Pub Date : 2019-08-25DOI: 10.23937/2469-5718/1510138
S. Eve, Papa Carrie, McDonald Conner, Mueller Martina, Nicole Gribben, Peterseim Carolyn, M. Ashley, Serpe Ali, Baier Tatiana, Newton Janis
Young adults with Autism Spectrum Disorder (ASD) are at an increased risk of poor balance and coordination due to sensory deficits. Specifically, reactive postural control impairments have been well documented among individual’s with ASD, however, research suggests that interventions can improve these associated deficiencies. The Piece It Together (PIT) program is a community-based comprehensive program designed to provide wellness opportunities among teens and young adults with ASD and other mild Neurodevelopmental Deficits (ND). The PIT curriculum includes exercise, nutrition, stress management, and socialization with a focus on strength and endurance training geared towards improving everyday functioning through the increase of awareness and participation in daily healthy lifestyle behaviors. Twenty participants, aged 14-29, attended 90-minute classes at the MUSC Wellness Center twice a week for six weeks and were encouraged to increase their physical activity daily. The mini-Balance Evaluations Systems Test (miniBEST) was administered during the first and last class session to assess balance changes among all study participants over the 6-weeks. Results showed significantly improved balance scores at the end of the program, from 23.9 to 25.2 (p = 0.028). Overall, the 6-week PIT program successfully improved balance and coordination in teens and young adults with ASD or mild ND. *Corresponding author: Eve Spratt, MD, MSCR, Professor of Pediatrics and Psychiatry, Director, Pediatric Psychiatry, Division of Developmental Pediatrics, Co-Director Piece it Together and Brain Health, Physical Health, Telehealth, Medical University of South Carolina, USA, Tel: 843-876-0444 ISSN: 2469-5718 DOI: 10.23937/2469-5718/1510138 Spratt et al. Int J Sports Exerc Med 2019, 5:138 • Page 2 of 6 • control a large degree of their overall attitude and feelings of self-efficacy toward physical activity. In other words, the inability to balance among those with ASD may subconsciously alter their initial readiness, empowerment, confidence, and therefore, their willingness to engage in exercise. If individuals with ASD are more likely to avoid behaviors that require them to balance, this may subconsciously drive them to show an increase in interest and participation for behaviors that are primarily sedentary and less physical in nature. This may explain the alarming rates of sedentary behavior, lack of physical activity, and increase in obesity and chronic disease risk that appear more evident among the ASD population. Preliminary research suggests that exercise interventions can not only be beneficial in improving motor issues, but also beneficial in improving social deficits and behavioral problems [29-31]. Additionally, interventions of physical therapists to improve these motor deficits is promising [32]. However, more research is necessary to determine the best protocol for intervention programs to address the aforementioned issues in the ASD population. This Piece
由于感觉缺陷，患有自闭症谱系障碍(ASD)的年轻成年人平衡性和协调性差的风险增加。具体来说，ASD患者的反应性姿势控制障碍已经有了很好的记录，然而，研究表明干预可以改善这些相关的缺陷。“拼凑在一起”(PIT)项目是一个以社区为基础的综合项目，旨在为患有ASD和其他轻度神经发育缺陷(ND)的青少年和年轻人提供健康机会。PIT课程包括运动、营养、压力管理和社会化，重点是力量和耐力训练，旨在通过提高对日常健康生活方式行为的认识和参与来改善日常功能。20名年龄在14-29岁之间的参与者在MUSC健康中心参加了为期六周的90分钟课程，每周两次，并被鼓励每天增加体育锻炼。迷你平衡评估系统测试(miniBEST)在第一堂课和最后一堂课期间进行，以评估所有研究参与者在6周内的平衡变化。结果显示，在项目结束时，平衡得分显著提高，从23.9到25.2 (p = 0.028)。总的来说，为期6周的PIT项目成功地改善了患有ASD或轻度ND的青少年和年轻人的平衡和协调能力。*通讯作者:Eve Spratt, MD, MSCR，美国南卡罗来纳医科大学儿科和精神病学教授，发育儿科儿科主任，儿科精神病学主任，Piece it Together and Brain Health, Physical Health, Telehealth联合主任，Tel: 843-876-0444 ISSN: 2469-5718 DOI: 10.23937/2469-5718/1510138 Spratt et al.在很大程度上控制着他们对体育活动的整体态度和自我效能感。换句话说，ASD患者无法平衡可能会潜意识地改变他们最初的准备、授权、信心，从而改变他们参与锻炼的意愿。如果ASD患者更有可能避免需要他们保持平衡的行为，这可能会潜意识地驱使他们对主要是久坐不动和体力较少的行为表现出更多的兴趣和参与。这或许可以解释为什么在自闭症谱系障碍人群中，久坐行为、缺乏体育活动、肥胖和慢性疾病风险增加的惊人比例更为明显。初步研究表明，运动干预不仅有利于改善运动问题，而且有利于改善社会缺陷和行为问题[29-31]。此外，物理治疗师干预改善这些运动缺陷是有希望的[32]。然而，需要更多的研究来确定干预方案的最佳方案，以解决上述ASD人群的问题。这项研究希望阐明这个问题的一些答案。“拼凑在一起”是一个综合性的健康干预项目，旨在解决患有自闭症和其他发育障碍的青少年和年轻人的整体健康障碍。综合多学科方法是通过医生、物理和职业治疗师、私人教练和注册营养师的合作创建的，旨在更好地服务于自闭症谱系障碍人群。基于目标人群，《拼凑》主要关注五个方面:锻炼、营养、社交、缓解压力和走出舒适区。努力的重点是促进长期采用健康的生活习惯。其他报告讨论了PIT干预在改善身体成分、身体健康、运动习惯、饮食习惯和情绪方面的有效性，并将讨论成功、挑战和未来的方向，以协助全国各地的类似项目。虽然其他结果，如力量、柔韧性、抑郁和焦虑，是作为更大的PIT项目的一部分收集的，但这项试点研究的目的是评估为期6周的健康项目过程中的平衡。
