Journal of Functional Morphology and Kinesiology最新文献

Objectives: Pilates is frequently recommended for patients with Chronic Nonspecific Low Back Pain (CNLBP) due to its potential to enhance posture, muscle strength, trunk flexibility, and stability. However, to date, there is no robust evidence supporting the effectiveness of Pilates in managing CNLBP. This study aimed to assess the effects of 8 × 8 Pilates Matwork core exercises on pain and functioning in middle-aged adult women with CNLBP, through a flexion relaxation phenomenon (FRP) analysis. Methods: We included middle adult women (n = 21) with diagnosis of CNLBP and a Numeric Rating Scale (NRS) > 4. The experimental group underwent a treatment of eight Pilates Matwork sessions, biweekly for 4 weeks, lasting about 40 min. The control group underwent standardized exercises used for managing CNLBP. Outcome measures included NRS, Oswestry Disability Index (ODI), Quebec Back Pain Disability Scale (QBPDS), and the FRP ratio via surface electromyography during trunk maximum flexion. We evaluated the participants at the baseline (T0), at the end of the 4-week treatment (T1), and at 4 weeks after the end of the treatment, at 8 weeks from the baseline (T2). Results: In this pilot RCT, 21 middle-aged adult women affected by CNLBP were randomly allocated with a ratio of 1:1 in the Pilates group, and in parallel in the control group. The experimental group showed a significant improvement in ODI and QBPDS scores compared to the control group, maintained at follow-up for ODI, along with an NRS reduction at T2. About FRP, Pilates has proven to be comparable to conventional treatment, showing no significant difference in FRR at T1 and T2. Only the experimental group exceeded the 9.5 cutoff at T2, as a protective predictive index for CNLBP. Conclusions: This pilot RCT provided preliminary evidence that Pilates might be an effective rehabilitation method, enhancing functioning and pain management in middle-aged adult women affected by CNLBP. The FRP study proves to be efficient in translating clinical assessments into rehabilitation assessment measures.

Background: Visual search supports action planning and target selection in daily life. Despite toileting being frequent yet high-risk in rehabilitation, gaze analyses specific to toileting remain limited. This study quantified visual search behavior during the approach phase of toileting. Methods: Twenty inpatients aged 65 years or older in a convalescent rehabilitation ward participated in the study. At the time of hospital admission, their gaze behavior from toilet room entry to arrival at the bowl was recorded using an eye tracker (Tobii Pro Glasses 2). Moreover, we evaluated a toilet-functional independence measure (toilet-FIM), comprising toileting, toilet transfer, and locomotion at discharge. Results: In multiple regression, a longer total gaze time directed towards the toilet seat was associated with a greater toilet-FIM independence (β = 0.446), whereas prolonged gaze to the toilet rim (β = -0.839) and to the right handrail (β = -0.621) were related to lower independence (adjusted R² = 0.715). Conclusions: A toilet seat-oriented gaze implies effective action planning for safe sit-down, whereas toilet rim- or handrail-oriented gazes may reflect responses to visual salience or compensatory visual strategies related to reduced independence. These observations could improve our understanding of older patients' motor planning and spatial perception in toileting.

Objectives: The aim of this study was to analyze the utilization of the EO SwimBETTER^® (EoLab, Sydney, Autralia) device for measuring kinetic and kinematic variables during 50 m and 200 m freestyle trials. Methods: Ten swimmers (seven males and three females, 20 ± 3.5 years) participated. Each completed three sets of 50 m using EO SwimBETTER^® on non-consecutive days, with a 200 m test performed during the third session after recovery to complete the Critical Swim Speed Test (CSS-T). All tests were conducted at maximal intensity. Results: The results showed high reliability for both kinetic and kinematic parameters. Regarding validity, the EO SwimBETTER^® demonstrated strong agreement with the reference device in measuring stroke frequency (SF). In addition, higher mean force values were found in the 50 m compared with the 200 m trial (Δ% = 8.75%, p = 0.099), suggesting sensitivity of the device to different exertion demands. Conclusions: Based on these findings, the EO SwimBETTER^® appears to be a useful and promising tool for monitoring technical and performance-related variables in swimming, although further research is needed.

Background: Muscle and bone show reciprocal interactions and are associated in a muscle-bone unit. The muscle-bone unit has been investigated to a very limited extent in soccer players. The objective of this work was to investigate in detail the muscle-bone unit in male youth elite soccer players. Methods: Bone mineral and lean mass were measured with dual-energy X-ray absorptiometry (DXA). The functional muscle-bone unit (fMBU) and the muscle-to-bone ratio (MBR) were calculated from the DXA output in a sample of players aged 14-19 (n = 193) playing in the youth squads of an Italian Serie A team. Results: Statistically significant (p < 0.05) correlations were found between lean mass variables and bone mineral content and density, also after adjusting for age, body mass, stature, maturity, and ethnicity (White/Black). fMBU and MBR were statistically significantly associated with age, body mass, stature, maturity, and ethnicity. Linear regression showed that body lean mass was the strongest predictor for bone mineral content and density. Age was a statistically significant predictor for fMBU and MBR. Playing position did not show any statistically significant relationship with bone mineral content and density, as well as fMBU or MBR. Centiles for fMBU and MBR were calculated as a reference. Conclusions: This work is the first detailed characterization of the muscle-to-bone relationship in soccer players. It is expected to be of use for sport scientists and the wide community of sportsmen and professionals involved in soccer.

