Search Results (105)

Objective: Mental fatigue (MF) worsens soccer performance. Further knowledge is needed to understand MF’s effects on soccer players and its underlying mechanisms. Our aim was to analyze the subjective, objective, and neural MF-related outcomes induced by different type of tasks. Methods: A randomized crossover experimental design with repeated measures was used. Thirteen amateur soccer players (M_age = 23 ± 5.43) completed three conditions: cognitive (30 min. Stroop.), physical (30 min. cycling), or combined (30 min. Stroop while cycling). Ratings of mental fatigue (measured via the Visual Analogue Scale), electroencephalographical signals (electroencephalography), and psychomotor performance (Brief-Psychomotor Vigilance Test) were measured pre- and post-condition. Soccer-related decision-making (TacticUP^® test) was assessed post-condition. Results: Linear Mixed Models analysis revealed increments in perceived mental fatigue in all conditions, especially cognitive (p = 0.004) and combined (p < 0.0001) conditions. Psychomotor performance worsened, especially for cognitive (p = 0.039) and combined (p = 0.009) conditions. The Individual Alpha Peak Frequency was lower after the cognitive task (p = 0.040) and compared with the physical task (p = 0.021). The Alpha midline power increased after the cognitive task in the central-frontal (p = 0.047) and central-posterior brain regions (p = 0.043). Conclusions: Cognitive and combined conditions were found to be more mentally demanding and fatiguing than single physical tasks. This was also reflected by an impaired reaction time. Based on the neural activity recorded, the performance impairments caused by mental fatigue were caused by reduced brain readiness (i.e., a lower Alpha Peak Frequency). However, non-significant changes were found in soccer-related decision-making. Coaches should consider the type of training tasks they recommend in light of their different effects on mental fatigue and performance. Full article

Objective: This paper examines how rhythm-enhanced digital dance affects children’s motor abilities, cognitive performance, and neuromuscular synchronization. Methods: In a randomized repeated-measures study, 38 children (7–12 years) underwent three conditions: groove music-accompanied dance (GODA), conventional music dance (CODA), and non-musical physical activity (CON). Assessments of gross motor skills (using TGMD-3), executive function (using BRIEF and Stroop Test), and muscle coordination (using sEMG) were conducted. Results: Gross motor skills: GODA showed significantly higher TGMD scores in locomotor (p = 0.03) and ball skills (p = 0.02) compared to both CODA and CON (p < 0.001). Executive function: Inhibition and shifting dimensions showed significant post-intervention condition differences (p < 0.05). Muscle coordination: GODA exhibited greater β- and γ-band COH areas in the standing long jump compared to both CODA (p = 0.02) and CON (p < 0.001), and increased γ-band COH areas in single-leg balance compared to CODA (p = 0.02) and CON (p < 0.001). Conclusions: Combining rhythmic auditory stimulation with movement training offers a promising approach for integrated motor-cognitive development in children. Full article

High-Intensity Functional Training (HIFT) is a training method that has garnered increasing attention due to the rise in hybrid competitions such as CrossFit or Hyrox, a race format combining strength and endurance tasks in a fixed structure. Therefore, an integrative approach is needed to help us understand which physiological capacities this training method enhances. Objectives: This scoping review aimed to map the current scientific literature related to HIFT, with a particular focus on physiological and psychobiological determinants of performance in hybrid competition contexts. Methods: Following the methodological framework of Arksey and O’Malley and the PRISMA-ScR guidelines, a systematic search was conducted in Web of Science, Scopus, and PubMed. Thirty-nine studies published between 2015 and 2025 were included. Results: HIFT was found to improve key physical attributes such as aerobic capacity, muscular strength, anaerobic power, and fatigue tolerance. Increases in VO₂max ranging from 8% to 15% and strength gains of 10% to 20% in major lifts were commonly reported. Improvements in local muscular endurance, power output, and recovery capacity were also observed. The physiological benefits appeared more pronounced in trained individuals, especially those with greater resistance training volume. In addition, psychobiological responses, including perceived exertion, cognitive control, and motivation, were explored in several studies, with more experienced athletes showing higher fatigue tolerance and better performance consistency under stress. Conclusions: HIFT enhances essential physical attributes applicable to hybrid events. The findings support the use of HIFT as a foundational method for training athletes involved in demanding multi-domain fitness settings, without attributing these benefits specifically to any single competitive event. Full article

