СВЯЗЬ ПОСТУРАЛЬНЫХ НАРУШЕНИЙ С ИЗМЕНЕНИЕМ РИТМА И ПРОВОДИМОСТИ СЕРДЦА У ЮНЫХ СПОРТСМЕНОВ

Ключевые слова: спортсмены, постуральный баланс, электрокардиограмма, нарушения ритма и проводимости

Аннотация

Цель: установить взаимосвязь между постуральным балансом и изменениями сердечного ритма и проводимости у спортсменов 16–18 лет. Материалы и методы. В исследовании приняли участие 266 спортсменов мужского пола (спортивный опыт 6–10 лет, 5 видов спорта: легкая атлетика, плавание, конькобежный спорт, лыжные гонки, борьба) в восстановительном периоде. У каждого участника исследования регистрировали ЭКГ в 12 отведениях (покой, тест PWC170, 5-минутное восстановление) и собирали данные стабилометрии (2 пробы с открытыми и закрытыми глазами). Результаты. Установлено, что у 50,38 % спортсменов отмечаются изменения ритма и проводимости в виде неполной блокады правой ножки пучка Гиса, экстрасистолии, ранней реполяризации, синоатриальной блокады степени I и миграции водителя ритма. После обследования всех спортсменов поделили на 2 группы: 1 – без изменений ЭКГ (n = 132); 0 – изменения ЭКГ (n = 134). Выяснилось, что анализ данных ЭКГ без разделения по видам спорта не позволил установить различия в постуральном балансе, что связано с высокой вариабельностью максимальных и минимальных индивидуальных значений. Заключение. Последующий анализ стабилометрических данных, проведенный с учетом деления по спортивным дисциплинам, продемонстрировал существенные различия между группами спортсменов. Полученные данные подтверждают корреляцию между постуральным балансом и ЭКГ. Установленные различия обусловлены специфическими паттернами двигательных действий, активирующими компенсаторные механизмы, что приводило к развитию нарушений ритма и проводимости.

Информация об авторах

В. В. Епишев , Южно-Уральский государственный университет, Челябинск, Россия

Кандидат биологических наук, доцент кафедры теории и методики физической культуры и спорта, Южно-Уральский государственный университет. Россия, 454080, Челябинск, проспект Ленина, д. 76.

Ю. Б. Кораблева , Южно-Уральский государственный университет, Челябинск, Россия

Кандидат биологических наук, младший научный сотрудник научно-исследовательского центра спортивной науки, преподаватель кафедры спортивного совершенствования института спорта, туризма и сервиса, Южно-Уральский государственный университет. Россия, 454080, Челябинск, проспект Ленина, д. 76.

К. А. Наумова , Южно-Уральский государственный университет, Челябинск, Россия

Младший научный сотрудник, научно-исследовательский центр спортивной науки, Южно-Уральский государственный университет. Россия, 454080, Челябинск, проспект Ленина, д. 76.

Г. Лаффайе , Университет Париж-Сакле, Орсе, Франция

PhD, научный сотрудник, Лаборатория CIAMS, Университет Париж-Сакле. Франция, 91405, Орсе, ул. Пьер де Кубертен.

А. Делафонтен , Университет Париж-Сакле, Орсе, Франция

MD, PhD, научный сотрудник, Лаборатория CIAMS, Университет Париж-Сакле. Франция, 91405, Орсе, ул. Пьер де Кубертен.

Литература

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2. Arutyunov S.D., Mashtakova E.E., Ordzhonikidze M.Z. et al. The Correlation of Postural Balance with the Functional State of Other Systems of the Body in Persons Being Exposed to Long-Term Professional Postural Overloads. The Manual Therapy Journal, 2009, vol. 1 (33), pp. 28–35.
3. Barak O.F., Ovcin Z.B., Jakovljevic D.G. et al. Heart Rate Recovery After Submaximal Exercise in Four Different Recovery Protocols in Male Athletes and Non-Athlete. Journal of Sports Science and Medicine, 2011, vol. 10 (2), pp. 369–375.
4. Bel'tiukov V.I., Mogendovich M.R. Muscular Reception (Proprioception) and Internal Organs. Uspekhi Sovremennoǐ Biologii, 1952, vol. 33 (2), pp. 161–172.
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References

