Effects of neuromuscular function and split step on reaction speed in simulated tennis response.

The purpose of this study was to examine whether split step (small hop before step) would be more beneficial than no-split condition in simulated tennis response situation. In addition, it was studied if movement time of the response is related to separately measured force production capabilities and reflex sensitivity of the players. Nine skilled male tennis players participated in this study. Subjects stood on a force plate and reacted to a light signal and moved to appointed direction as fast as possible. With split step the participants were 13.1% faster (P <0.05) than without split step from the start to the distal end of the so called close range movement continuum (2.70 m). This was mainly explained by 43.6% faster time (P <0.05) from the signal to the onset of force production. Greater vertical forces were observed with split step: 15.7% greater F(z) mean force (P <0.05), 60.0% greater F(z) peak force (P<0.01). In split step both mean (r= - 0.813, P <0.01) and peak (r=-0.765, P <0.05) vertical forces (Fz) correlated negatively with the time from the onset of the force production to the photocell. With split step higher EMGs were observed in muscles responsible for ankle joint movement indicating that different strategies were used. Due to the split step the players were able to start the movement faster which mostly explains the advantages over the no-split step condition. Split step condition may also benefit from stretch shortening type of muscle action.

One-repetition maximum bench press performance estimated with a new accelerometer method.

The one repetition maximum (1RM) is an important method to measure muscular strength. The purpose of this study was to evaluate a new method to predict 1RM bench press performance from a submaximal lift. The developed method was evaluated by using different load levels (50, 60, 70, 80, and 90% of 1RM). The subjects were active floorball players (n = 22). The new method is based on the assumption that the estimation of 1RM can be calculated from the submaximal weight and the maximum acceleration of the submaximal weight during the lift. The submaximal bench press lift was recorded with a 3-axis accelerometer integrated to a wrist equipment and a data acquisition card. The maximum acceleration was calculated from the measurement data of the sensor and analyzed in personal computer with LabView-based software. The estimated 1RM results were compared with traditionally measured 1RM results of the subjects. An own estimation equation was developed for each load level, that is, 5 different estimation equations have been used based on the measured 1RM values of the subjects. The mean (+/-SD) of measured 1RM result was 69.86 (+/-15.72) kg. The mean of estimated 1RM values were 69.85-69.97 kg. The correlations between measured and estimated 1RM results were high (0.89-0.97; p < 0.001). The differences between the methods were very small (-0.11 to 0.01 kg) and were not significantly different from each other. The results of this study showed promising prediction accuracy for estimating bench press performance by performing just a single submaximal bench press lift. The estimation accuracy is competitive with other known estimation methods, at least with the current study population.

Does femoral strain distribution coincide with the occurrence of cervical versus trochanteric hip fractures? An experimental finite element study.

The objective of this experimental finite element (FE) study is to test the hypothesis that strain distributions coincide with the occurrence of cervical versus trochanteric hip fractures during loading conditions simulating a sideways fall, and that the cervical versus trochanteric principal strain ratio predicts different fracture patterns. Cadaver femora (female, 83 +/- 9 years) were CT scanned and mechanically tested simulating a fall. Thirteen cervical and 13 trochanteric fracture cases were selected for FE analysis. Principal strain distributions were analysed, and strain ratio epsilon(C)/epsilon(T) for strain patterns over the cervical and trochanteric regions was computed. The ratio epsilon(C)/epsilon(T) in the femora with cervical fractures (mean +/- SD 1.103 +/- 0.127) differed from that in trochanteric fractures (0.925 +/- 0.137) (p = 0.001). The significant difference in the strain ratio between fracture types remained after accounting for femoral neck and trochanteric BMD (p = 0.014), showing that it is independent of BMD. Area under the ROC curve was 0.858 in the discrimination of fracture types. The model predicted the experimental fracture type correctly in 22 of 26 cases. The cervical versus trochanteric region principal strain ratio differed significantly between femora with experimental cervical versus trochanteric fractures, and 85% agreement was achieved for the occurrence of hip fracture types using a simple FE model.

