The effects of exercise on VO2peak, quality of life and hospitalization in heart failure patients: A systematic review with meta-analyses.

Exercise training has become one of the most fundamental components of cardiac rehabilitation. This systematic review with meta-analyses has the objective to determine the effectiveness of exercise on selected cardiac rehabilitation outcomes, i.e. peak oxygen consumption (VO2peak), hospitalization and quality of life (QOL) of patients with heart failure. PubMed, EMBASE, and Cochrane Library were searched up to May 2019 to identify randomized controlled trials comparing exercise training to usual care. Overall, 131 trials were included with a total of 9,761 patients, the majority of whom were males (74%), predominantly with reduced ejection fraction and NYHA class ranging from II to III. There was a significant improvement in VO2peak in the exercise group compared to non-exercise control group (mean difference: 2.98 mL/kg/ min, 95% CI: 2.52-3.43, p < 0.001; 84 RCTs, n = 3,690 patients). Exercise training was also beneficial for the patients' QOL. The QOL meta-analysis included 5,786 patients and showed a clinically significant improvement of QOL following exercise (-0.82, 95% CI: -1.02 to -0.62; p = 0.00001; I2 = 91%). Hospitalization incidence of heart failure patients was also lower in the exercise compared to control group (fixed-effect Odds Ratio: 0.56, 95% CI: 0.42-0.75, p < 0.0001; 26 trials, 4,664 participants). Exercise-based rehabilitation improves V02peak and QOL and reduces the incidence of hospitalization of heart failure patients.

The effect of four weeks of plyometric training on reactive strength index and leg stiffness is sport dependent.

BACKGROUND: Plyometric exercises are often used to develop lower limb strength and performance-related biomechanics such as leg stiffness. However, the effectiveness of plyometric training may depend on participants' own training and performance demands. The purpose of this study was to examine the effect of plyometric training on Reactive Strength Index (RSI) and leg stiffness (Kleg) on young athletes of different sports. METHODS: Forty eight female athletes (25 Taekwondo (TKD) and 23 rhythmic gymnastics (RG), mean±SD: age: 8.94±2.50 years; mass: 29.73±7.69 kg; height: 138.84±11.90 cm; training experience: 4.62±2.37 years) participated in this study. Participants were randomly assigned to experimental (PT, N.=24) and control (CG, N.=24) groups. The PT group followed a twice-weekly plyometric training program for 4 weeks. Plyometric drills lasted approximately 5-10 s, and at least 90 s rest was allowed after each set. To examine RSI, participants performed trials of five maximal CMJs. Submaximal hopping (20 hops) was performed in order to examine leg stiffness. RESULTS: Significant interaction effect was found for RSI and the post hoc analysis showed that RSI significantly increased by 35% (P=0.017) in RG athletes, whereas a significantly reduction by 28% (P=0.004) was revealed in TKD athletes. The interaction effect between time and group was statistically significant for Kleg (P<0.05) with Kleg significantly increasing by 31% (P=0.008) in TKD athletes, but remaining unchanged (P>0.05) in RG athletes. CONCLUSIONS: The results showed that the effect of a 4-week plyometric training program on RSI and leg stiffness is sport dependent. Further, the applied plyometric program was effective in reducing ground contact time and therefore increasing leg stiffness.

Effect of acupuncture in physiological parameters and endurance running performance.

BACKGROUND: Few studies have examined the effect of acupuncture (AC) treatment in aerobic capacity and endurance performance in healthy adults. Thus, the aim of the present study was to evaluate the effects of AC on selected physiological parameters and 3 km running performance. METHODS: Twenty-four healthy subjects with low to moderate aerobic capacity participated in the study and randomly assigned in two groups: AC group (ACG - N.=14) and control group (CG - N.=10). The subjects completed an incremental test to exhaustion and a 3 km race on a treadmill to evaluate their physiological responses and endurance running performance respectively, prior and after 4 weeks (8 sessions, twice a week) of acupuncture treatment. RESULTS: AC treatment had a significant main effect in T3km [F(1, 21)=7.173, P=0.014, partial η2=0.255], as well as in VT [F(1, 21)=8.476, P=0.008, partial η2=0.288] and HRmax@3km [F(1, 21)=4.930, P=0.038, partial η2=0.190], after controlling for the effect of the pre-test, while no other significant main effects were detected. CONCLUSIONS: Healthy physically active adults significantly improved their endurance running performance after 4 weeks of AC treatment. This is mainly due to the enhancement of the speed corresponding with VT, comparing with their baseline values.

The influence of a hurdle target point on the kinematics of the handspring vault approach run during training.

The aim of this study was to investigate if a visible target for the hurdle take-off would influence the onset of visual regulation and hurdle kinematics during the approach run. Ten elite male gymnasts (age 23.4 ± 4.9 years, height 1.68 ± 0.06 m, mass 63.3 ± 6.2 kg) performed six handspring vaults with a full approach run under two controlled conditions: (a) with a 5-cm white tape on the runway marking the last touchdown of the approach run and the commencement of the hurdle (tape condition-T) and (b) under the standard vaulting regulations (non-tape condition-NT). Spatiotemporal data of the approach run and the hurdle were collected by four stationary and one panning cameras (sampling rate 300 fps). Eight out of 10 gymnasts commenced regulation earlier under T than under NT. Under T condition, horizontal velocity (Vx to = 9.06 ± 0.41 m/s) and vertical velocity (V to = 9.35 ± 0.37 m/s) was significantly faster than under NT condition (Vx to = 8.85 ± 0.49 m/s; V to = 9.11 ± 0.47 m/s). Introducing a target for the hurdle facilitates an early onset of step regulation and significantly improves the kinematics of the hurdle.

Competitive state anxiety and performance in young female rhythmic gymnasts.

The study was designed to examine the competitive state anxiety and self-confidence of rhythmic gymnasts participating in the Greek national competition. 86 participants, ages 11 and 12 years, completed the Competitive State Anxiety Inventory-2, 1 hr. before competition. The athletes, classified by performance (high and low performance) and participation in the finals (finalists and nonfinalists), responded to the three subscales: Cognitive Anxiety, Somatic Anxiety, and Self-confidence. Analyses indicated differences in Self-confidence between high versus low performance groups and finalists versus nonfinalists. No significant differences were found on Cognitive and Somatic Anxiety. In a regression analysis, Self-confidence was the only significant predictor of performance for this sample. Implications refer to the development of strategies to enhance self-confidence in order to improve the gymnast's performance during competition.

Influence of angle of view on judges' evaluations of inverted cross in men's rings.

The present study focuses on two factors that may influence the accuracy and precision of a judge's evaluation of the angular deviation error in "inverted cross" (angle of the arms away from the horizontal axis). 16 Greek judges of competitive gymnastics participated in an evaluation of the magnitude of the error in the skill. Photographs of the performance of 8 gymnasts were shown to the judges in triplicates in random order from three angles of observation (0 degrees, 45 degrees, and 90 degrees) on a computer screen. The precision in the judges' judgments was best at the 45 degrees angle of observation and at angular deviations of 16 degrees to 30 degrees. Accuracy was influenced both by the judge's angle of observation and the gymnast's angular deviation, as well as by the interaction. Overall, judges may need to improve their ability to evaluate performance through training. Training may incorporate a variety of exercises in judging the inverted cross through augmented feedback of knowledge of results.