Effects of Fatigue on Functional Movement Efficiency in Physically Active Adults.

ABSTRACT: Hanes, CE, Schilling, BK, Mulvenon, SW, and Radzak, KN. Effects of fatigue on functional movement efficiency in physically active adults. J Strength Cond Res 36(9): 2448-2453, 2022-Functional movement tests to identify faulty movement patterns and compensations have become common place in sports medicine and sport performance; however, this testing is often performed in a rested state, despite athletes being often injured when in a state of neuromuscular fatigue. Therefore, the purpose of our study was to examine the effects of neuromuscular fatigue on a functional movement test in health, physically active adults. Twenty-five adults volunteered for the study (age = 23.3 ± 2.7 years, height = 168.2 ± 9.0 cm, body mass = 72.2 ± 12.5 kg). Subjects completed a prefatigue movement test, an aerobic exercise physically fatiguing protocol, and a postfatigue movement test. Scores were calculated according to compensations present during the tests. Prefatigue (45.1 ± 5.4) to postfatigue (39.9 ± 5.7) overall scores were significantly worse after the fatiguing protocol (p < 0.001, effect size [ES] = 0.9). Prefatigue to postfatigue scores for the 1-Leg Squat, Shoulder, and Cervical subtests were also significantly decreased (p = 0.005, ES = 0.7; p = 0.002, ES = 0.5; p = 0.016, ES = 0.7, respectively). Neuromuscular fatigue affected the functional movement test, demonstrated by a decrease in movement scores, in healthy adults. Clinicians may use the functional movement test to identify potential compensations while their patients are physically fatigued. Then clinicians can implement an injury prevention program to reduce the possible risk of injury.

Effects of a Short-Term Heat Acclimation Protocol in Elite Amateur Boxers.

ABSTRACT: Stone, BL, Ashley, JD, Skinner, RM, Polanco, JP, Walters, MT, Schilling, BK, and Kellawan, JM. Effects of a short-term heat acclimation protocol in elite amateur boxers. J Strength Cond Res 36(7): 1966-1971, 2022-Boxing requires proficient technical and tactical skills coupled with high levels of physiological capacity. Although heat and humidity negatively affect acute exercise performance, short-term exercise training in hot and humid environments can lead to physiological adaptations that enhance exercise performance in both hot and thermoneutral conditions. In highly trained endurance athletes, exercise-induced acclimation can occur in as little as 5 days (known as short-term heat acclimation [STHA]). However, the impact of a 5-day heat acclimation (5-DayHA) in combat athletes, such as elite amateur boxers, is unknown. The aim of the present investigation was to determine whether a 5-DayHA improves aerobic performance in a thermoneutral environment and causes positive physiological adaptations in elite boxers. Seven elite amateur boxers underwent a 5-DayHA protocol, consisting of 60-minute exercise sessions in an environmental chamber at 32 °C and 70% relative humidity. Repeat sprint test (RST) evaluated aerobic performance in a thermoneutral environment 24 hours before and after the 5-DayHA. Presession and postsession hydration status (urine specific gravity) and body mass were assessed. After a 5-DayHA period, boxers significantly improved RST performance (13 ± 7 to 19 ± 7 sprints, d = 0.92, p = 0.03) but not pre-exercise hydration status (1.02 ± 0.01 to 1.01 ± 0.01, d = 0.82, p = 0.07). Therefore, these findings suggest 5-DayHA enhances aerobic performance in elite-level amateur boxers and may provide a viable training option for elite combat athletes.

Neuromuscular Fatigue in Pitchers Across a Collegiate Baseball Season.

