{"title":"Beyond the intensity: A systematic review of rhabdomyolysis following high-intensity functional training","authors":"Petr Schlegel, Tomáš Polívka","doi":"10.1016/j.apunsm.2024.100447","DOIUrl":"https://doi.org/10.1016/j.apunsm.2024.100447","url":null,"abstract":"<div><h3>Objective</h3><p>Rhabdomyolysis is a dangerous medical condition with potentially serious or fatal outcomes. It has been notably linked with high-intensity functional training (HIFT), a highly popular form of exercise.</p></div><div><h3>Methods</h3><p>This research aimed to analyze reported cases of exertional rhabdomyolysis (ER) resulting from HIFT through a systematic review following the PRISMA guidelines.</p></div><div><h3>Results</h3><p>A total of 26 studies encompassing 63 cases were included. Commonly observed symptoms include muscle pain, swelling, exceptionally high creatine kinase levels, and dark urine, with creatine kinase levels ranging from 7,816 to 232,579 U/L. The predominantly affected muscles were in the upper body, especially the arms. Elevated creatine kinase levels, severe muscle pain, and swelling emerged as the most reliable ER indicators. The patient age range was predominantly 20–40 years. Notably, over one-third of the cases analyzed were of low quality.</p></div><div><h3>Conclusion</h3><p>Our findings suggest HIFT may pose a higher risk for ER compared to most other common sporting activities.</p></div>","PeriodicalId":100113,"journal":{"name":"Apunts Sports Medicine","volume":"59 223","pages":"Article 100447"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666506924000154/pdfft?md5=0eb85bf7d8e3b0699a9ec1a4e455b7eb&pid=1-s2.0-S2666506924000154-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141605845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maricarmen Almarcha , Joachim Sturmberg , Natàlia Balagué
{"title":"Personalizing the guidelines of exercise prescription for health: Guiding users from dependency to self-efficacy","authors":"Maricarmen Almarcha , Joachim Sturmberg , Natàlia Balagué","doi":"10.1016/j.apunsm.2024.100449","DOIUrl":"10.1016/j.apunsm.2024.100449","url":null,"abstract":"<div><p>The World Health Organization (WHO) provides physical activity guidelines tailored to diverse populations and life stages, with an emphasis on aerobic and strength exercises. Despite endorsements from private and public institutions, the recommendations lack real personalization and fail to consider the multidimensional, dynamic, subjective and context-dependent nature of health and fitness. Drawing on recent research, this work aims to: a) review the theoretical assumptions and evidence-based research behind the WHO guidelines, b) update the guidelines on the basis of Complex Systems Science and Network Physiology, and c) reveal how to empower users/patients to transition from dependency on prescriptions to self-efficacy. The proposed exercise criteria aim to foster adherence, interoceptive awareness, self-regulation and self-responsibility towards health and fitness.</p></div><div><h3>Resum</h3><p>L'Organització Mundial de la Salut (OMS) proporciona pautes d'activitat física adaptades a diverses poblacions i etapes de la vida, amb èmfasi en exercicis aeròbics i de força. Malgrat els suports d'institucions privades i públiques, les recomanacions no personalitzen realment i no tenen en compte la naturalesa multidimensional, dinàmica, subjectiva i dependent del context de la salut i l'estat de forma. Basant-se en investigacions recents, aquest treball té com a objectius: a) revisar els supòsits teòrics i la investigació basada en l'evidència darrere de les directrius de l'OMS, b) actualitzar les directrius sobre la base de la Ciència de Sistemes Complexos i la Fisiologia de Xarxes, i c) revelar com capacitar els usuaris/pacients per passar de la dependència de les prescripcions a l'autoeficàcia. Els criteris d'exercici proposats tenen com a objectiu fomentar l'adherència, la consciència interoceptiva, l'autoregulació i l'autoresponsabilitat cap a la salut i l'estat de forma.</p></div>","PeriodicalId":100113,"journal":{"name":"Apunts Sports Medicine","volume":"59 223","pages":"Article 100449"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666506924000178/pdfft?md5=255fe4830870dcd87dd99d96c1f2c406&pid=1-s2.0-S2666506924000178-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Normalization of rapid force to peak force in an isometric hamstring assessment using force plates","authors":"R. Barber , J.T. Fahey , P. Comfort , N.J. Ripley","doi":"10.1016/j.apunsm.2024.100450","DOIUrl":"https://doi.org/10.1016/j.apunsm.2024.100450","url":null,"abstract":"<div><h3>Purpose</h3><p>The aim of this investigation was to determine the reliability of normalizing rapid force (RF) production to peak force assessed during an isometric knee flexor assessment, and to present a novel method of classifying athletes' potential training needs within the 90–90 isometric hamstring assessment.