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Air trapping and arboreal locomotor adaptation in primates: a review of experiments on humans.

A review was made of experiments on humans in which air trapping by glottis closure during three-dimensional movements were examined in four subjects including former Olympic gymnasts. In brachiation and horizontal bar exercises, the behaviour of the larynx was monitored with a fiberoptic endoscope, and EMG-data were recorded from shoulder muscles. The results revealed that immobilization of the polyaxial connection between the shoulder girdle and the thorax by air trapping occurs in phases of extreme loading of the upper limbs. The closure of the airway by the larynx in humans serves three functions: first, the prevention of errors in deglutition; second, the production of vocal sounds; third, the retention of air inside the thoracic cavity. The latter function, air trapping, allows the immobilization of the rib cage for the muscular fixation of the shoulder blade on the trunk in movements that imply unusually high external forces acting on the upper limbs. This morphological-functional innovation probably has been made when early mammals invaded the three dimensional arboreal habitat, because it gave the tree-dwelling early primates the device to anchor themselves by the arms alone and to avoid falling out of trees. The specific functional characteristic of primates is the hermetic closure of the vocal and vestibular folds by rapidly contracting muscles in the folds. So the closure of the glottis, which in humans seems primarily an adaptation to the production of vocal tones, seems to go back to the adaptation of Tertiary arboreal primates to movements in a three-dimensional environment. Our conclusions are in agreement with the results of other contributions to this volume.

Adaptation, Physiological↗

[Human work capacity at high altitudes].

Healthy male test subjects (students), aged 18 to 24, dwelling in lowlands ascended a mountain of 3200 m without preliminary training. At high altitude they went in for gymnastics and sorts games for 1--2 hours a day and made regular ascents, reaching an altitude of 4000 m. This was designated a pulsating regimen of adaptation. Phasic changes in the maximum physical performance were noted during a short-term exposure to high altitudes (3200 m): during the first decade it declined by 12--13% and by the 41--42 day the performance increased by 25%. During the readaptation period the performance remained for 2 months higher by 28--35% than the pretest values. The pulsating regimen of adaptation to highlands can be used to increase physical performance of the human body during and after the exposure to high altitudes.

Acclimatization↗

[The influence of body weight upon the function of ovarian axis].

The relationship between the body weight and the function of hypothalamopituitary-ovarian axis was longtime studied. Frisch and Ravell (1971) have proposed the hypothesis that the onset of menarche is strong related to the achievement of a critical body weight. These authors observed that, despite the decrease in the last 120 years of the menarche age from 16.5 to 12.5 year-old, the body weight at which the menarche appears remains unchanged, 47.5 +/- 0.5 Kg. Many studies show the importance of both, body weight and fat mass percentage, in the appearance of menarche at puberty, or in the restoration of menses after the weight loss amenorrhea. Primary or secondary underweight amenorrhea can be associated to an eating disorder (anorexia nervosa, bulimia nervosa, or the alternation of these to clinical conditions), to severe exercise (athletes, gymnasts, dancers) or to malnutrition. The connected signal between metabolic status and reproductive function may be represented by the substances like: insulin, amino acids, IGFPB-I, leptin. The low levels of leptin were found in underweight female with oligo or amenorrhea. By the other hand, obesity is not a primary factor causing chronic anovulation. However, obesity may aggravate an already existing subtle defect in some women and result in amenorrhea.

Amenorrhea↗

[Increasing human heat tolerance by means of muscle training].

The experiments carried out on 129 athletes (gymnasts, weight-lifters and boxers) and 153 non-athletes have shown that sports training increases substantially the general and specific physical performance and elevates 2-2.5-fold the human resistance to thermal effects. The relationship between the signs of physical fitness of sportsmen and the values of their thermal resistance has been established. The procedure and scale of evaluating the thermal resistance of man have been developed.

Acclimatization↗

Intensive rehabilitation of a knee joint in hemophilic patients--a preliminary study.

