Movement direction impacts knee joint kinematics during elliptical exercise at varying incline angles.

BACKGROUND: Elliptical trainers are a popular cardiovascular exercise for individuals with injuries or those post-operation. There is currently limited data on the impacts of direction while on elliptical trainers for knee joint kinematic risk factors. This study compared lower extremity kinematics between the forward and reverse direction at varying inclines on an elliptical trainer modified with converging footpath and reduced inter-pedal distance. METHODS: Twenty-four college age participants exercised on the modified elliptical in both directions at four ramp inclines: 6°, 12°, 25°, and 35°. Three-dimensional kinematics were collected for each direction and ramp incline. A 2 × 4 (direction × incline) repeated measures analysis of variance was run with an alpha of 0.05. Simple effects analysis was run with Bonferroni correction for significant interaction or main effect of ramp incline. RESULTS: The reverse direction had significantly greater peak knee valgus at 6° incline (mean difference [MD] = 1.35°, p < 0.014, d = 0.31) and 12° (MD = 2.41°, p < 0.001, d = 0.55), peak hip abduction at 6° (MD = 2.86°, p = 0.002, d = 0.49) and 12° (MD = 2.91°, p < 0.001, d = 0.51), but decreased peak knee flexion angles (p = 0.032) at all inclines. CONCLUSIONS: Individuals with knee pathologies such as knee osteoarthritis or anterior knee pain should exercise in the reverse direction at lower inclines. However, switching to the forward direction and/or increasing incline may increase quadriceps strength during a safe activity such as elliptical trainers.

Effect of Deep Slow Breathing on Pain-Related Variables in Osteoarthritis.

This study evaluated the effect of a six-week deep slow breathing (DSB) program on pain, physical function, and heart rate variability (HRV) in subjects with lower extremity joint pain. Twenty subjects were assigned into training (n = 10) and control (n = 10) groups. The training group participated in a six-week DSB program consisting of weekly training sessions and at-home breathing exercises. DSB exercises focused on prolonging the exhalation and the pause following exhalation. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to assess pain and physical function, and HRV data were obtained before and after intervention. Results revealed no significant interactions between group and time for any of the variables. There was no significant main effect for group, but there was a significant main effect (p < 0.025) and a large effect size for time on both pain (η p 2 = 0.454) and physical function (η p 2 = 0.506). There were no significant main effects (p > 0.017) for group and time on LF power (group η p 2 = 0.039, time η p 2 = 0.061), HF power (group η p 2 = 0.039, time η p 2 = 0.039), and LF/HF ratio (group η p 2 = 0.036, time η p 2 = 0.169). Results indicated that the six-week DSB program was not sufficient to alleviate pain or improve physical function in subjects with lower extremity joint pain. Although the pain was not alleviated, other beneficial effects such as better coping with the pain were reported in the majority of training subjects. As this is the first study to examine the use of DSB for lower extremity joint pain and dysfunction, further research is needed to investigate the efficacy and applicability of DSB.

Effect of a High-Intensity Isometric Potentiating Warm-up on Bat Velocity.

Gilmore, SL, Brilla, LR, Suprak, DN, Chalmers, GR, and Dahlquist, DT. Effect of a high-intensity isometric potentiating warm-up on bat velocity. J Strength Cond Res 33(1): 152-158, 2019-This study examined the acute effect of a high-intensity isometric potentiating warm-up on subsequent maximal horizontal bat velocity in experienced female softball players (n = 28). The isometric potentiating warm-up consisted of 3 sets of 5-second maximal voluntary contractions held in the early swing phase position, pulling against an immovable device. As one of the simplest methods to use the postactivation potentiation (PAP) stimulus, the warm-up was designed to acutely enhance muscle performance by inducing PAP. Because optimal recovery duration after a potentiating warm-up can be highly variable, swing trials were conducted at predetermined rest intervals (1, 2, 4, 6, 8, 10, and 12 minutes) to identify the recovery time that may have allowed for maximal possible benefits. Bat velocity was measured immediately before bat-ball impact using MaxTRAQ motion analysis software. The results showed that maximal horizontal bat velocity was significantly enhanced 6 minutes after the isometric warm-up protocol (+1.27 m·s, +2.84 mph, +4.93%; p < 0.05). In experienced female softball athletes, a specific isometric warm-up may acutely enhance maximal horizontal bat velocity.

Creatine-electrolyte supplementation improves repeated sprint cycling performance: A double blind randomized control study.

BACKGROUND: Creatine supplementation is recommended as an ergogenic aid to improve repeated sprint cycling performance. Furthermore, creatine uptake is increased in the presence of electrolytes. Prior research examining the effect of a creatine-electrolyte (CE) supplement on repeated sprint cycling performance, however, did not show post-supplementation improvement. The purpose of this double blind randomized control study was to investigate the effect of a six-week CE supplementation intervention on overall and repeated peak and mean power output during repeated cycling sprints with recovery periods of 2 min between sprints. METHODS: Peak and mean power generated by 23 male recreational cyclists (CE group: n = 12; 24.0 ± 4.2 years; placebo (P) group: n = 11; 23.3 ± 3.1 years) were measured on a Velotron ergometer as they completed five 15-s cycling sprints, with 2 min of recovery between sprints, pre- and post-supplementation. Mixed-model ANOVAs were used for statistical analyses. RESULTS: A supplement-time interaction showed a 4% increase in overall peak power (pre: 734 ± 75 W; post: 765 ± 71 W; p = 0.040; ηp2 = 0.187) and a 5% increase in overall mean power (pre: 586 ± 72 W; post: 615 ± 74 W; p = 0.019; ηp2 = 0.234) from pre- to post-supplementation for the CE group. For the P group, no differences were observed in overall peak (pre: 768 ± 95 W; post: 772 ± 108 W; p = 0.735) and overall mean power (pre: 638 ± 77 W; post: 643 ± 92 W; p = 0.435) from pre- to post-testing. For repeated sprint analysis, peak (pre: 737 ± 88 W; post: 767 ± 92 W; p = 0.002; ηp2 = 0.380) and mean (pre: 650 ± 92 W; post: 694 ± 87 W; p < 0.001; ηp2 = 0.578) power output were significantly increased only in the first sprint effort in CE group from pre- to post-supplementation testing. For the P group, no differences were observed for repeated sprint performance. CONCLUSION: A CE supplement improves overall and repeated short duration sprint cycling performance when sprints are interspersed with adequate recovery periods.