The Risk Factors Associated with Grip Lock Injuries in Artistic Gymnasts: A Systematic Review.

Artistic gymnastics (AG) is a sport that demands grace, strength, and flexibility, leading to a broad spectrum of injuries. The dowel grip (DG) is widely used by gymnasts to securely hold onto the high bar or uneven bars. However, incorrect usage of the DG can result in grip lock (GL) injuries. This systematic review aims to (1) identify studies that have investigated the risk factors related to GL injuries among gymnasts and (2) synthesize the key evidence. A comprehensive electronic search was conducted in the following databases: PubMed, ScienceDirect, Elsevier, SportDiscus, and Google Scholar, covering the period from their inception until November 2022. The data extraction and analysis were independently completed by two investigators. A total of 90 relevant studies were initially identified, out of which seven clinical trials met the eligibility criteria. For the quantitative synthesis, five studies were included. The details extracted from each article include: the sample characteristics (number, gender, age, and health status), the study design, the instrumentation or intervention used, and the final results. Our results revealed that the underlying causes of the risk factors of GL injuries were the irregular checking of the dowel grip and the mating surface of the bar, the tearing of the dowel of the leather strap, and the use of the dowel grip in different competition apparatuses. In addition, GL injuries may occur either as severe forearm fractures or mild injuries. Excessive flexion of the forearm and overpronation of the wrist during rotational movements, such as the swing or backward/forward giant circle, may increase the possibility of GL injury on the high bar. Future studies should focus on GL injury prevention strategy and rehabilitation protocol for GL injuries. Further high-quality research is required to establish the validity of these findings.

The Use of Vibration Training in Men after Myocardial Infarction.

The aim of the study was to evaluate the effects of the applied whole-body vibration training (WBV) as additional training to standard rehabilitation programme on exercise tolerance, evaluated through an exercise test, blood lipid profile, and the changes in selected echocardiographic parameters of patients after myocardial infarction. The study involved 63 males. The subjects were divided into two groups: standard­ST (27) and with vibration training­ST + WBV (36). All the subjects had undergone angioplasty with stent implantation. The standard and with vibration training group carried out a 24-day improvement program comprising 22 training units. Each session consisted of endurance, general stamina, and resistance training. Instead of resistance training, the experimental group performed exercises on the vibration platform. Statistically significant changes in both groups were observed in the parameters of the echocardiographic exercise test, such as test duration (p < 0.001), distance covered (p < 0.001), MET (p < 0.001), VO2max (p < 0.001), and HRrest (p < 0.01). The echocardiographic test revealed significant improvement of Left Ventricular Ejection Fraction in both groups (ST + WBV group p = 0.024, ST group p = 0.005). There were no statistically significant changes in blood lipid profile and body mass and composition.

Indoor cycling training in rehabilitation of patients after myocardial infarction.

BACKGROUND: Standard endurance training used from the second stage of cardiac rehabilitation has many common features with indoor cycling training which is used in fitness clubs. In the study, an attempt was made to evaluate the usefulness of this form of training in a 24-day rehabilitation program for patients after myocardial infarction. The study examined a group of 64 patients (51.34 ± 8.02 years) who were divided into two groups: the IC group (32 patients aged 53.40 ± 4.31 years) with indoor cycling training instead of standard endurance training; and the ST group (32 patients aged 55.31 ± 6.45 years) performing standard training. The level of exercise tolerance (cardiopulmonary exercise testing on a treadmill-Bruce's protocol), hemodynamic indicators of the left ventricle (echocardiography) and blood lipid profile (laboratory test) were assessed. RESULTS: In the IC group there was a significant increase in the test duration (9.21 ± 2.02 vs 11.24 ± 1.26 min; p < 0.001), the MET value (9.16 ± 1.30 vs 10.73 ± 1.23; p = 0.006) and VO2max (37.27 ± 3.23 vs 39.10 ± 3.17 ml/kg/min; p < 0.001). Parallel changes were observed in the ST group, where the following parameters improved: the test duration (9.41 ± 0.39 vs 10.91 ± 2.22; p < 0.001), MET value (8.65 ± 0.25 vs 9.86 ± 1.12; p = 0.002) and VO2max (36.89 ± 6.22 vs 38.76 ± 3.44; p < 0.001). No statistically significant changes were found in the hemodynamic indices of the left ventricle and the lipid profile. Also, the intergroup analysis did not show any statistical significance. CONCLUSION: Based on the research results, it was found that indoor cycling training in the second phase of cardiac rehabilitation is a safe form of therapy and therefore may be an interesting alternative method to the classic bicycle ergometer exercise in the stage of early cardiac rehabilitation.

