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ASSOCIATION OF RISK FACTORS OF CEREBRAL PALSY – A MATCHED CASE CONTROL STUDY 脑瘫危险因素的关联——一项匹配病例对照研究
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2020-04-01 DOI: 10.15621/ijphy/2020/v7i2/661
C. Hemachithra, N. Meena, R. Ramanathan, A. Félix
Background: Cerebral palsy (CP) is one of the leading causes of childhood disability worldwide. The exact etiology of CP is poorly understood, but many risk factors are related to problems during pregnancy, labor, and delivery. The age and sex-matched control study were done to evaluate the association of perinatal risk factors with the development of CP among children in a rural area. Methods: The study was conducted in the Division of Physical Medicine and Rehabilitation (PMR). Seventy clinically diagnosed CP children as cases and 70 children without CP as controls were included. Information regarding perinatal risk factors was collected from the parents of the children. Data were collected and statistically analyzed by using the Mc-Nemar chi-square test. Results: The study results suggested that children with male sex (53%) had a higher incidence of CP compared to female (47%) children. Spastic diplegia (60%) was the most common subtype of CP. The significant ‘p’ value (< 0.01) reveals that all the perinatal risk factors are associated with the development of CP. Conclusion: This study concluded that spastic diplegia was the most common subtype of CP. The perinatal risk factors such as preterm, low birth weight, birth asphyxia, and neonatal seizures had a significant association with the development of CP.
背景:脑瘫(CP)是全球儿童残疾的主要原因之一。CP的确切病因尚不清楚,但许多危险因素与妊娠、分娩和分娩期间的问题有关。采用年龄和性别相匹配的对照研究,评价围生期危险因素与农村儿童CP发展的关系。方法:研究在物理医学与康复科进行。70例临床诊断为CP的儿童作为病例,70例未诊断为CP的儿童作为对照。从儿童的父母处收集有关围产期危险因素的信息。收集资料,采用Mc-Nemar卡方检验进行统计分析。结果:研究结果表明,男性儿童(53%)比女性儿童(47%)有更高的CP发病率。结论:痉挛性双瘫是CP最常见的亚型,早产、低出生体重、出生时窒息、新生儿癫痫等围生期危险因素与CP的发生有显著关系。
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引用次数: 0
CORRELATION BETWEEN UPPER TRAPEZIUS, LEVATOR SCAPULAE AND PECTORALIS MINOR MUSCLE LENGTH IN FROZEN SHOULDER– A CROSS-SECTIONAL OBSERVATIONAL STUDY 冰冻肩的上斜方肌、肩胛提肌和胸小肌长度的相关性——一项横断面观察研究
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2020-04-01 DOI: 10.15621/ijphy/2020/v7i2/659
Pranisa Vardanapu, NAGA SRAVANA KUMAR Jampa, Asif Hussain
Background: Frozen shoulder is defined as the painful and disabling condition with unknown etiology. It has a limited shoulder range of motion due to decreased capsular flexibility and altered muscle function. Assessment on the frozen shoulder is needed, and it is vital to know the alteration in scapular muscles in the shoulder range of motion during arm elevation. The intention of conducting this study is to reach conclusions of tightness of a muscle in the upper trapezius, pectoralis minor muscle, and frozen shoulder levator scapulae showing limited ranges. Methods: In this cross-sectional observational study, 50 subjects of age 30 and above were assessed for muscle length in the frozen shoulder and unaffected shoulder. Subjects with shoulder pain with frozen shoulder stage 2 and above are allotted into the affected shoulder, and unaffected shoulder; both groups were assessed. The following parameters were measured: ROM of the shoulder, SPADI ratings, short pectoral thickness, levator scapulae length, and upper trapezium muscle length. Results: Decreased shoulder flexion, extension, abduction, and limited rotations were the problems associated with frozen shoulder. Pearson correlation coefficient for PMI and LSI shows Positive Correlation r = 40.6% on the affected side. Pearson correlation for PMI and UTI shows Positive Correlation r = 13.4%. Pearson Correlation for LSI and UTI shows Positive Correlation r= 28.1% on the affected side. Conclusion: There was a correlation between upper trapezius, levator scapulae, and pectoralis minor muscle length. Most of the affected side shoulder showed the tightness in the pectoralis minor muscle.
