Trunk Strength Research Articles

A Role for Trunk Function in Elite Recumbent Handcycling Performance?

ABSTRACT Handcycling classification considers trunk function, but there is limited scientific evidence of trunk involvement in recumbent performance. This study investigated the association between trunk function and recumbent handcycling performance of athletes without upper-limb impairments (H3-H4 sport classes). The study was divided into two parts. First, 528 time-trial results from 81 handcyclists with spinal cord injury (SCI) were obtained between 2014 and 2020. Average time-trial velocity was used as performance measure and SCI level as trunk function determinant. Multilevel regression analysis was performed to analyse differences in performance among SCI groups while correcting for lesion completeness, sex, and age. Second, in 26 handcyclists, standardised trunk flexion strength was measured with a handheld dynamometer. Peak and mean power-output from a sprint test and time-trial average velocity were used as performance measures. Spearman correlations were conducted to investigate the association between trunk strength and performance. Results showed that the different SCI groups did not exhibit significant differences in performance. Furthermore, trunk flexion strength and performance exhibited non-significant weak to moderate correlations (for time-trial speed: rs = 0.36; p = 0.07). Results of both analyses suggest that trunk flexion strength does not seem to significantly impact recumbent handcycling performance in athletes without upper-limb impairments.

Turning difficulties after stroke and its relationship with trunk function.

Turning difficulties has been reported in stroke patients, but most studies have indicated no differences in turning direction regarding turn time or steps. Recent evidence shows that turning difficulty may correlate with trunk control. Trunk flexibility and strength are considered essential to trunk control, but their association with turning performance has not been elucidated. The study investigated the differences in turning direction in terms of turn duration and angular velocity and the relationship between turning performance and trunk function in patients with chronic stroke. Cross-sectional study. Outpatient clinic at the Department of Physical Medicine and Rehabilitation. Chronic stroke patients. Twenty-eight stroke patients were evaluated for turning performance and trunk function. Turn duration and angular velocity were assessed using three wearable sensors during 360° turning in place towards both sides. Trunk function, such as flexibility, strength, and control was measured using a tape measure, a microFET3 dynamometer, and the Trunk Impairment Scale. Stroke patients showed significantly longer turn durations (4.62±2.08 vs. 3.59±1.93 s, P=0.036) and lower angular velocity (118.67±35.78 vs. 135.26±42.41°/s, P=0.009) during turning toward the paretic side than towards the nonparetic side. The turning parameters towards the paretic side associated with trunk flexion (r=-0.550, P=0.003) and rotation (r=0.409, P=0.034), trunk flexor strength (r=-0.387, P=0.046), dynamic sitting balance (r=-0.383, P=0.049) and coordination of trunk movement (r=-0.494, P=0.009). However, no relationship was observed between trunk function and turning towards the nonparetic side. Stroke participants experienced greater difficulty turning towards the paretic side. Trunk flexibility, strength, and control may affect turning performance, especially when turning towards the paretic side, which could explain the occurrence of falls after a turn towards the paretic side. Stroke patients experience turning difficulties, particularly during turning towards the paretic side. Stroke patients with limited trunk function are more likely to experience turning dysfunction. Clinical therapists should develop effective strategies for enhancing turning ability through improvement of trunk flexibility, strength, and control for clinical rehabilitation practice.

Patients With Becker Muscular Dystrophy Have Severe Paraspinal Muscle Involvement.