1. Antlea D.M., Cormier L., Findlay M. et al. Lower Limb Blood Flow and Mean Arterial Pressure During Standing and Seated Work: Implications for Workplace Posture Recommendations. Preventive Medicine Reports, 2018, vol. 10, pp. 117–122. DOI: 10.1016/j.pmedr.2018.02.016
2. Arutyunov S.D., Mashtakova E.E., Ordzhonikidze M.Z. et al. The Correlation of Postural Balance with the Functional State of Other Systems of the Body in Persons Being Exposed to Long-Term Professional Postural Overloads. The Manual Therapy Journal, 2009, vol. 1 (33), pp. 28–35.
3. Barak O.F., Ovcin Z.B., Jakovljevic D.G. et al. Heart Rate Recovery After Submaximal Exercise in Four Different Recovery Protocols in Male Athletes and Non-Athlete. Journal of Sports Science and Medicine, 2011, vol. 10 (2), pp. 369–375.
4. Bel'tiukov V.I., Mogendovich M.R. Muscular Reception (Proprioception) and Internal Organs. Uspekhi Sovremennoǐ Biologii, 1952, vol. 33 (2), pp. 161–172.
5. Buchheit M., Laursen P.B., Ahmaidi S. Parasympathetic Reactivation After Repeated Sprint Exercise. American Journal of Physiology-Heart and Circulatory Physiology, 2007, vol. 293 (1), pp. 133–141. DOI: 10.1152/ajpheart.00062.2007
6. Bufalino M.J., Davis V.J. Feasibility and Findings of Large-Scale. Electrocardiographic Screening in Young Adults: data from 32 561 Subjects. Heart Rhythm., 2011, vol. 8, pp. 1555–1559. DOI: 10.1016/j.hrthm.2011.04.024
7. Canales J., Prasad A., Dorfman T. et al. Effect of Body Position on Heart Rate Recovery. Circulation, 2006, vol. 114 (18), pp. 539–539. DOI: 10.5005/jp/books/10283_101
8. Cantalino J.L.R., Salgado A.S.I., Santos I.R. et al. Effect of Myofascial Techniques Applied to the Cranial Region on Autonomic Nervous System analyzed by Heart Rate Variability. Manual Therapy Posturology & Rehabilitation Journal, 2020. (serial online) (7 screens/inclusive page). Available at: https://mtprehabjournal.com/revista/article/view/1149 (accessed 24.09.2020).
9. Cavanaugh J.T., Kevin M., Guskiewicz N., Stergiou A. Nonlinear Dynamic Approach for Evaluating Postural Control. Sports Medicine, 2005, vol. 35, pp. 935–950. DOI: 10.2165/00007256-200535110-00002
10. Chen P.Q., Wang J.L., Tsuang Y.H. et al. The Postural Stability Control and Gait Pattern of Idiopathic Scoliosis Adolescents. Clinical Biomech., 1998, vol. 13 (1), pp. 52–58. DOI: 10.1016/S0268-0033(97)00075-2
11. Cigrovski V., Franjko I., Rupčić T. et al. Correlation between Balance, Specific Alpine Skiing Knowledge and Situational Efficiency in Alpine Skiing. Acta Kinesiologica, 2016, vol. 1, pp. 66–70.
12. Cohen S., Raja S. Pathogenesis, Diagnosis and Treatment of Lumbar Zygapophysial (Facet Joint). Ibid. Pain Anesthesiology, 2007, vol. 106, pp. 591–614. DOI: 10.1097/00000542-200703000-00024
13. Corrado D.P., Heidbuchel A.H. Recommendations for Interpretation of 12-Lead Electro-cardiogram in the Athlete. European Heart Journal, 2010, vol. 31 (2), pp. 243–259. DOI: 10.1093/eurheartj/ ehp473
14. Dommerholt J., Bron C., Franssen J. Myofascial Trigger Points: An Evidence-Informed Review. The Journal of Manual & Manipulative Therapy, 2006, vol. 14 (4), pp. 203–221. DOI: 10.1179/106698106790819991
15. Drezner J.A., Fischbach P., Froelicher V. Normal Electrocardiographic Findings: Recognising Physiological Adaptations in Athletes. British Journal of Sports Medicine, 2013, vol. 47 (3), pp. 125–136. DOI: 10.1136/bjsports-2012-092068
16. Epishev V.V., Korableva Y.B., Bakushin A.A., Vedernikova O.B. Heart Rate and Cardiac Conductivity Disorders in Junior Athletes. Theory and Practice of Physical Culture, 2019, vol. 1, p. 10.
17. Epishev V.V., Ryabina K.E., Isaev A.P., Erlikh V.V. Postural Balance in Middle-Distance Runners. Russian Journal of Biomechanics, 2017, vol. 21 (2), pp. 166–177.
18. Erlikh V.V., Korableva Yu.B., Epishev V.V., Polyakova O. Effect of Postural Balance on Changes in the Electrocardiography Parameters of Wrestlers. Human. Sport. Medicine, 2018, vol. 18 (S), pp. 13–18. DOI: 10.14529/hsm18s02
19. Frederic J., Viseux F. The Sensory Role of the Sole of the Foot: Review and Update on Clinical Perspectives. Neurophysiologie Clinique, 2020, vol. 50 (1), pp. 55–68. DOI: 10.1016/j.neucli.2019.12.003
