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Item Open Access Acute and Chronic Effects of Whole-Body Vibration on Balance, Postural Stability, and Mobility in Women With Multiple Sclerosis(2018-12-27) Freitas, Eduardo D. S.; Fredericksen, Christine; Miller, Ryan M; Heishman, Aaron; Anderson, Mark; Pardo, Gabriel; Fjeldstad, Cecilie; Bemben, Debra A.; Bemben, Michael G.The acute and chronic effects of whole-body vibration (WBV) on balance, postural stability, and mobility were evaluated in 21 women with relapsing-remitting multiple sclerosis (MS) randomly assigned to control (n = 9) or experimental (n = 12) groups. To assess acute responses, outcome variables were assessed before and immediately after a session of WBV (five 30-second bouts of vibration; frequency 30 Hz; amplitude 3 mm; 1-minute rest intervals) during their first visit (week 1) using field (Timed-Up and Go; 500-m walk; Berg Balance Scale) and laboratory tests (NeuroCom Balance Master and EquiTest System—Sensory Organization Test, Adaptation Test, Limits of Stability, Modified Clinical Test for Sensory Integration of Balance, Unilateral Stance, Tandem Walk, Step/Quick Turn). Acute responses were also measured after their fifth visit for only the Adaptation and Sensory Organization tests. For the chronic responses, participants were exposed to the WBV protocol once a week, for a total of 5 weeks, and then at week 5, were reassessed with the Adaptation and the Sensory Organization tests. Neither acute nor chronic exposure to the WBV protocols used in this study resulted in significant improvements (P > .05) in balance, postural stability, or mobility as assessed by either field or laboratory tests. However, based on promising results from other studies that have used WBV with other clinical populations, either alone or in conjunction with exercise, additional studies that increase the dose of vibration exposure, both acutely and chronically, should be conducted in patients with MS.Item Open Access Acute Physiological Responses to Resistance Exercise With Continuous Versus Intermittent Blood Flow Restriction A Randomized Controlled Trial(2020-03-17) Freitas, Eduardo D.S.; Miller, Ryan M.; Heishman, Aaron D.; Ferreira-Júnior, João B.; Araújo, Joarmira P.; Bemben, Michael G.The primary goal of this investigation was to examine the physiological responses of blood flow restriction (BFR) resistance exercise (RE) performed with continuous or intermittent BFR and to compare these results to those from conventional high- and low-load RE without BFR. Fourteen men randomly completed the following experimental trials: (1) low-load RE with continuous BFR (cBFR), (2) low-load RE with intermittent BFR (iBFR), (3) low-load RE without BFR (LI), and (4) conventional high-load RE without BFR (HI). For the cBFR, iBFR, and LI exercise trials, participants performed four sets of 30–15–15–15 repetitions of the bilateral leg press (LP) and knee extension (KE) exercises, at an intensity of 20% of their one-repetition maximum (1-RM), at a 1.5-s contraction speed, and with a 1-min rest period between sets. The only difference between the cBFR and iBFR protocols was that the pressure of the cuffs was released during the rest intervals between sets for the iBFR trial. For the HI trial, participants completed four sets of 10 repetitions of the same exercises, at 70% of 1-RM, with a 1-min rest period between sets, and at the same contraction speed. Muscle activity was assessed during each set using superficial electromyography, as well as changes in blood lactate concentration [La–] from baseline at 5 min post exercise and in muscle swelling and plasma volume (%ΔPV) at 5 and 15 min post exercise. There were no significant differences in muscle activity (p < 0.05) across the cBFR, iBFR, and LI protocols at any time point, whereas they were all significantly lower than HI. There were also no significant (p < 0.05) differences across the three low-load RE conditions for [La–],%ΔPV, or muscle swelling. HI elicited significantly (p < 0.05) greater responses than cBFR, iBFR, and LI for all the physiological markers measured. In conclusion, RE combined with cBFR or iBFR induce the same acute physiological responses. However, the largest physiological responses are observed with HI, probably because of the significantly greater exercise volumes. Therefore, releasing the pressure of the restrictive cuffs during the rest periods between sets will not