Introduction. One of the widespread and massively practiced martial arts is a Kendo — a system of fencing with a Japanese sword. Herewith the training process imposes very high requirements on athletes practicing martial arts. Large physical and psychological loads often lead to overstrain of various organism systems. This worsens the functional state of the organism and causes various injuries. But very often athletes in this situation continue training and take part in competitions. As a result a further deterioration of the condition and delayed recovery of the functional state of the organism takes place, and it negatively affects sports results. In Russia, this type of martial arts is massively engaged in the first generation of athletes, so today there are no methods of treatment, recovery and medical support specially developed for this sport. Osteopathy can be a promising method of drug-free recovery and maintenance that does not require the use of complex equipment, and this method has already proved itself well in some other sports.The goal of research — to identify the somatic dysfunctions that are typical for kendoists and can affect their sports results, and to study the impact of osteopathic correction on the osteopathic status and the kendoists organism′ functional state, which determine the athletes performance.Materials and methods. 30 athletes practicing Kendo were selected to participate in the study. A simple randomization method was used to form an experimental group (15 people) who had osteopathic correction of somatic dysfunction (SD), and a control group (15 people) in which there were no any manipulations. At the beginning of the study both groups underwent osteopathic examination and assessment of the organism functional state by the Harvard step test and a breath-holding test (Genchi test). Osteopathic correction of SD in the experimental group was performed once a month for 9 months. Then the osteopathic examination and functional assessment were repeated in both groups. The obtained results were compared both within the respective groups (using the Wilcoxon test) and between groups (using the Mann–Whitney test).Results. The following regional biomechanical disorders were detected as typical for the selected Kendo athletes at the study beginning: lower extremities (structural component), thoracic region (structural and visceral component), and lumbar region (structural and visceral component). Such characteristic local somatic dysfunctions as dysfunctions of the ankle and subtalar joints were also identified. The use of SD osteopathic correction in athletes of the experimental group led to a statistically significant decrease in the SD total number (p≤0,05) compared with the control group in which osteopathic correction was not performed. The experimental group athletes had a significant decrease of the SD total number (p≤0,01) and the local somatic dysfunctions average number (p≤0,01). Functional test scores improved in both groups at the end of the study. However the functional tests indicators of the experimental group, in comparison with the control group, statistically significantly (p≤0,05) improved to a greater extent.Conclusion. The obtained data demonstrate the osteopathic correction positive effect on the practicing kendo athletes′ organism in the form of the somatic dysfunctions′ number decrease and the functional state improvement.

No abstract

Introduction. Scoliosis is a symptom of scoliotic disease, which is a polyetiological disease characterized by a certain symptom complex of morphological and functional changes in the spine, chest and internal organs. The greatest detectability of the disease occurs at the age of 8–13, during the period of the intensive skeleton growth, and during this period the most dangerous feature of scoliosis manifests itself — its steady and rapid progression in every 3–4th child. Despite the successful development of orthopedics, the treatment of scoliotic disease still remains a rather difficult problem. Osteopathic correction can potentially complement existing treatment schemes and increase their effectiveness.The aim of the study is to substantiate the possibility of osteopathic correction in the treatment of pediatric patients with grade I idiopathic scoliosis.Materials and methods. A prospective randomized controlled trial enrolled 50 patients aged 4 to 11 years with grade I idiopathic scoliosis. The study participants were divided into two groups by simple randomization. The control group participants received standard orthopedic treatment, and the main group participants received osteopathic correction. The osteopathic status and the degree of spinal curvature were assessed at the beginning and at the end of the study.Results. Osteopathic correction of pediatric patients with grade I idiopathic scoliosis is accompanied by a decrease in the number of regional and local somatic dysfunctions and the frequency of detection of regional biomechanical disorders (p<0,05). The decrease of these indicators is more pronounced than in patients receiving standard orthopedic treatment (p<0,05). At the end of the treatment, there was a decrease in the Cobb angle in patients receiving osteopathic correction (from 7,3±0,8 to 4,2±0,8 degrees; M±m, p<0,05), and an increase of this indicator in patients who received standard therapy (from 7,0±0,7 to 9,1±1,4 degrees; M±m, p<0,05).Conclusion. The obtained results make it possible to consider the possibility of recommending of osteopathic correction for childhood patients with grade I idiopathic scoliosis.

