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Solana-Tramunt M, Bofill-Ródenas A, Cabedo J, Badiola-Zabala A, Guerra-Balic M. Effect of an 11-Week Repeated Maximal Lumbar Movement with Controlled Breathing on Lumbar Sagittal Range of Motion in Elite Swimmers: A Randomized Clinical Trial. Healthcare (Basel) 2025; 13:457. [PMID: 40077019 PMCID: PMC11898733 DOI: 10.3390/healthcare13050457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2025] [Revised: 02/06/2025] [Accepted: 02/15/2025] [Indexed: 03/14/2025] Open
Abstract
Lumbar range of motion (ROM) is essential to develop effective movements during the underwater undulatory swimming technique. Core exercises are used to improve the strength of the muscles that participate in that technique, and variations in sensory input and attentional focus may modulate neuromuscular responses and impact training outcomes. The aim of this study was to investigate the impact of an 11-week program of repeated maximal lumbar movements with closed eyes and without focused attention on lumbar sagittal ROM in elite swimmers versus executing them solely with proper exercise technique with controlled breathing. METHODS A sample of 57 professional swimmers, including 34 males (20.2 ± 4.2 years) and 23 females (20.7 ± 3.3 yrs), volunteered to complete this study. They were randomly divided into two experimental groups (EG1 and EG2) and one control group (CG). All subjects underwent the same type of training program in parallel with the EG intervention. EG1 and EG2 performed three sets of ten repetitions of lumbar flexion and extension exercises at breathing pace, 6 days a week for 11 weeks. EG1 performed the core workout with closed eyes and focused attention on the lumbar movement, while EG2 only followed the technique of the exercises at a controlled breathing pace. Lumbar flexion (F), extension (E), and total ROM (TROM) were assessed by an electrogoniometer in a seated, relaxed position over a Swiss ball. RESULTS Repeated measures ANOVA showed significant differences in the multivariate profiles across groups and over time. F (8, 48) = 3.495, p = 0.002. EG1 had non-significant increases in lumbar ROM, EG2 had significant increases in TROM and extension ROM, and CG had no changes. CONCLUSIONS The results suggest that repeating maximal lumbar movement at a controlled breathing pace, with opened eyes and non-focusing attention on the movement, increases lumbar ROM in the sagittal plane.
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Affiliation(s)
- Mónica Solana-Tramunt
- Facultat de Psicologia, Ciències de l’Educació i de l’Esport Blanquerna, Universitat Ramon Llull, 08022 Barcelona, Spain; (J.C.); (M.G.-B.)
| | - Ana Bofill-Ródenas
- Institut Nacional d’Educació Física de Catalunya (INEFC), Universitat de Barcelona, 08038 Barcelona, Spain;
| | - Josep Cabedo
- Facultat de Psicologia, Ciències de l’Educació i de l’Esport Blanquerna, Universitat Ramon Llull, 08022 Barcelona, Spain; (J.C.); (M.G.-B.)
| | | | - Myriam Guerra-Balic
- Facultat de Psicologia, Ciències de l’Educació i de l’Esport Blanquerna, Universitat Ramon Llull, 08022 Barcelona, Spain; (J.C.); (M.G.-B.)
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Freitas L, Bezerra A, Resende-Coelho A, Maciel L, Gomez-Lazaro M, Amorim T, Fernandes R, Fonseca H. Effect of Eight Months of Swimming on Bone Quality of Different Anatomical Regions: A Study on Wistar Rat Models. Calcif Tissue Int 2025; 116:29. [PMID: 39789144 PMCID: PMC11717846 DOI: 10.1007/s00223-024-01333-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2024] [Accepted: 12/13/2024] [Indexed: 01/12/2025]
Abstract
Swimming is a popular sport with several health benefits, but its effects on bone quality are controversial possibly due to distinct effects on different anatomical regions. Our aim was to investigate the effect of 8-month swimming on bone growth, mass, geometry, trabecular microarchitecture and osteocyte density of the lumbar vertebrae, femur and tibia of male rats. Wistar rat models were assigned to either a swimming (n = 10; 2h/d, 5 d/week) or a physically active control group (n = 10) for 8 months, after which they were sacrificed and their lumbar vertebrae, femur and tibia assessed for bone mass, cortical geometry, trabecular microarchitecture and osteocyte density through µ-CT and histology. Variables were compared between groups through independent samples t tests. Swimming animals displayed higher vertebral trabecular connectivity and lower trabecular separation compared to controls. However, femur length, trabecular and cortical bone mass and cortical thickness were lower compared to controls. At the tibia, animals from the swimming group also presented lower trabecular number and connectivity and higher trabecular separation. Osteocyte density at the femur and vertebra was similar between groups. Eight months of swimming negatively affected bone mass, cortical geometry and trabecular microarchitecture at the femur and tibia whilst having a favourable effect on vertebral trabecular microarchitecture. These results suggest that swimming has divergent effects on different anatomical regions.
