Quadriceps muscle strength recovery with the use of high tone power therapy after anterior cruciate ligament reconstruction: a randomized controlled trial.

BACKGROUND: There are no scientific reports clearly describing the effectiveness of the High Tone Power Therapy in patients after ACL reconstruction. This caused that in own research an attempt was made to present the possibilities of using the selected method of electrical stimulation in the treatment of an orthopaedic patient. The aim was to assess the effectiveness of electro stimulation of the quadriceps muscle in patients after ACL reconstruction, with the use of High Tone Power Therapy. METHODS: In randomized controlled trial took part thirty-five men, aged 21-50, after ACL reconstruction. The tests were carried prior to and 6 months following the ACL reconstruction. After the surgery, the patients were randomly divided into experimental group (17 patients) with the High Tone Power Therapy in rehabilitation and control group (18 patients) without the High Tone Power Therapy. Patients were subjected to 6-month rehabilitation. Research tools included the measurement of muscle strength torque, ROM, knee and thigh circumference measurements, the Lysholm and the VAS scale. RESULTS: After applying HiToP, the analysis showed a statistically significant improvement of muscle torque (p = 0.041, Es = 3.71), knee circumference (p = 0.039, Es = 1.65), thigh circumference (p = 0.049, Es = 1.26), knee extension (p < 0.001, Es = 2.20) in Experimental group compared to the control group. Only the results of the VAS scale did not differ statistically significantly both within a given group and between groups. CONCLUSIONS: The results confirm the hypothesis that the use of HiToP in patients after ACLr have a beneficial effect on muscle strength, reduction of joint effusion, muscle mass gain and joint function. The assumption that HiToP significantly reduces pain levels is not supported - the results in both groups are statistically insignificant. TRIAL REGISTRATION: The research project was retrospectively registered in the Australian New Zealand Clinical Trials Registry (ANZCTR). Date of first registration 11.10.2016. Registration number: ACTRN12616001416482 .

Influence of Morphology and Strength on Front Crawl Swimming Speed in Junior and Youth Age-Group Swimmers.

Strzala, M, Stanula, A, Krezalek, P, Ostrowski, A, Kaca, M, and Glab, G. Influence of morphology and strength on front crawl swimming speed in junior and youth age-group swimmers. J Strength Cond Res 33(10): 2836-2845, 2019-This study, conducted in 2 male age groups, was aimed at analyzing the influence of body properties, dry-land strength and swimming strength on 50-m crawl (VCrawl). We examined 2 competitive groups, Youth (20.6 ± 1.05) and Junior (17.3 ± 0.59), based on (a) body mass (BM) and lean body mass (LBM), body height (BH) and total body length (TBL), and arm span (AS); (b) countermovement jump (CMJ) and maximum isometric strength of elbow and knee joints; and (c) tethered crawl strength. We hypothesized that a higher relationship of strength indices in younger swimmers in VCrawl and tethered swimming would be a better sprint performance predictor. The Junior group revealed a significant relationship between somatic traits (BM r = 0.63; BH r = 0.55; TBL r = 0.58; AS r = 0.52 with p ≤ 0.05 LBM r = 0.78; with p < 0.01) and VCrawl, whereas such interplay was not found in the Youth group. General dry-land strength indices CMJ (cm), CMJ (J) or isometric strength of knee joint muscle flexors and extensors (r = 0.57; r = 0.69; r = 0.56; r = 0.57, respectively) also significantly correlated with VCrawl only in the Junior group. The Junior group's tethered swimming strength had a higher but not a significant relationship with VCrawl. The Youth group instead achieved significantly higher VCrawl and stroke rate (SR). The SR revealed (r = 0.41, p = 0.014) a relationship with VCrawl only after the combination of both groups. This study demonstrates a better strength relationship with VCrawl in the younger Junior group. In the future, the evaluation of sprint swimming aptitudes, besides on the basis of somatic traits and properties of dry-land or water strength measurement, should be complemented by measurements of real sprint swimming technique parameters.

Shaping physiological indices, swimming technique, and their influence on 200m breaststroke race in young swimmers.

