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Our primary objectives in this study were to translate and provide psychometric support for the Coach Athlete Relationship Questionnaire (CART-Q) Portuguese version, assess its invariance across sex, and explore its nomological validity in relation to enjoyment. Our sample participants were 470 athletes (226 females, 244 males) aged between 16 to 39 years from various individual and team sports. We found that the translated Portuguese version of the CART-Q exhibited satisfactory test-retest reliability and can serve as a reliable tool for evaluating the core constructs of the coach-athlete relationship – closeness, commitment, and complementarity. Moreover, this instrument showed evidence of nomological validity through significant positive correlations between its underlying factors and athletes' enjoyment with their sport. The proposed model for explaining item variance was also found to be invariant between male and female respondents. We recommend further use of this instrument in research and practical applications. [ABSTRACT FROM AUTHOR]

Institutionalized older adults are characterized by high levels of dependence and low levels of physical activity compared to those living in the community. This combination of factors leads to an increased risk of loss of muscle mass. Sarcopenia can be countered through strength training. The aim of the present study was to evaluate the effect of a strength training program on the physical fitness of institutionalized older adults. This study included a sample of 31 institutionalized older adults (20 females, 11 males) aged between 65 and 96 years (M = 81.64, SD = 8.67). Participants reported an average institutionalization duration of 2.43 years (SD = 2.20), ranging from half a year to ten years. A 12-week strength training program was implemented, with sessions held twice a week. Strength fitness was assessed through the following parameters: handgrip strength, upper limb muscular endurance, lower limb muscular endurance, agility and balance, body mass index, and waist circumference. The results demonstrated that a 12-week strength training program improved physical fitness in terms of lower limb muscular endurance, upper limb muscular endurance, agility, and dynamic balance (p < 0.05). [ABSTRACT FROM AUTHOR]

Physical activity (PA), mental health, and body image are some important health topics in the transgender population that have been recently discussed and appear to play a crucial role in the quality of life of the trans population. This study aims to elucidate the complex interplay of these variables and their implications for the well-being of trans individuals. Methods: In a cross-sectional study, 75 Portuguese transgender individuals (M = 23.68; SD ± 6.59) were recruited to participate in this study. The participants completed three questionnaires related to the assessment of physical activity (IPAQ), depressive and anxious symptomatology (HADS), and satisfaction with body image (BISQp). Results: Trans individuals showed a total energy expenditure of 3316.40 metabolic equivalent tasks (METS), had a moderate level of anxiety symptomatology, and low levels of satisfaction with body image. Satisfaction with body image was negatively associated with anxiety (r = −0.441, p < 0.01) and depression symptomatology (r = −0.600, p < 0.01). Conclusions: The implementation of inclusive programs that promote body acceptance and coping strategies, particularly within the context of physical exercise, may help alleviate distress related to body image dissatisfaction while also addressing underlying anxiety and depression symptoms. [ABSTRACT FROM AUTHOR]

Copyright of Motricidade is the property of Silabas Didaticas LDA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The objective of the present research is to examine the factor structure of the Interpersonal Behavior Questionnaire (IBQ) and the Interpersonal Behavior Self Questionnaire (IBQ-Self) in the sport context. Confirmatory factor analyses were used to assess the psychometric properties and measurement invariance across sex and sports. For the IBQ, a sample of 813 Portuguese athletes aged between 15 and 32 years (M = 23.46; SD = 4.92) took part in this study. They had an average sports experience of approximately 7.62 ± 3.23 years. For the IBQ-Self, a sample of 606 Portuguese coaches aged between 20 and 73 years (M = 34.43; SD = 11.56) participated in this study. Both scales demonstrated good fit, achieved convergent and discriminant validity, exhibited acceptable internal consistency, and demonstrated invariance across sex and sports. Regarding the analysis of psychometric properties, the IBQ and IBQ-Self can be applied to Portuguese athletes and their coaches to measure perceived behaviors of others and self-reported behaviors. [ABSTRACT FROM AUTHOR]

