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1.
J Strength Cond Res ; 37(12): 2333-2338, 2023 Dec 01.
Article in English | MEDLINE | ID: mdl-37815259

ABSTRACT

ABSTRACT: Ross, JA, Keogh, JWL, Lorenzen, C, and Lake, J. Effects of 56-kilogram kettlebell swing endpoint on total body mechanics. J Strength Cond Res 37(12): 2333-2338, 2023-In the past 2 decades, kettlebell training popularity has increased and the range of kettlebells has expanded to 2-92 kg. However, commercially available kettlebells above 56 kg have 12 kg increments, so alternatives to load are required to provide a suitable way of increasing training stimulus until the athlete is strong enough for a load increase. This study aimed to determine the differences in the force plate-derived biomechanical characteristics of heavy kettlebell swings to 3 different heights, as altering the height of the kettlebell swing may be one way to alter the mechanical demands with the same kettlebell mass. Fifteen resistance-trained men performed the kettlebell swing to acromion process height (AH), acromion process height + 20% (AH+20), and acromion process height-20% (AH-20). Swing height significantly affected vertical braking and propulsion phase net impulse and displacement, vertical braking velocity, and braking and propulsion work but not braking and propulsion duration. Altering kettlebell swing trajectory endpoint is a method to regress/progress the demands of kettlebell training. Coaches may be able to alter the acute demands and likely chronic adaptations of kettlebell training by prescribing different swing heights and kettlebell masses to their athletes.


Subject(s)
Resistance Training , Male , Humans , Resistance Training/methods , Athletes
2.
PeerJ ; 10: e14370, 2022.
Article in English | MEDLINE | ID: mdl-36438579

ABSTRACT

Background: Research into the kettlebell swing has increased in the last decade. There has been a paucity of literature assessing an individual's ability to perform the kettlebell swing exercise. The purpose of this study was to determine the test-retest reliability of the one and five repetition maximum (1RM and 5RM) kettlebell swing. Materials & Methods: Twenty four recreational resistance-trained participants performed an isometric mid-thigh pull (IMTP) and two familiarization sessions followed by three test sessions for each RM load approximately one week apart, using a custom-built plate-loaded kettlebell. On each test occasion, subjects completed a series of warm-up sets followed by 3-4 progressively heavier kettlebell swings to a standardized height until 1RM or 5RM was reached. Test-retest reliability was calculated using the intra-class correlation (ICC) and typical error was represented as the coefficient of variation (CV%) with 90% confidence limits (90% CL). The smallest worthwhile change (SWC%) representing the smallest change of practical importance, was calculated as 0.2 × between-subject standard deviation. The relationship of kettlebell swing performance and maximum strength was determined by Pearson correlation with ±90% CL between the absolute peak force recorded during IMTP and 1RM or 5RM. Results: Results demonstrated a high test-retest reliability for both the 1RM (ICC = 0.97, 90% CL [0.95-0.99]; CV = 2.7%, 90% CL [2.2-3.7%]) and 5RM (ICC = 0.98, 90% CL [0.96-0.99]; CV = 2.4%, 90% CL [1.9-3.3%]), respectively. The CV% was lower than the SWC for both the 1RM (SWC = 2.8%, 90% CL [1.9-3.5]) and 5RM (SWC = 2.9%, 90% CL [1.9-3.6]) kettlebell swing. The correlation between IMTP absolute peak force and the 1RM (r = 0.69, 90% CL 0.43-0.83) was large and very large for the 5RM (r = 0.75, 90% CL [0.55-0.87]). Conclusions: These results demonstrate the stability of 1RM and 5RM kettlebell swing performance after two familiarization sessions. Practitioners can be confident that changes in kettlebell swing 1RM and 5RM performance of >3.6 kg represent a practically important difference, which is the upper limit of the 90% CL.


Subject(s)
Exercise Test , Muscle Strength , Humans , Reproducibility of Results , Exercise Test/methods , Thigh , Lower Extremity
3.
J Strength Cond Res ; 34(7): 1953-1958, 2020 Jul.
Article in English | MEDLINE | ID: mdl-28930870

ABSTRACT

Del Monte, MJ, Opar, DA, Timmins, RG, Ross, JA, Keogh, JWL, and Lorenzen, C. Hamstring myoelectrical activity during three different kettlebell swing exercises. J Strength Cond Res 34(7): 1953-1958, 2020-Kettlebell exercises have become an increasingly popular form of resistance training and component of lower-body rehabilitative training programs, despite a lack of scientific literature illustrating internal mechanisms and effectiveness of these approaches. Participants (n = 14) performed 3 different styles of kettlebell swings (hip hinge, squat, and double knee extension) and were assessed for medial hamstrings (MHs) and biceps femoris (BF) myoelectrical activity through surface electromyography (sEMG). Bipolar pregelled Ag/AgCl sEMG electrodes (10 mm diameter, 20 mm interelectrode distance) were placed on the participant's dominant limb after correct skin preparation. There was a main effect for swing type (p = 0.004), where the hip hinge swing elicited a greater overall MH and BF sEMG in comparison with the squat swing (mean difference = 3.92; 95% confidence interval [CI] = 1.53-6.32; p = 0.002) and the double knee extension swing (mean difference = 5.32; 95% CI = 0.80-9.83; p = 0.020). Across all swing types, normalized percentage of MH sEMG was significantly higher compared with the BF (mean difference = 9.93; 95% CI = 1.67-18.19; p = 0.022). The hip hinge kettlebell swing produced the greatest amount of hamstring sEMG for the 3 styles of kettlebell swings assessed. These findings have implications for the application of kettlebell swing exercises in strength and conditioning, injury prevention, and rehabilitation programs.


Subject(s)
Hamstring Muscles/physiology , Resistance Training/methods , Adult , Biomechanical Phenomena , Electromyography , Hip Joint/physiology , Humans , Knee Joint/physiology , Male
4.
Obes Rev ; 20(6): 906-920, 2019 06.
Article in English | MEDLINE | ID: mdl-30887713

ABSTRACT

This study aimed to assess, for the first time, the change in vascular reactivity across the full spectrum of cardiometabolic health. Systematic searches were conducted in MEDLINE and EMBASE databases from their inception to March 13, 2017, including studies that assessed basal vascular reactivity in two or more of the following health groups (aged ≥18 years old): healthy, overweight, obesity, impaired glucose tolerance, metabolic syndrome, or type 2 diabetes with or without complications. Direct and indirect comparisons of vascular reactivity were combined using a network meta-analysis. Comparing data from 193 articles (7226 healthy subjects and 19344 patients), the network meta-analyses revealed a progressive impairment in vascular reactivity (flow-mediated dilation data) from the clinical onset of an overweight status (-0.41%, 95% CI, -0.98 to 0.15) through to the development of vascular complications in those with type 2 diabetes (-4.26%, 95% CI, -4.97 to -3.54). Meta-regressions revealed that for every 1 mmol/l increase in fasting blood glucose concentration, flow-mediated dilation decreased by 0.52%. Acknowledging that the time course of disease may vary between patients, this study demonstrates multiple continuums of vascular dysfunction where the severity of impairment in vascular reactivity progressively increases throughout the pathogenesis of obesity and/or insulin resistance, providing information that is important to enhancing the timing and effectiveness of strategies that aim to improve cardiovascular outcomes.


Subject(s)
Cardiovascular Diseases/complications , Metabolic Diseases/complications , Vascular Diseases/complications , Humans , Network Meta-Analysis
5.
Microvasc Res ; 115: 8-11, 2018 01.
Article in English | MEDLINE | ID: mdl-28772105

ABSTRACT

BACKGROUND: This study assessed whether aerobic exercise would attenuate microvascular endothelial dysfunction induced by commercial sugar-sweetened beverage (SSB) consumption. METHODS: Eleven healthy males participated in this randomized, single-blind crossover study. Cutaneous microvascular endothelial function was assessed using laser speckle contrast imaging coupled with post-occlusive reactive hyperemia before and after a) consumption of water; b) consumption of a commercial SSB; c) 30min of aerobic exercise followed by water consumption; and d) 30 minutes of aerobic exercise followed by SSB consumption. Blood glucose and arterial pressure responses were also monitored. Volumes of water and SSB consumed (637.39±29.15 mL) were individualized for each participant, ensuring SSB consumption delivered 1 g of sucrose per kg of body weight. Exercise was performed at 75% of the maximal oxygen uptake heart rate. RESULTS: Compared to water consumption, the commercial SSB elevated blood glucose concentrations in both sedentary (4.69±0.11 vs. 7.47±0.28 mmol/L, P<0.05) and exercised states (4.95±0.13 vs. 7.93±0.15 mmol/L, P<0.05). However, the decrease in microvascular endothelial function observed following sedentary SSB consumption, expressed as the percentage increase from baseline (208.60±22.40 vs. 179.83±15.80%, P=0.01) and the change in peak hyperemic blood flux from basal to post-intervention assessments (-0.04±0.03 vs. -0.12±0.02 ΔCVC, P=0.01), was attenuated following 30min of aerobic exercise. CONCLUSIONS: To our knowledge, this is the first study to provide evidence that a single bout of aerobic exercise may prevent transient SSB-mediated microvascular endothelial dysfunction.


Subject(s)
Beverages/adverse effects , Dietary Sucrose/adverse effects , Endothelium, Vascular/physiopathology , Exercise , Hyperglycemia/physiopathology , Microcirculation , Microvessels/physiopathology , Skin/blood supply , Administration, Oral , Arterial Pressure , Biomarkers/blood , Blood Glucose/metabolism , Cross-Over Studies , Dietary Sucrose/administration & dosage , Humans , Hyperglycemia/blood , Hyperglycemia/etiology , Male , Single-Blind Method , Time Factors , Victoria
6.
Microvasc Res ; 113: 29-39, 2017 09.
Article in English | MEDLINE | ID: mdl-28457877

ABSTRACT

AIM: Iontophoresis of vasoactive agents is commonly used to assess cutaneous microvascular reactivity. However, it is known that iontophoresis can be limited by confounding non-specific vasodilatory effects. Despite this, there is still no standardization of protocols or data expression. Therefore, this study evaluated commonly used protocols of iontophoresis by assessing each for evidence of non-specific vasodilatory effects and examined the reproducibility of those protocols that are free of non-specific responses. METHODS: Twelve healthy participants were administered doses of acetylcholine (ACh) 1-2% and sodium nitroprusside (SNP) 1%, diluted in sodium chloride 0.9% or deionized water, and insulin 100U/mL in a sterile diluent using iontophoresis coupled with laser speckle contrast imaging (LSCI). Increases in blood flux at a control electrode, containing the diluent only, indicated a non-specific response. Reproducibility of iontophoresis protocols that were free of non-specific vasodilatory effects were subsequently compared to that of post-occlusive reactive hyperemia (PORH), used as a standard, in 20 healthy participants. RESULTS: Iontophoresis of ACh or SNP in sodium choloride (0.02mA for 200 and 400s, respectively) and ACh in deionized water (0.1mA for 30s) mediated the least non-specific vasodilatory effects. Microvascular responses to insulin were mediated mainly by non-specific effects. Compared to PORH, the intraday and interday reproducibility for iontophoresis of ACh and SNP (0.02mA for 200 and 400s, respectively) with LSCI was weaker, but still deemed good to excellent when data was expressed, in perfusion units or cutaneous vascular conductance, as the absolute peak blood flux response to the vascular reactivity test or as the change in blood flux between peak and baseline values. CONCLUSION: This study provides updated recommendations for assessing cutaneous microvascular function with iontophoresis.


Subject(s)
Acetylcholine/administration & dosage , Insulin/administration & dosage , Microcirculation/drug effects , Microvessels/drug effects , Nitroprusside/administration & dosage , Skin/blood supply , Vasodilation/drug effects , Vasodilator Agents/administration & dosage , Administration, Cutaneous , Adult , Blood Flow Velocity , Female , Healthy Volunteers , Humans , Iontophoresis , Male , Microvessels/physiology , Reproducibility of Results , Rheology/methods , Time Factors , Young Adult
7.
PeerJ ; 5: e3111, 2017.
Article in English | MEDLINE | ID: mdl-28367368

ABSTRACT

BACKGROUND: Kettlebell lifting has gained increased popularity as both a form of resistance training and as a sport, despite the paucity of literature validating its use as a training tool. Kettlebell sport requires participants to complete the kettlebell snatch continuously over prolonged periods of time. Kettlebell sport and weightlifting involve similar exercises, however, their traditional uses suggest they are better suited to training different fitness qualities. This study examined the three-dimensional ground reaction force (GRF) and force applied to the kettlebell over a 6 min kettlebell snatch set in 12 kettlebell-trained males. METHODS: During this set, VICON was used to record the kettlebell trajectory with nine infrared cameras while the GRF of each leg was recorded with a separate AMTI force plate. Over the course of the set, an average of 13.9 ± 3.3 repetitions per minute were performed with a 24 kg kettlebell. Significance was evaluated with a two-way ANOVA and paired t-tests, whilst Cohen's F (ESF) and Cohen's D (ESD) were used to determine the magnitude. RESULTS: The applied force at the point of maximum acceleration was 814 ± 75 N and 885 ± 86 N for the downwards and upwards phases, respectively. The absolute peak resultant bilateral GRF was 1,746 ± 217 N and 1,768 ± 242 N for the downwards and upwards phases, respectively. Bilateral GRF of the first and last 14 repetitions was found to be similar, however there was a significant difference in the peak applied force (F (1.11) = 7.42, p = 0.02, ESF = 0.45). Unilateral GRF was found have a significant difference for the absolute anterior-posterior (F (1.11) = 885.15, p < 0.0001, ESF = 7) and medio-lateral force vectors (F (1.11) = 5.31, p = 0.042, ESF = 0.67). DISCUSSION: Over the course of a single repetition there were significant differences in the GRF and applied force at multiple points of the kettlebells trajectory. The kettlebell snatch loads each leg differently throughout a repetition and performing the kettlebell snatch for 6 min will result in a reduction in peak applied force.

8.
Arterioscler Thromb Vasc Biol ; 37(6): 1250-1260, 2017 06.
Article in English | MEDLINE | ID: mdl-28408372

ABSTRACT

OBJECTIVE: To assess vascular function during acute hyperglycemia induced by commercial sugar-sweetened beverage (SSB) consumption and its effect on underlying mechanisms of the nitric oxide pathway. APPROACH AND RESULTS: In a randomized, single-blind, crossover trial, 12 healthy male participants consumed 600 mL (20 oz.) of water or a commercial SSB across 2 visits. Endothelial and vascular smooth muscle functions were assessed in the microcirculation using laser speckle contrast imaging coupled with iontophoresis and in the macrocirculation using brachial artery ultrasound with flow- and nitrate-mediated dilation. Compared with water, SSB consumption impaired microvascular and macrovascular endothelial function as indicated by a decrease in the vascular response to acetylcholine iontophoresis (208.3±24.3 versus 144.2±15.7%, P<0.01) and reduced flow-mediated dilation (0.019±0.002 versus 0.014±0.002%/s, P<0.01), respectively. Systemic vascular smooth muscle remained preserved. Similar decreases in endothelial function were observed during acute hyperglycemia in an in vivo rat model. However, function was fully restored by treatment with the antioxidants, N-acetylcysteine and apocynin. In addition, ex vivo experiments revealed that although the production of reactive oxygen species was increased during acute hyperglycemia, the bioavailability of nitric oxide in the endothelium was decreased, despite no change in the activation state of endothelial nitric oxide synthase. CONCLUSIONS: To our knowledge, this is the first study to assess the vascular effects of acute hyperglycemia induced by commercial SSB consumption alone. These findings suggest that SSB-mediated endothelial dysfunction is partly due to increased oxidative stress that decreases nitric oxide bioavailability. CLINICAL TRIAL REGISTRATION: URL: https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=366442&isReview=true. Australian New Zealand Clinical Trials Registry Number: ACTRN12614000614695.


Subject(s)
Beverages/adverse effects , Brachial Artery/drug effects , Dietary Sucrose/adverse effects , Hyperglycemia/chemically induced , Microvessels/drug effects , Skin/blood supply , Vasodilation/drug effects , Adult , Animals , Antioxidants/pharmacology , Blood Flow Velocity , Blood Glucose/drug effects , Blood Glucose/metabolism , Brachial Artery/metabolism , Brachial Artery/physiopathology , Cross-Over Studies , Dietary Sucrose/administration & dosage , Disease Models, Animal , Healthy Volunteers , Humans , Hyperglycemia/diagnosis , Hyperglycemia/physiopathology , Iontophoresis , Laser-Doppler Flowmetry , Male , Microcirculation , Microvessels/metabolism , Microvessels/physiopathology , Nitric Oxide/metabolism , Rats, Wistar , Single-Blind Method , Time Factors , Ultrasonography, Doppler , Vasodilator Agents/administration & dosage , Victoria
9.
J Strength Cond Res ; 31(2): 495-502, 2017 Feb.
Article in English | MEDLINE | ID: mdl-27243912

ABSTRACT

Gallo, TF, Cormack, SJ, Gabbett, TJ, and Lorenzen, CH. Self-reported wellness profiles of professional Australian football players during the competition phase of the season. J Strength Cond Res 31(2): 495-502, 2017-With the prevalence of customized self-report measures in high-performance sport, and the incomplete understanding of athletes' perceived wellness in response to matches and training load, the objective of this study was to explore weekly wellness profiles within the context of the competitive season of professional Australian football. Internal match load, measured through the session-rating of perceived exertion method, match-to-match microcycle, stage of the season, and training load were included in multivariate linear models to determine their effect on weekly wellness profile (n = 1,835). There was a lower weekly training load on a 6-day microcycle compared with a 7-day and 8-day microcycle. Match load had no significant impact on weekly wellness profile, while there was an interaction between microcycle and days postmatch. There was a likely moderately lower wellness Z-score 1 day postmatch for an 8-day microcycle (mean; 95% confidence interval: -1.79; -2.02 to -1.56) compared with a 6-day (-1.19; -1.30 to -1.08) and 7-day (-1.22; -1.34 to -1.09) cycle (d; 95% confidence interval: -0.82; -1.3 to -0.36, -0.78; -1.3 to -0.28, respectively). The second half of the season saw a possibly small reduction in overall wellness Z-score than the first half of the season (0.22; 0.12-0.32). Finally, training load had no effect on wellness Z-score when controlled for days postmatch, microcycle, and stage of the season. These results provide information on the status of players in response to matches and fixed conditions. Knowing when wellness Z-score returns to baseline relative to the length of the microcycle may lead practitioners to prescribe the heaviest load of the week accordingly. Furthermore, wellness "red flags" should be made relative to the microcycles and stage of the season to determine an athlete's status relative to their typical weekly profile.


Subject(s)
Athletes , Football/physiology , Health Status , Self Report , Adult , Australia , Humans , Male , Perception , Young Adult
10.
Br J Sports Med ; 50(23): 1467-1472, 2016 Dec.
Article in English | MEDLINE | ID: mdl-26817705

ABSTRACT

BACKGROUND: The architectural characteristics of muscle (fascicle length, pennation angle muscle thickness) respond to varying forms of stimuli (eg, training, immobilisation and injury). Architectural changes following injury are thought to occur in response to the restricted range of motion experienced during rehabilitation and the associated neuromuscular inhibition. However, it is unknown if these differences exist prior to injury, and had a role in injury occuring (prospectively), or if they occur in response to the incident itself (retrospectively). Considering that the structure of a muscle will influence how it functions, it is of interest to understand how these architectural variations may alter how a muscle acts with reference to the force-length and force-velocity relationships. OBJECTIVES: Our narrative review provides an overview of muscle architectural adaptations to training and injury. Specifically, we (1) describe the methods used to measure muscle architecture; (2) detail the impact that architectural alterations following training interventions, immobilisation and injury have on force production and (3) present a hypothesis on how neuromuscular inhibition could cause maladaptations to muscle architecture following injury.

11.
Med Sci Sports Exerc ; 48(3): 337-45, 2016 Mar.
Article in English | MEDLINE | ID: mdl-26429732

ABSTRACT

PURPOSE: This study aimed to determine whether limbs with a history of anterior cruciate ligament (ACL) injury reconstructed from the semitendinosus display different biceps femoris long head (BFlh) architecture and eccentric strength, assessed during the Nordic hamstring exercise, compared with the contralateral uninjured limb. METHODS: The architectural characteristics of the BFlh were assessed at rest and at 25% of a maximal voluntary isometric contraction (MVIC) in the control group (n = 52) and in the group who had previous ACL injury (n = 15) using two-dimensional ultrasonography. Eccentric knee flexor strength was assessed during the Nordic hamstring exercise. RESULTS: Fascicle length was shorter (P = 0.001; d range, 0.90-1.31) and pennation angle (P range, 0.001-0.006; d range, 0.87-0.93) was greater in the BFlh of the ACL-injured limb compared with those in the contralateral uninjured limb at rest and during a 25% MVIC. Eccentric strength was lower in the ACL-injured limb when compared with the contralateral uninjured limb. Fascicle length, MVIC, and eccentric strength were not different between the left and right limb in the control group. CONCLUSIONS: Limbs with a history of ACL injury reconstructed from the semitendinosus have shorter fascicles and greater pennation angles in the BFlh compared with those of the contralateral uninjured side. Eccentric strength during the Nordic hamstring exercise of the ACL-injured limb is significantly lower than that of the contralateral side. These findings have implications for ACL rehabilitation and hamstring injury prevention practices, which should consider altered architectural characteristics.


Subject(s)
Anterior Cruciate Ligament Reconstruction , Hamstring Muscles/physiology , Muscle Strength , Adolescent , Adult , Anterior Cruciate Ligament Injuries/surgery , Athletes , Case-Control Studies , Hamstring Muscles/anatomy & histology , Hamstring Muscles/drug effects , Humans , Isometric Contraction , Knee/physiology , Leg Injuries/surgery , Male , Ultrasonography , Young Adult
12.
J Sports Sci ; 34(15): 1445-51, 2016 Aug.
Article in English | MEDLINE | ID: mdl-26637525

ABSTRACT

The impact of perceived wellness on a range of external load parameters, rating of perceived exertion (RPE) and external load:RPE ratios, was explored during skill-based training in Australian footballers. Fifteen training sessions involving 36 participants were analysed. Each morning before any physical training, players completed a customised perceived wellness questionnaire (sleep quality, fatigue, stress, mood and muscle soreness). Microtechnology devices provided external load (average speed, high-speed running distance, player load and player load slow). Players provided RPE using the modified Borg category-ratio 10 RPE scale. Mixed-effect linear models revealed significant effects of wellness Z-score on player load and player load slow. Effects are reported with 95% confidence limits. A wellness Z-score of -1 corresponded to a -4.9 ± 3.1 and -8.6 ± 3.9% reduction in player load and player load slow, respectively, compared to those without reduced wellness. Small significant effects were also seen in the average speed:RPE and player load slow:RPE models. A wellness Z-score of -1 corresponded to a 0.43 ± 0.38 m·min(-1) and -0.02 ± 0.01 au·min(-1) change in the average speed:RPE and player load slow:RPE ratios, respectively. Magnitude-based analysis revealed that the practical size of the effect of a pre-training perceived wellness Z-score of -1 would have on player load slow was likely negative. The results of this study suggests that monitoring pre-training perceived wellness may provide coaches with information about the intensity of output that can be expected from individual players during a training session.


Subject(s)
Health Status , Perception , Physical Conditioning, Human/psychology , Soccer/psychology , Australia , Humans , Linear Models , Male , Physical Exertion/physiology , Soccer/physiology , Surveys and Questionnaires , Young Adult
13.
Br J Sports Med ; 50(24): 1524-1535, 2016 Dec.
Article in English | MEDLINE | ID: mdl-26675089

ABSTRACT

BACKGROUND/AIM: To investigate the role of eccentric knee flexor strength, between-limb imbalance and biceps femoris long head (BFlh) fascicle length on the risk of future hamstring strain injury (HSI). METHODS: Elite soccer players (n=152) from eight different teams participated. Eccentric knee flexor strength during the Nordic hamstring exercise and BFlh fascicle length were assessed at the beginning of preseason. The occurrences of HSIs following this were recorded by the team medical staff. Relative risk (RR) was determined for univariate data, and logistic regression was employed for multivariate data. RESULTS: Twenty seven new HSIs were reported. Eccentric knee flexor strength below 337 N (RR=4.4; 95% CI 1.1 to 17.5) and possessing BFlh fascicles shorter than 10.56 cm (RR=4.1; 95% CI 1.9 to 8.7) significantly increased the risk of a HSI. Multivariate logistic regression revealed significant effects when combinations of age, history of HSI, eccentric knee flexor strength and BFlh fascicle length were explored. From these analyses the likelihood of a future HSI in older athletes or those with a HSI history was reduced if high levels of eccentric knee flexor strength and longer BFlh fascicles were present. CONCLUSIONS: The presence of short BFlh fascicles and low levels of eccentric knee flexor strength in elite soccer players increases the risk of future HSI. The greater risk of a future HSI in older players or those with a previous HSI is reduced when they have longer BFlh fascicles and high levels of eccentric strength.


Subject(s)
Athletic Injuries/epidemiology , Hamstring Muscles/injuries , Knee Joint/physiopathology , Muscle Strength , Soccer/injuries , Thigh/injuries , Adult , Australia , Hamstring Muscles/physiopathology , Humans , Logistic Models , Male , Multivariate Analysis , Prospective Studies , Risk Factors , Thigh/physiopathology , Young Adult
14.
Arterioscler Thromb Vasc Biol ; 35(9): 2060-72, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26112007

ABSTRACT

OBJECTIVES: Controversy exists over the effect of acute hyperglycemia on vascular function. In this systematic review, we compared the effect of acute hyperglycemia on endothelial and vascular smooth muscle functions across healthy and cardiometabolic diseased subjects. APPROACH AND RESULTS: A systematic search of MEDLINE, EMBASE, and Web of Science from inception until July 2014 identified articles evaluating endothelial or vascular smooth muscle function during acute hyperglycemia and normoglycemia. Meta-analyses compared the standardized mean difference (SMD) in endothelial and vascular smooth muscle functions between acute hyperglycemia and normoglycemia. Subgroup analyses and metaregression identified sources of heterogeneity. Thirty-nine articles (525 healthy and 540 cardiometabolic subjects) were analyzed. Endothelial function was decreased (39 studies; n=1065; SMD, -1.25; 95% confidence interval, -1.52 to -0.98; P<0.01), whereas vascular smooth muscle function was preserved (6 studies; n=144; SMD, -0.07; 95% confidence interval, -0.30 to 0.16; P=0.55) during acute hyperglycemia compared with normoglycemia. Significant heterogeneity was detected among endothelial function studies (P<0.01). A subgroup analysis revealed that endothelial function was decreased in the macrocirculation (30 studies; n=884; SMD, -1.40; 95% confidence interval, -1.68 to -1.12; P<0.01) but not in the microcirculation (9 studies; n=181; SMD, -0.63; 95% confidence interval, -1.36 to 0.11; P=0.09). Similar results were observed according to health status. Macrovascular endothelial function was inversely associated with age, blood pressure, and low-density lipoprotein cholesterol and was positively associated with the postocclusion interval of vascular assessment. CONCLUSIONS: To our knowledge, this is the first systematic review and meta-analysis of its kind. In healthy and diseased subjects, we found evidence for macrovascular but not microvascular endothelial dysfunction during acute hyperglycemia.


Subject(s)
Cardiovascular Diseases , Hyperglycemia , Metabolic Syndrome , Vasodilation/physiology , Acute Disease , Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/etiology , Cardiovascular Diseases/physiopathology , Global Health , Healthy Volunteers , Humans , Hyperglycemia/blood , Hyperglycemia/complications , Hyperglycemia/physiopathology , Metabolic Syndrome/epidemiology , Metabolic Syndrome/etiology , Metabolic Syndrome/physiopathology , Morbidity/trends
15.
Med Sci Sports Exerc ; 47(5): 905-13, 2015 May.
Article in English | MEDLINE | ID: mdl-25207929

ABSTRACT

PURPOSE: This study aimed (i) to determine the reliability of two-dimensional ultrasonography for the assessment of biceps femoris long head (BFlh) architectural characteristics and (ii) to determine whether limbs with a history of strain injury in the BFlh display different architecture and eccentric strength compared to uninjured limbs. METHODS: This case-control study (control [n = 20], injured group [n = 16], males) assessed the BFlh architecture at rest and during graded isometric contractions using two-dimensional ultrasonography. The control group were assessed three times (>24 h apart) to determine reliability. Previously injured individuals were evaluated once. RESULTS: The assessment of BFlh architecture was highly reliable (intraclass correlations >0.90). Fascicle length (P < 0.001; d range = 0.67-1.34) and fascicle length relative to muscle thickness (P < 0.001; d range = 0.58-0.85) of the previously injured BFlh were significantly less than the contralateral uninjured BFlh at all intensities. Pennation angle of the previously injured BFlh was significantly greater (P < 0.001; d range = 0.62-0.88) than the contralateral uninjured BFlh at all intensities. Eccentric strength in the previously injured limb was significantly lower than that in the contralateral limb (-15.4%; -52.5 N, 95% confidence interval = -76.2 to -28.4; P < 0.001, d = 0.56). CONCLUSIONS: These data indicate that two-dimensional ultrasonography is reliable for assessing BFlh architecture at rest and during graded isometric contractions. Fascicle length, fascicle length relative to muscle thickness, and pennation angle are significantly different in previously injured BFlh compared to an uninjured contralateral BFlh. Eccentric strength of the previously injured limb is also significantly lower than that of the uninjured contralateral limb. These findings have implications for rehabilitation and injury prevention practices, which should consider altered architectural characteristics.


Subject(s)
Muscle, Skeletal/diagnostic imaging , Muscle, Skeletal/injuries , Sprains and Strains/diagnostic imaging , Sprains and Strains/pathology , Adult , Case-Control Studies , Humans , Isometric Contraction , Knee/physiology , Male , Muscle Strength/physiology , Muscle, Skeletal/pathology , Muscle, Skeletal/physiopathology , Reproducibility of Results , Rest , Retrospective Studies , Sprains and Strains/physiopathology , Ultrasonography , Young Adult
16.
J Sports Sci ; 33(5): 467-75, 2015.
Article in English | MEDLINE | ID: mdl-25113820

ABSTRACT

The relationship between external training load and session rating of perceived exertion (s-RPE) training load and the impact that playing experience, playing position and 2-km time-trial performance had on s-RPE training load were explored. From 39 Australian Football players, 6.9 ± 4.6 training sessions were analysed, resulting in 270 samples. Microtechnology devices provided external training load (distance, average speed, high-speed running distance, player load (PL) and player loadslow (PLslow)). The external training load measures had moderate to very large associations (r, 95% CI) with s-RPE training load, average speed (0.45, 0.35-0.54), high-speed running distance (0.51, 0.42-0.59), PLslow (0.80, 0.75-0.84), PL (0.86, 0.83-0.89) and distance (0.88, 0.85-0.90). Differences were described using effect sizes (d ±95% CL). When controlling for external training load, the 4- to 5-year players had higher s-RPE training load than the 0- to 1- (0.44 ± 0.33) and 2- to 3-year players (0.51 ± 0.30), ruckmen had moderately higher s-RPE training load than midfielders (0.82 ± 0.58), and there was a 0.2% increase in s-RPE training load per 1 s increase in time-trial (95% CI: 0.07-0.34). Experience, position and time-trial performance impacted the relationship between external training load and s-RPE training load. This suggests that a given external training load may result in different internal responses between athletes, potentially leaving individuals at risk of overtraining or failing to elicit positive adaptation. It is therefore vital that coaches and trainers give consideration to these mediators of s-RPE training load.


Subject(s)
Perception/physiology , Physical Education and Training , Physical Exertion/physiology , Soccer/physiology , Soccer/psychology , Accelerometry , Adult , Australia , Humans , Male , Microtechnology , Young Adult
17.
BMC Pulm Med ; 14: 38, 2014 Mar 08.
Article in English | MEDLINE | ID: mdl-24606997

ABSTRACT

BACKGROUND: Benefits of community-based whole-body vibration (WBV) as a mode of exercise training for people with chronic obstructive pulmonary disease (COPD) have not been investigated. The low skill demand of WBV may enhance habitual sustainability to physical activity by people with COPD, provided efficacy of WBV can be established. The purpose of this trial was to compare a community-based WBV intervention with a sham WBV (SWBV) intervention and monitor exacerbations, exercise tolerance, and functional performance of the lower limbs of people with COPD. METHODS: Community-dwelling adults with a GOLD clinical diagnosis of COPD were recruited to the trial. This was a Phase II efficacy trial with crossover to sham intervention interspersed with two-week washout. Each six-week intervention consisted of two sessions per week of either WBV or SWBV. The interventions were completed in the home of each participant under supervision. The outcome measures were selected psychological (perceived dyspnoea) and physiological (heart rate and oxygen saturation) responses to exercise, simulated activities of daily living (timed-up-and got test and 5-chair stands test), and selected kinematic variables of gait across the 14-week trial. RESULTS: Sixteen adults with stable COPD were recruited to the trial. No exacerbations were reported during the WBV or SWBV interventions. After WBV, performance of activities of daily living (ADLs) and gait improved (p ≤ 0.05), while there was no change after SWBV (p > 0.05). Despite five withdrawals during the washout period, a 100% compliance to each six-week intervention was noted. CONCLUSIONS: Results showed that WBV did not exacerbate symptoms of COPD that can be associated with physical inactivity. The WBV intervention improved tests to simulate ADLs such as rising from a chair, turning, and walking gait with greater effect than a SWBV intervention. If a placebo effect was systemic to the WBV intervention, the effect was negligible. As a standalone community-based intervention, WBV was an efficacious mode of exercise training for people with stable COPD that did not negatively effect exercise tolerance or exacerbate the disease, while concurrently improving functional performance of the lower limbs. TRIAL REGISTRATION: Australian and New Zealand Clinical Trials Registry ACTRN12612000508875.


Subject(s)
Physical Therapy Modalities , Pulmonary Disease, Chronic Obstructive/therapy , Vibration/therapeutic use , Activities of Daily Living , Aged , Cross-Over Studies , Exercise Tolerance , Female , Gait , Humans , Male , Pulmonary Disease, Chronic Obstructive/physiopathology
18.
J Strength Cond Res ; 28(2): 574-86, 2014 Feb.
Article in English | MEDLINE | ID: mdl-23719504

ABSTRACT

This is a review of current research trends in weightlifting literature relating to the understanding of technique and its role in successful snatch performance. Reference to the world records in the snatch from the 1960s onwards indicates little progress across all weight categories. With such mediocre advances in performance at the International level, there is a need to better understand how snatch technique can improve performance even if only by a small margin. Methods of data acquisition for technical analysis of the snatch have involved mostly 2-dimensional barbell and joint kinematics. Although key variables which play a role in the successful outcome of a snatch lift have been heavily investigated, few studies have combined variables relating both the barbell and the weightlifter in their analyses. This suggests the need for a more detailed approach integrating both barbell-related and weightlifter-related data to enhance understanding of the mechanics of a successful lift. Currently, with the aid of technical advances in motion analysis, data acquisition, and methods of analysis, a more accurate representation of the movement can be provided. Better ways of understanding the key characteristics of technique in the snatch could provide the opportunity for more effective individualized feedback from the coach to the athlete, which should in turn lead to improved performance in competition.


Subject(s)
Athletic Performance/physiology , Biomechanical Phenomena/physiology , Weight Lifting/physiology , Humans , Joints/physiology , Video Recording
19.
BMC Res Notes ; 6: 452, 2013 Nov 11.
Article in English | MEDLINE | ID: mdl-24209408

ABSTRACT

BACKGROUND: The potential of whole-body vibration (WBV) as a mode of dyspnoea free physical activity for people with chronic obstructive pulmonary disease (COPD) is unknown among community-based settings. Furthermore, the acute effects of WBV on people with COPD have not been profiled in community-based settings. The aim of this community-based proof-of-concept trial was to describe acute effects of WBV by profiling subjective and objective responses to physical activity. FINDINGS: Seventeen community-dwelling older adults with COPD were recruited to participate in two sessions; WBV and sham WBV (SWBV). Each session consisted of five one-minute bouts interspersed with five one-minute passive rest periods. The gravitational force was ~2.5 g for WBV and ~0.0 g for SWBV. Reliability of baseline dyspnoea, heart rate, and oxygen saturation was first established and then profiled for both sessions. Acute responses to both WBV and SWBV were compared with repeated measures analysis of variance and repeated contrasts. Small changes in dyspnoea and oxygen saturation lacked subjective and clinical meaningfulness. One session of WBV and SWBV significantly increased heart rate (p ≤ 0.02), although there was no difference among WBV and SWBV (p = 0.67). CONCLUSIONS: This community-based proof-of-concept trial showed that a session of WBV can be completed with the absence of dyspnoea for people with COPD. Furthermore, there were no meaningful differences among WBV and SWBV for heart rate and oxygen saturation. There is scope for long-term community-based intervention research using WBV given the known effects of WBV on peripheral muscle function and functional independence.


Subject(s)
Dyspnea/prevention & control , Motor Activity , Pulmonary Disease, Chronic Obstructive/physiopathology , Vibration , Aged , Breath Tests , Community Health Services , Female , Heart Rate/physiology , Humans , Male , Middle Aged , Reproducibility of Results
20.
Eur J Sport Sci ; 13(3): 304-11, 2013.
Article in English | MEDLINE | ID: mdl-23679147

ABSTRACT

This study examined the effect of two different interval training programs-high-intensity interval training (HIT) and supramaximal interval training (SMIT)-on measures of sprint and endurance performance. Physically active individuals (Females: n=32; age 19.3, s=2.2 years; mass 67.6, s=9.1 kg; stature 172.7, s=6.6 cm. Males: n=23; age 20.0, s=2.7 years; mass 71.3, s=8.3 kg; stature 176.6, s=5.8 cm) completed pre-testing that comprised (1) 3000 m time-trial, (2) 40 m sprint, and (3) repeated sprint ability (RSA-6×40 m sprints, 24 s active recovery) performance. Participants were then matched for average 3000 m running velocity (AV) and randomly assigned to one of three groups: (i) HIT, n=19, 4 min at 100% AV, 4 min passive recovery, 4-6 bouts per session; (ii) SMIT, n=20, 30 s at 130% AV, 150 s passive recovery, 7-12 bouts per session; and (iii) control group, n=16, 30 min continuous running at 75% AV. Groups trained three times per week for six weeks. When time to complete each test were compared among groups: (i) improvements in 3000 m time trial performance were greater following SMIT than continuous running, and (ii) improvements in 40 m sprint and RSA performance were greater following SMIT than HIT and continuous running. In addition, a gender effect was observed for the 3000 m time trial only, where females changed more following the training intervention than males. In summary, for concurrent improvements in endurance, sprint and repeated sprint performance, SMIT provides the greatest benefits for physically active individuals.


Subject(s)
Athletic Performance/physiology , Physical Education and Training/methods , Physical Endurance/physiology , Running/physiology , Adult , Female , Humans , Male , Reproducibility of Results , Young Adult
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