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1.
J Clin Med ; 13(10)2024 May 07.
Article in English | MEDLINE | ID: mdl-38792292

ABSTRACT

Background/Objectives: Aseptic loosening is the leading cause of late revision in total hip arthroplasty, primarily due to degenerative oxidation of polyethylene components, leading to wear particle formation and periacetabular osteolysis. This study aimed to analyze the oxidation levels in polyethylene liners and cemented cups retrieved from revision surgeries using Fourier-transform infrared spectroscopy (FTIR) and to explore the correlation between oxidation levels and factors such as head size, head material, fixation method, and implant survival time. Methods: Polyethylene liners and cups were analyzed post-revision surgery to assess oxidation levels, which were then compared to periacetabular bone loss measured by the Paprosky classification. This study evaluated the impact of head size (28 mm vs. 32 mm), head material (ceramic vs. metal), and fixation methods on oxidation. The relationship between the mean oxidation index (OI) and implant survival time was also investigated. Results: There was a significant positive correlation between the mean oxidation index of the polyethylene components and the severity of periacetabular osteolysis according to the Paprosky scale. While the mean OI for samples articulating with ceramic heads was lower than for those with metal heads, and the mean OI for samples with a 32 mm head size was lower than for those with a 28 mm size, these differences were not statistically significant. Furthermore, the fixation method did not affect the oxidation index, and no correlation was found between OI and the survival time of the implants. Conclusions: This study confirms a direct correlation between polyethylene oxidation and periacetabular osteolysis in hip replacements, highlighting the importance of material choice and design in potentially reducing the risk of aseptic loosening. Despite the lack of significant differences in oxidation levels based on head material and size, these factors may still play a role in the long-term outcome of hip arthroplasty, warranting further investigation.

2.
Biol Sport ; 40(3): 899-918, 2023 Jul.
Article in English | MEDLINE | ID: mdl-37398950

ABSTRACT

Ice-hockey requires high acceleration and speed sprint abilities, but it is unclear what the distance characteristic is for measuring these capabilities. Therefore, this systematic meta-analysis aims to summarize the sprint reference values for different sprint distances and suggest the appropriate use of ice-hockey straight sprint testing protocols. A total of 60 studies with a pooled sample of 2254 males and 398 females aged 11-37 years were included. However, the pooled data for women was not large enough to permit statistical analysis. The sprint distance used for measuring the reported acceleration and speed was between 4-48 m. Increased test distance was positively associated with increased speed (r = 0.70) and negatively with average acceleration (r = -0.87). Forward skating sprint speed increases with the measured distance up to 26 m and do not differ much from longer distance tests, while acceleration decreases with a drop below 3 m/s at distances 15 m and longer. The highest acceleration (5.89 m/s2 peak, 3.31 m/s2 average) was achieved in the shortest distances up to 7 m which significantly differs from 8-14 m tests. The highest speed (8.1 m/s peak, 6.76 m/s average) has been recorded between 26-39 m; therefore, distances over 39 m are not necessary to achieve maximum speed. Considering match demands and most reported test distances, 6.1 m is the recommended distance for peak acceleration and 30 m for peak speed. The sprint time, acceleration, and speed of each individual and the number of skating strides should be reported in future studies.

3.
Materials (Basel) ; 16(8)2023 Apr 12.
Article in English | MEDLINE | ID: mdl-37109884

ABSTRACT

The use of modern materials in sports, in terms of chemical composition and surface texture, entails both progress in results and an increasing discrepancy in the technical parameters of the equipment used. This paper aims to demonstrate the differences between balls admitted to a league and world championships in composition, surface texture, and the influence of these parameters on the water polo game. This research compared two new balls produced by top companies producing sports accessories (Kap 7 and Mikasa). To obtain the goal, the measurement of the contact angle, analysis of the material using Fourier-transform infrared spectroscopy, and optical microscopic evaluation were used. The analysis of the surface free energy shows significant differences (Kap 7 32.16 mJ/m2, Mikasa 36.48 mJ/m2). In the case of both balls, anisotropies of the structure of the furrows were observed, however, the Mikasa ball is slightly more homogeneous than the Kap 7 ball. The obtained results from the analysis of the contact angle, as well as the composition and real feedback from the players, indicated the need to standardize the material aspect of the regulations so that the sports results are repeatable every time.

