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Asian Journal Of Sports Medicine[JOURNAL]

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Regular Football Practice Improves Autonomic Cardiac Function in Male Children.

Fernandes L, Oliveira J, Soares-Miranda L … +2 more , Rebelo A, Brito J

Asian J Sports Med · 2015 Sep · PMID 26448848 · Full text

BACKGROUND: The role of the autonomic nervous system (ANS) in the cardiovascular regulation is of primal importance. Since it has been associated with adverse conditions such as cardiac arrhythmias, sudden death, sleep d... BACKGROUND: The role of the autonomic nervous system (ANS) in the cardiovascular regulation is of primal importance. Since it has been associated with adverse conditions such as cardiac arrhythmias, sudden death, sleep disorders, hypertension and obesity. OBJECTIVES: The present study aimed to investigate the impact of recreational football practice on the autonomic cardiac function of male children, as measured by heart rate variability. PATIENTS AND METHODS: Forty-seven male children aged 9 - 12 years were selected according to their engagement with football oriented practice outside school context. The children were divided into a football group (FG; n = 22) and a control group (CG; n = 25). The FG had regular football practices, with 2 weekly training sessions and occasional weekend matches. The CG was not engaged with any physical activity other than complementary school-based physical education classes. Data from physical activity, physical fitness, and heart rate variability measured in time and frequency domains were obtained. RESULTS: The anthropometric and body composition characteristics were similar in both groups (P > 0.05). The groups were also similar in time spent daily on moderate-to-vigorous physical activities (FG vs. CG: 114 ± 64 vs. 87 ± 55 minutes; P > 0.05). However, the FG performed better (P < 0.05) in Yo-Yo intermittent endurance test (1394 ± 558 vs. 778 ± 408 m) and 15-m sprint test (3.06 ± 0.17 vs. 3.20 ± 0.23 s). Also, the FG presented enhanced autonomic function. Significant differences were detected (P < 0.05) between groups for low frequency normalized units (38.0 ± 15.2 vs. 47.3 ± 14.2 n.u (normalized units)), high frequency normalized units (62.1 ± 15.2 vs. 52.8 ± 14.2 n.u.), and LF:HF ratio (0.7 ± 0.4 vs. 1.1 ± 0.6 ms(2)). CONCLUSIONS: Children engaged with regular football practice presented enhanced physical fitness and autonomic function, by increasing vagal tone at rest.

Effect of Therapeutic Sequence of Hot Pack and Ultrasound on Physiological Response Over Trigger Point of Upper Trapezius.

Benjaboonyanupap D, Paungmali A, Pirunsan U

Asian J Sports Med · 2015 Sep · PMID 26448847 · Full text

BACKGROUND: Musculoskeletal pain is a common problem among athletes. Apart from sport injuries, the myofascial pain syndrome is another important problem that affects performance of the athlete. OBJECTIVES: The aim of th... BACKGROUND: Musculoskeletal pain is a common problem among athletes. Apart from sport injuries, the myofascial pain syndrome is another important problem that affects performance of the athlete. OBJECTIVES: The aim of this study was to evaluate the effects of therapeutic sequences of the hot pack in combination with ultrasound on the physiological responses over the latent myofascial trigger point (LMTrP) of upper trapezius muscle. MATERIALS AND METHODS: Thirty subjects with a latent myofascial trigger point (LMTrP) in both sides of the upper trapezius muscle participated in the study (age 27.33 ± 4.34 years, weight 58.11 ± 7.47 kg, height 161.50 ± 5.82 cm, pressure pain threshold 2.28 ± 0.24 kg/cm(2), pain intensity 7.17 ± 2.25 VAS). All subjects received both treatments (hot pack followed by ultrasound: HP + US; and ultrasound followed by hot pack: US + HP) by randomization with a 24 to 48-hour interval between sessions. Outcome measures, including the tissue blood flow (TBF), pressure pain threshold (PPT), supra-thermal threshold (STT) and visual analog scale (VAS) were evaluated at baseline, immediately, after 30 minutes and after 60 minutes. RESULTS: The TBF and PPT significantly increased from baseline in both treatment conditions (i.e. HP + US and US + HP), while the HP + US condition showed a trend toward significant difference in VAS and STT in 45°C. CONCLUSIONS: The application of HP and US treatment induces physiological responses (especially, TBF and PPT) on the LMTrP. This finding provides the direction toward the management of MTrPs condition.

Five-Kilometers Time Trial: Preliminary Validation of a Short Test for Cycling Performance Evaluation.

