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REHABILITATION AFTER LOWER LIMB LYMPHOEDEMA IN GYNAECOLOGICAL MALIGNANCIES – THE ROLE OF PHYSIOTHERAPY 妇科恶性肿瘤下肢淋巴水肿后康复——物理治疗的作用
Pub Date : 2022-12-30 DOI: 10.35189/dpeskj.2022.61.4.4
Lower limb lymphoedema is one of the most invalidating long-term complications of treatments (such as surgery, chemo- and radiotherapy) for gynaecological malignancies, affecting approximately 15% of women treated for this condition. Lower limb lymphoedema occurrence is related to several risk factors, the most important being obesity and radiotherapy as well as the number of surgically removed lymph nodes. We conducted a retrospective study to assess the risk factors and efficiency of physiotherapy procedures in reducing lower limb lymphoedema in women who underwent an exhaustive treatment plan for gynaecological malignancies. The study enrolled 21 patients with lower limb lymphoedema, who were initially treated by a multidisciplinary team for gynaecological malignancies at the “Prof. Dr Alexandru Trestioreanu” Institute of Oncology in Bucharest. Early initiation of physiotherapy after surgical treatment and radiotherapy, along with patient education, is associated with a higher regression rate of lower limb lymphoedema compared to only patient education and awareness. The treatment response rate was better in patients benefitting from lymphatic drainage, compression bandage and an individual physiotherapy plan compared to patients who only received lymphatic drainage and compression bandage (Mann-Whitney U test, p = 0.05). Early detection and management of lower limb lymphoedema are important to prevent complications and improve quality of life for gynaecological cancer survivors.
下肢淋巴水肿是妇科恶性肿瘤治疗(如手术、化疗和放疗)中最无效的长期并发症之一,约有15%的妇女因此而受到影响。下肢淋巴水肿的发生与多种危险因素有关,其中最重要的是肥胖、放疗以及手术切除淋巴结的数量。我们进行了一项回顾性研究,以评估物理治疗程序在减少妇女下肢淋巴水肿的危险因素和效率,这些妇女接受了详尽的妇科恶性肿瘤治疗计划。该研究招募了21名下肢淋巴水肿患者,他们最初由布加勒斯特肿瘤研究所Alexandru tretioreanu教授博士的妇科恶性肿瘤多学科小组治疗。手术治疗和放疗后早期开始物理治疗,以及患者教育,与仅患者教育和意识相比,下肢淋巴水肿的消退率更高。联合淋巴引流、压迫绷带和单独物理治疗方案的患者治疗有效率优于单纯淋巴引流和压迫绷带组(Mann-Whitney U检验,p = 0.05)。下肢淋巴水肿的早期发现和处理对于预防并发症和改善妇科癌症幸存者的生活质量非常重要。
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引用次数: 0
EFFECTS OF ECCENTRIC/CONCENTRIC TRAINING ON MORPHO-PHYSIOLOGICAL INDICATORS IN ELITE MALE VOLLEYBALL 偏心/同心训练对优秀男子排球运动员形态生理指标的影响
Pub Date : 2022-12-30 DOI: 10.35189/dpeskj.2022.61.4.5
Strength training addresses the physiological needs specific to each sport or the position of each player and will have a positive influence on athletic training. Eccentric/concentric exercises are widely used as a means of modifying the morphological characteristics that will lead to an improvement in the physical training of players. The main effects of weight training are the development of maximal strength and explosive power by increasing muscle mass and decreasing body fat. In fast movements, strength acquires high values and sometimes exceeds isometric indices, and in slow movements, it gets values close to isometric ones. The purpose of this study is to design a physical training programme for strength development in volleyball players of the Știința Bucharest team. The experiment took place between 1 October and 21 December 2021, and therefore lasted 12 weeks. The participants in this experiment are members of the Știința Bucharest volleyball team. They were measured and tested at the beginning and the end of the competition schedule. After the winter training period, the obtained results had higher values, indicating that the means used and their dosage were effective. The methods and means used in the training programme guide the entire methodology of applying the independent variable. The results obtained from this research reveal that the independent variable of the study produces significant increases in both morphological characteristics and physical training.
