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Biomechanics as a discipline is ideally placed to increase awareness and participation of girls and women in science, technology, engineering, and mathematics. A nationwide Biomechanics and Research Innovation Challenge (BRInC) centered on mentoring and role modeling was developed to engage high school girls (mentees) and early-mid-career women (mentors) in the field of biomechanics through the completion of a 100-day research and/or innovation project. This manuscript describes the development, implementation, and uptake of the inaugural BRInC program and synthesizes the research and innovation projects undertaken, providing a framework for adoption of this program within the global biomechanics community. Eighty-seven high school girls in years 9 and 10 (age range: 14-16 y) were mentored in teams (n = 17) by women in biomechanics (n = 24). Using a design thinking approach, teams generated solutions to biomechanics-based problem(s)/research question(s). Eight key reflections on program strengths, as well as areas for improvement and planned changes for future iterations of the BRInC program, are outlined. These key reflections highlight the innovation, impact, and scalability of the program; the importance of a program framework and effective communication tools; and implementation of strategies to sustain the program as well as the importance of diversity and building a sense of community.
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Tutoria , Humanos , Feminino , Adolescente , Fenômenos Biomecânicos , MentoresRESUMO
OBJECTIVE: To investigate the effects of multidirectional elastic tape on pain and function in individuals with lateral elbow tendinopathy. STUDY DESIGN: Randomised crossover trial. SETTING: Biomechanics laboratory. SUBJECTS: 27 participants (11 females, mean (SD) age: 48.6 (11.9) years) with clinically diagnosed lateral elbow tendinopathy of at least six weeks' duration. INTERVENTIONS: Tensioned multidirectional elastic tape applied over the wrist, compared to control tape (untensioned), and no tape conditions. MAIN MEASURES: Pain-free grip strength and pressure pain threshold were recorded at three timepoints for each condition: baseline, post-application, and following an exercise circuit. Change scores were calculated as the post-application or post-exercise value minus baseline. Repeated-measure analyses of variance were used to examine differences between conditions. RESULTS: There were no statistically significant differences in pain-free grip strength between conditions (flexed position: F2,52 = 0.02, p = 0.98; extended position: F2,52 = 2.26, p = 0.12) or across timepoints (post-application vs post-exercise) (flexed position: F1,26 = 0.94, p = 0.34; extended position: F1,26 = 0.79, p = 0.38). Seven participants (26%) increased pain-free grip strength above the minimal detectable change following application of multidirectional elastic tape. There were no statistically significant differences in pressure pain threshold between conditions (affected lateral epicondyle: F1.51,39.17 = 0.54, p = 0.54) or across timepoints (affected lateral epicondyle: F1,26 = 0.94, p = 0.34). CONCLUSION: Tensioned multidirectional elastic tape may not immediately improve pain-free grip strength or pressure pain threshold in our lateral elbow tendinopathy population; however, individual variation may exist.
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Tendinopatia do Cotovelo , Doenças Musculoesqueléticas , Cotovelo de Tenista , Feminino , Humanos , Pessoa de Meia-Idade , Estudos Cross-Over , Cotovelo de Tenista/diagnóstico , Dor/diagnóstico , Dor/etiologia , Cotovelo , Força da MãoRESUMO
ABSTRACT: Elsworthy, N, Callaghan, DE, Scanlan, AT, Kertesz, AHM, Kean, CO, Dascombe, BJ, and Guy, JH. Validity and reliability of using load-velocity relationship profiles to establish back squat 1 m·s-1 load. J Strength Cond Res 35(2): 340-346, 2021-Although measuring movement velocity during resistance exercise is being increasingly used to monitor player readiness for competition in team sports, the validity and reliability of using set target velocities has not been examined. This study examined test-retest reliability of the load-velocity relationship during the back squat to predict loads corresponding to a mean velocity of 1 m·s-1 (V1Load), test-retest reliability of mean concentric velocity at V1Load, and criterion validity of mean concentric velocity at V1Load. Twenty-seven resistance-trained male rugby league players completed 2 testing sessions on separate days to establish individualized back squat load-velocity relationship profiles (30, 40, 60, and 80% estimated 1 repetition maximum). Velocity during the back squat was assessed at each load and V1Load derived using individualized linear regression equations. A subset of subjects (n = 18) also performed the back squat at predicted V1Load to examine the test-retest reliability and compare the mean concentric velocity with the predicted target of 1 m·s-1. The mean concentric velocity was consistent across all loads during load-velocity relationship testing (p > 0.05, intraclass correlation coefficient [ICC] ≥0.75, coefficient of variation [CV] ≤5.7%, effect size [ES] ≤0.27), and for predicting V1Load (p = 0.11, ICC = 0.95, CV = 3.9%, ES = 0.11). The mean concentric velocity at V1Load was reliable (ICC = 0.77; CV = 2.6%; ES = 0.39) and not significantly different (p = 0.21) to the target velocity, supporting criterion validity. Individualized load-velocity profiles for the back squat can accurately predict V1Load, and subsequent use of V1Load to assess back squat velocity is valid and reliable. Using V1Load to assess changes in back squat velocity may have application in measuring changes in strength and power or readiness to train.
