6 results on '"Leho Rips"'
Search Results
2. Self-Reported Knee Pain Does Not Impact Physical Training Negatively in Conscripts
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Vahur Ööpik, Ahti Varblane, Indrek Olveti, Saima Timpmann, Madis Rahu, Jüri-Toomas Kartus, Alar Toom, Rein Kuik, Helena Gapeyeva, Marika Tammaru, Leho Rips, and Hanno Mölder
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Adult ,Estonia ,Male ,medicine.medical_specialty ,Knee Joint ,Physical fitness ,Pain ,Osteoarthritis ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Young adult ,Exercise ,030222 orthopedics ,business.industry ,Public Health, Environmental and Occupational Health ,030229 sport sciences ,General Medicine ,medicine.disease ,Test (assessment) ,Running time ,Military Personnel ,Knee pain ,Physical Fitness ,Physical performance ,Physical therapy ,Self Report ,medicine.symptom ,Knee injuries ,business - Abstract
Introduction Despite the great number of investigations on the effects of injuries during military service, there is limited information available on the use of self-reported instruments. This study evaluated self-reported knee pain (KP) and its effect on physical performance during military service in the Estonian Defense Forces. Material and Methods Ninety-five male conscripts aged 19–25 years were divided into two study groups based on the occurrence of KP or not. Self-reported KP and function according to the Knee Injury and Osteoarthritis Outcome Score (KOOS) were measured. Physical fitness level was scored using the Army Physical Fitness Test (APFT). KOOS and APFT were measured in the beginning and at the end of the 6-month period of military service. Results Significant differences in favor of the group without KP (P Conclusion In conclusion, self-reported KP and limited function according to KOOS did not hinder the improvement of physical condition and running speed as assessed by APFT in Estonian conscripts.
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- 2020
3. Seven-month Wintertime Supplementation of 1200 IU Vitamin D Has No Effect on Hand Grip Strength in Young, Physically Active Males: A Randomized, Controlled Study
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Leho Rips, Alar Toom, Rein Kuik, Ahti Varblane, Hanno Mölder, Helena Gapejeva, Marika Tammaru, Mart Kull, Vahur Ööpik, Jüri-Toomas Kartus, and Madis Rahu
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Male ,medicine.medical_specialty ,Nutrition and Dietetics ,Hand Strength ,business.industry ,Vitamins ,Vitamin D Deficiency ,law.invention ,Calcium, Dietary ,Grip strength ,Randomized controlled trial ,law ,Dietary Supplements ,Vitamin D and neurology ,Physical therapy ,medicine ,Humans ,Calcium ,Vitamin D ,business ,Food Science ,Cholecalciferol - Abstract
BackgroundThere has been a growing interest in the role of vitamin D for the well-being and physical performance of humans; however, there is a lack of long-term supplementation studies performed on members of the young, physically active, male population.The hypothesis of the study was that vitamin D supplementation during wintertime will decrease the prevalence of critically low vitamin D blood serum levels and increase hand grip strength during the winter season among young male conscripts. Study DesignLongitudinal, triple-blinded, randomized, placebo-controlled trial. MethodsFifty-three male conscripts from the Estonian Army were randomized into two groups: 27 to an intervention group and 26 to a placebo group. The groups were comparable in terms of their demographics. The intervention group received 1200 IU (30 µg) capsules of vitamin D3 and the control group received placebo oil capsules once per day. The length of the follow-up was seven months, from October 2016 until April 2017. Blood serum vitamin D (25(OH)D), parathyroid hormone (PTH), calcium (Ca), ionized calcium (Ca-i), testosterone and cortisol values and hand grip strength were measured four times during the study period. ResultsThe mean 25(OH)D level decreased significantly in the control group to a critically low level during the study, with the lowest mean value of 22 nmol/l found in March 2017. At that time point, 65% in the control group vs 15% in the intervention group had 25(OH)D values of less than 25 nmol/l (p < 0.001). In the intervention group the levels of 25(OH)D did not change significantly during the study period. All other blood tests revealed no significant differences at any time point. The corresponding result was found for hand grip strength at all time points. ConclusionLong-term vitamin D supplementation during wintertime results in fewer conscripts in the Estonian Army with critically low serum vitamin D (25(OH)D) levels during the winter season. However, this did not influence their physical performance in the form of the hand grip strength test. Trial registrationClinicalTrials.gov Identifier: NCT04359524. Registered 20 April 2020 - Retrospectively registered. https://register.clinicaltrials.gov