背景:肩周炎被定义为病因不明的疼痛和致残状况。由于肩关节囊柔韧性下降和肌肉功能改变,肩关节活动范围有限。对冻僵肩关节的评估是必要的,了解肩胛骨肌肉在手臂抬高时肩关节活动范围内的变化是至关重要的。进行这项研究的目的是得出关于上斜方肌、胸小肌和肩胛骨冻肩提肌范围有限的肌肉紧绷的结论。方法:在这项横断面观察性研究中,对50名年龄在30岁及以上的受试者进行了冻结肩和正常肩的肌肉长度评估。肩关节疼痛且肩关节冻结期2及以上的受试者被分为受影响的肩关节和未受影响的肩关节;对两组进行评估。测量以下参数:肩关节活动度、SPADI评分、胸短厚度、肩胛提肌长度和上斜方肌长度。结果:肩关节屈曲、伸展、外展和旋转受限是与肩关节冻结相关的问题。PMI与LSI的Pearson相关系数在影响侧呈正相关r = 40.6%。PMI与UTI的Pearson相关为正相关r = 13.4%。LSI和UTI的Pearson相关性在受影响的一侧显示正相关r= 28.1%。结论:胸小肌长度与上斜方肌、肩胛提肌之间存在相关性。患侧肩多表现为胸小肌紧绷。
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引用次数: 0
EFFECT OF AN EQUINE THERAPY PROGRAM ON PSYCHOMOTOR DEVELOPMENT IN CHILDREN BELONGING TO THE SCHOOL INTEGRATION PROGRAM 马的治疗方案对属于学校整合计划的儿童的精神运动发展的影响
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2020-04-01 DOI: 10.15621/ijphy/2020/v7i2/653
P. Barrientos, C. Andruske, Cesar Rodrigo Vargas Vitoria
Background: A large number of children with disabilities exist, who have special educational needs and a delay in psychomotor development; they are frequently incorporated into student integration programs (SIP), forming part of the regular class and receiving complimentary technical and educational assistance. The health system has historically handled these cases through traditional physical therapy; however, currently, other complementary treatment techniques have arisen that produce benefits in the physical, psychological, cognitive, and social aspects of the child. This study aimed to evaluate the impact of an Equine therapy program on the psychomotor development of SIP students. Methods: A quantitative study with a quasi-experimental design and convenience sampling was conducted. Eighteen students (ten men and eight women) from SIP were obtained to establish a control group (N=9) and an experimental group (N=9). The intervention consisted of an 18-weeks program of equine therapy with two sessions each week. Psychomotor development was assessed before and after the intervention with the “Test de Desarrollo y Aprendizaje” (TADI). Results: There was a significant improvement in psychomotor development (p<0,001) and in the cognitive and motor skills at the end of the intervention (p<0,05), the effect size obtained in the psychomotor development construct and the cognition and motor skills indicators were large (d> 0,8). Conclusion: Statistically significant changes were found in the experimental group comparing the initial and final values after the intervention through many variables. It is then possible to conclude that equine therapy has a moderate to large impact on psychomotor development of SIP students, which was also statistically significant.