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Treinamento Resistido , Exercício Físico , Teste de Esforço , Humanos , Masculino , Força Muscular , Reprodutibilidade dos TestesRESUMO
This study quantified lower-limb strength decrements and assessed the relationships between strength decrements and performance fatigue during simulated basketball. Ten adolescent, male basketball players completed a circuit-based, basketball simulation. Sprint and jump performance were assessed during each circuit, with knee flexion and extension peak concentric torques measured at baseline, half-time, and full-time. Decrement scores were calculated for all measures. Mean knee flexor strength decrement was significantly (P < 0.05) related to sprint fatigue in the first half (R = 0.65), with dominant knee flexor strength (R = 0.67) and dominant flexor:extensor strength ratio (R = 0.77) decrement significantly (P < 0.05) associated with sprint decrement across the entire game. Mean knee extensor strength (R = 0.71), dominant knee flexor strength (R = 0.80), non-dominant knee flexor strength (R = 0.75), mean knee flexor strength (R = 0.81), non-dominant flexor:extensor strength ratio (R = 0.71), and mean flexor:extensor strength ratio (R = 0.70) decrement measures significantly (P < 0.05) influenced jump fatigue during the entire game. Lower-limb strength decrements may exert an important influence on performance fatigue during basketball activity in adolescent, male players. Consequently, training plans should aim to mitigate lower-limb fatigue to optimise sprint and jump performance during game-play.
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Basquetebol/fisiologia , Joelho/fisiologia , Fadiga Muscular/fisiologia , Força Muscular/fisiologia , Adolescente , Estudos Transversais , Humanos , Extremidade Inferior/fisiologia , Masculino , Análise e Desempenho de TarefasRESUMO
Berkelmans, DM, Dalbo, VJ, Kean, CO, Milanovic, Z, Stojanovic, E, Stojiljkovic, N, and Scanlan, AT. Heart rate monitoring in basketball: applications, player responses, and practical recommendations. J Strength Cond Res 32(8): 2383-2399, 2018-The aims of this review were to collate the existing literature encompassing heart rate (HR) monitoring in basketball to (a) identify the applications of HR measurement; (b) report HR responses in male and female players during training and game-play; (c) evaluate use of current HR-based training load models; and (d) provide recommendations for future research and best practice approaches for basketball practitioners. Heart rate monitoring in basketball carries 3 primary applications: (a) monitoring exercise intensity; (b) assessing player fatigue status; and (c) quantifying internal training load. When interpreting the available training and game-play HR data in basketball players, key differences have been observed between playing positions and playing levels. Sex- and age-based differences in HR responses during basketball training and game-play are apparent across separate studies; however, further research exploring HR responses in wider player groups is needed, especially in female and junior players. There is also a lack of research directly comparing player HR responses during training and game-play to ascertain the effectiveness of different drills in preparing players for competition. Heart rate-based models have been frequently used to quantify the internal training load in basketball players, including Banister's Training Impulse (TRIMP), Lucia's TRIMP, and Edwards' Summated-Heart-Rate-Zones (SHRZ). The SHRZ model seems to hold practical advantages and better detect changes in player responses across training cycles compared with other approaches. Practical outcomes of this review center on recommendations for position-specific training plans, drills to promote desired cardiovascular stress, analysis of HR outcome measures, and ideal training load monitoring approaches.