{"title":"Balance in Transitional Age Youth with Autism Spectrum and Neurodevelopmental Disorders during a 6-Week Comprehensive Wellness Program","authors":"S. Eve, Papa Carrie, McDonald Conner, Mueller Martina, Nicole Gribben, Peterseim Carolyn, M. Ashley, Serpe Ali, Baier Tatiana, Newton Janis","doi":"10.23937/2469-5718/1510138","DOIUrl":"https://doi.org/10.23937/2469-5718/1510138","url":null,"abstract":"Young adults with Autism Spectrum Disorder (ASD) are at an increased risk of poor balance and coordination due to sensory deficits. Specifically, reactive postural control impairments have been well documented among individual’s with ASD, however, research suggests that interventions can improve these associated deficiencies. The Piece It Together (PIT) program is a community-based comprehensive program designed to provide wellness opportunities among teens and young adults with ASD and other mild Neurodevelopmental Deficits (ND). The PIT curriculum includes exercise, nutrition, stress management, and socialization with a focus on strength and endurance training geared towards improving everyday functioning through the increase of awareness and participation in daily healthy lifestyle behaviors. Twenty participants, aged 14-29, attended 90-minute classes at the MUSC Wellness Center twice a week for six weeks and were encouraged to increase their physical activity daily. The mini-Balance Evaluations Systems Test (miniBEST) was administered during the first and last class session to assess balance changes among all study participants over the 6-weeks. Results showed significantly improved balance scores at the end of the program, from 23.9 to 25.2 (p = 0.028). Overall, the 6-week PIT program successfully improved balance and coordination in teens and young adults with ASD or mild ND. *Corresponding author: Eve Spratt, MD, MSCR, Professor of Pediatrics and Psychiatry, Director, Pediatric Psychiatry, Division of Developmental Pediatrics, Co-Director Piece it Together and Brain Health, Physical Health, Telehealth, Medical University of South Carolina, USA, Tel: 843-876-0444 ISSN: 2469-5718 DOI: 10.23937/2469-5718/1510138 Spratt et al. Int J Sports Exerc Med 2019, 5:138 • Page 2 of 6 • control a large degree of their overall attitude and feelings of self-efficacy toward physical activity. In other words, the inability to balance among those with ASD may subconsciously alter their initial readiness, empowerment, confidence, and therefore, their willingness to engage in exercise. If individuals with ASD are more likely to avoid behaviors that require them to balance, this may subconsciously drive them to show an increase in interest and participation for behaviors that are primarily sedentary and less physical in nature. This may explain the alarming rates of sedentary behavior, lack of physical activity, and increase in obesity and chronic disease risk that appear more evident among the ASD population. Preliminary research suggests that exercise interventions can not only be beneficial in improving motor issues, but also beneficial in improving social deficits and behavioral problems [29-31]. Additionally, interventions of physical therapists to improve these motor deficits is promising [32]. However, more research is necessary to determine the best protocol for intervention programs to address the aforementioned issues in the ASD population. This Piece","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86685677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-07-29DOI: 10.23937/2469-5718/1510136
Lima Ilmar Danilo Santos, Resende-Neto Antonio Gomes de, Aragao-Santos Jose Carlos, Nogueira Albernon Costa, Vasconcelos Alan Bruno Silva, Andrade Bruna Caroline Oliveira, Fernandes Iohanna Gilnara Santos, Silva-Grigoletto Marzo Edir Da