Background: Juvenile fibromyalgia (JFM) is a chronic pain disorder characterised by widespread musculoskeletal pain, functional impairment, fatigue, and mood disturbances. Treatment remains challenging, considering the multifactorial nature of the condition and the limited high-quality evidence supporting pharmacological or non-pharmacological interventions. Objectives: This review aimed to critically appraise level I evidence from randomised controlled trials assessing the efficacy and safety of pharmacological and non-pharmacological treatments for adolescents with JFM. Methods: Seven published peer-reviewed clinical trials were examined, including studies investigating duloxetine, milnacipran, pregabalin, cognitive-behavioural therapy (CBT), and the integrated Fibromyalgia Integrative Training Teens (FIT) program, which combines CBT with neuromuscular training. Outcomes of interest included pain intensity, functional disability, depression symptoms, physical activity, and adverse events. Results: Pharmacological agents such as duloxetine, milnacipran, and pregabalin demonstrated modest improvements in pain, but failed to produce consistent benefits in function or mood, and were associated with a high incidence of adverse effects. CBT significantly improved functional disability and depression symptoms, yet it had a limited impact on pain reduction or objectively measured activity levels. The FIT Teens program showed superior outcomes in pain intensity and biomechanical function compared to CBT alone, suggesting a synergistic effect of combining psychological and physical reconditioning strategies. Conclusions: Current evidence supports the use of multimodal treatment approaches in JFM. Non-pharmacological interventions, particularly when integrated with structured exercise, offer meaningful benefits with minimal safety concerns. Larger, methodologically rigorous trials are needed to establish optimal treatment pathways and long-term outcomes for this complex and underserved paediatric population. Full article

Background/Objectives: The aim of this systematic review was to compare the effectiveness of virtual reality (VR)-based training with conventional exercise programs in improving functional outcomes related to fall risk among older adults with various health conditions. Methods: The review was conducted in accordance with the PRISMA 2020 guidelines and registered in PROSPERO (registration number CRD42022345678). The databases Scopus, PubMed, Web of Science, and EBSCO were searched up to 31 March 2025. Randomized controlled trials (RCTs) were included if they involved participants aged ≥60 years, a VR intervention lasting ≥6 weeks, and a control group performing traditional exercises or receiving usual care. Methodological quality was assessed using the PEDro scale, and a narrative synthesis was performed across four outcome domains: balance, mobility, cognitive function, and fall risk. Results: Seven RCTs were included in the analysis (totaling 664 participants). VR training was found to be at least as effective as conventional exercise in improving balance (e.g., Berg Balance Scale) and mobility (e.g., Timed Up and Go), with some studies showing superior effects of VR. One RCT demonstrated that combining VR with balance exercises (MIX) yielded the greatest improvements in muscle strength and physical performance. Additionally, two studies reported cognitive benefits (e.g., MoCA) and a 42% reduction in fall incidence within six months following VR intervention. The methodological quality of the included studies was moderate to high (PEDro score 5–9/10). Conclusions: VR-based training represents a safe and engaging supplement to geriatric rehabilitation, effectively improving balance, mobility, and, in selected cases, cognitive function, while also reducing fall risk. Full article

Mild cognitive impairment (MCI) is the transitional stage between normal cognition and dementia and is associated with arterial stiffness, which may lead to cardiovascular disease. A water-based exercise (W) presents a low-impact activity for the joints and increases resistance compared to exercises performed in the air, which benefits older adults. However, little evidence has been found regarding the effect of W on promoting cognitive and physical performance in older individuals with MCI. Therefore, this study aimed to investigate and compare the post-training effects of W alone and in combination with cognitive training on cognitive function, cardiovascular fitness, and arterial stiffness in older adults with MCI. Forty-six adults with MCI, aged 65 years or older, were enrolled. Participants were divided into two groups: a W group and a water-based exercise combined with cognitive training (W-COG) group. Both groups performed an aerobic exercise program in water for 60 min per/day, 3 day/week, for 12 weeks. Participants in the W-COG group simultaneously performed aerobic exercise and cognitive training in water. Cognitive performance, cardiovascular fitness, and arterial stiffness were examined before and after the intervention. The results revealed improvements in cognitive performance and cardiovascular fitness in both the W and W-COG groups after 12 weeks of intervention. However, there were no significant differences in cognitive and cardiovascular fitness changes between the two groups. Neither the W nor the W-COG groups showed a decrease in brachial pulse wave velocity. Therefore, W interventions have the potential to enhance cognitive function, restore cognition, and improve cardiovascular fitness in older adults with MCI. Full article

