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Association Between Problematic Internet Use and Health Risks in Adolescents With and Without Chronic Health Conditions 有或没有慢性健康问题的青少年有问题的互联网使用与健康风险之间的关系
Q4 Medicine Pub Date : 2023-06-27 DOI: 10.33607/rmske.v1i28.1356
A. Kļaviņa, V. Veliks, Luize Bebriša-Fedotova, A. Zuša, J. Porozovs, A. Anisčenko
Background. Sedentary and unhealthy lifestyle behaviors are modifiable health risks that often develop during adolescence. A comprehensive analysis of unhealthy behaviors in adolescents with and without chronic health conditions (CHC) could inform the development of more effective prevention approaches. The aim. This study aimed to measure associations between Problematic Internet Use (PIU), lifestyle habits and subjective health complaints among adolescents with and without CHC. In addition, health behaviors and prevalence of subjective health complaints between adolescents with and without CHC were compared. Methods. A total of 171 adolescents (87 without CHC and 84 with CHC) completed an online survey. The PIU was assessed by the Problematic and Risky Internet Use Screening Scale. The subjective health complaints assessed were somatic and psychological symptoms. Healthy lifestyle behaviors assessed were daily physical activities, time spent by screens, eating habits, and duration of sleep. Results. The results showed that 21.83% of adolescents with CHC and 36.78% without CHC scored at risk for problematic internet use. Adolescents without CHC reported significantly more frequent psychological health complaints than their peers with CHC. This study found that multiple health complaints and unhealthy eating habits were significantly associated with PIU in adolescents with CHC, while nervousness and eating fast food in adolescents without CHC. Girls without CHC reported significantly higher PRIUSS scores and prevalence of subjective health complaints than boys (p <.05). Conclusions. Adolescents without CHC reported significantly higher levels of moderate and vigorous intensity physical activities weekly than their peers with CHC. PIU behaviors are mainly associated with psychological health complaints and unhealthy eating behaviors in adolescents with and without CHC. These findings highlight the need to identify the specific problematic internet use activities that are associated with different health risks in adolescents. Keywords: problematic internet use, chronic health conditions, lifestyle behaviors, health, adolescents.
背景久坐和不健康的生活方式行为是可改变的健康风险,通常发生在青春期。对患有和不患有慢性健康状况(CHC)的青少年的不健康行为进行全面分析,可以为制定更有效的预防方法提供信息。目标。本研究旨在测量患有和不患有CHC的青少年的问题性互联网使用(PIU)、生活习惯和主观健康投诉之间的关系。此外,还比较了患有CHC和未患有CHC的青少年的健康行为和主观健康投诉的发生率。方法。共有171名青少年(87名未患CHC,84名患CHC)完成了一项在线调查。PIU通过问题和风险互联网使用筛查量表进行评估。评估的主观健康投诉包括身体和心理症状。评估的健康生活方式行为包括日常体育活动、看屏幕的时间、饮食习惯和睡眠时间。后果结果显示,21.83%的CHC青少年和36.78%的未患CHC的青少年在使用互联网方面存在问题。没有CHC的青少年报告的心理健康投诉明显高于患有CHC的同龄人。本研究发现,CHC青少年的多种健康抱怨和不健康饮食习惯与PIU显著相关,而非CHC青少年则存在紧张和吃快餐的情况。没有CHC的女孩报告的PRIUSS评分和主观健康投诉的发生率显著高于男孩(p<0.05)。结论。没有CHC的青少年每周进行中等强度和高强度体育活动的水平明显高于患有CHC的同龄人。PIU行为主要与患有和不患有CHC的青少年的心理健康投诉和不健康饮食行为有关。这些发现强调了确定与青少年不同健康风险相关的特定问题互联网使用活动的必要性。关键词:有问题的互联网使用,慢性健康状况,生活方式行为,健康,青少年。
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引用次数: 0
Relationship Between Functional Movements of the Mandible and Core Stability in Young Healthy Adults 健康青年下颌骨功能性运动与核心稳定性的关系
Q4 Medicine Pub Date : 2023-06-27 DOI: 10.33607/rmske.v1i28.1360
Vaida Skinderytė, B. Zachovajevienė, Laura Žlibinaitė
Background. Temporomandibular joints (TMJs) have a common neuromuscular connection with neck and scapula, so dysfunction of one or both joints can lead to changes in the spine posture and vice versa. Due to the compensatory mechanism, occurring following TMJ functional disorders, the balance between facial and neck muscle activity is disrupted. A change in any biomechanical unit inevitably results in a change of the posture control system, but there is a lack of research evaluating the relationship between functional movements of the TMJ and trunk stability. The aim. To determine the relationship between core stability and functional movements of the mandible. Methods. The study included 20 participants aged between 20 and 40 years. Participants were tested individually. Tests and measurements selected for the study: trunk stability assessment by functional Dynamic Neuromuscular Stabilization (DNS) tests; assessment of static trunk muscle endurance by McGill endurance tests; assessment of TMJ range of motion using a ruler. Results. Participants performed best on the DNS Supine test with legs raised up, and performed worst on the squat, bear position tests and trunk extension static endurance test. 90% of the participants had impaired range of motion of mandible protrusion, 60% had mandibular depression limitations. The static endurance of trunk flexion was 136.85±96.97 s, extension – 141.45±94.52 s, left side– 98.00±76.08 s, right side– 99.95±96, 99 s. Conclusion. There are strong, moderate and weak linear inverse functional relationships between trunk stability and TMJ mobility. The weaker the core stability, the more restricted the mobility of the mandible. Keywords: temporomandibular joint, TMJ dysfunction, dynamic neuromuscular stabilization, core stability.
