Artigos em revistas internacionais - ESDRM
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- Active and sham transcranial direct-current stimulation (tDCS) plus core stability on the knee kinematic and performance of the lower limb of the soccer players with dynamic knee valgus; two armed randomized clinical trialPublication . Samakosh, H.M.N; Maktoubian, M.; Doost, S.P.R.; Oliveira, Rafael; Badicu, G.; Al-Mhanna, S.B.; Hassanzadeh, M.; Amadekhiar, P.; Vaskasi, R.R.; Oliveira, RafaelDynamic knee valgus (DKV) is a prevalent risk factor for anterior cruciate ligament (ACL) injuries in soccer players, particularly during noncontact mechanisms. Transcranial direct-current stimulation (tDCS) and core stability exercises have shown promise in enhancing motor control and biomechanical alignment, but their combined effects on DKV remain unexplored. This study aimed to evaluate the efficacy of active versus sham tDCS combined with core stability exercises on knee kinematic alignment and lower limb performance in young male soccer players with DKV. In this double-blind, randomized controlled trial, 42 male soccer players (aged 18–25 years) with DKV were randomly assigned to either an active tDCS group (n = 21) or a sham tDCS group (n = 21). Both groups underwent 8 weeks of core stability exercises (3 sessions/week, 30 minutes/session) preceded by 15 minutes of active (2 mA) or sham tDCS targeting the primary motor cortex (M1). The primary outcome was the frontal plane projection angle (FPPA) during a single-leg landing task, measured using 2D video analysis. Secondary outcomes included vertical jump height and 8-hop test time. Outcomes were assessed at baseline and post-intervention. A 2 × 2 mixed-model ANOVA with Bonferroni-corrected post hoc tests was used for statistical analysis via SPSS27. The active tDCS group showed significantly greater improvements in FPPA (+5.65% vs. +2.26%, p < 0.001, 𝜂p² = 0.82), vertical jump height (+25.30% vs. +10.45%, p < 0.001, 𝜂p² = 0.75), and 8-hop test time (−21.05% vs. −14.27%, p < 0.001, � �p² = 0.68) compared to the sham group. Both groups improved from baseline, but the active tDCS group exhibited larger effect sizes across all outcomes. Active tDCS combined with core stability exercises significantly enhanced knee kinematic alignment and lower limb performance in soccer players with DKV compared to sham tDCS. These findings suggest that neuromodulation, when paired with targeted exercise, is a promising strategy for injury prevention and performance enhancement in athletes. Further research is needed to explore long-term effects and applicability to diverse populations.
- Characteristics of physical exercise programs and their effects on quality of life and functional capacity in Individuals with chronic obstructive pulmonary disease: a scoping review.Publication . Ceylan, Halil; Soares, Maria de Brito; Martins, Alexandre Duarte; Vasconcelos, Tiago; Alves, Susana; Oliveira, Rafael; Brito, João Paulo; MOUTÃO, JOÃOBackground and Objectives: Individuals with chronic obstructive pulmonary disease (COPD) often exhibit some degree of intolerance to physical exercise and several limitations in daily activities. Therefore, the objective of this study was to conduct a scoping review on the characteristics—frequency, intensity, time, and type (FITT)—and the effects of exercise programs on quality of life and functional capacity in individuals with COPD. Materials and Methods: The present review included 21 studies that were scoping-reviewed to describe their main findings and training characteristics. Results: The participants across studies ranged in age from ~39 to 76 years with mild to very severe COPD stages. The results showed that, among all studies, eleven used cardiorespira tory training (e.g., walking or cycling), five used strength training (e.g., exercises with elastic bands or traditional resistance training), and five implemented combined training (i.e., cardiorespiratory and strength exercises). Conclusions: Overall, all training protocols improved aerobic capacity (cardiorespiratory training), strength (resistance training), and both capacities together (combined training). In conclusion, this review provided com plementary insights to existing exercise prescription guidelines, particularly concerning cardiorespiratory, strength, and combined training in individuals with COPD. However, the methodologies of the training protocols varied widely, and detailed descriptions of FITT components were often incomplete or lacking clarity, especially regarding the specific exercises used. Future research should include more comprehensive spirometry variables such as forced expiratory volume 1 or forced vital capacity, as these are critical for deter mining COPDstages. Thus, there is a clear need for more high-quality research with robust methodological design in the context of exercise interventions for individuals with COPD.
