Search Results (24)

Objectives: This study evaluates the test-retest reliability and inter-rater reliability of the MyotonPRO for measuring Achilles tendon stiffness at two standardized sites over various time frames and settings. Methods: Eight healthy participants underwent assessments by three raters over six visits. Tendon stiffness was measured at proximal (mid-portion) and distal (insertional) regions of the Achilles tendon at various time frames (10–15 s, 10–15 min, 24 h, and 14 days apart). Measurements included participant repositioning and two activity stimuli (daily living and sport). Reliability was calculated using the intraclass correlation coefficient (ICC), its 95% confidence interval, coefficient of variation, standard error of measurement, and minimal detectable change. Results: Short-term reliability (10–15 min) was excellent, with an ICC of 0.956 (0.929–0.974). Between days reliability (24 h) was good, with an ICC of 0.889 (0.802–0.938). Between weeks reliability (2 weeks) was good with an ICC of 0.886 (0.811–0.931). Short-term reliability with the simulation of activity of daily living was good, with an ICC of 0.917 (0.875–0.945). Short-term reliability with the simulation of sport was good with an ICC of 0.933 (0.891–0.96). Between days reliability with the simulation of sport was good, with an ICC of 0.920 (0.859–0.955). Conclusions: When used in a standardized position, the MyotonPRO demonstrates reliable repeated measurements of Achilles tendon stiffness. This protocol provides a foundation for clinical research and rehabilitation by clarifying expected reliability across minutes, days, and weeks, thus aiding clinicians and researchers in monitoring tendon adaptations and making evidence-based decisions. Full article

This study aimed to determine the distributions of number of shots per point, point duration, point pace and technical actions during the match in professional men and women padel players. A total of 35,145 hits (3239 points; men = 1602 and women = 1637) were analyzed in 20 matches corresponding to quarterfinal, semifinal and final matches of the World Padel Tour 2020 season. The observations were conducted through systematic observation and involved a total of 32 players (16 men and 16 women). Men’s points lasted 13.5–14.8 s, comprising 10–11 hits, resulting in a ratio of 0.80 shots per second, with no differences between sets. Women’s points lasted longer than men’s (14.4 to 16.2 s, p = 0.011) but included a similar number of shots per point, resulting in a lower rhythm of play (0.73–0.75 shots per second, p < 0.001), particularly in the third set (p = 0.004). Volleys, lobs and directs were used in >60% of the points, with a frequency of one to three times per point. Bandejas were used in 50–60% of the points, with a frequency of one to two times per point. Backwalls and flat smashes were used at least once in 30–48% of the points. Selective actions had a greater frequency of use in the third set (i.e., flat smash and smash x3 in women; forehand/backhand volleys and side-wall forehand in men), suggesting occasional changes in the style of play, but likely explained by the onset of fatigue. In conclusion, game volumes, intensity and actions remained broadly similar throughout professional padel matches. Full article

Exercise is a front-line intervention to increase functional capacity and reduce pain and disability in people with low strength levels or disorders. However, there is a lack of validated field-based tests to check the initial status and, more importantly, to control the process and make tailored adjustments in load, intensity, and recovery. We aimed to determine the test–retest reliability of a submaximal, resistance-band test to evaluate the strength of the trunk stability muscles using a portable force sensor in middle-aged adults (48 ± 13 years) with medically diagnosed chronic low back pain and healthy peers (n = 35). Participants completed two submaximal progressive tests of two resistance-band exercises (unilateral row and Pallof press), consisting of 5 s maintained contraction, progressively increasing the load. The test stopped when deviation from the initial position by compensation movements occurred. Trunk muscle strength (CORE muscles) was monitored in real time using a portable force sensor (strain gauge). Results revealed that both tests were highly reliable (intra-class correlation [ICC] > 0.901) and presented low errors and coefficients of variation (CV) in both groups. In particular, people with low back pain had errors of 14–19 N (CV = 9–12%) in the unilateral row test and 13–19 N (CV = 8–12%) in the Pallof press. No discomfort or pain was reported during or after the tests. These two easy-to-use and technology-based tests result in a reliable and objective screening tool to evaluate the strength and trunk stability in middle-aged adults with chronic low back pain, considering an error of measurement < 20 N. This contribution may have an impact on improving the individualization and control of rehabilitation or physical training in people with lumbar injuries or disorders. Full article