hinder the acute physiological responses from BFR RE.Item Open Access The Acute Physiological Responses to Traditional vs. Practical Blood Flow Restriction Resistance Exercise in Untrained Men and Women(2020-09-29) Freitas, Eduardo D. S.; Galletti, Bianca R.A.; Koziol, Karolina J.; Miller, Ryan M.; Heishman, Aaron D.; Black, Christopher D.; Bemben, Debra; Bemben, Michael G.This study compared the acute physiological responses of traditional and practical blood flow restriction resistance exercise (tBFR and pBFR, respectively) and high- and low-load resistance exercise without BFR (HL and LL, respectively), as well as the potential sex differences within the aforementioned exercise methods. Fourteen men and fifteen women randomly completed the following experimental conditions: (1) tBFR, consisting of four sets of 30-15-15-15 repetitions of the bilateral horizontal leg press and knee extension exercises, at 30% of one-repetition maximum (1-RM), with a 13.5 cm wide pneumatic cuff placed at the most proximal portion of each thigh and inflated to a pressure equivalent to 50% of the participant’s total occlusion pressure; (2) pBFR, which was the same as the tBFR condition, except that an elastic band wrapped around the proximal portion of each thigh at a tightness of 7 on a 0 to 10 perceived pressure scale was used to reduce blood flow; (3) LL, same as the tBFR and pBFR protocols, except that no BFR was applied; and (4) HL, consisting of 3 sets of 10 repetitions at 80% of 1-RM, with the same 1-min rest interval between sets and a 3-min rest period between exercises. At baseline, immediately post-, 5 min post-, and 15 min post-exercise, whole-blood lactate (WBL), indices of muscle swelling (muscle thickness and thigh circumference), hematocrit and plasma volume changes, were measured as well as superficial electromyography (sEMG) amplitude during exercise. There were no significant (p > 0.05) differences between the tBFR and pBFR exercise protocols for any of the physiological parameters assessed. However, significantly greater (p < 0.05) WBL and sEMG values were observed for HL compared to the remaining exercise conditions. Finally, males displayed greater WBL levels than females at 15 min post-exercise. Interestingly, males also displayed significantly (p < 0.05) greater sEMG amplitude than females within the low-load trials during leg press, but no significant (p < 0.05) sex differences were observed during knee extension. In conclusion, tBFR and pBFR seemed to be capable of inducing the same acute physiological responses. Furthermore, males displayed greater responses than females for some of the physiological parameters measured.Item Open Access Adaptations in antagonist co-activation: Role in the repeated-bout effect(2017-12-07) Hight, Robert E.; Beck, Travis; Bemben, Debra A.; Black, ChristopherEccentric exercise results in an adaptation which attenuates muscle damage from subsequent exercise—termed the “repeated-bout effect (RBE).” Purpose: Study examined antagonist co-activation and motor-unit recruitment strategy, assessed via dEMG, concomitant to the RBE. Methods: Nine participants performed 5 sub-maximal isometric trapezoid (ramp-up, hold, ramp-down) contractions at force levels corresponding to 50% and 80% of maximal isometric strength (MVC). Surface EMG signals of the biceps brachii were decomposed into individual motor-unit action potential trains. The relationship between mean firing rate (MFR) of each motor-unit and its recruitment threshold (RT) was examined using linear regression. Eccentric exercise was then performed until biceps brachii MVC had decreased by ~40%. Surface EMG of the biceps and triceps were collected during eccentric exercise. MVC, range-of-motion (ROM), and delayed onset muscle soreness (DOMS) were measured 24-hours, 72-hours, and 1-week following eccentric exercise. Three weeks later all procedures were repeated. Results: Changes in MVC (-32±14% vs -25±10%; p = 0.034), ROM (-11% vs 6%; p = 0.01), and DOMS (31.0±19mm vs 19±12mm; p = 0.015) were attenuated following the second bout of exercise. Triceps EMG was reduced (16.8±9.5% vs. 12.6±7.2%; p = 0.03) during the second bout of eccentric exercise. The slope (-0.60±0.13 vs -0.70±0.18; p = 0.029) and y-intercept (46.5±8.3 vs 53.3±8.8; p = 0.020) of the MFR vs. RT relationship was altered during contractions at 80% of MVC prior to the second bout of eccentric exercise. No changes were observed at 50% of