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Perceived Factors That Contributed to Task Termination during Fatiguing Tasks Anchored to Perceptual Intensities. 在以知觉强度为基础的疲劳任务中,导致任务终止的知觉因素。
IF 2.6 Q1 SPORT SCIENCES Pub Date : 2024-08-29 DOI: 10.3390/jfmk9030152
Dolores G Ortega, Robert W Smith, Jocelyn E Arnett, Tyler J Neltner, Trevor D Roberts, Richard J Schmidt, Terry J Housh

This study examined the effects of sustained, isometric forearm flexion tasks anchored to ratings of perceived exertion of 2 (RPE2FT) and 8 (RPE8FT) on the patterns of fatigue-induced changes in torque and neuromuscular responses, time to task failure (TTF), performance fatigability (% decline in maximal voluntary isometric contraction [MVIC]), and perceived factors that contributed to task termination. Twelve men (mean ± SD: age = 20.9 ± 2.2 yrs) performed MVICs before and after the tasks and completed post-test questionnaires (PTQ). Data were analyzed using polynomial regression analyses, dependent t-tests, Spearman's rank order correlations, and Wilcoxon signed rank tests. The RPE8FT had greater (p < 0.001) performance fatigability than the RPE2FT, despite no difference (p > 0.05) in TTF. During both tasks, there were significant (p ≤ 0.05) composite linear decreases for torque, electromyographic amplitude, and neuromuscular efficiency, and substantial individual variability in the neuromuscular responses. There were no significant (p > 0.05) associations among the perceived factors and TTF or performance fatigability. Thus, there were RPE-specific differences in performance fatigability, but not TTF or the composite patterns of changes in torque and neuromuscular responses. In addition, in most cases, the individual neuromuscular, but not torque, patterns of responses were RPE-specific. Furthermore, the perceived factors assessed by the PTQ were not related to TTF or performance fatigability.

本研究考察了持续、等长前臂屈伸任务(锚定为 2 级(RPE2FT)和 8 级(RPE8FT))对疲劳引起的扭矩和神经肌肉反应变化模式、任务失败时间(TTF)、表现疲劳度(最大自主等长收缩[MVIC]下降百分比)以及导致任务终止的感知因素的影响。12 名男性(平均±标清:年龄 = 20.9 ± 2.2 岁)在任务前后进行了 MVIC,并填写了测试后问卷 (PTQ)。数据分析采用多项式回归分析、从属 t 检验、Spearman 秩相关和 Wilcoxon 符号秩检验。尽管 TTF 没有差异(p > 0.05),但 RPE8FT 比 RPE2FT 的表现疲劳度更高(p < 0.001)。在这两项任务中,扭矩、肌电图振幅和神经肌肉效率都出现了明显的复合线性下降(p ≤ 0.05),而且神经肌肉反应存在很大的个体差异。感知因素与 TTF 或表现疲劳度之间没有明显关联(P > 0.05)。因此,在表现疲劳性方面存在 RPE 特异性差异,但在 TTF 或扭矩和神经肌肉反应的综合变化模式方面不存在差异。此外,在大多数情况下,单个神经肌肉(而非扭矩)的反应模式具有 RPE 特异性。此外,PTQ 评估的感知因素与 TTF 或运动疲劳无关。
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引用次数: 0
1-Year Prevalence and Factors Related to Injuries and Illnesses in Japanese Judo Collegiate Athletes. 日本柔道大学生运动员 1 年的伤病发生率和相关因素。
IF 2.6 Q1 SPORT SCIENCES Pub Date : 2024-08-28 DOI: 10.3390/jfmk9030148
Akira Kinoda, Aleksandra Mącznik, Takeshi Kimura, Yuki Muramoto, Yoshinori Katsumata, Kazuki Sato

