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Background: Short‐term restorative care (STRC) aims to reduce the demand for long‐term aged care services through 8 weeks of intensive, multidisciplinary services designed to enhance the independence of community‐dwelling older Australians at risk of functional decline. Evidence surrounding the effectiveness and feasibility of STRC is limited. Objective: This study aimed to examine the effectiveness of an existing exercise‐based STRC model and help inform successful service delivery to maximise participant outcomes nationally. Methods: An observational cohort study was conducted to evaluate the potential benefits accrued by community‐dwelling older adults accessing Southern Cross Care's current exercise‐based STRC model in Adelaide, South Australia. Program effectiveness was determined via improvements in outcome measures specific to functional decline risk factors from baseline (Week 0) to discharge (Week 8). Results: Results demonstrated significant improvements (p < 0.001) in participants' (n = 62) lower extremity function (44.9%), depressive symptoms (52.4%), anxiety (45.8%), frailty stage (57.9%), independence in activities of daily living (17.3%) and health‐related quality of life (24.0%). No significant change was found for grip strength or BMI post‐intervention. The most frequent services were exercise‐based (54.3% of total services), with participants receiving an average of two to three exercise services per week. Conclusions: An exercise‐based STRC model is an effective mechanism to reverse functional decline and associated risk factors among community‐dwelling older Australians. Adoption of multidisciplinary intervention as a standardised STRC service model could help improve client outcomes nationally and offset expected increases in community and long‐term aged care demand. [ABSTRACT FROM AUTHOR]

Purpose/Objectives: To describe the physical activity (PA) promotion practices, beliefs, and barriers of Australasian oncology nurses and gain preliminary insight into how PA promotion practices may be affected by the demographics of the nurses. Design: Cross-sectional survey. Setting: Australia and New Zealand. Sample: 119 registered oncology nurses. Methods: Self-reported online survey completed once per participant. Main Research Variables: Questions assessed the PA promotion beliefs (e.g., primary healthcare professionals responsible for PA promotion, treatment stage), PA benefits (e.g., primary benefits, evidence base), and PA promotion barriers of oncology nurses. Findings: Oncology nurses believed they were the major providers of PA advice to their patients. They promoted PA prior to, during, and post-treatment. The three most commonly cited benefits of PA for their patients were improved quality of life, mental health, and activities of daily living. Lack of time, lack of adequate support structures, and risk to patient were the most common barriers to PA promotion. Relatively few significant differences in the oncology nurses' PA promotion practices, beliefs, and barriers were observed based on hospital location or years of experience. Conclusions: Despite numerous barriers, Australasian oncology nurses wish to promote PA to their patients with cancer across multiple treatment stages because they believe PA is beneficial for their patients. Implications for Nursing: Hospitals may need to better support oncology nurses in promoting PA to their patients and provide better referral pathways to exercise physiologists and physiotherapists. [ABSTRACT FROM AUTHOR]

Objectives: To explore the relationships between physical fitness and i) technical skills and ii) time-loss from Australian football injury in female players across the talent and participation pathways., Methods: This study uses a subset of data from two cross-sectional and one prospective cohort studies. A total of 223 female Australian football players across five competition levels (elite/non-elite senior, high-level junior, and non-elite junior (14-17 years)/(10-13 years)) were included in this study. Comprehensive physical fitness assessments and modified Australian football kicking and handballing tests were conducted in the 2018/19 pre-seasons. During the respective competitive in-season, time-loss injuries were recorded by team personnel. Stepwise multiple linear regressions were performed to determine the relationship between physical fitness and kicking and handballing scores. Cox proportional regressions were conducted to identify physical fitness factors associated with injury., Results: Increased running vertical jump height, greater hip abduction strength, and faster timed 6 m hop speed demonstrated a relationship with kicking accuracy when adjusted for years of Australian football playing experience (adjusted R2 = 0.522, p < 0.001). Faster agility time and increased lean mass were associated with better handballing accuracy (adjusted R2 = 0.221, p < 0.001). Multivariate Cox regression revealed an increased risk for sustaining a time-loss injury in less agile players (adjusted HR 2.41, 95% CI 1.23, 4.73, p = 0.010). However, this relationship no longer remained when adjusted for age and years of Australian football experience (adjusted HR 1.68, 95% CI 0.81, 3.50, p = 0.166)., Conclusions: Physical fitness may be a significant factor contributing to development of Australian football technical skills in female players. However, its role is unclear in protecting against injury risk in this athlete population. Further research is needed to explore the multifactorial and complex phenomenon of talent development and injury risk reduction in female Australian football players., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Farley 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: The first women's Australian football (AF) professional competition was established in 2017, resulting in advancement in performance analysis capabilities within the sport. Given the specific constraints of women's AF, it is currently unclear what match-play performance analysis methods and techniques are implemented. Therefore, the aim of this scoping review was to describe and critically appraise physical, technical, and tactical performance analysis methods that have been employed in women's and girls' AF match-play., Methodology: A systematic search was conducted on the 27th of June 2022 through five databases. Eligibility criteria were derived from the PCC framework with the population (P) of women and girls AF players, of any level of play; concepts (C) of interest which were measures, data, and methods related to the sport's physical, technical, and tactical performance; and the context (C) of methods that analysed any match-play performance. A narrative synthesis was conducted using extracted study characteristic data such as sample size, population, time period, collection standards, evaluation metrics for results, and application of thematic categorisations of previous sports performance reviews. Critical appraisal of eligible studies' methodologies was conducted to investigate research quality and identify methodological issues., Results: From 183 studies screened, twelve eligible studies were included, which examined match-play through physical (9/12, 75%), technical (4/12, 33%), and tactical analysis (2/12, 17%). Running demands and game actions analysis were the most researched in senior women's AF. Research into junior girls' AF match-play performance has not been investigated. No research has been conducted on non-running physical demands, contact demands, acceleration, and tactical aspects of women's AF. All studies utilised either inferential statistics or basic predictive models. Critical appraisal deemed most studies as low risk of bias (11/12, 92%), with the remaining study having satisfactory risk., Conclusions: Future research utilising increased longitudinal and greater contextual data is needed to combat the prominent issue of data representativeness to better characterise performance within women's and girls' AF. Additionally, research involving junior and sub-elite AF players across the talent pathways is important to conduct, as it provides greater context and insight regarding development to support the evolving elite women's AF competition. Women's AF has been constrained by its resource environment. As such, suggestions are provided for better utilisation of existing data, as well as for the creation of new data for appropriate future research. Greater data generation enables the use of detailed machine learning predictions, neural networks, and network analysis to better represent the intertwined nature of match-play performance from technical, physical, and tactical data., Competing Interests: Justin Keogh is an Academic Editor for PeerJ., (©2023 van der Vegt et al.)

