Pub Date : 2024-05-01DOI: 10.31189/2165-7629-13-s2.331
Miss Sarah Jeffery, Miss Holly Hitchener, Dr Emma Beckman
Accredited exercise physiologists are perfectly placed to assist people with neurological injury to reengage or explore new opportunities in physical activity. The benefits of physical activity in this population are well documented, however participation rates are low. Research shows that 75% of Australians living with a disability over the age of 15 do not meet the recommended levels of physical activity. While the need is high, the 2021-2022 ESSA workforce report found only 7% of accredited professionals are working with people living with neurological conditions. This highlights the gap between industry demand, workforce capacity and capability to deliver evidence based best practice. As clinicians with a collective experience of 30+ years, we have identified a need for greater dissemination of knowledge, experience, and practical translation of the evidence in this population. This presentation will explore the perspectives of three experienced AEP’s working from hospital to home and beyond. Each presenter will draw on their unique context and experience to describe the challenges and opportunities for AEP’s in each specific area. Sarah will provide an overview of the hospital setting and transition to community, highlighting the opportunities for early intervention and the role in supporting ongoing meaningful physical activity. Holly will discuss an exercise physiologist’s role in community rehabilitation, and our place in a multidisciplinary team. She will further explore what it looks like to move from exercise for rehabilitation mindset, into exercise for life. Emma will detail the opportunities in sports and competitions such as the Paralympics, particularly around how AEP’s can support performance goals. The team will close with provocative discussion around how AEP’s can contribute to the governments ELEVATE 2042 Strategy and we will invite AEP’s to join us on this journey.
{"title":"SUPPORTING PEOPLE WITH NEUROLOGICAL INJURY TO ENGAGE IN PHYSICAL ACTIVITY-FROM HOSPITAL TO HOME AND BEYOND","authors":"Miss Sarah Jeffery, Miss Holly Hitchener, Dr Emma Beckman","doi":"10.31189/2165-7629-13-s2.331","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.331","url":null,"abstract":"Accredited exercise physiologists are perfectly placed to assist people with neurological injury to reengage or explore new opportunities in physical activity. The benefits of physical activity in this population are well documented, however participation rates are low. Research shows that 75% of Australians living with a disability over the age of 15 do not meet the recommended levels of physical activity. While the need is high, the 2021-2022 ESSA workforce report found only 7% of accredited professionals are working with people living with neurological conditions. This highlights the gap between industry demand, workforce capacity and capability to deliver evidence based best practice. As clinicians with a collective experience of 30+ years, we have identified a need for greater dissemination of knowledge, experience, and practical translation of the evidence in this population. This presentation will explore the perspectives of three experienced AEP’s working from hospital to home and beyond. Each presenter will draw on their unique context and experience to describe the challenges and opportunities for AEP’s in each specific area. Sarah will provide an overview of the hospital setting and transition to community, highlighting the opportunities for early intervention and the role in supporting ongoing meaningful physical activity. Holly will discuss an exercise physiologist’s role in community rehabilitation, and our place in a multidisciplinary team. She will further explore what it looks like to move from exercise for rehabilitation mindset, into exercise for life. Emma will detail the opportunities in sports and competitions such as the Paralympics, particularly around how AEP’s can support performance goals. The team will close with provocative discussion around how AEP’s can contribute to the governments ELEVATE 2042 Strategy and we will invite AEP’s to join us on this journey.","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141031931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.31189/2165-7629-13-s2.377
Ms Suzie Mate, Megan Soutter, Ms Jana Liaros, Daniel Hackett, Professor Michael Barnett, P. Am, Dr Ché Fornusek
Improving aerobic fitness in people with multiple sclerosis (MS) can reduce fatigue, and lower the risk of cardiovascular disease. Aerobic training can be challenging due to paresis, access to suitable equipment and fatigue. The aim was to investigate whether functional electrical stimulation (FES) cycling combined with arm crank interval exercise (hybrid FES interval training) is feasible for people with advanced MS, and its effects on aerobic fitness and fatigue. Hybrid FES interval training was performed 2 d/wk for 12 weeks. Each session consisted of 40 minutes of continuous FES cycling with arm crank intervals of 30 seconds work/30 seconds rest added concurrently for 20 minutes. The intensity target was a minimum of 60% of arm crank power and ‘hard’ measured by rate of perceived exertion (RPE) on a scale of 6-20. Feasibility was measured by attendance, compliance to intensity and time targets, adverse events, and drop outs. Aerobic fitness was assessed by an arm crank maximal test. Fatigue was measured via the Modified Fatigue Impact Scale (MFIS). Seven participants (6 female; age 57.1±7.8y; Expanded Disability Status Scale 7.1±0.8) with advanced MS attended 80±10.4% of the scheduled sessions and there were no adverse events or drop outs. Average RPE at the end of each training session was 15±2, representing vigorous intensity exercise. Aerobic fitness did not change pre- to post-intervention [14.2±5.7 to 14.78±6.0 mL/kg/min (p=0.43)]. There was a trend towards a reduction in the MFIS score pre- to post-intervention [31.0±10.4 to 21.7±11.4 (p=0.10)]. Hybrid FES interval training is feasible for people with advanced MS who need exercise equipment appropriate for their condition, and can represent vigorous intensity exercise. The positive findings support the need for future randomized control trials that can assess the aerobic fitness changes and associated health benefits of hybrid FES interval training.
