Understanding the Associations across Fibromyalgia-Related Fatigue, Depression, Anxiety, Self-Esteem Satisfaction with Life and Physical Activity in Portuguese and Brazilian Patients: A Structural Equation Modeling Analysis.

Background and Objectives: Fibromyalgia are heterogeneous and differ from patient to patient; however, the most reported are general myalgia and at specific points associated with fatigue and certain psychological adversities. Physical activity can mitigate the effects of the symptoms. However, the associations between fibromyalgia-related fatigue, self-esteem, anxiety, depression, satisfaction with life and physical activity are unclear. Therefore, the aim of the present study was to understand the associations between these symptoms and whether there are differences between these associations across two distinct cultures. Materials and Methods: A total of 473 women aged between 28 and 75 years (M = 49.27; SD ± 8.28) completed five questionnaires about fibromyalgia-related fatigue, physical activity, anxiety, depression, self-esteem, and satisfaction with life. Results: Fibromyalgia-related fatigue was positively associated with depression and anxiety, depression and anxiety were negatively associated with self-esteem, self-esteem was positively associated with satisfaction with life, satisfaction with life was positively associated with physical activity and there were no differences in terms of the perceptions and associations of these variables between Portuguese and Brazilian patients. Conclusions: Our results showed the significant role of associations between these variables and a similarity in the perception and relationship of the variables between the two cultures.

Surgical outcome of a post-traumatic dystonic foot: Case report and literature review.

Post-traumatic dystonia is an underrecognized condition that can present with bizarre symptoms after trauma, usually out of proportion to the trigger event. We describe the case of a 31-year-old man with a severe lower extremity deformity, gradually developed after minor trauma. An interdisciplinary treatment was tried without any improvement and surgery was performed as a rescue approach. Tibialis anterior tendon transfer and hindfoot triple arthrodesis were carried out, successfully achieving a plantigrade foot and a functional gait. Despite the scarce literature available about functional results of surgery in dystonic feet, we present a step-by-step comprehensive approach to this disorder. LEVEL OF CLINICAL EVIDENCE: 4.

Minimum of 10-year follow-up of V-rod technique in lumbar spondylolysis.

PURPOSE: To describe and analyze the use of the V-rod technique described by Gillet to repair spondylolysis in both early and late postoperative periods. METHODS: Patients submitted to surgical correction of lumbar spondylolysis with a V-rod system were selected upon exclusion of adjacent disk degenerative changes and high-grade spondylolisthesis. A preoperative clinical (ODI and VAS) and radiological evaluation was performed, along with assessments on the early (clinical evaluation-up to 1 year) and late (clinical and radiological-at least 10 years) postoperative periods. RESULTS: Twenty-two patients were included, 21 with L5 spondylolysis. Fifty percent had grade I spondylolisthesis. A significant decrease in ODI and VAS was observed from pre- to early and late post-op evaluation (all p < 0.05) but not during post-op evaluations. Changes from pre- to postoperative of both ODI and VAS were significantly higher than the minimal clinically important difference. Preoperative ODI and VAS were significantly higher in overweight/obese but similar postoperatively. No additional instability was found in late postoperative X-rays. Three patients needed revision surgery, with a survival rate of 81.8% for Gillet instrumentation at a mean follow-up of 687.7 ± 60.0 weeks. CONCLUSIONS: Surgical treatment with V-rod system is associated with a significant improvement in ODI and VAS and radiologic stability, with an equal benefit in obese/overweight patients. This study reports for the first time an improvement that is maintained even 10 years after the initial intervention, associated with a low rate of failure. These slides can be retrieved under Electronic Supplementary Material.

Coracohumeral distance and coracoid overlap as predictors of subscapularis and long head of the biceps injuries.

