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Rapid acceleration is an important quality for field-based sport athletes. Technical factors contribute to acceleration and these can be deliberately influenced by coaches through implementation of constraints, which afford particular coordinative states or induce variability generally. Lightweight wearable resistance is an emerging training tool, which can act as a constraint on acceleration. At present, however, the effects on whole body coordination resulting from wearable resistance application are unknown. To better understand these effects, five male Australian Rules football athletes performed a series of 20 m sprints with either relatively light or heavy wearable resistance applied to the anterior or posterior aspects of the thighs or shanks. Whole body coordination during early acceleration was examined across eight wearable resistance conditions and compared with baseline (unresisted) acceleration coordination using group- and individual-level hierarchical cluster analysis. Self-organising maps and a joint-level distance matrix were used to further investigate specific kinematic changes in conditions where coordination differed most from baseline. Across the group, relatively heavy wearable resistance applied to the thighs resulted in the greatest difference to whole body coordination compared with baseline acceleration. On average, heavy posterior thigh wearable resistance led to altered pelvic position and greater hip extension, while heavy anterior thigh wearable resistance led to accentuated movement at the shoulders in the transverse and sagittal planes. These findings offer a useful starting point for coaches seeking to use wearable resistance to promote adoption of greater hip extension or upper body contribution during acceleration. Importantly, individuals varied in how they responded to heavy thigh wearable resistance, which coaches should be mindful of., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Trounson et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

Background: Tongue-strengthening exercises may be used at home to strengthen swallowing-related oropharyngeal muscles in community-dwelling older adults with sarcopenic dysphagia; however, evidence of their effectiveness remains unclear., Objective: This study aimed to investigate the effects of a home-based tongue-strengthening exercise (hTSE) using portable tool on swallowing-related oropharyngeal muscles in community-dwelling older adults with sarcopenic dysphagia., Methods: Forth community-dwelling older adults with sarcopenic dysphagia were enrolled in the study. The participants were randomly assigned to the experimental and control groups. 1-Repetition Maximum (1-RM) of tongue muscle was measured in the experimental group using the Iowa Oral Performance Instrument, and hTSE was performed using a portable tool with an intensity corresponding to approximately 70%-80% of the range based on the 1-RM value (90 times/day, 5 days/week, for 8 weeks). The control group did not perform any tongue exercises. The primary outcome measures were tongue strength and thickness. The secondary outcome measure was suprahyoid muscle strength (digastric and mylohyoid muscles)., Results: The experimental group showed significantly greater increases in suprahyoid muscle (mylohyoid and digastric) thickness (p = .01 and .011, d = 1.0 and .55), as well as tongue strength and thickness (p < .001 and .029, d = 2.2 and .6) than the control group., Conclusion: This study confirmed that hTSE using a portable tool is effective in increasing swallowing-related oropharyngeal muscle activity in older adults with sarcopenic dysphagia. Therefore, hTSE is recommended as an inexpensive, safe, and easy-to-use therapy for sarcopenic dysphagia in older adults., (© 2024 John Wiley & Sons Ltd.)

This study aimed to determine the validity and between-day reliability of the mean velocity (MV), peak velocity (PV), mean power (MP), and peak power (PP) provided by the Vitruve linear position transducer at different submaximal loads in the free-weight and Smith machine back squat using GymAware as a reference point. Fourteen male sports science students (free-weight back squat one-repetition maximum [1RM]: 132.5 ± 28.5 kg, Smith machine back squat 1RM: 163.9 ± 30.4 kg) performed six experimental sessions, twice per week with 72 hours of rest. The first two included the assessment of the 1RM of both exercises. In the four remaining, both linear position transducers were simultaneously used to record MV, PV, MP, PP of each repetition during an incremental load test (i.e., 20, 40, 60, 80, 90% 1RM) with three minutes of rest between sets. Vitruve displayed both fixed and proportional bias for certain relative loads across all variables. Vitruve did not meet the validity criteria for all (MV, PP) or at least two (MP, PV) relative loads (Coefficient of variation [CV] > 10%; Pearson correlation < 0.70; Effect size > 0.60). MV, PV, MP, and PP recorded by Vitruve displayed acceptable reliability (CV < 10%) with superior reliability observed during a Smith Machine compared to free-weight back squat, and for velocity compared to power variables. Considering GymAware as a reference point, Vitruve was not valid for measuring velocity and power outcomes. Acceptable validity was observed only for PV in the Smith machine back squat, while the other variables-regardless of relative loads and exercise modes-were mostly inaccurate. All variables demonstrated acceptable reliability, with greater reliability noted in the Smith machine compared to the free-weight back squat exercise mode., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Ruiz-Alias et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

The current study aimed to analyze the validity and reliability of the T-Force and Chronojump systems to measure the movement velocity in the leg press (LP) and chest press (CP) exercises in older people. Eighteen older adults (6 men and 12 women, 79.9 ± 8.5 years) performed a set of procedures over three weeks: (i) the first week was to familiarize participants with the testing procedures, (ii) the second was to perform a progressive loading test until reaching one-repetition maximum (1RM) in the LP and CP, and (iii) in the third week, participants performed three repetitions against five loads (40, 50, 60, 70, and 80% of 1RM). The mean velocity of each repetition was recorded simultaneously through the T-Force and Chronojump devices. Linear regressions (coefficient of determination [r 2 ] and standard error of the estimate [SEE]) analyzed the inter-device validity, and Bland-Altman plots illustrated the systematic differences between devices. A mixed-effects model estimated the mean velocity differences between devices. The relative reliability was analyzed by the intra-class correlation coefficient (ICC[1,k]), while the absolute reliability was by the standard error of measurement (SEM) and the coefficient of variation (CV). The results showed that the T-Force and Chronojump presented a high association level in measuring mean velocity in the LP and CP (r 2 range: 0.96-0.99; SEE range: 0.01-0.02 m·s - 1 ) and low systematic bias (0.02-0.03 m·s - 1 ). The mean velocity values of T-Force were significantly higher than Chronojump only for 40% 1RM (p = 0.04). Excellent reliability inter-device (ICC range: 0.95-0.98; CV range: 1.7-3.2%) and intra-device (ICC range: 0.90-0.97; CV range: 3.4-6.5%) was observed. This study shows that the T-Force and Chronojump systems are valid and reliable for measuring movement velocity in the CP and LP machines when used by older adults., (© 2024. The Author(s).)

This study aimed to investigate the acute effects of lower limb wearable resistance on maximal horizontal deceleration biomechanics, across two different assessments. Twenty recreationally trained team sport athletes performed acceleration to deceleration assessments (ADA), and 5-0-5 change of direction (COD) tests across three load conditions (unloaded, 2% of BW, 4% of body weight (BW)), with load attached to the anterior and posterior thighs and shanks. Linear mixed effect models with participant ID as the random effect, and load condition as the fixed effect were used to study load-specific biomechanical differences in deceleration mechanics across both tests. Primary study findings indicate that for the ADA, in the 4% BW condition, participants exhibited significantly greater degrees of Avg Approach Momentum, as well as significant reductions in deceleration phase center of mass (COM) drop, and Avg Brake Step ground contact deceleration (GCD) in both the 2% BW, and 4% BW condition, compared to the unloaded condition. In the 5-0-5 tests, participants experienced significant reductions in Avg Approach Velocity, Avg deceleration (DEC), and Stopping Time in the 4% BW condition compared to the unloaded condition. Similar to the ADA test, participants also experienced significant reductions in Avg Brake Step GCD in both the 2% BW and 4% BW conditions, and significant increases in Avg Approach Momentum in the 4% BW condition, compared to the unloaded condition. Therefore, findings suggest that based on the test, and metric of interest, the addition of lower limb wearable resistance led to acute differences in maximal horizontal deceleration biomechanics. However, future investigations are warranted to further explore if the use of lower limb wearable resistance could present as an effective training tool in enhancing athlete's horizontal deceleration and change of direction performance., Competing Interests: There are no conflicts of interest to report for any of the authors., (Copyright: © 2024 Philipp et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

This study investigated how equipment and sex affect the prediction accuracy of the maximum number of repetitions performed to failure (RTF) using the fastest mean velocity of the set (MV fastest ). Sixteen men and twelve women completed four sessions (two using free-weight equipment and two sessions using the Smith machine). Each session involved three sets of repetitions to failure against the 65%, 75%, and 85% of the one-repetition maximum, interspersed by 10-min of rest. The goodness-of-fit of the individualized RTF-MV fastest relationships was comparable between both equipment types and sexes ( P ≥0.510). Moreover, there were not significant differences in the MV fastest associated with RTF between equipment types ( P ≥0.258). However, the MV fastest associated with RTF was higher for men than for women in repetitions 6 to 15 ( P ≤0.043; ES≥0.69). In addition, the absolute errors when predicting RTF showed no significant differences between equipment types and loads ( P <0.444). Specifically, these RTF estimates were within an acceptable range for men (<2 repetitions), but not for women (≥2 repetitions) (main effect of sex: P ≤0.018; ES≥0.58). These findings suggest that individualized RTF-MV fastest equations estimate the RTF with an acceptable precision in men during bench press exercises in both equipment types but exhibit lower precision for women., Competing Interests: The authors declare that they have no conflict of interest., (Thieme. All rights reserved.)

