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Open access

Przemysław Dębski, Ewelina Białas and Rafał Gnat

Abstract

Self-myofascial release (SMR) is a well-known and popular therapy. Its growing popularity is based on high effectiveness and availability. However, there is a lack of agreement about which parameters should be used to optimize the effects of the therapy. The purpose of this review is to critically select and assess current literature and ascertain the values of the follow­ing parameters: (1) therapy duration, (2) volume of applied pressure, (3) speed and (4) frequency of roll, (5) type of roller, (6) the number of treatment applications during one session, (7) the duration of intervals between applications that yield the best results in terms of soft tissue.

The authors launched their research in May 2018. The search strategy included the electronic databases EBSCOhost and PubMed. The following inclusion criteria were assessed:

- English language, high quality manuscripts (evaluation in PEDro scale)

- at least one of the groups using the foam roller, tennis ball or the stick to fascial release

- basic parameters of therapy described.A total 55 articles met the inclusion criteria. Patients can usually withstand a maximum tolerable pressure for 30-120 seconds, repeated 1-3 times, separated by 30 seconds of rest. The intensity of a single rolling movement should be moderate, and the movement should last about 3 seconds. Keeping the roller on particularly sensitive areas is recommended to release tension and enhance blood perfusion.Currently, there is no consensus on an optimal FR programme. However, there is a tendency to use SMR tools with a physiol­ogy-based method to enhance therapeutic efficiency.

Open access

Lucas de Lucena de Simões, Eline Autran de Lima, Gabriela Carvalho Jurema Santos, Tafnes Oliveira, Elenilson Maximino Bernardo, Luana Olegário, Erika Rabelo Fortes Siqueira and Matheus Santos de Sousa Fernandes

Abstract

Study aim: To verify the relationship between different durations of regular practice of physical activity in aspects related to the anthropometric profile and hepatic function of patients infected by hepatitis C virus (HCV). Material and methods: 125 patients (aged 55.2 ± 10.4 years) participated in the study. Clinical data were obtained through medical records available at the Pernambuco Liver Institute. Physical activity levels were obtained through the International Physical Activity Questionnaire (IPAQ) short form to classify the patients according to the guidelines of the American College of Sports Medicine (ACSM). Results: Significant differences were found in GGT 141 (28-378 U/L) and HDL 39 (27-56 mg/dL) respectively in insuffi­ciently active and physically active groups, AST 71 (26-268 U/L), ALT 83 (36-452 U/L), GGT 78 (3-532 U/L), alkaline phos­phatase 74 (47-302 mg/dL) and total bilirubin 0.7 (0.1-2.8 mg/dL) in insufficiently active and very physically active groups. Anthropometric data showed significant differences in chest (p < 0.01), abdomen (p < 0.02) and waist measurement (p < 0.01) between insufficiently active and very physically active groups.

Conclusion: Physical activity, when practiced regularly for more than 300 minutes per week, can improve the clinical and an­thropometric profile in patients infected with HCV.

Open access

Ebby Waqqash Mohamad Chan, Mohamad Shariff A. Hamid, Faridzal Harrymen Mohd Din, Rozali Ahmad, Ali Md Nadzalan and Eliza Hafiz

Abstract

Study aim: The aims of this study were to examine the prevalence of low back pain (LBP) and explore possible factors associ­ated with LBP among Malaysian army personnel deployed in Klang Valley in the year 2018. Material and methods: A self-administered questionnaire on sociodemographic data, occupational background, occupational exposure and LBP evaluation was used in this study. A total of 330 respondents participated in this study and 321 (97%) of them completed and returned the questionnaires. Results: One hundred and fifty-seven respondents complained of LBP, giving a prevalence of 48.9%. LBP was found to be associated with smoking status, history of LBP, history of accident, military rank, category of regiment, lifting weights, push­ing weights, pulling weights and job-related physical activity. Logistic regression analysis identified four associated risk fac­tors of LBP: history of accident (OR = 4.42, 95% 2.29-8.55), history of LBP (OR=1.92, 95% 1.11-3.31), combat regiment (OR = 1.97, 95% 1.14-3.42) and high job-related physical activity (OR = 2.35, 95% 1.31-4.20). Conclusion: Almost half of Malaysian army personnel stationed in Klang Valley reported LBP symptoms. Smoking status, history of LBP, history of accident, junior non-commissioned officers (NCOs), combat regiments, manual handling of objects and moderate/high job-related physical activity are associated with LBP, but there is no evidence of a temporal relationship in the current study. Further exploration with a longitudinal study is needed to identify a cause and effect relationship between occupational exposure and LBP among Malaysian army personnel.

