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1.
Phys Ther Sport ; 62: 17-24, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37300969

RESUMEN

OBJECTIVE: To identify which subjective and objective tests do content experts utilize to help guide return to sport (RTS) decision making for an athlete after an upper extremity (UE) injury? METHODS: A modified Delphi survey was utilized, including content experts in UE rehabilitation. Survey items were identified based on a literature review identifying current best evidence and practice for UE RTS decision making. Content experts (n = 52) were identified, having a minimum of 10 years of experience with rehabilitation of UE athletic injuries, and 5 years of experience using an UE RTS algorithm to guide decision making. RESULTS: Expert consensus was achieved on a combination of tests utilized within an UE RTS algorithm: 1. Tissue healing time frame is an important consideration in RTS decision making; 2. Patient reported outcome measures should be utilized specifically, DASH and NPRS 3. Strength is measured by handheld dynamometer and is an important consideration. 4. ROM should be utilized and is an important consideration. 5. Physical performance tests utilized include: Closed Kinetic Chain Upper Extremity Stability test, Seated shot-put test and lower extremity/core tests. CONCLUSIONS: This survey reached expert consensus on which subjective and objective measures to utilize to evaluate RTS readiness after UE injury.


Asunto(s)
Extremidad Inferior , Volver al Deporte , Humanos , Extremidad Superior , Encuestas y Cuestionarios , Atletas
2.
Am J Sports Med ; 51(5): 1277-1285, 2023 04.
Artículo en Inglés | MEDLINE | ID: mdl-36847281

RESUMEN

BACKGROUND: Return to sport after stabilization surgery using the open Latarjet procedure remains challenging. Additional knowledge is needed about postoperative shoulder functional deficits in order to better design return-to-sport programs. PURPOSE: To investigate the effects of the dominance status of the operated shoulder on the shoulder functional profile recovery at 4.5 months after open Latarjet procedure. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: A retrospective analysis of prospectively collected data was performed. All patients who underwent the open Latarjet procedure between December 2017 and February 2021 were eligible for the study. Functional assessment at 4.5 months after the surgery was performed using the following tests: maximal voluntary isometric contractions in glenohumeral internal and external rotation, upper-quarter Y balance test, unilateral seated shot-put test, and modified closed kinetic chain upper extremity stability test, leading to 10 outcome measures. Patients whose dominant side had undergone surgery and those whose nondominant side had undergone surgery were compared with a group of 68 healthy control participants. RESULTS: A total of 72 patients who underwent an open Latarjet procedure on the dominant side and 61 patients who underwent open Latarjet on the nondominant side were compared with 68 healthy control athletes. In patients whose dominant shoulder had undergone surgery, significant deficits for the dominant side (P < .001) and for the nondominant side (P < .001) were found in 9 of 10 functional outcome measures. Among patients whose operations were on the nondominant shoulder, significant deficits for the nondominant side (P < .001) and for the dominant side (P < .001) were found in 9 and 5 of the 10 functional outcome measures, respectively. CONCLUSION: Regardless of dominance of the stabilized shoulder, persistent deficits in strength, stability, mobility, power, and stroke frequency were observed at 4.5 months postoperatively. Stabilization of the dominant shoulder resulted in residual surgery-related functional impairments on both sides. However, stabilization of the nondominant shoulder resulted in impairments primarily noted in the nondominant, operative shoulder. REGISTRATION: NCT05150379 (ClinicalTrials.gov identifier).


Asunto(s)
Inestabilidad de la Articulación , Luxación del Hombro , Articulación del Hombro , Humanos , Estudios Transversales , Inestabilidad de la Articulación/cirugía , Recurrencia , Estudios Retrospectivos , Hombro/cirugía , Luxación del Hombro/cirugía , Articulación del Hombro/cirugía , Estudios de Casos y Controles
3.
Fisioter. Mov. (Online) ; 36: e36121, 2023. tab
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1448253

