scholarly journals A Preliminary Investigation: Evaluating the Effectiveness of an Occupational Specific Training Program to Improve Lower Body Strength and Speed for Law Enforcement Officers

Author(s):  
Ian Bonder ◽  
Andrew Shim ◽  
Robert G. Lockie ◽  
Tara Ruppert

Based on current law enforcement officer (LEO) duties, musculoskeletal injury risk is elevated due to the unpredictable nature of physically demanding tasks. The purpose of this 4-week study was to determine the effectiveness of a 15-min post-shift standardized occupational specific training program. The standardized program was designed to improve lower-body strength and speed to aid physically demanding task performance. Seven male LEOs completed the program after their 12-h shift. Subjects were required to use the department fitness center to perform the 15-min standardized program consisting of a dynamic warm-up, 4 sets of 3 repetitions on hex-bar deadlift and four 20-m sprints. Two minutes of rest was required between each set of 3 repetitions on hex-bar deadlift and 1 min of rest between each 20-m sprint. A dependent T-test was used between pre-test and post-test scores for hex-bar deadlift (HBD) and sprint. Data revealed significant improvements in relative lower-body strength with HBD (p ≤ 0.001). However, insignificant results were demonstrated with the 20-m sprint (p ≤ 0.262). In conclusion, a 15-min post-shift workout can improve lower-body strength as measured by the hex-bar deadlift. However, data indicated running speed may require a different training approach to improve the 20-m sprint.

Author(s):  
J R Hunter ◽  
A J Macquarrie ◽  
S C Sheridan

AbstractBackgroundParamedics are among the most frequently injured health professionals in Australia. A lack of physical capacity may contribute to injury risk in this occupational population.AimsThis study sought to describe and compare the physical fitness of male and female paramedics across age groups to ascertain differences in physical capacity.MethodsA group of regional Australian paramedics (n = 140; 78 males; mean ± SD 37.4 ± 9.9 years; body mass index 28.1 ± 4.9 kg/m2) underwent a fitness assessment. Measures included upper, lower and core-body muscular strength and flexibility. Outcomes were compared between genders and across age groups using two-way between-groups analysis of variance.ResultsMale paramedics had greater upper body strength (P < 0.05; push-ups) mean (95% CI): 22.6 (19.4–25.9) versus 18.7 (15.2–22.3); similar lower body strength (single-leg wall squat): 39.0 (32.6–45.3) s versus 36.7 (27.1–46.3) s; greater core strength (P < 0.05; prone plank hold): 87.9 (77.6–98.3) s versus 73.8 (63.7–83.8) s; similar upper body flexibility (back scratch): −4.0 (−6.7 to −1.3) cm versus −0.3 (−2.2 to 1.7) cm; and similar lower body flexibility (sit and reach): 20.4 (18.2–22.6) cm versus 26.1 (23.5–28.7) cm to female paramedics. Core, upper and lower body strength all decreased with age (P < 0.05).ConclusionsCore, upper and lower body strength and upper body flexibility were poorer for older compared to younger regional paramedics in New South Wales, Australia. Future research should investigate whether these outcomes are associated with occupational injury risk. This information would assist in the design of injury prevention interventions for paramedics such as tailored workplace exercise programs.


2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 12002-12002
Author(s):  
Schroder Sattar ◽  
Corrie Effa ◽  
Joni Nedeljak ◽  
Kristen R Haase ◽  
Shabbir M.H. Alibhai ◽  
...  

