Search Results (48)

Background: Participation in on-duty exercise is critical to enhance firefighter safety and readiness. However, these sessions are often interrupted with emergency responses and require firefighters to work in a fatigued state that may increase injury risk. Objective: To assess the impact of on-duty resistance training on neuromuscular function. Methods: A sample of 18 firefighters (Age: 38.8 ± 8.0 y; Body fat: 24.9 ± 7.0%) completed three testing sessions, separated by at least 72 h to compare the effects of circuit (CT) versus heavy resistance training (HRT) fatigue on neuromuscular function. During Session 1, anthropometrics and familiarization trials of balance and neuromuscular function were completed, which included single-leg drop landing (SLDL), postural sway (PS), and modified Functional Balance Test (mFBT). Sessions 2 and 3 were randomized, where participants completed either HRT or CT. Isometric midthigh pull (IMTP), long jump (LJ), and lower body power (LBP) tests were conducted pre- and immediately post exercise, whereas static and dynamic balance assessments were conducted pre- and 10 min post exercise to simulate an emergency response time course. Repeated measures ANOVA, effect sizes, and difference scores were used to analyze the effects of condition and time. The level of significance was set at p < 0.05. Results: CT decreased IMTP, LJ, and LBP, whereas HRT decreased LJ and LBP (p ≤ 0.001, ES ≥ 0.476). Despite several significant condition by time interaction effects on balance outcomes, there were no differences within CT or HRT over time (p ≥ 0.066). Conclusions: These findings suggest that on-duty resistance training reduces firefighters’ power and/or strength immediately post exercise but does not influence most firefighters’ balance 10 min post exercise. Thus, firefighters are recommended to perform resistance training on-duty during low emergency call volume times. Full article

Background: Polypharmacy, commonly defined as the use of five or more medications, is a growing concern in hospitals due to its association with adverse drug reactions, functional decline, and increased healthcare costs. Proactive deprescribing, which involves the planned discontinuation of unnecessary or potentially harmful medications, can optimise medication use. However, multiple barriers hinder its implementation. Saudi Arabia offers a unique context for deprescribing due to strong family roles in care, prevalent prescribing norms, and ongoing shifts toward value-based healthcare. This study explores the barriers and facilitators to proactive deprescribing among physicians in Saudi hospitals using the Theoretical Domains Framework (TDF). The TDF was used as it effectively identifies behavioural factors influencing clinical decision making in practice. Methods: Semi-structured interviews were conducted with 27 purposively sampled physicians experienced in managing polypharmacy. The interviews were transcribed and analysed thematically, with behavioural determinants identified and categorised according to the 14 domains of the Theory of Planned Behaviour (TDF). Results: Enablers included the availability of deprescribing guidelines, decision–support tools, interprofessional collaboration, and institutional backing. Physicians with specialised training expressed greater confidence in conducting deprescribing. Identified barriers included limited time, heavy workload, absence of standardised protocols, medico-legal concerns, resistance from patients and caregivers, and lack of formal training. These factors were categorised under seven key TDF domains, with Environmental Context and Resources, Social Influences, and Beliefs About Capabilities identified as the most influential in shaping physicians’ deprescribing practices. Interactions between factors were observed, where supportive environments and collaborative teams helped offset key barriers such as time constraints, legal concerns, and patient resistance. Conclusions: This study identified key behavioural and contextual factors influencing proactive deprescribing in Saudi hospital settings. Addressing barriers such as heavy workload, medico-legal concerns, and lack of standardised protocols through targeted interventions, including clinician training, institutional support, and multidisciplinary collaboration, may facilitate the integration of deprescribing into routine practice. The findings offer context-specific insights to inform future efforts aimed at improving medication safety and optimising prescribing in the Saudi healthcare system. Full article

