Next Issue
Volume 11, December
Previous Issue
Volume 11, October
 
 

Sports, Volume 11, Issue 11 (November 2023) – 24 articles

Cover Story (view full-size image): Recently, there has been a plethora of new recovery devices and technologies that have become available for athletes, such as inflatable recovery sleeves, float tanks, and massage guns. With this increased availability and promotion of recovery devices, it has become somewhat difficult for athletes, coaches, and practitioners to navigate the efficacy of such devices. In this narrative review, we discuss how the fundamental recovery strategies of sleep, nutrition and periodisation (“the cake”) ultimately have a much greater overall contribution to athletic recovery and performance than any potential marginal improvements from added devices/tools (“the icing”). We categorise recovery strategies in relation to the hierarchy of scientific evidence and we provide guidance for practitioners when deciding on recovery strategies to use with athletes during different phases of the season. View this paper
  • Issues are regarded as officially published after their release is announced to the table of contents alert mailing list.
  • You may sign up for e-mail alerts to receive table of contents of newly released issues.
  • PDF is the official format for papers published in both, html and pdf forms. To view the papers in pdf format, click on the "PDF Full-text" link, and use the free Adobe Reader to open them.
Order results
Result details
Select all
Export citation of selected articles as:
18 pages, 2403 KiB  
Systematic Review
Recovery Methods in Basketball: A Systematic Review
by Mladen Mihajlovic, Dimitrije Cabarkapa, Damjana V. Cabarkapa, Nicolas M. Philipp and Andrew C. Fry
Sports 2023, 11(11), 230; https://doi.org/10.3390/sports11110230 - 20 Nov 2023
Cited by 3 | Viewed by 4886
Abstract
Although different strategies have been implemented to manage recovery-fatigue status in athletes, there is still a lack of consensus on which recovery protocols have the greatest impact and effectiveness when implemented with basketball players, including both physiological and psychological recovery methods. Thus, the [...] Read more.
Although different strategies have been implemented to manage recovery-fatigue status in athletes, there is still a lack of consensus on which recovery protocols have the greatest impact and effectiveness when implemented with basketball players, including both physiological and psychological recovery methods. Thus, the purpose of this systematic review is to: (a) determine which recovery methods attain the greatest benefit in restoring the process of attenuating fatigue and (b) provide sports practitioners with guidelines on how some of the most effective recovery strategies can be used to optimize athletes’ recovery and ultimately enhance their performance. Using the PRISMA guidelines, a total of 3931 research reports were obtained through four database searches (i.e., PubMed, Scopus, Cochrane, and Web of Science), from which only 25 met the inclusion and exclusion criteria. The recovery protocols analyzed in this systematic review were: sleep, nutrition, hydration, ergogenic aids, cold-water immersion, compression garments, massage, acupuncture, tapering, mindfulness, and red-light irradiation. The results revealed that all recovery strategies are capable of attenuating fatigue and enhancing recovery in basketball players to a certain degree. However, an individualized approach should be promoted, where a combination of proactive recovery modalities appears to result in the most rapid rates of recovery and athletes’ ability to maintain high-level performance. Recovery should be programmed as an integral component of training regimens. Also, cooperation and communication between coaches, players, and the rest of the team staff members are essential in minimizing the risk of non-functional overreaching or injury and optimizing basketball players’ on-court performance. Full article
(This article belongs to the Special Issue Connecting Health and Performance with Sports Sciences)
Show Figures

Figure 1

12 pages, 295 KiB  
Article
Effect of a 6-Week Preseason Training Protocol on Physiological and Muscle Damage Markers in High-Level Female and Male Basketball Players
by Dimitrios Mexis, Tzortzis Nomikos, Nikolaos Mitsopoulos and Nikolaos Kostopoulos
Sports 2023, 11(11), 229; https://doi.org/10.3390/sports11110229 - 16 Nov 2023
Viewed by 1753
Abstract
This study aimed to investigate the effects of a 6-week preseason functional and plyometric fitness training protocol, on physiological and biochemical markers of performance and exercise-induced muscle damage, and to compare the response of these markers between high-level female and male basketball players. [...] Read more.
This study aimed to investigate the effects of a 6-week preseason functional and plyometric fitness training protocol, on physiological and biochemical markers of performance and exercise-induced muscle damage, and to compare the response of these markers between high-level female and male basketball players. The sample of the study consisted of 19 professional athletes (10 male; 9 female) competing in two different teams. The examined markers were body mass, BMI, fat percentage, speed, acceleration, explosiveness, vertical jumping ability, creatine kinase (CK) and lactate dehydrogenase (LDH). The preseason training period improved speed, acceleration, explosiveness and vertical jumping ability (~1–8%) and led to significant fat percentage reductions in both groups equivalently. CK and LDH increased similarly in both groups, and the percentage increases were higher for CK compared to LDH. Further investigation and a larger sample size are required in order to determine an approach that is more capable of maximizing performance without causing any possible injuries that may be related to muscle damage. Full article
(This article belongs to the Special Issue Strength and Power Training in Individual and Team Sports)
16 pages, 334 KiB  
Review
Beyond a Game: A Narrative Review of Psychopathic Traits in Sporting Environments
by Jill Colangelo, Alexander Smith, Anna Buadze and Michael Liebrenz
Sports 2023, 11(11), 228; https://doi.org/10.3390/sports11110228 - 15 Nov 2023
Viewed by 1818
Abstract
There has been a growing interest around the broader effects of psychopathic traits, particularly in relation to deviant behaviors and the notion of so-called “successful psychopathy”. As significant sociocultural touchstones, sporting events are often characterized by competitiveness and a sense of prestige. However, [...] Read more.
There has been a growing interest around the broader effects of psychopathic traits, particularly in relation to deviant behaviors and the notion of so-called “successful psychopathy”. As significant sociocultural touchstones, sporting events are often characterized by competitiveness and a sense of prestige. However, there has been limited attention towards psychopathic traits across recreational, amateur, and elite sports. Accordingly, we conducted a narrative review synthesizing primary observations on this topic, searching keywords in Scopus, APA PsychNet, and PubMed. Twenty-four academic papers were included in our results, which we thematized around demographic groups, namely: athletes and sport-adjacent non-athletes (i.e., coaches and spectators). Based on empirical findings from the reviewed papers, psychopathic traits could have medicolegal and forensic implications in relation to substance use, aggression, and violence. These could intersect with wider issues around doping, cheating, foul play, and have adverse outcomes for fellow participants, team dynamics, and spectators. Interestingly, our review also indicates that psychopathic traits may have correlations with determination and achievement in sport, echoing developing ideas around “successful psychopathy” in other domains. As such, increased awareness from all stakeholders and further multidisciplinary exchanges are vital to better understand the effects of psychopathic traits in sporting frameworks and their wider consequences. Full article
12 pages, 4535 KiB  
Article
Effects of Cycling on Spine: A Case–Control Study Using a 3D Scanning Method
by Antonino Patti, Valerio Giustino, Giuseppe Messina, Flavia Figlioli, Stefania Cataldi, Luca Poli, Giacomo Belmonte, Alessandro Valenza, Alessandra Amato, Ewan Thomas, Izabela Rutkowska, Paula Esteban-García, Antonio Palma and Antonino Bianco
Sports 2023, 11(11), 227; https://doi.org/10.3390/sports11110227 - 15 Nov 2023
Viewed by 1814
Abstract
Background: Few studies have investigated the effects of adopting a specific and prolonged posture on cyclists. This study aimed to evaluate the upright spine in a sample of recreational cyclists and compare it with a sample of non-cyclists, though still athletes, through a [...] Read more.
Background: Few studies have investigated the effects of adopting a specific and prolonged posture on cyclists. This study aimed to evaluate the upright spine in a sample of recreational cyclists and compare it with a sample of non-cyclists, though still athletes, through a 3D scanning method. Methods: Forty-eight participants were enrolled in this observational study. The sample consisted of 25 cyclists for the cycling group and 23 non-cyclist athletes for the control group. The Spine3D device (Sensor Medica, Guidonia Montecelio, Rome, Italy) was used to evaluate the spine of the participants in both groups. Results: The results showed significantly greater spine inclination in the cycling group compared to the control group (p < 0.01). Furthermore, there was a significant decrease in lumbar lordosis in the cycling group compared to the control group (p < 0.01). Conclusions: This case–control study raises the possibility that the onset of lower back pain in cyclists may be due to a reduction in lumbar lordosis. Furthermore, this study demonstrated that the Spine3D device can be used in sports to monitor the spine of athletes to prevent and reduce musculoskeletal deficits. Full article
Show Figures

