Context: Current tools for sideline assessment of balance following a concussion may not be sufficiently sensitive to identify impairments, which may place athletes at risk for future injury. Quantitative field-expedient balance assessments are becoming increasingly accessible in sports medicine and may improve sensitivity to enable clinicians to more readily detect these subtle deficits. Objective: To determine the validity of the postural sway assessment on the Biodex BioSway™ compared with the gold standard NeuroCom Smart Equitest System. Design: Cross-sectional cohort study. Setting: Clinical research laboratory. Participants: Forty-nine healthy adults (29 females: 24.34 [2.45] y, height 163.65 [7.57] cm, mass 63.64 [7.94] kg; 20 males: 26.00 [3.70] y, height 180.11 [7.16] cm, mass 82.97 [12.78] kg). Intervention(s): The participants completed the modified clinical test of sensory interaction in balance on the Biodex BioSway™ with 2 additional conditions (head shake and firm surface; head shake and foam surface) and the Sensory Organization Test and Head Shake Sensory Organization Test on the NeuroCom Smart Equitest. Main Outcome Measures: Interclass correlation coefficient and Bland–Altman limits of agreement for Sway Index, equilibrium ratio, and area of 95% confidence ellipse. Results: Fair–good reliability (interclass correlation coefficient = .48–.65) was demonstrated for the stance conditions with eyes open on a firm surface. The Head Shake Sensory Interaction and Balance Test condition on a firm surface resulted in fair reliability (interclass correlation coefficient = .50–.59). The authors observed large ranges for limits of agreement across outcome measures, indicating that the systems should not be used interchangeably. Conclusions: The authors observed fair reliability between BioSway™ and NeuroCom, with better agreement between systems with the assessment of postural sway on firm/static surfaces. However, the agreement of these systems may improve by incorporating methods that mitigate the floor effect in an athletic population (eg, including a head shake condition). BioSway™ may provide a surrogate field-expedient measurement tool.
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Daniel G. Miner, Brent A. Harper and Stephen M. Glass
Stacey M. Kung, Philip W. Fink, Stephen J. Legg, Ajmol Ali and Sarah P. Shultz
Purpose: To investigate whether youth and adults can perceive differences in exertion between walking and running at speeds near the preferred transition speed (PTS) and if there are age-related differences in these perceptions. Methods: A total of 49 youth (10–12 y, n = 21; 13–14 y, n = 10; 15–17 y, n = 18) and 13 adults (19–29 y) completed a walk-to-run transition protocol to determine PTS and peak oxygen uptake. The participants walked and ran on a treadmill at 5 speeds (PTS–0.28 m·s−1, PTS–0.14 m·s−1, PTS, PTS+0.14 m·s−1, PTS+0.28 m·s−1) and rated perceived exertion using the OMNI Perceived Exertion (OMNI-RPE) scale. Oxygen consumption was measured during the walk-to-run transition protocol to obtain the relative intensity (percentage of peak oxygen uptake) at PTS. OMNI-RPE scores at all speeds and percentage of peak oxygen uptake at PTS were compared between age groups. Results: The 10- to 12-year-olds transitioned at a higher percentage of peak oxygen uptake than adults (64.54 [10.18] vs 52.22 [11.40], respectively; P = .035). The 10- to 14-year-olds generally reported higher OMNI-RPE scores than the 15- to 17-year-olds and adults (P < .050). In addition, the 10- to 14-year-olds failed to distinguish differences in OMNI-RPE between walking and running at PTS and PTS+0.14 m·s−1. Conclusions: Children aged 10–14 years are less able to distinguish whether walking or running requires less effort at speeds near the PTS compared with adults. The inability to judge which gait mode is less demanding could hinder the ability to minimize locomotive demands.
Jordan D. Herbison, Terry W. Cowan, Luc J. Martin, Zach Root and Mark W. Bruner
This study sought to examine coaches’ perceptions of social identity among their athletes and explore the ways that they may attempt to influence its development. Semistructured interviews were conducted with 12 head coaches (M age = 49.25 years; SD = 6.5 years; M experience = 15.75 years; SD = 7.66 years; n female = 1) of male (n = 8) and female (n = 4) competitive youth ice hockey teams. Three main themes were identified through our analysis. First, the coaches’ perceptions of athletes’ social identities were described through examples of peer connection and similarity (i.e., in-group ties), athletes’ experience of positive affect (i.e., in-group affect), and athletes demonstrating the meaning and value that they attribute to team membership (i.e., cognitive centrality). Second, the coaches discussed a variety of ways that they sought to develop and reinforce a shared social identity within their teams. These behaviors aligned with principles advanced within the social identity leadership literature—namely, the coaches acted as in-group prototypes, in-group champions, entrepreneurs of identity, and embedders of identity. Finally, the coaches identified parents and cliques as key social agents with the ability to undermine social identity development. The findings are discussed in relation to both their theoretical and practical implications.