Background: Digital technologies offer innovative opportunities for recovering and maintaining intellectual and mental health. The use of a multitask approach that combines motor component with various cognitive tasks in a virtual environment can optimize cognitive and physical functions and improve the quality of life of cardiac surgery patients. This study aimed to localize current sources of theta and alpha power in patients who have undergone virtual multitask training (VMT) and a control group in the early postoperative period of coronary artery bypass grafting (CABG). Methods: A total of 100 male CABG patients (mean age, 62.7 ± 7.62 years) were allocated to the VMT group (n = 50) or to the control group (n = 50). EEG was recorded in the eyes-closed resting state at baseline (2–3 days before CABG) and after VMT course or approximately 11–12 days after CABG (the control group). Power EEG analysis was conducted and frequency-domain standardized low-resolution tomography (sLORETA) was used to assess the effect of VMT on brain activity. Results: After VMT, patients demonstrated a significantly higher density of alpha-rhythm (7–9 Hz) current sources (t > −4.18; p < 0.026) in Brodmann area 30, parahippocampal, and limbic system structures compared to preoperative data. In contrast, the control group had a marked elevation in the density of theta-rhythm (3–5 Hz) current sources (t > −3.98; p < 0.017) in parieto-occipital areas in comparison to preoperative values. Conclusions: Virtual reality-based multitask training stimulated brain regions associated with spatial orientation and memory encoding. The findings of this study highlight the importance of neural mechanisms underlying the effectiveness of multitask interventions and will be useful for designing and conducting future studies involving VR multitask training. Full article

Extended reality (XR)-based rehabilitation is an emerging therapeutic approach that combines real and virtual environments to enhance patient engagement and promote motor and cognitive recovery. Its clinical utility in children with cerebral palsy (CP), particularly regarding gross motor skills, balance, and psychosocial well-being, remains underexplored. This preliminary study aimed to evaluate the potential effects of XR-based rehabilitation on gross motor function, balance, parental stress, and quality of life in children with cerebral palsy. Thirty children with cerebral palsy were randomly assigned to an extended reality training group (XRT, n = 15) or a conventional physical therapy group (CPT, n = 15). Both groups received 30 min sessions, three times per week for 6 weeks. Outcome measures included the Gross Motor Function Measure-88 (GMFM-88), Pediatric Balance Scale (PBS), Functional Independence Measure (FIM), Parenting Stress Index (PSI), and Pediatric Quality of Life Inventory (PedsQL), assessed pre- and post-intervention. A 2 (group) × 2 (time) mixed ANOVA was conducted. The XR group demonstrated improvements in GMFM-88, PBS, and FIM scores, with decreased PSI and increased PedsQL scores. Although most interaction effects were not statistically significant (GMFM-88: η² = 0.035, p = 0.329; PBS: η² = 0.043, p = 0.274), a marginal interaction effect was observed for PSI (p = 0.065, η² = 0.059), suggesting a potential benefit of XR-based rehabilitation in reducing parental stress. This preliminary study indicates that XR-based rehabilitation may provide beneficial trends in motor function and psychosocial health in children with CP, particularly in reducing parental stress. Further studies with larger sample sizes are needed to confirm these findings. Full article

