scholarly journals The impact of exercise of lower limbs on dynamic balance and valgus of the knees among young footballers

2019 ◽  
Author(s):  
Bartosz Wilczyński ◽  
Katarzyna Zorena ◽  
Piotr Wąż
Keyword(s):  
Lower Limb ◽  
Dynamic Balance ◽  
Intervention Group ◽  
Lower Limbs ◽  
Football Players ◽  
Valgus Knee ◽  
Balance Test ◽  
And Control ◽  
The Impact ◽  
Dynamic Valgus

Abstract Background Participation of children and youth in sporting activities, among others in training and football competitions, is an optimistic manifestation of activation in the current trend of computerization. Unfortunately, this is also often associated with musculoskeletal injuries. An example is the association of dynamic valgus and disturbed dynamic balance with lower limb injuries. The main purpose of the studies is to determine the impact of three strengthening exercises on the parameters of dynamic knee valgus and balance of lower limbs. The secondary objectives are to investigate the dominant influence and the length of lower limb on the valgus values and to determine risk of injury to young football players. Methods 134 young footballers training at the Arka Gdynia SI club were invited to first stage of the research in order to examine anthropometric features and kinematics of the lower limb. Single Leg Squat Test was used, which was recorded. The samples were analyzed video to determine exact knee angle of valgus. During the second stage, to which players with valgus knee were qualified (≥15˚), the Y-Balance Test was additionally used. Intervention group underwent an exercise program to strengthen gluteus medius, popliteal and tibialis posterior muscles for 6 weeks to repeat tests in the third stage. Results Statistical methods used at the assumed level of significance allow to conclude that there are no differences in results of dynamic valgus (≥15˚) and dynamic balance between the intervention group and control group during the 6 week period between stages. In addition, there were results confirming the lack of influence of length and dominant lower limb on valgus. Results of composite direction in the Y-Balance Test test determine the low risk of injury in both intervention and control groups. Conclusions Intervention did not affect the dynamic valgus and knee balance in young football players. Both the length and the dominant limb did not affect the results. The "low risk" occurrence of injuries among the examined participants with valgus knee due to the values of dynamic balance was determined.

The Impact of a Foot-Toe Orthosis on Dynamic Balance: An Exploratory Randomized Control Trial

2020 ◽  
Vol 29 (7) ◽  
pp. 871-878
Author(s):  
Adam Kelly ◽  
Justin Stanek
Keyword(s):  
Randomized Control Trial ◽  
Daily Living ◽  
Dynamic Balance ◽  
Intervention Group ◽  
Control Group ◽  
Control Groups ◽  
Balance Test ◽  
Randomized Control ◽  
And Control ◽  
The Impact

Context: The influence of custom and over-the-counter foot orthoses on dynamic balance has been investigated in the past. However, there has not been an exploration of the use of a foot-toe orthosis for improving balance. The ability of clinicians to influence balance could have important implications for injury prevention and rehabilitation. Objective: To determine the impact of a foot-toe orthosis on dynamic balance in healthy, young adults. Design: Randomized control trial. Setting: Athletic training laboratory. Participants: In total, 64 healthy, recreationally active participants aged 18–29 years were randomly allocated to one of the following groups: the foot-toe orthosis and laboratory-issued shoe group, the laboratory-issued shoe only (SO) group, or the control group. Interventions: Subjects in the intervention group wore the foot-toe orthosis and laboratory-issued shoe with activities of daily living for 4 weeks. Subjects in the SO intervention group wore the laboratory-issued shoe with activities of daily living for 4 weeks. Participants in the control group did not receive any intervention. Main Outcome Measures: The instrumented version of the Star Excursion Balance Test, known as the Lower Quarter Y-Balance Test, was used to quantify the dynamic balance at baseline and follow-up. Reaches were normalized for leg length. Results: There were statistically significant differences in postintervention scores on the Lower Quarter Y-Balance Test for both the dominant (P = .03, effect size = 0.84; 95% confidence interval, 0.25 to 1.43) and nondominant (P = .002, effect size = 0.74; 95% confidence interval, 0.15 to 1.32) legs when comparing dynamic balance scores of the foot-toe orthosis and laboratory-issued shoe group with the SO and control groups. No significant differences were observed when comparing dynamic balance between the SO and control groups. Conclusions: A 4-week intervention with a foot-toe orthosis and laboratory-issued shoe resulted in improved dynamic balance in a healthy young adult population. These findings suggest a novel intervention for increasing balance.

scholarly journals Impact of Three Strengthening Exercises on Dynamic Knee Valgus and Balance with Poor Knee Control among Young Football Players: A Randomized Controlled Trial