{"title":"THE EFFECTS OF HYBRID FUNCTIONAL ELECTRICAL STIMULATION INTERVAL TRAINING ON AEROBIC FITNESS AND FATIGUE IN PEOPLE WITH ADVANCED MULTIPLE SCLEROSIS","authors":"Ms Suzie Mate, Megan Soutter, Ms Jana Liaros, Daniel Hackett, Professor Michael Barnett, P. Am, Dr Ché Fornusek","doi":"10.31189/2165-7629-13-s2.377","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.377","url":null,"abstract":"\u0000 \u0000 Improving aerobic fitness in people with multiple sclerosis (MS) can reduce fatigue, and lower the risk of cardiovascular disease. Aerobic training can be challenging due to paresis, access to suitable equipment and fatigue. The aim was to investigate whether functional electrical stimulation (FES) cycling combined with arm crank interval exercise (hybrid FES interval training) is feasible for people with advanced MS, and its effects on aerobic fitness and fatigue.\u0000 \u0000 \u0000 \u0000 Hybrid FES interval training was performed 2 d/wk for 12 weeks. Each session consisted of 40 minutes of continuous FES cycling with arm crank intervals of 30 seconds work/30 seconds rest added concurrently for 20 minutes. The intensity target was a minimum of 60% of arm crank power and ‘hard’ measured by rate of perceived exertion (RPE) on a scale of 6-20. Feasibility was measured by attendance, compliance to intensity and time targets, adverse events, and drop outs. Aerobic fitness was assessed by an arm crank maximal test. Fatigue was measured via the Modified Fatigue Impact Scale (MFIS).\u0000 \u0000 \u0000 \u0000 Seven participants (6 female; age 57.1±7.8y; Expanded Disability Status Scale 7.1±0.8) with advanced MS attended 80±10.4% of the scheduled sessions and there were no adverse events or drop outs. Average RPE at the end of each training session was 15±2, representing vigorous intensity exercise. Aerobic fitness did not change pre- to post-intervention [14.2±5.7 to 14.78±6.0 mL/kg/min (p=0.43)]. There was a trend towards a reduction in the MFIS score pre- to post-intervention [31.0±10.4 to 21.7±11.4 (p=0.10)].\u0000 \u0000 \u0000 \u0000 Hybrid FES interval training is feasible for people with advanced MS who need exercise equipment appropriate for their condition, and can represent vigorous intensity exercise. The positive findings support the need for future randomized control trials that can assess the aerobic fitness changes and associated health benefits of hybrid FES interval training.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141040583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.31189/2165-7629-13-s2.392
Miss Nicola Pithers, Miss Tijana Sharp
Experience as director of a young exercise physiology clinic has facilitated extensive supervision of practicum students and graduates. This exposure has highlighted the inconsistent learning opportunities offered in pilates exercise prescription. This is alarming given the emergence of recent findings that suggest pilates is beneficial in the management of various pathologies. “The Active Education Program” was developed in January 2023 to facilitate structured learning opportunities for allied health students, graduates and professionals, particularly in the prescription and delivery of pilates based exercise. The courses involved in the program provide professional development in matwork, reformer, other studio equipment and rehabilitation based pilates exercise. Course participants receive a workbook and online exercise library for each course. The foundations and learning outcomes of this program are also embedded in a self-developed exercise science and physiology student placement strategy. Participants were asked to complete a survey on course completion pertaining to resource quality, experience and satisfaction. A total of 32 participants completed at least one course in 2023. The quality and volume of the online exercise library was rated as ‘exceeding expectations’ by 87.5% and 90.6% participants respectively. The majority of participants (93.8%) felt confident in their ability to prescribe and deliver a matwork pilates class following participation, while 84.4% felt the course provided a high value of contribution to their professional development. Finally, 100% of attendees felt they received enough feedback during the course. The Active Education Program has demonstrated high quality learning experiences and promoted industry readiness. Previous feedback has facilitated the refinement of content and delivery strategies for forthcoming courses. For example, future endeavours include offering an online delivery option to increase program reach. The program will continue to connect professionals and provide a network of support while providing a high quality of professional development.
