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Reabilitacijos Mokslai : Slauga, Kineziterapija, Ergoterapija
Number of Followers: 4  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2029-3194 - ISSN (Online) 2538-8673
Published by Lithuanian Sports University Homepage  [3 journals]
  • Efcacy of Electrostimulation and Pelvic Floor Muscle Exercises in the
           Treatment of Stress Urinary Incontinence in Women: Randomised Controlled
           Trial

    • Authors: Vaiva Nepaitė-Stabingė, Anelė Katinė, Erika Karkauskienė, Vilma Dudonienė
      Abstract: Background. Pelvic floor muscle training (PFMT) is the most commonly used physiotherapy method in the treatment of female stress incontinence; pelvic floor muscles (PFM) can be trained not only with exercise but also with electrostimulation. The aim. To determine the efcacy of four weeks of pelvic floor muscle exercises and electrical stimulation in the treatment of stress urinary incontinence in women. Methods. The study involved 24 subjects who were randomly divided into two groups: pelvic floor muscle training (PFMT) and pelvic floor muscle exercises combined with electrostimulation (PFMES). Before and after the interventions, women’s quality of life (QoL) was assessed according to the International Incontinence Counselling Questionnaire – Short Form. Perineometry with Pelvexiser perineometer was used to measure pelvic floor muscle strength, endurance and vaginal resting pressure. Results. Both interventions signifcantly reduced urinary incontinence episodes and improved the subjects’ quality of life. PFM strength improved after the interventions in the PFMT group from 12.33±3.37 to 19.97±3.38 mmHg (p=0.0008, d=2.26) and in the PFMES group from 8.31±2.41 to 11.84 ±2.78 mmHg (p=0.003, d=2.6). PFM endurance improved in the PFMT group from 3.50±1.15 to 4.53±1.12 s (p=0.03, d=0.9), and in PFMES from 2.92±0.47 to 3.67±0, 52 s (p=0.001, d=1.45). Resting vaginal pressure in the PFMT group improved from 5.3±0.85 to 6.44±1.03 mmHg (p=0.005, d=1.25) and in the PFMES group from 4.4±0.70 to 6.14± 1.47 mmHg (p=0.001, d=1.5). Conclusions. PFMT and PFMES interventions signifcantly improved subjects’ PMF strength, endurance, resting vaginal pressure, and quality of life. Both applied interventions can be applied in the treatment of stress urinary incontinence, as they were safe and well tolerated by the patients. The trial is registered at ClinicalTrials.gov Identifer: NCT05871281. Keywords: female, strength, endurance, incontinence, questionnaire.
      PubDate: 2023-06-27
      DOI: 10.33607/rmske.v1i28.1361
      Issue No: Vol. 1, No. 28 (2023)
       
  • Association Between Problematic Internet Use and Health Risks in
           Adolescents With and Without Chronic Health Conditions

    • Authors: Aija Klavina , Viktors Veliks , Luize Bebrisa-Fedotova, Anna Zusa, Juris Porozovs, Aleksandrs Aniscenko
      Pages: 1 - 20
      Abstract: Background. Sedentary and unhealthy lifestyle behaviors are modifiable health risks that often develop during adolescence. A comprehensive analysis of unhealthy behaviors in adolescents with and without chronic health conditions (CHC) could inform the development of more effective prevention approaches. The aim. This study aimed to measure associations between Problematic Internet Use (PIU), lifestyle habits and subjective health complaints among adolescents with and without CHC. In addition, health behaviors and prevalence of subjective health complaints between adolescents with and without CHC were compared. Methods. A total of 171 adolescents (87 without CHC and 84 with CHC) completed an online survey. The PIU was assessed by the Problematic and Risky Internet Use Screening Scale. The subjective health complaints assessed were somatic and psychological symptoms. Healthy lifestyle behaviors assessed were daily physical activities, time spent by screens, eating habits, and duration of sleep. Results. The results showed that 21.83% of adolescents with CHC and 36.78% without CHC scored at risk for problematic internet use. Adolescents without CHC reported significantly more frequent psychological health complaints than their peers with CHC. This study found that multiple health complaints and unhealthy eating habits were significantly associated with PIU in adolescents with CHC, while nervousness and eating fast food in adolescents without CHC. Girls without CHC reported significantly higher PRIUSS scores and prevalence of subjective health complaints than boys (p <.05). Conclusions. Adolescents without CHC reported significantly higher levels of moderate and vigorous intensity physical activities weekly than their peers with CHC. PIU behaviors are mainly associated with psychological health complaints and unhealthy eating behaviors in adolescents with and without CHC. These findings highlight the need to identify the specific problematic internet use activities that are associated with different health risks in adolescents. Keywords: problematic internet use, chronic health conditions, lifestyle behaviors, health, adolescents.
      PubDate: 2023-06-27
      DOI: 10.33607/rmske.v1i28.1356
      Issue No: Vol. 1, No. 28 (2023)
       
