exercises
در نشریات گروه پزشکی-
مقدمه
بررسی های بالینی نشان می دهد که دیابت به عنوان یک اختلال متابولیکی می تواند کیفیت زندگی افراد مبتلا را تحت تاثیر قرار دهد و فعالیت بدنی ممکن است یک ابزار درمانی موثر در این افراد باشد. در این پژوهش ارتباط سطوح سرمی GLP-1 با هورمون های تیروکسین، TSH، انسولین، گلوکز، HbA1c، VO2max و برخی از شاخص های آنتروپومتریک به دنبال هشت هفته تمرین های کلیستنیکس بررسی شد.
روش هادر این پژوهش نیمه تجربی 14 کودک غیرفعال مبتلابه دیابت نوع یک با میانگین سنی28/1±42/12 سال به طور غیر تصادفی انتخاب شدند و به مدت هشت هفته (سه جلسه در هفته) تمرین های کلیستنیکس را انجام دادند. اندازه گیری های فیزیولوژیکی و نمونه گیری خون 48 ساعت قبل و پس از دوره تمرینی انجام شد. برای بررسی ارتباط از آزمون همبستگی پیرسن و برای اندازه گیری تغییرات درون گروهی از آزمون تی زوجی استفاده شد.
یافته هانتایج نشان دهنده وجود ارتباط مثبت و معنادار میان GLP-1 و انسولین قبل (703/0 r=، 005/0 P=) و پس از مداخله تمرینی (668/0 r=، 009/0 P=) بود. همچنین ارتباط معکوس و معنادار میان سطوح GLP-1 و WC قبل (633/0 r=، 019/0 P=) و پس از تمرین (575/0 r=، 043/0 P=) و میان GLP-1 و درصد چربی بدن پس از تمرین (676/0 r=، 007/0 P=) دیده شد. در نتایج مربوط به تغییرات درون گروهی نیز افزایش معنادار GLP-1، انسولین، VO2max و کاهش معنادار WC به دست آمد.
نتیجه گیرینتایج این مطالعه نشان می دهد که تمرین های کلیستنیکس می تواند در کاهش آثار منفی ناشی از بیماری دیابت نوع یک و افزایش سلامتی کودکان دیابتی موثر باشد.
کلید واژگان: دیابت نوع یک، تمرین های ورزشی، تیروکسین، پپتید شبیه به گلوکاگن 1BackgroundClinical studies have demonstrated that diabetes, as a metabolic disorder, can significantly impact the quality of life of individuals affected by the condition. Physical activity has been identified as a potentially effective therapeutic intervention for managing diabetes in these individuals. This study examined the correlation between serum levels of GLP-1 and the hormones thyroxine, TSH, insulin, glucose, HbA1c, VO2max, as well as various anthropometric indicators after eight weeks of calisthenics exercises.
MethodsThis semi-experimental study involved 14 sedentary children with type 1 diabetes, averaging 12.42±1.28 years, selected through non-random sampling. The participants performed calisthenics exercises for eight weeks (three sessions per week). Physiological assessments and blood samples were collected 48 hours before and after the training period. The relationship was analyzed using Pearson's correlation test, and intra-group changes were assessed using paired t-tests.
ResultsThe findings demonstrated a positive and significant correlation between GLP-1 and insulin both before (r= 0.703, P= 0.005) and after the exercise intervention (r= 0.668, P= 0.009). Additionally, an inverse and significant correlation was observed between GLP-1 and waist circumference (WC) levels before (r= 0.633, P= 0.019) and after exercise (r= 0.575, P= 0.043), as well as between GLP-1 and body fat percentage after exercise (r= 0.676, P= 0.007). In terms of intra-group changes, the results indicated a significant increase in GLP-1, insulin, and VO2max, along with a significant decrease in WC.
ConclusionThe findings of this study show that engaging in calisthenics exercises can be effective in reducing the negative effects of type 1 diabetes and increasing the health of diabetic children.
Keywords: Diabetes Mellitus Type 1, Exercises, Thyroxine, Glucagon‐Like Peptide‐1 -
مقدمه
نیروی عکس العمل عمودی زمین و نرخ بارگذاری تغییر یافته یک عامل مهم در ایجاد درد کشککی رانی Patella femoral pain, PFP است. هدف از این مطالعه، تاثیر تمرینات حسی حرکتی بر نیروی عکس العمل عمودی زمین و نرخ بارگذاری در بیماران با PFP هنگام پایین آمدن از پله بود.
روش بررسیدر این مطالعه 30 مرد مبتلا به PFP شرکت کردند که به صورت تصادفی به دو گروه تجربی و کنترل تخصیص یافتند (هر گروه 15 نفر). بیماران در گروه تجربی به مدت دوازده هفته تمرینات حسی حرکتی را انجام دادند در حالی که گروه کنترل هیچ گونه مداخله درمانی دریافت نکردند. درد، ترس از حرکت، قدرت عضلات چهارسر رانی، زاویه فلکشن زانو، مولفه های نیروی عکس العمل عمودی زمین و نرخ بارگذاری در دو مرحله پیش آزمون و پس آزمون ارزیابی شدند. برای آنالیز داده ها از نرم افزار16 SPSS و از روش آماری کوواریانس برای مقایسه نتایج بین گروهی استفاده گردید و سطح معناداری 0/05 در نظر گرفته شد.
نتایجتحلیل کوواریانس نشان داد که گروه تجربی در مقایسه با گروه کنترل در کاهش درد (0/001 >P)، کاهش ترس از حرکت (0/001 >P)، افزایش قدرت عضلانی چهارسر رانی (0/001 >P)، افزایش زاویه فلکشن زانو (0/001 >P)، مولفه های نیروی عکس العمل عمودی زمین (0/001 >P)، و کاهش نرخ بارگذاری (0/001 >P) تفاوت معناداری داشته است.
نتیجه گیریدر گروه تجربی با افزایش قدرت عضلات چهارسر رانی، درد و ترس از حرکت کاهش یافت و زاویه فلکشن زانو افزایش یافت و جذب شوک فعال ارتقا یافت. در نتیجه، اوج نیروی اول و دوم افزایش و نرخ بارگذاری و دره کاهش یافت.
کلید واژگان: درد کشککی رانی، کینتیک، کینماتیک، تمرینJournal of Shaeed Sdoughi University of Medical Sciences Yazd, Volume:32 Issue: 9, 2024, PP 8241 -8255IntroductionThe change of vertical ground reaction force and loading rate rate is a important factor in causing patellofemoral pain (PFP). The aim of this study was the effect of sensory-motor exercises on the vertical ground reaction force and loading rate in patients with PFP when stair descent.
