Muscle Groups Research Articles

The Duration of Non-Local Muscle Fatigue Effects

Non-local muscle fatigue (NLMF) refers to a transient decline in the functioning of a non-exercised muscle following the fatigue of a different muscle group. Most studies examining NLMF conducted post-tests immediately after the fatiguing protocols, leaving the duration of these effects uncertain. The aim of this study was to investigate the duration of NLMF (1-, 3-, and 5-minutes). In this randomized crossover study, 17 recreationally trained participants (four females) were tested for the acute effects of unilateral knee extensor (KE) muscle fatigue on the contralateral homologous muscle strength, and activation. Each of the four sessions included testing at either 1-, 3-, or 5-minutes post-test, as well as a control condition for non-dominant KE peak force, instantaneous strength (force produced within the first 100-ms), and vastus lateralis and biceps femoris electromyography (EMG). The dominant KE fatigue intervention protocol involved two sets of 100-seconds maximal voluntary isometric contractions (MVIC) separated by 1-minute of rest. Non-dominant KE MVIC forces showed moderate and small magnitude reductions at 1-min (p < 0.0001, d = 0.72) and 3-min (p = 0.005, d = 0.30) post-test respectively. The KE MVIC instantaneous strength revealed large magnitude, significant reductions between 1-min (p = 0.021, d = 1.33), and 3-min (p = 0.041, d = 1.13) compared with the control. In addition, EMG data revealed large magnitude increases with the 1-minute versus control condition (p = 0.03, d = 1.10). In summary, impairments of the non-exercised leg were apparent up to 3-minutes post-exercise with no significant deficits at 5-minutes. Recovery duration plays a crucial role in the manifestation of NLMF.

Modern problems of special strength training in Mixed MartiaL ArtS

The information presented in this article reveals one of the most relevant and at the same time controversial issues in mixed martial arts (MMA) related to the optimization and correction of special strength training taking into account the individual functional capabilities of athletes, their fighting style and the specifics of the training stage. It has been established that one of the important aspects of optimizing the training process in MMA is the effective combination of energy supply modes of muscle activity and the amount of load indicators. The use of loads of different volume and intensity allows for a detailed influence on the level of functional training of athletes of the striking or wrestling style of fighting. In the works of leading experts in MMA, the problem of practical implementation of effective mechanisms for improving the training process in mixed martial arts during special shock training is not sufficiently disclosed. One of the problematic issues, first of all, is the determination of the optimal parameters of the volume and intensity of the load and the use of the most informative physiological and biochemical methods for assessing the nature of changes in adaptive reserves associated with the level of functional capabilities, the degree of resistance of the organism to an external stimulus and the development of the maximum strength of those muscle groups of the athlete, which actively participate in the performance of the main technical elements of the striking style of fighting. At the same time, one of the important aspects remains the question of determining effective criteria for evaluating the training process (technical, tactical characteristics and their combination with functional capabilities), which will allow developing an optimal mechanism for correcting physical exertion.

Large Muscle Group Movements during Sleep in Restless Leg Syndrome: Neurophysiological and Clinical Implications.

Recently, criteria have been drawn up for Large Muscle group Movements during sleep (LMM), defined as movements lasting for 3-45 seconds in adults, which are often accompanied by changes in sleep stage, arousals, and increases in heart rate. The aim of this study was to characterize LMM in RLS, in order to better evaluate their impact on the neurophysiology of the disorder and, therefore, the possible clinical implications. Consecutive, drug-free patients diagnosed with RLS and controls, aged 18 years or more, were retrospectively enrolled. Leg movement activity - short-interval (SILMS), periodic (PLMS) and isolated (ISOLMS) leg movements during sleep - and LMM were detected and scored. One-hundred patients and 67 controls were recruited. All movement measures were significantly higher in RLS. A significant positive correlation was found between LMM and ISOLMS index but not PLMS index in both groups. LMM index showed a significant negative correlation with total sleep time, sleep efficiency, and percentage of sleep stages N3 and R, as well as a significant positive correlation with number of awakenings, and percentage of sleep stages N1 and N2 only in patients with RLS. No significant correlation was found for either LMM or PLMS index and RLS severity. Different types of movements, including SILMS, ISOLMS, and LMM, play somewhat distinct roles in sleep neurophysiology in RLS. Notably, LMM, a newly recognized category of movements, demonstrate associations with sleep architecture instability and fragmentation, arousals, and awakenings, suggesting potential clinical implications.

