Nicholas O’Dwyer

Abnormal muscle activation characteristics associated with loss of dexterity after stroke

The aim of this study was to characterise the abnormalities of muscle activation which underlie low dexterity after stroke. A broad definition of dexterity was adopted, where loss of dexterity refers to an inability to coordinate muscle activity in the performance of a motor task (i.e. dexterity was not confined to manual dexterity). EMG of biceps brachii and triceps brachii were monitored from 16 people after stroke and 10 neurologically normal controls as they performed a tracking task requiring coordinated elbow flexion and extension. Weakness could not interfere with performance since the task was designed to require minimal strength. Stroke subjects were assigned to a low (n=10) or high (n=6) dexterity group based on their performance. Spatiotemporal aspects of biceps and triceps EMG were analysed. Low dexterity performance after stroke was characterised by excessive biceps muscle activation (P=0.002) and decreased coupling of muscle activation to target motion (P=0.002). In this study, we could rule out weakness, slowness of muscle activation, excessive co-contraction and spasticity as causes of these abnormalities. Therefore, the loss of dexterity after stroke can be seen as a specific negative impairment which can exist independently of other motor impairments and reflects a loss of skill in generating spatial and temporal muscle activation patterns which conform with environmental demands.

Relationship between physical activity and cognitive function in apparently healthy young to middle-aged adults: A systematic review

OBJECTIVES There is increasing evidence that physical activity (PA) positively affects cognitive function (CF). Existing research has focussed on this association in children and the elderly, with less research available in young to middle-aged adults who constitute a substantial proportion of the population. DESIGN A systematic review investigating the relationship between habitual PA (≥12 months) and CF in young to middle-aged adults (18-50 years). METHODS A search was conducted using AMED, CINAHL, MEDLINE, PsychINFO, AUSPORT MED and SPORTDiscus databases. Eligible studies had to report descriptive statistics for CF and PA levels in healthy participants 18-50 years. Effect sizes (ES) (Hedges g) were calculated where possible. RESULTS The initial search netted 26,988 potentially relevant manuscripts, with four more identified through hand searching. Fourteen were included for review. A range of validated platforms assessed CF across three domains: executive function (12 studies), memory (four studies) and processing speed (seven studies). Habitual PA was assessed via questionnaire/self-report methods (n=13, 8 validated) or accelerometers (n=1). In studies of executive function, five found a significant ES in favour of higher PA, ranging from small to large. Although three of four studies in the memory domain reported a significant benefit of higher PA, there was only one significant ES, which favoured low PA. Only one study examining processing speed had a significant ES, favouring higher PA. CONCLUSIONS A limited body of evidence supports a positive effect of PA on CF in young to middle-aged adults. Further research into this relationship at this age stage is warranted.

Independent assessment of pattern and offset variability of time series waveforms

In quantitative gait analysis, two types of variability of kinematic waveforms with identifiably different sources may be distinguished: variability of the offset values (mean or DC values) of the waveforms and variability of the waveform patterns. Offset variability is influenced by the repeatability of the motor performance as well as by additional factors related to reliability and errors of measurement, such as individual differences in the mean posture chosen for the performance and factors related to the definition and measurement of the reference position for each angle. All of these factors may have a considerable effect on the coefficient of variation, a measure that is commonly employed to assess kinematic variability. Waveform pattern variability, in contrast, is more manifestly determined by the repeatability of the motor performance and is less subject to factors related to offset value. Hence, we propose that offset variability and pattern variability be evaluated separately and outline an approach to accomplish this by first removing the mean value of raw kinematic waveforms before averaging across trials or subjects. Independent measurement of pattern variability and offset variability is shown to yield values that are markedly different from the traditional coefficient of variation, which reflects all sources of variability in a single measure. The benefit of the procedures proposed here is that they help to differentiate among largely independent causes of variability of kinematic waveforms and to quantify their relative magnitudes. By way of illustration, in a group of subjects with low-arched feet, where waveform offsets are of particular interest, midfoot and ankle rotation angles showed smaller pattern variability and larger offset variability than normal.