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Affiliation(s)
- Laura Freitas
- Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, (FADEUP), Rua Dr. Plácido Costa 91, 4200-450, Porto, Portugal
- Laboratory for Integrative and Translational Research in Population Health (ITR), 4200-450, Porto, Portugal
| | - Andrea Bezerra
- Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, (FADEUP), Rua Dr. Plácido Costa 91, 4200-450, Porto, Portugal
- Laboratory for Integrative and Translational Research in Population Health (ITR), 4200-450, Porto, Portugal
| | - Ana Resende-Coelho
- Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, (FADEUP), Rua Dr. Plácido Costa 91, 4200-450, Porto, Portugal
- Laboratory for Integrative and Translational Research in Population Health (ITR), 4200-450, Porto, Portugal
| | - Leonardo Maciel
- Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, (FADEUP), Rua Dr. Plácido Costa 91, 4200-450, Porto, Portugal
- Laboratory for Integrative and Translational Research in Population Health (ITR), 4200-450, Porto, Portugal
- Department of Physiotherapy, Federal University of Sergipe, Campus Lagarto, São Cristóvão, Brazil
- Postgraduate Nursing Program, Federal University of Sergipe, Campus São Cristóvão, São Cristóvão, Brazil
| | - Maria Gomez-Lazaro
- i3S - Institute for Research and Innovation in Health, University of Porto, 4200-135, Porto, Portugal
| | - Tânia Amorim
- Fame Laboratory, Department of Physical Education and Sport Science, University of Thessaly, Trikala, Greece
| | - Ricardo Fernandes
- Centre of Research, Education, Innovation and Intervention in Sport (CIFI2D), Faculty of Sport, Porto, Portugal
- Porto Biomechanics Laboratory (LABIOMEP), University of Porto, Porto, Portugal
| | - Hélder Fonseca
- Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, (FADEUP), Rua Dr. Plácido Costa 91, 4200-450, Porto, Portugal.
- Laboratory for Integrative and Translational Research in Population Health (ITR), 4200-450, Porto, Portugal.
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Makaruk H, Starzak M, Tarkowski P, Sadowski J, Winchester J. The Effects of Resistance Training on Sport-Specific Performance of Elite Athletes: A Systematic Review with Meta-Analysis. J Hum Kinet 2024; 91:135-155. [PMID: 38689584 PMCID: PMC11057612 DOI: 10.5114/jhk/185877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Accepted: 03/08/2024] [Indexed: 05/02/2024] Open
Abstract
This systematic review examines the influence of resistance training (RT) on the performance outcomes of elite athletes. Adhering to PRISMA guidelines, a comprehensive search across PubMed, Scopus, SPORTDiscus, and Web of Science databases was conducted, considering studies up to November 19, 2023. The inclusion criteria were elite athletes involved in high-level competitions. Studies were categorized by the competitive level among elite athletes, athlete's sex, performance outcomes, and a training modality with subgroup analyses based on these factors. Thirty-five studies involving 777 elite athletes were included. The results of the meta-analysis revealed a large and significant overall effect of RT on sport-specific performance (standardized mean difference, SMD = 1.16, 95% CI: 0.65, 1.66), with substantial heterogeneity (I2 = 84%). Subgroup analyses revealed differential effects based on the competitive level, the type of sport-specific outcomes, and sex. National elite athletes showed more pronounced (large SMD) benefits from RT compared to international elite athletes (small SMD). Global outcomes revealed a medium but non-significant (p > 0.05) SMD, while local outcomes showed a large SMD. Notably, female athletes exhibited a large SMD, though not reaching statistical significance (p > 0.05), probably due to limited study participants. No significant (p > 0.05) differences were found between heavy and light load RT. Resistance training is effective in improving sport-specific performance in elite athletes, with its effectiveness modulated by the competitive level, the type of the performance outcome, and athlete's sex. The findings underscore the need for personalized RT regimens and further research, particularly in female elite athletes, as well as advanced RT methods for international elite athletes.