MethodsA total of 30 patients with PFP participated and were randomly divided into two experimental and control groups (15 subject in each group). Over a period of twelve weeks, the experimental group engaged in sensorimotor exercises, while the control group did not receive any therapeutic intervention. Pain intensity, fear of movement, quadriceps muscle strength, knee flexion angle, components of vertical ground reaction force and loading rate were evaluated in two stages pre-test and post-test. For data analysis SPSS 16 software and the covariance statistical method were used to compare the results between groups, and the significance level was considered 0.05.
ResultsThe analysis of covariance analysis indicated that sensorimotor exercises in the experimental group compared to the control group had a significant difference in reduced pain (P >0.001), reduced fear of movement (P >0.001), incresed quadriceps muscle strength (P >0.001), incresed knee flexion angle (P >0.001), components of vertical ground reaction force (P >0.001), and reduced loading rate (P >0.001).
ConclusionThe finding suggest that the experimental group experienced a boost in in quadriceps muscle strength, leading to diminished pain and fear of movement, an increase in knee flexion angle, and enhanced active shock absorption. Consequently, there was an increase in both peak forces while the loading rate and valley force decreased.
Keywords: Patellofemoral Pain, Kinetic, Kinematic, Exercises -
زمینه و اهداف
فعالیت ورزشی می تواند آسیب های ناشی از آپوپتوز را در بیماران مبتلا به دیابت کاهش داده و کنترل کند. هدف از پژوهش حاضر، مروری بر مطالعات انجام شده جهت بررسی اثر فعالیت های ورزشی بر آپوپتوز در بیماران مبتلا به دیابت بود.
روش بررسیدر این مطالعه مروری، پاسخ مسیرهای سیگنالیک آپوپتوز در انواع فعالیت های ورزشی هوازی، مقاومتی و تمرین تناوبی با شدت بالا (HIIT) در بیماران مبتلا به دیابت در مقالات منتشر شده در پایگاه های داده ملی و بین المللی با استفاده از کلید واژه های «آپوپتوز، مسیرهای درونی و بیرونی آپوپتوز، پروتئین های ضدآپوپتوز، دیابت شیرین، تمرینات ورزشی، فعالیت بدنی، کاسپازها، تمرین تناوبی با شدت بالا و ورزش مقاومتی» جستجو شد.
یافته هادر مطالعات مربوط به مسیر ذاتی آپوپتوز، 3 مقاله، مسیر بیرونی آپوپتوز، 3 مقاله، آپوپتوز در بیماران دیابتی، 5 مقاله و در مطالعات مربوط به تاثیر فعالیت ورزشی هوازی بر مسیرهای سیگنالیک آپوپتوز در بیماران دیابتی، 6 مقاله، تاثیر تمرینات مقاومتی بر آپوپتوز در بیماران دیابتی، 1 مقاله و تاثیر HIIT بر روند آپوپتوز در انواع دیابت، 5 مقاله بررسی شد. به نظر می رسد فعالیت های ورزشی هوازی، مقاومتی و HIIT باعث افزایش بیان Bcl-2 و کاهش بیان Bax، Bcl-xl و کاهش پروتیئن p53 و کاسپاز3 می شود و روند آپوپتوز در بیماران دیابتی را به تاخیر می اندازد.
نتیجه گیریبررسی ها نشان می دهد فعالیت های ورزشی هوازی، مقاومتی و HIIT به صورت منظم اثرات مفیدی بر روی نشانگرهای ضدآپوپتوز در بیماران دیابتی دارد که باعث کنترل آپوپتوز در بیماری دیابت می شود. بنابراین ترکیب ورزش هوازی و تناوبی با شدت متوسط و بالا جهت کنترل آپوپتوز در بیماران مبتلا به دیابت به عنوان یک راه حل غیردارویی موثر توصیه می شود.
کلید واژگان: آپوپتوز، دیابت ملیتوس، فعالیت های ورزشیEBNESINA, Volume:26 Issue: 3, 2024, PP 86 -99Background and aimsExercise activities can help to reduce and control apoptosis-related damage in patients with diabetes. This research aimed to review studies investigating the effects of exercise on apoptosis in diabetic patients.
MethodsWe conducted a search for studies examining the response of apoptosis signaling pathways to aerobic, resistance, and high-intensity interval training (HIIT) exercise in diabetic patients. This was accomplished using scientific national and international databases focusing on keywords such as "The role of apoptosis in diabetes," "Intrinsic and extrinsic pathways of apoptosis," "aerobic exercise and apoptosis," and "resistance and high-intensity interval training in diabetic patients."
ResultsOur review covered three articles related to the intrinsic pathway of apoptosis, three on the extrinsic pathway, and five addressing apoptosis specifically in diabetic patients. We identified six articles discussing the effects of aerobic exercise on apoptosis signaling pathways, one article on resistance exercises, and five on the implications of HIIT on apoptosis across various types of diabetes. The findings suggest that aerobic, resistance, and HIIT exercise interventions increase Bcl-2 expression while decreasing the expression of Bax, Bcl-xL, p53 protein, and caspase-3, ultimately delaying the process of apoptosis in diabetic patients.
ConclusionRegular participation in aerobic, resistance, and HIIT activities appears to have beneficial effects on anti-apoptotic biomarkers in diabetic patients, thereby controlling apoptosis. Consequently, a combination of HIIT and aerobic exercises is recommended as an effective non-pharmacological strategy to manage apoptosis in patients with diabetes.
Keywords: Apoptosis, Diabetes Mellitus, Exercises -
مقدمه و اهداف
سندرم تونل کارپال یکی از شایع ترین گیرافتادگی های عصب محیطی است که به دنبال فشردگی یا درگیری عصب مدیان در کانال مچ دست بروز می کند. بنابراین هدف از مطالعه حاضر بررسی تاثیر تمرینات اصلاحی منتخب و ماساژ بر قدرت چنگ زدن، افزایش دامنه حرکتی و درد مچ دست زنان کاراته کار مبتلا به سندرم تونل کارپال است.