力量训练解决了每个运动或每个运动员位置的特定生理需求,并将对运动训练产生积极影响。偏心/同心练习被广泛用作一种改变形态特征的手段,这将导致运动员身体训练的改善。重量训练的主要效果是通过增加肌肉量和减少体脂来发展最大力量和爆发力。在快速运动中,力量获得很高的值,有时超过等距指标,在缓慢运动中,力量获得接近等距指标的值。本研究的目的是为Știința布加勒斯特队排球运动员的力量发展设计体能训练方案。实验在2021年10月1日至12月21日之间进行,因此持续了12周。这个实验的参与者是Știința布加勒斯特排球队的成员。他们在比赛开始和结束时进行了测量和测试。冬训结束后,所得结果较高,说明所采用的方法和剂量是有效的。培训方案中使用的方法和手段指导了应用独立变量的整个方法。本研究的结果表明,研究的自变量在形态特征和体能训练方面都产生了显著的增加。
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引用次数: 0
REHABILITATION OF UPPER MOTOR NEURON LESION IN CHILDREN THROUGH ORIGINAL METHODS VERSUS CLASSICAL METHODS 儿童上运动神经元损伤的原始方法与经典方法的对比
Pub Date : 2022-12-30 DOI: 10.35189/dpeskj.2022.61.4.7
Various methods of approaching patients aged 0-4 years after upper motor neuron lesion have been investigated, but no conclusive results have been obtained regarding the effectiveness of these methods and the difficulty of getting a clear picture of the disease progression before starting physical therapy. On the one hand, it is very hard to rehabilitate functional motor ability as long as it is still unclear how to relieve muscle stiffness after cerebral palsy. On the other hand, there is a problem with improving muscle control because classical rehabilitation methods use passive or semi-active joint mobilisation. Consequently, it is very difficult to predict the patient’s evolution. The present study is based on the data collected from a representative sample during physical therapy sessions and their processing in statistical tables. The 51 patients participating in the research are divided into two groups, with 31 children assigned to the experimental group and 20 children included in the control group. They were assessed before and after 4 months of physical therapy using the proposed ‘DinaCord’ Gross Motor Development Scale. Rehabilitation is different for each group, in the sense that the original ‘DinaCord’ physical therapy method is used for the experimental group, and classical methods are used for the control group. The conclusion of the study highlights the effectiveness and perspective on the patient’s motor development due to the application of the above-mentioned original physical therapy method.
对0-4岁上运动神经元病变患者的各种治疗方法进行了研究,但关于这些方法的有效性以及在开始物理治疗之前获得疾病进展的清晰图像的难度,尚未获得结论性结果。一方面,只要脑瘫后肌肉僵硬的缓解方法尚不明确,功能性运动能力的恢复就非常困难。另一方面,由于传统的康复方法使用被动或半主动的关节活动,因此在改善肌肉控制方面存在问题。因此,很难预测病人的病情演变。本研究是基于在物理治疗过程中收集的代表性样本的数据,并在统计表中进行处理。参与研究的51名患者被分为两组,31名儿童被分为实验组,20名儿童被分为对照组。他们在4个月的物理治疗前后使用DinaCord大肌肉运动发展量表进行评估。每一组的康复都是不同的,实验组使用原始的“DinaCord”物理治疗方法,对照组使用经典方法。本研究的结论突出了上述原始物理治疗方法的应用对患者运动发展的有效性和前景。
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引用次数: 0
Effects of two explosive strength circuits on power, speed and agility in U16 football players 两种爆发力回路对U16足球运动员力量、速度和敏捷性的影响
Pub Date : 2022-09-30 DOI: 10.35189/dpeskj.2022.61.3.7
The purpose of study was to examine the effect of two circuits, which consists in specific plyometric drills and football-specific sprints combined with technical elements (crosses and finishing from crosses, feint, dribble and shoot), on the performance level related to explosive strength, power, speed and agility in U-16 football players. Forty U16 junior football players were selected to participate in this study (20 in the experimental group and 20 in the control group). For the experimental group was applied a weekly training programme (the experimental intervention), which consisted in two specific explosive strength circuits with sprints on four and three pitch zones. The tests consisted of vertical jumps – squat jump, counter movement jump and 15” Bosco Repeated Jump Test, drop jump, 10 m, 20 m and 30 m linear sprints and the Illinois Agility Test. The experimental group showed performance improvements (p < 0.05) in all explosive strength and power tests, while the increases of the control group were not statistically significant. At speed and agility tests (10 m, 20 m and 30 m sprints and the Illinois test), the experimental group showed significant performance improvements for the 10 m, 20 m and 30 m sprints, and for Illinois Agility Test (p < 0.05). The observed differences between the experimental and the control group (at initial and final testing) were discussed, and recommendations regarding the effectiveness of the intervention programme were highlighted.