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Affiliation(s)
- Hubert Makaruk
- Department of Athletics, Faculty of Physical Education and Health, Józef Piłsudski University of Physical Education in Warsaw, Biała Podlaska, Poland
| | - Marcin Starzak
- Department of Athletics, Faculty of Physical Education and Health, Józef Piłsudski University of Physical Education in Warsaw, Biała Podlaska, Poland
| | - Piotr Tarkowski
- Faculty of Physical Education and Health, Józef Piłsudski University of Physical Education in Warsaw, Warsaw, Poland
| | - Jerzy Sadowski
- Department of Sports and Training Science, Faculty of Physical Education and Health, Józef Piłsudski University of Physical Education in Warsaw, Biała Podlaska, Poland
| | - Jason Winchester
- Division of Health Sciences & Human Performance, Concordia University Chicago, Chicago, USA
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Dong K, Yu T, Chun B. Effects of Core Training on Sport-Specific Performance of Athletes: A Meta-Analysis of Randomized Controlled Trials. Behav Sci (Basel) 2023; 13:bs13020148. [PMID: 36829378 PMCID: PMC9952339 DOI: 10.3390/bs13020148] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 01/31/2023] [Accepted: 02/07/2023] [Indexed: 02/12/2023] Open
Abstract
Improving athletes' performance is a major topic of interest in studies on competitive sports. Core training has been used as a training method in daily life and rehabilitation, and recently, in competitive sports, with positive results. Previous experimental studies showed that core training can improve the fitness level of athletes (e.g., balance, core stability, etc.), but offer no consistent conclusions on whether it can improve sport-specific performance. The purpose of this study was to investigate the effect of core training on the sport-specific performance of athletes through a meta-analysis. Relevant studies on randomized controlled trials were selected, and we calculated the effect size using standardized mean difference values and the random effects model. Results showed that core training had almost no effect on athletes' power and speed, while agility showed a medium effect size but no statistical significance. On the other hand, there was a large effect on general athletic performance, such as core endurance and balance. Consequently, core training had a great effect on the core endurance and balance of athletes, but little effect on sport-specific performance. This result implies that more elaborate core training programs should be designed to improve the sport-specific performance of athletes.
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Fone L, van den Tillaar R. Effect of Different Types of Strength Training on Swimming Performance in Competitive Swimmers: A Systematic Review. SPORTS MEDICINE - OPEN 2022; 8:19. [PMID: 35099631 PMCID: PMC8804114 DOI: 10.1186/s40798-022-00410-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 01/09/2022] [Indexed: 11/24/2022]
Abstract
Background Strength training is widely used in swimming for improvement in performance. There are several ways to embark on strength training, which to different degrees follows the principle of specificity. There are disagreements in the literature on which training methods lead to the greatest performance improvements and to what degree resistance training must be specific to swimming to transfer to swimming performance. Objective The study was undertaken to examine (1) how different approaches to strength training for competitive swimmers can improve swimming performance and (2) which form of strength training resulted in the largest improvement in swimming performance. Methods A systematic review of the literature was undertaken using the following databases: PubMed, SPORTDiscus and Scopus. Studies were eligible if they met the following criteria: (1) a training intervention lasting longer than 3 weeks that investigates the effects strength training has on swimming performance, (2) involves youth or older experienced swimmers, (3) involves in-water specific resistance training, dry-land swim-like resistance training or non-specific dry-land strength training and (4) interventions with clear pre- and posttest results stated. Non-English language articles were excluded. Percent change and between-group effect size (ES) were calculated to compare the effects of different training interventions. Results A range of studies investigating different strength training methods were examined. The percent change in performance and between-group ES were calculated; 27 studies met the inclusion criteria. The review revealed no clear consensus on which method of strength training was the most beneficial to swimming performance. All methods had intervention groups that increased their swimming performance. Conclusions This review shows that swimming differs from other sports as it is performed in water, and this demands a specific way of training. The results show that a combined swimming and strength training regimen seemed to have a better effect on swimming performance than a swim-only approach to training. Based on the principle of specificity and gains in swimming performance, there is not a clear conclusion, as the three main methods of strength training revealed similar gains in swimming performance of 2–2.5%.
