5th International Conference on Sports Medicine and Fitness November 14-15, 2019 Paris | France

Holiday Inn Paris - Porte de Clichy

Biography:

Prof. Dr. Kostas Gianikellis, BioẼrgon Research Group coordinator, graduated in Athens (Greece) in 1984 and completed the PhD in Industrial Engineering (Mechanical and Materials) in 1996. In 1995 joined the University of Extremadura and creates the Biomechanics Laboratory of Human Movement and Ergonomics. He has participated and / or directed more than 70 research and training projects, financed, whose amount exceeds 5,000,000€ in three principal fields: Biomechanics, Ergonomics and Motor Control, applied to infraestructure, products and processes design; accessibility;musculoskeletal disorders; functional diversity; rehabilitation technologies and assisted technologies. He created DEPATech in 2014, as a technological development entity for products and services, aimed at the Paralympic Sports.

Abstract:

Introduction: Wheelchair is one of most important element, both for sport activities (which are part of rehabilitation process), and for daily life activities in people with reduced mobility. The characterization of it use is important for classification (fair play), technification, and technical aids design. The aim of this work is to develop a prototype of a wheelchair, which incorporates different sensors that record biomechanical and physiological data that are related with propulsion technique, safety, spinal column health, and with the balance and sport performance, answering usability criteria requirement, i.e., specific characteristics to specifics user in conditions of specific use.

Methods:Workstation is composed by the following electronic systems:Accelerometers that allow mobility characterization and wheelchair maneuverability in 3D;Vibrations measurers according to ISO normative;Measurers of force applied to the handrim;Measurers of pressure distribution on the seat and the backrest; EMG sensors for muscular intervention characterization and muscle fatigue analysis; Complements: specific treadmill, anthropometer, cardiorespiratory evaluation system, IMU’s sensors and MoCap system, which reliability has been tested.

Conclusions: Information obtained by aforementioned systems is used to establish wheelchair design criteria according to functional and morphological user characteristics, so that, this work answer to the necessity of the development of a full system that allow to record all physiological and biomechanical parameters, that are necessary to wheelchair design and for training planning of each athlete.

Biography:

Shengyan Sun is pursuing her PhD from University of Macau. Her main research area is exercise physiology and metabilism, specifically on the effects of high-intensity interval training on cardiometabolic health and cognitive function. She has published more than 10 papers in peer-reviewed journals and has been serving as an assistant professor in Huzhou University in Mainland China.
 

Abstract:

This study aims to compare the effects of 4 weeks of ketogenic diet (KD) and combined exercise training on body composition and cardiometabolic health outcomes. Forty-nine overweight females (age: 20.9 ± 3.1 years, BMI: 25.3 ± 2.9 kg/m²) were randomly assigned to KD control group (KD-CON, n=17), KD and high-intensity interval training group (KD-HIIT, n=19), or KD and moderate-intensity continuous training group (KD-MICT, n=13), all subjects consumed KD during the study period. KD-HIIT and KD-MICT received extra training 5 d/week for 4 weeks (KD-HIIT: 10 × 6-s cycling interspersed with 9-s rest, MICT: 30-min continuous cycling at 50-60% V̇O_2peak). After intervention, all three groups demonstrated significant reductions in body weight (-3.2 kg in KD-CON, -2.7 kg in KD-HIIT, -2.6 kg in KD-MICT, p < 0.001, ²= 0.801), body fat percentage (-2.3% in KD-CON, -3.1% in KD-HIIT, -2.8% in KD-MICT, p < 0.001, ²= 0.704), BMI (p < 0.001, ²= 0.816) and waist-to-hip ratio (p < 0.001, ²= 0.507). V̇O_2peak was improved by 10.7% in KD-HIIT and 11.8% in KD-MICT, but remained unchanged in KD-CON. Circulating levels of high-density lipoprotein, low density lipoprotein and cholesterol were increased in all three groups, whereas glucose and triglyceride were unchanged. In summary, the short-term KD is an effective and rapid approach to improve body composition in overweight females, but caution is required when use it for long-term as it may elevate blood lipids. Combined exercise training has additional benefits on cardiovascular fitness, but HIIT is more time efficient than MICT (2.5-min vs. 30-min).

