Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010055
Authors: Jonathan Branney Alexander Breen Alister du Rose Philip Mowlem Alan Breen
While neck pain can be defined in clinical terms, in most cases the underlying pathophysiology is largely unknown. Regional cervical spine range of motion is often found to be reduced in patients with neck pain compared to persons without pain although it is not clear if the decreased range is cause or effect. Less is known about the role of intervertebral kinematics and how that might be related to the presence of disc degeneration. In this study, the prevalence of intervertebral disc degeneration and continuous cervical intervertebral motion were both measured utilizing quantitative fluoroscopy (QF) in patients with subacute or chronic neck pain (n = 29) and gender-matched healthy controls (n = 30). A composite disc degeneration (CDD) score was calculated for each participant from the first, neutral, lateral fluoroscopic image. Intervertebral motion sharing parameters of motion-sharing inequality (MSI) and motion-sharing variability (MSV) were derived from the active cervical motion sequences obtained while patients were seated. The objective was to determine if average age, CDD, MSI, and MSV values were correlated and if there were differences in these variables between the neck pain group and the healthy control group. Correlation analysis was conducted for age, CDD, MSI, and MSV in each group. Age was moderately correlated with MSV in cervical spine extension in patients only (r = 0.63, p < 0.001). There were no significant differences in the prevalence of disc degeneration (CDD) between patients, who had on average mild pain and related disability, and healthy controls (median CDD 2 both groups, p = 0.94). There were also no significant differences in either flexion or extension intervertebral motion-sharing inequality or variability (MSI or MSV) between groups as measured during active cervical motion.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010054
Authors: Kyota Koitabashi An Murase Jun Yasuda Takeshi Okamoto
The daily exercise habits and play activities of children are known to have a significant impact on the development of body control. However, previous studies have not adequately explored the correlation between force regulation during submaximal visual effort, exercise, and play experience. This study aimed to examine the correlation between exercise habits and play experience and their impact on the ability to regulate force. This study involved 23 children with an average age of 9.2 ± 1.0 years. The participants were required to match their force exertion during submaximal effort to a varying demand value displayed in a sinusoidal pattern on a screen (controlled force exertion, CFE). Individual interviews were conducted to gather information on the exercise experience (time, frequency, and duration) and play activities (number of experiences and frequency). Multiple regression analysis was performed to determine the association among exercise experience, play activity, and CFE. The results indicated that the amount of exercise experience was not significantly associated with CFE (β = −0.203, p = 0.254). However, in terms of play activities, the number of play experiences was associated with CFE (β = −0.321, p = 0.038). On the contrary, play frequency was not significantly associated with CFE (β = −0.219, p = 0.191). These findings suggest that play activities are effective in improving force regulation during childhood and that a greater variety of play experiences may be important.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010053
Authors: Feria-Madueño Batalha Monterrubio-Fernández Parraca
One of the most important implications of technology in swimming is to control training loads. Lactate control, video-analysis of the technique or the assessment of specific actions, i.e., the vertical jump, have helped to provide load adaptation indicators in swimmers in recent decades. However, these indicators have led to a longer application time, due to their indirect procedure and the need to analyze each variable. The aim of this study was to analyze whether inspiratory spirometry values can serve as a training load control tool in swimmers. Countermovement jump (CMJ), Inspiratory Force Index (S-INDEX) and Peak Inspiratory Flow (PIF) were evaluated with a load of 3 cm H2O before, during and after performing a swimming performance test (critical speed test: specific warming up, 400 m and 100 m freestyle). Positive correlations were found between S-INDEX and jump height after warm-up, after 400 m and at the end of 100 m (Spearman = 0.470, R2 = 0.280; Spearman = 0.508, R2 = 0.392; Spearman = 0.458, R2 = 0.359, p < 0.05, respectively). Moreover, positive correlations were also found between PIF and jump height at the same evaluated moments (Spearman = 0.461, R2 = 0.305; Spearman = 0.493, R2 = 0.386; Spearman = 0.454, R2 = 0.374, p < 0.05). Both the S-INDEX and the PIF could serve as useful tools for swimmer load control, allowing coaches to make more immediate decisions.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010052
Authors: Antina Schulze Stefan Kwast Christoph Pökel Martin Busse
Periodontal disease (PD) is considered a risk factor for cardiovascular events. However, its relationship to chronic heart failure (CHF) is unclear. The aim was to compare cardiac and inflammatory parameters in CHF patients with (PG) versus without periodontitis (NPG). The following parameters were recorded in 58 patients: periodontal screening and recording (PSR), troponin T, NT-proBNP, C-reactive protein (CRP), interleukin-6 (IL-6), blood pressure, heart rate, ejection fraction (EF), ventricular systolic and diastolic function parameters, incremental test, and three questionnaires (Mediterranean Diet Adherence Screener, MEDAS; Oral Health Impact Profile, OHIP-14; Patient Health Questionnaire, PHQ). The serum levels of NT-proBNP and troponin T were significantly higher in the PG, and the left ventricular systolic and diastolic function parameters were significantly lower. The correlation analysis showed age as the only independent risk factor for periodontitis and cardiac biomarkers. No significant group differences were found in the MEDAS, OHIP-14, and PHQ scores, or in CRP, IL-6, and cardiocirculatory parameters. Overall, the BMI correlated significantly with the mean PSR and total cholesterol. The occurrence of increased PSR together with increased age and cardiac risk parameters does not exclude an association between periodontitis and CHF, though no positive correlation was calculated. Periodontitis may be a modifiable risk factor for CHF. Its treatment may help to control the inflammatory burden.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010051
Authors: Nezar Watted Iqbal M. Lone Kareem Midlej Osayd Zohud Obaida Awadi Samir Masarwa Ali Watted Eva Paddenberg Sebastian Krohn Christian Kirschneck Peter Proff Fuad A. Iraqi
This study investigates the significance of skeletal transverse dimension (STD) in orthodontic therapy and its impact on occlusal relationships. The primary goal is to enhance understanding and promote the integration of transverse skeletal diagnostics into routine orthodontic assessments. To achieve this aim, the study employs a comprehensive approach, utilizing model analysis, clinical assessments, radiographic measurements, and occlusograms. The initial step involves a meticulous assessment of deficiencies in the maxilla, mainly focusing on transverse dimension issues. Various successful diagnostic methods are employed to ascertain the type and presence of these deficiencies. Furthermore, the study compares surgically assisted maxillary expansion (SARME) and orthopedic maxillary expansion (OME) in addressing skeletal transverse issues. Stability assessments and efficacy analyses are conducted to provide valuable insights into the superiority of SARME over OME. The findings reveal that proper evaluation of STD is crucial in orthodontic diagnosis, as overlooking transverse dimension issues can lead to complications such as increased masticatory muscle activity, occlusal interferences, and an elevated risk of gingival recession. Surgically assisted maxillary expansion emerges as a more stable solution than orthopedic methods. In conclusion, incorporating skeletal transverse diagnostics into routine orthodontic assessments is imperative for achieving optimal occlusal relationships and minimizing negative consequences on dentition, periodontium, and joints. The study emphasizes the significance of accurate three-dimensional assessments and recommends the consideration of SARME over OME for addressing skeletal transverse deficiencies. Finally, the Collaborative Cross (CC) mouse model is also a novel mouse model for studying complex traits. Exploring the Collaborative Cross mouse model opens avenues for future research, promising further insights into transverse skeletal issues in orthodontics.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010050
Authors: Shuho Kang Ilbong Park
The reflexive responses to resist external forces and maintain posture result from the coordination between the vestibular system, muscle, tendon, and joint proprioceptors, and vision. Aging deteriorates these crucial functions, increasing the risk of falls. This study aimed to verify whether a training program with water bags, an Instability Neuromuscular training (INT) using the inertial load of water, could positively impact balance ability and dynamic stability. This study was conducted with twenty-two healthy older women aged ≥ 65 (mean age: 74.82 ± 7.00 years, height: 154.20 ± 5.49 cm, weight: 55.84 ± 7.46 kg, BMI: 23.55 ± 3.58 kg/m2). The participants were randomly allocated into two groups: a group that used water bags and a control group performing bodyweight exercises. The intervention training lasted 12 weeks, with 2 sessions per week totaling 24 sessions, each lasting 60 min. The pre- and post-tests were compared using t-tests to examine within- and-between-group differences. The effect size was examined based on the interaction between group and time using a two-way repeated measures ANOVA. The Modified Timed Up and Go manual (TUG manual), Sharpened Romberg Test (SRT), and Y-balance test (YBT) were conducted to assess dynamic stability, including gait function, static stability, and reactive ability. In comparison between groups, the waterbag training group showed a decrease in task completion time associated with an increase in walking speed in the TUG manual test (p < 0.05), and an increase in static stability and reaction time in the Sharpened Romberg test with eyes closed (p < 0.05), and an increase in single-leg stance ability in both legs in the Y-balance test (p < 0.05). All statistical confidence interval levels were set 95%. INT using the inertial load of water enhanced the somatosensory system and gait related to dynamic stability in older women. Therefore, the clinical application of this training program is expected to reduce the risk of falls in healthy older women, improving dynamic stability related to gait.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010049
Authors: Eleftherios Paraskevopoulos Anna Christakou Stefanos Karanasios Amalia Panagiota Louka George M. Pamboris Maria Papandreou
Athletes engaging in overhead activities often face injury risks, emphasising the need for reliable assessment tools. This study focused on the translation and psychometric evaluation of the Kerlan-Jobe Orthopaedic Clinic (KJOC) Shoulder and Elbow Score into Greek (Gr-KJOC) for assessing upper limb function in Greek-speaking overhead athletes. The Gr-KJOC underwent meticulous translation and adaptation processes, ensuring linguistic equivalence and cultural relevance. A sample of 60 athletes participated in the psychometric evaluation, including assessments of internal consistency, test–retest reliability, construct validity, and structural validity. The Gr-KJOC demonstrated excellent internal consistency (Cronbach’s alpha = 0.95), indicating consistent measurement of the underlying construct. Test–retest reliability was excellent (ICC = 0.95), with low measurement errors. Construct validity was confirmed through correlations with the Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire. Structural validity revealed a unidimensional structure with high explained variance (75%). No floor or ceiling effects were observed, and the questionnaire proved feasible, with an average completion time of 6 min. The Gr-KJOC emerges as a reliable, valid, and feasible tool for evaluating upper limb function in Greek-speaking overhead athletes. Its psychometric properties support its utility in clinical and research contexts, contributing to the effective assessment and management of shoulder and elbow conditions in the realm of overhead sports in Greece.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010048
Authors: Aidan K. Comeau Kelvin E. Jones Eric C. Parent Michael D. Kennedy
The impact of exercise-specific face masks (ESFMs) in aerobically fit individuals on physiological, perceptual, respiratory, and performance responses remains unclear. How ESFMs mitigate exercise-induced bronchoconstriction (EIB) is also unknown. Thus, this study aimed to determine how an ESFM altered within-exercise physiological, perceptual, respiratory, and performance responses to graded treadmill exercise. Twenty-four individuals (11 females) completed a discontinuous graded exercise test on a treadmill under two conditions (ESFM and unmasked). Physiological, respiratory function, and perceptual measures were assessed. Performance was determined by time to exhaustion. Statistical analyses included linear mixed-effects modeling, repeated measures analysis of variance, and pairwise comparisons using an alpha value of 0.05. ESFM use significantly impaired performance (median = −150.5 s) and decreased arterial oxygen saturation at maximal intensity (mean = −3.7%). Perceptions of air hunger and work of breathing were elevated across submaximal and maximal intensities. Perceived exertion and breathing discomfort were significantly elevated submaximally but not maximally. Spirometry measures were not significantly different at termination but were significantly improved at submaximal intensities in participants with and without EIB. ESFM use in fit individuals increased perceptual discomfort, impaired performance, and augmented arterial desaturation. Respiratory function improvements were observed but were accompanied by adverse perceptual sensations. Despite this, performance impairments may limit the real-world utility of ESFMs for athletes.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010047
Authors: Gerasimos V. Grivas
Compared with other sports, running is popular sport for children throughout the world. Over the last few decades, marathon running has become increasingly popular even in the age group below 18 years. While the majority of youth athletes fall within the 16–18 age range, it is noteworthy that there are also participants younger than 12 years engaging in marathon races. Advice on the safety of youth athletes participating in these events is frequently sought by parents, coaches, sport scientists, and medical professionals, particularly concerning potential short- and long-term health consequences. The act of marathon running has the potential to impact key organ systems during the crucial phases of growth and development. To ensure the safety of marathon running in youth runners, it is essential to address multiple physiological and psychological aspects of health. These recommendations are directed towards ensuring the safe participation of youth athletes in marathon races through proper and individualized assessments.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010046
Authors: Ayrton Walshe Ed Daly Alan J. Pearce Lisa Ryan
Sport-related concussions (SRCs) are a mild traumatic brain injury (mTBI) that induces transient symptoms in athletes. These symptoms provide avenues for developing emerging technologies to diagnose SRCs, in particular ocular and vestibular dysfunction. The following study aims to assess the reliability of visual smooth-pursuit technology (EyeGuide Focus) in amateur field-sport athletes. A convenience sample of 30 mixed-gender athletes (mean age = 24.89 ± 6.81 years) completed two testing sessions separated by 2–7 days. Participants were tested at rest, free from distraction, and completed a 10 s smooth pursuit while seated. Participants completed 2–4 practice trials before completing three tests at each session. Appropriate difference, reliability, and repeatability tests were performed in Statistical Packages for the Social Sciences. No significant difference existed between the time points (p > 0.05). The reliability between sessions was poor (ICC = 0.24; 95% CI = 0.03–0.42), and the mean coefficients of variation were 20% and 21% for each session, indicating poor repeatability. However, the implementation of practice trials did prevent the familiarization effects that are evident in the previous literature (p > 0.05). The within-session reliability of EyeGuide Focus has varied from poor (ICC ≤ 0.50) to good (ICC = 0.75–0.90) in the previous literature, indicating the fact that greater research is required before this tool can be implemented in applied settings.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010045
Authors: Jaewook Kim Yekwang Kim Juhui Moon Seung-Jong Kim
Post-stroke gait is characterized by slow and asymmetrical hemiparetic gait. This is attributed to the paretic lower limb which has limited plantar propulsion. The most effective method to restore paretic limb function is constraint-induced movement therapy (CIMT), which promotes the usage of the paretic limb by restricting the movement of the unafflicted limb. However, due to the necessity of both lower limbs to perform gait, CIMT methods could not be directly applied for gait rehabilitation. In this study, we explore the feasibility of utilizing a knee scooter as a means to facilitate CIMT gait training. We hypothesize that if lower limb kinematics and muscle activation patterns during gait with a knee scooter match that of natural gait, the knee scooter could be utilized for CIMT gait training. We measured the lower-limb joint angles, plantar force, EMG patterns, stride length, and step times of 13 healthy subjects during gait with a knee scooter and natural gait. The results suggest that the gait patterns while using the knee scooter closely resemble those of natural gait.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010044
Authors: Giovannino Polara Alessio Montagnoli Roberto Palazzo Melissa Orlandi Gabriele Mascherini Marco Corsi Edoardo Falconi Laura Stefani
It is widely demonstrated that moderate-intensity exercise is associated with improved fitness in non-communicable chronic diseases. However, there are no specific guidelines available for transplant recipients. Body composition is closely linked to exercise capacity, typically estimated by cardiopulmonary testing, but its potential correlation with cardiovascular health outcomes has not been investigated yet. This study aims to evaluate and compare cardiorespiratory performance and body composition in two groups of liver and kidney transplant recipients. A mixed group of transplant recipients (10 kidney and 15 liver) participating in a lifestyle reconditioning program through unsupervised physical exercise prescription was examined. Both groups were assessed using bioimpedance analysis (BIA), lifestyle, and physical activity levels by IPAQ questionnaire and cardiopulmonary testing (CPET). The two groups differed by IPAQ examination: liver transplant patients practiced more physical activity. Statistically significant differences were found in peak VO2/HR (oxygen pulse), which was higher in the kidney group compared to the liver group (15.63 vs. 12.49 with p < 0.05). Body composition did not show significant differences in BMI and the percentage of FM/FFM (FFM: 78.04 ± 7.7 in Kidney T vs. 77.78 ± 7.2 in Liver T). Systolic pressure measured at the peak was significantly higher in the liver group (162.6 vs. 134 with p < 0.01). The correlation between the CPET and BIA parameters showed a positive VO2 max and FFM mass trend. The results suggest differences in cardiorespiratory fitness between the two populations of solid organ transplant recipients despite not being related to the physical activity level. The data support the importance of body composition analysis in sports medicine and the prescription of physical exercise, especially considering the potential correlation with VO2 max, even though home-based exercise does not seem to alter it substantially. BMI does not appear to be a determinant of cardiovascular performance. Other determinants should be investigated to understand the differences observed.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010043
Authors: Luca Russo Sebastiano Riccio Giulio Zecca Alin Larion Riccardo Di Giminiani Johnny Padulo Cristian Popa Gian Mario Migliaccio
Foam rolling is widely used in fitness, sports, rehabilitation, and injury prevention. However, there are limited data available on the effect of foam rolling techniques on the upper limbs. The aim of this investigation is to assess the effects of foam rolling the latissimus dorsi area during the rest period between two consecutive lat pull-down exercise (LPDE) sets. Seventeen resistance training experienced volunteer male subjects (25.8 ± 3.4 years; 180.3 ± 9.0 cm; 79.7 ± 9.9 kg) participated in this research. Each subject performed 2 training sessions of LPDE in a random order, separated by one week. Each session consisted of 2 sets of maximum repetitions using 85% of their one-repetition maximum (1RM), with a 7 min rest period between sets. The rest period condition between sets was different in the 2 sessions: passive rest (Pr) or foam rolling the latissimus dorsi muscle bilaterally for 3 sets of 45 s (FRr). The following variables were assessed for each LPDE set: number of repetitions (REPS), average excursion per repetition in millimeters (EXC), average power of the set in watts (AP) and rating of perceived exertion (RPE). Pr did not show any significant change between the first and the second LPDE set for REPS, EXC, and AP. However, there was a significant increase for RPE (8.4 ± 0.5 vs. 8.9 ± 0.5 a.u., p = 0.003) between the two sets. FRr resulted in an increase for REPS (7.1 ± 1.5 vs. 8.2 ± 1.3, p < 0.001) and AP (304.6 ± 61.5 W vs. 318.8 ± 60.8 W, p = 0.034) between the first and the second LPDE sets, but no changes were observed for EXC and RPE. The use of foam rolling techniques on the latissimus dorsi area during the complete rest period between sets in LPDE at 85% 1RM appears to improve the number of repetitions and the movement power without affecting the RPE during the second set.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010042
Authors: Nor Fazila Abd Malek Ali Md Nadzalan Kevin Tan Abdul Muiz Nor Azmi Rajkumar Krishnan Vasanthi Ratko Pavlović Dana Badau Adela Badau
Participating in sports has been shown to promote overall wellness and, at the same time, reduce health risks. As more people are participating in sports, competitions have increased, and every aspect of the game has been focused by coaches and athletes in order to improve performance. One of these aspects is the warm-up session. The purpose of this study was to investigate the acute effect of a dynamic warm-up versus a proprioceptive neuromuscular facilitation (PNF) warm-up on the sprint and jump performance of recreationally active men. Thirty (n = 30) males were randomly assigned to undergo three sessions of different warm-up types, 72 h apart, involving either proprioceptive neuromuscular facilitation (PNF), dynamic stretching (DS), or no stretching session (control). The PNF and dynamic modes of stretching improved vertical jump performance, F (2.58) = 5.49, p = 0.046, to a certain extent (mean + 3.32% vs. control, p = 0.002 for dynamic and mean + 1.53% vs. control, p = 0.048 for PNF stretching). Dynamic stretching is best used to get a better vertical jump height. Sprint performance was also increased to a greater extent following the stretching session, F (2.58) = 5.60, p = 0.01. Sprint time was +1.05% faster vs. the control, with a value of p = 0.002 after dynamic stretching, while PNF stretching demonstrated a sprint time of +0.35% vs. the control, with a value of p = 0.049. Dynamic stretching showed a better sprint performance and also vertical jump height performance in this study. PNF and dynamic stretching prove to be equally efficacious in flexibility conditioning depending on the type of movement involved. This type of stretching should be utilized to help preserve or improve the performance output of physical activity, especially in sprinting and jumping events.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010041
