REHABILITATION
Purpose of the study: to develop a consensus statement, based on the Delphi protocol methodology, regarding the key principles of postoperative rehabilitation for physically active individuals from the general population following primary isolated ACL reconstruction.
Materials and methods: A two-round Delphi study was conducted to develop the consensus statement. The working group formulated a list of questions divided into three categories: core rehabilitation principles, criteria for return to activity, and paramedical aspects of care. Twenty-three rehabilitation experts participated, meeting strict criteria: higher medical or pedagogical education, at least 10 years of professional experience, and management of at least 100 patients after ACL reconstruction within the five years preceding the study. Consensus was defined as 70 % agreement among experts.
Results: Consensus was achieved on all 42 items. Key findings include the necessity of early rehabilitation initiation (within the first week), emphasis on therapeutic exercise, a staged approach to recovery, and clear criteria for return to physical activity. Experts noted that instrumental physiotherapy, intra-articular injections, and frequent online consultations are not mandatory. The optimal duration of rehabilitation is 6–9 months with 5–6 training sessions per week. Critical success factors include patient motivation, continuity between surgeon and rehabilitation specialist, and accessibility of the rehabilitation plan.
Conclusion: This consensus statement represents the first document of its kind within the Russian professional rehabilitation community. It provides orthopedic surgeons and specialists in physical and rehabilitation medicine with an opportunity to optimize management of patients with isolated ACL ruptures. Optimization can be achieved by improving continuity and applying unified approaches at different stages of the rehabilitation process, which will reduce complication risks, accelerate return to an active lifestyle, and improve quality of life after ACL reconstruction.
Introduction: Overweight in young adult women is a global health concern, including in Indonesia, as it increases the risk of cardiovascular disease. Heart Rate Recovery (HRR) is a key indicator of autonomic function and cardiovascular fitness, while blood pressure regulation plays a crucial role in preventing complications. Aerobic Interval Training (AIT) has the potential to improve HRR and stabilize blood pressure; however, its effectiveness in overweight individuals remains insufficiently studied.
Objective: To evaluate the effectiveness of AIT in improving HRR and stabilizing blood pressure in overweight young adult women.
Methods: A Randomized Controlled Trial (RCT) was conducted with 30 women, randomly assigned to either an intervention group (AIT for six weeks) or a control group (education program only). HRR was assessed using a pulse oximeter, while blood pressure was measured using a sphygmomanometer.
Results: The intervention group showed significant improvements in HRR1 and HRR2 (p<0.001), indicating enhanced autonomic nervous system function. Additionally, a significant reduction in systolic (p<0.001) and diastolic blood pressure (p = 0.012) was observed, whereas no significant changes occurred in the control group. These findings confirm that AIT promotes cardiovascular adaptation and improves blood pressure regulation.
Conclusion: AIT is an effective, non-pharmacological approach to improving HRR and stabilizing blood pressure in overweight young adult women. This intervention can be integrated into public health programs to prevent cardiovascular diseases and improve overall population health.
SPORTS PHYSIOLOGY AND BIOCHEMISTRY
Purpose of the study: the analysis of meta-analyses and systematic reviews published in the Pubmed database since 2000, which assessed the impact of Pilates classes on the body of physically active, healthy members of the general population.
Methods: all meta-analyses and systematic reviews with the key word “pilates” were selected in the Pubmed database. After finalizing the list of meta-analyses and systematic reviews that correspond to the purpose of the study, a table was compiled in which the key parameters of each of them were indicated.
Results: the final analysis demonstrated that regular Pilates classes can safely and significantly improve body posture and dynamic balance, flexibility of the tendons of the posterior thigh and back muscles, endurance of the abdominal muscles and quality of life. But at the same time, it probably does not have a significant effect on body composition.
Conclusion: Pilates classes can be considered as an effective and safe method of improving body posture and flexibility in physically healthy members of the general population. At the same time, the lack of high-level methodological data does not allow us to recommend Pilates training as a method of injury prevention and performance improvement in groups of high-level athletes.
