Department of Human Anatomy, First Moscow State Medical University Named after I.M.Sechenov (Sechenov University), st. Trubetskaya, 8, bld. 2, 119991 Moscow, Russia.
Department of Human Anatomy, Lomonosov Moscow State University, Leninskie Gory, 1, 119991 Moscow, Russia.
Int J Environ Res Public Health. 2021 Feb 18;18(4):1989. doi: 10.3390/ijerph18041989.
A necessary condition for public health maintenance is regular physical activity. A significant increase in the number of musculoskeletal injuries, occurring during physical education and sport activities, actualizes the development of effective measures for their prevention. Early diagnosis of injury predisposition, based on identification of connective tissue dysplasia indicators specific for different age periods, is of particular importance for the prevention of such injuries. The study, performed in accordance to STROBE guidelines, included 78 persons separated into two age subgroups: Group 1 (age 22-35) and Group 2 (age 36-47). Morphometric signs of connective tissue dysplasia and clinical symptoms associated with predisposition to chronic injury were assessed. For persons in Group 1, these indicators included: asthenic body type, joint hypermobility, thin elastic skin, keloid scars, and soft auricles. For the second group: kyphosis, skin hyperpigmentation above the spine, flatfeet, valgus installation, rectus muscles diastasis, atrophic striae, recurrent hernias, and lower-limb varicosity. Universal pathognomonic indicators, such as "crunching" in the temporomandibular joint, gothic palate, altered chest shape, scoliosis, and X- and O-shaped legs are significant at any age. The established pathognomonic indicators will promote early diagnosis of injury predisposition help, and develop effective measures of their prevention and public health preservation during physical activity.
维护公共健康的必要条件是定期进行体育锻炼。在体育教育和运动活动中,肌肉骨骼损伤的数量显著增加,这使得人们开始重视开发有效的预防措施。基于对不同年龄阶段特定结缔组织发育不良指标的识别,早期诊断损伤易感性对于预防此类损伤尤为重要。这项研究是按照 STROBE 指南进行的,共纳入了 78 人,分为两个年龄亚组:第 1 组(年龄 22-35 岁)和第 2 组(年龄 36-47 岁)。评估了结缔组织发育不良的形态学征象和与慢性损伤易感性相关的临床症状。对于第 1 组的人,这些指标包括:弱体质型、关节过度活动、皮肤薄而有弹性、瘢痕疙瘩、柔软的耳廓。对于第 2 组:脊柱上方皮肤色素沉着、平足、足内翻、直肌分离、萎缩纹、复发性疝气和下肢静脉曲张。任何年龄都具有普遍的特征性指标,如颞下颌关节“喀哒”声、哥特式腭、胸廓变形、脊柱侧凸、X 形和 O 形腿。确立的特征性指标将有助于早期诊断损伤易感性,并制定有效的预防措施,维护公共健康,促进体育活动中的身体活动。