Aim: To compare changes after 12 weeks of functional and traditional training in physical fitness related to daily activities in physically active elderly women. Methods: 30 elderly women were randomized into two groups: 1) Functional Training (FT – n = 15, 65.12 ± 4.49 years) and 2) and Traditional Training (TT n = 15, 64.87 ± 3.25 years). For the verification of functional responses, the following tests were applied: Dress and Undress a Sleeveless Shirt (DUSS), Gallon-Jug Shelf-Transfer (GJSF), Get up from the chair and move around the house (GCMA), Sit and Stand up in 5 Reps (SS5R) and 400 meters walk. Data were analyzed from a repeated measures ANOVA followed by Bonferroni’s post-hoc. Results: After 12 weeks, both FT and TT showed significant increases in the power of lower limbs (SS5R: FT + 18.0%, TT + 21.7%) compared to the initial values. The FT showed statistically significant differences in agility/dynamic balance (GCMA: + 5.3%, p = 0.02) and cardiorespiratory capacity (400 W: + 10.4%; p = 0.007); and TT showed significant improvements in mobility and overall coordination (GJSF: + 8.1%, p = 0.001) when compared to the pre-test. No differences were found between the groups in any of the analyzes. Conclusion: The training protocols analyzed are equally effective for the improvement of indicators of physical fitness in physically active elderly women and can be alternately administered in health promotion programs.
目的:比较老年体力活动妇女在经过12周的功能训练和传统训练后与日常活动相关的体能变化。方法:30例老年妇女随机分为两组:1)功能训练组(FT - n = 15, 65.12±4.49年)和2)传统训练组(TT n = 15, 64.87±3.25年)。为了验证功能反应，应用了以下测试:穿和脱一件无袖衬衫(DUSS)，加仑壶货架转移(GJSF)，从椅子上站起来并在房子里走动(GCMA)，坐下并站起来5次(SS5R)和400米步行。数据分析采用重复测量方差分析，随后采用Bonferroni事后分析。结果:12周后，与初始值相比，FT和TT均显示下肢力量显著增加(SS5R: FT + 18.0%， TT + 21.7%)。FT在敏捷性/动态平衡(GCMA: + 5.3%， p = 0.02)和心肺功能(400 W: + 10.4%;P = 0.007);与前测相比，TT组在活动能力和整体协调性方面有显著改善(GJSF: + 8.1%， p = 0.001)。在任何分析中，两组之间都没有发现差异。结论:所分析的训练方案对体力活动老年妇女体质指标的改善效果相同，可在健康促进项目中交替使用。
{"title":"Effects of Different Methods of Resistance Training on Indicators of Daily Physical Fitness in Physically Active Elderly Women","authors":"Lima Ilmar Danilo Santos, Resende-Neto Antonio Gomes de, Aragao-Santos Jose Carlos, Nogueira Albernon Costa, Vasconcelos Alan Bruno Silva, Andrade Bruna Caroline Oliveira, Fernandes Iohanna Gilnara Santos, Silva-Grigoletto Marzo Edir Da","doi":"10.23937/2469-5718/1510136","DOIUrl":"https://doi.org/10.23937/2469-5718/1510136","url":null,"abstract":"Aim: To compare changes after 12 weeks of functional and traditional training in physical fitness related to daily activities in physically active elderly women. Methods: 30 elderly women were randomized into two groups: 1) Functional Training (FT – n = 15, 65.12 ± 4.49 years) and 2) and Traditional Training (TT n = 15, 64.87 ± 3.25 years). For the verification of functional responses, the following tests were applied: Dress and Undress a Sleeveless Shirt (DUSS), Gallon-Jug Shelf-Transfer (GJSF), Get up from the chair and move around the house (GCMA), Sit and Stand up in 5 Reps (SS5R) and 400 meters walk. Data were analyzed from a repeated measures ANOVA followed by Bonferroni’s post-hoc. Results: After 12 weeks, both FT and TT showed significant increases in the power of lower limbs (SS5R: FT + 18.0%, TT + 21.7%) compared to the initial values. The FT showed statistically significant differences in agility/dynamic balance (GCMA: + 5.3%, p = 0.02) and cardiorespiratory capacity (400 W: + 10.4%; p = 0.007); and TT showed significant improvements in mobility and overall coordination (GJSF: + 8.1%, p = 0.001) when compared to the pre-test. No differences were found between the groups in any of the analyzes. Conclusion: The training protocols analyzed are equally effective for the improvement of indicators of physical fitness in physically active elderly women and can be alternately administered in health promotion programs.","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73537381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-07-20DOI: 10.23937/2469-5718/1510135
Aziz Mohamad Azwan, Hanifah Redzal Abu
