Postural stability assessment in expert versus amateur basketball players during optic flow stimulation.

We evaluated the role of visual stimulation on postural muscles and the changes in the center of pressure (CoP) during standing posture in expert and amateur basketball players. Participants were instructed to look at a fixation point presented on a screen during foveal, peripheral, and full field optic flow stimuli. Postural mechanisms and motor strategies were assessed by simultaneous recordings of stabilometric, oculomotor, and electromyographic data during visual stimulation. We found significant differences between experts and amateurs in the orientation of visual attention. Experts oriented attention to the right of their visual field, while amateurs to the bottom-right. The displacement in the CoP mediolateral direction showed that experts had a greater postural sway of the right leg, while amateurs on the left leg. The entropy-based data analysis of the CoP mediolateral direction exhibited a greater value in amateurs than in experts. The root-mean-square and the coactivation index analysis showed that experts activated mainly the right leg while amateurs the left leg. In conclusion, playing sports for years seems to have induced some strong differences in the standing posture between the right and left sides. Even during non-ecological visual stimulation, athletes maintain postural adaptations to counteract the body oscillation.

A Narrative Literature Review on the Role of Exercise Training in Managing Type 1 and Type 2 Diabetes Mellitus.

Diabetes mellitus (DM) is a metabolic disease characterized by chronic hyperglycemia associated with impaired carbohydrate, lipid, and protein metabolism, with concomitant absence of insulin secretion or reduced sensitivity to its metabolic effects. Patients with diabetes mellitus have a 30% more risk of developing heart failure and cardiovascular disease compared to healthy people. Heart and cardiovascular problems are the first cause of death worldwide and the main complications which lead to high healthcare costs. Such complications can be delayed or avoided by taking prescribed medications in conjunction with a healthy lifestyle (i.e., diet and physical activity). The American College of Sports Medicine and the American Diabetes Association recommend that diabetic people reduce total sedentary time by incorporating physical activity into their weekly routine. This narrative literature review aims to summarize and present the main guidelines, pre-exercise cardiovascular screening recommendations, and considerations for patients with diabetes and comorbidities who are planning to participate in physical activity programs.

Effect of Pulsed Electromagnetic Fields (PEMFs) on Muscular Activation during Cycling: A Single-Blind Controlled Pilot Study.

PURPOSE: PEMF stimulation results in a higher O2 muscle supply during exercise through increased O2 release and uptake. Given the importance of oxygen uptake in sport activity, especially in aerobic disciplines such as cycling, we sought to investigate the influence of PEMF on muscle activity when subjects cycled at an intensity between low and severe. METHODS: Twenty semi-professional cyclists performed a constant-load exercise with randomized active (ON) or inactive (OFF) PEMF stimulation. Each subject started the recording session with 1 min of cycling without load (warm-up), followed by an instantaneous increase in power, as the individualized workload (constant-load physical effort). PEMF loops were applied on the vastus medialis and biceps femoris of the right leg. We recorded the electromyographic activity from each muscle and measured blood lactate prior the exercise and during the constant-load physical effort. RESULTS: PEMF stimulation caused a significant increase in muscle activity in the warm-up condition when subjects cycled without load (p < 0.001). The blood lactate concentration was higher during PEMF stimulation (p < 0.001), a possible consequence of PEMF's influence on glycolytic metabolism. CONCLUSION: PEMF stimulation augmented the activity and the metabolism of muscular fibers during the execution of physical exercise. PEMF stimulation could be used to raise the amplitude of muscular responses to physical activity, especially during low-intensity exercise.

A Narrative Literature Review About the Role of Microsaccades in Sports.

In many daily and sport situations, people have to simultaneously perceive and process multiple objects and scenes in a short amount of time. A wrong decision may lead to a disadvantage for a team or for a single athlete, and during daily life (i.e., driving, surgery), it could have more dangerous consequences. Considering the results of different studies, the ability to distribute visual attention depends on different levels of expertise and environment-related constraints. This article is a narrative review of the current scientific evidence in the field of eye movements in sports, focusing on the role of microsaccades in sporting task situations. Over the past 10 years, microsaccades have become one of the most increasing areas of research in visual and oculomotor studies and even in the area of sport science. Here, we review the latest findings and discuss the relationships between microsaccades and attention, perception, and action in sports.