Despite its rich history and widespread participation, the research surrounding injuries and illness in judo remains relatively limited compared to other sports. The primary aim of this research was to investigate injuries and illness within a previous year in Japanese collegiate judo athletes and analyze possible factors associated with these. This was a cross-sectional observational study using a web-based survey to collect data on the 1-year prevalence of injuries and illness. This study involved 564 judo athletes (67% males), aged between 18 and 25 years. Of these, 344 athletes (61%) reported one or more injuries within the previous year, and 49 reported illness (9%). The more judo experiences the athlete acquired, the less likely they were to sustain an injury (OR: 0.9; 95% CI: 0.56-1.10; p-value < 0.05) or illness (OR: 0.9; 95% CI: 0.81-1.00; p-value < 0.05). Support of an athletic trainer was associated with 1.7 times increased odds of sustaining an injury (95% CI: 1.19-2.49; p-value < 0.05). Athletes with obese BMI status (BMI > 30) had 3.1 times higher odds of becoming ill (95% CI: 1.41-6.95; p-value = 0.005), and athletes training more than 5 days per week had the odds of becoming ill increased by 5.1 times (95% CI: 1.11-23.21; p-value = 0.036). Judokas with fewer years of experience and with obese status should be targeted in efforts to prevent injury and illness. Moreover, the support of an athletic trainer and the impact of weekly training days should be targeted in research efforts.

尽管柔道历史悠久、参与广泛,但与其他运动相比,有关柔道伤病的研究仍然相对有限。本研究的主要目的是调查日本大学生柔道运动员上一年的伤病情况,并分析可能的相关因素。这是一项横断面观察研究,通过网络调查收集一年内伤病发生率的数据。这项研究涉及 564 名柔道运动员(67% 为男性),年龄在 18 至 25 岁之间。其中,344 名运动员(61%)在过去一年中报告了一次或多次受伤,49 名运动员(9%)报告了生病。运动员柔道经验越丰富,受伤(OR:0.9;95% CI:0.56-1.10;P 值<0.05)或生病(OR:0.9;95% CI:0.81-1.00;P 值<0.05)的可能性就越小。在运动训练员的支持下,运动员受伤的几率增加了 1.7 倍(95% CI:1.19-2.49;P 值 <0.05)。肥胖 BMI 状态(BMI > 30)的运动员患病几率增加 3.1 倍(95% CI:1.41-6.95;P 值 = 0.005),每周训练超过 5 天的运动员患病几率增加 5.1 倍(95% CI:1.11-23.21;P 值 = 0.036)。经验较少和肥胖的柔道运动员应成为预防伤病的目标。此外,运动教练的支持和每周训练日的影响也应成为研究工作的目标。
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引用次数: 0
How Match-Related Variables Influence the Physical Demands of Professional Female Soccer Players during the Regular Season. 与比赛相关的变量如何影响职业女足运动员在常规赛期间的体能要求。
IF 2.6 Q1 SPORT SCIENCES Pub Date : 2024-08-28 DOI: 10.3390/jfmk9030149
Lorenzo Marcelli, Fioretta Silvestri, Gianluca Di Pinto, Maria Chiara Gallotta, Davide Curzi

To investigate how contextual or environmental factors may influence the athletic performance of female soccer players during competitions, this study aimed to assess the impact of match-related variables (playing surface; opponent levels; opponent result trends; match status, and match outcomes) on the athletic performance of professional female soccer athletes. Seventeen athletes (25.5 ± 4.3 years of age) from the same team competing in the Italian second division were divided into two groups according to their roles and athletic characteristics: Group A (central defenders and forwards) and Group B (right/left full-backs and midfielders). Total distance (TD) and sprint distance (SD); high-speed running (HSR), acceleration (ACC), and deceleration numbers (DEC); average and maximal heart rate (HR_avg; HR_max); and match-related factors were collected during the 22 regular season matches. A T-test and ANOVA were used to calculate the differences between groups in GPS and HR variables and the effects of match-related factors, respectively. Results showed higher running performance in the B group compared to the A group during matches. Increased ACC number was seen in matches played on artificial turf; winning was associated with decreased HR_max and increased DEC number. Athletes covered higher TD reaching lower HR_max when playing against lower-ranking opponents while matches lost/drawn resulted in higher HSR. High HRs (max and avg) were found when playing against a team with a positive performance trend. In summary, match-related factors and opponents' characteristics can affect athletic performance in female soccer athletes. These factors should be considered during in-seasonal training to personalize match preparation and optimize athlete performance.

