Muscle Damage, Inflammation, and Muscular Performance following the Physical Ability Test in Professional Firefighters.

Proper monitoring of fatigue and muscular damage may be used to decrease the high levels of cardiovascular disease, overuse musculoskeletal injuries, and workers compensation claims within the profession of firefighting. The purpose of this study was to examine muscle damage, muscular fatigue, and inflammation responses following a typical firefighting shift. Twenty-four professional firefighters completed two Physical Ability Tests to standardize the tasks typically performed in a day of work, and to elicit similar physiological responses. Participants were then monitored for 48 h. Prior to, and 48 h following the Physical Ability Tests, participants were evaluated for changes in strength, power, range-of-motion, as well as blood markers including myoglobin and c-reactive protein. Following the Physical Ability Tests, significant differences in myoglobin (p < 0.05), grip strength (p < 0.05), vertical jump (p < 0.05), and sit-and-reach (p < 0.05) were observed. No difference in c-reactive protein was observed (p > 0.05). After 24 hours following a shift, firefighters exhibited decreased strength, power, and range-of-motion. This may lead to decreases in performance and an increased risk of injury.

Acute Supplementation with Cannabidiol Does Not Attenuate Inflammation or Improve Measures of Performance following Strenuous Exercise.

Supplementation with cannabidiol (CBD) may expedite recovery when consumed after exercise. The purpose of this study was to determine if supplementation with CBD reduces inflammation and enhances performance following strenuous eccentric exercise in collegiate athletes. Twenty-four well-trained females (age = 21.2 ± 1.8 years, height = 166.4 ± 8 cm, weight = 64.9 ± 9.1 kg) completed 100 repetitions of unilateral eccentric leg extension to induce muscle damage. In this crossover design, participants were randomized to receive 5 mg/kg of CBD in pill form or a placebo 2 h prior to, immediately following, and 10 h following muscle damage. Blood was collected, and performance and fatigue were measured prior to, and 4 h, 24 h, and 48 h following the muscle damage. Approximately 28 days separated treatment administration to control for the menstrual cycle. No significant differences were observed between the treatments for inflammation, muscle damage, or subjective fatigue. Peak torque at 60°/s (p = 0.001) and peak isometric torque (p = 0.02) were significantly lower 24 h following muscle damage, but no difference in performance was observed between treatments at any timepoint. Cannabidiol supplementation was unable to reduce fatigue, limit inflammation, or restore performance in well-trained female athletes.

Return to duty after severe bilateral lower extremity trauma.

Despite the preponderance of evidence demonstrating poor outcomes as a result of combat-related orthopaedic trauma, teams of medical professionals have remained undaunted in their pursuit of innovative techniques to maximize the functional capacity of Servicemembers with devastating extremity injuries. We present the case of an Active Duty Special Forces (SF) qualified senior noncommissioned officer (NCO) with severely injured extremities successfully salvaged with a multidisciplinary program involving cutting-edge prosthetic technology and a novel approach to physical rehabilitation.

Upper-body anthropometric and strength measures and their relationship to start time in elite luge athletes.

Start time has been shown to be a significant predictor of overall performance in the sport of luge. The starting motion in luge has been described as an explosive upper-body movement that requires significant technique and skill to perfect. This study aims to investigate upper-body factors that may relate to start time in luge. Twenty-two subjects participated in the study as part of their normal off-season training. Each subject had a minimum of 3 years' experience in the sport of luge, and at the time was a member of a U.S. Luge National Team. Subjects completed a 1 repetition maximum (1RM) in the bench press (BP), prone row (PR), and weighted pull-up (WP). Anthropometric distances were taken measuring finger-tip span (FS), biacromial breadth (BB), acromio-radial length, acromio-olecranon length (AO), hand length, and sitting cervical height. Subjects were divided into 2 groups based on which U.S. Luge National team they were currently a member of, Senior National (SN, n = 13) and Junior National (JN, n = 9). A Pearson product-moment correlation coefficient showed several significant (p ≤ 0.05) relationships between upper-body variables and start time among the groups. The BP and PR 1RM were shown to have a significant relationship in both groups. Among the anthropometric variables, AO was also significant in both groups. The WP, FS, BB, and height were all shown to have a significant relationship with start time in the SN group, but not in the JN group. These results suggest that as luge athletes become more efficient in the starting technique, outside factors such as upper-body strength and anthropometric measures play a larger role in performance.