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This study examined the reliability and validity of the National College Health Risk Behavior Survey (NCHRBS) vigorous physical activity (VPA), moderate physical activity (MPA), flexibility (FLEX), and muscular strength and/or endurance (MSE) questions. Twenty college students completed the four items twice during the same day. During the next 7 days they wore an accelerometer and a pedometer during all waking hours. They also recorded their daily activity in a log. At the end of the week, subjects completed the NCHRBS physical activity items again. The intraclass correlation coefficients ranged from 0.94-0.99 for the four items. The vigorous item was highly correlated with log VPA (r=0.82) and number of days with [greater than or equal to] 29 minutes of VPA from the accelerometer (r=0.60). The flexibility item was moderately correlated (r=0.57) and the muscular strength and/or endurance item was highly correlated (r=0.89) with corresponding log activities. The moderate item was highly correlated with log MPA (r=0.66) and number of days with [greater than or equal to] 30 minutes of MPA from the accelerometer (r=0.61). In conclusion, the NCHRBS physical activity items have excellent test-retest reliability and validity indices similar to other self-report physical activity questions. (Contains 2 tables and 1 figure.)

Purpose: The present study aimed to investigate whether or not eccentric-only training induced different sex-related adaptations in vastus lateralis muscle architecture and knee extensors strength. Methods: Thirteen healthy women and 13 healthy men were recruited. Vastus lateralis pennation angle, fascicle length, and muscle thickness, as well as knee extensors eccentric, isometric, and concentric peak torque and one-repetition maximum (1RM) were measured. Both women and men underwent a unilateral iso-load knee-extension eccentric-only training with 120% of the concentric 1RM, consisting of 4 sets × 10 repetitions twice a week for a total of 8 weeks. Results: Pennation angle increased in women (+ 14%, 95% CI [10, 17], effect size [ES] = 1.54) but not in men (+ 5%, 95% CI [-1, 11], ES = 0.28), while fascicle length increased in both women (+ 7%, 95% CI [4, 10], ES = 1.02) and men (+ 12%, 95% CI [8, 16], ES = 1.82) and muscle thickness increased in women (+ 13%, 95% CI [8, 18], ES = 1.11) and men (+ 11%, 95% CI [7, 15], ES = 0.89). In both women and men, eccentric (18%, 95% CI [11, 25], ES = 0.96, and 16%, 95% CI [9, 22], ES = 0.82, respectively), isometric (17%, 95% CI [11, 23], ES = 0.53, and 17%, 95% CI [10, 24], ES = 0.62), concentric (12%, 95% CI [7, 16], ES = 0.49, and 9%, 95% CI [5, 13], ES = 0.42) peak torque and 1RM (10%, 95% CI [6, 14], ES = 0.53, and 10%, 95% CI [5, 15], ES = 0.50) similarly increased after the intervention. Conclusions: This study showed that the adaptations in strength are not sex-dependent, but the increases in pennation angle only in women suggest that the changes in muscle architecture may depend on sex.

Guidelines for improving maximal concentric strength through resistance training (RT) have traditionally included large muscle-group exercises, full ranges of motion, and a load approximating 85% of the 1-repetition maximum (1RM). Supramaximal eccentric training (SME; controlled lowering of loads above the concentric 1RM) has also been shown to be effective at increasing concentric 1RM in the lower body, but concerns regarding injury risk, postexercise soreness, and null benefit over traditional methods (TRAD) may limit the practical utility of this approach. Purpose: The purpose of this study was to determine whether SME elicits greater lower-body strength improvements than TRAD. Method: Key inclusion criteria were regular exercise modalities typical of nonspecialized exercise facilities (e.g., leg press; key exclusion: isokinetic dynamometer) and at least 6 weeks of RT exposure, leading to 5 studies included in the current meta-analysis. Unbiased effect-size measures that quantify the mean difference in lower-body 1RM between SME and TRAD were extracted. Results: Supramaximal eccentric training did not appear to be more effective than TRAD at increasing lower-body 1RM (ES[overbar] = 0.33, SE= 0.26, z = 1.26, 95% CI [-0.20, 0.79], p = 0.20, I[superscript 2] = 56.78%) under a random-effects model where between-study variance was estimated using maximum likelihood estimation ([tau] 2 = 0.25). Conclusion: The selection of SME over TRAD in RT programs designed to increase lower-body 1RM does not appear warranted in all populations. Further research should clarify the merit of periodic SME in TRAD-dominant RT programs as well as whether a differential effect exists in trained individuals.