Background/Objectives: Family self-care (FSC) is increasingly recognized as a vital aspect of caregiving in pediatric chronic conditions. However, its development in families of children with intellectual disabilities (IDs) remains underexplored. This study aimed to examine how families construct and sustain FSC, and to identify factors that shape its development across four domains: physical, cognitive, psychosocial, and behavioral. Methods: A qualitative study was conducted using an abductive approach, combining inductive thematic analysis with a deductively applied theoretical framework. Semi-structured interviews were carried out with nine families of children with ID in southern Portugal. The children ranged in age from 4 to 15 years, and the parents were aged between 29 and 53 years. The data was analyzed using Bardin’s content analysis, supported by NVivo software, and organized according to the FSC framework. This study followed COREQ guidelines. Results: The families described a range of self-care strategies, including environmental adaptations, experiential learning, emotional regulation, and long-term planning. These practices were shaped by contextual factors such as access to healthcare, relationships with professionals, emotional support networks, and socioeconomic conditions. Four emergent conclusions illustrate how structural and relational dynamics influence FSC in daily caregiving. Conclusions: FSC is a dynamic, multidimensional process shaped by lived experience, family interactions, and systemic support. The findings support inclusive, family-centered care models and inform clinical practice, training, and policy in pediatric IDs. Full article

Background: During early childhood, physical development plays a critical role in overall growth, influencing not only health but also academic and social outcomes. In this context, the present randomized controlled trial aims to analyze the effects of a combined intervention using physical exercise and abacus training on flexibility and motor coordination in early primary school children. Methods: A total of 82 girls and boys participated in this study, of which 41 belonged to the experimental group that carried out a combined training of physical exercise and the use of an abacus for 12 weeks and 41 to a control group that did not receive any intervention. Flexibility was measured with the Sit and Reach test and motor coordination with the motor coordination test. Results: In this study, statistically significant improvements were observed in flexibility in both the right and left legs and in all domains related to motor coordination in the training group. Conclusions: The results of this study support the effectiveness of a multidimensional approach that integrates physical and cognitive activities, such as the use of the abacus, to improve coordination and flexibility in children, contributing to comprehensive development in early childhood education. Full article

Background: Change of direction (COD) and sprint abilities are essential in soccer, while reactive agility involves decision-making and perceptual/cognitive skills. This study aimed to examine the relationships between sprint speed, COD, and reactive agility in U12 soccer players. Methods: Thirty-three male players (age 10.40 ± 0.32 years) completed sprint tests (5 m, 10 m, 15 m), the Modified Agility T-Test (MAT), and the Y-Shaped Reactive Agility (Y-RSA) test, across two sessions. Results: The sprint, COD, and reactive agility tests showed high reliability. The Y-RSA test demonstrated strong reliability in regard to the initial sprint, COD-phase time, and total time. Significant correlations were found between sprint, COD, and reactive agility metrics. The sprint times were positively associated with the MAT and reactive agility times (e.g., sprint 15 m vs. total Y-RSA time: r = 0.740, p < 0.01). The smallest worthwhile changes (SWCs) indicated that these tests effectively detect performance improvements. Conclusions: This study demonstrated significant correlations between sprint speed, change of direction, and reactive agility in U12 soccer players, with the 15 m sprint showing the strongest association with reactive agility. These findings support the combined use of physical and perceptual/cognitive assessments to better inform soccer-specific training and evaluate the performance of youth players. Full article

Background: Postmenopausal women face a higher risk of obesity and related chronic diseases. While lifestyle interventions improve cardiometabolic health and physical function, their effects on cognitive function remain understudied, especially in diverse populations. This study examined the impact of a lifestyle intervention combining caloric restriction and exercise on cognitive function in a diverse sample of postmenopausal women with overweight or obesity and functional limitations. Methods: This study represents a secondary analysis of a previously conducted pilot trial, in which 34 participants were randomly assigned to a 24-week intervention: (i) caloric restriction plus exercise (CR + E; n = 17) or (ii) educational control (EC; n = 17). In the CR + E group, participants engaged in group-based weight management focused on caloric restriction and three weekly exercise sessions, including walking and lower-body resistance training. The EC group attended monthly health education lectures. Changes in cognitive scores were assessed using the Digit Symbol Substitution Test (DSST) and the Controlled Oral Word Association (COWA) test. Additionally, we explored the correlation between changes in cognitive scores and physical function in the CR + E group. Results: In the CR + E group, DSST scores significantly improved compared to the EC group (p < 0.05). There were no significant changes in COWA scores for either group compared to their baseline value or between groups. Furthermore, changes in DSST or COWA were not significantly correlated with changes in walking speed or physical function. Conclusions: The preliminary results of this study suggest that CR + E may improve complex attention in functionally limited postmenopausal women with overweight or obesity but does not appear to significantly affect verbal fluency. Full article

