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DISCOBOLUL Physical Education, Sport and Kinetotherapy Journal Discobolul – Physical Education, Sport and Kinetotherapy Journal Year XV Vol. 57 no. 3, 2019 NATIONAL UNIVERSITY OF PHYSICAL EDUCATION AND SPORTS, BUCHAREST DISCOBOLUL Physical Education, Sport and Kinetotherapy Journal Index Coverage of Discobolul ERIH PLUS, EBSCO, The Journals Impact Factor (JIFACTOR), Index Copernicus, Journals Master List, SCIPIO, Romanian Editorial Platform DOAJ, J-Gate, DAIJ, SIS - Scientific Indexing Service OAJI.net (Open Academic Journals Index) Google Academic APPEARS QUARTERLY Year XV Vol. 57 No. 3 July-September 2019 ISSN (online) 2286 – 3702; ISSN–L 1454 – 3907 www.discobolulunefs.ro Copyright © 2019 by Discobolul Publishing House All rights reserved Discobolul – Physical Education, Sport and Kinetotherapy Journal Year XV Vol. 57 no. 3, 2019 CONTENT The efficiency of computerised dynamometry in the recovery of medial meniscus surgery Alexandru ILIE, Mihaela APOSTU, Corina PREDESCU, Radu PREDESCU ................... 5 A shoulder injury prevention programme for non-injured athletes Ahmed Hadi AL DHUHAIBWI ....................................................................................…. 11 Autism and language development Răzvan Constantin DANCIU, Gheorghe MARINESCU, Laurențiu Daniel TICALĂ ....... 17 Heart rate variability – a tool for analysing the autonomic regulation of the cardiac function in sports Aura BOTA, Constanța URZEALĂ, Daniel COURTEIX ................................................. 23 Adapted training sessions – a plus for beginner athletes Corina IVAN, Lavinia POPESCU ...................................................................................... 31 Verbal and nonverbal skills of professionals in the cultural and artistic environment Georgeta (NICOLA) VLĂDUȚU, Radu PREDOIU, Sabina MACOVEI, Mihaela ZAHIU .................................................................................................................. 36 European and Romanian sport law Daniel BRĂTIANU ............................................................................................................ 44 Perception of children with behavioural disorders on sport activities for social inclusion Vasilica GRIGORE, Andrade-Ionuț BICHESCU, Veronica-Mihaela GUȘE .................... 48 Sport and society Constanța URZEALĂ, Silvia TEODORESCU................................................................... 55 Vegetarian diet in aerobic sports. Particularities, necessities and recommendations Elena-Teodora CONSTANTIN, Antoaneta CREȚU, Mihaela APOSTU, Ruxandra EL BSAT, Corina PREDESCU .......................................................................... 63 Statistical indicators and specific legislation for physical education and sports: the case of Romania Constanţa Valentina MIHĂILĂ, Gabriela Alina PARASCHIVA ...................................... 71 Study on behavioural responsiveness to stress, self-esteem and leisure activities in adolescents Ana-Maria ȘURUBA-RUSEN (VASILIU), Daniel Constantin MURĂREȚU ................. 77 Etiopathogenesis of autism – a multifactorial approach Răzvan Constantin DANCIU, Gheorghe MARINESCU, Laurențiu Daniel TICALĂ ....... 82 5 Discobolul – Physical Education, Sport and Kinetotherapy Journal Year XV Vol. 57, no. 3, 2019 THE EFFICIENCY OF COMPUTERISED DYNAMOMETRY IN THE RECOVERY OF MEDIAL MENISCUS SURGERY Alexandru ILIE1*, Mihaela APOSTU1, Corina PREDESCU1, Radu PREDESCU2 1 National University of Physical Education and Sports, 140 Constantin Noica Street, Bucharest, Romania 2 “Carol Davila” University of Medicine and Pharmacy, 37 Dionisie Lupu Street, Bucharest, Romania *Corresponding author: [email protected] Abstract. Nowadays, more and more patients limit their recovery period due to lack of time or pain disappearance. But the disappearance of pain is not the end of the recovery program. After a medial meniscus surgery, the time to complete recovery is at least 6 months. Reducing this period can be beneficial to the patient. Purpose: Through our study, we want to highlight the utility and efficiency of the computerised BIODEX System 4 PRO dynamometry in the recovery of medial meniscus surgery, with the significant reduction of recovery time. Subjects and methods: 5 patients aged between 30 and 45 years who underwent medial meniscal surgery were studied. The recovery program was performed using the BIODEX System 4 PRO computer dynamometer for a period of 5 months, with 3 weekly sessions of 90 minutes/session. Results: At the final evaluation, the subjects achieved a 2 to 1 force ratio in favour of extensors and an absolute force of at least 1500 J for the knee extension, indicating the end of the recovery program. It also highlights a reduction in recovery time of at least 20% and the knee stabilisation at optimal