Authors: Erin White Silas Bergen Annabelle Berggren Lillian Brinkman Brianna Carman Lucas Crouse Emma Hoffmann Sara Twedt
Hydrostatic weighing (HW) requires full submersion with the lungs at residual volume (RV) which is uncomfortable. Therefore, the purpose of this study was to find a more comfortable way to complete HW. A HW system was used to complete three comparisons: comparison 1: change in head position (head above water vs. head below water (HAW vs. HBW)), comparison 2: change in lung volume (total lung capacity (TLC) vs. RV), and comparison 3: change in head and lung volume changes. Participants were separated by males (n = 64) and females (n = 58). Comparison 1: HAW resulted in higher mean percent body fat (PBF) than HBW (4.5% overall, 3.8% in males, 5.4% in females, p < 0.05). Comparison 2: TLC resulted in lower mean PBF than RV (5.1% overall, 5.3% in males, 4.8% in females, p < 0.05). Comparison 3: HAW@TLC resulted in significantly lower (1.5% lower, p = 0.003) mean PBF for males but was not significantly lower for females or overall (0.6% higher, p = 0.39, 0.6% lower, p = 0.18, respectively) compared to HBW@RV. In conclusion, keeping the head above water and taking a deep inhale makes HW a more enjoyable, and accessible experience for everyone while still producing accurate PBF results.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010040
Authors: Mustafa Al-Zamil Natalia G. Kulikova Inessa A. Minenko Numman Mansur Denis M. Zalozhnev Marat B. Uzdenov Alina A. Dzhanibekova Alikhan A. Gochiyayev Natalia A. Shnayder
Transcutaneous electrical nerve stimulation (TENS) has proven effective in treating pain in many experimental and clinical studies. In addition to the analgesic effect, direct TENS of peripheral nerves had anti-inflammatory and regenerative effects in the treatment of distal polyneuropathy and spinal cord injury. This work demonstrates the experience of using direct TENS in the treatment of a 52-year-old patient with post-COVID-19 Guillain–Barré (GBS) and acute transverse myelitis (ATM) overlap syndrome. Direct TENS of peripheral nerves showed high efficiency in enhancing the therapeutic effect of combined plasma exchange and pharmacotherapy by 89.5% with a significant reduction in neuropathic pain, motor and sensory deficits, bladder and bowel disorders and regression of neurophysiological changes. We suggest that direct TENS of peripheral nerves can be a promising option for combined therapy of GBS and ATM overlap syndrome and other diseases with the simultaneous development of distal polyneuropathy and spinal cord injury. Further trial studies are required.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010039
Authors: Inês Alves Maria António Castro Sofia Tavares Orlando Fernandes
Background: Achondroplasia is a rare genetic skeletal condition characterized by disproportionate short stature. There is limited evidence on postural control in adults with achondroplasia and how lower limb lengthening (intervention) interacts with body dynamics. This study investigated sway variability during quiet standing in adults with achondroplasia with natural growth (N) and with lower limb lengthening (LL). Methods: Sixteen adults performed bilateral/unilateral standing tasks. Linear (total excursion, amplitude, and ellipse area) and nonlinear (sample entropy and correlation dimension) center of pressure sway metrics were analyzed in the anteroposterior/mediolateral directions. Relationships between posture metrics, strength, and physical activity were explored. Between-groups statistics were calculated. Results: The LL group exhibited amplified linear sway, indicating larger postural deviations, and reduced sample entropy and correlation dimension, indicative of more rigid and repeated corrections. The N group exhibited more unpredictable and adaptive movement corrections. Numerous correlations emerged between strength and posture measures, with relationships altered by intervention. Conclusions: Adults with achondroplasia display distinct balance strategies influenced by intervention. The results indicate that LL is associated with altered variability and adaptability compared to natural development. Relationships with muscle strength spotlight a key role of muscle capacity in postural control modulation after growth alterations in this population.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010038
Authors: Bárbara Pessali-Marques Adrian M. Burden Christopher I. Morse Gladys L. Onambélé-Pearson
Findings are inconsistent with regards to whether menstrual cycle phase-associated changes in physical functioning exist. It is possible that such discrepancies are due to varying rigour in experimental approaches. The current study aimed to systematically evaluate any effect of carefully tracked menstrual cycle phase on precisely measured muscle structure and function in a physically active group (contemporary dancers). Eleven women aged (M [SD]) 23.5 [2.94] years, undergoing 10.5 [1.73] hours of contemporary dance practice and 6.12 [2.36] hours of other physical activity per week, were recruited. Sex hormone level (enzyme-linked immunosorbent assays (ELISA), skin temperature and ovulation kits), physical pain assessments (Ice Water Test, Visual Analogue Scale, The Physical Activity Readiness Questionnaire, Self-Estimated Functional Inability Because of Pain Questionnaire, and Pain Anxiety Symptoms Scale), muscle architecture measurement (B-mode ultrasonography), and physical functioning (dynamometry, force-platform and electromyography) on both lower limbs were measured at three time points during one cycle, following three months of menstrual cycle monitoring. There was no difference in musculoskeletal flexibility variables between follicular, ovulatory, or luteal phases. Nonetheless, oestrogen change was associated with variability in 11 musculoskeletal variables, progesterone change was associated with variability in 7, and relaxin change was associated with variability in 15. Negative correlations existed between progesterone and flexibility and between oestrogen and jump variables. Moreover, oestrogen and relaxin were associated with increased musculoskeletal compliance, whilst progesterone was associated with increased muscle stiffness. In short, in absolute sex hormone levels, ‘inter-individual’ variances appear more impactful than ‘intra-individual’ variances. Not only are oestrogen and progesterone associated with differing musculoskeletal outcomes, but relaxin is also associated with musculoskeletal compliance changes. These effects are anticipated to impact jump height and flexibility, and hence, they could be expected to affect overall physical performance, including dance.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010037
Authors: Fabio Santacaterina Marco Bravi Mirella Maselli Federica Bressi Silvia Sterzi Sandra Miccinilli
During the second wave of the COVID-19 pandemic, a young adult presented symptoms that were reported at first evaluation to be a frozen shoulder (adhesive capsulitis). The patient’s history, clinical manifestations related to the onset of pain, unilateral weakness, and physical examination led to a physiotherapy referral. Subsequent instrumental investigations showed an idiopathic brachial neuritis known as Parsonage–Turner Syndrome (PTS). Contrary to recent descriptions in the literature, the patient did not experience PTS either after COVID-19 vaccination or after COVID-19 virus infection. The proposed multimodal treatment, considering the patient’s characteristics, led to a recovery of muscle strength and function of the upper limb, observed even three years after the acute event. The frequency of rehabilitation treatment, the choice of exercises, the dosage, and the methods of execution require further studies in order to define an evidence-based treatment.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010036
Authors: Gianpiero Greco
This Special Issue, “Health and Performance through Sports at All Ages 2 [...]
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010035
Authors: José Fernández-Cortés Carlos D. Gómez-Carmona David Mancha-Triguero Javier García-Rubio Sergio J. Ibáñez
The unprecedented COVID-19 health crisis severely disrupted global sports in 2020, prompting lengthy suspensions followed by resumed competitions under abnormal behind-closed-doors conditions without fans. These disruptions necessitated tactical adaptations by coaches and teams, attempting to still achieve successful outcomes. This study investigates the pandemic’s impacts on performance metrics and indicators within Spanish professional soccer. Utilizing systematic notational analysis, 760 match cases from the 2019–2020 La Liga season were examined, comprising 27 matchdays from the pre-COVID context and 11 after resumption. Multivariate tests identified significant pre/post differences and interactions for various technical indicators including shots, cards, corners, and offside calls. The pandemic was associated with a reduction from 12 to just 5 identifiable playing styles, suggestive of increased conservatism featuring more passive play, limited attacking depth, and horizontal ball movement. Such tactical changes appear provoked by condensed fixture scheduling post-lockdown, the lack of supportive crowds, and compromised player fitness/recovery. By quantifying these COVID-precipitated changes, the analysis provides tangible evidence for coaches to make informed adjustments in training and preparation for functioning effectively in disrupted environments. The findings emphasize that versatility and flexibility will be vital to optimize performance during times of unprecedented uncertainty.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010034
Authors: Giuseppe Messina Vincenzo Cristian Francavilla Francesco Lima Elvira Padua Giuseppe Secolo Innocenzo Secolo Angelo Iovane Maria Chiara Parisi Donatella Di Corrado
Tennis is a complex sport based on unpredictability that requires adequate physical and psychological preparation to prevent injuries. The aim of this study was to investigate the effects of 8-week specific core stability training on postural stability in competitive adolescent tennis players, aged between 14 and 19 years old. Sixty-one participants were randomly allocated into two groups: experimental (n = 32) and control (n = 29) groups. The first group wore proprioceptive insoles 8 h a day and performed a detailed training 3 times a week for 8 weeks; the second group only received proprioceptive insoles to wear 8 h a day for 8 weeks. The postural stability parameters (center-of-pressure length, center-of-pressure velocity, and 95% confidence ellipse sway area) included three assessment times: baseline (T0), intermediate test (T1), post-test (T2), and retention test (T3). Data analysis showed a significant improvement in the experimental group compared with the control group, indicating a large effect size in center-of-pressure length, ellipse sway area, and center-of-pressure velocity at T2 and T3 (p < 0.05). In conclusion, our results suggest that a specific and detailed core stability training plays a significant role in improving balance and postural stability in young tennis players, especially in terms of preventing the risk of injury.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010033
Authors: Antonino Scardina Garden Tabacchi Ewan Thomas Giovanni Angelo Navarra Luca Petrigna Giovanni Caramazza Antonio Palma Marianna Bellafiore
The COVID-19 lockdown and the consequent distance school learning made epochal changes in children’s lifestyles; however, little is known about the lockdown effects on school teacher habits. The aim of this observational study is to examine differences in the lifestyle of nursery (NS) and primary (PS) school teachers after one of the COVID-19 lockdowns and investigate the relationship between perceived physical/mental health and demographics, weight status and lifestyle determinants, such as adherence to the Mediterranean Diet (MD) and physical activity level (PAL). A total sample of 265 participants (49.22 ± 6.95 years) filled out an online information questionnaire and standardized questionnaires to collect data on the Physical Component Summary (PCS), Mental Component Summary (MCS), PAL and MD-adherence. A t-test or ANOVA analysis was used to assess differences between quantitative variables: Mann–Whitney U or Kruskal–Wallis tests for qualitative variables. Spearman’s correlations and multinomial logistic regression analyses were performed to identify categorical factors associated with classes of PCS and MCS. Teachers showed sufficient/high PAL, with a significantly higher level in the PS group (p < 0.05). This last showed a higher PCS score (p < 0.05). No differences between groups were found for MD-adherence, which was moderate/fair in both groups, and MCS, which was sufficient/good. Logistic regression showed that the only positive predictor of a high PCS was being physically active (OR 2.10, 95%CI 1.05–4.2, p < 0.05), while MCS was positively associated with normal weight status (OR 0.48, 95%CI 0.33–0.78, p = 0.020). This study highlights that PS teachers are more active than the NS group and perceive a higher physical health level. Mere predictors of physical and mental well-being are PA practice and being normal weight, respectively. This suggests that interventions to improve perceived health in this work category should be focused on the promotion of physical activity practice and on the maintenance of an optimal weight status.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010032
Authors: Agata Latocha Jakub Jarosz Jonatan Helbin Michał Krzysztofik
The study aimed to evaluate the impact of listening to preferred music during active/passive rest on power output and heart rate in barbell squats (BS) and bench presses (BP). Fifteen participants (13 males and 2 females), moderately resistance trained, were engaged in four randomized experimental sessions with varying rest intervals (active/passive) and music presence (listening or not). Each session involved three sets of three repetitions of BS and BP at a 50% one-repetition maximum. ANOVA showed a significant main effect of the set for BP relative mean and peak power output (p < 0.001; both). The post hoc comparisons indicated a significantly higher BP relative mean and peak power output in set_2 (p < 0.001; effect size [ES] = 0.12 and p < 0.001; ES = 0.10) and set_3 (p < 0.001; ES = 0.11 and p = 0.001; ES = 0.16) in comparison to set_1. Moreover, a main effect of the set indicating a decrease in BS relative peak power output across sets was observed (p = 0.024) with no significant differences between sets. A significantly higher mean heart rate during active rest in comparison to passive rest was observed (p = 0.032; ES = 0.69). The results revealed no significant effect of listening to music on relative power output and heart rate during BS and BP.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010031
Authors: Tommaso Bonanzinga Alice Giulia De Sensi Beatrice Balzarini Gian Luca Doro Luca Bertolino Luca Forte Elizaveta Kon
A topical medical device, AI500®, constituted of a single-chain polypeptide embedded in hyaluronic acid, was tested and evaluated in patients with reduced knee function due to osteoarthritis and other knee conditions. A total of 35 participants with reduced knee function assessed by the WOMAC Physical Function score were recruited. Four study visits were planned, from the first application at V0 to 1 week follow up at V3. Patient symptomatology was evaluated after 24 h (V1) and after 48 h (V2) through phone contact, and after 1 week from V0, on site (V3). The overall duration of the follow up was one week. An amelioration of 40% in WOMAC Physical Functional scores after 1 week of treatment was recorded, thus achieving the primary endpoint of 20%. Furthermore, a reduction of 29% in Physical Functional scores and of 28% in total WOMAC scores between V0-V2 was registered, together with a decrease of 39% between V0 and V3. The NRS scale showed a 29% and 37% reduction in pain between V0-V1 and V0-V2, respectively. Product safety was confirmed by the very low rate of adverse effects, non-device related, observed in only 2 patients out of 35, resolved spontaneously within 24–48 h. No safety concerns or risks associated with the use of the device were highlighted. There are few the studies on the topical use of HA-based gels for the treatment of knee problems. Compared to invasive intra-articular injections and oral pharmacological therapies used in cases of knee pain, the topical application of AI500® is non-invasive, safe, and appreciated by patients. Good results in terms of functional improvement and symptoms resolution were obtained in less than 1 week.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010030
Authors: Tatiana Sampaio Jorge E. Morais José A. Bragada
Cardiovascular capacity, expressed as maximal oxygen uptake (VO2max), is a strong predictor of health and fitness and is considered a key measure of physiological function in the healthy adult population. The aim of this study was to investigate the influence of the physical activity levels (PAlevel) of participants in the StepTest4all (validated protocol for the estimation of VO2max in adults). The sample consisted of 69 participants, including 27 women (age 21.7 ± 3.6 years; body mass = 63.5 ± 14.8 kg; height = 1.64 ± 0.06 m; body mass index = 23.7 ± 5.3 kg/m2) and 42 men (aged 21.7 ± 3.4 years; body mass = 72.0 ± 7.3 kg; height = 1.77 ± 0.07 m; body mass index = 23.1 ± 2.1 kg/m2). The participants were assigned to one of the two groups: (i) the VO2max prediction group and (ii) the prediction model validation group. In the multiple linear regression, the following predictors of VO2max remained significant: sex (p < 0.001), physical activity level (p = 0.014), and HRR60 (p = 0.020). The prediction equation (R2 = 74.0%, SEE = 4.78) showed a close and strong relationship between the measurements and can be expressed as follows: VO2max = 17.105 + 0.260·(HRR60) + 8.563·(sex) + 4.097·(PAlevel), in which HRR60 is the magnitude of the HR decrease (bpm) in one minute immediately after stopping the step, and sex: men = 1, women = 0, and PAlevel is level 1 (low), level 2 (moderate), and level 3 (high). The StepTest4all was shown to be a suitable method for estimating cardiovascular capacity, expressed as VO2max, in young adults. Retaining PAlevel as a significant predictor allows us to better individualize the participants’ VO2max.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010029
Authors: Francesco Sgrò Antonella Quinto Mario Lipoma David Stodden
This study aimed to assess which multidimensional performance indexes were the best predictors of talent identification in volleyball. Fifty-five female players (age: 13.8 ± 1.81 years; mass: 55.12 ± 8.12 kg; height: 158.23 ± 7.62 cm) were clustered into two groups according to some physical characteristics (i.e., the first group included players with more favorable performance predictors). Musculoskeletal Fitness (MSF), Functional Motor Competence (FMC), and Declarative Tactical Knowledge (DTK) were measured as multidimensional indexes of performance. Moderate-to-large differences between groups were found for each index in favor of the first group. Regression analyses were performed to examine the variance explained by MSF, FMC, and DTK in the two groups. A model with FMC components explained slightly more variance in the group predictor variables (R2 = 0.53) than a model using only MSF components (R2 = 0.45). Among FMC components, the score of the Throw-and-Catch test resulted in the best predictor (Odds Ratio = 1.58) for determining group selection, followed by the score of the Supine-to-Stand-and-Go test (Odds Ratio = 0.02). An additional model composed by MSF and FMC significant predictors (i.e., functional fitness index) and DTK explained 63% of the variance (R2 = 0.63), and these were significant predictors of group membership (Odds Ratio = 6.32 and Odds Ratio = 1.51, respectively). A more comprehensive multidimensional analysis of youth performances is warranted to identify and monitor the best players in a youth volleyball context.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010028
Authors: Tomislav Đurković Domagoj Babok Tomica Rešetar
The aim of this research is to verify whether there is a difference in the average duration of the active and passive phases of the game between volleyball and beach volleyball. A total of 2392 active and passive phases were measured during high-level volleyball and beach volleyball matches for males. Matches were played by four teams (53 players) in indoor volleyball (age 29 ± 4.94 years) and five teams (10 players) in beach volleyball (age 28.27 ± 6.64 years). Possible differences were evaluated using the Mann–Whitney U test. The average duration of the active phase in volleyball is 5.55 s ± 4.38 s. In beach volleyball, the active phase lasts marginally longer, at 6.00 s ± 3.44 s. The average duration of the passive phase in volleyball is 35.27 s ± 25.96 s and it lasts longer than the average passive phase in beach volleyball at 33.82 s ± 22.98 s. The Mann–Whitney U test showed a statistically significant difference (p = 0.00) between the active phases in volleyball (Md = 3.53, n = 727) and beach volleyball (Md = 3.43, n = 484), U = 140770.00, z = −5.90 with small effect according to Cohen’s criterion (r = 0.14). The Mann–Whitney U test (U = 160773.00, z = −1.10) showed no statistically significant difference in the average duration of the passive phases at volleyball and beach volleyball. This research determined that there is a statistically significant difference in the average duration of the active phase between volleyball and beach volleyball. The new insights gained in this research can support a more precise programming of training intensity in high-level volleyball and beach volleyball.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010027
Authors: Franscisco Javier Grijota Víctor Toro-Román Ignacio Bartolomé Elías Cordero-Román Cristian Sánchez López Jose Miguel Jiménez Ismael Martínez-Guardado
The main objective of this study was to investigate the influence of carbohydrate intake (cyclodextrin) on performance during the performance of two consecutive workouts of the day (WODs) lasting 20 min each. Twenty-one male CrossFit (CF) athletes (29.5 ± 4.3 years; 72.81 ± 12.85 kg; 1.74 ± 0.06 m; 3.41 ± 1.21 years of experiences) participated in a crossover, randomized, and double-blind study. The effect of supplementation with 30 g of cyclodextrin (SG) (Cluster Dextrin®) or placebo (PG) (Bolero Advanced Hydration®) was evaluated on the performance of two specific WOD. Additionally, the effect on handgrip maximum strength, countermovement jump (CMJ), Wingate test, and 1 RM bench press test was evaluated. The effect on blood glucose and lactate was also evaluated. No differences were found in time, height, and power (W/Kg) in CMJ. However, there was a percentage improvement in CMJ jump power (W) (p < 0.05) between the groups, assuming an improvement in performance due to the intervention. Moreover, both conditions experimented differences in execution speed between sets (p < 0.05) in pre-WOD, and differences in post-WOD only in the placebo group, as well as decreases in this variable per repetition across the set (p < 0.01) in both conditions. However, no differences were found in the rest of the variables. Supplementation with 30 g of cyclodextrin did not have any metabolic or performance effects in CF tests. Although some differences between groups were observed in CMJ and power tests for bench press, the data are not conclusive and further research is needed in this regard.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010026