مواد و روش هامطالعه حاضر از نوع کاربردی و نیمه آزمایشی بود که بر روی 30 زن کاراته کار 25 تا 45 ساله مبتلا به سندرم تونل کارپال انجام شد. کاراته کاران در دو گروه 15 نفره آزمایشی و کنترل قرار گرفتند. گروه آزمایشی علاوه بر برنامه ماساژ ،تمرینات کششی و قدرتی را با نظارت و زیر نظر متخصص حرکات اصلاحی به مدت 8 هفته و 2 جلسه در هفته انجام دادند و گروه کنترل با نظارت فقط تمرینات باشگاهی خود را انجام دادند و هیچ گونه مداخله دیگری را انجام نمی دادند. از تست تینل، فالن و فشار با نظارت پزشک نورولوژیست جهت بررسی ابتلا به تونل کارپال استفاده شد. شدت درد با مقیاس بصری درد و قدرت چنگ زدن دست با استفاده از دایناموتر دستی و جهت اندازه گیری دامنه حرکتی در 4 حرکت پرونیشن، سوپینیشن، آبداکشن و اداکشن از گونیامتر یونیورسال به صورت پیش آزمون و پس آزمون از هر دو گروه اندازه گیری شد. برای تجزیه و تحلیل نتایج از آزمون آماری کوواریانس در سطح معنی داری 05/P<0 استفاده شد.
یافته هانتایج پژوهش حاضر نشان داد برنامه ترکیبی تمرینات اصلاحی منتخب همراه با ماساژ موجب کاهش معنی داری در شدت درد، افزایش قدرت چنگ زدن و افزایش دامنه حرکتی زنان مبتلا به سندرم تونل کارپال نسبت به گروه کنترل می شود (P<0/001).
نتیجه گیریباتوجه به نتایج حاصل از مطالعه حاضر استفاده از برنامه تمرینات اصلاحی منتخب و ماساژ به صورت ترکیبی موجب کاهش شدت درد، افزایش قدرت چنگ زدن افزایش دامنه حرکتی مچ دست می شود. بنابراین به درمانگران و مربیان ورزشی توصیه می شود از برنامه ترکیبی جهت بهبود تونل کارپال ورزشکاران استفاده شود.
کلید واژگان: سندرم تونل کارپال، ماساژ، ورزش، مفصلBackground and AimsCarpal tunnel syndrome (CTS) is one of the most common peripheral nerve entrapments that occurs due to compression or involvement of the median nerve in the carpal tunnel. This study aims to investigate the effect of selected corrective exercises combined with massage on hand grip strength, hand range of motion (ROM) and wrist pain in female karate players with CTS.
MethodsThis is a quasi-experimental study with a pre-test/post-test design conducted on 30 female karate players with CTS aged 25-45 years. They were assigned to two exercise (n=15) and control (n=15) groups. In addition to the massage therapy, the exercise group performed stretching and strength exercises for 8 weeks, two sessions per week. The control group only performed their routine training. Tinel’s test, Phalen’s test and carpal compression test were used under the supervision of a neurologist to check for carpal tunnel. Pain intensity was measured using the visual analog scale; the hand grip strength was measured using a hand-held dynamometer and a universal goniometer was used to measure the hand ROM in four movements of pronation, supination, abduction and adduction. The analysis of covariance was used to analyze the data and the significance level was P<0.05.
ResultsThe combined program caused a significant decrease in pain intensity, an increase in grip strength, and an increase in hand ROM in the exercise group compared to the control group (P<0.001).
ConclusionThe selected corrective exercises combined with massage therapy can reduce wrist pain intensity and increase hand grip strength and hand ROM in female karate players with CTS. The therapists and sports trainers are recommended to use this combined program to improve the carpal tunnel of female karate players.
Keywords: Carpal Tunnel Syndrome (CTS), Massage, Exercises, Joint -
BackgroundThis study aimed to examine the impact of a regimen of scapular stabilization exercises on pain, shoulder position, and performance in volleyball players diagnosed with scapular dyskinesia.MethodsThis semi-experimental, applied study involved 30 female volleyball players with scapular dyskinesia, who were purposefully selected and randomly assigned to control and training groups. The position of the shoulder, shoulder pain, and specific performance of the volleyball players were assessed using photographic methods, a numeric pain rating scale, and the AAHPERD service test. The training group performed scapular stabilization exercises for eight weeks. Post-tests were conducted after the exercise regimen. Parametric data were analyzed using paired t-tests and analysis of covariance, while non-parametric data were evaluated using the Wilcoxon and Yeoman-Whitney tests.ResultsThe findings indicated that an eight-week program of scapular stabilization exercises significantly improved shoulder position and specific performance and reduced shoulder pain in volleyball players with scapular dyskinesia.ConclusionScapular stabilization exercises can effectively enhance shoulder position, improve specific performance, and alleviate shoulder pain in volleyball players suffering from scapular dyskinesia.Keywords: Athletic Performance, Exercises, Pain, Volleyball
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Background
Microvascular changes and precursors of atherosclerosis are frequently observed in young patients with early-onset type 1 diabetes (T1DM). Due to their known beneficial effects, physical activity is strongly recommended for its management.
ObjectivesThis study aimed to investigate the effects of eight weeks of organized exercise (OE) and non-organized leisure time activity (NOLTA) on determinants of cardiovascular disease and physical fitness in children with type 1 diabetes.
MethodsIn this quasi-experimental study, 20 children with T1DM were randomly divided into two groups of 10: OE (n = 10, mean age = 12.60 ± 1.34 years) and NOLTA (n = 10, mean age = 12.40 ± 0.84 years). Subjects in both groups participated in their respective activities 3 days per week. Blood samples and physiological measurements were taken 48 hours before and after the 8-week training period.
ResultsHigh-density lipoprotein (HDL) levels and physical fitness factors increased significantly in both exercise groups. Fasting blood glucose, C-reactive protein, and the cholesterol/HDL ratio were also significantly reduced in both groups. Waist circumference, glycosylated hemoglobin, and the LDL/HDL ratio were significantly reduced only in the OE group. However, the decrease in the acute phase protein pentraxin 3 was minimal and statistically insignificant.
ConclusionsIn children and adolescents with T1DM, regular exercise—due to its anti-inflammatory effects and its ability to improve cardiorespiratory fitness, lipid profile, and blood glucose levels—may help reduce the severity and likelihood of cardiovascular disease in adulthood.
Keywords: Diabetes Mellitus, Type 1, C-Reactive Protein, Exercises, Pentraxin3, Inflammation, Lipid Profile -
زمینه و هدف
توانبخشی پس از سکته مغزی نقش مهمی در کمک به بیماران جهت بازیابی توانایی های حرکتی و بهبود کیفیت زندگی آنها دارد. پیشرفت های اخیر در فناوری، به ویژه پدیده واقعیت مجازی، پتانسیل قابل توجهی را در جهت افزایش کارآمدی برنامه های توانبخشی پس از سکته مغزی ایجاد نموده است. هدف این مطالعه، بررسی پتانسیل ها و فرصت های ایجاد شده توسط مداخلات مبتنی بر واقعیت مجازی در زمینه توانبخشی پس از سکته مغزی می باشد.