The study objective is to test general- and sport-specific adaption during a single training on the Flexibility Trainer . The device is designed to trigger residual muscle tone decreases of the hip-joint muscles by providing (nearly) isokinetic resistance during a full range of motion strength training in adduction/abduction and flexion/extension direction. Static hip flexion and abduction as well as kinematics of double side kicks were analysed on 15 participants before and after training (or rest for controls) to assess general flexibility and sport-specific movement range. Tests were recorded by a Vicon® motion capturing system. Static hip flexion and abduction as well as leg vector spreading angles (VSA) at different nodes of the kick were selected to determine adaptions of active and passive flexibility. Normalised hip joint moments, movement velocities and VSA were calculated to evaluate the training with the device. ANOVAs with 4-repeated measures and Friedman tests were performed to identify time differences and Bonferroni post-hoc test to identify between-subject effects. Significant differences were found for both static flexibility tests (Flexion = 13.65%; Abduction = 9.94%) and the VSA at specific action phases (≤15.15%). Results indicate that short-term adaptions when training with the Flexibility Trainer are exceeding comparable literature showing improved flexibility and sport-specific performance.

Background: Aging is characterized by a physiological decline in physical function, muscle mass, strength, and power. Home-based resistance training interventions have gained increasing attention from scientists and healthcare system operators, but their efficacy is yet to be fully determined., Aims: to verify the safety, feasibility, and efficacy of a home-based resistance training program delivered by innovative technological solution in healthy older adults., Methods: 73 participants (36 females) were randomly allocated to either a control (C) or an intervention (I) group consisting of a 6-months home-based resistance training program delivered through an innovative technological solution, which included a wearable inertial sensor and a dedicated tablet. The safety and feasibility of the intervention were assessed by recording training-related adverse events and training adherence. Body composition, standing static balance, 10-meter walking, and loaded 5 sit-to-stand tests were monitored to quantify efficacy., Results: No adverse events were recorded. Adherence to the training program was relatively high (61 % of participants performed the target 3 sessions) in the first trimester, significantly dropping during the second one. The intervention positively affected walking parameters (p < 0.05) and maximal force (p = 0.009) while no effect was recorded on body composition, balance, and muscle power., Conclusions: The home-based device-supported intervention was safe and feasible, positively affecting walking parameters and lower limbs' maximal force. This approach should be incentivized when barriers to participation in traditional resistance exercise programs are present., Competing Interests: Declaration of competing interest On behalf of all authors, I confirm that there are no known conflicts of interest associated with this publication and there has been no significant financial support for this work that could have influenced its outcome., (Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)

Purpose: Investigate acute locomotor, internal (heart rate (HR) and ratings of perceived exertion (RPE)) and neuromuscular responses to using wearable resistance loading for soccer-specific training., Methods: Twenty-six footballers from a French 5th division team completed a 9-week parallel-group training intervention (intervention group: n  = 14, control: n  = 12). The intervention group trained with wearable resistance (200-g on each posterior, distal-calf) for full-training sessions on Day + 2, D + 4 and unloaded on D + 5. Between-group differences in locomotor (GPS) and internal load were analyzed for full-training sessions and game simulation drills. Neuromuscular status was evaluated using pre- and post-training box-to-box runs. Data were analyzed using linear mixed-modelling, effect size ±90% confidence limits (ES ± 90%CL) and magnitude-based decisions., Results: Full-training sessions: Relative to the control, the wearable resistance group showed greater total distance (ES [lower, upper limits]: 0.25 [0.06, 0.44]), sprint distance (0.27 [0.08, 0.46]) and mechanical work (0.32 [0.13, 0.51]). Small game simulation (<190 m 2 /player): wearable resistance group showed small decreases in mechanical work (0.45 [0.14, 0.76]) and moderately lower average HR (0.68 [0.02, 1.34]). Large game simulation (>190 m 2 /player): no meaningful between-group differences were observed for all variables. Training induced small to moderate neuromuscular fatigue increases during post-training compared to pre-training box-to-box runs for both groups (Wearable resistance: 0.46 [0.31, 0.61], Control: 0.73 [0.53, 0.93])., Conclusion: For full training, wearable resistance induced higher locomotor responses, without affecting internal responses. Locomotor and internal outputs varied in response to game simulation size. Football-specific training with wearable resistance did not impact neuromuscular status differently than unloaded training.

Abstract: Dhahbi, W, Padulo, J, Russo, L, Racil, G, Ltifi, M-A, Picerno, P, Iuliano, E, and Migliaccio, GM. Four- to 6-repetition maximum and 1-repetition maximum estimation in free-weight bench press and smith machine squat based on body mass in male athletes. J Strength Cond Res 38(8): 1366-1371, 2024-This study aimed to explore the feasibility and face validity of predicting maximum strength 1 repetition maximum (1-RM) and 4-6 RM in athletes across different sports specialties, based on the relationship between muscle strength and BM. One hundred fifteen male athletes, aged 23.63 ± 6.77 years and participating in diverse sports specialties, were included in this study. Muscle strength was assessed using the 4-6 RM and 1-RM tests in free-weight bench press (BP) and Smith machine squat (SQ) exercises, whereas BM was measured using a portable digital scale. A linear regression equation based on muscle strength and BM was performed. The 4-6 RM and 1-RM scores showed excellent intersession relative reliability (intraclass correlation coefficient (2,1) : 0.946-0.989) and absolute reliability (CV: 3.4-4.7%) in both BP and SQ exercises. In addition, the magnitude of the relationship and the coefficients used to estimate the 4-6 RM and 1RM, based on BM, differed among the subjects when they are grouped according to their sports specialties ( R2 ranged from non-significant to 0.998). Overall, the 4-6 RM test showed a stronger correlation with BM ( R : 0.655 for SQ and R : 0.683 for BP) than the 1RM ( R : 0.552 for SQ and R : 0.629 for BP), and the general (i.e., not sport-specific) 4 to 6-RM prediction equations should be preferred over sport-specific ones because they are statistically more robust due to the larger sample size. In conclusion, the 4-6 RM can be predicted from BM with high reliability, a moderate association, and a prediction error that, when considering the 4-6 RM as a starting point for estimating of the 1RM, can be considered entirely acceptable in practical settings., (Copyright © 2024 National Strength and Conditioning Association.)

Background: Velocity-based training (VBT) is commonly used for programming and autoregulation of resistance training. Velocity may also be measured during resistance training to estimate one repetition maximum and monitor fatigue. This study quantifies the validity of Metric VBT, a mobile application that uses camera-vision for measuring barbell range of motion (RoM) and mean velocity during resistance exercises., Methods: Twenty-four participants completed back squat and bench press repetitions across various loads. Five mobile devices were placed at varying angles (0, ±10, and ±20°) perpendicular to the participant. The validity of Metric VBT was assessed in comparison to Vicon motion analysis using precision and recall, Lin's concordance correlation coefficient, and Bland-Altman plots. Proportional bias was assessed using linear regression., Results: Metric VBT accurately detected over 95% of repetitions. It showed moderate to substantial agreement with the Vicon system for measuring RoM in both exercises. The average Limits of Agreement (LoA) for RoM across all camera positions were -5.45 to 4.94 cm for squats and -5.80 to 3.55 cm for bench presses. Metric VBT exhibited poor to moderate agreement with the Vicon system for measuring mean velocity. The average LoA for mean velocity were 0.03 to 0.25 m/s for squats and -5.80 to 3.55 m/s for bench presses. A proportional bias was observed, with bias increasing as repetition velocity increased., Conclusions: Metric VBT's wide LoA for measuring RoM and mean velocity highlights significant accuracy concerns, exceeding acceptable levels for practical use. However, for users prioritizing repetition counts over precise RoM or mean velocity data, the application can still provide useful information for monitoring workout volume., Competing Interests: The authors wish to declare a non-financial, academic, and professional relationship exists between Deakin University and Core Advantage, developers of the Metric application. Specifically, a small number of Deakin University undergraduate students are competitively selected annually to undertake professional placement hours on a voluntary basis at the Core Advantage Athletic training facility in Oakleigh. This relationship did not impact the outcomes of this research in any way., (© 2024 Trowell et al.)