The aim of this study was to investigate somatic properties and physiological capacity, and analyze kinematic parameters in the 200 m breaststroke swimming race. Twenty-seven male swimmers participated in the study. They were 15.7±1.98 years old. Their average height was 1.80 ± 0.02 m and lean body mass (LBM) was 62.45 ± 8.29 kg. Physiological exercise capacity was measured in two separate 90 sec. all-out tests, one for the arms and second for legs. During the tests total work of arm cranking (TWAR) and cycling (TWLG) as well as peak of VO2 for arm (VO2peakAR) and leg (VO2peakLG) were measured. The underwater swimmers body movements were recorded during the all-out swimming 200m breaststroke speed test using an underwater camera installed on a portable trolley. The swimming kinematic parameters and propulsive or non-propulsive movement phases of the arms and legs as well as average speed (V200), surface speed (V200surface) and swimming speed in turn zones (V200turns) were extracted. V200surface was significantly related to the percentage of leg propulsion and was shown to have large effect on VO2peakLG in the Cohen analysis. V200turns depended significantly on the indicators of physiological performance and body structure: TWAR, VO2peak LG and LBM, LBM, which in turn strongly determined the measured results of TWAR, TWLG, VO2peakAR and VO2peakLG. The V200turns and V200surface were strongly associated with V200, 0.92, p < 0.001 and 0.91, p < 0.001 respectively. In each lap of the 200m swimming there was an increased percentage of propulsion of limb movement observed simultaneously with a reduction in the gliding phase in the breaststroke cycles. Key pointsThis study investigated the influence of the selected indicators of somatic properties and physiological capacity as well kinematic and coordination parameters on breaststroke swimming.In this observations the body's functional capacity have an important impact on achieving good breaststroke swimming results, the V200 was moderately associated on VO2peakLG, moreover, separate V200turns depended with VO2peakLG and on LBM and TWAR.The speed of surface breaststroke swimming - V200surface similarly as V200turns had a very strong influence on the end result of V200 , 0.91, p<0.001 and 0.92, p<0.001 respectively.The ability to swim fast on the surface (V200surface) was positively and significantly associated with the percentage time of propulsion generation -LP in the breaststroke cycle.

Intra-cyclic phases of arm-leg movement and index of coordination in relation to sprint breaststroke swimming in young swimmers.

Despite the limitations set by FINA regulations, execution technique in breaststroke swimming is being improved thanks to more and more advanced analyses of the efficiency of the swimmer's movements. The aim of this study was to detect the parameters of the time structure of the cycle correlated with the maximal swimming speed at the of 50 meters distance, in order to focus to specific technical aspects in the breaststroke training. In the group of 23 participants, between the age of 15.0 ± 1.17, the breaststroke cycle movement of the arms and legs was divided into two phases: propulsive or non-propulsive. In addition, indices characterizing the temporal coordination of movements of the upper limbs in relation to the lower limbs were distinguished: 1) Arm-Leg Lag - determines the interval between the phases of propulsion generated by upper and lower limbs; 2) Glide or Overlap - the inter-cyclic glide or overlap of the propulsive movement of the upper on lower limbs. Significant dependence was noted between the swim speed (V50surface breast) and the percentage of time of the arm propulsive in-sweep phase 0.64, p < 0.01. A significant correlation was observed between the V50surface breast with the percentage of partially surfaced hand phase of arm recovery 0.54, p < 0.01. Correlation between total leg propulsion and non-propulsion phases with V50surface breast was 0.49 and -0.49 respectively, both p < 0.01. The Glide or Overlap index was significantly related to the swimming speed V50surface breast 0.48, p < 0.05. This type of analysis suggests how to refine the swimming technique, with the goal to improve the current speed capabilities; furthermore the results also indicate the direction of its development in the future swimmers of the group studied. Key PointsThis study investigated the influence of the inter- and intra-cyclic time structure of the movements in sprint breaststroke swimming.The distinction of the operations phases of the upper limbs in the propulsive movement shows significant correlation 0.64, p <0.01 between the swimming speed V50surface breast and the execution time of the in-sweep phase in the movement cycle. Significant relationship was noted between minimizing the first non-propulsive phase of arm recovery with higher contribution of the next, partially immersed sliding phase of arm recovery.The specification of the inter-cyclic coordination index of the upper and lower limbs during the movement cycle shows influence of the overlap of the propulsive movement of the upper limbs on the propulsive movement of the lower limbs on V50surface breast with correlation 0.48, p <0.05 for young swimmers.

