Medical Education Commons^™

Tibial Stress Fractures, Rowdy S. Teaff

International Journal of Exercise Science: Conference Proceedings

CLINICAL PRESENTATION & EXAM: Distance runners are prone to stress fractures, in particular, tibial stress fractures appear to be more common due to their rear foot striking pattern (RFS). A tibial stress fracture is a bone stress injury (BSI) that usually occurs on the diaphysis of the tibia as a result of overuse. Local and radiating pain along the anterior surface of the tibia is one of the primary symptoms that patients with tibial stress fractures exhibit. An inability to bear weight on it may also occur in more serious cases. ANATOMY & PATHOLOGY: Bone stress is a …

Accelerated Rehabilitation Protocol On Plantar Fasciitis, Alissa Bello, Zacharias Papadakis

International Journal of Exercise Science: Conference Proceedings

CASE HISTORY:The patient is a 21-year-old collegiate soccer player who suffered from acute mild to severe plantar fasciitis on the left foot for 12 months. Early onset symptoms began with pain in the morning and after training sessions in the medial and calcaneal region. PHYSICAL EXAM:The plantar fasciitis examination identified pain in the medial plantar calcaneal region with palpation, hyper-pronation of the left foot, slightly abnormal gait, numbness radiating on the peroneal nerve to outer left knee, and discomfort in the proximal plantar fascia with passive ankle dorsiflexion. She had poor range of motion (ROM) in dorsiflexion with …

The Neuromuscular And Muscle Damage Responses To The Farmers Walk: A Pilot Study, Jeb F. Struder, Arriana M. Mcdonald, Jordan B. Wainwright, Joseph B. Eberhardt, Zeina Nader, Noe Deanda, Souhad Z. Bachnack, Cody Haenitsch, Stephen Cumberledge, Daniel E. Newmire, Mikaela D. Boham, Heather E. Webb

International Journal of Exercise Science: Conference Proceedings

The Farmer’s Walk (FW) has been suggested as a useful supplement to resistance training due to its premise as a functional training tool. Minimal information is available concerning biochemical and neuromuscular responses associated with performing the FW. Current literature regarding risks of muscle damage associated with the FW are limited impacting possible use in exercise prescription and application. PURPOSE: The purpose of the study was to investigate the neuromuscular and biochemical responses to the FW when compared to an individual’s unloaded walking pattern (Non-weighted condition; NWC). METHODS: Fifteen participants (Mean ± SEM; age: 21.6 ± 0.5yo; ht: 172.5 …

Predicting Resting Metabolic Rate In Healthy Adults Using Body Composition And Circumference Measurements, Kristi L. Chase, Kyle T. Patek, John L. Walker, Joni A. Mettler Ph.D

International Journal of Exercise Science: Conference Proceedings

Measurement of resting metabolic rate (RMR) is an important factor for weight management. Previous research has reported several variables to estimate RMR such as body size, percent fat (%BF), age, and sex; however, little is known regarding the effect of circumference measures in estimating RMR. PURPOSE: The purpose of this study was to develop a model to estimate RMR using waist circumference (WC), an easily obtainable measure, and cross-validate it to previously published models. METHODS:Subjects were 140 adult men and women, ages 18-65 years. RMR was measured through indirect calorimetry, %BF was measured through air displacement plethysmography, and fat …

The Effect Of Preparatory Motion And Visual Vs. Audio Cues On Response Time, Katherine Bricarell, Scott P. Mclean

International Journal of Exercise Science: Conference Proceedings

In many sports, athletes must perceive and interpret information quickly and effectively to provide sufficient time to plan and execute subsequent movements (Filipic et al., 2009). Preparatory movements in discrete motor skills may improve such performance by enhancing processes such as the stretch-shortening response (Bernardi et al., 1998). For example, in a tennis service return, athletes have incorporated a preparatory small vertical jump (referred to as a “split step”) to reduce reaction time (Filipic et al., 2017). Such preparatory movements are now being used by baseball and softball position players in an attempt to improve their fielding response. Supporting evidence …

Can Changes In Running Biomechanics Under Body Weight Support Conditions Lead To Improvements In Aerobic And Anaerobic Energy Capacities?, Shernice A. Thomas, Christopher J. Arellano

