TY - JOUR A1 - Mühlbauer, Thomas A1 - Granacher, Urs A1 - Jockel, Björn A1 - Kittel, Réne T1 - Analyse der Muskelaktivität therapeutischer Kletterübungen JF - Sportverletzung, Sportschaden : Grundlagen, Prävention, Rehabilitation N2 - Background: Therapeutic climbing exercises are employed for the treatment of shoulder-and knee-joint injuries. However, there is a void in the literature regarding muscle activation levels during the performance of these exercises. Thus, the purpose of this study was to investigate differences in muscle activation during therapeutic climbing exercises depending on the degree of task difficulty. Participants/Material and Methods: A sample of 10 healthy subjects (sex: 4 females, 6 males; age: 27 +/- 3 years; climbing experience: 5 +/- 3 years) performed three shoulder girdle (i.e., wide shoulder pull, narrow shoulder pull, shoulder row) and two leg extensor (i.e., ascending frontal, ascending sidewards) exercises. Electromyographic (EMG) data were recorded on the right side for eleven muscles and then normalised using the maximum voluntary contractions for each muscle. Results: With increasing task difficulty, muscle activity in all but one muscle (i.e., m. trapezius ascendens) increased significantly for the three shoulder girdle exercises. For the two leg extensor exercises, an increase in task difficulty produced a tendency towards yet not significantly higher muscle activity. Conclusion: Shoulder row was the most effective therapeutic climbing exercise in the ability to activate muscles while showing the highest EMG signals. The absence of significant differences in muscle activity between the two leg extensor exercises indicates their equivalent use for muscle activation during therapy. KW - therapy KW - climbing KW - electromyography KW - shoulder girdle KW - leg extensors KW - musculature Y1 - 2013 U6 - https://doi.org/10.1055/s-0033-1335595 SN - 0932-0555 SN - 1439-1236 VL - 27 IS - 3 SP - 162 EP - 168 PB - Thieme CY - Stuttgart ER - TY - JOUR A1 - Granacher, Urs A1 - Muehlbauer, Thomas A1 - Göstemeyer, Gerd A1 - Gruber, Stefanie A1 - Gruber, Markus T1 - The performance of balance exercises during daily tooth brushing is not sufficient to improve balance and muscle strength in healthy older adults JF - BMC Geriatrics N2 - Background High prevalence rates have been reported for physical inactivity, mobility limitations, and falls in older adults. Home-based exercise might be an adequate means to increase physical activity by improving health- (i.e., muscle strength) and skill-related components of physical fitness (i.e., balance), particularly in times of restricted physical activity due to pandemics. Objective The objective of this study was to examine the effects of home-based balance exercises conducted during daily tooth brushing on measures of balance and muscle strength in healthy older adults. Methods Fifty-one older adults were randomly assigned to a balance exercise group (n = 27; age: 65.1 ± 1.1 years) or a passive control group (n = 24; age: 66.2 ± 3.3 years). The intervention group conducted balance exercises over a period of eight weeks twice daily for three minutes each during their daily tooth brushing routine. Pre- and post-intervention, tests were included for the assessment of static steady-state balance (i.e., Romberg test), dynamic steady-state balance (i.e., 10-m single and dual-task walk test using a cognitive and motor interference task), proactive balance (i.e., Timed-Up-and-Go Test [TUG], Functional-Reach-Test [FRT]), and muscle strength (i.e., Chair-Rise-Test [CRT]). Results Irrespective of group, the statistical analysis revealed significant main effects for time (pre vs. post) for dual-task gait speed (p < .001, 1.12 ≤ d ≤ 2.65), TUG (p < .001, d = 1.17), FRT (p = .002, d = 0.92), and CRT (p = .002, d = 0.94) but not for single-task gait speed and for the Romberg-Test. No significant group × time interactions were found for any of the investigated variables. Conclusions The applied lifestyle balance training program conducted twice daily during tooth brushing routines appears not to be sufficient in terms of exercise dosage and difficulty level to enhance balance and muscle strength in healthy adults aged 60–72 years. Consequently, structured