Isokinetic quadriceps physiotherapy after knee surgery: a retrospective study.

Introduction: Quadriceps weakness after knee surgery is the most common consequence that can have different consequences not only for the knee itself but also for the locomotor system in general. This study aimed to compare the results of isokinetic and isotonic exercise on torque restoration quadriceps on knee surgery. Methods: A sample of 180 subjects was analyzed and divided into two subsamples according to the type of rehabilitation protocol that was implemented. The examined group A-isokinetic consisted of 90 male subjects aged 28.54 ± 4.44 years, with a rehabilitation protocol based on the isokinetic exercise of the quadriceps. The examined group B-isotonic also consisted of 90 male subjects aged 27.93 ± 4.27 years, with a rehabilitation protocol for strengthening the quadriceps that applied an exercise program with additional resistance, i.e., isotonic exercise in the gym. Before the start of the rehabilitation treatment, an initial isokinetic test was performed at an angular speed of 60 °/s in all subjects. After 3 and 6 weeks of rehabilitation treatment, the control tests were performed in the same way as in the initial test. Results: Based on the values of MANOVA analysis and discriminative analysis, significantly better results of isokinetic tests were found in the examined group A-isokinetic compared with those in the examined group B-isotonic. At the final measurement of group A, 83 respondents (92.2%) were placed in the "biggest" class out of the 90 respondents. Conclusion: Based on the obtained research results, we conclude that isokinetic exercise is more effective in terms of physiotherapy of quadriceps hypotrophy after knee surgery.

Application of the Schroth Method in the Treatment of Idiopathic Scoliosis: A Systematic Review and Meta-Analysis.

(1) Background: Idiopathic scoliosis can be defined as a complex three-dimensional deformity of the spine and trunk, which occurs in basically healthy children. Schroth scoliosis-specific exercises have shown good results in reducing idiopathic scoliosis progression. This study aimed to critically evaluate the effect size of Schroth's method through a systematic review and meta-analysis. (2) Methods: Four databases were included in the search: PubMed, Cochrane Library, Web of Science, and Google Scholar. The following keywords were used: "Schroth exercise", "idiopathic scoliosis", "Cobb angle", "angle of trunk rotation", and "quality of life". Only articles written in English that met the following criteria were included in our study: subjects who had idiopathic scoliosis, the Schroth method was applied, and Cobb angle or angle of trunk rotation or quality of life as outcomes. (3) Results: Ten randomized controlled trials were included in this study. The effect size of the Schroth exercise ranged from almost moderate to large, for the outcomes used: Cobb angle (ES = -0.492, p ˂ 0.005); ATR (ES = -0.471, p = 0.013); QoL (ES = 1.087, p ˂ 0.001). (4) Conclusions: The current meta-analysis indicates that the Schroth method has a positive effect on subjects with idiopathic scoliosis.

Static and dynamic postural stability of children girls engaged in modern dance.

ABSTRACTBackground: Postural stability (PS) has an important role in many athletic activities. However, modern dance demands a heightened PS because of the required aesthetic quality and speed of movement. The aim of the present study was to compare the static and dynamic PS of young dancers and participants of other sporting activities.Method: A total of 101 girls (age: 7.91 ± 0.7 year) were divided into a Dance group (N = 53) and a physically active Control group (N = 48). Static PS was assessed with a two-leg standing test on a Force plate, and dynamic PS was assessed with a Körperkoordinationstest für Kinder (KTK) - a walking backwards test on a balance beam.Results: Multivariate analysis of variance showed a general difference between the groups (F = 21.95; p ≤ 0.0001). In static PS, the Dance group was better in Total distance of center of pressure (COP) (p ≤ 0.0001; ES = -1.70), Anterior-posterior oscillation (p ≤ 0.0001; ES = -1.40), Medial-lateral oscillation (p ≤ 0.0001; ES = 1.75) and Length in function of surface (p ≤ 0.0001; ES = -0.98). Both parameters of dynamic stability, the KTK test (p ≤ 0.0001; ES = 1.28) and Motor quotients KTK test (p ≤ 0.0001; ES = 1.45), were significantly better in the Dance group.Conclusion: The results from the present study indicate that children girls who participate mostly in dance develop better static and dynamic PS than children girls who participate in other sport activities. These findings underline the importance of training modification toward the improvement of PS in dance.

Characterization of Anticipatory Postural Adjustments in Lateral Stepping: Impact of Footwear and Lower Limb Preference.

