Sophromadze Z, Chabashvili N, Kakhabrishvili Z
Department of Medical Rehabilitation and Sports Medicine, Tbilisi State Medical University.
Georgian Med News. 2006 Apr(133):72-4.
Modern sport, along with the high technical, tactic and psychological readiness, requires good physical preparation achieved by a big physical load during trainings and competitions. Aim of the investigations was to study lower extremity venous system functional condition during physical load in highly qualified football players and wrestlers. Highly qualified 25 football players and 30 wrestlers, of age 18-25 years, were studied. Olympic, World and Europe champions were included among wrestlers. Lower extremity venous system digital photopletismography (D-PPG) was conducted by apparatus: Rheo Dopplex II of Huntleight Diagnostics. The equipment digitally analyses photopletismoghraphic plots. Significant functional parameters: vein restoration time (VRT) and venous pump function (VP) in deep venous system were reported by the apparatus appropriate software. It included parameter interpretation diagram, defining degree of venous system condition as normal, equivocal or pathological. Target sportsmen were examined in siting position with physical loading pedis. Sportsmen lower extremity vein light transducing change registration associated with the degree of vessel filling was studied by digital photopletismography . The study results showed that vein restoration time (VRT) in football players is two times minor to compare to the one of wrestlers, while venous pump (VP) function is about 1.5 times higher in footballers than in wrestlers. Degree of lower extremity venous system condition according to parameter interpretation diagram program showed normal values only in few cases. Slight deviations were observed only in individuals with recent trauma. Further examination after the appropriate treatment revealed normal values in traumatic subjects. The search also showed that digital photopletismography appears to be effective, simple and financialy available diagnostic method, which should be more frequently applied in lower extremity vein function examinations among sportmen of different kinds as well as in estimation of recovery therapy effectiveness in post-trauma period.
现代体育运动，连同其高技术水平、战术素养和心理准备，需要通过训练和比赛中的大量体能负荷来实现良好的身体准备。本研究的目的是探讨高水平足球运动员和摔跤运动员在体能负荷期间下肢静脉系统的功能状况。研究对象为25名年龄在18 - 25岁的高水平足球运动员和30名摔跤运动员。摔跤运动员中包括奥运会、世界和欧洲冠军。使用亨特利特诊断公司的Rheo Dopplex II设备进行下肢静脉系统数字光电容积描记法（D - PPG）检测。该设备对光电容积描记图进行数字分析。设备的相应软件报告深静脉系统的重要功能参数：静脉恢复时间（VRT）和静脉泵功能（VP）。它包括参数解释图，将静脉系统状况定义为正常、可疑或病理状态。目标运动员在坐位进行足部物理负荷测试时接受检查。通过数字光电容积描记法研究运动员下肢静脉光传导变化与血管充盈程度的关系。研究结果表明，足球运动员的静脉恢复时间（VRT）比摔跤运动员短约两倍，而足球运动员的静脉泵（VP）功能比摔跤运动员高约1.5倍。根据参数解释图程序，下肢静脉系统状况仅在少数情况下显示正常数值。仅在近期受过创伤的个体中观察到轻微偏差。经过适当治疗后的进一步检查显示创伤受试者的数值正常。研究还表明，数字光电容积描记法似乎是一种有效、简单且经济实惠的诊断方法，应更频繁地应用于各类运动员的下肢静脉功能检查以及创伤后恢复期康复治疗效果的评估。