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 558
Author(s):  
Bartosz Wilczyński ◽  
Piotr Wąż ◽  
Katarzyna Zorena
Keyword(s):  
Dynamic Balance ◽  
Controlled Trial ◽  
Exercise Program ◽  
Knee Kinematics ◽  
Exercise Group ◽  
Lower Limbs ◽  
Tibialis Posterior ◽  
Football Players ◽  
Knee Valgus ◽  
Balance Test

The observed dynamic knee valgus and the limited dynamic balance described in the literature are modifiable risk factors for injuries in athletes. Therefore, identification and appropriate prevention are crucial in managing the development of young athletes. The aim of the study was to assess the effectiveness of three exercises strengthening the muscles: gluteal medius, popliteal and tibialis posterior to reduce dynamic knee valgus and improve the dynamic balance of the lower limbs in young football players with poor knee control. A total of 134 footballers were assessed for eligibility, and finally 45 participants (age 12–15) met the inclusion criteria. Participants were assessed with 2D video kinematic analysis during single-leg squats to assess the knee valgus angles and the dynamic balance (Y-Balance Test). No significant interactions between groups (Control and Exercise) and time (baseline and after 6 week) were noted for dynamic valgus for the left and right knee (p > 0.05). For the dynamic balance, there were statistically significant results, but not clinically relevant for anterior, posteromedial, and composite direction for the right lower limbs and for the anterior direction for left lower limbs in the exercise group. However, there were no significant differences (p > 0.05) in all of the YBT scores for both lower limbs between groups. This study demonstrated that there were no statistically significant differences in dynamic knee valgus angles and dynamic balance values after 6 weeks of exercise program in young footballers with poor knee control. Future randomized trials should focus on more comprehensive exercises, where possible using biofeedback methods to improve knee kinematics.

scholarly journals The impact of various physiotherapy programs on static and dynamic balance for patients after stroke

2018 ◽  
Vol 4 (111) ◽  
pp. 39-44
Author(s):  
Dalia Mickevičienė ◽  
Erika Masiulytė ◽  
Neringa Švedaitė
Keyword(s):  
Dynamic Balance ◽  
Intervention Group ◽  
Balance Training ◽  
Gait Training ◽  
Average Score ◽  
Control Group ◽  
Training Methods ◽  
Balance Test ◽  
Physiotherapy Program ◽  
The Impact

Background. The imbalance in many scientific sources is described as a major disorder in patients with a history of stroke. Often, the importance or disruption of torso control is also indicated on balance impairments. We believe that both physiotherapy programs will have impact on balance however better results on balance tests will be in group which balance training composed of unstable planes. Research aim was to measure impact of various physiotherapy programs on static and dynamic balance for patients after stroke. Methods. To evaluate changes of static and dynamic balance we used: Berg balance test, Tinetti test, PASS test, dynamic gait index, trunk impairment scale, special STREAM movements test for patients after stroke, Mini balance evaluation test for patients after stroke. Training methods of balance were for two different physiotherapy programs: intervention group (basic physiotherapy program with exercises on unstable planes) and control group (basic physiotherapy program with gait training elements). Results. When evaluating balance, results in both groups were almost equal, which shows that balance was disturbed and there was a huge risk of falls, moreover all patients walked with aid measures. At the beginning of rehabilitation, the average of all balance evaluating tests in both groups scored 16.92 and 15.05. All results were statistically significant (p < .05). At the end of research, variations between all test results were defined statistically significant. Repeatedly evaluating results of both groups at the end of rehabilitation, all test averages were improved: at the beginning, the intervention group average score was 16.92 and after rehabilitation, it was 34.79. For control group results, the average score of all tests was 15.05 and at the end it was 31.90. Summing up, it was established that in both groups balance in rehabilitation period improved. Conclusions. Physiotherapy programs based on exercises on unstable planes or gait training elements improve balance for patients after stroke. Many studies have confirmed the hypothesis of our study that using unstable planes or walking training methods improve balance, but for a statistically significant change in improving the balance, it will be necessary to use unstable planes.