The anatomy of the motor branches of the sciatic nerve: an anatomical study with clinical implications.

The sciatic nerve gave the motor branches supply to: biceps femoris long and short head, semitendinosus, semimembranosus and adductor magnus muscles. The anatomy of these motor branches is highly variable. The aim of this study was to estimate the anatomy and morphometry of hamstring muscles innervation. The motor branches of the sciatic nerve were dissected from both sides from 20 cadaveric specimens (9 left and 11 right) from the 11 cadavers (4 females and 7 males) at the Department of Anatomy, Jagiellonian University Medical College Cracow. The motor branches of the sciatic nerve length, distance from piriformis muscle and number of all branches that exist from tibial nerve and common fibular nerve were measured. In most cases common fibular nerve gave off one branch to the short head of biceps femoris, in most cases the proximal hamstring tendon was innervated only by the first trunk, the highest number of branches were innervating the semimembranosus and the long head of biceps femoris, the longest branches were coming to the semimembranosus and the shortest to the proximal hamstring tendon CONCLUSIONS: The present study shows that there are various innervation types of the posterior group of thigh muscles. Knowledge of possible innervation patterns could be of utmost value to operators performing surgeries on the posterior region of the thigh.

Enhancing Training Precision: Unveiling the Barbell Velocity’s Role in Tailoring the Resistance Load for the China Badminton Team

Velocity-based resistance training is a fundamental component of sports science, offering a systematic approach to investigating the load variables of resistance exercises. This research focused on assessing the load across various resistance exercises by examining the barbell velocity during the concentric phase. The study involved 11 male athletes representing the China badminton team, who underwent 1RM testing for bench press, hip thrust, back squat, and single leg press exercises and the maximum repetition testing at load intensities of 60%, 70%, 80%, and 90% of 1RM. Simultaneously, measurements were taken of the barbell’s concentric phase velocity during each exercise. The findings revealed a robust negative correlation between barbell velocity and load intensity. Furthermore, exercises engaging greater muscle strength displayed smoother fitting curves. Analysis of velocity loss rates indicated that the hip thrust exhibited a higher completion percentage compared to the back squat and the bench press. Similarly, the non-dominant leg press showed a higher completion percentage than the dominant leg press. The study emphasizes the significance of delineating barbell velocity distributions in resistance training involving large muscle groups, as well as the accurate determination of load intensity. Precise load determination can be facilitated by employing fitting curves derived from distinct movement patterns and varying load intensities. The utilization of velocity data offers a quantifiable approach to achieving targeted training outcomes.

Advances in study of surgical approaches and MRI evaluation of total hip arthroplasty

To review the research on different surgical approaches and MRI evaluation of total hip arthroplasty (THA), to clarify the possible muscle damage caused by different approaches, and to help clinicians avoid intraoperative muscle damage and identify the causes of certain muscle-related complications after operation. The research literature on different surgical approaches and MRI evaluation of THA at home and abroad was extensively reviewed to summarize the MRI performance of the posterior approach, modified direct lateral approach, direct anterior approach, and minimally invasive anterolateral approach (also called Orthopadische Chirurgie Munchen approach). The traditional posterior approach mainly damages the short external rotator muscle group and increases the incidence of postoperative dislocation; the piriformis-keeping posterior approach significantly improves the quality of the pyriformis tendon in the postoperative period, but it may lead to damage to the intrapelvic portion of the piriformis muscle. The modified direct lateral approach mainly damages the gluteus medius muscle, which increases the risk of postoperative claudication. The direct anterior approach mainly damages the vastus tensoris muscle and may result in damage to the short external rotator muscle group and the muscles around the incision. The minimally invasive anterolateral approach primarily damages the superior gluteal nerve, which subsequently leads to denervation of the broad fascial tensor fasciae latae, and this approach may also result in injury to the gluteus medius and gluteus minimus muscles. The muscle damage status significantly affects prognosis, and the minimally invasive approach is more suitable for elderly patients. MRI can clarify the different types of muscle damage caused by different surgical approaches. Minimally invasive approaches can reduce muscle damage and improve postoperative function compared with traditional approaches, and can benefit elderly patients more, but due to the small field, forcing to expand the surgical field will lead to unintended muscle damage and reduce postoperative function.