Open access

Małgorzata Bronikowska and Agata Korcz

Summary

Study aim: The main purpose of this study was to examine the level of moral competences of 437 pre-service physical educa­tion (PE) university students. It was also designed to evaluate the level of moral competency and the correlations with factors (i.e. Parents, Religion, School education, PE teacher, Sport coach, Studies, Media and Peers) potentially influencing moral development in pre-service PE teachers. Material and methods: The study included data collected in 2017 from 216 male and 221 female students aged 21.5 ± 1.85 from the faculty of Physical Education in Poznań, Poland. The students were categorised into three levels of moral competences, after which possible correlations between the factors influencing moral development were examined. The Moral Competence Test (MCT) survey was used to measure the ability to rate arguments by their moral quality. Participants were requested to confront two moral dilemmas and agree or disagree with the statements which were presented to them. Results: The results suggest that a vast majority of students (78.7%) present a very low level of moral competences, and with regard to the factors influencing moral development, the lowest value was attributed to PE teachers. Moderate positive correla­tions were found between School education and PE teacher, and between Sport coach and PE teacher. Conclusions: The findings indicate the need for more attention to be paid to moral education in teacher training in PE.

Open access

Somruthai Poomsalood, Karthik Muthumayandi and Karen Hambly

Abstract

Study aim: There are currently limited methods available to access dynamic knee range of motion (ROM) during free-living activities. This type of method would be valuable for monitoring and progressing knee rehabilitation. Therefore, the aim of this study was to evaluate the functioning of stretch sensors for the measurement of knee ROM and to assess the level of the measurement error. Material and methods: Nine healthy participants were included in the study. Three stretch sensors (StretchSense™, Auckland, NZ) were attached on the participants’ right knees by Kinesiotape®. A Cybex dynamometer was used to standardise movement speed of the knee joint. Data was recorded through the StretchSense™ BLE application. Knee angles were obtained from the video clips recorded during the testing and were analysed by MaxTraq® 2D motion analysis software. The knee angles were then synchronised with the sensor capacitance through R programme. Results: Seven out of the nine participants presented with high coefficient of determination (R2) (>0.98) and low root mean square error (RMSE) (<5°) between the sensor capacitance and knee angle. Two participants did not confirm good relationship between capacitance and knee angle as they presented high RMSE (>5°). The equations generated from these 7 participants’ data were used individually to predict knee angles. Conclusions: The stretch sensors can be used to measure knee ROM in healthy adults during a passive, non-weight-bearing movement with a clinically acceptable level of error. Further research is needed to establish the validity and reliability of the methodology under different conditions before considered within a clinical setting.

Open access

Aneta Anna Omelan, Barbara Breś, Marek Raczkowski, Robert Podstawski, Tibor Polgár and Miklós Koltai

Abstract

Introduction. Summer camps are the most important form of organised leisure activity for children and adolescents, and their popularity has been increasing year after year. Providing tourism services for this group of recipients constitutes a big challenge for the organisers because they have to satisfy the expectations of not only the participants but also their parents. Hence, the aim of the study was to obtain data making it possible to estimate the degree of convergence between the needs of summer camp participants, their parents’ needs, and the tourism product, that is summer camp.

Materials and methods. The study involved one hundred participants of a summer camp, aged 11-17 years. A diagnostic survey carried using direct interviews and questionnaires. The data have been processed and analysed statistically by means of Excel and Statistica v.12; a significance test was used for comparing two proportions at the significance level α = 0.05 (with p < α indicating the presence of statistically significant differences and p ≥ α indicating a lack of statistically significant differences).

Results. The children of educated mothers participated in summer camps significantly more often than children of mothers with vocational education (p = 0.0115) and secondary education (p = 0.0422). When selecting the summer camp, most respondents (44.57%) paid attention to the degree of correspondence between the programme and their interests. The camps that were the most popular were sport summer camps (41.30%). Boys chose survival summer camps more often than girls (p = 0.0360) whereas girls preferred active and sailing summer camps (p = 0.006). The most attention in a summer camp was paid to the staff.