MVC. Conclusion: A reduction in antagonist co-activation during the second bout of eccentric exercise suggests less total force was required to move an identical external load. This finding is supported by the increased negative slope coefficient and an increased y-intercept of the linear relationship between RT and MFR.Item Open Access Association of Vitamin D Status with Chronic Disease Risk Factors and Cognitive Dysfunction in 50–70 Year Old Adults(2019-01-11) Kaur, Japneet; Ferguson, Steven L.; Freitas, Eduardo; Miller, Ryan; Bemben, Debra; Knehans, Allen; Bemben, Michael G.Vitamin D deficiency/insufficiency has been primarily associated with skeletal disorders, however, since vitamin D receptors are found on multiple types of cells, there is also a link to increased chronic disease risk and all-cause mortality. The aim of this study was to examine whether deficient/insufficient vitamin D levels are associated with risk factors of chronic diseases and cognitive dysfunction in 50 to 70 year old adults. Participants completed the health status, three-day dietary record and vitamin D food frequency, sun exposure, and international physical activity questionnaires. Cognitive function of the participants was assessed using the Automated Neuropsychological Assessment Metrics while body composition (percent body fat, android/gynoid ratio) was assessed using Dual Energy X-ray Absorptiometry. Applanation tonometry was used to obtain pressure wave forms at the radial artery to examine arterial stiffness and central pressures. A fasting blood draw was taken to measure vitamin D, blood lipid and glucose levels. Fifty percent of the participants (36/72) were vitamin D deficient/insufficient. Individuals in the low physical activity (PA) group had lower serum vitamin D concentration compared to those in the high PA group (p = 0.04). Moreover, serum vitamin D levels were negatively related to risk factors of chronic diseases; blood glucose (r = −0.38; p = 0.01), triglycerides (r = −0.27; p = 0.02), and android/gynoid ratio (r = −0.32; p = 0.01). Deficient/insufficient vitamin D levels are linked to the risk factors of chronic diseases in men and women aged 50 to 70 years.Item Open Access Associations Between Two Athlete Monitoring Systems Used to Quantify External Training Loads in Basketball Players(2020-03-11) Heishman, Aaron; Peak, Keldon; Miller, Ryan; Brown, Brady; Daub, Bryce; Freitas, Eduardo; Bemben, Michael G.Monitoring external training load (eTL) has become popular for team sport for managing fatigue, optimizing performance, and guiding return-to-play protocols. During indoor sports, eTL can be measured via inertial measurement units (IMU) or indoor positioning systems (IPS). Though each device provides unique information, the relationships between devices has not been examined. Therefore, the purpose of this study was to assess the association of eTL between an IMU and IPS used to monitor eTL in team sport. Retrospective analyses were performed on 13 elite male National Collegiate Athletic Association (NCAA) Division I basketball players (age: 20.2 ± 1.2 years, height: 201.1 ± 7.6 cm, mass: 96.8 ± 8.8 kg) from three practices during the off-season training phase. A one-way analysis of variance was used to test differences in eTL across practices. Pearson’s correlation examined the association between the Distance traveled during practice captured by IPS compared to PlayerLoad (PL), PlayerLoad per Minute (PL/Min), 2-Dimensional PlayerLoad (PL2D), 1-Dimensional PlayerLoad Forward (PL1D-FWD), Side (PL1D-SIDE), and Up (PL1D-UP) captured from the IMU. Regression analyses were performed to predict PL from Distance traveled. The eTL characteristics during Practice 1: PL = 420.4 ± 102.9, PL/min = 5.8 ± 1.4, Distance = 1645.9 ± 377.0 m; Practice 2: PL = 472.8 ± 109.5, PL/min = 5.1 ± 1.2, Distance = 1940.0 ± 436.3 m; Practice 3: PL = 295.1 ± 57.8, PL/min = 5.3 ± 1.0, Distance = 1198.2 ± 219.2 m. Significant (p ≤ 0.05) differences were observed in PL, PL2D, PL1D-FWD, PL1D-SIDE, PL1D-UP, and Distance across practices. Significant correlations (p ≤ 0.001) existed between Distance and PL parameters (Practice 1: r = 0.799–0.891; Practice 2: r = 0.819–0.972; and Practice 3: 0.761–0.891). Predictive models using Distance traveled accounted for 73.5–89.7% of the variance in PL. Significant relationships and predictive capacities exists between systems. Nonetheless, each system also appears to capture unique