Predilection Site for the Meat Lover Trichinella spp Larvae and its Pathogenesis and Potency in Human Host

Aims: To revisited carefully previously published articles available in the internet regarding predilection site of Trichinella spp larvae including their pathogenesis and its potency. Discussion: By carefully reviewing previously published literature available in the internet regarding the parasite Trichinella tropism to its host’s striated muscle, the author briefly withdraw some important keypoint to be revealed. The nematode Trichinella spp causes serious zoonosis called trichinellosis, a disease affecting striated or skeletal muscles which consider as one of tropical disease. Even though its natural host varied, but infection among live stocks, such as pigs and other animals, which are raising public health concern. Human infection occurs after consumption of raw or undercooked meat or meat products contain muscle larvae of T. spiralis. The tropism of the parasite for individual striated muscles and/or striated muscle groups varies significantly. Trichinella spp. has a direct life cycle where all three life cycle stages (the infective muscle larvae, adult, and new born larvae) happen serially in one host only. Intestine-dwelling adults of Trichinella produce newborn larvae that bypass the enterocyte, enter the bloodstream and colonize skeletal muscle. The muscle larvae assemble excretory-secretory products which play crucial role in establishing and maintaining persistent parasitism and the host’s immune modulation and evasion. It turns out that excretory-secretory products from muscle larvae and mature worm also have hidden medical potential that can be used to treat allergic problems, inflammation-based diseases, autoimmunity and even malignancy. Conclusion: Trichinellosis is a serious and potentially fatal zoonosis which transmitted through consuming raw or uncooked contaminated meat or its comestibles. Its primary tropism is to the host’s striated muscle and infection can persist for a long time facilitated by several reciprocities of its product (e.g., excretory-secretory) with the host’s cell and immune system. Fortunately, there are several promising potency in the field of therapeutic and prevention medicine which should be explored intensely.

Driving Aid for Rotator Cuff Injured Patients using Hand Gesture Recognition

Gesture recognition is a way for computers to understand how humans move and express themselves without using traditional methods like typing or clicking. Instead of relying on text or graphics, gesture recognition focuses on reading body movements, such as those made by the hands or face. Currently, there is a specific interest in recognizing hand gestures by analyzing the veins on the back of the hand. Scientists have found that each person has a unique arrangement of veins beneath the skin of their hand. When the hand moves, the position of these veins changes, and this change is considered a gesture. These gestures are then translated into specific actions or tasks by coding the hand movements. This technology is particularly helpful for individuals with rotator cuff injuries. The rotator cuff is a group of muscles and tendons in the shoulder that can get injured, causing pain and limiting movement. People with these injuries may have difficulty steering a car, especially if their job or sport involves repetitive overhead motions. With gesture recognition technology, a person can control the car by simply moving their wrist, eliminating the need to use the shoulder. In summary, gesture recognition technology reads the unique patterns of hand veins to interpret hand movements, making it a practical solution for individuals with rotator cuff injuries who may struggle with certain tasks, like steering a car.

