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1.
Downhill backwards walking causes repeated, cyclical loading of the muscle–tendon unit. The effect this type of repeated loading has on the mechanical behaviour of the Achilles tendon is presently unknown. This study aimed to investigate the biomechanical response of the Achilles tendon aponeurosis complex following a downhill backwards walking protocol. Twenty active males (age: 22.3 ± 3.0 years; mass: 74.7 ± 5.6 kg; height: 1.8 ± 0.7 m) performed 60 min of downhill (8.5°), backwards walking on a treadmill at ?0.67 m · s?1. Data were collected before, immediately post, and 24-, 48- and 168-h post-downhill backwards walking. Achilles tendon aponeurosis elongation, strain and stiffness were measured using ultrasonography. Muscle force decreased immediately post-downhill backward walking (P = 0.019). There were increases in Achilles tendon aponeurosis stiffness at 24-h post-downhill backward walking (307 ± 179.6 N · mm?1, P = 0.004), and decreases in Achilles tendon aponeurosis strain during maximum voluntary contraction at 24 (3.8 ± 1.7%, P = 0.008) and 48 h (3.9 ± 1.8%, P = 0.002) post. Repeated cyclical loading of downhill backwards walking affects the behaviour of the muscle–tendon unit, most likely by altering muscle compliance, and these changes result in tendon stiffness increases.  相似文献   

2.
This study aimed to test the validity of a non-motorised treadmill (NMT) for the measurement of self-paced overground endurance running performance. Ten male runners performed randomised 5-km running time trials on a NMT and an outdoor athletics track. A range of physiological and perceptual responses was measured, and foot strike was classified subjectively. Performance time was strongly correlated (r = 0.82, ICC = 0.86) between running modes, despite running time being significantly longer on the NMT (1264 ± 124 s vs. 1536 ± 130 s for overground and NMT, respectively; P < 0.001). End blood lactate concentration and rating of perceived exertion were significantly higher on the NMT compared to overground. Integrated electromyography was significantly lower on the NMT for three muscles (P < 0.05), and mean stride rate was also significantly lower on the NMT (P = 0.04). Cardiorespiratory responses of heart rate, oxygen uptake and expired air volume demonstrated strong correlations (r = 0.68–0.96, ICC = 0.75–0.97) and no statistical differences (P > 0.05). Runners were consistently slower on the NMT, and as such it should not be used to measure performance over a specific distance. However, the strong correlations suggest that superior overground performance was reflected in relative terms on the NMT, and therefore, it is a valid tool for the assessment of endurance running performance in the laboratory.  相似文献   

3.
Abstract

The aim of this study was to include self-paced exercise within a modified Loughborough Intermittent Shuttle Test (LIST-P) in order to quantify key performance variables not possible with prescribed workloads. Sixteen male games players performed two trials of the LIST-P, at least 7 days apart. The LIST-P incorporates 4 × 15-min blocks of “prescribed-pace” activity (participants exercise in time to audible signals) followed by 2 × 15-min blocks of “self-paced” running (no audible signals). Distances covered and mean speeds were monitored during self-paced exercise. Total distance covered (12.54 ± 0.45 km vs. 12.64 ± 0.32 km; P = 0.10) and mean speed (8.37 ± 0.31 km ? h?1 vs. 8.44 ± 0.22 km ? h?1; P = 0.10) was similar between trials. Other indices also showed the test to be reliable (Pearson’s correlation = 0.89 and 0.90 (P < 0.01), total distance and mean speed, respectively; intraclass correlation coefficient = 0.88 and 0.88 (P < 0.01); standard error of measurement = ±0.13 km and ±0.09 km ? h?1; coefficient of variation (CV) = 1.7% and 1.7%; ratio limits of agreement = 1.00 */÷1.03 and 1.01 */÷1.04). Sprint time was also similar between trials (2.60 ± 0.19 s vs. 2.64 ± 0.23 s; P = 0.29). Incorporating self-paced exercise within an established intermittent shuttle running test appears to be a sensitive means of quantifying key performance variables for multiple-sprint sports research.  相似文献   