The Use of Artificial Hypoxia in Endurance Training in Patients after Myocardial Infarction.

The presence of a well-developed collateral circulation in the area of the artery responsible for the infarction improves the prognosis of patients and leads to a smaller area of infarction. One of the factors influencing the formation of collateral circulation is hypoxia, which induces angiogenesis and arteriogenesis, which in turn cause the formation of new vessels. The aim of this study was to assess the effect of endurance training conducted under normobaric hypoxia in patients after myocardial infarction at the level of exercise tolerance and hemodynamic parameters of the left ventricle. Thirty-five patients aged 43-74 (60.48 ± 4.36) years who underwent angioplasty with stent implantation were examined. The program included 21 training units lasting about 90 min. A statistically significant improvement in exercise tolerance assessed with the cardiopulmonary exercise test (CPET) was observed: test duration (p < 0.001), distance covered (p < 0.001), HRmax (p = 0.039), maximal systolic blood pressure (SBPmax) (p = 0.044), peak minute ventilation (VE) (p = 0.004) and breathing frequency (BF) (p = 0.044). Favorable changes in left ventricular hemodynamic parameters were found for left ventricular end-diastolic dimension LVEDD (p = 0.002), left ventricular end-systolic dimension LVESD (p = 0.015), left ventricular ejection fraction (LVEF) (p = 0.021), lateral e' (p < 0.001), septal e' (p = 0.001), and E/A (p = 0.047). Endurance training conducted in hypoxic conditions has a positive effect on exercise tolerance and the hemodynamic indicators of the left ventricle.

A Comparative Study on the Performance Profile of Under-17 and Under-19 Handball Players Trained in the Sports School System.

This study evaluates the anatomical profiles, jump, sprint, power outputs, endurance, and peak blood lactate levels ([LA]peak) of handball players of two age groups-U17 (n = 77) and U19 (n = 46)-and analyses the role of training in their physical abilities. Vertical jump performance was determined by counter movement jump (CMJ) and counter movement jump with free arms (CMJFA) tests. A running-based anaerobic sprint test (RAST) determined the relative power output (watts/kg body weight) and absolute power output (watts) of the players. Sprint performance over 5 m, 10 m, and 30 m distances was evaluated. An incremental shuttle run test (40 m) was designed to determine aerobic threshold (AeT), anaerobic threshold (AnT), and [LA]peak. All parameters were measured for pivots, wingers, backs, and goalkeepers of each group. The U19 players were significantly heavier than the U17 group, but both the groups were nearly equal in height. The U19 group jumped higher than the U17 members, although the only significant difference (p = 0.032) was observed between the wingers of the groups in CMJ. Sprint performance varied marginally between the groups and only U19 pivots were found to be significantly (for distances of 5, 10, and 30 m: p = 0.047, p = 0.018, and p = 0.021, respectively) faster than U17 pivots. No difference in relative power output between the groups was noted, although the U19 players recorded higher absolute power outputs. Maximal velocity and velocities at the AeT and AnT were almost similar in the groups. Distance covered by the groups at the intensities of AeT and AnT varied only little. Higher [LA]peak was observed in the U19 players. U19 players failed to convert their superior power into speed and jump. The training pattern of the handball players needs to be revised so that U19 players may develop faster and be more enduring than the U17 group.

Metabolic and Cardiorespiratory Responses of Semiprofessional Football Players in Repeated Ajax Shuttle Tests and Curved Sprint Tests, and Their Relationship with Football Match Play.

