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  1. Article ; Online: Winter Sports Injuries in Elite Female Athletes: A Narrative Review.

    Rotllan, Cristina / Viscor, Ginés

    International journal of environmental research and public health

    2023  Volume 20, Issue 10

    Abstract: There is a lack of reviews covering the topic of the parallel high prevalence of injuries in female winter sport elite athletes. We aimed to review the data on incidence and patterns of injuries in female athletes participating in official competitions ... ...

    Abstract There is a lack of reviews covering the topic of the parallel high prevalence of injuries in female winter sport elite athletes. We aimed to review the data on incidence and patterns of injuries in female athletes participating in official competitions of winter sports. We conducted a comprehensive literature search on epidemiological data and etiological information on alpine skiing, snowboarding, ski jumping and cross-country skiing. The most common location of injury was the knee among skiers and ski jumpers and the incidence of severe ACL events was 7.6 per 100 ski racers per season (95% CI 6.6 to 8.9) in female alpine skiers. Snowboarders and cross-country skiers were more affected in the ankle and the foot. The most common cause was contact trauma with stagnant objects. The injury risk factors include training volume, knee pre-injuries, the period of the season and the technical equipment. Females are at greater risk of suffering from overuse injuries during the competitive season, as opposed to male athletes who are more likely to suffer from traumatic injuries. Our findings can be used to inform coaches and athletes and to guide future injury prevention plans.
    MeSH term(s) Humans ; Male ; Female ; Athletic Injuries/prevention & control ; Seasons ; Skiing/injuries ; Risk Factors ; Knee Injuries ; Incidence ; Athletes
    Language English
    Publishing date 2023-05-13
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph20105815
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Muscle Tone, Stiffness, and Elasticity in Elite Female Cyclists after Consecutive Short Competitions.

    Rotllan, Cristina / Corbi, Francisco / Viscor, Ginés

    Translational sports medicine

    2024  Volume 2024, Page(s) 2434494

    Abstract: Background: For professional road cyclists, most overload injuries affect the lower limbs. They are mostly represented by contractures or muscle shortening, characterised by a variation of muscular tone, stiffness, and elasticity. This real-life study ... ...

    Abstract Background: For professional road cyclists, most overload injuries affect the lower limbs. They are mostly represented by contractures or muscle shortening, characterised by a variation of muscular tone, stiffness, and elasticity. This real-life study aimed to assess specific mechanical parameters in top-class female cyclists who participated in 3 races a week.
    Methods: Six professional cyclists were evaluated. This pilot study consisted of a controlled trial and three days of competition, with rest days between them. MyotonPRO was used to measure tone, stiffness, and elasticity in six leg muscles: vastus lateralis (VL), vastus medialis (VM), rectus femoris (RF), biceps femoris (BF), lateral gastrocnemius (LG), and medial gastrocnemius (MG). Daily basal and pre- and postrace measures were carried through to the 3 races in a week.
    Results: The muscular tone of VL, VM, LG, and MG and the stiffness of VL, VM, RF, BF, LG, and MG decreased after races. VL and RF were mostly affected by (
    Conclusions: Muscle tone and stiffness decreased after a very intense and exhausting cycling endurance competition. Basal elasticity improved immediately after the race and continued this trend until the end of the week. More research is needed on changes in mechanical properties in competition and risk prevention of injuries.
    Language English
    Publishing date 2024-04-02
    Publishing country England
    Document type Journal Article
    ISSN 2573-8488
    ISSN (online) 2573-8488
    DOI 10.1155/2024/2434494
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Inspiratory Muscle Training Improves Maximal Inspiratory Pressure Without Increasing Performance in Elite Swimmers.

    Gómez-Albareda, Eloi / Viscor, Ginés / García, Iker

    International journal of sports physiology and performance

    2023  Volume 18, Issue 3, Page(s) 320–325

    Abstract: Purpose: To analyze the effect of inspiratory muscle training (IMT) on the maximal inspiratory mouth pressure (MIP) and performance of elite swimmers.: Methods: Eight participants performed a 3000-m swimming test (T-3000), followed by blood lactate ... ...