背景颞下颌关节(TMJ)与颈部和肩胛骨有着共同的神经肌肉连接,因此一个或两个关节的功能障碍会导致脊椎姿势的改变,反之亦然。由于颞下颌关节功能紊乱后出现的代偿机制,面部和颈部肌肉活动之间的平衡被破坏。任何生物力学单元的变化都不可避免地会导致姿势控制系统的变化,但缺乏评估颞下颌关节功能运动与躯干稳定性之间关系的研究。目标。确定核心稳定性与下颌骨功能运动之间的关系。方法。这项研究包括20名年龄在20至40岁之间的参与者。参与者分别接受测试。为研究选择的测试和测量:通过功能性动态神经肌肉稳定(DNS)测试进行躯干稳定性评估;通过麦吉尔耐力测试评估静态躯干肌肉耐力;使用标尺评估TMJ的运动范围。后果参与者在抬起腿的DNS仰卧测试中表现最好,在深蹲、熊姿和躯干伸展静态耐力测试中表现最差。90%的参与者下颌前突活动范围受损,60%的参与者下颌凹陷受限。躯干屈曲静态耐力为136.85±96.97s,伸展静态耐力为141.45±94.52s,左侧静态耐力为98.00±76.08s,右侧静态耐力为99.95±96.99s。树干稳定性与TMJ迁移率之间存在强、中、弱线性反函数关系。核心稳定性越弱,下颌骨的活动性就越受到限制。关键词:颞下颌关节;颞下颌关节功能障碍;动态神经肌肉稳定;核心稳定性。
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引用次数: 0
Comparative Analysis of Motor Skills Between 10–12-Year-Old Boys Volleyball Players and Physically Inactive Peers 10-12岁男孩排球运动员与身体不活跃的同龄人运动技能的比较分析
Q4 Medicine Pub Date : 2023-06-27 DOI: 10.33607/rmske.v1i28.1362
Rosita Kiaulakytė, Anelė Katinė
Background. The gross motor function of team sports athletes is superior to that of peers who do not participate in additional physical activity, but it is not clear to what extent motor skills differ between boys who attend volleyball training and those who do not attend training.The aim. To compare the motor skills and functional stability of the trunk of 10–12-year-old volleyball-playing and physically inactive boys.Methods. 30 subjects, boys aged 10–12, participated in the study. The research group consisted of boys playing volleyball (n=15), the control group – physically inactive boys (n=15). Test tools: Bruininks Oseretsky Motor Skills Profciency Test, 2nd Edition and Matthiass Functional Trunk Stability Test.Results. Boy volleyball players showed signifcantly better results in only three of ten evaluated motor tasks compared to inactive boys: side jumps with legs together (8.07±1.03 points vs. 7.27±0.88, p=0.026) and push-ups (5.93±1.28 points vs. 4.53±0.99, p=0.002), and V-up (4.73±1.28 points vs. 3.20±1.27, p=0.009). The result of functional stability test was better in volleyball players than in non-players (24.67±9.26 points vs. 16.53±9.34, p=0.013).Conclusions. Boys who play volleyball had signifcantly better motor skills in strength and agility tasks compared with boys who are physically inactive. No signifcant differences were found in bilateral coordination, balance and upper extremity coordination tasks between volleyball players and physically inactive boys, but the functional stability of the trunk of boys who play volleyball was signifcantly better than that of physically inactive boys.Keywords: motor skills, functional trunk stability, volleyball, physically inactive
背景团队运动运动员的总运动功能优于不参加额外体育活动的同龄人,但尚不清楚参加排球训练的男孩和不参加训练的男孩的运动技能差异有多大。目标。比较10-12岁排球运动员和身体不活跃男孩躯干的运动技能和功能稳定性。方法。30名受试者,10-12岁的男孩,参与了这项研究。研究组由打排球的男孩(n=15)组成,对照组为身体不活跃的男孩(n=15)。测试工具:Bruininks-Oseretsky运动技能熟练度测试,第二版和Matthias躯干功能稳定性测试。结果。与不活跃的男孩相比,男孩排球运动员在十项评估的运动任务中只有三项表现出明显更好的结果:双腿并拢的侧跳(8.07±1.03分对7.27±0.88分,p=0.026)和俯卧撑(5.93±1.28分对4.53±0.99分,p=0.002),和V-up(4.73±1.28分对3.20±1.27分,p=0.009)。排球运动员的功能稳定性测试结果优于非排球运动员(24.67±9.26分对16.53±9.34分,p=0.013)。排球运动员与身体不活跃的男孩在双侧协调、平衡和上肢协调任务方面没有发现显著差异,但打排球的男孩躯干的功能稳定性明显好于身体不活跃男孩。关键词:运动技能、躯干功能稳定性、排球、身体不活动
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引用次数: 0
What are The Benefits of Five-Toed Socks? A Scoping Review 五趾袜的好处是什么?范围界定综述
Q4 Medicine Pub Date : 2023-06-27 DOI: 10.33607/rmske.v1i28.1357
R. Tedeschi
