Factores de rendimiento en el desplazamiento del tenista influenciados por el calzado.

Los desplazamientos laterales son de gran importancia en el tenis. Sin embargo, no ha sido publicado ningún estudio sobre el efecto del calzado sobre el rendimiento en este tipo de movimientos. En el estudio participaron 5 jugadores habituales de tenis y se analizaron 10 calzados comerciales de tenis. El movimiento estudiado consistió en un desplazamiento lateral con parada y cambio de sentido, registrándose las fuerzas mediante una plataforma dinamométrica Dinascan-IBV y grabándose el movimiento con dos cámaras de vídeo S-VHS Panasonic WV-BL600. Los resultados de los ANOVAs realizados mostraron que algunas de las variables analizadas eran dependientes del calzado (p < 0.05). De éstas, destacan (1) la supinación máxima de la subastragalina y (2) el tiempo de apoyo. Se detectaron varias correlaciones (Pearson) significativas (p < 0.05) de especial relevancia, destacando la correlación positiva entre el tiempo de apoyo con los máximos de supinación. Como el impulso mecánico no se ha visto afectado por el calzado, esto indica que el calzado que limita la supinación permite realizar el movimiento analizado en un menor tiempo.Sideward cutting movements are very important in tennis. However, no studies on their effect on performance have been published. 5 tennis players (age 21.5 ± 0.8, weight 75.2 ± 2.8 kg, height, 1.78 ± 0.05 m) participated in the study on a voluntary basis and 10 tennis shoes were analysed. Subjects perform a sideward cutting movement. An extensometric force plate (Dinascan-IBV) was used to record the kinetic variables and 2 video cameras (Panasonic-WV-BL600) were utilized for the kinematic variables. ANOVA results showed several variables as shoe-dependent (p < 0.05), among these stands out (1) rearfoot supination movement and (2) contact time. Moreover these variables were positively correlated (p < 0.05). As mechanical impulse was not change, this means that shoes that limit supination allow perform sideward cutting movements [email protected] [email protected] [email protected]

Hematological and ventilatory responses to a 3900 m altitude sojourn in an elite wheelchair-marathoner.

This case study aimed to report blood markers and resting respiratory rate (RR) oscillations at sea level, during a 5-wk 3900 m altitude sojourn, and after returning to sea level in a 36-year-old professional wheelchair marathoner. Outcome measures plasma erythropoietin (EPO) concentration, hemoglobin, reticulocytes count, erythrocytes and hematocrit as well as RR were measured upon wakening 7-weeks pre-altitude, 7-days pre-altitude, 35 hours after arrival to altitude, on days 8, 15, 21, 28 and 35 at altitude, 6 and 16 days after returning to sea level. EPO increased up to 259 % (31.6 U l-1) 35 hours upon arrival at altitude and decreased below pre-altitude level (12.2 U l-1) on the 21st day of the camp (8.7 U l-1), reaching the lowest values 16 days after returning from altitude (1.9 U l-1). All blood parameters, except for reticulocytes, increased (range: +17.9 to +23.8%) after 35 days of altitude exposure. Compared to pre-altitude, RR increased during the first week of exposure to hypoxic conditions and remained elevated throughout the camp until the fifth week (5.1±0.4 vs. 9.1±1.6 and 6.6±0.8 breaths min-1; Cohen´s d = +3.4 and +2.4, respectively). A 5-wk high-altitude sojourn triggered polycythemia and elevations in RR (as indicators of effective hypoxic acclimatization) in a professional wheelchair-marathoner

Influence of Training Load on Mood Disturbance at Sea Level and 3900 m Altitude: A Case Study of a Wheelchair Athlete

The purpose of this case study was to investigate the influence of a training load (TL), oxygen saturation (SO2) and blood pressure (BP) on mood states in a wheelchair marathoner during (7 weeks at sea level (SL), 5 weeks at 3860 m altitude, 1 week returning to SL). TL was obtained with Foster's equation while mood states were obtained with the Profile of Mood States Questionnaire (POMS). Furthermore, SO2 and BP were assessed upon wakening. SO2 (%) decreased at altitude, compared to SL (88.31 ± 2.46 vs. 98.52 ± 0.11) and increased until the last week at altitude (92.64 ± 1.12). Systolic pressure (SP) increased at altitude compared to pre-altitude (126.0 ± 5.1 vs. 107.6 ± 4.4 mmhg), and was not different from the last week at altitude. Controlling for SO2 and SP, differences were also observed in fatigue (97.66 ± 18.92 vs. 17.39 ± 13.71) and vigor (73.23 ± 8.62 vs. 26.48 ± 11.89) as a function of altitude. Upon return to SL, fatigue, vigor, SO2 and SP returned to pre values. This case study demonstrated the POMS was sensitive to worsening patterns in fatigue and vigor at altitude through a practical survey approach combined with daily physiological assessment

Actividad cardíaca vagal, volumen e intensidad de entrenamiento en una atleta de fondo keniata. [Cardiac vagal activity, training mileage, and intensity in a Kenyan female distance athlete].

El objetivo de este estudio fue analizar las oscilaciones de la actividad cardíaca parasimpática (ACP) en un mesociclo de una atleta keniata. La variabilidad de la frecuencia cardiaca (VFC) se midió durante tres semanas. En la primera semana (W1) el volumen de entrenamiento fue 120,55 km, en la segunda (W2) 96,71 km y en la tercera (W3) 79,45 km. Se analizó la media semanal de los intervalos (R-R), la expresión logarítmica (Ln) del cuadrado de la raíz media de la unión de los intervalos R-R adyacentes (LnrMSSD), la desviación estándar de los intervalos R-R (LnSDNN), la frecuencia cardíaca media (FC) de cada sesión y las fluctuaciones diarias de LnrMSSD (LnrMSSDCV). Se observaron incrementos signifcativos en LnrMSSD y LnSDNN de W1 a W3. El LnrMSSDCV fue mayor en W1 comparado a W2 y W3. Este estudio de caso demostró que tanto el volumen como la intensidad de entrenamiento afectaron la ACP de la atleta. Esta monitorización podría ser una valiosa herramienta para prevenir el sobreentrenamiento

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

UTOPIA - Visualización on-line

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