Search Results (404)

We evaluated the effects of a 12-week multidisciplinary program on health-related physical fitness and depressive symptoms in overweight and obese women (aged 45–64 years) diagnosed with noncommunicable diseases (NCDs). Methods: A longitudinal, pre-experimental, proof-of-concept study was conducted. Thirty-one women completed multidisciplinary interventions [nutritional education or psychoeducation (each once a week), and resistance training (twice a week)]. Body composition (bioelectrical impedance), physical fitness (maximal isometric strength, lower limb strength–endurance, flexibility, and aerobic fitness), and depressive symptoms (PHQ-9) were measured at baseline and post-intervention. Results: Significant improvements in body composition were observed in terms of lean mass (Δ% = 3.7; p < 0.001), fat-free mass (Δ% = 3.6; p < 0.001), skeletal muscle mass (Δ% = 5.2; p < 0.001), fat mass (Δ% = −3.5; p < 0.001), body fat percentage (Δ% = −4.7; p < 0.001), and visceral fat level (Δ% = −2.9; p = 0.012). Physical fitness exhibited a large effect size in the chair stand test (d = 0.91) and the 6 min walk test (d = 1.22). Depressive symptom scores substantially decreased (p < 0.001). Conclusion: The program demonstrated potential efficacy in mitigating sarcopenic obesity, enhancing functional capacity, and reducing depressive symptoms, indicating potential clinical viability for the integrated management of multimorbidity. Full article

Combat-sport performance depends on the interaction between technical skills and physical capacities, yet direct comparisons between grappling disciplines remain limited. The aim of this study was to compare the anthropometric profile and physical performance of elite judo and jiu-jitsu athletes. This cross-sectional study included 25 elite male athletes (judo—n = 12; jiu-jitsu—n = 13) assessed during a preparatory training phase. Anthropometric measures included age, training experience, height, and body mass, while physical performance was evaluated using dominant and non-dominant handgrip strength, squat jump (SJ), countermovement jump (CMJ), medicine ball throw with and without countermovement, and dynamic and isometric judogi-grip pull-up tests. Between-group comparisons were performed using independent sample tests, with effect sizes (ES) calculated. Judo athletes had greater training experience (13.25 ± 2.73 vs. 7.85 ± 4.36 years; p = 0.001; ES = 1.472) and higher SJ performance (38.71 ± 6.69 vs. 33.82 ± 4.74 cm; p = 0.045; ES = 0.850) compared to jiu-jitsu athletes. No significant between-group differences were observed for the remaining variables (p > 0.05). These findings indicate that no statistically significant differences were detected in most anthropometric and physical performance variables between elite judo and jiu-jitsu athletes, and the initially higher squat jump performance observed in judo athletes was no longer statistically significant after adjustment for training experience. Full article

Background/Objectives: Neurological impairments in children with Cerebral Palsy (CP) often lead to altered muscle architecture and function, resulting in calf muscle contractures. Orthotic immobilization aims to promote muscle–tendon unit lengthening through sustained stretch but may also induce disuse atrophy. This study investigated whether combining immobilization with daily activity yields different effects on muscle strength and gait function compared with immobilization alone. Methods: Fourteen ambulant children with spastic CP and equinus deformity (8 unilateral, 6 bilateral; mean age 9.93 ± 3.0 years; GMFCS I: 10, GMFCS II: 4) participated in a 12-week randomized controlled trial. Participants were assigned to either continuous immobilization (23 h/day) using a dynamic ankle–foot orthosis or a combined protocol consisting of 14 h/day immobilization and 10 h/day of activity involving ankle mobility and calf muscle activation. Outcomes included isometric muscle strength, joint range of motion, gait parameters, and functional measures (Gait Outcomes Assessment List (GOAL) and the Paediatric Outcome Data Collection Instrument (PODCI)). Data were analyzed using linear mixed models with Bonferroni correction. Results: Significant time effects were observed for the knee angle at initial contact (IC), the ankle angle at IC, maximum dorsiflexion, and maximum dorsiflexion during swing. A significant group × time interaction was found only for hindfoot-tibia angle at IC. Within-group improvements were noted in activities of daily living, body image and self-esteem, and basic mobility. No significant changes were found for muscle strength or for most questionnaire subscales. Conclusions: The findings indicate time-related improvements in gait, with no consistent advantage of the combined intervention. Further studies with larger samples are needed to evaluate potential long-term effects. Full article

