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No. 62 Baseball Batting Performance After Gravitational Wellness Lifting
PM&R
treatment for plantar fasciitis with a reduction of pain and improvement of the functioning. No. 61 Botulinum Toxin Type A Clinical Effect in Gonarthrosis Grade II Patients. Sofia Duran Hdez, MD; Norma G. Herrera, PhD; Citlaltepetl L. Salinas, PhD; Manuel Castillejos, PhD. Introduction: Gonarthrosis is a heterogeneous group of conditions leading joint symptoms and signs which are associated with cartilage degradation and changes in the underlying bone margins. Among the factors that accelerate this condition are overweight, muscle weakness and imbalance in loading axis. Background: The treatment is based on the control of pain and inflammation and to stop the process of cartilage injury with either drug treatment, rehabilitation or both. Botulinum toxin type A (BoNT-A)has been shown to have a direct effect on the pain regulating substances such as glutamate and substance P and the processes of inflammation in a very specific way. Materials and Methods: We admitted 45 patients (38 women 7 men) with a diagnosis of gonarthrosis Grade II entitled and evaluated in Tacuba General Hospital in Mexico City. The medical history included: age, sex, occupation, body mass index (BMI), visual analogue scale (VAS), muscle strength, and Western Ontario and McMaster Universities Arthritis Index (WOMAC) on days 1, 30, 60 and 90. We apply a single dose of 100U BoNT-A in each knee in the retropatellar bursa. Results: Over 80% of the population suffers from overweight or obesity grade I as the results of assessment of muscle strength was achieved an average increase of more than 10 kg in each leg an average weight reduction of 2.5 kg without significant difference. Not so the WOMAC scales and VAS where reported a significant difference between the initial and final figures study’ p 0.0001 by Student’s t statistical analysis. Conclusions: BoNT-A proved to be an effective treatment for pain control and inflammation in patients with knee osteoarthritis Grade II.
No. 62 Baseball Batting Performance After Gravitational Wellness Lifting. David T. Burke; Cleo Stafford; Victor Osisanya. Objective: To determine the effect on college baseball batting performance by using the gravitational wellness weight training program. Design: A retrospective review comparing the hitting performance of college baseball players who had participated in extremely high weight lifting program between seasons to those who have not. Weights lifted in weekly 30-minute sessions covering four lifts were recorded. Participants: College baseball players: the intervention was a weightlifting program involving a unique program involving high weights lifted in four stations during a 30-minute session repeated weekly. Outcomes: The change in batting performance in consecutive seasons was taken from published statistics and compared to a historical cohort of players who did not participate in the off season gravitational wellness weight lifting system. Level of Evidence: Level I Results: At the end of 10 weeks of training the average weight lifted using the Belt lift technique was 1840 pounds, ranging from 1480 to 2180 pounds. Those in the weightlifting group realized a 17% improvement in batting average (vs 0% for the historical control), 115% increase in home runs (vs -3% for the historical control), a 30% improvement in runs batted in (vs 0% for the historical control) and 35% improvement in slugging percentage (vs 0% for the historical control). There was no difference between groups in changes in batting averages. Discussion: These results indicate that using extremely high weights lifted 30 minutes per week can result in improvements in batting performance including batting averages, slugging percentages, runs batted in, and home runs. Conclusion: This study adds to the literature demonstrating that a program of 30 minutes/week of weight lifting with extremely high weights can result in significant weight lifting gains and can also increase sports performance.
Vol. 6, Iss. 8S2, 2014
S95
No. 63 Immediate Massage Stimulates Muscle Regeneration Angiogenesis and Decreases Fibrosis After Muscle Injury (Encore Presentation). Kunj G. Patel, MD; Makoto Kobayashi, MD; Tom Best, MD, PhD; Johnny Huard, PhD. Objectives: Incomplete muscle healing after injury is a common problem in sports medicine and in general rehabilitation hospitals. One common treatment for muscle injury is massage. However evidence is lacking supporting the mechanism of action and optimal timeline of delivery. Design: Four New Zealand rabbits were injured in one leg by an eccentric exercise protocol of 7 sets of 10 repetitions of lengthening contractions of the tibialis anterior (TA) muscle with 2 minutes rest between sets. After injury, rabbits were assigned to receive massages consisting of a 10N force applied at frequency of 0.5Hz for 15 minutes for 4 consecutive days. 24 hours of rest were given between each massage. The rabbits began massage at different time points: immediately after injury, 24 hours after or 48 hours after. One rabbit served as a non-massaged control. 24 hours after the last massage the TA muscles were harvested from both legs, sectioned, stained (H&E Trichrome CD31 Antibody), imaged and analyzed. Results: All massaged TAs showed increased percentage of regenerating muscle fibers (3.5% SD ¼ 0.1) compared to the non-massaged injured muscle portion (2.5% SD ¼ 0.5) and the non-injured contralateral leg (0.7% SD ¼ 0.3 p<0.05). All three massaged TAs also showed an increased number of CD31þ blood vessels. The immediately massaged muscle exhibited the greatest increase in CD31þ blood vessels (24% increase) with the 24hr delay and 48hr delay showing stepwise decreases. For fibrosis analysis the immediate massage treatment resulted in a decreased fibrotic area (5.7%) almost achieving baseline levels of fibrosis as observed in the uninjured contralateral leg (5.02%). Conclusion: Massage immediately after injury increases muscle regeneration angiogenesis (CD31þ vessels) and decreases fibrosis. These effects demonstrate the first biological explanation for massage.
