Level Of Exertion Research Articles

Effects of small-sided games on some recovery markers in football

Background and Study Aim. Small-sided games (SSGs) are widely used in football training to replicate match conditions while controlling the physical load on players. Variations in the number of players during these games can significantly influence key recovery markers. This study aims to investigate the effects of variations in player numbers on maximal heart rate, blood lactate levels, and perceived exertion in small-sided games acutely applied in football. Material and Methods. The study involved 28 male football players who were also university students (mean age 24.89±4.59 years, mean height 179±0.04 cm, mean body weight 73.21±4.34 kg). The participants were divided into three groups based on the number of players (2 vs. 2, 4 vs. 4, and 8 vs. 8). Heart rate and lactate levels were measured at three time points: before training, immediately after training, and 30 minutes post-training. Results. The study revealed that post-training maximal heart rates (MHR) and lactate levels were significantly higher across all groups compared to pre-training levels, while measurements taken 30 minutes post-training were significantly lower than post-training levels (P<0.05). No significant differences were found between pre-training and 30-minute post-training MHR values across the three groups (P>0.05). Post-training MHR values were similar between the 2 vs. 2 and 4 vs. 4 groups (P>0.05), whereas the 8 vs. 8 group showed significantly higher values (P<0.05). Post-training and 30-minute post-training lactate levels were similar between the 4 vs. 4 and 8 vs. 8 groups (P>0.05), but the 2 vs. 2 group had significantly lower levels (P<0.05). Perceived exertion levels post-training were similar between the 2 vs. 2 and 4 vs. 4 groups (P>0.05), while the 8 vs. 8 group reported significantly higher perceived exertion levels (P<0.05). Conclusions. Small-sided games with varying numbers of players are an effective method for modulating physical load during football training. These findings underscore the importance of considering game format in designing training sessions to optimize player performance and recovery.

Evaluating functional ability in older adults’ object retrieval behavior from kitchen furniture using OpenPose and REBA

The purpose of this study is to evaluate, through analysis, the ability of older persons to retrieve items from kitchen cabinets. To achieve this goal, data were collected from 128 valid questionnaires and supplemented with field research and user interviews. The study revealed that the elderly’s behavior in retrieving items from kitchen spaces is characterized by both high frequency and difficulty. For this experiment, a total of 42 participants, comprising 21 males and 21 females from the self-care elderly population in the Yangtze River Delta region, were recruited. Two different experimental settings were arranged: one with kitchen utensils arranged in a straight line and another with a purpose-made chest of drawers with varying heights. Video recordings using the Logitech C930C were utilized to capture the gestures and behaviors of the elderly while retrieving objects from the kitchen cupboards (cabinets). By employing a combination of the OpenPose model and the Rapid Entire Body Assessment (REBA) method, which involves calculating human posture angles, REBA scores, and determining the risk level of Work-Related Musculoskeletal Disorders (WMSDs), a risk assessment framework for manual operations associated with WMSDs was developed. Using the angle data acquired from the user operation experiment as parameters, a gradient model of the elderly user’s operational capability was established. The findings indicated a significant impact of neck, trunk, and knee movements on the subjects (P < 0.001). The participants were able to distinguish between different levels of exertion, categorizing movements as ‘easy’, ‘moderate,’ or ‘strenuous.’ These results form the basis for a comfort gradient model for leaning over and retrieving items. Given the prevalent conditions of bone and joint degeneration and osteoporosis among the elderly population, it is evident that they face challenges when accessing items in the kitchen. Therefore, investigating the elderly’s execution abilities during the retrieval process becomes crucial. Understanding how different cabinet heights impact the joint angles of the elderly can be instrumental in optimizing cabinet designs for elderly users, thereby reducing their physical exertion in the kitchen and enhancing their comfort levels. This research holds significant value in improving the quality of life for the elderly population at home and fostering the advancement of elderly-friendly design principles.

Examining the acute cardiovagal consequences of supine recovery during high-intensity interval exercise.

