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Introduction: Studies of cerebral haemodynamics have shown changes with increased exercise intensity, but the patterns have been highly variable and reliable associations with cognitive performance have not been identified. The aim of this study was to examine whether exercise-induced changes in oxygenated haemoglobin (O2Hb) led to changes in concomitant cognitive performance.Methods: This study examined cardiorespiratory and cerebral haemodynamics during multi-stage exercise from rest to exhaustion, with (Ex + C) and without (Ex) concurrent cognitive performance (Go/No-go task).Results: The presence of the cognitive task affected both cardiorespiratory and cerebral haemodynamics. The patterns in the cerebral haemodynamics during Ex and Ex + C diverged above the respiratory compensation threshold (RCT), but differences were significant only at 100% [Formula: see text], displaying increased deoxygenated haemoglobin (HHb), decreased difference between oxygenated and deoxygenated haemoglobin (HbDiff), and decreased cerebral oxygenation (COx) during Ex + C. More complex haemodynamic trends against intensity during Ex + C suggested that the presence of a cognitive task increases cerebral metabolic demand at high exercise intensities. The levels of O2Hb, HHb, HbDiff and total haemoglobin increased most steeply at intensities around the RCT during both Ex and Ex + C, but these changes were not accompanied by improved cognitive performance.Conclusion: The primary hypothesis, that cognitive performance would match changes in O2Hb, was not supported. Small variations in reaction time and response accuracy across exercise intensities were not significant, suggesting that cognitive performance is unaffected by intense short-duration exercise. Our results add further evidence that exercise-induced changes in cerebral haemodynamics do not affect cognitive performance. [ABSTRACT FROM AUTHOR]

Hand function is a problem in patients with Charcot‐Marie‐Tooth disease type 1A (CMT1A) and Riboflavin Transporter Deficiency type 2 (RTD2). However, a detailed understanding of upper limb involvement in these conditions is lacking. The aim of this pilot study was to compare hand and upper limb function between children with CMT1A, RTD2 and healthy controls using established and novel outcome measures. Three age‐and sex‐matched groups of four children (5–15 years, 1 male/group) with CMT1A, RTD2, and healthy controls were assessed for function, strength, and sensation. Fatigue and muscle activity of the FDI was also assessed using a submaximal contraction at 40% of the participants' maximal voluntary contraction. Functional measures were most affected in children with RTD2 followed by children with CMT1A, compared to healthy controls. Strength was similarly impaired in CMT1A and RTD2 compared to controls (p < 0.05). Sensation was significantly impaired in RTD2 compared to CMT1A and controls (p = 0.008). While time to fatigue did not differ between groups, a decline in muscle activity while force remained constant showed that controls compensated with other muscles during the fatigue task while children with CMT1A and RTD2 did not have this compensatory ability. Children with CMT1A and RTD2 exhibited marked hand/upper limb impairment. These results suggest the upper limb should be a focus of rehabilitative therapy in affected children using sensitive outcome measures of strength and sensation, as well as functional activities of daily living, which are most relevant to the patient. [ABSTRACT FROM AUTHOR]

Aim: To investigate the relationship between training volume and soft tissue injury incidence, and characterise soft tissue injury in rugby union players.Design: A systematic search of electronic databases was performed. The search strategy combined terms covering: training volume and injury, and rugby union, and players of all levels.Data Sources: Medline, SPORTDiscus, Web of Science, Embase, PubMed.Eligibility Criteria For Selecting Studies: Studies were included if they reported: male rugby union players, a clear definition of a rugby union injury, the amount of training volume undertaken by participants, and epidemiological data for soft-tissue injuries including the number or incidence.Results: 15 studies were eligible for inclusion. Overall match and training injury incidence ranged from 3.3 to 218.0 injuries/1000 player match hours and 0.1-6.1 injuries/1000 player training hours, respectively. Muscle and tendon as well as joint (non-bone) and ligament injuries were the most frequently occurring injuries. The lower limb was the most prevalent injury location. Injury incidence was higher in professional rugby union players than non-professional players. Contact events were responsible for the greatest injury incidence. For non-contact mechanisms, running was responsible for the highest injury incidence. Inconsistent injury definitions hindered reliable comparison of injury data. The lack of reporting training volumes in hours per player per week limited the ability to investigate associations between training volume and injury incidence.Conclusions: A higher level of play may result in higher match injury incidence. Muscle and tendon injuries were the most common type of soft tissue injury, while the lower limb was the most common location of injury in rugby union players, and running was responsible for the highest injury incidence during non-contact events. [ABSTRACT FROM AUTHOR]