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Basquetebol/fisiologia , Frequência Cardíaca , Condicionamento Físico Humano/fisiologia , Esforço Físico/fisiologia , Fadiga/fisiopatologia , Humanos , Monitorização FisiológicaRESUMO
Berkelmans, DM, Dalbo, VJ, Fox, JL, Stanton, R, Kean, CO, Giamarelos, KE, Teramoto, M, and Scanlan, AT. Influence of different methods to determine maximum heart rate on training load outcomes in basketball players. J Strength Cond Res 32(11): 3177-3185, 2018-The summated-heart-rate-zones (SHRZ) approach uses heart rate (HR) responses relative to maximum HR (HRmax) to calculate the internal training load (TL). Age-predicted, test-derived, and session-based approaches have all been used to determine HRmax in team sports. The purpose of this study was to determine the effects of using age-predicted, test-derived, and session-based HRmax responses on SHRZ TL in basketball players. Semiprofessional, male basketball players (N = 6) were analyzed during the preparatory training phase. Six age-based approaches were used to predict HRmax including Fox (220 - age); Hossack (206 - [0.567 × age]); Tanaka (208 - [0.7 × age]); Nikolaidis (223 - [1.44 × age]); Nes (211 - [0.64 × age]); and Faff (209.9 - [0.73 × age]). Test-derived HRmax was taken as the highest HR during the Yo-Yo intermittent recovery test (Yo-Yo IRT), whereas session-based HRmax was taken as the higher HR seen during the Yo-Yo IRT or training sessions. Comparisons in SHRZ TL were made at group and individual levels. No significant group differences were evident between SHRZ approaches. Effect size analyses revealed moderate (d = 0.60-0.79) differences between age-predicted, test-derived, and session-based methods across the group and individually in 2 players. The moderate differences between approaches suggest age-predicted, test-derived, and session-based methods to determine HRmax are not interchangeable when calculating SHRZ. Basketball practitioners are encouraged to use individualized HRmax directly measured during field-based tests supplemented with higher HR responses evident during training sessions and games when calculating the SHRZ TL to ensure greatest accuracy.
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Basquetebol/fisiologia , Frequência Cardíaca , Condicionamento Físico Humano/fisiologia , Adaptação Fisiológica , Adulto , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Teóricos , Esforço Físico , Adulto JovemRESUMO
The aims of this study were to describe the physiological and fatigue responses associated with indoor Ultimate Frisbee game play, compare exercise intensities attained to current activity guidelines, and compare responses between male and mixed-gender game formats. A between-subjects (game format) repeated-measures (time points) observational experimental design was used. Subjects competed in male (n = 10; age: 26.3 ± 7.6 years) or mixed-gender (males: n = 4; 28.5 ± 5.7 years; females: n = 6; 28.3 ± 8.1 years) indoor Ultimate Frisbee game play. Games consisted of 10-minute halves, with heart rate (HR), blood lactate concentration ([BLa]), rating of perceived exertion, and 5-m and 20-m sprint times measured. Durations spent in HR-derived intensity zones and sprint decrements were calculated across games. Mixed-gender game play produced significantly (p ≤ 0.05) higher relative HR (94.3 ± 5.1% vs. 89.6 ± 4.8% HRmax) and [BLa] (8.31 ± 2.22 mmol·L vs. 4.68 ± 1.89 mmol·L) than male game play. Significantly (p ≤ 0.05) longer durations were spent at vigorous (male: 60.2 ± 26.1%; mixed-gender: 36.8 ± 34.8%) and near-maximal (male: 31.6 ± 27.6%; mixed-gender: 58.6 ± 37.7%) exercise intensities than moderate (3.9-7.2%), light (0.7-1.0%), and very light (0-0.1%) intensities in both formats. Limited physiological and sprint fatigue was apparent across games. Subjects primarily performed at vigorous and near-maximal intensities during Ultimate Frisbee. The greater physiological demands encountered during mixed-gender game play might be attributed to underlying gender-mediated cardiovascular differences. These findings support the efficacy of Ultimate Frisbee as a prescriptive exercise tool for health benefit.
