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"Cardinale, Marco"
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Validation of Fabric-Based Thigh-Wearable EMG Sensors and Oximetry for Monitoring Quadriceps Activity during Strength and Endurance Exercises
by
Di Giminiani, Riccardo
,
Cardinale, Marco
,
Quaresima, Valentina
in
Adult
,
Assessment centers
,
Cross-Over Studies
2020
Muscle oximetry based on near-infrared spectroscopy (NIRS) and electromyography (EMG) techniques in adherent clothing might be used to monitor the muscular activity of selected muscle groups while exercising. The fusion of these wearable technologies in sporting garments can allow the objective assessment of the quality and the quantity of the muscle activity as well as the continuous monitoring of exercise programs. Several prototypes integrating EMG and NIRS have been developed previously; however, most devices presented the limitations of not measuring regional muscle oxyhemoglobin saturation and did not embed textile sensors for EMG. The purpose of this study was to compare regional muscle oxyhemoglobin saturation and surface EMG data, measured under resting and dynamic conditions (treadmill run and strength exercises) by a recently developed wearable integrated quadriceps muscle oximetry/EMG system adopting smart textiles for EMG, with those obtained by using two “gold standard” commercial instrumentations for EMG and muscle oximetry. The validity and agreement between the wearable integrated muscle oximetry/EMG system and the “gold standard” instrumentations were assessed by using the Bland-Altman agreement plots to determine the bias. The results support the validity of the data provided by the wearable electronic garment developed purposely for the quadriceps muscle group and suggest the potential of using such device to measure strength and endurance exercises in vivo in various populations.
Journal Article
Injury characteristics in male youth athletics: a five-season prospective study in a full-time sports academy
by
Cardinale, Marco
,
Martínez-Silván, Daniel
,
Wik, Eirik Halvorsen
in
Athletes
,
Data collection
,
Fractures
2021
ObjectivesTo describe the injury characteristics of male youth athletes exposed to year-round athletics programmes.MethodsInjury surveillance data were prospectively collected by medical staff in a cohort of youth athletics athletes participating in a full-time sports academy from 2014–2015 to 2018–2019. Time-loss injuries (>1 day) were recorded following consensus procedures for athletics. Athletes were clustered into five event groups (sprints, jumps, endurance, throws and non-specialised) and the number of completed training and competition sessions (athletics exposures (AE)) were calculated for each athlete per completed season (one athlete season). Injury characteristics were reported overall and by event groups as injury incidence (injuries per 1000 AE) and injury burden (days lost per 1000 AE).ResultsOne-hundred and seventy-eight boys (14.9±1.8 years old) completed 391 athlete seasons, sustaining 290 injuries. The overall incidence was 4.0 injuries per 1000 AE and the overall burden was 79.1 days lost per 1000 AE. The thigh was the most common injury location (19%). Muscle strains (0.7 injuries per 1000 AE) and bone stress injuries (0.5 injuries per 1000 AE) presented the highest incidence and stress fractures the highest burden (17.6 days lost per 1000 AE). The most burdensome injury types by event group were: bone stress injuries for endurance, hamstring strains for sprints, stress fractures for jumps, lesion of meniscus/cartilage for throws and growth plate injuries for non-specialised athletes.ConclusionAcute muscle strains, stress fractures and bone stress injuries were identified as the main injury concerns in this cohort of young male athletics athletes. The injury characteristics differed between event groups.
