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Purpose: Fran is one of the most popular CrossFit benchmark workouts used to control CrossFitters' improvements. Detailed physiological characterization of Fran is needed for a more specific evaluation of CrossFitters' training performance improvements. The aim of the study was to analyze the oxygen uptake ( V ˙ O 2 ) kinetics and characterize the energy system contributions and the degree of postexercise fatigue of the unbroken Fran. Methods: Twenty trained CrossFitters performed Fran at maximal exertion. V ˙ O 2 and heart-rate kinetics were assessed at baseline and during and post-Fran. Blood lactate and glucose concentrations and muscular fatigue were measured at baseline and in the recovery period. Results: A marked increase in V ˙ O 2 kinetics was observed at the beginning of Fran, remaining elevated until the end (V ˙ O 2 peak : 49.2 [3.7] mL·kg−1·min−1, V ˙ O 2 amplitude: 35.8 [5.2] mL·kg−1·min−1, time delay: 4.7 [2.5] s and time constant: 23.7 [11.1] s; mean [SD]). Aerobic, anaerobic lactic, and alactic pathways accounted for 62% (4%), 26% (4%), and 12% (2%) of energy contribution. Reduction in muscle function in jumping ability (jump height: 8% [6%], peak force: 6% [4%], and maximum velocity: 4% [2%]) and plank prone test (46% [20%]) was observed in the recovery period. Conclusions: The Fran unbroken workout is a high-intensity effort associated with an elevated metabolic response. This pattern of energy response highlights the primary contribution of aerobic energy metabolism, even during short and very intense CrossFit workouts, and that recovery can take >24 hours due to cumulative fatigue. [ABSTRACT FROM AUTHOR]

The paper mainly aims to characterise project management (PM) practices of industrial Lean initiatives by analysing and comparing three main topics: PM approaches, PM teams, and project alignment with the company’s strategy. This research encompasses two exploratory industrial case studies with an extensive literature review. Key professionals were interviewed to obtain an in-depth vision of the field. The study results allowed characterising project management practices of industrial Lean initiatives in industrial companies based on the following dimensions: 1. Understand the needs; 2. Find a suitable team; 3. Use visual tools; 4. Apply a continuous improvement (CI) approach; 5. Identify KPIs for the context; 6. Get support from the top management. This work fills a gap related to studying the PM practices applied during the implementation of Lean initiatives, proposing a schematic representation of PM variables and actors in industrial Lean initiatives. Identifying the main variables and actors that industrial companies use to develop Lean initiatives can be insightful for Lean practitioners in the context of project management.

This study aimed to systematically review and summarise the evidence about the effect of muscle fatigue on the knee proprioception of trained and non-trained individuals. A search in PubMed, Scopus, Web of Science and EBSCO databases and Google Scholar was conducted using the expression: "fatigue" AND ("proprioception" OR "position sense" OR "repositioning" OR "kinesthesia" OR "detection of passive motion" OR "force sense" OR "sense of resistance") AND "knee". Forty-two studies were included. Regarding joint-position sense, higher repositioning errors were reported after local and general protocols. Kinesthesia seems to be more affected when fatigue is induced locally, and force sense when assessed at higher target forces and after eccentric protocols. Muscle fatigue, both induced locally or generally, has a negative impact on the knee proprioception. [ABSTRACT FROM AUTHOR]

An inertial measurement system, using a combination of accelerometers, gyroscopes and magnetometers, is of great interest to capture tennis movements. We have assessed the key biomechanical moments of the serve phases and events, as well as the kinematic metrics during the serve, to analyze their influence on serve speed. Eighteen male competitive tennis players, equipped with the inertial measurement units, performed a prolonged serve game consisting of 12 simulated points. Participants were divided into groups A and B in accordance with their positioning above or below the sample average serve speed. Group A (compared with their counterparts) presented with lower back hip adduction and knee flexion, and a higher leftward thoracic tilt during the impact event (−14.9 ± 6.9 vs. 13.8 ± 6.4, 2.8 ± 5.9 vs. 14.3 ± 13.0 and −28.9 ± 6.3 vs. 28.0 ± 7.3°). In addition, group A exhibited higher maximal angular velocities in the wrist and thorax, as well as a lower maximal angular velocity in the back hip than group B (427.0 ± 99.8 vs. 205.4 ± 9.7, 162.4 ± 81.7 vs. 193.5 ± 43.8, 205.4 ± 9.7 vs. 308.3 ± 111.7, 193.5 ± 43.8 vs. 81.1 ± 49.7°/s). The relevant biomechanical differences during the serve were identified, highlighting the changes in joint angles and angular velocities between the groups, providing meaningful information for coaches and players to improve their serve proficiency. [ABSTRACT FROM AUTHOR]