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Fadiga/fisiopatologia , Esportes/fisiologia , Adulto , Feminino , Frequência Cardíaca/fisiologia , Humanos , Ácido Láctico/sangue , Masculino , Esforço Físico/fisiologia , Fatores SexuaisRESUMO
OBJECTIVE: To evaluate the effects of a modified shoe that incorporates both lateral wedging and a variable-stiffness sole on knee joint loading in 3 populations: individuals with symptomatic and radiographic knee osteoarthritis (OA), asymptomatic overweight individuals, and asymptomatic healthy weight individuals. METHODS: Ninety participants (30 per group) underwent a 3-dimensional gait analysis across 3 test conditions: modified shoes, standard control shoes, and barefoot. For each condition, the first peak knee adduction moment (KAM) and knee flexion moment (KFM) (both expressed as Nm/[body weight × height]%) as well as the KAM impulse (expressed as Nm.s/[body weight × height]%) were determined. RESULTS: The modified shoes significantly reduced the peak KAM as compared to the control shoes in both the OA (P = 0.002) and the overweight (P = 0.03) groups. In the OA group, there was no significant difference in peak KAM when walking in the modified shoe as compared to walking barefoot. In the overweight and the healthy weight groups, the peak KAM when walking in the modified shoe was significantly higher than that when walking barefoot (P < 0.001). Irrespective of group, the KAM impulse was significantly reduced when walking in the modified shoe as compared to the control shoe (P < 0.001) and was significantly higher during both shoe conditions as compared to walking barefoot (P < 0.001). There was no change in the KFM between walking conditions for any group. CONCLUSION: The findings illustrate that a shoe incorporating both a lateral wedge and a variable-stiffness sole can significantly reduce medial knee joint load. Further research examining the effects of these shoes on pain, function, and structural changes in the joint is warranted.
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Marcha/fisiologia , Aparelhos Ortopédicos , Osteoartrite do Joelho/fisiopatologia , Osteoartrite do Joelho/terapia , Sapatos , Idoso , Artralgia/diagnóstico por imagem , Artralgia/fisiopatologia , Artralgia/terapia , Índice de Massa Corporal , Feminino , Humanos , Articulação do Joelho/diagnóstico por imagem , Articulação do Joelho/fisiopatologia , Masculino , Pessoa de Meia-Idade , Movimento/fisiologia , Osteoartrite do Joelho/diagnóstico por imagem , Sobrepeso/fisiopatologia , Radiografia , Resultado do Tratamento , Caminhada/fisiologia , Suporte de Carga/fisiologiaRESUMO
Successful performance in competitive swimming requires a swimmer to maximise propulsion and minimise drag, which can be assessed using instantaneous swimming velocity. Many systems exist to quantify velocity, and therefore, it is important to understand the agreement between systems. This study examined the agreement between an automated video-based system and a tethered system to measure instantaneous velocity. Twenty-two competitive swimmers (state level or higher) completed 25 m of each stroke at maximal intensity. The tethered speedometer was attached to the swimmer's waist, while videos of each trial were recorded. The swimmer's head was then automatically tracked using proprietary software, and instantaneous velocity was determined from each system. Bland-Altman plots showed good agreement between the two systems in backstroke (95% Limits of Agreement (LOA): -0.24-0.26 m.s-1) and freestyle (95% LOA: -0.36-0.38 m.s-1) but poorer agreement in butterfly (95% LOA: -0.51-0.53 m.s-1) and breaststroke (95% LOA: -0.88-0.92 m.s-1). The root mean square error was higher in butterfly (0.27 m.s-1) and breaststroke (0.46 m.s-1) compared to backstroke (0.13 m.s-1) and freestyle (0.19 m.s-1). Results demonstrated that the two systems are comparable for measuring instantaneous swimming velocity; however, larger discrepancies are evident for butterfly and breaststroke.
