Diagnostically significant dysplastic feature identification as a tool for managing connective tissue risks in sports medicine

M. V. Sankova, V. Nikolenko
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Abstract

Aim: to identificate the diagnostically significant signs of connective tissue dysplasia, detection of which will allow adequate sports activity selection, injury prevention and effective rehabilitation.Materials and methods: clinical-somatometric examination of 117 persons aged 18 to 49 years (35.14 ± 5.63 years) with recurrent musculoskeletal injuries occurred during habitual physical training was carried out. Corresponding subgroups were formed by age and gender. Ranked by significance clinic-morphological dysplastic features, identified by T.I. Kadurina and L.N. Abbakumova (2008), were used to assess the mesenchymal tissue state. The control group, comparable to the main group by age and sex, was represented by 36 healthy young people.Results: persons with a predisposition to musculoskeletal injuries have a high dysplastic sign incidence. It was proved that clinically significant of them are moderate to high degree myopia, gothic palate, excessively soft auricles, “crunch” during movements in the temporomandibular joint, pathological spine kyphosis, joint hypermobility, chest deformities, O- and X-shaped legs and varicose lower limbs. Clinically significant markers of connective tissue dysplasia were found to be modified with age and to have characteristic gender features.Conclusions: the study results have particular importance for injury-free physical activity and medical-biological support for sports activities.
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将具有诊断意义的发育不良特征识别作为运动医学中结缔组织风险管理的工具
材料和方法:对 117 名年龄在 18 至 49 岁(35.14±5.63 岁)、在习惯性体育训练中反复出现肌肉骨骼损伤的人进行了临床症状检查。根据年龄和性别进行了相应的分组。根据 T.I. Kadurina 和 L.N. Abbakumova(2008 年)确定的临床形态发育不良特征的重要性进行排序,用于评估间充质组织状态。对照组由 36 名健康年轻人组成,在年龄和性别上与主要群体相当。结果表明:有肌肉骨骼损伤倾向的人发育不良的发生率很高,其中具有临床意义的是中高度近视、齿状腭、耳廓过软、颞下颌关节活动时 "嘎吱嘎吱 "作响、病理性脊柱后凸、关节活动度过大、胸部畸形、O型腿和X型腿、下肢静脉曲张。研究发现,结缔组织发育不良的临床重要标志物会随着年龄的增长而改变,并具有性别特征。
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