International Journal of Exercise Science: Conference Proceedings

During the ground contact phase of running, muscles in the lower limb are required to generate force to support body weight which is the most energy-demanding task during running. We are interested in understanding how running mechanics change when we reduce the need for body weight support and how these effects determine maximal metabolic power at top speed. PURPOSE: We aim to determine the biomechanical determinants that underlie peak metabolic power during body weight (BW)-supported running. METHODS: Twenty-five healthy young adults (age 18-36, M/F, BMI < 30.0) who are experienced runners will be recruited for this study. Subjects will complete a graded exercise test to determine their peak metabolic power output at 100% BW at 75% BW. During each trial, subjects’ rates of expired oxygen and carbon dioxide, stance and leg swing times, rating of perceived exertion (RPE), and heart rate will be recorded. RESULTS: Our preliminary findings show that similar peak metabolic power output values, at top speeds, …

The Effects Of Two Post-Activation Potentiation Methods On Muscular Activation, Ileana A. Jarquin, Samuel Montalvo, Daniel Conde, Gabriel Ibarra-Mejia, Sandor Dorgo

International Journal of Exercise Science: Conference Proceedings

Post Activation Potentiation (PAP) is an exercise concept based on utilizing a maximal voluntary contraction of the muscles at task to potentiate a dynamic muscular contraction of the same muscles. It is well established that PAP is modulated between performance readiness and muscular fatigue. Heart Rate percentage (HR%) has been used as an indicator of performance readiness and muscular fatigue. PURPOSE: To examine different muscular activation (μV) in response to two different PAP protocols during the vertical jump exercise. METHODS: 8 participants (5 males and 3 females; mean ± SD: Age = 22.6 ± 1.76 years; Height …

Exercise Cerebral Blood Flow Hemodynamics Differ In Hot Dry And Humid Conditions, Julianna J. Kilpatrick, Paolo Miguel Salvador, Kyleigh Allie, Eric Rivas

International Journal of Exercise Science: Conference Proceedings

Passive and exercise-heat stress have been reported to cause reductions in cerebral blood flow (CBF); however, it is unknown if CBF velocity is different under hot dry and humid conditions. PURPOSE: This project tested the hypothesis that upright rest and exercise-heat stress in hot dry and humid conditions result in similar CBF reductions. METHODS: Seven healthy active (7 day activity: 9887±3564 steps/day; VO₂max: 52±10 mL/kg/min) subjects (5M/2F, 24±9y, 171±6cm, 68±7kg) completed a 30 min baseline rest followed by 60 min of exercise at a rate of perceived exertion (RPE) of 12 (between light and somewhat hard) on a …

Similarities In Vasoconstrictor Responsiveness To Exogenous Norepinephrine In The Cutaneous Circulation Between Young Black And White Men, Rauchelle E. Richey, John Akins, Jeremiah Campbell, Guillermo Olvera, Zachary Martin, R Matthew Brothers

International Journal of Exercise Science: Conference Proceedings

Black (BL) men have an increased risk of hypertension and CVD compared to white (WH) men which is partially related to vascular dysfunction. In particular, elevated vascular resistance and increased sympathetic vascular transduction (SVT; greater constrictor and blood pressure responses for a burst of sympathetic nerve activity) may be a contributing factor. Previous reports indicate that BL men have exaggerated responses to a variety of stressors including cold pressor, orthostasis, and exercise; while also exhibiting increased SVT at rest. Additionally, rodent models indicate that oxidative stress contributes to heightened SVT. For example, hypertensive rats have elevated SVT which is attenuated …

Impact Of Time Restricted Feeding On Markers Of Cardiometabolic Health, Liliana I. Renteria, Elias Villalobos, Hunter S. Waldman, Matthew J. Mcallister

International Journal of Exercise Science: Conference Proceedings

Time restricted feeding (TRF) is a form of intermittent fasting in which all calories are consumed within a certain amount of time (i.e. 6-8 hrs) only water is ingested for the remainder of the day. Previous research shows improvements in body composition and some markers of cardiometabolic health, but it is not clear if these results were due to the decreased eating window, or due to a decrease in caloric intake that typically occurs with fasting protocols. PURPOSE: to assess whether a caloric deficit is necessary to achieve improvements in cardiometabolic health as well as evaluate the impact TRF has …

The Effect Of Neuromuscular Electrical Stimulation On Metabolic Changes In A Sedentary Population: A Pilot Study, Michelle Galvan, Jasmin Jenkins, Sudip Bajpeyi

