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Purpose: This study's purpose was to investigate the midterm effects of alternative set configurations (cluster [CL] and rest redistribution [RR]) on lower- and upper-body neuromuscular capacities in female athletes. Method: Twenty team-sport female athletes were randomly assigned to a CL (n = 10) or RR (n = 10) training group. The study protocol comprised 2 pretests, 12 training sessions, and a posttest. Both groups engaged in identical exercises (squat and bench press), load intensity (75% of 1-repetition maximum), and volume (18 repetitions per exercise). The distinction between the groups lay in the total session rest time: The CL group had 23 minutes (3 sets of 6 repetitions with 30 s of intraset rest every 2 repetitions and 3 min of interset rest), whereas the RR group had 17 minutes (9 sets of 2 repetitions with 45 s of interset rest). Countermovement-jump height and load–velocity relationship variables (load-intercept, velocity-intercept, and area under the load–velocity relationship line) were assessed during the squat and bench-press exercises. Results: All dependent variables revealed greater values at posttest compared with pretest (P ≤.040; averaged Hedges g = 0.35 for CL and 0.60 for RR), but time × group interactions never reached statistical significance (P ≥.144). Likewise, the comparison of the magnitude of changes between the 2 groups revealed only trivial differences, except for a small greater change in bench-press area under the load–velocity relationship line for RRG (Hedges g = 0.40). Conclusions: RR is a more efficient strategy than CL for inducing strength gains in female athletes. [ABSTRACT FROM AUTHOR]

