Assessment of Middle Ear Anatomy Teaching Methodologies Using Microscopy versus Endoscopy: A Randomized Comparative Study

Teaching methodologies for the anatomy of the middle ear have not been investigated greatly due to the middle ear’s highly complex structure and hidden location inside of the temporal bone. The aim of this randomized study was to quantitatively compare the suitability of using microscope- and endoscope-based methods for teaching the anatomy of the middle ear. We hypothesize that the endoscopic approach will be more efficient compared to the microscopic approach. To answer the study questions, 33 sixth-year medical students, residents and otorhinolaryngology specialists were randomized either into the endoscopy or the microscopy group. Their anatomical knowledge was assessed using a structured anatomical knowledge test before and after each session. Each participant received tutoring on a human cadaveric specimen using one of the two methods. They then performed a hands-on dissection. After 2–4 weeks, the same educational curriculum was repeated using the other technique. The mean gains in anatomical knowledge for the specialists, residents, and medical students were +19.0%, +34.6%, and +23.4%, respectively. Multivariate analyses identified a statistically significant increase in performance for the endoscopic method compared to the microscopic technique (P < 0.001). For the recall of anatomical structures during dissection, the endoscopic method outperformed the microscopic technique independently of the randomization or the prior training level of the attendees (P < 0.001). In conclusion, the endoscopic approach to middle ear anatomy education is associated to an improved gain in knowledge as compared to the microscopic approach. The participants subjectively preferred the endoscope for educational purposes.     

Understanding the relative contribution of technical and tactical performance to match outcome in Australian Football

ABSTRACT

The aim of this study was to assess if tactical and technical performance indicators (PIs) could be used in combination to model match outcomes in Australian Football (AF). A database of 101 technical PIs and 14 tactical PIs from every match in the 2009–2016 Australian Football League (AFL) seasons was merged. Two outcome measures Win-loss and Score margin were used as dependent variables. The top 45 ranked technical and tactical PIs from a feature selection process were used to model match outcome using decision tree and Generalised Linear Models (GLMs). Of the top 45 selected features, this included seven tactical PIs. The Win-loss-based Decision tree model achieved a classification accuracy of 89.0% and GLM 93.2%. A Score margin-based GLM achieved a root mean squared error (RMSE) of 6.9 points. A combined approach to the classification of match outcomes provided no improvement in model accuracy compared with previous literature. However, this study has established the relative importance of technical and tactical measures of performance in relation to successful team performance in AF.     

A grounded theory of young tennis players use of music to manipulate emotional state

The main objectives of this study were (a) to elucidate young tennis players' use of music to manipulate emotional states, and (b) to present a model grounded in present data to illustrate this phenomenon and to stimulate further research. Anecdotal evidence suggests that music listening is used regularly by elite athletes as a preperformance strategy, but only limited empirical evidence corroborates such use. Young tennis players (N = 14) were selected purposively for interview and diary data collection. Results indicated that participants consciously selected music to elicit various emotional states; frequently reported consequences of music listening included improved mood, increased arousal, and visual and auditory imagery. The choice of music tracks and the impact of music listening were mediated by a number of factors, including extramusical associations, inspirational lyrics, music properties, and desired emotional state. Implications for the future investigation of preperformance music are discussed.     

Lower extremity power during the squat jump with various barbell loads

The purpose of this study was twofold: (1) to determine the barbell load that maximised the system power as well as the ankle, knee, and hip joint powers during the squat jump, and (2) to compare the system powers computed from two different methods: the centre of mass (COM) method and the barbell method. Seven male throwers were recruited in this study. The system power (COM method) and the ankle, knee, and hip joint powers were determined with the load incrementally set at 0%, 10%, 30%, 50%, 70%, and 90% of one repetition maximum. The largest system power was observed at the load of 30% (p < 0.008) while the largest ankle and knee powers were observed at 70% and 0% (p < 0.05). The barbell method overestimated the system power (p < 0.001) when compared to the COM method. It was concluded that the barbell method could influence load optimisation in squat jump. The optimal barbell load which maximised the system power did not maximise the ankle, knee, or hip power simultaneously.     