The Speed of Optic Flow Stimuli Influences Body Sway.

Optic flow is a perceptual cue processed for self-motion control. The aim of this study was to investigate whether postural control is modulated by the speed of radial optic flow stimuli. The experiments were performed on 20 healthy volunteers using stabilometry and surface electromyography (EMG). The subjects were instructed to fixate a central fixation point while radial optic flow stimuli were presented full field, in the foveal and in the peripheral visual field at different dots speed (8, 11, 14, 17 and 20°/s). Fixation in the dark was used as control stimulus. The EMG analysis showed that male and female subjects reacted to the stimuli with different muscle activity (main effects for gender, muscle and laterality: p < 0.001). The analysis of the center of pressure (COP) parameters showed that optic flow stimuli had a different effect on the left and right limbs of males and females (main effects of laterality: p < 0.015; interaction effects of gender and laterality: p < 0.016). The low speed of optic flow stimuli (8 and 11°/s) evoked non-uniform directions of oscillations especially in peripheral stimulation in all subjects, meaning that optic flow simulating slow self-motion stabilizes body sway.

Optic Flow Speed and Retinal Stimulation Influence Microsaccades.

Microsaccades are linked with extraretinal mechanisms that significantly alter spatial perception before the onset of eye movements. We sought to investigate whether microsaccadic activity is modulated by the speed of radial optic flow stimuli. Experiments were performed in the dark on 19 subjects who stood in front of a screen covering 135 × 107° of the visual field. Subjects were instructed to fixate on a central fixation point while optic flow stimuli were presented in full field, in the foveal, and in the peripheral visual field at different dot speeds (8, 11, 14, 17, and 20°/s). Fixation in the dark was used as a control stimulus. For almost all tested speeds, the stimulation of the peripheral retina evoked the highest microsaccade rate. We also found combined effects of optic flow speed and the stimulated retinal region (foveal, peripheral, and full field) for microsaccade latency. These results show that optic flow speed modulates microsaccadic activity when presented in specific retinal portions, suggesting that eye movement generation is strictly dependent on the stimulated retinal regions.

Acute Cardiovascular and Metabolic Effects of Different Warm-Up Protocols on Dynamic Apnea.

The aim of this study was to evaluate the acute physiological response to different warm-up protocols on the dynamic apnea performance. The traditional approach, including a series of short-mid dives in water (WET warm-up), was compared to a more recent strategy, consisting in exercises performed outside the water (DRY warm-up). Nine athletes were tested in two different sessions, in which the only difference was the warm-up executed before 75m of dynamic apnea. Heart rate variability, baroreflex sensitivity, hemoglobin, blood lactate and the rate of perceived exertion were recorded and analyzed. With respect to WET condition, DRY showed lower lactate level before the dive (1.93 vs. 2.60 mmol/L, p = 0.006), higher autonomic indices and lower heart rate during the subsequent dynamic apnea. A significant correlation between lactate produced during WET with the duration of the subsequent dynamic apnea, suggests that higher lactate levels could affect the dive performance (72 vs. 70 sec, p = 0.028). The hemoglobin concentration and the rate of perceived exertion did not show significant differences between conditions. The present findings partially support the claims of freediving athletes who adopt the DRY warm-up, since it induces a more pronounced diving response, avoiding higher lactate levels and reducing the dive time of a dynamic apnea.

The effect of diabetic retinopathy on standing posture during optic flow stimulation.

