Osteopathic status of children doing karate

M. V. Ryauzova, A. A. Dmitriev, E. Nenashkina
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Abstract

Introduction. Regular exercise requires the child′s body to function optimally and be resistant to constant high loads. The state of health of karateka athletes is monitored by sports medicine doctors with the establishment of a diagnosis according to the International Classification of Diseases (ICD), which, as a rule, indicates already existing organic changes. Intense physical activity in childhood against the background of the child′s continued growth can lead to the development of preclinical (prepathological) conditions that are not reflected in the ICD. Understanding the specifics of functional changes occurring in the body of a child professionally engaged in karate will serve as the basis for the competent construction of the training process in order to prevent the depletion of the adaptive reserve of the child′s body.The aim of the study was to assess the osteopathic status of child athletes engaged in traditional karate, depending on the level of training of the athletes.Materials and methods. The cross-sectional cohort study, conducted in the period from November 2021 to March 2023 on the basis of the Karatenomichi Sports Club «Team Ryauzov» (Severodvinsk), included 92 children born in 2010–2012 engaged in traditional karate, of various levels of training. All athletes underwent a unified osteopathic examination with the formation of an osteopathic conclusion.Results. Somatic dysfunctions of the pelvic region were identified as dominant in children who had been engaged in karate for a long time, which, in all likelihood, was associated with regular stereotyped sports load (specifics of kicking and methods of movement), in contrast to children who were at the initial stage of karate training, for whom dominant somatic dysfunctions of the thoracic region were significantly more characteristic (p=0,03).Conclusion. Functional changes that occur in the body of a child professionally engaged in karate have specifics associated with the duration of the training process.
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空手道儿童的骨科状况
导言。经常锻炼要求儿童的身体机能达到最佳状态,并能承受持续的高负荷。运动医学医生对空手道运动员的健康状况进行监测,并根据《国际疾病分类》(ICD)进行诊断。在儿童持续成长的背景下,儿童时期的高强度体育运动可能会导致临床前(病理前)病症的发生,而这些病症在《国际疾病分类》中并没有反映出来。本研究的目的是根据运动员的训练水平,评估从事传统空手道运动的儿童运动员的骨病状况。这项横断面队列研究是在 2021 年 11 月至 2023 年 3 月期间在 Karatenomichi 体育俱乐部 "Team Ryauzov"(塞韦罗德文斯克)的基础上进行的,包括 92 名 2010-2012 年出生的从事传统空手道运动的不同训练水平的儿童。所有运动员都接受了统一的整骨疗法检查,并得出了整骨疗法结论。骨盆区域的躯体功能障碍在长期从事空手道运动的儿童中占主导地位,这很可能与经常性的定型运动负荷(踢腿的具体细节和运动方法)有关,相比之下,处于空手道训练初始阶段的儿童的胸廓区域的躯体功能障碍占主导地位(P=0,03)。专业练习空手道的儿童身体发生的功能性变化与训练过程的持续时间有关。
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