- Comparison of external load during differing microcycle structures across two competitive seasons in elite female portuguese soccer playersPublication . Espada, Mário C.; Santos, Fernando J.; Nalha, Matilde; Zmijewski, Piotr; Morgans, Ryland; Oliveira, Rafael; Brito, João Paulo; FERNANDES, RENATOThis study aimed to: (i) compare the accumulated load between three and four training sessions per week plus a match across two consecutive seasons in elite female soccer players, and (ii) compare the training/match ratio (TMr) of external load. Data from 10 players in each season were analysed during the study period. The microcycle structure of the first season included three training sessions (3dW) and a match per week, while the second season included four training sessions (4dW) plus a match per week. The following measures were used for analysis: duration, total distance, high-speed running distance (HSR,>15 km/h), number of accelerations (ACC,>1–2 m.s−2 [ACC1];>2–3 m.s−2 [ACC2];>3 4 m.s−2 [ACC3];>4m.s−2 [ACC4]) and decelerations (DEC,<1–2m.s−2 [DEC1]; <2–3 m.s−2 [DEC2];< 3–4 m.s−2 [DEC3];< 4m.s−2 [DEC4]). The accumulated load was calculated by summing key metrics for all training sessions and matches, while TMr was calculated by dividing the accumulated load by match data. The main results showed that all variables showed meaningful differences (p<0.05) except for ACC4 and DEC4. Specifically, total distance was higher in 3dW than 4dW (p=0.007), while the remaining variables were higher during 4dW. Moreover, all TMr were higher in 4dW than 3dW (p<0.001 for all variables except for ACC4 and DEC4). As expected, this study showed that adding one training session per week increased accumulated load and TMr for several key variables.
- Contextualized high-speed running and sprinting during English Premier League match-play with reference to possession, positional demands and opponent rankingPublication . Morgans, Ryland; Mandurino, Mauro; Beato, Marco; Ryan, Ben; Zmijewski, Piotr; Moreira, Alexandre; Ibrahim Ceylan, Halil; Oliveira, RafaelThis study aimed to compare high-speed running (HSR) and sprint distances (SD) when in- (IP) and out-of-possession (OP) during official English Premier League (EPL) match-play over three consecutive seasons considering playing position, match location and opponent ranking. Match data from 31 male professional soccer players was obtained via an optical tracking system. Results showed that during the IP phase, playing position emerged as the only significant predictor for both HSRIP and SDIP. Wingers showed the highest HSRIP compared to centre-backs who exhibited the lowest values (p < 0.001, ES = 4.19). Similar data were found for SDIP (p < 0.001, ES = 3.30). HSROP was significantly affected by both ranking difference (β = -0.039, p = 0.001) and match location (β = 0.369, p = 0.001). HSROP decreases as the ranking difference increases and tends to be higher during away matches (p = 0.001, ES = 0.24). SDOP was affected by both ranking difference (β = -0.023, p = 0.001) and match location (β = 0.166, p = 0.001) and decreased as the ranking difference increased. SDOP was also higher during away matches (p = 0.001, ES = 0.23). Additionally, a significant interaction was found between playing position and ranking difference (β = 0.005, p = 0.010). Lower ranking differences correspond to higher SDOP values. In conclusion, these findings highlight that by applying these IP and OP insights into practical coaching strategies, teams can potentially enhance individual physical performance and adaptability across different match situations and seasons.
- Correlating diurnal variations in peak athleticism with buccalgene expression in youth football playersPublication . Thomas, A.; Wheeler, J.; Bishop, R.; Prato, M.F.G.; Karakuş, O.; Cain, E.; Kana-Ah, A.; Nisbet, D.; Morgans, Ryland; Oliveira, RafaelHourly variations in athletic performance are a well-documentedphysiological phenomenon in individual and team sports includingfootball. Measuring the timing of maximal performance couldpotentially improve performance. Evidence suggests that buccalgene expression correlates with athletic performance, yet this hasnot been studied in sport-specific participants. Therefore, the studyaimed to (A) examine the expression of Per2 and Bmal1 genes in 45youth football players and correlate with countermovement jump(CMJ) performance; (B) investigate the fluctuations in Per2 andBmal1 expression levels and CMJ performance at various timepointsduring a regular training day. CMJ metrics (Reactive Strength Index-Modified, Force at Peak Power, Eccentric Duration, and Peak Power)and gene expression levels were measured in 45 youth footballplayers at 08:30 and 17:30. Exercise timing made a significant dif-ference in each measured performance metric at the individual andsquad level. Thirty-four participants displayed increases in RSI-mod(p < 0.001) over the morning measurements. This contributed to an8% increase in overall squad performance (p = 0.0009), which sig-nificantly correlated to buccal gene expression (R2 = 0.94). Profilingplayer buccal gene expression could inform the timing of trainingand rehabilitation protocols to coincide with maximal athletic per-formance in football, other team sports, and individual sports.
