Dolegliwości bólowe pleców u kobiet w ciąży – doniesienie wstępne = The back pain in pregnant women – a preliminary report

Anna Bogusława Pilewska-Kozak; Grażyna Stadnicka; Celina Łepecka–Klusek; Beata Dobrowolska; Klaudia Pałucka; Agnieszka Konstancja Pawłowska-Muc; Łukasz Adam Kozak

doi:10.5281/zenodo.166317

Dolegliwości bólowe pleców u kobiet w ciąży – doniesienie wstępne = The back pain in pregnant women – a preliminary report

Anna Bogusława Pilewska-Kozak, Grażyna Stadnicka, Celina Łepecka–Klusek, Beata Dobrowolska, Klaudia Pałucka, Agnieszka Konstancja Pawłowska-Muc, Łukasz Adam Kozak

Abstract

Pilewska–Kozak Anna Bogusława, Stadnicka Grażyna, Łepecka–Klusek Celina, Dobrowolska Beata, Pałucka Klaudia, Pawłowska‑Muc Agnieszka Konstancja, Kozak Łukasz Adam. Dolegliwości bólowe pleców u kobiet w ciąży – doniesienie wstępne = The back pain in pregnant women – a preliminary report. Journal of Education, Health and Sport. 2016;6(11):245-254. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.166317

http://ojs.ukw.edu.pl/index.php/johs/article/view/3991

The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).

755 Journal of Education, Health and Sport eISSN 2391-8306 7

© The Author (s) 2016;

This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland

Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,

provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License

(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.

This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial

use, distribution and reproduction in any medium, provided the work is properly cited.

The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 22.10.2016. Revised 30.10.2016. Accepted: 11.11.2016.

Dolegliwości bólowe pleców u kobiet w ciąży – doniesienie wstępne

The back pain in pregnant women – a preliminary report

Pilewska–Kozak Anna Bogusława¹, Stadnicka Grażyna², Łepecka–Klusek Celina¹, Dobrowolska Beata³, Pałucka Klaudia¹, Pawłowska-Muc Agnieszka Konstancja⁴, Kozak Łukasz Adam⁵

¹Katedra i Klinika Ginekologii i Endokrynologii Ginekologicznej Wydział Nauk o Zdrowiu Uniwersytet Medyczny w Lublinie

²Zakład Podstaw Położnictwa Wydział Nauk o Zdrowiu Uniwersytet Medyczny w Lublinie

³Katedra Rozwoju Pielęgniarstwa Wydział Nauk o Zdrowiu Uniwersytet Medyczny w Lublinie

⁴Powiatowe Centrum Medyczne w Grójcu Sp. z o. o

⁵Oddział Urazowo – Ortopedyczny z Chirurgią Kręgosłupa Samodzielnego Publicznego Szpitala Wojewódzkiego w Chełmie

Adres do korespondencji:

Dr n. med. Anna B. Pilewska-Kozak

ul. Aleje Racławickie 23, 20-049 Lublin

e-mail: apilewska@poczta.wp.pl

tel. 26 118 32 86

Streszczenie

Badaniami objęto 80 kobiet między25. a36. tygodniem ciąży, uczestniczących w zajęciach szkół rodzenia. Wiek kobiet wahał się w granicach od 19 do 42 lat (średnia wieku wynosiła 27,8 ± 4 lata).

Wykorzystano kwestionariusz ankiety, własnej konstrukcji oraz wizualną analogową skalę VAS (0 – brak bólu do 10- ból nie do wytrzymania) do oceny bólu kręgosłupa.

Celem pracy było sprawdzenie czy u kobiet w ciąży występuje ból kręgosłupa oraz w jakich sytuacjach się nasila.

Na podstawie przeprowadzonych badań stwierdzono, że większości kobiet odczuwała ból kręgosłupa w odcinku lędźwiowym. Wśród sytuacji nasilających dolegliwość najwięcej wymieniało pozycję stojącą, co trzecia siedzącą, a co piąta chodzenie.