4.
J Hum Kinet ; 82: 191-200, 2022 Apr.
Article in English | MEDLINE | ID: mdl-36196350

ABSTRACT

A method of load variability is a common way of developing specific skills in various sports, however, not explored considering the use of different ice-hockey pucks. Therefore, the purpose of this study was to compare shooting speed, shooting accuracy, and handgrip strength changes after training with variable training loads (lighter 60g pucks and heavier 260g pucks) in the wrist shot and snapshot. Sixteen male ice hockey players (13.62±0.35y; 167.67±7.71cm; 53.87±7.55kg) were subjected to a 12 week experiment during which they trained six weeks with a light puck and six weeks with a heavy puck and were tested for shooting speed, shooting accuracy and handgrip strength. The variable load training increased shooting speed (the long hand snapshot by 7.4%, the shorthand snapshot by 8.5%, and the wrist shot by 13%), shooting accuracy (by 14%), and handgrip strength (by 8.7%) of the bottom hand; all at p<0.001. Training with heavy pucks was more effective (d=0.50-0.86) than training with lighter pucks (d=23-25) for increasing puck speed. Shooting accuracy was increased by variable load training with a similar effect of heavy and light puck training. The variable training load had a positive effect on shooting speed and accuracy and the use of a heavier load was more effective than using the unloaded puck. Variable load shooting training in youth ice-hockey players is more effective with heavier pucks than lighter ones, and the improvements are greater in players with better shooting skills.

5.
Sci Rep ; 12(1): 8808, 2022 05 25.
Article in English | MEDLINE | ID: mdl-35614193

ABSTRACT

The aim of this systematic review (qualitative analysis) was to identify the variables of changes induced by extrinsic (sport specific training) and intrinsic (individual anatomical predispositions) compensatory mechanisms that impact on the physiological magnitude of spinal curvatures in the sagittal plane and their deviations in the frontal plane. Furthermore, the aim of the quantitative analysis was to verify and objectivize the impact of these variables on athlete's body posture. A search of electronic database (PubMed, EBSCO, MEDLINE) was conducted to identify all studies on sports training and athlete's spine and body posture from 2011 to 2021. In the sagittal plane, the pooled proportion accounted for 44.97% (95% CI 31.22-58.72%) for thoracic hyperkyphosis (TH), 4.98% (95% CI 1.60-8.36%) for lumbar hyperlordosis (hyperLL), and 12.35% (95% CI 1.60-8.36%) for lumbar hypolordosis (hypoLL). Furthermore, in the sagittal plane, the pooled mean of thoracic kyphosis angle was 37.59° (95% CI 34.45-40.73%), whereas lumbar lordosis angle was 29.79° (95% CI 26.46-33.12%). Professional athletes tend to have postural disturbances and/or spinal curvature disorders in the sagittal and frontal planes. The meta-analysis indicated which intrinsic and extrinsic components might induce spinal abnormalities.


Subject(s)
Kyphosis , Lordosis , Animals , Athletes , Humans , Lumbar Vertebrae , Posture/physiology , Spine
6.
Endokrynol Pol ; 73(1): 96-102, 2022.
Article in English | MEDLINE | ID: mdl-35119090

ABSTRACT

INTRODUCTION: Resistance effort has a beneficial effect on muscle mass, body composition, bone density, and cardiac parameters. It is also a modulator of the inflammatory reaction. The aim of the study was to assess the impact of 3 months of resistance training on muscle strength, irisin levels, and metabolic parameters in patients with long-term type 1 diabetes. MATERIAL AND METHODS: Eleven type 1 male diabetic patients with low levels of physical activity were recruited, with mean age 38 ± 6 years, body mass index (BMI) 28.4 ± 2.6 kg/m², and diabetes duration 23 ± 7 years. All subjects participated in 60-minute resistance training sessions twice a week, for three months. At baseline and after 3 months in all patients, maximal muscle strength level, serum irisin concentration, metabolic control parameters, and anthropometric measures were assessed. RESULTS: After 3 months there was a statistically significant increase of maximal muscle strength in comparison to baseline. There was no significant change in serum irisin concentration, HbA1c, or other assessed parameters. CONCLUSION: A 3-month resistance training programme in patients with long-term type 1 diabetes and low level of physical activity significantly affects their maximum strength level. This indicates that people with diabetes are more adaptive to additional loads, which allows them to increase their load faster.