Objectives: Load is used to increasingly challenge muscle function and has been shown to increase muscle activity levels with no change in activation patterns during shoulder flexion, extension, adduction and rotation. However, the effect of load during shoulder abduction, a movement commonly used in assessment of shoulder dysfunction and to improve shoulder function, has not been comprehensively examined. Therefore, the purpose of this study was to determine if load influences shoulder muscle activation patterns and levels during scapular plane abduction in normal subjects.Design: Experimental study.Methods: Fourteen volunteers performed shoulder abduction in the scapular plane at 25%, 50% and 75% of maximum load. Eight shoulder muscles were investigated using a combination of indwelling and surface electromyographic recordings: middle deltoid, infraspinatus, subscapularis, supraspinatus, serratus anterior, upper and lower trapezius and rhomboid major.Results: All muscles tested showed increasing average muscle activation levels with increasing load and strong correlations in the activation patterns between loads.Conclusions: Increasing shoulder abduction load not only increases activity in middle deltoid but also in the rotator cuff (infraspinatus, subscapularis, supraspinatus) and axioscapular (serratus anterior, upper and lower trapezius, rhomboid major) muscles. The functional stabilising role of both the rotator cuff and axioscapular muscles is considered an important contribution to the increased activation levels in these muscle groups as they function to counterbalance potential translation forces produced by other muscles during shoulder abduction. The activation patterns of all shoulder muscle groups during abduction can be trained at low load and progressively challenged with increasing load. [ABSTRACT FROM AUTHOR]

BACKGROUND: Physical symptoms present in a large percentage of instrumental musicians at all levels of expertise, yet the impact of these symptoms on patterns of muscle use and perceived exertion during performance is still unclear. PURPOSE: Quantify the effects of physical symptoms on muscle activity and perceived exertion in skilled violinists during a range of bowing actions. METHODS: Fifty-five professional or university (undergraduate or postgraduate) violinists performed 5 randomly ordered 45-second musical excerpts designed to elicit a range of right arm bowing actions. Surface electromyography data were obtained from 16 muscles of the trunk, shoulder, and right arm during each excerpt performance. Sites of current physical symptoms were reported using a pre-test questionnaire. Average rating of perceived exertion (RPE) for the excerpt performances was obtained immediately after the final excerpt performance. RESULTS: Right upper trapezius muscle activity levels were significantly reduced in participants reporting right shoulder symptoms (p<0.05). Violinists with right wrist symptoms displayed global increases in average muscle activity across all investigated muscles (p<0.03). RPE did not differ significantly between any groups of symptomatic and asymptomatic participants. CONCLUSION: Differential muscle activity patterns appear between right shoulder symptomatic, right wrist symptomatic, and asymptomatic violinists, presenting the possibility of altered biomechanical responses to physical symptoms that vary with symptom location. [ABSTRACT FROM AUTHOR]