Dantas JL, Pereira G, Nakamura FY

Asian J Sports Med · 2015 Sep · PMID 26448846 · Full text

BACKGROUND: The five-kilometer time trial (TT5km) has been used to assess aerobic endurance performance without further investigation of its validity. OBJECTIVES: This study aimed to perform a preliminary validation of t... BACKGROUND: The five-kilometer time trial (TT5km) has been used to assess aerobic endurance performance without further investigation of its validity. OBJECTIVES: This study aimed to perform a preliminary validation of the TT5km to rank well-trained cyclists based on aerobic endurance fitness and assess changes of the aerobic endurance performance. MATERIALS AND METHODS: After the incremental test, 20 cyclists (age = 31.3 ± 7.9 years; body mass index = 22.7 ± 1.5 kg/m(2); maximal aerobic power = 360.5 ± 49.5 W) performed the TT5km twice, collecting performance (time to complete, absolute and relative power output, average speed) and physiological responses (heart rate and electromyography activity). The validation criteria were pacing strategy, absolute and relative reliability, validity, and sensitivity. Sensitivity index was obtained from the ratio between the smallest worthwhile change and typical error. RESULTS: The TT5km showed high absolute (coefficient of variation < 3%) and relative (intraclass coefficient correlation > 0.95) reliability of performance variables, whereas it presented low reliability of physiological responses. The TT5km performance variables were highly correlated with the aerobic endurance indices obtained from incremental test (r > 0.70). These variables showed adequate sensitivity index (> 1). CONCLUSIONS: TT5km is a valid test to rank the aerobic endurance fitness of well-trained cyclists and to differentiate changes on aerobic endurance performance. Coaches can detect performance changes through either absolute (± 17.7 W) or relative power output (± 0.3 W.kg(-1)), the time to complete the test (± 13.4 s) and the average speed (± 1.0 km.h(-1)). Furthermore, TT5km performance can also be used to rank the athletes according to their aerobic endurance fitness.

Effects of a Mask on Breathing Impairment During a Fencing Assault: A Case Series Study.

Passali D, Cambi J, Salerni L … +3 more , Stortini G, Bellussi LM, Passali FM

Asian J Sports Med · 2015 Sep · PMID 26448845 · Full text

BACKGROUND: Fencers often complain of progressive difficulty in breathing during matches, which is generally attributed to restricted air, light and heat circulation from wearing a mask. Physiologically, the nasal struct... BACKGROUND: Fencers often complain of progressive difficulty in breathing during matches, which is generally attributed to restricted air, light and heat circulation from wearing a mask. Physiologically, the nasal structure generates airflow resistance that can reach -50% of the total respiratory resistance. OBJECTIVES: This study aims to investigate the presence of nasal obstruction in fencers and the relationship with the use of mask. MATERIALS AND METHODS: An observational study on 40 fencers (18 males, 22 females) was conducted. Fencers perform a usual assault, wearing the mask and standardized physical exercises (running, sprints and obstacles) without the mask. ENT examination with a nasal flexible fiberscope, Anterior Active Rhinomanometry (AAR) and Peak Nasal Inspiratory Flow (PNIF) measurement before and after physical activity with or without the mask was recorded. RESULTS: Before physical exercise, the total nasal airway resistance mean value for AAR was 0.33 ± 0.17 Pa/cm(3)/s at 150 Pa. After a match with the mask, the mean value was 0.28 ± 0.16 Pa/cm(3)/s. After normal physical exercises without mask, the mean value was 0.24 ± 0.15 Pa/cm(3)/s. Using t tests, statistically significant difference between nasal resistance before and after physical activity (P < 0.05) was observed, but no significant difference in nasal resistance between the basal value and that taken after a match wearing the masks (P = 0.1265). PNIF values significantly increase with exercise (P < 0.05). CONCLUSIONS: Our study shows that wearing the mask causes increased breathing impairment in fencers, when compared with similar physical activity without the mask.

Obturator Internus and Obturator Externus Strain in a High School Quarterback.

Khodaee M, Jones D, Spittler J

Asian J Sports Med · 2015 Sep · PMID 26448844 · Full text

INTRODUCTION: Buttock pain is a relatively common complaint among adolescent athletes and can have a very broad differential diagnosis. CASE PRESENTATION: The authors present a previously unreported case of acute obturat... INTRODUCTION: Buttock pain is a relatively common complaint among adolescent athletes and can have a very broad differential diagnosis. CASE PRESENTATION: The authors present a previously unreported case of acute obturator internus and obturator externus strain in an adolescent male American football player. The diagnosis was made by MRI. The patient was treated with relative rest, physical therapy, and gradual return to physical activities as tolerated. CONCLUSIONS: Despite rarity of the hip external rotator muscles strains, it should be considered in the differential diagnosis of athletes with proximal posterior thigh and buttock pain.

