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The Effects of Acute Ingestion of a High-fat Solution, compared to a High-Carbohydrate Solution, on Skeletal Muscle Oxygenation, Fat Oxidation and Performance During a 2-hour Cycling Effort Followed by a Short Time Trial in Cyclists and Triathletes
Get PDFThis study aimed to determine the effects of consuming a high fat solution (HFS) compared to a high carbohydrate solution (HCS) during a cycling effort on substrate oxidation, muscle oxygenation and performance with cyclists and triathletes. Thirteen men participated in this study (age: 30.4 ± 6.3 y; height: 178.7 ± 6.1 cm; weight: 74.9 ± 6.5 kg; V̇O2 peak: 60.5 ± 7.9 mlO2×kg-1×min-1). The solutions were isocaloric (total of 720 kcal) and were consumed every 20 minutes. Each solution of HFS contained 12.78 g of lipids, 1.33 g of carbohydrates and 0.67 g of proteins, and each solution of HCS contained 28 g of carbohydrates. We measured pulmonary oxygen consumption and skeletal muscle oxygenation, using a Near Infrared Spectrometer (NIRS) during a cycling effort consisting of 2 hours at 65 % of maximal aerobic power (MAP) followed immediately by a 3-minute time-trial (TT). We observed that the consumption of the HFS increased the rate of fat oxidation at the end of the sub-maximal effort (0.61 ± 0.14 vs 0.53 ± 0.17 g×min-1, p < 0.05). We have also shown that the HFS negatively affected the performance in the TT (mean Watts: HCS: 347.0 ± 77.4 vs HFS: 326.5 ± 88.8 W; p < 0.05) and the rating of perceived exertions during the sub-maximal effort (modified Borg Perceived Exertion scale: 1–10) (mean: 3.62 ± 0.58 for HCS vs 4.16 ± 0.62 for HFS; p < 0.05). We did not observe a significant effect of the acute consumption of the HFS compared to the HCS on muscle oxygenation during the cycling effort. Finally, we observed that cyclists who demonstrated a high skeletal muscle deoxygenation relative to their pulmonary oxygen consumption (DHHb/V̇O2) had a higher fat oxidation capacity (higher Fatmax). In conclusion, even though the consumption of HFS increased the rate of fat oxidation at the end of a sub-maximal effort, it did not affect muscle oxygenation and it negatively affected performance and perceived exertion during a time-trial and caused gastro-intestinal distress in some participants.
Keywords: Fat oxidation, Skeletal muscle oxygenation, Lipid supplementation, Carbohydrate supplementation, Near Infrared Spectroscopy (NIRS), Cycling, Triathlon
The Mediation Effect of Overall Brand Equity between Brand Superiority and Media Consumption Behaviours of Sport Team Consumers During COVID-19
Get PDFBackground. During the COVID-19 pandemic, it is paramount to investigate how to influence professional sport team consumers’ behaviours towards media consumption, which is an indirect consumption of sports products with importance raised by the lockdown. The effect of brand superiority, one of the essential consumer judgments about the brands, on some behavioural intentions of sport team consumers was examined before; however, the role of brand superiority and overall brand equity on media consumption behaviours in pandemic conditions lacked empirical investigation. Therefore, this study aims to examine the relationship between brand superiority, overall brand equity and media consumption behaviours among professional sports teams’ consumers during the COVID-19 pandemic.
Methods. The participants of this quantitative study were 232 volunteer football (soccer) consumers who support a team in the Turkish Super Football League. The data was collected in 3 weeks using the online convenience sampling method. Confirmatory factor analysis (CFA) and structural equation modelling (SEM) were used in data analyses, and direct and indirect paths tested by the bootstrapping method.
Results. The results of the study showed that brand superiority did not have a direct effect on media consumption behaviours of sport team consumers. Besides, overall brand equity had a direct effect on media consumption behaviours and mediated the relationship between brand superiority and media consumption behaviours.
