Determinants of whole-body maximal aerobic performance in young male and female athletes: The roles of lower extremity muscle size, strength and power

This study sought to determine whether lower extremity muscle size, power and strength could be a determinant of whole-body maximal aerobic performance in athletes. 20 male and 19 female young athletes (18 ± 4 years) from various sporting disciplines participated in this study. All athletes performed a continuous ramp-incremental cycling to exhaustion for the determination of peak oxygen uptake (V˙O2peak: the highest V˙O2 over a 15-s period) and maximal power output (MPO: power output corresponding to V˙O2peak). Axial scanning of the right leg was performed with magnetic resonance imaging, and anatomical cross-sectional areas (CSAs) of quadriceps femoris (QF) and hamstring muscles at 50% of thigh length were measured. Moreover, bilateral leg extension power and unilateral isometric knee extension and flexion torque were determined. All variables were normalised to body mass, and six independent variables (V˙O2peak, CSAs of thigh muscles, leg extension power and knee extension and flexion torque) were entered into a forward stepwise multiple regression model with MPO being dependent variable for males and females separately. In the males, V˙O2peak was chosen as the single predictor of MPO explaining 78% of the variance. In the females, MPO was attributed to, in the order of importance, V˙O2peak (p < 0.001) and the CSA of QF (p = 0.011) accounting for 84% of the variance. This study suggests that while oxygen transport capacity is the main determinant of MPO regardless of sex, thigh muscle size also has a role in whole-body maximal aerobic performance in female athletes.

Effects of β-Hydroxy β-Methylbutyric Supplementation in Combination with Conservative Non-Invasive Treatments in Athletes with Patellar Tendinopathy: A Pilot Study

The aim of the present study was to analyze the effect of conservative non-invasive treatments based on eccentric training, stretching and extracorporeal shock wave therapy (ESWT) supplemented with β-Hydroxy β-methylbutyric (HMB) or placebo (PLAC) on body composition, pain and muscular function (jump ability, muscular power and muscular strength) in athletes with patellar tendinopathy (PT). In a double-blind randomized trial, 8 athletes (4 males and 4 females) performed a physical rehabilitation for 4 weeks. They were randomly divided into two experimental groups (two males and two females in each one) that ingested HMB (HMBG) or PLAC (PLACG). In pre- and post-intervention were assessed body composition, pain, countermovement jump (CMJ), back-squat (BS) for analyzing peak power (W) (PPPP), load (kg) associated to PPPP (PPKG) and mean velocity (m/s) (PPMV) in addition to a 5-RM leg extension tests. An interaction intervention·supplementation (p = 0.049; Ƞ2p = 0.774) was observed in the height reached in the CMJ as an intervention effect in PPPP detected for the HMBG (p = 0.049). In addition, an enhancement in PPKG (p = 0.028; Ƞ2p = 0.842) was detected in the intervention, but not in PPMV, as an increase in the intervention in the 5-RM test (p = 0.001; Ƞ2p = 0.981) was observed. No changes were noted on body composition or pain (p > 0.05). The combination of eccentric training with stretching and ESWT increased concentric muscular power and strength after 4 weeks without changes in body lean mass or pain. In addition, HMB supplementation could enhance the power muscular performance in athletes with PT, optimizing the intervention adaptions.

Leg length measures appear inaccurate in the early phase following total hip arthroplasty

The aims of this study were to (1) assess reliability of leg length discrepancy (LLD) measurements at different anatomical landmarks, (2) longitudinally investigate LLD in patients within the first year following total hip arthroplasty (THA) and to (3) correlate changes in LLD with functional outcome. Ninety-nine patients with short stem THA (53.3% males, mean age: 61.0 ± 8.1 years) were prospectively included. Upright pelvic anteroposterior (a.p.) radiographs taken at 6 timepoints (preoperatively, discharge, 6, 12, 24, 52 weeks postoperatively) were used to assess LLD at 5 anatomical landmarks (iliac crest, upper sacroiliac joint, lower sacroiliac joint, tear drop figure, greater trochanter). WOMAC and Harris Hip Score (HHS) were obtained preoperatively and at 6 and 52 weeks. LLD measures significantly increased in the initial phase following THA, from discharge to 6 weeks postoperatively and remained constant thereafter. Documentation of LLDs is dependent on measurement site: LLDs varied significantly between trochanter and iliac crest to tear drop figure (p < 0.001). Functional assessments did not correlate with the occurrence of LLDs [WOMAC (p = 0.252); HHS (p = 0.798)]. Radiographic assessment of LLD following THA may not be performed early postoperatively, as measurements appear to inaccurately reflect actual LLDs at this time, potentially due incomplete leg extension and/or inhibited weight-bearing.