Lateral stepping is a motor task that is widely used in everyday life to modify the base of support, change direction, and avoid obstacles. Anticipatory Postural Adjustments (APAs) are often analyzed to describe postural preparation prior to forward stepping, however, little is known about lateral stepping. The aim of the study is to characterize APAs preceding lateral steps and to investigate how these are affected by footwear and lower limb preference. Twenty-two healthy young participants performed a lateral step using both their preferred and non-preferred leg in both barefoot and shod conditions. APA spatiotemporal parameters (size, duration, and speed) along both the anteroposterior and mediolateral axes were obtained through force plate data. APAs preceding lateral stepping showed typical patterns both along the anteroposterior and mediolateral axis. RM-ANOVA highlighted a significant effect of footwear only on medio-lateral APAs amplitude (p = 0.008) and velocity (p = 0.037). No differences were found for the limb preference. APAs in lateral stepping presented consistent features in the sagittal component, regardless of limb/shoe factors. Interestingly, the study observed that footwear induced an increase in the medio-lateral APAs size and velocity, highlighting the importance of including this factor when studying lateral stepping.

The isokinetic strength profile of semi-professional soccer players according to low back pain.

BACKGROUND: Soccer as a sport has a very high injury rate and low back pain (LBP) is considered to be the most common overuse injury typically occurring in the back and spine in elite soccer players. OBJECTIVE: This study aimed to investigate differences in knee muscle strength and muscle imbalances in soccer players according to lower back pain. METHODS: One hundred and thirty-six male professional soccer players (20.49 ± 3.73 years, 76.57 ± 8.24 kg, 182.63 ± 6.73 cm) volunteered for the study. The isokinetic dynamometer PrimaDOC (EASYTECH, Italy) was used to assess the hamstring and quadriceps strength at the selected speeds of 60∘/s, whereas the Roland-Morris Disability Questionnaire (RDQ) was used as a health status measure to assess physical disability caused by low back pain. RESULTS: A univariate analysis of variance has shown that there is a statistically significant difference among the groups divided into Absolute peak torque right knee flexors, Absolute peak torque left knee flexors, Ratio between hamstrings and quadriceps strength right leg, and Ratio between hamstrings and quadriceps strength left leg based on the RDQ scores. On the other hand, no other significant differences among the groups were found in other parametersCONCLUSION: The current study indicates that knee muscle strength variables, resulting from an isokinetic testing, have the potential to discriminate between soccer players with and without a history of low back pain. However, low back pain is a multidimensional phenomenon and knee muscle strength or imbalance alone cannot be expected to explain low back pain.

Prevalence, knowledge and attitudes towards using sports supplements among young athletes.

BACKGROUND: The aim of this international study was to investigate the prevalence of the use of sports supplements among young athletes, as well as their knowledge and attitudes towards sports supplementation. METHODS: Organized survey study testing the level of knowledge, attitudes, beliefs and practices concerning the use of sports supplements was administered to 348 athletes, 15-18 year olds from 4 countries competing in 18 sports at the international level. RESULTS: The prevalence rate of the intake of sports supplements was 82.2%, with the protein supplements being predominant (54.5%). Coaches were identified as the primary source of information regarding supplementation (41.4%). The enhancement of athletic performance (35.4%) was the major motivation for the supplements intake. The majority of athletes (72.1%) were aware of associated health risks. The young athletes possess varying levels of knowledge regarding their own supplementation. The obtained data about the level of knowledge were statistically analyzed using the correspondence analysis. Less than 40% of athletes had the knowledge about the proper and intended use of protein, creatine, amino acids, beta alanine and glutamine, while they had greater understanding about vitamins and minerals, sports drinks and caffeine. The athletes in developed countries had greater access and utilization of professional resources such as dieticians. Young athletes are still unfamiliar with WADA regulations (55.5%), and the misuse of sports supplements represents an ethical dilemma for some. CONCLUSION: These findings indicate the necessity of a comprehensive education of all team members about sports supplements and careful supervision of the athletic development of young athletes.

Effects of group exercise on functional abilities: Differences between physically active and physically inactive women.

BACKGROUND: Aerobic exercises to music can have a positive effect on functional and motor skills of an exerciser, their health, as well as an aesthetic and socio-psychological component. OBJECTIVE: The objective of this study was to determine the effects of reactive exercising in a group on functional capabilities in physically active and physically inactive women. METHODS: A prospective study included 64 healthy women aged 40-60 years. The sample was divided into the experimental group (N= 36), i.e. physically active women who have been engaged in recreational group exercises at the Faculty of Sport and Physical Education, University of Novi Sad, Serbia, and the control group (N= 28), which consisted of physically inactive women. All the participants were monitored using the same protocol before and after the implementation of the research. All women had their height, weight and body mass index measured as well as their spiroergometric parameters determined according to the Bruce protocol. RESULTS: A univariate analysis of variance has shown that there is a statistically significant difference between the experimental group and the control group in maximum speed, the total duration of the test, relative oxygen consumption, absolute oxygen consumption and ventilation during the final measurement. After the training intervention, the experimental group showed improvements in all the parameters analyzed compared with pretest values. CONCLUSION: The recreational group exercise model significantly improves aerobic capacity and functioning of the cardiovascular system. Therefore, it is essential for women to be involved more in any form of recreational group exercising in order to improve functional capacity and health.

