Marissa L Bello, Shawn M Arent, Zachary M Gillen, JohnEric W Smith
Background: Resistance training has recently focused more on a high- vs. low-load training approach, suggesting heavier loads optimize strength adaptations through maximal recruitment of motor units, whereas lower loads stimulate a greater hypertrophy response. The purpose of this investigation was to examine and determine significant differences in muscle thickness, strength, and hormonal markers over nine weeks of high- or low-load resistance training. Methods: Seventeen recreationally-trained males were recruited for this study (Mage = 20.4 ± 2.7 years). Participants were split into training with high-loads (85% 1-RM; n = 8) or low-loads (30% 1-RM; n = 9) completing 3 whole-body training sessions per week for 9 weeks. Each session included three working sets per exercise of repetitions to failure. Measures were collected at baseline and every three weeks after of muscle thickness (biceps brachii, triceps brachii, pectoral major, rectus femoris, and biceps femoris) and salivary hormones (basal and acute post-exercise testosterone and cortisol). RM-ANOVAs were conducted to analyze changes in hypertrophy and the hormones, with significance set at p < 0.05. Results: Muscle thickness increased significantly over time for all sites (p < 0.05), with no significant group × time interactions except for the triceps brachii (p = 0.04). There were no significant changes in basal hormone levels or changes from basal to immediately post exercise (p > 0.059). The high-load group showed greater increases in 1-RM following the training program. Conclusions: Our results demonstrate similar hypertrophy regardless of training volume and training load, but greater increases in strength in the high-load group. Hormonal data revealed no significant changes in basal cortisol and testosterone, suggesting similar stress and recovery. While nonsignificant for differences pre-post in either marker, the pattern of a slight decrease in testosterone may be an effect of receptor uptake, and additional monitoring over a longer time interval should be used to track the changes over a full recovery window.
背景:阻力训练最近更多地关注于高负荷与低负荷训练方法,表明重负荷通过最大限度地招募运动单位来优化力量适应,而低负荷刺激更大的肥大反应。这项研究的目的是检查和确定在9周的高负荷或低负荷阻力训练中肌肉厚度、力量和激素指标的显著差异。方法:研究招募了17名接受过休闲训练的男性(年龄为20.4±2.7岁)。参与者被分成高负荷训练组(85% 1-RM, n = 8)和低负荷训练组(30% 1-RM, n = 9),每周完成3次全身训练,持续9周。每次练习包括三个工作组,每次练习重复到失败。在基线和每三周后收集肌肉厚度(肱二头肌、肱三头肌、胸大肌、股直肌和股二头肌)和唾液激素(基础和急性运动后睾酮和皮质醇)的测量数据。采用rm - anova分析肥厚和激素的变化,p < 0.05为显著性。结果:随着时间的推移,所有部位的肌肉厚度都显著增加(p < 0.05),除了肱三头肌外,没有显著的组×时间相互作用(p = 0.04)。基础激素水平没有显著变化,从运动开始到运动结束后没有显著变化(p < 0.059)。高负荷组在训练后的1-RM增加更大。结论:我们的研究结果表明,无论训练量和训练负荷如何,肌肉都有类似的肥大,但高负荷组的力量增加更大。激素数据显示,基础皮质醇和睾酮没有显著变化,表明类似的压力和恢复。虽然两种标记物在治疗前后的差异都不显著,但睾酮水平轻微下降的模式可能是受体摄取的影响,应该在更长的时间间隔内进行额外的监测,以跟踪整个恢复窗口的变化。
{"title":"Muscle Hypertrophy, Strength, and Salivary Hormone Changes Following 9 Weeks of High- or Low-Load Resistance Training.","authors":"Marissa L Bello, Shawn M Arent, Zachary M Gillen, JohnEric W Smith","doi":"10.3390/jfmk11010017","DOIUrl":"10.3390/jfmk11010017","url":null,"abstract":"<p><p><b>Background:</b> Resistance training has recently focused more on a high- vs. low-load training approach, suggesting heavier loads optimize strength adaptations through maximal recruitment of motor units, whereas lower loads stimulate a greater hypertrophy response. The purpose of this investigation was to examine and determine significant differences in muscle thickness, strength, and hormonal markers over nine weeks of high- or low-load resistance training. <b>Methods:</b> Seventeen recreationally-trained males were recruited for this study (M<sub>age</sub> = 20.4 ± 2.7 years). Participants were split into training with high-loads (85% 1-RM; <i>n</i> = 8) or low-loads (30% 1-RM; <i>n</i> = 9) completing 3 whole-body training sessions per week for 9 weeks. Each session included three working sets per exercise of repetitions to failure. Measures were collected at baseline and every three weeks after of muscle thickness (biceps brachii, triceps brachii, pectoral major, rectus femoris, and biceps femoris) and salivary hormones (basal and acute post-exercise testosterone and cortisol). RM-ANOVAs were conducted to analyze changes in hypertrophy and the hormones, with significance set at <i>p</i> < 0.05. <b>Results:</b> Muscle thickness increased significantly over time for all sites (<i>p</i> < 0.05), with no significant group × time interactions except for the triceps brachii (<i>p</i> = 0.04). There were no significant changes in basal hormone levels or changes from basal to immediately post exercise (<i>p</i> > 0.059). The high-load group showed greater increases in 1-RM following the training program. <b>Conclusions:</b> Our results demonstrate similar hypertrophy regardless of training volume and training load, but greater increases in strength in the high-load group. Hormonal data revealed no significant changes in basal cortisol and testosterone, suggesting similar stress and recovery. While nonsignificant for differences pre-post in either marker, the pattern of a slight decrease in testosterone may be an effect of receptor uptake, and additional monitoring over a longer time interval should be used to track the changes over a full recovery window.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"11 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12821511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146009998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paweł Pędrasik, Bartosz Wilczyński, Katarzyna Zorena