Marine-derived proteins, such as blue whiting-derived protein hydrolysates (BWPH), represent high-quality sources of dietary protein, but their ability to support postexercise anabolism is not established. The impact of BWPH on whole-body anabolism was compared with an isonitrogenous whey protein isolate (WPI) and nonessential amino acid (NEAA) control in 10 trained young males (31 ± 4 years) who, on three separate visits, performed a session of whole-body resistance exercise and then consumed, in randomized crossover fashion, BWPH, WPI, or NEAA (0.33 g/kg; 19, 33, and 0 mg/kg leucine, respectively) with L-[1-13C]leucine. Breath, blood, and urine samples were collected for 6-hr postprandial to assess dietary leucine oxidation, amino acid (AA) concentrations, and 3-methylhistidine: creatinine ratio. Peak and area under the curve concentrations for leucine, branched-chain amino acids, and essential amino acids were greater in WPI compared with BWPH (all p <.05) but with no differences in time to peak concentration. Total oxidation reflected leucine intake (WPI > BWPH > NEAA; p <.01), whereas relative oxidation was greater (p <.01) in WPI (28.6 ± 3.6%) compared with NEAA (21.3 ± 4.2%), but not BWPH (28.6 ± 8.8%). Leucine retention, a proxy for whole-body protein synthesis, was greater in WPI (185.6 ± 9.5 μmol/kg) compared with BWPH (109.3 ± 14.1 μmol/kg) and NEAA (5.74 ± 0.30 μmol/kg; both p <.01), with BWPH being greater than NEAA (p <.01). Urinary 3-methylhistidine: creatinine ratio did not differ between conditions. Both WPI and BWPH produced essential aminoacidemia and supported whole-body anabolism after resistance exercise, but a higher intake of BWPH to better approximate the leucine and EAA content of WPI may be needed to produce an equivalent anabolic response. Consuming protein after exercise is generally considered to be important for recovery from a single session of exercise, and over time can support muscle growth in response to long-term strength training. This study aimed to understand how different types of protein might affect these so-called "anabolic" processes by studying a marker of the body's ability to recovery and grow muscle after exercise. Specifically, this study compared how well three different protein sources—a dairy-based protein in the form of whey protein isolate, a novel fish protein powder derived from blue whiting, and a blend of what are known as nonessential amino acids—help the body retain another amino acid named leucine, which is a key indicator of muscle-building potential, during the 6 hr of recovery after exercise. There are 20 amino acids that are used in the body, some come from our food and some can be made in the body, but regardless of source, these amino acids serve as building blocks for all of the proteins in the body. Ten healthy young men who had been regularly doing strength training participated in the study. On three different occasions, each participant completed a full-body workout and then drank one of the three protein drinks. The amount of protein they consumed was based on their body weight. The drink provided 20–30 g of protein depending, on body size. After each workout, how much leucine the body retained over a 6-hr period was assessed by collecting samples of blood, breath, and urine which effectively measures how well the proteins were absorbed and used by the body for processes supporting muscle recovery, repair, and growth. One of the key questions was whether this fish-derived protein could be a good alternative to whey protein for supporting muscle recovery after exercise. Whey protein is well-known for its ability to support these processes and help build muscle, but there is much interest in whether other protein sources, particularly those from fish, could offer similar benefits. Fish proteins may also have the added advantage of being more sustainable, which is increasingly important in today's world. The nonessential amino acid blend served as a control, as it was not expected to contribute to processes that support muscle recovery and growth due to its lack of essential amino acids. The results showed that whey protein was the most effective by leading to the highest concentrations of essential amino acids in the blood, and the greatest amount of leucine retained in the body, meaning that the body was potentially able to use more of it for muscle recovery and growth. The fish protein performed better than the nonessential amino acids, supporting the idea that it could help with muscle recovery, but it was not as effective as whey protein. This finding is likely because the fish protein contained less essential amino acids, which are critical for muscle recovery and growth processes. Consuming a larger amount of the fish protein could potentially provide benefits similar to whey protein, but more studies would be needed to confirm this. The nonessential amino acid blend was the least effective, as expected, because it lacked the necessary components to stimulate these anabolic processes in muscle. The interpretation of these results is that while whey protein would be the most effective of the three protein sources for promoting muscle recovery after exercise, fish-derived proteins, like the one tested in this study, could be a good alternative, especially for those who are looking for nondairy sources of protein. While the fish protein didn't perform as well as whey protein in this study, it did still support muscle recovery, suggesting it could be a viable option to match the effects of whey if provided at the right dosage. Overall, this research adds to our understanding of how different protein sources can help the body recover after exercise, and suggests that future research could focus on how adjusting the amount of fish protein consumed could improve its potential to support recovery and growth in response to exercise. Consuming protein after exercise is generally considered to be important for recovery from a single session of exercise, and over time can support muscle growth in response to long term strength training. This study aimed to understand how different types of protein might affect these so-called "anabolic" processes by studying a marker of the body's ability to recovery and grow muscle after exercise. Specifically, this study compared how well three different protein sources—a dairy-based protein in the form of whey protein isolate, a novel fish protein powder derived from blue whiting, and a blend of what are known as nonessential amino acids—help the body retain another amino acid named leucine, which is a key indicator of muscle-building potential, during the 6 hr of recovery after exercise. There are 20 amino acids that are used in the body, some come from our food and some can be made in the body, but regardless of source, these amino acids serve as building blocks for all of the proteins in the body. Ten healthy young men who had been regularly doing strength training participated in the study. On three different occasions, each participant completed a full-body workout and then drank one of the three protein drinks. The amount of protein they consumed was based on their body weight, and so the drink provided 20–30 g of protein depending on body size. After each workout, how much leucine the body retained over a 6-hr period was assessed by collecting samples of blood, breath, and urine, and this is effectively a measure of how well the proteins were absorbed and used by the body for processes supporting muscle recovery, repair, and growth. One of the key research questions was whether this fish-derived protein could be a good alternative to whey protein for supporting muscle recovery after exercise. Whey protein is well-known for its ability to support these processes and help build muscle, but there is much interest in whether other protein sources, particularly those from fish, could offer similar benefits. Fish proteins may also have the added advantage of being more sustainable, which is increasingly important in today's world. The nonessential amino acid blend served as a control, as it was not expected to contribute to processes that support muscle recovery and growth due to its lack of essential amino acids. The results showed that whey protein was the most effective by leading to the highest concentrations of essential amino acids in the blood, and the greatest amount of leucine retained in the body, meaning that the body was potentially able to use more of it for muscle recovery and growth. The fish protein performed better than the nonessential amino acids, supporting the idea that it could help with muscle recovery, but it was not as effective as whey protein. This finding is likely because the fish protein contained less essential amino acids, which are critical for muscle recovery and growth processes. Consuming a larger amount of the fish protein could potentially provide similar benefits to whey protein, but more studies would be needed to confirm this. The nonessential amino acid blend was the least effective, as expected, because it lacked the necessary components to stimulate these anabolic processes in muscle. The interpretation of these results is that while whey protein would be the most effective of the three protein sources for promoting muscle recovery after exercise, fish-derived proteins like the one tested in this study could still be a good alternative, especially for those who are looking for nondairy sources of protein. While the fish protein didn't perform as well as whey protein in this study, it did still support muscle recovery, suggesting it could be a viable option to match the effects of whey if provided at the right dosage. Overall, this research adds to our understanding of how different protein sources can help the body recover after exercise, and suggests that future research could focus on how adjusting the amount of fish protein consumed could improve its potential to support recovery and growth in response to exercise. [ABSTRACT FROM AUTHOR]

