The coronavirus disease (COVID-19), caused by severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection, is leading to unknown and unusual health conditions that are challenging to manage. Post-COVID-19 syndrome is one of those challenges, having become increasingly common as the pandemic evolves. The latest estimates suggest that 10 to 20% of the SARS-CoV-2 patients who undergo an acute symptomatic phase are experiencing effects of the disease beyond 12 weeks after diagnosis. Although research is beginning to examine this new condition, there are still serious concerns about the diagnostic identification, which limits the best therapeutic approach. Exercise programs and physical activity levels are well-known modulators of the clinical manifestations and prognosis in many chronic diseases. This narrative review summarizes the up-to-date evidence on post-COVID-19 syndrome to contribute to a better knowledge of the disease and explains how regular exercise may improve many of these symptoms and could reduce the long-term effects of COVID-19.
A better understanding of in-game competition demands potentially improves coaching strategy and quality. However, there is very limited information about game patterns in padel, a very modern racket sport born in the 70'. The purpose of this study was therefore to quantify and classify game dynamics during the match in professional padel players through a multivariate decision tree approach including technical, spatial and effectiveness indicators. The results determined three main game styles strongly defined by the court zone (net, middle and baseline). Additionally, particular technical, spatial and effectiveness indicators were identified in each zone. In net and middle areas (offence) stood the use of volleys and over-head strokes on the center lane to both keep a positional advantage and solve the point. Conversely in the baseline (defense), the use of corner side walls and the domain of lobs showed to be relevant. It is also remarkable the high rate of backhand groundstrokes, involving over four out of ten actions. This information may have relevant implications for coaches working in padel by providing a novel hierarchically organization of game dynamics, which helps in designing training and conditioning programs close to real competitive situations.
Sarcopenia and frailty are age-related syndromes with negative effects on the quality of life of older people and on public health costs. Although extensive research has been carried out on the effects of physical exercise and physical syndromes, there is a knowledge gap when it comes to the effect of resistance training on muscular strength, physical performance, and body composition at early (prevention) and late (treatment) stages in both syndromes combined. We conducted this systematic review and meta-analysis (CRD42019138253) to gather the evidence of randomized controlled trials examining the effects of resistance training programs lasting ≥ 8 weeks on strength, physical function, and body composition of adults ≥65 years old diagnosed with pre-sarcopenia, sarcopenia, pre-frailty, or frailty. A search from the earliest record up to and including December 2020 was carried out using the PubMed, Scopus, Web of Science, and Cochrane Library databases. A total of 25 studies (n = 2267 participants) were included. Meta-analysis showed significant changes in favour of resistance training for handgrip (ES = 0.51, p = 0.001) and lower-limb strength (ES = 0.93, p < 0.001), agility (ES = 0.78, p = 0.003), gait speed (ES = 0.75, p < 0.001), postural stability (ES = 0.68, p = 0.007), functional performance (ES = 0.76, p < 0.001), fat mass (ES = 0.41, p = 0.001), and muscle mass (ES = 0.29, p = 0.002). Resistance training during early stages had positive effects in all variables during early stages (ES > 0.12), being particularly effective in improving gait speed (ES = 0.63, p = 0.016) and functional strength (ES = 0.53, p = 0.011). Based on these results, resistance training should be considered as a highly effective preventive strategy to delay and attenuate the negative effects of sarcopenia and frailty in both early and late stages.
