Moisés de Hoyo

Aerobic exercise versus combined exercise therapy in women with fibromyalgia syndrome: a randomized controlled trial.

OBJECTIVE To investigate the effects of supervised aerobic exercise (AE) and a combined program of supervised aerobic, muscle strengthening, and flexibility exercises (combined exercise [CE]) on important health outcomes in women with fibromyalgia syndrome (FMS). DESIGN Randomized controlled trial. SETTING Community-based supervised intervention. PARTICIPANTS Women (N=64) with a diagnosis of FMS according to the American College of Rheumatology criteria. INTERVENTION Participants were randomly allocated to 1 of 3 groups: supervised AE, supervised CE, or usual-care control. Exercise sessions were performed twice weekly (45-60min/session) for 24 weeks. MAIN OUTCOME MEASURES The primary outcome measure was the Fibromyalgia Impact Questionnaire (FIQ). Exploratory outcome measures were the 36-Item Short-Form Health Survey, Beck Depression Inventory (BDI), aerobic capacity (6-minute walk test), hand-grip strength, and range of motion in the shoulders and hips. RESULTS Compliance with both interventions was excellent, with women in the exercise groups attending more than 85% of sessions. A 14% to 15% improvement from baseline in total FIQ score was observed in the exercise groups (P≤.02) and was accompanied by decreases in BDI scores of 8.5 (P<.001) and 6.4 (P<.001) points in the AE and CE groups, respectively. Relative to nonexercising controls, CE evoked improvements in the SF-36 Physical Functioning (P=.003) and Bodily Pain (P=.003) domains and was more effective than AE for evoking improvements in the Vitality (P=.002) and Mental Health (P=.04) domains. Greater improvements also were observed in shoulder/hip range of motion and handgrip strength in the CE group. CONCLUSION Given the equivalent time commitment required for AE and CE, our results suggest that women with FMS can gain additional health benefits by engaging in a similar volume of CE.

Effects of a 10-week in-season eccentric-overload training program on muscle-injury prevention and performance in junior elite soccer players.

PURPOSE To analyze the effect of an eccentric-overload training program (ie, half-squat and leg-curl exercises using flywheel ergometers) with individualized load on muscle-injury incidence and severity and performance in junior elite soccer players. METHODS Thirty-six young players (U-17 to U-19) were recruited and assigned to an experimental (EXP) or control group (CON). The training program consisted of 1 or 2 sessions/wk (3-6 sets with 6 repetitions) during 10 wk. The outcome measured included muscle injury (incidence per 1000 h of exposure and injury severity) and performance tests (countermovement jump [CMJ], 10-m and 20-m sprint test). RESULTS Between-groups results showed a likely (ES: 0.94) lower number of days of absence per injury and a possible decrement of incidence per 1000 h of match play in EXP than in CON. Regarding muscle performance, a substantial better improvement (likely to very likely) was found in 20-m sprint time (ES: 0.37), 10-m flying-sprint time (ES: 0.77), and CMJ (ES: 0.79) for EXP than for CON. Within-group analysis showed an unclear effect in each variable in CON. Conversely, substantial improvements were obtained in CMJ (ES: 0.58), 20-m sprint time (ES: 0.32), 10-m flying-sprint time (ES: 0.95), and injury severity (ES: 0.59) in EXP. Furthermore, a possible decrement in total injury incidence was also reported in EXP. CONCLUSIONS The eccentric-based program led to a reduction in muscle-injury incidence and severity and showed improvements in common soccer tasks such as jumping ability and linear-sprinting speed.

Effectiveness of low-frequency vibration recovery method on blood lactate removal, muscle contractile properties and on time to exhaustion during cycling at VO2max power output

The aim of the study was to determine the effectiveness of low-frequency vibration recovery (LFV-rec) on blood lactate removal, muscle contractile properties, and on time to exhaustion during cycling at maximal oxygen uptake power output (pVO2max). Twelve active males carried out three experimental sessions. In session 1, participant’s maximal oxygen uptake (VO2max) and pVO2max were determined, and in sessions 2 and 3, the participants performed a fatiguing exercise (2 min of cycling at pVO2max) and then a 15 min recovery period using one of two different methods: LFV-rec which consisted on sitting with feet on the vibratory platform (20 Hz; 4 mm) and passive recovery (P-rec), sitting without vibration stimulus. After that, participants performed an all-out exercise test on cycle ergometer at pVO2max. In the recovery period, variables such as heart rate (HR), blood lactate concentration [Lac], and tensiomyographic parameters (Dm: maximal radial displacement; Ts: time of contraction maintenance, and Tr: relaxation time) were measured. In an all-out exercise test, mean time to exhaustion (TTE), total distance covered (TD), mean cycling velocity (Vm), and maximal HR (HRmax) were also assessed. The results showed no effect of recovery strategy on any of the assessed variables; nevertheless, higher values, although not significant, were observed in TTE, TD, and Vm after LFV-rec intervention. In conclusion, LFV-rec strategy applied during 15 min after short and intense exercise does not seem to be effective on blood lactate removal, muscle contractile properties, and on time to exhaustion during cycling at pVO2max.