Sport Injuries of Karate During Training: An Epidemiologic Study in Iran.

Ziaee V, Shobbar M, Lotfian S … +1 more , Ahmadinejad M

Asian J Sports Med · 2015 Jun · PMID 26448843 · Full text

BACKGROUND: Karate is a public sport that has athletes in various age ranges and abundant active sport clubs in Iran. The pattern of injury in this sport in Iranian athletes seems different from other countries. OBJECTIV... BACKGROUND: Karate is a public sport that has athletes in various age ranges and abundant active sport clubs in Iran. The pattern of injury in this sport in Iranian athletes seems different from other countries. OBJECTIVES: This study was performed with the purpose of considering the incidence and type of injury of karate athletes aged below 30 years from Tehran, Iran clubs. MATERIALS AND METHODS: In a cross-sectional study, 10 karate clubs were selected in Tehran. Clubs were selected based on a cluster method from 5 different geographical regions of Tehran. All injuries were collected based on athletes' or clubs' weekly report with a designed questionnaire. The injuries were classified according to: low, medium and severe injury. Collected data was analyzed with SPSS software version 17. RESULTS: 620 athletes were studied totally and incidence rate of injury per athletes was 16.1% and 20.2 per 100 athletes. Ninety percent of injuries were during bout practice, 6% during fitness and 4% during kata. The rate of injury was more common in athletes with weight less than 70 kg and lower sport experience (P ≤ 0.05). The commonest locations for injury were head and neck followed by trunk, lower and upper limb, respectively. Just 2 cases needed surgical intervention and no one led to decreased level of consciousness. The most common type of injury was contusion, bruise and superficial scratch (64%). CONCLUSIONS: Severe injury was uncommon in this study and similar to other Iranian studies head and neck had the most injuries. Athletes with lower experience and lower weight were associated with higher injuries.

Association Between Hearing Loss And Cauliflower Ear in Wrestlers, a Case Control Study Employing Hearing Tests.

Noormohammadpour P, Rostami M, Nourian R … +4 more , Mansournia MA, Sarough Farahani S, Farahbakhsh F, Kordi R

Asian J Sports Med · 2015 Jun · PMID 26448842 · Full text

BACKGROUND: According to anecdotal findings, some wrestling coaches and wrestlers believe that cauliflower ear might lead to hearing loss. Our preliminary study showed that the prevalence of hearing loss reported by the... BACKGROUND: According to anecdotal findings, some wrestling coaches and wrestlers believe that cauliflower ear might lead to hearing loss. Our preliminary study showed that the prevalence of hearing loss reported by the wrestlers with cauliflower ear is significantly higher than this rate among wrestlers without cauliflower ear. To the best of our knowledge, no other study has confirmed this finding employing hearing tests. OBJECTIVES: To evaluate and to compare the prevalence of hearing loss among wrestlers with and without cauliflower ears employing hearing tests. PATIENTS AND METHODS: The subjects were randomly selected form 14 wrestling clubs in Tehran. Subjects were 201 wrestlers with cauliflower ears (100 wrestlers with one cauliflower ear and 101 wrestlers with two cauliflower ears) and 139 wrestlers without cauliflower ears. All the participants in this study were interviewed to collect information on demographic factors and medical history of risk factors and diseases related to hearing loss. The subjects in both groups underwent otoscopic and audiologic examinations. RESULTS: Audiometric examination results at the frequency range of 0.5 - 8 KHz showed that the prevalence of hearing loss among cauliflower ears was higher than this rate among non-cauliflower ears. Also, the percentage of positive history of ear infections among cauliflower ears (8.4%) was about two times more than this finding among non-cauliflower ears (4.9%). This difference tended to be significant (OR: 1.86, P = 0.06, 95% CI: 0.98 - 3.53). CONCLUSIONS: To the best of our knowledge, this is the first study showing that the prevalence of hearing loss among cauliflower ears is higher than this rate among non-cauliflower ears confirmed by audiological tests. This emphasizes that, more preventive measures such as mandatory ear gear for wrestlers are required.

Low Back Pain in Athletes.

