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Abstract: Introduction: Peripheral neuropathy (PNP) in feet and/or hands and sexual dysfunction are common side effects of cancer therapies. In Nadine Reimer1 Dirk Brodesser1 patients with other diseases, there is evidence of an association Dominik Ratiu2 between peripheral nervous system disorders and sexual dysfunction due to the impact of impaired neuronal control on genital organ sensi- Damir Zubac1 tivity. In cancer patient interviews, it has now been observed that PNP Helmar C. Lehmann3 and sexual dysfunction may be related. The aim of the study was to Freerk T. Baumann1 investigate the potential association between PNP, sexual dysfunction, and physical activity behavior. Methods: Ninety-three patients with PNP of the feet and/or hands were interviewed in August/September 2020 in a cross-sectional study re- 1 University of Cologne, Department I of Internal garding medical history, sexual dysfunction and functionality of the genital organs. Medicine, Center for Integrated Oncology Aachen Results: Thirty-one persons who participated in the survey provided Bonn Cologne Dusseldorf, seventeen evaluable questionnaires (four men, thirteen women). Nine University Hospital of women (69%) and three men (75%) reported sensory disorders of the Cologne, Germany genital organs. Three men (75%) had erectile dysfunction. All men who 2 University of Cologne, Clinic had sensory symptoms of the genital organs received chemotherapy, and Polyclinic for Gynecology and Obstetrics, University Hospital Cologne, Germany and one man also received immunotherapy. Eight women were sexually active. Five (63%) of them reported genital organ symptoms and mainly lubrication disorders. Four (80%) of the five sexually inactive women 3 University of Cologne, Clinic reported genital organ symptoms. Eight of the nine women with sensory and Polyclinic for Neurology, University Hospital Cologne, Germany symptoms of the genital organs received chemotherapy, and one woman received immunotherapy. Discussion: Our limited data suggest genital organ sensory symptoms in chemotherapy and immunotherapy patients. Genital organ symptoms do not appear to be directly related to sexual dysfunction, and the association between PNP and genital organ symptoms appears to be more pronounced in sexually inactive women. Chemotherapy could cause sensory symptoms of the genital organs and sexual dysfunction by damaging genital organ nerve fibers. Chemotherapy and anti-hormone therapy (AHT) could trigger a disturbance of the hormone balance, which in turn could be causative for sexual dysfunction. It remains open whether the cause of these disorders is the symptomatology of the genital organs or the altered hormone balance. The significance of the results is limited due to the small number of cases. To our knowledge, this study is the first of its kind in cancer patients and allows a better understanding of the association between PNP, sensory symptoms of the genital organs, and sexual dysfunction. Conclusion: In order to be able to narrow down the cause of these initial observations in cancer patients more precisely, larger studies are needed that can relate the influence of cancer therapy-induced PNP, physical activity level and hormone balance to sensory symptoms of the genital organs and sexual dysfunction. The methodology of further studies should take into account the frequent problem of low response rates in surveys on sexuality.
Keywords: peripheral neuropathy, genital organs, sexual disfunction, oncology, exercise therapy, physical activity
Published in DiRROS: 05.11.2025; Views: 173; Downloads: 85
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Abstract: (1) Background: This study aimed to examine whether an experimental acrobatics curriculum, conducted three times a week, could lead to greater improvements in specific components of motor fitness—coordination, balance, agility, and speed—compared to the standard physical education program; (2) Methods: The research was conducted over a 16-week period and included 50 seventh-grade students, divided into an experimental group (EG, n = 25) and a control group (CG, n = 25). The experimental group participated in a program of acrobatics and skipping twice a week, while the control group followed the standard physical education curriculum. Motor skills tests were administered before and after the intervention using standardized methods; (3) Results: Results from the ANCOVA analysis showed significant improvements in flexibility, coordination, balance, and agility in the experimental group, with large effect sizes, confirming the effectiveness of the acrobatics and skipping program. However, the impact on speed was variable, indicating the need for specific exercises to improve this ability; (4) Conclusions: The findings are consistent with previous research, highlighting the superiority of specialized acrobatic exercises in enhancing overall motor performance in adolescents. Further research is needed to optimize acrobatics and skipping programs for maximum benefits in the development of motor skills and physical education.
