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Using Motion Sensor Technology to Manage Risk of Injury in a Strength and Conditioning Program for Female Collegiate Athletes 使用运动传感器技术来管理大学女运动员力量和体能训练项目中受伤的风险
Q3 Health Professions Pub Date : 2020-01-31 DOI: 10.7575/aiac.ijkss.v.8n.1p.31
John C. Garner, Lesley R. Parrish, K. R. Shaw, Samuel J Wilson, Paul T. Donahue
Background of Study: Females generally have a 6-8 times higher risk for lower extremity injury compared to male counterparts due to biomechanical differences and/or poor landing strategies. In recent years, a great deal of focus has been placed on prevention and reduction of non-contact lower extremity injuries. This has spurred the development of assessment methods to determine how athletes move and tools with which those motions are measured. Efforts have been made to measure and quantify movement strategies, which have given rise to multiple movement tests and measurement devices. One approach is the use of wearable technologies used in conjunction with a movement screening. Objective: Demonstrate a practical approach of using wearable technologies to guide training regimens in a population of female athletes that would be considered at risk for lower extremity injuries. Methods: A cohort of Division I female volleyball athletes were screened using wearable technology then assigned an intervention based on screening results. Comparisons were made between injury rates during the season when the intervention was applied compared to previous seasons. Results: All lower extremity injury rates were reduced after the intervention was applied. Conclusions: The use of wearable technology aids in quantifying movement to then assign a strategic intervention to reduce injuries in an at risk athletic population.
研究背景:由于生物力学差异和/或着陆策略不佳,女性下肢损伤的风险通常是男性的6-8倍。近年来,非接触性下肢损伤的预防和减少已成为人们关注的焦点。这刺激了评估方法的发展,以确定运动员如何运动和测量这些运动的工具。人们努力测量和量化运动策略,从而产生了多种运动测试和测量设备。一种方法是将可穿戴技术与运动筛查结合使用。目的:展示一种实用的方法,使用可穿戴技术指导女性运动员群体的训练方案,这些女性运动员被认为有下肢损伤的风险。方法:采用可穿戴技术对一组女排运动员进行筛查,并根据筛查结果进行干预。比较了本赛季进行干预后与前几个赛季的受伤率。结果:干预后下肢损伤发生率均降低。结论:使用可穿戴技术有助于量化运动,然后分配战略干预,以减少高危运动人群的伤害。
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引用次数: 3
Comparison of Gait Pattern in Athletes with ACL Deficiency and Healthy Individual using an Accelerometer 用加速度计比较前交叉韧带缺陷运动员和健康人的步态模式
Q3 Health Professions Pub Date : 2020-01-31 DOI: 10.7575/aiac.ijkss.v.8n.1p.43
H. Sadeghi, Hesam Fazlali, Saba Sadeghi, Seyedmojtaba Seyedmojtaba Ojaghi
Background: In athletes with anterior cruciate ligament (ACL) deficiencies could assess functional capabilities with different instruments such as use of a camera in vivo situation. However, these methods have suffered from a large number of limitations such as inability to be repeatable and complexity in technique. Objective: The main purpose of this study was to compare gait pattern of the athletes with ACL injury and able-bodied subjects using an accelerometer. Method: A three-dimensional accelerometer was placed over the tibia tuberosity of 20 healthy and 20 individuals with ACL-deficiencies (ACLD). After walking on the treadmill, the principal components of the acceleration data were calculated using MATLAB software. Results: In this study, Principle Component analysis was used for statistical analysis. The results indicated that subjects with ACL deficiency have different gait pattern compared to the control group. The major differences between stride trajectories of the two groups were at the end of mid-swing and the beginning of terminal swing phases in vertical axis. ACL deficient subjects exhibited different gait patterns during mid and terminal stance phases in anterior- posterior axis compared with normal controls. Conclusions: The difference in gait between subjects with ACL deficiency and healthy subjects are depends on variation in the amount of knee flexion and tibia rotation that could be altered to motor recruitment.