Background. The use of five-toed socks can be a valid prevention option against interdigital problems and a valuable sensory stimulus in walking. However, nowadays, they are hardly ever suggested because they are often little known or disregarded by clinicians dealing with podiatric problems. The aim. This scoping review aims to map and summarise the literature to identify interventions using five-toed socks Methods. Four databases were searched up to December 2022. Studies that considered the use of five-toed socks could be included. All interventions and contexts were considered. No restrictions were applied regarding language, study design and publication type. Grey literature and reference lists of included articles were not identified. The results were presented in numerical and thematic form. Results. Out of 23 initially identified studies, only 4 met the inclusion criteria for this scoping review. The majority of the included articles were randomized controlled trials (RCTs) and involved participants of different ages, including both sporty and non-sporty individuals, who used five-toed socks as part of the intervention. It is worth noting that the authors focused solely on conservative interventions, with all 4 studies investigating the effects of wearing five-toed socks for more than one week. Conclusions. This is the first scoping review to provide a comprehensive overview of the topic. The results revealed clear gaps in primary research, confirming that current management is based on knowledge of five-toed socks. This review may be useful for general management and may provide a starting point for future research. Keywords: foot care, foot problems, five-toed socks, toes.  
背景使用五趾袜可以有效预防叉指问题,也是行走中有价值的感官刺激。然而,如今,它们几乎从未被提出过,因为处理足病问题的临床医生通常很少知道或忽视它们。目标。这篇范围界定综述旨在绘制和总结文献,以确定使用五趾袜方法的干预措施。截至2022年12月,共搜索了四个数据库。考虑使用五趾短袜的研究也可以包括在内。所有干预措施和背景都得到了考虑。在语言、研究设计和出版物类型方面没有任何限制。未确定灰色文献和纳入文章的参考文献列表。结果以数字和主题形式呈现。在最初确定的23项研究中,只有4项符合本次范围界定审查的纳入标准。纳入的大多数文章都是随机对照试验(RCT),涉及不同年龄的参与者,包括运动型和非运动型个体,他们使用五趾袜作为干预的一部分。值得注意的是,作者只关注保守干预,所有4项研究都调查了穿五趾袜一周以上的影响。结论。这是第一次提供该主题全面概述的范围界定审查。研究结果揭示了初级研究中的明显差距,证实了目前的管理是基于对五趾袜的了解。这篇综述可能对一般管理有用,并可能为未来的研究提供一个起点。关键词:足部护理,足部问题,五趾袜,脚趾。
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引用次数: 0
Effect of Art Therapy on Changes in Psycho-Emotional State for Women Who Have Attempted Suicide 艺术治疗对自杀未遂妇女心理情绪状态变化的影响
Q4 Medicine Pub Date : 2023-06-27 DOI: 10.33607/rmske.v1i28.1358
Stanislovas Mostauskis, Aušra Sebeikaitė, Jolita Rapolienė
Background. Research is directed towards female suicides and the solution of the postvention problems in Lithuania. Suicidal behavior of women is conditioned by their psychological sensitivity to different psycho-social factors. The-psycho-emotional state of women who have attempted suicide is worsened, different negative emotions prevail, they lack self-esteem and are disappointed. The methods used in the research aim to answer the same question: does art therapy have an effect on the psycho-emotional state of women who have attempted suicide? It uses different methods of data analysis, i.e. quantitative and qualitative analysis of a small sample. Research aim. The aim of the research is to present effects of art therapy on changes in the psycho-emotional state of women who have attempted suicide. The aim of the research is supported by the following tasks and questions. Tasks: 1) to determine changes of depression symptoms; 2) to determine change of anxiety symptoms. Questions: 1) how do visually dominant iconographic motifs in patients’ drawings change during art therapy? 