Context: The aim of this study was to investigate the effects of 8-week ballistic-strength-training program using a validated specific throwing device (ie, Arm/Shoulder Specific Strength Device), on isokinetic shoulders' rotation muscle-torques and ratios as well as range of motion in team handball players., Design: A repeated-measures experimental design with a randomized controlled trial was used., Methods: Twenty-six high-level competitive male U-19 team handball players were randomly assigned into training (TG, n = 15) and control (n = 11) groups. The TG undertook a twice a week for 8-week periodized throws program with an individually predetermined optimal load. The program incorporated shackled eccentric and concentric exercises using the Arm/Shoulder Specific Strength Device. Peak torques, functional, and conventional ratios for both arms at different angular velocities (60°·s-1, 180°·s-1, and 300°·s-1) were assessed over time and between groups, using an isokinetic dynamometer., Results: A significant improvement for TG (P < .01; d = 1.13 [moderate]; +20.2%) of the concentric peak torques for dominant arm in external rotation was observed at 300°·s-1. Significant (P < .05-.01) increases were also noted for nondominant arm at the 3 studied angular velocities. In addition, 300°·s-1 eccentric peak torques of the dominant arm and nondominant arm have significantly improved for both external and internal rotations (P < .05; d = .99 [moderate] and d = 1.21 [large]; +15.7% and + 17.9%, respectively) with small changes at the other angular assessed velocities. Posttraining, TG's dominant arm showed significant improvements (P < .05-.01) in functional and conventional ratios at all velocities. Notably, significant differences (P < .05-.01) were observed at 60°·s-1 and across all velocities when comparing the TG with the control group. TG showed significant increase for internal rotation and external rotation shoulder range of motions (P < .05; d = 1.22-1.27 [large]), +5.0% and +7.7%, respectively)., Conclusions: The specific 8-week throwing training program on the Arm/Shoulder Specific Strength Device showed significant performance improvements in almost all assessed isokinetic concentric and eccentric peak torques as well as internal and external range of motion increase for both arms while ensuring rotator cuff torque ratios and shoulder mobility in team handball real sport-specific condition.

Wearable resistance training is widely applied to enhance running performance, but how different placements of wearable resistance across various body parts influence running efficiency remains unclear. This study aimed to explore the impacts of wearable resistance placement on running efficiency by comparing five running conditions: no load, and an additional 10% load of individual body mass on the trunk, forearms, lower legs, and a combination of these areas. Running efficiency was assessed through biomechanical (spatiotemporal, kinematic, and kinetic) variables using acceleration-based wearable sensors placed on the shoes of 15 recreational male runners (20.3 ± 1.23 years) during treadmill running in a randomized order. The main findings indicate distinct effects of different load distributions on specific spatiotemporal variables (contact time, flight time, and flight ratio, p ≤ 0.001) and kinematic variables (footstrike type, p < 0.001). Specifically, adding loads to the lower legs produces effects similar to running with no load: shorter contact time, longer flight time, and a higher flight ratio compared to other load conditions. Moreover, lower leg loads result in a forefoot strike, unlike the midfoot strike seen in other conditions. These findings suggest that lower leg loads enhance running efficiency more than loads on other parts of the body.

Objective . To compare the acute physiological and perceptual responses to blood flow restriction (BFR) exercise using a traditional research device or novel, automated system. Methods . Forty-four resistance trained individuals performed four sets of unilateral elbow flexion exercise (30% one-repetition maximum) to volitional failure using two distinct restrictive devices [SmartCuffs PRO BFR Model (SMARTCUFF), Hokanson E20 Rapid Inflation device (HOKANSON)] and with two levels of BFR [40% limb occlusion pressure (LOP), 80% LOP]. Blood pressure (BP), muscle thickness (MT), and isometric strength (ISO) were assessed prior to and following exercise. Perceptual responses [ratings of perceived exertion (RPE), discomfort] were assessed prior to exercise and following each exercise set. Main results . Data are displayed as means (SD). Immediately following exercise with 40% LOP, there were no statistical differences between devices for BP, MT, and ISO. However, only following Set 1 of exercise, RPE was greater with SMARTCUFF compared to HOKANSON ( p < 0.05). In addition, only following Set 2 of exercise, discomfort was greater with HOKANSON compared to SMARTCUFF ( p < 0.001). Immediately following exercise with 80% LOP, there were no statistical differences between devices for BP, MT, and ISO. However, only following Set 4 of exercise, RPE was greater with HOKANSON compared to SMARTCUFF ( p < 0.05). In addition, following all exercise sets, discomfort was greater with HOKANSON compared to SMARTCUFF ( p < 0.001). For repetitions completed with 40% LOP there were no statistical differences between SMARTCUFF and HOKANSON across any exercise sets. For repetitions completed with 80% LOP there were no statistical differences between SMARTCUFF and HOKANSON across Set 1 of exercise ( p = 0.34), however, for Sets 2-4 of exercise, significantly greater number of repetitions were completed during SMARTCUFF than HOKANSON. Significance . The present study provides valuable insight into the efficacy of a novel, automated BFR system (SMARTCUFF) eliciting comparable acute physiological responses to BFR exercise and in some cases favorable perceptual responses when compared to a traditional research device (HOKANSON)., (Creative Commons Attribution license.)

Purpose: In a rested state, foam rolling has been shown to improve blood flow to the working tissues. When inducing post-activation performance enhancement (PAPE), previous research suggests a longer recovery period between the conditioning activity and performance assessment in weaker participants (back squat <2.0 × body mass). It is possible that a cool-down effect may take place between the conditioning activity and performance assessment for these participants. Therefore, the purpose of this investigation was to determine if foam rolling could help mitigate any cool-down effect to help participants capitalize on PAPE. Methods: Seventeen physically active participants completed baseline jumps followed by rest (control), back squat exercise (heavy squats), rest and foam rolling (FR), and heavy squats followed by foam rolling (combo). VJ performance was assessed three times post-treatment with 2 min between each assessment. Results: VJ height and impulse were greater at baseline than at any other time point across all sessions ( p  < .001). Impulse for the control and FR sessions were greater than the squats session ( p  < .015). Impulse for the combo session was less than the FR session ( p  = .04). Conclusions: Foam rolling did not have a significant impact on attenuating any cool-down effect. In addition, our heavy squats protocol appears to induce too much fatigue that possibly masked the effects of PAPE.

Abstract: Finlay, MJ, Greig, M, Bridge, CA, and Page, RM. Post-activation performance enhancement of punch force and neuromuscular performance in amateur boxing: Toward a more individualized and "real-world" approach. J Strength Cond Res 38(6): 1063-1071, 2024-Previous research on post-activation performance enhancement has been applied in several sporting settings, although this is lacking in a boxing setting. This study explored the effectiveness of 2 upper-body conditioning activities in improving punch-specific performance during an amateur boxing-simulated bout. On 3 separate occasions, 10 male senior elite amateur boxers performed the following conditioning activities before a boxing-specific simulation protocol: isometric (ISO) punch, elastic resistance (ER) punch, and a control trial. Boxers performed maximal punches against a vertically mounted force plate, and countermovement jumps (CMJ) at baseline, before round 1, after each round, and 4 minutes after the simulation. Both conditioning activities, but not the control trial, produced small worthwhile increases (effect size ≥ 0.20; equal to or greater than the smallest worthwhile change) in punch force, although worthwhile increases in rate of force development were limited to the cross during the ISO trial. No group-based improvements in CMJ performance were observed. Individual analysis revealed that 6 boxers improved punch-specific performance to the greatest extent in the ISO trial; in contrast, only 1 boxer did so in the ER trial. Three boxers exhibited similar performance increases across trials. In conclusion, both conditioning activities may be applied to an amateur boxer's warm-up to acutely enhance punch-specific performance. The ISO conditioning activity seems most effective; however, the interindividual variability suggests a need for protocols to be individualized to each athlete. The conditioning activities in the present study may be applied to sparring, competitive bouts, or to other combat sports., (Copyright © 2024 National Strength and Conditioning Association.)

Lower-limb wearable resistance (WR) provides a specific and targeted overload to the musculature involved in sprint running, however, it is unknown if greater impact forces occur with the additional limb mass. This study compared the contact times and ground reaction force waveforms between sprint running with no load and 2% body mass (BM) shank-positioned WR over 30 m. Fifteen male university-level sprint specialists completed two maximum effort sprints with each condition in a randomized order. Sprint running with shank WR resulted in trivial changes to contact times at 5 m, 10 m, and 20 m (effect size [ES] = <0.20, p > 0.05) and a small, significant increase to contact time at 30 m by 1.94% (ES = 0.25, p = 0.03). Significant differences in ground reaction force between unloaded and shank loaded sprint running were limited to the anterior-posterior direction and occurred between 20% and 30% of ground contact at 10 m, 20 m, and 30 m. Shank WR did not result in greater magnitudes of horizontal or vertical forces during the initial impact portion of ground contact. Practitioners can prescribe shank WR training with loads ≤2% BM without concern for increased risk of injurious impact forces.