Słowa kluczowe: ból kręgosłupa, ciąża

Summary

The study involved 80 women between the 25^th and 36^th week of pregnancy attending antenatal classes. The age of women ranged from 19 to 42 years old (the age median was 27,8 ± 4 years). The questionnaire of our own design and the Visual Analogue Scale VAS (0 – no pain to 10 - unbearable pain) were used to evaluate back pain.

The aim of the study was to check whether pregnant women suffer from back pain and in which situations it is increasing.

Based on the survey, it was found that the majority of women experienced pain in the lumbar region of the spine. Among the situations which increased back pain most of women mentioned standing position, one in three sitting position and one in five walking.

Key words: back pain, pregnancy

Keywords

ból kręgosłupa, ciąża, back pain, pregnancy.

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References

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Gozhenko, A. I., Slavina, N. G., Kotyuzhinskaya, S. G., Kotyuzhinskij, A. L., Fedoruk, A. S., & Gozhenko, E. A. (2001). Method to determine nitrite and nitrate ecological load on humans. Meditsina Truda I Promyshlennaya Ekologiya, (3), 38-39. Retrieved from www.scopus.com

Gozhenko, A. I., Zhuk, O. P., Tanasiuk, V. S., & Sheliag, A. R. (1985). Controllable amplifier for registering tissue blood flow by the hydrogen clearance method. [Upravliaemyǐ usilitel' dlia registratsii tkanevogo krovotoka metodom klirensa vodoroda.] Fiziologicheskii Zhurnal SSSR Imeni I.M.Sechenova, 71(5), 673-675. Retrieved from www.scopus.com

Hozhenko, A. I., Bieliakov, O. V., Kovalevs'ka, L. A., Selyvanenko, V. T., Svirs'kyi, O. O., Popik, H. S., . . . Stepanov, V. V. (2001). Content of myocardial catecholamines in patients with natural and acquired heart disease. [Vmist katekholaminiv u miokardi khvorykh na pryrodzheni ta nabuti poroky sertsia.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 47(3), 47-53. Retrieved from www.scopus.com

Hozhenko, A. I., Fedoruk, O. S., & Pohorila, I. V. (2002). Influence of arginine on the renal functional condition of rats in sublimate nephropathy. [Vplyv arhininu na funktsional'nyi stan nyrok shchuriv pry sulemovii nephropatiï.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 48(6), 26-30. Retrieved from www.scopus.com

Hozhenko, A. I., & Filipets', N. D. (2014). [The functional state of the kidneys after adenosine triphosphate-sensitive potassium channels activation in experimental acute hypoxia]. Fiziolohichnyĭ Zhurnal (Kiev, Ukraine : 1994), 60(4), 22-29. Retrieved from www.scopus.com

Hozhenko, A. I., Moskalenko, O. M., Sirman, V. M., ZhiZhnievs'ka, O. O., & Storozhenko, S. A. (2012). [Kidney function in oncologic patients after cisplastin chemotherapy]. Fiziolohichnyǐ Zhurnal (Kiev, Ukraine : 1994), 58(3), 72-76. Retrieved from www.scopus.com

Hozhenko, A. I., Nasibullin, B. A., & Kokhno, I. S. (2000). The pathogenetic aspects of an ulcerative lesion of the duodenal mucosa. [Deiaki aspekty patohenezu vyrazkovoho urazhennia slyzovoï obolonky dvanadtsiatypaloï kyshky.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 46(1), 70-74. Retrieved from www.scopus.com

Hozhenko, A. I., Peresun'ko, O. P., Orenchuk, V. S., & Vysochyna, K. V. (1999). Active radiation telethermometry in the complex diagnosis of ovarian tumors. [Aktyvna dystantsiina radiatsiina teplometriia v kompleksnii diahnostytsi pukhlyn iaiechnykiv.] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (5), 119-124. Retrieved from www.scopus.com

