Browsing by Author "Duarte-Mendes, Pedro"
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- Assessing Functional Ankle Instability in Sport: A Critical Review and Bibliometric AnalysisPublication . Alexandre, Élio; Monteiro, Diogo; SottoMayor, Ricardo; Jacinto, Miguel; Silva, Fernanda M.; Cid, Luis; Duarte-Mendes, Pedrofirst_pageDownload PDFsettingsOrder Article Reprints Open AccessReview Assessing Functional Ankle Instability in Sport: A Critical Review and Bibliometric Analysis by Élio Alexandre 1,Diogo Monteiro 1,2ORCID,Ricardo SottoMayor 1ORCID,Miguel Jacinto 1,2ORCID,Fernanda M. Silva 3ORCID,Luis Cid 2,4ORCID andPedro Duarte-Mendes 5,6,*ORCID 1 ESECS—Polytechnic of Leiria, 2411-901 Leiria, Portugal 2 Research Center in Sport, Health, and Human Development (CIDESD), 5001-801 Vila Real, Portugal 3 Research Unit for Sport and Physical Activity (CIDAF), Faculty of Sport Sciences and Physical Education, University of Coimbra, 3040-248 Coimbra, Portugal 4 Sport Sciences School of Rio Maior, Polytechnic of Santarém (ESDRM-IPSantarém), 2001-904 Santarém, Portugal 5 Department of Sports and Well-Being, Polytechnic Institute of Castelo Branco, 6000-266 Castelo Branco, Portugal 6 Sport Physical Activity and Health Research & Innovation Center, SPRINT, 2040-413 Santarém, Portugal * Author to whom correspondence should be addressed. Healthcare 2024, 12(17), 1733; https://doi.org/10.3390/healthcare12171733 Submission received: 5 August 2024 / Revised: 23 August 2024 / Accepted: 28 August 2024 / Published: 30 August 2024 (This article belongs to the Special Issue The Role of Physical Exercise in the Prevention and Treatment of Diseases) Downloadkeyboard_arrow_down Browse Figures Review Reports Versions Notes Abstract Functional Ankle Instability (FAI) is the subject of extensive research in sports and other environments. Given the importance of accurately measuring this latent construct, it is imperative to carry out a careful assessment of the available tools. In this context, the aim of this review was to take an in-depth look at the six most cited measurement tools to assess FAI, with a specific focus on patient-reported outcome measures related to ankle and foot. Four electronic databases (Web of Science, Scopus, Pubmed, and SportDiscus) were searched (up to November 2022) to identify the six most cited questionnaires for assessing FAI. Our analysis showed that the most cited questionnaires are the following: the Lower Extremity Functional Scale (LEFS), the Foot Function Index (FFI), the Foot and Ankle Ability Measure (FAAM), the Foot and Ankle Outcome Score (FAOS), the Olerud and Molander Ankle Score (OMAS), and the Cumberland Ankle Instability Tool (CAIT). Each questionnaire was thoroughly assessed and discussed in three sections: Development, Reliability, and Summaries. In addition, bibliometric data were calculated to analyze the relevance of each questionnaire. Despite variations in terms of validity and reliability, conceptualization, structure, and usefulness, the six questionnaires proved to be robust from a psychometric point of view, being widely supported in the literature. The bibliometric analyses suggested that the FAOS ranks first and the FFI ranks sixth in the weighted average of the impact factors of their original publications.