Effects of exercise training and detraining in patients with fibromyalgia syndrome: a 3-yr longitudinal study.

ObjectiveThis study aimed to evaluate the immediate effects of a 6-mo combined exercise program on quality-of-life, physical function, depression, and aerobic capacity in women with fibromyalgia syndrome and to determine the impact of repeated delivery of the intervention. DesignForty-one women with fibromyalgia were randomly assigned to a training group (EG; n = 21) and a control group (CG; n = 20). Quality-of-life and physical function were assessed using the 36-item Short-Form Health Survey (SF-36) and the Fibromyalgia Impact Questionnaire, and depression was measured using the Beck Depression Inventory. Physical fitness was measured using the 6-min Walk Test. Outcomes were assessed at baseline and after each 6-mo intervention, which was delivered over 30 mos (6 mos of training and 6 mos of detraining). ResultsAfter a 6-mo combined exercise program, there was a significant improvement in the Fibromyalgia Impact Questionnaire (P < 0.0005) for the training group over the control group. Repeated-measures analysis of variance across all time points demonstrated significant main effects for time for the Fibromyalgia Impact Questionnaire, SF-36, Beck Depression Inventory and the 6-min Walk Test, but there were no between-group interaction effects. For the EG, there were significant within-group changes in the Fibromyalgia Impact Questionnaire, SF-36, and Beck Depression Inventory at the final time point; however, there were no within-group changes for the control group. Improvement achieved for the training group were maintained during the detraining period. ConclusionsA long-term exercise program can produce immediate improvements in key health domains in women with fibromyalgia. The benefits achieved with regular training can be maintained for 30 mos. The lack of difference between groups over time may be caused by attrition and consequent lack of power at the final time point.

Determining the optimal whole-body vibration dose–response relationship for muscle performance

Da Silva-Grigoletto, ME, de Hoyo, M, Sañudo, B, Corrales, L, and García-Manso, JM. Determining the optimal whole-body vibration dose–response relationship for muscle performance. J Strength Cond Res 25(12): 3326–3333, 2011—The aim of this investigation was twofold: first, to determine the optimal duration of a single whole-body vibration (WBV) exposure (phase 1) and second to find out the ideal number of sets per intervention to maximize muscle performance (phase 2). All participants were young (age: 19.4 ± 1.6 years), healthy, physically active men. In both studies, a 30-Hz frequency and a 4-mm peak-to-peak displacement were used. In phase 1, subjects (n = 30) underwent 3 sets of different durations (30, 60, and 90 seconds), whereas in phase 2, subjects (n = 27) underwent 3 interventions where the duration remained fixed at 60 seconds, and the number of sets performed (3, 6, or 9) was modified. The recovery time between sets was set at 2 minutes. In all interventions, each set consisted of 1 isometric repetition in a squat position with knees flexed at 100°. Before and after each session, jump height (countermovement jump [CMJ] and squat jump [SJ]) and power output in half squat (90° knee flexion) were assessed. In phase 1, an improvement in jump ability and power output was observed after the 30- and 60-second intervention (p < 0.01), whereas the 90 second intervention, participants just experienced a decrease in SJ and CMJ (p < 0.05). When comparing the different protocols, the greatest response was achieved using 60 seconds (p < 0.05), which was therefore considered as the optimal duration to be used in phase 2. In the second phase, improvements in jump ability and power output were found with 3 and 6 sets (p < 0.05), whereas with 9 sets, participants actually experienced a decrease in these variables. Intergroup comparison showed a greater effect for the program of 6 sets (p < 0.05). In conclusion, a WBV intervention consisting of six 60-second sets produces improved muscle performance measured by SJ, CMJ, and power output.

