Active recovery intervals restore initial performance after repeated sprints in swimming.

The purpose of this study was to examine the effects of active recovery (AR) and passive recovery (PR) using short (2-min) and long (4-min) intervals on swimming performance. Twelve male competitive swimmers completed a progressively increasing speed test of 7 × 200-m swimming repetitions to locate the speed before the onset of curvilinear increase in blood lactate concentration (LT1). Subsequently, performance time of 6 × 50-m sprints was recorded during four different conditions: (i) 2-min PR (PR-2), (ii) 4-min PR (PR-4), (iii) 2-min AR (AR-2) and (iv) 4-min AR (AR-4) intervals. Blood lactate concentration was measured before the first and after the last 50-m repetition. AR was applied at an intensity corresponding to LT1. Performance as indicated by the time needed to complete 6 × 50-m sprints was impaired after AR-4 compared to PR-4 (AR-4: 28.65 ± 1.04, PR-4: 28.17 ± 0.72 s; mean% difference: MD% ±s; ±90% confidence limits: 90%CL, 1.71 ± 3.01%; ±1.43%, p = .01) but was not different between AR-2 compared to PR-2 conditions (AR-2: 28.68 ± 0.85, PR-2: 28.69 ± 0.82 s; MD%: 0.03 ± 1.61%; 90%CL ± 0.77%, p = .99). Performance in sprint-6 was improved after AR compared to PR independent of interval duration (AR: 28.55 ± 0.81, PR: 29.01 ± 1.03 s; MD%: 1.52 ± 2.61%; 90%CL ± 1.2%; p = .03). Blood lactate concentration was lower after AR-4 compared to PR-4 but did not differ between AR-2 and PR-2 conditions. In conclusion, AR impaired performance after a 4-min but not after a 2-min interval. A better performance during sprint-6 after AR could be attributed to a faster metabolic recovery or anticipatory regulatory mechanisms towards the end of the series especially when adequate 4-min active recovery interval is applied.

Prognostic potential of body composition indices in detecting risk of musculoskeletal injury in army officer cadet profiles.

OBJECTIVES: High values in most of the body composition indices have been related to musculoskeletal injuries, but limited data exists on the accuracy of these diagnoses when detecting musculoskeletal injuries in military populations. METHODS: The suitability of body fat percentage, body mass index, fat mass index and fat free mass index to identify injury risk was examined in a group of army officer recruits. All body composition diagnoses were measured in 268 male army officer recruits prior to the commencement of basic combat training. Musculoskeletal injury was identified using codes from the International Classification of Diseases. The area under the curve, in the receiver operating characteristic curve, was used to quantify the overall ability to discriminate between those who were injured and those who were not. RESULTS: The statistics indicated that all indices, apart from body mass index, had a significant possibility to detect musculoskeletal injury potential (p < 0.05; 61%-63%). The respective cut-off points used to classify individuals as injured were for body fat percentage >22, for fat mass index >6.5 and for fat free mass index <16.5. CONCLUSION: Body mass index values can not similarly detect the possibility of occurrence of musculoskeletal injuries in army officer recruits, just as other body composition diagnoses related to fat mass or/and free fat mass. However, the cut off-points related to the overall diagnostic performance of each body composition index should be used with caution and in accordance with the aims of each experimental setting.

Cadets' swimming and running performance with and without a combat uniform.

INTRODUCTION: The aim was to examine whether a combat uniform (CU) influences the cadet's exercise performance in and out of the water. METHODS: Fourteen male Army Officer cadets performed on 6 separate days: (1) a maximal 400-m freestyle swimming trial; (2) a 4 x 50-m all-out freestyle swimming trial with 10 s rest in between; (3) a 50-m swim obstacle course with a CU (CUs); (4) a 50-m swim obstacle course without a CU (NUs); (5) a 1000-m track run with a CU (CU(R)); and (6) a 1000-m track run without a CU (NUR). In each trial, performance time, oxygen uptake (Vo2), lactate concentration ([La]), and capillary oxygen saturation (SpO2) were recorded. RESULTS: The mean performance time was 44.3 +/- 3.1 s and 33.4 +/- 1.8 s in CUs and NUs trials, respectively. Peak VO2 was similar in CUs, NUs, and 400 m (CUs: 59.1 +/- 1.1 ml x kg(-1) x min(-1), NUs: 57.3 +/- 2.1 ml kg(-1) x min(-1), 400 m: 58.2 +/- 1.6 ml x kg(-1) min(-1)). [La] was higher in CUs than in NUs (CUs: 10.0 +/- 2.0 mmol x L(-1), NUs: 8.5 +/- 1.8 mmol x L(-1)), but it was lower in CUs and NUs than during the 400 m and 4 x 50 m. SpO2 was lower (approximately 4.5%) in CUs than NUs. No differences were observed between running trials. CONCLUSIONS: The results suggest that the use of CU during swimming tasks induces high demands for energy and, thus, leads to a significant impairment of the swimming performance of the cadets. However, the influence of the CU seems to be less crucial during dry land running performance.

Neglected lesser tuberosity avulsion in an adolescent elite gymnast.

We report the case of a 16-year-old elite gymnast who presented with recurring pain in the left shoulder after training. The athlete recalled an injury to the shoulder 2 years ago. Clinically a localized tenderness to the anterior shoulder and loss of strength and range of motion was noted. Imaging investigation suggested a neglected lesser tuberosity avulsion. The athlete was treated with open excision of the deformed tuberosity and direct repair of the subscapularis to the humeral head. Following a careful postoperative rehabilitation protocol the athlete was able to return to unrestricted gymnastics after 6 months. After surgery the athlete followed a intense rehabilitation program that allowed him to return to sports at 6 months. At 5-years follow-up, the athlete was asymptomatic and competing at an international level. Avulsion fractures of the lesser tuberosity are extremely rare injuries with significant shoulder disability if left untreated. Anatomic repair can yield excellent results, even in neglected cases.

Risk factors for musculoskeletal injuries among Greek Army officer cadets undergoing Basic Combat Training.

OBJECTIVES: Predictors of work-related injuries were assessed using data from a group of Greek Army officer cadets. METHODS: Cadets (n = 253) were monitored by physicians for musculoskeletal injuries resulting through a 7-week Basic Combat Training (BCT) period. Potential predictors of musculoskeletal injuries (Cadets' entry number, body mass index [BMI], body fat percentage [BFP], gender, age, sport experience, and nationality) were modeled via univariate and multivariate logistic regressions. RESULTS: Using odds ratio (OR) and confidence interval (CI), it was shown that older age (OR = 0.73; 95% CI = 0.56-0.96), female gender (OR = 0.13; 95% CI = 0.02-0.81), high BFP (OR = 1.21; 95% CI = 1.07-1.37), and Greek nationality (OR = 0.22; 95% CI = 0.07-0.69) were all associated with musculoskeletal injuries. These factors, except for gender, were also related to overuse injuries. CONCLUSIONS: During BCT, adiposity expressed as BFP and not as BMI can predict the magnitude and type (acute-overuse) of musculoskeletal injuries in Greek cadets.

Profiles of musculoskeletal injuries among Greek Army officer cadets during basic combat training.

OBJECTIVE: Injury prevalence and types of injury were recorded among Greek Army officer cadets during basic combat training (BCT). METHODS: Two hundred thirty-three male recruits from the Hellenic Army Academy were monitored for musculoskeletal injuries during a 7-week BCT period. RESULTS: Sixty-six (28.3%) recruits suffered from some form of injury, leading to 1.22 training days lost per study recruit. More than half of the injuries (51.3%) occurred in the first 2 weeks of the BCT, with ankle/foot strains and sprains being the most common injuries. CONCLUSION: Despite the absence of fractures and the low number of upper extremity injuries during the BCT, injury prevalence was high, with ankle- and foot-related injuries to be responsible for a long period of lost training days. Preventive efforts should focus on addressing the high rate of first-time and recurrent ankle ligament sprains and possible protective equipment to limit their frequency and severity.