Poster Session 1
Transcription
Poster Session 1
Poster’s Book thanks to Regione Basilicata XXXII WORLD CONGRESS of SPORTS MEDICINE Sports Medicine, the challenge for global health: Quo Vadis? Organizer The Italian Sports Medicine Federation (FMSI) Congress Presidents Maurizio CASASCO - Fabio PIGOZZI Organizing Committee Chairman Maurizio CASASCO Members Luigi DI LUIGI Angelo GIGLIO Gabriele PETROLITO Antonio FALCONIO Luigi Maria FORMICA Vincenzo Maria IERACITANO Vincenzo LAMBERTI Clara MAURI Aldo PASSELLI Prisco Patrizio PETTI Antonio PEZZANO Vincenzo RUSSO scientific committees Local Scientific Committee Chairman Giorgio SANTILLI Coordinator Arsenio VEICSTEINAS Members Francesco DE FERRARI Giuseppe FRANCAVILLA Gian Pasquale GANZIT Antonietta MARCHI Fabio PIGOZZI Maurizio SCHIAVON International Scientific Committee Chairman Hans Hermann DICKHUTH Members Dusan HAMAR Luigi DI LUIGI Ioannis PITSILADIS Antony WICKER Mohammed RAZI William ROBERTS Zhan HUI Jan GIELEN content 8 Summary of Poster Session 27 September 43 Summary of Poster Session 28 September 78 Summary of Poster Session 29 September 111 Summary of Poster Session 30 September 143 Authors’ Index 166 Abstracts of Poster Session 27 September 318 Abstracts of Poster Session 28 September 479 Abstracts of Poster Session 29 September 614 Abstracts of Poster Session 30 September • • • • • • • • t h u r s d a y, 2 7 POSTER SESSION 1 15.00-16.00 Chairmen: D. Hamar (SLOVAKIA); M. Gismondi (ITALY) 001 THE RELATIONSHIP BETWEEN SPIRITUAL INTELLIGENCE AND HANDICAPPED ATHLETES’ WELFARE S.A. Mirkazemi1, A. Abtahinia2, J. Khoshbakhti1, A. Jafari2, F. Alavi2 1 Physical Education & Sport Science Faculty Birjand-IRAN, 2M.A Student Physical Education & Sport Science Birjand-IRAN 002 PHYSICAL ACTIVITY AND CANCER SURVIVORS: A RESISTANCE TRAINING PROTOCOL C. Cerulli1, A. Bonifacino2, D. Rasio2, E. Tranchita1,3,4, E. Ciminelli1,4, F. Quaranta1,4, E. Guerra1,4, V. De Luca1, E. Grazioli1, A. Parisi1,4 1 Health Sciences Department University of Rome Foro Italico Rome-ITALY, 2Senology Unit S. Andrea Hospital Sapienza University of Rome Rome-ITALY, 3School of Specialization in Sport Medicine Sapienza University of Rome Rome-ITALY, 4Italian Federation of Sport Medicine Rome-ITALY 003 THERAPEUTIC HORSEBACK RIDING IN BREAST CANCER SURVIVORS: AN EXPERIMENTAL PROTOCOL C. Cerulli1, C. De Santis2, P. Frittelli3, M. Morucci4, S. Taucci4, E. Tranchita1,5,6, E. Ciminelli1,6, F. Quaranta1,6, A. Parisi1,6, F. Pigozzi1,6 1 Health Sciences Department University of Rome Foro Italico Rome-ITALY, 2ASD Sociale Il Giardino di Filippo Viterbo-ITALY, 3Senology Unit Belcolle Hospital ViterboITALY, 4Psychology Unit Belcolle Hospital Viterbo-ITALY, 5School of Speciaitation in Sport Medicine Sapienza University of Rome Rome-ITALY, 6Italian Federation of Sport Medicine Rome-ITALY XXXII WORLD CONGRESS 8 004 THURSDAY september 27 RESPONSE TO WHOLE BODY CRYOSTIMULATION AFTER THE ADAPTATION TO COLD DURING SEASON OF WINTER SWIMMING A. Lubkowska1,2, Z. Szygula3, B. Dolegowska4, I. Bryczkowska1, D. Salata4, M. Budkowska4 1 Department of Physiology, Faculty of Biology, Szczecin University; 2Chair and Department of Biochemistry and Medical Chemistry Pomeranian Medical University Szczecin-POLAND, 3Institute of Human Physiology, University School of Physical Education Krakow-POLAND, 4Department of Laboratory Diagnostics and Molecular Medicine Pomeranian Medical University Szczecin-POLAND 005 IMPLEMENTATION OF A LOW-COST REHABILITATION PROGRAMME TO MANAGE WALKING DISABILITY IN PERIPHERAL ARTERIAL DISEASE: THE “TEST-IN-TRAIN-OUT” PROGRAMME A. Malagoni1, E. Vagnoni2, M. Felisatti1, F. Mascoli1, N. Basaglia3, R. Manfredini1, N. Lamberti1, E. Pozzato1, P. Zamboni1, F. Manfredini1 1 University of Ferrara, Vascular Diseases Center Ferrara-ITALY, 2Department of Economics, University of Ferrara, Ferrara-ITALY, 3S.Anna Hospital, Department of Rehabilitation Medicine Ferrara-ITALY 006 A STUDY OF VARIETY AND PREVALENCE OF SPORT INJURIES AMONG GOALBALL ATHLETES T. Zargar Islamic Azad University Tehran-IRAN 007 EFFECT OF ACUTE EXERCISE INTENSITY ON ENDOTHELIUM DEPENDENT AND INDEPENDENT VASOMOTION A. Paparde, L. Plakane, I. Aivars, V. Lusa Department of Human and Animal Physiology, Faculty of Biology, University of Latvia Riga-LATVIA 008 THE STRENGTH RATIO OF INTERNAL TIBIAL ROTATION AND KNEE FLEXION AFTER THE USE OF HAMSTRING TENDONS FOR ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION A. Ada1, Y. Yildiz1, I. Yanmis2, T. Aydin1 1 2 Department of Sports Medicine, Gulhane Military Medical Faculty, Ankara-TURKEY, Department of Orthopedics, Gulhane Military Medical Faculty, Ankara-TURKEY of SPORTS MEDICINE 9 t h u r s d a y, 2 7 009 PATELLOFEMORAL PAIN AND RELATED RETURN TO PLAY PERCENTAGES AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION D. Alaseirlis1, T. Totlis1, L. Nakou2, I. Terzidis3, I. Ntelis1, K. Natsis4 1 Department of Orthopaedic Surgery, General Hospital of Giannitsa, Giannitsa-GREECE, Department of Neurosurgery, University Hospital Papanikolaou, Thessaloniki-GREECE, 3 General Hospital Saint Lukas Thessaloniki-GREECE, 4Aristotles University of Thessaloniki Thessaloniki-GREECE 2 010 THE BEHAVIOR OF BLOOD PRESSURE DURING EXERCISE IN YOUNG ATHLETES B. Alice, N. Gori, G. Tempesti, I. Corsani, L. Stefani, G. Galanti Sports Medicine Florence-ITALY 011 THE EFFECTS OF MESOTHERAPY ON FUNCTIONAL TEST SCORE IN ORIENTEERING ATHLETES WITH MEDIAL TIBIAL STRESS SYNDROME A. Apaydin, Y. Yildiz, T. Aydin Department Sports Medicine of Gulhane Military Medical Faculty Ankara-TURKEY 012 INJECTIONS OF HAYALURONIC ACID, MANUAL THERAPY AND ECCENTRIC TRAINING ON ACHILLES TENDON MID PORTION AFFECTED BY TENDINITIS IN AGONISTIC ATHLETES G. Boni1, E. Bizzi2, A. Migliore2, S. Spaccapanico Proietti1 1 CR Umbria FMSI, Surgery of Sport Medicine Foligno-ITALY, 2Dep. Reumatology, FBF, S. Peter Hospital Rome-ITALY 013 INTRA-ARTICULAR ULTRASOUND-GUIDED INJECTIONS IN AGONISTIC AND NON-AGONISTIC ATHLETES AFFECTED BY ANKLE OSTEOARTHRITIS E. Bizzi1, G. Boni2, A. Migliore1, S. Proietti Spaccapanico2, A. Ferri2, P. Caramore3, D. Giannini3, C. Tomassoni3 1 Dep. of Rheumatology, S.Pietro FBF Hospital Rome-ITALY, 2CR Umbria, FMSI, Surgery of Sport Medicine-Foligno (PG)-ITALY, 3Surgery of Sport Medicine Flaminia, Spoleto PG Spoleto-ITALY XXXII WORLD CONGRESS 10 014 THURSDAY september 27 INTRA-ARTICULAR ULTRASOUND-GUIDED INJECTIONS IN AGONIST AND NON-AGONIST ATHLETES AFFECTED BY KNEE OSTEOARTHRITIS A. Migliore1, G. Boni2, S. Proietti Spaccapanico2, E. Bizzi1, A. Ferri2, C. Caramore3, D. Giannini3, C. Tomassoni3 1 Dep. of Rheumatology, S.Pietro FBF Hospital, Rome-ITALY, 2CR FMSI, Umbria, Sports Medicine Ambulatory, Foligno-ITALY, 3Sports Medicine Ambulatory, Flaminia, SpoletoITALY 015 CORRELATION BETWEEN BODY MASS INDEX AND BLOOD PRESSURE IN YOUNG ATHLETES E. Contini, A. Zanazzi Institute for Sports Medicine Milan-ITALY 016 DO ACHILLES TENDON LENGTH AND SOLEUS INSERTION ANGLE DIFFER BETWEEN PERSONS WITH OR WITHOUT CLINICAL SYMPTOMS OF ACHILLES TENDINOPATHY? A. Desrochers, D. Gagnon, M.J. Nadeau, M. Lamontagne Laboratoire de Pathokinésiologie, Institut de Réadaptation Gingras-Lindsay de Montréal Montréal-CANADA 017 EXPERIMENTAL MODEL FOR THE STUDY OF THE EFFECTS OF PLATELET DERIVED GROWTH FACTORS ON MUSCLES A. Di Gianfrancesco1, L. Grasso1, E. Chierto1, S. Geuna2, S. Racca2, E. Ciminelli1, F. Pigozzi1, P. Borrione1 1 University of Rome Foro Italico Rome-ITALY, 2Department of Clinical and Biological Sciences Turin-ITALY 018 EFFECT OF CRYOTHERAPY ON BLOOD LACTATE CONCENTRATION, BLOOD PH AND PERFORMANCE IN TWO SWIMMING RACES IN ONE SESSION A. Khashaba1, A. Abdelfattah2, H. Hussein2 1 Riyadh Colleges of Dentistry and Pharmacy Riyadh-SAUDI ARABIA, 2Faculty of Physical Education, Helwan University Cairo-EGYPT of SPORTS MEDICINE 11 t h u r s d a y, 2 7 019 EFFECT OF ZINC PASTE ELASTIC BANDAGE ON PAIN AND EDEMA OF ANKLE SPRAINS C. Lyrtzis, K. Natsis, N. Anastasopoulos, T. Totlis Department of Anatomy, Medical School, A.U.Th Thessaloniki-GREECE 020 SPORT RELATED MAXILLOFACIAL INJURIES: OUR EXPERIENCE E. Magaudda, C. Freno, J. Matyasova, F.S. De Ponte Department of Maxillofacial Surgery, University of Messina Messina-ITALY 021 ROTATOR CUFF STATUS IN 3 GENERATIONS OF HIGH LEVEL VOLLEYBALL PLAYERS C. Miguel1, R. Aido1, J. Lourenço1, J.C. Vasconcelos1, S. Magalhaes1, J. Costa2, F. Monteiro3, R. Sales3 1 Service of Orthopaedics and Traumatology, Hospital de Santo António, Centro Hospitalar do Porto, Porto-PORTUGAL, 2Service de Radiologie Institut Jules Bordet Brussels-BELGIUM, 3Service of Phisical and Rehabilitation Medicine Faro-PORTUGAL 022 CHANGES IN LEVELS OF NEUROSPECIFIC AUTOANTIBODIES AND APOE POLYMORPHISM IN BOXERS WITH REPEATED MILD TRAUMATIC BRAIN INJURIES A. Muravskiy1, S. Novikova2, I. Dekhtiarov3 1 National Medical Academy of Postgraduate Education Named P.l. Shupik KyivUKRAINE, 2Institute of Genetic and Regenerative Medicine Kyiv-UKRAINE, 3Ukrainian Center of Sport Medicine Kyiv-UKRAINE 023 ULTRASOUND (US)-GUIDED VISCOSUPPLEMENTATION (VS) OF THE HIP: EFFICACY IN PATIENTS WITH FEMOROACETABULAR IMPINGEMENT (FAI) D. Orlandi1, G. Ferrero1, E. Fabbro1, F. Lacelli2, N. Perrone2, L.M. Sconfienza3, G. Serafini2 1 Radiology Department, Genoa University Genoa-ITALY, 2Radiology Department, Ospedale Santa Corona Pietra Ligure (SV)-ITALY, 3Radiology Department, Policlinico San Donato San Donato Milanese (MI)-ITALY XXXII WORLD CONGRESS 12 024 THURSDAY september 27 RENAL INJIURIES IN ATHLETES A. Parrella, M.L. Iocca, E.R. Faloni, S. Giannini Casa di Cura Villa Stuart Rome-ITALY 025 CHRONIC GROIN SYNDROME AND SPORT HERNIA IN YOUNG ATHLETES A. Parrella, E.R. Faloni, M.L. Iocca, E.P. Assako Ondo, S. Giannini Casa di Cura Villa Stuart Rome-ITALY 026 COMBINED IPSILATERAL TALAR AND CALCANEAL FRACTURE IN AN ATHLETE B. Patczai1, T. Mintál1, Á. Horváth1, I. Naumov1, A. Sebestyén2, L. Vámhidy1 1 Dept. of Trauma and Hand Surgery, University of Pécs, Pécs-HUNGARY, 2National Health Insurance Fund Administration Pécs-HUNGARY 027 PREVALENCE OF OCULAR INJURIES IN BOXERS F. Quaranta1,2, E. Cantera2, E. Ciminelli1, S. Conflitti2, S. Armentano2, F. Sperandii2, P. Borrione1,2, F. Pigozzi1,2 1 University of Rome Foro Italico Rome-ITALY, 2Sport Medicine Institute of Rome Villa Stuart Sport Clinic Rome-ITALY 028 BEACH VOLLEY HYDRATION ANALYSIS DURING A TOURNAMENT A. Scardigno1, A. Gianfelici2, M. Bianco1, V. Palmieri1, M. Gentile1, C. Di Mambro1, S. Cameli3, G. Ranocchi3, M. Faina2, P. Zeppilli1 1 Sports Medicine Unit, Catholic University Rome-ITALY, 2Medicine and Science Sports Institute A. Venerando, Italian Olympic Committee Rome-ITALY, 3Italian Volleyball Federation Rome-ITALY 029 CARDIOVASCULAR RISK FACTORS IN YOUNG FOOTBALL PLAYERS: SCREENING POPULATION IN MATERA C. Sinno Associazione Medico Sportiva Dilettantistica Matera-ITALY of SPORTS MEDICINE 13 t h u r s d a y, 2 7 030 STABILOMETRY IN ATHLETES WITH MULTIPLE ANKLE SPRAINS: A PROSPECTIVE BLINDED CONTROL TRIAL G. Soldatos1, G. Kiritsis1, O. Kiritsi2, K. Tsitas3, A. Karamouzis4, Z. Dadontzidi1, K. Skountzos5 1 Hellenic Airforce 251 General Hospital Athens-GREECE, 2Consultant Radiologist Thessaloniki-GREECE, 3General Hospital Kozani Kozani-GREECE, 4Physiotherapist Athens-GREECE, 5ATEI Patras -GREECE 031 INCIDENCE OF LONE ATRIAL FIBRILLATION IN MEN AND WOMEN AFTER LONG PRACTICE OF THE BREATH HOLD AND/OR SCUBA DIVING A. Stuto, G. Basile Seal Whealth Team Siracusa-ITALY 032 OSTEOMETRIC STUDY OF THE CORACOCLAVICULAR REGION. CONTRIBUTION TO THE ANATOMIC RECONSTRUCTION OF THE ACROMIOCLAVICULAR JOINT T. Totlis1, K. Tsitas1, O. Kiritsi1,2, C. Lyrtzis1, I. Terzidis1, K. Natsis1 1 Laboratory of Anatomy, Medical School, Aristotle University of Thessaloniki Thessaloniki-GREECE, 2James Paget University Hospitals Gr Yarmouth-UNITED KINGDOM 033 RETURN TO SPORTS AFTER ARTHROSCOPIC SHOULDER STABILIZATION M. Aloe, D.J. Albertengo, R.S. Beribe, J.L. Aparicio Sanatorio Mapaci, Assist Sport Rosario-ARGENTINA 034 HYDROTHERAPY IN CHEST-HIGH POOL FOR HORMONE THERAPY INDUCED ARTHRALGIA IN BREAST CANCER SURVIVORS. A TELE-REHABILITATION PURPOSE M. Arroyo-Morales1, I. Cantarero-Villanueva1, A. Ariza-Garcia1, C. Fernández-Lao1, N. Galiano-Castillo1, I. Zarcos-Pedrinaci2, C. Fernández-Lao1 1 Physical Therapy Department, University of Granada Granada-SPAIN, 2Radiotherapy Oncology Service Hospital Virgen de Las Nieves Granada-SPAIN XXXII WORLD CONGRESS 14 035 THURSDAY september A TELEREHABILITATION PURPOSE TO ASSESS PHYSICAL IMPAIRMENTS: THE HANDGRIP STRENGTH TEST AS A MEASURE OF FUNCTION IN BREAST CANCER SURVIVORS M. Arroyo-Morales1, C. Fernández-Lao1, N. Galiano-Castillo1, A. Ariza-Garcia1, R. Del Moral-Avila2, L. Diaz-Rodríguez3, I. Cantarero-Villanueva1 1 Physical Therapy Department, University of Granada Granada-SPAIN, 2Oncology Radiotherapy Department, Hopital Virgen de Las Nieves Granada-SPAIN, 3Nursing Department, University of Granada Granada-SPAIN 036 A FOLLOW-UP ON BLOOD PRESSURE IN RELATION TO PHYSICAL ACTIVITY AND TO RESPONSES TO EXERCISE D. Attina’, G. Catalano, S. Piromalli, D. Roberto, F. Gervasio, S. Neri UO Sports Medicine ASP Reggio Calabria-ITALY 037 PREVENTION-TREATMENT OF METABOLIC SYNDROME BASED ON CARDIOPULMONARY EXERCISE TEST E. Beretta1, E. Passoni1, A. Lania1,2, S. Adamo1, G. Grasso1, D. Noe’3, G. Miserocchi1 1 Department of Experimental Medicine, University of Milano-Bicocca, Monza-ITALY, UO Riabilitazione, Ospedale Civile di Legnano Legnano, (MI)-ITALY, 3UO Dietologia e Nutrizione Clinica, Ospedale San Carlo Borromeo Milan-ITALY 2 038 PRELIMINARY RESULTS OF THE PROJECT: “TRANSPLANTATION AND SPORT” E. Brugin, V. Pescatore, D. Noventa, F. Giada Sports Medicine Unit, Cardiovascular Department, PF Calvi Hospital Noale Venice-ITALY 039 RELATIONSHIP BETWEEN ONE MAXIMUM REPETITION, VERTICAL COMPOUND OF TORQUE`S PEAK AND ISOKINETICS VARIABLES IN CONCENTRIC EVALUATION OF HEALTY KNEES J. Carrillo Chargoy Mexican Sport Comission Mexico-MEXICO of SPORTS MEDICINE 15 27 t h u r s d a y, 2 7 040 CARDIOVASCULAR EFFECTS OF RESISTANCE TRAINING IN THE ERDERLY E. Ciminelli, S. Crudo, R. Beltran Valls, F. Quaranta, E. Guerra, E. Tranchita, F. Fagnani, A. Parisi, D. Caporossi Department of Health Sciences, University of Rome Foro Italico Rome-ITALY 041 SHORT TERM EFFECT OF AN AEROBIC EXERCISE PROGRAM IN A PATIENT WITH NEUROACANTHOCYTOSIS SYNDROMES: A CASE REPORT C. Clemente Polán, J.G. Olcina Camacho University of Extremadura Cáceres-SPAIN 042 EFFECTS OF A DOMICILIARY PHYSICAL EXERCISE PROGRAM ON FUNCTIONAL CAPACITY IN ADULT WITH CYSTIC FIBROSIS. PRELIMINARY STUDY C. Clemente Polán1, J.M. Lavado García2 1 Department of Physiology, Extremadura University Cáceres-SPAIN, 2Department of Physiotherapy and Nursing, Extremadura University Cáceres-SPAIN XXXII WORLD CONGRESS 16 THURSDAY september 27 POSTER SESSION 2 15.00-16.00 Chairmen: M. Triassi (ITALY); L. Aita (ITALY) 043 PHYSICAL ACTIVITY IN PREVENTING HYPERTENSION-WHICH IS THE MOST EFFECTIVE DOSE E. Csajági, Z. Kneffel, Z. Major, G. Pavlik Department of Health Sciences and Sports Medicine, Semmelweis University, Budapest-HUNGARY 044 PHYSICAL ACTIVITY AS ADJUNCT TREATMENT FOR PEOPLE WITH SCHIZOPHRENIA D. Curcic, N. Radivojevic, N. Dikic, M. Vukasinovic-Vesic, M. Andjelkovic Sports Medicine Association of Serbia Belgrade-SERBIA 045 PHYSICAL ACTIVITY INTENSITY AND FIBRINOGEN BLOOD LEVEL IN POSTMENOPAUSAL WOMEN E. D’Angelo1, A. Di Blasio2, F. Di Donato2, P. Izzicupo2, G. Napolitano2, A. Di Baldassarre2, S. Gallina1 1 2 046 Department of Neuroscience and Imaging of G. D’Annunzio University Chieti-ITALY, Department of Medicine and Sciences of Aging G. D’Annunzio University Chieti-ITALY COMBINED EXERCISE THERAPY AND NUTRITIONAL SUPPLEMENTATION TO FACIOSCAPULOHUMERAL DYSTROPHY: A CASE STUDY S. Pasotti1, B. Magnani1, G. Giovanetti1, P. Gandolfi1, M. Longa1, M. Macchi1, F. Chiofalo1, A. Moda1, C. Quaglieri1, L. Castelli1, R. Tupler2, A. Rossi1, G. D’Antona1 1 University of Pavia, LUSAMMR Voghera (PV)-ITALY, 2University of Modena and Reggio Emilia Modena-ITALY of SPORTS MEDICINE 17 t h u r s d a y, 2 7 047 EFFECTS OF A 16 WEEKS TRAINING PROGRAM IN PATIENTS WITH COPD: PRELIMINARY DATA A. Delussu, C. Pisicchio, S. Lubich, C. Pizzoli, F. Di Meo, M. Traballesi Fondazione Santa Lucia IRCCS Rome-ITALY 048 PSYCHOMETRIC PROPERTIES OF ACHILLES TENDON LENGTH AND SOLEUS FIBER INSERTION ANGLE MEASURES OBTAINED BY QUANTITATIVE ULTRASOUND IMAGING M.C. Nadeau, D. Gagnon, A. Desrochers, M. Lamontagne Laboratoire de Pathokinésiologie, Institut de Réadaptation Gingras-Lindsay de Montréal Montréal-CANADA 049 HEART RATE RECOVERY AS A MEASURE OF IMPROVEMENT IN EXERCISE TOLERANCE IN HEART PATIENTS UNDERGOING AEROBIC TRAINING D. Fugazzotto1, R. Herberg1, F. Speciale2, D. Di Mauro2, M. Righi2, L. Magaudda2 1 Cardiovascular Rehabilitation, Institute of Clinical Medicine, Cot Messina-ITALY, Department of Biomorphology and Biotechnology Postgraduate School of Sports Medicine University of Messina Messina-ITALY 2 050 EFFECTS OF REGULAR EXERCISE AND MAGNESIUM SULFATE ON PAIN THRESHOLD IN DIABETIC RATS A. Heidarianpour Bu Ali Sina University Hamadan-IRAN 051 ANTIOXIDATIVE CAPACITY IN HEALTHY MAN SUBJECTED TO SERIES OF WHOLE-BODY CRYOSTIMULATIONS, POTENTIAL BENEFICIAL EFFECT A. Lubkowska1, B. Dolegowska2 1 Szczecin University, Department of Physiology, Pomeranian Medical University, Department of Biochemistry Szczecin-POLAND, 2Pomeranian Medical University, Department of Laboratory Diagnostics and Molecular Medicine Szczecin-POLAND XXXII WORLD CONGRESS 18 052 THURSDAY september FOUNDATION OF A COMPUTER SOFTWARE FOR EXERCISE PRESCRIPTION IN CHRONIC DISEASE TREATMENT A. Safar Cherati1, A. Mardany Chaharlang2, M. Taghipour2 1 Tehran University of Medical Science Rasoul Akram Hospital Tehran-IRAN, 2Shahid Beheshti University of Medical Science, Haftetir Hospital Tehran-IRAN 053 SPORTING ACTIVITY AFTER MYOCARDIAL INFARCTION (MI) AND PERCUTANEOUS CORONAROPLASTYC (PCI). A CASE-REPORT C. Sinno Associazione Medico Sportiva Dilettantistica Matera Matera-ITALY 054 EVALUATION OF THE IMPACT OF SOME RISK FACTORS AND PHYSICAL ACTIVITY OF 270 CANCERS A. Sterpini FMSI Brindisi-ITALY 055 PRELIMINARY REPORT ON A PROSPECTIVE STUDY OF SPORTS EFFECTS ON PLANTAR VAULT DEVELOPMENT A. Tiloca, G. Monteleone, G. Paci, R. Sorge, M. Marzella, M. De Iacovo Department of Preventive Medicine, Diagnostics and Integrated Therapy Rome-ITALY 056 EFFECT OF INTERVAL TRAINING VERSUS AEROBIC TRAINING ON FAT PERCENTAGE OF OBESE ADULTS L. Tiznado Peña1, H. Martinez Meléndez2, A. Pegueros Perez3, G. Franco Sánchez4 1 National Sports Comition MEXICO, 2National Sports Comition MEXICO, 3National Institute of Rehabilitation MEXICO, 4National Institute of Rehabilitation MEXICO of SPORTS MEDICINE 19 27 t h u r s d a y, 2 7 057 PHYSICAL AND SEXUAL ACTIVITY A. Calligaris1, S. Bermon2 1 2 058 RESPONSE OF INSULIN AND INSULIN RESISTANCE INDEX TO ACUTE ENDURANCE EXERCISE: EFFECT OF GENDER D. Sheikholeslami Vatani1, S. Ahmadizad2, S. Ghoreishi1 1 059 Centro Medicina dello Sport e Educazione Fisica San Pellegrino Terme (BG)-ITALY, Istituto Monegasque Medicine Chirurgie du Sport Monaco-MONACO University of Kurdistan Sanandaj-IRAN, 2Shahid Beheshti University Tehran-IRAN MODULATION OF THE ALA16VAL GENE POLYMORPHISM ON MNSOD GENE EXPRESSION AND PROTEIN CONTENT BEFORE AND AFTER EXERCISE G. Bresciani1,2, J. González-Gallego1, I. Da Cruz2, J. De Paz1, M. Cuevas1 1 Institute of Biomedicine (IBIOMED) León-SPAIN, 2Programa de Pós-Graduação em Ciências Biológicas: Bioquímica Toxicológica, Universidade Federal de Santa Maria Santa Maria-BRAZIL 060 VDR POLYMORPPHISMS AND MUSCLE INJURIES IN TOP-LEVEL SOCCER PLAYERS M. Massidda1, C. Calo’1, L. Corrias1, V. Bachis1, P. Cugia2, R. Mura2, F. Piras2, M. Scorcu2 1 Dept. Life and Environmental Sciences, University of Cagliari Cagliari-ITALY, 2FMSI CR Sardegna and Cagliari Calcio Spa Cagliari-ITALY 061 THE EFFECT OF ETHNICITY ON THE DISTRIBUTION OF SINGLE NUCLEOTIDE POLYMORPHISMS (SNPS) IN GENES RELATED TO TISSUE DAMAGE, REPAIR AND RECOVERY IN SPORT J. Ribas I Fernández1, R. Artells2, R. Pruna3, B. Montoro4, F. Cos5, C. Muñoz2, G. Rodas3, M. Monzo2 1 Unitat d’Anatomia i Embriologia Humana i Escola de Medicina de L’esport-Fac. Medicina-UB Barcelona-SPAIN, 2Unitat d’Anatomia i Embriologia Humana-Fac. Medicina-UB Barcelona-SPAIN, 3Serveis Mèdics del Fcbarcelona Barcelona-SPAIN, 4Dpt. de Farmàcia i Tecnologia Farmacèutica-Fac. Farmacia-UB Barcelona-SPAIN, 5INEF-UB Barcelona-SPAIN XXXII WORLD CONGRESS 20 062 27 ACUTE CARDIOVASCULAR RESPONSE TO MUD-PACK TREATMENT IN HYPERTENSIVE SUBJECTS UNDER THERAPY L. Agnello1, M.A. Maggioni1, A. Dattilo2, G. Merati1 1 063 THURSDAY september University of Milan Milan-ITALY, 2Ermitage Medical Hotel Abano (PD)-ITALY ANATOMICAL ADAPTATIONS OF THE LOWER LIMB IN HABITUALLY BAREFOOT VERSUS SHOD CHILDREN IN RURAL KENYA H. Aibast1, T. Sigei2, P. Okutoyi2, W. Adero2, D. Chemjor2, N. Ongaro2, N. Fuku3, K. Konstabel1, D.E. Lieberman4, Y. Pitsiladis2,5 1 University of Tartu Tartu-ESTONIA, 2Moi University Eldoret-KENYA, 3Tokyo Metropolitan Institute of Gerontology Tokyo-JAPAN, 4Harvard University Cambridge-USA, 5University of Glasgow Glasgow-UNITED KINGDOM 064 THE LIFE STYLE LIKE PROCESS AGAINST AGEING A. Calligaris Centro Medicina Educazione Fisica e dello Sport San Pellegrino Terme (BG)-ITALY, Institu Monegasque de Medicineet Chirurgie Du Sport Monaco-MONACO 065 HIGH SCHOOL STUDENTS’ BODY WEIGHT CONTROL: DIFFERENCES BETWEEN ATHLETES AND NON-ATHLETES R. Mikulán1, B. Pikó2 1 University of Szeged, Juhász Gyula Faculty of Education, Institute of Physical Education and Sports Sciences Szeged - HUNGARY, 2Department of Behavioural Sciences, University of Szeged, Faculty of Medicine, Szeged-HUNGARY 067 THE INFLUENCES OF THE LOWER-EXTREMITY FUNCTION IN THE AGED PERSON’S QUALITY OF LIFE B. Oh, H.C. Choi, D.W. Shin, K.Y. Son, J.H. Park, B. Cho Seoul National University Hospital Seoul-SOUTH KOREA of SPORTS MEDICINE 21 t h u r s d a y, 2 7 068 WEEKLY VIGOROUS PHYSICAL ACTIVITY AND DIETARY HABITS IN SEDENTARY UNIVERSITY STUDENTS. GENDER-RELATED DIFFERENCES A. Sablone1, A. Di Blasio2, M.G. Taglieri1, G. Di Giacanto1, D. Di Renzo1, A. Colozzi1, M. Scalisi1, P. Ripari1,2 1 University of Study G. D’Annunzio Chieti-Pescara Chieti-ITALY, 2Department of Sciences Biomedical Chieti-ITALY, 3Department of Medecine and Aging Sciences ChietiITALY, 4AMSD Chieti Chieti-ITALY 069 THE COMPARISON OF THE EFFECT TYPE OF MUSIC ON PERFORMANCE PHYSICAL FITNESS FACTORS OF ADOLESCENCE BOYS F. Torabi1, K. Ranjbar2, Z. Soori3 1 Physical Education Department, Payame Noor University Tehran-IRAN, 2Department of Exercise Physiology, Faculty of Sports and Exercise Sciences, University of Tehran Tehran-IRAN, 3Faculty of Sports and Exercise Sciences, University of Razi KermanshahIRAN 070 THE EFFECT OF AROUSAL FACTOR (MUSIC) ON LEARNING AND PERFORMANCE OF THE CONTINUOUS MOTOR SKILLS F. Torabi Department of Physical Education, Payame Noor University Tehran-IRAN 071 DETERMINATION OF MAXIMAL FAT OXIDATION FOR PRESCRIBING EXERCISE IN HEALTHY SEDENTARY SUBJECTS A. Cataldo, G. Russo, D. Zangla, V. Giglio, D. Bellavia, M. Traina DISMOT-Department of Sports Science, University of Palermo Palermo-ITALY 072 ADAPTED PHYSICAL ACTIVITY FOR INDIVIDUALS WITH MENTAL RETARDATION: AN APPROACH WITH EVIDENCE OF EFFECTIVENESS F. Pregliasco1, I. Ghezzi2, G. Giardini2 1 Università Studi Milano Milan-ITALY, 2Fondazione Sacra Famiglia Onlus Cesano Boscone (MI)-ITALY XXXII WORLD CONGRESS 22 073 THURSDAY september 27 SURGICAL TREATMENT OF CARPAL TUNNEL SYNDROME IN ATHLETES N. Syrmos Neurosurgery Department, Venizeleio General Hospital, Heraklion, Crete, Greece, Heraklion, Crete, Greece-GREECE 074 EFFECTS OF WATER EXERCISE ON FALLING RISK AND POSTURAL CONTROL OF ELDERLY PATIENTS WITH KNEE OA F. Zamanian1, M. Vesalinaseh2 1 Department of Physical Education, Islamic Azad University, Najafabad Branch Najafabad-IRAN, 2Department of Sport Science, Tehran University Tehran-IRAN 075 LIVER MITOCHONDRIA TRAINING ADAPTATIONS TO EXERCISE-INDUCED OXIDATIVE STRESS G. Bresciani1, F. Lima1, D. Stamm1, I. Della-pace2, M. De Castro4, F. Dobrachinski1, N. De Carvalho1, M. Fighera3, F. Soares1, L. Royes1,2 1 Programa de Pós-Graduação Em Ciências Biológicas: Bioquímica Toxicológica, Universidade Federal de Santa Maria Santa Maria-BRAZIL, 2Programa de PósGraduação Em Farmacologia, Universidade Federal de Santa Maria Santa Maria-BRAZIL, 3Departamento de Neuroolgia, Hospital Universitário de Santa Maria Santa Maria-BRAZIL, 4Undergraduate Student at Centro de Educação Física e Desportos, Universidade Federal de Santa Maria Santa Maria-BRAZIL 076 THE EFFECTS OF POWER BAND HOLOGRAM ON REDOX STATE OF YOUNG SOCCER PLAYERS D. Djordjevic1, V. Puzovic1, N. Barudzic1, V. Zivkovic1, M. Vuletic1, D. Stefanovic1, M. Djurovic2, V. Jakovljevic1 1 Department of Physiology, Faculty of Medicine, University of Kragujevac KragujevacSERBIA, 2FC Red Star Belgrade-SERBIA of SPORTS MEDICINE 23 t h u r s d a y, 2 7 077 DISUSE AND AGING: MODIFICATIONS IN FUNCTIONAL PARAMETERS AND MYOSIN CONCENTRATION E. Longa1, L. Brocca1, E. Cambell2, O. Seynnes2, J. Mcphee2, M. Narici2, R. Bottinelli1 1 Department of Molecular Medicine, University of Pavia Pavia-ITALY, 2Institute for Biomedical Research into Human Movement and Health, Manchester Metropolitan University Manchester-UNITED KINGDOM 078 TESTOSTERONE TREATMENT–INDUCED CHANGES IN THE BLOOD ANTIOXIDANT STATUS OF SEDENTARY AND ENDURANCE TRAINED RATS E. Sadowska-Krepa, A. Wanke, K. Kempa, B. Klapcinska Department of Physiological & Medical Sciences, Jerzy Kukuczka Academy of Physical Education Katowice-POLAND 079 BLOOD PRESSURE AND CARDIAC OUTPUT REGULATION IN CYCLISTS DURING MAXIMUM AEROBIC POWER TEST P.M. Casali, L. Ricciardi, M.I. Sturla A.S.D. Associazione Medico Sportiva Pavia-ITALY 080 DETERMINAR POR CENTRIFUGACION LA CANTIDAD DE PLAQUETAS OBTENIDAS COMPARANDO(1600-1800) REVOLUCIONES POR 8 MINUTOS J. Corzo Silva Ministerio del Poder Popular Para el Deporte Maracaibo-Zulia-VENEZUELA 081 PERIPHERAL ADAPTATIONS ASSESSED BY NEAR-INFRARED SPECTROSCOPY FOLLOWING EXERCISE TRAINING IN PATIENTS WITH INTERMITTENT CLAUDICATION A.M. Malagoni1, M. Felisatti1, F. Mascoli1, N. Basaglia2, R. Manfredini1, N. Lamberti1, E. Pozzato1, S. Mandini1, P. Zamboni1, F. Manfredini1,2 1 University of Ferrara, Vascular Diseases Center Ferrara-ITALY, 2Department of Rehabilitation Medicine, S. Anna Hospital Ferrara-ITALY XXXII WORLD CONGRESS 24 082 THURSDAY september 27 PLATELET-RICH-PLASMA – THE STATE OF THE ART IN SPORTS MEDICINE C. Miguel1, F. Monteiro1, R. Sales Marques1, C. Machado1, R. Aido2 1 Service of Physical and Rehabilitation Medicine of Faro Faro-PORTUGAL, 2Service of Orthopaedicas and Traumatology of Centro Hospitalar do Porto Porto-PORTUGAL 083 ENDOTHERAPY AND TRANSDERMAL INFILTRATION SYSTEM FOR TREATMENT OF INTERNAL GASTROCNEMIUS TRAUMA IN SOCCER PLAYERS A. Pastore Medical Center Avicenna Venice-ITALY, Association Sports Medicine Venice-ITALY of SPORTS MEDICINE 25 t h u r s d a y, 2 7 POSTER SESSION 3 15.00-16.00 Chairmen: S. Campi (ITALY); P. Selvetti (ITALY) 084 FROM CRYOTHERAPY TO NEUROCRYOSTIMULATION: A STRIKING EVOLUTION P. Paulin1,2,3, J.L. Fortin1, F. Nicod1, F.X. Lagre1 1 Emergency Medical Service, Doubs Fire Department Besançon-FRANCE, 2FrancheComté Regional Olympic Comittee Besançon-FRANCE, 3French Handball Federation, Medical Services Gentilly-FRANCE 085 PLATELET RICH PLASMA IN THE TREATMENT CHRONIC TENDINOPATHIES: CASE REPORT G. Romero Cardona1, J. Casal, J. Corso, M. Villalobos, M. Rangel 1 Centro Nacional Ciencias Aplicadas al Deporte Zulia-Departamento Traumatologia Maracaibo, Zulia-VENEZUELA, 2Centro Nacional Ciencias Aplicadas al Deporte Zuliadirector Medico Maracaibo, Zulia-VENEZUELA, 3Centro Nacional Ciencias Aplicadas al Deporte Zulia-Departamento Bioanalisis Maracaibo, Zulia-VENEZUELA, 4Centro Nacional Ciencias Aplicadas al Deporte Zulia-Departamento Fisiatria Maracaibo, ZuliaVENEZUELA, 5Centro Nacional Ciencias Aplicadas al Deporte Zulia-Departamento Medico Maracaibo, Zulia-VENEZUELA 086 BODY COMPOSITION ASSESSED BY SEGMENTAL BIOIMPEDANCE ANALYSIS (BIA) AND REPEATED SPRINT PERFORMANCE IN RUGBYMEN J. Brun1, M. Guiraudou1, J. Dumas1, I. Raingeard2, A. Chalançon2, A. Avignon1, J. Mercier1 1 Inserm U1046 Montpellier-FRANCE, 2Département d’Endocrinologie Chu Montpellier Montpellier-FRANCE XXXII WORLD CONGRESS 26 087 THURSDAY september 27 RESTING METABOLIC DEMAND OF ELITE BOXING IN BRAZIL F. Burini1, L. Viveiros2, O. Teixeira3, R. Manda1, C. Abad4, I. Loturco4, T. Pessoa Junior5, M. Aoki6, L. Cameron3, R. Burini1 1 Exercise and Nutrition Metabolism Center UNESP Medical School Botucatu-BRAZIL, Brazilian Olympic Committee Sports Science Department Rio de Janeiro-BRAZIL, 3 Protein Metabolism Laboratory Unirio Rio de Janeiro-BRAZIL, 4Pão De Açúcar High Performance Center Sao Paulo-BRAZIL, 5Parana Federal State University CuritibaBRAZIL, 6Each São Paulo State University Sao Paulo-BRAZIL 2 088 METABOLIC PROFILE OF BRAZILIAN ELITE BOXING ATHLETES F. Burini1, L. Viveiros2, O. Teixeira3, R. Manda1, C. Abad4, I. Loturco4, T. Pessoa Junior5, M. Aoki6, L. Cameron3, R. Burini1 1 Exercise and Nutrition Metabolism Center UNESP Medical School Botucatu-BRAZIL, Brazilian Olympic Committee Sports Science Department Rio de Janeiro-BRAZIL, 3 Protein Metabolism Laboratory Unirio Rio de Janeiro-BRAZIL, 4Pão De Açúcar High Performance Center Sao Paulo-BRAZIL, 5Parana Federal State University CuritibaBRAZIL, 6Each São Paulo State University SaoPaulo-BRAZIL 2 089 LIPID PEROXIDATION / NITRIC OXIDE METABOLITE RATIO IN TRAINED SUBJECTS BEFORE AND AFTER A CARDIOPULMONARY TEST B. Canino, R. Lo Presti, F. Stassi, G. Caimi University of Palermo Palermo-ITALY 090 OXIDATIVE STRESS, ANTIRADICAL POWER AND HORMONAL PROFILE IN PLASMA AND SALIVA: APPLICATION IN SPORT PERFORMANCE E. Doria1, D. Buonocore1, F. Angelini2,3, A. Bonuccelli2, A. Causarano2, G. D’Urbano2, S. Catanese2, F. Marzatico1,2,3 1 Dip Biologia e Biotecnologie Pavia-ITALY, 2AC Siena Robur Tech Siena-ITALY, 3Italian Society of Sport Nutrition and Wellness (SINSEB) Empoli-ITALY 091 DHA-RICH FISH OIL IMPROVES COMPLEX REACTION TIME IN FEMALE ELITE SOCCER PLAYERS H. Esteve1, A. Pablos1, L. Elvira1, F. Guzmán2, C. Pablos2, C. Blasco1, J.A. Villegas3 1 Universidad Católica de Valenca Torrent-SPAIN, 2Universidad de Valencia ValenciaSPAIN, 3Universidad Católica de Murcia Murcia-SPAIN of SPORTS MEDICINE 27 t h u r s d a y, 2 7 092 THE EFFECT OF CITRULLINE/MALATE ON PLASMA LACTATE LEVELS IN INTENSIVE TRAINING F. Kiyici1, H. Eroglu2, N. Kishali1, A. Erzurumluoglu1, G. Burmaoglu1 1 Department of Physical Education and Sports School of Sport Sciences, Atatürk University Erzurum-TURKEY, 2Department of Physical Education and Sport Kahramanmaras Sütcü Imam University Kahramanmaras-TURKEY 094 NUTRITIONAL SUPPLEMENTS USE IN IRANIAN PROFESSIONAL PLAYERS T. Seifbarghi1, F. Halabchi1, R. Mazaheri1, K. Djafarian2 1 Sports Medicine Research Center, Faculty of Medicine, Tehran University of Medical Sciences Tehran-IRAN, 2Department of Nutrition and Bioch, School of Public Health,Tehran University of Medical Sciences Tehran-IRAN 095 NOVEL NATURAL COMPOUNDS WITH POTENTIAL TO PREVENT AND TREAT SKELETAL MUSCLE ATROPHY A. Torrent1, P. Dalmau1, R. Ruhi1, K. Swiderski2, J.E. Church2, D.M. Baum2, G.S. Lynch2 1 Pharmaceutical & Nutraceutical R & D Dept., Bioiberica S.A. Barcelona-SPAIN, 2Basic and Clinical Myology Laboratory, Department of Physiology, the University of Melbourne Victoria-AUSTRALIA 096 A COMPARISON OF DISABLED ATHLETE AND NON-ATHLETE ANXIETY RATES S.A. Mirkazemi 1,A. Abtahinia2, J. Khoshbakhti1, A. Jafari2, F. Alavi2 1 Physical Education & Sport Science Faculty Birjand-IRAN, 2M.A Student Physical Education & Sport Science 097 ECHOCARDIOGRAPHIC ASPECTS AND ANOMALIES DETECTED DURING THE MEDICAL EXAMINATION OF NONCOUNTER-INDICATIONS TO THE PRACTICE OF THE HIGH LEVEL SPORT: RESULT OF A SYSTEMATIC EVALUATION H. Adala, D. Koubaa, I. Fradi, A. Ben Halima, F. Azzouzi Center National Medicine and Sciences of the Sport TUNISIA XXXII WORLD CONGRESS 28 098 THURSDAY september 27 PULSE CURVE OBTAINED DURING BRUCE TREADMILL TEST IN SENIOR SOCCER PLAYERS V. Antevska, J. Pluncevic Gligoroska, S. Petrovska, B. Dejanova, S. Nikolic, S. Mancevska Institute of Physiology, Medical Faculty, University Ss Cyril and Methodius, SkopjeFORMER YUGOSLAV REPUBLIC OF MACEDONIA 099 CARNITINE PALMITOYLTRANSFERASE II DEFICIENCY AND PHYSICAL ACTIVITY E. Assisi1, A. Nigro1, F. Caretta1, F. Quaranta1,2, S. Livrieri1, E. Ciminelli1, F. Sperandii1, F. Pigozzi1,2, P. Borrione1 1 Department of Health Sciences, University of Rome, Foro Italico Rome-ITALY, 2Sport Medicine Institute of Rome, Villa Stuart Sport Clinic Rome-ITALY 100 CORRELATION BETWEEN HEMODYNAMIC INDICES AND SPORTS CLASSIFICATION FOR ITALIAN ORGANIZING CARDIOLOGICAL COMMITTEE ON SPORTS ELIGIBILITY (COCIS) A. Castagna1, C. Ruberto2, G. Attisani3 1 AUSL di Modena, UO Cure Primarie Pavullo nel Frignano (MO)-ITALY, 2Università degli Studi Magna Graecia Catanzaro-ITALY, 3Centro Medico Fisios Ravenna-ITALY 101 TRASLAVAL MARATHON: ASSESSMENT OF CARDIOVASCULAR FUNCTION DURING A FOOT RACE IN FIVE STAGES AT HIGH ALTITUDE A. Cialfi1, D. Di Mattia2, S. Colombo1, M. Viecca1, C. Antona3 1 Università degli Studi di Milano, Ospedale Luigi Sacco, Divisione di Cardiologia MilanITALY, 2FMSI, Istituto di Medicina dello Sport, Università degli Studi di Milano, Ospedale Luigi Sacco, Divisione di Cardiochirurgia Milan-ITALY, 3Università degli Studi di Milano, Ospedale Luigi Sacco, Divisione di Cardiochirurgia Milan-ITALY 102 PHYSIOLOGY OF SOME POSSIBLE SERUM MARKERS FOR SPORT MEDICINE MONITORING B. Dejanova1, S. Petrovska1, V. Filipce2, P. Dejanov3, J. Pluncevic1, S. Mancevska1, V. Antevska1 1 Institute of Physiology, Medical Faculty Skopje-FORMER YUGOSLAV REPUBLIC OF MACEDONIA, 2Clinical Laboratory, Medical Faculty Skopje-FORMER YUGOSLAV REPUBLIC OF MACEDONIA, 3Clinic of Internal Medicine, Medical Faculty Skopje-FORMER YUGOSLAV REPUBLIC OF MACEDONIA of SPORTS MEDICINE 29 t h u r s d a y, 2 7 103 WOLFF-PARKINSON-WHITE SYNDROME AND SPORT: INCIDENCE, FOLLOWUP AND ECG IN PRE-ADOLESCENTS F. Faiola1,2, U. Luciani1,2, G. Bianchi1,2, M. Casasco1,2 1 Italian Federation of Sports Medicine, FMSI Rome-ITALY, 2Panathleticon, Sports Medicine Brescia-ITALY 104 ROLE OF THE TRANSTHORACIC ECHOCARDIOGRAPHY IN THE EARLY DIAGNOSIS OF ISOLATED CONGENITAL CORONARY ARTERY ANOMALIES IN PAEDIATRIC PATIENTS A. Ferrazza1, A. Ammirati2, F. Gimigliano2 1 CMPH Cardiovascular Rehabilitation Centre Rome-ITALY, 2OPBG Paediatric Hospital Bambino Gesù Rome-ITALY 105 PREVALENCE AND SIGNIFICANCE OF NEGATIVE T WAVES IN YOUNG SOCCER PLAYERS’ BASAL ELECTROCARDIOGRAMS E. Guerra1, F. Sperandii2,3, A. Martino2, F. Quaranta1,3, E. Cavarretta2, F. Guarracini2, E. De Ruvo2, L. Sciarra2, F. Pigozzi1, L. Calo’1,2 1 Università degli Studi di Roma Foro Italico Rome-ITALY, 2Policlinico Casilino, Dept. of Cardiology Rome-ITALY, 3Villa Stuart Sport Clinic Rome-ITALY 106 DILATED CARDIOMYOPATHY AFTER ASSUMPTION CLOZAPINE A. Nigro2, F. Quaranta1,2, F. Sperandii2, E. Cimenelli1, E. Assisi2, S. Livrieri2, F. Caretta2, P. Borrione1,2, F. Pigozzi1,2 1 Department of Health Sciences, University of Rome Foro Italico Rome-ITALY, 2Sport Medicine Institute of Rome, Villa Stuart Sport Clinic Rome-ITALY 107 ISOLATED LEFT VENTRICULAR NON-COMPACTION: IS IT ALWAYS A CARDIOMYOPATHY? B. Poscolieri, T. Vessella, F. Moretti, M. Bianco, V. Palmieri, P. Zeppilli Sports Medicine Unit, Catholic University Rome-ITALY 108 SYMPTOMATIC AND ASYMPTOMATIC CHILDREN WITH VENTRICULAR PREEXCITATION: SAME RISK FOR SPORT PARTECIPATION C. Di Mambro, M.S. Russo, D. Righi, M.S. Silvetti, M. Prosperi, F. Gimigliano, F. Drago Ospedale Pediatrico Bambino Gesù, U.O.C. di Aritmologia Palidoro Rome-ITALY XXXII WORLD CONGRESS 30 109 THURSDAY september 27 BONE MINERAL DENSITY CHANGES IN YOUNG MALE ATHLETES AFTER STRENUOUS ACTIVITY E. Stefas1, K. Manavis1, D. Alaseirlis2, V. Panoutsakopoulos3, M. Kotzamanidou1, K. Natsis4 1 Greek Handball Federation Athens-GREECE, 2General Hospital of Giannitsa GiannitsaGREECE, 3Department of Physical Education & Sport Science, Aristotle University of Thessaloniki Thessaloniki-GREECE, 4Medical School, Aristotle University of Thessaloniki Thessaloniki-GREECE 110 FOCUSED TRANSTHORACIC ECHOCARDIOGRAPHY BY SPORTS MEDICINE PHYSICIANS TO DETECT HYPERTROPHIC CARDIOMYOPATHY IN ATHLETES E. Yim1, G. Corrado1, F. Basilico2 1 Division of Sports Medicine, Children’s Hospital Boston Boston-USA, 2Division of Cardiology, New England Baptist Hospital Boston-USA 111 PREOPERATIVE PHYSIOTHERAPY RELATED TO FASTER RETURN TO PLAY AFTER SHOULDER ARTHROSCOPY IN OVERHEAD ATHLETES D. Alaseirlis1, L. Nakou2, L. Stefas1, K. Manavis3, T. Moumtzidelis1, N. Malliaropoulos4 1 Dept of Orthopaedic Surgery, General Hospital of Giannitsa Giannitsa-GREECE, 2Dept of Neurosurgery, General Hospital Papanikolaou Thessaloniki-GREECE, 3Handball Hellenic Federation Thessaloniki-GREECE, 4National Track and Field Center Thessaloniki-GREECE 112 AYURVEDIC COMBINATION ADVANCED INTEGRATED TREATMENT APPROACH IN MANGEMENT AND REHABILITATION OF ACUTE AND CHRONIC SPORTS INJURIES P. Arshad, N. Sabna Daisman Ayurkendra, Integrated Sports Medicine & Nutrition Research Centre Kondotty, Kerala-INDIA of SPORTS MEDICINE 31 t h u r s d a y, 2 7 113 BACK TO SPORT AFTER CARDIAC SURGERY D. Di Mattia1, A. Mangini2, A. Cialfi3, M. Contino2, C. Romagnoni2, C. Antona2 1 FMSI, Istituto di Medicina dello Sport, Università degli Studi di Milano, Ospedale Luigi Sacco, Divisione di Cardiochirurgia Milan-ITALY, 2Università degli Studi di Milano, Ospedale Luigi Sacco, Divisione di Cardiochirurgia Milan-ITALY, 3Università degli Studi di Milano, Ospedale Luigi Sacco, Divisione di Cardiologia Milan-ITALY 114 POST-SURGICAL EVOLUTION AND PERFORMANCE OF THE VENEZUELAN NATIONAL GYMNASTS TEAM 2010-2012 A. Escobar1, T. Pena2, L. Bustamante2, R. Alvarenga2 1 115 Unidad de Rehabilitacion Maracay-VENEZUELA, 2Mindeporte Caracas-VENEZUELA FUNCTIONAL AND NATURAL THERAPY IN REHABILITATION G. Iachelli ASP Ragusa-ITALY 116 SONOGRAPHY IN ACHILLES TENDINOPATHY: WHAT’S THE PROGNOSIS? B. Kumar London Deanery London-UNITED KINGDOM 117 ASSOCIATION BETWEEN RISK FACTOR WITH BLOOD PRESSURE IN YOUNG ATHLETES OF BOTH SEXES C. Cavina Varela, G. Cointry, C. Cuesta Meds Sports Medicine Rosario-ARGENTINA 118 AUTONOMIC NERVOUS SYSTEM ALTERATIONS AND INCREASED SEDENTARY TIME IN YOUNG OVERWEIGHT SOCCER PLAYERS G. De Giacomi3, F. Tosi3, F. Gervasi3, R. Sala3, A. Solbiati3, C. Vigo3, M. Malacarne2, S. Respizzi1, M. Pagani3, D. Lucini3 1 Rehabilitation Department, IRCCS, Istituto Clinico Humanitas Milan-ITALY, 2Centro Terapia Neurovegetativa University of Milan Milan-ITALY, 3School of Sport Medicine, University of Milan Milan-ITALY XXXII WORLD CONGRESS 32 119 THURSDAY september 27 BIOCHEMICAL MARKERS IN OPEN WATER MEXICAN SWIMMERS A. Del Villar Morales, A. Pegueros Perez Instituto Nacional de Rehabilitacion Mexico-MEXICO 120 INCIDENCE OF INJURY IN POWER-LIFTERS AND STRONGMEN E. Hodzovic1, B. Hickey2, P. Hak2 1 Royal Glamorgan Hospital Cardiff-UNITED KINGDOM, 2Morriston Hospial SwanseaUNITED KINGDOM 121 DOES THE AEROBIC TRAINING AND THE EXPERIENCE IN HARNESS USE INFLUENCE THE ONSET OF SUSPENSION