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Press Up Exercises as an Alternative to Conventional Therapy of Radicular Symptoms in Patients with Low Back Pain 俯卧撑运动作为治疗下腰痛患者神经根症状的替代疗法
Q4 Health Professions Pub Date : 2023-01-01 DOI: 10.18276/cej.2023.2-02
Jan Vagner, Ingrid Palascákova Springrova, Eva Baranova, Šárka Tomková, Elena Bendikova
The study examines whether clinical and objective improvement can be achieved in patients with LBP (low back pain) with radicular symptoms using a 6-week exercise program based on press up exercises created from ADL (activities of daily living) movement patterns. This original study involved 10 men with acute L5 / S1 disc hernia. Before starting the exercise program, patients determined the intensity of pain VAS (Visual Analogue Scale), the intensity of paraesthesias (NSIP: numerical scale of paraesthesia intensity) and the location of paraesthesias. Magnetic resonance imaging (MRI) was used to objectify the extent of the disc hernia, spinal cord compression, and pressure acting on the dural sac. Patients completed -week exercise program consisting only of press up ADL movement patterns in a closed kinematic chain. At the end of the exercise program, patients determined the outcome values of clinical symptoms and underwent control MRI within 2 weeks at the latest. At the end of the study all patients showed a statistically significant reduction in pain intensity (p = 0.005), paraesthesia (p = 0.006). The pressure on the dural sac was reduced in all patients. One of the patients had a partial reduction of intervertebral disc hernia by 35.7 %. None of the patients had a change in spinal root compression. Conventional therapy should focus on influencing clinical symptoms that appear to correlate with dural sac compression. We dare to argue that reduction of hernia disc is not a sign of primary recovery in LBP patients with acute phase radicular symptoms.
该研究考察了是否可以通过基于ADL(日常生活活动)运动模式创建的俯卧撑运动的6周锻炼计划来实现具有神经根性症状的LBP(腰痛)患者的临床和客观改善。这项原始研究涉及10名患有急性L5 / S1椎间盘突出的男性。在开始运动计划前,患者确定疼痛强度VAS (Visual Analogue Scale)、感觉异常强度NSIP (numerical Scale of parthesia intensity)和感觉异常位置。采用磁共振成像(MRI)客观显示椎间盘突出、脊髓受压和硬膜囊受压的程度。患者完成了一周的运动计划,只包括在封闭的运动链中向上按压ADL运动模式。在运动计划结束时,患者确定临床症状的预后值,最迟在2周内进行对照MRI检查。在研究结束时,所有患者的疼痛强度(p = 0.005)和感觉异常(p = 0.006)均有统计学意义上的显著降低。所有患者的硬膜囊压力均减轻。其中1例椎间盘突出部分复位35.7%。所有患者均无脊髓根受压改变。常规治疗应侧重于影响与硬脑膜囊受压相关的临床症状。我们敢说,腰椎间盘缩小并不是腰痛患者急性期神经根症状初步恢复的标志。
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引用次数: 0
Influence of Beetroot Supplementation on Oxygen Muscle Saturation of Semi-Professional Soccer Players Following a Repeated Sprint Test 补充甜菜根对半职业足球运动员重复冲刺测试后氧肌饱和度的影响
Q4 Health Professions Pub Date : 2023-01-01 DOI: 10.18276/cej.2023.2-05
Yiannis Michailidis
Dietary nitrates have hemodynamic and metabolic effects on the body. This study aimed to investigate nitrate intake's effect on quadricep muscle oxygen saturation (StO2) of semi-professional soccer players during a repeated speed test (RSA). In a randomized, crossover design, 10 semi-professional soccer men players (21.3 ± 0.9yrs) performed two conditions: In one they consumed a nitrate-rich concentrated beetroot juice (250 mL/150 mg of NO3−) and in the other a placebo, 2h before a repeated sprint test. StO2 of the right vastus lateralis muscle was measured by near-infrared spectroscopy. A paired samples t-test was used to compute any differences in the subjects’ performance on the StO2 and on RSA test. The level of significance was set at p < 0.05. The supplementation of nitrates limited the decrease in muscle oxygenation during the six sprints of RSA test (p < 0.001) and also, there seemed to be a tendency for limited the decrement of performance on RSA test (t = -1.586, p = 0.157, η2 = 0.218). In conclusion, acute nitrate supplementation reduces the decrement of muscle oxygenation during exercise with repeated sprints and leads to a tendency of fatigue resistance during repeated sprints under controlled situations. Nitrate supplementation may have an ergogenic effect during exercise with repeated sprints via the higher muscle oxygenation.