مواد و روش هادر این مطالعه مروری، 349 مقاله مرتبط با اهداف مطالعه با جستجوی پایگاه های داده Web of Science، PubMed و Science Direct، همچنین Google Scholar با کلید واژه های Rehabilitation, Post-stroke, Movement Disability, Virtual Reality در فاصله زمانی بین ابتدای سال 2015 تا 2023 حاصل شد. در نهایت، پس از انجام مراحل پالایشی تکرارگیری و حذف مطالعات غیرهمسو با هدف مطالعه حاضر، 67 مقاله انتخاب شد و پس از تحلیل محتوا، یافته ها در قالب مقاله حاضر تدوین گردید.
یافته هاطراحی محیط های چندبعدی تعاملی متناسب با فعالیت های روزانه و عاری از محدودیت ها و خطرات محیط های واقعی، شخصی سازی تمرینات متناسب با وضعیت خاص هر بیمار، خوشایند بودن و رفع موانع روانشناختی انجام تمرینات، توانمندسازی و آموزش سریع بیمار جهت استفاده از محیط مجازی، ارائه خدمات توانبخشی از راه دور و امکان پایش توسط مراکز تخصصی و نیز امکان ثبت و نمایش میزان پیشرفت درمان های توانبخشی از جمله پتانسیل های ذکر شده در منابع برای ارائه خدمات توانبخشی در بستر واقعیت مجازی بود.
نتیجه گیریتوانبخشی با استفاده از واقعیت مجازی به عنوان یک گزینه درمانی متناسب با پیشرفت های فناوری، بستر اثربخشی را برای توانبخشی بیماران پس از سکته مغزی فراهم می کند که در آن هر بیمار متناسب با وضعیت خود می تواند گزینه درمانی اختصاصی خود را در یک فضای خوشایند و برانگیزاننده انتخاب نماید و تمرینات توانبخشی خود را با مشخص بودن نوع تمرینات، تعداد و میزان تکرار هر یک از آنها انجام داده و با دریافت بازخورد از نحوه انجام تمرینات و نیز میزان پیشرفت، مسیر را برای بازیابی بهینه-ترین حالت عملکرد ادامه دهد.
کلید واژگان: توانبخشی حرکتی، واقعیت مجازی، سکته مغزی، شخصی سازی درمان، تمریناتIntroduction & ObjectivePost-stroke rehabilitation plays a crucial role in helping individuals regain motor functions and improve their quality of life. Recent advancements in technology, particularly the emergence of virtual reality (VR), have shown significant potential in enhancing the effectiveness of post-stroke rehabilitation programs. This study aims to explore the potentials and opportunities created by VR-based interventions in the post-stroke rehabilitation.
Materials & MethodsIn this review study, a total of 349 articles related to the study objectives were obtained by searching databases including Web of Science, PubMed, Science Direct, and Google Scholar using the keywords "Rehabilitation," "Post-stroke," "Motion Disability," and "Virtual Reality" from 2015 to 2023. After conducting refinement steps, eliminating non-relevant studies, and aligning with the objectives of the present study, 67 articles were selected. The findings were analyzed, and the results were formulated in the current article.
ResultsThe findings highlighted the potential of designing interactive multidimensional environments tailored to daily activities, and free from constraints and risks of real-world environments. Personalizing exercises according to each patient's specific condition, addressing psychological barriers, empowering and facilitating rapid patient adaptation to the virtual environment, providing tele-rehabilitation services and monitoring by specialized centers, as well as the ability to record and display progress in rehabilitation treatments were among the potential benefits of utilizing VR in rehabilitation settings.
ConclusionsPost-stroke rehabilitation utilizing VR as a treatment option, in line with technological advancements, offers an effective platform for the recovery of stroke patients. It allows each patient to choose their personalized treatment option in an engaging and motivating environment. By specifying the type, number, and intensity of exercises, receiving feedback on performance, and monitoring progress, patients can pursue the optimal path towards achieving their functional goals.
Keywords: Motor Rehabilitation, Virtual Reality, Stroke, Personalized Treatment, Exercises -
مقدمه
ورزشکاران دارای اختلال بیش فعالی همراه با نقص توجه در کارکردهای اجرایی نقص دارند و یافتن روش های غیر دارویی جدید برای کمک به آن ها اهمیت بسیاری دارد. بنابراین هدف پژوهش حاضر تعیین تاثیر تمرینات حرکتی و شناختی بر حافظه کاری و توجه انتخابی این ورزشکاران بود.
روش بررسیروش این پژوهش نیمه تجربی با طرح پیش آزمون- پس آزمون با گروه کنترل بود. از بین 120 ورزشکار (دختر و پسر) دارای بیش فعال/نقص توجه در رده سنی 9 تا 11 سال استان لرستان، تعداد 75 ورزشکار به شکل در دسترس انتخاب و به صورت تصادفی در سه گروه 25 نفره کنترل، تمرینات حرکتی و تمرینات شناختی گمارده شدند. ابتدا پیش آزمون گرفته شد. سپس گروه آزمایش اول، تمرینات حرکتی ریتمیک و گروه آزمایش دوم تمرینات شناختی (نرم افزار کاپیتان لاگ) به مدت 20 دقیقه در 10 جلسه دریافت کردند. گروه کنترل از مداخلات دور ماند. یک روز بعد از مداخلات پس آزمون و پس از دو هفته آزمون پیگیری انجام شد. در این پژوهش از آزمون ان بک و استروپ برای سنجش حافظه کاری و توجه انتخابی استفاده شد. برای تحلیل دادهها از تحلیل واریانس مرکب، واریانس یک راهه و آزمون تعقیبی بنفرونی با استفاده از نرم افزار SPSS نسخه 22 استفاده شد (05/0≥p).
یافته هانتایج نشان داد، بین گروه تمرینات حرکتی (0001/0=P) و تمرینات شناختی (0001/0=P) با گروه کنترل تفاوت معنی داری وجود دارد. اما بین دو گروه آزمایش تفاوت معناداری گزارش نشد.(536/0=P).
نتیجه گیریتمرینات مذکور را می توان به عنوان یک درمان موثر در بهبود حافظه کاری و توجه انتخابی در ورزشکاران دارای اختلال بیش فعالی همراه با نقص توجه استفاده کرد.
کلید واژگان: توجه، حافظه، تمرین، ورزشکاران، اختلال نقص توجه همراه با بیش فعالیIntroductionAthletes with attention-deficit/hyperactivity disorder (ADHD) have deficits in executive functions, and it is very important to find new non-pharmacological methods to help them. The aim of this study was to determine the effect of motor and cognitive exercises on working memory and selective attention in athletes with ADHD.