    Abstract Purpose: To analyze the effect of inspiratory muscle training (IMT) on the maximal inspiratory mouth pressure (MIP) and performance of elite swimmers.
    Methods: Eight participants performed a 3000-m swimming test (T-3000), followed by blood lactate measurements at 1 and 5 minutes postexercise.. The testing protocol was carried out before and after 6 weeks of IMT, in which a high-volume IMT group (HV-IMT) (n = 4) performed IMT twice a day-in the morning in a seated position and in the afternoon in a concurrent session of IMT and core muscle training. Also, a low-volume IMT group (LV-IMT) (n = 4) performed IMT in the morning session only.
    Results: After the intervention, both groups improved their MIP, HV-IMT (132.75 [27.42] to 156.75 [21.88] cmH2O; P = .010; d = 0.967) and LV-IMT (149.25 [22.82] to 171.50 [23.74] cmH2O; P = .013; d = 0.955), without a significant difference between groups (P = .855). Regarding swimming performance, there were no changes between groups in the T-3000 (P = .472) or lactate removal rate (P = .104).
    Conclusion: IMT increased inspiratory muscle strength in elite swimmers, but there was no association or meaningful impact on swimming performance.
    MeSH term(s) Humans ; Breathing Exercises/methods ; Maximal Respiratory Pressures ; Respiratory Muscles/physiology ; Swimming/physiology ; Muscle Strength/physiology
    Language English
    Publishing date 2023-02-08
    Publishing country United States
    Document type Journal Article
    ISSN 1555-0273
    ISSN (online) 1555-0273
    DOI 10.1123/ijspp.2022-0238
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Nutrition and Hydration for High-Altitude Alpinism: A Narrative Review.

    Viscor, Ginés / Corominas, Jordi / Carceller, Anna

    International journal of environmental research and public health

    2023  Volume 20, Issue 4

    Abstract: This report aims to summarise the scientific knowledge around hydration, nutrition, and metabolism at high altitudes and to transfer it into the practical context of extreme altitude alpinism, which, as far as we know, has never been considered before in ...

    Abstract This report aims to summarise the scientific knowledge around hydration, nutrition, and metabolism at high altitudes and to transfer it into the practical context of extreme altitude alpinism, which, as far as we know, has never been considered before in the literature. Maintaining energy balance during alpine expeditions is difficult for several reasons and requires a deep understanding of human physiology and the biological basis for altitude acclimation. However, in these harsh conditions it is difficult to reconcile our current scientific knowledge in sports nutrition or even for mountaineering to high-altitude alpinism: extreme hypoxia, cold, and the logistical difficulties intrinsic to these kinds of expeditions are not considered in the current literature. Requirements for the different stages of an expedition vary dramatically with increasing altitude, so recommendations must differentiate whether the alpinist is at base camp, at high-altitude camps, or attempting the summit. This paper highlights nutritional recommendations regarding prioritising carbohydrates as a source of energy and trying to maintain a protein balance with a practical contextualisation in the extreme altitude environment in the different stages of an alpine expedition. More research is needed regarding specific macro and micronutrient requirements as well as the adequacy of nutritional supplementations at high altitudes.
    MeSH term(s) Humans ; Altitude ; Mountaineering/physiology ; Hypoxia ; Altitude Sickness ; Acclimatization/physiology
    Language English
    Publishing date 2023-02-11
    Publishing country Switzerland
    Document type Review ; Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph20043186
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: How important is V̇O

    Burtscher, Martin / Viscor, Ginés

    Respiratory physiology & neurobiology

    2021  Volume 297, Page(s) 103833

    Abstract: The maximal rate of oxygen uptake ( ... ...

    Abstract The maximal rate of oxygen uptake (V̇O
    MeSH term(s) Acclimatization/physiology ; Adult ; Altitude ; Humans ; Male ; Mountaineering ; Oxygen Consumption/physiology
    Language English
    Publishing date 2021-12-21
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2077867-3
    ISSN 1878-1519 ; 1569-9048
    ISSN (online) 1878-1519
    ISSN 1569-9048
    DOI 10.1016/j.resp.2021.103833
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  6. Article ; Online: Simulated altitude is medicine: intermittent exposure to hypobaric hypoxia and cold accelerates injured skeletal muscle recovery.

    Santocildes, Garoa / Viscor, Ginés / Pagès, Teresa / Torrella, Joan Ramon

    The Journal of physiology

    2023  

    Abstract: Muscle injuries are the leading cause of sports casualties. Because of its high plasticity, skeletal muscle can respond to different stimuli to maintain and improve functionality. Intermittent hypobaric hypoxia (IHH) improves muscle oxygen delivery and ... ...