4.
Understanding the impact of friction in sled sprinting allows the quantification of kinetic outputs and the effective loading experienced by the athlete. This study assessed changes in the coefficient of friction (µk) of a sled sprint-training device with changing mass and speed to provide a means of quantifying effective loading for athletes. A common sled equipped with a load cell was towed across an athletics track using a motorised winch under variable sled mass (33.1–99.6 kg) with constant speeds (0.1 and 0.3 m · s?1), and with constant sled mass (55.6 kg) and varying speeds (0.1–6.0 m · s?1). Mean force data were analysed, with five trials performed for each condition to assess the reliability of measures. Variables were determined as reliable (ICC > 0.99, CV < 4.3%), with normal-force/friction-force and speed/coefficient of friction relationships well fitted with linear (R2 = 0.994–0.995) and quadratic regressions (R2 = 0.999), respectively (P < 0.001). The linearity of composite friction values determined at two speeds, and the range in values from the quadratic fit (µk = 0.35–0.47) suggested µk and effective loading were dependent on instantaneous speed on athletics track surfaces. This research provides a proof-of-concept for the assessment of friction characteristics during sled towing, with a practical example of its application in determining effective loading and sled-sprinting kinetics. The results clarify effects of friction during sled sprinting and improve the accuracy of loading applications in practice and transparency of reporting in research.  相似文献   

5.
Examining a countermovement jump (CMJ) force-time curve related to net impulse might be useful in monitoring athletes' performance. This study aimed to investigate the reliability of alternative net impulse calculation and net impulse characteristics (height, width, rate of force development, shape factor, and proportion) and validate against the traditional calculation in the CMJ. Twelve participants performed the CMJ in two sessions (48 hours apart) for test–retest reliability. Twenty participants were involved for the validity assessment. Results indicated intra-class correlation coefficient (ICC) of ≥ 0.89 and coefficient of variation (CV) of ≤ 5.1% for all of the variables except for rate of force development (ICC = 0.78 and CV = 22.3%). The relationship between the criterion and alternative calculations was r = 1.00. While the difference between them was statistically significant (245.96 ± 63.83 vs. 247.14 ± 64.08 N s, p < 0.0001), the effect size was trivial and deemed practically minimal (d = 0.02). In conclusion, variability of rate of force development will pose a greater challenge in detecting performance changes. Also, the alternative calculation can be used practically in place of the traditional calculation to identify net impulse characteristics and monitor and study athletes' performance in greater depth.  相似文献   

6.
There is a need for reliable analysis techniques for kinetic data for coaches and sport scientists who employ athlete monitoring practices. The purpose of the study was: (1) to determine intra- and inter-rater reliability within a manual-based kinetic analysis program; and (2) to determine test-retest reliability of an algorithm-based kinetic analysis program. Five independent raters used a manual analysis program to analyse 100 isometric mid-thigh pull (IMTP) trials obtained from previously collected data. Each trial was analysed three times. The same IMTP trials were analysed using an algorithm-based analysis software. Variables measured were peak force, rate of force development from 0 to 50 ms (RFD50) and RFD from 0 to 200 ms (RFD200). Intraclass correlation coefficients (ICC) and coefficient of variation (CV) were used to assess intra- and inter-rater reliability. Nearly perfect reliability was observed for the manual-based (ICC > 0.92). However, poor intra- and inter-rater CV was observed for RFD (CV > 16.25% and CV > 32.27%, respectively). The algorithm-based method resulted in perfect reliability in all measurements (ICC = 1.0, CV = 0%). While manual methods of kinetic analysis may provide sufficient reliability, the perfect reliability observed within the algorithm-based method in the current study suggest it is a superior method for use in athlete monitoring programs.  相似文献   

7.
This study aimed to evaluate the within- and between-session reliability of force, velocity and power performances and to assess the force-velocity relationship during the deadlift high pull (DHP). Nine participants performed two identical sessions of DHP with loads ranging from 30 to 70% of body mass. The force was measured by a force plate under the participants’ feet. The velocity of the ‘body + lifted mass’ system was calculated by integrating the acceleration and the power was calculated as the product of force and velocity. The force-velocity relationships were obtained from linear regression of both mean and peak values of force and velocity. The within- and between-session reliability was evaluated by using coefficients of variation (CV) and intraclass correlation coefficients (ICC). Results showed that DHP force-velocity relationships were significantly linear (R² > 0.90, p < 0.05). Within sessions and between sessions, mean and peak forces during DHP showed a strong agreement (CV < 3%, ICC > 0.94), mean and peak velocities showed a good agreement (CV < 9%, 0.78 < ICC < 0.92). It was concluded that DHP performance and its force-velocity relationships are highly reliable and can therefore be utilised as a tool to characterise individuals’ muscular profiles.  相似文献   