Biography:

Agata Goraczko, PhD student, Physiotherapist, Founder of foundation "We walk for", is working in Neurorehabilitation Center in Wroclaw. She has many years of experience in the field of neurology, especialy with patients after spinal cord injury and brain injury. Agata's passion is to find hope in each situation and help people to broaden their perspective and possibilities. As co-founder of foundation, every year she and her friend organize charity expeditions- they walk for people who can not walk.

Abstract:

Introduction: Spinal cord injury is a serious injury associated with irreversible loss of motor function, social isolation, psychological problems and deterioration of the material situation Former athletes, for whom sport also had a professional dimension, constitute a special group of people with disabilities. The concept of emotional intelligence, defined by personal and social competences, was introduced by Cherniss and Goleman (2001). Personal competence determines the degree to which a person copes with himself. Three components of personal competences were distinguished: self-awareness, self-regulation and motivation According to Kopp and Jekauc (2018) research, high emotional intelligence correlates with high sports performance. Thus, outstanding athletes have high personal competence. How the situation changes in outstanding athletes after spinal cord injury is an issue in this paper.

Materials: The study involved three professional athletes who suffered spinal cord injury leading to paraplegia or tetraplegia. Criteria for inclusion in the project: sports achievements of the European minimum rank, spinal cord injury while playing sports, people not covered by hospital or outpatient treatment, after the stage of standard medical and rehabilitation care, consent to participate in the study. Participation in the study of one participant consisted in giving an online interview program and completing online questionnaires. First participant was a three-time gold medalist of the BMX World Championships in BMX, who suffered spinal cord injury while X-Games World Cup Second participant- double junior world Ski Champion, slipped out of the shoe while ski flying what cause damage in spinal cord level C6 / C7. Third participant was a European champion in karate whose spinal cord injury was damaged by falling from height at a sports camp.

Methods: In the first part, a semi-structured interview was conducted. Subsequently, the following variables were assessed using six research scales: sense of meaning in life (Scale of Sense of Sense of Life), effectiveness of dealing with difficult situations and obstacles (Scale of generalized Self Efficiency), control of anger, emotions and anxiety (Scale of Emotion Control), personal values (including health, physical and mental fitness) will be determined using the personal values list demographic data was collected using a personal questionnaire.

Results: On the sense of life scale, where the maximum number of points is 100, first respondent obtained 77 points, second 76 and third 93 The results in the following scales are as follows: Generalized Self-Efficiency Scale- 77.5%, (7th sten), 82.25% (8st sten) and 85% (8th sten); Emotion Control Scale- 60.71%, 56.9% and 59.25% .

Conclusions: Despite the tragic accident, as a result of which participants suffered spinal cord injury causing tetraplegia or paraplegia, and his life completely changed, the results obtained in the study indicate a high level of sense of meaning in life However, personal competences clarify at various levels depending on the scale.

Biography:

Yasmin Nasir Ajanah has completed her MSc in Sports and Exercise Medicine with an overall Distinction from the University of Nottingham prior to this, she completed her Bachelor’s degree in Physiotherapy with Honours from Gulf Medical University, United Arab Emirates. She is a young promising Physiotherapist with a strong background in Sports and Exercise Medicine and demonstrates a clear passion for continous growth in clinical practice with key interests in research advancement.

Abstract:

Research Question: Could the self-perceived physical activity levels of acute in-patients be improved by offering motivational interviews prior to discharge from the Acute Medical Unit: A Qualitative Study.

Aims: To explore how the patients on an acute medical unit perceive Motivational Interviewing (MI) as a method of encouraging physical activity (PA) for them, in relation to any change in their perceived involvement in PA after 6-8weeks and to explore patients’ feedback of motivational interview and their preferences as to its technique and manner of delivery to them.

Methods: Participants were recruited from an acute medical admissions unit. Eligibility criteria was patients’ ability to walk 10m on the flat ground, with or without an aid and identified as being close to discharge by ward staff. Participants answered the Global Physical activity Questionnaire (GPAQ), following which they were offered MI by their bed side. 6-8weeks later, participants answered the same questionnaire and participated in a semi-structured interview, which was verbatim transcribed and analysed using an inductive thematic analysis. Ethical approval was gained from the London - Brighton & Sussex Research Ethics Committee and Local Human Research Authority (REC reference 18/LO/0496).

