International journal of sports medicine最新文献

This study investigates the biomechanical adaptations of the longitudinal arch (LA) in long-distance runners, focusing on changes in stiffness, angle, and moment during a 60-minute run. Twenty runners participated in this experiment, and were asked to run at a speed of 2.7 m·s^-1 for 60 minutes. The kinematic and kinetic data collected at five-minute intervals during running were calculated, including the stiffness of LA in the loading phase (k _load ) and the stiffness of LA in the unloading phase (k _unload ), the maximum LA moment (M _max ), the range of LA angle change (∆θ _range ), and the maximum LA angle change (∆θ _max ). Foot morphology was also scanned before and after running. Variations of kinematic and kinetic data were analyzed throughout the running activity, as well as variations of foot morphology pre- and post-run. Results showed that there was a significant decrease in k _load (p<0.001), coupled with increases in ∆θ _range (p=0.002) and ∆θ _max (p<0.001), during the first 15 minutes of running, which was followed by a period of mechanical stability. No differences were found in k _unload and M _max throughout the running process and the foot morphology remained unchanged after running. These results highlight a critical adaptation phase that may be pivotal for improving running economy and performance.

Running performance is crucial for triathlon performance. However, the prior bout of cycling may affect the running split time. This study compared the triathletes' cycling plus running (C+R) time, when cycling was performed at three different intensities and running was maximal. A total of 38 athletes (21 males and 17 females) were included. Body composition, maximal oxygen uptake, and functional threshold power (FTP) was evaluated. The participants visited the laboratory three times to cycle 20 km at 80%, 85%, or 90% FTP (in randomized order) and run 5 km as fast as possible. Males ran faster after cycling at 80% FTP than after cycling at 90% FTP (mean difference=35.1 s; CI% 2.2, 68.1 s; p=0.035). The C+R time was faster when cycling at 90% FTP than at 80% FTP (mean difference=57.7 s; CI% 26.1, 89.3 s; p<0.001). For females, no significant difference was observed in the running time after cycling at 80%, 85%, or 90% FTP. The C+R time was faster when cycling at 90% FTP than at 80% FTP (mean difference=80.9 s; CI% 29.7, 132.1 s; p=0.002). In conclusion, to optimize triathlon performance, male and female athletes should cycle at a minimum of 90% FTP.

Shoulder horizontal abduction exercise in the prone position is effective for strengthening the lower trapezius muscle. However, this exercise is difficult for patients with acute pain or those undergoing initial rehabilitation because of the postural characteristics of the exercise. This study aimed to (1) investigate the effect of a shoulder horizontal abduction exercise when performed with a different amount of shoulder rotation on the trapezius muscle activation and scapular anterior/posterior tilt angle and (2) evaluate the effect of shoulder rotation on the acromiohumeral distance while sitting. Fifteen healthy men performed shoulder horizontal abduction exercise in three shoulder positions (internal rotation, neutral rotation, and external rotation). During exercises, we measured trapezius muscle activity using an electromyography system and scapular anterior/posterior tilt angle using an inclinometer application. We also measured the acromiohumeral distance using real-time ultrasonography before the exercises. Increases in lower trapezius and middle trapezius muscle activities and a decrease in scapular anterior tilt occurred in shoulder external rotation compared with other positions (p<0.001). Shoulder external rotation also significantly increased acromiohumeral distance in the sitting position (p<0.05). We propose that shoulder external rotation effectively and safely increases middle and lower trapezius muscle activities during the sitting shoulder horizontal abduction exercise.

In soccer, roles and substitutions can make it unclear how different physical capacities decrease over time and impact performance. This investigation aimed to analyze kinematic parameters and their changes over game time, and provide information to effectively prescribe training programs. Data from four professional teams were analyzed, and all the teams competed in the Italian First Division (Serie A). Average metabolic power and high-intensity activities associated with critical moments in the match were considered in the comparisons. The video analysis system STATS SportVU collected the data during official matches. Players were assigned to a specific group according to their time played, categorized as follows: 0-15', 15-30', 30-45', 45-60', 60-75', 75-90', and > 90 min. Different roles, including forwards and wingers (FW), midfielders (MF), center-backs (CB), and side-backs (SB) were also considered. Significant differences (p<0.05) were found in different roles and within roles at different times played. The results highlighted how MF performance decreased over time, whereas CB was unaffected by time. SB spent more time at very high velocity than other roles, independently from the time played. These findings provide valuable information about the physical demands of official soccer matches and could be used to review training prescriptions.

The purpose of this study was to compare the effects of dry needling (DN) intervention on the responses of muscle tone, stiffness, and elasticity, as well as power, pressure pain thresholds, and blood perfusion of the flexor carpi radialis muscle in mixed martial arts (MMA) athletes. Thirty-two trained/developmental men MMA fighters (25.5±4.5 years; 24.5±3 body mass index) participated in a randomized crossover study. Participants underwent a single intervention, receiving both DN and placebo. Laser Doppler flowmetry measured blood perfusion, while a myotonometer assessed the mechanical characteristics of muscle tone, stiffness, and elasticity of the flexor carpi radialis muscle. Pressure pain thresholds (PPT) were measured using an algometer, and maximal forearm muscle force was measured using a hand dynamometer. Outcomes were assessed at baseline, immediately after, and 24 hours and 48 hours post-intervention. A two-way repeated-measures ANOVA revealed significant Intervention*Time interaction for all outcomes: perfusion unit (p<0.001), muscle tone (p<0.001), stiffness (p<0.001), elasticity (p<0.001), PPT (p<0.001) and maximal forearm muscle force (p<0.001). The current study suggests that a single session of DN enhances muscle recovery, increases muscle strength, and improved PPT in MMA athletes. These positive adaptations appear to last up to 48 hours in some variables.