Hozhenko, A. I., & Trusova, M. V. (2006). Effect of cytostatic ifosfamide on the function of the kidneys in white rats. Fiziolohichnyǐ Zhurnal (Kiev, Ukraine : 1994), 52(4), 19-23. Retrieved from www.scopus.com

Hozhenko, A. I., Vladymyrova, M. P., & Topor, O. A. (2006). Effect of amber acid on the kidney function in gentamycin-induced nephropathy in white rats. Fiziolohichnyǐ Zhurnal (Kiev, Ukraine : 1994), 52(5), 41-46. Retrieved from www.scopus.com

Hrach, I. I., Hozhenko, A. I., Voǐtenko, A. M., & Dorens'kyǐ, V. S. (1992). The water-electrolyte balance in rats with acute overheating and forced rehydration. [Stan vodno-elektrolitnoho balansu u shchuriv pry hostromu perehrivanni ta forsovaniǐ rehidratatsiï.] Fiziologicheskii Zhurnal, 38(2), 91-96. Retrieved from www.scopus.com

Kalugin, V. A., Gozhenko, A. I., Vetoshnikov, V. S., Belov, M. E., & Grigorishin, P. M. (1989). A method of dynamic teplometry. [Sposob dinamicheskoǐ teplometrii.] Meditsinskaya Tekhnika, (4), 44-47. Retrieved from www.scopus.com

Kiriliuk, M. L., Kukharchuk, A. L., & Gozhenko, A. I. (1990). Effect of destruction of the lateral septal nucleus on renal function. [Vliianie razrusheniia lateral'nogo iadra peregorodki mozga na funktsiiu pochek.] Fiziologicheskii Zhurnal, 36(3), 48-52. Retrieved from www.scopus.com

Krishtal', N. V., & Gozhenko, A. I. (1989). Role of the hypophyseo-adrenal system in regulating the acid-secreting function of the kidneys. [Rol' gipofizarno-nadpochechnikovoǐ sistemy v reguliatsii kislotovydelitel'noǐ funktsii pochek.] Fiziologicheskii Zhurnal, 35(1), 59-62. Retrieved from www.scopus.com

Krishtal', N. V., Gozhenko, A. I., & Gareeva, E. G. (1994). Mechanisms of renal adaptation to disorders of water-electrolyte balance in metabolic acidosis. [Mekhanizmy pochechnoǐ adaptatsii k narusheniiam vodno-élektrolitnogo obmena pri metabolicheskom atsidoze.] Patologicheskaya Fiziologiya i Eksperimentalnaya Terapiya, (3), 42-44. Retrieved from www.scopus.com

Kryshtal, M. V., Hareieva, E. H., & Hozhenko, A. I. (1993). Response and endocrine mechanisms in the kidney effected by sodium chloride. [Reaktsiia nyrok na hostre navantazhennia natriiem khlorydom ta ǐǐ endokrynni makhanizmy.] Fiziologicheskii Zhurnal, 39(5-6), 56-60. Retrieved from www.scopus.com

Kucher, V. I., Terenozhkina, N. P., & Gozhenko, A. I. (1983). Isolation of fractions containing natriuretic hormone from blood plasma and their testing in in vivo and in vitro experiments. [Vuydelenie iz plazmy krovi fraktsiǐ, soderzhashchikh natriǐureticheskiǐ gormon, i ikh testirovanie v opytakh in vivo i in vitro.] Problemy Endokrinologii, 29(3), 47-50. Retrieved from www.scopus.com

Kukharchuk, A. L., & Gozhenko, A. I. (1985). Effect of progesterone on ion-regulating kidney function. Problemy Endokrinologii, 31(2), 55-58. Retrieved from www.scopus.com

Kukharchuk, A. L., Gozhenko, A. I., Lille Yu., E., & Loppe, M. (1992). Effect of prostacyclin and its synthetic analogue MM-706 on renal function in sublimate nephropathy. Experimental and Clinical Pharmacology, 55(5), 36-39. Retrieved from www.scopus.com

