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Zhang T, Huo Y, Yin W, Xiang J. Postural balance disorders in sarcopenia based on surface electromyography. Heliyon 2024; 10:e24116. [PMID: 38283248 PMCID: PMC10818193 DOI: 10.1016/j.heliyon.2024.e24116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Revised: 12/12/2023] [Accepted: 01/03/2024] [Indexed: 01/30/2024] Open
Abstract
Background Sarcopenia is an intrinsic factor that leads to balance disorders and falls in older adults. However, the characterization of sarcopenia-related postural balance deficits remains unclear. Aims This study aimed to explore the balance performance and postural control strategy in older adults with sarcopenia during static stance tasks using force platforms and surface electromyography. Methods Older adults with right-sided dominance were recruited, including 27 adults with sarcopenia and 27 healthy counterparts. Postural sway was measured with eyes open/closed on rigid/compliant surfaces. The time- and frequency-domain indexes of bilateral lower extremity muscle activity were simultaneously recorded. Results The postural sway and activity of multiple lower extremity muscles in the sarcopenia group were increased (P < 0.05). The amplitude contribution ratio of the right tibialis anterior muscle (larger in sarcopenia), co-contraction ratio of right ankle dorsiflexion (smaller in sarcopenia), and mean power frequency and median frequency of the left gluteus maximus muscle (smaller in sarcopenia) had main effects of grouping (P < 0.001, η2p = 0.06-0.10). All of them had discrimination for sarcopenia (area under the curve = 0.639-0.657, P < 0.001) and were correlated with balance function measurement in sarcopenia (|rs| = 0.22-0.44, P < 0.05). Conclusion The results of this study suggest that older adults with sarcopenia have decreased balance function and increased cost of electrophysiology. They were found to prefer the postural strategy of dominant ankle dorsiflexion and demonstrated overactivity of the dominant tibialis anterior muscles and fatigue vulnerability of the nondominant gluteus maximus. Improvements in these postural features may have balance benefits.
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Affiliation(s)
- Ting Zhang
- Medical Technology School, Xuzhou Medical University, Xuzhou, Jiangsu, 221004, China
- Department of Rehabilitation, Wuxi Ninth People's Hospital Affiliated to Soochow University, Wuxi, Jiangsu, 214000, China
| | - Yang Huo
- The Second School of Clinical Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, 221004, China
| | - Wenjing Yin
- The Second School of Clinical Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, 221004, China
| | - Jie Xiang
- Medical Technology School, Xuzhou Medical University, Xuzhou, Jiangsu, 221004, China
- The Second School of Clinical Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, 221004, China
- Department of Rehabilitation, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, 221002, China
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Deely C, Tallent J, Bennett R, Woodhead A, Goodall S, Thomas K, Howatson G. Etiology and Recovery of Neuromuscular Function Following Academy Soccer Training. Front Physiol 2022; 13:911009. [PMID: 35770192 PMCID: PMC9235147 DOI: 10.3389/fphys.2022.911009] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Accepted: 05/24/2022] [Indexed: 12/01/2022] Open
Abstract
Aim: To profile the etiology and recovery time-course of neuromuscular function in response to a mixed-content, standard training week in professional academy soccer players. We concurrently examined physical performance, cognitive function, and perceptual measures of mood and wellness states to identify a range of simple tests applied practitioners could use in the field as surrogate measures of neuromuscular function. Methods: Sixteen professional academy soccer players completed a range of neuromuscular, physical, perceptual, mood, and cognitive function tests at baseline and after a strenuous training day (pitch and gym), with retest at 24, 48, and 72 h, and further pitch and gym sessions after 48 h post-baseline. Maximal voluntary contraction force (MVC) and twitch responses to electrical stimulation (femoral nerve) during isometric knee-extensor contractions and at rest were measured to assess central nervous system (voluntary activation, VA) and muscle contractile (potentiated twitch force, Qtw,pot) function. Results: Strenuous training elicited decrements in MVC force post-session (−11%, p = 0.001) that remained unresolved at 72 h (−6%, p = 0.03). Voluntary activation (motor nerve stimulation) was reduced immediately post-training only (−4%, p = 0.03). No change in muscle contractile function (Qtw,pot) was observed post-training, though was reduced at 24 h (−13%, p = 0.01), and had not fully recovered 72 h after (−9%, p = 0.03). Perceptions of wellness were impaired post-training, and recovered by 24 h (sleepiness, energy) and 48 h (fatigue, muscle soreness, readiness to train). Countermovement jump performance declined at 24 h, while RSI (Reactive Strength Index) decrements persisted at 48 h. No changes were evident in adductor squeeze, mood, or cognitive function. Conclusion: Elite youth soccer training elicits substantial decrements in neuromuscular function, which are still present 72 h post-strenuous exercise. Though central processes contribute to post-exercise neuromuscular alterations, the magnitude and prolonged presence of impairments in contractile function indicates it is the restitution of muscular function (peripheral mechanisms) that explains recovery from strenuous training in academy soccer players.