TRAUMA? F. Lanfranconi, L. Pollastri, M. Bartesaghi, V. Scotti, M. Novarina, C. Molteni, H.Vergani, G. Miserocchi Department of Experimental Medicine, Laboratory of Clinical Physiology and Sport Medicine, University of Milano-Bicocca Monza-ITALY 122 DETERMINATION AND COMPARISON OF BODY FAT PERCENTAGE AND BODY MASS INDEX IN TWO MEXICAN SCHOOL POPULATIONS WITH DIFFERENT LEVEL OF PHYSICAL ACTIVITY H. Martinez Melendez1, L. Tiznado Peña2, A. Pegueros Pérez3, C. Ibarra Ponce De Leon4 1 Mexican Sports Comition MEXICO, 2Mexican Sports Comition MEXICO, 3National Institute of Rehabilitation MEXICO, 4National Institute of Rehabilitation MEXICO 123 NITTOLI SKIP TEST C. Nittoli Centro Fisiosport Macerata-ITALY of SPORTS MEDICINE 33 t h u r s d a y, 2 7 124 NASAL CARRIER OF STAPHYLOCOCCUS AUREUS IN AMERICAN FOOTBALL, RUGBY, JUDO ATHLETES K. Suzuki1, K. Gouchi2, T. Shimazaki3, S. Kiryu4, T. Masuchi5, T. Furukawa3, K. Masuchi4, T. Matsumoto2, H. Okada4, K. Yamaguchi4, A. Nakagawa3, K. Komata4, K. Tagami1 1 Laboratory of Exercise and Environmental Health, Faculty of Health and Sports Sciences, University of Tsukuba Tsukuba-JAPAN, 2Laboratory of Coaching Study Faculty of Health and Sports Sciences, University of Tsukuba Tsukuba-JAPAN, 3Laboratory of Rugby Coaching Study, Faculty of Health and Sports Sciences, University of Tsukuba Tsukuba-JAPAN, 4Laboratory of Judo Coaching Study, Faculty of Health and Sports Sciences, University of Tsukuba Tsukuba-JAPAN, 5Sports Research and Development Division Core, University of Tsukuba Tsukuba-JAPAN 125 THE EFFECTS OF TRAINING, DETRAINING AND RETRAINING ON BLOOD PARAOXONASE AND ARYLESTERASE ACTIVITIES IN CHILD SWIMMERS F. Turgay, M. Ongun, M. Colakoglu Ege University, School of Physical Education and Sports, Sports Izmir-TURKEY XXXII WORLD CONGRESS 34 THURSDAY september 27 POSTER SESSION 4 15.00-16.00 Chairmen: G. Scarficcia (ITALY); G. Bini (ITALY) 126 INCIDENCE AND PROGNOSTICATORS FOR INJURIES IN BELGIAN SOCCER PLAYERS: EVOLUTION OVER THE PAST DECADE L. Vanlommel, P. Bollars, S. Claes, J. Bellemans, K. Corten University Pellenberg Leuven-BELGIUM 127 ANABOLIC STEROIDS AND ILLICIT DRUG ABUSE AMONG MALE BODYBUILDERS IN TEHRAN GYMS H. Angoorani Department of Sports and Exercise Medicine, Tehran University of Medical Sciences Tehran-IRAN 128 RISK FACTOR ASSOCIATE WITH DRUG ABUSE AMONG UNIVERSITY STUDENTS A. Kashi1, Z. Sarlak2, H. Sadeghian3, M. Akbarpour3, K. Alavi3, M. Sarlak4 1 Sport Sciences Research Institude of Ministry of Science, Research & Technology of Iran Tehran-IRAN, 2Islamic Azad University of Khodabandeh Branch KhodabandehIRAN, 3University of Gom Gom-IRAN, 4Islamic Azad University Ahwaz Branch Ahwaz-IRAN 129 TADALAFIL AND PITUITARY-ADRENAL ADAPTATION TO EXERCISE P. Sgro’1, L. Guidetti1, C. Baldari1, M.C. Gallotta1, A. Lenzi2, L. Di Luigi1 1 2 130 Department of Health Sciences, University of Rome Foro Italico Rome-ITALY, Department of Experimental Medicine Sapienza, University of Rome Rome-ITALY DOPING BETWEEN BODY AND MIND: TWO STUDIES OF SUBSTANCE ABUSE IN ITALIAN ATHLETES C. Villosio, F.E. Cerutti, F. Candela Centro Provinciale di Medicina dello Sport Città di Cuneo Cuneo-ITALY of SPORTS MEDICINE 35 t h u r s d a y, 2 7 131 MYOCARDIAL BRIDGING IN A MALE PROFESSIONAL ATHLETE V. Di Legge1, C. Graci1, F. Burchi2, M. Magli2, S. Pierotti3, D. Faraggiana3 1 132 FMSI, AC Pisa 1909 Pisa-ITALY, 2AC Pisa 1909 Pisa-ITALY, 3FMSI Pisa-ITALY EFFECT OF RECOVERY MODE (PASSIVE VS. ACTIVE) DURING INTERVAL TRAINING ON PLASMA CATECHOLAMINE RESPONSES TO MAXIMAL EXERCISE IN ADULT MALE SUBJECTS B. Abderraouf2,3,4, J. Prioux2, O. Ben Ounis1,4, A. Bouslama5, K. Chamari3,4, Z. Tabka1, H. Zouhal2 1 Laboratoire des Adaptations Cardio-Circulatoires, Respiratoires, Métaboliques et Hormonales à l’Exercice Muscolaire Sousse-Tunisia, 2Movement, Sport and Health Sciences Laboratory, Rennes 2 University, Cachan-FRANCE, 3Laboratory Evaluation, Sport, Health, National Center of Medicine & Science in Sport, CNMSS Tunis-TUNISIA, 4 Institut Supérieur du Sport et de l’Education Physique, Ksar Saîd, University of Manouba, TUNISIA, 5Laboratoire de Biochimie Unité de Recherche MSP UR 28/04 Facteurs de Risque Cardiovasculaire Hopital Universitaire Sahloul-TUNISIA 133 ROLE OF LACTATE INCREASE IN GRADED TREADMILL TEST OF HIGHLY TRAINED SUBJECTS C. Ahlgrim, S. Prettin, K. Röcker Medical Clinic, Department of Rehabilitative and Preventive Sports Medicine, University of Freiburg Freiburg-GERMANY 134 INVESTIGATION OF DIFFERENT PERFORMANCE RELATED VARIABLES AND METHODS IN ROWERS F. Akca1, K. Gokdemir2, C. Akalan1 1 Ankara University, Health Sciences Institute, School of Physical Education and Sport Ankara-TURKEY, 2Gazi University, Health Sciences Institute, School of Physical Education and Sport Ankara-TURKEY 135 IDENTIFICATION OF A VO2 DEFLECTION POINT COINCIDING WITH THE HEART RATE DEFLECTION POINT IN PROFESSIONAL RUGBY PLAYERS E. Bernardi, G. Grossi, F. Terranova, G. Mazzoni, S. Uliari, G. Grazzi Biomedical Sport Studies Center, University of Ferrara Ferrara-ITALY XXXII WORLD CONGRESS 36 136 THURSDAY september 27 RESPIRATORY MUSCLE ENDURANCE TRAINING (RMET) WITH NORMOCAPNIC HYPERPNEA (NH) IMPROVES VENTILATORY FUNCTION AND EXERCISE PERFORMANCE IN TRIATHLETES E. Bernardi, E. Melloni, M. Mandolesi, L. Pomidori, A. Cogo Biomedical Sport Studies Center Ferrara-ITALY 137 ENERGY COST OF ELITE SOCCER PLAYERS BEFORE AND DURING SEASON A. Buglione1,2, P.E. di Prampero3 1 Università di Roma Tor Vergata, Facoltà di Medicina e Chirurgia, Corso di Laurea in Scienze Motorie, Rome-ITALY, 2Università Telematica San Raffaele, Facoltà Scienze Motorie, Rome-ITALY, 3Dipartimento di Scienze e Tecnologie Biomediche, Università di Udine, Udine-ITALY 138 PHYSIOLOGICAL AND BIOMECHANICAL PROFILES OF ELITE AND SUB ELITE ITALIAN HOCKEY PLAYERS A. Buglione1,2, R. Milia2,3, G.M. Migliaccio4, G. Granatelli1, S. D’Ottavio1, B. Ruscello1,2 1 Università degli Studi di Roma Tor Vergata, Facoltà di Medicina e Chirurgia, Corso di Laurea in Scienze Motorie Rome-ITALY, 2Federazione Italiana Hockey Rome-ITALY, 3 Università degli Studi di Cagliari, Facoltà di Medicina e Chirurgia, Corso di Laurea in Scienze delle Attività Motorie Cagliari-ITALY, 4CONI Sardegna Cagliari-ITALY 139 ATHLETE’S HEART AND ATHLETE’S ARTERY A. Castagna1, C. Ruberto2, G. Attisani3 1 AUSL di Modena UO Cure Primarie Pavullo Nel Frignano (MO)-ITALY, 2Università degli Studi Magna Graecia Catanzaro-ITALY, 3Centro Medico FISIOS Ravenna-ITALY 140 ONE-LEGGED (DOMINANT AND NONDOMINANT) POSTURAL CONTROL IN YOUNG AND EXPERT FOOTBALLERS A. Cattozzo1, E. Castellini2, G. Mascherini1, G. Galanti1 1 Sports Medicine Center, University of Florence Florence-ITALY, 2Football Training and Biomechanics Lab, Italian Football Federation (FIGC), Technical Department FlorenceITALY of SPORTS MEDICINE 37 t h u r s d a y, 2 7 141 INFLUENCES OF THE VISUAL SYSTEM ON POSTURAL BALANCE CONTROL IN ELITE ITALIAN SOCCER PLAYERS A. Cattozzo1, E. Castellini2, G. Galanti1 1 Sports Medicine Center, University of Florence Florence-ITALY, 2Football Training and Biomechanics Lab, Italian Football Federation (FIGC), Technical Department FlorenceITALY 142 ANAEROBIC POWER AND CAPACITY BETWEEN PWBYING POSITIONS IN SOCCER PLAYERS T. Cetolin, V. Foza, J. Fernandes Da Silva, L.G. Antonacci Guglielmo Federal University of Santa Catarina Florianópolis-BRAZIL 143 PHYSIOLOGICAL PERFORMANCE PREDICTORS OF ONE-HOUR RUNNING PERFORMANCE C. Chryssanthopoulos1, E. Zacharogiannis1, G. Paradisis1, A. Travlos2, C. Ziaras1, C. Tsolakis1, V. Ioannidi1, M. Maridaki1 1 Department of Physical Education and Sports Science, University of Athens AthensGREECE, 2Department of Sport Management, University of Peloponnese Sparti-GREECE 144 THE INTRODUCTION OF PROFESSIONALISM IN PORTUGUESE RUGBY TEAMS – FIRST STEPS? A. Cruz Ferreira1, C.A. Fontes Ribeiro2 1 145 UCSPM Mealhada-PORTUGAL, 2FMUC Coimbra-PORTUGAL ANTHROPOMETRIC AND PHYSIOLOGICAL EVALUATION OF PORTUGUESE RUGBY PLAYERS A. Cruz Ferreira1, C.A. Fontes Ribeiro2 1 UCSP Mealhada Mealhada-PORTUGAL, 2Faculdade de Medicina da Universidade de Coimbra Coimbra-PORTUGAL XXXII WORLD CONGRESS 38 146 THURSDAY september 27 THE EFFECTS OF INTENSIVE TRAINING ON LEFT VENTRICULAR MASS AND ON FAT-FREE MASS IN PROFESSIONAL FOOTBALL PLAYERS F. D’Ascenzi1, M. Cameli1, M. Lisi1, B.M. Natali1, V. Zaca’1, A. Giorgi2, G. D’Urbano2, S. Catanese2, F. Angelini2, M. Bonifazi3, A. Causarano2, S. Mondillo1 1 Department of Cardiovacular Diseases, University of Siena Siena-ITALY, 2Staff Siena Football Club Siena-ITALY, 3Department of Neurological, Neurosurgical and Behavioural Sciences, University of Siena Siena-ITALY 147 RELATIONSHIP BETWEEN TRAINING AND PERFORMANCE IS MEDIATED BY PSYCHOBIOSOCIAL STATES S. Di Fronso1,2, M. Bertollo1,3, P. Ripari2,4 1 Behavioral Imaging and Neural Dinamics Center Chieti-ITALY, 2Dipartimento di Scienze Biomediche Chieti-ITALY, 3Dipartimento di Medicina e Scienze dell’Invecchiamento Chieti-ITALY, 4Centro Universitario di Medicina dello Sport Chieti-ITALY 148 STRATEGIES OF NEUROMUSCULAR CONTROL IN SUBJECTS ESPECIALLY TRAINED TO THE ISOMETRIC CONTRACTIONS - THE PHYSIOLOGY OF HIKING F. Faiola1,2, L. Fattorini1, M. Bernardi1, M. Marchetti1 1 School of Specialization in Sports Medicine, Sapienza University of Rome, RomeITALY, 2Italian Federation of Sports Medicine, FMSI Rome-ITALY 149 THE INFLUENCE OF SOMATHOTYPE ON THE CHANGES OF BODY COMPOSITION, STRENGHT OF LEGS AND ANAEROBIC TRESHOLD OF SOCCER PLAYERS AGED 15-17 YEARS E. Handziska1, Z. Handziski2, M. Milenkova2 1 Institute of Physiology, Medical Faculty, Un.st. Kiril and Metodij Skopje-FORMER YUGOSLAV REPUBLIC OF MACEDONIA, 2Pzu Kineticus-Sports Medicine and Exercise Science Skopje-FORMER YUGOSLAV REPUBLIC OF MACEDONIA 150 A COMPARATIVE STUDY OF BODY COMPOSITION, FLEXIBILITY, MUSCULAR STRENGTH AND MUSCULAR ENDURANCE BETWEEN BODYBUILDERS AND POWER LIFTERS A. Kaukab Faculty, Physical Education Department, King Fahd University of Petroleum & Minerals SAUDI ARABIA of SPORTS MEDICINE 39 t h u r s d a y, 2 7 151 AGE RELATED DIFFERENCES IN SPRINT PERFORMANCE OF TURKISH SOCCER REFEREES A. Kin Isler, E. Ozdamar, A. Yilmaz Basket University Department of Sport Sciences Ankara-TURKEY 152 THE ROLE OF SITUATIONAL VARIABLES IN ANALYSING PHYSICAL PERFORMANCE IN ELITE SOCCER C. Lago Peñas University of Vigo Pontevedra-SPAIN 153 COMPARISON TO THE SPECIFICATION OF OFFICIAL BASEBALL AMONG DIFFERENT AGE LEAGUES C. Liu, W. Yang Graduate Institute of Sports Equipment Technology, Taipei Physical Education College Taipei-TAIWAN 154 MAXIMAL OXIGEN CONSUMPTION(V’O2MAX)IN PROFESSIONAL FOOTBALL PLAYERS: A 10 YEARS OBSERVATION D. Manari1, D. Ancelotti2, G. Venturati, R. Casellato, N. Prandelli, D. Morelli1, A. Anedda2, M. Manara 1 155 Sport Monitoring Service Reggio Emilia-ITALY, 2University of Parma Parma-ITALY RELIABILITY OF FUNCTIONAL EVALUATION TESTS TO PREDICT PERFORMANCE DURING IRONMAN COMPETITION E. Marongiu, F. Tocco, M. Pinna, A. Crisafulli, A. Concu Sport Physiology Lab., University of Cagliari Cagliari-ITALY 156 THE COMPARISON OF SOCCER PERFORMANCE AFTER A REGULAR SEASON G. Mascherini, L. Stefani, A. Cattozzo, G. Galanti Agenzia di Medicina dello Sport e dell’Esercizio Florence-ITALY 157 ECHODOPPLERCARDIOGRAPHY, BICYCLE STRESS TESTING AND PAIRED TROPONINS I IN DIAGNOSIS OF METABOLIC CARDYOMYOPATHY IN SPORTSMEN E. Mikhalyuk, V. Syvolap Zaporozhye State Medical University Zaporozhye-UKRAINE XXXII WORLD CONGRESS 40 158 THURSDAY september 27 INDEX OF FUNCTIONAL STATUS OF ATHLETES E. Mikhalyuk, V. Syvolap Zaporozhye State Medical University Zaporozhye-UKRAINE 159 VARIATIONS OF MAXIMUN VO2 AND OF CARDIAC RECOVERY OF FEMALE VENEZUELAN SOFTBALL PLAYERS T. Peña Delgado1, J. Siret Alfonso2, L. Aquino3 1 Ministerio del Poder Popular Para el Deporte Caracas-VENEZUELA, 2Instituto de Medicina del Deporte Matanza-CUBA, 3Ministerio del Poder Popular Para el Deporte Caracas-VENEZUELA 160 EVALUATION OF RELATIONSHIP BETWEEN TRUNK MUSCLES ENDURANCE AND STATIC BALANCE IN MALE STUDENTS OF TEHRAN UNIVERSITY A. Safar Cherati1, A. Barati2, A. Aghayari2, F. Azizi2 1 Sports Medicine Department Rasoul Akram Hospital, Tehran University of Medical Science Tehran-IRAN, 2Shahid Rajaee Physical Education University Tehran-IRAN 161 ESTIMATE OF THE MAXIMUM BLOOD LACTATE FROM THE RESULT IN THE WINGATE TEST J. Subiela, R. Uribe, J. Rojas Instituto Nacional de Deporte Caracas-VENEZUELA 162 SPORT-SPECIFIC DIFFERENCES IN PHYSIOLOGICAL CHARACTERISTICS OF PREPUBESCENT BOYS A. Theos, A. Moustogiannis, G. Tsigganos, C. Chryssanthopoulos, M. Maridaki Department of Physical Education and Sports Science, University of Athens Athens-GREECE 163 INSPIRATORY MUSCLE TRAINING IN YOUNG BASKETBALL PLAYERS: PRELIMINARY EVALUATION E. Tranchita1,2, F. Quaranta1, F. Desantis1,2, L. Musumeci1, M. Squeo1,2, V. De Luca1, C. Cerulli1, A. Parisi1 1 Department of Health Sciences, University of Rome Foro Italico Rome-ITALY, 2School of Specialization in Sport Medicine, Sapienza University of Rome Rome-ITALY of SPORTS MEDICINE 41 thursday, 27 september 164 ACUTE EFFECTS OF TWO DIFFERENT WARM-UP PROTOCOLS ON FLEXIBILITY AND LOWER LIMB EXPLOSIVE PERFORMANCE IN ELITE FENCERS C. Tsolakis, G.C. Bogdanis University of Athens, Faculty of Physical Education and Sport Science Athens-GREECE 165 OXIDATIVE STRESS RESPONSE TO EQUAL CONTINUOUS MODERATEINTENSITY VS HIGH-INTENSITY INTERVAL TRAINING LOAD IN MASTER ATHLETES A. Vezzoli1, M. Marzorati1, S. Porcelli1,2, L. Pugliese3, P. Cerretelli1 1 Institute of Bioimaging and Molecular Physiology, CNR Segrate (MI)-ITALY, 2San Raffaele Telematic University Rome-ITALY, 3Department of Sport, Nutrition and Health Sciences, University of Milan Milan-ITALY 166 PERFORMANCE IN FORMULA ONE D. Zaccaria, R. Ceccarelli, E. Ungaro Scuderia Toro Rosso, F1 Professional Racing Team Medical Staff Faenza (RA)-ITALY 167 LACTATE TEST VALUE IN YOUNG MALE ROAD CYCLISTS D. Zaccaria, M. Tornaghi Sports Medicine and Exercise, Cab Polidiagnostico Barzanò (LC)-ITALY 168 FORCE-VELOCITY AND POWER-VELOCITY RELATIONSHIP DURING CHEST PRESSES ON STABLE AND UNSTABLE SURFACE E. Zemkova, D. Hamar Department of Sports Kinanthropology, Faculty of Physical Education and Sport, Comenius University Bratislava-SLOVAK REPUBLIC XXXII WORLD CONGRESS 42 friday, 28 september POSTER SESSION 1 14.30-15.30 Chairmen: R.A. Robles Cabrera (GUATEMALA); A. Bonetti (ITALY) STRUCTURAL AND FUNCTIONAL CARDIAC RESPONSE AT ATHLETES M. Calina1, D. Enescu-Bieru1, E. Lica1, V. Dinu2, M. Dragomir1 FRIDAY 001 1 Faculty of Physical Education and Sport Craiova, University of Craiova CraiovaROMANIA, 2Polyclinic of Sports Medicine, Emergency Clinical Hospital Craiova Craiova-ROMANIA 002 28 EFFECT OF SPORT-THERAPY: SNOW-ADAPTED PHISICAL ACTIVITY IN WHELL-CHAIR INVALIDS D. Carlucci1,2, B. Visconti2, F. Bonaccorso2, A. Damiolini2, L. Vitali2, M. Vitale1, V. Coiro1 1 Graduate School in Physical Exercise and Sport Sciences, University of Parma, ParmaITALY, 2INAIL Brescia-ITALY 003 THE “MUOVITI” PROJECT: CARDIO-PULMONARY AND STRENGHT TRAINING IN ELDERLY BASED ON INDIVIDUAL HEALTH STATUS G. Corna, F. Lanfranconi, D. Tenderini, M. Ronchi, L. Pollastri, M. Bartesaghi, M.Novarina, G. Miserocchi Department of Experimental Medicine, Laboratory of Clinical Physiology and Sport Medicine Monza-ITALY 004 COMPARATIVE ANALYSIS OF FEMALE ATHLETES BODY COMPOSITION OF COMBAT SKILLS IN VENEZUELAN M. Marelia E Guillen Mujica Ministerio del Deporte de Venezuela Caracas-VENEZUELA of SPORTS MEDICINE 43 f r i d a y, 2 8 005 EFFECTS OF A MAXIMAL EXERCISE TEST ON CROSS SECTIONAL AREA OF LUMBAR MULTIFIDUS: A COMPARISON BETWEEN MOUNTAIN BIKERS WITH AND WITHOUT LOW BACK PAIN M. Ansari, P. Noormohammadpour, R. Kordi Sports Medicine Research Center, Tehran University of Medical Sciences Tehran-IRAN 006 EFFECT OF ALCOHOL ON QT INTERVAL IN YOUNG ITALIAN SOCCER PLAYERS G. Attisani1, I. Attisani2, T. Di Gregorio3, C. Ruberto4, A. Castagna5 1 Centro Medico FISIOS Srl Ravenna-ITALY, 2Studio Medico Attisani Locri-ITALY, Azienda Ospedaliera per l’ Emergenza Cannizzaro Catania-ITALY, 4Università degli Studi Magna Graecia Catanzaro-ITALY, 5AUSL di Modena, UO Cure Primarie Pavullo nel Frignano (MO)-ITALY 3 007 CORRELATION BETWEEN PULSE PRESSURE VALUES AND YEARS OF PRACTICE IN COMPETITIVE SOCCER G. Attisani1, A. Castagna2 1 Centro Medico FISIOS Ravenna-ITALY, 2AUSL di Modena, UO Cure Primarie Pavullo nel Frignano (MO)-ITALY 008 IMPACT OF RULES CHANGES ON KIND OF VERDICTS IN THE LAST 60 YEARS OF AMATEUR BOXING M. Bianco1, G. Daniele1, F. Giorgiano1, V. Palmieri1, M. Faina2, P. Zeppilli1 1 Institute of Internal Medicine and Geriatrics, Sports Medicine Unit, Catholic University Rome-ITALY, 2Study and Research Commission, Italian Boxing Federation Rome-ITALY 009 A CASE REPORT OF ACUTE MIO-PERICARDITIS MIMICKING A STEMI IN ÈLITE CYCLIST: PITFALLS IN DIAGNOSIS AND TREATMENT M. Bolognesi, D. Bolognesi Sports Cardiology Center Medicine Cesena-ITALY 010 SPORT’S RELATED ANTERIOR ILIAC SPINES FRACTURES IN THE ADOLESCENT: SURGICAL AND CONSERVATIVE TREATMENT F. Calderazzi, F. Pogliacomi, M. Paterlini, T. Corsini, F. Ceccarelli Orthopaedic Clinic Parma University, Hospital Parma-ITALY XXXII WORLD CONGRESS 44 september 011 INFLAMMATORY MYOPATHY AS AN UNUSUAL CASE OF BICEPS BRACHII SHORT HEAD RUPTURE M. Chung1, S. Im2 1 The Catholic University of Korea, St. Paul’s Hospital Seoul-SOUTH KOREA, 2The Catholic University of Korea, Bucheon St. Mary’s Hospital Bucheon-SI-SOUTH KOREA VARIATION IN THE STEP LENGTH DURING BACKWARD WALKING AFTER ANTERIOR CRUCIATE LIGAMENT DEFICIENCY K. Corona, D. Viggiano, S. Cerciello, M. Vasso, A. Schiavone Panni FRIDAY 012 Department of Health Sciences, Università del Molise Campobasso-ITALY 013 28 FEATURES NEUROLOGICAL SYMPTOMS IN BOXERS WITH TRAUMATIC BRAIN INJURY I. Dekhtiarov1, A. Muravskiy2, S. Kolossovskiy3 1 Ukrainian Center of Sport Medicine Kyiv-UKRAINE, 2National Medical Academy of Postgraduate Education Named P.L.Shupik Kyiv-UKRAINE, 3Boxing Federation of Ukraine Kyiv-UKRAINE 014 TREATMENT OF HIP OSTEOARTHRITIS WITH ULTRASOUND-GUIDED INJECTION OF A NEW HYALURONIC ACID (HYMOVIS-HYADD4): OUR EXPERIENCE AND PRELIMINARY RESULTS G. Francavilla Policlinico Paolo Giaccone Palermo-ITALY, Ospedale S.Antonio Abate Trapani-ITALY 015 INTRATENDINOUS DISTRIBUTION OF ACHILLES TENDINOSIS L. Geukens, M. Bultheel, K. Peers UZ Leuven Leuven-BELGIUM 016 CHRONIC EXERTIONAL COMPARTMENT SYNDROME OF THE FOREARM M. Henriques Centro Hospitalar Lisboa Norte, Department of Physical and Rehabilitation Medicine Lisboa-PORTUGAL of SPORTS MEDICINE 45 f r i d a y, 2 8 018 LABORATORY PARAMETERS RELATED TO DIFFERENT SPORTS IN YOUNG SPORT PLAYERS I. Karagjozova, B. Dejanova, J. Pluncevic, S. Petrovska, N. Nikolovska, S. Nikolic Institute of Physiology, Medical Faculty, University Ss. Cyril and Methodius SkopjeFORMER YUGOSLAV REPUBLIC OF MACEDONIA 019 INDIRECT ULTRASOUND GUIDANCE INCREASED ACCURACY OF THE GLENOHUMERAL JOINT INJECTION USING THE SUPERIOR APPROACH D. Park, J. Kim, M. Kim The Catholic University of Korea Seoul-SOUTH KOREA 020 SERUM INSULIN, IGF-1 AND GHRELIN IN YOUNG FEMALE FREE-STYLE WRESTLING ATHLETES H. Li1, Z. Wang1, Y. Yang2 1 Sport Science College, Beijing Sport University Beijing-CHINA, 2Peking University Health Science Center Beijing-CHINA 021 CYCLOPS SYNDROME L. Lima1, I. Popik1, P. Casalta1, M.I. Simões1, V. Ermida1, F. Agostinho2, J. Cardoso2, J. Caldas1 1 Centro Hospitalar Tondela Viseu, Department of PMR Viseu-PORTUGAL, 2Department of Orthopedics, Centro Hospitalar Tondela Viseu, Viseu-PORTUGAL 022 AVOIDING CHRONIC COMPLICATIONS OF THE ANKLE SPRAIN – DESCRIPTION OF AN EVIDENCE-BASED REHABILITATION PROGRAM L. Lima1, I. Popik1, P. Casalta1, M.I. Simões1, V. Ermida1, F. Agostinho2, J. Caldas1 1 Department of PMR Centro Hospitalar Tondela Viseu Viseu-PORTUGAL, 2Department of Orthopedics, Centro Hospitalar Tondela Viseu, Viseu-PORTUGAL XXXII WORLD CONGRESS 46 september 023 ACUTE ORBITAL COMPARTMENT SYNDROME: A RARE BUT THREATENING SEQUELAE OF SPORT INJURY E. Magaudda1, I. Varley2, A. Kanatas3, L.M. Carter3, F.S. De Ponte1 1 Department of Maxillofacial Surgery, University of Messina Messina-ITALY, Department of Oral & Maxillofacial Surgery, Bradford Teaching Hospital BradfordUNITED KINGDOM, 3Department of Oral & Maxillofacial Surgery, Leeds Dental Institute Leeds-UNITED KINGDOM 024 FRIDAY 2 THE USE OF THE ORCHARD SPORTS INJURY CLASSIFICATION SYSTEM (OSICS) VERSION 10.1 WITHIN A MILITARY SPORTS MEDICINE CLINIC K. Micallef Stafrace1, T. Loney2, M. Al Shehhi3 1 Institute for Physical Education & Sport, University of Malta Msida-MALTA, Department of Community Medicine, Faculty of Medicine and Health Sciences, United Arab Emirates University Al Ain-UNITED ARAB EMIRATES, 3Sheikha Fatima Women Sports Academy Abu Dhabi-UNITED ARAB EMIRATES 2 025 ACUTE BRIEF HIGH-INTENSITY INTERMITTENT EXERCISE INCREASES QTC INTERVAL IN OBESE ADULTS J. Nie, Q. Shi, C.K. Lao School of Physical Education and Sports, Macao Polytechnic Institute Macao-MACAU 026 FAST-ECHO METHOD FOR SCREENING AORTIC BICUSPID VALVE IN COMPETITIVE ATHLETES: OBSERVATIONS OF A SPORTS MEDICINE CENTRE G. Saba, G. Boni Sports Medicine Center Foligno (PG)-ITALY 027 BLOOD PRESSURE RESPONSE TO PHYSICAL EXERCISE IN CHILDREN PARTICIPATING IN DIFFERENT SPORT DISCIPLINES K. Szmigielska1, A. Szmigielska-Kaplon2, A. Jegier1 1 2 Department of Sports Medicine, Medical University of Lodz Lodz-POLAND, Department of Hematology, Medical University of Lodz Lodz-POLAND of SPORTS MEDICINE 47 28 f r i d a y, 2 8 028 THE MEDICAL AND PSYCHOSOCIAL NEEDS OF HAITIAN PAN AMERICAN AND OLYMPIC ATHLETES: AN OPPORTUNITY TO SUPPORT RESILIENCE AFTER A DISASTER E. Yim1, G. Ciottone2 1 Department of Emergency Medicine, Beth Israel Deaconess Medical Center, BostonUSA, 2Section of Disaster Medicine, Harvard Medical School, Boston-USA 029 THE KINEMATICS OF ANATOMICAL SINGLE-BUNDLE AND DOUBLE-BUNDLE ACL RECONSTRUCTION IN MEDIAL MENISCUS-DEFICIENT KNEES J. Zhou1, M. Linde-Rosen2, P. Somolinski2, G. Li2, F.H. Fu1 1 National Insititute of Sports Medicine Beijing-CHINA, 2Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh-USA 030 NON INVASIVE CARDIOVASCULAR SCREENING OF COMPETITIVE ATHLETES BY AUTOMATED MEASUREMENT OF CAROTID ARTERIAL WALLS CHANGES M. Mokhtari Dizaji Tarbiat Modares University Tehran-IRAN 031 MUSCULOSKELETAL DISORDERS AND ERGONOMIC STATUS IN ISFAHAN’S TEACHERS M. Afzalpour1, S. Ilbeigi1, G. Ghasemi2 1 Department of Physical Education and Sport Sciences, University of Birjand BirjandIRAN, 2Department of Physical Education and Sport Sciences, University of Isfahan Isfahan-IRAN 032 ADHERENCE TO CARDIAC REHABILITATION F. Albuquerque Drummond1, G. Rosito1,2, M. Vanoni1, H. Pinheiro1, D. Soares1, T. Theves1, L. Dias1 1 2 033 Integrated Center of Exercise Medicine, Hosp. Mãe de Deus Porto Alegre-BRAZIL, Universidade das Ciências da Saúde, UFCSPA Porto Alegre-BRAZIL PHYSICAL ACTIVITY IN EPILEPSY, IMPORTANCE OF PATIENT`S KNOWLEDGE F. Ataei, A. Reisi, A. Tabatabaee, G. Pournazari, N. Saba Shariati Hospital, Social Security Organisation Isfahan-IRAN XXXII WORLD CONGRESS 48 september 034 BARIERS TO EXERCISE IN DIABATIC PATIENTS F. Ataei, A. Tanhaei, N. Fakhari, A. Jafartaiari, S. Farhangpajouh, N. Saba Shariati Hospital, Social Security Organization Isfahan-IRAN ACUTE EFFECTS ON CHANGE OF HEART RATE OF A GROUP OF PREDIABETIC SUBJECTS UNDERWENT OF A COMBINED STRENGTH AND AEROBIC TRAINING PROGRAM G. Attene1, G. Satta2, G.C. Steri2, S. Santus2, F. Velluzzi3, L. Cugusi1, M. Massidda1 FRIDAY 035 28 1 University of Cagliari Cagliari-ITALY, 2SISP ASL8 Cagliari-ITALY, 3UO Obesità Dipartimento Scienze Mediche Mario Aresu, Università di Cagliari, Cagliari-ITALY 036 A COUPLED INDIRECT CALORIMETRY TO ERGOMETRIS TEST FOR OPTIMAL EXERCISE PRESCRIPTION IN SEVERE OBESITY WITH ASSOCIATED CARDIAC DISEASE G. Battistini Villa Igiea Hospital Forlì-ITALY 037 FAIR STABILITY OVER TIME OF THE LEVEL OF MAXIMAL LIPID OXIDATION AT EXERCISE J. Brun, A. Romain, M. Guiraudou, C. Fedou, J. Mercier INSERM U1046 Montpellier-FRANCE 038 IMPAIRED ENERGY EXPENDITURE DESPITE NORMAL CARDIOVASCULAR CAPACITY IN TYPE 1 DIABETES PREPUBERTAL CHILDREN G. Cafiero1, D. Fintini1, B. Di Giacinto2, A. Turchetta1, U. Giordano1, M. Cappa3, A. Pelliccia2, A. Calzolari1 1 Cardiorespiratory and Sport Medicine Unit, Bambino Gesù Children Hospital, IRCCS Rome-ITALY, 2Institute of Sport Medicine and Science Rome-ITALY, 3Endocrinology and Diabetes Unit, Bambino Gesù Children Hospital, IRCCS Rome-ITALY 039 THE RHEUMATIC PATIENT : TO PLAY FOOTBALL WITH SPONDYLOATRHRITIS M. Conforti INAIL Milan-ITALY of SPORTS MEDICINE 49 f r i d a y, 2 8 040 THE RHEUMATIC PATIENT AND AGONISTIC CERTIFICATE M. Conforti, F. Poggioli Istituto G. Pini Milan-ITALY 041 EFFECTIVENESS OF EXERCISE PROGRAM FOR PATIENTS WITH EARLY KNEE OSTEOARTHRITIS K. Corona1, G. Calcagnile1, C. Dentizzi2 1 Comitato Provinciale CONI Campobasso-ITALY, 2Azienda Sanitaria Regionale del Molise Campobasso-ITALY XXXII WORLD CONGRESS 50 september POSTER SESSION 2 14.30-15.30 042 TYPE 2 DIABETES INCIDENCE, PHYSICAL ACTIVITY LEVELS AND HRQOL IN A GROUP OF PRE-DIABETIC AND OVERWEIGHT SUBJECTS L. Cugusi1,2, G. Satta2, G.C. Steri2, E. Santus2, F. Velluzzi2,3, A. Loviselli2,3, G. Attene1,2, M. Massidda1,2 1 University of Cagliari Cagliari-ITALY, 2Hygiene and Public Health Service, ASL8 Cagliari-ITALY, 3Obesity Center, AOU Cagliari-ITALY 043 A STUDY OF MEDICAL STUDENTS’ KNOWLEDGE OF UNITED KINGDOM PHYSICAL ACTIVITY GUIDELINES M. Dunlop1, A. Murray2, S. Hillis3 1 Victoria Infirmary Glasgow-UNITED KINGDOM, 2Scottish Government Sport and Physical Activity Policy Team Edinburgh-UNITED KINGDOM, 3University of Glasgow Glasgow-UNITED KINGDOM 044 EFFECTS OF PHYSICAL TRAINING ON HEART RATE TURBULENCE AFTER CORONARY BYPASS GRAFTING L. Fallavollita1, V. Biasini2, S. Castelli1, E. Santillo1, L. Marini1, F. Balestrini1 1 Istituto di Ricerca a Carattere Scientifico, INRCA Fermo-ITALY, 2Federazione Medicina dello Sport, L’Aquila-ITALY 045 SPORT THERAPY PRESCRIPTION IN SUBJECTS AFFECTED BY MULTIPLE SCLEROSIS E. Guerra, P. Mancini, F. Pigozzi Università degli Studi di Roma Foro Italico Rome-ITALY 046 IMPLEMENTATION OF A PHYSICAL ACTIVITY VITAL SIGN E. Joy, M. Briesacher Intermountain Healthcare Salt Lake City-USA of SPORTS MEDICINE 51 FRIDAY Chairmen: L. Magaudda (ITALY); L. Spigolon (ITALY) 28 f r i d a y, 2 8 047 A CASE OF HEART PATHOLOGY IN A CYCLIST G. Boni1, G. Saba1, S. Notaristefano2, S. Giannini3, M.L. Iocca3, S. Grego3 1 Ambulatorio Medicina dello Sport, FMSI Umbria Foligno-ITALY, 2U.O. Cardiologia Osp. S. M. della Misericordia Perugia-ITALY, 3Casa di Cura Villa Stuart Rome-ITALY, U.O.C. Cardiochirurgia Policlinico Tor Vergata Rome-ITALY 048 JUGULAR FORAMEN SYNDROME BY VARICELLA ZOSTER VIRUS INFECTIONA CASE REPORTH. Park, J. Lee, Y. Kim, Y. Ko, H. Kim, S. Hong Department of Rehabilitation Medicine, Uijeongbu St.Mary’s Hospital, UijeongbuSOUTH KOREA 049 MOVEMENT IS LIFE INTERVENTION TO INCREMENT PHYSICAL ACTIVITY IN THE PREDIABETIC, OVERWEIGHT AN OBESE POPULATION G. Satta1, S. Santus1, G. Attene2, L. Cugusi2, M. Massidda2, A. Loviselli2, G.C. Steri1 1 Servizio Igiene Sanità Pubblica ASL Cagliari Cagliari-ITALY, 2Università di Cagliari Cagliari-ITALY 050 MODIFICATION IN BODY WATER BALANCE DURING THE EXERCISE AS PRESCRIPTION PROGRAM L. Stefani, G. Mascherini, I. Scacciati, G. Galanti Sports Medicine Center, University of Florence Florence-ITALY 051 FUNCTIONAL ASSESSMENT OF CARDIOVASCULAR PERFORMANCE AFTER A SHORT PERIOD OF EXERCISE AS PRESCRIPTION: EVALUATION BY 6 MINUTE WALKING TEST L. Stefani, G. Mascherini, I. Scacciati, G. Galanti Sports Medicine Center, University of Florence Florence-ITALY 052 THE IMPORTANCE OF PHYSICAL EXERCISE IN ARTERIOPATHIC PATIENTS F. Stio, A. Pulcini, F. Safoue, G. Patrizi, R. Verna Sapienza Università di Roma Rome-ITALY XXXII WORLD CONGRESS 52 september 053 THE EFFECT OF HYDRAULIC RESISTANCE CIRCUIT TRAINING WITH CARDIOVASCULAR ELDERLY IN NEW TAIPEI CITY: A PRELIMINARY INVESTIGATION T.C. Lin1, T.Y. Shiang2, C.C. Hong1, M.F. Hsu3, H.L. Chou4, J.Y. Jiang5 Department of Physical Medicine and Rehabilitation, Far Eastern Memorial Hospital Taipei-TAIWAN, 2Graduate Institute of Exercise Science, National Taiwan Normal University Taipei-TAIWAN, 3Department of Nursing, Oriental Institute of Technology Taipei-TAIWAN, 4Department of Nuring, Taipei Veterans General Hospital TaipeiTAIWAN, 5Division of Endocrinology and Metabolism, Department of Internal Medicine, Far Eastern Memorial Hospital Taipei-TAIWAN 054 THE RELATION BETWEEN BONE MINERAL DENSITY AND CARDIOVASCULAR FACTORS AMONG IRANIAN FEMALE ATHLETES WITH AMENORRHEA/OLIGOMENORRHEA H. Dadgostar1, G. Soleimany2, E. Dadgostar3, S. Lotfian2, M. Moradi Lakeh4, S. Movaseghi5 1 Sports and Exercise Medicine Research Center, Tehran University of Medical Sciences, Tehran-IRAN, 2Sports Medicine Department, Rasoule Akram Hospital, Tehran University of Medical Sciences Tehran-IRAN, 3Sports Medicine Federation of Islamic Republic of Iran Tehran-IRAN, 4Department of Community Medicine, Tehran University of Medical Sciences, Tehran-IRAN, 5Rhematology Research Center, Tehran University of Medical Sciences Tehran-IRAN 055 A NEW MEMBER OF THE BRAZILIAN MEDICAL TEAM T. Parmigiano1, A. Lopes2,3, G. Campos3, J. Grangeiro3, C. Guindalini4, C. Moreno1, R. Castro5, M. Girao5, M. Cohen1 1 Department of Sports Medicine, Federal University of Sao Paulo Sao Paulo-BRAZIL, University of the City of Sao Paulo Sao Paulo-BRAZIL, 3Brazilian Olympic Comittee Rio de Janeiro-BRAZIL, 4Department of Psychobiology, Federal University of Sao Paulo Sao Paulo-BRAZIL, 5Department of Gynecology, Federal University of Sao Paulo Sao Paulo-BRAZIL 2 056 RESPONSE OF LEPTIN TO RESISTANCE EXERCISE ORDER AND ITS CORRELATION WITH TESTOSTERONE HORMON IN OVER WEIGHT MEN D. Sheikholeslami Vatani, P. Salimi, S. Ghaeini University of Kurdistan Sanandaj-IRAN of SPORTS MEDICINE 53 FRIDAY 1 28 f r i d a y, 2 8 057 PRELIMINARY STUDY OF THE EFFECT OF EXERCISE IN QUALITY SEMEN M. Gomis Bataller1, P. Ibañez2, N. Campillo2, A. Brotons2,3 1 Centro de Investigación del Deporte Universidad Miguel Hernandez Elche-SPAIN, Clinica in Vitam Centro de Medicina Reproductiva Elche-SPAIN, 3Instituto de Electroquímica, Universidad de Alicante Alicante-SPAIN 2 058 SINGLE NUCLEOTIDE POLYMORPHISMS (SNPS) IN NON-CONTACT SOFTTISSUE INJURIES: INFLUENCE ON DEGREE OF INJURY AND RECOVERY TIME R. Artells1, R. Pruna2, J. Ribas3, B. Montoro4, F. Cos5, C. Muñoz1, G. Rodas2, M. Monzo1 1 Unitat d’Anatomia i Embriologia Humana, Fac. Medicina-UB Barcelona-SPAIN, Serveis Mèdics del FC Barcelona Barcelona-SPAIN, 3Unitat d’Anatomia i Embriologia Humana i Escola de Medicina de l’esport, Fac. Medicina, UB Barcelona-SPAIN, 4Dpt. de Farmacia i Tecnologia Farmacèutica, Fac. Farmacia, UB Barcelona-SPAIN, 5INEF, UB Barcelona-SPAIN 2 059 THE INVESTIGATION OF RELATION BETWEEN ALPINE SKIING SUCCESS AND ACE, NOS3, HBB GENE POLYMORPHISMS AND EXPRESSION LEVELS M. Polat1, B. Coksevim2, S. Taheri3, M. Dundar3 1 Department of Phsical Education and Sport, Nigde University, Nigde-TURKEY, Department of Physiology, Erciyes University Faculty of Medicine, Kayseri-TURKEY, 3 Department of Medical Genetic, Erciyes University Faculty of Medicine, KayseriTURKEY 2 060 PPAR ALPHA GENE VARIATION AND PHISYCAL PERFORMANCE IN ITALIAN SOCCER PLAYERS P. Proia1, P. Saladino2, G. Schiera2, V. Contrò1, A. Bianco1, A. Palma1, M. Traina1 1 DISMOT-Department of Sports Science, University of Palermo, Palermo-ITALY, STEMBIO-Department of Biotechnology and Molecolar Biology, University of Palermo, Palermo-ITALY 2 XXXII WORLD CONGRESS 54 september 061 MOTIVATE PEOPLE WITH CHRONIC DISEASES TO PERFORM PHYSICAL ACTIVITY: WORK IN PARTNERSHIP P. Patroni1, L. Girelli1, M. Calvetti1, P. Rumi2 1 Kinetik Centro Scienze Motorie Rogno (BG)-ITALY, 2Istituto di Medicina dello Sport, CONI/FMSI Milano Milan-ITALY MASTER ATHLETES AND CAROTID INTIMA-MEDIA THICKNESS N. Gori, A. Bartolini, G. Tempesti, G. Anania, G. Galanti, L. Stefani FRIDAY 062 Azienda Universitaria Ospedaliera Careggi, Agenzia di Medicina dello Sport FlorenceITALY 063 PROTOCOL OF TELEMATIC MONITORING TO EVALUATE THE APPLICABILITY OF SPECIFIC PROGRAM OF PHYSICAL ACIVITY IN A SCHOLAR POPULATION TO REDUCE OBESITY L. Grasso, Z. Lazarevic, C. Sabatini, S. Razzicchia, F. Quaranta, F. Pigozzi, P. Borrione Department of Health Sciences, University of Rome Foro Italico Rome-ITALY 064 EFFECTIVENESS OF PHYSICAL EXERCISES FOR REGULATION OF THE FUNCTIONAL STATE OF ANXIOUS CHILDREN IN AN INITIAL STAGE OF ADAPTATION TO SCHOOL I. Krivolapchuck Department of Physiology of Muscular Activity, Institute of Developmental Physiology of Russian Academy of Education, Moscow-RUSSIA 065 FOOD AND EXERCISE AT SCHOOL N. Lombini, L. Zambelli, G. Battistini AMS-Sports Physicians Association, Forlì-ITALY 066 BODY IMAGE AND PULMONARY FUNCTION IN CHILDREN: ATHLETES AND NON-ATHLETES M. Martins, L. Silva, C. Silva IPS, Sport Sciences School of Rio Maior Rio Maior-PORTUGAL of SPORTS MEDICINE 55 28 f r i d a y, 2 8 067 THE ASSOCIATION BETWEEN PHYSICAL ACTIVITY LEVEL WITH AGE AND GENDER IN PREPUBESCENT CHILDREN O. Mazzardo1, I. Balen1,2, E. Legnani1,2, R.F.S. Legnani1, R. Guimaraes1, W. Campos1 1 Department of Physical Education/Capes, Federal University of Parana, CuritibaBRAZIL, 2Department of Physical Education, Federal University of Technology, Curitiba-BRAZIL 068 PREVALENCE IN OVERWEIGHT/OBESITY AND PHYSICAL ACTIVITY HABITS IN CHILDREN G. Grazzi, E. Bernardi, F. Terranova, G. Grossi, G. Mazzoni Biomedical Sport Studies Center, University of Ferrara Ferrara-ITALY 069 METABOLIC SYNDROME PREVALENCE IN AGONISCTIC TEENAGERS M. Piseri, A. Giacometti, A. Anedda, M. Vanelli, G. Pela’, A. Bonetti Clinical Science Department, University of Parma, Chair of Sport Medicine, ParmaITALY 070 MOVEMENT IS LIFE INTERVENTIONS ON THE SCHOLASTIC POPULATION OF MIDDLE SCHOOL G. Satta1, S. Santus1, F. Loy1, A. Pintore1, A. Puddu1, M. Ziccheddu1, A. Loviselli3, D. Campus2, R. Masala2, E. Fogarizzu2, G.C. Steri1 1 ASL 8 Servizio Igiene Sanità Cagliari-ITALY, 2Servizio Prevenzione Ass.to Sanità Cagliari-ITALY, 3AOU Cagliari-ITALY 071 OBESITY AND CLINICAL EXERCISE G. Battistini, M.L. Petroni, S. Biondi, S. Battistini Villa Igiea Hospital Forlì-ITALY 072 PREDICTION OF SPORTS INJURIES BY FERNANDEZ-DELA CRUZ’S INDEX MODELS J. De La Cruz-Márquez1, J. De La Cruz-Campos1, A. De La Cruz-Campos1, M. Figueroa1, S. Rodriguez-Ruiz1, B. Cueto-Martin1, M. Campos-Blasco1, M. García-Jimenez1, E. Garcia-Marmol1, A. Fernandez-Martínez2 1 University of Granada Granada-SPAIN, 2University Pablo de Olavide Sevilla-SPAIN XXXII WORLD CONGRESS 56 september 073 PHYSICAL, CARDIOVASCULAR AND PSYCHOLOGICAL ASSESSMENT IN ADOLESCENTS: MECHANISMS OF RISK AND PROTECTION J. De La Cruz-Márquez, J. De La Cruz-Campos, A. De La Cruz-Campos, M. Figueroa, S. Rodriguez-Ruiz, B. Cueto-Martin, M. Campos-Blasco, M. García-Jimenez, E.Garcia-Marmol University of Granada Granada-SPAIN THE ACUTE EFFECTS OF STATIC AND DYNAMIC STRETCHING EXERCISES ON DYNAMIC BALANCE PERFORMANCE N. Denerel, M. Ergun, C. Islegen, O. Karamizrak, C. Ozgurbuz, O. Yuksel FRIDAY 074 28 EGE- Sports Medicine Department, University School of Medicine, Izmir-TURKEY 075 INVESTIGATION OF KNEE PAIN AND RANGE OF MOTION BEFORE AND AFTER SHALLOW WATER EXERCISE IN WOMEN WITH KNEE OA M. Vesalinaseh1, F. Zamanian2 1 Faculty of Physical Education and Sport Science, Tehran University Tehran-IRAN, Department of Physical Education and Sport Science, Islamic Azad University, Najafabad Branch Najafabad-IRAN 2 076 PHYSICAL ACTIVITY IN BREAST CANCER SURVIVORS: PRELIMINARY DATA OF THE IMPLEMENTATION OF A SUPERVISED TAILORED EXERCISE PROGRAM ON PATIENT’S EXERCISE CAPACITY AND QUALITY OF LIFE S.M. Molinari1, G. Gallucci2, M. Sangregorio3, M. De Lisa3, F. Miele4, M. Canadeo4, I. Cantore4, S. Laurita5 1 IRCCS-Istituto di Ricovero e Cura a Carattere Scientifico-CROB, Centro di Riferimento Oncologico della Basilicata, Rionero in Vulture (PZ)-ITALY, 2U.O.S. Cardiologia IRCSS-CROB, Rionero in Vulture (PZ)-ITALY, 3FMSI, Basilicata, Potenza-ITALY 077 EFFECTS OF AN ACUTE RESISTANCE AND AEROBIC EXERCISE SESSION ON THE ANTIOXIDANT DEFENCE SYSTEM IN HEALTHY MEN M. Afzalpour1, M. Saghebjoo1, A. Zarban2, M. Jani1 1 Department of Physiacal Education and Sport Sciences, University of Birjand, Birjand-IRAN, 2Department of Biochemistry, Birjand University of Medical Sciences, Birjand-IRAN of SPORTS MEDICINE 57 f r i d a y, 2 8 078 EXPLOSIVE-TYPE OF MODERATE-RESISTANCE TRAINING IN THE ELDERLY: BIOLOGICAL AND FUNCTIONAL EFFECTS M. Beltran Valls1, A. Brunelli1, I. Di Mauro1, P. Caserotti2, V. Disalvo1, E. Ciminelli1, F. Quaranta1, E. Tranchita1, A. Parisi1, D. Caporossi1 1 Department of Health Sciences, University of Rome Foro Italico, Rome-ITALY, Department of Sports Sciences and Clinical Biomechanics, University of Southern Denmark, Odense-DENMARK 2 079 PLIN2 EXPRESSION IN HUMAN SKELETAL MUSCLE IS ASSOCIATED WITH INACTIVITY AND AGING M. Conte1, F. Vasuri2, G. Trisolino3, E. Bellavista1, A. Santoro1, A. Degiovanni2, E. Martucci3, A. D’errico-grigioni2, A.B. Mayer4, M. Narici5, S. Salvioli1, C. Franceschi1 1 Dept. of Experimental Pathology and Cig. Interdepartmental Center L. Galvani, University of Bologna Bologna-ITALY, 2Pathology Unit of the F. Addarii Institute of Oncology, S.Orsola-Malpighi Hospital, University of Bologna Bologna-ITALY, 3 Reconstructive Hip and Knee Joint Surgery, Istituto Ortopedico Rizzoli Bologna-ITALY, 4 Dept. of Gerontology and Geriatrics, Leiden University Medical Center Leiden-THE NETHERLANDS, 5School of Graduate Entry Medicine and Health, University of Nottingham Nottingham-UNITED KINGDOM 080 DELAYED ONSET MUSCLE SORENESS INDUCED BY ECCENTRIC EXERCISE IS NOT RELATED WITH MUSCLE FIBER SWELLING OR INFLAMMATION J. Yu1, J. Liu2, L. Carlsson2, L. Thornell2, P. Stål2 1 Depart. Surgical and Perioperative Sciences, Sports Medicine Unit, Umeå University Umeå-SWEDEN, 2Depart. Integrative Medical Biology, Section for Anatomy, Umeå University Umeå-SWEDEN 081 BEHAVIOR OF BLOOD CREATINFOSFOKINASA LEVELS IN ULTRAENDURANCE RACING F. Ramognino, C. Valenti, A. Marincola, A. Mohni, M. Gonzalez, F. Cillo, G. Fantuzzi, K. Galvan, M. Romano, C. Yche Hospital General de Agudos J. A. Penna, Consultorio de Actividad Física, Deporte y Salud Buenos Aires-ARGENTINA XXXII WORLD CONGRESS 58 september VIBRATION ENERGY AND ISOTONIC EXERCISE:APPROACH TO FUNCTIONAL RECOVERY AND MUSCLE STRENGTHENING G. Battistini1, E. Galtieri2, F. Fontana3 1 3 083 Ass. Sports Medicine Forlì-ITALY, 2Private Sport Traumatology Centre Cesena-ITALY, Medicina Ravenna Sport Traumatology Centre Ravenna-ITALY PROCESS CAPABILITY IN ARTERIAL OXYHEMOGBLOBIN SATURATION MEASUREMENT BY PULSE OXIMETRY J. Beckert1, R. Minhalma2, F. Alves2, N. Neuparth1 1 CEDOC, Faculdade de Ciencias Medicas, Universidade Nova de Lisboa LisboaPORTUGAL, 2CIPER, Faculdade de Motricidade Humana, Universidade Tecnica de Lisboa Lisboa-PORTUGAL 084 ECG POCKET: A WEARABLE DEVICE TO FIND OUT ECG ARRHYTHMIAS DURING SPORTING ACTIVITIES D. Di Mattia1, F. Fincati2, M. Audrito3, M.L. Costantino4 1 FMSI, Istituto di Medicina dello Sport, Università degli Studi di Milano, Ospedale Luigi Sacco, Divisione di Cardiochirurgia Milan-ITALY, 2Gruppo Multimedica Centro di Medicina dello Sport Larix Milan-ITALY, 