Mortazavi J, Zebardast J, Mirzashahi B

Asian J Sports Med · 2015 Jun · PMID 26448841 · Full text

CONTEXT: Low Back Pain (LBP) in athletes is common and has a broad spectrum of differential diagnoses that must be taken in to account when a clinician approaches the patient with LBP. The physicians should take into acc... CONTEXT: Low Back Pain (LBP) in athletes is common and has a broad spectrum of differential diagnoses that must be taken in to account when a clinician approaches the patient with LBP. The physicians should take into account spinal and extra spinal causes of low back pain in athletes. EVIDENCE ACQUISTION: A literature review was performed for the years 1951 through 2013. Keywords used were Low Back Pain and Athletes. We searched MEDLINE, EMBASE, OVID, PUBMED, the Cochrane Library, ELSEVIER, and the references of reviewed articles, for English-language of Low Back Pain in Athletes. RESULTS: The two most common causes of LBP arising from spine in athletes are degenerative disc disease and spondylolysis with or without listhesis. Although most athletes, respond well to conservative treatment, surgical treatment is indicated when conservative treatment failes. CONCLUSIONS: The major concern in athletes with LBP is return to play and previous level of their activity after treatment. There is insufficient evidence regarding this issue in literature to define the optimal time of return to play following treatment.

How the Iranian Football Coaches and Players Know About Doping?

Seif Barghi T, Halabchi F, Dvorak J … +1 more , Hosseinnejad H

Asian J Sports Med · 2015 Jun · PMID 26448840 · Full text

BACKGROUND: Nowadays, doping is an intricate dilemma. Football is the nationally popular sport in Iran. On the other hand, doping is a serious health hazard sport faces today. Studies dealing with athletes' knowledge, at... BACKGROUND: Nowadays, doping is an intricate dilemma. Football is the nationally popular sport in Iran. On the other hand, doping is a serious health hazard sport faces today. Studies dealing with athletes' knowledge, attitudes and behavior concerning doping in football are scarce. OBJECTIVES: Therefore, we aimed to investigate the knowledge and attitudes toward doping among the football coaches and players. PATIENTS AND METHODS: In a cross sectional study, 375 participants (239 football players and 136 coaches) were studied. A specially made questionnaire was applied. In this study, football teams of different provinces of the country were selected by randomized clustered sampling and questionnaires were distributed among coaches and players. RESULTS: Knowledge of football coaches and players in three categories of doping definitions, recognition of prohibited drugs and side effects of anabolic steroids was poor or moderate in 45.3%, 88.5% and 96.5%, respectively. CONCLUSIONS: Football players and coaches have poor knowledge about doping in Iran. Moreover, they believe in some inappropriate myths without any scientific or rational basis.It seems necessary to design a comprehensive educational program for all of the athletes and coaches in Iran.

Acute Effect of Morning and Afternoon Aerobic Exercise on Appetite of Overweight Women.

Alizadeh Z, Mostafaee M, Mazaheri R … +1 more , Younespour S

Asian J Sports Med · 2015 Jun · PMID 26448839 · Full text

BACKGROUND: The best time of exercise along the day for weight management in overweight and obese patients is not determined. The time of exercise may influence its effect on appetite and food intake. OBJECTIVES: The aim... BACKGROUND: The best time of exercise along the day for weight management in overweight and obese patients is not determined. The time of exercise may influence its effect on appetite and food intake. OBJECTIVES: The aim of this study was to compare the effects of two different times of exercise during the day on appetite, energy intake, and the rating of perceived exertion (RPE) on overweight women. PATIENTS AND METHODS: Fifty overweight female subjects were recruited in this interventional study. Two sessions of exercise were performed in the morning and afternoon with the target heart rate corresponding to the ventilatory threshold (VT). The appetite was evaluated with visual analogue scale, the energy intake was measured with 24 hours food record and the RPE was determined by visual Borg scale; these variables were compared between the two sessions. RESULTS: The behavior of appetite in relation to hunger, satiety, fullness, prospective food consumption, tendency to salty, savoury, sweet and fatty foods, did not change significantly after both exercise sessions (P > 0.05). Except for the satiety, no significant difference was found among changes in the appetite scores between the two exercise sessions. The median change in the satiety score of the morning exercise was significantly higher than that of the afternoon exercise (5.5 (-8.5, 22.5) vs. -1 (-8, 4.5) respectively, P = 0.01). The median RPE value did not differ significantly between the morning and afternoon sessions (13 (12, 14) vs. 13 (12, 13) respectively, P = 0.46). There was no significant association between the time of exercise and the estimates of the carbohydrate (P = 0.41), fat (P = 0.23), protein (P = 0.13), and calorie intake (P = 0.18). CONCLUSIONS: One session of moderate intensity exercise disregarding the time of exercise did not affect appetite significantly. However, morning exercise may cause greater levels of satiety in comparison with afternoon exercise. Moderate intensity aerobic exercise did not alter the patterns of energy intake 24 hours following morning or afternoon exercise.