Fishing is a widely practiced recreational activity that offers psychological, physical, and social benefits, but it also poses risks such as acute trauma and chronic overuse injuries. This narrative review aims to (1) synthesize current evidence on the musculoskeletal disorders, psychological outcomes, and environmental factors associated with recreational and sport fishing; (2) identify the physical, mental, and social health benefits reported across different angling disciplines; (3) characterize acute and chronic injury risks, including overuse syndromes and environment-related hazards; and (4) highlight gaps in the literature to guide future research directions in public health, rehabilitation, and preventive medicine. Materials and Methods: A narrative review was conducted in accordance with SANRA guidelines. A structured search of PubMed, Scopus, Web of Science and Google Scholar identified studies published between 2000 and 2025. Eligible sources included population surveys, clinical studies, therapeutic angling programs, epidemiological reports, and case studies addressing physical, psychological, or injury-related outcomes in recreational or sport fishing. Studies on commercial or occupational fishing were excluded. Evidence was synthesized thematically across benefit and risk domains. A total of 565 records were identified across four databases (PubMed, Scopus, Web of Science, Google Scholar). After screening, duplication, and full-text assessment, 41 studies met the eligibility criteria and were included in the narrative synthesis. The evidence indicates significant psychological benefits of fishing, including reductions in stress, improved mood, and clinically meaningful decreases in Post-Traumatic Stress Disorder (PTSD) symptoms reported in therapeutic fly-fishing programs. Musculoskeletal outcomes were more heterogeneous: chronic conditions such as low back pain and repetitive strain injuries of the shoulder, elbow, and wrist were commonly reported among regular anglers, particularly in physically demanding disciplines. Ice and sea fishing were associated with distinct environmental risks, including hypothermia, frostbite, and rare but documented fatal incidents. The results of this narrative review highlight the therapeutic potential of both recreational and sport fishing. However, they also point to the need for greater awareness of the risk of injury and environmental hazards associated with this type of fishing.
钓鱼是一项广泛进行的娱乐活动,对心理、身体和社会都有好处,但也有风险,如急性创伤和慢性过度使用伤害。这篇叙述性综述的目的是(1)综合目前关于肌肉骨骼疾病、心理结果和与休闲和运动钓鱼相关的环境因素的证据;(2)确定不同学科对身体、心理和社会健康的益处;(3)表征急性和慢性损伤风险,包括过度使用综合征和环境相关危害;(4)突出文献空白,指导未来公共卫生、康复和预防医学的研究方向。材料和方法:按照SANRA指南进行叙述性回顾。对PubMed、Scopus、Web of Science和b谷歌Scholar进行结构化搜索,确定了2000年至2025年间发表的研究。符合条件的来源包括人口调查、临床研究、治疗性垂钓项目、流行病学报告以及关于休闲或运动垂钓中身体、心理或伤害相关结果的案例研究。关于商业或职业捕鱼的研究被排除在外。证据是在利益和风险领域按主题综合的。在四个数据库(PubMed, Scopus, Web of Science, b谷歌Scholar)中共鉴定了565条记录。经过筛选、重复和全文评估,41项研究符合资格标准,纳入叙述综合。有证据表明钓鱼对心理有显著的好处,包括减少压力,改善情绪,临床意义上减少创伤后应激障碍(PTSD)症状。肌肉骨骼方面的结果更加多样化:在常规垂钓者中,特别是在体力要求较高的学科中,经常报告腰痛和肩部、肘部和手腕的重复性劳损损伤等慢性疾病。冰上和海上捕鱼与不同的环境风险相关,包括体温过低、冻伤和罕见但有记录的致命事件。这篇叙述性综述的结果强调了休闲和运动钓鱼的治疗潜力。然而,他们也指出,需要提高对与这类捕鱼有关的伤害风险和环境危害的认识。
{"title":"Musculoskeletal Disorders and Psychological and Environmental Factors Associated with Recreational and Sport Fishing: A Narrative Review.","authors":"Paweł Pędrasik, Bartosz Wilczyński, Katarzyna Zorena","doi":"10.3390/jfmk11010018","DOIUrl":"10.3390/jfmk11010018","url":null,"abstract":"<p><p>Fishing is a widely practiced recreational activity that offers psychological, physical, and social benefits, but it also poses risks such as acute trauma and chronic overuse injuries. This narrative review aims to (1) synthesize current evidence on the musculoskeletal disorders, psychological outcomes, and environmental factors associated with recreational and sport fishing; (2) identify the physical, mental, and social health benefits reported across different angling disciplines; (3) characterize acute and chronic injury risks, including overuse syndromes and environment-related hazards; and (4) highlight gaps in the literature to guide future research directions in public health, rehabilitation, and preventive medicine. Materials and Methods: A narrative review was conducted in accordance with SANRA guidelines. A structured search of PubMed, Scopus, Web of Science and Google Scholar identified studies published between 2000 and 2025. Eligible sources included population surveys, clinical studies, therapeutic angling programs, epidemiological reports, and case studies addressing physical, psychological, or injury-related outcomes in recreational or sport fishing. Studies on commercial or occupational fishing were excluded. Evidence was synthesized thematically across benefit and risk domains. A total of 565 records were identified across four databases (PubMed, Scopus, Web of Science, Google Scholar). After screening, duplication, and full-text assessment, 41 studies met the eligibility criteria and were included in the narrative synthesis. The evidence indicates significant psychological benefits of fishing, including reductions in stress, improved mood, and clinically meaningful decreases in Post-Traumatic Stress Disorder (PTSD) symptoms reported in therapeutic fly-fishing programs. Musculoskeletal outcomes were more heterogeneous: chronic conditions such as low back pain and repetitive strain injuries of the shoulder, elbow, and wrist were commonly reported among regular anglers, particularly in physically demanding disciplines. Ice and sea fishing were associated with distinct environmental risks, including hypothermia, frostbite, and rare but documented fatal incidents. The results of this narrative review highlight the therapeutic potential of both recreational and sport fishing. However, they also point to the need for greater awareness of the risk of injury and environmental hazards associated with this type of fishing.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"11 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12821539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146009985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jakub Zieliński, Monika Grygorowicz, Jacek Lewandowski