MethodsA quasi-experimental design with a pretest-posttest and follow-up was employed, including a control group. A total of 120 athletes(males and females) with ADHD, aged 9 to 11, from Lorestan province, were initially considered. Among them, 75 athletes were randomly assigned to three groups: control, motor exercises, and cognitive exercises, with each group consisting of 25 participants.The first experimental group received motor exercises, while the second experimental group received cognitive exercises (Captain’s Log), both delivered in 10 sessions of 20 minutes each. The control group did not receive any interventions. Post-tests were conducted immediately one day after the intervention period, followed by a two-week follow-up test. Working memory and selective attention were assessed using the N-back and Stroop tests. Data analysis included mixed ANOVA, one-way ANOVA, and Benferroni's post hoc test performed using SPSS version 22 statistical software.
ResultsThe results demonstrated a significant difference between the group of motor exercises (P= 0/0001) and cognitive exercises (P= 0/0001) with the control group. However, no significant difference was found between the two experimental groups(P= 0/536).
ConclusionThe mentioned exercises can be used as an effective treatment in improving working memory and selective attention in athletes with hyperactivity disorder and attention deficit disorder.
Keywords: Memmory, Attention, Exercises, Athletes, ADHD -
ObjectiveGiven the bone sensitivity to mechanical stimulus, bone-loading exercises and applying the Pulsed Electromagnetic Fields (PEMF(s)) are recommended for promoting bone strength. In this context, these two interventions 's effect on bone turnover markers (BTMs) in osteoporosis patients is yet to be clarified; consequently, an attempt is made in this study to compare the effect of these two interventions on bone turnover markers in women with Postmenopausal Osteoporosis (PMOP).MethodsThis study is design as a randomized, single-center, three-arms, controlled trial. A total of 51 women with PMOP will be randomly assigned to three groups of 17, using opaque, sealed envelopes containing labels for A, B, and C groups. Group A) will receive bone-loading exercises, B) will follow the PEMF(s) and C) will be exposed to the combination of A and B. These three groups will require intervention for 24 sessions (2 sessions/week) next to their routine medical treatment (Alendronate+ Calcium+ Vitamin D). The primary outcome of this study is the serum biomarker of bone formation (bone-specific alkaline phosphatase, BSALP) and resorption (N-terminal telopeptide, NTX). The secondary outcomes consist of thoracic kyphosis angle, fear of falling, and quality of life. The outcomes are measured three times: at baseline, after 24 sessions of intervention, and at 12 weeks follow-up. A primary outcome will be measured and reported by a laboratory expert who is blinded to the participant grouping.ResultThe trial has the code of ethics for research (IR.TUMS.FNM.REC.1401.126) and the code of Iranian Registry of Clinical Trials (IRCT) (IRCT20221202056687N1). Study results are expected to be available by mid-2024.ConclusionThis trial will provide new practical knowledge on the bone-loading exercises and PEMFS(s)’s effect on PMOP women. This knowledge is of the essence for physiotherapists, clinicians, other healthcare professionals, and policymakers in the healthcare system. Level of evidence: Not applicableKeywords: Bone Turnover Markers, Exercises, Postmenopausal Osteoporosis, Pulsed Electromagnetic Fields
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Introduction
Inactivity and passive lifestyle have led to an increase in mortality and the incidence of chronic diseases such as hypertension, type 2 diabetes and obesity. The aim of this study was to investigate the effects of eight weeks of rhythmic exercises with music on IGFBP-3, insulin resistance index and quality of life in women with different body mass indices.
MethodsIn this quasi-experimental study, 33 sedentary women were randomly divided into three groups: exercise + normal )body mass index [BMI] 20 to 24.9 kg/m²) (n= 11), exercise + overweight (BMI 25 to 29.9 kg/m²) (n=11), and exercise + obese (BMI 30 to 34.9 kg/m²) (n=11). The rhythmic exercise program consisted of 8 weeks, three sessions per week and each session was performed for 45 to 60 minutes with an intensity equal to 60 to 70% HRmax. The paired t-test and one-way ANOVA with repeated measures were used to compare changes within and between groups.
ResultsThe results showed that the time interaction in the groups in terms of IGFBP-3, insulin, glucose, insulin resistance and quality of life was not statistically significant. The results of the comparison of within-group means showed that in the normal body mass index group, the overweight and obese groups, IGFBP-3 levels, quality of life have significantly increased. In the overweight and obese body mass index groups, serum insulin levels, glucose, and insulin resistance index significantly decreased.
Conclusion (s)Rhythmic exercise increased IGFBP-3 concentration and decreased fasting glucose, fasting insulin, insulin resistance index in all three groups.
Keywords: Exercises, IGFBP-3, Quality Of Life, Body Mass Index -
Aims
Scapula dyskinesis and reduced strength of the glenohumeral external rotator muscles are shoulder risk factors. The shoulder joint's unstabilizing mechanisms can cause a decrease in the strength of the external rotator muscles, an imbalance of the rotator cuff muscles, and scapula dyskinesis. This study aimed to investigate the effect of an exercise program on scapula dyskinesis and the strength of glenohumeral rotator cuff muscles in overhead athletes.
Materials & MethodsThe present quasi-experimental study with a control group and pre- and post-test plan was conducted on 62 female handball players (club-level, 18-25 years old) with scapula dyskinesis from 2021 to 2022 in Hamadan City, Iran. The lateral scapular slide test and hand dynamometers were used to measure scapula dyskinesis and the strength of glenohumeral rotator cuff muscles, respectively. The participants in the intervention group participated in eight weeks of three sessions of an exercise program. Data were measured before and after the intervention and were analyzed using the Mann-Whitney U test.
FindingsAccording to this test, there is a significant difference between the strength of external rotator muscles (p<0.001) in the intervention and control groups after exercises, so the strength of external rotator muscles and the strength of external/internal rotator muscles ratio (p<0.001) has increased after exercises. Also, scapula dyskinesis after exercises has decreased significantly (p=0.013).
ConclusionThe exercise program increases the strength of external rotator muscles and the ratio of external/internal rotator muscles and improves scapula dyskinesis in overhead athletes.
Keywords: Shoulder, Exercises, Scapular Dyskinesia -
Background
Hemorhological disorders are one of the primary causes of cardiovascular diseases. Accordingly, aerobic and combined exercises can improve hemorhological indicators and reduce cardiovascular complications in high-risk people.
