Kinematical Effects of a Mandibular Advancement Occlusal Splint on Running until Exhaustion at Severe Intensity.

The effects of occlusal splints on sport performance have already been studied, although their biomechanical impacts are often overlooked. We investigated the kinematical changes during running until exhaustion at severe intensity while wearing a mandibular advancement occlusal splint. Twelve trained runners completed (i) an incremental protocol on a track to determine their velocity corresponding to maximal oxygen uptake and (ii) two trials of square wave transition exercises at their velocity corresponding to maximal oxygen until exhaustion, wearing two occlusal splints (without and with mandibular advancement). Running kinematics were compared within laps performed during the square wave transition exercises and between splint conditions. The mandibular advancement occlusal splint increased the running distance covered (~1663 ± 402 vs. 1540 ± 397 m, p = 0.03), along with a noticeable lap effect in decreasing stride frequency (p = 0.04) and increasing stride length (p = 0.03) and duty factor (p < 0.001). No spatiotemporal differences were observed between splints, except for improved balance foot contact times in the mandibular advancement condition. An increased knee flexion angle at initial contact (p = 0.017) was noted along laps in the non-advancement condition, despite the fact that no differences between splints were found. Running patterns mainly shifted within laps rather than between conditions, indicating that a mandibular advancement occlusal splint had a trivial kinematical effect.

Ventilatory and Perceived Ergogenic Effects of Mandibular Forward Repositioning During Running at Maximal Oxygen Uptake Intensity.

ABSTRACT: Cardoso, F, Costa, MJ, Colaço, P, Vilas-Boas, JP, Pinho, JC, Pyne, DB, and Fernandes, RJ. Ventilatory and perceived ergogenic effects of mandibular forward repositioning during running at maximal oxygen uptake intensity. J Strength Cond Res XX(X): 000-000, 2024-Wearing an intraoral dental splint may enhance ventilatory function and exercise performance. Nineteen runners performed on a 400-m outdoor track: (a) an incremental protocol to assess the velocity at maximal oxygen uptake (vV̇o2max) and (b) 2 square wave bouts wearing 2 intraoral splints (with and without mandibular forward repositioning). The time until exhaustion at vV̇o2max (TLimv V̇o2max), ventilatory variables, oxygen uptake (V̇o2) kinetics, energetic profiling, perceived exertion and kinematics, were all measured. Ventilatory data were assessed breath-by-breath and perceived exertion evaluated using the Borg 6-20-point scale at the end of TLimv V̇o2max bouts. Images were recorded by video cameras (120 Hz) and kinematic measures retrieved using Kinovea. A paired t test was computed for comparison of splints (p ≤ 0.05). With (vs. without) mandibular forward repositioning, runners increased their TLimv V̇o2max by ∼6% (p = 0.03), coupled with higher ventilation (151 ± 22 vs. 147 ± 23 L·min-1, p = 0.04), end-tidal oxygen tension (114.3 ± 3.7 vs. 112.9 ± 3.9 mm Hg, p = 0.003), and lower inspiratory time (0.526 ± 0.083 vs. 0.540 ± 0.090 seconds, p = 0.02), despite similar V̇o2 kinetics (e.g., 49.0 ± 8.7 vs. 47.7 ± 8.6 ml∙kg∙min-1 of fast component amplitude) being observed. The energy expenditure was ∼8% higher (p = 0.03) with the mandible forward, coupled with lower perceived exertion scores (p = 0.04). Mandibular forward repositioning was effective in acutely improving running performance at vV̇o2max with ergogenic effects on ventilatory and perceived variables.

Effects of Swimming Exercise on Early Adolescents' Physical Conditioning and Physical Health: A Systematic Review.