- Does running performance relate to the market value of elite male soccer players? A case study from the FIFA world cupPublication . Kılcı, Abdullah; Koç, Muhammed Emin; Binokay, Hülya; Erdoğan, Ali; Kamiş, Okan; Oliveira, RafaelThe study main aim was to investigate: the relationship between running performances and market values of soccer players playing in the 2022 FIFA World Cup, by playing position and all players; the comparisons by playing position; to analyse the relationship between running metrics and market values of the highest and lowest players ranked players. The relationship between running metrics and market values of 306 soccer players who participated in the tournament and played full time, as well as the 40 players with the highest (n = 20) and lowest (n = 20) market values was analysed. Overall, there was a very weak correlation between market values and total distance (r = 0.149), zone 3 (r = 0.153), zone 4 (r = 0.139), zone 5 (r = 0.160), high-speed runs (r = 0.132), sprints (r = 0.147), and top speed (r = 0.194) for all players (p < 0.05). Defenders showed very weak positive correlation between market values and top speed (r = 0.155, p < 0.05). Midfielders showed weak positive correlations between market values and zone 4 (r = 0.302, p < 0.05) and zone 5 (r = 0.369, p < 0.001), sprints (r = 0.367, p < 0.001), and top speed (r = 0.304, p < 0.05). Forwards showed no correlations (p > 0.05). While there is no significant correlation between running metrics and market value for players with the lowest market value (p > 0.05), there was a moderate negative correlation between total distance (r=-0.577) and zone 2 (r=-0.612) for the 20 players with the highest market value (p < 0.05). Moreover, there was a weak correlation with zone 5 (r = 0.450) and a moderate correlation with the top speed values (r = 0.596) (p < 0.05). Weak correlations between soccer players’ running performance and market values suggest that different running thresholds are important metrics, although other factors (e.g., technical skill, age, national and team club) may influence this relationship. In conclusion, since coaches and scouts aim to recruit relatively talented players within the limits of their budgets, selecting athletes with high aerobic and anaerobic performance, particularly those with a strong high-intensity running profile, can contribute to team success and potentially generate high transfer revenues in the future.
- Effects of a 16‑week high‑speed resistance training program on physical and cognitive function in community‑dwelling independent older adults: a clinical trialPublication . Martins, Alexandre Duarte; Batalha, Nuno; Fernandes, Orlando; Gonçalves, Bruno; Oliveira, Rafael; Brito, João PauloPurpose This study investigated the effects of a 16-week high-speed resistance training (HSRT) program on physical and cognitive function in independent older adults. Methods Seventy-nine participants were assigned to an intervention group (IG, N= 40, 68.50 ± 3.54 years) or a control group (CG, N = 39, 72.08 ± 5.89 years). The IG completed 60–70 min of supervised HSRT three times weekly for 16 weeks. All concentric actions were continuously monitored with a BEAST™ sensor. Physical function was evaluated by five tests: chair‐stand, timed up and go (TUG), seated medicine ball throw (SMBT), six-minute walk (6MWT), and handgrip strength. General cognitive function was assessed with the mini-mental state examination (MMSE). Results The intervention could induce significant improvements in favor of the IG (p < 0.001) for chair-stand ( 2 p = 0.736), TUG test ( 2 p = 0.635), SMBT ( 2 p = 0.331), 6MWT ( 2 p = 0.386), and handgrip strength test for dominant ( 2 p = 0.448) and non-dominant side( 2 p = 0.388), as well as in general cognitive function (MMSE, p = 0.001, 2 p = 0.146). Conclusions The 16-week HSRT program led to substantial enhancements in both physical and cognitive function. Inter estingly, the HSRT program, tailored to general velocity zones, proved to be a safe and motivational approach to physical exercise within this population.