Purpose: The purpose of this study was to investigate the acute effects of water-based aerobic exercises on the performance of water-based resistance exercises by assessing kinematic parameters during protocols and neuromuscular responses after them. Method: Ten women performed 2 water-based protocols (i.e., resistance and concurrent water-based exercises) on separate days. We evaluated isometric force and electromyographic signal (sEMG) before and after protocols and analyzed kinematic parameters during a water-based resistance exercise. Results: There was no significant difference between knee extension force production and sEMG from the vastus lateralis during the maximal voluntary contraction performed before and after the protocols. However, sEMG from the rectus femoris presented a significant difference between pretest and posttest measurements in both water-based protocols with greater values in the measurement after the end of the protocol (p = 0.046). The peak angular velocity of knee extension and mean angular velocity of knee extension and flexion showed similar values among the sets, with no difference between protocols. The peak angular velocity of knee flexion presented greater values in the water-based resistance exercises compared with the water-based concurrent protocol in the last set (p < 0.001). Conclusion: The main impairment induced by the water-based concurrent exercises was the lower peak angular velocity in the knee flexors compared with water-based resistance exercises alone.

Purpose: The purpose of this study was to determine the impact of adjunctive resistance training (RT) in aerobically trained patients with coronary artery disease on systolic blood pressure (SBP), heart rate (HR), rating of perceived exertion (RPE; using the traditional 6-to-20 scale), and rate-pressure product (RPP) responses to lifting fixed submaximal workloads. Additionally, pretest and posttest RT measures of brachial artery reactivity were obtained. Method: Fifteen patients with coronary artery disease (M[subscript age] = 66.1 ± 5.1 years) who were already performing regular aerobic exercise completed an adjunctive 12-week progressive RT program. Prior to and immediately after the training period, hemodynamic responses and RPE were obtained while participants performed one set of exercises including the bicep curl (BC), shoulder press (SP), and leg press (LP) at individually determined fixed submaximal loads, using ~ 60% to 80% of estimated maximal voluntary contraction. Vascular function was assessed by flow-mediated vasodilation (FMD) testing before and after training. Results: Attenuated hemodynamic and RPE responses for all variables were observed. Meaningful changes were attained for RPP ([HR × SBP] / 100) during BC (106 ± 27 mmHg × beats/min × 10[superscript -2] to 91 ± 22 mmHg × beats/min × 10[superscript -2], d = 0.6, p < 0.05) and SP (102 ± 24 mmHg × beats/min × 10[superscript -2] to 86 ± 17 mmHg × beats/min × 10[superscript -2], d = 0.8, p < 0.05). Rating of perceived exertion decreased significantly during all exercises (d ranging from 1.8 to 3.1, p < 0.05): BC (14.3 ± 2.6 to 9.7 ± 1.6), SP (13.9 ± 1.6 to 9.2 ± 1.5), and LP (14.3 ± 1.4 to 10.3 ± 1.6). Peak group FMD responses were 12.8% and 10.3% dilation at pretraining and posttraining, respectively (p > 0.05). Five of the 15 participants showed modest improvements in their posttraining time to achieve maximum dilation from a mean of 117 s to 81 s, although this change was not statistically significant (p > 0.05). Conclusion: Among aerobically trained cardiac patients, a supplemental RT program resulted in decreased hemodynamic and RPE responses to lifting fixed submaximal workloads.

Resistance training has become a preferred method for developing muscular strength among various populations. A variety of resistance training modes are available, but there are mixed outcomes regarding strength development among barbells, dumbbells, and weight machines. The purpose of this study was to investigate the differences in strength improvements between dumbbell and FreeMotion machine training. Twenty college-age females were randomly assigned into dumbbell or FreeMotion groups, but only 8 in the dumbbell group completed. Both groups followed a nearly identical progressive strength training program on each of their training modes for 8 weeks. Participants were tested on their one-repetition max (1-RM) on a barbell bench press and barbell back squat before and after the intervention program. A repeated measures ANOVA analysis compared 1-RM changes between groups, and effect sizes were calculated. Significant increases in strength improvements (p < 0.001) were observed for the dumbbell and FreeMotion groups, with moderate effect size for the 1-RM barbell bench press (d = 0.56) and a moderate to large effect size for the 1-RM barbell back squat (d = 0.73). There was no Group × Time interaction for the strength tests (p = 0.201 for 1-RM barbell bench press and p = 0.816 for the 1-RM barbell back squat, respectively). Dumbbells and FreeMotion machines were equally effective in improving strength in college-age females. The findings add to the literature on FreeMotion machines and benefit novice resistance trainers, physical educators, and fitness professionals. The study should be replicated with additional populations.

