Differential approach to planning of training loads in person with connective tissue dysplasia symptoms

Authors

  • Олег Борисович Неханевич SE "Dnipropetrovsk medical academy of Health Ministry of Ukraine" Komunarivska str., 16/268, Dnipropetrovsk, Ukraine, 49000

DOI:

https://doi.org/10.15587/2313-8416.2015.43301

Keywords:

athletes, physical activity, connective tissue dysplasia

Abstract

Introduction. When dealing with issues of access and planning of training and competitive pressures special interest cause the person with signs of connective tissue dysplasia.

Aim. Improvement of medical support of training process of athletes with signs of connective tissue dysplasia.

Materials and methods. 188 athletes are examined, including 59 with signs of connective tissue dysplasia. There are made the basic group. Signs of systemic involvement of connective tissue are determined using anthropometry and somatoscopy. An echocardiographic examination is conducted for all athletes at rest and during bicycle ergometry in regenerative period conducted.

Results. Underweight body, acromacria, hypermobility of joints and flat feet are often observed with signs of systemic involvement of connective tissue.

During veloergometry it was established deterioration of myocardial relaxation during diastole core group of athletes while performing load average power, which led to a drop in ejection fraction at submaximal levels of exertion.

Conclusions. Existence of connective tissue dysplasia in athletes with different prognosis states requires sports physicians an in-depth analysis and differential diagnosis of clinical forms in order to prevent complications during training and competitive pressures. Early signs of cardiac strain while performing physical activity in athletes with signs of connective tissue dysplasia were symptoms of myocardial relaxation on indicators of diastolic heart function. Ejection fraction at rest remained at normal levels

Author Biography

Олег Борисович Неханевич, SE "Dnipropetrovsk medical academy of Health Ministry of Ukraine" Komunarivska str., 16/268, Dnipropetrovsk, Ukraine, 49000

Candidate of Medical Science, Associate Professor, head of department

Department of physical rehabilitation, sports medicine and valeology

References

Kaduryna, T. Y., Gnusaev, S. F., Аbbakumova, L. N. et al. (2014). Nasledstvennye i mnogofaktornye narusheniya soedinitel'noy tkani u detey. Algoritmy diagnostiki, taktika vedeniya [Heritable and multifactorial disorders of connective tissue in children. Diagnostic algorithms, tactic]. Pediatrics, 93 (5), 1–40.

Evtushenko, S. K. Lisovskiy, E. V., Evtushenko, O. S. (2009). Displaziya soedinitel'noy tkani v nevrologii i pediatrii (klinika, diagnostika i lechenie) [Connective tissue dysplasia in neurology and paediatrics (clinic, diagnostic and treatment)]. Manual to physicians]. Donetsk, Ukraine: publisher Zaslavskiy A.Y., 372.

Smolenskyj, A. V., Myhajlova, A. V. (2007). Osnovnye napravleniya razvitiya sportivnoy meditsiny na sovremennom etape [Main directions of development of sports medicine at the present stage]. Sports medicine, 2, 3–9.

Maron, B. J., Pelliccia, A. (2006). The heart of trained athletes: cardiac remodeling and the risks of sports, including sudden death. Circulation, 114 (15), 1633–1644. doi: 10.1161/circulationaha.106.613562

Makarova, G. L. (2002). Prakticheskoe rukovodstvo dlya sportivnykh vrachey [A practical guide for sports physicians]. Rostov-na-Donu, Russia: «Publishing house BARO-PRESS», 800.

Sorokin, M. A. (2008). Displaziya soedinitel'noy tkani: vnezapnaya smert' pri defektakh klapanov, sudebno-meditsinskaya otsenka [Connective tissue dysplasia: the sudden death of defects in the valves, the forensic medical evaluation]. Siberian Journal of Medicine, 23 (1), 48–51.

Nechaeva, G. I. Viktorova, I. A. (2007). Displaziya soedinitel'noy tkani: terminologiya, diagnostika, taktika vedeniya patsientov [Connective tissue dysplasia: the terminology, diagnosis, tactics]. Omsk, Russia: Publishing house "Printing Blanc-Kom”, 188.

Bonow, R. O., Cheitlin, M., Crawford, M., Douglas, P. S. (2005). 36th Bethesda Conference: recommendations for determining eligibility for competition in athletes with cardiovascular abnormalties. J. Am. Coll. Cardiol., 14, 1334–1340.

Garcia-Campayo, J. (2011). Joint hypermobility and anxiety: the state of the art. Current Psychiatry Reports, 13 (1), 18–25. doi: 10.1007/s11920-010-0164-0

Pearson, G. D., Devereux, R., Loeys, B., Maslen, C., Milewicz, D., Pyeritz, R. et. al. (2008). Report of the National Heart, Lung, and Blood Institute and National Marfan Foundation Working Group on Research in Marfan Syndrome and Related Disorders. Circulation, 118 (7), 785–791. doi: 10.1161/circulationaha.108.783753

Zemtsovsky, E. V., Malev, E. G., Luneva E. B. (2011). Nasledstvennye narusheniya soedinitel'noy tkani i vnezapnaya serdechnaya smert' [Hereditary connective tissue disorders, and sudden cardiac death]. Herald arrhythmology, 63, 61–65.