Background: Visual, vestibular, proprioceptive and cutaneous sensory information is important for postural control during quiet stance. When the reliability of one source of sensory information used to detect self-motion for postural control is reduced, there may be a reweighting of inputs within and/or across the remaining sensory systems determining self-motion for postural control. Muscle vibration, which creates an illusion of muscle stretch and a compensatory movement to shorten the vibrated muscle, may be used to determine the weighting of muscle spindle Ia proprioception in postural control. The objective of this study was to determine the effect of vision occlusion on triceps surae (TS) Ia proprioceptive weighting in postural control during quiet stance, utilizing an 80 Hz muscle vibration stimulus and a quantitative measure of the body's anterior to posterior ground center of pressure (COP) response to TS muscle vibration in subjects standing freely. Methods: Subjects (N = 41; mean (standard deviation), 19.6(2.0) years) were examined as they stood with eyes open (EO) or eyes closed (EC). Ground COP was measured during quiet standing with and without bilateral vibration of the TS muscles. Results: The mean backward COP shift induced by TS vibration was significantly greater during the EC condition compared to EO (EC: -4.93(1.62) centimeters; EO: -3.21(1.33) centimeters; p = 6.85 × 10^-10; Cohen's d = 1.29). Thirty-seven subjects increased, and two subjects decreased their vibration-induced COP backward shift in the EC condition compared to EO, although the magnitude of the change varied. Conclusions: The results support the idea that, for most young subjects, there is an increased triceps surae Ia proprioceptive weighting for postural control during EC stance, possibly due to the need for postural control to depend more on non-visual feedback.

Background: Accurate assessment of aerobic capacity is essential for performance monitoring in masters athletes, particularly in high-intensity team sports. The objective of this study was to evaluate the validity and agreement of three indirect maximal oxygen uptake (VO₂max) protocols (Åstrand-Ryhming, YMCA, and Polar OwnIndex Fitness test) against the gold-standard cardiopulmonary exercise testing (CPET) in masters basketball players. Methods: A cross-sectional comparative study included 50 male masters basketball players (aged 51-81 years, M = 64.3 ± 7.9). Validity was determined by comparing results from the three indirect protocols to direct VO₂max measurement via CPET. Agreement was assessed using Pearson correlations (r), systematic error, mean absolute error (MAE), and Bland-Altman limits of agreement. Results: The Åstrand-Ryhming test and YMCA tests showed the closest agreement with CPET (systematic error < 4%, MAE ≈ 17-18%, r > 0.50). The Polar OwnIndex test substantially overestimated VO₂max (mean error ≈ 30%, MAE = 32%). The Åstrand-Ryhming test at low workload yielded the strongest correlation (r = 0.75). Conclusions: The Åstrand-Ryhming and YMCA submaximal tests demonstrated acceptable validity and low systematic bias for estimating VO₂max in masters basketball players, positioning them as practical alternatives to CPET. Conversely, the Polar OwnIndex test showed poor agreement and clinically significant overestimation. These findings support the use of submaximal cycling protocols for fitness monitoring and tailored training prescription in this specific older athlete population. Future longitudinal research is warranted to confirm their ability to track fitness changes over time in this population.

Background: Climbing and strength training are among the most popular types of sports among recreational athletes. However, many newcomers quickly lose motivation and abandon training due to a lack of visible and athletic progress. Hence, we assessed whether a 6-week combined structured gym and climbing training could improve arm muscle strength and size. Methods: We recruited 25 healthy recreational athletes (14 [56.0%] females, age = 20.4 ± 1.7 years, BMI = 21.8 ± 1.7 kg·m^-2). Most participants trained several times per week (N = 12, 48.0%), and training sessions lasted between 1 and 2 h (N = 11, 44.0%). Most athletes rated their current fitness level as "very good" (N = 15, 60.0%). Subjects performed two gym sessions and two climbing training sessions per week and avoided other training for 6 weeks. We measured the time of bar hang, handgrip strength, and forearm circumference before and after 6 weeks. Results: Hanging time increased from 55.3 ± 3.2 s to 60.9 ± 31.3 s (t(24) = 6.68, p < 0.001). Right handgrip strength increased from 31.6 ± 8.4 N to 34.3 ± 7.6 N (t(24) = 5.58, p < 0.001). Left handgrip strength increased from 29.4 ± 9.9 N to 31.0 ± 9.8 N (t(24) = 4.62, p < 0.001). Right forearm circumference increased from 24.6 ± 1.5 cm to 25.4 ± 1.7 cm (t(24) = 9.04, p < 0.001). Left forearm circumference increased from 24.6 ± 2.0 cm to 25.1 ± 2.1 cm (t(24) = 5.94, p < 0.001). All the relationships remained significant when stratified between males (p < 0.001-0.003) and females (p < 0.001-0.008). Conclusions: A 6-week training intervention consisting of structured climbing and strength training induces significant improvements in grip strength and the appearance of arm muscles in recreational athletes. Amateurs could benefit even from shorter training mesocycles, as a 6-week window to see visible progress.

