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ABSTRACT Introduction: Volleyball is a high-intensity sport, and sports injuries are not rare. The shoulder joint has the highest incidence of injury among the most injured joints. Objective: Study the shoulder joint injury during volleyball practice and explore the effects of its rehabilitation. Methods: The article used an experimental control with 40 athletes with shoulder joint injuries, randomly divided into experimental and control groups. The experimental group performed comprehensive shoulder joint rehabilitation training lasting 30 minutes daily. The control group performed traditional massages of the same duration and frequency. The experiment lasted 8 weeks, and the data on the shoulder joint injuries and the performance of the volleyball players were recorded and statistically analyzed. Results: The experimental group's scores stood out compared to the control group regarding flexibility and functional performance. Conclusion: Integral rehabilitation training showed greater efficacy in shoulder joint rehabilitation and may effectively reduce the risk of secondary sports injuries in athletes. Its promotion in the current rehabilitation and sports training scenario is valid and can be promoted. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.
RESUMO Introdução: O voleibol é um esporte de alta intensidade e não são raros os acidentes esportivos, sendo a articulação do ombro a de maior incidência dentre as articulações mais lesionadas. Objetivo: Estudar a lesão da articulação do ombro durante a prática do voleibol e explorar os efeitos da sua reabilitação. Métodos: O artigo utilizou um controle experimental com 40 atletas lesados na articulação do ombro, divididos aleatoriamente em grupo experimental e controle. O grupo experimental realizou um treinamento de reabilitação integral na articulação do ombro com duração de 30 minutos em intervalos diários. O grupo de controle realizou a massagem tradicional, de mesma duração e frequência. O experimento durou 8 semanas, os dados das lesões articulares do ombro e o desempenho dos jogadores de voleibol foram registrados e analisados estatisticamente. Resultados: A pontuação do grupo experimental destacou-se frente ao grupo de controle, tanto em termos de flexibilidade como no desempenho funcional. Conclusão: O treinamento de reabilitação integral demonstrou maior eficácia na reabilitação articular do ombro, podendo efetivamente reduzir o risco de lesões esportivas secundárias no atleta. Conclui-se que a sua promoção no atual cenário de reabilitação e treinamento esportivo é válida e pode ser promovida. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.
RESUMEN Introducción: El voleibol es un deporte de alta intensidad y los accidentes deportivos no son raros, siendo la articulación del hombro la de mayor incidencia entre las articulaciones más lesionadas. Objetivo: Estudiar la lesión de la articulación del hombro durante la práctica del voleibol y explorar los efectos de su rehabilitación. Métodos: El artículo utilizó un control experimental con 40 atletas lesionados en la articulación del hombro, divididos aleatoriamente en grupos experimental y de control. El grupo experimental realizó un entrenamiento integral de rehabilitación de la articulación del hombro de 30 minutos de duración a intervalos diarios. El grupo de control realizó un masaje tradicional con la misma duración y frecuencia. El experimento duró 8 semanas, se registraron y analizaron estadísticamente los datos de las lesiones de la articulación del hombro y el rendimiento de los jugadores de voleibol. Resultados: Las puntuaciones del grupo experimental destacaron frente a las del grupo de control, tanto en términos de flexibilidad como de rendimiento funcional. Conclusión: El entrenamiento de rehabilitación integral demostró una mayor eficacia en la rehabilitación de la articulación del hombro, y puede reducir eficazmente el riesgo de lesiones deportivas secundarias en el atleta. Se concluye que su promoción en el escenario actual de la rehabilitación y el entrenamiento deportivo es válida y puede promoverse. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento.
ABSTRACT
SUMMARY OBJECTIVE To explore the feasibility of health competence cultivation on the prevention and control of Inadvertent Perioperative Hypothermia (IPH). METHODS Patients with expected spinal surgery were divided into group A and group B by the random number method. Group B followed routine IPH management, and health training measures for performance and ability were implemented in Group A. The scores of the health competence questionnaire, the temperature at different times, IPH complications, and hospitalization for the two groups were observed and compared. RESULTS The main evaluation indexes, such as the health competence questionnaire score, temperature fluctuations, and IPH complications, during the perioperative period in group A were significantly better than those in group B (p < 0.05). The indexes of anesthesia, total hospital expenses, and health service satisfaction in group A were also significantly better than those in group B, which shows the advantages of cultivating health capabilities in both doctors and patients. CONCLUSION Through health competence cultivation and feasible health management measures, the medical staff can improve the quality of IPH prevention and management.
