Hasil untuk "Sports medicine"

Igor Jętasiewicz, Szymon Górski, Joanna Okupniarek et al.

In an era of an aging population, vitamin D deficiencies constitute a significant clinical problem. Its pleiotropic effects encompass key reparative processes in soft and bone tissues, as well as modulation of the nervous and immune systems, suggesting its potentially important role in injury prevention and healing support. The aim of this review was to systematically analyse and synthesise current knowledge regarding: (1) the molecular mechanisms of vitamin D action in repair processes, (2) the efficacy of its supplementation in the context of post-injury healing, and (3) the clinical consequences of its deficiency. The literature review was conducted according to the PRISMA methodology. The PubMed, Scopus, and Web of Science databases were searched using defined keywords related to vitamin D, wound healing, bone regeneration, and trauma. Original and review articles published between 2010 and 2024 were analysed. The synthesis confirmed the key role of vitamin D in regulating cell proliferation, angiogenesis, extracellular matrix synthesis, and inflammation modulation. Clinical data indicate that supplementation is most beneficial for patients with pre-existing deficiency, significantly reducing the risk of complications and improving healing parameters. Groups at particular risk of deficiency requiring monitoring include the elderly, burn victims, diabetics, individuals with dark skin phototypes, and those with malabsorption disorders. For patients with normal or high baseline 25(OH)D levels, the benefits of supplementation are limited or insignificant. Optimising vitamin D levels is a significant, modifiable factor supporting tissue healing, especially in deficient patients. Routine assessment of vitamin D status and targeted supplementation in risk groups should be an integral part of comprehensive post-traumatic care.

Wael Ramadan, Rehan Monir, Ola El-Emam et al.

Background: Athletic performance is a complex phenotype affected by individual traits, environmental conditions, training, and genetics. The peroxisome proliferator-activated receptor-alpha (PPARα) and alpha-actinin-3 (ACTN3) are two genes with the potential to influence human performance. The objective of the present study was to assess the genotype frequencies of ACTN3 (R/X) and PPARα (G/C) and to conduct a comparison of these frequencies among Egyptian adolescent athletes. Methods: This case–control study involved 228 individuals (118 elite-level athletes and 110 sedentary controls). Results: This study identified a statistically significant increase in the frequencies of the ACTN3 ‘R’ allele (77.5% compared to 55.9%; <i>p</i> < 0.001) and the PPARα ‘C’ allele (86.4% compared to 14.1%; <i>p</i> < 0.001) among athletes relative to the control groups. A similar pattern was noted for adolescent athletes in comparison to the control group in terms of both the R/R genotype (61.9% compared to 27.3%; <i>p</i> < 0.001) and the C/C genotype (80.5% compared to 2.7%; <i>p</i> < 0.001). In conclusion, these results imply that polymorphisms in ACTN3 and PPARα could be significant predictors for assessing the performance of adolescent Egyptian athletes.

Duchette C, Perera M, Arnett S et al.