    Abstract Muscle injuries are the leading cause of sports casualties. Because of its high plasticity, skeletal muscle can respond to different stimuli to maintain and improve functionality. Intermittent hypobaric hypoxia (IHH) improves muscle oxygen delivery and utilization. Hypobaria coexists with cold in the biosphere, opening the possibility to consider the combined use of both environmental factors to achieve beneficial physiological adjustments. We studied the effects of IHH and cold exposure, separately and simultaneously, on muscle regeneration. Adult male rats were surgically injured in one gastrocnemius and randomly assigned to the following groups: (1) CTRL: passive recovery; (2) COLD: intermittently exposed to cold (4°C); (3) HYPO: submitted to IHH (4500 m); (4) COHY: exposed to intermittent simultaneous cold and hypoxia. Animals were subjected to these interventions for 4 h/day for 9 or 21 days. COLD and COHY rats showed faster muscle regeneration than CTRL, evidenced after 9 days at histological (dMHC-positive and centrally nucleated fibre reduction) and functional levels after 21 days. HYPO rats showed a full recovery from injury (at histological and functional levels) after 9 days, while COLD and COHY needed more time to induce a total functional recovery. IHH can be postulated as an anti-fibrotic treatment since it reduces collagen I deposition. The increase in the pSer473Akt/total Akt ratio observed after 9 days in COLD, HYPO and COHY, together with the increase in the pThr172AMPKα/total AMPKα ratio observed in the gastrocnemius of HYPO, provides clues to the molecular mechanisms involved in the improved muscle regeneration. KEY POINTS: Only intermittent hypobaric exposure accelerated muscle recovery as early as 9 days following injury at histological and functional levels. Injured muscles from animals treated with intermittent (4 h/day) cold, hypobaric hypoxia or a simultaneous combination of both stimuli regenerated histological structure and recovered muscle function 21 days after injury. The combination of cold and hypoxia showed a blunting effect as compared to hypoxia alone in the time course of the muscle recovery. The increased expression of the phosphorylated forms of Akt observed in all experimental groups could participate in the molecular cascade of events leading to a faster regeneration. The elevated levels of phosphorylated AMPKα in the HYPO group could play a key role in the modulation of the inflammatory response during the first steps of the muscle regeneration process.
    Language English
    Publishing date 2023-12-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 3115-x
    ISSN 1469-7793 ; 0022-3751
    ISSN (online) 1469-7793
    ISSN 0022-3751
    DOI 10.1113/JP285398
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Inflammation and Oxidative Stress as Common Mechanisms of Pulmonary, Autonomic and Musculoskeletal Dysfunction after Spinal Cord Injury.

    Rosales-Antequera, Cristián / Viscor, Ginés / Araneda, Oscar F

    Biology

    2022  Volume 11, Issue 4

    Abstract: One of the etiopathogenic factors frequently associated with generalized organ damage after spinal cord injury corresponds to the imbalance of the redox state and inflammation, particularly of the respiratory, autonomic and musculoskeletal systems. Our ... ...

    Abstract One of the etiopathogenic factors frequently associated with generalized organ damage after spinal cord injury corresponds to the imbalance of the redox state and inflammation, particularly of the respiratory, autonomic and musculoskeletal systems. Our goal in this review was to gain a better understanding of this phenomenon by reviewing both animal and human studies. At the respiratory level, the presence of tissue damage is notable in situations that require increased ventilation due to lower thoracic distensibility and alveolar inflammation caused by higher levels of leptin as a result of increased fatty tissue. Increased airway reactivity, due to loss of sympathetic innervation, and levels of nitric oxide in exhaled air that are similar to those seen in asthmatic patients have also been reported. In addition, the loss of autonomic control efficiency leads to an uncontrolled release of catecholamines and glucocorticoids that induce immunosuppression, as well as a predisposition to autoimmune reactions. Simultaneously, blood pressure regulation is altered with vascular damage and atherogenesis associated with oxidative damage. At the muscular level, chronically elevated levels of prooxidants and lipoperoxidation associated with myofibrillar atrophy are described, with no reduction or reversibility of this process through antioxidant supplementation.
    Language English
    Publishing date 2022-04-01
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2661517-4
    ISSN 2079-7737
    ISSN 2079-7737
    DOI 10.3390/biology11040550
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  8. Article ; Online: An Igor Pro 8.01 Procedure to Analyze Pulse Oximetry during Acute Hypoxia Test in Aircrews.

    Alvear-Catalán, Manuel / Montiglio, Claudio / Perales, Ignacio / Viscor, Ginés / Araneda, Oscar F

    Sensors (Basel, Switzerland)

    2023  Volume 23, Issue 4

    Abstract: The recognition of hypoxia symptoms is a critical part of physiological training in military aviation. Acute exposure protocols have been designed in hypobaric chambers to train aircrews to recognize hypoxia and quickly take corrective actions. The goal ... ...