Authors: Felice Di Domenico Giovanni Esposito Sara Aliberti Francesca D’Elia Tiziana D’Isanto
The Squat Jump (SJ) test is widely recognized as a reliable test for assessing lower-limb explosive strength. However, uncertainty persists in the literature regarding the optimal starting positions for maximizing vertical jump performance. This uncertainty is exacerbated by a disproportionate focus on athletes in existing studies, with insufficient consideration being given to non-athletic women. To address this gap, this study investigated the influence of leg starting angle on explosive jump height in a homogeneous sample of non-athletic women. Thirty-two female students enrolled in a Sports Science master’s degree program at the University of Salerno participated in the study. Descriptive statistics were employed to summarize data on various variables, and Pearson’s correlations were calculated to assess the relationship between knee angle in the starting position and achieved jump height. The study revealed that different starting positions had a noteworthy impact on jump height among the participants. A strong negative correlation (−0.701) was identified between Squat Jump elevation and the knee angle in the starting position. Notably, 62.5% of the subjects opted for a starting knee position of approximately 70 degrees, with all of them consistently achieving a jump height associated with this specific angle. These findings provide valuable insights into the relationship between leg starting angle and explosive jump height in non-athletic women. The observed correlation underscores the significance of the starting position in Squat Jump performance. The prevalence of a specific knee angle choice among participants suggests potential implications for training and performance optimization in this sample.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010025
Authors: Oliver Ludwig Carlo Dindorf Sebastian Kelm Jens Kelm Michael Fröhlich
The correction of postural weaknesses through the better positioning of the pelvis is an important approach in sports therapy and physiotherapy. The pelvic position in the sagittal plane is largely dependent on the muscular balance of the ventral and dorsal muscle groups. The aim of this exploratory study was to examine whether healthy persons use similar muscular activation patterns to correct their pelvic position or whether there are different motor strategies. The following muscles were recorded in 41 persons using surface electromyography (EMG): M. trapezius pars ascendens, M. erector spinae pars lumbalis, M. gluteus maximus, M. biceps femoris, M. rectus abdominis, and M. obliquus externus. The participants performed 10 voluntary pelvic movements (retroversion of the pelvis). The anterior pelvic tilt was measured videographically via marker points on the anterior and posterior superior iliac spine. The EMG data were further processed and normalized to the maximum voluntary contraction. A linear regression analysis was conducted to assess the relationship between changes in the pelvic tilt and muscle activities. Subsequently, a Ward clustering analysis was applied to detect potential muscle activation patterns. The differences between the clusters and the pelvic tilt were examined using ANOVA. Cluster analysis revealed the presence of four clusters with different muscle activation patterns in which the abdominal muscles and dorsal muscle groups were differently involved. However, the gluteus maximus muscle was involved in every activation pattern. It also had the strongest correlation with the changes in pelvic tilt. Different individual muscle patterns are used by different persons to correct pelvic posture, with the gluteus maximus muscle apparently playing the most important role. This can be important for therapy, as different muscle strategies should be trained depending on the individually preferred motor patterns.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010024
Authors: Jaime Rodden Dolores G. Ortega Pablo B. Costa
(1) There is growing concern surrounding the adverse effects of prolonged sitting on health, yet its impact on post-exercise recovery remains relatively unexplored. This study aimed to better understand the potential influence of habitual prolonged sitting on recovery time and the unfavorable impact prolonged sitting may have on time to recovery, as assessed by muscle damage and inflammatory markers and an isokinetic dynamometer. (2) Nine college-age men (mean age ± SD = 22.1 ± 3.1 years, body mass = 80.9 ± 15.7 kg, height = 171 ± 9.0 cm, Body Mass Index (BMI) = 27.6 ± 4.9 kg·m2) participated in an exhaustive exercise protocol. Creatine Kinase (CK), Myoglobin (Mb), C-Reactive Protein (CRP), White Blood Cell Count (WBC), Peak Torque (PT), and muscle soreness were measured at baseline and 0, 24, 48, and 72 h post-exercise. Dietary and exercise logs were maintained during the 5-day testing procedure. (3) No significant differences were observed in muscle damage markers (CK [p = 0.068] and Mb [p = 0.128]), inflammatory markers (CRP [p = 0.814] and WBC [p = 0.140]), or PT [p = 0.255]) at any time point. However, a significant positive correlation was found between daily sitting time and the percent increase in CK concentration from 0 h to 72 h (r = 0.738, p = 0.023). Strong correlations were also noted between prolonged sitting and percent change in Mb concentration at 48 h (r = 0.71, p = 0.033) and 72 h (r = 0.889, p = 0.001). There was a significant two-way interaction for time × velocity (p = 0.043) for PT with a simple main effect for time at 60°·s−1 (p = 0.038). No significant associations were detected between daily carbohydrate or protein intake and recovery markers (p > 0.05). (4) The findings suggest minimizing daily sitting time may expedite and potentially aid muscle recovery after an intense exercise bout, although further research is warranted to validate these findings.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010023
Authors: Quentin Merlin Philippe Vacher Laurent Mourot Guillaume Levillain Guillaume Martinent Michel Nicolas
This study examined the effect of a Slow-Paced Breath (i.e., 6 breaths per minute) without Biofeedback (SPB-NoHRVB) protocol on semi-elite adolescent swimmers’ psychological and physiological states during a seven-week ecological training period. A linear mixed-effects multilevel regression analysis approach was used with 13 adolescent national-level swimmers. Athletes were randomly assigned to an intervention group (n = 7) and a control group (n = 6). Seven waves of assessments were completed weekly during a seven-week training preparation in ecological conditions. During the protocol, swimmers completed subjective quantitative measures (RESTQ-36-R-Sport; cognitive perceived stress and control states about the training process, training subjective performance, and subjective internal training load) and physiological heart rate (HR) (HR of exercise, absolute and normalized HR recovery during the first 60 s of recovery; HRR60 and nHRR60) and heart rate variability (HRV) (MeanRR, RMSSD, LFnu and HFnu, LF/HF ration) tests (through a submaximal heart rate (5′-5′ test) once a week. Results revealed that the SPB-NoHRVB protocol significantly predicts biopsychosocial recovery states, cognitive perception of control, and training subjective performance (i.e., a significant effect of the SPB-NoHRVB protocol with the dependent variables simple time trajectories). However, no significant effects were found for biopsychosocial stress scales, cognitively perceived stress, HR, or HRV markers. Our results suggest that SPB-NoHRVB induces simple evolutions over time for crucial variables in athletes’ adaptation to the training process (i.e., cognitive appraisals and biopsychosocial states). In contrast, it highlights that SPB-NoHRVB does not induce better stress states. This specific effect on the resource component is an exciting result that will be discussed in the manuscript.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010022
Authors: Muhammad Adeel Bor-Shing Lin Muhammad Asad Chaudhary Hung-Chou Chen Chih-Wei Peng
Kinetic chains (KCs) are primarily affected by the load of different activities that recruit muscles from different regions. We explored the effects of strengthening exercises on KCs through muscle activation. Four databases were searched from 1990 to 2019. The muscles of each KC, their surface electromyography (sEMG), and the exercises conducted were reported. We found 36 studies that presented muscle activation using the percent (%) maximal voluntary isometric contraction (MVIC) or average sEMG for nine KCs in different regions. The % MVIC is presented as the following four categories: low (≤20%), moderate (21~40%), high (41~60%), and very high (>60%). Only four studies mentioned muscle activation in more than three KCs, while the remaining studies reported inconsistent sEMG processing, lacked normalization, and muscle activation in one or two KCs. The roles of stabilizers and the base of support in overhead throwing mobility using balance exercises were examined, and the concentric phase of chin-up and lat pull-down activated the entire KC by recruiting multiple muscles. Also, deep-water running was shown to prevent the risk of falls and enhance balance and stability. In addition, low-load trunk rotations improved the muscles of the back and external oblique activation. Based on this study’s findings, closed-chain exercises activate more groups of muscles in a kinetic chain than open-chain exercises. However, no closed or open chain exercise can activate optimal KCs.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010021
Authors: Rosario Ferlito Sara De Salvo Giovanni Managò Martina Ilardo Marco Sapienza Alessia Caldaci Andrea Vescio Vito Pavone Gianluca Testa
This paper aims to investigate the effectiveness and the outcomes of the association between different types of biofeedback techniques and therapeutic exercises in the conservative treatment of patellar femoral pain (PFP). The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement guidelines have been used and followed the Cochrane Handbook for Systematic Reviews of Interventions. Between April and June 2023, the following electronic databases were searched: PubMed, ScienceDirect, BIOMED Central, Cochrane Library, and PEDro. Only randomized controlled trials (RCTs) were selected. Following the search, 414 records were found, and after using strict inclusion and exclusion criteria, 12 RCTs were retrieved to include in this systematic review, assessing 513 patients. The association between biofeedback and therapeutic exercise may be beneficial for pain, function (AKPS), extensor muscle strength, reduction of the dynamic knee valgus and vastus medialis (VM) and vastus lateralis (VL) (EMG) optimization. All these results were valued in the short term. Regarding the intervention type, it was possible to correlate the EMG biofeedback with the benefits of the knee extensor strength and the EMG activity of VM and VL. Conversely, using mirror, verbal, and somesthetic (hands and band) feedback seems to be linked to the reduction of the knee dynamic valgus.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010020
Authors: Luis Manuel Martínez-Aranda Manuel Sanz-Matesanz Ezequiel David García-Mantilla Francisco Tomás González-Fernández
Therapists and strength and conditioning specialists use self-myofascial release (SMR) as an intervention tool through foam rollers or massage rollers for soft tissue massage, with the purpose of improving mobility in the muscular fascia. Moreover, the use of SMR by professional and amateur athletes during warm-ups, cool downs, and workouts can have significant effects on their physical performance attributes, such as range of motion (ROM) and strength. The purpose of this study was to analyse the literature pertaining to these types of interventions and their effects found in different physical performance attributes for athletes. A systematic search was carried out using the following databases: PUBMED, ISI Web of Science, ScienceDirect, and Cochrane, including articles up to September 2023. A total of 25 articles with 517 athletes were studied in depth. SMR seems to have acute positive effects on flexibility and range of motion, without affecting muscle performance during maximal strength and power actions, but favouring recovery perception and decreasing delayed-onset muscle soreness. Some positive effects on agility and very short-range high-speed actions were identified, as well. In conclusion, although there is little evidence of its method of application due to the heterogeneity in that regard, according to our findings, SMR could be used as an intervention to improve athletes’ perceptual recovery parameters, in addition to flexibility and range of motion, without negatively affecting muscle performance.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010019
Authors: Georgios Glakousakis Perikles Kalatzis Dimitris Mandalidis
Female athletes subjected to various types of impact loading, especially over a long period of time, may experience changes in their pelvic orientation, which may affect their sport performance and increase the likelihood of injury. The aim of the present study was to determine whether female athletes involved in high-impact loading sports (HILS), odd-impact loading sports (OILS), and repetitive non-impact loading sports (NILS) demonstrate changes in pelvis orientation compared to non-athletes (NATH). Pelvic orientation was determined using Euler/Cardan angles, calculated from the coordinates of the right, and left anterior superior iliac spines and pubic symphysis via a novel method. Two-way ANOVA tests showed significant differences between groups for pelvis position in the frontal plane (p < 0.05), with HILS and OILS demonstrating greater pelvic obliquity compared to NILS athletes and NATH. Significant main effects were also obtained for directions within the sagittal plane (p < 0.001). Significant within-group differences were observed in sagittal pelvic position among female athletes engaged in NILS (p < 0.01) and non-athletes (NATH) (p < 0.05), with a greater anterior pelvic tilt compared to posterior. Our findings suggest that pelvis orientation in female athletes across sports is influenced by sport-specific impact loads, potentially affecting performance and injury occurrence.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010018
Authors: Israel Caraballo Luka Pezelj Juan José Ramos-Álvarez
The aim of this study was to analyse the variables that determine the performance of the Optimist class during a regatta in different wind conditions. A total of 203 elite sailors of the Optimist class (121 boys and 82 girls) participated in the study. According to their ranking in the regatta, the sample was divided into four performance groups. In a regatta with 11 races, the velocity made good (VMG), the distance and the manoeuvres were evaluated by means of GNSS equipment in three different courses. The boys performed a greater number of upwind and running manoeuvres than the girls. The very-low-level sailors obtained a lower VMG in all the courses analysed compared with the rest of the groups of sailors of higher levels. Upwind manoeuvres, broad reach and running VMG were significant variables for establishing differences in performance level when the wind speed was in a range of 5 to ≤8 knots. When the wind speed was in the >8 to ≤12 knot range, upwind distance was the key variable in determining performance differences. VMG, upwind and broad reach distance and broad reach manoeuvres were the most important variables when the wind speed was in the >12 to 15 knots range. The boys performed more manoeuvres than the girls in the upwind and running courses.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010016
Authors: Alessandro Cudicio Valeria Agosti
It is widely accepted that athletic performance emerges from a complex interaction between physical and cognitive features. Several studies highlighted self-efficacy (SE) in the cognitive domain of athletic performance, but no studies have correlated SE with sport-specific tasks. According to Bandura, this study explored SE and its relationship with self-prediction (SP), self-perception (PSJ), and actual performance in a squat jump (SJ). Thirty-nine healthy collegiate students were assessed using an SE questionnaire, an SP measurement tool, and a validated optical system for actual SJ performance. An SE score and an SE esteem index (SEE) were determined. The alignment between an individual’s SP of their SJ performance and their SE beliefs was also examined. The data revealed a significant correlation between SE score and both SJ (r = 0.432; p = 0.006) and SP (r = 0.441; p = 0.005). Furthermore, disparities among the actual SJ, SP, and SEE were statistically non-significant, implying a congruence between self-belief and performance. With a deeper understanding of the interaction between SE, SP, and sport-specific tasks, sports professionals could develop targeted interventions to enhance athletes’ overall athletic achievements and apply SE as a feature linking physical and cognitive athletic performance.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010017
Authors: Stylianos Kounalakis Anastasios Karagiannis Ioannis Kostoulas
Military and law enforcement members’ shooting ability is influenced by their postural balance, which affects their performance and survivability. This study aimed to investigate the effects of a proprioception training program (standing or walking on unstable surfaces) on postural balance and shooting performance. Twenty participants, divided into two groups, completed 60 shots in a shooting simulator while standing, before and after a 4-week proprioception training program. One group (n = 10) followed the training program (EXP), while the other group followed the regular military academy program (CON). The shooting was conducted under four conditions: without load on a stable surface, with load on a stable surface, without load on an unstable surface, and with load on an unstable surface. The findings reveal that the training program had a significant impact on the EXP, improving their balance (p < 0.01). Additionally, only in the EXP, shooting score and the percentage center of gravity increased (p < 0.01) and the stability of the shots, measured by holding time on the target, doubled from 2.2 to 4.5 s (p < 0.01). These improvements were more pronounced when participants had a load and/or were on an unstable surface. In conclusion, a proprioception training program could be beneficial for improving postural balance and shooting performance.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010015
Authors: Josuel Ora Patrizia De Marco Mariachiara Gabriele Mario Cazzola Paola Rogliani
Asthma is a complex respiratory condition characterized by chronic airway inflammation and variable expiratory airflow limitation, affecting millions globally. Among athletes, particularly those competing at elite levels, the prevalence of respiratory conditions is notably heightened, varying between 20% and 70% across specific sports. Exercise-induced bronchoconstriction (EIB) is a common issue among athletes, impacting their performance and well-being. The prevalence rates vary based on the sport, training environment, and genetics. Exercise is a known trigger for asthma, but paradoxically, it can also improve pulmonary function and alleviate EIB severity. However, athletes’ asthma phenotypes differ, leading to varied responses to medications and challenges in management. The unique aspects in athletes include heightened airway sensitivity, allergen, pollutant exposure, and temperature variations. This review addresses EIB in athletes, focusing on pathogenesis, diagnosis, and treatment. The pathogenesis of EIB involves complex interactions between physiological and environmental factors. Airway dehydration and cooling are key mechanisms, leading to osmotic and thermal theories. Airway inflammation and hyper-responsiveness are common factors. Elite athletes often exhibit distinct inflammatory responses and heightened airway sensitivity, influenced by sport type, training, and environment. Swimming and certain sports pose higher EIB risks, with chlorine exposure in pools being a notable factor. Immune responses, lung function changes, and individual variations contribute to EIB in athletes. Diagnosing EIB in athletes requires objective testing, as baseline lung function tests can yield normal results. Both EIB with asthma (EIBA) and without asthma (EIBwA) must be considered. Exercise and indirect bronchoprovocation tests provide reliable diagnoses. In athletes, exercise tests offer effectiveness in diagnosing EIB. Spirometry and bronchodilation tests are standard approaches, but the diagnostic emphasis is shifting toward provocation tests. Despite its challenges, achieving an optimal diagnosis of EIA constitutes the cornerstone for effective management, leading to improved performance, reduced risk of complications, and enhanced quality of life. The management of EIB in athletes aligns with the general principles for symptom control, prevention, and reducing complications. Non-pharmacological approaches, including trigger avoidance and warming up, are essential. Inhaled corticosteroids (ICS) are the cornerstone of asthma therapy in athletes. Short-acting beta agonists (SABA) are discouraged as sole treatments. Leukotriene receptor antagonists (LTRA) and mast cell stabilizing agents (MCSA) are potential options. Optimal management improves the athletes’ quality of life and allows them to pursue competitive sports effectively.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010014
Authors: Jordan Allan Piper Giuseppe Musumeci Alessandro Castorina
The habenular complex is a diencephalic structure divided into the medial and lateral divisions that lie within the epithalamus of most vertebrates. This brain structure, whose activities are mainly regulated via inputs/outputs from and to the stria medullaris and the fasciculus retroflexus, plays a significant role in the modulation of anti-reward behaviors in both the rodent and human brain. Such anti-reward circuits are regulated by dopaminergic and serotonergic projections with several other subcortical and cortical regions; therefore, it is plausible that impairment to this key subcortical structure or its connections contributes to the pathogenesis of affective disorders. Current literature reveals the existence of structural changes in the habenula complex in individuals afflicted by such disorders; however, there is a need for more comprehensive investigations to elucidate the underlying neuroanatomical connections that underpin disease development. In this review article, we aim to provide a comprehensive view of the neuroanatomical differences between the rodent and human habenular complex, the main circuitries, and provide an update on the emerging roles of this understudied subcortical structure in the control of affective behaviors, with special emphasis to morbid conditions of the affective sphere.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010013
Authors: Giuseppe Musumeci
In the evolving landscape of human movement, the Journal of Functional Movement and Kinesiology (JFMK) serves as a valuable chronicle, providing a lens through which to explore our present and the perspectives for the future of human movement analysis [...]
