BACKGROUND: Regular evaluation of foot posture should be performed to determine whether foot-level interventions are necessary because changes in foot posture may contribute to lower-limb overuse injuries. This pilot study aims to test the level of pronation in judokas. METHODS: A total of 61 judokas from Slovakia and the Czech Republic participated in the study, including 36 members of the youth team. Based on sex, the sample was composed of 42 males and 19 females with a mean ± SD age of 16.82 ± 2.41 years. Pronation was measured by the navicular drop test on the foot. RESULTS: According to the data, the mean ± SD pronation in males was 0.86 ± 0.34 cm on the right foot and 0.89 ± 0.34 cm on the left foot. The mean ± SD navicular drop measurement for the right foot was 0.874 ± 0.20 cm and 0.878 ± 0.23 for the left foot. No correlation between pronation and age (r = 0.29), height (r = 0.04), body mass index (r = 0.02), or years of judo training (r = 0.22) was found. CONCLUSIONS: This study of judoka pronation values is the first of its kind, providing novel insights into the biomechanics of judo athletes. The findings indicate that sex and age do not significantly influence pronation, suggesting that training and technique may play a more critical role in movement patterns.
- MeSH
- biomechanika MeSH
- bojové sporty * fyziologie MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- noha (od hlezna dolů) * fyziologie MeSH
- pilotní projekty MeSH
- pronace * fyziologie MeSH
- Check Tag
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
- Slovenská republika MeSH
OBJECTIVE: Hospital admissions for advanced chronic liver disease (ACLD) are associated with increased mortality, disability, a decline in quality of life and significant economic costs. Being admitted to the hospital usually indicates a triggering event that disrupted a previously stable condition, leading to decompensation or complications of ACLD. The most acute and severe manifestation of this imbalance is acute-on-chronic liver failure (ACLF), a syndrome representing a critical juncture. Reliable prognostic stratification of patients admitted with ACLF could facilitate the systematic delivery of tailored care, ranging from palliative care to intensive interventions like extracorporeal liver support devices and prioritised liver transplantation. Disease-specific prognostic tools, such as the Model for End-Stage Liver Disease score, are effective but have limitations, particularly in reflecting a patient's potential for recovery. The concept of the body's functional reserve in the context of ACLD/ACLF is gaining attention, with the Liver Frailty Index (LFI) potentially emerging as a recommended diagnostic tool. METHODS: Patients were selected from our cirrhosis registry (RH7). The LFI serves as an indicator of the patient's prognosis. The LFI measurement takes place at two time intervals: on the patient's admission and after 7 days of hospitalisation. RESULTS: Our RH7 registry included 154 patients (15.1%) who were diagnosed with ACLF. The primary cause of the underlying ACLD was alcohol-associated liver disease in the majority (79.8%) of cases. The mean value of LFI at admission was 4.50 (± 0.94). When patients with liver cirrhosis were categorised into three subgroups based on the LFI on day 7, survival exhibited a statistically significant decrease (p≤0.05) across all three ACLF grades. This decline in survival was observed from the 'improved LFI' cohort, through the 'stable LFI' group, to the 'worsened LFI' group. CONCLUSION: The impact of day 7 LFI on the survival of patients with ACLF is notable. Nevertheless, it does not markedly enhance the predictive capability of the LFI assessed on admission. Consequently, the initial LFI on day 1 continues to be the most valuable and commonly used instrument for promptly recognising individuals with ACLF.
