TY - JOUR A1 - Schaefer, Laura A1 - Bittmann, Frank T1 - Case report BT - Individualized pulsed electromagnetic field therapy in a Long COVID patient using the adaptive force as biomarker JF - Frontiers in medicine N2 - The increasing prevalence of Long COVID is an imminent public health disaster, and established approaches have not provided adequate diagnostics or treatments. Recently, anesthetic blockade of the stellate ganglion was reported to improve Long COVID symptoms in a small case series, purportedly by "rebooting" the autonomic nervous system. Here, we present a novel diagnostic approach based on the Adaptive Force (AF), and report sustained positive outcome for one severely affected Long COVID patient using individualized pulsed electromagnetic field (PEMF) at the area C7/T1. AF reflects the capacity of the neuromuscular system to adapt adequately to external forces in an isometric holding manner. In case, maximal isometric AF (AFiso(max)) is exceeded, the muscle merges into eccentric muscle action. Thereby, the force usually increases further until maximal AF (AFmax) is reached. In case adaptation is optimal, AFiso(max) is similar to 99-100% of AFmax. This holding capacity (AFiso(max)) was found to be vulnerable to disruption by unpleasant stimulus and, hence, was regarded as functional parameter. AF was assessed by an objectified manual muscle test using a handheld device. Prior to treatment, AFiso(max) was considerably lower than AFmax for hip flexors (62 N = similar to 28% AFmax) and elbow flexors (71 N = similar to 44% AFmax); i.e., maximal holding capacity was significantly reduced, indicating dysfunctional motor control. We tested PEMF at C7/T1, identified a frequency that improved neuromuscular function, and applied it for similar to 15 min. Immediately post-treatment, AFiso(max) increased to similar to 210 N (similar to 100% AFmax) at hip and 184 N (similar to 100% AFmax) at elbow. Subjective Long COVID symptoms resolved the following day. At 4 weeks post-treatment, maximal holding capacity was still on a similarly high level as for immediately post-treatment (similar to 100% AFmax) and patient was symptom-free. At 6 months the patient's Long COVID symptoms have not returned. This case report suggests (1) AF could be a promising diagnostic for post-infectious illness, (2) AF can be used to test effective treatments for post-infectious illness, and (3) individualized PEMF may resolve post-infectious symptoms. KW - individualized pulsed electromagnetic field KW - Adaptive Force KW - muscular holding capacity KW - case report KW - Long COVID KW - post-COVID syndrome KW - muscle weakness KW - fatigue Y1 - 2023 U6 - https://doi.org/10.3389/fmed.2022.879971 SN - 2296-858X VL - 9 PB - Frontiers Media CY - Lausanne ER - TY - JOUR A1 - Dietze, Michael A1 - Krautblatter, Michael A1 - Illien, Luc A1 - Hovius, Niels T1 - Seismic constraints on rock damaging related to a failing mountain peak BT - The Hochvogel, Allgäu JF - Earth surface processes and landforms N2 - Large rock slope failures play a pivotal role in long-term landscape evolution and are a major concern in land use planning and hazard aspects. While the failure phase and the time immediately prior to failure are increasingly well studied, the nature of the preparation phase remains enigmatic. This knowledge gap is due, to a large degree, to difficulties associated with instrumenting high mountain terrain and the local nature of classic monitoring methods, which does not allow integral observation of large rock volumes. Here, we analyse data from a small network of up to seven seismic sensors installed during July-October 2018 (with 43 days of data loss) at the summit of the Hochvogel, a 2592 m high Alpine peak. We develop proxy time series indicative of cyclic and progressive changes of the summit. Modal analysis, horizontal-to-vertical spectral ratio data and end-member modelling analysis reveal diurnal cycles of increasing and decreasing coupling stiffness of a 260,000 m(3) large, instable rock volume, due to thermal forcing. Relative seismic wave velocity changes also indicate diurnal accumulation and release of stress within the rock mass. At longer time scales, there is a systematic superimposed pattern of stress increased over multiple days and episodic stress release within a few days, expressed in an increased emission of short seismic pulses indicative of rock cracking. Our data provide essential first order information on the development of large-scale slope instabilities towards catastrophic failure. (c) 2020 The Authors. Earth Surface Processes and Landforms published by John Wiley & Sons Ltd KW - environmental seismology KW - fatigue KW - fundamental frequency KW - HVSR KW - mass