Assessing motor competence in kicking in individuals with Down syndrome through wearable motion sensors.

BACKGROUND: Kicking a ball is a very frequent action in sport and leisure time activities and a low proficiency in this skill could limit the participation in recreational sport activities. This issue is emphasised in individuals with Down syndrome (IDS) for which data about motor competence in kicking are limited to children. Here, we aim at evaluating the kicking competence of IDS combining a qualitative and a quantitative method. METHODS: Twenty-three adult IDS and 21 typically developed individuals (ITD) volunteered to participate in the study. Peak-to-peak 3D linear acceleration and angular velocity were recorded at 200 samples/s using two inertial measurement units placed on the lower back and lateral malleolus of the dominant limb during kicking. Motor competence in kicking was assessed according to the criteria proposed in the test of gross motor development version 3 (TGMD-3). RESULTS: Individuals with Down syndrome showed lower motor competence (ITD: 5.9 ± 1.2; IDS: 3.2 ± 2.0) and lower angular velocities about the cranio-caudal (ITD: 3.0 ± 1.8; IDS: 2.1 ± 1.1 rad/s) and medio-lateral axes (ITD: 4.5 ± 1.5; IDS: 3.0 ± 1.1 rad/s) of the trunk compared with ITD. Shank angular velocity about the medio-lateral axis was lower in IDS (ITD: 14.3.6 ± 4.0; IDS: 9.9 ± 2.8 rad/s). CONCLUSIONS: The lower trunk angular velocity in IDS may limit the possibility to rely on the proximal-to-distal sequencing commonly observed in kicking and generate high shank angular velocity upon ball impact. The lower trunk angular velocity may result from orthopaedic features of the pelvic girdle and possibly from a poorer neuromuscular control of core muscles.

Stress related changes during TeamGym competition.

AIM: The aim of the present study was to investigate the stress--related changes of a TeamGym competition considering both physiological [i.e. salivary cortisol (sC) and alpha--amylase (sAA)] and psychological (i.e. state anxiety) responses in relation to exercise intensity and competition outcomes. METHODS: Eleven (5 males and 6 females) elite TeamGym athletes (age: 21--28 yrs) were administered the State--Trait Anxiety Inventory before an official international TeamGym competition. sAA and sC samples were collected 15 minutes prior to competition, after each apparatus, 10--min and 30--min after competition. Exercise intensity was estimated by heart rate (HR) recording and performance was evaluated by three international judges. All these parameters were correlated with competition outcomes. RESULTS: TeamGym competition posed a low exercise load (most of exercise was performed below 85% of the individual HR max ). Significant increases (P<0.004) in sAA (3.53 fold induction) and state anxiety (P=0.045) were observed, with respect to baseline values. Conversely, sC remained stable throughout the competition. Significant (P=0.029) correlation between sAA, state anxiety and competition outcomes emerged. CONCLUSIONS: Present findings provide the first evidence that the psycho--physiological stress response prior to and during competition can affect performance outcome, especially in a technical sport such as TeamGym.

Aerobic training program for the enhancements of HR and VO2 off-kinetics in elite judo athletes.

AIM: The purpose of this study was to investigate the physiologic and performance changes with the addition of high-intensity interval training (HIIT) to a traditional judo programme. METHODS: Nine elite judokas (6 males and 3 females; age: 20±4 yrs; body mass: 69±2 kg; height: 172±7 cm; judo practice time: 13±6 yrs; weekly training volume: 13±5 hours, mean±SD) were recruited to perform a 12-week specific aerobic training program, which consisted of 2 session/week of 30-min continuous run at 60% at Vmax and one session/week of high-intensity interval training 15x1-min at 90% of Vmax with 1 min of active recovery at 60% of Vmax. Before and after the intervention all athletes performed a graded maximal exercise Test to measure maximal oxygen consumption (V̇O2max), ventilatory threshold (VT), maximal velocity (Vmax), heart rate (HR) and V̇O2 off kinetics. V̇O2 and HR recovery kinetics were evaluated on a breath-by-breath basis using a single component exponential function. Anaerobic capacity during specific movements was assessed with the Special judo fitness Test (SJFT). RESULTS: The maximal speed reached during the maximal aerobic power test significantly increaseed (P=0.04), but V̇O2max did not change. τ of HR and of V̇O2 recovery significantly decreased by 17.3% (P=0.04) and 22.0% (P<0.01), respectively. VT increased (6.6%; P=0.03) and the SJFT Index improved (12%; P<0.001) 12% after training. CONCLUSION: The aerobic fitness of elite judokas may be improved by adding aerobic routines to the normal training enhancing the recovery capacity.