BACKGROUND: Diabetic retinopathy is a principal cause of visual damage and blindness, in which laser treatment offers proven therapy. The progressive degeneration of the retina, secondary to diabetes, is believed to cause postural instability although this is not well documented. The aim of this research was to assess how optic flow stimuli contribute to the control of stance in people with impaired retinal functions. RESEARCH QUESTION: Does the different retinal functionality correspond to different specific patterns of movements and muscles recruitment? METHODS: Postural mechanisms and motor strategies were measured by testing subjects in quiet stance on a force platform with surface electromyography under different optic flow stimulations. Root mean square values of the center of pressure time-varying signals and normalized EMG values were used to evaluate the postural sway. RESULTS: People with diabetic retinopathy, and to a greater extent laser group, were more unstable than healthy subjects. The greater amplitude of the body sway observed in the retinopathy group, and especially in the laser group, could be an expression of the difficulty for this population in processing this kind of visual information. SIGNIFICANCE: The increase in muscle activity indicates that there are musculoskeletal and postural changes in the lower limb musculature with increasing severity of diabetic retinopathy. An impaired retinal function might negatively affect postural control in a way that is dependent on the severity of retinal damage.

Influence of radial optic flow stimulation on static postural balance in Parkinson's disease: A preliminary study.

The role of optic flow in the control of balance in persons with Parkinson's disease (PD) has yet to be studied. Since basal ganglia are understood to have a role in controlling ocular fixation, we have hypothesized that persons with PD would exhibit impaired performance in fixation tasks, i.e., altered postural balance due to the possible relationships between postural disorders and visual perception. The aim of this preliminary study was to investigate how people affected by PD respond to optic flow stimuli presented with radial expanding motion, with the intention to see how the stimulation of different retinal portions may alter the static postural sway. We measured the body sway using center of pressure parameters recorded from two force platforms during the presentation of the foveal, peripheral and full field radial optic flow stimuli. Persons with PD had different visual responses in terms of fixational eye movement characteristics, with greater postural alteration in the sway area and in the medio-lateral direction than the age-matched control group. Balance impairment in the medio-lateral oscillation is often observed in persons with atypical Parkinsonism, but not in Parkinson's disease. Persons with PD are more dependent on visual feedback with respect to age-matched control subjects, and this could be due to their impaired peripheral kinesthetic feedback. Visual stimulation of standing posture would provide reliable signs in the differential diagnosis of Parkinsonism.

Drug-Drug Interactions in Vestibular Diseases, Clinical Problems, and Medico-Legal Implications.

Peripheral vestibular disease can be treated with several approaches (e.g., maneuvers, surgery, or medical approach). Comorbidity is common in elderly patients, so polytherapy is used, but it can generate the development of drug-drug interactions (DDIs) that play a role in both adverse drug reactions and reduced adherence. For this reason, they need a complex kind of approach, considering all their individual characteristics. Physicians must be able to prescribe and deprescribe drugs based on a solid knowledge of pharmacokinetics, pharmacodynamics, and clinical indications. Moreover, full information is required to reach a real therapeutic alliance, to improve the safety of care and reduce possible malpractice claims related to drug-drug interactions. In this review, using PubMed, Embase, and Cochrane library, we searched articles published until 30 August 2021, and described both pharmacokinetic and pharmacodynamic DDIs in patients with vestibular disorders, focusing the interest on their clinical implications and on risk management strategies.

Visual Strategies Underpinning the Spatiotemporal Demands During Visuomotor Tasks in Predicting Ball Direction.

We investigated gaze behavior of expert goalkeepers during the prediction of penalty kicks in different spatiotemporal constraints: penalties taken from 11 and 6 m. From 11 m, goalkeepers were more successful in predicting ball direction, with longer movement time initiation and a visual strategy with more fixations and greater saccade rates than penalties from 6 m, where they exhibited fewer fixations with higher microsaccade rates. As long as the opponent's distance is large and time pressure low, gaze can be frequently shifted between the kicker's body and the ball, due to the low cost of saccades. Conversely, when the objects are close, there is increased reliance on foveal and parafoveal information. In conclusion, when the spatiotemporal constraint is less severe, goalkeepers adopt a visual strategy with more fixations and small saccades. When the spatiotemporal constraint is more severe, they rely on peripheral vision to monitor kickers' movements through the use of microsaccades.

Sensory Input Modulates Microsaccades during Heading Perception.