Scientific evidence proves the importance of physical activity and sports in decreasing morbidity and mortality rates and health-related costs. Public and stakeholder involvement is vital in the sustainable promotion of physical activity and sports practice in local settings. The aim of this study was to identify the levels of physical activity and sports habits of the population of the city Cartagena (Spain). The short version of the International Questionnaire of Physical Activity was used (IQPA) and a virtual questionnaire on sports habits was sent to 1450 citizens. Responses from 248 people (162 men and 86 women), with ages ranging from 18 to 77 years old (average age = 41 ± 17 years old), were collected. The results showed low to moderate levels of physical activity with no considerable differences between men and women for the population of Cartagena. Women were shown to engage in higher intensity practice of physical activity, whereas men were shown to be more consistent and have a significantly higher participation rate in sports events, both those with free entry and those that require the acquisition of a ticket. Men were also shown to have a higher rate of media sport use. This information may assist in the development of effective political actions to promote physical activity and sports in local settings. Full article

Background: Field-based tests using portable devices are extremely helpful to assist physicians and coaches in the assessment of athletes’ muscle strength and for injury risk screening. The aim of this study was to investigate the reliability of a field-based test to assess unilateral hamstring and quadriceps isometric muscle strength in a nearly extended position (30° knee flexion) in football players. Methods: Nineteen male football players completed the field-based test on two separate occasions, one week apart, to produce a test–retest design. To complete the test, participants performed maximal isometric efforts on a custom-built bench with 30° of knee flexion and 90° of hip flexion while the force applied was measured with a portable load cell at 80 Hz. On each occasion, participants performed two 2 s maximal isometric repetitions intending to flex and extend the knee to assess hamstring and quadriceps strength, respectively. In each repetition, the force developed during the maximum voluntary isometric contraction (MVIC) and rate of force development (RFD) metrics for hamstring (H) and quadriceps (Q) were collected, and the H:Q ratio was calculated afterwards. Results: MVIC showed the highest reliability for the measurement of both hamstring and quadriceps strength (ICC > 0.80, [95% CI: 0.55, 0.96]; CV < 14%, [95% CI: 6.6, 20]) and for H:Q (ICC > 0.75, [95% CI: 0.48, 0.95]; CV < 15%, [95% CI: 8.9, 22.4]). RFD_0–150 and RFD_0–250 yielded moderate reliability values for hamstring strength (ICC = 0.78–0.86, [95% CI: 0.52, 0.94]; CV = 20–27%, [95% CI: 15, 39.7]). RFD_0–50 presented the largest variability (ICC < 0.80, [95% CI: 0.62, 0.95]; CV > 25%, [95% CI: 19.2, 45.3]). Conclusions: The field-based test presented here provided reliable results for the measurement of maximal isometric hamstring and quadriceps strength and for the calculation of the H:Q ratio. However, the measurement of RFD with this test is less reliable. This test allows reliable field-based assessments of hamstring and quadriceps maximal isometric strength which can be helpful to identify muscle strength deficits and imbalances during injury prevention and management processes in football players. Full article