膳食硝酸盐对人体的血液动力学和代谢有影响。本研究旨在探讨硝酸盐摄入对半职业足球运动员在重复速度测试(RSA)中股四头肌氧饱和度(StO2)的影响。在一项随机交叉设计中,10名半职业男子足球运动员(21.3±0.9岁)进行了两种情况:一种情况下,他们在重复冲刺测试前2h饮用富含硝酸盐的浓缩甜菜根汁(250 mL/150 mg NO3 -),另一种情况下饮用安慰剂。近红外光谱法测定右股外侧肌StO2。配对样本t检验用于计算受试者在StO2和RSA测试上的表现差异。显著性水平设为p <0.05. 在RSA试验的6个冲刺阶段,硝酸盐的补充限制了肌肉氧合的下降(p <0.001),而且,在RSA检验中,似乎有限制性能下降的趋势(t = -1.586, p = 0.157, η2 = 0.218)。综上所述,急性补充硝酸盐可以减少重复冲刺运动中肌肉氧合的减少,并导致在受控情况下重复冲刺运动中出现疲劳抵抗的倾向。在运动中,通过高肌肉氧合,硝酸盐补充可能具有促氧作用。
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引用次数: 0
Core Strength as a Paramount Contributor for Potential Upper Limb Isometric Strength - A Correlational Study 核心力量是潜在上肢等长力量的主要贡献者-一项相关研究
Q4 Health Professions Pub Date : 2023-01-01 DOI: 10.18276/cej.2023.2-04
Harsirjan Kaur, Sarika Chaudhary, Charu Chhabra
It is believed that a strong core will enable an athlete to effectively transfer forces from the lower extremities through the torso to the upper extremities. Control of the shoulder girdle force is important for the proper function of the upper extremities, although stabilising forces from the trunk and pelvis are also important. The purpose of this study is to determine the association between shoulder isometric push-up/pull-down strength and isometric strength of the abdominal muscles. Using the HUR Rehab-Line 5310 & 5120, isometric upper limb and core strength was measured. The statistical analysis revealed a moderate but significant positive association between the strength of the back muscles and isometric push-ups. Additionally, there was a weak and significant connection between isometric push-ups and abdominal strength. The study therefore draws the conclusion that there is a link between isometric upper limb performance and core musculature strength/stability. The abdominal and back muscles' isometric strength is closely tied to the isometric push-up, which is attributable to the contraction of the Pectoralis Major, Deltoid, and Triceps Brachii. The only muscle group identified to have a substantial and positive correlation with isometric pull-down strength is the abdominal muscles.