Effects of Pilates-Interventional Program on Calcaneus-Bone Density Parameters of Adult Women / Efectos de un Programa de Intervención de Pilates Sobre Parámetros de Densidad Ósea en el Calcáneo de Mujeres Adultas

Physical exercise has a positive influence on bone tissue and therefore, is recommended in order to prevent the bone mass loss during the aging process. Similarly, normally practice of exercise potentially prevents the incidence of osteoporosis and bone fractures in adult women. In order to evaluate the differences of a Pilates-Interventional Program on parameters of bone density (right and left calcaneus) for six months, a total of 22 women (48.18±9.59) participated in the study. Bone mineral density (BMD) was estimated by the broadband ultrasonic attenuation (BUA) and the speed of sound signals (SOS), through "Sahara" sound device. The BUA showed significant difference in the right and the left leg (both, P< 0.01), the SOS of the right leg (P<0.05), whereas the BMD was not proved to be statistically significant at the end of the treatment. In conclusion, the bone mineral density by BUA increased, while the speed of sound of the right leg decreased. Thus, our findings might imply a better level of bone strength after a specific intervention focused on the Pilates method.

El ejercicio físico tiene una influencia positiva en el tejido óseo y por consiguiente, es recomendado a la hora de prevenir pérdida de masa ósea durante el envejecimiento. Igualmente, la práctica regular de ejercicio previene la osteoporosis y fractura de huesos en población adulta y mayor. Con el fin de evaluar las diferencias de parámetros en la densidad ósea (huesos calcáneos derecho e izquierdo) tras un programa de intervención Pilates de 6 meses, un total de 22 mujeres (48,18±9,59) participaron en el estudio. La densidad mineral ósea (DMO) fue estimada mediante la atenuación ultrasónica de banda ancha (AUBA) y la velocidad de las señales del sonido (VSS) a través del dispositivo de sonido "Sahara". La AUBA mostró diferencias significativas en ambos calcáneos (P<0,01), la VSS obtuvo diferencias significativas en el calcáneo derecho (P<0,5) y la DMO no mostró significancia alguna tras el programa de intervención. En conclusión, el calcáneo incrementó mediante medición AUBA mientras que VSS fue significativo en el calcáneo derecho. Nuestros resultados podrían implicar un mejor nivel de fuerza del calcáneo después de una intervención específica con Pilates.

Lumbar and abdominal muscles isometric potential in volleyball cadets / Potencial isometrico de músculos lumbares y abdominales en cadetes de voleibol

Given that a volleyball game requires a certain level of individual anthropological characteristics of young volleyball players to successfully act on situational conditions, and that interdisciplinary approach in the science study is the principal methodological orientation, subject of study in the field of sports is the anthropological status. The aim of this study was to analyze the possible differences in spinal lumbar and abdominal muscles isometric potential of prospective male and female. Sample included 42 subjects (15 male and 27 female subjects), male and female volleyball players, the cadet selection of Serbia, aged 14±0.5 years. Isometric muscle potential assessment was conducted using four standardized motor movement tasks, covering the following areas: static contraction of the flexors of the torso, static contraction of the extensors of the torso, static contraction of the left flexor of the torso, and static contraction of the right flexor of the torso. In addition to the descriptive statistics used, as basis statistics, the t-test for independent samples was used, to compare the mean values of parameters measured in two different groups of athletes ­ volleyball players (girls ­ boys). Descriptive indicators of the sample suggest greater values of deep spinal muscles isometric potential with boys in all study variables. Study results gained by the t-test of independent samples indicate that statistically significant difference exists between their mean results in variables of trunk flexor static contractions and trunk extensor static contractions, at the level 0.001. With other two variables, the values indicate that difference between genders is not significant but accidental. The results of this study regarding static contraction of the right and left lateral flexors of the torso show the lack of statistical significance between male and female cadet volleyball players.

