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REFLEXOTHERAPY AND POST-ISOMETRIC RELAXATION IN ATHLETES WI TH MYOFASCIAL DYSFUNC TIONS

G. G.YANYSHEVA (1), R. A. YAKUPOV (1), K. P. ROMANOV (2), B. R. SAMIGULLIN (2) 1 -KAZAN STATE MEDICAL ACADEMY, KAZAN, RUSSIA 2 -SPORTS TRAINING CENTER OF THE MINISTRY OF YOUTH AFFAIRS, SPORTS AND TOURISM OF THE REPUBLIC OF TATARSTAN, KAZAN, RUSSIA
Оbjective: to study the efficiency of the long-term treatment of myofascial dysfunctions (MD) in elite athletes using the acupuncture and post- isometric relaxation (PIR) techniques. Materials and methods: 32 elite athletes (12 women and 20 men, mean age of 20.4± 0.5 years), from 7 sports were observed. The athletes were randomly placed into one of two groups: intervention group (n=17) and control group (n=15). In the intervention group, the PIR and acupuncture were applied for MD treatment. Patients of the control group, received no treatment. The MD mon-itoring in athletes were carried out for 12 months. During the observation period, all athletes trained and participated in competitions.
Results: the MD indicators in both groups prior to the treatment (examination 1) were the same. After 3-4 months of MD treatment (examination 2, 1-2 courses of acupuncture and PIR) a significant reduction of MD in the intervention group, compared to the control group (p<0.05), was detected. The statistically significant MD improve- ment in the index group between 1st and 2nd examinations (p<0.05) was also detected. During the whole observation period, the improvement of MD indicators was detected in the interven-tion group, where it decreased from 5.7 ±0.7 points to 3.5 ± 0.6 points (p<0.01).
Conclusions: the application of acupuncture and PIR techniques is highly efficient for MD treatment. The regular application of reflexotherapy and post-isometric relaxation in the studied group of ath-letes reduced the severity of myofascial dysfunctions in comparison with the control group.
Keywords: 
myofascial dysfunctions in athletes; reflexotherapy; post-isometric relaxation; autonomic dysfunction.