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010012
Authors: Camila Mahara Dias Damasceno Fernando José de Sá Pereira Guimarães Keyla Brandão Costa Ana Claudia Morais Godoy Figueiredo Rodrigo Cappato de Araújo Manoel da Cunha Costa
Physical activity is broadly recognized for promoting weight reduction and bestowing numerous health benefits. Nonetheless, robust evidence concerning the impact of physical activity on postmenopausal women, undergoing physiological shifts, remains scant. This study aimed to elucidate the relationship between physical activity and body composition among postmenopausal women. Employing a cross-sectional and retrospective design, 702 women were examined. Data on physical activity and body composition were amassed through anthropometric assessments and Dual-Energy X-ray Absorptiometry (DEXA). A significant proportion of women exhibited anthropometric alterations indicative of overweight/obesity, alongside elevated values in Waist Circumference (WC), Waist-to-Hip Ratio, Waist-to-Height, and bone mass, signifying a heightened risk for disease onset. While a majority engaged in some form of physical activity, this did not yield notable reductions in the assessed metrics. Noteworthy changes were only discerned in BMI and bone mass among pre-menopausal women; whereas among postmenopausal women, in addition to disparities in bone mass, those inactive were 1.18 times more prone to a very high disease risk, as gauged by WC.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010011
Authors: Gianpiero Greco Claudio Centrone Luca Poli Ana Filipa Silva Luca Russo Stefania Cataldi Valerio Giustino Francesco Fischetti
Outdoor exercise is beneficial for psychophysical well-being. Limited studies have compared outdoor and virtual reality (VR) indoor physical activities, especially in coastal settings. Therefore, this study aimed to assess the impact of outdoor coastal walking and indoor walking in a VR simulation with a similar environment on physiological and psychological variables in healthy adults. A total of 26 subjects (14 M and 12 F, age 25.2 ± 2.5 years) voluntarily participated in this crossover randomized controlled and counterbalanced study and were allocated under three conditions: VR indoor walking (INVR), outdoor walking (OUT) and standard indoor walking (IN). IN and INVR conditions were performed on a treadmill (speed 4.5 km/h) and the OUT was performed on a seaside pedestrian road. The same outdoor environment was displayed in the visor during the INVR. Heart rate (HRmean/max), physical activity enjoyment (PACES-It) and state of mindfulness for physical activity (SMS-PA) were assessed at the end of each condition. The OUT condition showed significantly greater PACES-It scores and HRmean than IN and INVR (p < 0.001) and greater SMS-PA scores and HRmax than IN (p < 0.01 and p < 0.05, respectively). No significant differences were found between OUT and INVR regarding HRmax and SMS-PA scores (p > 0.05). Findings suggest that physical activity in an immersive technology may lead to physiological loads comparable to the outdoor environment. OUT is more enjoyable than IN and INVR but exhibits a mindfulness response comparable to INVR. Therefore, INVR could be an alternative to OUT for those who cannot engage in outdoor activities for various reasons.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010010
Authors: Andrea Buonsenso Marco Centorbi Giulia Di Martino Carlo Della Valle Gloria Di Claudio Domenico Di Fonza Erika Di Zazzo Giuseppe Calcagno Alessandra di Cagno Giovanni Fiorilli
Strength training elicits benefits both in performance and on a psychological level in women, such as increased muscle strength and improved self-esteem. Whole-body electromyostimulation (WB-EMS) could be a training strategy for enhancing muscular strength. The aim of this study was to assess the acute effects of a single session of WB-EMS superimposed over classic resistance training on isometric strength, endurance strength and flexibility. Furthermore, the safety of the protocol was assessed by monitoring the levels of creatine kinase (CK) 48 h after the training protocol was completed. Sixteen active women (aged 22.06 ± 1.88) were randomly assigned to an experimental group (EG) (n = 8) and a control group (CG) (n = 8). The EG performed four sets of 12 repetitions of three strength exercises with superimposed WB-EMS, while the CG performed the same protocol without WB-EMS. RM-ANOVA showed a significant time*group interaction on posterior kinetic chain extensors’ mean and peak strength in the EG (F(1,14) = 10.036; p = 0.007; and F(1,14) = 20.719; p < 0.001; respectively). A significant time*group interaction was found in the sit and reach test for the EG (F(1,14) = 10.362; p = 0.006). Finally, ANOVA performed on the CK levels showed no significant difference between the groups (F(1,14) = 0.715; p = 0.412). WB-EMS training led to an immediate improvement in strength performance and flexibility, and this protocol was shown to be safe in terms of CK levels, 48 h after completing the training protocol.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010009
Authors: Patroklos Androulakis Korakakis Milo Wolf Max Coleman Ryan Burke Alec Piñero Jeff Nippard Brad J. Schoenfeld
Regimented resistance training (RT) has been shown to promote increases in muscle size. When engaging in RT, practitioners often emphasize the importance of appropriate exercise technique, especially when trying to maximize training adaptations (e.g., hypertrophy). This narrative review aims to synthesize existing evidence on what constitutes proper RT exercise technique for maximizing muscle hypertrophy, focusing on variables such as exercise-specific kinematics, contraction type, repetition tempo, and range of motion (ROM). We recommend that when trying to maximize hypertrophy, one should employ a ROM that emphasizes training at long muscle lengths while also employing a repetition tempo between 2 and 8 s. More research is needed to determine whether manipulating the duration of either the eccentric or concentric phase further enhances hypertrophy. Guidelines for body positioning and movement patterns are generally based on implied theory from applied anatomy and biomechanics. However, existing research on the impact of manipulating these aspects of exercise technique and their effect on hypertrophy is limited; it is therefore suggested that universal exercise-specific kinematic guidelines are followed and adopted in accordance with the above recommendations. Future research should investigate the impact of stricter versus more lenient exercise technique variations on hypertrophy.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010008
Authors: Ivan Ivanov Sergey Ranchev Stoyan Stoychev
The purpose of the present study was to develop an experimental model for the study of intra-articular knee movements depending on the function of the knee joint and involved muscle groups under isometric stretching conditions with different loads. The experimental procedure included an ultrasound examination of a knee joint after isometric stretching in healthy men (n = 32). The changes (in millimeters) in the distances between the femur and tibia were measured using an ultrasound sonographer at three stages. The first stage was performed on ten (n = 10) healthy men in five different sitting and upright positions. In the second and third experimental model stages, lower limbs loading was applied to 22 participants. Our hypothesis, which was confirmed, was that as a result of increased loads on the participant’s back, an intra-articular decrease in the femur–tibia cartilage surface distance would be observed. The accuracy of the created experimental model was improved over its three stages from 30% to 9%. Quantitative model data can help to create a mathematical model of the mechanical effects during the deformation of knee joint bone cartilage and it can also help outline some future tasks: increasing loading weights, enlarging participant groups, performing comparisons of men and women, and performing comparisons of healthy and pathological individuals.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010007
Authors: Terese Wilhelmsen Anne Marie Lannem Marit Sørensen Marika Augutis Henrik Gustafsson
This study explored the physical, social, and psychological benefits of an active rehabilitation (AR) camp as experienced by participants with spinal cord injury (SCI), and perceived fitness and mastery of being physically active six months after the camp. The study used a mixed-method design with pre- (n = 23), post- (n = 23), and follow-up questionnaires (n = 18) and individual interviews (n = 8). Fuzzy qualitative comparative analysis (fsQCA) was used to analyze the quantitative data and qualitative content analysis was used to analyze the qualitative data. Results showed that benefits were mainly experienced in the social and psychological domains. As for the physical domain, younger and more recently injured persons with tetraplegia reported more benefits. Six months after the camp, being in the preparation stage of change and being somewhat physically active were necessary and sufficient conditions for experiencing mastery of physical activity regardless of injury type, but only persons with paraplegia experienced fitness benefits. Qualitative data shed further light on the perceived benefits of the camp. The knowledge gained from this study might help practitioners to tailor interventions to individual needs and researchers to ask questions that take into consideration the complexity of active rehabilitation and changes in physical activity behavior for people with SCI.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010006
Authors: Maria Giovanna Gandolfi Fausto Zamparini Andrea Spinelli Carlo Prati
Dental professionals are exposed to significant unavoidable physical stress, and theoretical ergonomic recommendations for a sitting workplace are inapplicable in many dental activities. Work-related musculoskeletal disorders (WMSDs) represent a serious health problem among dental professionals (prevalence: 64–93%), showing involvement of 34–60% for the low back and 15–25% for the hips. Muscle stress; prolonged sitting; forward bending and twisting of the torso and head; unbalanced working postures with asymmetrical weight on the hips and uneven shoulders; and others are inevitable for dental professionals. Therefore, the approach for the prevention and treatment of WMSDs must be therapeutic and compensatory. This project was conceived to provide a Yoga protocol for dental professionals to prevent or treat WMSDs from a preventive medicine perspective, and it would represent a Yoga-based guideline for the self-cure and prevention of musculoskeletal problems. Methods: Specific Yoga positions (āsana, such as Virāsana, Virabhadrāsana, Garudāsana, Utkatāsana, Trikonāsana, Anuvittāsana, Chakrāsana, Uttanāsana, Pashimottanāsana) have been selected, elaborated on and adapted to be practiced in a dental office using a dental stool or the dental office walls or a dental unit chair. The protocol is specifically devised for dental professionals (dentists, dental hygienists and dental assistants) and targeted for the low back, hips and legs (including knees and ankles). The protocol includes Visranta Karaka Sthiti (supported positions) in sitting (Upavistha Sthiti) and standing (Utthistha Sthiti) positions, twisting/torsions (Parivrtta), flexions/forward bend positions (Pashima) and extensions/arching (Purva) for musculo-articular system decompression and mobilization. Results: Over 60 Yogāsana—specifically ideated for back detensioning and mobilization, lumbar lordosis restoration, trunk side elongation, hip release and leg stretches and decontraction—are shown and described. The paper provides a meticulous description for each position, including the detailed movement, recommendations and mistakes to avoid, and the breathing pattern (breath control) in all the breath-driven movements (āsana in vinyāsa). An exhaustive analysis of posture-related disorders affecting the lower body among dental professionals is reported, including low-back pain, hip pain and disorders, piriformis syndrome and quadratus femoris dysfunction (gluteal pain), iliopsoas syndrome, multifidus disorders, femoroacetabular and ischiofemoral impingement, spinopelvic mobility, lumbopelvic rhythm, impairment syndromes, lower crossed syndrome, leg pain, knee pain and ankle disorders. Conclusions: A detailed guideline of āsana for low-back decompression, hip joint destress, piriformis and gluteal muscle release, lumbar lordosis recovery and a spinopelvic mobility increase has been elaborated on. The designed Yogāsana protocol represents a powerful tool for dental professionals to provide relief to retracted stiff muscles and unbalanced musculoskeletal structures in the lower body.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010005
Authors: Eric Renaghan Harrison L. Wittels S. Howard Wittels Michael Joseph Wishon Dustin Hecocks Eva D. Wittels Stephanie Hendricks Joe Girardi Stephen J. Lee Samantha M. McDonald Luis A. Feigenbaum
Sport coaches increasingly rely on external load metrics for designing effective training programs. However, their accuracy in estimating internal load is inconsistent, and their ability to predict autonomic nervous system (ANS) deterioration is unknown. This study aimed to evaluate the relationships between internal and external training load metrics and ANS recovery and function in college football players. Football athletes were recruited from a D1 college in the southeastern US and prospectively followed for 27 weeks. Internal load was estimated via exercise cardiac load (ECL; average training heartrate (HR) × session duration) and measured with an armband monitor equipped with electrocardiographic capabilities (Warfighter MonitorTM (WFM), Tiger Tech Solutions, Miami, FL, USA). External load was estimated via the summation and rate of acceleration and decelerations as measured by a triaxial accelerometer using the WFM and an accelerometer-based (ACCEL) device (Catapult Player Load, Catapult Sports, Melbourne, Australia) worn on the mid-upper back. Baseline HR, HR variability (HRV) and HR recovery served as the indicators for ANS recovery and function, respectively. For HRV, two, time-domain metrics were measured: the standard deviation of the NN interval (SDNN) and root mean square of the standard deviation of the NN interval (rMSSD). Linear regression models evaluated the associations between ECL, ACCEL, and the indicators of ANS recovery and function acutely (24 h) and cumulatively (one- and two-week). Athletes (n = 71) were male and, on average, 21.3 ± 1.4 years of age. Acute ECL elicited stronger associations for 24 h baseline HR (R2 0.19 vs. 0.03), HR recovery (R2 0.38 vs. 0.07), SDNN (R2 0.19 vs. 0.02) and rMSSD (R2 0.19 vs. 0.02) compared to ACCEL. Similar results were found for one-week: 24 h baseline HR (R2 0.48 vs. 0.05), HR recovery (R2 0.55 vs. 0.05), SDNN (R2 0.47 vs. 0.05) and rMSSD (R2 0.47 vs. 0.05) and two-week cumulative exposures: 24 h baseline HR (R2 0.52 vs. 0.003), HR recovery (R2 0.57 vs. 0.05), SDNN (R2 0.52 vs. 0.003) and rMSSD (R2 0.52 vs. 0.002). Lastly, the ACCEL devices weakly correlated with ECL (rho = 0.47 and 0.43, p < 0.005). Our findings demonstrate that ACCEL poorly predicted ANS deterioration and underestimated internal training load. ACCEL devices may “miss” the finite window for preventing ANS deterioration by potentially misestimating training loads acutely and cumulatively.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010004
Authors: Adán Germán Gallardo Rodríguez Irma Olarte Carrillo Adolfo Martínez Tovar Rafael Cerón Maldonado Emmanuel Martínez Moreno Christian Omar Ramos Peñafiel
IL-15 is a proinflammatory myokine essential for activating NK cells and CD8+ T lymphocytes, and its overexpression has been related to reducing overall survivorship in patients with acute lymphoblastic leukemia (ALL). Physical exercise has been shown to be safe, feasible, and beneficial in hematological cancers. Exercise requires the activation of muscles that secrete cytokines, such as IL-15, causing immune mobilization. The objective was to compare the outcomes of two training routines on IL-15 and survival prognosis in adult patients diagnosed with ALL. A blind randomized clinical study was carried out where twenty-three peripheral blood samples were obtained pre and postexercise intervention from patients categorized into three types of intervention: the resistance exercise group (REG), the cross-training exercise group (CEG), and the control group (CG). Changes in IL-15 levels during the intervention were not significant in any of the groups (CG p = 0.237, REG p = 0.866, and CEG p = 0.678). However, 87.5% of patients who received an exercise intervention achieved remission, while only 21.73% experienced a relapse. There were no deaths during the study. Although IL-15 level adaptation in the REG and the CG performed similarly, the REG induced a better clinical outcome. Resistance exercises may help improve survival prognosis and reduce relapses in patients with ALL.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010003
Authors: Filipe Rodrigues Miguel Jacinto Raul Antunes Diogo Monteiro Diogo Mendes Rui Matos Nuno Amaro
This study aimed to compare the effects of a multicomponent exercise program and a concurrent exercise program on muscle strength in community-dwelling elderly subjects. Participants (n = 35; male = 17; female = 18; Mage = 69.17, SD = 5.01 years) were screened and included in the study. Among them, 19 individuals were assigned to the multicomponent group, while 16 were assigned to the concurrent group. The results of the repeated-measures ANOVA revealed significant main effects for the group factor (F(1,15) = 66.59, p < 0.001, η2 = 0.81) and the group*time factor (F(1,15) = 16.95, p < 0.001, η2 = 0.53) for the 30-second chair test. Furthermore, significant main effects were observed only for the group factor (F(1,15) = 19.28, p < 0.001, η2 = 0.56) for the 30-second arm curl. Regarding the Timed Up and Go test, significant main effects were found for the group factor (F(1,15) = 35.56, p < 0.001, η2 = 0.70) and the group*time factor (F(1,15) = 11.68, p < 0.001, η2 = 0.43). Lastly, significant main effects were observed for the group*time factor (F(1,15) = 5.19, p = 0.038, η2 = 0.25) for handgrip strength. The multicomponent exercise group displayed a greater mean increase compared to the concurrent exercise group. While both the multicomponent and the concurrent exercise programs were effective in improving muscle strength in community-dwelling older adults, the multicomponent exercise group exhibited superior outcomes compared to the concurrent exercise group across the physical fitness measures. These findings suggest that a multicomponent exercise program may be more beneficial for enhancing muscle strength in this population.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010002
Authors: Markel Rico-González Ricardo Martín-Moya Adrián Moreno-Villanueva
A healthy lifestyle from early childhood is a crucial factor that influences bone-related factors in adulthood. In this context, physical education or psychomotricity from early childhood is an important opportunity to face this problem. The present article aims to systematically summarize school-based interventions, evaluated through randomized controlled trial design, that influence the bones of children from early childhood. A systematic review of relevant articles was carried out using four main databases (PubMed, ProQuest Central (including 26 databases), Scopus, and Web of Sciences) until 12 November 2023. From a total of 42 studies initially found, 12 were included in the qualitative synthesis. In brief terms, from early childhood and during puberty, children’s bones are particularly responsive to exercise, making this an ideal time for interventions to maximize bone health. Therefore, incorporating physical activity into school curriculums is a strategic approach for enhancing bone health in children. Mainly, plyometric exercises can significantly enhance bone density and geometry. Nevertheless, collaboration among educators, healthcare professionals, and parents is key for designing and implementing these effective interventions.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk9010001
Authors: Shane Ryan Rodrigo Ramirez-Campillo Declan Browne Jeremy Moody Paul J. Byrne