Objective: To quantify the variation in body composition, physical function and cognitive health changes resulting from the Muscling Up Against Disability (MUAD) resistance and balance training program and the potential for baseline characteristics to predict the magnitude of training-related response., Methods: The study represented a secondary analysis of a stepped-wedge randomised controlled trial involving 245 community-dwelling adults receiving Australian Government-funded aged care services who performed 26 weeks of supervised progressive resistance and balance training (PRBT). The primary outcome was the proportion of response that described the number of individuals expected to make any positive change due to the intervention and not external factors., Results: For all outcomes, the observed average change in the PRBT group was more favourable than the control. Analyses identified that most participants completing the PRBT program would be expected to respond positively to the intervention (86%-99%) with respect to their physical performance (SPPB summary, grip strength, chair stand and isometric knee strength). A smaller proportion completing the PRBT program group would be expected to respond positively in aspects of body composition (45%-60%) or cognitive function (44%-84%). The strongest predictors of positive change were baseline physical function, whereby those with the poorest baseline function experienced the greatest benefits., Conclusions: This study strongly supports the promotion of PRBT as a standard component of any care plan for community-dwelling older adults, especially those with low levels of physical function., (© 2022 AJA Inc.)

The Ballistic Exercise of the Lower Limb (BELL) trial examined the efficacy and safety of a pragmatic hardstyle kettlebell training program in older adults. Insufficiently active men and women aged 59-79 years, were recruited to a 6-month repeated measures study, involving 3-months usual activity and 3-months progressive hardstyle kettlebell training. Health-related physical fitness outcomes included: grip strength [GS], 6-min walk distance [6MWD], resting heart rate [HR], stair-climb [SC], leg extensor strength [LES], hip extensor strength [HES], Sit-To-Stand [STS], vertical jump [CMVJ], five-times floor transfer [5xFT], 1RM deadlift, body composition (DXA), attendance, and adverse events. Sixteen males (68.8 ± 4.6 yrs, 176.2 ± 7.8 cm, 90.7 ± 11.0 kg, 29.2 ± 2.6 kg/m 2 ) and sixteen females (68.6 ± 4.7 yrs, 163.9 ± 5.4 cm, 70.4 ± 12.7 kg, 26.3 ± 4.9 kg/m 2 ) were recruited. Compliance with the supervised exercise program was very high (91.5%). Kettlebell training increased GS (R: MD = 7.1 kg 95% CI [4.9, 9.3], L: MD = 6.3 kg 95% CI [4.1, 8.4]), 6MWD (41.7 m, 95% CI [17.9, 65.5]), 1RM (16.2 kg, 95% CI [2.4, 30.0]), 30 s STS (3.3 reps, 95% CI [0.9, 5.7]), LES (R: MD = 61.6 N, 95% CI [4.4, 118.8]), HES (L: MD = 21.0 N,95% CI [4.2,37.8]), appendicular skeletal lean mass (MD = 0.65 kg, 95% CI [0.08, 1.22]), self-reported health change (17.1%, 95% CI [4.4, 29.8]) and decreased SC time (2.7 s, 95% CI [0.2, 5.2]), 5xFT time (6.0 s, 95% CI [2.2, 9.8]) and resting HR (7.4 bpm, 95% CI [0.7, 14.1]). There were four non-serious adverse events. Mean individual training load for group training sessions during the trial was 100,977 ± 9,050 kg. High-intensity hardstyle kettlebell training was well tolerated and improved grip strength and measures of health-related physical fitness in insufficiently active older adults.Trial registration: Prospectively registered: 20/08/2019, Australian New Zealand Clinical Trials Registry (ACTRN12619001177145)., (© 2022. The Author(s).)