Introduction: Paraspinal muscles are important for gross motor functions. Impairment of these muscles can lead to poor postural control and ambulation difficulty. Little knowledge exists about the involvement of paraspinal muscles in Becker muscular dystrophy.Objective: In this cross-sectional study, we investigated the involvement of paraspinal muscles with quantitative trunk strength measure and quantitative muscle MRI.Methods and Materials: Eighteen patients with Becker muscular dystrophy underwent trunk, hip, and thigh strength assessment using a Biodex dynamometer and an MRI Dixon scan. Fourteen age- and body mass index-matched healthy men were included for comparison.Results: Muscle fat fraction (FF) of the paraspinal muscles (multifidus and erector spinae) was higher in participants with Becker muscular dystrophy vs. healthy controls at all three examined spinal levels (C6, Th12, and L4/L5) (p < 0.05). There was a strong and inverse correlation between paraspinal muscle FF and trunk extension strength (ρ = −0.829, p < 0.001), gluteus maximus FF and hip extension strength (ρ = −0.701, p = 0.005), FF of the knee extensor muscles (quadriceps and sartorius) and knee extension strength (ρ = −0.842, p < 0.001), and FF of the knee flexor muscles (hamstring muscles) and knee flexion strength (ρ = −0.864, p < 0.001). Fat fraction of the paraspinal muscles also correlated with muscle FF of the thigh muscles and lower leg muscles.Conclusion: In conclusion, patients with Becker muscular dystrophy demonstrate severe paraspinal muscular involvement indicated by low back extension strength and high levels of fat replacement, which parallel involvement of lower limb muscles. Assessment of paraspinal muscle strength and fat replacement may serve as a possible biomarker for both the clinical management and further study of the disease.

Factorial Structure of Trunk Motor Qualities and Their Association with Explosive Movement Performance in Young Footballers.

This study examined the factorial structure of trunk motor qualities and their associations with explosive muscular performance of football players. Ninety-one young male football players (age: 15–21 years; body height: 1.78 ± 0.07 m; body mass: 70.3 ± 7.5 kg) performed a series of tests: four standing and four seated isometric trunk strength tests, seven trunk power (medicine ball throwing) tests, four trunk endurance tests and four explosive movement performance tests. A principal component factor analysis (PCA) was used to determine the structure of trunk motor qualities, and correlational analyses were used to assess linear associations between trunk motor qualities and explosive performance. The PCA revealed four independent factors—trunk power, standing and seated isometric trunk strength, and trunk muscle endurance. Only trunk power had significant moderate, logically positive associations with sprint and vertical jump performance (common variance: 25–36%), while other associations between trunk motor factors and explosive movement performance were generally low to very low. These results indicate that trunk muscle functions of football players can be described with three independent motor qualities—trunk power, trunk strength and trunk muscle endurance, with only trunk power being moderately associated with players’ sprinting and jumping performance.

RELATIONSHIP BETWEEN THE 30-SECOND BURPEE TEST VARIATION AND ANTHROPOMETRIC AND MOTOR DIMENSIONS IN FEMALE UNIVERSITY STUDENTS

The 3-minute Burpee test has been widely reported in the literature, however the motor abilities assessed by the 30- second Burpee test (30SBT) variation are not clearly defined. The aim of this study was to investigate the association between the 30SBT and components of physical fitness, including anthropometric and motor characteristics, in the study participants. The sample consisted of 75 female students of Teacher Education Faculty, University of Belgrade. Pearson´s correlation coefficient showed that 30SBT was negatively related to body height (r = -0.529, p &lt; 0.01) and body mass (r = - 0.350, p &lt; 0.01) as anthropometric variables, and also positively correlated with body coordination (r = 0.517, p &lt; 0.01), agility (r = 0.380, p &lt; 0.01), upper-body (r = 0.373, p &lt; 0.01) and trunk strength (r = 0.257,both p &lt; 0.05) and flexibility (r = 0.259, p &lt; 0.05) as motor abilities. However, when we applied a regression analysis, the bestfit model demonstrated a clear significant causal relationship only between measures of body height and burpee test scores (R² = 0.279, p &lt; 0.01) and also between burpee test performance with coordination and agility (R² = 0.313, p &lt; 0.01). This findings suggest that the effectiveness of the 30-second Burpee test is highly dependent on motor abilities such as coordination and agility, and that body height has a negative impact on Burpee test performance. Given that the test is timeefficient and also economically and organizationally practical, the authors suggest that the 30-second Burpee variation should be implemented in physical education classes to assess motor dimensions of preschool, school, and university populations.