RESUMEN

Abstract Introduction Physical performance tests (PPTs) are screening tools widely available, easy to apply, and that can be performed in different environments and contexts. Scapular dyskinesis can be related to changes in glenohumeral angulation, acromioclavicular joint strain, subacromial space dimension, shoulder muscle strength/activation and humeral position/motion. Few studies were developed to understand the influence of aspects such as strength, stability mobility, and scapular dyskinesis on the scores of the upper extremity PPTs. Objective To compare the performance in the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST), Seated Medicine Ball Throw Test (SMBT) and Upper Quarter Y Balance Test (UQYBT) between asymptomatic adults with and without scapular dyskinesis. Methods Cross-sectional study with 20 asymptomatic individuals: 10 with scapular dyskinesis and 10 without scapular dyskinesis. The average number of touches, number of touches normalized by height, and power score in the CKCUEST, distance covered by the ball in the SMBT, reach in the medial, inferolateral, and superolateral directions, total excursion and composite score of the UQYBT were compared between both groups. Results No significant differences were found for all variables (p > 0.05). Small to moderate effect sizes were found for the scores of the CKCUEST (d = 0.16-0.78), a small effect size was found for the distance in the SBMT (d = 0.12), and small to moderate effect sizes were found for the scores of the UQYBT (d = 0.02-0.43). The scapular dyskinesis group presented better performance in all tests. Conclusion The presence of scapular dyskinesis in asymptomatic individuals is not a factor related to worse scores in upper extremity physical performance tests.


Resumo Introdução Os testes de desempenho físico (PPTs) são instrumentos de triagem amplamente disponíveis, de fácil aplicação e que podem ser realizados em diferentes ambientes e contextos. A discinesia escapular pode estar relacionada a alterações na angulação glenoumeral, tensão na articulação acromioclavicular, dimensão do espaço subacromial, força/ativação muscular do ombro e posição/movimento umeral. Poucos estudos foram desenvolvidos para entender a influência de aspectos como força, estabilidade, mobilidade e discinese escapular nos escores dos PPTs de membros superiores. Objetivo Comparar o desempenho no Teste de Estabilidade de Extremidade Superior de Cadeia Cinética Fechada (CKCUEST), Teste de Arremesso de Medicine Ball Sentada (SMBT) e Teste de Equilíbrio em Y do Quarto Superior (UQYBT) entre adultos assintomáticos com e sem discinesia escapular. Métodos Estudo transversal com amostra de 20 indivíduos assintomáticos: 10 com discinesia escapular e 10 sem discinesia escapular. Comparou-se o número médio de toques, número de toques normalizados pela altura e pontuação de potência no CKCUEST, distância percorrida pela bola no SMBT, alcance nas direções medial, inferolateral e superolateral, excursão total e escore composto do UQYBT entre ambos os grupos. Resultados Não foram encontradas diferenças significativas para todas as variáveis (p > 0,05). Tamanho de efeito pequeno a moderado foi encontrado para os escores do CKCUEST (d = 0,16-0,78), tamanho de efeito pequeno foi encontrado para a distância no SBMT (d = 0,12) e tamanho de efeito pequeno a moderado foi encontrado para as pontuações do UQYBT (d = 0,02-0,43). O grupo com discinesia escapular apresentou melhor desempenho em todos os testes. Conclusão A pre-sença de discinesia escapular em indivíduos assintomáticos não é um fator relacionado a piores escores em testes de desempenho físico de membros superiores.

4.
Artículo en Inglés | MEDLINE | ID: mdl-36231709

RESUMEN

The aim of this study is to automatically analyze, characterize and classify physical performance and body composition data of a cohort of Mexican community-dwelling older adults. Self-organizing maps (SOM) were used to identify similar profiles in 562 older adults living in Mexico City that participated in this study. Data regarding demographics, geriatric syndromes, comorbidities, physical performance, and body composition were obtained. The sample was divided by sex, and the multidimensional analysis included age, gait speed over height, grip strength over body mass index, one-legged stance, lean appendicular mass percentage, and fat percentage. Using the SOM neural network, seven profile types for older men and women were identified. This analysis provided maps depicting a set of clusters qualitatively characterizing groups of older adults that share similar profiles of body composition and physical performance. The SOM neural network proved to be a useful tool for analyzing multidimensional health care data and facilitating its interpretability. It provided a visual representation of the non-linear relationship between physical performance and body composition variables, as well as the identification of seven characteristic profiles in this cohort.


