Effect of a High-Intensity Intermittent-Exercise Protocol on Neurocognitive Function in Healthy Adults: Implications for Return-to-Play Management After Sport-Related Concussion

2015 ◽  
Vol 24 (4) ◽  
Author(s):  
Enda F. Whyte ◽  
Nicola Gibbons ◽  
Grainne Kerr ◽  
Kieran A. Moran
Keyword(s):  
Test Scores ◽  
High Intensity ◽  
Intermittent Exercise ◽  
Neurocognitive Function ◽  
Stroop Interference ◽  
Return To Play ◽  
Exercise Protocol ◽  
Significant Time ◽  
Interference Test ◽  
Condition Interaction

Context: Determination of return to play (RTP) after sport-related concussion (SRC) is critical given the potential consequences of premature RTP. Current RTP guidelines may not identify persistent exercise-induced neurocognitive deficits in asymptomatic athletes after SRC. Therefore, postexercise neurocognitive testing has been recommended to further inform RTP determination. To implement this recommendation, the effect of exercise on neurocognitive function in healthy athletes should be understood. Objective: To examine the acute effects of a high-intensity intermittent-exercise protocol (HIIP) on neurocognitive function assessed by the Symbol Digits Modality Test (SDMT) and Stroop Interference Test. Design: Cohort study. Setting: University laboratory. Participants 40 healthy male athletes (age 21.25 ± 1.29 y, education 16.95 ± 1.37 y). Intervention: Each participant completed the SDMT and Stroop Interference Test at baseline and after random allocation to a condition (HIIP vs control). A mixed between-within-subjects ANOVA assessed time- (pre- vs postcondition) -by-condition interaction effects. Main Outcome Measures: SDMT and Stroop Interference Test scores. Results: There was a significant time-by-condition interaction effect (P < .001, η2 = .364) for the Stroop Interference Test scores, indicating that the HIIP group scored significantly lower (56.05 ± 9.34) postcondition than the control group (66.39 ± 19.6). There was no significant time-by-condition effect (P = .997, η2 < .001) for the SDMT, indicating that there was no difference between SDMT scores for the HIIP and control groups (59.95 ± 10.7 vs 58.56 ± 14.02). Conclusions: In healthy athletes, the HIIP results in a reduction in neurocognitive function as assessed by the Stroop Interference Test, with no effect on function as assessed by the SDMT. Testing should also be considered after high-intensity exercise in determining RTP decisions for athletes after SRC in conjunction with the existing recommended RTP protocol. These results may provide an initial reference point for future research investigating the effects of an HIIP on the neurocognitive function of athletes recovering from SRC.

scholarly journals AN EFFECTIVE HIGH-INTENSITY INTERMITTENT EXERCISE PROTOCOL FOR DECREASING SKELETAL MUSCLE GLYCOGEN

2011 ◽  
Vol 60 (5) ◽  
pp. 493-502 ◽  
Author(s):  
KEISUKE SHIOSE ◽  
TAKURO TOBINA ◽  
YASUKI HIGAKI ◽  
AKIRA KIYONAGA ◽  
HIROAKI TANAKA
Keyword(s):  
Skeletal Muscle ◽  
Muscle Glycogen ◽  
High Intensity ◽  
Intermittent Exercise ◽  
Exercise Protocol ◽  
Skeletal Muscle Glycogen

scholarly journals Acute responses of high-intensity circuit training in women: Low physical fitness levels show higher muscle damage

2019 ◽  
Vol 20 (5) ◽  
pp. 391-401 ◽  
Author(s):  
Aline Bianca Alves Nasci ◽  
Rafael Bueno Orcy ◽  
Léo Dutra Cabistany ◽  
Andressa Formalioni ◽  
Fabrício Boscolo Del Vecchio
Keyword(s):  
Physical Fitness ◽  
Muscle Damage ◽  
High Intensity ◽  
Intermittent Exercise ◽  
Serum Lactate ◽  
Acute Effects ◽  
Exercise Protocol ◽  
Circuit Training ◽  
Acute Responses ◽  
Before And After