Comparative Effects of In-season Full-back Squat, Resisted Sprint Training, and Plyometric Training on Explosive Performance in U-19 Elite Soccer Players

Abstract de Hoyo, M, Gonzalo-Skok, O, Sañudo, B, Carrascal, C, Plaza-Armas, JR, Camacho-Candil, F, and Otero-Esquina, C. Comparative effects of in-season full-back squat, resisted sprint training, and plyometric training on explosive performance in U-19 elite soccer players. J Strength Cond Res 30(2): 368–377, 2016—The aim of this study was to analyze the effects of 3 different low/moderate load strength training methods (full-back squat [SQ], resisted sprint with sled towing [RS], and plyometric and specific drills training [PLYO]) on sprinting, jumping, and change of direction (COD) abilities in soccer players. Thirty-two young elite male Spanish soccer players participated in the study. Subjects performed 2 specific strength training sessions per week, in addition to their normal training sessions for 8 weeks. The full-back squat protocol consisted of 2–3 sets × 4–8 repetitions at 40–60% 1 repetition maximum (∼1.28–0.98 m·s−1). The resisted sprint training was compounded by 6–10 sets × 20-m loaded sprints (12.6% of body mass). The plyometric and specific drills training was based on 1–3 sets × 2–3 repetitions of 8 plyometric and speed/agility exercises. Testing sessions included a countermovement jump (CMJ), a 20-m sprint (10-m split time), a 50-m (30-m split time) sprint, and COD test (i.e., Zig-Zag test). Substantial improvements (likely to almost certainly) in CMJ (effect size [ES]: 0.50–0.57) and 30–50 m (ES: 0.45–0.84) were found in every group in comparison to pretest results. Moreover, players in PLYO and SQ groups also showed substantial enhancements (likely to very likely) in 0–50 m (ES: 0.46–0.60). In addition, 10–20 m was also improved (very likely) in the SQ group (ES: 0.61). Between-group analyses showed that improvements in 10–20 m (ES: 0.57) and 30–50 m (ES: 0.40) were likely greater in the SQ group than in the RS group. Also, 10–20 m (ES: 0.49) was substantially better in the SQ group than in the PLYO group. In conclusion, the present strength training methods used in this study seem to be effective to improve jumping and sprinting abilities, but COD might need other stimulus to achieve positive effects.

Effects of 10-week eccentric overload training on kinetic parameters during change of direction in football players

ABSTRACT The aim of the current study was to analyse the effect of 10-week eccentric overload training on kinetic parameters during change of direction (COD) in U-19 football players. The outcome measured included relative peak braking (rPB) and propulsive force (rPF), contact time (CT), time spent during braking (BT) and propulsive phase (PT), relative total (rTOT_IMP), braking (rB_IMP) and propulsive (rP_IMP) impulses. Between-group results showed a substantial better improvement (likely) in CT (ES: 0.72) and BT (ES: 0.74) during side-step cutting, and in rPB (ES: 0.84) and rB_IMP (ES: 0.72) during crossover cutting, in the experimental group (EXP) in comparison to control group (CON). Within-group analysis showed a substantially better performance (likely to almost certain) in CT (ES: 1.19), BT (ES: 1.24), PT (ES: 0.70), rPB (ES: 0.75), rPF (ES: 0.68), rTOT_IMP (ES: 0.48) and rB_IMP (ES: 0.50) in EXP during side-step cutting. Regarding crossover cutting, within-group analysis showed a substantial better performance (likely to almost certain) in CT (ES: 0.75), rPB (ES: 0.75), rPF (ES: 1.34), rTOT_IMP (ES: 0.61), rB_IMP (ES: 0.76) and rP_IMP (ES: 0.46) in EXP. In conclusion, the eccentric overload-based programme led to an improvement in kinetic parameters during COD football tasks.