This study investigated the effects of two physical exercise programs for adults with intellectual and developmental disabilities. Twenty-one participants were assigned to an indoor group (IG, n = 7; 24-week gym intervention with machine), an outdoor group (OG, n = 7; 24-week outdoor intervention with low-cost materials) or a control group. The outcomes assessed included quality of life, dementia, and functional capacity. The IG significantly improved physical well-being compared with the control group (p =.017). There were no significant differences in dementia score between groups and moments. Postintervention, the IG showed improvements compared with the control group for the 30-s sit-to-stand test (p =.03), timed up-and-go (p =.00), and 6-min-walk test (p =.033) and between moments in the IG for 30-s sit-to-stand test (pre ≠ post; p =.007) and 6-min-walk test (pre ≠ post; p =.007). Outdoor interventions appeared effective for physical well-being, while indoor interventions using weight-training machines benefited functional capacity. No significant effects were observed for dementia/cognitive decline. [ABSTRACT FROM AUTHOR]

Purpose: To investigate the effects of 3 training volumes in the bench-press exercise performed with interrepetition rest periods, matched for fatigue, on strength gains and neuromuscular adaptations. Methods: Forty-three resistance-trained men were randomized into 3 groups: low (LOW), moderate (MOD), and high (HIG) volume. The intensities increased from 70% to 85% of 1-repetition maximum (1RM) over the 8-week training period. Each session consisted of only 1 set with short interrepetition rest periods. LOW performed only 3 repetitions per session (8-wk total: 48 repetitions); MOD completed 15, 12, 10, and 8 repetitions per session with 70%, 75%, 80%, and 85% 1RM, respectively (8-wk total: 180); and HIG performed 24, 21, 18, and 15 repetitions per session with 70%, 75%, 80%, and 85% 1RM, respectively (8-wk total: 312). Progressive loading and fatigue tests were conducted in the bench-press exercise before and after the training period. Electromyography (EMG) signals from the triceps brachii were registered during these tests. Results: HIG and MOD showed higher velocity loss than LOW (16% vs 12%). No significant group × time interaction was observed for any variable. All groups improved significantly in all strength-related variables, except for maximal unloaded velocity, where only MOD obtained significant gains. Only LOW and MOD induced significant improvements in EMG. MOD obtained the greatest effect sizes in almost all strength variables. Conclusions: No significant differences were found in the performance gains obtained by each group despite the wide differences in the total volume accumulated by each group. [ABSTRACT FROM AUTHOR]

Purpose: To compare the acute effects on mechanical, metabolic, neuromuscular, and muscle contractile responses to different velocity-loss (VL) thresholds (20% and 40%) under distinct blood-flow conditions (free [FF] vs restricted [BFR]) in full squat (SQ). Methods: Twenty strength-trained men performed 4 SQ protocols with 60% 1-repetition maximum that differed in the VL within the set and in the blood-flow condition (FF20: FF with 20% VL; FF40: FF with 40% VL; BFR20: BFR with 20% VL; and BFR40: BFR with 40% VL). The level of BFR was 50% of the arterial occlusion pressure. Before and after the SQ protocols, the following tests were performed: (1) tensiomyography, (2) blood lactate, (3) countermovement jump, (4) maximal voluntary isometric SQ contraction, and (5) performance with the load that elicited a 1 m·s−1 at baseline measurements in SQ. Results: No "BFR × VL" interactions were observed. BFR protocols resulted in fewer repetitions and lower increases in lactate concentration than FF protocols. The 40% VL protocols completed more repetitions but resulted in lower mechanical performance and electromyography median frequency during the exercise than the 20% VL protocols. At postexercise, the 40% VL protocols also experienced greater blood lactate concentrations, higher alterations in tensiomyography-derived variables, and accentuated impairments in SQ and countermovement-jump performances. The 20% VL protocols showed an increased electromyography median frequency at postexercise maximal voluntary isometric contraction. Conclusions: Despite BFR-accelerated fatigue development during exercise, a given VL magnitude induced similar impairments in the distinct performance indicators assessed, regardless of the blood-flow condition. [ABSTRACT FROM AUTHOR]