Hip spine syndrome is often associated with hip arthrosis and degenerative spine disease affecting the older generation. However, it can also present in young athlete as well. This is a case of 32-years-old male, active body builder with herniated disc L3, L4 and L5 for 5 years presented with acute onset excruciating pain over the anterior portion of his left hip that was affecting his daily living. His clinical examination revealed a classical positive finding of Femoral Acetabular Impingement (FAI) with positive hip provocation tests and MRI confirmed the diagnosis of acute left labral tear of the hip. Patient was offered intra-articular anesthetic hip injection while planning for surgical intervention. The pain did not resolve despite intra-articular injection. This led to the surgeon with the high index of suspicion that the pain was not arising from the left hip but from the spine. Patient was then counselled for laminectomy. Post-operatively, there was a big improvement is seen in pain and disability outcome. A systematic approach is discussed in this report to guide physicians who manage cases of complex Hip Spine Syndrome.
{"title":"Complex Hip Spine Syndrome in Young Athlete: A Diagnosis Dilemma","authors":"Aziz Mohamad Azwan, Hanifah Redzal Abu","doi":"10.23937/2469-5718/1510135","DOIUrl":"https://doi.org/10.23937/2469-5718/1510135","url":null,"abstract":"Hip spine syndrome is often associated with hip arthrosis and degenerative spine disease affecting the older generation. However, it can also present in young athlete as well. This is a case of 32-years-old male, active body builder with herniated disc L3, L4 and L5 for 5 years presented with acute onset excruciating pain over the anterior portion of his left hip that was affecting his daily living. His clinical examination revealed a classical positive finding of Femoral Acetabular Impingement (FAI) with positive hip provocation tests and MRI confirmed the diagnosis of acute left labral tear of the hip. Patient was offered intra-articular anesthetic hip injection while planning for surgical intervention. The pain did not resolve despite intra-articular injection. This led to the surgeon with the high index of suspicion that the pain was not arising from the left hip but from the spine. Patient was then counselled for laminectomy. Post-operatively, there was a big improvement is seen in pain and disability outcome. A systematic approach is discussed in this report to guide physicians who manage cases of complex Hip Spine Syndrome.","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"05 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86019112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-07-05DOI: 10.23937/2469-5718/1510134
N. Kurpiers, N. Lazzari, N. Neuhoff, S. Flohr
Moderate physical activity possesses positive effects on the immune system function. Numerous studies investigated such effects also in cancer patients. As most studies were conducted on adults, much less is known in children and adolescents. Moreover, most studies were conducted under laboratory conditions in order to control the duration and intensity of the activity. However, daily life also includes outdoor activities. The aim of the present study was to investigate immunological parameters in a pediatric cancer survivor (8 years) suffering Acute Myeloid Leukemia (AML) who underwent bone marrow transplantation. The values were compared to those of a healthy control group (CG; N = 10). Blood samples were taken at the first (pre-test) and at the last day (post-test) of a winter sports camp by using a portable flow cytometry BD Accuri C6 device. No significant changes were observed between the preand post-test in the CG. The patient showed an increase in the total lymphocyte population, and in the CD3+ and CD4+ cells, all of them being within the range of variation of the CG. NK-cells increased slightly in the patient, however, both values were below the range of variation of the CG. B-Lymphocytes decreased from a value above the range of variation of the CG to a level close to their median value. Although the intensity of the skiing activities was difficult to assess, the patient showed changes in immunological parameters which might be interpreted as an improvement of the immune system in the course of a one-week skiing intervention.