为了研究背景或环境因素如何影响女足运动员在比赛中的运动表现,本研究旨在评估比赛相关变量(比赛场地、对手水平、对手成绩趋势、比赛状态和比赛结果)对职业女足运动员运动表现的影响。来自意大利乙级联赛同一支球队的 17 名运动员(25.5 ± 4.3 岁)根据其角色和运动特征被分为两组:A组(中后卫和前锋)和B组(右/左后卫和中场)。在 22 场常规赛中收集了总距离(TD)和冲刺距离(SD);高速跑(HSR)、加速度(ACC)和减速数(DEC);平均和最大心率(HR_avg;HR_max);以及比赛相关因素。采用 T 检验和方差分析分别计算各组在 GPS 和心率变量方面的差异以及比赛相关因素的影响。结果显示,与 A 组相比,B 组在比赛中的跑步成绩更高。在人工草皮上进行的比赛中,ACC 数量增加;获胜与最大心率降低和 DEC 数量增加有关。在与排名较低的对手比赛时,运动员的 TD 值较高,HR_max 值较低,而输球/平局则导致 HSR 值较高。当与表现趋势积极的球队比赛时,运动员的心率(最大值和平均值)较高。总之,与比赛相关的因素和对手的特点会影响女子足球运动员的运动表现。在赛季内的训练中应考虑这些因素,以便进行个性化的比赛准备并优化运动员的表现。
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引用次数: 0
Subjective Cognitive Impairment and Physical Activity: Investigating Risk Factors and Correlations among Older Adults in Spain. 主观认知障碍与体育锻炼:调查西班牙老年人的风险因素和相关性。
IF 2.6 Q1 SPORT SCIENCES Pub Date : 2024-08-28 DOI: 10.3390/jfmk9030150
Juan Manuel Franco-García, Ángel Denche-Zamorano, Jorge Carlos-Vivas, Antonio Castillo-Paredes, Cristina Mendoza-Holgado, Jorge Pérez-Gómez

Subjective cognitive impairment in older persons has a substantial influence on their quality of life and can progress to serious illnesses such as dementia. Physical activity level can help prevent cognitive decline and improve cognitive performance. The aim of this study was to investigate the association between frequency of physical activity and subjective cognitive impairment in Spanish adults aged 65 and over, and to identify different risk factors. Using data from the EHSS20 survey, the study focused on 7082 participants who provided information on cognitive impairment and physical activity. Key predictor variables included age, gender, BMI, marital status, and education level. A significant relationship was found between BMI category and gender, with 66.5% of the population being overweight or obese. Men were more likely to be overweight than women. Socio-demographic factors such as educational level, marital status, and physical activity frequency showed dependent associations with sex. Women had a higher prevalence of subjective cognitive impairment than men. A strong association was found between frequency of physical activity and subjective cognitive impairment, with inactive older people having the highest prevalence of subjective cognitive impairment. Older women who engage in little physical exercise and have less education are at risk for subjective cognitive impairment. Furthermore, for both men and women, being overweight was associated with a more reduced risk than obesity. Significant relationships were also discovered between subjective cognitive impairment, frequency of physical exercise, gender, BMI, and degree of education. In conclusion, older, sedentary women with high BMI and less education are more likely to experience subjective cognitive impairment.

老年人的主观认知障碍对其生活质量有很大影响,并可能发展为痴呆症等严重疾病。体育锻炼有助于预防认知功能下降和改善认知能力。本研究旨在调查西班牙 65 岁及以上老年人的体育锻炼频率与主观认知障碍之间的关系,并找出不同的风险因素。这项研究使用了 EHSS20 调查的数据,重点研究了 7082 名提供了认知障碍和体育锻炼信息的参与者。主要预测变量包括年龄、性别、体重指数、婚姻状况和教育水平。研究发现,体重指数类别与性别之间存在明显的关系,66.5%的人超重或肥胖。男性比女性更容易超重。教育水平、婚姻状况和体育锻炼频率等社会人口因素与性别呈依存关系。女性的主观认知障碍发生率高于男性。研究发现,体育活动频率与主观认知障碍之间存在密切联系,不爱运动的老年人主观认知障碍发生率最高。很少参加体育锻炼和受教育程度较低的老年妇女有可能出现主观认知障碍。此外,对于男性和女性来说,超重比肥胖更容易降低风险。研究还发现,主观认知障碍、体育锻炼频率、性别、体重指数和受教育程度之间存在显著关系。总之,体重指数高、教育程度低的老年久坐妇女更容易出现主观认知障碍。
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引用次数: 0
The Impact of Perception-Action Training Devices on Quickness and Reaction Time in Female Volleyball Players. 感知-动作训练装置对女排运动员速度和反应时间的影响
IF 2.6 Q1 SPORT SCIENCES Pub Date : 2024-08-27 DOI: 10.3390/jfmk9030147
Nicola Mancini, Marilena Di Padova, Rita Polito, Siria Mancini, Anna Dipace, Angelo Basta, Dario Colella, Pierpaolo Limone, Giovanni Messina, Marcellino Monda, Antonietta Monda, Mariasole Antonietta Guerriero, Antonietta Messina, Fiorenzo Moscatelli