BACKGROUND: Subscapularis (SS) lesions are often underdiagnosed because of an incomplete understanding of contributing factors but also because of a greater difficulty in SS tear diagnosis with magnetic resonance imaging or physical examination. In this setting, predicting factors can be useful tools in these injuries' management. The goal of this study was to determine the influence of the coracohumeral distance (CHD) and coracoid overlap (CO) in anterior rotator cuff lesions, as well as to determine the CHD and CO values that can accurately predict SS and long head of the biceps (LHB) injuries. METHODS: We performed a retrospective, controlled, single-blinded study. We analyzed 301 patients with rotator cuff pathology and magnetic resonance imaging studies; patients with SS lesions represented the study group. The CHD and CO were measured. RESULTS: We found that lower CHD and higher CO values were progressively related to more serious injuries of the SS and LHB. The CHD was a very strong predictor of SS injury and tear and a good predictor of LHB injuries. A CHD of 7.6 mm had a sensitivity of 84.4% and specificity of 88.6% for SS tears. The CO was also a very strong predictor of SS tears and a good predictor of LHB injury, with a CO of 16.6 mm reaching a sensitivity of 77.8% and specificity of 68.3% for SS tears. CONCLUSIONS: The CHD is an excellent predictor of SS tears and a good predictor of LHB lesions, with the CO also being a very strong predictor of SS tears and a good model for LHB injuries.

Exploring the Dynamics of Athletes' Enjoyment and Self-Determined Motivation, and of the Motivational Climate in Youth Football: A Longitudinal Perspective.

We aimed to explore a short period longitudinal interplay between athletes' enjoyment and their self-determined motivation and motivational climate in youth football. We recruited 109 youth football athletes (79 males, 30 females) through a convenient sampling method. We included individuals within the 12-17-year-old age range, with a mean age of 14.31 (SD = 1.46) years. To examine these proposed associations, we performed hierarchical multiple regression analyses and found that enjoyment at pre-season assessment (T1) and self-determined motivation and a task-involving sport climate at mid-season (T2) were significant predictors of mid-season enjoyment (at T2). However, self-determined motivation and task-involving climate at T1 did not significantly contribute to the model. These findings emphasize the importance of initial enjoyment and an evolved self-determined motivation, and task-involving climate in understanding later enjoyment in sport. Coaches, practitioners, and policymakers should prioritize strategies that enhance intrinsic motivation, provide opportunities for autonomy, and cultivate a supportive and growth-oriented environment.

Exploring the relationship across autonomous motivation, affects, and anxiety among gym practitioners during the second COVID-19 lockdown.

The present study explores the association of autonomous motivation and the relationship of positive and negative affect on anxiety levels among individuals engaged in gym practitioners during the second COVID-19 lockdown. A total of 196 exercisers (29.17 ± 10.77) were enrolled in the present study, of which 112 (57.1%) were women and 84 (42.9%) were men. The survey included sociodemographic data, as well as validated instruments measuring autonomous motivation, positive and negative affect, and anxiety states related to the COVID-19 pandemic. The results revealed a positive association between autonomous motivation and positive affect (ß = 0.36, CI 0.12, 0.37; p < 0.001), and a negative association between autonomous motivation and negative affect (ß = - 0.17, CI - 0.31, - 0.01; p = 0.03). Moreover positive, and negative affect are negatively (ß = - 0.33, CI - 0.43, - 0.24; p < 0.001) and positively (ß = 0.72, CI 0.57, 0.82; p < 0.001) associated to anxiety, respectively. Thus, this study appears to emphasize the association of autonomous motivation on affect as a potential buffer against anxiety levels, particularly in a context where practitioners found themselves restricted in their usual gym practices.

Physical Activity, Anxiety, Depression, and Body Image in Trans Individuals: An Exploratory Study.