The effect of acute and chronic exercise on cognitive function and academic performance in adolescents: A systematic review

OBJECTIVES To investigate whether exercise, proposed to enhance neuroplasticity and potentially cognitive function (CF) and academic performance (AP), may be beneficial during adolescence when important developmental changes occur. DESIGN Systematic review evaluating the impact of acute or chronic exercise on CF and AP in adolescents (13-18 years). METHODS Nine databases (AMED, AusportMed, CINAHL, COCHRANE, Embase, Medline, Scopus, SPORTdiscus, Web of Science) were searched from earliest records to 31st October 2016, using keywords related to exercise, CF, AP and adolescents. Eligible studies included controlled trials examining the effect of any exercise intervention on CF, AP or both. Effect size (ES) (Hedges g) were calculated where possible. RESULTS Ten papers (11 studies) were reviewed. Cognitive domains included: executive function (n=4), memory (n=4), attention/concentration (n=2), visuo-motor speed (n=1), logical sequencing (n=1) and psychometric aptitude (n=1). All papers, nine of 10 being acute studies, reported at least one parameter showing a significant effect of exercise in improving CF and AP. However, the CF parameters displayed substantial heterogeneity, with only 37% favouring acute and chronic exercise. Where ES could be calculated, 52% of the acute CF parameters favoured rest. Memory was the domain most consistently improved by exercise. Academic performance demonstrated a significant improvement with exercise in one of two acute studies and the only chronic study (p≤0.001). CONCLUSIONS The evidence for the effect of exercise on CF and AP in adolescents is equivocal and limited in quantity and quality. Well-designed research is therefore warranted to determine the benefits of exercise in enhancing CF and AP and reducing sedentary behaviour.

Relationship between Obesity and Cognitive Function in Young Women: The Food, Mood and Mind Study

Limited research addresses links between obesity and cognitive function in young adults. Objective. To investigate the relationship between obesity and cognitive function in young women. Methods. This cross-sectional study recruited healthy, young (18–35 y) women of normal (NW: BMI = 18.5–24.9 kg·m−2) or obese (OB: BMI ≥ 30.0 kg·m−2) weight. Participants completed a validated, computer-based cognitive testing battery evaluating impulsivity, attention, information processing, memory, and executive function. Questionnaires on depression and physical activity and a fasting blood sample for C-reactive protein and the Omega-3 Index were also collected. Cognition data are presented as z-scores (mean ± SD), and group comparisons were assessed via ANOVA. Potential confounding from questionnaire and blood variables were evaluated using ANCOVA. Results. 299 women (NW: n = 157; OB: n = 142) aged 25.8 ± 5.1 y were enrolled. Cognition scores were within normal range (±1 z-score), but OB had lower attention (NW: 0.31 ± 1.38; OB: −0.25 ± 1.39; ES: 0.41, CI: 0.17–0.64; p < 0.001) and higher impulsivity (NW: 0.36 ± 1.14; OB: −0.07 ± 1.07; ES: 0.39, CI: 0.15–0.62; p=0.033). Confounder adjustment had minimal impact on results. Conclusion. The OB group had normal but significantly lower performance on attention and were more impulsive compared to NW participants. This may indicate early cognitive decline, but longitudinal research confirming these findings is warranted.

Sex differences in the kinematics and neuromuscular control of landing: Biological, environmental and sociocultural factors

Potential sex differences in patterns of movement of recreational and competitive athletes were investigated in a systematic review of lower limb kinematics, muscle activation and stiffness during landing and hopping tasks. Little support for sex-specific lower limb kinematic patterns was found in 17 studies retrieved on landing and hopping. Ten studies retrieved on muscle activation during landing provided no support for sex-specific patterns. Four articles retrieved on leg stiffness established that absolute stiffness was lower in females, but differences in stiffness normalized to body mass were less clear. The wider literature indicates that a combination of biological, environmental and sociocultural constraints may shape movement patterns differently in females and males. Sociocultural factors differentially affect accumulated motor experience, practice opportunities and focus of attention in females, leading to differences in motor skill that confound the comparison of female and male movements. The findings of the review support the hypothesis that such sex differences in athletic performance are likely to diminish or disappear with increasing skill. In everyday movement tasks, however, where level of skill is a less meaningful dimension than in sport, differences in movement patterns observed between females and males point instead to the influence of subtle societal expectations on movement patterns.

