Adaptive hand-to-hand combat as a means of restoring motor functions in individuals with lower limb amputation defects
DOI:
https://doi.org/10.32540/2071-1476-2025-2-052Keywords:
adaptive sports, amputation, martial arts, hand-to-hand combat, restoration of motor abilitiesAbstract
Introduction. Every year, one million limb amputations are registered in the world. Today, this issue is becoming relevant in Ukraine. In recent years, the number of people with lower limb amputations has been constantly increasing, due to the differences in the conduct of military operations in Ukraine. According to various estimates, the number of amputations in Ukraine ranges from 50 to 200 thousand. Physical education and sports rehabilitation occupies an important place in the process of recovery of people with disabilities. One of the types of physical education and sports rehabilitation is adaptive sports. This is a type of adaptive physical culture, which aims to meet the needs of a person with disabilities in self-affirmation, socialization and communication. The purpose of the study consists in determining the features of adaptive hand-to-hand combat as a tool for restoring motor functions in people with amputation defects of the lower extremities. Research methods: The work uses theoretical analysis and generalization of special scientific and methodological literature on the assessment of technical and tactical preparedness in martial arts, pedagogical observations, conversations, questionnaires, and generalization of best practices of specialists. Results. Engaging in various sports is one of the main and effective means of restoring motor functions in people with lower limb amputation defects. At the same time, this type of activity requires a significant amount of motor actions and types of competitive activity to develop individual recovery programs at different stages of rehabilitation, taking into account the peculiarities of the nosology and biomechanics of people with different levels of lower limb amputation. Hand-to-hand combat, thanks to its variety of training and competitive activities, a wide range of methods and tools, can occupy an important place in the comprehensive restoration of motor functions in people with lower limb amputation defects. However, despite the various types of training and competitive activities, only the discipline “Technique Demonstration” is optimally suitable for adaptive hand-to-hand combat. The structure of the training system in adaptive sports in terms of its main components has much in common with the general system of training of athletes but must necessarily take into account the nosological determinism of the structure and content of the training system and the need for a rehabilitation and social-adaptive orientation of training and competitive activities. Competitive activity is an important component of the process of sports training in general and adaptive hand-to-hand combat in particular, but scientists, draw attention to the fact that in high-performance sports the result mostly depends on the athlete's abilities, and in adaptive sports the result depends on the preservation of motor capabilities. Conclusions. The effectiveness of using adaptive hand-to-hand combat as a tool for restoring motor functions and the functional state of people with lower limb amputation defects depends on the length of the stump, the functionality of the prosthesis, and adherence to a specific algorithm and developed methodological recommendations for organizing training and competition processes.
References
Huriev SO, Lysun DM, Kushnir VA, Satsyk SP, Kurachenko IP. Amputatsii nyzhnikh kintsivok unaslidok suchasnykh boiovykh dii (kliniko-anatomichnyi aspekt). Travma. 2018;9(4):5-8. https://doi.org/10.22141/1608-1706.4.19.2018.142099.
Meleshchuk N, Kashuba V, Nosova N, Verzlova K, Labinska H. Prohrama fizkulturno-sportyvnoi reabilitatsii z elementamy yohy dlia viiskovosluzhbovtsiv ta veteraniv, yaki braly uchast u vidbori do ukrainskoi natsionalnoi zbirnoi Invictus Games – 2025 u Vankuveri-Vistleri (Kanada). Zbirnyk naukovykh prats. Fizychna kultura, sport ta zdorov’ia natsii. 2025;19(38):298-307.:https://doi.org/10.31652/2071-5285-2025-19(38)-298-307.
Yushkovska OH, Kitsis AH. Zastosuvannia adaptyvnoho sportu u systemi reabilitatsii veteraniv z amputatsiiamy nyzhnikh kintsivok. Sportyvna medytsyna, fizychna terapiia ta erhoterapiia. 2024;(1):234-41. https://doi.org/10.32652/spmed.2024.1.234-241.
Pilashevych AA. Fizychna reabilitatsiia pry amputatsii nyzhnikh kintsivok. 2006:81.
Honcharenko OS. Adaptyvnyi sport. Navchalno-metodychnyi kompleks z dystsypliny. 2020;137.
Ali S, Fatima Haider SK. Psychological Adjustment To Amputation: Variations On The Bases Of Sex, Age And Cause Of Limb Loss. J Ayub Med Coll Abbottabad. 2017;29:303-7.