20. Gagey P.M., Weber B. A Distinct Clinical Syndrome Defining the Postural Patient. Gait & Posture, 2005, vol. 21 (1), p. 121. DOI: 10.1016/S0966-6362(05)80399-6
21. Ghosh D., Shukla S., Chakraborty S. Multifractals and Chronic Diseases of the Central Nervous System. Springer. 2019. DOI: 10.1007/978-981-13-3552-5
22. Gurfinkel V.S. The Mechanisms of Postural Regulation in Man. Physiology and General Biology Reviews, 1999, vol. 7 (5), pp. 59–87.
23. Haavik-Taylor H., Murphy B. Cervical Spine Manipulation Alters Sensorimotor Integration: A Somatosensory Evoked Potential Study. Clinical Neurophysiology, 2007, vol. 118 (2), pp. 391–402. DOI: 10.1016/j.clinph.2006.09.014
24. Hodges P., Richardson W., Carolyn A. Inefficient Muscular Stabilization of the Lumbar Spine Associated With Low Back Pain: A Motor Control Evaluation of Transversus Abdominis. Spine, 1996, vol. 21 (22), pp. 2640–2650. DOI: 10.1097/00007632-199611150-00014
25. Horak F.B., Kluzik J., Hlavacka F. Velocity Dependence of Vestibular Information for Postural Control on Tilting Surfaces. Journal of Neurophysiology, 2016, vol. 116 (3), pp. 1468–1479. DOI: 10.1152/jn.00057.2016
26. Ivanenko Y., Gurfinkel V.S. Human Postural Control. Front. Neurosci., 2018, vol. 12, pp. 1–9. DOI: 10.3389/fnins.2018.00171
27. Joanna J., Knox P., Hodges W. Changes in Head and Neck Position Affect Elbow Joint Position Sense. Exp Brain Reserch, 2005, vol. 165, pp. 107–113. DOI: 10.1007/s00221-005-2293-y
28. Jordaens L.A. Clinical Approach to Arrhythmias Revisited in 2018. Neth Heart Journal, 2018, vol. 26, pp. 182–189. DOI: 10.1007/s12471-018-1089-1
29. Kamahina R.S., Nizamova C.I., Nazarenko A.S., Shamsuvaleeva E.S. Balance Function Control on the Background of Vestibular Stimulation in Athletes. International Journal of Green Pharmacy, 2018, vol. 12 (2), pp. 363–367.
30. Kapilevich L.V., Gaevaya Yu.A., Shelhorn M.O., Ilyin A.A. Stabilometry to Rate Body Balancing and Movement Coordination Qualities in Football. Theory and Practice of Physical Culture, 2019, vol. 10, p. 19.
31. Korableva Yu.B., Epishev V.V., Bychkovskikh V.A. et al. Effect of Postular Balance on Change in Heart Rhythm and Conductivity in Swimmers. Human. Sport. Medicine, 2019, vol. 19 (S2), pp. 37–44. DOI: 10.14529/hsm19s205
32. Kristofic J., Maly T. Accute Effect of Recovery Regarding Different Body Position. Sport Science, 2015, vol. 8 (1), pp. 25–29.
33. La Rovere M.T., Porta A., Schwartz P.J. Autonomic Control of the Heart and Its Clinical Impact. A Personal Perspective. Front. Physiology, 2020, vol. 11, p. 582. DOI: 10.3389/fphys.2020.00582
34. McDonald K.G., Grote S., Shoepe T.C. Effect of Training Mode on Post-Exercise Heart Rate Recovery of Trained Cyclists. Journal of Human Kinetics, 2014, vol. 41 (1), pp. 43–49. DOI: 10.2478/hukin-2014-0031
35. Mogendovich M.R., Chuvaev A.K., Chuvaeva G.Z. Interrelationship between the State of the Cardiovascular System and Tonus of Skeletal Muscles. Clinical Medicine, 1957, vol. 35 (3), pp. 121–123.
36. Mogendovich M.R., Temkin I.B. Mechanism of Exercise Therapy in the Light of Theory of Motor-Visceral Reflexes. Issues of Balneology, Physiotherapy and Therapeutic Physical Culture, 1969, vol. 34 (6), pp. 524–526.
37. Morikawa Y., Takamoto K., Nishimaru H. et al. Compression at Myofascial Trigger Point on Chronic Neck Pain Provides Pain Relief through the Prefrontal Cortex and Autonomic Nervous System: A Pilot Study. Front. Neurosci., 2017, vol. 11, p. 186. DOI: 10.3389/fnins.2017.00186
38. Napolitano S., Ascione A., Di Palma D. Analysis of Posture and its Impact on Performance in Women's Water Polo. Sport Science, 2018, vol. 11 (1), pp. 85–91. DOI: 10.15406/oajs.2017.01.00018
39. Nashner L.M. Analysis of Stance Posture in Humans. N.Y. 1981. DOI: 10.1007/978-1-4684-3884-0_10
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Опубликован
2022-12-14
Как цитировать
Епишев, В., Кораблева, Ю., Наумова, К., Лаффайе, Г., & Делафонтен, А. (2022). СВЯЗЬ ПОСТУРАЛЬНЫХ НАРУШЕНИЙ С ИЗМЕНЕНИЕМ РИТМА И ПРОВОДИМОСТИ СЕРДЦА У ЮНЫХ СПОРТСМЕНОВ. Человек. Спорт. Медицина, 22(3), 91-101. https://doi.org/10.14529/hsm220311
Раздел
Физиология

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