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Study of strength training on swimming performance. A systematic review. Sci Sports 2022. [DOI: 10.1016/j.scispo.2022.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Freitas L, Bezerra A, Amorim T, Fernandes RJ, Duarte J, Fonseca H. Is competitive swimming training a risk factor for osteoporosis? A systematic review of the literature and quality of evidence. GERMAN JOURNAL OF EXERCISE AND SPORT RESEARCH 2022. [DOI: 10.1007/s12662-022-00849-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Khiyami A, Nuhmani S, Joseph R, Abualait TS, Muaidi Q. Efficacy of Core Training in Swimming Performance and Neuromuscular Parameters of Young Swimmers: A Randomised Control Trial. J Clin Med 2022; 11:3198. [PMID: 35683586 PMCID: PMC9181058 DOI: 10.3390/jcm11113198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Revised: 05/25/2022] [Accepted: 06/02/2022] [Indexed: 11/16/2022] Open
Abstract
Background: This study aimed to investigate the efficacy of core training in the swimming performance and neuromuscular properties of young swimmers. Methods: Eighteen healthy male swimmers (age: 13 ± 2 years, height: 159.6 ± 14.5 cm, weight: 48.7 ± 12.4 kg) were recruited from the Public Authority for Sports swimming pool in Dammam and randomly assigned to the experimental and control groups. The experimental group performed a six-week core-training program consisting of seven exercises (three times/week) with regular swimming training. The control group maintained its regular training. Swimming performance and neuromuscular parameters were measured pre- and post-interventions. Results: The experimental group benefitted from the intervention in terms of the 50 m swim time (−1.4 s; 95% confidence interval −2.4 to −0.5) compared with the control group. The experimental group also showed improved swimming velocity (+0.1 m.s−1), stroke rate (−2.8 cycle.min−1), stroke length (+0.2 m.cycle−1), stroke index (+0.4 m2·s−1), total strokes (−2.9 strokes), and contraction time for erector spinae (ES; −1.5 ms), latissimus dorsi (LD; −7 ms), and external obliques (EO; −1.9 ms). Maximal displacement ES (DM-ES) (+3.3 mm), LD (0.5 mm), and EO (+2.2 mm) were compared with the baseline values for the experimental group, and TC-ES (5.8 ms), LD (3.7 ms), EO (2.5 ms), DM-ES (0.2 mm), LD (−4.1 mm), and EO (−1.0 mm) were compared with the baseline values for the control group. The intergroup comparison was statistically significant (p < 0.05; DM-ES p > 0.05). Conclusion: The results indicate that a six-week core-training program with regular swimming training improved the neuromuscular properties and the 50 m freestyle swim performance of the experimental group compared with the control group.
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Affiliation(s)
- Ahmad Khiyami
- Department of Physical Therapy, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam 31451, Saudi Arabia; (A.K.); (T.S.A.); (Q.M.)
| | - Shibili Nuhmani
- Department of Physical Therapy, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam 31451, Saudi Arabia; (A.K.); (T.S.A.); (Q.M.)
| | - Royes Joseph
- Department of Pharmacy Practice, College of Clinical Pharmacy, Imam Abdulrahman Bin Faisal University, Dammam 31451, Saudi Arabia;
| | - Turki Saeed Abualait
- Department of Physical Therapy, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam 31451, Saudi Arabia; (A.K.); (T.S.A.); (Q.M.)
| | - Qassim Muaidi
- Department of Physical Therapy, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam 31451, Saudi Arabia; (A.K.); (T.S.A.); (Q.M.)
