The ergogenic effect of caffeine on sports performance focuses predominantly on endurance sports (Doherty & Smith, 2004 ) with little research on intermittent high intensity sports. This study aimed to explore the effect of caffeine ingestion on skill maintenance following fencing simulated exercise. Eleven competitive fencers participated (four female; seven male; age 33 ± 6.5 years). Following a maximal test to exhaustion, fencers completed two trials assessing accuracy and reaction times (Stroop test) before and after a fatiguing protocol designed to simulate the demands of a fencing competition. Skill testing involved 30 lunges to hit a target. 500 ml placebo or 3 mg · kg(-1) caffeine supplemented drink was administered after the initial reaction and skill tests in a single-blind crossover design. The fatiguing protocol involved simulating six fights with 6-minute rests between each. Fencers rated their perceived exertion (arm, legs, overall) using the Borg scale. There was no overall effect of caffeine on total skill score (P = 0.40), however there was a tendency for fewer misses with caffeine (P = 0.10). Caffeine had no effect on the Stroop Test. Caffeine produced significantly lower perceived fatigue for overall (P < 0.01). These results provide some support for caffeine producing maintenance of skill and reducing perceived fatigue during fencing.
To investigate the outcomes following 3 weekly sessions of radial extracorporeal shockwave therapy (rESWT) in patients with chronic greater trochanteric pain syndrome (GTPS) presenting to an NHS Sports Medicine Clinic in the United Kingdom. Design: Double-blinded randomized controlled trial. Setting: A single NHS Sports Medicine Clinic, in the United Kingdom. Patients: One hundred twenty patients in an NHS Sports Medicine clinic presenting with symptoms of GTPS who had failed to improve with a minimum of 3 months of rehabilitation were enrolled in the study and randomized equally to the intervention and treatment groups. Mean age was 60.6 6 11.5 years; 82% were female, and the mean duration of symptoms was 45.4 6 33.4 months (range, 6 months to 30 years). Interventions: Participants were randomized to receive either 3 sessions of ESWT at either the "recommended"/"maximally comfortably tolerated" dose or at "minimal dose." All patients received a structured home exercise program involving flexibility, strength, and balance exercises. Main Outcome Measures: Follow-up was at 6 weeks, 3 months, and 6 months. Outcome measures included local hip pain, validated hip PROMs (Oxford hip score, non-arthritic hip score, Victorian Institute of Sport assessment questionnaire), and wider measures of function including sleep (Pittsburgh sleep quality index) and mood (hospital anxiety and depression scale). Results: Results were available for 98% of patients at the 6-month period. There were statistically significant within-group improvements in pain, local function, and sleep seen in both groups. However, fewer benefits were seen in other outcome measures, including activity or mood. Conclusion: There were no time 3 group interaction effects seen between the groups at any time point, indicating that in the 3 sessions, the "recommended-dose" rESWT had no measurable benefit compared with "minimal dose" rESWT in this group of patients with GTPS. The underlying reason remains unclear; it may be that rESWT is ineffective in the treatment of patients with chronic GTPS, that "minimal dose" rESWT is sufficient for a therapeutic effect, or that a greater number of treatment sessions are required for maximal benefit. These issues need to be considered in further research.
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