Sprint kayaking and canoeing performance prediction based on the relationship between maturity status,anthropometry and physical fitness in young elite paddlers

This study aimed to identify the maturity-related differences and its influence on the physical fitness, morphological and performance characteristics of young elite paddlers. In total, 89 kayakers and 82 canoeists, aged 13.69 ± 0.57 years (mean ± s), were allocated in three groups depending on their age relative to the age at peak height velocity (pre-APHV, circum-APHV and post-APHV) and discipline (kayak and canoe). Nine anthropometric variables, a battery of four physical fitness tests (overhead medicine ball throw, countermovement jump, sit-and-reach test and 20 m multistage shuttle run test) and three specific performance tests (1000, 500 and 200 m) were assessed. Both disciplines presented significant maturity-based differences in all anthropometric parameters (except for fat and muscle mass percentage), overhead medicine ball throw and all performance times (pre > circum > post; P < 0.05). Negative and significant correlations (P < 0.01) were detected between performance times, chronological age and anthropometry (body mass, height, sitting height and maturity status), overhead medicine ball throw and sit and reach for all distances. These findings confirm the importance of maturity status in sprint kayaking and canoeing since the more mature paddlers were also those who revealed largest body size, physical fitness level and best paddling performance. Additionally, the most important variables predicting performance times in kayaking and canoeing were maturity status and chronological age, respectively.     

Agreement in Body Fat Estimates Between a Hand-Held Bioelectrical Impedance Analyzer and Skinfold Thicknesses in African American and Caucasian Adolescents

Purpose: The aim of this study was to examine the effect of active versus passive recovery on 6 repeated Wingate tests (30-s all-out cycling sprints on a Velotron ergometer). Method: Fifteen healthy participants aged 29 (SD = 8) years old (body mass index = 23 [3] kg/m²) participated in 3 sprint interval training sessions separated by 3 to 7 days between each session during a period of 1 month. The 1st visit was familiarization to 6 cycling sprints; the 2nd and 3rd visits involved a warm-up followed by 6 30-s cycling sprints. Each sprint was followed by 4 min of passive (resting still on the ergometer) or active recovery (pedaling at 1.1 W/kg). The same recovery was used within each visit, and recovery type was randomized between visits. Results: Active recovery resulted in a 0.6 W/kg lower peak power output in the second sprint (95% confidence interval [CI] [ ? 0.2, ? 0.8 W/kg], effect size = 0.50, p < .01) and a 0.4 W/kg greater average power output in the 5th and 6th sprints (95% CI [+0.2,+0.6 W/kg], effect size = 0.50, p < .01) compared with passive recovery. There was little difference between fatigue index, total work, or accumulated work between the 2 recovery conditions. Conclusions: Passive recovery is beneficial when only 2 sprints are completed, whereas active recovery better maintains average power output compared with passive recovery when several sprints are performed sequentially (partial eta squared between conditions for multiple sprints = .38).     

Waist Circumference,Pedometer Placement,and Step-Counting Accuracy in Youth

This study examined whether differences in waist circumference (WC) and pedometer placement (anterior vs. midaxillary vs. posterior) affect the agreement between pedometer and observed steps during treadmill and self-paced walking. Participants included 19 pairs of youth (9–15 years old) who were matched for sex, race, and height and stratified by WC (high WC: HWC; low WC: LWC). Participants performed 3-min treadmill-walking trials at speeds of 59, 72, and 86 m·min-1 and a 400-m self-paced walking trial on level ground. Bland-Altman plots were used to assess the agreement between pedometer and observed steps of spring-levered pedometers by WC, pedometer placement, and walking speed. In the HWC group, the posterior pedometer placement consistently agreed most closely with observed steps at all treadmill speeds and during self-paced walking. In the LWC group, no single pedometer placement consistently agreed most closely with observed steps at all treadmill speeds and during self-paced walking. We conclude that a posterior pedometer placement improves step-count accuracy in most youth with an HWC at a range of walking speeds on level ground.     

