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Effect of testosterone in young ice-hockey players on hematological, biochemical parameters and the level of physical performance 青少年冰球运动员睾酮对血液、生化指标及体能水平的影响
Pub Date : 2023-07-17 DOI: 10.47529/2223-2524.2023.1.8
N. Aksenova, Tagir A. Mangushev, P. Okorokov, E. V. Babaeva, I. V. Zyabkin
Ice-hockey combines intense physical activity at high speed with elements of power struggle. Testosterone is the main anabolic hormone, an increase in which during adolescence is associated with faster growth, increased muscle mass, physical strength, and increased overall and aerobic performance. Thus, it is interesting to study the effect of different testosterone levels on metabolic parameters and physical performance of young ice-hockey players.Objective: to compare hematological and biochemical parameters, as well as exercise performance in young ice-hockey players, depending on the testosterone level.Materials and methods: the study included 100 young ice-hockey players aged 15–17 years (average age 15.3 ± 1.1 years). The study group included 25 young ice-hockey players with an increased level of total blood testosterone (> 27.5 nmol/l). The control group included 75 young athletes with normal testosterone levels. All athletes included in the study underwent the PWC 170 test to assess physical performance. Assessment of hematological parameters included hemoglobin (HGB), hematocrit, red blood cell, mean corpuscular volume (MCV), mean concentration hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC). β-crosslaps, myoglobin and creatine phosphokinase (CPK) activity were measured to assess the functional state of muscle and bone tissue.Results: A comparative assessment of the CBC in young ice-hockey players did not reveal significant differences depending on the level of serum testosterone level. Tolerance to physical activity in the study groups also did not differ. Young ice-hockey players with increased testosterone levels showed lower β-crosslaps values compared to the control group. The values of other biomarkers of the functional activity of muscle tissue did not depend on the level of testosterone levels.Conclusion: Increased serum testosterone level in the range from 27.5 to 40 nmol/l, detected in young ice-hockey players aged 15–17 years, is not associated with a change in hematological and biochemical parameters. High total testosterone levels do not improve physical performance. It is necessary to continue studies to assess the dynamics of the serum testosterone in young ice-hockey players to clarify the long-term effects of androgens on the metabolic and functional indicators of young athletes. Increasing serum testosterone levels in athletes is subject to wide discussion in the community of sports physicians and endocrinologists.
冰球运动结合了高强度的高速运动和权力斗争的元素。睾酮是主要的合成代谢激素,青春期睾酮的增加与更快的生长、肌肉量的增加、体力的增强以及整体和有氧运动能力的提高有关。因此,研究不同睾酮水平对青少年冰球运动员代谢参数和体能表现的影响是一项有趣的研究。目的:比较年轻冰球运动员的血液学和生化指标以及运动表现与睾酮水平的关系。材料与方法:研究对象为100名15 ~ 17岁的青少年冰球运动员,平均年龄15.3±1.1岁。研究小组包括25名年轻的冰球运动员,他们的总血睾酮水平升高(> 27.5 nmol/l)。对照组包括75名睾丸激素水平正常的年轻运动员。所有参与研究的运动员都进行了普华永道170测试,以评估他们的身体表现。评估血液学参数包括血红蛋白(HGB)、红细胞压积、红细胞、平均红细胞体积(MCV)、平均血红蛋白浓度(MCH)、平均红细胞血红蛋白浓度(MCHC)。测定β-交叉膜、肌红蛋白和肌酸磷酸激酶(CPK)活性,评估肌肉和骨组织的功能状态。结果:对年轻冰球运动员CBC的比较评估没有发现血清睾酮水平的显著差异。研究小组对体力活动的耐受性也没有差异。与对照组相比,睾丸激素水平升高的年轻冰球运动员表现出更低的β-交叉扇值。肌肉组织功能活动的其他生物标志物的值不依赖于睾酮水平。结论:15-17岁的年轻冰球运动员血清睾酮水平在27.5 - 40 nmol/l范围内升高,与血液学和生化参数的变化无关。总睾酮水平高并不会提高身体表现。为了阐明雄激素对青少年冰球运动员代谢和功能指标的长期影响,有必要继续研究评估青少年冰球运动员血清睾酮的动态变化。运动员血清睾酮水平升高是运动内科医生和内分泌学家广泛讨论的问题。
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引用次数: 0
Possibilities of echocardiographic screening in athletes. Part 2. Structural changes of the heart 超声心动图筛查运动员的可能性。第2部分。心脏结构的改变
Pub Date : 2023-07-17 DOI: 10.47529/2223-2524.2023.1.11
А.С. Шарыкин, Виктория Асланбековна Бадтиева, Ю.М. Иванова, Д.М. Усманов, A. Sharykin, Viktoria A. Badtieva, Iu. M. Ivanova, D. M. Usmanov
Objective: to assess the suitability of existing domestic and international recommendations and standards for the use of echocardiography as a screening technique for examining athletes with various diseases.Materials and methods: a meta‑analysis of 59 domestic and foreign literature sources based on the results of an echocardiographic examination of athletes was carried out. The indicators of 2647 male athletes aged 16 to 45 years old, playing for the national teams of the city of Moscow and having passed an in‑depth medical examination at the Sports Medicine Clinic, were studied.Results: screening echocardiography sufficiently reveals structural deviations of the heart of athletes from population norms, including congenital or acquired pathologies that cause both sudden death and general morbidity compared with a healthy population.Conclusion: in order to speed up and reduce the cost of the examination of athletes, it is appropriate to use the primary screening, and if necessary, an in‑depth examination. In this case, it is advisable to distinguish three diagnostic stages that determine the danger or admissibility of playing sports: (A) — the risk of developing complications, (B) — the presence of structural changes in the heart, and (C) — the appearance of clinical symptoms.