Al considerar que un partido de voléibol requiere cierto nivel de características antropológicas individuales de los jóvenes jugadores de voléibol para actuar con éxito en condiciones situacionales, el enfoque interdisciplinario principal en el estudio de las ciencias del deporte es la orientación metodológica, como también lo es el estado antropológico de los jugadores. El objetivo de este estudio fue analizar las posibles diferencias en la columna lumbar y el potencial isométrico en los músculos abdominales masculinos y femeninos. En la muestra fueron incluidos 42 sujetos (15 varones y 27 mujeres) jugadores de voléibol masculino y femenino de la selección cadete de Serbia, de 14±0,5 años. Se realizó evaluación del potencial muscular utilizando cuatro tareas de movimiento de motor estandarizados en las siguientes áreas: la contracción estática de los flexores del torso, de contracción estática de los extensores del tronco, contracción estática del flexor izquierdo del torso, y la contracción estática del flexor derecho del torso. Además de las estadísticas descriptivas y las estadísticas de base utilizadas, se usó la prueba t para las muestras independientes para comparar los valores medios de los parámetros medidos en dos grupos diferentes de los deportistas - jugadores de voléibol (niñas - niños). Los indicadores descriptivos de la muestra sugieren mayores valores de potencial isométrico de los músculos espinales profundos en niños en todas las variables del estudio. Los resultados del estudio obtenidos por la prueba t de muestras independientes indicaron que existe una diferencia estadísticamente significativa entre los resultados medios en las variables de los flexores del tronco y en las contracciones estáticas de los extensores del tronco, en el nivel de 0,001. Con otras dos variables, los valores indicaron que la diferencia entre ambos sexos no es significativa pero es accidental. Los resultados de este estudio con respecto a la contracción estática del lado derecho y flexores laterales izquierdos del torso muestran la falta de significación estadística entre los jugadores masculinos y femeninos de voléibol.

[Adapted physical activity in the prevention and therapy of osteoporosis].

INTRODUCTION: Osteoporosis, a disease characterized by the progressive loss of bone tissue, is one of the most common complications of aging. EPIDEMIOLOGY: According to some calculations, there were 25% of women and 4% of men older than 50 years with osteoporosis in the world in 2010. It is assumed that the number of patients with osteoporosis will increase by 30% in every 10 years in the 21st century. There are many reasons for that: the world's population is growing older, diet is getting poorer in vitamins and minerals and physical activity is decreasing. THE QUALITY AND QUANTITY OF BONE TISSUE: Developing bones are much more responsive to mechanical loading and physical activity than mature bones. This suggests that training in early childhood may be an important factor in the prevention of osteoporosis in later life. It is important to note that the quality of bone achieved by training at younger age cannot be maintained permanently if it is not supported by physical activity later in life. Adapted physical activity represents physical activity individually tailored according to the psychosomatic capabilities of a person and the goal to be achieved. It can be applied at any age in order to maintain strong bones and reduce the risk of fracture. Adapted physical activity is different for men and women, for different age, as well as for the individuals. Aerobic exercises, which lead to an acceleration of breathing, increased heart rate and mild perspiration, as well as resistance exercises and exercises against resistance done by stretching elastic bands, for hands, legs and torso have been proven to increase bone density and improve bone strength. Coordination and balance exercises are important in an individual workout program. An explanation of the action of adapted physical activity is the basis for the theory of control and modulation of bone loss, muscle strength, coordination and balance. Physical activity is very effective in reducing sclerostin, which is known to inhibit bone formation. In addition, physical training enhances the levels of insulinlike growth factor, which has a very positive effect on bone formation. CONCLUSION: The aim of adapted physical activity is to improve bone formation in youngsters, to preserve the bone mass in adults and to prevent the bone loss in the elderly thus reducing the risk of falls and resulting fractures; in other words, to minimize the disability caused by fractures and improve the quality of life.

Relationship between body mass index and body fat in children-Age and gender differences.

SUMMARY: When defining obesity body mass index (BMI) has been used as the main criterion. However it indicates only the nutritional status, whereas body fat demonstrates the real body composition picture. This study aimed at analyzing the relationship between nutritional status and adiposity in the population of 2284 Serbian children (1217 boys and 1067 girls). According to BMI subjects were divided into underweight, normal-weight, overweight and obese, and %BF values (based on skinfold thickness measurements) were analyzed with regard to BMI-category, age and gender. Girls showed stronger correlation between BMI and %BF comparing to boys (r = 0.834 vs. 0.577). Differences in %BF between underweight, normal weight and overweight children from different age groups were more obvious in girls, whereas in boys younger than 8 years overlapping in %BF values between different BMI-categories was registered. In normal weight children we found age-related oscillations in %BF values: 8- and 9-year-old boys had lower %BF comparing to 7-year-old boys, which was followed by %BF increasement in 10- and 11-year-old ones; in girls %BF values gradually increased with aging, with significant jumps in 9-, 10- and 11-year-old ones. Thus, adiposity rebound may appear somehow later in boys. In overweight and obese children of both genders %BF continually increased with aging, whereas in underweight children %BF values remained unchanged. Our results pointed to age- and gender-dependent variations of %BF in normal weight and overweight children. We also indicated inconsistency between %BF and BMI especially in boys, and the need for definition of references for %BF.:

Short-term isokinetic training versus isotonic training: effects on asymmetry in strength of thigh muscles.

The aim of this study was to investigate the effects of two training protocols on the isokinetic performance of athletes. The study was conducted in 38 athletes, (age 23.3 ± 3.6 years) participating in national level leagues of different sports, whose initial concentric hamstrings-to-quadriceps (conH/Q) torque ratio was lower than 0.5. During seasonal testing, an isokinetic measurement of knee extensors and flexors was performed at 60°/s. The athletes were divided into two groups. Nineteen athletes performed the isokinetic training protocol (IT) while the second group of 19 athletes followed the isotonic training protocol (RT). Both protocols lasted 4 weeks. After completing the training protocols, both groups underwent a final isokinetic testing. The isokinetic data revealed significant increases after training in measures of peak torque in both extensor and flexor muscle groups, in both the IT and RT study groups (p < 0.05). There were significant increases (p< 0.05) in conH/Q ratio in both groups after the implemented protocols, but greater in IT group. Consequently, applied IT protocol induced changes in working muscles, thereby restoring detected asymmetry to an acceptable balance more efficiently compared to RT protocol.

Status of bone mineral content and body composition in boys engaged in intensive physical activity.

BACKGROUND/AIM: It is well known that physical activity has an anabolic effect on bone tissue. But there is a lack of information about the effect of intensive physical activity in childhood, particularly at the prepubertal stage. To examine the influence of training on body composition and bone mineral density we have studied a group of prepubertal soccer players as well as a group of inactive prepubertal boys at the starting phase of their peak bone mass acquisition. METHODS: A total of 62 healthy prepubertal boys took part in this study. They were divided into two groups. The first one consisted of 32 soccer players (aged 10.7 +/- 0.5 years), who had been playing football for at least 1 year (10-15 h per week). The second group a control group 30 boys (aged 11.2 +/- 0.7 years) doing 1.5 h per week physical activity at school. Body composition was assessed by a Body Fat Analyzer "BES 200 Z". Bone mineral density measurements of the left and the right calcaneus were done by using ultrasound densitometer "Sahara" (Hologic, Inc., MA, USA). RESULTS: There were significant differences between soccer players and the control group in fat mass (p = 0.01). Besides, a significant difference was determined between the group of athletes and the control group in bone mineral density of both calcaneal bones (p = 0.01). CONCLUSION: The results of this study confirm the significant effects of physical activity on reducing body mass and increasing bone density. Considering that football training can be very easily implemented in the broader population of children and young people, which does not apply to many other sports, it should be used more in the prevention of obesity and osteoporosis.

[Body composition and bone mineral density of prepubertal boys involved in different kinesiologic treatments].

INTRODUCTION: It is well known that physical activity has an anabolic effect on the bone tissue. But there is a lack of information about the effect of intensive physical activity in childhood, particularly at the prepubertal stage. The type, frequency, intensity, and duration of activity that best produce the desired increases in mass and strength of human bones have not yet been well determined. MATERIAL AND METHODS: To examine the influence of different kinesiological treatments on body composition and bone mineral density we studied a group of prepubertal boys at the starting phase of their peak bone mass acquisition. 90 healthy prepubertal boys took part in this study. The sport group consisted of 28 swimmers (aged 10.80.8) and 32 soccer players (aged 10.70.5), who had been training their chosen high-level sport activity for at least 1 year (8-12 h per week for swimmers, 10-15 h per week for soccer players). 30 boys (aged 11.2 +/- 0.7) doing 1.5 h per week of physical activity in school served as a control group. Bone mineral density measurements of the left and right calcaneus were done by ultrasound densitometer "Sahara". The body composition was assessed by Body Fat Analyser "BES 200 Z". RESULTS: There were significant differences between soccer players and control group as regards fat mass and bone mineral density (p<.01). Besides, significant differences were determined between a group of swimmers and control group as regads fat mass (p<.03), while the differences in bone mineral density were not very obvious (p<.67).