Effects of intrinsic foot muscle strengthening on the medial longitudinal arch mobility and function: A systematic review.

OBJECTIVE: To Investigate the effects of intrinsic foot muscle (IFM) strengthening on foot's medial longitudinal arch (MLA) mobility and function in healthy individuals. We also identified exercise type and resistance training characteristics (series and repetitions). METHODS: Eight databases were searched, between October 2020 and February 2021 and updated in May 2021. We included randomized controlled trials involving IFM strengthening exercises compared with controls (no exercise or exercises not involving isolated intrinsic foot muscle strengthening). Methodological quality of the studies was assessed using PEDro scale and Cochrane Risk of Bias tool. Quality of evidence was evaluated using GRADE model (Grading of Recommendations, Assessment, Development and Evaluations). RESULTS: Four randomized controlled trials (RCT) were included. IFM strengthening did not change MLA mobility in the short-term (4 weeks); however, it promoted medium-term effects (8 weeks - low quality of evidence). IFM exercises improved function in the short and medium-term (low quality of evidence). Most studies used the short-foot exercise and the toe-towel curl exercise with contractions of 5 s and load progression from sitting to standing. CONCLUSION: IFM strengthening exercises change MLA mobility in the medium-term (8 weeks) and improve the dynamic balance of healthy individuals in short- (4 weeks) and medium-terms.

Identification of muscle fatigue by tracking facial expressions.

Resistance training (RT) is performed at distinct levels of intensity from the beginning to the end of exercise sets, increasing the sensation of effort as the exercise progress to more vigorous levels, commonly leading to changes on the facial expression of RT practitioners. The objective of this study is to evaluate changes in facial expressions using the Facial Action Coding System(FACS) and the activation of facial muscles by surface electromyography(sEMG) at two different levels of effort during resistance exercise and to investigate the correlation between facial expression and exercise intensity and fatigue. Eleven healthy male participants [23±6years; 1.77±6 m; 78±10kg] performed a set of arm curl exercise at 50% and 85% 1RM until muscle fatigue. The Surface electromyography (sEMG activity was recorded simultaneously in areas of the epicranius muscle (EM) and zygomatic major muscle (ZM). Facial expression was recorded and blindly scored by five experienced examiners. Scores (0-5) were based on the level of activity of the ZM (lip corner puller-Action Unit 12-FACS) during exercise. Facial expression and sEMG data were obtained during the exercise at the first repetition and at muscle failure. The root mean square (RMS) of the sEMG amplitude of the EM was significantly increased between the first and last repetition (50%1RM:p = 0.002,d = 1.75; and 85%1RM:p = 0.002,d = 1.54). The RMS values for the ZM were significantly increased between the first and last repetition (50%1RM:p<0.001,d = 2.67; 85%1RM:p<0.001,d = 0.50). The RMS values for the ZM were also increased in 85%1RM compared to values obtained from 50%1RM (p = 0.001,d = 1.12) at the first repetition. AU12 scores and RMS values were not statistically different between 85%1RM and 50%1RM at the last repetition. Furthermore, there was a strong correlation (r = 0.61;p = 0.045) between AU12 scores and the sEMG peak for the ZM. In conclusion, changes in facial expression may be directly correlated with different resistance exercise intensities and fatigue.

Assessing experience in the deliberate practice of running using a fuzzy decision-support system.

The judgement of skill experience and its levels is ambiguous though it is crucial for decision-making in sport sciences studies. We developed a fuzzy decision support system to classify experience of non-elite distance runners. Two Mamdani subsystems were developed based on expert running coaches' knowledge. In the first subsystem, the linguistic variables of training frequency and volume were combined and the output defined the quality of running practice. The second subsystem yielded the level of running experience from the combination of the first subsystem output with the number of competitions and practice time. The model results were highly consistent with the judgment of three expert running coaches (r>0.88, p<0.001) and also with five other expert running coaches (r>0.86, p<0.001). From the expert's knowledge and the fuzzy model, running experience is beyond the so-called "10-year rule" and depends not only on practice time, but on the quality of practice (training volume and frequency) and participation in competitions. The fuzzy rule-based model was very reliable, valid, deals with the marked ambiguities inherent in the judgment of experience and has potential applications in research, sports training, and clinical settings.

Dynamic Patterns of Forces and Loading Rate in Runners with Unilateral Plantar Fasciitis: A Cross-Sectional Study.

AIM/HYPOTHESIS: The etiology of plantar fasciitis (PF) has been related to several risk factors, but the magnitude of the plantar load is the most commonly described factor. Although PF is the third most-common injury in runners, only two studies have investigated this factor in runners, and their results are still inconclusive regarding the injury stage. OBJECTIVE: Analyze and compare the plantar loads and vertical loading rate during running of runners in the acute stage of PF to those in the chronic stage of the injury in relation to healthy runners. METHODS: Forty-five runners with unilateral PF (30 acute and 15 chronic) and 30 healthy control runners were evaluated while running at 12 km/h for 40 meters wearing standardized running shoes and Pedar-X insoles. The contact area and time, maximum force, and force-time integral over the rearfoot, midfoot, and forefoot were recorded and the loading rate (20-80% of the first vertical peak) was calculated. Groups were compared by ANOVAs (p<0.05). RESULTS: Maximum force and force-time integral over the rearfoot and the loading rate was higher in runners with PF (acute and chronic) compared with controls (p<0.01). Runners with PF in the acute stage showed lower loading rate and maximum force over the rearfoot compared to runners in the chronic stage (p<0.01). CONCLUSION: Runners with PF showed different dynamic patterns of plantar loads during running over the rearfoot area depending on the injury stage (acute or chronic). In the acute stage of PF, runners presented lower loading rate and forces over the rearfoot, possibly due to dynamic mechanisms related to pain protection of the calcaneal area.