The purpose of this study was to analyse differences in rally length considering attack effectiveness, a players’ location and a game outcome in professional padel players. A total of 1527 rallies from 10 male matches of the 2013 Masters Finals of the World Padel Tour were registered through systematic observation. Data treatment included non-parametric mean comparisons (Mann-Withney and Kruskal-Wallis tests), and association analyses (crosstabs and Chi square analysis). In overall, 40% of unforced errors were made within the first 4 s of the rally, over 50% of points were scored between the 5th and 11th s, and 30% of forced errors occurred after the 11th –s of the rally. Hence, the ability to score in rallies of over 11 s duration and not making unforced errors within the first 4 s contributed to the rally outcome. More specifically, winners played longer rallies compared to losers (10.42 ± 7.77 s vs. 8.42 ± 6.43 s); particularly at the net, when scoring from the baseline (11.04 ± 7.64 s vs. 8.90 ± 5.41 s) and making forced (8.86 ± 7.44 s vs. 6.86 ± 6.24 s) and unforced errors (11.91 ± 9.47 s vs. 8.33 ± 6.92 s). Such knowledge may have implications in the design and structure of specific training programmes for padel players according to competition requirements.
Training prescription in running activities have benefited from power output (P W ) data obtained by new technologies. Nevertheless, to date, the suitability of P W data provided by these tools is still uncertain. The present study aimed to: (i) analyze the repeatability of five commercially available technologies for running P W estimation, and (ii) examine the concurrent validity through the relationship between each technology P W and oxygen uptake (VO 2 ). On two occasions (test-retest), twelve endurance-trained male athletes performed on a treadmill (indoor) and an athletic track (outdoor) three submaximal running protocols with manipulations in speed, body weight and slope. P W was simultaneously registered by the commercial technologies Stryd App , Stryd Watch , RunScribe, Garmin RP and Polar V , while VO 2 was monitored by a metabolic cart. Test-retest data from the environments (indoor and outdoor) and conditions (speed, body weight and slope) were used for repeatability analysis, which included the standard error of measurement (SEM), coefficient of variation (CV) and intraclass correlation coefficient (ICC). A linear regression analysis and the standard error of estimate (SEE) were used to examine the relationship between P W and VO 2 . Stryd device was found as the most repeatable technology for all environments and conditions (SEM ≤ 12.5 W, CV ≤ 4.3%, ICC ≥ 0.980), besides the best concurrent validity to the VO 2 (r ≥ 0.911, SEE ≤ 7.3%). On the contrary, although the Polar V , Garmin RP and RunScribe technologies maintain a certain relationship with VO 2 , their low repeatability questions their suitability. The Stryd can be considered as the most recommended tool, among the analyzed, for P W measurement.
This study investigated the inter-and intra-device agreement of four new devices marketed for barbell velocity measurement. Mean, mean propulsive and peak velocity outcomes were obtained for bench press and full squat exercises along the whole load-velocity spectrum (from light to heavy loads). Measurements were simultaneously registered by two linear velocity transducers T-Force, two linear position transducers Speed4Lifts, two smartphone video-based systems My Lift, and one 3D motion analysis system STT. Calculations included infraclass correlation coefficient (ICC), Bland-Altman Limits of Agreement (LoA), standard error of measurement (SEM), smallest detectable change (SDC) and maximum errors (MaxError). Results were reported in absolute (m/s) and relative terms (%1RM). Three velocity segments were differentiated according to the velocity-load relationships for each exercise: heavy (� 80% 1RM), medium (50% < 1RM < 80%) and light loads (� 50% 1RM). Criteria for acceptable reliability were ICC > 0.990 and SDC < 0.07 m/s (~5% 1RM). The T-Force device shown the best intra-device agreement (SDC = 0.01-0.02 m/s, LoA <0.01m/s, MaxError = 1.3-2.2%1RM). The Speed4Lifts and STT were found as highly reliable, especially against lifting velocities �1.0 m/s (Speed4Lifts, SDC = 0.01-0.05 m/s; STT, SDC = 0.02-0.04 m/s), whereas the My Lift app showed the worst results with errors well above the acceptable levels (SDC = 0.26-0.34 m/s, MaxError = 18.9-24.8%1RM). T-Force stands as the preferable option to assess barbell velocity and to identify technical errors of measurement for emerging monitoring technologies. Both the Speed4Lifts and STT are fine alternatives to T-Force for measuring velocity against high-medium loads (velocities � 1.0 m/s), while the excessive errors of the newly updated My Lift app advise against the use of this tool for velocity-based resistance training.
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