The purpose of this study is to evaluate physiological responses associated with exercise using two different mouthpieces compared with not using a mouthpiece. Improved performance while using the PX3 Bite Regulator (PX3) may significantly reduce the risk of concussions by allowing an athlete to better prepare, react, absorb, and/or avoid impact completely compared with the restricted breathing or mandibular instability that occurs when using mouthguards. Twenty-three subjects completed a battery of five physiological tests; the 1.5-mile run, sit and reach, anaerobic endurance, leg press, and bench press. Each test battery was completed under three conditions: wearing a PX3, wearing a mouthguard, or no mouthpiece respectfully. The PX3 resulted in significantly faster 1.5-mile run times (667.4 ± 9.4 vs. 684.9 ± 9.2 vs. 679 ± 7.9 s, p ≤ 0.05) and significantly longer anaerobic endurance runs (311 ± 23 vs. 283 ± 18 vs. 286 ± 18yds, p ≤ 0.05) compared with the mouthguard and no mouthpiece. The leg press lifts (51.8 ± 4.1 vs. 46.0 ± 4.3, p ≤ 0.05) while wearing the PX3 were significantly greater than when wearing a mouthguard. There were improvements, but no significant differences for sit and reach (16.8 ± 0.8 vs. 15.9 ± 0.8 vs. 16.4 ± 0.8 in., p = 0.73) and bench press (17.7 ± 1.8 vs. 17.2 ± 1.6 vs. 17.2 ± 1.7 lifts, p = 0.94). The increased performance with the PX3 could be a result of better jaw alignment and/or decreased resistance to airflow.

To examine the effect of concurrent verbal encouragement on the performance of the WAnT in female athletes vs. female non-athletes. College-age female subjects were recruited where ten of the subjects were intercollegiate athletes (ATH, n1=10) and the nine were non-athletes (NON, n2=9). The WAnT was novel to all subjects and the subjects were blinded to the study’s purpose. Prior to the experimental trials, subjects were measured for body composition and performed a familiarity WAnT trial without verbal encouragement. Subjects then performed the WAnT twice, once with concurrent verbal encouragement (VE) and once without (NVE), in a balanced cross-over design. Peak (PP) and mean power (MP), and total work (TW) were compared between ATH and NON across VE and NVE using an ANOVA (1 between, 1 within), α=0.05. ATH and NON did not differ (p>0.05) in age or body composition with the exception of fat-free mass which differed significantly (ATH=53.7±6.6, NON=46.1±5.7 kg) (p<0.05). A significant (p<0.05) main effect for ATH/NON was observed where ATH outperformed NON when pooled across VE/NVE trials for PP (ATH=13.0±1.4, NON=11.3±1.7 W·kg−1), MP (ATH=7.7±1.1, NON=6.7±0.9 W·kg-1) and TW (ATH=232±35, NON=201±26 J·kg−1). When pooled across all subjects (ATH and NON), the VE/NVE trials did not differ (p>0.05) for PP (VE=12.4±1.7, NVE=12.0±1.9 W·kg−1), MP (VE=7.3±1.1, NVE=7.2±1.2 W·kg−1) and TW (VE=219±33, NVE=215±35 J·kg−1). The ATH/NON interaction with VE/NVE was not significant (p>0.05). Concurrent verbal encouragement does not affect performance on the WAnT in females, nor does it affect WAnT performance in female athletes and non-athletes differently.

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