Development of Garments with Elastic Straps and Pressure Applicator (GESPA) and "GVcorrect" App to Follow the Changes in Lower-Extremity Alignment (Genu Valgum)-A Pilot Study

BACKGROUND

There are non-invasive methods of correcting genu valgum (GV), but to date, there is no method to evaluate mechanotherapeutic intervention that does not restrict child's natural movements while the process is on-going so that timely decisions could be made on effectiveness of intervention. The aim of study was to develop and assess the comfortability of garments with elastic straps and pressure applicator (GESPA) and the reliability and user-friendliness of "GVcorrect" app, which aims to catch the elastic straps' pressure level (mN).

METHODS

6 children (5-7 y) with intermalleolar distance ≥5 cm wore GESPA daily for 3 months. Anthropometrical and goniometrical measurements were done according to standard technique; tone and biomechanical parameters of skeletal muscles determined with MyotonPRO; feedback about GESPA and "GVcorrect" collected via questionnaire.

RESULTS

Based on feedback from children and parents, new, more comfortable and user-friendly GESPA were designed; several updates were made to "GVcorrect" app; new goals were set for the next phase of the study.

CONCLUSIONS

GESPA and the "GVcorrect" app serve their purpose, but there are still a number of important limitations that need to be removed before the product can be marketed. The study continues with product development until a medical device certificate is obtained.

Impact of acute sodium citrate ingestion on endurance running performance in a warm environment

PURPOSE

Dietary supplements inducing alkalosis have been shown to be ergogenic during intense endurance exercise in temperate environments, but there is lack of data regarding the efficacy of these substances in the heat. This study aimed to investigate the effect of sodium citrate (CIT) ingestion on 5,000-m running performance in a warm environment.

METHODS

Sixteen non-heat-acclimated endurance-trained males (age 25.8 ± 4.4 years, VO2peak 56.9 ± 4.7 mL kg min) completed two 5,000-m self-paced treadmill runs with preceding CIT or placebo (wheat flour; PLC) ingestion in a double-blind, randomized, crossover manner in a climatic chamber (air temperature 32 °C, relative humidity 50 %).

RESULTS

CIT ingestion (500 mg kg(-1) body mass) compared to PLC induced increases in water retention, body mass and plasma volume (P < 0.05). Pre- and post-exercise blood HCO3 (-) concentration, base excess and pH were higher (P < 0.001) in CIT compared to PLC trial. Rectal temperature, body heat storage, heat storage rate, heart rate and 5,000-m running time (18.92 ± 2.05 min in CIT, 19.11 ± 2.38 min in PLC; 66 % likelihood of benefit, d = -0.09) were similar (P > 0.05) in the two trials. Post-exercise blood lactate concentration was higher (P < 0.001) in CIT (11.05 ± 3.22 mmol L(-1)) compared to PLC trial (8.22 ± 2.64 mmol L(-1)). Ratings of perceived exertion, fatigue and thermal sensation did not differ in the two trials (P > 0.05).

CONCLUSION

Acute CIT ingestion induces alkalosis, water retention, plasma volume expansion and an increase in post-exercise blood lactate concentration, but does not improve 5,000-m running performance in a warm environment in non-heat-acclimated endurance-trained males.

Red blood cell and whole blood glutathione redox status in endurance-trained men following a ski marathon

The aim of the present study was to evaluate the changes in glutathione redox ratio (GSSG·GSH(-1)) in red blood cells (RBCs) and whole blood in well-trained men following a ski marathon. 16 male subjects (27.0 ± 4.7 yrs, 1.81 ± 0.06 m, 77.6 ± 9.6 kg, VO2max 66.2 ± 5.7 ml·kg(-1)·min(-1)) were examined before the competition (pre- COMP), after the competition (post-COMP) and during an 18-hour recovery period (RECOV). There was a slight decrease in reduced glutathione (GSH) in blood and in RBCs in post-COMP. During RECOV, the GSH level in blood was reduced, the GSH level in RBCs was significantly elevated (a statistically significant difference as compared to the pre-COMP level). The post-COMP GSSG·GSH(-1) in full blood did not increase significantly, but its increase was statistically significant during the 18-hour recovery period. During the post-COMP and RECOV, the GSSG·GSH(-1) in RBCs slightly decreased in comparison with the pre-COMP. Vitamin C concentration in serum increased in post-COMP (49% vs. pre- COMP) and decreased to the baseline level during RECOV. In conclusion, our data show that acute exercise slightly increases the GSSG·GSH(-1) in whole blood, while GSSG·GSH(-1) in RBCs significantly decreases. Thus, exercise-related changes in the non-enzymatic components of the glutathione system (GSSG and GSH) in whole blood and RBCs are not identical. Key pointsThe glutathione system is a principal cellular non-enzymic antioxidant system in the organism. Long-term or high-intensity exercise may lead to a decreased level of reduced glutathione (GSH), and thereby increase the glutathione redox ratio (GSSG·GSH(-1)).Limited data are available about the glutathione redox (GSSG·GSH(-1)) status measured simultaneously in red blood cells (RBCs) and blood concerning acute high-intensity exercise.Acute high-intensity exercise slightly increases the GSSG·GSH(-1) in whole blood, while GSSG·GSH(-1) significantly decreases in RBCs.Our descriptive data show that exercise-induced changes in the non-enzymatic glutathione system seem to be more effective in RBCs and may prevent the damages resulting from reactive oxygen species during exercise.

Overreaching in coordination dynamics therapy in an athlete with a spinal cord injury

A motocross athlete suffered a clinically complete spinal cord injury (SCI) during competition. Although MRIs (magnetic resonance imaging) showed a complete spinal cord injury at the Thoracic 11/12 levels, surface EMG recordings indicated the survival of few tract fibres across the injury site. Six weeks after the accident the subject began intensive Coordination Dynamics Therapy (CDT) at an up-to-date therapy centre. The subject trained at his physical limits to induce structural and functional repair. Exercising at variable loads between 20 and 200N (on a special CDT and recording device) generated periods of overreaching and super-compensation. By plotting coordination dynamics values (kinesiology), including high-load exertion (200N) and hysteresis curves, periods of overreaching and super-compensation were made graphically visible. It was found that symmetrical improvements of central nervous system (CNS) functioning occurred during overreaching. Improvements in spinal cord functioning were achieved throughout one year of CDT in this chronically injured subject with an almost anatomically complete SCI. It is discussed that the measuring of CNS functions by means of recording coordination dynamics is a powerful and non-invasive tool ideal for exact quantitative and qualitative measurements of improvement (or change) in CNS functioning. Such diagnostics may be of particular importance in sport during training and before competition. Also, coordination dynamics might be used to measure the effects of prolonged exposure to reduced gravitational conditions on CNS functions, such as faced by astronauts.