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1.
Front Sports Act Living ; 6: 1285247, 2024.
Article En | MEDLINE | ID: mdl-38390231

Background: Due to improvement in movement performance, post-activation performance enhancement (PAPE) may open new possibilities to improve gait performance. However, no study has attempted to translate this phenomenon into walking. Therefore, the study aimed to test whether acute stretching followed by a conditioning exercise can improve subsequent gait performance in healthy adults. Research question: Can an exercise protocol subsequently improve gait performance? Methods: Sixteen individuals walked four 10-m trials (in each period) before and after 7 min of an exercise protocol composed of stretching (focusing on the lower limb) and a conditioning exercise (standing calf-raise wearing a vest of 20 kg). Gait spatialtemporal parameters and muscle activity of tibialis anterior and gastrocnemius medialis and lateralis muscles were obtained by a 3D-motion system and wireless electromyography, respectively. Before and after the exercise protocol, kinematic and muscle activity parameters were compared by a one-way ANOVA and the Wilcoxon signed-rank test, respectively. Results: After the exercise protocol, the participants walked with a faster step velocity (p < 0.018) and with a lower step duration (p < 0.025). Also, higher peak muscle activity (p < 0.008) and low-frequency (p < 0.034) activation of the anterior tibial muscle after the exercise protocol were observed. Significance: In conclusion, the protocol improves the stability and the muscles' efficiency during gait, contributing to a new approach to enhancing gait rehabilitation programs.

2.
Sleep Med ; 114: 24-41, 2024 Feb.
Article En | MEDLINE | ID: mdl-38150950

Parkinson's disease (PD) is a neurodegenerative disorder characterized by a range of motor and non-motor symptoms. Among the motor complaints, freezing of gait (FOG) is a common and disabling phenomenon that episodically hinders patients' ability to produce efficient steps. Concurrently, sleep disorders are prevalent in PD and significantly impact the quality of life of affected individuals. Numerous studies have suggested a bidirectional relationship between FOG and sleep disorders. Therefore, our objective was to systematically review the literature and compare sleep outcomes in PD patients with FOG (PD + FOG) and those without FOG (PD-FOG). By conducting a comprehensive search of the PubMed and Web of Science databases, we identified 20 eligible studies for inclusion in our analysis. Our review revealed that compared to PD-FOG, PD + FOG patients exhibited more severe symptoms of rapid eye movement sleep behavior disorder in nine studies, increased daytime sleepiness in eight studies, decreased sleep quality in four studies, and more frequent and severe sleep disturbances in four studies. These findings indicate that PD + FOG patients generally experience worse sleep quality, higher levels of daytime sleepiness, and more disruptive sleep disturbances compared to those without FOG (PD-FOG). The association between sleep disturbances and FOG highlights the importance of evaluating and monitoring these symptoms in PD patients and open the possibility for future studies to assess the impact of managing sleep disturbances on the severity and occurrence of FOG, and vice versa.


Disorders of Excessive Somnolence , Gait Disorders, Neurologic , Parkinson Disease , REM Sleep Behavior Disorder , Humans , Parkinson Disease/complications , Parkinson Disease/epidemiology , Quality of Life , Gait Disorders, Neurologic/etiology , Gait , REM Sleep Behavior Disorder/diagnosis , Sleep
3.
Article En | MEDLINE | ID: mdl-37297535

This study aimed to systematically review and summarize the available data regarding the influence of overweight and obesity across the lifespan on obstacle crossing during walking. Four databases were systematically searched with no limitation on publication date following the Cochrane Handbook for Systematic Reviews and PRISMA guidelines. Only full-text English-language articles published in a peer-reviewed journal were eligible. They had to compare obstacle crossing during walking by overweight or obese individuals with individuals of normal body weight. Five studies were considered eligible. All the studies assessed kinematics; only one assessed kinetics, but none investigated muscle activity or obstacle contact. Compared to normal individuals crossing obstacles, overweight or obese individuals exhibited lower velocity, shorter step length, lower cadence, and less time spent in single-limb support. They also exhibited increased step width, more time spent in double support, and greater trailing leg ground force reaction and centre of mass acceleration. Overall, the small number of included studies did not allow us to draw any conclusions. However, being overweight or obese seems to have a potentially negative influence on the kinematics of gait parameters due to a tendency to trip, fall, and suffer severe fall-related injuries when negotiating obstacles on foot in real-life environments.