8.
Carbohydrate (CHO) ingestion enhances “feel-good” responses during acute exercise but no study has examined the effect of regular ingestion of CHO on affective valence. We investigated the effect of CHO ingestion on perceptual responses and perceived work intensity of individual exercise sessions throughout a 10-week cycling (“spin”) exercise intervention. We also assessed whether any changes in affect and/or perceived work intensity would influence health and fitness parameters. Twelve recreational exercisers (46 ± 9 years; nine females and three males) were randomly allocated to either CHO (7.5% CHO; 5 mL · kg?1 per exercise session; n = 6; CHO) or placebo (0% CHO, taste- and volume-matched solution; n = 6; PLA) groups. Participants exercised 2 × 45-min per week, over a 10-week intervention period. Perceptual measures of exertion (RPE), affect (feeling scale, FS) and activation (felt arousal scale, FAS) were assessed after each exercise session. The FAS ratings increased over time in CHO but decreased throughout the intervention in PLA (P = 0.03). There were no differences in heart rate (P = 0.70), RPE (P = 0.05) and FS (P = 0.84) between trials. Furthermore, no changes in health and fitness parameters were observed over time or between groups. CHO ingestion enhanced ratings of activation in recreational exercisers throughout a 10-week cycling intervention.  相似文献   

9.
The primary aim of this study was to determine whether facial feature tracking reliably measures changes in facial movement across varying exercise intensities. Fifteen cyclists completed three, incremental intensity, cycling trials to exhaustion while their faces were recorded with video cameras. Facial feature tracking was found to be a moderately reliable measure of facial movement during incremental intensity cycling (intra-class correlation coefficient = 0.65–0.68). Facial movement (whole face (WF), upper face (UF), lower face (LF) and head movement (HM)) increased with exercise intensity, from lactate threshold one (LT1) until attainment of maximal aerobic power (MAP) (WF 3464 ± 3364mm, P < 0.005; UF 1961 ± 1779mm, P = 0.002; LF 1608 ± 1404mm, P = 0.002; HM 849 ± 642mm, P < 0.001). UF movement was greater than LF movement at all exercise intensities (UF minus LF at: LT1, 1048 ± 383mm; LT2, 1208 ± 611mm; MAP, 1401 ± 712mm; P < 0.001). Significant medium to large non-linear relationships were found between facial movement and power output (r2 = 0.24–0.31), HR (r2 = 0.26–0.33), [La?] (r2 = 0.33–0.44) and RPE (r2 = 0.38–0.45). The findings demonstrate the potential utility of facial feature tracking as a non-invasive, psychophysiological measure to potentially assess exercise intensity.  相似文献   

10.
The purpose of this investigation was to compare external work and net energy expenditure during a bout of repetitive stretch-shortening cycles between competitive and recreational long-distance runners. Participants were divided into either competitive or recreational runners based on their maximal oxygen consumption and self-reported 1600 m times. The stretch-shortening cycle involved a repetitive hopping protocol on a force plate while measuring oxygen consumption and lactate accumulation for a total of 10 min. External work and net energy expenditure were calculated for 3 min after steady state was achieved and the ratio between these variables was utilised as an index of mechanical efficiency. Lower extremity stiffness was calculated during this interval as well. Net energy expenditure was significantly lower in competitive runners (152.6 ± 33.3 kJ) in comparison to recreational runners (200.6 ± 41.4 kJ) (P = 0.02) given similar amounts of external work performed in both groups (competitive runners = 65.6 ± 20.1 kJ, recreational runners = 68.8 ± 12.1 kJ) (P = 0.67). Index of mechanical efficiency was significantly different between competitive runners (43.2 ± 9.0%) and recreational runners (34.8 ± 5.3%) (P = 0.03). No significant differences were found in lower extremity stiffness (P = 0.64). Competitive distance runners can perform similar levels of external work with lower net energy expenditure and thus a higher index of mechanical efficiency during repetitive stretch-shortening cycles in comparison to recreational runners with similar values of lower extremity stiffness. This ability could possibly be due differences in muscle–tendon length changes, muscle pre-activation, cross-bridge potentiation and short-latency reflex responses as a result of training which should be considered for future investigation.  相似文献   