balance training programs using higher exercise dosages and/or more difficult balance tasks are recommended for older adults to improve balance and muscle strength. KW - Balance KW - Daily life KW - Exercise KW - Healthy aging KW - Mobility Y1 - 2021 U6 - https://doi.org/10.1186/s12877-021-02206-w SN - 1471-2318 VL - 21 PB - BioMed Central CY - London ER - TY - JOUR A1 - Zouita, Sghaier A1 - Zouhal, Hassane A1 - Ferchichi, Habiba A1 - Paillard, Thierry A1 - Dziri, Catherine A1 - Hackney, Anthony C. A1 - Laher, Ismail A1 - Granacher, Urs A1 - Ben Moussa Zouita, Amira T1 - Effects of Combined Balance and Strength Training on Measures of Balance and Muscle Strength in Older Women With a History of Falls JF - Frontiers in Physiology N2 - Objective: We investigated the effects of combined balance and strength training on measures of balance and muscle strength in older women with a history of falls. Methods: Twenty-seven older women aged 70.4 ± 4.1 years (age range: 65 to 75 years) were randomly allocated to either an intervention (IG, n = 12) or an active control (CG, n = 15) group. The IG completed 8 weeks combined balance and strength training program with three sessions per week including visual biofeedback using force plates. The CG received physical therapy and gait training at a rehabilitation center. Training volumes were similar between the groups. Pre and post training, tests were applied for the assessment of muscle strength (weight-bearing squat [WBS] by measuring the percentage of body mass borne by each leg at different knee flexions [0°, 30°, 60°, and 90°], sit-to-stand test [STS]), and balance. Balance tests used the modified clinical test of sensory interaction (mCTSIB) with eyes closed (EC) and opened (EO), on stable (firm) and unstable (foam) surfaces as well as spatial parameters of gait such as step width and length (cm) and walking speed (cm/s). Results: Significant group × time interactions were found for different degrees of knee flexion during WBS (0.0001 < p < 0.013, 0.441 < d < 0.762). Post hoc tests revealed significant pre-to-post improvements for both legs and for all degrees of flexion (0.0001 < p < 0.002, 0.697 < d < 1.875) for IG compared to CG. Significant group × time interactions were found for firm EO, foam EO, firm EC, and foam EC (0.006 < p < 0.029; 0.302 < d < 0.518). Post hoc tests showed significant pre-to-post improvements for both legs and for all degrees of oscillations (0.0001 < p < 0.004, 0.753 < d < 2.097) for IG compared to CG. This study indicates that combined balance and strength training improved percentage distribution of body weight between legs at different conditions of knee flexion (0°, 30°, 60°, and 90°) and also decreased the sway oscillation on a firm surface with eyes closed, and on foam surface (with eyes opened or closed) in the IG. Conclusion: The higher positive effects of training seen in standing balance tests, compared with dynamic tests, suggests that balance training exercises including lateral, forward, and backward exercises improved static balance to a greater extent in older women. KW - aging KW - exercise KW - postural sway KW - force KW - tasks Y1 - 2020 U6 - https://doi.org/10.3389/fphys.2020.619016 SN - 1664-042X VL - 11 PB - Frontiers Research Foundation CY - Lausanne ER - TY - JOUR A1 - Meyer, Ursina A1 - Ernst, Dominique A1 - Schott, Silvia A1 - Riera, Claudia A1 - Hattendorf, Jan A1 - Romkes, Jacqueline A1 - Granacher, Urs A1 - Göpfert, Beat A1 - Kriemler, Susi T1 - Validation of two accelerometers to determine mechanical loading of physical activities in children JF - Journal of sports sciences N2 - The purpose of this study was to assess the validity of accelerometers using force plates (i.e., ground reaction force (GRF)) during the performance of different tasks of daily physical activity in children. Thirteen children (10.1 (range 5.4-15.7)years, 3 girls) wore two accelerometers (ActiGraph GT3X+ (ACT), GENEA (GEN)) at the hip that provide raw acceleration signals at 100Hz. Participants completed different tasks (walking, jogging, running, landings from boxes of different height, rope skipping, dancing) on a force plate. GRF was collected for one step per trial (10 trials) for ambulatory movements and