3A.B. Biomedical Engineering Carmagnola (TO)-ITALY, 4Politecnico di Milan, Dipartimento di Ingegneria Strutturale Milan-ITALY 085 ULTRASOUND (US)-GUIDED INTRATENDINOUS INJECTION OF PRP IN PATELLAR TENDON (PT): PRELIMINARY RESULTS G. Ferrero1, F. Lacelli2, D. Orlandi1, E. Fabbro1, C. Martini1, V. Prono1, G. Serafini2 1 Di.M.I. Genoa-ITALY, 2Ospedale Santa Corona Pietra Ligure (SV)-ITALY of SPORTS MEDICINE 59 FRIDAY 082 28 f r i d a y, 2 8 POSTER SESSION 3 14.30-15.30 Chairmen: G. Li (CHINA); F. Agrusti (ITALY) 086 MATCH ANALYSIS AND POSSIBLE IMPLICATIONS ON INJURIES IN BASKETBALL G. Mennelli1, P. Benelli1, D. Sisti2, M. Gervasi1, F. Lucertini1, M. Marcolini4, R. Venerandi3 1 Dipartimento di Scienze Biomolecolari Sezione Scienze Motorie e della Salute Università degli Studi di Urbino Carlo Bo Urbino-ITALY, 2Dipartimento DiSTeVA, Università degli Studi di Urbino Carlo Bo Urbino-ITALY, 3Società Scavolini Siviglia Basket Pesaro-ITALY, 4Società K-Sport, Montelabbate Pesaro-ITALY 087 PATELLO-FEMORAL CHONDROPATHY TREATED WITH MD-KNEE TRANSMITTED WITH O2 VS CHONDROITIN SULPHATE G. Posabella European Medical Center Pieve di Cento (BO)-ITALY 088 MUSCULAR ENERGETIC METABOLISM IN HEALTHY AND DIABETIC SUBJECTS DURING THE VISIT TO ASSESS ELIGIBILITY TO COMPETITIVE SPORT: A MICRODIALYSIS STUDY G. Puggioni1, M. Pellicano1, A. Pacifico2, M. Scorcu3, S. Suelzu4, P.A. Serra5 1 Fisiokons, Centro di Medicina Sportiva Sassari-ITALY, 2Servizio di Diabetologia, Azienda Ospedaliera Universitaria Sassari-ITALY, 3Servizio di Medicina dello Sport ASL 6 Sanluri (VS)-ITALY, 4Dipartimento di Scienze Chirurgiche, Microchirurgiche e Mediche, Università di Sassari Sassari-ITALY, 5Dipartimento di Medicina Clinica e Sperimentale, Università di Sassari Sassari-ITALY 089 NEED FOR A TOOL: HANDLING PROFESSIONAL SOCCER PLAYERS BIOCHEMICAL DATA G. Tempesti1, A. Bartolini1, N. Gori1, G. Romagnoli2, P. Pezzati3, L. Stefani1, G. Galanti1 1 3 Sports Medicine Florence-ITALY, 2Engineering Informatic Faculty Florence-ITALY, General Laboratory Diagnostic Department Florence-ITALY XXXII WORLD CONGRESS 60 september 090 NUTRITIONAL AND PHYSIOLOGICAL STATUS OF SYNCHRONIZED SWIMMERS M. Andjelkovic, I. Baralic, T. Antic, N. Dikic, M. Vukasinovic Vesic, D. Curcic Sport Medicine Association of Serbia Belgrade-SERBIA 091 ASPECTS OF BODY COMPOSITION AT PROFESSIONAL SPORTSMEN M. Calina1, D. Enescu-Bieru1, E. Lica1, V. Dinu2, M. Dragomir1 1 092 FRIDAY Faculty of Physical Education and Sport Craiova, University of Craiova CraiovaROMANIA, 2Polyclinic of Sports Medicine, Emergency Clinical Hospital Craiova Craiova-ROMANIA 28 BODY COMPOSITION IN ITALIAN PREMIER LEAGUE OUTFIELD SOCCER PLAYERS: INFLUENCE OF PLAYING POSITION P. Ferrari1, G. Corradini1, F. De Vita1, F. Zamboni2, M. Meneghello2, P. Bruzzone2, C. Milanese3, M. Ferrari2 1 Chievo Verona Football Club Verona-ITALY, 2School of Sports Medicine, University of Verona Verona-ITALY, 3Faculty of Motor Sciences, University of Verona Verona-ITALY 093 ALOE VERA EXTRACT COMPLEX REDUCES BODY FAT MASS AND INCREASES LEAN BODY MASS M. Han, H. Choi, S. Kim, B. Cho, K. Son, B. Oh Department of Family Medicine, Seoul National University Hospital, Seoul-SOUTH KOREA 094 CADETS’ PERCEPTION OF EXERCISE AND RECOVERY UNDER RAMADAN FASTING CONDITIONS K. Havenetidis Hellenic Army Academy, Faculty of Physical and Cultural Education Vari-GREECE 095 DEVELOPMENT OF A SPORTS DRINK WITH JOINT PROTECTING INGREDIENTS M. Konrad, M. Schmidt, E. Pail FH Joanneum, Degree Program in Dietetics and Nutrition Bad Gleichenberg-AUSTRIA of SPORTS MEDICINE 61 f r i d a y, 2 8 096 COMBINATION WITH INTAKE OF HEME-IRON SUPPLEMENT AND NUTRITIONAL COUNSELLING ENHANCES IMPROVEMENT OF SPORTS ANEMIA ON FEMALE ATHLETE M. Matsumoto1, J. Suzuki1, M. Katsumata2, T. Hasegawa2, T. Noguchi1 1 097 Nihon University Tokyo-JAPAN, 2ILS Inc. Tokyo-JAPAN PLASMA METABOLIC PROFILING IN RATS AFTER EXHAUSTIVE PHYSICAL EXERCISE AND SEVERE INFECTION M. Sossdorf1, S. Meyer1, J. Fischer1, G.P. Otto2 1 Center for Sepsis Control and Care, Department of Anesthesiology and Intensive Care, Jena University Hospital Jena-GERMANY, 2Department for Internal Medicine III, Jena University Hospital Jena-GERMANY 098 RELATIONSHIP BETWEEN PERCENTAGE OF DEHYDRATION AND BASKETBALL PERFORMANCE M. Vukasinovic-Vesic1, N. Dikic1, M. Andjelkovic1, N. Radivojevic1, D. Curcic1, T. Antic1, R. Turner2, R. Stokes2, H. Gunter2 1 Sports Medicine Association of Serbia Belgrade-SERBIA, 2FIBA Europe MunichGERMANY 099 SWEAT RATE AND FLUID TURNOVER OF BASKETBALL PLAYERS DURING FIBA EUROPE U20 EUROPEAN CHAMPIONSHIP MEN 2011- DIVISION B M. Vukasinovic-Vesic1, N. Dikic1, M. Andjelkovic1, N. Radivojevic1, D. Curcic1, T. Antic1, R. Turner2, R. Stokes2, H. Gunter2 1 Sports Medicine Association of Serbia Belgrade-SERBIA, 2FIBA Europe MunichGERMANY 100 URINE SPECIFIC GRAVITY IN LONG DISTANCE RACES AND ITS RELATIONSHIP WITH THE SENSATION OF THIRST F. Ramognino, C. Valenti, A. Marincola, A. Mohni, M. Gonzalez, F. Cillo, G. Fantuzzi, K. Galvan, M. Romano, C. Yche Hospital General de Agudos J. A. Penna, Consultorio de Actividad Fisica, Deporte y Salud Buenos Aires-ARGENTINA XXXII WORLD CONGRESS 62 september SNELLEN CHART-DETERMINING CLEARANCE DURING THE PREPARTICIPATION EVALUATION J. Carneiro1, E. Brandão2, B. Ribeiro1 1 2 102 HYPERINSULINISM-HYPERAMMONEMIA SYNDROME (HHS) AND SPORTS ELIGIBILITY: A CASE REPORT G. Ciccarone1, M. Ismael1, G. Martelli2 1 2 103 Centro Hospitalar de Vila Nova de Gaia, Espinho Vila Nova de Gaia-PORTUGAL, Centro Hospitalar de São João Porto-PORTUGAL FRIDAY 101 Sports Medicine Service, Ospedale Santa Maria del Prato Feltre (BL)-ITALY, Department of Physiology, University of Siena Siena-ITALY 28 ADULT ONSET STILL’S DISEASE (AOSD) AND SPORTS ELIGIBILITY: A CASE REPORT G. Ciccarone1, G. Martelli2, M. Ismael1, V. Lamberti3, A. Gioffredi1 1 Sports Medicine Service, Ospedale Santa Maria del Prato Feltre (BL)-ITALY, Department of Physiology, University of Siena Siena-ITALY, 3Istituto di Medicina dello Sport Vittorio Veneto (TV)-ITALY 2 104 SCREENING ATHLETES FOR CARDIOVASCULAR DISEASE IN AFRICA: A FEASIBLE BUT CHALLENGING EXPERIENCE F. Di Paolo1, C. Schmied2, J. Dvorak3, F. Quattrini4, Y. Zerguini5, A. Pelliccia6 1 Institute of Sport Medicine and Science CONI Rome-ITALY, 2Cardiovascular Center Sports Cardiology, University Hospital Zurich-SWITZERLAND, 3Fédération Internationale de Football Association (FIFA), and Schulthess Clinic ZurichSWITZERLAND, 4Institute of Sport Medicine and Science, CONI Rome-ITALY, 5Clinique Chahrazed, FIFA Medical Center of Excellence Cheraga, Alger-ALGERIA, 6Institute of Sport Medicine and Science, CONI, Rome-ITALY 105 COMMUNITY CARDIOVASCULAR SCREENING TO IDENTIFY MIDDLE SCHOOL CHILDREN AT RISK OF SUDDEN CARDIAC DEATH: HOUSTON EARLY AGE RISK TESTING & SCREENING STUDY J. Higgins1, G. Biliciler-Denktas2, S. Laing1, J. Samuels1, A. Rajmane1, A. Ali1, D. Mcpherson1 1 Deparment of Medicine, The University of Texas Health Science Center at Houston, Houston-USA, 2Deparment of Pediatrics, The University of Texas Health Science Center at Houston, Houston-USA of SPORTS MEDICINE 63 f r i d a y, 2 8 106 BASKETBALL INJURIES AMONG CHILDREN. A PROSPECTIVE STUDY WITH 7 YEARS FOLLOW-UP. SPAGAKOS G.1, KONTOPOULOU E.2 - 1ORTHOPAEDIC SURGEON, 2PHYSIATRIST G. Spagakos1, E. Kontopoulou2 1 Spagakos Georgios Orthopaedic Surgeon Athens-GREECE, 2Kontopoulou Eirini Physiatrist Athens-GREECE 107 BONE MINERAL DENSITY IN RHYTHMIC GYMNASTIC ATHLETES. COMPARISON WITH CONTROLS. SPAGAKOS G., KONTOPOULOU E. ORTHOPAEDIC SURGEON, PHYSIATRIST G. Spagakos1, E. Kontopoulou2 1 Spagakos Georgios Orthopaedic Surgeon Athens-GREECE, 2Kontopoulou Eirini Physiatrist Athens-GREECE 108 ABOUT THE CASE OF A CHIARI 1 MALFORMATION DISCOVERED AFTER SEVERAL SYNCOPE ON A SPORT GROUND J. Laffond1, M. Bouvard2, C. Hugo3 1 Bordeaux Segalen University Bordeaux-FRANCE, 2Biology and Sport Medecine Center Pau-FRANCE, 3Medical Imaging Pau Hospital Pau-FRANCE 109 MORPHOLOGICAL CARDIAC MODIFICATIONS IN ADOLESCENT SOCCER PLAYERS G. Milicia, G. Galanti, L. Stefani Agenzia di Medicina dello Sport, Università degli Studi di Firenze Florence-ITALY 110 APPLICATION OF FIFA 11+ PROTOCOL IN YOUNG ITALIAN PROFESSIONAL FOOTBALLERS F. Piras1,2, P. Cugia1,2,4, M. Scorcu1,2, R. Mura2,3, L. Angius3 1 FMSI Sardinia Cagliari-ITALY, 2Cagliari Calcio S.p.A. Cagliari-ITALY, 3Laboratory of Sport Physiology, University of Cagliari Cagliari-ITALY, 4Kinesis Rehabilitation Center Cagliari-ITALY XXXII WORLD CONGRESS 64 september EFFECT OF INTENSIVE TRAINING ON THE CARDIOVASCULAR SYSTEM OF PROFESSIONAL WATER POLO AND SOCCER PLAYERS J. Plavsic1, N. Antic1, S. Djordjevic-Saranovic1, M. Antic1, R. Conic2, S. Mazic1,2 1 2 112 Department of Sports Medicine, National Institute of Sport, Belgrade-SERBIA, Belgrade University School of Medicine Belgrade-SERBIA PERSISTENT LEFT SUPERIOR VENA CAVA IN A YOUNG PROFESSIONAL ATHLETE G. Ricci, P. Ripari FRIDAY 111 28 University Centre of Sports Medicine, G. D’Annunzio University Chieti-ITALY 113 THE RELATIONSHIP BETWEEN LOWER-LIMB STRENGTH ASYMMETRY AND PERFORMANCE IN SPRINT/AGILITY TESTS. A PRELIMINARY STUDY IN NON-SPORTING STUDENTS I. Sannicandro, G. Cofano, A. Violante, R.A. Rosa 1 MSc in Preventive and Adapted Physical Activity, Faculty of Medicine and Surgery, University of Foggia Foggia-ITALY 114 MYOCARDIAL BRIDGE AN OLD STORY, A NOVEL DIAGNOSTIC CHALLENGE FOR SPORT MEDICINE F. Sperandii1, E. Guerra1,2, A. Martino1, C. Lanzillo1, M. Di Roma1, E. Cavaretta3, E. De Ruvo1, L. Sciarra1, F. Quaranta2, E. Assisi3, A. Nigro3, F. Guarracini1, V. Castelli1, C. Albanese3, F. Pigozzi2,3, L. Calo’1,2 1 Policlinico Casilino Dept of Cardiology Rome-ITALY, 2Università degli Studi di Roma Foro Italico Rome-ITALY, 3Villa Stuart Sport Clinic Rome-ITALY 115 ST-T SEGMENT ANOMALIES ON RESTING ECG IN YOUNG ATHLETES G. Speranza1, C. De Gregorio2, D. Zagari2, E. Magaudda1, D. Di Mauro1, M. Bonaiuto1, L. Magaudda1 1 Department of Biomorphology and Biotechnology, Postgraduate School of Sports Medicine, University of Messina Messina-ITALY, 2Clinical and Experimental Department of Medicine and Pharmacology, University of Messina Messina-ITALY of SPORTS MEDICINE 65 f r i d a y, 2 8 116 CO-RELATION BETWEEN AMYOTROPHIC LATERAL SCLEROSIS AND VARIOUS SPORTS: CHARACTERISTICS OF PHYSIOKINESITHERAPY M. Amendola1, V. Amendola1, F. Amendola1,2,3, M. Ribatti1, R. Marvulli4, D. Accettura3 1 FIGC Lega Dilettanti, Comitato Regionale Puglia Bari-ITALY, 2A.S. Bari Calcio, Settore Giovanile Bari-ITALY, 3FMSI Istituto di Medicina dello Sport, CONI Bari-ITALY, 4 Specialista in Medicina Fisica e Riabilitazione Bari-ITALY 117 IMPORTANCE OF PLANTAR RECEPTOR IN PREVENTION OF LESIONS DUE TO OVERUSE IN FOOTBALL: NEW ACQUISITIONS IN PHYSIOKINESITHERAPY M. Amendola1, V. Amendola1, F. Amendola1,2,3, G. De Sario1, R. Marvulli4, D. Accettura3 1 FIGC Lega Dilettanti, Comitato Regionale Puglia Bari-ITALY, 2A.S. Bari Calcio, Settore Giovanile Bari-ITALY, 3FMSI Istituto di Medicina dello Sport, CONI Bari-ITALY, 4 Specialista in Medicina Fisica e Riabilitazione Bari-ITALY 118 INFILTRATIVE PERITENDINOUS TREATMENT, ULTRASOUND GUIDED, WITH LOW MOLECULAR WEIGHT HYALURONIC ACID G. Mazzoni, E. Bernardi, M. Fogli Biomedical Sport Studies Center, University of Ferrara Ferrara-ITALY 119 SENCONDARY ULNAR NERVE PALSY IN ADULT AFTER RANGE OF MOTION EXERCISE - CASE REPORT J. Jun, W.I. Rhee Department of Rehabilitation Medicine, College of Medicine, the Catholic University of Korea Seoul-SOUTH KOREA 120 EVALUATION OF DXA BODY COMPOSITION DURING REHABILITATION PROGRAMS AFTER ACL SURGERY IN SOCCER PLAYERS G. Martelli, A. Causarano, R. Palazzi, L. Santini, I. Martelli, F. Merlo Performance Medical and Rehabilitation Center Siena-ITALY XXXII WORLD CONGRESS 66 september 121 INDIVIDUAL DIFFERENCES IN THE PULMONARY RESPONSE TO HYPOBARIC HYPOXIA (3300M): A POTENTIAL CAUSE IN THE PRONENESS TO DEVELOP INTERSTITIAL LUNG EDEMA M. Bartesaghi1, F. Lanfranconi1, L. Pollastri1, V. Scotti1, G. Mandolesi2, E. Bernardi2, G. Miserocchi1 1 122 FRIDAY Department of Experimental Medicine, Laboratory of Clinical Physiology and Sport Medicine Monza-ITALY, 2Department of Experimental Medicine, Biomedical Sport Studies Center, Ferrara-ITALY KINEMATIC CHANGES BETWEEN FASTBALL AND CURVEBALL IN TAIWANESE BASEBALL PITCHERS P. Chou1, S. Chang2, Y. Huang2, T. Fan1, W. Lin1, S. Chen1, C. Liu3, Y. Chou2 28 1 Department of Sports Medicine, Kaohsiung Medical University Kaohsiung-TAIWAN, Institute of Biomedical Engineering, National Cheng-Kung University Tainan-TAIWAN, 3 Graduate Institute of Sports Equipment Technology, Taipei Physical Education College Taipei-TAIWAN 2 123 MARKERS ELETTROCARDIOGRAFICI DI RIPOLARIZZAZIONE VENTRICOLARE IN ATLETI CON PROLASSO MITRALICO G. Francavilla Ospedale S. Antonio Abate Trapani-ITALY 124 SOCCER INJURIES AMONG IRANIAN PLAYERS M. Hassabi1, T. Seif Barghi2 1 Shahid Beheshti University of Medical Sciences Tehran-IRAN, 2Iranian Association of Sports and Exercise Medicine Tehran-IRAN 125 RISK FACTORS AND INJURY MECHANISMS IN TRIATHLON. S.MIGLIORINI ITU MEDICAL COMMITTEE CHAIR, FITRI MEDICAL COMMITTEE CHAIR S. Migliorini International Triathlon Union ITU Medical Committee Vancouver-CANADA, FITRIFederazione Italiana Triathlon Commissione Medica Rome-ITALY of SPORTS MEDICINE 67 f r i d a y, 2 8 126 SAFEST EXERCISE HOURS IN TEHRAN BASED ON AIR QUALITY INDEX VALUES S. Mohaghegh1, R. Kordi2, M. Younesian3, M. Hajian4, B. Mohaghegh5 1 Sports and Exercise Medicine Department, Shahid Beheshti University of Medical Sciences, Tehran-IRAN, 2Sports and Exercise Medicine Department, Tehran University of Medical Sciences, Tehran-IRAN, 3Public Health Department, Tehran University of Medical Sciences, Tehran-IRAN, 4Preventive Medicine Department, Shahid Beheshti University of Medical Sciences, Tehran-IRAN, 5GIS Department, Geological Survey of Iran, Tehran-IRAN 127 SPONTANEOUS FRACTURE IN BIPARTITE PATELLA AFTER ACL BPTB AUTOGRAFT RECONSTRUCTION R. Orlandi, G. Zappala’, D. Mazzoleni USC Ortopedia Traumatologia Bergamo-ITALY 128 AEROBIC EXERCISE AND LIFE QUALITY ABOARD A SUBMARINE L. Ricciardi1, R. Belloni2, M. Davino3, C. Rinaldi3 1 Associazione Medico Sportiva Dilettantistica Pavia-ITALY, 2Formerly Ospedale di Circolo Varese-ITALY, 3Comando Forze Subacquee Marina Militare Italiana TarantoITALY XXXII WORLD CONGRESS 68 september POSTER SESSION 4 14.30-15.30 Chairmen: M. Leglise (FRANCE); G. Ganzit (ITALY) EFFECTIVENESS OF A MONITORING PROGRAM OF PHYSICAL CONDITIONING CAMERAMEN FROM A TV COMPANY IN SÃO PAULO P. Silva, R. Nahas, D. Silva, A. Silva, R. Evers, T. Rodrigues, R. Ciconelli FRIDAY 129 28 Grupo Fleury Sao Paulo-BRAZIL 130 INCIDENCE AND PROGNOSTICATORS OF LOWER EXTREMITY FRACTURES IN BELGIAN FOOTBALL PLAYERS L. Vanlommel, P. Bollars, J. Bellemans University Pellenberg Leuven-BELGIUM 131 EFFECTS OF ANABOLIC ANDROGENIC STEROIDS ON RENAL WEIGHT AND MORPHOLOGY V. Aparicio1,2, D. Camiletti-Moirón1,2, R. Casuso3, M. Tassi4, E. Nebot1, L. Bustos1, J. Porres1, P. Aranda1 1 Department of Physiology, School of Pharmacy and Institute of Nutrition and Food Technology, University of Granada Granada-SPAIN, 2Department of Physical Education and Sport, School of Sports Sciences, University of Granada Granada-SPAIN, 3 Department of Health Sciences, University of Jaen Jaén-SPAIN, 4Department of Pathologic Anatomy and Institute of Regenerative Biomedicine, School of Medicine, University of Granada Granada-SPAIN 132 CORTISONE AND SPORT T. Henne Kreiskrankenhaus Osterholz-Scharmbeck, Chirurgie Osterholz-Scharmbeck-GERMANY of SPORTS MEDICINE 69 f r i d a y, 2 8 133 THE PREDISPOSITION TO DOPING IN SPORT: THE EFFECTIVENESS OF AN EDUCATIONAL PROJECT ON RISK PREVENTION R. Mura1, M. Scorcu1,2,3, P. De Angelis2, R. Uccheddu2, F. Piras1,2,4 1 FMSI Sardegna Cagliari-ITALY, 2School of Sport, CONI Sardegna Cagliari-ITALY, 3A.S.L. 6 Sanluri-ITALY, 4A.S.L. 7 Carbonia, Iglesias-ITALY 134 BUCCAL AND SALIVARY PROFILE OF YOUNG SOCCER PLAYERS P. Amaddeo1,5, S. D’Ercole2,3, D. Martinelli3, D. Tripodi3, F. Ristoldo4 1 Atalanta B.C. Medical Team Bergamo-ITALY, 2D.to Scienze Biomediche Università degli Studi G. D’Annunzio Chieti-Pescara-ITALY, 3D.to Scienze Orali, Nano e Biotecnologie Università degli Studi G. D’Annunzio Chieti-Pescara-ITALY, 4Azienda Ospedaliera Ospedali Riuniti U.S.C. Odontostomatologia Bergamo-ITALY, 5Azienda Ospedaliera Ospedali Riuniti U.S.S.D. Ch. Maxillo-Facciale Bergamo-ITALY 135 CONTRIBUTION OF BIOMECHANICAL PARAMETERS OF COUNTERMOVEMENT JUMP PERFORMANCE AND STANDING LONG JUMP PERFORMANCE IN BASKETBALL PLAYERS R. Andrade1, J. Claudino1, B. Mezêncio1, A. Azevedo1, J. Pinho1, A. Amadio1, A. Moreira2, J. Serrão1 1 Department of Biodynamic of Human Movement, Biomechanics Laboratory of School of Physical Education and Sport, USP São Paulo-BRAZIL, 2Department of Sport, School of Physical Education and Sport, USP São Paulo-BRAZIL 136 IS THERE A RELATIONSHIP BETWEEN MULTIPLE CHANGE OF DIRECTION ABILITY AND BIOMECHANICAL PARAMETERS IN PROFESSIONAL FEMALE BASKETBALL PLAYERS? R. Andrade1, J. Serrão1, M. Kiss2, A. Amadio1, A. Moreira2 1 Department of Biodynamic of Human Movement, Biomechanics Laboratory of School of Physical Education and Sport, USP São Paulo-BRAZIL, 2Department of Sport, School of Physical Education and Sport, USP São Paulo-BRAZIL XXXII WORLD CONGRESS 70 september 137 INFLUENCE OF BURNOUT SYNDROME ON PERFORMANCE AMONG BASKETBALL REFEREES T. Antic, D. Curcic, N. Dikic, N. Radivojevic, M. Vesic Vukasinovic, M. Andjelkovic Sports Medicine Association of Serbia Belgrade-SERBIA UPHILL TRAINING IN SOCCER PLAYERS: SPRINT VS. INTERMITTENT G. Attene1, G. Ibba2, M. Scorcu2, F. Pizzolato2, J. Padulo4 FRIDAY 138 University of Cagliari Cagliari-ITALY, 2Cagliari Calcio S.p.A. Cagliari-ITALY, 4University of Verona Verona-ITALY, 5University of Tor Vergata Rome-ITALY 139 28 RELATIONSHIP BETWEEN KNEE EXTENSION STRENGTH AND QUADRICEPS TO HAMSTRINGS IMBALANCES IN PROFESSIONAL SOCCER PLAYERS G. Bogdanis, V. Kalapotharakos University of Athens Athens-GREECE 140 PHYSIOLOGICAL CHARACTERISTICS OF THE SPORT OF BMX G. Boni1, F. Mattiacci1, A. Capodicasa1, S. Spaccapanico Proietti1, L. Laurent2, F. Gargaglia2 1 CR Umbria FMSI, Surgery of Sport Medicine, Foligno (PG)-ITALY, 2Coach Italian BMX National Team Milan-ITALY 141 EFFECT OF HIIT HYDROBIKE TRAINING ON PARAMETERS OF AEROBIC CAPACITY IN TRIATHLETES VS DETRAINING EFFECTS G. Collu1, S. Roberto1, M. Pinna1, R. Milia1, G. Migliaccio2, A. Concu1, A. Crisafulli1 1 LABFS-Dipartimento di Scienze Mediche, Laboratorio Fisiologia della Sport, Università degli Studi di Cagliari Cagliari-ITALY, 2CONI Sardegna, Laboratorio dello Sport, Cagliari-ITALY 142 REPEATED BOUT EFFECT INDUCED BY ISOKINETIC VS ISOTONIC ECCENTRIC CONTRACTION G. Coratella1, F.M. Impellizzeri2, F. Schena1,2 1 Department of Neurological, Neurophisiological, Morphological and Movement Science Verona-ITALY, 2Researc Center for Sport, Mountain and Health Rovereto-ITALY of SPORTS MEDICINE 71 f r i d a y, 2 8 143 LONGITUDINAL STUDY IN ELITE MALE SWIMMERS: A HIERACHICAL MODELING OF ENERGETIC AND BIOMECHANICAL RELATIVE CONTRIBUTION FOR PERFORMANCE M. Costa1,4, J. Bragada1,4, D. Marinho2,4, V. Lopes1,4, A. Silva3,4, T. Barbosa1,4, E. Morais3,4 1 Polytechnic Institute of Bragança Bragança-PORTUGAL, 2University of Beira Interior Covilhã-PORTUGAL, 3University of Trás-os-Montes and Alto Douro Vila Real-PORTUGAL, 4 Research Centre in Sports, Health and Human Development Vila Real-PORTUGAL 144 AN FMRI INVESTIGATION ON THE FUNCTIONAL CORRELATES OF NEURAL EFFICIENCY IN PROFESSIONAL FORMULA 1 CAR DRIVERS F. Franzoni1, G. Bernardi2, E. Ricciardi2, E. Guidotti1, L. Sani2, R. Ceccarelli3, R. Goebel4, F. Galetta1, P. Pietrini2, G. Santoro1 1 Department of Internal Medicine, University of Pisa, Pisa-ITALY, 2Department of Laboratory Medicine and Molecular Diagnostics, University of Pisa, Pisa-ITALY, 3 Formula Medicine Viareggio-ITALY, 4Department of Cognitive Neuroscience, University of Maastricht, Maastricht-THE NETHERLANDS 145 EFFECTS OF LONG TERM WHOLE-BODY VIBRATION TRAINING WITH DIFFERENT AMPLITUDES ON PERFORMANCE F. Ghazalian1, L. Hakemi2, L. Pourkazemi2, M. Akhoond3, M. Ahmadi2 1 Department of Physical Education, Science & Research Branch, Islamic Azad University, Tehran, Iran Tehran-IRAN, 2Sports Medicine Federation of I.R.Iran TehranIRAN, 3Department of Statistics, Shahid Chamran University Ahwaz-IRAN 146 IMPACT OF RECOVERY MODALITIES ON PERFORMANCE IN VOLLEYBALL PLAYERS IN HIGH ENVIRONMENTAL TEMPERATURES N. Ghoul1, M. L’Hermette1, R. Sioud2, C. Tourny-Chollet 1 CETAPS EA 3832 Rouen-FRANCE, 2NCMSS Tunis-TUNISIA XXXII WORLD CONGRESS 72 september 147 FOR A BETTER BONE QUALITY AND REDUCED CARDIOVASCULAR RISK FACTORS: DOWNHILL SKIING, ICE HOCKEY OR SWIMMING? S. Grossgasteiger1, S. Frizzera1, F. Egger2, M.C. Tappa3, G. Radetti4 Department of Sports Medicine, Regional Hospital, FMSI Bolzano-ITALY, 2Department of Internal Medicine, Regional Hospital Bolzano-ITALY, 3Department of Nuclear Medicine, Regional Hospital Bolzano-ITALY, 4Department of Peditrics, Regional Hospital Bolzano-ITALY 148 FRIDAY 1 INFLUENCE OF FATIGUE, STRESS, SORENESS AND SLEEP ON PERCEIVED EXERTION IN ELITE YOUNG SOCCER PLAYERS M. Haddad1, D. Wong2, C. Castagna3, K. Chamari1 28 1 Tunisian Research Laboratory Sports Performance Optimization, National Center of Medicine and Science in Sports Tunis-TUNISIA, 2Department of Health and Physical Education, The Hong Kong Institute of Education, Hong Kong-HONG KONG, 3School of Sport and Exercise Sciences, Team-Sports Research Area, Faculty of Medicine and Surgery, University of Rome Rome-ITALY 149 IS THERE ANY CORRELATION BETWEEN SELECTED PARAMETERS OF FITNESS AND ACQUIRED SCORES OF REFEREES IN IRANIAN PREMIER FOOTBALL LEAGUE? F. Halabchi, R. Mazaheri, M.A. Mansournia, T. Seif Barghi Sports Medicine Research Center, Department of Sports and Exercise Medicine, Tehran University of Medical Sciences Tehran-IRAN 150 THE YO-YO INTERMITTENT RECOVERY TEST OF PROFESSIONAL SOCCER PLAYERS H. Gümüsdag, Çisem Ünlu, G. Çiçek Hitit University & Physical Education and Sports High School Çorum-TURKEY 151 FUNCTIONAL STATE OF CHILDREN WITH THE INFORMATION STRESS DEPENDING ON THE LEVEL OF THE AEROBIC FITNESS I. Krivolapchuck Department of Physiology of Muscular Activity, Institute of Developmental Physiology of Russian Academy of Education, Moscow-RUSSIA of SPORTS MEDICINE 73 f r i d a y, 2 8 152 SHOULDER EVALUATION OF VOLLEYBALL ATHLETES BY AN ISOMETRIC TEST ON A NEW DEVICE G. Martelli1, G. Ciccarone1, M. Signorini2, G. Grazzini2, S. Urgelli2 1 Department of Physiology, University of Siena Siena-ITALY, 2Performance Valdelsa, Medical Rehabiltation Center Poggibonsi (SI)-ITALY 153 MODIFICATION IN BODY HYDRATION AFTER TWO MONTHS OF SOCCER TRAINING G. Mascherini, L. Stefani, G. Galanti Medicina dello Sport e dell’Esercizio, Università di Firenze Florence-ITALY 154 DIFFERENCE IN AEROBIC CAPACTY IN RUGBY PLAYERS G. Mazzoni, E. Bernardi, G. Grossi, F. Terranova, S. Uliari, G. Grazzi Biomedical Sport Studies Center, University of Ferrara Ferrara-ITALY 155 LINKING SELECTED VARIABLES WITH DIRECT AND INDIRECT EFFECT ON YOUNG SWIMMER’S PERFORMANCE J. Morais1,2, N.D. Garrido2,3, V. Lopes2,3, D.A. Marinho2,4, A.J. Silva2,3, T.M. Barbosa1,2 1 Department of Sport Sciences, Polytechnic Institute of Bragança, BragançaPORTUGAL, 2Research Centre in Sports, Health and Human Development Vila Real-PORTUGAL, 3University of Trás-os-Montes and Alto Douro, Department of Sport Sciences Vila Real-PORTUGAL, 4University of Beira Interior, Department of Sport Sciences Covilhã-PORTUGAL 156 THE EFFECTS OF THE PERIOD OF COMPETITION ON ELITE ATHLETES’ BODY COMPOSITION, SERUM LIPIDS AND LIPOPROTEINS N. Necip Fazil Kishali1, Ozturk Agirbas2, Mergul Colak2, Fatih Kiyici1, Guleda Can Burmaoglu1 1 Ataturk University Physical Education and Sports School Erzurum-TURKEY, 2Physical Education and Sport Part of Erzincan University Faculty of Education Erzincan-TURKEY XXXII WORLD CONGRESS 74 september 157 LACK OF CORRELATION BETWEEN LABORATORY INDEXES OF AEROBIC AND ANAEROBIC LACTIC CAPACITIES AND REPEATED SPRINT ABILITY IN YOUNG PROFESSIONAL SOCCER PLA S. Olla1, L. Angius1, F. Piras3, R. Mura3, G. Ibba3, F. Todde3, M. Cominu2, M. Pinna1, F. Tocco1, A. Concu1, A. Crisafulli1 Sport Physiology Lab, University of Cagliari Cagliari-ITALY, 2Regional School of Sport of Sardinia, Italian Olympic Committee Cagliari-ITALY, 3Cagliari Calcio Medical Staff Cagliari-ITALY 158 FRIDAY 1 ASSOCIATION OF REACTION TIME AND PERFORMANCE IN 60 M SPRINT RUNNING G. Paradisis, E. Zacharogiannis, A. Smirniotou, S. Tziortzis 28 University of Athens, Athletic Sector Athens-GREECE 159 DOES FATIGUE INFLUENCE BALANCE OF YOUNG SOCCER PLAYERS? M. Pau1, G. Ibba2, G. Attene3 1 Dept. of Mechanical, Chemical and Materials Engineering, University of Cagliari, Cagliari-ITALY, 2Cagliari Calcio Cagliari-ITALY, 3School of Sport, Italian National Olympic Committee-CONI, Sardinian Regional Committee Cagliari-ITALY 160 NO EFFECT OF 7 WEEKS INTERVAL TRAINING PROGRAM ON PLASMA VOLUME, HEMATOCRIT AND HEMOGLOBIN RESPONSES TO MAXIMAL EXERCISE IN ADULT MALE SUBJECTS B. Abderraouf1,3, J. Prioux1, O. Ben Ounis4, K. Chamari2,3, Z. Tabka5, H. Zouhal1 1 Laboratory M2S, University Rennes 2, Rennes-FRANCE, 2Laboratory of National Center of Medicine & Science in Sport Tunis-TUNISIA, 3ISSEP de Tunis, Ksar Saîd, University of Manouba, Tunisia Manouba-TUNISIA, 4Laboratoire de Physiologie, Faculté de Médecine de Sousse Sousse-TUNISIA 161 IBUPROFEN AND TRAINING EFFECTS IN RATS MUSCLE AFTER EXAUSTIVE EXERCISE SECTIONS L. Ribeiro, D. Stamm, R. Gerbatin, F. Fiorin, G. Busanello, M. De Castro, F. Rodrigues, M. Souza, L.F. Royes, M. Fighera Laboratório de Bioquímica do Exercício, Universidade Federal de Santa Maria, Santa Maria - RS-BRAZIL of SPORTS MEDICINE 75 f r i d a y, 2 8 162 ASSESSMENT OF CIRCULATORY ADJUSTMENTS DURING REAL UNDERWATER APNOEA S. Roberto1, F. Tocco1, E. Marongiu1, M. Pinna1, M. Pusceddu1, L. Angius1, G. Migliaccio2, R. Milia1, A. Concu1, A. Crisafulli1 1 Sports Physiology Lab. University of Cagliari Cagliari-ITALY, 2Regional School of Sport Olympic Committee Sardegna Cagliari-ITALY 163 HEART RATE RECOVERY RESPONSE TO TRAINING AND DETRAINING MEASURED WITH A NEW PROTOCOL M. Romagnoli1, R. Alis1, J. Basterra1, I. Estevan1, C. Falco1, A. Arduini2 1 164 Catholic University of Valencia, Valencia -SPAIN, 2Harvard University Boston, MA-USA LONGITUDINAL EVALUATION OF THE AEROBIC CAPACITIES OF YOUNG ELITE ATHLETES PRACTICING WINTER SPORTS F. Scarzella, C. Milanese, G. Micheletti, G.P. Ganzit, F. Verzini Istituto di Medicina dello Sport Turin-ITALY 165 THE EFFECT OF CONCURRENT TRAINING ON HORMONE PROFILE IN MALES N. Shakeri, F. Ghazalian Science Research Branch Islamic Azad University Tehran Tehran-IRAN 166 POOR RELIABILITY OF HEART RATE TO ESTIMATE ENERGY EXPENDITURE DURING INTERVAL TRAINING IN RUNNERS F. Tocco1, A. Crisafulli1, E. Marongiu1, F. Melis1, N. Degortes1, G.M. Migliaccio2, R. Mura1, P. Sanna2, C. Ciuti2, A. Concu1 1 Sport Physiology Lab. University of Cagliari Cagliari-ITALY, 2Regional School of Sport of Sardinia, Italian Olympic Committee Cagliari-ITALY XXXII WORLD CONGRESS 76 september 167 THE EFFECT OF CIRCUIT HYDRAULIC RESISTANCE EXERCISE ON SUPER-OLD MAN T.C. Lin1, C.C. Hong1, T.H. Han3, H.L. Chou5, M.F. Hsu4, L.Y. Chang2, T.Y. Shiang2 1 168 FRIDAY Department of Physical Medicine and Rehabilitation, Far Eastern Memorial Hospital Taipei-TAIWAN, 2Graduate Institute of Exercise and Sport Science , National Taiwan Normal University Taipei-TAIWAN, 3Exercise and Healthy Science, National Taipei University of Nursing and Healthy Science Taipei-TAIWAN, 4Department of Nursing, Oriental Institute of Technology Taipei-TAIWAN, 5Department of Nursing, Taipei Veterans General Hospital Taipei-TAIWAN 28 EFFECTS OF WARM-UP DURATION ON VERTICAL JUMP PERFORMANCE P. Veligekas, G. Bogdanis, A. Tsoukos University of Athens Athens-GREECE 169 PHYSIOLOGICAL MATCH ANALYSIS OF AMATEUR HANDBALL PLAYERS M. Weippert, C. Pohle, S. Kreuzfeld, A. Rieger, R. Stoll University of Rostock Rostock-GERMANY 170 EVALUATION OF TRAINING LOAD IN PROFESSIONAL HANDBALL PLAYERS USING CREATINE KINASE AND HEART RATE VARIABILITY DATA M. Weippert, S. Kreuzfeld, A. Rieger, K. Behrens, R. Stoll University of Rostock Rostock-GERMANY of SPORTS MEDICINE 77 s a t u r d a y, 2 9 POSTER SESSION 1 14.30-15.30 Chairmen: J. Gielen (BELGIUM); G. Boni (ITALY) 001 THE EFFECTS OF PHYSICAL ACTIVITY ON THE BIOELECTRICAL IMPEDANCE PHASE ANGLE (PH. A.) IN BREAST CANCER PATIENTS V. De Luca1, P. Borrione1,3, E. Grazioli1, E. Ciminelli1,3, E. Guerra1,3, F. Quaranta1,3, C. Cerulli1, F. Desantis1,2, A. Parisi1,3 1 Health Sciences Department University of Rome Foro Italico Rome-ITALY, 2School of Specialization in Sport Medicine, Sapienza University of Rome Rome-ITALY, 3Italian Federation of Sport Medicine Rome-ITALY 002 CLIMBING FOR ALL P.V. Gigliotti1, F. Coscia2, A. Piratinskij3 1 International Federation Sport Climbing Bern-SWITZERLAND, 2Sport Science University Perugia-ITALY, 3Ural State Technical University Ekaterinburg-RUSSIA 003 THE EFFECT OF ENDURANCE TRAINING ACCOMPANIED BY FASTING AND A PERIOD OF DETRAINING ON LIPID PROFILES R. Ranjbar1, A. Mohsenzade2 1 004 Shahid Chamran University Ahvaz-IRAN, 2Shahid Beheshti University Tehran-IRAN THE EFFECT OF KASHI PRACTICE ON STRENGH OF ADULTS WITH DOWN’S SYNDROME M. Sheikh1, A. Kashi2, A. Dadkhah3, E. Arab Ameri1, R. Hemayattalab1 1 University of Tehran Tehran-IRAN, 2Sport Science Research Institute of Ministry of Science, Research and Technology of Iran Tehran-IRAN, 3University of Social Welfare and Rehabilitation Sciences Tehran-IRAN XXXII WORLD CONGRESS 78 september 005 AEROBIC FITNESS PREDICTION IN ATHLETES WITH A LOCOMOTOR IMPAIRMENT M. Squeo1, A. D’Alessio1, P.E. Adami1, R. Lanzano1, F. Parisi1, M. Bernardi1,2 1 2 006 Physiology and Pharmacology Dept., Sapienza University of Rome Rome-ITALY, Italian Paralympic Committee Rome-ITALY CARDIAC MODIFICATION DURING A CHAMPIONSHIP IN PROFESSIONAL SOCCER PLAYERS R. Maio, A. Ammendolia, S. Miceli, I. Carè, T. Iona, M. Quero, L. Greco, F. Perticone Department of Medical and Surgical Sciences, University of Catanzaro Magna Grecia Catanzaro-ITALY RELATIONSHIP BETWEEN WORK-OUT AND VASCULAR FUNCTION IN PROFESSIONAL SOCCER PLAYERS R. Maio, A. Ammendolia, S. Miceli, I. Carè, T. Iona, M. Quero, A. Pascale, F. Perticone SATURDAY 007 Department of Medical and Surgical Sciences, University of Catanzaro Magna Grecia Catanzaro-ITALY 008 29 LUNG FUNCTION AND EXERCISE TEST IN ASTHMATIC CHILDREN: INFLUENCE OF PHYSICAL ACTIVITY S. Crudo, V. D’Addio, I. Ernesti, C. Putotto, M. Unolt, G. Ragusa, C. Celani, G. Tancredi Servizio di Medicina dello Sport, Dipartimento di Pediatria e Neuropsichiatria Infantile Sapienza Università di Roma Rome-ITALY 009 HEART RATE RECOVERY IN HEALTHY CHILDREN: INFLUENCE OF AGE, BODY MASS INDEX AND PHYSICAL ACTIVITY V. D’Addio, S. Crudo, I. Ernesti, C. Putotto, M. Unolt, V. Martucci, G. Tancredi Department of Pediatrics, Sport Medicine, Sapienza University of Rome Rome-ITALY of SPORTS MEDICINE 79 s a t u r d a y, 2 9 010 SPINAL SHRINKAGE AND DEHYDRATION IN ELITE MALE JUNIOR FIELD HOCKEYPLAYERS T. Devreker1, T. Decraene1, T. Mertens T.2, M. Vercammen3, Y. Vandenplas1 1 Universitair Kinderziekenhuis Brussel-BELGIUM, 2Koninklijke Belgische Hockey Bond Brussel-BELGIUM 3Universitair Ziekenhuis Brussel-BELGIUM 011 EVALUATION OF HIP PAIN WITH ULTRASOUND GUIDED INJECTIONS P. D’Hemecourt, M. Yen, M. Kocher, A. Stacciolini Boston Children’s Hospital Boston-USA 012 SONOELASTOSONOGRAPHY IN ACHILLES CALCANEAL PLANTAR AXIS DISEASE S. Giannini, E.R. Faloni, A. Parrella, M.L. Iocca, E.P. Assako Ondo Villa Stuart Sport Clinic Rome-ITALY 013 SUDDEN DEATH IN TRIATHLON PRACTICE T. Hugues1, V. Lacroix-Hugues2, K. Yaici1, N. Saoudi1, P. Gibelin3 1 Ch Princesse Grace Monaco-MONACO, 2Chu l’Archet Nice-FRANCE, 3Chu Pasteur NiceFRANCE 014 THE EFFECTS OF MASSAGE THERAPY ON PHYSICAL PERFORMANCE AND PERCEIVED RECOVERY FOLLOWING ACUTE ECCENTRIC EXERCISE IN MALE BODY BUILDING ATHLETES M. Kargarfard1, M. Taimouri2 1 School of Physical Education and Sport Sciences, Department of Exercise Physiology, University of Isfahan Isfahan-IRAN, 2School of Physical Education and Sport Sciences, Department of Exercise Physiol, Khorasgan Branch, Islamic Azad University IsfahanIRAN 015 COMPREHENSIVE ASSESSMENT SCREENING OF HUMAN HEALTH AS INFORMATION SOURCE N. Korchazhkina, K. Kotenko, S. Razinkin, M. Petrova, A. Mikhailova Burnasyan FMBC of The FMBA of Russia Moscow-RUSSIA XXXII WORLD CONGRESS 80 september 016 THE PATTERN OF SELECTED CORE MUSCLES ACTIVITY DURING OVERGROUND AND TREADMILL WALKING USING SURFACE ELECTROMYOGRAPHY R. Mazaheri1, G. Radmehr1, M.A. Sanjari2, M.A. Mansournia1 1 Sports Medicine Research Center, School of Medicine, Tehran University of Medical Sciences, Tehran-IRAN, 2Rehabilitation Research Center, Faculty of Rehabilitation, Tehran University of Medical Sciences, Tehran-IRAN 017 COMPARISON OF THE STATIC AND DYNAMIC JOINT STABILITY OF ATHLETES FROM DIFFERENT SPORTS T. Mintál1, B. Molics2, E. Szebeni1, Á. Horváth1 1 Dept. of Sport Medicine, University Pécs Pécs-HUNGARY, 2Dept. of Physiotherapy, University Pécs Pécs-HUNGARY PAINFUL OS PERONEUM SYNDROME PRESENTING AS LATERAL PLANTAR FOOT PAIN – A CASE REPORT S. Oh SATURDAY 018 Seoul St. Mary’s Hospital Seoul-SOUTH KOREA 019 29 LOCAL TRACTION EXPERIENCE WITH HYPERTHERMIA IN WEIGHTLIFTERS FOR PREVENTION OF SPONDYLARTHROSIS PROGRESSION M. Petrova, N. Korchazhkina, K. Kotenko, A. Mikhailova Burnasyan FMBC of the FMBA of Russia Moscow-RUSSIA 020 MECHANICAL VIBRATIONS IN JUDOISTS BODY DURING FALLS T. Piucco, S.G. Santos Universidade Federal de Santa Catarina Florianópolis-BRAZIL 021 ATHLETIC PUBALGIA. EVALUATION AND TREATMENT IN 1450 CASES O. Santilli, N. Nardelli, J. Batista, H. Santilli, R. Maestu Trinidad San Isidro San Isidro Buenos Aires-ARGENTINA 022 MECHANICAL IMPACTS IN JUDOISTS BODY DURING FALLS S. Santos, T. Piucco Universidade Federal de Santa Catarina Florianópolis-BRAZIL of SPORTS MEDICINE 81 s a t u r d a y, 2 9 023 AUTONOMIC RECOVERY FOLLOWING BRIEF HIGH-INTENSITY INTERMITTENT EXERCISE IN OBESE ADULTS Q. Shi, J. Nie, K.W. Lei, U.H. Cheang School of Physical Education and Sports, Macao Polytechnic Institute-MACAU 024 GLYCOGEN PHOSPHORYLASE ISOENZYME BB - MARKER OF MYOCARDIAL STUNNING IN WATER POLO PLAYERS V. Slavic1, B. Kamenov2, M. Delic1, S. Bukilica3, M. Cirkovic4 1 Institute Dr Simo Milosevic Igalo-MONTENEGRO, 2Pediatric Clinic Nis-SERBIA, 3Private Health Facility Meljine-MONTENEGRO, 4Military Medical Academy Beograd-SERBIA 025 INFLUENCE OF INERVAL TRAINING ON LEVELS OF LEPTIN AND HORMONES AFFECTING LIPID MEATBOLISM IN YOUNG OVERWEIGHT MEN R. Soori, N. Rezaeian Department of Exercise Physiology, Faculty of Sports and Exercise Sciences, University of Tehran Tehran-IRAN 026 POST-OPERATIVE PSYCHIATRIC ASSESSMENT OF ATHLETES WITH ANTERIOR CRUCIATE LIGAMENT INJURY M.M. Celebi, B. Baskak, H. Devrimci Ozguven, E. Atalar, B. Ulkar, T. Saka, E. Ergen 1 Department of Sports Medicine, Ankara University Faculty of Medicine AnkaraTURKEY, 2Department of Psychiatry, Ankara University Faculty of Medicine Ankara-TURKEY, 3Ataturk Education and Research Hospital of Chest Diseases and Surgery Ankara-TURKEY, 4Department of Sports Medicine, Erciyes University Faculty of Medicine Kayseri-TURKEY 027 EFFECTS OF A PLATELET GEL ON EARLY GRAFT REVASCULARIZATION AND KNEE STABILITY AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION M. Vogrin, R. Kelc Department for Orthopaedic Surgery, University Clinical Center Maribor, MariborSLOVENIA XXXII WORLD CONGRESS 82 september 028 THE VESTIBULAR CHALLENGE IN ICE SPORTS D. Alpini1, D. Tornese2, M. Botta3, V. Mattei1 1 Scientific Institute S. Maria Nascente Don Carlo Gnocchi Foundation Milan-ITALY, Scientific Institute Galeazzi Orthopedics Institute Center for Sports Rehabilitation Milan-ITALY, 3Medical Committee Ice Sports Italian Federation Rome-ITALY 2 MANAGEMENT OF CHONDRAL KNEE LESIONS IN ATHLETES WITH MICROFRACTURE TECHNIQUE M. Yahia1, J. Witwity2 1 030 THE STRENGTH EFFECTIVENESS OF INTERNAL TIBIAL ROTATION AFTER THE USE OF HAMSTRING TENDONS FOR ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION Y. Yildiz1, A. Ada1, I. Yanmis2, T. Aydin1 1 2 031 Azhar University Cairo-EGYPT, 2Witwity Clinic Stade-GERMANY Department of Sports Medicine, Gulhane Military Medical Faculty, Ankara-TURKEY, Department of Orthopedics, Gulhane Military Medical Faculty, Ankara-TURKEY SATURDAY 029 CARDIOVASCULAR PROTECTION INDUCED BY DAILY PHYSICAL ACTIVITY IN HIV+SUBJECTS P. Adami1, A. D’Alessio1, M.R. Squeo1, R. Lanzano1, G. D’Ettorre2, M. Bernardi1 29 1 Physiology and Pharmacology Dept., Sapienza University of Rome Rome-ITALY, Infectious Diseases Dept., Policlinico Umberto I, Sapienza University of Rome RomeITALY 2 032 UNDERWATER WALKING ON NON-MOTORIZED TREADMILL AS A ‘FITNESS TOOL’ FOR BOTH HEALTY AND FRAILTY SUBJECTS P. Benelli1, F. Colasanti1, A. Cuesta2, M. Ditroilo3, M. Gervasi1, F. Lucertini1 1 Dipartimento di Scienze Biomolecolari, Sezione Scienze Motorie e della Salute, Università degli Studi di Urbino Carlo Bo Urbino-ITALY, 2Department of Physical Therapy, School of Medicine, University of Málaga Málaga-SPAIN, 3Department of Sport, Health & Exercise Science, Faculty of Science, University of Hull Hull-UNITED KINGDOM of SPORTS MEDICINE 83 s a t u r d a y, 2 9 033 L-CARNITINE SUPPLEMENT THERAPY AND EXERCISE IN CHRONIC RENAL FAILURE P. Dejanov, S. Dejanov Clinic of Nephrology, Clinical Center Skopje-FORMER YUGOSLAV REPUBLIC OF MACEDONIA 034 INTENSE EXERCISE REGIMEN IN ISLET TRASPLANT RECIPIENT MIGHT PROLONG GRAFT FUNCTION DESPITE PROGRESSIVE INSULIN RESISTANCE V. Delmonte1,2, E.M.L. Peixoto1, L. Luzi1,2, C. Ricordi1, A. Veicsteinas 2, R. Alejandro1 1 035 Diabetes Research Institute Miami-USA, 2Università degli Studi Milano Milan-ITALY PHYSICAL ACTIVITY IN ELDERLY M. Henriques Department of Physical Medicine and Rehabilitation, Centro Hospitalar Lisboa Norte, Lisboa-PORTUGAL 036 REAL-TIME VISUALIZATION OF ULTRASONOGRAPHY GUIDED CUBITAL TUNNEL INJECTION: A CADAVERIC STUDY H. Oh St. Mary’s Hospital, Catholic University Seoul-SOUTH KOREA 037 THE EFFECT OF AEROBIC EXERCISE ON BODY FAT COMPONENTS AND RESPIRATORY PARAMETERS OF MEN WITH METABOLIC SYNDROME S. Ibis1, S. Hazar1, A. Keskin1, Z. Degirmencioglu2 1 038 Phsical Education and Sport Nigde-TURKEY, 2The State Hospital Nigde-TURKEY PHYSICAL ACTIVITY PRESCRIPTION IN MENOPAUSE M. Ilardi1, C. Conti Puorger2, A. Grossi3, S. Lello4, R. Lista5, R. Manno6 1 Sport Medicine Specialist Rome-ITALY, 2Gynecology and Obstetrics Specialist RomeITALY, 3U.O.C. Endocrinology and Diabetology, Bambino Gesù Hospital, IRCCS Rome-ITALY, 4Gynecological Endocrinology, Pathophysiology of Menopause and Osteoporosis, IDI-IRCCS Rome-ITALY, 5U.O.S.D. Sports Medicine Rm e Rome-ITALY, 6 IMSS Antonio Venerando CONI Servizi Rome-ITALY XXXII WORLD CONGRESS 84 september 039 EVALUATION OF GROWTH HORMONE AND IGF-1 RESPONSE IN ENDURANCE AND RESISTANCE EXERCISE IN HEALTHY YOUNG MEN S. Kahrizi1, S. Rezaee1, M. Hedayati2 1 Dept. Physiotherapy, School of Medical Sciences, Tarbiat Modares University, TehranIRAN, 2Cellular and Molecular Endocrine Research