Participatory development of an mHealth intervention delivered in general practice to increase physical activity and reduce sedentary behaviour of patients with prediabetes and type 2 diabetes (ENERGISED)

BACKGROUND

The escalating global prevalence of type 2 diabetes and prediabetes presents a major public health challenge. Physical activity plays a critical role in managing (pre)diabetes; however, adherence to physical activity recommendations remains low. The ENERGISED trial was designed to address these challenges by integrating mHealth tools into the routine practice of general practitioners, aiming for a significant, scalable impact in (pre)diabetes patient care through increased physical activity and reduced sedentary behaviour.

METHODS

The mHealth intervention for the ENERGISED trial was developed according to the mHealth development and evaluation framework, which includes the active participation of (pre)diabetes patients. This iterative process encompasses four sequential phases: (a) conceptualisation to identify key aspects of the intervention; (b) formative research including two focus groups with (pre)diabetes patients (n = 14) to tailor the intervention to the needs and preferences of the target population; (c) pre-testing using think-aloud patient interviews (n = 7) to optimise the intervention components; and (d) piloting (n = 10) to refine the intervention to its final form.

RESULTS

The final intervention comprises six types of text messages, each embodying different behaviour change techniques. Some of the messages, such as those providing interim reviews of the patients' weekly step goal or feedback on their weekly performance, are delivered at fixed times of the week. Others are triggered just in time by specific physical behaviour events as detected by the Fitbit activity tracker: for example, prompts to increase walking pace are triggered after 5 min of continuous walking; and prompts to interrupt sitting following 30 min of uninterrupted sitting. For patients without a smartphone or reliable internet connection, the intervention is adapted to ensure inclusivity. Patients receive on average three to six messages per week for 12 months. During the first six months, the text messaging is supplemented with monthly phone counselling to enable personalisation of the intervention, assistance with technical issues, and enhancement of adherence.

CONCLUSIONS

The participatory development of the ENERGISED mHealth intervention, incorporating just-in-time prompts, has the potential to significantly enhance the capacity of general practitioners for personalised behavioural counselling on physical activity in (pre)diabetes patients, with implications for broader applications in primary care.

Muscle Cooling Before and in the Middle of a Session: There Are Benefits on Subsequent Localized Endurance Performance in a Warm Environment

ABSTRACT

Baláš, J, Kodejška, J, Procházková, A, Knap, R, and Tufano, JJ. Muscle cooling before and in the middle of a session: there are benefits on subsequent localized endurance performance in a warm environment. J Strength Cond Res 38(3): 533-539, 2024-Localized cold-water immersion (CWI) has been shown to facilitate recovery in the middle of a session of exhaustive repeated forearm contractions. However, it has been suggested that these benefits may be attributed to "precooling" the muscle before an activity, as opposed to cooling a previously overheated muscle. Therefore, this study aimed to determine how precooling and mid-cooling affects localized repeated muscular endurance performance in a warm environment. Nineteen subjects completed a familiarization session and 3 laboratory visits, each including 2 exhaustive climbing trials separated by 20 minutes of recovery: PRE CWI (CWI, trial 1; passive sitting [PAS], trial 2); MID CWI (PAS, trial 1; CWI, trial 2); and CONTROL (PAS, trial 1; PAS, trial 2). Climbing trial 1 in PRE CWI was 32 seconds longer than in CONTROL ( p = 0.013; d = 0.46) and 47 seconds longer than in MID CWI ( p = 0.001; d = 0.81). The time of climbing trial 2 after PAS (PRE CWI and CONTROL) was very similar (312 vs. 319 seconds) irrespective of the first trial condition. However, the time of the second trial in MID CWI was 43 seconds longer than in PRE CWI ( p < 0.001; d = 0.63) and 50 seconds longer than in CONTROL ( p < 0.001; d = 0.69). In warm environments, muscle precooling and mid-cooling can prolong localized endurance performance during climbing. However, the effectiveness of mid-cooling may not be as a "recovery strategy" but as a "precooling" strategy to decrease muscle temperature before subsequent performance, delaying the onset of localized heat-induced neuromuscular fatigue.

Match-Play External Load and Internal Load in NCAA Division II Women's Soccer

ABSTRACT

Choice, EE, Tufano, JJ, Jagger, KL, and Cochrane-Snyman, KC. Match-play external load and internal load in NCAA Division II women's soccer. J Strength Cond Res 37(12): e633-e639, 2023-The purpose of this study was to describe average match-play demands for NCAA DII women's soccer, including positional and time-specific differences, and relationships between variables. External load was assessed using total distance, relative distance, sprint distance, number of power plays, peak speed, and Player Load. Internal load was assessed using session rating of perceived exertion (sRPE). Mixed factor analysis of variance was used to assess time by position (midfielder, forward, or defender) for dependent measures. Correlations were assessed between separate pair groups. Average match-play demands included 9,463 ± 2,591 m total distance, 172 ± 48 m·min -1 relative distance, 531 ± 301 m sprint distance, peak speeds of 26 ± 1.6 kph, 46.71 ± 21.75 power plays, and 457.84 ± 121.78 AU Player Load. Significant ( p < 0.05) positional differences were found for total distance, Player Load, match load, and peak speed. Significant, moderate correlations were found between relative distance and match load, and sRPE and total distance, Player Load, and power plays (all p < 0.001). Results indicate there are positional differences within a women's DII soccer team, with midfielders accumulating the longest distances (10,509 ± 2,913 m) and greatest Player Load (527.79 ± 130.5 AU) and match load (576 ± 343 AU), forwards running the fastest peak speeds (26.8 ± 1.5 kph), and defenders maintaining most consistent performance. Match-play external and internal load data should be monitored by player position and half for DII women's soccer.

Effects of 36 hours of sleep deprivation on military-related tasks: Can ammonium inhalants maintain performance?

INTRODUCTION

A lack of sleep can pose a risk during military operations due to the associated decreases in physical and cognitive performance. However, fast-acting ergogenic aids, such as ammonia inhalants (AI), may temporarily mitigate those adverse effects of total sleep deprivation (TSD). Therefore, the present study aimed to investigate the acute effect of AI on cognitive and physical performance throughout 36 hours of TSD in military personnel.

METHODS

Eighteen male military cadets (24.1 ± 3.0 y; 79.3 ± 8.3 kg) performed 5 identical testing sessions during 36 hours of TSD (after 0 [0], 12 [-12], 24 [-24], and 36 [-36] hours of TSD), and after 8 [+8] hours of recovery sleep. During each testing session, the following assessments were conducted: Epworth sleepiness scale (ESS), simple reaction time (SRT), shooting accuracy (SA), rifle disassembling and reassembling (DAS), and countermovement jump height (JH). Heart rate (HR) was continuously monitored during the SA task, and a rating of perceived exertion (RPE) was obtained during the JH task. At each time point, tests were performed twice, either with AI or without AI as control (CON), in a counterbalanced order.

RESULTS

There was faster SRT (1.6%; p < 0.01) without increasing the number of errors, higher JH (1.5%; p < 0.01), lower RPE (9.4%; p < 0.001), and higher HR (5.0%; p < 0.001) after using AI compared to CON regardless of TSD. However, neither SA nor DAS were affected by AI or TSD (p > 0.05). Independent of AI, the SRT was slower (3.2-9.3%; p < 0.001) in the mornings (-24, +8) than in the evening (-12), JH was higher (3.0-4.7%, p < 0.001) in the evenings (-12, -36) than in the mornings (0, -24, +8), and RPE was higher (20.0-40.1%; p < 0.001) in the sleep-deprived morning (-24) than all other timepoints (0, -12, -36, +8). Furthermore, higher ESS (59.5-193.4%; p < 0.001) was reported at -24 and -36 than the rest of the time points (0, -12, and + 8).

CONCLUSION

Although there were detrimental effects of TSD, the usage of AI did not reduce those adverse effects. However, regardless of TSD, AI did result in a short-term increase in HR, improved SRT without affecting the number of errors, and improved JH while concurrently decreasing the RPE. No changes, yet, were observed in SA and DAS. These results suggest that AI could potentially be useful in some military scenarios, regardless of sleep deprivation.

Validity of Commercially Available Punch Trackers

ABSTRACT

Omcirk, D, Vetrovsky, T, Padecky, J, Malecek, J, and Tufano, JJ. Validity of commercially available punch trackers. J Strength Cond Res 37(11): 2273-2281, 2023-This study determined how well data from commercially available punch trackers (Corner, Hykso, and StrikeTec) related to gold-standard velocity and force measures during full-contact punches. In a quasi-randomized order, 20 male subjects performed 6 individual rear straight punches, rear hooks, and rear uppercuts against a wall-mounted force plate. Punch tracker variables were compared with the peak force of the force plate and to the peak (QPV) and mean velocity (QMV) assessed through Qualisys 3-dimensional tracking. For each punch tracker variable, Pearson's correlation coefficient, mean absolute percentage error (MAPE), and mean percentage error (MPE) were calculated. There were no strong correlations between punch tracker data and gold-standard force and velocity data. However, Hykso "velocity" was moderately correlated with QMV ( r = 0.68, MAPE 0.64, MPE 0.63) and QPV ( r = 0.61, MAPE 0.21, MPE -0.06). Corner Power G was moderately correlated with QMV ( r = 0.59, MAPE 0.65, MPE 0.58) and QPV ( r = 0.58, MAPE 0.27, MPE -0.09), but Corner "velocity" was not. StrikeTec "velocity" was moderately correlated with QMV ( r = 0.56, MAPE 1.49, MPE 1.49) and QPV ( r = 0.55, MAPE 0.46, MPE 0.43). Therefore, none of the devices fared particularly well for all of their data output, and if not willing to accept any room for error, none of these devices should be used. Nevertheless, these devices and their proprietary algorithms may be updated in the future, which would warrant further investigation.

