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Agustín Manresa-Rocamora, José Manuel Sarabia, Julio Sánchez-Meca, José Oliveira, Francisco Jose Vera-Garcia and Manuel Moya-Ramón
Previous meta-analyses have shown that high-intensity interval training (HIIT) is more suitable than moderate continuous training (MCT) for improving peak oxygen uptake (VO2peak) in patients with coronary artery disease. However, none of these meta-analyses have tried to explain the heterogeneity of the empirical studies in optimizing cardiac rehabilitation programs. Therefore, our aims were (a) to estimate the effect of MCT and HIIT on VO2peak, and (b) to find the potential moderator variables. A search was conducted in PubMed, Scopus, and ScienceDirect. Out of the 3,110 references retrieved, 29 studies fulfilled the selection criteria to be included in our meta-analysis. The mean difference was used as the effect size index. Our results showed significant enhancements in VO2peak after cardiac rehabilitation based on MCT and HIIT (mean difference = 3.23; 95% confidence interval [2.81, 3.65] ml·kg−1·min−1 and mean difference = 4.61; 95% confidence interval [4.02, 5.19] ml·kg−1·min−1, respectively), with greater increases after HIIT (p < .001). Heterogeneity analyses reached statistical significance with moderate heterogeneity for MCT (p < .001; I 2 = 67.0%), whereas no heterogeneity was found for the effect of HIIT (p = .220; I 2 = 22.0%). Subgroup analyses showed significant between-group heterogeneity of the MCT-induced effect based on the training mode (p < .001; I 2 = 90.4%), the risk of a new event (p = .010; I 2 = 77.4%), the type of cardiovascular event (p = .009; I 2 = 84.8%), the wait time to start cardiac rehabilitation (p = .010; I 2 = 76.6%), and participant allocation (p = .002; I 2 = 89.9%). Meta-regressions revealed that the percentages of patients undergoing a revascularization procedure (B = −0.022; p = .041) and cardiorespiratory fitness at baseline (B = −0.103; p = .025) were inversely related to the MCT-induced effect on the VO2peak.
James Scales, Jamie M. O’Driscoll, Damian Coleman, Dimitrios Giannoglou, Ioannis Gkougkoulis, Ilias Ntontis, Chrisoula Zisopoulou and Mathew Brown
The primary purpose of this study was to examine lateral deviations in center of pressure as a result of an extreme-duration load carriage task, with particular focus on heel contact. A total of 20 (n = 17 males and n = 3 females) soldiers from a special operation forces unit (body mass 80.72 [21.49] kg, stature 178.25 [8.75] cm, age 26  y) underwent gait plantar pressure assessment and vertical jump testing before and after a 43-km load carriage event (duration 817.02 [32.66] min) carrying a total external load of 29.80 (1.05) kg. Vertical jump height decreased by 18.62% (16.85%) from 0.30 (0.08) to 0.24 (0.07) m, P < .001. Loading peak and midstance force minimum were significantly increased after load carriage (2.59 [0.51] vs 2.81 [0.61] body weight, P = .035, Glass delta = 0.44 and 1.28 [0.40] vs 1.46 [0.41] body weight, P = .015, Glass delta = 0.45, respectively) and increases in lateral center of pressure displacement were observed as a result of the load carriage task 14.64 (3.62) to 16.97 (3.94) mm, P < .029. In conclusion, load carriage instigated a decrease in neuromuscular function alongside increases in ground reaction forces associated with injury risk and center of pressure changes associated with ankle sprain risk. Practitioners should consider that possible reductions in ankle stability remain once load carriage has been completed, suggesting soldiers are still at increased risk of injury even once the load has been removed.
Walaa M. Elsais, Stephen J. Preece, Richard K. Jones and Lee Herrington
The superficial hip adductor muscles are situated in close proximity to each other. Therefore, relative movement between the overlying skin and the muscle belly could lead to a shift in the position of surface electromyography (EMG) electrodes and contamination of EMG signals with activity from neighboring muscles. The aim of this study was to explore whether hip movements or isometric contraction could lead to relative movement between the overlying skin and 3 adductor muscles: adductor magnus, adductor longus, and adductor gracilis. The authors also sought to investigate isometric torque–EMG relationships for the 3 adductor muscles. Ultrasound measurement showed that EMG electrodes maintained a position which was at least 5 mm within the muscle boundary across a range of hip flexion–extension angles and across different contraction levels. The authors also observed a linear relationship between torque and EMG amplitude. This is the first study to use ultrasound to track the relative motion between skin and muscle and provides new insight into electrode positioning. The findings provide confidence that ultrasound-based positioning of EMG electrodes can be used to derive meaningful information on output from the adductor muscles and constitute a step toward recognized guidelines for surface EMG measurement of the adductors.