for all landings (10 trials), rope skips and dance procedures. Accelerometer outputs as peak loading (g) per activity were averaged. ANOVA, correlation analyses and Bland-Altman plots were computed to determine validity of accelerometers using GRF. There was a main effect of task with increasing acceleration values in tasks with increasing locomotion speed and landing height (P<0.001). Data from ACT and GEN correlated with GRF (r=0.90 and 0.89, respectively) and between each other (r=0.98), but both accelerometers consistently overestimated GRF. The new generation of accelerometer models that allow raw signal detection are reasonably accurate to measure impact loading of bone in children, although they systematically overestimate GRF. KW - bone KW - impact loading KW - children KW - physical activity KW - ground reaction force Y1 - 2015 U6 - https://doi.org/10.1080/02640414.2015.1004638 SN - 0264-0414 SN - 1466-447X VL - 33 IS - 16 SP - 1702 EP - 1709 PB - Routledge, Taylor & Francis Group CY - Abingdon ER - TY - JOUR A1 - Mühlbauer, Thomas A1 - Mettler, Claude A1 - Roth, Ralf A1 - Granacher, Urs T1 - One-leg standing performance and muscle activity: Are there limb differences? JF - Journal of applied biomechanics N2 - The purpose of this study was to compare static balance performance and muscle activity during one-leg standing on the dominant and nondominant leg under various sensory conditions with increased levels of task difficulty. Thirty healthy young adults (age: 23 +/- 2 years) performed one-leg standing tests for 30 s under three sensory conditions (ie, eyes open/firm ground; eyes open/foam ground [elastic pad on top of the balance plate]; eyes closed/firm ground). Center of pressure displacements and activity of four lower leg muscles (ie, m. tibialis anterior [TA], m. soleus [SOL], m. gastrocnemius medialis [GAS], m. peroneus longus [PER]) were analyzed. An increase in sensory task difficulty resulted in deteriorated balance performance (P < .001, effect size [ES] = .57-2.54) and increased muscle activity (P < .001, ES = .50-1.11) for all but two muscles (ie, GAS, PER). However, regardless of the sensory condition, one-leg standing on the dominant as compared with the nondominant limb did not produce statistically significant differences in various balance (P > .05, ES = .06-.22) and electromyographic (P > .05, ES = .03-.13) measures. This indicates that the dominant and the nondominant leg can be used interchangeably during static one-leg balance testing in healthy young adults. KW - postural control KW - electromyography KW - sensory input KW - task difficulty Y1 - 2014 U6 - https://doi.org/10.1123/jab.2013-0230 SN - 1065-8483 SN - 1543-2688 VL - 30 IS - 3 SP - 407 EP - 414 PB - Human Kinetics Publ. CY - Champaign ER - TY - JOUR A1 - Howard, Joshua A1 - Granacher, Urs A1 - Behm, David George T1 - Trunk extensor fatigue decreases jump height similarly under stable and unstable conditions with experienced jumpers JF - European journal of applied physiology N2 - The purpose of this study was to investigate the effects of back extensor fatigue on performance measures and electromyographic (EMG) activity of leg and trunk muscles during jumping on stable and unstable surfaces. Before and after a modified Biering-Sorensen fatigue protocol for the back extensors, countermovement (CMJ) and lateral jumps (LJ) were performed on a force plate under stable and unstable (balance pad on the force plate) conditions. Performance measures for LJ (contact time) and CMJ height and leg and trunk muscles EMG activity were tested in 14 male experienced jumpers during 2 time intervals for CMJ (braking phase, push-off phase) and 5 intervals for LJ (-30 to 0, 0-30, 30-60, 60-90, and 90-120 ms) in non-fatigued and fatigued conditions. A significant main effect of test (fatigue) (p = 0.007, f = 0.57) was observed for CMJ height. EMG analysis showed a significant fatigue-induced decrease in biceps femoris and gastrocnemius activity with CMJ (p = 0.008, f = 0.58 andp = 0.04, f = 0.422, respectively). LJ contact time was not affected by fatigue or surface interaction. EMG activity was significantly lower in the tibialis anterior with LJ following fatigue (p = 0.05, f = 0.405). A test x surface (p = 0.04, f = 