the stress pathway sustained by GC. [ABSTRACT FROM AUTHOR]

One of the most common shoulder injuries is the rotator cuff tear (RCT). The risk of RCTs increases with age, with a prevalence of 9.7 % in those under 20 years old and up to 62 % in individuals aged 80 years and older. In this article, we present first a microwave digital twin prototype (MDTP) for RCT detection, based on machine learning (ML) and advanced numerical modeling of the system. We generate a generalizable dataset of scattering parameters through flexible numerical modeling in order to bypass real-world data collection challenges. This involves solving the linear system as a result of finite element discretization of the forward problem with use of the domain decomposition method to accelerate the computations. We use a support vector machine (SVM) to differentiate between injured and healthy shoulder models. This approach is more efficient in terms of required memory resources and computing time compared with traditional imaging methods. [ABSTRACT FROM AUTHOR]

This paper presents a 3D-printed fully dielectric bi-material reflectarray with bandgap characteristics for multi-band applications. To achieve bandgap characteristics, a "1D Bragg reflector" unit cell is used. The latter is a layered structure characterized by a spatial distribution of refractive index that varies periodically along one dimension. By appropriately selecting the dimensions, the bandgap can be shifted to cover the desired frequency bands. To validate this bandgap characteristic, a (121.5 mm × 121.5 mm) with an f/D ratio of 0.5 reflectarray was fabricated. The measured gain at 27 GHz is 27.22 dBi, equivalent to an aperture efficiency of 35.05%, demonstrating good agreement between simulated and measured performances within the frequency range of 26–30 GHz. Additionally, the transparency of the reflectarray was verified by measuring the transmission coefficient, which exhibited a high level of transparency of 0.32 dB at 39 GHz. These features make the proposed reflectarray a good candidate for multi-band frequency applications. [ABSTRACT FROM AUTHOR]

Background: Coffee is considered one of the most preferred and consumed beverage types in the world, and caffeine is known to increase physical performance due to its ergogenic properties. The aim of this study is to examine the effects of coffee consumption in different forms on cortisol, testosterone, lactic acid and anaerobic performance levels. Methods: A total of 15 licensed male football players participated in the research voluntarily. The research was implemented in a single-blind, counterbalanced, randomized and crossover study design. Participants were given caffeinated coffee (CK), decaffeinated coffee (placebo) (DK), powdered caffeine (in a gelatin capsule) (PC) and powdered placebo (maltodextrin in a capsule) (PM) on different days, and the Wingate test protocol was performed after the warm-up protocol. Blood samples were collected post-test. Cortisol, testosterone and lactic acid levels in the serum samples taken were determined by the ELISA method. Results: As a result, it was revealed that caffeinated coffee given to participants who exercise increased anaerobic power. However, it was observed that lactic acid levels were higher in placebo and decaffeinated coffee. The highest level of cortisol was found in caffeinated coffee and powdered caffeine compared to the placebo. Testosterone values were observed to be highest in caffeinated coffee and decaffeinated coffee compared to a placebo. Conclusions: The study suggests that the type of caffeine is a factor that affects absorption rate, which impacts performance and hormone levels. [ABSTRACT FROM AUTHOR]

Introduction: Impairments in social cognition and cognitive deficits in bipolar disorder (BD) offer insights into the disorder's progression. Understanding how interventions impact both cognitive and emotional aspects of social cognition is essential. This study examines the effects of virtual reality (VR) cognitive remediation on cognitive skills, stratified by age, in the early stages of the disorder. Methods: A secondary analysis of a randomized controlled trial (RCT) compared the efficacy of VR cognitive remediation on cognitive skills between young adults (≤58 years) and older adults (≥59 years) in the experimental group with BD. Results: The experimental group included 39 participants: 24 ≤ 58 years and 15 ≥ 59 years. Young adults showed greater improvement in the Digit Span Backward (0.37 ± 0.35 vs. 0.07 ± 0.26, F = 9.882, p = 0.020) and Digit Symbol tests (3.84 ± 3.05 vs. 1.16 ± 3.8, F = 5.895, p = 0.020). Older adults improved more in the Frontal Assessment Battery (1.00 ± 0.95 vs. 0.54 ± 0.21, F = 5.295, p = 0.027), Matrix test (0.58 ± 0.35 vs. 0.37 ± 0.26, F = 4.606, p = 0.038), and Test of Tale (0.81 ± 0.36 vs. 0.42 ± 0.38, F = 10.115, p = 0.003). Conclusions: Young adults improved more in complex cognitive tasks, while older adults showed better results in simpler tasks. The effectiveness of VR may be due to hyperstimulation of mirror neurons. Further studies are needed to confirm these findings. [ABSTRACT FROM AUTHOR]

Electrolyte‐gated field effect transistors and electrochemical transistors have emerged as powerful components for bioelectronic sensors and biopotential recording devices. A set of parameters must be considered when developing devices to amplify weak electrophysiological signals. These include maximum transconductance values, cut‐off frequencies, and large on/off current ratios. Organic polymer‐based devices have recently dominated the field, especially when considering flexibility as a key factor. Oxide semiconductors may also offer these features, as well as advantages like higher mobility. Herein, flexible, ultrathin, indium tin oxide (ITO) electrolyte‐gated transistors are reported. These accumulation‐mode devices combine n‐type operation with µe = 9.5 cm2 Vs−1, high transconductance (gm = 44 mS), and on/off ratios (105) as well as optically transparent layouts. While oxides are normally considered brittle, mechanically flexible ITO layers are obtained by room temperature deposition of amorphous layers onto parylene C. This process results in low strain, producing devices that survive bending. ITO electrochemically degrades, however, with cycling. To overcome this, the surface is passivated with high dielectric constant inert capping layers of Ta2O5 or Ta2O5/AlN. This greatly improves stability while preserving low gate voltages. Based on their overall performance, ITO‐based EGFETs are promising for bioelectronics. [ABSTRACT FROM AUTHOR]