Eccentric Cycling Is an Alternative to Nordic Hamstring Exercise to Increase the Neuromuscular Function of Knee Flexors in Untrained Men

ABSTRACT

Valdes, O, Inzulza, S, Collao, N, Garcia-Vicencio, S, Tufano, JJ, Earp, J, Venegas, M, and Peñailillo, L. Eccentric cycling is an alternative to Nordic hamstring exercise to increase the neuromuscular function of knee flexors in untrained men. J Strength Cond Res 37(11): 2158-2166, 2023-Nordic hamstring exercise (NHE) has been proposed to reduce knee flexor (KF) injuries. However, submaximal alternatives to NHE are necessary for the clinical or weaker population. The aim of this study was to compare the effects of Nordic hamstring training (NHT) and eccentric cycling (ECC) training on the neuromuscular function of the KF. Twenty healthy men (27.7 ± 3.5 years) were randomly assigned into 2 groups that performed 10 training sessions (2-3 sessions·week-1) of either NHT (n = 10) or ECC (n = 10). Maximal voluntary isometric contraction of the KF and knee extensor (KE) muscles (MVICKF and MVICKE) was measured, and the hamstring/quadriceps strength (H/Q) ratio was calculated. Furthermore, changes in NHE maximum reaction force (NHE-MRFKF), NHE break-point angle (NHE-BPA), and muscle activity of the semitendinosus (STEMG) and biceps femoris (BFEMG) during the NHE after the interventions were compared. Although no group × time effects were observed (p = 0.09-0.70), but time effects were found for all variables. Pairwise comparisons revealed that MVICKF (+16.9%; p = 0.02), H/Q ratio (+11.8%; p = 0.01), NHE-MRFKF (+19.8%; p = 0.005), and NHE-BPA (+30.8%; p = 0.001) increased after ECC, whereas NHE-MRFKF (+9.7%; p = 0.003), NHE-BPA (+35.5%; p = 0.0002), and STEMG (+33.7%; p = 0.02) increased after NHT. A group × time effect was observed (p = 0.003) in BFEMG, revealing an increase only after ECC (+41.1%; p < 0.0001). Similar neuromuscular adaptations were found after both training modalities. Therefore, ECC provides similar adaptations as NHT and may serve as an alternative form of KF training for those unable to perform NHE.

Countermovement, Hurdle, and Box Jumps: Data-Driven Exercise Selection

Apart from squat jumps, countermovement jumps (CMJ), and drop jumps, differences among other jump variations are not as well researched, making data-driven exercise selection difficult. To address this gap, this study compared selected concentric and eccentric jump parameters of maximal effort CMJ, hurdle jumps over 50 cm hurdle (HJ), and box jumps onto a 50 cm box (BJ). Twenty recreationally trained men (25.2 ± 3.5 years) performed 3 repetitions of CMJs, HJs, and BJs, each on separate days. The data were collected using force platforms and a linear position transducer. The mean of 3 trials of each jump variation was analyzed using repeated measures ANOVA and Cohen's d. Countermovement depth was significantly greater (p ≤ 0.05) and peak horizontal force significantly lower during CMJ compared to HJ and BJ. However, there were no differences in peak velocity, peak vertical and resultant force, and total impulsion time. Finally, BJ significantly decreased peak impact force by ~51% compared to CMJ and HJ. Therefore, the propulsive parameters of HJ and BJ seem to be similar to CMJ, despite CMJ having a greater countermovement depth. Furthermore, overall training load can be decreased dramatically by using BJ, which reduced peak impact force by approximately half.

mHealth intervention delivered in general practice to increase physical activity and reduce sedentary behaviour of patients with prediabetes and type 2 diabetes (ENERGISED): rationale and study protocol for a pragmatic randomised controlled trial

BACKGROUND

The growing number of patients with type 2 diabetes and prediabetes is a major public health concern. Physical activity is a cornerstone of diabetes management and may prevent its onset in prediabetes patients. Despite this, many patients with (pre)diabetes remain physically inactive. Primary care physicians are well-situated to deliver interventions to increase their patients' physical activity levels. However, effective and sustainable physical activity interventions for (pre)diabetes patients that can be translated into routine primary care are lacking.

METHODS

We describe the rationale and protocol for a 12-month pragmatic, multicentre, randomised, controlled trial assessing the effectiveness of an mHealth intervention delivered in general practice to increase physical activity and reduce sedentary behaviour of patients with prediabetes and type 2 diabetes (ENERGISED). Twenty-one general practices will recruit 340 patients with (pre)diabetes during routine health check-ups. Patients allocated to the active control arm will receive a Fitbit activity tracker to self-monitor their daily steps and try to achieve the recommended step goal. Patients allocated to the intervention arm will additionally receive the mHealth intervention, including the delivery of several text messages per week, with some of them delivered just in time, based on data continuously collected by the Fitbit tracker. The trial consists of two phases, each lasting six months: the lead-in phase, when the mHealth intervention will be supported with human phone counselling, and the maintenance phase, when the intervention will be fully automated. The primary outcome, average ambulatory activity (steps/day) measured by a wrist-worn accelerometer, will be assessed at the end of the maintenance phase at 12 months.

DISCUSSION

The trial has several strengths, such as the choice of active control to isolate the net effect of the intervention beyond simple self-monitoring with an activity tracker, broad eligibility criteria allowing for the inclusion of patients without a smartphone, procedures to minimise selection bias, and involvement of a relatively large number of general practices. These design choices contribute to the trial's pragmatic character and ensure that the intervention, if effective, can be translated into routine primary care practice, allowing important public health benefits.

TRIAL REGISTRATION

ClinicalTrials.gov (NCT05351359, 28/04/2022).

Offset Loading in a Bilateral Squatting Movement Pattern Influences Ground-Reaction Force and Muscle Activity in the Dominant and Nondominant Limb

PURPOSE

The purpose of this study was to explore whether offset loading in the barbell squat altered ground-reaction force (GRF) and muscle activation in the dominant (D) and nondominant (ND) lower limb compared to traditional squats.

METHODS

Twelve well-trained men (age 26.4 [3.2] y; 10.3 [1.9] y experience) performed 3 sets of 10 repetitions at 60% of their previously measured 1-repetition maximum. Sets were quasi-randomized between traditional loading (TDL), dominant-side offset loading (OS-D), and nondominant-side offset loading (OS-ND). All repetitions were performed on a dual force plate with electromyography sensors on the prime mover muscles of the squat. GRF symmetry was assessed using the symmetry index (SI) to determine the direction (D [+] or ND [-]) and magnitude (%) of the asymmetry. Finally, the first 3 and final 3 repetitions of each set were compared for compensatory changes in symmetry.

RESULTS

OS-D induced a significant change in limb SI relative to TDL (5.21% vs 1.44%; P = .011); however, no significant difference in limb SI was seen between TDL and OS-ND (-0.66% vs 1.44%; P = .278). No asymmetries between D and ND muscle activation were present in any condition. TDL and OS-D squats exhibited significant improvements in limb SI between the first 3 and final 3 repetitions (P = .035 and .011, respectively); however, no such improvement was seen in OS-ND.

CONCLUSIONS

OS-D is capable of significantly altering GRF limb SI in a bilateral squat; however, OS-ND appears to exhibit no GRF or electromyography effects relative to TDL. Thus, the results of this study do not support the use of OS-ND in the pursuit of strengthening a weaker limb, suggesting that unilateral training may be a preferred mode of exercise for this desired outcome.

