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排球运动员微血管损伤的毛细血管镜证据。

Capillaroscopic Evidence of Microvascular Damage in Volleyball Players.

机构信息

Department of Life, Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy.

Allergy and Clinical Immunology Unit, Center for the diagnosis and treatment of Osteoporosis, AUSL 04 Teramo, 64100 Teramo, Italy.

出版信息

Int J Environ Res Public Health. 2021 Oct 10;18(20):10601. doi: 10.3390/ijerph182010601.

Abstract

Volleyball players experience repetitive stress that involves their hands and, in particular, their fingers. Literature reports that repetitive trauma can lead to local vascular abnormalities, such as reduced capillarization and lower resting blood flow. These anomalies could be related to the presence of dysfunctional endothelium. The aim of this study is to correlate the capillaroscopic findings by nailfold video capillaroscopy (NVC) to volleyball practice in order to early detect possible anomalies and perform an adequate follow-up to avoid damages that could negatively affect sport practice and the players' health status. In this study, 38 subjects were enrolled, 19 volleyball players and 19 healthy non-players as a comparison group. In almost all the players, we found capillaroscopic alterations of the "aspecific pattern" type without substantial gender differences. We may assume that the repeated traumas involving players' fingers can negatively modify their microcirculation. Based on these observations, it could be a desirable clinical practice to screen professional volleyball players with NVC in order to implement preventive strategies aimed at protecting the health of athletes.

摘要

排球运动员的手部,尤其是手指,会承受重复性的压力。文献报道,重复性创伤可能导致局部血管异常,如毛细血管化减少和静息血流降低。这些异常可能与功能失调的内皮细胞有关。本研究旨在通过甲襞视频毛细血管镜(NVC)将毛细血管镜检查结果与排球运动相关联,以便早期发现可能存在的异常,并进行适当的随访,避免损害可能对运动表现和运动员的健康状况产生负面影响。在这项研究中,共招募了 38 名受试者,19 名排球运动员和 19 名健康的非运动员作为对照组。在几乎所有的运动员中,我们都发现了“非特异性模式”类型的毛细血管镜改变,且这种改变与性别差异无关。我们可以假设,涉及运动员手指的反复创伤可能会对他们的微循环产生负面影响。基于这些观察结果,对专业排球运动员进行 NVC 筛查可能是一种理想的临床实践,以便实施旨在保护运动员健康的预防策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8496/8535409/ca77d27f8886/ijerph-18-10601-g001.jpg

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