  • What are The Benefits of Five-Toed Socks' A Scoping Review

    • Authors: Roberto Tedeschi
      Pages: 21 - 34
      Abstract: Background. The use of five-toed socks can be a valid prevention option against interdigital problems and a valuable sensory stimulus in walking. However, nowadays, they are hardly ever suggested because they are often little known or disregarded by clinicians dealing with podiatric problems. The aim. This scoping review aims to map and summarise the literature to identify interventions using five-toed socks Methods. Four databases were searched up to December 2022. Studies that considered the use of five-toed socks could be included. All interventions and contexts were considered. No restrictions were applied regarding language, study design and publication type. Grey literature and reference lists of included articles were not identified. The results were presented in numerical and thematic form. Results. Out of 23 initially identified studies, only 4 met the inclusion criteria for this scoping review. The majority of the included articles were randomized controlled trials (RCTs) and involved participants of different ages, including both sporty and non-sporty individuals, who used five-toed socks as part of the intervention. It is worth noting that the authors focused solely on conservative interventions, with all 4 studies investigating the effects of wearing five-toed socks for more than one week. Conclusions. This is the first scoping review to provide a comprehensive overview of the topic. The results revealed clear gaps in primary research, confirming that current management is based on knowledge of five-toed socks. This review may be useful for general management and may provide a starting point for future research. Keywords: foot care, foot problems, five-toed socks, toes.  
      PubDate: 2023-06-27
      DOI: 10.33607/rmske.v1i28.1357
      Issue No: Vol. 1, No. 28 (2023)
       
  • Effect of Art Therapy on Changes in Psycho-Emotional State for Women Who
           Have Attempted Suicide

    • Authors: Stanislovas Mostauskis, Aušra Sebeikaitė, Jolita Rapolienė
      Pages: 35 - 48
      Abstract: Background. Research is directed towards female suicides and the solution of the postvention problems in Lithuania. Suicidal behavior of women is conditioned by their psychological  sensitivity to different psycho-social factors. The-psycho-emotional state of women who have attempted suicide is worsened, different negative emotions prevail, they lack self-esteem  and are disappointed. The methods used in the research aim to answer the same question: does art therapy have an effect on the psycho-emotional state of women who have attempted suicide'  It uses different methods of data analysis, i.e. quantitative and qualitative analysis of a small sample. Research aim. The aim of the research is to present effects of art therapy on changes in the psycho-emotional state of women who have attempted suicide. The aim of the research is supported by the following tasks and questions. Tasks:  1) to determine changes of depression symptoms; 2) to determine change of anxiety symptoms. Questions: 1) how do visually dominant iconographic motifs in patients’ drawings change during art therapy' 2) how do visually dominant formal motifs in patients’ drawings change during art therapy' 3) does the change of iconographic and formal motifs relate to changes of the emotional state of a selected group of women' 4) how interrelated are results of quantitative and qualitative research methods' Methods. Mixed research was conducted using the HADS scale, with analysis of visually dominant iconographic and formal elements. Results. The art therapy intervention significantly reduced the level of depression in the subjects. Art therapy had no significant effect on subjects’ anxiety levels. Selected iconographic motifs in the subjectsʼ drawings during the process of art therapy changed: from visually unindentifiable to recognizable objects; from an abstract symbolic meaning to a more concrete and clearly defined meaning; from a smaller to a larger number of iconographic elements; from an iconographically blurred to a more explicit plot. Selected formal motifs in the patients’ drawings during the process of art therapy changed: from incomplete to more detailed depiction of the object; from closed to more open silhouette type; from an isolated object opposed to the surrounding space to an object increasingly infiltrating into that space; from a closed to a progressively more open composition; from linearity to pictoriality; from darker to lighter color scale; from poorer to richer color palettes. The change of iconographic and formal motifs is related to the change of the emotional state of the subjects: the reduced isolation of the depicted objects and the strict separation from the surrounding space show a reduced opposition of the subjects, and the beginning of  the social and psychological connection with the surrounding world. The shift from an incomplete to a more detailed depiction of an object shows that the former uncontrollability of the subjects’ self, their feelings, and their connection with the environment turns into clear and rational controllability; more concrete and realistic drawings show the increased awareness of the subjects and better connection with the surrounding world. Conclusions. The change in depression levels after art therapy intervention is statistically significant (p<0.05). The change in anxiety levels after art therapy intervention is not statistically significant (p>0.05). The shift of the drawings is from abstract to specific iconography. The formal motifs of the drawings become more detailed and their type of representation become more varied; the depiction of the objects have become more integrated in the composite space, and the composition become more open; the paintings became more artistic, and the color range became wider. The psycho-emotional state of the subjects in the sessions varied from detachment, withdrawal, hiding, fear of looking at oneself, to opening up, trying to notice and make sense of all one’s own negativity, to manage negative emotions and to project one’s future.                       Keywords: art therapy, woman suicide, anxiety, depression.
      PubDate: 2023-06-27
      DOI: 10.33607/rmske.v1i28.1358
      Issue No: Vol. 1, No. 28 (2023)
       
  • Comparative Effects of Different Physiotherapy Programs on Motor Skills
           of Children with Mild and Moderate Motor Impairment