{"title":"Immune Response in a Pediatric Cancer Patient after a One-Week Skiing Intervention","authors":"N. Kurpiers, N. Lazzari, N. Neuhoff, S. Flohr","doi":"10.23937/2469-5718/1510134","DOIUrl":"https://doi.org/10.23937/2469-5718/1510134","url":null,"abstract":"Moderate physical activity possesses positive effects on the immune system function. Numerous studies investigated such effects also in cancer patients. As most studies were conducted on adults, much less is known in children and adolescents. Moreover, most studies were conducted under laboratory conditions in order to control the duration and intensity of the activity. However, daily life also includes outdoor activities. The aim of the present study was to investigate immunological parameters in a pediatric cancer survivor (8 years) suffering Acute Myeloid Leukemia (AML) who underwent bone marrow transplantation. The values were compared to those of a healthy control group (CG; N = 10). Blood samples were taken at the first (pre-test) and at the last day (post-test) of a winter sports camp by using a portable flow cytometry BD Accuri C6 device. No significant changes were observed between the preand post-test in the CG. The patient showed an increase in the total lymphocyte population, and in the CD3+ and CD4+ cells, all of them being within the range of variation of the CG. NK-cells increased slightly in the patient, however, both values were below the range of variation of the CG. B-Lymphocytes decreased from a value above the range of variation of the CG to a level close to their median value. Although the intensity of the skiing activities was difficult to assess, the patient showed changes in immunological parameters which might be interpreted as an improvement of the immune system in the course of a one-week skiing intervention.","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"116 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87879752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-07-02DOI: 10.14302/issn.2694-2283.jsem-19-2949
G JairBurboa, F MatiasBahamondes, M MauricioInostroza, U PalomaLillo, J. Hinzpeter
Background The Anterior Cruciate Ligament (ACL) injury is uncommon, but constitutes an important percentage of the lesions requiring more than 8 weeks of recovery in sports. Most ACL injuries do not require external contact and are associated with biomechanical risk factors that stress this ligament ACL: like an increase in knee valgus angle (KV) and hip flexion (HF) and a decreased in knee flexion (KF). The ACL requires muscle cooperation to resist the load; however, when there is fatigue, the protective capacity of the musculature would decrease. The objective of the study is to analyze the angular behavior before and after a physical load for HF in children of 14-15 years old. Hypothesis The physical load applied in a single training session is enough to change some biomechanical risk factors of ACL injury. Study Design Experimental study Level of Evidence 2b Methods The sample consisted of 50 students from different soccer schools between 14-15 years old. We analyzed the hip angular behavior of hip flexion before and after a training session. The angles where obtained from inertioal sensor while the students performed a Drop Jump test from a 30 centimeters drawer. Results Statistically significant differences were found in the differences between pre physical load HF / post-load HF (p = 0.00053), right pre physical load HF / right post- load HF (p = 0.0086) and left post- load (p = 0.0248206). Conclusions It was concluded that the angular behavior of HF increases significantly in both post-training limbs, after performing a physical load. Clinical Relevance This study analyzed the importance of using prevention injury programs since early stages, and give importance to the eccentric role of hamstring, gluteus and core exercises.
