Search Results (347)

Background: Mixed martial arts (MMA) is becoming increasingly popular and is developing dynamically in terms of training methods and number of participants involved, while weightlifting, powerlifting, and other kinds of strength disciplines are well established. In this study, the aim was to compare the body composition, as an anthropometric effect of training in MMA fighters and strength athletes, and then analyze and find reasoning for observed differences. Methods: Thirty-four young healthy male participants (body weight 84.9 ± 10.2 kg, body height 182.0 ± 6.8 cm, BMI 25.8 ± 2.51 kg/m², tier 2/3 in McKay’s sports level classification) represented two groups: MMA (n = 17) and powerlifting athletes (STR, n = 17). The measured anthropometric characteristics were skeletal muscle mass (SMM), percentage of body fat (PBF), body fat mass (FM) and visceral fat mass (VFM). Phase angle (º) was measured as an indicator of tissue quality and we performed detailed investigations of soft fat-free tissue mass (SLM) and of fat mass in body parts separately in each lower and upper limb and trunk. Results: The groups did not differ in terms of body weight, height, BMI, SMM, PBF, FM, VFM, SLM in upper limbs and trunk, FM in the body parts, or the phase angle (all p > 0.05). The statistically significant differences were only observed in the SLM of both lower limbs (greater in STR, p < 0.05) but, after statistical correction with the Holm’s method, these parameters also did not show statistically significant differences despite high effect sizes. Conclusions: The MMA athletes do not differ significantly from strength training athletes in measured anthropometric parameters despite distinct differences in training methodology. The reasons for these observations need future research, combining anthropometric measurements with training and competing load monitoring. Full article

Background/Objectives: Standing training is essential for individuals with spinal cord injury (SCI), yet maintaining regular practice after acute rehabilitation remains challenging. To address the need for more practical and accessible standing equipment, we developed a novel spring-assisted standing training device designed to overcome barriers to regular standing practice. This study aimed to assess the safety and feasibility of our newly developed device in individuals with SCI. Methods: Six participants with chronic SCI (neurological level of injury T4-L3, American Spinal Injury Association Impairment Scale A-C; 2 females, mean age 41.7 ± 13.4 years) underwent a single session using our chair-based device incorporating passive gas spring mechanisms. We designed this device to enable independent sit-to-stand transitions without electrical power or complex controls. Primary outcomes included safety (adverse events) and feasibility (number of repetitions, Modified Borg Scale). Changes in Modified Ashworth Scale (MAS) scores were assessed as exploratory measures. Results: All participants successfully completed training without adverse events. Repetitions ranged from 5 to 60 (median 37), with Modified Borg Scale ratings of 0–4. Notably, the participant with T4 complete injury performed the training without requiring trunk orthosis, demonstrating the device’s inherent stability. MAS sum scores showed a reduction from median 8.75 to 4.25, though this did not reach statistical significance (p = 0.13). Conclusions: Our newly developed spring-assisted standing training device proved safe and feasible for individuals with SCI, including those with complete thoracic injuries. The device successfully enabled independent sit-to-stand transitions with low perceived exertion, potentially addressing key barriers to regular standing practice and offering a practical rehabilitation solution. Full article

Background and Objectives: This systematic review and meta-analysis aimed to analyze the available body of published peer-reviewed randomized controlled trials (RCTs) on the effects of concurrent training (CT) on biomarkers, morphological variables, and physical performance in people with sarcopenic obesity. Materials and Methods: Using six databases—PubMed, Medline, CINAHL Complete, Scopus, Cochrane Library, and Web of Science—a comprehensive literature search was conducted through July 2025. The GRADE, TESTEX, Rob 2, and PRISMA tools were used to assess the methodological quality and certainty. The protocol was registered in PROSPERO (CRD420251052935). Results: Out of 669 records, 8 RCTs with a total of 453 participants (68.9 ± 11.1 years) were included. Fifteen overall and three subgroup meta-analyses revealed significant improvements (p < 0.05) in insulin-like growth factor-1 (ES = 1.01, 95% CI = 0.26 to 1.75, p = 0.008) and leptin (ES = 2.54, 95% CI = 0.07 to 5.01, p = 0.04) levels; significant decreases (p < 0.05) in body mass index (ES = 0.54, 95% CI = 0.12 to 0.97, p = 0.01), waist circumference (ES = 1.80, 95% CI = 0.32 to 2.12, p = 0.008), and body fat (BF, ES = 1.31, 95% CI = 0.53 to 2.09, p = 0.001); and significantly increased (p < 0.05) appendicular skeletal muscle mass/weight (ES = 0.42, 95% CI = 0.14 to 0.71, p = 0.004), walking speed (ES = 1.80, 95% CI = 1.05 to 2.55, p = 0.000), and knee extension (ES = 0.76, 95% CI = 0.09 to 1.42, p = 0.02). However, no significant improvements (p > 0.05) were observed in IL-6, CRP, total cholesterol, triglycerides, trunk fat, BF mass, and MIHS. On the other hand, an important result in the meta-regression revealed that weeks of training can predict decreases in BF (R² = 0.32; p = 0.02). Conclusions: CT has been associated with significant clinical improvements in biomarkers related to increased muscle mass and decreased BF percentage. Full article

Background/Objectives: Back pain is increasingly prevalent during childhood and adolescence, often predicting adult spinal disorders. This study aimed to describe sex-specific anthropometric and “Postural Fitness” characteristics in school-aged children and adolescents and to introduce a standardized, field-based assessment protocol for early screening of postural and functional deficits. Methods: This cross-sectional study included a total of 494 students (8–17 years; 50% girls) from 14 schools in Murcia (Spain). Exclusion criteria included diagnosed spinal pathology or major physical injury, lack of signed informed consent, absence on the testing day, and incomplete Postural Fitness assessment. The “Postural Fitness” protocol included assessments of sagittal spinal alignment (inclinometer), hip range of motion (ROM) (inclinometer with an extendable telescopic arm), pelvic tilt (goniometer with a spirit level system), and trunk muscle endurance (chronometer). Tests were conducted in physical education sessions by trained sports scientists. Results: Significant sex-based differences were observed. Boys exhibited greater thoracic kyphosis (40.3 ± 9.6° vs. 36.7 ± 9.2°), reduced hip ROM (passive hip extension (PHE): 16.8 ± 8.1°, passive hip flexion with knee extension (PHFKE): 68.9 ± 8.6°), and more posterior pelvic tilt (104.9 ± 8.4° vs. 99.7 ± 8.1°), whereas girls demonstrated increased lumbar lordosis (35.7 ± 8.6° vs. 31.5 ± 8.5°), greater hip ROM (PHE: 18.5 ± 9°, PHFKE: 77.9 ± 13°), and superior trunk extensor endurance (123.2 ± 74.7 s vs. 106.2 ± 69.8 s). Lateral trunk muscle endurance was higher in boys (48.7 ± 31 s vs. 41.4 ± 24.9 s). Conclusions: The “Postural Fitness” protocol proved feasible in school settings and revealed key sex-based disparities in spinal and neuromuscular profiles. These findings highlight the need for individualized, sex-specific screening and preventive programs to enhance back health during growth. Implementing this protocol may support early identification of modifiable risk factors linked to spinal dysfunction and pain in youth. Full article

Objectives: The lat pulldown machine is one of the most versatile pieces of equipment for back strengthening, allowing variations in grip and load. However, there are significant gaps in the literature regarding the relationship between exercise modality and specific muscle activation. Methods: This study examined the electromyographic (EMG) activity of major back muscles during seven lat pulldown exercise variants that differed in grip type, width, and trunk inclination. Forty male subjects, with at least 5 years of resistance training experience, performed five repetitions of lat pulldown exercise using 70% of their repetition maximum. Prior to the surface EMG analysis, maximal voluntary contraction (MVC) tests were performed for each muscle group analysed, specifically the latissimus dorsi, posterior deltoid, brachial biceps, middle and lower trapezium, and infraspinatus. The normalised root mean square of the EMG (NrmsEMG) activity for each muscle was recorded during full, concentric, and eccentric movements. Results: Multivariate analysis of variance (MANOVA) showed no significant difference in the NrmsEMG muscle activation across the different lat pulldown exercise variations (all p > 0.05). A significant difference was found in the posterior deltoid where the wide-pronated grip with a 30° trunk inclination showed greater EMG activation compared to the wide pronated grip (p = 0.011) and wide neutral grip (p = 0.017). Conclusions: These findings suggest that grip variations may not significantly alter latissimus dorsi recruitment, challenging the assumption that grip effectiveness targets this muscle. The results highlight the need for individualised approaches to exercise selection, given the variability in muscle activation patterns observed. Full article

Background: This study investigated the biomechanical and physiological demands of the hiking position in Laser sailing, a posture requiring sailors to extend their upper bodies outside the boat to counter wind-induced heeling. This study utilized a mixed-methods approach. Methods: Twenty-two experienced Laser sailors participated in both on-land and offshore assessments. The study combined subjective discomfort ratings, biomechanical measurements, digital human modeling, and muscle activation analysis to evaluate the effects of hiking during and after exertion. Results: A two-way ANOVA showed significant effects by body region and time. The quadriceps, abdominals, and lower back reported the highest discomfort. Key postural angles were identified, including knee and hip flexion, trunk inclination, and ankle dorsiflexion. Muscle activation analysis revealed the highest engagement in the rectus abdominis (46.1% MVC), brachialis (~45%), and psoas major (~41%), with notable bilateral asymmetries. The trunk region had the highest overall activation (28.7% MVC), followed by the upper limbs (~18.7%), while the lower limbs were minimally engaged during static hiking. Conclusions: On-water conditions resulted in greater variability in joint angles, likely reflecting wind fluctuations and wave-induced boat motion. Findings highlight the quadriceps, abdominals, and lower back as primary contributors to sustained hiking, while also emphasizing the importance of targeted endurance training and ergonomic equipment design. These insights can guide training, recovery, and ergonomic strategies to optimize performance and reduce injury risk in Laser sailors. Full article

Reliable multiscale models of thrombosis require platelet-scale fidelity at organ-scale cost, a gap that scientific machine learning has the potential to narrow. We trained a DeepONet surrogate on platelet dynamics generated with LAMMPS for platelets spanning ten elastic moduli and capillary numbers (0.07–0.77). The network takes as input the wall shear stress, bond stiffness, time, and initial particle coordinates and returns the full three-dimensional deformation of the membrane. Mean-squared-error minimization with Adam and adaptive learning-rate decay yields a median displacement error below 1%, a 90th percentile below 3%, and a worst case below 4% over the entire calibrated range while accelerating computation by four to five orders of magnitude. Leave-extremes-out retraining shows acceptable extrapolation: the held-out stiffest and most compliant platelets retain sub-3% median error and an 8% maximum. Error peaks coincide with transient membrane self-contact, suggesting improvements via graph neural trunks and physics-informed torque regularization. These results represent a first demonstration of how the surrogate has the potential for coupling with continuum CFD, enabling future platelet-resolved hemodynamic simulations in patient-specific geometries and opening new avenues for predictive thrombosis modeling. Full article

Introduction: Overuse injuries are a growing concern among adolescent soccer players, with the repetitive nature of the sport placing significant physical demands on young athletes. These injuries can have long-term implications for physical development, performance, and overall well-being. This narrative synthesis aimed to evaluate the existing literature on the epidemiology, risk factors, and management strategies for overuse injuries in adolescent soccer players. Methods: A comprehensive literature search was conducted using PubMed and Embase. A total of 123 articles were identified, 27 of which met the inclusion criteria after screening. Studies focusing on overuse injuries in adolescent soccer players aged 10–18 years were included, while those addressing acute injuries, non-soccer populations, or adult athletes were excluded. Relevant quantitative and qualitative data were extracted and evaluated. Due to heterogeneity in study designs and outcomes, findings were narratively synthesized rather than meta-analyzed. Results: The period around peak height velocity (PHV: 11.5 years in girls, 13.5 years in boys) was consistently identified as a high-risk window, with seven studies demonstrating a significantly increased incidence of overuse injuries. Additional risk factors included leg length asymmetry, truncal weakness, early sport specialization, high ratios of organized-to-free play, and increased body size. Injury burden was greatest for hamstring and groin injuries, often leading to prolonged time lost from play. Preventive interventions such as plyometric training, trunk stabilization, and structured load monitoring demonstrated reductions in injury incidence in several prospective studies, though protocols varied widely. Conclusion: This narrative synthesis highlights PHV as the most consistent risk factor for overuse injuries in adolescent soccer players, alongside modifiable contributors such as training load, sport specialization, and free play balance. Evidence supports neuromuscular training and structured monitoring as promising preventive strategies, but there remains a lack of standardized, evidence-based protocols. Future research should focus on optimizing and validating interventions, integrating growth and load monitoring, and leveraging emerging approaches such as machine learning-based risk prediction. Full article

AI-driven agricultural automation increasingly demands efficient data generation methods for training deep learning models in autonomous robotic systems. Traditional bounding box annotation methods for agricultural objects present significant challenges including subjective boundary determination, inconsistent labeling across annotators, and physical strain from extensive mouse movements required for elongated objects. This study proposes a novel base-width standardized annotation method that utilizes the base width of a vine trunk and a support post as a reference parameter for automated bounding box generation. The method requires annotators to specify only the left and right endpoints of object bases, from which the system automatically generates standardized bounding boxes with predefined aspect ratios. Performance assessment utilized Precision, Recall, F1-score, and Average Precision metrics across vine trunks and support posts. The study reveals that vertically elongated rectangular bounding boxes outperform square configurations for agricultural object detection. The proposed method is expected to reduce time consumption from subjective boundary determination and minimize physical strain during bounding box annotation for AI-based autonomous navigation models in agricultural environments. This will ultimately enhance dataset consistency and improve the efficiency of artificial intelligence learning. Full article

Objectives: This study aimed to assess changes in anthropometric measures, cardiometabolic markers, and physical fitness following a structured basketball training program in healthy prepubertal boys. Methods: The intervention consisted of a 6-week pre-season phase followed by a 32-week basketball training season conducted during the academic year. Training sessions were held three times per week at moderate to vigorous intensity, along with a weekly match. The participants were assessed at baseline, 6, 9, and 12 months. A reference group was evaluated at baseline for comparison. The study was registered at ClinicalTrials.gov (identifier: NCT07007624). Results: Seventeen boys completed the program. Anthropometric assessments revealed increases in fat-free mass in the trunk and lower limbs, along with maintenance of an adequate BMI. After nine months, participants in the intervention showed significant improvements in fitness tests, including a 45% increase in Course Navette performance (p < 0.001), a 21% increase in horizontal jump performance (p = 0.001), and a 13% increase in abdominal test performance (p < 0.001). Conclusion: These findings suggest that a structured, school-based basketball program may enhance physical fitness and support healthy body composition maintenance in healthy-weight prepubertal boys. Full article

Transverse myelitis is a rare spinal cord condition that can cause severe motor, sensory, and autonomic dysfunction. This case report describes a 16-year-old male with incomplete paraplegia due to idiopathic transverse myelitis who underwent robotic-assisted gait training (RAGT) using the EKSO exoskeleton, integrated into an intensive rehabilitation programme. After one month, he showed significant improvements in gait speed, dynamic balance, effort tolerance, and trunk mobility. RAGT promoted better weight distribution and reduced compensatory patterns during ambulation. The intervention proved safe and clinically beneficial, highlighting the potential of robotic technologies as effective adjuncts in paediatric spinal cord injury rehabilitation. Full article

Objectives: This study investigates the biomechanics of the bench press and overhead press exercises by modeling the trunk and upper limbs as a kinematic chain of rigid links connected by revolute joints and actuated by single- and two-joint muscles, with motion constrained by the barbell. The aims were to (i) assess the different contributions of shoulder and elbow torques during lifting, (ii) identify the parameters influencing joint loads, (iii) explain the origin of the sticking region, and (iv) validate the model against experimental barbell kinematics. Methods: Equations of motion and joint reaction forces were derived analytically in closed form. Dynamic simulations produced vertical barbell velocity profiles under various conditions. A waveform similarity analysis was used to compare simulated profiles with experimental data from maximal bench press trials. Results: The sticking region occurred when shoulder torque dropped below a critical threshold, resulting in a local velocity minimum. Adding elbow torque reduced this dip and shifted the velocity minimum from 38 cm to 23 cm above the chest, although it prolonged the time needed to overcome it. Static analysis revealed that grip width and barbell constraint had a greater effect on shaping the sticking region than muscle architecture parameters. Elbow extensors contributed minimally during early lift phases but became dominant near full extension. Model predictions showed high similarity to experimental data in the pre-sticking (SI = 0.962, p = 0.028) and sticking (SI = 0.949, p = 0.014) phases, with reduced, non-significant similarity post-sticking (SI = 0.881, p > 0.05) due to the assumption of constant torques. Conclusions: The model offers biomechanical insight into how joint torques and barbell constraints shape movement. The findings support training strategies that target shoulder strength early in the lift and elbow strength near lockout to minimize sticking and improve performance. Full article

Introduction: Chronic primary low back pain (CPLBP) is a prevalent condition in primary care and a leading cause of disability and absenteeism worldwide. Multidimensional approaches may be necessary to achieve physical and mental health benefits in individuals with CPLBP. Objective: The BACKFIT randomized controlled trial aims to evaluate the effectiveness of a multidimensional intervention—combining supervised exercise and mindfulness—on pain, physical fitness, mental health, and functional outcomes in individuals with CPLBP. Hypothesis: Both the supervised exercise program focused on motor control and trunk muscle strength (IG1) and the multidimensional intervention combining supervised exercise with mindfulness training (IG2) are expected to produce significant health improvements in individuals with CPLBP. It is further hypothesized that IG2 will yield greater improvements compared to IG1, both immediately post-intervention and at the two-month follow-up. Design: Randomized controlled trial. Setting: Virgen de las Nieves University Hospital, Granada (Spain). Participants: 105 individuals. Inclusion criteria: Previously diagnosed with CPLBP, aged ≥18 and ≤65 years, able to read and understand the informed consent, and able to walk, move, and communicate without external assistance. Exclusion criteria: serious lumbar structural disorders, acute or terminal illness, physical injury, mental illness, and medical prescriptions that prevent participation in the study. Intervention: Individuals will be randomly assigned to a supervised physical exercise group (2 days per week, 45 min per session), a multidimensional intervention group (same as supervised physical exercise group, and mindfulness 1 day per week, 2.5 h per session) or an active control group (usual care, 2 days per week, 45 min per session). The intervention will last 8 weeks. Main Outcome Measures: Primary outcome: pain threshold, perceived acute pain, and disability due to pain. Secondary measures: body composition, muscular fitness, gait parameters, device-measured physical activity and sedentary behavior, self-reported sedentary behavior, quality of life, pain catastrophizing, mental health, sleep duration and quality, and central sensitization. The groups will undergo pre-intervention, post-intervention, and a 2-month follow-up after a detraining period. Statistical Analysis: Both per-protocol and intention-to-treat approaches (≥70% attendance) will be used. Program effects will be assessed via one-way ANCOVA for between-group changes in primary and secondary outcomes. Conclusions: Given the complex nature of CPLBP, multidimensional approaches are recommended. If effective, this intervention may provide low-cost alternatives for health professionals. Full article

Background/Objectives: Maintaining proper posture and preventing musculoskeletal pain are essential for the healthy development of young football players. Contemporary concepts of postural control emphasize the importance of the lumbopelvic-hip complex and the activation of deep trunk muscles. This study aimed to evaluate the effects of a structured core stabilization training program on postural parameters and pain reduction in young football players. Methods: A total of 182 male football players, aged 9–15 years, were enrolled and allocated to either the intervention or control group. The 12-week intervention consisted of exercises targeting both local and global trunk stabilizers. Assessments included measurements of spinal curvatures, trunk rotation angles, lower limb loading symmetry, and postural stability using the TMX-127 digital inclinometer (Saunders Group Inc., Chaska, MN, USA) and the Baseline scoliometer (Fabrication Enterprises, Inc. New York, USA). Pain intensity was measured using the Visual Analogue Scale (VAS). Repeated-measures statistical analyses were performed with a significance level set at p ≤ 0.05. Results: The intervention group showed significant improvements in trunk rotational parameters, with reductions in ATR values at C7/Th1 (−0.54°) and L5/S1 (−0.49°). SATR values decreased by −0.28° between the second and third assessments. Symmetry of lower limb loading under eyes-open conditions improved significantly (p < 0.00195). No significant changes were observed in dynamic balance, as assessed by the Y-Balance Test (p > 0.05). Pain intensity decreased from 3.33 to 2.55 on the VAS, reflecting a reduction of 0.78 points. Conclusions: Systematic core stabilization training enhances postural quality and reduces the occurrence and severity of musculoskeletal pain in young football players, with lasting effects—except for postural control under conditions of reduced visual input. This type of training represents an effective physioprophylactic strategy, supporting postural control and lowering the risk of injuries. To maintain these benefits, continued training that incorporates balance and proprioceptive exercises is recommended. Full article

Water treadmill (WT) exercise is used for horses’ rehabilitation and training. Given that each training needs to be individualized for each horse, the goal is to assess whether infrared thermography (IRT) can serve as a non-invasive tool for daily monitoring of individual training and rehabilitation progress in horses undergoing WT exercise. Fifteen Polish Warmblood school horses were subjected to five WT sessions: dry treadmill, fetlock-depth water, fetlock-depth water with artificial river (AR), carpal-depth water, and carpal-depth water with AR. IRT images, collected pre- and post-exercise, were analyzed for the mean temperature (Tmean) and maximal temperature (Tmax) across 14 regions of interest (ROIs) representing the body surface overlying specific superficial muscles. While on a dry treadmill, Tmean and Tmax increased post-exercise in all ROIs; wetting of the hair coat limited surface temperature analysis in ROIs annotated on limbs. Tmax over the m. brachiocephalicus, m. trapezius pars cervicalis, m. triceps brachii, and m. semitendinosus increased during walking in carpal-depth water, which therefore may be suggested as an indirect indicator of increased activity related to forelimb protraction and flexion–extension of the limb joints. Tmax over the m. latissimus dorsi and m. longissimus increased during carpal-depth WT exercise with active AR mode, which may be suggested as an indicator of increased workload including vertical displacement of the trunk. Full article