In this study, the Ajax Shuttle Test (AST) and the Curved Sprint Test (CST) were conducted on semiprofessional football players to evaluate (1) their test performance, (2) the extent of anaerobic glycolysis by measuring blood lactate, (3) performance decrement and onset of fatigue, and (4) the correlation between selected physiological variables and test performance. Thirty-two semiprofessional Polish football players participated in this study. Both AST and CST were conducted on an outdoor football ground and were conducted in two sets; each set had six repetitions. In the case of AST, the total duration for 6 repetitions of the exercise in Sets 1 and 2 were 90.63 ± 3.71 and 91.65 ± 4.24 s, respectively, whereas, in the case of CST, the respective values were 46.8 ± 0.56 and 47.2 ± 0.66 s. Peak blood lactate concentration [La] after Sets 1 and 2 of AST were 14.47 ± 3.77 and 15.00 ± 1.85 mmol/L, and in the case of CST, the values were 8.17 ± 1.32 and 9.78 ± 1.35 mmol/L, respectively. Performance decrement in AST was more than in CST, both after Set 1 (4.32 ± 1.43 and 3.31 ± 0.96 in AST and CST, respectively) and Set 2 (7.95 ± 3.24 and 3.71 ± 1.02 in AST and CST, respectively). Only in a few of the repetitions, pulmonary ventilation (VE) and oxygen uptake (VO2) were found to be significantly correlated with the performance of the volunteers in both AST and CST. Respiratory exchange ratio (RER) was significantly correlated with most of the repetitions of AST, but not with CST. The study concludes that (1) AST shows more dependence on the anaerobic glycolytic system than shorter repetitive sprints (as in CST), (2) there is more performance decrement and fatigue in AST than in CST, and (3) early decrease in performance and fatigue in the semiprofessional football players in AST and CST may be due to the insufficiency of their aerobic energy system.

Effectiveness of Resistance Training with the Use of a Suspension System in Patients after Myocardial Infarction.

The aim of the study was to assess the effects of resistance training with the use of a suspension system on exercise tolerance, evaluated through an exercise test, and the changes in selected echocardiographic parameters of patients after myocardial infarction. The study involved 44 males. The subjects were divided into two groups: Standard (20) and Suspension system (24). All the subjects had undergone an angioplasty with stent implantation. The standard and suspension system groups carried out a 24-day improvement program comprising 22 training units. Each session consisted of endurance, general stamina and resistance training. Instead of resistance training, the experimental group made multijoint exercises with a suspension system. Statistically significant changes in both groups were observed in the parameters of the echocardiographic exercise test, such as test duration (p = 0.000), distance covered (p = 0.000), MET (p = 0.000), VO2max (p = 0.000) and SBPrest (p = 0.013). Additionally, SBPmax in the suspension system group improved (p = 0.035). The echocardiographic test revealed significant improvement of Left Ventricular Ejection Fraction in both groups (SP group p = 0.001, standard group p = 0.005). The lipid profile test in the SP group revealed statistically significant improvement of TC (p = 0.003), HDL (p = 0.000) and LDL (p = 0.005). Training with the suspension system had a positive effect on the change of exercise tolerance level, left ventricular function and blood lipid profile.

Physical fitness and performance of polish ice-hockey players competing at different sports levels.

The study aimed to determine the values of selected aerobic and anaerobic capacity variables, physical profiles, and to analyze the results of on-ice tests performed by ice-hockey players relegated to a lower league. Performance of 24 ice-hockey players competing in the top league in the 2012/2013 season was analysed to this end. In the 2013/2014 season, 14 of them still played in the top league (the control group), while 10 played in the first league (the experimental group). The study was conducted one week after the end of the playoffs in the seasons under consideration. The results revealed that only in the experimental group the analysed variables changed significantly between the seasons. In the Wingate test, significant changes were only noted in mean relative power (a decrease from 9.91 to 9.14 W/kg; p=0.045) and relative total work (a decrease from 299.17 to 277.22 J/kg; p=0.048). The ramp test indicated significantly lower power output in its final stages (364 compared with 384 W; p=0.034), as well as a significant decrease in relative VO2max (from 52.70 to 48.30 ml/min/kg). Blood lactate concentrations were recorded at the 3rd, 6th, 9th and 12th min of recovery after the ramp test. The rate of post-exercise recovery, ∆LA, recorded after the ramp test turned out to be significantly lower. The times recorded in the on-ice "6x30 m stop" test increased from 32.18 to 33.10 s (p=0.047). The study showed that playing in a lower league where games were less intensive, training sessions shorter and less frequent, had an adverse effect on the performance level of the investigated players. Lower VO2max recorded in the study participants slowed down their rates of post-exercise recovery and led to a significantly worse performance in the 6x30 m stop test, as well as lower relative power and relative total work in the Wingate test.

Quantification of the Demands During an Ice-Hockey Game Based on Intensity Zones Determined From the Incremental Test Outcomes.