背景:前交叉韧带(ACL)缺陷的运动员可以使用不同的仪器来评估其功能能力,例如在体内使用相机。然而,这些方法存在着不可重复、技术复杂等诸多局限性。目的:利用加速度计比较前交叉韧带损伤运动员与健全人的步态特征。方法:将三维加速度计置于20例健康和20例ACLD缺乏症患者的胫骨结节上。在跑步机上行走后,利用MATLAB软件计算加速度数据的主成分。结果:本研究采用主成分分析法进行统计分析。结果表明,前交叉韧带缺陷受试者的步态模式与对照组不同。两组步幅轨迹的主要差异在纵轴上的中摆结束和末端摆开始阶段。与正常对照相比,ACL缺陷受试者在前后轴站立中期和终末阶段表现出不同的步态模式。结论:前交叉韧带缺乏症患者与健康受试者的步态差异取决于膝关节屈曲和胫骨旋转量的变化,这些变化可能改变为运动恢复。
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引用次数: 1
Biochemical and Structural Alterations in Skeletal Muscle Following ACL Injury: A Narrative Review 前交叉韧带损伤后骨骼肌的生化和结构改变:叙述性回顾
Q3 Health Professions Pub Date : 2020-01-31 DOI: 10.7575/aiac.ijkss.v.8n.1p.8
T. Reyes, D. Willoughby
Background: Anterior cruciate ligament (ACL) injuries are some of the most common knee injuries that occur in the US, accounting for around 200,000 documented cases per year. Varying levels of severity can determine whether surgery is required or if physical therapy will suffice. One of the most common complications for patients is that there is significant atrophy of the impacted limb. Yet, there has not been definitive proof explaining this mechanism. Objective: The primary goal for this review was to examine some of the biochemical differences that tend to occur within and surrounding an ACL injury and the mechanisms involved in skeletal muscle atrophy and regenerative capabilities. Outcome: Multiple studies have found a connection between time spent inactive from the injury and the percentage of retained muscle after exercising again. Among decreases in muscle mass and muscle volume changes, analyses have also revealed alterations in alpha-2 macroglobulin, myostatin, heat shock protein-72, mechano GF-C24E, synovial fluid, and histochemical alterations in collagen and cartilaginous states which all seem to be primary factors in regulating effectiveness and speed of recovery from ACL injury. Conclusion: the influx of various cytokines as a response to the initial injury in relation to inflammation change the chemical and physical environment of the knee, making recovery significantly more difficult and time-consuming. Timing of injury, surgery, and re-initiation of movement after surgery are very important factors that can minimize overall damage and reduce recovery time.
背景:前交叉韧带(ACL)损伤是美国最常见的膝关节损伤之一,每年约有20万例记录病例。不同程度的严重程度可以决定是否需要手术或物理治疗就足够了。患者最常见的并发症之一是患肢明显萎缩。然而,目前还没有明确的证据来解释这一机制。目的:本综述的主要目的是研究前交叉韧带损伤内部和周围的一些生化差异,以及骨骼肌萎缩和再生能力的机制。结果:多项研究发现,受伤后不活动的时间与再次运动后保留的肌肉百分比之间存在联系。在肌肉质量和肌肉体积变化的减少中,分析还揭示了α -2巨球蛋白、肌肉生长抑制素、热休克蛋白-72、机械GF-C24E、滑膜液的改变,以及胶原和软骨状态的组织化学改变,这些似乎都是调节前交叉韧带损伤恢复效果和速度的主要因素。结论:各种细胞因子的涌入作为对炎症相关的初始损伤的反应,改变了膝关节的化学和物理环境,使恢复变得更加困难和耗时。受伤的时机,手术和术后重新开始运动是非常重要的因素,可以最大限度地减少整体损伤和减少恢复时间。
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引用次数: 3
Sleep and Exercise Behaviors Do Not Differ Based Upon Aerobic Capacity or Hand Grip Strength 睡眠和运动行为不会因有氧能力或握力而有所不同
Q3 Health Professions Pub Date : 2020-01-31 DOI: 10.7575/aiac.ijkss.v.8n.1p.1
Bradley J. Myers, John P. Manor, James M. Wilson, Victoria A. Yoder, Stuart T. Holden, J. Bunn