Purpose: This systematic review was conducted to evaluate the effect of Olympic weightlifting (OW) on vertical jump (VJ) height compared to a control condition, traditional resistance training and plyometric training.Methods: Five electronic databases were searched using terms related to OW and VJ. Studies needed to include at least one OW exercise, an intervention lasting ≥6 weeks; a comparison group of control, traditional resistance training or plyometric training; and to have measured VJ height. The methodological quality of studies was assessed using the Downs and Black Checklist. Random and fixed effects meta-analyses were performed to pool the results of the included studies and generate a weighted mean effect size (ES).Results: Six studies (seven articles) were included in the meta-analyses and described a total of 232 participants (175 athletes and 57 physical education students) with resistance training experience, aged 19.5±2.2 years. Three studies compared OW versus control; four studies compared OW versus traditional resistance training; and three studies compared OW versus plyometric training. Meta-analyses indicated OW improved VJ height by 7.7% (95% CI 3.4 to 5.4 cm) compared to control (ES=0.62, p=0.03) and by 5.1% (95% CI 2.2 to 3.0 cm) compared to traditional resistance training (ES=0.64 p=0.00004). Change in VJ height was not different for OW versus plyometric training.Conclusions: OW is an effective training method to improve VJ height. The similar effects observed for OW and plyometric training on VJ height suggests that either of these methods would be beneficial when devising training programmes to improve VJ height. [ABSTRACT FROM AUTHOR]

Background: The use of global positioning system (GPS) devices with the inclusion of microsenor technology in rugby league enables measurement of player activity profiles to understand the demands of match-play and optimise on-field performance. Objective: The aim of this review was to systematically review the use of GPS and microsensor technology to quantify player activity profiles in match-play, and conduct a meta-analysis of relevant movement variables in order to present the contemporary and emerging themes within rugby league. Methods: A systematic search of electronic databases (MEDLINE, SPORTDiscus, CINAHL, Web of Science, Scopus, ScienceDirect, EMBASE, and Google Scholar) from the earliest record to February 2015 was conducted. Permutations of key words included GPS, microtechnology, activity profiles, match demands (movement or physical demands), and rugby league. A meta-analysis was conducted to provide a pooled mean and confidence intervals on comparable data from at least three studies. Results: Twenty-seven studies met the eligibility criteria and included 1270 male participants. The studies reported on GPS use in elite competition ( n = 16) with limited representation of other competition standards: sub-elite ( n = 6), amateur ( n = 1) and junior ( n = 3). All studies reported on movement variables (distance, relative distance, speed and accelerations), with studies analysing movement at high speed ( n = 18, 66.7 %), evaluating collision or impact variables ( n = 15, 55.6 %) and determining the metabolic energy ( n = 2, 7.4 %) associated with rugby league match-play. Activity profiles of varying positions, positional groups and levels of rugby league competition were described. Meta-analysis indicated that the total distance covered by backs and adjustables were both greater than forward positions, but adjustables covered greater relative distance than forwards and backs. Speed zones were typically categorised into six speed zones ranging from 0 to 36 km·h, or into low- and high-intensity movement. Vast inconsistencies were apparent across studies in categorising movement at high speed, posing difficulties for comparison. Meta-analysis indicated that, although the number of repeated high-intensity effort (RHIE) bouts in elite players were similar to sub-elite (and both greater than juniors), the number of efforts per RHIE were significantly greater in elite than sub-elite players. Differential pacing strategies were adopted according to player selection (whole-match vs. interchange), time period within match-play and match outcome, in order to maintain high-intensity performance or to challenge for a win. Sizeable inconsistencies were also identified in the definitions of reported collisions (classified as mild, moderate and heavy) and impacts (six zone categories provided by manufacturer), making comparisons across studies difficult. Collision profiles were different between competition standard and position where elite players and forwards sustained more moderate- and high-intensity collisions than sub-elite players and backs, respectively. The recent inclusion of GPS-derived metabolic indices to activity profiles has also accentuated the distinctive workloads of positional groups during match-play where adjustables demonstrate the highest energy expenditure and metabolic power. Conclusions: This review and the results of the meta-analysis have demonstrated that positional groups have varied kinematic and metabolic demands. During match play, forwards sustain the greatest number of collisions and RHIE bouts, outside backs participate in more high-speed running and cover the greatest distance, and adjustables work at high intensity covering the greatest relative distance with the highest metabolic cost. Therefore, specific training for each positional group should address their match requirements. In addition, sub-elite players exhibit lower intensity of play compared with elite players, as indicated by lower relative distance and less number of efforts per RHIE bout despite similarities in total distance covered and number of RHIE bouts. To prepare them for elite-level play, their training should incorporate higher intensity drills in which greater relative distance and number of efforts per RHIE bout are performed. Furthermore, the lack of consistency in the definition of speed zones, high-intensity movement, collisions and impacts, underscores the difficulties encountered in meaningful comparisons of player activity profiles between studies. Consensus of these definitions would facilitate direct comparisons within rugby league. [ABSTRACT FROM AUTHOR]