Stone, BL and Schilling, BK. Neuromuscular fatigue in pitchers across a collegiate baseball season. J Strength Cond Res 34(7): 1933-1937, 2020-Neuromuscular fatigue in baseball pitchers has become an important aspect of injury risk. It is imperative to understand how fatigue is manifested to enhance resiliency and mitigate injury risk. Secondarily, collecting data on neuromuscular characteristics of baseball pitchers provides a framework to address these concerns. Using the countermovement jump, this study observed neuromuscular performance during the preseason, midseason, and postseason of a collegiate baseball season with college baseball pitchers. No statistically significant changes were noted in any of the main variables at any testing timepoint (p > 0.05). However, several variables, including concentric mean force (ConMF, d = 0.59) and concentric peak force (ConPF, d = 0.59) in addition to eccentric mean force (EccMF, d = 0.54) and eccentric mean power (EccMP, d = -0.66), displayed moderate effects from preseason testing to midseason testing. Furthermore, jump height displayed a large negative effect from preseason to midseason (d = -0.89). Secondarily, descriptive data for both concentric and eccentric variables were also determined from the present findings. There were moderate changes in neuromuscular fatigue in Division I collegiate pitchers across a competitive season and has provided descriptive data for neuromuscular characteristics in collegiate baseball pitchers.

Potential Utility of a Loaded Treadmill Protocol for Tactical Athletes.

Swearingen, JT, Weiss, LW, Smith, WA, Stephenson, MD, and Schilling, BK. Potential utility of a loaded treadmill protocol for tactical athletes. J Strength Cond Res 32(3): 610-616, 2018-Aerobic capacity is an important variable for tactical athletes, with V[Combining Dot Above]O2max being the most direct way of estimating it in a laboratory setting. A mode-specific protocol involving fixed-weight, torso-borne loads was assessed in the current study. On 4 separate days, 15 men (age 22.1 ± 2.7 years, mass 85.1 ± 10.6 kg, height 179.0 ± 7.7 cm) performed a weighted treadmill walking protocol (2 trials) and a nonweighted treadmill running protocol (2 trials). Both the weighted and nonweighted protocols were reliable, with intraclass correlation coefficient values of 0.79 and 0.87, respectively. V[Combining Dot Above]O2peak values from both protocols were highly correlated (r = 0.90, p < 0.01). However, V[Combining Dot Above]O2peak was higher during the nonweighted protocol (t = 7.547, d = 2.47, p < 0.01). Work rate was calculated for both the last completed stage and stage during which participants reached fatigue. Work rates for both protocols on the last completed stage were similar (t = 1.44, d = 0.83, p = 0.17), although the work rate for the final attempted stage was greater for the weighted-walking protocol (t = 5.85, d = 3.60, p < 0.01). These data suggest a weighted-walking V[Combining Dot Above]O2peak that is highly associated with a running V[Combining Dot Above]O2peak. This test may be applied to those who routinely perform torso-borne load carriage, such as tactical athletes. Future weighted-walking protocols should seek achieve higher resolution, especially near the end stage of the test where subjects reach volitional fatigue. Large increases in work rate may not be feasible at the end stages of the test.

Kinetic and Electromyographic Subphase Characteristics With Relation to Countermovement Vertical Jump Performance.

This study sought to identify kinetic and electromyographic subphase characteristics distinguishing good from poor jumpers during countermovement vertical jumps (CMVJs), as defined by the reactive strength index (RSI, CMVJ displacement divided by jump time; cutoff = 0.46 m·s-1). A total of 15 men (1.8 [0.6] m, 84.5 [8.5] kg, 24 [2] y) were stratified by RSI into good (n = 6; RSI = 0.57 [0.07] m·s-1) and poor (n = 9; RSI = 0.39 [0.06] m·s-1) performance groups. The following variables were compared between groups using independent t tests (α = .05) and Cohen's d effect sizes (d ≥ 0.8, large): jump height, propulsive impulse, eccentric rate of force development, and jump time, unloading, eccentric, and concentric subphase times, and average electromyographic amplitudes of 8 lower extremity muscles. Compared with the poor RSI group, the good RSI group exhibited a greater, though not statistically different CMVJ displacement (d = 1.07, P = .06). In addition, the good RSI group exhibited a significantly greater propulsive impulse (P = .04, d = 1.27) and a significantly more rapid unloading subphase (P = .04, d = 1.08). No other significant or noteworthy differences were detected. Enhanced RSI appears related to a quicker unloading phase, allowing a greater portion of the total jumping phase to be utilized generating positive net force. Poor jumpers should aim to use unloading strategies that emphasize quickness to enhance RSI during CMVJ.