Cardio-respiratory and electromyographic responses to ergometer and on-water rowing in elite rowers.

The aim of this study was to compare muscle activation and cardio-respiratory response during ergometer and on-water rowing. Nine internationally competitive rowers (five Olympic Games medal winners, age 25.6 ± 4.8 years) were requested to perform a 1,000 m race simulation test in the two conditions. Surface electromyographic (sEMG) signals from trapezius superior (TRS), latissimus dorsi (LD), biceps brachii (BB), rectus femoris (RF), vastus medialis (VAM), vastus lateralis (VAL), biceps femoris (BF) and tibialis anterior (TA) muscles were recorded continuously during the tests together with other cardio-respiratory parameters: heart rate (HR), ventilation (VE), oxygen consumption (VO2). On-water, subjects covered the same distance in a longer time (218.4 ± 3.8 s vs. 178.1 ± 5.6 s during ergometer test). TRS, LD, BB, RF, VAM and VAL muscle activation on-water was lower than off-water during the rowing race. VO2 and VE responses were similar between the two conditions even if the time to complete the 1,000 m race simulation test was higher on-water. The results indicate that for most of the analyzed muscles EMG activation on the ergometer is higher than on-water with the maximal activity at the beginning of the on-water test due reasonably to overcome the forces opposing the forward motion, while the ergometer task elicited increasing muscle activation over time. The present data may be considered by coaches when choosing a rowing ergometer in substitution for the training on-water or when relying on the indoor tests to select the crew.

Muscle fibre conduction velocity and cardiorespiratory response during incremental cycling exercise in young and older individuals with different training status.

We investigated the effect of ageing and training on muscle fibre conduction velocity (MFCV) and cardiorespiratory response during incremental cycling exercise. Eight young (YT; 24+/-5 yrs) and eight older (OT; 64+/-3 yrs) cyclists, together with eight young (YU; 27+/-4 yrs) and eight older (OU; 63+/-2 yrs) untrained individuals underwent to an incremental maximal test on a cycle ergometer. Ventilatory threshold (VT), respiratory compensation point (RCP) and maximal oxygen uptake (VO(2)max) were identified and MFCV recorded from the vastus lateralis muscle using surface electromyography with linear arrays electrodes. In YT MFCV increased with the exercise intensity, reaching a peak of 4.99+/-1.02 [m/s] at VT. Thereafter, and up to VO(2)max, MFCV declined. In YU MFCV showed a similar trend although the peak [4.55+/-0.53m/s] was observed, at 75% of VO(2)max an intensity higher than VT (66% of VO(2)max). In both YT and YU MFCV did not decline until RPC, which occurred at 78% VO(2)max in YU and at 92% VO(2)max (P<0.01) in YT. Differently from young individuals, MFCV in older subjects did not increase with exercise intensity. Moreover, maximal MFCV in OU was significantly lower [3.53+/-0.40 m/s;] than that of YT (P<0.005) and YU (P<0.05). The present study shows that, especially in young individuals, MFCV reflects cardiorespiratory response during incremental dynamic cyclic exercise and hence can be used to investigate motor unit recruitment strategies.

Auxiliary muscles and slow component during rowing.