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Affiliation(s)
- Ciaran Deely
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle-upon-Tyne, United Kingdom
- Queen Park Rangers Football Club, Crane Lodge Road, London, United Kingdom
| | - Jamie Tallent
- School of Sport, Rehabilitation, and Exercise Sciences, University of Essex, Colchester, United Kingdom
- Department of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Science, Monash University, Melbourne, VIC, Australia
| | - Ross Bennett
- Queen Park Rangers Football Club, Crane Lodge Road, London, United Kingdom
| | - Alex Woodhead
- Centre for Applied Performance Sciences, Faculty of Sport, Allied Health and Performance Sciences, St. Mary’s University, Twickenham, United Kingdom
| | - Stuart Goodall
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle-upon-Tyne, United Kingdom
| | - Kevin Thomas
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle-upon-Tyne, United Kingdom
| | - Glyn Howatson
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle-upon-Tyne, United Kingdom
- Water Research Group, Faculty of Natural and Agricultural Sciences, North West University, Potchefstroom, South Africa
- *Correspondence: Glyn Howatson,
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Immediate voluntary activation deficits following submaximal eccentric contractions of knee extensors are associated with alterations of the sense of movement. Sci Rep 2022; 12:2338. [PMID: 35149737 PMCID: PMC8837602 DOI: 10.1038/s41598-022-06081-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Accepted: 12/22/2021] [Indexed: 11/08/2022] Open
Abstract
The mechanisms underlying movement sense alterations following repeated eccentric contractions remain unclear. This study concomitantly investigated the effects of unilateral eccentric contractions on movement sense and on neuromuscular function at the knee before, immediately after (POST), 24 (POST24) and 48 (POST48) h after the exercise. Twelve participants performed sets of submaximal knee extensors (KE) eccentric contractions until a 20% decrease in maximal voluntary isometric contraction (MVIC) torque was reached. Threshold to detect passive movement (TTDPM) tasks were used to assess movement sense during both knee flexion (TTDPMFLEX) and extension (TTDPMEXT). KE fatigability was assessed using the interpolated twitch technique. TTDPM values expressed in seconds and the percentage of unsuccessful trials only increased at POST during TTDPMFLEX and TTDPMEXT. The 20%-MVIC decrease was associated with significant decreases in voluntary activation level (- 12.7%, p < 0.01) and potentiated doublet torque at 100 Hz (- 18.1%, p < 0.001). At POST24, despite persistent reductions of maximal voluntary and electrically evoked torques associated with increased perceived muscle soreness, TTDPM values and the percentage of unsuccessful trials returned to baseline values. Consequently, movement sense alterations were only observed in the presence of voluntary activation deficits, suggesting that some exercise-induced central alterations may affect the somatosensory function.