Cathryn Duchette,1 Madhawa Perera,2 Scott Arnett,2 Erin White,3 Elizabeth Belcher,2 Rachel Tinius2 1Alabama College of Osteopathic Medicine, Dothan, Alabama, USA; 2School of Kinesiology, Recreation, and Sport, Western Kentucky University, Bowling Green, Kentucky, USA; 3Health, Exercise, and Rehabilitative Sciences, Winona State University, Winona, Minnesota, USACorrespondence: Rachel Tinius, School of Kinesiology, Recreation, and Sport, Western Kentucky University, 1607 Avenue of Champions, Smith Stadium East, Bowling Green, KY, 42101, USA, Email rachel.tinius@wku.eduAbstract: Research demonstrates resistance training is not only safe but also beneficial for pregnant women. However, exercise recommendations for pregnant women still minimize the importance of resistance exercise and provide minimal guidance. With a large increase in strength-focused sports among women, it is critical to re-evaluate the risk/benefit ratio of these exercises and ensure the latest recommendations reflect the latest clinical research. The purpose of this review is to highlight the safety and benefits of resistance training for both maternal and fetal health, particularly focusing on recent work. Relevant research involving resistance training during pregnancy was accessed and analyzed via a quasi-systematic search. Results demonstrate that appropriate prenatal resistance training can help alleviate some of the common symptoms of pregnancy, such as fatigue, back pain, and poor mental health. Resistance exercise can assist with glucose control in gestational diabetes mellitus, as well as decrease the risk of infant macrosomia and childhood metabolic dysfunction associated with uncontrolled gestational diabetes. Resistance training can also increase the likelihood of a vaginal delivery, which is beneficial for both mother and baby. Concerning fetal health, resistance training increases uterine blood flow, decreases the risk of neonatal macrosomia, and improves cognitive function and metabolic health in childhood. As with all forms of exercise, pregnant women should avoid resistance exercises that involve the supine position for extended bouts of time, trauma (or risk of trauma) to the abdomen, ballistic movements, movements that rely heavily on balance, and conditions that prohibit appropriate temperature control. With these considerations in mind, resistance training’s benefits far surpass the lack of risk to the fetus. Resistance training is a safe and effective way to improve and maintain physical fitness during pregnancy and represents no risk to fetal health and development. Thus, healthcare providers should recommend resistance training for pregnant women.Keywords: strength training, macrosomia, gestational diabetes, labor & delivery

Sha Yang, Zhenyu Dong, Jiaqi Zhao et al.

BackgroundEarly-onset sarcopenia refers to the progressive loss of muscle mass and function that occurs at an early age. This condition perpetuates the vicious cycle of muscle loss and is associated with adverse outcomes. It is important to identify the contributing factors for early intervention and prevention. While diet is known to impact muscle mass, the association of B vitamins with early-onset sarcopenia remains unexplored.ObjectivesTo investigate the association of B vitamins intake with early-onset sarcopenia risk in a cross-sectional study.MethodsWe conducted data analysis on a total of 8,711 participants aged between 20 and 59 years who took part in the National Health and Nutrition Examination Survey (NHANES) from 2011 to 2018. Early-onset sarcopenia was defined as a SMI measured by DXA that was one standard deviation below the sex-specific mean of the reference population. B vitamins intake (B1, B2, B3, B6, B9, and B12) was assessed by 24-h dietary recall. We used weighted multiple logistic regression and RCS models to estimate the OR and 95% CI of sarcopenia by B vitamins intake, adjusting for demographic, physical, lifestyle, comorbidities, and nutritional covariates.ResultsHigher intake of vitamin B1 was associated with a 22% lower sarcopenia risk (OR = 0.78, CI = 0.63–0.97, p = 0.022), and higher intake of vitamin B2 with a 16% lower risk (OR = 0.84, CI = 0.74–0.97, p = 0.012) in both genders. Gender-specific analyses showed a 28% reduction in sarcopenia risk among males with each additional mg of vitamin B1 intake (OR = 0.72, CI = 0.52–0.97, p = 0.038), and a 26% decrease among females with each additional mg of vitamin B2 intake (OR = 0.74, CI = 0.57–0.96, p = 0.021). No significant differences were found between vitamin B2 and males, or between vitamin B1 and females. The RCS model suggested a nonlinear relationship between vitamin B2 intake and sarcopenia risk (POverall = 0.001, PNonlinear = 0.033), with a plateau effect above 3 mg/d.ConclusionHigher intake of vitamin B1 and B2 may lower the risk of early-onset sarcopenia, with gender differences. This suggests the potential of nutritional intervention by increasing these vitamins intake through diet and supplements. Further research is warranted to elucidate the mechanisms and design targeted interventions.