The present study aimed to compare the scored and conceded goals of the top six European football leagues (Portugal, Spain, France, Italy, England, and Germany) between 2001 and 2020. The champions have a mean combo (indicator that combines attack and defence ranking) result between 1 and 1.40. The French and Italian leagues were the only ones where variation coefficients of this combo result overpassed 50% (71 and 59%, respectively) compared to the remaining football leagues. Further subsequent analysis showed that the Portuguese and French leagues differ significantly from Italy in terms of the best attack position of the champions (Z=3.196; p=0.01; η2=0.123). Regarding position in the defensive ranking, Portugal and Italy showed significantly different results compared to France (Z=3.763; p=0.003; η2=1.42). Besides, the only two countries with significant differences in scored and conceded goals positioning were France (attack better than defence; t=-3; p<0.01; d=2.236) and Italy (defence better than attack; t=2.881 p<0.01; d=1.164). Hence, in the French football league, a higher attack performance than a defence seems to indicate the champion. Oppositely, in the Italian football league, champions traditionally occupy top positioning on defence, even if they do not present the same performance on scored goals. [ABSTRACT FROM AUTHOR]

In this study, we aimed to examine empirically the Physical Activity Adoption and Maintenance model (PAAM). We collected data on these variables at baseline (T0) and 6-months later (T1). We recruited 119 participants (42 male, 77 female) aged 18–81 years old (M age = 44.89, SD = 12.95). who reported, at baseline, that they exercised an average of 3.76 days per week (SD = 1.33) in training periods lasting 15–60 minutes (M = 38.69; SD = 23.28). We conducted hierarchical multiple regression analysis to test the association between each determinant (intentions, habits, and frequency) and future exercise adherence. We tested four models by entering blocks of predictors according to PAAM assumptions. The variance change (R 2) between the first and fourth models (Δ R 2 =.391) was statistically significant, showing that the fourth model accounted for 51.2% of variance for future exercise adherence, F (6, 112) = 21.631, p <.001, R 2 =.73, adjusted R 2 =.512. Exercise intention at T1 maintained its significant association (p =.021) with exercise frequency at T1 in all tested models. Exercise frequency at T0 was the most significant predictor (p <.01) of future exercise adherence, with past experience the second most significant predictor (p =.013). Interestingly, exercise habits at T1 and T0 did not predict exercise frequency at T1 in the fourth model. Among the variables we studied, having constantly high exercise intentions and high regular exercise frequency are significantly associated with maintaining or increasing regular future exercise behavior. [ABSTRACT FROM AUTHOR]

Assessing quality of life (QoL) is important to provide personalized and individualized support plans with the purpose of improving personal outcomes. Based on the conceptual model of QoL, the aim of this study was to assess the congruence between the perceptions of institutionalized individuals with intellectual and developmental disabilities (IDD) and the perception of a third party, regarding QoL. Forty-two individuals participated in this study, including twenty-one with mild to severe IDD and their family members/caregiver/reference technician, who responded to the Personal Outcomes Scale (Portuguese version). Significant differences (p < 0.05) were found between reports in the personal development (t = −2.26; p = 0.024), emotional well-being (t = −2.263; p = 0.024), physical well-being (t = −2.491; p = 0.013) and total QoL (t = −2.331; p = 0.02). The results further show that most third-party reports tend to undervalue the QoL of the individual with IDD, and that there is no congruence in any of the QoL domains. The inclusion of self-reports in the QoL assessment is important. In addition to the assessment of third-party reports, the process of making decisions appropriate to the context and individual characteristics is equally important. On the other hand, the inclusion of third-party reports is an opportunity to promote communication among all stakeholders, recognize and discuss differences, and promote QoL, not only of individuals with IDD, but also of families. [ABSTRACT FROM AUTHOR]