Subject(s)
Diabetes Mellitus, Type 1 , Resistance Training , Adult , Exercise/physiology , Fibronectins , Humans , Male , Muscle Strength/physiology
7.
J Hum Kinet ; 85: 75-85, 2022 Dec.
Article in English | MEDLINE | ID: mdl-36643831

ABSTRACT

The factors that influence the on-ice change of directional speed (COD) of ice hockey players remain unclear. Therefore, this study aimed to determine which off-ice and anthropometric variables determine hockey COD with and without a puck. Thirty-two elite ice hockey players (age: 17.64 ± 1.02 years, body height: 180 ± 7.5 cm, body mass: 76.4 ± 7.8 kg) performed squat jumps, broad jumps, countermovement jumps, and pull-ups and were assessed on agility office and on-ice, with and without a puck. Anthropometric characteristics were determined according to the modified somatotype method. A moderate correlation (r = 0.59-0.6) was observed among all agility tests, between on-ice agility with a puck and lower limb skeletal robustness (r = 0.45), and between on-ice agility with a puck and sit-and-reach scores (r = -0.50). Agility without a puck correlated with squat jump height (r = -0.36). Multiple regression analysis indicated that off-ice agility (ß = 0.51) and skeletal robustness of the lower limbs (ß = 0.35) determined (R2 = 0.41) on-ice agility with a puck. Players' COD was assessed by Illinois tests of agility off-ice and on-ice, with and without a puck; each of these tests moderately predicted the others, but differed in their physical constraints. Players with higher skeletal robustness used more strength and power to achieve COD performance, while players with lower skeletal robustness used techniques and skills to achieve COD, resulting in superior COD performance with a puck compared to stronger athletes. CODs with and without a puck are discrete skills requiring different abilities.

8.
Article in English | MEDLINE | ID: mdl-33096856

ABSTRACT

The aim of this study was to compare the muscle activity between the sling shot assisted (SS) and control (CONT) flat barbell bench press for selected external loads of 70%, 85%, 100% one-repetition maximum (1RM). Ten resistance-trained men participated in the study (age = 22.2 ± 1.9 years, body mass = 88.7 ± 11.2 kg, body height = 179.5 ± 4.1, 1RM in the bench press = 127.25 ± 25.86 kg, and strength training experience = 6 ± 2.5 years). Evaluation of peak muscle activity of the dominant body side was carried out using surface electromyography (sEMG) recorded for the triceps brachii, pectoralis major, and anterior deltoid during each attempt. The three-way repeated measure ANOVA revealed statistically significant main interaction for condition x muscle group (p < 0.01; η2 = 0.569); load x muscle group (p < 0.01; η2 = 0.709); and condition x load (p < 0.01; η2 = 0.418). A main effect was also observed for condition (p < 0.01; η2 = 0.968); load (p < 0.01; η2 = 0.976); and muscle group (p < 0.01; η2 = 0.977). The post hoc analysis for the main effect of the condition indicated statistically significant decrease in %MVIC for the SS compared to CONT condition (74.9 vs. 88.9%MVIC; p < 0.01; ES = 0.39). The results of this study showed that using the SS significantly affects the muscle activity pattern of the flat bench press and results in its acute decrease in comparison to an equal load under CONT conditions. The SS device may be an effective tool both in rehabilitation and strength training protocols by increasing stability with a reduction of muscular activity of the prime movers.


Subject(s)
Resistance Training , Weight Lifting , Electromyography , Humans , Male , Muscle Strength , Muscle, Skeletal , Weight Lifting/physiology , Young Adult
9.
Article in English | MEDLINE | ID: mdl-32842658