BACKGROUND/OBJECTIVES: Swimming is a popular and cost-effective way to prevent sedentary behavior and improve physical conditioning and health during early adolescence. However, information on its impact and benefits on daily life activities is lacking. This systematic review aims to summarize the chronic effects of swimming on physical conditioning and physical health outcomes in early adolescents. METHODS: The PRISMA 2020 guidelines were followed and PubMed, Scopus, Web of Science, and International Symposium of Biomechanics and Medicine in Swimming proceedings databases were searched. Eligibility criteria were defined on the PICOS framework (healthy adolescents in early puberty, swimming programmes or training, passive or active control groups, general effects on physical conditioning or health, longitudinal) and risk of bias was assessed using RoBANS 2. RESULTS: From 2365 records, 20 non-randomized studies met the defined criteria. High heterogeneity in sample size and intervention was observed. While studies related to physical conditioning (n = 5) focused on physiological variables and muscular function, the evidence regarding physical health outcomes (n = 15) explored bone accrual, haemodynamics, body composition, musculoskeletal system, and lung growth. High overall risk of bias (70%) was observed due to strict criteria. CONCLUSIONS: Swimming exercise seems to improve cardiorespiratory fitness, cardiac output, haemodynamics, heart growth, motor performance, and body composition of early adolescents. Despite clear evidence that exists on these chronic effects, research on bone health, postural deficit, motor skills, and sleep quality is still missing.

Swimming Velocity Analysis Using Wearable Inertial Sensors and Speedometer: A Comparative Study.

The speedometer is widely used to evaluate swimming velocity but has some constraints. With the constant development of inertial units (IMUs), it is expected that they will become a good alternative to the speedometer. This study aimed to compare the data retrieved by an IMU and a speedometer when breaststroke is performed at maximum speed. Sixteen swimmers, nine males and seven females (20.3 ± 3.3 vs. 18.7 ± 1.1 years old, 65.8 ± 11.2 vs. 57.7 ± 9.1 kg of body mass and 1.75 ± 0.07 vs. 1.61 ± 0.10 m of height, respectively), performed 4 × 25 m of breaststroke sprint. They were equipped with an IMU fixed to the sacrum and with the line of an electromechanical speedometer (acquisition frequency of 50 Hz) fixed at the central point in the lumbar region. Statistical parametric mapping was used to compare the velocity curves, IBM SPSS was used for descriptive statistics and Bland-Altman plots were used for agreement of measurements. The results show that the IMU and speedometer do not show similar patterns, and the velocity values measured by the IMU are lower (p < 0.001). Bland-Altman plots presented a larger bias in terms of coefficient of variation and intracycle velocity variation. It can be concluded that IMUs and speedometers are not substitutes for each other as methods for evaluating intracycle velocity variations.

Understanding the Kinematic Profile of 2 Underwater Pullout Breaststroke Techniques.

PURPOSE: To compare the kinematic profile of 2 underwater pullout breaststroke techniques. METHODS: Sixteen swimmers (9 men, 20.67 [2.71] y old; 7 women, 18.86 [0.83] y old) performed 3 × 25-m breaststroke using 2 pullout breaststroke techniques: Fly-Kick first and Combined. A speedometer was used to assess the peak and the mean velocity during the glide, propulsion, and recovery phases of both techniques, as well as for the total underwater sequence. The underwater distance was retrieved from video footage and was considered for each pullout technique. The range of motion of the knee during the fly-kick was also retrieved, and the time to complete the 25 m was considered the performance outcome, accompanied by the mean velocity, stroke rate, stroke length, and stroke index. RESULTS: Velocity-time series showed different profiles between pullout techniques (P ≤ .05) mostly in the glide and propulsion phases for males and females, respectively. The mean velocity of 25 m was shown to be greater in females when using the Fly-Kick first technique (P = .05, d = 0.36). Greater values in total underwater distance and knee range of motion were also observed for this technique in both cohorts. Conclusions: Female swimmers presented a higher performance when using the Fly-Kick first technique. Different kinematic profiles arise when swimmers use different underwater pullout techniques where the Fly-Kick first may allow them to reach higher kinematical standard.

