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Objective: To examine the effects of positioning and sleeve type bracing on passive position sense of shoulder joints of healthy untrained subjects. Method: A cross over study was carried out on 26 subjects (13 male, 13 female) with a proprioception measurement device. The selected method of testing was passive reproduction of a target angle. Both shoulder joints of all the subjects were evaluated with and without a compressive neoprene sleeve type of brace at two different start positions (45˚internal rotation, 75˚external rotation) with an angular rotational movement at a constant speed of 0.5˚/s. The angular displacements from the target angles at the end of the reproduction tests were recorded as position sense deficit scores. Results: The overall mean (SD) deficit score (0.99 (0.06)) was significantly (p,0.001) lower with the brace than without, and the overall mean deficit score was significantly (p,0.001) higher at the 45˚internal rotation start position than at the 75˚external rotation start position. However, there was no significant (p.0.05) interaction between brace application and start position. Conclusion: Terminal limits of range of motion facilitate the position sense of shoulder joints. Compressive brace application improves the passive positioning sense possibly by stimulating cutaneous mechanoreceptors.

This study was undertaken to investigate the relationship between blood lactate concentration ([La]) and heart rate (HR) values obtained during treadmill and field tests at fixed velocities with respect to interchangeability of results to be used in exercise prescription. A total of 22 male soccer players participated in the study. Each player performed exercise tests on a motorized treadmill and in the field with 3-min runs and 30 s allowed for blood sampling. During both tests, velocities at the first, second, and third stages were 8, 10, and 12 km x hr(-1), respectively. Velocity was then increased by 1 km x hr(-1) every 3 min until exhaustion. During the field test, players ran on artificial turf on a 120-m hexagonal track marked with cones placed 20 m apart. Running velocity was controlled by means of audio signals. Blood samples were analyzed immediately with an automated lactate analyzer. HR was monitored continuously at 5-s intervals. Data were analyzed with Student's paired t tests to look for differences between treadmill and field data. Coefficients of variation and Blan-Altman plots assessed agreement of HR and blood [La] values between the 2 tests. Although running velocities corresponding to a fixed blood [La] of 4 mmol L-1 showed significant differences between treadmill and field tests (15.9+/-0.9 vs 14.1+/-0.7 km x h(-1), respectively) (P<.01), no significant difference between HR values was noted (190+/-7 vs 187+/-7, field vs laboratory, respectively). Overall, the mean intermeasurement coefficient of variation was 4.8% (+/-0.9%) for HR. Although the lowest coefficient of variation (2.4%) was found, fairly wide differences between individual field and laboratory HR values at velocities corresponding to fixed blood [La] of 4 mmol.L(-1) cast doubt on the interchangeability of tests.

The IOC recently published its framework on fairness, inclusion and non-discrimination based on gender identity and sex variations. This framework is drafted mainly from a human rights perspective, with less consideration for medical/scientific issues. The framework places the onus for gender eligibility and classification entirely on the International Federations (IFs), even though most will not have the capacity to implement the framework. The position of no presumption of advantage is contrary to the 2015 IOC consensus. Implementation of the 2021 framework will be a major challenge for IFs that have already recognised the inclusion of trans and women athletes with differences of sexual development (DSD) using a scientific/medical solution. The potential consequences for sports that need to prioritise fairness or safety could be one of two extremes (1) exclusion of all transgender or DSD athletes on the grounds of advantage or (2) self-identification that essentially equates to no eligibility rules. Exclusion of all transgender or DSD athletes is contrary to the Olympic charter and unlawful in many countries. While having no gender eligibility rules, sport loses its meaning and near-universal support. Athletes should not be under pressure to undergo medical procedures or treatment to meet eligibility criteria. However, if an athlete is fully informed and consents, then it is their free choice to undergo carefully considered or necessary interventions for gender classification for sport to compete fairly and safely in their chosen gender. Free choice is a fundamental human right, but so is the right to fair and safe competition.