Purpose: This study investigated whether short-term heart rate variability (HRV) can be used to differentiate between the immediate recovery periods following three different intensities of preceding exercise.Methods: 12 males cycled for 8 min at three intensities: LOW (40-45 %), MOD (75-80 %) and HIGH (90-95 %) of heart rate (HR) reserve. HRV was assessed during exercise and throughout 10-min seated recovery.Results: 1-min HR recovery was reduced following greater exercise intensities when expressed as R-R interval (RRI, ms) (p < 0.001), but not b min(-1) (p = 0.217). During exercise, the natural logarithm of root mean square of successive differences (Ln-RMSSD) was higher during LOW (1.66 ± 0.47 ms) relative to MOD (1.14 ± 0.32 ms) and HIGH (1.30 ± 0.25 ms) (p ≤ 0.037). Similar results were observed for high-frequency spectra (Ln-HF-LOW: 2.9 ± 1.0; MOD: 1.6 ± 0.6; HIGH: 1.6 ± 0.3 ms(2), p < 0.001). By 1-min recovery, higher preceding exercise intensities resulted in lower HRV amongst all three intensities for Ln-RMSSD (LOW: 3.45 ± 0.58; MOD: 2.34 ± 0.81; HIGH: 1.66 ± 0.78 ms, p < 0.001) and Ln-HF (LOW: 6.0 ± 1.0; MOD: 4.3 ± 1.4; HIGH: 2.8 ± 1.4 ms(2), p < 0.001). Similarly, by 1-min recovery 'HR-corrected' HRV (Ln-RMSSD: RRI × 10(3)) was different amongst all three intensities (LOW: 3.64 ± 0.49; MOD: 2.90 ± 0.65; HIGH: 2.40 ± 0.67, p < 0.001). These differences were maintained throughout 10-min recovery (p ≤ 0.027).Conclusion: Preceding exercise intensity has a graded effect on recovery HRV measures reflecting cardiac vagal activity, even after correcting for the underlying HR. The immediate recovery following exercise is a potentially useful period to investigate autonomic activity, as multiple levels of autonomic activity can be clearly differentiated between using HRV. When investigating post-exercise HRV it is critical to account for the relative exercise intensity. [ABSTRACT FROM AUTHOR]

Background: It remains unclear whether repetitions leading to failure (failure training) or not leading to failure (non-failure training) lead to superior muscular strength gains during resistance exercise. Failure training may provide the stimulus needed to enhance muscular strength development. However, it is argued that non-failure training leads to similar increases in muscular strength without the need for high levels of discomfort and physical effort, which are associated with failure training. Objective: We conducted a systematic review and meta-analysis to examine the effect of failure versus non-failure training on muscular strength. Methods: Five electronic databases were searched using terms related to failure and non-failure training. Studies were deemed eligible for inclusion if they met the following criteria: (1) randomised and non-randomised studies; (2) resistance training intervention where repetitions were performed to failure; (3) a non-failure comparison group; (4) resistance training interventions with a total of ≥3 exercise sessions; and (5) muscular strength assessment pre- and post-training. Random-effects meta-analyses were performed to pool the results of the included studies and generate a weighted mean effect size (ES). Results: Eight studies were included in the meta-analysis (combined studies). Training volume was controlled in four studies (volume controlled), while the remaining four studies did not control for training volume (volume uncontrolled). Non-failure training resulted in a 0.6-1.3 % greater strength increase than failure training. A small pooled effect favouring non-failure training was found (ES = 0.34; p = 0.02). Significant small pooled effects on muscular strength were also found for non-failure versus failure training with compound exercises (ES = 0.37-0.38; p = 0.03) and trained participants (ES = 0.37; p = 0.049). A slightly larger pooled effect favouring non-failure training was observed when volume-uncontrolled studies were included (ES = 0.41; p = 0.047). No significant effect was found for the volume-controlled studies, although there was a trend favouring non-failure training. The methodological quality of the included studies in the review was found to be moderate. Exercise compliance was high for the studies where this was reported ( n = 5), although limited information on adverse events was provided. Conclusion: Overall, the results suggest that despite statistically significant effects on muscular strength being found for non-failure compared with failure training, the small percentage of improvement shown for non-failure training is unlikely to be meaningful. Therefore, it appears that similar increases in muscular strength can be achieved with failure and non-failure training. Furthermore, it seems unnecessary to perform failure training to maximise muscular strength; however, if incorporated into a programme, training to failure should be performed sparingly to limit the risks of injuries and overtraining. [ABSTRACT FROM AUTHOR]