{"title":"Hip Angle Behavior in Landing After Drop Jump in Children; and their Implicance in Prevention Programs","authors":"G JairBurboa, F MatiasBahamondes, M MauricioInostroza, U PalomaLillo, J. Hinzpeter","doi":"10.14302/issn.2694-2283.jsem-19-2949","DOIUrl":"https://doi.org/10.14302/issn.2694-2283.jsem-19-2949","url":null,"abstract":"Background\u0000The Anterior Cruciate Ligament (ACL) injury is uncommon, but constitutes an important percentage of the lesions requiring more than 8 weeks of recovery in sports. Most ACL injuries do not require external contact and are associated with biomechanical risk factors that stress this ligament ACL: like an increase in knee valgus angle (KV) and hip flexion (HF) and a decreased in knee flexion (KF). The ACL requires muscle cooperation to resist the load; however, when there is fatigue, the protective capacity of the musculature would decrease. The objective of the study is to analyze the angular behavior before and after a physical load for HF in children of 14-15 years old.\u0000\u0000Hypothesis\u0000The physical load applied in a single training session is enough to change some biomechanical risk factors of ACL injury.\u0000\u0000Study Design\u0000Experimental study\u0000\u0000Level of Evidence\u00002b\u0000\u0000Methods\u0000The sample consisted of 50 students from different soccer schools between 14-15 years old. We analyzed the hip angular behavior of hip flexion before and after a training session. The angles where obtained from inertioal sensor while the students performed a Drop Jump test from a 30 centimeters drawer.\u0000\u0000Results\u0000Statistically significant differences were found in the differences between pre physical load HF / post-load HF (p = 0.00053), right pre physical load HF / right post- load HF (p = 0.0086) and left post- load (p = 0.0248206).\u0000\u0000Conclusions\u0000It was concluded that the angular behavior of HF increases significantly in both post-training limbs, after performing a physical load.\u0000\u0000Clinical Relevance\u0000This study analyzed the importance of using prevention injury programs since early stages, and give importance to the eccentric role of hamstring, gluteus and core exercises.","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76945704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-07-02DOI: 10.14302/ISSN.2694-2283.JSEM-19-2938
G JairBurboa, M MauricioInostroza, F MatiasBahamondes, U PalomaLillo, C JaimeHinzpeter
An anterior cruciate ligament (ACL) injury is an important cause of rest in athletes. In most cases, ACL injuries do not require external contact and they are associated with biomechanical risk factors that increase ACL tension. The increase of the hip flexion angle (HF) is included within these. The ACL requires cooperation of the periarticular musculature of the knee, muscle groups, hip stabilizers and CORE muscles; consequently, fatigue caused by exercise would alter the balance and put this ligament at risk. The objective of the study is to determine the angular behavior for HF before and after a physical load (a standardized training) in children between 11 and 12 years old. A non-randomized clinical study was carried out. The sample consisted of 50 soccer school students born between 11 and 12 years old. The angular behavior of HF was compared before and after performing a training session. The angular behavior was measured through the Drop Jump test (DJ), with data obtained by inertial sensors. After the exercise, there was a significant increase in HF. It was concluded that the angular behavior of HF increases significantly in both extremities after training and that preventive measures must be applied for neuromuscular control of the hip.
{"title":"Comparison of the Angular Compartment of Hip Flexion Before and After Training in 11 to 12-Year-old Soccer Players.","authors":"G JairBurboa, M MauricioInostroza, F MatiasBahamondes, U PalomaLillo, C JaimeHinzpeter","doi":"10.14302/ISSN.2694-2283.JSEM-19-2938","DOIUrl":"https://doi.org/10.14302/ISSN.2694-2283.JSEM-19-2938","url":null,"abstract":"An anterior cruciate ligament (ACL) injury is an important cause of rest in athletes. In most cases, ACL injuries do not require external contact and they are associated with biomechanical risk factors that increase ACL tension. The increase of the hip flexion angle (HF) is included within these. The ACL requires cooperation of the periarticular musculature of the knee, muscle groups, hip stabilizers and CORE muscles; consequently, fatigue caused by exercise would alter the balance and put this ligament at risk.\u0000\u0000The objective of the study is to determine the angular behavior for HF before and after a physical load (a standardized training) in children between 11 and 12 years old.\u0000\u0000A non-randomized clinical study was carried out. The sample consisted of 50 soccer school students born between 11 and 12 years old. The angular behavior of HF was compared before and after performing a training session. The angular behavior was measured through the Drop Jump test (DJ), with data obtained by inertial sensors.\u0000\u0000After the exercise, there was a significant increase in HF. It was concluded that the angular behavior of HF increases significantly in both extremities after training and that preventive measures must be applied for neuromuscular control of the hip.","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"2013 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86440504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-27DOI: 10.23937/2469-5718/1510128
Omu Onutobor, T. Paul
Background/Aims: The literature on the effect workbased pedometer interventions on physical activity levels measured by self-reporting scales have shown mixed results. The aim of this study was to explore the impact of the University College London Hospital (UCLH) 6-week workbased pedometer challenge on physical activity levels, perceived health status and exercise self-efficacy. Secondary aims include investigating changes in weight, BMI and waist circumference. Methods: This study used a longitudinal pre-post intervention study design. 247 participants of the UCLH 2013 pedometer challenge from 580 who registered, filled out the online questionnaire, of these only 103 completed filling out the post pedometer questionnaire two months after the end of the challenge. Pre-and post-data were analyzed with paired t-tests. Results: Results showed that although there was an increase in reported physical activity after the pedometer challenge, this difference was not significant. Subjective data however showed that 40% of participants reported a change in physical activity after the pedometer challenge. There were significant differences in only perceived health status and waist circumference. No significant differences were identified in exercise self-efficacy, weight or BMI. Conclusion: Workbased pedometer challenges such as the 6-weeks UCLH pedometer challenge may be of insufficient duration to produce a change in physical activty, and exercise self-efficacy 2 months after the pedometer challenge is over. However a change in waist circumfernce suggests that some weight loss occurred and was maintained 2 months after the pedometer interventions.