</p></div><div><h3>Procedures</h3><p>Twenty elite female soccer players (age: 20.7 ± 4.7 years; height: 168.2 ± 5.5 cm; body mass: 62.8 ± 7.0 kg), with no recent (>6 months) history of hamstring strain injury, volunteered to participate in the study. Following a standardized warm-up, each participant performed three maximal isometric hamstring contractions, with their heel resting on a force plate, elevated on a box, to ensure that their hips and knees were at 90° Data was analyzed to determine peak for (PF), RF was established as force expressed at 100 ms (F100) and force expressed at 200 ms (F200), with force at each time-point subsequently normalized to a percentage of PF.</p></div><div><h3>Findings</h3><p>F100 and F200 normalized to PF demonstrated good absolute reliability (%CV = 6.12–7.62) and moderate relative reliability (ICC = 0.689–0.703). Concurrently observing PF and normalized F100 and F200 could provide clear training and monitoring goals.</p></div><div><h3>Conclusions</h3><p>Normalizing measures of RF production, including F100 and F200, to PF can be performed reliability. Therefore, could be tracked overtime to identify changes as an effect of training or for fatigue monitoring purposes. However, further research is required to determine how knee flexor force-time characteristics change in relation to focused training and how these characteristics change in response to fatiguing activities.</p></div>","PeriodicalId":100113,"journal":{"name":"Apunts Sports Medicine","volume":"59 223","pages":"Article 100450"},"PeriodicalIF":1.1,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266650692400018X/pdfft?md5=38d94cceab2693a9845ebd47d684fb6c&pid=1-s2.0-S266650692400018X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141444332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bernat de Pablo Marquez , Sandra Bustamante Hernandez , Merce Folguera Blasco
{"title":"Sacral stress fracture, a case report","authors":"Bernat de Pablo Marquez , Sandra Bustamante Hernandez , Merce Folguera Blasco","doi":"10.1016/j.apunsm.2024.100446","DOIUrl":"https://doi.org/10.1016/j.apunsm.2024.100446","url":null,"abstract":"","PeriodicalId":100113,"journal":{"name":"Apunts Sports Medicine","volume":"59 223","pages":"Article 100446"},"PeriodicalIF":0.0,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666506924000142/pdfft?md5=c150a7d65aabcf0f8464cceb774d165c&pid=1-s2.0-S2666506924000142-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141289218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pavel Loeza-Magaña , Viridiana Reyes-Bello , Héctor Ricardo Quezada-González , Pedro Iván Arias-Vázquez
{"title":"Isokinetic values in closed kinetic chain in young adults","authors":"Pavel Loeza-Magaña , Viridiana Reyes-Bello , Héctor Ricardo Quezada-González , Pedro Iván Arias-Vázquez","doi":"10.1016/j.apunsm.2024.100444","DOIUrl":"https://doi.org/10.1016/j.apunsm.2024.100444","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the values of isokinetic strength in closed kinetic chain (CKC) in young adults and their reproducibility.</p></div><div><h3>Methods</h3><p>Test and re-test in isokinetic leg press, unilateral mode at 0.1 m/s and 0.3 m/s, 2 sets of 10 repetitions at each speed was performed.</p></div><div><h3>Results</h3><p>30 men and 22 women were included. The isokinetic values show differences between men and women. The intraclass correlation coefficient was >0.88 (<em>p</em> < 0.001) except in flexors (women), 0.74.</p></div><div><h3>Conclusion</h3><p>The CKC isokinetic test is valid, reproducible, and safe.</p></div>","PeriodicalId":100113,"journal":{"name":"Apunts Sports Medicine","volume":"59 223","pages":"Article 100444"},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666506924000129/pdfft?md5=1239a180721ba174fbc400fd2329b418&pid=1-s2.0-S2666506924000129-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140824515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sportomics: Futbol Club Barcelona's approach to personalized injury prevention","authors":"Gil Rodas , Juan R Gonzalez","doi":"10.1016/j.apunsm.2024.100445","DOIUrl":"https://doi.org/10.1016/j.apunsm.2024.100445","url":null,"abstract":"","PeriodicalId":100113,"journal":{"name":"Apunts Sports Medicine","volume":"59 222","pages":"Article 100445"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666506924000130/pdfft?md5=463a7e757c3d940a358eb1f3239f36ca&pid=1-s2.0-S2666506924000130-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140643802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julia Waszczuk Vendrame , Eduardo Pizzo Junior , Allysiê Priscilla de Souza Cavina , Carlos Alberto Toledo Teixeira Filho , Taíse Mendes Biral , Gabriel Martins da Silva , Renan Alves Matsumoto , Guilherme Henrique da Silva Brandão , Franciele Marques Vanderlei