This study determined the effects of two wearable resistance (WR) placements (i.e. thigh and shank) on horizontal force-velocity and impulse measures during sprint running acceleration. Eleven male athletes performed 50 m sprints either unloaded or with WR of 2% body mass attached to the thigh or shank. In-ground force platforms were used to measure ground reaction forces and determine dependent variables of interest. The main findings were: 1) increases in sprint times and reductions in maximum velocity were trivial to small when using thigh WR (0.00-1.93%) and small to moderate with shank WR (1.56-3.33%); 2) athletes maintained or significantly increased horizontal force-velocity mechanical variables with WR (effect size = 0.32-1.23), except for theoretical maximal velocity with thigh WR, and peak power, theoretical maximal velocity and maximal ratio of force with shank WR; 3) greater increases to braking and vertical impulses were observed with shank WR (2.72-26.3% compared to unloaded) than with thigh WR (2.17-12.1% compared to unloaded) when considering the entire acceleration phase; and, 4) no clear trends were observed in many of the individual responses. These findings highlight the velocity-specific nature of this resistance training method and provide insight into what mechanical components are overloaded by lower-limb WR.

This study determined the effects of a six-week lower-limb wearable resistance training (WRT) intervention on sprint running time, velocity, and horizontal force-velocity mechanical variables. Twenty-two collegiate/semi-professional rugby athletes completed pre- and post-intervention testing of three maximal effort 30 m sprints. A radar device was used to measure sprint running velocity from which horizontal force-velocity mechanical profiling variables were calculated. All athletes completed two dedicated sprint training sessions a week for six-weeks during pre-season. The intervention (wearable resistance, WR) group completed the sessions with 1% body mass load attached to the left and right shanks (i.e. 0.50% body mass load on each limb), whilst the control group completed the same sessions unloaded. For the control group, all variables were found to detrain significantly ( p  ≤ 0.05) over the training period with large detraining effects (ES > 0.80) for theoretical maximal horizontal force, slope of the force-velocity profile, maximal ratio of force, index of force application, 5 and 10 m times. For the WR group, there were no significant changes to any recorded variables (all p  >  0.05) and all effects of training were trivial or small (ES < 0.50). After adjustment for baseline differences, significant between group differences were found for all variables (large effects, ES > 0.80) except theoretical maximal velocity, 30 m time, and maximal velocity. The addition of light wearable resistance to sprint training during a six-week pre-season block enables the maintenance of sprint performance and mechanical output qualities that otherwise would detrain due to inadequate training frequencies.

Background: Patients with juvenile dermatomyositis (JDM) experience muscle weakness, tiredness, and loss of energy, which restrict their abilities in performance of their daily living activities., Objective: To explore the effect of aquatic-based plyometric (Aqua-PLYO) exercises on muscle strength, fatigue, and functional ability in patients with JDM., Methods: This was a randomized, single-blind, crossover pilot study that included 16 patients with JDM (age 13.44 ± 2.85 years). They were assigned randomly to receive either the Aqua-PLYO exercises (n = 8) or the standard outpatient care (SoC ; n = 8) first. After a 1-month washout, the treatment was reversed. Lower limb muscle strength, fatigue perception, functional ability, and disease activity were evaluated before and after each treatment period., Results: Irrespective of the treatment order, the Aqua-PLYO treatment yielded greater improvement in muscle strength (hip flexors and abductors [P < 0.001] or knee flexors [P < 0.001] and extensors [P = 0.0008]), fatigue perception (P < 0.001), functional ability (P = 0.009), and disease activity (P = 0.0001) than the SoC treatment. By using the shortest confidence intervals (100[1-2α]%) of the difference, the average bioequivalence of the Aqua-PLYO and SoC has not been established at P = 0.05, because the upper and lower confidence bounds of all outcomes were not between the acceptance limits. No period or carryover effects were detected in all outcomes., Conclusion: The Aqua-PLYO exercise protocol as implemented in this study is safe, feasible, and well-tolerated in patients with JDM and seemingly useful to help increase muscle strength, reduce fatigue, and enhance functional ability in such a patient population., (© 2021 Asia Pacific League of Associations for Rheumatology and John Wiley & Sons Australia, Ltd.)

The aim of this study was to evaluate the effects of varying flywheel inertia on velocity and power during flywheel squats. Fifteen healthy physically active males performed 6 maximal effort flywheel half-squats at each of 0.029, 0.061, 0.089 and 0.121 kg·m 2 , with velocity recorded via 3D motion capture and power recorded via inbuilt transducer. Peak concentric velocity (χ2 = 37.9; p < 0.001), peak eccentric velocity (χ2 = 24.9; p < 0.001), mean concentric velocity ( F (3) = 52.7; p < 0.001) and mean eccentric velocity (χ2 = 16.8; p < 0.001) all tended to decrease with increases in flywheel inertia, whereas the ratio of peak eccentric to peak concentric power ( F (3) = 4.26; p = 0.010) tended to increase. Flywheel inertia had no significant effect on peak concentric or eccentric power, or the ratio of eccentric to concentric peak or mean velocities. The best fit subject-specific inertia-velocity relationships were reported for peak concentric velocity (median linear R 2  = 0.95, median logarithmic R 2  = 0.97). The results suggest that velocity, rather than power, should be used to prescribe and monitor flywheel squat exercise intensities, and that individualized linear relationships between inertia and peak concentric velocity can be used for this purpose.

The aim of this study was to investigate the load effects of thigh attached wearable resistance (WR) on linear and angular kinematics and linear kinetics during sprint-running. Fourteen recreational active subjects performed a series of maximal sprints with and without WR of 1%, 2%, and 3% body mass (BM) in a randomised order. Sprints were performed on a non-motorised treadmill that collected velocity, and linear step kinematics and kinetics. Angular kinematics of the thigh were collected from an inertial measurement unit attached to the left thigh. Trivial decreases were found in peak velocity with all WR loads (-0.9 to -.2.4%, effect size [ES] 0.09-0.17, p  > .05). The WR conditions resulted in significantly decreased average step frequency (-2.0% to -3.0%, ES = 0.35-0.44, p  < .05) with loads of ≥2% BM, whereas average step length was statistically unchanged (1.9-2.8%, ES = 0.20-0.33). Average angular displacement was significantly decreased (-7.0% to -10.3%, ES = 0.88-1.10, p  = 0.00-0.03) with loads of ≥2% BM. Average angular flexion velocity (-10.2%, ES = 1.07, p  = .02) and extension velocity (-12.0%, ES = 0.85, p  = .01) were significantly decreased with 3% BM. Trivial to small ES changes ( p  > .05) were found in the linear kinetic measures of interest. Thigh WR provides a sprint-specific rotational form of resistance resulting in greater changes to angular kinematics than linear properties of sprint-running. For practitioners who wish to target thigh angular kinematics and step frequency without decreasing step length, thigh WR of ≥2% BM offers a sprint-specific resistance training tool.

Objective: To characterize injuries caused by exercise resistance bands., Method: Single-site retrospective case series of patients presenting to the Bascom Palmer Eye Institute emergency room with ocular injuries secondary to exercise resistance bands from March through September 2020., Results: Eleven patients (9 males, 2 females, 14 eyes) were reviewed. Eight patients had a unilateral injury (3 right eyes, 5 left eyes) while 3 had bilateral injuries. Iritis was the most common presentation, seen in all 11 patients, followed by hyphema (9 patients, 82%), and vitreous hemorrhage (4 patients, 36%). Among affected eyes, the mean presenting visual acuity was approximately 20/100, improving to 20/40 on the last follow up (p = 0.06). However, 4 eyes (33%) had vision ≤20/60 at last follow up., Conclusions: Exercise resistance bands can cause a wide spectrum of ocular injuries, some leading to long-term vision loss. As such, we recommend that patients strongly consider using eye protection goggles or glasses while using resistance bands for exercise., (Copyright © 2020 Elsevier Inc. All rights reserved.)

Exercises involving pelvic floor muscles including repetitive voluntary contractions of external anal sphincter (EAS) musculature have been used to improve fecal incontinence. Muscle fatigue is a prerequisite for successful strength training. However, muscle fatigue induced by these exercises has not been systematically studied. We aimed to assess the fatigability of EAS muscles during various exercise methods. Twelve nulliparous (21 ± 2.7 yr) women were studied. We evaluated fatigue during 40 repetitive 3-s contractions and 30-s long squeeze contractions both with and without an intra-anal compressible resistant load. The sequence of exercises was randomized. This load was provided by the continence muscles Resistance Exerciser Device. Anal canal pressures were recorded by high-resolution manometry. Exercise against a resistive load showed significant decrease in anal contractile integral (CI) and maximum squeeze pressure during repetitive short squeeze contractions compared with exercise without a load. Linear regression analysis showed a significant negative correlation between anal CI and successive contraction against load, suggesting "fatigue." Similar findings were observed for maximum squeeze pressure (slope with load = -4.2, P = 0.0003, vs. without load = -0.9, P = 0.3). Long squeeze contraction against a load was also more susceptible to fatigue than without a load ( P < 0.0001). In conclusion, repetitive contractions against a compressible load induce fatigue and thus have the potential to strengthen the anal sphincter contractile function than contractions without a load. Fatigue rate in long squeeze contraction exercises with a load is significantly faster than that without a load, also indicating greater effectiveness in inducing muscle fatigue. NEW & NOTEWORTHY Fecal incontinence is a distressing disorder with a mainstay of treatment being pelvic floor muscle exercises. However, none of these exercises has proven occurrence of fatigability, which is an important prerequisite for successful muscle strengthening in rehabilitative exercises. In this study, we proved that we can fatigue the external anal sphincter muscles more efficiently by providing a resistive load during anal repetitive short squeeze contractions and long squeeze contraction exercise.

