Sedmnáctiletý chlapec byl přijat k hospitalizaci pro hlubokou žilní trombózu v neobvyklé lokalizaci - pravé podklíčkové a podpažní žíly. Při pátrání po příčině bylo zjištěno intenzivní posilování a recentní cílený váhový úbytek 20 kg, po němž přetrvávala stejnostranná gynekomastie. Diagnóza byla uzavřena jako Pagetův-Schrötterův syndrom. Jde o málo známou klinickou jednotku, avšak se vzrůstající publicitou mj. na sociálních sítích v souvislosti se sportem/posilováním. Po úspěšné antikoagulační léčbě došlo k ústupu obtíží a rekanalizaci trombózy.
A 17-year-old male was admitted due to a deep vein thrombosis in a less common location - in the right subclavian and axillary veins. Further investigation revealed an extensive physical activity leading to a recent weight loss of 20 kgs with a persisting ipsilateral gynecomastia. The diagnosis of Paget-Schroetter syndrome was established. This little-known clinical condition becomes increasingly discussed including social media with relation to sport and bodybuilding. A successful anticoagulant therapy led to resolution of symptoms and recanalization at the site of thrombosis.
- MeSH
- Anticoagulants administration & dosage pharmacology classification therapeutic use MeSH
- Exercise classification adverse effects MeSH
- Enoxaparin pharmacology therapeutic use MeSH
- Gynecomastia * diagnosis etiology MeSH
- Upper Extremity Deep Vein Thrombosis * diagnosis drug therapy complications MeSH
- Weight Loss MeSH
- Humans MeSH
- Disease Management MeSH
- Adolescent MeSH
- Check Tag
- Humans MeSH
- Adolescent MeSH
- Male MeSH
- Publication type
- Case Reports MeSH
- Research Support, Non-U.S. Gov't MeSH
Background: There is a paucity of literature on the effects of fitness programs such as CrossFit (CF), Les Mills (LM), and traditional resistance training (TRAD) on sensorimotor responses, which define overall motor skills levels that are major factors in improving quality of life of fitness training practitioners. Objective: The purpose of this study was to assess and compare the sensorimotor responses after 16 weeks of CF, LM and TRAD trainings. Methods: A total of one hundred and seven sedentary participants (81 men, 26 women, age 30.5 ± 5.7 years, weight 78.9 ± 11.1 kg, height 174.9 cm, fat mass 25.4 ± 5.3%) were assigned randomly into 3 groups CF (n = 34), LM (n = 33) and TRAD (n = 40), they followed the training allocated at the rate of 5 sessions/week for 16 weeks. On three occasions: before (T0), after eight (T1) and sixteen weeks (T2) of training, participants underwent different tests of sensorimotor measures; coordination (Extremity Motor Coordination Test), accuracy (Motor Accuracy Test), agility (Illinois Agility Test) and balance (Y Balance Test).Results: Coordination improved only in the LM group for upper (T0-T1: p < .001, d = 0.09-0.13; T1-T2: p < .001, d = 0.16-0.18) and lower limbs coordination (T0-T1: p < .001, d = 0.16-0.25; T1-T2: p < .001, d = 0.24-0.26). Agility test showed improvements for LM (T0-T1: p < .001, d = 0.55; T1-T2: p < .001, d = 0.87) and CF (T0-T1: p = .002, d = 0.20; T1-T2: p < .001, d = 0.40) and no difference for TRAD. For balance, results showed improvements in lower limbs for CF (T0-T1: p < .001, d = 0.08-0.14, T1-T2: p < .001, d = 0.05-0.23) and TRAD (T0-T1: p ≤ .003, d = 0.05-0.08, T1-T2: p < .001, d = 0.08-0.13) and at T2 for LM (p = 0.04, d = 0.06-0.2), for the upper limbs, results showed improvements for CF (T0-T1: p < .001, d = 0.04-0.09; T1-T2: p < .001, d = 0.15-0.28), at T2 for TRAD (p = .01-.03, d = 0.03-0.10) and no difference for LM. For motor accuracy, results did not show any difference. Conclusions: CF and LM trainings helps develop agility; however, CF and TRAD are more oriented to balance while LM are to coordination improvement, all three trainings have no effect on motor accuracy.