背景:存在大量的残疾儿童,他们有特殊的教育需求和精神运动发育的延迟;他们经常被纳入学生整合计划(SIP),成为常规课程的一部分,并获得免费的技术和教育援助。卫生系统历来通过传统的物理治疗来处理这些病例;然而,目前,其他补充治疗技术已经出现,在儿童的身体,心理,认知和社会方面产生益处。本研究旨在评估马术疗法对小学生心理运动发展的影响。方法:采用准实验设计和方便抽样的方法进行定量研究。选取苏州工业大学18名学生(男10名,女8名)作为对照组(N=9)和实验组(N=9)。干预包括一个为期18周的马治疗计划,每周两次。心理运动发展在干预前后通过“Desarrollo y Aprendizaje测试”(TADI)进行评估。结果:两组患者在精神运动发展方面均有显著改善(p < 0.05)。结论:实验组通过多个变量比较干预后的初始值和最终值,发现有统计学意义的变化。因此,我们可以得出结论,马治疗对SIP学生的精神运动发展有中等到较大的影响,这也具有统计学意义。
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引用次数: 0
PREVALENCE OF MULTIDIRECTIONAL SHOULDER INSTABILITY IN SHOT PUT THROWERS 铅球运动员多向肩不稳的发生率
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2020-02-01 DOI: 10.15621/ijphy/2020/v7i1/193675
S. Yadav, P. Nikam
Objective: The objective of this study was to find out whether there was any shoulder instability prevailing in the shot put throwers due to the rotational activities achieved in the respective sport. Methods: A total of 76 shot put throwers were recruited for the study. The multidirectional instability of the shoulder joint was tested by performing special tests. Results: The study revealed that out of 76 shot put throwers, 49 individuals were found to be having shoulder instability, and 27 individuals were not having shoulder instability. This was confirmed by using a special test like the Sulcus sign and Rowe test followed by statistical analysis. The individuals diagnosed with multidirectional instability showed Sulcus sign and Rowe test positive, of which 30 individuals showed both the test positive and 19 individuals showed only Rowe test positive. Conclusion: About 64.47% of individuals were diagnosed with multidirectional instability in the shot put throwers while the rest 35.52% of individuals showed no signs of instability.
目的:本研究的目的是发现在铅球运动员中是否存在由于各自运动中实现的旋转活动而普遍存在的肩部不稳定。方法:对76名铅球运动员进行研究。采用专用试验对肩关节的多向失稳进行了检测。结果:研究显示,76名铅球运动员中,49人被发现有肩部不稳定,27人没有肩部不稳定。这是通过使用一个特殊的测试,如沟标志和罗测试,然后进行统计分析来证实的。诊断为多向不稳定的个体表现为Sulcus sign和Rowe test阳性,其中30例同时为阳性,19例仅为Rowe test阳性。结论:铅球运动员多向失稳的比例为64.47%,无失稳症状的比例为35.52%。
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引用次数: 1
EFFECT OF TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION THERAPY ON PAIN AND FUNCTIONAL DISABILITY LEVEL AMONG PATIENTS WITH ROTATOR CUFF DISEASE- A RANDOMIZED CONTROLLED TRIAL 经皮神经电刺激治疗对肩袖病患者疼痛和功能障碍水平的影响——一项随机对照试验
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2020-02-01 DOI: 10.15621/ijphy/2020/v7i1/193667
P. Rani, V. Kalyani, T. Goyal, R. Yadav, R. Mishra
Background: Shoulder pain is one of the leading causes of musculoskeletal pain and disability with rotator cuff disease was a common condition. The study aimed to assess the effect of TENS therapy on pain and functional disability level with rotator cuff disease patients. Methods: A parallel-group randomized controlled with 1:1 allocation, open-label, the trial is done at Orthopaedics and Physical Medicine and Rehabilitation Out Patient Departments, AIIMS, Rishikesh, Uttarakhand, India. After applying inclusion and exclusion criteria total of 76 patients (42 males, 34 females) of rotator cuff disease were selected through total enumerative sampling, and block randomization with a block size of two is used to allocate treatments. The intervention was TENS therapy (high frequency (100Hz) with a pulse