Our purpose with this study was to analyze trail runners' psychological variables of mental toughness (MT) and resilience, and their associations with runners' performances within a quantitative cross-sectional study. In total, we analyzed data from 307 Portuguese trail runners (60 female, 247 male), aged between 20 to 66 years (M age = 41.98; SD = 7.74). The results showed that the measurement model, including the factors of MT, resilience, and performance variables, exhibited an adequate fit to the data: χ 2 = 150.01 (74); BS-p =.003; CFI=.953; TLI =.942; RMSEA =.058 90% (.045,.071) and SRMR=.042. Standardized direct effects revealed positive associations between these variables. More specifically: (a) MT was significantly associated with resilience; and (b) resilience was significantly associated with performance. The indirect regression paths showed that MT was positively associated with performance, with resilience considered a possible mediator (β =.09 IC =.010,.168; p =.02). In total, considering direct and indirect effects, the model explained 21% of performance variance among trail runners. [ABSTRACT FROM AUTHOR]

We investigated whether the relationship between significant others' social support and adolescents' physical activity (PA) is mediated by perceived barriers and benefits of PA. In this cross-sectional study, we analyzed data from 497 adolescents (girls = 272, boys = 225) aged between 12-18 years (M = 15.87, SD = 1.43) from six different middle and secondary schools. We collected data regarding social cognitive variables and PA with self-report measures and calculated the metabolic equivalent of total amount PA. We performed structural equation modeling and mediation analyses and found our proposed models fit the data. In girls, perceived PA benefits mediated the association between support provided by friends (β =.13; IC 95% =.02.29), a best friend (β =.14; IC 95% =.03,.33), and parents (β =.07; IC 95% =.01,.18), and PA. Similarly in boys, perceived PA benefits partially mediated the association between support provided by parents (β =.09; IC 95% =.04,.37), friends (β =.11; IC 95% =.05,.40), and a best friend (β =.10; IC 95% =.05,.40) and PA. Perceived barriers to PA did not display any significant mediation role for either sex. Interventions to foster others' support for PA, especially from a best friend, are important for promoting PA among adolescents. [ABSTRACT FROM AUTHOR]

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Grounded in hedonic assumptions, evidence suggests that people tend to engage in activities they consider pleasurable and enjoyable, while trying to avoid pain and displeasure. This suggests that the dynamic between positive and negative affect can influence current behavior and the intentions to continue performing. Regarding resistance training (RT), research focusing on how to promote a better affective response is still scarce and much needed. Given existing limitations and theoretical suggestions, a RT program was developed and applied to recreational exercisers in a quasi‐experimental design aiming to (1) explore the affective response dynamic through an assessment after the last set of each exercise; and (2) analyze possible differences of preference and tolerance profiles in affective variables (core affect and enjoyment). For that purpose, 43 participants (21 male and 22 female; Mage = 34.69 ± 6.71 years; Mexperience = 8.32 ± 4.54 years; MBMI = 24.26 ± 2.64 kg/m2) accepted to participate in this study. Descriptive statistics, correlational, and group comparisons analyses were performed to provide evidence for proposed objectives. The present study showed that measures of affective valence/arousal applied immediately after a set represents a feasible and ecologically valid approach to tap core affect. Results presented evidence that recreationally trained exercisers in a common RT program would need a minimum of one measurement to assess the affective response. However, additional assessments could refine the understanding of exercise pleasurable experience. Results also suggest that exercisers with distinct profiles of preference/tolerance depicted differentiated patterns for the affective response, possibly justifying a distinct approach when promoting affective regulation. [ABSTRACT FROM AUTHOR]