Lead climbing and bouldering have witnessed a surge in popularity, particularly highlighted by their inclusion in prestigious events like the 2020 Summer Olympic Games in Tokyo. This systematic review aims to comprehensively assess existing literature on injury risk factors and prevention programs specific to these disciplines. We systematically searched PubMed, Web of Science, and SPORTDiscus up to November 2023. Methodological quality was appraised using the Joanna Briggs Institute (JBI) critical appraisal tools. Data synthesis involved qualitative analysis. Of 463 screened records, 7 studies were included, encompassing data from over 4000 climbers. The literature consistently indicates that overuse injuries-particularly to the fingers and shoulders-are more prevalent than acute injuries in adult population. However, evidence for specific risk factors is inconclusive and contradictory. Reported associations for higher skill level, age, and use of preventive measures (e.g., taping) were inconsistent across studies. Further research employing rigorous methodologies and long-term follow-up is warranted to elucidate injury mechanisms in lead climbing and bouldering. These investigations are crucial for informing clinical practice and developing sport-specific injury prevention strategies aimed at ensuring the safety and well-being of athletes in these disciplines. Future studies should focus on standardizing injury definitions and assessment methods and explore targeted preventive measures to address the unique risks associated with these sports.
铅攀和抱石运动的受欢迎程度激增,尤其是在2020年东京夏季奥运会等著名赛事中。本系统综述的目的是全面评估现有的文献伤害风险因素和预防方案具体到这些学科。我们系统地检索了PubMed, Web of Science和SPORTDiscus,直到2023年11月。使用乔安娜布里格斯研究所(JBI)关键评估工具对方法质量进行评估。数据综合涉及定性分析。在463份被筛选的记录中,包括了7项研究,涵盖了4000多名登山者的数据。文献一致表明,在成年人中,过度使用损伤——尤其是手指和肩膀——比急性损伤更为普遍。然而,具体危险因素的证据是不确定的和矛盾的。报告的高技能水平、年龄和使用预防措施(如胶带)之间的关联在研究中不一致。进一步的研究需要采用严格的方法和长期随访来阐明铅攀和抱石的损伤机制。这些调查对于告知临床实践和制定旨在确保这些学科运动员安全和福祉的运动特定伤害预防策略至关重要。未来的研究应侧重于标准化损伤定义和评估方法,并探索有针对性的预防措施,以解决与这些运动相关的独特风险。
{"title":"Epidemiology of Musculoskeletal Injuries Among Climbers-A Systematic Review.","authors":"Jakub Zieliński, Monika Grygorowicz, Jacek Lewandowski","doi":"10.3390/jfmk11010019","DOIUrl":"10.3390/jfmk11010019","url":null,"abstract":"<p><p>Lead climbing and bouldering have witnessed a surge in popularity, particularly highlighted by their inclusion in prestigious events like the 2020 Summer Olympic Games in Tokyo. This systematic review aims to comprehensively assess existing literature on injury risk factors and prevention programs specific to these disciplines. We systematically searched PubMed, Web of Science, and SPORTDiscus up to November 2023. Methodological quality was appraised using the Joanna Briggs Institute (JBI) critical appraisal tools. Data synthesis involved qualitative analysis. Of 463 screened records, 7 studies were included, encompassing data from over 4000 climbers. The literature consistently indicates that overuse injuries-particularly to the fingers and shoulders-are more prevalent than acute injuries in adult population. However, evidence for specific risk factors is inconclusive and contradictory. Reported associations for higher skill level, age, and use of preventive measures (e.g., taping) were inconsistent across studies. Further research employing rigorous methodologies and long-term follow-up is warranted to elucidate injury mechanisms in lead climbing and bouldering. These investigations are crucial for informing clinical practice and developing sport-specific injury prevention strategies aimed at ensuring the safety and well-being of athletes in these disciplines. Future studies should focus on standardizing injury definitions and assessment methods and explore targeted preventive measures to address the unique risks associated with these sports.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"11 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12821603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146010739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Georgios Aronis, Michael Kurz, Florian Wimmer, Harald Hackl, Thomas Angeli, Margit Gföhler
Objectives: Shoulder joint strength and muscle activation during overhead reaching are critical for ergonomic task design, rehabilitation, and exoskeleton support. The objective of this study was to characterize maximum shoulder torque and flexor muscle activation profiles across functional elevation angles in healthy adult males. Methods: A total of 14 healthy male participants performed maximum voluntary isometric contractions at eight arm elevation angles (90-160°, sagittal plane, and standing). Shoulder torque was measured using a calibrated force sensor and normalized to each participant's overall maximum. Electromyography (EMG) was recorded from the anterior deltoid, medial deltoid, biceps brachii, and clavicular pectoralis major; EMG for the medial deltoid, biceps brachii, and pectoralis major was normalized to muscle-specific isometric MVCs, whereas the anterior deltoid was normalized to the peak value at 90° during the main task. All EMG signals were smoothed using a 0.5 s RMS-based moving average window. Linear regression was used to analyze the torque-angle relationship, and linear mixed-effects models were used to test EMG differences across angles. Summary statistics included mean ± SD, coefficient of variation, R2, p-values (significance threshold: p < 0.05), Cohen's d, and 95% confidence intervals where appropriate. Results: Maximum torque declined with elevation angle (y = -0.6317x + 157.21; R2 = 0.99), from 77.2 Nm at 90° to 43.2 Nm at 160°, with normalized values from 99.6% to 