ABSTRACT

The aim of this study was to investigate the relationship between linear sprint, power output obtained during a squat and change of direction (COD) performance. Fifteen elite soccer players participated in this study (age = 21.7 ± 0.72 years, body mass = 74.9 ± 9.11 kg, body height = 180.4 ± 7 cm, training experience = 9 ± 1.5 years). To examine these correlations a following battery of tests were carried out: 20-m linear sprint, one-repetition maximum (1RM) squat strength, peak power output obtained during a squat at 50% 1RM and time obtained in two 20-m COD tests with different angles of direction change (90° and 135°). In addition, COD deficits (90°-CODDEF and 135°-CODDEF) for both COD tests were calculated. The Spearman's rank order correlation showed a nearly perfect statistical relationship between the 90°-COD and the 90°-CODDEF (r = 0.9; p < 0.001). In the case of 90°-CODDEF, there was a large statistical relationship with 135°-CODDEF (r = 0.59; p = 0.021). Moreover, there was a nearly perfect statistical relationship between 135°-COD and 135°-CODDEF (r = 0.91; p < 0.001). The statistically insignificant (p > 0.05) relationship between 20-m linear sprint time, power output obtained during a squat at 50% 1RM, 1RM squat strength level and both COD test, as well as both COD deficits were found. Results of the present study showed that 20-m linear sprinting speed, 1RM squat strength, power output obtained during squat at 50% 1RM and COD ability at 90° and 135° angles, are separate physical qualities. Moreover, it seems that COD deficit provides a more isolated measure of COD ability than the COD tests alone and does not must be limited to a specific angle, but provides knowledge about the COD ability in a range of other angles, at least concerning 90° and 135° COD angles.


Subject(s)
Athletic Performance , Running , Soccer , Humans , Muscle Strength , Posture , Young Adult
10.
Article in English | MEDLINE | ID: mdl-31973121

ABSTRACT

BACKGROUND: The objective of this study was to evaluate the diet composition, body fat content, and physical activity (PA), considering blood lipid levels and insulin resistance markers, in elderly women who were well educated in nutrition and healthy lifestyle choices. METHODS: A total of 106 postmenopausal women took part in the study. The study group included 62 students from the University of the Third Age (U3A); the control group (CG) included 44 females from the Silesia region. We evaluated their daily macro and micronutrient intake, levels of PA, percent of body fat (PBF), and the visceral fatty area (VFA). We also evaluated the lipid profile, insulin and glucose levels, homeostatic model assessment of insulin resistance (HOMA-IR), and C-reactive protein (CRP) levels. RESULTS: Significant differences were observed in carbohydrate, protein, fiber, as well as vitamins and minerals consumption between the U3A group and the CG. There were no differences in the PBF and VFA between the groups. Furthermore, no differences were shown in the measured blood variables. The U3A group walked more than 11,000 steps a day and performed 46.15 min/day of PA with a moderate intensity of 3-6 metabolic equivalents of task (METs, min/week). CONCLUSIONS: Despite the fact that the U3A group were physically active females, well educated on healthy, balanced diets and had the motivation to learn about proper nutritional behaviors, they did not follow these recommendations in everyday life.


Subject(s)
Diet , Health Behavior , Health Education , Nutritional Status , Adiposity , Aged , Exercise , Female , Healthy Lifestyle , Humans , Insulin Resistance , Motivation
11.
J Sports Sci Med ; 18(4): 680-694, 2019 12.
Article in English | MEDLINE | ID: mdl-31827353

ABSTRACT

Agility plays a crucial role in ice hockey training, and it can be developed directly on the ice or by additional off-ice training. Since the effectiveness of on-ice and off-ice training on players' agility have not been previously described, the purpose of this research is to compare the effects of on-ice and off-ice agility training on skating performance. Fourteen ice hockey players performed agility training on-ice for 4 weeks and off-ice for 4 weeks in a crossover design; they were tested before the agility program, after the first month and after finishing both training programs. The players were randomly assigned into one of two groups (n = 7 in each group), either performing the on-ice training protocol first (Ice1) followed by the off-ice agility training or performing the off-ice protocol first and the on-ice training second (Ice2). The test battery included straight sprints to 6.1 m and 35 m and the S corner test, test with break, weave agility with puck test and reactive agility test. The magnitude based decision showed the effect of agility training in both groups in the weave agility (Ice1, 2.9±2.8% likely improvement; Ice2, 3.1±2.5% possible improvement) and reactive agility tests (Ice1, 3.1 ±2.5% likely improvement; Ice2, 1.7±2.1% possible improvement), where the Ice1 protocol resulted in a likely positive change and Ice2 resulted in a possible positive change. The comparison of the training effect resulted in a possibly harmful change of performance in Ice2 protocol (-0.5 ± 8.9%) compared to Ice1 protocol (-1.0 ± 5.1%). On-ice training is more effective in the development of specific types of agility in adolescent U16 players. However, there is evidence that off-ice agility have motor transfer to on-ice agility. Therefore, we recommend developing on-ice agility with additional off-ice agility training during the ice hockey season.