Background: Myotonic dystrophy type 1 (DM1) is a slowly progressive multi-systemic disease with an autosomal-dominant inheritance caused by a mutation on chromosome 19 (19q13.3). Aims: To explore speech characteristics in a group of individuals with the congenital and childhood-onset forms of DM1 in terms of intelligibility, speech-sound production, nasality and compensatory articulation. A further aim was to analyse whether speech characteristics were correlated to subforms of DM1 and if speech outcome could be related to muscle strength. Methods & Procedures: Fifty native Swedish speakers (7-29 years old) with the congenital and childhood-onset forms of DM1 and 13 healthy controls participated in the study. The intelligibility of spontaneous speech, speech-sound production--single-word and sentence repetition--including percentage consonants correct (PCC) and compensatory articulation, were evaluated by speech-language pathologists from video recordings. A nasometer and lip-force meter were used for objective evaluations of nasality and orofacial strength. Outcomes & Results: In severe (n = 9) and mild congenital DM1 (n = 13), all participants had impaired intelligibility to some degree, while this applied to 79% of those with childhood DM1 (n = 28). PCC for bilabials were 53.9% in severe congenital DM1, 57.4% in mild congenital DM1 and 85.3% in childhood DM1; the corresponding results for dentals were 69.3%, 59.2% and 87.3%. Bilabials were most often compensated for with interdental or labiodental articulation. Dentals were substituted with interdental articulation. Velars were seldom affected. The mean nasalance score was high in the study group compared with controls and with normative data and the majority had weak lips. Maximum lip force, as well as the mean nasalance score, correlated significantly with the intelligibility score. Conclusions & Implications: The deviant production of bilabial consonants, interdental articulation and hypernasal speech are characteristic features of dysarthria in congenital and childhood DM1. Dysarthria is more frequent and more severe in congenital DM1 compared with childhood DM1. Most individuals with congenital DM1 and childhood-onset DM1 will need speech therapy from a young age. For some children with incomprehensible speech or severe neurodevelopmental disorders, alternative and augmentative ways of communication will be part of the treatment.

Purpose: The purpose of this research was to determine whether university students who participated in conceptually based physical education (CPE) would achieve greater positive improvements in their physical fitness level, compared to students in traditional activity- and skills-based physical education (ASPE). Method: This was a pilot study based on an experimental design consisting of 2 intervention groups of CPE (n = 27) and ASPE (n = 29) students who were required to participate in fitness preassessments and postassessments scheduled accordingly during the semester at a medium-sized Midwestern university in the United States. Results: Descriptive and paired samples t test analyses indicated that all students made physical fitness improvements; however, no significant between-group differences were found based on ANOVA analysis. Conclusion: Most of the students showed gains in physical fitness; as a result, students benefited from participating in both types of physical education courses. There is a need for physical education in colleges and universities, and whether in the form of CPE or ASPE, these courses will benefit all students. CPE courses will merely extend further opportunity for the cultivation of physical and health education, as well as potentially improve motivation, attitudes, and behaviors toward exercise during the semester of course enrollment and beyond.

Objective: To determine the influence of health-related fitness on cardiometabolic risk factors in college students. Participants: 75 traditional students (33 men and 42 women, 21.8±1.8 years old) at a university in southeastern U.S. Methods: Height, weight, waist circumference, body composition, blood pressure, lipids, glucose, insulin, c-reactive protein, and glucose tolerance were measured. Indices of insulin sensitivity were calculated. Aerobic and muscular fitness were measured. Regression and correlation analyses, and comparisons of cardiometabolic markers in low- vs high-fit participants were performed. Results: Men and women with low muscular fitness exhibited higher fasting insulin, and poorer insulin sensitivity index scores than those with high muscular fitness. In addition, women with high body fat percentage exhibited higher fasting and 2-hour insulin levels and lower insulin sensitivity index scores than those with low body fat percentages. Conclusions: College students possessing low levels of health-related physical fitness exhibited less favorable cardiometabolic risk profiles.

Purpose: An advanced system for the assessment of climbing-specific performance was developed and used to: (a) investigate the effect of arm fixation (AF) on construct validity evidence and reliability of climbing-specific finger-strength measurement; (b) assess reliability of finger-strength and endurance measurements; and (c) evaluate the relationship between finger flexor all-out test scores and climbing ability. Methods: To determine the effect of AF, 22 male climbers performed 2 maximal strength and all-out tests with AF (shoulder and elbow flexed at 90 degrees) and without AF (shoulder flexed at 180 degrees and elbow fully extended). To determine reliability, 9 male climbers completed 2 maximal strength tests with and without AF and an all-out and intermittent test without AF. Results: The maximal strength test without AF more strongly determined climbing ability than the test with AF (r[superscript 2] = 0.48 and r[superscript 2] = 0.42 for sport climbing; r[superscript 2] = 0.66 and r[superscript 2] = 0.42 for bouldering, respectively). Force and time variables were highly reliable; the rate of force development and fatigue index had moderate and low reliability. The maximal strength test with AF provided slightly higher reliability than without AF (intraclass correlation coefficient [ICC] = 0.94, ICC = 0.88, respectively). However, smaller maximal forces were achieved during AF (484 ± 112 N) than without AF (546 ± 132 N). All-out test average force had sufficiently high reliability (ICC = 0.92) and a relationship to sport climbing (r[superscript 2] = 0.42) and bouldering ability (r[superscript 2] = 0.58). Conclusion: Finger strength and endurance measurements provided sufficient construct validity evidence and high reliability for time and force parameters. Arm fixation provides more reliable results; however, the position without AF is recommended as it is more related to climbing ability.

