Effects on Strength, Power and Speed Execution Using Exercise Balls, Semi-Sphere Balance Balls and Suspension Training Devices: A Systematic Review

Adaptation of Postural Sway in a Standing Position during Tilted Video Viewing Using Virtual Reality: A Comparison between Younger and Older Adults

This study aimed to investigate the effects of wearing virtual reality (VR) with a head-mounted display (HMD) on body sway in younger and older adults. A standing posture with eyes open without an HMD constituted the control condition. Wearing an HMD and viewing a 30°-tilt image and a 60°-tilt image in a resting standing position were the experimental conditions. Measurements were made using a force plate. All conditions were performed three times each and included the X-axis trajectory length (mm), Y-axis trajectory length (mm), total trajectory length (mm), trajectory length per unit time (mm/s), outer peripheral area (mm2), and rectangular area (mm2). The results showed a significant interaction between generation and condition in Y-axis trajectory length (mm) and total trajectory length (mm), with an increased body center-of-gravity sway during the viewing of tilted VR images in older adults than in younger adults in both sexes. The results of this study show that body sway can be induced by visual stimulation alone with VR without movement, suggesting the possibility of providing safe and simple balance training to older adults.

The Effects of Suspension Training on Dynamic, Static Balance, and Stability: An Interventional Study

Background and Objectives: While suspension training devices are increasingly gaining popularity, there is limited evidence on their effects on balance, and no comprehensive assessment has been conducted. This study aimed to evaluate the effects of a 9-session suspension training program on dynamic and static balance, stability, and functional performance. Materials and Methods: A total of forty-eight healthy adults, aged between 18 and 30, participated in a 9-session suspension training program. The program included exercises targeting upper and lower body muscles as well as core muscles. Balance was comprehensively assessed using various dynamic balance tests, including the Y Balance Test (YBT) as the primary outcome, single-leg Emery test, and sideways jumping test. Static balance was evaluated through the monopedal and bipedal Romberg tests. Changes from baseline were analyzed using a one-way ANOVA test. Results: Thirty-nine participants (mean age: 21.8 years) completed the intervention. The intervention resulted in significant improvements in YBT, jumping sideways, Emery, and 30s-SST scores (p < 0.001). Platform measures indicated enhanced monopedal stability (p < 0.001) but did not show a significant effect on bipedal stability (p > 0.05). Conclusions: Suspension training is a safe and feasible method for improving dynamic balance and functional performance in healthy, untrained young adults. However, it does not appear to significantly impact the ability to maintain a static posture while standing.

Sex Differences in the Load-Velocity Profiles of Three Different Row Exercises

This study examined the force-velocity profile differences between men and women in three variations of row exercises. Twenty-eight participants (14 men and 14 women) underwent maximum dynamic strength assessments in the free prone bench row (PBR), bent-over barbell row (BBOR), and Smith machine bent-over row (SMBOR) in a randomized order. Subjects performed a progressive loading test from 30 to 100% of 1-RM (repetition maximum), and the mean propulsive velocity was measured in all attempts. Linear regression analyses were conducted to establish the relationships between the different measures of bar velocity and % 1-RM. The ANOVAs applied to the mean velocity achieved in each % 1-RM tested revealed significantly higher velocity values for loads < 65% 1-RM in SMBOR compared to BBOR (p < 0.05) and higher velocities for loads < 90% 1-RM in SMBOR compared to PBR (p < 0.05) for both sexes. Furthermore, men provided significantly higher velocity values than women (PBR 55-100% 1-RM; BBOR and SMBOR < 85% 1-RM; p < 0.05) and significant differences were found between exercises and sex for 30-40% 1-RM. These results confirm that men have higher velocities at different relative loads (i.e., % 1-RM) compared to women during upper-body rowing exercises.

Risk of permanent medical impairment after road traffic crashes: A systematic review

PURPOSE

To systematically review the risk of permanent disability related to road traffic injuries (RTIs) and to determine the implications for future research regarding permanent impairment following road traffic crashes.

METHODS

We conducted this systematic review according to the preferred reporting items for systematic reviews and meta-analysis statement. An extended search of the literature was carried out in 4 major electronic databases for scientific research papers published from January 1980 to February 2020. Two teams include 2 reviewers each, screened independently the titles/abstracts, and after that, reviewed the full text of the included studies. The quality of the studies was assessed using the strengthening the reporting of observational studies in epidemiology (STROBE) checklist. A third reviewer was assessed any discrepancy and all data of included studies were extracted. Finally, the data were systematically analyzed, and the related data were interpreted.

RESULTS

Five out of 16 studies were evaluated as high-quality according to the STROBE checklist. Fifteen studies ranked the initial injuries according to the abbreviated injury scale 2005. Five studies reported the total risk of permanent medical impairment following RTIs which varied from 2% to 23% for car occupants and 2.8% to 46% for cyclists. Seven studies reported the risk of permanent medical impairment of the different body regions. Eleven studies stated the most common body region to develop permanent impairment, of which 6 studies demonstrated that injuries of the cervical spine and neck were at the highest risk of becoming permanent injured.

CONCLUSION

The finding of this review revealed the necessity of providing a globally validated method to evaluate permanent medical impairment following RTIs across the world. This would facilitate decision-making about traffic injuries and efficient management to reduce the financial and psychological burdens for individuals and communities.