    • Authors: Kristina Tabarienė , Saulė Sipavičienė
      Pages: 49 - 57
      Abstract: Background. Children diagnosed with mild or moderate motor impairment not only face impairment of fine motor skills and problems with body balance in daily activities, they are also diagnosed with a decrease in muscle strength. Physiotherapy is prescribed to improve physical condition. The aim of the study was to determine the effect of different physiotherapy programs on running speed, balance and leg strength in children with mild and moderate motor impairment. Methods. 30 children (4–6 years old) with mild or moderate motor impairment participated in the study, and were randomly divided into two groups. The control group (n=15) received only conventional physiotherapy, while the experimental group (n=15) received a balance training program on the Abili Balance platform in addition to conventional physiotherapy. The duration of the interventions for both groups was 8 weeks. The subjects’ static and dynamic balance (according to Abili stability index and Berg scale), leg muscle strength (Broad jump) and running speed (Shuttle Run) were assessed before and after the interventions. Results. After 8 weeks, children in both groups had longer forward jumps and shorter shuttle run test results (p<0.05); balance indicators improved (p<0.05). After the interventions, the postural stability and leg muscle strength of the children in the study group were higher (p<0.05) than in the control group; other indicators did not differ significantly. Conclusions. Both applied 8-week physiotherapy programs were effective in improving children’s motor skills. Conventional physiotherapy combined with a balance training program was more effective than conventional physiotherapy in improving leg strength and postural stability in children with mild to moderate motor impairment, but not running speed and static and dynamic balance assessed by the Berg test. Keywords: leg, muscle strength, balance, running speed.
      PubDate: 2023-06-27
      DOI: 10.33607/rmske.v1i28.1359
      Issue No: Vol. 1, No. 28 (2023)
       
  • Relationship Between Functional Movements of the Mandible and Core
           Stability in Young Healthy Adults

    • Authors: Vaida Skinderytė, Brigita Zachovajevienė, Laura Žlibinaitė
      Pages: 58 - 68
      Abstract: Background. Temporomandibular joints (TMJs) have a common neuromuscular connection with neck and scapula, so dysfunction of one or both joints can lead to changes in the spine posture and vice versa. Due to the compensatory mechanism, occurring following TMJ functional disorders, the balance between facial and neck muscle activity is disrupted. A change in any biomechanical unit inevitably results in a change of the posture control system, but there is a lack of research evaluating the relationship between functional movements of the TMJ and trunk stability. The aim. To determine the relationship between core stability and functional movements of the mandible. Methods. The study included 20 participants aged between 20 and 40 years. Participants were tested individually. Tests and measurements selected for the study: trunk stability assessment by functional Dynamic Neuromuscular Stabilization (DNS) tests; assessment of static trunk muscle endurance by McGill endurance tests; assessment of TMJ range of motion using a ruler. Results. Participants performed best on the DNS Supine test with legs raised up, and performed worst on the squat, bear position tests and trunk extension static endurance test. 90% of the participants had impaired range of motion of mandible protrusion, 60% had mandibular depression limitations. The static endurance of trunk flexion was 136.85±96.97 s, extension – 141.45±94.52 s, left side– 98.00±76.08 s, right side– 99.95±96, 99 s. Conclusion. There are strong, moderate and weak linear inverse functional relationships between trunk stability and TMJ mobility. The weaker the core stability, the more restricted the mobility of the mandible. Keywords: temporomandibular joint, TMJ dysfunction, dynamic neuromuscular stabilization, core stability.
      PubDate: 2023-06-27
      DOI: 10.33607/rmske.v1i28.1360
      Issue No: Vol. 1, No. 28 (2023)
       
  • Comparative Analysis of Motor Skills Between 10–12-Year-Old Boys
           Volleyball Players and Physically Inactive Peers

    • Authors: Rosita Kiaulakytė, Anelė Katinė
      Pages: 80 - 90
      Abstract: Background. The gross motor function of team sports athletes is superior to that of peers who do not participate in additional physical activity, but it is not clear to what extent motor skills differ between boys who attend volleyball training and those who do not attend training. The aim. To compare the motor skills and functional stability of the trunk of 10–12-year-old volleyball-playing and physically inactive boys. Methods. 30 subjects, boys aged 10–12, participated in the study. The research group consisted of boys playing volleyball (n=15), the control group – physically inactive boys (n=15). Test tools: Bruininks Oseretsky Motor Skills Profciency Test, 2nd Edition and Matthiass Functional Trunk Stability Test. Results. Boy volleyball players showed signifcantly better results in only three of ten evaluated motor tasks compared to inactive boys: side jumps with legs together (8.07±1.03 points vs. 7.27±0.88, p=0.026) and push-ups (5.93±1.28 points vs. 4.53±0.99, p=0.002), and V-up (4.73±1.28 points vs. 3.20±1.27, p=0.009). The result of functional stability test was better in volleyball players than in non-players (24.67±9.26 points vs. 16.53±9.34, p=0.013). Conclusions. Boys who play volleyball had signifcantly better motor skills in strength and agility tasks compared with boys who are physically inactive. No signifcant differences were found in bilateral coordination, balance and upper extremity coordination tasks between volleyball players and physically inactive boys, but the functional stability of the trunk of boys who play volleyball was signifcantly better than that of physically inactive boys. Keywords: motor skills, functional trunk stability, volleyball, physically inactive
      PubDate: 2023-06-27
      DOI: 10.33607/rmske.v1i28.1362
      Issue No: Vol. 1, No. 28 (2023)
       