A correction to the article "Effect of Training Leading to Repetition Failure on Muscular Strength: A Systematic Review and Meta-Analysis" that was published online in February 2016 is presented.

Study design Observational laboratory study. Background Abduction is a movement commonly used in the assessment of shoulder dysfunction and prescription of exercises to improve shoulder function. Abduction in the scapular and coronal planes are used interchangeably. It is not known if the activation of individual shoulder muscles differ between abduction performed in these planes and therefore, if they represent different tests/exercises. Objective To quantify and compare the muscle activation patterns and levels for each shoulder muscle during abduction performed in the scapular plane with that performed in the coronal (scapular −30°) and scapular +30° planes. Methods Electromyographic recordings were taken from eight shoulder muscles of fourteen healthy volunteers during shoulder abduction in the scapular and coronal planes and in a plane 30° anterior to the scapular plane (scapular +30°) at 50% of maximum load. Results Similar average muscle activation levels were demonstrated during abduction in the scapular plane and within a 30° arc of this plane for all muscles except: middle deltoid (5% MVC higher activation in the coronal and 4% MVC lower activation in the scapular +30° plane) and upper trapezius (6% MVC lower activation in the scapular +30° plane). Activation patterns between planes for all muscles were similar (ICC (3,1) ≥ 0.87). Conclusions Abduction can be performed within a 30° arc of the scapular plane with no change in shoulder muscle activation patterns. Only middle deltoid activation levels change between the scapular and coronal planes and middle deltoid and upper trapezius between the scapular and scapular +30° planes. [ABSTRACT FROM AUTHOR]

The aim of this study was to observe changes in the kinematics and muscle activities when barefoot running was initially adopted by six habitually shod, recreational rearfoot striking runners. Participants ran on a treadmill shod for 5 min, completed 3 × 10-min intervals of barefoot running and then completed a final minute of shod running at a self-selected pace. Dependent variables (speed, joint angles at foot-contact, joint range of motion (ROM), mean and peak electromyography (EMG) activity) were compared across conditions using repeated measures ANOVAs. Anterior pelvic tilt and hip flexion significantly decreased during barefoot conditions at foot contact. The ROM for the trunk, pelvis, knee and ankle angles decreased during the barefoot conditions. Mean EMG activity was reduced for biceps femoris, gastrocnemius lateralis and tibialis anterior during barefoot running. The peak activity across the running cycle decreased in biceps femoris, vastus medialis, gastrocnemius medialis and tibialis anterior during barefoot running. During barefoot running, tibialis anterior activity significantly decreased during the pre-activation and initial contact phases; gastrocnemius lateralis and medialis activity significantly decreased during the push-off phase. Barefoot running caused immediate biomechanical and neuromuscular adaptations at the hip and pelvis, which persisted when the runners donned their shoes, indicating that some learning had occurred during an initial short bout of barefoot running. [ABSTRACT FROM AUTHOR]