Joint stiffness and running economy during imposed forefoot strike before and after a long run in rearfoot strike runners.

Research has focused on the effects of acute strike pattern modifications on lower extremity joint stiffness and running economy (RE). Strike pattern modifications on running biomechanics have mostly been studied while runners complete short running bouts. This study examined the effects of an imposed forefoot strike (FFS) on RE and ankle and knee joint stiffness before and after a long run in habitual rearfoot strike (RFS) runners. Joint kinetics and RE were collected before and after a long run. Sagittal joint kinetics were computed from kinematic and ground reaction force data that were collected during over-ground running trials in 13 male runners. RE was measured during treadmill running. Knee flexion range of motion, knee extensor moment and ankle joint stiffness were lower while plantarflexor moment and knee joint stiffness were greater during imposed FFS compared with RFS. The long run did not influence the difference in ankle and knee joint stiffness between strike patterns. Runners were more economical during RFS than imposed FFS and RE was not influenced by the long run. These findings suggest that using a FFS pattern towards the end of a long run may not be mechanically or metabolically beneficial for well-trained male RFS runners.

Noninvasive Assessment of Skeletal Muscle Myosin Heavy Chain Expression in Trained and Untrained Men.

Fry, AC, Housh, TJ, Cramer, JB, Weir, JP, Beck, TW, Schilling, BK, Miller, JD, and Nicoll, JX. Noninvasive assessment of skeletal muscle myosin heavy chain expression in trained and untrained men. J Strength Cond Res 31(9): 2355-2362, 2017-Numerous conditions and types of physical activity (e.g., exercise, aging, and muscle-related diseases) can influence muscle fiber types and the proteins expressed. To date, muscle fibers can only be characterized by actually obtaining a tissue sample using the invasive muscle biopsy procedure. Mechanomyography (MMG) is the assessment of the vibration properties of contracting skeletal muscle and has been proposed as a possible noninvasive method for muscle fiber analysis. Therefore, the purpose of this project was to examine the feasibility of using MMG and muscle performance measures to noninvasively assess muscle fiber characteristics. Fifteen men (5 endurance-trained, 5 weight-trained, and 5 sedentary) provided muscle samples from their vastus lateralis muscle. These samples were analyzed for relative myosin heavy chain (MHC) protein expression, which is highly correlated with % muscle fiber type areas. Additionally, each subject performed several muscle performance tests, and MMG of the quadriceps was assessed during a knee extension exercise. Multiple regression was used to develop prediction equations for determining relative muscle content of MHC types I, IIa, and IIx. A combination of MMG and knee extension performance variables estimated types I, IIa, and IIx MHCs with approximately 80% accuracy. Although preliminary, these data suggest that muscle performance tests in addition to MMG assessments during a simple muscle performance task (knee extension) can be used to estimate muscle fiber type composition in a healthy male population. Such methods could ultimately be used to noninvasively monitor muscle health and fitness.

Consistency of Lower-Body Dimensions Using Surface Landmarks and Simple Measurement Tools.