Keywords: physical education program, motor skill development, exercise intervention, physical activity, training adaptations, skill acquisition
Published in DiRROS: 14.05.2025; Views: 497; Downloads: 303
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Abstract: Objectives: The aim of this umbrella review was to investigate the frequency of physical activity-related injuries (PARI) among adolescents. Our secondary objective was to describe the available reviews of injuries in three settings: organized sports, leisure time physical activity (PA), and school physical education (PE). Methods: We conducted an overview of reviews consistent with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement guidelines on the frequency of physical activity related injuries in adolescents. Results: We identified 19 systematic reviews with at least moderate quality to include in the review. We were not able to pool data from reviews and conduct meta-analysis due to heterogeneity of injury definitions, exposure times, and sample demographics. All reviews included studies of injuries sustained in organized sports, and injury incidence was higher during matches than training. No systematic reviews were found focusing on leisure time or school-based PA injuries. Conclusion: High-quality research is essential to understand the frequency of various types of physical activity related injuries among adolescents in organized sports, PE, and leisure time activities to develop more effective prevention strategies.
Keywords: physical activity-related injuries, sports injuries, adolescence, frequency, prevalence, incidence
Published in DiRROS: 22.01.2025; Views: 721; Downloads: 372
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Abstract: Purpose: Forward head posture (FHP) is the most common cervical postural fault in the sagittal plane that can cause various issues and conditions. The purpose of this study is to determine the prevalence of FHP among sports-involved children and to examine the differences in craniovertebral angle (CVA) with regard to gender, age, neck pain, and the sports in which they participate.Methods: A cross-sectional study was conducted among 154 sports-involved chil-dren (76 males and 78 females), aged 11–14, participating in various sports (basket-ball, football, volleyball, and athletics). After obtaining signed consent, photography of the sagittal view was performed in a standing position, which was then used to measure the CVA using the Web Plot Digitizer software. A questionnaire was used to gather data about gender, age, sports in which a participant is involved, presence of neck pain, and pain scale.Results: Among the 154 children, 37 (24.03%) exhibited FHP (15 males, 22 fema-les). The mean CVA for the entire sample was 51.30° ± 6.20°. Female participants had a significantly lower CVA (p = .021) compared to male participants. No significant differences were found with regard to age, presence of neck pain, or engagement in a specific sport.Conclusion: FHP is present in sports-involved children, with a higher prevalence among females
Keywords: forward head posture, craniovertebral angle, children, physical activity, sport, ages 11 - 14
Published in DiRROS: 29.10.2024; Views: 689; Downloads: 432
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Abstract: Fatigue is a symptom commonly experienced by survivors of cancer through all stages of the disease trajectory. Survivors identify fatigue as a significant problem which is not adequately addressed by healthcare providers [1•]. Being fatigued has a greater negative impact on functioning and health-related quality of life (HRQoL) than other symptoms such as pain or depression [2, 3]. Fatigued survivors are more likely to have reduced employment participation [4, 5], greater financial stress [6], and higher healthcare utilization [6, 7]. Moreover, fatigue may reduce survival; feeling fatigued at diagnosis [6, 8] and during survivorship [9] is associated with higher mortality. This review aims to provide a summary on the current state of research on cancer-related fatigue (CRF) of survivors with local disease treated with curative intent. We briefly summarize the prevalence, definition, evaluation, and etiology of CRF. Due to the volume of research on CRF treatments, we provide a non-exhaustive overview of treatments for CRF published within the last 5 years (guidelines, meta-analyses, reviews, randomized trials).
Keywords: cancer-related fatigue, cytokines, physical activity, pharmacologic, complementary and alternative medicine
Published in DiRROS: 19.07.2024; Views: 915; Downloads: 721
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