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There is a growing interest in scientific literature on identifying how and to what extent interventions applied to a specific body region influence the responses and functions of other seemingly unrelated body regions. To investigate such a construct, it is necessary to have a global multivariate model that considers the interaction among several variables that are involved in a specific task and how a local and acute impairment affects the behavior of the output of such a model. We developed an artificial neural network (ANN)-based multivariate model by using parameters of motor skills obtained from kinematic, postural control, joint torque, and proprioception variables to assess the local fatigue effects of the abductor hip muscles on the functional profile during a single-leg drop landing and a squatting task. Findings suggest that hip abductor muscles' local fatigue produces a significant effect on a general functional profile, built on different control systems. We propose that expanded and global approaches, such as the one used in this study, have great applicability and have the potential to serve as a tool that guarantees ecological validity of future investigations.
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Fadiga Muscular , Músculo Esquelético/fisiologia , Desempenho Físico Funcional , Feminino , Humanos , Destreza Motora , Redes Neurais de Computação , Equilíbrio Postural , Adulto JovemRESUMO
Lower limb exoskeletons and orthoses have been increasingly used to assist the user during gait rehabilitation through torque transmission and motor stability. However, the physical human-robot interface (HRi) has not been properly addressed. Current orthoses lead to spurious forces at the HRi that cause adverse effects and high abandonment rates. This study aims to assess and compare, in a holistic approach, human-robot joint misalignment and gait kinematics in three fixation designs of ankle-foot orthoses (AFOs). These are AFOs with a frontal shin guard (F-AFO), lateral shin guard (L-AFO), and the ankle modulus of the H2 exoskeleton (H2-AFO). An experimental protocol was implemented to assess misalignment, fixation displacement, pressure interactions, user-perceived comfort, and gait kinematics during walking with the three AFOs. The F-AFO showed reduced vertical misalignment (peak of 1.37 ± 0.90 cm, p-value < 0.05), interactions (median pressures of 0.39-3.12 kPa), and higher user-perceived comfort (p-value < 0.05) when compared to H2-AFO (peak misalignment of 2.95 ± 0.64 and pressures ranging from 3.19 to 19.78 kPa). F-AFO also improves the L-AFO in pressure (median pressures ranging from 8.64 to 10.83 kPa) and comfort (p-value < 0.05). All AFOs significantly modified hip joint angle regarding control gait (p-value < 0.01), while the H2-AFO also affected knee joint angle (p-value < 0.01) and gait spatiotemporal parameters (p-value < 0.05). Overall, findings indicate that an AFO with a frontal shin guard and a sports shoe is effective at reducing misalignment and pressure at the HRI, increasing comfort with slight changes in gait kinematics.
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Órtoses do Pé , Robótica , Humanos , Fenômenos Biomecânicos , Tornozelo , MarchaRESUMO
Energy expenditure is a key rehabilitation outcome and is starting to be used in robotics-based rehabilitation through human-in-the-loop control to tailor robot assistance towards reducing patients' energy effort. However, it is usually assessed by indirect calorimetry which entails a certain degree of invasiveness and provides delayed data, which is not suitable for controlling robotic devices. This work proposes a deep learning-based tool for steady-state energy expenditure estimation based on more ergonomic sensors than indirect calorimetry. The study innovates by estimating the energy expenditure in assisted and non-assisted conditions and in slow gait speeds similarly to impaired subjects. This work explores and benchmarks the long short-term memory (LSTM) and convolutional neural network (CNN) as deep learning regressors. As inputs, we fused inertial data, electromyography, and heart rate signals measured by on-body sensors from eight healthy volunteers walking with and without assistance from an ankle-foot exoskeleton at 0.22, 0.33, and 0.44 m/s. LSTM and CNN were compared against indirect calorimetry using a leave-one-subject-out cross-validation technique. Results showed the suitability of this tool, especially CNN, that demonstrated root-mean-squared errors of 0.36 W/kg and high correlation (ρ > 0.85) between target and estimation (R¯2 = 0.79). CNN was able to discriminate the energy expenditure between assisted and non-assisted gait, basal, and walking energy expenditure, throughout three slow gait speeds. CNN regressor driven by kinematic and physiological data was shown to be a more ergonomic technique for estimating the energy expenditure, contributing to the clinical assessment in slow and robotic-assisted gait and future research concerning human-in-the-loop control.