Maja Gunhild Olsen, Jan Arvid Haugan, Maria Hrozanova and Frode Moen
The current study presents a systematic review of six empirical research studies that have explored coping amongst elite-level sport coaches. The study was carried out employing Fletcher et al.’s meta-model of stress, emotions, and performance as a basis for the review. The present results clearly revealed that, despite being an important aspect of coaches’ functioning, coping is almost never researched in its full complexity, and scarce attention is given to cognitive appraisals and long-term outcomes. To our knowledge, current research has so far been limited to the perceived stressors and employed coping strategies. Compared with problem-focused coping, emotion-focused coping is less frequently reported. Emotion-focused coping also has some limitations regarding occurrence and diversity in reported strategies. The reasons for this are not well-known due to the lack of comprehensiveness in the research. Hence, researchers are encouraged to further investigate coping amongst elite-level coaches and to do so by treating it as a concept affected by appraisals and personal and situational characteristics that exist in the context of a larger stress process.
Developmental movement unfolds across multiple levels of a person’s biological hierarchy, and in multiple time frames. This article addresses some of the complexity of human moving, learning, and development that is captured in the lessons of the Feldenkrais Method®. It provides an overview of who Moshe Feldenkrais was and how he synthesized a body of work characterized by ontological, epistemological, and ethical stances that make his method unusual and provocative. An overview of his group and individual lessons, with examples, is followed by a closer look at how the complexity of the Feldenkrais method can be understood.
David I. Anderson
The goal of this special issue of Kinesiology Review is to expose kinesiology to a body of knowledge that is unfamiliar to most in the field. That body of knowledge is broad, deep, rich, and enduring. In addition, it brings with it a skill set that could be extremely helpful to professional practice, whether in teaching, coaching, training, health work, or rehabilitation. The body of knowledge and skills comes from a loosely defined field of study I have referred to as “complementary and alternative approaches to movement education” (CAAME). The field of CAAME is as diverse as the field of kinesiology. This introductory article focuses on what the field of CAAME has to teach kinesiology and what the field could learn from kinesiology. The overarching aim of the special issue is to foster dialogue and collaboration between students and scholars of kinesiology and practitioners of CAAME.
Ghada Jouira, Selim Srihi, Fatma Ben Waer, Haithem Rebai and Sonia Sahli
Context: Athletes with intellectual disability (ID) have a high risk of injury while participating in various sports. Warm-up (WU) is the most preventive measure to reduce injuries in sports. Objective: To investigate the effects of dynamic stretching WU (DS-WU) and plyometric WU (PL-WU) on dynamic balance in athletes with ID. Design: Crossover study. Setting: Research laboratory. Participants: A total of 12 athletes with ID (age 24.5 [3.22] y, height 165.7 [8.4] cm, weight 61.5 [7.1] kg, intelligence quotient 61.1 [3.5]). Main Outcome Measures: Dynamic balance was assessed using the Star Excursion Balance Test (SEBT) at pre-WU, post-WU, and 15 minutes post-WU for both the DS-WU and the PL-WU. A 2-way analysis of variance (3 sessions × 2 WU methods) with repeated-measures was used in this study. Results: Following the DS-WU, participants demonstrated significant improvements in the SEBT composite score post-WU (89.12% [5.54%] vs 87.04% [5.35%]; P < .01) and at 15 minutes post-WU (89.55% [5.28%] vs 87.04%, P < .01) compared with pre-WU. However, no significant difference between these two post-WU scores (post-WU and 15 min post-WU) was found. For the PL-WU, participants demonstrated a significant decrease in the SEBT composite score at post-WU (85.95% [5.49%] vs 87.02% [5.73%]; P < .05); however, these scores increased significantly at 15 minutes post-WU (88.60% [5.42%] vs 87.02% [5.49%]; P < .05) compared with that at pre-WU. The SEBT composite scores are significantly higher in the DS-WU than in the PL-WU at both post-WU sessions (P < .05). Conclusion: Both DS-WU and PL-WU could improve dynamic balance and may be recommended as WUs in athletes with ID; however, particular caution should be exercised immediately after the PL-WU.