Asunto(s)
Composición Corporal , Vida Independiente , Anciano , Índice de Masa Corporal , Femenino , Fuerza de la Mano , Humanos , Masculino , Rendimiento Físico Funcional
5.
Eur Spine J ; 31(12): 3347-3364, 2022 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-36069938

RESUMEN

PURPOSE: This review aimed to identify effective physical performance tests (PPT) as clinical outcome indicators for detecting and monitoring degenerative cervical myelopathy (DCM). METHODS: A comprehensive literature search was performed on seven electronic databases on the effectiveness in detection and monitoring of DCM by PPT. All included studies were reviewed and undergone quality assessments on the risk-of-bias by Newcastle-Ottawa Scale and were pooled by random-effect analysis with level of significance at 0.05. Homogeneity among studies was assessed by I2-statistics and effect of PPT was confirmed by Cohen's d effect size and confidence intervals. RESULTS: Totally, 3111 articles were retrieved, and 19 studies were included for review and meta-analysis. There were 13 studies investigating PPT regarding the upper limbs and 12 studies regarding the lower limbs. Performance in 10-second-Grip-and-Release Test (G&R) and 9-Hole-Peg Test (9HPT) was studied in 10 and 3 articles, respectively, while 10-second-Stepping Test (SST), 30-meter-Walking Test (30MWT) and Foot-Tapping Test (FTT) for lower limbs were studied in 5, 4, and 3 articles correspondingly. Only 1 study utilized the Triangle-Stepping Test. High-quality study with fair risk-of-bias was revealed from Newcastle-Ottawa scale. Large effect size facilitated detection and monitoring in DCM was unveiling for G&R, 9HPT, SST, and 30MWT. FTT, while also effective, was hindered by a high-degree heterogeneity in the meta-analysis. CONCLUSION: Effective PPT including G&R, 9HPT, SST, 30MWT, and FTT was identified for disease detection and monitoring in DCM.


Asunto(s)
Vértebras Cervicales , Enfermedades de la Médula Espinal , Humanos , Enfermedades de la Médula Espinal/diagnóstico , Cuello , Extremidad Inferior , Rendimiento Físico Funcional
6.
Musculoskelet Sci Pract ; 62: 102666, 2022 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-36179496

RESUMEN

STUDY DESIGN: Retrospective Diagnostic Cohort Study. LEVEL OF EVIDENCE: Level 3b. OBJECTIVES: To examine the concurrent and predictive validity of a novel clinical assessment tool, the Functional Lumbar Index (FLI). BACKGROUND: Lumbar surgeries have increased exponentially in the past decade, adding to healthcare costs without improving outcomes. Limitations in clinicians' abilities to identify those individuals who are most likely to benefit from surgery may be enhanced with an effective physical assessment tool. METHODS: The FLI was assessed on 291 individuals (179 conservative and 113 pre-surgical) seeking care for low-back pain (LBP) over a 2.5-year period. The FLI consists of several physical performance tests (PPT) with a novel criterion-based scoring system. Pearson correlations and Poisson regression analysis were used to establish concurrent and predictive validity at alpha = 0.05. RESULTS: The subscale FLI components showed good to excellent inter-rater reliability with intraclass correlation coefficient values as follows: front plank = .993, right side plank = .824, left side plank .861, Sorensen = 0.836, overhead squat = 0.937. A statistically significant, moderate negative correlation was observed between FLI and modified Oswestry Disability Index (r = -0.540, p < .001). Regression analysis showed the FLI as the only significant predictor (p = .004) of failed conservative management for individuals with LBP. An ROC curve showed significant group prediction of the FLI with an AUC of 0.788 (p < .001) and cut-off score of 7.5. CONCLUSION: The FLI is a reliable and valid measure for predicting failed conservative care management in patients with LBP. Clinicians are encouraged to use the FLI as part of their physical assessment when screening individuals with LBP who might need surgical intervention. Further research is needed to determine validity of the FLI in other patient populations. PUBLIC TRIAL REGISTRY: N/A.


Asunto(s)
Dolor de la Región Lumbar , Humanos , Dolor de la Región Lumbar/diagnóstico , Dolor de la Región Lumbar/terapia , Reproducibilidad de los Resultados , Evaluación de la Discapacidad , Dimensión del Dolor , Estudios de Cohortes , Encuestas y Cuestionarios , Estudios Retrospectivos
7.
Int J Sports Phys Ther ; 17(5): 907-914, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35949374