- MeSH
- akutní zhoršení chronického selhání jater * mortalita MeSH
- dospělí MeSH
- hospitalizace * MeSH
- játra * patofyziologie MeSH
- křehkost * MeSH
- lidé středního věku MeSH
- lidé MeSH
- prognóza MeSH
- prospektivní studie MeSH
- senioři MeSH
- stupeň závažnosti nemoci MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Slovenská republika MeSH
Najčastejším symptomatickým prejavom syndrómu iliotibiálneho traktu (ITBS – iliotibial band syndrome) je bolesť bočnej časti kolena, ktorá je spojená s opakovanými pohybovými aktivitami. Pacienti bolesť často udávajú ako bodavú v oblasti okolo laterálneho femorálneho epikondylu, ktorá môže vyžarovať dole iliotibiálnym smerom do holennej kosti. V proximálnej časti stehna dostáva iliotibiálny trakt (ITB) fasciálne časti z hlbokej fascie stehna, m. gluteus maximus a m. tensor fasciae latae. ITBS sa vo väčšine prípadov úspešne lieči neoperačným manažmentom, hoci niekedy je potrebný chirurgický zákrok. Etiológia ITBS je predmetom kontroverzných diskusií. Pre ITBS bolo navrhnutých niekoľko etiológií, vrátane trenia ITB o laterálny femorálny epikondyl, kompresie tukového tkaniva a spojivového tkaniva a chronický zápal burzy ITB. ITBS je diagnóza založená na klinickom prejave. Dôležitým nálezom pri klinickom vyšetrení je lokálna citlivosť laterálnej časti kolena pod epikondylom a nad kĺbovou líniou. Rehabilitácia u pacientov so ITBS predstavuje dôležitú časť komplexnej liečby, ktorá zohráva kľúčovú úlohu pri liečbe ITBS.
Summary: The most common symptomatic manifestation of iliotibial band syndrome (ITBS) includes pain in the lateral part of the knee, which is associated with repetitive movement activities. Patients often describe pain in the area around the lateral femoral epicondyle, which can radiate down the iliotibial direction into the tibia. In the proximal part of the thigh, the iliotibial tract (ITB) receives fascial parts from the deep fascia of the thigh, gluteus maximus, and tensor fasciae latae. ITBS is often successfully treated with non-operative management, although surgery is sometimes required. The etiology of ITBS has been the subject of controversial discussions. Various etiologies have been proposed for ITBS, including friction of the ITB against the lateral femoral epicondyle, compression of the adipose tissue and the connective tissue, and chronic inflammation of the ITB bursa. ITBS is a diagnosis based on clinical presentation. Local tenderness of the lateral part of the knee below the epicondyle and above the joint line is an important finding during physical examination. Rehabilitation in patients with ITBS is an important part of comprehensive treatment that plays a key role in the therapy of ITBS.
Crohnova choroba a ulcerózna kolitída patria medzi heterogénnu skupinu chorôb zaradených do skupiny nešpecifických črevných zápalov (IBD – inflammatory bowel disease). Pri etiopatogenéze ochorenia sa uplatňujú multifaktoriálne príčiny, z ktorých významné zastúpenie má genetická predispozícia, zloženie mikrobiómu, abnormálna imunitná odpoveď a environmentálne faktory. Potenciálnu terapiu predstavuje cvičenie. Cvičenie vedie k zvýšeniu expresie interleukinu-6 (IL-6) a protizápalového cytokínu IL-10. Potenciálny benefit cvičenia je v ovplyvnení indukovanej črevnej bariérovej dysfunkcie a a zmiernení symptómov. Optimálna pohybová dávka znižuje viscerálny tuk a následne vedie k uvoľňovaniu prozápalových cytokínov a uvoľňovaniu myokínov, ako je IL-6. Pravidelné cvičenie je asociované s autofágiou, ktorá je spojená s intracelulárnou degradáciou s protektívnym účinkom pred vznikom ochorení. Ďalším možným mechanizmom cvičenia je ovplyvnenie tumor nekrotizujúceho faktora alfa. Cvičenie tiež môže potencovať vplyv na zlepšenie symptómov pomocou heat shock proteínu. Dôležitý vplyv cvičenia sa uplatňuje aj v prevencii pred vznikom IBD a vedie k zníženiu rizika relapsu IBD. Pravidelné cvičenie tiež prispieva k optimálnej kompozícii tela pacientov a zvyšuje kvalitu života pacientov s IBD.