Background: Despite the known benefits of physical activity (PA), most of the population in the United States fails to meet minimum recommended levels, and this lack of activity is believed to affect their health and well-being. Objective: The purpose of this study was to compare lifestyle behaviors of exercise and sleep in low, moderate, and high performers for maximal aerobic capacity (VO2max) and hand-grip strength (GS). Methods: Participants (n = 107, 19-62 years old) performed physical fitness assessments: estimated VO2max through submaximal cycle ergometry, and GS. Physical activity (PA) and sleep were assessed via self-reported questionnaires: physical activity as a vital sign (PAVS) and the Pittsburgh Sleep Quality Index (PSQI). Participants were categorized according to age and gender-specific normative values as low, medium, and high performer (LP, MP, and HP). Group characteristics were compared for each ranked variable using Kruskall-Wallis tests. Results: PAVS scores revealed 66.3% (n=68) of participants met minimum PA of 150 min/week (221.6 ± 177.8). According to VO2max performance groups, the LP group was taller, heavier, had higher diastolic blood pressure, and had a larger waist circumference than MP or HP (p =.000-.029), with moderate and high effect sizes. When categorized by relative GS, the LP group was heavier and had larger waist and hip circumferences than the HP group (p =.003-.011), all with high effect sizes. Conclusion: Despite high levels of self-report PA in this cohort, this did not translate to better cardiorespiratory fitness or muscular strength. Participants met PA guidelines but achieved suboptimal scores for VO2max and GS signifying elevated risk of mortality. The incongruity between PA levels and fitness classification suggest that lifestyle habits may not be a suitable surrogate for objective measurement of fitness.
背景:尽管身体活动(PA)的好处是众所周知的,但大多数美国人没有达到最低推荐水平,这种缺乏活动被认为会影响他们的健康和福祉。目的:比较低水平、中等水平和高水平运动员运动和睡眠的生活方式对最大有氧能力(VO2max)和握力(GS)的影响。方法:参与者(n = 107, 19-62岁)进行体能评估:通过次最大循环几何法和GS估计最大摄氧量。身体活动(PA)和睡眠通过自我报告问卷进行评估:身体活动作为生命体征(PAVS)和匹兹堡睡眠质量指数(PSQI)。参与者根据年龄和性别特定的规范性值被分类为低、中、高性能(LP、MP和HP)。使用Kruskall-Wallis检验比较每个排名变量的群体特征。结果:PAVS评分显示66.3% (n=68)的参与者达到最低PA 150 min/week(221.6±177.8)。根据VO2max表现组,LP组比MP组和HP组更高、更重、舒张压更高、腰围更大(p = 0.000 - 0.029),具有中、高效应量。当按相对GS分类时,LP组比HP组更重,腰臀围更大(p = 0.003 - 0.011),均具有高效应量。结论:尽管该队列中自我报告的PA水平较高,但这并没有转化为更好的心肺功能或肌肉力量。参与者符合PA指南,但VO2max和GS得分不理想,表明死亡风险升高。PA水平与健康分类之间的不一致表明生活习惯可能不是客观测量健康的合适替代品。
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引用次数: 0
Acute Resistance Exercise at Varying Volume Loads Does Not Enhance Plasma Interleukin-6 不同容量负荷下的急性阻力运动不会增强血浆白细胞介素-6
Q3 Health Professions Pub Date : 2020-01-31 DOI: 10.7575/aiac.ijkss.v.8n.1p.37
C. Raines, Trevor W. Frosig, Kurt A. Escobar, J. Cotter, Evan E Schick
Background: Aerobic exercise has been shown to impart anti-inflammatory effects partly through increased secretion of interleukin-6 (IL-6). Still unclear, however, is whether resistance exercise (RE) also enhances IL-6 secretion. Objective: The present study aimed to examine the effect of RE, performed at varying volume loads (VL), on plasma IL-6. Methods: Ten subjects (seven males and three females: age 37.9 ± 11.4 years; height 170.81 ± 11.16 cm; weight 71.36 ± 11.26 Kg.) participated in three randomized RE protocols: high VL (HVL) (5 sets x 20 repetitions at 45% 1-repetition maximum (1-RM), medium VL (MVL) (3x12 at 75% 1-RM), and low VL (LVL) (2x4 at 90% 1-RM) each separated by 96 hours. Capillary blood for IL-6 measurements was drawn immediately pre-exercise, immediately post-exercise, and 1- and 2-hours post-exercise. Results: There were no significant differences in plasma IL-6 between exercise condition (LVL, MVL, HVL) or at any time point (p=0.422 and p=0.870, respectively). Conclusion: Plasma IL-6 levels are not acutely sensitive to RE, regardless of volume load; therefore, any reported anti-inflammatory effect of RE appears to operate outside of the exercise-induced IL-6 pathway.