The primary aim of this study was to investigate the intra- and inter-day reliability of flywheel cluster set training in concentric power (CON), eccentric power (ECC), and ECC overload during the Romanian deadlift exercise (RDL). A secondary aim was to assess the acute effect of internal and external attentional focus instructions on mean power when performing the flywheel RDL. Fourteen collegiate male field sport athletes (age, 23.3 ± 3.7 years; mass, 80.8 ± 9.9 kg; height, 1.79 ± 0.06 m) were randomized into internal (n = 7) or external (n = 7) attentional focus groups and attended four testing sessions, with a between-session separation of 7 days. Sessions consisted of four cluster sets of fifteen repetitions “excluding momentum repetitions” (4 × (5 + 5 + 5)) using a specific inertial load (0.025, 0.050, 0.075, and 0.100 kg·m−2) for a given set in a randomized ascending or descending order. Cluster sets were separated by a 45 s intra-set rest period. Both instructional focus groups attained familiarization, although the time taken to achieve familiarization (outcome stability) differed between groups. The external instructional group attained familiarization post-session 2 (Cohen’s d (ES), ES = 0.11–0.65) with little volatility between performance measures (CV% = 4.61–9.59). Additionally, the internal group reported inconsistencies among all inertial loads, reporting large differences in MP in the 0.100 kg·m−2 inertial load from day 2 to day 3 (ES = 1.22) and both 0.050 kg·m2 (p = 0.010) and 0.075 kg·m−2 (p = 0.016) between day 3 and day 4. The flywheel RDL cluster set approach is a reliable training modality for maintaining mean power output during cluster set repetitions.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040168
Authors: Dario Novak Filip Sinković Zlatan Bilić Petar Barbaros
This study aimed to analyze the effects of a 5 min virtual reality training program (VR) on dynamic balance in tennis players. Fifty-eight college tennis players (mean age 22.9 ± 3.1 years, weight 73.9 ± 10.8 kg, height 176.6 ± 8.4 cm) were allocated to either the control group (placebo) (CG, n = 20) or the right-handed experimental group (RTG, n = 20) and left-handed experimental group (LTG, n = 18), both of which took part in the 5 min VR intervention program. Pre-tests included anthropometric measures and the Y Balance Test (YBT), and the post-test was the Y Balance Test (YBT). Three YBT trials were performed in anterior (ANT), posterolateral (PL), and posteromedial (PM) directions. After the training intervention, in the right-handed experimental group (RTG), significant differences were observed for two variables: anterior reach (right foot) (p = 0.00) and posterior medial reach (right foot) (p = 0.03). In other analyzed variables, there were no significant differences. Additionally, the effect size was small. In the left-handed experimental group (LTG), statistically significant improvements were identified in five out of six analyzed variables: anterior reach (left foot) (p = 0.00), posterior medial reach (left foot) (p = 0.00), posterior lateral reach (left foot) (p = 0.00), posterior medial reach (right foot) (p = 0.00), and posterior lateral reach (right foot) (p = 0.00). The effect size ranged between small and medium. No significant changes were observed in the control group (CG) after the training intervention. Moreover, for all variables, the time*group interaction is determined. Anterior reach (left foot), posterior medial reach (left foot), posterior medial reach (right foot), and posterior lateral reach (right foot) showed significant interactions (F = 3.04, p = 0.05; F = 3.50, p = 0.03; F = 6.08, p = 0.00; and F = 4.69, p = 0.01). The outcome of this study leads us to a further understanding that if a player were to partake in VR activity, it could show a positive effect on their dynamic balance performance.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040167
Authors: Renata Jirovska Anthony D. Kay Themistoklis Tsatalas Alex J. Van Enis Christos Kokkotis Giannis Giakas Minas A. Mina
The purpose of the present study was to examine the effects of a back squat exercise with unstable load (UN) and traditional free-weight resistance (FWR) on subsequent countermovement jump (CMJ) performance. After familiarisation, thirteen physically active males with experience in resistance training visited the laboratory on two occasions during either experimental (UN) or control (FWR) conditions separated by at least 72 h. In both sessions, participants completed a task-specific warm-up routine followed by three maximum CMJs (pre-intervention; baseline) and a set of three repetitions of either UN or FWR back squat exercise at 85% 1-RM. During the UN condition, the unstable load was suspended from the bar with elastic bands and accounted for 15% of the total load. Post-intervention, three maximum CMJs were performed at 30 s, 4 min, 8 min and 12 min after the last repetition of the intervention. The highest CMJ for each participant was identified for each timepoint. No significant increases (p > 0.05) in jump height, peak concentric power, or peak rate of force development (RFD) were found after the FWR or UN conditions at any timepoint. The lack of improvements following both FWR and UN conditions may be a consequence of the low percentage of unstable load and the inclusion of a comprehensive task-specific warm-up. Further research is required to explore higher UN load percentages (>15%) and the chronic effects following the implementation of a resistance training programme.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040166
Authors: Carmen Doménech Enrique Roche Raul Reina José Manuel Sarabia
Football for people with cerebral palsy is a para-sport involving ambulant athletes with impairments, such as hypertonia, ataxia, or athetosis. The objective of the present study was to describe the somatotype of a representative sample of international football players according to different functional profiles of cerebral palsy, including spastic diparesis, athetosis/ataxia, spastic hemiparesis, and minimum impairment criteria, and to compare it with non-disabled football players. A total of 144 international para-footballers and 39 non-disabled footballers participated in the study, and their somatotype was calculated using anthropometric measurements. A Kruskal–Wallis test was used to compare the groups to determine and assess the differences between the different functional profiles, and the analysis of anthropometric variables and body composition showed no differences. Regarding somatotype, a predominance of the mesomorphic component was observed in all subgroups, and differences in somatotype were also found between non-disabled footballers and para-footballers with spastic hemiparesis and minimum impairment criteria. This study suggests that there may be a degree of homogeneity in terms of somatotype among footballers with or without physical impairments, such as hypertonia, athetosis, or ataxia. Furthermore, it provides reference values of international-level para-football players for the different sport classes, which can help coaches and trainers monitor athletes’ physical conditions.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040165
Authors: Sergio Sellés-Pérez Roberto Cejuela José Fernández-Sáez Héctor Arévalo-Chico
The capacity of laboratory tests to predict competition performance has been broadly researched across several endurance sports. The aim of the present study was to analyse how pool swimming performance can predict the result of the swimming segment in triathlon competitions and compare predictability differences based on competition level and distance. Eighteen male triathletes participated in the study. Three were ranked world-class, ten elite/international level, and five highly trained/national level. A total of sixty-one graded multi-stage swimming tests were conducted. Blood lactate was measured to calculate the following hypothetical predictor variables: speed at lactate threshold 1 (LT1), speed at lactate threshold 2 (LT2), and speed in the last repetition of the test (SL200). The following data were collected for a total of 75 races: time in the swimming leg (TSL); position after the swimming leg (PSL); time difference with the first triathlete after the swimming leg (DFT); and final race position. The race levels were divided according to participant levels as follows: world series (WS) (n = 22); World Cup (WC) (n = 22); Continental Cup (CC) (n = 19); national championship (N) (n = 5); and local race (L) (n = 5). Based on distance, they were divided into Olympic distance (OD) (n = 37) and sprint distance (SD) (n = 38). A moderate to strong positive association was found between LT1, LT2, SL200 and PSL and TSl at all race levels except for the SD CC, SD WC, and OD CC races, where no or weak-to-moderate correlations were found. The present study demonstrated that performance measured in a graded multi-stage pool lactate test can predict performance in a triathlon swimming segment. This finding is highly useful for coaches as it can help them to obtain a reliable measure of the triathlete’s specific capabilities in the swimming leg.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040164
Authors: John J. McMahon Nicholas J. Ripley Paul Comfort Francisco Javier Robles-Palazón Jack T. Fahey Andrew J. Badby Christopher Bramah
Calf injuries are common in professional football; thus, the establishment of reliable and time-efficient methods of measuring the peak force capabilities of the plantar flexors with equipment that is accessible to football practitioners is valuable. In this study, we determined the preliminary reliability and feasibility of a new test, termed the kneeling isometric plantar flexion test (KIPFT), for footballers. Twenty-one male youth footballers (age = 17.8 ± 1.1 years, height = 182 ± 5 cm, weight = 77.6 ± 5.9 kg) from English League One football clubs completed three trials of the KIPFT on a wireless force plate at the end (2022–2023) and start (2023–2024) of the season. The within-session reliability of the peak force (relative to body weight) was good–excellent for both limbs and both occasions. On average, performance of the KIPFT took just over 1 min per limb and ~2 min to set up. The peak force values were larger for the non-dominant limbs only at the start versus the end of the season, but there were no between-limb differences. From these results, it was determined that (1) the KIPFT is feasible, (2) a minimum of 32 footballers would be required to establish its between-session reliability with ≥80% statistical power and (3) large-cohort normative data for the KIPFT may be best collected at the start of the football season.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040163
Authors: Rogério Ferreira Nuno Fernandes Carina Bico Ana Bonito Cláudia Moura Luís Sousa Cristina Lavareda Baixinho César Fonseca
In the face of an increasingly aging population, nurses have to design and implement programs aimed at the elderly in order to keep them healthy and maintain their quality of life. Structured physical exercise and overall physical activity play a major role in maintaining an active lifestyle, improving health, preventing disease, and helping to maintain older people’s quality of life. To investigate the importance of implementing physical exercise programs for the older person in the community, taking into account the perspective of the rehabilitation nurse specialist, this is a qualitative, exploratory, and descriptive study with nine rehabilitation nurses from various regions of Portugal who have experience of implementing physical exercise programs with the elderly. This study used semi-structured interviews, one of the most common data collection procedures in social and health research. Content analysis was used to analyze the data. The study received a positive opinion from the Ethics Committee. The participants’ perspectives focused on the following subjects: “Physical exercise program for the elderly in the community”, “Importance of physical exercise in the rehabilitation of the elderly in the community”, “People’s adherence to the programs”, “Gains in health resulting from the implementation of these strategies” and “Gains from group activities”. A set of indicators emerged from the analysis. Nurses recognize the importance of using structured physical exercise programs adjusted to the rehabilitation of the older person, with gains in promoting active and healthy aging.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040162
Authors: Alessia Grigoletto Mario Mauro Stefania Toselli
Volleyball is an intermittent team sport that requires specific anthropometrical and physical characteristics for winning performance. The present study aimed to evaluate the maturity status of the young male players of eight volleyball teams, and to observe differences in anthropometric characteristics and body composition. Ninety-four male adolescent volleyball players were recruited during a national tournament carried out in Treviso (Italy). Anthropometric characteristics such as weight, stature, skinfold thicknesses, circumferences and diameters, and bioelectrical impedance were measured. The biological maturation was estimated for all players. Each team was classified as a higher or lower lever according to its tournament ranking. A two-way ANOVA compared team levels and players’ maturity status. Considering the maturity offset, 62 boys were classified as “on time”, 20 as “late”, and 12 as “early”. Three clubs presented many boys with “early” as the maturity offset, and two of these finished the tournament in the first position. Young volleyball players classified as “early” seemed to show anthropometric characteristics linked to better performance at the tournament (higher height, upper arm and calf muscle area, fat mass percentage, and total fat-free mass). The results of the present study could have practical implications for talent selection, but further studies are needed to better evaluate the effect of maturity status on the characteristics of volleyball players.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040161
Authors: Giorgos Anastasiou Marios Hadjicharalambous Gerasimos Terzis Nikolaos Zaras
The purpose of this study was to investigate the correlation between the reactive strength index (RSI) using the drop jump (DJ) and the isometric rate of torque development (RTD) with weightlifting performance in national-level weightlifters. Seven male weightlifters (age: 28.3 ± 5.7 years, body mass: 80.5 ± 6.7 kg, body height: 1.73 ± 0.07 m) participated in this study. Measurements were performed 2 weeks prior to the national championship and included the countermovement jump (CMJ), the squat jump (SJ), the DJ from three different drop heights (20, 30, and 40 cm), and the isometric peak torque (IPT) and RTD. Performance in CMJ and SJ was significantly correlated with weightlifting performance (r ranging from 0.756 to 0.892). Significant correlations were found between weightlifting performance with DJ contact time (r ranging from −0.759 to −0.899) and RSI (r ranging from 0.790 to 0.922). Moreover, the best RSI was significantly correlated with the snatch (r = 0.921, p = 0.003) and total performance (r = 0.832, p = 0.020). Small to very large correlations were found between IPT and RTD with weightlifting performance (r ranging from 0.254 to 0.796). These results suggest that RSI and contact time variables from DJ may predict weightlifting performance in well-trained weightlifters. Additionally, IPT and RTD may provide useful insights into the neuromuscular fitness condition of the weightlifter.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040160
Authors: Pablo Jiménez-Daza Luis Teba del Pino Julio Calleja-Gonzalez Eduardo Sáez de Villarreal
This work aimed to analyze the relationships between maturity offset, anthropometric variables and the vertical force–velocity profile in youth (12–18 years old) male basketball players. The vertical force–velocity profile was measured in 49 basketball players, grouped in competitive-age categories, i.e., under 14, 16 and 18 years of age (U-14, U-16 and U-18, respectively). A bivariate correlational analysis was carried out between maturity offset, anthropometric variables (height, body mass, % fat, muscle mass, bone mass and body mass index (BMI)) and vertical force–velocity profile (theoretical maximal force [F0], theoretical maximal velocity [V0], theoretical maximal power [Pmax], force–velocity imbalance [Fvimb] and force–velocity profile orientation). The results showed significant correlations (p < 0.05) between Fvimb and maturity offset at early ages of training (12–15 years). The anthropometric profile was correlated (p < 0.05) with F0 in U-14, V0 in U-16, and Pmax in U-18 basketball players. The current findings suggest a relationship between the vertical force–velocity imbalance and maturity offset and the main vertical force–velocity profile variables. The vertical force–velocity profile is hypothesized as a useful index to correct vertical force–velocity deficits according to the maturity offset of male basketball players.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040159
Authors: Roberto Centemeri Michele Augusto Riva Michael Belingheri Maria Emilia Paladino Marco Italo D’Orso Jari Intra
Femoroacetabular impingement (FAI) is a common source of hip pain affecting a wide range of subjects. In this work, we assessed two tests, namely the balance test and the MuscleLab test, in comparison with the flexion–abduction–external rotation (FABER) and flexion–adduction–internal rotation (FADIR) tests, in order to evaluate the functionality of the neural–musculoskeletal system of the subjects affected by FAI based on the measurement of biomechanical parameters. Our goal was to investigate the early detection of an altered hip joint and to monitor pathology progression over time. A total of 52 subjects, 29 females and 23 males, with an average age of 42 ± 13 years presenting hip impingement diagnosed using X-ray, were enrolled. Twenty-eight patients without signs of hip impingements were used as the control group. The balance test, which evaluates the capacity of a person to keep the orthostatic position against terrestrial gravity, and the MuscleLab test, which measures the force and power generated by active muscles during a movement, as well as FABER and FADIR tests, were performed in each subject. The balance and MuscleLab tests presented 100% sensitivity and higher sensitivity in FAI diagnosis, with 72.9% and 70.4%, respectively, in comparison with those obtained using FABER and FADIR tests, with 59.6% and 67.3%, respectively. The evaluation of the neural–musculoskeletal system using the balance and MuscleLab tests can help in the early detection of the severity of hip impingements and the assessment of non-operative treatments used over time.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040158
Authors: Johnny Padulo Susanna Rampichini Marta Borrelli Daniel Maria Buono Christian Doria Fabio Esposito
Gait variability (GV) is a crucial measure of inconsistency of muscular activities or body segmental movements during repeated tasks. Hence, GV might serve as a relevant and sensitive measure to quantify adjustments of walking control. However, it has not been clarified whether GV is associated with walking speed, a clarification needed to exploit effective better bilateral coordination level. For this aim, fourteen male students (age 22.4 ± 2.7 years, body mass 74.9 ± 6.8 kg, and body height 1.78 ± 0.05 m) took part in this study. After three days of walking 1 km each day at a self-selected speed (SS) on asphalt with an Apple Watch S. 7 (AppleTM, Cupertino, CA, USA), the participants were randomly evaluated on a treadmill at three different walking speed intensities for 10 min at each one, SS − 20%/SS + 20%/ SS, with 5 min of passive recovery in-between. Heart rate (HR) was monitored and normalized as %HRmax, while the rate of perceived exertion (RPE) (CR-10 scale) was asked after each trial. Kinematic analysis was performed, assessing the Contact Time (CT), Swing Time (ST), Stride Length (SL), Stride Cycle (SC), and Gait Variability as Phase Coordination Index (PCI). RPE and HR increased as the walking speed increased (p = 0.005 and p = 0.035, respectively). CT and SC decreased as the speed increased (p = 0.0001 and p = 0.013, respectively), while ST remained unchanged (p = 0.277). SL increased with higher walking speed (p = 0.0001). Conversely, PCI was 3.81 ± 0.88% (high variability) at 3.96 ± 0.47 km·h−1, 2.64 ± 0.75% (low variability) at SS (4.94 ± 0.58 km·h−1), and 3.36 ± 1.09% (high variability) at 5.94 ± 0.70 km·h−1 (p = 0.001). These results indicate that while the metabolic demand and kinematics variables change linearly with increasing speed, the most effective GV was observed at SS. Therefore, SS could be a new methodological approach to choose the individual walking speed, normalize the speed intensity, and avoid a gait pattern alteration.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040157
Authors: Luca Petrigna Giuseppe Musumeci
This Special Issue, “3D Analysis of Human Movement, Sport, and Health Promotion”, aimed to collect studies that assessed motor functions and alterations [...]