The Short Grit Scale (Grit–S) is a self- and informant-report version of the longer Grit Scale, and it retains the 2-factor structure of the original scale. Our purpose in this research was to measure trait-level perseverance and passion for long-term goals by translating and validating the Grit-S for Portuguese respondents. Our participants were 572 college students (135 female, 437 male; age range 18–30 years, M age = 21.47, SD = 2.29 years) from twelve Portuguese universities. Our data confirmed the scale's two-factor structure ("consistency of interests" and "perseverance of effort") and demonstrated appropriate adjustment values (CFI = 0.999, TLI = 0.981, SRMR = 0.017, RMSEA = 0.001, CI90%= 0.000–0.041). We found the adapted scale to be invariant for sex. Use of the scale confirmed an association between grit and well-being. These results imply that other investigators and practitioners interested in this scale may now apply it with Portuguese young adults. [ABSTRACT FROM AUTHOR]

This research aims to explore the interplay between supportive and hindering behaviours, the fulfilment of basic psychological needs, motivation, and intentions to sustain sports participation among athletes. A longitudinal approach was employed to investigate the evolving relationships between these variables over time. A total of 538 athletes (219 male and 319 female), aged between 15 and 32 years (mean age = 22.78; standard deviation = 4.52), participated in this study. The sample encompassed athletes from football (n = 187), basketball (n = 172), and swimming (n = 179). The structural equation model exhibited a good fit. Positive direct and indirect connections were observed between most constructs, with the exception of the associations between controlled motivation and basic psychological need satisfaction. Intentions to continue sports participation accounted for 12% of the variance in athletes' sports persistence. While the mediation model did not reveal any direct effects for need-supportive or need-thwarting behaviours, it did identify significant indirect pathways within the positive aspect of the model. The overall indirect impact of need-supportive behaviours in the model was β = .14 (90% confidence interval = .26; .37), whereas, for need-thwarting behaviours, it was β = -.05 (90% confidence interval = -.11; -.01), indicating a beneficial mediation process. Cultivating autonomous motivation and fostering a supportive environment that meets athletes' basic psychological needs can be instrumental in nurturing enduring commitment, boosting athletes' intentions to persist in sports, and heightening their prospects for long-term success. [ABSTRACT FROM AUTHOR]

The purpose of this study was to test the effect of past behavior on future behavior, considering the motivational sequence proposed by the self-determination theory. The total sample was formed by 293 exercisers aged between 18 and 65 (M = 36.57 ± SD = 11.25) years. Participants completed a multi-section survey of motivational, emotional and cognitive-related variables, and exercise adherence was measured using computer records. Past behavior was found to offset the direct effect of intention on future behavior and the indirect effect of all other variables under analysis on intention, acting as a "buffer" variable for experienced gym members. [ABSTRACT FROM AUTHOR]

Motivation plays an important role when it comes to regular physical exercise. Hence, low levels of intentions to continue exercising in the future may ultimately lead to higher rates of exercise dropout. The first objective of the present research was to test a theoretical model considering the dark side of motivational determinants on intentions towards exercising in the future. The second objective consisted in comparing groups with different characteristics, as a way to identify individuals with weaker intention, which is believed to be an indicator of a higher dropout risk. In total, 544 (294 female; 250 male) gym exercisers aged between 18 and 58 years (M = 35.00; SD = 11.57) partook in the present research. Participants were engaged in fitness group classes (n = 273) or in cardio/resistance workouts (n = 271), and their exercise experience ranged from 3 to 120 months (M = 47.41; SD = 7.54). Results showed that the measurement and the structural model had an excellent fit. In addition, the structural model was invariant between gender, fitness activities, and exercise experience. Each group displayed different explained variance in intention to continue exercising. Overall, male, young adults and more experienced exercisers had stronger intentions towards exercising. Fitness instructors should be aware of their own thwarting behaviors, especially when interacting with female, young and less experienced exercisers, since they have weaker intentions to exercise in the future, possibly representing an increased risk of withdrawal. [ABSTRACT FROM AUTHOR]