Pablo Jorge Marcos-Pardo, Alejandro Espeso-García, Abraham López-Vivancos, Tomás Abelleira Lamela and Justin W.L. Keogh
The coronavirus disease outbreak in China has become the world’s leading health headline and is causing major panic and public concerns. Public health guidelines in many countries are suggesting that people stay at home to avoid human-to-human transmission of the virus, which may lead to reduced physical activity and greater feelings of isolation. Such effects may be particularly problematic in older adults due to their reduced physical capacities and their potential for increased mental health issues, such as anxiety and depression. A potential way to minimize many of these side effects of stay-at-home guidelines may be progressive home-based resistance training. A simple way to provide progressive overload in home-based resistance training may involve elastic resistance, which has been demonstrated to provide similar benefits to traditional resistance training equipment typically found in gymnasiums. Recommendations on how older adults can safely and effectively perform elastic resistance training at home are provided.
Charlotte Woods, Lesley Glover and Julia Woodman
The Alexander technique is an educational self-development self-management method with therapeutic benefits. The primary focus of the technique is learning about the self, conceptualized as a mind–body unity. Skills in the technique are gained experientially, including through hands-on and spoken guidance from a certified Alexander teacher, often using everyday movement such as walking and standing. In this article the authors summarize key evidence for the effectiveness of learning the Alexander technique and describe how the method was developed. They attempt to convey a sense of the unique all-encompassing and fundamental nature of the technique by exploring the perspectives of those engaged in teaching and learning it and conclude by bringing together elements of this account with relevant strands of qualitative research to view this lived experience in a broader context.
James Stephens and Susan Hillier
The Feldenkrais method (FM) is a process that uses verbally and manually guided exploration of novel movements to improve individuals’ self-awareness and coordination. This paper reviews recent literature evaluating the therapeutic value of the FM for improving balance, mobility, and coordination and its effectiveness for management of chronic pain. The authors also explore and discuss studies that have investigated some of the other bodily effects and possible mechanisms of action, such as (a) the process of learning itself, (b) focus of attention during motor learning, (c) autonomic regulation, and (d) body image. They found that research clearly supports the effectiveness of the FM for improvement of balance and chronic pain management. The exploration into mechanisms of action raises interesting questions and possibilities for further investigation.
Wolf E. Mehling
A purported key mechanism of action in most mind–body movement approaches is the maturation and development of bodily awareness. This is an experiential learning process with its own phenomenology, underlying neurological processes, and challenges for scientific study. This report focuses on the assessment of changes in bodily awareness, which is of key importance for the documentation of this learning process for both research and clinical application. Objective assessments requiring lab equipment are briefly reviewed. Qualitative assessments can be performed by interviews, focus groups, and second-person observation of movement performance. In addition, systematically developed self-report questionnaires have become available in recent years, have undergone extensive validation, and are presented here.
Margaret A. Finley, Elizabeth Euiler, Shivayogi V. Hiremath and Joseph Sarver
Humeral elevation is a critical motion for individuals who use a manual wheelchair given that, in a typical day, wheelchair users reach overhead 5 times more often than able-bodied controls. Kinematic analyses in individuals with chronic spinal cord injury (SCI) have focused on weight-bearing tasks rather than overhead reaching. This technical report presents shoulder movement coordination during overhead reaching in individuals with newly acquired SCI. Eight volunteers with acute SCI and 8 matched, uninjured controls participated. Three-dimensional kinematics were collected during seated, humeral elevation. Scapular and thoracic rotations during humeral elevation were averaged across repetitions. The linear relationship of scapular upward rotation to humeral elevation provided movement coordination analysis. Maximal elevation was reduced in SCI with increased thoracic kyphosis. Medium to large effect sizes were found at each elevation angle, with reduced scapular external rotation, posterior tilt, and increased thoracic kyphosis for those with SCI. The linear relationship occurred later and within a significantly (P = .02) smaller range of humeral elevation in SCI. Altered movement coordination, including a diminished linear association of scapular upward rotation and humeral elevation (scapulohumeral rhythm), is found with reduced maximal elevation and increased thoracic kyphosis during overhead reaching tasks in those with acute SCI.