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040156
Authors: Luca Russo Tommaso Panessa Paolo Bartolucci Andrea Raggi Gian Mario Migliaccio Alin Larion Johnny Padulo
The aim of this study was to measure the effects on three-planar active cervical range of motion (ACROM) and self-perceived pain of elastic taping (ET) application in the cervical area. Thirty participants (n: 22-M and 8-F, age 35.4 ± 4.4 years; body height 173.1 ± 8.4 cm; body mass 73.5 ± 12.8 kg) in the study group (SG) and twenty participants (n: 11-M and 9-F, age 32.6 ± 3.9 years; body height 174.9 ± 10.9 cm; body mass 71.2 ± 12.9 kg) in the control group (CG) were recruited. All subjects had neck and cervical pain in baseline condition. Each group performed an ACROM test and measured the perceived pain in the neck based on the Numerical Rating Scale (NRS 0--10, a.u.) at the baseline (T0), after 20′ from the ET application (T1), and after three days of wearing the ET application (T2). Between T0 and T1, an ET was applied to the cervical area of the SG participants. Statistical analysis did not show any significant change in CG in any measurement session for ACROM and neck pain parameters. Conversely, the SG showed significant improvements for ACROM rotation to the left (T0 64.8 ± 7.7°–T2 76.0 ± 11.1° p < 0.000) and right (T0 66.0 ± 11.9°–T2 74.2 ± 9.6° p < 0.000), lateral inclination to the left (T0 37.5 ± 6.9°–T2 40.6 ± 10.8° p < 0.000) and right (T0 36.5 ± 7.9°–T2 40.9 ± 5.2° p < 0.000), extension (T0 47.0 ± 12.9°–T2 55.1 ± 12.3° p < 0.001), and flexion (T0 55.0 ± 3.6°–T2 62.9 ± 12.0° p < 0.006). A significant decrease was also measured in SG for pain NRS between T0 and T2 (T0 7.5 ± 1.0°–T1 5.5 ± 1.4–T2 1.4 ± 1.5° p < 0.000). In conclusion, a bilateral and symmetrical ET cervical application is useful to enhance multiplanar ACROM and reduce subjective self-perceived cervical pain when it is needed. Based on the evidence, the use of ET on the neck is recommended for managing neck motion restrictions and pain in adult individuals.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040155
Authors: Stefano Palermi Filippo Vittadini Marco Vecchiato Alessandro Corsini Andrea Demeco Bruno Massa Carles Pedret Alberto Dorigo Mauro Gallo Giulio Pasta Gianni Nanni Alberto Vascellari Andrea Marchini Lasse Lempainen Felice Sirico
Muscle injuries and subsequent reinjuries significantly impact athletes, especially in football. These injuries lead to time loss, performance impairment, and long-term health concerns. This review aims to provide a comprehensive overview of the current understanding of muscle reinjuries, delving into their epidemiology, risk factors, clinical management, and prevention strategies. Despite advancements in rehabilitation programs and return-to-play criteria, reinjury rates remain alarmingly high. Age and previous muscle injuries are nonmodifiable risk factors contributing to a high reinjury rate. Clinical management, which involves accurate diagnosis, individualized rehabilitation plans, and the establishment of return-to-training and return-to-play criteria, plays a pivotal role during the sports season. Eccentric exercises, optimal loading, and training load monitoring are key elements in preventing reinjuries. The potential of artificial intelligence (AI) in predicting and preventing reinjuries offers a promising avenue, emphasizing the need for a multidisciplinary approach to managing these injuries. While current strategies offer some mitigation, there is a pressing need for innovative solutions, possibly leveraging AI, to reduce the incidence of muscle reinjuries in football players. Future research should focus on this direction, aiming to enhance athletes’ well-being and performance.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040154
Authors: Martina Sortino Luca Petrigna Bruno Trovato Alessandra Amato Alessandro Castorina Velia D’Agata Grazia Maugeri Giuseppe Musumeci
Multiple sclerosis is a disease that concerns a growing number of people, especially females. There are different interventions proposed for this population, and physical activity is one of them. A proper and well-structured physical activity program can be a cheap, feasible, and practical instrument to help this population improve their quality of life. Consequently, the present study aimed to analyze, through an umbrella review, published articles to evaluate the protocols and the effect of intervention on different types of multiple sclerosis and eventually to propose a standardized intervention for this population. Systematic reviews and meta-analyses of randomized controlled trials on multiple sclerosis and physical activity effects were searched for on the electronic databases PubMed, Web of Science, and Scopus up to 22 December 2022. The quality of the studies included was determined and the results were narratively analyzed. The included studies present heterogeneity in the population, in the study design and protocols, and in the outcomes evaluated. Most of the studies detected positive outcomes on the physical function of people with multiple sclerosis. This study highlights the necessity of future studies on a population with similar characteristics, adopting similar protocols to evaluate their feasibility and validity to make physical intervention prescribed as a medicine.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040153
Authors: Athanasios Mandroukas Ioannis Metaxas Yiannis Michailidis Thomas Metaxas
The purpose of this study was to investigate and compare the passive joint range of motion (PROM) and muscle strength in prepubertal rhythmic gymnasts (RGs), artistic gymnasts (AGs), and a control group (CG) of the same age. A total of 54 prepubertal girls were divided into three groups: 18 RGs (age 11.14 ± 0.7, height 142.6 ± 5.81, and body mass 31.2 ± 3.63); 18 AGs (age 11.27 ± 0.99, height 139.6 ± 5.85, and body mass 31.7 ± 3.21), and 18 school girls who are defined as CG (age 10.55 ± 0.42, height 145.33 ± 6.95, and body mass 42.1 ± 8.21) participated in the study. All athletes were elites and participated in national competitions. The CG participated only in their school physical education program. Isokinetic peak torques were measured using an isokinetic dynamometer (Cybex II) at 60, 180, and 300°·sec−1. Body mass index was greater in the CG compared to RGs and AGs (p < 0.001). PROM in cervical extension in RG was significantly higher compared to the AG and CG (p < 0.001). The athlete groups, RG and AG, showed significantly greater PROM in knee flexion (p < 0.001), hip flexion (p < 0.001), and hip abduction (p < 0.05) compared to CG. PROM in hip flexion was different between the left and right leg in RGs. The relative muscle strength of the quadriceps in the RG and AG was significantly greater compared to CG (p < 0.001 and p < 0.01 respectively). Gymnastics training in prepubertal ages can improve neuromuscular function and increase the relative muscle strength. Therefore, it is essential to note that when evaluating children within the developmental ages, especially those involved in sports, the type of muscle strength to be assessed should be specified.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040152
Authors: Derek A. Crawford Katie M. Heinrich Christopher K. Haddock W. S. Carlos Poston R. Sue Day Christopher Kaipust Blake Skola Amanda J. Wakeman Eric Kunkel Addison Bell Emily Wilhite Nathanial Young Allison Whitley Madelyn Fritts
The Army Combat Fitness Test (ACFT) is a multi-event assessment battery designed to determine the combat readiness of U.S. Army personnel. However, for Reserve Officers’ Training Corps (ROTC) programs the logistical demands of collegiate life make repeated administration of the ACFT challenging. The present study sought to design and evaluate a single, multimodal exercise tolerance test (METT) capable of serving as a time-efficient proxy measure of combat readiness. Methods: Using a formal instrument design process, we constructed the METT to mimic the demands of the ACFT and assessed its reliability, validity, and responsiveness. Results: The METT demonstrates minimal measurement error (i.e., a 2% coefficient of variation), concurrent validity with the ACFT (R2 = 0.327, F = 10.67, p < 0.001), the ability to classify cadets who may be at-risk for failing the ACFT (X2 = 8.16, p = 0.017, sensitivity = 0.878, specificity = 0.667), and appropriate change following a training intervention (5.69 ± 8.9%). Conclusions: The METT has the potential to provide a means to monitor progress, identify areas for improvement, and guide informed decision-making regarding individualization of cadet combat training plans.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040151
Authors: Jan Heller Ivana Kinkorova Pavel Vodicka Pantelis Theodoros Nikolaidis Stefan Balko
This study was aimed at comparing the force–velocity relationship during cycling and arm cranking in males and females. Thirty-two male and twenty-two female healthy volunteers performed a force–velocity test on a cycle ergometer and a cranking ergometer in a randomly selected order. The theoretical values of the maximum force at zero speed (F0) and the maximum velocity at zero braking force (v0) for the lower and upper limbs were determined, and the maximum anaerobic power (Pmax) was calculated from the individual force–velocity relationship. The Pmax and F0 of the upper limbs related to the lower limbs correspond to 78.2 ± 14.3% and 80.1 ± 17.3% in men and 65.5 ± 12.5% and 74.5 ± 6.5% in women, respectively. The theoretical maximum velocity v0 of the upper limbs to the lower limbs attained 129.1 ± 29.0% in men and 127.4 ± 26.4% in women. The results of the study can serve as reference data for the force–velocity characteristics of the upper and lower limbs of male and female athletes. The results can be used both in training and rehabilitation programs, where the starting point is the objectification of possible strength deficits in various areas of the force–velocity characteristic spectrum of the muscles of the upper and lower limbs.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040150
Authors: Rastislav Štyriak Radovan Hadža Rafael Arriaza Dušana Augustovičová Erika Zemková
In recent years, much effort has been made to reduce the injury rate in combat sports. However, the question remains to what extent these measures are effective. Analysis of studies could provide evidence of the effectiveness of measures aimed at reducing the incidence of injuries. This scoping review aims (1) to map research articles dealing with the effectiveness of proper use of protective measures in reducing the incidence of injuries in combat sports; (2) to investigate to what extent the proper use of protective measures and compliance with sports rules help to reduce the incidence of injuries in combat sports; and (3) to identify gaps in the existing literature and suggest future research on this topic. The literature search was conducted on articles published between 2010 and 2023. The main inclusion criteria were studies investigating the effect of sports rules and protective equipment used during training or competition in combat sports on reducing the incidence of injuries. After meeting the criteria, only seven articles from boxing, karate, and taekwondo were included in this study. Results showed that mandatory head guards, along with modern thicker gloves, significantly reduced the rate of knockouts (KOs) and head injuries in boxing despite an increase in the number of head blows. However, the number of facial cuts increased significantly due to the removal of head guards as a piece of mandatory equipment. The use of mouth guards has significantly reduced the number of oral injuries. Changes in rules, such as shortening the duration of bouts, along with the introduction of greater competencies of referees in the supervision of bouts (the standing count, outclassed rule, and medical stops) have helped to reduce the rate of injuries in boxing. The application of a computerised scoring system also contributed to the rate of injuries reduction. The increase in the number of weight divisions had the same effect on U21 karate athletes. However, a higher incentive to attack the head area in taekwondo did not increase the incidence of injuries in youth athletes. It can be concluded that the proper use of protective measures (head and mouth guards) in combination with the rules established for health protection (higher competencies of referees and more weight divisions in competitions) effectively reduces the occurrence of injuries in combat sports. In all Olympic combat sports, the injury incidence should be regularly assessed using the Injury Incidence Rate (IIR) per 1000 min exposures (MEs). Nonetheless, further studies are needed to monitor how established rules (e.g., prohibited behaviour) affect the IIRs.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040149
Authors: Rodrigo Yáñez-Sepúlveda Jorge Olivares-Arancibia Guillermo Cortés-Roco Aldo Vasquez-Bonilla Matías Monsalves-Álvarez Ildefonso Alvear-Órdenes Marcelo Tuesta
This study aimed to associate body composition with fractional oxygen extraction at rest in healthy adult men. Fourteen healthy adults (26.93 ± 2.49 years) from Chile participated. Body composition was assessed with octopole bioimpedance, and resting muscle oxygenation was evaluated in the vastus lateralis quadriceps with near-infrared spectroscopy (NIRS) during a vascular occlusion test, analyzing the muscleVO2, resaturation velocity during reactive hyperemia via the muscle saturation index (%TSI), and the area above the curve of HHb (AACrep). It was observed that the total and segmented fat mass are associated with lower reoxygenation velocities during hyperemia (p = 0.008; β = 0.678: p = 0.002; β = 0.751), and that the total and segmented skeletal muscle mass are associated with higher reoxygenation velocities during hyperemia (p = 0.020; β = −0.614: p = 0.027; β = −0.587). It was also observed that the total and segmented fat mass were associated with a higher area above the curve of HHb (AACrep) during hyperemia (p = 0.007; β = 0.692: p = 0.037; β = 0.564), and that total and segmented skeletal muscle mass was associated with a lower area above the curve of HHb (AACrep) during hyperemia (p = 0.007; β = −0.703: p = 0.017; β = −0.632). We concluded that fat mass is associated with lower resaturation rates and lower resting fractional O2 extraction levels. In contrast, skeletal muscle mass is associated with higher resaturation rates and fractional O2 extraction during reactive hyperemia. The AACrep may be relevant in the evaluation of vascular adaptations to exercise and metabolic health.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040148
Authors: Renan Ribeiro de Oliveira Jadder Bento da Costa Aquino Carlos H. O. Reis Geanderson S. Oliveira Leonardo A. Vieira Alexandre F. Machado Roberta L. Rica Valentina Bullo Marco Bergamin Stefano Gobbo Danilo S. Bocalini
Our aim was to evaluate musculoskeletal discomfort and the lifestyle of military police officers of administrative and tactical force departments. Military police officers were distributed into two groups: administrative (Adm, n = 15) and tactical force (TF, n = 16) departments. Their lifestyle was assessed using the Fantastic Lifestyle questionnaire. Moreover, physical activity quantification was assessed using the International Physical Activity questionnaire, and musculoskeletal discomfort was quantified using the Corlett diagram. The mean total time of physical activity was 546 ± 276 min per week. No differences (p = 0.0832) were found between the Adm (454 ± 217 min) and TF (623 ± 301 min) groups. Concerning lifestyle, in general the sample presented very good (42%) and good (42%) style classification. For this parameter, no significant differences were found, but only a tendency was discovered (x2: 7.437; p = 0.0592); indeed, the TF presented a better classification (63%) of very good, compared to the Adm (53%) of good. No differences (p > 0.05) were found in musculoskeletal perception of discomfort between the right and left sides (p > 0.05) for all police officers and between the Adm and FT groups (p > 0.05). Military police officers showed high and moderate risk for waist circumference and waist-to-hip ratio, respectively; however, lifestyle and total time of physical activity were considered adequate without differences between military administrative and tactical force sectors.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040147
Authors: Nikolaos Manouras Christos Batatolis Panagiotis Ioakimidis Konstantina Karatrantou Vassilis Gerodimos
Reliable fitness tests with low day-to-day and trial-to-trial variation are a prerequisite for tracking a player’s performance or for identifying meaningful changes in training interventions. The present study examined the inter- and intra-session reliability of 30 m linear speed with and without ball possession as well as the reliability of a specific performance index of pubertal soccer players. A total of 40 pubertal (14.87 ± 1.23 years old) male soccer players performed two testing sessions (test–retest) separated by 72 h. Both testing sessions included a protocol consisting of two maximal trials of 30 m linear speed with and without ball possession. A performance index, indicating the difference between the two speed tests, was also calculated using two different equations (delta value and percentage value). The relative and absolute inter-session reliabilities were good/high for all testing variables (ICC = 0.957–0.995; SEM% = 0.62–8.83). There were also good/high relative and absolute intra-session reliabilities observed for all testing variables (ICC = 0.974–0.987; SEM% = 1.26–6.70%). According to the Bland–Altman plots, the differences between test–retest and trials for all observations were within the defined 95% limits of agreement. The reliable testing protocols and performance index for the evaluation of linear speed with and without ball possession, observed in this study, may be used in speed monitoring and training planning of pubertal soccer players.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040146
Authors: Maristella Gussoni Sarah Moretti Alessandra Vezzoli Valerio Genitoni Guido Giardini Costantino Balestra Gerardo Bosco Lorenza Pratali Elisabetta Spagnolo Michela Montorsi Simona Mrakic-Sposta
Intense, long exercise can increase oxidative stress, leading to higher levels of inflammatory mediators and muscle damage. At the same time, fatigue has been suggested as one of the factors giving rise to delayed-onset muscle soreness (DOMS). The aim of this study was to investigate the efficacy of a specific electrical stimulation (ES) treatment (without elicited muscular contraction) on two different scenarios: in the laboratory on eleven healthy volunteers (56.45 ± 4.87 years) after upper limbs eccentric exercise (Study 1) and in the field on fourteen ultra-endurance athletes (age 47.4 ± 10.2 year) after an ultra-running race (134 km, altitude difference of 10,970 m+) by lower exercising limbs (Study 2). Subjects were randomly assigned to two experimental tasks in cross-over: Active or Sham ES treatments. The ES efficacy was assessed by monitoring the oxy-inflammation status: Reactive Oxygen Species production, total antioxidant capacity, IL-6 cytokine levels, and lactate with micro-invasive measurements (capillary blood, urine) and scales for fatigue and recovery assessments. No significant differences (p > 0.05) were found in the time course of recovery and/or pre–post-race between Sham and Active groups in both study conditions. A subjective positive role of sham stimulation (VAS scores for muscle pain assessment) was reported. In conclusion, the effectiveness of ES in treating DOMS and its effects on muscle recovery remain still unclear.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040145