11.
The aim of this study was to determine the influence of barefoot running on foot-strike patterns, eversion–inversion, running speed and vertical foot rotation in endurance runners. Eighty healthy recreational runners (age = 34.11 ± 12.95 years old, body mass index = 22.56 ± 2.65 kg · m?2) performed trials in shod/unshod running conditions on a treadmill at comfortable and competitive self-selected speeds. Data were collected by systematic observation of lateral and back recordings at 240 Hz. McNemar’s test indicated significant differences between shod/unshod conditions and foot strike at comfortable and competitive speeds (P < 0.001). Speed was related to vertical foot rotation type for shod (P < 0.01) and unshod conditions (P < 0.05). Significant differences were found between shod/unshod conditions in foot rotation at comfortable running speeds (P < 0.001) and competitive running speeds (P < 0.01). No significant difference was found in inversion or eversion (P ≥ 0.05). In conclusion, the results suggest that running kinematics, in terms of foot-strike patterns and vertical foot rotation, differ between shod/unshod conditions, while the inversion or eversion degree remains unchanged.  相似文献   

12.
The purpose of this study was to determine the between day reliability of power-time measures calculated with data collected using the linear position transducer or the force plate independently, or a combination of the two technologies. Twenty-five male rugby union players performed three jump squats on two occasions one week apart. Ground reaction forces were measured via a force plate and position data were collected using a linear position transducer. From these data, a number of power-time variables were calculated for each method. The force plate, linear position transducer and a combined method were all found to be a reliable means of measuring peak power (ICC = 0.87‐0.95, CV = 3.4%‐8.0%). The absolute consistency of power-time measures varied between methods (CV = 8.0%‐53.4%). Relative consistency of power-time measures was generally comparable between methods and measures, and for many variables was at an acceptable level (ICC = 0.77‐0.94). Although a number of time-dependent power variables can be reliably calculated from data acquired from the three methods investigated, the reliability of a number of these measures is below that which is acceptable for use in research and for practical applications.  相似文献   

13.
This study examined effects of 4 weeks of caffeine supplementation on endurance performance. Eighteen low-habitual caffeine consumers (<75 mg · day?1) were randomly assigned to ingest caffeine (1.5–3.0 mg · kg?1day?1; titrated) or placebo for 28 days. Groups were matched for age, body mass, V?O2peak and Wmax (P > 0.05). Before supplementation, all participants completed one V?O2peak test, one practice trial and 2 experimental trials (acute 3 mg · kg?1 caffeine [precaf] and placebo [testpla]). During the supplementation period a second V?O2peak test was completed on day 21 before a final, acute 3 mg · kg?1 caffeine trial (postcaf) on day 29. Trials consisted of 60 min cycle exercise at 60% V?O2peak followed by a 30 min performance task. All participants produced more external work during the precaf trial than testpla, with increases in the caffeine (383.3 ± 75 kJ vs. 344.9 ± 80.3 kJ; Cohen’s d effect size [ES] = 0.49; P = 0.001) and placebo (354.5 ± 55.2 kJ vs. 333.1 ± 56.4 kJ; ES = 0.38; P = 0.004) supplementation group, respectively. This performance benefit was no longer apparent after 4 weeks of caffeine supplementation (precaf: 383.3 ± 75.0 kJ vs. postcaf: 358.0 ± 89.8 kJ; ES = 0.31; P = 0.025), but was retained in the placebo group (precaf: 354.5 ± 55.2 kJ vs. postcaf: 351.8 ± 49.4 kJ; ES = 0.05; P > 0.05). Circulating caffeine, hormonal concentrations and substrate oxidation did not differ between groups (all P > 0.05). Chronic ingestion of a low dose of caffeine develops tolerance in low-caffeine consumers. Therefore, individuals with low-habitual intakes should refrain from chronic caffeine supplementation to maximise performance benefits from acute caffeine ingestion.  相似文献   