Background: Sunfish sailing requires a combination of morphological and neuromuscular characteristics to effectively manage sail control and maintain postural stability during hiking maneuvers. Objectives: We aimed to describe the anthropometric and neuromuscular characteristics of elite Colombian Sunfish sailors and explore potential sex-related patterns. Methods: Six competitive sailors (three men and three women) underwent anthropometric assessment and somatotype calculation. Neuromuscular performance was evaluated using handgrip strength (HGS), quadriceps maximal voluntary isometric contraction, rate of force development (RFD), one-repetition maximum (1RM) lower-limb assessment, countermovement jump (CMJ), trunk endurance tests, and the Y-balance test for dynamic balance. Descriptive statistics and standardized effect sizes (Hedges’ g) were used to characterize between-sex patterns. Results: Anthropometric assessments suggested descriptive sex-related differences in body composition and skeletal dimensions, with a predominance of mesomorphic characteristics. Descriptive data suggested higher HGS values among men (g = 2.27–4.85), while lower-limb neuromuscular performance showed higher values among men across several RFD time windows (g = 0.81–1.45). Conversely, dynamic balance and trunk endurance outcomes showed minimal variation between sexes. Conclusions: This pilot study provides a preliminary physical profile of elite Colombian Sunfish sailors. The observed patterns in strength-related and morphological variables, especially HGS, quadriceps MVIC, and lower-limb power, should be interpreted as exploratory. Further research with larger samples is required to confirm these findings. Full article

Background: Low back pain (LBP) is a leading cause of disability, particularly in young adults. Decreased trunk endurance and altered movement patterns have been associated with lumbar symptoms and functional limitations; however, their concurrent relationships in active populations with minimal disability remain insufficiently characterized. This study was designed as an exploratory cross-sectional analytical study. Methods: The sample comprised 71 physically active university students (mean age, ~23 years; 79% men). Trunk endurance was assessed using the McGill isometric tests, and selected movement-pattern measures were obtained from four Functional Movement Screen (FMS) tasks focused on lumbopelvic control. The total FMS score was calculated, asymmetries were recorded in the Inline Lunge and Rotary Stability tasks, and lumbar-related disability was measured using the Oswestry Disability Index (ODI). Associations were analyzed using correlations and adjusted linear regression, and asymmetry-based comparisons were evaluated using non-parametric tests. Results: The average ODI was very low (approximately 4%), suggesting a floor effect. Greater trunk endurance was associated with lower ODI values, whereas the association between total FMS and ODI was weak and did not reach statistical significance in the adjusted model. Inline Lunge asymmetry was associated with higher ODI values, but this finding should be interpreted cautiously because of the very small subgroup size. Conclusions: In this physically active young adult sample, trunk endurance and selected movement-pattern measures provided complementary descriptive information on lumbar-related function; however, the observed associations were modest and should be interpreted cautiously. Full article

The purpose of this narrative review was to describe the maximal strength, muscle power, rate of force development, and muscle morphology of athletes across different ski disciplines. Specifically, this review synthesizes evidence on upper- and lower-body maximal strength both dynamically and isometrically, muscle power through jumping performance and rate of force development, and muscle morphology in competitive skiers. Furthermore, it examines how these neuromuscular parameters adapt when resistance-training interventions are incorporated into athletes’ routine training programs. Following a literature search, 30 studies met the inclusion criteria, 18 describing the ski athletes’ characteristics mentioned above and 12 evaluating the effects of resistance-training interventions. Altogether, these studies involved 561 participants, with ages ranging between 14.6 ± 1.1 years and 35 years. Overall, the above characteristics of ski athletes appear to align with sport-specific demands, which vary across ski disciplines. The resistance-training protocols applied in this population are predominantly high-load resistance training and it appears that resistance training may benefit from increased emphasis in ski-specific preparation. However, training programs tailored to the specific demands of each discipline are recommended. Full article

Chemotherapy-induced peripheral neuropathy (CIPN) is a common side effect of neurotoxic chemotherapy that can affect functioning and quality of life. Currently, duloxetine is the only recommended agent to treat painful CIPN; however, no effective pharmacological treatments have been approved for the prevention or cure of CIPN, highlighting the need to understand non-pharmacological strategies such as exercise. Given significant heterogeneity in the CIPN outcome measures chosen across studies, this scoping review aimed to identify the outcome measures used to evaluate the effectiveness of exercise interventions as a potential countermeasure for CIPN. Following the Arksey and O’Malley framework refined by Levac and colleagues, and the PRISMA-ScR guidelines, four databases were searched, and 20 studies were included in the review. Data were abstracted on study characteristics, cancer and chemotherapy factors, exercise prescription, outcome measures, and CIPN-related findings. Outcome measures varied widely across studies, encompassing various patient-reported, clinical, and functional measures. The most common patient-reported, clinical, and functional measures were the EORTC QLQ-CIPN20, vibration sensation, and maximal isometric strength, respectively. No study satisfied the components of the core outcome measure set proposed by Park and colleagues, limiting cross-study comparisons. These findings underscore the need for standardized CIPN outcome measures in future exercise studies to strengthen evidence synthesis and inform clinical practice. Full article