Relationship between the severity of persistent symptoms, physical fitness, and cardiopulmonary function in post-COVID-19 condition. A population-based analysis

The aim of this study was to determine the relationship between physical fitness, cardiopulmonary function and patient-reported severity of symptoms in people with post-COVID-19 condition. We examined ambulatory patients (n = 72) with post-COVID-19 condition who had a chronic symptomatic phase lasting > 12 weeks from the onset of symptoms, but had not been hospitalized for acute COVID-19. A comprehensive medical screening was conducted, including clinical history, symptomatology, comorbidities, body composition and physical activity levels. We then identified the relationship between physical fitness (cardiorespiratory fitness and muscular strength), cardiopulmonary function (echocardiographic and spirometry parameters) and patient-reported severity of symptoms (fatigue, dyspnea, health-related quality of life, anxiety, and depression). Age, body mass index, sex, number of comorbidities and duration of symptoms were included as potential confounders. Results showed that greater physical fitness and cardiopulmonary function were associated with lower severity of symptoms in people with post-COVID-19 condition. Cardiorespiratory fitness, lower-limb muscle strength, maximal voluntary ventilation and left ventricular ejection fraction account for reducing fatigue and dyspnea. Greater physical activity levels were associated with fewer symptoms and less-severe fatigue and dyspnea. In conclusion, preserving better cardiopulmonary health and physical condition during the course of the disease-even in mild cases-was related to a lower intensity of symptoms in non-hospitalized people with post-COVID-19 condition. It is probable that exercise and physical conditioning are valuable pre- and post-COVID-19 countermeasures that could help decrease the severity, not only of acute infection, but of post-COVID-19 persistent symptoms and prognosis.

Do physical activity interventions combining self-monitoring with other components provide an additional benefit compared with self-monitoring alone? A systematic review and meta-analysis

Objective

To determine the net effect of different physical activity intervention components on step counts in addition to self-monitoring.

Design

A systematic review with meta-analysis and meta-regression.

Data sources

Five databases (PubMed, Scopus, Web of Science, ProQuest and Discus) were searched from inception to May 2022. The database search was complemented with backward and forward citation searches and search of the references from relevant systematic reviews.

Eligibility criteria

Randomised controlled trials comparing an intervention using self-monitoring (active control arm) with an intervention comprising the same treatment PLUS any additional component (intervention arm).

Data extraction and synthesis

The effect measures were mean differences in daily step count. Meta-analyses were performed using random-effects models, and effect moderators were explored using univariate and multivariate meta-regression models.

Results

Eighty-five studies with 12 057 participants were identified, with 75 studies included in the meta-analysis at postintervention and 24 at follow-up. At postintervention, the mean difference between the intervention and active control arms was 926 steps/day (95% CI 651 to 1201). At a follow-up, the mean difference was 413 steps/day (95% CI 210 to 615). Interventions with a prescribed goal and involving human counselling, particularly via phone/video calls, were associated with a greater mean difference in the daily step count than interventions with added print materials, websites, smartphone apps or incentives.

Conclusion

Physical activity interventions that combine self-monitoring with other components provide an additional modest yet sustained increase in step count compared with self-monitoring alone. Some forms of counselling, particularly remote phone/video counselling, outperformed other intervention components, such as websites and smartphone apps.

PROSPERO registered number

CRD42020199482.

Calanus Oil Supplementation Does Not Further Improve Short-Term Memory or Brain-Derived Neurotrophic Factor in Older Women Who Underwent Exercise Training

Purpose

In our study, we examined changes in short-term episodic memory and brain-derived neurotrophic factor (BDNF) in women after an exercise program alone or in combination with omega-3 polyunsaturated fatty acid (n-3 PUFA) supplementation.

Patients and Methods

Fifty-five healthy elderly women (65–80 years) were randomly split into two groups: in the first group were women attending an exercise program while taking wax esters-rich oil (Calanus) supplementation (n = 28) and in the other group were women undergoing the same exercise program while taking placebo (n = 27). The 16-week exercise program consisted of functional circuit training (twice a week) and Nordic walking lessons (once a week). Short-term episodic memory was evaluated by the Czech screening Test “Pojmenování OBrázků A jejich Vybavení” (POBAV) baseline and after the program lasting 16 weeks.

Results

Our results show that short-term memory significantly improved following the exercise program, but there was no added value in using n-3 PUFA supplements. BDNF values did not differ between baseline and follow-up in either group. However, there was a statistically significant positive relationship between relative change (%) in the POBAV test and VO₂peak in the placebo group (r = 0.49).

Conclusion

Despite the added value of n-3 PUFA supplementation not being proven, our results may strengthen the importance of physical activity in averting age-related memory decline and dementia.

Velocity-Based Resistance Training Monitoring: Influence of Lifting Straps, Reference Repetitions, and Variable Selection in Resistance-Trained Men

BACKGROUND

Using lifting straps during pulling exercises (such as deadlift) may increase absolute velocity performance. However, it remains unclear whether lifting straps could also reduce the degree of relative fatigue measured by velocity decline and maintenance in a training set.

HYPOTHESIS

There will be less mean velocity decline (MVD) and greater mean velocity maintenance (MVM) for deadlifts performed with (DLw) compared with without (DLn) lifting straps, and an underestimation of MVD and MVM when using the first compared with the fastest repetition as a reference repetition.

STUDY DESIGN

Randomized cross over design.

LEVEL OF EVIDENCE

Level 3.

METHODS

A total of 16 resistance-trained men performed a familiarization session, 2 1-repetition maximum [1RM] sessions (1 with and 1 without lifting straps), and 3 randomly applied experimental sessions consisting of 4 sets of 4 repetitions: (1) DLw against the 80% of DLn 1RM (DLwn), (2) DLn against the 80% of the DLn 1RM (DLnn), and (3) DLw against the 80% of the DLw 1RM (DLww). MVD and MVM were calculated using the first and the fastest repetition as the reference repetition.

RESULTS

MVD was significantly lower during DLwn and DLnn compared with DLww (P < 0.01), whereas MVM was greater during DLwn and DLnn compared with DLwn (P < 0.01) with no differences between DLwn and DLnn for both MVD and MVM (P > 0.05). The second repetition of the set was generally the fastest (54.1%) and lower MVD and higher MVM were observed when the first repetition was used as the reference repetition (P < 0.05).

CONCLUSIONS

Lifting straps were not effective at reducing MVD and increasing MVM when the same absolute loads were lifted. Furthermore, using the first repetition as the reference repetition underestimated MVD, and overestimated MVM.

CLINICAL RELEVANCE

The fastest repetition should be used as the reference repetition to avoid inducing excessive fatigue when the first repetition is not the fastest.

Validity of Load-Velocity Relationship to Predict 1 Repetition Maximum During Deadlifts Performed With and Without Lifting Straps: The Accuracy of Six Prediction Models

ABSTRACT

Jukic, I, García-Ramos, A, Malecek, J, Omcirk, D, and Tufano, JJ. Validity of load-velocity relationship to predict 1 repetition maximum during deadlifts performed with and without lifting straps: The accuracy of six prediction models. J Strength Cond Res 36(4): 902-910, 2022-This study aimed to compare the accuracy of six 1 repetition maximum (1RM) prediction models during deadlifts performed with (DLw) and without (DLn) lifting straps. In a counterbalanced order, 18 resistance-trained men performed 2 sessions that consisted of an incremental loading test (20-40-60-80-90% of 1RM) followed by 1RM attempts during the DLn (1RM = 162.0 ± 26.9 kg) and DLw (1RM = 179.0 ± 29.9 kg). Predicted 1RMs were calculated by entering both group and individualized mean concentric velocity of the 1RM (V1RM) into an individualized linear and polynomial regression equations, which were derived from the load-velocity relationship of 5 ([20-40-60-80-90% of 1RM], i.e., multiple-point method) or 2 ([40 and 90% of 1RM] i.e., 2-point method) incremental warm-up sets. The predicted 1RMs were deemed highly valid if the following criteria were met: trivial to small effect size, practically perfect r, and low absolute errors (<5 kg). The main findings revealed that although prediction models were more accurate during the DLn than DLw, none of the models provided an accurate estimation of the 1RM during both DLn (r = 0.92-0.98; absolute errors: 6.6-8.1 kg) and DLw (r = 0.80-0.93; absolute errors: 12.4-16.3 kg) according to our criteria. Therefore, these results suggest that the 1RM for both DLn and DLw should not be estimated through the recording of movement velocity if sport professionals are not willing to accept more than 5 kg of absolute errors.

Gait changes following robot-assisted gait training in children with cerebral palsy

This study investigated changes of gait pattern induced by a 4-week robot-assisted gait training (RAGT) in twelve ambulatory spastic diparesis children with cerebral palsy (CP) aged 10.4+/-3.2 years old by using computerized gait analysis (CGA). Pre-post intervention CGA data of children with CP was contrasted to the normative data of typically developing children by using cross-correlation and statistically evaluated by a Wilcoxon test. Significant pre-post intervention changes (p<0.01) include: decreased muscle activity of biceps femoris, rectus femoris, and tibialis anterior; a decrease in range of internal hip joint rotation, higher cadence, step length, and increased stride time. This study suggests that RAGT can be used in muscle reeducation and improved hip joint motion range in ambulatory children with CP.