- MeSH
- Exercise physiology classification MeSH
- Adult MeSH
- Humans MeSH
- Motor Skills MeSH
- Resistance Training classification methods MeSH
- Sedentary Behavior * MeSH
- Feedback, Sensory MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Clinical Study MeSH
Background: Motor skill programs are effective in the development of children's fundamental motor skills (FMS). However, the key point that should be kept in mind here is the degree of the stability of the training effects on children's motor skills. Objective: The purpose of the present study is to observe the permanence of the effects of motor skills training on children's FMS aged 4-6 years for one year. Methods: The study was carried out among 39 preschool children, 17 girls (age 5.31 ± 0.23 years) and 22 boys (5.23 ± 0.20 years) without any previously-identified health problems. The participants were randomly chosen and divided into an experimental group trained motor skills with physical education specialists (n = 19) and a control group that performed ordinary preschool physical activities (n = 20). The Test of Gross Motor Development 2nd ed. was also used to measure children's FMS in the pre-test, the post-test, and the follow-up after 12 months. The training course was done 2 days a week. Each session lasted 45 minutes, too. In addition, mixed model repeated measure multiple analysis of covariance was used to examine the impact of the training. Results: Although the motor skills training helped improve the locomotor and object control skills among the children from pre-test to post-test (p < .001), a significant difference was not observed in the control group. Moreover, the development of boy subjects and girl participants was significantly different in the object control (p = .037). Finally, a significant difference was not observed between the post-test and follow-up in the object control and the locomotor skills of the experimental group. Conclusions: It seems that the FMS training under physical education specialists should be continuously done for 4-6 years old subjects, with more emphasis on developing girls' object control skills.
- MeSH
- Exercise classification MeSH
- Humans MeSH
- Motor Skills * MeSH
- Sex MeSH
- Motor Activity physiology MeSH
- Child, Preschool MeSH
- Sports Medicine methods MeSH
- Child Development MeSH
- Research MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Child, Preschool MeSH
- Female MeSH
- Publication type
- Clinical Study MeSH
- MeSH
- Gait MeSH
- Exercise classification MeSH
- Humans MeSH
- Nordic Walking * MeSH
- Motor Activity MeSH
- Rehabilitation methods MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
Spondyloartritídy sú progresívne zápalové ochorenia so širokou a pestrou škálou symptómov. Ankylozujúca spondylitída (AS) je chronické zápalové reumatické ochorenie charakterizované bolesťou a štrukturálnymi zmenami. Pre ankylozujúcu spondylitídu sú charakteristické funkčné poruchy, ako je znížená pohyblivosť a axiálna deformita, ktoré vedú k zníženiu kvality života pacientov. Cieľom článku je priniesť základné informácie o terapeutických možnostiach cvičenia pri liečbe. Terapeutické cvičenie je najdôležitejšia nefarmakologická intervencia u pacientov. Okrem pozitívnych metabolických vplyvov zohráva cvičenie dôležitú úlohu aj pri zlepšení spinálnej mobility a svalovej sily. Udržanie správneho posturálneho držania javí kľúčovú úlohu u pacientov s ankylozujúcou spondylitídou. Kontrakcia svalu stimuluje a podporuje vylučovanie cytokínov s názvom myokíny. Najznámejší je interleukín-6 (IL-6). Tento myokín nepriamo pôsobí aj pri expresii tumor nekrotizujúceho faktora alfa (TNF‐α). U pacientov vedie cvičenie k zlepšeniu kvality života, zlepšeniu fyzickej kondície a zníženiu bolesti.
Seronegative spondyloarthritis is a progressive inflammatory disease with a wide and varied range of symptoms. Ankylosing spondylitis (AS) is a chronic inflammatory rheumatic disease characterized by pain and structural changes. Ankylosing spondylitis is characterized by functional disorders such as reduced mobility and axial deformity, leading to a decrease in patient quality of life. The purpose of this article is to provide basic information on therapeutic options for exercise in the treatment of ankylosing spondylitis. Therapeutic exercise is the most important non-pharmacological intervention in patients. In addition to positive metabolic effects, exercise also plays an important role in improving spinal mobility and muscle strength. Maintaining proper postural posture appears to play a key role in patients with ankylosing spondylitis. Muscle contraction stimulates and promotes the secretion of cytokines called myokines. The best known is interleukin-6 (IL-6). This myokine also acts indirectly in the expression of tumor necrosis factor alpha (TNF-α). Exercise improves quality of life, physical condition, and symptoms associated with ankylosing spondylitis.