The aim of this study was to investigate the contribution of the auxiliary muscles, utilized to sustain the subject's position on the ergometer, to the oxygen uptake slow component phenomenon. Three tests were performed at the same severe relative intensity on a rowing ergometer: a standard rowing exercise test, a rowing exercise performed with the arms and one performed with the legs only. During the three exercise modalities, oxygen uptake, local oxyhemoglobin saturation and surface electromyography signals of the trapezius and vastus lateralis muscles were measured. The slow component amplitude, in absolute values, resulted statistically lower for rowing (343.9 ml . min (-1)) than for arms (795.6 ml . min (-1)) and legs (695.8 ml . min (-1)) exercise modes. The same result was found when the slow component amplitude was calculated as percentage of V O (2peak) (7.1 % for rowing; 17.2 % for arms; 17.3 % for legs). The lower slow component amplitude measured for the rowing exercise mode with respect to both arms and legs modes, demonstrates that the auxiliary muscles involved in the exercise contribute to the increasing energetic cost due to the slow component.

Amplitude and spectral characteristics of biceps Brachii sEMG depend upon speed of isometric force generation.

In the present study the influence of speed of contraction on the interplay between recruitment and firing rate of motor units (MUs) was assessed. The surface electromyographic (sEMG) signal was recorded in nine healthy subjects from the right biceps brachii using a linear electrode array during ramp isometric contractions (from 0 to 100% of the maximal voluntary force, MVC) at 5, 10, and 20% MVC s(-1) (ramp phase), followed by 10 s of sustained MVC (hold phase). The median frequency (MDF), Root Mean Square (RMS) and conduction velocity (CV) of sEMG, were computed on adjacent epochs covering a force range of 5% MVC each. Full motor unit recruitment (FMUR) point was assessed as the force level at which MDF reached its maximum value; the MDF decay during the hold phase was taken as an index of localized muscle fatigue. At 5% MVC s(-1), FMUR was reached at 52.3% MVC. At 10%MVC s(-1) FMUR was achieved at 58% MVC; while at 20% MVC s(-1) FMUR point was located at 77% MVC, being statistically different from 5 and 10% MVCs(-1) ramps (p<0.05). The MDF decay was steeper at higher speed. CV modifications mirrored those reported for MDF. The RMS increased in a curvilinear fashion and the maximum value was always attained during the hold phase. Our findings suggest that MU recruitment strategies are significantly related to the speed of contraction even in a single muscle.

Effect of human exposure to altitude on muscle endurance during isometric contractions.

The aim of this study was to evaluate the influence of exposure to altitude on muscle endurance during isometric contractions. Six sedentary subjects were studied. Surface electromyograph (sEMG) activity was recorded from the right biceps brachii (BB) during exhausting isometric exercise at 80% maximal voluntary contraction. Experiments were performed before, during and 6 months after a 12 day stay at the EV-K2 laboratory (Nepal, 5,050 m above sea level). From the sEMG signals from BB, the median frequencies (fmed) were computed for consecutive 1 s epochs. The sEMG was also analysed using a non-linear tool, the recurrence quantification analysis, and the percentage of determinism (%DET) was then calculated. The haemoglobin saturation significantly decreased at altitude. The mean (SD) BB endurance time decreased from 22.4 (4) s to 18.3 (4.7) s (P < 0.05). After exposure to altitude a significant variation in fmed and %DET slopes was observed. We concluded that during the first period of acclimatisation at altitude there was an impairment of isometric muscle endurance performance and there was also evidence of a modified myoelectric activity pattern suggesting a greater fatigability of the neuromuscular system.

Linear and non-linear analysis of surface electromyograms in weightlifters.