As a key component of the train braking system, the comprehensive performance of brake discs plays a vital role in ensuring the operational safety of trains. With the advent of high-speed and heavy-haul trains, the thermal energy generated by braking systems has significantly increased. The resulting rapid temperature rise can easily exceed the material limits of brake discs. Consequently, research focused on enhancing brake disc performance in high-temperature environments, improving thermal fatigue resistance, and optimizing tribological properties has become increasingly critical. Brake disc materials have undergone substantial evolution, transitioning from traditional iron and steel to lightweight aluminum matrix composites and carbon matrix composites. While iron and steel benefit from mature manufacturing processes and proven reliability, their high mass density poses challenges in meeting the demands for lightweight and high-speed development in modern rail transit. Although aluminum matrix composites and carbon matrix composites offer advantages like low density and high heat capacity, they still face several technical challenges in practical applications. This paper outlines the key characteristics of train brake disc materials, emphasizing the application status and research progress of iron and steel, aluminum matrix composites, and carbon matrix composites. Additionally, it briefly introduces surface modification technologies for iron and steel brake discs, with the goal of providing insights and references to guide the innovation and development of train brake disc materials. Full article

Against the backdrop of global climate change, extreme weather events, such as heavy rainfall, typhoons, tsunamis, and rising sea levels, have become frequent, posing unprecedented challenges to human society. As an important strategy for coastal cities to respond to climate change, climate-induced evacuation is influenced by complex and diverse factors. This study delves into the driving mechanisms of population migration willingness, revealing the dynamic balance of push, pull, and resistance factors and their interaction with individual value orientations affecting migration decisions. By constructing a Logistic Regression Model, this research quantitatively analyzes the significant impacts of personal circumstances, family characteristics, living conditions, risk perception, compensation relocation, and supportive policies on climate-induced migration willingness, using Shanghai as a case study. The findings indicate that age, education level, household size, housing type, risk perception, and compensation policies are key factors. Building upon the multidimensional capital interaction mechanisms and dynamic threshold response patterns identified in the research, this study proposes a three-phase progressive policy framework: initially, establishing an integrated human–material–social capital framework to implement tiered relocation incentive programs, which address decision window constraints through cognitive empowerment and asset replacement strategies; subsequently, creating a dynamic compensation adjustment mechanism by developing policy toolkits aligned with inverted U-shaped utility curves while enhancing synergistic effects between cultural cognition transformation and vocational training; and ultimately, innovating an institutional–cultural co-governance paradigm that rebalances public service dependency and place attachment through spatial equity redistribution. Specific recommendations encompass designing modular risk education curricula, establishing social network transplantation mechanisms, piloting climate citizenship regimes, and constructing cross-border governance knowledge platforms. These multidimensional interventions encompassing capital restructuring, threshold responsiveness, and cultural adaptation offer valuable policy insights for resolving the “development resilience–migration inertia” paradox in coastal cities. Full article

Background: Injury to the anterior cruciate ligament is one of the most common knee injuries. Following anterior cruciate ligament reconstruction, strength deficits and reduced quadriceps and hamstring muscle mass are common. Traditional strengthening protocols recommend the use of heavy loads. However, following surgery, heavy-load exercises are contraindicated to protect the joint and graft. Blood flow restriction resistance training is an alternative that optimizes muscle recovery. The aim of this study was to evaluate the effects of blood flow restriction resistance training on muscle mass and strength after ACLR. Methods: The Pubmed, Cochrane Library, and PEDro databases were used to constitute the corpus of this systematic review. The methodological quality of the studies was assessed with the Cochrane Collaboration’s analysis grid. Results: Thirty-four articles were identified in the initial search, and five randomized controlled trials were included in this review. Not all studies reported significant results regarding strength and muscle mass. Two of these studies observed a significant improvement in strength associated with blood flow restriction resistance training compared with the control group. A significant increase in muscle mass was observed in one study. Conclusions: The blood flow restriction resistance training method shows superior efficacy to training without occlusion, yet this device has not been shown to be more effective than heavy-load resistance training in terms of muscular strength and muscle mass. Blood flow restriction resistance training shows superior efficacy in both these variables when used with low loads. However, there are still few random controlled trials on this subject, and this review presents their limitations and biases. Future research is needed on guidelines for the application of blood flow restriction resistance training in clinical populations. Full article