The purpose of this study was to analyse the reliability and validity of an opto-electronic sensor system (Velowin) compared to a linear velocity transducer (T-Force System) considered as the gold standard. Mean velocity (MV) and peak velocity (PV) generated in the Smith machine bar placed on the shoulders in counter-movement jump exercise (CMJ) were analysed. The study was conducted with a sample of 21 men with experience in resistance training. Five measurements were analysed for CMJ exercise in concentric phase using a progressive loading increase. Three jumps were made per load with a 3-4 min recovery between loads. The analysis of the variance confirmed that there were no significant differences ( p >  0.05) in the execution velocity between Velowin and T-Force with each of the loads. The reliability analysis showed, with each of the loads, high values of the intraclass correlation coefficient (ICC = 0.95-0.99) and a 'substantial' Lin´s concordance coefficient in MV (CCC ≥0.96) and between 'substantial' (CCC = 0.98) and 'almost perfect' (CCC = 0.99) in PV. These results confirm the reliability and validity of the Velowin device is reliable for measuring the execution velocity in loaded CMJ exercise.

The cable-pulley downswing is a movement similar to the golf downswing, and therefore may offer a valuable golf specific rotational diagnostic and training tool. However, to be of value, measurements need to be stable across testing occasions. Therefore, the aim of this study was to quantify the test-retest reliability of the cable downswing across a spectrum of load-velocities. Ten male participants (21.7 ± 3.0 years, 84.6 ± 9.8 kg, 1.80 ± 0.05 m) volunteered to participate over 3 testing sessions' separated by a minimum of 3 days. Participants performed maximal velocity cable downswings across eight loads (1.25-18.75 kg), which were incrementally increased by 2.5 kg. Vertical cable stack velocity was collected at 50 Hz via a GymAware linear position transducer. Downswing velocity across all eight loads was observed to be extremely reliable (change in mean = -5.1% to 2.9%, coefficient of variation = 1.5-6.4% and intra-class correlation = 0.70-0.98), with reliability increasing with increasing trials. In conclusion, the cable downswing is a reliable method of tracking rotational ability similar to the golf downswing. Practitioners should establish an upper load relative to the apparatus and participant. Future research should determine the utility and sensitivity of this measure.

Introduction: Aging and many gait pathologies are often characterized by deficits in push-off intensity (i.e., propulsive ground reaction forces and peak ankle moment and power output) during walking. Unfortunately, conventional interventions such as progressive resistance training, designed to enhance calf muscle mechanical output, generally fail to translate strength gains to functional improvements in habitual push-off intensity., Methods: Horizontal impeding forces applied to the body's center of mass systematically augment the mechanical output required from muscle-tendon units spanning the ankle during the push-off phase of walking, which could convey long-term benefits via training. Therefore, the purpose of this study was to investigate the preliminary efficacy of a 6-wk horizontal impeding force training paradigm on improving habitual push-off intensity in 11 healthy but not physically active older adults (age = 76 ± 4 yr, 6 females and 5 males)., Results: We found that older adults significantly (P < 0.05) increased measures of isometric strength by 18%, maximum walking speed by 10%, and 6-min walk test distance by 9% as a result of horizontal impeding force training. As a more clinically significant contribution of this work, we found that those subjects also increased habitual peak ankle moment and peak ankle power during push off after training by a significant 10% and 15%, respectively (P ≤ 0.036)., Conclusions: We conclude that the use of horizontal impeding forces in older adults improves their maximum muscular and walking capacities while encouraging access to newfound strength gains, thereby improving habitual push-off intensity during walking., (Copyright © 2020 by the American College of Sports Medicine.)

Strength training can improve myriad health parameters in elderly cohorts. Although potentially more appropriate for the elderly, low-load resistance training protocols have been less investigated. We aimed to examine the effects of 12 weeks of chair-based, low-load resistance training with elastic band (EBT) on functional fitness and metabolic biomarkers in older women. One hundred sixty-eight women were allocated randomly to an elastic band resistance training (EBT, n = 86, 75.7 ± 8.9 years, 71.3 ± 12.2 kg) or a control group (CON, n = 82, 74.5 ± 8.2years, 70.6 ± 12.0 kg). RT protocol consisted of periodized chair-based, low-load whole-body resistance exercises (2 sets, 12-15 repetitions, 40-60% of one repetition maximum-1RM) using an elastic band, twice weekly for 12 weeks. The resistance training program was generally designed to maintain internal load over time, provided with increasing intensity using various elastic bands (Thera-Band). Functional fitness (30-s Chair Stand,30-s Arm Curl, 2-min Step Test, Chair Sit-and-Reach, Back Scratch, 8-Foot Up-and-Go, Handgrip Strength) and metabolic markers (Fasting blood glucose, triglycerides, total cholesterol, high (HDL) and low (LDL) density lipoprotein) were measured before and after the training period. To detect pre/post intervention changes and between group- differences 2x2 repeated measures ANOVA was applied. Significant improvements over time for all fitness variables for EBT comparing to CON were obtained (F = 12.78, p < 0.05 for 30-s Chair Stand; F = 14.04, p < 0.05 for 30-s Arm Curl; F = 5.18, p < 0.05 for 2-min Step Test; F = 10.90, p < 0.05 for Chair Sit-and-Reach; F = 16.57, p < 0.05 for Back Scratch; F = 11.79, p < 0.05 for 8-foot Up-and-Go; and F = 29.25, p < 0.05 for Handgrip Strength). In addition, significant improvements over time for all but one (triglycerides) biomarkers for EBT comparing to CON were obtained (F = 7.30, p < 0.05 for blood sugar levels; F = 13.36, p < 0.05 for total cholesterol; F = 8.61, p < 0.05 for HDL; and F = 11.53, p < 0.05 for LDL). Furthermore, the participants' adherence to training sessions of over 90% was reported. In conclusion, 12 weeks of EBT is safe and beneficial for improving health-related fitness and metabolic biomarkers in older women and seems to be viable model to ensure a high training adherence rate., (© Journal of Sports Science and Medicine.)

Low-intensity exercise with blood flow restriction (BFR) is an increasingly common method of improving muscular strength and hypertrophy, and improving aerobic fitness, in clinical and athletic populations. The aim of this systematic review was to describe common approaches to determining occlusion pressures for BFR exercise. A comprehensive literature search yielded 1389 results, of which 129 were included. Studies were predominantly randomised control trials (86.7%) with modest sample sizes (average number of 11.4 ± 6.2 participants per BFR group/s) of young adults (average age of 34.6 ± 17.9). Five different approaches for determining occlusion pressure were identified: arbitrary pressures (56.6%), percentage of limb occlusion pressure (25.6%), brachial systolic blood pressure (10.9%), perceived tightness (3.9%) and other (3%). From 2016 to 2018, the number of published papers using a percentage of limb occlusion pressure increased yearly, paralleling a decrease use of arbitrary pressures. Of the studies included in this review, the most common approach to determining occlusion pressure was using a non-individualised, arbitrary pressure. Given the safety concerns associated with arbitrary pressures, continual dissemination regarding the optimal applications of BFR for safety and efficacy is required.

This study determined the acute changes in kinematics and kinetics when an additional load equivalent to 5% body mass was attached to the torso during change of direction (COD). In this within-subject repeated measures study, 14 male soccer players (age: 18.29 ± 0.32 years) volunteered to participate. Subjects performed COD under two conditions in randomized order: (1) no WR, and (2) with WR. No significant differences between the loaded and unloaded conditions in actual COD angle, approach speed, braking time, propulsive time, contact time, COD completion time (all p > 0.05, ES = 0.05-0.11), and all measured kinematic parameters (all p > 0.05, ES = 0-0.18). Nonetheless, ankle plantar/dorsi flexion ROM had possibly small increase in the loaded condition (ES = 0.24). Kinetics analysis has shown that the loaded condition was likely to have small increase in relative peak vertical propulsive ground reaction force (GRF, p = 0.11, ES = 0.41), and possible small increases in relative peak braking GRF (vertical: p = 0.21, ES = 0.42; total: p = 0.22, ES = 0.38), relative peak total propulsive GRF (p = 0.24, ES = 0.26), and relative braking impulse (horizontal, vertical, and total; p = 0.27-0.41, ES = 0.26-0.28). WR did not significantly change the acute movement techniques, meanwhile induced small increases in important kinetic stimuli for potential adaptation in COD.