目的:评价超声心动图作为一种筛查技术用于检查运动员各种疾病的适用性。材料和方法:基于运动员超声心动图检查结果,对59篇国内外文献进行meta分析。对2647名16至45岁的莫斯科市国家队男子运动员的各项指标进行了研究,这些运动员在运动医学诊所接受了深入的体检。结果:超声心动图筛查充分揭示了运动员的心脏结构偏离人群标准,包括先天性或获得性病理,导致猝死和一般发病率与健康人群相比。结论:为加快运动员的检查速度,降低检查成本,宜采用初筛,必要时进行深入检查。在这种情况下,最好区分三个诊断阶段,以确定进行运动的危险性或可接受性:(A) -发生并发症的风险,(B) -心脏结构改变的存在,(C) -临床症状的出现。
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引用次数: 0
Psychological targets in elite athletes’ rehabilitation 优秀运动员康复的心理目标
Pub Date : 2023-07-17 DOI: 10.47529/2223-2524.2023.1.10
С.Е. Назарян, Н.З. Орлова, В. И. Пустовойт, S. E. Nazaryan, Nadezhda Z. Orlova, Vasiliy I. Pustovoit
Inability to participate in competitions due to injury is a temporary disability of an athlete, which can be the reason for the exacerbation of stress and neurosis. The article summarizes the ten-year experience of a psychologist in the rehabilitation of athletes. For the first time the factors of the directed psychological support in sports rehabilitation are formulated, the purpose of psychological support of rehabilitation of the athlete - psychological readiness for continuation of sports career is formed. The “targets” of corrective work for the sports medicine psychologist at the stage of rehabilitation of the athlete after trauma are singled out and defined.
因伤不能参加比赛是运动员的一种暂时性残疾,可能是压力和神经症加剧的原因。本文总结了一位心理学家十年来在运动员康复方面的经验。首次阐述了运动康复中定向心理支持的影响因素,形成了运动员康复心理支持的目的——继续运动生涯的心理准备。对运动员创伤后康复阶段运动医学心理学家矫正工作的“目标”进行了梳理和界定。
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引用次数: 0
Risk factors for cardiovascular diseases and heart remodeling in sambo veterans 三宝退伍军人心血管疾病和心脏重塑的危险因素
Pub Date : 2023-07-15 DOI: 10.47529/2223-2524.2023.1.6
N. M. Leonova, Iu. M. Ivanova, V. Badtieva, A. Sharykin, M. T. Éfendieva, R. I. Kabulova, A. B. Rzaeva, U. B. Ismailova
Introduction. The benefits of exercise for the cardiovascular system are apparent. However, the influence of predominantly strength exercises throughout life has not been sufficiently studied. This work details the studies around the structure and function of the heart in sambo veteran athletes residing in the Russian Federation (RF) and the Azerbaijan Republic (AR) as well as the frequency of risk factors for their cardiovascular system.Methods. We examined 55 male athletes aged 45.4 ± 8.3 yrs: 24 sambo veterans from RF (group “RF”), 10 sambo veterans from AR (group “AR”) and 21 persons representing control group (“CG”) (chess, bowling), RF. Questionnaires, analysis of ideal health factors, recording of electrocardiogram in 12 leads, echocardiography, stress test with oxygen analysis were carried out.Results. Maximum exercise power and peak oxygen consumption were higher in the “RF” and “AR” groups compared to the “CG” group. The main abnormalities were hypertrophy of interventricular septum (n = 11, 32.3 %) and left ventricular wall (n = 3, 8.8 %). Concentric left ventricular remodeling was predominant in the “AR” group (5 vs. 1, p < 0.05) and greater left ventricular volume in the “RF” group (65.1 vs. 52.0 ml/m2, p < 0.05). Lower physical performance and the presence of dyslipidemia were significantly associated with parameters reflecting concentric left ventricular remodeling (“AR” group). Various ideal health factors were absent in 10–80 % of the examinees. A total of 7 (20.6 %) veterans were found to have a high risk of cardiovascular diseases according to the questionnaire.Conclusion. Prolonged wrestling exercises allow veterans to maintain high aerobic capacity. Concentric remodeling of myocardium of the left ventricle is combined with higher indices of dyslipidemia in the group “AR” which may be connected to low physical activity and eating habits after sport practice.