本研究的目的是考察两种循环训练对U-16足球运动员在爆发力、力量、速度和敏捷性方面的表现水平的影响,这两种循环训练包括特定的增强训练和足球特定的冲刺结合技术元素(传中和传中完成、佯攻、运球和射门)。选取40名U16青少年足球运动员参与本研究,其中实验组20名,对照组20名。实验组采用每周训练计划(实验干预),包括两个特定的爆炸强度循环,在四个和三个球场区域进行冲刺。测试包括垂直跳跃-深蹲跳跃、反动作跳跃和15英寸Bosco重复跳跃测试、落体跳跃、10米、20米和30米直线冲刺和伊利诺伊敏捷性测试。试验组在所有爆炸强度和爆发力测试中均有性能提高(p < 0.05),而对照组的提高无统计学意义。在速度和敏捷性测试(10米、20米、30米短跑和伊利诺斯州测试)中,实验组在10米、20米、30米短跑和伊利诺斯州敏捷性测试中的成绩显著提高(p < 0.05)。讨论了实验组和对照组之间观察到的差异(在初始和最终测试中),并强调了有关干预方案有效性的建议。
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引用次数: 0
ROLE OF ELECTROMYOGRAPHY IN THE ASSESSMENT OF LUMBAR PATHOLOGIES 肌电图在腰椎病理评估中的作用
Pub Date : 2022-09-30 DOI: 10.35189/dpeskj.2022.61.3.8
Lumbar pathologies can include a wide range of medical conditions such as simple myalgia or severe neurological disorders. One way to assess the behaviour of paravertebral muscles consists in using electromyography (EMG), which converts the bioelectric potential of muscle activity into numbers. These data allow us to configure an electromyographic semiology for various pathologies. The purpose of the paper is to analyse the activity of paravertebral muscles through electromyography. The results will be used to develop a rehabilitation programme aimed at reducing muscle imbalance. The study involved 10 middle-aged patients suffering from low back pain and having an average body mass index of 23.44 kg/m2. Clinical assessment was based on the Waddell Disability Index (WDI) and the Low-Back Outcome Scale (LBOS). Muscle activity was assessed using surface EMG. Data were collected at two distinct times: while standing and during walking. Of the obtained parameters, we tracked action potential amplitude. The results allowed the classification of patients into three groups: patients with acute, subacute and chronic low back pain. Average values of the three subcategories showed important fluctuations as follows: while standing, they were 37.72 μV (acute form), 19.18 μV (subacute form) and 7.05 μV (chronic form), and during walking, they were 43.26 μV (acute form), 30.87 μV (subacute form) and 21.10 μV (chronic form). Statistical analysis was performed and significant inverse or direct correlations were observed between LBOS (-0.884) or WDI (-0.944) scales and dynamic EMG values. Thus, obvious relationships were established between surface EMG parameters and assessment scale values.