Reactive strength index-modified: reliability, between group comparison, and relationship between its associated variables

To investigate and compare the reliability of reactive strength index-modified (RSImod) and its associated variables (jump height [JH] and [time to take-off]) 20 combat fighters and 18 physically active men participated in this study. They visited the laboratory three times; firstly, for jump familiarization and two sessions for test-retest (2-7 days apart). For both groups, the between-day changes in performance were trivial to small (≤ 1.1%). The coefficient of variation (CV) comparisons (i.e. CV ratio) demonstrated that combat athletes had a lower test-retest variation for RSImod (0.87) and JH (0.80) than non-athletes. Combat athletes demonstrated a greater JH than physically active men (0.43 vs 0.37; p = 0.03, g = 0.73), but small and non-significant differences were observed for RSImod (0.60 vs 0.55; p = 0.24, g = 0.38) and TTT (0.70 vs 0.72; p = 0.32, g = 0.33). RSImod was more positively correlated with JH (r = 0.75-0.87; p < 0.001) than negatively correlated with TTT (r = 0.45-0.54; p < 0.001). This study suggests that RSImod is a reliable variable obtained during CMJ testing in combat athletes and physically active men, with scores being slightly better for combat athletes. In terms of performance, combat athletes jumped higher than physically active men, but no differences in RSImod or TTT were observed. Lastly, RSImod was more strongly related to JH than TTT, and this was more evident in athletes than nonathletes. This indicates that the combat athletes were able to better utilize their (equal) time spent jumping (higher), possibly via greater utilization of the stretch shortening cycle, faster or more optimal motor unit recruitment, or an array of other factors.

Effect of Robot-Assisted Gait Training on Selective Voluntary Motor Control in Ambulatory Children with Cerebral Palsy

This pilot study investigated the efficacy of a four week robot-assisted gait training in twelve children with spastic diparesis. Short-term results and a 3-month follow-up showed statistically significantly increased selective motor control, walking farther distances, gross motor score, and decreased joint contractures.

Validity and Test-retest Reliability of the Jumpo App for Jump Performance Measurement

The vertical jump test is one of the simplest and most prevalent physical tests used in practice and research. This study investigated the validity and reliability of a new mobile application (Jumpo) for measuring jump performance on Android devices. University-aged students (n = 10; 20 ± 3 years; 176 ± 6 cm; 68 ± 9 kg) reported to the laboratory on three occasions (2-7 days apart): to be familiarized with the jump performance measurements and then for test-retest reliability assessments. Participants performed countermovement jumps (CMJ), squat jumps (SJ), and right and left single-legged jumps in random order on a force platform while being recorded by a smartphone's slow-motion camera. Flight time was selected as the criterion variable. Strong positive correlations between the Jumpo and force platform were observed for each jump type tested (r ≥ 0.93), although the flight times obtained with the Jumpo App were systematically shorter than those provided by the force platform by 3-6% (p < 0.001). The Jumpo App demonstrated a high test-retest reliability (ICC ≥ 0.94, CV ≤ 3.7%) with no differences between the coefficients of variation obtained from the Jumpo App and force platform (p ≥ 0.25). With respect to jump type, data from double-legged jumps (CMJ and SJ) were more accurately measured than data from single-legged jumps. The Jumpo App provides a valid and reliable measurement of jump performance, but the following equation should be used to calibrate its flight time results, allowing comparisons to be made to force platform data: Force platform_{flight time} = 0.948 × Jumpo_{flight time} + 41.515. Future studies should cross-validate the calibration equation in a different sample of individuals.

Prediction of One Repetition Maximum Using Reference Minimum Velocity Threshold Values in Young and Middle-Aged Resistance-Trained Males

Background: This study determined the accuracy of different velocity-based methods when predicting one-repetition maximum (1RM) in young and middle-aged resistance-trained males. Methods: Two days after maximal strength testing, 20 young (age 21.0 ± 1.6 years) and 20 middle-aged (age 42.6 ± 6.7 years) resistance-trained males completed three repetitions of bench press, back squat, and bent-over-row at loads corresponding to 20–80% 1RM. Using reference minimum velocity threshold (MVT) values, the 1RM was estimated from the load-velocity relationships through multiple (20, 30, 40, 50, 60, 70, and 80% 1RM), two-point (20 and 80% 1RM), high-load (60 and 80% 1RM) and low-load (20 and 40% 1RM) methods for each group. Results: Despite most prediction methods demonstrating acceptable correlations (r = 0.55 to 0.96), the absolute errors for young and middle-aged groups were generally moderate to high for bench press (absolute errors = 8.2 to 14.2% and 8.6 to 20.4%, respectively) and bent-over-row (absolute error = 14.9 to 19.9% and 8.6 to 18.2%, respectively). For squats, the absolute errors were lower in the young group (5.7 to 13.4%) than the middle-aged group (13.2 to 17.0%) but still unacceptable. Conclusion: These findings suggest that reference MVTs cannot accurately predict the 1RM in these populations. Therefore, practitioners need to directly assess 1RM.

Potentiating Effects of Accentuated Eccentric Loading Are Dependent Upon Relative Strength

ABSTRACT

Merrigan, JJ, Tufano, JJ, and Jones, MT. Potentiating effects of accentuated eccentric loading are dependent upon relative strength. J Strength Cond Res 35(5): 1208-1216, 2021-The purpose was to evaluate the acute effects of accentuated eccentric loading (AEL) on bench press velocity and subsequent perceived effort (ratings of perceived exertion [RPE]) and soreness. Resistance-trained men (n = 8) and women (n = 2) completed 4 sets of 5 bench press repetitions with AEL and traditional loading (TL) using concentric loads of 50% (AEL50, TL50) and 65% (AEL65, TL65) 1-repetition maximum (1RM). Throughout each TL set, the eccentric load remained identical to the concentric. Variable resistance during the first repetition of AEL equaled 120% 1RM. Hierarchical Linear Modeling was used to evaluate differences between AEL and TL (p < 0.05). For the first repetition, AEL50 and AEL65 resulted in slower eccentric and concentric velocities. The increasing slope of eccentric and concentric velocity across repetitions was greater during AEL50 and AEL65 compared with TL50 and TL65, respectively (p < 0.05). As an individual's strength increased, AEL50 resulted in slower eccentric velocity and faster concentric velocity than TL50. The AEL65 resulted in faster concentric velocity than TL65 (p < 0.05). Mean protocol comparisons revealed trivial to small effects between AEL and TL. There were no differences in RPE or soreness between protocols with soreness ratings remaining unchanged from baseline (1.80 ± 0.20 AU; p < 0.05). Overall, AEL was not effective for increasing concentric velocity during the bench press with current loading protocols. Yet, stronger individuals may exhibit increases in concentric velocity from AEL, which may be a result of different pacing strategies employed during the eccentric phase. Furthermore, when using the current AEL protocols, eccentric intensities were increased with no greater RPE or soreness.

The effects of different doses of caffeine on maximal strength and strength-endurance in women habituated to caffeine

Purpose

The main goal of this study was to assess the acute effects of 3 and 6 mg of caffeine intake per kg of body mass (b.m.) on maximal strength and strength-endurance in women habituated to caffeine.

Methods

Twenty-one healthy resistance-trained female students (23.0 ± 0.9 years, body mass: 59.0 ± 6.6 kg), with a daily caffeine intake of 5.8 ± 2.6 mg/kg/b.m. participated in a randomized, crossover, double-blind design. Each participant performed three experimental sessions after ingesting either a placebo (PLAC) or 3 mg/kg/b.m. (CAF-3) and 6 mg/kg/b.m. (CAF-6) of caffeine. In each experimental session, the participants underwent a 1RM test and a strength-endurance test at 50 %1RM in the bench press exercise. Maximal load was measured in the 1RM test and the time under tension, number of preformed repetitions, power output and bar velocity were registered in the strength-endurance test.

Results

The one-way ANOVA showed a main effect of caffeine on 1RM bench press performance (F = 14.74; p < 0.01). In comparison to the PLAC (40.48 ± 9.21 kg), CAF-3 (41.68 ± 8.98 kg; p = 0.01) and CAF-6 (42.98 ± 8.79 kg; p < 0.01) increased 1RM bench press test results. There was also a significant increase in 1RM for CAF-6 when compared to CAF-3 (p < 0.01). There was a main effect of caffeine on time under tension during the strength-endurance test (F = 13.09; p < 0.01). In comparison to the PLAC (53.52 ± 11.44 s), CAF-6 (61.76 ± 15.39 s; p < 0.01) significantly increased the time under tension during the maximal strength-endurance test.

Conclusion

An acute dose of 3-to-6 mg/kg/b.m. of caffeine improves maximum strength. However, these doses of caffeine had minimal ergogenic effect on strength-endurance performance in women habituated to caffeine.

Morning fatigue and structured exercise interact to affect non-exercise physical activity of fit and healthy older adults

Background

Exercise training is crucial for maintaining physical and mental health in aging populations. However, as people participate in structured exercise training, they tend to behaviorally compensate by decreasing their non-exercise physical activity, thus potentially blunting the benefits of the training program. Furthermore, physical activity of older adults is substantially influenced by physical feelings such as fatigue. Nevertheless, how older people react to day-to-day fluctuations of fatigue and whether fatigue plays a role in non-exercise physical activity compensation is not known. Thus, the purpose of this study was twofold: (1) To explore whether the volume and intensity of habitual physical activity in older adults were affected by morning fatigue. (2) To investigate the effect of attending power and resistance exercise sessions on the levels of non-exercise physical activity later that day and the following day.