Center, Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences,Tehran-IRAN 040 AFTER SCHOOL AEROBIC EXERCISE ON CARDIORESPIRATORY FITNESS, PULMONARY FUNCTION AND QUALITY OF LIFE IN CHILDREN WITH MODERATE TO SEVERE PERSISTENT ASTH M. Kargarfard1, R. Kelishadi2 1 041 COURSE OF TREATMENT AFTER SUBLUXATIO TEMPOROMANDIBULAR JOINT S. Kevic, S. Gutman Clinical Centre Vojvodina Novi Sad-SERBIA SATURDAY Department of Sport Physiology, Faculty of Physical Education and Sport Sciences, University of Isfahan, Isfahan-IRAN, 2Isfahan University of Medical Sciences, Child Health Promotion Research Center Isfahan-IRAN 29 of SPORTS MEDICINE 85 s a t u r d a y, 2 9 POSTER SESSION 2 14.30-15.30 Chairmen: C. Pecci (ITALY); M. Ripani (ITALY) 042 DO HEALTHY BEHAVIORS IMPROVE ARTERIAL STIFFNESS? M. Kim, H. Park, S. Choi Division of Cardiology, Department of Internal Medicine, Healthcare System Gangnam Center, Seoul National University Hos Seoul-SOUTH KOREA 043 OVERWEIGHT IN PHYSICALLY ACTIVE CHILDREN IN SERBIA S. Malicevic, T. Gavrilovic, S. Mazic National Institute for Sport and Sports Medicine Beograd-SERBIA 044 ENERGY EXPENDITURE DURING TRAINING SESSION WITH PILATES EXERCISES IN OBESE PRE-DIABETIC WOMEN M. Massidda1, G. Satta2, G. Steri2, S. Santus2, A. Loviselli3, G. Attene1, L. Cugusi1 1 University of Cagliari Hygiene and Public Health Service, ASL8 Cagliari Cagliari-ITALY, Hygiene and Public Health Service, ASL8 Cagliari Cagliari-ITALY, 3Obesity Centre, A.O.U. Cagliari-ITALY 2 045 ACUTE EFFECTS OF A COMMUNITY EXERCISE SESSION ON BLOOD PRESSURE OF YOUNG ADULT WOMEN R. Mendes1, J. Moutinho2, C. Abrantes1, V. Reis1, N. Sousa1 1 University of Trás-os-Montes and Alto Douro, CIDESD, Research Center in Sports, Health Sciences and Human Development Vila Real-PORTUGAL, 2University of Trás-osMontes and Alto Douro Vila Real-PORTUGAL XXXII WORLD CONGRESS 86 september 046 AMBULATORY BLOOD PRESSURE AFTER AEROBIC EXERCISE: A PILOT STUDY IN INSTITUTIONALIZED AND SEDENTARY ELDERLY R. Mendes1, N. Sousa1, J. Sampaio1, V. Reis1, J. Oliveira2 1 University of Trás-os-Montes and Alto Douro, CIDESD, Research Center in Sports, Health Sciences and Human Development Vila Real-PORTUGAL, 2University of Porto, Faculty of Sport, CIAFEL, Research Center in Physical Activity, Health and Leisure Porto-PORTUGAL 047 PHYSICAL ACTIVITY PROGRAMS FOR CHILDREN WITH JUVENILE IDIOPATHIC ARTHRITIS M. Monteiro, D. Queiroga, A.L. Costa Universidade Federal Do Rio Grande Do Norte Natal-BRAZIL PHYSICAL ACTIVITIES FOR OVERWEIGHT AND OBESE CHILDREN: THE RELATIONSHIP BETWEEN PSYCHOSOCIAL BENEFITS AND CHANGES ON OBESOGENIC HABITS M. Monteiro, A.C. Teixeira, E. Silva, K. Da Costa, P.V. Pereira, T. Aggeo, R. Andrade, A. Souza SATURDAY 048 Universidade Federal Do Rio Grande Do Norte Natal-BRAZIL 049 29 CONCENTRIC AND ECCENTRIC TORQUE IN COPD PATIENTS N. Rinaldo1, G. Coratella1, R. Depedri2, C. Milanese1, A. Rossi3, F. Schena1, M. Lanza1 1 Department of Neurological, Neuropsychological, Morphological and Movement Sciences, University of Verona Verona-ITALY, 2Faculty of Exercise and Sport Science, University of Verona Verona-ITALY, 3Cardiovascular and Thoracic Deparment, Pneumology, ULSS 20 Verona-ITALY 050 PHYSICAL ACTIVITY IN MEDICAL STUDENTS N. Saba, F. Ataei, L. Ashtari, A. Tanhaei, M. Fazeli, N. Najafi, A. Shabani, A. Baghaki Shariati Hospital, Social Security Organization Isfahan-IRAN of SPORTS MEDICINE 87 s a t u r d a y, 2 9 051 PROMOTING PHYSICAL ACTIVITY IN OLDER MALAYS WITH DIABETES: A RANDOMIZED CONTROLLED TRIAL S. Sazlina1, C. Browning2, S. Yasin1 1 Monash University Sunway Campus, Jeffrey Cheah School of Medicine and Health Sciences Bandar Sunway-MALAYSIA, 2Monash University, School of Primary Health Care Notting Hill-AUSTRALIA 052 PHYSICAL TRAINING IMPROVES SURVIVAL RATE IN SEPSIS BY MODULATING HOST RESPONSE AND ATTENUATING RENAL TUBULAR INJURY M. Sossdorf1, S. Meyer1, K. Dahlke2, A. Schrepper3, C. Bockmeyer4, A. Lupp5, M. Kiehntopf6, J. Roedel7, R.A. Claus1, G.P. Otto8 1 Center for Sepsis Control and Care, Department of Anesthesiology and Intensive Care, Jena University Hospital Jena-GERMANY, 2Department of Experimental Radiology, Institute for Diagnostic and Interventional Radiology, Jena University Hospital JenaGERMANY, 3Department of Cardiothoracic Surgery, Jena University Hospital Jena-GERMANY, 4Institute of Pathology, Hannover Medical School Hannover-GERMANY, 5 Department of Pharmacology and Toxicology, Jena University Hospital JenaGERMANY, 6Institute of Clinical Chemistry and Laboratory Diagnostics, Centralized Diagnostic Laboratory Services, Jena University Jena-GERMANY, 7Institute of Medical Microbiology, Jena University Hospital Jena-GERMANY, 8Department for Internal Medicine III, Jena University Hospital Jena-GERMANY 053 IMPACT OF PHYSICAL EXERCISE ON LIPID PROFILE AND ENDOTHELIAL FUNCTION AT OBESE SUBJECTS M. Vasilescu1, A. Ionescu2, G. Cosma3, O. Neamtu1, R. Dumitru3 1 Kinesiology and Sports Medicine Department, University of Craiova Craiova-ROMANIA, University of Medicine Carol Davila Bucharest-ROMANIA, 3Physical Education and Sports Department, University of Craiova Craiova-ROMANIA 2 053 bis SITE SPECIFIC RESISTANCE TRAINING CAN INCREASE BALP, TALP AND SEMI-DYNAMIC BALANCE IN OSTEOPOROTIC WOMEN G. Torkaman1, N. Rezaei1, S. Movasseghe2, M. Hedayati3, N. Bayat4 1 Tarbiat Modares University Tehran-IRAN, 2Tehran University of Medical Sciences Tehran-IRAN, 3Shahid Beheshti University of Medical Sciences Tehran-IRAN, 4 Baqiyatallah University of Medical Sciences Tehran-IRAN XXXII WORLD CONGRESS 88 september 054 EFFECTS OF GENDER COMPOSITION IN PHYSICAL EDUCATION CLASSES ON STUDENTS, PHYSICAL FITNESS D. Rezaeenia, A. Ramezani, A. Bonyan Shahid Rajaee Teacher Trainin University Tehran-IRAN 055 PHYSICAL FITNESS IN COED AND NON -COED PHYSICAL EDUCATION CLASSES D. Rezaeenia, A. Ramezani, A. Bonyan, A. Razzaghi Faculty of Physical Education, Shahid Rajaee Teacher Training University, Tehran-IRAN 056 QUERCETIN SUPPLEMENTATION HAMPERS BRAIN SIRT1 EXPRESSION INDUCED BY EXERCISE R. Casuso1, E. Martínez-López2, D. Camiletti-Moirón3, V. Aparicio3, R. Martínez-Romero4, F. Hita-Contreras1, A. Martínez-Amat1 Department of Health Sciences, University of Jaén Jaén-SPAIN, 2Department of Music, Plastical Expression and Body Language, University of Jaén Jaén-SPAIN, 3 Department of Physiology, School of Pharmacy and Institute of Nutrition and Food Technology, University of Granada Granada-SPAIN, 4Department of Experimental Biology, University of Jaén Jaén-SPAIN 057 SATURDAY 1 QUERCETIN SUPPLEMENTATION HAMPERS BRAIN PGC-1<ALPHA> EXPRESSION INDUCED BY EXERCISE R. Casuso1, E. Martínez-López2, D. Camiletti-Moirón3, V. Aparicio3, R. Martínez-Romero4, F. Hita-Contreras1, A. Martínez-Amat1 29 1 Department of Health Sciences, University of Jaén Jaén-SPAIN, 2Department of Music, Plastical Expression and Body Language, University of Jaén Jaén-SPAIN, 3 Department of Physiology, School of Pharmacy and Institute of Nutrition and Food Technology, University of Granada Granada-SPAIN, 4Department of Experimental Biology, University of Jaén Jaén-SPAIN 058 MUTATION IN TPM1 GENE CAUSES A NOVEL SYNDROME CHARACTERIZED BY CLINICAL AND INSTRUMENTAL FEATURES OF HYPERTROPHIC CARDIOMYOPATHY AND BRUGADA SYNDROME R. Mango1, B. Testa2, R. Sangiuolo3, E. Giardina2, F. Romeo1, G. Novelli2, F. Sangiuolo2 1 Division of Cardiology, Tor Vergata University Rome-ITALY, 2Division of Genetics, Tor Vergata University Rome-ITALY, 3Division of Cardiology, Fatebenefratelli Hospital Naples-ITALY of SPORTS MEDICINE 89 s a t u r d a y, 2 9 059 CHANGES OVER IMPAIRMENT OF COGNITIVE FUNCTIONS IN OLDER PEOPLE DIAGNOSED WITH ALZHEIMER’S DEMENTIA WHO RECEIVED A SPECIFIC PHYSICAL ACTIVITY PROGRAM D. Bartolomé De La Rosa1, S. Sarmiento Montesdeoca2, Y. Henríquez Del Pino3, L. Álvarez Piñera3, D. Rodríguez Ruíz2, J.M. García Manso2 1 European University of Madrid Madrid-SPAIN, 2University of Las Palmas de Gran Canaria Las Palmas de Gran Canaria-SPAIN, 3Alzheimer Canarias Association Las Palmas de Gran Canaria-SPAIN 060 BMI TREND IN A COHORT OF CHILD BETWEEN 8 TO 13 YEARS OLD S. Bartoletti, V. Cupertino Azienda Sanitaria Provinciale Cosenza-ITALY 061 LEARNING SIMPLE AND COMPLEX MOTOR SKILLS IN FEMALE ADOLESCENCES AND OLD WOMEN S. Jalali1, S. Khalil Zadeh1, H. Dehyadegari1, A. Movahedi2, S. Jalali3 1 Research and Science Branch Department of Physical Education and Sport Science, Islamic Azad University Tehran-IRAN, 2Department of Physical Education and Sport Science, Esfahan University, Tehran-IRAN, 3Institute for Infocomm Research, Image and Pervasive Access Lab, National University of Singapore Singapour-SINGAPORE 062 EFFECT OF AEROBIC EXERCISES ON STATIC, DYNAMIC BALANCE AND REACTION TIME IN ELDERLY WOMEN S. Jalali1, S. Ghasem Talebi1, H. Dehyadegari1, A. Movahedi2, S. Jalali 1 Research and Science Branch Department of Physical Education and Sport Science, Islamic Azad University, Tehran-IRAN, 2Department of Physical Education and Sport Science, Esfahan University, Tehran-IRAN, 5Institute for Infocomm Research, Image and Pervasive Access Lab, National University of Singapore Singapour-SINGAPORE 063 DEVELOPMENT OF REMOTE SUPPORTING SYSTEM FOR ELDERLY TO CONTINUE SQUARE-STEPPING EXERCISE M. Nakagaichi Graduate School of Health Sciences, Nagasaki Univesity Nagasaki-JAPAN XXXII WORLD CONGRESS 90 september 064 EFFECTS OF DIFFERENT EDUCATION PROGRAMS ON PHYSICAL ACTIVITY OF PRESCHOOL CHILDREN R. Roettger Katrin1, E. Grimminger1, F. Kreuser1, L. Asslaender1, A. Gollhofer1, U. Korsten-Reck2 1 Institute of Sport and Sport Science, University of Freiburg Freiburg-GERMANY, Department of Rehabilitative and Preventive Sports Medicine, University Medical Center, University of Freiburg Freiburg-GERMANY 2 065 EFFECT OF TRAINING IN TWO MOTIVATIONAL ENVIRONMENTS ON PERFORMANCE AND LEARNING OF PERCEPTUAL MOTOR TASK M. Salianeh, A. Khalili Alashyi, A. Shafizadeh, R. Zidabadi Physical Education and Sport Science of Tehran Tehran-IRAN 066 COMPARISON OF THE EFFECT OF SKILL TESTS ON THE PROFILE OF MOOD STATE ON STUDENTS IN TABLE TENNIS AND VOLLEYBALL A. Shafizadeh1, A. Azamian2, M. Hashemian2, M.A. Salianeh1, R. Zidabadi1 Physical Education and Sport Science Tehran-IRAN, 2Physical Education and Sport Science Shahr-e-Kord-IRAN 067 SATURDAY 1 PRACTICE OF PHYSICAL ACTIVITY, ANTHROPOMETRIC PROFILE, DIET AND METABOLIC PARAMETERS IN EXECUTIVES CHECK-UP P. Silva, K. Sarkis, C. Yamashita, A. Oliveira, C. Yabuta, A. Silva, A. Hayashi, A. Carreiro, C. Kuperszmidt, R. Nahas, T. Rodrigues, R. Ciconelli Grupo Fleury Sao Paulo-BRAZIL 068 HEALTH-RELATED QUALITY OF LIFE: A 3 YEARS STUDY IN TRANSPLANTED ATHLETES V. Totti1,2, M. Zancanaro1 A. Nanni Costa3, G.S. Roi1 1 2 069 Educational & Research Departement, Isokinetic Medical Group, Bologna-ITALY, FITOT, Padua-Italy, 3Italian National Transplant Centre Rome-ITALY RUNNING SCHOOLS: A NEW CONCEPT FOR INTEGRATION OF HEALTHY AND ACTIVE LIFESTYLE IN CROATIA P. Vlahek1, V. Matijevic-Mikelic2, P. Kisicek3 1 Spinal Unit Varazdinske, Special Rehabilitation Hospital Varazdinske Toplice, TopliceCROATIA, 2Rheumatology Department, Clinical Hospital Center Sisters of Mercy, Zagreb-CROATIA, 3University of Kinesiology Zagreb-CROATIA of SPORTS MEDICINE 91 29 s a t u r d a y, 2 9 069 bis SPORTS MEDICINE KNOWLEDGE AND ETHICAL CHALLENGES OF OLYMPIC EDUCATION C. Hadjistephanou-Papaellina1, E. Isidori2 1 Department of Education, University of Cyprus, Cyprus CYPRUS, 2Department of Educational Sciences, University of Rome Foro Italico Rome-ITALY 070 THE EFFECT OF SELECTED AEROBIC TRAININGS ON THE LEVEL OF INTER CELLULAR ADHESION MOLECULE-1 AND LEPTIN IN THE SERUM OF MIDDLE AGED FEMALES M. Ghasemi Artiyan, H. Rafat Panah, M. Yazdanian, V. Boghr Abadi, M. Hejazi Mashhad Azad University Mashhad-IRAN 071 THE EFFECT OF SELECTED DIET ON SOME PHYSIOLOGICAL CHARACTERISTICS OF PROFESSIONAL ARCHERS, WOMEN IN LUTEAL PERIOD S. Ghasempour, F. Ghasempour, K. Ebrahim, H. Ahmadi Archery Fedration Ofiran Tehran-IRAN 072 ASSESSMENT OF QUADRICEPS STRETCHING IN PFPS F. Graziani1, J. Coudreuse1, S. Mesure2 1 Sport Medical University Marseille Marseille-FRANCE, 2Staps University Marseille Marseille-FRANCE 073 MELOXICAM AS A TREATMENT FOR LOW BACK PAIN IN ATHLETES N. Syrmos Neurosurgery Department, Venizeleio General Hospital, Heraklion, Crete, Greece-GREECE 074 GROWTH, PUBERTAL DEVELOPMENT, MENSTRUAL FUNCTION, BONE ACQUISITION AND HORMONAL HOMEOSTASIS IN ELITE RHYTHMIC GYMNASTS M. Leglise1, N.A. Georgopoulos2 1 FIG-International Federation of Gymnastics International Federation of Gymnastics Medic, Lausanne-SWITZERLAND, 2University of Patras Medical School, University Hospital Division of Reproductive Endocrinology, Department of Obstetric, Rio PatrasGREECE XXXII WORLD CONGRESS 92 september 075 STRATEGIES AND RECOMMENDATIONS FOR MANAGING ATHLETE BEHAVIOUR B. Harris-Reeves, J. Skinner, P. Milburn Griffith University Gold Coast-AUSTRALIA 076 EXERCISE-INDUCED HEMORHEOLOGY EFFECTS IN YOUNG SUBJECTS R. Alis1, M. Romagnoli1, S. Ibañez1, A. Vaya2 1 Catholic University Valencia Valencia-SPAIN, 2Hemorheology and Thrombosis Unit, La Fe University Hospital Valencia-SPAIN 077 THE ELASTIN AND FIBRILLIN2 GENES AND THE RISK OF ACHILLES TENDON PATHOLOGY L. El Khoury1, M. Posthumus2, M. Collins2,3, C. Handley4, J. Cook5, S. Raleigh1 The Division of Health and Life Sciences, University of Northampton NorthamptonUNITED KINGDOM, 2UCT, MRC Research Unit for Exercise Science and Sports Medicine, Faculty of Health Sciences, University of Cape Town Cape Town-SOUTH AFRICA, 3South African Medical Research Council Cape Town-SOUTH AFRICA, 4School of Human Biosciences and the Musculoskeletal Research Centre, La Trobe University MelbourneAUSTRALIA, 5Centre of Physical Activity and Nutritional Research, School of Exercise and Nutrition Sciences, Deakin University Melbourne-AUSTRALIA 078 PLATELET-RICH PLASMA AND TGF-BETA ANTAGONISTS AS NEW POTENT THERAPEUTICS FOR MUSCLE INJURIES REPAIR R. Kelc1, M. Trapecar2, L. Gradisnik2, R. Mlakar3, M.S. Rupnik3, A. Cencic2, M. Vogrin1 1 Department of Orthopaedic Surgery, University Clinical Center Maribor MariborSLOVENIA, 2Department of Biochemistry and Nutrition, Faculty of Medicine, University of Maribor Maribor-SLOVENIA, 3Institute of Physiology, Faculty of Medicine, University of Maribor Maribor-SLOVENIA 079 THE EFFECTS OF CALORIC RESTRICTION AND EXERCISE ON SKELETAL MUSCLE MITOCHONDRIAL BIOGENESIS IN SELECTIVELY BRED RATS OF RUNNING CAPACITY F. Torma, N. Hart, L. Sárga, Z. Radák Research Institute of Sport Sciences Budapest-HUNGARY of SPORTS MEDICINE 93 SATURDAY 1 29 s a t u r d a y, 2 9 080 ORIGINAL METHOD TO CALCULATE SUBJECT MAXIMUM FAT OXIDATION (S.FATMAX) WITH INDIRECT CALORIMETRY P. Azzolini FMSI-Institute of Sport Medicine, University of Bologna Bologna-ITALY 081 TREATMENT OF THE ACHILLE’S TENDINOSIS WITH PLATELET RICH PLASMA (PRP) M. Gelfi1, F. Caroli1, R. Griner1, D. Mazzoleni1, E. Agostinelli2 1 082 Italian Federation of Sport Medicine Bergamo-ITALY, 2A.O. Treviglio Bergamo-ITALY INFLUENCE OF A CUSTOM MADE MAXILLARY MOUTHGUARD ON EXERCISE PERFORMANCE OF AMATEUR ROAD CYCLISTS P. Malpezzi, S. Uliari, M. Spiridonova, G. Grossi, F. Terranova, G. Collini, G. Mazzoni, L. Amabile, G. Grazzi Center of Biomedical Studies Applied to Sport, University of Ferrara Ferrara-ITALY 083 MRI APPLIED TO THE CYCLE OF KNEE JOINT INJURIES REHABILITATION OF SOCCER PLAYERS: IS IT USEFUL? M. Miceli1, M. Ridolfi2, P. Zunarelli3 1 U.O Radiologia S. Giovanni in Persiceto e Ospedale Maggiore Bologna-ITALY, 2U.O. Radiologia D’Urgenza Ospedale S. Orsola Bologna-ITALY, 3Centro di Riabilitazione Isokinetic Bologna-ITALY 084 EVALUATION OF METHODS FOR ANAEROBIC POWER DYNAMIC AND ISOKINETIC IN VENEZUELAN NATIONAL WOMEN VOLLEYBALL M. Miranda Cruz Medical Services of The Ministry of Sport Caracas-VENEZUELA XXXII WORLD CONGRESS 94 september POSTER SESSION 3 14.30-15.30 Chairmen: R. Cantore (ITALY); A. Marciano (ITALY) 085 THE EFFECT OF SINGLE WHOLE-BODY CRYOSTIMULATION ON OXIDANTANTIOXIDANT BALANCE AND INFLAMMATORY PROCESS IN FOOTBALL PLAYERS C. Mila-Kierzenkowska1, A. Jurecka2, A. Wozniak1, A. Araszkiewicz3, B. Augustynska3, R. Wesolowski1, P. Sutkowy1 1 Collegium Medicum of Nicolaus Copernicus University, The Chair of Medical Biology Bydgoszcz-POLAND, 2Department of Orthopaedics and Musculoskeletal Traumatology, Collegium Medicum of Jagiellonian University, Krakow-POLAND, 3Department of Psychiatry, Collegium Medicum of Nicolaus Copernicus University, Bydgoszcz-POLAND THE EFFECT OF WHOLE-BODY CRYOSTIMULATION DURING TRAINING ON HEMATOLOGICAL AND BIOCHEMICAL PARAMETERS IN BLOOD OF KAYAKERS R. Wesolowski1, A. Wozniak2, C. Mila-Kierzenkowska2, A. Rakowski3, P. Rajewski4, T. Boraczynski5 SATURDAY 086 29 1 Student Scientific Group of Medical Biology, Collegium Medicum of Nicolaus Copernicus University Bydgoszcz-POLAND, 2The Chair of Medical Biology, Collegium Medicum of Nicolaus Copernicus University Bydgoszcz-POLAND, 3Zawisza Civilian and Military Sports Union Bydgoszcz-POLAND, 4Department of Nephrology and Internal Medicine, City Hospital Bydgoszcz-POLAND, 5Central Research Laboratory, Jozef 087 HYALURONAN BEFORE OSTEOARTHRITIS: ABOUT 339 SPORTSMEN J. Volante1, M. Bouvard2 1 Institut National du Sport Paris-FRANCE, 2Centre de Biologie et de Médecine du Sport Pau-FRANCE 088 VISCOSUPPLEMENTATION OF SMALL JOINTS: ABOUT 84 PATIENTS J. Volante1, M. Bouvard2 1 Insep Paris-FRANCE, 2Centre de Medecine du Sport De Pau Pau-FRANCE of SPORTS MEDICINE 95 s a t u r d a y, 2 9 089 EFFECT OF SIX SESSION OF ENDURANCE TRAINING AND SILYMARIN CONSUMPTION ON AXIS OF GROWTH HORMONE, INTERLOKIN-6 AND TUMOR NECROSIS FACTOR MAN S. Alavi, F. Ghazalian Sience Research Branch Islamic Azad Univercity Tehran Tehran-IRAN 090 RELATIONSHIP BETWEEN PLASMA LIPID PROFILE AND MAXIMAL EXERCISE CAPACITY IN RATS D. Camiletti-Moirón1, V.A. Aparicio1, R.A. Casuso2, E. Nebot1, S. Martín1, G. Kapravelou1, J.M. Porres1, P. Aranda1 1 Department of Physiology, School of Pharmacy and Institute of Nutrition and Food Technology, University of Granada Granada-SPAIN, 2Department of Health Sciences, University of Jaén Jaén-SPAIN 091 ANTIOXIDANT QUERCETIN EFFECTS ON BRAIN NITRIC OXIDE PRODUCTION IN TRAINED RATS D. Camiletti-Moirón1, R.A. Casuso2, A. Martínez-Amat2, R. Martínez-Romero3, D. Hita-Contreras2, V.A. Aparicio1, E. Martínez-López4 1 Department of Physiology, School of Pharmacy and Institute of Nutrition and Food Technology, University of Granada Granada-SPAIN, 2Department of Health Sciences, University of Jaén Jaén-SPAIN, 3Department of Experimental Biology, University of Jaén Jaén-SPAIN, 4Department of Music, Plastical Expression and Body Language, University of Jaén Jaén-SPAIN 092 YOUNG ELITE MALE FIELD HOCKEY PLAYERS START EXERISE HYPOHYDRATED T. Devreker1, T. Decraene1, T. Mertens T.2, M. Vercammen3, Y. Vandenplas1 1 Universitair Kinderziekenhuis Brussel-BELGIUM, 2Koninklijke Belgische Hockey Bond Brussel-BELGIUM, 3Universitair Ziekenhuis Brussel-BELGIUM, 4Universitair Kinderziekenhuis Brussel-BELGIUM 093 THE EFFECT OF BETA-HYDROXY-BETA-METHYLBUTYRIC ACID (HMB) SUPPLY ON ANAEROBIC FITNESS OF ATHLETES PRACTICING JUDO AND BRAZILIAN JIU-JITSU K. Durkalec-Michalski, J. Jeszka Faculty of Food Science and Nutrition, Department of Hygiene and Human Nutrition, University of Life Sciences in Poznan Poznan-POLAND XXXII WORLD CONGRESS 96 september 094 THE EFFECT OF COMBINATION EIGHT WEEKS RESISTANCE TRAINING AND HMB ON RENAL INDICES AND BODY COMPOSITION OF UNTRAINED MALES M. Ghafoorian1, M. Faramarzi2, E. Banitalebi2 1 Sama Technical and Vocational Training College, Islamic Azad University, Shiraz Branch, Shiraz-IRAN, 2University of Shahrekord, Shahrekord-IRAN 095 IMPROVEMENT IN CARDIOMETABOLIC AND BIOMECHANIC PARAMETERS AFTER THREE MONTHS OF TRAINING IN OBESE WOMEN R. Milia1, M. Pau2, D. Lai1, A. Loi2, S. Roberto1, E. Marongiu1, S. Olla1, M. Pinna1, A. Concu1, F. Velluzzi1, A. Loviselli1 1 Department of Medical Sciences, University of Cagliari Cagliari-ITALY, 2Department of Mechanical Engineering, University of Cagliari Cagliari-ITALY 096 SEASONAL VARIATION OF THE ENDOGENOUS STEROID PROFILE IN PROFESSIONAL BASEBALL ATHLETES A. Pegueros Pérez1, M.A. Serrano Ochoa2, J.M. Herrera Navarro3 1 097 SATURDAY Department of Exercise Pharmacology, National Institute of Rehabilitation, Distrito Federal-MEXICO, 2Department of Sports Medicine, Mexican Baseball League, Distrito Federal-MEXICO, 3Department of Sports Medicine and Applied Sciences, National Commission of Physical Culture and Sports, Distrito Federal-MEXICO 29 DIFFERENCES IN CARDIOMETABOLIC RESPONCE TO INCREMENTAL EXERCISE BETWEEN OBESE AND NORMAL-WEIGHT FEMALE SUBJECTS S. Roberto, R. Milia, D. Lai, E. Marongiu, S. Olla, F. Tocco, A. Concu, A. Loviselli, F. Velluzzi Department of Medical Sciences, University of Cagliari, Sardinian Cagliari-ITALY 098 ASSESSMENT OF BODY COMPOSITION IN IRANIAN ADOLESCENT NATIONAL SOCCER PLAYERS A. Kashani1, M. Daneshi1, M. Safarpour1, T. Seifbarghi2, K. Djafarian1 1 Department of Nutrition and Biochemistry, School of Public Health, Tehran University of Medical Sciences, Tehran-IRAN, 2Faculty of Medicine, Sports Medicine Research Center, Tehran-IRAN of SPORTS MEDICINE 97 s a t u r d a y, 2 9 099 HEMOGLOBINE LEVELS IN A PRE-PARTICIPANT SCRENNING OF COMPETITIVE BRAZILIAN SURFERS M. Baboghluian Marazul Institute, Sports Medicine Sao Paulo-BRAZIL 100 SPIROMETRIC EVALUATION OF BMI IN A SAMPLE OF YOUNG ATHLETES FROM COMPETITIVE SPORTS S. Bartoletti, V. Cupertino, N. Avventuriera Azienda Sanitaria Provinciale Cosenza-ITALY 101 INCIDENTAL ECHOCARDIOGRAPHYC FINDING OF COR TRIATRIATUM SINISTER IN 43Y OLD TRIATHLETE M. Bolognesi, D. Bolognesi Sport Cardiology Center Cesena-ITALY 102 CORRELATIONS BETWEEN CARDIAC AND PULMONARY VAGAL ACTIVITIES IN PROFESSIONAL SOCCER PLAYERS M. Bonaiuto, F. Speciale, D. Buda, D. Di Mauro, F. Trimarchi, L. Magaudda Department of Biomorphology and Biotechnologies, University of Messina, MessinaITALY 103 PHYSIOLOGICAL VALUES AND ARTERIAL OXYGEN SATURATION BEFORE AND AFTER SUB-MAXIMAL EXERCISE TEST IN YOUNG ATHLETES R. Conte1, S. Baracchi2, F. Giada3 1 Sports Medicine Unit Venice-ITALY, 2Cardiovascular Department, Civil Hospital VeniceITALY, 3Sports Medicine Centre, PF Calvi Hospital Noale, Venice-ITALY 104 EXPERIENCE OF USING HIGH-TECH METHODS IN ISSUES IF EXPERT EVALUATION OF ATHLETES WITH TRICUSPID VALVE INSUFFICIENCY N. Korchazhkina, K. Kotenko, V. Firsakova, O. Maslennikova, M. Petrova, A. Mikhailova Burnasyan FMBC of The FMBA of Russia Moscow-RUSSIA XXXII WORLD CONGRESS 98 september 105 HANDBALL PLAYERS’ANKLE JOINT RANGE OF MOTION IN DIFFERENT KNEE JOINT ANGLES K. Manavis1, G. Papaiakovou2, V. Panoutsakopoulos2, T. Nikodelis2, M. Kotzamanidou1, E. Stefas1, D. Alaseirlis3, K. Natsis4, I. Kollias2 1 Greek Handball Federation Athens-GREECE, 2Department of Physical Education & Sport Science, Aristotle University of Thessaloniki Thessaloniki-GREECE, 3General Hospital of Giannitsa Giannitsa-GREECE, 4Medical School, Aristotle University of Thessaloniki Thessaloniki-GREECE 106 AVELLINO SPORT’S MEDICINE CENTER: EPIDEMIOLOGIC OBSERVATION POINT, HEALTH EDUCATION AND PREVENTIVE MEDICINE STRUCTURE L. Marino, E. Bellucci, M. Coclite Sport Medicine Center Avellino-ITALY ASSESSING CARDIOVASCULAR MATURATION FOR SPORTS – LEFT VENTRICULAR MASS VALUES IN PORTUGUESE YOUNG ATHLETES M. Miranda1, J. Beckert2, V. Fonseca3, A. Freitas1 SATURDAY 107 1 Sports Medicine Department, Sports & Youth Institute Lisbon-PORTUGAL, 2CEDOC, Faculdade de Ciencias Medicas, Universidade Nova de Lisboa Lisbon-PORTUGAL, 3 Escola Superior de Tecnologias de Saude Lisbon-PORTUGAL 108 29 BODY MASS COMPONENTS IN SENIOR SOCCER PLAYERS FROM THE REPUBLIC OF MACEDONIA S. Nikolic, J. Pluncevic Gligoroska, S. Mancevska, L. Todorovska, B. Dejanova, S. Petrovska, L. Efremovska Medical Faculty, Institute of Physiology Skopje-FORMER YUGOSLAV REPUBLIC OF MACEDONIA 109 PARTIAL ANOMALOUS PULMONARY VENOUS CONNECTION. THE IMPORTANCE OF 12-LEAD ELETTROCARDIOGRAM P. Pasqualini1, F. Simoni2, S. Severi1 1 U.O. Cardiologia Grosseto-ITALY, 2U.O. Medicina dello Sport Grosseto-ITALY of SPORTS MEDICINE 99 s a t u r d a y, 2 9 110 ANTHROPOMETRIC PARAMETERES OF SOCCER PLAYERS FROM THE REPUBLIC OF MACEDONIA J. Pluncevic Gligoroska, S. Nikolic, S. Mancevska, L. Todorovska, B. Dejanova, V. Maleska, S. Petrovska, V. Antevska Medical Faculty, Institute of Physiology Skopje-FORMER YUGOSLAV REPUBLIC OF MACEDONIA 111 SKELETAL MUSCLE IMPAIRMENT IN CHILDREN AFTER TREATMENT FOR LEUKEMIA L. Pollastri1, F. Lanfranconi1, A. Ferri1, D. Fraschini2, G. Masera2, G. Miserocchi1 1 Department of Experimental Medicine, Laboratory of Clinical Physiology and Sport Medicine, University of Milan, Bicocca Monza-ITALY, 2Department of Pediatrics, University of Milan, Bicocca, Ospedale San Gerardo Monza-ITALY 112 PROFESSIONAL SPORTSMEN AND EPILEPSY S. Sekulic, K. Gebauer-Bukurov, S. Sakac, K. Bozic, A. Jesic, M. Poznic-Jesic, J.Podgorac Clinical Center of Vojvodina Novi Sad-SERBIA 113 THE USE OF TECARTHERAPY IN THE TREATMENT OF HEMATOMA. CASE STUDY D. Aftosmidis1, I. Zakalka2, C. Merianou2, K. Natsis3 1 Asklepeio Physiotherapy Clinic Thessaloniki-GREECE, 2Department of Physiotherapy, Technological Educational Institute, Thessaloniki-GREECE, 3Department of Medicine, Aristotel University, Thessaloniki-GREECE 114 REVISITING THE PROTOCOL TO CONSERVATIVE TREATMENT AND COSTAL REHABILITATION FOR DIAGNOSIS OF DISC PROTUSION IN ATHLETES M. Baboghluian Instituto Marazul Sao Paulo-BRAZIL XXXII WORLD CONGRESS 100 september 115 OUTCOME AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION. ALLOGRAFT VS AUTOGRAFT IN THE GAINING OF COMPETITIVE SPORT ACTIVITY E. Bizzarini1,2, C. Driussi2,3, L. Iona1, R. Menosso1, C. Moschioni1, M. Polo1, C. Tolazzi1, A. Zampa1 1 Department of Rehabilitation Medicine, Physical Medicine and Rehabilitation Institute, Udine-ITALY, 2Sport Medicine Association of Friuli Udine-ITALY, 3School of Sport Medicine, Udine University, Udine-ITALY 116 THE METHOD OF EXTRA-ROTATION IN THE TREATMENT OF ANTERIOR SHOULDER DISLOCATION IN ATHLETES R. Magnanellii, F. Santelli, M. Marinelli 117 ULTRASOUND-GUIDED PERCUTANEOUS TREATMENT OF COCCYGODYNIA IN STAGE RACE CYCLISTS M. Baglietto1, D. Orlandi1, C. Martini1, G. Grillo2, F. Lacelli2, L.M. Sconfienza3, G. Serafini2 1 Radiology Department, Genoa University Genoa-ITALY, 2Radiology Department, Ospedale Santa Corona Pietra Ligure (SV)-ITALY, 3Radiology Department, Policlinico San Donato San Donato Milanese (MI)-ITALY 29 117 bis REHABILTATION PROTOCOLS USING WELLNESS® SOFTWARE FOR HIGH LEVEL ATHLETES J. Filliard, F. Perrin INSEP, Medical Department Paris-FRANCE 118 SATURDAY Azienda Ospedaliera Universitaria Ospedali Riuniti Ancona Ancona-ITALY INJURY SURVEILLANCE DATA COLLECTED BY SPORTS TRAINERS AT THE 2007, 2009 AND 2011 AUSTRALIAN UNIVERSITY GAMES M. Brown Sports Medicine Australia Brisbane-AUSTRALIA of SPORTS MEDICINE 101 s a t u r d a y, 2 9 119 FITOC (FREIBURG INTERVENTION TRIAL FOR OBESE CHILDREN): COMPARISON OF DAILY PHYSICAL ACTIVITY IN NORMAL AND OVERWEIGHT CHILDREN F. Kreuser1, K. Roettger2, A. Gollhofer2, U. Korsten-Reck1 1 Department of Rehabilitative and Preventive Sports Medicine, University Medical Center Freiburg-GERMANY, 2Institute of Sport and Sport Science Freiburg-GERMANY 120 LEFT VENTRICULAR FALSE TENDON AND REPOLARIZATION ABNORMALITIES IN HEALTHY YOUNG SUBJECTS Z. Lazarevic1, V. D’Addio1,2, E. Guerra1, E. Ciminelli1, A. Parisi1, F. Pigozzi1 1 University of Rome Foro Italico Rome-ITALY, 2Sapienza University of Rome Rome-ITALY 121 EFFECTS OF ACUTE OR CHRONIC HYPOXIA ON REACTIVE OXYGEN SPECIES PRODUCTION ASSESSED BY ELECTRON PARAMAGNETIC RESONANCE S. Mrakic-Sposta1, M. Gussoni1, M. Montorsi2,3, S. Porcelli2,3, A. Vezzoli3, C. Marconi3, P. Cerretelli3 1 Dipartimento di Scienze e Tecnologie Biomediche, Università di Milano, Milan-ITALY, Università Telematica S. Raffaele Rome-ITALY, 3CNR, Istituto di Bioimmagini e di Fisiologia Molecolare Milan-ITALY 2 122 TRAVEL MEDICINE AND SPORTS MEDICINE: THE NEED OF A COLLABORATION W. Pasini1, D. Gambarara2, V. Lamberti3 1 Centre of Travel Medicine and Global Health Rimini-ITALY, 2Public Health Unit RiminiITALY, 3FMSI National Board Rome-ITALY 123 MASS GATHERING AND PUBLIC HEALTH W. Pasini1, D. Gambarara2, V. Lamberti3 1 Centre of Travel Medicine and Global Health Rimini-ITALY, 2Public Health Unit RiminiITALY, 3FMSI National Board Rome-ITALY 124 DOES PHYSICAL FITNESS NEAR TO SEA LEVEL HELP MOUNTAINEERS TO AVOID ACUTE MOUNTAIN SICKNESS AT HIGH ALTITUDE? V. Tadibi, N. Abdollahi Faculty of Physical Education, Razi University Kermanshah-IRAN XXXII WORLD CONGRESS 102 september POSTER SESSION 4 14.30-15.30 Chairmen: A. Calligaris (ITALY); F. Santelli (ITALY) 125 CHANGES IN RESPONSE OF VASTUS LATERALIS AFTER A PHYSICAL ACTIVITY PROGRAM IN SUBJECTS DIAGNOSED WITH ALZHEIMER’S DISEASE D. Rodriguez-Matoso1, T. Valverde2, S. Sarmiento1, D. Bartolomé De La Rosa1, J.M. García-Manso, D.1 Rodriguez-Ruiz 1 University Las Palmas de Gran Canaria Las Palmas-SPAIN, 2University Católica de Valencia (San Vicente Mártir) Valencia-SPAIN THE RELATIONSHIP BETWEEN MOTIVATIONAL CLIMATE IN TEAM WITH COACHES’ BEHAVIOR TOWARDS INJURED ATHLETES R. Zeidabadi, E. Arabameri, M.A. Saliane, A. Shafizadeh SATURDAY 126 Faculty of Physical Education and Sport Sciences, University of Tehran Tehran-IRAN 127 29 ANABOLICS ABUSE AND CARDIOMYOPATHY IN A BODYBUILDER: CASE REPORT D. Chaparoska1, V. Spirovska2 1 University Clinic of Urgent Internal Medicine Skopje-FORMER YUGOSLAV REPUBLIC OF MACEDONIA, 2University Clinic of Cardiology Skopje-FORMER YUGOSLAV REPUBLIC OF MACEDONIA 128 BLOOD GENE EXPRESSION PROFILES OF RECOMBINANT HUMAN ERYTHROPOIETIN IN ENDURANCE TRAINED INDIVIDUALS J. Durussel1, E. Daskalaki2, T. Chatterji1, W. Crawford1, J. Mcculloch1, N. Padmanabhan1, R.K. Patel1, S. Padmanabhan1, P. Herzyk3, G. Gmeiner4, M.W. Mcbride1, J.D. Mcclure1, Y.P. Pitsiladis1 1 Institute of Cardiovascular & Medical Sciences, College of Medical, Veterinary & Life Sciences, University of Glasgow Glasgow-UNITED KINGDOM, 2Strathclyde Institute of Pharmacy & Biomedical Sciences, University of Strathclyde Glasgow-UNITED KINGDOM, 3 Institute of Molecular, Cell & Systems Biology, College of Medical, Veterinary & Life Sciences, University of Glasgow Glasgow-UNITED KINGDOM, 4Seibersdorf Labor GmbH Seibersdorf-AUSTRIA of SPORTS MEDICINE 103 s a t u r d a y, 2 9 129 RISK FACTORS FOR SUBSTANCE ABUSE IN COLLEGE STUDENT F. Hashemi, A. Kashi, Z. Sarlak Azad University Ahwaz-IRAN 130 THE IMPACT OF A TEAM BASKETBALL TRAINING PROGRAMME IN THE PULMONARY FUNCTION OF CHILDREN FROM 8 TO 12 Y.O. D. Aftosmidis1, H. Glaros1, I. Zakalka2, C. Merianou2 1 Asklepeio Physiotherapy Clinic Thessaloniki-GREECE, 2Department of Physiotherapy, Technological Educational Institute, Thessaloniki-GREECE 131 PACING DURING ENDURANCE EXERCISE IS NOT ADEQUATELY REGULATED BY A SUBCONSCIOUS INTERNAL CLOCK A. Amin, G. Pereira, B. Pageaux, S. Marcora 1 132 University of Kent Chatham-UNITED KINGDOM, 2Positivo University Curitiba-BRAZIL THE POSITIVE EFFECTS OF PLAYING BASKETBALL ON FUNCTIONAL ABILITIES OF YOUNG GIRLS T. Antic, N. Dikic, N. Radivojevic, M. Andjelkovic, M. Vesic Vukasinovic, D. Curcic, S. Vujic Sports Medicine Association of Serbia Belgrade-SERBIA 133 THE EFFECT OF 50 M SPRINT SWIMMING ON HEART RATE VARIABILITY IN 13-14 YEAR-OLD BOYS D. Aras, F. Akca, C. Akalan, M. Koz, T. Sarikaya Department of Physical Education and Sports, Ankara University Ankara-TURKEY 134 BRAIN ENDURANCE TRAINING IMPROVES ENDURANCE PERFORMANCE A. Blanchfield1, S.M. Marcora2 1 Bangor University, School of Sport Health and Exercise Sciences Bangor-UNITED KINGDOM, 2University of Kent, Centre for Sports Studies Kent-UNITED KINGDOM XXXII WORLD CONGRESS 104 september 135 LEVEL OF OVERTRAINING IN YOUNG GOALKEEPERS, BASED ON THE SFMS (SOCIÉTÉ FRANÇAISE DE MÉDICINE DU SPORT) QUESTIONNAIRE OF OVERTRAINING A. Blazkiewicz1, P. Domaniecki2 1 Faculty of Rehabilitation, Department of Physiotherapy, Jozef Pilsudski University of Physical Education in Warsaw, Warsaw-POLAND, 2FC Legia Warsaw, Poland 136 SEASONAL VARIATION OF HAEMOGLOBIN MASS IN PROFESSIONAL CYCLISTS A. Bosio1, C. Pecci1, C. Guardascione2, D. Carlomagno1, P. Artuso1, E. Rampinini1,3 1 Human Performance Laboratory, Mapei Sport Research Center Castellanza (VA)-ITALY, Team Lampre ISD Milan-ITALY, 3Department of Sport, Nutrition and Health Sciences, Faculty of Exercise and Sports Sciences, Università degli Studi di Milano Milan-ITALY 137 EFFECT OF SHOE SOLE FLEXIBILITY ON SHANK MUSCLES AND LOWER LIMB JOINTS IN DIFFERENT SPEEDS C.H. Chen1, C.F. Hsieh2, Y. Shih2, T.Y. Shiang2 1 Department of Physical Education, National Taiwan Normal University Taipei-TAIWAN, Graduate Institute of Exercise and Sport Science, National Taiwan Normal University Taipei-TAIWAN 2 138 THE USE OF THE MINIMAL INDIVIDUAL DIFFERENCE AS A TRAINING MONITORING AND CONTROLLING TOOL J. Claudino, B. Mezêncio, R. Soncin, J. Ferreira, A. Azevedo, J. Pinho, R. Andrade, H. Roschel, A. Amadio, J. Serrão University of São Paulo São Paulo-BRAZIL 139 IBUPROFEN ADMINISTRATION ATTENUATES PRO-INFLAMMATORY CYTOKINES AFTER EXHAUSTIVE EXERCISE IN RAT BRAIN F. Diniz Lima, D. Stamm, L. Rambo, M. Fighera, F. Fiorin, G. Busanello, R. Gerbatin, G. Bresciani, M. Amaral, L.F. Royes Laboratório de Bioquímica do Excercício, Universidade Federal de Santa Maria, Santa Maria - Rs-BRAZIL of SPORTS MEDICINE 105 SATURDAY 2 29 s a t u r d a y, 2 9 140 ASSESSMENT OF BODY COMPOSITION AND ANAEROBIC PERFORMANCE IN A SELECTED GROUP OF ATHLETES PRACTICING ROWING K. Durkalec-Michalski, J. Jeszka Faculty of Food Science and Nutrition, Department of Hygiene and Human Nutrition, University of Life Sciences in Poznan Poznan-POLAND 141 EVALUATING FACTORS OF IMMEDIATE NEUTROPHILIA AND LYMPHOCYTOSIS INDUCED BY ACUTE STRENUOUS EXERCISE K. Fukada1, H. Kushi2 1 2 142 Graduate School of Literature and Social Science, Nihon University, Tokyo-JAPAN, Department of Humanities and Sciences, Nihon University, Tokyo-JAPAN STATIC STRETCHING CAN IMPAIR EXPLOSIVE PERFORMANCE FOR AT LEAST 24 HOURS IN SOCCER PLAYERS M. Haddad1, A. Chaouachi1, D. Wong2, A. Dridi1, D. Behm3, K. Chamari1 1 Tunisian Research Laboratory Sports Performance Optimization, National Center of Medicine and Science in Sports Tunis-TUNISIA, 2Department of Health and Physical Education, The Hong Kong Institute of Education Hong Kong-HONG KONG, 3School of Human Kinetics and Recreation, Memorial University of Newfoundland NewfoundlandCANADA 143 TALENT IDENTIFICATION & EARLY DEVELOP PROGRAMED D. Ikwuagwu Unique, Ultimate FC & Academy Lagos-NIGERIA 144 THE EFFECTS OF A VOLLEYBALL MATCH ON PHYSIOLOGICAL AND OXIDATIVE STRESS MARKERS N. Karaca1, F. Turgay2, G. Rudarli Nalcakan2, M. Nalcakan3, A.R. Sisman4 1 Isikkent Education Campus, Physical Education Department Izmir-TURKEY, 2School of Physical Education and Sports, Coaching Education Department, Ege University, IzmirTURKEY, 3Esrefpasa Municipality Hospital, Sports Medicine Department Izmir-TURKEY, 4 Medical Faculty, Biochemistry Department, Dokuz Eylul University, Izmir-TURKEY 145 STRESS AND PERFORMANCE OF BRAZILIAN PROFESSIONAL SOCCER PLAYERS B. Keller1, J.M.F. Stefanello1, I. Balen1, F.B. Justus2, C. Godoy2, R.W. Coelho1 1 Federal University of Paraná Curitiba-BRAZIL, 2Podium Curitiba-BRAZIL XXXII WORLD CONGRESS 106 september 146 PRELIMINARY EVIDENCE OF THE EFFECTIVENESS OF COMMERCIAL MENTORING FOR PHYSIOTHERAPISTS M. Kenihan1, J. Ford2 1 147 Lifecare Health Melbourne-AUSTRALIA, 2Latrobe University Melbourne-AUSTRALIA SWIMMING OBSTACLE COURSE PERFORMANCE: THE PARTICIPATED PHYSIOLOGICAL SYSTEMS I. Kostoulas, S. Kounalakis, K. Havenetidis, I. Giossos, T. Paxinos Faculty of Physical & Cultural Education, Hellenic Army Academy, Vari-GREECE 148 THE EFFECTS OF COREPOWER MACHINE TRAINING VERSUS HOME-BASED CORE TRAINING ON GOLFERS’ PHYSICAL FITNESS AND SPORT PERFORMANCE H. Loock, J. Grace, S. Semple 149 THE EFFECT OF ANKLE STABILIZING TAPING ON THE STATIC AND DYNAMIC BALANCE B. Molics1, T. Mintál2, L. Nõt2, J. Kránicz1, I. Boncz1 1 Faculty of Health Sciences, University of Pecs, Pécs-HUNGARY, 2Institute for Musculoskeletal Surgery, University of Pecs, Pécs-HUNGARY 150 PHYSICAL FITNESS IS ASSOCIATED WITH BMI AND BODY FAT PERCENTAGE IN SOCCER PLAYERS AGED 12-14 YEARS P. Nikolaidis Department of Physical and Cultural Education, Hellenic Army Academy, AthensGREECE 151 BODY MASS INDEX AND BODY FAT PERCENTAGE ARE ASSOCIATED WITH DECREASED PHYSICAL FITNESS IN ADOLESCENT AND ADULT FEMALE VOLLEYBALL PLAYERS P. Nikolaidis Department of Physical and Cultural Education, Hellenic Army Academy, AthensGREECE of SPORTS MEDICINE 107 SATURDAY Department of Biokinetics & Sport Science, Univeristy of Zululand, Richards BaySOUTH AFRICA 29 s a t u r d a y, 2 9 152 PHYSICAL AND PHYSIOLOGICAL CHARACTERISTICS OF ALPINE SKIERS AND RANKING V. Preobrazhenskiy, O. Zinovyev, D. Vnukov, A. Preobrazhenskiy Department of Sports Medicine, Treatment and Rehabilitation Centre, Moscow-RUSSIA 153 THE EFFECT OF LEGS ACTION ON ENERGY COST AND PERFORMANCE DURING MAXIMAL FRONT CRAWL SWIMMING J. Ribeiro, P. Figueiredo, A. Sousa, K. De Jesus, J.P. Vilas-Boas, R.J. Fernandes CIFI2D-Faculty of Sport and Porto Biomechanics Laboratory-LABIOMEP-, University of Porto Porto-PORTUGAL 154 VENTILATORY GAS EXCHANGE PARAMETERS DURING AN EXTREME SWIMMING EFFORT J. Ribeiro1, A. Sousa1, J. Monteiro2, K. De Jesus1, J.P. Vilas-Boas1, R.J. Fernandes1 1 CIFI2D-Faculty of Sport and Porto Biomechanics Laboratory-LABIOMEP-, University of Porto Porto-PORTUGAL, 2Requinte/Farma, Faculty of Pharmacy, University of Porto Porto-PORTUGAL 155 THE STUDY OF THE FREE STYLE AND GREEK-ROMAN WRESTLING: THE CASE OF ALBANIAN JUNIORS Z. Shehu, L. Bukaci, M. Tare, R. Shatku University of Sport Tirane-ALBANIA 156 BIOCHEMICAL AND HAEMATOLOGICAL PROFILE OF MALE AND FEMALE PLAYERS AFTER OFFICIAL SOCCER GAMES A. Souglis1, N. Geladas1, A. Travlos2, A. Sotiropoulos1 1 Department of Physical Education and Sports Science, University of Athens, AthensGREECE, 2Department of Sports Organization and Management, University of Peloponnese, Sparta-GREECE XXXII WORLD CONGRESS 108 september 157 DISTANCE COVERED BY PROFESSIONAL SOCCER PLAYERS ACCORDING TO PLAYING POSITION A. Souglis1, A. Travlos2, N. Geladas1, A. Sotiropoulos1 1 Department of Physical Education and Sports Science, University of Athens, AthensGREECE, 2Department of Sports Organization and Management, University of Peloponnese, Sparta-GREECE 158 USING EFFORT PERCEPTION TO QUANTIFY THE TRAINING LOAD DURING DIFFERENT MODES OF KARATE TRAINING SESSIONS M. Tabben1, R. Sioud1,2, J. Coquart1, K. Chamari2, C. Tourny-Chollet1 1 CETAPS, University of Rouen Rouen-FRANCE, 2Sports Performance Optimization, Tunisian Research Laboratory Tunis-TUNISIA EFFECTS OF STATIC STRETCHING WITH DIFFERENT DURATIONS ON STRENGTH AND RANGE OF MOTION OF WRIST IN FEMALE ROCK CLIMBERS V. Tadibi, S. Kamankesh Faculty of Physical Education, Razi University Kermanshah-IRAN 160 EFFECT OF THE ECCENTRIC PHASE IN THE STRETCH REFLEX USE DURING BENCH PRESS F. Castillo1, T. Valverde2, J.M. García-Manso1, A. Pérez-Guerra1, A. Morales1, J. Sánchez-Flores1, D. Rodríguez-Ruiz1 1 2 161 University of Las Palmas de Gran Canaria Las Palmas de Gran Canaria-SPAIN, Catholic University of Valencia Valencia-SPAIN