UNLABELLED: One of the most typical symptoms of hemophilia are the intra-articular hemorrhages, which cause chronic synovitis, damage of the joint and eventually hemophilic arthropathy. Adequate treatment of chronic synovitis with antihemophilic globulin combined with appropriate physiotherapy and rehabilitation is of primary importance for suspending development of hemophilic arthropathy. AIM: The present study aims to explore the changes in the range of movements in the knee joint, mass and strength of thigh musculature as well as gait stability in hemophilic patients after conduction of intensive rehabilitation programme. MATERIAL AND METHODS: Knee joints of 30 hemophilic patients were examined before and after conducting intensive rehabilitation. The assessments were done by angulometry of the knee joint, measurement of thigh circumference, and dynamometry. The rehabilitation course lasted 15 days. Kinesitherapy and modified physical factors were used in the treatment programme. Kinesitherapy included analytical exercises for the affected muscles and underwater gymnastics. The modified physical factors included electrotherapy with low-frequency impulse-magnetic field and interference currents. RESULTS: The applied intensive rehabilitation programme lead to variously expressed improvement of the examined parameters. CONCLUSION: The study results show that in most patients improvement of various degree is achieved which depends on the severity of damage of the locomotory apparatus. Prophylaxis with antihemophilic globulin combined with individually designed early rehabilitation is of crucial importance for maintenance of the musculoskeletal function in hemophilic patients.

Adolescent↗

[Efficiency of postoperative sanatorium rehabilitation of patients with hip joint endoprosthesis: importance of kinesitherapy].

When treating degeneration diseases, endoprosthesis operations are performed widely. The results of the treatment depend not only on the operating technique and up-to-date prostheses but also on the correct postoperative rehabilitation, applied in particular the kinesitherapeutic means. The aim of the research was to establish the effect of postoperative rehabilitation with wide use of kinesitherapeutic means in sanatorium conditions on the functional capacity of the joint operated on as well as on the general condition of the patient. The research has been done at the traumatology department of the Sanatorium "Versme" in Birstonas. The patients were prescribed a complex of kinesitherapeutic means, i.e. curative gymnastic exercises performed for 45 min twice a day, water kinesitherapy, self-dependent isometric exercises, walking and manual massage. Clinical examination of 30 patients has been undertaken on the first and last day of their rehabilitation in the sanatorium. The mobility of the hip joint, muscle strength and circumference of the thigh have been measured. The patient's tolerance to physical load, his/her sensitiveness to pain, the patient's rate of walking and self-care have been estimated. It has been established that kinesitherapeutic means applied during the 30 day course of rehabilitation undergone in the Sanatorium increased the amplitude (flexion and drawing back) of the joint operated on, the strength of quadriceps muscle femoris and the strength of drawing back and back femoral muscles, as well as decreased sensitiveness to pain and improved the rate of walking and functional class (p < 0.001). The circumference of the femoral muscle and functional independence of the patients remained unchanged. The functional capacity of the endoprothesized hip joint of the patients improved to some extent irrespective of the section performed during the operation as well as irrespective of the sex and age of the patients.

Age Factors↗

The toxic torch of the modern Olympic Games.

One of the most enduring symbols of the Olympics is the torch or flame, an icon of peace and sportsmanship that has its roots in Ancient Greece. According to the Creed of the Olympics: "The important thing in the Games is not winning, but taking part. The essential thing is not conquering. but fighting well." The modern Olympic Games (1896-2000) have been heavy laden with controversy, as athletes have abused performance enhancing drugs to thrust themselves into the limelight in search of gold. It was not until 1967 that the International Olympic Medical Commission began banning drugs. Full-scale drug testing was instituted in 1972.: Retrospective review of modern summer and winter Olympics Game sources (1896-2002) was done for documentation of drug abuse, drug-related overdoses, and positive drug screens. Data were collected for the type of drug documented. the athlete's name, their country of origin, and Olympic event. Seventy cases were identified. The most common class of agents were steroids (29), followed by stimulants (22), diuretics (7), beta-2 agonists (2), and beta blockers (1). Alcohol and marijuana, while not historically prohibited, have been outlawed by several individual sport federations. Toxicities of these 2 agents were most likely under-reported. Countries of origin of individual athletes included Bulgaria (7), USA (7), Sweden (4), Spain (4), Japan (2), Poland (2), Greece (2), Canada (2), Hungary (2), Russia (2), Austria (2), and Great Britain, Norway, Romania, Armenian, and Latvian, each with 1. The most common Olympic events in which drug abuse was documented were weightlifting (25), trackand field (12), skiing (5), wrestling (5), volleyball (3), modern pentathlon (3), cycling (2), swimming (2), gymnastics (1), and rowing (1). As athletic pressures and financial gains of the Olympic Games heighten, more toxicities are likely to occur despite attempts at restricting performance-enhancing drugs.