This study examined the effects of deceleration-focused exercises on shoulder range of motion and throwing velocity in both softball and baseball players. Volunteers included 28 Division III William Paterson University baseball and softball athletes (18 females and 10 males), who were evenly distributed across two groups both undertaking 14 sessions of either resistance band or handheld medicine ball exercises (band vs. ball group). A pre-test and post-test measured participants' best active internal/external shoulder rotation and best throwing velocity at a target 40 ft away. A two-tailed, independent t -test showed no significant differences in velocity, internal rotation or external rotation (p < 0.01) between the band and ball groups. However, the average change in velocity in the ball group was double that of the band group (1.50 ± 2.06 m/s versus 0.73 ± 2.24 m/s). For change in both internal and external rotation the band group (2.86 ± 5.27° and 3.29 ± 3.87°, respectively) was greater than the ball mean (1.93° ± 3.32° and 1.29 ± 6.52°, respectively). These findings suggest that overhead athletes aiming to increase throwing velocity can benefit from performing deceleration training with weighted balls whereas resistance bands appear to improve shoulder rotation.

Background: Suspension training systems, which use body weight resistance under unstable conditions, may be effective for muscle strengthening in persons with scapular dyskinesis or subacromial impingement syndrome., Hypothesis: Greater arm, scapular, and trunk muscle recruitment will occur during horizontal abduction row exercises., Study Design: Descriptive laboratory study., Level of Evidence: Level 5., Methods: Surface electromyography data were collected from 28 participants (14 men, 14 women). A total of 13 right-sided muscles were studied at a sampling frequency of 1000 Hz. Maximal voluntary isometric contractions (MVICs) were established. Participants completed 3 repetitions per exercise in random order. We compared muscle recruitment during 3 rowing exercises: low row, high row, and horizontal abduction row. Data were compared with repeated-measures analyses of variance and post hoc Bonferroni corrections., Results: For high row and horizontal abduction row conditions, the upper, middle, and lower trapezius and posterior deltoid demonstrated >60% MVIC magnitudes of recruitment, and the upper erector spinae demonstrated 40% to 60% MVIC magnitudes of recruitment, respectively. In contrast, in the low row exercise, 40% to 60% MVIC magnitudes of recruitment were observed only in the middle trapezius, latissimus dorsi, and posterior deltoid., Conclusion: With the suspension system, high row and horizontal abduction row exercises promote muscle strengthening (>50% MVIC) in the upper, middle, and lower fibers of the trapezius, posterior deltoid, and upper erector spinae., Clinical Relevance: Rowing exercises performed with suspension straps may be recommended for muscle strengthening in patients with scapular dyskinesis and subacromial impingement syndrome as well as for healthy persons in need of enhanced scapular muscle performance.

Background: This double-blinded randomized-controlled-trial aimed to identify the effects of an elastic band resistance training on walking kinetics and muscle activities in young adults with genu valgus., Methods: Forty-two male young adults aged 22.5(2.7) years with genu valgus were randomly allocated to two experimental groups. The intervention group (n = 21) conducted a 14-weeks elastic band resistance training. The control group was passive during the intervention period and received the same treatment after the post-tests. Pre and post training, ground reaction forces and lower limb muscle activities were recorded during walking., Findings: Results revealed significant group-by-time interactions for peak medial ground reaction force and time-to-peak for posterior ground reaction force in favor of the intervention group (p < 0.012; d = 0.83-3.76). Resistance training with elastic bands resulted in significantly larger peak medial ground reaction force (p < 0.001; d = 1.45) and longer time-to-peak for posterior ground reaction force (p < 0.001; d = 1.85). Finding showed significant group-by-time interactions for peak positive free moment amplitudes in favor of the intervention group (p < 0.001; d = 1.18-2.02). Resistance training resulted in a lower peak positive free moment amplitude (p = 0.001; d = 1.46). With regards to muscle activities, the analysis revealed significant group-by-time interactions for rectus femoris and gluteus medius activities during the push-off phase in favor of the intervention group (p < 0.038; d = 0.68-0.89). Resistance training induced higher rectus femoris (p = 0.038; d = 0.84) and gluteus medius (p = 0.007; d = 0.54) activities., Interpretation: This study proved the effectiveness of resistance training using elastic bands on kinetics and muscle activities during walking in male adults with genu valgus disorder. Given that this training regime is low cost, effective, and easy-to-administer, we suggest that it should be implemented as a rehabilitative or preventive means for young adults with genu valgus., (Copyright © 2020 Elsevier Ltd. All rights reserved.)

Context: Shoulder rehabilitation can be a difficult task due to the dynamic nature of the joint complex. Various weight training implements, including kettlebells (KB), have been utilized for therapeutic exercise in the rehabilitation setting to improve shoulder girdle strength and motor control. The KBs are unique in that they provide an unstable load and have been purported to promote greater muscle activation versus standard dumbbells. Recent literature has examined the efficacy of KB exercises for global strengthening and aerobic capacity; however, electromyographic data for shoulder-specific activities are lacking., Objective: To examine muscle activation patterns about the rotator cuff and scapular musculature during 5 commonly-utilized KB exercises., Design: Cross-sectional analysis of a single group., Setting: Clinical biomechanics laboratory., Participants: Ten participants performed all exercises in a randomized order., Main Outcome Measures: Mean electromyographic values for each subject were compared between exercises for each target muscle., Results: Significant differences (P < .05) between exercises were observed for all target muscles except for the infraspinatus., Conclusions: The data in this study indicates that certain KB exercises may elicit activation of the shoulder girdle at different capacities. Physical therapy practitioners, athletic trainers, and other clinical professionals who intend to optimize localized strengthening responses may elect to prescribe certain exercises over others due to the inherent difference in muscular utilization. Ultimately, this data may serve to guide or prioritize exercise selection to achieve higher levels of efficacy for shoulder strength and stability gains.

Although the popularity of flywheel (FW) devices in sports research is increasing, to date, no study has been designed to test the reliability of electromyographic (EMG) variables during FW squats as a basic lower-body FW resistance exercise. At the primary level, our study was conducted to determine the minimum number of the consecutive flywheel (FW) squat repetitions that need to be averaged in a single set to obtain excellent reliability of peak, mean and three position-specific EMG variables. At the secondary level, comprehensive analysis for peak and mean EMG variables was done. Intra-set reliability was investigated using the minimum number of repetitions determined from the primary level of the study. Twenty-six participants performed five sets of seven squats with three FW loads (0.05, 0.125, 0.225 kg∙m2). EMG signals were collected from eight leg muscles. By averaging twelve consecutive repetitions, we obtained ICC2.k > 0.95 for mean and peak EMGRMS regardless of the muscle, load or phase of the squat (concentric vs. eccentric). Due to the heterogeneity of the results at the primary level, position-specific variables were excluded from the inter-set reliability analysis at the secondary level. Trustworthy mean and peak EMG variables from the primary level showed good to excellent inter-set reliability. We suggest averaging twelve consecutive squat repetitions to achieve good to excellent intra-session reliability of EMG variables. By following the proposed protocol, activation of leg muscles can be confidently studied in intra-session repeated-measures study designs., Competing Interests: The authors have read the journal’s policy and have the following competing interests: NŠ was employed by S2P, Science to Practice, Ltd. This does not alter our adherence to PLOS ONE policies on sharing data and materials. There are no patents, products in development or marketed products associated with this research to declare.

The purpose of this study was to investigate the influence of exercise order on volume load (VL) and myoelectric activation (EMG) during the bench press (BP), military press (MP) and close-grip bench press (CGBP) exercises executed with a barbell and Smith machine. Twelve men experienced in resistance training performed four different exercise sessions in randomised order. Each session consisted of four sets of a given exercise order: O1 = CGBP + MP + BP with barbell; O2 = inverse O1 with barbell, O3 = same O1 with Smith Machine; O4 = same O2 with Smith machine. EMG was assessed for the Clavicular head pectoralis major (PMC), anterior deltoid (AD), triceps brachii long head (TBLH) and biceps brachii (BB). Results showed that VL in BP was affected by exercise order, independent of the mode ( p  < 0.05). However, the CGBP showed higher VL in O1. Moreover, when the BP was positioned last in the sequence (O1 and O3), myoelectric activity was higher for PMC, AD and TBLH ( p  < 0.05). Findings were similar in the CGBP (PMC and TBLH), but for the AD (Smith machine > barbell, p  < 0.05). Therefore, it appears that the order and modes of exercises influence both volume load and myoelectric activation patterns during multiple set of resistance training.

This study aimed to clarify whether low-load resistance training at a low frequency (twice a week) using body weight and elastic band improves muscle size, muscle strength, and physical functions and to compare the training effects between supervised training and a combination of supervised and unsupervised training in untrained older adults. Fifty-one older adults (ages: 57-75 years) selected to either a supervised (S) training group (n = 34) or a combined supervised and unsupervised (SU) group (n = 17). Both groups performed low-load resistance training composed of nine exercises for 12 weeks. The S group participated in supervised exercise sessions twice a week, and the SU group performed a supervised exercise session once a week and an unsupervised exercise session at home also once a week. For muscle thicknesses in the anterior aspects of the forearm, upper arm, and thigh and the posterior aspect of the thigh, group × time interactions were observed (p < 0.05). The hypertrophic effects were higher in the S group. Isometric knee extension strength and physical functions increased similarly in both groups. Low-load resistance training using body weight and elastic band twice a week for 12 weeks induces muscle hypertrophy and increases muscle strength and physical functions in older adults. Although the muscle hypertrophic effects are greater in the S group than in the SU group, the other effects were similar between the groups., (© Journal of Sports Science and Medicine.)