Subject(s)
Athletic Performance/physiology , Hockey/physiology , Motor Skills/physiology , Physical Conditioning, Human/methods , Adolescent , Athletic Performance/psychology , Cross-Over Studies , Hockey/psychology , Humans , Task Performance and Analysis , Transfer, Psychology
12.
Biomed Res Int ; 2019: 1287506, 2019.
Article in English | MEDLINE | ID: mdl-31662969

ABSTRACT

The main objective of this research was to evaluate the efficacy of intermittent hypoxic training (IHT) on aiming performance and aerobic capacity in biathletes. Fourteen male biathletes were randomly divided into a hypoxia group (H) (n = 7), which trained three times per week in a normobaric hypoxic environment (FiO2 = 16.5%, 2000 m a.s.l.) with lactate threshold intensity (LT) determined in hypoxia, and a control group (C) (n = 7), which exercised under normoxic conditions with LT intensity determined in normoxia. The training program included three weekly microcycles, followed by three days of recovery. The main part of the interval workout consisted of four 7 min (1st week), 8 min (2nd week), or 9 min (3rd week) running bouts at treadmill separated by 2 minutes of active recovery. After the warm-up and during the rest between the bouts, the athletes performed aiming to the target in the standing position with a sporting rifle (20 s). The results showed that the IHT caused a significant (p < 0.05) increase in retention time in the target at rest (RT9rest) by 14.4% in hypoxia, whereas RT postincremental test (RT9post) increased by 27.4% in normoxia and 26.7% in hypoxia. No significant changes in this variable were found in group C. Additionally, the capillary oxygen saturation at the end of the maximal effort (SO2capillary max) in hypoxia increased significantly (p < 0.001) by ∼4% after IHT. The maximal workload during the incremental test (WRmax) in normoxia also increased significantly (p < 0.001) by 6.3% after IHT. Furthermore, in absolute and relative values of VO2max in normoxia, there was a propensity (p < 0.07) for increasing this value by 5% in group H. In conclusion, the main findings of this study showed a significant improvement in resting and postexercise aiming performance in normoxia and hypoxia. Furthermore, the results demonstrated beneficial effects of the IHT protocol on aerobic capacity of biathletes.


Subject(s)
Cardiovascular System/physiopathology , Exercise Test , Exercise/physiology , Hypoxia/physiopathology , Lactic Acid/metabolism , Physical Fitness , Adolescent , Athletes , Exercise Tolerance , Humans , Male , Oxygen , Oxygen Consumption , Physical Endurance , Running , Young Adult
13.
Clin J Sport Med ; 29(1): 49-56, 2019 01.
Article in English | MEDLINE | ID: mdl-28817412

ABSTRACT

OBJECTIVE: Physical methods are reported to be important for accelerating skeletal muscle regeneration, decreasing muscle soreness, and shortening of the recovery time. The aim of the study was to assess the effect of the physical methods of lymphatic drainage (PMLD) such as manual lymphatic drainage (MLD), the Bodyflow (BF) therapy, and lymphatic drainage by deep oscillation (DO) on postexercise regeneration of the forearm muscles of mixed martial arts (MMA) athletes. DESIGN AND METHODS: Eighty MMA athletes aged 27.5 ± 6.4 years were allocated to 4 groups: MLD, the BF device, DO therapy, and the control group. Blood flow velocity in the cephalic vein was measured with the ultrasound Doppler velocity meter. Maximal strength of the forearm muscles (Fmax), muscle tissue tension, pain threshold, blood lactate concentration (LA), and activity of creatine kinase were measured in all groups at rest, after the muscle fatigue test (post-ex) and then 20 minutes, 24, and 48 hours after the application of PMLD. RESULTS: The muscle fatigue test reduced Fmax in all subjects, but in the groups receiving MLD, DO, and BF significantly higher Fmax was observed at recovery compared with post-ex values. The application of MDL reduced the postexercise blood LA and postexercise muscle tension. CONCLUSIONS: The lymphatic drainage methods, whether manual or using electro-stimulation and DO, improve postexercise regeneration of the forearm muscles of MMA athletes. The methods can be an important element of therapeutic management focused on optimizing training effects and reducing the risk of injuries of the combat sports athletes.