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Aprendizado Profundo , Dispositivos Eletrônicos Vestíveis , Humanos , Frequência Cardíaca , Marcha/fisiologia , Caminhada/fisiologia , Metabolismo Energético/fisiologiaRESUMO
Zacca, R, Azevedo, R, Ramos, VR, Abraldes, JA, Vilas-Boas, JP, Castro, FAdS, Pyne, DB, and Fernandes, RJ. Biophysical follow-up of age-group swimmers during a traditional three-peak preparation program. J Strength Cond Res 34(9): 2585-2595, 2020-The aim of this study was to quantify changes and contributions of bioenergetic, technique, and anthropometric profiles across a traditional 3-peak swimming season. Twenty-four age-group swimmers (11 boys: 15 years 6 months ± 1 year 1 month; 13 girls: 14 years 5 months ± 10 months) of equal maturational stage were monitored through a 400-m test in front crawl (T400). Bioenergetic, technique, and anthropometric characteristics were compared before and after macrocycles I, II and III. Sex interaction was verified only for amplitude of the fast oxygen uptake component and height (moderate). Multiple linear regressions and principal component analysis were used to identify the most influential variables and the relative contribution of each domain (bioenergetics, technique, and anthropometrics) to changes in swimming performance of T400. The relative contributions for the performance of T400 after macrocycles I, II, and III were, respectively, 6, 18, and 27% for bioenergetics, 88, 69, and 54% for technique, and 6, 13, and 20% for anthropometrics. Technique was the biggest contributor (71%) for changes in the performance of T400 over the training season, followed by bioenergetics (17%) and anthropometrics (12%). Technique played the main role during the competitive season, regardless of gradual increase in the contribution of bioenergetics and anthropometrics. Despite that, bioenergetics and technique are closely connected, thus a powerful and endurable metabolic base and cannot be overlooked. Changes and contribution of bioenergetics, technique, and anthropometrics on age-group swimmers' performance over a traditional 3-peak swimming season could be described by the T400 swimming test, providing a comprehensive biophysical overview of the main contributors to swimming performance.
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Desempenho Atlético/fisiologia , Metabolismo Energético/fisiologia , Natação/fisiologia , Adolescente , Antropometria , Feminino , Humanos , Modelos Lineares , Masculino , Consumo de Oxigênio/fisiologia , Estudos Prospectivos , Fatores SexuaisRESUMO
Zacca, R, Azevedo, R, Peterson Silveira, R, Vilas-Boas, JP, Pyne, DB, Castro, FAdS, and Fernandes, RJ. Comparison of incremental intermittent and time trial testing in age-group swimmers. J Strength Cond Res 33(3): 801-810, 2019-The aim of this study was to compare physiological and biomechanical characteristics between an incremental intermittent test and a time trial protocol in age-group swimmers. Eleven national level age-group swimmers (6 men and 5 women) performed a 7 × 200-m incremental intermittent protocol (until exhaustion; 30-second rest) and a 400-m test (T400) in front crawl on separate days. Cardiorespiratory variables were measured continuously using a telemetric portable gas analyzer. Swimming speed, stroke rate, stroke length, and stroke index were assessed by video analysis. Physiological (oxygen uptake, heart rate, and lactate concentrations) and biomechanical variables between seventh 200-m step (in which the minimal swimming speed that elicits maximal oxygen uptake-vV[Combining Dot Above]O2max was identified) and T400 (time trial/fixed distance) were compared with a paired student's t test, Pearson's product-moment correlation, Passing-Bablok regression, and Bland-Altman plot analyses. There were high level of agreement and high correlations (r-values â¼0.90; p ≤ 0.05) for all physiological variables between the seventh 200-m step and T400. Similarly, there were high level of agreements and high correlations (r-values â¼0.90; p ≤ 0.05) for all biomechanical variables and only trivial bias in swimming speed (0.03 m·s; 2%). Primary physiological and biomechanical responses between incremental intermittent and representative time trial protocols were similar, but best practice dictates protocols should not be used interchangeably to minimize errors in prescribing swimming training speeds. The T400 is a valid, useful, and easier to administer test for aerobic power assessment in age-group swimmers.