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The gender gap in STEM (Science, Technology, Engineering, and Mathematics) is among the widest across education and professional fields, with an underrepresentation of girls and women, particularly in engineering and biomechanics. This issue begins early in education and worsens as females progress into more senior roles. To address this gap, we designed and implemented the Biomechanics Research and Innovation Challenge (BRInC), a 100-day STEM program focused on mentoring and role modelling to engage high school girls and early-career biomechanists at key phases where they most commonly disengage in STEM. We evaluated the influence of the program on (i) identity and perceptions towards science, engineering, and biomechanics; (ii) attitudes towards biomechanics, maths and science; and (iii) attitudes towards gender bias, education and career aspirations in STEM, within high school girls following participation in the BRInC program. We observed significant and positive shifts in girls' perceptions of both biomechanics and engineering. Participation in the program appeared to lead to favourable shifts in attitudes towards biomechanics, maths, and science and fostered a positive influence on girls' education and career aspirations, igniting an interest in future research opportunities. Innovative STEM engagement programs, such as BRInC, highlight the promising potential of targeted and bespoke approaches to address the underrepresentation of females in biomechanics and STEM-related education and careers. Future programs should strive to enhance socioeconomic and cultural diversity, employ whole of life-cycle approaches by offering programs for girls and women at various phases of the STEM pathway, and prioritize impact assessments to effectively monitor progress.
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Engenharia , Tutoria , Humanos , Feminino , Fenômenos Biomecânicos , Adolescente , Matemática , Atitude , Ciência/educação , Tecnologia , Escolha da Profissão , Percepção/fisiologiaRESUMO
BACKGROUND: Pain-free grip strength is an important outcome measure in lateral elbow tendinopathy (LET); yet, the reliability and minimum detectable change (MDC) in functional positions are unknown. PURPOSE: The purpose of this study is to examine the between- and within-session pain-free grip strength reliability and MDC in LET. METHODS: Twenty-three individuals with LET completed three pain-free grip strength trials with the elbow flexed and extended. The first trial and the mean of three trials were analyzed. Between-session data were collected 2-28 days apart. Within-session data were collected 20-30 min apart. RESULTS: Between-session intraclass correlation coefficients (ICCs) were good (ICC2,1 = 0.75) for single trials (flexed), excellent (ICC2,1 = 0.89-0.94) for single trials (extended), and excellent for the mean of three trials (both positions). Within-session ICCs were excellent for single (ICC2,1 = 0.89-0.91) and the mean of three trials (ICC2,3 = 0.96-0.98) in both positions. Between-session flexed MDCs were 133 N (single) versus 90 N (mean) and extended MDCs were 118 N (single) versus 92 N (mean). Within-session flexed MDCs were 79 N (single) versus 52 N (mean) and extended MDCs were 125 N (single) versus 46 N (mean). CONCLUSIONS: Using the mean of three trials is recommended, and clinicians can be confident of true change if between-session differences are >92 N and within-session differences are >52 N.
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Tendinopatia do Cotovelo , Tendinopatia , Cotovelo de Tenista , Humanos , Cotovelo , Reprodutibilidade dos Testes , Força da Mão , Tendinopatia/terapiaRESUMO
BACKGROUND: Lateral elbow tendinopathy is associated with changes to forearm muscle activity and wrist posture during gripping. Multidirectional elastic tape is thought to exert a deloading effect on underlying musculotendinous structures, which could potentially alter muscle activity or wrist posture. METHODS: This single-blinded randomised crossover trial compared the immediate effects of tensioned multidirectional elastic tape, untensioned control tape, and no tape, in individuals with lateral elbow tendinopathy. Muscle activity of extensor carpi radialis longus and brevis, extensor carpi ulnaris, and extensor digitorum and wrist extension angle were recorded during a submaximal gripping task. Muscle activity was normalised to the maximum amplitude recorded during maximal grip. Change scores were calculated (post-condition minus baseline). Repeated-measure analyses of variance were used to examine between-condition differences. FINDINGS: 27 participants (16 males, mean age (SD): 48.6 (11.9) years) underwent all conditions. Extensor digitorum muscle activity was reduced during the multidirectional elastic tape, compared to control tape and no tape (MD -5.6% [95%CI: -9.9 to -1.3], MD -5.8% [95%CI: -10.2 to -1.4], respectively). Extensor carpi ulnaris muscle activity was reduced during the multidirectional elastic tape, compared to the control tape (mean difference [MD] -3.2% [95%CI: -5.3 to -1.1]), but increased during the control tape, compared to the no tape (MD 2.9% [95%CI: 0.8 to 5.0]). No differences were observed in extensor carpi radialis brevis or longus muscle activity, or extension wrist angle between conditions. INTERPRETATION: A decreased in extensor carpi ulnaris and extensor digitorum muscle activity during multidirectional elastic tape may be evidence of a deloading effect during submaximal gripping.