- Load monitoring and Its Relationship with Healthcare in SportsPublication . Oliveira, Rafael; Brito, João PauloLoad monitoring consists of training/match demand quantification as well as wellness and readiness to maximize the likelihood of optimal athletic performance [1]. The literature divides load into two dimensions: internal and external. Internal load is associated with psychophysiological demands that can be objectively and subjectively measured (e.g., heart rate and rating of perceived exertion, respectively) [2,3]. External load is associated with mechanical/locomotor demands, usually collected by global positioning systems, global navigation satellite systems, local positioning systems, and inertial measurement units that belong to micro-electro-mechanical systems (which provide a combination of 3D accelerometers, 3D gyroscopes, and 3D magnetometers). Despite different technologies, they provide external load measures, such as distances covered at various running speeds, accelerations, decelerations, player load, and others
- The loading impact of training and match-play on non-contact muscle injuries in elite male soccer players. A seasonal analysisPublication . Morgans, Ryland; Mandorino, Mauro; Zmijewski, Piotr; Ryan, Ben; Modric, Toni; Teixeira, José; Moreira, Alexandre; Oliveira, RafaelThis study investigated the relationship between acute and chronic training load metrics and non-contact muscle injuries in elite soccer players employing a novel statistical approach. A retrospective analysis was conducted during the 2020/21 season on 30 senior outfield players from an English Premier League club. Global Positioning System (GPS) technology monitored total distance, high-speed running (HSR) distance (5.5–7 m/s), sprint distance (> 7 m/s), and peak speed during training sessions and matches. A total of 42 injuries were documented, with an incidence of 8.94 injuries per 1000 hours, although only 12 non-contact muscle injuries were included in the analysis that occurred at 2.5 per 1000 hours of exposure. Acute (7-day) and chronic (28-day) training loads were examined, and data preprocessing addressed missing values and multicollinearity. To address class imbalance, the dataset was balanced using the Synthetic Minority Over-Sampling Technique (SMOTE) prior to logistic regression. Four significant predictors were retained: acute HSR (β = -0.175, p < 0.001), acute sprint distance (β = -0.613, p < 0.001), acute peak speed (β = 1.101, p < 0.001), and chronic total distance (β = 2.234, p < 0.001). The model demonstrated excellent discriminative ability with an AUC-ROC of 0.80. The results showed that higher acute volumes of HSR and sprint distance serve as protective factors against non-contact muscle injuries, whereas an increase in acute peak speed and chronic total distance significantly elevates injury risk. These findings underscore the importance of regular exposure to HSR to enhance injury resilience, while excessive load and peak speed may contribute to neuromuscular fatigue and overload.
- Long-term effects on rate of torque development and fear of falling following high-speed resistance training in older adultsPublication . Martins, Alexandre Duarte; Fernandes, Orlando; Gonçalves, Bruno; Batalha, Nuno; Brito, João Paulo; Oliveira, RafaelThis study examined the influence of physical activity (PA) on the retention of rate of torque development (RTD) effects achieved following a 16-week high-speed resistance training (HSRT) over a 12-month follow-up period. Secondly, the fear of falling was also assessed. After the follow-up, 36 participants were categorized into two groups according to the PA: light activity group (LAG, N = 20, age 70.00 ± 3.66 years) and moderate-to-vigorous activity group (MVAG, N = 16, age 68.50 ± 2.09 years). At the four time points, RTDPEAK and its time intervals for knee extension and flexion were measured using an isokinetic dynamometer at 60º/s, and the fear of falling was assessed using the Falls Efficacy Scale–International questionnaire. Both groups showed significant RTDPEAK improvements from pre intervention to the 12-month follow-up (moderate-to-large effect sizes). However, PA levels suggested to influence the retention effects: LAG showed declines in dominant RTDPEAK (2% in extension and flexion) and in non-dominant side (6% extension and 5% flexion). In contrast, the MVAG maintained or slightly improved RTDPEAK performance in dominant (1% extension and 2% flexion) and in non dominant side (3% extension and 1% flexion). Fear of falling scores remained significantly reduced in both groups compared to pre-intervention, regardless of PA level. In summary, maintaining moderate to-vigorous PA during follow-up appears to enhance the long-term retention of HSRT-induced neuromuscular adaptations, whereas HSRT effects on fear of falling were sustained regardless of PA level, highlighting its clinical potential for fall prevention.