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Desempenho Atlético/fisiologia , Fadiga Muscular/fisiologia , Natação/fisiologia , Adolescente , Fenômenos Biomecânicos , Teste de Esforço , Feminino , Frequência Cardíaca/fisiologia , Humanos , Ácido Láctico/sangue , Masculino , Consumo de Oxigênio/fisiologia , Descanso/fisiologiaRESUMO
Pelarigo, JG, Fernandes, RJ, Ribeiro, J, Denadai, BS, Greco, CC, and Vilas-Boas, JP. Comparison of different methods for the swimming aerobic capacity evaluation. J Strength Cond Res 32(12): 3551-3560, 2018-This study compared velocity (v) and bioenergetical factors using different methods applied for the swimming aerobic capacity evaluation. Ten elite female swimmers (17.6 ± 1.9 years, 1.70 ± 0.05 m, and 61.3 ± 5.8 kg) performed an intermittent incremental velocity protocol until voluntary exhaustion to determine the v associated with the individual anaerobic threshold (IAnT), ventilatory threshold (VT), heart rate threshold (HRT), lactate threshold fixed in 3.5 mmol·L (LT3.5), and maximal oxygen uptake (V[Combining Dot Above]O2max). Two-to-three 30-minute submaximal constant tests for the v assessment at maximal lactate steady state (MLSS). The v, gas exchange, heart rate, and blood lactate concentration variables were monitored in all tests. The values of all parameters at the v corresponding to MLSS, IAnT, VT, and HRT were similar (p ≤ 0.05), with high agreement (r > 0.400), except for carbon dioxide (V[Combining Dot Above]CO2) that was higher for MLSS compared with VT (p ≤ 0.05). However, the v at LT3.5 was higher when compared with other methods for v and bioenergetical factors. It is suggested that IAnT, VT, and HRT methods are better predictors of the intensity corresponding to the commonly accepted gold-standard method (i.e., MLSS) for the aerobic capacity evaluation compared with LT3.5.
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Teste de Esforço/métodos , Consumo de Oxigênio , Natação/fisiologia , Adolescente , Limiar Anaeróbio , Dióxido de Carbono/análise , Tolerância ao Exercício , Feminino , Frequência Cardíaca , Humanos , Ácido Láctico/sangueRESUMO
BACKGROUND: An increasingly aging society and consequently rising number of patients with poststroke-related neurological dysfunctions are forcing the rehabilitation field to adapt to ever-growing demands. Although clinical reasoning within rehabilitation is dependent on patient movement performance analysis, current strategies for monitoring rehabilitation progress are based on subjective time-consuming assessment scales, not often applied. Therefore, a need exists for efficient nonsubjective monitoring methods. Wearable monitoring devices are rapidly becoming a recognized option in rehabilitation for quantitative measures. Developments in sensors, embedded technology, and smart textile are driving rehabilitation to adopt an objective, seamless, efficient, and cost-effective delivery system. This study aims to assist physiotherapists' clinical reasoning process through the incorporation of accelerometers as part of an electronic data acquisition system. METHODS: A simple, low-cost, wearable device for poststroke rehabilitation progress monitoring was developed based on commercially available inertial sensors. Accelerometry data acquisition was performed for 4 first-time poststroke patients during a reach-press-return task. RESULTS: Preliminary studies revealed acceleration profiles of stroke patients through which it is possible to quantitatively assess the functional movement, identify compensatory strategies, and help define proper movement. CONCLUSION: An inertial data acquisition system was designed and developed as a low-cost option for monitoring rehabilitation. The device seeks to ease the data-gathering process by physiotherapists to complement current practices with accelerometry profiles and aid the development of quantifiable methodologies and protocols.