The objective of this study was to examine the effect of a training program utilizing action perception technology (PAD) tools on improving the motor reaction times and neuromuscular capabilities of the upper and lower limbs compared to a traditional training program. Twenty-four female volleyball players competing in the Italian national championship were randomized into two groups of 12 athletes each: an experimental group (EG) and a control group (CG). A preliminary analysis confirmed the absence of significant differences in age and anthropometric characteristics between the groups. All the players underwent an initial battery of tests (pre-test), including Reaction Time simple Upper and Lower Limb (RTsUL and RTsLL) and Tapping Upper and Lower Limb (TUL and TLL). During a 6-week training program, the experimental group used exercises with a technological system of illuminated disks, while the control group followed the traditional training methods without advanced technology. At the end of the program, both groups were subjected to final tests (post-test). The main results show that after 6 weeks, both groups improved their performance compared to the initial tests. However, EG achieved significantly better results than CG in every test, with significant reductions in average times (ip%) of -14.9% in RTsUL (DX = -0.072 s, t = 23.2, p < 0.05, d = 6.7), -14.9% in RTsLL (DX = -0.091 s, t = 44.0, p < 0.05, d = 12.7), -10.6% in TUL (DX = -0.622 s, t = 42.0, p < 0.05, d = 12.1), and -10.7% in TLL (DX = -0.983 s, t = 43.1, p < 0.05, d = 12.4). The use of light-based perception-action technology devices in volleyball training has shown potential for significantly improving movement speed and reaction time. However, further research is needed to determine whether these improvements actually translate into enhanced overall performance in competitive contexts compared to the traditional training methods.

本研究的目的是考察利用动作感知技术(PAD)工具的训练计划与传统训练计划相比,对改善上下肢运动反应时间和神经肌肉能力的效果。24 名参加意大利全国锦标赛的女排运动员被随机分为两组,每组 12 人:实验组(EG)和对照组(CG)。初步分析证实,实验组和对照组在年龄和人体测量特征方面没有明显差异。所有运动员都接受了一系列初步测试(预测试),包括简单上下肢反应时间(RTsUL 和 RTsLL)和轻拍上下肢反应时间(TUL 和 TLL)。在为期 6 周的训练计划中,实验组使用发光盘技术系统进行练习,而对照组则采用传统的训练方法,不使用先进技术。课程结束后,两组都接受了最终测试(后测)。主要结果显示,6 周后,两组的成绩都比最初的测试有所提高。然而,在每项测试中,EG 的成绩都明显优于 CG,RTsUL 的平均时间(ip%)显著减少了 -14.9%(DX = -0.072 s,t = 23.2,p < 0.05,d = 6.7)、RTsLL(DX = -0.091 s,t = 44.0,p < 0.05,d = 12.7)-14.9%、TUL(DX = -0.622 s,t = 42.0,p < 0.05,d = 12.1)-10.6%、TLL(DX = -0.983 s,t = 43.1,p < 0.05,d = 12.4)-10.7%。在排球训练中使用基于光的感知-动作技术设备已显示出显著提高运动速度和反应时间的潜力。然而,与传统的训练方法相比,这些改进是否真正转化为竞技环境中整体表现的提高,还需要进一步的研究来确定。
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引用次数: 0
A Practical Guide to Injection Therapy in Hand Tendinopathies: A Systematic Review of Randomized Controlled Trials. 手部肌腱病注射疗法实用指南》:随机对照试验系统回顾》。
IF 2.6 Q1 SPORT SCIENCES Pub Date : 2024-08-26 DOI: 10.3390/jfmk9030146
Antonio Frizziero, Nicola Maffulli, Chiara Saglietti, Eugenio Sarti, Davide Bigliardi, Cosimo Costantino, Andrea Demeco