Modifying basal elongation of elastic bands (EB) has been proven useful to increase some parameters of the intensity in variable resistance training. Therefore, the question arises as to whether the pertinent resistance could be applied with EB immediately above the sticking point in squat exercises to optimize the performance. The purpose was to analyze some variables of the external (kilograms and number of repetitions) and internal load (heart rate, blood pressure, and rate of perceived exertion) after six different conditions of the squat exercise when using weight plates (WP) or EB (placed at different points of the range of motion) and applying maximal or submaximal effort. Twenty physically active males (25.50 ± 5.26 yrs) underwent two sessions for familiarization and one for assessment. The six conditions (three with WP and three with EB) were randomly performed. The sticking point of each subject was measured using the knee joint angle and the resistance was applied with EB at this height. Immediately after finishing each set subjects reported perceived effort rate and cardiovascular measurements were taken. Repetitions completed, and kilograms used were recorded. Repeated measures testing evaluated differences between conditions. EB permitted performing 8 more repetitions compared to WP when the same load was added at standing position. Adding the load immediately above the sticking point significantly (p < 0.05) increased 24.7% the kilograms used and permitted participants to perform 3 more repetitions. Internal load measurements suggested that EB could significantly (p < 0.05) reduce the perceived effort rate and/or physiological stress depending on their application. EB are a suitable device to load the bar for squat exercises in fit young men. According to the necessities of the subjects, if the load with EB is added at different points of the range of motion, it could be possible to overcome the sticking point, to maximize the performance and/or modulate cardiovascular and perceptual responses., (© Journal of Sports Science and Medicine.)

Bollinger, LM, Brantley, JT, Tarlton, JK, Baker, PA, Seay, RF, and Abel, MG. Construct validity, test-retest reliability, and repeatability of performance variables using a flywheel resistance training device. J Strength Cond Res 34(11): 3149-3156, 2020-Power production is highly associated with physical performance; however, the ability to quantitatively measure power output during resistance exercise is lacking. The purpose of this study was to determine the validity and test-retest reliability of flywheel-based performance testing. Twelve young, resistance trained subjects completed 2 bouts of resistance exercise using a flywheel resistance training device (Exxentric kbox 4 Pro). Each session consisted of 3 sets of 3 exercise (bent-over row, Romanian deadlift, and biceps curl) with varying moments of inertia (0.050, 0.075, and 0.100 kg·m, respectively) in random order. Each set consisted of 5 maximal effort repetitions with 3-minute recovery between sets. Average power, peak concentric and eccentric power, average force, average speed, and total work for each set were recorded. Regression analysis revealed a near-perfect relationship between measured and predicted power, force, and work at given workloads. Pearson's r between trials 1 and 2 revealed good (≥0.70) to excellent (≥0.90) test-retest reliability for all outcomes with the exception of peak eccentric power for biceps curls (r = 0.69), which narrowly missed the cutoff for acceptable reliability. Bland-Altman plots revealed small (approximately 5-15%), but statistically significant bias between the 2 trials for some measures. Coefficient of repeatability for all outcomes was relatively high, indicating poor repeatability. Flywheel-based performance testing provides valid data. However, reliability varies between individual lifts and specific outcomes. Given the poor repeatability between trials, it is likely that subjects who are unaccustomed to this modality may require multiple testing sessions or a thorough familiarization period to ensure accurate measures of power, force, speed, and work during flywheel-based performance testing.

This study aimed to determine differences in the validity and reliability of 1RM predictions made using load-velocity relationships in Smith machine and free-weight exercise. Twenty well-trained males attended six sessions, comprising the Smith machine and free-weight squat, bench press, prone row and overhead press. Load-velocity relationship-based 1RM predictions were performed using minimal velocity threshold (1RM MVT ), load at zero velocity (1RM LD0 ) and force-velocity (1RM FV ) methods, with 5- or 7-loads. Measured 1RM did not differ from 1RM MVT or 1RM LD0 for any of the Smith machine exercises, while it was higher than 1RM FV for all exercises except the prone row. For the free-weight variations all 1RM predictions differed from measured 1RM for the squat and overhead press, while measured and predicted 1RM did not differ in the bench press and prone row. No differences were observed between 7-and 5-load predictions. 1RM MVT was the most reliable and valid of the methods. Smith machine exercises resulted in more reliable predictions than free weight exercises. 1RM MVT provides valid and reliable predictions for the Smith machine, squat, bench press, prone row and overhead press and free-weight bench press and prone row. Practitioners must be aware of the poor validity of free-weight squat and overhead press predictions.

This study compared the effect of a resistance training (RT) program with machines, free weights, or a combination of both on changes in anthropometrics, strength, and functional ability in novice adult males. Thirty-six male novices in RT (18-45 years) followed a 10-week RT program. Participants were randomly assigned to one of three groups (N = 12 each): machines only; free weights only; or switching from machines to free weights (after 5 weeks). Muscle size (circumferences of upper arm, thigh and chest), strength (1 Repetition Maximum) on both machines and free weights, and functional ability (Functional Movement Screen TM (Functional Movement Systems Inc., Chatham, VA, USA)) were assessed prior to the RT program, halfway at 5 weeks, and within one week after the final training bout. Repeated measures MANOVAs showed no significant time by RT group interactions for the different outcome measures. Regardless of RT group, significant improvements over time were observed for anthropometrics (F = 9.144, p < 0.001), strength (F = 6.918, p < 0.001), and functional ability (F = 25.578, p < 0.001). To conclude, similar gains in muscularity, strength, and functional ability can be expected for male novices in RT regardless of the equipment being used and without a fallback when changing from machines to free weights. Accordingly, any choice of RT equipment can be made, considering individual preferences.

Wearable resistance training involves added load attached directly to the body during sporting movements. The effects of load position during running are not yet fully established. Therefore, the purpose of this research was to determine spatio-temporal and kinetic characteristics during submaximal running using upper, lower and whole-body wearable resistance (1-10% body mass (BM)). Twelve trained male runners completed eight 2-min treadmill running bouts at 3.9 m/s with and without wearable resistance. The first and last bouts were unloaded, while the middle 6 were randomised wearable resistance conditions: upper body (UB) 5% BM, lower body (LB) 1%, 3%, 5% BM and whole body (WB) 5%, 10% BM. Wearable resistance of 1-10% BM resulted in a significant increase in heart rate (5.40-8.84%), but minimal impact on spatio-temporal variables. Loads of 5% BM and greater caused changes in vertical stiffness, vertical and horizontal force, and impulse. Functional and effective propulsive force (2.95%, 2.88%) and impulse (3.40%, 3.38%) were significantly (p  < 0.05) greater with LB5% than UB5%. Wearable resistance may be used to increase muscular kinetics during running without negatively impacting spatio-temporal variables. The application of these findings will vary depending on athlete goals. Future longitudinal studies are required to validate training contentions.

This study aimed to analyze the effects of three different velocity loss thresholds (10%: VL10, 30%: VL30 and 50%: VL50) on maximal strength and velocity at different intensities during bench press using a weight stack machine (WSM-BP). Forty-five men were randomly assigned to three groups: VL10 (n=15), VL30 (n=15) and VL50 (n=15), which followed a 5-week (15 sessions) velocity-based WSM-BP program. Assessments performed Pre- and Post-training included: a) estimated one-repetition maximum (1RM) in WSM-BP; b) average velocity attained against all absolute loads common to Pre- and Post-training tests in WSM-BP; c) average velocity attained against all absolute loads that were lifted equal to or faster than 0.8 m·s-1 at Pre-training (light loads); and d) average velocity attained against all absolute loads that were lifted slower than 0.8 m·s-1 at Pre-training (heavy loads). All groups showed significant improvements in 1RM, velocity against all loads, and velocity against heavy loads (P<0.001-0.01). However, only the VL10 group showed significant enhancements in velocity against light loads (P=0.05). Therefore, the VL10 group showed a higher training efficiency compared to VL30 and VL50 interventions, since it obtained similar benefits by performing fewer repetitions., Competing Interests: The authors declare that they have no conflict of interest., (Thieme. All rights reserved.)