Longevity , Overweight , Humans , Overweight/epidemiology , Walking/physiology , Obesity/epidemiology , Gait/physiology , Lower Extremity
4.
J Sports Sci ; 41(5): 430-440, 2023 Mar.
Article En | MEDLINE | ID: mdl-37279300

The effects of a cooling strategy following repeated high-intensity running (RHIR) on soccer kicking performance in a hot environment (>30ºC) were investigated in youth soccer players. Fifteen academy under-17 players participated. In Experiment 1, players completed an all-out RHIR protocol (10×30 m, with 30s intervals). In Experiment 2 (cross-over design), participants performed this running protocol under two conditions: (1) following RHIR 5 minutes of cooling where ice packs were applied to the quadriceps/hamstrings, (2) a control condition involving passive resting. Perceptual measures [ratings of perceived exertion (RPE), pain and recovery], thigh temperature and kick-derived video three-dimensional kinematics (lower limb) and performance (ball speed and two-dimensional placement indices) were collected at baseline, post-exercise and intervention. In Experiment 1, RHIR led to small-to-large impairments (p < 0.03;d = -0.42--1.83) across perceptual, kinematic and performance measures. In experiment 2, RPE (p < 0.01; Kendall's W = 0.30) and mean radial error (p = 0.057; η2 = 0.234) increased only post-control. Significant small declines in ball speed were also observed post-control (p < 0.05; d = 0.35). Post-intervention foot centre-of-mass velocity was moderately faster in the cooling compared to control condition (p = 0.04; d = 0.60). In youth soccer players, a short cooling period was beneficial in counteracting declines in kicking performance, in particular ball placement, following intense running activity in the heat.


Athletic Performance , Running , Soccer , Adolescent , Humans , Biomechanical Phenomena , Hot Temperature , Cross-Over Studies
5.
Sports Health ; 15(1): 67-73, 2023.
Article En | MEDLINE | ID: mdl-35343321

BACKGROUND: The aim of this study was to investigate the effects of gradient and speed on running variability (RV) and local dynamic stability (LDS) during uphill running. HYPOTHESES: (1) Both gradient and speed increase metabolic effort, in terms of heart rate (HR) and perceived exertion (CR10), in line with the contemporary literature, and (2) gradient increases RV and impairs LDS. STUDY DESIGN: "Crossover" observational design. LEVEL OF EVIDENCE: Level 3. METHODS: A total of 25 runners completed 10-minute running trials in 3 different conditions and in a randomized order: gradient at 0% (0CON), 2% (2CON), and 2% at isoefficiency speed (2IES). 0CON and 2CON speeds were calculated as the "best 10-km race performance" minus 1 km·h-1, whereas 2IES speed was adjusted to induce the same metabolic expenditure as 0CON. HR and perceived exertion as well as running kinematic variables were collected across all trials and conditions. Running variability was calculated as the standard deviation of the mean stride-to-stride intervals over 100 strides, while LDS was expressed by the Lyapunov exponent (LyE) determined on running cycle time over different running conditions. RESULTS: Increases in HR and CR10 were observed between 0CON and 2CON (P < 0.001) and between 2IES and 2CON (P < 0.01). Higher RV was found in 2CON compared with 0CON and 2IES (both P < 0.001). Finally, the largest LyE was observed in 2IES compared with 0CON and 2CON (P = 0.02 and P = 0.01, respectively). CONCLUSION: Whereas RV seems to be dependent more on metabolic effort, LDS is affected by gradient to a greater extent. CLINICAL RELEVANCE: Running variability could be used to monitor external training load in marathon runners.


Gait , Humans , Biomechanical Phenomena , Cross-Over Studies , Gait/physiology
6.
Cogn Neurodyn ; 16(6): 1303-1321, 2022 Dec.
Article En | MEDLINE | ID: mdl-36408067