Background/Objectives: Team handball involves a high number of rapid and forceful muscle actions. Progressive heavy-load resistance training is known to enhance mechanical muscle function; however, its transfer into functional performance in team handball athletes remains largely unknown. The current study aimed to analyze the effects of eight weeks undulating heavy-load resistance training on lower limb mechanical muscle function and sports-specific performance in elite female team handball players. Methods: Players from the Danish Women’s Handball League were block randomized to perform an off-season resistance training program (RT, n = 12, 23.0 ± 2.7 yr) or follow a training-as-usual control program (CON, n = 15, 24.1 ± 3.8 yr). All study participants were tested before and after an eight-week period during the off-season phase, including assessments of maximal isometric knee extensor and flexor peak torque, rate of torque development, countermovement jump (CMJ) power/work, and sports-specific performance (maximal vertical countermovement jump height, sprint capacity, team handball-specific on-court agility). Results: Agility performance improved for RT (−3.5%, p = 0.008), different from CON (p < 0.001) following eight weeks of designated resistance training. Additionally, CON demonstrated impaired agility (+4.0–7.3%, p < 0.05) and 20-m sprint (+1.9%, p = 0.002) performance. Maximal knee extensor peak torque increased in RT (4.5%, p = 0.044). Vertical CMJ flight height (JH) increased in both groups (RT +4.8%, p = 0.012, CON +8.4% p = 0.044); however, jump height relative to ground level (JHGL) increased in RT only (+8.0%, p = 0.013). Conclusions: In conclusion, designated resistance training during the off-season period is effective in maintaining and improving essential components of sports-specific performance and maximal knee extensor strength in elite female team handball players. Comparable protocols of twice-a-week heavy-load resistance training may also be beneficial in other types of intermittent elite team sports (i.e., football, basketball) that include maximal jumping actions, short-distance sprints, and rapid change of direction movements. Full article

Background: Evaluations of the usability of hydraulic resistance for resisted sprint-training purposes remains rare. Thus, this study compared step-by-step changes in spatiotemporal characteristics during the first 10 m of sprints with varying hydraulic resistance loads. Methods: Fourteen male athletes performed 20 m sprints under minimal (10 N, considered as normal sprint), moderate (100 N), and heavy (150 N) hydraulic resistance loads. Split times at 10 m, contact time (CT), step length (SL), flight time, and step speed (SS) from the first to the sixth step were measured. A two-way repeated measures ANOVA (load × step) and a one-way ANOVA (load) with post hoc comparisons were used to assess the effects on spatiotemporal characteristics and split times, respectively. Results: Under higher loads, the 10 m times were significantly longer (η² = 0.79). The CT, SL, and SS varied significantly from step to step within all loads (η² = 0.45, 0.41, and 0.54, respectively). The CT, SL, and SS of the first, fourth, fifth, and sixth steps of normal sprint differed significantly from most steps under moderate and heavy load (Cohen’s d = −3.09 to 5.39). In contrast, the smallest differences were observed between the second and third step of normal sprint and second to sixth steps under heavy load (Cohen’s d = −0.67 to 1.32, and −0.71 to 1.38, respectively). Conclusions: At the same load settings, a hydraulic resistance device induces changes in step characteristics comparable with those of other motorized devices and is therefore a viable option for resisted sprint training. If the goal of the training is to replicate the steps of the initial sprint acceleration phase, ~150 N of hydraulic resistance would be optimal. Full article