A comparison of load cell and pressure sensors to measure in-water force in young competitive swimmers.

The purpose of this study was to compare the in-water force of young competitive swimmers using tethered swimming and differential pressure sensors. Thirty-one swimmers (16 girls and 15 boys) were randomly assigned to perform two in-water tests. Swimmers completed two maximum bouts of 25 m front crawl with a differential pressure system and a 30 s maximum bout with an attached load cell (tethered-swimming). The peak force (FPEAK, in N) of dominant and non-dominant upper limbs was retrieved for further analysis. Comparison between methods revealed significant differences in all force variables (p ≤ 0.05) and the biases (mean differences) were large in girls (FPEAK dominant, 45.89 N; FPEAK non-dominant, 43.79 N) and boys (FPEAK dominant, 67.26 N; FPEAK non-dominant, 61.78 N). Despite that, simple linear regression models between the two methods showed significant relationships with a moderate effect in all variables for girls, whereas in boys a high and moderate effect was verified for FPEAK of dominant and non-dominant limbs (respectively). It seems that using pressure sensors and tethered swimming leads to different FPEAK values in young competitive, where correction factors are needed to compare data between both methods.

From Entry to Finals: Progression and Variability of Swimming Performance at the 2022 FINA World Championships.

The aim of the present study was two-fold: (i) to analyze the progression and variability of swimming performance (from entry times to best performances) in the 50, 100, and 200 m at the most recent FINA World Championships and (ii) to compare the performance of the Top16, semifinalists, and finalists between all rounds. Swimmers who qualified with the FINA A and B standards for the Budapest 2022 World Championships were considered. A total of 1102 individual performances swimmers were analyzed in freestyle, backstroke, breaststroke, and butterfly events. The data was retrieved from the official open-access websites of OMEGA and FINA. Wilcoxon test was used to compare swimmers' entry times and best performances. Repeated measures ANOVA followed by the Bonferroni post-hoc test were performed to analyze the round-to-round progression. The percentage of improvement and variation in the swimmers' performance was computed between rounds. A negative progression (entry times better than best performance) and a high variability (> 0.69%) were found for most events. The finalists showed a positive progression with a greater improvement (~1%) from the heats to the semifinals. However, the performance progression remained unchanged between the semifinals and finals. The variability tended to decrease between rounds making each round more homogeneous. Coaches and swimmers can use these indicators to prepare a race strategy between rounds.

Association between elite swimmers' force production and 100†m front crawl inter-lap pacing and kinematics.

The present study aimed to analyse the associations between force production and 100 m front crawl inter-lap pacing and kinematics. Eleven elite male swimmers performed a 100 m front crawl maximal effort to collect 50 m lap time (T50, s) and velocity (v, m·s-1) for pacing, stroke rate (SR), stroke length (SL) and stroke index (SI) as kinematic variables. A 30 s tethered effort allowed to determine the peak (Fpeak) and mean force (Fmean) as force production variables. The relative change (Δ) between 50 m laps was also calculated for all measures. A paired sample t-test was used to check differences between laps and Pearson correlation coefficients allowed to quantify the associations between force and remaining variables. The T50 increased from the first to the second lap (ΔT50 = 10.61%, p < 0.01, d = 2.68), while v (Δv = -5.92%, p < 0.01, d = 1.53), SR (ΔSR = -6.61%, p < 0.01, d = 0.45) and SI (ΔSI = -4.92%, p = 0.02, d = 0.45) decreased. SL remained unchanged between laps (ΔSL = 1.07%, p = 0.66, d = 0.08). No associations were found between force production and most of Δ, with the only exception being the reasonable good association between Fpeak and Δv (r = 0.62, p = 0.04). Although both pacing and kinematics fall from the first to the second sections of a 100 m front-crawl effort, the swimmers who exhibit higher Fpeak show a more stable front crawl v between both 50 m laps.