Trunk Flexion to Extension Strength Ratio of 11- to 18- Year Old Youth Ski Racers: Data from 15\xa0Years of Talent Development in Austria

PurposeThe aim of the present study was to evaluate the trunk strength capacity of alpine ski racers aged 10–18 years, who were tested during the last 15 years, to identify reference values for trunk flexor to extensor strength ratios according to age and sex.MethodsIn total, 2841 participants (1605 males, 1236 females; 10–18 years) were included, who were pupils of a famous skiing-specific secondary modern school or members of the provincial ski team between 2006 and 2020. The maximum isometric trunk flexion and extension strength was measured using the slightly modified Back Check. Sex-specific differences were assessed with Student’s t test or Mann–Whitney-U test. Univariate analyses of variance or Kruskal–Wallis-H tests were used to assess differences between age groups. Descriptive sex- and age-specific reference values were calculated (norm area: mean ± ½ standard deviation).ResultsSex-specific differences were found for both flexion (starting at 11 years) and extension strength (starting at 12 years) (P < 0.001). Lower flexion to extension strength ratios were identified for males (0.89 ± 0.18) compared with females (0.82 ± 0.15), but the ratios remained constant across age groups for both sexes.ConclusionThe present study provides age- and sex-specific reference values for trunk flexion to extension strength ratios for 10- to 18-year old youth and adolescent ski racers. The data of the present study represent a large data pool of youth ski racers at a high-performance level; thus, coaches can use the reference values for comparing the ratios of their athletes.

Age-Related Changes in Concentric and Eccentric Isokinetic Peak Torque of the Trunk Muscles in Healthy Older Versus Younger Men

This study investigated age-related changes in trunk muscle function in healthy men and the moderating effect of physical activity. Twelve older (67.3 ± 6.0years) and 12 younger (24.7 ± 3.1years) men performed isokinetic trunk flexion and extension tests across a range of angular velocities (15°/s-180°/s) and contractile modes (concentric and eccentric). For concentric trunk extension, mixed-effects analysis of covariance revealed a significant interaction between Angular velocity × Age group (p = .026) controlling for physical activity. Follow-up univariate analysis of covariance revealed that the younger group produced significantly greater peak torque for all concentric extension conditions. Eccentric trunk strength was somewhat preserved in the older group. Age-related changes in trunk strength were independent of physical activity. The normal loss of trunk muscle strength in older age is muscle- and contractile-mode specific. These findings provide guidance for effective intervention strategies to offset adverse health outcomes related to trunk strength loss in older adults.

Similar Pain Intensity Reductions and Trunk Strength Improvements Following Whole-Body Electromyostimulation vs. Whole-Body Vibration vs. Conventional Back-Strengthening Training in Chronic Non-specific Low Back Pain Patients: A Three-Armed Randomized Controlled Trial.

The aim of this multicenter trial was to compare the effects of whole-body electromyostimulation (WB-EMS) and whole-body vibration (WBV) with conventional back-strengthening training (CT) on changes in mean back pain intensity (MPI) and trunk strength in patients suffering from chronic non-specific low back pain (CNLBP). Two-hundred and forty CNLBP patients (40–70 years; 62% female) were randomly assigned to three intervention arms (WB-EMS: n = 80 vs. WBV: n = 80 vs. CT: n = 80). All training intervention programs were performed for 12 weeks in their usual commercial training setting. Before and during the last 4 weeks of the intervention, MPI was recorded using a 4-week pain diary. Additionally, maximal isometric trunk extension and -flexion strength was assessed on the BackCheck® machine. A moderate but significant decrease of MPI was observed in all groups (WB-EMS: 29.7 ± 39.1% (SMD 0.50) vs. WBV: 30.3 ± 39.3% (SMD 0.57) vs. CT: 30.5 ± 39.6% (SMD 0.59); p < 0.001). Similar findings were observed for maximal isometric strength parameters with a significant increase in all groups (extension: WB-EMS: 17.1 ± 25.5% vs. WBV: 16.2 ± 23.6% vs. CT: 21.6 ± 27.5%; p < 0.001; flexion: WB-EMS: 13.3 ± 25.6% vs. WBV: 13.9 ± 24.0% vs. CT: 13.9 ± 25.4%; p < 0.001). No significant interaction effects for MPI (p = 0.920) and strength parameters (extension: p = 0.436; flexion: p = 0.937) were observed. WB-EMS, WBV, and CT are comparably effective in improving MPI and trunk strength. However, training volume of WB-EMS was 43 or 62% lower, compared with CT and WBV.