Background/Objectives: The aim of this study was to investigate the effects of a six-week integrated resisted sprint training (IRST) program on sprint performance and vertical jump height in a sample of U-14 male football players. This study also explored the potential benefits of incorporating variable resistive loads during pre-peak height velocity (pre-PHV) developmental stages, a period often overlooked in the training of young athletes. The IRST program alternated between heavy and light resistive sled loads to enhance sprint and jump capabilities, which are critical components of athletic performance in football. Methods: Nineteen healthy male football players (age: 13 ± 0.63 years) were divided into an experimental group (E, n = 10) and a control group (C, n = 9). The experimental group followed the IRST protocol, involving sled sprints with varying resistive loads (10–115% of the body mass) over specific distances, while the control group engaged in traditional unresisted sprint training. The sprint performance was assessed using 30 m sprint times, and the vertical jump height was measured using countermovement jump (CMJ) data collected via a force platform. Anthropometric measures and peak height velocity (aPHV) estimates were also recorded pre- and post-intervention. Results: The experimental group demonstrated significant improvements in 30 m sprint times (mean difference: −0.29 s; p < 0.01). Additionally, CMJ data revealed a positive trend in the take-off velocity and maximum concentric power, with an increase in jump height (mean difference: +0.44 cm). These results suggest enhanced sprint and explosive power capabilities following the IRST intervention. Conclusions: The findings suggest that the IRST program is an effective training method for enhancing sprint performance and maintaining jump capabilities in young football players. This approach highlights the importance of integrating variable resistance training in pre-PHV athletes to promote athletic development while ensuring safety and effectiveness. Full article

Firefighting is a physically demanding occupation that requires optimal fitness and coordination in addition to other physical and cognitive skills. When firefighters lack the physical fitness necessary to perform their duties, they put themselves and others in danger of injury and even death. The heavy, unbreathable personal protective equipment worn to shield firefighters from harmful conditions also promotes overall performance decrements via restricted range of motion as well as energy expenditure and heat-related fatigue. Firefighters are expected to carry other heavy loads, such as hose packs, tools, and victims, while working in hazardous environments. In addition to external load carriage, many firefighters also carry excess body fat that may contribute to poor physical fitness and performance. Therefore, it is imperative to incorporate training strategies to optimize load carriage and improve body composition for improved physical performance during emergencies. Thus, the aims of this narrative review are to (1) explore the impact of firefighter-specific issues on physical performance and safety and (2) identify strategies to assess and optimize occupational performance and safety. Plyometrics; resistance training; and exercise selection, volume, and intensity specifically for improving physical performance in firefighters will be discussed. Full article

Basketball demands a sophisticated blend of tactical, technical, physical, and psychological skills, and various methods have been proposed to prepare players for these demands, including resistance training to enhance strength, power, speed, agility, and endurance. Complex training (CT) integrates diverse strength training methodologies by combining heavy-resistance exercises (e.g., squat at 90% of one repetition maximum) with high-velocity movements or plyometrics, both sharing the same biomechanical pattern. However, the optimal application of CT in basketball remains uncertain due to diverse protocols and a lack of consensus in the literature. The aim of this systematic review was to evaluate the acute and chronic effects of CT interventions on physical fitness performance in basketball players and identify the most effective characteristics of moderators. Methods: A bibliographic search was conducted using PubMed, SCOPUS, and Web of Science databases following the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines using the PICOS strategy. Results: Fourteen studies met the inclusion criteria, three articles analyzed acute effects, and thirteen analyzed chronic effects. The total number of participants in the studies analyzing acute effects was 50, while for studies examining chronic effects, it was 362. Conclusions: Acutely, CT triggers post-activation potentiation and enhances sprint performance when coupled with brief rest intervals. Over time, these acute improvements contribute to more substantial, long-lasting benefits. Chronic effects of CT improve strength, as evidenced by enhanced 1 RM performance, jumps, sprints, and core muscle strength. Full article