The purpose of this study was to determine ice-hockey players' playing intensity based on their heart rates (HRs) recorded during a game and on the outcomes of an incremental maximum oxygen uptake test. Sixteen ice-hockey players, members of the Polish national team junior (U20), performed an incremental test to assess their maximal oxygen uptake (VO2max) in the 2 week's period preceding 4 games they played at the World Championships. Players' HRs at the first and second ventilatory thresholds obtained during the test were used to determine intensity zones (low, moderate, and high) that were subsequently used to classify HR values recorded during each of the games. For individual intensity zones, the following HRs expressed as mean values and as percentages of the maximal heart rate (HRmax) were obtained: forwards, 143-151 b · min(-1) (HRmax, 75.2-79.5%), 152-176 b · min(-1) (HRmax, 80.0-92.4%), 177-190 b · min(-1) (HRmax, 92.9-100.0%); defensemen, 127-139 b · min(-1) (HRmax, 69.4-75.8%), 140-163 b · min(-1) (HRmax, 76.4-89.0%), 164-184 b · min(-1) (HRmax, 89.5-100.0%). The amounts of time the forwards and defensemen spent in the 3 intensity zones expressed as percentages of the total time of the game were the following: 58.75% vs. 44.29% (low), 21.95% vs. 25.84% (moderate), and 19.30% vs. 29.87% (high). The forwards spent average more time in the low-intensity zone than did the defensemen, with the difference being statistically significant in periods 1 and 2 (61.44% vs. 44.21% at p ≤ 0.001 and 59.14% vs. 47.23% at p ≤ 0.01, respectively). The results of the study indicate that a method using aerobic and anaerobic metabolism parameters to determine intensity zones can significantly improve the reliability of evaluation of the physiological demands of the game and can be a useful tool for coaches in managing the training process.

Relations between BMI, body mass and height, and sports competence among participants of the 2010 Winter Olympic Games: does sport metabolic demand differentiate?

This study characterizes the athletes participating in the 2010 Winter Olympic Games in terms of body height, body mass and BMI. The studied sample consisted of athletes in the top 20 places of each of 14 sports disciplines (1460 cases). Data on the athletes' age, height, body mass, and sports specialization were obtained from the Olympic Games' official website and from the International Ski Federation. The sampled athletes were grouped according to the predominant type of energy metabolism during competition. The anaerobic-glycolytic disciplines, such as cross-country sprint, figure skating, short track, and speed skating (500, 1000 and 1500 m), were found to have the youngest female athletes: 25.0 yr. (SD = 4.7). In the endurance sports (aerobic and aerobic-anaerobic), the female athletes were the oldest, being respectively 28.6 yr. (SD = 4.9) and 28.1 yr. (SD = 4.5) old. In the speed disciplines (anaerobic-alactic), the female athletes were the tallest (M = 172 cm; SD = 8.3). The male athletes in the anaerobic-alactic sports were the tallest (M = 181.8 cm, SD = 6.7) and those in the anaerobic-glycolytic sports were the shortest (M = 179.2 cm, SD = 6.7). The large differences in body mass among the groups of athletes, which appear to be related to the predominant type of metabolism during competition, show that this parameter is partly correlated with the level of sports competence, but only in disciplines where the athletes need larger muscle mass. The largest average values of BMI were found for males and females in the anaerobic-alactic group.

Energy system contributions to the special judo fitness test.

PURPOSE: This study investigated the energy system contributions of judo athletes to the Special Judo Fitness Test (SJFT). METHODS: Fourteen male judo athletes performed the SJFT, which comprised three periods of judo activity (A = 15 s, B and C = 30 s) interspersed with 10 s rest intervals. During this test, one athlete threw two others positioned 6 m from each other using the ippon-seoi-nage technique. The fractions of the aerobic, anaerobic alactic and anaerobic lactic systems were calculated based on oxygen uptake, the fast component of excess postexercise oxygen uptake, and changes in net blood lactate, respectively. The contribution of the three energy systems was compared using a repeated measures analysis of variance and Bonferroni's multiple comparisons test. Compound symmetry, or sphericity, was determined by Mauchly's test. A level of significance of 5% (P < .05) was adopted in all analyses. RESULTS: The alactic energy system presented a higher (F = 20.9; P < .001; power observed = 1.0) contribution (86.8 ± 23.6 kJ; 42.3 ± 5.9%) during the test when compared with both aerobic (57.1 ± 11.3 kJ; 28.2 ± 2.9%) and lactic (58.9 ± 12.1 kJ; 29.5 ± 6.2%) energy systems (P < .001 for both comparisons). CONCLUSIONS: The higher alactic contribution seems to be a consequence of the high-intensity efforts performed during the test, and its intermittent nature. Thus, when using the SJFT, coaches are evaluating mainly their athletes' anaerobic alactic system, which can be considered to be the most predominant system contributing to the actions (techniques) performed in the match.