parameters. Conclusions: Computerised dynamometer is effectively used in both muscle strength testing and rehabilitation after surgery, reducing the risk of relapse to zero in the case of daily demands. Keywords: rehabilitation, computerised dynamometer, medial meniscus. Introduction Meniscus injury is one of the most common injuries in the knee joint. In general, men are more frequently affected than women. Thus, for a population of 10,000 people, the incidence of meniscal lesions is 9% for males and 4.2% for women (Andrews, Ronsky, & Shrive, 2011). The injuries occur, in 68% to 75% of cases, following a trauma, and 38% to 50% of these traumas occur in sports. The highest frequency of these injuries occurs in football, followed by rugby, handball, basketball, volleyball, athletics, gymnastics and skiing (Birrer, O’Connor, & Kane, 2015). Current statistics show that 75% of internal knee disorders are meniscal, and between 60%-74% of these lesions impair the medial meniscus. This condition is explained by the much larger diameter, the much thinner periphery and the much narrower body compared to the lateral meniscus (Baratz, Fu, & Mengato, 1986). Meniscus injury is manifested by joint swelling, quadriceps muscle atrophy, localised pain and tenderness. Among them, the presence of localised tenderness in the internal and lateral space is the most frequent symptom (Shi et al., 2018). Nowadays, more and more patients limit their recovery period due to lack of time or pain disappearance. But the disappearance of pain is not the end of the recovery program. After a medial meniscus surgery, the time to complete recovery is at least 6 months. Reducing this period can be beneficial to the patient. Because we live in the age of speed, when patients no longer feel pain, they are always looking for pretexts not to continue the recovery process to fully stabilise the joint after such an intervention. This is why the risk of relapse is increased. A meta-analysis investigating outcomes at least 5 years after meniscal repair showed a pooled failure rate of 23.1% (Spang III et al., 2018). We believe that, if it is possible to measure the deficit in range of motion (ROM) but also strength in the healthy limb, this might be motivating for the patient to continue until the end of the recovery process. Moreover, by constantly monitoring the patient’s progress and reminding him/her of the goal to be achieved, he/she will be 100% involved in the recovery process. Purpose Through our study, we want to highlight the utility and efficiency of the computerised BIODEX System 4 PRO dynamometry in the recovery of medial meniscus surgery, with a significant reduction (more than 20%) in recovery time (Tsiros et al., 2011). Material and methods Of the 5 patients who underwent medial meniscal surgery, we chose for our study a male subject aged 36 years, who was practicing handball and whose goal was to return to sport in less than 6 months. The recovery program was performed using the computerised BIODEX System 4 PRO dynamometer for a period of 5 months, with 3 weekly sessions of 90 minutes/session. 6 Discobolul – Physical Education, Sport and Kinetotherapy Journal Year XV Vol. 57, no. 3, 2019 The research was performed in our rehabilitation clinic in Bucharest, over a period of 5 months. The chosen subject agreed to participate in the study and we received his consent to interpret and process the data and then disseminate the obtained results. The BIODEX System 4 PRO (Figure 1) was used to initially identify the ROM compared to the healthy limb, the ROM ongoing progress and the force developed at the moment of active movements. Figure 1. BIODEX System 4 PRO (2019) The equipment can achieve accurate and standardised measurement of the ROM and display many interesting parameters for joint biomechanics such as: absolute force, relative force, reaction rate, time to peak torque, angle of peak torque, ratio between agonists/antagonists, work first/last third, average power, maximal repetition, total work, torque at 30.0 degrees (Figure 2). 7 Discobolul – Physical Education, Sport and Kinetotherapy Journal Year XV Vol. 57, no. 3, 2019 Figure 2. Parameters for joint biomechanics The system offers the possibility of generating passive, isometric, isotonic and isokinetic movements using concentric/eccentric contraction. Moreover, the BIODEX System 4 PRO enables to accurately set the painless movement space and perform repetitive and standardised movements exactly to the point where pain occurs. With this, the intended ROM is quickly reached. No two meniscal patients with the same diagnosis present identically. Therefore, the most important principle guiding a rehabilitation program following meniscal repair surgery is individualisation. The method used relies on passive mobilisations
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