2) how do visually dominant formal motifs in patients’ drawings change during art therapy? 3) does the change of iconographic and formal motifs relate to changes of the emotional state of a selected group of women? 4) how interrelated are results of quantitative and qualitative research methods? Methods. Mixed research was conducted using the HADS scale, with analysis of visually dominant iconographic and formal elements. Results. The art therapy intervention significantly reduced the level of depression in the subjects. Art therapy had no significant effect on subjects’ anxiety levels. Selected iconographic motifs in the subjectsʼ drawings during the process of art therapy changed: from visually unindentifiable to recognizable objects; from an abstract symbolic meaning to a more concrete and clearly defined meaning; from a smaller to a larger number of iconographic elements; from an iconographically blurred to a more explicit plot. Selected formal motifs in the patients’ drawings during the process of art therapy changed: from incomplete to more detailed depiction of the object; from closed to more open silhouette type; from an isolated object opposed to the surrounding space to an object increasingly infiltrating into that space; from a closed to a progressively more open composition; from linearity to pictoriality; from darker to lighter color scale; from poorer to richer color palettes. The change of iconographic and formal motifs is related to the change of the emotional state of the subjects: the reduced isolation of the depicted objects and the strict separation from the surrounding space show a reduced opposition of the subjects, and the beginning of the social and psychological connection with the surrounding world. The shift from an incomplete to a more detailed depiction of an object shows that the former uncontrollability of the subjects’ self, t
背景。研究的对象是立陶宛的女性自杀和后发问题的解决办法。女性的自杀行为受其对不同社会心理因素的心理敏感性的制约。自杀未遂妇女的心理情绪状态恶化,各种负面情绪盛行,缺乏自尊,感到失望。研究中使用的方法旨在回答同样的问题:艺术疗法对企图自杀的女性的心理情绪状态有影响吗?它使用不同的数据分析方法,即对小样本进行定量和定性分析。 研究的目标。这项研究的目的是展示艺术疗法对企图自杀的女性心理情绪状态变化的影响。以下任务和问题支持了研究的目的。任务:1)确定抑郁症状的变化;2)判断焦虑症状的变化。问题:1)在艺术治疗过程中,患者绘画中视觉上占主导地位的图像母题是如何变化的?2)在艺术治疗过程中,患者绘画中视觉上占主导地位的形式母题是如何变化的?3)形象母题和形式母题的变化是否与特定女性群体的情绪状态变化有关?4)定量和定性研究方法的结果是如何相互关联的? 方法。使用HADS量表进行混合研究,并分析视觉上占主导地位的图像和形式元素。 结果。艺术治疗干预显著降低了受试者的抑郁水平。艺术疗法对受试者的焦虑水平无显著影响。在艺术治疗过程中,被试绘画中所选择的图像主题发生了变化:从视觉上无法识别的对象到可识别的对象;从抽象的象征意义到更具体、更明确的意义;从数量较少到数量较多的图像元素;从图像模糊到更明确的情节。在艺术治疗过程中,患者绘画中选择的形式主题发生了变化:从不完整到更详细地描绘物体;从封闭型到更开放的剪影型;从一个与周围空间相对立的孤立物体到一个日益渗透到周围空间的物体;从封闭的构图到逐渐开放的构图;从线性到画面化;从较深到较浅的色阶;从贫穷到丰富的调色板。图像和形式母题的变化与被描绘对象的情感状态的变化有关:被描绘对象的孤立性的减少和与周围空间的严格分离表明了被描绘对象的对立性的减少,与周围世界的社会和心理联系的开始。从对一个对象的不完整描述到更详细的描述的转变表明,受试者的自我、他们的感觉以及他们与环境的联系从前的不可控性变成了清晰和理性的可控性;更具体、更真实的绘画表现了主体意识的增强和与周围世界的更好联系。 结论。艺术治疗干预后抑郁水平变化有统计学意义(p<0.05)。艺术治疗干预后焦虑水平变化无统计学意义(p>0.05)。绘画的转变是从抽象到具体的图像。绘画的形式主题变得更加详细,它们的表现形式也变得更加多样化;物体的描绘在复合空间中变得更加整合,构图变得更加开放;绘画变得更有艺术性,色彩范围也变得更广了。在治疗过程中,受试者的心理情绪状态各不相同,从超然、退缩、隐藏、害怕面对自己,到开放、试图注意并理解自己所有的消极情绪、管理消极情绪和规划自己的未来。关键词:艺术疗法,女性自杀,焦虑,抑郁。
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引用次数: 0
Impact of Different Physiotherapy Programs on Balance and Gait in Patients with Cerebral Infarction 不同物理治疗方案对脑梗死患者平衡和步态的影响
Q4 Medicine Pub Date : 2023-06-27 DOI: 10.33607/rmske.v1i28.1364
Paula Smailytė, E. Lendraitienė, Ieva Žemaitienė