This study aimed to examine the sensitivity of the isometric knee extension (IKE) test to detect changes in the lower-limb strength of institutionalized older adults after exercise and inactivity periods. Thirty-four and fifteen institutionalized older adults completed the training and inactive periods, respectively. At each time point, the participants completed two testing sessions. In the first session, they performed the IKE test. As a complement to this evaluation, the second testing session was used to assess their functional capacity and handgrip strength. The sensitivity of the IKE test was examined by comparing the changes generated in this test against the repeatability of the protocol. A 4-week multicomponent Vivifrail program was implemented. After that, a subsample of the participants was re-evaluated after a 14-week inactivity period. Significant changes (p < 0.01; ES ≥ 0.27) in the IKE strength for both the dominant (+0.27 N/kg) and non-dominant legs (+0.25 N/kg) were produced after the training intervention. Likewise, significant decrements (p < 0.01; ES ≥ 0.31) were detected after the inactive period for the dominant (−0.29 N/kg) and non-dominant legs (−0.32 N/kg). All mean changes were found to be superior to the variability threshold of the IKE test for both legs, with superior sensitivity for the non-dominant leg (≥73%). Thus, the IKE test is a sensitive and practical tool for detecting changes in the lower-limb strength of institutionalized older adults after exercise and inactivity periods. Because of its applicability, it seems pertinent to implement the IKE test in a geriatric context. Full article

Workload is calculated from exercise volume and intensity. In endurance sports, intensity has been measured using heart rate or RPE, giving rise to load indexes such as sRPE or TRIMP. In cycling, the advent of power meters led to new indexes, such as TSS. All these indexes have limitations, especially for high intensity exercise. Therefore, a new index for cycling is proposed, the Power Profile Index (PPi), which includes a weighting factor obtained from the relative exercise intensity and stage type. Using power data from 67 WorldTour cyclists and fatigue records in different stage types from 102 road cyclists, weighting factors for intensity and stage type were determined. Subsequently, the PPi was computed and compared to current indexes using data from a WorldTour team during the 2018 Tour de France. The proposed index showed a strong correlation with perceived fatigue as a function of stage type (R² = 0.9996), as well as no differences in the load quantification in different types of stage profiles (p = 0.292), something that does not occur with other indexes such as TSS, RPE, or eTRIMP (p < 0.001). Therefore, PPi is a new index capable of quantifying the high intensity efforts that produce greater fatigue, as well as considering the stage type. Full article

Benefits of regular exercise for health are beyond any doubt. However, adherence to regular physical activity is an ongoing challenge. Among the options for exercise engagement, racket sports, and particularly padel, stand as emerging practices for children and adults to have fun, improve physical fitness, and potentially develop motor and cognitive skills. In the last decade, the literature on padel is increasing exponentially. However, there is a need for further experimental research. To design safe and effective sport-base physical activity promotion interventions, it is essential to have a deep understanding of the physical requirements, technical complexity, injury risks, and strength and conditioning programs. To assist researchers to conduct effective padel-based interventions for health, this review summarizes the state-of-the-art evidence about padel, identifies key topics to be addressed in the future, and discusses the potential role of padel as a physical fitness and health promotion strategy. A narrative review is presented, summarizing the results of padel articles from three different databases: Web of Science, Scopus, and Google Scholar. Studies written in Spanish and English were the inclusion criteria. The studies had to be published from 2000 onwards and be original, as well as peer-reviewed. Full article

Patients recovering from COVID-19 commonly report persistence of dyspnea, exertional fatigue, and difficulties in carrying out their daily activities. However, the nature of these symptoms is still unknown. The purpose of the study was to identify limiting causes of cardiopulmonary origin for the performance of physical exercise in post-COVID-19 condition that could explain the symptomatic persistence of dyspnea or fatigue-related symptoms. Thirty-two non-hospitalized patients with post-COVID-19 condition (i.e., still presenting a chronic symptomatic phase lasting >90 days since debut of symptoms that lasted for at least 2 months and cannot be explained by an alternative diagnosis) completed a clinical examination including echocardiography, submaximal and maximal cardiorespiratory fitness tests (Ekblom-Bak and Bruce’s protocols), and a battery of validated questionnaires about fatigue and exercise intolerance. Four participants (12.5%) reported an abnormal cardiac response to exercise during the submaximal test, which aroused suspicion of the presence of chronotropic incompetence. All of them were confirmed with a positive diagnosis maximal exercise test after cardiology screening, even with a comprehensive clinical examination, resting ECG, and echocardiogram, without other findings. No statistical differences were found in any physiological variables or questionnaire values, between patients with positive and negative diagnoses. Chronotropic incompetence and other autonomic disorders may appear in patients with mild forms of COVID-19 presentation and may persist in the long term, being responsible for exercise intolerance after resolution of acute infection. Clinicians should be aware that chronotropic incompetence and other autonomic disorders may be a complication of COVID-19 and should consider appropriate diagnostic and therapeutic interventions in these patients, especially when early exercise-related fatigability is reported. Full article