Exercise training requires the careful application of training dose to maximize adaptation while minimizing the risk of illness and injury. High-intensity interval training (HIIT) is a potent method for improving health and fitness but generates substantial autonomic imbalance. Assuming a supine posture between intervals is a novel strategy that could enhance physiological readiness and training adaptations. This study aimed to establish the safety and feasibility of supine recovery within a HIIT session and explore its acute effects. Fifteen healthy, active males (18-34years) underwent assessment of cardiopulmonary fitness. Participants completed two identical HIIT treadmill sessions (4 x [3min at 95% VO2max, 3min recovery]) employing passive recovery in standing (STANDard) or supine (SUPER) posture between intervals. Heart rate variability (HRV), HRV recovery (HRVrec; lnRMSSD) and heart rate recovery at 1min (HRrec) were assessed using submaximal constant speed running tests (CST) completed prior to, immediately after and 24h following HIIT. No severe adverse events occurred with SUPER, and compliance was similar between conditions (100 ± 0%). The change in HRVrec from the CST pre-to-post-HIIT was not different between conditions (p = 0.38); however, HRrec was faster following SUPER (39 ± 7bpm) vs. STANDard (36 ± 5bpm). HRV 24h post-SUPER was also greater (3.56 ± 0.57ms) compared to STANDard (3.37 ± 0.42ms). Despite no differences in perceived exertion (p = 0.23) and blood lactate levels (p = 0.35) between SUPER and STANDard, average running HRs were lower (p = 0.04) with SUPER (174 ± 7bpm) vs. STANDard (176 ± 7bpm). Supine recovery within HIIT attenuates acute cardioautonomic perturbation and accelerates post-exercise vagal reactivation. SUPER enhances recovery of vagal modulation, potentially improving physiological preparedness 24h post-HIIT. Further research exploring the chronic effects of SUPER are now warranted.

The mask paradox between perception of discomfort and reality of physiological effects in healthy college students in China: a panel study

BackgroundDuring the COVID-19 pandemic, masks proved to be an effective measure in preventing virus transmission. However, many people have reported discomfort and negative perceptions toward wearing masks, especially during physical activity. This study aims to evaluate the discomfort and adverse perceptions related to various mask types among young, healthy adults during light exercise, including sitting, stationary stepping, and stair climbing. The study also examines the extent to which masks influence physiological indicators of physical well-being.MethodsThe study was conducted in two stages at the campus hospital of Shantou University. In Stage 1, 20 healthy college students (10 males, 10 females) were recruited to identify the mask with the most substantial physiological and psychological impact among four types: KN95 respirators, surgical masks, cloth masks, and 3D medical masks. These specific types were chosen due to their widespread use and varying levels of filtration and breathability. In Stage 2, 14 healthy college students (7 males, 7 females) were included to examine the effects of the identified mask across various levels of physical exertion. Subjective perceptions were measured using the Mask-Related Discomfort and Perception Score (MRDPS), and physiological parameters such as body temperature, blood pressure, pulse rate, and vital capacity were recorded.ResultsThe KN95 respirator and cloth mask were associated with the highest MRDPS, indicating significant discomfort among wearers (p < 0.05). The use of KN95 respirators had the largest impact on MRDPS during stair stepping (β = 10.357, 95% CI [5.755, 14.959]). Physiological parameters showed minor variations across different masks, with KN95 respirators significantly associated with reduced diastolic blood pressure (β=-7.806, 95% CI [-12.294, -3.318]) and pulse rate (β=-10.661, 95% CI [-18.896, -2.425]) in Stage 1. However, after controlling for exercise pace in Stage 2, wearing a KN95 respirator did not significantly affect these parameters.ConclusionsKN95 respirators and cloth masks were found to cause the most discomfort during light physical activity, with males reporting higher discomfort levels than females. While these masks are associated with varying levels of perceived discomfort, their impact on physiological indicators is relatively modest. Future research should include larger and more diverse samples , continuous monitoring of physiological parameters during exercise, and exploration of the underlying mechanisms of gender differences in mask discomfort.

Intelligent Dance Motion Evaluation: An Evaluation Method Based on Keyframe Acquisition According to Musical Beat Features.