The aim of this study was to translate and validate the Basic Psychological Need Satisfaction and Frustration Scale for Portuguese exercisers. In addition, we sought to analyze gender invariance. We collected data from two independent samples of Portuguese respondents—a calibration sample with 316 participants and a validation sample with 632 participants. Results from confirmatory factor analysis supported the original six-factor model in both the calibration sample, χ2(237) = 471.814, χ2/ df = 1.99; B–S p <.001, Comparative Fit Index =.935, Tucker–Lewis Index =.924, standard mean root square residual =.047, root mean square error of approximation =.057 (90% confidence interval = [.050,.065]), and the validation sample, χ2(237) = 571.796, χ2/ df = 2.41; B–S p <.001, Comparative Fit Index =.948, Tucker–Lewis Index =.940, standard mean root square residual =.038, root mean square error of approximation =.047 (90% confidence interval = [.042,.052]). Moreover, our analysis revealed acceptable internal consistency, convergent and discriminant validity of the translated version, and invariance between the two samples and between genders, as differences across latent means showed that magnitude effects were trivial between samples and between male and female exercisers. These results support the use of the adapted scale among both male and female exercisers. [ABSTRACT FROM AUTHOR]

The aim of this study was to analyze the psychometric properties of the original version of the Passion Scale (14 items, two factors). We tested it within a sample of mixed gender Portuguese athletes from different sports, including adapted sports. In addition to demonstrating reliability, validity, and confirmatory factor analyses of the Passion Scale, we sought to analyze the invariance of this measure between males and females and across six types of sports (soccer, futsal, swimming, surf, bodyboard, and adapted sports). We recruited 1,316 athletes to test this scale from both genders (1,109 males; 207 females), aged 14–59 years (M = 21.83; SD = 8.67). Our main results revealed weaknesses in the factor model for the original instrument (14 items and two factors) leading us to reject the model. However, after adapting the model (to eight items and two factors), the psychometric properties of the Passion Scale improved substantially and then exhibited (a) good fit to the data and (b) invariance between gender and across sports. Our new proposed version of the Passion Scale can be used with confidence to analyze the passion athletes feel when practicing their sport. [ABSTRACT FROM AUTHOR]