RESUMEN

Background: Clinicians often use physical performance tests (PPT) to measure performance measures in sports since they are easy to administer, portable, and cost-efficient. However, PPT often lack good or known psychometric properties. Perhaps, the 30-second chair-stand test (30CST) would be a good functional test in athletic populations as it has been shown to demonstrate good psychometric properties in older adults. Hypothesis/Purpose: The purpose of this study was to determine normative values for and concurrent, convergent and discriminative validity of 30CST for healthy young adults aged 19-35 years. Study Design: Cross-sectional. Methods: Eighty-one participants completed this study. All participants performed two trials of 30CST, 5-times sit-to-stand (5xSTS), and lateral step-up test (LSUT). Investigators used the International Physical Activity Questionnaire Leisure Domain (LD-IPAQ) to divide participants into insufficiently or sufficiently active groups based on the weekly metabolic equivalent of task per the Physical Activity Guidelines for Americans. Results: Participants (Mean + SD age, 25.1 ± 3.4 years; body height, 1.71 ± 0.09 m; body mass, 72.6 ± 16.1 kg; females 47) performed an average of 33.0±5.4 30CST repetitions. The 30CST performance was negatively associated with 5xSTS (r=-0.79 p=0.01) and positively associated with LSUT performances (r=0.51, p=0.01) when using Pearson correlations. In addition, the sufficiently active group performed significantly greater 30CST repetitions than the insufficiently active group (mean difference = 2.5; p=0.04). Conclusions: In addition to finding a reference value for 30CST performance in young adults, investigators found that the 30CST displayed concurrent and convergent validity in assessing functional lower extremity (LE) muscle strength and discriminated between those with sufficient and insufficient physical activity levels. Training and rehabilitation professionals could use the 30CST for testing functional LE muscle strength for athletes in pre-season or during rehabilitation. Future investigators should perform studies to determine if 30CST predicts sport performance. Level of Evidence: Level 2.

8.
Artículo en Inglés | MEDLINE | ID: mdl-36011874

RESUMEN

Early detriment in the muscle mass quantity, quality, and functionality, determined by calf circumference (CC), phase angle (PA), gait time (GT), and grip strength (GSt), may be considered a risk factor for sarcopenia. Patterns derived from these parameters could timely identify an early stage of this disease. Thus, the present work aims to identify those patterns of muscle-related parameters and their association with sarcopenia in a cohort of older Mexican women with neural network analysis. Methods: Information from the functional decline patterns at the end of life, related factors, and associated costs study was used. A self-organizing map was used to analyze the information. A SOM is an unsupervised machine learning technique that projects input variables on a low-dimensional hexagonal grid that can be effectively utilized to visualize and explore properties of the data allowing to cluster individuals with similar age, GT, GSt, CC, and PA. An unadjusted logistic regression model assessed the probability of having sarcopenia given a particular cluster. Results: 250 women were evaluated. Mean age was 68.54 ± 5.99, sarcopenia was present in 31 (12.4%). Clusters 1 and 2 had similar GT, GSt, and CC values. Moreover, in cluster 1, women were older with higher PA values (p < 0.001). From cluster 3 upward, there is a trend of worse scores for every variable. Moreover, 100% of the participants in cluster 6 have sarcopenia (p < 0.001). Women in clusters 4 and 5 were 19.29 and 90 respectively, times more likely to develop sarcopenia than those from cluster 2 (p < 0.01). Conclusions: The joint use of age, GSt, GT, CC, and PA is strongly associated with the probability women have of presenting sarcopenia.


Asunto(s)
Sarcopenia , Anciano , Femenino , Fuerza de la Mano , Humanos , Pierna , Persona de Mediana Edad , Músculo Esquelético/fisiología , Factores de Riesgo , Sarcopenia/epidemiología
9.
BMJ Open ; 9(11): e030475, 2019 11 11.
Artículo en Inglés | MEDLINE | ID: mdl-31719075