The contribution of cortical activity (e.g. EEG recordings) in various brain regions to motor control during goal-directed manipulative tasks using lower limbs remains unexplored. Therefore, the aim of the current study was to determine the magnitude of associations between EEG-derived brain activity and soccer kicking parameters. Twenty-four under-17 players performed an instep kicking task (18 m from the goal) aiming to hit 1 × 1 m targets allocated in the goalpost upper corners in the presence of a goalkeeper. Using a portable 64-channel EEG system, brain oscillations in delta, theta, alpha, beta and gamma frequency bands were determined at the frontal, motor, parietal and occipital regions separately for three phases of the kicks: preparatory, approach and immediately prior to ball contact. Movement kinematic measures included segmental linear and relative velocities, angular joint displacement and velocities. Mean radial error and ball velocity were assumed as outcome indicators. A significant influence of frontal theta power immediately prior to ball contact was observed in the variance of ball velocity (R 2 = 35%, P = 0.01) while the expression of occipital alpha component recorded during the preparatory phase contributed to the mean radial error (R 2 = 20%, P = 0.049). Ankle eversion angle at impact moment likely mediated the association between frontal theta power and subsequent ball velocity (ß = 0.151, P = 0.06). The present analysis showed that the brain signalling at cortical level may be determinant in movement control, ball velocity and accuracy when performing kick attempts from the edge of penalty area. Trial registration number #RBR-8prx2m-Brazilian Registry of Clinical Trials ReBec. Supplementary Information: The online version contains supplementary material available at 10.1007/s11571-022-09786-2.

7.
Sci Med Footb ; 6(4): 528-538, 2022 11.
Article En | MEDLINE | ID: mdl-36412181

PURPOSE: The current study examined the possible relationships between one-off single night sleep metrics and subsequent kicking performance in a youth soccer context. METHODS: Twenty-eight under-17 academy players (15.9 ± 0.8 years-old) completed a kick testing protocol consisting in 20 attempts, 18 m from the goal and against a goalkeeper. Four digital video cameras (240 Hz) allowed to determine 3-D approach run, lower limb and ball velocities. Two additional cameras (60 Hz) were used to calculate 2-D mean radial error, bivariate variable error and accuracy. Over 24 h prior to testing, players were monitored by wrist actigraphy to determine their sleep indices. Self-reported sleep quality, sleepiness and chronotype scale scores (Horne and Östberg morningness-eveningness questionnaire) were also collected immediately before kicking experiment. RESULTS: Multiple linear regressions indicated that wake up time and chronotype contributed to 40% of mean radial error. Self-reported sleep quality influenced respectively on 19% and 24% of accuracy and bivariate variable error variances. Taken together self-reported sleep quality and wake up time explained 33% of accuracy (all p < 0.05). Indicators of kicking velocity were non-significantly correlated with sleep (r = -0.30-0.29; p > 0.05). CONCLUSION: One-off sleep measures showed some sensitivity to acutely detect inter-individual oscillations in kicking performance. Low perceived sleep quality, later wake up time and a chronotype toward evening preference seem either related to immediately subsequent worst ability of ball placement when kicking. Monitoring sleep-wake transition and perceived sleep quality may be important to help prevent acute performance declines in targeting the goal during kick attempts from the edge of penalty area.


Better acute sleep quality, earlier wake up time and preference toward morning activities presented positive influences on soccer kicking parameters, specifically related to ball placement in upper corners of the goalpost;Kicking velocity was minimally influenced by sleep quality and duration while either kicking accuracy or velocity characteristics were similar between youth players that slept for more or less than 7, 8 or 8.4 hours in an assessment night;In a youth soccer context, inter-individual one-off sleep measures were associated with some ensuing skill-related outputs, thereby monitoring sleep parameters on an individual basis may assist in preventing suboptimal performance occurrences.


Soccer , Adolescent , Humans , Sleep Quality , Sleep , Wakefulness , Actigraphy
8.
Front Psychol ; 13: 718313, 2022.
Article En | MEDLINE | ID: mdl-35664184

COVID-19 in Brazil is threatening, and it has forced the government to adopt partial lockdown as a strategy to stop the spread of the virus in the first wave of pandemic (March 2020). These preventive measures during the COVID-19 pandemic may affect the motor and non-motor symptoms in people with Parkinson's disease (PD) and Multiple sclerosis (MS). Thus, the purpose of this study was to investigate the perception during the first wave of COVID-19 pandemic lockdown on motor and non-motor symptoms, and also measure physical activity level, quality of life, and sleep quality in Brazilian people with PD and MS. One hundred and fifty-three participants (PD-97 and MS-56) answered an online survey to identify the perception of motor and non-motor symptoms, and characterize the physical activity level, and quality of life and sleep in these neurological Brazillian population. During the beginning of pandemic lockdown in Brazil, our results indicated that 69% of people with PD and 55% of people with MS reported worse on motor aspects and lower amount of physical activity performed. Also, 75.2% (PD) and 92.9% (MS) of our cohort were considered inactive or sedentary. Based on the perception and behavior of the population studied, people with PD and MS should be encouraged to perform more physical activity in order to reduce the effects of isolation in motor and non-motor aspects of the diseases. Teleinterventions, such as home-based exercise, should be included in the new routine of people with PD and MS to reduce the impacts of lockdown and to maintain quality of life at a good level.