Effect of body composition on the neuromuscular function of Finnish conscripts during an 8-week basic training period.

The dropout rate in the Finnish military service has increased during the past two decades. At the same time, the physical fitness level of young Finnish males has decreased, possibly leading to overtraining in new conscripts. The purpose of the present study was to examine whether body composition would influence neuromuscular function during the 8-week basic training (BT) period. Eighteen healthy male subjects (19 +/- 1 years) were divided into three different groups according to their body fat %. Group 1 (<10%), group 2 (10-13%) and group 3 (>13%). The soleus H-reflex response was measured in the standing position. In the seated position (knee 160 degrees and hip 110 degrees), the V-wave response was measured during maximal voluntary contraction, and the single twitch response was measured in passive conditions. In body composition (fat-free mass and fat mass) was observed small but not significant changes during 8-week period. H-reflex activity increased in groups 2 (10.9% not significant [ns]) and 3 (2.8% ns) but decreased in group 1 (-34.8%, p < 0.05) during the 8-week period. V-wave values decreased in all groups, and the biggest decrement was observed in group 2 (-34.7%, p < 0.05), whereas in group 1 and group 3 no significance was observed. For each group the single twitch torque (G1 ns, G2 and G3 p < 0.05) increased during the 8-week period. The major finding of the study was that the BT period did not cause overtraining in conscripts. Increased activity of the H-reflex and single twitch torque supports this finding. V-wave activity was decreased in all groups, which may also indicate that the training did not stimulate neural activity. In general, the observed changes in neuromuscular system supports the main finding.

Effect of skiing speed on ski and pole forces in cross-country skiing.

PURPOSE: The present study characterized pole and ski forces in classical technique cross-country skiing. Eight elite junior cross-country skiers performed diagonal skiing at 65%, 75%, 90%, and 100% of maximum speed on a stable 100-m-low uphill (2.5 degrees ). METHOD: : The ski and the pole forces (vertical (Fz) and horizontal (Fy) directions) on the right and left sides were recorded separately when the skier skied over a special custom-made force platform system placed at the end of the uphill course. The entire system consisted of four separate 20-m-long rows of 1-m-long force plates connected in series, row by row. RESULTS: When the forces were averaged for the various functional phases of skiing cycle, the ski Fz during the gliding phase decreased and the braking ski Fy and Fz remained the same with higher skiing speed. During the subsequent kick phase, both ski Fy and Fz increased significantly as a function of the skiing speed. Consequently, the Fy ratio between the ski and the pole plant increased with faster skiing speed. Simultaneously measured EMGs from five different muscles showed that the abdominals had a pattern of increasing activation with increase in speed of skiing. All the other muscles, vastus lateralis (VL), rectus femoris (RF), erector spinae (ES), and medial gastrocnemius (MG), were obviously active in the preloading and the kick phases. CONCLUSIONS: The speed dependence of the ski and the pole force distributions in the present study are important for further understanding of the complexity of cross-country skiing. Especially relevant is to use these results as basis for studies aimed at better understanding of the propulsive force production, when more comprehensive EMG analysis is complemented with simultaneous kinematic recordings at varied slope, speed, and waxing conditions.

Recovery pattern of baroreflex sensitivity after exercise.