Background. An ischemic stroke has long-term adverse effects on the physical, emotional, and social well-being of the stroke survivor, so it is very important to help the patient regain independence and lost functions as quickly and efficiently as possible. Dynamic Neuromuscular Stability exercises can restore movement patterns in these patients by simulating central nervous system. The aim. To compare the effects of conventional physiotherapy and dynamic neuromuscular stabilization integrated into conventional physiotherapy on balance and gait in patients with cerebral infarction. Methods. The study included 30 subjects who survived an ischemic stroke. Subjects were randomly divided into two groups of 15 people in each for different interventions: Conventional physiotherapy and Conventional physiotherapy combined with integrated dynamic neuromuscular stabilization. Subjects were examined at a baseline and after the interventions. Patients’ balance was assessed using the Biodex platform, which was chosen to evaluate fall risk, trunk stability, stability limits and sensory organization. Gait parameters (step length and step width) of the affected and unaffected leg were assessed using the Zebris FDM-T treadmill. Results. Both conventional physiotherapy and physiotherapy with integrated dynamic neuromuscular stabilization improved gait parameters of the patients, as well as improving the results of the tests of fall risk, postural stability, stability limits, and the results of the sensory integration test when testing with eyes open on a stable surface (p<0.05). However, the results of the sensory integration tests while standing on a stable surface with eyes closed (p<0.001), with eyes open on an unstable surface (p<0.001) and with eyes closed on an unstable surface (p=0.021) improved only post physiotherapy with integrated dynamic neuromuscular stabilization. Conclusions. Both conventional physiotherapy and physiotherapy with integrated dynamic neuromuscular stabilization significantly improved gait and balance parameters in stroke patients.  Keywords: Dynamic neuromuscular stabilization, stroke, balance, trunk stability, gait.
背景缺血性中风会对中风幸存者的身体、情绪和社会健康产生长期不利影响,因此帮助患者尽快有效地恢复独立性和丧失功能非常重要。动态神经肌肉稳定性训练可以通过模拟中枢神经系统来恢复这些患者的运动模式。目标。比较常规物理治疗和动态神经肌肉稳定结合常规物理治疗对脑梗死患者平衡和步态的影响。方法。这项研究包括30名缺血性中风患者。受试者被随机分为两组,每组15人,接受不同的干预:常规理疗和常规理疗结合综合动态神经肌肉稳定。受试者在基线和干预后接受检查。使用Biodex平台评估患者的平衡,该平台用于评估跌倒风险、躯干稳定性、稳定性极限和感觉组织。使用Zebris FDM-T跑步机评估受影响和未受影响腿部的步态参数(步长和步长)。后果传统物理疗法和综合动态神经肌肉稳定的物理疗法都改善了患者的步态参数,并改善了跌倒风险、姿势稳定性、稳定性极限的测试结果,以及在稳定表面上睁开眼睛进行测试时的感觉统合测试结果(p<0.05)。然而,闭着眼睛站在稳定的表面上(p<0.001)、在不稳定的表面睁开眼睛(p<001)和在不稳定表面闭着眼睛(p=0.021)的感觉统合测试结果仅在物理治疗后通过综合动态神经肌肉稳定得到改善。结论。传统物理疗法和综合动态神经肌肉稳定的物理疗法都显著改善了中风患者的步态和平衡参数。关键词:动态神经肌肉稳定,中风,平衡,躯干稳定性,步态。
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引用次数: 0
The Immediate Effect of 90 sec. Duration Plantar Myofascial Release on Static and Dynamic Balance and Injury Risk in Female Volleyball Players 90秒足底肌筋膜松解对女排运动员静态、动态平衡及损伤风险的即时影响
Q4 Medicine Pub Date : 2023-06-27 DOI: 10.33607/rmske.v1i28.1365
Agnė Mazgelienė, Justė Knatauskaitė