介绍。锻炼对心血管系统的好处是显而易见的。然而,主要的力量锻炼对整个生命的影响还没有得到充分的研究。这项工作详细研究了居住在俄罗斯联邦(RF)和阿塞拜疆共和国(AR)的sambo老运动员的心脏结构和功能,以及他们心血管系统危险因素的频率。我们研究了55名年龄为45.4±8.3岁的男性运动员:24名来自RF(“RF”组)的sambo退伍军人,10名来自AR(“AR”组)的sambo退伍军人和21名来自CG(“CG”组)(象棋,保龄球),RF。进行问卷调查、理想健康因素分析、12导联心电图记录、超声心动图、负荷试验及氧分析。与“CG”组相比,“RF”和“AR”组的最大运动功率和峰值耗氧量更高。主要异常为室间隔肥大(n = 11, 32.3%)和左室壁肥大(n = 3, 8.8%)。“AR”组以左室同心重构为主(5 vs. 1, p < 0.05),“RF”组左室容积较大(65.1 vs. 52.0 ml/m2, p < 0.05)。较低的体能表现和血脂异常的存在与反映同心左心室重构的参数显著相关(“AR”组)。10 ~ 80%的考生缺乏各项理想健康因素。调查结果显示,共有7人(20.6%)为心血管疾病高危人群。长时间的摔跤运动可以让老兵保持高的有氧能力。“AR”组左心室心肌同心重构伴有较高的血脂异常指标,这可能与运动后较少的体力活动和饮食习惯有关。
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引用次数: 0
Clinical and radiological characteristics of patients with plantar fasciitis 足底筋膜炎的临床和影像学特点
Pub Date : 2023-06-21 DOI: 10.47529/2223-2524.2023.1.7
A. P. Anischenko, S. I. Dzhadayev, A. V. Dzhadayeva, V. V. Inanov, M. V. Kovrizhnyh
Aim: to study the clinical and radiological parameters of patients with plantar fasciitis.Materials and methods: the study involved 91 patients with plantar fasciitis, 73 (80.2%) women, 18 (19.8%) men. The mean age of the patients was 53.42 ± 9.16 years, disease duration was 30.32 ± 8.06 days, BMI was 24.75 ± 4.55 kg/m2. Patients underwent history taking, pain level and quality of life were assessed using the visual analogue scale, the SF-36 questionnaire and the AOFAS scale. The functional state of the feet was assessed using plantoscopy, Y-balance test, Friedland index. X-ray parameters were assessed using magnetic resonance imaging.Results: the disease is common among women aged 51 to 60 years. In 100% of cases, there is no traumatic etiological factor, 42.9% of the subjects note an increase in body weight as the cause, 35.2% – the relationship of the onset of pain with wearing flat shoes; men are more likely to associate the onset of symptoms with an increase in physical activity (83.3%). Subjective sensation of pain on the VAS does not depend on gender (p = 0.280), age (p = 0.509), disease duration (p = 0.371), BMI (p = 0.974). X-ray parameters of patients are characterized in 49.5% by the absence of heel exostosis, in other cases, the development of a heel spur is more typical for women (p = 0.019), its length does not depend on the duration of the disease (p = 0.845), age (p = 0.054), BMI (p = 0.196), lifestyle (p = 0.324) and does not correlate with the severity of pain (p = 0.691). The level of pain is directly proportional to the thickness of the plantar fascia (p < 0.001, ρ = 0.459). Calcaneal edema is observed in 14.3 % of patients, soft tissue edema — in 18.7 %; there was no relationship between calcaneal edema (p = 0.604) and soft tissue edema (p = 0.541) with the severity of pain, and calcaneal edema directly correlates with BMI (p = 0.029).Conclusion: These studies suggest that among the predictors of the development of plantar fasciitis, the most significant are female gender, overweight, wearing flat shoes, and the disease itself is not always a consequence of the development of a heel spur.