PURPOSE: To test the association between exercise mode and the recovery pattern of baroreflex sensitivity (BRS) after exercise. METHODS: The study population included healthy male subjects (N = 12, age: 31 +/- 3 yr). Four different interventions were performed in a randomized order: 1) aerobic exercise session on a bicycle ergometer, 2) light resistance exercise session, 3) heavy resistance exercise session, and 4) control intervention with no exercise. All interventions lasted 40 min. R-R intervals and continuous blood pressure were measured before (10 min) and 30-180 min after the interventions. BRSLF was calculated by the transfer function method from the low-frequency band (LF, 0.04-0.15 Hz) of the R-R intervals and systolic blood pressure spectra. RESULTS: BRSLF had blunted until 30 min after aerobic and light resistance exercise (11.1 +/- 4.3 and 10.0 +/- 3.6 vs 17.5 +/- 7.0 ms.mm Hg(-1), P = 0.002 for both, compared with the control intervention, respectively). However, BRSLF was significantly blunted until 60 min after heavy resistance exercise (9.3 +/- 2.3 vs 15.1 +/- 4.7 ms.mm Hg(-1), P = 0.005, compared with the control intervention). The high-frequency power of R-R intervals (0.15-0.4 Hz) was significantly reduced, and the LF power of systolic blood pressure oscillation was significantly augmented 30 min after heavy resistance exercise (P < 0.01 for both), whereas both indices were restored to the control level by 30 min after aerobic and light resistance exercise. CONCLUSION: BRS after acute exercise is associated with exercise intensity, showing relatively rapid recovery after aerobic and light resistance exercise and delayed recovery after heavy resistance exercise. The delayed BRS pattern after heavy resistance exercise is regulated by delicate interplay between the withdrawal of vagal outflow and the probably increased sympathetic vasomotor tone documented by measurements of heart rate and blood pressure variability.

Evidence on the effectiveness of occupational health interventions.

BACKGROUND: At present there exists no overview of the range of evidence currently available regarding the effectiveness of occupational health interventions (OHI). METHODS: Articles published in 2000 and 2001 in 16 general and specialized biomedical journals were searched for evaluations of OHI studies. RESULTS: Out of 8,687 articles searched there were 148 OHI studies. In 21% of the studies the study design was a randomized controlled trial, in 28% it was a controlled trial, an interrupted time-series in 7% and a different design in 44%. The occupational health outcome was exposure in 27% of the studies, worker behavior in 12%, disease symptoms in 30%, disability or sickness absence in 24%, injuries in 4%, and quality of care in 3%. CONCLUSIONS: High quality evaluation studies are conducted in all areas of occupational health. However, it is clear that more are needed and the methodology used could be improved.

Leucine7 to proline7 polymorphism in prepro-NPY gene and femoral neck bone mineral density in postmenopausal women.

Neuropeptide Y (NPY) is a versatile neurotransmitter that has recently been shown to regulate bone metabolism in animal and in vitro studies. We studied the influence of leucine7-to-proline7 (Leu7/Pro7) polymorphism of the NPY signal peptide gene on bone mineral density (BMD) before and after a 5-year hormone replacement therapy (HRT) in 316 early postmenopausal women participating in a randomized controlled trial nested in the population-based Kuopio Osteoporosis Risk Factor and Prevention (OSTPRE) study. The participants were randomized into two treatment groups: the HRT group (n = 146) received a sequential combination of 2 mg estradiol valerate and 1 mg cyproterone acetate and calcium lactate, 500 mg/day (equal to 93 mg Ca2+) alone or in combination with vitamin D3, 100-300 IU/day. The non-HRT group (n = 170) received calcium lactate, 500 mg alone or in combination with vitamin D3, 100-300 IU/day. BMDs of the lumbar spine (L2-4) and proximal femur were measured by using dual X-ray absorptiometry (DXA). The frequency of Leu7/Pro7 polymorphism was 15.2%. At baseline, there were no significant differences in the lumbar or femoral neck BMD between the subjects who had Leu7Pro7 polymorphism and the normal subjects. After 5 years, the BMD of the femoral neck remained unaltered and that of the lumbar spine increased by 1.7% in the HRT group, whereas both BMDs were decreased by 4-5% in the non-HRT group. After 5 years, the femoral neck BMD was significantly lower in those with the wild-type NPY polymorphism than in those with Leu7/Pro7 polymorphism (P = 0.040) in the non-HRT group. In the HRT group, the changes in BMD were quite modest and not significantly modified by Leu7/Pro7 genotype. We conclude that the Leu7/Pro7 polymorphism in NPY signal gene may favorably affect femoral neck BMD in postmenopausal women.