9.
Hum Mov Sci ; 83: 102938, 2022 Jun.
Article En | MEDLINE | ID: mdl-35276426

BACKGROUND: Certain aspects of gait may depend on cognition, and the effects of dual-tasking (DT) on gait asymmetry (GA) during obstacle circumvention in people with Parkinson's disease (pwPD) may be walking phase-dependent. While the approaching phase requires allocating significant cognitive resources to perform the task, outweighing the available resources may increase GA. During the avoiding phase, the obstacle could be used as an external cue, enhancing the attention to the obstacle and, consequently, improving gait control and regulating GA. OBJECTIVE: The study investigated the effects of obstacle circumvention during gait with DT on GA in pwPD, considering the circumvention phase. METHODS: Thirty participants, 15 pwPD and 15 neurologically healthy individuals, circumvented an obstacle 20 times (in total) according to side (right and left side) and DT (presence and absence). Spatial-temporal stride parameters, medial-lateral and horizontal trajectory deviations from the original path, strategy to obstacle circumvention (lead limb away from or close to the obstacle during the crossing step), and gaze parameters were calculated during the approaching and avoiding phases. The parameters were grouped considering the side that the obstacle was circumvented during each task, and the symmetry index was calculated. RESULTS: The results showed greater asymmetry of time of fixations, width, duration, and velocity during the approaching phase (p < 0.02), whereas the avoiding phase decreased asymmetry of medial-lateral and horizontal trajectory deviations parameters (p < 0.001) during obstacle circumvention with DT, in both pwPD and control group. CONCLUSIONS: The findings offer a basis for considering that goal-directed movement control may regulate GA in pwPD.


Parkinson Disease , Cognition , Gait , Humans , Walking/physiology
10.
J Biomech ; 133: 110890, 2022 03.
Article En | MEDLINE | ID: mdl-35121381

This study aimed to investigate if the impairing in postural control, induced by ankle fatiguing exercise, remains after 24/48 h in young adults. Center of Pressure (CoP) was assessed in 16 participants (23 ± 3 years old) before, immediately after an ankle fatigability induction protocol (FI) and after 24 or 48 h of recovery using two 60-s trials with eyes open (EO) and closed (EC). The FI consisted of performing the ankle plantar flexion and dorsiflexion movement repeatedly (0.5 Hz). Ankle muscle fatigability increased CoP anterior-posterior (AP - p < 0.02) and medial-lateral (ML - p < 0.009) root mean square (RMS), and AP (p < 0.01) mean velocity immediately after compared to before FI. These effects remained after 24/48 h of recovery: higher CoP AP (p < 0.03) and ML (p < 0.009) RMS. No significant effects for detrend fluctuation analysis and entropy analysis among periods of postural evaluations was found. Fatigue*visual condition interaction revealed an increased AP median frequency (p < 0.001) during EC compared to EO only immediately after FI. Young adults' body sway remains impaired until 48 h, but not the postural control adaptability and complexity. Visual information may not attenuate the late deleterious ankle muscle fatigability effects. Individuals should be cautious during balance tasks and exercise after fatiguing exercise in the next 24/48 h, therefore avoiding unbalances and falls.


Ankle Joint , Ankle , Adult , Ankle Joint/physiology , Humans , Muscle Fatigue/physiology , Muscles , Postural Balance/physiology , Young Adult
11.
Article En | MEDLINE | ID: mdl-35162201