目的:探讨足底筋膜炎的临床及影像学特征。材料与方法:91例足底筋膜炎患者,女性73例(80.2%),男性18例(19.8%)。患者平均年龄53.42±9.16岁,病程30.32±8.06天,BMI为24.75±4.55 kg/m2。采用视觉模拟量表、SF-36问卷和AOFAS量表评估患者的病史、疼痛程度和生活质量。采用植物镜、y -平衡试验、弗里德兰指数评估足部功能状态。采用磁共振成像技术评估x射线参数。结果:本病多见于51 ~ 60岁女性。在100%的病例中,没有创伤性病因,42.9%的受试者认为体重增加是原因,35.2%的受试者认为疼痛的发生与穿平底鞋有关;男性更有可能将症状的出现与体力活动的增加联系起来(83.3%)。VAS主观疼痛感觉与性别(p = 0.280)、年龄(p = 0.509)、病程(p = 0.371)、BMI (p = 0.974)无关。49.5%的患者的x线参数特征是没有脚跟外生,在其他情况下,脚跟骨刺的发展在女性中更为典型(p = 0.019),其长度与疾病持续时间(p = 0.845)、年龄(p = 0.054)、BMI (p = 0.196)、生活方式(p = 0.324)无关,与疼痛的严重程度无关(p = 0.691)。疼痛程度与足底筋膜厚度成正比(p < 0.001, ρ = 0.459)。跟骨水肿占14.3%,软组织水肿占18.7%;跟骨水肿(p = 0.604)和软组织水肿(p = 0.541)与疼痛程度无相关性,跟骨水肿与BMI有直接相关性(p = 0.029)。结论:这些研究表明,在足底筋膜炎发展的预测因素中,最重要的是女性、超重、穿平底鞋,而这种疾病本身并不总是与脚跟骨刺的发展有关。
{"title":"Clinical and radiological characteristics of patients with plantar fasciitis","authors":"A. P. Anischenko, S. I. Dzhadayev, A. V. Dzhadayeva, V. V. Inanov, M. V. Kovrizhnyh","doi":"10.47529/2223-2524.2023.1.7","DOIUrl":"https://doi.org/10.47529/2223-2524.2023.1.7","url":null,"abstract":"Aim: to study the clinical and radiological parameters of patients with plantar fasciitis.Materials and methods: the study involved 91 patients with plantar fasciitis, 73 (80.2%) women, 18 (19.8%) men. The mean age of the patients was 53.42 ± 9.16 years, disease duration was 30.32 ± 8.06 days, BMI was 24.75 ± 4.55 kg/m2. Patients underwent history taking, pain level and quality of life were assessed using the visual analogue scale, the SF-36 questionnaire and the AOFAS scale. The functional state of the feet was assessed using plantoscopy, Y-balance test, Friedland index. X-ray parameters were assessed using magnetic resonance imaging.Results: the disease is common among women aged 51 to 60 years. In 100% of cases, there is no traumatic etiological factor, 42.9% of the subjects note an increase in body weight as the cause, 35.2% – the relationship of the onset of pain with wearing flat shoes; men are more likely to associate the onset of symptoms with an increase in physical activity (83.3%). Subjective sensation of pain on the VAS does not depend on gender (p = 0.280), age (p = 0.509), disease duration (p = 0.371), BMI (p = 0.974). X-ray parameters of patients are characterized in 49.5% by the absence of heel exostosis, in other cases, the development of a heel spur is more typical for women (p = 0.019), its length does not depend on the duration of the disease (p = 0.845), age (p = 0.054), BMI (p = 0.196), lifestyle (p = 0.324) and does not correlate with the severity of pain (p = 0.691). The level of pain is directly proportional to the thickness of the plantar fascia (p < 0.001, ρ = 0.459). Calcaneal edema is observed in 14.3 % of patients, soft tissue edema — in 18.7 %; there was no relationship between calcaneal edema (p = 0.604) and soft tissue edema (p = 0.541) with the severity of pain, and calcaneal edema directly correlates with BMI (p = 0.029).Conclusion: These studies suggest that among the predictors of the development of plantar fasciitis, the most significant are female gender, overweight, wearing flat shoes, and the disease itself is not always a consequence of the development of a heel spur.","PeriodicalId":309619,"journal":{"name":"Sports medicine: research and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134243703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Attitudes towards vaccination against COVID-19 among athletes of Russian national teams in comparison with non-athletes aged 18 to 40 俄罗斯国家队运动员与18至40岁非运动员对COVID-19疫苗接种的态度比较
Pub Date : 2023-06-19 DOI: 10.47529/2223-2524.2023.1.5
A. Vasileva, T. Karavaeva, D. Radionov, A. V. Yakovlev, S. Barshak, K. S. Nazarov, A. Zholinskiy, B. Polyaev, I. N. Mitin
The purpose of this work was to study the attitude of the Russian population to vaccination against COVID-19. Vaccination attitudes in young adults were studied both in the general population and among those who are professionally involved in sports, since attitudes towards health and the initial level of physical resources are important for forming attitudes towards vaccination. A total of 2579 people aged 18 to 40 were examined. Of these, 2233 are from the general population, 346 are high performance athletes.Methods. This was a cohort cross-sectional study. A specially designed questionnaire was used, located on Internet resources 2 months after the start of mass vaccination in Russia.Results. In the group of elite athletes, there are significantly more people who consider vaccination unnecessary or treat it indifferently, and a smaller proportion of those who consider it useful or doubt its effectiveness as compared to the general population of the same age. Low adherence to vaccination may be associated with fear of potential complications. Among elite athletes, there are significantly more people who are seriously afraid of complications from vaccination — 143 (41.3 %), compared to the first group of respondents — 745 (33.4 %) (p < 0.01, φ = 2.839). Probably, these concerns are related to the crucial importance of health and physical condition for professional athletes.Conclusions. It is advisable to develop recommendations for vaccination against COVID-19 for elite athletes, which will describe in detail the benefits of vaccination for athletes, possible side effects, their frequency and impact on the training process.