Relationship between lower limb asymmetries, impulsion and balance in senior football players

2020 ◽  
Vol 30 (Supplement_2) ◽  
Author(s):  
J Domingues ◽  
M Castro
Keyword(s):  
Lower Limb ◽  
Lower Limbs ◽  
Soccer Players ◽  
Football Players ◽  
Maximum Torque ◽  
Balance Test ◽  
Risk Of Injury ◽  
Lower Limb Strength ◽  
Balance Deficits ◽  
The Relationship

Abstract Introduction Football is the most popular sport in the world and there are over 38 million players practicing it worldwide. In this sport, players usually have a prefered lower limb over other. This preference can lead to bilateral asymmetries and improve the risk of injury in the players. It is important to understand if asymmetries have an influence on athletes’ performance, on balance or impulsion. Objectives The main objective of this study is to evaluate the bilateral and unilateral asymmetries related to the lower limb muscle strength of individuals who practice senior football, and relate them to eventual impulse and balance deficits. Methodology 11 soccer players (age 21.91 ± 3.14 years; weight: 73.45 ± 7.59 Kg; height: 178.91 ± 8.02; BMI: 22.97 ± 2,12) were evaluated. The protocol defined in this study consisted of collecting data on maximum concentric torque at 60o/s, 180o/s and 300o/s in Biodex System 3. Both lower limbs were tested. Then the Y-balance test was performed on a force platform and the athletes’ flight time were recorded. We also calculated the bilateral deficit between the dominant lower limb and the non-dominant lower limb for the quadriceps and hamstrings and the hamstring/quadriceps (H/Q) ratio for each lower limb Results There were no statistically significant differences between the maximum torque produced by the dominant lower limb and the maximum force torque produced by the dominant lower limb (p &lt; 0.05). The conventional I / Q ratio has values similar to those described in the literature. The relationship between bilateral asymmetry of lower limb strength, balance and impulsion was not statistically significant (p &gt; 0.05) at any angular velocity. Conclusion There are no statistically significant differences between bilateral and unilateral asymmetries of lower limb strength, balance and impulsion.

457 The Impact of PAP Therapy on Hematocrit in OSA and Polycythemia: A Pilot Study

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A180-A181
Author(s):  
Mustafa Jafri ◽  
Gabrielle Rosa-Acosta ◽  
Jose Flores Martinez ◽  
Elizabeth Schofield ◽  
Cy Wilkins ◽  
...  
Keyword(s):  
Intervention Group ◽  
Smoking History ◽  
Event Analysis ◽  
Control Groups ◽  
Testosterone Therapy ◽  
Obstructive Sleep ◽  
Significant Difference ◽  
Testosterone Administration ◽  
And Control ◽  
The Impact

Abstract Introduction Untreated polycythemia leads to complications including thrombosis. Obstructive sleep apnea (OSA) is commonly associated with secondary erythrocytosis, which testosterone therapy can perpetuate. Effects of positive airway pressure (PAP) on elevated hematocrit (HCT) is unknown. We hypothesize PAP adherence can reduce HCT in men with OSA and polycythemia. Methods Retrospective chart review of male outpatients with newly diagnosed OSA and HCT≥45% at or 3 months before polysomnography (PSG) was conducted. Intervention group consisted of patients initiating PAP for OSA. HCT within 6 months of PAP initiation and PSG were recorded for intervention and control groups, respectively. Primary endpoint was time-to-HCT reduction of HCT&lt;50% plus 3% decrease. Cox proportional-hazards analysis was used to assess time-to-HCT response. Demographics, smoking history, testosterone administration, STOP-Bang score, AHI, and PAP compliance data were obtained. Patients excluded if PAP not indicated, or if PSG, PAP compliance, or repeat HCT were unavailable. Results 41 men with OSA had HCT≥45%, of which 16 had HCT≥50%. Median age was 60 years and median BMI was 32 kg/m2. 28 started PAP. 21 met definition for PAP compliance within 6 months. Median AHI of intervention and control groups were 23 and 19 events/hr, respectively. Mean baseline HCT of both groups were 49 and 50, respectively. No significant difference in age, BMI, smoking history, testosterone therapy, and baseline HCT between both groups noted. 39% of intervention group exhibited HCT response at 1 or more longitudinal assessments, versus 38% of control. Intervention group had higher mean STOP-Bang than control (mean 5.9 vs. 4.6, p=0.01) and trended towards higher mean baseline AHI (27.4 vs. 19.0, p= 0.06). Time-to-event analysis controlling for STOP-Bang and AHI demonstrated PAP was not associated with time-to-HCT response (HR = 1.3, 95% CI = 0.4–4.4). In moderate-severe OSA patients, 40% of intervention group had HCT response compared to 14% of control, though difference was not significant (HR = 2.5, 95% CI = 0.3–20.0). Conclusion Moderate-severe OSA patients trended towards reduction in HCT with PAP, although not statistically significant. Testosterone administration did not affect HCT response to PAP in this cohort. Larger studies are required to determine HCT response to PAP in these patients. Support (if any):

Altered plasma and erythrocyte phospholipid fatty acid profile in elite female water polo and football players