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Głyk W, Hołub M, Karpiński J, Rejdych W, Sadowski W, Trybus A, Baron J, Rydzik Ł, Ambroży T, Stanula A. Effects of a 12-Week Detraining Period on Physical Capacity, Power and Speed in Elite Swimmers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19084594. [PMID: 35457458 PMCID: PMC9030005 DOI: 10.3390/ijerph19084594] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 03/28/2022] [Accepted: 04/08/2022] [Indexed: 02/04/2023]
Abstract
This study aims to evaluate the effects of a prolonged transition period (detraining) on the physical capacity, power, and speed parameters of elite swimmers. Fourteen swimmers (seven females and seven males) aged 20.4 ± 1.7 years participated in the study. The athletes were subjected to two rounds of identical tests at 12-week intervals during the detraining period (DP), which consisted of an evaluation of the athletes' body weight and composition, a measurement of the power of their lower limbs (Keiser squat, countermovement jump (CMJ), akimbo countermovement jump (ACMJ)) and upper limbs (Keiser arms) on land, and 20-m swimming using the legs only (Crawl Legs test), arms only (Crawl Arms test), and full stroke (Front Crawl test). An analysis of variance revealed a significant effect of the main factor, Gender, on all the measured parameters, while for the factor Detraining, except for Front Crawl (W) (F = 4.27, p = 0.061), no significant interaction effect (Gender × Detraining) was revealed. Among both the male and the female participants, a reduction in lactate-threshold swimming speed (LT Dmax) and a reduction in swimming speed and power on the Crawl Arms, Crawl Legs, and Front Crawl tests was observed after 12 weeks. There were also statistically significant reductions in ACMJ and CMJ jump height and upper-limb power (Keiser squat) among the female and male swimmers. There were no significant changes in body weight or body composition. The study showed a clear deterioration in results for most of the parameters, both for those measured on land and for those measured in water.
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Affiliation(s)
- Wojciech Głyk
- Institute of Sport Sciences, Jerzy Kukuczka Academy of Physical Education, Mikołowska 72a, 40-065 Katowice, Poland; (W.G.); (M.H.); (J.K.); (W.R.); (W.S.); (A.T.); (J.B.); (A.S.)
| | - Maciej Hołub
- Institute of Sport Sciences, Jerzy Kukuczka Academy of Physical Education, Mikołowska 72a, 40-065 Katowice, Poland; (W.G.); (M.H.); (J.K.); (W.R.); (W.S.); (A.T.); (J.B.); (A.S.)
| | - Jakub Karpiński
- Institute of Sport Sciences, Jerzy Kukuczka Academy of Physical Education, Mikołowska 72a, 40-065 Katowice, Poland; (W.G.); (M.H.); (J.K.); (W.R.); (W.S.); (A.T.); (J.B.); (A.S.)
| | - Wojciech Rejdych
- Institute of Sport Sciences, Jerzy Kukuczka Academy of Physical Education, Mikołowska 72a, 40-065 Katowice, Poland; (W.G.); (M.H.); (J.K.); (W.R.); (W.S.); (A.T.); (J.B.); (A.S.)
| | - Wojciech Sadowski
- Institute of Sport Sciences, Jerzy Kukuczka Academy of Physical Education, Mikołowska 72a, 40-065 Katowice, Poland; (W.G.); (M.H.); (J.K.); (W.R.); (W.S.); (A.T.); (J.B.); (A.S.)
| | - Alina Trybus
- Institute of Sport Sciences, Jerzy Kukuczka Academy of Physical Education, Mikołowska 72a, 40-065 Katowice, Poland; (W.G.); (M.H.); (J.K.); (W.R.); (W.S.); (A.T.); (J.B.); (A.S.)
| | - Jakub Baron
- Institute of Sport Sciences, Jerzy Kukuczka Academy of Physical Education, Mikołowska 72a, 40-065 Katowice, Poland; (W.G.); (M.H.); (J.K.); (W.R.); (W.S.); (A.T.); (J.B.); (A.S.)