Stretch syncope (SS) is a benign, uncommon, distinct condition described mainly in adolescent males. It is responsible for paroxysmal events started by stereotyped stretching actions with neck hyperextension, culminating in alteration of consciousness. Motor manifestations are often present and may be associated with a generalized slowing of the electroencephalographic activity, challenging the diagnosis. Despite a few cases reported in the literature, different mechanisms have been implied in the pathogenesis, involving both local and systemic hemodynamic phenomena. Here, we report on an 8-year-old girl with self-induced SS, providing new insights into the related neurophysiological profile and discussing the possible etiology. Our evidence of transient and dynamic vascular impairment supports the hypothesis of SS as a multifactorial disorder. [ABSTRACT FROM AUTHOR]

Background: SPG18 is caused by mutations in the endoplasmic reticulum lipid raft associated 2 (ERLIN2) gene. Autosomal recessive (AR) mutations are usually associated with complicated hereditary spastic paraplegia (HSP), while autosomal dominant (AD) mutations use to cause pure SPG18. Aim: To define the variegate clinical spectrum of the SPG18 and to evaluate a dominant negative effect of erlin2 (encoded by ERLIN2) on oligomerization as causing differences between AR and AD phenotypes. Methods: In a four-generation pedigree with an AD pattern, a spastic paraplegia multigene panel test was performed. Oligomerization of erlin2 was analyzed with velocity gradient assay in fibroblasts of the proband and healthy subjects. Results: Despite the common p.V168M mutation identified in ERLIN2, a phenoconversion to amyotrophic lateral sclerosis (ALS) was observed in the second generation, pure HSP in the third generation, and a complicated form with psychomotor delay and epilepsy in the fourth generation. Erlin2 oligomerization was found to be normal. Discussion: We report the first AD SPG18 family with a complicated phenotype, and we ruled out a dominant negative effect of V168M on erlin2 oligomerization. Therefore, our data do not support the hypothesis of a relationship between the mode of inheritance and the phenotype, but confirm the multifaceted nature of SPG18 on both genetic and clinical point of view. Clinicians should be aware of the importance of conducting an in-depth clinical evaluation to unmask all the possible manifestations associated to an only apparently pure SPG18 phenotype. We confirm the genotype–phenotype correlation between V168M and ALS emphasizing the value of close follow-up. [ABSTRACT FROM AUTHOR]

Indium tin oxide (ITO) is a transparent conductive oxide (TCO) commonly used in the realization of optoelectronic devices needing at least a transparent electrode. In this work, ITO thin films were deposited on glass substrates by non-reactive RF magnetron sputtering, investigating the effects of power density, sputtering pressure, and substrate temperature on the electrical, optical, and structural properties of the as-grown films. High-quality films, in terms of crystallinity, transparency, and conductivity were obtained. The 120 nm thick ITO films grown at 225 °C under an argon pressure of 6.9 mbar and a sputtering power density of 2.19 W/cm2 without post-annealing treatments in an oxidizing environment showed an optical transmittance near 90% at 550 nm and a resistivity of  2.10 × 10 − 4   Ω  cm. This material was applied as the electrode of simple-structure organic light-emitting diodes (OLEDs). [ABSTRACT FROM AUTHOR]

The aim of this study was to measure the effects on three-planar active cervical range of motion (ACROM) and self-perceived pain of elastic taping (ET) application in the cervical area. Thirty participants (n: 22-M and 8-F, age 35.4 ± 4.4 years; body height 173.1 ± 8.4 cm; body mass 73.5 ± 12.8 kg) in the study group (SG) and twenty participants (n: 11-M and 9-F, age 32.6 ± 3.9 years; body height 174.9 ± 10.9 cm; body mass 71.2 ± 12.9 kg) in the control group (CG) were recruited. All subjects had neck and cervical pain in baseline condition. Each group performed an ACROM test and measured the perceived pain in the neck based on the Numerical Rating Scale (NRS 0--10, a.u.) at the baseline (T0), after 20′ from the ET application (T1), and after three days of wearing the ET application (T2). Between T0 and T1, an ET was applied to the cervical area of the SG participants. Statistical analysis did not show any significant change in CG in any measurement session for ACROM and neck pain parameters. Conversely, the SG showed significant improvements for ACROM rotation to the left (T0 64.8 ± 7.7°–T2 76.0 ± 11.1° p < 0.000) and right (T0 66.0 ± 11.9°–T2 74.2 ± 9.6° p < 0.000), lateral inclination to the left (T0 37.5 ± 6.9°–T2 40.6 ± 10.8° p < 0.000) and right (T0 36.5 ± 7.9°–T2 40.9 ± 5.2° p < 0.000), extension (T0 47.0 ± 12.9°–T2 55.1 ± 12.3° p < 0.001), and flexion (T0 55.0 ± 3.6°–T2 62.9 ± 12.0° p < 0.006). A significant decrease was also measured in SG for pain NRS between T0 and T2 (T0 7.5 ± 1.0°–T1 5.5 ± 1.4–T2 1.4 ± 1.5° p < 0.000). In conclusion, a bilateral and symmetrical ET cervical application is useful to enhance multiplanar ACROM and reduce subjective self-perceived cervical pain when it is needed. Based on the evidence, the use of ET on the neck is recommended for managing neck motion restrictions and pain in adult individuals.