Caia, J, Weiss, LW, Chiu, LZF, Schilling, BK, and Paquette, MR. Consistency of lower-body dimensions using surface landmarks and simple measurement tools. J Strength Cond Res 30(9): 2600-2608, 2016-Body dimensions may influence various types of physical performance. This study was designed to establish the reliability and precision of bilateral lower-body dimensions using surface anatomic landmarks and either sliding calipers or goniometry. Fifty university students (25 men and 25 women) were measured on 2 separate occasions separated by 48 or 72 hours. A small digital caliper was used to acquire longitudinal dimensions of the feet, whereas a larger broad-blade caliper was used to measure lower-limb, hip, and pelvic dimensions. Quadriceps angle (Q-angle) was determined through surface goniometry. Data for all foot and lower-limb dimensions were both reliable and precise (intraclass correlation coefficient (ICC) ≥0.72, SEM 0.1-0.5 cm). Measures of Q-angle were also reliable and precise (ICC ≥0.85, SEM 0.2-0.4°). Findings from this investigation demonstrate that lower-body dimensions may be reliably and precisely measured through simple practical tests, when surface anatomic landmarks and standardized procedures are used. Although intertester reliability remains to be established, meticulous adherence to specific measurement protocols is likely to yield viable output for lower-body dimensions when more sophisticated methods are unavailable or inappropriate.

Do Lower-Body Dimensions and Body Composition Explain Vertical Jump Ability?

Caia, J, Weiss, LW, Chiu, LZF, Schilling, BK, Paquette, MR, and Relyea, GE. Do lower-body dimensions and body composition explain vertical jump ability? J Strength Cond Res 30(11): 3073-3083, 2016-Vertical jump (VJ) capability is integral to the level of success attained by individuals participating in numerous sport and physical activities. Knowledge of factors related to jump performance may help with talent identification and/or optimizing training prescription. Although myriad variables are likely related to VJ, this study focused on determining if various lower-body dimensions and/or body composition would explain some of the variability in performance. Selected anthropometric dimensions were obtained from 50 university students (25 men and 25 women) on 2 occasions separated by 48 or 72 hours. Estimated body fat percentage (BF%), height, body weight, hip width, pelvic width, bilateral quadriceps angle (Q-angle), and bilateral longitudinal dimensions of the feet, leg, thigh, and lower limb were obtained. Additionally, participants completed countermovement VJs. Analysis showed BF% to have the highest correlation with countermovement VJ displacement (r = -0.76, p < 0.001). When examining lower-body dimensions, right-side Q-angle displayed the strongest association with countermovement VJ displacement (r = -0.58, p < 0.001). Regression analysis revealed that 2 different pairs of variables accounted for the greatest variation (66%) in VJ: (a) BF% and sex and (b) BF% and body weight. Regression models involving BF% and lower-body dimensions explained up to 61% of the variance observed in VJ. Although the variance explained by BF% may be increased by using several lower-body dimensions, either sex identification or body weight explains comparatively more. Therefore, these data suggest that the lower-body dimensions measured herein have limited utility in explaining VJ performance.

Self-Reported Physical Tasks and Exercise Training in Special Weapons and Tactics (SWAT) Teams.

Davis, MR, Easter, RL, Carlock, JM, Weiss, LW, Longo, EA, Smith, LM, Dawes, JJ, and Schilling, BK. Self-reported physical tasks and exercise training in Special Weapons and Tactics (SWAT) teams. J Strength Cond Res 30(11): 3242-3248, 2016-Little research has been done examining the most physically demanding tasks a SWAT officer may perform in the line of duty. Our objective was to analyze the rankings of tasks by SWAT officers based on frequency, difficulty, and importance and assess if training is addressing traits needed for successful task completion. A survey was designed using Qualtrics (Qualtrics Labs Inc). The survey had a demographics section, performance section, and training section. Officers were contacted by phone or e-mail and asked about interest in participating. Officers who agreed were sent the survey. Our results found a strong correlation between frequency of task and importance (r = 0.69, p = 0.001), and a moderate correlation was found between task difficulty and importance (r = 0.37, p = 0.005). Task rankings were averaged across the 3 domains to assess "overall" importance, and the top 3 tasks were assessed for necessary traits for successful performance. Power and strength were determined to be the most important traits for successful performance. Officers ranked the top 2 focuses of their training program in the training section as stamina/muscular endurance and cardiovascular/respiratory endurance. Training programs for SWAT officers should be developed to improve performance of the tasks with the highest "overall" importance. Therefore, a training program should emphasize strength and power improvements while not neglecting other measures of fitness.

