CC22

The aim of the get up and go drill for rugby players is to develop the ability to accelerate from a low body position, which is especially important when accelerating into a potential contact situation.

Bridging the Gap from Rehab to Performance

Assessing Your Client for Metabolic Syndrome

Resistance training (RT) is a nonpharmacological complement to cancer treatments due to its effectiveness in attenuating sarcopenia, cardiotoxicity, fatigue, and emotional disorders common in oncology patients. To adequately program and evaluate the acute or long-term effects of this type of training, a proper evaluation of the patients’ strength levels is necessary. Strength evaluations traditionally applied to this population required reaching muscle or technical failure, which could increase their discomfort levels, risk of injury, or other complications associated with the disease. In this regard, this manuscript described different dynamic and isometric evaluations recommended to accurately and safely evaluate the strength of the oncology population. Concerning dynamic evaluations, the velocity based method is recommended to determine the capacity of the patient to apply force against maximal (i.e., 1 repetition maximum) and submaximal loads. The sit-to-stand or vertical jump tests are also proposed as alternatives to evaluate dynamic strength using body weight. For isometric assessments, the knee extension and handgrip tests could complement dynamic evaluations or replace them for patients with very low strength levels. Besides describing in depth the aforementioned evaluations, the current review proposes important methodological aspects to ensure their accurate, reliable, and safe implementation.

Resistance training or strength training has become one of the most popular forms of exercise, because it is the only method capable of improving physical fitness and increasing muscle mass simultaneously. Among the variables of training, the relationship between intensity and volume has been extensively addressed to enhance exercise induced muscular hypertrophy. For many, mechanical stress is seen as a factor of greater relevance and, because high loads promote greater mechanical tension and high intensities are traditionally used to increase muscle mass. However, evidence has shown greater safety and similar results through training based on lower intensities and increased training volume. Thus, this narrative review aimed to search the current literature for evidence on using different training loads to promote muscle hypertrophy. An extensive nonsystematic literature review was conducted in the PubMed, Google Scholar and Scielo databases. It was possible to conclude that the use of high and low intensity promotes similar results in muscle hypertrophy in all groups, leading to the belief that there is greater safety and adherence to the use of lower intensities compared with close effort to concentric failure.

The physiological response to breath holding includes bradycardia and peripheral vasoconstriction, which contrasts with that of exercise which includes tachycardia and peripheral vasodilation. This raises the question as to what the physiological response is to breath holding during exercise. During low-intensity exercise, the breath holding response of bradycardia and peripheral vasoconstriction prevails over the exercise response of tachycardia and peripheral vasodilation, but nevertheless the exercise may be sustained. Due to the lack of availability of extrinsic oxygen (O 2 ) from the atmosphere during breath holding, the energy demands can be met by increased reliance on intrinsic O 2 stores (i.e., O 2 that was in the body before the breath hold) via increased O 2 extraction at the muscle compared with exercise while breathing, or increased contributions from anaerobic energy systems. During high intensity exercise of short duration, the exercise response may prevail over the breath holding response due to the increased parasympathetic withdrawal and sympathetic drive of higher intensity exercise. If breath holding during high-intensity exercise was sustained for long enough, the breath holding response may eventually overcome the exercise response, although this may be difficult due to the inverse relationship between exercise intensity and breath hold duration.

The use of exercise interventions to maximize athletes’ performance is a common practice in competitions. This systematic review aimed to compile research that explored the effectiveness of priming strategies to maximize physical performance in track and field. The literature search was conducted from PubMed and Scopus. One hundred eighty-two studies were assessed against the inclusion criteria: (a) minimum 1-year participation/competition experience; (b) randomized controlled trials with pre-post intervention outcomes; and (c) studies involving exercise interventions applied #6 hours before outcome measures were collected. Fifteen studies satisfied the criteria and were categorized according to the exercise interventions used (i.e., resistance training, plyometric/ ballistic training, resisted sprints, and modified warm-ups). Heavy-loaded resistance training (i.e., .85% 1 repetition maximum) and resisted sprints increased subsequent sprint performance. Plyometrics/ballistic training also positively impacted subsequent jumping (i.e., long jump) and throwing performance (i.e., shot put). Modified warm-ups (i.e., high-intensity sprints and heavier throwing implements) also improved subsequent running and throwing performance. Overall, exercise interventions performed at high intensity and low volume augment subsequent physical performance as close to 4 minutes before the event. However, a sufficient recovery interval must be considered for a positive performance response.