{"title":"EDUCATION FOR EXERCISE PROFESSIONALS, DELIVERED BY EXERCISE PROFESSIONALS: THE ACTIVE EDUCATION PROGRAM","authors":"Miss Nicola Pithers, Miss Tijana Sharp","doi":"10.31189/2165-7629-13-s2.392","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.392","url":null,"abstract":"\u0000 \u0000 Experience as director of a young exercise physiology clinic has facilitated extensive supervision of practicum students and graduates. This exposure has highlighted the inconsistent learning opportunities offered in pilates exercise prescription. This is alarming given the emergence of recent findings that suggest pilates is beneficial in the management of various pathologies.\u0000 \u0000 \u0000 \u0000 “The Active Education Program” was developed in January 2023 to facilitate structured learning opportunities for allied health students, graduates and professionals, particularly in the prescription and delivery of pilates based exercise. The courses involved in the program provide professional development in matwork, reformer, other studio equipment and rehabilitation based pilates exercise. Course participants receive a workbook and online exercise library for each course. The foundations and learning outcomes of this program are also embedded in a self-developed exercise science and physiology student placement strategy. Participants were asked to complete a survey on course completion pertaining to resource quality, experience and satisfaction.\u0000 \u0000 \u0000 \u0000 A total of 32 participants completed at least one course in 2023. The quality and volume of the online exercise library was rated as ‘exceeding expectations’ by 87.5% and 90.6% participants respectively. The majority of participants (93.8%) felt confident in their ability to prescribe and deliver a matwork pilates class following participation, while 84.4% felt the course provided a high value of contribution to their professional development. Finally, 100% of attendees felt they received enough feedback during the course.\u0000 \u0000 \u0000 \u0000 The Active Education Program has demonstrated high quality learning experiences and promoted industry readiness. Previous feedback has facilitated the refinement of content and delivery strategies for forthcoming courses. For example, future endeavours include offering an online delivery option to increase program reach. The program will continue to connect professionals and provide a network of support while providing a high quality of professional development.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141053234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.31189/2165-7629-13-s2.412
Mr Yannick Gilanyi, Ms Brishna Shah, Dr Aidan Cashin, Dr Mitchell T. Gibbs, Ms Jessica Bellamy, Dr Richard Day, James H McAuley, Matthew D Jones
Exercise is a first line treatment for chronic low back pain, reducing pain and disability in the short-term. However, exercise benefits decrease over time, with a lack of long-term exercise adherence a potential reason for this. This study aimed to synthesize the perceptions and beliefs of individuals with chronic low back pain and identify their barriers and enablers to exercise adherence. We searched CENTRAL, EMBASE, CINAHL, SPORTDiscus, PubMed, PsycINFO, CINAHL, and Scopus databases from inception to 28th February 2023 for qualitative studies that explored the factors influencing exercise adherence for people with chronic low back pain. A hybrid approach combining inductive analysis using thematic synthesis and a deductive analysis, which included the Theoretical Domains Framework of behaviour change was used to analyse data. We assessed methodological quality using the Critical Appraisal Skills Programme checklist and the level of confidence of the themes found using the Confidence in the Evidence from Reviews of Qualitative Studies (GRADE-CERQual). Twenty-three papers (n=21 studies) were included (n=478 participants). Four main themes impacted exercise adherence: 1) exercise, pain, and the body, 2) psychological factors, 3) social factors and 4) external factors. These themes contained 16 subthemes that were predominantly both barriers and enablers to exercise adherence. There was moderate to high confidence across the findings. Our analysis found that individual’s experiences of barriers and enablers were most appropriately represented across a spectrum, where influencing factors could be a barrier or enabler to exercise adherence. Barriers and enablers were also found to be specific to pre-exercise, during exercise and post-exercise situations. This may lead to an improved and targeted approach to increasing exercise adherence. Further research is required to develop interventions that can use these findings for a more personalised and patient centred approach to treatment.