KW - wasting KW - mountain geomorphology KW - natural hazard KW - noise cross KW - correlation KW - seismic monitoring KW - slope failure Y1 - 2021 U6 - https://doi.org/10.1002/esp.5034 SN - 0197-9337 SN - 1096-9837 VL - 46 IS - 2 SP - 417 EP - 429 PB - Wiley CY - Hoboken ER - TY - JOUR A1 - Fernandez-Fernandez, Jaime A1 - Moya-Ramon, Manuel A1 - Santos-Rosa, Francisco Javier A1 - Gantois, Petrus A1 - Nakamura, Fabio Yuzo A1 - Sanz-Rivas, David A1 - Granacher, Urs T1 - Within-session sequence of the tennis serve training in youth elite players JF - International journal of environmental research and public health N2 - The influence of muscular fatigue on tennis serve performance within regular training sessions is unclear. Therefore, the aim of the present study was to examine the within-session sequence of the tennis serve in youth tennis. Twenty-five young male (14.9 +/- 0.9 years) and female (14.5 +/- 0.9 years) players participated in this within-subject crossover study, and they were randomly but sex-matched assigned to different training sequences (serve exercise before tennis training (BTS) or after tennis training (ATS)). Pre- and post-tests included serve velocity performance and accuracy, shoulder strength, and range-of-motion (ROM) performance (internal/external rotation). Results showed that after one week of serve training conducted following the ATS sequence, significant decreases were found in serve performance (e.g., speed and accuracy), with standardized differences ranging from d = 0.29 to 1.13, as well as the shoulder function (strength [d = 0.20 to 1.0] and ROM [d = 0.17 to 0.31]) in both female and male players, compared to the BTS sequence. Based on the present findings, it appears more effective to implement serve training before the regular tennis training in youth players. If applied after training, excessive levels of fatigue may cause shoulder imbalances that could be related to an increased injury risk. KW - athletes KW - athletic performance KW - fatigue KW - fitness KW - shoulder strength KW - range of motion Y1 - 2020 U6 - https://doi.org/10.3390/ijerph18010244 SN - 1660-4601 VL - 18 IS - 1 PB - MDPI CY - Basel ER - TY - JOUR A1 - Tabben, Montassar A1 - Ihsan, Mohammed A1 - Ghoul, Nihel A1 - Coquart, Jeremy A1 - Chaouachi, Anis A1 - Chaabene, Helmi A1 - Tourny, Claire A1 - Chamari, Karim T1 - Performance 24-h After a Simulated Mixed Martial Arts Combat JF - Frontiers in physiology N2 - Objective: The aim of the present study was to examine the effect of Cold Water Immersion (CWI) on the recovery of physical performance, hematological stress markers and perceived wellness (i.e., Hooper scores) following a simulated Mixed Martial Arts (MMA) competition. Methods: Participants completed two experimental sessions in a counter-balanced order (CWI or passive recovery for control condition: CON), after a simulated MMAs competition (3 x 5-min MMA rounds separated by 1-min of passive rest). During CWI, athletes were required to submerge their bodies, except the trunk, neck and head, in the seated position in a temperature-controlled bath (similar to 10 degrees C) for 15-min. During CON, athletes were required to be in a seated position for 15-min in same room ambient temperature. Venous blood samples (creatine kinase, cortisol, and testosterone concentrations) were collected at rest (PRE-EX, i.e., before MMAs), immediately following MMAs (POST-EX), immediately following recovery (POST-R) and 24 h post MMAs (POST-24), whilst physical fitness (squat jump, countermovement-jump and 5- and 10-m sprints) and perceptual measures (well-being Hooper index: fatigue, stress, delayed onset muscle soreness (DOMS), and sleep) were collected at PRE-EX, POST-R and POST-24, and at PRE-EX and POST-24, respectively. Conclusion: The use of CWI resulted in an enhanced recovery of 10-m sprint performance, as well as improved perceived wellness 24-h following simulated MMA competition. KW - recovery KW - combat sports KW - MMA KW - delayed onset muscle soreness KW - stress KW - fatigue Y1 - 2018 U6 - https://doi.org/10.3389/fphys.2018.01542 SN - 1664-042X VL - 9 PB - Frontiers Research Foundation CY - Lausanne ER - TY - JOUR A1 - Franz, Kristina A1 - Otten, Lindsey A1 - Müller-Werdan, Ursula A1 - Döhner, Wolfram A1 - Norman, Kristina T1 - Severe Weight Loss and Its Association with Fatigue in Old Patients at Discharge from a Geriatric Hospital JF - Nutrients N2 - Although malnutrition is frequent in the old, little is known about its association with fatigue. We evaluated the relation of self-reported severe weight loss with fatigue and the predictors for fatigue in old patients at hospital discharge. Severe weight loss was defined according to involuntary weight loss >= 5% in the last three months. We determined fatigue with the validated Brief Fatigue Inventory questionnaire. The regression analyses were adjusted for age, sex, number of comorbidities, medications/day, and BMI. Of 424 patients aged between 61 and 98 y, 34.1% had severe weight loss. Fatigue was higher in patients with severe weight loss (3.7 +/- 2.3 vs. 3.2 +/- 2.3 points, p = 0.021). In a multinomial regression model, weight loss was independently associated with higher risk for moderate fatigue (OR:1.172, CI:1.026-1.338, p = 0.019) and with increased risk for severe fatigue (OR:1.209, CI:1.047-1.395, p = 0.010) together with the number of medications/day (OR:1.220, CI:1.023-1.455, p = 0.027). In a binary regression model, severe weight loss predicted moderate-to-severe fatigue in the study population (OR:1.651, CI:1.052-2.590, p = 0.029). In summary, patients with self-reported severe weight loss at hospital discharge exhibited higher fatigue levels and severe weight loss was an independent predictor of moderate and severe fatigue, placing these patients at risk for impaired outcome in the post-hospital period. KW - malnutrition KW - involuntary weight loss KW - post-hospital syndrome KW - fatigue KW - old adults Y1 - 2019 U6 - https://doi.org/10.3390/nu11102415 SN - 2072-6643 VL - 11 IS - 10 PB - MDPI CY - Basel ER - TY - JOUR A1 - Saidi, Karim A1 - Zouhal, Hassane A1 - Rhibi, Fatma A1 - Tijani, Jed M. A1 - Boullosa, Daniel A1 - Chebbi, Amel A1 - Hackney, Anthony C. A1 - Granacher, Urs A1 - Bideau, Benoit A1 - Ben Abderrahman, Abderraouf T1 - Effects of a six-week period of congested match play on plasma volume variations, hematological parameters, training workload and physical fitness in elite soccer players JF - PLOS ONE N2 - Objectives The aims of this study were to investigate the effects of a six-week in-season period of soccer training and games (congested period) on plasma volume variations (PV), hematological parameters, and physical fitness in elite players. In addition, we analyzed relationships between training load, hematological parameters and players’ physical fitness. Methods Eighteen elite players were evaluated before (T1) and after (T2) a six-week in-season period interspersed with 10 soccer matches. At T1 and T2, players performed the Yo-Yo intermittent recovery test level 1 (YYIR1), the repeated shuttle sprint ability test (RSSA), the countermovement jump test (CMJ), and the squat jump test (SJ). In addition, PV and hematological parameters (erythrocytes [M/mm3], hematocrit [%], hemoglobin [g/dl], mean corpuscular volume [fl], mean corpuscular hemoglobin content [pg], and mean hemoglobin concentration [%]) were assessed. Daily ratings of perceived exertion (RPE) were monitored in order to quantify the internal training load. Results From T1 to T2, significant performance declines were found for the YYIR1 (p<0.001, effect size [ES] = 0.5), RSSA (p<0.01, ES = 0.6) and SJ tests (p< 0.046, ES = 0.7). However, no significant changes were found for the CMJ (p = 0.86, ES = 0.1). Post-exercise, RSSA blood lactate (p<0.012, ES = 0.2) and PV (p<0.01, ES = 0.7) increased significantly from T1 to T2. A significant decrease was found from T1 to T2 for the erythrocyte value (p<0.002, ES = 0.5) and the hemoglobin concentration (p<0.018, ES = 0.8). The hematocrit percentage rate was also significantly lower (p<0.001, ES = 0.6) at T2. The mean corpuscular volume, mean corpuscular hemoglobin content and the mean hemoglobin content values were not statistically different from T1 to T2. No significant relationships were detected between training load parameters and percentage changes of hematological parameters. However, a significant relationship was observed between training load and changes in RSSA performance (r = -0.60; p<0.003). Conclusions An intensive period of “congested match play” over 6 weeks significantly compromised players’ physical fitness. These changes were not related to hematological parameters, even though significant alterations were detected for selected measures. KW - body density KW - performance KW - exercise KW - blood KW - hematocrit KW - responses KW - physiology KW - schedule KW - recovery KW - fatigue Y1 - 2019 U6 - https://doi.org/10.1371/journal.pone.0219692 SN - 1932-6203 VL - 14 IS - 7 PB - Public Library of Science CY - San Francisco ER - TY - JOUR A1 - Freitag, Nils A1 - Weber, Pia Deborah A1 - Sanders, Tanja Christiane A1 - Schulz, Holger A1 - Bloch, Wilhelm A1 - Schumann, Moritz T1 - High-intensity interval training and hyperoxia during chemotherapy BT - A case report about the feasibility, safety and physical functioning in a colorectal cancer patient JF - Medicine N2 - Introduction: We conducted a case study to