RESUMEN

OBJECTIVE: To estimate the effects of repeat assessments, rater and time of day on mobility measures and to estimate their variation between and within participants in a population-based sample of Irish adults aged ≥50 years. DESIGN: Test-retest study in a population representative sample. SETTING: Academic health assessment centre of The Irish Longitudinal Study on Ageing (TILDA). PARTICIPANTS: 128 community-dwelling adults from the Survey for Health, Ageing and Retirement in Europe (SHARE) Ireland study who agreed to take part in the SHARE-Ireland/TILDA collaboration. INTERVENTIONS: Not applicable. OUTCOME MEASURES: Participants performed timed up-and-go (TUG), repeated chair stands (RCS) and walking speed tests administered by one of two raters. Repeat assessments were conducted 1-4 months later. Participants were randomised with respect to a change in time (morning, afternoon) and whether the rater was changed between assessments. Within and between-participant variance for each measure was estimated using mixed-effects models. Intraclass correlation (ICC), SE of measurement and minimum detectable change (MDC) were reported. RESULTS: Average performance did not vary between baseline and repeat assessments in any test, except RCS. The rater significantly affected performance on all tests except one, but time of day did not. Reliability varied from ICC=0.66 (RCS) to ICC=0.88 (usual gait speed). MDC was 2.08 s for TUG, 4.52 s for RCS and ranged from 19.49 to 34.73 cm/s for walking speed tests. There was no evidence for lower reliability of gait parameters with increasing time between assessments. CONCLUSIONS: Reliability varied for each test when measurements are obtained over 1-4 months with most variation due to rater effects. Usual and motor dual task gait speed demonstrated highest reliability.


Asunto(s)
Vida Independiente , Caminata/fisiología , Factores de Edad , Anciano , Estudios de Cohortes , Femenino , Evaluación Geriátrica , Humanos , Irlanda , Masculino , Persona de Mediana Edad , Variaciones Dependientes del Observador , Reproducibilidad de los Resultados , Análisis y Desempeño de Tareas , Factores de Tiempo
10.
BMC Musculoskelet Disord ; 20(1): 137, 2019 Mar 30.
Artículo en Inglés | MEDLINE | ID: mdl-30927913

RESUMEN

BACKGROUND: Physical capacity tasks are useful tools to assess functioning in patients with low back pain (LBP), but evidence is scarce regarding the responsiveness (ability to detect change over time) and minimal important change (MIC). The aim was to investigate the responsiveness and MIC of 5-min walk, 1-min stair climbing, 50-ft walk, and timed up-and-go in patients with chronic LBP undergoing lumbar fusion surgery. METHODS: In this clinimetric study, 118 patients scheduled for lumbar fusion surgery for motion-elicited chronic LBP with degenerative changes were included. All patients performed the physical capacity tasks 5-min walk, 1-min stair climbing, 50-ft walk, and timed up-and-go 8-12 weeks before and six months after surgery. Responsiveness was evaluated by testing five a priori responsiveness hypotheses. The hypotheses concerned the area under the receiver operating characteristics (ROC) curve and correlations (Spearman's rho) between the change scores of the physical capacity tasks, the Oswestry Disability Index 2.0 (ODI), and back pain intensity measured with visual analog scale (VAS). At least 80% of the hypotheses would have to be confirmed for adequate responsiveness. Absolute and relative MICs for improvement were determined by the optimal cut-off point of the ROC curve based on the classification of improved and unchanged patients according to construct-specific global perceived effect (GPE) scales. RESULTS: One-minute stair climbing, 50-ft walk and timed up-and-go displayed adequate responsiveness (≥ 80% of hypotheses confirmed), while 5-min walk did not (40% of hypotheses confirmed). The absolute MICs for improvement were 45.5 m for 5-min walk, 20.0 steps for 1-min stair climbing, - 0.6 s for 50-ft walk, and - 1.3 s for timed up-and-go. CONCLUSIONS: The results of responsiveness for 1-min stair climbing, 50-ft walk, and timed up-and-go implies that these have the ability to detect changes in physical capacity over time in patients with chronic LBP who have undergone lumbar fusion surgery.


Asunto(s)
Dolor Crónico/cirugía , Evaluación de la Discapacidad , Prueba de Esfuerzo/métodos , Dolor de la Región Lumbar/cirugía , Diferencia Mínima Clínicamente Importante , Fusión Vertebral , Adulto , Dolor Crónico/diagnóstico , Femenino , Estudios de Seguimiento , Humanos , Dolor de la Región Lumbar/diagnóstico , Vértebras Lumbares , Masculino , Persona de Mediana Edad , Periodo Posoperatorio , Periodo Preoperatorio , Estudios Prospectivos , Curva ROC , Ensayos Clínicos Controlados Aleatorios como Asunto , Subida de Escaleras , Suecia , Factores de Tiempo , Resultado del Tratamiento
11.
Ann Phys Rehabil Med ; 62(2): 84-91, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-30278237