Physical exercise may activate a number of important biochemical processes in the human body. The aim of this systematic review and meta-analysis was to identify the long-term effect of physical activity on irisin blood levels. We searched PubMed, Scopus, and Web of Science for articles addressing the long-term effect of physical exercise on irisin blood levels. Fifty-nine articles were included in the final qualitative and quantitative syntheses. A statistically significant within-group effect of exercise on irisin blood levels was in 33 studies; out of them, the irisin level increased 23× and decreased 10×. The significant positive between-groups effect was found 11×. Furthermore, the meta-analysis indicated that physical exercise had a significant positive effect on irisin blood levels (SMD = 0.39 (95% CI 0.27–0.52)). Nevertheless, considerably high heterogeneity was found in all the analyses. This systematic review and meta-analysis indicate that physical exercise might increase irisin blood levels; however, the results of individual studies were considerably inconsistent, which questions the methodological detection of irisin by ELISA kits. Full article

Despite being a key sport-specific characteristic in performance, there is no practical tool to assess the quality of the pass in basketball. The aim of this study is to develop a tool (the quality-pass index or Q-Pass) able to deliver a quantitative, practical measure of passing skills quality based on a combination of accuracy, execution time and pass pattern variability. Temporal, kinematics and performance parameters were analysed in five different types of passes (chest, bounce, crossover, between-the-leg and behind-the-back) using a field-based test, video cameras and body-worn inertial sensors (IMUs). Data from pass accuracy, time and angular velocity were collected and processed in a custom-built excel spreadsheet. The Q-pass index (0–100 score) resulted from the sum of the three factors. Data were collected from 16 young basketball players (age: 16 ± 2 years) with high (experienced) and low (novice) level of expertise. Reliability analyses found the Q-pass index as a reliable tool in both novice (CV from 4.3 to 9.3%) and experienced players (CV from 2.8 to 10.2%). Besides, important differences in the Q-pass index were found between players’ level (p < 0.05), with the experienced showing better scores in all passing situations: behind-the-back (ES = 1.91), bounce (ES = 0.82), between-the-legs (ES = 1.11), crossover (ES = 0.58) and chest (ES = 0.94). According to these findings, the Q-pass index was sensitive enough to identify the differences in passing skills between young players with different levels of expertise, providing a numbering score for each pass executed. Full article

The coronavirus disease (COVID-19), caused by severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection, is leading to unknown and unusual health conditions that are challenging to manage. Post-COVID-19 syndrome is one of those challenges, having become increasingly common as the pandemic evolves. The latest estimates suggest that 10 to 20% of the SARS-CoV-2 patients who undergo an acute symptomatic phase are experiencing effects of the disease beyond 12 weeks after diagnosis. Although research is beginning to examine this new condition, there are still serious concerns about the diagnostic identification, which limits the best therapeutic approach. Exercise programs and physical activity levels are well-known modulators of the clinical manifestations and prognosis in many chronic diseases. This narrative review summarizes the up-to-date evidence on post-COVID-19 syndrome to contribute to a better knowledge of the disease and explains how regular exercise may improve many of these symptoms and could reduce the long-term effects of COVID-19. Full article

