Influence of Grip Width on the Load-Velocity Relationship and 1 Repetition Maximum Value in the Bench Press Exercise: A Comparative and Reliability Analysis of Mean Velocity Vs. Mean Propulsive Velocity Vs. Peak Velocity.

ABSTRACT: Herrera-Bermudo, JC, Puente-Alcaraz, C, Díaz-Sánchez, P, González-Badillo, JJ, and Rodríguez-Rosell, D. Influence of grip width on the load-velocity relationship and 1 repetition maximum value in the bench press exercise: a comparative and reliability analysis of mean velocity vs. mean propulsive velocity vs. peak velocity. J Strength Cond Res XX(X): 000-000, 2024-This study aimed to analyze the reliability and compare the load (percentage of 1 repetition maximum [%1RM])-velocity relationship, bar displacement (DIS), the 1RM, and the velocity attained against the 1RM value (V1RM) in the bench press exercise using 3 different bar grip widths: narrow (120% of the biacromial distance [BD]), medium (160%), and wide (200%). A group of 54 healthy, physically active men randomly performed a total of 6 incremental tests (1 week apart) up to 1RM (2 with each bar grip width) on a Smith machine. The mean velocity (MV), mean propulsive velocity (MPV), peak velocity, and DIS were recorded for the subsequent analysis. The 3 velocity variables showed high relative (intraclass correlation coefficient: 0.90-0.97) and absolute (coefficient of variation: 2.21-9.38%) reliability in all grip widths against all relative loads. The 1RM value and the V1RM present high absolute and relative reliability in all grip widths. There are no significant differences in the value of 1RM and V1RM between grip widths. High relationships were observed between the relative load (%1RM) and velocity variables, with MPV showing the best fit. Significant greater values in MPV, MV, and DIS associated with each %1RM were observed for narrow and medium compared with wide grip width. In conclusion, our results suggest that the 3 velocity variables were highly reliable at the different grip widths used against all relative loads. In addition, there was a tendency to reach higher MV, MPV, and DIS values as the grip width decreased. Therefore, this factor should be considered for the assessment and design of training.

Late recurrence of lobular breast carcinoma presented as gastric metastasis.

A 81-year-old woman with a history of mild chronic heart failure and invasive lobular breast carcinoma pT2N0M0 diagnosed in 2009 and treated by mastectomy, chemotherapy, radiotherapy and adjuvant endocrine therapy with letrozole until 2016. Since then the patient has been disease-free. She presented to the Emergency Room in April 2023 due to severe postprandial epigastric pain and a 7 kg weight loss in the last 3 months. Abdominal computed tomography was performed showing thickening of the gastric antrum and proximal duodenum walls, peritoneal implants and ascites that suggested primary gastric tumor or lymphoma as the first possibility. An endoscopic ultrasound was schedule, performing a biopsy of the gastric lesion and placing a Hot-Axios® stent. The sample showed infiltration by lobular breast carcinoma CK7 (+), CK20 (-), CDX2 (-), GATA3 (+) GCDFP15 (+) RE (+) RP (-) HER2 (-). Treatment with capecitabine was started, with which it continues currently.