{"title":"The Influence of the UCLH Work - Based Pedometer Challenge on Physical Activity and Exercise Self - Efficacy: A Pre-Post Test Study","authors":"Omu Onutobor, T. Paul","doi":"10.23937/2469-5718/1510128","DOIUrl":"https://doi.org/10.23937/2469-5718/1510128","url":null,"abstract":"Background/Aims: The literature on the effect workbased pedometer interventions on physical activity levels measured by self-reporting scales have shown mixed results. The aim of this study was to explore the impact of the University College London Hospital (UCLH) 6-week workbased pedometer challenge on physical activity levels, perceived health status and exercise self-efficacy. Secondary aims include investigating changes in weight, BMI and waist circumference. Methods: This study used a longitudinal pre-post intervention study design. 247 participants of the UCLH 2013 pedometer challenge from 580 who registered, filled out the online questionnaire, of these only 103 completed filling out the post pedometer questionnaire two months after the end of the challenge. Pre-and post-data were analyzed with paired t-tests. Results: Results showed that although there was an increase in reported physical activity after the pedometer challenge, this difference was not significant. Subjective data however showed that 40% of participants reported a change in physical activity after the pedometer challenge. There were significant differences in only perceived health status and waist circumference. No significant differences were identified in exercise self-efficacy, weight or BMI. Conclusion: Workbased pedometer challenges such as the 6-weeks UCLH pedometer challenge may be of insufficient duration to produce a change in physical activty, and exercise self-efficacy 2 months after the pedometer challenge is over. However a change in waist circumfernce suggests that some weight loss occurred and was maintained 2 months after the pedometer interventions.","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"15 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91328636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-29DOI: 10.23937/2469-5718/1510127
E. PoorAlexander, W. Alec, C. Nicole, C. MeyersWilliam
Introduction: Avulsion fractures of the anterior superior iliac spine are uncommon without established treatment guidelines. Deciding between nonoperative versus surgical management depends on the grade of displacement, skeletal maturity, type of sport/activity, and competitive/ career requirements. Methods: We present a young athlete who sustained an ASIS avulsion fracture while playing baseball that was treated with open surgical reduction and fixation using absorbable sutures with an emphasis on mobilizing the TFL to reapproximate the avulsed segment without tension. Results: The patient was started on a progressive physical therapy protocol that did not involve any weight-bearing or range of motion restrictions. He was jogging in the third postoperative week and returned to full-play in the 6th week. As of 12 months postop, there were no complications and he is playing at his pre-injury level of performance without pain. Conclusion: Operative treatment of avulsion fracture of the ASIS without bone anchors or screws highlights the importance of soft tissue mobilization and reduction of tension. Additionally, the relatively rapid return to activities and lack of immobilization minimizes deconditioning, which might be an advantage over non-operative management. Athletes with ASIS avulsion fractures repaired with this technique can expect to return to play within 6 weeks.