duration 120μsand low intensity (3040mA) for 20 minutes.) for consecutive five days plus standard treatment for the experimental group and standard treatment (Shoulder ROM, twice a day) as followed at AIIMS, Rishikesh to control group and Followed after completion of the treatment session. (after five days). SPADI scale is used for pain and functional disability level measurement. Results: A total of 70 patients (38 males and 32 females) were analyzed. The experimental and control group were homogenous in terms of total SPADI, disability and pain score (p>0.05). Median post-intervention total SPADI, disability and pain scores of the intervention group were significantly less as compared to the control group (p=0.000). No sideeffects of treatment in any group. Conclusion: TENS therapy is an efficient therapy for patients experiencing rotator cuff disease Trial registrationCTRI/2018/09/015659
背景:肩痛是肌肉骨骼疼痛和残疾的主要原因之一,肩袖疾病是一种常见的疾病。本研究旨在评估TENS治疗对肩袖疾病患者疼痛和功能障碍水平的影响。方法:平行组随机对照,1:1分配,开放标签,试验在印度北阿坎德邦瑞希凯什AIIMS骨科和物理医学与康复门诊部进行。应用纳入和排除标准后,通过全枚举抽样,选择76例肩袖疾病患者(男性42例,女性34例),采用块大小为2的块随机化方法分配治疗方案。干预措施为连续5天的TENS治疗(高频(100Hz),脉冲持续120μ,低强度(3040mA) 20分钟),加上实验组的标准治疗,对照组的标准治疗(肩部ROM,每天2次),随后在Rishikesh AIIMS进行,治疗结束后进行随访。(五天后)。SPADI量表用于疼痛和功能障碍水平的测量。结果:共分析70例患者,其中男38例,女32例。实验组与对照组SPADI总分、失能评分、疼痛评分均无统计学差异(p>0.05)。干预组干预后SPADI总分、失能评分和疼痛评分中位数均显著低于对照组(p=0.000)。各组治疗均无副作用。结论:TENS治疗肩袖疾病是一种有效的治疗方法
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引用次数: 2
COGNITIVE DEVELOPMENT BASED ON THE VOLLEYBALL GAME PLAY IN PHYSICAL EDUCATION 基于排球游戏在体育教学中的认知发展
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2020-02-01 DOI: 10.15621/ijphy/2020/v7i1/193673
N. Salimin, Noraliza Minhat, G. Elumalai, M. Shahril, Guntur Ysu
Background: The purpose of this study is to determine the effects of the Teaching Games for Understanding (TGfU), Sport Education Model (SEM), and Hybrid Teaching Games for Understanding Sport Education Model (HTGfU– SEM) on the cognitive performance among Form 1 students on volleyball gameplay. Student’s cognitive focusing on the tactical decision-making aspect of opening and closing space and selection of skills used in the game. Methodology: The study is using the quasi-experimental method involving a sample of 96 Form 1 students. The control group is TGfU while, the treatment groups are SEM and HTGfU-SEM. The research instrument was adapted from the Game Performance Assessment Instrument (GPAI) with the validity value (r =.81). These modified instruments were used to assess the cognitive aspects of badminton gameplay. The Mean, SD, ANOVA, ANCOVA, MANOVA and posthoc test were used to analyze the cognitive data. Results: As for the overall tactical decision making via a multivariate test in volleyball gameplay indicated significant effect through SEM. Especially for closing space in volleyball 3 vs. 3 gameplay through SEM, F (2, 93) = 10.054, p < 0.05, η2 = .178. Conclusion: The findings of this study provide a strong justification for implementing SEM in teaching and facilitating physical education games since it may enhance student’s cognitive ability especially in tactical decision-making in opening and closing space and selection of skills. Advancement in cognitive ability may enhance student’s capacity to mastery of in-game skills.
