International journal of exercise science最新文献

Morphologic Achilles tendon properties obtained via diagnostic ultrasound imaging are valuable in understanding Achilles tendon health and injury. Currently, limited information exists regarding Achilles tendon morphological properties amongst active aging adults based upon Victorian Institute of Sport Assessment (VISA-A) scores. Achilles tendon morphologic properties defined by VISA-A score groupings allow clinicians and researchers to compare data values amongst current patients. Purpose: Comparison of physically active aging adults Achilles tendon morphological properties with various VISA-A scores or a previous Achilles tendon rupture. A convenience sample of 121 participants (71 females, 50 males) at least moderately active and 50 years old, were recruited. Participants completed a VISA-A survey, and assigned groups by scores (Group 1: 90-100, Group 2: 70-89, Group 3: 45-69, Group 4: Previous Achilles tendon tear). Achilles tendon ultrasound imaging occurred at the malleolar line (The apex of the medial and lateral malleolus). Following imaging Achilles tendon cross-sectional area (CSA), thickness, and elastography were measured and analyzed. Participants with a previous Achilles tendon rupture displayed significantly larger tendon CSA and thickness compared with other groups (p<0.05). Individuals with VISA-A scores from 45-69 displayed significantly larger tendon CSA and thickness than participants with scores greater than 90 (p<0.03). No significant differences were noted for elastography between groups (p>0.05). Achilles tendon morphological differences exist based upon pain level in physically active aging adults. Diagnostic ultrasound may be used during assessment and rehabilitation of injured tendon tissue to inform about current tendon tissue properties.

The purpose of this study was to investigate the effect that mental fatigue, as induced by a Stroop test, has on resistance training performance outcomes such as muscular endurance, power output, and neuromuscular activation. Seven female college-aged NCAA Division III student-athletes with at least one year of resistance training experience and were within the 50th percentile for maximal aerobic capacity provided informed consent for participation. During two separate visits, using a within-subject crossover experimental design, subjects completed either the experimental or control condition. Subjects then completed a to-failure leg press test at 50% of their 1-repetition maximum (1RM) followed by an isometric midthigh pull (IMTP) attempt with electromyography (EMG) analysis. The experimental condition consisted of a 30-minute Stroop test, while the control condition consisted of watching 30 minutes of a sitcom. Both activities were completed while cycling at 40% of their aerobic capacity. A NASA Task Load Index (TLX) inventory was administered following the completion of each cycling session to determine the perceived workload and mental fatigue of each activity. While the mentally fatiguing condition was significantly more mentally fatiguing (p = 0.02) than the control condition, mental fatigue did not statistically affect any of the evaluated performance outcomes (p>0.05). These findings suggest that mental fatigue, a common symptom of psychological stress, does not affect resistance-training-related performance outcomes among female athletic populations.

The aim of this study was to compare the warm-up effects of a treadmill walking warm-up (TW) with a dynamic warm-up (DW) on the responses to cardiopulmonary exercise testing (CPET) in youth. A sample of 16 active youth (age 13.6 ± 1.8 yr) were tested for peak oxygen uptake (VO₂ peak) using the Fitkids treadmill test protocol on 2 nonconsecutive days following different 6-min warm-up procedures. The TW consisted of walking on a treadmill at 2.2 mph and 0% grade whereas the DW consisted of 12 bodyweight exercises with a 2 kg medicine ball. Maximal heart rate (HR) was significantly higher following DW vs TW (200.8 ± 6.16 vs. 197.9 ± 7.3 bpm, respectively; p < 0.05), whereas no significant differences were found between DW and TW for VO₂ peak (50.5 ± 9.9 vs 50.6 ± 11.1 ml/kg/min), maximal minute ventilation (V_E; 93.0 ±21.4 vs. 92.7 ±21.2 L/min), maximal respiratory exchange ratio (1.19 ± 0.08 vs 1.22 ± 0.08), and total exercise test time (668.1 ± 103.5 vs 686.3 ± 97.0 s), respectively. During the Fitkids treadmill test protocol HR and V_E were significantly higher following DW vs TW at stage 1, stage 2, stage 3 and stage 4, and oxygen uptake was significantly higher following DW vs TW during stage 1 (all p < 0.05). Findings indicate a DW elicits a higher maximal HR and higher submaximal HR, V_E, and oxygen uptake values than TW during CPET in youth, although no differences in VO₂ peak were observed.