DIFFERENCES ON BODY COMPOSITION AND PHYSICAL FITNESS BETWEEN SPANISH AND MOROCCAN WOMEN V. Virginia1,2, D. Camiletti-Moiron1,2, A. Carbonell-Baeza2, D. El Oudghiri3, R. Casuso4, S. Martín1, M. Delgado-Fernández2, P. Aranda1 1 Department of Physiology and Institute of Nutrition and Food Technology GranadaSPAIN, 2Department of Physical Education and Sport, School of Sports Sciences Granada-SPAIN, 3Department of Physiology and Pathophysiology, University Abdelmalek Essaadi Tetouan-MOROCCO, 4Department of Health Sciences, University of Jaen Jaén-SPAIN of SPORTS MEDICINE 109 SATURDAY 159 29 saturday, 29 september 162 EVALUATION OF BEHAVIORAL LEAFLET AND MOBILE PHONE INTERVENTION ON WEIGHT CONTROL IN JAPANESE FEMALE ADOLESCENTS K. Yamatsu Saga University Saga City-JAPAN 163 EFFECT OF USING MOUTHGUARD ON ANAEROBIC AND AEROBIC PERFORMANCE OF COMBAT SPORT ATHLETES H. Yarar, U. Karli, K. Aydin, H. Erdem, H. Uzum Abant Izzet Baysal University, School of Physical Education and Sport Bolu-TURKEY 164 COMPARING TWO MODES OF EXERCISE TRAINING WITH DIFFERENT INTENSITY ON BODY COMPOSITION AND FAT OXIDATION IN OBESE YOUNG GIRLS R. Eimari Eskandari1, S. Zilaeibouri2, M. Zilaeibouri3 1 Faculty of Physical Education and Sport, Arsanjan Branch, Islamic Azad University Arsanjan-IRAN, 2Faculty of Physical Education and Sport, Masjed Soleyman Branch, Islamic Azad University Masjed Soleyman-IRAN, 3Faculty of Physical Education and Sport, Tarbiyat Modares University Tehran-IRAN 165 SPORT INJURIES IN SELF-DEFENCE TRAINING B. Zorec1, R. Zorec2, M. Jeler2 1 2 166 Faculty of Criminal Justice and Security, University of Maribor Ljubljana-SLOVENIA, Faculty of Medicine, University of Ljubljana Ljubljana CHANGES OF TOTAL HAEMOGLOBIN MASS, BLOOD VOLUME INDICES AND VO2MAX IN ADOLESCENT RUNNERS OVER SIX MONTHS OF ENDURANCE TRAINING J. Malczewska-Lenczowska1, R. Zdanowicz2, D. Sitkowski2, A. Pokrywka3, E. Gradzka2, J. Grochowska1 1 Insitute of Sport, Department of Nutrition Physiology Warsaw-POLAND, 2Insitute of Sport, Department of Physiology Warsaw-POLAND, 3Insitute of Sport, Department of Anti-Doping Research Warsaw-POLAND XXXII WORLD CONGRESS 110 sunday, 30 september POSTER SESSION 1 10.30-11.30 Chairmen: G. Chiantaretto (ITALY); S.H. Khashaba (EGYPT) 001 CLIMBERS’ HAND CAPACITIES: A PATHOLOGICAL CASE A. Amca1 , L. Vigouroux2 1 School of Sport Sciences & Technology, Hacettepe University Ankara-TURKEY, 2Sport Sciences Faculty, Aix-Marseille University Marseille-FRANCE 002 MUSCLE STRENGHTENING OF LOWER LIMB AFTER STROKE G. Costalat1 , F. Beuret-Blanquart2, C. Tourny-Chollet1,2, F. Lemaitre1 1 CETAPS, University of Rouen Rouen-FRANCE, 2Center of Physical Rehabilitation Medecine, Les Herbiers Bois-Guillaume-FRANCE 003 MUSCLE FUNCTION AND FUNCTIONAL DISABILITY OF THE SHOULDER AFTER A ROTATOR CUFF REPAIR AT ONE-YEAR FOLLOW-UP K. Piitulainen1 , A. Häkkinen1,2, P. Salo2, J. Ylinen2 1 Department of Health Sciences, University of Jyväskylä Jyväskylä-FINLAND, Department of Physical Medicine and Rehabilitation, Central Finland Hospital District Jyväskylä-FINLAND 2 HOW MANY DAYS PER WEEK SHOULD THE RANGE OF MOTION EXERCISE IS PERFORMED TO PREVENT THE DEVELOPMENT OF THE JOINT CONTRACTURE? N. Tatsuta1 , K. Nonaka2, J. Akiyama3, M. Nakajima3 1 Kibi International University, Health and Welfare Okayama-JAPAN, 2Department of Physical Therapy, Osaka Prefecture University, Osaka-JAPAN, 3Department of Physical Therapy, Kibi International University, Okayama-JAPAN 005 THE STUDY OF ARTIFICAL CARBON DIOXIDE-RICH WATER BATHING EFFECT ON EXPERIMENTAL ACUTE ARTHRITIS J. Akiyama1 , Y. Fujiwara, N. Tatuta, K. Nonaka, S. Une, M. Nakajima 1 Kibi International University Okayama-JAPAN, 2Nishinomiya Kyoritsu Rehabilitation Hospital Kyogo-JAPAN, 3Osaka Prefecture University Osaka-JAPAN, 4Shujitsu Junior College Okayana-JAPAN of SPORTS MEDICINE 111 SUNDAY 004 30 s u n d a y, 3 0 006 ACUPUNCTURE TREATMENT FOR MUSCULOSKELETAL SPORTS INJURIES T. Aydin Gulhane Military Medicine Academy Ankara-TURKEY 007 A RETROSPECTIVE ANALYSIS OF INJURY PATTERNS IN ELITE SCOTTISH CURLERS L. Beere, A. Murray, B. Walker Sportscotland Institute of Sport Stirling-UNITED KINGDOM 008 DEVELOPMENT AND DELIVERY OF THE INAUGURAL INTERNATIONAL OLYMPIC COMMITTEE ADVANCED TEAM PHYSIOTHERAPIST COURSE M. Brown Sports Medicine Australia Brisbane-AUSTRALIA 009 EVALUATION THE RELATIONSHIP BETWEEN POSTURAL CONTROL, WEIGHT DISTRIBUTION, AND POSTURE IN MALE SOCCER PLAYERS AGED 10-18 YEARS M. Bulat1 , S. Yildiz1 , B. Bayraktar1 , O. Ozturk2 1 Department of Sports Medicine, Faculty of Medicine, Istanbul University IstanbulTURKEY, 2Institute of Experimental Medicine, Faculty of Medicine, Istanbul University Istanbul-TURKEY 010 THE COMPARISON OF SHOULDER RANGE OF MOTION AMONG SWIMMERS, BASEBALL AND TENNIS PLAYERS H. Chang1 , K. Wu2, C. Lin3 1 School of Physical Therapy, Chung Shan Medical University, Taichung-TAIWAN, Department of Physical Education and Sports, Taoyuan Innovation Institute of Technology, Taoyuan-TAIWAN, 3Department of Physical Education and Sports, National Taiwan University, Taipei-TAIWAN 2 XXXII WORLD CONGRESS 112 september 011 EFFECT OF THE CONFINED TAPING ON HEEL PAD THICKNESS AND GROUND REACTION FORCE C.L. Chen1,3, H.Y. Chang2, C.F. Huang3 1 Department of Physical Therapy, Tzu Hui Institute of Technology Pingtung-TAIWAN, School of Physical Therapy, College of Medical Science & Technology, Chung Shan Medical University Taichung-TAIWAN, 3Department of Physical Education, National Taiwan Normal University Taipei-TAIWAN 2 012 THE INFLUENCE OF EIGHT-WEEKS AEROBIC TRAINING ON THE LEVEL OF LEPTIN SERUM, LDL TO HDL RATIO, WAIST TO HIP RATIO, AND BMI IN MIDDLE-AGED WOMEN M. Ghasemi Artian, M. Yazdaniyan, M. Hejazi Azad Mashhad University Mashhad-IRAN 013 THE AMOUNT OF INTERLEUKIN-6 IN THE SERUM OF STRENGTH ATHLETES AND ENDURANCE ATHLETES COMPARED TO NON-ATHLETE PEOPLE M. Ghasemi Artiyan, M. Hejazi, M. Yazdanian, H. Rafat Panah, V. Boghr Abadi Mashhad Azad University Mashhad-IRAN 014 THE COMPARISON EFFECTS OF TENS, AND MASSAGE ON SOME FUNCTIONAL MARKERS OF DELAYED ONSET MUSCLE SORENESS IN FEMALE STUDENTS S. Goodarzi Iranian Association Physical Therapy Tehran-IRAN EFFECTS OF STATIC STRETCHING ON DELAYED ONSET MUSCLE SORENESS (DOMS) AND CK AND LDH ENZYMES AFTER ECCENTRIC CONTRACTIONS S. Goodarzi SUNDAY 015 Iran Assosiation Physicaltherapy Tehran-IRAN 30 of SPORTS MEDICINE 113 s u n d a y, 3 0 016 ASSOCIATIONS BETWEEN BLOOD PRESSURE, PHYSICAL ACTIVITY, MAXIMAL OXYGEN CONSUMPTION, ARTERIAL STIFFNESS AND CARDIOVASCULAR DETERMINANTS IN MEN T. Kaldur1 , J. Kals2, E. Unt3 1 Institute of Exercise Biology and Physiotherapy, University of Tartu Tartu-ESTONIA, Department of Vascular Surgery, Tartu University Hospital Tartu-ESTONIA, 3Sports Medicine and Rehabilitation Clinic, Tartu University Hospital Tartu-ESTONIA 2 017 THYROID SONOGRAPHIC PATTERN OF AMATEUR ATHLETES L. Landolfi1 , M. Gismondi2, A. Pio1 , R.M. De Vecchi3, D. Caputo3 1 University Hospital and Sport Medicine Institute Salerno-ITALY, 2Sport Medicine Institute Salerno-ITALY, 3University Hospital Salerno-ITALY 018 DECREASED BLOOD FLOW IN THE THROWING ARM OF BASEBALL PITCHERS K. Laudner1 , N. Selkow1 , R. Lynall1 , K. Meister2 1 Illinois State University, School of Kinesiology and Recreation Normal-USA, 2Texas Metroplex Institute for Sports Medicine and Orthopedics Arlington-USA 019 THE COMPARISON OF SHOULDER INTERNAL ROTATION DEFICIT BETWEEN SWIMMERS AND TENNIS PLAYERS C. Lin1 , K. Wu2, H. Chang3 1 Department of Physical Education and Sports, National Taiwan University, TaipeiTAIWAN, 2Department of Physical Education and Sports, Taoyuan Innovation Institute of Technology, Taoyuan-TAIWAN, 3School of Physical Therapy, Chung Shan Medical University, Taichung-TAIWAN 020 THE ROLE OF POSTURE AND MOVEMENT IN THE EVOLUTION OF NEUROCOGNITIVE FUNCTION R. Ciambrone1 , A. Mancaniello1 , F.M. Manozzi2 1 MIUR ITALY, 2Università di Roma Tor Vergata Rome-ITALY XXXII WORLD CONGRESS 114 september 021 EFFECT OF THE CIRCADIAN RHYTHM AND TRAINING INTENSITY ON THE SALIVARY CORTISOL AND TESTOSTERONE CONCENTRATION IN THE ATHLETIC AND NON-ATHLETIC GIRLS M. Moharrebi Iranian Physiotherapy Assosiation Tehran-IRAN 022 DIAGNOSTIC RADIOGRAPHIC ASSESSMENT OF THE UNDER STRESS KNEE TO DETERMINE THE POSTERIOR CRUCIATE LIGAMENT LESION G. Montanari, A. Rocchi, M. Pietrangeli, E.R. Faloni, M.L. Iocca, S. Giannini Casa di Cura Villa Stuart Rome-ITALY 023 HIP ARTHROSCOPY IN ELITE ATHLETES K. Natsis, A. Papavasiliou, C. Lyrtzis, I. Terzidis Interbalcan Medical Center Thessaloniki-GREECE 024 DISTRIBUTION OF PLANTAR GROUND REACTION FORCES IN ATHLETES WITH PLANTAR FASCIITI K. Natsis1 , D. Koutsonikolas2, M. Didagelos1 , C. Lyrtzis1 , P. Koutsonikola2, T. Totlis1 , D. Alaseirlis3 1 Department of Anatomy, Medical School, Aristotle University of Thessaloniki Thessaloniki-GREECE, 2Department of Physiology, Medical School, Aristotle University of Thessaloniki Thessaloniki-GREECE, 3Orthopaedic Department, General Hospital of Giannitsa Giannitsa-GREECE ETHNICITY AS THE DETERMINANT OF LEFT VENTRICULAR REMODELLING IN ADOLESCENT ATHLETES G. Pelà, M. Li Calzi, A. Crocamo, P. Pattoneri, M. Goldoni, A. Anedda, L. Musiari, I. Pelloni, A. Bonetti, A. Montanari SUNDAY 025 University Medical School Parma-ITALY, 2AUSL Sport Medicine Service Parma-ITALY 30 of SPORTS MEDICINE 115 s u n d a y, 3 0 026 PREVALENCE OF AND ATTITUDES TOWARD CONCUSSION IN PROFESSIONAL AND NON-PROFESSIONAL RUGBY PLAYERS D. Toomey1 , E. Delahunt1,2, S. Delahunty1 , B. Condon1 , C. Blake1 1 School of Public Health, Physiotherapy and Population Science, University College Dublin, Dublin-IRELAND, 2Institute for Sport and Health, University College Dublin Dublin-IRELAND 027 THE IMMEDIATE EFFECT OF TRIGENICS NEUROSOMATIVE STIMULATION ON LOWER EXTREMITY MUSCLES TONE AND VISCOUS-ELASTIC PROPERTIES M. Vahimets, H. Gapeyeva, P. Kaasik, J. Ereline, M. Pääsuke Institute of Exercise Biology and Physiotherapy, Centre of Behavioral and Health Science, Universityt of Tartu, Tartu-ESTONIA 028 THE COMPARISON EFFECTS OF ULTRASOUND, AND APS THERAPY ON SOME FUNCTIONAL MARKERS OF DELAYED ONSET MUSCLE SORENESS B. Yazdanparastchaharmahali1 , S. Goodarzi2 1 Islamic Azad University Varamin, Pishva Branch Tehran-IRAN, 2Iranian Association Physical Therapy Tehran-IRAN 029 CHARACTERIZATION OF THE POPULATION IN SEVERAL GROUP CLASSES IN A MEDICAL FITNESS FACILITY A. Barbosa1 , R. Baquero2, A. Sarmiento2, A. Avila2 1 030 Universidad el Rosario Bogota-COLOMBIA, 2CMD Bodytech Bogota-COLOMBIA EFFECT OF COMBINED PHYSICAL TRAINING ON INTERLEUCINE-6 IN HYPERTENSIVE MEN M. Camargo1 , R. Muradás2, A. Valim2, L. Burgos2, M. Reckziegel2, L. Possuelo2, M. Burgos2 1 2 Grupo de Pesquisa em Cardiologia do Exercício HCPA/UFRGS Porto Alegre-BRAZIL, Universidade de Santa Cruz do Sul-Unisc Santa Cruz do Sul-BRAZIL XXXII WORLD CONGRESS 116 september 031 CIRCUIT WEIGHT TRAINING IMPROVES BLOOD PRESSURE INDEXES: A RANDOMIZED TRIAL WITH CARDIOPULMONAR EXERCISE TEST M. Camargo, M. Zanini, R. Nery, J. Canavezi, R. Stein Grupo de Pesquisa em Cardiologia do Exercício HCPA/UFRGS Porto Alegre-BRAZIL 032 EXERCISE TRAINING HAS LITTLE EFFECT ON CARDIOVASCULAR AUTONOMIC CONTROL IN AGING RATS WITH EARLY OVARIAN FAILURE H. Dutra De Souza, G. Tezini University of São Paulo Ribeirão Preto-BRAZIL 033 EFFECTS OF PILATES TRAINING ON PELVIC FLOOR STRENGTH IN PUERPERIUM WOMEN: A PILOT STUDY E.P. Ferreira1 , A.L.V. Palma1,2, A. Ohl1,2, A.C. Amadio3, J.P. Pinho1,3 1 UNIP-Universidade Paulista, Pós-Graduação São Paulo-BRAZIL, 2Plenitude PilatesCorpo e Mente São Paulo-BRAZIL, 3University of São Paulo, Biomechanics Laboratory São Paulo-BRAZIL 034 THE ETIOLOGY OF SINUS TARSI SYNDROME IN THE FOOT OF ATHLETES A. Folliero, M.G. Minicelli Orthopedic Department Rome-ITALY 035 THE EFFECTIVENESS OF EXERCISE IN THE PHYSIOTHERAPY MANAGEMENT OF SUBACROMIAL IMPINGEMENT SYNDROME: A SYSTEMATIC REVIEW AND META-ANALYSIS C. Hanratty1 , J. Mcveigh1 , D. Kerr1 , J. Basford2, M. Finch3, A. Pendleton3, J. Sim4 1 SUNDAY Health and Rehabilitation Sciences Research Centre, School of Health Sciences, University of Ulster, Jordanstown, Jordanstown-UNITED KINGDOM, 2Mayo Clinic Rochester-USA, 3Rheumatology Department, Musgrave Park Hospital, Belfast Health and Social Care Trust Belfast-UNITED KINGDOM, 4Arthritis Research Uk Primary Care Centre, Keele University Keele-UNITED KINGDOM 30 of SPORTS MEDICINE 117 s u n d a y, 3 0 036 LIFETIME LEISURE-TIME PHYSICAL ACTIVITY AND THE RISK OF DEPRESSIVE SYMPTOMS AT THE AGES OF 65–74 YEARS: THE FIN-D2D SURVEY K. Korniloff2 , M. Vanhala2,3, H. Kautiainen2,4, H. Koponen3,4, M. Peltonen5, P. Mäntyselkä3,4, H. Oksa6, O. Kampman7, A. Häkkinen1,2 1 University of Jyväskylä Jyväskylä-FINLAND, 2Central Finland Central Hospital Jyväskylä-FINLAND, 3University of Eastern Finland Kuopio-FINLAND, 4Kuopio University Hospital Kuopio-FINLAND, 5National Institute for Health and Welfare HelsinkiFINLAND, 6Tampere University Hospital Tampere-FINLAND, 7Seinäjoki Hospital District Seinäjöki-FINLAND and University of Tampere Tampere-FINLAND 037 ANKLE MUSCLE ACTIVATION LEVELS ON DIFFERENT SURFACES E. Kurz1 , C. Anders2, H. Meier3, T. Hilberg1 1 Department of Sports Medicine, University of Wuppertal Wuppertal-GERMANY, Division for Motor Research, Clinic for Trauma Surgery Jena-GERMANY, 3Rehabilitation Center Valznerweiher Nuremberg-GERMANY 2 038 EFFECTS OF PERSONALIZED AND CONTROLLED PHYSICAL EXERCISE ON CARDIOMETABOLIC DISEASES V. Lamberti, P. Romano, V. Lamberti Institute of Sports Medicine and Motor Activity C. FMSI Vittorio Veneto (TV)-ITALY XXXII WORLD CONGRESS 118 september POSTER SESSION 2 10.30-11.30 Chairmen: M. Laudizio (ITALY); R.A. Robles Cabrera (GUATEMALA) 039 DOES EXERCISE INCREASE BONE MINERAL DENSITY AT OLDER AGE? EFFICACY OF DIFFERENT EXERCISE TRAINING PROTOCOLS E. Marques, J. Mota, F. Wanderly, J. Carvalho Faculty of Sport Science, Research Centre in Physical Activity, Health and Leisure, University of Porto, Porto-PORTUGAL 040 SWIMMING TRAINING RESTORES THE CARDIAC MICRORNA-29C LEVELS AND VENTRICULAR COMPLIANCE IN RAT AFTER MYOCARDIAL INFARCTION S. Melo1, T. Fernandes1, K. Coelho1, A. Santos2, J. Tucci2, E. Oliveira1 1 University of São Paulo São Paulo-BRAZIL, 2Federal University of Sao Paulo São Paulo-BRAZIL 041 POLYCYSTIC OVARY SYNDROME AND EXERCISE I. Mitsakis1, M. Mitsakis2, C. Mitsaki3, K. Sianou4, D. Kavvada5, C. Lyrtzis6 1 Anatomy Cathedra, Osteology and Arthrology Laboratory, Midwife School, Alexander Technological Educational Institute Thessaloniki-GREECE, 2Haematology Department, University Hospital Leipzig-GERMANY, 3Chirurgical Department, General Hospital Serres-GREECE, 4Leadership and Management in Health Department, Kingston University London-UNITED KINGDOM, 5Physiotherapy School, Alexander Technological Educational Institute Thessaloniki-GREECE, 6Aristotle University Thessaloniki-GREECE PHYSICAL EXERCISE AFTER TRAUMATIC BRAIN INJURY ATTENUATES SUSCEPTIBILITY TO PENTYLENETETRAZOL - INDUCED SEIZURES B. Mota, L.F. Silva, R. Gerbatin, F. Fiorin, G. Busanello, M. De Castro, M. Hoffmann, A.P. Ferreira, M. Fighera, L.F. Royes SUNDAY 042 Laboratório de Bioquímica do Exercício, Universidade Federal de Santa Maria, Santa Maria - RS-BRAZIL of SPORTS MEDICINE 119 30 s u n d a y, 3 0 043 EFFECTS OF 12 WEEKS OF STRENGTH TRAINING ON FUNCTIONAL CAPACITY AND BALANCE OF ACTIVE ELDERLY WOMEN J.P. Pinho, M.C.O.F. Pinho, L.S. Santos, R.C. Santos, D.L. Cápua, B. Mezêncio, L. Galhasso, A. Pinto, G. Fernandes, P.P. Takao, J. Albuquerque, J.R. Souza, J.G.O. Claudino, A.P.S. Azevedo, R.M. Andrade, J.C. Serrão, A.C. Amadio University of São Paulo, Biomechanics Laboratory São Paulo-BRAZIL 044 POST-RESISTANCE EXERCISE HYPOTENSION IS SIMILAR BETWEEN YOUNG AND MIDDLE-AGED MEN A. Queiroz1, J. Sousa1, N. Silva Jr1, L. Costa1, J. Gagliardi2, C. Rezk2, K. Ortega3, D. Mion Jr3, T. Tinucci1, C. Forjaz1 1 School of Physical Education and Sport, University of São Paulo, São Paulo-BRAZIL, Osasco Teaching Institute Foundation University Center, São Paulo-BRAZIL, 3 Hypertension Unit, General Hospital, University of São Paulo, São Paulo-BRAZIL 2 045 INTERVAL EXERCISE TRAINING EFFECT ON BODY COMPOSITION, PHYSICAL PERFORMANCE AND QUALITY OF LIFE IN YOUNG OBESE PATIENTS A. Rusu1, C. Avram2, B. Almajan-Guta3, M. Oravitan2, D.I. Gaita1 1 Victor Babes University of Medicine and Pharmacy Timisoara-ROMANIA, 2Physical Education and Sport Faculty, West University of Timisoara, Timisoara-ROMANIA, 3 Politehnica University Timisoara-ROMANIA 046 AEROBIC EXERCISE VS METFORMIN IN NONALCOHOLIC FATTY LIVER DISEASE V. Sánchez1, A. Pegueros1, A. Del Villar1, E. Martinez2, G. Franco1 1 Centro Nacional de Investigación y Atención en Medicina del Deporte, Instituto Nacional de Rehabilitación Mexico-MEXICO, 2Tomografía Computada, Instituto Nacional de Rehabilitación Mexico-MEXICO 047 EFFECT OF VOLUME AND INTENSITY OF EXERCISE IN METABOLIC SYNDROME. INTERVAL VERSUS CONTINUOUS TRAINING V. Sánchez, J. Franco, R. Salas, A. Pegueros Centro Nacional de Investigación y Atención en Medicina del Deporte del Instituto Nacional de Rehabilitacion Mexico-MEXICO XXXII WORLD CONGRESS 120 september 048 MINDFULNESS: A NEW CONCEPT IN THE SPORTS INJURIES’ PREVENTION? A LITERATURE REVIEW S. SOLE, J. PALMI. INEFC, LLEIDA, SPAIN S. Sole, J. Palmi INEFC Lleida-SPAIN 050 EFFECTS OF PHYSICAL EXERCISE IN LEUKAEMIA PATIENTS UNDERGOING CHEMOTHERAPY - ENDURANCE TRAINING VERSUS RESISTANCE TRAINING A. Wehrle1, H. Bertz2, A. Gollhofer3, H.H. Dickhuth1 1 Department of Rehabilitative and Preventive Sports Medicine, University of Freiburg Medical Centre, Freiburg-GERMANY, 2Department of Hematology and Oncology, University of Freiburg Medical Centre, Freiburg-GERMANY, 3Institute of Sport and Sport Science, University of Freiburg, Freiburg-GERMANY 051 BALANCE IN THE CARDIAC AUTONOMIC MODULATION IS DETERMINED BY GENDER AND IS INDEPENDENT ON AEROBIC PHYSICAL CAPACITY H. Dutra De Souza, S. Dutra University of São Paulo Ribeirão Preto-BRAZIL 052 THE REPRESSIVE EFFECT OF POSITIVE AFFECT ON THE AGGRAVATED BURNOUT TENDENCY - FOCUSING ON SEX DIFFERENCE T. Tanaka, M. Matsumoto, S. Watanabe, F. Mizuochi Nihon University Setagaya-JAPAN DISTRIBUTION OF ANGIOTENSIN-CONVERTING ENZYME GENOTYPES AND ALLELE FREQUENCY IN RUGBY, SOCCER AND CRICKET PLAYRES OF ZULU ORIGIN T. Djarova1, S. Mugandani1, A. Ramakoaba1, A. Basson1, J. Cloete1, G. Watson2 SUNDAY 053 1 University of Zululand Richards Bay-SOUTH AFRICA, 2University of Kwazulu-Natal Pietermaritzburg-SOUTH AFRICA 30 of SPORTS MEDICINE 121 s u n d a y, 3 0 054 ASSOCIATION OF THE ANGIOTENSIN-CONVERTING ENZYME (ACE) ID POLYMORPHISM AND AEROBIC CAPACITY IN ESTONIAN CROSS-COUNTRY SKIERS A. Mägi1, E. Unt1,2, E. Prans3, A. Veraksits3, S. Kõks3 1 Department of Sports Medicine and Rehabilitation, University of Tartu Tartu-ESTONIA, Sports Medicine and Rehabilitation Clinic, Tartu University Hospital Tartu-ESTONIA, 3 Department of Physiology, University of Tartu Tartu-ESTONIA 2 055 GENOME-WIDE ASSOCIATION STUDY (GWAS) OF ELITE SPRINTERS OF WEST AFRICAN ANCESTRY G. Wang1, N. Fuku2, S. Padmanabhan1, E. Mikami3, M. Tanaka2, M. Miyachi4, H. Murakami4, E. Morrison5, Y. Pitsiladis1 1 University of Glasgow Glasgow-UNITED KINGDOM, 2Tokyo Metropolitan Institute of Gerontology Tokyo-JAPAN, 3Waseda University Saitama-JAPAN, 4National Institute of Health Nutrition Tokyo-JAPAN, 5University of Technology Kingston-JAMAICA 056 WHY DO YOUNG ADULTS PARTICIPATE IN RECREATIONAL EXERCISE AND SPORTS? F. Asci1, A. Altintas1, Z. Cetinkalp2 1 057 Baskent University Ankara-TURKEY, 2Ege University Izmir-TURKEY QUALITY OF LIFE ASSOCIATED WITH PERCEPTION OF HEALTH IN ELDERLY WOMEN FROM CURITIBA, PARANÁ, BRAZIL R. Guimaraes, G.C. Vagetti, V. Oliveira, V.C. Barbosa Filho, N. Boneti Moreira, W. Campos Physical Education Department, Federal University of Parana, Curitiba-BRAZIL 058 ASSOCIATION BETWEEN THE PHYSICAL ACTIVITY LEVEL AND CARDIOVASCULAR RISK FACTORS AMONG BRAZILIAN COLLEGE STUDENTS R. Guimaraes, G. Gasparotto, L. Gasparotto, W. Campos Federal University of Parana Curitiba-BRAZIL XXXII WORLD CONGRESS 122 september 059 PHYSICAL ACTIVITY LEVELS OF PHYSICAL EDUCATION STUDENTS AND THE OTHER DEPARTMENT STUDENTS G. Çiçek1, Tülin Atan2, M. Yalçin Tasmektepligil2, S. Ahmet Agaoglu2 1 Hitit University & Physical Education and Sports High School Çorum-TURKEY, Ondokuz Mayis University & Yasar Dogu Physical Education and Sports High School Samsun-TURKEY 2 060 RESULTS OF BRUS’S EXERCISE TEST IN FOOTBALL YOUNG CATEGORIES V. Maleska Ivanovska, J. Pluncevic Gligoroska, L. Efremovska, S. Mancevska, L. Todorovska, S. Nikolic Dept. of Physiology and Anthropology Skopje-FORMER YUGOSLAV REPUBLIC OF MACEDONIA 061 COMPARISON BODY-PSYCHOLOGICAL DISSATISFACTION OF ATHLETE AND NON-ATHLETE STUDENTS OF URRMIA PEYAM E NOOR UNIVERSITY H. Mohammadzadeh1, M. Heydari2 1 062 Urmia University Urmia-IRAN, 2Peyam e Noor University Urmia-IRAN RELATIONSHIP BETWEEN PHYSICAL ACTIVITY HABITS AND ATTENTIONAL FUNCTIONING IN UNIVERSITY STUDENTS C. Moratal Lull1, E. Blasco Herráiz1, C. Monleón García1, J. Lupiañez Castillo2, F. Huertas Olmedo1 1 Universidad Católica de Valencia Torrente-SPAIN, 2Universidad de Granada GranadaSPAIN LIFESTYLE AND HOMA INDEX IN POST-MENOPAUSE P. Ripari1, F. Di Donato1, G. Napolitano2, P. Izzicupo1, E. D’Angelo1, A. Di Iorio1, G. Di Giacinto1, M. Scalisi1, A. Di Blasio2 1 2 064 SUNDAY 063 G. D’Annunzio University, University Centre of Sports Medicine Chieti-ITALY, Department of Medicine and Aging Sciences, G. D’Annunzio University, Chieti-ITALY 30 YOGA OR GYM-FITNESS: WHAT IS BETTER? Y. Venevtseva, P. Shiskin, A. Melnikov, S. Antonenko, I. Perelomova Medical Institute of Tula State University Tula-RUSSIA of SPORTS MEDICINE 123 s u n d a y, 3 0 065 MITOCHONDRIAL BIOGENESIS OF EXERCISED TRAINED AND RESVERATROL TREATED SELECTIVELY BRED LOW AND HIGH RUNNING CAPACITY RATS N. Hart, L. Sarga, E. Koltai, Z. Radak Department of Physical Education and Sport Sciences, Semmelweis University, Budapest-HUNGARY 066 THE EFFECT OF EXERCISE AND SIRTUINS ON RATS WITH DIFFERENT TRAINABILITY O. Marton1, E. Koltai1, S. Britton2, L. Koch2, Z. Radák1 1 Research Institute of Sport Sciences, Faculty of Physical Education and Sport Sciences, Semmelweis University, Budapest-HUNGARY, 2Department of Anesthesiology, University of Michigan Ann Arbor, Michigan-USA 067 PATELLAR TENDON RUPTURE. RELATED HISTOPATHOLOGICAL CHANGES THROUGH A SYSTEMATIC LITERATURE REVIEW T. Papadopoulou Diana Princess of Wales Hospital Lincolshire-UNITED KINGDOM 068 DIFFERENT EFFECTS OF HIGH AND MODERATE INTENSITY AEROBIC EXERCISE TRAINING ON PLASMA OSTEOCALCINE AND IGF-1 IN OBESE YOUNG GIRLS S. Zilaeibouri1, M. Zilaeibouri2, R. Eimari Eskandari3, A. Ahangarpour4 1 Faculty of Physical Education and Sport, Masjed Soleyman Branch, Islamic Azad University Masjed Soleyman-IRAN, 2Faculty of Physical Education and Sport, Tarbiyat Modares University Tehran-IRAN, 3Faculty of Physical Education and Sport, Arsanjan Branch, Islamic Azad University Arsanjan-IRAN, 4Faculty of Endocrine Physiology and Reproductive, Medical Science Jondi Shapoor University Ahvaz-IRAN 069 EMG CHANGES WITH AEROBIC-ANAEROBIC TRANSITION INTENSITY AT INCREMENTAL EXERCISE IN SOCCER PLAYERS G. Aydogan1, S. Albayrak Yildiz2, S. Karamursel3, E. Kasikcioglu2, S. Yakal2 1 Department of Physical Theraphyand Rehabilitation Istanbul-TURKEY, 2Department of Sports Medicine Istanbul-TURKEY, 3Department of Physiology Istanbul-TURKEY XXXII WORLD CONGRESS 124 september 070 IMAGE FINDING IN SPORTMEN’S THIGH. MALFORMATION OR ABNORMAL DISTRIBUTION OF MUSCLE FIBERS? E.P. Assako Ondo, E.R. Folchi, M.L. Iocca, S. Giannini Casa di Cura Villa Stuart Rome-ITALY 071 MODIFIED MICRO METHOD FOR BIOCHEMICAL TEST OF UREA AND CREATINKINASA IN THE MEDICAL SPORTS Y. Cohil Leal1, M. Rojas2, A. Garcia Fernandez3 1 Ministerio del Poder Popular Para el Deporte Caracas-VENEZUELA, 2Asociacion Cardiovascular Barquisimeto-VENEZUELA, 3Instituto Medicina Deportiva Granma-CUBA 072 A DATA-PARALLEL SCORING ALGORITHM FOR THE DIFFERENTIAL DIAGNOSIS OF HCM FROM ATHLETE’S HEART P. Deligiannis1, E. Kouidi2, H. Loidl1, E. Pagourelias2, A. Deligiannis2 1 School of Mathematical and Computer Sciences, Heriot-Watt University EdinburghUNITED KINGDOM, 2Laboratory of Sports Medicine, Aristotle University Thessaloniki-GREECE 073 THE INTELLIGENT ESTIMATING OF SPINAL COLUMN ABNORMALITIES USING BY ARTIFICIAL NEURAL NETWORKS IMAGE PROCESSING OF REFLECTIVE MARKERS S. Ilbeigi, M. Yousefi University of Birjand Birjand-IRAN USE OF INERTIAL CENTRAL TO ANALYSE MOVEMENT F. Mell1, M. L’Hermette1, Y. Caritu2, L. Seifert1 1 075 CETAPS, EA 3832 Rouen-FRANCE, 2Movea Grenoble-FRANCE SUNDAY 074 THE EVALUATION OF ACTIVE DRAG: A NEW PROPOSAL B. Mezencio1, R. Soncin1, J.G.O. Claudino1, J.C. Ferreira1, J.P. Pinho1, A.P.S. Azevedo1, R.M. Andrade1, L.A. Szmuchrowski3, R. Huebner2, A.C. Amadio1, J.C. Serrão1 30 1 University of São Paulo, Laboratory of Biomechanics São Paulo-BRAZIL, 2Federal University of Minas Gerais, Laboratory of Bioengineering Belo Horizonte-BRAZIL, 3 Federal University of Minas Gerais, Laboratoryof Load Evaluation Belo HorizonteBRAZIL of SPORTS MEDICINE 125 s u n d a y, 3 0 076 EFFECT OF SOCCER TRAINING AND ASTAXANTHIN SUPPLEMENTATION ON PARAOXONASE 1 ACTIVITY AND OXIDATIVE STRESS BIOMARKERS I. Baralic1, B. Djordjevic1, N. Dikic2, J. Kotur-Stevuljevic3, N. Radivojevic2, M. Andjelkovic2, M. Vukasinovic Vesic2, T. Antic2, S. Pejic4 1 Institute for Bromatology, Faculty of Pharmacy, University of Belgrade BelgradeSERBIA, 2Sports Medicine Association of Serbia Belgrade-SERBIA, 3Institute for Medical Biochemistry, Faculty of Pharmacy, University of Belgrade Belgrade-SERBIA, 4 Laboratory of Molecular Biology and Endocrinology, Vinca Institute of Nuclear Sciences Belgrade-SERBIA 077 EFFECT OF CAFFEINE INTAKE ON ACCURACY OF TEMPORAL ESTIMATION DURING DIFFERENT PHYSICAL EXERCISE CONDITION E. Blasco Herraiz1, C. Moratal1, C. Monleon1, A. Correa2, J. Lupiañez2, F. Huertas1 1 Universidad Católica de Valencia, San Vicente Martir Valencia-SPAIN, 2Universidad de Granada Granada-SPAIN XXXII WORLD CONGRESS 126 september POSTER SESSION 3 10.30-11.30 Chairmen: M. Pontalti (ITALY); D. Di Mattia (ITALY) 078 FREE FATTY ACIDS ARE ALTERED BY ACUTE EXERCISE IN HIGHLY TRAINED MALE WATER POLO PLAYERS M. Djelic1, A. Bjelic1, T. Acimovic1, S. Saranovic2, N. Antic2, D. Radovanovic1, S. Mazic1 1 School of Medicine, University of Belgrade Belgrade-SERBIA, 2Serbian Institute of Sport Belgrade-SERBIA 079 OXIDANT AND ANTIOXIDANT SYSTEMS AFTER REPEATED BOUTS OF SUPRAMAXIMAL EXERCISES: THE EFFECTS OF BETA ALANINE AND/OR CREATINE H. Gokbel1, N. Okudan1, M. Belviranli1, S. Revan2, H. Pepe2 1 2 080 Faculty of Medicine Department of Physiology, Selcuk University, Konya-TURKEY, School of Physical Education and Sports, Selcuk University, Konya-TURKEY HYDRATION IN SKI MOUNTAINEERING J. Haudum, A. Haudum, S. Svoboda, E. Müller Department of Sport Science and Kinesiology, University of Salzburg SalzburgAUSTRIA RELATIONSHIP BETWEEN BODY COMPOSITION AND HEART RATE VARIABIILITY IN ENDURANCE TRAINED ATHLETES S. Mazic, M. Djelic, J. Suzic, T. Acimovic, R. Jeremic, S. Suzic, D. Radovanovic SUNDAY 081 30 School of Medicine, University of Belgrade Belgrade-SERBIA of SPORTS MEDICINE 127 s u n d a y, 3 0 082 A 10 YEAR BODY COMPOSITION CASE STUDY OF A 77 YEARS OLD ULTRAMARATHONER G. Monteleone, L. Di Renzo, E. Domino, V. Fondacaro, C. Orlandi, A. Tiloca Department of Preventive Medicine, Diagnostics and Integrated Therapy Rome-ITALY 083 THE EFFECTS OF FOUR WEEK COENZYME Q10 SUPPLEMENTATION ON EXERCISE-INDUCED MUSCLE DAMAGE IN SEDENTARY YOUNG MEN N. Okudan1, S. Torlak1, H. Gokbel1, M. Belviranli1, A. Kiyici2 1 2 084 Faculty of Medicine Department of Physiology, Selcuk University, Konya-TURKEY, Faculty of Medicine Department of Biochemistry, Selcuk University, Konya-TURKEY INFLUENCE OF ASCORBIC ACID SUPPLEMENTATION ON OXIDATIVE STRESS AND NEUTROPHIL INFLAMMATORY RESPONSE IN PROFESSIONAL FOOTBALL PLAYERS L. Popovic1, N. Mitic1, I. Radic1, D. Miric2, T. Djokic1 1 Department of Pathophysiology, University of Pristina, Medical School Kosovska Mitrovica-SERBIA, 2Department of Biochemistry, University of Pristina, Medical School Kosovska Mitrovica-SERBIA 085 THE RIGHT NUTRIENTS AT THE RIGHT TIME TO IMPROVE THE AEROBIC RESISTANCE A. Pulcini, F. Safoue, R. Verna, F. Stio, G. Patrizi, A. Redler Sapienza University of Rome Rome-ITALY 086 MUSCLE TRAINING MONITORING BASED ON MUSCLE TONE ASSESSMENT M. Dragomir1, L. Rusu1, G. Cosma2, E.M. Lica2 1 Sports Medicine and Kinesiology Department, University of Craiova, CraiovaROMANIA, 2Theory and Methodic Department, University of Craiova, Craiova-ROMANIA 087 DIASTOLIC FUNCTION IN FEMALE ENDURANCE ATHLETES K. Hedman1, É. Tamás2, E. Nylander1,3 1 Division of Cardiovascular Medicine, Department of Medical and Health Sciences, University of Linköping Linköping-SWEDEN, 2Department of Cardiothoracic Surgery, Heart and Medicine Centre Linköping-SWEDEN, 3Department of Clinical Physiology, Heart and Medicine Centre Linköping-SWEDEN XXXII WORLD CONGRESS 128 september 088 ATHLETE’S RIGHT HEART: ANALYSIS OF ATRIAL CONTRACTILE FUNCTION AND SYSTOLIC AND DIASTOLIC VENTRICULAR FUNCTION T. Hugues1, K. Yaici1, N. Saoudi1, P. Gibelin2 1 089 Hopital Princesse Grace Monaco-MONACO, 2CHU Pasteur Nice-FRANCE ASSESSMENT OF VENTRICULAR FUNCTION USING TISSUE DOPPLERDERIVED MYOCARDIAL PERFORMANCE INDEX IN HIGHLY TRAINED ATHLETES L. Maskhulia, Z. Kakhabrishvili, K. Chelidze, V. Akhalkatsi, T. Chutkerashvili Clinical Centre of Sports Medicine and Rehabilitation, Tbilisi State Medical University, Tbilisi-GEORGIA 090 THE EFFECT OF NEUROFEEDBACK TRAINING ON THE TRAIT-COMPETITIVE ANXIETY OF ATHLETES M. Keihani1, P. Hashemian2, A. Miri Far1 1 091 Azad University Mashhad-IRAN, 2University of Medical Sciences Mashhad-IRAN GYNECOLOGICAL FEATURES OF THE BRAZILIAN FEMALE ATHLETE PARTICIPATING IN THE PAN AMERICAN GAMES - GUADALAJARA 2011 T. Parmigiano1, A. Lopes2,3, J. Grangeiro3, G. Campos3, C. Guindalini4, R. Castro5, M. Girao5, M. Cohen1 1 SUNDAY Department of Sports Medicine, Federal University of Sao Paulo -UNIFESP- Sao PauloBRAZIL, 2University of the City of Sao Paulo Sao Paulo-BRAZIL, 3Brazilian Olympic Comittee-COB- Rio de Janeiro-BRAZIL, 4Department of Psychobiology, Federal University of Sao Paulo Sao Paulo-BRAZIL, 5Department of Gynecology, Federal University of Sao Paulo Sao Paulo-BRAZIL 30 of SPORTS MEDICINE 129 s u n d a y, 3 0 092 FOLLOW-UP OF ASYMPTOMATIC ATHLETES WITH LEFT CIRCUMFLEX ORIGINATING FROM THE RIGHT SINUS OF VALSALVA IDENTIFIED AT PREPARTECIPATION SCREENING V. Pescatore1, E. Brugin1, S. Compagno1, M.P. Vettori1, S. Calamelli2, M. Perazzolo Marra3, C. Basso4, G. Thiene4, D. Noventa1, F. Giada1 1 Sport Medicine Unit, Cardiovascular Department, P.F. Calvi Hospital Noale (VE)-ITALY, Cardiology Unit, Cardiovascular Department, Mirano Hospital Mirano (VE)-ITALY, 3 Cardiology Unit, Cardiological, Thoracic and Vascular Science Department, University of Padua Medical School Padova-ITALY, 4Cardiovascular Pathology, Cardiological, Thoracic and Vascular Science Department, University of Padua Medical School Padova-ITALY 2 093 INCIDENCE OF SUDDEN CARDIAC DEATH IN MINNESOTA HIGH SCHOOL ATHLETES 1993-2010 W. Roberts University of Minnesota Minneapolis-USA 094 FUNCTIONAL ABILITIES OF AMATEUR SPORTSMEN S. Rozenstoka1, A. Lace1, A. Erglis2, S. Rinkule2, J. Raibarts2 1 Sports Laboratory, Physical Health Centre Riga-LATVIA, 2Riga Stradins University Riga-LATVIA 095 PREVALENCE OF BACK PAIN IN DIFFERENT AGE AND SKILL LEVELS IN YOUTH SOCCER A. Schneider1, U. Geißler1, C. Schneider1, T. Schuster2, H.M. Mayer1,3 1 Schön Klinik München Harlaching, Back Institute, FIFA Medical Centre of Excellence München-GERMANY, 2Tu München, IMSE-Institute for Medical Statistics and Epidemiology-München-GERMANY, 3PMU Salzburg Salzburg-AUSTRIA XXXII WORLD CONGRESS 130 september 096 SOME FINDINGS OF PRE-PARTICIPATION SCREENING OF YOUNG FOOTBALL PLAYERS IN GEORGIA T. Svanishvili1, E. Tataradze1, N. Chabashvili1, Z. Sopromadze1, Z. Kakhabrishvili1, E. Chumburidze2, T. Adamia3 1 Department of Medical Rehabilitation and Sports Medicine, Tbilisi State Medical University, Tbilisi-GEORGIA, 2Medical-Diagnostic Center City-Sport, Ltd Tbilisi-GEORGIA, 3 Rehabilitation Clinic Sport and Health, Ltd Tbilisi-GEORGIA 098 A REVIEW OF MRI OUTCOMES AT NEWCASTLE UNITED FOOTBALL CLUB 2011/12 R. Middleburgh1, P. Catterson2 1 Newcastle University Medical School Newcastle Upon Tyne-UNITED KINGDOM, 2Medical Department Newcastle Upon, Newcastle United Football Club, Tyne-UNITED KINGDOM 099 THE EFFECT OF CARBON DIOXIDE RICH WATER BATHING ON THE MYOD FAMILY PROTEINS AFTER MUSCLE INJURY K. Nonaka1, J. Akiyama2, N. Tatsuta2, S. Une3 1 Department of Physical Therapy, Osaka Prefecture University, Osaka-JAPAN, 2Helth Welfare Laboratory, Kibi International University, Okayama-JAPAN, 3Department of Practice of Life Science, Shujitsu Junior College, Okayama-JAPAN DELAYED ONSET MUSCLE SORENESS: LITTERATURE REVIEW J. Coudreuse1, C. Nicol2 1 101 University Hospital Marseille-FRANCE, 2STAPS Luminy Marseille-FRANCE NEW TECHNOLOGIES IN SPORTS MEDICINE: AN ADVANCED DECELLULARIZED DERMIS INTENDED FOR SUPPLEMENTAL SUPPORT AND COVERING FOR SOFT TISSUE REPAIR G. La Delfa1, M. Rosa3, G. Bertasi2 1 Internal Medicine, Sports Science and Wellness, University Kore of Enna, Enna-ITALY, Dept. of Bioingeneering, University of Padua, Padua-ITALY, 3Regional Committee FMSI Sicily-ITALY 2 of SPORTS MEDICINE 131 SUNDAY 100 30 s u n d a y, 3 0 102 PREVALENCE OF AND ATTITUDES TO CONCUSSION IN IRISH SCHOOLS RUGBY UNION PLAYERS S. Delahunty1, E. Delahunt1,2, B. Condon1, D. Toomey1, C. Blake1 1 School of Public Health, Physiotherapy and Population Science, University College Dublin Dublin-IRELAND, 2Institute for Sport and Health, University College Dublin Dublin-IRELAND 103 PREVENTION AND KNOWLEDGE CONCERNING FIRST-AID AFTER DENTAL INJURY AMONG POLISH BOXERS AND THEIR COACHES E. Gazda, K. Emerich Department of Paediatric Dentistry, Medical University of Gdansk Gdansk-POLAND 104 ASSOCIATIONS BETWEEN OBJECTIVELY-MEASURED SEDENTARY TIME AND CARDIOMETABOLIC RISK IN BOYS AND GIRLS E. Marques, A.N. Pizarro, J.C. Ribeiro, J. Mota, M.P. Santos Faculty of Sport Science, University of Porto, Research Centre in Physical Activity, Health and Leisure Porto-PORTUGAL 105 THE INFLUENCE OF PLANTAR VAULT SHAPE ON ANKLE SPRAIN EPIDEMIOLOGY IN VOLLEYBALL: PRELIMINARY RESULTS G. Monteleone, A. Tiloca, R. Sorge, G. Paci, M. Marzella, M. De Iacovo Department of Preventive Medicine, Diagnostics and Integrated Therapy Rome-ITALY 106 THE COMPARISON OF INCIDENCE, CAUSES AND CONSEQUENCES OF INJURIES BETWEEN ELITE AND AMATEUR WOMEN KUNG FU PLAYERS L. Nazali1, M. Faramarzi2, E. Banitalebi3 1 The Member of Federation of Kung Fu of Iran Shiraz-IRAN, 2Physical Education Department, Faculty Member of Humanistic Sciences College, Shahrekord University Shahrekord-IRAN, 3University of Shahrekord, Shahrekord-IRAN 107 PHYSICAL ACTIVITY, DIET AND PREVENTION OF BREAST CANCER A. Pulcini, F. Safoue, G. Naso, R. Verna, F. Stio, G. Patrizi, A. Redler Sapienza University of Rome Rome-ITALY XXXII WORLD CONGRESS 132 september 108 INFLUENCE OF SWIMMING TO EXHAUSTION ON OXIDATIVE STRESS GENERATION AND ANTIOXIDANT DEFENCE IN GUINEA PIGS I. Radic1, L. Popovic1, D. Miric2, N. Mitic1, B. Kisic2, T. Djokic1 1 Department of Pathophysiology, University of Pristina, Medical School Kosovska Mitrovica-SERBIA, 2Department of Biochemistry, University of Pristina, Medical School Kosovska Mitrovica-SERBIA 109 TENSILE FORCE OF KNEE LIGAMENTS FROM ROUNDHOUSE KICK EXECUTION S. Sasimontonkul Faculty of Sports Science, Kasetsart University Bangkok-THAILAND 110 BACK PAIN IN YOUTH FEMALE SOCCER PLAYERS A. Schneider1, U. Geißler1, C. Schneider1, T. Schuster2, H.M. Mayer1,3 1 Schön Klinik München Harlaching, Back Institute, FIFA Medical Center of Excellence München-GERMANY, 2Tu München, IMSE-Institute for Medical Statistics and Epidemiology München-GERMANY, 3PMU Salzburg Salzburg-AUSTRIA 111 RISK FATTORS IN PARTICIPANT OF WORLD BIKE TOUR M. Beneti1, A. Sierra1, E. Gabriel2, F. Bastos1 1 University of Sp, Eefe São Paulo-BRAZIL, 2University Nove de Julho São PauloBRAZIL 112 MEDICATION AND NUTRITIONAL SUPPLEMENT USE BY MEXICAN DISABLED ELITE ATHLETES R. Salas Romero1, A. Pegueros Perez1, H. Martinez Meléndez2, J. Herrera-Navarro2 Instituto Nacional de Rehabilitación D.F.-MEXICO, 2Comisión Nacional de Cultura Física y Deporte D.F.