Crohn’s disease and ulcerative colitis belong to a heterogeneous group of diseases classified as inflammatory bowel disease. The etiopathogenesis of the disease involves multifactorial causes of which the genetic predisposition, interstitial microbiome, abnormal immune response and environmental factors play a significant role. Physical exercise can be used as potential therapy. Exercise may increase expression of interleukin-6 (IL-6) and the anti-inflammatory cytokine IL-10. Exercise can also lead to alleviation of stress-induced intestinal barrier dysfunction and relieves symptoms of disease. Physical activity at adequate doses decreases visceral fat and results in the release of pro-inflammatory cytokines and myokines such as IL-6. Regular exercise is associated with autophagy, which is associated with intracellular degradation with a protective effect before the disease develops. Another possible mechanism induced by exercise is to affect the tumour necrosis factor alpha. Exercise can also potentiate the effect of ameliorating symptoms by means of the heat shock protein. Exercise can prevent non-specific intestinal inflammation and reduces the risk of relapse. Regular exercise also contributes to optimal patient body composition and enhances the quality of life of patients with non-specific intestinal inflammation.
- MeSH
- Crohnova nemoc * rehabilitace MeSH
- lidé MeSH
- pohybová aktivita MeSH
- ulcerózní kolitida * rehabilitace MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
INTRODUCTION: Many patients have prolonged symptoms after COVID-19 infection, which can affect patient quality of life (QOL). The aim of this study is to determine the quality of life in patients with long COVID, compared with healthy controls. MATERIAL AND METHODS: The study was a prospective cross-sectional study using an anonymous online survey. The SF-36 questionnaire was chosen for quality of life measurement. The survey was distributed through the Facebook social media platform targeting groups of patients with long COVID. The control group was made up of physiotherapy and physical education students. RESULTS: There was a significant difference in physical function, with a mean score of 94.9 (±9.4) among the students, compared to long COVID patients with a mean score of 66.2 (±25.4) (p < 0.001). A similar result was found in the physical role (p < 0.001). The overall quality of life score for college students was 578.0 (±111.9), and the overall score for patients with long COVID was 331.9 (±126.9). CONCLUSIONS: Patients with long COVID had a lower quality of life compared to the healthy control group, and this was associated with the negative effect of long-COVID. Lower quality of life in patients with long COVID is an important therapeutic goal, which requires attention.
- MeSH
- COVID-19 * epidemiologie MeSH
- kontrolní skupiny MeSH
- kvalita života * MeSH
- lidé MeSH
- postakutní syndrom COVID-19 MeSH
- prospektivní studie MeSH
- průřezové studie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND: Alcohol consumption is an important issue. Adverse childhood experiences (ACEs) can affect alcohol consumption later in life. Therefore, the main objective of this study was to test the association between ACE and the alcohol consumption in college students. MATERIALS AND METHODS: A cross-sectional study on college students was conducted during December 2021 and January 2022, Through the school web system, students received a standard questionnaire on alcohol consumption (AUDIT) and ACEs. The study involved 4,044 participants from three universities in Slovakia. RESULT: Compared to men, the incidence of emotional abuse by a parent, physical abuse by a parent, and sexual abuse was significantly higher in women (p < 0.001). Furthermore, women reported greater emotional and physical neglect (p < 0.001). The incidence of a high or very high AUDIT score in college students with ACE-0, ACE-1, ACE-2, ACE-3, and ACE-4+ was 3.8, 4.7, 4.1, 6.4, and 9.3%, respectively. CONCLUSION: More adverse childhood experiences were associated with increased alcohol consumption in both male and female university students. Baseline drinking was higher in male students, but increased drinking in relation to an increase in ACEs was higher in female students. These results point to gender-specific driving forces and targets for intervention.