据信,一个强大的核心将使运动员有效地将力量从下肢通过躯干转移到上肢。虽然来自躯干和骨盆的稳定力也很重要,但控制肩带的力量对上肢的正常功能很重要。本研究的目的是确定肩膀等距俯卧撑/下拉力量和腹部肌肉等距力量之间的关系。使用HUR康复热线5310;5120,测量上肢和核心力量。统计分析显示,背部肌肉力量和等长俯卧撑之间存在适度但显著的正相关。此外,等长俯卧撑和腹部力量之间存在微弱而显著的联系。因此,该研究得出结论,上肢等长运动表现与核心肌肉组织力量/稳定性之间存在联系。腹部和背部肌肉的等距力量与等距俯卧撑密切相关,这可归因于胸大肌、三角肌和肱三头肌的收缩。唯一确定与等距下拉强度有实质性正相关的肌肉群是腹肌。
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引用次数: 0
The Effect of Different Types of Warm-Up Protocols on the Range of Motion and on Motor Abilities of Rhythmic Gymnastics Athletes and Ballet Dancers 不同热身方式对艺术体操运动员和芭蕾舞运动员运动范围和运动能力的影响
Q4 Health Professions Pub Date : 2023-01-01 DOI: 10.18276/cej.2023.2-03
Eleni Zaggelidou, Alexandros Malkogeorgos, Georgios Zaggelidis, Christos Galazoulas
The aim of this study was to examine the short-term effects of different types of warming up on the range of motion and on motor abilities of rhythmic gymnasts and ballet athletes. Twenty-five athletes participated in this study (11 ballet dancers and 14 rhythmic gymnasts), aged 14,72±1,43. All participants followed an intervention consisting of two warm-up protocols, one with static stretching exercises and the other with dynamic warm up protocol. The two protocols were implemented on two different days for one week. Range of motion (ROM) and hop test measurements were carried out before and after each warm-up session. For the statistical analysis, non-parametric (Wilcoxon) tests and Friedman test were used, and the level of significance was set at p < 0.05. The results showed that both warm-ups had positive effects on ROM and on motor abilities. After applying both protocols, significant differences were observed in all joints. In conclusion, both types of warm-up routines resulted in almost the same level of improvement in ROM and motor abilities; however, it was observed that after the dynamic warm up there was a slightly increased improvement in motor abilities, but it was not statistically significant.
本研究的目的是研究不同类型的热身对艺术体操运动员和芭蕾舞运动员的运动范围和运动能力的短期影响。本研究共纳入25名运动员,其中芭蕾舞运动员11名,艺术体操运动员14名,年龄14(72±1.43)岁。所有参与者都遵循了由两种热身协议组成的干预,一种是静态拉伸运动,另一种是动态热身协议。这两种方案分别在一周内的两天执行。运动范围(ROM)和跳跃测试测量在每次热身之前和之后进行。统计分析采用非参数(Wilcoxon)检验和Friedman检验,显著性水平设为p <0.05. 结果表明,这两种热身运动对ROM和运动能力都有积极的影响。应用两种方案后,所有关节均观察到显著差异。综上所述,两种类型的热身运动在ROM和运动能力方面的改善程度几乎相同;然而,观察到动态热身后,运动能力略有提高,但没有统计学意义。
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引用次数: 0
Comparison of Effectiveness of Prolotherapy and Corrective Exercise Program vs Prolotherapy and Isometrics Strengthening on Pain and Functional Improvement in Supraspinatus Tendinopathy in a Tertiary Care Centre 前驱治疗和纠正性运动方案与前驱治疗和等长肌力增强对三级保健中心冈上肌腱病疼痛和功能改善的效果比较
Q4 Health Professions Pub Date : 2023-01-01 DOI: 10.18276/cej.2023.2-06
Sai Kishore, Praveen Ravi, Dobson Dominic, Ramya Gnanapragasam
Background Regenerative injection therapies such as prolotherapy have gained importance in the recent years in non-surgical management of supraspinatus tendinopathy. The aim of the present study was to compare the efficacy of isometric rotator cuff strengthening versus corrective exercise program in the treatment of supraspinatus tendinopathy. Material and Methods Fifty patients aged 18 - 60 years were recruited with MRI diagnosed isolated supraspinatus tendinopathy or < 50% thickness tear and symptoms persisting for longer than 6 months. All patients were randomised into two groups: one prolotherapy with isometric rotator cuff strengthening exercise therapy (group ISE; n = 25) and the other group also treated with prolotherapy injection followed by corrective exercise program (group CEP; n = 25). Patients were examined at baseline, 3, 6, and 12 weeks. Improvement was assessed using a visual analog scale (VAS) for pain, and Constant Murley Score (CMS) for shoulder function. Results Significant difference (p < 0.001) was found between the groups in the VAS and CMS at any follow-up period. Conclusion Prolotherapy with CEP is more beneficial than prolotherapy with isometric strengthening exercise in supraspinatus tendinopathy. Improvement in pain and functional movements is more in the prolotherapy with CEP group than prolotherapy with ISE group.