Hand tendinopathies represent a pathological condition associated with significant disability. However, due to this high heterogeneity of the treatments and their efficacy, there is still a lack of consensus on the infiltrative therapy of the hand. This systematic review aimed to investigate the efficacy of injection techniques in the treatment of pain related to the main hand tendinopathies. We searched online medical databases (PubMed, Pedro, Cochrane Library, Scopus, and WoS). Only RCTs published in the last 10 years (up to 5 August 2024), written in English, and related to infiltrative treatment in wrist and hand tendinopathies were evaluated. The risk of bias in RCTs was assessed with Version 2 of the Cochrane Risk of Bias tool for randomized trials (RoB 2). Out of 641 articles identified, 23 were included in the final synthesis: 14 RCTs on trigger finger, and 9 RCTs on de Quervain's tenosynovitis. The present systematic review showed that infiltrative therapy of trigger finger and de Quervain's tenosynovitis constitutes a fundamental element in the treatment of these pathological conditions, in terms of pain reduction and improvement in the functionality of the hand.

手部肌腱病是一种与严重残疾相关的病理状态。然而,由于治疗方法及其疗效的高度异质性,手部浸润疗法仍缺乏共识。本系统性综述旨在研究注射技术在治疗主要手部肌腱病相关疼痛方面的疗效。我们搜索了在线医学数据库(PubMed、Pedro、Cochrane Library、Scopus 和 WoS)。仅对过去 10 年(截至 2024 年 8 月 5 日)内发表的、用英语撰写的、与腕部和手部肌腱病浸润治疗相关的 RCT 进行了评估。采用科克伦随机试验偏倚风险工具第二版(RoB 2)评估了研究性临床试验的偏倚风险。在确定的 641 篇文章中,有 23 篇被纳入最终综述:14 篇是关于扳机指的研究性试验,9 篇是关于杜氏腱鞘炎的研究性试验。本系统综述显示,从减轻疼痛和改善手部功能的角度来看,对扳机指和杜氏腱鞘炎的浸润疗法是治疗这些病症的基本要素。
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引用次数: 0
Whole-Body Vibration (WBV) as a Conditioning Activity for Roundhouse Kick (mawashi geri) Performance in Karate. 全身振动(WBV)作为空手道回旋踢(mawashi geri)表现的一种调节活动。
IF 2.6 Q1 SPORT SCIENCES Pub Date : 2024-08-26 DOI: 10.3390/jfmk9030145
Johan Robalino, Lucieli Teresa Cambri, André Cavalcante, Emerson Franchini, Bruno Mezêncio, Jacielle Carolina Ferreira

Karate athletes strategically use lower-limb techniques in combat, with the roundhouse kick (mawashi geri) being highly effective in kumite. To quickly improve the technical performance before training or competitions, conditioning activities (CAs) are often utilized. Recently, Whole-Body Vibration (WBV) has emerged as a potential conditioning activity (CA). This study aimed to analyze the acute effects of WBV as a CA on the performance of the mawashi geri. The sample included sixteen male karate athletes. The study had a familiarization and two experimental sessions: one with WBV and the other without (NWBV), conducted randomly and counterbalanced, each preceded and followed by a mawashi geri assessment on a force platform. During the CA intervention, the participants performed four sets of isometric half-squats on a vibration platform at a frequency of 26 Hz and an amplitude of 4 mm in the WBV condition, while the platform was off in the NWBV condition. A significant reduction in the mawashi geri attack phase time was observed under the WBV condition [pre: 0.31 ± 0.03 s; post: 0.30 ± 0.03 s] compared to the NWBV condition [pre: 0.31 ± 0.04 s; post: 0.32 ± 0.03 s] (p = 0.02). However, no differences were noted regarding the impact force or other kinetic variables between the conditions. Therefore, WBV did not increase the performance of the kinetic and kinematic variables of the mawashi geri in karate athletes, but it is possible that there is a positive effect on attack time, suggesting that further studies with different vibration protocol configurations would be beneficial.

