Plan of athletes’ inspectionPlan of athletes’ inspection : : Passport dataPassport data Life anamnesisLife anamnesis Sports anamnesis Sports anamnesis Data of nearest sports anamnesisData of nearest sports anamnesis Anthropometric data (body mass, height, volume of thorax, Anthropometric data (body mass, height, volume of thorax,

spirometric and dynamometric data) spirometric and dynamometric data) Somatic detectionSomatic detection Examination on organs and systemsExamination on organs and systems Additional methods of inspectionAdditional methods of inspection Functional tests of heart and lungsFunctional tests of heart and lungs ConclusionConclusion

Measuring of heightMeasuring of height : : а – а – standingstanding; ; bb – – sittingsitting..

Having a knowledge about body lengthHaving a knowledge about body length in in twotwo positions we can found positions we can found the the coefficient of proportionalitycoefficient of proportionality /К /КPP/ :/ :

ККPP = ( = ( LL1-1-LL2 ) / 2 ) / LL2 2 100100 , , деде LL1 –1 –body length in the standing positionbody length in the standing position

, , LL2 –2 –body lengthbody length in the sitting positionin the sitting position Normal meaning of KPNormal meaning of KP = 87-92% . = 87-92% .

KP is important atKP is important at sports occupationsports occupation . . Persons with low Persons with low К КPP at at equal other equal other conditionsconditions,,have lowhave low disposition of disposition of gravity centregravity centre,,that give themthat give them the the advantage atadvantage at executing of executing of exercisesexercises,,whichwhich requirerequire of body balanceof body balance in the spacein the space ( ( mountain ski mountain ski, , ski-ski-jumpingjumping , ,wrestlingwrestling, , weight –lift athleticsweight –lift athletics ). ). On the contraryOn the contrary, , persons with the high persons with the high meaning of meaning of К КPP are better inare better in jumping jumping , , runningrunning. . The meaning of The meaning of К КPP for for women is rather less than forwomen is rather less than for menmen..

Measuring of chest circumferenceMeasuring of chest circumference

Chest circumference ( C. C. ) is measured in Chest circumference ( C. C. ) is measured in condition of maximal inspiration , complete condition of maximal inspiration , complete expiration and during pause. Difference between C. expiration and during pause. Difference between C. C. after maximal inspiration and maximal expiration C. after maximal inspiration and maximal expiration indicate on the degree of chest mobility (chest indicate on the degree of chest mobility (chest excursion) . It’s in average 4-5 cm for men and 4- 7 excursion) . It’s in average 4-5 cm for men and 4- 7 cm for women. The sportsmen, especially the cm for women. The sportsmen, especially the swimmers , may have chest excursion 10-14 cm and swimmers , may have chest excursion 10-14 cm and chest excursion may be decrease to 2-1 and even to 0 chest excursion may be decrease to 2-1 and even to 0 cm for sick persons .cm for sick persons .

Measuring of chest circumferenceMeasuring of chest circumference . . Circumference of chest is Circumference of chest is

measured in condition of measured in condition of maximal inspirationmaximal inspiration , complete, complete expirationexpiration, , and duringand during pausepause. . Difference betweenDifference between this sizesthis sizes indicates on theindicates on the на на degree of degree of chest’schest’s mobilitymobility ( ( excursionexcursion, , amplitudeamplitude ). ). It consist It consist 4–5 4–5 cmcm for men and for men and 4 –7 4 –7 cmcm for womenfor women. . The sportsmenThe sportsmen,,especially the especially the swimmersswimmers , , may have the may have the chest chest excursionexcursion 10 –14 с 10 –14 сm andm and C.E. C.E. may be decrease tomay be decrease to 2 –1 2 –1 cm, cm, sometimesometime до 0 до 0, for sick persons, for sick persons. .

Vertebral ColumnVertebral Column – – the column of the column of lifelife

ESTIMATIONESTIMATION О ОFF PHYSICALPHYSICAL CONDITION(DEVELOPMENT):CONDITION(DEVELOPMENT):

standardsstandards

indexesindexes

correlationcorrelation OF DIFFERENT FACTORSOF DIFFERENT FACTORS

Estimation ofEstimation of physical developmentphysical development ( the methods of( the methods of indexesindexes ):):

Body mass ( for adultBody mass ( for adult ) we ) we can find after formula of can find after formula of BerngardBerngard : :

Body massBody mass = ( = ( Height Height · · (Volume of chest(Volume of chest ) / 240 ) / 240

ІІdeal body massdeal body mass (М) (М) we can we can calculate after formulacalculate after formula of of LourenceLourence::

М = Р - [100 - (Р - 150) / 4],М = Р - [100 - (Р - 150) / 4], Р –Р –height (height (ррcm )cm )..