55.3%. Medial deltoid activation increased significantly with elevation (p < 0.001, from 87.5 ± 19.9% at 90° to 109.4 ± 25.6% at 150°), while pectoralis major declined sharply (p < 0.001, from 68.9 ± 24.2% at 90° to 19.8 ± 5.6% at 160°). Anterior deltoid and biceps brachii activations were high and showed no systematic change with angle (p = 0.37 and 0.81, respectively), remaining within approximately 95-102% and 70-85% of their reference levels across 90-160°. Normalization reduced inter-participant variability, clarifying muscle-specific trends. Conclusions: This study provides preliminary biomechanical reference values for shoulder torque and muscle activation across elevation angles in healthy males under isometric standing conditions, confirming an inverse torque-angle relationship and distinct muscle activation strategies at higher positions. These findings may inform ergonomic assessment and exoskeleton design, while recognizing that generalization to dynamic tasks and other populations requires caution.
{"title":"Maximum Shoulder Torque and Muscle Activation During Standing Arm Flexion: Reference Data for Biomechanical and Ergonomic Applications.","authors":"Georgios Aronis, Michael Kurz, Florian Wimmer, Harald Hackl, Thomas Angeli, Margit Gföhler","doi":"10.3390/jfmk11010020","DOIUrl":"10.3390/jfmk11010020","url":null,"abstract":"<p><p><b>Objectives</b>: Shoulder joint strength and muscle activation during overhead reaching are critical for ergonomic task design, rehabilitation, and exoskeleton support. The objective of this study was to characterize maximum shoulder torque and flexor muscle activation profiles across functional elevation angles in healthy adult males. <b>Methods</b>: A total of 14 healthy male participants performed maximum voluntary isometric contractions at eight arm elevation angles (90-160°, sagittal plane, and standing). Shoulder torque was measured using a calibrated force sensor and normalized to each participant's overall maximum. Electromyography (EMG) was recorded from the anterior deltoid, medial deltoid, biceps brachii, and clavicular pectoralis major; EMG for the medial deltoid, biceps brachii, and pectoralis major was normalized to muscle-specific isometric MVCs, whereas the anterior deltoid was normalized to the peak value at 90° during the main task. All EMG signals were smoothed using a 0.5 s RMS-based moving average window. Linear regression was used to analyze the torque-angle relationship, and linear mixed-effects models were used to test EMG differences across angles. Summary statistics included mean ± SD, coefficient of variation, R<sup>2</sup>, <i>p</i>-values (significance threshold: <i>p</i> < 0.05), Cohen's d, and 95% confidence intervals where appropriate. <b>Results</b>: Maximum torque declined with elevation angle (y = -0.6317x + 157.21; R<sup>2</sup> = 0.99), from 77.2 Nm at 90° to 43.2 Nm at 160°, with normalized values from 99.6% to 55.3%. Medial deltoid activation increased significantly with elevation (<i>p</i> < 0.001, from 87.5 ± 19.9% at 90° to 109.4 ± 25.6% at 150°), while pectoralis major declined sharply (<i>p</i> < 0.001, from 68.9 ± 24.2% at 90° to 19.8 ± 5.6% at 160°). Anterior deltoid and biceps brachii activations were high and showed no systematic change with angle (<i>p</i> = 0.37 and 0.81, respectively), remaining within approximately 95-102% and 70-85% of their reference levels across 90-160°. Normalization reduced inter-participant variability, clarifying muscle-specific trends. <b>Conclusions</b>: This study provides preliminary biomechanical reference values for shoulder torque and muscle activation across elevation angles in healthy males under isometric standing conditions, confirming an inverse torque-angle relationship and distinct muscle activation strategies at higher positions. These findings may inform ergonomic assessment and exoskeleton design, while recognizing that generalization to dynamic tasks and other populations requires caution.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"11 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12821543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146010787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Chronic low back pain (CLBP) is a common musculoskeletal disorder among middle-aged women, often leading to impaired dynamic balance and increased fear of movement. This study aimed to investigate the effects of dynamic stability training using the inertial load of water on balance ability and pain in middle-aged women with CLBP. Methods: Twenty-nine participants aged 40-65 years with CLBP were randomly assigned to an experimental or control group. The experimental group wore a water-filled aquavest, and the control group wore a weighted vest. Both groups performed 12 weeks of dynamic stability training twice per week. Outcome measures included the Y-Balance Test and Center of Pressure parameters, Visual Analogue Scale and Tampa Scale for Kinesiophobia. Data were analyzed using mixed-design two-way repeated-measures (between-within) analysis of variance to examine time, group, and interaction effects. Results: A significant group × time interaction effect was found in Y-Balance Test reach distances of the non-dominant leg, with the aquavest group showing greater improvements compared to the control group (p < 0.05). Center of Pressure analysis revealed decreased non-dominant leg Anterior-Posterior Root Mean Square in the aquavest group, indicating enhanced postural stability. Both groups showed decreased VAS and TSK. Conclusions: Dynamic stability training using inertial load of water effectively improved both quantitative and qualitative aspects of dynamic balance in middle-aged women with CLBP and can serve as a functional intervention for neuromuscular rehabilitation.