空手道运动员在实战中战略性地使用下肢技术,其中回旋踢(mawashi geri)在搏击比赛中非常有效。为了在训练或比赛前迅速提高技术表现,通常会采用调节活动(CA)。最近,全身振动(WBV)已成为一种潜在的调节活动(CA)。本研究旨在分析 WBV 作为一种 CA 对 mawashi geri 性能的急性影响。样本包括 16 名男性空手道运动员。研究包括一个熟悉环节和两个实验环节:一个是有 WBV 的环节,另一个是没有 WBV 的环节(NWBV),这两个环节都是随机和平衡进行的,每个环节之前和之后都在力平台上进行了 mawashi geri 评估。在 CA 干预期间,WBV 条件下,参与者在振动平台上做四组频率为 26 赫兹、振幅为 4 毫米的等长半蹲动作,而在 NWBV 条件下,振动平台处于关闭状态。与 NWBV 条件[前:0.31 ± 0.04 秒;后:0.32 ± 0.03 秒]相比,在 WBV 条件下观察到 mawashi geri 攻击阶段时间明显缩短[前:0.31 ± 0.03 秒;后:0.30 ± 0.03 秒](p = 0.02)。然而,冲击力或其他运动变量在不同条件下没有差异。因此,WBV 并未提高空手道运动员的马桥格力运动和运动变量的表现,但有可能对攻击时间产生积极影响,这表明采用不同振动方案配置进行进一步研究将是有益的。
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引用次数: 0
Investigation of Neuromuscular Activation in Older Female Adults during a Dynamic and Challenging Virtual Reality Activity: A Cross-Sectional Study. 调查老年女性在动态和挑战性虚拟现实活动中的神经肌肉激活情况:一项横断面研究
IF 2.6 Q1 SPORT SCIENCES Pub Date : 2024-08-24 DOI: 10.3390/jfmk9030143
Konstantina Intziegianni, Marc Sarens, Olia Tsivitanidou, Louis Nisiotis, Katalin Kovacs, Eniko Nagy, Efstathios Christodoulides

The use of virtual reality (VR) in older adults promotes improvements in mobility, strength, and balance. Changes in neuromuscular activation have been found to be associated with these improvements; however, during VR activities, this aspect has not been thoroughly investigated. The aim of this study was to investigate neuromuscular activation among older female adults during VR activities. Sixteen older female adults, with the use of VR, performed dynamic punching movements involving elbow flexion/extension for one minute, and the muscle activation of the bicep brachii was recorded with electromyography (EMG) and normalized to the maximal voluntary isometric contraction of elbow flexion. The one-minute activity was divided into three time phases: 0-10 s, 25-35 s, and 50-60 s. The five highest EMG amplitude values (%) in each phase were selected and averaged. Differences between phases were analyzed using repeated ANOVA (αadj = 0.017). The EMG amplitude for the first phase was 39.1 ± 2.6%, that for the second phase was 44.8 ± 3.0%, and that for the third phase was 49.6 ± 3.1%. Statistically significant differences were found in all phases, with the first phase demonstrating a lower EMG amplitude (%) compared to the second (p = 0.002) and third phases (p = 0.000). The third phase demonstrated a higher EMG amplitude (%) compared to the second phase (p = 0.025). Engagement in VR activities can have significant effects on neuromuscular activation in older female adults, with our findings revealing a significant increase in the EMG amplitude within one minute of commencing a dynamic and challenging activity such as virtual boxing.