- Changes in Metabolic and Inflammatory Markers after a Combined Exercise Program in Workers: A Randomized Controlled TrialPublication . Silva, Fernanda; Duarte-Mendes, Pedro; Ferreira, José Pedro; Carvalho, Eugenia; Monteiro, Diogo; A, Massart; Farinha, Carlos; SOARES, CM.; A, TeixeiraPurpose We investigated the effects of a 16-week combined exercise training on body composition, and metabolic and inflammatory markers in sedentary middle-aged workers. We also assessed whether alterations in metabolic markers were associated with changes in health-related outcomes. Methods This randomized controlled trial involved 46 participants randomly allocated into control and exercise groups. The exercise group performed 16-wk combined aerobic and resistance training for 75 min per session, 3 times a week. Fasting blood samples were collected at baseline and after 16-wk intervention to determine lipid profile, and metabolic and inflammatory markers as primary outcomes. Results A total of 36 participants completed the intervention (53.70 ± 6.92 yr old; n = 18 in each group). Waist circumference (interaction effect: F = 7.423, P = 0.002), fat mass (interaction effect: F = 5.070, P = 0.011), and muscle mass (interaction effect: F = 5.420, P = 0.007) were improved in the exercise group compared with the control group. Fasting glucose increased after the 16-wk follow-up (time effect: F = 73.253, P < 0.001), without an intergroup difference. Insulin levels were greater in the control compared with exercise group (group effect: F = 6.509, P = 0.015). The control group tended to increase the homeostatic model assessment of insulin resistance index (interaction effect: F = 3.493, P = 0.070) and to decrease the QUICKI index (interaction effect: F = 3.364, P = 0.075) to a greater extent compared with the exercise group. Exercise group reduced leptin (interaction effect: F = 11.175, P = 0.002) and adiponectin (interaction effect: F = 4.437, P = 0.043) concentrations in a greater magnitude than the control group. Interleukin (IL)-6 (time effect: F = 17.767, P < 0.001) and tumor necrosis factor α (time effect: F = 9.781, P = 0.004) concentrations decreased after the intervention, without an intergroup difference. IL-17A levels increased in the control compared with exercise group (interaction effect: F = 5.010, P = 0.033). Effects on adiponectin, IL-6, and IL-17A levels seem to depend on baseline body mass index, age, and sex. Percentage changes in leptin correlated positively with changes in homeostatic model assessment of insulin resistance index in the exercise (r = 0.565, P = 0.015) and control (r = 0.670, P = 0.002) groups. Conclusions A combined training program can be an effective strategy to improve body composition and inflammatory markers and prevent marked reductions in insulin sensitivity among middle-aged workers.
- The effect of smoking on lung function changes during a 16-week combined exercise program in middle-aged workers: a latent growth curve analysisPublication . Silva, Fernanda M.; Leitão Ferreira, José Pedro; Teixeira, Ana M.; Monteiro, Diogo; Duarte-Mendes, PedroPurpose To investigate the longitudinal changes in lung function of sedentary middle-aged workers over a 16-week combined exercise training program. Methods Thirty-six sedentary workers (53.70 ± 6.92 years old) were randomly allocated to either a combined aerobic and resistance training program (n = 18) or a control group (n = 18). Lung function was evaluated through spirometry using a portable flow spirometer (Spiropalm 6MWT, Cosmed, Italy). Predicted percentages of forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), FEV1/FVC ratio, and mean forced expiratory flow between 25 and 75% of exhaled FVC (FEF25–75) were analyzed. Assessments were performed at baseline (M1), after 8-week (M2) and 16-week follow-up (M3). The changes in lung function were analyzed using the Latent Growth Curve Modeling that estimated interindividual and intraindividual growth paths. Results Smoking status revealed a significant effect on lung function growth with significant paths to intercept and slope for all models in both groups. The exercise group participants who are non-smokers revealed higher increases in FVC% (β = .22), FEV1% (β = .08), FEV1/FVC% ratio (β = .19), and FEF25–75% (β = .06) compared to those who are smokers from M1 to M3. The control group revealed a lower growth in lung function from M1 to M3, with a lower slope observed in smokers compared to non-smokers for FVC% (β = − .44), FEV1% (β = −.41), FEV1/FVC% (β = − .98), and FEF25–75% (β = − .52). Conclusion Our findings suggest that a 16-week combined training program is an effective strategy to improve lung function among sedentary workers, with a higher magnitude of improvement for non-smokers compared to smokers.
- Effects of a land and aquatic exercise-based program on pain, mobility and quality of life in patients with chronic low back pain: a study protocol for a randomized controlled trialPublication . Borges, Joana; Monteiro, Diogo; Silva, Fernanda M.; Susano Jacinto, Miguel Ângelo; Pastilha, Tiago; Duarte-Mendes, PedroBackground Chronic low back pain (CLBP) is a disease with significant functional, emotional and social impact. Several interventions are proposed for its management and exercise is one of main, land-based or water-based. This study describes a randomized controlled trial that will analyze the effect of a combined aquatic and land-based exercise program compared to an aquatic-based program on pain, functional incapacity and quality of life in adults with CLBP. Additionally, it will analyze the effects of exercise cessation in the same outcomes. Methods and design A blind randomized controlled trial will be developed with a 1:1 allocation ratio. Around 30 adults with mechanical CLBP will be randomly allocated in two groups. The experimental group (ALG) will complete an aquatic and land-based exercise program and control group (AG) will carry out only an aquatic program, both for 8 weeks. Participants will be assessed with Visual Analogue Scale, Oswestry Disability Index, Short-Form 36, Tampa Scale of Kinesiophobia-13 and Modified-Modified Schober Test, collected at baseline (M0), after 8 weeks (M1) and 4 weeks after the end of the intervention (M2). Discussion This study may provide a relevant contribution to understand the potential effect of a combined land and aquatic exercise program on pain, functional disability, fear of movement, quality of life and lumbar mobility. The results may provide important information for CLBP management. Trial registration This trial is registered with ClinicalTrials.gov (registration number: NCT06641570; date of registration: October 14, 2024).