{"title":"BARRIERS AND ENABLERS TO EXERCISE ADHERENCE IN PEOPLE WITH CHRONIC LOW BACK PAIN: A SYSTEMATIC REVIEW OF QUALITATIVE EVIDENCE","authors":"Mr Yannick Gilanyi, Ms Brishna Shah, Dr Aidan Cashin, Dr Mitchell T. Gibbs, Ms Jessica Bellamy, Dr Richard Day, James H McAuley, Matthew D Jones","doi":"10.31189/2165-7629-13-s2.412","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.412","url":null,"abstract":"\u0000 \u0000 Exercise is a first line treatment for chronic low back pain, reducing pain and disability in the short-term. However, exercise benefits decrease over time, with a lack of long-term exercise adherence a potential reason for this. This study aimed to synthesize the perceptions and beliefs of individuals with chronic low back pain and identify their barriers and enablers to exercise adherence.\u0000 \u0000 \u0000 \u0000 We searched CENTRAL, EMBASE, CINAHL, SPORTDiscus, PubMed, PsycINFO, CINAHL, and Scopus databases from inception to 28th February 2023 for qualitative studies that explored the factors influencing exercise adherence for people with chronic low back pain. A hybrid approach combining inductive analysis using thematic synthesis and a deductive analysis, which included the Theoretical Domains Framework of behaviour change was used to analyse data. We assessed methodological quality using the Critical Appraisal Skills Programme checklist and the level of confidence of the themes found using the Confidence in the Evidence from Reviews of Qualitative Studies (GRADE-CERQual).\u0000 \u0000 \u0000 \u0000 Twenty-three papers (n=21 studies) were included (n=478 participants). Four main themes impacted exercise adherence: 1) exercise, pain, and the body, 2) psychological factors, 3) social factors and 4) external factors. These themes contained 16 subthemes that were predominantly both barriers and enablers to exercise adherence. There was moderate to high confidence across the findings.\u0000 \u0000 \u0000 \u0000 Our analysis found that individual’s experiences of barriers and enablers were most appropriately represented across a spectrum, where influencing factors could be a barrier or enabler to exercise adherence. Barriers and enablers were also found to be specific to pre-exercise, during exercise and post-exercise situations. This may lead to an improved and targeted approach to increasing exercise adherence. Further research is required to develop interventions that can use these findings for a more personalised and patient centred approach to treatment.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141039756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.31189/2165-7629-13-s2.526
Dr Andrew Scott, Miss Natasha Walter, Mr Monday Uwadiae, Mr Abdulmalik Agboola Ayodeji Alaga
Physical activity is beneficial for people living with metastatic breast cancer, a cancer that has spread to other body parts such as liver, lungs and lymph nodes, but less is known about patient views on supporting them in an active lifestyle. Through a qualitative scope this study aimed to investigate the effect of a metastatic breast cancer diagnosis on physical activity and quality of life aiming to capture exercise motivators, barriers, and preferences to inform and introduce feasible and effective physical activity in treatment plans. This study involved semi-structured interviews with eight female participants from the local Metastatic Breast Cancer Support Group in Portsmouth. Reflexive thematic analysis was conducted on the data, and five higher order themes were developed: (i) Life is affected by diagnosis and treatment, (ii) Limitations to being more physically active, (iii) Physical activity’s impact on quality of life, (iv) Factors supporting/enhancing physical activity and quality of life, and (v) Actions to support physical activity and quality of life. Generally, participants reported that living with metastatic breast cancer had negatively altered their quality of life, including their ability to be physically active. Perceptions of the introduction or continuation of physical activity were welcomed. Despite the benefits and factors found to support physical activity engagement several barriers were identified, such as treatment focus and exercise misconceptions. Metastatic breast cancer impacts quality of life and the ability to be physically active, being active is generally perceived to be beneficial, and social and environmental support is important to being physically active.
{"title":"A QUALITATIVE EXPLORATION OF THE EFFECT OF A METASTATIC BREAST CANCER DIAGNOSIS ON PHYSICAL ACTIVITY AND QUALITY OF LIFE","authors":"Dr Andrew Scott, Miss Natasha Walter, Mr Monday Uwadiae, Mr Abdulmalik Agboola Ayodeji Alaga","doi":"10.31189/2165-7629-13-s2.526","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.526","url":null,"abstract":"\u0000 \u0000 Physical activity is beneficial for people living with metastatic breast cancer, a cancer that has spread to other body parts such as liver, lungs and lymph nodes, but less is known about patient views on supporting them in an active lifestyle. Through a qualitative scope this study aimed to investigate the effect of a metastatic breast cancer diagnosis on physical activity and quality of life aiming to capture exercise motivators, barriers, and preferences to inform and introduce feasible and effective physical activity in treatment plans.\u0000 \u0000 \u0000 \u0000 This study involved semi-structured interviews with eight female participants from the local Metastatic Breast Cancer Support Group in Portsmouth.\u0000 \u0000 \u0000 \u0000 Reflexive thematic analysis was conducted on the data, and five higher order themes were developed: (i) Life is affected by diagnosis and treatment, (ii) Limitations to being more physically active, (iii) Physical activity’s impact on quality of life, (iv) Factors supporting/enhancing physical activity and quality of life, and (v) Actions to support physical activity and quality of life. Generally, participants reported that living with metastatic breast cancer had negatively altered their quality of life, including their ability to be physically active. Perceptions of the introduction or continuation of physical activity were welcomed. Despite the benefits and factors found to support physical activity engagement several barriers were identified, such as treatment focus and exercise misconceptions.\u0000 \u0000 \u0000 \u0000 Metastatic breast cancer impacts quality of life and the ability to be physically active, being active is generally perceived to be beneficial, and social and environmental support is important to being physically active.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141042013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.31189/2165-7629-13-s2.469