Pedipalp anatomy of the Australian black rock scorpion, Urodacus manicatus, with implications for functional morphology

Pedipalps – chelate ‘pincers’ as the second pair of prosomal appendages – are a striking feature of scorpions and are employed in varied biological functions. Despite the distinctive morphology and ecological importance of these appendages, their anatomy remains underexplored. To rectify this, we examined the pedipalps of the Australian black rock scorpion, Urodacus manicatus, using a multifaceted approach consisting of microcomputed tomography, scanning electron microscopy, energy dispersive X-ray spectroscopy, and live pinch force measurements. In doing so, we document the following aspects of the pedipalps: (1) the musculature in three dimensions; (2) the cuticular microstructure, focusing on the chelae (tibial and tarsal podomeres); (3) the elemental construction of the chelae teeth; and (4) the chelae pinch force. We recognise 25 muscle groups in U. manicatus pedipalps, substantially more than previously documented in scorpions. The cuticular microstructure – endo-, meso-, and exocuticle – of U. manicatus pedipalps is shown to be similar to other scorpions and that mesocuticle reinforces the chelae for predation and burrowing. Elemental mapping of the chelae teeth highlights enrichment in calcium, chlorine, nickel, phosphorus, potassium, sodium, vanadium, and zinc, with a marked lack of carbon. These elements reinforce the teeth, increasing robustness to better enable prey capture and incapacitation. Finally, the pinch force data demonstrate that U. manicatus can exert high pinch forces (4.1 N), further highlighting the application of chelae in subduing prey, as opposed to holding prey for envenomation. We demonstrate that U. manicatus has an array of adaptions for functioning as a sit-and-wait predator that primarily uses highly reinforced chelae to process prey.

Neurophysiological assessment of the condition of the masticatory muscle group in patients with occlusion disorders and chronic generalized periodontitis

Background. Recently, the interest of dentists and physiologists has been focused on the development of a set of informative computerized techniques for an objective analysis of the functional state of the dentofacial apparatus. Achieving certain successes in conducting functional diagnostic examinations contributes to the development of algorithms for complex treatment of patients with generalized periodontitis and premature occlusal contacts.Goal. Study of the functional state of the dentofacial apparatus according to the parameters of bioelectrical activity of muscles in patients with chronic generalized periodontitis and occlusal disorders in static and dynamic conditions of the lower jaw.Materials and methods. The study involved 37 people with clinically healthy periodontium, physiological occlusion, and absence of occlusal disorders (Group 1) and 45 patients with physiological types of occlusion, generalized chronic periodontitis and premature occlusal contacts (Group 2). Functional methods included electronic registration of occlusal relationships with the T-Scan® III computer occlusion analysis system and study of the bioelectrical activity of the masticatory muscles using the Bio-EMG® III electromyography using standard functional tests.Results. In patients of group 2, in comparison with patients of group 1, neuromuscular discoordination of the functional activity of the masticatory muscles was diagnosed. This condition is confirmed by the asymmetry and lack of muscle synergy when performing the “Maximum volitional compression” test, an improvement in the symmetry of the work of the muscles of the same name on the right and left sides and the synergy of the work of the muscles of the right and left masticatory groups, as well as a statistically significant increase in the values of biopotentials m. temporalis and m. masseter during the “Maximum volitional compression on rollers” test.Conclusions. Disturbances in the coordinated work of the muscles of the craniofacial region in patients with chronic generalized periodontitis and premature occlusal contacts are realized in a statistically significant increase in the biopotentials of the masticatory muscle group at rest, a decrease in biopotentials during functional loading, as well as a reduction in the values of symmetry and synergy in relation to similar values patients of group 1.

Effect of Resistance Training with Gym Machines On Muscle Strength and Body Mass Index in Obese Women Student College