Introduction: Physical activity and exercise are protective factors for physical and cognitive decline in older adults, but recent studies reveal that a large percentage of this population do not practice exercise at the levels recommended by international guidelines. The frequency, intensity, type, time, volume, and progression (FITT-VP) principles are a widely used method for prescribing physical exercise, allowing the development of a personalized exercise program that meets the needs of each individual. Objectives: This masterclass is intended to serve as a professional application tool for physical therapists who prescribe physical exercise for older adults. We present a section for each FITT-VP principle to facilitate handling these principles individually when prescribing exercise for this population. Methods: Review of the scientific literature and international guidelines on the prescription of physical exercises for older adults. Results: Aerobic, mobility, resistance, balance, and flexibility exercises, as well as functional training, should be included in an exercise program for older adults, which should be progressed using different methods for each of the exercise modalities. Conclusions: An exercise program for older adults should integrate different exercise modalities. Exercise progression should be performed following the FITT-VP principles and some specific progression factors recommended for each exercise modality. Significance: Considering the challenge faced by clinicians in designing a viable exercise program for older adults that responds to international recommendations, with this masterclass we hope to help physical therapists to plan an exercise program that is feasible and at the same time, responds to the expected needs of this population. [ABSTRACT FROM AUTHOR]

Purpose: This study analyzed the influence of 2 velocity-based training-load prescription strategies (general vs individual load–velocity equations) on the relationship between the magnitude of velocity loss (VL) and the percentage of repetitions completed in the bench-press exercise. Methods: Thirty-five subjects completed 6 sessions consisting of performing the maximum number of repetitions to failure against their 40%, 60%, and 80% of 1-repetition maximum (1RM) in the Smith machine bench-press exercise using generalized and individualized equations to adjust the training load. Results: A close relationship and acceptable error were observed between percentage of repetitions completed and the percentage of VL reached for the 3 loading magnitudes and the 2 load-prescription strategies studied (R2 from.83 to.94; standard error of the estimate from 7% to 10%). A simple main effect was observed for load and VL thresholds but not for load-prescription strategies. No significant interaction effects were revealed. The 40% and 60% 1RM showed equivalence on data sets and the most regular variation, whereas the 80% 1-repetition maximum load showed no equivalence and more irregular variation. Conclusion: These results suggest that VL is a useful variable to predict percentage of repetitions completed in the bench-press exercise, regardless of the strategy selected to adjust the relative load. However, caution should be taken when using heavy loads. [ABSTRACT FROM AUTHOR]

Purpose: To compare the effects of 7 weeks of training with different hang-power-clean (HPC) intensities on the maximum dynamic strength, vertical jump, and sprint performance of female handball players. Methods: Professional handball athletes with at least 1 year of HPC experience volunteered to participate. The athletes were balanced by position and randomly assigned to a group with HPC at 90% (HPC90%) or 50% (HPC50%) of HPC 1-repetition maximum (1RM). The training volume was equalized between groups. Pretraining and posttraining assessments included 1RM HPC, jump height in the squat jump (SJ) and countermovement jump (CMJ), and sprint speeds at 5, 20, and 30 m. Results: From pretraining to posttraining, both groups significantly increased (P ≤.05) 1RM HPC, although a small effect size was observed in favor of HPC90%. HPC90% and HPC50% did not induce significant changes (P >.05) in the SJ and CMJ height, although for the SJ, a small effect size was observed in favor of HPC90%. Both groups induced a significant improvement (P ≤.05) in 5-, 20-, and 30-m sprint speeds, although for all speeds, small to moderate effect sizes were observed in favor of HPC90%. Conclusions: Both training groups induced significant improvements in 1RM HPC and sprint speeds, whereas no significant changes were observed in vertical jumps. In addition, based mainly on the effect sizes, the HPC90% group was more effective for increasing 1RM HPC, SJ, and sprint speeds than the HPC50% group. [ABSTRACT FROM AUTHOR]