The study of human anatomy is an integral component in the education of future occupational therapists, yet there is a paucity of research that explores the anatomy needs of students and new practitioners. As a follow up from a pilot study that surveyed a small cohort of practicing therapists, this article aimed to determine occupational therapy (OT) practitioners' views on anatomy course structure and content deemed important to include in OT curricula, entry level practitioners' anatomy knowledge, and application of anatomy in current practice. A Likert scale and free text questionnaire was distributed to practicing occupational therapists across the United States. Fifty-four percent of the participants in this cohort favored a standalone course, as compared to 94% in the pilot study group. Anatomy course content areas were comparable across groups. Systems identified as essential to cover in an OT anatomy course included skeletal, muscular, and nervous. Regions included the upper limb, thorax/trunk, head and neck, and lower limb. Seventy percent of participants in both groups felt that entry-level practitioners had adequate anatomy knowledge; 30% did not. Practice areas requiring anatomy knowledge included assessment of joint movement, muscle strength, pain, and functional mobility. Qualitative analysis of free text response data revealed the importance of anatomy knowledge in OT assessment and intervention strategies, determining the impact of injury or disease on occupational performance, client safety, and communication with other health care professionals and families.

Objective: The objective of the present study was to determine how 3-month recreative exercises affect the balance performance of individuals with intellectual disability (ID) and to evaluate the electromyogram (EMG) changes following exercises. Methods: Eleven individuals (M=14.18, S.D=1.94) with mild intellectual disability (MID) who attend the school for children with ID and to the vocational school were included in the study. In the study, the subjects were applied a recreative exercise program (60 min/3 days/12 weeks) and their balance, EMG, and aerobic and anaerobic performances were evaluated by means of the pretest-posttest model. Results: When the EMG values in our study were examined, differences were found in terms of EMG[subscript 3]-VL muscle variable (P=0.075/2=0.038), EMG[subscript 3]-RF muscle variable (P=0.080/2=0.040), and EMG[subscript 5]-RF muscle variable (P=0.066/2=0.033). The exercise program decreased the EMG values significantly. When the balance scores were evaluated, significant differences were found in terms of the variables of Balance 2 (after 30 s) (P=0.077/2=0.039) and Balance 3 (after 3 min) (P=0.084/2=0.042). The exercise program significantly decreased the balance values. Conclusion: Consequently, it was determined that 3-month recreative exercises applied to individuals with ID lowered the EMG and Balance values during and after the exercise. In this context, it is thought that the people working with the children with MID need to consider the parameters constituting the balance in a detailed way in their exercise practices and to include activities improving their balance skills into their programs, and that recreative exercises can also provide contribution in this term.

Objectives: Upper limb motor dysfunction often occurs in individuals with intellectual disabilities, affecting their daily self-care abilities and employability. Therefore, enhancing their upper limb motor function could improve the quality of life. This study investigated the impact of Frisbee game course on the upper limb motor function of students with intellectual disabilities. Methods: A self-designed Frisbee game course was made available to 10 senior vocational students with moderate to severe intellectual disabilities in a special school in New Taipei City, Taiwan. The students participated 40 min each time, 4 times a week, for 6 weeks. Pre and post-test functional capacity and Frisbee throwing distance were measured. Descriptive statistics and paired-sample t-test were performed for the data analysis. Results: Frisbee game course improved the lifting capacity, significantly improved the grip strength (dominant hand), upper limb power, hand-eye coordination, and gross and fine hand motor skills of students with intellectual disabilities. Conclusion: Frisbee game course can improve upper limb muscle strength, power, coordination ability, and dexterity. Schools should implement Frisbee game courses and ensure their availability in the health and physical education of students with intellectual disabilities to enhance their upper limb motor function, employability, and vocational adaptability, thus improving their quality of life.

Purpose: This study explored the effect of whole-body vibration (WBV) using accelerations of 2.56 "g" to 7.68 "g" on lower-body detraining. Methods: All participants (N = 20) were trained using a lower-body resistance-training program for 30 min twice per week from Week 0 to Week 6. At the end of the program, they were randomly assigned to a control group that performed no further training or a WBV group that performed a progressive static WBV program. Data for the 5-repetition-maximum (5RM) squat and extensors and flexors of the knee and ankle were collected at Weeks 0, 6, 8, 10, and 12 for all participants. Results: Two-way (condition vs. time) analysis of variance revealed that although the WBV group maintained strength in the 5RM from Week 6 through Week 8 and the control group had a lower 5RM in Week 8 from Week 6, no differences in the 5RM squat existed between the groups at Week 8. Two-way factorial multivariate analysis of variance revealed no differences between the groups at any of the time for torque of knee flexion, dorsiflexion, or plantar flexion. Conclusion: Static WBV of 2.56 "g" to 7.68 "g" did not attenuate detraining of the flexors and extensors of the knee and ankle.