RESUMEN

BACKGROUND: Patients with rheumatoid arthritis (RA) are at increased risk of falls, with potential adverse outcomes. There is a considerable variation across studies regarding the prevalence of falls and its correlation with clinical data, disease-related outcomes and physical performance tests. OBJECTIVE: The aim of this study was to evaluate the prevalence of falls and its association with clinical data, disease-related outcomes and physical performance tests. METHODS: In this cross-sectional study, 113 RA patients were divided into 3 groups - "non-fallers", "sporadic fallers" and "recurrent fallers" - and compared in terms of clinical data, Clinical Disease Activity Index (CDAI), lower-limb tender and swollen joint count, disability (Health Assessment Questionnaire-Disability Index [HAQ-DI]), Foot Function Index (FFI), Berg Balance Scale (BBS), Timed-up-and-go Test (TUG) and 5-Time Sit Down-To-Stand Up Test (SST5). Logistic regression analysis was performed to analyze the associations between the studied variables and the occurrence of falls, estimating odds ratios (ORs). We also analyzed the correlation between disease outcome measures (HAQ-DI and CDAI) and physical tests (BBS, TUG, SST5). RESULTS: Falls and fear of falling were reported by 59 (52.21%) and 71 (64.5%) patients, respectively. Significant associations were found between "recurrent fallers" and vertigo (OR=3.42; P=0.03), fear of falling (OR=3.44; P=0.01), low income (OR=2.02; P=0.04), CDAI (OR=1.08; P<0.01), HAQ-DI (OR=3.66; P<0.01), Lower-limb HAQ (OR=3.48; P<0.01), FFI-pain (OR=1.24; P=0.03), FFI-total (OR=1.23; P=0.04), lower-limb tender joint count (OR=1.22; P<0.01), BBS score (OR=1.14; P<0.01), TUG score (OR=1.13; P=0.03) and SST5 score (OR=1.06; P=0.02). On multivariate analysis, CDAI was the only significant predictor of recurrent falls (OR=1.08; P<0.01). Physical performance test scores (BBS, TUG, SST5) were correlated with the CDAI and HAQ-DI. CONCLUSION: The prevalence of falls in RA is high, most influenced by disease-related outcomes and linked to worse performance on physical tests (BBS, TUG and SST5).


Asunto(s)
Accidentes por Caídas/estadística & datos numéricos , Artritis Reumatoide/fisiopatología , Adulto , Anciano , Anciano de 80 o más Años , Artritis Reumatoide/psicología , Estudios Transversales , Evaluación de la Discapacidad , Miedo , Femenino , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Equilibrio Postural , Prevalencia , Factores de Riesgo , Estudios de Tiempo y Movimiento
12.
Motriz (Online) ; 23(2): e101626, 2017. tab, graf
Artículo en Inglés | LILACS | ID: biblio-841835

RESUMEN

AIMS This study aimed to verify th erelation ship between of anthropometric and physical performance variables with game-related statistics in professional elite basketball players during a competition. METHODS Eleven male basketball players were evaluated during 10 weeks in two distinct moments (regular season and playoffs). Overall, 11 variables of physical fitness and 13 variables of game-related statistics were analysed. RESULTS The following significant Pearson's correlations were found in regular season: percentage of fat mass with assists (r = -0.62) and steals (r = -0.63); height (r = 0.68), lean mass (r = 0.64), and maximum strength (r = 0.67) with blocks; squat jump with steals (r = 0.63); and time in the T-test with success ful two-point field-goals (r = -0.65), success ful free-throws (r = -0.61), and steals (r = -0.62). However, in playoffs, only stature and lean mass maintained these correlations (p ≤ 0.05). CONCLUSIONS The anthropometric and physical characteristics of the players showed few correlations with the game-related statistics in regular season, and these correlations are even lower in the playoff games of a professional elite Champion ship, wherefore, not being good predictors of technical performance.(AU)


Asunto(s)
Humanos , Masculino , Adulto , Antropometría/métodos , Rendimiento Atlético/fisiología , Rendimiento Atlético/estadística & datos numéricos , Baloncesto/fisiología , Baloncesto/estadística & datos numéricos
13.
Phys Ther Sport ; 22: 41-53, 2016 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-27583648