Kicking is a fundamental skill in soccer that often contributes to match outcomes. Lower limb movement features (e.g., joint position and velocity) are determinants of kick performance. However, obtaining kicking kinematics under field conditions generally requires time-consuming manual tracking. The current study aimed to compare a contemporary markerless automatic motion estimation algorithm (OpenPose) with manual digitisation (DVIDEOW software) in obtaining on-field kicking kinematic parameters. An experimental dataset of under-17 players from all outfield positions was used. Kick attempts were performed in an official pitch against a goalkeeper. Four digital video cameras were used to record full-body motion during support and ball contact phases of each kick. Three-dimensional positions of hip, knee, ankle, toe and foot centre-of-mass (CMfoot) generally showed no significant differences when computed by automatic as compared to manual tracking (whole kicking movement cycle), while only z-coordinates of knee and calcaneus markers at specific points differed between methods. The resulting time-series matrices of positions (r2 = 0.94) and velocity signals (r2 = 0.68) were largely associated (all p < 0.01). The mean absolute error of OpenPose motion tracking was 3.49 cm for determining positions (ranging from 2.78 cm (CMfoot) to 4.13 cm (dominant hip)) and 1.29 m/s for calculating joint velocity (0.95 m/s (knee) to 1.50 m/s (non-dominant hip)) as compared to reference measures by manual digitisation. Angular range-of-motion showed significant correlations between methods for the ankle (r = 0.59, p < 0.01, large) and knee joint displacements (r = 0.84, p < 0.001, very large) but not in the hip (r = 0.04, p = 0.85, unclear). Markerless motion tracking (OpenPose) can help to successfully obtain some lower limb position, velocity, and joint angular outputs during kicks performed in a naturally occurring environment.


Soccer , Biomechanical Phenomena , Humans , Knee , Lower Extremity , Movement
12.
Ergonomics ; 65(9): 1302-1311, 2022 Sep.
Article En | MEDLINE | ID: mdl-35023450

The aim of this study was to investigate the effects of PD and ageing on gaze behaviour and performance of drivers in a simulated task. Ten drivers with PD, ten neurologically healthy older drivers, and ten neurologically healthy younger adult drivers were asked to drive in a car simulator for three minutes, maintaining car speed between 100 and 120 km/h and avoiding collisions. Driver's eye movements were recorded. Drivers with PD had more collisions and spent less time driving within the speed zone than the younger-drivers. Drivers with PD performed an increased number of fixations towards task-irrelevant areas of the visual scene and higher visual entropy, indicating a more random gaze behaviour. Older drivers restricted their visual search to the lane area in order to detect threat-related stimuli. PD led to drops in performance of drivers in the car simulator. Practitioner summary: Parkinson's disease (PD) and ageing process caused a drop in driving performance. Drivers with PD made fewer fixations on task-relevant information and showed higher visual entropy than young adults. Older drivers restricted their visual search to the lane than other areas of interest.


Automobile Driving , Parkinson Disease , Aging , Eye Movements , Humans , Young Adult
13.
J Sports Med Phys Fitness ; 62(3): 389-394, 2022 Mar.
Article En | MEDLINE | ID: mdl-34275259

BACKGROUND: The aim of this study was to assess hemodynamic and cardiac autonomic response to high-intensity interval exercise (HIIE) versus moderate-intensity continuous exercise (MICE) in individuals with Parkinson's disease (PD). METHODS: Twelve individuals (six men) with PD were randomly assigned to perform HIIE (4 min of warm-up followed by 21 min alternating 1 min at levels 15-17 with 2 min at levels 9-11 of rating of perceived exertion [RPE] in a cycle ergometer), MICE (4 min of warm-up followed by 26 min at levels 11-14 of RPE in a cycle ergometer) and control (CON; 30 min of sitting rest) interventions in separate days. Heart rate (HR), blood pressure (BP), endothelial reactivity and heart rate variability (HRV) were assessed before, immediately after and 45 min after each intervention. HR and exercise workload were measured during each intervention. RESULTS: Despite the within (high- vs. low-intensity intervals of HIIE) and between (HIIE vs. MICE) differences in workload during exercise sessions, HR was not different between high- (average HR=98±18 bpm) and low-intensity (average HR 97±19 bpm) intervals of HIIE, as well as between HIIE (average HR=97±18 bpm) and MICE (average HR=93±19 bpm) throughout the exercise. There were significant, but small, increases (P<0.01) in HR and systolic BP at post HIIE and MICE, which returned to levels similar to preintervention during recovery. There were no within- and between-intervention differences in diastolic BP, endothelial reactivity and HRV. CONCLUSIONS: The present results suggest that hemodynamic response to exercise is impaired in individuals with PD.