这项工作的目的是研究俄罗斯人口对COVID-19疫苗接种的态度。由于对健康的态度和最初的体力资源水平对于形成对接种疫苗的态度很重要,因此对一般人群和从事专业体育运动的年轻人的疫苗接种态度进行了研究。共有2579名年龄在18岁至40岁之间的人接受了调查。其中2233人来自普通人群,346人是高水平运动员。这是一项队列横断面研究。在俄罗斯开始大规模疫苗接种2个月后,在互联网资源上使用了一份专门设计的问卷。在精英运动员群体中,认为疫苗接种没有必要或漠不关心的人明显更多,认为疫苗接种有用或怀疑其有效性的人的比例低于同年龄的一般人群。疫苗接种依从性低可能与担心潜在并发症有关。在优秀运动员中,严重害怕疫苗接种并发症的人数为143人(41.3%),显著高于第一组(745人)(33.4%)(p < 0.01, φ = 2.839)。也许,这些担忧与职业运动员的健康和身体状况的重要性有关。建议制定针对优秀运动员的COVID-19疫苗接种建议,其中将详细描述疫苗接种对运动员的好处、可能的副作用、接种频率和对训练过程的影响。
{"title":"Attitudes towards vaccination against COVID-19 among athletes of Russian national teams in comparison with non-athletes aged 18 to 40","authors":"A. Vasileva, T. Karavaeva, D. Radionov, A. V. Yakovlev, S. Barshak, K. S. Nazarov, A. Zholinskiy, B. Polyaev, I. N. Mitin","doi":"10.47529/2223-2524.2023.1.5","DOIUrl":"https://doi.org/10.47529/2223-2524.2023.1.5","url":null,"abstract":"The purpose of this work was to study the attitude of the Russian population to vaccination against COVID-19. Vaccination attitudes in young adults were studied both in the general population and among those who are professionally involved in sports, since attitudes towards health and the initial level of physical resources are important for forming attitudes towards vaccination. A total of 2579 people aged 18 to 40 were examined. Of these, 2233 are from the general population, 346 are high performance athletes.Methods. This was a cohort cross-sectional study. A specially designed questionnaire was used, located on Internet resources 2 months after the start of mass vaccination in Russia.Results. In the group of elite athletes, there are significantly more people who consider vaccination unnecessary or treat it indifferently, and a smaller proportion of those who consider it useful or doubt its effectiveness as compared to the general population of the same age. Low adherence to vaccination may be associated with fear of potential complications. Among elite athletes, there are significantly more people who are seriously afraid of complications from vaccination — 143 (41.3 %), compared to the first group of respondents — 745 (33.4 %) (p < 0.01, φ = 2.839). Probably, these concerns are related to the crucial importance of health and physical condition for professional athletes.Conclusions. It is advisable to develop recommendations for vaccination against COVID-19 for elite athletes, which will describe in detail the benefits of vaccination for athletes, possible side effects, their frequency and impact on the training process.","PeriodicalId":309619,"journal":{"name":"Sports medicine: research and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124852715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effectiveness of active medical rehabilitation technologies among Paralympians engaged in playing sports 主动医学康复技术在残疾人体育运动中的应用效果
Pub Date : 2023-06-14 DOI: 10.47529/2223-2524.2023.1.1
Резеда Ахметовна Бодрова, А.Д. Закамырдина, А. М. Делян, Галина Мазгаровна Каримова, Л.Ф. Васильева, R. A. Bodrova, A. D. Zakamyrdina, Arthur M. Delyan, G. M. Karimova, Lyudmila F. Vasilyeva
The purpose of the study: to study the effectiveness of active medical rehabilitation technologies among Paralympians engaged in playing sports.Materials and methods: examined 48 male patients aged 25.9 ± 2.1 years with traumatic disease of the lumbar spinal cord. All examined were divided into 2 groups: patients of the main group (19 people) against the background of standard therapy received a course of active medical rehabilitation (AMR), including mechanotherapy and electrical stimulation with biofeedback under the control of electromyography (EMG) of the muscles of the lower extremities and back. Patients in the comparison group (29 people) received standard therapy. After the AMR course, a comprehensive examination was performed, including the data of the questionnaires: the ASIA classification (American Spinal Injury Association), the FIM (Functional Independence Measure) scale of functional independence, the modified functional assessment scale of activity and quality of life VFM (Valutazione Funzionale Mielolesi), State-Trait Anxiety Inventory, the Beck depression scale; electroneurophysiological studies on the Neurosoft Neuro-EMG-Micro device, heart rate variability (HRV) on the Neurosoft Poly-Spectrum computer electrocardiograph, indicators of free movement with concentric and eccentric muscle contractions on EN-TreeM.Results: polysympathetic reflex excitability (PRV) significantly decreased in patients of the main group. There was also an improvement in vegetative reactivity (coefficient 30/15 is 1.45; p <0.001) during the orthostatic test, indicating normalization of parasympathetic regulation and heart rate. The assessment on the ASIA scale revealed an improvement in sensory function by 13.4 % and motor function by 17.4 %. On the VFM scale, an increase in indicators was observed by 14.7 % and on the FIM scale by 11.5 %. When assessing the psycho-emotional sphere on the Spielberger-Khanin scale, a significant decrease in the level of reactive anxiety was noted by 10.9 %, and the level of depression by 30.5 %. A significant increase in muscle strength by 18.1 % (p < 0.001) was also observed during concentric contractions, the average power increased by 83.1 % (p < 0.001), the average amplitude increased by 68.7 % (p < 0.001), the average speed by 27.2 % (p=0.002). When analyzing the indicators after the treatment, significant differences were obtained between the main and the comparison group (p < 0.001).Conclusion: the use of biofeedback technologies under the control of electromyography leads to an increase in the effectiveness of medical rehabilitation and improves the quality of life in Paralympians with traumatic spinal cord disease.