- Effects of an imagery programme on the performance of federated and non-federated Boccia athletesPublication . Amorim, André; Travassos, Bruno; Monteiro, Diogo; Baptista, Liliana; Duarte-Mendes, PedroThe aim of this study was to analyse the effects and the relations through the implementation of an imagery (IM) training programme for federated and non-federated Boccia participants. Twenty-one Boccia athletes participated in this study. At the beginning of the study, and after a period of an 8-week IM training, the athletes’ IM ability (MIQ – 3) and their performance in Boccia tasks (distance to target and distance to coloured ball) were assessed. Data analysis was carried out using non-clinical magnitude-based inferences. The results suggests that, from pre to post test, federated and non-federated athletes had a higher IM score and exhibited an improved performance. The performance levels seem to have been influenced by the participants’ level of expertise, with the non-federated athletes revealing higher magnitude of improvement than federated athlete’s. A non-significant correlation was observed between IM and performance. Although the inconsistency of the relationship between IM and performance, the results suggests that IM training enhances the development of IM ability and also motor actions in Boccia athletes.
- Evaluation of the Psychometric Properties of the Portuguese Peabody Developmental Motor Scales-2 Edition: A Study with Children Aged 12 to 48 MonthsPublication . Rebelo, Miguel; Serrano, João; Duarte-Mendes, Pedro; Monteiro, Diogo; Paulo, Rui; Marinho, Daniel AlmeidaThe purpose of this study was to examine the psychometric properties of Peabody Developmental Motor Scales II (PDMS-2-Folio and Fewell, 2000) using a Portuguese sample. The validation of the Portuguese version of the PDMS-2 was applied according to the manual, for 392 children, from two institutions, from 12 to 48 months, with an analysis of the internal consistency (α Cronbach), of test–retest reliability (ICC) and construct validity (confirmatory factor analysis). The results of the confirmatory factorial analysis (χ2 = 55.614; df = 4; p = 0.06; χ2/df =13.904; SRMR (Standardized Root Mean Square Residual) = 0.065; CFI (Comparative Fit Index) = 0.99, TLI = 0.99, RMSEA (Root Mean Square Error of Approximation) = 0.068) of two factors (Gross Motor and Fine Motor) as the original version but correlated. Most of the subtests had good internal consistency (α = 0.85) and good test–retest stability (ICC = 0.98 to 0.99). The results indicated that the Portuguese version of the PDMS-2 is adequate and valid for assessing global and fine motor skills in children aged 12 to 48 months, and can be used as a reference tool by health and education professionals to assess motor skills and, thus, allowing to detect maladjustments, deficiencies or precocity, so that children can later receive appropriate intervention.
- Heart rate variability activity in soccer athletes after a musculoskeletal injuryPublication . Flores, Gonçalo; Monteiro, Diogo; Silva, Fernanda; Duarte-Mendes, PedroObjectives: The aim of this study is to analyse the adaptations of the autonomic nervous system after a musculoskeletal injury, obtained by measuring heart rate variability in athletes. It was hypothesized that there is an alteration in heart rate variability after a musculoskeletal injury. Study design: Cohort study. Subjects: 15 semi-professional soccer players from three football teams, aged between 21 and 33 (mean age: 29.4 ± 3.31 years), with a recent musculoskeletal injury. Methods: Heart rate variability was collected using the Polar m200 and the chest strap H10 in two moments: within 72 h after the injury and between 5 and 7 days after full return-to-play. Results: Results show differences between T1 and T2 (p ≤ 0.05) in low-frequency power (n.u.) (p = 0.001) and high-frequency power (n.u.) (p = 0.001), in low-frequency/high-frequency ratio (p = 0.001) and in high-frequency power (ms2) (p = 0.017) measures. No statistical differences were found in low-frequency power (ms2) (p = 0.233). The low frequency power (n.u.) was significantly lower after injury compared with LF power (n.u.) values after full return-to-play. In high-frequency power there was a significant difference between both moments with high values after injury. Conclusions: The use of heart rate variability therefore seems to be promising to detect an imbalance in the autonomic nervous system and help clinical departments to identify a possible non-traumatic musculoskeletal injury. Further research should be performed considering a wide range of musculoskeletal injuries and to establish baseline values of the athletes.
