Screening for musculoskeletal deviations--a challenge for the physical therapist. The Utah Study.

We conducted an on-site examination in selected middle and junior high schools in Utah to determine the incidence of selected musculoskeletal deviations. During a regular school year, we screened 4,670 children. The students we examined represented a random sample of students in the sixth through the ninth grades from a population of 81,047 students. Among the 2,192 boys and 2,478 girls examined, we noted a total of 10,551 postural deviations. Eighteen categories of deviations of the musculoskeletal system were examined visually. Lordosis was the most common postural deviation seen (45%), and torticollis was noted least commonly (0%). Scoliosis was noted in 7% of the total population, with a girl-boy ratio of 2:1. Both the lack of body postural awareness we observed among the children and the significant findings of this study should warrant initiation of more responsible educational programs in the public schools. An apparent need for a uniform statewide screening program was demonstrated.

Adaptations to a high-fat diet that increase exercise endurance in male rats.

Eighty-seven male Sprague-Dawley rats (245-300 g) were randomly assigned to one of two experimental groups. The first group consumed a diet high in fat and low in carbohydrate (LCD), whereas the second group ate a normal diet (ND). After either 1 or 5 wk on the diets, rats from each group were killed either before or after an exhausting run on a rodent treadmill (35 m X min-1, 0% grade). The LCD animals ran significantly longer before exhaustion at both week 1 (44.9 +/- 5.1 vs. 41.6 +/- 4.2 min) and week 5 (47.1 +/- 3.6 vs. 35.5 +/- 3.1 min) (P less than 0.05). Adaptations to the LCD included lower muscle and liver glycogen content, decreased rate of glycogen breakdown during exercise, decreased lactate production, and elevated blood ketone levels. In addition to these substrate changes, the LCD caused increased enzyme activities of muscular 3-hydroxyacyl-CoA dehydrogenase (35-110%) and citrate synthase (15-20%). These data indicate that rats exposed to a high-fat diet are capable of prolonged intense exercise in spite of limited glycogen stores. This improved capacity for exercise appears to be partially the result of muscular adaptations to the diet, which apparently increase the ability to oxidize fat and concomitantly spare glycogen.

Caloric cost of walking and running.

Twenty-four young adult male subjects were used to study the relationship between total caloric costs (exercise and recovery costs) incurred and speed of movement over a distance of 1 mile. Caloric costs were determined at walking speeds of 3, 4, and 5 mph and at running speeds of 5, 7, and 9 mph. Energy costs were assessed every 20 sec during the activity and during the recovery until the caloric cost returned to pre-established resting levels. The fitness level of the subjects was considered as a moderating variable. 3regression equations to predict caloric cost from body weight, speed of movement, and VO2 max were also developed. Conclusions for the given speeds were: (1) running is more costly than walking, (2) the cost of walking a mile increases with speed of movement, and (3) for running speeds, total caloric cost and VO2 max are inversely related. The independent variables for the regression equation for walking included body weight and speed squared times body weight (R2 = .86). The independent variables for the running equation were identical to the ones used in the walking equation with the addition of speed times VO2 max (R2 = .62).

Factors affecting performance during an endurance relay.

A successful attempt by Edinburgh Athletic Club on the world record for the 24-hour 10-man x 1 mile relay is reported. The effects of a variety of factors on the performances of the athletes are assessed, and some physiological changes noted. In the light of these observations recommendations are made to help the planning of future record attempts.