2012 ◽  
Vol 37 (1) ◽  
pp. 40-47 ◽  
Author(s):  
Aleksandra Arsić ◽  
Vesna Vučić ◽  
Jasna Tepšić ◽  
Sanja Mazić ◽  
Marina Djelić ◽  
...  
Keyword(s):  
Oleic Acid ◽  
Stearic Acid ◽  
Palmitoleic Acid ◽  
Phospholipid Fatty Acid ◽  
Study Groups ◽  
Control Group ◽  
Football Players ◽  
Water Polo ◽  
And Control ◽  
The Impact

The impact of chronic, intense exercise, such as in elite athletes, on phospholipids fatty acids (FA) composition has not been studied in women so far. This study aimed to investigate FA profiles in plasma and erythrocytes phospholipids in elite female water polo (N = 15) and football (N = 19) players in comparison with sedentary women. In spite of similar dietary patterns, as assessed by a food frequency questionnaire, plasma FA profile in the football players showed significantly higher proportions of stearic acid, oleic acid, and monounsaturated FA (MUFA), and significantly lower proportions of total and n-6 polyunsaturated FA (PUFA) than in the water polo and control group. The water polo players had higher percentages of palmitoleic acid and arachidonic acid than the control subjects. Erythrocyte FA profile differed among groups. We found significantly higher proportion of oleic acid and MUFA in the football group than in the controls, and decreased stearic acid and elevated palmitic and palmitoleic acid in the water polo players than in the other 2 groups. Both groups of athletes had significantly lower percentages of n-6 dihomo-γ-linolenic acid, n-6 PUFA, and total PUFA compared with the controls. The estimated activities of elongase and desaturases in erythrocytes were also altered in the athletes. Our results indicate that long-term, intense physical training significantly affects FA status of plasma and erythrocyte phospholipids in women. The observed differences between the water polo and the football players suggest that the type of regular training may contribute to the altered metabolism of FA, although possible genetic differences among the 3 study groups cannot be ruled out.

Abstract P186: A Randomized Preschool Trial To Promote Cardiovascular Health In Colombia: 18 Month Follow Up.

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Jaime Céspedes ◽  
German Briceño ◽  
Michael Farkouh ◽  
Rajesh Vedanthan ◽  
Martha Leal ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Cardiovascular Health ◽  
Controlled Trial ◽  
Intervention Group ◽  
Educational Programs ◽  
Control Group ◽  
Active Lifestyle ◽  
And Control ◽  
The Impact

Introduction: Educational programs for children can increase uptake of healthy lifestyle behaviors. However, the impact of educational programs in preschool-aged children in low- and middle-income countries is not known. We conducted a five month educational intervention in preschool facilities (PF) in Bogota, Colombia, to assess changes in preschooler’s knowledge, attitudes and habits (KAH) towards healthy eating and living an active lifestyle. Methods: We conducted a cluster, randomized, controlled trial, and randomly assigned 14 PF in Bogota to a five-month educational intervention (7 PF) or to usual curriculum (7 PF). The intervention included classroom activities and use of printed material and videos. A total of 1216 pre-school children, 928 parents, and 120 teachers participated. A structured survey was used to evaluate changes in KAH with a weighted total score (WTS). The primary outcome was change in children's WTS, and the secondary outcomes were change in parents’ and teachers' WTS. The control PF were provided the intervention after the initial evaluation. To assess sustainability, we evaluated both intervention and control groups at 18 months. Results: At 6 months, children in the intervention group showed 10.9% increase in WTS vs. 5.3% in controls, p<0.001, after adjustment for cluster, sex, age and teachers' educational level. Among parents, the equivalent results were 8.9% and 3.1%, respectively, p< 0.001, and among teachers 9.4% and 2.5%, p=0.06. At the 18-month extended follow-up, both the intervention and control children showed a significant further increase in WTS, p<0.001 (Figure 1). In parents and teachers in the intervened group, there was no significant increase in WTS, p=0.7417, and p=0.1197. In the control group, there was an increase in WTS in teachers but not in parents, p=0.001, and p=0.4239. Conclusion: A preschool based intervention, aimed at changing KAH related to healthy diet and active lifestyle, is feasible, efficacious and sustainable up to 18 months in very young children in Colombia.

scholarly journals Development of human lower limbs exoskeleton robot for medical rehabilitation

2021 ◽  
pp. 91-97
Author(s):  
E. A. Kotov ◽  
◽  
A. D. Druk ◽  
D. N. Klypin ◽  
◽  
...  
Keyword(s):  
Control System ◽  
Experimental Research ◽  
Lower Limb ◽  
Lower Limbs ◽  
Medical Rehabilitation ◽  
Lower Limb Exoskeleton ◽  
Exoskeleton Robot ◽  
Controlled Motion ◽  
And Control