Index of Index of GabsGabs Р = 56 + 4/5 (L - 150),Р = 56 + 4/5 (L - 150), Р –Р –body mass ( kg )body mass ( kg ), L – , L –

height ( cm ) height ( cm ) ..

Index of Index of KettleKettle:: Р / L (Р / L (gg/с/сmm);); Р – Р – body mass (gr )body mass (gr ), L –, L – height ( cm ) height ( cm )

for menfor men - 370...400 , - 370...400 , for womenfor women - 325...375 - 325...375 ..

Physical development :Indexes of Physical development :Indexes of proportionalityproportionality : :

Index of Index of ManuvrieManuvrie - - ratio of ratio of legs’ length to legs’ length to trunk’s lengthtrunk’s length ( % )( % )::

(L (L standingstanding / L / L sittingsitting - 1) * 100 - 1) * 100 ( Normal meaning -( Normal meaning - 87...92 % 87...92 % ) ),, at less meaning at less meaning - - the the relative short legsrelative short legs, , atat

largerlarger – – the relative long legsthe relative long legs

Index of Pin’eIndex of Pin’e : : L - (P + T), L - (P + T), Р –Р –body mass ( kg )body mass ( kg ) , L – , L – height ( cm )height ( cm ), ,

Т – Т – circumference of chestcircumference of chest after expiration ( cm )after expiration ( cm )..

10 – 10 – strong body- buildingstrong body- building, , 11...15 - 11...15 - goodgood, , 16...20 - 16...20 - averageaverage, , 21...25 -21...25 -weakweak , , 26 26 and moreand more – – very weak .very weak .

Proportions for separate body partsProportions for separate body parts, , which are having a strong character for which are having a strong character for

proportional development personsproportional development persons Chest circumference : pelvis circumference Chest circumference : pelvis circumference

(C.) =10:9 (C.) =10:9 Neck C.=38% of Chest C., or 2/3 Hip C. ,or Neck C.=38% of Chest C., or 2/3 Hip C. ,or biceps C. biceps C. Before-arm C. = 36% of Chest C. Before-arm C. = 36% of Chest C. Waist C. = 75% of Chest C. Waist C. = 75% of Chest C. Hip C. = 60% of Pelvis C. Hip C. = 60% of Pelvis C. Shin C. = 40% of Pelvis C. Shin C. = 40% of Pelvis C. According to Greek canons neck According to Greek canons neck c., shin c., and biceps c. are approximately c., shin c., and biceps c. are approximately equall. equall.

Indexes of strong type of body - buildingIndexes of strong type of body - buildingheightheight– (– ( BODY MASS BODY MASS + + CHEST CHEST

CIRCUMFERENCECIRCUMFERENCE)) 10-15 – 10-15 – strong body - buildingstrong body - building 16-20 – 16-20 – good body - buildinggood body - building 21-25 – 21-25 – average body - buildingaverage body - building 26-30 – 26-30 – weak body - buildingweak body - building 31 31 and more – very weak body - and more – very weak body -

buildingbuilding

WEIGHT AND HEIGHT INDEXWEIGHT AND HEIGHT INDEX BODY MASS ( G )BODY MASS ( G ) : : HEIGHT( CM )HEIGHT( CM ) Gram quantity on theGram quantity on the 1 1 cm of heightcm of height:: >> 540 – 540 – obesityobesity 451 - 540 – 451 - 540 – surplus weightsurplus weight 416 - 450 – 416 - 450 – plus weightplus weight 401 - 415 – 401 - 415 – good nutritional stategood nutritional state 400 – 400 – the best nutritional state for menthe best nutritional state for men 390 – 390 – the best nutritional state for womenthe best nutritional state for women 360 - 389 – 360 - 389 – average nutritional stateaverage nutritional state 320 - 359 - 320 - 359 - bad nutritional statebad nutritional state 300 - 319 - 300 - 319 - very bad nutritional state very bad nutritional state 200 - 299 - 200 - 299 - emaciationemaciation

Меdical groups for occupations of physical culture

Medical group

Criteria of destination Physical loadings Health condition Physical

developmentFunctional possibilities

Basic Practically healthy or with insignificant deviations in state of health

According to age , sex

According to age, sex

Are engaged after the programs for educational institutions. Attend the sports sections . Take part in the competitions.