ObjectivesThis study aimed to compare the effects of eight weeks of aerobic and combined exercise on some hemorheological indicators in middle-aged male patients undergoing Coronary Artery Bypass Graft Surgery.
MethodsThis experimental study was conducted in 2023 on 30 middle-aged men (Age, 57.63 ± 6.38, BMI, 26.61 ± 3.60) undergoing Coronary Artery Bypass Graft Surgery in Kermanshah, Iran, who were divided into aerobic (10 people), combined (10 people), and control (10 people) groups. The intervention groups received selected exercises for eight weeks (24 sessions). Serum hemoglobin, hematocrit, fibrinogen, and erythrocyte sedimentation rate (ESR) were measured before and after the intervention. The parametric paired sample t-test and one-way ANOVA test were used to examine differences at a significance level of P ≤ 0.05.
ResultsThe effect of combined exercises on hemoglobin and hematocrit was significant (P ≤ 0.05), but the amount of reduction in the aerobic group was not significant (P > 0.05). Findings in the fibrinogen and ESR variables showed a significant decrease in both aerobic and combined groups (P ≤ 0.05). There was no significant difference between the effect of eight weeks of aerobic and combined training on the variables of hemoglobin, hematocrit, fibrinogen, and ESR (P > 0.05).
ConclusionsBased on the results, aerobic and combined exercises effectively improved the hemorheological indicators and overall conditions of patients who underwent Coronary Artery Bypass Graft Surgery. Therefore, these exercises should be included in the cardiac rehabilitation program as an effective treatment method.
Keywords: Hemoglobin, Hematocrit, Fibrinogen, ESR, Exercises, Coronary Artery Bypass Graft Surgery -
Background
Type 2 diabetes is a metabolic disease associated with a partial or absolute deficiency of insulin, hyperlipidemia, and impaired metabolism of carbohydrates, fats, and proteins.The present study aimed to compare the effects of different types of exercises on lipid profiles in menopausal women with type 2 diabetes.
MethodsFifty-six sedentary obese menopausal women with type 2 diabetes were randomly divided into 4 groups: aerobic exercise, resistance exercise, combined exercise, and a control group. Each group, except the control group, participated in their respective exercises for 8 weeks. Blood samples were collected from the subjects before and 48 hours after the training period. Data were analyzed using the analysis of variance (ANOVA) and paired sample t tests, with a significance level set at P≤0.05. All calculations were performed using SPSS v. 20.
ResultsTriglyceride levels significantly decreased in the aerobic exercise (P = 0.017) and combined exercise (P = 0.0001) groups. Low-density lipoprotein levels significantly decreased in aerobic exercise (P = 0.034), resistance exercise (P = 0.003), and combined exercise groups (P = 0.009). Cholesterol levels significantly decreased in the aerobic exercise (P = 0.0001), resistance exercise (P = 0.030), and combined exercise (P = 0.01) groups. Additionally, high-density lipoprotein levels significantly increased in the aerobic exercise (P = 0.041) and combined exercise (P = 0.002) groups.
ConclusionIt appears that combined exercises, rather than resistance or endurance exercises alone, are a more appropriate intervention for improving lipid profiles in menopausal women with type 2 diabetes.
Keywords: Menopause, Diabetes Mellitus, Exercises, Cholesterol, Triglycerides, High-Density Lipoproteins -
ObjectivesThere is debate about when to start exercises in the nonoperative treatment of a proximal humerus fracture. This randomized trial compared immediate and one-month delayed shoulder exercises in the nonoperative treatment of fractures of the proximal humerus.MethodsTwenty-six patients with a fracture of the proximal humerus who chose nonoperative treatment were randomized to start pendulum exercises within a few days and 24 were randomized to delayed exercises and started with active self-assisted stretching 1 month after fracture. Three and six months after the injury, patients completed the Disabilities of the Arm Shoulder and Hand questionnaire to measure capability, a measure of pain intensity, and had motion measurements.ResultsThere was no significant difference in forward flexion (primary outcome) six months after injury between patients that started motion exercises immediately compared to 1 month after injury (p = 0.85). There was no difference in any motion measurement, pain intensity, upper extremity specific disability (DASH score) three or six months after injury.ConclusionDelaying exercises for a month does not affect recovery from nonoperative treatment of a fracture of the proximal humerus. People can choose whether to start exercises immediately or wait until they feel comfortable.Level of evidence: IIKeywords: Exercises, Nonoperative treatment, Proximal Humerus Fracture
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زمینه و هدف
پای پرانتزی یکی از ناهنجاری های اندام تحتانی می باشد. لذا هدف از پژوهش حاضر مروری بر تاثیر تمرینات ورزشی و ابزارهای حمایتی بر بیومکانیک حرکات انتقالی در افراد دارای پای پرانتزی بود.
مواد و روش هامطالعه حاضر از نوع مقاله مروری می باشد. جستجوی مقالات به زبان فارسی و لاتین از ابتدای سال 2010 تا ابتدای ماه مارس سال 2023 بود که در پایگاه های استنادیWOS ،SID ، Magiran،Scopus ، ISC، PubMed و Google Scholar صورت پذیرفت. 32 مقاله در ارتباط با تاثیر تمرینات ورزشی و ابزارهای حمایتی بر عارضه پای پرانتزی مورد بررسی و تحلیل قرار گرفت.
یافته هایافته های 4 مقاله مرتبط با تمرینات هوازی نشان دهنده افزایش اوج نیروهای عکس العمل زمین و نرخ بارگذاری بود. یافته های 6 مقاله نشان دهنده اثرات مثبت تمرینات مقاومتی-اصلاحی بر بهبود تعادل و زاویه Q بود. به علاوه، بررسی 2 مقاله نشان دهنده کاهش شدت ناهنجاری به دلیل استفاده مکرر از کفی طبی بود. هم چنین، تعداد 11 مقاله به اثرات مثبت ارتز، بریس و گوه پرداختند. در نهایت، تعداد 2 مقاله نشان دهنده افزایش زاویه Q و تعادل به واسطه استفاده از کنزیوتیپ بود. یکی از مقالات در حوزه تیپینگ نشان داد که استفاده از کنزیوتیپ می تواند قدرت عضلانی را کاهش دهد. 6 مقاله به نحوی به اثرات منفی پروتکل تمرینی و یا ابزارهای حمایتی اشاره کرده اند یا هیچ گونه اختلاف معنی داری گزارش نکرده اند.
نتیجه گیریبه نظر می رسد انجام تمرینات مقاومتی-اصلاحی به همراه استفاده مداوم از ابزارهای حمایتی در مقایسه با انجام تمرینات هوازی موثرتر باشد.
