Context: Shoulder rehabilitation can be a difficult task due to the dynamic nature of the joint complex. Various weight training implements, including kettlebells (KB), have been utilized for therapeutic exercise in the rehabilitation setting to improve shoulder girdle strength and motor control. The KBs are unique in that they provide an unstable load and have been purported to promote greater muscle activation versus standard dumbbells. Recent literature has examined the efficacy of KB exercises for global strengthening and aerobic capacity; however, electromyographic data for shoulder-specific activities are lacking. Objective: To examine muscle activation patterns about the rotator cuff and scapular musculature during 5 commonly-utilized KB exercises. Design: Cross-sectional analysis of a single group. Setting: Clinical biomechanics laboratory. Participants: Ten participants performed all exercises in a randomized order. Main Outcome Measures: Mean electromyographic values for each subject were compared between exercises for each target muscle. Results: Significant differences (P < .05) between exercises were observed for all target muscles except for the infraspinatus. Conclusions: The data in this study indicates that certain KB exercises may elicit activation of the shoulder girdle at different capacities. Physical therapy practitioners, athletic trainers, and other clinical professionals who intend to optimize localized strengthening responses may elect to prescribe certain exercises over others due to the inherent difference in muscular utilization. Ultimately, this data may serve to guide or prioritize exercise selection to achieve higher levels of efficacy for shoulder strength and stability gains.
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Corbin Hedt, Bradley S. Lambert, Matthew L. Holland, Joshua Daum, Jeremiah Randall, David M. Lintner and Patrick C. McCulloch
Cheryl A. Coker and Brittney Herrick
The adoption of compensatory movement patterns occurs when limitations in mobility, stability, or motor control prevent proper motion from occurring. These dysfunctional movements may inhibit fundamental motor skill development and negatively influence perceived movement competence, impeding the development of physical literacy. Therefore, this study examined the relationship between functional movement and perceived and actual motor skill competence in young adolescents. Functional movement proficiency was determined using the Functional Movement Screen (FMS™), which provides three variables of interest: (a) FMS™ total score, (b) number of asymmetries, and (c) number of movement pattern dysfunctions. Perceived physical competence was assessed through the Children and Youth Physical Self-Perception Profile. Finally, the Get Skilled: Get Active process-oriented motor skill assessment was used to evaluate vertical jump, kick, run, and overhand throw proficiency. A significant positive correlation between FMS™ total score and vertical jump performance was found. A positive relationship was also found between the number of asymmetries and overhand throw performance. The Children and Youth Physical Self-Perception Profile constructs of body attractiveness and physical condition were positively associated with FMS™ total score, and physical condition was also shown to be inversely related to the number of movement pattern dysfunctions. Results suggest that functional movement may underpin movement competence and confidence.
Priya Patel, Seungmin Lee, Nicholas D. Myers and Mei-Hua Lee
Missing data incidents are common in experimental studies of motor learning and development. Inadequate handling of missing data may lead to serious problems, such as addition of bias, reduction in power, and so on. Thus, this study aimed to conduct a systematic review of the past (2007) and present (2017) practices used for reporting and analyzing missing data in motor learning and development. For this purpose, the authors reviewed 309 articles from five journals focusing on motor learning and development studies and published in 2007 and 2017. The authors carefully reviewed each article using a six-stage review process to assess the reporting and analyzing practices. Reporting of missing data along with reasons for their presence was consistently high across time, which slightly increased in 2017. Researchers predominantly used older methods (mainly deletion) for analysis, which only showed a small increase in the use of newer methods in 2017. While reporting practices were exemplary, missing data analysis calls for serious attention. Improvements in missing data handling may have the merit to address some of the major issues, such as underpowered studies, in motor learning and development.
Julio Zago, Fellipe Amatuzzi, Tatiana Rondinel and João Paulo Matheus
Context: The effects of an exercise program (EP) for the treatment of patellofemoral pain syndrome (PFPS) are well known. However, the effects of osteopathic manipulative treatment (OMT) are unclear. Objective: To evaluate the effects of OMT versus EP on knee pain, functionality, plantar pressure in middle foot (PPMF), posterior thigh flexibility (PTF), and range of motion of hip extension in runners with PFPS. Design : This is a randomized controlled trial. Setting: Human performance laboratory. Participants: A total of 82 runners with PFPS participated in this study. Interventions: The participants were randomized into 3 groups: OMT, EP, and control group. The OMT group received joint manipulation and myofascial release in the lumbar spine, hip, sacroiliac joint, knee, and ankle regions. The EP group performed specific exercises for lower limbs. The control group received no intervention. Main Outcome Measures: The main evaluations were pain through the visual analog scale, functionality through the Lysholm Knee Scoring Scale, dynamic knee valgus through the step-down test, PPMF through static baropodometry, PTF through the sit and reach test, and range of motion through fleximetry. The evaluations were performed before the interventions, after the 6 interventions, and at 30-day follow-up. Results: There was a significant pain decrease in the OMT and EP groups when compared with the control group. OMT group showed increased functionality, decreased PPMF, and increased PTF. The range of motion for hip extension increased only in the EP group. Conclusion: Both OMT and EP are effective in treating runners with PFPS.