| | - Łukasz Rydzik
- Institute of Sport Sciences, University of Physical Education in Krakow, 31-571 Kraków, Poland;
- Correspondence:
| | - Tadeusz Ambroży
- Institute of Sport Sciences, University of Physical Education in Krakow, 31-571 Kraków, Poland;
| | - Arkadiusz Stanula
- Institute of Sport Sciences, Jerzy Kukuczka Academy of Physical Education, Mikołowska 72a, 40-065 Katowice, Poland; (W.G.); (M.H.); (J.K.); (W.R.); (W.S.); (A.T.); (J.B.); (A.S.)
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Wang X, Song WJ, Ruan Y, Li BC, Lü C, Huang N, Fang FF, Gu W. Core muscle functional strength training for reducing the risk of low back pain in military recruits: An open-label randomized controlled trial. JOURNAL OF INTEGRATIVE MEDICINE 2022; 20:145-152. [PMID: 34969649 DOI: 10.1016/j.joim.2021.12.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Accepted: 08/26/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND Core muscle functional strength training (CMFST) has been reported to reduce injuries to the lower extremity. However, no study has confirmed whether CMFST can reduce the risk of low back pain (LBP). OBJECTIVE This study identified the effects of CMFST on the incidence of LBP in military recruits. DESIGN, SETTING, PARTICIPANTS AND INTERVENTION We performed a prospective, open-label, randomized, controlled study in a population of young healthy male naval recruits from a Chinese basic combat training program. Participants were randomly assigned to either the core group or the control group. In additional to normal basic combat training, recruits in the core group underwent a CMFST program for 12 weeks, while recruits in the control group received no extra training. MAIN OUTCOME MEASURES At the beginning of the study and at the 12th week, the number of participants with LBP was counted, and lumbar muscle endurance was measured. In addition, when participants complained of LBP, they were assessed using the visual analog scale (VAS) and Roland Morris Disability Questionnaire (RMDQ). RESULTS A total of 588 participants were included in the final analysis (295 in the core group and 293 in the control group). The incidence of LBP in the control group was about twice that of the core group over the 12-week study (20.8% vs 10.8%, odds ratio: 2.161-2.159, P < 0.001). The core group had better lumbar muscle endurance at 12 weeks than the control group ([200.80 ± 92.98] s vs [147.00 ± 84.51] s, P < 0.01). There was no significant difference in VAS score between groups, but the core group had a significantly lower RMDQ score at week 12 than the control group (3.33 ± 0.58 vs 5.47 ± 4.41, P < 0.05). CONCLUSION This study demonstrated that the CMFST effectively reduced the incidence of LBP, improved lumbar muscle endurance, and relieved the dysfunction of LBP during basic military training.
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Affiliation(s)
- Xin Wang
- School of Traditional Chinese Medicine, Naval Medical University, Shanghai 200433, China
| | - Wen-Juan Song
- Department of Rehabilitation, Changhai Hospital, Naval Medical University, Shanghai 200433, China
| | - Yi Ruan
- School of Traditional Chinese Medicine, Naval Medical University, Shanghai 200433, China
| | - Bing-Chu Li
- School of Mechanical Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China
| | - Can Lü
- Department of Rehabilitation, Changhai Hospital, Naval Medical University, Shanghai 200433, China
| | - Nian Huang
- School of Traditional Chinese Medicine, Naval Medical University, Shanghai 200433, China
| | - Fan-Fu Fang
- Department of Rehabilitation, Changhai Hospital, Naval Medical University, Shanghai 200433, China.
| | - Wei Gu
- School of Traditional Chinese Medicine, Naval Medical University, Shanghai 200433, China.
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Saeterbakken AH, Stien N, Andersen V, Scott S, Cumming KT, Behm DG, Granacher U, Prieske O. The Effects of Trunk Muscle Training on Physical Fitness and Sport-Specific Performance in Young and Adult Athletes: A Systematic Review and Meta-Analysis. Sports Med 2022; 52:1599-1622. [PMID: 35061213 PMCID: PMC9213339 DOI: 10.1007/s40279-021-01637-0] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/26/2021] [Indexed: 12/18/2022]
Abstract
Abstract
Background
The role of trunk muscle training (TMT) for physical fitness (e.g., muscle power) and sport-specific performance measures (e.g., swimming time) in athletic populations has been extensively examined over the last decades. However, a recent systematic review and meta-analysis on the effects of TMT on measures of physical fitness and sport-specific performance in young and adult athletes is lacking.