How Does Instability Affect Bench Press Performance? Acute Effect Analysis with Different Loads in Trained and Untrained Populations

(I) The execution of different sports involves a significant number of throws, jumps, or direction changes, so the body must be as stable as possible while performing a specific action. However, there is no classification of unstable devices and their influence on performance variables. Furthermore, the effect on athletes’ experience using instability is unknown. (II) The aim of this study was to analyze the power and speed parameters in bench press with different loads and unstable executions: (1) stable (SB), (2) with asymmetric load (AB), (3) with unstable load (UB), (4) on fitball (FB) and (5) on a Bosu® (BB). A total of 30 male participants (15 trained and 15 untrained) were evaluated for mean propulsive speed (MPS), maximum speed (MS), and power (PW) with different types of external load: a low load (40% of 1RM), medium load (60% of 1RM), and high load (80% of 1RM) in each condition. Variables were measured with an inertial dynamometer. (III) The best data were evidenced with SB, followed by AB (3–12%), UB (4–11%), FB (7–19%), and BB (14–23%). There were no differences between groups and loads (p > 0.05) except in the case of MS with 60% 1RM, where trained participants obtained 4% better data (p < 0.05). (IV) Executions with implements and equipment such as fitball and Bosu® do not seem to be the most recommended when the objective is to improve power or execution speed. However, situations where the load is unstable (AB and UB) seem to be a good alternative to improve stabilization work without high performance. Furthermore, experience does not seem to be a determining factor.

Assessment of the Speed and Power of Push-Ups Performed on Surfaces with Different Degrees of Instability

(I) Training in unstable conditions, with different elements, platforms, or situations, has been used because there is a significant increase in muscle activation, balance, proprioception, and even sports performance. However, it is not known how the devices used are classified according to performance variables, nor the differences according to instability experience. (II) This study aims to analyze the differences in power and speed in push-ups with different situations of instability in trained and untrained male subjects. Power and speed in push-up exercise were analyzed in 26 untrained and 25 trained participants in 6 different situations (one stable and five unstable) (1) stable (PS), (2) monopodal (PM), (3) rings (PR), (4) TRX^® (PT), (5) hands-on Bosu^® (PH) (6) feet on Bosu^® (PF). The variables were analyzed using a linear position transducer. (III) The best data were evidenced with PS, followed by PR, PM, PT, PH and PF. The trained subjects obtained better results in all the conditions analyzed in mean and maximum power and speed values (p < 0.001). The decrease in these variables was significantly greater in the untrained subjects than in the trained subjects in the PR situation (8% and 18% respectively). In PF there were differences between groups (p < 0.001), reaching between 32-46% in all variables. The difference between the two groups was notable, varying between 12-58%. (IV) The results showed a negative and progressive influence of instability on power and speed in push-ups. This suggests that instability should be adapted to the subject's experience and is not advisable in untrained subjects who wish to improve power.

Improvement in the multiple sclerosis functional composite score by multi-function swing suspension training program

BACKGROUND

Physical activity has been considered as a promising approach to slow down the disease process in Multiple Sclerosis (MS) patients. The functional impairments of MS have been studied in detail, while evidence of the efficacy of exercise training interventions on the Multiple Sclerosis functional composite (MSFC) score in these patients is limited. The aim of this study was to investigate the improvement in MSFC score by multi-function swing suspension training program (MFSST) in the women with MS.

METHODS

The patients were divided into two groups as the intervention and control groups. A total of 47 MS patients completed the MSFC components at baseline and after the intervention: the timed 25-foot walk (T25FW); the 9-hole peg test (9HPT); and paced auditory serial addition test (PASAT). Z scores were created for each test based on control means.

RESULTS

The MSFC score, 9HPT, T25FW, and PASAT showed a significant increment in comparison with the baseline levels in the four, six, and eight weeks following the first exercise session (all p<0.05). These differences in the control group were not significant. The improvement in the MSFC score and the component Z-scores in the intervention groups was found from the fourth week onwards.

CONCLUSIONS

The study findings highlight that the progression of MS disability can be partially compensated by physical exercise. Overall, these results indicate that MFSST can be used as an effective treatment method in patients suffering from MS. Longer (years) exercise studies with larger samples of MS patients, with different MS subtypes, and of different sex, are needed to evaluate the effect of other types of exercise interventions on the MSFC score in MS patients with different disabilities.

The Application of Balance Exercise Using Virtual Reality for Rehabilitation

To prevent falls, it is important to devise a safe balance training program that can be easily performed. This study investigated whether tilting an image in virtual reality (VR) can generate a center-of-gravity sway. Five men and five women were asked to rest standing upright (control condition) and to rest standing upright with a head-mounted display showing a tilted virtual image (VR condition), and changes in their standing balance were observed. Standing balance was assessed by measuring the distance traveled by the center of pressure (COP) of each of the participants’ legs. In order to investigate the effects of different tilt speeds and angles on COP, four different images were displayed in VR: an image tilting to 10° moving at a rate of 1°/s; an image tilting to 20° moving 1°/s; an image tilting to 10° moving 10°/s; an image tilting to 20° moving 10°/s. Change in COP was significantly greater in the VR than in the control condition (p < 0.01), and a tilt of 10° moving 1°/s showed the greatest change in COP (p < 0.01). Tilting an image in VR while in a resting standing position can change an individual’s COP; thus, VR may be applied to balance training.