High-intensity intermittent exercise (HIIE) elicits large improvements in health and cardiorespiratory fitness (CRF). HIIE can be applied with calisthenics exercises to improve strength and endurance. The acute effects of high-intensity circuit training (HICT) considering different CRF on myological variables are unknown. The aim was measure acute effects of HICT in young women considering different levels of CRF. Twelve women were allocated in two groups, who achieve 41mLO2•kg-1•min-1 or more= High Physical Fitness (HPF, n=5) and who achieve less than 41mLO2•kg-1•min-1= Low Physical Fitness (LPF,n=7). Protocol: 2x4 sets of 20 seconds at maximum intensity (all-out fashion) interspersed with 10 seconds of passive rest (jumping jacks, squat and thrust using 2kg dumbbells, mountain climber, and burpees). Blood samples were collected before, immediately after, 15minutes, 30minutes, one hour and 24 hours after. Heart rate, serum myoglobin, lactate, and creatine kinase (CK) concentration were analyzed. The HR achieved 94.1±3.7% of HRmax for LPF and 104.5±20.3% for HPF, p=0.03. The mean of delta lactate was similar between groups. The highest myoglobin has reached at 1h after the exercise protocol, with 50.0±30.2 ng/mL for LPF and 36.9±9.25 ng/mL for HPF. The delta of total CK before and after the exercise protocol shows that the serum CK level in LPF was significantly higher than HPF group (p=0.042). HICT composed by calisthenic protocol produced elevated and similar effects on HRmax, serum lactate and myoglobin in the woman with HPF and LPF. However, LPF group presented higher muscle damage inferred by serum CK concentrations.

Sustained Passing Performance of Elite and Subelite Female Soccer Players Following a Female Match-Specific Exercise Protocol

2020 ◽  
pp. 1-7
Author(s):  
Mikayla J. Lyons ◽  
Jennifer Conlon ◽  
Amy Perejmibida ◽  
Paola Chivers ◽  
Christopher Joyce
Keyword(s):  
High Intensity ◽  
Best Practice ◽  
Intermittent Exercise ◽  
Test List ◽  
Soccer Players ◽  
Training Methods ◽  
Exercise Protocol ◽  
Match Play ◽  
Performance Times ◽  
Female Specific

Purpose: This study examined the maintenance of passing performance following soccer-specific high-intensity intermittent exercise in elite (n = 9) and subelite (n = 11) Western Australian female soccer players (19.5 [2.5] y). Methods: A total of 20 participants completed the Loughborough Soccer Passing Test (LSPT) prior to, during, and following 90 minutes of a modified, female-specific, individualized exercise protocol (Loughborough Intermittent Shuttle Test [LIST]) to simulate 2 halves of a soccer match. Performance in the LSPT was calculated by adding “raw time” to the accumulated “penalty time” for each test. Results: Elite players recorded greater distances (t58 = 4.671, P < .001, effect size [ES] = 1.21) and higher derived VO2max values (t58 = 4.715, P < .001, ES = 1.20) for the LIST exercise protocol over the subelite players. The total performance times for each LSPT were longer in the subelites in comparison with the elites, with a very large ES difference seen in post-LIST1 (t18 = −6.64, P < .001, ES = 2.99) and post-LIST2 (t18 = −9.143, P < .001, ES = 4.12). No between-groups differences were identified for “raw time” at any time point. Hence, all reported LSPT performance differences are attributed to “penalty time.” Conclusion: These data suggest that elite players can sustain their passing performance more efficiently throughout match play that can subelite female soccer players. These findings may contribute to future talent-identification testing by helping to distinguish between elite- and subelite-level players through sustained passing performance. Coaches may also use this information to better inform best-practice training methods through modification of male soccer-specific high-intensity intermittent exercise to a female cohort.

scholarly journals A High-Intensity, Intermittent Exercise Protocol and Dynamic Postural Control in Men and Women

2015 ◽  
Vol 50 (4) ◽  
pp. 392-399 ◽  
Author(s):  
Enda Whyte ◽  
Aoife Burke ◽  
Elaine White ◽  
Kieran Moran
Keyword(s):  
Postural Control ◽  
High Intensity ◽  
Intermittent Exercise ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Exercise Protocol ◽  
Men And Women ◽  
Intraclass Correlation Coefficients ◽  
Paired Samples ◽  
Main Effect