12002 Background: Falls are a major issue among older patients with cancer and can lead to interruption in cancer treatment. Ample evidence shows resistance and balance training can prevent falls in older adults; however, there is a paucity of evidence regarding exercise on fall prevention in the older cancer population, who often have unique risk factors for falls. Given the new reality of the COVID-19 pandemic, minimizing group gatherings and its associated risks is imperative for older patients, who are a vulnerable population. This study sought to investigate the feasibility of an 8-week, virtual exercise program and its preliminary effects on lower body strength and balance in community-dwelling cancer patients. Methods: Study participants were recruited for this pretest-posttest intervention study using consecutive sampling over a one-year period from the Cross Cancer Institute in Edmonton, Alberta. The intervention entailed leg muscle strengthening and balance training exercises that progressed in difficulty as outlined by the Otago program, and involved a virtual component (facilitated live by a certified exercise physiologist via Zoom meeting platform once a week) and independent at-home training component (twice a week). Lower body strength and balance were assessed using the 5-times chair-stand and the 4-stage balance test, respectively, and were analyzed using the Wilcoxon Signed Rank test. Results: Twenty-seven older patients (mean age 70.1, range 65-76) participated. The most common cancer sites were breast (48%) and prostate (41%). One participant withdrew due to personal reasons unrelated to the program. The remaining 26 participants completed the intervention. Attendance rate for the virtual component was 97.6% and independent component 84.7%. Participants perceived the program as rewarding and enjoyable (100%), felt this program prepared them to exercise on their own (92%), were confident to continue exercising on their own (81%), and would recommend the program to other patients (100%). At baseline, 33% (n = 9) ≥1 fall over the past 6 months. A statistically significant improvement in lower body strength was detected post-intervention ( p =.001), whereas no difference was detected in balance ( p =.059). Conclusions: This virtual, hybrid resistance and balance training program was feasible, overwhelmingly accepted by our older participants, and appeared effective in improving lower body strength. Findings from this study may have potential to inform design of a larger, randomized multi-site study.


2021 ◽  
Vol 51 (5) ◽  
pp. 991-1010
Author(s):  
Henrik Petré ◽  
Erik Hemmingsson ◽  
Hans Rosdahl ◽  
Niklas Psilander

Abstract Background The effect of concurrent training on the development of maximal strength is unclear, especially in individuals with different training statuses. Objective The aim of this systematic review and meta-analysis study was to compare the effect of concurrent resistance and endurance training with that of resistance training only on the development of maximal dynamic strength in untrained, moderately trained, and trained individuals. Methods On the basis of the predetermined criteria, 27 studies that compared effects between concurrent and resistance training only on lower-body 1-repetition maximum (1RM) strength were included. The effect size (ES), calculated as the standardised difference in mean, was extracted from each study, pooled, and analysed with a random-effects model. Results The 1RM for leg press and squat exercises was negatively affected by concurrent training in trained individuals (ES =  – 0.35, p < 0.01), but not in moderately trained ( – 0.20, p = 0.08) or untrained individuals (ES = 0.03, p = 0.87) as compared to resistance training only. A subgroup analysis revealed that the negative effect observed in trained individuals occurred only when resistance and endurance training were conducted within the same training session (ES same session =  – 0.66, p < 0.01 vs. ES different sessions =  – 0.10, p = 0.55). Conclusion This study demonstrated the novel and quantifiable effects of training status on lower-body strength development and shows that the addition of endurance training to a resistance training programme may have a negative impact on lower-body strength development in trained, but not in moderately trained or untrained individuals. This impairment seems to be more pronounced when training is performed within the same session than in different sessions. Trained individuals should therefore consider separating endurance from resistance training during periods where the development of dynamic maximal strength is prioritised.


2019 ◽  
Vol 4 (2) ◽  
pp. 22 ◽  
Author(s):  
John F. T. Fernandes ◽  
Matthew Daniels ◽  
Liam Myler ◽  
Craig Twist