Understanding the Relative Age Effect (RAE) in female volleyball can provide a deeper insight into potential developmental advantages and selection biases between playing positions and volleyball-related performance characteristics. This study aimed to investigate the occurrence of the RAE in adolescent female volleyball players according to the playing position and the possible differences in anthropometric and performance characteristics between the relative age groups. The study involved 193 young female volleyball players from 12 different regions and 108 sports clubs from all over Greece, with an average age of 14.53 ± 0.31 years, height of 1.67 ± 0.07 m, weight of 57.20 ± 9.10 kg, and body mass index (BMI) of 20.34 ± 2.50. RAE was identified by the birth quarter of each player, categorizing thus the total sample into four sub-groups: Q1 (January-March), Q2 (April-June), Q3 (July-September), and Q4 (October-December). Anthropometrics, upper and lower limb power, agility, flexibility, and trunk strength were also assessed. The distribution of volleyball players differed significantly across birth quarters (34.19% of Q1, 25.9% of Q2, 22.79% of Q3, 17.09% of Q4; χ² = 11.788, p = 0.008). Analysis revealed no significant association between birth quarter and playing position (χ² = 11.314, p = 0.730). Present study's results indicated no RAE in young female volleyball players regarding their playing position. Also, performance tests did not differ significantly among the RAE groups. Moreover, despite athletes' early specialization based on assigned playing positions, no differences in athletes' position-related performance characteristics were observed. These findings suggest that interventions to mitigate RAE should be considered to ensure equitable development opportunities across all playing positions.

Current law enforcement body drag tests may use dummy masses that are underweight compared to current population norms. This study aimed to determine differences in 74.84-kg and 90.72-kg body drag times when performed with a standard (pick up and stand with dummy prior to dragging), adapted (incorporation of time to lift dummy to standing), and preferred (drag with any technique) technique. Forty-three (24 males, 19 females) physically-active, healthy civilians (surrogate population for police recruits) completed drags over 9.75 m with 74.84-kg and 90.72-kg dummies using the three techniques previously stated. A 2 (mass) × 3 (technique) within-factorial ANOVA (p < 0.05), with Bonferroni post hoc, derived any dummy and technique differences. Thirty-five participants completed all the standard and adapted drags; all participants completed the preferred drag. There were significant main effects for dummy mass (F _(1,34) = 14.762, p < 0.001) and technique (F _(2,33) = 23.272, p < 0.001). Participants dragged the 74.84-kg dummy faster than the 90.72-kg dummy. The standard drag was completed faster than the adapted and preferred drags (p < 0.001). The adapted drag was completed faster than the preferred drag (p = 0.024). Even if a recruit is assessed with a lighter dummy, they need the capacity to perform heavier drags in the field. Activity-specific strength training during academy could aid this process. Though the time was slower, the adapted technique may offer information the standard technique does not as it includes the lifting portion of the drag. The preferred technique allowed all participants to complete the task, which could influence the drag techniques allowed if agencies increase testing dummy masses.

The objective of this study was to investigate the effectiveness of Simulated Equestrian Therapy and Neuro-Motor Therapy in improving Motor Proficiency among Down syndrome children using a double-blinded Randomized Controlled Trial. This study was conducted at Dar-ul-Sukun Institute and Dr. Ziauddin Hospital from April to September 2023 by enrolling a total of 56 participants with Down syndrome (DS) after obtaining informed, voluntary assent from the guardians of the participants. Each participant was allocated randomly to the treatment group (n = 28) that received Simulated Equestrian Therapy (SET) and the control group (n = 28) that received Neuro-motor Therapy (NMT) using the envelop method of simple random sampling. The participants and their guardians were blind to the allocations. Participants' blood pressure and heart rate were recorded before and after each session to ensure safety. Each participant was assessed at baseline and after 6^th and 12^th week of intervention using Bruinink's test of motor proficiency (BOT-2). The data was analyzed using Medcalc software. The results reveal significant findings for improving motor proficiency after 12^th week of intervention of SET and NMT. No protocol was found to be superior to another in improvement of the tested parameters. Hence, our study concludes that SET and NMT effectively improve motor proficiency among DS children. However, studies with a follow-up period should be conducted to further evaluate these therapies' long-term benefits.

In recent years, innovative technologies have gained prominence in stroke patient rehabilitation worldwide, with virtual reality-based mirror therapy (VRBMT) emerging as a notable example. Hence, the present study aims to determine the efficacy of VRBMT on upper extremity motor function, manual performance, and gross manual dexterity among stroke patients. The systematic search utilized Population, Intervention, Comparison, Outcome, and Design (PICOD) paradigm, and the study searched was based on 2012-2023, utilizing different databases. The meta-analysis data was evaluated using MedCalc version 18.11.3. The Pooled effect size mean was statistically examined using a fixed and random effect model. Among the 6 studies selected, 4 studies involving upper-limb stroke patients were identified between the VRBMT. Pooled analysis of VRBMT revealed no significant effect on motor function [standardized mean difference (SMD) 0.815; 95% CI 0.00 to 81.37; P = 0.5562]. The remaining 2 of 6 studies participated in the study of the manual performance stroke patients (SMD 0.869; 95% CI 0.00 to 93.22; P = 0.0684). The pooled analysis of VRBMT revealed no significant effect. The last 2 of 6 included studies on gross manual dexterity in stroke. The pooled analysis also showed no significant effects on VRBMT (SMD 0.198; 95% CI 0.00 to 0.00; P = 0.6951). The present study concluded although VRBMT exhibits potential as a novel method for stroke rehabilitation, its effects on gross manual dexterity, manual performance, and upper extremity motor function are not statistically significant may be due to a limited number of studies on VRBMT in stroke patients.