RESUMO OBJETIVO Explorar a viabilidade do cultivo da competência em saúde na prevenção e controle da hipotermia perioperativa inadvertida (IPH). MÉTODOS Pacientes com cirurgia espinhal marcada foram divididos em dois grupos, A e B, pelo método de números aleatórios. O grupo B foi conduzido com base na gestão rotineira para prevenção de IPH; já no grupo A, foram implementadas medidas de treinamento em competência de saúde. As pontuações do questionário sobre competência em saúde, a temperatura aferida em diferentes momentos, complicações relacionadas à IPH e hospitalização dos dois grupos foram observadas e comparadas. RESULTADOS Os principais índices de avaliação, como a pontuação do questionário sobre competência em saúde, a variação de temperatura e as complicações relacionadas à IPH durante o período perioperatório foram significativamente melhores no grupo A do que no grupo B (p<0,05). Os índices de anestesia, despesas hospitalares totais e satisfação com o serviço de saúde também foram significativamente melhores no grupo A do que no B, o que demonstra as vantagens do cultivo da competência de saúde tanto em médicos como em pacientes. CONCLUSÃO Por meio do cultivo de competências de saúde e de medidas viáveis de gestão da saúde, a equipe médica pode melhorar a qualidade da prevenção e gestão da IPH.
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Humans , Perioperative Period , Hypothermia , Anesthesia/adverse effects , Temperature , Intraoperative ComplicationsABSTRACT
This study investigated the correlation between surfactant protein-A (SP-A) polymorphism and the susceptibility of chronic obstructive pulmonary disease (COPD) in Xinjiang Uighurs.Genomic DNA was extracted from peripheral blood of 194 COPD smokers and 201 healthy smokers of Uighur who were hospitalized in or paid a visit to one of the four Xinjiang-based hospitals involved in the study,from March 2009 to December 2010.Single nucleotide polymorphisms (SNPs) were studied at aa62 (CCA/CCG rs 1136451) and aa219 (CGG/rGG,rs4253527) in SP-A.Genotypes were determined by using the TaqMan polymerase chain reaction (PCR).Our results showed that genotype frequencies were different between the COPD and normal smokers in aa62 (x2=6.852,P=0.033).There were also significant differences in allele genotype frequencies between the COPD and the control and allele G might decrease the risk COPD (x2=6.545,P=0.011; OR=0.663; 95％ CI:0.484-0.909).The result suggested that polymorphism of aa62 (CCA/CCG,rs1136451) of SP-A may be associated with the susceptibility to COPD in Xinjiang Uighurs.
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The purpose of this study was to investigate the changes of protein kinase Cα(PKCα)and cyclin D1 expressions in pulmonary arteries from smokers with normal lung function and smokers with mild to moderate chronic obstructive pulmonary disease(COPD).The peripheral lung tissues were obtained from 10 non-smokers with normal lung function(non-smoker group),14 smokers with normal lung function(smoker group),11 smokers with mild to moderate COPD(COPD group).The morphological changes of pulmonary arteries were observed by HE-staining.The expressions of α-smooth muscle actin(α-SMA),proliferating cell nuclear antigen(PCNA),PKCα and cyclin D1 proteins in pulmonary artery smooth muscle cells(PASMCs)were immunohistochemically determined.The percentages of PCNA-positive cells were taken as the smooth muscle cells proliferation index(PI).The mRNA expressions of PKCα and cyclin D1 in PASMCs were evaluated by real-time fluorescence PCR.Morphometrical analysis showed that the ratio of pulmonary artery wall area to total area(WA%)in smoker group and COPD group was significantly greater than that in non-smoker group(P<0.01).The PASMCs proliferation index in smoker group and COPD group was significantly higher than that in nonsmoker group(P<0.01).The protein levels of PKCα and cyclin D1 in PASMCs were significantly increased in smoker group and COPD group as compared with non-smoker group(P<0.01).The mRNA expressions of PKCa and cyclin D1 in PASMCs were significantly elevated in smoker group and COPD group as compared with non-smoker group(P<0.01).Significant correlations were found between PKCα protein and WA% or PI(P<0.01).Correlations between cyclin D1 protein and WA% or PI also existed(P<0.01).The expression of PKCα was positively correlated with the expression of cyclin D1 at both protein and mRNA levels(P<0.01).In conclusion,increased expressions of PKCα and cyclin D1 might be involved in the pathogenesis of abnormal proliferation of PASMCs in smokers with normal lung function and smokers with mild to moderate COPD.