{"title":"Phase angle and other vectors of bioelectrical impedance behavior and its relations with metabolism markers of eccentric muscle damage after ischemic preconditioning: Randomized placebo-controlled clinical trial","authors":"Julia Waszczuk Vendrame , Eduardo Pizzo Junior , Allysiê Priscilla de Souza Cavina , Carlos Alberto Toledo Teixeira Filho , Taíse Mendes Biral , Gabriel Martins da Silva , Renan Alves Matsumoto , Guilherme Henrique da Silva Brandão , Franciele Marques Vanderlei","doi":"10.1016/j.apunsm.2024.100443","DOIUrl":"https://doi.org/10.1016/j.apunsm.2024.100443","url":null,"abstract":"<div><h3>Background/Objective</h3><p>Eccentric Exercise (EE) can induce muscle damage, but ischemic preconditioning (IPC) emerge as a valuable approach to hasten the recovery process. Monitoring serum markers of muscle damage and assessing cellular health are essential to evaluate the effectiveness of this approach. Therefore, this study aimed to evaluate the behavior of cellular responses through bioelectrical impedance (BIA) vectors after IPC at different occlusion pressures and correlate them with indirect markers of eccentric muscle damage as creatine kinase (CK) and lactate dehydrogenase (LDH).</p></div><div><h3>Methods</h3><p>Eighty men were divided into four groups: IPC with arterial occlusion pressure (AOP), IPC with 40 % above AOP, placebo, and control. All groups underwent an EE protocol and were evaluated for CK, LDH, and BIA. Repeated measures analysis of variance was used, and correlations were performed using Pearson or Spearman correlation depending on data normality. The significance level was set at <em>p</em> < 0.05.</p></div><div><h3>Results</h3><p>The placebo and control groups showed an increase in CK and LDH levels, along with a decrease in cellular integrity. The IPC-AOP group exhibited an increase in CK and LDH levels, but without negative impact on resistance, integrity, and cellular health. The IPC-40 % group showed an increase in CK, decrease in cellular health, elevation of LDH, and higher tissue electrical resistance.</p></div><div><h3>Conclusion</h3><p>The interventions were not effective in maintaining cellular health in the context of eccentric muscle damage.</p></div>","PeriodicalId":100113,"journal":{"name":"Apunts Sports Medicine","volume":"59 222","pages":"Article 100443"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666506924000117/pdfft?md5=d9e0b3acfe9d3c00e8c8ca313618f810&pid=1-s2.0-S2666506924000117-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140558606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rodrigo Bueno-Russo , Jorge Velázquez Saornil , Germán Díaz-Ureña , Zacarías Sánchez Milá , Raúl Frutos Llanes , José Manuel Barragán Casas , David Rodríguez Sanz
{"title":"Muscle mechanical response to exercise with active vs. passive rest","authors":"Rodrigo Bueno-Russo , Jorge Velázquez Saornil , Germán Díaz-Ureña , Zacarías Sánchez Milá , Raúl Frutos Llanes , José Manuel Barragán Casas , David Rodríguez Sanz","doi":"10.1016/j.apunsm.2024.100441","DOIUrl":"https://doi.org/10.1016/j.apunsm.2024.100441","url":null,"abstract":"<div><h3>Introduction</h3><p>the muscular response on the main muscles of the propulsive phase of the upper limb in the crawl swimming style has been evaluated by means of tensiomyography (TMG), which was carried out through three parameters: activation time (Td), contraction time (Tc) and maximum deformation (Dm).</p><p>The aim of this study is to evaluate the hypothesis of changes produced between lactic resistance training with passive rest and lactic resistance training with active rest.</p></div><div><h3>Material and methods</h3><p>experimental study with ninety swimmers in the crawl stroke, with a mean age of 20 years. The session with passive recovery and the session with active recovery presented results with significant changes after the development of each of them in the Tc in the three muscles analysed, being in the Pectoralis Major (PM), <em>p</em> = 0.001, in the Latissimus Dorsi (LD), <em>p</em> = 0.01 and in the Tríceps Brachii (TB), <em>p</em> = 0.047.</p></div><div><h3>Conclusion</h3><p>According to the results it can be deduced that lactic resistance training with passive rest and with active rest do not influence the muscle response if we compare both trainings. Only one of the Tc values changes, while the latissimus dorsi muscle also shows changes in Td.</p></div>","PeriodicalId":100113,"journal":{"name":"Apunts Sports Medicine","volume":"59 222","pages":"Article 100441"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666506924000099/pdfft?md5=662087276b54811b05f2d969ddd35127&pid=1-s2.0-S2666506924000099-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140816367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Guerrero , P. Pardo , J. Solà , A. Piedra , Ll. Albesa-Albiol , JA. Sanchez , J. Peña , G. Daza , J. Solé , T. Caparrós