Depression and Exercise: A Clinical Review and Management Guideline.

Ranjbar E, Memari AH, Hafizi S … +3 more , Shayestehfar M, Mirfazeli FS, Eshghi MA

Asian J Sports Med · 2015 Jun · PMID 26448838 · Full text

CONTEXT: There is an increasing interest to detect how exercise affects depression symptoms. Although recent findings confirm the positive effect of exercise on depression, there is no clear guideline regarding advice on... CONTEXT: There is an increasing interest to detect how exercise affects depression symptoms. Although recent findings confirm the positive effect of exercise on depression, there is no clear guideline regarding advice on exercise for patients with depression. The following review aims at presenting the contemporary literature regarding the nature of depression, exercise, the underlying mechanisms and the management of an exercise program in individuals with depression. EVIDENCE ACQUISITION: We searched electronic databases including Cochrane Library, PubMed, ISI web of knowledge and PsychInfo (from January 2000 to October 2014). We reviewed the systematic reviews, meta-analyses, and large-scale randomized control trials on effects of exercise on depression. RESULTS: Recent evidence has emerged on characteristics of effective exercise programs and those patients with depression that will most benefit from the exercise programs. However due to the methodological weaknesses and inconsistencies of studies, conclusions must be made with caution. CONCLUSIONS: We have provided a number of recommendations for clinicians and researchers who plan to use exercise protocols in depression.

Comparative Study of Bronchial Hyperresponsiveness Between Football and Judo Groups in Prepubertal Boys.

Triki M, Rebai H, Aouichaoui C … +6 more , Shamssain M, Masmoudi K, Fellmann N, Zouari H, Zouari N, Tabka Z

Asian J Sports Med · 2015 Jun · PMID 26448837 · Full text

BACKGROUND: Exercise induced bronchospasm (EIB) commonly occurs during exercise. The comparative effects of different sports on airway responsiveness among prepubertal boys remain to be determined. OBJECTIVES: To assess... BACKGROUND: Exercise induced bronchospasm (EIB) commonly occurs during exercise. The comparative effects of different sports on airway responsiveness among prepubertal boys remain to be determined. OBJECTIVES: To assess differences in post exercise spirometry between footballers, judokas and a control group in prepubertal boys. PATIENTS AND METHODS: A total of ninety six prepubertal boys were studied. Bronchial hyper responsiveness (BHR) to exercise challenge test was defined by a diagnosis of baseline spirometry, followed by an incremental exercise test. To date, the best test to confirm EIB may simply be standard pulmonary function testing before and after high-intensity exercise. A 10% or greater post-challenge fall in forced expiratory volume in FEV1 is used as a diagnostic criterion. RESULTS: There was no significant difference in baseline spirometry between all groups (P > 0.05). The post exercise spirometry test revealed the presence of EIB in 16 of 32 (50%) footballers against 9 out of 32 (28.12%) in both judokas and control subjects at 5 min after the exercise. Also, there was a significantly higher decrease (P < 0.05) in mean FEV1 at 5 minuts in footballers (-9.60 ± 6.18) compared to judokas (-5.41 ± 5.85). CONCLUSIONS: The footballers have more BHR than judokas, especially at 5min after the exercise. This may be due to prolonged hyperventilation, atopy and increased exposure to inhaled allergens and pollutants during training and competition.

Stroke in a Young Swimmer.

Mohaghegh S, Hajian M

Asian J Sports Med · 2015 Jun · PMID 26448836 · Full text

INTRODUCTION: Arterial dissections are important causes of stroke in the young population. Dissection has been reported in association with some sports. It seems that this report is among the first ones of the cervical a... INTRODUCTION: Arterial dissections are important causes of stroke in the young population. Dissection has been reported in association with some sports. It seems that this report is among the first ones of the cervical arterial dissection in a young swimmer. CASE PRESENTATION: A 30-year-old male professional swimmer with no history of any major disease suddenly complained of severe ataxia, moderate headache, neck pain, unilateral left facial weakness, and feelings of tingling and paresthesia on the left side of his body and face a few minutes following head and body stretching exercises in land. There was no history of major head or neck trauma, manipulation, and practicing diving skills in the past. Acute infarction of the left cerebellum was diagnosed after performing brain computed tomography and magnetic resonance imaging (with contrast) studies. Cervical magnetic resonance angiography confirmed left vertebral artery dissection as the cause of infarction. CONCLUSIONS: Important differential diagnoses of cervicocephalic arterial dissection include other vascular or neurological causes of head and neck pain and/or local neurological syndromes and other causes of brain ischemia such as cardiac emboli, atherosclerosis, and vasculopathy of brain vessels. It is important that sports medicine practitioners pay attention to this less-diagnosed cause of stroke in young athletes.