Relying upon the Pasinettian notion of vertical integration (Pasinetti, L. 1981. Structural Change, and Economic Growth: A Theoretical Essay on the Dynamics of the Wealth of Nations. Cambridge: Cambridge University Press), we develop a disaggregated version of the post-Kaleckian (Bhaduri, A. and S. Marglin. 1990. 'Unemployment and the Real Wage: The Economic Basis for Contesting Political Ideologies.' Cambridge Journal of Economics 14 (4): 375–393) approach to economic growth. With this analysis, the structural changes are conditioned not only to patterns of evolving demand but also to the distributive features of the economy. Considering oligopolist power and under-capacity utilization within the structural economic dynamic framework allows for heterogeneous final demand and mark-ups, with the profit margins of the consumption sector depending on the mark-up of the corresponding investment sector. Besides, in this set-up, it emerges the possibility vnthat each sector in the economy exhibits either a profit-led or a wage-led growth regime. [ABSTRACT FROM AUTHOR]

This study aimed (a) to evaluate the spatiotemporal gait variables of total knee arthroplasty (TKA) before (pre-) and after the procedure (post-), and (b) to investigate the influence of the surgical side on these variables. Twenty-one volunteers (13 females and 8 males) participated, undergoing assessments pre-surgery and nine to 12 months post-surgery. Clinical tests indicated significant reductions in knee pain and improvements in active and passive extension post-surgery. TKA resulted in decreased pain, extension deficits, and functional assessments, with lower scores on the WOMAC questionnaire. A gait analysis showed post-surgery improvements in gait speed (5.8%), cycle time (−4.8%), step time (4.4%), double limb support time (−11.1%), step (4.4%) and stride (6.3%) lengths, and step (5.1%) and stride (5.0%) cadences. Comparisons between surgical side and limb dominance indicated significant differences in gait speed, stance, swing and step times, double limb support time, step and stride lengths, and step cadence. The non-dominant limb demonstrated greater improvements across most parameters compared to the dominant limb. These findings emphasize the importance of considering the limb dominance of patients with knee osteoarthritis when evaluating post-TKA function. These conclusions can be helpful for personalized rehabilitation programs, allowing tailored interventions for individuals undergoing knee surgery. [ABSTRACT FROM AUTHOR]

Overnight sleep staging is an important part of the diagnosis of various sleep disorders. Polysomnography is the gold standard for sleep staging, but less-obtrusive sensing modalities are of emerging interest. Here, we developed and validated an algorithm to perform "proxy" sleep staging using cardiac and respiratory signals derived from a chest-worn accelerometer. We collected data in two sleep centers, using a chest-worn accelerometer in combination with full PSG. A total of 323 participants were analyzed, aged 13–83 years, with BMI 18–47 kg/m2. We derived cardiac and respiratory features from the accelerometer and then applied a previously developed method for automatic cardio-respiratory sleep staging. We compared the estimated sleep stages against those derived from PSG and determined performance. Epoch-by-epoch agreement with four-class scoring (Wake, REM, N1+N2, N3) reached a Cohen's kappa coefficient of agreement of 0.68 and an accuracy of 80.8%. For Wake vs. Sleep classification, an accuracy of 93.3% was obtained, with a sensitivity of 78.7% and a specificity of 96.6%. We showed that cardiorespiratory signals obtained from a chest-worn accelerometer can be used to estimate sleep stages among a population that is diverse in age, BMI, and prevalence of sleep disorders. This opens up the path towards various clinical applications in sleep medicine. [ABSTRACT FROM AUTHOR]