{"title":"Physiological variables associated with performance in a European professional male rugby team: Analysis of a training intervention","authors":"S. Guerrero , P. Pardo , J. Solà , A. Piedra , Ll. Albesa-Albiol , JA. Sanchez , J. Peña , G. Daza , J. Solé , T. Caparrós","doi":"10.1016/j.apunsm.2024.100442","DOIUrl":"https://doi.org/10.1016/j.apunsm.2024.100442","url":null,"abstract":"<div><p>The main objective of this study was to identify the impact on conditional variables through a training intervention. A retrospective observational study was conducted in a professional rugby team, where an intervention was conducted for 4 weeks. Data were collected for a total of 18 weeks: 14 weeks pre-intervention, including 7 matches; and 4 weeks post-intervention, including 4 matches. The variables selected and analysed were distance (m), sprint distance (m), distance per minute (m/min), maximum speed (km/h), high intensity actions (n) and accelerations and decelerations >3 m/s² (n). In training, a significant difference was found before and after the intervention in Dist. Sprint (<em>t</em> = 4.303), in Vel. Max (<em>t</em> = 4.141), and in Acc+Dec>3 m/s² (<em>t</em> = 2.939). In the match data, changes were observed in the mean of the variables before and after the intervention, highlighting the Dist. Sprint (<em>t</em> = -2.295) and Max Speed (<em>t</em> = -0.805). In this specific context, coaches and professionals should be aware of the conditional variables that have the greatest impact on the game, with the aim of optimising the training methodology and focusing on the specific needs of each team to improve performance.</p></div>","PeriodicalId":100113,"journal":{"name":"Apunts Sports Medicine","volume":"59 222","pages":"Article 100442"},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666506924000105/pdfft?md5=135940f0acc2a89066cea5066488ad91&pid=1-s2.0-S2666506924000105-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140309043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of training conditions on athletes’ mental health throughout the COVID-19 pandemic: Psychometric validation of the Persian athlete psychological strain questionnaire","authors":"Hossein Azadi , Zohreh Meshkati , Simon Rice","doi":"10.1016/j.apunsm.2024.100437","DOIUrl":"https://doi.org/10.1016/j.apunsm.2024.100437","url":null,"abstract":"<div><p>This study focuses on examining how different training conditions impact the mental well-being of athletes during the COVID-19 pandemic. It also aims to validate the Athlete Psychological Strain Questionnaire (APSQ) in the context of Iranian society. This descriptive survey was conducted on a population consisting of Iranian male and female sportspersons (16 to 40 years old), of whom 300 sportspersons were selected as the sample using snowball sampling. The tools used in this study were the APSQ, Kessler-10 Scale, and Ryff Mental Well-Being Scale, which were used online. SPSS 23 and AMOS 22 were used for data analysis. Confirmatory factor analysis (CFA) was utilized to assess the validity of the questionnaire, while the reliability of the questionnaire was examined through the application of Cronbach's alpha coefficient. Furthermore, Pearson's correlation test was employed to assess the concurrent validity of the questionnaire. Furthermore, discriminant analysis and ROC curve were utilized for examining the discriminant validity and cut-off point.</p></div><div><h3>Findings</h3><p>Results indicate that sportspersons who had stopped playing sports during the COVID-19 pandemic suffered more psychological strain than those who continued playing sports during this period. The number of training sessions per week and the duration of each training session exhibited a significant inverse relationship with psychological strain. However, concern about progress and athletic burnout had a significant positive association with psychological strain. Furthermore, the validity and reliability of the APSQ were proved among Iranian athletes.</p></div><div><h3>Conclusion</h3><p>The mental well-being of athletes is correlated with the extent of their training. The psychometric validation of the APSQ was confirmed in Iranian athletes. Therefore, researchers can use this scale to examine and detect early psychological strain and the psychological consequences of COVID-19 among these athletes. Early detection of psychological problems by this instrument may aid in improving athletes’ mental health.</p></div>","PeriodicalId":100113,"journal":{"name":"Apunts Sports Medicine","volume":"59 222","pages":"Article 100437"},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266650692400004X/pdfft?md5=821c8b7778f10002aa61464b8e7ed375&pid=1-s2.0-S266650692400004X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140309045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}