Mr Mitchell Anderson, Dr Georgia Chaseling, Dr Clint Bellenger, Dr Samuel Chalmers
Water dousing (pouring water on the body) is an easy-to-implement cooling method while running due to the availability of water at race aid stations, and may decrease the risk of heat illness and improve performance. However, dousing has not been investigated in extended duration running (i.e., ≥10 km), a typical distance in both elite and community level events. AIMS: Assess the effect of water dousing on heat strain and performance during self-paced and fixed-intensity exercise in the heat. DESIGN: Crossover, block randomised controlled trial. 13 trained runners completed a 10 km time trial (TT) and 60 min fixed pace run (60% velocity of VO2max) in a 30°C, 47% relative humidity environment using either water dousing (DOUSE) or no dousing (CON). 10 km TT performance was faster in DOUSE compared to CON (44:11±6:14 vs. 44:38±6:03 min:s; p=0.033). Change in core temperature (Tc) was not different between groups during the TT (+0.02±0.33°C in DOUSE; p=0.853) or fixed pace run (+0.02±0.30°C; p=0.848). Change in mean skin temperature (Tsk) was lower in DOUSE during the TT (-1.80±0.63°C; p<0.001) and fixed pace run (-1.38±0.78°C; p<0.001). Heart rate (HR) was lower for DOUSE during the fixed pace run (-3.5±5.5 bpm; p=0.041) but not during the TT (-0.2±4.2 bpm; p=0.853). Thermal sensation was lower for DOUSE during the TT (-49.3±41.9 mm; p<0.001) and fixed pace run (-44.7±27.6 mm; p<0.001). Rating of perceived exertion (RPE) was not different between groups for the TT (-0.2±0.9; p=0.390) or fixed pace run (-0.2±1.0; p=0.480). Water dousing improves 10 km TT performance in the heat but does not mitigate a rise in Tc. The positive change in thermal perception (via lower skin temperature) likely drives this ergogenic effect.
{"title":"THE EFFECT OF WATER DOUSING ON HEAT STRAIN AND PERFORMANCE DURING ENDURANCE RUNNING IN THE HEAT","authors":"Mr Mitchell Anderson, Dr Georgia Chaseling, Dr Clint Bellenger, Dr Samuel Chalmers","doi":"10.31189/2165-7629-13-s2.469","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.469","url":null,"abstract":"\u0000 \u0000 Water dousing (pouring water on the body) is an easy-to-implement cooling method while running due to the availability of water at race aid stations, and may decrease the risk of heat illness and improve performance. However, dousing has not been investigated in extended duration running (i.e., ≥10 km), a typical distance in both elite and community level events. AIMS: Assess the effect of water dousing on heat strain and performance during self-paced and fixed-intensity exercise in the heat. DESIGN: Crossover, block randomised controlled trial.\u0000 \u0000 \u0000 \u0000 13 trained runners completed a 10 km time trial (TT) and 60 min fixed pace run (60% velocity of VO2max) in a 30°C, 47% relative humidity environment using either water dousing (DOUSE) or no dousing (CON).\u0000 \u0000 \u0000 \u0000 10 km TT performance was faster in DOUSE compared to CON (44:11±6:14 vs. 44:38±6:03 min:s; p=0.033). Change in core temperature (Tc) was not different between groups during the TT (+0.02±0.33°C in DOUSE; p=0.853) or fixed pace run (+0.02±0.30°C; p=0.848). Change in mean skin temperature (Tsk) was lower in DOUSE during the TT (-1.80±0.63°C; p<0.001) and fixed pace run (-1.38±0.78°C; p<0.001). Heart rate (HR) was lower for DOUSE during the fixed pace run (-3.5±5.5 bpm; p=0.041) but not during the TT (-0.2±4.2 bpm; p=0.853). Thermal sensation was lower for DOUSE during the TT (-49.3±41.9 mm; p<0.001) and fixed pace run (-44.7±27.6 mm; p<0.001). Rating of perceived exertion (RPE) was not different between groups for the TT (-0.2±0.9; p=0.390) or fixed pace run (-0.2±1.0; p=0.480).\u0000 \u0000 \u0000 \u0000 Water dousing improves 10 km TT performance in the heat but does not mitigate a rise in Tc. The positive change in thermal perception (via lower skin temperature) likely drives this ergogenic effect.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141042143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.31189/2165-7629-13-s2.455
Mr Ben Kirk, Prof Ken Nosaka, Prof Anthony Blazevich, Dr Jodie Cochrane Wilkie, Dr Georgios Mavropalias, Dr Aus Molan
Exercise is fundamental for maintaining and improving health and fitness; however, many individuals do not participate in regular exercise, with perceived lack of time a key barrier. Minimal dose strategies, which reduce weekly exercise volumes to less than recommended guidelines, might improve health outcomes with minimal time investment. However, minimal dose strategies and their effects on health and fitness are still unclear. Therefore, we developed a bodyweight eccentric-biased exercise program consisting of 4 exercises (1 set of 10 repetitions each), which took just 5-min to complete, and investigated the effects of the program performed daily for 4 weeks on health and fitness outcomes in sedentary individuals. We recruited 22 healthy but sedentary individuals (32 – 69 years) whose daily steps were <5000. Participants completed a two-week control period, followed by a 4-week daily exercise intervention. Muscular strength, physical fitness, body composition and critical health markers were assessed before (PRE-1) and after the control period (PRE-2), as well as after the intervention (POST). Participants adhered to the exercise program >90%. No significant changes in any measures were observed from PRE-1 to PRE-2. Following the exercise intervention, no significant changes in body mass, bone mineral density, fat mass, lean mass, heart rate, blood pressure, grip strength, squat jump or countermovement jump were evident. However, isometric mid-thigh pull, representing lower limb muscle strength (13%), push-ups (42%) and sit-ups (44%), representing upper body strength and sit and reach, representing flexibility (12%) increased significantly (P<0.05), and the increase in heart rate from a 3-minute step test was attenuated (8%) from PRE-2 to POST (P<0.05). Finally, mental health assessed by SF-36 significantly improved (15%) (P<0.05). These results suggest that the 5-min eccentric exercise program was effective for improving physical fitness and mental health of sedentary individuals when performed every day for 4 weeks.