information that may still be useful to performance practitioners regarding the understanding of eTL.Item Open Access Can Acupuncture Treatment of Hypertension Improve Brain Health? A Mini Review(2019-09-13) Sun, Jongjoo; Ashley, John; Kellawan, J. MikhailWith age, cerebrovascular and neurodegenerative diseases (e.g., dementia and Alzheimer’s) are some of the leading causes of death in the United States. Related to these outcomes is the increased prevalence of hypertension, which independently increases the development of cerebrovascular and neurodegenerative diseases. While a direct mechanistic link between hypertension and poor brain health is unknown, many hypothesize that the etiology stems from poor blood pressure (BP) and cerebrovascular regulation. This dysfunction fosters hypoperfusion of the brain, causing stress to the tissue through a nutrient mismatch, subtly damaging the brain over many years. Current Western medical treatment relies on pharmacological treatment (mainly beta-blockers, angiotensin-converting enzyme inhibitors, or a combination of the two). However, Western treatments have not been successful in mitigating brain health outcomes and are burdened with unwanted side effects and non-adherence issues. Alternatively, traditional East Asia medicine has used acupuncture as a treatment for hypertension and may offer a promising approach in response to the limitations of conventional therapy. While detailed clinical and mechanistic experimental evidence is lacking, acupuncture has been observed to reduce BP and improve endothelial function in hypertensive adults. Further, acupuncture has been shown to have specific cerebrovascular effects, increasing cerebrovascular reactivity in healthy adults, highlighting possible neuroprotective properties. Therefore, our review is aimed at evaluating acupuncture as a treatment for hypertension and the potential impact on brain health. We will interrogate the current literature as well as discuss the proposed neural and vascular mechanisms by which acupuncture acts.Item Open Access Cerebrovascular responses to graded exercise in young healthy males and females(2020-10-28) Ashley, John D.; Shelley, Joe H.; Sun, Jongjoo; Song, Jiwon; Trent, Jacob A.; Ambrosio, Luis D.; Larson, Daniel J.; Larson, Rebecca D.; Yabluchanskiy, Andriy; Kellawan, J. MikhailAlthough systemic sex‐specific differences in cardiovascular responses to exercise are well established, the comparison of sex‐specific cerebrovascular responses to exercise has gone under‐investigated especially, during high intensity exercise. Therefore, our purpose was to compare cerebrovascular responses in males and females throughout a graded exercise test (GXT). Twenty‐six participants (13 Females and 13 Males, 24 ± 4 yrs.) completed a GXT on a recumbent cycle ergometer consisting of 3‐min stages. Each sex completed 50W, 75W, 100W stages. Thereafter, power output increased 30W/stage for females and 40W/stage for males until participants were unable to maintain 60‐80 RPM. The final stage completed by the participant was considered maximum workload(Wmax). Respiratory gases (End‐tidal CO2, EtCO2), middle cerebral artery blood velocity (MCAv), heart rate (HR), non‐invasive mean arterial pressure (MAP), cardiac output (CO), and stroke volume (SV) were continuously recorded on a breath‐by‐breath or beat‐by‐beat basis. Cerebral perfusion pressure, CPP = MAP (0. 7,355 distance from heart‐level to doppler probe) and cerebral vascular conductance index, CVCi = MCAv/CPP 100mmHg were calculated. The change from baseline (Δ) in MCAv was similar between the sexes during the GXT (p = .091, ωp2 = 0.05). However, ΔCPP (p < .001, ωp2 = 0.25) was greater in males at intensities ≥ 80% Wmax and ΔCVCi (p = .005, ωp2 = 0.15) was greater in females at 100% Wmax. Δ End‐tidal CO2 (ΔEtCO2) was not different between the sexes during exercise (p = .606, ωp2 = −0.03). These data suggest there are sex‐specific differences in cerebrovascular control, and these differences may only be identifiable at high and severe intensity exercise.Item Open Access Comparing the Acute Effects of Intermittent and Continuous Whole-Body Vibration Exposure on Neuromuscular and Functional Measures in Sarcopenia and Nonsarcopenic Elderly Women(2018-07-31) Miller, Ryan M.; Heishman, Aaron D.; Freitas, Eduardo D. S.; Bemben, Michael G.This investigation examined the acute effects of continuous whole-body vibration (CWBV) and intermittent