Objectives: To examine physical fitness profiles of female Australian football players and investigate differences according to competition level., Methods: A testing battery of 28 physical fitness assessments was undertaken with 240 players across five competition levels: elite senior (≥18 years), non-elite senior (≥18 years), high-level junior (<18 years), non-elite junior (14-17 years), and non-elite junior (10-13 years). Physical fitness profiles were examined and competition level differences were investigated using multivariate analyses of variance., Results: Significant differences ( p <0.001) were observed between competition levels in body composition (η 2 p =0.225), flexibility (η 2 p =0.071), muscular strength and endurance (η 2 p =0.238), balance (η 2 p =0.093), reaction time (η 2 p =0.103), and whole-body locomotor performance (η 2 p =0.200). Elite seniors and high-level juniors were stronger ( p <0.001-0.043), faster ( p =0.001-0.022), more responsive ( p <0.001-0.048), and had better cardiorespiratory fitness ( p <0.001) compared to the non-elite groups. Additionally, body composition and muscular strength and endurance differences were common between the senior and non-elite junior groups., Conclusions: This is the first study to comprehensively profile physical characteristics of female Australian footballers across a broader development pathway. These preliminary findings may assist sport practitioners to better understand athlete development, provide insight on talent identification and development programs, and injury management in this population.

Objectives: To profile the kicking and handballing accuracy of female Australian football (AF) players and investigate potential differences across five competition levels., Methods: Female AF players were classified into five competition levels: elite senior (≥18 years) ( n =35), non-elite senior (≥18 years) ( n =58), high-level junior (<18 years) ( n =32), non-elite junior (14-17 years) ( n =38), and non-elite junior (10-13 years) ( n =42). Modified AF kicking and handballing tests examined accuracy outcomes. Competition level differences in accuracy were modelled using multivariate analysis of variance., Results: A large, significant difference between the competition levels was noted ( F =11.508, p <0.001, Wilk's Λ=0.462, η 2 p =0.227), with significant differences ( p <0.001) observed in the modified AF kicking (ω 2 =0.514) and handballing (η 2 p =0.150-0.250) tests. Elite seniors and high-level juniors performed the modified AF kicking test more accurately than all non-elite competition levels ( p ≤0.001). Elite seniors were also more accurate in the modified AF handballing test (dominant hand) compared to all non-elite competition levels ( p ≤0.001)., Conclusions: This study is the first to report technical skill characteristics in female AF across a broader participation pathway. These exploratory findings could be used as reference data for player development and inform training designs, namely by incorporating non-dominant handballing competitive play situations to develop this skill in female AF players.

Objectives: To describe injury profiles of Australian football players and explore trends across five, women's and girls' competition levels., Design: Prospective cohort study., Methods: Injuries were prospectively recorded by team personnel across one or two seasons of Australian football (2017-18 and/or 2018-19) including five, women's and girls' competition levels (elite senior, non-elite senior, high-level junior, non-elite junior (14-17 years), and non-elite junior (10-13 years)). Injury incidence rates were calculated per 1000 h and injury prevalence calculated for pre-season, early-season, mid-season, and late-season. Descriptive statistics present injury profiles according to activity, body region, pathology, mechanism, and severity., Results: From the 392 included players, 760 injuries were recorded. Overall injury incidence was 20.9 injuries per 1000 h. Injury prevalence was highest during pre-season (64.1%). Most injuries were to the lower extremity (n = 440; 58.0%). Ligament/joint sprain injuries were common (n = 147, 19.3%). Several injuries resulted from contact mechanisms (n = 314, 61.4%), with many due to contact with another player (n = 131, 52.8%). Injuries resulting in time lost from participation were common (n = 444, 58.9%). Competition level injury trends were observed, with elite senior (125.1 injuries per 1000 h) and high-level junior (116.9 injuries per 1000 h) players having greater match injury incidence compared to their non-elite counterparts (15.5-41.4 injuries per 1000 h)., Conclusions: This study provides preliminary insight into injury profiles of Australian football players in women's and girls' competitions. These findings can drive future injury risk reduction research specific to this population across the developmental pathway., (Copyright © 2021 Elsevier Ltd. All rights reserved.)