GENDER DIFFERENCES IN KNEE STABILITY IN RESPONSE TO WHOLE-BODY VIBRATION

Abstract Sañudo, B, Feria, A, Carrasco, L, de Hoyo, M, Santos, R, and Gamboa, H. Gender differences in knee stability in response to whole-body vibration. J Strength Cond Res 26(8): 2156–2165, 2012—The purpose of this study was to determine whether there are kinematic and electromyographic (EMG) differences between men and women in how the knee is controlled during a single-legged drop landing in response to whole-body vibration (WBV). Forty-five healthy volunteers, 30 men (age 22 ± 3 years; weight 76.8 ± 8.8 kg; height 179.0 ± 6.8 cm) and 15 women (age 22 ± 3 years; weight 61.0 ± 7.7 kg; height 161.9 ± 7.2 cm) were recruited for this study. Knee angles, vertical ground reaction forces, and the time to stabilize the knee were assessed after single-legged drop landings from a 30-cm platform. Surface EMG data in rectus femoris (RF) and hamstrings (H) and knee and ankle accelerometry signals were also acquired. The participants performed 3 pretest landings, followed by a 3-minute recovery and then completed 1 minute of WBV (30 Hz to 4 mm). Before vibration, the female subjects had a significantly higher peak vertical force value, knee flexion angles, and greater H preactivity (EMGRMS 50 milliseconds before activation) than did the male subjects. In addition, although not significant, the medial-lateral (ML) acceleration in both knee and ankle was also higher in women. After WBV, no significant differences were found for any of the other variables. However, there was a decrease in the RF to H activation ratio during the precontact phase and an increase in the ratio during the postcontact phase just in women, which leads to a decrement in ML acceleration. The gender differences reported in knee stability in response to WBV underline the necessity to perform specific neuromuscular training programs based on WBV together with instruction of the proper technique, which can assist the clinician in the knee injury prevention.

Validation of a Video Analysis Software Package for Quantifying Movement Velocity in Resistance Exercises

Abstract Sañudo, B, Rueda, D, del Pozo-Cruz, B, de Hoyo, M, and Carrasco, L. Validation of a video analysis software package for quantifying movement velocity in resistance exercises. J Strength Cond Res 30(10): 2934–2941, 2016—The aim of this study was to establish the validity of a video analysis software package in measuring mean propulsive velocity (MPV) and the maximal velocity during bench press. Twenty-one healthy males (21 ± 1 year) with weight training experience were recruited, and the MPV and the maximal velocity of the concentric phase (Vmax) were compared with a linear position transducer system during a standard bench press exercise. Participants performed a 1 repetition maximum test using the supine bench press exercise. The testing procedures involved the simultaneous assessment of bench press propulsive velocity using 2 kinematic (linear position transducer and semi-automated tracking software) systems. High Pearsons correlation coefficients for MPV and Vmax between both devices (r = 0.473 to 0.993) were observed. The intraclass correlation coefficients for barbell velocity data and the kinematic data obtained from video analysis were high (>0.79). In addition, the low coefficients of variation indicate that measurements had low variability. Finally, Bland-Altman plots with the limits of agreement of the MPV and Vmax with different loads showed a negative trend, which indicated that the video analysis had higher values than the linear transducer. In conclusion, this study has demonstrated that the software used for the video analysis was an easy to use and cost-effective tool with a very high degree of concurrent validity. This software can be used to evaluate changes in velocity of training load in resistance training, which may be important for the prescription and monitoring of training programmes.

Influence of football match time–motion parameters on recovery time course of muscle damage and jump ability

ABSTRACT We analysed the time course of recovery of creatine kinase (CK) and countermovement jump (CMJ) parameters after a football match, and correlations between changes in these variables and match time–motion parameters (GPS-accelerometry) in 15 U-19 elite male players. Plasma CK and CMJ height (CMJH), average concentric force (CMJCON) and average eccentric force (CMJECC) were assessed 2 h before and 30 min, 24 h and 48 h post-match. There were substantially higher CK levels 30 min, 24 h and 48 h (ES: 0.43, 0.62, 0.40, respectively), post-match. CMJECC (ES: −0.38), CMJH (ES: −0.35) decreased 30 min post, CMJCON (ES: −0.35), CMJECC (ES: −0.35) and CMJH (ES: −1.35) decreased 24 h post, and CMJCON (ES: −0.41) and CMJH (ES: −0.53) decreased 48 h post. We found correlations between distance covered at velocities ≤21 km · h−1 and changes in CK at 24 h (r = 0.56) and at 48 h (r = 0.54) and correlations between CK and distance covered >14 km · h−1 (r = 0.50), accelerations (r = 0.48), and decelerations (r = 0.58) at 48 h. Changes in CMJCON 30 min and 24 h post (both r = −0.68) correlated with impacts >7.1·G. Decelerations >2 m · s−2 correlated with changes CMJCON (r = −0.49) at 48 h and CMJECC (r = −0.47) at 30 min. Our results suggest that match GPS-accelerometry parameters may predict muscle damage and changes in components of neuromuscular performance immediately and 24–48 h post-match.