Keane, M. G., Pyeritz, R. E. (2008). Medical Management of Marfan Syndrome. Circulation, 117 (21), 2802–2813. doi: 10.1161/circulationaha.107.693523

Osovska, N. Y., Serkova, V. K. (2007). Stratifikatsiya faktorov riska i taktika lecheniya patsientov s prolapsom mitral'nogo klapana [Stratification of risk factors and treatment strategy of patients with mitral valve prolapse]. Ukrainian medical journal, 2 (58), 78–83.

Bonow, R. O., Carabello, B. A., Chatterjee, K., de Leon, A. C., Faxon, D. P., Freed, M. D. et. al. (2006). ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease. Journal of the American College of Cardiology, 48(3), e1–e148. doi: 10.1016/j.jacc.2006.05.021

Krivolap, N. V. (2014). Displastichna kardіopatіya u futbolіstіv: osoblivostі proyavu zalezhno vіd vіku, statі ta sportivnogo stazhu [Dysplastic cardiopathy in football: characteristics of display depending on age, sex and sports experience]. Sportyvna medycyna, 1, 95–101.

Beighton, Р., Grahame, R., Bird, H. (2012). Hypermobility of Joints. New York: Springer, 204. doi: 10.1007/978-1-84882-085-2

Kovalenko, V. M., Lutaj, M. I., Bratus', V. V., Viktorov, O. P., Voronkov, L. G. et al. (2009). Nastanova z kardiologii' [Guide for cardiology]. Kiev, Ukraine: МОRІОN, 1368.

Evangelista, A., Flachskampf, F., Lancellotti, P., Badano, L., Aguilar, R., Monaghan, M. et .al. (2008). European Association of Echocardiography recommendations for standardization of performance, digital storage and reporting of echocardiographic studies. European Journal of Echocardiography, 9 (4), 438–448. doi: 10.1093/ejechocard/jen174

Nagueh, S. F., Appleton, C. P., Gillebert, T. C., Marino, P. N., Oh, J. K., Smiseth, O. A. et. al. (2008). Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography. European Journal of Echocardiography, 10 (2), 165–193. doi: 10.1093/ejechocard/jep007

Fletcher, G. F., Ades, P. A., Kligfield, P., Arena, R., Balady, G. J., Bittner, V. A. et. al. (2013). Exercise Standards for Testing and Training: A Scientific Statement From the American Heart Association. Circulation, 128 (8), 873–934. doi: 10.1161/cir.0b013e31829b5b44

Abramov, V. V., Klapchuk, V. V., Nekhanevich, O. B. Smirnova, O. L., Dzyak, G. V. (2014). Fizychna reabilitacija, sportyvna medycyna [Phisical rehabilitation, sports medicine]. Dnipropetrovsk, Ukraine: Gurfond, 455.

Halafyan, A. A. (2007). STATISTICA 6. Statisticheskiy analiz dannykh [STATISTICA 6. The statistical analysis of the data]. Moscow, Russia: Open Company "Binom-press", 512.

Ha, J.-W., Oh, J. K., Pellikka, P. A., Ommen, S. R., Stussy, V. L., Bailey, K. R. et. al. (2005). Diastolic stress echocardiography: A novel noninvasive diagnostic test for diastolic dysfunction using supine bicycle exercise Doppler echocardiography. Journal of the American Society of Echocardiography, 18 (1), 63–68. doi: 10.1016/j.echo.2004.08.033

Paulus, W. J., Tschope, C., Sanderson, J. E. et. al. (2007). How to diagnose diastolic heart failure: a consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the Heart Failure and Echocardiography. European Heart Journal, 28 (20), 2539–2550. doi: 10.1093/eurheartj/ehm412

Kharitonova, L. G. (2010). Displaziya soedinitel'noy tkani i ee znachimost' v protsesse fizicheskogo vospitaniya i zanyatiy sportom kul'tura [Connective tissue dysplasia and its significance in the process of physical education and sports culture]. Theory and Practice of Physical Culture, 7, 29–33.

Juul-Kristensen, B., Hansen, H., Simonsen, E. B., Alkjær, T., Kristensen, J. H., Jensen, B. R., Remvig, L. (2012). Knee function in 10-year-old children and adults with Generalised Joint Hypermobility. The Knee, 19 (6), 773–778. doi: 10.1016/j.knee.2012.02.002

Published

2015-05-28

Issue

Section

Medical