Preparing Practically healthy , or with insignificant deviations in the state of health

Lowering Lowering Are engaged after the same programs as I group.

Attend the additional occupations. Pass through norms in later terms

Special Constant or temporary deviations in the health state, which demand of the physical loading limitations, persons which are admitted to the and production activity

Lowering Lowering Are engaged after special programs.

They are free of the passing through some norms .

EXTERNAL SIGNS OF THE TIREDNESS:SIGNS OF

TIREDNESSLEVEL OF TIREDNESS

Незначний SIGNIFICANT (AVERAGE)

SHARР (HIGH)

COLOR OF SKIN INSIGNIFICANT REDNESS

SIGNIFICANT REDNESS

SHARP REDNESS, PALENESS, CYANOSIS

PERSPIRE LOW HIGH VERY HIGH

BREATHING ACCELERATING, REGULAR

SIGNIFICANT ACCELERATING

SHARPLY ACCELERATING,SURFACE, MOUTH BREATHING, SHORT OF BREATH

COORDINATION OF MOVINGS

CHEERБUL WALK ( STEP )

UNBALANCED WALK ( STEP ) , BODY INSTABILITY

SHARP BODY INSTABILITY, DESORDERS OF THE MOVING COORDINATION

ATTENTION FAULTLESS EXECUTING OF INSTRUCTIONS

INACCURACYCARRING-OUT OF INSTRUCTIONS

INHIBITING CARRING-OUT OF COMMANDS ( ONLY LOUD COMMANDS )

GENERAL STATE ABSENCE OF COMPLAINTS

Complaints on the tiredness,pains in legs, cardiac palpitation , short of breath

Complaints on the tiredness втому,pains in legs, cardiac palpitation, short of breath,headache,giddiness

DOSING OF PHYSYCAL LOADING

State of health

Physical-culture man or sportsman

Functional Physical development possibilities

Аеrobic exercises

Determination of indications and contraindications to occupations

Choice of necessary forms of physical trainingChoice of necessary forms of physical training

Anaerobic exercises Cyclic exercises Non cyclic exercises

:

Dosing of physical loading at :

Energy expenses Power Metabolic unitsEnergy expenses-

Cardiac contraction rate

Number of repetiioins

Recommendations for physical culture man or sportsman

Medical groups for physical culture occupations of middle-age and elderly persons.

Groups Group’s medical characteristic Recommending kinds of occupations

1 2 3

І Middle-age and elderly persons without deviations in the state of health which have the sufficient physical training

Occupations in groups of GPT (General Physical Training) “Health” after special programs, participation in competitions according to age

- ІІ Middle-age and elderly persons with insignificant deviations in the heath state on the background of age changing ,but without significant functional disorders

Occupations in the GPT-groups “Health” after the special programs for age groups

-ІІІ Middle age and elderly persons with the constant and temporary deviations in health condition, on the background of the age changing having the functional disorders, without of sufficient training

Therapeutic exercices after methods for patients with different diseases.

Decreasing of muscles force

Decreasing of body mass Disorders of moving coordination

 

           

Reducing of ATP-synthesis, dissociation of the oxidizing and phosphorylation processes

Decreasing of muscles mass Disorders of the proprio-receptive sensitivity of

muscles

Reducing of the energy expending

Decreasing of muscles metabolism

Decreasing of impulses level from proprioreceptors

Hypokinesia

Decreasing of vessel tone

Disorders of calcium and phosphiric metabilism

Disorders of the impulses variety

Decreasing of the myocardial mass

Increasing of calcium excretion with urine

Disorders of the nervous system trophic function

Detraining of the cardio-vascular

system

Decreasing of the bones strength

Decreasing of reactivity, asthenia

Hypokinetic cndition and its after-effects ( E. Коvalenko, N.Gurovskiy, 1980)

Move makes nutritionand blood circulation

better and prevents the diseases .Hua-To

DISEASE

Peculiarities of clinical current

Pathogenesis

Mechanism of curative action of physical exercises

TE tasks

Peculiarities of method

TE forms Means of TE

Registration means of the TE effectiveness

Chart of the doctor’s logical thought at the appointment of the TE.