Motion perception is crucial in competitive sports like dance, basketball, and diving. However, evaluations in these sports heavily rely on professionals, posing two main challenges: subjective assessments are uncertain and can be influenced by experience, making it hard to guarantee timeliness and accuracy, and increasing labor costs with multi-expert voting. While video analysis methods have alleviated some pressure, challenges remain in extracting key points/frames from videos and constructing a suitable, quantifiable evaluation method that aligns with the static-dynamic nature of movements for accurate assessment. Therefore, this study proposes an innovative intelligent evaluation method aimed at enhancing the accuracy and processing speed of complex video analysis tasks. Firstly, by constructing a keyframe extraction method based on musical beat detection, coupled with prior knowledge, the beat detection is optimized through a perceptually weighted window to accurately extract keyframes that are highly correlated with dance movement changes. Secondly, OpenPose is employed to detect human joint points in the keyframes, quantifying human movements into a series of numerically expressed nodes and their relationships (i.e., pose descriptions). Combined with the positions of keyframes in the time sequence, a standard pose description sequence is formed, serving as the foundational data for subsequent quantitative evaluations. Lastly, an Action Sequence Evaluation method (ASCS) is established based on all action features within a single action frame to precisely assess the overall performance of individual actions. Furthermore, drawing inspiration from the Rouge-L evaluation method in natural language processing, a Similarity Measure Approach based on Contextual Relationships (SMACR) is constructed, focusing on evaluating the coherence of actions. By integrating ASCS and SMACR, a comprehensive evaluation of dancers is conducted from both the static and dynamic dimensions. During the method validation phase, the research team judiciously selected 12 representative samples from the popular dance game Just Dance, meticulously classifying them according to the complexity of dance moves and physical exertion levels. The experimental results demonstrate the outstanding performance of the constructed automated evaluation method. Specifically, this method not only achieves the precise assessments of dance movements at the individual keyframe level but also significantly enhances the evaluation of action coherence and completeness through the innovative SMACR. Across all 12 test samples, the method accurately selects 2 to 5 keyframes per second from the videos, reducing the computational load to 4.1-10.3% compared to traditional full-frame matching methods, while the overall evaluation accuracy only slightly decreases by 3%, fully demonstrating the method's combination of efficiency and precision. Through precise musical beat alignment, efficient keyframe extraction, and the introduction of intelligent dance motion analysis technology, this study significantly improves upon the subjectivity and inefficiency of traditional manual evaluations, enhancing the scientificity and accuracy of assessments. It provides robust tool support for fields such as dance education and competition evaluations, showcasing broad application prospects.

Are Ratings of Perceived Exertion during Endurance Tasks of Predictive Value? Findings in Trunk Muscles Require Special Attention.

Background: Subjective rating scales of perceived exertion are often used to quantify effort levels during various endurance exercises, particularly submaximal tasks. The aim of the current study was to determine whether predictive conclusions can be drawn from perceived exertion levels surveyed at the start of defined submaximal endurance tasks. Methods: In this study, healthy participants performed a 10-min endurance task at 50% of their upper body weight, targeting either the back muscles (n = 47, 24 women) or abdominal muscles (n = 32, 17 women). At the end of each minute, participants were asked to rate their perceived exertion (RPE) using the 14-points Borg Scale. Based on their initial and final RPE levels, and for each muscle group separately, participants were divided into subgroups reflecting low (good start/good end) and high (bad start/bad end) strain levels. These values were then compared over the duration of the exercise. Comparisons of RPE levels between subgroups were made using the Mann-Whitney U-test for independent samples, with Bonferroni-Holm correction to account for multiple comparisons. Results: Overall, strain levels increased throughout the duration of the exercise. For the abdominal muscles, the difference between the two RPE groups remained constant over time: participants with good start/end ratings consistently showed different strain levels from those with bad start/end ratings, regardless of whether the grouping was based on initial or final exertion levels. In contrast, for the back muscles, the initial grouping showed a crossover in strain values: by the end of the task, participants in the good start group tended to report higher strain than those in the bad start group. No differences were found in initial RPE values when the grouping was based on final exertion levels. Conclusions: For endurance tasks involving the abdominal muscles, initial strain levels have strong predictive value, whereas this is not the case for the back muscles. Because back muscles are frequently loaded, continuous monitoring of RPE levels is necessary to prevent unexpected task failure, as initial RPE values are not predictive. In contrast, RPE values of 11 or higher on the 14-points Borg scale predict complete exhaustion or even premature task failure with high certainty for abdominal muscle exercises, while lower RPE levels indicate that exercise intensity can be increased.