BACKGROUND: Venous thromboembolism (VTE) is a potentially fatal complication of orthopedic surgery, and until recently, few antithrombotic compounds were available for postoperative thromboprophylaxis. The introduction of the non–vitamin K antagonists oral anticoagulants (NOAC), including apixaban, has extended the therapeutic armamentarium in this field. Therefore, estimation of NOAC net clinical benefit in comparison with the established treatment is needed to inform clinical decision making. OBJECTIVES: Systematic review to assess the efficacy and safety of apixaban 2.5 mg twice a day versus low-molecular-weight heparins (LMWH) for thromboprophylaxis in patients undergoing knee or hip replacement. DATA SOURCES: MEDLINE, Embase, and CENTRAL were searched from inception to September 2016, other systematic reviews, reference lists, and experts were consulted. STUDY ELIGIBILITY CRITERIA, PARTICIPANTS, AND INTERVENTION: All major orthopedic surgery randomized controlled trials comparing apixaban 2.5 mg twice daily with LMWH, reporting thrombotic and bleeding events. DATA EXTRACTION: Two independent reviewers, using a predetermined form. STUDY APPRAISAL AND SYNTHESIS METHODS: The Cochrane tool to assess risk bias was used by two independent authors. RevMan software was used to estimate pooled risk ratio (RR) and 95% confidence intervals (95% CI) using random-effects meta-analysis. Trial sequential analysis (TSA) was performed in statistical significant results to evaluate whether cumulative sample size was powered for the obtained effect. Overall confidence in cumulative evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) Working Group methodology. RESULTS: Four studies comparing apixaban 2.5 mg twice daily with LMWH were included, with a total of 11.828 patients (55% undergoing knee and 45% hip replacement). The overall risk of bias across studies was low. In comparison with LMWH (all regimens), apixaban showed a significantly lower risk of VTE events and overall mortality combined (RR: 0.63, 95% CI: 0.42-0.95, I2 = 84%, n = 8346), but not of major VTE events (RR: 0.62, 95% CI: 0.32-1.19, I2 = 63%, n = 9493), or of symptomatic VTE events and VTE-related mortality combined (RR: 1.14, 95% CI: 0.68-1.90, I2 = 0%, n = 11 879). Trial sequential analysis showed that the risk reduction obtained for VTE and mortality was based on underpowered cumulative sample size and effect dimension. Subgroup analysis according to LMWH regimens showed that apixaban reduced the risk of VTE events and overall mortality, and major VTE events, when compared with LMWH once daily, without differences between apixaban and LMWH twice daily. CONCLUSIONS: There is low to moderate evidence that in patients undergoing knee or hip replacement, apixaban seems equally effective and safe to LMWH twice a day. When compared with LMWH once a day, apixaban seems a superior thromboprophylaxis option. However, the results are underpowered which precludes definite answers regarding the true net clinical benefit of apixaban versus LMWH in this clinical context.BACKGROUND: Venous thromboembolism (VTE) is a potentially fatal complication of orthopedic surgery, and until recently, few antithrombotic compounds were available for postoperative thromboprophylaxis. The introduction of the non–vitamin K antagonists oral anticoagulants (NOAC), including apixaban, has extended the therapeutic armamentarium in this field. Therefore, estimation of NOAC net clinical benefit in comparison with the established treatment is needed to inform clinical decision making. OBJECTIVES: Systematic review to assess the efficacy and safety of apixaban 2.5 mg twice a day versus low-molecular-weight heparins (LMWH) for thromboprophylaxis in patients undergoing knee or hip replacement. DATA SOURCES: MEDLINE, Embase, and CENTRAL were searched from inception to September 2016, other systematic reviews, reference lists, and experts were consulted. STUDY ELIGIBILITY CRITERIA, PARTICIPANTS, AND INTERVENTION: All major orthopedic surgery randomized controlled trials comparing apixaban 2.5 mg twice daily with LMWH, reporting thrombotic and bleeding events. DATA EXTRACTION: Two independent reviewers, using a predetermined form. STUDY APPRAISAL AND SYNTHESIS METHODS: The Cochrane tool to assess risk bias was used by two independent authors. RevMan software was used to estimate pooled risk ratio (RR) and 95% confidence intervals (95% CI) using random-effects meta-analysis. Trial sequential analysis (TSA) was performed in statistical significant results to evaluate whether cumulative sample size was powered for the obtained effect. Overall confidence in cumulative evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) Working Group methodology. RESULTS: Four studies comparing apixaban 2.5 mg twice daily with LMWH were included, with a total of 11.828 patients (55% undergoing knee and 45% hip replacement). The overall risk of bias across studies was low. In comparison with LMWH (all regimens), apixaban showed a significantly lower risk of VTE events and overall mortality combined (RR: 0.63, 95% CI: 0.42-0.95, I2 = 84%, n = 8346), but not of major VTE events (RR: 0.62, 95% CI: 0.32-1.19, I2 = 63%, n = 9493), or of symptomatic VTE events and VTE-related mortality combined (RR: 1.14, 95% CI: 0.68-1.90, I2 = 0%, n = 11 879). Trial sequential analysis showed that the risk reduction obtained for VTE and mortality was based on underpowered cumulative sample size and effect dimension. Subgroup analysis according to LMWH regimens showed that apixaban reduced the risk of VTE events and overall mortality, and major VTE events, when compared with LMWH once daily, without differences between apixaban and LMWH twice daily. CONCLUSIONS: There is low to moderate evidence that in patients undergoing knee or hip replacement, apixaban seems equally effective and safe to LMWH twice a day. When compared with LMWH once a day, apixaban seems a superior thromboprophylaxis option. However, the results are underpowered which precludes definite answers regarding the true net clinical benefit of apixaban versus LMWH in this clinical context. [ABSTRACT FROM AUTHOR]