N. Balagué, R. Hristovski, M. Almarcha et al.

The basic theoretical assumptions of Exercise Physiology and its research directions, strongly influenced by reductionism, may hamper the full potential of basic science investigations, and various practical applications to sports performance and exercise as medicine. The aim of this perspective and programmatic article is to: (i) revise the current paradigm of Exercise Physiology and related research on the basis of principles and empirical findings in the new emerging field of Network Physiology and Complex Systems Science; (ii) initiate a new area in Exercise and Sport Science, Network Physiology of Exercise (NPE), with focus on basic laws of interactions and principles of coordination and integration among diverse physiological systems across spatio-temporal scales (from the sub-cellular level to the entire organism), to understand how physiological states and functions emerge, and to improve the efficacy of exercise in health and sport performance; and (iii) to create a forum for developing new research methodologies applicable to the new NPE field, to infer and quantify nonlinear dynamic forms of coupling among diverse systems and establish basic principles of coordination and network organization of physiological systems. Here, we present a programmatic approach for future research directions and potential practical applications. By focusing on research efforts to improve the knowledge about nested dynamics of vertical network interactions, and particularly, the horizontal integration of key organ systems during exercise, NPE may enrich Basic Physiology and diverse fields like Exercise and Sports Physiology, Sports Medicine, Sports Rehabilitation, Sport Science or Training Science and improve the understanding of diverse exercise-related phenomena such as sports performance, fatigue, overtraining, or sport injuries.

Riccardo D’Ambrosi, Srinivas B. S. Kambhampati

Abstract Purpose The purpose of this study was to analyze the trends in publications on ramp lesions of the meniscus in the current literature. We hypothesized that publications on ramp lesions have increased rapidly in recent years due to increased knowledge of both clinical and radiological pathology. Methods A Scopus search performed on 21/01/23 retrieved 171 documents. A similar search strategy was employed to carry out a search for ramp lesions on PubMed with no time filters and only English articles. The articles were downloaded into Excel software, and citations for PubMed articles were determined from the iCite website. Analysis was performed using Excel. Using Orange software, data mining was performed from the titles of all articles. Results There are a total of 126 publications from 2011 to 2022 with a total of 1778 citations in PubMed. Of all publications, 72% were published in the last 3 years, from 2020 to 2022, indicating an exponential increase in interest in this subject in recent years. Similarly, 62% of the citations were aggregated by the years 2017–2020, both years included. When the journals were analyzed according to the number of citations, the American Journal of Sports Medicine (AJSM) topped with 822 citations (46% of all citations) and 25 publications, followed by Knee Surgery, Sports Traumatology, Arthroscopy (KSSTA) with 27 articles and 388 citations (22% of all citations). When analyzed by citations per publication for different types of studies, randomized clinical trials (RCTs) were the most cited, with 32 citations per publication, followed by basic science articles with 31.5. Most of the basic science articles were cadaver studies examining anatomy, technique, and biomechanics. Technical notes were the third most cited at 18.64 per publication. While the USA is the country that leads publications, France is in a significant second position contributing to research on this topic, followed by Germany and Luxembourg. Conclusions Global trend analysis suggests that ramp lesion research has significantly increased and that the number of papers on the topic is steadily increasing. We found that the publications and citations presented a rising trend, the majority of the highly cited papers were contributed by a few centers, and the most cited were randomized clinical trials and basic science studies. The long-term outcomes of conservatively and surgically treated ramp lesions have attracted the most research interest.

S. Giagio, S. Salvioli, Tiziano Innocenti et al.

To develop a screening tool for pelvic floor dysfunction (PFD) in female athletes for use by sports medicine clinicians (eg, musculoskeletal/sports physiotherapists, sports and exercise medicine physicians), which guides referral to a PFD specialist (eg, pelvic floor/women’s health physiotherapist, gynaecologist, urogynaecologist, urologist). Between February and April 2022, an international two-round modified Delphi study was conducted to assess expert opinion on which symptoms, risk factors and clinical and sports-related characteristics (items) should be included in a screening tool. We defined consensus a priori as >67% response agreement to pass each round. 41 and 34 experts participated in rounds 1 and 2, respectively. Overall, seven general statements were endorsed as relevant by most participants highlighting the importance of screening for PFD in female athletes. Through consensus, the panel developed the Pelvic Floor Dysfunction-ScrEeNing Tool IN fEmale athLetes (PFD-SENTINEL) and agreed to a cluster of PFD symptoms (n=5) and items (risk factors, clinical and sports-related characteristics; n=28) that should prompt specialist care. A clinical algorithm was also created: a direct referral is recommended when at least one symptom or 14 items are reported. If these thresholds are not reached, continuous monitoring of the athlete’s health is indicated. Despite increasing awareness and clinical relevance, barriers to identify PFD in female athletes are still present. The PFD-SENTINEL is a new resource for sports medicine clinicians who regularly assess female athletes and represents the first step towards early PFD identification and management. Further studies to validate the tool are needed.