{"title":"EFFECTS OF DAILY 5-MINUTE ECCENTRIC-BIASED EXERCISES ON PHYSICAL FITNESS, BODY COMPOSITION, CRITICAL HEALTH MARKERS AND WELL-BEING IN SEDENTARY INDIVIDUALS","authors":"Mr Ben Kirk, Prof Ken Nosaka, Prof Anthony Blazevich, Dr Jodie Cochrane Wilkie, Dr Georgios Mavropalias, Dr Aus Molan","doi":"10.31189/2165-7629-13-s2.455","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.455","url":null,"abstract":"\u0000 \u0000 Exercise is fundamental for maintaining and improving health and fitness; however, many individuals do not participate in regular exercise, with perceived lack of time a key barrier. Minimal dose strategies, which reduce weekly exercise volumes to less than recommended guidelines, might improve health outcomes with minimal time investment. However, minimal dose strategies and their effects on health and fitness are still unclear. Therefore, we developed a bodyweight eccentric-biased exercise program consisting of 4 exercises (1 set of 10 repetitions each), which took just 5-min to complete, and investigated the effects of the program performed daily for 4 weeks on health and fitness outcomes in sedentary individuals.\u0000 \u0000 \u0000 \u0000 We recruited 22 healthy but sedentary individuals (32 – 69 years) whose daily steps were <5000. Participants completed a two-week control period, followed by a 4-week daily exercise intervention. Muscular strength, physical fitness, body composition and critical health markers were assessed before (PRE-1) and after the control period (PRE-2), as well as after the intervention (POST).\u0000 \u0000 \u0000 \u0000 Participants adhered to the exercise program >90%. No significant changes in any measures were observed from PRE-1 to PRE-2. Following the exercise intervention, no significant changes in body mass, bone mineral density, fat mass, lean mass, heart rate, blood pressure, grip strength, squat jump or countermovement jump were evident. However, isometric mid-thigh pull, representing lower limb muscle strength (13%), push-ups (42%) and sit-ups (44%), representing upper body strength and sit and reach, representing flexibility (12%) increased significantly (P<0.05), and the increase in heart rate from a 3-minute step test was attenuated (8%) from PRE-2 to POST (P<0.05). Finally, mental health assessed by SF-36 significantly improved (15%) (P<0.05).\u0000 \u0000 \u0000 \u0000 These results suggest that the 5-min eccentric exercise program was effective for improving physical fitness and mental health of sedentary individuals when performed every day for 4 weeks.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141054422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.31189/2165-7629-13-s2.356
Miss Tijana Sharp, Dr Katie Slattery, Distinguished Professor Aaron Coutts, Miss Mikah van Gogh, Miss Lara Ralph, Dr Lee Wallace
High-Intensity Multimodal Training (HIMT) refers to all styles of high-intensity combined aerobic, resistance and/or bodyweight exercise. Previous heterogeneity in exercise prescription and reporting in HIMT reduces the understanding of which factors should be commonly considered when prescribing HIMT (e.g., exercise volume, intensity, duration). Previous studies have demonstrated positive effects of HIMT on health and performance outcomes. However, methodological disparities limit comparisons between findings. This systematic mapping review examines the prescriptive considerations and health and performance outcomes of HIMT in the context of training. A systematic literature search was conducted using Ovid Medline, SPORTDiscus and Cochrane Library databases and additional sources to identify studies up until February 2023. A total of 37090 records were retrieved, of which 221 were included for review. 247 individual HIMT protocols were included for categorical analysis against the Consensus on Exercise Reporting Template (CERT) and Applied Research Model for the Sport Sciences. A total of 85 unique terms were used to describe HIMT. Included studies most commonly prescribed HIMT using a consistent exercise selection and circuit format. Exercise intensity was inconsistently reported on and a large proportion of studies incorrectly prescribed ‘high-intensity’ exercise according to ACSM definitions (i.e., <77% HRmax). Participation location, supervision and participation format were the most commonly reported non-training variables. The most frequently reported outcomes were cardiovascular health, perceptual outcomes, body composition and biochemical outcomes. A large proportion of previous HIMT research was experimental in design. Previous HIMT research demonstrates a lack of standardisation in reporting. Future studies should seek to follow guidelines such as the CERT to improve reporting rigour. Additionally, forthcoming research should attempt to actively involve practitioners in implementation studies to improve ecological validity among interventions. This review adhered to PRISMA-ScR guidelines. Preregistration: osf.io/yknq4.