The purpose of this study was to examine associations between lower-limb mechanical strength, phase-oriented composite strength indices, generalized neuromuscular activation, and maximal soccer ball kicking speed in trained athletes. Twenty-five male soccer players (age: 20.64 ± 2.50 years; height: 179.28 ± 4.27 cm; body mass: 75.80 ± 9.41 kg) participated in this cross-sectional study. Isometric ankle and knee joint torques were assessed using an isokinetic dynamometer, and joint-specific and phase-oriented cross-joint composite indices were computed to represent integrated strength capacity across the kinetic chain. Neuromuscular activation was evaluated via surface electromyography during a standardized squat jump task. Ball-kicking speed was measured using Doppler radar during maximal instep kicks. Associations were analyzed using Pearson correlation coefficients (p ≤ 0.05) with false discovery rate correction for multiple comparisons. In unadjusted analyses, moderate positive correlations were observed for several ankle torque variables and composite ankle strength indices, while swing-phase composite measures demonstrated moderate correlations (r = 0.43–0.55). Knee strength indices and sEMG variables showed no significant relationships. However, none of the variables remained statistically significant after FDR correction, suggesting limited independent explanatory value of isolated isometric strength and non-task-specific neuromuscular activation assessed during a standardized squat jump for maximal kicking performance. Full article

Background: Upper limb functional performance depends on the interaction of strength, mobility, and neuromuscular control, while inter-limb asymmetries may increase injury risk. However, comprehensive analyses integrating these factors remain limited. This study aimed to evaluate sex differences and identify functional phenotypes in young adults using a multidimensional assessment approach. Methods: Forty-six healthy young adults (23 women, 23 men) underwent a comprehensive battery of upper limb assessments, including anthropometric measurements, maximal handgrip strength, isometric elbow flexion and extension torque, postural stability via the Fall Risk Index (FRI), and functional reach using the Upper Quarter Y-Balance Test (YBT-UQ). Inter-limb symmetry was calculated using the Limb Symmetry Index (LSI). K-means clustering was applied to standardized variables to identify latent functional phenotypes. Results: Men demonstrated significantly greater body mass, height, limb length, and absolute strength (p < 0.01), while functional performance (YBT-UQ composite scores) and inter-limb symmetry were similar between sexes. Strength asymmetry was most prevalent for elbow flexion and handgrip strength (up to 89%), whereas stability asymmetry was less frequent (≈54%). Three functional clusters were identified: Cluster 1—high strength and moderate stability, Cluster 2—lower anthropometry and strength, Cluster 3—high strength but reduced stability and increased asymmetry. Despite phenotypic differences, composite functional performance was comparable across clusters. Conclusions: Upper limb function reflects the interaction of morphological and neuromuscular factors rather than strength alone. Observed asymmetries should be interpreted within a functional context, as moderate asymmetries may represent normal variation in motor control, while larger asymmetries may indicate potential functional imbalance; however, due to the cross-sectional design of this study, no causal inferences regarding injury risk can be made. Functional phenotyping provides a framework for individualized training, screening, and rehabilitation strategies. Full article

Road traffic safety is central to socially resilient and sustainable cities, yet many middle-income countries lack harmonized subnational data on exposure, infrastructure, and enforcement. This study examines whether routinely available demographic composition can serve as a practical structural baseline for provincial traffic accident rates and as a diagnostic layer for richer safety models. Using official province–year data from Türkiye (2008–2019 and 2022–2024; n = 1215), demographic shares by sex, education, and age were treated as compositional inputs and transformed using isometric log-ratio (ILR) methods, with GDP per person included as a scalar covariate. A Tabular Residual Network (ResNet) was trained on the historical panel and evaluated on a post-period calibration/evaluation window (2022–2024), which was used for checkpoint selection and seed screening rather than as an independent held-out test set. Among the evaluated specifications, the ResNet seed-ensemble achieved the strongest performance on the 2022–2024 calibration/evaluation period (R² = 0.5717), outperforming the best single-seed model (R² = 0.5539), a province-specific last-value-carried-forward temporal heuristic based on 2019 values (R² = 0.4779), tree-based tabular benchmarks (Random Forest: R² = 0.1328; XGBoost: R² = 0.0706), and pooled statistical reference models (linear: R² = 0.1375; negative binomial: R² = 0.0686; Poisson: R² = −0.0634). Year-wise diagnostics indicated gradual temporal drift, suggesting that periodic recalibration or the inclusion of additional policy-relevant covariates is needed to preserve calibration. Overall, ILR-based compositional geodemography provides a scalable and interpretable baseline for traffic safety monitoring and prioritization in data-constrained settings. Full article