Joshua Doege, J. Ayres, M. Mackay et al.

Background: Return to sport (RTS) commonly serves as a measure for assessment of clinical outcomes in orthopaedic sports medicine surgery. Unfortunately, while RTS is commonly utilized in research for this purpose, currently there is no widely accepted or standardized definition for when an athlete has officially returned to his or her sport. Purpose: To conduct a systematic review to evaluate and report the differences in specific definitions of RTS utilized in the orthopaedic surgery literature. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review was performed using PubMed, EMBASE, and Cochrane Trials databases per PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Search terms consisted of variations of “RTS” combined with variations of “orthopedic surgery” and “define” to capture as many relevant articles as possible. The definition of RTS was recorded and analyzed. Results: A total of 718 articles were identified in the initial search, 29 of which met eligibility criteria, providing a clear definition of RTS. Of the 29 studies included, 20 (69.0%) defined RTS as an athlete competing in a game or other competitive play. Three (10.3%) defined this as the athlete competing in a game or other competitive play but with an explicitly stated competition-level modifier of the athlete returning to his or her preinjury level of competition. Two articles (6.9%) included returning to training or practice, and the remaining 4 articles (13.8%) used terminology other than the standard RTS. Conclusion: There is variability in the definition of RTS used in orthopaedic sports medicine literature. Most studies refer to the athlete competing in a game or other competitive play. Other variants include returning to practice/training and explicitly defined competition levels and objectives. Future studies should aim to standardize the definition of RTS to facilitate more precise assessment of outcome after sports medicine surgery. Using terminology that describes components of the recovery and rehabilitation process, such as “return to participation” and “return to performance,” in addition to RTS will allow us to more clearly understand the athlete’s recovery and associated level of competition or performance.

N. Jayanthi, E. Post, Torrance Laury et al.

Sport specialization is a training method now commonly used by young athletes who hope to achieve elite-level success. This may be defined as (1) choosing a main sport, (2) quitting all other sports to focus on 1 sport, and (3) year-round training (greater than 8 months per year). A number of sports medicine organizations have published recommendations based on the limited evidence available on this topic. The objective of this article was to perform a narrative review of the currently available evidence and sports medicine organizational recommendations regarding sport specialization and its effects on health to guide athletic trainers and sports medicine providers. To accomplish this goal, we conducted a narrative review of articles and position statements on sport specialization published from 1990 through 2018. Injury, overuse injury, serious overuse injury, and lower extremity injury were likely associated with higher degrees of sport specialization in various populations. Sports medicine organizations in general recommended against sport specialization in young athletes and instead promoted multisport participation for physical and psychological benefits. Few long-term data suggest that sport specialization has negative health-related quality-of-life consequences. Higher degrees of sport specialization likely pose risks of overuse injury; however, the age of specialization at which this risk occurs is not known. Because different populations and sports activities may put children at risk for certain injuries, future researchers should monitor large populations with sport-specific prospective active surveillance.

K. Hammond, J. Diamond

Dan Lorenz

Iane de Paiva Novais, Angelica Miki Stein, Sarah Costa de Almeida et al.

