Reliability of isometric and isokinetic trunk flexor strength using a functional electromechanical dynamometer

This paper will be part of Angela Rodriguez-Perea Doctoral Thesis performed in the Biomedicine Doctorate Program of the University of Granada, Spain. We would like to thank the Pleokinetic Network and the students of Catholic University of Most Holy Conception for making this study possible.Aim To determine the absolute and relative reliability of functional trunk tests, using a functional electromechanical dynamometer to evaluate the isokinetic strength of trunk flexors and to determine the most reliable assessment condition, in order to compare the absolute and relative reliability of mean force and peak force of trunk flexors and to determine which isokinetic condition of evaluation is best related to the maximum isometric. Methods Test-retest of thirty-seven physically active male student volunteers who performed the different protocols, isometric contraction and the combination of three velocities (V1 = 015 m s−1 , V2 = 0.30 m s−1, V3 = 0.45 m s−1) and two range of movement (R1 = 25% cm ; R2 = 50% cm) protocols. Results All protocols to evaluate trunk flexors showed an absolute reliability provided a stable repeatability for isometric and dynamic protocols with a coefficient of variation (CV) being below 10% and a high or very high relative reliability (0.69 0.86). The more reliable strength manifestation (CV = 6.82%) to evaluate the concentric contraction of trunk flexors was mean force, with 0.15 m s−1 and short range of movement (V1R1) condition. The most reliable strength manifestation to evaluate the eccentric contraction of trunk flexors was peak force, with 0.15 m s−1 and a large range of movement (V1R2; CV = 5.07%), and the most reliable way to evaluate isometric trunk flexors was by peak force (CV = 7.72%). The mean force of eccentric trunk flexor strength with 0.45 m s−1 and short range of movement (V3R1) condition (r = 0.73) was best related to the maximum isometric contraction. Conclusion Functional electromechanical dynamometry is a reliable evaluation system for assessment of trunk flexor strength

Strength Training Reduce Injury Rate In Elite Young Soccer Players During One Season

International audienceThe purpose of this study was to examine the effect of strength training on physical fitness parameters and injuries occurrence in young elite soccer players.Fifty-two elite young soccer players (13-14 yrs) were divided on a randomized order on Experimental Group (EG, n=26) and Control Group (CG, n=26). For EG, 2 to 3 sessions of strength training (90min) were introduced weekly in their training program for 12 weeks (4x3 weeks separated by 1 week recovery). Sprint tests (10-20-30m), T-test time, and jumping tests, were measured at the start (T0), at the middle (T1), and at the end of the experiment period (T2). The injury rate was recorded by the medical and fitness training staff throughout the soccer season.Compared to CG, EG performed significantly better in sprint running and T-test time at T2 (p\textless0.01). Similarly, the improvement amount for jumping tests was significantly greater (p\textless0.05) in EG compared to CG. A total of 17 injuries were recorded over the soccer season. The rate was higher in CG (13 injuries) compared to TG (4 injuries). This study showed that strength training accurately and efficiently scheduled in youth soccer players, induced performance improvement and reduced the rate of injurie

Effects of Combined Balance and Strength Training on Measures of Balance and Muscle Strength in Older Women With a History of Falls

International audienceObjective: We investigated the effects of combined balance and strength training on measures of balance and muscle strength in older women with a history of falls. Methods: Twenty-seven older women aged 70.4 +/- 4.1 years (age range: 65 to 75 years) were randomly allocated to either an intervention (IG, n = 12) or an active control (CG, n = 15) group. The IG completed 8 weeks combined balance and strength training program with three sessions per week including visual biofeedback using force plates. The CG received physical therapy and gait training at a rehabilitation center. Training volumes were similar between the groups. Pre and post training, tests were applied for the assessment of muscle strength (weight-bearing squat [WBS] by measuring the percentage of body mass borne by each leg at different knee flexions [0 degrees, 30 degrees, 60 degrees, and 90 degrees], sit-to-stand test [STS]), and balance. Balance tests used the modified clinical test of sensory interaction (mCTSIB) with eyes closed (EC) and opened (EO), on stable (firm) and unstable (foam) surfaces as well as spatial parameters of gait such as step width and length (cm) and walking speed (cm/s). Results: Significant group x time interactions were found for different degrees of knee flexion during WBS (0.0001 < p < 0.013, 0.441 < d < 0.762). Post hoc tests revealed significant pre-to-post improvements for both legs and for all degrees of flexion (0.0001 < p < 0.002, 0.697 < d < 1.875) for IG compared to CG. Significant group x time interactions were found for firm EO, foam EO, firm EC, and foam EC (0.006 < p < 0.029; 0.302 < d < 0.518). Post hoc tests showed significant pre-to-post improvements for both legs and for all degrees of oscillations (0.0001 < p < 0.004, 0.753 < d < 2.097) for IG compared to CG. This study indicates that combined balance and strength training improved percentage distribution of body weight between legs at different conditions of knee flexion (0 degrees, 30 degrees, 60 degrees, and 90 degrees) and also decreased the sway oscillation on a firm surface with eyes closed, and on foam surface (with eyes opened or closed) in the IG. Conclusion: The higher positive effects of training seen in standing balance tests, compared with dynamic tests, suggests that balance training exercises including lateral, forward, and backward exercises improved static balance to a greater extent in older women

Endometriosis and physical activity: A narrative review

International audienceEndometriosis is a painful gynecological disorder that affects many women. Constant treatments and contraception changes affect women looking for solutions to treat and limit the problems caused by endometriosis. The current narrative review discusses the effects of physical activity on the management, pain, and quality of life in patients with endometriosis. Findings suggest that body awareness practices such as Hatha yoga, the Jacobson method, and progressive muscle relaxation reduce pain and stress and improve the quality of life associated with endometriosis. It also highlights the current knowledge gap on available evidence and future research. Moreover, care must be taken when considering patients’ physical abilities and goals and avoiding intense physical activities. The forms of endometriosis and its symptoms vary from one woman to another, so it is important to perform studies with various nonmedicinal or surgical techniques. It is important to continue randomized controlled trials to obtain more data on the benefits of physical activity in women with endometriosis and also to identify what types of activities could be beneficial to combat pain symptoms and improve the daily lives of women with endometriosis