OBJECTIVES To evaluate the efficacy and safety of endovascular treatment, particularly adjunctive intra-arterial mechanical thrombectomy, in patients with ischaemic stroke. DESIGN Systematic review and meta-analysis. DATA SOURCES Medline, Embase, Cochrane Central Register of Controlled Trials, Web of Science, SciELO, LILACS, and clinical trial registries from inception to December 2015. Reference lists were crosschecked. ELIGIBILITY CRITERIA FOR SELECTING STUDIES Randomised controlled trials in adults aged 18 or more with ischaemic stroke comparing endovascular treatment, including thrombectomy, with medical care alone, including intravenous recombinant tissue plasminogen activator (rt-PA). Trial endpoints were functional outcome (modified Rankin scale scores of ≤2) and mortality at 90 days after onset of symptoms. No language or time restrictions applied. RESULTS 10 randomised controlled trials (n=2925) were included. In pooled analysis endovascular treatment, including thrombectomy, was associated with a higher proportion of patients experiencing good (modified Rankin scale scores ≤2) and excellent (scores ≤1) outcomes 90 days after stroke, without differences in mortality or rates for symptomatic intracranial haemorrhage, compared with patients randomised to medical care alone, including intravenous rt-PA. Heterogeneity was high among studies. The more recent studies (seven randomised controlled trials, published or presented in 2015) proved better suited to evaluate the effect of adjunctive intra-arterial mechanical thrombectomy on its index disease owing to more accurate patient selection, intravenous rt-PA being administered at a higher rate and earlier, and the use of more efficient thrombectomy devices. In most of these studies, more than 86% of the patients were treated with stent retrievers, and rates of recanalisation were higher (>58%) than previously reported. Subgroup analysis of these seven studies yielded a risk ratio of 1.56 (95% confidence interval 1.38 to 1.75) for good functional outcomes and 0.86 (0.69 to 1.06) for mortality, without heterogeneity among the results of the studies. All trials were open label. Risk of bias was moderate across studies. The full results of two trials are yet to be published. CONCLUSIONS Moderate to high quality evidence suggests that compared with medical care alone in a selected group of patients endovascular thrombectomy as add-on to intravenous thrombolysis performed within six to eight hours after large vessel ischaemic stroke in the anterior circulation provides beneficial functional outcomes, without increased detrimental effects. [ABSTRACT FROM AUTHOR]

Affective responses during exercise have been identified as a predictor of exercise adherence. However, research has been mostly limited to aerobic and resistance exercise. Considering that stretching activities are also an important component of physical fitness, this quasi-experimental study was designed to: 1) compare affective responses during and immediately after stretching exercises in apparently healthy adults, and 2) assess the consistency and repeatability of affect ratings obtained one week apart. For this purpose, we analyzed the Feeling Scale (FS) and Felt Arousal Scale (FAS) ratings using Time (during and after stretching) x Intensity (light, moderate, vigorous) x Stretched Muscle Group (quadriceps, hamstrings, glutes, latissimus dorsi, triceps) with repeated measures analysis of variance (ANCOVA) in 34 participants (21 males; aged 32.8 ± 8.6 years). The repeatability of FS and FAS ratings was assessed using two-way random-effects models, Intraclass Correlation Coefficients (ICC), and Bland-Altman plots. FS scores were higher following the stretching exercises, whereas FAS scores were lower, particularly in the vigorous intensity. In general, the inter-day repeatability for FS and FAS measurements was good across muscle groups. ICC tended to be higher at vigorous intensities. Ratings of core affect can be collected during static passive stretches using the FAS and FAS in ecologically valid settings. These results suggest that an adequate assessment of core affective responses to stretching activities should be performed during the exercises. • Timing matters when assessing affective ratings in response to stretching activities. • An affective rebound was detected in all stretching intensities. • Support was found for affect ratings and measurement procedures reliability. • Adequate assessment of affective responses must be performed during the stretches. [ABSTRACT FROM AUTHOR]