Objective
To aggregate the effects of TMT on measures of physical fitness and sport-specific performance in young and adult athletes and identify potential subject-related moderator variables (e.g., age, sex, expertise level) and training-related programming parameters (e.g., frequency, study length, session duration, and number of training sessions) for TMT effects.
Data Sources
A systematic literature search was conducted with PubMed, Web of Science, and SPORTDiscus, with no date restrictions, up to June 2021.
Study Eligibility Criteria
Only controlled trials with baseline and follow-up measures were included if they examined the effects of TMT on at least one measure of physical fitness (e.g., maximal muscle strength, change-of-direction speed (CODS)/agility, linear sprint speed) and sport-specific performance (e.g., throwing velocity, swimming time) in young or adult competitive athletes at a regional, national, or international level. The expertise level was classified as either elite (competing at national and/or international level) or regional (i.e., recreational and sub-elite).
Study Appraisal and Synthesis Methods
The methodological quality of TMT studies was assessed using the Physiotherapy Evidence Database (PEDro) scale. A random-effects model was used to calculate weighted standardized mean differences (SMDs) between intervention and active control groups. Additionally, univariate sub-group analyses were independently computed for subject-related moderator variables and training-related programming parameters.
Results
Overall, 31 studies with 693 participants aged 11–37 years were eligible for inclusion. The methodological quality of the included studies was 5 on the PEDro scale. In terms of physical fitness, there were significant, small-to-large effects of TMT on maximal muscle strength (SMD = 0.39), local muscular endurance (SMD = 1.29), lower limb muscle power (SMD = 0.30), linear sprint speed (SMD = 0.66), and CODS/agility (SMD = 0.70). Furthermore, a significant and moderate TMT effect was found for sport-specific performance (SMD = 0.64). Univariate sub-group analyses for subject-related moderator variables revealed significant effects of age on CODS/agility (p = 0.04), with significantly large effects for children (SMD = 1.53, p = 0.002). Further, there was a significant effect of number of training sessions on muscle power and linear sprint speed (p ≤ 0.03), with significant, small-to-large effects of TMT for > 18 sessions compared to ≤ 18 sessions (0.45 ≤ SMD ≤ 0.84, p ≤ 0.003). Additionally, session duration significantly modulated TMT effects on linear sprint speed, CODS/agility, and sport-specific performance (p ≤ 0.05). TMT with session durations ≤ 30 min resulted in significant, large effects on linear sprint speed and CODS/agility (1.66 ≤ SMD ≤ 2.42, p ≤ 0.002), whereas session durations > 30 min resulted in significant, large effects on sport-specific performance (SMD = 1.22, p = 0.008).
Conclusions
Our findings indicate that TMT is an effective means to improve selected measures of physical fitness and sport-specific performance in young and adult athletes. Independent sub-group analyses suggest that TMT has the potential to improve CODS/agility, but only in children. Additionally, more (> 18) and/or shorter duration (≤ 30 min) TMT sessions appear to be more effective for improving lower limb muscle power, linear sprint speed, and CODS/agility in young or adult competitive athletes.