No. 65 Effects of Whole Body Vibration Exercise Associated with Quadriceps Resistance Exercise on Functioning and Quality of Life in Patients with Knee Osteoarthritis: A Randomized Controlled Trial. Jan D. Reinhardt; Wang Pu; Lin Yang; Chengqi He. Objective: To determine effects of whole body vibration exercise (WBVE) associated with quadriceps resistance exercises (QRE) versus QRE only on pain, physical function, biomarkers in serum and urine, activities of daily living (ADL), and quality of life in patients with knee osteoarthritis (OA). Design: Randomized-controlled trial. Setting: Rehabilitation medicine outpatient department Sichuan People’s Republic of China. Subjects: Forty-nine patients were assigned to WBVE þ QRE and 50 to QRE. Interventions: WBVE and QRE provided 5 days per week over a 6-month period. Main Outcome Measures: Outcomes included pain assessed with visual analogue scale (VAS), timed up & go test (TUG), 6-min walk distance test (6MWD), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), range of motion, muscular strength, serum comp and urinary CTX-II Lequesne index (LI) and SF-36. All outcomes were analyzed with mixed effects regression. Level of Evidence: 1. Results: Compared with baseline WBVE þ QRE significantly improved in VAS, TUG, all WOMAC scales, active knee flexion (AKF) and extension (AKE), knee flexor (KFS) and extensor strength (KES), serum comp urinary CTX-II LI and SF-36 at 2 weeks and in 6MWD at 1 month in addition. Compared with QRE, WBVE þ QRE showed significantly greater improvement in VAS, AKF and AKE at 2 weeks; in VAS, serum comp urinary CTX-II and SF-36 at 1 month; in all outcomes apart from TUG, WOMAC, stiffness KFS and LI at 4 months; and in all outcomes except KFS at 6 months. Conclusion: Over a six-month period WBVE in combination with QRE improved symptoms, physical
treatment for plantar fasciitis with a reduction of pain and improvement of the functioning. No. 61 Botulinum Toxin Type A Clinical Effect in Gonarthrosis Grade II Patients. Sofia Duran Hdez, MD; Norma G. Herrera, PhD; Citlaltepetl L. Salinas, PhD; Manuel Castillejos, PhD. Introduction: Gonarthrosis is a heterogeneous group of conditions leading joint symptoms and signs which are associated with cartilage degradation and changes in the underlying bone margins. Among the factors that accelerate this condition are overweight, muscle weakness and imbalance in loading axis. Background: The treatment is based on the control of pain and inflammation and to stop the process of cartilage injury with either drug treatment, rehabilitation or both. Botulinum toxin type A (BoNT-A)has been shown to have a direct effect on the pain regulating substances such as glutamate and substance P and the processes of inflammation in a very specific way. Materials and Methods: We admitted 45 patients (38 women 7 men) with a diagnosis of gonarthrosis Grade II entitled and evaluated in Tacuba General Hospital in Mexico City. The medical history included: age, sex, occupation, body mass index (BMI), visual analogue scale (VAS), muscle strength, and Western Ontario and McMaster Universities Arthritis Index (WOMAC) on days 1, 30, 60 and 90. We apply a single dose of 100U BoNT-A in each knee in the retropatellar bursa. Results: Over 80% of the population suffers from overweight or obesity grade I as the results of assessment of muscle strength was achieved an average increase of more than 10 kg in each leg an average weight reduction of 2.5 kg without significant difference. Not so the WOMAC scales and VAS where reported a significant difference between the initial and final figures study’ p 0.0001 by Student’s t statistical analysis. Conclusions: BoNT-A proved to be an effective treatment for pain control and inflammation in patients with knee osteoarthritis Grade II.