Measurement of trunk muscle strength after stroke: An integrative review

ABSTRACT Background Research examining the measurement of trunk muscle strength after stroke is limited and diverse. This review, therefore, was undertaken to summarize research addressing what is known about measurements of trunk muscle strength after stroke. Methods Potentially relevant research was identified via 3 electronic database searches and a hand search. The research was examined for information on patients, measurement procedures and study findings. Findings regarding measurement properties (ie, validity, reliability, and responsiveness) were of particular interest. Results Searches identified 260 potentially relevant articles of which 28 met inclusion and exclusion criteria. Research involving diverse populations and measurement procedures demonstrates that trunk muscle strength is impaired after stroke. Many studies show that measurements of trunk muscle strength have known-groups/conditions and convergent validity with balance and performance of functional activities. The literature also supports the reliability of measurements of trunk strength after stroke. Little is known regarding the responsiveness of the measurements. Conclusions Trunk strength is commonly impaired after stroke. As weakness of the trunk muscles can affect balance and function, it may warrant routine measurement.

Intrasession and Intersession Reliability of Isometric Trunk and Hip Strength Measurements Using the Portable Tension Dynamometer.

The trunk/pelvis is an important link between the upper- and lower-extremities. Therefore, assessing strength of the trunk and hip muscles that control the segments is clinically meaningful. While an isokinetic dynamometer can be used to measure trunk strength, the equipment is expensive and not portable. To test the reliability of simple trunk and hip strength measures that utilize a bar, straps, and a portable tension dynamometer. Test-retest reliability study. Biomechanics research laboratory. Patients (or Other Participants): Twenty college-age individuals (10 males/10 females, age = 20.9 [3.7]y) participated. The participants attended 2 testing sessions, 1 week apart. The participants' trunk-flexion, rotation, and hip abduction strength were measured at each session. Peak trunk flexion, rotation, and hip abduction forces were normalized to the participant's body weight (BW). In addition, hip-abduction torque was calculated by multiplying the force times the leg length and normalized to BW. The trial data from both sessions were used to calculate the intrasession reliability, and the averages from the 2 sessions were used to calculate the intersession reliability. Intraclass correlation coefficients, SEM, and minimal detectable change were calculated to evaluate reliability of measures. The intrasession intraclass correlation coefficients (SEM) for trunk flexion, rotation, hip abduction, and hip abduction torque were .837 (5.2% BW), .978 (1.3% BW), .955 (1.0% BW), and .969 (5.8N·m/BW), respectively. The intersession reliability for trunk flexion, rotation, hip abduction, and hip abduction torque were .871 (4.3% BW), .801 (3.8% BW), .894 (1.5% BW), and .968 (5.9N·m/BW), respectively. The measures of trunk and hip abduction strength are highly repeatable within a session. The reliability of the measures between sessions was also good/excellent with relatively small SEM and minimal detectable change. The tests described in this study can be used to assess changes in trunk/hip strength over time.