High-Intensity Interval Training , Parkinson Disease , Blood Pressure , Exercise , Heart Rate , Hemodynamics , Humans
14.
Brain Res ; 1775: 147727, 2022 01 15.
Article En | MEDLINE | ID: mdl-34788638

BACKGROUND: Our understanding of how balance control responds to levodopa over the course of a single day in people with Parkinson's disease (PD) is limited with the majority of studies focused on isolated comparisons of ON vs. OFF levodopa medication. OBJECTIVE: To evaluate the temporal dynamics of postural control following the first levodopa dose of the day during a challenging standing task in a group of people with PD. METHODS: Changes in postural control were evaluated by monitoring cortical activity (covering frontal, motor, parietal and occipital areas), body sway parameters (force platform), and lower limb muscle activity (tibialis anterior and gastrocnemius medialis) in 15 individuals with PD during a semi-tandem standing task. Participants were assessed during two 60 second trials every 30 minutes (ON-30 ON-60 etc.) for 3 hours after the first matinal dose (ON-180). RESULTS: Compared to when tested OFF-medication, cortical activity was increased across all four regions from ON-60 to ON-120 with early increases in alpha and beta band activity observed at ON-30. Levodopa was associated with increased gastrocnemius medialis activity (ON-30 to ON-120) and ankle co-contraction (ON-60 to ON-120). Changes in body sway outcomes (particularly in the anterior-posterior direction) were evident from ON-60 to ON-120. CONCLUSIONS: Our results reveal a 60-minute window within which postural control outcomes may be obtained that are different compared to OFF-state and remain stable (from 60-minutes to 120-minutes after levodopa intake). Identifying a window of opportunity for measurement when individuals are optimally medicated is important for observations in a clinical and research setting.


Antiparkinson Agents/administration & dosage , Cerebral Cortex/drug effects , Levodopa/administration & dosage , Parkinson Disease/drug therapy , Postural Balance/drug effects , Aged , Aged, 80 and over , Antiparkinson Agents/therapeutic use , Cerebral Cortex/physiopathology , Female , Humans , Levodopa/therapeutic use , Male , Middle Aged , Parkinson Disease/physiopathology , Postural Balance/physiology
15.
Front Psychol ; 12: 725097, 2021.
Article En | MEDLINE | ID: mdl-34489829

This study had the purpose of analyzing dominant and non-dominant limb performances (frequency of use and accuracy) during match-play technical actions with ball possession (receiving, passing, and shooting a ball) in professional futsal and also check for the possible influence of playing position and the quality of opponent. We have analyzed data pertaining to eight matches of the FIFA Futsal World Cup Thailand 2012™ in which 76 male professional senior futsal players participated (44 right-footed and 32 left-footed). In total, we coded 5,856 actions (2,550 ball receptions, 3,076 passes, and 230 shoots). Our main findings were that (a) players used the dominant limb more frequently than the non-dominant limb for all actions considered [p < 0.001; effect size (ES) medium-to-large]; (b) accuracy was generally greater when using the dominant limb, regardless of the quality of opponent (p < 0.01; ES large); and (c) in shooting actions, pivots showed similar accuracy between dominant and non-dominant limbs (p = 0.51; ES small). The study suggested that when completing technical actions with the ball in futsal, high-level players depended to a greater extent on the use of their dominant lower limb during official matches. Excepting a similarity detected between limbs on shooting performance of pivots, players from all positional roles generally showed a higher accuracy rate in receiving, passing, and shooting a ball when using their dominant limb as compared to their non-dominant one during match-play and the limb usage and accuracy seemed to be independent of the quality of opponents.

