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Reabilitacijos Mokslai : Slauga, Kineziterapija, Ergoterapija
Number of Followers: 3  

  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

    • 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)
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