Evaluating objective measures of impairment to trunk strength and control for cross-country sit skiing

In Paralympic cross-country sit skiing, athlete classification is performed by an expert panel, so it may be affected by subjectivity. An evidence-based classification is required, in which objective measures of impairment must be identified. The purposes of this study were: (i) to evaluate the reliability of 5 trunk strength measures and 18 trunk control measures developed for the purposes of classification; (ii) to rank the objective measures, according to the largest effects on performance. Using a new testing device, 14 elite sit-skiers performed two upright seated press tests and one simulated poling test to evaluate trunk strength. They were also subjected to unpredictable balance perturbations to measure trunk control. Tests were repeated on two separate days and test–retest reliability of trunk strength and trunk control measures was evaluated. A cluster analysis was run and correlation was evaluated, including all strength and control measures, to identify the measures that contributed most to clustering participants. Intraclass correlations coefficients (ICC) were 0.71 < ICC < 0.98 and 0.83 < ICC < 0.99 for upright seated press and perturbations, respectively. Cluster analysis identified three clusters with relevance for strength and balance control measures. For strength, in upright seated press peak anterior pushing force without backrest (effect size = 0.77) and ratio of peak anterior pushing force without and with backrest (effect size = 0.72) were significant. For balance control measures, trunk range of motion in forward (effect size = 0.81) and backward (effect size = 0.75) perturbations also contributed. High correlations (− 0.76 < r < − 0.53) were found between strength and control measures. The new testing device, protocol, and the cluster analysis show promising results in assessing impairment of trunk strength and control to empower an evidence-based classification.

Isokinetic Trunk Strength in Acute Low Back Pain Patients Compared to Healthy Subjects: A Systematic Review.

Background: The purpose of this systematic review was to: (I) determine the quality of evidence from studies assessing trunk isokinetic strength in subjects with acute low back pain (ALBP) compared to healthy subjects and (II) establish reference values of isokinetic trunk strength in subjects with ALBP. Methodology: Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) statements were followed using keywords associated with trunk, strength and low back pain. Four databases were used: PubMed, Web of Science, Scopus and SPORTDiscus. Methodological quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS). Results: A total of 1604 articles were retrieved, four included in this review. All were evaluated as high risk of bias (Rob). Due to the high Rob and the diversity of protocols, instruments and variables used, it was not possible to determine reference values for subjects with ALBP, we can only establish a range of flexion peak torque (PT) between 175.1 and 89.7 Nm at 60°/s and between 185 and 81.5 Nm at 120°/s, and for extension PT between 240.0 and 91.5 Nm at 60°/s and between 217.5 and 69.2 Nm at 120°/s in subjects with ALBP. Conclusions: Due to the low quality of the evidence and the diversity of protocols used when measuring trunk isokinetic strength, it is necessary to carry out new high-quality research to establish reference values of trunk strength in subjects with ALBP.

Effects of an 8-Week Whole-Body Electromyostimulation Training on Cycling Performance, Back Pain, and Posture of a 17-Year-Old Road Cyclist

A 17-year-old male road cyclist with unspecific back pain and postural deficiency regarding the depth of the lumbar lordosis (flèche lombaire [fl]) and the upper body tilt (forward trunk tilt [tt]) absolved an 8-week whole-body electromyostimulation (WB-EMS) training to improve performance parameters and health issues. During WB-EMS, muscle groups all over the body are stimulated via external electrodes, thus creating an intensive training stimulus due to the electrically induced involuntary muscle contraction. The athlete’s posture (fl 2.2%, tt 64.3%) and back pain (54%) improved, and trunk strength increased (extension 15.5%, flexion 29.2%). This is the first WB-EMS study of a minor cyclist, suggesting positive effects of WB-EMS as a time-saving strength training method on health and strength parameters.

Effect of the Untact Trunk Stabilization Exercise Program on Muscle Thickness, Trunk Strength, Maximal Expiratory Flow, and Static Balance

Effect of the Untact Trunk Stabilization Exercise Program on Muscle Thickness, Trunk Strength, Maximal Expiratory Flow, and Static Balance

Test-Retest Reliability and Known-Groups Validity of Trunk Muscle Tests in People With Multiple Sclerosis: A Cross-Sectional, Case-Control Study.