The Effects of L-Citrulline and Malic Acid on Substrate Utilisation and Lactate Elimination

Endurance athletes often aim to improve their aerobic metabolism. The aim of this pilot study was to examine if malic acid and L-citrulline supplementation can improve aerobic metabolism and lactate elimination. Nine young (23.9 ± 1.9 years) recreational male athletes participated in this study. Following a standardised breakfast and a body composition analysis (InBody720), 6000 mg of citrulline and 3000 mg of malic acid or a placebo of 300 mL of water were consumed on three separate days in a cross-over design using a double-blind method. Sixty minutes after the supplementation, participants completed a ramp bicycle spiroergometer protocol (35 W/3 min) until reaching a respiratory exchange ratio (RER) of 1.1, followed by a 9 min active recovery. Cadence, heart rate (HR), rate of perceived exertion (RPE), respiratory parameters and lactate levels were registered. The RPExHR value was calculated to accurately characterise exhaustion. During the exercise protocol, citrulline supplementation induced significantly lower RER values at 70-105-140 W compared to malic acid and the placebo, respectively. There was no difference in lactate levels neither during rest nor at RER 1.1. RPExHR rate values were significantly lower after malic acid supplementation compared to placebo at 175 and 210 W. Power at RER 1.1 was higher after malic acid (+4 W) and citrulline (+5 W) supplementation. Although the supplementation failed to decrease lactate levels, lower RER and RPE values may indicate a performance-enhancing benefit.

The effects of folk-dance in schools on physical and mental health for at-risk adolescents: a pilot intervention study.

We present the findings from a pilot study to evaluate the effects of a six-week adapted folk-dance intervention on physical and mental health for at-risk adolescents conducted in schools. At-risk adolescents are at particular risk for sedentary behavior, poor mental health, and lower quality of life, and are likely to benefit from motivating and health-promoting activities such as dance. However, it can be challenging to conduct and evaluate evidence-based interventions with this population. We conducted a convergent parallel mixed-method design using pre-post measures of mental well-being, as well as pre-post measures using inertial measurement units to assess physical activity during a 6-week adapted folk-dance intervention. At the completion of the study, we conducted semi-structured interviews with all stakeholder groups. We observed significant improvements in mental well-being, as indicated by increased WEMWBS and MHC-SF scores, while the UCLA score showed no significant change, with these outcomes independent of age and gender. Furthermore, at-risk adolescents reduced the time spent in stationary/resting position, while their heart rates were also reduced by ∼15% in such conditions. Our results suggest that at-risk youth who participated in adapted folk-dance became more enthusiastic and showed more willingness to move over the course of the intervention. Quantitative results were supported by interviews, which found that participants responded positively to the adapted folk-dance classes, and reported both elevated physical exertion and high levels of enjoyment. The mixed-method research design also provided insights into the suitability of data collection methods for this hard-to-reach population. We report on these outcomes, including best practices for working within schools on health-promoting physical activities.

Effects of victim's body posture and attacker's gender on slashing attacks: a biomechanical study.