Authors: Thomas A. Wenzel Nicholas L. Hunt Amy E. Holcomb Clare K. Fitzpatrick Tyler N. Brown
Older adults often suffer an accidental fall when navigating challenging surfaces during common locomotor tasks, such as walking and ascending stairs. This study examined the effect of slick and uneven surfaces on lower limb joint work in older and younger adults while walking and ascending stairs. Fifteen young (18–25 years) and 12 older (>65 years) adults had stance phase positive limb and joint work quantified during walking and stair ascent tasks on a normal, slick, and uneven surface, which was then submitted to a two-way mixed model ANOVA for analysis. The stair ascent required greater limb, and hip, knee, and ankle work than walking (all p < 0.001), with participants producing greater hip and knee work during both the walk and stair ascent (both p < 0.001). Surface, but not age, impacted positive limb work. Participants increased limb (p < 0.001), hip (p = 0.010), and knee (p < 0.001) positive work when walking over the challenging surfaces, and increased hip (p = 0.015), knee (p < 0.001), and ankle (p = 0.010) work when ascending stairs with challenging surfaces. Traversing a challenging surface during both walking and stair ascent tasks required greater work production from the large proximal hip and knee musculature, which may increase the likelihood of an accidental fall in older adults.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040144
Authors: Fábio Juner Lanferdini Bruno Manfredini Baroni Caetano Decian Lazzari Raphael Luiz Sakugawa Rodolfo André Dellagrana Fernando Diefenthaeler Fabrizio Caputo Marco Aurélio Vaz
The goal of this study was to investigate the effects of photobiomodulation therapy (PBMT) on performance, oxygen uptake (VO2) kinetics, and lower limb muscle oxygenation during three successive time-to-exhaustions (TTEs) in cyclists. This was a double-blind, randomized, crossover, placebo-controlled trial study. Sixteen cyclists (~23 years) with a cycling training volume of ~460 km/week volunteered for this study. In the first session, cyclists performed a maximal incremental test to determine maximal oxygen uptake and maximal power output (POMAX). In the following sessions, cyclists performed three consecutive TTEs at POMAX. Before each test, PBMT (135 J/thigh) or a placebo (PLA) was applied to both thighs. VO2 amplitude, O2 deficit, time delay, oxyhemoglobin (O2Hb), deoxyhemoglobin (HHb), and total hemoglobin (tHb) were measured during tests on the right vastus lateralis. The PBMT applied before three successive TTE increased performance of the first and second TTE (~10–12%) tests, speed of VO2 and HHb kinetics during the first test, and increased peripheral muscle oxygenation (increase in HHb and tHb) in the first and second exhaustion tests. However, the PBMT effects were attenuated in the third TTE, as performance and all the other outcomes were similar to the ones from the PLA intervention. In summary, PBMT application increased the first and second successive TTEs, speed of VO2, and muscle oxygenation.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040143
Authors: S. Howard Wittels Eric Renaghan Michael Joseph Wishon Harrison L. Wittels Stephanie Chong Eva Danielle Wittels Stephanie Hendricks Dustin Hecocks Kyle Bellamy Joe Girardi Stephen Lee Tri Vo Samantha M. McDonald Luis A. Feigenbaum
Current metrics like baseline heart rate (HR) and HR recovery fail in predicting overtraining (OT), a syndrome manifesting from a deteriorating autonomic nervous system (ANS). Preventing OT requires tracking the influence of internal physiological loads induced by exercise training programs on the ANS. Therefore, this study evaluated the predictability of a novel, exercise cardiac load metric on the deterioration of the ANS. Twenty male American football players, with an average age of 21.3 years and body mass indices ranging from 23.7 to 39.2 kg/m2 were included in this study. Subjects participated in 40 strength- and power-focused exercise sessions over 8 weeks and wore armband monitors (Warfighter Monitor, Tiger Tech Solutions) equipped with electrocardiography capabilities. Exercise cardiac load was the product of average training HR and duration. Baseline HR, HR variability (HRV), average HR, and peak HR were also measured. HR recovery was measured on the following day. HRV indices assessed included the standard deviation of NN intervals (SDNN) and root mean square of successive RR interval differences (rMSSD) Linear regression models assessed the relationships between each cardiac metric and HR recovery, with statistical significance set at α < 0.05. Subjects were predominantly non-Hispanic black (70%) and aged 21.3 (±1.4) years. Adjusted models showed that exercise cardiac load elicited the strongest negative association with HR recovery for previous day (β = −0.18 ± 0.03; p < 0.0000), one-week (β = −0.20 ± 0.03; p < 0.0000) and two-week (β = −0.26 ± 0.03; p < 0.0000) training periods compared to average HR (βetas: −0.09 to −0.02; p < 0.0000) and peak HR (βetas: −0.13 to −0.23; p < 0.0000). Statistically significant relationships were also found for baseline HR (p < 0.0000), SDNN (p < 0.0000) and rMSSD (p < 0.0000). Exercise cardiac load appears to best predict ANS deterioration across one- to two-week training periods, showing a capability for tracking an athlete’s physiological tolerance and ANS response. Importantly, this information may increase the effectiveness of exercise training programs, enhance performance, and prevent OT.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040142
Authors: Manuela Deodato Miriam Martini Alex Buoite Stella Giulia Citroni Miloš Ajčević Agostino Accardo Luigi Murena
Inertial sensors (IMUs) have been recently widely used in exercise and rehabilitation science as they can provide reliable quantitative measures of range of motion (RoM). Moreover, the pressure pain threshold (PPT) evaluation provides an objective measure of pain sensation in different body areas. The aim of this study was to evaluate the efficacy of physiotherapy treatment in people with adhesive capsulitis in terms of RoM and pain improvement measured by IMUs and the PPT. A combined prospective cohort/cross-sectional study was conducted. Nineteen individuals with adhesive capsulitis (10/19 females, 54 ± 8 years) and nineteen healthy controls (10/19 females, 51 ± 6 years) were evaluated for active glenohumeral joint RoM and PPT on shoulder body areas. Then, individuals with adhesive capsulitis were invited to 20 sessions of a physiotherapy protocol, and the assessments were repeated within 1 week from the last session. The range of motion in the flexion (p = 0.001) and abduction (p < 0.001) of the shoulder increased significantly after the physiotherapy protocol. Similarly, the PPT was found to increase significantly in all the assessed shoulder body areas, leading to no significant differences compared to the healthy controls. IMU and PPT assessments could be used to evaluate the efficacy of physical therapy in people with adhesive capsulitis.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040141
Authors: Paolo Cigni Tommaso Minuti Andrea Mannini Alessandro Cucini Michele Costagli Stefano Rapetti Luca Alimonta Erika Cione Roberto Cannataro Leonardo Ricotti
Injury in sports is an occurrence that prevents athletes from participating in training and competitions and has an incidence of 8.1 injuries/1000 h of practice. This translates into a cost and also into danger, especially if the event is repeated, for the health of the athlete; the injury certainly has a multifactorial causality. On the other hand, having instruments that can represent an alarm could be helpful for those involved in sports science. We used a specifically designed instrument, presented in a previous work, which shows excellent reliability and repeatability in measuring the strength of the knee flexors and extensors to test 107 players belonging to three different teams playing in the Italian Serie A. We took three measurements, beginning of the season, mid-season, and close to the end of the season. This retrospective study on 107 professional soccer players demonstrates that isometric force-related parameters of the knee extensors and flexors are associated with the risk of injury to lower limbs. Logistic regression evidenced a significant correlation between the parameter indicating the imbalance of the force between the flexors of the two limbs (p≤0.05, OR = 1.089) and the occurrence of injuries. Survival analyses (p≤0.001) evidenced a correlation between the population survival time and the injury incidence. We demonstrated that the analysis of the strength imbalance is correlated with injury occurrence, but it is well known that sports injuries are a multifactorial event; so, they cannot be predicted by only one parameter. However, the method proposed in this paper could represent a useful tool for sport scientists.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8040140
Authors: Eleni Zaggelidou Athina Theodoridou Vassiliki Michou Helen Gika George Panayiotou Theodoros Dimitroulas Evangelia Kouidi
The objective of the study was to examine the effects of Pilates exercise training combined with walking on cardiorespiratory fitness, functional capacity, and disease activity in patients with non-radiologically confirmed axial spondylitis (nr-axSpA). Thirty patients with nr-axSpA (seven women (90%), with a mean age of 46.07 ± 10.48 years old and C-reactive protein (CRP) 2.26 ± 2.14 mg/L) were randomly divided into two groups: A (n1 = 15 patients) and B (n2 = 15 patients). Group A followed a 6-month home-based Pilates exercise training program, while Group B remained untrained until the end of the study. A cardiopulmonary exercise test (CPET), timed up and go test (TUG), five times sit-to-stand test (5×STS), sit-and-reach test (SR), back scratch test for the right (BSR) and the left arm (BSL), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), and Ankylosing Spondylitis Disease Activity Score (ASDAS) were applied to all patients, both at the beginning and at the end of the study. After 6 months, Group A showed higher values in exercise time by 37.41% (p = 0.001), higher peak oxygen uptake (VO2peak) by 25.41% (p = 0.01), a higher ratio between oxygen uptake and maximum heart rate (VO2/HRmax) by 14.83% (p = 0.04), and higher SR by 18.70% (p = 0.007), while lower values were observed in TUG by 24.32% (p = 0.001), 5×STS by 12.13% (p = 0.001), BASDAI score by 20.00% (p = 0.04) and ASDAS score by 23.41% (p = 0.03), compared to Group B. Furthermore, linear regression analysis showed a positive correlation in Group A between BASDAI and 5×STS (r = 0.584, p = 0.02), BASDAI and TUG (r = 0.538, p = 0.03), and ASDAS and 5×STS (r = 0.538, p = 0.03), while a negative correlation was found between BASDAI and VO2peak (r = −0.782, p < 0.001), ASDAS and SR (r = −0.548, p = 0.03), and ASDAS and VO2peak (r = −0.659, p = 0.008). To sum up, cardiorespiratory fitness, functional capacity, and disease activity improved after a long-term Pilates exercise training program in patients with nr-axSpA.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8030139
Authors: Filipe Rodrigues Miguel Jacinto Raúl Antunes Nuno Amaro Rui Matos Diogo Monteiro
This study aims to comprehensively investigate the interrelationships among exercise intensity preference, tolerance, competence satisfaction, competence frustration, and exercise intentions within the fitness domain. The research involved 114 participants aged 18 to 59 years (M = 33.23; SD = 10.542), with an average height of 166.02 cm (SD = 15.856) and weight of 68.02 kg (SD = 13.658). The path analysis revealed positive correlations among constructs, except for the link between exercise intensity tolerance and competence satisfaction. Notably, exercise intensity preference positively related to competence satisfaction (β = 0.20, CI90% = 0.12, 0.40), while both preference and tolerance were negatively linked to competence frustration (preference: β = −0.27, CI90% = −0.44, 0.03; tolerance: β = −0.17, CI90% = −0.03, 0.24). Competence satisfaction (β = 0.37, CI90% = 0.13, 0.34) and competence frustration (β = −0.29, CI90% = −0.48, −0.09) significantly influenced exercise intentions. An indirect effect existed between exercise intensity preference and intentions (β = 0.11, CI90% = 0.03, 0.21), contrasting with the lack of such effect for intensity tolerance (β = 0.05, CI90% = −0.01, 0.14). Intentions explained 16% of the variance. In conclusion, this study underscores the intricate connections between exercise intensity traits and intentions, shedding light on factors influencing individuals’ exercise persistence.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8030138
Authors: Ricardo Maia Ferreira Rafael Silva Pedro Vigário Pedro Nunes Martins Filipe Casanova Ricardo Jorge Fernandes António Rodrigues Sampaio
The use of massage guns has become increasingly popular in recent years. Although their use is more and more common, both in a clinical and sports context, there is still little information to guide the practitioners. This systematic review aimed to determine the effects of massage guns in healthy and unhealthy populations as pre- and post-activity or part of a treatment. Data sources used were PubMed, PEDro, Scopus, SPORTDiscus, Web of Science and Google Scholar, and the study eligibility criteria were based on “healthy and unhealthy individuals”, “massage guns”, “pre-activity, post-activity or part of a treatment” and “randomized and non-randomized studies” (P.I.C.O.S.). Initially, 281 records were screened, but only 11 could be included. Ten had a moderate risk of bias and one a high risk of bias. Massage guns could be effective in improving iliopsoas, hamstrings, triceps suralis and the posterior chain muscles’ flexibility. In strength, balance, acceleration, agility and explosive activities, it either did not have improvements or it even showed a decrease in performance. In the recovery-related outcomes, massage guns were shown to be cost-effective instruments for stiffness reduction, range of motion and strength improvements after a fatigue protocol. No differences were found in contraction time, rating of perceived exertion or lactate concentration. Massage guns can help to improve short-term range of motion, flexibility and recovery-related outcomes, but their use in strength, balance, acceleration, agility and explosive activities is not recommended.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8030137
Authors: Paul T. Donahue Ayden K. McInnis Madelyn K. Williams Josey White
The purpose of this investigation was to examine changes in countermovement vertical jump performance after a single sport-specific training session in a sample of collegiate female volleyball athletes. Eleven NCAA Division I volleyball athletes performed countermovement vertical jumps with and without an arm swing prior to and immediately after a sport-specific training session. Each participant completed two jumps in each condition using a portable force platform. Paired samples t-tests were performed within each jump condition. When using an arm swing, mean braking force was the only variable to display a statistically significant change (p < 0.05). In the no-arm-swing condition, mean propulsive force, propulsive net impulse, jump height and reactive strength index modified all statistically increased (p < 0.05). Time to takeoff was statistically reduced (p < 0.05). Additionally, a single-subject analysis was performed across all eleven participants resulting in general trends seen in the no-arm-swing condition, whereas the arm-swing condition displayed inconsistent findings across participants.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8030136
Authors: Stephen C. Glass Kamryn A. Wisneski
Balance requires constant adjustments in muscle activation to attain force steadiness. Creating appropriate training can be challenging. The purpose of this study was to examine the effects of 2 weeks of front squat instability training using a water-filled training tube on force steadiness during an instability challenge. Control (CON, n = 13) and experimental (EXP, n = 17) subjects completed pre- and post-testing for EMG variability by completing one set of 10 repetitions with a stable and unstable training tube. Electrodes were placed bilaterally on the anterior deltoid, paraspinal, and vastus lateralis muscles. CON subjects completed 2 weeks of training using a stable training tube, while EXP subjects trained with a water-filled instability tube. EMG data were integrated for each contraction, and force steadiness was computed using the natural log of coefficient of variation. CON results showed no changes in force steadiness for any condition. EXP showed significant reductions in EMG activation variability across all muscles. These results indicate a significant training effect in reducing muscle activation variability in subjects training with a water-filled instability training device. Improvements seen in these healthy subjects support the development of training implements for a more clinical population to help improve force steadiness.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8030135
Authors: Roland van den Tillaar Sam Gleadhill Pedro Jiménez-Reyes Ryu Nagahara
The aims were to compare predicted maximal velocity from load–velocity relationships established with different resisted and assisted loads by different regression analyses to the measured maximal velocity during sprint running, and to compare maximal velocity measured between a robotic pulley system and laser gun. Sixteen experienced male sprinters performed regular 50 m sprints, a 50 m with 5-kilogram-assisted sprint, and 10, 20, 30, and 30 m resisted sprints with, respectively, 65, 50, 25, and 10% calculated reduction in maximal velocity. Maximal velocity obtained by laser gun during the regular sprint was compared with predicted maximal velocity calculated from four trendlines (linear and polynomial based upon four resisted loads, and linear and polynomial based upon four resisted and one assisted load). Main findings demonstrate that the robotic pulley system and laser measure similar maximal velocities at all loads except at the load of 10% velocity reduction. Theoretical maximal velocity based upon calculated predictions were underestimated by 0.62–0.22 m/s (2.2–0.78 km/h; 6.7–2.3%) compared to measured maximal velocity. It was concluded that different regression analyses underestimated measured maximal velocity in regular sprinting and polynomial regression analysis (with resisted and assisted loads) estimation was closest to measured velocity (2.3%).