背景:有氧运动已被证明部分通过增加白细胞介素-6(IL-6)的分泌来发挥抗炎作用。然而,目前尚不清楚抵抗运动(RE)是否也能增强IL-6的分泌。目的:本研究旨在检测在不同体积负荷(VL)下进行的RE对血浆IL-6的影响。方法:10名受试者(7名男性和3名女性:年龄37.9±11.4岁;身高170.81±11.16cm;体重71.36±11.26kg)参加了三项随机RE方案:高VL(HVL)(5组x 20次,最大重复次数为45%(1-RM))、中VL(MVL)(3x12次,最大1次重复次数为75%)和低VL(LVL)(2x4次,最大90%1-RM),每个方案间隔96小时。在运动前、运动后以及运动后1小时和2小时立即抽取用于IL-6测量的毛细管血。结果:运动状态(LVL、MVL、HVL)和任何时间点的血浆IL-6均无显著差异(分别为0.422和0.870)。结论:血浆IL-6水平对RE不敏感,与体积负荷无关;因此,任何报道的RE的抗炎作用似乎都在运动诱导的IL-6途径之外发挥作用。
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引用次数: 5
Effect of Twelve Sessions of Tai Chi Exercise on Static and Dynamic Balance in Young Girls 12次太极运动对幼女静、动平衡的影响
Q3 Health Professions Pub Date : 2020-01-31 DOI: 10.7575/aiac.ijkss.v.8n.1p.26
A. Daneshjoo, Aida Tavakol, Hassan Sadeghi
Background: Tai Chi is Chinese martial art strengthening the performance of individuals. Objectives: The purpose of present study is to determine the effect of a Tai Chi exercise period on static and dynamic balance of young girls. Methods: For the purpose of this research, 32 young girls were voluntarily selected and randomly divided into two groups: Tai Chi training group (21 subjects; mean ± SD; age 22.05±2.4 weight 53.67±6.3 kg, height 1.60±0.5 m) and control group (11 subjects; mean ± SD; age 23.37±0.9 weight 53.64±7.8 kg, height 1.62±0.4 m) players. Static and dynamic balance were measured using Biodex Balance System SD three days before and after a 12-session training period with similar conditions in terms of time and place (75 minutes each session). Results: Mixed repeated measure test showed a significant difference between pre and post-tests in open eye single-foot, closed eye single-foot, open eye two-foot, and closed eye two-foot stances (p=0.001). However, no significant difference was revealed in the control group (p>0.05). While there was better balance state in all stances of Tai Chi group, no significant difference was observed between the groups in this respect (p>0.05). Conclusions: The findings of this research indicated the effectiveness of Tai Chi exercises on static and dynamic balance of young girls. Although there was no significant difference in effect of exercise between training and control groups, mean percentage of changes in training group revealed the effectiveness of exercise in training group compared to control. Therefore, Tai Chi exercises can be recommended to treat and prevent injury due to poor balance. We suggested performing Tai Chi more than 12 session in order to enhance it influences.