The purpose of the study: to study the indicators of support symmetry and balancing performance of teenage hockey players depending on the playing position.
Materials and methods: morphological parameters of hockey players (body weight, body length, chest circumference, percentage of total fat) were studied; the coordination abilities of 50 hockey players were evaluated using the Stabilan 01-2 Stability platform.
Results: higher level of maintaining postural stability among defenders was established; lower indicators of the trajectory length and the speed of movement of the center of pressure in the stance with open and closed eyes were revealed, as well as high values of the “quality of the balance function” indicator among defenders.
Conclusion: The values of the analyzed stabilometric indicators indicate a higher level of maintaining postural stability among defenders. The data obtained during the study can be used for an adequate and timely adjustment of the training process, as well as at the stage of sports selection.
SPORTS DISEASES
The aim: of the work is to study the cases of sports injuries in emergency medical care calls in the Komi Republic in 2024.
Materials and methods: There were analyzed 287 outpatient cards of patients who contacted emergency medical care stations because of injuries received during physical education and sport activities in all the municipalities of the Komi Republic.
Results: As a result, the number of cases related to sports injuries amounted to 0.8 % of all registered calls to emergency medical care stations regarding injuries. More often sports injuries were registered in the Sosnogorsk district (10 cases per 10 000 population), less often — in the city of Vorkuta (0.4 cases per 10 000 population). The majority (64 %) of sports-related injuries were received indoors. The largest number of injuries was recorded among students during physical education lessons for both sexes, on the second place there are sport games in terms of injury risk. Men of the studied social groups were injured more often when playing mini-football, hockey and doing martial arts, and the opposite sex, women, were injured when playing volleyball.
Conclusion: The greatest number of sports injuries in the Komi Republic is among students of educational institutions with an average age of 13б4 years for boys and 12,4 years for girls. According to the registered data the greatest number of injuries among boys was received during the training lessons (44,5 %), and 49,3 % of injuries among girls were received during physical education lessons in educational institutions. The greatest number of injuries among men was recorded in team sports and martial arts; among women — in team sports and complex coordination sports. The most traumatic kind of sport was hockey, on the second place there was mini-football and athletics was on the third place.
SPORTS PSYCHOLOGY
Purpose of the study: to establish the features of motivation for adaptive physical education (APE) and the importance of these activities for the psychological well-being, vitality and quality of life of students with disabilities.
Methods: The study involved students from the Russian State University of Social Technologies (n = 108; 32.3 % male, 67.7 % female; average age 20.9 ± 1.9; 100 % diagnosed with disability), who were divided into two comparison groups based on their participation in physical education classes. The descriptive analysis revealed that 36 % of the participants are students of the Faculty of Digital Technologies, 34 % are students of the Faculty of Psychology, and 30 % are students of the Faculty of Economics. Students with disabilities (32 % of respondents had a 1st group of disabilities, 35 % had a 2nd group, and 33 % had a 3rd group) were divided into the following categories: 73 % of respondents with musculoskeletal disorders, 16 % with genetic, somatic, and other disorders, 9% with visual impairments, and 2 % with hearing impairments. The study of motivation for physical education classes and the importance of these classes was conducted using the following methods: “Psychological well-being” K. Riff in the adaptation of T.D. Shevelenkova, P.P. Fesenko; “Human resiliency” A.V. Makhnacha; “Assessment of the quality of life” SF-36; “Motives for sports” by A.V. Shaboltas; “Studies of motives for sports” by V.I. Tropikov; “Determination of personality orientation” by B. Bass; “Determination of the leading orientation” by V. Smekalo, M. Kucher; a questionnaire that allows you to establish the socio-psychological characteristics of students.
Results: The study found that this type of activity helps change one’s opinion of oneself, increase self-esteem, obtain real aesthetic pleasure and contributes to the improvement of interpersonal interactions, has a positive effect on the assessment of the quality of life, psychological well-being and resiliency.
Conclusion: APE classes perform a health-preserving function, have a positive effect on the quality of life, contribute to the improvement of psychological well-being and maintenance of the resiliency of students with disabilities.
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