We aimed to conduct a biophysical comparison of angular (Biorower) and linear (Concept2) rowing ergometers across a wide spectrum of exercise intensities. Sixteen (eleven male) skilled rowers, aged 29.8 ± 8.6 and 23.6 ± 1.5 years, with international competitive experience, performed 7 × 3 min bouts with 30 W increments and 60 s intervals, plus 1 min of all-out rowing on both machines with 48 h in between. The ventilatory and kinematical variables were measured breath-by-breath using a telemetric portable gas analyzer and determined using a full-body markerless system, respectively. Similar values of oxygen uptake were observed between ergometers across all intensity domains (e.g., 60.36 ± 8.40 vs. 58.14 ± 7.55 mL/min/kg for the Biorower and Concept2 at severe intensity). The rowing rate was higher on the Biorower vs. Concept2 at heavy and severe intensities (27.88 ± 3.22 vs. 25.69 ± 1.99 and 30.63 ± 3.18 vs. 28.94 ± 2.29). Other differences in kinematics were observed across all intensity domains, particularly in the thorax angle at the finish (e.g., 19.44 ± 4.49 vs. 27.51 ± 7.59° for the Biorower compared to Concep2 at heavy intensity), likely due to closer alignment of the Biorower with an on-water rowing technique. The overall perceived effort was lower on the Biorower when compared to the Concept2 (14.38 ± 1.76 vs. 15.88 ± 1.88). Rowers presented similar cardiorespiratory function on both rowing ergometers, while important biomechanical differences were observed, possibly due to the Biorower's closer alignment with an on-water rowing technique. [ABSTRACT FROM AUTHOR]

We investigated the acute biophysical responses of changing the mandibular position during a rowing incremental protocol. A World-class 37-year-old male rower performed two 7 × 3 min ergometer rowing trials, once with no intraoral splint (control) and the other with a mandibular forward repositioning splint (splint condition). Ventilatory, kinematics and body electromyography were evaluated and compared between trials (paired samples t-test, p ≤ 0.05). Under the splint condition, oxygen uptake was lower, particularly at higher exercise intensities (67.3 ± 2.3 vs. 70.9 ± 1.5 mL·kg−1·min−1), and ventilation increased during specific rowing protocol steps (1st–4th and 6th). Wearing the splint condition led to changes in rowing technique, including a slower rowing frequency ([18–30] vs. [19–32] cycles·min−1) and a longer propulsive movement ([1.58–1.52] vs. [1.56–1.50] m) than the control condition. The splint condition also had a faster propulsive phase and a prolonged recovery period than the control condition. The splint reduced peak and mean upper body muscle activation, contrasting with an increase in lower body muscle activity, and generated an energetic benefit by reducing exercise cost and increasing rowing economy compared to the control condition. Changing the mandibular position benefited a World-class rower, supporting the potential of wearing an intraoral splint in high-level sports, particularly in rowing. [ABSTRACT FROM AUTHOR]

Aim: To quantify the physiological demands and impact of muscle function t of the Fran workout, one of the most popular CrossFit benchmarks. Methods: Twenty experienced CrossFitters—16 male: 29 (6) years old and 4 female: 26 (5) years old— performed 3 rounds (with 30-s rests in between) of 21–21, 15–15, and 9–9 front squats to overhead press plus pull-up repetitions. Oxygen uptake and heart rate were measured at baseline, during the workout, and in the recovery period. Rating of perceived exertion, blood lactate, and glucose concentrations were assessed at rest, during the intervals, and in the recovery period. Muscular fatigue was also monitored at rest and at 5 minutes, 30 minutes, and 24 hours postexercise. Repeated-measures analysis of variance was performed to compare time points. Results: Aerobic (52%–29%) and anaerobic alactic (30%–23%) energy contributions decreased and the anaerobic lactic contribution increased (18%–48%) across the 3 rounds of the Fran workout. Countermovement jump height decreased by 8% (−12 to −3) mean change (95% CI), flight duration by 14% (−19 to −7), maximum velocity by 3% (−5 to −0.1), peak force 4% (−7 to −0.1), and physical performance (plank prone 47% [−54 to −38]) were observed. Conclusions: It appears that the Fran workout is a physically demanding activity that recruits energy from both aerobic and anaerobic systems. This severe-intensity workout evokes substantial postexercise fatigue and corresponding reduction in muscle function. [ABSTRACT FROM AUTHOR]

A cross-sectional study was conducted to biomechanically characterize Isabel's workout (30 snatch repetitions with 61 kg fixed weight), focusing on eventual changes in knee, hip and shoulder angles. A three-dimensional markerless motion capture system was used to collect data from 11 highly trained male crossfitters along the Isabel workout performed at maximal effort. The routine was analyzed globally and in initial, middle and final phases (10, 20 and 30 repetitions, respectively). Lift total time increased (1.51 ± 0.18 vs. 1.97 ± 0.20 s) and maximal lift velocity (2.64 ± 0.12 vs. 2.32 ± 0.13 m/s) and maximal lift power (15.58 ± 2.34 vs. 13.80 ± 2.49 W/kg) decreased from the initial to final phases, while the time from lift until the bar crossed the hip and shoulder (34.20 ± 4.00 vs. 27.50 ± 5.10 and 39.70 ± 16.80 vs. 30.90 ± 13.90%) decreased along the Isabel workout. In addition, a decrease in hip flexion was observed during the last two phases when the bar crosses the knee (62.62 ± 24.80 vs. 53.60 ± 19.99°). Data evidence a decrease in the power profile and a change in hip flexion throughout the Isabel workout, without compromising the other joints. [ABSTRACT FROM AUTHOR]