Extreme postures and imbalances in neuromuscular activity may place classical ballet dancers at higher risk of injury. Dance studio mirrors provide visual feedback by which a dancer can self-correct their body position and alignment, but have been suggested to negatively impact kinesthetic abilities and decrease performance capabilities. Thus, we investigated the effects of a mirror on muscle activity of the quadriceps, heart rate (HR), rating of perceived exertion (RPE), and qualitative performance. A lack of visual feedback would increase muscle activity of the quadriceps, HR, and RPE, and decrease self-reported perception of technical quality. 10 female participants completed a single leg balance, an adagio, and a jump task twice - once in each condition. Muscle activity of the vastus lateralis (VL) and vastus medialis oblique (VMO), as well as HR and RPE were assessed during each combination. Qualitative performance was assessed with an exit survey. No significant differences were found between conditions for RPE or HR in all three tasks (RPE: Balance p = 0.468, Adagio p = 0.191, Jumps p = 0.769; HR: Balance p = 0.409, Adagio p = 0.424, Jumps p = 0.244). No significant differences were found between conditions/tasks for peak, mean, and RMS sEMG. Dancers significantly ranked their artistic expression lower in a non-mirror condition (p = 0.018, Cohen's d = 0.775). No differences in muscle activity of the VMO and VL or vital signs of fatigue were found. Psychological implications of visual feedback, including dancer's perceived decrease in artistic expression without a mirror present, should be further explored in future studies.

Neuroplasticity is an essential mechanism by which the nervous system shapes and adapts according to functional requirements. Evidence suggests that physical exercise induces a cascade of cellular processes that favours brain plasticity. The Brain Derived Neurotrophic Factor (BDNF) is a neurotrophin closely linked to neuroplasticity that can be increased due to exercise. To verify the effects of therapeutic exercise on neuroplasticity and/or peripheral BDNF levels in neurological conditions in adults, such as stroke, Parkinson's and Alzheimer's diseases and mild cognitive impairment and address its clinical relevance in the treatment of neurological dysfunctions. A systematic review was carried using PUBMED, Web of Science and Scopus databases. Inclusion criteria were: randomized controlled trials or pilot studies; humans with age > 18 yrs with neurological condition; English language; score ≥ 6 in PEDro Scale (moderate to high quality). Reviews, meta-analyses and other articles that did not meet the criteria were excluded. The PRISMA methodology was applied for studies' selection. A total of 9 studies were selected for a systematic and comprehensive analysis. According to these studies, moderate to high intensity aerobic exercise (AE), increases the level of peripheral BDNF and positively influences functional gains in neurological conditions. Larger outcomes are observed in protocols with minimum session duration of 30 minutes, frequency of 3 times/week and intervention duration of 4 weeks. Current evidence shows that moderate to high intensity AE induces neuroplasticity in neurological patients, thus being a fundamental therapeutic strategy to include in interventions aiming to repair/delay neurological dysfunctions.

Approximately half of military recruits fail the Army Physical Fitness Test (APFT), and 70% of all injuries in the US military are musculoskeletal in nature. The purpose of this study was to investigate whether underdeveloped musculoskeletal and cardiovascular fitness levels and subsequent APFT scores of senior military college cadets could be improved by a novel, evidence-based Cadet Athlete Physical Training Intervention (CAPTI) compared to the current Remedial Physical Training program (RPT). Cadets failing the APFT (total score < 180, or < 60 in scored sit-ups, pushups or run time, respectively) participated in a 16-week remedial training program including either CAPTI (periodized full body calisthenic and varied-technique cardiovascular training, along with mobility training and mental health and wellbeing sessions), or a traditional, event-specific remedial training program (RPT). CAPTI was randomly assigned to one of three battalions, while the others received RPT. One hundred and thirty-eight cadets (n = 70 CAPTI, n = 68 RPT) participated in the study. After training, 82.9% (n = 58) of CAPTI passed the APFT compared to 27.9% (n = 19) of RPT. Paired t-tests demonstrated significant improvement (p < 0.01) for CAPTI in total APFT scores (42 ± 31.5 points), sit-ups (13.8 ± 9.4) pushups (6.5 ± 11) and run time (83 ± 123s). In RPT, significant improvements (p < 0.01) were noted in total APFT scores (16 ± 27.8), sit-ups (3.3 ± 6.7) pushups (3.69 ± 8.0) and run time (43 ± 127s). Between-group analyses demonstrated CAPTI had significantly higher improvements compared to RPT in APFT total score (p < 0.01) and sit-ups (p < 0.01). Higher perceived program enjoyment was also demonstrated for CAPTI when compared to RPT (P < 0.01). The CAPTI program could help address the military's physical readiness and musculoskeletal injury problem by incorporating evidence-based, wellness-focused, periodized training as part of a remedial physical training model.