International Journal of Exercise Science: Conference Proceedings

The Centers for Disease Control and Prevention (2015) declared that 80% of U.S. adults do not meet exercise recommendations by ACSM. Skeletal muscle contraction has been shown to increase mitochondrial content (energy production) and glucose uptake (decreased insulin resistance). Neuromuscular Electrical Stimulation (NMES) utilizes electrical impulses to induce muscle contractions and can be used as an alternate strategy to induce muscle contraction in sedentary adults. However, it is not clear if NMES induced muscle contraction may improve insulin sensitivity and metabolic health. PURPOSE: The purpose of this study was to investigate the effects of two weeks of NMES on …

The Effects Of Combined Exercise Training On Flow-Mediated Dilation And C-Reactive Protein In Overweight, Postmenopausal Women, Carmen A. Cook, Andreas Kreutzer, Michael M. Levitt, Maria A. Cardenas, Gail Teagle, Kirby Thames, Dennis J. Cheek, Melody D. Phillips

International Journal of Exercise Science: Conference Proceedings

Obesity-related inflammation, especially coupled with a decline in estrogen post menopause, leads to endothelial dysfunction where the endothelium is unable to adequately dilate in response to sheer stress. C-Reactive Protein (CRP) may cause endothelial dysfunction through superoxide production and downregulation of endothelial nitric oxide synthase leading to decreased nitric oxide production. Exercise training improves endothelial function through adaptations to increase nitric oxide bioavailability and regulation of superoxide production. PURPOSE: To determine the influence of acute and chronic combined resistance and aerobic exercise on flow-mediated dilation (FMD) and CRP in overweight to obese, postmenopausal women, as well as determining potential …

Pacing Strategies In The 200 Yard Freestyle By Collegiate Men, Peter Robinson, Scott P. Mclean

International Journal of Exercise Science: Conference Proceedings

ABSTRACT

Examination of components of a 200 yd freestyle race may provide useful information for understanding how pacing strategy contributes to successful performance. PURPOSE: To compare 50-yd splits of a 200-yd freestyle race in higher performing and lower performing swimmers to assess if pacing strategy differs between groups. METHODS: An ex post facto design was used employed to create a dataset of 200 yd freestyle results. Split times were generated for each 50 yard segment of a 200 yd race for two performance groups of swimmers; the first and last four finalists in eight conference championships each for NCAA Division …

A Family History Of Type 2 Diabetes Does Not Impact Skeletal Muscle Lipid Content, Jasmin Jenkins, Sudip Bajpeyi

International Journal of Exercise Science: Conference Proceedings

A high intramyocellular lipid (IMCL) has been associated not only with insulin resistance, obesity, and type 2 diabetes; but also in insulin sensitive endurance trained athletes – known as “athlete’s paradox”. A family history of type 2 diabetes (FH+) has been shown as a risk factor for the development of insulin resistance and type 2 diabetes (T2D). However, it is unclear whether a FH+ affects IMCL content and exercise induced changes in IMCL when compared to those without a family history of type 2 diabetes (FH-). PURPOSE: The purpose of this study were 1) to compare IMCL content between …

Walking With Leg Blood Flow Restriction: Wide-Rigid Cuffs Vs. Narrow-Elastic Bands, Sten Stray-Gundersen, Savannah V. Wooten, Hirofumi Tanaka

International Journal of Exercise Science: Conference Proceedings

Blood flow restriction (BFR) training has become a popular form of exercise in recent years. The concept is that light-load exercise with BFR elicits similar adaptations achieved with heavy-load exercise. Walking exercise in combination with pressurized wide-rigid (WR) cuffs has been shown to elicit higher cardiac workload and a vascular dysfunction due presumably to reperfusion injury to the endothelium. In contrast, narrow-elastic (NE) BFR bands may elicit different hemodynamic effects, as the limb is able to increase in diameter with increased blood flow accompanying exercise. PURPOSE: To compare two distinct forms of BFR bands during light-intensity exercise on cardiovascular …

Attenuated Pulsatile Load During Metaboreflex Activation Is Associated With Excess Adiposity In Dynapenic Postmenopausal Women, Arun Maharaj, Salvador Jaime, Stephen Fischer, Arturo Figueroa

