Comparing virtual reality exergaming with conventional exercise in rehabilitation of people with multiple sclerosis: A systematic review.

This systematic review aimed to present the comparison of the impacts of conventional exercise and virtual reality (VR) exergaming on the physical and cognitive abilities of people with multiple sclerosis (PwMS). The literature search was conducted in the EMBASE, PubMed, Scopus, CINAHL, and Cochrane Library databases. Eligible studies were identified by independent reviewers based on the title, abstract and full-texts. Studies were limited to randomized clinical trials published in peer-reviewed journals in English that compared conventional exercise with VR-exergaming for improving the physical and cognitive abilities of PwMS. Selected studies were assessed for their risk of bias and the major findings of the reviewed studies were analyzed descriptively. The search identified 239 articles of which 10 studies met the eligibility criteria. Despite these studies employing strategies to control biases, some risks of bias remain. Various gaming platforms and conventional exercises were used based on the extent of technologies and therapy regimens. The selected studies used measures of physical and cognitive abilities to compare VR-exergaming with conventional exercise. This review suggests positive impacts of both VR-exergaming and conventional exercise in MS rehabilitation. We also found that VR-exergaming generally exceeded conventional exercise for improving physical and cognitive abilities, psychosocial status, and fatigue.

Effect of twelve weeks pilates training on functional balance of male patients with multiple sclerosis: Randomized controlled trial.

OBJECTIVE: Pilates training has several well-known benefits for people with Multiple Sclerosis (MS). However, its effect on functional balance is unclear. The present study aimed to evaluate the effect of pilates exercises on the functional balance of male patients with MS. METHOD: In the present parallel group randomized controlled trial, 30 men with MS were recruited from a local corrective exercise clinic in Tehran, Iran, and randomized into Pilates training group (N = 15), and control group (N = 15). At baseline, the age range was 25-40 years, and disability score index was 3-5. INTERVENTION: The intervention group received Pilates exercises including the extension of the thoracic spine, abdominal strengthening, core stabilizing exercises, upper and lower limb, and posture exercises for 12 weeks. OUTCOMES: Functional balance assessments including Berg's Balance Scale (BBS) test, Timed Up and Go (TUG) test, and Functional Reach Test (FRT) were measured at the baseline and after 12 weeks. RESULTS: At a 12-week follow-up, a significant between-group difference was observed in favor of the Pilates training group for the functional balance scores (P < 0.05), while no adverse or harmful events were reported in any group. CONCLUSION: Pilates training increases the functional balance of MS patients, and decreases known risk factors for falls among the patients in this group, which may have the potential to reduce therapeutic costs and can be considered as a complementary therapeutic approach for physical therapists and corrective exercise experts.

Determinant physiological factors of simulated BMX race.

Evaluating the physiological demands of BMX cycling on a track provides coaches with the information required to prescribe more effective training programmes. To determine the relative importance of physiological factors during simulated BMX race, 12 male riders (age 19.2 ± 3.5 years, height 1.76 ± 0.06 m, mass 68.5 ± 4.3 kg) completed a maximum aerobic capacity (V̇O2max) test in a laboratory, and a week later, completed six laps on a BMX track interspersed by 15 min passive recovery. Peak power, immediate post-lap V̇O2peak, blood lactate, and heart rate were measured in each lap. Peak power to weight ratio was significantly correlated with lap time, however, the strength of this association decreased in each subsequent lap. Mean V̇O2peak was greater than 80% of laboratory-measured V̇O2max in every lap, indicating a strong contribution of the aerobic energy system during BMX racing. This study also identified that mean blood lactate was significantly associated with lap time, which showed the importance of the anaerobic energy system contribution to BMX race. Despite the short period of pedalling during BMX racing, both aerobic and anaerobic energy systems are important contributors to lap performance. Coaches should consider maximising both anaerobic power and aerobic capacity to improve riders' overall performance in multiple laps.

Caffeinated Chewing Gum Improves Bicycle Motocross Time-Trial Performance.

This study aimed to identify the acute effects of caffeinated chewing gum (CAF) on bicycle motocross (BMX) time-trial (TT) performance. In a randomized, placebo-controlled, double-blind cross-over design, 14 male BMX riders (age = 20.0 ± 3.3 years; height = 1.78 ± 0.04 m; body mass = 72 ± 4 kg), consumed either (300 mg; 4.2 ± 0.2 mg/kg) caffeinated (300 mg caffeine, 6 g sugars) or a placebo (0 mg caffeine, 0 g sugars) gum, and undertook three BMX TTs. Repeated-measure analysis revealed that CAF has a large ergogenic effect on TT time, F(1, 14) = 33.570, p = .001, ηp2=.71; -1.5% ± 0.4 compared with the placebo. Peak power and maximal power to weight ratio also increased significantly compared with the placebo condition, F(1, 14) = 54.666, p = .001, ηp2=.79; +3.5% ± 0.6, and F(1, 14) = 57.399, p = .001, ηp2=.80; +3% ± 0.3, respectively. Rating of perceived exertion was significantly lower F(1, 14) = 25.020, p = .001, ηp2=.64 in CAF (6.6 ± 1.3) compared with the placebo (7.2 ± 1.7). Administering a moderate dose (300 mg) of CAF could improve TT time by enhancing power and reducing the perception of exertion. BMX coaches and riders may consider consuming CAF before a BMX race to improve performance and reduce rating of perceived exertion.

