Physical Rehabilitation and Recreational Health Technologies

Protein supplementation on muscle recovery and soreness after intense badminton training sessions

Fri, 28 Feb 2025 00:00:00 +0200

Purpose. This study aimed to investigate the impact of protein supplementation on muscle recovery and delayed-onset muscle soreness (DOMS) in male badminton players following intense training sessions.

Materials and Methods. Thirty-six male badminton players, aged 18 to 25, were randomly divided into three groups: a high-protein group (1.6 g/kg body weight), a moderate-protein group (0.8 g/kg body weight), and a placebo group. Participants consumed their respective supplements within 30 minutes after each training session over a six-week period. Muscle soreness was assessed using the Visual Analog Scale (VAS) at 24, 48 and 72 hours post-exercise, and recovery was measured through the Perceived Recovery Status (PRS) scale. Statistical analyses, including two-way ANOVA, were performed to assess the effects of protein supplementation and the recovery time on muscle soreness and recovery.

Results. The high-protein group showed significantly faster recovery and reduced muscle soreness than the moderate-protein and placebo groups (p < 0.001). Furthermore, regression analysis indicated a strong negative correlation between protein intake and muscle soreness, highlighting the benefit of higher protein levels in improving recovery.

Conclusions. Protein supplementation, especially at a higher dose of 1.6 g/kg body weight, significantly aided in muscle recovery and reduced muscle soreness in male badminton players. This suggests that adequate protein intake is key to enhancing recovery and performance in sports that require quick bursts of intense activity.

Readaptation of functional capabilities of special unit servicemen with long-term hypodynamia caused by peripheral neuromuscular system damage

Fri, 28 Feb 2025 00:00:00 +0200

Purpose. To study the efficiency of readaptation of the functional capabilities of special unit servicemen with prolonged hypodynamia caused by neuromuscular system damage during long-term rehabilitation.

Material & Methods. A study was conducted on 30 special unit servicemen, aged 25±1.6 years, who required immediate readaptation of their functional capabilities caused by prolonged hypodynamia lasting 45±4.7 days. The study participants were divided into three groups (10 people in each). Members of the first group were instructed to follow standard physical therapy protocols during the initial 70-day phase of their long-term rehabilitation. Participants in the second and third groups followed experimental training models for readapting functional capabilities. The heart rate variability (HRV) method was used to assess the adaptive and compensatory responses of the special unit servicemen to stress stimuli throughout the study.

Results. All study participants showed high tension in heart rhythm regulation following the previous rehabilitation. In response to test loads, sympathetic regulation activity increased, and the central mechanism of sinus rhythm control was enhanced in special unit servicemen. The HRV indicators observed in the group of military personnel showed no changes after 70 days of following standard long-term rehabilitation protocols. In response to the test load, there was a shift in the vegetative balance towards sympathetic regulation due to the weakening of the high-frequency spectrum of the heart rhythm power. In members of the other two groups who followed experimental training models, an increase in vagal influence on the sinus node was observed. The results after the load showed a shift in autonomic balance toward parasympathetic regulation, indicating the activation of short-term adaptation processes. The most significant functional readaptation was observed in special unit servicemen who combined isolated exercises with high-intensity training under creatine phosphokinase energy supply conditions.

Conclusions. The results confirm the effectiveness of the proposed system for restoring the functional capabilities of special unit servicemen experiencing hypokinesia caused by peripheral neuromuscular system damage during long-term rehabilitation. The use of standard physical therapy protocols in long-term rehabilitation is ineffective for the readaptation of functional capabilities in special unit servicemen. The proposed mechanism, which maximally engages synergistic muscle groups while minimizing the load on injured agonists and avoiding additional stabilizer activity, enables selective muscle fatigue without disrupting adaptation. Applying this combined approach, integrating isolated exercises from power fitness and MMA, effectively enhances the readaptation of special unit servicemen during long-term rehabilitation.

Evaluation of the effectiveness of a corrective and rehabilitation program using postisometric relaxation and myofascial release exercises on the biogeometric profile of posture and cardiovascular system parameters of women I. Second period of mature age

Fri, 28 Feb 2025 00:00:00 +0200

Purpose. To scientifically substantiate, develop and experimentally verify the impact of a correctional and rehabilitation program using gravitational postisometric relaxation exercises, self-massage and myofascial release on the state of the biogeometric profile of posture and parameters of the cardiovascular system of women in the second period of adulthood.