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Vestuário , Processamento Eletrônico de Dados , Monitorização Ambulatorial , Reabilitação do Acidente Vascular Cerebral , Acidente Vascular Cerebral/complicações , Algoritmos , Processamento Eletrônico de Dados/instrumentação , Processamento Eletrônico de Dados/métodos , Humanos , Doenças do Sistema Nervoso/etiologia , Telemetria/instrumentação , Telemetria/métodosRESUMO
While there are positive benefits from physical activity participation for individuals with Down syndrome, little is known about the effects of swimming training. The aim of this study was to compare the body composition and physical fitness profile of competitive swimmers and moderately active (untrained) individuals with Down syndrome. The Eurofit Special test was applied to a group of competitive swimmers (n = 18) and a group of untrained individuals (n = 19), all with Down syndrome. In addition, measurements were taken to determine body composition characteristics. The results showed differences between swimmers and untrained subjects in height, sum of the four skinfolds, body fat %, fat mass index and all items of the Eurofit Special test. Swimmers with Down syndrome exhibited physical fitness levels near to the Eurofit standards, although lower fitness levels were attained by these persons when compared to athletes with intellectual disability. It can be concluded that the practice of competitive swimming seems to counteract the tendency for obesity in persons with Down syndrome and also helps to increase strength, speed and balance.
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Our purpose was to demonstrate that 30-s tethered swimming test can be a useful tool to estimate swimming performance in short distance freestyle events. Thirteen high level adolescent swimmers (7 male and 6 female of 16.6 ± 1.0 and 15.8 ± 0.8 years old) performed a 30-s maximum effort in front crawl tethered swimming. Afterward, subjects completed 50-m and 100-m freestyle events at the National Championships. Both maximum and mean force values obtained in the tethered test related directly with 50-m (r = .78 and r = .72, p < .01, respectively) and 100-m freestyle velocities (r = .63 and r = .61, p < .05, respectively). Fatigue index did not present a significant relationship with any of the studied performance variables. However, a proposed parameter--fatigue slope-correlated with 50-m (r = -.75, p < .01), 100-m performances (r = -.57, p < .05) and with r[La-] (r = -.90, p < .01). It is concluded that, for adolescent swimmers, values obtained from 30-s tethered test are well related with swimming performance in sprint events. In addition, fatigue slope seems to be more associated with swimming performance in short distance events than fatigue index.
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Teste de Esforço/métodos , Natação/fisiologia , Adolescente , Fatores Etários , Exercício Físico , Tolerância ao Exercício/fisiologia , Fadiga , Feminino , Humanos , Masculino , Fatores Sexuais , Estatística como AssuntoRESUMO
This study investigated the effects of a coordinative in-water training. Total 26 young swimmers (16 boys) were divided in a training group (that performed two sets of 6 × 25-m front crawl, with manipulated speed and stroke frequency, two/week for eight weeks) and a control group. At the beginning and end of the training period, swimmers performed 50-m front crawl sprints recorded by seven land and six underwater Qualisys cameras. A linear mixed model regression was applied to investigate the training effects adjusted for sex. Differences between sex were registered in terms of speed, stroke length, and stroke index, highlighting that an adjustment for sex should be made in the subsequent analysis. Between moments, differences were noticed in coordinative variables (higher time spent in anti-phase and push, and lower out-of-phase and recovery for training group) and differences between sex were noticed in performance (stroke length and stroke index). Interactions (group * time) were found for the continuous relative phase, speed, stroke length, and stroke index. The sessions exerted a greater (indirect) influence on performance than on coordinative variables, thus, more sessions may be needed for a better understanding of coordinative changes since our swimmers, although not experts, are no longer in the early learning stages.