背景再生注射疗法如前驱疗法近年来在冈上肌腱病变的非手术治疗中越来越重要。本研究的目的是比较等长肩袖强化与矫正运动方案治疗冈上肌腱病变的疗效。材料与方法选取年龄在18 ~ 60岁的50例经MRI诊断为孤立性冈上肌腱病变的患者;50%厚度撕裂,症状持续6个月以上。所有患者随机分为两组:一组前驱治疗采用等距肩袖强化运动治疗(ISE组;n = 25),另一组同时给予前驱治疗注射液加纠正性运动方案治疗(CEP组;N = 25)。在基线、3周、6周和12周对患者进行检查。使用视觉模拟量表(VAS)评估疼痛,使用Constant Murley评分(CMS)评估肩功能的改善。结果差异有统计学意义(p <在任何随访期间,VAS和CMS组之间的差异均为0.001)。结论CEP前驱治疗冈上肌腱病变比等长肌力增强前驱治疗更有效。CEP前治疗组疼痛和功能运动的改善比ISE前治疗组更明显。
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引用次数: 0
Formative Assessment of Physical Education Teachers and Self-Concept Level of Primary School Children 小学体育教师形成性评价与儿童自我概念水平
Q4 Health Professions Pub Date : 2023-01-01 DOI: 10.18276/cej.2023.1-04
P. Carrillo-López
This study aimed to analyse the relationship between the formative assessment (FA) of Physical Education teachers and the level of self-concept of primary school students. In this descriptive cross-sectional study of 122 schoolchildren, self-concept was assessed using the Piers-Harris Self-Concept Scale and the teacher's formative assessment practices through the teacher performance questionnaire associated with formative assessment practices whose scores were validated. The analysis of bivariate correlations showed that higher values in proactive FA correlated with lower values in physical self-concept and higher values in behavioural, intellectual, and social self-concept (p < .05, for all) and interactive FA with higher values in social self-concept (p < .05). The simple analysis of variance detected statistically significant differences in proactive and interactive FA (p < .05, for all) in favour of those who had a higher level of self-concept. In turn, the linear regression test indicated that higher values in retroactive FA are associated with higher values in social self-concept (p < .039) and, that higher values in proactive FA are associated with lower values in physical self-concept (p < .023). It can be concluded that the FA of the Physical Education teacher can be a differentiating element in the development of self-concept.
本研究旨在分析小学体育教师形成性评价与小学生自我概念水平的关系。本研究以122名小学生为研究对象,采用皮尔斯-哈里斯自我概念量表对自我概念进行评估,并通过教师绩效问卷对教师的形成性评估实践进行评估。双变量相关分析表明,主动性FA值越高,身体自我概念值越低,行为、智力和社会自我概念值越高(p < 0.05),互动性FA值越高,社会自我概念值越高(p < 0.05)。简单的方差分析发现,主动FA和互动FA在统计学上有显著差异(p < 0.05),有利于那些自我概念水平较高的人。反过来,线性回归检验表明,较高的追溯性FA值与较高的社会自我概念值相关(p < 0.039),较高的主动FA值与较低的身体自我概念值相关(p < 0.023)。由此可见,体育教师的自我概念可以作为自我概念发展的差异化因素。
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引用次数: 0
Immediate Effects of Kinesio-taping and Joint Mobilisation on Shoulder in Over-head Athletes with Glenohumeral Internal Rotation Deficit 肩关节内旋不足的过顶运动员肩部运动内旋贴和关节活动的直接影响
Q4 Health Professions Pub Date : 2023-01-01 DOI: 10.18276/cej.2023.2-08
Amrinder Singh, Yogini Makhijani, Monika Sharma, Shweta Shenoy, Jaspal Sandhu
The purpose of this study was to compare efficacy of kinesio taping (K-taping) and joint mobilization as immediate interventions for treating athletes with glenohumeral internal rotation deficit (GIRD). Thirty-two asymptomatic players were recruited from basketball, volleyball and handball who had a loss of shoulder internal rotation range of motion (IR ROM) of 10 degrees or more on their dominant compared to non-dominant side. They were randomly assigned to 1 of 2 groups: K-taping (n = 16) or joint mobilization (n = 16). Participants in taping group were treated with K-tape for inhibition of external rotators of shoulder and participants in joint mobilization group were treated with grade four Maitland’s mobilization technique for increasing glenohumeral internal rotation. Shoulder internal and external ROM were measured before and after the intervention with a universal goniometer. Both the methods produced significant improvement in IR ROM. The unpaired t-test showed significant change in IR ROM within both the groups (p = 0.003). No significant change was found on comparing both the groups (p = 0.373). There were no significant differences between results of the three sports (p = 0.592). K-taping and joint mobilization both are equally effective in improving the IR ROM in over-head players with GIRD.