-MEXICO 113 SUNDAY 1 30 MEDICAL COUNSELING TO DRUG ABUSERS IN SPORTS VIA AN INTERNET WEB SITE IN THE POINT OF ANTI-DOPING IN 2010 M. Takahashi, Y. Tatsugi, T. Kohno International Budo University Katsuura-JAPAN of SPORTS MEDICINE 133 s u n d a y, 3 0 114 PHYSIOLOGICAL AND NEUROMUSCULAR EFFECTS OF REPEATED SPRINTS TRAINING IN FUTSAL PLAYERS F. Arins, P.C. Nascimento, R.D. De Lucas, L.G.A. Guglielmo Federal University of Santa Catarina Florianópolis-BRAZIL XXXII WORLD CONGRESS 134 september POSTER SESSION 4 10.30-11.30 Chairmen: S. Frizzera (ITALY); M. Pinedo (DOMENICAN REPUBLIC) 115 TESTOSTERONE, CORTISOL AND T/C RATION DURING A WRESTLING COMPETITION OF ELITE BRASILIAN ATHLETES I. Balen, B. Keller, K.M. Kuczynski, A.M.B. Silva, R.W. Coelho Federal University of Paraná Curitiba-BRAZIL 116 HEART RATE VARIABILITY AND ACUTE MOUNTAIN SICKNESS DURING THE ACCLIMATIZATION PERIOD OF ALTITUDE TRAINING CAMP IN ELITE SWIMMERS C. Calderon-Soto1, A. Morales3, F. Rodríguez2, X. Iglesias2, B. Feriche3, J. Vazquez2, L. Rodríguez-Zamora2, A. Barrero2, E. Hynynen4 1 Altitude Training Centre Sierra Nevada, Granada-SPAIN, 2INEFC-University of Barcelona Barcelona-SPAIN, 3FCAFD, University of Granada Granada-SPAIN, 4Kihu Research Institute for Olympic Sports Jyväskylä-FINLAND 117 AEROBIC AND ANAEROBIC CAPACITY OF ADULT AND YOUNG ELITE SOCCER PLAYERS L. Angius1, S. Olla1, M. Pinna1, E. Marongiu1, S. Roberto1, F. Corona2, F. Piras3, R. Mura3, M. Scorcu3, R. Milia1, F. Tocco1, A. Concu1, A. Crisafulli1 Sport Physiology Lab, University of Cagliari Cagliari-ITALY, 2Regional School of Sport of Sardinia, Italian Olympic Committee Cagliari-ITALY, 3Cagliari Calcio Medical Staff Cagliari-ITALY 118 THE INFLUENCE OF REPLICA RUNNING SHOES UPON GROUND REACTION FORCE DURING RUNNING A. Da Silva Azevedo, B. Mezencio, J.G.O. Claudino, J.P.S.F.M. Pinho, R.M. Andrade, A.C. Amadio, J.C. Serrão School of Physical Education and Sport, University of São Paulo, Laboratory of Biomechanics São Paulo-BRAZIL of SPORTS MEDICINE 135 SUNDAY 1 30 s u n d a y, 3 0 119 CHARACTERISTICS OF PLANTAR PRESSURE DISTRIBUTION DURING RUNNING WEARING REPLICA RUNNING SHOES A. Da Silva Azevedo, B. Mezencio, J.G.O. Claudino, J.P.S.F.M. Pinho, R.M. Andrade, A.C. Amadio, J.C. Serrão School of Physical Education and Sport, University of São Paulo, Laboratory of Biomechanics São Paulo-BRAZIL 120 FATIGUE, LEG STIFFNESS AND KINEMATICS JOINTS CHANGES DURING 30 S STRETCH-SHORTENING CYCLE EXERCISE J. Dal Pupo, R.G. Gheller, S.G. Dos Santos Federal University of Santa Catarina Florianópois-BRAZIL 121 EMG OF LOWER LIMBS MUSCLES DURING THE BACKSTROKE SWIMMING START K. De Jesus1, K. De Jesus1, P. Figueiredo1, P. Gonçalves1, S.M. Pereira2, J.P. Vilas-Boas1, R.J. Fernandes1 1 CIFI2D-Faculty of Sport and Porto Biomechanics Laboratory, University of Porto Porto-PORTUGAL, 2CEFID-State University of Santa Catarina Florianópolis-BRAZIL 122 BIOMECHANICAL ANALYSIS OF THE IMPACT MAGNITUDE DURING JUMP THROW LANDING IN HANDBALL PLAYERS D. Detanico, T. Piucco, S.G. Santos Federal University of Santa Catarina Florianópolis-BRAZIL 123 RELIABILITY OF CARMINATTI’S TEST IN YOUNG SOCCER PLAYERS J. Fernandes Da Silva, A. Santiago Teixeira, L. Jose Carminatti, P. Cesar Nascimento, M. Chang Wayhs, L.G. Antonacci Guglielmo Federal University of Santa Catarina Florianópolis-BRAZIL 124 VO2 ON AND OFF TRANSIENT KINETICS DURING TIME TO EXHAUSTION AT VO2 MAX IN TRIATLETES P. Figueiredo1, A. Sousa1, G. Queiroz2, J. Brito1, T. Henriques-Coelho3, J.P. Vilas-Boas1, R.J. Fernandes1, J. Monteiro2 1 CIFI2D-Faculty of Sport, University of Porto Porto-PORTUGAL, 2Requimte, Laboratory of Pharmacology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto Porto-PORTUGAL, 3Department of Physiology, Faculty of Medicine, University of Porto Porto-PORTUGAL XXXII WORLD CONGRESS 136 september 125 DETERMINANT FACTORS OF THE 200M FREESTYLE P. Figueiredo1, J. Monteiro2, J.P. Vilas-Boas1, R.J. Fernandes1 1 CIFI2D-Faculty of Sport, University of Porto & Porto Biomechanics Laboratory, University of Porto Porto-PORTUGAL, 2Requimte-Farma, Faculty of Pharmacy, University of Porto Porto-PORTUGAL 126 MORPHO-PHYSIOLOGICAL CHARACTERISTICS OF SOCCER PLAYERS OF MACEDONIAN NATIONAL TEAM U17 Z. Handziski1, E. Handziska2, M. Milenkova1 1 Pzu Kineticus-Sports Medicine and Exercise Science Skopje-FORMER YUGOSLAV REPUBLIC OF MACEDONIA, 2Institute of Physiology, Medical Faculty, Un.st. Kiril and Metodij Skopje-FORMER YUGOSLAV REPUBLIC OF MACEDONIA 127 AMOUNT OF SUBCUTANEUS ADIPOSE TISSUE AND ITS IMPACT ON FREQUENCY OF SOCCER PLAYERS INJURIES B. Haxhiu, A. Murtezani, H. Hundozi, S. Rrecaj, M. Martinaj University Clinical Center of Kosovo Prishtina-KOSOVO 128 ACUTE EFFECT OF VARIOUS STRENGTH EXERCISE ON SKELETAL AND MYOCARDIAL MUSCLE DAMAGE S. Hazar1, A.E. Erol2 1 Nigde University School of Physical Education and Sports Nigde-TURKEY, 2Gazi University School of Physical Education and Sports Ankara-TURKEY RELATIONSHIP BETWEEN BODY COMPOSITION AND PHYSICAL PERFORMANCE: STUDY FROM THE YOUNG ATHLETES L. Kalnina1,2, I.S. Priedite1, G. Selga3, T. Timpka4, O. Dahlstrom4, R. Ligere2 1 Sports Medicine State Agency Riga-LATVIA, 2University of Latvia, Riga-LATVIA, 3Riga Stradins University Riga-LATVIA, 4Linköping University Linkoping-SWEDEN 130 SUNDAY 129 30 PSYCHODYNAMIC TRAINING GROUP FOR BADMINTON ATHLETES M. Laquale1, G. Lassandro1,2, A. Miglietta1, D. Accettura2 1 Federazione Italiana Badminton Rome-ITALY, 2Associazione Medico Sportiva di Bari, FMSI Bari-ITALY of SPORTS MEDICINE 137 s u n d a y, 3 0 131 VISUAL TRACKING STRATEGY DURING BASEBALL HITTING Y. Liu Chung Hua University Hsin-Chu-TAIWAN 132 THE IMMEDIATE EFFECTS OF FOOT ORTHOSES WITH MEDIAL WEDGE IN BALANCE FOR SUBJECTS WITH CHRONIC ANKLE INSTABILITY C. Lo Cheng Ching General Hospital Taichung-TAIWAN 133 EIGHT WEEK PREPARATORY TRAINING PROCESS FOR THE BALKAN KICK BOX VICE-CHAMPION V. Maleska Ivanovska1, O. Bojcheski2, M. Bojcheska3, H. Kica4 1 Dept. of Physiology and Anthropology Skopje-FORMER YUGOSLAV REPUBLIC OF MACEDONIA, 2Phi Zdravstven Dom Struga-FORMER YUGOSLAV REPUBLIC OF MACEDONIA, 3 Medical High School Struga-FORMER YUGOSLAV REPUBLIC OF MACEDONIA, 4Faculty of Physical Education Tetovo-FORMER YUGOSLAV REPUBLIC OF MACEDONIA 134 THE MUSCULAR PROFILE IMPROVEMENT AFTER MEDIUM ALTITUDE EXERCISE TRAINING IN YOUNG TENNIS PLAYERS P. Merghes1, L. Mesina2, C. Avram2, B. Almajan-Guta3 1 Agricultural Sciences and Veterinary Medicine University of Banat TimisoaraROMANIA, 2West University of Timisoara Timisoara-ROMANIA, 3University Politehnica Timisoara Timisoara-ROMANIA 135 THE IMPORTANCE OF INITIAL FORCE AND ITS RELATIONSHIP WITH THE DIFFERENT FORCE MANIFESTATIONS ARISING FROM THE FORCE-TIME CURVE A. Morales Artacho1, J. Garcia-Manso2, T. Valverde Esteve3, A. Perez-Guerra2, J.M. Martín Gonzalez2, D. Rodriguez Ruiz2 1 University of Granada Granada-SPAIN, 2University of Las Palmas de Gran Canaria Las Palmas de Gran Canaria-SPAIN, 3Catholic University of Valencia-SPAIN 136 INFLUENCE OF THE PROTOCOL IN POWER OUTPUT DURING DIFFERENT PROGRESSIVE LOADS A. Morales Artacho, B. Feriche Castanys, J. Bonich-Dominguez, F. Almeida, A. Garcia, P. Padial University of Granada Granada-SPAIN XXXII WORLD CONGRESS 138 september 137 COMPARISON OF SWIMMING KINEMATICAL PARAMETERS AT AND ABOVE THE MAXIMAL LACTATE STEADY STATE J. Pelarigo1,2, R. Nazario1, M. Sousa1, P. Figueiredo1,2, J. Ribeiro1,2, J. Vilas-Boas1,2, R. Fernandes1,2 1 CIFI2D-Faculty of Sport, University of Porto Porto-PORTUGAL, 2LABIOMEP-Porto Biomechanics Laboratory, University of Porto Porto-PORTUGAL 138 THE IMPORTANCE OF CONDITIONING FOR PERFORMANCE IN SOCCER R. Reer, D. Stein, K. Wellmann, K.M. Braumann Institute for Sports Medicine, University of Hamburg Hamburg-GERMANY 139 AEROBIC CAPACITY RECOVERY FROM A MARATHON RUN A. Rennó Sierra1, M. Benetti1, A. Ferraz2, R. Meneghelo2, R. Francisco2, G. Dioguardi2, N. Ghorayeb2, E. Gabriel3, M.A. Kiss1 1 University of São Paulo, Eefe São Paulo-BRAZIL, 2Dante Pazzanese Institute of Cardiology São Paulo-BRAZIL, 3University Nove de Julho São Paulo-BRAZIL 140 INCIDENCE OF INJURIES IN YOUNG PORTUGUESE FUTSAL PLAYERS: COMPARATIVE EXPLORATORY STUDY WITH THE FOOTBALL J. Serrano1, S. Shahidian1, P. Carús1, R. Voser2, N. Leite3 1 Universidade de Évora Évora-PORTUGAL, 2Universidade Federal do Rio Grande do Sul, Rio Grande do Sul-BRAZIL, 3Universidade de Trás-os-Montes e Alto Douro Vila RealPORTUGAL 141 INCIDENCE AND INJURY RISK FACTORS IN PORTUGUESE FUTSAL PLAYERS J. Serrano1, S. Shahidian1, P. Carús1, R. Voser2, N. Leite3 Universidade de Évora Évora-PORTUGAL, 2Universidade Federal do Rio Grande do Sul Rio Grande do Sul-BRAZIL, 3Universidade de Trás-os-Montes e Alto Douro Vila Real-PORTUGAL 142 GROSS EFICIENCY IN INCREMENTAL CYCLING EXERCISE A. Sousa1, R.J. Fernandes1, J.P. Vilas-Boas1, J. Monteiro2, J. Brito1, T. Henriques-Coelho3, G. Queiroz4, P. Figueiredo1 SUNDAY 1 30 1 CIFI2D-Faculty of Sport, University of Porto Porto-PORTUGAL, 2Requimte, Faculty of Pharmacy, University of Porto Porto-PORTUGAL, 3Department of Physiology, Faculty of Medicine, University of Porto Porto-PORTUGAL, 4Requimte, Laboratory of Pharmacology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto Porto-PORTUGAL of SPORTS MEDICINE 139 s u n d a y, 3 0 143 ANAEROBIC THRESHOLD IN CYCLING: COMPARISON BETWEEN METABOLIC AND VENTILATORY METHODS A. Sousa1, R.J. Fernandes1, J.P. Vilas-Boas1, J. Monteiro2, J. Brito1, T. Henriques-Coelho3, G. Queiroz4, P. Figueiredo1 1 CIFI2D-Faculty of Sport, University of Porto Porto-PORTUGAL, 2Requimte, Faculty of Pharmacy, University of Porto Porto-PORTUGAL, 3Department of Physiology, Faculty of Medicine, University of Porto Porto-PORTUGAL, 4Requimte, Laboratory of Pharmacology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto Porto-PORTUGAL 144 INFLUENCE OF BREATHING FREQUENCY RESTRICTION ON SWIMMING PERFORMANCE M. Tampaki, A. Theos, A. Mitropoulos, G. Tsigganos, M. Maridaki Department of Physical Education and Sports Science Athens-GREECE 145 ANTHROPOMETRY IN MACEDONIAN SENIOR FOOTBALL AND BASKETBALL PLAUERS L. Todorovska1, V. Malevska1, E. Sivevska1, S. Nikolic1, L. Efremovska1, J. Pluncevic1, I. Karadjozova1, N. Nikolovska1, V. Zivkovic2 1 Departmen of Physiology and Anthropology, Medical Faculty Skopje-FORMER YUGOSLAV REPUBLIC OF MACEDONIA, 2Faculty of Sport Skopje-FORMER YUGOSLAV REPUBLIC OF MACEDONIA 146 EFFECTS OF PEDAL LOAD-AND FREQUENCY-INCREMENTAL EXERCISES IN OXYGEN UPTAKE AND MUSCLE ACTIVITIES DURING CYCLING M. Tokui1, T. Migita2, K. Hirakoba3 1 Kyushu Kyoritsu University Kitakyushu-Shi-JAPAN, 2Kurume University Kurume-ShiJAPAN, 3Kyushu Institute of Technology Kitakyushu-Shi-JAPAN 147 YOUTH SOCCER PLAYERS, U12 TO U20: EPIDEMIOLOGIC STUDY OF INJURIES C. Tourny1, S. Sangnier2, R. Langlois1, T. Cotte2 1 CETAPS EA 3832 Rouen-FRANCE, 2Soccer Professional Club Saint Etienne-FRANCE XXXII WORLD CONGRESS 140 september 148 INTRA-SET REST EFFECT IN BENCH PRESS REPETITIVE POWER CAPACITY T. Valverde Esteve1, J.M. Garcia-Manso2, A. Pérez-Guerra2, A. Morales3, F. Castillo2, A. Pablos2 1 Catholic University of Valencia San Vicente Mártir Valencia-SPAIN, 2University of Las Palmas de Gran Canaria Las Palmas de Gran Canaria-SPAIN, 3University of Granada Granada-SPAIN 149 PHYSICAL TEST FOR GRECO-ROMAN WRESTLER (18-20 YEARS) OF NATIONAL ALBANIA TEAM Z.SH. Zylfi Shesu1, A.H. Avni Hasa2, P.F. Perparim Ferunaj3, D.A. Dritan Adili4, B.E. Bejtulla Emini4, L.B. Lirim Bajrami4 1 University of Sports Tirana-ALBANIA, 2Wrestling Federation Tirana-ALBANIA, 3Faculty of Physical Activity and Recreation, University of Sports Tirana-ALBANIA, 4High School Drita Kichevo-FORMER YUGOSLAV REPUBLIC OF MACEDONIA 150 EFFECT OF NOVEL NASAL DEVICE IN ROWERS C. Di Lieto1, M. Rizzo2, D. Granata3, S. Crisostomi2, G. Ceroni Compadretti1, R. Senaldi4, I. Tasca1, A. Spataro2 1 Department of Otorhinolaryngology, Imola Hospital Imola-ITALY, 2Italian Rowing Federation ITALY, 3Sport Medicine and Science Institute of Rome, CONI Rome-ITALY, 4 Sport Medicine Institute of Bologna Bologna-ITALY 151 GARBAGE COLLECTOR THROUGH AN INTERVENTION OF PHYSICAL ACTIVITY L. Le, D. Andrade USP São Paulo-BRAZIL PREVALENCE OF POSTURAL IMPAIRMENTS IN IRANIAN 6-14 YEARS OLD GIRLS AND BOYS M. Mirzarah Koushki, H. Montazeri Taleghani, N. Rezaeian SUNDAY 152 Department of Physical Education, Tehran University of Medical Sciences Tehran-IRAN of SPORTS MEDICINE 141 30 sunday, 30 september 153 THE INCIDENCE OF SUDDEN DEATH AND MEDICAL COMPLICATIONS DURING DISTANCE RUNNING - A COHORT STUDY OVER 3 YEARS K. Schwabe, M. Schwellnus, W. Derman Clinical Sport and Exercise Medicine Research Group UCT/MRC Research Unit for Exercise Science and Sports Medicine Department of Human Biology University of Cape Town, SOUTH AFRICA 154 BASELINE LABORATORY PARAMETER MODIFICATIONS ARE ASSOCIATED TO THE TRAINING RATE IN AMATEUR AND ELITE ATHLETES R. Verna1, R. Zenobi2, M. Murdocca2, M.G. Giganti2 1 Center for Sports Medicine and Management, Sapienza University of Rome-ITALY, Dept. of Clinical Sciences and Translational Medicine, Tor Vergata University RomeITALY 2 155 METODOLOGY THEORICAL PRINCIPLE, ORIENTATION, LEARNING, MEDICINE OF THE SPORT, MEDICINE, STRATEGIES AND PERFORMANCE O.R. Reyes Morales Medical University of Carabobo, Valencia-VENEZUELA, Centro de Investigaciones Ergologicas, Unidad de Investigacion Calidad, Valencia-VENEZUELA 156 INJURY PREDICTION IN VOLLEYBALL PLAYERS A. Shihab Sultan Qaboos University, OMAN 157 THE TRASDISCIPLINARY OF THE MEDICINE OF THE SPORT S.P. Stracuzzi1, H.P. Stracuzzi1, O. Reyes Morales2 1 Division of Programming and Evaluation of the DIP; 2Medical University of Carabobo, Valencia-VENEZUELA XXXII WORLD CONGRESS 142 authors’ index of SPORTS MEDICINE A Abad C. 27 Abdelfattah A. 11 Abderraouf B. 36, 75 Abdollahi N. 102 Abrantes C. 86 Abtahinia A. 8, 28 Accettura D. 66, 137 Acimovic T. 127 Ada A. 9, 83 Adala H. 28 Adami P.E. 79, 83 Adamia T. 131 Adamo S. 15 Adero W. 21 Aftosmidis D. 100, 104 Afzalpour M. 48, 57 Aggeo T. 87 Aghayari A. 41 Agnello L. 21 Agostinelli E. 94 Agostinho F. 46 Ahangarpour A. 124 Ahlgrim C. 36 Ahmadi H. 92 Ahmadi M. 72 Ahmadizad S. 20 Ahmet Agaoglu S. 123 Aibast H. 21 Aido R. 12, 25 Aita L. 17 Aivars I. 9 Akalan C. 36, 104 Akbarpour M. 35 Akca F. 36, 104 Akhalkatsi V. 129 Akhoond M. 72 Akiyama J. 111, 131 Al Shehhi M. 47 Alaseirlis D. 10, 31, 99, 115 Alavi F. 8, 28 Alavi K. 35 Alavi S. 96 Albanese C. 65 Albayrak Yildiz S. 124 Albertengo D.J. 14 Albuquerque Drummond F. 48 Albuquerque J. 120 Alejandro R. 84 Ali A. 63 Alice B. 10 Alis R. 76, 93 Almajan-Guta B. 120, 138 Almeida F. 138 Aloe M. 14 Alpini D. 83 Altintas A. 122 Alvarenga R. 32 Álvarez Piñera L. 90 Alves F. 59 Amabile L. 94 Amaddeo P. 70 Amadio A.C. 70, 105, 117, 120, 125, 135, 136 Amaral M. 105 Amca A. 111 Amendola F. 66 Amendola M. 66 Amendola V. 66 Amin A. 104 Ammendolia A. 79 Ammirati A. 30 Anania G. 55 Anastasopoulos N. 12 Ancelotti D. 40 Anders C. 118 Andjelkovic M. 17, 61, 62, 71, 104, 126 Andrade D. 141 Andrade R.M. 70, 87, 105, 120, 125, 135, 136 Anedda A. 40, 56, 115 Angelini F. 27, 39 Angius L. 64, 75, 76, 135 Angoorani H. 35 Ansari M. 44 Antevska V. 29, 100 Antic M. 65 Antic N. 65, 127 Antic T. 61, 62, 71, 104, 126 Antona C. 29, 32 Antonacci Guglielmo L.G. 38, 136 Antonenko S. 123 Aoki M. 27 Aparicio J.L. 14 Aparicio V.A. 69, 89, 96 Apaydin A. 10 Aquino L. 41 Arab Ameri E. 78 Arabameri E. 103 Aranda P. 69, 96, 109 Aras D. 104 Araszkiewicz A. 95 Arduini A. 76 Arins F. 134 Ariza-Garcia A. 14, 15 Armentano S. 13 Arroyo-Morales M. 14, 15 Arshad P. 31 XXXII WORLD CONGRESS 144 B Baboghluian M. 98, 100 Bachis V. 20 Baghaki A. 87 Baglietto M. 101 Baldari C. 35 Balen I. 56, 106, 135 Balestrini F. 51 Banitalebi E. 97, 132 Baquero R. 116 Baracchi S. 98 Baralic I. 61, 126 Barati A. 41 Barbosa A. 116 Barbosa Filho V.C. 122 Barbosa T. 72 Barbosa T.M. 74 Barrero A. 135 Bartesaghi M. 33, 43, 67 Bartoletti S. 90, 98 Bartolini A. 55, 60 Bartolomé De La Rosa D. 103 Bartolomé De La Rosa D. 90 Barudzic N. 23 Basaglia N. 9, 24 Basford J. 117 Basile G. 14 Basilico F. 31 Baskak B. 82 Basso C. 130 Basson A. 121 Basterra J. 76 Bastos F. 133 Batista J. 81 Battistini G. 49, 55, 56, 59 Battistini S. 56 Baum D.M. 28 Bayat N. 88 Bayraktar B. 112 Beckert J. 59, 99 Beere L. 112 Behm D. 106 Behrens K. 77 Bejtulla Emini B.E. 141 Bellavia D. 22 Bellavista E. 58 Bellemans J. 35, 69 Belloni R. 68 Bellucci E. 99 Beltran Valls M. 58 Beltran Valls R. 16 Belviranli M. 127, 128 Ben Halima A. 28 Ben Ounis O. 36, 75 Benelli P. 60, 83 Beneti M. 133 Benetti M. 139 Beretta E. 15 Beribe R.S. 14 Bermon S. 20 Bernardi E. 36, 37, 56, 66, 67, 74 Bernardi G. 72 Bernardi M. 39, 79, 83 Bertasi G. 131 Bertollo M. 39 Bertz H. 121 Beuret-Blanquart F. 111 Bianchi G. 30 Bianco A. 54 Bianco M. 13, 30, 44 Biasini V. 51 Biliciler-Denktas G. 63 Bini G. 35 Biondi S. 56 Bizzarini E. 101 Bizzi E. 10, 11 Bjelic A. 127 of SPORTS MEDICINE 145 AUTHORS’ INDEX Artells R. 20, 54 Artuso P. 105 Asci F. 122 Ashtari L. 87 Assako Ondo E.P. 13, 80, 125 Assisi E. 29, 30, 65 Asslaender L. 91 Ataei F. 48, 49, 87 Atalar E. 82 Attene G. 49, 51, 52, 71, 75, 86 Attina’ D. 15 Attisani G. 29, 37, 44 Attisani I. 44 Audrito M. 59 Augustynska B. 95 Avignon A. 26 Avila A. 116 Avni Hasa A.H. 141 Avram C. 120, 138 Avventuriera N. 98 Aydin K. 110 Aydin T. 9, 10, 83, 112 Aydogan G. 124 Azamian A. 91 Azevedo A.P.S. 70, 105, 120, 125 Azizi F. 41 Azzolini P. 94 Azzouzi F. 28 Blake C. 116,132 Blanchfield A. 104 Blasco C. 27 Blasco Herráiz E. 123, 126 Blazkiewicz A. 105 Bockmeyer C. 88 Bogdanis G.C. 42, 71, 77 Boghr Abadi V. 92, 113 Bojcheska M. 138 Bojcheski O. 138 Bollars P. 35, 69 Bolognesi D. 44, 98 Bonaccorso F. 43 Bonaiuto M. 65, 98 Boncz I. 107 Boneti Moreira N. 122 Bonetti A. 43, 56, 115 Boni G. 10, 11, 47, 52, 71, 78 Bonich-Dominguez J. 138 Bonifacino A. 8 Bonifazi M. 39 Bonuccelli A. 27 Bonyan A. 89 Boraczynski T. 95 Borrione P. 11, 13, 29, 30, 55, 78 Bosio A. 105 Botta M. 83 Bottinelli R. 24 Bouslama A. 36 Bouvard M. 64, 95 Bozic K. 100 Bragada J. 72 Brandão E. 63 Braumann K.M. 139 Bresciani G. 20, 23, 105 Briesacher M. 51 Brito J. 136, 139, 140 Britton S. 124 Brocca L. 24 Brotons A. 54 Brown M. 101, 112 Browning C. 88 Brugin E. 15, 130 Brun J. 26, 49 Brunelli A. 58 Bruzzone P. 61 Bryczkowska I. 9 Buda D. 98 Budkowska M. 9 Buglione A. 37 Bukaci L. 108 Bukilica S. 82 Bulat M. 112 Bultheel M. 45 Buonocore D. 27 Burchi F. 36 Burgos L. 116 Burgos M. 116 Burini F. 27 Burini R. 27 Burmaoglu G. 28 Busanello G. 75, 105, 119 Bustamante L. 32 Bustos L. 69 C Cafiero G. 49 Caimi G. 27 Calamelli S. 130 Calcagnile G. 50 Caldas J. 46 Calderazzi F. 44 Calderon-Soto C. 135 Calina M. 43, 61 Calligaris A. 20, 21, 103 Calo’ C. 20 Calo’ L. 30, 65 Calvetti M. 55 Calzolari A. 49 Camargo M. 116, 117 Cambell E. 24 Cameli M. 39 Cameli S. 13 Cameron L. 27 Camiletti-Moirón D. 69, 89, 96, 109 Campi S. 26 Campillo N. 54 Campos G. 53, 129 Campos W. 56, 122 Campos-Blasco M. 56, 57 Campus D. 56 Canadeo M. 57 Canavezi J. 117 Candela F. 35 Canino B. 27 Cantarero-Villanueva I. 14, 15 Cantera E. 13 Cantore I. 57 Cantore R. 95 Capodicasa A. 71 Caporossi D. 16, 58 Cappa M. 49 Cápua D.L. 120 Caputo D. 114 Caramore C. 11 Caramore P. 10 Carbonell-Baeza A. 109 Cardoso J. 46 XXXII WORLD CONGRESS 146 Ceccarelli F. 44 Ceccarelli R. 42, 72 Celani C. 79 Celebi M.M. 82 Cencic A. 93 Cerciello S. 45 Ceroni Compadretti G. 141 Cerretelli P. 42, 102 Cerulli C. 8, 41, 78 Cerutti F.E. 35 Cesar Nascimento P. 136 Cetinkalp Z. 122 Cetolin T. 38 Chabashvili N. 131 Chalançon A. 26 Chamari K. 36, 73, 75, 106, 109 Chang H.Y. 112, 113, 114 Chang L.Y. 77 Chang S. 67 Chang Wayhs M. 136 Chaouachi A. 106 Chaparoska D. 103 Chatterji T. 103 Cheang U.H. 82 Chelidze K. 129 Chemjor D. 21 Chen C.H. 105 Chen C.L. 113 Chen S. 67 Chiantaretto G. 111 Chierto E. 11 Chiofalo F. 17 Cho B. 21, 61 Choi H.C. 21, 61 Choi S. 86 Chou H.L. 53, 77 Chou P. 67 Chou Y. 67 Chryssanthopoulos C. 38, 41 Chumburidze E. 131 Chung M. 45 Church J.E. 28 Chutkerashvili T. 129 Cialfi A. 29, 32 Ciambrone R. 114 Ciccarone G. 63, 74 Çiçek G. 73, 123 Ciconelli R. 69, 91 Cillo F. 58, 62 Cimenelli E. 30 Ciminelli E. 8, 11, 13, 16, 29, 58, 78, 102 Ciottone G. 48 Cirkovic M. 82 Çisem Ünlu73 Ciuti C. 76 Claes S. 35 Claudino J.G.O. 70, 105, 120, 125, 135, 136 Claus R.A. 88 Clemente Polán C. 16 Cloete J. 121 Coclite M. 99 Coelho K. 119 Coelho R.W. 106, 135 Cofano G. 65 Cogo A. 37 Cohen M. 53, 129 Cohil Leal Y. 125 Cointry G. 32 Coiro V. 43 Coksevim B. 54 Colakoglu M. 34 of SPORTS MEDICINE 147 AUTHORS’ INDEX Carè I. 79 Caretta F. 29, 30 Caritu Y. 125 Carlomagno D. 105 Carlsson L. 58 Carlucci D. 43 Carneiro J. 63 Caroli F. 94 Carreiro A. 91 Carrillo Chargoy J. 15 Carter L.M. 47 Carús P. 139 Carvalho J. 119 Casal J. 26 Casali P.M. 24 Casalta P. 46 Casasco M. 30 Casellato R. 40 Caserotti P. 58 Castagna A. 29, 37, 44 Castagna C. 73 Castelli L. 17 Castelli S. 51 Castelli V. 65 Castellini E. 37, 38 Castillo F. 109, 141 Castro R. 53, 129 Casuso R.A. 69, 89, 96, 109 Catalano G. 15 Cataldo A. 22 Catanese S. 27, 39 Catterson P. 131 Cattozzo A. 37, 38, 40 Causarano A. 27, 39, 66 Cavaretta E. 65 Cavarretta E. 30 Cavina Varela C. 32 Colasanti F. 83 Collini G. 94 Collins M. 93 Collu G. 71 Colombo S. 29 Colozzi A. 22 Cominu M. 75 Compagno S. 130 Concu A. 40, 71, 75, 76, 97, 135 Condon B. 116, 132 Conflitti S. 13 Conforti M. 49, 50 Conic R. 65 Conte M. 58 Conte R. 98 Conti Puorger C. 84 Contini E. 11 Contino M. 32 Contrò V. 54 Cook J. 93 Coquart J. 109 Coratella G. 71, 87 Corna G. 43 Corona F. 135 Corona K. 45, 50 Corradini G. 61 Corrado G. 31 Correa A. 126 Corrias L. 20 Corsani I. 10 Corsini T. 44 Corso J. 26 Corten K. 35 Corzo Silva J. 24 Cos F. 20, 54 Coscia F. 78 Cosma G. 88, 128 Costa A.L. 87 Costa J. 12 Costa L. 120 Costa M. 72 Costalat G. 111 Costantino M.L. 59 Cotte T. 140 Coudreuse J. 92, 131 Crawford W. 103 Crisafulli A. 40, 71, 75, 76, 135 Crisostomi S. 141 Crocamo A. 115 Crudo S. 16, 79 Cruz Ferreira A. 38 Csajági E. 17 Cuesta A. 83 Cuesta C. 32 Cueto-Martin B. 56, 57 Cuevas M. 20 Cugia P. 20, 64 Cugusi L. 49, 51, 52, 86 Cupertino V. 90, 98 Curcic D. 17, 61, 62, 71, 104 D D’Addio V. 79, 102 D’Alessio A. 79, 83 D’Angelo E. 17, 123 D’Antona G. 17 D’Ascenzi F. 39 D’Ercole S. 70 D’Errico Grigioni A. 58 D’Ettorre G. 83 D’Hemecourt P. 80 D’Ottavio S. 37 D’Urbano G. 27, 39 Da Costa K. 87 Da Cruz I. 20 Da Silva Azevedo A. 135, 136 Dadgostar E. 53 Dadgostar H. 53 Dadkhah A. 78 Dadontzidi Z. 14 Dahlke K. 88 Dahlstrom O. 137 Dal Pupo J. 136 Dalmau P. 28 Damiolini A. 43 Daneshi M. 97 Daniele G. 44 Daskalaki E. 103 Dattilo A. 21 Davino M. 68 De Angelis P. 70 De Carvalho N. 23 De Castro M. 23, 75, 119 De Giacomi G. 32 De Gregorio C. 65 De Iacovo M. 19, 132 De Jesus K. 108, 136 De La Cruz-Campos A. 56, 57 De La Cruz-Campos J. 56, 57 De La Cruz-Márquez J. 56, 57 De Lisa M. 57 De Luca V. 8, 41, 78 De Lucas R.D. 134 De Paz J. 20 De Ponte F.S. 12, 47 De Ruvo E. 30, 65 De Santis C. 8 De Sario G. 66 XXXII WORLD CONGRESS 148 Di Giacinto B. 49 Di Giacinto G. 123 Di Gianfrancesco A. 11 Di Gregorio T. 44 Di Iorio A. 123 Di Legge V. 36 Di Lieto C. 141 Di Luigi L. 35 Di Mambro C. 13, 30 Di Mattia D. 29, 32, 59, 127 Di Mauro D. 18, 65, 98 Di Mauro I. 58 Di Meo F. 18 Di Paolo F. 63 di Prampero P.E. 37 Di Renzo D. 22 Di Renzo L. 128 Di Roma M. 65 Dias L. 48 Diaz-Rodríguez L. 15 Dickhuth H.H. 121 Didagelos M. 115 Dikic N. 17, 61, 62, 71, 104, 126 Diniz Lima F. 105 Dinu V. 43, 61 Dioguardi G. 139 Disalvo V. 58 Ditroilo M. 83 Djafarian K. 28, 97 Djarova T. 121 Djelic M. 127 Djokic T. 128, 133 Djordjevic B. 126 Djordjevic D. 23 Djordjevic-Saranovic S. 65 Djurovic M. 23 Dobrachinski F. 23 Dolegowska B. 9, 18 Domaniecki P. 105 Domino E. 128 Doria E. 27 Dos Santos S.G. 136 Drago F. 30 Dragomir M. 43, 61, 128 Dridi A. 106 Dritan Adili D.A. 141 Driussi C. 101 Dumas J. 26 Dumitru R. 88 Dundar M. 54 Dunlop M. 51 Durkalec-Michalski K. 96, 106 Durussel J. 103 Dutra De Souza H. 117, 121 Dutra S. 121 Dvorak J. 63 E Ebrahim K. 92 Efremovska L. 99, 123, 140 Egger F. 73 Eimari Eskandari R. 110, 124 El Khoury L. 93 El Oudghiri D. 109 Elvira L. 27 Emerich K. 132 Enescu-Bieru D. 43, 61 Erdem H. 110 Ereline J. 116 Ergen E. 82 Erglis A. 130 Ergun M. 57 of SPORTS MEDICINE 149 AUTHORS’ INDEX De Vecchi R.M. 114 De Vita F. 61 Decraene T. 80, 96 Degiovanni A. 58 Degirmencioglu Z. 84 Degortes N. 76 Dehyadegari H. 90 Dejanov P. 29, 84 Dejanov S. 84 Dejanova B. 29, 46, 99, 100 Dekhtiarov I. 12, 45 Del Moral-Avila R. 15 Del Villar A. 120 Del Villar Morales A. 33 Delahunt E. 116, 132 Delahunty S. 116, 132 Delgado-Fernández M. 109 Delic M. 82 Deligiannis A. 125 Deligiannis P. 125 Della Pace I. 23 Delmonte V. 84 Delussu A. 18 Denerel N. 57 Dentizzi C. 50 Depedri R. 87 Derman W. 142 Desantis F. 41, 78 Desrochers A. 11, 18 Detanico D. 136 Devreker T. 80, 96 Devrimci Ozguven H. 82 Di Baldassarre A. 17 Di Blasio A. 17, 22, 123 Di Donato F. 17, 123 Di Fronso S. 39 Di Giacanto G. 22 Ermida V. 46 Ernesti I. 79 Eroglu H. 28 Erol A.E. 137 Erzurumluoglu A. 28 Escobar A. 32 Estevan I. 76 Esteve H. 27 Evers R. 69 F Fabbro E. 12, 59 Fagnani F. 16 Faina M. 13, 44 Faiola F. 30, 39 Fakhari N. 49 Falco C. 76 Fallavollita L. 51 Faloni E.R. 13, 80, 115 Fan T. 67 Fantuzzi G. 58, 62 Faraggiana D. 36 Faramarzi M. 97, 132 Farhangpajouh S. 49 Fatih Kiyici74 Fattorini L. 39 Fazeli M. 87 Fedou C. 49 Felisatti M. 9, 24 Feriche B. 135 Feriche Castanys B. 138 Fernandes Da Silva J. 38, 136 Fernandes G. 120 Fernandes R. 139 Fernandes R.J. 108, 136, 137, 139, 140 Fernandes T. 119 Fernández-Lao C. 14, 15 Fernandez-Martínez A. 56 Ferrari M. 61 Ferrari P. 61 Ferraz A. 139 Ferrazza A. 30 Ferreira A.P. 119 Ferreira E.P. 117 Ferreira J. 105 Ferreira J.C. 125 Ferrero G. 12, 59 Ferri A. 10, 11, 100 Fighera M. 23, 75, 105, 119 Figueiredo P. 108, 136, 137, 139, 140 Figueroa M. 56, 57 Filipce V. 29 Filliard J. 101 Fincati F. 59 Finch M. 117 Fintini D. 49 Fiorin F. 75, 105, 119 Firsakova V. 98 Fischer J. 62 Fogarizzu E. 56 Fogli M. 66 Folchi E.R. 125 Folliero A. 117 Fondacaro V. 128 Fonseca V. 99 Fontana F. 59 Fontes Ribeiro C.A. 38 Ford J. 107 Forjaz C. 120 Fortin J.L. 26 Foza V. 38 Fradi I. 28 Francavilla G. 45, 67 Franceschi C. 58 Francisco R. 139 Franco G. 120 Franco J. 120 Franco Sánchez G. 19 Franzoni F. 72 Fraschini D. 100 Freitas A. 99 Freno C. 12 Frittelli P. 8 Frizzera S. 73, 135 Fu F.H. 48 Fugazzotto D. 18 Fujiwara Y. 111 Fukada K. 106 Fuku N. 21, 122 Furukawa T. 34 G Gabriel E. 133, 139 Gagliardi J. 120 Gagnon D. 11, 18 Gaita D.I. 120 Galanti G. 10, 37, 38, 40, 52, 55, 60, 64, 74 Galetta F. 72 Galhasso L. 120 Galiano-Castillo N. 14, 15 Gallina S. 17 Gallotta M.C. 35 Gallucci G. 57 Galtieri E. 59 Galvan K. 58, 62 Gambarara D. 102 Gandolfi P. 17 XXXII WORLD CONGRESS 150 Ghoreishi S. 20 Ghoul N. 72 Giacometti A. 56 Giada F. 15, 98, 130 Gianfelici A. 13 Giannini D. 10, 11 Giannini S. 13, 52, 80, 115, 125 Giardina E. 89 Giardini G. 22 Gibelin P. 80, 129 Gielen J. 78 Giganti M.G. 142 Giglio V. 22 Gigliotti P.V. 78 Gimigliano F. 30 Gioffredi A. 63 Giordano U. 49 Giorgi A. 39 Giorgiano F. 44 Giossos I. 107 Giovanetti G. 17 Girao M. 53, 129 Girelli L. 55 Gismondi M. 8, 114 Glaros H. 104 Gmeiner G. 103 Godoy C. 106 Goebel R. 72 Gokbel H. 127, 128 Gokdemir K. 36 Goldoni M. 115 Gollhofer A. 91, 102, 121 Gomis Bataller M. 54 Gonçalves P. 136 Gonzalez M. 58, 62 González-Gallego J. 20 Goodarzi S. 113, 116 Gori N. 10, 55, 60 Gouchi K. 34 Grace J. 107 Graci C. 36 Gradisnik L. 93 Gradzka E. 110 Granata D. 141 Granatelli G. 37 Grangeiro J. 53, 129 Grasso G. 15 Grasso L. 11, 55 Graziani F. 92 Grazioli E. 8, 78 Grazzi G. 36, 56, 74, 94 Grazzini G. 74 Greco L. 79 Grego S. 52 Grillo G. 101 Grimminger E. 91 Griner R. 94 Grochowska J. 110 Grossgasteiger S. 73 Grossi A. 84 Grossi G. 36, 56, 74, 94 Guardascione C. 105 Guarracini F. 30, 65 Guerra E. 8, 16, 30, 51, 65, 78, 102 Guglielmo L.G.A. 134 Guidetti L. 35 Guidotti E. 72 Guimaraes R. 56, 122 Guindalini C. 53, 129 Guiraudou M. 26, 49 Guleda Can Burmaoglu 74 Gümüsdag H. 73 of SPORTS MEDICINE 151 AUTHORS’ INDEX Ganzit G.P. 69, 76 Gapeyeva H. 116 Garcia A. 138 Garcia Fernandez A. 125 García-Jimenez M. 56, 57 García-Manso J.M. 90, 103, 109, 138, 141 Garcia-Marmol E. 56, 57 Gargaglia F. 71 Garrido N.D. 74 Gasparotto G. 122 Gasparotto L. 122 Gavrilovic T. 86 Gazda E. 132 Gebauer-Bukurov K. 100 Geißler U. 130, 133 Geladas N. 108, 109 Gelfi M. 94 Gentile M. 13 Georgopoulos N.A. 92 Gerbatin R. 75, 105, 119 Gervasi F. 32 Gervasi M. 60, 83 Gervasio F. 15 Geukens L. 45 Geuna S. 11 Ghaeini S. 53 Ghafoorian M. 97 Ghasem Talebi S. 90 Ghasemi Artiyan M. 92, 113 Ghasemi G. 48 Ghasempour F. 92 Ghasempour S. 92 Ghazalian F. 72, 76, 96 Gheller R.G. 136 Ghezzi I. 22 Ghorayeb N. 139 Gunter H. 62 Gussoni M. 102 Gutman S. 85 Guzmán F. 27 H Haddad M. 73, 106 HadjistephanouPapaellina C. 92 Hajian M. 68 Hak P. 33 Hakemi L. 72 Häkkinen A. 111, 118 Halabchi F. 28, 73 Hamar D. 8, 42 Han M. 61 Han T.H. 77 Handley C. 93 Handziska E. 39, 137 Handziski Z. 39, 137 Hanratty C. 117 Harris-Reeves B. 93 Hart N. 93, 124 Hasegawa T. 62 Hashemi F. 104 Hashemian M. 91 Hashemian P. 129 Hassabi M. 67 Haudum A. 127 Haudum J. 127 Havenetidis K. 61, 107 Haxhiu B. 137 Hayashi A. 91 Hazar S. 84, 137 Hedayati M. 85, 88 Hedman K. 128 Heidarianpour A. 18 Hejazi M. 92, 113 Hemayattalab R. 78 Henne T. 69 Henriques M. 45, 84 Henriques-Coelho T. 136, 139, 140 Henríquez Del Pino Y. 90 Herberg R. 18 Herrera Navarro J.M. 97, 133 Herzyk P. 103 Heydari M. 123 Hickey B. 33 Higgins J. 63 Hilberg T. 118 Hillis S. 51 Hirakoba K. 140 Hita-Contreras D. 96 Hita-Contreras F. 89 Hodzovic E. 33 Hoffmann M. 119 Hong C.C. 53, 77 Hong S. 52 Horváth Á. 13, 81 Hsieh C.F. 105 Hsu M.F. 53, 77 Huang C.F. 113 Huang Y. 67 Huebner R. 125 Huertas F. 126 Huertas Olmedo F. 123 Hugo C. 64 Hugues T. 80, 129 Hundozi H. 137 Hussein H. 11 Hynynen E. 135 I Iachelli G. 32 Ibañez P. 54 Ibañez S. 93 Ibarra Ponce De Leon C. 33 Ibba G. 71, 75 Ibis S. 84 Iglesias X. 135 Ikwuagwu D. 106 Ilardi M. 84 Ilbeigi S. 48, 125 Im S. 45 Impellizzeri F.M. 71 Ioannidi V. 38 Iocca M.L. 13, 52, 80, 115, 125 Iona L. 101 Iona T. 79 Ionescu A. 88 Isidori E. 92 Islegen C. 57 Ismael M. 63 Izzicupo P. 17, 123 J Jafari A. 8, 28 Jafartaiari A. 49 Jakovljevic V. 23 Jalali S. 90 Jani M. 57 Jegier A. 47 Jeler M. 110 Jeremic R. 127 Jesic A. 100 Jeszka J. 96, 106 Jiang J.Y. 53 Jose Carminatti L. 136 XXXII WORLD CONGRESS 152 K Kaasik P. 116 Kahrizi S. 85 Kakhabrishvili Z. 129, 131 Kalapotharakos V. 71 Kaldur T. 114 Kalnina L. 137 Kals J. 114 Kamankesh S. 109 Kamenov B. 82 Kampman O. 118 Kanatas A. 47 Kapravelou G. 96 Karaca N. 106 Karadjozova I. 46, 140 Karamizrak O. 57 Karamouzis A. 14 Karamursel S. 124 Kargarfard M. 80, 85 Karli U. 110 Kashani A. 97 Kashi A. 35, 78, 104 Kasikcioglu E. 124 Katsumata M. 62 Kaukab A. 39 Kautiainen H. 118 Kavvada D. 119 Keihani M. 129 Kelc R. 82, 93 Kelishadi R. 85 Keller B. 106, 135 Kempa K. 24 Kenihan M. 107 Kerr D. 117 Keskin A. 84 Kevic S. 85 Khalil Zadeh S. 90 Khalili Alashyi A. 91 Khashaba A. 11 Khashaba S.H. 111 Khoshbakhti J. 8, 28 Kica H. 138 Kiehntopf M. 88 Kim H. 52 Kim J. 46 Kim M. 46, 86 Kim S. 61 Kim Y. 52 Kin Isler A. 40 Kiritsi O. 14 Kiritsis G. 14 Kiryu S. 34 Kishali N. 28 Kisic B. 133 Kisicek P. 91 Kiss M.A. 70, 139 Kiyici A. 128 Kiyici F. 28 Klapcinska B. 24 Kneffel Z. 17 Ko Y. 52 Koch L. 124 Kocher M. 80 Kohno T. 133 Kõks S. 122 Kollias I. 99 Kolossovskiy S. 45 Koltai E. 124 Komata K. 34 Konrad M. 61 Konstabel K. 21 Kontopoulou E. 64 Koponen H. 118 Korchazhkina N. 80, 81, 98 Kordi R. 44, 68 Korniloff K. 118 Korsten-Reck U. 91, 102 Kostoulas I. 107 Kotenko K. 80, 81, 98 Kotur-Stevuljevic J. 126 Kotzamanidou M. 31, 99 Koubaa D. 28 Kouidi E. 125 Kounalakis S. 107 Koutsonikola P. 115 Koutsonikolas D. 115 Koz M. 104 Kránicz J. 107 Kreuser F. 91, 102 Kreuzfeld S. 77 Krivolapchuck I. 55, 73 Kuczynski K.M. 135 Kumar B. 32 Kuperszmidt C. 91 Kurz E. 118 Kushi H. 106 L L’Hermette M. 72, 125 La Delfa G. 131 Lace A. 130 Lacelli F. 12, 59, 101 Lacroix-Hugues V. 80 Laffond J. 64 Lago Peñas C. 40 Lagre F.X. 26 of SPORTS MEDICINE 153 AUTHORS’ INDEX Joy E. 51 Jun J. 66 Jurecka A. 95 Justus F.B. 106 Lai D. 97 Laing S. 63 Lamberti N. 9, 24 Lamberti V. 63, 102, 118 Lamontagne M. 11, 18 Landolfi L. 114 Lanfranconi F. 33, 43, 67, 100 Langlois R. 140 Lania A. 15 Lanza M. 87 Lanzano R. 79, 83 Lanzillo C. 65 Lao C.K. 47 Laquale M. 137 Lassandro G. 137 Laudizio M. 119 Laudner K. 114 Laurent L. 71 Laurita S. 57 Lavado García J.M. 16 Lazarevic Z. 55, 102 Le L. 141 Lee J. 52 Leglise M. 69, 92 Legnani E. 56 Legnani R.F.S. 56 Lei K.W. 82 Leite N. 139 Lello S. 84 Lemaitre F. 111 Lenzi A. 35 Li Calzi M. 115 Li G. 48 Li H. 46 Lica E.M. 43, 61, 128 Lieberman D.E. 21 Ligere R. 137 Lima F. 23 Lima L. 46 Lin C. 112, 114 Lin T.C. 53, 77 Lin W. 67 Linde-Rosen M. 48 Lirim Bajrami L.B. 141 Lisi M. 39 Lista R. 84 Liu C. 40, 67 Liu J. 58 Liu Y. 138 Livrieri S. 29, 30 Lo C. 138 Lo Presti R. 27 Loi A. 97 Loidl H. 125 Lombini N. 55 Loney T. 47 Longa E. 24 Longa M. 17 Loock H. 107 Lopes A. 53, 129 Lopes V. 72, 74 Lotfian S. 53 Loturco I. 27 Lourenço J. 12 Loviselli A. 51, 52, 56, 86, 97 Loy F. 56 Lubich S. 18 Lubkowska A. 9, 18 Lucertini F. 60, 83 Luciani U. 30 Lucini D. 32 Lupiañez Castillo J. 123 Lupiañez J. 126 Lupp A. 88 Lusa V. 9 Luzi L. 84 Lynall R. 114 Lynch G.S. 28 Lyrtzis C. 12, 14, 115, 119 M Macchi M. 17 Machado C. 25 Maestu R. 81 Magalhaes S. 12 Magaudda E. 12, 47, 65 Magaudda L. 18, 51, 65, 98 Maggioni M.A. 21 Mägi A. 122 Magli M. 36 Magnanellii R. 101 Magnani B. 17 Maio R. 79 Major Z. 17 Malacarne M. 32 Malagoni A.M. 9, 24 Malczewska-Lenczowska J. 110 Maleska Ivanovska V. 123, 138 Maleska V. 100 Malevska V. 140 Malicevic S. 86 Malliaropoulos N. 31 Malpezzi P. 94 Manara M. 40 Manari D. 40 Manavis K. 31, 99 Mancaniello A. 114 XXXII WORLD CONGRESS 154 Martinaj M. 137 Martinelli D. 70 Martinez E. 120 Martinez Meléndez H. 19, 33, 133 Martínez-Amat A. 89, 96 Martínez-López E. 89, 96 Martínez-Romero R. 89, 96 Martini C. 59, 101 Martino A. 30, 65 Martins M. 55 Marton O. 124 Martucci E. 58 Martucci V. 79 Marvulli R. 66 Marzatico F. 27 Marzella M. 19, 132 Marzorati M. 42 Masala R. 56 Mascherini G. 37, 40, 52, 74 Mascoli F. 9, 24 Masera G. 100 Maskhulia L. 129 Maslennikova O. 98 Massidda M. 20, 49, 51, 52, 86 Masuchi K. 34 Masuchi T. 34 Matijevic-Mikelic V. 91 Matsumoto M. 62, 121 Matsumoto T. 34 Mattei V. 83 Mattiacci F. 71 Matyasova J. 12 Mayer A.B. 58 Mayer H.M. 130, 133 Mazaheri R. 28, 73, 81 Mazic S. 65, 86, 127 Mazzardo O. 56 Mazzoleni D. 68, 94 Mazzoni G. 36, 56, 66, 74, 94 Mcbride M.W. 103 Mcclure J.D. 103 Mcculloch J. 103 Mcphee J. 24 Mcpherson D. 63 Mcveigh J. 117 Meier H. 118 Meister K. 114 Melis F. 76 Mell F. 125 Melloni E. 37 Melnikov A. 123 Melo S. 119 Mendes R. 86, 87 Meneghello M. 61 Meneghelo R. 139 Mennelli G. 60 Menosso R. 101 Merati G. 21 Mercier J. 26, 49 Merghes P. 138 Mergul C. 74 Merianou C. 100, 104 Merlo F. 66 Mertens T. 80, 96 Mesina L. 138 Mesure S. 92 Meyer S. 62, 88 Mezêncio B. 70, 105, 120, 125, 135, 136 Micallef Stafrace K. 47 Miceli M. 94 of SPORTS MEDICINE 155 AUTHORS’ INDEX Mancevska S. 29, 99, 100, 123 Mancini P. 51 Manda R. 27 Mandini S. 24 Mandolesi G. 67 Mandolesi M. 37 Manfredini F. 9, 24 Manfredini R. 9, 24 Mangini A. 32 Mango R. 89 Manno R. 84 Manozzi F.M. 114 Mansournia M.A. 73, 81 Mäntyselkä P. 118 Marchetti M. 39 Marciano A. 95 Marcolini M. 60 Marconi C. 102 Marcora S.M. 104 Mardany Chaharlang A. 19 Marelia E Guillen Mujica M. 43 Maridaki M. 38, 41, 140 Marincola A. 58, 62 Marinelli M. 101 Marinho D. 72 Marinho D.A. 74 Marini L. 51 Marino L. 99 Marongiu E. 40, 76, 97, 135 Marques E. 119, 132 Martelli G. 63, 66, 74 Martelli I. 66 Martín Gonzalez J.M. 138 Martín S. 96, 109 Miceli S. 79 Micheletti G. 76 Middleburgh R. 131 Miele F. 57 Migita T. 140 Migliaccio G.M. 37, 71, 76 Miglietta A. 137 Migliore A. 10, 11 Migliorini S. 67 Miguel C. 12, 25 Mikami E. 122 Mikhailova A. 80, 81, 98 Mikhalyuk E. 40, 41 Mikulán R. 21 Mila-Kierzenkowska C. 95 Milanese C. 61, 76, 87 Milburn P. 93 Milenkova M. 39, 137 Milia R. 37, 71, 76, 97, 135 Milicia G. 64 Minhalma R. 59 Minicelli M.G. 117 Mintál T. 13, 81, 107 Mion Jr D. 120 Miranda Cruz M. 94 Miranda M. 99 Miri Far A. 129 Miric D. 128,133 Mirkazemi S.A. 8, 28 Mirzarah Koushki M. 141 Miserocchi G. 15, 33, 43, 67, 100 Mitic N. 128, 133 Mitropoulos A. 140 Mitsaki C. 119 Mitsakis I. 119 Mitsakis M. 119 Miyachi M. 122 Mizuochi F. 121 Mlakar R. 93 Moda A. 17 Mohaghegh B. 68 Mohaghegh S. 68 Mohammadzadeh H. 123 Moharrebi M. 115 Mohni A. 58, 62 Mohsenzade A. 78 Mokhtari Dizaji M. 48 Molics B. 81, 107 Molinari S.M. 57 Molteni C. 33 Mondillo S. 39 Monleon C. 126 Monleón García C. 123 Montanari A. 115 Montanari G. 115 Montazeri Taleghani H. 141 Monteiro F. 12, 25 Monteiro J. 108, 136, 137, 139, 140 Monteiro M. 87 Monteleone G. 19, 128, 132 Montoro B. 20, 54 Montorsi M. 102 Monzo M. 20, 54 Moradi Lakeh M. 53 Morais E. 72 Morais J. 74 Morales A. 109, 135, 141 Morales Artacho A. 138 Moratal C. 126 Moratal Lull C. 123 Moreira A. 70 Morelli D. 40 Moreno C. 53 Moretti F. 30 Morrison E. 122 Morucci M. 8 Moschioni C. 101 Mota B. 119 Mota J. 119, 132 Moumtzidelis T. 31 Moustogiannis A. 41 Moutinho J. 86 Movahedi A. 90 Movaseghi S. 53 Movasseghe S. 88 Mrakic-Sposta S. 102 Mugandani S. 121 Müller E. 127 Muñoz C. 20, 54 Mura R. 20, 64, 70, 75, 76, 135 Muradás R. 116 Murakami H. 122 Muravskiy A. 12, 45 Murdocca M. 142 Murray A. 51, 112 Murtezani A. 137 Musiari L. 115 Musumeci L. 41 N Nadeau M.J. 11, 18 Nahas R. 69, 91 Najafi N. 87 Nakagaichi M. 90 Nakagawa A. 34 Nakajima M. 111 Nakou L. 10, 31 Nalcakan M. 106 XXXII WORLD CONGRESS 156 Novikova S. 12 Ntelis I. 10 Nylander E. 128 O Oh B. 21, 61 Oh H. 84 Oh S. 81 Ohl A. 117 Okada H. 34 Oksa H. 118 Okudan N. 127, 128 Okutoyi P. 21 Olcina Camacho J.G. 16 Oliveira A. 91 Oliveira E. 119 Oliveira J. 87 Oliveira V. 122 Olla S. 75, 97, 135 Ongaro N. 21 Ongun M. 34 Oravitan M. 120 Orlandi C. 128 Orlandi D. 12, 59, 101 Orlandi R. 68 Ortega K. 120 Otto G.P. 62, 88 Ozdamar E. 40 Ozgurbuz C. 57 Ozturk A. 74 Ozturk O. 112 P Pääsuke M. 116 Pablos A. 27, 141 Pablos C. 27 Paci G. 19, 132 Pacifico A. 60 Padial P. 138 Padmanabhan N. 103 Padmanabhan S. 103, 122 Padulo J. 71 Pagani M. 32 Pageaux B. 104 Pagourelias E. 125 Pail E. 61 Palazzi R. 66 Palma A. 54 Palma A.L.V. 117 Palmi J. 121 Palmieri V. 13, 30, 44 Panoutsakopoulos V. 31, 99 Papadopoulou T. 124 Papaiakovou G. 99 Paparde A. 9 Papavasiliou A. 115 Paradisis G. 38, 75 Parisi A. 8, 16, 41, 58, 78, 102 Parisi F. 79 Park D. 46 Park J.H. 21, 52, 86 Parmigiano T. 53, 129 Parrella A. 13, 80 Pascale A. 79 Pasini W. 102 Pasotti S. 17 Pasqualini P. 99 Passoni E. 15 Pastore A. 25 Patczai B. 13 Patel R.K. 103 Paterlini M. 44 Patrizi G. 52, 128, 132 of SPORTS MEDICINE 157 AUTHORS’ INDEX Nanni Costa A. 91 Napolitano G. 17, 123 Nardelli N. 81 Narici M. 24, 58 Nascimento P.C. 134 Naso G. 132 Natali B.M. 39 Natsis K. 10, 12, 14, 31, 99, 100, 115 Naumov I. 13 Nazali L. 132 Nazario R. 139 Neamtu O. 88 Nebot E. 69, 96 Necip Fazil Kishali N. 74 Neri S. 15 Nery R. 117 Neuparth N. 59 Nicod F. 26 Nicol C. 131 Nie J. 47, 82 Nigro A. 29, 30, 65 Nikodelis T. 99 Nikolaidis P. 107 Nikolic S. 29, 46, 99, 100, 123, 140 Nikolovska N. 46, 140 Nittoli C. 33 Noe’ D. 15 Noguchi T. 62 Nonaka K. 111, 131 Noormohammadpour P. 44 Nõt L. 107 Notaristefano S. 52 Novarina M. 33, 43 Novelli G. 89 Noventa D. 15, 130 Patroni P. 55 Pattoneri P. 115 Pau M. 75, 97 Paulin P. 26 Pavlik G. 17 Paxinos T. 107 Pecci C. 86, 105 Peers K. 45 Pegueros A. 120 Pegueros Perez A. 19, 33, 97, 133 Peixoto E.M.L. 84 Pejic S. 126 Pelà G. 56, 115 Pelarigo J. 139 Pellicano M. 60 Pelliccia A. 49, 63 Pelloni I. 115 Peltonen M. 118 Peña Delgado T. 41 Pena T. 32 Pendleton A. 117 Pepe H. 127 Perazzolo Marra M. 130 Pereira G. 104 Pereira P.V. 87 Pereira S.M. 136 Perelomova I. 123 Pérez-Guerra A. 109, 138, 141 Perparim Ferunaj P.F. 141 Perrin F. 101 Perrone N. 12 Perticone F. 79 Pescatore V. 15, 130 Pessoa Junior T. 27 Petroni M.L. 56 Petrova M. 80, 81, 98 Petrovska S. 29, 46, 99, 100 Pezzati P. 60 Pierotti S. 36 Pietrangeli M. 115 Pietrini P. 72 Pigozzi F. 8, 11, 13, 29, 30, 51, 55, 65, 102 Piitulainen K. 111 Pikó B. 21 Pinedo M. 135 Pinheiro H. 48 Pinho J. 70, 105 Pinho J.P. 117, 120, 125 Pinho J.P.S.F.M. 135, 136 Pinho M.C.O.F. 120 Pinna M. 40, 71, 75, 76, 97, 135 Pinto A. 120 Pintore A. 56 Pio A. 114 Piras F. 20, 64, 70, 75, 135 Piratinskij A. 78 Piromalli S. 15 Piseri M. 56 Pisicchio C. 18 Pitsiladis Y.P. 21, 103, 122 Piucco T. 81, 136 Pizarro A.N. 132 Pizzolato F. 71 Pizzoli C. 18 Plakane L. 9 Plavsic J. 65 Pluncevic Gligoroska J. 29, 99, 100, 123 Pluncevic J. 29, 46, 140 Podgorac J. 100 Poggioli F. 50 Pogliacomi F. 44 Pohle C. 77 Pokrywka A. 110 Polat M. 54 Pollastri L. 33, 43, 67, 100 Polo M. 101 Pomidori L. 37 Pontalti M. 127 Popik I. 46 Popovic L. 128, 133 Porcelli S. 42, 102 Porres J. 69 Porres J.M. 96 Posabella G. 60 Poscolieri B. 30 Possuelo L. 116 Posthumus M. 93 Pourkazemi L. 72 Pournazari G. 48 Poznic-Jesic M. 100 Pozzato E. 9, 24 Prandelli N. 40 Prans E. 122 Pregliasco F. 22 Preobrazhenskiy A. 108 Preobrazhenskiy V. 108 Prettin S. 36 Priedite I.S. 137 Prioux J. 36, 75 Proia P. 54 Proietti Spaccapanico S. 10, 11 Prono V. 59 Prosperi M. 30 Pruna R. 20, 54 Puddu A. 56 XXXII WORLD CONGRESS 158 Q Quaglieri C. 17 Quaranta F. 8, 13, 16, 29, 30, 41, 55, 58, 65, 78 Quattrini F. 63 Queiroga D. 87 Queiroz A. 120 Queiroz G. 136, 139, 140 Quero M. 79 R Racca S. 11 Radák Z. 93, 124 Radetti G. 73 Radic I. 128, 133 Radivojevic N. 17, 62, 71, 104, 126 Radmehr G. 81 Radovanovic D. 127 Rafat Panah H. 92, 113 Ragusa G. 79 Raibarts J. 130 Raingeard I. 26 Rajewski P. 95 Rajmane A. 63 Rakowski A. 95 Raleigh S. 93 Ramakoaba A. 121 Rambo L. 105 Ramezani A. 89 Ramognino F. 58, 62 Rampinini E. 105 Rangel M. 26 Ranjbar K. 22 Ranjbar R. 78 Ranocchi G. 13 Rasio D. 8 Razinkin S. 80 Razzaghi A. 89 Razzicchia S. 55 Reckziegel M. 116 Redler A. 128, 132 Reer R. 139 Reis V. 86, 87 Reisi A. 48 Rennó Sierra A. 139 Respizzi S. 32 Revan S. 127 Reyes Morales O. 142 Reyes Morales O.R. 142 Rezaee S. 85 Rezaeenia D. 89 Rezaei N. 88 Rezaeian N. 141 Rezaeian N. 82 Rezk C. 120 Rhee W.I. 66 Ribas I Fernández J. 20 Ribas J. 54 Ribatti M. 66 Ribeiro B. 63 Ribeiro J. 108, 132, 139 Ribeiro L. 75 Ricci G. 