14.
Purpose: An advanced system for the assessment of climbing-specific performance was developed and used to: (a) investigate the effect of arm fixation (AF) on construct validity evidence and reliability of climbing-specific finger-strength measurement; (b) assess reliability of finger-strength and endurance measurements; and (c) evaluate the relationship between finger flexor all-out test scores and climbing ability. Methods: To determine the effect of AF, 22 male climbers performed 2 maximal strength and all-out tests with AF (shoulder and elbow flexed at 90°) and without AF (shoulder flexed at 180° and elbow fully extended). To determine reliability, 9 male climbers completed 2 maximal strength tests with and without AF and an all-out and intermittent test without AF. Results: The maximal strength test without AF more strongly determined climbing ability than the test with AF (r2 = .48 and r2 = .42 for sport climbing; r2 = .66 and r2 = .42 for bouldering, respectively). Force and time variables were highly reliable; the rate of force development and fatigue index had moderate and low reliability. The maximal strength test with AF provided slightly higher reliability than without AF (intraclass correlation coefficient [ICC] = 0.94, ICC = 0.88, respectively). However, smaller maximal forces were achieved during AF (484 ± 112 N) than without AF (546 ± 132 N). All-out test average force had sufficiently high reliability (ICC = 0.92) and a relationship to sport climbing (r2 = .42) and bouldering ability (r2 = .58). Conclusion: Finger strength and endurance measurements provided sufficient construct validity evidence and high reliability for time and force parameters. Arm fixation provides more reliable results; however, the position without AF is recommended as it is more related to climbing ability.  相似文献   

15.
This study investigated the effects of body mass and shoe midsole hardness on kinetic and perceptual variables during the performance of three basketball movements: (1) the first and landing steps of layup, (2) shot-blocking landing and (3) drop landing. Thirty male basketball players, assigned into “heavy” (n = 15, mass 82.7 ± 4.3 kg) or “light” (n = 15, mass 63.1 ± 2.8 kg) groups, performed five trials of each movement in three identical shoes of varying midsole hardness (soft, medium, hard). Vertical ground reaction force (VGRF) during landing was sampled using multiple wooden-top force plates. Perceptual responses on five variables (forefoot cushioning, rearfoot cushioning, forefoot stability, rearfoot stability and overall comfort) were rated after each movement condition using a 150-mm Visual Analogue Scale (VAS). A mixed factorial analysis of variance (ANOVA) (Body Mass × Shoe) was applied to all kinetic and perceptual variables. During the first step of the layup, the loading rate associated with rearfoot contact was 40.7% higher in the “heavy” than “light” groups (P = .014) and 12.4% higher in hard compared with soft shoes (P = .011). Forefoot peak VGRF in a soft shoe was higher (P = .011) than in a hard shoe during shot-block landing. Both “heavy” and “light” groups preferred softer to harder shoes. Overall, body mass had little effect on kinetic or perceptual variables.  相似文献   

16.
This investigation compared the effects of external pre-cooling and mid-exercise cooling methods on running time trial performance and associated physiological responses. Nine trained male runners completed familiarisation and three randomised 5 km running time trials on a non-motorised treadmill in the heat (33°C). The trials included pre-cooling by cold-water immersion (CWI), mid-exercise cooling by intermittent facial water spray (SPRAY), and a control of no cooling (CON). Temperature, cardiorespiratory, muscular activation, and perceptual responses were measured as well as blood concentrations of lactate and prolactin. Performance time was significantly faster with CWI (24.5 ± 2.8 min; P = 0.01) and SPRAY (24.6 ± 3.3 min; P = 0.01) compared to CON (25.2 ± 3.2 min). Both cooling strategies significantly (P < 0.05) reduced forehead temperatures and thermal sensation, and increased muscle activation. Only pre-cooling significantly lowered rectal temperature both pre-exercise (by 0.5 ± 0.3°C; P < 0.01) and throughout exercise, and reduced sweat rate (P < 0.05). Both cooling strategies improved performance by a similar magnitude, and are ergogenic for athletes. The observed physiological changes suggest some involvement of central and psychophysiological mechanisms of performance improvement.  相似文献   

17.
The objectives were to compare the metabolic load elicited by Zumba® classes and DVD workouts and link the physiological responses to participants’ psychological characteristics. Fifteen women (25.4 ± 4.3 years old; 164.9 ± 5.1 cm; 56.9 ± 5.8 kg; 23.9 ± 4.9% body fat) performed three Zumba® classes and three Zumba® DVD workouts using a repeated measure design. Energy expenditure was assessed by extrapolating oxygen cost from heart rate (HR) using regressions from a preliminary incremental running test. Differences between Zumba® classes and Zumba® DVD workouts were assessed by Student’s T tests and repeated measures analysis of variance and correlations between physiological and psychological variables by the Pearson’s coefficient. Results showed that Zumba® classes allowed greater energy expenditure compared to Zumba® DVD workouts (6.8 ± 0.9 vs 5.6 ± 0.9 kcal · min?1, 95% confidence interval (CI) limits: 0.3–2.1, P = 0.016), with significant differences in the time spent with a HR above 85% of HR reserve (14.7 vs 1.7%, 95% CI: 5.6–20.4, P = 0.021). Furthermore, women with a greater autonomy score showed a smaller difference between DVD and class (r = 0.511, P = 0.048), while greater differences were shown in women with greater interpersonal skills (r = ?0.563, P = 0.028). The results suggest that while both types of workouts are suitable to maintain fitness Zumba® classes allow greater energy expenditure.  相似文献   