本研究的目的:研究主动医学康复技术对从事体育运动的残奥运动员的效果。材料与方法:对48例年龄25.9±2.1岁的外伤性腰椎疾病患者进行回顾性分析。将所有患者分为两组:主组(19例)患者在标准治疗背景下接受1个疗程的主动医学康复(AMR),包括机械治疗和在下肢和背部肌肉肌电图(EMG)控制下的生物反馈电刺激。对照组(29人)接受标准治疗。AMR课程结束后,进行综合检查,包括问卷数据:美国脊髓损伤协会ASIA分类、功能独立性FIM量表、活动与生活质量修正功能评估量表VFM (Valutazione Funzionale Mielolesi)、状态-特质焦虑量表、Beck抑郁量表;Neurosoft neuroemg - micro设备的神经电生理研究,Neurosoft Poly-Spectrum计算机心电图的心率变异性(HRV), EN-TreeM上自由运动伴有同心和离心肌肉收缩的指标。结果:主组患者多交感反射兴奋性(PRV)明显降低。植物性反应性也有改善(系数30/15为1.45;P <0.001),表明副交感神经调节和心率恢复正常。亚洲量表的评估显示感觉功能改善了13.4%,运动功能改善了17.4%。在VFM量表上,指标增加了14.7%,在FIM量表上增加了11.5%。当在斯皮尔伯格-哈宁量表上评估心理-情绪领域时,反应性焦虑水平显著下降10.9%,抑郁水平显著下降30.5%。在同心收缩过程中,肌肉力量增加了18.1% (p < 0.001),平均力量增加了83.1% (p < 0.001),平均幅度增加了68.7% (p < 0.001),平均速度增加了27.2% (p=0.002)。治疗后各项指标分析,主组与对照组比较差异有统计学意义(p < 0.001)。结论:肌电控制下的生物反馈技术的应用,提高了创伤性脊髓病患者医学康复的有效性,改善了患者的生活质量。
{"title":"The effectiveness of active medical rehabilitation technologies among Paralympians engaged in playing sports","authors":"Резеда Ахметовна Бодрова, А.Д. Закамырдина, А. М. Делян, Галина Мазгаровна Каримова, Л.Ф. Васильева, R. A. Bodrova, A. D. Zakamyrdina, Arthur M. Delyan, G. M. Karimova, Lyudmila F. Vasilyeva","doi":"10.47529/2223-2524.2023.1.1","DOIUrl":"https://doi.org/10.47529/2223-2524.2023.1.1","url":null,"abstract":"The purpose of the study: to study the effectiveness of active medical rehabilitation technologies among Paralympians engaged in playing sports.Materials and methods: examined 48 male patients aged 25.9 ± 2.1 years with traumatic disease of the lumbar spinal cord. All examined were divided into 2 groups: patients of the main group (19 people) against the background of standard therapy received a course of active medical rehabilitation (AMR), including mechanotherapy and electrical stimulation with biofeedback under the control of electromyography (EMG) of the muscles of the lower extremities and back. Patients in the comparison group (29 people) received standard therapy. After the AMR course, a comprehensive examination was performed, including the data of the questionnaires: the ASIA classification (American Spinal Injury Association), the FIM (Functional Independence Measure) scale of functional independence, the modified functional assessment scale of activity and quality of life VFM (Valutazione Funzionale Mielolesi), State-Trait Anxiety Inventory, the Beck depression scale; electroneurophysiological studies on the Neurosoft Neuro-EMG-Micro device, heart rate variability (HRV) on the Neurosoft Poly-Spectrum computer electrocardiograph, indicators of free movement with concentric and eccentric muscle contractions on EN-TreeM.Results: polysympathetic reflex excitability (PRV) significantly decreased in patients of the main group. There was also an improvement in vegetative reactivity (coefficient 30/15 is 1.45; p <0.001) during the orthostatic test, indicating normalization of parasympathetic regulation and heart rate. The assessment on the ASIA scale revealed an improvement in sensory function by 13.4 % and motor function by 17.4 %. On the VFM scale, an increase in indicators was observed by 14.7 % and on the FIM scale by 11.5 %. When assessing the psycho-emotional sphere on the Spielberger-Khanin scale, a significant decrease in the level of reactive anxiety was noted by 10.9 %, and the level of depression by 30.5 %. A significant increase in muscle strength by 18.1 % (p < 0.001) was also observed during concentric contractions, the average power increased by 83.1 % (p < 0.001), the average amplitude increased by 68.7 % (p < 0.001), the average speed by 27.2 % (p=0.002). When analyzing the indicators after the treatment, significant differences were obtained between the main and the comparison group (p < 0.001).Conclusion: the use of biofeedback technologies under the control of electromyography leads to an increase in the effectiveness of medical rehabilitation and improves the quality of life in Paralympians with traumatic spinal cord disease.","PeriodicalId":309619,"journal":{"name":"Sports medicine: research and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114983533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of visual functions on athletes’ results and methods of their improvements 视觉功能对运动员成绩的影响及改善方法