Kukharchuk, A. L., Gozhenko, A. I., Lille Yu., E., & Loppe, M. (1992). Influence of prostacycline synthetic analogue on the renal function and the blood aggregate state regulation system in experimental acute renal insufficiency. Gematologiya i Transfuziologiya, 37(9-10), 23-25. Retrieved from www.scopus.com

Kukharchuk, A. L., Gozhenko, A. I., Lille, I. E., & Loppe, M. (1992). The effect of prostacyclin and its synthetic analog MM-706 on kidney function in corrosive sublimate-induced nephropathy. [Vliianie prostatsiklina i ego sinteticheskogo analoga MM-706 na funktsional'noe sostoianie pochek pri sulemovoǐ nefropatii.] Eksperimental"Naia i Klinicheskaia Farmakologiia, 55(5), 36-39. Retrieved from www.scopus.com

Lobenko, A. A., Gozhenko, A. I., Kokhno, I. S., Gul'chenko, I. I., Grinchenko, P. A., & Osipova, E. R. (1996). The rate of healing of an ulcerous defect in the duodenal bulb in relation to the site (based on video endoscopic data). [Skorost' zazhivleniia iazvennogo defekta lukovitsy dvenadtsatiperstnoi kishki v zavisimosti ot lokalizatsii (po dannym videoéndoskopii).] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (10-12), 117-119. Retrieved from www.scopus.com

Lobenko, A. A., Gozhenko, A. I., & Mishchenko, V. V. (1999). Dynamic radiation telethermometry in the diagnosis of acute appendicitis. [Distantsionnaia radiatsionnaia dinamicheskaia teplometriia v diagnostike ostrogo appenditsita.] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (3), 103-106. Retrieved from www.scopus.com

Lobenko, A. A., Gozhenko, A. I., & Vasil'ev, V. A. (1995). The efficacy of metabolic therapy in chronic gastritis with secretory deficiency in flight personnel. [Effektivnost' metabolicheskoi terapii pri khronicheskom gastrite s sekretornoi nedostatochnost'iu u lits letno-pod''emnogo sostava.] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (9-12), 175-179. Retrieved from www.scopus.com

Lobenko, A. A., Gozhenko, A. I., & Vasil'ev, V. A. (1997). The use of otsid in treating patients with chronic gastroduodenitis and duodenal peptic ulcer. [Primenenie otsida v lechenii bol'nykh khronicheskim gastroduodenitom i iazvennoi bolezn'iu dvenadtsatiperstnoi kishki.] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (4), 118-121. Retrieved from www.scopus.com

Lobenko, A. A., Tarabrin, O. A., Zaporozhchenko, B. S., Gozhenko, A. I., & Kiriliuk, A. A. (1998). The method of integral estimation of a functional status of the hemostatic system. [Sposob integral'noi otsenki funktsional'nogo sostoianiia sistemy gemostaza.] Klinichna Khirurhiia / Ministerstvo Okhorony Zdorov'Ia Ukraïny, Naukove Tovarystvo Khirurhiv Ukraïny, (7), 30-32. Retrieved from www.scopus.com

Milkov, B. O., Gozhenko, A. I., & Shamrei, G. P. (1987). Diagnosis of acute appendicitis with the use of remote heat flow meter based on anisotropic thermoelements. Klinicheskaya Khirurgiya, No. 4, 28-29. Retrieved from www.scopus.com

Mishcheriakova, N. G., Klenov, V. A., Sviridova, T. G., Khaǐrullina, A. B., & Gozhenko, A. I. (1995). Effects of vanadium on the physical-chemical properties of peripheral blood erythrocytes in rats. [Izuchenie vliianiia vanadiia na nekotorye fiziko-khimicheskikh svoǐstva éritrotsitov perefericheskoǐ krovi krys.] Voprosy Pitaniia, (1), 24-26. Retrieved from www.scopus.com