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Modalidades de Fisioterapia , Natação , Fenômenos Biomecânicos , Humanos , MasculinoRESUMO
Due to the growing engagement of youth in water polo practice, we aimed to characterize age-grouped players across anthropometric, general and specific motor abilities and contextual domains. We have also examined the associations of players' specific skills with their anthropometric and general motor characteristics. One-hundred-and-one male water polo players, grouped into 12-, 13- and 14-year age cohorts were recruited. One-way ANOVA explained age-cohort variance, and a multiple linear regression was used to assess the association between variables. The variance in cohorts was explained by arm span (25%), stature, hand breadth and length (17%) fat-free mass (18%), 20 m sprint (16%), sit-ups (18%), medicine ball throw (27%), anaerobic (31%) and aerobic performance (21%), change of direction (18%), and in-water vertical jump (14%). The variance of in-water vertical jump, 10 m sprint, change of direction and aerobic fitness for players' anthropometric characteristics were, 32, 25, 14 and 10% (respectively). The players' upper-limb explosive power explained 30, 22 and 17% of variance for in-water vertical jump, 10 m sprint and aerobic fitness, respectively. Body mass had an inverse, and arm span had a direct association with in-water vertical jump and swim velocity capability, arm span had an inverse and direct association with change of direction and aerobic fitness, respectively. The upper limbs' explosive power related directly to in-water vertical jump and aerobic fitness skills, but inversely with 10 m sprint scores.
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Estatura , Natação , Adolescente , Análise de Variância , Antropometria , Humanos , Modelos Lineares , MasculinoRESUMO
This review aims to understand the different technologies incorporated into lower limbs wearable smart garments and their impact on post-exercise recovery. Electronic searches were conducted in the PubMed, Web of Science, and Cochrane electronic databases. Eligibility criteria considered meta-analyses that examined the effects of wearable smart garments on physical fitness in healthy male and female adults. Seven meta-analyses were considered in the current umbrella review, indicating small effects on delayed-onset muscle soreness ([0.40-0.43]), rate of perceived exertion (0.20), proprioception (0.49), anaerobic performance (0.27), and sprints ([0.21-0.37]). The included meta-analyses also indicated wearable smart garments have trivial to large effects on muscle strength and power ([0.14-1.63]), creatine kinase ([0.02-0.44]), lactate dehydrogenase (0.52), muscle swelling (0.73), lactate (0.98) and aerobic pathway (0.24), and endurance (0.37), aerobic performance (0.60), and running performance ([0.06-6.10]). Wearing wearable smart garments did not alter the rate of perceived exertion and had a small effect on delayed-onset muscle soreness. Well-fitting wearable smart garments improve comfort and kinesthesia and proprioception and allow a reduction in strength loss and muscle damage after training and power performance following resistance training or eccentric exercise.
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On behalf of the Strength & Conditioning Society (SCS) and the Faculty of Sport of the University of Porto, we are pleased to present the abstracts of the SCS 4th Annual Conference: Strength and Conditioning for Human Performance, which took place in, Porto, Portugal, on 12-13 November 2021. The event was a success with invited sessions from renowned international and national speakers on a myriad of topics related to strength and conditioning and its application to health and sports performance, such as agility training and testing, high-intensity interval training in chronic conditions, hamstring strain injuries in soccer, and the utilization of surface electromyography (EMG) decomposition for assessing human performance, among others. During the Conference there were also different practical workshops on (1) velocity-based training; (2) performance testing and athlete monitoring using force platforms; (3) 3D kinematics tracking and flow force assessment in aquatic sports; (4) the application of inertial sensors for physical performance testing; (5) muscle fiber recruitment, force production, and energy expenditure in progressive bicycle testing; (6) EMG decomposition, motor-units recruitment, and muscle contraction modes; and (7) recovery strategies in team-sport athletes. Researchers and academics were able to present their latest findings by submitting the abstracts that compose this Conference Report.