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Músculos , HumanosRESUMO
STUDY DESIGN: Prospective cohort with historical controls. OBJECTIVE: To examine the effects of a 12-week preoperative high-intensity resistance training program on postoperative outcomes. BACKGROUND: The primary goals of high tibial osteotomy (HTO) are to decrease pain and improve overall function during activities of daily living and participation in sport and recreation in relatively young, active individuals with knee osteoarthritis. However, the postoperative recovery typically requires a considerable period of protected weight-bearing that can result in substantial deficits in muscular strength. METHODS: Fourteen patients (mean ± SD, 48.0 ± 7.8 years; 13 males, 1 females), scheduled for medial opening wedge HTO, completed a 12-week preoperative high-intensity isokinetic resistance training program focusing on quadriceps and hamstrings strength. These patients were matched to baseline clinical and demographic characteristics of 14 patients who previously received a medial opening wedge HTO without preoperative training. All outcomes were measured before and 6 months after surgery. The sport and recreation subscale of the Knee Injury and Osteoarthritis Outcome Score (KOOS) was the primary outcome of interest. Secondary outcomes included the other KOOS subscales, scores on the Lower Extremity Functional Scale, and selected kinematic and kinetic variables obtained from 3-dimensional gait analysis. RESULTS: The patients in the preoperative training group achieved significantly greater scores on the KOOS sport and recreation (mean ± SD, 58.6 ± 16.6 versus 42.1 ± 20.4; mean difference, 16.4; 95% CI: 2.0, 30.9) and activities of daily living (mean ± SD, 85.3 ± 9.3 versus 76.9 ± 12.0; mean difference, 8.4; 95% CI: 0.1, 16.8) subscales. There were no significant differences between groups on other outcomes. CONCLUSION: The present findings suggest preoperative high-intensity resistance training of the quadriceps and hamstrings before HTO improves postoperative functioning in sport, recreation, and activities of daily living. LEVEL OF EVIDENCE: Therapy, level 2b.
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Osteoartrite do Joelho/cirurgia , Osteotomia , Cuidados Pré-Operatórios , Treinamento Resistido , Tíbia/cirurgia , Atividades Cotidianas , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Força Muscular/fisiologia , Osteoartrite do Joelho/fisiopatologia , Estudos Prospectivos , RecreaçãoRESUMO
OBJECTIVE: The aim of this study was to investigate whether there is evidence of bilateral upper limb strength deficits in individuals with unilateral lateral elbow tendinopathy (LET). METHODS: The electronic databases Medline via Ovid, PubMed, and Scopus were searched from inception to March 2020. Included studies encompassed maximal strength outcomes of any upper limb and appendicular musculature in individuals with LET and an asymptomatic comparator. Study quality was rated using a modified version of the Epidemiological Appraisal Instrument. Hedges g effect sizes (ES) and 95% CIs were calculated for comparisons of maximal strength in the LET group and an asymptomatic control group. Meta-analysis using a random-effects model was performed when possible. RESULTS: Fourteen studies were included. Quality appraisal resulted in a mean Epidemiological Appraisal Instrument score of 46% (SD = 10%). Meta-analysis revealed strength deficits in shoulder abduction (pooled ES = -0.37 [95% CI = -0.62 to -0.12]) and shoulder external rotation (pooled ES = -0.55 [95% CI = -0.83 to -0.28]) of the symptomatic limb compared with an asymptomatic control group. Meta-analysis also revealed maximal strength deficits in the upper trapezius (pooled ES = -0.26 [95% CI = -0.49 to -0.02]) of the asymptomatic limb compared with an asymptomatic control group. There was also consistent evidence for strength deficits in the serratus anterior, lower trapezius, and wrist extensor muscles and deficits in grip strength of the symptomatic limb as well as strength deficits in the wrist extensor muscles of the asymptomatic limb in individuals with unilateral LET. CONCLUSION: In individuals with LET, there were maximal strength deficits in shoulder abduction, shoulder external rotation, serratus anterior and lower trapezius muscles, and wrist extension, as well as deficits in grip strength of the symptomatic limb compared with an asymptomatic control group. In addition, there appeared to be strength deficits in the upper trapezius muscle, wrist extension, and metacarpophalangeal joint flexion and extension, as well as deficits in grip strength of the asymptomatic limb in individuals with LET compared with an asymptomatic control group. These results suggest bilateral strength deficits. IMPACT: These findings highlight the importance of a thorough physical examination and appropriate strengthening intervention for the upper limb with a focus on shoulder and scapular stabilizers, in addition to forearm muscles, in individuals with LET. LAY SUMMARY: In people with tennis elbow, widespread strength deficits, including weakness of the shoulder, forearm, and wrist muscles, may exist. Interestingly, some of these weaknesses appear on both the affected and the unaffected sides in people with tennis elbow. A physical therapist can help strengthen these areas.
