Polyfactorial approach in rehabilitation of football players' muscles after sports injuries

Vladymyrov Oleksandr, Chukhraiev Nikolay, Shmorgun Аndriy, Zukow Walery, Мaliuta Vladimir, Chukhraieva Olena. Polyfactorial approach in rehabilitation of football players' muscles after sports injuries. Journal of Education, Health and Sport. 2022;12(1):207-215. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2022.12.01.017 https://apcz.umk.pl/JEHS/article/view/JEHS.2022.12.01.017 https://zenodo.org/record/5878877 The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 1, 2021. No. 32343. Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences). Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 1 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159. Przypisane dyscypliny naukowe:Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu). © The Authors 2022; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 02.10.2021. Revised: 17.01.2022. Accepted: 19.01.2022. POLYFACTORIAL APPROACH IN REHABILITATION OF FOOTBALL PLAYERS' MUSCLES AFTER SPORTS INJURIES Oleksandr Vladymyrov1, Nikolay Chukhraiev2, Аndriy Shmorgun3, Walery Zukow4*, Vladimir Мaliuta3, Olena Chukhraieva1 1Shupyk National Healthcare University, Kyiv, Ukraine 2SMC «Medinteh», Kyiv, Ukraine 3Football Club «Dynamo Kyiv», Kyiv city, Ukraine 4Nicolaus Copernicus University, Toruń, Poland *w.zukow@wp.pl Abstract The article discusses a multifactorial approach to the restoration of muscle volume and rehabilitation of football players after sports injuries, which includes the implementation of electric myostimulation in a magnetic field in combination with the effect of electromagnetic radiation of the visible or infrared spectrum on muscles and the area of injury. Comparative studies were carried out in two groups of footballers in rehabilitation after ankle injury rehabilitation. The medical rehabilitation of the players of the 1st group was carried out according to the protocol approved in the center: the MIT-FM apparatus, the protocol for the implementation of rehabilitation provides for the implementation of drug treatment and physiotherapeutic procedures based on the combined use of therapy with electromagnetic waves of the red, blue and infrared spectral range with a power of 50 mW in a pulsed magnetic field of intensity 30 mT and a pulse repetition rate of 9.4 Hz. In group 2, the rehabilitation of footballers after injuries of the lower extremities was carried out according to the protocol developed by the authors: sequential connection of the rehabilitation protocol of the first group and combined magneto-photo electric myostimulation of muscles with myotonic impulses, with a pulse repetition rate of 9.4 Hz. The repetition period of the packs of impulses is 8 seconds with the duty cycle of repetition of the packs of impulses 2. The current strength was set individually for each patient - until the appearance of visible muscle contractions. Muscle photostimulation was performed with electromagnetic radiation of red (wavelength 0.63 μm, power 30 mW), blue (wavelength 0.45 μm, power 30 mW) and infrared (wavelength 0.75 μm, power 50 mW) spectral ranges in constant magnetic field (intensity 30 mT). The first electrode is placed on the muscle's innervation zone. The second electrode provides a combined effect of electrical impulses and optical flux in a constant magnetic field on the abdomen of the muscle according to the labile technique. The time of one procedure was 40 minutes. The number of procedures for a course of treatment is 15. As a result, the analysis of the data obtained (assessment of the quality of life according to the extended table SF-36) revealed a positive dynamics of clinical manifestations in both groups. The main result of the research is the development of a protocol for the rehabilitation of football players after injuries of the lower extremities based on the use of drug treatment, physiotherapy procedures based on the combined use of therapy with electromagnetic waves of the blue and infrared spectrum in a constant magnetic field in combination with muscle electrostimulation, which has a higher level rehabilitation potential versus applicable footballerІ rehabilitation protocols. Key words: sports injury, muscles, electrical myostimulation, magnetic therapy, electromagnetic wave therapy