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Evaluation of pain in athletes - selected methods

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It is generally believed that athletes experience pain in a different way than normally active individuals. Many scientists have confirmed the hypothesis that long-term physical activity can alter the perception of pain, i.e. athletes have a higher pain sensation and pain tolerance thresholds. The measurement of pain intensity is carried out using subjective methods based on verbal and non-verbal information, describing the clinical characteristics of pain. These psychological methods include the use of scales and questionnaires. Objective methods (thermal, mechanical and electrical) are used only to determine the pain sensation and pain tolerance thresholds. The specificity and prevalence of chronic pain syndromes have resulted in the increased number of studies on healthy and physically active individuals. It seems that determination of the effects of exercise on the perception of pain might help in the understanding of mechanisms of pain generation.
INTRODUCTION: Numerous studies have indicated that intense physical effort is one of the key factors determining individual sensitivity to pain. AIM(S): Assessment of pain threshold and pain tolerance in boxers and non-athletes evaluated with Cold Pressor Test (CPT) taking into account cardiovascular indices. METHOD(S): The study involved 261 men aged 18–28. The first group consisted of 80 athletes, after at least five years of practicing boxing. The control group consisted of 181 students of the Faculty of Physical Culture, University of Szczecin. Pain tolerance and threshold were assessed using CPT. The Cold Pressor Test is a widely used experimental pain procedure to determine a person’s pain threshold and pain tolerance, defined as the elapsed time until voluntary withdrawal of the hand. Systolic and diastolic blood pressure and pulse were measured three times: 1) prior to the test, 2) when the pain threshold was reported, 3) at the end of the test. RESULTS: CPT indicated showed that boxers were much more tolerant to pain compare to non-athletes. All three measurements (s. Methods) showed higher heart rates in the control group. Reporting pain threshold, boxers had significantly lower heart rates compared to the control group. In both groups systematic increase of the systolic and diastolic blood pressure during CPT caused by pain stimulus (cold water) was observed, Systolic blood pressure was significantly lower in the control group after the test in comparison with boxers. CONCLUSIONS: Our observations differ to some extent from the findings presented up to now and confirm the essential role of physical activity in the constant adrenergic stimulation. FINANCIAL SUPPORT: I confirm that my study was given neither external financial support nor funding by any organization.
The issue of this work was to estimate the level of interests in all kind of physical activity (sport, tourism) of the childreen and youth, sociály and psychologicaly unfit, who were staying in tempory isolation at Police Borstal in Szczecin. The research have been conducted in the group of 40 youngsters (32 boys and 8 girls) at the age of 13-18. The inquiry was performed with quistionnaire method. The analysis of the childreen's answers showed up that their interest in motor activity was activated before they were sent to the reformatory place. Inquired yongsters appreciated the role of sport, tourism in their life, and they wanted to participate in this sort of activity in their free time. The results of the observations and the researches enable us to say, that physical activity, sport and tourism assist at the reforming process of the young offenders and might point the way for the future.
The aim of the study was to assess the perception of pain (threshold and tolerance to pain of the combat athletes in comparison to those not practicing any sport and checking whether there is a correlation between the pain perception and strategies for coping with stress in both studied groups. The study was conducted on 273 healthy men. The test group consisted of 203 athletes; the control group consisted of 70 students from the Faculty of Physical Culture, University of Szczecin. The test of the threshold and pain tolerance was performed using an algometer manufactured by Quirumed Company. To assess strategies of coping with stress, the Inventory Measuring Coping Skills – Mini-Cope was used. The test results of feeling pain at rest showed that the athletes achieved significantly higher threshold and pain tolerance compared to non-athletes. Contact athletes often deal with the problem in a proactive manner. Compared to the control group, athletes have less sensitivity to pain. Compared with nonathletes, athletes are more likely to cope with stress in an active way and reveal stronger tendency to see positive sides of a problem.
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