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DA Silva F, Monjo F, Zghal F, Chorin F, Guérin O, Colson SS. Altered Position Sense after Submaximal Eccentric Exercise-inducing Central Fatigue. Med Sci Sports Exerc 2021; 53:218-227. [PMID: 32694369 DOI: 10.1249/mss.0000000000002444] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
PURPOSE The purpose of this study was to concomitantly investigate the acute and delayed effects of a submaximal eccentric-induced muscle fatigue on the position sense and the neuromuscular function of the right knee extensor muscles. METHODS Thirteen young and physically active participants performed a unilateral isokinetic eccentric exercise of their right lower limb until a decrease in maximal voluntary isometric contraction (MVIC) of 20% was reached. Neuromuscular (i.e., MVIC, voluntary activation (VA) level, and evoked contractile properties [DB100 and DB10]) and psychophysical evaluations (i.e., bilateral position-matching task, perceived muscle soreness, and perceived fatigue) were performed at four time points: before (PRE), immediately after (POST), 24 (POST24), and 48 (POST48) the exercise. RESULTS The acute 20% MVIC reduction (P < 0.001) was associated with both central (i.e., -13% VA decrease, P < 0.01) and peripheral (i.e., -18% and -42% reduction of DB100 and DB10, respectively, P < 0.001) fatigue. In the following days (POST24 and POST48), VA levels had recovered despite the presence of a persisting peripheral fatigue and delayed-onset muscle soreness. Knee position sense, as revealed by position errors, was significantly altered only at POST (P < 0.05) with participants overestimating the length of their knee extensor. Position errors and VA deficits were significantly correlated at POST (r = -0.60, P = 0.03). Position errors returned to nonsignificant control values in the following days. CONCLUSION The acute central fatigue induced by the eccentric exercise contributes to the position sense disturbances. Central fatigue might lead to alterations in the sensory structures responsible for the integration and the processing of position-related sensory inputs.
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Affiliation(s)
| | | | - Firas Zghal
- Université Côte d'Azur, LAMHESS, Nice, FRANCE
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Effects of Oral Branched-Chain Amino Acids (BCAAs) Intake on Muscular and Central Fatigue During an Incremental Exercise. J Hum Kinet 2020; 72:69-78. [PMID: 32269649 PMCID: PMC7126259 DOI: 10.2478/hukin-2019-0099] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
The aim of this study was to investigate the effects of oral branched-chain amino acids (BCAAs) intake on muscular (creatine kinase and myoglobin) and central (serotonin) fatigue during an incremental exercise protocol and to determine the time to exhaustion. Sixteen male long-distance runners (25.7 ± 2.0 yrs) performed two trials, 14 days apart. Using a double-blind, placebo-controlled, randomised crossover design, participants ingested either 20 g of BCAAs (BCAA trial) or a placebo 1 hour prior to performing an incremental exercise session on a treadmill. The starting speed was 8 km/h and this was increased by 1 km/h every 5 minutes until volitional exhaustion. Blood analysis indicated that plasma levels of serotonin were lower in the BCAA trial (259.3 ± 13.5 ng/ml) than the placebo trial (289.1 ± 14.5 ng/ml) (p < 0.05). There was a similar pattern of results for free fatty acid (p < 0.05). The creatine kinase level was higher in the BCAA trial (346.1 ± 33.7 U/L) than the placebo trial (307.3 ± 30.2 U/L). No significant difference between trials was observed regarding the level of myoglobin (p = 0.139). Time to exhaustion was longer in the BCAA trial (50.4 ± 2.3 min) than the placebo trial (46.6 ± 3.2 min). In conclusion, oral intake of 20 g of BCAAs 1 hour prior to an incremental treadmill exercise session increased time to exhaustion, probably due to the reduction in serotonin concentration. As myoglobin levels were within the normal range in both trials, we conclude that the participants did not reach muscular fatigue.