Introduction: Chronic kidney disease and kidney failure are associated with a decline in physical abilities resulting in severe health-related complications. Existing systematic reviews and meta-analyses show that exercise interventions in patients on haemodialysis enhance physical functioning, cardiovascular health, muscle strength, and overall quality of life. However, the available literature mostly stem from adult cohorts outside Africa. Thus, this scoping review aims to evaluate existing literature on the impact of exercise programs on paediatric patients undergoing haemodialysis in Africa. Methods: A systematic search of electronic databases, including CINAHL, EBSCO, Medline, PubMed, and Scopus, was conducted following the Arksey and O’Malley methodological framework for scoping reviews and complied with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) reporting guidelines. The inclusion criteria was applied to identify peer-reviewed articles published between 2015 and 2025, focusing on the effects, impact, and benefits of exercises and physical activity programs in paediatric patients undergoing haemodialysis aged up to 18 years. The selection process was done by two researchers pertaining to importing search results, removing duplicates, screening titles and abstracts, and analysis the reference lists of selected studies to ensure comprehensive coverage. Results: Two exercise-based intervention studies were eligible in the final review. In both studies, the duration of the intervention was about two months, and they included sample sizes of 60 and 50 participants. The first study, using the Paediatric Quality of Life Inventory (PedsQL-I), reported significant improvements across all dimensions in quality-of-life following muscle stretching and isometric exercises. The second study, employing the Paediatric Quality of Life Multidimensional Fatigue Scale (PedsQL-MFS) and the Depression Anxiety Stress Scale (DASS), found reductions in fatigue and psychological distress, and positive biochemical changes. A notable omission was the lack of detail regarding contraindications and precautionary measures. These are essential for informing clinical decision-making and ensuring exercises are safe. Discussion: The findings underscore the importance of incorporating exercise into the standard care of paediatric patients undergoing haemodialysis to facilitate better health outcomes. The fact that only two relevant studies were found highlights a narrow regional scope within Africa as both studies originated from a single country. Further research is needed to develop and implement effective exercise interventions tailored to other countries in Africa. Full article

Background: Tibial pilon fractures are complex injuries frequently associated with persistent functional impairment, even after successful surgical fixation. While previous studies have reported deficits in muscle strength and balance, little is known about the side-to-side variations in intrinsic biomechanical and viscoelastic muscle properties following surgery. Objectives: This study aimed to compare the biomechanical and viscoelastic properties of ankle periarticular muscles between the affected and non-affected limbs in patients with surgically treated unilateral tibial pilon fractures. A secondary objective was to evaluate the relationship between intrinsic muscle properties and isometric muscle force. Methods: A total of 39 subjects with unilateral surgically treated tibial pilon fractures were evaluated after fracture healing. Myotonometric assessment was performed to evaluate muscle mechanical parameters, including tone (frequency), stiffness, and elasticity (decrement), as well as viscoelastic properties, including relaxation time and creep, in the tibialis anterior, peroneus longus, medial gastrocnemius, and lateral gastrocnemius muscles. Isometric muscle force of ankle dorsiflexors and plantar flexors was measured using a handheld dynamometer. Side-to-side comparisons and Pearson correlation analyses were performed. Results: The affected limb showed significantly reduced ankle range of motion in all planes and significantly lower isometric muscle force in both the dorsiflexors (p = 0.0002) and the plantar flexors (p = 0.0066). Stiffness was significantly higher in the medial (p = 0.038) and lateral gastrocnemius (p = 0.045) muscles on the affected side. Decrement was significantly increased (indicating reduced elasticity) in the peroneus longus (p = 0.021). No significant differences were observed for tone, relaxation time, or creep. Conclusions: Myotonometry revealed increased stiffness in the gastrocnemius muscles and reduced elasticity in the peroneus longus on the operated side compared with the non-affected limb. Tone and viscoelastic properties did not differ significantly between sides. However, tone, stiffness, and elasticity were significantly correlated with muscle force, indicating a relationship between intrinsic muscle mechanical properties and force production after tibial pilon fracture surgery. Full article