Background: To compare load–velocity and load–power relationships among first grade (n = 26, age 22.9 ± 4.3 years), academy (n = 23, age 17.1 ± 1.0 years), and scholarship (n = 16, age 15.4 ± 0.5 years) Super League rugby league players. Methods: Participants completed assessments of maximal upper- and lower-body strength (1RM) and peak velocity and power at 20, 40, 60, and 80 kg during bench press and squat exercises, in a randomised order. Results: Bench press and squat 1RM were highest for first grade players compared with other standards (effect size (ES) = −0.43 to −3.18). Peak velocities during bench and squat were greater in the higher playing standards (ES = −0.39 to −3.72 range), except for the squat at 20 and 40 kg. Peak power was higher in the better playing standards for all loads and exercises. For all three groups, velocity was correlated to optimal bench press power (r = 0.514 to 0.766), but only 1RM was related to optimal power (r = 0.635) in the scholarship players. Only squat 1RM in the academy was related to optimal squat power (r = 0.505). Conclusions: Peak velocity and power are key physical qualities to be developed that enable progression from junior elite rugby league to first grade level. Resistance training should emphasise both maximal strength and velocity components, in order to optimise upper- and lower-body power in professional rugby league players.


Kinesiology ◽  
2019 ◽  
Vol 51 (2) ◽  
pp. 238-245
Author(s):  
Hamid Arazi ◽  
Ehsan Eghbali

2D:4D ratio is determined by balance between androgens and estrogens. Low level estrogen reduces bone mineral density (BMD) and incurs negative changes to bone microarchitecture, increasing the risk of osteoporosis and, as a consequence, fracture risk in women. The purpose of this study was to investigate the relationship between 2D:4D, muscle strength and body composition to BMD in young women. One hundred twenty-seven young women (age range 24-36 years) voluntarily participated in this study. Lengths of the second (index) and fourth (ring) fingers, upper and lower body strength and body composition (body mass index, BMI; waist to hip ratio, WHR) and body fat percentage were estimated. Also, blood levels of calcium and 25-hydroxyvitamin D (25OHD) were evaluated and dual-energy X-ray absorptiometry device was used to measure BMD in the lumbar spine (LS) and femoral neck (FN). The results showed that digit ratios, upper body and lower body muscle strength, BMI and fat percentage had a positive relationship with LS and FN BMD (LS BMD: r=.47, r=.56, r=.46, r=.34, r=.28, p≤.001, respectively; FN BMD: r=.34, r=.49, r=.51, r=.45, r=.27, p≤.001, respectively). In addition, there was no significant relationship between WHR and BMD of LS and FN (p˃.05). Multiple linear regression analysis showed the upper body strength was a stronger determinant of LS BMD and the lower body strength was a stronger determinant of FN BMD. Based on the results, the researchers concluded that upper and lower body strength, 2D:4D ratios and BMI were important determinants of young women’s BMD. Also, it seemed that some of these factors may be able to help predicting the osteoporosis potential in young women


Author(s):  
Tim J. Mosey ◽  
Lachlan J.G. Mitchell

Objectives: The purpose of this study was to document the longitudinal strength and power characteristic changes and race performance changes of a skeleton athlete. Method: Longitudinal strength and power changes were assessed with strength and power diagnostic testing over a 9-year period. Trends over 9 years for relative strength were analyzed using a linear model. Push-start time was recorded across multiple tracks. Trends over 9 years for start performance at each track were assessed using a mixed-effects linear model to account for the impact of different tracks. Lower-body strength and power changes were assessed via a 1-repetition-maximum squat and a body-weight countermovement jump. The relationship between strength and power changes was assessed over time. The relationship between strength changes and start performance was determined by assessing the fixed effect of relative strength changes on push-start time. Results: Relative lower-body strength ranged from 1.6 kg per body weight to 1.9 kg per body weight and showed a significant mean improvement of 0.05 kg per body weight per year (R2 = .71, P < .01). A negative correlation (R2 = .79) between relative strength changes and push-start performance across multiple tracks was found. The mixed-effects model indicated that push-start time improved significantly year to year (0.02 s; P < .001; R2 = .74) when controlling for the effect of track. Conclusions: The longitudinal analysis of push-start time and the associations with changes in strength suggest that training this quality can have a positive effect on push-start performance.


2020 ◽  
pp. 1-10
Author(s):  
Tiffany Toong ◽  
Katherine E. Wilson ◽  
Anne W. Hunt ◽  
Shannon Scratch ◽  
Carol DeMatteo ◽  
...  