- Publikační typ
- časopisecké články MeSH
Laterálna epikondylitída (LE – lateral epicondylitis) je častým problémom u pacientov vyššieho veku, ale tiež u športovcov. LE sa zaraďuje medzi najčastejšie príčiny bolesti lakťa u dospelých, tiež je častým problémom u zamestnaní s chronickým preťažovaním daného segmentu. Medzi typické symptómy sa zaraďuje bolesť v oblasti laterálnej časti lakťa. Táto bolesť môže vyžarovať smerom do predlaktia. Priebeh LE môže byť akútny, ale aj chronický. Etiológia nebola presne identifikovaná. V rámci klinického vyšetrenia je možné využiť viacero diagnostických manévrov ako Mill test, Cozen test, Maudsley test a Polk test. Pri liečbe sa používa viacero terapeutických modalít. Najčastejšie sa pri liečbe LE používa cvičenie. Medzi základne typy cvičenia pri jej liečbe patrí izometrické, koncentrické a najčastejšie používané excentrické cvičenie. Pri liečbe LE sú používané aj ďalšie terapeutické modality ako kineziotejp, manuálna terapia a rôzne formy fyzikálnej terapie.
Lateral epicondylitis (LE) is a painful condition that affects mainly older patients, but also athletes. Also known as tennis elbow, it belongs to most common causes of elbow pain in adults and is among the most frequent disorders caused by overuse. Typical symptoms include pain located in the lateral part of the elbow likely to radiate to the forearm. The process of lateral epicondylitis can be both acute and chronic. The aetiology of LE has not been exactly determined yet. Within clinical examination, it is possible to use several diagnostic tests such as Mill test, Cozen test, Maudsley test and Polk test. The treatment methods include various therapeutic modalities. The most common method of LE treatment is exercise. The basic types of exercise include isometric and concentric exercises; however, the most commonly used are eccentric exercises. Other therapeutic approaches consist of kinesio taping, manual therapy, and various types of physical therapy.
- MeSH
- klinické zkoušky jako téma MeSH
- lidé MeSH
- myalgie etiologie patologie terapie MeSH
- rehabilitace metody MeSH
- techniky cvičení a pohybu MeSH
- tejpovací páska MeSH
- tenisový loket * diagnóza patologie rehabilitace MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
Východiska: Príčina gynekologických nádorov je multifaktorálna. Medzi rizikové faktory patrí vyššie BMI a nedostatok pohybovej aktivity. Gynekologické onkologické ochorenia sú spojené so stratou funkcie v dôsledku patofyziologických účinkov choroby, liečby a tiež psychického stresu pacientiek. Tieto problémy vedú k vyššej požiadavke rehabilitácie pacientiek. Cieľom rehabilitácie je pomôcť pacientke dosiahnuť čo najlepšiu úroveň funkčného stavu, podporovať nezávislosť, zlepšovať akceptáciu ochorenia, zmierniť únavu u pacientov a v poslednom rade zlepšiť kvalitu života pacientiek. Rehabilitačné vyšetrenie je podstatné zamerať na viacero faktorov spojených so zhoršenou funkciou ako napríklad zhoršenú kardiovaskulárnu a pulmonálnu funkciu, inkontinenciu moču alebo psychologické ťažkosti. Pleiotropný účinok rehabilitácie je možné využiť aj v tlmení bolesti, zlepšení tolerancie chemoterapie, v terapii lymfedému, v zlepšení funkcie panvového dna a tiež v pred a post operačnom období vzhľadom na urýchlenie rekonvalescenie. Cieľ: Hlavným cieľom článku je zhrnúť dostupné možnosti rehabilitácie gynekologických onkologických ochorení.
Background: The cause of gynecological tumors is multifactorial. Risk factors include higher BMI and lack of physical activity. Gynecological oncological diseases are associated with loss of function due to the pathophysiological effects of the disease, treatment, and also mental stress in patients. These problems lead to greater rehabilitation demand of patients. Rehabilitation aims to help the patient to achieve the best possible level of functional status, to foster independence, to improve acceptance of the disease, to improve patient fatigue and improve the quality of life of the patients It is essential to focus the rehabilitation examination on several factors associated with impaired function, such as impaired cardiovascular and pulmonary function, urinary incontinence or psychological or psychological distress. The pleiotropic effect of rehabilitation can also be used in pain relief, improvement of chemotherapy tolerance, in the treatment of lymphedema and in the improvement of pelvic floor muscle function. Purpose: The main aim of this paper is to summarize available options for rehabilitation after gynecological oncological diseases.
