Nitrate supplementation reduced the decline in explosive voluntary forces during a fatiguing protocol and attenuated low-frequency fatigue, likely due to reduced disruption of excitation-contraction coupling. However, contrary to previous findings, nitrate supplementation had no effect on contractile performance in unfatigued conditions.

The purpose of this study was to investigate the benefit of landmark registration when applied to waveform data. We compared the ability of data reduced from time-normalised and landmark registered vertical ground reaction force (vGRF) waveforms captured during maximal countermovement jumps (CMJ) of 53 active male subjects to predict jump height. vGRF waveforms were landmark registered using different landmarks resulting in four registration conditions: (i) end of the eccentric phase, (ii) adding maximum centre of mass (CoM) power, (iii) adding minimum CoM power, (iv) adding minimum vGRF. In addition to the four registration conditions, the non-registered vGRF and concentric phase only were time-normalised and used in subsequent analysis. Analysis of characterising phases was performed to reduce the vGRF data to features that captured the behaviour of each waveform. These features were extracted from each condition's vGRF waveform, time-domain (time taken to complete the movement), and warping functions (generated from landmark registration). The identified features were used as predictor features to fit a step-wise multilinear regression to jump height. Features generated from the best performing registration condition were able to predict jump height to a similar extent as the concentric phase (86-87%), while all registration conditions could explain jump height to a greater extent than time-normalisation alone (65%). This suggests waveform variability was reduced as phases of the CMJ were aligned. However, findings suggest that over-registration can occur when applying landmark registration. Overall, landmark registration can improve prediction power to performance measures as waveform data can be reduced to more appropriate performance related features.

Context Sixty thousand people are diagnosed with Parkinson’s disease (PD) each year, making it the second most common neurodegenerative disorder. PD results in a variety of gait disturbances, including muscular rigidity and decreased range of motion (ROM), that increase the fall risk of those afflicted. Osteopathic manipulative treatment (OMT) emphasizes the central role of the musculoskeletal system, which could be ideal for addressing the somatic dysfunction associated with neurodegeneration in PD. The close anatomical relationship of structures implicated in PD within the skull and the increased frequency of strain patterns raise the question of whether osteopathic cranial manipulative medicine (OCMM) can improve gait performance by improving circulation to the affected nervous tissue. However, there have been few studies in recent years that explore the effects of a standardized OMT protocol on Parkinsonian gait characteristics, and there have been few studies that include OCMM techniques. Objectives This study aims to determine whether a single session of OMT or OMT + OCMM can improve the gait of individuals with PD by addressing joint restrictions in the sagittal plane and by increasing ROM in the lower limb. Methods The following study is a two-group, randomized controlled trial in which individuals with PD (n=45) and age-matched healthy control participants (n=45) were recruited from the community. PD participants were included if they were otherwise healthy, able to stand and walk independently, had not received OMT or physical therapy (PT) within 30 days of data collection, and had idiopathic PD in Hoehn and Yahr stages 1.0–3.0. PD participants were randomly assigned to one of three experimental treatment protocols: a ‘whole-body’ OMT protocol (OMT-WB), which included OMT and OCMM techniques; a ‘neck-down’ OMT protocol (OMT-ND), including only OMT techniques; and a sham treatment protocol. Control participants were age-matched to a PD participant and were provided the same OMT experimental protocol. An 18-camera motion analysis system was utilized to capture 3-dimensional (3D) position data in a treadmill walking trial before and after the assigned treatment protocol. Pretreatment and posttreatment hip, knee, and ankle ROM were compared with paired t-tests, and joint angle waveforms during the gait cycle were analyzed with statistical parametric mapping (SPM), which is a type of waveform analysis. Results Individuals with PD had significantly reduced hip and knee extension in the stance phase compared to controls (32.9–71.2% and 32.4–56.0% of the gait cycle, respectively). Individuals with PD experienced a significant increase in total sagittal hip ROM (p=0.038) following a single session of the standardized OMT-WB treatment protocol. However, waveform analysis found no significant differences in sagittal hip, knee, or ankle angles at individual points of the gait cycle following OMT-WB, OMT-ND, or sham treatment protocols. Conclusions The increase in hip ROM observed following a single session of OMT-WB suggests that OCMM in conjunction with OMT may be useful for improving gait kinematics in individuals with PD. Longitudinal studies over multiple visits are needed to determine the long-term effect of regular OMT and OMT+OCMM treatments on Parkinsonian gait characteristics.

To properly assess the risk induced by vestibular and sensorimotor adaptation during exploration missions, we examined how long-duration stays on the International Space Station affect functional performance after gravity transitions. Mission-critical tasks that challenge the balance and the locomotion control systems were assessed: i.e., sit-to-stand, recovery-from-fall, tandem-walk, and walk-and-turn. We assessed 19 astronauts, including 7 first-time flyers and 12 experienced flyers, before their flight, a few hours after landing, and then 1 day and 6–11 days later. Results show that adaptation to long-term weightlessness causes deficits in functional performance immediately after landing that can last for up to 1 week. No differences were observed between first-time and experienced astronaut groups. These data suggest that additional sensorimotor-based countermeasures may be necessary to maintain functional performance at preflight levels when landing on planetary surfaces after a long period in weightlessness.