Microsaccades are small eye movements produced during attempted fixation. During locomotion, the eyes scan the environment; the gaze is not always directed to the focus of expansion of the optic flow field. We sought to investigate whether the microsaccadic activity was modulated by eye position during the view of radial optic flow stimuli, and if the presence or lack of a proprioceptive input signal may influence the microsaccade characteristics during self-motion perception. We recorded the oculomotor activity when subjects were either standing or sitting in front of a screen during the view of optic flow stimuli that simulated specific heading directions with different gaze positions. We recorded five trials of each stimulus. Results showed that microsaccade duration, peak velocity, and rate were significantly modulated by optic flow stimuli and trial sequence. We found that the microsaccade rate increased in each condition from trial 1 to trial 5. Microsaccade peak velocity and duration were significantly different across trials. The analysis of the microsaccade directions showed that the different combinations of optic flow and eye position evoked non-uniform directions of microsaccades in standing condition with mean vectors in the upper-left quadrant of the visual field, uncorrelated with optic flow directions and eye positions. In sitting conditions, all stimuli evoked uniform directions of microsaccades. Present results indicate that the proprioceptive signals when the subjects stand up creates a different input that could alter the eye-movement characteristics during heading perceptions.

Effects of Acute Microcurrent Electrical Stimulation on Muscle Function and Subsequent Recovery Strategy.

Microcurrent electrical neuromuscular stimulation (MENS) is believed to alter blood flow, increasing cutaneous blood perfusion, with vasodilation and hyperemia. According to these physiological mechanisms, we investigated the short-term effects of MENS on constant-load exercise and the subsequent recovery process. Ten healthy subjects performed, on separate days, constant-load cycling, which was preceded and followed by active or inactive stimulation to the right quadricep. Blood lactate, pulmonary oxygen, and muscle deoxyhemoglobin on-transition kinetics were recorded. Hemodynamic parameters, heart rate variability, and baroreflex sensitivity were collected and used as a tool to investigate the recovery process. Microcurrent stimulation caused a faster deoxyhemoglobin (4.43 ± 0.5 vs. 5.80 ± 0.5 s) and a slower VO2 (25.19 ± 2.1 vs. 21.94 ± 1.3 s) on-kinetics during cycling, with higher lactate levels immediately after treatments executed before exercise (1.55 ± 0.1 vs. 1.40 ± 0.1 mmol/L) and after exercise (2.15 ± 0.1 vs. 1.79 ± 0.1 mmol/L). In conclusion, MENS applied before exercise produced an increase in oxygen extraction at muscle microvasculature. In contrast, MENS applied after exercise improved recovery, with the sympathovagal balance shifted toward a state of parasympathetic predominance. MENS also caused higher lactate values, which may be due to the magnitude of the muscular stress by both manual treatment and electrical stimulation than control condition in which the muscle received only a manual treatment.

Analysis of microsaccades during extended practice of a visual discrimination task in the macaque monkey.

The spatial location indicated by a visual cue can bias microsaccades directions towards or away from the cue. Aim of this work was to evaluate the microsaccades characteristics during the monkey's training, investigating the relationship between a shift of attention and practice. The monkey was trained to press a lever at a target onset, then an expanding optic flow stimulus appeared to the right of the target. After a variable time delay, a visual cue appeared within the optic flow stimulus and the monkey had to release the lever in a maximum reaction time (RT) of 700 ms. In the control task no visual cue appeared and the monkey had to attend a change in the target color. Data were recorded in 9 months. Results revealed that the RTs at the control task changed significantly across time. The microsaccades directions were significantly clustered toward the visual cue, suggesting that the animal developed an attentional bias toward the visual space where the cue appeared. The microsaccades amplitude differed significantly across time. The microsaccades peak velocity differed significantly both across time and within the time delays, indicating that the monkey made faster microsaccades when it expected the cue to appear. The microsaccades number was significantly higher in the control task with respect to discrimination. The lack of change in microsaccades rate, duration, number and direction across time indicates that the experience acquired during practicing the task did not influence microsaccades generation.

Lifetime Exposure to Recreational Swimming Training and its Effects on Autonomic Responses.