{"title":"The Effects of Dynamic Stability Training with Inertial Load of Water on Dynamic Balance and Pain in Middle-Aged Women with Chronic Low Back Pain: A Randomized Clinical Trial.","authors":"Ha Yeong An, Shuho Kang, Il Bong Park","doi":"10.3390/jfmk11010014","DOIUrl":"10.3390/jfmk11010014","url":null,"abstract":"<p><p><b>Background:</b> Chronic low back pain (CLBP) is a common musculoskeletal disorder among middle-aged women, often leading to impaired dynamic balance and increased fear of movement. This study aimed to investigate the effects of dynamic stability training using the inertial load of water on balance ability and pain in middle-aged women with CLBP. <b>Methods:</b> Twenty-nine participants aged 40-65 years with CLBP were randomly assigned to an experimental or control group. The experimental group wore a water-filled aquavest, and the control group wore a weighted vest. Both groups performed 12 weeks of dynamic stability training twice per week. Outcome measures included the Y-Balance Test and Center of Pressure parameters, Visual Analogue Scale and Tampa Scale for Kinesiophobia. Data were analyzed using mixed-design two-way repeated-measures (between-within) analysis of variance to examine time, group, and interaction effects. <b>Results:</b> A significant group × time interaction effect was found in Y-Balance Test reach distances of the non-dominant leg, with the aquavest group showing greater improvements compared to the control group (<i>p</i> < 0.05). Center of Pressure analysis revealed decreased non-dominant leg Anterior-Posterior Root Mean Square in the aquavest group, indicating enhanced postural stability. Both groups showed decreased VAS and TSK. <b>Conclusions:</b> Dynamic stability training using inertial load of water effectively improved both quantitative and qualitative aspects of dynamic balance in middle-aged women with CLBP and can serve as a functional intervention for neuromuscular rehabilitation.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"11 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12821544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146010617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joao Pedro Perin, Carla Pastora-Sesín, Sungjoon Kang, Alba Navarro-Flores, Felipe Fregni, Kevin Pacheco-Barrios
Background: Chronic pain conditions such as fibromyalgia syndrome (FMS) reflect maladaptive network physiology across perceptual-autonomic-immune axes, yet most treatments remain symptomatic and incompletely effective. Methods: We conducted a comprehensive systematic review to evaluate vagus nerve stimulation (VNS) and FMS within a network physiology framework. PubMed, Embase, and Cochrane CENTRAL were searched on October 24, 2025. Risk of bias was assessed using the ROB-2 tool. An iterative thematic synthesis was performed to develop an integrative conceptual framework and to identify knowledge gaps and future research directions. Results: We first summarize physiological evidence showing autonomic imbalance (e.g., decreased heart rate variability), neuroinflammatory activation, and aberrant cortical network connectivity in FMS, supporting a network-dysregulation model. We then included 6 studies (4 clinical studies and 2 protocols) on VNS effects, highlighting improvements in pain, fatigue, sleep disturbance and autonomic regulation, along with emerging mechanistic insights. Key methodological heterogeneity-such as stimulation parameters, outcome metrics, type of control arm, sham definition, and small samples-limits current interpretability. Finally, we outline a research agenda centered on network-based biomarkers, immunophenotyping, adaptive trial designs and stratification of responders, with the aim of validating taVNS as a scalable neuromodulatory intervention for FMS. Conclusions: By reframing FMS from a symptom-centric pharmacologic model to a network-centric neuromodulation approach, taVNS is a promising tool for mechanism-based therapeutics in central sensitization syndromes and chronic pain.