Sharp force injury has been and will remain to be a major cause of violent death; however, scientific evaluations on the impact of body posture of the victim and gender of the perpetrator on sharp force injury have been scarce. The purpose of this study was to evaluate the biomechanical characteristics found in individuals (male and female) when using a Chinese kitchen knife to slash the neck of a dummy while it was in the standing and supine positions. This work offers a solid basis for forensic identifications, criminal investigations, and court trials. A total of 12 male and 12 female college students participated in this study. Kinematic, kinetic, and surface electromyography (sEMG) data were evaluated when slashing the neck of a dummy while it was in the standing and supine positions using a Chinese kitchen knife. When slashing the neck of a standing dummy, participants showed shorter contact time (19.5%) and slower shoulder velocities (30.9%) as well as higher hip velocity (26.0%) and increased root mean square (RMS) and integral electromyography (iEMG) for the anterior deltoid (51.3% and 51.2%, respectively) compared to those while the dummy was in the supine position (all p < 0.05), regardless of gender. When slashing a dummy's neck while it was in standing and supine positions, male participants showed higher shoulder, elbow, and wrist velocities (22.6%, 22.7%, and 24.4%, respectively) and higher slashing velocity (19.8%), slashing force (24.2%), and energy (46.2%) than female participants (all p < 0.05). In addition, male participants showed shorter contact time (17.8%), and the values of RMS and iEMG of the anterior deltoid, biceps brachii, extensor carpi radialis longus, and flexor carpi ulnaris were less than those of female participants (98.9%, 47.3%, 65.6%, and 33.4% for RMS and 115.1%, 59.4%, 80.1%, and 47.8% for iEMG, respectively). There was no difference in slashing speed, slashing force, and energy when using a Chinese kitchen knife to slash the dummy's neck while it was in different body postures (standing and supine), suggesting a similar level of injury severity. However, there were significant differences in slashing action patterns between the two body postures, with longer contact time, smaller hip velocity, greater shoulder velocity, and less muscle activation level of the deltoid exertion when slashing the dummy's neck in the supine position. Gender may have a greater effect on the severity of slashing, and the gender difference may be partly related to the body weight difference. The findings from this study may provide quantitative indicators and references for analyzing the motive behind the crime, as well as for case reconstruction, and for the court's conviction and sentencing processes.

Progression and perceptual responses to blood flow restriction resistance training among people with multiple sclerosis.

Resistance exercise can attenuate muscular impairments associated with multiple sclerosis (MS), and blood flow restriction (BFR) may provide a viable alternative to prescribing heavy training loads. The purpose of this investigation was to examine the progression of upper and lower body low-load (30% of one-repetition maximum [1RM]) resistance training (RT) with BFR applied intermittently during the exercise intervals (RT + BFR) versus volume-matched heavy-load (65% of 1RM) RT. Men and women with MS (n = 16) were randomly assigned to low-load RT + BFR (applied intermittently) or heavy-load RT and completed 12weeks (2 × /week) of RT that consisted of bilateral chest press, seated row, shoulder press, leg press, leg extension, and leg curl exercises. Exercise load, tonnage, and rating of perceived exertion were assessed at baseline and every 6 weeks. Training load increased to a greater extent and sometimes earlier for RT + BFR (57.7-106.3%) than heavy-load RT (42.3-54.3%) during chest press, seated row, and leg curl exercises, while there were similar increases (63.5-101.1%) for shoulder press, leg extension, and leg press exercises. Exercise tonnage was greater across all exercises for RT + BFR than heavy-load RT, although tonnage only increased during the chest press (70.7-80.0%) and leg extension (89.1%) exercises. Perceptions of exertion (4.8-7.2 au) and compliance (97.9-99.0%) were similar for both interventions. The training-induced increases in load, high compliance, and moderate levels of exertion suggested that RT + BFR and heavy-load RT are viable interventions among people with MS. RT + BFR may be a preferred modality if heavy loads are not well tolerated and/or to promote early-phase training responses.

Evaluation of a Passive Upper Extremity Exoskeleton on Reducing Discomfort and Workload in Cardiac Sonographers

Cardiac sonographers are frequently exposed to ergonomic risks such as postural stress and high levels of physical exertion while performing scanning tasks, contributing to work-related pain, and discomfort among cardiac sonographers. Passive exoskeletons are a potential ergonomic intervention with the potential to mitigate some of the risks associated with scanning. This study examined the effectiveness of a passive upper body exoskeleton in reducing the levels of work-related pain, discomfort, and workload in cardiac sonographers while performing transthoracic echocardiograms (TTE). Twelve cardiac sonographers were asked to use the HAPO FRONT exoskeleton while performing TTEs during a full workday. Participants were asked to rate their body part discomfort and workload throughout the day, both with and without the exoskeleton. The exoskeleton did not significantly decrease discomfort or workload associated with performing TTEs, except for a slight reduction in the discomfort at the left hand/wrist. This result indicates that the HAPO FRONT was not effective or appropriate for use by cardiac sonographers. Future development and study of purpose-designed exoskeletons for healthcare applications may provide greater benefits to cardiac sonographers.

The Diagnostic Utility of Holter Monitoring in Catecholaminergic Polymorphic Ventricular Tachycardia.