Abstract Aim: The objective of this study was to compare the global cognitive function and depressive symptoms in hypertensive and/or diabetic middle-aged and elderly women (52-76 years old). Methods: Sixteen participants with hypertension (HT) and 12 with hypertension and type 2 diabetes mellitus (HT+DM) were included; sociodemographic data, anthropometric measurements, and blood pressure were analyzed, and questionnaires for cognitive screening (Mini-Mental State Examination - MMSE) and depressive symptoms (Geriatric Depression Scale - GDS-30) were administered. For statistical analysis, independent Student's t-test, chi-square test (dichotomous variables), and the Mann-Whitney test (ordinal variables) were used and p < 0.05 was adopted. Results: Results indicate that there were no significant differences pertaining to depressive symptoms (HT = 7.4 ± 5.5; HT+DM = 10.2 ± 4.6 points; p = 0.1658) and global cognitive function (HT = 22.3 ± 4.2; HT+DM = 21.0 ± 3.2 points; p = 0.4015) between hypertensive women and hypertensive and diabetic women, contradicting the hypothesis that the presence of two comorbidities would intensify cognitive impairment and mental health. However, clinically relevant cognitive decline (HT = 63%; HT+DM = 75%; χ2 = 0.4834) and depressive symptoms (HT = 38%; HT+DM = 33%; χ2 = 0.8199) were found in both groups. Conclusion: It has been shown that the presence of two comorbidities: type 2 diabetes mellitus and hypertension, does not intensify cognitive impairment and mental health when compared to hypertension alone in middle-aged and elderly women.

T. Dwyer, Sarah Wright, K. Kulasegaram et al.

The goal of the Objective Structured Clinical Examination (OSCE) in Competency-based Medical Education (CBME) is to establish a minimal level of competence. The purpose of this study was to 1) to determine the credibility and acceptability of the modified Angoff method of standard setting in the setting of CBME, using the Borderline Group (BG) method and the Borderline Regression (BLR) method as a reference standard; 2) to determine if it is feasible to set different standards for junior and senior residents, and 3) to determine the desired characteristics of the judges applying the modified Angoff method. The results of a previous OSCE study (21 junior residents, 18 senior residents, and six fellows) were used. Three groups of judges performed the modified Angoff method for both junior and senior residents: 1) sports medicine surgeons, 2) non-sports medicine orthopedic surgeons, and 3) sports fellows. Judges defined a borderline resident as a resident performing at a level between competent and a novice at each station. For each checklist item, the judges answered yes or no for “will the borderline/advanced beginner examinee respond correctly to this item?” The pass mark was calculated by averaging the scores. This pass mark was compared to that created using both the BG and the BLR methods. A paired t-test showed that all examiner groups expected senior residents to get significantly higher percentage of checklist items correct compared to junior residents (all stations p < 0.001). There were no significant differences due to judge type. For senior residents, there were no significant differences between the cut scores determined by the modified Angoff method and the BG/BLR method. For junior residents, the cut scores determined by the modified Angoff method were lower than the cut scores determined by the BG/BLR Method (all p < 0.01). The results of this study show that the modified Angoff method is an acceptable method of setting different pass marks for senior and junior residents. The use of this method enables both senior and junior residents to sit the same OSCE, preferable in the regular assessment environment of CBME.

Julie Statler, Piotr Wilk, Brian W. Timmons et al.

Background: Children spend substantial time in childcare, and the reasons parents choose a particular childcare type may differ by family. However, little is known about how childcare type influences habitual (full day) activity levels among children. Therefore, exploring patterns between childcare type and habitual physical activity (PA) (i.e., light, moderate-to-vigorous PA (MVPA), and total PA) and sedentary time (ST) in young Canadian children is needed. Methods: A nationally representative sample of preschoolers from Cycles 3 and 4 of the Canadian Health Measures Survey was used in this cross-sectional study. Childcare type (e.g., center-based childcare, home-based childcare, home with parent, kindergarten) was reported by parents. Preschoolers wore an Actical accelerometer for 7 days. Device and population-spcific cut-points were applied to delineate PA intensities and ST. Population means and sample totals were calculated to examine average daily and hourly rates of activity. Results: Preschoolers’ rates of MVPA and total PA from the 4 childcare arrangements ranged from 65.99 min/day to 74.62 min/day (5.48–6.18 min/h) and 274.20 min/day to 281.66 min/day 22.69–23.21 min/h), respectively, while ST ranged from 443.13 min/day to 460.57 min/day (36.80–37.31 min/h). No significant differences were observed in daily or hourly rates of activity. Conclusion: This study provides a snapshot of the levels of PA and ST among preschoolers in various childcare settings at a national level, with no differences observed in habitual activity levels based on childcare enrollment. Additional research is needed to clarify the relationship between young children's PA and childcare type, with consideration given to the quality of the childcare settings.