Methods

Twenty-eight older adults wore an accelerometer during a 4-week low-volume, low-intensity resistance and power training program with three exercise sessions per week and for 3 weeks preceding and 1 week following the program. During the same period, the participants were prompted every morning, using text messages, to rate their momentary fatigue on a scale from 0 to 10.

Results

Greater morning fatigue was associated with lower volume (p = 0.002) and intensity (p = 0.017) of daily physical activity. Specifically, one point greater on the fatigue scale was associated with 3.2 min (SE 1.0) less moderate-to-vigorous physical activity. Furthermore, attending an exercise session was associated with less moderate-to-vigorous physical activity later that day by 3.7 min (SE 1.9, p = 0.049) compared to days without an exercise session. During the next day, the volume of physical activity was greater, but only in participants with a body mass index up to 23 (p = 0.008).

Conclusions

Following low-volume exercise sessions, fit and healthy older adults decreased their non-exercise physical activity later that day, but this compensation did not carry over into the next day. As momentary morning fatigue negatively affects daily physical activity, we suggest that the state level of fatigue should be monitored during intensive exercise programs, especially in less fit older adults with increased fatigability.

The Effects of Set Structure Manipulation on Chronic Adaptations to Resistance Training: A Systematic Review and Meta-Analysis

BACKGROUND

The acute effects of resistance training (RT) set structure alteration are well established; however, less is known about their effects on chronic training adaptations.

OBJECTIVE

The aim of this systematic review and meta-analysis was to synthesise the available evidence on the effectiveness of traditional (TS), cluster (CS) and rest redistribution (RR) set structures in promoting chronic RT adaptations, and provide an overview of the factors which might differentially influence the magnitude of specific training adaptations between set structure types.

METHODS

This review was performed using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines encompassing the literature search of five databases. Studies in English that compared muscular strength, endurance, and/or hypertrophy adaptations, as well as vertical jump performance, velocity and power at submaximal loads and shifts in the slopes of force-velocity profiles between TS and CS or RR set structures (i.e., alternative set structures) were included. Risk of bias assessment was performed using a modified Cochrane Collaboration's tool for assessing risk of bias in randomised trials. Random-effects meta-analyses and meta-regressions were performed where possible.

RESULTS

17 studies met the inclusion criteria, none had more than one risk of bias item assessed as high risk. Pooled results revealed that none of the set structures were more effective at inducing strength (standardised mean difference (SMD) = - 0.06) or hypertrophy (SMD = - 0.03). TS were more effective at improving muscular endurance compared to alternative set structures (SMD = - 0.38), whereas alternative set structures tended to be more effective for vertical jump performance gains (SMD = 0.13), but this effect was not statistically significant (p = 0.190). Greater velocity and power outputs at submaximal loads (SMD = 0.18) were observed when using alternative set structures compared to TS. In addition, alternative set structures promoted greater shifts of the slope of force-velocity profiles towards more velocity dominant profiles compared to TS (SMD = 0.28). Sub-group analyses controlling for each alternative set structure independently showed mixed results likely caused by the relatively small number of studies available for some outcomes.

CONCLUSION

Modifying TS to an alternative set structure (CS or RR) has a negligible impact on strength and hypertrophy. Using CS and RR can lead to greater vertical jump performance, velocity and power at submaximal loads and shifts to more velocity dominant force-velocity profiles compared to training using TS. However, TS may provide more favourable effects on muscle endurance when compared to CS and RR. These findings demonstrate that altering TS to alternative set structures may influence the magnitude of specific muscular adaptations indicating set structure manipulation is an important consideration for RT program design.

PROTOCOL REGISTRATION

The original protocol was prospectively registered (CRD42019138954) with the PROSPERO (International Prospective Register of Systematic Reviews).

The Influence of Movement Tempo on Acute Neuromuscular, Hormonal, and Mechanical Responses to Resistance Exercise-A Mini Review

Wilk, M, Tufano, JJ, and Zajac, A. The influence of movement tempo on acute neuromuscular, hormonal, and mechanical responses to resistance exercise-a mini review. J Strength Cond Res 34(8): 2369-2383, 2020-Resistance training studies mainly analyze variables such as the type and order of exercise, intensity, number of sets, number of repetitions, and duration and frequency of rest periods. However, one variable that is often overlooked in resistance training research, as well as in practice, is premeditated movement tempo, which can influence a myriad of mechanical and physiological factors associated with training and adaptation. Specifically, this article provides an overview of the available scientific literature and describes how slower tempos negatively affect the 1-repetition maximum, the possible load to be used, and the number of repetitions performed with a given load, while also increasing the total time under tension, which can mediate acute cardiovascular and hormonal responses. As a result, coaches should consider testing maximal strength and the maximal number of repetitions that can be performed with each movement tempo that is to be used during training. Otherwise, programming resistance training using various movement tempos is more of a trial-and-error approach, rather than being evidence or practice based. Furthermore, practical applications are provided to show how movement tempo can be adjusted for a variety of case study-type scenarios.

Traditional 3- to 5-Minute Interset Rest Periods May Not Be Necessary When Performing Fewer Repetitions Per Set: Using Clean Pulls as an Example

Jukic, I and Tufano, JJ. Traditional 3- to 5-minute interset rest periods may not be necessary when performing fewer repetitions per set: Using clean pulls as an example. J Strength Cond Res XX(X): 000-000, 2020-Three to 5 minutes of interset rest is often recommended for power-based exercises, but those recommendations are largely based on performing many repetitions per set, which can induce fatigue and require such lengthy rest periods. If the number of repetitions per set is reduced before fatigue ensues, interset rest periods may also be reduced without sacrificing performance. Therefore, the purpose of this study was to investigate the effects of this notion on barbell velocity and power output over multiple sets of clean pulls using different loads in strength-trained men. Fifteen strength-trained men performed 3 extended sets of 6 clean pulls using 80% (EXT80), 100% (EXT100), and 120% (EXT120) of power clean 1 repetition maximum with 180 seconds of interset rest and 9 short sets of 2 using 80% (SHT80), 100% (SHT100), and 120% (SHT120) with 45 seconds of interset rest. Peak velocity was greater during short set protocol than extended set protocol (80%: 1.74 ± 0.16 vs. 1.68 ± 0.15 m/s; 100%: 1.47 ± 0.15 vs. 1.41 ± 0.12 m/s; 120%: 1.21 ± 0.13 vs. 1.16 ± 0.15 m/s; p < 0.05). Furthermore, peak power was greater during SHT100 (1874.6 ± 267.5 vs. 1732.3 ± 250.4 W; p < 0.05) and SHT120 (1777.8 ± 226.1 vs. 1,650.4 ± 249.1 W; p < 0.05) than EXT100 and EXT120, respectively. Therefore, reducing the number of repetitions per set may allow for interset rest periods to also be reduced while better maintaining performance. However, the extent to which rest periods can be shortened warrants further investigation as total rest time was equal in this study.

The Use of Lifting Straps Alters the Entire Load-Velocity Profile During the Deadlift Exercise

Jukic, I, García-Ramos, A, Malecek, J, Omcirk, D, and Tufano, JJ. The use of lifting straps alters the entire load-velocity profile during the deadlift exercise. J Strength Cond Res 34(12): 3331-3337, 2020-This study aimed to compare the one repetition maximum (1RM) and load-velocity (LV) profile between deadlifts performed with (DLw) and without (DLn) lifting straps. The full individual LV relationship of 20 men (age: 24.3 ± 2.4 years; body height: 180.6 ± 6.9 cm; body mass: 85.8 ± 8.0 kg) was randomly evaluated during 2 separate sessions for the DLw and DLn via an incremental loading test. One repetition maximum was greater (p < 0.001; g = 0.56, 95% confidence interval = [0.32, 0.79]) for DLw (177.0 ± 28.9 kg) compared with DLn (160.6 ± 26.0 kg). A highly linear relationship between mean velocity (MV) and %1RM was observed for both conditions (R > 0.95; SEE < 6.18 %1RM for pooled data and R > 0.98; SEE < 3.6 %1RM for individual data). However, MV associated with each %1RM was greater for DLn, and these differences were accentuated as the loading magnitude increased (g = 0.30-1.18). One repetition maximum was strongly associated between both conditions (r = 0.875 [0.71, 0.95]), whereas MV at 1RM (r = 0.21 [-0.25, 0.60]) was unrelated between conditions. The slope of the LV profiles (r = 0.845 [0.64, 0.94]) was correlated, but differed (g = 0.41 [0.16, 0.66]) between DLw and DLn, whereas the mean test velocity of all loads was unrelated (r = 0.270 [-0.20, 0.64]). An individual LV profile should be created for each athlete in the same condition that are going to be used in training to obtain a more precise estimation of the submaximal relative loads.