Subject(s)
Lymphatic System , Martial Arts , Massage/methods , Muscle, Skeletal/physiology , Physical Therapy Modalities , Adult , Creatine Kinase/blood , Forearm , Humans , Lactic Acid/blood , Muscle Fatigue , Muscle Strength , Myalgia/therapy , Pain Threshold , Young Adult
14.
J Hum Kinet ; 70: 103-114, 2019 Nov.
Article in English | MEDLINE | ID: mdl-31915480

ABSTRACT

The aim of this study was to determine changes in climbers' hormonal, cardiovascular, neuromuscular, sleep and fatigue status, and their relationship with performance and workloads during a sport rock climbing camp. Mean difficulty of individual leading climbing routes (mean Difficulty) was calculated for six male, intermediate level sport rock climbers participating in a 2-week camp in Orpierre. Additionally, each morning climbers were tested for: cortisol (d-Cortisol) and testosterone (d-Testosterone) concentrations, testosterone/cortisol ratio (T/C), heart rate and heart rate variability in supine (d-L-HR, d-L-SD1, d-L-SD2) and standing positions (d-S-HR, d-S-SD1, d-S-SD2), difference in S-HR and L-HR (HR-S-L), maximal voluntary hand grip strength (MVC), sleep duration (Sleep) and the self-perception of fatigue (M-Fatigue). Only M-Fatigue and d-Testosterone did not change significantly during the camp. Changes in other variables were large and significant, especially in the second week of the camp when the mean Difficulty was > 70%. The greatest changes were noted on the last day, when T/C, HR-S-L, and Sleep decreased and d-Cortisol, d-L-HR, and d-SD1 increased. The monitoring of the uncoupling of neuromuscular, hormonal, and cardiovascular markers can be instrumental in determining the level of athletes' morning fatigue and readiness during a climbing camp. An increase in d-Cortisol and a decrease in T/C and HR-S-L are relevant indicators of overreaching in sport climbers.

15.
Sports (Basel) ; 6(2)2018 Apr 09.
Article in English | MEDLINE | ID: mdl-29910336

ABSTRACT

Background: Visual feedback may help elicit peak performance during different types of strength and power testing, but its effect during the anaerobic Wingate test is unexplored. Therefore, the purpose of this study was to determine the effect of visual feedback on power output during a hockey-specific intermittent Wingate test (AnWT6x6) consisting of 6 stages of 6 s intervals with a 1:1 work-to-rest ratio. Methods: Thirty elite college-aged hockey players performed the AnWT6x6 with either constant (n = 15) visual feedback during all 6 stages (CVF) or restricted (n = 15) visual feedback (RVF) where feedback was shown only during the 2nd through 5th stages. Results: In the first stage, there were moderate-to-large effect sizes for absolute peak power (PP) output and PP relative to body mass and PP relative to fat-free mass. However, the remaining stages (2⁻6) displayed small or negligible effects. Conclusions: These data indicate that visual feedback may play a role in optimizing power output in a non-fatigued state (1st stage), but likely does not play a role in the presence of extreme neuromuscular fatigue (6th stage) during Wingate testing. To achieve the highest peak power, coaches and researchers could provide visual feedback during Wingate testing, as it may positively influence performance in the early stages of testing, but does not result in residual fatigue or negatively affect performance during subsequent stages.