Conclusions. When choosing a summer camp, children and parents pay special attention to whether or not the programme is rich in attractions; however, it is the staff that conditions positive emotions of the participants as well as their good memories. Organisers know how important the staff are and that they are the warrant of the summer camp’s success. The results presented confirm that preparing a summer camp offering requires much work and involvement because one must satisfy the expectations of both participants and parents, who use different criteria of camp evaluation.

Open access

Claudia-Mariana Handra, Eugenia Naghi and Marina Ruxandra Oțelea

Abstract

Context. Stress is a complex psychosocial phenomenon that significantly influences health. The individual differences in stress response depend on sensitivity to stressors, named “stress vulnerability”.

Objectives. The aims of the study were to determine the level of perceived vulnerability to stress and compare stress vulnerability among students from 2 universities in Bucharest: University of Medicine “Carol Davila” and National University of Political Studies and Public Administration.

Methods. An approximately equal number of students from the two selected universities completed the Romanian version of the Miller-Smith stress vulnerability questionnaire.

Results. A number of 86 (60 women and 26 men) students agreed to participate. Average age was 23.56 years with a standard deviation of 4.86 years. The high vulnerability group included 18 (38%) medical students and 27 (60%) political science and public administration students. The difference was statistically significant (chi2 test, p=0.02) between the two groups. The average health score for medical students (MS) was 15.97, with a median of 15, while for the political science and administration students (PSPAS) the average health score was 24.91, with a median of 26. The average psychosocial score for MS group was 20.41 and the median was 20. In the PSAPS group, the psychosocial score was 26.14 and the median 24. The difference was statistically significant for both health score (p<0.00001) and psychosocial score (p=0.0006).

Conclusions: Stress is a common problem among undergraduated students. In this study the vulnerability to stress was higher for students PSAPS group compared to the students from MS group.

Open access

Bogdan-Alexandru Barbu, Zizi Niculescu and Laura-Georgiana Moise

Abstract

Sick building syndrome (SBS) is a complex syndrome consisting of non-specific symptoms with an onset associated with subjects’ presence in some modern building and the disappearance of symptoms shortly after they leave it. The effects of SBS may be the result of a series of protective reactions of the human body triggered by various types of surrounding environment, further suggesting that the human response could be based on a three-phase biological model: sensory perception, low degree inflammatory reactions and environmental stress reactions. Besides stress created by the discomfort of people who develop symptoms, SBS is the cause of an extensive loss of productivity, sickness absenteeism, wasted time in complaints with all the legal punitive issues that arise from them. The subjects diagnosed with SBS are hard to follow-up over time due to workers often leaving their jobs and being lost from cohort databases. Achieving a reputation of a “sick building” may prove difficult to rehabilitate even after expensive repairs and upgrades. In extreme cases closure and even demolition can occur. SBS is an evolving concept and this review we will present part of this evolution and what are the major challenges for its definition.

Open access

Mihaela Trenchea, Agripina Rașcu and Oana-Cristina Arghir

Abstract

Over the last thirty years, the pathogenesis of obstructive sleep apnea syndrome (OSAS) has begun to be elucidated worldwide due to the presence of standardized diagnostic and treatment. In adults, the clinical diagnosis may be suggestive of OSAS when symptoms like fatigue, lack of concentration, poor work performance, absenteeism, daytime sleepiness, insomnia, snoring, nocturnal respiratory distress or apnea episodes witnessed by others are present. Some medical conditions found in employees’ personal history such as craniofacial abnormalities, some endocrine diseases, arterial hypertension, especially resistant arterial hypertension, coronary artery disease, atrial fibrillation, congestive heart failure, stroke, obesity, diabetes mellitus, cognitive dysfunction or mental disorders may be the alarm signal for OSAS. The assessment of all risk factors, clinical presentation and diagnosis must become an important part of occupational medical examinations and performed in all workers due to its major public health potential and impact on survival. The early identification of OSAS among workers performed by the occupational physician can potentially reduce the risk of work injuries and fatalities. In conclusion, OSAS is a complex entity and an important public health problem. The delay in diagnosis and treatment contributes to the increase of healthcare services demand and implicitly to general mortality.