Material & Methods. The ‘School of Women's Health’ was organised. The total number of 79 people was women aged 36-45 years. The study involved two groups of women with complaints of chronic pain in the cervical spine and fluctuations in the parameters of the cardiovascular system: A group of women aged 36-40 years (n=16) and a group of women aged 41-45 years (n=15). Study procedure: heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured. Posture examination was performed in the frontal and sagittal planes using the REEDCO posture scale. Measurement of the depth of physiological cervical bend (cervical point) was performed according to the method of Z.P. Kovalkova. With correct posture, the depth of the cervical spine curve is within 5-5.5 cm. Statistical data processing was performed using the statistical package STATISTICA 13.0 (StatSoft).

Results. A correctional and rehabilitation programme was developed for the subjects of the ‘School of Women's Health’, which consisted of three blocks: means of physical culture and sports rehabilitation, psychocorrection, and educational part. In the first block, it was proposed to perform isometric gymnastic exercises aimed at relaxing and strengthening the neck muscles; myofascial release using a massage roll. The aim of the educational component of the programme was to teach women how to perform self-massage of the neck on their own. The research and work on the correctional and rehabilitation programme lasted 3 months. The women spent 21 days in the School of Women's Health under the supervision of a rehabilitation specialist. Subsequently, the women worked independently under the programme, keeping in touch with the rehabilitation specialist through online communication in Viber, WhatsApp and Telegram messengers. During the initial communication, all the women complained of recurrent headaches, dizziness, palpitations, and high blood pressure. The results of the formative experiment showed a significant improvement in all parameters of the cardiovascular system (p˂0.05). After the implementation of the correctional and rehabilitation programme, the scores on the REEDCO posture scale statistically significantly increased in women aged 36-40 years by 1.04 times (p<0.05), in women aged 41-45 years by 1.12 times (p<0.05). The introduction of myofascial release into the correctional and rehabilitation programme in women of the second period of mature age had a positive effect on changes in the cervical spine: the depth of spinal curvature according to the method of Z.P. Kovalkova in women aged 36-40 years statistically significantly increased by 1.12 times (p<0.05), in women aged 41-45 years by 1.29 times (p<0.05)

Conclusions. Training in the ‘School of Women's Health’ according to the developed correctional and rehabilitation programme had a positive effect on the parameters of the cardiovascular system, namely, normalisation of heart rate, blood pressure, and blood pressure. The use of gravitational post-isometric relaxation, self-massage of the cervical spine, myofascial release significantly improved the biogeometric profile according to the REEDCO posture scale, positively influenced the change in the depth of spinal curvature according to the method of Z.P. Kovalkova.

Justification of the role of rehabilitation assistance in lymphedema of the upper extremities based on foreign experience (a literature review)

Solomiia Kopytko, Olha Bas, Andriy Hrynkiv, Andriy Vovkanych, Myroslava Hrynkiv — Fri, 28 Feb 2025 00:00:00 +0200

Purpose. Lymphedema is a chronic condition of the lymphatic system that results from impaired lymphatic drainage. In adult practice, secondary lymphedema, which arises as a consequence of the treatment of oncological diseases, notably breast cancer, is predominant. One of the most common types is upper limb lymphedema. This condition is characterized by swelling, a sensation of heaviness in the limb, pain, and limited range of motion. According to various statistics, regardless of the chosen treatment methods, edema develops in 10% to 80% of breast cancer patients. The issue of timely rehabilitation for patients with lymphatic edema of the extremities remains relevant due to the widespread prevalence of this condition and its severe complications.

Material & Methods. General scientific: analysis, synthesis, generalization. The search was conducted in electronic databases PubMed/MedLine, PEDRo, International Clinical Trials Registry Platform, Cochrane Library.

Results. The rehabilitation program for lymphedema was developed quite a long time ago, and today there are many rehabilitation methods. However, discussions about the main components of oncological rehabilitation are still ongoing. Clinical studies from different countries of the world were included in the review. A total of 10 completed studies and one ongoing study were analyzed. The most points on the PEDRo scale were obtained by studies related to physical exercises and various elements of complex therapy. Two studies scored an overall score of 8 out of 10, five studies scored 7 out of 10, and the other studies scored 6, 5, and 4, respectively.

Conclusions. In recent years, the number of studies on the topic of lymphedema is increasing. New and established rehabilitation methods are being tested in research. There is a tendency to use only proven and effective means and methods of rehabilitation.