Performance Tiers within a Competitive Age Group of Young Swimmers Are Characterized by Different Kinetic and Kinematic Behaviors.

The present study aimed to analyze swimmers' in-water kinetic and kinematic behaviors according to different swimming performance tiers within the same age group. An amount of 53 highly trained swimmers (girls and boys: 12.40 ± 0.74 years) were split up into 3 tiers based on their personal best performance (i.e., speed) in the 50 m freestyle event (short-course): lower-tier (1.25 ± 0.08 m·s-1); mid-tier (1.45 ± 0.04 m·s-1); and top-tier (1.60 ± 0.04 m·s-1). The in-water mean peak force was measured during a maximum bout of 25 m front crawl using a differential pressure sensors system (Aquanex system, Swimming Technology Research, Richmond, VA, USA) and defined as a kinetic variable, while speed, stroke rate, stroke length, and stroke index were retrieved and considered as kinematic measures. The top-tier swimmers were taller with a longer arm span and hand surface areas than the low-tier, but similar to the mid-tier. While the mean peak force, speed and efficiency differed among tiers, the stroke rate and stroke length showed mixed findings. Coaches should be aware that young swimmers belonging to the same age group may deliver different performance outcomes due to different kinetic and kinematic behaviors.

The Effects of 6-Week Training Cessation on Anthropometrics, in-Water Force, Performance, and Kinematics of Young Competitive Swimmers: A Maturity Development Approach.

PURPOSE: To examine the effects of 6 weeks of training cessation on young swimmers' anthropometrics, in-water force, performance, and kinematics according to biological maturation. METHODS: Eighteen swimmers (7 girls: 12.43 [0.73] y old; 11 boys: 13.27 [0.79] y old) were assessed pretest and posttest 6 weeks apart. Body mass, stature, arm span, and hand surface area were measured as anthropometric parameters, and biological maturation was estimated (ie, peak height velocity [PHV]). The in-water force was retrieved during 2 bouts of 25-m front crawl, allowing the estimation of the symmetry index. The time to complete the 25-m was considered the performance outcome, whereas velocity, stroke rate, stroke length, stroke index, and arm stroke efficiency were used as kinematic parameters. RESULTS: All anthropometric parameters increased during the detraining period. Although the in-water force remained unchanged, the magnitude of the effects was large for the symmetry index (P = .021; d = 0.87). For the pooled sample, neither performance nor kinematics changed after detraining, but the stroke index increased (P = .054; d = 0.27). Pre-PHV swimmers showed unchanged values in all parameters, despite natural growth. Mid-PHV swimmers showed a similar trend in addition to reductions in stroke rate (P = .040; d = 0.60) and increases in stroke length (P = .043; d = 1.00). CONCLUSIONS: In-water force, performance, and kinematics (25-m front crawl) were not impaired after 6 weeks of training cessation in a group of young swimmers. Given interindividual and intraindividual differences according to maturity status, coaches should be aware that distinct trends within the group can be found.

Swimmers with Down Syndrome Are Healthier and Physically Fit than Their Untrained Peers.

While there are positive benefits from physical activity participation for individuals with Down syndrome, little is known about the effects of swimming training. The aim of this study was to compare the body composition and physical fitness profile of competitive swimmers and moderately active (untrained) individuals with Down syndrome. The Eurofit Special test was applied to a group of competitive swimmers (n = 18) and a group of untrained individuals (n = 19), all with Down syndrome. In addition, measurements were taken to determine body composition characteristics. The results showed differences between swimmers and untrained subjects in height, sum of the four skinfolds, body fat %, fat mass index and all items of the Eurofit Special test. Swimmers with Down syndrome exhibited physical fitness levels near to the Eurofit standards, although lower fitness levels were attained by these persons when compared to athletes with intellectual disability. It can be concluded that the practice of competitive swimming seems to counteract the tendency for obesity in persons with Down syndrome and also helps to increase strength, speed and balance.