在老年人中使用虚拟现实(VR)可促进活动能力、力量和平衡能力的提高。研究发现,神经肌肉激活的变化与这些改善有关;然而,在 VR 活动中,这方面的研究还不够深入。本研究旨在调查老年女性在 VR 活动中的神经肌肉激活情况。16 名老年女性利用 VR 进行了一分钟涉及肘关节屈伸的动态冲拳运动,并用肌电图(EMG)记录了肱二头肌的肌肉激活情况,并将其归一化为肘关节屈伸的最大自主等长收缩。一分钟的活动分为三个时间阶段:每个阶段选取五个最高的肌电图振幅值(%)并求平均值。采用重复方差分析(αadj = 0.017)分析各阶段之间的差异。第一阶段的肌电图振幅为 39.1 ± 2.6%,第二阶段为 44.8 ± 3.0%,第三阶段为 49.6 ± 3.1%。在所有阶段中都发现了明显的统计学差异,第一阶段的肌电图振幅(%)低于第二阶段(p = 0.002)和第三阶段(p = 0.000)。与第二阶段相比,第三阶段的肌电图振幅(%)较高(p = 0.025)。参与虚拟现实活动会对老年女性的神经肌肉激活产生显著影响,我们的研究结果表明,在开始虚拟拳击等动态和具有挑战性的活动后一分钟内,EMG 振幅会显著增加。
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引用次数: 0
Reconstruction of Chronic Soft Tissue Mallet Fingers: Outcomes of Step-Plasty vs. Purse-String Suture. 慢性软组织槌状指的重建:阶梯成形术与钱包线缝合术的结果。
IF 2.6 Q1 SPORT SCIENCES Pub Date : 2024-08-24 DOI: 10.3390/jfmk9030144
Wolfram Demmer, Andreas Frick, Rüdiger G H Baumeister, Elisabeth Haas-Lützenberger, Nikolaus Thierfelder, Sinan Mert, Denis Ehrl, Riccardo Giunta, Christiane G Stäuble

After failed conservative therapy or in the absence of any intervention, a rupture of the digital subcutaneous extensor tendon at the distal interphalangeal (DIP) joint, known as mallet finger, may lead to a chronic extension deficit due to excessive scarring and tendon elongation. Various surgical techniques to restore the extension of the distal phalanx have been proposed, but an optimal approach has not yet been established. To tighten the extensor tendon, a purse-string suture can be applied. Although it has shown efficacy, it can result in significant bulging and scar formation. Using the "abbreviato" technique, the elongated part of the extensor tendon is excised, and the tendon is re-sutured. Also, tenodesis has been described, particularly in pediatric cases. In this retrospective follow-up study, we aimed to investigate if the step-plasty procedure previously described by Baumeister provides comparable, if not superior, functional and aesthetic outcomes compared to existing techniques for patients with chronic mallet finger. In this retrospective study, a consecutive series of 68 patients with chronic mallet fingers was enrolled. Patients were treated surgically using step-plasty of the respective extensor tendon. After skin incision and tenolysis, the elongated extensor tendon was incised in a Z-like fashion and stepwise resected in the transverse portion of the Z. The functional and aesthetic effects of this step-plasty technique were compared with results of 44 patients previously treated using purse-string sutures of the extensor tendon and evaluated using Crawford's and Levante's criteria. In all patients undergoing the step-plasty procedure, the extension deficit was significantly reduced from an average of 42 degrees preoperatively to 11 degrees postoperatively. In contrast, the control group treated by purse-string sutures showed a slightly higher postoperative extension deficit of 15 degrees. According to Levante's criteria, the results of our step-plasty procedure were significantly better than those achieved with purse-string sutures. Our study demonstrated that the treatment of older or chronic subcutaneous extensor tendon ruptures using the step-plasty technique led to a significant reduction in extension deficits. According to Levante's criteria, the postoperative outcome was significantly better in comparison to the purse-string suture technique. Additionally, no skin resection was required to improve the extension capability of the distal finger joint, compared to established surgical procedures.