Context Deficits in dynamic postural control predict lower limb injury. Differing fatiguing protocols negatively affect dynamic postural control. The effect of high-intensity, intermittent exercise on dynamic postural control has not been investigated. Objective To investigate the effect of a high-intensity, intermittent exercise protocol (HIIP) on the dynamic postural control of men and women as measured by the Star Excursion Balance Test (SEBT). Design Descriptive laboratory study. Setting University gymnasium. Patients or Other Participants Twenty male (age = 20.83 ± 1.50 years, height = 179.24 ± 7.94 cm, mass = 77.67 ± 10.82 kg) and 20 female (age = 20.45 ± 1.34 years, height = 166.08 ± 5.83 cm, mass = 63.02 ± 6.67 kg) athletes. Intervention(s) We recorded SEBT measurements at baseline, pre-HIIP, and post-HIIP. The HIIP consisted of 4 repetitions of 10-m forward sprinting with a 90° change of direction and then backward sprinting for 5 m, 2 repetitions of 2-legged jumping over 5 hurdles, 2 repetitions of high-knee side stepping over 5 hurdles, and 4 repetitions of lateral 5-m shuffles. Participants rested for 30 seconds before repeating the circuit until they reported a score of 18 on the Borg rating of perceived exertion scale. Main Outcome Measure(s) A mixed between- and within–subjects analysis of variance was conducted to assess time (pre-HIIP, post-HIIP) × sex interaction effects. Subsequent investigations assessed the main effect of time and sex on normalized maximal SEBT scores. We used intraclass correlation coefficients to determine the test-retest reliability of the SEBT and paired-samples t tests to assess the HIIP effect on circuit times. Results We found a time × sex effect (F8,69 = 3.5; P range, &lt;.001–.04; η2 range, 0.057–0.219), with women less negatively affected. We also noted a main effect for time, with worse normalized maximal SEBT scores postfatigue (F8,69 = 22.39; P &lt; .001; η2 range, 0.324–0.695), and for sex, as women scored better in 7 SEBT directions (F8,69 = 0.84; P range, &lt;.001–008; η2 range, 0.088–0.381). The intraclass correlation coefficients demonstrated high (0.77–0.99) test-retest repeatability. Paired-samples t tests demonstrated increases in circuit time post-HIIP (P &lt; .001). Conclusions The HIIP-induced fatigue negatively affected normalized maximal SEBT scores. Women had better scores than men and were affected less negatively by HIIP-induced fatigue.

Effect of induced alkalosis on perception of exertion during intermittent exercise

1989 ◽  
Vol 67 (5) ◽  
pp. 1862-1867 ◽  
Author(s):  
A. Swank ◽  
R. J. Robertson
Keyword(s):  
High Intensity ◽  
Perceived Exertion ◽  
Intermittent Exercise ◽  
Venous Blood ◽  
Exercise Bout ◽  
Cycle Ergometer ◽  
Placebo Control ◽  
Ratings Of Perceived Exertion ◽  
Exercise Protocol ◽  
Experimental Trials

The purpose of this study was to evaluate the effects of metabolic alkalosis on differentiated ratings of perceived exertion during intermittent high-intensity exercise. Six endurance-trained females participated as subjects in this investigation. Each subject underwent three separate experimental trials in which NaHCO3 was ingested in either a single (0.3 g NaHCO3/kg body wt) or periodic schedule (0.12 g NaHCO3/kg body wt initially, with 0.18 g/kg body wt distributed in equal doses before each 5-min exercise bout). Calcium carbonate served as a placebo control. An intermittent exercise protocol was used in which each subject rode a cycle ergometer at 90% maximum O2 consumption for 5 min. Within each acid-base condition, the exercise protocol was repeated three times with 10-min rest periods interspersed. Differentiated ratings of perceived exertion for the legs (RPE-L), chest (RPE-C), and overall body (RPE-O) were attenuated under alkalotic treatment relative to placebo control regardless of pattern of NaHCO3 administration. RPE-L, RPE-C, and RPE-O were negatively correlated to the bicarbonate concentration of venous blood. This investigation suggests that perception of effort during high-intensity intermittent exercise can be related to buffering capacity of the blood.

Influence of Carbohydrate Supplementation on Plasma Cytokine and Neutrophil Degranulation Responses to High Intensity Intermittent Exercise

2002 ◽  
Vol 12 (2) ◽  
pp. 145-156 ◽  
Author(s):  
Nicolette C. Bishop ◽  
Michael Gleeson ◽  
Ceri W. Nicholas ◽  
Ajmol Ali
Keyword(s):  
High Intensity ◽  
Intermittent Exercise ◽  
Plasma Concentrations ◽  
Neutrophil Function ◽  
Moderate Intensity ◽  
Post Exercise ◽  
Carbohydrate Supplementation ◽  
Tnf Α ◽  
Neutrophil Degranulation ◽  
Factor Α

Ingesting carbohydrate (CHO) beverages during prolonged, continuous heavy exercise results in smaller changes in the plasma concentrations of several cytokines and attenuates a decline in neutrophil function. In contrast, ingesting CHO during prolonged intermittent exercise appears to have negligible influence on these responses, probably due to the overall moderate intensity of these intermittent exercise protocols. Therefore, we examined the effect of CHO ingestion on plasma interIeukin-6 (IL-6), tumor necrosis factor-α (TNF-α) and lipopolysaccharide (LPS)-stimuIated neutrophil degranulation responses to high-intensity intermittent running. Six trained male soccer players performed 2 exercise trials, 7 days apart, in a randomized, counterbalanced design. On each occasion, they completed six 15-min periods of intermittent running consisting of maximal sprinting interspersed with less intense periods of running and walking. Subjects consumed either CHO or artificially sweetened placebo(PLA) beverages immediately before and at 15-min intervals during the exercise. At 30 min post-exercise, CHO versus PLA was associated with a higher plasma glucose concentration (p< .01), a lower plasma cortisol and IL-6 concentration (p < .02), and fewer numbers of circulating neutrophils (p < .05). Following the exercise, LPS-stimulated elastase release per neutrophil fell 31 % below baseline values on the PLA trial (p = .06) compared with 11% on the CHO trial (p = .30). Plasma TNF-α concentration increased following the exercise (main effect of time, p < .001) but was not affected by CHO. These data indicate that CHO ingestion attenuates changes in plasma IL-6 concentration, neutrophil trafficking, and LPS-stimulated neutrophil degranulation in response to intermittent exercise that involves bouts of very high intensity exercise.