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UNLABELLED: Inconsistencies about dynamic asymmetry between the on- and off- transient responses in oxygen uptake are found in the literature. Therefore, the purpose of this study was to characterize the oxygen uptake off-transient kinetics during a maximal 200-m front crawl effort, as examining the degree to which the on/off regularity of the oxygen uptake kinetics response was preserved. Eight high level male swimmers performed a 200-m front crawl at maximal speed during which oxygen uptake was directly measured through breath-by-breath oxymetry (averaged every 5 s). This apparatus was connected to the swimmer by a low hydrodynamic resistance respiratory snorkel and valve system. RESULTS: The on- and off-transient phases were symmetrical in shape (mirror image) once they were adequately fitted by a single-exponential regression models, and no slow component for the oxygen uptake response was developed. Mean (± SD) peak oxygen uptake was 69.0 (± 6.3) mL·kg(-1)·min(-1), significantly correlated with time constant of the off- transient period (r = 0.76, p < 0.05) but not with any of the other oxygen off-transient kinetic parameters studied. A direct relationship between time constant of the off-transient period and mean swimming speed of the 200-m (r = 0.77, p < 0.05), and with the amplitude of the fast component of the effort period (r = 0.72, p < 0.05) were observed. The mean amplitude and time constant of the off-transient period values were significantly greater than the respective on- transient. In conclusion, although an asymmetry between the on- and off kinetic parameters was verified, both the 200-m effort and the respectively recovery period were better characterized by a single exponential regression model. Key pointsThe VO2 slow component was not observed in the recovery period of swimming extreme efforts;The on and off transient periods were better fitted by a single exponential function, and so, these effort and recovery periods of swimming extreme efforts are symmetrical;The rate of VO2 decline during the recovery period may be due to not only the magnitude of oxygen debt but also the VO2peak obtained during the effort period.
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Understanding the lower limb kinematic, kinetic, and electromyography (EMG) data interrelation in controlled speeds is challenging for fully assessing human locomotion conditions. This paper provides a complete dataset with the above-mentioned raw and processed data simultaneously recorded for sixteen healthy participants walking on a 10 meter-flat surface at seven controlled speeds (1.0, 1.5, 2.0, 2.5, 3.0, 3.5, and 4.0 km/h). The raw data include 3D joint trajectories of 24 retro-reflective markers, ground reaction forces (GRF), force plate moments, center of pressures, and EMG signals from Tibialis Anterior, Gastrocnemius Lateralis, Biceps Femoris, and Vastus Lateralis. The processed data present gait cycle-normalized data including filtered EMG signals and their envelope, 3D GRF, joint angles, and torques. This study details the experimental setup and presents a brief validation of the data quality. The presented dataset may contribute to (i) validate and enhance human biomechanical gait models, and (ii) serve as a reference trajectory for personalized control of robotic assistive devices, aiming an adequate assistance level adjusted to the gait speed and user's anthropometry.
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Eletromiografia , Marcha/fisiologia , Perna (Membro)/fisiologia , Músculo Esquelético/fisiologia , Caminhada , Adulto , Fenômenos Biomecânicos , Feminino , Humanos , Masculino , Modelos Biológicos , Adulto JovemRESUMO
PURPOSE: This study aimed to assess bariatric surgery (BS) effect on fall risk factors. MATERIALS AND METHODS: Fifteen patients undergoing BS (intervention group, IG) and 10 non-surgical obese patients (control group, CG) were recruited. IG was assessed at pre-surgery and 6 months after BS, while CG was assessed at baseline and reassessed after 6 months. At both time-points, anthropometry, lower limbs muscle strength (isokinetic dynamometer), balance in bipedal stance (force platform), daily physical activity (accelerometry), and health-related quality of life (SF-36 questionnaire) were assessed. RESULTS: At baseline, there were no differences between CG and IG for all parameters analyzed. Compared to CG, 6 months post-BS, the IG decreased weight, body mass index, waist and hip circumference. Balance showed limited improvements, with gains observed only on antero-posterior and total center of pressure velocity. Muscle strength displayed a divergent evolution 6 months after BS, with a decrease in absolute strength but an increase in relative strength. Although BS did not induce significant changes in time spent in different physical activity intensities, it decreased time in sedentary behavior and increased number of daily steps. Post-BS patients reported substantial improvements in quality-of-life, especially in physical function. CONCLUSION: Patients seem to overestimate their actual physical fitness improvements attained after BS, which combined with increases in physical activity, might increase the likelihood of engaging in risky daily tasks to what they are physically not prepared to, consequently increasing fall risk.
