Acta Salus Vitae

Availability of areas and facilities for physical activity for the non-registered public

Andrea Vášková — 2023-12-15

The conference on sustainability and accessibility of sports infrastructure organised by the NSA in 2022 showed how the issue of accessibility of sports and physical activities for citizens is crucial in the context of ensuring a healthy lifestyle for the general non-registered public. It also confirmed that there is a lack of any national concept for the country that addresses this topic. One of the key factors in promoting regular physical activity among the general public is accessibility, both geographic and financial. This paper outlines the current approaches to the development of databases for these places in the Czech Republic, which is the subject of the author's PhD thesis. They demonstrate that unless a national register of areas and facilities for sport and physical activity is quickly created, it is impossible to have an objective basis for planning the urban development of these places. Using the example of an analysis of selected cities in the country, it is shown that just few existing facilities are year-round complex wellness centres and that there is an insufficient number of them in relation to the demands of the people in the localities. Finally, a system of uniform methodology for the registration of suitable places and their relevance for the preparation of urban plans of town and municipality is outlined.

A Case Report On The Effect Of Early Mobilization In The Rehabilitation Of An Acrobat Post-Open Triangular Fibrocartilage Complex Repair

Arthur Blair Agero — 2023-12-15

The Triangular Fibrocartilage Complex (TFCC) is one of the more vital structures in the wrist. The TFCC functions as a stabilizer of the distal radioulnar joint and a conduit in the transmission of load in the upper extremity. Its integrity is important to allow the dynamic movement of the hand and wrist as well as in weight bearing. The TFCC can be subjected to excessive stresses, especially in elite performing athletes such as an acrobat, that can lead to its rupture.

Partial or complete rupture of the TFCC of an elite athlete would benefit most from an open surgical repair. Surgery is then followed by hand therapy. However, due to the complexity of the TFCC, there is currently no gold standard in the rehabilitation of the TFCC. Albeit the globally practiced treatment post-surgery involves prolonged immobilization in a cast or a Muenster Splint that can range between 3 weeks and 8 weeks beforehand therapy can commence.

The length of immobilization and time spent in hand therapy to recover range of motion, function, and strength can consume more than four months. This is a time that a performing acrobat may not have.

This paper presents the effect of immediate hand therapy and early mobilization of the wrist of a professional acrobat who had an open surgical repair of a partial rupture of the TFCC and the Lunotriquetral ligament of the wrist.

Collecting electronic health record (EHR) to support holistic spa therapy as a diagnostic procedure for advance care planning (ACP): a literature review

Jan Walencik — 2023-12-15

Developing technology and collecting electronic information are fostering the creation of new procedures and clinical decision-support tools for therapy in rehabilitation hospitals and spa resorts. Electronic health records (EHR) does not take into account the complementarity of activities with the need for effective patient care in rehabilitation and sanatorium hospitals and spas. This paper aims to present a proposal for a complementary electronic anamnestic tool (CEAT) in a holistic approach to the patient's prevention and rehabilitation process in a rehabilitation hospital or a spa resort using EHRs that will be effective in ACP. To achieve the objective thus formulated, the literature was reviewed and thoroughly analyzed in terms of stratification and classification of the tools using EHRs. designed CEAT tool consists of a history of physical status (weight, height, waist circumference), neurological incidents, cardiovascular disorders, past treatments/surgeries, psychiatric disorders, and level of daily physical activity, supplemented by survey questionnaires selected in a literature review based on their widespread usefulness supported by scientific evidence. The questionnaires included in CEAT allow for a multifaceted assessment of the patient's health status, taking into account their physical state, functional capacity, and well-being.