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de Freitas VH, Ramos SP, Bara-Filho MG, Freitas DG, Coimbra DR, Cecchini R, Guarnier FA, Nakamura FY. Effect of Cold Water Immersion Performed on Successive Days on Physical Performance, Muscle Damage, and Inflammatory, Hormonal, and Oxidative Stress Markers in Volleyball Players. J Strength Cond Res 2019; 33:502-513. [DOI: 10.1519/jsc.0000000000001884] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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Implications of Impaired Endurance Performance following Single Bouts of Resistance Training: An Alternate Concurrent Training Perspective. Sports Med 2018; 47:2187-2200. [PMID: 28702901 DOI: 10.1007/s40279-017-0758-3] [Citation(s) in RCA: 52] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
A single bout of resistance training induces residual fatigue, which may impair performance during subsequent endurance training if inadequate recovery is allowed. From a concurrent training standpoint, such carry-over effects of fatigue from a resistance training session may impair the quality of a subsequent endurance training session for several hours to days with inadequate recovery. The proposed mechanisms of this phenomenon include: (1) impaired neural recruitment patterns; (2) reduced movement efficiency due to alteration in kinematics during endurance exercise and increased energy expenditure; (3) increased muscle soreness; and (4) reduced muscle glycogen. If endurance training quality is consistently compromised during the course of a specific concurrent training program, optimal endurance development may be limited. Whilst the link between acute responses of training and subsequent training adaptation has not been fully established, there is some evidence suggesting that cumulative effects of fatigue may contribute to limiting optimal endurance development. Thus, the current review will (1) explore cross-sectional studies that have reported impaired endurance performance following a single, or multiple bouts, of resistance training; (2) identify the potential impact of fatigue on chronic endurance development; (3) describe the implications of fatigue on the quality of endurance training sessions during concurrent training, and (4) explain the mechanisms contributing to resistance training-induced attenuation on endurance performance from neurological, biomechanical and metabolic standpoints. Increasing the awareness of resistance training-induced fatigue may encourage coaches to consider modulating concurrent training variables (e.g., order of training mode, between-mode recovery period, training intensity, etc.) to limit the carry-over effects of fatigue from resistance to endurance training sessions.
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Xu J, Fu SN, Zhou D, Huang C, Hug F. Relationship between pre-exercise muscle stiffness and muscle damage induced by eccentric exercise. Eur J Sport Sci 2018; 19:508-516. [PMID: 30362889 DOI: 10.1080/17461391.2018.1535625] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- Jingfei Xu
- Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, People’s Republic of China
- Department of Rehabilitation Sciences, the Hong Kong Polytechnic University, Hong Kong, People’s Republic of China
- Institute for Disaster Management and Reconstruction, Sichuan University, Chengdu, People’s Republic of China
| | - Siu Ngor Fu
- Department of Rehabilitation Sciences, the Hong Kong Polytechnic University, Hong Kong, People’s Republic of China
| | - Dong Zhou
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, People’s Republic of China
| | - Chen Huang
- Department of Rehabilitation Sciences, the Hong Kong Polytechnic University, Hong Kong, People’s Republic of China
| | - François Hug
- Faculty of Sport Sciences, Laboratory ‘Movement, Interactions, Performance’ (EA 4334), University of Nantes, Nantes, France
- Institut Universitaire de France (IUF), Paris, France
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Effect of constant, predictable, and unpredictable motor tasks on motor performance and blood markers of stress. Exp Brain Res 2017; 235:1323-1336. [PMID: 28204862 DOI: 10.1007/s00221-017-4894-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2016] [Accepted: 01/24/2017] [Indexed: 12/25/2022]
Abstract
An unfamiliar or novel physical stimulus induces activation of dopaminergic neurons within the brain and greater activity in areas involved in emotion; considering this, we aimed to establish whether unpredictable prolonged (fatiguing) motor task (vs. constant vs. predictable) evokes greater dopaminergic activity, enhances neuromuscular performance, motor accuracy, and perception of effort, and delays overall central fatigue. Fifteen healthy male volunteers (aged 22 ± 4 years) were required to perform 1 of 3 exercise trials (at least 1 week apart) of 100 intermittent isometric contraction (IIC) tasks involving knee extensions at 60° flexion. Trials were structured differently by simulated contraction intensity. A fatigue task involved 5-s contractions and 20-s rest. Variables measured before, during, and after IIC were electrically induced force, maximal voluntary contraction, central activation ratio, intramuscular temperature, and blood levels of dopamine, cortisol, and prolactin, and intraindividual motor variability and accuracy (constant and absolute error). We found that IIC increased central and peripheral fatigue, force sensation, and T mu, and decreased absolute and constant error without visual feedback, but did not affect motor variability. There were no significant differences between the three IIC tasks. However, only unpredictable tasks increased dopaminergic activity, which was insufficient to affect central motivation to perform isometric exercise and alter centrally mediated components of fatigue.