Impact of Rest-Redistribution on Fatigue During Maximal Eccentric Knee Extensions

Redistributing long inter-set rest intervals into shorter but more frequent rest intervals generally maintains concentric performance, possibly due to improved energy store maintenance. However, eccentric actions require less energy than concentric actions, meaning that shorter but more frequent sets may not affect eccentric actions to the same degree as concentric actions. Considering the increased popularity of eccentric exercise, the current study evaluated the effects of redistributing long inter-set rest periods into shorter but more frequent rest periods during eccentric only knee extensions. Eleven resistance-trained men performed 40 isokinetic unilateral knee extensions at 60°·s-1 with 285 s of total rest using traditional sets (TS; 4 sets of 10 with 95 s inter-set rest) and rest-redistribution (RR; 20 sets of 2 with 15 s inter-set rest). Before and during exercise, muscle oxygenation was measured via near-infrared spectroscopy, and rating of perceived exertion (RPE) was recorded after every 10th repetition. There were no differences between protocols for peak torque (RR, 241.58±47.20 N; TS, 231.64±48.87 N; p=0.396) or total work (RR, 215.26±41.47 J; TS, 209.71±36.02 J; p=0.601), but moderate to large effect sizes existed in later repetitions (6,8,10) with greater peak torque during RR (d=0.66-1.19). For the entire session, RR had moderate effects on RPE (RR, 5.73±1.42; TS, 6.09±1.30; p=0.307; d=0.53) and large effects on oxygen saturation (RR, 5857.4±310.0; TS, 6495.8±273.8; p=0.002, d=2.13). Therefore, RR may maintain peak torque or total work during eccentric exercise, improve oxygen utilization at the muscle, and reduce the perceived effort.

Assisted Jumping in Healthy Older Adults: Optimizing High-Velocity Training Prescription

Tufano, JJ, Vetrovsky, T, Stastny, P, Steffl, M, Malecek, J, and Omcirk, D. Assisted jumping in healthy older adults: optimizing high-velocity training prescription. J Strength Cond Res XX(X): 000-000, 2020-Because older adults benefit from power training, training strategies for athletes such as supramaximal velocity-assisted jumping could also be useful for older adults. However, optimizing-assisted exercise prescription in older adults remains uninvestigated. Therefore, the purpose of this study was to determine the effects of different bodyweight (BW) assistance levels on jumping force and velocity in healthy older adults. Twenty-three healthy older adults (67.6 ± 7.6 years, 167.0 ± 8.8 cm, 72.7 ± 14.3 kg, and 27.1 ± 6.9% body fat) performed 5 individual countermovement jumps at BW, 90, 80, 70, and 60% of BW. Jumps were performed on a force plate, which provided peak take-off force (TOF), flight time, and peak impact force. A linear position transducer measured peak concentric velocity (PV). The rating of perceived exertion (RPE) was also assessed after each condition. Take-off force was greater during BW than all other conditions, 90 and 80% were greater than 70 and 60%, but there were no differences between 80 and 90% or between 70 and 60%. The FT progressively increased at all assistance levels, and PV was faster for all assistance levels than BW, with no differences between assistance levels. Impact force was greater during BW than 80, 70, and 60% and was greater during 90% than 60%. The RPE was less than BW during all assistance conditions but was the least during 70%. Implementing assisted jumping between 70 and 80% of BW in older adults likely provides the ideal combination of force, velocity, and RPE.

Advances in accelerometry for cardiovascular patients: a systematic review with practical recommendations

Aims

Accelerometers are becoming increasingly commonplace for assessing physical activity; however, their use in patients with cardiovascular diseases is relatively substandard. We aimed to systematically review the methods used for collecting and processing accelerometer data in cardiology, using the example of heart failure, and to provide practical recommendations on how to improve objective physical activity assessment in patients with cardiovascular diseases by using accelerometers.

Methods and results

Four electronic databases were searched up to September 2019 for observational, interventional, and validation studies using accelerometers to assess physical activity in patients with heart failure. Study and population characteristics, details of accelerometry data collection and processing, and description of physical activity metrics were extracted from the eligible studies and synthesized. To assess the quality and completeness of accelerometer reporting, the studies were scored using 12 items on data collection and processing, such as the placement of accelerometer, days of data collected, and criteria for non‐wear of the accelerometer. In 60 eligible studies with 3500 patients (of those, 536 were heart failure with preserved ejection fraction patients), a wide variety of accelerometer brands (n = 27) and models (n = 46) were used, with Actigraph being the most frequent (n = 12), followed by Fitbit (n = 5). The accelerometer was usually worn on the hip (n = 32), and the most prevalent wear period was 7 days (n = 22). The median wear time required for a valid day was 600 min, and between two and five valid days was required for a patient to be included in the analysis. The most common measures of physical activity were steps (n = 20), activity counts (n = 15), and time spent in moderate‐to‐vigorous physical activity (n = 14). Only three studies validated accelerometers in a heart failure population, showing that their accuracy deteriorates at slower speeds. Studies failed to report between one and six (median 4) of the 12 scored items, with non‐wear time criteria and valid day definition being the most underreported items.

Conclusions

The use of accelerometers in cardiology lacks consistency and reporting on data collection, and processing methods need to be improved. Furthermore, calculating metrics based on raw acceleration and machine learning techniques is lacking, opening the opportunity for future exploration. Therefore, we encourage researchers and clinicians to improve the quality and transparency of data collection and processing by following our proposed practical recommendations for using accelerometers in patients with cardiovascular diseases, which are outlined in the article.

Rest Redistribution Does Not Alter Hormone Responses in Resistance-Trained Women

Merrigan, JJ, Tufano, JJ, Fields, JB, Oliver, JM, and Jones, MT. Rest redistribution does not alter hormone responses in resistance-trained women. J Strength Cond Res 34(7): 1867-1874, 2020-The purpose was to examine acute effects of rest redistribution (RR) on perceptual, metabolic, and hormonal responses during back squats. Twelve resistance-trained women (training age 5 ± 2 years; one repetition maximum [1-RM] per body mass, 1.6 ± 0.2) performed traditional (TS, 4 sets of 10 repetitions with 120 seconds interset rest) and RR sets (4 sets of two 5 repetition clusters with 30-second intraset rest and 90-second interset rest) in counterbalanced order, separated by 72 hours. Both conditions were performed at 70% 1RM with 360 seconds of total rest. Ratings of perceived exertion (RPE) were taken after each set. Blood was sampled at baseline, after each set, and at 5, 15, 30, and 60 minutes, as well as 24 and 48 hours after training. Alpha level was p ≤ 0.05. The RPE progressively increased throughout both conditions (p = 0.002) with a greater overall mean for TS (5.81 ± 0.14) than RR (4.71 ± 0.14; p = 0.003). Lactate increased above baseline and remained elevated through 15 minutes post in both conditions (4.00 ± 0.76; p = 0.001), with greater lactate levels for TS (6.33 ± 0.47) than RR (4.71 ± 0.53; p < 0.001). Total testosterone was elevated after set 2 (0.125 ± 0.02; p = 0.011), but no other time point, while free testosterone remained unchanged. Growth hormone continually rose from baseline to set 3 and returned to baseline by 60 minutes post (20.58 ± 3.19). Cortisol and creatine kinase did not change over time. No condition × time interactions existed for any hormone (p > 0.05). Use of rest redistribution resulted in lower perceived effort and lactate responses. Yet, hormone responses during rest redistribution were no different from TS.

Effect of different interset rest intervals on mean velocity during the squat and bench press exercises

This study aimed to compare the effect of three interset rest intervals (1, 3, and 5 minutes) on (I) mean velocity during a resistance training session conducted in a Smith machine with the squat and bench press exercises, and (II) the pre- and post-exercise force-velocity relationship. Fifteen male university students completed three sessions (i.e., Rest 1', Rest 3', and Rest 5') consisting of three sets of five repetitions against the 10RM load during the squat and bench press exercises. The force-velocity relationship (maximal values of force [F₀], velocity [v₀], and power [P_max]) was evaluated at the beginning and at the end of each session with the countermovement jump and bench press throw exercises. During training, mean velocity was slower in sets 2 and 3 of the Rest 1' protocol compared to Rest 3' and Rest 5', but no significant differences were present between Rest 3' and Rest 5'. After training, there was a significant decrease in F₀ (p = 0.017) and P_max (p = 0.010), but not in v₀ (p = 0.259). These results support the Rest 3' as the most time-efficient protocol, among those analysed, for the maintenance of high mean velocities during training sessions not leading to failure.

Comparable endocrine and neuromuscular adaptations to variable vs. constant gravity-dependent resistance training among young women

Background

Variable resistance has been shown to induce greater total work and muscle activation when compared to constant resistance. However, little is known regarding the effects of chronic exposure to variable resistance training in comparison with constant resistance training. The aim of the present study was therefore to examine the effects of chain-loaded variable and constant gravity-dependent resistance training on resting hormonal and neuromuscular adaptations.