Figure 1

11 pages, 722 KiB  
Article
Hand Selection in Dribbling Phases: An Analysis of Non-Dominant Hand Usage and Dribble Change in Basketball
by Keisuke Onodera and Masaki Takeda
Sports 2023, 11(11), 226; https://doi.org/10.3390/sports11110226 - 14 Nov 2023
Viewed by 2352
Abstract
This study investigates the influence of different dribbling phases on hand selection among basketball players across various categories. A total of 33 guard players, including 11 from high school, college, and NBA teams each, were observed. Video data analysis was utilized to determine [...] Read more.
This study investigates the influence of different dribbling phases on hand selection among basketball players across various categories. A total of 33 guard players, including 11 from high school, college, and NBA teams each, were observed. Video data analysis was utilized to determine the frequency of players using their dominant hands (DHs) and non-dominant hands (NDHs) during in-game dribbling phases. The dribbling phases were classified into three categories: First (the initiation of the dribble), Middle (during the dribble but not in First and Last), and Last (the completion of the dribble). Percentage, means, and standard deviations were computed for each category within the First, Middle, and Last measurements. A two-factor analysis of variance (ANOVA) was conducted, considering player category and dribbling phase as factors. The ANOVA revealed significant main effects of player category (p < 0.01) and dribbling phase (p < 0.01). Post hoc multiple comparisons using Holm’s method indicated that, in the First phase, players exhibited a 6.5% higher preference for using their NDHs (43.4 ± 11.9%) compared to the Middle phase (36.9 ± 13.9%) (p < 0.05). Similarly, in the Last phase, players displayed a 5.3% greater inclination towards using their NDHs (42.2 ± 11.7%) compared to the Middle phase (p < 0.05). These findings provide quantitative evidence that the specific dribbling phase influences hand selection during gameplay. The implications of these results are significant for basketball coaches, as they can design targeted training programs and drills that simulate game scenarios and encourage NDH usage. By understanding the factors influencing hand choice, players can enhance their versatility and adaptability on the court. Furthermore, these findings contribute to player performance, skill development, and strategic decision making in dribbling phases. Full article
(This article belongs to the Special Issue Competition and Sports Training: A Challenge for Public Health)
Show Figures

Figure 1

12 pages, 1070 KiB  
Article
Analysis of Technical–Tactical Actions in High-Level Table Tennis Players: Differences between Sexes
by Francisco Pradas de la Fuente, Miguel Ángel Ortega-Zayas, Víctor Toro-Román and Alejandro Moreno-Azze
Sports 2023, 11(11), 225; https://doi.org/10.3390/sports11110225 - 14 Nov 2023
Viewed by 1483
Abstract
Table tennis is a sport played at a high speed; therefore, the technical–tactical variables are very important. The objective of the research is to analyze the technical and tactical characteristics of high-level TT players according to sex. A total of 48 high-level players [...] Read more.
Table tennis is a sport played at a high speed; therefore, the technical–tactical variables are very important. The objective of the research is to analyze the technical and tactical characteristics of high-level TT players according to sex. A total of 48 high-level players (24 women and 24 men) participated in the present study. The investigation was carried out during two championships. The matches were recorded and subsequently analyzed by notational analysis. The results indicate that women stroke the ball more times during the rallies. In the men’s competition, the forehand technique predominates over the backhand technique. The flip was the most used in the male sex (p < 0.05). At the tactical level, more winning actions were performed in the men’s competition than in the women’s, both with the forehand and backhand game. Men performed more losing technical actions when using the forehand and backhand flips. The pivot footwork tactical action was higher in the men’s competition. The analysis of the technical–tactical actions highlighted important differences between the sexes. The predominant losing techniques among players are forehand and backhand flip. Female players use more defensive strokes, while male players use more offensive strokes, in particular the flip technique. The potential biomechanical progress of the male player characterized by a larger wingspan biotype could facilitate a better technical–tactical performance. The results obtained are of interest to improve the performance of the players as they must train at a technical–tactical level differently depending on the sex and style of play. Full article
Show Figures