Background: Structured exercise has shown to improve parameters of functional fitness in adults with Down syndrome (DS). However, few, if any, continue to exercise after exercise intervention studies. Consequently, the purpose of this study was to determine the effects of detraining on anthropometry, aerobic capacity and functional ability of adults with DS. Methods: In a previous study, forty-two participants either performed 12 weeks of interval training, continuous aerobic training or no training (CON). After 3 months of detraining, the same participants were tested again for anthropometry, aerobic capacity, leg strength and functional ability. Results: Significant reductions in maximal aerobic capacity, time to exhaustion and both functional test items were reported for both exercise groups compared to CON (p < 0.05). No significant differences were reported between the exercise groups concerning aerobic and functional capacity reductions. Conclusion: Detraining occurred significantly in both exercise groups regarding parameters associated with aerobic and functional capacity.

The aim of this study was to clarify the intra- and inter-rater reliability of the rate of force development in hip abductor muscle force measurements using a hand-held dynamometer. Thirty healthy adults were separately assessed by two independent raters on two separate days. Rate of force development was calculated from the slope of the force-time curve that was divided into four time intervals (50, 100, 200, and 300 ms). The highest values of the three trials were used for statistical analysis. The intra-class correlation coefficient with a 95% confidence interval, standard error of measurement, and minimal detectable change at the 95% confidence level were calculated for each interval. For assessment of systematic error, Bland-Altman analysis was used. The results indicated that intra- and inter-rater reliability of the highest values at all intervals were sufficient (intra-class correlation coefficient > 0.7). The Bland-Altman analysis did not show systematic error in either reliability measure.

The purpose of this study was to analyze the kinematic variables that determine the performance of the standing long jump in children 6- to 12-years-old. There were 121 healthy children (58 girls) recorded while they performed the standing long jump test. All kinematic variables showed a significant correlation with calculated jump distance and measured jump distance, except for the knee joint angle at maximum shoulder extension angle, ankle joint angle at maximum shoulder extension angle, and shoulder joint angle at maximum knee flexion angle. Stepwise multiple regression analysis showed that sex, age, and body mass index accounted for 51.1% of the jump distance variance. Among all the kinematic variables, take-off distance and take-off speed were accounted for the most of the variation in the jump distance. Physical education teachers and coaches should consider special attention to these anthropometrics and kinematic aspects in improving the standing long jump performance in children.

This study examined the predictive ability of the medicine ball chest throw and vertical jump for muscular strength and power in adolescents. One hundred and ninety adolescents participated in this study. Participants performed trials of the medicine ball chest throw and vertical jump, with vertical jump peak power calculated via an estimation equation. One-repetition maximum and peak power for the chest press and leg press were assessed using pneumatic exercise machines. The medicine ball chest throw strongly correlated with chest press one-repetition maximum and peak power, while the vertical jump peak power strongly correlated with leg press one-repetition maximum and peak power. The predictive ability of medicine ball chest throw was better than vertical jump peak power for muscular strength and power when controlling for sex, age, height, weight, and maturation, and was not affected by involvement in sports. Results show good predictive ability of the medicine ball chest throw for muscular strength and power in adolescents, while predictable ability of vertical jump peak power is weakened when other factors are taken into account.

Purpose: The ability to generate tongue pressure plays a major role in bolus transport in swallowing. In studies of motor control, stability or variability of movement is a feature that changes with age, disease, task complexity, and perturbation. In this study, we explored whether age and tongue strength influence the stability of the tongue pressure generation pattern during isometric and swallowing tasks in healthy volunteers. Method: Tongue pressure data, collected using the Iowa Oral Performance Instrument, were analyzed from 84 participants in sex-balanced and decade age-group strata. Tasks included maximum anterior and posterior isometric pressures and regular-effort saliva swallows. The cyclic spatiotemporal index (cSTI) was used to capture stability (vs. variability) in patterns of pressure generation. Mixed-model repeated measures analyses of covariance were performed separately for each task (anterior and posterior isometric pressures, saliva swallows) with between-participant factors of age group and sex, a within-participant factor of task repetition, and a continuous covariate of tongue strength. Results: Neither age group nor sex effects were found. There was no significant relationship between tongue strength and the cSTI on the anterior isometric tongue pressure task (r = -0.11). For the posterior isometric tongue pressure task, a significant negative correlation (r = -0.395) was found between tongue strength and the cSTI. The opposite pattern of a significant positive correlation (r = 0.29) between tongue strength and the cSTI was seen for the saliva swallow task. Conclusions: Tongue pressure generation patterns appear highly stable across repeated maximum isometric and saliva swallow tasks, despite advancing age. Greater pattern variability is seen with weaker posterior isometric pressures. Overall, saliva swallows had the lowest pressure amplitudes and highest pressure pattern variability as measured by the cSTI.