The article deals with the solution of the problem of optimizing the characteristics of controlled motion of human lower limb exoskeleton robot for improving medical rehabilitation. The aim of the work is to develop a rehabilitation device capable of providing controlled motion in two planes, as well as maintaining balance without loss of mobility. The design and control system of a rehabilitation trainer designed for performing mechanotherapy of the lower limbs of patients with locomotive disorders are proposed and characterized. The developed system has a number of significant differences from analogues and can be recommended for experimental research on patients with impaired locomotive functions

Impact of the Nutrition-Friendly School Initiative: analysis of anthropometric and biochemical data among school-aged children in Ouagadougou

2019 ◽  
Vol 27 (2) ◽  
pp. 26-34 ◽  
Author(s):  
Christelle Elkhouri Edde ◽  
Helene Delisle ◽  
Charles Dabone ◽  
Malek Batal
Keyword(s):  
Primary Schools ◽  
Vitamin A Deficiency ◽  
Intervention Group ◽  
Total Sample ◽  
Biochemical Data ◽  
Serum Retinol ◽  
Double Burden ◽  
Chi Squared ◽  
And Control ◽  
The Impact

The Nutrition-Friendly School Initiative was developed in 2006 to counter the double burden of malnutrition and implemented on a pilot basis in primary schools in Ouagadougou (Burkina Faso) in 2009. A baseline study was conducted in intervention and control schools and repeated in 2014 to assess the impact. This paper reports on anthropometric and biochemical data in the final and baseline surveys. Both studies were conducted in the fifth grade classes of the same primary schools in Ouagadougou. Six intervention schools had been selected and matched at baseline with six control schools. The total sample consisted of 699 and 651 pupils in 2009 and 2014, respectively. Anthropometric and hemoglobin measurements were performed on all children, whereas serum retinol was measured in a random subsample to assess Vitamin A Deficiency (VAD). Independent t-tests and chi-squared tests were used for comparison of means and proportions, respectively, and multiple logistic regressions were conducted to examine associations between nutritional parameters and school characteristics. Final rates of anaemia and VAD were 32.6% and 26.1%, respectively, down from 40.4% and 38.7% at baseline. The final prevalence rate of stunting was 8.1%, thinness was 8.7% and overweight/obesity was 4.4%. Thinness declined significantly in 2014 compared to 2009, but there was no change in the rate of stunting even though the rate of overweight/obesity showed an upward trend. When comparing intervention with control schoolchildren, the only significant differences found in the final survey were less thinness and less anaemia in the intervention children. However, the prevalence of anaemia was also significantly lower in the intervention group at baseline. Our results point to a significant improvement in the nutritional status of schoolchildren in Ouagadougou and suggest a positive, although modest, role for the Nutrition-Friendly School Initiative in reducing thinness, but not overweight.

scholarly journals The Effect of Eight Weeks of Selected Exercises in Water on Pain and Balance of Female Nurses With Chronic Back Pain

2021 ◽  
Vol 6 (4) ◽  
pp. 44-55
Author(s):  
Havar Ezadi ◽  
◽  
Narmin Ghanizadeh Hesar ◽  
Keyword(s):  
Back Pain ◽  
Chronic Back Pain ◽  
Dynamic Balance ◽  
Core Stability ◽  
Balance Test ◽  
Significance Level ◽  
Significant Difference ◽  
Post Test ◽  
And Control ◽  
Experimental Group

Objective: The purpose of this study was to investigate the effect of eight weeks of selected exercises in water on pain and balance of nurses with chronic back pain. Methods: This semi-experimental study was carried out on 30 nurses working in Sanandaj city hospitals. Selected exercises in water for eight weeks, three sessions per week, which was carried out progressively and with the practice of central stability exercises on the experimental group. To assess the pain and balance of the patients in the pre and post test tests, both groups used the standard questionnaire of Quebec, FBT test, berg balance test. Independent and dependent t-test was used to analyze the data. The significance level was considered as P<0.05. Results: There was a significant difference between the mean scores of pain and the static and dynamic balance in the experimental and control groups, respectively, with a significant decrease and significant increase in the pain (P=0.001) and static (P=0.001) and dynamic (P=0.001) balance variables in the experimental group. Conclusion: Regarding the effectiveness of selected exercises in water on the pain and balance of nurses with non-specific chronic low back pain, it is recommended to design the training protocols for patients with Special attention should be given to the chronic pain, to the practice of water therapy (and to the importance of taking core stability of the workout in these exercises).

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