Effectiveness of Physiotherapy in the Treatment of Temporomandibular Joint Dysfunction and the Relationship with Cervical Spine.

Temporomandibular dysfunctions are a heterogeneous group of conditions involving the temporomandibular joints (TMJs) and periarticular musculoskeletal structures. This study aimed to evaluate the effectiveness of a physiotherapy program for TMJ dysfunctions and the relationship with cervical spine. The study design was a non-randomized clinical trial with two parallel treatment groups: 33 subjects in the experimental group that underwent conservative drug treatment and physiotherapy treatment, and 31 subjects in the control group that underwent only conservative drug treatment. The participants were examined at baseline and re-examined after 3 months. In this study there was a higher incidence of female subjects. After 3 months of treatment of the TMJs and cervical spine, pain decreased in both groups (p = 0001). Muscle testing at the cervical spine and temporomandibular level showed a decrease in pain and muscles spasms. The average percentage values of the Neck Disability Index (NDI) and the Jaw Functional Limitation Scale 8 (JFLS 8) decreased significantly in both groups, but especially in the experimental group (p = 0.001). Physiotherapy treatments could maintain the functional state at the temporomandibular and cervical levels, thus contributing to increasing the quality of daily life.

Selection Process for Romanian Children in Handball Based on Coordinative Abilities: A Questionnaire Survey.

According to the reviewed literature, the selection system in handball is quite complex and requires new approaches from trainers based on the current and modern requirements of this game. This paper investigated the importance of coordinative ability development in handball in the selection process for young Romanian children (10-12 years old). The results were obtained from a sociological questionnaire survey, for which 109 handball coaches, 34 female and 75 male, were questioned. The mean age was 40.71 years (SD = ±5.32) with a range of 31-51 years for female coaches and 40.3 years (SD = ±7.53) with a range of 30-62 years for male coaches. Their experience in handball coaching varied from 10 to 30 years, with 19.88 (SD = ±5.05) years of experience on average for female coaches and 19.09 (SD = ±5.26) years of experience on average for male coaches. The answers delivered depended on the experience and knowledge the coaches had and difficulties they had encountered over the years. Data are presented using a variety of appropriate descriptive statistics, including frequencies, percentages, and mean and standard variation. Obtained data were modeled using a one-way analysis of variation (ANOVA). The questionnaire format was three-to-five-point Likert scale. As a general overview, in the opinion of the surveyed specialists, the Romania selection process for handball does not meet their expectations, and the development level of coordinative abilities in 10-12 year-old children is medium to weak. A total of 61.76% female and 58.66% male coaches stressed the importance of developing coordination abilities to optimize the selection process of children for handball games, opening up a new approach in modern training methods for performance achievement. The obtained results from this paper questionnaire can be used by coaches as a different approach to the handball training process, considering that handball is a game mainly based on coordination.

Toward an Anthropometric Pattern in Elite Male Handball.

We investigated the anthropometric characteristics associated with specific handball skills in competition. The body anthropometric profiles differ significantly among the playing positions in handball due to the specific tasks. The aim of this study is to identify the anthropometric patterns for each playing position by collecting data from elite male handball players. To determine the anthropometric profile of the elite handball players for each playing position, we used descriptive statistics for every indicator in order to identify the optimal patterns for elite handball players from the top-four ranked teams at the most important competitions over a period of 18 years (2004-2021). Over time, the anthropometric indices evolved: the average height increased (from 190 to 192.6 cm) but less than weight increased (from 90.5 to 95.28 kg), and these affected the body mass index (increase from 25.2 to 25.67). The novelty of our study is that we identified an anthropometric pattern for each playing position and for all teams in elite male handball. Our study also covered a period of 18 years to give our results more accuracy and reliability.

Effect of Strength Training Protocol on Bone Mineral Density for Postmenopausal Women with Osteopenia/Osteoporosis Assessed by Dual-Energy X-ray Absorptiometry (DEXA).

This study aims to introduce a resistance training protocol (6 repetitions × 70% of 1 maximum repetition (1RM), followed by 6 repetitions × 50% of 1RM within the same set) specifically designed for postmenopausal women with osteopenia/osteoporosis and monitor the effect of the protocol on bone mineral density (BMD) in the lumbar spine, assessed by dual-energy X-ray absorptiometry (DEXA). The subjects included in the study were 29 postmenopausal women (56.5 ± 2.8 years) with osteopenia or osteoporosis; they were separated into two groups: the experimental group (n = 15), in which the subjects participated in the strength training protocol for a period of 6 months; and the control group (n = 14), in which the subjects did not take part in any physical activity. BMD in the lumbar spine was measured by DEXA. The measurements were performed at the beginning and end of the study. A statistically significant increase (Δ% = 1.82%) in BMD was observed at the end of the study for the exercise group (0.778 ± 0.042 at baseline vs. 0.792 ± 0.046 after 6 months, p = 0.018, 95% CI [-0.025, -0.003]); while an increase was observed for the control group (Δ% = 0.14%), the difference was not statistically significant (0.762 ± 0.057 at baseline vs. 0.763 ± 0.059, p = 0.85, 95% CI [-0.013, 0.011]). In conclusion, our strength training protocol seems to be effective in increasing BMD among women with osteopenia/osteoporosis and represents an affordable strategy for preventing future bone loss.