{"title":"SOLVING THE HIGH-INTENSITY MUTLIMODAL TRAINING PRESCRIPTION PUZZLE: A SYSTEMATIC MAPPING REVIEW","authors":"Miss Tijana Sharp, Dr Katie Slattery, Distinguished Professor Aaron Coutts, Miss Mikah van Gogh, Miss Lara Ralph, Dr Lee Wallace","doi":"10.31189/2165-7629-13-s2.356","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.356","url":null,"abstract":"\u0000 \u0000 High-Intensity Multimodal Training (HIMT) refers to all styles of high-intensity combined aerobic, resistance and/or bodyweight exercise. Previous heterogeneity in exercise prescription and reporting in HIMT reduces the understanding of which factors should be commonly considered when prescribing HIMT (e.g., exercise volume, intensity, duration). Previous studies have demonstrated positive effects of HIMT on health and performance outcomes. However, methodological disparities limit comparisons between findings. This systematic mapping review examines the prescriptive considerations and health and performance outcomes of HIMT in the context of training.\u0000 \u0000 \u0000 \u0000 A systematic literature search was conducted using Ovid Medline, SPORTDiscus and Cochrane Library databases and additional sources to identify studies up until February 2023. A total of 37090 records were retrieved, of which 221 were included for review. 247 individual HIMT protocols were included for categorical analysis against the Consensus on Exercise Reporting Template (CERT) and Applied Research Model for the Sport Sciences.\u0000 \u0000 \u0000 \u0000 A total of 85 unique terms were used to describe HIMT. Included studies most commonly prescribed HIMT using a consistent exercise selection and circuit format. Exercise intensity was inconsistently reported on and a large proportion of studies incorrectly prescribed ‘high-intensity’ exercise according to ACSM definitions (i.e., <77% HRmax). Participation location, supervision and participation format were the most commonly reported non-training variables. The most frequently reported outcomes were cardiovascular health, perceptual outcomes, body composition and biochemical outcomes. A large proportion of previous HIMT research was experimental in design.\u0000 \u0000 \u0000 \u0000 Previous HIMT research demonstrates a lack of standardisation in reporting. Future studies should seek to follow guidelines such as the CERT to improve reporting rigour. Additionally, forthcoming research should attempt to actively involve practitioners in implementation studies to improve ecological validity among interventions.\u0000 \u0000 \u0000 \u0000 This review adhered to PRISMA-ScR guidelines. Preregistration: osf.io/yknq4.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141136010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.31189/2165-7629-13-s2.494
Miss Jaclyn Quinn
This study aimed to establish a low-cost, sustainable exercise program for cancer patients in Gippsland, Australia, where access to such programs was previously limited. By developing and implementing a collaborative program, the program aimed to improve the physical and psycho-social well-being of cancer patients while reducing burden on healthcare services. Collaboration between Latrobe Community Health Service, Morwell Leisure Centre, and Gippsland Integrated Cancer Service led to the development of a prescriptive exercise program to provide cancer survivors a sustainable cost-effective exercise and cancer program in a community leisure centre. Exercise physiologists provided initial assessments, in which clients allocated to group-based, one-on-one, or home-based exercise sessions. After 12 weeks in the program, 100% of participants that had a reassessment improved on at least one physical test and all improved on a subjective measure like fatigue, depression, or self-worth. On average, they saw a 14.88% increase in leg strength, a 12.70% increase in grip strength, and a 16.65% increase in aerobic fitness. Additionally, they reported an average decrease in anxiety (10.96%), depression (1.59%), fatigue (6.09%), and reported illness symptoms (5.24%). Overall, participant feedback was overwhelmingly positive, highlighting the benefits of the program’s psycho-social support and the opportunity to exercise outside a healthcare setting. Collaboration between healthcare and leisure centres can provide sustainable and cost-effective exercise programs for cancer patients, improving physical and psycho-social well-being while reducing healthcare burden. Participants valued the support, social interaction, and sense of belonging provided by the program.