Biomechanical impact of foot pronation on anterior knee pain – case-controlled study

Fri, 28 Feb 2025 00:00:00 +0200

Purpose. The purpose of the study was to investigate the biomechanical difference and relationship between pronated foot posture and AKP in the Abu Dhabi region. Structural abnormalities of the foot can disrupt the normal lower extremity biomechanics, leading to abnormal kinematics and affecting the musculoskeletal health of individuals with anterior knee pain(AKP). In-depth research on the biomechanical link between tibial kinematics and pronated foot posture is crucial for clinical interventions.

Methodology. Involving 50 participants clinically diagnosed with AKP with or without pronated feet. The Kujala patellofemoral score for functional limitations, the foot posture index (FPI) for foot posture, and the dynamic valgus index (DVI) for the knee valgus angle were used as outcome measures. The studies were conducted in compliance with the requirements of the Helsinki Declaration of the World Medical Association "Ethical principles for medical research involving human subjects". A case-controlled study was conducted at a tertiary Hospital, in Abu Dhabi, UAE. The significance was set at p<0.05.

Results. Participants in the case group AKP with pronated feet (mean: 50.20±5.28) had statistically significant (p <0.001) lower Kujala scores as compared to the control group participants with neutral and supinated feet (mean: 83.90± 8.36). In addition, the correlation (p = 0.04) between the variables DVI and FPI was found to cause the altered foot pronation position that led to AKP.

Conclusions. The study findings indicated that the unusual loading among AKP participants on their patellofemoral joint may be influenced by the pronated foot. While managing the participants with AKP, musculoskeletal practitioners should consider foot posture, especially pronation, while evaluating individuals with AKP.

Effect of Yoga Combined Elastic Band Exercise Program on Health - Physical Fitness and Balance in Older Adults

Fri, 28 Feb 2025 00:00:00 +0200

Purpose. The study and compare the effects of yoga combined elastic band training programs on health, - physical fitness, and balance in older adults.

Material and method. The sample group consisted of 32 older adults aged 60–69 years in Ban Mek Yai, Nong Mek Subdistrict, Nong Han District, Udon Thani Province, Thailand. They were divided into 2 groups, 16 people per group: the exercise group trained with yoga combined elastic band training programs and the control group for 6 weeks, 3 days a week, 40 minutes a day. The tests were conducted pretest and posttest. Data on muscle strength and endurance were collected using the Chair Stand Test and arm curl test, Flexibility was collected using the Chair Sit and Reach test and balance using the single leg stance and time up and go test. Data were analyzed using the mean, standard deviation, and t-test with a statistical significance level of .05.

Result. The Physical fitness (Arm Curl Test, Chair Stand Test, Chair Sit and Reach Test) and balance (Time up and Go test and Single Leg Stance Test) statistically had significant differences between the pre- and post-six weeks in the exercise group but the control group was not statistically significant and posttest statistically had significant differences between the control group and the exercise group, but the pretest was not statistically significant.

Conclusion. However, after six weeks of combined yoga with elastic band training programs, the order adults had improved muscle strength, endurance, flexibility, and balance. Consequently, this exercise regimen is considered a healthy alternative for older adults.

Comparative assessment of Barthel index and functional independence measure in providing rehabilitation care for military personnel with combined injuries

Fri, 28 Feb 2025 00:00:00 +0200

In the structure of military traumatism, the number of multiple and combined wounds and injuries has increased significantly due to the expansion in the destructive properties of modern weapons. Establishing the correct rehabilitation diagnosis and subsequent stage-by-stage assessment of the results of rehabilitation therapy should be based on adequate functional assessment tools. The Barthel Index is the most widely used measure for assessing the ability to perform activities of daily living. However, recently, many authors have proposed using the Functional Independence Measure (FIM) for this purpose.

Purpose. The study aims to investigate the possibility of using the Barthel Index and Functional Independence Measure to assess the effectiveness of rehabilitation of military personnel with combined injuries over a long period.

Material & Methods. We conducted a retrospective study of 807 wounded military personnel with complex injuries of varying severity. Our examination included a meticulous analysis of medical records, a comprehensive physical examination, and a survey using the Barthel Index and FIM scale. Due to the nature of the injuries, the servicemen were provided with standard rehabilitation programs.

Results. All patients were classified as lightly injured and moderately injured according to the Abbreviated Injury Scale. The initial data in evaluating functioning on the FIM scale made it possible to identify subgroups of patients with a predominance of motor function impairment and a predominant impairment of cognitive functions. Patients with combined TBI should receive more rehabilitation measures to improve cognitive and mental functions, socialization, and communication skills.

Conclusions. The inclusion of the FIM scale in the recommended toolkit for assessing the effectiveness of rehabilitation will allow for additional objectification of rehabilitation care and the formulation of individual recommendations for achieving the best results.