Comparing the reliability of muscle oxygen saturation with common performance and physiological markers across cycling exercise intensity.

Introduction: Wearable near-infrared spectroscopy (NIRS) measurements of muscle oxygen saturation (SmO2) demonstrated good test-retest reliability at rest. We hypothesized SmO2 measured with the Moxy monitor at the vastus lateralis (VL) would demonstrate good reliability across intensities. For relative reliability, SmO2 will be lower than volume of oxygen consumption (V̇O2) and heart rate (HR), higher than concentration of blood lactate accumulation ([BLa]) and rating of perceived exertion (RPE). We aimed to estimate the reliability of SmO2 and common physiological measures across exercise intensities, as well as to quantify within-participant agreement between sessions. Methods: Twenty-one trained cyclists completed two trials of an incremental multi-stage cycling test with 5 min constant workload steps starting at 1.0 watt per kg bodyweight (W·kg-1) and increasing by 0.5 W kg-1 per step, separated by 1 min passive recovery intervals until maximal task tolerance. SmO2, HR, V̇O2, [BLa], and RPE were recorded for each stage. Continuous measures were averaged over the final 60 s of each stage. Relative reliability at the lowest, median, and highest work stages was quantified as intraclass correlation coefficient (ICC). Absolute reliability and within-subject agreement were quantified as standard error of the measurement (SEM) and minimum detectable change (MDC). Results: Comparisons between trials showed no significant differences within each exercise intensity for all outcome variables. ICC for SmO2 was 0.81-0.90 across exercise intensity. ICC for HR, V̇O2, [BLa], and RPE were 0.87-0.92, 0.73-0.97, 0.44-0.74, 0.29-0.70, respectively. SEM (95% CI) for SmO2 was 5 (3-7), 6 (4-9), and 7 (5-10)%, and MDC was 12%, 16%, and 18%. Discussion: Our results demonstrate good-to-excellent test-retest reliability for SmO2 across intensity during an incremental multi-stage cycling test. V̇O2 and HR had excellent reliability, higher than SmO2. [BLa] and RPE had lower reliability than SmO2. Muscle oxygen saturation measured by wearable NIRS was found to have similar reliability to V̇O2 and HR, and higher than [BLa] and RPE across exercise intensity, suggesting that it is appropriate for everyday use as a non-invasive method of monitoring internal load alongside other metrics.

The effect of severe intensity bouts on muscle oxygen saturation responses in trained cyclists.

Near-infrared spectroscopy (NIRS) quantifies muscle oxygenation (SmO2) during exercise. Muscle oxygenation response to self-paced, severe-intensity cycling remains unclear. Observing SmO2 can provide cycling professionals with the ability to assess muscular response, helping optimize decision-making. We aimed to describe the effect of self-paced severe intensity bouts on SmO2, measured noninvasively by a wearable NIRS sensor on the vastus lateralis (VL) muscle, and examine its reliability. We hypothesized a greater desaturation response with each bout, whereas, between trials, good reliability would be observed. Fourteen recreationally trained, and trained cyclists completed a ramp test to determine the power output (PO) at the respiratory compensation point (RCP). Athletes completed two subsequent visits of 50-minute sessions that included four severe-intensity bouts done at 5% above RCP PO. Muscle oxygenation in the VL was monitored using a wearable NIRS device. Measures included mean PO, heart-rate (HR), cadence, and SmO2 at bout onset, during work (work SmO2), and ΔSmO2. The bouts were compared using a one-way repeated measures ANOVA. For significant differences, a Fisher's least square difference post-hoc analysis was used. A two-way repeated measures ANOVA was used using trial and bout as main factors. Intraclass correlations (ICC) were used to quantify relative reliability for mean work, and standard error of the measurement (SEM) was used to quantify absolute agreement of mean work SmO2. Both PO and cadence showed no effect of bout or trial. Heart-rate at bout 2 (168 ± 8 bpm) and 4 (170 ± 7 bpm) were higher than bout 1 (160 ± 6 bpm). Onset SmO2 (%) response significantly increased in the final two bouts of the session. Mean work SmO2 increased across bouts, with the highest value displayed in bout 4 (36 ± 22%). ΔSmO2 showed a smaller desaturation response during bout 4 (27 ± 10%) compared to bout 3 (31 ± 10%). Mean work SmO2 ICC showed good reliability (ICC = 0.87), and SEM was 12% (CI 9-15%). We concluded that a non-invasive, affordable, wearable NIRS sensor demonstrated the heterogeneous muscle oxygenation response during severe intensity cycling bouts with good reliability in trained cyclists.