کلید واژگان: تمرینات ورزشی، ابزارهای حمایتی، پای پرانتزی، کنزیوتیپBackground and ObjectivesGenu varum is one of the abnormalities of the lower limbs. The aim of the present study was to review the effect of exercise training and support tools on biomechanics of transitional movements in people with genu varum.
Materials and MethodsThe present study was a review article. The search for articles in Persian and Latin was from the beginning of 2010 to the beginning of March 2023, which was done in the citation databases of WOS, ISC, SID, Magiran, Scopus, PubMed, and Google Scholar. 32 articles related to the effect of exercise training and support tools on genu varum were analyzed.
ResultsFindings of four articles related to aerobic exercises showed an increase in peak reaction forces and loading rate. Findings of six articles showed the positive effects of resistance-corrective exercises due to the improvement of balance and Q angle. Results of two articles showed a reduction in the severity of the abnormality due to the frequent use of the medical floor. Eleven articles discussed the positive effects of orthosis, braces, and wedges. Two articles indicated the increase of Q angle and balance due to the use of kinesio taping. One article demonstrated that the use of kinesio taping can reduce muscle strength. Six articles mentioned the negative effects of the exercise protocol or support tools or have not reported any significant differences.
ConclusionIt appears that performing resistance-corrective exercises along with the continuous use of support tools is more effective compared to performing aerobic exercises.
Keywords: Exercises, Support devices, Genu varum, Kinesio taping -
Purpose
This study aims to examine the effect of 6 weeks of combined exercises (CE), short foot exercise (SFE), and SFE with isometric hip abduction (IHA) on dynamic balance (DB), joint position sense (JPS), and strength in women with flexible flatfoot (FF).
MethodsA total of 40 women with flexible flatfoot (FF) participated in this semi-experimental study and were randomly assigned to three groups as follows: CE (n=14), SFE (n=13), and IHA (n=13). Six weeks of exercise were split into 3 sessions under supervision and 3 sessions at home were completed by the participants. The Y balance test, goniometer, and dynamometer were used to assess DB, JPS, and strength before and after the exercises, respectively. The mixed-model repeated-measures multivariate analysis of variance statistical test was used to analyze the data with a significance level of 0.05.
ResultsThe results revealed that after performing the exercises, there was a significant difference in the DB in the SFE group in two posteromedial and posterolateral directions; meanwhile, in the IHA group this difference was in three directions, while in the CE group, it was in the posterolateral direction (P<0.05). After the exercises, no significant difference was observed in either group’s JPS or plantar flexors and dorsal flexors strength (P>0.05). Between the groups, there was no difference in any of the other variables (P>0.05).
ConclusionConsidering that the DB changes in the IHA group were more than in the other two groups, these exercises are suggested to improve the DB in women with FF.
Keywords: Pes planus, Foot deformities, Exercises -
مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد، سال شصت و ششم شماره 3 (پیاپی 189، امرداد و شهریور 1402)، صص 465 -475زمینه و هدف
اضطراب یک اختلال روانی شایع در طول کووید 19 است که می تواند کیفیت زندگی را کاهش دهد. ورزش یکی از مهمترین، ساده ترین و ارزان ترین رویکردهای درمانی است که می تواند اختلال های روانی را بهبود بخشد. هدف از این مطالعه بررسی رابطه بین فعالیت بدنی (PA) و سلامت روان در طی موج اول کووید 19 است. این مطالعه از 7 تا 21 اردیبهشت 1399 انجام شده است.
روش هابرای نمونه گیری از روش گلوله برفی استفاده شد و افراد ساکن در استان خراسان شمالی از 7 تا 21 اردیبهشت 1399 در طول قرنطینه خانگی پرسشنامه ها را پر نمودند. تاثیر روانشناختی و وضعیت سلامت روان کووید 19 به ترتیب با استفاده از تاثیر مقیاس رویداد اصلاح شده (IES-R) و مقیاس افسردگی، اضطراب و استرس (DASS-21) اندازه گیری شد. در نهایت در این بازه ی دو هفته ای قرنطینه ی خانگی، نمونه های ما به 385 نفر رسید.
یافته هامیانگین شاخص توده بدنی (BMI) مردان و زنان 91/24 و 5/24 بود. استرس، اضطراب و افسردگی در افراد کم وزن و چاق بیشتر از افراد دارای وزن نرمال و اضافه وزن بود. بین اضطراب (P=0.003 F=4.027,)، استرس (P=0.000 F=9.34,) و افسردگی (P=0.000 F=6.533,) گروهی که به هیچ وجه فعالیت بدنی ندارند و گروه هایی که هر روز و سه روز در هفته فعالیت بدنی داشتند تفاوت معنی داری وجود داشت.
نتیجه گیریفعالیت بدنی (PA) به طور بالقوه می تواند به بهبود سلامت روان و سلامتی کمک کند.
کلید واژگان: استرس، اضطراب، افسردگی، فعالیت بدنی، کووید -19BackgroundAnxiety is a common mental disorder during the COVID-19 that can reduce quality of life. Exercise is one of the most important, simple, and inexpensive treatment approaches that can improve mental health. The aim of this study investigate the relationship between physical activity (PA) and mental health during the first wave of COVID-19. This longitudinal study conducted from April 26 to May 3, 2020.
MethodsOur snowball sampling strategy focused on recruiting the public living in IRAN (Khorasan) during the COVID-19 outbreak. The psychological impact and mental health status of COVID-19 was measured using the Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety and Stress Scale (DASS-21), respectively. Eventually, during this two-week home quarantine period, our sample number reached 385.
ResultsThe mean of Body Mass Index (BMI) men and women were 24.91 and 24.5. People who are underweight and obese have more Stress, Anxiety and Depression than those who have acceptable weight and overweight. There is difference between the anxiety (P=0.003, F=4.027), stress (P=0.000, F=5.934) and depression (P=0.000, F=6.533) of the group that did not have physical activity at all and the groups that had physical activity every day and three days a week, during COVID-19.
ConclusionPromotion of physical activity (PA) can potentially help improve mental health and wellness.
Keywords: Anxiety, Depression, Exercises, stress, COVID-19 -
Background
The studies reported that chemokines Chemokine (C‑C motif) ligand 2 (CCL2) and Chemokine (C‑C motif) ligand 5 (CCL5) have tumor‑promoting roles in breast cancer (BC). The aim of the present study was to evaluate the effect of 4 weeks of continuous aerobic exercise (AE) on chemokines CCL2 and CCL5 and their relative receptors in animal model of human BC.