Physical activity (PA), mental health, and body image are some important health topics in the transgender population that have been recently discussed and appear to play a crucial role in the quality of life of the trans population. This study aims to elucidate the complex interplay of these variables and their implications for the well-being of trans individuals. METHODS: In a cross-sectional study, 75 Portuguese transgender individuals (M = 23.68; SD ± 6.59) were recruited to participate in this study. The participants completed three questionnaires related to the assessment of physical activity (IPAQ), depressive and anxious symptomatology (HADS), and satisfaction with body image (BISQp). RESULTS: Trans individuals showed a total energy expenditure of 3316.40 metabolic equivalent tasks (METS), had a moderate level of anxiety symptomatology, and low levels of satisfaction with body image. Satisfaction with body image was negatively associated with anxiety (r = -0.441, p < 0.01) and depression symptomatology (r = -0.600, p < 0.01). CONCLUSIONS: The implementation of inclusive programs that promote body acceptance and coping strategies, particularly within the context of physical exercise, may help alleviate distress related to body image dissatisfaction while also addressing underlying anxiety and depression symptoms.

Gender Differences in Anthropometric, Functional Capacity Measures and Quality of Life in Individuals with Intellectual and Developmental Disabilities.

The aim of the of the current investigation was to investigate the possible differences concerning males and females in anthropometry, body composition, functional capacity, strength and quality of life variables. After obtaining signed informed consent, 37 participants (18 males; 19 females), with mean age of 39.08 and standard deviation of 11.66 years, voluntarily participated in this study. Anthropometry, body composition, functional capacity, strength, and quality of life were assessed using validated and reliable instruments and tests for this population. The males and females were compared using a Mann-Whitney U signed rank test. Significant differences were detected among the following variables, height (p = 0.028), body mass index (p = 0.033), fat mass (p = 0.002), muscle mass (p ≤ 0.001), phase angle (p = 0.005), medicine ball throwing strength (p = 0.010), and peak toque left knee (p = 0.028), with males showing better results in all the variables. The sample in this study showed differences in the anthropometric, composition, and strength variables. Studying this population can help ensure that everyone has equal access to services and adequate support for their personal needs, improving their quality of life.

Physical Activity, Quality of Live and Well-Being in Individuals with Intellectual and Developmental Disability.

The practice of physical activity, exercise and sport has many benefits for the general population, but studies on the population with intellectual and developmental disabilities (IDD) are scarce and inconclusive. The aim of this systematic review is to analyze the state of the art on the role of physical activity, exercise and sport in the quality of life and well-being of people with IDD, seeking to understand the current panorama in this area and provide answers to these questions. The research was carried out between July and October 2023 using three databases: PubMed, Web of Science and Scopus. Fifteen articles met the eligibility criteria for this study, and these were methodologically assessed using the Downs and Black scale (1998). Higher values were identified in the total quality of life score and some domains of this variable (e.g., personal development, physical well-being and emotional well-being), in satisfaction with life and in the perception of well-being in individuals with IDD who have enjoyed or are involved in physical activity, physical exercise and/or sports programs. Thus, according to the studies included in this systematic review, we can conclude that the practice of physical activity, physical exercise and sport seems to contribute to improving the quality of life and well-being of people with IDD. Despite the growing research interest in this area, there is still a notable lack of studies exploring the impact of these programs, especially sports-based programs, on quality of life and well-being variables in the population under study.

Initial Validation of the Coach-Athlete Relationship Questionnaire in a Sample of Portuguese Athletes.

Our primary objectives in this study were to translate and provide psychometric support for the Coach Athlete Relationship Questionnaire (CART-Q) Portuguese version, assess its invariance across sex, and explore its nomological validity in relation to enjoyment. Our sample participants were 470 athletes (226 females, 244 males) aged between 16 to 39 years from various individual and team sports. We found that the translated Portuguese version of the CART-Q exhibited satisfactory test-retest reliability and can serve as a reliable tool for evaluating the core constructs of the coach-athlete relationship - closeness, commitment, and complementarity. Moreover, this instrument showed evidence of nomological validity through significant positive correlations between its underlying factors and athletes' enjoyment with their sport. The proposed model for explaining item variance was also found to be invariant between male and female respondents. We recommend further use of this instrument in research and practical applications.

What Drives Portuguese Women to Be Physically Active? Associations between Motives and Well-Being Indicators.