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8030134
Authors: Eric Renaghan Harrison L. Wittels Luis A. Feigenbaum Michael Joseph Wishon Stephanie Chong Eva Danielle Wittels Stephanie Hendricks Dustin Hecocks Kyle Bellamy Joe Girardi Stephen Lee Tri Vo Samantha M. McDonald S. Howard Wittels
Fully restoring autonomic nervous system (ANS) function is paramount for peak sports performance. Training programs failing to provide sufficient recovery, especially during the in-season, may negatively affect performance. This study aimed to evaluate the influence of the physiological workload of collegiate football training on ANS recovery and function during the in-season. Football athletes recruited from a D1 college in the southeastern US were prospectively followed during their 13-week “in-season”. Athletes wore armband monitors equipped with ECG and inertial movement capabilities that measured exercise cardiac load (ECL; total heartbeats) and maximum running speed during and baseline heart rate (HR), HR variability (HRV) 24 h post-training. These metrics represented physiological load (ECL = HR·Duration), ANS function, and recovery, respectively. Linear regression models evaluated the associations between ECL, baseline HR, HRV, and maximum running speed. Athletes (n = 30) were 20.2 ± 1.5 years, mostly non-Hispanic Black (80.0%). Negative associations were observed between acute and cumulative exposures of ECLs and running speed (β = −0.11 ± 0.00, p < 0.0000 and β = −0.15 ± 0.04, p < 0.0000, respectively). Similarly, negative associations were found between baseline HR and running speed (β = −0.45 ± 0.12, 95% CI: −0.70, −0.19; p = 0.001). HRV metrics were positively associated with running speed: (SDNN: β = 0.32 ± 0.09, p < 0.03 and rMSSD: β = 0.35 ± 0.11, p < 0.02). Our study demonstrated that exposure to high ECLs, both acutely and cumulatively, may negatively influence maximum running speed, which may manifest in a deteriorating ANS. Further research should continue identifying optimal training: recovery ratios during off-, pre-, and in-season phases.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8030133
Authors: Felice Di Domenico Tiziana D’Isanto Giovanni Esposito Sara Aliberti Gaetano Raiola
Countermovement jumping (CMJ) and free-arm countermovement jumping (CMJFA) express the explosive-elastic force of the lower limbs. Strategies to enhance performance in both types of jumping can be categorized into cognitive and ecological-dynamic approaches. However, the effectiveness of these approaches in improving CMJ and CMJFA remains incompletely understood. This study aims to investigate the impact of training protocols based on the two approaches to improving CMJ. Thirty-six subjects with an average age of 26 years were selected and divided into two groups: the ecological-dynamic group (EDG) and the cognitive group (CG). For 12 weeks, both groups followed separate protocols of three weekly one-hour sessions. EDG group followed a protocol focused on circle time. The CG group followed an instructor-led training protocol. Incoming and outgoing flight heights were measured. Pre and post-intervention differences within and between groups were assessed using t-tests for dependent and independent samples, respectively (p ≤ 0.05). CG demonstrated a 12.2% increase in CMJ and a 7.8% improvement in CMJFA, while EDG showed a 10.2% increase in CMJ and 19.5% progress in CMJFA. No statistically significant differences (p > 0.05) were observed between the groups in the improvement of CMJ; statistically significant differences (p < 0.05) were found in the improvement of CMJFA in favor of EDG.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8030132
Authors: Natascia Rinaldo Alba Pasini Sofia Straudi Giovanni Piva Anna Crepaldi Andrea Baroni Lorenzo Caruso Fabio Manfredini Nicola Lamberti
People with multiple sclerosis (pwMS) are affected by a wide range of disabilities, including a decrease in bone mineral density (BMD) and a worsening of body composition (BC), which negatively impact their quality of life quality. This study aims to analyze the effects of nonpharmacological interventions—in particular, physical activity, nutritional approaches, and rehabilitation—on BC and BMD in pwMS. This systematic review and meta-analysis was performed following the updated version of the PRISMA guidelines. In July 2022, five databases (MEDLINE, Embase, The Cochrane Library, Google Scholar, Web of Science) and gray literature were screened. Relevant articles published between 1 January 1990 and 1 September 2022 in any language were included. Outcomes of interest were anthropometric, BC measures, and BMD. The RoB 2.0 tool was used to assess the risk of bias. After duplicates elimination, 1120 records were screened, and 36 studies were included. A total of 25 articles were focused on physical activity and rehabilitation, 10 on nutrition, and 1 on multimodal intervention. One-third of the studies were judged to be at high risk of bias. The meta-analysis showed a high degree of heterogeneity due to the high variability in disease severity and intervention duration, intensity, frequency, and type. In general, no intervention showed consistent positive effects on BC. However, the most promising interventions seemed to be high-intensity training and ketogenic diets. Only a few studies considered BMD, and the results are inconsistent. Nevertheless, more studies are needed in order to confirm these results.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8030131
Authors: Mirela Sunda Barbara Gilic Petra Rajkovic Vuletic Vladimir Pavlinovic Natasa Zenic
The COVID-19 pandemic and the imposed social distancing measures caused negative changes in physical activity levels (PALs) and physical fitness (PF) among adolescents, but the potential mediating effect of the pandemic on the association between PAL and PF is unknown. This study aimed to evaluate gender-specific associations between objectively measured PAL and indices of PF among high school adolescents during the period of the COVID-19 pandemic. The participants were 150 adolescents (101 females) aged 14–18 years; their anthropometrics were evaluated, and they were tested on PF (cardiorespiratory fitness (CRF; beep test), power (broad jump), flexibility (sit-and-reach test), and abdominal strength (sit-ups)) and PAL (using a pedometer for 7 days) during the pandemic period. A T-test was calculated to determine differences between genders. Associations between variables were evaluated using Pearson correlations. Additionally, multivariate taxonomic classification was used to sort participants into homogenous groups (clusters) according to their PF, and then analysis of variance (ANOVA) was performed to differentiate them according to PAL. For the total sample, PAL was correlated with CRF only (R = 0.25, p < 0.05), while gender-stratified correlations showed that PAL was significantly associated with CRF among girls only (R = 0.29, p < 0.05), which was additionally confirmed with multivariate cluster analysis and subsequent ANOVA. No association between PAL and PF was found for boys. The relatively low association between PAL and PF is most likely related to the mediating effect of the change in life circumstances during the COVID-19 pandemic, and limited applicability of pedometers in evaluating high-intensity PAL. Further studies in other age groups and environments are warranted.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8030130
Authors: Andrea Perazzetti Milivoj Dopsaj Mauro Mandorino Antonio Tessitore
In water polo, the team’s technical and tactical performance is determined by the sum of the players’ activities. This study aimed to investigate the playing offensive performance of an Italian First League team performed during all matches (n = 19) of the 2021/22 championship using the Team Sport Assessment Procedure (TSAP). For all subjects (n = 15), gaining possession of the ball (received balls (RB) and conquered balls (CB)) and disposing of the ball (neutral balls (NB); lost balls (LB); offensive ball (OB) and successful Shots (SS)) parameters, as well as volume of play (VP), efficiency index (EI) and performance score (PS) indexes, were analyzed in relation to the playing positions, season phase, match location and final score difference. Multiple linear regression showed a significant association between the playing position and VP and PS. Perimetral players showed the highest VP (65%) and PS (66%) values, and center defenders showed the highest values of CB (30%), while center forwards gained the highest amount of exclusion when handling the ball (48%). Although they were not significant, the other contextual factors showed that season phase and match location could affect the TSAP indexes. For water polo coaches, the TSAP represents an effective tool to assess how players interpret the match.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8030128
Authors: Lea R. Stenerson Bridget F. Melton Helen W. Bland Greg A. Ryan
This study aimed to characterize running-related injuries (RRIs), explore their relationship with run and resistance training (RT) parameters, and identify perceived prevention measures among adult recreational runners. An anonymous online survey was designed and distributed via social media and email. Data were analyzed with chi-square, t-test, or analysis of variance (ANOVA), with significance accepted at p ≤ 0.05. Data from 616 participants (76.8% female, age: 42.3 ± 10.5 y) were analyzed. Most runners (84.4%) had an injury history, with 44.6% experiencing one in the past year. The most common RRI sites included the foot/ankle (30.9%) and knee (22.2%). RRI prevalence was higher in those running >19 miles weekly (48.4%, p = 0.05), but there were no differences based on RT participation status. Among those using RT, relatively more RRIs were observed in runners who trained the hip musculature (50.3%, p = 0.005) and did not include the upper body (61.6%, p < 0.001). A disproportionately high RRI prevalence was found for several of the other risk-reduction strategies. RRIs remain a substantial problem, particularly around the ankle/foot and knee. Higher run volume and performance motives were positively associated with RRIs. Most runners incorporated RRI risk-reduction techniques, with over half using RT. The current study did not determine whether preventative strategies were implemented before or after injury; therefore, prospective studies controlling for previous injuries are required to evaluate the effectiveness of RT in preventing future RRIs.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8030129
Authors: Dimitrije Cabarkapa Damjana V. Cabarkapa Nicolas M. Philipp Chloe A. Myers Shay M. Whiting Grant T. Jones Andrew C. Fry
The purpose of the present study was to examine differences in kinematic characteristics between (a) proficient and non-proficient two-point and three-point shooters, (b) made and missed two-point and three-point shots within a proficient group of shooters, and (c) shots attempted from two-point and three-point shooting distances. Eighteen recreationally active females with previous basketball playing experience attempted 10 two-point (5.10 m) and 10 three-point shots (6.32 m) while facing directly to the basket. To eliminate the possible influence of fatigue, each shot was separated by a 5–10 s rest interval. Participants who made ≥50% of their two-point and ≥40% of their three-point shooting attempts were classified as proficient. A high-definition video camera recording at 30 fps and video analysis software (Kinovea) were used to obtain the kinematic variables of interest during both the preparatory phase (PP) and release phase (RP) of the shooting motion. The results indicate that proficient two-point shooters attained less hip and shoulder flexion during the PP and had greater release height and vertical displacement during the RP. Hip angle differentiated made from missed two-point shots within the proficient group of shooters, with made shots being depicted by less hip flexion. Significantly greater vertical displacement was observed in proficient three-point shooters during the RP. Additionally, the greater elbow and release angles separated made from missed three-point shots within the proficient group of shooters. In response to an increase in shooting distance, hip, knee, ankle, and shoulder angles during the PP all decreased. Moreover, an increase in shooting distance caused a decrease in release angle and an increase in vertical displacement during the RP, while the relative release height remained unchanged.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8030127
Authors: Mohammed Amin Debra Kerr Yacoba Atiase Yusif Yakub Andrea Driscoll
Despite a relatively low prevalence rate, sub-Saharan Africa bears a substantial diabetes burden. Physical activity (PA) plays a crucial role in managing type 2 diabetes mellitus (T2DM). However, PA levels among this population remain suboptimal. This study aimed to explore patients’ perspectives on the barriers and facilitators to PA participation among Ghanaian adults with T2DM. Thirteen adults with T2DM were recruited from Korle-Bu Teaching Hospital, Ghana, for this qualitative descriptive study. Semi-structured interviews were conducted, and the data were analyzed using thematic analysis. Two overarching themes (personal factors and socio-structural factors) and 10 sub-themes relating to PA barriers and facilitators were identified. Participants had limited awareness of the recommended PA guidelines for T2DM management. Chronic illness-related factors hindered exercise participation. Difficulty differentiating between PA and exercise impeded the achievement of PA targets. Socio-structural barriers include concerns about social ridicule or embarrassment, safety during outdoor activities, a lack of culturally appropriate exercise facilities, and high social and work demands. Despite these barriers, participants were motivated by their understanding of the health benefits of PA. They emphasized integrating PA into daily routines through walking, work-related tasks, and household chores. Motivation and PA education from healthcare professionals are valued supports in achieving PA targets. Our findings showed that PA behaviour in Ghanaian adults with T2DM is influenced by both personal and external factors. Tailored PA interventions for this population should address identified barriers while leveraging facilitators to implement successful PA programs.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8030126
Authors: Ludovico Lucenti Gianluca Testa Marco Montemagno Marco Sapienza Arcangelo Russo Fabrizio Di Maria Claudia de Cristo Vito Pavone
The knowledge on the anatomy, function and biomechanics and the role of surgical procedures on the anterolateral ligament (ALL) of the knee is still controversial. Only a few papers have examined the ALL in children. The aim of this review is to analyze all the available literature about ALL in the pediatric population. Following the PRISMA criteria, the literature was systematically reviewed, examining all the articles about ALL in pediatric patients. Eight articles were involved in this study. Five cadaveric studies, two diagnostic studies, and one cross-sectional study were found. The identification of the ALL is not always possible in diagnostic studies using magnetic resonance (MRI) or in dissecting specimens. A high variability in the presence of the ligament and in its origin and insertion were found among the studies. It is more difficult to identify the ligament in younger patients than in older children, suggesting that its presence may develop at some point during the growth. Further studies are needed for a detailed knowledge of the ALL.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8030125
Authors: Xihe Zhu Michael D. Kostick Justin A. Haegele
Mental health conditions such as anxiety and depression became heightened issues for college-aged young adults during the global pandemic. The main purpose of this study was to examine the effects of a peer-supported exercise intervention on young adults (vs. self-guided exercise) who reported elevated levels of anxiety and/or depression. A parallel group design was used where young adults (n = 27) were randomly assigned to either a peer-supported or self-guided exercise group which lasted for eight weeks. The generalized anxiety and depression subscales of the Counseling Center Assessment of Psychological Symptoms (CCAPS-34) were measured for a baseline and then at 4-week, 8-week, and 12-week follow-up. Analyses of covariance (ANCOVA) with repetitive measures show that peer-supported and self-guided exercise programs reduced participant anxiety and depression scores; however, intervention decay for the peer-supported exercise intervention was more severe than that for the self-guided group. Self-guided exercise had a longer-lasting effect than the peer-supported alternative and could be a cost-effective approach to combat anxiety and depression issues among young adults.
]]>Journal of Functional Morphology and Kinesiology doi: 10.3390/jfmk8030124
Authors: Pasquale J. Succi Brian Benitez Minyoung Kwak Haley C. Bergstrom
This study aimed to investigate the test–retest reliability, mean, and individual responses in the measurement of maximal oxygen consumption (V˙O2max) during a cardiopulmonary exercise test (CPET) and the verification phase during cycle ergometry in women. Nine women (22 ± 2 yrs, 166.0 ± 4.5 cm, 58.6 ± 7.7 kg) completed a CPET, passively rested for 5 min, and then completed a verification phase at 90% of peak power output to determine the highest V˙O2 from the CPET (V˙O2CPET) and verification phase (V˙O2verification) on 2 separate days. Analyses included a two-way repeated measures ANOVA, intraclass correlation coefficients (ICC2,1), standard errors of the measurement (SEM), minimal differences (MD), and coefficients of variation (CoV). There was no test (test 1 versus test 2) × method (CPET vs. verification phase) interaction (p = 0.896) and no main effect for method (p = 0.459). However, test 1 (39.2 mL·kg−1·min−1) was significantly higher than test 2 (38.3 mL·kg−1·min−1) (p = 0.043). The V˙O2CPET (ICC = 0.984; CoV = 1.98%; SEM = 0.77 mL·kg−1·min−1; MD = 2.14 mL·kg−1·min−1) and V˙O2verification (ICC = 0.964; CoV = 3.30%; SEM = 1.27 mL·kg−1·min−1; MD = 3.52 mL·kg−1·min−1) demonstrated “excellent” reliability. Two subjects demonstrated a test 1 V˙O2CPET that exceeded the test 2 V˙O2CPET, and one subject demonstrated a test 1 V˙O2verification that exceeded the test 2 V˙O2verification by more than the respective CPET and verification phase MD. One subject demonstrated a V˙O2CPET that exceeded the V˙O2verification, and one subject demonstrated a V˙O2verification that exceeded the V˙O2CPET by more than the MD. These results demonstrate the importance of examining the individual responses in the measurement of the V˙O2max and suggest that the MD may be a useful threshold to quantify real individual changes in V˙O2.
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