背景:本研究旨在探讨理解教学游戏(TGfU)、体育教育模式(SEM)和混合理解教学游戏(HTGfU - SEM)对初一学生排球游戏认知表现的影响。学生的认知侧重于战术决策方面的开合空间和选择在比赛中使用的技巧。研究方法:本研究采用准实验方法,以96名中一学生为样本。对照组为TGfU,治疗组为SEM和HTGfU-SEM。研究工具改编自游戏绩效评估工具(GPAI),效度值(r = 0.81)。这些改进的仪器被用来评估羽毛球游戏的认知方面。采用Mean、SD、ANOVA、ANCOVA、MANOVA和postthoc检验对认知数据进行分析。结果:通过多变量检验,对排球游戏的整体战术决策有显著的影响。特别是在排球3对3玩法中,通过SEM, F (2,93) = 10.054, p < 0.05, η2 = 0.178。结论:本研究结果为在体育游戏教学中实施SEM提供了强有力的依据,因为它可以提高学生的认知能力,特别是在开合空间的战术决策和技能选择方面。认知能力的提升可以增强学生对游戏技能的掌握能力。
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引用次数: 2
STUDENTS’ REASONING ACHIEVEMENT BASED ON NET AND WALL CATEGORY IN PHYSICAL EDUCATION 体育教学中基于网、墙类的学生推理成绩
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2020-02-01 DOI: 10.15621/ijphy/2020/v7i1/193671
N. Salimin, G. Elumalai, A. Shariff, A. Rahmat, Abdul Razak Noruzzaman
Background: Reasoning refers to logical thinking involving problem-solving and decision-making skills. Physical Education teachers need to manage teaching and learning processes efficiently to build reasoning ability among students. The purpose of this study was to identify the students’ reasoning achievement level based on the net and wall category using RSAT in Physical Education. Methods: A quasi-experimental design was used in this study in four schools in the district of Hilir Perak, Perak. The sample of the study consisted of 240 Form 2 students who used RSAT instrument (validity, r = .78; reliability, r = .74) in the pre-test and post-test. The treatment group underwent teaching and learning programs based on the net and wall TGfU model while the control group underwent the badminton technical model. The subjects of the control group received six teaching and learning sessions based on the plans provided. Results: The pre-test result of treatment group showed overall (M = 2.21; SD = 0.30) compared to the control group (M = 2.18; SD = 0.43). The students of the treatment group (M = 3.64; SD = 0.67) showed higher mean score compared to control group (M = 2.88; SD = 0.82) in post-test. The achievement level of the treatment group students showed that the majority of respondents achieved good level (n = 85; 60.70%) while the control group achieved pass level (n = 62; 44.30%). Conclusion: The study concluded that the use of RSAT could improve the reasoning level among students holistically and comprehensively. The implication of the study suggested an RSAT instrument to be used as an alternative instrument for determining the level of the learning domain based on reasoning to achieve higher-order thinking skills.
背景:推理是指涉及解决问题和决策能力的逻辑思维。体育教师需要有效地管理教学过程和学习过程,以培养学生的推理能力。摘要本研究的目的是利用体育专业的RSAT测验,以网和墙的分类来确定学生的推理成就水平。方法:本研究采用准实验设计,在霹雳州Hilir Perak地区的四所学校进行。本研究的样本包括240名使用RSAT工具的中二学生(效度,r = 0.78;信度,r = .74)。治疗组采用基于网壁TGfU模型的教学方案,对照组采用羽毛球技术模型。对照组受试者根据所提供的计划接受6次教学。结果:治疗组前测结果总体(M = 2.21;SD = 0.30)与对照组相比(M = 2.18;Sd = 0.43)。治疗组学生(M = 3.64;SD = 0.67)组的平均评分高于对照组(M = 2.88;SD = 0.82)。治疗组学生的成绩水平显示,大多数被调查者达到良好水平(n = 85;60.70%),对照组达到合格水平(n = 62;44.30%)。结论:运用RSAT考试可以全面、全面地提高学生的推理水平。该研究的含义表明,RSAT工具可以作为一种替代工具,用于确定基于推理的学习领域的水平,以获得高阶思维技能。
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引用次数: 1
DOES HALLUX VALGUS SURGERY MODIFY THE GAIT PARAMETERS? LITERATURE REVIEW 外翻手术能改变步态参数吗?文献综述
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2020-02-01 DOI: 10.15621/ijphy/2020/v7i1/193670
Maude Traullé, J. Mazeas, Jérôme Sadaka, R. Touzard, M. Trousselier, Florian Forelli
Background: the deformation of the hallux into a valgus constitutes the most frequent deformation of the forefoot and one of the most performed corrective surgeries in the region. This deformation is the cause of many biomechanical disorders and causes gait disturbances. This review aims to analyze the restoration of space-time and kinematic parameters of walking in the aftermath of corrective surgery for hallux valgus. Methods: four studies were analyzed according to the main criteria of walking speed, support time, step length and kinematics of the ankle and foot before and after the intervention. Results: If some of the results obtained in the analyzed works show an improvement of these criteria in post-operative, the subjects having benefited from hallux valgus surgery seem to present some persistent issues in the spatiotemporal and kinematic parameters. Conclusion: This work does not demonstrate the superiority of one surgical technique over another in the recovery of gait. This recovery does not seem absolute, but this review highlights above all the lack of literature on this subject.