Figure 1

12 pages, 2331 KiB  
Article
Differences in Relaxation and Imagery among NCAA Division I Sport Types
by Elizabeth Warfield, Philip Esposito and Robyn Braun-Trocchio
Sports 2023, 11(11), 224; https://doi.org/10.3390/sports11110224 - 13 Nov 2023
Viewed by 1561
Abstract
Athletes use psychological skills such as imagery and relaxation to decrease stress, cope with competitive anxiety, and achieve an optimal state of arousal. There is conflicting literature on how team and individual sport athletes use these skills, with some saying that individual sport [...] Read more.
Athletes use psychological skills such as imagery and relaxation to decrease stress, cope with competitive anxiety, and achieve an optimal state of arousal. There is conflicting literature on how team and individual sport athletes use these skills, with some saying that individual sport athletes have better capabilities and others saying team sport athletes use imagery more frequently. The current study analyzed sport type differences in the use of relaxation and performance imagery among NCAA Division I (DI) athletes. This study included 117 NCAA DI athletes, including team sport (n = 72) and individual sport (n = 45). Participants completed a modified version of The Deliberate Relaxation for Sport Survey through Qualtrics. Results indicated there is a statistically significant difference in the type of relaxation technique used based on the individual’s sport type. Team sport athletes used muscle relaxation (p = 0.034), eastern relaxation (p = 0.014), and stretching (p = 0.020) more frequently than individual sport athletes. Additionally, individual sport athletes used performance imagery more often for mental focus than team sport athletes (p = 0.012). There were no differences between sport types in the level of deliberate practice of relaxation and performance imagery. Athletes used a variety of methods to learn both imagery and relaxation skills and have been using these for an average of four years. The majority of participants (n = 67) did not work with a sport psychology professional, but their school has one. This study supports the use of individualized intervention programs to help athletes use relaxation and imagery in the most effective ways for their performances. Full article
(This article belongs to the Special Issue Advances in Sport Psychology)
Show Figures

Figure 1

12 pages, 274 KiB  
Article
Knowledge and Self-Assessment of Dental Injuries and Oral Health among Croatian Professional Water Polo Players: A Cross-Sectional Study
by Antonija Tadin and Josip Buzov
Sports 2023, 11(11), 223; https://doi.org/10.3390/sports11110223 - 13 Nov 2023
Cited by 1 | Viewed by 1226
Abstract
Objectives/Aim: The purpose of this study was to evaluate oral health knowledge, and the incidence of self-reported dental injuries incidence, the frequency of mouthguard use, oral hygiene habits, and oral health status among professional water polo players. Materials and Methods: During the 2022/2023 [...] Read more.
Objectives/Aim: The purpose of this study was to evaluate oral health knowledge, and the incidence of self-reported dental injuries incidence, the frequency of mouthguard use, oral hygiene habits, and oral health status among professional water polo players. Materials and Methods: During the 2022/2023 season, 114 water polo players from the Croatian First League participated in a questionnaire-based online survey. The data collected included sociodemographic and professional attributes, oral health knowledge questions, dental injury experiences, and practices related to mouthguard use. Respondents also rated their own oral health status and oral hygiene habits. The data were analyzed using descriptive statistics and a regression analysis. Results: The respondents demonstrated inadequate knowledge of oral health, with a mean score of 6.4 ± 2.6 out of 12. Better knowledge correlated positively with older age (p ˂ 0.05) and consistent flossing (p = 0.014). Additionally, 27.2% (31 of 114) of reported dental injuries were related directly to incidents which occurred while participating in water polo. These injuries occurred more frequently during games (54.8%) and often involved the anterior maxillary incisors (71.0%) due to player contact (87.1%). Awareness of mouthguards was high (93.9%), whereas their actual use was low (7.0%) because 35.1% of respondents reported discomfort wearing them. The respondents’ self-assessments revealed widespread dental problems, including tooth sensitivity (13.3%), erosion (15.8%), calculus (28.1%), and pigmentation (7.9%). Conclusions: The research results indicate a lack of adequate knowledge among the respondents regarding oral health. This deficit was not associated with oral hygiene habits or oral cavity conditions. These findings highlight the disparities in oral health awareness and practices associated with water polo participation and emphasize the importance of education and prevention efforts. Full article
22 pages, 2769 KiB  
Review
Pre-Event Self-Efficacy and Sports Performance: A Systematic Review with Meta-Analysis
by Marc Lochbaum, Cassandra Sisneros, Sydney Cooper and Peter C. Terry
Sports 2023, 11(11), 222; https://doi.org/10.3390/sports11110222 - 12 Nov 2023
Cited by 2 | Viewed by 2967
Abstract
The relationship between self-efficacy and performance exclusively within the sports environment is yet to be quantified. Hence, we meta-analysed this relationship by following the PRISMA guidelines. Two previous meta-analyses, five relevant databases, and Google Scholar were searched. Forty-four articles published between 1983 and [...] Read more.
The relationship between self-efficacy and performance exclusively within the sports environment is yet to be quantified. Hence, we meta-analysed this relationship by following the PRISMA guidelines. Two previous meta-analyses, five relevant databases, and Google Scholar were searched. Forty-four articles published between 1983 and 2021 met the inclusion criteria, with 55 independent samples. Comprehensive meta-analysis software version 4 was used for all meta-analytic calculations using a random-effects model to calculate the mean effect size, and a mixed-effects model was used for moderation analyses. The mean pre-event self-efficacy and performance effect size was r = 0.31 (95% CI 0.22, 0.40). For moderation analyses, notable mean differences (p values ≥ 0.08) resulted for concordance [concordant (r = 0.37), nonconcordant (r = 0.22)], sports skill [closed (r = 0.37), open (r = 0.23)], and athlete level [elite (r = 0.40), sub-elite (r = 0.28)]. The true effect prediction interval ranged from negative (i.e., self-efficacy impairing performance) to positive (self-efficacy improving performance) for all moderator variables except self-referenced vs. other-referenced performance. In conclusion, the relationship between pre-event self-efficacy and performance is positive and moderate in magnitude, although with prediction intervals ranging from debilitating to facilitating performance. Researchers and practitioners should note that high athlete-rated self-efficacy might not always improve impending competitive sports performance. Full article
Show Figures