The present research was aimed at investigating the peculiarities of surface electromyogram (sEMG) signals in 12 weightlifting athletes (WLA) and 9 control subjects (control group, CG) The sEMG signals were recorded from both vastus lateralis muscles during 20 s isometric contractions made at 30% and 60% of the maximal voluntary contraction (MVC). Ground reaction force (vertical component) was recorded using a force plate. The sEMG was analysed in the frequency domain and the median frequency (MDF) was computed over successive 1 s epochs. A non-linear technique, recurrence quantification analysis was also applied to assess the presence and time course of deterministic structures in sEMG. The percentage of determinism (%DET) was used as a synthetic parameter to quantify the amount of regularly repeating sEMG waves within the signal itself (bursts). In 5 WLA the sEMG displayed a clear burst activity centred at 11 Hz. These bursts were correlated with force output oscillations and were evident both at 30% and 60% MVC. The MDF decay with time was more evident in WLA than in CG subjects. The %DET increased in WLA, this increase being more evident during 60% MVC contractions. Our results seemed to suggest a special disposition among WLA for the development of long-term changes in firing probability during sub-maximal isometric exercise. The MDF and %DET data provided indications of a greater involvement of fast twitch muscle fibres in WLA than in CG.

Exercise induced muscle damage and recovery assessed by means of linear and non-linear sEMG analysis and ultrasonography.

This study was aimed at investigating the time-course and recovery from eccentric (EC) exercise induced muscle damage by means of surface electromyography (sEMG), ultrasonography (US), and blood enzymes. Five subjects (EC Group) performed two bouts of 35 EC maximum contractions with the biceps brachii of their non dominant arm, five subjects were tested without performing EC (Control Group: CNT). The maximal isometric force (MVC) was measured. Force and sEMG signals were recorded during 80% MVC isometric contractions. In EC and CNT subjects US assessment on non-dominant biceps brachii was performed; creatin kinase (CK) and lactic dehydrogenasis (LDH) plasma levels were also assessed. Force, sEMG and CK-LDH measurements were performed before EC and after it periodically for 4 weeks. The sEMG was analysed in time and frequency domains; a non-linear analysis (Lyapunov 1st exponent, L1) of sEMG was also performed. After EC, the MVC was reduced by 40% on average with respect to the pre-EC values. A significant decrease in the initial frequency content, and in the MDF and L1 decay (13-42% less than the pre-EC values, respectively) was also observed. The sEMG amplitude (Root Mean Square, RMS) was unchanged after EC. The US revealed an increase in muscle belly thickness and in local muscle blood flow after EC. A complete recovery of all the considered parameters was achieved in two weeks. In conclusion sEMG analysis was confirmed as an early indicator of muscle damage. Muscle recovery from damage is followed by both sEMG and US and this may have useful clinical implications. Non linear analysis (L1) was revealed to be sensitive to early sEMG modifications induced by EC as well as able to follow the post EC changes in the sEMG.

Surface EMG modifications after eccentric exercise.

The possibility that the surface electromyographic signal (sEMG) from exercised muscle would show significant changes to demonstrate muscle damage after eccentric contraction (EC) was tested in this study. The experiment lasted five consecutive days. On the first day, six sedentary adult subjects performed two rounds of 35 ECs with the biceps brachii of the non-dominant arm, the other arm being used as control. Individual muscle soreness was assessed on a subjective scale. The analysis of sEMG was performed on the signal recorded during isometric contractions at 80% and 50% of maximal voluntary contraction (MVC), choosing root mean square (RMS) and median frequency (MDF) as synthetic sEMG parameters. MVC was also recorded, and plasma levels of creatine kinase were determined in four subjects. The most important findings which resulted from this study were: (a) spectral parameters are less sensitive to error introduced by electrode repositioning than time domain parameters, and are more sensitive to EC-induced sEMG changes than RMS; (b) a significant shift of MDF power spectra towards low frequencies at 80% and 50% MVC (20% and 5% of decay, respectively) was evident as early as 1 h after EC on the exercised arm; and (c) MDF follows the evolution of muscle damage. We concluded from these results that MDF is suitable for the early and non-invasive detection of sEMG changes induced by EC. In addition, we found further evidence that the observed modifications result from a selective or prevalent damage of type 2B muscle fibres.