Johanna Vogel, Jan Wilke, Frieder Krause et al.

Abstract Background Individuals afflicted with nonspecific chronic low back pain (CLBP) exhibit altered fundamental movement patterns. However, there is a lack of validated analysis tools. The present study aimed to elucidate the measurement properties of a functional movement analysis (FMA) in patients with CLBP. Methods In this validation (cross-sectional) study, patients with CLPB completed the FMA. The FMA consists of 11 standardised motor tasks mimicking activities of daily living. Four investigators (two experts and two novices) evaluated each item using an ordinal scale (0–5 points, one live and three video ratings). Interrater reliability was computed for the total score (maximum 55 points) using intra class correlation and for the individual items using Cohen’s weighted Kappa and free-marginal Kappa. Validity was estimated by calculating Spearman’s Rho correlations to compare the results of the movement analysis and the participants’ self-reported disability, and fear of movement. Results Twenty-one participants (12 females, 9 males; 42.7 ± 14.3 years) were included. The reliability analysis for the sum score yielded ICC values between .92 and.94 (p < .05). The classification of individual scores are categorised ‘slight’ to ‘almost perfect’ agreement (.10–.91). No significant associations between disability or fear of movement with the overall score were found (p > .05). The study population showed comparably low pain levels, low scores of kinesiophobia and disability. Conclusion The functional movement analysis displays excellent reliability for both, live and video rating. Due to the low levels of disability and pain in the present sample, further research is necessary to conclusively judge validity.

Marcos Maynar, Francisco Llerena, Ignacio Bartolomé et al.

Background The aim of the present study was to determine changes in serum concentrations of trace elements Cooper (Cu), Chromiun (Cr), Manganesum (Mn), Nickel (Ni) and Selenium (Se) in high-level sportsmen. Methods Eighty professional athletes of different metabolic modalities, were recruited before the start of their training period. Thirty one sedentary participants of the same geographic area constituted the control group. Cu, Cr, Mn, Ni and Se analysis was performed by Inductively Coupled Plasma Mass Spectrometry (ICP-MS). Results Higher concentrations of Cr (p < 0.001), Mn (p < 0.085), and Ni (p < 0.001) were found in sportsmen in comparison to controls, inversely, Se values were lower (p < 0.001) among sportsmen. When sportsmen were classified by metabolic modalities, it was found that aerobic-anaerobic group had higher (p < 0.01) Cu concentrations than controls and the other sportsmen. The highest Cr values were found in aerobic participants. For Mn, the major levels were found in aerobic and aerobic-anaerobic groups as well (p < 0.001). The lowest Se levels were found among anaerobic sportsmen (p < 0.001). Conclusion This research showed that daily, continuum physical training induced alterations in serum essential minerals concentrations, as well as that these changes can be dependent of the exercise modality practiced.