Pub Date : 2023-06-14 DOI: 10.47529/2223-2524.2023.1.4
И.Б. Медведев, М.В. Гусаков, М.Ю. Борисова, Т.И. Бланкова, Наталья Игоревна Медведева, Н.Н. Дергачёва, I. B. Medvedev, M. V. Gusakov, Mariya U. Borisova, T. I. Blankova, N. I. Medvedeva, N. Dergacheva
Regardless of the sport, maintaining and improvement of visual functions in athletes act an important role in achieving personal records.In this article, the interrelationships between sports results and the state of visual functions were determined, as well as devices and methods were analyzed, thanks to which it is possible to improve functions of the visual analyzer.
无论何种运动项目,保持和改善运动员的视觉功能对取得个人记录都起着重要作用。本文确定了运动结果与视觉功能状态之间的相互关系,并分析了视觉分析仪的设备和方法,从而为改进视觉分析仪的功能提供了可能。
{"title":"The impact of visual functions on athletes’ results and methods of their improvements","authors":"И.Б. Медведев, М.В. Гусаков, М.Ю. Борисова, Т.И. Бланкова, Наталья Игоревна Медведева, Н.Н. Дергачёва, I. B. Medvedev, M. V. Gusakov, Mariya U. Borisova, T. I. Blankova, N. I. Medvedeva, N. Dergacheva","doi":"10.47529/2223-2524.2023.1.4","DOIUrl":"https://doi.org/10.47529/2223-2524.2023.1.4","url":null,"abstract":"Regardless of the sport, maintaining and improvement of visual functions in athletes act an important role in achieving personal records.In this article, the interrelationships between sports results and the state of visual functions were determined, as well as devices and methods were analyzed, thanks to which it is possible to improve functions of the visual analyzer.","PeriodicalId":309619,"journal":{"name":"Sports medicine: research and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131166806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reasons for sports discontinuation: a retrospective analysis of the physical activity in medical students 停止运动的原因:医学生体育活动的回顾性分析
Pub Date : 2023-06-14 DOI: 10.47529/2223-2524.2023.1.3
С.В. Дубоносова, Sofia V. Dubonosova
Objective: to study the prevalence of school sports activities and the reasons of retirement from sport among first-year medical students.Materials and methods: A retrospective study was conducted on 851 students (577 girls and 274 boys) entered Medical School in the period of 2016-2022 using the questionnaire data.Results: 79.9 % boys responded positively on the question about their past physical activities and sport in comparison with 71.1 % girls (р = 0,0064). At the time of the survey 257 students had retired from sport (40,9 % of all young men involving into sport during school time), more frequent among girls compared with boys (46,6 % and 30,1 % respectively, р = 0,0001). Injures and diseases led to early retirement from sport in 13.2 % of students. The most common reason of sports retirement was other reasons (more than 50 % of students), while the lack of sports success occurred 11–18 times rarer, as were physical difficulties in endurance of sport activities. 34,2 % of the respondents retired from sport noted some health disorders at the questioning moment, the rate of them was significantly higher than among students continuing sport trainings. The same results were obtained in the quantity of subjective health complaints (р < 0,05 for both genders). Correlation analysis revealed that both past (r = 0,10) and present (r = 0,12) physical activity increased the health level (р < 0,05) and also reduced the M. Luscher color test index (r = -0,069 и r = -0,098 respectively).Conclusion: Health disorders remain the common problem among first-year students, however sports activity increases the health level and decreases the psychoemotional strain. Sports injury and health disorders were among the most frequent and differential causes of retirement from sport.