Figure 1

15 pages, 606 KiB  
Review
Does the Installation or the Improvement of Existing Outdoor Parks Increase Physical Activity Levels? A Systematic Review
by Miguel Peralta, Gianluca Viscioni, Xavier Melo, Élvio R. Gouveia, Thorsten Griesser, Alexander Blocher, Maurizio Bertollo, Andrea Di Blasio and Adilson Marques
Sports 2023, 11(11), 221; https://doi.org/10.3390/sports11110221 - 9 Nov 2023
Cited by 1 | Viewed by 1528
Abstract
Investment in outdoor parks is proposed as a promising large-scale strategy to promote physical activity (PA). This study aimed to systematically review the impact of park renovations or installing new ones in increasing PA. Searches were conducted using predefined terms in three databases [...] Read more.
Investment in outdoor parks is proposed as a promising large-scale strategy to promote physical activity (PA). This study aimed to systematically review the impact of park renovations or installing new ones in increasing PA. Searches were conducted using predefined terms in three databases (PubMed, Scopus, and Web of Science) in March 2022. Studies examining the effectiveness of park renovations or developing new ones in increasing PA and having control or comparison were eligible for inclusion. Study quality was assessed using the Quality Assessment Tool for Quantitative Studies. Data were extracted from the included records using a predefined extraction table. The database search yielded 959 records, and 26 were included. For park renovations (n = 17), 11 (65%) studies presented findings supporting a positive effect on PA. The other six (35%) studies found no PA benefits when compared to control or pre-renovations/improvement levels. Regarding new installations (n = 9), five (56%) studies presented improvements in PA, and four (44%) did not. A promising positive impact of park renovations and new installations on park use and PA was observed. The review findings reflect the need to understand the context, daily routines, and interests of the surrounding population before renovating or installing new outdoor parks. Full article
(This article belongs to the Special Issue Promoting and Monitoring Physical Fitness in All Contexts)
Show Figures

Figure 1

11 pages, 1632 KiB  
Article
Sex Differences in the Load–Velocity Profiles of Three Different Row Exercises
by Raúl Nieto-Acevedo, Blanca Romero-Moraleda, Almudena Montalvo-Pérez, Carlos García-Sánchez, Moisés Marquina-Nieto and Daniel Mon-López
Sports 2023, 11(11), 220; https://doi.org/10.3390/sports11110220 - 9 Nov 2023
Cited by 1 | Viewed by 1491
Abstract
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 [...] Read more.
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. Full article
(This article belongs to the Special Issue Strength and Power Training in Individual and Team Sports)
Show Figures

Figure 1

16 pages, 2948 KiB  
Article
Periodized Aerobic Training between Thresholds Improves Submaximal Cardiorespiratory Parameters in Octogenarians
by Cristian Cofre-Bolados, Félix Vidal, Héctor Gutiérrez Espinoza, Ignacio Betancourt-Peters, Pedro A. Orihuela and Mikel Izquierdo
Sports 2023, 11(11), 219; https://doi.org/10.3390/sports11110219 - 8 Nov 2023
Viewed by 1773
Abstract
Background and Aims: The worldwide aging population is expanding, with more individuals living into their 80s. Physiological functions decline gradually with age, compounded by sedentary lifestyles. Incorporating physical activity into daily routine is crucial for maintaining independence. This study aimed to assess a [...] Read more.
Background and Aims: The worldwide aging population is expanding, with more individuals living into their 80s. Physiological functions decline gradually with age, compounded by sedentary lifestyles. Incorporating physical activity into daily routine is crucial for maintaining independence. This study aimed to assess a periodized high-intensity aerobic training program (PEZO-BT) in octogenarians, focusing on submaximal ergospirometry effects. Methods: A total of 48 non-frail octogenarian subjects (12 females, 36 males) were randomized into control and intervention groups. All subjects underwent submaximal cardiopulmonary exercise testing with gas analysis at baseline, stopping after the respiratory compensation point (RCP). Our intervention group completed a 14-week PEZO-BT aerobic training program. The outcomes were oxygen consumption at first ventilatory threshold (VO2AT), ventilatory efficiency slope (VE/VCO2), oxygen uptake efficiency slope (OUES), cardiorespiratory optimal point (COP), oxygen pulse change (ΔVO2/HR) from anaerobic threshold (AT) to respiratory compensation point (RCP), and power output at anaerobic threshold (POAT). Results: Mixed ANOVA examined time and treatment effects. If significance emerged, post hoc t-tests were used to compare significances between groups. The homogeneity of variance was assessed using Levene’s test. Chi-square tests compared ergospirometry criteria and ventilatory performance within groups. The mean differences at post intervention were significant in VO2AT (p < 0.001), VE/VCO2 (p < 0.001), ΔVO2/HR (p < 0.05), and POAT (p < 0.001), while OUES and COP were not significant (p > 0.05). However, clinical effects were observed in the entire intervention group. Conclusions: Training improved exercise capacity and workload. Overall, this periodic aerobic and high-intensity interval training (HIIT) program yielded significant improvements in cardiorespiratory fitness (CRF) in previously untrained octogenarians with and without comorbidities. The findings suggest implications for promoting long-term healthy aging. Full article
(This article belongs to the Special Issue Optimising Interval Training Prescription (Volume II))
Show Figures

Figure 1

12 pages, 772 KiB  
Article
Leg and Joint Stiffness of the Supporting Leg during Side-Foot Kicking in Soccer Players with Chronic Ankle Instability
by Akihiro Tamura, Keita Shimura and Yuri Inoue
Sports 2023, 11(11), 218; https://doi.org/10.3390/sports11110218 - 7 Nov 2023
Viewed by 1538
Abstract
Soccer players with chronic ankle instability (CAI) may stabilize their supporting leg by the proximal joint to compensate for the ankle instability during kicking motion. This study aimed to investigate the characteristics of leg and joint stiffness of the supporting leg during side-foot [...] Read more.
Soccer players with chronic ankle instability (CAI) may stabilize their supporting leg by the proximal joint to compensate for the ankle instability during kicking motion. This study aimed to investigate the characteristics of leg and joint stiffness of the supporting leg during side-foot kicking in soccer players with CAI. Twenty-four male collegiate-level soccer players with and without CAI participated in this study. The kinematic and kinetic data were obtained using a three-dimensional motion analysis system. Leg stiffness and joint (hip, knee, and ankle) stiffness in the sagittal and frontal planes were calculated and analyzed. The results clarified that soccer players with CAI (0.106 ± 0.053 Nm/°) had greater knee stiffness in knee adduction during the kicking cycle compared to those without CAI (0.066 ± 0.030 Nm/°; p = 0.046), whereas no characteristic differences were observed in knee stiffness in knee flexion and hip and ankle stiffness (p > 0.05). Knee stiffness is believed to occur to compensate for ankle joint instability in the supporting leg. Therefore, adjusting knee stiffness to accommodate ankle joint instability is crucial for maintaining kicking performance. Based on results of this study, it may be important to consider training and exercises focused on joint coordination to improve knee stiffness in soccer players with CAI. Full article
Show Figures