The purpose of this review was to investigatethe microbial and chemical safety of camel meat and the zoonotic diseases associated with camels in the Middle East over the past decade, emphasizing the crucial role of a One Health approach. By systematically analyzing recent studies (in the past decade, from 2014), we assessed pathogen prevalence, contamination with heavy metals and pesticide residues, and the impact of zoonotic diseases like Middle East respiratory syndrome coronavirus (MERS-CoV). The findings revealed significant variability in pathogen prevalence, with the frequent detection of traditional foodborne pathogens (e.g., Salmonella and E. coli O157), as well as antibiotic-resistant strains like methicillin-resistant and vancomycin-resistant Staphylococcus aureus and extended-spectrum β-lactamase (ESBL)-producing E. coli, underscoring the need for stringent antibiotic use policies and robust food safety measures. Additionally, the review highlighted substantial contamination of camel meat with heavy metals and pesticide residues, posing significant public health concerns that necessitate stringent regulatory measures and regular monitoring. The persistent occurrence of zoonotic diseases, particularly MERS-CoV, along with other threats like trypanosomiasis, brucellosis, and Clostridium perfringens, emphasizes the importance of strengthening ongoing surveillance. Enhancing investment in diagnostic infrastructures, training programs, and planning capabilities is crucial to address these issues at the camel–human interface in the Middle East. Adopting a One Health perspective is vital to ensuring the safety and quality of camel meat and managing zoonotic risks effectively to ultimately safeguard public health and promote sustainable livestock practices. Full article

The main objective of the research was to determine neuromuscular control for different external loads, from 75% to 100% 1 RM (One Rep Max), during the flat bench press (BP) exercise performed with free weights and pneumatic loading. Despite extensive research on the internal structure of the BP exercise, few studies have examined the differences between muscular activity during the flat bench press movement between Free Weights and Pneumatic Loading. For this purpose, 10 male, trained subjects performed the BP exercise under two conditions with three different external loads (70%, 85%, and 100% 1RM), alternately with free weights and pneumatic loading. Pneumatic loading was performed on the Keiser Power Rack, where the pneumatic load was transferred as the resistance of the cables attached to the ground. EMG activity was recorded during the lifts for the following muscles: PM (Pectoralis Major), AD (Anterior Deltoid), Tblat, and TBlong (Triceps Brachii). The EMG signals were sampled at a rate of 1000 Hz. Signals were band-pass filtered with a cutoff frequency of 8 Hz and 450 Hz, after which the root-mean-square (RMS) was calculated. After completion of all the tests in a single day, 2–3 s evaluations of Maximal Voluntary Isometric Contraction (MVIC) of the prime movers in the bench press movement (AD, PM, and TBlong) were performed according to SENIAM procedures. The results of the present study indicate that pneumatic loading provides a significantly different muscle activation pattern compared to a standard bar during a heavy-loaded BP exercise. The pneumatic load was superior in activating the AD and TB muscles compared to the standard bar during the BP exercise. Full article

Incorrect limb position while lifting heavy weights might compromise athlete success during weightlifting performance, similar to the way that it increases the risk of muscle injuries during resistance exercises, regardless of the individual’s level of experience. However, practitioners might not have the necessary background knowledge for self-supervision of limb position and adjustment of the lifting position when improper movement occurs. Therefore, the computerized analysis of movement patterns might assist people in detecting changes in limb position during exercises with different loads or enhance the analysis of an observer with expertise in weightlifting exercises. In this study, hidden Markov models (HMMs) were employed to automate the detection of joint position and barbell trajectory during back squat exercises. Ten volunteers performed three lift movements each with a 0, 50, and 75% load based on body weight. A smartphone was used to record the movements in the sagittal plane, providing information for the analysis of variance and identifying significant position changes by video analysis (p < 0.05). Data from individuals performing the same movements with no added weight load were used to train the HMMs to identify changes in the pattern. A comparison of HMMs and human experts revealed between 40% and 90% agreement, indicating the reliability of HMMs for identifying changes in the control of movements with added weight load. In addition, the results highlighted that HMMs can detect changes imperceptible to the human visual analysis. Full article