Dry-type electrical transformers are essential components in commercial, industrial, and residential power distribution systems, as they adapt voltage levels required by a broad range of load types. Although they are robustly constructed, they are exposed to adverse operational and environmental conditions such as dust, humidity, and electrical disturbances that may cause premature winding damage, such as inter-turn short circuits. This study focuses on the detection of inter-turn short-circuit faults in a 15 kVA commercial dry-type transformer, where a fault equivalent to 11.54% of short-circuited turns was induced in the tap changers. Axial, radial, and rotational leakage magnetic flux signals were captured using a low-cost, non-invasive triaxial Hall-effect magnetic flux sensor. During data processing, Fisher Score feature selection was applied to identify the most relevant indicators. Subsequently, feature extraction techniques, including Linear Discriminant Analysis, Principal Component Analysis (PCA), Uniform Manifold Approximation and Projection, and Isometric Mapping, were evaluated. The technique that best preserved global and local data structures was selected using Trustworthiness, Spearman’s correlation, and Kruskal’s stress metrics. PCA was selected as the optimal technique based on these quality metrics, achieving the highest classification performance. The resulting subspace data were classified using support vector machines and applying K-fold cross-validation. The proposed system achieved classification accuracies above 95%, with high recall and F1-score values, for inter-turn fault detection in each winding, confirming its effectiveness for reliable inter-turn fault detection in each transformer winding. Full article

The polished stone value (PSV) is a key parameter for assessing the resistance of aggregates to polishing in the laboratory. It is included in technical specifications and serves as both a regulatory and contractual criterion for selecting aggregates for wearing courses. Its determination requires non-negligible amounts of material, long testing durations, and skilled operators. This study aims to develop a predictive modeling approach to estimate the polished stone value (PSV) from the mineralogical and chemical composition of aggregates. A curated database was compiled from the peer-reviewed literature, and compositional data were transformed using Isometric Log-Ratio (ILR) to generate physically interpretable balances and avoid constant-sum artifacts. Machine learning algorithms, including Gradient Boosting, CatBoost, and Multivariate Adaptive Regression Splines (MARS), were trained and evaluated using repeated 10 × 2 K-Fold cross-validation with preprocessing embedded within the loop. CatBoost achieved the highest accuracy, with 90.4% of predictions within ±20% of the measured PSV. Model interpretability using permutation feature importance and SHAP analysis identified meaningful drivers, highlighting the roles of CO₂/SO₃ versus the major-oxide framework, and silica-rich oxides versus CaO/MgO, consistent with petrographic expectations. The proposed workflow provides a practical and interpretable approach for predicting PSV from compositional data. It offers a time- and resource-efficient alternative to conventional laboratory tests, while also providing insight into the material factors that control aggregate polishing resistance. Limitations related to dataset size and inter-source variability are discussed. Full article

(1) Background: Handgrip strength (HGS) is a widely used indicator of neuromuscular function, with predictive values for health and performance outcomes. The aim of this study was to evaluate the intraday and interday reliability of maximal and explosive handgrip force–time metrics using the Kinvent K-Grip handheld dynamometer. (2) Methods: Thirty-four participants performed three maximal voluntary isometric contractions per hand across two testing days. Force–time data were analysed for peak force (PF), mean force (MF), peak rate of force development (RFD), time-specific RFD, impulse, and forces at fixed time points. Reliability was assessed using intraclass correlation coefficients (ICCs), standard error of measurement (SEM), minimal detectable change (MDC), and coefficient of variation (CV%). (3) Results: The device demonstrated excellent relative and absolute reliability for PF and MF across both days (ICC > 0.97; CV < 6%; MDC ≈ 5 kg). Later-phase explosive metrics (F250 and Imp200) showed good-to-excellent relative reliability (ICC = 0.88-0.99; CV = 4–14%), although with variable absolute reliability (MDC F250 ≈ 4–8 kg, MDC Imp200 ≈ 1 kg·s). For early-phase metrics, relative reliability was only moderate to good (ICC = 0.67–0.88) and characterised by a high degree of variability (CV = 15–22%). (4) Conclusions: The K-Grip handheld dynamometer is a reliable tool for cross-sectional assessments and for tracking larger maximal strength and later-phase force improvements at fixed time points. Early-phase explosive metrics are less suitable for monitoring intervention effects due to high measurement error and fatigue sensitivity. Full article