Adrenergic Agonists↗

Short-term changes of fatigability and muscle performance in severe obese patients after an integrated body mass reduction program.

The effects of a short-term (3-week) integrated body weight reduction (BWR) program on fatigue perception and on lower limb anaerobic power output were evaluated in 200 severely obese in-patients (40 males and 160 females, age: 18-83 yr, BMI: 35.0-65.3 kg/m2). Fatigue was assessed by a 7-point Likert-type scale questionnaire (Fatigue Severity Scale, FSS), while average lower limb power output (W) during a maximal effort was determined with a modification of the Margaria test for stair climbing. In both genders, total FSS score was influenced by both age and obesity level, resulting significantly (p < 0.001) lower in younger subjects (< 45 yr) than in older (> 45 yr) and in patients with lower BMI (< 40 kg/m2) than in those with a higher one (> 40 kg/m2). An opposite trend was observed in W. The 3-week BWR integrated program with moderate aerobic exercise and free standing and ground gymnastic routines induced a significant reduction in body weight (p < 0.001), in total FSS score (p < 0.001) and a significant increase in W, both in absolute terms (p < 0.05) and relative to body mass (p < 0.001). Total FSS score and absolute or relative power output were positively correlated both before and after the BWR program (p < 0.001, Wilcoxon rank test). It is concluded that: a) subjective fatigue perception, assessed by a FSS questionnaire, can be considered an indirect indicator of effective lower limb power output in severely obese patients and, b) in spite of a relatively small, although significant, decline of BMI, the full-time participation in a hospital-based, integrated BWR program with moderate exercise activity is associated with significant short-term improvements of both fatigue sensation and power output. Dia

Adolescent↗

Recording the nutrient intake of nursing home residents by food weighing method and measuring the physical activity.

The nutrient intake of 47 female nursing home residents, able to eat without help, and of 20 eating-dependent seniors was measured by weighing method. Hand grip strength was examined by a dynamometer. Furthermore the level of physical activity of the seniors able to eat without help was determined by means of a questionnaire. The results showed that the median energy intake of self-feeding elderly women was 1620 kcal (850-4450 kcal). More than one third of the seniors consumed less than 1700 kcal / d. The intake of vitamins and minerals remained below 40-90% of the recommended level. One important cause for the inadequate micronutrient intake was that 30% of the total energy intake is met by foods of a low nutrient density (cakes, cookies, spreadable fats, soups). The eating-dependent seniors were at high risk for protein-calorie malnutrition, consuming an average of 1130 kcal / d and 34 g protein / d. The level of physical activity was very low. Only 34% of the seniors were active for more than 2 hours per week (walking, gymnastics). 30% of the residents were largely inactive although they were able to walk. It is often ignored that immobility is a major risk factor for the development of malnutrition. Firstly inactivity accelerates the loss of muscle mass. This loss of metabolically active tissue decreases the energy requirements thus leading to a loss of appetite and reduced food intake.

Aged↗

[Complex correction of functional state in subjects with psychoautonomic syndrome].

The article presents the results of correction of functional condition in patients with vegetative disorders using non-pharmacological factors: modified autogenic training, cyclic physical exercise, respiratory gymnastics, contrast shower. The complex of the non-pharmacological factors corrects defects in interhemispheric relationships, relieves the severity of vegetative affection, improves psychoemotional condition, enhances functional potentialities of cardiovascular and respiratory systems in patients with psychovegetative syndrome.

Adolescent↗

[Influence of pre- and postnatal exercises on the abdominal wall].