{"title":"Potential of Vagus Nerve Stimulation to Modulate Fibromyalgia's Network Physiology: A Systematic Review.","authors":"Joao Pedro Perin, Carla Pastora-Sesín, Sungjoon Kang, Alba Navarro-Flores, Felipe Fregni, Kevin Pacheco-Barrios","doi":"10.3390/jfmk11010015","DOIUrl":"10.3390/jfmk11010015","url":null,"abstract":"<p><p><b>Background</b>: Chronic pain conditions such as fibromyalgia syndrome (FMS) reflect maladaptive network physiology across perceptual-autonomic-immune axes, yet most treatments remain symptomatic and incompletely effective. <b>Methods</b>: We conducted a comprehensive systematic review to evaluate vagus nerve stimulation (VNS) and FMS within a network physiology framework. PubMed, Embase, and Cochrane CENTRAL were searched on October 24, 2025. Risk of bias was assessed using the ROB-2 tool. An iterative thematic synthesis was performed to develop an integrative conceptual framework and to identify knowledge gaps and future research directions. <b>Results</b>: We first summarize physiological evidence showing autonomic imbalance (e.g., decreased heart rate variability), neuroinflammatory activation, and aberrant cortical network connectivity in FMS, supporting a network-dysregulation model. We then included 6 studies (4 clinical studies and 2 protocols) on VNS effects, highlighting improvements in pain, fatigue, sleep disturbance and autonomic regulation, along with emerging mechanistic insights. Key methodological heterogeneity-such as stimulation parameters, outcome metrics, type of control arm, sham definition, and small samples-limits current interpretability. Finally, we outline a research agenda centered on network-based biomarkers, immunophenotyping, adaptive trial designs and stratification of responders, with the aim of validating taVNS as a scalable neuromodulatory intervention for FMS. <b>Conclusions</b>: By reframing FMS from a symptom-centric pharmacologic model to a network-centric neuromodulation approach, taVNS is a promising tool for mechanism-based therapeutics in central sensitization syndromes and chronic pain.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"11 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12821727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146010612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matteo Fortunati, Patrik Drid, Renato Baptista, Massimiliano Febbi, Venere Quintiero, Giuseppe D'Antona, Oscar Crisafulli
Background. This study aimed to quantify differences in the internal training load (ITL) of an elite rink hockey (RH) team across days within and between three types of microcycles: pre-season, in-season regular, and in-season congested, to provide insights to optimise microcycle scheduling. Methods. One international-level male RH team comprising seven outfielders (29.6 ± 4.7 years; height, 178.9 ± 2.3 cm; body mass, 77.8 ± 5.7 kg) and one goalkeeper (32 years; height, 180.4 cm; body mass, 83.6 kg) was monitored for 21 microcycles. The ITL was assessed using the session rate of perceived exertion (sRPE) and quantified as time based on a triphasic classification commonly utilised in team sports: low-intensity training (LIT, <80% heart rate maximum (HRmax)), medium-intensity training (MIT, 80-90% HRmax), and high-intensity training (HIT, >90% HRmax). Generalized estimating equations were used to examine differences across within-microcycle training days and between seasonal phases, with linear mixed models applied as sensitivity analyses. Results. Across all phases, significant day-to-day variations in ITL were observed within microcycles (all p < 0.001), with both subjective (sRPE) and objective (LIT-HIT) ITLs progressively decreasing as match days (MDs) approached, showing moderate-to-large population-averaged effects with 95% confidence intervals consistently not crossing zero. The pre-season exhibited the highest overall ITL (p < 0.001), characterised by a substantially greater sRPE and increased time spent across all intensity zones, with the largest magnitudes observed for LIT and MIT compared with the in-season phases. Conclusions. Findings suggest that an international-level RH team progressively reduced the ITL as MDs approached with the highest loads scheduled earlier within microcycles. Moreover, the pre-season had the highest ITLs. This ITL distribution may provide useful guidance for RH coaches and support staff in optimising microcycle planning.
{"title":"Training Load Distribution Across Weekly Microcycles According to the Match Schedule During the Regular Season in a Professional Rink Hockey Team.","authors":"Matteo Fortunati, Patrik Drid, Renato Baptista, Massimiliano Febbi, Venere Quintiero, Giuseppe D'Antona, Oscar Crisafulli","doi":"10.3390/jfmk11010016","DOIUrl":"10.3390/jfmk11010016","url":null,"abstract":"<p><p><b>Background</b>. This study aimed to quantify differences in the internal training load (ITL) of an elite rink hockey (RH) team across days within and between three types of microcycles: pre-season, in-season regular, and in-season congested, to provide insights to optimise microcycle scheduling. <b>Methods</b>. One international-level male RH team comprising seven outfielders (29.6 ± 4.7 years; height, 178.9 ± 2.3 cm; body mass, 77.8 ± 5.7 kg) and one goalkeeper (32 years; height, 180.4 cm; body mass, 83.6 kg) was monitored for 21 microcycles. The ITL was assessed using the session rate of perceived exertion (sRPE) and quantified as time based on a triphasic classification commonly utilised in team sports: low-intensity training (LIT, <80% heart rate maximum (HRmax)), medium-intensity training (MIT, 80-90% HRmax), and high-intensity training (HIT, >90% HRmax). Generalized estimating equations were used to examine differences across within-microcycle training days and between seasonal phases, with linear mixed models applied as sensitivity analyses. <b>Results</b>. Across all phases, significant day-to-day variations in ITL were observed within microcycles (all <i>p</i> < 0.001), with both subjective (sRPE) and objective (LIT-HIT) ITLs progressively decreasing as match days (MDs) approached, showing moderate-to-large population-averaged effects with 95% confidence intervals consistently not crossing zero. The pre-season exhibited the highest overall ITL (<i>p</i> < 0.001), characterised by a substantially greater sRPE and increased time spent across all intensity zones, with the largest magnitudes observed for LIT and MIT compared with the in-season phases. <b>Conclusions</b>. Findings suggest that an international-level RH team progressively reduced the ITL as MDs approached with the highest loads scheduled earlier within microcycles. Moreover, the pre-season had the highest ITLs. This ITL distribution may provide useful guidance for RH coaches and support staff in optimising microcycle planning.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"11 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12821721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146010698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ximena Martinez-Mireles, Erik Ramírez, José Omar Lagunes-Carrasco, Ricardo López-García, Silvia García, Cristina Bouzas, Rogelio Salas-García, Josep A Tur
Background: Body physique refers to body size, structure, and composition. PS is used to describe the profile of athletes in different sports. Aims: To determine body physique and body fat percentage in elite athletes using the Hattori chart and to identify the elite zone. Methods: Scoping review. The search was performed in PubMed, Google Scholar, Ovid Books, CAB eBooks, Clarivate InCites, MyiLibrary, Web of Science, Taylor & Francis Online, Core Collection, and Scopus. The search strategy was "body physique" OR "anthropometric" OR "body composition" AND "elite athlete" OR "athlete" OR "elite". Results: Using indirect methods, elite athletes showed intermediate solid body physique (male) and lean intermediate body physique (female), and 13.6% ± 3.6% (male) and 22.3% ± 2.8 (female) body fat. Using doubly indirect methods, elite athletes showed lean intermediate body physique (male), and intermediate body physique (female), and a percentage of body fat of 13.7% ± 5.2% (male) and of 21.7% ± 4.3% (female) of body fat. Conclusions: Hattori's chart facilitates the visualization of changes in body mass index, fat-free mass index, fat mass index, and percentage of body fat, helping personalize training, monitor composition changes, and guide nutrition programs to optimize performance and health.