Motives and self-esteem play crucial roles in shaping personal behavior and emotions and have been shown to impact well-being. However, the association between these constructs has been overlooked in women who seem to be more externally driven to engage in exercise. The present study was carried out with the objective of analyzing the associations between motives for physical exercise, positive and negative activations, and self-esteem of Portuguese women exercising at gyms and fitness centers. The sample consists of 206 women aged between 16 and 68 years old (M = 35.77; SD = 11.47). Participants answered a short sociodemographic questionnaire, the Goal Content for Exercise Questionnaire, the Positive and Negative Affect Schedule, and the Rosenberg Self-esteem Scale. The results showed that the health motive had the highest predictive value (ß = 0.24; p < 0.01) on self-esteem and demonstrated a positive and significant correlation with positive activation and self-esteem (p < 0.01). On the other hand, the social recognition motive had the lowest predictive value on self-esteem (ß = -0.04; p > 0.05) and demonstrated a non-significant correlation with positive activation and self-esteem (p > 0.05). Looking at the coefficients in the hierarchical regression model, it can be seen that the health motive and positive activation were positively and significantly correlated with self-esteem. This study points to the need to raise awareness about the motives of exercise related to the physical and mental health of Portuguese women. Portuguese women that exercise for health motives display greater perceived self-esteem which is an indication of a greater sense of well-being. While the results are limited to Portuguese women, exercise physiologists assessing exercise motives could provide information on how to prescribe exercise as a means to increase self-esteem, considering the positive activation resulting from this behavior.

Motivation among Teenage Football Players: A Longitudinal Investigation throughout a Competitive Season.

The present study aimed to investigate the dynamic changes in behavioral regulations among teenage football players throughout a competitive season, with three measurement points (T1, T2, and T3). The total sample size for the study comprised 108 participants (78 male; 30 female). The participants' mean age was 14.31 (SD = 1.48). A MANOVA repeated measures analysis was performed within the group for all six behavioral regulations based on self-determination theory. The results of the study revealed noteworthy patterns in the behavioral regulations and intrinsic motivation scores over the competitive season. Identified regulation demonstrated a significant increase from T1 to T3 (p < 0.01, η2p = 0.13). Intrinsic motivation displayed a significant decrease over the same period from T1 to T3 (p < 0.01, η2p = 0.12). On the other hand, amotivation, external regulation, introjected regulation, and integrated regulation did not show significant changes between the three time points. The findings have practical implications for coaches and sports practitioners, as they highlight the need to create a supportive and autonomy-promoting environment to sustain athletes' intrinsic motivation throughout a competitive season. Also, recognizing the increase in identified regulation can inform strategies that align team goals and training sessions with players' individual values, thereby enhancing their commitment and dedication to the team's success.

Analysis of Exercise Intensity Preferences, Tolerance, Competence, and Their Implications for Behavioral Intentions in Fitness Settings.

This study aims to comprehensively investigate the interrelationships among exercise intensity preference, tolerance, competence satisfaction, competence frustration, and exercise intentions within the fitness domain. The research involved 114 participants aged 18 to 59 years (M = 33.23; SD = 10.542), with an average height of 166.02 cm (SD = 15.856) and weight of 68.02 kg (SD = 13.658). The path analysis revealed positive correlations among constructs, except for the link between exercise intensity tolerance and competence satisfaction. Notably, exercise intensity preference positively related to competence satisfaction (ß = 0.20, CI90% = 0.12, 0.40), while both preference and tolerance were negatively linked to competence frustration (preference: ß = -0.27, CI90% = -0.44, 0.03; tolerance: ß = -0.17, CI90% = -0.03, 0.24). Competence satisfaction (ß = 0.37, CI90% = 0.13, 0.34) and competence frustration (ß = -0.29, CI90% = -0.48, -0.09) significantly influenced exercise intentions. An indirect effect existed between exercise intensity preference and intentions (ß = 0.11, CI90% = 0.03, 0.21), contrasting with the lack of such effect for intensity tolerance (ß = 0.05, CI90% = -0.01, 0.14). Intentions explained 16% of the variance. In conclusion, this study underscores the intricate connections between exercise intensity traits and intentions, shedding light on factors influencing individuals' exercise persistence.