Figure 1

10 pages, 1674 KiB  
Article
Effects of External Abdominal Pressure Support on Dynamic Balance: A Randomized Crossover Study
by Yuki Nakai, Takara Kijimuta, Yasufumi Takeshita, Ryoji Kiyama, Sota Araki, Takasuke Miyazaki and Masayuki Kawada
Sports 2023, 11(11), 217; https://doi.org/10.3390/sports11110217 - 7 Nov 2023
Viewed by 1485
Abstract
Abdominal pressure is vital in protecting the lumbar spine and controlling postural balance. Dynamic balance is associated with movement stability, adaptation to load, and reduced injury risk. Although trunk stability has been examined using belts and braces, the effects of external abdominal pressure [...] Read more.
Abdominal pressure is vital in protecting the lumbar spine and controlling postural balance. Dynamic balance is associated with movement stability, adaptation to load, and reduced injury risk. Although trunk stability has been examined using belts and braces, the effects of external abdominal pressure support (APS) on balance control remain unknown. In this study, we aimed to determine the effects of external APS on dynamic balance. Overall, 31 young adults participated in this randomized crossover study. External APS was provided using a device that could be pressurized and decompressed by inflating a cuff belt wrapped around the trunk. The modified Star Excursion Balance Test was performed under external APS and non-APS conditions. The maximum anterior, posterolateral, and posteromedial values normalized to the spinal malleolar distance and their respective composite values were compared between the two conditions with and without APS. Posterolateral, posteromedial, and composite values were significantly higher in the APS condition than in the non-APS condition (p < 0.001). The external APS was effective in immediately improving dynamic balance. Furthermore, APS was effective in dynamic balance control as it improved stability during anterior trunk tilt, which displaces the center of gravity forward. Full article
(This article belongs to the Special Issue Biomechanics and Sports Performances)
Show Figures

Figure 1

12 pages, 1486 KiB  
Article
The Oral Microbiome Profile of Water Polo Players Aged 16–20
by Irina Kalabiska, Dorina Annar, Zsuzsa Keki, Zoltan Borbas, Harjit Pal Bhattoa and Annamaria Zsakai
Sports 2023, 11(11), 216; https://doi.org/10.3390/sports11110216 - 7 Nov 2023
Viewed by 1495
Abstract
Objectives: Chlorine has a strong antibacterial property and is the disinfectant most frequently used in swimming pools. Therefore, the microbiota community in the oral cavity of those who practice water sports is assumed to be special due to their regular immersion in water. [...] Read more.
Objectives: Chlorine has a strong antibacterial property and is the disinfectant most frequently used in swimming pools. Therefore, the microbiota community in the oral cavity of those who practice water sports is assumed to be special due to their regular immersion in water. Adverse changes in the composition of oral cavity microbiota may have serious health consequences. We aimed to compare the oral microbiome between water polo players and non-athletes. We hypothesized that the oral cavity microbiota community differed between water polo players and non-athletes. Materials and Methods: Altogether, 124 water polo players (62 males and 62 females, aged between 9 and 20 years) and 16 non-athlete youths (control group, eight males and eight females, aged between 16 and 20 years, mean age + SD = 17.1 + 1.4 years) who participated in body structure examinations voluntarily agreed to participate in the study. In a randomly selected subsample of water polo players (n: 29, aged between 16 and 20 years, mean age + SD = 17.3 + 1.0 years), saliva samples were also collected. Saliva samples were collected from all non-athlete youths (n: 16, aged between 16 and 20 years). The oral microbiome was determined from a saliva sample, and DNA was isolated using the QIAmp DNA Blood Mini Kit. The 16S rRNA gene amplicon sequencing method was used to analyze the microbiome community. PCR primers were trimmed from the sequence reads with Cutadapt. R library DADA2 was used to process reads in the abundance analysis. Results: In general, Streptococcus, Veilonella, and Prevotella genera constituted more than 50% of the oral microbiome community in the two participant groups combined (n = 45). The oral microbial profile had significant sexual dimorphism and differed between water polo players and the non-athletes. Compared to females, males had a higher (p < 0.05) relative abundance of the Atopobium (medium effect size) and Pravotella_7 (very large effect size) genera and a lower (p < 0.05) relative abundance of the Fusobacterium (large effect size), Gemella (large effect size), and Streptococcus (large effect size) genera. Compared to non-athletes, water polo players had higher (p < 0.05, medium effect size) relative abundance of the genus Veillonella and lower (p < 0.05, large effect size) relative abundance of the genus Gemella. Conclusions: The results suggest that regular water training can unfavorably alter the composition of the oral microbial community. Full article
Show Figures