Conclusions. The evidence in this study indicates sport managers that the cognitive judgement of sport consumers, generally related to the more functional aspect of a sports product alone not an efficient way to directly influence sport team consumers toward media consumption behaviours even in COVID-19 pandemic. Brand equity, however, found to be an effective tool to address for directing sport team consumers’ behaviours toward media consumption in the extraordinary circumstance currently exist.
Keywords: branding, sports industry, spectator sports, professional sports teams, sports consumers
Teipavimo ir Schroth metodo veiksmingumas stuburo mobilumo ir kvėpavimo sistemos funkciniams pokyčiams paaugliams, sergantiems idiopatine skolioze. Pilotinis tyrimas
No full textBackground. Scoliosis affects spinal mobility and the respiratory system. The Schroth method is an effective tool for the treatment of scoliosis. However, there is insufficient evidence for the efficiency of kinesio taping with the Schroth method to help manage the condition of spinal mobility and respiratory system changes for adolescents with idiopathic scoliosis.
The aim. To evaluate the efficacy of the Schroth method and the Schroth method in combination with kinesio taping for spinal mobility and functional changes in the respiratory system in adolescents with idiopathic scoliosis.
The methods. The study included 8 adolescent volunteers diagnosed with idiopathic scoliosis. The adolescents were divided into two groups. The Schroth method was used for the first group and the Schroth method with kinesiology taping for the second group. The study lasted 2 months, and both groups underwent 2 interventions per week. Both before and after the interventions, participants were assessed for trunk functional stability (Mathias test), lumbar and thoracic spine mobility (Schober and Otto tests), vital lung capacity (VC), and forced expiratory capacity in 1 s (FEV1).
The results. In the analysed results of the interventions, it was found that the Mathias test, the Schober and Otto test, the VC and the FEV1 were improved in both groups. Comparing the results between the groups, it was established that the spinal mobility was better (p < 0,05) in the second group. However, lumbar and thoracic spinal mobility, VC, FEV1 were better (p<0,05) in the first group.
The conclusion. The Schroth method with and without kinesiological taping increased trunk stability, spinal cord mobility, and VC and FEV1. The Schroth method with kinesio taping is more effective for trunk functional stability, however only the Schroth method is more effective with mobility of the lumbar and thoracic spine part as well as for VC and FEV1.
Keywords: spinal cord mobility, trunk functional mobility, vital capacity.Tyrimo pagrindimas. Skoliozė daro įtaką stuburo mobilumui ir kvėpavimo sistemai. Schroth metodas yra veiksminga priemonė skoliozės gydymui. Tačiau nėra pakankamai duomenų, apie kineziologinio teipavimo kartu su Schroth metodikos taikymu veiksmingumą stuburo mobilumui ir kvėpavimo sistemos pokyčiams paaugliams, sergantiems idiopatine skolioze.
Tikslas. Įvertinti Schroth metodo bei Schroth metodo kartu su kineziologiniu teipavimu veiksmingumą stuburo mobilumo ir kvėpavimo sistemos funkciniams pokyčiams paaugliams, sergantiems idiopatine skolioze.
Metodai. Tyrime dalyvavo 8 savanoriai paaugliai, kuriems diagnozuota idiopatine skoliozė. Paaugliai buvo suskirstyti į dvi grupes. Pirmajai grupei buvo taikytas Schroth metodas, o antrajai grupei – Schroth metodas su kineziologiniu teipavimu. Tyrimas truko du mėnesius, abiejų grupių tiriamiesiems buvo atlikta po dvi intervencijas per savaitę. Prieš intervencijas ir po jų buvo vertintas tiriamųjų liemens funkcinis stabilumas (Mathias testu), juosmeninės ir krūtininės stuburo dalies mobilumas (Šobero ir Otto testai), gyvybinė plaučių talpa (GPT), forsuoto iškvėpimo per 1 sek. talpa (FIT1).
