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Findings are inconsistent with regards to whether menstrual cycle phase-associated changes in physical functioning exist. It is possible that such discrepancies are due to varying rigour in experimental approaches. The current study aimed to systematically evaluate any effect of carefully tracked menstrual cycle phase on precisely measured muscle structure and function in a physically active group (contemporary dancers). Eleven women aged (M [SD]) 23.5 [2.94] years, undergoing 10.5 [1.73] hours of contemporary dance practice and 6.12 [2.36] hours of other physical activity per week, were recruited. Sex hormone level (enzyme-linked immunosorbent assays (ELISA), skin temperature and ovulation kits), physical pain assessments (Ice Water Test, Visual Analogue Scale, The Physical Activity Readiness Questionnaire, Self-Estimated Functional Inability Because of Pain Questionnaire, and Pain Anxiety Symptoms Scale), muscle architecture measurement (B-mode ultrasonography), and physical functioning (dynamometry, force-platform and electromyography) on both lower limbs were measured at three time points during one cycle, following three months of menstrual cycle monitoring. There was no difference in musculoskeletal flexibility variables between follicular, ovulatory, or luteal phases. Nonetheless, oestrogen change was associated with variability in 11 musculoskeletal variables, progesterone change was associated with variability in 7, and relaxin change was associated with variability in 15. Negative correlations existed between progesterone and flexibility and between oestrogen and jump variables. Moreover, oestrogen and relaxin were associated with increased musculoskeletal compliance, whilst progesterone was associated with increased muscle stiffness. In short, in absolute sex hormone levels, 'inter-individual' variances appear more impactful than 'intra-individual' variances. Not only are oestrogen and progesterone associated with differing musculoskeletal outcomes, but r

Background: Once a decision to undergo rotator cuff repair surgery is made, patients are placed on the waiting list. It can take weeks or months to receive surgery. There has been a call to move from waiting lists to ‘preparation’ lists to better prepare patients for surgery and to ensure it remains an appropriate treatment option for them. Objective: To evaluate the feasibility, as measured by recruitment rates, treatment fidelity and follow-up rates, of a future multi-centre randomised controlled trial to compare the clinical and cost-effectiveness of undertaking a physiotherapist-led exercise programme while waiting for surgery versus usual care (waiting-list control). Design: Two-arm, multi-centre pilot randomised controlled trial with feasibility objectives in six NHS hospitals in England. Method: Adults (n = 76) awaiting rotator cuff repair surgery were recruited and randomly allocated to a programme of physiotherapist-led exercise (n = 38) or usual care control (n = 38). Results: Of 302 eligible patients, 76 (25%) were randomised. Of 38 participants randomised to physiotherapist-led exercise, 28 (74%) received the exercise programme as intended. 51/76 (67%) Shoulder Pain and Disability Index questionnaires were returned at 6-months. Of 76 participants, 32 had not received surgery after 6-months (42%). Of those 32, 20 were allocated to physiotherapist-led exercise; 12 to usual care control. Conclusions: A future multi-centre randomised controlled trial is feasible but would require planning for variable recruitment rates between sites, measures to improve treatment fidelity and opportunity for surgical exit, and optimisation of follow-up. A fully powered, randomised controlled trial is now needed to robustly inform clinical decision-making.

Previous research has suggested that cooling distal to the working agonist muscles during the interset rest periods of high-intensity resistance exercise may facilitate improved performance through increased agonist activation. However, these studies have used inappropriate electromyography (EMG) normalization techniques. Therefore, the aim of this study was to compare 2 palm-cooling conditions with a thermoneutral condition during high-intensity resistance exercise and subsequent effects on exercise performance, EMG amplitude, and spectral frequencies using appropriate normalization methodologies. Eleven healthy, resistance-trained, young men (20–36 years old) performed 4 sets of bench press exercise to exhaustion at 80% 1RM each separated by 3 minutes of passive recovery. Palm-cooling (10° C [TEN] or 15° C [FTN]) or thermoneutral (28° C [CON]) conditions were applied for 60 seconds during the recovery interval of each set in a randomized, double-blind fashion, with 4 days of recovery between experimental conditions. Palm temperature was significantly lower (p < 0.05) in the TEN and FTN conditions compared with CON. Number of repetitions and mean power in the bench press declined significantly after each set in all conditions (p < 0.05). There were no significant differences (p > 0.05) in any bench press performance or EMG-related variables between any of the conditions. Palm cooling at either 10 or 15° C had no effects on bench press performance compared with a thermoneutral condition, with no observable effects on neuromuscular responses during exercise. Therefore, cooling is not currently recommended as an ergogenic strategy to enhance acute bench press performance during high-intensity resistance training.

Background/Aims Mouthguard retention could potentially increase an athlete's motivation to wear the device, due to potential improvements in physical comfort. The aim of the present study was to examine the retentive properties of selected customised mouthguard designs, during normal conditions (dry) and within the presence of artificial saliva (wet). Additionally, the correlation between thickness and retention was investigated. Material and Methods Six different custom mouthguard designs (MG1 – MG6) reported in previous studies, were pressure‐formed with 2 mm and 4 mm blanks accordingly. Thickness was measured ten times at seven anatomical points and the mean (±SD) was recorded. A novel rig was fabricated to connect the mouthguards to a Hounsfield H10KS Tensometer, which was used to fully displace each device from the model at a constant rate of 50 mm/min. The test was repeated under both dry and wet conditions. Results Retention forces recorded at the anterior region demonstrated higher measurements under conditions than dry (p < 0.001). The total retention of the mouthguards was influenced by alterations in their design (p < 0.015). Trend analysis indicated that 64% of MG retention could be explained by their thickness under dry conditions and 55% when wet. Conclusions Design and thickness of mouthguards are key factors in retention. Mouthguard fabrication techniques should be considered in order to minimise dislodgment of the devices as well as potentially increasing the wearability of mouthguards during sport.

This supplementary material contains all inferential statistics for the published article " Morphological and mechanical properties of the human patella tendon in adult males with Achondroplasia".