Comparing the Respiratory Compensation Point With Muscle Oxygen Saturation in Locomotor and Non-locomotor Muscles Using Wearable NIRS Spectroscopy During Whole-Body Exercise.

The relationship between the muscle deoxygenation breakpoint (Deoxy-BP) measured with near-infrared spectroscopy (NIRS), and the respiratory compensation point (RCP) has been well established. This relationship has also been reported using wearable NIRS, however not in locomotor and non-locomotor muscles simultaneously during whole-body cycling exercise. Our aim was to measure muscle oxygen saturation (SmO2) using wearable NIRS sensors, and to compare the Deoxy-BPs at each muscle with RCP during a ramp cycling exercise test. Twenty-two trained female and male cyclists completed a ramp exercise test to task intolerance on a cycling ergometer, at a ramp rate of 1 W every 2 s (30 W/min). SmO2 was recorded at the subjects' right vastus lateralis (VL) and right lateral deltoid. SmO2 and the Deoxy-BPs were assessed using a piecewise double-linear regression model. Ventilation (V̇E) and gas exchange were recorded, and RCP was determined from V̇E and gas exchange using a V-slope method and confirmed by two physiologists. The SmO2 profiles of both muscles and gas exchange responses are reported as V̇O2, power output (W), and time of occurrence (TO). SmO2 profiles at both muscles displayed a near-plateau or breakpoint response near the RCP. No differences were detected between the mean RCP and mean Deoxy-BP from either the locomotor or non-locomotor muscles; however, a high degree of individual variability was observed in the timing and order of occurrence of the specific breakpoints. These findings add insight into the relationships between ventilatory, locomotor, and non-locomotor muscle physiological breakpoints. While identifying a similar relationship between these breakpoints, individual variability was high; hence, caution is advised when using wearable NIRS to estimate RCP in an incremental ramp test.

"To Tech or Not to Tech?" A Critical Decision-Making Framework for Implementing Technology in Sport.

The current technological age has created exponential growth in the availability of technology and data in every industry, including sport. It is tempting to get caught up in the excitement of purchasing and implementing technology, but technology has a potential dark side that warrants consideration. Before investing in technology, it is imperative to consider the potential roadblocks, including its limitations and the contextual challenges that compromise implementation in a specific environment. A thoughtful approach is therefore necessary when deciding whether to implement any given technology into practice. In this article, we review the vision and pitfalls behind technology's potential in sport science and medicine applications and then present a critical decision-making framework of 4 simple questions to help practitioners decide whether to purchase and implement a given technology.

Getting the most out of intensive longitudinal data: a methodological review of workload-injury studies.