Rezultatai. Analizuojant intervencijos veiksmingumą nustatyta, kad pagerėjo abiejų grupių Mathias testo, Šobero ir Otto testų, GPT ir FIT1 rodikliai. Palyginus rodiklius tarp grupių, nustatyta, kad antroje grupėje buvo geresni (p<0,05) liemens stabilumo rezultatai. Pirmoje grupėje, buvo geresni (p<0,05) juosmeninės ir krūtininės stuburo dalies paslankumo taip pat GPT ir FIT1 rodiklių rezultatai.
Išvada. Schroth metodas su ir be kineziologinio teipavimo padidino liemens stabilumo, stuburo mobilumo bei GPT ir FEV1 rodiklius.
Raktažodžiai: stuburo paslankumas, liemens funkcinis stabilumas, gyvybinė plaučių talpa
The role of sports participation in the association between students’ body image concerns and disordered eating
Get PDFBackground. Body image concerns (BICs) negatively influence young people’s health as they mutilate psychosocial functioning and lifestyle. The present study aimed to compare BICs, socio-cultural attitudes towards appearance, and disordered eating (DE) in a large sample of student women and men of different body mass (BMI) and physical activity and to evaluate the mediating role of sports participation in the association between BICs and DE.
Methods. A total sample of 1850 students (1087 or 58.8% were women, average age 21.6 ± 5.0 years) participated in the study and completed a questionnaire measuring BICs, internalization of the socio-cultural appearance ideals, drive for muscularity, DE, physical activity (PA), and BMI. Two hundred eighty-two men and two hundred eighty-eight women reported leisure-time participation in sports. Two-way ANOVA was conducted to test gender, BMI group, and sports participation effects on study variables. Moderated leisure-time exercise at a sports club effects were tested in the association between body image concerns (BICs) and disordered eating behaviours (DE).
Results. Overweight/obese students reported greater BICs, internalization of the stereotyped appearance ideals, and DE compared to students of normal body weight. Participants of sports clubs demonstrated higher appearance evaluation and body areas satisfaction; however, they reported higher overweight preoccupation, internalization of socio-cultural ideals, drive for muscularity (men), and DE. A higher level of BMI, BICs, internalization of socio-cultural body ideals, and drive for muscularity (in men) were associated with greater DE in students. Participation in sports was not a significant moderator between BICs and DE. A significant interaction effect between BMI and exercising at a sports club was observed in women. Conditional effects demonstrated that female students with higher BMI and exercising at a sports club were at higher risk of DE (β = .18, p < .001) than women non-exercising at a sports club (β = .13, p < .001).
Conclusions. Overweight students of both genders reported greater BICs and DE. Sports-involved students (men and women) demonstrated more favourable body appearance evaluation. However, sports participants of both genders demonstrated greater BICs and DE compared to non-exercisers. Sports participation had no significant mediating power on the associations between BICs and DE; however, women with higher BMI and participating in leisure-time sports faced a greater risk for DE than women with higher BMI but not participating in sports. The promotion of a positive body image was important to students, especially female students with higher BMI and participating in leisure sports.
Keywords: body image concerns, disordered eating, physical activity, sport clubs, emerging adults
Stuburo stabilizavimo ir klubo sąnario mobilumą didinančių pratimų programos poveikis pacientams, kurie jaučia lėtinį nespecifinį apatinės nugaros dalies skausmą
No full textBackground. One of the main reasons of lower back pain is the weakness of trunk muscle and impaired control of deep trunk muscles. In order to maintain lumbar spine and pelvis stability, and to avoid pain or dysfunction, it is important to activate the multifidus muscle, transversus abdominis, internal oblique and gluteus maximus muscles (Kim & Yim, 2020).
Aim. To evaluate the effect of spinal stabilization exercising program and spinal stabilization with hip joint mobility enhancing exercise program on pain and functional state for people with chronic non-specific lower back pain.
Material and methods. The study involved 20 subjects with lower back pain randomly divided into two groups: I group and II group. The first group had an age average of 24,90 ± 3,70 years, while the average age of the second group was 30 ± 4,30 years. All groups participated in a six-week exercise program three times a week. Measurements assessed: pain, functional disability, trunk mobility, femur measurement of the amplitude, static endurance of abdominal muscles.