18.
The purpose of this study was to quantify the inter-session reliability of force–velocity–power profiling and estimated maximal strength in youth. Thirty-six males (11–15 years old) performed a ballistic supine leg press test at five randomized loads (80%, 100%, 120%, 140%, and 160% body mass) on three separate occasions. Peak and mean force, power, velocity, and peak displacement were collected with a linear position transducer attached to the weight stack. Mean values at each load were used to calculate different regression lines and estimate maximal strength, force, velocity, and power. All variables were found reliable (change in the mean [CIM] = ? 1 to 14%; coefficient of variation [CV] = 3–18%; intraclass correlation coefficient [ICC] = 0.74–0.99), but were likely to benefit from a familiarization, apart from the unreliable maximal force/velocity ratio (CIM = 0–3%; CV = 23–25%; ICC = 0.35–0.54) and load at maximal power (CIM = ? 1 to 2%; CV = 10–13%; ICC = 0.26–0.61). Isoinertial force–velocity–power profiling and maximal strength in youth can be assessed after a familiarization session. Such profiling may provide valuable insight into neuromuscular capabilities during growth and maturation and may be used to monitor specific training adaptations.  相似文献   

19.
Abstract

Triathlon is a popular outdoor endurance sport performed under a variety of environmental conditions. The aim of this study was to assess physiological variables before and after a half-ironman triathlon in the heat and to analyse their relationship with performance. Thirty-four well-trained triathletes completed a half-ironman triathlon in a mean dry temperature of 29 ± 3ºC. Before and within 1 min after the end of the race, body mass, core temperature, maximal jump height and venous blood samples were obtained. Mean race time was 315 ± 40 min, with swimming (11 ± 1%), cycling (49 ± 2%) and running (40 ± 3%) representing different amounts of the total race time. At the end of the competition, body mass changed by ?3.8 ± 1.6% and the change in body mass correlated positively with race time (r = 0.64; P < 0.001). Core temperature increased from 37.5 ± 0.6ºC to 38.8 ± 0.7ºC (P < 0.001) and post-race core temperature correlated negatively with race time (r = ?0.47; P = 0.007). Race time correlated positively with the decrease in jump height (r = 0.38; P = 0.043), post-race serum creatine kinase (r = 0.55; P = 0.001) and myoglobin concentrations (r = 0.39; P = 0.022). In a half-ironman triathlon in the heat, greater reductions in body mass and higher post-competition core temperatures were present in faster triathletes. In contrast, slower triathletes presented higher levels of muscle damage and decreased muscle performance.  相似文献   

20.
The relative effects of resistance training (RT) upon muscle fitness and immune function among HIV-infected patients are uncertain. The purpose of this study was to perform a meta-analysis to determine the effects of RT upon muscle strength, muscle mass and CD4 cells count and to identify potential moderators of those outcomes in HIV-infected patients. Meta-analyses use random or fixed-effects model depending on the heterogeneity of effect sizes, complemented with Hedge’s g correction factor. Thirteen trials were meta-analysed. Overall, RT increased muscle strength (35.5%, P < 0.01) and CD4 cell count (26.1%, P = 0.003) versus controls (P < 0.03), but not muscle mass (P = 0.051). Meta-regression followed by subgroup moderator analysis showed that gains in muscle strength followed a dose–response pattern with largest increase detected among trials with longer (24 weeks; 49.3%) than shorter intervention (<12 weeks; 39%), higher (Physiotherapy Evidence-Based Database [PEDro] scale = 6; 38.3%) than lower (PEDro = 5; 28.1%) quality, and longer (12 months; 59.7%) than shorter time under highly active antiretroviral therapy (HAART) (<6 months; 37.1%), (P < 0.01). RT appears to be efficacious to improve muscular strength (~35.5%) and CD4 cell count (~26.1%), but not muscle mass of HIV-infected patients. Effects upon strength were greater in studies with higher quality and among trials with longer RT and HAART.  相似文献   

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