    Abstract The recognition of hypoxia symptoms is a critical part of physiological training in military aviation. Acute exposure protocols have been designed in hypobaric chambers to train aircrews to recognize hypoxia and quickly take corrective actions. The goal of the acute hypoxia test is to know the time of useful consciousness and the minimal arterial oxygen saturation tolerated. Currently, there is no computer system specifically designed to analyze the physiological variables obtained during the test. This paper reports the development and analytical capabilities of a computational tool specially designed for these purposes. The procedure was designed using the Igor Pro 8.01 language, which processes oxygen saturation and heart rate signals. To accomplish this, three functional boards are displayed. The first allows the loading and processing of the data. The second generates graphs that allow for a rapid visual examination to determine the validity of individual records and calculate slopes on selected segments of the recorded signal. Finally, the third can apply filters to generate data groups for analysis. In addition, this tool makes it possible to propose new study variables that are derived from the raw signals and can be applied simultaneously to large data sets. The program can generate graphs accompanied by basic statistical parameters and heat maps that facilitate data visualization. Moreover, there is a possibility of adding other signals during the test, such as the oxygenation level in vital organs, electrocardiogram, or electroencephalogram, which illustrates the test's excellent potential for application in aerospace medicine and for helping us develop a better understanding of complex physiological phenomena.
    MeSH term(s) Humans ; Oximetry ; Aviation ; Computer Systems ; Data Visualization ; Hypoxia/diagnosis
    Language English
    Publishing date 2023-02-20
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2052857-7
    ISSN 1424-8220 ; 1424-8220
    ISSN (online) 1424-8220
    ISSN 1424-8220
    DOI 10.3390/s23042327
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  9. Article ; Online: Effects of intermittent pneumatic compression on the recovery of cardiovascular parameters after repeated sprint exercise.

    Artés, Arnau / Ferrer-Ramos, Pau / Javierre, Casimiro / Viscor, Ginés / García, Iker

    European journal of applied physiology

    2023  Volume 124, Issue 4, Page(s) 1037–1048

    Abstract: Purpose: Intermittent pneumatic compression (IPC) applies gradual pressure to facilitate lymph and blood flow movement to reduce exercise-induced tissue fluid accumulation and plasma volume loss. This study aimed to evaluate the cardiovascular system ... ...

    Abstract Purpose: Intermittent pneumatic compression (IPC) applies gradual pressure to facilitate lymph and blood flow movement to reduce exercise-induced tissue fluid accumulation and plasma volume loss. This study aimed to evaluate the cardiovascular system response during the recovery with IPC compared with passive recovery (Sham).
    Methods: Sixteen volunteers (7 females and 9 males) executed a cycling-based exhausting sprint interval exercise (8 × 20 s all out), followed by a 30-min IPC or Sham condition. Participants performed two trials in a randomised, counterbalanced, and crossover design. Several cardiovascular parameters (blood pressure, heart function, and peripheral vascular resistance) were recorded at baseline (5'), through the recovery protocol (30'), and afterwards (5').
    Results: The use of IPC during the recovery phase led to a faster recovery, stated in relative values to pre-exercise, in mean blood pressure (102.5 ± 19.3% vs. 92.7 ± 12.5%; P < 0.001), and cardiac output (139.8 ± 30.0% vs. 146.2 ± 40.2%; P < 0.05) in comparison to Sham condition. Furthermore, during the IPC-based recovery, there was a slower recovery in cardiac pressure change over time (92.5 ± 25.8% vs. 100.5 ± 48.9%; P < 0.05), and a faster return to pre-exercise values in the peripheral vascular resistance (75.2 ± 25.5% vs. 64.8 ± 17.4%; P < 0.001) compared to Sham.
    Conclusion: The application of IPC after high-intensity exercise promotes the recovery of the cardiovascular system, reducing cardiovascular strain. Future investigations should consider the effects on the sympathetic-parasympathetic balance, such as heart rate variability, to assess further bonds between the use of IPC and autonomous control.
    MeSH term(s) Female ; Humans ; Male ; Blood Pressure ; Cardiovascular System ; Exercise/physiology ; Hemodynamics ; Intermittent Pneumatic Compression Devices ; Cross-Over Studies
    Language English
    Publishing date 2023-10-04
    Publishing country Germany
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 124793-1
    ISSN 1439-6327 ; 1432-1025 ; 0301-5548 ; 1439-6319
    ISSN (online) 1439-6327 ; 1432-1025
    ISSN 0301-5548 ; 1439-6319
    DOI 10.1007/s00421-023-05333-x
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  10. Article ; Online: Acute Changes in Lung Diffusing Capacity After Training in Elite Swimmers.

    García, Iker / Drobnic, Franchek / Pons, Victoria / Viscor, Ginés

    Archivos de bronconeumologia

    2021  Volume 57, Issue 4, Page(s) 306–307

    MeSH term(s) Lung ; Pulmonary Diffusing Capacity ; Swimming
    Language Spanish
    Publishing date 2021-01-07
    Document type Case Reports
    ZDB-ID 733126-5
    ISSN 1579-2129 ; 0300-2896
    ISSN (online) 1579-2129
    ISSN 0300-2896
    DOI 10.1016/j.arbres.2020.07.042
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