Research on muscle performance testing reliability in people with multiple sclerosis (MS) has focused on limb performance while less is known about trunk strength and endurance. This work aims to 1) establish test-retest reliability of trunk flexion, lateral flexion, and extension strength tests, and plank, side bridge, and Biering-Sørensen endurance tests in people with MS and matched healthy controls (HCs); 2) analyze known-groups validity of these tests in people with MS and HCs; 3) to compare groups for side-to-side differences; and 4) to describe the relationships between trunk performance and functional mobility tests. Fifteen people with MS (median Expanded Disability Status Scale=3) and 15 HCs underwent 2 trunk isometric strength and endurance testing sessions. Mobility was evaluated by Timed Up-and-Go test. Intraclass correlation coefficient, SEM, and minimal detectable change (MDC) were calculated. Between-group differences in trunk performance were tested using the ttest for independent measures. Between-group differences in an asymmetry index were analyzed by independent ttest. Bivariate correlations between trunk tests and mobility were also examined. All trunk tests showed good-to-excellent relative reliability in both groups (intraclass correlation coefficient>0.71). Regarding absolute reliability, strength tests were associated with low intersession variability in both groups (MDC: MS, 11.23%-36.45%; HCs, 26.60%-31.98%). Conversely, endurance tests showed higher variability scores in people with MS (MDC: MS, 69.55%-116.50%; HCs, 29.57%-54.40%). People with MS displayed significantly lower trunk performance. Likewise, the asymmetry index showed significantly higher scores in people with MS for endurance assessment but not in strength tests. Significant correlations were detected in people with MS between Timed Up-and-Go and several trunk tests (r=0.63-0.70). SEM and MDC scores revealed similar consistency and variability between groups for strength tests, whereas higher variability was observed for endurance tests in people with MS. Trunk strength tests are reliable and present discriminant validity to distinguish mildly disabled people with MS from HCs. Conversely, the high measurement error and variability of the endurance tests may hinder their application in intervention programs. Determining the reliability and validity of the tests currently used to assess trunk function is of the greatest importance for people with MS (who show not only impaired trunk function but also wide fluctuations in performance), as it requires consistent and accurate measurements that are sensitive enough to detect minimal changes induced by rehabilitation.

What Would a Tree Say About Its Size?

When developing theories, designing studies, and interpreting the results, researchers are influenced by their perception of tree size. For example, we may compare two trees of the same size belonging to different species, and attribute any differences to dissimilarities between the species. However, the meaning of “same size” depends on the measures of size used. Wood density influences certain measures, such as biomass, but does not influence e.g., trunk diameter. Therefore, the choice of the measure of size can reverse any conclusions. Hence, it is import to consider which measure of size should be used. I argue that the most common measure of size, i.e., trunk diameter, is often a bad choice when wood density varies, as diameter is then not directly related to processes important in evolution. When trees with equal diameters but differing wood densities are compared, the tree with denser wood is larger if the measure of size is related to construction cost or trunk strength, a proxy of leaf area. From this perspective, the comparison is then conducted between a biologically larger heavy-wooded tree and a smaller light-wooded tree, and the differences between the trees may be caused by size instead of wood density. Therefore, trunk biomass and strength may often be more suitable measures of size, as they reflect the construction cost and biomechanical potency linked to leaf area crown height, often too challenging to estimate more directly. To assess how commonly inadequate measures of tree size have been used, I reviewed 10 highly cited journal articles. None of these 10 articles discussed the impact of wood density on biological size, and instead based the analyses on diameters or basal areas. This led to conclusions that could change or even reverse in an analysis based on biomass or strength. Overall, I do not suggest avoiding the use of diameter, but I recommend considering result sensitivity to the measure of size, particularly in studies ones with variable wood densities.

Asymmetrical Loading Patterns in Military Personnel With a History of Self-Reported Low Back Pain.