  • Assessment of Functional Indexes in Children with Retarded Speech
           Development and their Associations

    • Authors: Rūta Šapalienė, Pavelas Zachovajevas, Brigita Zachovajevienė
      Pages: 91 - 103
      Abstract: Background. Motor skills are key factors in children’s play and interaction with others and influence their subsequent social environment with their peers. Poor or atypical motor development may be an important contributing factor to the problems in language, social communication and understanding, and social interaction that characterise some neurodevelopmental disorders. The aim. To assess the functional indexes in children with the retarded speech development and their associations. Methods. 30 children (4 to 6 years old) with retarded speech development. To assess the functional indicators of children with language delay, using the follo wing testing instruments: gross motor skills were assessed with the TGMD-2 test, balance with the modifed Berg scale and the “up and go” test; the coordination test consists of samples which do not require any coordination of balance(according to
      Schmitz 1988); and fne motor skills were assessed with a standardised test based on the methodology of the Oseretsky test. Results. Children with retarded speech development have difculty in performing a jump with one foot, a jump with a big step or knocking around a ball. The assessment of the object control abilities was lower than that of locomotor abilities. Younger children with retarded speech suffered from worse static and dynamic balance and coordination. Signifcant fne motor impairment was found in more than a tenth of children with delayed language development. Conclusions. The gross motor functions in children with retarded speech makes a signifcant impact on the locomotor and object control abilities. Dynamic balance is related to static balance and coordination which does not require any balance, and the fne motor functions affect the object control abilities. Keywords: retarded speech development, balance, fne motor skills, gross motor skills, coordination, children
      PubDate: 2023-06-27
      DOI: 10.33607/rmske.v1i28.1363
      Issue No: Vol. 1, No. 28 (2023)
       
  • Impact of Different Physiotherapy Programs on Balance and Gait in
           Patients with Cerebral Infarction

    • Authors: Paula Smailytė, Eglė Lendraitienė, Ieva Žemaitienė
      Pages: 104 - 114
      Abstract: Background. An ischemic stroke has long-term adverse effects on the physical, emotional, and social well-being of the stroke survivor, so it is very important to help the patient regain independence and lost functions as quickly and efficiently as possible. Dynamic Neuromuscular Stability exercises can restore movement patterns in these patients by simulating central nervous system. The aim. To compare the effects of conventional physiotherapy and dynamic neuromuscular stabilization integrated into conventional physiotherapy on balance and gait in patients with cerebral infarction. Methods. The study included 30 subjects who survived an ischemic stroke. Subjects were randomly divided into two groups of 15 people in each for different interventions: Conventional physiotherapy and Conventional physiotherapy combined with integrated dynamic neuromuscular stabilization. Subjects were examined at a baseline and after the interventions. Patients’ balance was assessed using the Biodex platform, which was chosen to evaluate fall risk, trunk stability, stability limits and sensory organization. Gait parameters (step length and step width) of the affected and unaffected leg were assessed using the Zebris FDM-T treadmill. Results. Both conventional physiotherapy and physiotherapy with integrated dynamic neuromuscular stabilization improved gait parameters of the patients, as well as improving the results of the tests of fall risk, postural stability, stability limits, and the results of the sensory integration test when testing with eyes open on a stable surface (p<0.05). However, the results of the sensory integration tests while standing on a stable surface with eyes closed (p<0.001), with eyes open on an unstable surface (p<0.001) and with eyes closed on an unstable surface (p=0.021) improved only post physiotherapy with integrated dynamic neuromuscular stabilization. Conclusions. Both conventional physiotherapy and physiotherapy with integrated dynamic neuromuscular stabilization significantly improved gait and balance parameters in stroke patients.  Keywords: Dynamic neuromuscular stabilization, stroke, balance, trunk stability, gait.
      PubDate: 2023-06-27
      DOI: 10.33607/rmske.v1i28.1364
      Issue No: Vol. 1, No. 28 (2023)
       
  • The Immediate Effect of 90 sec. Duration Plantar Myofascial Release on
           Static and Dynamic Balance and Injury Risk in Female Volleyball Players