Figure 1

14 pages, 1580 KiB  
Article
Sex Differences in Bone, Muscle, and Inflammatory Markers and Their Associations with Muscle Performance Variables
by Pragya Sharma Ghimire, Adam Eckart, Ibtihal K. Al-Makhzoomy and James Stavitz
Sports 2023, 11(11), 215; https://doi.org/10.3390/sports11110215 - 6 Nov 2023
Viewed by 2086
Abstract
The importance of various markers such as Sclerostin, Dickkopf-1 (DKK-1), Irisin, receptor activator of NF-kB ligand (RANKL), and Vitamin D have been well studied in bone metabolism. Additionally, inflammatory cytokines such as tumor necrosis factor-alpha (TNF-α) and Interleukin 6 (IL-6) have been shown [...] Read more.
The importance of various markers such as Sclerostin, Dickkopf-1 (DKK-1), Irisin, receptor activator of NF-kB ligand (RANKL), and Vitamin D have been well studied in bone metabolism. Additionally, inflammatory cytokines such as tumor necrosis factor-alpha (TNF-α) and Interleukin 6 (IL-6) have been shown to hinder muscle protein synthesis, leading to the loss of muscle and strength. However, a research gap exists in understanding their role in muscle function and physical activity. Therefore, this study aims to explore the serum levels of Sclerostin, DKK-1, Irisin, IL-6, RANKL, Vitamin D, and TNF-α and assess their relationships with upper- and lower-body strength in young adults. In this study, 38 college-aged students (18–23 years), males and females, participated and completed the protocols. The participants’ lower and upper body strength were assessed by the vertical jump test (Just Jump, Probotic, AL) with a Tendo FitroDyne (Tendo Sports Machines, Trencin, Slovak Republic) and handgrip (HG) dynamometry (Takei Scientific Instruments, Yashiroda, Japan), respectively. Fasting morning blood samples were analyzed for serum levels of biomarkers by ELISA. The results indicate significant sex differences in Sclerostin, DKK-1, Irisin, and Vitamin D levels (p < 0.05). Furthermore, a positive association was observed between Sclerostin, DKK-1, and Vitamin D, with lower body muscle performance variables (p < 0.05). Conversely, a significant negative correlation was observed between TNF-α and lower-body muscle performance variables (p < 0.05). The results suggest that these markers may have a distinct effect on muscle performance, underscoring the need for further investigation to elucidate the concept of muscle–bone crosstalk. Full article
Show Figures

Figure 1

20 pages, 6331 KiB  
Article
Recovery Phase Nutrition and Insulin Strategies for a Collegiate Distance Runner with Type 1 Diabetes Mellitus: A Case Study
by Amie E. Schroeder, Richard R. Rosenkranz, Linda K. Yarrow, Mark D. Haub and Sara K. Rosenkranz
Sports 2023, 11(11), 214; https://doi.org/10.3390/sports11110214 - 3 Nov 2023
Viewed by 1766
Abstract
Purpose: There is scant published research regarding nutrition and insulin strategies for athletic performance in collegiate distance runners with type 1 diabetes mellitus (CDRT1). Acute carbohydrate supplementation (CHOsup) and insulin reduction used to minimize hypoglycemia during exercise may result in deteriorated glycemic control [...] Read more.
Purpose: There is scant published research regarding nutrition and insulin strategies for athletic performance in collegiate distance runners with type 1 diabetes mellitus (CDRT1). Acute carbohydrate supplementation (CHOsup) and insulin reduction used to minimize hypoglycemia during exercise may result in deteriorated glycemic control post exercise in CDRT1. The present case study of a CDRT1 investigated outcomes associated with a moderate-carbohydrate (ModCHO) diet and 24 h insulin adjustment during recovery phases for improved glycemic control and reduced use of acute strategies. Methods: During an 8-day period, a female CDRT1 followed a ModCHO (~4 g/kg/day) nutrition program. Recovery phase adjustments to insulin doses were made using an equation developed to estimate reduced insulin needs post exercise, as a function of exercise intensity and duration. Daily training was performed in the fasted state at 6:00 a.m. and included additional exercise strategies to reduce glycemic variability when needed. Daily blood glucose time-in-range (TIR) and use of CHOsup were assessed. Athlete well-being was determined using the Student-Athlete Well-Being Scale (SAWS)TM at baseline, and days 1, 3, and 7. Results: Throughout the 8-day period, mean TIR increased (77% versus < 50%) and the magnitude of glycemic excursions decreased (~3.8–15 versus ~3.0–26 mmol/L) relative to a prior comparison period. Minimal pre-exercise CHOsup was employed and CHOsup during exercise was not required. Additionally, the athlete achieved a new lifetime best in the 5000 m run and maintained positive well-being. Conclusion: The present case study provides examples of recovery phase strategies (i.e., ModCHO diet and 24 h insulin adjustments) that may support glycemic control and athletic performance in CDRT1 and provides potential considerations for nutrition and insulin strategies for use by athletes and coaches. Full article
Show Figures

Figure 1

15 pages, 1100 KiB  
Review
Fundamentals or Icing on Top of the Cake? A Narrative Review of Recovery Strategies and Devices for Athletes
by Matthew Driller and Alana Leabeater
Sports 2023, 11(11), 213; https://doi.org/10.3390/sports11110213 - 3 Nov 2023
Viewed by 6139
Abstract
The sport and athletic performance industry has seen a plethora of new recovery devices and technologies over recent years, and it has become somewhat difficult for athletes, coaches, and practitioners to navigate the efficacy of such devices or whether they are even required [...] Read more.
The sport and athletic performance industry has seen a plethora of new recovery devices and technologies over recent years, and it has become somewhat difficult for athletes, coaches, and practitioners to navigate the efficacy of such devices or whether they are even required at all. With the increase in recovery devices and tools, it has also become commonplace for athletes to overlook more traditional, well-established recovery strategies. In this narrative review, we discuss recovery strategies in relation to the hierarchy of scientific evidence, classifying them based on the strength of the evidence, ranging from meta-analyses through to case studies and reports. We report that foam rolling, compression garments, cryotherapy, photobiomodulation, hydrotherapy, and active recovery have a high level of positive evidence for improved recovery outcomes, while sauna, recovery boots/sleeves, occlusion cuffs, and massage guns currently have a lower level of evidence and mixed results for their efficacy. Finally, we provide guidance for practitioners when deciding on recovery strategies to use with athletes during different phases of the season. Full article
Show Figures