Roland Hadlich

Introduction. The basic activity of a musician playing an instrument is movement and the related physical work of specific muscle slings. With contemporary curricula to teach playing instruments and the related load to the bone, muscular, cardiovascular and nervous systems, several properties of the specific physical activity should be taken into account. Material and Method. The statistical analysis concerned 190 girls and 203 boys. Mean age of the girls was 14.25 years, with mean playing experience of 7.25 years. The test stand for evaluation of body posture and feet using the photogrammetric method is composed of a personal computer, software, screen and printer, projection-reception device with a camera for measurement of selected characteristics. Conclusion 1. Long-term regular playing an instrument has a major effect on the angle of body bent in the sagittal plane. 2. Playing six of the analysed instruments leads to deepening of physiological spinal curvature: 3. The magnitude of selected sagittal spinal characteristics in students from music schools found in the study suggests implementation of prevention and correction programs. Wstęp. Podstawową aktywnością muzyka w czasie gry na instrumencie jest ruch i związana z tym praca fizyczna wybranych taśm mięśniowych.. Współczesny proces nauczania gry na instrumencie i związane z nim obciążenia układu kostnego, mięśniowego, krwionośnego i nerwowego wymagają uwzględnienia szeregu właściwości realizowanej aktywności fizycznej Materiał i metoda. Do analizy statystycznej zakwalifikowano 190 dziewcząt i 203 chłopców. Średnia wieku wśród dziewcząt wynosiła 14,25 roku, a staż gry 7,25 roku. Stanowisko do pomiaru wielkości cech postawy ciała i stóp metodą fotogrametryczną składa się z komputera i karty, programu, monitora i drukarki, urządzenia projekcyjno - odbiorczego z kamerą do pomiaru wybranych cech. Wnioski 1. Wymuszona i długotrwała gra na wybranym instrumencie wpływa głownie na kąt zgięcia i wyprostu tułowia w płaszczyźnie strzałkowej. 2. Wykonawstwo na sześciu analizowanych instrumentach powoduje pogłębienie krzywizn fizjologicznych kręgosłupa: 3. Stwierdzone wielkości wybranych cech strzałkowych kręgosłupa u uczniów szkół muzycznych wymaga wprowadzenia postępowania profilaktyczno-korekcyjne.

Petro Marynchuk

The article emphasizes the lack of development of the methodological basis for the physical education of students of Music Arts. Professionally dependent indicators of physical condition were taken into account. The article also outlines the main theoretical and methodological provisions that underlie the development of technology for correction of the physical condition of students of music arts. They are in particular actualization of life-giving motivation of students to increase the level of physical condition, regular physical exercises, the need for the development of professionally important physical qualities, ensuring the differentiation of physical activity, taking into account the level of physical state and physical conditions of students of Music Arts. The structure of the technology of correction of the physical condition of students of Music Arts is considered. The technology contains the purpose, tasks, principles, stages of implementation, the program with the use of physical culture, performance criteria. The main stages of the technology implementation – preparatory, main, final – are analyzed. The means of motor activity of innovative direction are described for use in the practice of higher educational institutions, which take into account the features of the student staff, their mode of educational activity.

Yuriy Lysenko

The specificity of multiple sclerosis (MS) is a young age patients with a variety of symptoms, the unpredictability of the disease. All these factors are the reason that the rehabilitation of patients with MS is one of the most difficult tasks of neurological rehabilitation. A wide range of symptoms in MS, the obvious way of complexity associated with his patient, and it is a disease with which we must contend daily. MS is a chronic disease of the CNS, diseases which frequency is 30–100 per 100 000 persons. However, knowledge about MS and its treatment may reduce symptoms intensity and improve the lot of their options. In recent years it is seen the increase in the number of scientific publications on effective rehabilitation of patients with MS. Rehabilitation in MS is symptomatic in nature and includes all motor dysfunction – of autonomic disorders to motor deficits. Well–conducted rehabilitation significantly reduces the effects of disease, thus increases the effects of pharmacotherapy. Regardless of the form of the disease, the result of PC is disability and reduced quality of life, making it difficult to self-service and independent functioning. Doctor’s detection of functional deficit targets and determining the therapeutic process, allows to reduce the intensity of symptoms of the disease. The work represents the chosen form of exercise methods of physiotherapy and some principles of rehabilitation strategies in the rehabilitation of patients with MS.

Victor Amorim Andrade-Souza, Felipe Moniz, Israel Teoldo

Abstract The purpose of this study was to verify the date of birth is a decisive factor for the success of players selected by the coaches to participate in the FIFA U-17 World Cup Emirates 2013. The players' date of birth were classified into four quartiles of three months each (Q1 to Q4). In the qualifying round, 46.5% of the selected players born in Q1, while 12.5% in Q4. This significantly different distribution occurred until the semi-finals. However, in the final match, there were no significant differences between Q1 and Q4. A similar relative age effect also occurred when analyzed only players who actually participated to the matches. Interestingly, despite there was birth date effect on performance in all World Cup stages except in the final, other issues should take into consideration for a team became champion.