    • Authors: Agnė Mazgelienė, Justė Knatauskaitė
      Pages: 115 - 125
      Abstract: Background. Self-administered plantar myofascial release with a tennis ball is a widely used technique to increase flexibility and range of motion, but it is unclear how effective this technique is on static and dynamic balance and injury risk in volleyball players. The aim of the study is to determine the immediate effect of short-term (90 s duration) plantar myofascial release on the static and dynamic balance and injury risk of females playing volleyball. Methods. The study involved 26 female volleyball players who were randomly assigned to one of two groups. Subjects in the control group (n=13) received no intervention and were retested for 180 s. since initial testing. The participants of the study group received self-administered plantar myofascial release of 90 s duration with tennis ball for one leg and 90 s duration on the other leg (all together duration 180 s). A modified star excursion (Y test) test was used to assess dynamic balance. Static balance was assessed by the Flamingo test. Results. Myofascial release improved (p<0.05) the result of dynamic balance in only one direction – anterior, standing on both the left and right leg, in the control group – posterolateral, standing on the right and left leg, posteromedial – standing on the right leg (p<0.05). No differences were found between groups. The static balance of subjects in both groups during the retest did not differ (p>0.05) from the initial assessment. The combined dynamic balance score improved (p<0.05) only in the control group that had a rest break instead of the intervention. No significant differences were found in static balance results either between groups or within groups. Conclusions. Immediate short duration plantar myofascial release was not effective on static and dynamic balance and injury risk in volleyball players. The effect of short-term myofascial release did not differ from that of no intervention. Keywords: balance, volleyball, myofascial release, injury risk.
      PubDate: 2023-06-27
      DOI: 10.33607/rmske.v1i28.1365
      Issue No: Vol. 1, No. 28 (2023)
       
  • Effects of Balance and Proprioceptive Exercises on the Balance of Ice
           Hockey Players and the Risk of Lower Limb Injuries

    • Authors: Agnė Karvelytė, Saulė Sipavičienė
      Pages: 1 - 12
      Abstract: Background. Most ice hockey injuries are contact, but about 15% are non-contact musculoskeletal injuries and lower body injuries account for 30-45% of all injuries in ice hockey players. It is believed that proprioception and balance training can improve neuromuscular control, improve its ability to synchronise the muscle joint to improve dynamic stability and improve human performance, so balance and proprioception are suggested exercises as a regular part of training. The aim. To determine the effects of a 6-week balance and proprioception training exercises on balance and lower extremity injury risk in ice hockey players. Material and methods. 20 men were randomly divided into experimental and control groups. Six weeks were applied to the research group balance and proprioception exercises, twice a week for 45 minutes next to their regular training. The control group continued with regular training. Before and after the study, static balance was assessed by the flamingo test, dynamic balance and lower extremity injury risk by the modified star excursion test, and injury risk assessment using the Functional Movement Assessment. Results. In the intervention group after 6 weeks the static balance of the right and left leg improved statistically significantly (p<0,05), the dynamic balance of the right and left leg in the front, posteromedial, posterolateral directions (p<0,05), but functional movement patterns did not change statistically significantly (p>0,05). A statistically significant difference was found between the groups in the dynamic balance of the left and right leg in the front, posteromedial, and posterolateral directions (p<0,05) and the static balance of the right leg (p<0,05). The results of the intervention group were better compared to the control group. Conclusions. After the application of balance and proprioception training exercises, the static and dynamic balance of ice hockey players improved and the risk of injury in ice hockey players decreased. Recommendations. Balance and proprioception exercises should be included in hockey physical training to improve static and dynamic balance and reduce the risk of injury. When performing balance and proprioception exercises, we recommend incorporating a variety of specific movements that are similar to those performed by athletes during training and competition. In order to determine the cause of injuries and their risk, it is very important to carry out regular tests, store them and analyse them. Keywords: balance, proprioception, hockey, injury risk
      Keywords: Articles
      PubDate: 2023-12-01
      DOI: 10.33607/rmske.v2i29.1420
       
  • The Influence of Physical Activity and Chess Sports on Children’s
           Physical Condition and Cognitive Functions

    • Authors: Ligita Šilinė, Tautvydė Danilčikaitė, Laura Žlibinaitė
      Pages: 13 - 23
      Abstract: Background. Children who play chess improve their academic results, cognitive and social skills, however, both cognitive and physical abilities are important for healthy development. Recent evidence suggests that physical activity has a positive impact not only on children’s physical abilities but cognitive functions as well. Yet it is not clear the effect of physical activity and chess on children’s physical condition and cognitive functions. The aim. To identify the influence of physical activity and chess sports on children’s physical condition and cognitive functions. Methods. The study involved 30 children (8-9 years). They were equally divided into three groups: chess-playing (CHESS), physical activity and chess-playing (PA+CHESS), and physical activity (PA). The fnger reaching test was used to assess flexibility, 10x5 m shuttlecock test was used to assess dexterity, handgrip strength was measured using the dynamometer, cognitive functions were evaluated using “MoCA-LT” and Bourdon-Anfmov tests. Results. Flexibility and handgrip strength did not differ signifcantly between groups (p>0.05). The dexterity in CHESS group was worse than in CHESS+PA and PA groups (p<0.05). The dexterity results of the CHESS+PA and PA groups did not differ (p>0.05). The cognitive functions of the CHESS+PA group, as assessed by the MoCA test, were better than those of the PA group (p<0.05). No difference was found between other groups (p>0.05). Conclusions. Children who play chess and participate in sport activity have better cognitive functions than children who only do sport. The worst results of dexterity test were in children who play chess only. Keywords: physical condition, cognitive functions, chess sports, children.
      Keywords: Articles
      PubDate: 2023-12-01
      DOI: 10.33607/rmske.v2i29.1421
       