16.
Gait Posture ; 84: 340-345, 2021 02.
Article En | MEDLINE | ID: mdl-33454501

BACKGROUND: Impaired movement stability is a common symptom of Parkinson's disease (PD) that leads to falls and mishandled objects. Decline in synergistic stabilization of movement in PD patients has been observed in manual and postural tasks. However, locomotor synergies have not been quantified in PD patients. RESEARCH QUESTION: The purpose of this work was to quantify the strength of the synergy stabilizing the step length while crossing an obstacle in PD patients. We hypothesized that (1) the distances of the front and rear feet relative to the obstacle would display compensatory across-trial co-variance that stabilizes step length in PD patients and age-matched controls, and (2) the step-length stabilization would be weaker in PD patients. METHODS: Thirteen PD patients and eleven healthy age-matched controls walked up to and stepped over a 15 cm high obstacle fifteen times.We measured the distances of the rear and front foot toes from the obstacle during the crossing step. We used the uncontrolled manifold method to parse the across-trial variance in toe distances into a component that maintains the step length and a component that changes the step length. These variance components yielded the synergy index that quantified the stability of step length. RESULTS: Step length was stabilized in PD patients as well as controls. However, the synergy index was 53% lower in the PD patients (p < 0.01). Thus, both our hypotheses were supported. SIGNIFICANCE: This is the first study reporting impaired locomotor synergies in PD patients. Most PD patients in our sample were early stage (10 out of 13 patients were Hoehn-Yahr ≤ 2). Therefore, this result motivates further studies to establish step-length synergy during adaptive locomotor tasks as a biomarker for early detection of locomotor impairments in PD patients.


Gait/physiology , Parkinson Disease/complications , Walking/physiology , Aged , Case-Control Studies , Female , Humans , Male , Middle Aged , Parkinson Disease/physiopathology
17.
Sci Med Footb ; 5(2): 111-120, 2021 05.
Article En | MEDLINE | ID: mdl-35077335

Aim: The main purpose of the study was to investigate kicking kinematics and performance in young-trained soccer players according to age, playing status, and biological maturity.Methods: Youth male soccer players (N = 105) from five age groups (under-11, under-13, under-15, under-17, and under-20) were evaluated. Four digital video cameras (300 Hz) captured the participants' lower extremity and ball kinematics during penalty kick trials using dominant limb.Results: It was possible to identify non-linear differences in angular joint kinematics (displacement and velocity) of hip, knee and ankle across age-groups. Kicked ball speed and lower extremity mechanical factors discriminated among under-15 players with distinct status (e.g., ball speed and foot-to-ball speed ratio: starters > non-starters and non-participating substitutes; effect size = 1.05 to 1.49 [large]). Estimated maturity offset was not correlated with performance outputs in any age-group (r = -0.28 to 0.39; P > 0.05).Conclusion: We conclude that from ages ~10 to 19 years, differences in kicking kinematics and performance vary across time in youth players. Transition phase between under-13 to under-15 appears the most sensible period for powerful instep kick performance development. Kicking speed in youth soccer is discriminated according to player status, but not estimated biological maturity.


Soccer , Adolescent , Adult , Biomechanical Phenomena , Child , Foot , Humans , Knee , Lower Extremity , Male , Young Adult
18.
Sports Med ; 51(4): 661-705, 2021 Apr.
Article En | MEDLINE | ID: mdl-33332012

BACKGROUND: A number of reviews have collated information on the impact of warming-up, physical exertion and recovery strategies on physical, subjective and physiological markers in soccer players yet none have solely analyzed their potential effects on components of kicking performance. OBJECTIVE: To systematically analyse the influence of warm-up, exercise and/or recovery-related strategies on kicking performance in male soccer players and provide a critical appraisal on research paradigm related to kicking testing constraints and data acquisition methods. METHODS: A systematic literature search was performed (until July 2020) in PubMed, Web of Science, SPORTDiscus, Scopus and ProQuest. Studies in male soccer populations, which included the effects of warm-up routines, physical exercise and/or recovery-related interventions, reported on comparisons pre-post or between experimental conditions and that computed at least one measure of kicking kinematics and/or performance were considered. Methodological quality and risk of bias were determined for the included studies. Constraints related to kicking testing and data acquisition methods were also summarized and discussed. RESULTS: Altogether, 52 studies were included. Of these, 10 examined the respective effects of a warm-up, 34 physical exercise, and 21 recovery-related strategies. The results of eight studies showed that lower limb kinematics, kicking accuracy or ball velocity were improved following warm-ups involving dynamic but not static stretching. Declines in ball velocity occurred notably following intermittent endurance or graded until exhaustion exercise (three studies in both cases) without inclusion of any ball skills. In contrast, conflicting evidence in five studies was observed regarding ball velocity following intermittent endurance exercise interspersed with execution of ball skills. Kicking accuracy was less frequently affected by physical exercise (remained stable across 14 of 19 studies). One investigation indicated that consumption of a carbohydrate beverage pre- and mid-exercise demonstrated benefits in counteracting the potentially deleterious consequences of exercise on ball velocity, while four studies reported conflicting results regarding kicking accuracy. Most evidence synthesized for the interventions demonstrated moderate level (77%) and unclear-to-high risk of bias in at least one item evaluated (98%). The main limitations identified across studies were kicks generally performed over short distances (50%), in the absence of opposition (96%), and following experimental instructions which did not concomitantly consider velocity and accuracy (62%). Also, notational-based metrics were predominantly used to obtain accuracy outcomes (54%). CONCLUSIONS: The results from this review can help inform future research and practical interventions in an attempt to measure and optimise soccer kicking performance. However, given the risk of bias and a relative lack of strong evidence, caution is required when applying some of the current findings in practice. PROSPERO ID: CRD42018096942.