Results. After the study pain decreased in both groups (p <0.05). Lower back instability increased in both groups (p <0.05). Femur motion amplitude increased when flexing and extending, abduction and adduction in the first group (p <0.05). The second group remained statistically significantly unchanged. Functional disability decreased in the both groups (p <0.05). Abdominal muscles static endurance decreased (p <0.05). After the study no significant difference in the assessed indicators between the groups was found.
Conclusions. The application of both spinal stabilization and spinal stabilization combined with hip joint mobility enhancing exercises reduced back pain, improved lumbar back stability, increased femur movement amplitude, however the study found no significant difference between programs.
Key words: spinal stability exercise, hip mobility exercise, low back pain.Tyrimo pagrindimas. Viena iš apatinės nugaros dalies skausmo priežasčių yra liemens raumenų silpnumas bei sutrikusi giliųjų liemens raumenų kontrolė. Norint išlaikyti juosmeninės stuburo dalies ir dubens stabilumą bei išvengti skausmo arba funkcijos sutrikimo, svarbu aktyvuoti dauginį, skersinį pilvo, vidinius įstrižinius ir didįjį sėdmens raumenis (Kim, Yim, 2020).
Tyrimo tikslas – įvertinti stuburo stabilizavimo pratimų programos ir stuburo stabilizavimo kartu su klubo sąnario mobilumą didinančiais pratimais programos poveikį skausmui bei funkcinei būklei asmenims su lėtiniu nespecifiniu apatinės nugaros dalies skausmu.
Metodai. Tyrime dalyvavo 20 pacientų, kurie skundėsi lėtiniu nespecifiniu apatinės nugaros dalies skausmu, jie atsitiktiniu būdu buvo suskirstyti į dvi grupes. Pirmos grupės tiriamųjų amžius buvo 24,90 ± 3,70 metų, antros – 30,00 ± 4,30 metų. Užsiėmimai vyko tris kartus per savaitę, šešias savaites. Buvo vertinami skausmo, funkcinės būklės ir negalios, stuburo juosmeninės dalies paslankumo, šlaunies judesių amplitudės, pilvo raumenų statinės ištvermės pokyčiai.
Rezultatai. Po tyrimo skausmas sumažėjo abiejose grupėse (p < 0,05). Juosmeninės stuburo dalies paslankumas abiejose grupėse pagerėjo (p < 0,05). Šlaunies lenkimo, tiesimo, atitraukimo ir pritraukimo judesių amplitudės pirmoje grupėje padidėjo (p < 0,05); antroje grupėje statistiškai reikšmingai nepakito. Funkcinė būklė pagerėjo abiejose grupėse (p < 0,05). Pilvo raumenų ištvermė pagerėjo abiejose grupėse (p < 0,05). Po tyrimo, statistiškai reikšmingo vertintų rodiklių skirtumo tarp grupių nebuvo.
Išvados. Taikant tiek stuburo stabilizavimo pratimus, tiek stuburo stabilizavimo pratimus kartu su klubo sąnario mobilumą didinančiais pratimais, sumažėjo nugaros skausmas, pagerėjo juosmeninės nugaros dalies stabilumas, padidėjo šlaunies judesių amplitudė, tarp programų poveikio reikšmingo skirtumo nebuvo.
Raktažodžiai: stuburo stabilizavimo pratimai, klubo sąnario mobilumą didinantys pratimai, apatinės nugaros dalies skausmas
Sergančiųjų gonartroze kelio sąnario funkcinių rodiklių ir skausmo kaita po mobilizacijos su judesiu ir kinezioteipavimo taikymo
No full textBackground. Gonarthrosis is one of the most common diseases of the musculoskeletal system. As the disease progresses, the patient’s social and physical activities change. Reliable and effective therapies that slow the progression of gonarthrosis have not yet been found. There is a lack of evidence that a short course of physiotherapy and exercise-based treatment is effective or of how mobilization with movement and kinesio taping affects knee function and pain. We believe that in patients with knee gonarthrosis, the positive effects of physiotherapy combined with mobilization with movement and kinesio taping on knee functions and pain will be better than in those subjects who received only traditional physiotherapy.