Does kinesiotaping can improve static stability of the knee after anterior cruciate ligament rupture? A randomized single-blind, placebo-controlled trial.

BACKGROUND: The aim of the study was the assessment of the early impact of the selected kinesiotaping technique on the static stability of the knee joint in patients with ACL rupture on the basis of stabilographic parameters. METHODS: Sixty-two patients with a complete ACL rupture (32 patients in experimental group and 30 patients in placebo group) took part in the randomized single-blind, placebo-controlled trial. The ligament technique of KT was taken into consideration. Application of a KT tape only on the injured knee was to stabilize the knee joint. Experimental group had application of KT on the injured knee and the placebo group had a KT placebo application (with no tension on KT). Intervention and stabilographic test in both groups was the same. Research tools included measurements of static stabilographic parameters on stabilometric platform CQStab2P®. Outcome measures were assessed before intervention and after KT application. The analysis included evaluation of outcome variables - total path length, (SP), statokinesiogram path length in the XY axes (SPML, SPAP), and mean velocities in the XY axes (MV, MVML, MVAP). RESULTS: The results show a statistically significant shortening of the SP, SPAP and SPML variables only in experimental group. In the placebo group the results were not significant. The analysis also showed a significant improvement in all analyzed variables in the experimental group compared to the healthy side. In the placebo group, the results did not improve significantly after KT application compared to the healthy side. CONCLUSIONS: Application o f KT in patients after ACL rupture shortened the total path length and improved the value of parameters in the frontal and sagittal planes in experimental group, which may suggest the potentially greater improvement in these parameters. By improving the values of the analyzed variables, the KT application is able to compensate for the loss of static stability of the knee. TRIAL REGISTRATION: This study was registered retrospectively in the Australian New Zealand Clinical Trials Registry (ANZCTR). Registration number: ACTRN12616001407482 .

The use of an alternating magnetic field in the resorption of postoperative joint effusion following anterior cruciate ligament reconstruction: A randomized double-blind controlled trial.

CONTEXT: There are no scientific reports unambiguously describing the efficacy of alternating magnetic field therapy in patients after anterior cruciate ligament (ACL) reconstruction in the early postoperative period. OBJECTIVE: This study aims to evaluate the efficacy of using an alternating magnetic field in the resorption of postoperative joint effusion in patients after ACL reconstruction. STUDY DESIGN: A randomized, double-blind placebo-controlled study. SETTING: Inpatients. PARTICIPANTS: Forty patients were enrolled in the trial. However, the final study group consisted of 38 patients (28 men and 10 women) after ACL reconstruction who were randomly divided into an experimental group (19 patients) and a control group (19 patients). INTERVENTION: Each group received magnetic field therapy in the postoperative period, but only 1 apparatus emitted a magnetic field (the experimental group). Patients used the apparatus every day for 30 minutes for the next 11 days. The parameters in both devices were the same-3 mT and 10 Hz. MAIN OUTCOME MEASURES: The measurement of the knee circumference and range of motion were made. The knee circumference measurement was performed before magnetic field therapy began and for 11 days after magnetic field treatment. The active knee range of motion was evaluated before and after magnetic field therapy was completed. RESULTS: There were no statistically significant differences between the groups in the reduction of post-operative joint effusion or knee joint function. CONCLUSION: In patients after ACL reconstruction, in whom an alternating magnetic field was used to treat postoperative joint effusion, there were no beneficial effects on the analyzed variables compared to the control group.

Telomere length in leukocytes and cervical smears of women with high-risk human papillomavirus (HR HPV) infection.

OBJECTIVE: Persistent high-risk HPV (HR HPV) infection leads to the development of squamous intraepithelial lesions, which in turn may progress to cervical cancer. Telomere elongation or shortening may indicate a carcinogenesis process. In the present study, we analyzed telomere length from blood and cervical smears of women without and with high-risk HPV infection. MATERIALS AND METHODS: Telomere length was quantified by real-time PCR in blood and cervical smears from 48 women with high-risk HPV infection and HGSIL or LGSIL, 29 women HR-HPV positive without SIL, and 11 HPV-negative women. RESULTS: No correlation was found between age and telomere length in blood and cervical smears. Women with high-risk HPV infection had shorter telomeres in cervical smears, but not in blood compared to the control group. CONCLUSION: These findings suggest that telomere shortening occurs in cervical cells of women with HR HPV infection both with LGSIL and HGSIL and may indicate the onset of carcinogenesis. In turn, there is no correlation between leukocyte telomere length and cervical cancer risk in women with HR HPV infection.