The adolescent population with Down syndrome (DS) appears to show higher levels of body fat and lower levels of cardiorespiratory fitness or muscle strength than their peers without disabilities. There is a need to create physical activity programs to improve these data. The aim of this research was to determine the effects of a 16-week swimming program, strength program, and combined program (swimming and strength training) on body composition and health-related physical fitness on adolescents with DS and to assess whether there are differences in the results of the different training programs. Forty-five adolescents (17 female and 28 male; average age 15.5 [1.53] years) with DS were recruited and randomized to three groups (swim [n = 15], strength [n = 15], and combined [n = 15]). Results showed that the swim group had significant improvements in all health-related physical fitness variables and there was an improvement in some body-composition variables (p <.05). The strength and combined groups obtained minor improvements in the variables analyzed. In summary, a 16-week swim program consisting of three sessions of 60 min is able to improve levels of body composition and health-related physical fitness in adolescents with DS. The swim training program seems to be more effective in improving body composition and health-related physical fitness than the strength or combined program. These findings could be useful in different special-education centers due to the predisposition shown by the population with DS to this sport modality. [ABSTRACT FROM AUTHOR]

Background: We aimed to evaluate the effectiveness of the combination of protein supplementation and resistance training (RT), compared with RT alone or combined with a placebo, in improving gait speed. Methods: We searched PubMed, Web of Science, Cochrane Library, and SPORTDiscus databases, and 18 randomized controlled trials with 1,147 older participants were included for meta-analysis. Data were pooled as the effect sizes (Hedges' g) with 95% confidence interval (CI) of the gait speed (in meters per second). The random-effect meta-analysis, subgroup analyses, meta-regression, and sensitivity analysis were conducted. Results: The combination of protein supplementation and RT significantly improved gait speed (Hedges' g: 0.52 m/s, 95% confidence interval [0.17, 0.86], p =.005; I2 = 86.5%) compared with the RT alone. The subgroup analyses revealed that the significant improvement in gait speed postprotein intervention plus RT was observed only in participants who consumed protein after RT (Hedges' g: 0.90 m/s, 95% confidence interval [0.46, 1.33], p =.001; I2 = 79.6%). The pooled result did not significantly change after excluding any single study at one time or excluding smaller studies with large effect sizes. Conclusions: Protein supplementation combined with RT could significantly improve the gait speed of older adults compared with RT alone. This positive effect is more pronounced in people who consume protein after RT. [ABSTRACT FROM AUTHOR]

Purpose: Maximal speed is an important physical-fitness attribute for female Australian footballers. The effects of sprint training, maximal strength, and technical training have been reported in laboratory studies. However, no study has determined the combined effect and relative contribution of these training modalities on maximal speed adaptation in situ. Therefore, the aim of this study was to determine the training factors affecting maximal speed adaptation during a preseason in subelite female Australian Rules footballers. Methods: Maximal speed during field training, predicted 1-repetition maximum (1RM) for box squat and hip thrust, and sprint biomechanics were assessed during early and late preseason (∼9 wk apart) in 15 female subelite Australian Rules Football players (age 20 [3] y). On-field training volume and intensity (total distance, high-speed running, very-high-speed running, and maximal speed) were determined using a Global Positioning System. A multivariate regression model was used to determine the factors associated with changes in maximal speed across the preseason. Results: The preseason training program had a small effect on maximal speed and large to very large effects on strength and sprint biomechanics. The multivariate regression with the greatest fit (P <.001, R2 =.939) included change in estimated 1RM box squat (β = −0.63), total distance per week (β = −0.55), and change in hip projection (β = 0.16) as factors. Multivariate regression of biomechanical factors (P =.044, R2 =.717) and maximal strength factors (P =.003, R2 =.676) were also significant. Conclusion: The development of maximal speed across a preseason is dependent on (1) total distance per week, (2) maximal strength adaptation, and (3) sprint technique adaptation in female subelite Australian rules football players. [ABSTRACT FROM AUTHOR]