International Journal of Exercise Science: Conference Proceedings

The age-related loss in muscle strength (dynapenia) is associated with elevated blood pressure (BP) and fat mass (FM). Aortic pulse pressure (PP), rather than brachial PP, more closely relates to cardiovascular events because it represents left ventricular pulsatile load, which is particularly important in older women. Purpose: To examine the impact of dynapenia and adiposity on aortic BP responses to metaboreflex activation (post-exercise muscle ischemia, PEMI) in postmenopausal women. Methods: 71 postmenopausal women [(dynapenic, n=41, 57±1 years), (non-dynapenic, n=30, 59±1 years)] were included in this study. FM, percent body fat (BF%) and percent lean mass (LM%) were measured using Dual …

Lower Leg Lean Mass Is Associated With Reduced Pulse Pressure Amplification In Postmenopausal Women, Stephen M. Fischer, Salvador J. Jaime, Arun Maharaj, Arturo Figueroa

International Journal of Exercise Science: Conference Proceedings

Sarcopenia, the age-related loss of skeletal muscle mass, has been associated with increased arterial stiffness (pulse wave velocity, PWV). Lower leg muscle mass has been associated with increased brachial-ankle PWV (baPWV), a measure of systemic arterial stiffness. Pulse pressure (PP) is lower in the aorta compared to the brachial artery (PP amplification, PPA), in healthy individuals. PPA decreases with aging due to increased aortic stiffening. Lower PPA is an independent predictor of cardiovascular death. It is unknown whether leg muscle mass is associated with lower PPA in postmenopausal women. Purpose: To examine relationships between leg lean mass (LegLM), PPA, and …

Low Intensity Exercise Has Greater Acute Vascular Benefits For Reducing Arterial Stiffness In Hot Compared To Neutral Conditions, Kyleigh N. Allie, Julianna Kilpatrick, Paolo Salvador, Eric Rivas

International Journal of Exercise Science: Conference Proceedings

Both exercise and passive heating cause acute reductions in blood pressure. It is unknown if exercise-heat stress causes likewise reductions or greater when combined. PURPOSE: This project tested the hypothesis that the resting and exercise-heat stress cause hypotension and improvements in arterial stiffness. METHODS: Seven healthy active (7 day activity: 9887±3564 steps/day; VO2max: 52±10 mL/kg/min ) subjects (5M/2F, 24±9y, 171±6cm, 68±7kg) completed a 30 min baseline rest followed by 60 min at an exercise intensity of their choice that represented their perceived exertion (RPE) of 12 (between light and somewhat hard) on a 20-point rating scale while being blinded to …

The Effects Of A Single Bout Of Endurance Exercise On Glucose Transporter-4 (Glut-4) Content, Manuel Gomez, Sudip Bajpeyi

International Journal of Exercise Science: Conference Proceedings

Glucose Transporter protein-4 (GLUT-4) is considered the predominant glucose transporter in skeletal muscle. Exercise has been shown to increase glucose uptake and GLUT-4 protein content in skeletal muscle following muscle contraction. PURPOSE: To determine the acute effects of a single bout of moderate intensity endurance exercise on skeletal muscle GLUT-4 content. METHODS: 10 healthy male volunteers (age: 24.4 ± 1.3 years; BMI 23.16 ± 0.60 kg/m²) participated in a single bout of endurance exercise on a cycle ergometer at 65% maximal aerobic capacity (VO_2max) for 1.5 – 2.0 hours (650kcal). Muscle biopsies were obtained from the vastus …

Intra-Day Variation In Lean Body Mass And Skeletal Muscle Mass Measures: A Pilot Study, Noe Deanda, Jordan B. Wainwright, Jeb F. Struder, Daniel Newmire

International Journal of Exercise Science: Conference Proceedings

Lean body mass (LBM) and its estimated measure of skeletal muscle mass (SKMM) is ~30 to ~40 % of total body weight. Measuring SKMM is an important assessment for both exercise and nutritional research. There is biological variation in dual X-ray absorptiometry (DXA) estimates related to subject presentation, changes in tissue hydration, as well as GI tract contents. PURPOSE: The purpose of this study is to examine how normal activities (e.g. eating, sleeping, exercise) influence LBM and SKMM measures using DXA in college students. METHODS: (Mean ± SEM; n = 42; Age: 26.9 ± 0.4 y; ht: 169.2 …