This study demonstrates that anterior surgical debridement with fusion, followed by a period of intravenous antibiotics and delayed instrumented posterior fusion, is highly effective in the treatment of pyogenic osteomyelitis that has failed medical management.
One challenge in using multilevel models is determining how to report the amount of explained variance. In multilevel models, explained variance can be reported for each level or for the total model. Existing measures have been based primarily on the reduction of variance components across models. However, these measures have not been reported consistently because they have some undesirable properties. The present study is one of the first to evaluate the accuracy of these measures using Monte Carlo simulations. In addition, a measure based on the full partitioning of variance in multilevel models was examined. With the exception of the Level 2 explained variance measure, all other measures performed well across our simulated conditions.
Practical durations of stretching (2, 4, or 8 min) of the plantarflexors did not decrease isometric PT compared with the CON but caused temporary improvements in the ROM, thereby questioning the overall detrimental influence of PS on performance.
The purpose of this study was to assess the usefulness of the vertical jump and estimated vertical-jump power as a field test for weightlifting. Estimated PP output from the vertical jump was correlated with lifting ability among 64 USA national-level weightlifters (junior and senior men and women). Vertical jump was measured using the Kinematic Measurement System, consisting of a switch mat interfaced with a laptop computer. Vertical jumps were measured using a hands-on-hips method. A counter-movement vertical jump (CMJ) and a static vertical jump (SJ, 90 degrees knee angle) were measured. Two trials were given for each condition. Test-retest reliability for jump height was intra-class correlation (ICC) = 0.98 (CMJ) and ICC = 0.96 (SJ). Athletes warmed up on their own for 2-3 minutes, followed by 2 practice jumps at each condition. Peak power (PP) was estimated using the equations developed by Sayers et al. (24). The athletes' current lifting capabilities were assessed by a questionnaire, and USA national coaches checked the listed values. Differences between groups (i.e., men versus women, juniors versus resident lifters) were determined using t-tests (p < or = 0.05). Correlations were determined using Pearson's r. Results indicate that vertical jumping PP is strongly associated with weightlifting ability. Thus, these results indicate that PP derived from the vertical jump (CMJ or SJ) can be a valuable tool in assessing weightlifting performance.
This study was designed to investigate the relationship of whole-body maximum strength to variables potentially associated with track sprint-cycling success. These variables included body composition, power measures, coach's rank, and sprint-cycling times. The study was carried out in 2 parts. The first part (n = 30) served as a pilot for the second part (n = 20). Subjects for both parts ranged from international-caliber sprint cyclists to local-level cyclists. Maximum strength was measured using an isometric midthigh pull (IPF). Explosive strength was measured as the peak rate-of-force development (IPRFD) from the isometric force-time curve. Peak power was estimated from countermovement (CMJPP) and static vertical jumps (SJPP) and measured by modified Wingate tests. Athletes were ranked by the U.S. national cycling coach (part 1). Sprint times (from a standing start) were measured using timing gates placed at 25, 82.5, 165, 247.5, and 330 m of an outdoor velodrome (part 2). Maximum strength (both absolute and body-mass corrected) and explosive strength were shown to be strongly correlated with jump and Wingate power. Additionally, maximum strength was strongly correlated with both coach's rank (parts 1 and 2) and sprint cycling times (part 2). The results suggest that larger, stronger sprint cyclists have an advantage in producing power and are generally faster sprint cyclists.
Six elite women weightlifters were tested to evaluate force-time curve characteristics and intercorrelations of isometric and dynamic muscle actions. Subjects performed isometric and dynamic mid-thigh clean pulls at 30% of maximal isometric peak force and 100 kg from a standardized position on a 61.0 x 121.9 cm AMTI forceplate. Isometric peak force showed strong correlations to the athletes' competitive snatch, clean and jerk, and combined total (r = 0.93, 0.64, and 0.80 respectively). Isometric rate of force development showed moderate to strong relationships to the athletes' competitive snatch, clean and jerk, and combined total (r = 0.79, 0.69, and 0.80 respectively). The results of this study suggest that the ability to perform maximal snatch and clean and jerks shows some structural and functional foundation with the ability to generate high forces rapidly in elite women weightlifters.
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