The authors took a number of biometric measurements from two groups of young women who had had babies. A statistical study of the facts that were obtained shows that muscular strength and tone in the abdominal wall comes back quicker in women who have followed specialised courses of gymnastics before and after delivery.

Abdominal Muscles↗

[Changes in health status and attitude due to sports with rheumatic disease patients].

A six-months sports programme had been implemented to analyze the impact of movement, play and sports on the physical situation of persons having rheumatism, their mental well-being and attitudes towards sporting activities. 41 patients participated in the programme, attending training sessions in a fitness studio once a week. The sports programme contained general endurance training, functional and strengthening exercises, elements of gymnastics and play, as well as relaxation techniques. The following assessment tools were used: Measurement of Patient Outcome (MOPO) scales, sports questionnaire, and the STEP test. It was found that participants' health status, both physical and mental, had been influenced in a positive manner, with proof being provided of reduced levels of anxiety, depression, and pain. Moreover, attitudinal changes toward sports appear to have resulted, suggesting persistent motivation to engage in sporting activity.

Adaptation, Psychological↗

Sex Differences and the Incidence of Concussions Among Collegiate Athletes.

OBJECTIVE: To compare sex differences regarding the incidence of concussions among collegiate athletes during the 1997-1998, 1998-1999, and 1999-2000 seasons. DESIGN AND SETTING: A cohort study of collegiate athletes using the National Collegiate Athletic Association (NCAA) Injury Surveillance System; certified athletic trainers recorded data during the 1997-2000 academic years. SUBJECTS: Collegiate athletes participating in men's and women's soccer, lacrosse, basketball, softball, baseball, and gymnastics. MEASUREMENTS: Certified athletic trainers from participating NCAA institutions recorded weekly injury and athlete-exposure data from the first day of preseason practice to the final postseason game. Injury rates and incidence density ratios were computed. Incidence density ratio is an estimate of the relative risk based on injury rates per 1000 athlete-exposures. RESULTS: Of 14 591 reported injuries, 5.9% were classified as concussions. During the 3-year study, female athletes sustained 167 (3.6%) concussions during practices and 304 (9.5%) concussions during games, compared with male athletes, who sustained 148 (5.2%) concussions during practices and 254 (6.4%) concussions during games. Chi-square analysis revealed significant differences between male and female soccer players (chi(2)(1) = 12.99, P =.05) and basketball players (chi(2)(1) = 5.14, P =.05). CONCLUSIONS: Female athletes sustained a higher percentage of concussions during games than male athletes. Of all the sports, women's soccer and men's lacrosse were found to have the highest injury rate of concussions. Incidence density ratio was greatest for male and female soccer players.

Journal Article↗

[The suicide of Hjalmar Johansen].

BACKGROUND: Hjalmar Johansen was one of Norway's most famous gymnasts. He joined Fridtjof Nansen's polar expedition with Fram in 1893 and went on ski farthermost north with him in 1895/96. On their return to Norway the crew was celebrated as heroes. MATERIAL AND METHODS: The polar literature has been reviewed and the author has focused on the life and suicide of Hjalmar Johansen. RESULTS AND INTERPRETATION: Johansen was promoted to captain in the infantry, a role he didn"t manage. He drank heavily and left the army. He rehabilitated during his stay at Spitzbergen from 1907 to 1909. In 1910 he was one of Roald Amundsen's men in Antarctica. Amundsen started out too early because of his race with Robert Scott. Johansen disagreed and rescued a member from freezing to death. A quarrel with Amundsen resulted in his dismissing Johansen from the party heading for the South Pole. This led to a vicious circle that ended in Johansen's suicide in the new year 1913. Hjalmar Johansen was a man of a simple and kind character who helped his comrades with his physical strength. A master of muscular activity he was without deeper self-reflecting power and needed the support of the people around him; without it, he was ashamed of himself.

Adult↗

[Progress in the study on synergetic control principle of human upper extremity and related issues].