Figure 1

9 pages, 890 KiB  
Article
Assessment of Intercostal Muscle Near-Infrared Spectroscopy for Estimating Respiratory Compensation Point in Trained Endurance Athletes
by Salvador Romero-Arenas, Carmen Daniela Quero-Calero, Oriol Abellan-Aynes, Luis Andreu-Caravaca, Marta Fernandez-Calero, Pedro Manonelles and Daniel Lopez-Plaza
Sports 2023, 11(11), 212; https://doi.org/10.3390/sports11110212 - 1 Nov 2023
Viewed by 1563
Abstract
This study aimed to assess the reliability and validity of estimating the respiratory compensation point (RCP) in trained endurance athletes by analyzing intercostal muscles’ NIRS-derived tissue oxygenation dynamics. Seventeen experienced trail runners underwent an incremental treadmill protocol on two separate occasions, with a [...] Read more.
This study aimed to assess the reliability and validity of estimating the respiratory compensation point (RCP) in trained endurance athletes by analyzing intercostal muscles’ NIRS-derived tissue oxygenation dynamics. Seventeen experienced trail runners underwent an incremental treadmill protocol on two separate occasions, with a 7-day gap between assessments. Gas exchange and muscle oxygenation data were collected, and the oxygen saturation breakpoint (SmO2BP) measured in the intercostal muscles was compared to the RCP, which was identified by the increase in the VE/V.CO2 slope and the point at which the PetCO2 started to decrease. No statistically significant differences were observed between the two methods for any of the variables analyzed. Bland–Altman analysis showed significant agreement between the NIRS and gas analyzer methods for speed (r = 0.96, p < 0.05), HR (r = 0.98, p < 0.05), V.O2 relative to body mass (r = 0.99, p < 0.05), and %SmO2 (r = 0.98, p < 0.05). The interclass correlation coefficient values showed moderate to good reliability (0.60 to 0.86), and test–retest analysis revealed mean differences within the confidence intervals for all variables. These findings suggest that the SmO2BP measured using a portable NIRS device in the intercostal muscles is a reliable and valid tool for estimating the RCP for experienced trail runners and might be useful for coaches and athletes to monitor endurance training. Full article
(This article belongs to the Special Issue Sport Physiology and Physical Performance)
Show Figures

Figure 1

23 pages, 1500 KiB  
Review
Products for Sportspeople Containing Constituents Derived from the Common Bean Phaseolus vulgaris L. (Fabaceae)—A Narrative Literature Review
by Kinga Kostrakiewicz-Gierałt
Sports 2023, 11(11), 211; https://doi.org/10.3390/sports11110211 - 31 Oct 2023
Cited by 1 | Viewed by 1960
Abstract
The third-largest land plant family, Fabaceae (Papilionaceae), includes trees, shrubs, and perennial or annual herbaceous plants containing both numerous beneficial constituents (e.g., proteins, carbohydrates, dietary fibre) and antinutrients (e.g., saponins, tannins, phytic acid, gossypol, lectins). The consumption of leguminous plants allows sports people [...] Read more.
The third-largest land plant family, Fabaceae (Papilionaceae), includes trees, shrubs, and perennial or annual herbaceous plants containing both numerous beneficial constituents (e.g., proteins, carbohydrates, dietary fibre) and antinutrients (e.g., saponins, tannins, phytic acid, gossypol, lectins). The consumption of leguminous plants allows sports people to complete their requirements for nourishment but, on the other hand, it contributes to digestive system ailments. Therefore, the aim of the presented study was to review the experimental articles and patents referring to the application of common (kidney) bean (Phaseolus vulgaris L.)-based nutritional products for athletes. The survey of the literature was carried out according to PRISMA statements by browsing Scopus, PubMed and ISI Web of Science databases, as well as Google Scholar, Google Patents and Espacenet Patent Search engines using factorial combinations of the following keywords: (‘common bean’ or ‘kidney bean’ or ‘Phaseolus vulgaris’) and (‘athlete’ or ‘sport’) and (‘food’ or ‘nutrition’ or ‘diet’). Altogether, 84 patents issued in the years 1995–2023 were noted. The majority of patents were developed by research teams consisting of at least four authors representing scientists affiliated in the United States of America and China. The patents refer to the production of food ingredients, nutritional products, and compositions: (i) for relieving fatigue, enhancing endurance, and increasing muscle mass and strength, (ii) for maintaining physical and mental health, and (iii) for controlling body weight. Moreover, the analysis of 19 original articles indicated the substantial acceptability of meals containing the common bean. To summarize, the performed investigations demonstrate the considerable use of Phaseolus vulgaris in sport nutrition and the growing acceptance of this trend. Full article
Show Figures

Figure 1

10 pages, 869 KiB  
Article
Exploring an Unknown Corner of a Well-Known Topic: HIIE Influence on Renal Health and Filtration in Healthy Individuals Free of Cardiometabolic Diseases
by Jeffrey S. Forsse, Kathleen A. Richardson, Ricardo Torres, Catherine Lowry, James Kyle Taylor, Cassidy L. Beeson, Jacob Ward, Anurag Dhillon, Brock Niceler, Ahmed Ismaeel and Panagiotis Koutakis
Sports 2023, 11(11), 210; https://doi.org/10.3390/sports11110210 - 30 Oct 2023
Viewed by 1330
Abstract
Aerobic exercise, specifically high-intensity interval exercise (HIIE), and its effects on renal health and filtration (RHF) are not well understood. Several studies support incorporating contemporary biomarkers serum cystatin C (CyC) and urine epidermal growth factor (uEGF) to combat the volatility of serum creatinine [...] Read more.
Aerobic exercise, specifically high-intensity interval exercise (HIIE), and its effects on renal health and filtration (RHF) are not well understood. Several studies support incorporating contemporary biomarkers serum cystatin C (CyC) and urine epidermal growth factor (uEGF) to combat the volatility of serum creatinine (sCr). Using these biomarkers, we examined the acute influences HIIE has on RHF to determine if there is a ceiling effect in healthy populations. The purpose was to determine the influence of an acute bout of HIIE on RHF. Thirty-six participants (n = 22 males; n = 14 females; age 37.6 ± 12.4 years.; BF% 19.2 ± 7.1%; VO2max 41.8 + 7.4 mL/kg/min) completed 30 min of HIIE on a treadmill (80% and 40% of VO2reserve in 3:2 min ratio). Blood and urine samples were obtained under standardized conditions before, 1 h, and 24 h post-exercise. CyC, sCR, uEGF, urine creatinine (uCr), uCr/uEGF ratio, and multiple estimates of glomerular filtration rate (eGFR) Modification of Diet in Renal Disease (MDRD) and CKD-EPI equations were used. The analysis employed paired sample t-tests and repeated measures ANOVAs. CyC, uEGF, uCr, and uCr/uEGF ratio concentrations were not altered between timepoints. sCr increased 1 h post-exercise (p > 0.002) but not at 24 h post-exercise. eGFR decreased in the MDRD and CKD-EPI equations at 1 h (p > 0.012) with no changes at 24 h post-exercise. CyC and sCr/CyC demonstrated no significant changes. CyC and uEGF are not altered by acute HIIE. The results demonstrate a potential ceiling effect in contemporary and traditional biomarkers of RHF, indicating improvements in RHF may be isolated to populations with reduced kidney function. Full article
Show Figures

