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Identifying sex-specific injury predictors as a key factor in maintaining optimal physical activity levels

World Journal of Orthopedics 2023年第3期14卷 146-154页

作者： Maria V Sankova Vladimir N Nikolenko Marine V Oganesyan Andjela D Vovkogon Aida N Gadzhiakhmedova Tatyana S Zharikova Yury O Zharikov Department of Human Anatomy and Histology I.M.Sechenov First Moscow State Medical University(Sechenov University)Moscow 125009Russia Department of Normal and Topographic Anatomy Lomonosov Moscow State UniversityMoscow 119991Russia European Osteopathic Clinical Center of the Moscow Branch of the“Medical Academy of Osteopathic Education” Saint Petersburg 199106Russia Institute of Clinical Medicine I.M.Sechenov First Moscow State Medical University(Sechenov University)Moscow 119991Russia

BACKGROUND Optimal physical activity is known to reduce cardiovascular,respiratory and endocrine system diseases and,as a consequence,improve quality of *** important risk factor for reinjuries during normal exercise is the initial connective tissue *** variety of clinical dysplastic manifestations significantly complicate the timely diagnosis of this *** To establish pathognomonic sex-specific dysplasia phenotypes that indicate a particular sensitivity to physical *** The study involved 117 participants with recurrent musculoskeletal injuries that occurred during normal *** were 67 women(57.26%)and 50 men(42.74%),which made it possible to compare the presence of the identified signs between sexes.A validated questionnaire was used to screen their connective tissue *** Ranking the most commonly revealed dysplasia signs depending on their clinical significance made it possible to establish pathognomonic sex-specific phenotypes that indicated a particular susceptibility to *** programs of optimal physical activity are necessary for men with chest deformities,flat-valgus feet,dolichostenomelia,arachnodactylia,hemorrhoids,abdominal muscle diastasis and recurrent *** women,special sensitivity to physical exertion was associated with a combination of signs such as asthenic body,joint hypermobility,overly soft auricles,thin hyperelastic skin,atrophic striae,telangiectasias and varicose *** particular importance were universal signs such as gothic palate,scoliosis,kyphosis,leg deformities,temporomandibular joint crunching,and moderate to high *** Participants’connective tissue condition should be considered when designing optimal physical activity *** the established sex-specific dysplasia phenotypes will allow timely optimization of training loads,thus reducing the risk of injury.

关键词： Injury risk Physical activity Connective tissue condition sex-specific dysplasia phenotypes Clinical dysplastic manifestations

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