16.
Arch Med Sci ; 14(3): 500-509, 2018 Apr.
Article in English | MEDLINE | ID: mdl-29765434

ABSTRACT

INTRODUCTION: The aim of our study was to determine the risk factors for electrical storm (ES) and to assess the impact of ES on the long-term prognosis in patients after myocardial infarction (MI) with an implantable cardioverter-defibrillator (ICD) for secondary prevention of sudden cardiac death (SCD). MATERIAL AND METHODS: We retrospectively analyzed 416 patients with coronary artery disease after MI who had an implanted ICD for secondary prevention of SCD. Fifty (12%) patients had one or more incidents of an electrical storm - the ES (+) group. We matched the reference group of 47 patients from 366 ES (-) patients. RESULTS: We analyzed 3,408 episodes of ventricular arrhythmias: 3,148 ventricular tachyarrhythmic episodes in the ES (+) group (including 187 episodes of ES) and 260 in the ES (-) group. Multivariate logistic regression showed that inferior wall MI (RR = 3.98, 95% CI: 1.52-10.41) and the absence of coronary revascularization (RR = 2.92, 95% CI: 1.18-7.21) were independent predictors of ES (p = 0.0014). During 6-year observation of 97 patients, there were 39 (40%) deaths: 25 (50%) subjects in the ES (+) group and 14 (30%) in the ES (-) group (p = 0.036). Independent predictors of death were: the occurrence of ES (HR = 1.93), older age (HR = 1.06), and lower left ventricular ejection fraction (HR = 0.95) (for all p < 0.001). CONCLUSIONS: Electrical storm in patients after MI with ICD for secondary prevention is a relatively common phenomenon and has a negative prognostic significance. Myocardial infarction of the inferior wall and the absence of coronary revascularization are predisposing factors for the occurrence of an ES.

17.
J Hum Kinet ; 65: 111-123, 2018 Dec.
Article in English | MEDLINE | ID: mdl-30687424

ABSTRACT

Rock climbing is a physical activity that not only causes an increase in muscle tension, heart rate and blood pressure, but also results in the elevation of stress hormones including cortisol. It has not been established which of the above mentioned variables serve as the most accurate indicator of rock climbing-induced physical and mental stress. The aim of this study was to evaluate the effect of physical activity, short-term fatigue and mental demand on heart rate (HR), salivary cortisol (C) and blood plasma lactate (LA) concentrations in rock climbers under laboratory conditions. Twelve male and female rock climbers of comparable climbing performance (5a - 6b OS) were recruited. The participants completed two routes of different climbing difficulty (effect of physical demand), repeated a difficult route with a short 5-min recovery period three times (effect of fatigue), and repeated a difficult lead climb (effect of mental demand). Heart rate as well as C and LA concentrations were determined. The results indicated that more difficult climbing routes elicited increases in HR (especially relative values) and LA concentrations, whereas fatigue accumulation had an effect on climbing HR and relative C concentration values. Lead climbing only caused an increase in climbing HR. Based on the results it was concluded that HR was a good indicator of physical and mental stress intensity. Performing the same difficult route three times with a short recovery period in-between turned out to be the most demanding task and resulted in the highest increase of the cortisol concentration. Dynamics of changes in lactate concentrations depend on muscle loading (local muscular effort), lactate clearance and technical/tactical skills of the climber.

18.
J Hum Kinet ; 51: 201-208, 2016 Jun 01.
Article in English | MEDLINE | ID: mdl-28149383

ABSTRACT

The study aimed to determine the values of selected aerobic and anaerobic capacity variables, physical profiles, and to analyze the results of on-ice tests performed by ice-hockey players relegated to a lower league. Performance of 24 ice-hockey players competing in the top league in the 2012/2013 season was analysed to this end. In the 2013/2014 season, 14 of them still played in the top league (the control group), while 10 played in the first league (the experimental group). The study was conducted one week after the end of the playoffs in the seasons under consideration. The results revealed that only in the experimental group the analysed variables changed significantly between the seasons. In the Wingate test, significant changes were only noted in mean relative power (a decrease from 9.91 to 9.14 W/kg; p=0.045) and relative total work (a decrease from 299.17 to 277.22 J/kg; p=0.048). The ramp test indicated significantly lower power output in its final stages (364 compared with 384 W; p=0.034), as well as a significant decrease in relative VO2max (from 52.70 to 48.30 ml/min/kg). Blood lactate concentrations were recorded at the 3rd, 6th, 9th and 12th min of recovery after the ramp test. The rate of post-exercise recovery, ∆LA, recorded after the ramp test turned out to be significantly lower. The times recorded in the on-ice "6x30 m stop" test increased from 32.18 to 33.10 s (p=0.047). The study showed that playing in a lower league where games were less intensive, training sessions shorter and less frequent, had an adverse effect on the performance level of the investigated players. Lower VO2max recorded in the study participants slowed down their rates of post-exercise recovery and led to a significantly worse performance in the 6x30 m stop test, as well as lower relative power and relative total work in the Wingate test.