scholarly journals The Effects of Age on Stroop Interference in Clinical vs. Healthy Groups of Children

2012 ◽  
Vol 16 (1) ◽  
pp. 21-28
Author(s):  
Hanna Okuniewska ◽  
Agnieszka Maryniak
Keyword(s):  
Brain Damage ◽  
Diagnostic Category ◽  
Stroop Interference ◽  
Interference Control ◽  
Adolescent Group ◽  
Interference Test ◽  
Diagnostic Usefulness ◽  
Group A ◽  
Attentional Dysfunction ◽  
Pattern Of Performance

The Effects of Age on Stroop Interference in Clinical vs. Healthy Groups of Children The Stroop task is widely used to assess attentional dysfunction due to a frontal or frontoparietal deficit and is also thought to be related to the maturation of the prefrontal cortex. The study aimed to prove the diagnostic usefulness of the Polish Names and Colors Interference Test (TINiK) in a clinical setting and to investigate the pattern of performance on four TINiK subtasks according to the type of brain damage (focal or diffuse) and age of the patients. A total of 107 subjects (62 female, 45 male) aged 11-18 were divided into two groups: children aged 10;4-14;6 and adolescents aged 14;7-17;10 within each diagnostic category: healthy (H - 35), heterogeneous focal brain damage (BD - 36) and cardiac arrhythmia (CA - 36). The number of correct responses in the 60s time limit was collected for each TINiK task. The H group significantly outperformed both clinical groups. The H and CA groups show improvement of performance systematically with age on all TINiK subtasks although at a different level. The BD group displayed merely non-significant developmental improvement especially among the adolescent group. A discriminant analysis using the four basic TINiK scores was able to significantly differentiate the BD from the H group (83.1%) and the BD from the CA group (74.6%), but less well the CA from the H group (63.9%). TINiK has acquired preliminary neuro-psychological validation in Polish children. Developmental improvement in interference control may be hampered by various neuropathological mechanisms which are yet to be identified.

scholarly journals A Short Bout of High-intensity Exercise Alters Ipsilesional Motor Cortical Excitability Post-stroke

2019 ◽  
Author(s):  
Xin Li ◽  
Charalambos C. Charalambous ◽  
Darcy S. Reisman ◽  
Susanne M. Morton
Keyword(s):  
High Intensity ◽  
Acute Exercise ◽  
Cortical Excitability ◽  
Motor Evoked Potentials ◽  
High Intensity Exercise ◽  
Exercise Protocol ◽  
Post Stroke ◽  
Motor Cortical Excitability ◽  
Motor Cortical ◽  
Lactate Levels

AbstractBackgroundAcute exercise can increase motor cortical excitability and enhance motor learning in healthy individuals, an effect known as exercise priming. Whether it has the same effects in people with stroke is unclear.ObjectivesThe objective of this study was to investigate whether a short, clinically-feasible high-intensity exercise protocol can increase motor cortical excitability in non-exercised muscles of chronic stroke survivors.MethodsThirteen participants with chronic, unilateral stroke participated in two sessions, at least one week apart, in a crossover design. In each session, they underwent either high-intensity lower extremity exercise or quiet rest. Motor cortical excitability of the extensor carpi radialis muscles was measured bilaterally with transcranial magnetic stimulation before and immediately after either exercise or rest. Motor cortical excitability changes (post-exercise or rest measures normalized to pre-test measures) were compared between exercise vs. rest conditions.ResultsAll participants were able to reach the target high-intensity exercise level. Blood lactate levels increased significantly after exercise (p < 0.001, d = 2.85). Resting motor evoked potentials from the lesioned hemisphere increased after exercise compared to the rest condition (p = 0.046, d = 2.76), but this was not the case for the non-lesioned hemisphere (p = 0.406, d = 0.25).ConclusionsHigh-intensity exercise can increase lesioned hemisphere motor cortical excitability in a non-exercised muscle post-stroke. Our short and clinically-feasible exercise protocol shows promise as a potential priming method in stroke rehabilitation.

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