Background/Objectives: The global increase in life expectancy has led to a higher prevalence of cognitive and physical decline in older adults, particularly in those with mild cognitive impairment (MCI). This study aimed to evaluate the effects of a combined cognitive stimulation and resistance training intervention on cognitive performance, physical function, and fall risk in older adults with MCI. Methods: A randomized controlled trial was conducted with 80 community-dwelling older adults diagnosed with MCI. Participants were randomly assigned to an experimental group (EG), which received a 12-week intervention consisting of cognitive stimulation and progressive strength training, or a control group (CG), which maintained their usual routine. Pre- and post-intervention assessments included measures of cognitive function, verbal fluency, attention, processing speed, executive function, gait, balance, fall risk, and lower- and upper-body strength. Results: The EG showed significant improvements compared with the CG in cognitive impairment, verbal fluency, processing speed, balance, gait, and risk of falls (all p < 0.05), with effect sizes ranging from moderate to large. Notably, strength gains were observed in both lower body and grip strength. Attention and executive function also improved in the EG, although with smaller effect sizes. No adverse events were reported. Conclusions: A combined intervention of cognitive stimulation and resistance training is effective in improving multiple domains of cognitive and physical function in older adults with MCI. These findings support the integration of multidomain interventions in clinical and community settings to promote autonomy, reduce fall risk, and delay cognitive and functional decline. Future studies should explore the long-term sustainability of these effects and the individual contribution of each intervention component. Full article

Background: Understanding the physical demands of basketball at different competitive levels is essential for optimizing training and performance. While elite players are often assumed to experience the highest physical loads, evidence comparing peak external demands (PDs) between elite and non-elite athletes using time-window analysis is limited. Therefore, the aim of this study was to examine how player level (Elite vs. Non-Elite) influences the external PDs experienced by male basketball players. Methods: This study examined PlayerLoad™ (PL) PDs in elite (n = 10) and non-elite (n = 11) male basketball players during the 2023–2024 season. Players were monitored using inertial measurement units (IMUs) during official and friendly matches (elite = 8 games; non-elite = 29 games). Peak PL values were computed using rolling averages across 30-s, 1-min, and 3-min time windows. Linear mixed-effects models were employed to examine differences between groups, adjusting for age and match nature. A secondary analysis was carried out including only friendly matches. Results: Non-elite players exhibited significantly higher PL PDs across all the time windows (p < 0.001), with effect sizes ranging from small to very large in the main analysis (ES = −0.41 to −2.11) and from very large to extremely large in the secondary analysis (ES = −2.68 to −5.06). Differences were more pronounced in longer durations. These results suggest that non-elite athletes sustain higher physical loads, possibly due to less efficient movement patterns and lower tactical regulation. Conclusions: Elite players display lower peak external loads than their non-elite counterparts, likely due to superior cognitive, tactical, and perceptual abilities that enhance movement economy. Training programs should incorporate tasks that combine physical intensity with decision-making demands to foster efficiency and potentially reduce injury risk. Full article

This study explores how age influences the relationship between physical performance (PP) and technical–tactical parameters (TPs) in youth soccer, analyzing 80 matches across four age groups: U15, U17, U19, and NB1 (adults). Team-level data were examined to assess how maturation affects the integration of physical and technical demands. Physical metrics included total distance (TD) and total high-intensity distance (THID), while TP metrics involved actions such as pressing, tackling, and ball possession. Pearson’s correlations and general linear models (GLMs) were used to identify associations between PP and TPs across age categories. The results showed age-related trends in performance integration. U19 and NB1 players demonstrated moderate-to-strong correlations between PP and TP variables, with TD and THID positively associated with pressing and tackling, indicating increasing synergy with age. U17 players showed emerging integration, while U15 players exhibited no significant correlations, suggesting developmental variability. Limitations include reliance on team-level correlational data and the absence of individual physiological or cognitive assessments. These findings suggest that training approaches should be tailored to players’ developmental stages, with increasing emphasis on combining physical conditioning and tactical understanding as players mature. Full article