Task-Involving Motivational Climate and Enjoyment in Youth Male Football Athletes: The Mediation Role of Self-Determined Motivation.

BACKGROUND: This study aimed at examining the mediation role of self-determined motivation (identified and integrated regulation and intrinsic motivation) in the association between task-involving climate and enjoyment in youth male football athletes. METHODS: A total of 109 youth males (M = 14.38; SD = 1.55) were recruited to participate in this study. The survey included sociodemographic data and validated instruments such as the Motivational Climate Sport Youth Scale, the Behavioral Regulation Sport Questionnaire, and the Sports Enjoyment Scale. RESULTS: The results showed that the task-involving climate was a positive and significant predictor of integrated regulation and intrinsic motivation. In addition, integrated regulation and intrinsic motivation were positive and significant predictors of enjoyment. The results of the mediation analysis revealed a partial mediation role of self-determined motivation in the relationship between task-involving climate and enjoyment. Significant indirect effects only occurred through intrinsic motivation. CONCLUSIONS: Providing higher levels of enjoyment in the sport context could be an excellent option for leisure activities for children and youth, as long as self-determined motivation and task-involving climates provided by the coaches are present.

Prescription and Effects of Cardiorespiratory Training in Individuals with Intellectual Disability: A Systematic Review.

This study aims to systematize effects of cardiorespiratory training (CT) programs in individuals with intellectual disability (ID) and identifying the fundamental and structuring aspects for the prescription of CT. This systematic review was carried out through four databases (Pubmed, Web of Science, Scopus, and SPORTDiscus), considering data from the period between 2013 and 2022. From 257 studies, 12 studies were included in this systematic review. Three studies used interval CT, while seven used continuous CT. Seven were carried out in the population with Down syndrome, while only three were carried out with participants with ID. The CT programs had the following characteristics: duration of 8 to 12 weeks, weekly frequency of three sessions, for 20 to 60 min, the intensity of 50% to 80% of maximal heart rate or 70% to 80% of peak oxygen consumption, using an ergometer cycle or an outdoor walking. The studies reported improvements in cardiorespiratory function, lipid, hemodynamic and metabolic profile, body composition, and neuromuscular and cognitive capacity. This review presents characteristics and recommendations that technicians can follow when structuring, prescribing, and implementing CT programs to individuals with ID.

Effects of exercise on body mass index and waist circumference of individuals with intellectual and developmental disabilities: a systematic review with meta-analysis.

Introduction/Methods: This systematic review with meta-analysis aims to assess the magnitude of the effects of physical exercise programs on body mass index (BMI) and waist circumference (WC) of individuals with Intellectual and Developmental Disabilities (IDD), metabolic and cardiovascular health markers. Results: Considering the eligibility criteria, a final sample of nine articles was obtained. For BMI, the Z-value obtained to test the null hypothesis (difference between means is zero), showed a Z = -2.176 and p = 0.03. The highest magnitude of the effect was from the intervention with combined training (difference in means: -0.399), with a value of Z = -1.815 and p = 0.07. For WC, the Z-value is zero, showing a Z = -3.306 and p = 0.001. The highest magnitude of the effect was from the intervention with continuous cardiorespiratory training of -0.786, with a value of Z = -2.793 and p = 0.005. Discussion: Physical exercise prevents increases in BMI and WC in individuals with IDD. Aerobic training seems to be more effective in promoting WC and combined training in BMI. Systematic Review Registration: [PROSPERO], identifier [CRD42021255316].

The Effects of Physical Activity, Exercise, and Sports Programs on Depressive Symptoms in Individuals with Disabilities: A Systematic Review with Meta-Analysis.