- Published
- 2021
4. The posteromedial corner of the knee: an international expert consensus statement on diagnosis, classification, treatment, and rehabilitation
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Timothy Lording, Danilo Togninalli, Zanon Giacamo, Fabrizio Margheritini, Juan Carlos Monllau, Kyle N. Kunze, Gonzalo Ferrer, Stefano Zaffagnini, Martin Lind, Soshi Uchida, Silvio Villascusa, Rodrigo Maestu, Lars Engbretsen, Victoria Lysiane Agnes Duthon, Björn Barenius, Brett Fritsch, Kristian Samuelsson, K.-H. Frosch, Leho Rips, Michael E. Hantes, Andreas Weiler, Pablo Eduardo Gelber, Alan Getgood, Nicolas Graveleau, David Parker, Jakub Kautzner, Richard von Bormann, Jorge Chahla, Robert F. LaPrade, Ralph Akoto, James Robinson, Charles M. Brown, Manual Leyes, Jacques Menetrey, Moises Cohen, Nicolas Pujol, Chahla J., Kunze K.N., LaPrade R.F., Getgood A., Cohen M., Gelber P., Barenius B., Pujol N., Leyes M., Akoto R., Fritsch B., Margheritini F., Rips L., Kautzner J., Duthon V., Togninalli D., Giacamo Z., Graveleau N., Zaffagnini S., Engbretsen L., Lind M., Maestu R., Von Bormann R., Brown C., Villascusa S., Monllau J.C., Ferrer G., Menetrey J., Hantes M., Parker D., Lording T., Samuelsson K., Weiler A., Uchida S., Frosch K.H., and Robinson J.
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medicine.medical_specialty ,Consensus ,Sports medicine ,Knee Joint ,Statement (logic) ,medicine.medical_treatment ,education ,Posteromedial corner ,Knee Injuries ,Medial collateral ligament ,Delphi ,03 medical and health sciences ,0302 clinical medicine ,Diagnosis ,medicine ,MANAGEMENT ,Medicine and Health Sciences ,Humans ,Orthopedics and Sports Medicine ,RECONSTRUCTION ,Knee ,computer.programming_language ,Response rate (survey) ,030222 orthopedics ,Rehabilitation ,business.industry ,Expert consensus ,030229 sport sciences ,Treatment ,Orthopedic surgery ,Physical therapy ,Surgery ,INJURIES ,business ,computer ,Diagnosi - Abstract
© 2020, European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA). Purpose: To establish recommendations for diagnosis, classification, treatment, and rehabilitation of posteromedial corner (PMC) knee injuries using a modified Delphi technique. Methods: A list of statements concerning the diagnosis, classification, treatment and rehabilitation of PMC injuries was created by a working group of four individuals. Using a modified Delphi technique, a group of 35 surgeons with expertise in PMC injuries was surveyed, on three occasions, to establish consensus on the inclusion or exclusion of each statement. Experts were encouraged to propose further suggestions or modifications following each round. Pre-defined criteria were used to refine item lists after each survey. The final document included statements reaching consensus in round three. Results: Thirty-five experts had a 100% response rate for all three rounds. A total of 53 items achieved over 75% consensus. The overall rate of consensus was 82.8%. Statements pertaining to PMC reconstruction and those regarding the treatment of combined cruciate and PMC injuries reached 100% consensus. Consensus was reached for 85.7% of the statements on anatomy of the PMC, 90% for those relating to diagnosis, 70% relating to classification, 64.3% relating to the treatment of isolated PMC injuries, and 83.3% relating to rehabilitation after PMC reconstruction. Conclusion: A modified Delphi technique was applied to generate an expert consensus statement concerning the diagnosis, classification, treatment, and rehabilitation practices for PMC injuries of the knee with high levels of expert agreement. Though the majority of statements pertaining to anatomy, diagnosis, and rehabilitation reached consensus, there remains inconsistency as to the optimal approach to treating isolated PMC injuries. Additionally, there is a need for improved PMC injury classification. Level of evidence: Level V.