Servicemembers are required to operate at high levels despite experiencing common injuries such as chronic low back pain. Continuing high levels of activity while compensating for pain may increase the risk of musculoskeletal injuries. As such, the purpose of this project was to determine if servicemembers with chronic low back pain have reduced lower extremity performance, and if they use alternate strategies to complete a functional performance task as compared to healthy servicemembers. Of a total of 46 male United States Marine Corps Forces Special Operations Command (MARSOC) personnel, 23 individuals who suffered from chronic low back pain (age = 28.6 ± 4.4 years, weight = 84.2 ± 6.8 kg) and 23 healthy controls (age = 27.9 ± 3.8 years, weight = 83.8 ± 7.7 kg) completed a stop jump task. In this task, three-dimensional biomechanics were measured, and lower extremity and trunk strength were assessed. The low back pain group exhibited higher vertical ground reaction force impulse on the dominant limb (0.26% body weight [BW]/s), compared to the nondominant limb (0.25% BW/s, p = .036). The control group demonstrated relationships between jump height and strength in both limbs (dominant: r = 0.436, p = .043; nondominant: r = 0.571, p = .006), whereas the low back pain group demonstrated relationships between jump height and dominant limb knee work (r = 0.470, p = .027) and ankle work (r = 0.447, p = .037). This study demonstrates that active-duty MARSOC personnel with a history of low back pain reach similar levels of jump height during a counter movement jump, as compared to those without a history of low back pain. However, the asymmetries displayed by the low back pain group suggest an alternate strategy to reaching similar jump heights as compared to healthy individuals.

Effect of Yoga on Performance and Physical Fitness in Cricket Bowlers.

Cricket-bowling performance is known to be influenced by speed of ball release and accuracy. Currently, training sessions typically involve fielding-specific drills and conditioning exercises. Scientific evidence for inclusion of a comprehensive yoga intervention in daily training and exercise sessions remains unexplored. The present study explored the effect of yoga on bowling performance and physical fitness in cricket bowlers. Sports fitness testing and training were conducted among 60 non-elite recreational-club male cricket players aged 13-25 years. Cricket-bowling speed was e valuated using a speed radar gun, accuracy with a test developed by Portus et al., cardiorespiratory endurance using the yo-yo intermittent recovery test, lower-extremity and trunk strength using a back-leg dynamometer, upper-limb power using a medicine ball-throw test, power using a vertical-jump test, and flexibility using a sit-and-reach test. In addition to bowling practice, the yoga intervention group (n = 30) performed pranayama and standing and prone asana, whereas the control group (n = 30) practiced conventional conditioning exercises, for 45 minutes/day, three times a week, for 12 weeks. Improvement in bowling speed, accuracy, cardiorespiratory endurance, muscle strength, and flexibility were comparable between the two groups. Statistically significant improvements in baseline scores in bowling speed, accuracy, cardiorespiratory endurance, muscle flexibility, strength, and power were comparable between the two groups of non-elite male cricket players. Bowling speed improved by 6.52% in the yoga group and by 5.18% in the control group. Bowling accuracy improved by 35.40% in the yoga group and by 31.29% in the control group. Additional research on long-duration intervention in elite players may help to establish the role of yoga in conventional cricket-bowling training.

Effects of Circuit Resistance Training on Body Composition, Strength, and Cardiorespiratory Fitness in Middle-Aged and Older Women: A Systematic Review and Meta-Analysis

A systematic review with meta-analysis was conducted to evaluate the effects of circuit resistance training (CRT) on cardiorespiratory fitness, strength, and body composition in middle-aged and older women. Sixteen studies were included in the meta-analysis. The CRT interventions led to a significant decrease in weight, body mass index, and fat mass along with an increase in muscle mass. Significant differences were found in the fat mass and a trend to develop muscle mass when compared with the control group. CRT led to a significant increase in VO2max, walking endurance, and time to exhaustion; likewise, significant differences were observed when compared with the control group. CRT had a moderate and large favorable effect on arm, trunk, and lower limb strength. Furthermore, the increases in strength observed in the CRT were significantly greater than the changes observed in the control group. In middle-aged and older women, CRT improved cardiorespiratory fitness and strength and optimized body composition.

Measures of trunk muscle strength and their measurement properties: a protocol for a systematic review and narrative synthesis of clinical measures

IntroductionSpinal musculoskeletal conditions, including low back and neck pain, are leading causes of disability globally. The trunk muscles, which comprise muscles in the thoracic and lumbar regions, are essential for...