Matteo Bonato, Antonio La Torre, Marina Saresella, Ivana Marventano, Giampiero Merati, Giuseppe Banfi and Jacopo A. Vitale
Purpose: The authors compared sleep quality and salivary cortisol concentration after high-intensity interval training (HIIT) and small-sided games (SSGs) performed at the habitual training time in nonprofessional male soccer players. Methods: A total of 32 players (age = 24  y, height = 1.77 [0.06] m, and body mass = 75  kg) were randomized into an HIIT group or an SSG group. Actual sleep time, sleep efficiency (SE), sleep latency, immobility time (IT), moving time (MT), and fragmentation index were monitored using actigraphy before (PRE) and 2 nights after (POST 1 and POST 2) the training session. Salivary cortisol levels were measured before (PRE) and after (POST) training. Cortisol awakening response was evaluated. Results: Significant intragroup differences in the HIIT group were noted for actual sleep time (P < .0001), SE (P < .0001), sleep latency (P = .047), IT (P < .0001), MT (P < .0001), and fragmentation index (P < .0001) between PRE and POST 1 and for SE (P = .035), IT (P = .004), MT (P = .006), and fragmentation index (P = .048) between PRE and POST 2. Intergroup differences for actual sleep time (P = .014), SE (P = .048), IT (P < .0001), and MT (P = .046) were observed between the HIIT and the SSGs group at POST 1 were detected. Significant intragroup variations were observed in PRE and POST salivary cortisol levels (P < .0001 for HIIT; P = .0003 for SSGs) and cortisol awakening response (P < .0001 for HIIT; P < .0001 for SSGs). Significant intergroup differences between the HIIT and the SSGs group were found at POST (P < .0001) and in cortisol awakening response (P = .017). Conclusions: Changes in actigraphy-based sleep parameters and salivary cortisol levels were greater after an acute session of HIIT than SSGs in this sample of nonprofessional male soccer players.
Piia Kaikkonen, Esa Hynynen, Arto Hautala and Juha P. Ahtiainen
Purpose: It is known that modifying the endurance-type training load of athletes may result in altered cardiac autonomic modulation that may be estimated with heart rate variability (HRV). However, the specific effects of intensive resistance-type training remain unclear. The main aim of this study was to find out whether an intensive 2-wk resistance training period affects the nocturnal HRV and strength performance of healthy participants. Methods: Young healthy men (N = 13, age 24  y) performed 2-wk baseline training, 2-wk intensive training, and a 9-d tapering periods, with 2, 5, and 2 hypertrophic whole-body resistance exercise sessions per week, respectively. Maximal isometric and dynamic strength were tested at the end of these training periods. Nocturnal HRV was also analyzed at the end of these training periods. Results: As a main finding, the nocturnal root mean square of differences of successive R-R intervals decreased (P = .004; from 49  to 43  ms; 95% CI, 2.4–10.4; effect size = 0.97) during the 2-wk intensive resistance training period. In addition, maximal isometric strength improved slightly (P = .045; from 3933  to 4138  N; 95% CI, 5.4–404; effect size = 0.60). No changes were found in 1-repetition-maximum leg press or leg press repetitions at 80% 1-repetition maximum. Conclusions: The present data suggest that increased training load due to a short-term intensive resistance training period can be detected by nocturnal HRV. However, despite short-term accumulated physiological stress, a tendency of improvement in strength performance was detected.
Ewan R. Williams, James McKendry, Paul T. Morgan and Leigh Breen
Purpose: Compression garments are widely used as a tool to accelerate recovery from intense exercise and have also gained traction as a performance aid, particularly during periods of limited recovery. This study tested the hypothesis that increased pressure levels applied via high-pressure compression garments would enhance “multiday” exercise performance. Methods: A single-blind crossover design, incorporating 3 experimental conditions—loose-fitting gym attire (CON), low-compression (LC), and high-compression (HC) garments—was adopted. A total of 10 trained male cyclists reported to the laboratory on 6 occasions, collated into 3 blocks of 2 consecutive visits. Each “block” consisted of 3 parts, an initial high-intensity protocol, a 24-hour period of controlled rest while wearing the applied condition/garment (CON, LC, and HC), and a subsequent 8-km cycling time trial, while wearing the respective garment. Subjective discomfort questionnaires and blood pressure were assessed prior to each exercise bout. Power output, oxygen consumption, and heart rate were continuously measured throughout exercise, with plasma lactate, creatine kinase, and myoglobin concentrations assessed at baseline and the end of exercise, as well as 30 and 60 minutes postexercise. Results: Time-trial performance was significantly improved during HC compared with both CON and LC (HC = 277 , CON = 266 , and LC = 265  W; P < .05). In addition, plasma lactate was significantly lower at 30 and 60 minutes postexercise on day 1 in HC compared with CON. No significant differences were observed for oxygen consumption, heart rate, creatine kinase, or subjective markers of discomfort. Conclusion: The pressure levels exerted via lower-limb compression garments influence their effectiveness for cycling performance, particularly in the face of limited recovery.