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- 2020
5. Anabolic Adaptations Occur in Conscripts During Basic Military Training Despite High Prevalence of Vitamin D Deficiency and Decrease in Iron Status
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Vahur Ööpik, Leho Rips, Helena Gapeyeva, Hanno Mölder, Saima Timpmann, Indrek Olveti, Hele-Reet Lille, Martin Mooses, Ahti Varblane, and Kersti Kõiv
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Estonia ,Male ,Gerontology ,medicine.medical_specialty ,Adolescent ,Hydrocortisone ,Iron ,Military service ,Physical fitness ,030209 endocrinology & metabolism ,Body Mass Index ,Education ,Military medicine ,Hemoglobins ,Young Adult ,03 medical and health sciences ,Anabolic Agents ,0302 clinical medicine ,Prevalence ,Humans ,Medicine ,Testosterone ,Longitudinal Studies ,Analysis of Variance ,Research ethics ,business.industry ,Public health ,Public Health, Environmental and Occupational Health ,030229 sport sciences ,General Medicine ,Vitamin D Deficiency ,Military Personnel ,Hematocrit ,Physical Fitness ,Erythrocyte Count ,business ,Body mass index ,Declaration of Helsinki - Abstract
In Estonian Defense Forces that are drawn up on the basis of the conscription model considerable numbers of young men are prematurely discharged from military service for medical reasons, but causes leading to premature dropout of conscripts have not been systematically studied. However, one of the factors involved could be relatively demanding physical training that starts at the beginning of military service in the form of basic military training (BMT). Cumulative training and nontraining stresses experienced by conscripts during BMT may exceed their physiological adaptability and increase the probability of becoming prematurely discharged. Therefore, the primary purpose of this study was to assess physiological responses to 10-week BMT in Estonian conscripts.The protocol of the study confirmed to the standards set by the Declaration of Helsinki and it was approved by the Research Ethics Committee of the University of Tartu. Mean ± SD age and body mass index of 94 conscripts studied was 20.9 ± 1.7 years and 24.2 ± 3.0 kg · mSignificant increases in serum testosterone concentration (60.6%), testosterone to cortisol ratio (61.1%), blood erythrocyte count (4.3%), hemoglobin concentration (3.8%) and hematocrit (2.2%), and decrease in serum ferritin concentration (39.3%) occurred between weeks 1 and 10 during BMT (in all cases p0.0001). Fifteen weeks later, these parameters were still at increased or decreased levels, respectively, compared to week 1. The prevalence of vitamin D deficiency (serum 25(OH) D concentration50 nmol · LThese findings suggest that BMT induces anabolic physiological adaptations in conscripts despite vitamin D deficiency and decrease in iron status. However, high prevalence of vitamin D deficiency and decline in iron status may limit physiological adaptations and improvement in physical work capacity to a suboptimal level. Furthermore, as vitamin D influences a variety of functions important for health, deficiency in conscripts should be considered a major concern that needs treatment. An acknowledged limitation of the study is the lack of a control group of conscripts possessing normal vitamin D status and stable serum ferritin levels throughout the study period. Nevertheless, the research design employed enabled to determine two factors that potentially limit physiological adaptability of conscripts to military training loads in ecologically authentic environment.
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- 2017
6. Heterotopic ossification after total hip arthroplasty
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Tiit Haviko, Alar Toom, and Leho Rips
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Male ,medicine.medical_specialty ,Arthroplasty, Replacement, Hip ,medicine.medical_treatment ,Osteoarthritis, Hip ,Humans ,Medicine ,Orthopedics and Sports Medicine ,Risk factor ,Aged ,Retrospective Studies ,Original Paper ,business.industry ,Ossification ,Ossification, Heterotopic ,Incidence (epidemiology) ,Retrospective cohort study ,Middle Aged ,medicine.disease ,Arthroplasty ,Surgery ,Orthopedic surgery ,Female ,Heterotopic ossification ,medicine.symptom ,business ,Complication - Abstract
We studied 178 patients undergoing total hip arthroplasty (66 men and 112 women) retrospectively, with regard to the incidence and severity of heterotopic ossification and the significance of postoperative prophylaxis with non-steroid anti-inflammatory drugs. The overall incidence of heterotopic ossification was 32% 1 year after surgery. The factors increasing the incidence were male gender, previous arthroplasty of the contralateral hip joint, previous surgery on the hip, absence of preoperative treatment with non-steroidal anti-inflammatory drugs and an operating time of more than 100 min. The incidence of heterotopic ossification was lower in the patients of 0 blood group.
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- 2001
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