Holter monitoring may raise suspicion of an underlying catecholaminergic polymorphic ventricular tachycardia (CPVT) diagnosis. Although not a primary investigation for CPVT, Holter monitoring is ubiquitously used as a diagnostic tool in the heart rhythm clinic. The objective of this study was to explore Holter monitoring in CPVT diagnosis. This retrospective cohort study analyzed off-therapy Holter monitoring from 13 ryanodine receptor 2-positive CPVT and 34 healthy patients from the Canadian Hearts in Rhythm Organization national registry. Using the Edwards method, the ratio of ambient-maximum heart rate during Holter monitoring was correlated with exertion level to separate premature ventricular contractions (PVCs) during periods of adrenergic and nonadrenergic stress. A receiver operating characteristic curve analysis determined the optimal threshold for isolating CPVT-induced PVCs during adrenergic states. PVC burden differed between groups (P=0.001) but was within population norm, suggesting ambient PVCs are uncommon in CPVT. CPVT patients had higher PVC counts than healthy controls (P=0.002), with a different distribution based on adrenergic state. The optimal threshold for separating PVCs into periods of adrenergic and nonadrenergic stress in CPVT patients was 76% of the maximum heart rate during the monitoring period. Compared with healthy controls, CPVT patients had a higher PVC count, limited to periods of adrenergic stress, defined by >76% maximum heart rate threshold (P=0.002; area under the receiver operating characteristic curve: 0.84). Below this threshold, there was no significant PVC difference (P=0.604). Holter monitor PVC counts alone are inadequate for CPVT diagnosis, owing to the adrenergic nature of the disease. Quantifying PVC prevalence at a heart rate threshold >76% identified CPVT with moderate sensitivity (69%) and high specificity (94%).

Effects of using different riveting tools on the vibration exposure and muscle fatigue of riveters and buckers

Riveters and Buckers in the aircraft manufacturing industry are exposed to high vibration levels, often exceeding the Daily Exposure Limit Value (DELV) of 5 m/s2. Proper control of vibration exposure and muscle fatigue is crucial to minimize the risk of Work-related Musculoskeletal Disorders (WMSD). This study investigates the impact of different rivet guns, gun handle positions, and bucking bars on vibration exposure and muscle fatigue. Ten male participants, evenly divided between riveters and buckers, participated in the experiment. Throughout the investigation, various data, including acceleration, Electromyography (EMG), heart rate, grip strength, and perceived level of exertion, were collected simultaneously from the participants. The findings revealed that gun types 3 and 4 resulted in 43.27% lower vibration exposure than gun types 1 and 2, while combining a spring dampener and tungsten bucking bar yielded 24.46% less vibration than steel and tungsten. For both riveters and buckers, the horizontal gun handle position reduced vibration by 12.66% compared to the vertical handle position. Consequently, it is crucial to consider the type of gun, bucking bar, and handle position to mitigate vibration exposure and muscle fatigue among riveters and buckers in the aircraft manufacturing industry.

A 6-minute protocol, combining mental imagery practices and breathing exercises, promotes hand-grip strength in firefighters: a series of "N-of-1" trials.

To carry out their victim rescue and fire-fighting missions, firefighters perform high levels of physical exertion and among them strenuous muscular activity. A specific mental preparation protocol that could induce better strength performance throughout their 24-hour schedule is a major issue for firefighters. This case report aims to examine whether a 6-minute Intervention combining mental imagery practices and breathing exercises, specifically designed to be used while travelling between the fire station and the mission site, would be able to promote maximum strength performance. A series of three Single Case Experimental Designs (SCED) was conducted in single blind design to investigate the effects of repeated challenge-withdrawals between the Intervention and the Baseline on the maximum voluntary isometric contraction (MVIC) strength of the hand-grip. Data analyses revealed that 62.5% to 100% of the hand-grip strength values during the Intervention periods were greater than or equal to the maximum data point recorded in the Baseline periods. The effect sizes of these highlighted increases of the hand-grip strength performance revealed by the percentage of non-overlapping data (PND) were 75% i.e., moderately effective on average. Such a "psyching-up" practice before an upcoming muscular activity can promote muscular strength in firefighters. These results have led French firefighter departments to integrate the teaching of these practices into the initial instruction of firefighters, and remains to be confirmed by a randomised control trial.