whole-body vibration (IWBV) on neuromuscular and functional measures in women with sarcopenia and nonsarcopenic women. Continuous whole-body vibration was one 6-minute exposure, while IWBV consisted of six 60-second exposures to rest intervals (30 Hz, 2-4 mm amplitude). Factorial analyses revealed group × exposure × time interactions for jump height (JH; F = 10.8, P = .002), grip strength (GS; F = 15.5, P < .001), timed up and go test (F = 11.7, P = .002), and sit and reach test (S&R; F = 9.7, P = .004). Both JH and GS significantly improved post-WBV in women with sarcopenia (P < .001), with post-IWBV significantly greater (P < .001) than post-CWBV. Timed up and go test and S&R significantly improved post-IWBV in both the groups (P < .001) with post-IWBV significantly better than post-CWBV (P < .001). Bench press power at 20% one repetition maximum (1RM) revealed an exposure × time interaction (F = 4.6, P = .04) illuminating that IWBV significantly improved muscular power (P < .001). Bench press power at 40% 1RM revealed group × exposure (F = 6.4, P = .016) and exposure × time interactions (F = 5.8, P = .022). Individuals with sarcopenia significantly increased power output (P < .001) post-IWBV which was significantly greater than post-CWBV (P = .037). Bench press power at 60% 1RM revealed an exposure × time interaction (F = 8.6, P = .006), indicating that power was significantly improved post-IWBV (P = .027) and decreased post-CWBV. Berg Balance scale revealed a time main effect (F = 6.64, P = .015), and pain discomfort was significantly lower post-IWBV. These data indicate IWBV may provide a more efficacious exposure pattern in older women when compared to CWBV.Item Open Access Countermovement Jump Inter-Limb Asymmetries in Collegiate Basketball Players(2019-04-30) Heishman, Aaron; Daub, Bryce; Miller, Ryan; Brown, Brady; Freitas, Eduardo; Bemben, Michael G.The purpose of the present study was to establish the intrasession and intersession reliability of variables obtained from a force plate that was used to quantitate lower extremity inter-limb asymmetry during the bilateral countermovement jump (CMJ). Secondarily, a comparison was performed to determine the influence of the jump protocol CMJ with or without an arm swing (CMJ AS and CMJ NAS, respectively) on inter-limb asymmetries. Twenty-two collegiate basketball players performed three CMJ AS and three CMJ NAS on dual force platforms during two separate testing sessions. A majority of variables met the acceptable criterion of intersession and intrasession relative reliability (ICC > 0.700), while fewer than half met standards established for absolute reliability (CV < 10%). CMJ protocol appeared to influence asymmetries; Concentric Impulse-100 ms, Eccentric Braking Rate of Force Development, Eccentric Deceleration, and Force at Zero velocity were significantly di erent between jumping conditions (CMJAS versus CMJ NAS; p < 0.05). The present data establish the reliability and smallest worthwhile change of inter-limb asymmetries during the CMJ, while also identifying the influence of CMJ protocol on inter-limb asymmetries, which can be useful to practitioners and clinicians in order to e ectively monitor changes associated with performance, injury risk, and return-to-play strategies.Item Open Access Development of a tobacco 21 policy assessment tool and state-level analysis in the USA, 2015–2019(2019-10-14) Dobbs, Page D.; Chadwick, Ginny; Ungar, Katherine W.; Dunlap, Chris M.; White, Katherine A.; Kelly, Michael CT; Cheney, Marshall K.Objective Policies raising the minimum legal sales age (MLSA) of tobacco products to 21 are commonly referred to as tobacco 21. This study sought to identify components of tobacco 21 policies and develop an instrument to examine policy language within 16 state laws adopted by July 2019. Methods The multistage tool development process began with a review of established literature and existing tobacco 21 policies. In a series of meetings, tobacco control experts identified key policy components used to develop an initial tool. After testing and revisions, the instrument was used to code the existing tobacco 21 state-level policies. Inter-rater reliability (κ=0.70) was measured and discrepancies were discussed until consensus was met. Policy component frequencies were reported by state. Results While all 16 states raised the MLSA to 21, the laws varied widely. Two laws omitted purchaser identification