Aim. To determine the effect of mobilization with movement and kinesio taping on knee function parameters and pain in gonarthrosis.
Methods. The study included 22 people diagnosed with gonarthrosis. For the experimental group (n=11), physiotherapy exercise, mobilization with movement and kinesiotape were applied, whereas the control group (n=11) used only physiotherapy exercise procedures. Subjects were evaluated for pain intensity, active knee range of motion, dynamic knee joint stability and evaluation of thigh muscle strength.
Results. In the experimental group, there was a significant decrease in pain after 7 days and a significant difference with control group. Significant knee flexion results were recorded in the experimental group and significant knee extension results were recorded in the control group. In the experimental group, the dynamic knee joint stabilization significantly increased after 14 days. The strength of the thigh muscles was significantly increased in the experimental group after 14 days.
Conclusion. The effect of mobilization with movement and kinesio taping of knee function, dynamic stability pain improving functional performance of dynamic stability was more significant than an exercise program lasting two weeks in subjects with knee gonarthrosis.
Keywords: gonarthrosis, mobilization with movement, kinesio taping.Tyrimo pagrindimas. Gonartrozė – tai viena labiausiai paplitusi kaulų-raumenų sistemos liga. Šiai ligai progresuojant, kinta paciento socialinės ir fizinės veiklos. Šiuo metu ieškoma patikimų ir greitą poveikį turinčių gydymo būdų, kurie sulėtintų gonartrozės progresavimą.
Tikslas – nustatyti mobilizacijos su judesiu ir kinezioteipavimo poveikį kelio sąnario funkciniams rodikliams ir skausmui sergant gonartroze.
Metodai. Tyrime dalyvavo 22 sergantieji gonartroze. Tiriamajai grupei (n=11) buvo taikoma pratimų programa (stiprinimo pratimai, statiniai tempimo pratimai, pratimai ant nestabilių plokštumų), mobilizacija su judesiu ir kinezioteipavimas. Kontrolinei grupei (n=11) taikyta analogiškos sandaros pratimų programa kaip tiriamojoje grupėje. Buvo įvertinamas tiriamųjų kelio skausmo intensyvumas, kelio sąnario amplitudės, dinaminis kelio sąnario stabilumas ir blauzdos tiesimo bei lenkimo jėga.
Rezultatai. Tiriamojoje grupėje skausmas reikšmingai sumažėjo po septynių dienų ir skyrėsi nuo kontrolinės grupės viso tyrimo eigoje. Reikšmingas blauzdos lenkimo amplitudės padidėjimas užfiksuotas tiriamojoje grupėje, o reikšmingas blauzdos tiesimo amplitudės padidėjimas užfiksuotas kontrolinėje grupėje. Tiriamojoje grupėje dinaminis kelio sąnario stabilumas reikšmingai pagerėjo po 14 dienų. Blauzdą lenkiančių ir tiesiančių raumenų grupių jėga reikšmingai padidėjo abiejose grupėse po 14 dienų.
Išvados. Mobilizacijos su judesiu ir kinezioteipavimo derinys yra veiksmingesnis nei tik pratimų programa sudaryta iš stiprinimo pratimų, statinių tempimo pratimų ir pratimų ant nestabilių plokštumų, mažinant skausmą ir gerinant funkcinius kelio sąnario rodiklius sergant gonartroze.
Raktažodžiai: gonartrozė, mobilizacija su judesiu, kinezioteipavimas
Nuotolinės veido mankštos ir savimasažo poveikis kaklo ir galvos skausmui bei gyvenimo kokybei
No full textBackground. Due to the COVID-19 pandemic and the lockdown, most people with headache and neck pain were unable to access health care services, so it is unclear which remote physiotherapy methods would be effective in treating neck and head pain.