19.
J Strength Cond Res ; 30(1): 176-83, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26154153

ABSTRACT

The purpose of this study was to determine ice-hockey players' playing intensity based on their heart rates (HRs) recorded during a game and on the outcomes of an incremental maximum oxygen uptake test. Sixteen ice-hockey players, members of the Polish national team junior (U20), performed an incremental test to assess their maximal oxygen uptake (VO2max) in the 2 week's period preceding 4 games they played at the World Championships. Players' HRs at the first and second ventilatory thresholds obtained during the test were used to determine intensity zones (low, moderate, and high) that were subsequently used to classify HR values recorded during each of the games. For individual intensity zones, the following HRs expressed as mean values and as percentages of the maximal heart rate (HRmax) were obtained: forwards, 143-151 b · min(-1) (HRmax, 75.2-79.5%), 152-176 b · min(-1) (HRmax, 80.0-92.4%), 177-190 b · min(-1) (HRmax, 92.9-100.0%); defensemen, 127-139 b · min(-1) (HRmax, 69.4-75.8%), 140-163 b · min(-1) (HRmax, 76.4-89.0%), 164-184 b · min(-1) (HRmax, 89.5-100.0%). The amounts of time the forwards and defensemen spent in the 3 intensity zones expressed as percentages of the total time of the game were the following: 58.75% vs. 44.29% (low), 21.95% vs. 25.84% (moderate), and 19.30% vs. 29.87% (high). The forwards spent average more time in the low-intensity zone than did the defensemen, with the difference being statistically significant in periods 1 and 2 (61.44% vs. 44.21% at p ≤ 0.001 and 59.14% vs. 47.23% at p ≤ 0.01, respectively). The results of the study indicate that a method using aerobic and anaerobic metabolism parameters to determine intensity zones can significantly improve the reliability of evaluation of the physiological demands of the game and can be a useful tool for coaches in managing the training process.


Subject(s)
Heart Rate , Hockey/physiology , Oxygen Consumption , Physical Exertion/physiology , Adolescent , Exercise Test , Humans , Male , Young Adult
20.
J Sports Sci Med ; 13(4): 912-20, 2014 Dec.
Article in English | MEDLINE | ID: mdl-25435785

ABSTRACT

The aim of the present study was to evaluate the effects of 3 weeks altitude training according to the HiHiLo (live high-base train high-interval train low) procedure as described by Chapman et al. (1998), on erythropoiesis, maximal oxygen uptake and energy cost of exercise under normoxia in elite biathletes. Fifteen male elite biathletes randomly divided into an experimental (H) group (n = 7; age 27.1 ± 4.6 years; maximal oxygen uptake (VO2max) 66.9 ± 3.3 ml·kg(-1)·min(-1); body height (BH) 1.81 ± 0.06 m; body mass (BM) 73.1 ± 5.4kg), and a control (C) group (n = 8; age 23.2 ± 0.9 years; VO2max 68.2 ± 4.1 ml·kg(-1)·min(-1); BH 1.75 ± 0.03 m; BM 63.1 ± 1.5 kg) took part in the study. The H group stayed for 3 weeks at an altitude of 2015 m and performed endurance training on skis four times per week at 3000 m. Additionally, the training protocol included three high-intensity interval sessions at an altitude of 1000 m. The C group followed the same training protocol with skirollers in normoxia at an altitude of 600 m. The HiHiLo protocol applied in our study did not change VO2max or maximal workload (WRmax) significantly during the incremental treadmill test in group H. However, the energy cost for selected submaximal workloads in group H was significantly (p < 0.01) reduced compared to group C (-5.7%, -4.4%, -6% vs. -3.5%, -2.1%, -2.4%). Also a significant (p < 0.001) increase in serum EPO levels during the first two weeks of HiHiLo training at 2015 m was observed, associated with a significant (p < 0.05) increase in hemoglobin mass, number of erythrocytes, hematocrit value and percent of reticulocytes compared with initial values (by 6.4%, 5%, 4.6% and 16,6%, respectively). In group C, changes in these variables were not observed. These positive changes observed in our study led to a conclusion that the HiHiLo training method could improve endurance in normoxia, since most of the biathlon competitions are performed at submaximal intensities. Key pointsThe observed results suggests that the 3-weeks HiHiLo protocol is an effective training means for improving energy cost during submaximal exercise at sea level.The 3-weeks HiHiLo protocol increased the rate of erythropoiesis and improved most haematological variables.However, the positive changes in the athletes haematological variables after the HiHiLo protocol did not contribute to the improvement of VO2max values.

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