Background. Self-administered plantar myofascial release with a tennis ball is a widely used technique to increase flexibility and range of motion, but it is unclear how effective this technique is on static and dynamic balance and injury risk in volleyball players. The aim of the study is to determine the immediate effect of short-term (90 s duration) plantar myofascial release on the static and dynamic balance and injury risk of females playing volleyball. Methods. The study involved 26 female volleyball players who were randomly assigned to one of two groups. Subjects in the control group (n=13) received no intervention and were retested for 180 s. since initial testing. The participants of the study group received self-administered plantar myofascial release of 90 s duration with tennis ball for one leg and 90 s duration on the other leg (all together duration 180 s). A modified star excursion (Y test) test was used to assess dynamic balance. Static balance was assessed by the Flamingo test. Results. Myofascial release improved (p<0.05) the result of dynamic balance in only one direction – anterior, standing on both the left and right leg, in the control group – posterolateral, standing on the right and left leg, posteromedial – standing on the right leg (p<0.05). No differences were found between groups. The static balance of subjects in both groups during the retest did not differ (p>0.05) from the initial assessment. The combined dynamic balance score improved (p<0.05) only in the control group that had a rest break instead of the intervention. No significant differences were found in static balance results either between groups or within groups. Conclusions. Immediate short duration plantar myofascial release was not effective on static and dynamic balance and injury risk in volleyball players. The effect of short-term myofascial release did not differ from that of no intervention. Keywords: balance, volleyball, myofascial release, injury risk.
背景。使用网球进行足底肌筋膜自我释放是一种广泛使用的技术,可以增加灵活性和活动范围,但目前尚不清楚这种技术对排球运动员的静态和动态平衡以及受伤风险的效果如何。本研究的目的是确定短期(90秒持续时间)足底肌筋膜释放对女子排球运动静态和动态平衡及损伤风险的直接影响。方法。这项研究涉及26名女排运动员,她们被随机分为两组。对照组(n=13)未接受任何干预,自首次检测以来重新检测180 s。实验组受试者接受一条腿用网球进行90秒时间的足底肌筋膜释放,另一条腿用90秒时间(总共180秒)。采用改良星形漂移(Y检验)测试评估动态平衡。静态平衡通过火烈鸟测试进行评估。结果。肌筋膜释放较初始评估改善(p0.05)。只有休息代替干预的对照组动态平衡综合评分提高(p<0.05)。各组间和组内的静态平衡结果均无显著差异。结论。即刻短时间足底肌筋膜松解对排球运动员的动、静态平衡及损伤风险无明显影响。短期肌筋膜释放的效果与不干预的效果没有差异。关键词:平衡,排球,肌筋膜松解,损伤风险。
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引用次数: 0
Assessment of Functional Indexes in Children with Retarded Speech Development and their Associations 言语发育迟缓儿童功能指标的评估及其相关性
Q4 Medicine Pub Date : 2023-06-27 DOI: 10.33607/rmske.v1i28.1363
Rūta Šapalienė, P. Zachovajevas, B. Zachovajevienė
Background. Motor skills are key factors in children’s play and interaction with others and influence their subsequent social environment with their peers. Poor or atypical motor development may be an important contributing factor to the problems in language, social communication and understanding, and social interaction that characterise some neurodevelopmental disorders.The aim. To assess the functional indexes in children with the retarded speech development and their associations.Methods. 30 children (4 to 6 years old) with retarded speech development. To assess the functional indicators of children with language delay, using the follo wing testing instruments: gross motor skills were assessed with the TGMD-2 test, balance with the modifed Berg scale and the “up and go” test; the coordination test consists of samples which do not require any coordination of balance(according toSchmitz 1988); and fne motor skills were assessed with a standardised test based on the methodology of the Oseretsky test.Results. Children with retarded speech development have difculty in performing a jump with one foot, a jump with a big step or knocking around a ball. The