The aim of the present investigation was to assess the effect of long-term recreational swimming training on the cardiac autonomic responses in the healthy population. 70 habitual recreational swimmers (48.6±14.3 yrs.) and 60 sedentary adults (51.5±10.4 yrs.) were recruited. Arterial blood pressure was recorded with participants in supine position for 10 min, and the last 5 min were used to assess heart rate variability, baroreflex sensitivity, and hemodynamic analysis. The analysis of the questionnaire showed that the swimmers had practiced swimming for a mean of 14 years and 207 min/week. No difference was detected for body mass index between groups. Heart rate variability showed significant differences between groups both in the time and frequency domain analysis. We also found significant differences for baroreflex sensitivity. At rest, cardiac output and stroke volume were higher, whereas, heart rate, mean arterial pressure and total peripheral resistances were lower in the swimmers than in the sedentary subjects. Since heart rate variability measures are independent predictors of mortality, the present findings suggest that habitual recreational swimming may be protective against sudden cardiovascular events and, more in general, have a positive impact on cardiovascular health.

Understanding the underlying mechanisms of Quiet Eye: The role of microsaccades, small saccades and pupil-size before final movement initiation in a soccer penalty kick.

Experts keep a steady final fixation at a specific location just before final movement initiation, the so-called "quiet eye" (QE). However, the eyes are rarely "quiet", and small eye movements occur during visual fixation. The current research investigated the subtle eye movements and underlying mechanisms immediately prior to and during QE. The gaze behaviour of 8 intermediate-level goalkeepers was recorded as they moved (either left or right) in an attempt to predict the future direction of the ball during a soccer penalty kick. Goalkeepers were more likely to predict the direction of the penalty, which was coupled with delaying movement initiation. The temporal sequence of microsaccade rates dropped ∼1000 ms before goalkeepers' final movement initiation. Saccade rates increased, reaching a peak ∼500 ms before final movement initiation, concomitant with microsaccades reduction. Microsaccades predicted the goalkeepers' direction, oriented to the right when goalkeepers moved to the right, and conversely to the left when they moved to the left. Microsaccades may be modulated by attention and appear functionally related to saccadic intrusions. Pupil-size increased proportionally with the lead up to the instance of the penalty being kicked, reaching a plateau at final movement initiation. In conclusion, microsaccades and small saccades could improve the perception of the soccer penalty kick, helping athletes during the period that precedes the critical movement initiation, shifting from covert to overt attention for identifying the useful cues necessary to guide the action.

The Effects of Dehydration on Metabolic and Neuromuscular Functionality During Cycling.

This study aimed to determine the effects of dehydration on metabolic and neuromuscular functionality performance during a cycling exercise. Ten male subjects (age 23.4 ± 2.7 years; body weight 74.6 ± 10.4 kg; height 177.3 ± 4.6 cm) cycled at 65% VO2max for 60 min followed by a time-to-trial (TT) at 95% VO2max, in two different conditions: dehydration (DEH) and hydration (HYD). The bioelectrical impedance vector analysis (BIVA) and body weight measurements were performed to assess body fluid changes. Heart rate (HR), energy cost, minute ventilation, oxygen uptake, and metabolic power were evaluated during the experiments. In addition, neuromuscular activity of the vastus medialis and biceps femoris muscles were assessed by surface electromyography. After exercise induced dehydration, the bioimpedance vector significantly lengthens along the major axis of the BIVA graph, in conformity with the body weight change (-2%), that indicates a fluid loss. Metabolic and neuromuscular parameters significantly increased during TT at 95% VO2max with respect to constant workload at 65% of VO2max. Dehydration during a one-hour cycling test and subsequent TT caused a significant increase in HR, while neuromuscular function showed a lower muscle activation in dehydration conditions on both constant workload and on TT. Furthermore, a significant difference between HYD and DEH for TT duration was found.

Functional Movement Patterns and Body Composition of High-Level Volleyball, Soccer, and Rugby Players.