RESUMEN

OBJECTIVE: Compare golf-specific resistance training (GSRT) with traditional resistance training (TRAD) with regard to golf performance and other outcome measures. DESIGN: Randomized controlled study. SETTING: Outpatient gym. PARTICIPANTS: 45 female golfers were randomized into TRAD or GSRT, both of which targeted muscles active during the golf swing. Participants performed supervised training 3d.wk-1 for 10 weeks. OUTCOME MEASURES: Golf performance, bone density, body composition, and physical performance tests. RESULTS: 29 individuals (58.1 ± 2.1y; 15 TRAD, 14 GSRT) completed training. Completers were older (p = 0.048) and played golf more frequently than non-completers (p = 0.002), but were not otherwise different. Training decreased whole body fat mass (p = 0.013) and visceral fat mass (p = 0.033) across groups, but did not influence lean mass (p = 0.283) or bone mineral density (p = 0.205). Training increased driver speed (p = 0.001), driver distance (p = 0.020), and 7I distance (p < 0.001), but not 7I speed (p = 0.160), but no group or interaction effects were present. Training increased all physical performance tests (p ≤ 0.005) regardless of group, but the seated medicine ball throw was most related to baseline driver speed (r2 = 0.384), and also most responsive to training (r2 = 0.250). CONCLUSION: 10 weeks of supervised TRAD and GSRT provided similar improvements in body composition, golf performance, and physical performance in amateur female golfers.


Asunto(s)
Rendimiento Atlético/fisiología , Golf/fisiología , Entrenamiento de Fuerza/métodos , Fenómenos Biomecánicos , Composición Corporal , Densidad Ósea/fisiología , Electromiografía , Femenino , Humanos , Persona de Mediana Edad , Fuerza Muscular/fisiología , Músculo Esquelético/fisiología , Rango del Movimiento Articular/fisiología , Resultado del Tratamiento
14.
Disabil Rehabil ; 37(12): 1097-101, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25151998

RESUMEN

PURPOSE: The aim of this study was to determine the reliability and concurrent validity of commonly used physical performance tests using the OmniVR Virtual Rehabilitation System for healthy community-dwelling elders. METHOD: Participants (N = 40) were recruited by the authors and were screened for eligibility. The initial method of measurement was randomized to either virtual reality (VR) or clinically based measures (CM). Physical performance tests included the five times sit to stand, Timed Up and Go (TUG), Forward Functional Reach (FFR) and 30-s stand test. A random number generator determined the testing order. The test-re-test reliability for the VR and CM was determined. Furthermore, concurrent validity was determined using a Pearson product moment correlation (Pearson r). RESULTS: The VR demonstrated excellent reliability for 5 × STS intraclass correlation coefficient (ICC) = 0.931(3,1), FFR ICC = 0.846(3,1) and the TUG ICC = 0.944(3,1). The concurrent validity data for the VR and CM (ICC 3, k) were moderate for FFR ICC = 0.682, excellent 5 × STS ICC = 0.889 and excellent for the TUG ICC = 0.878. The concurrent validity of the 30-s stand test was good ICC = 0.735(3,1). CONCLUSIONS: This study supports the use of VR equipment for measuring physical performance tests in the clinic for healthy community-dwelling elders. IMPLICATIONS FOR REHABILITATION: Virtual reality equipment is not only used to treat balance impairments but it is also used to measure and determine physical impairments through the use of physical performance tests. Virtual reality equipment is a reliable and valid tool for collecting physical performance data for the 5 × STS, FFR, TUG and 30-s stand test for healthy community-dwelling elders.


Asunto(s)
Evaluación Geriátrica/métodos , Reproducibilidad de los Resultados , Terapia de Exposición Mediante Realidad Virtual/instrumentación , Anciano , Anciano de 80 o más Años , Prueba de Esfuerzo , Femenino , Voluntarios Sanos , Humanos , Masculino , Persona de Mediana Edad , Equilibrio Postural , Distribución Aleatoria
15.
Rev. bras. ciênc. mov ; 23(2): 66-73, 2015. tab
Artículo en Portugués | LILACS | ID: biblio-833706