Several countries have high obesity rates. Obesity poses serious health risks that require effective treatment. Too much fat reduces muscle strength, affecting obesity. Resistance training can overcome weight gain and muscle loss. Resistance training with gym machines for obese women is understudied. The effects of gym machine resistance training on muscle strength and BMI can help physical trainers design appropriate exercise programs. This study examines how gym-machine resistance training affects muscle strength and BMI in obese women. One pre- and post-test group included 30 obese 17-25-year-old women. Resistance training uses gym machines to target major muscle groups and lose fat. Prisoners are trained three times a week for ten weeks under supervision. Resistance exercises include lati pulldown, abdominal crunch, cable curl, chest press, and leg press. The one-repetition maximum (1RM) test measures muscle strength, while height and weight calculate BMI. Paired difference test (paired sample t-test) effect was then tested. Ten weeks of resistance training led to significant muscle strength gains across all measures (p < 0.05). Moreover, the resistance training group demonstrated a significant BMI reduction (p < 0.05). These findings suggest that gym-machine resistance training can help obese women lose weight and gain muscle. Resistance training on gym machines can help obese women lose weight and build muscle. This study suggests systematic resistance training can improve muscle fitness and weight control in this population. Long-term health and well-being effects of these therapies can be examined. Keywords: Resistance Training, Obesity, Women, Muscle Strength, BMI.

Inverting a model of neuro-muscular control to estimate descending activation patterns that generate fast reaching movements.

Reaching movements generally show smooth kinematic profiles that are invariant across varying movement speeds even as interaction torques and muscle properties vary non-linearly with speed. How the brain brings about these invariant profiles is an open question.We develop an analytical inverse dynamics method to estimate descending activation patterns directly from observed joint angle trajectories based on a simple model of the stretch reflex, and of muscle and biomechanical dynamics. We estimate descending activation patterns for experimental data from eight different planar two-joint movements performed at two movement times (fast: 400 msec; slow: 800 msec). The temporal structure of descending activation differed qualitatively across speeds, consistent with the idea that the nervous system uses an internal model to generate anticipatory torques during fast movement. This temporal structure also depended on the co-contraction level of antagonistic muscle groups. Comparing estimated muscle activation and descending activation revealed the contribution of the stretch reflex to movement generation that was found to set in after about 20 percent of movement time.

7 important upper body muscles for high performance tennis players

This article focuses specifically on the training of key, yet sometimes overlooked by amateur players, muscles and muscle groups that play a major role in both injury prevention and performance enhancement. We can learn from many high performance and professional tennis players and coaches who have adopted these important upper body exercises. The purpose of the selected muscles is to assist in stabilizing a specific joint and additionally allow these joints their proper range of motion. This information is important for players as well as coaches in helping to their players obtain optimal tennis performance. Although many muscles and movement patterns could be addressed, the specific focus of this article is on those often characterized as secondary muscles of the upper body.

Exercise Responses During Outdoor Versus Virtual Reality Indoor Arm+FES-Leg Cycling in Individuals with Spinal Cord Injury.

Background: Virtual reality (VR)-enhanced indoor hybrid cycling in people with spinal cord injury (SCI) can be comparable to outdoor hybrid cycling. Method: Eight individuals with chronic thoracic-lesion SCI performed voluntary arm and electrically assisted leg cycling on a hybrid recumbent tricycle. Exercises were conducted outdoors and indoors incorporating VR technology in which the outdoor environment was simulated on a large flat screen monitor. Electrical stimulation was applied bilaterally to the leg muscle groups. Oxygen uptake (VO2), heart rate, energy expenditures, and Ratings of Perceived Exertion were measured over a 30-minute outdoor test course that was also VR-simulated indoors. Immediately after each exercise, participants completed questionnaires to document their perceptual-psychological responses. Results: Mean 30-minute VO2 was higher for indoor VR exercise (average VO2-indoor VR-exercise: 1316 ± mL/min vs. outdoor cycling: 1255 ± 53 mL/min; highest VO2-indoor VR-exercise: 1615 ± 67 mL/min vs. outdoor cycling: 1725 ± 67 mL/min). Arm and leg activity counts were significantly higher during indoor VR-assisted hybrid functional electrical stimulation (FES) cycling than outdoors; 42% greater for the arms and 23% higher for the legs (P < 0.05). Similar responses were reported for exercise effort and perceptual-psychological outcomes during both modes. Conclusion: This study proposes that combining FES and VR technology provides new opportunities for physical activity promotion or exercise rehabilitation in the SCI population, since these modes have similar "dose-potency" and self-perceived effort. Human Research Ethics Committee of the University of Sydney Ref. No. 01-2010/12385.