Resting extracellular signal-regulated protein kinase 1/2 expression following a continuum of chronic resistance exercise training paradigms.

Extracellular signal-regulated protein kinase 1/2 (ERK1/2) moderates skeletal muscle growth; however, chronic responses of this protein to unique resistance exercise (RE) paradigms are yet to be explored. The purpose of this investigation was to describe the long-term response of ERK1/2 following circuit weight training (CWT), recreationally weight training (WT), powerlifting (PL) and weightlifting (WL). Independent t-tests were used to determine differences in trained groups compared to sedentary controls. Total ERK1/2 content was lower in PL and WL compared to their controls (p ≤ 0.05). Specific trained groups displayed large (WL: pERK/total-ERK; d = 1.25) and moderate (CWT: total ERK1/2; d = 0.54) effect sizes for altered kinase expression compared to controls. The results indicate ERK1/2 expression is down-regulated after chronic RE in well-trained weightlifters and powerlifters. Lower expression of this protein may be a method in which anabolism is tightly regulated after many years of high-intensity RE.

Effects of footwear condition on maximal jumping performance.

The purpose of this investigation was to examine the effects of footwear on kinetics and lower extremity electromyographic (EMG) activity during the vertical jump (VJ) and standing long jump. Fifteen men performed the 2 jump types in 3 footwear conditions: barefoot, minimal shoes, and cross-training shoes. Jump displacement and kinetic data were collected, along with EMG activity of the biceps femoris, medial gastrocnemius, peroneus longus, semitendinosus/semimembranosus, soleus (SOL), tibialis anterior, vastus lateralis, and vastus medialis. Subjective footwear performance and comfort were also assessed with a custom survey. No differences were found in jump displacement, peak ground reaction forces (GRF), countermovement and propulsive phase durations, vertical impulse, peak countermovement, or average propulsive EMG activity. Significant differences in peak propulsive root mean square EMG were found between barefoot and minimal shoes (p = 0.030) and minimal shoes and shod (p = 0.031) conditions for the SOL during the VJ, and for average countermovement EMG of the semitendinosus/semimembranosus during the VJ between barefoot and shod (p = 0.039). Moderate-to-large effect sizes (>0.59) were found between conditions for horizontal GRF, propulsive phase duration, average EMG amplitude, and duration of EMG activity during the countermovement. Participants reported higher comfort ratings when shod compared with barefoot and minimal shoes for both jumps. Participants also perceived better performance when shod compared with barefoot and minimal shoes for the VJ only. No acute differences in displacement were observed between barefoot, minimal shoes, and cross-trainer shoes during vertical and horizontal jumps. Some differences in muscle activation and timing seem to be present, and thus, training effects between footwear conditions should be examined. Footwear familiarization may prove beneficial, as acute increases in comfort seem unrelated to performance improvements.

Maximal strength, power, and aerobic endurance adaptations to concurrent strength and sprint interval training.