The aim of the study is to examine relationships between shoulder extension-flexion and internal-external rotation strength of professional male handball players with throwing velocity, and the hip extension-flexion strength with horizontal and vertical reactive strength index. Fifteen professional male handball players participating in 1^st League matches took part in the study. The results showed that isometric shoulder flexion and extension strength significantly predicted stable throwing velocity (r²=between 0.27-0.73) and dynamic throwing velocity (r²=between 0.30-0.62). In addition, isometric internal and external rotation strength significantly predicted stable throwing velocity (r²=between 0.32-0.54) and dynamic throwing velocity (r²=between 0.31-0.44). Moreover, isometric hip extension and flexion strength significantly predicted vertical reactive strength index (r²=between 0.31-0.45) and horizontal reactive strength index (r²=between 0.26-0.42). In conclusion, it was observed that shoulder strength has an enhancing effect on handball players' throwing velocity, while hip strength is a determining factor for the reactive strength index. In this context, it is assumed that shoulder weakness during throwing will affect the accuracy and velocity of throwing by disrupting the angular momentum, while weakness in the hip during the jump phase of the throwing motion will negatively affect the explosive power by limiting stabilization during landing.

Emerging evidence suggests that resistance training (RT) can mitigate respiratory muscle weakness in hemodialysis (HD) patients. However, the underlying mechanisms responsible for these beneficial effects remain unclear. The purpose of this study was to assess the impact of periodized RT on respiratory muscle strength and its relationship with handgrip strength (HGS), fat-free mass (FFM), nitric oxide (NO), and interdialytic weight gain (IWG) in HD patients. Thirty-three patients were randomly assigned to two groups: control (CTL; n=18) and RT (n=15). The RT group did not perform any additional exercise training specific to the respiratory tract. Maximal inspiratory (MIP) and expiratory (MEP) pressures, peak expiratory flow (PEF), HGS, FFM, NO, and IWG were measured before and after the intervention period. Participants in the RT group engaged in a 24-week RT program, three times per week. RT resulted in significant improvements in MIP, MEP, PEF, as well as enhancements in HGS, FFM, NO, and IWG (p<0.05). Notably, inverse correlations were observed between MIP (r=-0.37, p=0.03) and PEF (r=-0.4, p=0.02) with IWG. Thus, the amelioration of HGS and FFM coincided with a reduction in respiratory muscle weakness among HD patients. Decreased IWG and increased circulating NO are plausible mechanisms contributing to these improvements.

The present study assessed the impacts of two distinct protocols, static stretching (StS, 4 sets of 30 seconds) and static stretching combined with conditioning contractions (10 repetitive drop jumps) (SC), on neuromuscular response and rate of force development (RFD) in the lower limbs during squat jumps (SJs) at varying initial knee-joint angles (60°,90°,120°). Twelve participants completed three randomized experimental trials (no intervention, StS intervention, and SC intervention). Except for the intervention segments, each trial included standardized warm-ups and SJs at three different angles. Data were collected using a 3-dimensional injury motion capture system, an electromyography (EMG) recording system, and a force platform. The collected EMG data were subjected to amplitude calculations, while force-time data were used for RFD computation. Neither StS nor SC significantly impacted the average or peak EMG amplitudes of the five muscles examined (p>0.05). However, at an initial knee-joint angle of 120°, the StS group demonstrated significantly lower RFD values at three distinct phases (0-50 ms, 50-100 ms, and 0-peakforce) compared to those seen in the SC and control groups (p<0.05). For activities starting with a knee-joint angle of 120°, it is recommended to either avoid StS or combine it with ten repetitive drop jumps to mitigate any potential negative impact on explosiveness.

It is well known that cardiometabolic dysfunction gradually increases after menopause, and the sedentary lifestyle can aggravate this condition. Therefore, we compared the effects of aerobic exercise training during the premenopausal period and after ovariectomy (OVX) on metabolic, hemodynamic, and autonomic parameters in an experimental rat model of menopause. The female rats were divided into four groups: control (C), sedentary OVX (SO), trained OVX (TO), and previously trained OVX (PTO). The PTO group was trained for 4 weeks prior to+8 weeks after OVX, and the TO group trained only after OVX on a motor treadmill. Autonomic modulation was evaluated, white adipose tissue (WAT) was removed and weighed, and lipolysis was assessed. The citrate synthase activity in the soleus muscle was analyzed. The trained groups prevented the impairment of baroreceptor reflex sensitivity in relation to SO; however, only PTO reduced the low-frequency band of the pulse interval compared to SO. PTO reduced the weight of WAT compared to the other groups; lipolysis in PTO was similar to that in C. PTO preserved muscle metabolic injury in all types of fibers analyzed. In conclusion, this study suggests that exercise training should be recommended in a premenopausal model to prevent cardiometabolic and autonomic menopause-induced deleterious effects.