The Mechanical and Efficiency Constraints When Swimming Front Crawl with the Aquanex System.

The aim of this study was to compare the mechanical and efficiency constraints between free swim and swimming with differential pressure sensors (Aquanex System). These conditions were also analysed to understand the differences between sexes. Thirty young swimmers, 14 boys and 16 girls (12.31 ± 0.67 years) performed three 25-m front crawl maximal bouts under each condition: free swim and swimming with sensors. Under the condition with sensors, swimmers carried the Aquanex System composed of two hand pressure sensors (v.4.1, Model DU2, Type A, Swimming Technology Research, Richmond, VA, USA). The 25-m time (T25) was assessed as a swimming performance variable. The swimming velocity (v), stroke rate (SR), and stroke length (SL) were assessed and calculated as stroke mechanics variables. Thereafter, the stroke index (SI) and arm stroke efficiency (η F) were estimated for swimming efficiency. Statistical significance was set at p ≤ 0.05. Swimming performance was impaired when swimmers swam with sensors (overall: p = 0.03, d = 0.14; Δ = 1.30%) and a significant decrease in v was found for overall (p = 0.04, d = 0.14; Δ = 1.42%) and the girls' group (p < 0.01, d = 0.39; Δ = -1.99%). The remaining stroke mechanics variables showed no differences between conditions, as well as for swimming efficiency. Furthermore, there were no differences between girls and boys in free swim and with sensors for all variables. Swimming with the Aquanex System seems not to impose constraints in the mechanics and efficiency of young swimmers, despite differences in swimming performance and v.

Association between the dry-land strength & power and the kick start kinetics in elite male and female swimmers.

The aim of this research was to determine the association between dry-land exercises and the start kinetics in elite swimmers. Fourteen swimmers (eight males and six females) included in a national team took part in this study. A fixed smith-machine was used to measure the maximal full squat strength (Smax). The height of squat (SJ) and countermovement (CMJ) jumps were collected with a contact mat. The ground reaction force of the kick starts in the three-dimensional axis (Fz horizontal; Fy, vertical; Fx, lateral) was obtained by an instrumented force plate in the starting block. Overall, the Smax showed a high and significant association with Fz (r = 0.60) and Fy (r = 0.87). Moderate and significant associations were found between Fy and SJ (r = 0.51) and CMJ (r = 0.57). While Smax in males showed high association with Fy (r = 0.77), the Smax for females showed greater association with Fz (r = 0.84). As conclusion, the full back squat seems to be the dry-land exercise with higher association with the kick start kinetics. While in males the full squat defines better the vertical component, for females it defines the horizontal one.

Reliability of using a pressure sensor system to measure in-water force in young competitive swimmers.

The aim of this study was to analyze the reliability of using a differential pressure system to measure in-water force in young competitive swimmers. Ten boys and five girls (12.38 ± 0.48 years, 49.13 ± 6.82 kg, 159.71 ± 7.99 cm) were randomly assigned to perform two maximum bouts of 25 m front crawl on different days (trial one, T1; trial two, T2), one week apart. A differential pressure system composed of two hand sensors (Aquanex System, v.4.1, Model DU2, Type A, Swimming Technology Research, Richmond, VA, United States) was used to measure the peak (RFPEAK) and the mean (RFMEAN) resultant force of the dominant and non-dominant hands (in Newton, N). Reliability was analyzed by computing the intraclass correlation coefficient (ICC), typical error (TE), smallest worthwhile change (SWC), coefficient of variation (CV%), standard error of measurement (SEM), and the minimal detectable change (MDC). Bland-Altman plots with 95% limits of agreement were also analyzed. The results showed no differences between T1 and T2 in all variables (p > 0.05). The ICC showed "excellent" reliability (ICC > 0.90) for the RFPEAK and RFMEAN in both hands. The CV% was rated as "good" (<5%) and TE was smaller than SWC in all variables. The Bland-Altman plots showed high reliability with a small bias (RFPEAK dominant, -0.29 N; RFPEAK non-dominant, -0.83 N; RFMEAN dominant, 0.03 N; RFMEAN non-dominant, 0.50 N). The pressure sensor system (Aquanex System) seems to be a reliable device for measuring the hand resultant force during front crawl in young swimmers and can be used to monitor the changes over time.