腰椎疾病可以包括广泛的医疗条件,如简单的肌痛或严重的神经系统疾病。评估椎旁肌肉行为的一种方法是使用肌电图(EMG),它将肌肉活动的生物电电位转化为数字。这些数据使我们能够为各种病理配置肌电图符号学。本文的目的是通过肌电图分析椎旁肌肉的活动。研究结果将用于制定旨在减少肌肉失衡的康复计划。该研究涉及10名患有腰痛的中年患者,平均体重指数为23.44 kg/m2。临床评估基于Waddell残疾指数(WDI)和腰背结局量表(LBOS)。采用表面肌电图评估肌肉活动。数据在两个不同的时间收集:站立时和行走时。在得到的参数中,我们跟踪动作电位振幅。结果允许将患者分为三组:急性、亚急性和慢性腰痛患者。3个亚类的平均值在站立时分别为37.72 μV(急性型)、19.18 μV(亚急性型)和7.05 μV(慢性型),行走时分别为43.26 μV(急性型)、30.87 μV(亚急性型)和21.10 μV(慢性型)。经统计学分析,LBOS(-0.884)或WDI(-0.944)量表与动态肌电值呈显著负相关或正相关。由此可见,表面肌电参数与评估量表值之间建立了明显的关系。
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引用次数: 0
Physiotherapy exercise protocol of pelvic floor muscles for young female athletes with urinary incontinence 年轻女运动员尿失禁骨盆底肌肉的理疗训练方案
Pub Date : 2022-09-30 DOI: 10.35189/dpeskj.2022.61.3.2
Intense physical activity or certain branches of sport have many health benefits but can also have harmful effects on the pelvic floor. In medical literature, intensive exercise is mentioned as a risk factor for urinary incontinence by loss of anticipated cushion contraction during physical exertion, impairment of pelvic muscle tone and strength, lack of pelvic floor muscle relaxation, which may lead to muscle exhaustion, all of this causing a lack of response during the rapid increase of intra-abdominal pressure. This study aims to design a recovery protocol to reduce or eliminate symptoms of urinary incontinence in young female athletes affected by this condition through a complex approach to the rehabilitation of pelvic floor muscle tone and strength and specific training programmes to create a “perineal blockage”, the automatic contraction of pelvic floor muscles during physical exertion and relaxation at rest, the correction of both lumbar posture and muscle imbalance in the abdominal-lumbo-pelvic (core) area. The case studies included two patients, young female athletes aged 15 and 20, suffering from urinary incontinence. The methods used were: literature review, observation, questionnaire survey (Contilife questionnaire), graphical method, mathematical and statistical method. The results show that the symptoms of involuntary urine leakage have disappeared from the physiotherapy treatment of patients and their quality of life has increased. However, it is recommended that this exercise protocol be continued at home or introduced to sports training at least once a week to maintain the outcome and prevent recurrence.
剧烈的体育活动或某些运动对健康有很多好处,但也会对骨盆底产生有害影响。在医学文献中,高强度的运动被认为是尿失禁的危险因素,因为在运动过程中失去了预期的缓冲收缩,骨盆肌张力和力量受损,骨盆底肌肉缺乏松弛,可能导致肌肉衰竭,这些都导致在腹内压力快速增加时缺乏反应。本研究旨在设计一种恢复方案,通过复杂的方法来恢复骨盆底肌肉张力和力量,以及特定的训练计划来创造一个“会阴阻塞”,骨盆底肌肉在体力消耗和休息时的自动收缩和放松,减少或消除受这种疾病影响的年轻女运动员的尿失禁症状。腰椎姿势及腹-腰-骨盆(核心)区肌肉失衡的矫正。病例研究包括两名患者,年龄分别为15岁和20岁的年轻女运动员,患有尿失禁。采用文献法、观察法、问卷调查法、图解法、数理统计法。结果表明:经物理治疗后,患者的不自主漏尿症状消失,生活质量提高。然而,建议这种运动方案在家中继续进行,或每周至少进行一次运动训练,以保持效果并防止复发。
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引用次数: 0
ROLE OF EXTRACURRICULAR ACTIVITIES IN DEVELOPING THE MOTOR AND MENTAL SKILLS OF PRIMARY SCHOOL STUDENTS 课外活动对小学生运动和心理技能发展的作用
Pub Date : 2022-09-30 DOI: 10.35189/dpeskj.2022.61.3.5
The study aims to highlight the development of motor and mental skills in primary school children who perform extracurricular sports activities and those who are not engaged in such activities. The research included 270 students (boys and girls) aged 6-11 and was conducted between 30 September 2019 and 8 March 2020 at the “Alexandru Costescu” Middle School in Bucharest. The results were recorded and statisticallyprocessed with the help of IBM SPSS Statistics Version 20. In the statistical analysis, the parametric Paired Samples t Test (for repeated measurements of the same group) and Independent Samples t Test (for two independent groups) were used. Statistical processing and data analysis based on the Paired Samples t Test emphasised significant differences in the assessed test indicators (speed run, endurance run, long jump, Raven’s Test and Attention Test), while the Independent Samples t Test results showed significant progress only in motor skill tests (with p < 0.001 and < 0.05) except the insignificant difference in the endurance run test for first graders, and insignificant progress in mental skill tests (except Raven’s Test for the preparatory and first grades and Attention Test for the preparatory grade). In conclusion, it has been found that the motor skill levels of primary school children engaged in extracurricular sports activities are better than those of students who do not play sports, but in terms of attention and intelligence levels, this finding is not generalised for all grades.