{"title":"Surgical Treatment of a Young Athlete with Displaced Avulsion Fracture of the Anterior Superior Iliac Spine (ASIS)","authors":"E. PoorAlexander, W. Alec, C. Nicole, C. MeyersWilliam","doi":"10.23937/2469-5718/1510127","DOIUrl":"https://doi.org/10.23937/2469-5718/1510127","url":null,"abstract":"Introduction: Avulsion fractures of the anterior superior iliac spine are uncommon without established treatment guidelines. Deciding between nonoperative versus surgical management depends on the grade of displacement, skeletal maturity, type of sport/activity, and competitive/ career requirements. Methods: We present a young athlete who sustained an ASIS avulsion fracture while playing baseball that was treated with open surgical reduction and fixation using absorbable sutures with an emphasis on mobilizing the TFL to reapproximate the avulsed segment without tension. Results: The patient was started on a progressive physical therapy protocol that did not involve any weight-bearing or range of motion restrictions. He was jogging in the third postoperative week and returned to full-play in the 6th week. As of 12 months postop, there were no complications and he is playing at his pre-injury level of performance without pain. Conclusion: Operative treatment of avulsion fracture of the ASIS without bone anchors or screws highlights the importance of soft tissue mobilization and reduction of tension. Additionally, the relatively rapid return to activities and lack of immobilization minimizes deconditioning, which might be an advantage over non-operative management. Athletes with ASIS avulsion fractures repaired with this technique can expect to return to play within 6 weeks.","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75185045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-04-25DOI: 10.23937/2469-5718/1510126
Neto Antônio Gomes de Resende, Nascimento Matheus Amarante do, Silva Danilo Rodrigues Pereira da, Netto Raquel Simões Mendes, Santana Josimari Melo de, Grigoletto Marzo Edir Da Silva
Purpose: This study aimed to analyze the effects of twelve weeks of multicomponent training on functional fitness and quality of life in elderly women. Methods: Sixty-two older women were randomized into a multicomponent group (MG: n = 32, 65.28 ± 4.96 years) or a stretching group (SG: n = 32, 64.40 ± 3.68 years). MG performed joint mobility exercises, walking, muscle strength exercises and intermittent activities. SG has performed flexibility exercises with minimal physical effort. In order to verify the functional fitness, the Senior Fitness Test battery was used and the quality of life was verified by means of the WHOQOL BREF questionnaire in the pre and post 12 weeks of training. Analysis of variance (ANOVA) 2 × 2 for repeated measures was used for comparisons between groups for all variables. Results: At the end of the intervention, MG presented statistically significant improvements in all variables in relation to the initial values. When compared to SG, promoted statistically significant adaptations in the variables: balance/ agility (p = 0.001, +11.92%), lower limb strength (p = 0.001, +20.62%), upper limb strength (0.001, +17.72%), cardiorespiratory capacity (p = 0.021, +6.19%) and quality of life (p = 0.031, +7.95%). However, in posterior chain flexibility and shoulder mobility, no differences were observed between groups (p ≥ 0.05). Conclusion: This multicomponent protocol is efficient to improve functional fitness and quality of life in physically active elderly women, suggesting its use in physical exercise programs.
{"title":"Effects of Multicomponent Training on Functional Fitness and Quality of Life in Older Women: A Randomized Controlled Trial","authors":"Neto Antônio Gomes de Resende, Nascimento Matheus Amarante do, Silva Danilo Rodrigues Pereira da, Netto Raquel Simões Mendes, Santana Josimari Melo de, Grigoletto Marzo Edir Da Silva","doi":"10.23937/2469-5718/1510126","DOIUrl":"https://doi.org/10.23937/2469-5718/1510126","url":null,"abstract":"Purpose: This study aimed to analyze the effects of twelve weeks of multicomponent training on functional fitness and quality of life in elderly women. Methods: Sixty-two older women were randomized into a multicomponent group (MG: n = 32, 65.28 ± 4.96 years) or a stretching group (SG: n = 32, 64.40 ± 3.68 years). MG performed joint mobility exercises, walking, muscle strength exercises and intermittent activities. SG has performed flexibility exercises with minimal physical effort. In order to verify the functional fitness, the Senior Fitness Test battery was used and the quality of life was verified by means of the WHOQOL BREF questionnaire in the pre and post 12 weeks of training. Analysis of variance (ANOVA) 2 × 2 for repeated measures was used for comparisons between groups for all variables. Results: At the end of the intervention, MG presented statistically significant improvements in all variables in relation to the initial values. When compared to SG, promoted statistically significant adaptations in the variables: balance/ agility (p = 0.001, +11.92%), lower limb strength (p = 0.001, +20.62%), upper limb strength (0.001, +17.72%), cardiorespiratory capacity (p = 0.021, +6.19%) and quality of life (p = 0.031, +7.95%). However, in posterior chain flexibility and shoulder mobility, no differences were observed between groups (p ≥ 0.05). Conclusion: This multicomponent protocol is efficient to improve functional fitness and quality of life in physically active elderly women, suggesting its use in physical exercise programs.","PeriodicalId":91298,"journal":{"name":"International journal of sports and exercise medicine","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81466164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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