- Keywords
- cvičení ve vodě,
- MeSH
- Spondylitis, Ankylosing * rehabilitation therapy MeSH
- Exercise physiology classification MeSH
- Clinical Studies as Topic MeSH
- Combined Modality Therapy classification methods MeSH
- Humans MeSH
- Motor Activity physiology MeSH
- Physical Therapy Modalities MeSH
- Exercise Therapy * classification methods MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
Cieľomprácebolopoukázaťnadiferencievzáujmeopohybovéaktivitymedzištudentmistrednýchškôlz hľadiska rozdielneho veku. Výskumu sa zúčastnilo 1064 študentov vo veku 16 – 18 rokov. Záujemo pohybové aktivity bol zisťovaný prostredníctvom dotazníka PACES (physical activity enjoymentscale) v ktorom respondenti uvádzali najväčší záujem, druhý a tretí najväčší záujem pri výbere z 10rôznych oblastí športových aktivít. Záujem o športové aktivity na jednotlivých úrovniach uvádzamevpercentuálnomvyjadreníarozdielymedzištudentmirôznehovekuposudzujemetestomchí-kvadrátna 5% hladine štatistickej významnosti a vecnú významnosť effect size sme posudzovali Cramerovýmphiφc. Najväčší záujem prejavovali všetky vekové kategórie o kolektívne športy ako futbal, volejbal,basketbal a pod. od 20 do 27 % pričom so zvyšujúcim sa vekom tento záujem klesal. Druhý najväčšízáujem bol o posilňovanie, aerobic, spinning od 17 do 20 % a tretí najväčší záujem predstavovaliiné pohybové aktivity ako rafting, bicyklovanie, florbal a pod. od 17 do 22 %. Percentuálne rozdielyboli najvýraznejšie pri hodnotení najväčšieho záujmu avšak ani na jednej úrovni neboli štatistickyvýznamnép>0,5atakistoajvecnávýznamnosťbolanízkaφc<0,1.Výsledkypoukázalinarozdielyv záujme o pohybové aktivity medzi študentami rôzneho veku a možu prispieť ku lepšiemu riadeniuškolských a mimoškolských pohybových aktivít a napomôcť k zvýšeniu radosti z pohybových aktivítu adolescentov. Príspevok je súčasťou grantu KEGA 003UKF-4/2016 Pohybová aktivita a kvalitaživota žiakov stredných škôl.
The aim of the thesis was to point out differences in physical activity interest among high schoolstudents in terms of different age. 1064 students aged 16 – 18 were involved in the study. Physicalactivity interest was determined by a physical activity enjoyment scale (PACES) questionnaire inwhich respondents mentioned biggest interest, second and third biggest interest choosing from 10different areas of sports activities. The interest in sports activities at individual levels is expressed inpercentage terms and differences between students of different ages are assessed by chi-square test at5% level of statistical significance and the significance of effect size was judged by Cramer’s phiφc.All of the age – categories showed the biggest inetrest in collective sports, such as football, volleyball,basketball, and more. from 20 to 27%, but with an increasing age the interest rate declining. Thesecondbiggestinterestwasinstrengthening,aerobics,spinningfrom17to20%andthethirdgreatestinterest was other physical activities such as rafting, cycling, floorball, etc. from 17 to 22%. Thepercentage differences were most pronounced when assessing the biggest interest, but at all levels itwasnotstatisticallysignificantp>0,5,andalsotheintrinsicsignificancewaslowφc<0,1.Theresultshighlighted the differences in movement activity among students of different ages and can contributetobettermanagementofschoolandextra-curricularactivitiesandhelptoincreasethejoyofphysicalactivity in adolescents. The paper is part of grant MŠ SR KEGA 003UKF-4/2016.