  • Associations of Early-Age Children’s Motor Development With Their
           Mothers’ Physical Activity

    • Authors: Lina Budrienė, Tomas Aukštikalnis, Ieva Gedvilienė, Agneta Šemetaitė
      Pages: 24 - 33
      Abstract: Background. Physical activity and movement is a key factor in motor development. The physical activity of parents is associated with the physical activity of their children. The aim. To determine the correlations between the motor development of early-age children and the level of physical activity of mothers. Methods. 32 early-age children (from 6 months to 36 months) were assessed for motor development according to the Peabody (PDMS-2) movement test. The physical activity of the children’s mothers was assessed according to the International Physical Activity Questionnaire. The child’s motor development and physical activity were assessed using a questionnaire for mothers. Results. The average value of the motor development coefcient of early-age children was 107.66±7.02 points; 53 percent of children reached an average level of motor development, and 47 percent of children’s motor development level was rated above average. The average value of the physical activity of the mothers was evaluated as a high level of physical activity and was 3638.09±2191.31 MET. 44
      percent of mothers have a high level of physical activity, 53 percent – an average and 3 percent. – low.
      Conclusions. The coefcient of motor development was higher in those earlyage children whose parents’ physical activity level was moderate or high. It was established that the less time parents devote to intense or moderately intense physical activity, the less time they devote to children’s physical activity; the more time mothers spend walking, the more time children spend outside. Keywords: children, motor development, mothers, physical activity.
      Keywords: Articles
      PubDate: 2023-12-01
      DOI: 10.33607/rmske.v2i29.1422
       
  • Nursing Stress and Thought Control in a Multiperspectival Interpretive
           Phenomenological Analyses from the United Kingdom, United States and
           Switzerland

    • Authors: Yumna Ali , Syeda Farhana Kazmi
      Pages: 34 - 49
      Abstract: Background. Nurses constitute a worldwide community of human resources committed to critical care. They are exposed to stress and intruding thoughts so they are at the risk of poor performance. The study aimed to ask experts about how can nurses manage stress effectively in Asian developing countries. The aim. To explore stress management skills for nurses to be applied in developing Asian countries through the personal lived experience of experts from developed countries. Multiperspectival Interpretive Phenomenological Analyses (MIPA) are performed case by case and across the participants to establish convergence and divergence. Methods. This experiential exploratory descriptive qualitative study was carried out by conducting semi-structured interviews with experts residing, educated, and professionally practising in the United States of America, United Kingdom, and Switzerland, with a purposing sample of 11 stress experts who were subjected to interpretative phenomenological analysis (IPA). The current study uses HyperResearch software v.4.5.4 and also uses qualitative criteria (Lincoln & Guba, 1985) to increase data rigour and the Graneheim and Lundman method to analyse content (Graneheim & Lundman, 2004). Results. The research data showed 102 codes, 4 experiential statements, and 15 personal experiential themes/subcategories. Strategies for stress management and thought control include the practice
      of mindfulness and meditation through mindfulness-based stress reduction courses, mindfulnessbased cognitive therapy courses; and the conduction of mindfulness-based organisational education on a larger scale. Nurses can beneft from thought labelling, and cognitive defusion to challenge automatic thoughts. Systematically, nursing management can improve through intervision, on-the-job support, and balance of power gradient. Nurses must adopt stress relief strategies such as practicing self-compassion, yoga, the method of active noticing, rational emotive behaviour skills, afrmations, and acceptance. Conclusion. Nurses face stress in daily life. Continuous and practical methods of stress management are important and contribute to stress reduction for them. It is essential for nurses to practice mindfulness, meditation, thought control, and stress relief processes to work optimally. Keywords: stress management, thought control, nursing, psychology, qualitative.
      Keywords: Articles
      PubDate: 2023-12-01
      DOI: 10.33607/rmske.v2i29.1423
       
  • Nutritional Status of Children with Beta Thalassemia Major

    • Authors: Dhara Bipin Joshi, Uma Siddharth Nayak
      Pages: 50 - 57
      Abstract: Background. Children with beta thalassemia major are at risk for poor nutritional status, which can lead to signifcant health problems. It is essential to evaluate the level of malnutrition among individuals. The aim. To assess the nutritional status of children with beta thalassemia major using body mass index. Methods. This cross-sectional study was conducted at the District Branch of the Indian Red Cross Society in Ahmedabad, Gujarat. The purposive sampling technique was used to select 119 children with beta thalassemia major as participants. The nutritional status of children aged 8 to 18 years was assessed from September 2021 to December 2021. Results. Out of the 119 participants, 56 (47%) were female and 63 (53%) were male. The mean height was 150.82 ± 22.44 cm, the mean weight was 34.71 ± 11.62 kg, and the mean BMI was 15.28 ± 4.25. Out of a total of 119 patients, 62.18% were underweight, 31.93% were healthy, and 5.88% were overweight. 55% of females and 68% of males were underweight. There is a statistically signifcant association between age and nutrition status (P=0.04). The data depicts a statistically significant association between family monthly income and nutrition status (P=0.013). Conclusion. Results of this study showed that the majority of the children with thalassemia were underweight. There is a statistical association between age, economic status, and nutritional status. There is a need to raise awareness about food and nutrition for children with beta thalassemia major. Keywords: thalassemia major, body mass index (BMI), underweight, nutrition.
      Keywords: Articles
      PubDate: 2023-12-01
      DOI: 10.33607/rmske.v2i29.1424
       