Eccentric-only versus concentric-only resistance training effects on biochemical and physiological parameters in patients with type 2 diabetes

Background The benefits of resistance training for patients with type 2 diabetes (T2D) are well documented; however, the effects of exercise with different muscle contraction types such as eccentric versus concentric contractions on physiological outcomes for this population are not clear. This study compared eccentric-only (ECC) and concentric-only resistance training (CON) to test the hypothesis that ECC would be superior to CON to improve insulin sensitivity, lipid profile, body composition, muscle strength and physical function of patients with T2D. Methods Adults with T2D (50–79 years) were allocated to the ECC (n = 9) or CON group (n = 9). Resistance exercises (chest press, lateral pulldown, bicep curl, triceps extension, leg extension, leg curl, calf raise, abdominal crunch) consisting of 2–3 sets of 10 eccentric-only (5 s) or concentric-only contractions (1–2 s) was performed twice a week for 12 weeks. Changes in blood biomarkers, body composition, muscle strength and physical function from pre- to post-intervention were compared between groups. Results Overall rating of perceived exertion (RPE, 1–10 Borg scale) was lower (p < 0.05) for ECC (2.9 ± 1.2) than CON (5.4 ± 1.1). No significant changes in blood biomarkers were found for both groups. Lean mass increased [effect size (ES) = 0.148, ECC 3.2 ± 6.9%; CON 3.6 ± 2.3%], and fat mass decreased (ES = 0.545, ECC − 6.1 ± 12.4%; CON − 7.1 ± 16.4%) (p < 0.05) similarly. One-repetition maximal strength of each exercise increased (p < 0.05) for both ECC (12–37%) and CON (27–68%). Both groups improved (p < 0.05) 6-min walk distance (ES = 0.083, ECC 12.2 ± 2.3%; CON 12.5 ± 15.3%) and chair rise time (ES = 0.463, ECC − 13.4 ± 25.4%; CON − 20.0 ± 53.3%) but only ECC improved (p < 0.05) the timed up-and-go test (− 11.3 ± 13.6%, ES 0.014). No significant changes in balance tests were found for both groups. Conclusion These results did not fully support the hypothesis but showed that ECC was as effective as CON to improve body composition, muscle strength, and physical function with lesser RPE. Future studies should investigate whether larger differences between ECC and CON are evident when increasing the exercise frequency and matching the intensities of the two-exercise protocols. Trial registration ACTRN12621001026819 (retrospectively registered on 5th Aug 2021).

Evaluation of Antiepileptic Activity of Flowers of Cocos nucifera L. Against Experimentally Induced Convulsions in Rats

The report used to be planned to analyze the antiepileptic activity of Cocos nucifera flowers against special experimentally induced convulsions in rats. In the present study, antiepileptic activity was assessed by following experimental models. Anti-convulsant in vivo models: Maximal electroshocks (MES) induced models in rats, Pentylenetetrazole (PTZ) induced in rats. Pretreatment of animals with Cocos nucifera flowers extract has reduced by half the general continuance of tonic hind leg extension, the most commonly used endpoint in assessing clonic convulsions. MES provokes repetitive neuronal firing indicates epileptic neurons. MES is the widely accepted model to demonstrate the antiepileptic property of a drug. This property is antagonistic of the plant extract could flow from to blockade of voltage-gated sodium channel or due to effect on NMDA receptors. The Cocos nucifera flowers extract was also demonstrated potential anticonvulsant activity in PTZ induced convulsions and this may be due to its agonistic activity on the GABAA receptor. This is further supported by an elevated level of GABA by the plant extract in the PTZ model. Methanolic extract of Cocos nucifera flowers has shown significant anticonvulsant activity against MES and Pentlylenetetrazole induced convulsion models. This observed activity could also be the referable presence of flavonoids and other phytochemical constituents found in the powerful extract. Keywords: Cocos nucifera, antiepileptic activity, Maximal electroshock, Pentlylenetetrazole, Flavonoids,

Identifying and Validating Prelinguistic Communicative Forms and Functions in Children with Developmental Disability

<p>While children with developmental disabilities often fail to develop speech, many will nonetheless engage in a range of prelinguistic behaviours. Prelinguistic behaviours include actions such as eye gaze or eye pointing, pointing with a finger, facial expressions (e.g., smile, frown), and body movements (e.g., waving an arm, leg extension). The purpose of this research project was to evaluate procedures for (a) identifying prelinguistic forms in the repertoires of children with developmental disability, and (b) validating the communicative function, if any, of these existing prelinguistic behaviours. This was achieved through a three-phase study involving a total of 10 children with developmental disabilities and their parents. For Phase 1, the author interviewed each child’s parent(s) and teacher using a structured protocol; The Inventory of Potential Communicative Acts (IPCA; Sigafoos, Woodyatt, Keen et al., 2000). The IPCA has been used in numerous previous studies to identify prelinguistic behaviours that are interpreted as forms of communication. In Phase 2, the author used informant report to identify and replicate six situations: three in which each participant was reported to communicate a specific function and three in which he/she reportedly did not communicate. The author then compared the children’s responses during the clinical trials to the behaviours he/she was reported to use for the targeted function. In Phase 3, the parent replicated the structured trials used in Phase 2 to determine whether participant performance varied relative to communicative partner. Findings from this study provide evidence to support the validity of the IPCA as an interview protocol for identifying potential communicative acts in children with developmental disability and severe communication impairment. The comparisons made between the reported communicative behaviours used for each function revealed both similarities and differences across children. The results also provide evidence that children with severe communication impairment and developmental disability are using similar behaviours to communicate specific functions across different environments and with different communicative partners.</p>