0.438) interaction revealed that the non-fatigued unstable CMJ gastrocnemius EMG activity was lower than the non-fatigued stable condition during the onset-of-force phase. The findings revealed that fatiguing the trunk negatively impacts CMJ height and muscle activity during the performance of CMJs. However, skilled jumpers are not additionally affected by a moderately unstable surface as compared to a stable surface. KW - Countermovement jump KW - Instability KW - Balance KW - Crossover fatigue KW - Lateral jumps Y1 - 2015 U6 - https://doi.org/10.1007/s00421-014-3011-x SN - 1439-6319 SN - 1439-6327 VL - 115 IS - 2 SP - 285 EP - 294 PB - Springer CY - New York ER - TY - JOUR A1 - Ravé, Guillaume A1 - Granacher, Urs A1 - Boullosa, Daniel A1 - Hackney, Anthony C. A1 - Zouhal, Hassane T1 - How to Use Global Positioning Systems (GPS) Data to Monitor Training Load in the “Real World” of Elite Soccer JF - Frontiers in Physiology KW - acute chronic workload ratio KW - injury risk KW - physical performance KW - monitoring KW - external training load Y1 - 2020 U6 - https://doi.org/10.3389/fphys.2020.00944 SN - 1664-042X VL - 11 PB - Frontiers Research Foundation CY - Lausanne ER - TY - JOUR A1 - Fernandez-Fernandez, Jaime A1 - Granacher, Urs A1 - Martinez-Martin, Isidoro A1 - Garcia-Tormo, José Vicente A1 - Herrero-Molleda, Alba A1 - Barbado, David A1 - García López, Juan T1 - Physical fitness and throwing speed in U13 versus U15 male handball players JF - BMC Sports Science, Medicine and Rehabilitation N2 - Background The aim of this study was to analyze the shoulder functional profile (rotation range of motion [ROM] and strength), upper and lower body performance, and throwing speed of U13 versus U15 male handball players, and to establish the relationship between these measures of physical fitness and throwing speed. Methods One-hundred and nineteen young male handball players (under (U)-13 (U13) [n = 85]) and U15 [n = 34]) volunteered to participate in this study. The participating athletes had a mean background of sytematic handball training of 5.5 ± 2.8 years and they exercised on average 540 ± 10.1 min per week including sport-specific team handball training and strength and conditioning programs. Players were tested for passive shoulder range-of-motion (ROM) for both internal (IR) and external rotation (ER) and isometric strength (i.e., IR and ER) of the dominant/non-dominant shoulders, overhead medicine ball throw (OMB), hip isometric abductor (ABD) and adductor (ADD) strength, hip ROM, jumps (countermovement jump [CMJ] and triple leg-hop [3H] for distance), linear sprint test, modified 505 change-of-direction (COD) test and handball throwing speed (7 m [HT7] and 9 m [HT9]). Results U15 players outperformed U13 in upper (i.e., HT7 and HT9 speed, OMB, absolute IR and ER strength of the dominant and non-dominant sides; Cohen’s d: 0.76–2.13) and lower body (i.e., CMJ, 3H, 20-m sprint and COD, hip ABD and ADD; d: 0.70–2.33) performance measures. Regarding shoulder ROM outcomes, a lower IR ROM was found of the dominant side in the U15 group compared to the U13 and a higher ER ROM on both sides in U15 (d: 0.76–1.04). It seems that primarily anthropometric characteristics (i.e., body height, body mass) and upper body strength/power (OMB distance) are the most important factors that explain the throw speed variance in male handball players, particularly in U13. Conclusions Findings from this study imply that regular performance monitoring is important for performance development and for minimizing injury risk of the shoulder in both age categories of young male handball players. Besides measures of physical fitness, anthropometric data should be recorded because handball throwing performance is related to these measures. KW - Overhead athletes KW - Shoulder KW - Injury risk KW - Sport-specific performance Y1 - 2022 U6 - https://doi.org/10.1186/s13102-022-00507-0 SN - 1758-2555 VL - 14 PB - Springer CY - London ER - TY - JOUR A1 - Hortobágyi, Tibor A1 - Vetrovsky, Tomas A1 - Balbim, Guilherme Moraes A1 - Sorte Silva, Narlon Cassio Boa A1 - Manca, Andrea A1 - Deriu, Franca A1 - Kolmos, Mia A1 - Kruuse, Christina A1 - Liu-Ambrose, Teresa A1 - Radak, Zsolt A1 - Vaczi, Mark A1 - Johansson, Hanna A1 - Rocha dos