背景:太极拳是中国武术中加强个人表演的一门技艺。目的:本研究的目的是确定太极运动期对年轻女孩静态和动态平衡的影响。方法:本研究随机抽取32名年轻女孩,随机分为两组:太极拳训练组(21名受试者,平均值±SD;年龄22.05±2.4,体重53.67±6.3 kg,身高1.60±0.5 m)和对照组(11名受试人,平均值为±SD,年龄23.37±0.9,体重53.64±7.8 kg,身高1.6 2±0.4 m)。使用Biodex balance System SD在时间和地点条件相似(每次75分钟)的12节课训练期前后三天测量静态和动态平衡。结果:混合重复测量试验显示,睁眼单足、闭眼单脚、睁眼双足和闭眼双足姿势在试验前后有显著差异(p=0.001)。而对照组无显著差异(p>0.05)。太极组各姿势的平衡状态较好,结论:本研究结果表明,太极拳锻炼对幼女静态和动态平衡的影响是显著的。尽管训练组和对照组之间的运动效果没有显著差异,但训练组的平均变化百分比显示了训练组与对照组相比运动的有效性。因此,可以推荐太极拳练习来治疗和预防因平衡不良而造成的损伤。为了提高太极拳的影响力,我们建议太极拳表演12节以上。
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引用次数: 3
The Love of Aerial Practice: Art, Embodiment, Phronesis 空中练习的爱:艺术,化身,Phronesis
Q3 Health Professions Pub Date : 2020-01-31 DOI: 10.7575/aiac.ijkss.v.8n.1p.14
M. Kosma, Nick Erickson
Background of study: Given the importance of movement and low exercise adherence among young adults, it is imperative to understand reasons for the love of movement. Objective: The purpose of this phronetic, qualitative study was to examine if the values of aerial practice encompassed elements of embodiment, techne (art), and phronesis (practical wisdom). Method: Participants were 13 undergraduate college students in an aerial practice class. Individual-based interview topics included exercise behavior and the values and meaning of aerial practice. Results: All participants were active regardless of aerial practice classification (e.g., beginners vs advanced). Beyond aerial practice, other exercises included dancing, yoga and aerial yoga, Pilates, aerobic activities (e.g., running and spinning classes), rock climbing and hiking, weight lifting, somatics and acrobatics. Based on the first theme, the love of aerial practice, techne aspects reflected fitness, skill improvement; challenging, infinite learning and determination. Art, performativity, fluidity included techne and embodiment, while the sensation of whole-body movement encompassed an embodied element for the love of aerial silks. A combination of phronetic and embodied elements were sense of community and inclusivity; novelty; it fits me. Embodied qualities of the second theme, challenges with aerial practice, included fear, injuries, bruises, pain. Fitness, skill, performance and the struggle to learn new movements linked to techne and the integral parts of movement. Phronetic categories regarding situation-specific reflections were time on the silk and unhealthy competition in the business world (territorial traits and lack of sharing). The third theme was future exercise plans and its categories included phronetic (decision-related) elements: practice and/or teach aerial silks; keep exercising. Conclusion: Artistic, embodied, and phronetic approaches in movement education can enhance the value and pursuit of movement.
研究背景:鉴于运动的重要性和年轻人运动依从性低,必须了解热爱运动的原因。目的:这项模拟的定性研究的目的是检验空中练习的价值是否包括体现、技术(艺术)和模拟(实践智慧)的元素。方法:参与者为13名参加空中练习班的大学生。以个人为基础的访谈主题包括练习行为以及空中练习的价值和意义。结果:所有参与者都很活跃,无论空中练习分类如何(例如,初学者与高级学员)。除了空中练习外,其他练习还包括舞蹈、瑜伽和空中瑜伽、普拉提、有氧活动(如跑步和旋转课程)、攀岩和徒步旅行、举重、躯体运动和杂技。在第一个主题的基础上,热爱空中练习,技术方面体现了健身、技术的提高;具有挑战性、无限学习和决心。艺术、表演性、流动性包括技术和体现,而全身运动的感觉包括对空中丝绸的热爱。虚拟和具体元素的结合是社区感和包容性;新颖性这很适合我。第二个主题,空中练习的挑战,体现了恐惧、受伤、瘀伤和疼痛。健身、技能、表现以及学习与技术和运动组成部分相关的新动作的努力。具体情况反映的短语类别是丝绸时代和商业世界中不健康的竞争(领土特征和缺乏共享)。第三个主题是未来的锻炼计划,其类别包括phronetic(与决策相关)元素:练习和/或教授空中丝绸;继续锻炼。结论:运用艺术化、具象化、虚拟化的方法进行运动教育,可以提高运动的价值和追求。
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引用次数: 6
Reliability and Validity of Three Clinical Methods to Measure Lower Extremity Muscle Power 三种测量下肢肌力的临床方法的信度和有效性
Q3 Health Professions Pub Date : 2020-01-31 DOI: 10.7575/AIAC.IJKSS.V.9N.1P.1
Mattie Pontiff, Li Li, N. Moreau