Mokienko, A. V., Petrenko, N. F., & Gozhenko, A. I. (2015). Hygienic estimation of biocide actions of ozone at water disinfecting. Water and Ecology, 1, 19-25. Retrieved from www.scopus.com

Nabukhotnyǐ, T. K., Pavliuk, V. P., Gozhenko, A. I., & Kukharchuk, A. L. (1987). Role of breast feeding in providing the newborn infant with thyroid hormones. [Rol' estestvennogo vskarmlivaniia v obespechenii organizma novorozhdennogo gormonami shchitovidnoǐ zhelezy.] Voprosy Pitaniia, (1), 29-31. Retrieved from www.scopus.com

Rakhmanin, I. A., Petrenko, N. F., Mokienko, A. V., & Gozhenko, A. I. (2007). Chlorine dioxide as an agent for optimization of drinking water preparation. Gigiena i Sanitariia, (6), 11-13. Retrieved from www.scopus.com

Rogovoǐ, I. E., & Gozhenko, A. I. (1989). Pathogenetic significance of lipid peroxidation in damage of the proximal segment of the nephron in acute masugi's nephritis. [Patogeneticheskoe znachenie perekisnogo okisleniia lipidov v povrezhdenii proksima'lnogo otdela nefrona pri ostrom nefrite Lindemana-Mazugi.] Fiziologicheskii Zhurnal, 35(5), 18-23. Retrieved from www.scopus.com

Sahach, V. F., Shymans'ka, T. V., Zul'fiharov, O. S., Ovchynnikova, O. H., & Hozhenko, A. I. (1999). The effect of a grape extract on the contractile activity of the myocardium and on the coronary flow of the isolated guinea pig heart. [Vplyv ekstraktu vynohradu na skorotlyvu aktyvnist' miokarda ta koronarnyi potik izol'ovanoho sertsia mors'koï svynky.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 45(5), 117-121. Retrieved from www.scopus.com

Shaplavskiǐ, N. V., Vladkovskiǐ, I. K., Kukharchuk, A. L., & Gozhenko, A. I. (1988). A method of increasing the accuracy of pipetting. [Sposob povysheniia tochnosti pipetirovaniia.] Laboratornoe Delo, (11), 77-78. Retrieved from www.scopus.com

Shukhtin, V. V., Hozhenko, A. I., & Levyts'kyǐ, A. P. (2013). [Pathogenesis of skin injury in immunodeficient rats]. Fiziolohichnyǐ Zhurnal (Kiev, Ukraine : 1994), 59(4), 63-66. Retrieved from www.scopus.com

Terenozhkina, N. P., Kucher, V. I., Gozhenko, A. I., & Ivanov Yu., I. (1987). The effect of natriuretic factor on the electrolyte transport and energy exchange in slices of the rat kidney cortex. Fiziologicheskii Zhurnal SSSR Imeni I.M.Sechenova, 73(8), 1090-1093. Retrieved from www.scopus.com

Vasil'ev, V. A., Lobenko, A. A., & Gozhenko, A. I. (1996). On early diagnosis of metabolic disorders in gastric lining of pilots. Meditsina Truda I Promyshlennaya Ekologiya, (3), [d]38-39. Retrieved from www.scopus.com

Ye Babelyuk, V., Dubkova, G. I., Korolyshyn, T. A., Holubinka, S. M., Dobrovol’S’Kyi, Y. G., Zukow, W., . . . Popovych, I. L. (2017). Operator of kyokushin karate via kates increases synaptic efficacy in the rat hippocampus, decreases C3-θ-rhythm SPD and HRV vagal markers, increases virtual chakras energy in healthy humans as well as luminosity of distilled water in vitro. preliminary communication. Journal of Physical Education and Sport, 17(1), 383-393. 10.7752/jpes.2017.01057

Zaporozhan, V. M., Gozhenko, A. I., & Gerasymova, L. V. (2001). The kiev period of the scientific activities of V. V. pidvysots'kyi. [Kyïvs'kyi period naukovoï diial'nosti V. V. Pidvysots'kogo.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 47(1), 133-138. Retrieved from www.scopus.com