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Força Muscular/fisiologia , Cotovelo de Tenista/fisiopatologia , Extremidade Superior/fisiopatologia , HumanosRESUMO
OBJECTIVES: Back squat mean concentric velocity (MV) and countermovement jump (CMJ) performance were examined in sub-elite rugby league players post-match to monitor changes in neuromuscular status (NMS) from baseline. Relationships between changes in back squat MV and CMJ performance variables were used to compare back squat MV to an established method to monitor NMS. DESIGN: Longitudinal observational design. METHODS: 18 male sub-elite rugby league players (mean±SD, 20.5±2.4 yr; 180.0±6.7cm; 93.3±11.2kg) performed 3 repetitions of CMJ and back squat with an individualised, pre-determined load at -2h (baseline), +30min, +24h, and +48h in relation to a match. Back squat MV, CMJ height, CMJ peak power, and CMJ peak velocity were measured with a linear position transducer. RESULTS: Significant (p<0.05), small to large decreases (ES=0.52-1.24) were observed in back squat MV up to +48h post-match. Significant (p<0.05), small to moderate decreases (ES=0.52-0.70) in CMJ height were also observed up to +24h post-match, returning to baseline at +48h. CMJ peak power and peak velocity post-match changes were not significant compared to baseline (p>0.05). Significant positive correlations were found between changes in back squat MV and CMJ height at +30min (r=0.59; p=0.009) and +48h (r=0.51; p=0.03). CONCLUSIONS: These findings suggest back squat MV may be a suitable alternative or addition to CMJ testing for monitoring NMS in rugby league players.
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Desempenho Atlético/fisiologia , Futebol Americano/fisiologia , Fadiga Muscular/fisiologia , Futebol Americano/estatística & dados numéricos , Humanos , Estudos Longitudinais , Masculino , Queensland , Corrida/fisiologia , Corrida/estatística & dados numéricos , Esportes de Equipe , Fatores de Tempo , Levantamento de Peso/fisiologia , Adulto JovemRESUMO
OBJECTIVE: To examine the test-retest reliability and quantify the minimal detectable change (MDC) in quadriceps strength and voluntary activation in patients with knee osteoarthritis (OA). DESIGN: Repeated measures over a 1-week interval. SETTING: Tertiary care center. PARTICIPANTS: A convenience sample of patients (N=20) diagnosed with knee OA. INTERVENTION: Isokinetic and isometric quadriceps strength testing and voluntary quadriceps activation testing using interpolated twitch technique. MAIN OUTCOME MEASURES: Peak isokinetic and isometric knee extension torque (Nm) and percentage of voluntary quadriceps activation (%). RESULTS: The mean differences with 95% confidence intervals between the 2 test sessions for quadriceps isokinetic strength, isometric strength, and percent of voluntary activation were -4.34Nm (-14.01 to 5.34Nm), 1.56Nm (-5.56 to 8.68Nm), and 1.34% (-.53 to 3.22%), respectively. The intraclass correlation coefficients for all measures ranged from .93 to .98. The standard errors of measurement (SEMs) for quadriceps isokinetic and isometric strength were 14.57Nm and 10.76Nm, respectively. The SEM for percentage of voluntary activation was 2.84%. Based on these values, the MDCs were 33.90Nm, 25.02Nm, and 6.60% for quadriceps isokinetic strength, isometric strength, and percentage of voluntary activation, respectively. CONCLUSIONS: Maximal quadriceps isokinetic strength, isometric strength, and percentage of voluntary activation measures demonstrate excellent test-retest reliability in patients with knee OA. In addition to research applications, the present findings suggest these measures are appropriate for use when evaluating change in neuromuscular function of the quadriceps in individual patients.