OBJECTIVES: To systematically identify and qualitatively review the statistical approaches used in prospective cohort studies of team sports that reported intensive longitudinal data (ILD) (>20 observations per athlete) and examined the relationship between athletic workloads and injuries. Since longitudinal research can be improved by aligning the (1) theoretical model, (2) temporal design and (3) statistical approach, we reviewed the statistical approaches used in these studies to evaluate how closely they aligned these three components. DESIGN: Methodological review. METHODS: After finding 6 systematic reviews and 1 consensus statement in our systematic search, we extracted 34 original prospective cohort studies of team sports that reported ILD (>20 observations per athlete) and examined the relationship between athletic workloads and injuries. Using Professor Linda Collins' three-part framework of aligning the theoretical model, temporal design and statistical approach, we qualitatively assessed how well the statistical approaches aligned with the intensive longitudinal nature of the data, and with the underlying theoretical model. Finally, we discussed the implications of each statistical approach and provide recommendations for future research. RESULTS: Statistical methods such as correlations, t-tests and simple linear/logistic regression were commonly used. However, these methods did not adequately address the (1) themes of theoretical models underlying workloads and injury, nor the (2) temporal design challenges (ILD). Although time-to-event analyses (eg, Cox proportional hazards and frailty models) and multilevel modelling are better-suited for ILD, these were used in fewer than a 10% of the studies (n=3). CONCLUSIONS: Rapidly accelerating availability of ILD is the norm in many fields of healthcare delivery and thus health research. These data present an opportunity to better address research questions, especially when appropriate statistical analyses are chosen.

Effect of Carbohydrate Mouth Rinse on Performance after Prolonged Submaximal Cycling.

Previous studies have shown improved shorter duration (∼1 h) performance with carbohydrate (CHO) mouth rinsing (WASH), especially in overnight fasted/non-fuelled subjects. PURPOSE: To determine the effect of WASH on cycling time trial (TT) performance and muscle activity (EMG) after 2 h of submaximal cycling while receiving CHO (FED). METHODS: In a double-blind, placebo-controlled crossover design, 10 well-trained males cyclists (V˙O2max: 65 mL·kg·min) completed two experimental trials. Each trial consisted of a standardized pretrial snack (2 h prior) followed by 120 min of steady-state (SS) cycling (∼60% V˙O2max) followed by an approximately 30-min TT, randomized as follows: 1) 30 g CHO·h during SS + WASH during TT (every 20% of TT) (FEDWASH); 2) 30 g CHO·h during SS + placebo (PLA) wash during TT (FEDPLA). RESULTS: Although FEDWASH was not significantly different than FEDPLA (P = 0.51), there was a 1.7% (90% confidence interval, +6.4% to -3.2%; ES, 0.21) decrease in TT time (35 s) for FEDWASH compared with FEDPLA, with qualitative probabilities of a 60% positive and 23% trivial outcome. For EMG, soleus showed significant increase, whereas medial gastrocnemius showed significant decrease in muscle recruitment from the beginning 20% TT segment to the last 20% only in the FEDPLA condition, which coincided with a slower (P = 0.01) last 20% of the TT in FEDPLA versus FEDWASH. CONCLUSIONS: Contrary to previous studies, this investigation utilized conditions of high ecological validity including a pretrial snack and CHO during SS. Significant changes in muscle recruitment and time over the last 20% of the TT, along with an average 1.7% improvement in TT time, suggest CHO mouth rinse helps maintain power output late in TT compared with placebo. Although marginal gains were achieved with a CHO mouth rinse (35 s), small performance effects can have significant outcomes in real-world competitions.

Comparison of the Capacity of Different Jump and Sprint Field Tests to Detect Neuromuscular Fatigue.

Different jump and sprint tests have been used to assess neuromuscular fatigue, but the test with optimal validity remains to be established. The current investigation examined the suitability of vertical jump (countermovement jump [CMJ], squat jump [SJ], drop jump [DJ]) and 20-m sprint (SPRINT) testing for neuromuscular fatigue detection. On 6 separate occasions, 11 male team-sport athletes performed 6 CMJ, SJ, DJ, and 3 SPRINT trials. Repeatability was determined on the first 3 visits, with subsequent 3 visits (0-, 24-, and 72-hour postexercise) following a fatiguing Yo-Yo running protocol. SPRINT performance was most repeatable (mean coefficient of variation ≤2%), whereas DJ testing (4.8%) was significantly less repeatable than CMJ (3.0%) and SJ (3.5%). Each test displayed large decreases at 0-hour (33 of 49 total variables; mean effect size = 1.82), with fewer and smaller decreases at 24-hour postexercise (13 variables; 0.75), and 72-hour postexercise (19 variables; 0.78). SPRINT displayed the largest decreases at 0-hour (3.65) but was subsequently unchanged, whereas SJ performance recovered by 72-hour postexercise. In contrast, CMJ and DJ performance displayed moderate (12 variables; 1.18) and small (6 variables; 0.53) reductions at 72-hour postexercise, respectively. Consequently, the high repeatability and immediate and prolonged fatigue-induced changes indicated CMJ testing as most suitable for neuromuscular fatigue monitoring.