  • The Relationship Between the Functional and Physical Condition with Pain
           and Trauma of Basketball Players in Terms of Gender

    • Authors: Ernestas Barkus, Ligita Šilinė
      Pages: 58 - 68
      Abstract: Background. Lower extremity injuries account for more than half of the trauma experienced by basketball players. With a high number of trauma, it is important to include trauma prevention programs and monitor the physical and functional condition of the players. It is not clear what is the relationship between the functional and physical condition with pain and trauma of basketball players in terms of gender. The aim. To determine the relationship between the functional and physical condition with pain and trauma of basketball players in terms of gender. Methods. 20 basketball players (10 boys and 10 girls) participated in the study. Information about trauma and training status of basketball players was collected through a questionnaire. The functional status of the subjects was assessed with the Functional Movement Screen and the Y Balance Test. The physical condition was assessed by: Ely’s (for the length of the rectus femoris muscle), Thomas (for the length of the iliopsoas muscle), and Pendulum (for the mobility of the spine) tests. Pain intensity was assessed on a numeric pain intensity scale. Results. In female players, a moderate inverse relationship was found between functional condition and pain (r = -0.679, p<0.05), and a strong relationship with trauma (r = -0.898, p<0.05) was found. For male players, the relationship between functional condition and pain and trauma was not established (r=-0.460, p>0.05 and r=-0.571, p>0.05, respectively). An inverse relationship was established between the length of the iliopsoas muscle in females and pain (r=-0.661, p<0.05) and trauma (r= -0.500, p>0.05). The relationship between the length of the rectus femoris muscle and pain was found in both males (r=-0.687, p<0.05) and females (r=-0.887, p<0.05), and the relationship with trauma was found only in females (r=- 0.816, p<0.05). Conclusions. The functional and physical condition of female basketball players is more related to the intensity of pain and trauma than that of male basketball players. Keywords: Functional movement, muscle length, basketball, trauma, gender.
      Keywords: Articles
      PubDate: 2023-12-01
      DOI: 10.33607/rmske.v2i29.1425
       
  • The Prevalence of Undifferentiated Connective Tissue Dysplasia in
           Senior Students

    • Authors: Mykhailo Protsailo , Volodymyr Dzhyvak , Ihor Krycky, Pavlo Hoshchynskyi, Ihor Horishnyi , Iryna Chornomydz
      Pages: 69 - 81
      Abstract: Background. Connective tissue dysplasia is an important medical condition requiring attention and research. The aim. To analyse the prevalence of the clinical signs of undifferentiated connective tissue dysplasia among senior students of educational institution. Methods. 110 senior students (average age - 20 years) were examined (females 64 %, males 36 %). Joint hypermobility was assessed according to the Bayton scale, joint hypermobility syndrome according to the Brighton criteria. The main criteria for undifferentiated connective tissue dysplasia and the stigma of dysembryogenesis were studied: flat feet; deformities of the spine, chest; visual impairment etc. The state of the cardiovascular system and gastrointestinal tract was assessed by questioning and anamnestic data. Results. Joint hypermobility was the most common feature of undifferentiated connective tissue dysplasia, accounting for 62.7%. Malocclusion occurred in 36.8% of cases, visual impairment occurred in 32.7%, myopia in 21.8%, astigmatism in 4.5%, strabismus in 3.7%, and a combination of astigmatism and myopia in 2.7%. Abnormalities in the development of the dentition of the jaws were found in 29.1% of students. Deformities of the feet with a decrease in the longitudinal arch were diagnosed in 21.8% and spinal axis deviations in 21%. Conclusions. Undifferentiated connective tissue dysplasia in senior students was most often manifested by joint hypermobility, visual impairment, malocclusion, flat feet, scolytic deformities, and multiple stigmata of dysembryogenesis. Keywords: connective tissue dysplasia, joint hypermobility, diagnostics, students, stigma of dysembryogenesis, rehabilitation.
      Keywords: Articles
      PubDate: 2023-12-01
      DOI: 10.33607/rmske.v2i29.1426
       
  • Efcacy of Low-Intensity Aerobic Exercise and Aerobic Combined with
           Resistance Exercise on Pain, Respiratory Function, Fatigue and Qualityof
           Life in Nursing Patients