Aim. To investigate the effects of virtual facial exercise and self-massage on women’s neck and head pain and functional condition.
Methods. The study included 33 women 45–59 years old, who had experienced neck and head pain in the past month and were not taking pain medications. All subjects were in the experimental group. Facial exercise and self-massage for 20 minutes daily for 20 days were performed by the subjects following virtual instructions. Before and after the intervention, the intensity of neck and head pain was assessed using numeric pain intensity scale, the quality of life was assessed using neck disability index and headache disability index.
Results. Neck pain decreased by 3.82 ± 2.63 points (p < 0.05), headache decreased by 2.82 ± 1.93 points (p < 0.05), neck functional disability decreased by 7.33 ± 4.57 points (p < 0.05), headache disability index values decreased by 15.57 ± 8.47 points (p < 0.05).
Conclusion. After the application of virtual facial exercise and self-massage, women’s neck and head pain was reduced and the quality of life improved.
Keywords: neck pain, headache, physiotherapy, massage, quality of life.Tyrimo pagrindimas. Dėl COVID-19 pandemijos ir įvesto karantino, dauguma asmenų, besiskundžiančių galvos arba kaklo skausmais, negalėjo gauti sveikatos priežiūros paslaugų, todėl neaišku, kokie nuotoliniu būdu taikomi kineziterapijos metodai būtų veiksmingi gydant kaklo ir galvos skausmą.
Tikslas – nustatyti nuotoliniu būdu atliekamos veido mankštos ir savimasažo poveikį moterų kaklo ir galvos skausmui bei gyvenimo kokybei.
Metodai. Tyrime dalyvavo 33 moterys 45–59 metų amžiaus, kurios per pastarąjį mėnesį jautė kaklo ir galvos skausmus, tačiau nevartojo vaistų nuo skausmo. Visos tiriamosios buvo eksperimentinėje grupėje. Veido mankštą ir savimasažą 20 min. kasdien, 20 dienų tiriamosios atliko savarankiškai, stebint įgarsintą vaizdinę medžiagą. Tyrimas buvo atliekamas prieš ir po užsiėmimų. Tiriamųjų kaklo bei galvos skausmo intensyvumas buvo vertintas skaitmenine analogine skausmo skale (SAS), gyvenimo kokybė buvo vertinta kaklo negalios indeksu (KNI) bei galvos skausmo negalios indeksu (GSNI).
Tyrimo rezultatai. Kaklo skausmas sumažėjo 3,82 ± 2,63 balais (p < 0,05), galvos skausmas sumažėjo 2,82 ± 1,93 balais (p < 0,05), kaklo funkcinė negalia sumažėjo 7,33 ± 4,57 balais (p < 0,05), galvos skausmo negalios indeksas sumažėjo 15,57 ± 8,47 balais (p < 0,05).
Išvada. Po nuotoliniu būdu taikytos veido mankštos ir savimasažo sumažėjo moterų kaklo bei galvos skausmas, pagerėjo su kaklo bei galvos skausmu susijusi gyvenimo kokybė.
Raktažodžiai: kaklo skausmas, galvos skausmas, kineziterapija, masažas, gyvenimo kokybė
Корпоративный этикет и культура общения
Get PDFObject of the analysis. Investigation problem. This article’s aim is to reveal the features of corporate etiquette and communication culture. The article deals with such topics as: communicative culture, indicators of speech culture in business communication, types, forms and styles of corporate communication. Particular attention is paid to the skills that a person needs to have in order to communicate in business sphere. The article is devoted to the current problem of corporate etiquette and communication culture, since in any situation it is necessary to have a good vocabulary, competently delivered speech, the ability to correctly exit a difficult conversation and have all the necessary skills for work and business communication.