Methods

Young women were randomly assigned to variable resistance training (VRT; n = 12; age, 23.75 ± 3.64 years; and BMI, 26.80 ± 4.21 kg m⁻²), constant resistance training (CRT; n = 12; age, 23.58 ± 3.84 years; BMI, 25.25 ± 3.84 kg m⁻²), or control (Con; n = 12; age, 23.50 ± 2.93 years; BMI, 27.12 ± 12 kg m⁻²) groups. CRT performed 8-week total-body free-weight training three times per week with moderate-to-high intensity (65–80% 1RM; periodized). VRT was the same as CRT but included variable resistance via chains (15% of total load). Resting serum samples were taken before and after the 8-week intervention for GH, IGF-1, cortisol, myostatin, and follistatin analyses.

Results

Both VRT and CRT groups displayed moderate-to-large significant increases in GH (197.1%; ES = 0.78 vs. 229.9%; ES = 1.55), IGF-1 (82.3%; ES = 1.87 vs. 66%; ES = 1.66), and follistatin (58.8%; ES = 0.80 vs. 49.15%; ES = 0.80) and decreases in cortisol (− 19.9%; ES = − 1.34 vs. − 17.1%; ES = − 1.05) and myostatin (− 26.9%; ES = − 0.78 vs. − 23.2%; ES = − 0.82). Also, VRT and CRT resulted in large significant increases in bench press (30.54%; ES = 1.45 vs. 25.08%; ES = 1.12) and squat (30.63%; ES = 1.28 vs. 24.81%; ES = 1.21) strength, with no differences between groups.

Conclusions

Implementing chain-loaded VRT into a periodized resistance training program can be an effective alternative to constant loading during free-weight RT among untrained young women.

Effect of Robot-Assisted Gait Training on Selective Voluntary Motor Control in Ambulatory Children with Cerebral Palsy

This pilot study investigated the efficacy of a four week robot-assisted gait training in twelve childrenwith spastic diparesis. Short-term results and a 3-month follow-up showed statistically significantly increased selective motor control, walking farther distances, gross motor score, and decreased joint contractures.

Acute effects of shorter but more frequent rest periods on mechanical and perceptual fatigue during a weightlifting derivative at different loads in strength-trained men

Traditional sets can be fatiguing, but redistributing rest periods to be shorter and more frequent may help maintain peak vertical barbell displacement (DISP) and reduce concentric repetition duration (CRDI), peak velocity decline (PVD) and perceptual exertion (RPE) across multiple repetitions, sets and loads during clean pulls. Fifteen strength-trained men performed: 3 traditional sets of 6 clean pulls using 80% (TS80), 100% (TS100) and 120% (TS120) of power clean 1RM with 180 seconds of inter-set rest; and 3 'rest redistribution' protocols of 9 sets of 2 clean pulls using 80% (RR80), 100% (RR100) and 120% (RR120) of power clean 1RM with 45 seconds of inter-set rest. DISP was greater during RR100 (g = 0.39) and RR120 (g = 0.56) compared to TS100 and TS120, respectively. In addition, PVD was less during RR120 than TS120 (g = 1.18), while CRDI was greater during TS100 (g = 0.98) and TS120 (g = 0.89) compared to RR100 and RR120, respectively. Also, RR protocols resulted in lower RPE across the sets at all loads (g = 1.11-1.24). Therefore, RR generally resulted in lower perceptual and mechanical fatigue, evidenced by lower RPE, PVD, CRDI and greater DISP than TS, and these differences became even more exaggerated as the barbell load and the number of sets performed increased.

Magnitude and Reliability of Velocity and Power Variables During Deadlifts Performed With and Without Lifting Straps

Jukic, I, García-Ramos, A, Malecek, J, Omcirk, D, and Tufano, JJ. Magnitude and reliability of velocity and power variables during deadlifts performed with and without lifting straps. J Strength Cond Res XX(X): 000-000, 2020-This study aimed to compare the magnitude and reliability of mean velocity (MV), peak velocity (PV), mean power (MP), and peak power (PP) between deadlifts performed with (DLw) and without (DLn) lifting straps. Sixteen resistance-trained men performed a DLn 1-repetition maximum (1RM) session followed by 4 experimental sessions (2 with each deadlift variant in a randomized order). Each experimental session comprised lifts at 20, 40, 60, and 80% of the DLn 1RM. No significant differences were found between DLw and DLn for MV, MP, PV, and PP at any load (p = 0.309-1.00; g = 0.00-0.19). All mechanical variables showed an acceptable reliability for both deadlift conditions at each relative load (coefficient of variation [CV] <8%; intraclass correlation coefficient [ICC] > 0.70; g < 0.5) with the only exception of MV at 60% 1RM for DLw (ICC = 0.62) and at 40% 1RM for DLn (ICC = 0.65). Furthermore, MV and PV generally had lower within-subject CV (CV = 3.56-5.86%) than MP and PP (CV = 3.82-8.05%) during both deadlift conditions. Our findings suggest that sport professionals might not need to consider implementing lifting straps with the aim to maximize velocity and power outputs with submaximal loads in a deadlift exercise. Because all mechanical variables measured showed an acceptable level of reliability for both DLw and DLn, they can all be used to track changes in performance during the deadlift exercise. However, velocity variables were slightly more consistent (lower CV), which makes them more appropriate to track DLw and DLn performance changes.

Can Post-Activation Performance Enhancement (PAPE) Improve Resistance Training Volume during the Bench Press Exercise?

Background: The aim of the present study was to evaluate the effects of post-activation performance enhancement (PAPE) on resistance training volume during the bench press exercise (BP). The study included 12 healthy strength-trained males (age 25.2 ± 2.1 years, body mass 92.1 ± 8.7 kg, BP one-repetition maximum (1RM) 28.8 ± 10.5 kg, training experience 6.3 ± 2.1 years). Methods: The experiment was performed following a randomized crossover design, where each participant performed two different exercise protocols with a conditioning activity (CA) consisting of the BP with three sets of three repetitions at 85% 1RM (PAPE), and a control without the CA (CONT). To assess the differences between PAPE and CONT, the participants performed three sets of the BP to volitional failure at 60% 1RM. The differences in the number of performed repetitions (REP), time under tension (TUT), peak power output (PP), mean of peak power output (PPMEAN), mean power output (MP), peak bar velocity (PV), mean of peak bar velocity (PVMEAN), and mean bar velocity (MV) between the CONT and PAPE conditions were examined using repeated measures ANOVA. Results: The post-hoc analysis for the main condition effect indicated significant increases in TUT (p < 0.01) for the BP following PAPE, compared to the CONT condition. Furthermore, there was a significant increase in TUT (p < 0.01) in the third set for PAPE compared to the CONT condition. No statistically significant main effect was revealed for REP, PP, PV, PPMEAN, PVMEAN, MP, and MV. Conclusion: The main finding of the study was that the PAPE protocol increased training volume based on TUT, without changes in the number of preformed REP.

Cluster vs. traditional training programmes: changes in the force-velocity relationship

This randomised controlled study examined the force-velocity relationship changes (force and velocity axis intercepts, slope and estimated maximum power) in response to 5-week training programmes differing in the set configuration. For each session, the traditional group performed 4 sets of 8 repetitions with 5 min of rest between sets and exercises, while the cluster group completed 16 sets of 2 repetitions with 1 min of rest between sets and 5 min between exercises. Both programmes were performed with the 10-repetition maximum load, including bench press, parallel squat, lat pull-down and leg curl exercises. Individual force-velocity profiles were obtained for bench press and squat using a linear velocity transducer before and after the intervention, along with lactate and mechanical performance during the intervention. Results showed in bench press similar changes of the force-velocity profile after both protocols (no shift of the slope and higher force and velocity axis intercept values). For the squat, significant changes in the slope (P = 0.001) and the velocity intercept (P = 0.002) towards a velocity profile were observed after cluster but not after traditional training. These results suggest that set configuration may modulate changes of force-velocity relationship, especially for squat.

The Effects of the Movement Tempo on the One-Repetition Maximum Bench Press Results

Different tempos of movement can be used during resistance training, but programming them is often a trial-and-error practice, as changing the speed at which the exercise is performed does not always correspond with the tempo at which the 1-repetition-maximum occurred. Therefore, the aim of this study was to determine the effect of different movement tempos during the bench press (BP) exercise on the one-repetition maximum (1RM) load. Ninety men (age = 25.8 ± 5.3 years, body mass = 80.2 ± 14.9 kg), with a minimum one year of resistance training experience took part in the study. Using a randomized crossover design, each participant completed the BP 1RM test with five different movement tempos: V/0/V/0, 2/0/V/0, 5/0/V/0, 8/0/V/0 and 10/0/V/0. Repeated measures ANOVA compared the differences between the 1RM at each tempo. The 1RM load was significantly greater during V/0/V/0 and 2/0/V/0 compared to 5/0/V/0, 8/0/V/0, and 10/0/V/0 (p < 0.01). Furthermore, the 1RM load was significantly greater during 5/0/V/0 compared to 8/0/V/0 and 10/0/V/0 (p < 0.01), but there were no differences between either V/0/V/0 and 2/0/V/0 (p = 0.92) or between 8/0/V/0 and 10/0/V/0 (p = 0.08). Therefore, different movement tempos used during training should be accompanied by their own tempo-specific 1RM testing, as slower eccentric phases significantly decrease maximal concentric performance. Furthermore, 1RM test procedures should include information about the movement tempo used during the test protocol. In addition, the standardization of the tempo should be taken into account in investigations that use the 1 RM test to assess the effects of any treatment on maximal muscle strength.