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Yu Kwok W, So BCL, Tse DHT, Ng SSM. A Systematic Review and Meta-Analysis: Biomechanical Evaluation of the Effectiveness of Strength and Conditioning Training Programs on Front Crawl Swimming Performance. J Sports Sci Med 2021; 20:564-585. [PMID: 35321128 PMCID: PMC8488830 DOI: 10.52082/jssm.2021.564] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Accepted: 06/28/2021] [Indexed: 06/10/2023]
Abstract
The objectives of this systematic review were to summarize and evaluate the effectiveness of strength and conditioning trainings on front crawl swimming, starts and turns performance with relevant biomechanical parameters. Four online databases including PudMed, ESCSOhost, Web of Science and SPORTDiscus were searched according to different combination of keywords. 954 articles were extracted from databases, and ultimately 15 articles were included in this study after removal of duplicate and articles screening according to inclusion and exclusion criteria. Meta-analyses were adopted when appropriate and Egger's regression symmetry was adopted to assess the publication bias and the results were presented with forest plots and funnel plots respectively. Fifteen articles studied the effects of strength and resistance, core, and plyometric trainings. The quality of the investigation was assessed by the checklist developed by Downs and Black. Most of the investigations found out that training programs were beneficial to front crawl sprinting swimming performance, stroke biomechanics, force, and muscle strength. First, strength and resistance trainings and core trainings were effective on sprinting performance enhancement. Second, resistance trainings were found to have positive effects on stroke rate. Plyometric trainings were beneficial to start performance, while there was no sufficient evidence for confirming the positive improvement on turn biomechanical, also overall swimming performance, after weeks of plyometric trainings. Strength and Conditioning trainings are suggested to implement in regular training regime regarding to the positive effects on swimming performance, including starts, turns and front crawl swim, and relevant biomechanical parameters, instead of swimming training only. Further research with higher quality is recommended to conduct and more investigations on the training effects to other stroke styles are also suggested.
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Affiliation(s)
- Wan Yu Kwok
- Gait and Motion Analysis Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - Billy Chun Lung So
- Gait and Motion Analysis Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - Daniel Hon Ting Tse
- Gait and Motion Analysis Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - Shamay Sheung Mei Ng
- Gait and Motion Analysis Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
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Effects of Dry-Land Training Programs on Swimming Turn Performance: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18179340. [PMID: 34501929 PMCID: PMC8431432 DOI: 10.3390/ijerph18179340] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/14/2021] [Revised: 08/25/2021] [Accepted: 09/01/2021] [Indexed: 11/17/2022]
Abstract
Swimming coaches have prescribed dry-land training programs over the years to improve the overall swimming performance (starts, clean swimming, turns and finish). The main aim of the present systematic review was to examine the effects of dry-land strength and conditioning programs on swimming turns. Four online databases were scrutinised, data were extracted using the Preferred PRISMA guidelines and the PEDro scale was applied. A total of 1259 articles were retrieved from database searches. From the 19 studies which were full-text evaluated, six studies were included in the review process. The review indicated that plyometric, strength, ballistic and core training programs were implemented for improving swimming turn performance. Strength, ballistic and plyometric training focusing on neural enhancement seem to be effective for improving swimming turn performance. The data related to training of the core were not conclusive. Coaches should consider incorporating exercises focusing on improving the neuromuscular factor of the leg-extensor muscles into their daily dry-land training programs. More researches are needed to provide a better understanding of the training methods effects and training organisations for improving swimming turn performance.
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Impact of COVID-19 on Swimming Training: Practical Recommendations during Home Confinement/Isolation. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18094767. [PMID: 33947100 PMCID: PMC8124287 DOI: 10.3390/ijerph18094767] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 04/27/2021] [Accepted: 04/27/2021] [Indexed: 12/23/2022]
Abstract
The COVID-19 pandemic has had severe effects on communities globally, leading to significant restrictions on all aspects of society, including in sports. Several significant decisions were made to postpone or cancel major swimming events by FINA (Fédération Internationale de Natation). Swimmers were no longer allowed to continue their usual training in swimming pools and were confined to their homes. These unusual circumstances may represent a good opportunity to strengthen different areas of swimmer preparation and potentially enhance performance when resuming regular aquatic training. We searched major databases for relevant information, and the present article provides practical information on home-based training for swimmers of all ages. The COVID-19 crisis and its consequences on the swimming community have created a myriad of challenges for swimmers around the world, including maintaining their fitness level and preparing to return optimally and safely to pool training and competitions. Unfortunately, the mental consequences that might arise after the pandemic may also have an impact. We strongly recommend encouraging the swimmers to consider quarantine as an opportunity for development in specific areas of preparation and learn how to best cope with this special situation of self-isolation and/or "physical distancing" for their mental health and in case a similar situation is faced again in the future.
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