背景:身体体质是指身体的大小、结构和组成。PS用来描述运动员在不同运动项目中的形象。目的:利用服部图测定优秀运动员的体体质和体脂率,确定优秀区。方法:范围审查。检索在PubMed、b谷歌Scholar、Ovid Books、CAB eBooks、Clarivate InCites、mylibrary、Web of Science、Taylor & Francis Online、Core Collection和Scopus中进行。搜索策略是“身体体质”或“人体测量学”或“身体成分”和“精英运动员”或“运动员”或“精英”。结果:采用间接方法分析,优秀运动员的体脂含量(男13.6%±3.6%,女22.3%±2.8),体脂含量(男13.6%±3.6%,女22.3%±2.8)。采用双间接法,优秀运动员的体脂率分别为男性(13.7%±5.2%)和女性(21.7%±4.3%),男性(13.7%±5.2%)为精瘦的中间体,女性(21.7%±4.3%)为中等体。结论:Hattori图表促进了身体质量指数、无脂质量指数、脂肪质量指数和身体脂肪百分比变化的可视化,有助于个性化训练,监测成分变化,指导营养计划以优化表现和健康。
{"title":"Defining Elite Zones: A Scoping Review of Body Physique and Body Fat in Elite Athletes.","authors":"Ximena Martinez-Mireles, Erik Ramírez, José Omar Lagunes-Carrasco, Ricardo López-García, Silvia García, Cristina Bouzas, Rogelio Salas-García, Josep A Tur","doi":"10.3390/jfmk11010013","DOIUrl":"10.3390/jfmk11010013","url":null,"abstract":"<p><p><b>Background:</b> Body physique refers to body size, structure, and composition. PS is used to describe the profile of athletes in different sports. <b>Aims:</b> To determine body physique and body fat percentage in elite athletes using the Hattori chart and to identify the elite zone. <b>Methods:</b> Scoping review. The search was performed in PubMed, Google Scholar, Ovid Books, CAB eBooks, Clarivate InCites, MyiLibrary, Web of Science, Taylor & Francis Online, Core Collection, and Scopus. The search strategy was \"body physique\" OR \"anthropometric\" OR \"body composition\" AND \"elite athlete\" OR \"athlete\" OR \"elite\". <b>Results:</b> Using indirect methods, elite athletes showed intermediate solid body physique (male) and lean intermediate body physique (female), and 13.6% ± 3.6% (male) and 22.3% ± 2.8 (female) body fat. Using doubly indirect methods, elite athletes showed lean intermediate body physique (male), and intermediate body physique (female), and a percentage of body fat of 13.7% ± 5.2% (male) and of 21.7% ± 4.3% (female) of body fat. <b>Conclusions:</b> Hattori's chart facilitates the visualization of changes in body mass index, fat-free mass index, fat mass index, and percentage of body fat, helping personalize training, monitor composition changes, and guide nutrition programs to optimize performance and health.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"11 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12821704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146010659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jon Mikel Picabea, Bingen Marcos-Rivero, Josu Ascondo, Javier Yanci, Cristina Granados
Objective: The aim of this study was to analyse the evolution of heart rate variability (HRV) during official competition in high-level amateur padel players according to match outcome. Methods: HRV was measured in 44 individual recordings obtained across 11 matches involving 12 padel players. Measurements were taken before the match (PRE), during three sets (S1, S2 and S3) and during the two rest periods between sets (R1 and R2). Time-domain variables analysed included mean R-R interval (Mean RR), standard deviation of normalised R-R intervals (SDNN), root mean square of successive differences (RMSSD), natural logarithm of RMSSD (LnRMSSD) and standard deviation of heart rate (STD HR), while nonlinear variables included the transverse (SD1) and longitudinal (SD2) axes of the Poincare plot, stress score (SS) and the sympathetic-parasympathetic ratio (SNS/PNS ratio). Results: Significant fluctuations in HRV were observed throughout the match. Players who won exhibited significantly higher values of Mean RR, SDNN, RMSSD, LnRMSSD, SD1 and SD2 during S1 (p < 0.05), and higher Mean RR, RMSSD, LnRMSSD and SD1 during R1 (p < 0.01). These differences diminished as the match progressed, disappearing in the later phases (S3, R2). Temporal analysis revealed that both groups showed parasympathetic recovery during the rest periods. Conclusions: This study provides novel evidence on the temporal dynamics of autonomic regulation in padel, showing that match outcome is associated with differences in cardiovascular regulation during the initial phases of competition. These findings support the usefulness of HRV monitoring for performance management in real competition settings.