Alternative countermovement-jump analysis to quantify acute neuromuscular fatigue.

PURPOSE: To examine the reliability and magnitude of change after fatiguing exercise in the countermovement-jump (CMJ) test and determine its suitability for the assessment of fatigue-induced changes in neuromuscular (NM) function. A secondary aim was to examine the usefulness of a set of alternative CMJ variables (CMJ-ALT) related to CMJ mechanics. METHODS: Eleven male college-level team-sport athletes performed 6 CMJ trials on 6 occasions. A total of 22 variables, 16 typical (CMJ-TYP) and 6 CMJ-ALT, were examined. CMJ reproducibility (coefficient of variation; CV) was examined on participants' first 3 visits. The next 3 visits (at 0, 24, and 72 h postexercise) followed a fatiguing high-intensity intermittent-exercise running protocol. Meaningful differences in CMJ performance were examined through effect sizes (ES) and comparisons to interday CV. RESULTS: Most CMJ variables exhibited intraday (n = 20) and interday (n = 21) CVs of <10%. ESs ranging from trivial to moderate were observed in 18 variables at 0 h (immediately postfatigue). Mean power, peak velocity, flight time, force at zero velocity, and area under the force-velocity trace showed changes greater than the CV in most individuals. At 24 h, most variables displayed trends toward a return to baseline. At 72 h, small increases were observed in time-related CMJ variables, with mean changes also greater than the CV. CONCLUSIONS: The CMJ test appears a suitable athlete-monitoring method for NM-fatigue detection. However, the current approach (ie, CMJ-TYP) may overlook a number of key fatigue-related changes, and so practitioners are advised to also adopt variables that reflect the NM strategy used.

Effect of acute fatigue and training adaptation on countermovement jump performance in elite snowboard cross athletes.

Countermovement jump performance was examined in response to acute neuromuscular (NM) fatigue (study I) and chronic training (study II) in elite snowboard cross (SBX) athletes, through both typical (countermovement jump [CMJ]-TYP) and alternative (CMJ-ALT) CMJ variables. Seven (4 men and 3 women) elite (Olympic-level) SBX athletes participated in study I, and 5 of the same athletes (2 men and 3 women) participated in study II. Countermovement jump variables relating to force, velocity, power, and time were measured during both eccentric and concentric jump phases, with CMJ-TYP variables reflecting CMJ output and CMJ-ALT variables reflecting CMJ mechanics. In study I, CMJ performance was assessed before and after a fatiguing lower-body exercise protocol, and in study II, CMJ performance was examined before and after a 19-week structured training block. Meaningful differences in CMJ performance were examined using the magnitude of change (effect sizes [ES]) for group and individual changes. Acute fatigue decreased peak force and eccentric function, while the duration of the jump increased. The structured training block increased peak force and eccentric function, while jump duration markedly decreased. In both study I and study II, the largest ES were associated with CMJ-ALT variables. The CMJ test seems a suitable monitoring tool in elite SBX athletes for the detection of both acute fatigue and training-adaptation. Compared with CMJ output, CMJ mechanics exhibits more marked and divergent changes after both acute NM fatigue and a structured training block. CMJ-ALT variables should therefore be incorporated into CMJ analysis.