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Cirurgia Bariátrica , Obesidade Mórbida , Humanos , Obesidade Mórbida/cirurgia , Qualidade de Vida , Fatores de Risco , Comportamento SedentárioRESUMO
OBJECTIVE: To compare standing head posture measurements between patients with nontraumatic neck pain (NP) and pain-free individuals. DESIGN: Single-blind (assessor) cross-sectional study. SETTING: Hospital and general community. PARTICIPANTS: Consecutive patients (n=40) with chronic nontraumatic NP and age- and sex-matched pain-free participants (n=40). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Three angular measurements: the angle between C7, the tragus of the ear, and the horizontal; the angle between the tragus of the ear, the eye, and the horizontal; and the angle between the inferior margins of the right and the left ear and the horizontal were calculated through the digitization of video images. RESULTS: NP patients were found to have a significantly smaller angle between C7, the tragus, and the horizontal, resulting in a more forward head posture than pain-free participants (NP, mean +/- SD, 45.4 degrees +/-6.8 degrees ; pain-free, mean +/- SD, 48.6 degrees +/-7.1 degrees ; P<.05; confidence interval [CI] for the difference between groups, 0.9 degrees -6.3 degrees ). Dividing the population according to age into younger (=50y) and older (>50y) revealed an interaction, with a statistically significant difference in head posture for younger participants with NP compared with younger pain-free participants (NP, mean +/- SD, 46.1 degrees +/-6.7 degrees ; pain-free, mean +/- SD, 51.8 degrees +/-5.9 degrees ; P<.01; CI for the difference between groups, 1.8 degrees -9.7 degrees ) but no difference for the older group (NP, mean +/- SD, 44.8 degrees +/-7.1 degrees ; pain-free, mean +/- SD, 45.1 degrees +/-6.7 degrees ; P>.05; CI for the difference between groups, -4.9 degrees -4.2 degrees ). No other differences were found between patients and pain-free participants. CONCLUSIONS: Younger patients with chronic nontraumatic NP were shown to have a more forward head posture in standing than matched pain-free participants. However, the difference, although statistically significant, was perhaps too small to be clinically meaningful.
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Cervicalgia/fisiopatologia , Postura/fisiologia , Adulto , Idoso , Doença Crônica , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pescoço/anatomia & histologia , Método Simples-CegoRESUMO
The aim of the present study was to analyze the hydrodynamic characteristics of a true model of a swimmer hand with the thumb in different positions using numerical simulation techniques. A three-dimensional domain was created to simulate the fluid flow around three models of a swimmer hand, with the thumb in different positions: thumb fully abducted, partially abducted, and adducted. These three hand models were obtained through computerized tomography scans of an Olympic swimmer hand. Steady-state computational fluid dynamics analyses were performed using the Fluent(®) code. The forces estimated in each of the three hand models were decomposed into drag and lift coefficients. Angles of attack of hand models of 0°, 45° and 90°, with a sweep back angle of 0° were used for the calculations. The results showed that the position with the thumb adducted presented slightly higher values of drag coefficient compared with thumb abducted positions. Moreover, the position with the thumb fully abducted allowed increasing the lift coefficient of the hand at angles of attack of 0° and 45°. These results suggested that, for hand models in which the lift force can play an important role, the abduction of the thumb may be better, whereas at higher angles of attack, in which the drag force is dominant, the adduction of the thumb may be preferable. Key pointsNumerical simulation techniques can provide answers to problems which have been unobtainable using experimental methods.The computer tomography scans allowed the creation of a complete and true digital anatomic model of a swimmer hand.The position with the thumb adducted presented slightly higher values of drag coefficient than the positions with the thumb abducted.The position with the thumb fully abducted allowed increasing the lift coefficient of the hand at angles of attack of 0 and 45 degrees.For hand positions in which the lift force can play an important role the abduction of the thumb may be better whereas at higher angles of attack, in which the drag force is dominant, the adduction of the thumb may be preferable for swimmers.