Highly stretchable and customizable microneedle electrode arrays for intramuscular electromyography.

Stretchable three-dimensional (3D) penetrating microelectrode arrays have potential utility in various fields, including neuroscience, tissue engineering, and wearable bioelectronics. These 3D microelectrode arrays can penetrate and conform to dynamically deforming tissues, thereby facilitating targeted sensing and stimulation of interior regions in a minimally invasive manner. However, fabricating custom stretchable 3D microelectrode arrays presents material integration and patterning challenges. In this study, we present the design, fabrication, and applications of stretchable microneedle electrode arrays (SMNEAs) for sensing local intramuscular electromyography signals ex vivo. We use a unique hybrid fabrication scheme based on laser micromachining, microfabrication, and transfer printing to enable scalable fabrication of individually addressable SMNEA with high device stretchability (60 to 90%). The electrode geometries and recording regions, impedance, array layout, and length distribution are highly customizable. We demonstrate the use of SMNEAs as bioelectronic interfaces in recording intramuscular electromyography from various muscle groups in the buccal mass of Aplysia.

Differences in knee flexor and extensor force and kinematic variables in rural versus urban area female students in Romania.

The study aimed to identify and explain the typical differences in low-intensity high-volume resistance training (LIHV-RT) performances for major muscle groups between rural versus urban young female students to establish the relevant set of quantitative and qualitative resistance training parameters. The study sample included 46 recreational active female students at the Transilvania University of Brașov, (mean ± SD age, 20 ± 1year; body mass, 60 ± 3kg; height, 160 ± 4cm) grouped urban vs. rural. The study used modified resistance exercise machines for the hamstring- and quadricep-group muscles, equipped with a dynamometer and sensors for identifying developed forces and accelerations. A number of 368 tests were performed, representing two attempts for each subject, for knee flexion and knee extension exercises, with two different loads. For the performance analysis some variables were considered: the maximum number of repetition until failure, maximum force developed, maximum acceleration, the duration of the set and the mean time per repetition. The maximum number of repetition to failure shows a significant higher value for rural than urban in case of knee flexion (d = 0.98 [0.32, 1.54] for load 1(L1) and d = 0.65 [0.03, 1.21] for load 2(L2)) and in case of knee extension (d = 1.89 [1.11, 2.48] for L1 and d = 1.67 [0.92, 2.25] for L2). The total duration of the sets shows a significant higher value for rural than urban in case of knee flexion (d = 0.84 [0.19, 1.39] for L2) and in case of knee extension (d = 1.46 [0.74, 2.03] for L1 and d = 1.56 [0.98, 2.14] for L2). Additionally we found differences in the quality of the relevant repetitions execution and in the impulse developed during the LIHV- MNRF sets. The study's main finding was that there are differences in LIHV-RT performances knee flexion and knee extension antagonistic exercises, between rural and urban female students. We concluded that the obtained results allow teachers to understand the optimal design of RT programs for the different groups of participants, in order to adapt their teaching techniques so that their final objectives are achieved, insisting on particular aspects of the theoretical or practical contents.