This study examined the effectiveness of a brief theory-based intervention on muscular strength among adolescents in a physical education setting. The intervention adopted a process-based mental simulation technique. The self-reported frequency of practising for and actual levels of abdominal muscular strength/endurance as one component of health-related physical fitness was targeted. Adolescents aged 16-19 years (n = 105) from nine classes were cluster-randomly assigned to experimental, mere-measurement control, and no-measurement control groups. All participants performed the one-minute sit-up test at baseline and four weeks later to measure their abdominal muscular strength/endurance. In the middle of the four-week period, participants allocated to the experimental group mentally simulated the process (i.e. practising) for doing better on the follow-up test relative to the baseline. Results revealed a significant effect of the process mental simulation on test performance at follow-up, but no effect on self-reported frequency of practising for the follow-up test. There was no evidence for the mediation of the effect of process mental simulation on test performance by planning, motivation, or anxiety variables. Results supported the effectiveness of the process mental simulation intervention in enhancing muscular strength among adolescents in a physical education setting, but not in promoting frequency of practise. The latter may be due to the process mental simulation not increasing the frequency but rather the quality of practising. This knowledge could help physical education teachers to facilitate adolescents' endeavours in improving their muscular strength as one component of health-related physical fitness.

This pilot project aimed to demonstrate the efficacy and feasibility of an innovative physical education programme, referred to as a health club (HC) approach, in a high school setting. We measured adolescent girls' moderate to vigorous physical activity (MVPA), components of health-related physical fitness, and perceptions about themselves and physical activity (PA) during a 14-week programme. The HC approach produced high levels of MVPA. Pre/post physical fitness testing variables included height, weight, body mass index, waist measurement, sit and reach, grip strength, push-ups, sit-ups and a 10-minute walk test. Significant differences were found in participants' flexibility and cardiovascular fitness at the conclusion of the 14-week programme. Participants reported greater perceived control over their PA, improvements in their physical self-concept across several domains, more positive feelings about appearance and strength and more positive global statements about their physical selves at post-test. The results of this study suggest that the HC approach is a promising approach that deserves further study.

Duchenne muscular dystrophy is a progressive muscle-wasting condition that only affects boys, most use a wheelchair by the age of 12 and increasing levels of support and medical intervention are needed as they mature into young adulthood. Medical research is working to find treatments and an eventual cure for Duchenne muscular dystrophy, and this research can require the participation of those with the condition. Therefore, boys and young men who have Duchenne muscular dystrophy were invited to discuss their thoughts on how they might make a decision to take part in medical research, and to explore issues impacting their daily lives. Their accounts highlight experiences of agency and contextualised competence, challenging assumptions of vulnerability and immaturity in those who are young and severely disabled. The findings, based on fieldwork in England, enrich understandings of how such lives have meaning, wherein agency, independence and decision-making capabilities are present and exercised, albeit in ways that may be different to 'mainstream' notions of the terms.

Physical fitness is an important marker for health. In this study we investigated the feasibility and reliability of health-related physical fitness tests in children with moderate to severe levels of intellectual disability. Thirty-nine children (2-18 yrs) performed tests for muscular strength and endurance, the modified 6-minute walk test (6mwt) for cardiorespiratory fitness, and body composition tests, and 30-97% of the tests were successfully completed. Short-term test-retest reliability of all tests was good (Intraclass Correlation Coefficient [ICC] > 0.8), long-term test-retest reliability was good for most tests (ICC > 0.7), but low ICCs were found for most strength tests. Measuring body composition and cardiorespiratory fitness is feasible and reliable. Measuring muscle endurance is fairly feasible and reliable.

Background: People with Down syndrome (DS) usually display reduced physical fitness (aerobic capacity, muscle strength and abnormal body composition), motor proficiency impairments (balance and postural control) and physical functional limitations. Exergames can be an appealing alternative to enhance exercise engagement and compliance, whilst improving physical fitness and motor function. This study aims to analyse the effects of a Wii-based exercise program on physical fitness, functional mobility and motor proficiency of adults with DS. Methods: Twenty-seven adults with DS were randomly allocated to an experimental group (Wii; n = 14) or control group (n = 13). Participants in the experimental group completed a 2-month Wii-based exercise program, with three 1-h sessions per week that included training games for aerobic endurance, balance and isometric strength. Participants completed assessments regarding anthropometric measures, physical fitness, functional mobility and motor proficiency. Results: Mixed ANOVA analysis showed a significant group by time interaction for aerobic endurance, explosive leg power and flexibility. Independent samples t-test for change scores indicated significant between-group differences favouring the experimental group regarding speed of limb movement, trunk strength and functional mobility, as well as a trend towards significance on body weight. Mann-Whitney's "U" test for change scores demonstrated between-group differences favouring the experimental group for visceral fat as well as running speed and agility. Large within-group effect sizes were observed for explosive leg power (d = 1.691), body weight (d = 1.281), functional mobility (d = 1.218), aerobic endurance (d = 1.020), speed of limb movement (d = 0.867) and flexibility (d = 0.818) in the experimental group. Conclusions: Our findings suggest that Wii-based exercise can be an effective tool to improve physical fitness, functional mobility and motor proficiency of adults with DS, including crucial measures such as aerobic capacity and lower limb strength. Exergames using Wii Fit or other equipment can be appealing alternatives for adults with DS to engage in regular physical activity, preventing sedentary behaviour and decreasing the risk to develop cardiovascular diseases.