Purpose: To compare the effects of 6-week barbell weighted-jump-squat (WJS) training with and without eccentric load reduction on explosive performance. Methods: Twenty well-trained male athletes were randomly assigned to either an experimental group (n = 10) or a control group (n = 10). Participants completed 12 WJS training sessions (6 sets of 5 repetitions of barbell back squat at 30% of 1-repetition maximum [1RM]) twice a week over a 6-week period. While the control group used 0% eccentric loading (ie, traditional WJS), the experimental group utilized a 50% eccentric loading reduction with a mechanical braking unit (ie, eccentric load set at 15% of 1RM). Performance assessments, including countermovement jump, 20-m sprint, standing long jump, and 1RM barbell back squat, were conducted both before (pretests) and after (posttests) the intervention. Results: Both the experimental group and the control group demonstrated a significant increase in countermovement-jump height (+6.4% [4.0%] vs +4.9% [5.7%]; P <.001) and peak power output (+2.3% [2.7%] vs +1.9% [5.1%]; P =.017), faster 20-m sprint times (+9.4% [4.8%] vs +9.2% [5.5%]; P <.001), longer standing long jump (+3.1% [2.5%] vs +3.0% [3.3%]; P <.001), and higher 1RM back squat (+6.4% [4.0%] vs +4.9% [5.7%]; P <.001) from pretests to posttests. However, there was no significant condition × time interaction for any variable (all P ≥.294). Conclusions: Both WJS training methods, with and without load reduction in the eccentric phase, effectively enhance explosive performance. Nevertheless, athletes in later stages of injury rehabilitation or intense training may find reducing eccentric load a more tolerable strategy for achieving similar performance gains compared with traditional isoinertial loading. [ABSTRACT FROM AUTHOR]

Purpose: This study explored the effects of 4 bench-press (BP) training programs with different velocity-loss (VL) thresholds (0%, 15%, 25%, and 50%) on strength gains and neuromuscular adaptations. Methods: Forty-six resistance-trained men (22.8 [4.4] y) were randomly assigned into 4 groups that differed in the VL allowed within the set: 0% (VL0), 15% (VL15), 25% (VL25), and 50% (VL50). Training loads (40%–55% 1-repetition maximum), frequency (2 sessions/wk), number of sets (3), and interset recovery (4 min) were identical for all groups. Participants completed the following tests before and after an 8-week (16-session) BP training program: (1) maximal isometric test, (2) progressive loading test, and (3) fatigue test in the BP exercise. During all tests, triceps brachii muscle electromyography was assessed. Results: After completing the resistance-training program, no significant group × time interactions were noticed for isometric and dynamic BP strength variables. The dose–response relationship exhibited an inverted U-shaped relationship pattern, with VL25 showing the greatest effect sizes for almost all strength variables analyzed. The total number of repetitions performed during the training program increased as the VL magnitude increased. Conclusions: The group that trained with high VL threshold (50%), which performed a total of 876 repetitions, did not experience additional strength gains compared with those experienced by the 0%, 15%, and 25% of VL groups, which performed significantly fewer repetitions (48, 357, and 547, respectively). These findings suggest that when light loads (40%–55% 1-repetition maximum) are used, low and moderate VL thresholds (0%–25%) provide a higher training efficiency. [ABSTRACT FROM AUTHOR]

Context: To stabilize the humeral head within the glenoid fossa during arm elevation, the rotator cuff muscles may contribute through internal and external rotation. The main purpose of the current study was to compare the acromiohumeral distance between athletes with primary subacromial impingement syndrome who received progressive resistance exercises consisting of either shoulder internal or external rotation. Design: A randomized and controlled clinical study. Methods: Thirty athletes with primary subacromial impingement syndrome were enrolled and randomly divided into 2 experimental groups. The progressive resistance exercise protocol in experimental group I comprised shoulder internal rotation, while in experimental group II consisted of shoulder external rotation. The experimental groups worked out 3 days a week for 6 weeks. The experimental groups were compared with the control group consisting of 15 healthy athletes. The acromiohumeral distance was measured before and after the intervention using an ultrasound machine under the passive and active across no arm elevation and 45°of arm elevation. Results: The acromiohumeral distance significantly increased in both experimental groups under the passive and active arm positions following the intervention (P <.001), with no significant differences detected between the experimental groups (P >.665). The paired comparisons of the acromiohumeral distance discrepancy indicated a significant difference between the control group and each experimental group under the active and passive arm positions (P <.001), while no significant difference was observed between the experimental groups (P >.999). Conclusions: The present study revealed, for the first time, that both progressive resistance exercise protocols involving either the shoulder internal or the external rotation increased the acromiohumeral distance in individuals with primary subacromial impingement syndrome and improved associated pain and disabilities. [ABSTRACT FROM AUTHOR]