Efeito de diferentes protocolos de treinamento de força sobre parâmetros morfofuncionais, hormonais e imunológicos / Effects of different resistance training protocols over the morphofunctional, hormonal and immunological parameters

O objetivo do estudo foi examinar a influência de dois diferentes protocolos de treinamento de força sobre parâmetros antropométricos (peso, IMC, massa gorda), funcionais (teste de 1-RM e teste de repetições máximas) e relacionados ao sistema endócrino (concentração de testosterona e de cortisol) e ao sistema imunológico (concentração de glutamina e de IgG). Participaram do estudo 12 homens treinados (27,4 ± 4,8 anos). Esses indivíduos foram aleatoriamente divididos em dois grupos, que posteriormente foram submetidos a dois protocolos de treinamento distintos: Múltiplas séries (MS) e Tri-set (TS). Amostras de sangue foram coletadas antes e depois de uma sessão de exercício de força, no início e no final do período de oito semanas de treinamento. Não foram observadas alterações nos parâmetros morfo-funcionais (com exceção do teste de repetições máximas para o agachamento). Com relação aos parâmetros endócrinos, foi observado que o TS provocou aumento significativo do cortisol, imediatamente após a sessão de treino, tanto no início como no final das oito semanas (p < 0,05). Ao observar o comportamento da relação testosterona para cortisol (T:C), pode-se notar um marcante aumento no grupo submetido ao protocolo MS após oito semanas de treinamento (p < 0,05). Com relação aos parâmetros imunológicos, não foi observada alteração na concentração de imunoglobulina G. A concentração de glutamina sofreu decréscimo após oito semanas em ambos os grupos. Esse decréscimo foi mais acentuado no grupo TS (p < 0,05). Os resultados obtidos sugerem que o método TS impôs maior estresse ao organismo. Além disso, os dados também indicam que o protocolo MS promove um ambiente mais propício ao anabolismo, após oito semanas de treinamento. Entretanto, ambos os métodos falharam em promover alterações significativas nos parâmetros morfofuncionais.

The purpose of this study was to assess the influence of two different resistance training protocols on the anthropometric (weight, BMI, fat mass), functional parameters (1-MR test, and maximal repetition test) and the parameters related to the endocrine system (testosterone and cortisol concentrations), as well as to the immunological system (glutamine and IgC concentrations). The study was composed by twelve trained men (27.4 ± 4.8 years), who were randomly divided in two groups that later were submitted to two different training protocols: the Multiple Series (MS), and Tri-set (TS). Blood samplings were collected before and after an resistance training session in the beginning and the end of the 8 weeks training period. It was observed no alterations in the morphofunctional parameters (except as to the maximal repetition test for the squat). As to the endocrine parameters, it was observed that the TS caused a significant increase in the cortisol immediately after the training session both in the beginning and in the end of the eight weeks (p < 0.05) period. Upon the observation of the testosterone vs. cortisol ratio (T:C) behavior, it can be observed a noticeable increase in the group submitted to the MS protocol after the 8 weeks training period (p < 0.05). As to the immunological parameters, it was observed no alterations in the concentration of the immunoglobulin G. The concentration of the glutamine suffered a decrease after 8 weeks in both groups. That decrease had a higher accentuation in the TS group (p < 0.05). Results attained suggest that the TS method imposed a higher stress to the body. Furthermore, these data also indicate that the MS protocol promotes a more propitious environment to the anabolism after the 8 weeks training period. However, both methods did not succeed in promoting significant changes in the morphofunctional parameters.

El objetivo del estudio fué examinar la influencia de 2 protocolos diferentes de entrenamiento de fuerza sobre parámetros antropométricos (peso, IMC, masa grasa), funcionales (prueba de 1-RM y prueba de repeticiones máximas) y los parámetros relacionados al sistema endocrino (concentraciones de testosterona y de cortisol) y al sistema inmunológico (la concentración del glutamina y de IgG). Participaron en el estudio 12 hombres entrenados (27,4 ± 4,8 años). Estos individuos fueron aleatoriamente divididos en 2 grupos que después se sometieron a 2 protocolos de entrenamiento en dos series diferentes, Múltiple (MS) y Tri-juego (TS). Las muestras de sangre eran reunidos antes y después de una sesión de ejercicio de fuerza, al principio y en el fin del período de 8 semanas de entrenar. No se observaron alteraciones en los parámetros morfo-funcionales (salvo la prueba de repeticiones máximas para el agachamiento). Con respecto a los parámetros endócrinos, se observó que TS provocó un aumento significante del cortisol, inmediatamente después de la sesión de entrenamiento, al principio y en el fin de las 8 semanas (p < 0,05). Al observar la conducta de la testosterona en relación con el cortisol (T:C), puede notarse un aumento excelente en el grupo sometido al MS protocolar después de 8 semanas de entrenar (p < 0,05). Con respecto a los parámetros inmunológicos, no se observó alteración en la concentración de la imunoglobulina G; la concentración del glutamina sufrió una disminución después de 8 semanas en ambos grupos. Esta disminución se acentuó más en el TS de grupo (p < 0,05). Los resultados obtenidos sugieren que el método TS impuso una tensión más grande al organismo. Además, los datos también indican que el MS protocolar promueve una atmósfera más favorable al anabolismo, después de 8 semanas de entrenar. Sin embargo, ambos métodos fallaron promoviendo las alteraciones significantes en los parámetros morfo-funcionales.