{"title":"EXERCISE AND CANCER PROGRAM: A PRESCRIPTIVE EXERCISE PROGRAM IN A NON-CLINICAL SETTING","authors":"Miss Jaclyn Quinn","doi":"10.31189/2165-7629-13-s2.494","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.494","url":null,"abstract":"\u0000 \u0000 This study aimed to establish a low-cost, sustainable exercise program for cancer patients in Gippsland, Australia, where access to such programs was previously limited. By developing and implementing a collaborative program, the program aimed to improve the physical and psycho-social well-being of cancer patients while reducing burden on healthcare services.\u0000 \u0000 \u0000 \u0000 Collaboration between Latrobe Community Health Service, Morwell Leisure Centre, and Gippsland Integrated Cancer Service led to the development of a prescriptive exercise program to provide cancer survivors a sustainable cost-effective exercise and cancer program in a community leisure centre. Exercise physiologists provided initial assessments, in which clients allocated to group-based, one-on-one, or home-based exercise sessions.\u0000 \u0000 \u0000 \u0000 After 12 weeks in the program, 100% of participants that had a reassessment improved on at least one physical test and all improved on a subjective measure like fatigue, depression, or self-worth. On average, they saw a 14.88% increase in leg strength, a 12.70% increase in grip strength, and a 16.65% increase in aerobic fitness. Additionally, they reported an average decrease in anxiety (10.96%), depression (1.59%), fatigue (6.09%), and reported illness symptoms (5.24%). Overall, participant feedback was overwhelmingly positive, highlighting the benefits of the program’s psycho-social support and the opportunity to exercise outside a healthcare setting.\u0000 \u0000 \u0000 \u0000 Collaboration between healthcare and leisure centres can provide sustainable and cost-effective exercise programs for cancer patients, improving physical and psycho-social well-being while reducing healthcare burden. Participants valued the support, social interaction, and sense of belonging provided by the program.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141025764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.31189/2165-7629-13-s2.404
Mr Siu Nam Li, Prof Peter Peeling, A. P. B. Scott, P. J. Peiffer, Dr Alex Shaykevich, Dr Olivier Girard
We investigated whether a single heart-rate clamped cycling session under systemic hypoxia affects the recovery of physical and psycho-physiological responses from residual fatigue compared to normoxia. On separate occasions, twelve trained males had countermovement jump height, leg stiffness, and perceptual fatigue assessed daily during a 3-d acute training camp scenario. On days 1 and 3, participants cycled for 60 min at a constant heart rate (80% of ventilatory threshold). On day 2, fatigue was induced through a simulated team game circuit (STGC), followed by a 60-min heart rate clamped cycling bout in either normoxia, hypoxia (simulated altitude ∼3500 m), or no cycling. Compared to baseline, jump height decreased at all timepoints following the STGC (all p < 0.05). Leg stiffness and cycling power output only decreased immediately following the STGC, with a 48% further decrease in cycling power output in hypoxia compared to normoxia (p < 0.05). The well-being questionnaire showed that perceived fatigue, decreased sleep quality, and increased muscle soreness responses occurred on day 3 (p< 0.05). In a pre-fatigued state, a single heart rate-clamped cycling session in hypoxia reduced mechanical output without affecting recovery of physical performance and perceptual measures from residual fatigue induced through team sport activity.
{"title":"EFFECTS OF A SINGLE HEART RATE-CLAMPED CYCLING SESSION UNDER SYSTEMIC HYPOXIA ON RECOVERY OF PHYSICAL AND PSYCHO-PHYSIOLOGICAL RESPONSES FROM EXERCISE-INDUCED FATIGUE","authors":"Mr Siu Nam Li, Prof Peter Peeling, A. P. B. Scott, P. J. Peiffer, Dr Alex Shaykevich, Dr Olivier Girard","doi":"10.31189/2165-7629-13-s2.404","DOIUrl":"https://doi.org/10.31189/2165-7629-13-s2.404","url":null,"abstract":"\u0000 \u0000 We investigated whether a single heart-rate clamped cycling session under systemic hypoxia affects the recovery of physical and psycho-physiological responses from residual fatigue compared to normoxia.\u0000 \u0000 \u0000 \u0000 On separate occasions, twelve trained males had countermovement jump height, leg stiffness, and perceptual fatigue assessed daily during a 3-d acute training camp scenario. On days 1 and 3, participants cycled for 60 min at a constant heart rate (80% of ventilatory threshold). On day 2, fatigue was induced through a simulated team game circuit (STGC), followed by a 60-min heart rate clamped cycling bout in either normoxia, hypoxia (simulated altitude ∼3500 m), or no cycling.\u0000 \u0000 \u0000 \u0000 Compared to baseline, jump height decreased at all timepoints following the STGC (all p < 0.05). Leg stiffness and cycling power output only decreased immediately following the STGC, with a 48% further decrease in cycling power output in hypoxia compared to normoxia (p < 0.05). The well-being questionnaire showed that perceived fatigue, decreased sleep quality, and increased muscle soreness responses occurred on day 3 (p< 0.05).\u0000 \u0000 \u0000 \u0000 In a pre-fatigued state, a single heart rate-clamped cycling session in hypoxia reduced mechanical output without affecting recovery of physical performance and perceptual measures from residual fatigue induced through team sport activity.\u0000","PeriodicalId":92070,"journal":{"name":"Journal of clinical exercise physiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141038325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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