目的:了解医学院一年级学生参加学校体育活动的情况及退出体育活动的原因。材料与方法:采用问卷调查数据,对2016-2022年进入医学院的851名学生(女生577名,男生274名)进行回顾性研究。结果:79.9%的男生对他们过去的体育活动和运动有积极的反应,而女生的这一比例为71.1%(= 0064)。在调查期间,257名学生已经退出体育运动(占在校期间参加体育运动的所有年轻男子的40.9%),与男孩相比,女孩的比例更高(分别为46.6%和30.1%,分别为0.0001)。13.2%的学生因受伤和疾病提前退出体育运动。体育退役最常见的原因是其他原因(超过50%的学生),而缺乏运动成功的发生率为11-18倍,体育活动耐力方面的身体困难也是如此。34.2%的退出体育运动的学生在受访时表示存在健康问题,这一比例明显高于继续参加体育训练的学生。在主观健康抱怨的数量上获得了相同的结果(男女均< 0.05)。相关分析显示,过去(r = 0,10)和现在(r = 0,12)的体育锻炼均能提高健康水平(r < 0.05),并降低M. Luscher颜色测试指数(r = -0,069)。结论:健康障碍仍是大一学生普遍存在的问题,但体育活动可提高健康水平,减少心理情绪紧张。运动损伤和健康障碍是退出运动的最常见和最不同的原因。
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引用次数: 0
Impact of Nordic walking on health outcomes in older women 北欧步行对老年妇女健康结果的影响
Pub Date : 2023-05-02 DOI: 10.47529/2223-2524.2023.1.2
E. Katamanova, I. Kudaeva, L. S. Vasilyeva, A. N. Kudaev, N. Verlan
There are a number of factors that contribute to the accelerated rate of aging, one of which is physical activity. The increasing proportion of elderly and senile people in the Russian Federation requires urgent implementation of the elderly generation subprogram within the framework of the Demography federal project. In this regard, the problems of maintaining health and the development of methodological approaches to assessing the health of people in the older age group are especially significant.Objective: evaluation of anthropometry, stabilometry and biochemical parameters in the dynamics of Nordic walking in elderly womenMaterials and methods: 30 women were examined, mean age 69.0 (63.0–71.5) years. Examination by a therapist and a neurologist, biochemical blood tests, stabilometry, anthropometry, osteodensitometry (ODM) were carried out. Training loads of Nordic walking (NW) for 3 months were carried out according to the generally accepted method 3 times a week.Results: According to the biochemical analysis of blood, a statistically significant increase in the level of phosphorus and alkaline phosphatase (AP), total protein, as well as a decrease in the level of calcium and total cholesterol were revealed. When considering anthropometry data, there was a statistically significant decrease in body weight, BMI, body fat mass according to the Durnin — Womersley method, SBP and an increase in the cardiovascular index. According to the results of computer stabilometry — a statistically significant increase in the average position of the CP in the sagittal plane with open and closed eyes.Conclusion: 1. The use of NW as a training factor to achieve active longevity in the elderly leads to an improvement in the functioning of the cardiovascular system, due to a statistically significant decrease in body weight, a decrease in SBP by an average of 15 mm Hg. art., as well as the level of total cholesterol. 2. With regular NW exercises for 3 months, the functional stability indicators in the sagittal plane are corrected both with open and closed eyes.
有许多因素导致衰老速度加快,其中之一是体育活动。俄罗斯联邦老年人和老年人口比例的增加要求在联邦人口项目框架内紧急执行老年一代次级方案。在这方面,保持健康和制定评估老年人健康的方法学方法的问题尤为重要。目的:评价老年女性北欧步行动力学的人体测量学、稳定性测量学和生化参数。材料和方法:30名女性,平均年龄69.0(63.0-71.5)岁。由一名治疗师和一名神经科医生进行检查,进行血液生化测试、稳定性测量、人体测量、骨密度测量(ODM)。按照普遍接受的方法进行北欧步行(NW)的训练负荷,每周3次,持续3个月。结果:血液生化分析显示,血清磷、碱性磷酸酶(AP)、总蛋白水平升高,钙、总胆固醇水平下降,均有统计学意义。在考虑人体测量数据时,体重、BMI、根据Durnin - Womersley方法计算的体脂量、收缩压和心血管指数均有统计学意义的下降。根据计算机稳定测量的结果,在睁眼和闭眼时,脑脊液在矢状面的平均位置有统计学上的显著增加。结论:1。在老年人中,使用NW作为一种训练因子来实现积极长寿,导致心血管系统功能的改善,因为体重有统计学意义上的显著下降,收缩压平均下降了15毫米汞柱。以及总胆固醇水平。2. 定期NW运动3个月,睁眼和闭眼均矫正矢状面功能稳定性指标。
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引用次数: 0
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Sports medicine: research and practice
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