Journal Article
Association between thermal responses, medical events, performance, heat acclimation and health status in male and female elite athletes during the 2019 Doha World Athletics Championships
by
Bouscaren, Nicolas
,
Adamuz, Maria-Carmen
,
Wilson, Mathew G
in
Acclimatization
,
Asymptomatic
,
Athletes
2022
PurposeTo determine associations between thermal responses, medical events, performance, heat acclimation and health status during a World Athletics Championships in hot-humid conditions.MethodsFrom 305 marathon and race-walk starters, 83 completed a preparticipation questionnaire on health and acclimation. Core (Tcore; ingestible pill) and skin (Tskin; thermal camera) temperatures were measured in-competition in 56 and 107 athletes, respectively. 70 in-race medical events were analysed retrospectively. Performance (% personal best) and did not finish (DNF) were extracted from official results.ResultsPeak Tcore during competition reached 39.6°C±0.6°C (maximum 41.1°C). Tskin decreased from 32.2°C±1.3°C to 31.0°C±1.4°C during the races (p<0.001). Tcore was not related to DNF (25% of starters) or medical events (p≥0.150), whereas Tskin, Tskin rate of decrease and Tcore-to-Tskin gradient were (p≤0.029). A third of the athletes reported symptoms in the 10 days preceding the event, mainly insomnia, diarrhoea and stomach pain, with diarrhoea (9% of athletes) increasing the risk of in-race medical events (71% vs 17%, p<0.001). Athletes (63%) who performed 5–30 days heat acclimation before the competition: ranked better (18±13 vs 28±13, p=0.009), displayed a lower peak Tcore (39.4°C±0.4°C vs 39.8°C±0.7°C, p=0.044) and larger in-race decrease in Tskin (−1.4°C±1.0°C vs −0.9°C±1.2°C, p=0.060), than non-acclimated athletes. Although not significant, they also showed lower DNF (19% vs 30%, p=0.273) and medical events (19% vs 32%, p=0.179).ConclusionTskin, Tskin rate of decrease and Tcore-to-Tskin gradient were important indicators of heat tolerance. While heat-acclimated athletes ranked better, recent diarrhoea represented a significant risk factor for DNF and in-race medical events.
Journal Article
Career Performance Trajectories in Track and Field Jumping Events from Youth to Senior Success: The Importance of Learning and Development
2017
The idea that early sport success can be detrimental for long-term sport performance is still under debate. Therefore, the aims of this study were to examine the career trajectories of Italian high and long jumpers to provide a better understanding of performance development in jumping events.
The official long-jump and high-jump rankings of the Italian Track and Field Federation were collected from the age of 12 to career termination, for both genders from the year 1994 to 2014. Top-level athletes were identified as those with a percentile of their personal best performance between 97 and 100.
The age of entering competitions of top-level athletes was not different than the rest of the athletic population, whereas top-level athletes performed their personal best later than the rest of the athletes. Top-level athletes showed an overall higher rate of improvement in performance from the age of 13 to the age of 18 years when compared to all other individuals. Only 10-25% of the top-level adult athletes were top-level at the age of 16. Around 60% of the top-level young at the age of 16 did not maintain the same level of performance in adulthood. Female high-jump represented an exception from this trend since in this group most top-level young become top-level adult athletes.
These findings suggest that performance before the age of 16 is not a good predictor of adult performance in long and high jump. The annual rate of improvements from 13 to 18 years should be included as a predictor of success rather than performance per se. Coaches should be careful about predicting future success based on performances obtained during youth in jumping events.
Journal Article
Longitudinal Analysis of Variations in Daily Step Counts and Long-Term Implications of COVID-19 Waves and Restriction Phases in Qatar’s Step Into Health Program: Mixed Methods Study
by
Farooq, Abdulaziz
,
Al-Mohannadi, Abdulla Saeed
,
Sayegh, Suzan
in
Adult
,
COVID-19 - epidemiology
,
COVID-19 - prevention & control
2026
Public health restrictive measures adopted during the COVID-19 pandemic led to significant changes in lifestyles. Global declines in physical activity (PA) and increases in sedentary behavior were noted. These trends were observed within different regions of the world, pointing toward potential long-term implications for PA behaviors.
This mixed methods study aims to assess variations in daily step counts in Qatar using device-driven data throughout all 3 COVID-19 waves (February 2020 to February 2023) compared with a full pre-COVID-19 year. In-depth interviews were further conducted with randomly selected participants to gain insights into determinants, perceptions, and barriers of PA during the pandemic.
A total of 362 participants (60/362, 16.6% female) from the Step Into Health community-based program reported daily step counts using pedometers (170/362, 47%) or a mobile phone app (192/362, 53%). Linear mixed models examined changes in daily step counts across 19 phases of implementation and lifting of restrictions. Overall, 9 participants also completed semistructured interviews that were analyzed thematically and phenomenologically. Triangulation of quantitative and qualitative data was applied to interpret convergences and divergences between device-measured activity patterns and lived experiences.
Significant declines in daily step counts (ie, from 689 to 1013 steps) were observed at the onset of each wave (P<.001), were especially marked at wave 2, and were followed by a recovery of step count following the lifting of restrictions at each wave (ie, increase of 609 to 1147 steps). Different patterns of change in step count emerged within sex (P=.03), age (P=.03), and BMI (P=.01) groups, where larger variations were seen among male individuals, pedometer users, and normal-weight participants. Qualitative themes (ie, disrupted routines, reliance on home-based exercise, and media influence) contextualized these patterns and explained subgroup differences.