Context: Current international consensus endorses a multimodal approach to concussion assessment. However, the psychometric evaluation of clinical measures used to identify postconcussion performance deficits once an athlete is asymptomatic remains limited, particularly in the pediatric population. Objective: To describe and compare the sensitivity and specificity of a multimodal assessment battery (balance, cognition, and upper and lower body strength) versus individual clinical measures at discriminating between concussed youth athletes and noninjured controls when asymptomatic. Design: Prospective cohort study. Setting: Hospital laboratory setting. Participants: A total of 32 youth athletes with a concussion and 32 matched (age and sex) noninjured control participants aged 10–18 years. Intervention(s): Participants were administered preinjury (baseline) assessments of cognition (Immediate Post-Concussion Assessment and Cognitive Testing [ImPACT]), balance (BioSway), and upper and lower body strength (grip strength and standing long jump). Assessments were readministered when concussed participants reported symptom resolution (asymptomatic time point). Noninjured control participants were reassessed using the same time interval as their concussion matched pair. Sensitivity and specificity were calculated using standardized regression-based methods and receiver operating characteristic curves. Main Outcome Measures: Outcome measures included baseline and postinjury ImPACT, BioSway, grip strength, and standing long jump scores. Results: When asymptomatic, declines in performance on each individual clinical measure were seen in 3% to 22% of the concussion group (sensitivity = 3%–22%) compared with 3% to 13% of the noninjured control group (specificity = 87%–97%) (90% confidence interval). The multimodal battery of all combined clinical measures yielded a sensitivity of 41% and a specificity of 77% (90% confidence interval). Based on discriminative analyses, the multimodal approach was statistically superior compared with an individual measures approach for balance and upper and lower body strength, but not for cognition. Conclusions: Results provide a foundation for understanding which domains of assessment (cognition, balance, and strength) may be sensitive and specific to deficits once symptoms resolve in youth athletes. More work is needed prior to clinical implementation of a preinjury (baseline) to postinjury multimodal approach to assessment following concussion in youth athletes.


2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Lisa Loughney ◽  
Ronan Cahill ◽  
Kiaran O’Malley ◽  
Noel McCaffrey ◽  
Brona Furlong

Abstract Background Pre-operative exercise training improves HR components of fitness and HRQoL following hospital-based programmes. Objective To assess compliance and adherence of a pragmatic community-based preoperative exercise programme and its effect on health-related (HR) components of fitness and health-related quality of life (HRQoL). Methods Thirty-two surgical oncological participants (15 prostate cancer and 17 colorectal cancer (CRC)) were recruited and assessed to measure HR components of fitness (strength and functional exercise capacity) and HRQoL. An exercise programme was prescribed in the time available prior to surgery with repeat assessments pre-operatively. Results Twenty-four participants (14 prostate cancer and 10 CRC) completed the full study (75% compliance). Exercise training was delivered over a median interquartile range (IQR) of 4 (3-4) weeks and 2 (1–3) weeks for the prostate cancer and CRC participants, with > 80% adherence. From baseline to post-exercise intervention, there were significant improvements in lower body strength in the prostate cancer group (p = 0.045), the CRC group (p = 0.001), and in both groups overall (p = .001). Additionally, there were statistically significant improvements in HRQoL: global health status for CRC group (p = 0.025) and for both groups overall (p = 0.023); emotional health subscale for the prostate cancer group (p = 0.048) and for both groups overall (p = 0.027); nausea/vomiting/pain subscale for the CRC group (p = 0.005) and for both groups overall (p = 0.030); and for health scale status for the prostate cancer group (p = 0.019) and for both groups overall (p = 0.006). Conclusion This community-based pre-operative exercise programme showed acceptable compliance and adherence rates, and significantly increased upper and lower body strength and HRQoL. Pre-operative exercise training should be considered as early as possible in the surgical-oncology pathway and respected within patient scheduling.


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