Neuromuscular characteristics of recreational and competitive male and female surfers

Surfing is one of the most popular sports among Australian athletes, yet data about the characteristics of its performers are sparse, most likely due to the difficulty of examining the skill during performance and the distance of the observer from the performer. To gain information about skilled surfers of both sexes, and how they differ from less skilled surfers, we assessed female and male competitive and recreational surfers, and non-surfers, on a series of laboratory tasks designed to be relevant to surfing. The findings revealed both surfing skill-related and sex-related differences. In both females and males, lower limb stiffness decreased systematically with increasing surfing expertise, consistent with the general finding on decreases in joint stiffness with increased motor skill. Leg power measured relative to body weight was substantially greater in males than females, but was not related to surfing expertise. A combined sex and skill-related kinematic difference was observed whereby recreational females used a shallower surfing crouch posture, with less knee flexion than their competitive counterparts, whereas there were no differences between recreational and competitive males. The findings call for further studies of kinematic and neuromuscular characteristics of female and male surfers at different levels of expertise.

Association between Haem and Non-Haem Iron Intake and Serum Ferritin in Healthy Young Women

Iron is an essential micronutrient for human health and inadequate intake may result in iron deficiency (ID) or iron deficiency anaemia (IDA). Unlike other recent studies investigating iron status in young women, this cross-sectional study analysed dietary intake and biochemical data from healthy young (18–35 years) women (n = 299) to determine the association between both haem iron (HI) and non-haem iron (NHI) intakes and serum ferritin (SF). Dietary restraint and possible inflammation secondary to obesity were also measured and accounted for, and energy intake was adjusted for using the residuals method. Independent samples t-tests and chi-squared tests were performed, and factors found to be significantly different between iron replete (IR) and ID/IDA participants were analysed using general linear modelling. ID/IDA participants consumed significantly lower total energy than iron replete (IR) (p = 0.003). Lower energy intake was also associated with higher levels of dietary restraint (p = 0.001). Both HI and NHI were positively associated with SF with HI was found to be a stronger predictor (β = 0.128, p = 0.009) than NHI (β = 0.037, p = 0.028). The study demonstrates that intake of both HI and NHI, as well as adequate dietary energy, are associated with normal iron status levels in young women, and that restrained eaters may be at greater risk of low iron status.

Consistency of kinematic and kinetic patterns during a prolonged spell of cricket fast bowling: an exploratory laboratory study

ABSTRACT Due to the high incidence of lumbar spine injury in fast bowlers, international cricket organisations advocate limits on workload for bowlers under 19 years of age in training/matches. The purpose of this study was to determine whether significant changes in either fast bowling technique or movement variability could be detected throughout a 10-over bowling spell that exceeded the recommended limit. Twenty-five junior male fast bowlers bowled at competition pace while three-dimensional kinematic and kinetic data were collected for the leading leg, trunk and bowling arm. Separate analyses for the mean and within-participant standard deviation of each variable were performed using repeated measures factorial analyses of variance and computation of effect sizes. No substantial changes were observed in mean values or variability of any kinematic, kinetic or performance variables, which instead revealed a high degree of consistency in kinematic and kinetic patterns. Therefore, the suggestion that exceeding the workload limit per spell causes technique- and loading-related changes associated with lumbar injury risk is not valid and cannot be used to justify the restriction of bowling workload. For injury prevention, the focus instead should be on the long-term effect of repeated spells and on the fast bowling technique itself.

Caution using data from triaxial accelerometers housed in player tracking units during running

ABSTRACT Usage of accelerometers within player tracking devices in sport to quantify load, vertical ground reaction force (vGRF) or energy expenditure is contrary to placement guidelines. This study aimed to determine whether trunk-mounted accelerometers were a valid and reliable method to estimate thoracic segment or centre of gravity (COG) acceleration or vGRF, and the whether the elasticised harness contributes to the overestimation of acceleration. Ten male amateur rugby players performed five linear running tasks per lower limb at three speeds, twice, each with a different player tracking unit. Three-dimensional data were recorded and triaxial accelerometers were attached lateral to the device on the harness and skin and both shanks. Accelerometers demonstrated poor reliability (ICC:0.0–0.67), high variability (CV%:14–33%) and change in mean (41–160%), and were not valid to estimate vertical acceleration of the COG and thoracic segment nor vGRF. Caution is advised when utilising trunk-mounted triaxial accelerometer data as it is not a valid or reliable means to estimate peak vertical acceleration for its thoracic location nor whole-body COG acceleration or vGRF during running. To improve player tracking instrument validity and reliability, a new attachment method and/or harness material(s), that reduce or eliminate extraneous acceleration during running, are urgently required.