Studying the Relation Between Medial Tibial Stress Syndrome and Anatomic and Anthropometric Characteristics of Military Male Personnel.

Sobhani V, Shakibaee A, Khatibi Aghda A … +3 more , Emami Meybodi MK, Delavari A, Jahandideh D

Asian J Sports Med · 2015 Jun · PMID 26448835 · Full text

BACKGROUND: Medial Tibial Stress Syndrome (MTSS) is common among military recruits and to our knowledge; the factors that might put the military recruits at higher risk of incidence of MTSS are not well known. OBJECTIVES... BACKGROUND: Medial Tibial Stress Syndrome (MTSS) is common among military recruits and to our knowledge; the factors that might put the military recruits at higher risk of incidence of MTSS are not well known. OBJECTIVES: This study was done to investigate the association between some anthropometric and anatomical factors and the prevalence of MTSS among military recruits. PATIENTS AND METHODS: One hundred and eighty one randomly selected military recruits were included in this cross sectional study. Using history taking and physical examinations they were tested for MTSS. Accordingly the subjects were assigned to the case (those with MTSS) and control groups (normal healthy subjects). Using standard guidelines, the anthropometric and anatomical criteria of the subjects were measured. The correlation between the measurements and the prevalence of MTSS was tested using statistical analysis. RESULTS: Data of all the 181 subjects with the mean age of 30.7 ± 4.68 years were Included in the final analysis. The prevalence of MTSS was found to be 16.6% (30 people). Internal and external rotation range of motion, iliospinale height, the score of navicular drop test, and the trochanteric tibial lateral length were significantly different between healthy subjects and patients with MTSS (P < 0.05). DISCUSSION: The prevalence of MTSS was relatively lower in this study comparing to other studies on military personnel. It was not probably due to type of military shoes or exercise area surface (none of them were standardized); it could be due to low intensity trainings and the long intervals between training sessions.

Effects of Eight-week Resistance Training Program in Men With Multiple Sclerosis.

Moradi M, Sahraian MA, Aghsaie A … +4 more , Kordi MR, Meysamie A, Abolhasani M, Sobhani V

Asian J Sports Med · 2015 Jun · PMID 26448834 · Full text

BACKGROUND: Muscle weakness and fatigue contribute to the reduction of daily activity in multiple sclerosis (MS) patients. Therapeutic strategies to promote improvements in muscle strength and endurance are limited in in... BACKGROUND: Muscle weakness and fatigue contribute to the reduction of daily activity in multiple sclerosis (MS) patients. Therapeutic strategies to promote improvements in muscle strength and endurance are limited in individuals with MS. Some evidence showed that exercise may improve and affect different aspects of the disease including quality of life, fatigue, motor and cognitive functions. OBJECTIVES: To investigate the value of resistance training of moderate to high intensity on motor function, muscle strength, balance and perceived disability in male patients with multiple sclerosis compared to a control group. PATIENTS AND METHODS: 20 male patients with MS (mean ± SD, age: 34.05 ± 7.8 y; Expanded Disability Status Scale (EDSS): 2.94 ± 1.5) were recruited and randomized either to the exercise (E) or control group (C). Group E participated in a three-time weekly individualized progressive resistance-training program (both upper and lower extremities) for eight weeks, while group C was advised not to change their physical activity habits. All initial measures (including EDSS, balance, muscle strength, and functional mobility) were re-evaluated at the end of the program. RESULTS: Two patients of group E left the program. The other eight subjects completed the program with no MS-related exacerbations/complications. There was a significant change in 2 of 3 aspects of ambulatory function [Three minutes step test (P = 0.001), Timed Up and Go test (P = 0.009)], muscle strength (P = 0.000), and EDSS (P = 0.014). Comparing the two groups, we did not observe any significant change in "Balance" (P = 0.407). CONCLUSIONS: The resistance training of moderate to high intensity was well-tolerated in MS patients and may be an effective intervention for improving muscle strength, functional ability and EDSS-based disease severity.

The Diurnal Variation on Cardiovascular Endurance Performance of Secondary School Athlete Student.

