Traumatology and Orthopedics of RussiaTraumatology and Orthopedics of RussiaТравматология и ортопедия России2311-29052542-0933Vreden National Medical Research Center of Traumatology and Orthopedics16210.21823/2311-2905-2016-0-2-88-100ReviewsОбзорыReviewsDEPENDENCY OF OSTEOGENIC EFFECTS ON CHARACTERISTICS OF MECHANICAL LOAD APPLIED TO OSSEOUS STRUCTURESЗАВИСИМОСТЬ ОСТЕОГЕННОГО ЭФФЕКТА ОТ ХАРАКТЕРИСТИК МЕХАНИЧЕСКИХ НАГРУЗОК КОСТНЫХ СТРУКТУРAvruninA. S.АврунинА. С.
Russian Federation

senior researcher, the scientific department of the diagnosis and treatment of musculoskeletal system diseases and injuries, Vreden Russian Research Institute of Traumatology and Orthopedics

д-р мед. наук старший научный сотрудник ФГБУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена» Минздрава России

a_avrunin@mail.ruDoktorovA. A.ДокторовА. А.
Russian Federation

professor, the head of morphology department, All-Russian Research Institute on Medicinal and Aromatic Plant

д-р мед. наук профессор заведующий отделом морфологии ФГБНУ «Всероссийский институт лекарственных и ароматических растений» ФАНО России

Vreden Russian Research Institute of Traumatology and Orthopedics, ul. Ak. Baykova, 8, St. Petersburg, Russia, 195427ФГБУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена» Минздрава России, ул. Ак. Байкова, д. 8, Санкт-Петербург, Россия, 195427All-Russian Research Institute on Medicinal and Aromatic Plants, ul. Grina, 7, str. 1, Moscow, Russia, 117216ФГБНУ «Всероссийский институт лекарственных и ароматических растений» ФАНО России, ул. Грина, д. 7, стр. 1, Москва, россия, 117216160920162228810016092016160920162016https://journal.rniito.org/jour/article/view/162

Purpose of the study: to evaluate osteogenic rate of various characteristics of mechanical loading based on the authors’ data as well as literature analysis.

Literature analysis proved that clinical outcome of physical training can be achieved not only by increasing the mechanical load but also by altering number of load iterations, rate of load acceleration, frequency of cyclic load, rest interval, distribution of load across the skeleton. Presented data provides a reasonable basis to apply alterations of all above-mentioned load characteristics to obtain clinical effect and customize every single baseline exercise plan to gain a maximum treatment and preventive effect in individuals with high risk of osteoporotic fractures.

Цель: на основании собственных данных и анализа литературы оценить степень остеогенности различных характеристик механических нагрузок. Анализ литературы по теме исследования показывает, что клинического результата физических тренировок можно достичь не только путем увеличения механических нагрузок, но и при изменении количества их повторений, скорости нарастания нагрузки, частоты циклических нагрузок, длительности интервала отдыха между ними, распределения нагрузок в пространстве скелета. Представленные в работе данные позволяют обоснованно использовать изменение каждой из перечисленных характеристик для получения клинического эффекта и формировать на индивидуальной основе минимально необходимый режим тренировок, обеспечивающий максимальный лечебно-профилактический эффект у лиц с высоким риском остеопоротических переломов.

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