Introduction: Hamstring strain injury (HSI) remains a performance, economic, and player availability burden in sport. High‐speed running (HSR) is cited as a common mechanism for HSI. While evidence exists regarding the high physical demands on the hamstring muscles in HSR, meta‐analytical synthesis of related activation and kinetic variables is lacking. Methods: A systematic search of Medline, Embase, Scopus, CINAHL, SportDiscus, and Cochrane library databases was conducted in accordance with the PRISMA 2020 guidelines. Studies reporting hamstring activation (electromyographic [EMG]) or hamstring muscle/related joint kinetics were included where healthy adult participants ran at or beyond 60% of maximum speed (activation studies) or 4 m per second (m/s) (kinetic studies). Results: A total of 96 studies met the inclusion criteria. Run intensities were categorized as "slow," "moderate," or "fast" in both activation and kinetic based studies with appropriate relative, and raw measures, respectively. Meta‐analysis revealed pooled mean lateral hamstring muscle activation levels of 108.1% (95% CI: 84.4%–131.7%) of maximal voluntary isometric contraction (MVIC) during "fast" running. Meta‐analysis found swing phase peak knee flexion internal moment and power at 2.2 Newton meters/kilogram (Nm/kg) (95% CI: 1.9–2.5) and 40.3 Watts/kilogram (W/kg) (95% CI: 31.4–49.2), respectively. Hip extension peak moment and power was estimated as 4.8 Nm/kg (95% CI: 3.9–5.7) and 33.1 W/kg (95% CI: 17.4–48.9), respectively. Conclusions: As run intensity/speed increases, so do the activation and kinetic demands on the hamstrings. The presented data will enable clinicians to incorporate more objective measures into the design of injury prevention and return‐to‐play decision‐making strategies. [ABSTRACT FROM AUTHOR]

Because of its superficial location surface electrodes are commonly used to record latissimus dorsi (LD) activity. Despite the fact that the recommended electrode placement is over the belly where LD is quite thin no studies have investigated the possibility of signal contamination from muscles lying deep to LD. Therefore, the aim of this study was to determine the validity of using surface electrodes to record activity from LD. Eight asymptomatic subjects performed ramped isometric (0–100% maximum load) and dynamic (70% maximum load) shoulder tasks. Intramuscular electrodes were inserted into LD and the adjacent erector spinae. Surface electrodes were placed over LD around the intramuscular electrodes. Results indicated that while there was no difference in activity level or activation pattern (ICC > 0.94) recorded by the two electrode types during shoulder tasks in which LD would be expected to be active (extension and adduction), significantly lower ( p < 0.05) LD activity was recorded via intramuscular electrodes during the shoulder flexion and abduction tasks. Therefore, recordings of LD activity by surface electrodes overestimate LD activity during shoulder tasks when this muscle would be expected to be activated at minimum levels. Erector spinae immediately deep to LD was confirmed as a source of crosstalk contamination. [ABSTRACT FROM AUTHOR]

We investigated the acquisition of skill in balancing a stick (52 cm, 34 g) on the fingertip in nine participants using three-dimensional motion analysis. After 3.5 h of practice over 6 wk, the participants could more consistently balance the stick for longer durations with greatly reduced magnitude and speed of stick and finger movements. Irrespective of level of skill, the balanced stick behaved like a normal noninverted pendulum oscillating under greater-than-gravity torque with simple harmonic motion about a virtual pivot located at the radius of gyration above the center of mass. The control input parameter was the magnitude ratio between the torque applied on the stick by the participant and the torque due to gravity. The participants utilized only a narrow range of this parameter, which did not change with practice, to rotate the stick like a linear mass-spring system. With increased skill, the stick therefore maintained the same period of oscillation but showed marked reductions in magnitude of both oscillation and horizontal translation. Better balancing was associated with 1) more accurate visual localization of the stick and proprioceptive localization of the finger and 2) reduced cross-coupling errors between finger and stick movements in orthogonal directions; i.e., finger movements in the anteroposterior plane became less coupled with stick tip movements in the mediolateral plane, and vice versa. Development of this fine motor skill therefore depended on perceptual and motor learning to provide improved estimation of sensorimotor state and precision of motor commands to an unchanging internal model of the rotational dynamics. [ABSTRACT FROM AUTHOR]

The article focuses on the coordinative structure of human walking and the outcomes of principal component analysis. Topics discussed include the body control mechanism, the pattern of multi-segment movement, and the use of dimension reduction technique to determine the structure of human walking with injury.