RESUMEN

Diagnosticar as características antropométricas e de desempenho físico da seleção brasileira de basquetebol sub19, e associar essas variáveis ao desempenho técnico de jogo durante o campeonato mundial. Doze jogadores de elite de basquetebol, com idade de 18,6 ± 0,7 anos, massa corporal de 91,3 ± 8,7kg, estatura de 195,2 ± 10,2cm e percentual de gordura de 11,4 ± 1,51 % participaram do estudo. Os testes de desempenho físico foram: corrida 20m (C20), corrida T40m (T40) e Yo-yo Intermittent Recovery I (Yo-yo RI). Por meio das estatísticas de jogo, foram analisados os indicadores de desempenho técnico de jogo. A análise estatística utilizada foi à estatística descritiva pelos valores médios, desvio padrão, valores máximo e mínimo. Foi utilizada a correlação linear de Pearson entre os valores antropométricos, de desempenho físico e o desempenho técnico dos jogos. O nível de significância da correlação foi de p<0,05. Os resultados foram expressos em média, desvio padrão, máximo e mínimo, sendo C20 = 2,97 ± 0,14s, 3,23s e 2,79s, T40 = 8,67 ± 0,41s, 9,72s e 8,29s e Yo-yo RI = 1173 ± 291,1m, 1760m e 800m. Foram identificadas correlações positivas e significantes da C20 com massa corporal (r= 0,72), estatura (r= 0,79), porcentagem de gordura (r= 0,79) e massa gorda (r= 0,81); e do T40 com estatura (r= 0,72) e porcentagem de gordura (r= 0,72). Não foram identificadas correlações significantes entre os testes de desempenho físico e os indicadores de desempenho técnico de jogo. Os achados do presente estudo sugerem que acertos / erros técnicos num campeonato de curta duração estão aparentemente associados à capacidade técnico-tática e tomada de decisão dos jogadores do que ao nível de desempenho físico.(AU)


To diagnose anthropometric and physical performance characteristics of the Brazilian national basketball U19, and link these variables to the set of technical performance during the world championship. Twelve elite basketball players, aged 18.6 ± 0.7 years, body mass 91.3 ± 8.7 kg, height of 195.2 ± 10.2 cm and fat percentage of 11.4 ± 1.51% in the study. Physical performance tests were run 20m (C20), running T40m (T40) and Yo-Yo Intermittent Recovery I (Yo-yo RI). Through the game statistics, the technical performance indicators set were analyzed. The statistical analysis was descriptive statistics as the mean value, standard deviation, maximum and minimum values. We used the Pearson correlation coefficients between anthropometric values, physical performance and the technical performance of games. The correlation level of significance was p <0.05. The results were expressed as mean, standard deviation, maximum and minimum, being C20 = 2.97 ± 0,14s, 3,23s and 2,79s, T40 = 8.67 ± 0,41s, 9,72s and 8,29s and Yo-yo RI = 1173 ± 291,1m, 1760m and 800m. Positive and significant correlations with body mass of the C20 were identified (r = 0.72), height (r = 0.79), percentage of fat (r = 0.79) and fat mass (r = 0.81); and T40 with height (r = 0.72) and percentage fat (r = 0.72). We found no significant correlations between the physical performance tests and technical performance indicators game. The findings of this study suggest that the success and unsuccess technical performance in a short championship are apparently associated with the technical and tactical ability and decision making of the players than the level of physical performance.(AU)


Asunto(s)
Humanos , Masculino , Adulto , Rendimiento Atlético , Baloncesto , Estadística
16.
J Man Manip Ther ; 20(2): 83-9, 2012 May.
Artículo en Inglés | MEDLINE | ID: mdl-23633887

RESUMEN

Assessment of an individual's functional ability can be complex. This assessment should also be individualized and adaptable to changes in functional status. In the first article of this series, we operationally defined function, discussed the construct of function, examined the evidence as it relates to assessment methods of various aspects of function, and explored the multi-dimensional nature of the concept of function. In this case report, we aim to demonstrate the utilization of a multi-dimensional assessment method (functional performance testing) as it relates to a high-level athlete presenting with pain in the low back and groin. It is our intent to demonstrate how the clinician should continually adapt their assessment dependent on the current functional abilities of the patients.

17.
J Man Manip Ther ; 19(2): 91-9, 2011 May.
Artículo en Inglés | MEDLINE | ID: mdl-22547919

RESUMEN

Testing for outcome or performance can take many forms; including multiple iterations of self-reported measures of function (an assessment of the individual's perceived dysfunction) and/or clinical special tests (which are primarily assessments of impairments). Typically absent within these testing mechanisms is whether or not one can perform a specific task associated with function. The paper will operationally define function, discuss the construct of function within the disablement model, will overview the multi-dimensional nature of 'function' as a concept, will examine the current evidence for functional testing methods, and will propose a functional testing continuum. Limitations of functional performance testing will be discussed including recommendations for future research.

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