assessment of the object control abilities was lower than that of locomotor abilities. Younger children with retarded speech suffered from worse static and dynamic balance and coordination. Signifcant fne motor impairment was found in more than a tenth of children with delayed language development.Conclusions. The gross motor functions in children with retarded speech makes a signifcant impact on the locomotor and object control abilities. Dynamic balance is related to static balance and coordination which does not require any balance, and the fne motor functions affect the object control abilities.Keywords: retarded speech development, balance, fne motor skills, gross motor skills, coordination, children
背景。运动技能是儿童游戏和与他人互动的关键因素,并影响他们随后与同龄人的社会环境。不良或非典型的运动发育可能是导致语言、社会沟通和理解以及社会互动问题的一个重要因素,这些问题是一些神经发育障碍的特征。的目标。评价言语发育迟缓儿童的功能指标及其相关性。30名4至6岁言语发育迟缓儿童。对语言迟缓儿童的功能指标进行评估,采用TGMD-2大肌肉运动技能测验、Berg平衡量表和“上走”测验;协调测试由不需要任何平衡协调的样本组成(根据schmitz 1988);和精细运动技能是通过基于奥塞列茨基测试方法的标准化测试来评估的。语言发育迟缓的儿童在单脚跳跃、大步跳跃或在球周围击球方面存在困难。物体控制能力的评价低于运动能力的评价。年龄较小的言语障碍儿童在静态和动态平衡和协调方面表现较差。在超过十分之一的语言发育迟缓儿童中发现了明显的精细运动障碍。言语发育迟缓儿童的粗大运动功能对其运动能力和物体控制能力有显著影响。动平衡与不需要任何平衡的静态平衡和协调有关,精细的运动功能影响对物体的控制能力。关键词:言语发育迟缓,平衡,精细运动技能,大运动技能,协调,儿童
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引用次数: 0
Comparative Effects of Different Physiotherapy Programs on Motor Skills of Children with Mild and Moderate Motor Impairment 不同物理治疗方案对轻、中度运动障碍儿童运动技能的影响比较
Q4 Medicine Pub Date : 2023-06-27 DOI: 10.33607/rmske.v1i28.1359
Kristina Tabarienė, Saulė Sipavičienė
Background. Children diagnosed with mild or moderate motor impairment not only face impairment of fine motor skills and problems with body balance in daily activities, they are also diagnosed with a decrease in muscle strength. Physiotherapy is prescribed to improve physical condition. The aim of the study was to determine the effect of different physiotherapy programs on running speed, balance and leg strength in children with mild and moderate motor impairment. Methods. 30 children (4–6 years old) with mild or moderate motor impairment participated in the study, and were randomly divided into two groups. The control group (n=15) received only conventional physiotherapy, while the experimental group (n=15) received a balance training program on the Abili Balance platform in addition to conventional physiotherapy. The duration of the interventions for both groups was 8 weeks. The subjects’ static and dynamic balance (according to Abili stability index and Berg scale), leg muscle strength (Broad jump) and running speed (Shuttle Run) were assessed before and after the interventions. Results. After 8 weeks, children in both groups had longer forward jumps and shorter shuttle run test results (p<0.05); balance indicators improved (p<0.05). After the interventions, the postural stability and leg muscle strength of the children in the study group were higher (p<0.05) than in the control group; other indicators did not differ significantly. Conclusions. Both applied 8-week physiotherapy programs were effective in improving children’s motor skills. Conventional physiotherapy combined with a balance training program was more effective than conventional physiotherapy in improving leg strength and postural stability in children with mild to moderate motor impairment, but not running speed and static and dynamic balance assessed by the Berg test. Keywords: leg, muscle strength, balance, running speed.