requirements. Fifteen laws mentioned enforcement would include inspections, but only three provided justification for conducting inspections. All 16 states provided a penalty structure for retailer/clerk violations, but penalties ranged considerably. Fourteen states required a tobacco retail licence, nine renewed annually. Six laws contained a military exemption, five were phased-in and 10 contained purchase, use or possession laws, which penalised youth. Four states introduced or expanded pre-emption of local tobacco control. Conclusions The instrument developed is the first to examine policy components within state-level tobacco 21 laws. Policies that include negative components or omit positive components may not effectively prevent retailers from selling to youth, which could result in less effective laws.Item Open Access Evaluation of Power Production Asymmetry during Cycling in Persons with Multiple Sclerosis(2019-09-17) Farrell, John W.; Bemben, Debra A.; Black, Christopher D.; Larson, Daniel J.; Pardo, Gabriel; Fjeldstad-Pardo, Cecilie; Larson, Rebecca D.; Open access fees provided in whole or in part by the University of Oklahoma Libraries.Lower limb asymmetries have been observed in persons with multiple sclerosis (PwMS), and have been associated with mobility impairment. An incremental cycling test was performed on a cycle ergometer to determine peak power output (PPO) and peak oxygen consumption (VO2peak). Then, participants cycled at 50%, 60%, and 70% of their PPO to assess the contribution of each lower limb to power production. Two-way repeated measures ANOVA was used to detect group × intensity differences in power production asymmetry. Eight PwMS and six healthy individuals (Non-MS) completed the study. No statistically significant (p > 0.05) group × intensity interactions or main effects were present when examining between-limb differences in power production. The current data do not indicate a statistically significant difference in power production asymmetry between groups and exercise intensities. Previous research has established a 10% difference between contralateral limbs as a threshold for asymmetry. The average asymmetry in power production in PwMS exceeded the 10% threshold at all measured outputs, suggesting the presence of asymmetry in power production.Item Open Access An evaluation of the reliability of the foot-tapping test in a healthy sample(2021-07-12) Pribble, Brian A.; Black, Christopher D.; Larson, Daniel J.; Larson, Rebecca D.The foot-tapping test (FTT) can be used to assess upper motor neuron dysfunction in clinical populations. However, relatively little is known regarding the reliability or normative values of the FTT in either healthy or clinical populations. Although several different FTT methods have been used, no study to date has demonstrated the reliability or validity of FTT by comparing it across several different counting methods in healthy persons. This unfortunately limits its usefulness in medicine and research.Item Open Access Influence of Adjuvant Therapy in Cancer Survivors on Endothelial Function and Skeletal Muscle Deoxygenation(2016-01-25) Ederer, Austin; Didier, Kaylin; Reiter, Landon; Brown, Michael; Hardy, Rachel; Caldwell, Jacob; Black, Christopher; Larson, Rebecca; Ade, CarlItem Open Access The Influence of Countermovement Jump Protocol on Reactive Strength Index Modified and Flight Time: Contraction Time in Collegiate Basketball Players(2019-02-12) Heishman, Aaron; Brown, Brady; Daub, Bryce; Miller, Ryan; Freitas, Eduardo; Bemben, Michael G.The purpose of the present investigation was to evaluate differences in Reactive Strength Index Modified (RSIMod) and Flight Time to Contraction Time Ratio (FT:CT) during the countermovement jump (CMJ) performed without the arm swing (CMJNAS) compared to the CMJ with the arm swing (CMJAS), while exploring the relationship within each variable between jump protocols. A secondary purpose sought to explore the relationship between RSIMod and FT:CT during both jump protocols. Twenty-two collegiate basketball players performed both three CMJNAS and three CMJAS on a force plate, during two separate testing sessions. RSIMod was calculated by the flight-time (RSIModFT) and impulse-momentum methods (RSIModIMP). CMJ variables were significantly greater during the CMJAS compared to CMJNAS (p < 0.001). There were large to very large correlations within each variable between the CMJAS and CMJNAS. There