2018, Volume 14
Evidence-based monitoring of the stimuli and effects of prophylaxis and kinesiotherapy based on the exercises of safe falling and avoiding collisions as a condition for optimising the prevention of body injuries in a universal sense – people with eye diseases as an example of an increased risk group
Bartłomiej Gąsienica Walczak1, Bartłomiej Jan Barczyński2, Roman Maciej Kalina3
1Faculty of Medicine, University of Rzeszow, Rzeszow, Poland
2Archives of Budo | Faculty of Physical Education, Gdansk University of Physical Education and Sports, Warsaw, Poland
3Faculty of Physical Education, Gdansk University of Physical Education and Sports, Gdansk, Poland
Author for correspondence: Bartłomiej Gąsienica Walczak; Faculty of Medicine, University of Rzeszow, Rzeszow, Poland; email: firstname.lastname@example.org
Background and Study Aim: Often the boundary between prophylaxis and therapy is difficult to define. People with diseases of the eye are at increased risk of a collision with both vertical obstacles or objects which are in motion, and unintentional fall. The aim of this study is knowledge about methods, means, effort indicators during a practice session, as well as the quality of body control during a simulated fall in laboratory conditions before and after a specific course.
Material and Methods: Clinical group (CG) 5 male with eye diseases: age 18.2 ±0.45 years; height 171 ±12.4 cm, weight 66.2 ±14 kg. Prophylactic group (PG) 36 male physiotherapy students (mean, SD): age 21.5 ±2.25 years; height 181.28 ±5.26 cm; weight 79.47 ±8.65 kg. We used the susceptibility test to the body injuries during the fall” (STBIDF). Total points is a general indicator of the susceptibility to body injuries during the fall (SBIDF): low (0), average (1-3), high (4-8), very high (9-14). Relatively for particular body parts (SBPIDF): low (0), average (1), high (2-6).
Results: CG average session time 33 minutes, 40 specific exercises were used, 63% falls (150-160), 37% others. The intensity of all sessions of kinesiotherapy in the moderate zone, while 2 minutes of specific training sequences in the high zone. PG respectively: 38 minutes, 50 exercises including 60% (180-190) of various falls and 40% fun forms of martial arts, fall simulations, avoiding collisions. The average intensity of training 130 HR (moderate zone). SBIDF before the specific course was in CG: 9 ±1.87 points (6 to 11); in PG 8.56 ±2.87 points (0 to 14) and). After, respectively: CG: 3.2 ±1.17 points (2 to 5) and in PG 0.75 ±1.01 points (0 to 3) p<0.001.
Conclusions: We recommend the cumulating of 10 empirically verified sessions within 2-3 weeks of health stay as an optimal incentive for injury prevention due to falls and/or collision. Combining these exercises with occupational therapy and creeping orientation training can be an effective and attractive way to improve the quality of life of people with eye disease.
Key words: epidemiology of injuries, fun forms of martial arts, non apparatus test, quality of life, training load