Research methods. Scientific literature analysis, synthesis, generalization. Analysis of scientific literature. In this article, when analyzing the texts of different authors, certain components are used, such as communicative culture, etiquette, communication, self-identity, will be separated from the whole and analyzed to justify the goal.
Systematic data analysis is performed. Methodological direction of research, which is based on the analysis of interconnections and connections of a complex integral object with many elements, their totality. In this article, some of the components, such as communication culture, etiquette, communication, self, will be analyzed as part of a whole.
Outcomes and conclusions. Based on the above, it can be concluded that corporate etiquette and communication culture play an important role in professional spheres and business relationships. With the help of in-depth study and formation of these qualities, and their implementation in all areas of study, such as: tourism, restaurant business and hotel business, management, and everything related to communication and interaction of people, this will give an opportunity in professional activities to prove oneself as educated, communicative and professional personality. Thanks to the ability to use these skills, you can bypass various conflict situations and get out of them professionally, in this regard, professionalism and confidence will grow along with experience in any areas.
Keywords: communicative culture, etiquette, communication, own personalityЦель данной статьи – раскрыть особенности корпоративного этикета и культуры общения. В статье затрагиваются такие темы как: коммуникативная культура, показатели культуры речи в деловом общении, виды, формы и стили корпоративного общения. Особое внимание уделено навыкам, которыми человеку необходимо обладать для общения в деловых кругах. Статья посвящена актуальной на сегодняшний день проблеме корпоративному этикету и культуре общения, так как в любой ситуации необходимо иметь хороший словарный запас, грамотно поставленную речь, умение правильно выходить из трудного разговора и обладать всеми необходимыми навыками для работы и делового общения.
Ключевые слова: коммуникативная культура, этикет, общениe, собственная личност
Dubens dugno raumenų stiprinimo pratimų poveikis šlapimo nelaikymo sutrikimui moterims po gimdos pašalinimo operacijos
No full textBackground. Hysterectomy (HT) is a very common procedure in which the uterus is removed surgically. The extent and type of HT surgery may vary, but the surgical intervention itself is a risk factor for the development of postoperative urinary incontinence regardless of the extent and type of surgery (Skorupska, Miotla, Kubik–Komar, Rechberger, Adamiak–Godlewska & Rechberger, 2016). Techniques for preventing urinary incontinence include maintaining proper weight, limiting the number of children, making lifestyle adjustments, and educating to perform pelvic floor muscle (PFM) training exercises correctly (Habib & Chaudhary, 2016). However, there is still a lack of research on how PFM training can be combined with other interventions (Silantyeva, et al., 2019), and different authors presernt conflicting results.
Aim. The purpose was to evaluate the effect of pelvic floor muscle strengthening exercises on urinary incontinence in women after uterus removal surgery.
Methods. The first group of subjects received biofeedback and usual physical therapy (BF + UT), while the second group of patients received only usual therapy (UT). All subjects were assessed for perceived pain, PFM strength, quality of life associated with urinary incontinence, and overall quality of life, before and after exposure. Pain intensity and PFM stregth were additionally assessed after 5 and 10 days.
Results. After exposure, there was a significant increase in outcome in the BF + UT group – PFM strength, and quality of life associated with urinary incontinence compared to the UT group. Perceived pain and overall quality of life outcomes did not differ between groups (p > 0,05).
Conclusion. Usual therapy combined with biofeedback is more effective in increasing pelvic floor muscle strength, and quality of life related to urinary incontinence, in terms of behavior, than usual therapy alone.