were significant positive correlations among RSIModFT, RSIModIMP, and FT:CT during both the CMJAS (r ≥ 0.864, p < 0.001) and CMJNAS (r ≥ 0.960, p < 0.001). These findings identify an increase in RSIMod or FT:CT during the CMJAS, that may provide independent information from the CMJNAS. In addition, either RSIMod or FT:CT may be utilized to monitor changes in performance, but simultaneous inclusion may be unnecessary.Item Open Access Influence of prior anterograde shear rate exposure on exercise-induced brachial artery dilation(2015-05-25) Ade, Carl J.; Brown, Michael G.; Ederer, Austin K.; Hardy, Rachel N.; Reiter, Landon K.; Didler, Kaylin D.Shear rate can elicit substantial adaptations to vascular endothelial function. Recent studies indicate that prior exposure to anterograde flow and shear increases endothelium-dependent flow-mediated dilation at rest and that anterograde shear can create an anti-atherosclerotic and provasodilatory state. The primary aim of the present study was therefore to determine the effects of prior exposure to anterograde shear on exercise-induced brachial artery dilation, total forearm blood flow (FBF), and vascular conductance (FVC) during dynamic handgrip exercise. Eight men completed a constant-load exercise test corresponding to 10% maximal voluntary contraction, prior to (baseline) and following a 40 min shear rate intervention (post-SRI) achieved via unilateral forearm heating, which has previously been shown to increase anterograde shear rate in the brachial artery. During the SRI, anterograde shear rate increased 60.9 ± 29.2 sec−1 above baseline (P < 0.05). Post-SRI, the exercise-induced brachial artery vasodilation was significantly increased compared to baseline (4.1 ± 0.7 vs. 4.3 ± 0.6 mm, P < 0.05). Post-SRI FBF mean response time (33.2 ± 16.0 vs. 23.0 ± 11.8 sec, P < 0.05) and FVC mean response time (31.1 ± 12.8 20.2 ± 10.7 sec, P < 0.05) at exercise onset were accelerated compared to baseline. These findings demonstrate that prior exposure to anterograde shear rate increases the vascular responses to exercise and supports the possible beneficial effects of anterograde shear rate in vivo.Item Open Access Menstrual cycle effects on exercise-induced fatigability(2020-06-26) Pereira, Hugo M.; Larsen, Rebecca D.; Bemben, Debra A.Estrogen and progesterone have distinct concentrations across the menstrual cycle, each one promoting several physiological alterations other than preparing the uterus for pregnancy. Whether these physiological alterations can influence motor output during a fatiguing contraction is the goal of this review, with an emphasis on the obtained effect sizes. Studies on the topic frequently attempt to report if there is a statistical significant difference in fatigability between the follicular and luteal phases of the menstrual cycle. Although the significant difference (P value) can inform the probability of the event, it does not indicate the magnitude of it. We also investigated whether type of task performed (e.g., isometric vs. dynamic) can further influence the magnitude by which exercise-induced fatigue changes with fluctuations in the concentration of ovarian hormones. We retrieved experimental studies in eumenorrheic women published between 1975 and 2019. The initial search yielded 920 studies and after manual refinement, 46 experimental studies that reported metrics of motor output in both the follicular and luteal phases of the menstrual cycle were included. From these retrieved studies, 15 showed a statistical difference between the luteal and follicular phases (7 showing less fatigability during the luteal phase and 8 during the follicular phase). The effect size was not consistent across studies and with a large range (-6.77; 1.61, favoring the luteal and follicular phase respectively). The inconsistencies across studies may be a consequence of the differences in the limb used during the fatiguing contraction (upper vs. lower extremity), type of contraction (isometric vs. dynamic), the muscle mass engaged (single limb vs. full body), and the techniques used to define menstrual cycle phase (e.g. serum concentration vs. reported day of menses). Further studies are required to determine the effects of regular menstrual cycle phase on the exercise-induced fatigability.Item Open Access Monitoring External Training Loads and Neuromuscular Performance for Division I Basketball Players over the Preseason(2020-02-24) Heishman, Aaron