Many individuals with autism spectrum disorder (ASD) exhibit motor difficulties, but it is unknown whether manual motor skills improve, plateau, or decline in ASD in the transition from childhood into adulthood. Atypical development of manual motor skills could impact the ability to learn and perform daily activities across the life span. This study examined longitudinal grip strength and finger tapping development in individuals with ASD (n = 90) compared to individuals with typical development (n = 56), ages 5 to 40 years old. We further examined manual motor performance as a possible correlate of current and future daily living skills. The group with ASD demonstrated atypical motor development, characterized by similar performance during childhood but increasingly poorer performance from adolescence into adulthood. Grip strength was correlated with current adaptive daily living skills, and Time 1 grip strength predicted daily living skills eight years into the future. These results suggest that individuals with ASD may experience increasingly more pronounced motor difficulties from adolescence into adulthood and that manual motor performance in ASD is related to adaptive daily living skills.

Purpose: Intrinsic laryngeal skeletal muscle bioenergetics, the means by which muscles produce fuel for muscle metabolism, is an understudied aspect of laryngeal physiology with direct implications for voice habilitation and rehabilitation. The purpose of this review is to describe bioenergetic pathways identified in limb skeletal muscle and introduce bioenergetic physiology as a necessary parameter for theoretical models of laryngeal skeletal muscle function. Method: A comprehensive review of the human intrinsic laryngeal skeletal muscle physiology literature was conducted. Findings regarding intrinsic laryngeal muscle fiber complement and muscle metabolism in human models are summarized and exercise physiology methodology is applied to identify probable bioenergetic pathways used for voice function. Results: Intrinsic laryngeal skeletal muscle fibers described in human models support the fast, high-intensity physiological requirements of these muscles for biological functions of airway protection. Inclusion of muscle bioenergetic constructs in theoretical modeling of voice training, detraining, fatigue, and voice loading have been limited. Conclusions: Muscle bioenergetics, a key component for muscle training, detraining, and fatigue models in exercise science, is a little-considered aspect of intrinsic laryngeal skeletal muscle physiology. Partnered with knowledge of occupation-specific voice requirements, application of bioenergetics may inform novel considerations for voice habilitation and rehabilitation.

Carrying, lifting, and turning chairs improve learning activities in schools, which leads to higher quality education. However, it has been shown that elementary school chairs in Indonesia are too heavy for children aged 6 to 9 to easily lift and carry. The present study aimed to investigate children's methods of carrying chairs as well as lifting and turning them onto desks. Forty-two children (aged 6-9), including 17 Indonesians (6 boys, 11 girls) and 25 Japanese (12 boys, 13 girls), participated in the study. The experiment used three elementary school chairs (one Indonesian, two Japanese) and two desk types (standard and tall). The most popular method for carrying a chair was to carry it in front of the body with the chair in a lateral position (75%). In all carrying methods, participants showed a preference for grasping two particular points to hold the chair. Children lifted and turned chairs most successfully when they used this popular grasping pattern. The carrying method and the popular grasping pattern for carrying, lifting, and turning chairs need to be considered when redesigning heavy Indonesian elementary school chairs to improve the ease of transport without decreasing the weight.

Effective coaches have the ability to recognize and use their athletes' strengths while at the same time finding ways to improve their weaknesses. An essential part of coaching effectiveness and expertise is a coach's ability to be introspective and reflective with an "open mind" that allows him or her to critically look back at past experiences, recognize weaknesses, and revise techniques when necessary. This article presents eight concepts of open mindedness that can help a coach to develop expertise.

Purpose: Research indicates that delayed motor development observed in the first years of life can be prevented through compensatory intervention programmes that provide proper care during this critical period of child development. Method: This study analysed the impact of a 12-week compensatory motor intervention programme on 32 babies with atypical motor development, characterising and correlating risk factors for developmental delays between the ages of 6 and 8 months. We conducted play activities that involved muscle stretching, improving muscle tone, sight and sound tracking, posture control in different situations, handling objects and movement. The aim was to allow babies to experience new movement situations and overcome challenges. Results: The results showed significant improvements in motor performance, reinforcing the positive effects of a contextualised approach that addresses the needs of developing children, as opposed to focusing solely on acquiring specific skills in early childhood.