背景:拇外翻变形构成了最常见的前足变形,也是该地区最常见的矫正手术之一。这种变形是许多生物力学疾病和步态障碍的原因。本文旨在分析拇外翻矫正手术后行走时空和运动学参数的恢复。方法:根据干预前后的步行速度、支撑时间、步长、踝关节和足部运动学等主要指标对4项研究进行分析。结果:如果在分析工作中获得的一些结果显示术后这些标准的改善,那么从拇外翻手术中受益的受试者似乎在时空和运动学参数方面存在一些持续的问题。结论:这项工作并没有证明一种手术技术比另一种手术技术在步态恢复方面的优越性。这种恢复似乎不是绝对的,但这篇综述首先强调了关于这一主题的文献的缺乏。
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引用次数: 1
REDICTORS OF FUNCTIONAL OUTCOMES IN TRAUMATIC BRAIN INJURY AT 4 MONTHS POST INJURY IN SOUTH INDIAN POPULATION 南印度人群创伤性脑损伤后4个月功能结局的指标
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2020-02-01 DOI: 10.15621/ijphy/2020/v7i1/193666
Mchella Ananda Sai Kumar Reddy, Rajeswari Muthusamy, Sivakumar Ramachandran
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引用次数: 0
PREVALENCE OF SHIN SPLINT IN RECREATIONAL MARATHON RUNNER 娱乐性马拉松运动员胫骨夹板的患病率
IF 0.2 Q4 ORTHOPEDICS Pub Date : 2020-02-01 DOI: 10.15621/ijphy/2020/v7i1/193672
Prina Patel, Namrata R. Patil
Background: It is essential to find out the presence of shin splint in recreational marathon runners to prevent the injury from causing more damage. This study was conducted to identify shin splint in recreational marathon runners in Krishna Hospital, Karad. This study was designed to provide meaningful insight into the cause of shin splint in recreational marathon runners. Objectives of the study were to find out the impact of shin splint in recreational marathon runners and to assess the severity of shin splint in recreational marathon runners of age group 20-30 years both males and females in Krishna Hospital, Karad. Material and Methods: 190 recreational marathon runners who fit in the criteria were given Runner’s Questionnaire and were asked to fill it. Result: There was marked significance pain was present during(p=0.04) and running throughout(p<0.0001) in recreational marathon runners. Conclusion: It was concluded from the present study that there is a prevalence of shin splint in marathon runners. Shin splint was found more in females (55.3%)than in males (44.7%). Based on the duration of pain and shoe surface was found to be more prevalent to cause shin splint in marathon runners.
背景:在娱乐性马拉松运动员中发现胫骨夹板的存在是防止损伤造成更大伤害的必要措施。本研究是在卡拉德克里希纳医院进行的,目的是确定娱乐性马拉松运动员的胫骨夹板。本研究旨在为娱乐性马拉松运动员胫骨夹板的成因提供有意义的见解。本研究的目的是了解胫骨夹板对娱乐性马拉松运动员的影响,并评估Karad Krishna医院20-30岁男性和女性娱乐性马拉松运动员胫骨夹板的严重程度。材料与方法:对190名符合标准的业余马拉松运动员进行问卷调查。结果:休闲马拉松运动员在跑步过程中(p=0.04)和全程(p<0.0001)存在疼痛。结论:本研究认为马拉松运动员存在胫夹板的普遍性。女性(55.3%)多于男性(44.7%)。根据疼痛的持续时间和鞋面发现,引起胫骨夹板的原因在马拉松运动员中更为普遍。
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引用次数: 5
期刊
International Journal of Physiotherapy
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