Objectives: To ascertain whether detailed isokinetic knee muscle testing reflects the results of other functional measurements in footballers and to look for any correlations between quadriceps tendon thickness and knee strength. Methods: Ultrasonographic evaluation of the quadriceps tendon (Hitachi EUB-405), isokinetic knee testing (Biodex System 3), and sprint measurements using telemetric photoelectric cells (Chronometre Prosport ESC TX02) were carried out on 29 elite footballers. Jumping capacity was evaluated using Bosco's jumping mat (Ergojump). Anaerobic fitness was assessed by auricular capillary blood lactate measurements (YSI Model 1500 Sport Lactate Analyzer). Results: Quadriceps tendon thickness correlated positively with jumping and sprint measurements and negatively with extensor and flexor strength. However, these correlations did not reach statistical significance. There were significant correlations between knee extensor strength at 60˚/s and jumping or sprint measurements and between the extension acceleration values of both knees during isokinetic tests at 240˚/s and the sprint measurements. No significant correlation was found between the fatigue ratio values of both knees at 240˚/s and the calculated fatigue ratios from the sprint measurements. Conclusions: Apart from a few variables which correlated with the performance tests, the isokinetic studies did not fully predict the various functional measurements. Neither was there any relation between the quadriceps tendon measurements and the knee strength values nor with the functional performance. I sokinetic muscle testing is often used to evaluate strength in sports medicine. A wide variety of objective and reproducible data can readily be obtained 1 2 from convenient measurements. When promptly interpreted, these data can be used to assess functional performance.Several studies have compared the results of isokinetic knee testing with certain functional measurements in footballers, who require various skills of different intensities to play their sport. [3][4][5][6][7] In this study, we aimed to ascertain whether the results of isokinetic muscle testing would reflect the results of other functional measurements in elite footballers. More precisely, we wanted to correlate several variables of isokinetic testing for predicting data acquired from the other types of measurement. The comparative evaluations for which we sought correlations were: quadriceps tendon (QT) thickness and strength, sprint, or jumping measurements; peak torque values and sprint or jumping measurements; extension acceleration times and sprint measurements; fatigue ratios during isokinetic measurements with the ratios calculated from the sprint tests or lactate analysis. MATERIALS AND METHODSThe subjects were 29 elite footballers (from a team in the first division) aged 18-31. Each player was given detailed information on the whole procedure before testing began. Ultrasonographic evaluation of the quadriceps tendonDuring the measurements, the players sat on the edge of th...

The aim of this study was to investigate the energy expenditure of walking with different aids in patients with spinal cord injury (SCI) and to compare the results with normal able-bodied control subjects. The tests were performed on a 20 m indoor path in a comprehensive rehabilitation clinic of a university hospital. Nine male patients with incomplete SCI at various levels from C6 to L2 and nine age- and gender-matched normal able-bodied subjects were enrolled in the study. Two different walking aids were evaluated: walker and crutch. The main outcome parameters--walking velocity, oxygen uptake and oxygen cost--were measured during ambulation with the two different walking aids. There was a statistically significant difference between controls and SCI patients in terms of walking velocity (P<0.001), and oxygen cost (crutches P<0.01; walker P<0.001). SCI patients walked more slowly and less efficiently. When we compared SCI patients' walking with the two different aids, a statistically significant difference was observed in velocity and oxygen cost (P<0.05) in favour of crutches. We concluded that energy expenditure studies are useful tools for giving objective measures to patients at the time of discharge and to encourage them to use efficient assistive devices in their daily activities.

Although glucosamine is commonly consumed by athletes, its effectiveness in sports injuries is still under debate. We aimed to investigate the effects of glucosamine to the rehabilitation outcomes of anterior cruciate ligament (ACL) reconstructed athletes. Glucosamine-sulfate (1000 mg daily, for 8 weeks) was administered to half of the cohort of 30 male athletes, the other half used a placebo. Both groups received the same rehabilitation protocol. Knee pain and functions were evaluated by a visual analogue scale (VAS), International Knee Documentation Committee (IKDC) and Lysholm scores before and after oral administration. Additionally, an isokinetic test was performed after the administration period. The scores revealed significant improvements in both groups after 8 weeks, but no significant difference was detected between groups in any of the parameters. Glucosamine supplementation did not improve the rehabilitation outcomes of athletes after ACL reconstruction. This is the first study investigating this topic. Further studies will help to obtain clear evidence about glucosamine efficacy on ACL injured or ACL reconstructed athletes.

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