Figure 1

11 pages, 459 KiB  
Article
Orthostasis Is Impaired Due to Fatiguing Intensive Acute Concentric Exercise Succeeded by Isometric Weight-Loaded Wall-Sit in Delayed-Onset Muscle Soreness: A Pilot Study
by Balázs Sonkodi, Tamás Radovits, Emese Csulak, Bence Kopper, Nóra Sydó and Béla Merkely
Sports 2023, 11(11), 209; https://doi.org/10.3390/sports11110209 - 27 Oct 2023
Cited by 2 | Viewed by 2024
Abstract
The aim of the study was to investigate any indication of diminished orthostatic tolerance as a result of fatiguing intensive acute concentric exercise with a successive isometric wall-sit followed by an orthostatic stress test, with a special focus on any distinguishable alterations due [...] Read more.
The aim of the study was to investigate any indication of diminished orthostatic tolerance as a result of fatiguing intensive acute concentric exercise with a successive isometric wall-sit followed by an orthostatic stress test, with a special focus on any distinguishable alterations due to a delayed-onset muscle soreness effect. The exercise protocol was carried out among nineteen (10 female, 9 male) junior swimmers from the Hungarian National Swim Team. All athletes showed a positive orthostatic stress test right after our exercise protocol. The diastolic blood pressure was significantly lower due to the delayed-onset muscle soreness effect in the standing position after the supine position of the orthostatic stress test, in contrast to the athletes who did not experience delayed-onset muscle soreness. Furthermore, the heart rate was dysregulated in athletes with a delayed-onset muscle soreness effect when they assumed a supine position after the sustained standing position during the orthostatic stress test, in contrast to the athletes without delayed-onset muscle soreness. Interesting to note is that, in three subjects, the sustained standing position decreased the heart rate below the level of the initial supine position and six athletes experienced dizziness in the standing position, and all of these athletes were from the group that experienced delayed-onset muscle soreness. Accordingly, this study, for the first time, demonstrated that delayed-onset muscle soreness impairs orthostasis after unaccustomed fatiguing intensive acute concentric exercise with a successive isometric weight-loaded wall-sit; however, validation of this association should be investigated in a larger sample size. Full article
Show Figures

Figure 1

12 pages, 503 KiB  
Article
Effects of the New COVID-19-Induced Rule on Substitutions and Performance in Italian Elite Soccer
by Bruno Ruscello, Matteo Tozzi, Gennaro Apollaro, Alberto Grossi, Gabriele Morganti, Mario Esposito, Laura Pantanella, Giuseppe Messina and Elvira Padua
Sports 2023, 11(11), 208; https://doi.org/10.3390/sports11110208 - 26 Oct 2023
Cited by 1 | Viewed by 1936
Abstract
COVID-19 has resulted in widespread changes, including within the realm of sports. Professional soccer has adapted by allowing more substitutions, leading to tactical adjustments and potential physical benefits. Accordingly, this study analyzed the impact of the new rule in Italian top-level soccer, focusing [...] Read more.
COVID-19 has resulted in widespread changes, including within the realm of sports. Professional soccer has adapted by allowing more substitutions, leading to tactical adjustments and potential physical benefits. Accordingly, this study analyzed the impact of the new rule in Italian top-level soccer, focusing on substitution patterns and performance differences between the pre-COVID (2017–2018, 2018–2019 seasons) and post COVID (2020–2021, 2021–2022 seasons) eras. As such, publicly available data from 1520 matches (760 matches per era) were recorded. The sample included matches played from 40 Italian top division teams in both the pre- and post-COVID eras. Analyses confirmed substitutions follow a consistent temporal pattern throughout the match in both eras, highlighting a slight difference in second-half management, and showed the new rule is still not used to its full potential, thus raising concerns about teams’ financial strength, as not all managers possess “deep benches” (i.e., a large number of top-level players available to play). Further analyses revealed a statistically significant increment (p = 0.002) in the quantity of collectively produced sprints in the post-COVID era compared to the pre-COVID one. The results from this study emphasize the need to carefully address sprint preparation and repeated sprint abilities, also considering factors such as the number of substitutes and their skill level. Full article
Show Figures

Figure 1

32 pages, 1796 KiB  
Article
Home-Based Intelligent Exercise System for Seniors’ Healthcare: The Example of Golf Croquet
by Yu-Li Zhou, Chia-Li Chen, Shih-Jui Chang and Bo-Sheng Wu
Sports 2023, 11(11), 207; https://doi.org/10.3390/sports11110207 - 26 Oct 2023
Viewed by 1946
Abstract
In 2020, the world experienced the threat of the COVID-19 epidemic, and seniors and chronic disease patients generally reduced their exercise and social activities to avoid increasing the risk of infection, which could lead to increased loneliness and even many diseases. Combining golf [...] Read more.
In 2020, the world experienced the threat of the COVID-19 epidemic, and seniors and chronic disease patients generally reduced their exercise and social activities to avoid increasing the risk of infection, which could lead to increased loneliness and even many diseases. Combining golf croquet games with a mobile application (App) and AIoT companion robots, this research constructs a home-based intelligent exercise system, uses the technology acceptance model (TAM), deduces users’ intention to use this system based on perceived usefulness and perceived ease of use, and adds the needs of love and belonging, esteem, cognitive, aesthetic, and self-actualization in Maslow’s hierarchy of needs theory (HNT) to conduct an analysis of system needs. This study collected empirical data, totaling 320 participants including seniors and their caregivers, from elderly care centers in northern Taiwan using a cross-sectional survey and purposive sampling. Based on regression and variance analysis, the results show that participants have a high level of acceptance of this system, believing that it is easy to learn and operate and can increase interaction with others, improve self-confirmation, satisfy the thirst for knowledge, increase the feeling of happiness, and fulfill self-actualization needs. In the future, by collecting and recording the process of seniors using the App, so as to find out their health problems as soon as possible, expand their daily life through this exercise, and achieve the goal of happy living and better healthcare. Full article
Show Figures

Figure 1

Previous Issue
Next Issue
Back to TopTop