D.; Daub, Bryce C.; Miller, Ryan M.; Freitas, Eduardo D. S.; Bemben, Michael G.Limited research has paralleled concomitant changes in external training load (eTL) and countermovement jump (CMJ) performance. Therefore, this investigation characterized eTL and CMJ performance changes across preseason training in Division 1 male collegiate basketball athletes, while examining the influence of position (Guard vs. Forward/Center) and scholarship status (Scholarship = S vs. Walk-on = WO). During 22 practices, eTL was monitored in 14 male athletes, with weekly CMJs performed to quantify neuromuscular performance (Jump Height [JH], Flight Time:Contraction Time [FT:CT], Reactive Strength Index Modified [RSIMod ]). PlayerLoad per minute was significantly higher during W1 and W2 (5.4 ± 1.3au and 5.3 ± 1.2au, respectively; p < 0.05) compared to subsequent weeks, but no additional differences in eTL parameters across time were observed. Scholarship athletes displayed greater PlayerLoad (S = 777.1 ± 35.6, WO = 530.1 ± 56.20; Inertial Movement Analysis (IMA) IMA_High (S = 70.9 ± 15.2, WO = 41.3 ± 15.2); IMA_Medium (S = 159.9 ± 30.7, WO = 92.7 ± 30.6); and IMA_Low (S = 700.6 ± 105.1, WO = 405 ± 105.0;) (p < 0.05), with no observed differences in eTL by position. Moderate decreases in FT:CT and RSIMod paralleled increased eTL. Significant increases in practice intensity (W1 and W2) did not impact CMJ performance, suggesting athletes could cope with the prescribed training loads. However, moderate perturbations in FT:CT and RSIMod paralleled the weeks with intensified training. Cumulatively, scholarship status appears to influence eTL while player position does not.Item Open Access Short-Term Analysis (8 Weeks) of Social Distancing and Isolation on Mental Health and Physical Activity Behavior During COVID-19(2021-03-18) Peterson, Jessica Anne; Chesbro, Grant; Larson, Rebecca; Larson, Daniel; Black, Christopher D.Due to the COVID-19 pandemic, cities and states adopted social distancing, social isolation, or quarantine measurements to slow the transmission of the disease. Negative mental health outcomes including depression and anxiety have been associated with social distancing or social isolation. The purpose of the present study was to examine changes in psychological health and physical activity over an 8 week period under social distancing policies during the COVID-19 pandemic.Item Open Access Unilateral fatiguing exercise and its effect on ipsilateral and contralateral resting mechanomyographic mean frequency between aerobic populations(2017-02-27) Wages, Nathan P.; Beck, Travis W.; Ye, Xin; Carr, Joshua C.The purpose of this investigation was to establish a better understanding of contralateral training and its effects between homologous muscles following unilateral fatiguing aerobic exercise during variable resting postural positions, and to determine if any observable disparities could be attributed to the differences between the training ages of the participants. Furthermore, we hypothesized that we would observe a contralateral cross-over effect for both groups, with the novice trained group having the higher mechanomyographic mean frequency values in both limbs, across all resting postural positions. Twenty healthy male subjects exercised on an upright cycle ergometer, using only their dominate limb, for 30 min at 60% of their VO2 peak. Resting electromyographic and mechanomyographic signals were measured prior to and following fatiguing aerobic exercise. We found that there were resting mechanomyographic mean frequency differences of approximately 1.9 ± 0.8% and 0.9 ± 0.7%; 9.1 ± 0.3% and 10.2 ± 3.7%; 2 ± 1.8% and 3 ± 1.4%; and 0.9 ± 0.6% and 0.2 ± 1.3% between the novice and advanced trained groups (for the upright sitting position with legs extended 180°; upright sitting position with legs bent 90°; lying supine position with legs extended 180°; and lying supine with legs bent 90°, respectively), from the dominant and nondominant limbs, respectively. We have concluded that despite the relative matching of exercise intensity between groups, acute responses to contralateral training become less accentuated as one progresses in training age. Additionally, our results lend support to the notion that there are multiple, overlapping neural and mechanical mechanisms concurrently contributing to the contralateral cross-over effects observed across the postexercise resting time course.