Keywords: hysterectomy, pelvic floor muscle, pelvic floor muscle training, urinary incontinence, physical therapy.Tyrimo pagrindimas. Histerektomija – tai procedūra, kurios metu chirurginiu būdu pašalinama gimda. Histerektomijos apimtis ir būdas gali skirtis, tačiau pati chirurginė intervencija yra pooperacinio šlapimo nelaikymo rizikos veiksnys nepriklausomai nuo operacijos apimties ir būdo (Skorupska, Miotla, Kubik–Komar, Rechberger, Adamiak–Godlewska, Rechberger, 2016). Šlapimo nelaikymo prevencijos metodai: tinkamo kūno svorio palaikymas, gimdymų ribojimas, gyvenimo būdo korekcija, mokymas taisyklingai atlikti dubens dugno raumenų (DDR) treniravimo pratimus (Habib, Chaudhary, 2016). Tačiau vis dar stinga tyrimų duomenų, kaip DDR treniravimą būtų galima derinti su kitomis intervencijomis (Silantyeva, ir kt., 2019), skirtingi autoriai pateikia prieštaringus rezultatus.
Tikslas – įvertinti DDR stiprinimo pratimų programų poveikį šlapimo nelaikymo sutrikimui moterims po gimdos pašalinimo operacijos.
Metodai. Pirmai tiriamųjų grupei taikytas grįžtamasis ryšys ir įprasta kineziterapija (GR + IK), antrai – tik įprasta kineziterapija (IK). Visoms tiriamosioms įvertintas jaučiamas skausmas, DDR jėga, gyvenimo kokybė, susijusi su šlapimo nelaikymo problema, bendroji gyvenimo kokybė prieš poveikio taikymą ir po jo. Skausmo intensyvumas ir DDR jėga papildomai įvertinti po 5 ir 10 dienų.
Rezultatai. Po poveikio taikymo pastebėtas reikšmingas rezultatų pagerėjimas GR + IK grupėje: padidėjo DDR jėga, pagerėjo gyvenimo kokybė, susijusi su šlapimo nelaikymo problema, palyginus su IK grupe (p < 0,05). Jaučiamas skausmas ir bendrosios gyvenimo kokybės rezultatai tarp grupių reikšmingai nesiskyrė (p > 0,05).
Išvados. Įprasta kineziterapija, derinama su grįžtamuoju ryšiu, elgsenos požiūriu yra veiksmingesnė dubens dugno raumenų jėgai didinti, gyvenimo kokybei, susijusiai su šlapimo nelaikymu, gerinti nei vien tik įprasta kineziterapija.
Raktažodžiai: histerektomija, dubens dugno raumenys, dubens dugno raumenų treniravimas, šlapimo nelaikymas, kineziterapija
The Importance of Psychosocial Aspects in the Formation of New Healthy Lifestyle Habits in Adult Women: A Qualitative Study
Get PDFBackground. Healthy lifestyle is one of the main health determinants. Chronic diseases can be prevented by adopting health-related behavior and developing it into habits. Scientific literature suggests that psychosocial factors are part of people’s lives as they also affect health and health behaviors and it is important to understand them.
Methods. Primary data collection method was face-to-face interview based on previous research. The main data was collected with self-reported diaries. Qualitative content analysis was used to analyze the data. Data was gathered on psychosocial factors and habits of adult women. There were eight participants in the study.
Results. The following psychosocial aspects related to health behaviors were encoded in the results: self-efficacy, intrinsic motivation, social support, distress and extrinsic motivation. The following emotions were encoded: joy, surprise, sadness, anger and fear. Women had similar psychosocial aspects and emotions towards new physical activity and nutritional habits.
Conclusions. The findings indicated that self-efficacy was a dominant psychosocial aspect in the formation of physical activity habits. Together with intrinsic motivation, which manifested mostly after performing their chosen physical activity behavior, self-efficacy was restored in cases that women felt down about themselves. Social support and extrinsic motivation also suggested positive effect on habit formation. Emotion of joy was observed both before and after physical activity. Sadness and anger appeared when a daily task was not accomplished. Fear was not a widespread emotion among women who developed physical activity habits. Self-efficacy and intrinsic motivation were not important in nutritional habits formation. Social support was as important as extrinsic motivation for women to pursue their chosen habits. Joy was the dominant emotion for women with nutritional habits. One example of surprise was given. Sadness occurred because of unaccomplished tasks. Anger led to not performing nutritional habits.
Keywords: psychosocial aspects, emotions, habits formation, adult women