The electrical stimulation of pedicle screws is a technique used to ensure its correct placement within the vertebrae pedicle. Several authors have studied these screws' electrical properties with the objective of understanding if they are a potential source of false negatives. As titanium screws are anodized with different thicknesses of a high electrical resistance oxide (TiO2), this study investigated, using analytical, numerical, and experimental methods, how its thickness may affect pedicle screw's resistance and conductivity. Analytical results have demonstrated that the thickness of the TiO2 layer does result in a significant radial resistance increase (44.21 mΩ/nm, for Ø 4.5 mm), and a decrease of conductivity with layers thicker than 150 nm. The numerical approach denotes that the geometry of the screw further results in a decrease in the pedicle screw conductivity, especially after 125 nm. Additionally, the experimental results demonstrate that there is indeed an effective decrease in conductivity with an increase in the TiO2 layer thickness, which is also reflected in the screw's total resistance. While the magnitude of the resistance associated with each TiO2 layer thickness may not be enough to compromise the ability to use anodized pedicle screws with a high-voltage electrical stimulator, pedicle screws should be the subject of more frequent electrical characterisation studies. [ABSTRACT FROM AUTHOR]

To evaluate the balance in patients with total knee arthroplasty (TKA) and knee osteoarthrosis (KOA), measured by postural stability computerized evaluation (PSCE), and to evaluate the effect of post-TKA patients' characteristics in their performance on PSCE. An observational cross-sectional study was conducted in two sets of patients: (A) patients with KOA and primary TKA surgery scheduled and (B) patients who underwent primary TKA >9 months. Sociodemographic, radiographic, clinical and PSCE parameters (using the Biodex Balance System) were assessed. Post-TKA patients placed more load on the replaced knee than the contralateral osteoarthritic knee (p = 0.027). They had less imbalance on the balance tests performed with the eyes open, on stable (p = 0.032), and unstable platforms (p = 0.022). These patients also showed better postural stability in monopodalic stance, both standing on the TKA (p = 0.010) and contralateral knee (p = 0.017). Age, weight, pain on the operated knee, extension deficit on the operated knee, and Berg Balance Scale scores on post-TKA patients were significantly associated with their performance on PSCE tests. PSCE can be useful to quantify the balance of post-TKA and KOA patients. Total knee arthroplasty is the definitive treatment for knee osteoarthrosis and it has several benefits, but its effect on balance is still unknown. Postural stability computerized evaluation is used to evaluate balance on vestibular diseases and it has been recently studied on musculoskeletal conditions. Postural stability computerized evaluation may be useful to evaluate patients' balance before and after total knee arthroplasty. [ABSTRACT FROM AUTHOR]

Lower limb exoskeletons have the potential to mitigate work-related musculoskeletal disorders; however, they often lack user-oriented control strategies. Human-in-the-loop (HITL) controls adapt an exoskeleton's assistance in real time, to optimize the user–exoskeleton interaction. This study presents a HITL control for a knee exoskeleton using a CMA-ES algorithm to minimize the users' physical effort, a parameter innovatively evaluated using the interaction torque with the exoskeleton (a muscular effort indicator) and metabolic cost. This work innovates by estimating the user's metabolic cost within the HITL control through a machine-learning model. The regression model estimated the metabolic cost, in real time, with a root mean squared error of 0.66 W/kg and mean absolute percentage error of 26% (n = 5), making faster (10 s) and less noisy estimations than a respirometer (K5, Cosmed). The HITL reduced the user's metabolic cost by 7.3% and 5.9% compared to the zero-torque and no-device conditions, respectively, and reduced the interaction torque by 32.3% compared to a zero-torque control (n = 1). The developed HITL control surpassed a non-exoskeleton and zero-torque condition regarding the user's physical effort, even for a task such as slow walking. Furthermore, the user-specific control had a lower metabolic cost than the non-user-specific assistance. This proof-of-concept demonstrated the potential of HITL controls in assisted walking. [ABSTRACT FROM AUTHOR]