Human upper extremity is the most complex and flexible executor during the human movement, coordination analysis of the synergetic control principle of human upper extremity is of great significance in trajectory planning and real-time control of anthropopathy robots and intelligent prosthesis system. Most studies have only been performed within the last 10 years. This paper surveys the research in the structure characteristic and redundancy coordination principle of human upper extremity, and the developments of various prospects of anthropopathy robots, intelligent prosthesis, gymnastic science and rehabilitation evaluation are discussed.

Humans↗

Evaluating judge performance in sport.

Many sports, such as, gymnastics, diving, ski jumping, and figure skating, use judges' scores to determine the winner of a competition. These judges use some type of rating scale when judging performances (e.g., figure skating: 0.0 - 6.0). Sport governing bodies have the responsibility of setting and enforcing quality control parameters for judge performance. Given the judging scandals in figure skating at the 1998 and 2002 Olympics, judge performance in sport is receiving greater scrutiny. The purpose of this article is to illustrate how results from Rasch analyses can be used to provide in-depth feedback to judges about their scoring patterns. Nine judges' scores for 20 pairs of figure skaters who competed at the 2002 Winter Olympics were analyzed using a four-faceted (skater pair ability, skating aspect difficulty, program difficulty, and judge severity) Rasch rating scale model that was not common to all judges. Fit statistics, the logical ordering of skating aspects, skating programs, and separation indices all indicated a good fit of the data to the model. The type of feedback that can be given to judges about their scoring pattern was illustrated for one judge (USA) whose performance was flagged as being unpredictable. Feedback included a detailed description of how the rating scale was used; for example, 10% of all marks given by the American judge were unexpected by the model (Z > |2|). Three figures illustrated differences between the judge's observed and expected marks arranged according to the pairs' skating order and final placement in the competition. Scores which may represent "nationalistic bias" or a skating order influence were flagged by looking at these figures. If sport governing bodies wish to improve the performance of their judges, they need to employ methods that monitor the internal consistency of each judge as a many-facet Rasch analysis does.

Certification↗

Skinfolds and body composition of sports participants.

Body composition of 1815 North-Italian young sports participants in relation to sex, age, sport and level of performance was investigated. About thickness and anatomical distribution of subcutaneous fat females showed skinfolds thicker than males. Significant differences were observed in skinfold thicknesses means of different sport-groups. Subscapular and forearm skinfolds were the best discriminant variables for males and females respectively. Body density was estimated according to Katch and McArdle (1973) and Durnin and Womersley (1974) equations. Males showed higher body density and lower fat percentage values than females. The lowest value of body density and the highest fat percentage were in male martial art competitors and in females practising skating and athletics. The highest values of body density and the lowest of fat percentage were in males practising athletics and rowing and in female martial art competitors. Highest and lowest values of fat-free mass were in games players and in soccer players and gymnasts respectively. "High aptitude" subjects showed higher fat-free mass values than "middle aptitude" group, besides a tendency towards higher body density values and lower fat percentage than "middle aptitude" group. With aging body density decreased whereas fat percentage and fat-free mass increased.

Adipose Tissue↗

Principles of exercising in patients with chronic kidney disease, on dialysis and for kidney transplant recipients.

Independent of the course of kidney disease, physical fitness decreases continuously with the progression of CRF. The reduced physical fitness of patients with CKD is characterized by the following: reduced flexibility, coordination disturbances, decreased muscular strength and endurance. Often CKD patients suffer from depression and loss of self-confidence. Thus, the goals are to improve the principal components of motor fitness, conditioning gymnastics, different forms of endurance training, breathing and relaxation exercises, and body experience. The training starts with an initial phase followed by a build-up phase and a maintenance phase. Each phase consists of a warm-up, the main phase, and a cool-down phase. The Borg's RPE-scale is recommended for controlling the training. Because of their specific treatment modalities, hemodialysis and peritoneal dialysis patients as well as transplantation patients should seek individual prescriptions. Large experience exists in out-center training programs in dialysis and transplantation patients. The importance of physical fitness to the somatic and psychosocial well-being is well-documented. It is therefore recommended to exercise continuously on an individual basis in order to counteract the reduction of physical fitness due to CKD. Each patient should feel encouraged to participate in an exercise training adjusted to the individual capacity.

Humans↗