这项研究旨在强调参加课外体育活动和不参加课外体育活动的小学生的运动和心理技能的发展。该研究包括270名6-11岁的学生(男孩和女孩),于2019年9月30日至2020年3月8日在布加勒斯特“Alexandru Costescu”中学进行。使用IBM SPSS Statistics Version 20对结果进行记录和统计处理。在统计分析中,使用参数配对样本t检验(用于同一组的重复测量)和独立样本t检验(用于两个独立组)。基于配对样本t检验的统计处理和数据分析强调了评估测试指标(速度跑、耐力跑、跳远、Raven’s Test和注意力测试)的显著性差异,而独立样本t检验结果显示,除了一年级耐力跑测试差异不显著外,只有运动技能测试有显著性进步(p < 0.001和< 0.05)。智力技能测试(预科和一年级的雷文测试和预科年级的注意力测试除外)进步甚微。综上所述,研究发现,参加课外体育活动的小学生的运动技能水平优于不参加体育活动的小学生,但在注意力和智力水平方面,这一发现并不适用于所有年级。
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引用次数: 0
THE FLOW STATE IN ELITE ROMANIAN FENCERS 罗马尼亚精英击剑运动员的心流状态
Pub Date : 2022-09-30 DOI: 10.35189/dpeskj.2022.61.3.4
Flow is the optimal psychological state in which an athlete achieves their best performance without effort but with total concentration and a sense of total control, without any such thoughts. Flow is often associated with high levels of performance, self-consciousness is diminished and attention is entirely focused on the activity at hand. The purpose of the study was to investigate the flow state and the levels at which Csikszentmihalyi’s nine dimensions of flow are experienced by elite fencers. The research participants were 41 Romanian fencers who were distributed as follows: 13 fencers were medallists (over time) at the European, World or Olympic Games, and 28 did not have outstanding sports results. The Long Dispositional Flow Scale (DFS-2) measuring the nine dimensions of flow was applied. Data analysis (using the Independent Samples t Test) revealed that elite fencers experienced more during competition that the goals and feedback were clear, reached a higher level of awareness of their performance, experienced more the challenge-skill balance, weremore focused on the immediate task, perceived more the automatic nature of flow state and the sense of control (however, no significant differences were observed compared to fencers without outstanding sports results). As regards the transformation of time, men fencers experienced more (with a marginally significant difference) time dilation or compression during competition compared to female fencers. Gender- and performance-related findings about athletes’ experienced flow are also discussed.
心流是一种最佳的心理状态,在这种状态下,运动员可以毫不费力地获得最佳表现,但完全集中注意力,完全控制自己,没有任何这样的想法。心流通常与高水平的表现有关,自我意识减弱,注意力完全集中在手头的活动上。本研究的目的是调查优秀击剑运动员的心流状态和Csikszentmihalyi的九个心流维度所经历的水平。研究的参与者是41名罗马尼亚击剑运动员,他们的分布如下:13名击剑运动员是欧洲、世界或奥运会的奖牌获得者,28名没有突出的运动成绩。采用长配置流量表(DFS-2)测量流的九个维度。数据分析(使用独立样本t检验)显示,优秀击剑运动员在比赛过程中体验到的目标和反馈更明确,对自己的表现有更高的意识,体验到更多的挑战-技能平衡,更关注眼前的任务,感知到更多的心流状态的自动性质和控制感(然而,与没有出色运动成绩的击剑运动员相比,没有显著差异)。在时间转换方面,男子击剑运动员比女子击剑运动员在比赛中经历了更多的时间扩张或压缩(差异有统计学意义)。本文还讨论了运动员体验心流的性别和表现相关发现。
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引用次数: 0
Laterality assessment in martial artists through kinematic analysis of striking techniques 通过击打技术的运动学分析来评估武术家的侧边性
Pub Date : 2022-09-30 DOI: 10.35189/dpeskj.2022.61.3.3
The purpose of this study was to objectively measure and highlight laterality differences in striking techniques between elite martial artists and to compare the results achieved by each athlete. The research hypothesis is that the kinematic analysis of both fighting stances (dominant and non-dominant sides) can reveal laterality differences for each athlete. We used an inertial measurement unit system based on 17 motion trackers consisting of 3D gyroscopes, 3D accelerometers and 3D magnetometers, namely the Xsens MVN Awinda system. We collected data on the striking techniques of 8 elite martial artists. The kinematic parameters were calculated and analysed for some of the most commonly used techniques in martial arts, more specifically, straight and roundhouse punches. In order to obtain information about the laterality levels of the monitored athletes, we compared the values of these parameters for technical execution on the dominant and non-dominant sides and highlighted significant differences through the non-parametric Wilcoxon Signed-Ranks Test of significance. To facilitate comparisons between athletes in terms of laterality, we designed an original rating scale and created diagrams based on their scores. The assessments carried out will contribute to both the management and individualisation of training and the choice of combat tactics in a much more informed way.