In December of 2019, there was an outbreak of a severe acute respiratory syndrome caused by the coronavirus 2 (SARS-CoV-2 or COVID-19) in China. The virus rapidly spread into the whole world causing an unprecedented pandemic and forcing governments to impose a global quarantine, entering an extreme unknown situation. The organizational consequences of quarantine/isolation are absence of organized training and competition, lack of communication among athletes and coaches, inability to move freely, lack of adequate sunlight exposure, and inappropriate training conditions. The reduction of mobility imposed to contain the advance of the SARS-Cov-2 pandemic can negatively affect the physical condition and health of individuals leading to muscle atrophy, progressive loss of muscle strength, and reductions in neuromuscular and mechanical capacities. Resistance training (RT) might be an effective tool to counteract these adverse consequences. RT is considered an essential part of an exercise program due to its numerous health and athletic benefits. However, in the face of the SARS-Cov-2 outbreak, many people might be concerned with safety issues regarding its practice, especially in indoor exercise facilities, such as gyms and fitness centers. These concerns might be associated with RT impact in the immune system, respiratory changes, and contamination due to equipment sharing and agglomeration. In this current opinion article, we provide insights to address these issues to facilitate the return of RT practices under the new logistical and health challenges. We understand that RT can be adapted to allow its performance with measures adopted to control coronavirus outbreak such that the benefits would largely overcome the potential risks. The article provides some practical information to help on its implementation., Competing Interests: LCCJ is a scientific director for Instituto Smartfit. PG has a share in Academia Malhart The authors report no conflict of interest., (Copyright © 2020 Paulo Gentil et al.)

Background: Traditional exercises performed with the shoulder in the position of 90° abduction and external rotation with elbow flexion (90/90) while using a single elastic band showed moderate activity of both the lower trapezius (LT) and infraspinatus (IS) muscle. The purpose of this study was to investigate activity of the teres minor (TMi) and the LT muscles during standing external rotation exercise with the shoulder in the 90/90 position with 2 elastic bands in both the frontal and the scapular plane., Hypothesis: TMi, IS, and LT muscle activities will vary depending on whether the shoulder is positioned in the frontal or scapular plane with the application of 2 elastic bands. Also, the serratus anterior (SA) and teres major (TMa) muscles will produce different muscular activity patterns during exercises performed with 2 elastic bands in the frontal plane compared with the TMi and LT muscles., Study Design: Controlled laboratory study., Level of Evidence: Level 4., Methods: A total of 21 collegiate baseball players volunteered to participate. The electromyography (EMG) activities of the TMi, IS, LT, SA, TMa, middle deltoid (MD), posterior deltoid, and upper trapezius (UT) muscles were measured with the 90/90 arm position during both isometric and oscillation resistance exercises with 2 elastic bands oriented in the frontal and scapular planes., Results: A significant difference was observed in EMG activity of both the TMi and the LT muscles between single and double elastic band applications in the frontal plane ( P < 0.05). In contrast, EMG activity of the IS, SA, and TMa muscles was significantly increased in the scapular plane compared with the frontal plane ( P < 0.05)., Conclusion: The standing 90/90 position effectively increased both TMi and LT muscle EMG activity with the double elastic band in the frontal plane while minimizing UT and MD muscle activity. EMG activity of the IS, SA, and TMa muscles increased with exercise in the scapular plane as compared with the frontal plane., Clinical Relevance: Oscillation movement under double elastic band application differentiated external rotator muscle and scapular muscle activities between the frontal and scapular plane during the 90/90 exercise in the frontal plane compared with the scapular plane. Clinicians can utilize each of the scapular and frontal positions based on their desired focus for muscular activation.

Objective: Strength training is recommended for people with hemophilia; however, published data are anecdotal and have methodological limitations. The purpose of this study was to evaluate the safety and effectiveness of progressive moderate-to-vigorous intensity elastic resistance training on physical function and pain in this patient population., Methods: A randomized controlled trial was conducted in a university laboratory setting where 20 patients (17 with severe, 1 with moderate, and 2 with mild hemophilia) aged 21 to 53 years received evaluations at baseline and 8-week follow-up. Participants were allocated to intervention (progressive strength training) or control (usual daily activities) groups. The intervention group trained 2 days per week during 8 weeks with elastic resistance. Intensity during the first 2 weeks was a 20-repetition maximum and increased progressively toward 15, 12, and finally 10 repetition maximum. The primary outcome was muscle strength. Secondary outcomes were the Timed "Up and Go" Test score, sit-to-stand, range of motion, Haemophilia Joint Health Score, kinesiophobia score, global impression of pain change, general self-rated health status, and desire to exercise., Results: The intervention group showed greater strength improvements than the control group in almost all of the joints, with moderate to high effect sizes. The intervention group also showed better Timed "Up and Go" and sit-to-stand scores than the control group (moderate effect size), greater range of motion at the knee flexion with the right leg (trivial effect size), and better Haemophilia Joint Health Score at the left knee (small effect size). The intervention group showed greater overall pain reduction, self-rated overall status, and desire to exercise than the control group., Conclusions: Progressive strength training with elastic resistance performed twice a week during 8 weeks is safe and effective in people with hemophilia to improve muscle strength and functional capacity, reduce general pain, and improve self-rated health status and desire to exercise., Impact: This study provides evidence for the use of a specific strength training regimen for people with hemophilia., Lay Summary: People with hemophilia of differing levels of severity, with adequate coverage with clotting factor, can safely engage in progressive strength training and can improve their functioning., (© The Author(s) 2020. Published by Oxford University Press on behalf of the American Physical Therapy Association. All rights reserved. For permissions, please email: journals.permissions@oup.com.)

The influence of aerobic training on cardiovascular disorders has already been demonstrated. However, the effect of resistance training is less well known. Arterial stiffness is an increasingly important measure in cardiovascular health. Therefore, this review attempted to study the results of resistance training-based interventions on arterial stiffness in healthy people, for both acute and chronic interventions. A literature search was conducted for randomized controlled trials on the acute and chronic effects of strength training. Studies published in PubMed and SportDiscus databases between 1999 and April 2019 were analyzed. In chronic strength training effects, the majority of groups showed large (d = -1.49 to -1.20) and moderate (d = -1.07) decreases, and small and trivial changes in arterial stiffness. In acute effects interventions, a very large decrease (d = -3.92) was observed, while large (d = 1.24-1.48) and very large (d = 3.88) increases were also found. A resistance training-based intervention of more than four weeks' duration with a frequency of two days per week seems not to compromise cardiovascular health, due to decreases in arterial stiffness. However, there is a general trend towards both increasing and maintaining arterial stiffness after isolated strength training sessions., (© Journal of Sports Science and Medicine.)

The suprahyoid muscles play a major role in safe swallowing in the pharyngeal phase. Therefore, it is clinically important to design a therapeutic approach for strengthening the suprahyoid muscles for safe and normal swallowing. This study aimed to investigate the activation of suprahyoid muscles by resistance training using kinesiology taping (KT). We enrolled 23 healthy adults. All participants performed saliva swallowing five times at 5 s intervals in three conditions (without KT, 50% stretch with KT, and 80% stretch with KT). KT in the I and reverse V shapes was pulled vertically from the hyolaryngeal complex to the sternum and medially from the superior surface of the clavicle, respectively. Another KT horizontally covered the hyolaryngeal complex to enhance the movement restriction of the hyolaryngeal complex during swallowing. Activation of the suprahyoid muscles during swallowing in the two conditions was measured using surface electromyography. In addition, a 0-10 numerical rating self-report scale was used to evaluate the required effort and the resistance felt during swallowing. Both KT 50% and 80% were significantly higher in surface electromyography (sEMG) mean value, peak value, required effort, and resistance felt during swallowing compared to normal swallowing (p < 0.05). In addition, KT 80% was significantly higher in sEMG value, peak value, required effort, and resistance felt during swallowing than KT 50% (p < 0.05). This study demonstrated that KT applied to the area under the hyolaryngeal complex improves activation of the suprahyoid muscle during swallowing. Therefore, KT applied as resistance during swallowing is considered to have therapeutic potential in dysphagia rehabilitation.

The purpose of this study was to compare the vascular responses to acute free-weight (FW) resistance exercise (RE) versus weight machines (WM). Thirty-two resistance-trained individuals participated in this study. Both modalities involved performing acute RE and a control. Blood pressure and measures of pulse wave reflection were assessed using pulse wave analysis. Aortic stiffness was assessed using carotid-femoral pulse wave velocity (cf-PWV). A repeated measures analysis of variance was used to determine the effects of modality (FW and WM) and condition (acute RE and control) across time (rest and 10-20 min after exercise) on measures of pulse wave reflection and aortic stiffness. Significance was set a priori at p  ≤ 0.05. There were no modality by condition by time interactions for any variable, such that the FW and WM modalities responded similarly across time after acute RE ( p  > 0.05). There were significant ( p  ≤ 0.05) increases in heart rate, aortic systolic blood pressure, aortic pulse pressure, augmentation index normalized at 75bpm, and decreases in subendocardial viability ratio (SEVR) after acute RE, compared to rest. There was also a significant ( p  ≤ 0.05) increase in cf-PWV after acute RE, compared to rest. In conclusion, this study demonstrates that acute free-weight and weight-machine RE are associated with transient increases in measures of pulse wave reflection and aortic stiffness, with reductions in myocardial perfusion. These data demonstrate that both modalities result in significant stress on the myocardium during recovery, while simultaneously increasing pressure on the aorta for at least 10-20 min.