Effectiveness of Continuous Positive Airway Pressure in Alleviating Hypoxemia and Improving Exertional Capacity at Altitude.

Strickland, Brian, Elan Small, Mary Ryan, and Ryan Paterson. Effectiveness of continuous positive airway pressure in alleviating hypoxemia and improving exertional capacity at altitude. High Alt Med Biol. 00:000-000, 2024. Introduction: Decreased oxygen saturation and exercise tolerance are commonly experienced at high altitude. Continuous positive airway pressure (CPAP) devices have become increasingly portable and battery powered, providing a potentially unique new therapeutic modality for treatment of altitude-related illnesses. This study evaluated the potential use of CPAP devices to improve and maintain oxygen saturation at altitude, both at rest and with exertion, to evaluate the feasibility of using this device at altitude. Methods: Subjects were taken to Mount Blue Sky and monitored while they hiked to the summit (4,350 m), maintaining a consistent level of exertion. Subjects hiked for 0.7 km both with and without CPAP set to 10 cmH2O pressure. Continuous vital signs were collected during the hike and recovery period. Results: All subjects completed the hike wearing CPAP devices at a vigorous level of exertion. Mean oxygen saturation of the CPAP group (M = 83.8%, SD = 3.72) was significantly higher than that of the control group during exertion (M = 78.7%, SD = 2.97); p = 0.005. Recovery after exertion was quicker in the CPAP group than the control group. Three subjects experienced claustrophobia requiring a brief pause, but were able to complete their exercise trial without removing equipment or experiencing adverse events. When pauses from claustrophobia were excluded, there was no difference in completion time between the groups (p = 0.06). Conclusion: CPAP reliably improved oxygen saturation at rest and during vigorous exertion at high altitude. Its ability to correct hypoxemia, even with physical exertion, may prove useful after further study as a portable self-carried device to prevent and treat altitude-related illness, or to improve safety in high-altitude rescues.

EFFECTS OF SHORT-TERM PRACTICE OF FAST DEEP BREATHING EXERCISE ON PARASYMPATHETIC FUNCTIONS IN TRANS-FEMORAL AND TRANS-TIBIAL-AMPUTATION PATIENTS

Background of the Study: After lower limb amputation, the functioning parasympathetic system is compromised so the regular practice of breathing techniques improves cardiorespiratory functions. To determine the effects of short-term fast-breathing exercises on parasympathetic functions in amputees. Methodology: The study was conducted at the Armed Forces Institute of Rehabilitation Medicine Rawalpindi, on 61 stable transfemoral and transtibial amputation patients within the duration of six months (January to June 2017), performed fast deep breathing exercises Parasympathetic functions were observed through different variables. Data was analyzed using IBM® SPSS® v 21. Results: Breathing exercises showed significant effects on HR with a p-value of (0.000), the Valsalva ratio had a p-value of (0.000), and oxygen saturation was improved in both control and experimental groups with p-values of (0.000) and (0.000). Valsalva’s BP systolic and diastolic p values were (0.001) (0.012), breathing exercise BP systolic and diastolic values were (0.16) and (0.000), and orthostatic testing BP systolic and diastolic p values were (0.134) and (0.389). Post Borg scale readings showed a significant decrease in exertion level Conclusion: The study concludes that short-term fast deep breathing exercise improves cardiovagal functioning.

Sex-Related Glycemic and Cardiovascular Responses After Continuous and Interval Aerobic Sessions in Patients With Type 1 Diabetes: A Randomized Crossover Study