Power Analysis of Field-Based Bicycle Motor Cross (BMX).

INTRODUCTION: Power meter is a useful tool for monitoring cyclists' training and race performance. However, limited data are available regarding BMX racing power output. The aim of this study was to characterise the power production of BMX riders and investigate its potential role on race performance. METHODS: Fourteen male riders (age: 20.3 ± 1.5 years, height: 1.75 ± 0.05 m, mass: 70.2 ± 6.4 kg) participated in this study. The tests consist of performing two races apart from 15-min recovery. SRM power meter was used to record power and cadence. Cyclists' fastest race was used for the data analysis. Heart rate was recorded at 1-s intervals using a Garmin HR chest strap. Lap time was recorded using four pairs of photocells positioned at the start gate, bottom of the start ramp, end of first corner (time cornering), and on the finish line. RESULTS: There was a large correlation between race time and relative peak power (r = -0.68, p < 0.01) as well as average power with zero value excluded (r = -0.52, p < 0.01). Race time was also significantly associated with time cornering (r = 0.58, p < 0.01). Peak power (1288.7 ± 62.6 W) was reached in the first 2.34 second of the race. With zero values included, the average power was 355.8 ± 25.4 W, which was about 28% of the peak power, compared to 62% when zero values were excluded (795.6 ± 63.5 W). CONCLUSION: The post-race analysis of the power data might help the cyclists recognizing the need to apply certain strategies on pedalling rates and power production in certain portions of the BMX track, specially, at the start and around the first corner. BMX coaches must consider designing training programs based on the race intensity and power output zones.

Multi Directional Repeated Sprint Is a Valid and Reliable Test for Assessment of Junior Handball Players.

The aim of the present study was to examine the validity and reliability of a 10 × (6 × 5 m) multi-directional repeated sprint ability test (RSM) in elite young team handball (TH) players. Participants were members of the Iranian national team (n = 20, age 16.4 ± 0.7 years, weight 82.5 ± 5.5 kg, height 184.8 ± 4.6 cm, body fat 15.4 ± 4.3%). The validity of RSM was tested against a 10 × (15 + 15 m) repeated sprint ability test (RSA), Yo-Yo Intermittent Recovery test Level 1 (Yo-Yo IR1), squat jump (SJ) and countermovement jump (CMJ). To test the reliability of RSM, the participants repeated the testing sessions of RSM and RSA 1 week later. Both RSA and RSM tests showed good to excellent reliability of the total time (TT), best time (BT), and weakest time (WT). The results of the correlation analysis showed significant inverse correlations between maximum aerobic capacity and TT in RSA (r = -0.57, p ≤ 0.05) and RSM (r = -0.76, p ≤ 0.01). There was also a significant inverse correlation between maximum aerobic capacity with fatigue index (FI) in RSA test (r = -0.64, p ≤ 0.01) and in RSM test (r = -0.53, p ≤ 0.05). BT, WT, and TT of RSA was largely-to-very largely correlated with BT (r = 0.58, p ≤ 0.01), WT (r = 0.62, p ≤ 0.01), and TT (r = 0.65, p ≤ 0.01) of RSM. BT in RSM was also correlated with FI in RSM (r = 0.88, p ≤ 0.01). In conclusion, based on the findings of the current study, the recently developed RSM test is a valid and reliable test and should be utilized for assessment of repeated sprint ability in handball players.

Effects of nine weeks L-Carnitine supplementation on exercise performance, anaerobic power, and exercise-induced oxidative stress in resistance-trained males.

PURPOSE: Studies of L-carnitine in healthy athletic populations have yielded equivocal results. Further scientific-based knowledge is needed to clarify the ability of L-carnitine to improve exercise capacity and expedite the recovery process by reducing oxidative stress. This study aimed to examine the 9-week effects of L-carnitine supplementation on exercise performance, anaerobic capacity, and exercise-induced oxidative stress markers in resistance-trained males. METHODS: In a double-blind, randomized, and placebo-controlled treatment, 23 men (age, 25±2y; weight, 81.2±8.31 kg; body fat, 17.1±5.9%) ingested either a placebo (2 g/d, n=11) or L-carnitine (2 g/d, n=12) for 9 weeks in conjunction with resistance training. Primary outcome measurements were analyzed at baseline and at weeks 3, 6, and 9. Participants underwent a similar resistance training (4 d/w, upper/lower body split) for a 9-week period. Two-way ANOVA with repeated measures was used for statistical analysis. RESULTS: There were significant increases in bench press lifting volume at wk-6 (146 kg, 95% CI 21.1, 272) and wk-9 (245 kg, 95% CI 127, 362) with L-carnitine. A similar trend was observed for leg press. In the L-carnitine group, at wk-9, there were significant increases in mean power (63.4 W, 95% CI 32.0, 94.8) and peak power (239 W, 95% CI 86.6, 392), reduction in post-exercise blood lactate levels (-1.60 mmol/L, 95% CI -2.44, -0.75) and beneficial changes in total antioxidant capacity (0.18 mmol/L, 95% CI 0.07, 0.28). CONCLUSION: L-carnitine supplementation enhances exercise performance while attenuating blood lactate and oxidative stress responses to resistance training.