Telomeres and Telomerase During Human Papillomavirus-Induced Carcinogenesis.

Human papillomaviruses (HPVs) belong to a small spherical virus family and are transmitted through direct contact, most often through sexual behavior. More than 200 types of HPV are known, a dozen or so of which are classified as high-risk viruses (HR HPV) and may contribute to the development of cervical cancer. HPV is a small virus with a capsid composed of L1 and L2 proteins, which are crucial for entry to the cell. The infection begins at the basal cell layer and progresses to involve cells from higher layers of the cervical epithelium. E6 and E7 viral proteins are involved in the process of carcinogenesis. They interact with suppressors of oncogenesis, including p53 and Rb proteins. This leads to DNA replication and intensive cell divisions. The persistent HR HPV infection leads to the development of dysplasia and these changes may progress to invasive cancer. During the initial stage of carcinogenesis, telomeres shorten until telomerase activates. The activation of telomerase, the enzyme necessary to extend chromosome ends (telomeres) is the key step in cell immortalization. Analyzing the expression level of hTERT and hTERC genes encoding telomerase and telomere length measurement may constitute new markers of the early carcinogenesis.

Butterfly Sprint Swimming Technique, Analysis of Somatic and Spatial-Temporal Coordination Variables.

The aim of this study was to investigate somatic properties and force production of leg extensor muscles measured in the countermovement jump test (CMJ), as well as to analyse kinematic variables of sprint surface butterfly swimming. Thirty-four male competitive swimmers were recruited with an average age of 19.3 ± 1.83 years. Their average body height (BH) was 183.7 ± 5.93 cm, body fat content 10.8 ± 2.64% and body mass (BM) 78.3 ± 5.0 kg. Length measurements of particular body segments were taken and a counter movement jump (CMJ) as well as an all-out 50 m butterfly speed test were completed. The underwater movements of the swimmers' bodies were recorded with a digital camera providing side-shots. We registered a significant relationship between body mass (r = 0.46), lean body mass (r = 0.48) and sprint surface butterfly swimming (VSBF). The anaerobic power measured in the CMJ test, total body length (TBL) as well as upper and lower extremity length indices did not influence swimming speed significantly. The temporal entry-kick index (the time ratio between the first kick and arm entry) significantly influenced VSBF (r = -0.45). Similarly, medium power of the coefficient was indicated between a) stroke rate kinematics (SR), b) duration of the first leg kick (LP1), c) air phase duration of arm recovery (Fly-arm), and VSBF (r = 0.40; r = 0.40 and r = 0.41, respectively). The entry-kick temporal index showed that, in the butterfly cycle, an appropriately early executed initial kick when compared to arm entry was associated with a longer arm propulsion phase, which in turn was associated with minimizing resistive gliding phases and enabled relatively longer and less resistive air arm recovery (higher value of the fly-arm index). The higher value of SR kinematic was another important element of the best butterfly results in this study.

Swimming speed of the breaststroke kick.

The breaststroke kick is responsible for a considerable portion of the forward propulsion in breaststroke swimming. The aim of this study was to measure selected anthropometric variables and functional properties of a swimmer's body: length of body parts; functional range of motion in the leg joints and anaerobic power of the lower limbs. Chosen kinematic variables useful in the evaluation of swimming performance in the breaststroke kick were evaluated. In the present research, swimming speed using breaststroke kicks depended to the largest extent on anaerobic endurance (0.46, p < 0.05 partial correlations with age control). In addition, knee external rotation and swimming technique index had an impact on swimming speed and kick length (both partial correlations with age control 0.35, p < 0.08). A kinematic analysis of the breaststroke kick hip displacement compatible with horizontal body displacement was significantly negatively correlated with foot slip in the water opposite to body displacement (partial correlations: with leg length control -0.43, p < 0.05; with shank length control -0.45, p < 0.05, respectively). Present research and measurements of selected body properties, physical endurance and kinematic movement analysis may help in making a precise determination of an athlete's talent for breaststroke swimming.