examine the feasibility and safety of high-intensity interval training (HIIT) with increased inspired oxygen content in a colon cancer patient undergoing chemotherapy. A secondary purpose was to investigate the effects of such training regimen on physical functioning. Case presentation: A female patient (51 years; 49.1 kg; 1.65 m; tumor stage: pT3, pN2a (5/29), pM1a (HEP), L0, V0, R0) performed 8 sessions of HIIT (5 × 3 minutes at 90% of Wmax, separated by 2 minutes at 45% Wmax) with an increased inspired oxygen fraction of 30%. Patient safety, training adherence, cardiorespiratory fitness (peak oxygen uptake and maximal power output during an incremental cycle ergometer test), autonomous nervous function (i.e., heart rate variability during an orthostatic test) as well as questionnaire-assessed quality of life (EORTC QLQ-C30) were evaluated before and after the intervention. No adverse events were reported throughout the training intervention and a 3 months follow-up. While the patient attended all sessions, adherence to total training time was only 51% (102 of 200 minutes; mean training time per session 12:44 min:sec). VO2peak and Wmax increased by 13% (from 23.0 to 26.1 mL min kg−1) and 21% (from 83 to 100 W), respectively. Heart rate variability represented by the root mean squares of successive differences both in supine and upright positions were increased after the training by 143 and 100%, respectively. The EORTC QLQ-C30 score for physical functioning (7.5%) as well as the global health score (10.7%) improved, while social function decreased (17%). Conclusions: Our results show that a already short period of HIIT with concomitant hyperoxia was safe and feasible for a patient undergoing chemotherapy for colon cancer. Furthermore, the low overall training adherence of only 51% and an overall low training time per session (∼13 minutes) was sufficient to induce clinically meaningful improvements in physical functioning. However, this case also underlines that intensity and/or length of the HIIT-bouts might need further adjustments to increase training compliance. KW - carcinoma KW - chemo-toxicity KW - exercise therapy KW - fatigue KW - gastrointestinal cancer KW - heart rate variability KW - high-intensity interval training KW - solid tumor Y1 - 2018 U6 - https://doi.org/10.1097/MD.0000000000011068 SN - 1536-5964 SN - 0025-7974 VL - 97 IS - 24 SP - 1 EP - 7 PB - Lippincott Williams & Wilkins CY - Baltimore, Md. ER - TY - JOUR A1 - Scharhag-Rosenberger, Friederike A1 - Carlsohn, Anja A1 - Lundby, Carsten A1 - Schueler, Stefan A1 - Mayer, Frank A1 - Scharhag, Jürgen T1 - Can more than one incremental cycling test be performed within one day? JF - European journal of sport science : official journal of the European College of Sport Science N2 - Changes in performance parameters over four consecutive maximal incremental cycling tests were investigated to determine how many tests can be performed within one single day without negatively affecting performance. Sixteen male and female subjects (eight trained (T): 25 +/- 3 yr, BMI 22.6 +/- 2.5 kg center dot m(-2), maximal power output (P-max) 4.6 +/- 0.5 W center dot kg(-1); eight untrained (UT): 27 +/- 3 yr, BMI 22.3 +/- 1.2 kg center dot m(-2), P-max 2.9 +/- 0.3 W center dot kg(-1)) performed four successive maximal incremental cycling tests separated by 1.5 h of passive rest. Individual energy requirements were covered by standardised meals between trials. Maximal oxygen uptake (VO2max) remained unchanged over the four tests in both groups (P = 0.20 and P = 0.33, respectively). P-max did not change in the T group (P = 0.32), but decreased from the third test in the UT group (P < 0.01). Heart rate responses to submaximal exercise were elevated from the third test in the T group and from the second test in the UT group (P < 0.05). The increase in blood lactate shifted rightward over the four tests in both groups (P < 0.001 and P < 0.01, respectively). Exercise-induced net increases in epinephrine and norepinephrine were not different between the tests in either group (P 0.15). If VO2max is the main parameter of interest, trained and untrained individuals can perform at least four maximal incremental cycling tests per day. However, because other parameters changed after the first and second test, respectively, no more than one test per day should be performed if parameters other than VO2max are the prime focus. KW - Maximal oxygen uptake KW - cardiopulmonary exercise testing KW - consecutive tests KW - study design KW - exhaustion KW - fatigue Y1 - 2014 U6 - https://doi.org/10.1080/17461391.2013.853208 SN - 1746-1391 SN - 1536-7290 VL - 14 IS - 5 SP - 459 EP - 467 PB - Routledge, Taylor & Francis Group CY - Abingdon ER -