No. 62 Baseball Batting Performance After Gravitational Wellness Lifting. David T. Burke; Cleo Stafford; Victor Osisanya. Objective: To determine the effect on college baseball batting performance by using the gravitational wellness weight training program. Design: A retrospective review comparing the hitting performance of college baseball players who had participated in extremely high weight lifting program between seasons to those who have not. Weights lifted in weekly 30-minute sessions covering four lifts were recorded. Participants: College baseball players: the intervention was a weightlifting program involving a unique program involving high weights lifted in four stations during a 30-minute session repeated weekly. Outcomes: The change in batting performance in consecutive seasons was taken from published statistics and compared to a historical cohort of players who did not participate in the off season gravitational wellness weight lifting system. Level of Evidence: Level I Results: At the end of 10 weeks of training the average weight lifted using the Belt lift technique was 1840 pounds, ranging from 1480 to 2180 pounds. Those in the weightlifting group realized a 17% improvement in batting average (vs 0% for the historical control), 115% increase in home runs (vs -3% for the historical control), a 30% improvement in runs batted in (vs 0% for the historical control) and 35% improvement in slugging percentage (vs 0% for the historical control). There was no difference between groups in changes in batting averages. Discussion: These results indicate that using extremely high weights lifted 30 minutes per week can result in improvements in batting performance including batting averages, slugging percentages, runs batted in, and home runs. Conclusion: This study adds to the literature demonstrating that a program of 30 minutes/week of weight lifting with extremely high weights can result in significant weight lifting gains and can also increase sports performance.
Vol. 6, Iss. 8S2, 2014
S95
No. 63 Immediate Massage Stimulates Muscle Regeneration Angiogenesis and Decreases Fibrosis After Muscle Injury (Encore Presentation). Kunj G. Patel, MD; Makoto Kobayashi, MD; Tom Best, MD, PhD; Johnny Huard, PhD. Objectives: Incomplete muscle healing after injury is a common problem in sports medicine and in general rehabilitation hospitals. One common treatment for muscle injury is massage. However evidence is lacking supporting the mechanism of action and optimal timeline of delivery. Design: Four New Zealand rabbits were injured in one leg by an eccentric exercise protocol of 7 sets of 10 repetitions of lengthening contractions of the tibialis anterior (TA) muscle with 2 minutes rest between sets. After injury, rabbits were assigned to receive massages consisting of a 10N force applied at frequency of 0.5Hz for 15 minutes for 4 consecutive days. 24 hours of rest were given between each massage. The rabbits began massage at different time points: immediately after injury, 24 hours after or 48 hours after. One rabbit served as a non-massaged control. 24 hours after the last massage the TA muscles were harvested from both legs, sectioned, stained (H&E Trichrome CD31 Antibody), imaged and analyzed. Results: All massaged TAs showed increased percentage of regenerating muscle fibers (3.5% SD ¼ 0.1) compared to the non-massaged injured muscle portion (2.5% SD ¼ 0.5) and the non-injured contralateral leg (0.7% SD ¼ 0.3 p<0.05). All three massaged TAs also showed an increased number of CD31þ blood vessels. The immediately massaged muscle exhibited the greatest increase in CD31þ blood vessels (24% increase) with the 24hr delay and 48hr delay showing stepwise decreases. For fibrosis analysis the immediate massage treatment resulted in a decreased fibrotic area (5.7%) almost achieving baseline levels of fibrosis as observed in the uninjured contralateral leg (5.02%). Conclusion: Massage immediately after injury increases muscle regeneration angiogenesis (CD31þ vessels) and decreases fibrosis. These effects demonstrate the first biological explanation for massage.
No. 65 Effects of Whole Body Vibration Exercise Associated with Quadriceps Resistance Exercise on Functioning and Quality of Life in Patients with Knee Osteoarthritis: A Randomized Controlled Trial. Jan D. Reinhardt; Wang Pu; Lin Yang; Chengqi He. Objective: To determine effects of whole body vibration exercise (WBVE) associated with quadriceps resistance exercises (QRE) versus QRE only on pain, physical function, biomarkers in serum and urine, activities of daily living (ADL), and quality of life in patients with knee osteoarthritis (OA). Design: Randomized-controlled trial. Setting: Rehabilitation medicine outpatient department Sichuan People’s Republic of China. Subjects: Forty-nine patients were assigned to WBVE þ QRE and 50 to QRE. Interventions: WBVE and QRE provided 5 days per week over a 6-month period. Main Outcome Measures: Outcomes included pain assessed with visual analogue scale (VAS), timed up & go test (TUG), 6-min walk distance test (6MWD), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), range of motion, muscular strength, serum comp and urinary CTX-II Lequesne index (LI) and SF-36. All outcomes were analyzed with mixed effects regression. Level of Evidence: 1. Results: Compared with baseline WBVE þ QRE significantly improved in VAS, TUG, all WOMAC scales, active knee flexion (AKF) and extension (AKE), knee flexor (KFS) and extensor strength (KES), serum comp urinary CTX-II LI and SF-36 at 2 weeks and in 6MWD at 1 month in addition. Compared with QRE, WBVE þ QRE showed significantly greater improvement in VAS, AKF and AKE at 2 weeks; in VAS, serum comp urinary CTX-II and SF-36 at 1 month; in all outcomes apart from TUG, WOMAC, stiffness KFS and LI at 4 months; and in all outcomes except KFS at 6 months. Conclusion: Over a six-month period WBVE in combination with QRE improved symptoms, physical