CONTEXT: Sports practice leads athletes to develop a specific body composition, coordination patterns, and basic motor skills based on the different tactical and physical needs. OBJECTIVES: To present and compare a wide range of functional movement patterns and body composition (BC) parameters of high-level male athletes playing different sports and to determine if there was a relationship between the parameters examined. DESIGN: Cross-sectional study. SETTING: Team facilities. PARTICIPANTS: A total of 30 volleyball, 25 soccer, and 30 rugby players (age = 25.9 [5.0] y and body mass index = 25.6 [4.1] kg/m2). INTERVENTIONS: Functional movement patterns and anthropometric measurements were collected by a physician specifically trained. MAIN OUTCOME MEASURES: Body mass index, fat mass, fat-free mass, upper-arm muscle and fat area, calf muscle and fat area, thigh muscle and fat area, and functional movement screen (FMS) scores. In addition to considering the FMS total score, the authors separated the screen into 3 parts: FMSmove, FMSflex, and FMSstab. RESULTS: The rugby players showed a higher number of asymmetrical and dysfunctional movements than the other athletes (P < .01), while the highest scores in FMSflex were obtained by the volleyball players (P < .01). In addition, most of the asymmetrical and painful movements in the athletes were measured on the shoulder mobility test. Muscle and fat areas differed significantly among the athletes (P < .05). Significant associations were found between movement patterns and several BC variables. In particular, large negative correlations were measured between percentage of fat mass (r = -.616; P < .01), upper-arm fat area (r = -.519; P < .01), and FMS total score. CONCLUSIONS: Functional movement patterns and BC differ in athletes according to the sport practiced. Furthermore, reaching an optimal BC is essential to achieve a satisfactory quality of movement.

Microsaccades and interest areas during free-viewing sport task.

Microsaccades are important fixation eye movements for visual scene perception. Compared to novices, athletes make fewer fixations of longer duration toward limited interest areas crucial for action prediction. Thus, our aim was to study the microsaccade features during those fixations. Gaze behaviour of expert and novice table tennis players was recorder during a task in which subjects were instructed to predict the direction of the ball after the opponent's throw. Three interest areas from the opponent's body and one from the ball trajectory were identified. We analysed correctness of predictions, fixations, microsaccades and saccades to estimate the relationship between eye movements toward interest areas and success in the task. Compared to novices, experts fixated more on hand-racket during forehand and on trunk during backhand drive technique. Longer fixations on hand-racket and trunk were associated with higher microsaccade rate with a narrower directional distribution of them. It probably means that athletes focused their gaze on these small areas, suggesting enhanced attention mainly to them, and fewer consideration for the surrounding regions. We can assume that microsaccade rate and average direction could be related to the salience of interest areas during performance.

Physiological responses to partial-body cryotherapy performed during a concurrent strength and endurance session.

This investigation examined the effect of partial-body cryostimulation (PBC) performed in the recovery time between a strength training and an interval running (IR) session. Nine rugby players (age, 23.7 ± 3.6 years; body mass index, 28.0 ± 2.6 kg·m-2) were randomly exposed to 2 different conditions: (i) PBC: 3 min at -160 °C, and (ii) passive recovery at 21 °C. We performed the bioelectrical impedance analysis (BIA) and recorded temperature and cardiac autonomic variables at 3 time points: at baseline, after strength training, and after 90 min of recovery. In addition, blood lactate concentration was measured 1 min before and 2.5 min after the IR. Heart rate (HR), energy cost, minute ventilation, oxygen uptake, and metabolic power were assessed during the IR. Homeostatic hydration status was affected by the execution of an intense strength training subsession. Then, after PBC, the BIA vector was restored close to normohydration status. Autonomic variables changed over time in both conditions, although the mean differences and effect sizes were greater in the PBC condition. During IR, HR was 3.5% lower after PBC, and the same result was observed for oxygen uptake (∼4.9% lower) and ventilation (∼6.5% lower). The energy cost measured after cryotherapy was ∼9.0% lower than after passive recovery. Cryotherapy enhances recovery after a single strength training session, and during subsequent IR, it shows a reduction in cardiorespiratory and metabolic parameters. PBC may be useful for those athletes who compete or train more than once in the same day, to improve recovery between successive training sessions or competitions.