To date, rehabilitative good practices, which analyse all aspects of the rehabilitation management of the patient suffering from sarcopenia, are absent in literature. The purpose of our article is to carry out research and evaluation of the evidence, good practice and recommendations in the literature, relating to the rehabilitative treatment of disabilities associated with sarcopenia. Bibliographic-research was conducted on Medline, PEDro, Cochrane-Database and Google-Scholar. All the articles published in the last ten years have been analysed. The result of this research generated three guidelines, eight meta-analyses, five systematic reviews, a Cochrane review, seventeen reviews and seven consensus conferences. From the analysis of the literature, it appears that most of the work agrees in affirming that exercise and diet supplementation are the cornerstones of the rehabilitation treatment in patient suffering sarcopenia. The practice of an adequate lifestyle receives numerous high-grade recommendations in the included guidelines. Based on the data obtained, the rehabilitation management of the patient with sarcopenia must be personalized and must include exercise and nutritional supplementation. These factors are important in increasing the autonomy of the elderly essential for safe walking without neglecting stretching exercises that are important for flexibility and balance and coordination exercises.
Background: Posture in ideal balance allows the maximum effectiveness of a gesture in absence of pain. Rugby is a sport characterized by muscle-tendon structures injuries due to trauma and an adequate posture might have a role in their prevention. Aim of this proof-of-principle study was to investigate if sports activity might cause postural changes in National League rugby players and whether it correlates with an increased risk of injuries. Methods: Male rugby players from a National League were included in the study. The athletes underwent a postural questionnaire, an analysis of plantar support (3D-PodoScanalyzer) and a postural-evaluation (Formetric4D). The tests were performed at T0 (on-season), T1 (off-season) and T2 (pre-season). Results: Twenty-six male rugby players, mean aged 22.5 years old, were included. The analysis of plantar support showed statistically significant variability in 6 values: left Arch index (p=0.004), right Staheli index (p=0.042), midfoot symmetry (p=0.030), isthmus symmetry (p=0.048), arch length symmetry (p=0.027), height of the left plantar arch (p=0.009). The postural analysis showed statistically significant variability in only two values: rotation of the pelvis (p=0.013) and kyphotic angle (p=0.050). Conclusions: Taken together, our findings data describe a cavity in the left foot during the intense stages of the championship in which injuries to the left lower limb also prevail. The study also shows that the training conducted by the athletes examined improves the pelvic rotation and kyphotic angle values.
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