背景。被诊断为轻度或中度运动障碍的儿童不仅面临精细运动技能障碍和日常活动中身体平衡问题,他们还被诊断为肌肉力量下降。理疗是为了改善身体状况。这项研究的目的是确定不同的物理治疗方案对轻度和中度运动障碍儿童的跑步速度、平衡和腿部力量的影响。方法:30例4 ~ 6岁轻中度运动障碍儿童,随机分为两组。对照组(n=15)仅接受常规物理治疗,实验组(n=15)在常规物理治疗的基础上接受Abili balance平台上的平衡训练方案。两组干预时间均为8周。评估干预前后受试者的静态和动态平衡(根据Abili稳定性指数和Berg量表)、腿部肌肉力量(跳远)和跑步速度(穿梭跑)。 结果。8周后,两组儿童前跳变长,穿梭跑测试结果变短(p < 0.05);平衡指标改善(p<0.05)。干预后,实验组患儿的体位稳定性和腿部肌力均高于对照组(p < 0.05);其他指标无显著差异。 结论。两项为期8周的物理治疗方案在提高儿童运动技能方面均有效。常规物理治疗联合平衡训练方案在改善轻度至中度运动障碍儿童的腿部力量和姿势稳定性方面比常规物理治疗更有效,但在Berg测试评估的跑步速度和静态和动态平衡方面不如常规物理治疗。 关键词:腿,肌力,平衡,跑速。
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引用次数: 0
Efcacy of Electrostimulation and Pelvic Floor Muscle Exercises in the Treatment of Stress Urinary Incontinence in Women: Randomised Controlled Trial 电刺激和盆底肌锻炼治疗女性压力性尿失禁的疗效:随机对照试验
Q4 Medicine Pub Date : 2023-06-27 DOI: 10.33607/rmske.v1i28.1361
Vaiva Nepaitė-Stabingė, Anelė Katinė, Erika Karkauskiene, V. Dudonienė
Background. Pelvic floor muscle training (PFMT) is the most commonly used physiotherapy method in the treatment of female stress incontinence; pelvic floor muscles (PFM) can be trained not only with exercise but also with electrostimulation.The aim. To determine the efcacy of four weeks of pelvic floor muscle exercises and electrical stimulation in the treatment of stress urinary incontinence in women.Methods. The study involved 24 subjects who were randomly divided into two groups: pelvic floor muscle training (PFMT) and pelvic floor muscle exercises combined with electrostimulation (PFMES). Before and after the interventions, women’s quality of life (QoL) was assessed according to the International Incontinence Counselling Questionnaire – Short Form. Perineometry with Pelvexiser perineometer was used to measure pelvic floor muscle strength, endurance and vaginal resting pressure.Results. Both interventions signifcantly reduced urinary incontinence episodes and improved the subjects’ quality of life. PFM strength improved after the interventions in the PFMT group from 12.33±3.37 to 19.97±3.38 mmHg (p=0.0008, d=2.26) and in the PFMES group from 8.31±2.41 to 11.84 ±2.78 mmHg (p=0.003, d=2.6). PFM endurance improved in the PFMT group from 3.50±1.15 to 4.53±1.12 s (p=0.03, d=0.9), and in PFMES from 2.92±0.47 to 3.67±0, 52 s (p=0.001, d=1.45). Resting vaginal pressure in the PFMT group improved from 5.3±0.85 to 6.44±1.03 mmHg (p=0.005, d=1.25) and in the PFMES group from 4.4±0.70 to 6.14± 1.47 mmHg (p=0.001, d=1.5).Conclusions. PFMT and PFMES interventions signifcantly improved subjects’ PMF strength, endurance, resting vaginal pressure, and quality of life. Both applied interventions can be applied in the treatment of stress urinary incontinence, as they were safe and well tolerated by the patients. The trial is registered at ClinicalTrials.gov Identifer: NCT05871281.Keywords: female, strength, endurance, incontinence, questionnaire.
背景。盆底肌训练(PFMT)是治疗女性压力性尿失禁最常用的物理治疗方法;盆底肌(PFM)不仅可以通过运动训练,还可以通过电刺激训练。的目标。目的:探讨盆底肌运动加电刺激治疗女性压力性尿失禁的疗效。该研究涉及24名受试者,他们随机分为两组:盆底肌肉训练(PFMT)和盆底肌肉运动结合电刺激(PFMES)。在干预前后,根据国际尿失禁咨询问卷-简表评估妇女的生活质量。用Pelvexiser围膜计测量骨盆底肌肉力量、耐力和阴道静息压力。两种干预措施都显著减少了尿失禁发作,提高了受试者的生活质量。干预后,PFMT组PFM强度从12.33±3.37 mmHg提高到19.97±3.38 mmHg (p=0.0008, d=2.26), PFMES组从8.31±2.41 mmHg提高到11.84±2.78 mmHg (p=0.003, d=2.6)。PFMT组PFM耐力从3.50±1.15 s提高到4.53±1.12 s (p=0.03, d=0.9), PFMES组从2.92±0.47 s提高到3.67±0.52 s (p=0.001, d=1.45)。PFMT组静息阴道压由5.3±0.85改善至6.44±1.03 mmHg (p=0.005, d=1.25), PFMES组由4.4±0.70改善至6.14±1.47 mmHg (p=0.001, d=1.5)。PFMT和PFMES干预显著改善了受试者的PMF强度、耐力、静息阴道压力和生活质量。这两种干预措施均可应用于压力性尿失禁的治疗,因为它们安全且患者耐受性良好。该试验在ClinicalTrials.gov注册,识别码:NCT05871281。关键词:女性,力量,耐力,尿失禁,问卷。
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引用次数: 0
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Reabilitacijos Mokslai Slauga Kineziterapija Ergoterapija
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