Results: 7 out of 10 participants found MI, helpful at improving their participation in PA. Although certain barriers were identified that limited PA participation such as perceived fears, concerns and misconceptions of PA, where participants expressed preference for these barriers to be tackled individually in conjunction with motivational interview techniques.

Conclusions: MI is a feasible method of encouraging PA, which could be impactful on the PA participation of the patients on an AMU. Future studies may consider combining approaches towards tackling perceived barriers in conjunction with MI when delivering this intervention to the patients in this setting.

Biography:

James Pilkington is a research registrar in general surgery studying full time for a PhD in abdominal wall disease at Manchester Metropolitan University. Graduating from Nottingham medical school in 2013, he has since completed foundation training, core surgical training and gained membership to the Royal College of Surgeons of England. He has recently published work in the following areas; Sportsman’s groin, inguinal hernia and abdominal wall disease. His interest is in the role of conservative measures as a treatment for abdominal wall disease and patient optimisation prior to any consideration of surgical intervention.

Abstract:

Background: Surgery has a recognised role for the treatment of the sportsman’s groin. This study hypothesises that elite athletes have a superior advantage in both pre- and post-op rehabilitation and therefore will present and resume sporting activities quicker.

Methods: A retrospective analysis was conducted of a secure database on sportsmen presenting with groin pain that underwent groin surgery via the totally extraperitoneal ‘Manchester Groin Repair’ (MGR). All data were explored via appropriate descriptive statistics and comparisons made between elite and amateur athletes using Mann-Whitney U test for continuous variables and Fisher’s exact test for categorical variables. Univariable and multivariable regression were also used to further explore association.  Statistical assessment was performed with Rv3.1.1.

Results: 144 patients were included from May 2013 to date. All patients were male. The median postoperative follow-up was 40 months. The median age was 33 years (range 14 – 72). The median return to sporting activity was 4.5 weeks (range 2.0 – 16.0), with one amateur athlete being not able to return to sporting activity. 83 patients (57.6%) presented with bilateral and 61 patients (42.4%) with unilateral positive VAS scores for groin pain. 128 patients (88.9%) underwent bilateral repair. Comparing preoperative and 1 month postoperative VAS pain scores showed a significant reduction. There was no relationship between either preoperative pain scores or change in pain score (preoperative to 1 month post-operative) and the time taken to return to sporting activity. Comparing ‘elite’ versus ‘amateur’ athletes, statistically significant differences were seen in patient age (median 26 vs 40 years; p < 0.001), lead-time to clinic presentation (median 62.0 vs 111.5 days; p = 0.004), and time to return to sporting activity (4 vs 5 weeks; p = 0.019). MRI scan confirmed adductor injury in 34 patients (25.4%). There was no statistical difference in the coexistence of adductor injury between the elite and amateur groups and the presence of the injury did not prolong the return to sport of either group.

Conclusion

The Manchester Groin Repair is an effective surgical management of a sportsman’s groin. Elite athletes present significantly earlier than amateur athletes and return to sports quicker.

Biography:

Abstract:

Introduction: Dysfunctional postural control is one of the key problems in children with cerebral palsy (CP) which interfere with the activities of daily life and have been suggested to be a major component of gait disorders in CP.  The purpose of this study was to investigate the relationship between isokinetic strength of knee with postural balance control in patients with different types of CP and vertical jump, as a tool for dynamic evaluation of power.

Methods: 23 patients with spactic diplegia participated and gave their informed consent prior to participation. Standing posture balance and counter-movement jump (CMJ) measurements were performed with a force platform. The isokinetic evaluation was recorded with an isokinetic dynamometer

Results: Statistical analysis found significant linear correlations (p <.000 to p <.034) between peak torque of flexors and extensors at all speeds and the distance covered by the CoP. Correlations have been found between the isokinetic parameters and the dispersion/area covered of the CoP. Significant relationship (p <.000 to p <.002) have been found between the CMJ and the peak-torque of the flexors and extensors of the knee in both legs (p <.001 - p < .019).

Discussion and conclusions: Result showed a strong correlation between isokinetic and accelerated movement. Muscle strength in accelerated conditions has been shown to be a key factor in the maintenance of balance during upright standing position in this population. Young adults with cerebral palsy might benefit from therapies involving lower limb strengthening. Isokinetics seems to be very useful proceeding for evaluation, rehabilitation and training of young adults with cerebral palsy.

Biography:

Abstract: