Human-in-the-Loop Optimization of Knee Exoskeleton Assistance for Minimizing User's Metabolic and Muscular Effort.

Lower limb exoskeletons have the potential to mitigate work-related musculoskeletal disorders; however, they often lack user-oriented control strategies. Human-in-the-loop (HITL) controls adapt an exoskeleton's assistance in real time, to optimize the user-exoskeleton interaction. This study presents a HITL control for a knee exoskeleton using a CMA-ES algorithm to minimize the users' physical effort, a parameter innovatively evaluated using the interaction torque with the exoskeleton (a muscular effort indicator) and metabolic cost. This work innovates by estimating the user's metabolic cost within the HITL control through a machine-learning model. The regression model estimated the metabolic cost, in real time, with a root mean squared error of 0.66 W/kg and mean absolute percentage error of 26% (n = 5), making faster (10 s) and less noisy estimations than a respirometer (K5, Cosmed). The HITL reduced the user's metabolic cost by 7.3% and 5.9% compared to the zero-torque and no-device conditions, respectively, and reduced the interaction torque by 32.3% compared to a zero-torque control (n = 1). The developed HITL control surpassed a non-exoskeleton and zero-torque condition regarding the user's physical effort, even for a task such as slow walking. Furthermore, the user-specific control had a lower metabolic cost than the non-user-specific assistance. This proof-of-concept demonstrated the potential of HITL controls in assisted walking.

Effectiveness of specific scapular therapeutic exercises in patients with shoulder pain: a systematic review with meta-analysis.

Background: Therapeutic exercise has been considered a useful tool to rehabilitate shoulder pain, namely through its influence on scapular dynamics. Accordingly, the effectiveness of scapular therapeutic exercise needs to be explored. The present study aims to evaluate the effectiveness of scapular therapeutic exercises in shoulder pain and to identify the most effective exercise type (focal or multijoint) and ways of delivering them (as dose and progression). Methods: Search was conducted at EMBASE, Cochrane Library, MEDLINE via PubMed, Web of Science, PEDro (Physiotherapy Evidence Database), and trial registration databases. The meta-analysis considered randomized controlled/crossover trials that compared the effect of scapular exercises against other types of intervention in the shoulder pain, shoulder function, scapular motion, and/or muscular activity. The risk of bias was assessed through the PEDro scale. Results: From the 8318 records identified, 8 (high to low risk of bias- scoring from 4 to 8 on the PEDro scale) were included. The overall data, before sensitivity analysis, indicated that the scapular therapeutic exercises are: a) more effective than comparators in improving shoulder function (standardized mean difference [SMD] = 0.52 [95% Cl: 0.05, 0.99], P = .03, I2 = 76%); and b) as effective as comparators in reducing shoulder pain (SMD = 0.32 [95% Cl: -0.09, 0.73], P = .13, I2 = 70%). Subgroup analysis revealed that scapular exercises are more effective in improving shoulder function when the program duration is equal to or higher than 6 weeks (SMD = 0.43 [95% Cl: 0.09, 0.76] P = .01, I2 = 21%) and/or when the maximum number of exercise repetitions per session is lower than 30 (SMD = 0.79 [95% Cl: 0.15, 1.42], P = .01, I2 = 77%). Only 1 study considered scapular motion as an outcome measure, revealing therapeutic exercise effectiveness to improve scapular range of motion. Conclusions: Intervention programs involving scapular therapeutic exercises are effective in improving shoulder function, presenting benefits when performed for 6 or more weeks and/or when used up to a maximum of 30 repetitions per exercise, per session.

Scapular muscle dynamic stiffness of asymptomatic subjects and subjects with chronic shoulder pain, at rest and isometric contraction conditions.

Muscle stiffness had a crucial role in joint stability, particularly, at the shoulder complex. Although changes in upper trapezius muscle stiffness have been described for shoulder pain, contradictory findings have been obtained. Also, existing data regarding scapular muscles are, majorly, about trapezius. Myotonometry is a method used to assess stiffness; however, the reliability values of scapular muscle stiffness through this method have not been assessed in shoulder pain conditions. The present study aims to compare scapular muscles' stiffness (trapezius, serratus anterior, and levator scapulae) between subjects with and without chronic shoulder pain and to evaluate the related test-retest reliability. Twenty-two symptomatic and twenty-two asymptomatic subjects participated in a cross-sectional study. The dynamic muscular stiffness of scapular muscles, at rest and during an isometric contraction, was measured bilaterally with myotonometry, in two moments. The differences in bilateral averaged values between symptomatic and asymptomatic subjects and the effect of the group (group presenting pain in the dominant or non-dominant side, and asymptomatic group) and of the limb (unilateral painful or asymptomatic limb, and bilateral asymptomatic limbs) were investigated. Test-retest intra-rater reliability was determined. An effect of the group was observed at rest, for middle trapezius stiffness, and during contraction, for middle and lower trapezius stiffness. For middle trapezius, increased values were observed in the group presenting pain in non-dominant side comparing to both groups or to group presenting pain in dominant side. The intraclass correlation coefficient, majorly, ranged between 0.775 and 0.989. Participants with pain in the non-dominant side presented an increased middle trapezius' stiffness. Globally, high reliability was observed for scapular muscles dynamic stiffness.

Swimming biomechanics: from the pool to the lab and back.

The swimming pool experience is a fertile ground to challenge current knowledge and catalyse research into factors governing swimming performance that may inform individualised swimming training. This paper discusses the perspective and contributions of a swimming scientist, analyst, and coach on the main current trends of scientific and technological developments, allowing a deeper knowledge about determining factors of swimming performance, its evaluation difficulties, and utility for coaching daily tasks. After equating the complexity of an integrative approach to 'swimming performance', five main topics were selected: (i) the swimming economy and energy profile characteristics of each swimmer and swimming technique; (ii) the associated intra-cycle velocity variation profile; (iii) the propulsive force generation capacity; (iv) the drag force imposed on the swimmer; and (v) the internal load characterisation, opening perspectives for understanding the muscle activity pattern. It was concluded that, all together, scientific developments in these domains have allowed for an almost complete picture of the complex network of factors that explain swimming performance (velocity to cover a given distance, which can be further decomposed into a specific combination of stroke length and frequency), favouring the objectivity of diagnosing strengths and weaknesses of an individual profile.

Swimming sprint performance depends on upper/lower limbs strength and swimmers level.

Swimming performance is likely influenced by strength, but differences between butterfly, backstroke, breaststroke and front crawl, as well as between novice and expert swimmers, are unclear. We have examined the associations between sprint performances, upper and lower limb strength, and anthropometric characteristics in 14 (six males and eight females) non-elite and 16 (nine males and seven females) elite-level swimmers. After an anthropometric characterisation, participants performed four 25 m maximal swims (one per technique) with 10 min intervals, right and left shoulder flexion/extension isokinetic testing at 90 and 300º/s angular velocities and three countermovement jumps. Pearson correlation analysis showed that sprint times were moderate-largely negatively correlated with upper and lower limb strength and power (r ± 95%CI = 0.39 ± 0.26-0.77 ± 0.13, p < 0.05). Elite swimmers higher strength levels were associated with longer stroke length in butterfly and front crawl, and with higher stroke rate in backstroke and breaststroke (r ± 95%CI = 0.37 ± 0.32-0.68 ± 0.21; p < 0.05). Butterfly, backstroke and front crawl sprint times were moderate-largely negatively related with arm span (r ± 95%CI = 0.37 ± 0.26, 0.39 ± 0.25 and 0.69 ± 0.17, p < 0.05). The predictive model indicated that higher dry-land strength values distinguished elite from non-elite swimmers (r2 = 0.67-0.81; p < 0.001). This association was not observed per performance level and per sex, confirming that sprint swimming performance levels can be differentiated by dry-land strength testing.

Association between elite swimmers' force production and 100†m front crawl inter-lap pacing and kinematics.

The present study aimed to analyse the associations between force production and 100 m front crawl inter-lap pacing and kinematics. Eleven elite male swimmers performed a 100 m front crawl maximal effort to collect 50 m lap time (T50, s) and velocity (v, m·s-1) for pacing, stroke rate (SR), stroke length (SL) and stroke index (SI) as kinematic variables. A 30 s tethered effort allowed to determine the peak (Fpeak) and mean force (Fmean) as force production variables. The relative change (Δ) between 50 m laps was also calculated for all measures. A paired sample t-test was used to check differences between laps and Pearson correlation coefficients allowed to quantify the associations between force and remaining variables. The T50 increased from the first to the second lap (ΔT50 = 10.61%, p < 0.01, d = 2.68), while v (Δv = -5.92%, p < 0.01, d = 1.53), SR (ΔSR = -6.61%, p < 0.01, d = 0.45) and SI (ΔSI = -4.92%, p = 0.02, d = 0.45) decreased. SL remained unchanged between laps (ΔSL = 1.07%, p = 0.66, d = 0.08). No associations were found between force production and most of Δ, with the only exception being the reasonable good association between Fpeak and Δv (r = 0.62, p = 0.04). Although both pacing and kinematics fall from the first to the second sections of a 100 m front-crawl effort, the swimmers who exhibit higher Fpeak show a more stable front crawl v between both 50 m laps.

Differences in Trapezius Muscle H-Reflex between Asymptomatic Subjects and Symptomatic Shoulder Pain Subjects.

In chronic shoulder pain, adaptations in the nervous system such as in motoneuron excitability, could contribute to impairments in scapular muscles, perpetuation and recurrence of pain and reduced improvements during rehabilitation. The present cross-sectional study aims to compare trapezius neural excitability between symptomatic and asymptomatic subjects. In 12 participants with chronic shoulder pain (symptomatic group) and 12 without shoulder pain (asymptomatic group), the H reflex was evoked in all trapezius muscle parts, through C3/4 nerve stimulation, and the M-wave through accessory nerve stimulation. The current intensity to evoke the maximum H reflex, the latency and the maximum peak-to-peak amplitude of both the H reflex and M-wave, as well as the ratio between these two variables, were calculated. The percentage of responses was considered. Overall, M-waves were elicited in most participants, while the H reflex was elicited only in 58-75% or in 42-58% of the asymptomatic and symptomatic participants, respectively. A comparison between groups revealed that the symptomatic group presented a smaller maximum H reflex as a percentage of M-wave from upper trapezius and longer maximal H reflex latency from the lower trapezius (p < 0.05). Subjects with chronic shoulder pain present changes in trapezius H reflex parameters, highlighting the need to consider trapezius neuromuscular control in these individuals' rehabilitation.

Acute ventilatory responses to swimming at increasing intensities.

Background: Physical exercise is a source of stress to the human body, triggering different ventilatory responses through different regulatory mechanisms and the aquatic environment imposes several restrictions to the swimmer, particularly regarding the restricted ventilation. Thus, we aimed to assess the acute ventilatory responses and to characterize the adopted breathing patterns when swimming front crawl at increasing intensity domains. Methods: Eighteen well-trained swimmers performed 7 × 200 m front crawl (0.05 m∙s-1 velocity increments) and a maximal 100 m (30 s rest intervals). Pulmonary gas exchange and ventilation were continuously measured (breath-by-breath) and capillary blood samples for lactate concentration ([La-]) analysis were collected at rest, during intervals and at the end of the protocol, allowing the identification of the low, moderate, heavy, severe and extreme intensity domains. Results: With the swimming velocity rise, respiratory frequency (f R), [La-] and stroke rate (SR) increased ([29.1-49.7] breaths∙min-1, [2.7-11.4] mmol∙L-1, [26.23-40.85] cycles; respectively) and stroke length (SL) decreased ([2.43-2.04] m∙min-1; respectively). Oxygen uptake (VO2), minute ventilation (VE), carbon dioxide production (VCO2) and heart rate (HR) increased until severe ([37.5-53.5] mL∙kg-1∙min-1, [55.8-96.3] L∙min-1, [32.2-51.5] mL∙kg-1∙min-1 and [152-182] bpm; respectively) and stabilized from severe to extreme (53.1 ± 8.4, mL∙kg-1∙min-1, 99.5 ± 19.1 L∙min-1, 49.7 ± 8.3 mL∙kg-1∙min-1 and 186 ± 11 bpm; respectively) while tidal volume (VT) was similar from low to severe ([2.02-2.18] L) and decreased at extreme intensities (2.08 ± 0.56 L). Lastly, the f R/SR ratio increased from low to heavy and decreased from severe to the extreme intensity domains (1.12 ± 0.24, 1.19 ± 0.25, 1.26 ± 0.26, 1.32 ± 0.26 and 1.23 ± 0.26). Conclusions: Our findings confirm a different ventilatory response pattern at extreme intensities when compared to the usually evaluated exertions. This novel insight helps to understand and characterize the maximal efforts in swimming and reinforces the importance to include extreme efforts in future swimming evaluations.

The influence of shoulder position during multi-joint exercises in the relative scapular muscles activity in symptomatic and asymptomatic conditions.

BACKGROUND: Scapular muscles changes, as increased upper trapezius activity and decreased middle and lower trapezius and serratus anterior muscle activity, have been demonstrated in shoulder pain specific or non-specific conditions. Shoulder external rotation exercises have been recommended to improve scapular activity in shoulder pain. OBJECTIVE: To evaluate the relative scapular muscles activity during multi-joint exercises combining shoulder external rotation, trunk rotation and scapular squeeze. METHODS: Forty-one participants with and without shoulder pain were assessed in a cross-sectional study. They performed isometric multi-joint exercises at 0∘ and 90∘ of shoulder abduction with and without support. The relative activity of upper, middle, and lower trapezius and serratus anterior (upper/middle and lower portions) was measured through electromyography. The scapular muscular balance was assessed by the ratio between relative activity of the upper trapezius and the other muscles. RESULTS: Both groups presented similar results. The exercise at 90∘ abduction led to increased relative muscle activity against maximal voluntary contraction in both groups for upper trapezius (with support: 4% MVIC, p= 0.001 or 15% MVIC, p< 0.0001; and without support: 11% MVIC, p< 0.0001 or 13%, p< 0.0001, for asymptomatic and symptomatic group, respectively) and lower trapezius (with support: 66% MVIC, p< 0.0001 or 62% MVIC, p< 0.0001, for asymptomatic and symptomatic group.

How Technique Modifications in Elite 100m Swimmers Might Improve Front Crawl Performances to Podium Levels: Swimming 'Chariots of Fire'.

In this paper ways in which performance in 100 m front crawl might be improved are explored. Researchers were identified as 'primary sources' to provide a rationale for how swimmers might improve their performance and to estimate the potential magnitude of improvement. The researchers selected as the primary sources were identified from an initial search of the Scopus and Web of Science data bases using keywords appropriate for the race phases including start, stroking, turn, and finish and their component sub-phases. Recent research was prioritised to ensure that the latest knowledge was considered. Based on an analogy drawn from the 'Chariots of Fire' movie, the hypothetical question was asked: how can we reduce the 100 m time by 0.5s of a swimmer who is already an elite performer? Estimates of potential improvement ranged from 0.013s for the reaction time in the start phase to 1.0s by optimising mid-pool kicking to minimise drag. It is concluded that even at the very elite level, fine-tuning to optimise performance in the different phases of the race could elevate an elite swimmer to podium level performance.

Differences in the rotational effect of buoyancy and trunk kinematics between front crawl and backstroke swimming.

The purpose of the present study was to investigate differences between front crawl and backstroke swimming in hydrodynamic (produced by swimmers) and buoyant torque around the transverse axis. Ten swimmers performed 50 m front crawl and backstroke at four selected velocities (same velocities for both techniques). All trials were recorded by four underwater and two above-water cameras to collect data for three-dimensional whole-body motion during one stroke cycle (defined as a period between two consecutive wrist entries to the water). The inverse dynamics approach was applied to obtain buoyant and hydrodynamic torque around the transverse axis. The differences between front crawl and backstroke techniques across four levels of velocity were assessed with a two-way repeated-measures ANOVA. There was a main effect of technique on the mean buoyant and hydrodynamic torque, with 30-40 % larger leg-raising buoyant torque and leg sinking hydrodynamic torque in front crawl than in backstroke (p ≤ 0.001). The time-series data revealed that the hydrodynamic leg-sinking torque had its peaks during the first half of the underwater upper-limb motion in front crawl, but that was not observed in backstroke, implying that the strategy of counterbalancing the buoyant torque is different between the techniques.

Biomechanical framework for the inverse dynamic analysis of swimming using hydrodynamic forces from swumsuit.

This study aims to integrate an open-source software capable of estimating hydrodynamic forces solely from kinematic data with a full-body biomechanical model of the human body to enable inverse dynamic analyses of swimmers. To demonstrate the methodology, intersegmental forces and joint torques of the lower limbs were computed for a six-beat front crawl swimming motion, acquired at LABIOMEP-UP. The hydrodynamic forces obtained compare well with existing numerical literature. The intersegmental forces and joint torques obtained increase from distal to proximal joints. Overall, the results are consistent with the limited literature on swimming biomechanics, which provides confidence in the presented methodology.

Electrical stimulation to prevent recurring pressure ulcers in individuals with a spinal cord injury compared to usual care: the Spinal Cord Injury PREssure VOLTage (SCI PREVOLT) study protocol.

BACKGROUND: Pressure ulcers (PUs) on the buttocks are among the most common secondary complications in individuals with chronic spinal cord injury (SCI). PUs can result from sitting for extended periods, disuse atrophy, increased sitting pressure and reduced circulation. Compared with usual care, activation of paralysed muscles using electrical stimulation (ES) has been shown to markedly increase paralysed muscle mass, improve circulation of skin and muscle and improve sitting pressure distribution. ES might therefore be a useful method to reduce PU incidence. METHODS: A multicentre randomized controlled trial (SCI PREVOLT) will be conducted with an economic and process evaluation alongside. One hundred participants with a SCI in the chronic phase and a minimal incidence of 1 PU in the last 5 years will be recruited from rehabilitation centres across the Netherlands. Participants will be stratified by centre and age and randomized to the intervention or control group. The intervention group will use ES at least 1 h/day during at least 4 times a week for 1 year next to usual care. The control group will only receive usual care. The primary outcome is the incidence of PUs, measured by a blinded person assessing the presence or absence of a PU on the buttocks on a photo made by the participant or his/her caregiver. The incidence of a PU will be evaluated every 2 weeks. Secondary outcomes include interface pressure distribution, blood flow in the profunda femoris artery, muscle thickness of the hamstrings and gluteal muscles and questionnaires about different dimensions of life, e.g. participation and quality of life. Secondary outcomes will be measured at baseline and 3, 6, 9 and 12 months after randomization. DISCUSSION: This study will assess if electrical stimulation is a (cost-)effective method to prevent PUs and reduce the risk factors of getting PUs. If ES is effective and cost-effective compared with usual care, ES could be implemented in daily treatment of individuals with a SCI. TRIAL REGISTRATION: Netherlands Trials Register NTR NL9469 . Registered on 26 May 2021.

Numerical simulations of a swimmer's head and cap wearing different types of goggles.

The aim of this study was to analyse the effect of swimming goggles on swimming hydrodynamics by numerical simulations. An elite swimmer volunteered for this research. The swimmer's head was scanned both without goggles, and while wearing 3 different types of goggles (Nikko, Ankor and Swedish). Numerical simulations were conducted at 2 m/s with the Fluent code. The condition without goggles showed the highest viscous drag (1.65 N), followed by the Ankor (1.64 N), Swedish (1.63 N) and Nikko (1.62 N) goggles, respectively. The highest pressure drag was found in the situation without goggles (11.34 N), followed by the Ankor (10.87 N), Nikko (10.78 N) and Swedish (10.20 N) goggles. The condition without goggles presented the highest total drag (12.99 N), followed by the Ankor (12.52 N), Nikko (12.40 N) and Swedish (11.83 N) goggles. Thus, Swedish goggles yields the best hydrodynamics, followed by the Nikko and Ankor goggles and lastly without goggles. Thus, goggles minimise the swimmer's drag comparing to not wearing any. The design of the goggles may impose varying drag forces and therefore it is advised to use goggles at least in competition.

Expatriação de atletas e seus aspectos psicológicos: uma revisão sistemática de literatura / Expatriación de atletas y aspectos psicológicos: una revisión de literatura sistemática / Expatriation of athletes and psychological aspects: a systematic literature review

Atletas de modalidades esportivas migram ao longo de suas carreiras para outros países em busca de diferentes objetivos, dentre os quais alcançar melhor desempenho e status sociais e financeiro. Nesse sentido, o objetivo deste estudo foi revisar a literatura em relação aos aspectos psicológicos envolvidos no processo de expatriação de atletas. Para tanto, foram realizadas buscas nas bases de dados Scielo, PubMed, SportDiscus, BVS, Embase e Banco de teses e dissertações da CAPES, com vocábulos próprios de cada base, nos idiomas inglês, português e espanhol. Foram incluídos estudos que contemplassem atletas de rendimento e investigassem o processo de migração internacional no esporte, além de excluídos os estudos de revisão e estudos realizados com estudantes, atletas estudantes e técnicos. Após criteriosa triagem, realizada por meio do programa gerenciador de referências bibliográficas, o software EndNote(R), foram selecionados e armazenados oito estudos elegíveis para análise, utilizando o modelo temporal de transição cultural. Assim, os resultados obtidos ilustraram que, entre os atletas, não é uma prática comum a busca por informações prévias sobre o país hospedeiro e/ou o contexto esportivo em que serão inseridos. Já, em relação ao processo de adaptação cultural aguda, evidenciou-se que a principal estratégia utilizada, ligada às necessidades psicológicas básicas, somada ao aprendizado do idioma, foram fundamentais na promoção da sensação de pertencimento à cultura e, consequentemente, o desenvolvimento da adaptação sociocultural. Diante disso, conclui-se que investigar os aspectos psicológicos envolvidos na migração internacional de atletas, oferecendo o preparo psicológico para enfrentar os desafios pertinentes à adaptação cultural, provavelmente contribuirão para o melhor entendimento nas escolhas das estratégias a serem utilizadas nesse processo, bem como podem ser determinantes para o sucesso da migração

Los atletas de modalidades deportivas migran a lo largo de su carrera a otros países en busca de diferentes objetivos, entre ellos, para lograr un mejor rendimiento y un estado social y financiero. En este sentido, el objetivo de este estudio fue revisar la literatura en relación con los aspectos psicológicos involucrados en el proceso de expatriación de los atletas. Para este fin, se realizaron búsquedas en las bases de datos de tesis y disertaciones de Scielo, PubMed, SportDiscus, BVS, Embase y CAPES, con palabras específicas para cada base, en inglés, portugués y español. Se incluyeron estudios que incluyeron atletas de rendimiento e investigaron el proceso de migración internacional en el deporte y se excluyeron los estudios de revisión y estudios con estudiantes, estudiantes atletas y entrenadores. Después de una cuidadosa selección, realizada a través del programa administrador de referencias bibliográficas, el software EndNote(R), se seleccionaron y almacenaron ocho estudios elegibles para el análisis utilizando el modelo temporal de transición cultural. Por lo tanto, los resultados obtenidos ilustraron que, entre los atletas, no es una práctica común buscar información previa sobre el país anfitrión y / o el contexto deportivo en el que se insertarán. En relación con el proceso de adaptación cultural aguda, se hizo evidente que la estrategia principal utilizada está vinculada a las necesidades psicológicas básicas, además del aprendizaje de idiomas, fueron fundamentales para promover el sentimiento de pertenencia a la cultura y, en consecuencia, el desarrollo de Adaptación sociocultural. Por lo tanto, se concluye que investigar los aspectos psicológicos involucrados en la migración internacional de atletas, ofreciendo la preparación psicológica para enfrentar los desafíos pertinentes a la adaptación cultural, probablemente contribuirá a una mejor comprensión de las opciones de estrategias que se utilizarán en este proceso, así como determinando el éxito de la migración

Athletes from sports modalities migrate throughout their career to other countries in search of different objectives, among them, to achieve better performance and social and financial status. In this sense, the objective of this study was to review the literature in relation to the psychological aspects involved in the expatriation process of athletes. For this purpose, searches were carried out in the Scielo, PubMed, SportDiscus, BVS, Embase and CAPES theses and dissertations databases, with words specific to each base, in English, Portuguese and Spanish. Studies that included performance athletes and investigated the process of international migration in sport were included and review studies and studies with students, student athletes and coaches were excluded. After careful screening, carried out by means of the bibliographic reference manager program, the EndNote(R) software, eight studies eligible for analysis were selected and stored using the temporal model of cultural transition. Thus, the results obtained illustrated that, among athletes, it is not a common practice to search for previous information about the host country and / or the sports context to which they will be inserted. In relation to the process of acute cultural adaptation, it became evident that the main strategy used is linked to basic psychological needs, in addition to language learning, were fundamental in promoting the feeling of belonging to culture and, consequently, the development of sociocultural adaptation. Therefore, it is concluded that investigating the psychological aspects involved in the international migration of athletes, offering the psychological preparation to face the challenges pertinent to cultural adaptation, will probably contribute to a better understanding in the choices of strategies to be used in this process, as well as can determining the success of the migration

Differences in force production and EMG activity on underwater and dry land conditions in swimmers and non-swimmers.

This research aims to provide a better understanding of the swimming push-off specificity comparing force production and electromyographic (EMG) activity on squat-jumps (SJ) and countermovement-jumps (CMJ) performed underwater (similar to swimming turns push-off) and dryland conditions on two different level of expertise participants (swimmers and non-swimmers). Thirteen male swimmers and nine non-trained male sport sciences students participated in this study. Each subject carried out 10 CMJ and 10 SJ jumps in dryland (vertical) and underwater (horizontal). During these trials, force production was recorded by force platforms and muscular activity of Vastus Lateralis, Biceps Femoris, Gastrocnemius Medialis and Tibialis Anterior was analysed through EMG. A three-way ANOVA showed that swimmers increased the differences in values obtained from SJ to CMJ between dry and underwater conditions during the first impulse phase-Impulse 1 (p < 0.01), the second phase of impulse-Impulse 2 (p < 0.001) and duration from peak force to take off (p < 0.001) in contrast to non-swimmers. Patterns relating to force production and EMG were non-consistent between muscles. Jumping performance was not significantly correlated between dry land and underwater conditions; nevertheless, results emphasise that environmental constraints are decisive to define the neuro-motor response to apparently similar tasks performed in different contexts.

Accelerometer-based prediction of skeletal mechanical loading during walking in normal weight to severely obese subjects.

There is no objective way to monitor mechanical loading characteristics during exercise for bone health improvement. We developed accelerometry-based equations to predict ground reaction force (GRF) and loading rate (LR) in normal weight to severely obese subjects. Equations developed had a high and moderate accuracy for GRF and LR prediction, respectively, thereby representing an accessible way to determine mechanical loading characteristics in clinical settings. INTRODUCTION: There is no way to objectively prescribe and monitor exercise for bone health improvement in obese patients based on mechanical loading characteristics. We aimed to develop accelerometry-based equations to predict peak ground reaction forces (pGRFs) and peak loading rate (pLR) on normal weight to severely obese subjects. METHODS: Sixty-four subjects (45 females; 84.6 ± 21.7 kg) walked at different speeds (2-6 km·h-1) on a force plate-equipped treadmill while wearing accelerometers at lower back and hip. Regression equations were developed to predict pGRF and pLR from accelerometry data. Leave-one-out cross-validation was used to calculate prediction accuracy and Bland-Altman plots. Actual and predicted values at different speeds were compared by repeated measures ANOVA. RESULTS: Body mass and peak acceleration were included for pGRF prediction and body mass and peak acceleration transient rate for pLR prediction. All pGRF equation coefficients of determination were above 0.89, a good agreement between actual and predicted pGRFs, with a mean absolute percent error (MAPE) below 6.7%. No significant differences were observed between actual and predicted pGRFs at each walking speed. Accuracy indices from our equations were better than previously developed equations for normal weight subjects, namely a MAPE approximately 3 times smaller. All pLR prediction equations presented a lower accuracy compared to those developed to predict pGRF. CONCLUSION: Walking pGRF and pLR in normal weight to severely obese subjects can be predicted with moderate to high accuracy by accelerometry-based equations, representing an easy and accessible way to determine mechanical loading characteristics in clinical settings.

In-Water and On-Land Swimmers' Symmetry and Force Production.

Although performance and biomechanical evaluations are becoming more swimming-specific, dryland testing permits monitoring of a larger number of performance-related variables. However, as the degree of comparability of measurements conducted in-water and on land conditions is unclear, we aimed to assess the differences between force production in these two different conditions. Twelve elite swimmers performed a 30 s tethered swimming test and four isokinetic tests (shoulder and knee extension at 90 and 300°/s) to assess peak force, peak and average torque, and power symmetry index. We observed contralateral symmetry in all the tests performed, e.g., for 30 s tethered swimming and peak torque shoulder extension at 90°/s: 178 ± 50 vs. 183 ± 56 N (p = 0.38) and 95 ± 37 vs. 94 ± 35 N × m (p = 0.52). Moderate to very large direct relationships were evident between dryland testing and swimming force production (r = 0.62 to 0.96; p < 0.05). Swimmers maintained similar symmetry index values independently of the testing conditions (r = -0.06 to -0.41 and 0.04 to 0.44; p = 0.18-0.88). Asymmetries in water seems to be more related to technical constraints than muscular imbalances, but swimmers that displayed higher propulsive forces were the ones with greater force values on land. Thus, tethered swimming and isokinetic evaluations are useful for assessing muscular imbalances regarding propulsive force production and technical asymmetries.