This study aimed to examine the validity and reliability of the recently developed Assioma Favero pedals under laboratory cycling conditions. In total, 12 well-trained male cyclists and triathletes (VO_2max = 65.7 ± 8.7 mL·kg⁻¹·min⁻¹) completed five cycling tests including graded exercises tests (GXT) at different cadences (70–100 revolutions per minute, rpm), workloads (100–650 Watts, W), pedaling positions (seated and standing), vibration stress (20–40 Hz), and an 8-s maximal sprint. Tests were completed using a calibrated direct drive indoor trainer for the standing, seated, and vibration GXTs, and a friction belt cycle ergometer for the high-workload step protocol. Power output (PO) and cadence were collected from three different brand, new pedal units against the gold-standard SRM crankset. The three units of the Assioma Favero exhibited very high within-test reliability and an extremely high agreement between 100 and 250 W, compared to the gold standard (Standard Error of Measurement, SEM from 2.3–6.4 W). Greater PO produced a significant underestimating trend (p < 0.05, Effect size, ES ≥ 0.22), with pedals showing systematically lower PO than SRM (1–3%) but producing low bias for all GXT tests and conditions (1.5–7.4 W). Furthermore, vibrations ≥ 30 Hz significantly increased the differences up to 4% (p < 0.05, ES ≥ 0.24), whereas peak and mean PO differed importantly between devices during the sprints (p < 0.03, ES ≥ 0.39). These results demonstrate that the Assioma Favero power meter pedals provide trustworthy PO readings from 100 to 650 W, in either seated or standing positions, with vibrations between 20 and 40 Hz at cadences of 70, 85, and 100 rpm, or even at a free chosen cadence. Full article

Sarcopenia and frailty are age-related syndromes with negative effects on the quality of life of older people and on public health costs. Although extensive research has been carried out on the effects of physical exercise and physical syndromes, there is a knowledge gap when it comes to the effect of resistance training on muscular strength, physical performance, and body composition at early (prevention) and late (treatment) stages in both syndromes combined. We conducted this systematic review and meta-analysis (CRD42019138253) to gather the evidence of randomized controlled trials examining the effects of resistance training programs lasting ≥8 weeks on strength, physical function, and body composition of adults ≥65 years old diagnosed with pre-sarcopenia, sarcopenia, pre-frailty, or frailty. A search from the earliest record up to and including December 2020 was carried out using the PubMed, Scopus, Web of Science, and Cochrane Library databases. A total of 25 studies (n = 2267 participants) were included. Meta-analysis showed significant changes in favour of resistance training for handgrip (ES = 0.51, p = 0.001) and lower-limb strength (ES = 0.93, p < 0.001), agility (ES = 0.78, p = 0.003), gait speed (ES = 0.75, p < 0.001), postural stability (ES = 0.68, p = 0.007), functional performance (ES = 0.76, p < 0.001), fat mass (ES = 0.41, p = 0.001), and muscle mass (ES = 0.29, p = 0.002). Resistance training during early stages had positive effects in all variables during early stages (ES > 0.12), being particularly effective in improving gait speed (ES = 0.63, p = 0.016) and functional strength (ES = 0.53, p = 0.011). Based on these results, resistance training should be considered as a highly effective preventive strategy to delay and attenuate the negative effects of sarcopenia and frailty in both early and late stages. Full article

The aim of this study was to identify the differences in body composition and physical fitness between children who played table tennis regularly during a two-year period compared to physically active children who were not engaged in a regular activity. Three hundred seventy-four children aged 10 to 11 years were divided into two groups: table tennis players (n = 109 boys and 73 girls) and physically active group (n = 88 boys and 104 girls). Anthropometric analysis included body mass index, skinfolds, perimeters and bone diameters. Somatotype and body composition were determined according to age-specific equations. Physical fitness assessment included hand grip dynamometry (strength), sit-and-reach test (range of movement) and maximal multistage 20 m shuttle run test (cardiovascular fitness). The result show that children who regularly played table tennis had greater bone development and superior physical fitness compared to those who were physically active but not engaged in a regular physical activity. This is the largest study to date presenting data about the potential of table tennis to benefit health in children. These results constitute an important first step in clarifying the effectiveness of table tennis as a health-promotion strategy to encourage children to undertake regular physical activity and limit sedentary behavior. Full article