The largest drops in daily step count coincided with increased case severity and Ramadan. Integration of quantitative and qualitative findings showed that declines in activity were shaped not only by restrictions but also by fear, motivation, and contextual factors. These results underscore the importance of designing interventions that encourage outdoor activity and provide reliable social media-based guidance during public health crises.
Journal Article
Effects of Heavy-Resistance Strength and Balance Training on Unilateral and Bilateral Leg Strength Performance in Old Adults
2015
The term \"bilateral deficit\" (BLD) has been used to describe a reduction in performance during bilateral contractions when compared to the sum of identical unilateral contractions. In old age, maximal isometric force production (MIF) decreases and BLD increases indicating the need for training interventions to mitigate this impact in seniors. In a cross-sectional approach, we examined age-related differences in MIF and BLD in young (age: 20-30 years) and old adults (age: >65 years). In addition, a randomized-controlled trial was conducted to investigate training-specific effects of resistance vs. balance training on MIF and BLD of the leg extensors in old adults. Subjects were randomly assigned to resistance training (n = 19), balance training (n = 14), or a control group (n = 20). Bilateral heavy-resistance training for the lower extremities was performed for 13 weeks (3 × / week) at 80% of the one repetition maximum. Balance training was conducted using predominately unilateral exercises on wobble boards, soft mats, and uneven surfaces for the same duration. Pre- and post-tests included uni- and bilateral measurements of maximal isometric leg extension force. At baseline, young subjects outperformed older adults in uni- and bilateral MIF (all p < .001; d = 2.61-3.37) and in measures of BLD (p < .001; d = 2.04). We also found significant increases in uni- and bilateral MIF after resistance training (all p < .001, d = 1.8-5.7) and balance training (all p < .05, d = 1.3-3.2). In addition, BLD decreased following resistance (p < .001, d = 3.4) and balance training (p < .001, d = 2.6). It can be concluded that both training regimens resulted in increased MIF and decreased BLD of the leg extensors (HRT-group more than BAL-group), almost reaching the levels of young adults.
Journal Article
Real‐Time Monitoring of Biometric Responses During a 200‐km Ultra‐Endurance Race Across the Desert
by
Bendimerad, Fawzi
,
Dossou, Joseph
,
Belfekih, Toaufik
in
Adult
,
Biomechanical Phenomena
,
Biomechanics
2025
Ultra‐endurance sports challenge athlete health, with these risks exacerbated by environmental extremes and/or remoteness of competition. Therefore, this study aimed to use real‐time monitoring technology to characterise and monitor physiological/biomechanical responses during SAMLA 2023, a 200‐km multidiscipline (swim, run, bike, and kayak) ultra‐endurance race, encompassing cool and warm desert environmental conditions (16°C–28°C). Within a cross‐sectional observational study design, 18 males (total entrants: 318) were instrumented with wearable/ingestible sensors measuring physiological [heart rate and core (Tc)/skin (Tsk) temperature], biomechanical [gait] and location‐based [Global Positioning System (GPS)] metrics. Sensors connected to a smartphone application via Bluetooth, which saved and transmitted data to a cloud‐based dashboard in real‐time. Participants were on‐course for an accumulated ∼668 h. ∼662 h of GPS data were displayed in real‐time with the longest individual data capture of ∼57 h. Physiological/biomechanical data were acquired for x̄: ∼42% (range: ∼38%–∼49%) of the participant on‐course time. Hypo/hyperthermic Tc's were seen (x̄: 37.8°C range: 35.7°C–39.2°C). Tsk (28°C: 11.7°C–38.4°C) in response to the varied in‐race environmental challenges (16°C–28°C ambient temperature) and heart rate (111 b·min−1: 37 b·min−1–179 b·min−1) varied markedly. One participant was hospitalised without presentation in physiological data. Biomechanical data had significant data loss and quality issues and are not presented. Developments in real‐time monitoring technology, acknowledging limitations observed here (physiological/biomechanical data acquisition), may allow combined in‐race GPS and physiological data (e.g., Tc/Tsk) to be used during ultra‐endurance sport to prospectively protect athlete health. GPS/physiological data alone may not identify medical emergencies, and medical teams must remain alert to medical events. Highlights Athletes can experience significant physiological and thermoregulatory strain in ultra endurance events, even when exercise intensity is relatively low and environmental conditions seem favourable for a safe race from a thermoregulatory stress (heat and cold) perspective. The use of real‐time monitoring technology was largely successful providing evidence that in‐race physiological data visualisation is possible across long duration races in remote locations. However, in its current form, it suffers limitations that restrict implementation on a wider scale. On‐course medical emergencies will not always present with physiological indicators becoming progressively alarming. Medical teams must remain prepared to respond to medical events even when athletes' biometric data are available in real‐time and do not provide alerts.