PURPOSE: This study was designed to examine whether concurrent sprint interval and strength training (CT) would result in compromised strength development when compared to strength training (ST) alone. In addition, maximal oxygen consumption (VO2max) and time to exhaustion (TTE) were measured to determine if sprint interval training (SIT) would augment aerobic performance. METHODS: Fourteen recreationally active men completed the study. ST (n = 7) was performed 2 days/week and CT (n = 7) was performed 4 days/week for 12 weeks. CT was separated by 24 h to reduce the influence of acute fatigue. Body composition was analyzed pre- and post-intervention. Anaerobic power, one-repetition maximum (1RM) lower- and upper-body strength, VO2max and TTE were analyzed pre-, mid-, and post-training. Training intensity for ST was set at 85 % 1RM and SIT trained using a modified Wingate protocol, adjusted to 20 s. RESULTS: Upper- and lower-body strength improved significantly after training (p < 0.001) with no difference between the groups (p > 0.05). VO2max increased 40.9 ± 8.4 to 42.3 ± 7.1 ml/kg/min (p < 0.05) for CT, whereas ST remained unchanged. A significant difference in VO2max (p < 0.05) was observed between groups post-intervention (CT: 42.3 ± 7.1 vs. ST: 36.0 ± 3.0 ml/kg/min). A main effect for time and group was observed in TTE (p < 0.05). A significant main effect for time was observed in average power (p < 0.05). CONCLUSION: Preliminary findings suggest that performing concurrent sprint interval and strength training does not attenuate the strength response when compared to ST alone, while also improves aerobic performance measures, such as VO2max at the same time.

Snatch technique of United States national level weightlifters.

This study analyzed the top 3 successful snatch attempts by individual lifters in each weight class at a U.S. National Championship weightlifting meet. Two-dimensional (2-D) body position and characteristics of the lifts were compared via 2D video analysis in groups of lifters who displaced forward, showed no displacement, or displaced backward to receive the bar. No significant group differences (p > 0.05) were noted for body mass, bar mass, or hip angle. The rearward displacement group had a significantly greater horizontal distance between the shoulder and heel at the end of the pull (determined as the point where the bar ceases to accelerate vertically). Hip angles for the no displacement group had a small-to-moderate effect size (0.50) in comparison to the forward displacement group, but they only showed a small effect size (0.17) when compared with the rearward displacement group. The forward displacement group showed a small-to-moderate effect size compared with both the no displacement group (0.51) and the rearward displacement group (0.55) concerning the horizontal distance from the shoulder to the heel. These data seem to suggest that rearward displacement in the drop-under phase in the snatch is not detrimental to performance and actually seems to be a preferred technique in U.S. national level lifters. In addition to evidence that rearward displacement is exhibited in elite lifters and is coached globally, it seems this is the preferred technique in international competitions. This technique may be considered a viable variation of the snatch by coaches and athletes of all levels.

Kansas squat test: a reliable indicator of short-term anaerobic power.

The purposes of this study were to establish stability reliability of a measure of lower-body anaerobic power, the Kansas squat test (KST), and to compare the KST with the commonly used Wingate anaerobic test (WAnT) for lower-body power. Fourteen resistance-trained men (mean ± SD; age = 24.2 ± 3.6 years) performed both the KST and the WAnT twice on separate occasions. The KST consisted of using an external dynamometer to measure mean repetition power while performing 15 repetitions of speed squats using 70% of 1 repetition maximum system mass (barbell + body mass), initiating each repetition at 6-second intervals. Repetition power, mean power for all 15 repetitions, and % fatigue for the KST were all reliable (intraclass correlation coefficient = 0.754-0.937; p ≤ 0.05). There were no differences between tests for the mean power for all repetitions or relative fatigue (p ≤ 0.05) and no significant differences between tests for any individual repetition (test × repetition interaction, p < 0.05). Although absolute values were different (p > 0.05), significant correlations were found between the KST and WAnT for mean (r = 0.752) and maximum (r = 0.775) test powers but not for relative fatigue (r = 0.174). Lactate (HLa) responses were greater for the WAnT compared with the KST. These data indicate that the KST is reliable for resistance-trained men, and that measures of maximum and mean test powers for the KST are highly correlated to those values for the WAnT, but fatigue rates and HLa responses were not correlated. It appears that the KST is a lifting-specific anaerobic power and power endurance test that emphasizes phosphagen metabolism and may be used to assess training-induced changes in lower-body power.

Muscle activation during various hamstring exercises.