Background: Aerobic and resistance training have acute effects on blood pressure (BP) in peripheral arterial disease (PAD). However, the combined effect of both exercises in a single session is still unknown. The aim of this study was to analyze the effects of a single exercise session combining walking and circuit-based training on BP in patients with PAD. Methods: Participants with PAD (n = 13; 65.0 ± 10.2 years; 76.9% male) underwent a supervised exercise therapy (SET) intervention (312 sessions, 24 sessions/patient) that included 15-30 min of walking, followed by 15 min circuit-based training. Clinic systolic (SBP) and diastolic (DBP) were recorded 5 min before and after each exercise session. Longitudinal changes were analyzed using repeated-measures analysis of variance (ANOVA) and categorical changes in blood pressure levels were evaluated with chi-square tests. Results: After each exercise session, clinic SBP decreased 4.87 mmHg (p < 0.001) and clinic DBP decreased 2.11 mmHg (p < 0.001). Furthermore, there were no differences between the initial stage of training (1-10 sessions) and late (14-24 sessions) for each time that SBD or DBP were measured. Conclusions: After an acute exercise session, both clinical SBP and DBP decreased in patients with PAD compared to pre-exercise values. However, no additional reductions in clinical BP were observed when comparing early (sessions 1-10) and late (sessions 14-24) stages of the full SET intervention.

Objectives: This research paper proposes an innovative framework for developing adaptive and dedicated rehabilitation strategies based on the perceptions of specialists in sports rehabilitation (RT), sports training (AR) and with mixed expertise (RT+AR) regarding advanced resistance training methods, including Effort-Based Training (EBT-3/7), Cluster Training (CT), Rest-Pause Training (RPT) and Post-Activation Potentiation (PAP). The aim of this paper was to develop a tailored strategy for rehabilitation programs, grounded in a targeted selection of training methods, short-term periodization and exercises structured around key training variables such as frequency, intensity and volume. Methods: In order to reach this objective, a quantitative research method is proposed, aiming to identify the experts' opinion on the way of managing and integrating Unilateral Resistance Training Exercise (URTE). Data processing and analysis were conducted by means of specific tests supplied by the SPSS Statistics for Windows (version 20.0, IBM Corp., Armonk, NY, USA). Results: The findings indicate that EBT-3/7 is perceived as the most effective method for rehabilitation with minimal injury risk, whereas CT and PAP are associated with performance benefits but higher perceived injury risk. RT+AR specialists reported more frequent use of these methods and higher perceived effectiveness. Additionally, they demonstrated superior operational and dynamic capabilities compared to single-domain specialists. Conclusions: According to specialists' opinions, URTE is effective for post-injury rehabilitation, with combined rehabilitation and training expertise enhancing utilization, perceived effectiveness and implementation of personalized, performance-oriented strategies.

Objectives: The present study analyzes the effects of a high-intensity interval training (HIIT) program based on the Tabata method on physiological and psychological variables in contemporary dancers (n = 10) and sedentary individuals (n = 8), who performed a 10-week protocol, with sessions of self-loading exercises structured in intervals of 20 s of effort and 10 s of rest three times a week. Methods: Parameters of body composition, muscle strength, aerobic and anaerobic capacity, heart rate variability, as well as perceptions of health, anxiety, stress, sleep quality, and levels of physical activity and sedentary lifestyle were evaluated. Results: The results showed that no significant changes occurred in most body composition variables, except for visceral fat, where group differences were observed (F = 5.66, p = 0.030, η²ₚ = 0.261). In the indicators of strength and power, the dancers improved the height and relative power of the jump (F = 5.996, p = 0.026, η²ₚ = 0.273), while the sedentary ones increased the strength of the handgrip (p = 0.023). In terms of functional performance, both groups significantly increased anaerobic endurance (F = 10.374, p = 0.005, η²ₚ = 0.393), although no changes were recorded in maximal oxygen consumption or heart rate variability (p > 0.05). On a psychological level, improvements in healthy lifestyle habits and a decrease in the trait anxiety variable were evidenced in dancers (p = 0.023), while in sedentary participants no relevant effects were found. Conclusions: In conclusion, the Tabata protocol may represent an efficient and complementary strategy to enhance strength, anaerobic power, and psychological well-being, particularly among dancers. The observed improvements suggest potential benefits related to movement quality, injury prevention, and general physical conditioning.