Chin CY, Chow GC, Hung KC … +4 more , Kam LH, Chan KC, Mok YT, Cheng NM

Asian J Sports Med · 2015 Jun · PMID 26448833 · Full text

BACKGROUND: The previous investigations in diurnal variation of endurance sports performance did not reach a consensus and have been limited. This study would be a valuable resource for endurance sports trainers and even... BACKGROUND: The previous investigations in diurnal variation of endurance sports performance did not reach a consensus and have been limited. This study would be a valuable resource for endurance sports trainers and event managers to plan their training and competition in a specific time of day. OBJECTIVES: The aim of this study is to find out the diurnal variation in cardiovascular endurance performance in the young athletes. MATERIALS AND METHODS: Thirty five athlete students (15.17 ± 1.62 years) participated in this study. Maximal oxygen uptake (VO2max), post-exercise percentage of maximal heart rate (MHR% post-ex), post-exercise body temperature (BTemppost-ex), and post exercise blood lactic acid level (LApost-ex) were measured in this study. Three non-consecutive testings: A) Morning (09:00-10:00; AM), B) Noon (12:00-13:00; NN) and C) Afternoon (16:00-17:00; PM) were conducted. Participants were required to follow the meal plan and resting schedule for all testing days. RESULTS: VO2max was significantly higher at NN (F2. 68 = 3.29, P < 0.05, η2 = 0.088) in comparison with PM. The MHR%post-ex, BTemppost-ex, LApost-ex was not significantly different among three times of day. CONCLUSIONS: Diurnal effect on endurance performance was found and the highest exercise VO2max was identified at noon. Secondary school students or young athletes are recommended to have sports training related to VO2max at noon for the purpose of maximizing training effectiveness.

Carotid Intima-Media Thickness in Master Athletes.

Gori N, Anania G, Stefani L … +2 more , Boddi M, Galanti G

Asian J Sports Med · 2015 Jun · PMID 26448832 · Full text

BACKGROUND: Carotid Intima Media Thickness (IMT) is currently used to assess the relationship between progression of coronary and systemic atherosclerosis. To date, however, the possible impact of regular physical activi... BACKGROUND: Carotid Intima Media Thickness (IMT) is currently used to assess the relationship between progression of coronary and systemic atherosclerosis. To date, however, the possible impact of regular physical activity (PA) on this parameter has not been well estimated. OBJECTIVES: Our study aims to examine this aspect especially in the absence of cardiovascular (CV) risk factors. PATIENTS AND METHODS: 100 master athletes (MA) and 51 sedentary controls (SC) were enrolled. They were evaluated by echo test with dedicated software (QIMT-Esaote) for IMT, and Bruce protocol and 2D echocardiography for cardiac hemodynamic parameters. RESULTS: All values were within normal range. Left IMT mean values were significantly higher than right IMT values in both MA and SC groups (MA: IMT left 635 ± 104 µ, IMT right 614 ± 104 µ and mean IMT 624 ± 91.9 µ; SC: IMT left 633 ± 78 µ, IMT right 622 ± 90 µ and mean IMT 627 ± 78.1 µ). A positive relationship was found in both groups between IMT mean values and age (P < 0.01) and between IMT mean values and peak systolic blood pressure (MA: 0.28 R, P < 0.01; SC: 0.32 R, P < 0.05). At rest, only in MA was a significant relationship evident, between mean arterial pressure value and IMT (P < 0.01). CONCLUSIONS: In the absence of CV risk factors, only age is associated with a slight increase of wall carotid thickening. The data are indicative of a physiological increase in IMT, as a consequence of increased peak effort systolic pressure after regular PA in athletes.

Comparison of Two Kinds of Endurance Training Programs on the Effects of the Ability to Recover in Amateur Soccer Players.

Rogan S

Asian J Sports Med · 2015 Jun · PMID 26448831 · Full text

BACKGROUND: High intensity intermittent aerobic exercise is an elementary endurance training exercise to build soccer endurance. Many studies exist with professional soccer players. But limited research has been conducte... BACKGROUND: High intensity intermittent aerobic exercise is an elementary endurance training exercise to build soccer endurance. Many studies exist with professional soccer players. But limited research has been conducted with amateur soccer players. OBJECTIVES: The aim of this study was to compare and assess the effects of the shuttle-run method and the Hoff-track method on the ability to recover in amateur soccer players within three weeks. PATIENTS AND METHODS: Two amateur soccer teams were randomly assigned to shuttle-run group (n = 24; SRG) (SRG: shuttle-run group) or Hoff-track group (n = 18; HTG) (HTG: hoff-track group). They performed 2 times/week over three weeks their program. SRG performed a 20 m high speed shuttle-run until exhaustion and HTG covered at their highest speed level an obstacle track. Before and after training the yo-yo intermittent recovery test level 2 (YYIRTL2) was conducted. RESULTS: Significant differences were observed within (P < 0.05) and between the groups (P = 0.06; ES = 0.50) in distance covering during YYIRTL2. CONCLUSIONS: Both training methods seem to improve the ability to recover in amateur soccer players within a short time period during the competition season.