Benefits of aquatic exercise in adults with and without chronic disease-A systematic review with meta-analysis.

Aquatic exercise is being increasingly recommended for healthy individuals as well as people with some special health conditions. A systematic review with meta-analysis was performed to synthesize and analyze data on the effects of water-based training (WT) programs on health status and physical fitness of healthy adults and adults with diseases to develop useful recommendations for health and sports professionals. We searched three databases (PubMed, Web of Science, and Scopus) up to June 2021 for randomized trials that examined WT in adults. A total of 62 studies were included, of which 26 involved only healthy individuals and 36 focused on adults with chronic diseases. In the healthy group, the effects of WT on strength, balance, and cardiorespiratory fitness were beneficial, indicating the usefulness of performing WT for at least 12 weeks (2-3x/week, 46-65 min/session). Among adults with diseases, improvements were observed in patients with fibromyalgia (in balance and cardiorespiratory fitness), bone diseases (pain, balance, flexibility, and strength), coronary artery disease (strength and anthropometry), hypertension (quality of life), stroke (quality of life), diabetes (balance and quality of life), multiple sclerosis (quality of life and balance), and Parkinson's disease (pain, gait, cardiorespiratory fitness, and quality of life). Research is required to determine the effects of WT on patients with heart disease, especially coronary artery disease. In adults with chronic disease, benefits in physical fitness and/or other health-related measures were mainly observed after 8-16 weeks of training. WT is an effective physical activity when the intention is to enhance health and physical fitness in healthy adults and adults with chronic diseases.

Force Production and Coordination from Older Women in Water Fitness Exercises.

The aim of this study was to compare bilateral propulsive forces and coordination while exercising at static and dynamic conditions in the water. A total of 27 older women (age: 65.1 ± 6.7 years old) performed the following exercises: (i) horizontal upper-limbs adduction (HA; static condition) and (ii) rocking horse (RH; dynamic condition) through an incremental protocol with music cadences from 105 up to 150 b·min-1. The duration of each trial was set at 30 second (sec). Propulsive peak force (in Newton, N) of dominant (PFD) and nondominant (PFND) upper limbs was retrieved using hand sensors coupled to a differential pressure system. Significant differences in force production were found between static and dynamic exercises at higher cadences (120, 135, and 150 b·min-1). The static condition elicited higher bilateral propulsive forces and a more symmetric pattern. The in-water static exercise with bilateral action from the upper limbs proved to be the most appropriate strategy for older women to work strength and to reduce asymmetries.

Propulsive forces in human competitive swimming: a systematic review on direct assessment methods.

Human propulsive forces are a key-factor to enhance swimming performance, but there is scarce knowledge when using direct assessments. The aim of this review was to analyse the evidence about human propulsive forces in competitive swimming measured by direct assessment methods. A search up to 30 June 2020 was performed in Web of Science, PubMed, and Scopus databases. The Downs and Black Quality Assessment Checklist was used to assess the quality index (QI) of the included studies. Out of 2530 screened records, 35 articles met the inclusion criteria. Tethered-swimming and differential pressure sensors allow directly measure propulsive forces. Cross-sectional designs measured peak and mean propulsive force during the front crawl stroke and including men/boys (≥15 years-old) at different competitive levels were mostly reported. Men are more able to show higher propulsive forces than women counterparts. Short- and long-term effects were observed while using dry-land and in-water training programmes. The magnitude of propulsive force is dependent on the type of assessment method, swimming stroke, number of body limbs and gender. While the short-term effects supporting the different training programmes lead to an increase in propulsive force, there is a lack of long-term evidence.