We aimed to investigate sex-related glycemic and cardiovascular responses after intensity- (moderate) and duration- (30 minutes) matched interval aerobic exercise (IAE) and continuous (CAE) aerobic exercise sessions in patients with type 1 diabetes mellitus (T1DM). A total of 19 volunteers (10 women) participated in 2 randomized and crossover sessions (1:1). Heart rate, systolic and diastolic blood pressure, double product, and blood glucose (BG) levels were measured before (PRE), immediately after (POST-0), and 20 minutes after (POST-20) each session. The rates of perceived exertion (RPE) and enjoyment levels (ELs) were assessed after each session. Generalized estimating equations were used to analyze the data (condition × time × sex). Regarding sex-related changes, men showed BG reductions at POST-0 and POST-20 after CAE (∆: -3.7 and -3.7 mmol/L, respectively) and only at POST-0 after IAE (∆: -1.6 mmol/L), with 1 episode of hypoglycemia occurring in the latter group. In contrast, women showed reduced BG values only after CAE at both time points (∆: -1.4 and -1.7 mmol/L) compared with PRE values. The decrease in BG levels at both time points was higher for men after CAE than IAE. Cardiovascular responses, RPEs, and ELs were similar between exercise sessions, except for blood pressure, which showed higher values in men. In conclusion, lower BG levels were observed after CAE, with greater reductions in men. Similar cardiovascular, RPE, and EL responses were found across sexes and sessions. Consideration of sex-specific recommendations may be warranted when prescribing aerobic exercise, particularly, for men with irregular physical activity levels.

Avoiding ‘bungalow legs’: active ageing and the built environment

ABSTRACT Urban populations across the globe are ageing and much debate has centred on what constitutes an ‘age-friendly’ city. Historic environments, for example, often present physical challenges, such as steps and uneven surfaces – while today these are designed out. Smooth level surfaces, automatic doors and elevators to change level, require little exertion. However, has the fact that in order to keep our bodies healthy into older age, a level of physical exertion in our day to day lives is required, been overlooked? Can activity be designed back into environments without undoing the benefits of accessibility and causing harm to others?

EFFECTS OF FACE MASKS ON CARDIORESPIRATORY PARAMETERS DURING EXERCISE VELOERGOMETRY TEST

The COVID-19 pandemic has sparked ongoing scientific discussions about the adverse effects of wearing face masks on cardiorespiratory indicators, and the subjective response to exertion. Many researchers have investigated the impact of wearing face masks on different physiological factors through various exercise routines, such as a progressive cycling test, the 6-minute walk test, and treadmill walking at a constant pace, yielding inconsistent findings. This study aimed to examine the physiological and perceptual responses of wearing surgical face masks during and after the veloegometry test. Fifteen healthy young adults (mean age, 26.8±4.4 years, 5 males and 10 females) conducted the Astrand-Rhyming veloegometry protocol twice (with and without masks). Physiological outcomes (heart rate, maximal oxygen uptake, and oxygen saturation level), perceived exertion, and discomfort feeling by modified Borg scale were assessed. No significant differences were observed in physiological outcomes with or without masks during increasing load intensities (p &gt; 0.05) except for the last minute of testing and the minute after testing (p ≤ 0.005). Participants wearing masks reported the tendency of higher exertion level (3.8±1.08 vs 4.4±0.9) but statistical analysis can't definitively confirm it. While exercising with a face mask may not adversely affect cardiorespiratory factors, it can elevate perceived exertion levels and discomfort, particularly when exercise intensity exceeds a certain threshold.

Community-based exercise program, self-reported health-related symptoms, and quality of life in persons with traumatic brain injury 45 + years old.

Individuals with moderate to severe traumatic brain injury (msTBI) have reported a lack of motivation, lack of time, and fatigue as perceived barriers to exercise. To evaluate the effects of an exercise program on self-reported health-related symptoms and quality of life in persons 45-years and older with msTBI. Post-hoc analysis of a prospective community-based 12-week exercise program of 20 adults, age 45-80 years, with msTBI. Ten were in aerobic exercise training (AET) program and 10 in a stretching and toning (SAT) program. The AET group was instructed to exercise based on their estimated maximal heart rate (HR) for 150 minutes weekly. The SAT group was to stretch for the same target time without significantly increasing HR or level of exertion. Outcome measures were Traumatic Brain Injury Quality of Life (TBI-QOL) for global, cognitive, emotional, and social health, Patient Health Questionnaire-9 (PHQ-9) for depressive symptoms, and Pittsburgh Sleep Quality Index (PSQI) for sleep quality. AET was associated with improved self-reported cognitive health and sleep compared to SAT. Moderate to large, positive effect sizes were also observed in the AET group in the QOL categories of global, emotional, and social health, and depressive symptoms. This study offers preliminary evidence that AET may improve health-related QOL, especially for cognition and sleep, in middle-aged and older adults with msTBI.