The dorsal muscles of the lower torso and extremities have often been denoted the "posterior chain." These muscles are used to support the thoracic and lumbar spine and peripheral joints, including the hip, knee, and ankle on the dorsal aspect of the body. This study investigated the relative muscle activity of the hamstring group and selected surrounding musculature during the leg curl, good morning, glute-ham raise, and Romanian deadlift (RDL). Twelve healthy, weight-trained men performed duplicate trials of single repetitions at 85% 1-repetition maximum for each lift in random order, during which surface electromyography and joint angle data were obtained. Repeated measures analysis of variance across the 4 exercises was performed to compare the activity from the erector spinae (ES), gluteus medius (GMed), semitendinosus (ST), biceps femoris (BF), and medial gastrocnemius (MGas). Significant differences (p ≤ 0.05) were noted in eccentric muscle activity between exercise for the MGas (p < 0.027), ST (p < 0.001), BF (p < 0.001), and ES (p = 0.032), and in concentric muscle activity, for the ES (p < 0.001), BF (p = 0.010), ST (p = 0.009), MGas (p < 0.001), and the GMed (p = 0.018). Bonferroni post hoc analysis revealed significant pairwise differences during eccentric actions for the BF, ST, and MGas. Post hoc analysis also revealed significant pairwise differences during concentric actions for the ES, BF, ST, MGas, and GMed. Each of these showed effect sizes that are large or greater. The main findings of this investigation are that the ST is substantially more active than the BF among all exercises, and hamstring activity was maximized in the RDL and glute-ham raise. Therefore, athletes and coaches who seek to maximize the involvement of the hamstring musculature should consider focusing on the glute-ham raise and RDL.

The Effect of Body Armor on Pulmonary Function Using Plethysmography.

Military tactical athletes face the unique task of performing physically demanding occupational duties, often while wearing body armor. Forced vital capacity and forced expiratory volume measured using spirometry have been shown to decrease, while wearing plate-carrier style body armor, little is known about the comprehensive effects of wearing body armor on pulmonary function, including lung capacities. Further, the effects of loaded body armor vs. unloaded on pulmonary function are also unknown. Therefore, this study examined how loaded and unloaded body armor affects pulmonary function. Twelve college-aged males performed spirometry and plethysmography under three conditions (basic athletic attire [CNTL], unloaded plate carrier [UNL], and loaded plate carrier [LOAD]). Compared to CNTL, LOAD and UNL conditions significantly reduced functional residual capacity by 14% and 17%, respectively. Compared with CNTL, LOAD condition also showed a small but statistically significant lowered forced vital capacity (P = .02, d = 0.3), a 6% lower total lung capacity (P < .01, d = 0.5), and lowered maximal voluntary ventilation (P = .04, d = 0.4). A loaded plate-carrier style body armor exerts a restrictive effect on total lung capacity, and both loaded and unloaded body armor affects functional residual capacity, which could impact breathing mechanics during exercise. Resulting endurance performance decreases may need to be factored based on the style and loading of body armor, especially for longer-duration operations.

Acute neuromuscular and metabolic responses to concurrent endurance and resistance exercise.

Metabolic and neurological responses to 4 bouts of lower-body or upper-body resistance exercise preceded by cycle ergometry or rest were assessed. Nine resistance-trained men (26.7 ± 6.6 years) underwent bouts of (a) cycle ergometry then bench press, (b) bench press only, (c) cycle ergometry then back squat, and (d) back squat only. Cycle ergometry was performed at 75% maximum heart rate for 45 minutes. Bench press and back squat protocols required 6 sets to volitional fatigue at 80% 1RM with 2 minutes rest between sets. Significantly more repetitions were performed during set 1 for back squat without preceding aerobic exercise (12.6 ± 4.5 vs. 10.0 ± 3.5, p = 0.000) and cumulatively at set 3 (27.1 ± 10.6 vs. 23.1 ± 9.2, p = 0.014), and no differences were noted for bench press repetitions. Inclusion of cycle ergometry results in impaired back squat, but not bench press, performance likely because of a combination of local metabolic stress and various neuromuscular effects.

