Organizational and managerial bases of rehabilitation support of athletes in freestyle wrestling at the stage of recovery after injuries

Abstract

Purpose. To develop an effective organizational and managerial model of physical rehabilitation of freestyle wrestling athletes at the stage of post-traumatic recovery. Material and methods. The study used biomechanical methods (measurement of range of motion in the knee joint (ROM test), deadlift dynamometry to assess the strength of the muscles of the lower extremities, step endurance test (Modified Harvard Step Test)) and tests to determine physical fitness (shuttle run 5×10 m test for speed and coordination, static balancing on an unstable platform (30 seconds)). Additionally, the study used the VAS (pain level) questionnaire method, SF-36 Health Survey (quality of life assessment). The study involved 30 freestyle wrestlers who are members of the sports club «Colizeum» of NTU «KhPI». All participants were men aged 18 to 25 years with at least 5 years of competitive experience. Results. The study evaluated the effectiveness of an individualized physical rehabilitation program for 30 freestyle wrestlers at the stage of post-traumatic recovery. According to the results of statistical analysis performed using the t-Student's test for dependent samples, a significant improvement in all studied indicators was found (p<0,05). In particular: the range of motion in the knee joint increased from 91,17°±3,71 to 96,2°±3,98; the strength of the muscles of the lower extremities increased from 60,04±2,45 kg to 63,02±2,58 kg; the pulse rate after the step test decreased from 85,83±4,1 bpm to 83,92±4,62 bpm, indicating an improvement in endurance; shuttle running speed improved from 13,39±0,54 s to 12,08±0,59 s; the duration of maintaining equilibrium on an unstable platform increased from 21,64±2,8 s to 25,7±3,02 s; the level of pain on the VAS scale decreased from 6,7±1,1 to 4,2±1,0; the total score of the physical component of SF-36 increased from 58,3±8,5 to 71,6±7,2. The data obtained demonstrate the high efficiency of the implemented rehabilitation program, which made it possible not only to restore the functional state of athletes, but also to significantly improve their subjective well-being and quality of life. This indicates the expediency of using individualized programs in the recovery of wrestlers after injuries, and also confirms the importance of integrating multilevel diagnostics and adaptive training in modern sports rehabilitation. Conclusions. The results of the study indicate the high efficiency of the individualized program of physical rehabilitation of wrestlers after injuries. The proposed set of exercises provided a significant improvement in functional indicators, a decrease in pain syndrome and an increase in the quality of life of athletes. This confirms the feasibility of applying a step-by-step approach to recovery adapted to the needs of each athlete in the field of sports medicine and rehabilitation.