Santos, Paulo Cezar A1 - Franzen, Erika A1 - Granacher, Urs T1 - The impact of aerobic and resistance training intensity on markers of neuroplasticity in health and disease JF - Ageing research reviews : ARR N2 - Objective: To determine the effects of low- vs. high-intensity aerobic and resistance training on motor and cognitive function, brain activation, brain structure, and neurochemical markers of neuroplasticity and the association thereof in healthy young and older adults and in patients with multiple sclerosis, Parkinson's disease, and stroke. Design: Systematic review and robust variance estimation meta-analysis with meta-regression. Data sources: Systematic search of MEDLINE, Web of Science, and CINAHL databases. Results: Fifty studies with 60 intervention arms and 2283 in-analyses participants were included. Due to the low number of studies, the three patient groups were combined and analyzed as a single group. Overall, low- (g=0.19, p = 0.024) and high-intensity exercise (g=0.40, p = 0.001) improved neuroplasticity. Exercise intensity scaled with neuroplasticity only in healthy young adults but not in healthy older adults or patient groups. Exercise-induced improvements in neuroplasticity were associated with changes in motor but not cognitive outcomes. Conclusion: Exercise intensity is an important variable to dose and individualize the exercise stimulus for healthy young individuals but not necessarily for healthy older adults and neurological patients. This conclusion warrants caution because studies are needed that directly compare the effects of low- vs. high-intensity exercise on neuroplasticity to determine if such changes are mechanistically and incrementally linked to improved cognition and motor function. KW - Aging KW - Exercise KW - Intensity Dose -response relationship KW - Cognition motor KW - function Y1 - 2022 U6 - https://doi.org/10.1016/j.arr.2022.101698 SN - 1568-1637 SN - 1872-9649 VL - 80 PB - Elsevier CY - Clare ER - TY - JOUR A1 - Arazi, Hamid A1 - Asadi, Abbas A1 - Khalkhali, Farhood A1 - Boullosa, Daniel A1 - Hackney, Anthony C. A1 - Granacher, Urs A1 - Zouhal, Hassane T1 - Association Between the Acute to Chronic Workload Ratio and Injury Occurrence in Young Male Team Soccer Players BT - A Preliminary Study N2 - This study aimed to investigate the relationship between the acute to chronic workload ratio (ACWR), based upon participant session rating of perceived exertion (sRPE), using two models [(1) rolling averages (ACWRRA); and (2) exponentially weighted moving averages (ACWREWMA)] and the injury rate in young male team soccer players aged 17.1 ± 0.7 years during a competitive mesocycle. Twenty-two players were enrolled in this study and performed four training sessions per week with 2 days of recovery and 1 match day per week. During each training session and each weekly match, training time and sRPE were recorded. In addition, training impulse (TRIMP), monotony, and strain were subsequently calculated. The rate of injury was recorded for each soccer player over a period of 4 weeks (i.e., 28 days) using a daily questionnaire. The results showed that over the course of the study, the number of non-contact injuries was significantly higher than that for contact injuries (2.5 vs. 0.5, p = 0.01). There were also significant positive correlations between sRPE and training time (r = 0.411, p = 0.039), ACWRRA (r = 0.47, p = 0.049), and ACWREWMA (r = 0.51, p = 0.038). In addition, small-to-medium correlations were detected between ACWR and non-contact injury occurrence (ACWRRA, r = 0.31, p = 0.05; ACWREWMA, r = 0.53, p = 0.03). Explained variance (r²) for non-contact injury was significantly greater using the ACWREWMA model (ranging between 21 and 52%) compared with ACWRRA (ranging between 17 and 39%). In conclusion, the results of this study showed that the ACWREWMA model is more sensitive than ACWRRA to identify non-contact injury occurrence in male team soccer players during a short period in the competitive season. KW - training load KW - rate of perceived exertion KW - rolling averages KW - weighted moving averages KW - football Y1 - 2020 U6 - https://doi.org/10.3389/fphys.2020.00608 SN - 1664-042X VL - 11 PB - Frontiers Research Foundation CY - Lausanne ER -