Background: To compare the effects of short-term 8 week heavy-resistance or plyometric training protocols (HRT or PLY) incorporated into regular soccer practice on measures of neuromuscular functional performance in professional soccer players, a single-blind randomized controlled trial was conducted. Methods: Forty-seven participants aged 22.3 ± 3.52 years were assigned to three groups: HRT (n = 15), PLY (n = 15), and control (CON; n = 17). The HRT group performed 3 sets and 10 repetitions twice a week using 80% of their baseline 1-RM (weeks 1–3), followed by 8 repetitions at 85% 1-RM (weeks 4–6), and 6 repetitions at 90% 1-RM (weeks 7–8) of 6 lower-body strength exercises with a 1 min rest period between sets. The PLY protocol involved a preparatory phase (weeks 1–2), followed by two 3-week progressive periods (weeks 3–5 and weeks 6–8). The plyometric sessions consisted of four jump exercises/drills with progressively increasing number of sets and total number of foot contacts. The rest intervals between repetitions and sets were 15 and 90 s, respectively. Outcome measures included tests assessing 10 and 30 m speed (t10m and t30m), one-repetition maximum half-back squat (1-RM squat), isokinetic peak torques for the quadriceps and hamstring muscles (Qcon and Hcon), countermovement jump (CMJ), and squat jump (SJ). Results: Two-way ANOVA detected main effects of time and group×time interactions for all examined variables, except t30m, 1-RM, and relative 1-RM. Post hoc analyses revealed significant increases in the HRT group (t10m: 6.3%, t30m: 7.1%; absolute 1-RM: 29.6%; relative 1-RM: 30.3%, Qcon: 24.5%; Hcon: 14.4%; CMJ: 5.9%; SJ: 7.2%, all p < 0.001) and the PLY group (t10m: 3.1%; t30m: 4.1%; absolute 1-RM:19.1%; relative 1-RM: 20.3%; Qcon: 12.6%; Hcon: 8.7%; CMJ: 3.3%; SJ: 3.5%, all p < 0.001). HRT was superior compared to PLY in relative 1-RM, Qcon and Hcon (all p < 0.001). In addition, we found knee muscular strength imbalance in 70.5% of participants from the total sample (H/Q ratio < 60%). The HRT and PLY protocols resulted in improved neuromuscular functional performance compared to the regular soccer regime. Conclusions: This study showed that during the pre-competitive season, additional HRT and PLY drills/exercises as a substitute for standard soccer training as part of a regular 90 min practice twice a week for 8 weeks, can produce acute physical performance-enhancing effects in professional soccer players. Full article

This study investigated the effects of combined aerobic and heavy resistance training on the variables of body composition, muscle hypertrophy, and exercise satisfaction in physically active adults in comparison with heavy resistance training only (predominantly designed for hypertrophy). Twenty-two healthy male adults between the ages of 18 and 35, who had limited previous experience with muscle resistance training, participated in the intervention program while maintaining their physical activity level. The participants were randomly allocated into two groups: the resistance training group (control group) and the combined training group (experimental group), which involved both resistance training and aerobic training. Aerobic training consisted of 30 min aerobic interval training sessions three times a week with a total of 8 min work bouts in each at 60–70% of heart rate reserve (HRR). The intervention training program lasted for eight weeks. Resistance training consisted of a 3-day muscle group split (2–3 exercises per muscle group, 8 sets per muscle group, 6–12 repetition maximum (RM). Upon completion, body composition, muscle hypertrophy, and exercise satisfaction were analyzed using the mixed-design ANOVA. Variables selected for this study as markers of body composition responded differently to the different interventions and time; however, some trends were not statistically significant. Overall, it is not possible to state unequivocally that one training modality was superior to another in the body composition cluster, for significant improvements were observed within the groups from pre- to post-interventions, but no significant differences were observed between the resistance training and combined training groups, while, both interventions showed improvement with time in some variables of muscle hypertrophy. Compared to baseline, the exercise satisfaction post-intervention improved within the groups. From pre- to post-testing, both resistance and combined training groups improved exercise satisfaction (p < 0.05 in both groups). However, there was no significant difference in exercise satisfaction observed between the resistance training and combined training groups after the training intervention (p > 0.05). Full article