Inverstigation of the Effects of Aerobic Exercise on Lipid Metabolism

Although the fact that technology is at the fingertips of almost every person in the daily life process provides the opportunity to handle all tasks easily, it has also opened the door to the problem of restricting physical movements. Many health problems may occur due to physical inactivity, especially with advancing age. A few of these are obesity and cardiovascular system disorders that develop due to excess fat and weight gain. At this point, exercise is the most effective element in reducing these diseases. Exercise applied regularly can benefit the heart by positively affecting lipid and lipoprotein Levels. It is known that exercise reduces total cholesterol, serum triglyceride and low-density Lipoprotein (LDL) cholesterol and increases high-density lipoprotein (HDL) cholesterol. In particular, aerobic exercise not only changes lipoprotein concentrations quantitatively, but also causes positive changes in lipoprotein subgroups (Öğe, 2019; Assunçãovd.,2017). So that; The importance of regular physical activity and exercise for healthy aging and its preventive effects on chronic diseases are inevitable (Costa et al. 2018). Studies on exercise show that moderate-intensity regular exercises and long-term exercises have positive effects on lipid metabolism. It has been shown that it increases HDL levels while decreasing blood levels of Total Cholesterol, LDL and Triglycerides. In addition to these changes in blood lipid levels, it is well known that high blood pressure and obesity diseases also decrease with exercise. (Lemura and Amdreacci, 2000; Fox et al., 1999; Karagöz, 2016). Due to this effect of exercise on healthy life dynamics, it is considered a fundamental factor in improving the quality of life of individuals. In recent years, the positive effects of aerobic exercise on metabolic health have received much attention. Especially with the prevalence of a sedentary lifestyle, insufficient exercise and physical activity can cause a number of health problems, including lipid metabolism (Dunstan et al., 2012; Mozaffarian et al., 2011; Barranco et al., 2019). Lipid metabolism is an important biochemical mechanism that includes the processes of synthesis, transportation and storage of fats in the body. Levels of lipoproteins such as low-density lipoprotein (LDL) and high-density lipoprotein (HDL) play a critical role in determining the risk of cardiovascular disease (Rossi et al., 2016; Mohr et al., 2014). In this context, understanding how aerobic exercise affects the lipid profile is important for protecting and improving cardiovascular health. At this point, spinning, which is an aerobic exercise; It is a type of entertaining activity accompanied by music, performed for weight loss purposes, and intensely stimulating muscle groups (Caria et al., 2007; Tortop et al., 2010; Uzun, 2016). It is a type of high-intensity cardiovascular activity and is widely preferred. It is a form of conditioning exercise. Spinning classes involve a dynamic exercise routine on special bikes and are very interesting as they are performed in groups, often accompanied by music. Therefore, its positive effects on lipid metabolism are inevitable. When the literature is examined; It is noteworthy that there are few studies examining the effects of spinning exercise on lipid metabolism in women. This research shows that a 6-week aerobic (spinning) exercise program applied to sedentary women has positive effects on lipid metabolism. It is thought that the research will shed light on the literature in terms of conducting more comprehensive studies examining these effects. and whose average age was 24.58±3.53. A bioelectrical impedance analyzer (TANİTA TC-418, USA) was used to determine the weight and fat percentage measurements of the participants. No diet program was applied to the participants during the study.

Abstract PO2-25-12: Production of a bespoke muscle resistance exercise (MRE) programme for use in a future clinical trial, following a detailed patient engagement program (PEP) in patients with advanced breast cancer (ABC)

Abstract Background: MRE investigations in early breast cancer have been undertaken but there has been little evaluation in ABC. Cancer guidelines suggest the use of physical activity, including MRE, to improve fatigue (National Comprehensive Cancer Network, 2.2020; European Society of Medical Oncology 2020) but improvement in other outcomes in ABC is less clear. In clinical trials, adherence to exercise intervention has been a challenge and has hampered investigation of other outcomes and little data exists evaluating the possible reasons for this poor adherence and compliance. In preparation for an exercise component as part of lifestyle intervention trial in ABC, a PEP was undertaken to evaluate an on-line web-based exercise program. Results would support continued usage of the program or creation of a new program. Methods: A commercially available program was used containing a library of exercises created for multiple disease types. There was no voice over. Using an exercise science professional, 2 sets of muscular resistance exercise programmes were created (A &amp;B), selecting exercises for upper and lower limb major muscle groups. Set A and B differed , with A involving younger leaner demonstrators and B older, less lean. Volunteers were asked to view the sets and complete a survey. The results of the survey, involving 21 volunteers of which 43% were over 60 years and presented previously, indicated that the following main modifications were needed to a program: use of demonstrators similar to patient's habitus and use of a voice-over to guide exercises. A short test video was produced incorporating these and other visual changes and viewed by a focus group of four volunteers. Results: The focus group concluded that the new visual and audio changes would allow them to more easily perform the exercises and increase the likelihood of compliance compared to the on-line program. The group advised involvement of a more diverse demonstrator group and further improvements to the voice-over. A professionally produced video has now been made with all the above changes. Conclusions: This PEP indicates that is necessary to review exercise programmes with patients and not assume they are all suitable for use in clinical trials. We believe a PEP of this kind with the resultant bespoke video is the first produced involving patients with ABC. This video will now be evaluated in a much larger diverse PPE which will help the development of a national UK clinical trial of exercise in ABC. Citation Format: Amanda Clarke, Jennifer Glendenning, Glen Davison, Catherine Harper-Wynne. Production of a bespoke muscle resistance exercise (MRE) programme for use in a future clinical trial, following a detailed patient engagement program (PEP) in patients with advanced breast cancer (ABC) [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO2-25-12.