本研究的目的是比较运动贴敷(k型贴敷)和关节活动作为治疗肱骨盂内旋缺陷(GIRD)运动员的即时干预措施的疗效。从篮球、排球和手球中招募了32名无症状的运动员,他们的优势侧与非优势侧相比,肩部内旋活动范围(IR ROM)损失了10度或更多。随机分为两组:k -胶带组(n = 16)和关节活动组(n = 16)。固定组采用K-tape抑制肩关节外旋体,关节活动组采用Maitland 4级活动技术增强肩关节内旋。在干预前后用通用角计测量肩关节内外ROM。两种方法均显著改善了IR ROM。未配对t检验显示两组IR ROM均有显著变化(p = 0.003)。两组比较无显著差异(p = 0.373)。三种运动的结果差异无统计学意义(p = 0.592)。k - tape和联合动员在改善患有GIRD的头顶球员的IR ROM方面同样有效。
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引用次数: 0
The Popular Ergogenic Substances in Sport and Physical Activity 运动和身体活动中常见的促角物质
Q4 Health Professions Pub Date : 2023-01-01 DOI: 10.18276/cej.2023.1-07
K. Świtała
Few supplements have a scientifically proven ergogenic effects of improving exercise capacity and/or physical performance in sport. The athletes require specialised nutrition, including precisely good quality supplementation, i.e. scientifically tested. Nowadays, more and more athletes use nutritional supplementation to improve their sporting performance both at the elite and non-elite levels. In this review, ergogenic substances such as the β-alanine, caffeine, creatine monohydrate, creatine malate, sodium bicarbonate were analysed among athletes/active people from an exercise and health capacity perspective. The aim of this review is to analyse the efficacy, mechanisms of action, dosage, side effects of the selected ergogenic substances, among athletes involved in physical effort/specific sport disciplines. Furthermore, the article will show the benefits of using these supplements in terms of health as well as improvement of exercise capacity among athletes.
很少有补充剂具有科学证明的提高运动能力和/或运动中的身体表现的人体效应。运动员需要专门的营养,包括高质量的补充,即科学测试。如今,越来越多的运动员使用营养补充剂来提高他们在精英和非精英水平的运动成绩。在这篇综述中,从运动和健康能力的角度分析了运动员/活跃人群中β-丙氨酸、咖啡因、一水肌酸、苹果酸肌酸、碳酸氢钠等人体必需物质。本综述的目的是分析所选的促角物质在体力劳动/特定运动项目的运动员中的功效、作用机制、剂量和副作用。此外,文章将展示使用这些补充剂在健康方面的好处,以及运动员运动能力的提高。
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引用次数: 1
Energy Drink Consumption among Physically Active Persons in Lebanon: A Multicenter Cross-Sectional Study 黎巴嫩体力活动者的能量饮料消费:一项多中心横断面研究
Q4 Health Professions Pub Date : 2023-01-01 DOI: 10.18276/cej.2023.2-01
Georges Hatem, Elie Eid, Ibrahim Zaraket, Sandra Mechref, Sanaa Awada, Amal Al-Hajje, Samar Rachidi
Energy drinks (EDs) are caffeinated drinks marketed as energy and performance boosters and commonly used by athletes worldwide. They are widely used among youth and university students, with limited research about their consumption among physically active persons. Objectives: This study aims to assess ED consumption among physically active persons in Lebanon, the association between ED use and the participants’ general characteristics, and to explore the predictors of ED use among them. Methods: An observational cross-sectional study was conducted over three months, targeting 384 physically active persons from 8 gyms across Lebanon. Results: The prevalence of ED consumption was 49.2%, namely to boost energy (68.2%) and stimulate awakeness (19.3%). Around 20% used EDs during workouts, and 15.8% used them before it. Females had 59% lower odds of ED consumption than males (OR 0.41, 95% CI 0.19-0.89), while older participants had 4.74 times higher odds of ED use (OR 4.74, 95% CI 1.16-19.3). Waterpipe smokers and alcohol consumption had 3.68 and 2.28 times higher odds of ED use than non-users. Among other sports, those doing weightlifting had significantly higher odds of ED consumption than others (OR 2.61, 95% CI 1.30-5.25). Conclusion: The predictors of ED consumption should be considered for better-informed decisions and effective awareness campaigns.