Background: Lower extremity muscle power is critical for daily activities and athletic performance in clinical populations. Objective: The purpose of this study was to determine the reliability and validity of 3 clinically feasible methods to measure lower extremity muscle power during a leg press. Methods: Ten of 26 subjects performed 2 sessions of 5 submaximal leg presses separated by 3-7 days in this repeated-measures cross-sectional design; the remaining performed 1 test session. Power was calculated independently for each method [simple video, linear position transducer, and accelerometer] and compared to the reference force plate. Test-retest reliability was evaluated using intraclass correlation coefficients (ICC). Pearson’s correlation coefficient (r), Bland-Altman plots with 95% limits of agreement (LOA), and mean bias percentages (%) were used to determine relative and absolute validity. Results: Power measures were reliable for all methods (ICC=.97-.99). All were highly correlated with the force plate (r=.96-.98). Mean bias was -0.8% (LOA: -16.57% to 14.98%) (video), -13.21% (LOA: -23.81% to -2.61%) (position transducer) compared to the force plate. Proportional bias was observed for accelerometry. Conclusion: All methods were reliable and highly correlated with the force plate. Only the video and position transducer demonstrated absolute validity. The position transducer was the most feasible method because of its simplicity and accuracy in measuring power.
背景:在临床人群中,下肢肌肉力量对日常活动和运动表现至关重要。目的:本研究的目的是确定3种临床可行的测量腿部按压过程中下肢肌力的方法的可靠性和有效性。方法:在这种重复测量的横断面设计中,26名受试者中的10名进行了2次5次次次最大腿部按压,间隔3-7天;剩余的执行了1个测试会话。对每种方法[简单视频、线性位置传感器和加速度计]的功率进行独立计算,并与参考力板进行比较。使用组内相关系数(ICC)评估测试-再测试的可靠性。Pearson相关系数(r)、Bland-Altman 95%一致性限图(LOA)和平均偏差百分比(%)用于确定相对有效性和绝对有效性。结果:所有方法的功率测量都是可靠的(ICC=.97-.99)。所有方法都与力板高度相关(r=.96-.98)。与力板相比,平均偏差为-0.8%(LOA:-16.57%至14.98%)(视频)、-13.21%(LOA:-23.81%至-2.61%)(位置传感器)。在加速度测量中观察到比例偏差。结论:所有方法都是可靠的,并且与力板高度相关。只有视频和位置传感器显示出绝对有效性。位置传感器由于其测量功率的简单性和准确性而成为最可行的方法。
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引用次数: 2
Physical Activity Counseling in Kinesiology Curricula: What is Offered in Ontario? 运动机能课程中的体育活动咨询:安大略省提供什么?
Q3 Health Professions Pub Date : 2019-10-31 DOI: 10.7575/aiac.ijkss.v.7n.4p.22
P. Wilson, C. Kelly, D. Mack, Colin M. Wierts
Background: Physical activity counseling (PAC) is a viable approach for individualizing behavior change yet it is unclear if training opportunities in this area constitute a portion of the curriculum offered to university students by kinesiology departments. Objectives: The purpose of this study was to describe the availability of courses in PAC within the curricular offered by kinesiology departments at the post-secondary level. Methods: Data were extracted from the 2018-2019 undergraduate calendars published by kinesiology departments from universities in Ontario, Canada. Results: Seventeen of the 22 universities (77.3%) reported a department of kinesiology (or equivalent). Every kinesiology department offered courses in human biomechanics and human psychomotor learning or neuroscience. Less than half (n = 7; 41.2%) of these kinesiology departments offered PAC courses. Conclusions: Overall, this study makes it apparent that university students completing a kinesiology degree may have limited access to formal training opportunities devoted exclusively to PAC in comparison to other knowledge domains (e.g., human biomechanics). Based on these results, it seems reasonable to contend that kinesiology programs may warrant reconfiguring to meet the occupational demands of exercise professionals who use PAC to combat physical inactivity.