Effect of grip width on electromyographic activity during the upright row.

The upright row (URR) is commonly used to develop the deltoid and upper back musculature. However, little information exists concerning muscle recruitment during variations of this exercise. Sixteen weight-trained men completed 2 repetitions each in the URR with 3 grip conditions: 50, 100, and 200% of the biacromial breadth (BAB). The load was the same for all grip conditions and was equal to 85% of the 1RM determined at 100% BAB. Repeated measures analyses of variance were used to compare the maximal activity of the anterior deltoid (AD), lateral deltoid (LD), posterior deltoid (PD), upper trapezius (UT), middle trapezius (MT), and biceps brachii (BB) during the 3 grip widths for eccentric and concentric actions. Significant differences (p < 0.05) were noted in concentric muscle activity for LD (p < 0.001) and PD (p < 0.001), and in eccentric muscle activity for AD (p = 0.023), LD (p < 0.001), UT (p < 0.001), MT (p < 0.001), and BB (p = 0.003). Bonferroni post hoc analysis revealed significant pairwise differences in the concentric actions from the LD (50% vs. 200% BAB and 100% vs. 200% BAB) and PD (50% vs. 200% BAB and 100% vs. 200% BAB), and eccentric actions of the LD (all comparisons), UT (all comparisons), MT (50% vs. 200% BAB and 100% vs. 200% BAB), and BB (50% vs. 200% BAB), with large-to-very-large effect sizes (ESs). Moderate-to-large ESs were noted for several nonsignificant comparisons. The main findings of this investigation are increased deltoid and trapezius activity with increasing grip width, and correspondingly less BB activity. Therefore, those who seek to maximize involvement of the deltoid and trapezius muscles during the URR should use a wide grip.

Musculoskeletal Injury Concealment in the Reserve Officers' Training Corps: A Survey of Cadets' Reporting Behaviors.

BACKGROUND: Among service members, musculoskeletal injuries threaten military readiness and place a substantial burden on medical and financial resources. Emerging research suggests that service members regularly conceal injuries, especially in training environments. The Reserve Officers' Training Corps (ROTC) is a critical training environment for future U.S. military commissioned officers. Training activities expose cadets to a high risk of injury while in the ROTC. The purpose of this study was to explore injury-reporting behaviors in cadets and factors associated with injury concealment. MATERIALS AND METHODS: We invited Army, Air Force, and Naval cadets from six host universities participating in officer training to complete an online, self-reported survey regarding injury reporting and concealment. Cadets answered questions about pain or injuries experienced during officer training. Survey questions pertained to an injury's anatomic location, onset, severity, functional limitations, and whether or not the injury had been reported. Cadets also selected factors that influenced the decision to report or conceal injuries from predetermined lists in a "choose any" fashion. A series of χ2 tests of independence compared the relationship between injury reporting and other injury characteristics for each individual injury. RESULTS: One hundred fifty-nine cadets (121 Army, 26 Air Force, and 12 Naval) completed the survey. Eighty-five cadets disclosed a total of 219 injuries. Two-thirds of injuries (144/219) were concealed. Twenty-six percent of participants (22/85) reported all injuries, whereas the remainder (63/85, 74%) had at least one concealed injury. In relation to injury reporting/concealment, there was a weak association with injury onset (χ21 = 4.24, P = .04, V = 0.14), a moderate association with anatomic location (χ212 = 22.64, P = .03, V = 0.32), and relatively strong associations with injury severity (χ23 = 37.79, P < .001, V = 0.42) and functional limitations (χ23 = 42.91, P < .001, V = 0.44). CONCLUSIONS: Two-thirds of injuries went unreported in this sample of ROTC cadets. Functional limitations, symptom severity, and injury onset may be the largest factors that influence the decision to report or conceal musculoskeletal injuries. This study establishes the foundation for researching injury reporting in cadets and adds to the existing military evidence on the topic.