在保守治疗失败或未采取任何干预措施的情况下,被称为槌状指的远端指骨间(DIP)关节处的数字皮下伸肌腱断裂可能会因过度结疤和肌腱伸长而导致慢性伸展功能障碍。目前已提出了多种恢复远端指骨伸展的手术方法,但尚未确定最佳方法。为了收紧伸肌腱,可以使用荷包线缝合。虽然这种方法有一定的疗效,但可能会导致明显的隆起和疤痕形成。使用 "缩略 "技术,切除伸肌腱的拉长部分,然后重新缝合肌腱。此外,还有人描述过腱鞘切除术,尤其是在儿童病例中。在这项回顾性随访研究中,我们旨在调查鲍迈斯特之前描述的阶梯成形术与现有技术相比,是否能为慢性槌状指患者提供类似甚至更好的功能和美学效果。在这项回顾性研究中,我们连续招募了 68 名慢性槌状指患者。患者采用阶梯成形术对各自的伸肌腱进行手术治疗。在皮肤切开和腱鞘溶解后,拉长的伸肌腱以 Z 字形方式切开,并在 Z 字形的横向部分分步切除。这项分步成形术的功能和美学效果与之前使用荷包线缝合伸肌腱的 44 例患者的治疗结果进行了比较,并使用克劳福德和莱万特的标准进行了评估。在所有接受阶梯成形术的患者中,伸展不足的程度从术前的平均 42 度明显降低到术后的 11 度。相比之下,接受荷包缝合术的对照组患者术后的伸展度稍高,为 15 度。根据 Levante 的标准,我们的阶梯成形术效果明显优于荷包缝合术。我们的研究表明,使用阶梯成形术治疗陈旧性或慢性皮下伸肌腱断裂可显著减少伸展功能障碍。根据 Levante 的标准,术后效果明显优于荷包线缝合技术。此外,与既有的手术方法相比,无需切除皮肤即可改善手指远端关节的伸展能力。
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引用次数: 0
Different Factors Influencing Postural Stability during Transcutaneous Electrical Stimulation of the Cervical Spinal Cord. 经皮脊髓电刺激时影响姿势稳定性的不同因素
IF 2.6 Q1 SPORT SCIENCES Pub Date : 2024-08-22 DOI: 10.3390/jfmk9030142
Leisan Bikchentaeva, Margarita Nikulina, Anna Shulman, Maxim Baltin, Angelina Zheltukhina, Elena Semenova, Viktoriya Smirnova, Svetlana Klepikova, Tatyana Baltina

Transcutaneous spinal cord stimulation (tSCS) is a promising noninvasive alternative to epidural stimulation. However, further studies are needed to clarify how tSCS affects postural control. The aim of this study was to investigate the effect of transcutaneous cervical spinal cord stimulation on postural stability in healthy participants via computerized stabilization. The center of pressure and the frequency spectrum of the statokinesiogram were assessed in 14 healthy volunteers under tSCS conditions with frequencies of 5 Hz or 30 Hz, subthreshold or suprathreshold stimulus strength, open or closed eyes, and hard or soft surfaces in various combinations. The results revealed that not all the changes in the center of the pressure oscillations reached statistical significance when the tSCS was used. However, tSCS at a frequency of 30 Hz with a suprathreshold stimulus strength improved postural stability. The use of subthreshold or suprathreshold tSCS at 5 Hz led to a shift of 60% of the signal power to the low-frequency range, indicating activation of the vestibular system. With tSCS at 30 Hz, the vestibular component remained dominant, but a decrease in the proportion of high-frequency oscillations was observed, which is associated with muscle proprioception. Thus, transcutaneous electrical stimulation of the cervical spinal cord may be an effective method for activating spinal cord neural networks capable of modulating postural control.

经皮脊髓刺激(tSCS)是一种很有前途的非侵入性硬膜外刺激替代方法。然而,还需要进一步的研究来阐明经皮脊髓刺激是如何影响姿势控制的。本研究的目的是通过计算机稳定技术研究经皮颈脊髓刺激对健康参与者姿势稳定性的影响。在频率为 5 赫兹或 30 赫兹、阈下或阈上刺激强度、睁眼或闭眼、硬表面或软表面等不同组合的经皮颈脊髓刺激条件下,对 14 名健康志愿者的压力中心和状态图频谱进行了评估。结果显示,在使用 tSCS 时,压力振荡中心的所有变化并没有达到统计学意义。不过,频率为 30 Hz、刺激强度为阈上的 tSCS 可以改善姿势稳定性。使用阈下或阈上频率为 5 赫兹的 tSCS 会导致 60% 的信号功率转移到低频范围,这表明前庭系统被激活。在 30 赫兹的经皮电刺激下,前庭成分仍占主导地位,但观察到高频振荡的比例有所下降,这与肌肉本体感觉有关。因此,对颈脊髓进行经皮电刺激可能是激活脊髓神经网络的有效方法,而脊髓神经网络能够调节姿势控制。
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引用次数: 0
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Journal of Functional Morphology and Kinesiology
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