{"title":"Heart Rate Variability Dynamics in Padel Players: Set-by-Set and Rest Period Changes in Relation to Match Outcome.","authors":"Jon Mikel Picabea, Bingen Marcos-Rivero, Josu Ascondo, Javier Yanci, Cristina Granados","doi":"10.3390/jfmk11010012","DOIUrl":"10.3390/jfmk11010012","url":null,"abstract":"<p><p><b>Objective</b>: The aim of this study was to analyse the evolution of heart rate variability (HRV) during official competition in high-level amateur padel players according to match outcome. <b>Methods</b>: HRV was measured in 44 individual recordings obtained across 11 matches involving 12 padel players. Measurements were taken before the match (PRE), during three sets (S1, S2 and S3) and during the two rest periods between sets (R1 and R2). Time-domain variables analysed included mean R-R interval (Mean RR), standard deviation of normalised R-R intervals (SDNN), root mean square of successive differences (RMSSD), natural logarithm of RMSSD (LnRMSSD) and standard deviation of heart rate (STD HR), while nonlinear variables included the transverse (SD1) and longitudinal (SD2) axes of the Poincare plot, stress score (SS) and the sympathetic-parasympathetic ratio (SNS/PNS ratio). <b>Results</b>: Significant fluctuations in HRV were observed throughout the match. Players who won exhibited significantly higher values of Mean RR, SDNN, RMSSD, LnRMSSD, SD1 and SD2 during S1 (<i>p</i> < 0.05), and higher Mean RR, RMSSD, LnRMSSD and SD1 during R1 (<i>p</i> < 0.01). These differences diminished as the match progressed, disappearing in the later phases (S3, R2). Temporal analysis revealed that both groups showed parasympathetic recovery during the rest periods. <b>Conclusions</b>: This study provides novel evidence on the temporal dynamics of autonomic regulation in padel, showing that match outcome is associated with differences in cardiovascular regulation during the initial phases of competition. These findings support the usefulness of HRV monitoring for performance management in real competition settings.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"11 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12821669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146010782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Balance is referred to as a state of equilibrium where forces of agonist and antagonistic muscles are equal. This is particularly relevant in the practice of Goju-Ryu Karate-Do, a martial art style with combinations of hard and soft techniques. Particularly, karate stances not only depend on technical aspects but also on the ability to achieve a centered posture. In this narrative review, we aim to integrate the existing knowledge about alignment parameters of the spine to various stances in Goju-Ryu Karate-Do to improve biomechanical understanding, allow technical modifications, and consequently enhance positive training experience. Balance is constantly challenged during the interplay of accelerated movements and subsequent controlled postures (Japanese: "Kamae"). This requires continuous neuromuscular coordination to maintain the body's equilibrium. In particular, the body's center of gravity, which is located around the second sacral vertebra in a standing position, needs to be kept within Dubousset's "efficiency cone" for low energy consumption and minimal fatigue. This state is primarily maintained by aligning the spine, the pelvis, and the lower extremities, which is a result of complex biomechanical interactions of various spinopelvic parameters. Applying these concepts of Dubousset to stances in Goju-Ryu Karate-Do helps to explain why during the aging process or natural degeneration, technical modifications are needed to guarantee an optimal training experience in senior or disabled practitioners of Karate-Do. Biomechanical parameters of the spinopelvic axis are crucial in mastering the art of Goju-Ryu Karate-Do. Only with a balanced stance and an optimally situated center of gravity, a block or attack may be successful and movement strategies effective. However, technical modifications of stances must be considered in aged or disabled karateka to allow a sustained training experience.
{"title":"Applying Principles of Biomechanics of the Spine to Martial Arts: A Review on Balance of Stances in Goju-Ryu Karate-Do.","authors":"Michael Fiechter, Tobias Pötzel, Marc E Pfeifer","doi":"10.3390/jfmk11010011","DOIUrl":"10.3390/jfmk11010011","url":null,"abstract":"<p><p>Balance is referred to as a state of equilibrium where forces of agonist and antagonistic muscles are equal. This is particularly relevant in the practice of Goju-Ryu Karate-Do, a martial art style with combinations of hard and soft techniques. Particularly, karate stances not only depend on technical aspects but also on the ability to achieve a centered posture. In this narrative review, we aim to integrate the existing knowledge about alignment parameters of the spine to various stances in Goju-Ryu Karate-Do to improve biomechanical understanding, allow technical modifications, and consequently enhance positive training experience. Balance is constantly challenged during the interplay of accelerated movements and subsequent controlled postures (Japanese: \"Kamae\"). This requires continuous neuromuscular coordination to maintain the body's equilibrium. In particular, the body's center of gravity, which is located around the second sacral vertebra in a standing position, needs to be kept within Dubousset's \"efficiency cone\" for low energy consumption and minimal fatigue. This state is primarily maintained by aligning the spine, the pelvis, and the lower extremities, which is a result of complex biomechanical interactions of various spinopelvic parameters. Applying these concepts of Dubousset to stances in Goju-Ryu Karate-Do helps to explain why during the aging process or natural degeneration, technical modifications are needed to guarantee an optimal training experience in senior or disabled practitioners of Karate-Do. Biomechanical parameters of the spinopelvic axis are crucial in mastering the art of Goju-Ryu Karate-Do. Only with a balanced stance and an optimally situated center of gravity, a block or attack may be successful and movement strategies effective. However, technical modifications of stances must be considered in aged or disabled karateka to allow a sustained training experience.</p>","PeriodicalId":16052,"journal":{"name":"Journal of Functional Morphology and Kinesiology","volume":"11 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12821703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146010632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}