- Heart rate variability behavior in athletes after a sports concussion: A systematic reviewPublication . Flores, Gonçalo; Monteiro, Diogo; Silva, Fernanda; Duarte-Mendes, PedroObjective This systematic review aims to investigate the adaptations of the autonomic nervous system (ANS) after a concussion by measuring HRV in athletes over the age of 16 after injury. Methods This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Web of Science, Pubmed, SCOPUS, and Sport Discus were searched using predefined search terms to identify relevant original cross-sectional, longitudinal, and cohort epidemiological studies published before December 2021. Results After screening 1737 potential articles, four studies met the inclusion criteria. Studies included participants with concussion (n = 63) and healthy control athletes (n = 140) who practised different sports. Two studies describe a decrease in HRV following a sports concussion, and one proposed that the resolution of symptoms does not necessarily reflect ANS recovery. Lastly, one study concluded that submaximal exercise induces alteration in ANS, not seen in rest after an injury. Conclusions In the frequency domain, a decrease in high frequency power and an increase of low frequency/high frequency ratio is expected, as the activity of the sympathetic nervous system increases, and the parasympathetic nervous system decreases after injury. In the frequency domain, heart rate variability (HRV) may help monitor the activity of ANS evaluating signals of somatic tissue distress and early identification of other types of musculoskeletal injuries. Further research should investigate the relationship between HRV and other musculoskeletal injuries.
- Impact of Muscle Mass and Muscle Strength on Quality of Life of Individuals with Intellectual and Developmental DisabilitiesPublication . Jacinto, Miguel; Monteiro, Diogo; Duarte-Mendes, Pedro; Couto, Nuno; Oliveira Diz, Susana Cristina; Matos, Rui; Amaro, Nuno; Antunes, RaulThis study aimed to investigate the relationship between muscle strength and perceived quality of life in individuals with Intellectual and Developmental Disabilities (IDDs). A cross-sectional study was carried out, which involved 37 participants with a mean age of 39.08 years (SD = 0.05), ranging from 20 to 58 years. The participants were assessed on anthropometric and body composition parameters, a 30 s chair stand test and isokinetic dynamometry. Quality of life was assessed using the Portuguese version of the Personal Outcomes Scale. Pearson’s correlation analyses were carried out to examine the associations between strength measures and quality of life. Significant correlations were observed between strength measures and quality of life. In addition, lower limb muscle strength, particularly in flexion (left: r = 0.450; p ≤ 0.001; right: r = 0.504; p ≤ 0.001) and extension (r = 0.328; p = 0.05), showed positive correlations with quality of life. These findings provide preliminary evidence suggesting that muscle mass and strength may serve as potential predictors of quality of life in individuals with IDD.
- Lesões no boxe em Portugal: análise da incidência, mecanismos, factores de risco e medidas de prevenção de lesõesPublication . Fernandes, Ricardo; Monteiro, Diogo; Alexandre, Élio; Susano Jacinto, Miguel Ângelo; Silva, Fernanda; Flores, Gonçalo; Travassos, Bruno; Duarte-Mendes, PedroIntrodução: A modalidade do boxe está associada a uma elevada taxa de lesões e traumatismos cranianos graves, onde a cabeça, os ombros, os punhos e as mãos são as regiões do corpo mais afetadas. Objetivos: este estudo teve como objetivos quantificar a incidência de lesões relacionadas com a prática de boxe e a identificação de padrões de lesões e fatores de risco. Além disso, foi analisada a eficácia de medidas preventivas de lesões e as adaptações comportamentais após lesão. Metodologia: Foi utilizado um questionário para a recolha dos dados dividido em três partes: dados pessoais, experiência de treino e exposição e lesões. Resultados: 583 questionários foram analisados. Os resultados mostraram que 76% dos indivíduos eram do sexo masculino, e 70,5% nunca competiram. O sparring foi a técnica que levou a 34,3% das lesões, e a inflamação foi a lesão mais comum (28,1%). Discussão: A literatura demonstra que a incidência de lesão diminuiu no boxe amador nos últimos anos, mantendo-se no profissional. A incidência de lesão é superior no boxe profissional e o sparring é a técnica que leva a um maior número de lesões. Os alongamentos parecem ser o comportamento preventivo mais comum após lesão. Conclusões: Este estudo permite demonstrar que a altura, a frequência de competição, o nível de competição e o treino de força são os fatores mais associadas ao número de lesões nos praticantes de boxe.