- MeSH
- cvičení MeSH
- lidé MeSH
- nádory ženských pohlavních orgánů * rehabilitace MeSH
- rehabilitace metody MeSH
- terapie cvičením metody MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- přehledy MeSH
The direct toxicity of cancer treatment threatens patients and survivors with an increased risk of cardiovascular disease or adverse functional changes with subsequent progression of cardiovascular complications. An accumulation of cardiovascular risk factors combined with an unhealthy lifestyle has recently become more common in cancer patients and survivors. It has been recommended to integrate a comprehensive cardiac rehabilitation model called cardio-oncology rehabilitation to mitigate cardiovascular risk. Nevertheless, cardiac rehabilitation interventions limit barriers in low utilization, further exacerbated by the restrictions associated with the COVID-19 pandemic. Therefore, it is essential to integrate alternative interventions such as telehealth, which can overcome several barriers. This literature review was designed as a framework for developing and evaluating telehealth interventions and mobile applications for comprehensive cardio-oncology rehabilitation. We identify knowledge gaps and propose strategies to facilitate the development and integration of cardio-oncology rehabilitation telehealth as an alternative approach to the standard of care for cancer patients and survivors. Despite the limited evidence, the pilot results from included studies support the feasibility and acceptability of telehealth and mobile technologies in cardio-oncology rehabilitation. This new area suggests that telehealth interventions are feasible and induce physiological and psychological benefits for cancer patients and survivors. There is an assumption that telehealth interventions and exercise may be an effective future alternative approach in supportive cancer care.
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
Východiská: Rakovina pľúc je jedným z najbežnejších zhubných nádorov na celom svete. V industriálnom svete incidencia a prevalencia rakoviny pľúc narastá. Pri patogenéze zohráva významnú úlohu vplyv životného prostredia a genetika. Dôležitú časť liečby zahŕňa rehabilitácia pacientov. Rakovina pľúc vedie ku vzniku fyzického impairmentu u pacientov. Je spojená najmä so zníženou fyzickou funkciou pacientov a zníženou kvalitou života pacientov. Rehabilitácia pacientov napomáha stabilizovať priebeh ochorenia a vedie k väčšej viere u pacientov čeliť náročnému ochoreniu. Dôležitú časť rehabilitácie zahŕňa funkčné vyšetrenie pacienta. Na vyšetrenie je možné využiť štandardizované testy ako 6minútový chodecký test, „chair stand“ test, „timed up and go“ test, doplnené o vyšetrenie svalovej sily a hmoty. Medzi základné terapie rehabilitácie patrí cvičenie. Pri cvičení sa využívajú základné formy ako aeróbne cvičenie a silové cvičenie. Rehabilitácia pacientov s rakovinou pľúc je spojená so zlepšením symptómov únavy a zlepšením kvality života pacientov. Ďalším významným benefitom je zlepšenie funkčnej schopnosti pacientov. Cieľ: Hlavným cieľom článku je zhrnúť rehabilitačné možnosti liečby u pacientov s rakovinou pľúc.
Background: Lung cancer is one of the most common malignancies in the world. In the industrialized world, the incidence and prevalence of lung cancer are increasing. Environmental influences and genetics play an important role in pathogenesis. A major part of treatment includes rehabilitation. Lung cancer results in impaired physical performance and poor quality of life. Rehabilitation programs contribute to stabilizing the course of the disease and lead to increased self-confidence in patients. An essential part of rehabilitation comprises functional testing of the patient including a 6-minute walk test, chair standing test, standing up and go test, likewise timed walking tests, supplemented by strength and muscle mass assessment. Physical exercise therapy includes aerobic exercise and resistance training. Rehabilitation of lung cancer patients has been shown to improve symptoms of fatigue and improve patients‘ quality of life. Another significant benefit is the improvement of patients‘ functional abilities. Purpose: The main aim of this article was to summarize information on rehabilitation treatment modalities in patients with lung cancer.
- MeSH
- cvičení MeSH
- dechová cvičení MeSH
- kvalita života MeSH
- lidé MeSH
- nádory plic * rehabilitace MeSH
- pohybová aktivita MeSH
- únava MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
