درخت حوزه‌های تخصصی

The objective of this narrative review was to relate the pathophysiological knowledge of Osteoarthritis to the specific context of professional soccer, addressing the risks and consequences for athletes of the modality. The search bases used were PubMed, LILACS, Scielo, Embase and Google Scholar and the narrative review model was applied to synthesize the relevant information. Professional soccer participation exposes players to the highest frequencies and intensities of loads and joint injuries in the lower limbs. These factors are associated with greater risks of osteoarthritis development. Retired soccer athletes have a high prevalence of the disease. This scenario provides an impairment network that connects symptoms and joint limitations to the reduction in the quality of life of this population. Understanding microprocesses through the study of specific pathophysiological pathways, contribute to the evolution of monitoring, prevention and early intervention strategies for this population.

Background: Shoulder impingement syndrome is a common complication that causes pain and disability, functional limitations and reduced quality of life. This syndrome is usually seen in people who are involved in activities and sports involving rotating movements above the head, including bodybuilders. Meanwhile, corrective exercises have been considered as an intervention in the rehabilitation of the condition. Exercises based on National Academy of Sports Medicine (NASM) principles are known as one of the new methods in the rehabilitation and prevention of sports injuries.Aim: The purpose of this study was to investigate the effect and permanence of corrective exercises on pain intensity, functional disability and kinematic parameters of bodybuilders with shoulder impingement syndrome.Materials and Methods: In this semi-experimental research with a pre-test-post-test design, 20 male bodybuilders with shoulder impingement syndrome were randomly assigned in two groups; corrective exercises as the experimental group (n=10) and control group (n=10). Visual Analog Scale (VAS) questionnaire was used for pain intensity. Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire was used for functional disability. Kinovea software was used to kinematic parameters. The evaluations carried out during three stages: the pre-test, the first post-test (after 8 weeks) and the second post-test (after 12 weeks). Data were analyzed using descriptive statistics, repeated measures analysis of variance (ANOVA) at a significance level of 0.05 using SPSS version 20 software.Results: The findings showed that after 8 weeks of corrective exercises, there were significant changes in pain intensity and functional disability in the experimental group (P<0.05). Also, significant changes in shoulder biomechanical parameters during flexion, abduction, external rotation and internal rotation movements were observed between the two groups (P<0.05). Permanence of the exercises in the studied variables after 12 weeks showed a significant difference between the two groups (P<0.05).Conclusion: According to the obtained results, it can be stated that a course of NASM exercises reduced shoulder pain, improved functional disability and improved kinematic parameters in male bodybuilders with shoulder impingement syndrome.

Purpose: The number of damages and severity of the injury has increased in recent years in handball. Recent studies have reported that functional testing before the season is associated with future injuries of athletes. However, the findings related to these studies are inconsistent. The current study aims to examine the accuracy of functional testing to predict the amount and severity of lower limb injuries of handball athletes in Tehran.   Method: 80 people of handball players (men) of league clubs of Tehran in the age range of 20-30 years were purposefully selected. Next, functional testing, including the Y balance, single-leg jump, and Functional Movement Screen (FMS) was taken from them. The hours of exercise and competition for teams, along with the number of players' injuries, were recorded during the half-season of competitions. To predict the severity and incidence rate of the injury, the univariate curve estimation regression test was used. Results: The results of this test showed that among functional testing, only single-leg jump (p= 0.035) could predict the severity of the injury incidence, and none of the tests the incidence rate of the injury (p> 0.05). Conclusions: It can be said that only single-leg jump can predict the severity of weak injuries (less than 10 lost days), and screening tests of functional activities have a very limited application to identify the handball athletes at risk of the injury.

Background: Assessment of spasticity and wheelchair skills performance is important in both clinical practice and research.Aim: The present study aimed to systematically review the psychometric properties (reliability and validity) of outcome measures used to assess spasticity and wheelchair skill tests in people with spinal cord injury.Materials and Methods: A search was conducted using terms through PubMed, Embase, Scopus, and Web of Science databases. Related articles included measures of spinal cord injury patients published in English from 2010 to 2021.To determine the publication quality of studies COSMIN checklist was used.Results: A total of 2150 potentially eligible studies were retrieved from four databases. The remaining 20 full-text studies were retrieved for complete review. Finally, 12 studies involving a total of 658 participants were included in the systematic review.Conclusion: Ethical, safety, and psychological issues were considered during the test for people with disabilities. According to previous studies, the Spasticity Evaluation Tool has been suggested as a reliable tool for assessing spasticity in SCI subjects. However, due to the variety of tests and the elimination of selected tools, wheelchair skills tests cannot be recommended.