Social wellbeing – a key factor in the mental health of children and adolescent

Markéta Švamberk Šauerová — 2023-12-15

This contribution represents a long-term project to support the social well-being of pupils for use in the educational environment of schools. The presented project was created as part of the GAČR grant task No. 23-07934S. Social well-being emphasizes well-being in social relationships, specifically in the classroom environment and in the overall climate of the school. It focuses on improving the atmosphere, following the rules, mutual respect, tolerance for diversity, as a basic source of social and individual well-being. The paper responds to the steady rise in mental health problems of children and adolescents (data from the National Institute of Health, CSU), the increase in self-harm and suicide in this age group, based on a long-term analysis of the school environment in which the author is involved, the results of research at home and abroad.

Guiding pupils to achieve life's optimum through the promotion of a healthy social environment has a positive impact on school performance, according to current domestic research. A healthy social environment increases tolerance for differences, reduces anxiety in children and adolescents, and enables them to maximise their own potential.

Thus, caring for the social wellbeing of pupils in schools must be one of the key areas in the comprehensive promotion of mental health, especially in the long term.

The theoretical starting points of the paper are different conceptions of "wellbeing", in which a different quality of this state is highlighted (cf. Jandová, 2021), the starting points are also the thought concepts of Z. Matějček, a leading child psychologist focusing on the needs of children (positive social bonds in the family and school environment, engagement in a variety of activities supporting physical, intellectual and emotional development, a sense of safety and security, a healthy sense of self, social fulfilment and a sense of an open future).

This background was used to design a project to promote the social wellbeing of pupils, the project was prepared in collaboration with Czech Television (CT Edu). Taking into account the possibilities of the school environment, it is ready for implementation in the classroom. All the aspects mentioned above are addressed in the different parts of the presented project, as well as the possibilities of the classroom teachers and their sense of security in working with personal development techniques.

Influence of static and dynamic changes in body positions on functional changes of the cardiovascular system

Petr Kolisko — 2023-12-15

The autonomic nervous system (ANS) plays an important role in the regulation of heart activity, breathing and blood pressure. Through changes in sympathetic and parasympathetic activity, it participates in the regulation, coordination and integration of internal organ function. The method of spectral analysis of heart rate variability (SAHRV) is used to examine the functional status of autonomic regulation of heart activity. During the examination, clino-ortho-clinostasis is used, which makes it possible to assess the reactivity of functional changes in the sympathetic and parasympathetic systems.
We were therefore interested in what functional changes in the autonomic regulation of heart activity will occur during static and dynamic changes in the position of the body head down and up at angles of ± 45°.
For the research, we used the method of spectral analysis of heart rate variability, supplemented by blood pressure measurement during the experiment. The experimental group included 24 healthy women aged 20-30. Before and after the experiment, a standard examination of the functional state of the autonomic nervous system was performed in the clino-ortho-clinostatic position.

During the experimental sequence, changes in sympathetic, vagus, heart rate and blood pressure reactivity were monitored in the following positions:

in an inclined position of the body with the head up – angle +45°
in an inclined position of the body with the head down – angle -45°
during dynamic changes in oblique body positions +-45°

An auto-traction reclining couch was used for the investigation of oblique positions.

The results
During the application of oblique positions of the body, there are significant changes in the activity of the autonomic regulation of heart activity.
In the head down position, there is an increased activation of the parasympathetic, a decrease in heart rate and an increase in systolic and diastolic pressure.
During dynamic changes in body positions +- 45°, there is significant alternating activation of baroreflexes, modulated by sympathetic and vagal aktivity.

Conclusion
The research study draws attention to the existence to multiple interconnections of regulatory mechanisms between the autonomic nervous system, cardiovascular and cardiorespiratory systems.

Sport as an essential part of youth wellness

Adam Kyselica — 2023-12-15

This article examines the motivation of youth to participate in organized sport, and conversely, also explores the reasons for youth dropping out of organized sport. Along with motivation, the article also examines the numbers and percentages of youth who attend organized sport, who had been part of but no longer continue in organized sport and who has never been in organized sport. The data were collected by an online questionnaire that was distributed to primary schools and first grade of gymnasiums.