The interplay between internal and external load parameters during different strength training sessions in resistance-trained men

External load influences internal load in resistance training (RT). The purpose of the present study was to compare the total volume-load, perceptual and stress responses during three different RT protocols. Twelve resistance-trained men completed three different RT protocols with the back squat and bench press exercises: (1) power (POW) (5 sets of 6 repetitions at 50%1RM, 2-min of rest), (2) hypertrophy (HYP) (5 sets-to-failure at 75%1RM, 2-min of rest), and (3) strength (STR) (5 sets-to-failure at 90%1RM, 3-min of rest). Volume-load (kg × reps.), session rating of perceived exertion (sRPE), training impulse (TRIMP; reps. × sRPE), cortisol, immunoglobulin A (IgA), lactate, and creatine kinase (CK) were assessed before and/or after the sessions. HYP was the most demanding session in terms of volume-load (p < 0.001), TRIMP (p < 0.001), cortisol (p = 0.001), lactate (p < 0.001), and CK (p = 0.001). Despite POW exhibited a greater volume-load than STR (p = 0.016), the latter exhibiting a greater sRPE (p < 0.001), and a greater post-session CK (p = 0.05). However, the TRIMP of STR and POW were not statistically different (152 vs. 260 AU; p = 0.089). These specific responses could be meditated by the presence of muscular failure. When pooling all the sessions, significant correlations were revealed among external and internal stress markers (r = 0.35-0.80; p ≤ 0.05). The use of TRIMP could be recommended as a simple and valid monitoring tool which integrates into a single parameter the internal and the external loads of RT sessions.

Reliability and Test-Retest Agreement of Mechanical Variables Obtained During Countermovement Jump

The countermovement jump (CMJ) is often used as performance measure and monitoring tool. Traditionally, jump height (JH) is most often studied and reported, but other variables (e.g. force, velocity, power) can also be obtained during CMJ testing on a force plate. The aim of this study was to determine the intra-rater reliability of mechanical variables obtained during CMJs. For this, 41 physically active men (24 ± 4 years) performed four CMJs on a force plate with an interval of 48 to 168 hours (test-retest design). Six variables were analyzed: 1) jump height (JH), 2) peak force (PF), 3) peak power (PP), 4) velocity at takeoff (VTO), 5) rate of force (RFD) and 6) power (RPD) development. Five variables showed to be reliable (i.e. CV < 10%), except RFD (CV of 12.9%). Although JH exhibited an acceptable level of reliability (r = 0.94 and CV = 5.8%), better scores were observed for PF, VTO, and PP (CV ranging from 2.5 to 5.1%). The PF showed the best reliability scores (r = 0.99 and CV = 2.5%) and RPD, a relatively unexamined variable compared to the others, showed an acceptable level of reliability (r = 0.96 and CV = 7.8%). Therefore, JH, PF, PP, VTO, and RPD demonstrated acceptable scores of reliability. PF seems to be the most appropriate variable to use when small changes in performance are expected. Future studies should investigate the importance of RPD for performance evaluation.

Acute fatigue affects reaction times and reaction consistency in Mixed Martial Arts fighters

Mixed Martial Arts (MMA) is a multielement combat sport where fighters need to quickly react to an opponent’s movements under fatigued conditions. Research indicates that fast reaction time is important in many sports, but the effect of fatigue has shown negative, null, or even positive influences on reaction time. However, few studies have been conducted in a controlled setting, especially using MMA figthers, whose matches are frequently resolved in a split-second. Therefore, this study investigated whether acute neuromuscular fatigue affects reaction and movement times, and their consistency in MMA fighters (N = 45). Before and after an upper-body Wingate test, a simple visual reaction time task was completed. Results showed a significant negative effect of fatigue on the reaction times and their consistency, with longer reactions (1.5% change) and lower consistency (14.7% change) after the Wingate test. Further, greater amounts of fatigue during the Wingate test seemed to negatively affect the consistency of post-Wingate movement time. Due to cumulative fatigue and the dynamic nature of MMA, our data indicate that not only the decrements in aerobic and anaerobic power likely affect a fighter’s performance, but their reaction time and motor time may also be compromised during a fight.

Could inter-set stretching increase acute neuromuscular and metabolic responses during resistance exercise?

This study investigated the acute effects of inter-set static stretching (ISS) during resistance exercise (RE) on the subsequent neuromuscular and metabolic responses. Twelve resistance-trained men performed three different knee extension RE protocols comprised of seven sets of 10 repetitions in a counterbalanced fashion. The three protocols were: 1) ISS (subjects performed 25 sec of quadriceps stretching between sets during 40 sec rest interval); 2) control (CON, subject passively rested between sets for 40 sec); 3) traditional (TRA, subject passively rested between sets for 120 sec). Total work was lower (p < 0.05) in ISS than CON and TRA (p <0.05). The fatigue index was greater (p < 0.05) in ISS compared with CON and TRA. ISS also resulted in lower (p < 0.05) electromyography (EMG) amplitude during the 6th and 7th sets compared with TRA. Additionally, EMG frequency was lower (p < 0.05) from the 3rd to 5th sets during ISS compared to CON, and from the 3rd to 7th sets compared to TRA. Muscle swelling and blood lactate similarly increased (p > 0.05) in response to all protocols. These results indicate that ISS negatively impacts neuromuscular performance, and does not increase the metabolic stress compared to passive rest intervals.

Traditional sets versus rest-redistribution: a laboratory-controlled study of a specific cluster set configuration at fast and slow velocities

This study investigated redistributing long inter-set rest intervals into shorter but more frequent intervals at 2 different concentric velocities. Resistance-trained men performed 4 randomised isokinetic unilateral knee extension protocols, 2 at 60°·s^-1 and 2 at 360°·s^-1. At each speed, subjects performed 40 repetitions with 285 s of rest using traditional sets (TS; 4 sets of 10 with 95 s of inter-set rest) and rest-redistribution (RR; 20 sets of 2 with 15 s inter-set rest). Before and at 2, 5, and 10 min after exercise, tensiomyography (TMG) and oxygenation (near-infrared spectroscopy; NIRS) were measured. NIRS was also measured during exercise, and rating of perceived exertion (RPE) was recorded after every 10 repetitions. At both speeds, RR displayed greater peak torque, total work, and power output during latter repetitions, but there were no differences between TS or RR when averaging all 40 repetitions. The RPE was less during RR at both speeds (p < 0.05). RR increased select muscle oxygen saturation and blood flow at both speeds. There were no effects of protocol on TMG, but effect sizes favoured a quicker recovery after RR. RR was likely beneficial in maintaining performance compared with the latter parts of TS sets and limiting perceived and peripheral fatigue. Novelty Although effective at slow velocities, rest-redistribution was likely more effective during high-velocity movements in this study. Rest-redistribution maintained the ability to produce force throughout an entire range of motion. Rest-redistribution reduced RPE during both high-velocity and high-force movements.

Validity of six consumer-level activity monitors for measuring steps in patients with chronic heart failure

INTRODUCTION

Although numerous activity trackers have been validated in healthy populations, validation is lacking in chronic heart failure patients who normally walk at a slower pace, making it difficult for researchers and clinicians to implement activity monitors during physical activity interventions.

METHODS

Six consumer-level activity monitors were validated in a 3-day field study in patients with chronic heart failure and healthy individuals under free living conditions. Furthermore, the same devices were evaluated in a lab-based study during treadmill walking at speeds of 2.4, 3.0, 3.6, and 4.2 km·h-1. Concordance correlation coefficients (CCC) were used to evaluate the agreement between the activity monitors and the criterion, and mean absolute percentage errors (MAPE) were calculated to assess differences between each device and the criterion (MAPE <10% was considered as a threshold for validity).

RESULTS

In the field study of healthy individuals, all but one of the activity monitors showed a substantial correlation (CCC ≥0.95) with the criterion device and MAPE <10%. In patients with heart failure, the correlation of only two activity monitors (Garmin vívofit 3 and Withings Go) was classified as at least moderate (CCC ≥0.90) and none of the devices had MAPE <10%. In the lab-based study at speeds 4.2 and 3.6 km·h-1, all activity monitors showed substantial to almost perfect correlations (CCC ≥0.95) with the criterion and MAPE in the range 1%-3%. However, at slower speeds of 3.0 and 2.4 km·h-1, the accuracy of all devices substantially deteriorated: their correlation with the criterion decreased below 90% and their MAPE increased to 4-8% and 10-45%, respectively.

CONCLUSIONS

Even though none of the tested activity monitors fall within arbitrary thresholds for validity, most of them perform reasonably well enough to be useful tools that clinicians can use to simply motivate chronic heart failure patients to walk more.