Purpose: Performing back squats with elastic bands has been widely used in resistance training. Although research demonstrated greater training effects obtained from adding elastic bands to the back squat, little is known regarding the optimal elastic resistance and how it affects neuromuscular performance. This study aimed to compare the force, velocity, power, and muscle activity during back squats with different contributions of elastic resistance. Methods: Thirteen basketball players performed 3 repetitions of the back squat at 85% of 1-repetition maximum across 4 conditions: (1) total load from free weight and (2) 20%, (3) 30%, and (4) 40% of the total load from elastic band and the remaining load from free weight. The eccentric and concentric phases of the back squat were divided into upper, middle, and bottom phases. Results: In the eccentric phase, mean velocity progressively increased with increasing elastic resistance, and muscle activity of the vastus medialis and rectus femoris significantly increased with the largest elastic resistance in the upper phase (P ≤.036). In the concentric phase, mean power (P ≤.021) and rate of force development (P ≤.002) significantly increased with increasing elastic resistance. Furthermore, muscle activity of the vastus lateralis and vastus medialis significantly improved with the largest elastic resistance in the upper phases (P ≤.021). Conclusion: Velocity, power, rate of force development, and selective muscle activity increased as the elastic resistance increased in different phases during the back-squat exercise. [ABSTRACT FROM AUTHOR]

Purpose: Without appropriate standardization of exercise doses, comparing high- (HI) and low-intensity (LI) training outcomes might become a matter of speculation. In athletic preparation, proper quantification ensures an optimized stress-to-recovery ratio. This review aims to compare HI and LI doses by estimating theoretically the conversion ratio, 1:x, between HI and LI: How many minutes, x, of LI are equivalent to 1 minute of HI using various quantification methods? A scrutinized analysis on how the dose increases in relation to duration and intensity was also made. Analysis: An estimation was conducted across 4 categories encompassing 10 different approaches: (1) "arbitrary" methods, (2) physiological and perceptual measurements during exercise, (3) postexercise measurements, and comparison to (4a) acute and (4b) chronic intensity-related maximum dose. The first 2 categories provide the most conservative estimation for the HI:LI ratio (1:1.5–1:10), and the third, slightly higher (1:4–1:11). The category (4a) provides the highest estimation (1:52+) and (4b) suggests 1:10 to 1:20. The exercise dose in the majority of the approaches increase linearly in relation to duration and exponentially in relation to intensity. Conclusions: As dose estimations provide divergent evaluations of the HI:LI ratio, the choice of metric will have a large impact on the research designs, results, and interpretations. Therefore, researchers should familiarize themselves with the foundations and weaknesses of their metrics and justify their choice. Last, the linear relationship between duration and exercise dose is in many cases assumed rather than thoroughly tested, and its use should be subjected to closer scrutiny. [ABSTRACT FROM AUTHOR]

Context: Blood flow restriction resistance exercise studies often require caffeine abstinence to avoid cardiovascular effects that could change the blood flow restriction stimulus. However, effects may be attenuated for habituated users. Objective: To compare cardiovascular responses to blood flow restriction resistance exercise when habituated users consume or abstain from caffeine. Design: Thirty participants completed a 3-visit within-subject study beginning with familiarization and caffeine intake questionnaire. Methods: Visits 2 and 3 consisted of blood flow restriction resistance exercise (3 sets bicep curls to failure, 30% 1-repetition max, 40% arterial occlusion pressure [AOP]), following participants' normal caffeine consumption (CAFF) or abstaining (ABS). AOP, systolic (SBP) and diastolic (DBP) blood pressure, and heart rate were measured preexercise and postexercise. Prevalues and preexercise to postexercise change scores for SBP, DBP, AOP (all millimeters of mercury), heart rate (in beats per minute), and repetitions were compared between conditions. Results are represented as mean (SD). Results: Preexercise AOP was similar for CAFF (137.8 [14.4]) and ABS (137.1 [14.9], BF10 = 0.2), although pre-SBP was higher for CAFF (115.4 [9.8]) than ABS (112.3 [9.4], BF10 = 1.9). Pre-DBP was similar between conditions. The exercise-induced change in AOP was greater for CAFF (18.4 [11.2]) than ABS (13.2 [14.9]), though evidence was anecdotal (BF10 = 0.7). Exercise-induced changes in SBP, DBP, and heart rate were similar between conditions (all BF10 ≤ 0.40). More repetitions were completed for CAFF (63 [26]) than ABS (57 [17], BF10 = 2.1). Conclusions: The findings of this study suggest that for habituated users, maintaining daily caffeine habits will not have substantial effects on common cardiovascular variables relevant to blood flow restriction. [ABSTRACT FROM AUTHOR]

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. [ABSTRACT FROM AUTHOR]