背景:体育活动咨询(PAC)是一种可行的个性化行为改变方法,但尚不清楚这一领域的培训机会是否构成运动机能学系为大学生提供的课程的一部分。目的:本研究的目的是描述中学后运动机能学系提供的课程中PAC课程的可用性。方法:数据取自加拿大安大略省大学运动机能学系发布的2018-2019年本科生日历。结果:22所大学中有17所(77.3%)开设了运动学系(或同等学部)。每个运动机能学系都开设了人体生物力学和人体心理运动学习或神经科学课程。不到一半(n=7;41.2%)的运动机能学系开设了PAC课程。结论:总体而言,这项研究表明,与其他知识领域(如人类生物力学)相比,完成运动学学位的大学生获得专门用于PAC的正式培训机会可能有限。基于这些结果,有理由认为运动机能学项目可能需要重新配置,以满足使用PAC对抗身体不活动的运动专业人员的职业需求。
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引用次数: 1
The Effects of Including Aerobic Exercise in the Treatment Protocol of Concussions: A Systemic Review and Meta-analysis 在脑震荡治疗方案中纳入有氧运动的效果:一项系统回顾和荟萃分析
Q3 Health Professions Pub Date : 2019-10-31 DOI: 10.7575/aiac.ijkss.v.7n.4p.33
Sofie De Wandel, Tracey Sulak, D. Willoughby
Background of Study: More research studies are being completed advocating for the use of exercise as an intervention and form of treatment for concussions. However, exercise can include many forms of physical activity, intensities, and durations. This systemic review and meta-analysis focused on the use of aerobic exercise, such as cycling or walking, as an intervention and form of treatment for children and young adults suffering from a concussion. Objective: The purpose of this systematic review and meta-analysis was to determine if the addition of aerobic exercise to an individual concussion treatment makes a significant difference when compared to treatments using flexibility as a form of physical activity or traditional methods of treatment following guidelines from the 2016 Berlin Consensus Statement on Concussion in Sport. Method: The search conducted for articles generated 472 studies. Out of these, 5 studies were selected based from the inclusion criteria. Results: Aerobic exercise was shown to significantly decrease the absolute risk difference for the development of prolonged post-concussion symptoms in children and adolescents with concussions when compared to those who reported no physical activity. The mean risk difference for the independent variable (IV) was -0.12 with a 95% confidence interval was reported to be -0.17 to -0.07 and an effect size of Z = 4.94 (P < 0.00001). Aerobic exercise was also shown to have an effect on the change in post-concussion symptom scale scores. The mean IV difference was 8.7 with a 95% confidence interval of 2.05 to 14.35 and an effect size of Z=3.02 (p=0.003). Conclusion: In conclusion, while there is evidence that aerobic exercise is beneficial for children and adolescents with a concussion, more studies need to be completed focusing on this age group and the effects of aerobic exercise on concussion recovery.
研究背景:越来越多的研究正在完成,倡导使用运动作为脑震荡的干预和治疗形式。然而,运动可以包括多种形式的身体活动、强度和持续时间。这项系统回顾和荟萃分析的重点是使用有氧运动,如骑自行车或步行,作为儿童和年轻人脑震荡的干预和治疗形式。目的:本系统综述和荟萃分析的目的是确定在个体脑震荡治疗中增加有氧运动与使用柔韧性作为一种身体活动形式的治疗或遵循2016年柏林共识声明中关于运动脑震荡的指导方针的传统治疗方法相比是否有显着差异。方法:检索文献共472篇。其中,根据纳入标准选择了5项研究。结果:有氧运动被证明可以显著降低儿童和青少年脑震荡后长期症状发展的绝对风险差异,与那些报告没有体育锻炼的人相比。自变量(IV)的平均风险差为-0.12,95%置信区间为-0.17 ~ -0.07,效应量Z = 4.94 (P < 0.00001)。有氧运动也被证明对脑震荡后症状量表得分的变化有影响。平均IV差为8.7,95%可信区间为2.05 ~ 14.35,效应量Z=3.02 (p=0.003)。结论:综上所述,虽然有证据表明有氧运动对脑震荡后的儿童和青少年是有益的,但需要更多的研究来关注这一年龄组以及有氧运动对脑震荡恢复的影响。
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引用次数: 1
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International Journal of Kinesiology and Sports Science
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