Power has long been considered to be a skill-related fitness component. However, based on recent evidence, a strong case can be made for the classification of power as a health-related fitness component. Additionally, the evidence indicates that performing physical activities that build power is associated with the healthy development of bones (e.g., enhanced bone mass and architecture, reduced fracture risk) and muscles. Tests of power are good proxy measures for bone health, and the evidence provides support for including measures of power in health-related fitness test batteries for youth. The current research literature also supports the inclusion of physical activities that build power in school physical education and athletic programs, community programs, and programs for adults, including older adults.

The new SHAPE America standards and grade level outcomes for high-school physical education focus exclusively on physical activities that are suitable for lifelong participation. Some of the fastest-growing physical activities for adults in the United States are non-traditional multi-sport events and obstacle course races. As "Healthy People 2020" emphasizes the importance of enhancing aerobic physical activity and muscle-strengthening activities among youth, and ASCD recently launched the new Whole Child Model with a heightened focus on the social and emotional climate in schools, obstacle course training has potential for aligning closely with both of these initiatives while meeting the SHAPE America physical education standards for grades 9-12. This article examines the potential of including obstacle course training in the physical education curriculum to provide youth with relevant physical activity experiences that promote social health and coincide with popular fitness events currently happening in the communities in which they live.

Objective: To examine the relations of sex, exercise self-efficacy, outcome expectations, and social support with meeting physical activity guidelines (PAGs). Participants: Three hundred ninety-six college students participated in this study in the summer 2013. Methods: Students completed online questionnaires that assessed physical activity behaviors and psychosocial factors (i.e., self-efficacy, outcome expectancies, and social support). Students' physical activity profile was categorized as meeting no PAGs, meeting aerobic PAGs only, meeting muscle-strengthening PAGs only, or meeting both PAGs. Results: A multinomial logistic regression revealed that students' sex and psychosocial factors significantly affected the odds of meeting any and all PAGs. Sex significantly moderated the relationship between outcome expectancy and meeting aerobic PAGs and between outcome expectancy meeting muscle-strengthening PAGs. Conclusions: Results indicate that interventions designed to increase psychosocial factors may increase the likelihood of students meeting any and all PAGs. Social support may be especially beneficial for increasing muscle-strengthening activity.

Purpose: Conceptual physical education (CPE) classes have been widely offered to promote a healthy lifestyle in higher education settings. The purpose of this paper is to examine the effects of a CPE course on health-related fitness (HRF) levels among college freshmen. Design/methodology/approach: A pre- and post-test research design was used. In total, 50 freshmen in a US university were enrolled in a 13-week CPE course. Their HRF levels were assessed by the Fitnessgram at the beginning and the end of the course. Findings: Students significantly enhanced their aerobic capacity, upper-body muscle strength and endurance, abdominal muscle strength and endurance, and decreased body fat percentage. No significant improvement in flexibility was found among the total sample. However, non-kinesiology students significantly enhanced their flexibility while the opposite trend was found among kinesiology students. Female students reduced more body fat percentage, while male students increased their aerobic capacity more rapidly than their female counterparts. Practical implications: The CPE course could yield significant improvement in HRF among freshmen, regardless of sex or major. Universities may consider offering CPE courses for all students and mandate such courses as a degree requirement. Originality/value: This empirical study investigated HRF level changes that occurred after a CPE course intervention among college freshmen. Sex and major difference in HRF changes were revealed. The interventions included in the CPE course could help improve freshmen's HRF levels in future intervention programs in a similar setting.

In posing the question in our title, we have set ourselves the task of trying to understand why so little scholarly scrutiny and questioning of "Fitnessgram"--a product designed to assist in the school-based physical fitness testing of young people--exists in the country of its origin and then consider the implications of this silence. We begin our interrogation by offering a broad definition of "critical scholarship". We then briefly describe the contemporary landscape of physical education research and its preoccupation with an instrumental and applied approach to scholarship that seems limited to questions about "what works" in schools. Following this overview we discuss the scholarship of "Fitnessgram". Our analysis focuses on the increasing influence of various webs of connection between academics, professional organizations, corporations, funding agencies and publishing outlets. To substantiate the claims we make, we offer some examples from the recent history of abstracts accepted for presentation at prominent national conferences and discuss the contents of leading United States health and physical education journals. The overwhelming apparent message emanating from these scholarly outlets is that school and university personnel should simply fall into line with the mandates of government and public health advocates when it comes to the implementation of "Fitnessgram". Our review reveals that the "Fitnessgram" literature suffers from a lack of counter-balancing scepticism particularly when it comes to the interpretation of research findings. As we will argue, virtually no critical scholarship of any kind exists on the use of "Fitnessgram", a remarkable situation given recent public policy developments that call for its expanded adoption in United States schools.