Studies show that physical activity, exercise, or sport reduces depressive symptoms in the general population. However, little is known about its effects on individuals with disabilities. Thus, this systematic review with meta-analysis aims to verify the effects of this practice on depressive symptoms in individuals with disabilities. The Pubmed, Web of Science, Scopus, and SportDiscus databases were used, with several descriptors and Boolean operators. A total of 1509 studies were identified through searching the databases. Studies that met the eligibility criteria were subsequently assessed for their methodological quality (Downs and Black scale), and a meta-analysis was performed. The Z-values that were obtained to test the null hypothesis, which states that there is no difference in means, showed Z = -2.294 and a corresponding p-value = 0.022. We can, therefore, reject the null hypothesis in the sense that exercise seems to reduce depressive symptoms in individuals with disabilities. In sum, participants from the intervention group presented more probability of reducing depressive symptoms when compared to the control group (approximately -1.4 standard differences in means; 95% CI -2.602 to -0.204).

Mental Toughness and Resilience in Trail Runner's Performance.

Our purpose with this study was to analyze trail runners' psychological variables of mental toughness (MT) and resilience, and their associations with runners' performances within a quantitative cross-sectional study. In total, we analyzed data from 307 Portuguese trail runners (60 female, 247 male), aged between 20 to 66 years (M age = 41.98; SD = 7.74). The results showed that the measurement model, including the factors of MT, resilience, and performance variables, exhibited an adequate fit to the data: χ2 = 150.01 (74); BS-p = .003; CFI= .953; TLI = .942; RMSEA = .058 90% (.045, .071) and SRMR= .042. Standardized direct effects revealed positive associations between these variables. More specifically: (a) MT was significantly associated with resilience; and (b) resilience was significantly associated with performance. The indirect regression paths showed that MT was positively associated with performance, with resilience considered a possible mediator (ß = .09 IC = .010, .168; p = .02). In total, considering direct and indirect effects, the model explained 21% of performance variance among trail runners.

Quality of Life in Individuals with Intellectual and Developmental Disabilities: The Congruency Effect between Reports.

Assessing quality of life (QoL) is important to provide personalized and individualized support plans with the purpose of improving personal outcomes. Based on the conceptual model of QoL, the aim of this study was to assess the congruence between the perceptions of institutionalized individuals with intellectual and developmental disabilities (IDD) and the perception of a third party, regarding QoL. Forty-two individuals participated in this study, including twenty-one with mild to severe IDD and their family members/caregiver/reference technician, who responded to the Personal Outcomes Scale (Portuguese version). Significant differences (p < 0.05) were found between reports in the personal development (t = -2.26; p = 0.024), emotional well-being (t = -2.263; p = 0.024), physical well-being (t = -2.491; p = 0.013) and total QoL (t = -2.331; p = 0.02). The results further show that most third-party reports tend to undervalue the QoL of the individual with IDD, and that there is no congruence in any of the QoL domains. The inclusion of self-reports in the QoL assessment is important. In addition to the assessment of third-party reports, the process of making decisions appropriate to the context and individual characteristics is equally important. On the other hand, the inclusion of third-party reports is an opportunity to promote communication among all stakeholders, recognize and discuss differences, and promote QoL, not only of individuals with IDD, but also of families.

Exploring the relationship between social support, resilience, and subjective well-being in athletes of adapted sport.

Introduction: Sports participation of people with disabilities provide an improvement in their skills, especially on access to social support, which could improve resilience and well-being. This study aims to analyze the association between types of social support (parents, coach, friend, and best friend), resilience and positive and negative affect, in 105 Portuguese athletes with disabilities aged between 13 and 61 years (32 ± 12.35 years). Methods: Participants answered a short sociodemographic questionnaire, the Portuguese version of the Positive and Negative Affect Schedule, and the Brief Resilience Scale, and a scale for assessing social support from parents, coach, friend, and best friend. Results: Social support provided by the best friend, coach, friends, and parents had a direct effect on resilience and positive and negative affect. Results showed a positive and significant association between resilience and positive affect (r = 0.28; p = 0.004) and a negative association between resilience and negative affect (r = -0.37; p ≤ 0.001). A strong relationship was found between resilience and affect, with no relationship being verified between the sources of social support and resilience or affect, as hypothesized. Discussion: For this group of athletes with disability, more than the social support they may have or may feel, resilience proved to be very important for the consequence of sports practice in terms of subjective well-being.