Criterion Related Validity of Karate Specific Aerobic Test (KSAT).

Chaabene H, Hachana Y, Franchini E … +5 more , Tabben M, Mkaouer B, Negra Y, Hammami M, Chamari K

Asian J Sports Med · 2015 Sep · PMID 26446345 · Full text

BACKGROUND: Karate is one the most popular combat sports in the world. Physical fitness assessment on a regular manner is important for monitoring the effectiveness of the training program and the readiness of karatekas... BACKGROUND: Karate is one the most popular combat sports in the world. Physical fitness assessment on a regular manner is important for monitoring the effectiveness of the training program and the readiness of karatekas to compete. OBJECTIVES: The aim of this research was to examine the criterion related to validity of the karate specific aerobic test (KSAT) as an indicator of aerobic level of karate practitioners. PATIENTS AND METHODS: Cardiorespiratory responses, aerobic performance level through both treadmill laboratory test and YoYo intermittent recovery test level 1 (YoYoIRTL1) as well as time to exhaustion in the KSAT test (TE'KSAT) were determined in a total of fifteen healthy international karatekas (i.e. karate practitioners) (means ± SD: age: 22.2 ± 4.3 years; height: 176.4 ± 7.5 cm; body mass: 70.3 ± 9.7 kg and body fat: 13.2 ± 6%). RESULTS: Peak heart rate obtained from KSAT represented ~99% of maximal heart rate registered during the treadmill test showing that KSAT imposes high physiological demands. There was no significant correlation between KSAT's TE and relative (mL/min kg) treadmill maximal oxygen uptake (r = 0.14; P = 0.69; [small]). On the other hand, there was a significant relationship between KSAT's TE and the velocity associated with VO2max (vVO2max) (r = 0.67; P = 0.03; [large]) as well as the velocity at VO2 corresponding to the second ventilatory threshold (vVO2 VAT) (r = 0.64; P = 0.04; [large]). Moreover, significant relationship was found between TE's KSAT and both the total distance covered and parameters of intermittent endurance measured through YoYoIRTL1. CONCLUSIONS: The KSAT has not proved to have indirect criterion related validity as no significant correlations have been found between TE's KSAT and treadmill VO2max. Nevertheless, as correlated to other aerobic fitness variables, KSAT can be considered as an indicator of karate specific endurance. The establishment of the criterion related validity of the KSAT requires further investigation.

Prophylactic Effects of Sauna on Delayed-Onset Muscle Soreness of the Wrist Extensors.

Khamwong P, Paungmali A, Pirunsan U … +1 more , Joseph L

Asian J Sports Med · 2015 Jun · PMID 26446307 · Full text

BACKGROUND: High-intensity of exercise or unaccustomed eccentric exercise can cause the phenomenon of Exercise-Induced Muscle Damage (EIMD) which usually results in cramps, muscle strain, impaired muscle function and del... BACKGROUND: High-intensity of exercise or unaccustomed eccentric exercise can cause the phenomenon of Exercise-Induced Muscle Damage (EIMD) which usually results in cramps, muscle strain, impaired muscle function and delayed-onset muscle soreness. OBJECTIVES: This study investigated the prophylactic effects of sauna towards the symptoms associated with muscle damage from eccentric exercises of wrist extensor muscle group. PATIENTS AND METHODS: A total of twenty-eight subjects (mean age 20.9 years old, SD = 1.6) were randomly divided into the sauna group (n = 14) and the control group (n = 14). In the sauna group, subjects received sauna before eccentric exercise of the wrist extensor. The eccentric exercises were conducted on the non-dominant arm by using an isokinetic dynamometer. Pain Intensity (PI), Pressure Pain Threshold (PPT) and passive range of motion of wrist flexion (PF-ROM) and extension (PE-ROM) were measured as pain variables. Grip Strength (GS) and Wrist Extension Strength (WES) were measured as variables of wrist extensor muscle function. All the measurements were performed at baseline, immediately after and from 1st to 8th days after the exercise-induced muscle damage. RESULTS: The sauna group significantly demonstrated a lower deficit in ROM (passive flexion and passive extension), GS and WES following exercise than that of the control group (P < 0.05). CONCLUSIONS: Sauna application prior to the exercise-induced muscle damage demonstrated effectiveness in reduction of sensory impairment (PF-ROM and PE-ROM) and improvement of muscle functions (GS, and WES) in wrist extensor muscle group.
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