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This study aimed to examine young swimmers' behavioral flexibility when facing different task constraints, such as swimming speed and stroke frequency. Eighteen (five boys and 13 girls) 13- to 15-year-old swimmers performed a 15 × 50-m front crawl with five trials, at 100%, 90%, and 70% each of their 50 m maximal swimming speed and randomly at 90%, 95%, 100%, 105%, and 110% of their preferred stroke frequency. Seven aerial and six underwater cameras were used to assess kinematics (one cycle), with upper-limb coordination computed through a continuous relative phase and index of coordination. A cluster analysis identified six patterns of coordination used by swimmers when facing various speed and stroke frequency constraints. The patterns' nature and the way the swimmers shifted between them are more important than getting the highest number of patterns (range of repertoire), that is, a change in the motor pattern in order to adapt correctly is more important than being able to execute a great number of patterns.
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The purpose of this study was to analyze the relationship between the intra-cycle variation of the horizontal velocity of displacement of the center of mass (dV), the hand's and feet's velocity, as well as, to identify the variables that most predict the dV's, in butterfly stroke. The study was divided in two parts. The aim of Part I was to investigate the behavior of variables in study at slow swimming velocities and the purpose of Part II was the same but at high swimming velocities. 3 male Portuguese swimmers and 1 female swimmer, of international level were studied in Part I. The swimmers were submitted to an incremental set of 200 m butterfly swims. In the Part II, 7 Portuguese male swimmers of national and international level were studied. Each swimmer performed two maximal 25 m butterfly swims. Both protocols were recorded from four different plans, allowing a 3D analysis. It was calculated the dV, the 3D components (Vx, Vy, Vz) of the hand's velocity and the 2D components (Vx, Vy) of the feet's velocity. Several variables presented significant correlation coefficients with dV at all selected velocities (high velocity ranged from r = 0.58 for Vx-out to r = 0.82 for Vy-1dwn; slow velocity ranged from r = -0.45 for Vx-1dwn to r=0.73 for Vx-ups; overall velocity ranged from r= 0.34 for Vz-ent to r = 0.82 for Vx-ins). It was also computed a regression model to predict dV. For high velocity (up to 1.75 ± 0.09 m.s(-1)), the variables that best predict dV were Vy during the first downbeat, Vx and Vy during the arm's insweep (r(2) = 0.93). At slow velocity (up to 1.48 m.s(-1)), the variables included in the forward step-by-step regression model were Vx during upsweep, Vy and Vx during insweep (r(2) = 0.69). For overall velocity, the variables that most fit the regression model were Vx during upsweep, Vy during second downbeat and Vz during entry (r(2)= 0.94). In order to reduce dV, butterfliers should increase hand's velocity in all orthogonal components at the end of the underwater path, should increase the vertical velocity during the downbeats and decrease the velocity during the hand's entry. Key pointsSegmental velocities are a determinant phenomenon for swimming performance and should be carefully analyzed by coaches and butterfliers.Butterfliers must finish the last phase of the underwater path with a high hand's velocity in order to reduce the speed fluctuation and increase the swimming velocity.Butterfliers should also pay more attention to downbeats, since they are important to reduce the speed fluctuation during the hand's entry, as well as, the arm's recovery.