How Much Sport is there in Sport Physiology? Practice and Ideas in the Stockholm School of Physiology at GCI, 1941–1969

The physiology research at the Royal Central Institute of Gymnastics (Swedish acronym: GCI) in Stockholm was never primarily focused on sports, but has made significant contributions to sport and exercise physiology. Changing ideas about the human body (from form to motor) during the early twentieth century led to criticism towards the posture-oriented Ling gymnastics. The rationalisation movement of the 1930s and onwards also paved the way for a rationalistic physiology research. GCI recruited Eric Hohwü Christensen (1904–1996) from Copenhagen for the new position as professor in physiology in 1941. Christensen built his research programme on the ideas of the Copenhagen School, focusing on basic research, bodily limits and rationalisation of exercise. The majority of research at GCI focused on basic physiology, and the main goal was to rationalise the exercise of the entire population, which was in line with the ambitions of the emerging Swedish welfare state. But applications in elite sports became a claim to fame for GCI through names such as Per-Olof Åstrand and Bengt Saltin. This article aims at showing how the research programme was outlined during Christensen's professorship, 1941–1969. How does a scientific environment focused on basic, physiological research become famous for its impact in sports?     

Automatic detection of collisions in elite level rugby union using a wearable sensing device

Elite rugby union teams currently employ the latest technology to monitor and evaluate the physical demands of training and games on their players. Tackling has been shown to be the most common cause of injury in rugby union, yet current player monitoring technology does not effectively evaluate player tackling measurements. Currently, to evaluate measurements specific to player tackles, a time-consuming manual analysis of player sensor data and video footage is required. The purpose of this work is to investigate tackle modeling techniques which can be utilised to automatically detect player tackles and collisions using sensing technology already being used by elite international and club level rugby union teams. This paper discusses issues relevant to automatic tackle analysis, describes a technique to detect tackles using sensing data and validates the technique by comparing automatically detected collisions to manually labeled collisions using data from elite club and international level players. The results of the validation show that the system is able to consistently identify collisions with very few false positives and false negatives, achieving a recall and precision rating of 0.933 and 0.958, respectively. The aim is that the automatically detected tackles can provide coaching, medical and strength and conditioning staff with objective tackle-specific measurements, in real time, which can be used in injury prevention and rehabilitation strategies.     

Impaired motor control after sport-related concussion could increase risk for musculoskeletal injury: Implications for clinical management and rehabilitation

This review presents a conceptual framework and supporting evidence that links impaired motor control after sport-related concussion(SRC)to increased risk for musculoskeletal injury.Multiple studies have found that athletes who are post-SRC have higher risk for musculoskeletal injury compared to their counterparts.A small body of research suggests that impairments in motor control are associated with musculoskeletal injury risk.Motor control involves the perception and processing of sensory information and subsequent coordination of motor output within the central nervous system to perform a motor task.Motor control is inclusive of motor planning and motor learning.If sensory information is not accurately perceived or there is interference with sensory information processing and cognition,motor function will be altered,and an athlete may become vulnerable to injury during sport participation.Athletes with SRC show neuroanatomic and neurophysiological changes relevant to motor control even after meeting return to sport criteria,including a normal neurological examination,resolution of symptoms,and return to baseline function on traditional concussion testing.In conjunction,altered motor function is demonstrated after SRC in muscle activation and force production,movement patterns,balance/postural stability,and motor task performance,especially performance of a motor task paired with a cognitive task(i.e.,dual-task condition).The clinical implications of this conceptual framework include a need to intentionally address motor control impairments after SRC to mitigate musculoskeletal injury risk and to monitor motor control as the athlete progresses through the return to sport continuum.