Zaporozhan, V. M., & Hozhenko, A. I. (2000). Clinical pathophysiology: Current status, problems and future development. [Klinichna patofiziolohiia: suchasnyi stan, problemy ta perspektyvy rozvytku.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 46(6), 123-126. Retrieved from www.scopus.com

Zaporozhan, V. M., Hozhenko, A. I., Svirs'kyi, O. O., & Zalins'kyi, O. O. (2000). The hormonal factors regulating water-electrolyte exchange in the pathogenesis of the hemodynamic disorders in pre-eclampsia. [Hormonal'ni faktory rehuliatsiï vodno-elektrolitnoho obminu v patohenezi porushen' hemodynamiky pry preeklampsï.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 46(2), 48-54. Retrieved from www.scopus.com

Zaporozhan, V. M., Nasibullin, B. A., Hozhenko, A. I., & Shapranov, R. A. (2002). Effects of hypogeomagnetic fields on the structural-functional activity of rat cerebral cortex. [Vplyv hipoheomahnitnoho polia na strukturno-funktisonal'ni koreliaty kory holovnoho mozku shchuriv.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 48(3), 16-21. Retrieved from www.scopus.com

Zaporozhan, V. N., Gozhenko, A. I., Dolomatov, S. I., Dolomatova, E. A., Topor, E. A., & Badyin, I. Y. (2004). Renal mechanisms of the osmotic homeostasis maintenance on a background of the salt test.Aviakosmicheskaya i Ekologicheskaya Meditsina, 38(5), 58-59. Retrieved from www.scopus.com

Zaporozhan, V. N., Gozhenko, A. I., Korneenko, T. V., & Dubinina, V. G. (2004). Role of nitric oxide in tumor growth. [Biologicheskaia aktivnost' oksida azota v mekhanizmakh opukholevogo rosta.] Uspekhi Fiziologicheskikh Nauk, 35(1), 66-82. Retrieved from www.scopus.com

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Dzierzanowski, M., Dzierzanowski, M., Wrzecion, K., Słomko, W., Radzimińska, A., Kaźmierczak, U., . . . Zukow, W. (2013). Discopathy of the lumbar-sacral segment and its influence on sexual dysfunction. Advances in Clinical and Experimental Medicine, 22(1), 93-100. Retrieved from www.scopus.com

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Kozina, Z., Sobko, I., Yermakova, T., Cieslicka, M., Zukow, W., Chia, M., . . . Korobeinik, V. (2016). Psycho-physiological characteristics of female basketball players with hearing problems as the basis for the technical tactic training methodic in world level teams. Journal of Physical Education and Sport, 16(4), 1348-1359. 10.7752/jpes.2016.04213

Kul'chyns'kyi, A. B., Kyjenko, V. M., Zukow, W., & Popovych, I. L. (2017). Causal neuro-immune relationships at patients with chronic pyelonephritis and cholecystitis. correlations between parameters EEG, HRV and white blood cell count. Open Medicine (Poland), 12(1), 201-213. 10.1515/med-2017-0030

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Sataieva, T., & Zukow, W. (2014). The respective effects of ethyl alcohol and grape polyphenols upon the morphological index of rat kidneys. Central European Journal of Medicine, 9(6), 866-869. 10.2478/s11536-013-0326-7

Babelyuk, Ye.V., Dubkova, G. I., Korolyshyn, T. A., Holubinka, S. M., Dobrovol’S’Kyi, Y. G., Zukow, W., . . . Popovych, I. L. (2017). Operator of kyokushin karate via kates increases synaptic efficacy in the rat hippocampus, decreases C3-θ-rhythm SPD and HRV vagal markers, increases virtual chakras energy in healthy humans as well as luminosity of distilled water in vitro. preliminary communication. Journal of Physical Education and Sport, 17(1), 383-393. 10.7752/jpes.2017.01057

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