Introduction. The relevance of the feet planovalgus deformity problem is caused by its prevalence and tendency to progression, insufficient knowledge of a number of aspects, and the complexity of treatment. Another urgent pediatric orthopedics problem is the placement torticollis in infants, and the possible relationship of this problem with feet planovalgus deformity. Among the least studied aspects of these diseases categories it is necessary to highlight the problem of the peculiarities of the osteopathic status in children with feet planovalgus deformity with a history of placement torticollis, and the dynamics of clinical manifestations during their osteopathic correction.The aim of the research was to study the features of the osteopathic status in patients with planovalgus deformity of the feet in combination with a history of placement torticollis and without such a combination, and to evaluate the clinical efficacy of complex therapy, including osteopathic correction.Materials and methods. The study involved 60 patients aged 7–14 years with planovalgus deformity of the feet. The study participants were divided into two groups. The first group included 30 patients with planovalgus deformity of the feet and a history of placement torticollis. The second group included 30 patients with planovalgus deformity of the feet, who did not have a history of torticollis. All study participants received complex therapy (orthopedic treatment and osteopathic correction). At the beginning and at the end of the course of osteopathic correction, the condition of the arch of the foot (the severity of fl at feet) and osteopathic status were assessed in all study participants.Results. In the first group there were prevailed somatic dysfunctions (SD) of the head region, the detection rate was 86%, the pelvic region (somatic component — C), 76 %, and the neck region (C), 13 %. Among the second group participants there were prevailed SD of the pelvic region (C) — the detection rate was 100 %, the lower extremities, 43 %, and the lumbar region (C), 13 %. The SD in the pelvic region was the most typical; however, more often (p<0,05) this dysfunction was detected in the second group. The number of regional SD in general was statistically significant (p<0,05) more in the first group. The participants in both groups were most characterized by local SD of the vertebrae (76 and 100 %) and fibula (20 and 56 %). There was a statistically significant (p<0,05) difference between patients in terms of the detection frequency of these musculoskeletal system dysfunctions. Among the local SD of the craniosacral system and organs of the head, intraosseous SD (90 and 17 %) and SD of the dura mater (40 and 23 %) prevailed. SD of the temporomandibular joint was detected only in the first group (23 %). There was a statistically significant (p<0,05) difference between the groups in terms of the detection rates of temporomandibular joint dysfunctions and intraosseous dysfunctions. According to the results of treatment, the incidence of SD in the head region and the pelvic region decreased significantly (p<0,05) in patients from the first group, and in the SD of the pelvic region and the region of the lower extremities — in patients from the second group. The severity of flat feet of the study participants was not statistically significantly different before treatment. At the end of the complex treatment, the patients of the both categories showed a statistically significant (p<0,05) improvement in the state of the foot arch.Conclusion. The revealed differences between the participants of the groups in the prevalence and number of regional dysfunctions and the prevalence of local SD could, presumably, reflect the relationship between the placement torticollis and planovalgus deformity of the feet. Based on the absence of differences in the degree of severity of flat feet between the participants of the groups, it can be assumed that the history of the placement torticollis is not associated by itself with the aggravation of the severity of feet planovalgus deformity.

This paper describes the most frequent cases of musculoskeletal system injuries in professional swimmers, based on the scientifi c journal articles analysis. The main causes of shoulder and knee joints injuries in athletes who use various swimming techniques are presented. It is shown that training the correct movement pattern allows to reliably prevent damage to the musculoskeletal system. The study conducted focuses on the further search for new methods for the rehabilitation of swimmers, including osteopathic correction, both independently and in combination with other types of exposure.