Athletic Performance , Soccer , Warm-Up Exercise , Biomechanical Phenomena , Exercise , Humans , Male
19.
J Biomech ; 106: 109837, 2020 06 09.
Article En | MEDLINE | ID: mdl-32517974

Falls that occur while negotiating steps are a leading cause of death in older adults. Although recent efforts have improved understanding of the mechanics and control of stepping behaviors, the double support phase during stepping is understudied. Therefore, we quantified the stability of the resultant forces and moments acting on the body during this phase. These quantities determine the movement of the body, and therefore, their stability is essential for successful stepping behavior. We measured the ground reaction variables (GRVs) under both feet as healthy young (n = 10) and older adults (n = 10) stepped up and down a curb. We employed the uncontrolled manifold method to evaluate the hypotheses that the GRVs covary to stabilize the resultant force and moment in the three coordinate directions. Robust stabilization of the resultant forces and moments was observed while stepping up. However, while stepping down, the stability of the resultant moment was prioritized over that of the resultant forces in the vertical and the anterior-posterior directions, and the stability of the resultant medio-lateral force was prioritized over that of the resultant anterior-posterior force. The salience of stabilizing whole-body angular momentum and medio-lateral motion during locomotion is well known, but their prioritization during adaptive gait is a novel result and is possibly related to the higher likelihood of falling during descent (versus ascent). Finally, contrary to our expectations, we observed no age differences in our stability indices, indicating that healthy aging does not diminish the stability of the resultant forces and moments.


Gait , Negotiating , Biomechanical Phenomena , Foot , Locomotion , Postural Balance
20.
J Strength Cond Res ; 34(9): 2465-2475, 2020 Sep.
Article En | MEDLINE | ID: mdl-32205815

de Poli, RAB, Boullosa, DA, Malta, ES, Behm, D, Lopes, VHF, Barbieri, FA, and Zagatto, AM. Cycling performance enhancement after drop jumps may be attributed to postactivation potentiation and increased anaerobic capacity. J Strength Cond Res 34(9): 2465-2475, 2020-The study aimed to investigate the effects of drop jumps (DJs) on supramaximal cycling performance, anaerobic capacity (AC), electromyography, and fatigue. Thirty-eight recreational cyclists participated into 3 independent studies. In study 1 (n = 14), neuromuscular fatigue was assessed with the twitch interpolation technique. In study 2 (n = 16), the AC and metabolic contributions were measured with the maximal accumulated oxygen deficit method and the sum of the glycolytic and phosphagen pathways. In study 3 (n = 8), postactivation potentiation (PAP) induced by repeated DJs was evaluated. The DJ protocol was effective for significantly improving cycling performance by +9.8 and +7.4% in studies 1 and 2, respectively (p ≤ 0.05). No differences were observed in electromyography between conditions (p = 0.70); however, the force evoked by a doublet at low (10 Hz) and high frequencies (100 Hz) declined for control (-16.4 and -23.9%) and DJ protocols (-18.6 and -26.9%) (p < 0.01). Force decline was greater in the DJ condition (p < 0.03). Anaerobic capacity and glycolytic pathway contributions were +7.7 and +9.1% higher after DJ protocol (p = 0.01). Peak force during maximal voluntary contraction (+5.6%) and doublet evoked force at 100 Hz (+5.0%) were higher after DJs. The DJ protocol induced PAP, improved supramaximal cycling performance, and increased AC despite higher peripheral fatigue.


Anaerobiosis/physiology , Bicycling/physiology , Muscle Fatigue/physiology , Muscle, Skeletal/physiology , Physical Conditioning, Human/physiology , Adult , Athletic Performance/physiology , Electromyography , Humans , Male , Young Adult
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