Journal Article
Performance analysis of male handball goalkeepers at the World Handball championship 2015
by
Ahmed, Hosny Abdelrahman
,
Popovic, Nebojsa
,
Sanz-Lopez, Fernando
in
Competition
,
Goalkeeper
,
Handball
2017
Goalkeepers have a very important role in handball. In coaching communities it is well recognized that goalkeepers' performances can predict team ranking in major tournaments. Despite this, few studies have been conducted on elite goalkeepers participating in World Championships. Therefore, the purpose of this study was to analyse goalkeepers' save performance during the 88 matches of the 2015 men's World Championships tournament. Goalkeepers from 24 national teams were analysed using a tracking camera system and bespoke software (Prozone Handball V.1.2, Prozone, Leeds, UK). The purpose of this study was to examine time-motion performance parameters and to evaluate the save rates for each goalkeeper. The mean total distance covered in a game by the goalkeepers was 1634±999 m. Goalkeepers spent most of the time walking or standing. The total amount of shots to the goal was 6893, with a mean save percentage of 30% (2088 saves). A significant relationship was identified between the goalkeepers' save statistics and the final team rankings. The save rate is important for teams to achieve a higher ranking, and therefore the selection and training of goalkeepers requires more than just assessing physical abilities. The throwing distribution and success/save rate during the Qatar 2015 Men Handball World Championships suggest strong and weak parts of the goal area, and coaches can use this information to adjust their training approaches for both goalkeepers and shooters.
Journal Article
Morphostructural mapping of Borealis Planitia, Mercury
2023
Orbital data from the MESSENGER spacecraft show that a significant portion of Mercury's northern hemisphere is covered by smooth plains, which are interpreted to be flood volcanic material and/or impact melt. The smooth plains show pervasive tectonic structures and encompass a broad raised bulge of uncertain geophysical interpretation. In this work, we focus on the mapping of all the morphostructures within the northern smooth plains, aiming at providing a useful dataset for further studies about the mapped area. The structural map is obtained through a twofold process: first with an automatic mapping, using an algorithm to identify all the lineaments from a DEM; and second with a visual inspection and classification of the results of the algorithm in a GIS environment. The final maps are drafted at two different scales, 1:300,000 and 1:600,000. With this approach, we mapped and characterized more than fifty thousand lines marking scarps on the surface, creating a database with several morphometric attributes for each of the identified scarps (e.g. length, azimuth, and height), which can be used for geostatistical study of smooth plains tectonics. Our structural map reveals that: (i) the area is broadly dominated by wrinkle ridges, ghost crater assemblages of lineaments, and scarps related to impact crater processes (e.g. radial faults, secondary crater chains, ejecta emplacement) and that (ii) the amount of strain was not evenly accommodated throughout the northern smooth plains.
Journal Article
Recommendations for Measurement and Management of an Elite Athlete
by
Cardinale, Marco
,
Reed, Jacob
,
Murray, Steven
in
Athletes
,
elite athlete
,
Evidence-based medicine
2019
Athletes who merit the title ‘elite’ are rare and differ both quantitatively and qualitatively from athletes of lower qualifications. Serving and studying elite athletes may demand non-traditional approaches. Research involving elite athletes suffers because of the typical nomothetic requirements for large sample sizes and other statistical assumptions that do not apply to this population. Ideographic research uses single-athlete study designs, trend analyses, and statistical process control. Single-athlete designs seek to measure differences in repeated measurements under prescribed conditions, and trend analyses may permit systematic monitoring and prediction of future outcomes. Statistical process control uses control charting and other methods from management systems to assess and modify training processes in near real-time. These methods bring assessment and process control into the real world of elite athletics.
Journal Article