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Avaliação da Deficiência , Força Muscular , Osteoartrite do Joelho/reabilitação , Músculo Quadríceps/fisiopatologia , Feminino , Humanos , Contração Isométrica , Masculino , Pessoa de Meia-Idade , Osteoartrite do Joelho/fisiopatologia , Reprodutibilidade dos Testes , TorqueRESUMO
BACKGROUND: Lateral elbow tendinopathy (LET) is a common musculoskeletal condition that can be treated with therapeutic tape. However, little is known of taping practices for LET in a clinical setting. OBJECTIVES: To examine Australian healthcare practitioners' taping techniques, clinical reasoning, and information sources regarding therapeutic tape use for LET. DESIGN: Cross-sectional survey. METHODS: An anonymous online survey was distributed between September 2018 and February 2019. Respondents answered questions about demographics, frequency of tape use, techniques, reasons for application, factors influencing clinical decision-making, and information sources, related to tape for LET. RESULTS/FINDINGS: 188 Australian healthcare practitioners completed the survey. The majority of respondents were physiotherapists (n = 132, 70%) with the remainder of respondents being chiropractors (21%), myotherapists (3%), exercise physiologists (3%), or osteopaths (3%). 51% of respondents use tape as part of their management for LET at least half the time. The most popular taping technique used is a transverse band of rigid tape across the forearm (n = 78, 55% of respondents who use tape). The most common reasons for tape application are to reduce pain during occupational tasks (n = 123, 65%), and during sport/hobbies (n = 101, 54%). Respondents predominately rely on experience and patient preference to guide tape use. 63% of all respondents (n = 118) sought information about tape from professional development courses. CONCLUSION: A wide range of tape techniques are used to treat LET, despite limited evidence for efficacy. Justification for tape is largely based on experience and patient preference; with information mostly gained from professional development courses. More research is required to understand the relationship between the evidence and clinical use of tape to treat LET.
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Tendinopatia do Cotovelo , Doenças Musculoesqueléticas , Austrália , Estudos Transversais , Atenção à Saúde , Humanos , Inquéritos e QuestionáriosRESUMO
BACKGROUND: Lateral elbow tendinopathy is associated with pain during gripping, with forearm/wrist orthoses prescribed for treatment. OBJECTIVES: To investigate the immediate effects of forearm and/or wrist orthoses on outcome measures of pain and function in individuals with lateral elbow tendinopathy. DESIGN: Systematic review METHODS: Four electronic databases were searched to identify randomised controlled trials reporting the immediate effects of forearm and/or wrist orthoses on pain and function in individuals with lateral elbow tendinopathy. The quality of evidence was rated from high to very low, using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) for the primary outcomes. Where possible, standardised mean difference (SMD) and 95% confidence intervals were calculated to compare post measures between forearm and/or wrist orthoses and control/placebo conditions. RESULTS: The search revealed 1965 studies, of which, seven randomised crossover trials were included. Using the GRADE approach there was low quality evidence revealing a significant decrease in pain during contraction (SMD range -0.65 to -0.83) with forearm orthoses compared to a control/placebo condition. Low quality evidence revealed improvements in pain-free grip strength with the use of a forearm orthosis (SMD range 0.24-0.38), but not maximal grip strength (SMD range 0.14-0.15). Low quality evidence revealed a static wrist orthosis did not improve pain-free grip strength (SMD -0.08) or maximal grip strength (SMD -0.22). CONCLUSION: There is low quality evidence that forearm orthoses can immediately reduce pain during contraction and improve pain-free grip strength but not maximal grip strength in individuals with lateral elbow tendinopathy.