本研究的目的是客观地衡量和突出精英武术家在打击技术上的横向差异,并比较每个运动员取得的结果。研究的假设是,两种格斗姿势(优势和非优势侧)的运动学分析可以揭示每个运动员的横向差异。我们采用了由17个运动跟踪器组成的惯性测量单元系统,包括三维陀螺仪、三维加速度计和三维磁力计,即Xsens MVN Awinda系统。我们收集了8位优秀武术家的击打技术数据。运动学参数计算和分析了一些最常用的武术技术,更具体地说,直拳和回旋拳。为了获得被监测运动员侧度水平的信息,我们比较了优势侧和非优势侧技术执行的这些参数的值,并通过非参数Wilcoxon sign - rank显著性检验突出了显著差异。为了便于运动员之间在偏侧性方面的比较,我们设计了一个原始的评分量表,并根据他们的分数创建了图表。所进行的评估将有助于以更明智的方式管理和个性化训练以及选择战斗战术。
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引用次数: 0
Study regarding the functional level of the upper limb after mastectomy 乳房切除术后上肢功能水平的研究
Pub Date : 2022-09-30 DOI: 10.35189/dpeskj.2022.61.3.1
The complex treatment applied to breast cancer patients consists of mastectomy, chemotherapy and local radiation therapy and affects the functional level of the upper limb on the side of the mastectomy. Physical therapy plays an important role in increasing the functionality of the upper limb after treatment. The purpose of the study is to verify the effectiveness of an individualised therapeutic exercise programme aimed at increasing the range of motion of the upper limb. Five participants who had undergone mastectomy surgery 6 months earlier were included in the study and each received an individualised rehabilitation programme that was performed twice a week for 6 months. The patients were assessed using three functional tests: test 1 - bringing the hand to the back of the neck, test 2 - touching the scapula with the hand by performing flexion, adduction and internal rotation, and test 3 - touching the scapula with the hand by performing extension, adduction and external rotation. These tests are quantified on a scale of 0 to 4. Early application of an individualised kinetic programme improves the functional capacity of the upper limb on the side of the surgeryand contributes to reintegration into daily and socio-professional activities. We consider it important to train patients through educational monthly sessions that address issues such as: maintaining body weight, allowed food and nutritional management for side effects during adjuvant treatment, prevention of chronic diseases.
乳腺癌患者的复杂治疗包括乳房切除术、化疗和局部放疗,并影响乳房切除术一侧上肢的功能水平。物理治疗在治疗后提高上肢功能方面起着重要作用。本研究的目的是验证旨在增加上肢活动范围的个体化治疗性运动方案的有效性。5名6个月前接受过乳房切除术的参与者被纳入研究,每个人都接受了个体化的康复计划,每周进行两次,持续6个月。通过三项功能测试对患者进行评估:测试1 -将手置于颈后,测试2 -通过屈曲、内收和内旋用手接触肩胛骨,测试3 -通过伸、内收和外旋用手接触肩胛骨。这些测试按0到4的等级进行量化。早期应用个体化运动方案可改善手术一侧上肢的功能能力,并有助于重新融入日常和社会职业活动。我们认为,通过每月一次的教育课程对患者进行培训非常重要,这些课程涉及以下问题:保持体重,辅助治疗期间允许的食物和营养管理,预防慢性疾病。
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引用次数: 0
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Discobolul Physical Education Sports and Kinetotherapy Journal
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