Anita Kulik, Ewelina Rosłoniec, Przemysław Madejski, Anna Spannbauer, Leszek Zguczyński, Piotr Mika and Dorota Pilecka
The primary aim was to assess the test–retest reliability of an outdoor walking test with a global positioning system device in older women in a community setting. In addition, correlations between the suggested test and various tests recommended to evaluate muscle strength, walking speed, and self-perceived health status in older adults were studied. The study included 40 women aged 68 (SD = 5) years. The primary outcomes were total walked distance and mean walking speed. The secondary outcomes were lower-body strength, heart rate, speed in a 4-m walk test, and self-perceived health status. The intraclass correlation coefficients calculated for the total walked distance, mean walking speed, and mean heart rate were .94, .92, and .37, respectively. Thus, the suggested outdoor walking test with the application of a global positioning system device may be considered a reliable test tool, which can be recommended for the evaluation of walking ability among older women in a community setting.
The current study examined how a perceived neighborhood environment was associated with older adults’ walking activity and the experience of positive affect. Study sample comprised 10,700 older adults, aged 65+, sampled from the Health and Retirement Study 2014–2015 in the United States. Results indicated that neighborhood social cohesion was significantly predicting older adults’ walking and positive affect. It was also revealed that walking engagement significantly contributed to the measure of positive affect. However, perceived neighborhood physical disorder did not account for additional variance in walking and positive affect. Final structural model involved three latent factors—neighborhood social cohesion, walking, and positive affect—and the goodness-of-fit indices of the model indicated an acceptable fit to the sample data. Public health and physical activity intervention in the context of neighborhood environment should facilitate social integration and informal social support that the neighborhood creates.
Sophie E. Claudel, Kosuke Tamura, James Troendle, Marcus R. Andrews, Joniqua N. Ceasar, Valerie M. Mitchell, Nithya Vijayakumar and Tiffany M. Powell-Wiley
There is no established method for processing data from commercially available physical activity trackers. This study aims to develop a standardized approach to defining valid wear time for use in future interventions and analyses. Sixteen African American women (mean age = 62.1 years and mean body mass index = 35.5 kg/m2) wore the Fitbit Charge 2 for 20 days. Method 1 defined a valid day as ≥10-hr wear time with heart rate data. Method 2 removed minutes without heart rate data, minutes with heart rate ≤ mean − 2 SDs below mean and ≤2 steps, and nighttime. Linear regression modeled steps per day per week change. Using Method 1 (n = 292 person-days), participants had 20.5 (SD = 4.3) hr wear time per day compared with 16.3 (SD = 2.2) hr using Method 2 (n = 282) (p < .0001). With Method 1, participants took 7,436 (SD = 3,543) steps per day compared with 7,298 (SD = 3,501) steps per day with Method 2 (p = .64). The proposed algorithm represents a novel approach to standardizing data generated by physical activity trackers. Future studies are needed to improve the accuracy of physical activity data sets.
David Cassilo and Danielle Sarver Coombs
The Pakistan Super League launched in 2016 with massive enthusiasm in its “cricket-mad” nation. However, safety concerns stemming from a 2009 terrorist attack in Lahore, Pakistan, meant all matches were played in the United Arab Emirates until the tournament’s final game in 2017—the ultimate test in seeing if top-level cricket could return to Pakistan. In this study, the authors examine framing of the creation in 2013 and first 2 years of the Pakistan Super League from news sources in Pakistan, the United Arab Emirates, and the United Kingdom. This study offers an opportunity to understand how Middle Eastern sport and the sport’s connection to national identity are framed in the media across multiple countries during a pivotal time for cricket in Pakistan.
Kelly Sarmiento, Dana Waltzman, Kelley Borradaile, Andrew Hurwitz, Kara Conroy and Jaimie Grazi
Due in part to concern about the potential long-term effects of concussion and repetitive head injuries in football, some programs have implemented tackling interventions. This paper explores youth football coaches’ perception of football safety and their experiences implementing these interventions aimed at athlete safety. Using a qualitative approach, coaches were interviewed by means of a semi-structured protocol that covered: (a) demographics; (b) background and experiences with contact sports; (c) perceived concussion risks and benefits of youth football; (d) experiences with tackling technique; (e) experiences with mouth guard sensors; and (f) personal sources of training related to football safety. Most coaches felt that learning tackling at a young age helped prepare them for their playing later in life and believed that youth should begin playing tackle football at a young age. Coaches were mixed regarding their concerns about the risk for concussion and subconcussive head impacts. Still, most were receptive to changes in rules and policies aimed at making football safer. Findings from this study demonstrate that youth football coaches are important stakeholders to consider when implementing changes to youth football. Understanding coach perceptions and experiences may inform future efforts aimed to educate coaches on rules and policies to make the game safer for youth athletes.