Identifying and Validating Prelinguistic Communicative Forms and Functions in Children with Developmental Disability

<p>While children with developmental disabilities often fail to develop speech, many will nonetheless engage in a range of prelinguistic behaviours. Prelinguistic behaviours include actions such as eye gaze or eye pointing, pointing with a finger, facial expressions (e.g., smile, frown), and body movements (e.g., waving an arm, leg extension). The purpose of this research project was to evaluate procedures for (a) identifying prelinguistic forms in the repertoires of children with developmental disability, and (b) validating the communicative function, if any, of these existing prelinguistic behaviours. This was achieved through a three-phase study involving a total of 10 children with developmental disabilities and their parents. For Phase 1, the author interviewed each child’s parent(s) and teacher using a structured protocol; The Inventory of Potential Communicative Acts (IPCA; Sigafoos, Woodyatt, Keen et al., 2000). The IPCA has been used in numerous previous studies to identify prelinguistic behaviours that are interpreted as forms of communication. In Phase 2, the author used informant report to identify and replicate six situations: three in which each participant was reported to communicate a specific function and three in which he/she reportedly did not communicate. The author then compared the children’s responses during the clinical trials to the behaviours he/she was reported to use for the targeted function. In Phase 3, the parent replicated the structured trials used in Phase 2 to determine whether participant performance varied relative to communicative partner. Findings from this study provide evidence to support the validity of the IPCA as an interview protocol for identifying potential communicative acts in children with developmental disability and severe communication impairment. The comparisons made between the reported communicative behaviours used for each function revealed both similarities and differences across children. The results also provide evidence that children with severe communication impairment and developmental disability are using similar behaviours to communicate specific functions across different environments and with different communicative partners.</p>

The Relationship between Leg Extension Angle at Late Stance and Knee Flexion Angle at Swing Phase during Gait in Community-Dwelling Older Adults

This study aimed to clarify the relationship between leg extension angle and knee flexion angle during gait in older adults. The subjects of this cross-sectional study were 588 community-dwelling older adults (74.6 ± 6.1 y). Segment angles and acceleration were measured using five inertial measurement units during comfortable gait, and bilateral knee and hip joint angles, and leg extension angle, reflecting whole lower limb extension at late stance, were calculated. Propulsion force was estimated using the increase in velocity calculated from anterior acceleration of the sacrum during late stance. Correlation analysis showed that leg extension angle was associated with knee flexion angle at swing phase and hip extension angle and increase in velocity at late stance (r = 0.444–508, p < 0.001). Multiple regression analysis showed that knee flexion angle at mid-swing was more affected by leg extension angle (β = 0.296, p < 0.001) than by gait speed (β = 0.219, p < 0.001) and maximum hip extension angle (β = −0.150, p < 0.001). These findings indicate that leg extension angle may be a meaningful parameter for improving gait function in older adults due to the association with knee kinematics during swing as well as propulsion force at late stance.

What Is the Optimal Strength Training Load to Improve Swimming Performance? A Randomized Trial of Male Competitive Swimmers

This study aimed to compare the effectiveness of high, moderate, and low resistance training volume-load of maximum strength training on muscle strength and swimming performance in competitive swimmers. Thirty-three male swimmers were randomly allocated to high (age = 16.5 ± 0.30 years), moderate (age = 16.1 ± 0.32 years) and a low resistance training volume-load group (age = 15.9 ± 0.31). This study was carried out in mid-season (January to March). Pre and post strength (e.g., repetition maximum [1RM] leg extension and bench press tests), swimming (25, 50 m front-crawl), start (speed, time, distance) and turn (time of turn) performance tests were conducted. Our findings revealed a large main effect of time for 1RM bench press: d = 1.38; 1RM leg extension: d = 1.55, and for 25 (d = 1.12), and 50 m (d = 1.97) front-crawl, similarly for start and turn performance (d = 1.28–1.46). However, no significant Group × Time interactions were shown in all strength swimming performances, start and turn tests (p > 0.05). In conclusion, low training loads have been shown to elicit the same results as moderate, and high training loads protocol. Therefore, this study shows evidence that the addition of low training volume-loads as a regular part of a maximal strength training regime will elicit improvements in strength and swimming performance.