Materials and MethodsBALB/c mice were divided randomly into four groups included cancer control (CC) and three other groups. The total duration of the experiment was 14 weeks, including 2 weeks of familiarization of mice with treadmills and three of 4‑week periods of experiment. Tumor inoculation and formation were performed in the second 4‑week period. Group 1 received AE in the first 4‑week, Group 2 received AE in the second 4‑week and Group 3 in the third 4‑week.
ResultsThe CCL2 was reduced significantly in Groups 1, 2, and 3 compared to control (F3,12 = 4705, P = 0.0001). In terms of CCL5, a significant decrease was seen only between Group 3 and control. Western blot results showed a significant reduction in C‑C chemokine receptor Type 2 (CCR2) between Group 1 versus CC and Group 2 versus CC (F3,20 = 1.812, P = 0.004). In terms of C‑C chemokine receptor Type 5 (CCR5) a significant decrease was observed between Group 2 versus control and Group 3 versus control (F3,20 = 273.3, P = 0.042), (P = 0.004).
ConclusionIt can be concluded that 4‑week AE significantly reduces the chemokines CCL2 and CCL5 and their respective receptors levels CCR5 and CCR2 in different stages, and it may have an inhibitory effect on tumor growth.
Keywords: Breast cancer, breast neoplasm, breast tumor, chemokines, exercises, physical activity -
زمینه و هدف
وقوع حوادث بیوتروریستی و همه گیری بیماری های نوپدید و بازپدید، ضرورت آمادگی را برای کشورها بیش از پیش مطرح می سازد. به دلیل ماهیت تهدیدات زیستی اولین افرادی که با پیامدهای یک حمله زیستی روبرو می شوند، مدیران و کارکنان مراکز بهداشتی و درمانی هستند. بنابراین نظام سلامت باید برای مقابله با تهدیدات زیستی آمادگی های لازم را کسب نماید. یکی از راه های کسب آمادگی انجام تمرینات مختلف در این حوزه است. بدین منظور مطالعه حاضر به تبیین ابعاد و مولفه های تمرین بیمارستانی به منظور آمادگی در برابر حوادث و تهدیدات زیستی می پردازد.
روش هااین مطالعه به روش مرور حیطه ای در سال 1401 انجام شد. جامعه و گروه هدف در این مطالعه کلیه بیمارستان های کشور بودند. داده ها از طریق جستجوی کتابخانه ای و اینترنتی در منابع الکترونیکی Science Direct ،Scopus ،PubMed ،GoogleScholar و SID با کلیدواژه های پژوهش، آمادگی در برابر حوادث و تهدیدات زیستی و برنامه تمرین بیمارستانی بین سال های 2000 تا 2022 جمع آوری شد و با نرم افزار MAXQDA نسخه 18 تجزیه و تحلیل گردید.
یافته هایافته های مطالعه از 9 بعد 1) رهبری، فرماندهی و هماهنگی، 2) ارتباطات، مدیریت اطلاعات و اطلاعرسانی، 3) برنامه ریزی و تدوین پروتکل ها، 4) تدوین سناریو، آموزش و انواع تمرین، 5) فراظرفیت و مدیریت منابع، 6) سازماندهی تمرین و سرمایه انسانی، 7) اجرای تمرین و عملیات پاسخ، 8) ایمنی و امنیت، 9) بازیابی، ارزشیابی و درس آموخته ها و 31 مولفه تشکیل شده است.
نتیجه گیریطبق نتایج به دست آمده در این مطالعه، بیمارستان ها باید برای اجرای صحیح تمرین زیستی هر یک از 9 بعد و 31 مولفه زیرمجموعه آن ها را با دقت و با جزییات اجرا نمایند.
کلید واژگان: آمادگی، تمرینات، تهدیدات زیستی، حوادث زیستیJournal of Military Medicine, Volume:25 Issue: 2, 2023, PP 1739 -1751Background and AimBioterrorist incidents and the epidemic of emerging and re-emerging diseases highlight the necessity of preparation for countries more than ever. Due to the biological threats nature, managers and employees of healthcare centers are the first people to face the consequences of a biological attack. Therefore, the healthcare system must make the necessary preparations to deal with biological threats. One way to prepare is to do various exercises in this field. The aim of the current study was to identify dimensions and components of hospital exercises to Preparedness for biological incidents and threats.
MethodsData were collected through library and internet searches in electronic sources including Science Direct, Scopus, PubMed, GoogleScholar and SID using the keywords of research, preparedness against incidents and biological threats, and hospital exercises program between 2000 and 2022. Collected data were analyzed by MAXQDA v18 software.
ResultsThe findings of the study consist of 9 dimensions: 1) Leadership, command, and coordination, 2) Communication, information management, and information, 3) Planning and formulation of protocols, 4) Development of scenarios, training, and types of exercises, 5) Overcapacity and resource management, 6) Exercise organization and human capital, 7) Exercise implementation and response operations, 8) Safety and security, 9) Retrieval, evaluation, and lessons learned, and 31 components as well.
ConclusionAccording to the results obtained in this study, hospitals must implement each of the 9 dimensions and 31 sub-components carefully and in detail for the correct implementation of the biological practice.
Keywords: Preparedness, Exercises, Biothreats, Bioincidents -
Purpose
One of the most significant contributors to lower extremity degeneration alterations and its effects on balance and sports performance is dynamic knee valgus (DKV) as a faulty movement pattern. Different exercise interventions have been conducted to improve DKV. Extensive research and meta-objective analysis were conducted to assess how exercise interventions affected people with lower extremity functional indicators of DKV.
MethodsThe electronic databases Scopus, Web of Science (WoS), PubMed, Google Scholar, and Iranian databases SID and Magiran were systematically searched from inception to September 2021. Only full-text articles published in English/Persian peer-reviewed journals that met this study criterion were tracked. Two researchers evaluated the methodological quality of research findings separately, employing the Downs and Black Checklist. After collecting significant data from eligible studies, the results were integrated by applying a random-effects meta-analysis approach.
ResultsThe final systematic review and meta-analysis comprised seven of the 3470 papers deemed potentially relevant. The outcome illustrates that different exercise interventions may be effective in improving dynamic balance (SD=0.93 degrees, 95%CI: 0.54-1.32, P<0.001) and functional performance (Hedge’s g=1.695, 95% CI=1.22-2.17, Z=6.99, P<0.001) in 250 DKV participants.
ConclusionExercise interventions appear to be an effective method to enhance dynamic balance and functional performance in individuals experiencing DKV; nevertheless, these results should be regarded as preliminary due to the limited number of studies and their limitations.
Keywords: Dynamic knee valgus (DKV), Functional indices, Exercises, Meta-analysis
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