能量饮料(EDs)是一种含咖啡因的饮料,作为能量和性能助推器销售,被世界各地的运动员普遍使用。它们在年轻人和大学生中被广泛使用,关于在体力活跃的人群中使用它们的研究有限。目的:本研究旨在评估黎巴嫩体力活动者的ED消费,ED使用与参与者一般特征之间的关系,并探讨其中ED使用的预测因素。方法:一项为期三个月的观察性横断面研究,目标是来自黎巴嫩8个健身房的384名体育锻炼者。结果:ED消费的患病率为49.2%,分别为增强能量(68.2%)和刺激清醒(19.3%)。约20%的人在锻炼期间使用电子产品,15.8%的人在锻炼前使用电子产品。女性使用ED的几率比男性低59% (OR 0.41, 95% CI 0.19-0.89),而老年参与者使用ED的几率是男性的4.74倍(OR 4.74, 95% CI 1.16-19.3)。水烟吸烟者和饮酒者患ED的几率分别是不饮酒者的3.68倍和2.28倍。在其他运动中,举重运动者的ED发生率明显高于其他运动(OR 2.61, 95% CI 1.30-5.25)。结论:应考虑ED消费的预测因素,以便做出更明智的决策和有效的宣传活动。
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引用次数: 0
The Importance of Personality Traits, Optimism and Quality of Life for Pain Threshold and Pain Tolerance in the Elderly 人格特质、乐观和生活质量对老年人疼痛阈值和疼痛耐受性的重要性
Q4 Health Professions Pub Date : 2023-01-01 DOI: 10.18276/cej.2023.2-07
Tomasz Gałkowski, Katarzyna Leźnicka, Kinga Michnik, Grzegorz Pawlus
With increasing age, the frequency of chronic pain increases compared to acute pain. This is due to structural and functional changes caused by ageing of the nervous system. The aim of this study was to investigate relationships between personality traits, optimism, quality of life, and subjective assessment of pain measured experimentally with an algometer and clinically with the Visual Analoque Scale (VAS). In the group of 133 seniors (61-86 years; 78% women), we used an algometer to measure pain threshold and tolerance, the VAS scale to assess subjective intensity, and standardized questionnaires (EPQ-R(s), LOTR, SWLS) to measure psychological variables. Extraversion was found to promote both higher pain threshold and higher pain tolerance, whereas pain tolerance was negatively correlated with neuroticism. Higher severity of the psychotic trait was associated with more intense subjective pain experience. Optimism and overall quality of life were not associated with any pain measures. A better understanding of the personality correlates of pain perception could support a more accurate tailoring of pain management in elderly patients.
随着年龄的增长,慢性疼痛的频率比急性疼痛增加。这是由于神经系统老化引起的结构和功能变化。本研究的目的是探讨人格特质、乐观、生活质量和主观疼痛评估之间的关系,实验用疼痛计和临床用视觉模拟量表(VAS)测量。在133名老年人(61-86岁;(78%为女性),我们使用测痛仪测量疼痛阈值和耐受力,使用VAS量表评估主观强度,使用标准化问卷(EPQ-R(s), LOTR, SWLS)测量心理变量。研究发现,外向性能提高疼痛阈值和疼痛耐受性,而疼痛耐受性与神经质呈负相关。精神特征的严重程度越高,主观疼痛体验越强烈。乐观和总体生活质量与任何疼痛测量都无关。更好地了解疼痛感知的人格相关性可以支持更准确地定制老年患者的疼痛管理。
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引用次数: 0
期刊
Central European Journal of Sport Sciences and Medicine
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