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Dargeviciute G, Masiulis N, Kamandulis S, Skurvydas A, Westerblad H. Residual force depression following muscle shortening is exaggerated by prior eccentric drop jump exercise. J Appl Physiol (1985) 2013; 115:1191-5. [DOI: 10.1152/japplphysiol.00686.2013] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
We studied the relation between two common force modifications in skeletal muscle: the prolonged force depression induced by unaccustomed eccentric contractions, and the residual force depression (rFD) observed immediately after active shortening. We hypothesized that rFD originates from distortion within the sarcomeres and the extent of rFD: 1) correlates to the force and work performed during the shortening steps, which depend on sarcomeric integrity; and 2) is increased by sarcomeric disorganization induced by eccentric contractions. Nine healthy untrained men (mean age 26 yr) participated in the study. rFD was studied in electrically stimulated knee extensor muscles. rFD was defined as the reduction in isometric torque after active shortening compared with the torque in a purely isometric contraction. Eccentric contractions were performed as 50 repeated drop jumps with active deceleration to 90° knee angle, immediately followed by a maximal upward jump. rFD was assessed before and 5 min to 72 h after drop jumps. The series of drop jumps caused a prolonged force depression, which was about two times larger at 20-Hz than at 50-Hz stimulation. There was a significant correlation between increasing rFD and increasing mechanical work performed during active shortening both before and after drop jumps. In addition, a given rFD was obtained at a markedly lower mechanical work after drop jumps. In conclusion, the extent of rFD correlates to the mechanical work performed during active shortening. A series of eccentric contractions causes a prolonged reduction of isometric force. In addition, eccentric contractions exaggerate rFD, which further decreases muscle performance during dynamic contractions.
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Affiliation(s)
- Gintare Dargeviciute
- Centre for Fundamental and Clinical Movement Research, Lithuanian Sports University, Kaunas, Lithuania; and
| | - Nerijus Masiulis
- Centre for Fundamental and Clinical Movement Research, Lithuanian Sports University, Kaunas, Lithuania; and
| | - Sigitas Kamandulis
- Centre for Fundamental and Clinical Movement Research, Lithuanian Sports University, Kaunas, Lithuania; and
| | - Albertas Skurvydas
- Centre for Fundamental and Clinical Movement Research, Lithuanian Sports University, Kaunas, Lithuania; and
| | - Håkan Westerblad
- Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden
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Doma K, Deakin GB. The effects of strength training and endurance training order on running economy and performance. Appl Physiol Nutr Metab 2013; 38:651-6. [PMID: 23724883 DOI: 10.1139/apnm-2012-0362] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
This study examined the acute effect of strength and endurance training sequence on running economy (RE) at 70% and 90% ventilatory threshold (VT) and on running time to exhaustion (TTE) at 110% VT the following day. Fourteen trained and moderately trained male runners performed strength training prior to running sessions (SR) and running prior to strength training sessions (RS) with each mode of training session separated by 6 h. RE tests were conducted at baseline (Base-RE) and the day following each sequence to examine cost of running (CR), TTE, and lower extremity kinematics. Maximal isometric knee extensor torque was measured prior to and following each training session and the RE tests. Results showed that CR at 70% and 90% VT for SR-RE (0.76 ± 0.10 and 0.77 ± 0.07 mL·kg(-0.75)·m(-1)) was significantly greater than Base-RE (0.72 ± 0.10 and 0.70 ± 0.11 mL·kg(-0.75)·m(-1)) and RS-RE (0.73 ± 0.09 and 0.72 ± 0.09 mL·kg(-0.75)·m(-1)) (P < 0.05). TTE was significantly less for SR-RE (237.8 ± 67.4 s) and RS-RE (275.3 ± 68.0 s) compared with Base-RE (335.4 ± 92.1 s) (P < 0.01). The torque during the SR sequence was significantly reduced for every time point following the strength training session (P < 0.05). However, no significant differences were found in torque following the running session (P > 0.05), although it was significantly reduced following the strength training session (P < 0.05) during the RS sequence. These findings show that running performance is impaired to a greater degree the day following the SR sequence compared with the RS sequence.
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Affiliation(s)
- Kenji Doma
- Institute of Sport and Exercise Science, James Cook University, Rehabilitation and Exercise Science Building DB043, Townsville, QLD 4811.
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