Warm-up practices in elite snowboard athletes.

PURPOSE: The purpose of this project was to observe current warm-up practices in snowboard athletes and evaluate their physiological impact before competition. METHODS: An observational design was used to monitor 4 athletes (2 female) at an Open National Snowboard Cross Championships. Activity patterns, core temperature, heart rate (HR), and time between warm-up and competition were measured. Athlete ratings of thermal comfort (TC) and thermal sensation (TS) were recorded before competition. RESULTS: Significant barriers and challenges to an optimal warm-up included delays, environment, and logistics. Time gaps between structured warm-up and competition start time were in excess of 1 h (median=68.8 min). Median average HR for 10 min (HR10) did not exceed 120 beats/min in the hour preceding competition, suggesting a suboptimal warm-up intensity. Athletes rated their TC between comfortable and slightly uncomfortable and TS as neutral to slightly warm before the start of qualifications and finals. CONCLUSIONS: The observations of this project suggest significant gaps in current warm-up strategies used in snowboarding. These include inadequate general aerobic warm-up (based on intensity and duration), excessive time between warm-up and competition, and lack of a consistent and structured warm-up protocol. Future work is needed to evaluate the effectiveness of different warm-up strategies on muscle temperature and performance while determining the optimal length of time between warm-up and competition.

Entrainment of breathing in cyclists and non-cyclists during arm and leg exercise.

The purpose of this study was to compare the incidence of entrainment of breathing (ENT) between cyclists (C; n=8) and non-cyclists (NC; n=8) during leg cycling (LC) and arm cycling (AC). No subjects were training regularly in upper body endurance exercise. Day 1 consisted of spirometry and a VO2max test on both an arm and leg ergometer in random order separated by at least 60 min. On Day 2, subjects performed both AC and LC exercise with each session consisting of 5 min of warm-up at 20% and three consecutive 6 min loads at 40%, 60%, and 80% of task specific peak power output (WL1, WL2, WL3, respectively). Sessions were separated by at least 45 min. The final 3 min of each load were analyzed for entrainment of pedal and breathing frequencies using integer and half-integer ratios. A total of six subjects were unable to complete at least one exercise session at WL3 and therefore this load was excluded from analysis. Mean % VO2max during exercise was not different between cyclists and controls with respect to intensity and mode (AC= approximately 50% and 70%; LC= approximately 55% and 75% at WL1 and WL2, respectively). A repeated measures ANOVA revealed no effect on incidence of entrainment (%ENT) by group, mode of exercise, or exercise intensity (p=0.12, 0.24, and 0.88, respectively). %ENT was highest in cyclists during leg exercise (cyclists: LC=32%; AC=19%; controls: LC=18%; AC=21%) however this difference was not significant (p=0.07). In all situations that would be considered unfamiliar for both groups %ENT was similar. These results suggest that during cycling exercise at intensities of 75% VO2max or less, regular training may result in higher %ENT and that ENT is not transferable to an unfamiliar mode of exercise using different muscle groups.

Effects of aerobic exercise on strength performance following various periods of recovery.

The purpose of this study was to determine if the type and intensity of aerobic training affects performance in a subsequent strength-training session after varying periods of recovery. Sixteen male subjects participated in the study and were divided into 2 groups based on aerobic training, high-intensity intervals (MAX n = 8) and continuous submaximal (SUB n = 8). Each subject performed 4 sets of both bench press and leg press at approximately 75% 1 repetition maximum (1RM) following aerobic training with recovery periods of 4, 8, and 24 hours, as well as once in a control condition. Both the 4- and 8-hour conditions resulted in fewer total leg press repetitions than the control and 24-hour conditions. There was no difference between both the control and 24-hour conditions. No main effect was shown with respect to the type of aerobic training. It was concluded that when aerobic training precedes strength training, the volume of work that can be performed is diminished for up to 8 hours. This impairment appears to be localized to the muscle groups involved in the aerobic training.