Effect of a graded running race on lower limb muscle damage, jump performance and muscle soreness in men and women.

Delayed structural and functional recovery after a 20 km graded running race was analyzed with respect to the sex effect. Thirteen female and 14 male recreational runners completed the race and three test sessions: one before (PRE) and two after, once on Day 1 or 2 (D1-2) and then on Day 3 or 4 (D3-4). Muscle damage was assessed indirectly using ultrasonography to quantify changes in cross-sectional area (CSA) of 10 lower-limb muscles. Delayed onset of muscle soreness (DOMS) was assessed for three muscle groups. Functional recovery was quantified by kinetic analysis of a squat jump (SJ) and a drop jump (DJ) test performed on a sledge ergometer. Linear mixed models were used to assess control group reproducibility and recovery patterns according to sex. Regardless of sex, DOMS peaked at D1-2 for all muscle groups and resolved at D3-4. CSA was increased in each muscle group until D3-4, especially in the semimembranosus muscle. A specific increase was found in the short head of the biceps femoris in women. Regardless of sex, SJ and DJ performances declined up to D3-4. Depending on the muscle, positive and/or negative correlations were found between structural and functional changes. Some of these were sex-specific. Structural and functional recovery was incomplete in both sexes up to D3-4, although DOMS had disappeared. More emphasis should be placed on hamstring muscle recovery. Highlighting the intermuscular compensations that can occur during multi-joint testing tasks, the structural-functional relationships were either positive or negative, muscle- and sex-dependent.

Importance of the cervical paraspinal muscles in postoperative patient-reported outcomes and maintenance of sagittal alignment after anterior cervical discectomy and fusion.

The aim of this study was to investigate the influence of preoperatively assessed paraspinal muscle parameters on postoperative patient-reported outcomes and maintenance of cervical sagittal alignment after anterior cervical discectomy and fusion (ACDF). Patients with preoperative and postoperative standing cervical spine lateral radiographs and preoperative cervical MRI who underwent an ACDF between 2015 and 2018 were reviewed. Muscles from C3 to C7 were segmented into 4 functional groups: anterior, posteromedial, posterolateral, and sternocleidomastoid. The functional cross-sectional area and also the percent fat infiltration (FI) were calculated for all groups. Radiographic alignment parameters collected preoperatively and postoperatively included C2-7 lordosis and C2-7 sagittal vertical axis (SVA). Neck Disability Index (NDI) scores were recorded preoperatively and at 2 and 4-6 months postoperatively. To investigate the relationship between muscle parameters and postoperative changes in sagittal alignment, multivariable linear mixed models were used. Multivariable linear regression models were used to analyze the correlations between the changes in NDI scores and the muscles' FI. A total of 168 patients with NDI and 157 patients with sagittal alignment measurements with a median follow-up of 364 days were reviewed. The mixed models showed that a greater functional cross-sectional area of the posterolateral muscle group at each subaxial level and less FI at C4-6 were significantly associated with less progression of C2-7 SVA over time. Moreover, there was a significant correlation between greater FI of the posteromedial muscle group measured at the C7 level and less NDI improvement at 4-6 months after ACDF. The findings highlight the importance of preoperative assessment of the cervical paraspinal muscle morphology as a predictor for patient-reported outcomes and maintenance of C2-7 SVA after ACDF.