    • Authors: Šarūnas Kvietkauskas, Vilma Juodžbalienė
      Pages: 82 - 95
      Abstract: Background. In older people with multiple comorbidities, quality of life declines due to physical deterioration, which may also contribute to psychological deterioration (Nóbrega et al., 2009; Subramaniam et al., 2019). In such cases, it is important to ensure adequate physical activity, as it can improve their physical and psychological condition (Bricca et al., 2020). Physical activity including aerobic exercises, resistance exercises, and stretching exercises can improve the quality of life in elderly (López-Torres, 2019), but it remains unclear which physical exercises are more effective. The aim. To determine which of the physiotherapy programs - low-intensity aerobic exercises or combined aerobic and resistance exercises - are more effective in reducing pain and fatigue of nursing patients, improving respiratory indicators and quality of life. Methods. 20 patients 74.85±5.4 years of age participated in the study. Subjects were randomly divided into two groups: MIAP group - applied low-intensity aerobic exercise, APP group - aerobic and resistance exercise. Perceived pain was assessed using numerical pain scale (SAS). Respiratory function indicators were evaluated by spirometry. The multidimensional fatigue inventory (MFI-20L) assessed general, physical and mental fatigue, decreased activity and motivation. The SF-36 questionnaire was used to assess the quality of life. Results. Applying the MIAP and APP programs was significantly reduced pain, physical fatigue, improved quality of life related to physical and mental health, and respiratory indicators (p<0.05). Conclusions. A low-intensity aerobic exercise program was more effective in reducing fatigue, while an aerobic and resistance exercise program was more effective in improving respiratory function. Both programs were effective in improving mental and physical health-related quality of life and reducing pain. Keywords: physiotherapy, quality of life, pain, respiratory function, fatigue.
      Keywords: Articles
      PubDate: 2023-12-01
      DOI: 10.33607/rmske.v2i29.1427
       
  • Assessment of Postural Control and Proprioception Using the Delos Postural
           Proprioceptive System

    • Authors: Roberto Tedeschi
      Pages: 96 - 112
      Abstract: Background. Proper postural control and proprioception are essential for maintaining balance, preventing falls, and performing daily activities. Traditional methods of assessing postural control and proprioceptive function often lack objectivity and precision. The DPPS offers a promising solution by providing a quantitative and comprehensive evaluation of postural stability and proprioceptive performance. Methods. The DPPS utilises advanced sensor technology and computerised analysis to measure various parameters related to postural control, including stability indexes, weight distribution, sway patterns, and proprioceptive responses. It incorporates both static and dynamic tests, allowing for a comprehensive assessment of postural control in different conditions. Results. Numerous studies have demonstrated the effectiveness of the DPPS in evaluating postural control and proprioception in various populations, such as athletes, older adults, individuals with balance disorders, and patients undergoing rehabilitation. The DPPS has shown good reliability and validity, with its measurements correlating well with other established assessment tools. It has also proven to be sensitive in detecting changes in postural control and proprioceptive function over time. Conclusions. The DPPS represents a valuable tool for objective assessment and monitoring of postural control and proprioceptive function. Its ability to provide quantitative data in a reliable and sensitive manner makes it an attractive option for researchers, clinicians, and rehabilitation professionals. By enhancing our understanding of postural control and proprioception, the DPPS can contribute to the development of targeted interventions and personalised treatment strategies aimed at improving balance, preventing falls, and optimising functional performance. Keywords: Delos Postural Proprioceptive System, Postural control, Proprioception, Assessment, Balance.
      Keywords: Articles
      PubDate: 2023-12-01
      DOI: 10.33607/rmske.v2i29.1428
       
  • Effectiveness of Manipulative Therapy on Neck Pain, Function and
           Disability. A Systematic Review

    • Authors: Nan Xu , Elif Nur
      Pages: 113 - 131
      Abstract: Background: Neck pain is a common musculoskeletal issue affecting people worldwide, and manipulative therapy is implemented as a treatment for it. Aim: To analyse the effects of different manipulative therapy techniques on the pain intensity, sensitivity and function in patients with neck pain. Methods. Studies between 2012 - April 2022 were selected to investigate the effectiveness of manipulative therapy on neck pain, function and disability. The databases PubMed ®, CNKI, Science Direct, Springer LINK, ResearchGate, Semantic Scholar, Taylor & Francis Online and Google Scholar were utilised. The selection criteria included studies involving human subjects with neck musculoskeletal pain, focusing on the effects of manipulative therapy on neck pain management and function. Results: 10 studies with 573 subjects were included. Strong evidence supported that manipulative therapy was effective in reducing pain and increasing the pain threshold and the function of the neck. A significant (p<0.05) positive effect was reported by 100% of studies that implemented the above parameters. Moderate evidence showed that manipulative therapy was effective in the management of the disability of the neck. The ratio of positive effect was 66.66% among involved studies with very significant results (p<0.01). Moderate evidence with a limited amount of study showed a significant increase in muscle strength after manipulative therapy (p<0.05). Conclusions. Manipulative therapy is effective in reducing neck pain intensity and sensitivity as well as improving neck function and reducing disability. The combined application of manipulative therapy is always more effective than the isolated application of manipulative therapy on patients with neck pain. Keywords: Neck pain; manipulative therapy; effectiveness; pain threshold; pain intensity; neck function
      Keywords: Articles
      PubDate: 2023-12-01
      DOI: 10.33607/rmske.v2i29.1429
       
 
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