Ukaz Prezydenta Ukrainy. Pytannia rozvytku natsionalnoi systemy fizkulturno-sportyvnoi reabilitatsii veteraniv viiny ta chleniv yikh simei, simei zahyblykh (pomerlykh) veteraniv viiny: Ukaz vid 23.08.2020 р. № 342/2020. https://zakon.rada.gov.ua/laws/show/342/2020#Text
Kabinet Ministriv Ukrainy. Postanova Pro zatverdzhennia Derzhavnoho sotsialnoho standartu fizkulturno-sportyvnoi reabilitatsii veteraniv viiny, chleniv yikh simei ta simei zahyblykh (pomerlykh) veteraniv viiny vid 17.11.2021 р. №1188. https://zakon.rada.gov.ua/laws/show/1188-2021-%D0%BF#Text
Zakon Ukrainy Pro vnesennia zmin do Zakonu Ukrainy "Pro fizychnu kulturu i sport" shchodo adaptyvnoho sportu. Zakon vid 17.04.2025 р. № 4370-IX. https://zakon.rada.gov.ua/laws/show/4370-20#Text.
Herasymenko OS. Vplyv fizychnoi reabilitatsii na yakist zhyttia osib z naslidkamy amputatsii nyzhnoi kintsivky. Naukovyi chasopys NPU imeni M.P. Drahomanova. 2019;5(113):26-30.
Intelehator D, Khudetskyi I, Antonova-Rafi Yu. Vplyv reabilitatsiinykh zakhodiv na yakist ta povnotsinnist zhyttia patsiientiv iz protezamy nyzhnikh kintsivok. Ukrainian scientific medical youth journal. 2021;3(125):44-51.
Radchenko YuA, Nikitenko OV. Obgruntuvannia rukopashnoho boiu – sluzhbovo-prykladnoho vydu sportu, yak elementa spetsialnoi fizychnoi pidhotovky spivrobitnykiv pravookhoronnykh orhaniv. 2021;(6):316-25.
Radchenko YuA, Radchenko AA. Evoliutsiia pravyl sportyvnykh zmahan z rukopashnoho boiu. Rehabilitation Recreation. 2023;(16):138-54. https://doi.org/10.32782/2522-1795.2023.16.17.
Perederii AV, Roztorhui MS. Teoretyko-metodychni pidkhody do periodyzatsii bahatorichnoi pidhotovky sportsmeniv u adaptyvnomu sporti. Sportyvnyi visnyk Prydniprov’ia. 2016;(1):91-97.
Briskin YuA, Perederii AV. Vstup do teorii sportu invalidiv: navchalnyi posibnyk. ”Apriori”. 2008:70.
Roztorhui MS, Perederii AV. Pidhotovka sportsmeniv z invalidnistiu na etapi sportyvno- reabilitatsiinoi pidhotovky v sylovykh vydakh sportu. Fizychne vykhovannia, sport i kultura zdorov’ia usuchasnomu suspilstvi. uklad. A. V. Tsos, S. Ya. Indyka. – Lutsk : Skhidnoievrop. nats. un-t im. Lesi Ukrainky. 2018;(41):61-66.
Moskalenko NV, Kovtun AO, Alforov OA, Kravchenko OI, Maloiian YaV. Zahalni osnovy fizychnoho vykhovannia. Navchalnyi posibnyk. 2013:137.
Mizhnarodna klasyfikatsiia funktsionuvannia, obmezhennia zhyttiediialnosti ta zdorov’ia http://moz.gov.ua/uploads/2/11374-9898_dn_20181221_2449.pdf.
Hertsyk A. Teoretyko-metodychni osnovy fizychnoi reabilitatsii fizychnoi terapii pry porushenniakh diialnosti oporno-rukhovoho aparatu: monohrafiia. Lviv:ЛДУФК. 2018;388.
Critchton N. Visual analogue scale (vas). J Clin Nurs. 2001;10.5:706.
Taylor AM, Phillips K, Patel KV, et al. Assessment of physical function and participation in chronic pain clinical trials: IMMPACT/OMERACT recommendations. PAIN 2016;157:1836-50.
Briskin YuA, Perederii AV. Klasyfikatsiini stratehii Paralimpiiskoho sportu. Ozdorovcha i sportyvna robota z nepovnospravnymy. Vydavets Taras Soroka. 2004:22-29.
Bespalenko AA, Shchehliuk OI, Kikh AIu, Bur’ianov OA, Volianskyi OM, Korchenok VV, Mykhailovska MM. Alhorytm reabilitatsii viiskovosluzhbovtsiv z amputatsiieiu kintsivok na osnovi multyprofesiinoho ta indyvidualnoho pidkhodu. Ukrainskyi zhurnal viiskovoi medytsyny. 2020;1:64-72.
Nikanorov OK, Krykunov OO. Osoblyvosti fizychnoi terapii viiskovosluzhbovtsiv z amputatsiieiu nyzhnikh kintsivok. Sportyvna medytsyna, fizychna terapiia ta erhoterapiia. 2023;(2):84-87.
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