65 Ricciardi E. 72 Ricciardi L. 24, 68 Ricordi C. 84 Ridolfi M. 94 Rieger A. 77 Righi D. 30 Righi M. 18 Rinaldi C. 68 Rinaldo N. 87 Rinkule S. 130 Ripani M. 86 Ripari P. 22, 39, 65, 123 Ristoldo F. 70 Rizzo M. 141 Roberto D. 15 Roberto S. 71, 76, 97, 135 Roberts W. 130 Robles Cabrera R.A. 43, 119 Rocchi A. 115 Röcker K. 36 Rodas G. 20, 54 Rodrigues F. 75 Rodrigues T. 69, 91 Rodríguez F. 135 Rodriguez-Ruiz D. 90, 103, 109, 138 Rodriguez-Matoso D. 103 Rodriguez-Ruiz S. 56, 57 Rodríguez-Zamora L. 135 Roedel J. 88 Roettger K. 102 Roettger Katrin R. 91 Roi G.S. 91 Rojas J. 41 Rojas M. 125 Romagnoli G. 60 Romagnoli M. 76, 93 Romagnoni C. 32 Romain A. 49 Romano M. 58, 62 of SPORTS MEDICINE 159 AUTHORS’ INDEX Puggioni G. 60 Pugliese L. 42 Pulcini A. 52, 128, 132 Pusceddu M. 76 Putotto C. 79 Puzovic V. 23 Romano P. 118 Romeo F. 89 Romero Cardona G. 26 Ronchi M. 43 Rosa M. 131 Rosa R.A. 65 Roschel H. 105 Rosito G. 48 Rossi A. 17, 87 Royes L. 23 Royes L.F. 75, 105, 119 Rozenstoka S. 130 Rrecaj S. 137 Ruberto C. 29, 37, 44 Rudarli Nalcakan G. 106 Ruhi R. 28 Rumi P. 55 Rupnik M.S. 93 Ruscello B. 37 Russo G. 22 Russo M.S. 30 Rusu A. 120 Rusu L. 128 S Saba G. 47, 52 Saba N. 48, 49, 87 Sabatini C. 55 Sablone A. 22 Sabna N. 31 Sadeghian H. 35 Sadowska-Krepa E. 24 Safar Cherati A. 19, 41 Safarpour M. 97 Safoue F. 52, 128, 132 Saghebjoo M. 57 Saka T. 82 Sakac S. 100 Sala R. 32 Saladino P. 54 Salas R. 120, 133 Salata D. 9 Sales Marques R. 25 Sales R. 12 Saliane M.A. 103 Salianeh M. 91 Salianeh M.A. 91 Salimi P. 53 Salo P. 111 Salvioli S. 58 Sampaio J. 87 Samuels J. 63 Sánchez V. 120 Sánchez-Flores J. 109 Sangiuolo F. 89 Sangiuolo R. 89 Sangnier S. 140 Sangregorio M. 57 Sani L. 72 Sanjari M.A. 81 Sanna P. 76 Sannicandro I. 65 Santelli F. 101, 103 Santiago Teixeira A. 136 Santilli H. 81 Santilli O. 81 Santillo E. 51 Santini L. 66 Santoro A. 58 Santoro G. 72 Santos A. 119 Santos L.S. 120 Santos M.P. 132 Santos R.C. 120 Santos S.G. 81, 136 Santus E. 51 Santus S. 49, 52, 56, 86 Saoudi N. 80, 129 Saranovic S. 127 Sárga L. 93, 124 Sarikaya T. 104 Sarkis K. 91 Sarlak M. 35 Sarlak Z. 35, 104 Sarmiento A. 116 Sarmiento Montesdeoca S. 90 Sarmiento S. 103 Sasimontonkul S. 133 Satta G. 49, 51, 52, 56, 86 Sazlina S. 88 Scacciati I. 52 Scalisi M. 22, 123 Scardigno A. 13 Scarficcia G. 35 Scarzella F. 76 Schena F. 71, 87 Schiavone Panni A. 45 Schiera G. 54 Schmidt M. 61 Schmied C. 63 Schneider A. 130, 133 Schneider C. 130, 133 Schrepper A. 88 Schuster T. 130, 133 Schwabe K. 142 Schwellnus M. 142 Sciarra L. 30, 65 Sconfienza L.M. 12, 101 Scorcu M. 20, 60, 64, 70, 71, 135 XXXII WORLD CONGRESS 160 Sianou K. 119 Sierra A. 133 Sigei T. 21 Signorini M. 74 Silva A. 69, 72, 91 Silva A.J. 74 Silva A.M.B. 135 Silva C. 55 Silva D. 69 Silva E. 87 Silva Jr N. 120 Silva L. 55 Silva L.F. 119 Silva P. 69, 91 Silvetti M.S. 30 Sim J. 117 Simões M.I. 46 Simoni F. 99 Sinno C. 13, 19 Sioud R. 72, 109 Siret Alfonso J. 41 Sisman A.R. 106 Sisti D. 60 Sitkowski D. 110 Sivevska E. 140 Skinner J. 93 Skountzos K. 14 Slavic V. 82 Smirniotou A. 75 Soares D. 48 Soares F. 23 Solbiati A. 32 Soldatos G. 14 Sole S. 121 Soleimany G. 53 Somolinski P. 48 Son K. 61 Son K.Y. 21 Soncin R. 105, 125 Soori R. 82 Soori Z. 22 Sopromadze Z. 131 Sorge R. 19, 132 Sossdorf M. 62, 88 Sotiropoulos A. 108, 109 Souglis A. 108, 109 Sousa A. 108, 136, 139, 140 Sousa J. 120 Sousa M. 139 Sousa N. 86, 87 Souza A. 87 Souza J.R. 120 Souza M. 75 Spaccapanico Proietti S. 10, 71 Spagakos G. 64 Spataro A. 141 Speciale F. 18, 98 Sperandii F. 13, 29, 30, 65 Speranza G. 65 Spigolon L. 51 Spiridonova M. 94 Spirovska V. 103 Squeo M. 41, 79 Squeo M.R. 83 Stacciolini A. 80 Stål P. 58 Stamm D. 23, 75, 105 Stassi F. 27 Stefanello J.M.F. 106 Stefani L. 10, 40, 52, 55, 60, 64, 74 Stefanovic D. 23 Stefas E. 31, 99 of SPORTS MEDICINE 161 AUTHORS’ INDEX Scotti V. 33, 67 Sebestyén A. 13 Seif Barghi T. 67, 73 Seifbarghi T. 28, 97 Seifert L. 125 Sekulic S. 100 Selga G. 137 Selkow N. 114 Selvetti P. 26 Semple S. 107 Senaldi R. 141 Serafini G. 12, 59, 101 Serra P.A. 60 Serrano J. 139 Serrano Ochoa M.A. 97 Serrão J. 70, 105 Serrão J.C. 120, 125, 135, 136 Severi S. 99 Seynnes O. 24 Sgro’ P. 35 Shabani A. 87 Shafizadeh A. 91, 103 Shahidian S. 139 Shakeri N. 76 Shatku R. 108 Shehu Z. 108 Sheikh M. 78 Sheikholeslami Vatani D. 20, 53 Shi Q. 47, 82 Shiang T.Y. 53, 77, 105 Shih Y. 105 Shihab A. 142 Shimazaki T. 34 Shin D.W. 21 Shiskin P. 123 Stefas L. 31 Stein D. 139 Stein R. 117 Steri G.C. 49, 51, 52, 56, 86 Sterpini A. 19 Stio F. 52, 128, 132 Stokes R. 62 Stoll R. 77 Stracuzzi H.P. 142 Stracuzzi S.P. 142 Sturla M.I. 24 Stuto A. 14 Subiela J. 41 Suelzu S. 60 Sutkowy P. 95 Suzic J. 127 Suzic S. 127 Suzuki J. 62 Suzuki K. 34 Svanishvili T. 131 Svoboda S. 127 Swiderski K. 28 Syrmos N. 23, 92 Syvolap V. 40, 41 Szebeni E. 81 Szmigielska K. 47 Szmigielska-Kaplon A. 47 Szmuchrowski L.A. 125 Szygula Z. 9 T Tabatabaee A. 48 Tabben M. 109 Tabka Z. 36, 75 Tadibi V. 102, 109 Tagami K. 34 Taghipour M. 19 Taglieri M.G. 22 Taheri S. 54 Taimouri M. 80 Takahashi M. 133 Takao P.P. 120 Tamás É. 128 Tampaki M. 140 Tanaka M. 122 Tanaka T. 121 Tancredi G. 79 Tanhaei A. 49, 87 Tappa M.C. 73 Tare M. 108 Tasca I. 141 Tassi M. 69 Tataradze E. 131 Tatsugi Y. 133 Tatsuta N. 111, 131 Tatuta N. 111 Taucci S. 8 Teixeira A.C. 87 Teixeira O. 27 Tempesti G. 10, 55, 60 Tenderini D. 43 Terranova F. 36, 56, 74, 94 Terzidis I. 10, 14, 115 Testa B. 89 Tezini G. 117 Theos A. 41, 140 Theves T. 48 Thiene G. 130 Thornell L. 58 Tiloca A. 19, 128, 132 Timpka T. 137 Tinucci T. 120 Tiznado Peña L. 19, 33 Tocco F. 40, 75, 76, 97, 135 Todde F. 75 Todorovska L. 99, 100, 123, 140 Tokui M. 140 Tolazzi C. 101 Tomassoni C. 10, 11 Toomey D. 116, 132 Torabi F. 22 Torkaman G. 88 Torlak S. 128 Torma F. 93 Tornaghi M. 42 Tornese D. 83 Torrent A. 28 Tosi F. 32 Totlis T. 10, 12, 14, 115 Totti V. 91 Tourny C. 140 Tourny-Chollet C. 72, 109, 111 Traballesi M. 18 Traina M. 22, 54 Tranchita E. 8, 16, 41, 58 Trapecar M. 93 Travlos A. 38, 108, 109 Triassi M. 17 Trimarchi F. 98 Tripodi D. 70 Trisolino G. 58 Tsigganos G. 41, 140 Tsitas K. 14 Tsolakis C. 38, 42 Tsoukos A. 77 Tucci J. 119 Tülin A. 123 Tupler R. 17 Turchetta A. 49 XXXII WORLD CONGRESS 162 U Uccheddu R. 70 Uliari S. 36, 74, 94 Ulkar B. 82 Une S. 111, 131 Ungaro E. 42 Unolt M. 79 Unt E. 114, 122 Urgelli S. 74 Uribe R. 41 Uzum H. 110 V Vagetti G.C. 122 Vagnoni E. 9 Vahimets M. 116 Valenti C. 58, 62 Valim A. 116 Valverde Esteve T. 138, 141 Valverde T. 103, 109 Vámhidy L. 13 Vandenplas Y. 80, 96 Vanelli M. 56 Vanhala M. 118 Vanlommel L. 35, 69 Vanoni M. 48 Varley I. 47 Vasconcelos J.C. 12 Vasilescu M. 88 Vasso M. 45 Vasuri F. 58 Vaya A. 93 Vazquez J. 135 Veicsteinas A. 84 Veligekas P. 77 Velluzzi F. 49, 51, 97 Venerandi R. 60 Venevtseva Y. 123 Venturati G. 40 Veraksits A. 122 Vercammen M. 80, 96 Vergani H. 33 Verna R. 52, 128, 132, 142 Verzini F. 76 Vesalinaseh M. 23, 57 Vesic Vukasinovic M. 71, 104 Vessella T. 30 Vettori M.P. 130 Vezzoli A. 42, 102 Viecca M. 29 Viggiano D. 45 Vigo C. 32 Vigouroux L. 111 Vilas-Boas J. 139 Vilas-Boas J.P. 108, 136, 137, 139, 140 Villalobos M. 26 Villegas J.A. 27 Villosio C. 35 Violante A. 65 Virginia V. 109 Visconti B. 43 Vitale M. 43 Vitali L. 43 Viveiros L. 27 Vlahek P. 91 Vnukov D. 108 Vogrin M. 82, 93 Volante J. 95 Voser R. 139 Vujic S. 104 Vukasinovic-Vesic M. 17, 61, 62, 126 Vuletic M. 23 W Walker B. 112 Wanderly F. 119 Wang G. 122 Wang Z. 46 Wanke A. 24 Watanabe S. 121 Watson G. 121 Wehrle A. 121 Weippert M. 77 Wellmann K. 139 Wesolowski R. 95 Witwity J. 83 Wong D. 73, 106 Wozniak A. 95 Wu K. 112, 114 Y Yabuta C. 91 Yahia M. 83 Yaici K. 80, 129 Yakal S. 124 Yalçin Tasmektepligil M. 123 Yamaguchi K. 34 Yamashita C. 91 Yamatsu K. 110 Yang W. 40 Yang Y. 46 Yanmis I. 9, 83 Yarar H. 110 Yasin S. 88 of SPORTS MEDICINE 163 AUTHORS’ INDEX Turgay F. 34, 106 Turner R. 62 Tziortzis S. 75 Yazdanian M. 92, 113 Yazdaniyan M. 113 Yazdanparastchaharmahali B. 116 Yche C. 58, 62 Yen M. 80 Yildiz S. 112 Yildiz Y. 9, 10, 83 Yilmaz A. 40 Yim E. 31, 48 Ylinen J. 111 Younesian M. 68 Yousefi M. 125 Yu J. 58 Yuksel O. 57 Z Zaca’ V. 39 Zaccaria D. 42 Zacharogiannis E. 38, 75 Zagari D. 65 Zakalka I. 100, 104 Zamanian F. 23, 57 Zambelli L. 55 Zamboni F. 61 Zamboni P. 9, 24 Zampa A. 101 Zanazzi A. 11 Zancanaro M. 91 Zangla D. 22 Zanini M. 117 Zappala’ G. 68 Zarban A. 57 Zarcos-Pedrinaci I. 14 Zargar T. 9 Zdanowicz R. 110 Zeidabadi R. 103 Zemkova E. 42 Zenobi R. 142 Zeppilli P. 13, 30, 44 Zerguini Y. 63 Zhou J. 48 Ziaras C. 38 Ziccheddu M. 56 Zidabadi R. 91 Zilaeibouri M. 110, 124 Zilaeibouri S. 110, 124 Zinovyev O. 108 Zivkovic V. 23, 140 Zorec B. 110 Zorec R. 110 Zouhal H. 36, 75 Zunarelli P. 94 Zylfi Shesu Z.SH. 141 XXXII WORLD CONGRESS 164 of SPORTS MEDICINE POSTER SESSIONS 27 SEPTEMBER Poster Sessions 27 September Poster Session 1 • Chairmen: D. Hamar (SLOVAKIA); M. Gismondi (ITALY) Poster Session 2 • Chairmen: M. Triassi (ITALY); L. Aita (ITALY) Poster Session 3 • Chairmen: S. Campi (ITALY); P. Selvetti (ITALY) Poster Session 4 • Chairmen: G. Scarficcia (ITALY); G. Bini (ITALY) XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ADAPTED PHYSICAL ACTIVITY AND DISABILITY Title PHYSICAL ACTIVITY AND CANCER SURVIVORS: A RESISTANCE TRAINING PROTOCOL Authors 1 2 2 1, 3, 4 1, 4 1, 4 C. Cerulli , A. Bonifacino , D. Rasio , E. Tranchita , E. Ciminelli , F. Quaranta , 1, 4 1 1 1,4 E. Guerra , V. De Luca , E. Grazioli , A. Parisi Affiliations 1 2 Health Sciences Department University Of Rome Foro Italico, Rome, ITALY, Senology 3 Unit S. Andrea Hospital Sapienza University Of Rome, Rome, ITALY, School Of 4 Specialization In Sport Medicine Sapienza University Of Rome, Rome, ITALY, Italian Federation Of Sport Medicine, Rome, ITALY Body Objective: Evaluate the effects of a resistance training protocol in breast cancer survivors. Design and method: 20 patients, 32 to 68 years old (49,3±10,1) surgically treated for breast cancer with therapeutic treatment concluded at least six month previously, eligible for non competitive sports were randomly assigned to either Physical Fitness (PFG) or to Control Group (CG). PFG began exercise programs consisting of 2 training sessions per week lasting 60 min for 6 months. Each training session was structured as follows: 10 minutes of warm-up performed on a stationary bike or treadmill; a central phase of resistance training exercises that included shoulder press, vertical traction, leg extensions, leg curls, leg press, running between 40 and 80% of 1RM; a final phase with stretching exercises. For the first four weeks, training was carried out at 40% of 1RM, then the workload was progressively increased. In order to evaluate the exercise effect on cardiopulmonary function and body composition, all patients were tested for VO2max, FVC, FEV1 and Body Impedance Analyse and had the strength of their principal muscular groups measured too. Additionally, the psychological screening consists of POMS and FACIT-F. Data are collected twice, at the beginning and at the end of the training program. Results: At the time of writing, results suggest that resistance training has positive effects on all of the physiological and psychological parameters measured. Conclusions: The results of this study underline the importance of the early inclusion of structured physical activity in the rehabilitation protocol of breast cancer survivors. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ADAPTED PHYSICAL ACTIVITY AND DISABILITY Title THERAPEUTIC HORSEBACK RIDING IN BREAST CANCER SURVIVORS: AN EXPERIMENTAL PROTOCOL Authors 1 2 3 4 4 1, 5, 6 C. Cerulli , C. De Santis , P. Frittelli , M. Morucci , S. Taucci , E. Tranchita , E. 1, 6 1, 6 1, 6 1,6 Ciminelli , F. Quaranta , A. Parisi , F. Pigozzi Affiliations 1 2 Health Sciences Department University Of Rome Foro Italico, Rome, ITALY, Asd 3 Sociale Il Giardino Di Filippo-viterbo, Viterbo, ITALY, Senology Unit Belcolle Hospital 4 5 Viterbo, Viterbo, ITALY, Psychology Unit Belcolle Hospital Viterbo, Viterbo, ITALY, 6 School Of Speciaitation In Sport Medicine Sapienza University Of Rome, Rome, ITALY, Italian Federation Of Sport Medicine, Rome, ITALY Body Objective: Evaluate the physiological and psychological benefits of therapeutic horseback riding in breast cancer survivors. Although there is currently no scientific evidence about this approach, horseback riding could be a good combination of psychological therapy and physical activity. Design and method: 20 patients, 39 to 51 years old (45±4,08), mastectomized with therapeutic treatment concluded at least six month previously, underwent a screening protocol to certify their eligibility to non competitive sports. The subjects were then randomly assigned to either horseback riding group (RG) or to control group (CG). RG participated in a 4 month training program consisting of one hour of activity per week. Each activity session consists of three phases: 1.warm up, horse caring and grooming, 2.riding 3. unsaddling and grooming activity. In order to evaluate the exercise effect on cardiopulmonary function and body composition, all patients were tested for VO2max, FVC, FEV1 and Body Impedance Analyse. The strength of principal muscular groups was measured too. Furthermore, the psychological screening consists of POMS, FACIT-F, STAI 1, STAI 2, BDI. Data are collected twice, at the beginning and at the end of the training program. Results: At the time of the writing preliminary results suggest that horseback riding has positive effects either on psychological well-being or on physiological parameters, enhancing quality of life of breast cancer survivors Conclusions: The results of this study could generate new evidence for the effect of therapeutic horseback riding on these patients and propose a new way of rehabilitation after cancer in a non-medical environment. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ADAPTED PHYSICAL ACTIVITY AND DISABILITY Title RESPONSE TO WHOLE BODY CRYOSTIMULATION AFTER THE ADAPTATION TO COLD DURING SEASON OF WINTER SWIMMING Authors 1 2 3 4 3 A. Lubkowska , Z. Szygula , B. Dolegowska , I. Bryczkowska , D. Salata , M. 3 Budkowska Affiliations 1 Department Of Physiology, Faculty Of Biology, Szczecin University; Chair And 2 Department Of Biochemistry And Medical Che, Szczecin, POLAND, Nstitute Of Human 3 Physiology, University School Of Physical Education, Krakow, POLAND, Department Of Laboratory Diagnostics And Molecular Medicine Pomeranian Medical University, 4 Szczecin, POLAND, Department Of Physiology, Faculty Of Biology, Szczecin University, Szczecin, POLAND Body The aim of our research was to examine whether winter swimming over a period of 5 months results in adaptation changes that improve the tolerance to stress induced by exposure to cryogenic temeperatures during whole-body cryostimulation (WBC). The research involved 15 healthy men, with normal body-weight, who had never been subjected to neither whole-body cryostimulation nor cold water immersion. Subjects were twice exposed to whole-body stimulation (3 min/-130°C), i.e. before and after the season of winter swimming. Blood was taken seven times: in the morning before the first cryostimulation, 30 min after the first cryostimulation and in the next morning. The same scheme of blood collection was used, after the completion of the winter swimming season. Our analysis concerned changes in hematological parameters as well as in reduced (GSH) and oxidized (GSSG) glutathione, total oxidative capacity (TOS), total antioxidative capacity (TAS) and components of the antioxidant system: superoxide dismutase (SOD) catalase (CAT), glutathione peroxidase (GPx), glutathione reductase (R-GSSG). Significant reductions in hemoglobin concentration, number of red blood cells, the hematocrit index and mean corpuscular volume of red blood cell have been observed. In response to the first WBC we observed changes both in TOS and TAS, as well as in antioxidant enzymes. GSSG also increased significantly. After the winter swimming season, we observed an increase in resting TAS, decrease in TOS, and highly significant positive change in the GSH:GSSG ratio. The obtained results may indicated positive adaptation changes in the antioxidant system in healthy individuals engaged in winter swimming. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ADAPTED PHYSICAL ACTIVITY AND DISABILITY Title IMPLEMENTATION OF A LOW-COST REHABILITATION PROGRAMME TO MANAGE WALKING DISABILITY IN PERIPHERAL ARTERIAL DISEASE: THE “TEST-IN--TRAIN-OUT “ PROGRAMME Authors 1 2 1 1 3 1 A. Malagoni , E. Vagnoni , M. Felisatti , F. Mascoli , N. Basaglia , R. Manfredini , N. 1 1 1 1 Lamberti , E. Pozzato , P. Zamboni , F. Manfredini Affiliations 1 2 University Of Ferrara-vascular Diseases Center, Ferrara, ITALY, University Of 3 Ferrara-department Of Economics, Ferrara, ITALY, S.anna Hospital-department Of Rehabilitation Medicine, Ferrara, ITALY Body Aim Exercise training is an effective, low-cost therapy improving the functional ability of patients with peripheral arterial disease. Center-based programs are effective but poorly available. The identification of effective, low-cost models of intervention could promote large-scale rehabilitation. Efficacy and cost-effectiveness of a novel approach to rehabilitation for peripheral arterial disease, prescribed at hospital and performed at-home, the so-called Test in/Train out program, were evaluated . Materials and Methods A total of 289 patients with intermittent claudication (M=210, age=71±10.1y) were enrolled for a 2-year period. Patients were tested at hospital and pain threshold speed was determined by an incremental treadmill test. Two daily 10-minute home-walking sessions at a speed 20-30% below pain threshold speed were prescribed and paced at home by a metronome. The program included a daily record of exercise, and serial monthly check-ups at hospital to update the prescription. Patients compliance, Quality of Life-QoL, Ankle Brachial Index, and walking capacity were evaluated. Direct and indirect costs of the program were also considered for cost-effective analysis. Results Two-hundred-fifty patients (M=191, 70.5±9.2y), at Fontaine’s II-B stage (86%) were included in the study. A total of 1839 in hospital check-ups (7.36/patient) were performed. The program, without adverse events reported, showed high compliance, and significant improvement of QoL (P<0001) and walking capacity (P<.0001). The average costs of a therapy cycle, and the cost to walk an additional meter before stopping were 507.20 and 9.22 Euros, respectively. Conclusions A Test-in/Train-out program is feasible and provides a low cost improvement of walking disability in patients with intermittent claudication. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ADAPTED PHYSICAL ACTIVITY AND DISABILITY Title EFFECT OF ACUTE EXERCISE INTENSITY ON ENDOTHELIUM DEPENDENT AND INDEPENDENT VASOMOTION Authors 1 1 1 1 A. Paparde , L. Plakane , I. Aivars , V. Lusa Affiliations 1 Department Of Human And Animal Physiology, Faculty Of Biology, Univeristy Of Latvia, Riga, LATVIA Body The aim of the study was to determine the acute effect of the different veloergometric exercise intensities on the endothelium dependent and independent vasodilatation in non-exercising limb skin. Ten healthy volunteers (men = 4, women = 6) with a mean age of 21.0 ± 0.54 years, height of 1.75 ± 0.043 m, weight of 69.25 ± 2.62 kg and body mass index of 22.9 ± 0.81 kg*m-2 (means± SEM) participated in our study. All subjects were healthy and non-smokers. Subject underwent a three- step incremental test on a cycle-ergometer. Skin microvascular perfusion were measured using laser Doppler imaging combined with 1% acetylcholine (ACh) and 1% sodium nitroprusside (SNP) transcutaneous iontophoresis on forearm non-acral (hairy) skin. Forearm blood flow (FBF) was measured with venous occlusion plethysmograph. In all subjects, skin perfusion was unchanged immediately after light exercise (before 100.0±0.1 % and after exercise 99.4±2.1 %, P>0.05), but it was increased significantly after mild and submaximal exercise (152.5±9.7% and 292.6± 28.9%, P<0.05). The same increase was observed in FBF (before 3.2±0.14, light 4.0±0.26, mild 7.4±0.72, and submaximal 9.3±0.83 ml*min-1 per 100 ml tissues, P<0.05). Endothelium-independent vasodilation rises with increase of exercise intensity. Light exercise does not influence endothelium-dependent vasodilation, but increase of exercise intensity does change endothelium-dependent dilatations response. In conclusion, the relatively large muscle groups over mild intense dynamic exercise leads to non-working limb (arm) blood flow increase in skin microcirculation and endothelial-independent mechanism, but endothelium-dependent vasodilation decreases accordingly to increase of intensity of exercise. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title THE STRENGTH RATIO OF INTERNAL TIBIAL ROTATION AND KNEE FLEXION AFTER THE USE OF HAMSTRING TENDONS FOR ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION Authors 1 2 3 4 A. Ada , Y. Yildiz , I. Yanmis , T. Aydin Affiliations 1 2 Department Of Sports Medicine, Gulhane Military Medical Faculty,, Ankara, TURKEY, 3 Department Of Sports Medicine, Gulhane Military Medical Faculty,, Ankara, TURKEY, 4 Department Of Orthopedics, Gulhane Military Medical Faculty,, Ankara, TURKEY, Department Of Sports Medicine, Gulhane Military Medical Faculty,, Ankara, TURKEY Body OBJECTIVE The strength ratio of internal tibial rotation and knee flexion supports to medial knee stabilization. The aim of this study was to evaluate the strength ratio of internal tibial rotation and knee flexion after the use of semitendinosus and gracilis tendons for anterior cruciate ligament reconstruction. DESIGN AND METHOD 15 recreational athletes with unilateral anterior cruciate ligament reconstruction, at least one years previously, participated in this study, aged between 25 and 40 years (mean age 34±6 years). In an attempt to minimize unwanted subtalar joint motion, subjects were immobilized using an ankle brace. Participants were tested at angular velocities of 60 and 180 deg/sec at a knee flexion angle of 900. RESULTS The peak torque/body weight ratio measurements for internal tibial rotation and knee flexion operative limb and non operative limb were found to be 0.2±0.06 Nm, 0.2±0.08 Nm; 0.8±0.3 Nm, 1.1±0.3 at 60 deg/sec, 0.2±0.05 Nm, 0.2±0.01 Nm, 0.7±0.2 Nm, 0.8±0.2 Nm at 180 deg/sec respectively. The strength ratio of internal tibial rotation and knee flexion of the operative limb and non operative limb were found to be 5±1.6, 4.5±1.7 at 60 deg/sec, 4.5±1.3, 3.8±1.3 at 180 deg/sec respectively. All measured parameters of the operated limb at 60 and 180 deg/sec were statistically different compared to non-operated limb (p<0.01) CONCLUSIONS This study has shown that evaluate the strength ratio of internal tibial rotation and knee flexion is lower after the use of semitendinosus and gracilis tendons for anterior cruciate ligament reconstruction. This may lead to deficit for medial knee stabilization. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title PATELLOFEMORAL PAIN AND RELATED RETURN TO PLAY PERCENTAGES AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION Authors 1 1 2 3 1 4 D. Alaseirlis , T. Totlis , L. Nakou , I. Terzidis , I. Ntelis , K. Natsis Affiliations 1 General Hospital Of Giannitsa, Department Of Orthopaedic Surgery, Giannitsa, 2 University Hospital Papanikolaou, Department Of Neurosurgery, GREECE, 3 4 Thessaloniki, GREECE, General Hospital Saint Lukas, Thessaloniki, GREECE, Aristotles University Of Thessaloniki, Thessaloniki, GREECE Body Aim: To examine the incidence of patellofemoral (PF) pain after anterior cruciate ligament reconstruction using hamstrings autografts and its possible effect on returning to sports. Materials and Methods: 42 athletes (17 male-25 female) with a mean age of 23 y.o. (14-38) received a reconstruction procedure of the anterior cruciate for isolated acute injury of the ligament. Hamstrings autografts were used in all patients. None of the patients presented trochlear dysplasia. A common post-operative rehabilitation program was followed by all patients. Mean follow-up was 64 months (18-80). Results: No severe immediate post-operative complications were reported. At the end of follow-up a mean of 92 and 90 Lysholm and IKDC scores was measured respectively. Of the twenty-two patients who reported painless PF crepitus during the first sixteen post-operative weeks, eleven patients (26.2% - group A) developed later recurrent patellofemoral pain and a lower mean of Lysholm (86) and IKDC (84) scores, with a final percentage of 64% (7 patients) not able to participate in the pre-injury level of sports activitivies. Patients without patellofemoral pain (31 patients, group B) presented a significantly lower incidence of not returning to the pre-injury level of sports (16%, five patients). Conclusions: A high percentage (26.2%) of patients presented recurrent symptoms of patellofemoral pain, late after anterior cruciate ligament reconstruction using hamstrings autografts. Among these patients a high percentage of 64% were not able to return to previous level of sports activities. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title THE BEHAVIOR OF BLOOD PRESSURE DURING EXERCISE IN YOUNG ATHLETES Authors 1 1 1 1 1 1 B. Alice , N. Gori , G. Tempesti , I. Corsani , L. Stefani , G. Galanti Affiliations 1 Sports Medicine, Florence, ITALY Body Purpose: this study was aimed to evaluate the behavior of blood pressure in a group of young athletes in order to look any possible relationship with age, BMI and body surface area(BSA) in them. Methods: 300 athletes, aged between 9 and 15 years, were investigated. Systolic (SBP), Diastolic(DBP)and the mean arterial blood pressure(MAP) at rest, at the apex of the effort and at the 4 'minute of recovery were measured. Results: BSA and BMI showed a significant increase between 11 and 12 years. The SBP at rest increased with age while the DBP did not showed a progressive increase of values.The MAP at rest showed a significant increase between 11 and 12 years and between 14 and 15 years. The SBP and the MAP at the peak of the effort increased every year, with a significant difference between 11 and 12 years. At the 4’of the recovery the SBP showed a progressive increase with age; DBP did not follow the trend of systolic pressure. The MAP values increased with significant enhancement between 12 and 13 years and between 14 and 15 years. Conclusions: in young athletes blood pressure and anthropometrics parameters increases with age and this increase becomes significant to the passage between 11 to 12 years. The DBP globally increase during the growth, even if was not observed any significant change. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title THE EFFECTS OF MESOTHERAPY ON FUNCTIONAL TEST SCORE IN ORIENTEERING ATHLETES WITH MEDIAL TIBIAL STRESS SYNDROME Authors 1 1 1 A. Apaydin , Y. Yildiz , T. Aydin Affiliations 1 2 Department Sports Medicine Of Gulhane Military Medical Faculty, Ankara, TURKEY, 3 TURKEY, TURKEY Body OBJECTIVE Medial tibial stress syndrome is a common, painful musculoskeletal condition that affects physically active young adults and adolescents.Mesotherapy is a medical procedure that consists in the application of intradermal injections of mixed pharmacological substances that are given directly into the region to be treated. Mesotherapy has been used to treat musculoskelateal diseases. The purpose of this study was to evaluate the effectiveness of mesotherapy injection on medial tibial stress syndrome. DESIGN AND METHOD 15 orienteering athletes with medial tibial stress syndrome participated in this study, aged between 18 and 35 years (mean age: 26.5 ± 8.5 years). All participants underwent clinical and instrumental diagnosis (X-rays and three phase local dynamic bone scintigraphy). Mesotherapy was assigned to 3 treatments, 1 application per 5 days for 2 weeks. 0.5 ml deksketop rofen trometamol (50 mg/2 ml), 1 ml thiocolchicoside (4 mg/2ml) and 1 ml prilocaine HCl (20 mg/ml) were mixed in the same injector. This mesotherapy mixture was injected around the medial tibial area in each session. Functional test score and visual analogue pain scale were used to evaluate each subject before the treatment and at 10 days after the last application. RESULTS After the treatment; functional test score and visual analogue pain scale were decreased significantly from 6.5±3.2 to 3.4±2.8 and from 7.2 ± 0.77 to 1.73 ± 1.28 respectively (p<0.05). CONCLUSIONS Mesotherapy appeared to be an effective treatment for medial tibial stress syndrome. The future researches need to be done in this area. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title INJECTIONS OF HAYALURONIC ACID, MANUAL THERAPY AND ECCENTRIC TRAINING ON ACHILLES TENDON MID PORTION AFFECTED BY TENDINITIS IN AGONISTIC ATHLETES Authors 2 1 2 1 E. Bizzi , G. Boni , A. Migliore , S. Spaccapanico Proietti Affiliations 1 2 Cr Umbria Fmsi - Surgery Of Sport Medicine - Foligno, Foligno, ITALY, Dep. Reumatology - Fbf - S. Peter Hospital, Roma, ITALY Body AIM To evaluate the efficacy of synergy between the Hyaluronic Acid (HA) injections (peritendinous) and the rehabilitation in athletes affected by tendinitis of the mid portion of the Achilles Tendon (AT). Methods From February to April 2011 we investigated nine agonistic athletes with an average age of 33,6. Of these, 8 were male and 2 female, practicing different sports, with pain at the mid portion of the AT, 3 to 5 cm proximal to its site of attachment on the back of the calcaneus. They underwent a weekly cycle of 4 injections of HA peritendinous with medium weight hyaluronans and 5/ 10 sessions of manual therapy (MT), together with an eccentric training (ET) programme over 4/6 weeks performed at home with sets of 12-15 reps with an increasing load repeated 1-2 times daily. Myo - fascial terapy was performed immediately before infiltration and lasted between 30 and 45 minutes. All patients were evaluated by average pain VAS (6,6 pre to 0,7 post synergy of rehabilitation) and average repetition of eccentric stretching of the AT inducing pain (5,1 pre to 10 post ) at baseline and after 8 weeks. On every occasion each patient had an ecography of the AT, and two of them an MRI scan. Results Patients showed a significant reduction in pain symptoms recovery to return to competitive sports. and a complete functional Conclusions The combination of infiltrative therapy with HA, MT and ET represents an effective incentive for reducing symptoms and restoring function in competitive athletes with tendinitis of the mid-portion of AT. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title INTRA-ARTICULAR ULTRASOUND-GUIDED INJECTIONS IN AGONISTIC AND NON-AGONISTIC ATHLETES AFFECTED BY ANKLE OSTEOARTHRITIS Authors 1 2 1 2 2 3 E. Bizzi , G. Boni , A. Migliore , S. Proietti Spaccapanico , A. Ferri , P. Caramore , D. 3 3 Giannini , C. Tomassoni Affiliations 1 2 Dep. Of Rheumatology, S.pietro Fbf Hospital, Rome, ITALY, Cr Umbria - Fmsi 3 Surgery Of Sport Medicine - Foligno - Pg, Foligno, ITALY, Surgery Of Sport Medicine Flaminia - Spoleto - Pg, Spoleto, ITALY Body Aim: To investigate the eventual efficacy and safety profiles of intra-articular ultrasound-guided hyaluronic acid injections associated with rehabilitation in athletes affected by ankle osteoarthritis. Methods: In the years from 2008 to 2011 over 220 athletes received an intra-articular ultrasound-guided injection for a condition of osteoarthritis; 15 athletes were affected by ankle osteoarthritis. Medium-weight hyaluronans were used. All patients were evaluated by means of pain VAS and antero-posterior standing range of motion by the use of a goniometer at baseline and after 6 months. All injections were ultrasound-guided. All patients also underwent a variable number of rehabilitation sessions. All adverse events were recorded. Results: 11 agonistic athletes from different disciplines and 4 non agonistic athletes made up the group of patients affected by ankle osteoarthritis which underwent intra-articular injections of hyaluronic acid. A total of 15 injections was administered. All patients correctly performed rehabilitation sessions. Range of motion improved by 37% in agonistic athletes and by 29% in non agonistic athletes. Pain VAS decreased by 76,4% in agonistic athletes and by 80% in non agonistic athletes. No systemic or local adverse events were reported. Discussion: The use of intra-articular hyaluronic acid injections by ultrasound-guidance seems to be in our experience a valid tool for athletes suffering from ankle osteoarthritis, with good efficacy and safety profiles. Further studies are needed to confirm such data. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title INTRA-ARTICULAR ULTRASOUND-GUIDED INJECTIONS IN AGONIST AND NON-AGONIST ATHLETES AFFECTED BY KNEE OSTEOARTHRITIS Authors 1 2 2 1 2 3 A. Migliore , G. Boni , S. Proietti Spaccapanico , E. Bizzi , A. Ferri , C. Caramore , D. 3 3 Giannini , C. Tomassoni Affiliations 1 2 S.pietro Fbf Hospital, Dep. Of Rheumatology, Rome, ITALY, Cr Fmsi - Umbria, Sports 3 Sports Medicine Ambulatory Medicine Ambulatory - Foligno, Foligno, ITALY, Flaminia - Spoleto, Spoleto, ITALY Body Aim of the study: To investigate on the eventual efficacy and safety profiles of intra-articular ultrasound-guided hyaluronic acid injections associated to rehabilitation in athletes affected by knee osteoarthritis. Methods: In the years from 2008 to 2011 over 220 athletes received an intra-articular injection for a condition of osteoarthritis; 80 athletes were affected by knee osteoarthritis. Medium-weight hyaluronans were used. All patients were evaluated by means of pain VAS and Lequesne index at baseline and after 6 months. Kellgren-Lawrence radiological grade was evaluated at baseline. All injections were ultrasound-guided. All patients also underwent a variable number of rehabilitation sessions. All adverse events were reported. Results: 23 agonistic athletes from different disciplines and 57 non agonistic athletes made up the group of patients affected by knee osteoarthritis which underwent intra-articular injections of hyaluronic acid. 27 patients were affected by bilateral knee osteoarthritis. A total of 107 injections was administered. All patients correctly performed rehabilitation sessions. Kellgren-Lawrence grading ranged between 1 and 4, with an average of 1,97. Lequesne index values decreased by 79% in agonistic athletes and by 71% in non agonistic athletes. Pain VAS decreased by 81% in agonistic athletes and by 72% in non agonistic athletes. No systemic or local adverse events were reported. Discussion: The use of intra-articular hyaluronic acid injections by ultrasound-guidance seems to be in our experience a valid tool for athletes suffering from knee osteoarthritis, with good efficacy and safety profiles. Further studies are needed to confirm such data. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title CORRELATION BETWEEN BODY MASS INDEX AND BLOOD PRESSURE IN YOUNG ATHLETES Authors 1 1 E. Contini , A. Zanazzi Affiliations 1 Institute For Sports Medicine, Milan, ITALY Body Objective - It is well known that overweight subjects have the tendency to develop hypertension and both obesity and hypertension are relevant risk factors for coronary cardiopathy. The aim of the present study is to point out if an increase of weight in young athletes corresponds an increase of blood pressure. Design and methods - We examined 323 young athletes, between 6-18 years old, requesting a medical certificate of suitability for agonistic sports. We divided them by gender and age and for each athlete we wrote down the weight, height and blood pressure with the same procedure. We calculated the Body Mass Index from their anthropometric measures and the results were compared with the table of Cole (1) for normal values. Results - The 26.69% of males and the 23.52% of females were overweight. These are the blood pressure’s average values founded (in mmHg): Normal weight males : 111,7 / 69,22 Overweight males : 112,79 / 68,57 Normal weight females : 105,74 / 63,62 Overweight females : 119,43 / 76,68 Conclusion - Although for some age groups the number of athletes was too small to be significant, we noticed that in every age group the blood pressure’s values were slightly higher in overweight athletes, both males and females. This study demonstrates how important is to control the weight since early ages, to avoid blood pressure increases and the possible establishing of hypertension and subsequent cardiopathy. 1) Cole TJ, Bellizzi MC, Flegal KM, Dietz WH, Establishing a standard definition for child overweight and obesity worldwide: International survey. British Medical Journal 2000;320:1240-1243 XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title DO ACHILLES TENDON LENGTH AND SOLEUS INSERTION ANGLE DIFFER BETWEEN PERSONS WITH OR WITHOUT CLINICAL SYMPTOMS OF ACHILLES TENDINOPATHY? Authors 1 A. Desrochers , D. Gagnon, M.J. Nadeau, M. Lamontagne Affiliations 1 Laboratoire De Pathokinésiologie, Institut De Réadaptation Gingras-lindsay De 2 Laboratoire De Pathokinésiologie, Institut De Montréal, Montréal, CANADA, 3 Réadaptation Gingras-lindsay De Montréal, Montréal, CANADA, Laboratoire De Pathokinésiologie, Institut De Réadaptation Gingras-lindsay De Montréal, Montréal, 4 CANADA, Laboratoire De Pathokinésiologie, Institut De Réadaptation Gingras-lindsay De Montréal, Montréal, CANADA Body AIM OF THE STUDY: To determine if absolute and relative Achilles tendon (AT) length and soleus muscle fiber insertion angles onto the AT differ between persons with or without clinical symptoms of AT tendinopathy. MATERIALS & METHODS: Persons with (N=14) and without (N=14) clinical symptoms of AT tendinopathy participated in a laboratory assessment during which longitudinal ultrasound images of the AT and soleus muscle fiber insertions were recorded, respectively. For each of these structures, a physiatrist and a physiotherapist each recorded three images while participants remained standing. The absolute AT length reflects the distance between the distal part of its insertion on the calcaneus and the distal musculotendinous junction of the soleus. The relative AT length represents the absolute AT length normalized against the length of the lower leg segment. The soleus muscle insertion angle reflects the mean angle formed between the longitudinal axis of the AT and the axis formed by three visually identifiable soleus muscle striations on each image. Images were analysed using a MatLab program. Student t-tests were performed. RESULTS: Similar absolute (7.4±1.3cm vs 7.0±1.6cm; p=0.48) and relative (15.9±3.1% vs 16.0±3.4%; p=0.47) AT length, and similar soleus muscle fibers insertion angles onto the AT (13.3±2.7° vs 13.3±3.4°; p=0.96), were measured between persons with symptoms of AT tendinopathy and healthy controls, respectively. CONCLUSIONS: AT length and soleus muscle fiber insertion angles onto the AT do not solely contribute to the pathomechanics of AT tendinopathy. Others factors, such as passive extensibility of the AT or foot biomechanics, may need to be considered. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title EXPERIMENTAL MODEL FOR THE STUDY OF THE EFFECTS OF PLATELET DERIVED GROWTH FACTORS ON MUSCLES Authors 1 1 1 2 2 1 A. Di Gianfrancesco , L. Grasso , E. Chierto , S. Geuna , S. Racca , E. Ciminelli , F. 1 1 Pigozzi , P. Borrione Affiliations 1 2 University Of Rome Foro Italico, Rome, ITALY, Department Of Clinical And Biological Sciences, Turin, ITALY Body The use of platelet-rich plasma is actually applied in many clinical fields but there is still a lack of data when considering the biological mechanism at the basis of platelet-rich plasma activity during the muscle healing process. The aim of the study was to analyze the early effects of platelet-rich plasma on a standardized animal model and to verify whether its local administration can induce a systemic effect on contralateral injured muscles. Material and methods. The lesion was performed by scalpel on the right arm from the elbow region to the wrist in order to access the flexor sublimis muscles. Platelet Rich plasma was administered immediately after lesion. Treated, untreated and contralateral muscles were paraffin embedded and analyzed with light microscopy. Morfoquantitative analysis were performed on sections stained with hematoxylin eosin and analyzed with a digital camera DM4000B DFC320 and software for processing images IM50 (Leica Microsystems, Wetzlar, Germany). The muscle analysis was tested by Western Blot assay, Immunohistochemistry and confocal laser microscopy. Results. The results of the present study showed that platelet rich plasma treatment magnified the physiological early inflammatory response following a muscle injury, modifying the pattern of cellular recruitment. Moreover, the local treatment generated a systemic effect. Conclusion. It has been clearly demonstrated that local platelet rich plasma treatment may exert, directly or, more plausibly, indirectly, a systemic effect when healing processes are concerned, at least limited to the very first inflammatory phases. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title EFFECT OF CRYOTHERAPY ON BLOOD LACTATE CONCENTRATION, BLOOD PH AND PERFORMANCE IN TWO SWIMMING RACES IN ONE SESSION Authors 1 2 2 A. Khashaba , A. Abdelfattah , H. Hussein Affiliations 1 2 Riyadh Colleges Of Dentistry And Pharmacy, Riyadh, SAUDI ARABIA, Faculty Of Physical Education, Helwan University, Cairo, EGYPT Body AIM: to investigate the impact of swimming two events (200 meter IM event and 200 meters butterfly) in one session regarding the National swimming competition schedule of Egypt on blood lactate concentration and pH. Also, the impact of Ice massage after each event. METHODS: 20 competitive swimmers (National level) aged 17 ±1.56, weight 75±2.3 and height 177.21) performed (experimental I) 200 meter Individual medley. Five minutes following this maximal effort, an ice massage has performed to the swimmers to their shoulder and legs (3 minutes, 2minutes and 1 minute soft massage and one minute rest interval between each massage) then completed by another 200 meters but butterfly after 30 minutes of the first race. The same ice massage has been performed. Blood sample has been collected to measure both blood lactate concentration and pH pre-race, immediately after and after 30 minutes of each race. The same group performed the same races, (experimental II), but without ice massage in between the two races after 3days. RESULTS: revealed significant increase (P< 0.01) in blood lactate levels and decreased pH immediately after exercise in both experimental (I and II), decreased significantly in experimental I after 30minutes of the first race compared to the experimental II. DISCUSSION AND CONCLUSION: It is concluded that ice massage may help recovery from short maximal efforts or after perform one race followed by another race in one swimming session within 30 minutes. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title EFFECT OF ZINC PASTE ELASTIC BANDAGE ON PAIN AND EDEMA OF ANKLE SPRAINS Authors 1 1 1 1 C. Lyrtzis , K. Natsis , N. Anastasopoulos , T. Totlis Affiliations 1 Department Of Anatomy, Medical School, A.u.th, Thessaloniki, GREECE Body Ankle sprains constitute common injuries. The aim of this study was to compare the effect of zinc paste elastic bandage with the elastic bandage in the reduction of pain and acute edema of ankle sprains. Fifty-six athletes, 18 to 41 years old, with severe acute ankle sprain were randomized in two groups. All were treated with the PRICE protocol. Group A athletes (23) used zinc paste elastic bandage for the first 3 days for compression. The athletes of the group B (23) used elastic bandage. Three athletes were lost to follow up. We compared the pain with the VAScale and the edema of the ankle joint with the figure of eight method and with a volumetric method at arrival, at the third and at the tenth posttraumatic day between the two groups. The two groups had no significant differences concerning their baseline values (p>0,05). The ankle joint edema was decreased significantly in both groups at the third day (p<0,01) and at the tenth day (p<0,001). The edema was more in the group B than in group A at the third and tenth posttraumatic day (p<0,05). The pain level was decreased more in group A patients the third posttraumatic day (p<0,05), but it was not significant different between groups the tenth posttraumatic day (p>0,05). Zinc paste elastic bandage had better effect on pain reduction of ankle joint sprains the third posttraumatic day. Also acute ankle edema and pain was more in patients who were not treated with zinc paste elastic bandage. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title SPORT RELATED MAXILLOFACIAL INJURIES: OUR EXPERIENCE Authors 1 1 1 1 E. Magaudda , C. Freno , J. Matyasova , F.S. De Ponte Affiliations 1 Department Of Maxillofacial Surgery, University Of Messina, Messina, ITALY Body OBJECTIVE: With increasing leisure time and the growing interest in sports, there has been an increase in sports injuries, with a significant increase in traumas of the maxillofacial skeleton. The objective of this study is to establish a correlation between the major sports and the incidence and location of injury to the maxillofacial honeycomb. METHODS: To achieve proper knowledge in this subject, several studies on various types of sporting activities both competitive and amateur level have been evaluated and compared to data collected from our Department. RESULTS: Although in terms of incidence the main cause of maxillofacial injuries are related with car and motorcycle accidents (48.5%), followed by household accidents (28.2%), work accidents (16.4%) and violent acts, was reported that 3-18% of all maxillofacial fractures are caused by the practice of training and sports games. CONCLUSIONS: Our experience, compared with data reported in literature, confirms, in principle, the prevalence in Italy of football among the activities that cause major facial trauma of the district. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title ROTATOR CUFF STATUS IN 3 GENERATIONS OF HIGH LEVEL VOLLEYBALL PLAYERS Authors 1 1 1 1 1 2 C. Miguel , R. Aido , J. Lourenço , J.C. Vasconcelos , S. Magalhaes , J. Costa , F. 3 3 Monteiro , R. Sales Affiliations 1 Service Of Orthopaedics And Traumatology - Hospital De Santo António, Centro 2 Hospitalar Do Porto;, Porto, PORTUGAL, Service De Radiologie Institut Jules Bordet, 3 Brussels, BELGIUM, Service Of Phisical And Rehabilitation Medicine, Faro, PORTUGAL Body Objective: Estimate and compare the prevalence of rotator cuff pathology in elite volleyball players of 3 different generations (active and ex-players) and correlate clinical examination with the changes observed with ultrasonography and power doppler (US + PD). Designs and Methods: Forty Five volleyball players, with national team representations, were selected to perform a clinical and an imaging evaluation. The younger group with mean age of 17 years and 5 years average of volleyball competition, the intermediate group with mean age of 24,25 years and 13,25 years average volleyball competition and the group with former players with mean age of 49 years and 16,5 years average of volleyball competition. Results: 45 athletes performed shoulders evaluation in both arms. Rotator cuff tendinopathy was prevalent at the second and third generations. Almost all the players present imaging changes at the dominant arm, even at the younger generation. All players with Jobe test painful had structural and vascular changes on US + PD. The most present finding at the US was the presence of indirect signs of posterior-superior impingement. Conclusions: Our study confirms that shoulder lesion is a frequent finding in high level volleyball athletes caused by overuse. US + PD have good accuracy (with high sensibility) in confirming clinical diagnosis of rotator cuff tendinopathy. This study also suggests that US findings of posterior-superior shoulder impingement don´t have direct clinical correlation. The results show that the structural changes of the shoulder start even at the younger ages. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title CHANGES IN LEVELS OF NEUROSPECIFIC AUTOANTIBODIES AND APOE POLYMORPHISM IN BOXERS WITH REPEATED MILD TRAUMATIC BRAIN INJURIES. Authors 1 A. Muravskiy , S. Novikova, I. Dekhtiarov Affiliations 1 National Medical Academy Of Postgraduate Education Named P.l. Shupik, Kyiv, 2 3 UKRAINE, Institute Of Genetic And Regenerative Medicine, Kyiv, UKRAINE, Ukrainian Center Of Sport Medicine, Kyiv, UKRAINE Body The aim of the study was the interrelation of the level neurospecific autoantibodies and apolipoprotein e4 in boxers to predict the effects of repeated mild traumatic brain injury (TBI). Materials and methods. We examined 40 amateur boxers high skill level from age 18 to 29 years, playing a boxing classes ranging between 7 to 14 years. During a sports career boxers underwent TBI in the form knockdown and knockouts in number from 1 to 10. Boxers are divided into four groups (10 people in each) depending on the presence of apolipoprotein e4, changes according to MRI of the brain and neurological status. The control group consisted of 15 persons of appropriate age who had no history of transferred brain injury. The study level neurospecific autoantibodies and apolipoprotein e4 in serum boxers from repeated mild TBI. Results. The largest increase in neurospecific autoantibodies were in a group of boxers to the presence of apolipoprotein e4, changes to brain according MRI and neurologic symptoms. The lowest level fluctuations neurospecific autoantibodies occurred in the group of boxers to the absence of apolipoprotein e4, changes according to the MRI and neurological symptoms. Using the methods of multicomponent assessment of various autoantibodies can detect and analyze morphostructural changes occurring in the subject long before clinical manifestation of disease. Conclusions. Conduct genetic testing (apolipoprotein e4), determine the level of neurospecific autoantibodies will enable to identify risk and prevent the development of neurological complications after past TBI. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title ULTRASOUND (US)-GUIDED VISCOSUPPLEMENTATION (VS) OF THE HIP: EFFICACY IN PATIENTS WITH FEMOROACETABULAR IMPINGEMENT (FAI) Authors 1 1 1 2 2 3 D. Orlandi , G. Ferrero , E. Fabbro , F. Lacelli , N. Perrone , L.M. Sconfienza , G. 2 Serafini Affiliations 1 2 Radiology Department, Genoa University, Genova, ITALY, Radiology Department, 3 Ospedale Santa Corona, Pietra Ligure, ITALY, Radiology Department, Policlinico San Donato, San Donato Milanese, ITALY Body Purpose: US-guided hip viscosupplementation (VS) in symptomatic osteoarthritis (OA) is a safe and effective treatment that can replace the continuous therapy with nonsteroidal anti-inflammatory drugs and delay the prosthesis implantation. The purpose of our study was to evaluate the effectiveness of US-guided VS in patients with OA secondary to FAI. Methods & Materials: Three hundred fifty two patients with hip pain and radiographic findings of OA (grade II-IV of K-L) undewent to US-guided VS with 4 ml of high-weight hyaluronic acid (Hyalubrix) each 30 days for 3 months .Each patient was evaluated at baseline, at 1,3,6 and 12 months using VAS and Oxford scores. Patients were stratified according effects of treatment: a group in which the treatment provided a relevant improvement (Oxford score increase > 10 pt and/or VAS reduction > 3) and a group with a poor results (Oxford score increase < 10 pt and/or VAS reduction < 3). Then, radiographs findings of each patients were searched for signs of FAI (acetabular retroversion, roundness of the femoral head, ossification of the acetabular labrum). Chi square statistics were used. Results: A good symptoms improvement was found in 281/352 (79.8%) patients, while 71/352 (20.2%) experienced poor results. Radiographic signs of FAI were retrospectively identified in 37/281(11.4%) patients who experienced good symptoms improvement and in 43/71 (60.5%) who experienced poor results (P<.001). Conclusion: Although VS is an effective treatment for OA symptoms, the retrospective assessment of the radiological data showed a significant increase of FAI prevalence in patients who experience poor therapeutic response. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title RENAL INJIURIES IN ATHLETES Authors 1 1 1 1 A. Parrella , M.L. Iocca , E.R. Faloni , S. Giannini Affiliations 1 Casa Di Cura Villa Stuart, Rome, ITALY Body AIM OF THE STUDY We studied several athletes with dorso lumbar pain using ultrasound investigation and MRI scanner with a 1.5-T superconducting magnet. When the MRI doesn't detect musculoskeletal alterations, ultrasonographyy allows the investigation of abdominal organs. MATERIALS AND METHODS We've used ultrasound by high multifrequencial convex probe 3.5 MHz . The ultrasound exam has accidentally shown nephrolithiasis in athlets with a high-protein diet. The tecnique allows to study the kidney parenchimal tissue, the ureters proximal and distal part and bladder possible alterations. RESULTS In some cases dorso lumbar pain without musculoskeletal alterations was due to a renal colic. We’ve completed our examination by URO TC for the morphological and functional study of the urinary apparatus. CONCLUSIONS In high level professional athletes the cause of dorsolumbar pain in absence of musculoskeletal alterations could be due to nephrolithiasis. It's possible that high-protein diet in athletes and nephrolithiasis are correlated. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title CHRONIC GROIN SYNDROME AND SPORT HERNIA IN YOUNG ATHLETES Authors 1 1 1 1 1 A. Parrella , E.R. Faloni , M.L. Iocca , E.P. Assako Ondo , S. Giannini Affiliations 1 Casa Di Cura Villa Stuart, Rome, ITALY Body AIM OF THE STUDY Aim of the study is to evaluate the reason for groin pain in young athletes. MATERIALS AND METHODS We performed X-Ray hip, ultrasound by using high multifrequencial sectorial probe 17 .5 - 15 MHz and MRI 1,5 T superconducting magnet to study anatomical structure of the groin region. The diagnosis of chronic groin pain needs a patho-anatomical approach and knowledge of the groin region. Abdominal and pelvic muscles and the pubic synphysisis should be studied in case of pelvic injuries. RESULTS We refer about our experience with athletes with groin pain. The groin region is used to localize the pathology to a specific area and it allows the differential diagnosis between pubic bone stress injury, adductor pathology, femoral-acetabular one, ileopsoas muscle pathology and intra-abdominal one. CONCLUSIONS This study suggests a new way of proceeding to find the causes of chronic groin pains through history of the patient, specific diagnostic procedures and directed investigations (US, XRAY and MR). XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title COMBINED IPSILATERAL TALAR AND CALCANEAL FRACTURE IN AN ATHLETE Authors 1 1 1 1 2 1 B. Patczai , T. Mintál , Á. Horváth , I. Naumov , A. Sebestyén , L. Vámhidy Affiliations 1 2 University Of Pécs, Dept. Of Trauma And Hand Surgery, Pécs, HUNGARY, National Health Insurance Fund Administration, Pécs, HUNGARY Body Our purpose is to demonstrate a rare entity, the combined ipsilateral talar and calcaneal fractures in an athlete, when the need to return to play quickly is high priority. MATERIALS AND METHODS: Motocross racer suffered foot injury during practice. Clinical and radiological tests identified combined ipsilateral talar and calcaneal fractures. Closed reduction and internal srcew fixation was performed. Our main objective was to shorten recovery and get the athlete back to the racetracks as quickly as possible. Initially, the patient's foot and ankle were kept in a well-padded posterior splint that maintains the foot in a neutral position during the first 6 days. After 10 days the ankle joint was stressed through range-of-motion exercises, as soft tissues allowed. Six weeks after surgery complex physiotherapy was supplemented with subaquatic exercise along with progressive increase of weight bearing loads. Normal body weight load was restricted. CT and radiography were taken following surgery and after 6, 12 and 26 weeks. AOFAS-Hindfoot Score was used for evaluation. RESULTS: 12 weeks after surgery range of movements and physical load were fully recovered. Patient started reduced training and continued carrying out proprioceptive exercises. Total physical activity was back 4 months after surgery. Regularly evaluated functional tests illustrate stages of treatment and recovery. CONCLUSION: In these cases conventional postoperative treatment recommendations propose at least 12 weeks of total load restriction. In this special situation, we had to revise these guidelines under tight control. Final results were satisfactory for both the patient and the medical team. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title PREVALENCE OF OCULAR INJURIES IN BOXERS Authors 1,2 2 1 2 2 2 F. Quaranta , E. Cantera , E. Ciminelli , S. Conflitti , S. Armentano , F. Sperandii , P. 1,2 1,2 Borrione , F. Pigozzi Affiliations 1 2 University Of Rome Foro Italico, Rome, ITALY, Sport Medicine Institute Of Rome Villa Stuart Sport Clinic, Rome, ITALY Body Objective: To observe the prevalence of ocular injuries in a large population of boxers over a period of 5 years and to assess if there is a correlation with age, weight, professional and amateur practice. Design and Methods: 694 athletes (average age 24 ± 6) were recruited. All of them underwent ophthalmologic evaluation during the pre participation screening. Results: A quite relevant prevalence of peripheral retinal degeneration (7%) and a prevalence of 4% of blepharitis, corneal disease, conjunctival diseases, and pinguecola was observed. We didn’t find statistically significant correlation among the presence of pathologies vs age, weight, professional and amateur boxing but we observed an increased occurrence of retinal degeneration in older amateurs. Conclusions: We cannot establish a direct correlation between boxing and ocular injuries, but we must underline the necessity of a thorough examination of the fundus oculi, including the peripheral retina and the posterior pole in order to exclude boxing-related worsening of peripheral retinal degenerations, causing retinal detachment. References: -Bianco M et al Ocular complications of boxing. Br J Sports Med 2005 -Vadalà G et al Boxing and the eyes: morphological aspects of the ocular system in boxers. Eur J Ophthalmol 1997 XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title BEACH VOLLEY HYDRATION ANALYSIS DURING A TOURNAMENT Authors 1 2 1 1 1 1 A. Scardigno , A. Gianfelici , M. Bianco , V. Palmieri , M. Gentile , C. Di Mambro , S. 3 3 2 1 Cameli , G. Ranocchi , M. Faina , P. Zeppilli Affiliations 1 2 Sports Medicine Unit - Catholic University, Rome, ITALY, Medicine And Science 3 Sports Institute A. Venerando - Italian Olympic Committee, Rome, ITALY, Italian Volleyball Federation, Rome, ITALY Body AIM.Beach-Volleyball is an outdoor sport, strictly related to weather conditions (temperature, humidity, sun) with possible occurrence of dehydration. Aim of the study is to assess the entity of dehydration. METHODS.Anthropometrical characteristics were collected from 25 Beach-Volleyball players (11 males), who voluntarily participated to the study. Bioelectrical impedance analysis was carried out in the morning and after the last match of the day. Fluid intake during competition (ad libitum), number of sets played, ranking position and occurrence of clinical signs of dehydration were recorded. RESULTS.Athletes ranked from 1st to 29th (Italian ranking). Mean±SD of age, height, weight were 28.4±4.7ys, 191.9±0.1 cm and 87.0±8.6 kg respectively for males, and 31±4.4ys, 172.4±0.1 cm and 66.0±5.6 kg for females. Fluid intake ranged from 2 to 8 lt. Body weight decreased of -0.45±0.49 kg in males and -0.21±0.70 kg in females (not statistically significant). Significant (p<0.05) correlation was found between: fluid intake vs number of sets played (r=0.566), body weight change minus fluid intake (raw marker of dehydration) vs number of played sets (r=-0.51), fat mass vs ranking position (r=0.55) and fat free mass vs ranking position (r=-0.55). One female athlete, initially complaining of cramps, had a heat stroke after having played 7 sets with body weight decreasing of 0.7 kg (1.3%) and total body water of 1 lt (2.8%). CONCLUSION.Our study shows the importance of rehydration during a Beach-Volleyball tournament. The less rehydrated athletes were those who played the lower number of sets. Moreover, athletes with higher free fat mass had higher ranking position. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title CARDIOVASCULAR RISK FACTORS IN YOUNG FOOTBALL PLAYERS: SCREENING POPULATION IN MATERA. Authors 1 C. Sinno Affiliations 1 Associazione Medico Sportiva Dilettantistica Matera, Matera, ITALY Body Introduction. The study was conducted on a population of 216 young football players (age years from 6 to 13); aim of the study was to understand prevalence of cardiovascular risk factors, and to envolve teachers and parents in prevention. Collected Data: ⋅ Anthropometric and physiological parameters ⋅ Cardiovascular risk factors ⋅ Sport activity related habits ⋅ Physiological changes to maximal exercise Materials and Methods. Parents were previous informed on aim, protocol, background of the study. Data on weight, height, Body Mass Index (BMI) were detected. Basic Cardiac Frequency and Blood Pressure were checked. Total cholesterol and glycaemia fasting value were tasted on blood sample. Cardiovascular response was tested using Ruffier test. Results. Our data show: ⋅ 20.83% resulted overweight ⋅ prevalence of cardiovascular risk factors among relatives was elevated ⋅ 1.8% showed elevated cholesterol values ⋅ 5.5% had blood pressure values elevated over age related 95° percentile ⋅ few time spent for sport activities ⋅ 1 out of 2 had poor skill in physiological changes to maximal exercise Conclusions. Teachers and parents have a big role in obesity and poor physical activity in young age population. They must take care of young habits on physical activity in general and training. Is mandatory for all to fight young habits before health will be serious and definitely damaged. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title STABILOMETRY IN ATHLETES WITH MULTIPLE ANKLE SPRAINS: A PROSPECTIVE BLINDED CONTROL TRIAL Authors 1 1 2 3 4 1 G. Soldatos , G. Kiritsis , O. Kiritsi , K. Tsitas , A. Karamouzis , Z. Dadontzidi , K. 5 Skountzos Affiliations 1 2 Hellenic Airforce 251 General Hospital, Athens, GREECE, Consultant Radiologist, 3 4 Thessaloniki, GREECE, General Hospital Kozani, Kozani, GREECE, Physiotherapist, 5 Athens, GREECE, Atei, Patras, GREECE Body Objective The aim of this prospective study was to evaluate the stability of athletes with multiple ankle sprains and healthy athletes with the means of stabilomentry. Design and Method Thirty-two amateur male athletes (mean age of 28.3 years SD = 4.7 years) were enrolled in the trail; 16 with history of multiple ankle sprains (study group) and 16 healthy individuals (control group). We evaluated athletes balance with the means of an Electronic podometer (Modular Electronic Baropodometer), using Single leg Balance test with open and closed eyes as well as Jump Landing Test. The investigator was blinded to the athlete's previous ankle injury status. Results: Single leg Balance test with open eyes: The study group differed significantly in postural sway in the sagittal and mediolateral plane (p=0.015). Significant difference was also depicted when the area of the footprint was compared (p = 0,012). Single leg Balance test with closed eyes: The study group differed significantly when time to achieve balance was taken into consideration (p= 0.006). Significant difference was also depicted when the area of the footprint was compared (p = 0.011). Postural sway velocity in the sagittal and coronal plane was also different statistically between the 2 groups (p = 0.003), and p = 0.004 respectively). Single leg Jump Landing Test: The study group differed significantly in postural sway velocity in the sagittal and coronal plane (p=0.005 and p = 0.02 respectively). Conclusions: In conclusion, athletes with multiple ankle sprains showed decreased balance performance compared to healthy athletes. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title INCIDENCE OF LONE ATRIAL FIBRILLATION IN MEN AND WOMEN AFTER LONG PRACTICE OF THE BREATH HOLD AND/OR SCUBA DIVING Authors 1 1 A. Stuto , G. Basile Affiliations 1 Seal Whealth Team, Siracusa, ITALY Body Purpose: Some studies have shown that subjects who practice endurance sports are at approximately five times higher risk of lone atrial fibrillation (LAF) than those who are sedentary. The aim of present study was to determine if this increased risk concerns also subjects practicing diving. Methods: A group of 242 divers and a population-based sample of 244 sedentary men and women recruited in 1997–1998, were contacted in 2007–08 and invited to attend an outpatient clinic to identify suggestive symptoms of having experienced an arrhythmia requiring medical attention. In those with suggestive symptoms of atrial fibrillation (AF), medical records were reviewed. Finally, LAF was diagnosed on the basis of the presence of AF in an electrocardiographic recording. An echocardiogram was performed at inclusion and at the end of the study. The follow up lasted 10 +/- 0.7 years. Results: Forty divers and forty two controls dropped out during follow up. In the residual the annual incidence rate of LAF among divers and sedentary men was 0.33% and 0.12%, respectively. In 75% of the divers were detected increased right atrial diameters (RAD), and in 5% was detected also an increased left atrial inferosuperior diameter (LAISD). In this last group the LAF incidence was little higher (0.44%) than in divers with isolated increase of the RAD. . Conclusion: subjects who practice diving are at approximately three times higher risk of symptomatic LAF than those who are sedentary, and this risk increase to four times more in divers with increased LAISD. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title OSTEOMETRIC STUDY OF THE CORACOCLAVICULAR REGION. CONTRIBUTION TO THE ANATOMIC RECONSTRUCTION OF THE ACROMIOCLAVICULAR JOINT Authors 1 1 1,2 1 1 1 T. Totlis , K. Tsitas , O. Kiritsi , C. Lyrtzis , I. Terzidis , K. Natsis Affiliations 1 Laboratory Of Anatomy, Medical School, Aristotle University Of Thessaloniki, 2 Thessaloniki, GREECE, James Paget University Hospitals, Gr Yarmouth, UNITED KINGDOM Body Aim of the study: To record osteometric data around the coracoclavicular ligament origin, both on the clavicle and scapula, which are useful for the anatomic coracoclavicular ligament reconstruction. Materials and Methods: One hundred forty (70 paired) dried clavicles and matching scapulae (46-96 years old) were analyzed. Differences related to left/right side and sex were examined using SPSS. Results: The mean anteroposterior (AP) diameter of the clavicle at the conoid tubercle was 1.73±0.27cm. The distance between the clavicle acromial edge and the most medial point of the conoid tuberosity was 4.08±0.50cm. The distance between the clavicle acromial edge and the most lateral point of the trapezoid line was 1.30±0.56cm. The height of the vertical part of the coracoid process was 1.42±0.16cm. The AP width of the coracoid at the margin between its vertical and horizontal part was 1.36±0.20cm. The transverse length at the base of the coracoid process was 2.56±0.25 cm. No significant differences were observed between left and right side. Gender differences were significant (p<0.05) in all measurements except the distance between the clavicle acromial edge and the most lateral point of the trapezoid line (p=0.45). Conclusions: Knowledge of the presented anatomic data could help the surgeon to correctly create bone tunnels and apply the appropriate graft size during the anatomic coracoclavicular ligament reconstruction. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title RETURN TO SPORTS AFTER ARTHROSCOPIC SHOULDER STABILIZATION Authors 1 1 1 1 M. Aloe , D.J. Albertengo , R.S. Beribe , J.L. Aparicio Affiliations 1 Sanatorio Mapaci - Assist Sport, Rosario, ARGENTINA Body PURPOSE - Determine the return to sports of athletes after arthroscopic stabilization of shoulder instability (first time and recurrent). MATERIALS AND METHODS - Retrospective search of athletes with shoulder instability that received arthroscopic stabilization from March 2008 to February 2011. Fifteen patients were enrolled, 14 males (93%) and 1 female (7%). Inclusion criteria: non-professional athletes, first-time dislocation or recurrent shoulder instability, rehabilitation protocol completed, at least 12 months of postoperative evolution. Exclusion criteria: previous surgeries, bone defects that contraindicate the arthroscopic stabilization, humeral avulsion of the glenohumeral ligaments. Evaluation methods: anamnesis, Rowe Score and WOSI Index. RESULTS - Mean follow-up: 27 months (range, 12 to 47 months). 86,7% (n=13) of the patients could return to sports: 66,7% being able to return to their previous sport activity level (Rowe Score 79 and WOSI Index 73%), 13,3% changed of sport but maintained the level (Rowe Score 95 and WOSI Index 85%) and 6,7% return to their sport but in a lower pre-injury level (Rowe Score 45 and WOSI Index 56%). 13,3% (2 athletes) did not return to sports with a Rowe Score average of 72 (range 65 to 80) and WOSI Index average of 66% (range 45% to 87%). We found 2 cases (13,3%) of recurrence after arthroscopic stabilization; one of them returned to his sport but in a lower level, and the other one abandoned sports. CONCLUSIONS - The return to sports was possible in the 86,7%. We did not find a strong correlation between the tools used to measure patient outcome postoperatively (Rowe Score and WOSI Index) and the return to their previous sports activity level. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title HYDROTHERAPY IN CHEST-HIGH POOL FOR HORMONE THERAPY INDUCED ARTHRALGIA IN BREAST CANCER SURVIVORS. A TELE-REHABILITATION PURPOSE. Authors 1 2 3 4 M. Arroyo-morales , I. Cantarero-villanueva , A. Ariza-garcia , C. Fernández-lao , N. 5 6 7 Galiano-castillo , I. Zarcos-pedrinaci , C. Fernández-lao Affiliations 1 2 3 4 5 Physical Therapy Department, University Of Granada, Granada, SPAIN, 1, 1, 1, 1, 6 7 Radiotherapy Oncology Service. Hospital Virgen De Las Nieves, Granada, SPAIN, 1 Body Introduction - To establish the feasibility of studying the impact of hydrotherapy on pressure pain threshold, cancer related fatigue and adiposity in breast cancer survivor suffering hormone therapy associated arthralgia (HTAA). Methods - Design: Single-blind, controlled pilot trial. Setting: Two major metropolitan hospitals and a Sport & Spa Club in Granada, Spain. Subjets: Forty women aged 29-71 years with stage I to III breast cancer who reported HTAA admitted to a hydrotherapy programme. Intervention - Patients were allocated to either hydrotherapy treatment or usual care. The 2-month hydrotherapy intervention consisted of 24 sessions 3 days per week. Each session included 5 minutes of warm-up, 15-20 minutes of aerobic exercise, 15 minutes of mobility exercise, and 20 minutes of recovery techniques. Main measures - Pressure pain threshold at neck, shoulder, hand and leg were evaluated as primary outcomes. Fatigue related cancer, as measured by the Piper Fatigue Scale (PFS); adiposity as measured by body mass index and waist circumference were secondary outcomes. Results - Neither adverse events nor development of worsening of pain or lymphedema were observed. Almost all the participants in the intervention group (89%) adhered to the hydrotherapy program. Participants experienced significant improvement in pressure pain threshold measured in neck, hand, shoulder and leg, as measured by algometry pressure, and waist circumference; all P < .05. Fatigue related cancer and body mass index did not experience significant improvement. Discussion - Preliminary data suggest that hydrotherapy in chest-high pool may reduce pain andadiposity in breast cancer survivors with HTAA. Finally, an application of tele-rehabilitation based on the results of this study will be presented. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title A TELEREHABILITATION PURPOSE TO ASSESS PHYSICAL IMPAIRMENTS: THE HANDGRIP STRENGTH TEST AS A MEASURE OF FUNCTION IN BREAST CANCER SURVIVORS Authors 1 2 3 4 M. Arroyo-morales , C. Fernández-lao , N. Galiano-castillo , A. Ariza-garcia , R. Del 5 6 7 Moral-avila , L. Diaz-rodríguez , I. Cantarero-villanueva Affiliations 1 2 3 4 5 Physical Therapy Department, University Of Granada, Granada, SPAIN, 1, 1, 1, 6 Oncology Radiotherapy Department. Hopital Virgen De Las Nieves, Granada, SPAIN, 7 Nursing Department, University Of Granada, Granada, SPAIN, 1 Body Introduction - Whether the handgrip strength test (HGS) can be used as an indicator of fatigue, pain and quality of life in breast cancer survivors (BCS) remains to be elucidated. The aim of the study was to examine the relationship of HGS with pain, fitness, fatigue and mood in BCS. Methods - The present cross-sectional study comprised ninety-five breast cancer survivors. HGS, heart rate variability (HRV), pressure pain threshold (PPT) of neck, shoulder, hand and tibia of affected side and fitness level (6-min walk test, neck-shoulder mobility, vertical jump, sit-to-stand test, trunk curl test) was measured. Participants completed the Fatigue Piper Scale (FPS) and profile of mood state (POMS) questionnaires and the neck-shoulder visual analogue scale. Correlation and multiple lineal regression analysis were conducted to examine the relationship of HGS with pain, fitness, fatigue and mood. Results - We observed a fair relationship of HGS with shoulder pain and a moderate-to-fair relationship with fitness (all-P<0.01). The relationship between HGS and HRV (high-frequency domain) was weak (P=0.049). Likewise, the relationship between HGS and POMS subscales ranged between weak-to-fair (all-P<0.001). HGS showed a weak relationship with FPS (all-P<0.01). Passive shoulder flexion, fatigue and vertical jump were independent and significant predictors of HGS (P<0.01, R2=0.466). Discussion - These results suggest that the HGS test is an important correlate of health in BCS. These findings may help to better understand the usefulness of HGS as a measure of function to consider when planning the assessment, treatment and monitoring of BCS. Finally, an application of tele-rehabilitation based on This study will be presented. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title A FOLLOW-UP ON BLOOD PRESSURE IN RELATION TO PHYSICAL ACTIVITY AND TO RESPONSES TO EXERCISE Authors 1 D. Attina' , G. Catalano, S. Piromalli, D. Roberto, F. Gervasio, S. Neri Affiliations 1 Uo Sports Medecine Asp, Reggio Calabria, ITALY Body To evaluate the effects of sports upon the blood pressure levels related to blood pressure responses to exercise (BPR), 212 normotensive (N) adolescents (162 males) between 14 and 17 years of age were checked (follow-up 6.3±1.4 years). Those adolescents who showed systolic (SBP) and diastolic (DBP) blood pressure, in accordance to Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood pressure in Children and Adolescents were considered normotensive. Exaggerated blood pressure response during exercise (EBPR ) was reported when the levels of SBP and/or DBP during maximal bicycle ergometer exercise testing (ET)) were superior to 95th percentile, relative to the year group and gender , as published in a personal contribution Out of the 116 adolescents who practiced sport (S), 82 showed normal levels (S-NBPR) and 34 showed too high levels (S-EBPR) in response to ET. Out of the 96 adolescents who had not practiced any sports (NS), 77 showed normal levels (NS-NBPR ) and 19 showed exaggerated levels (NS-EBPR ). At the end of the follow-up, 4 adolescents (21%) were not normotensive , 3 hypertensive (H) and 1 pre-hypertensive (PH) amongst NS-EBPR; 13 (17%) were PH amongst NS-NBPR ; 4 (12%) were not normotensive, 1 H, 3 PH amongst S-EBPR; 8 (10%) were PH amongst S-NBPR. Even amongst the adolescents, the enable to identify a high-risk group of people for whom regular sports activity can help both to reduce the levels of physiological blood pressure increasing with age and prevent the development of hypertension. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title PREVENTION-TREATMENT OF METABOLIC SYNDROME BASED ON CARDIO-PULMONARY EXERCISE TEST Authors 1 1 1,2 1 1 3 1 E. Beretta , E. Passoni , A. Lania , S. Adamo , G. Grasso , D. Noe' , G. Miserocchi Affiliations 1 University Of Milano-bicocca - Department Of Experimental Medicine, Monza, ITALY, 2 3 Uo Riabilitazione - Ospedale Civle Di Legnano, Legnano, ITALY, Uo Dietologia E Nutrizione Clinica - Ospedale San Carlo Borromeo, Milano, ITALY Body OBJECTIVE The metabolic syndrome is characterized by visceral obesity, dyslipidaemia, impaired glucose metabolism and hypertension, causing a 2-3 times increased risk to develop cardiovascular disease or diabetes, and affecting about 20% of population. We aim at evaluating the positive effects of personalized physical training based on metabolic parameters derived from a cardio-pulmonary exercise test. DESIGN AND METHOD 10 patients with metabolic syndrome were analysed. A cycle ergometer was used to perform an incremental working test until reaching anaerobic threshold. After 1 hour of rest, every subject performed a 6 minutes constant-load exercise at workload corresponding to 90% of that measured at ventilatory threshold, allowing the analysis of the VO2 kinetics of adaptation to derive the time constant τ. We propose the ventilatory anaerobic threshold for prescription of personalized of aerobic exercise program (40 minutes session, 3 times a week, work intensity corresponding to 90% of anaerobic threshold). After 8 months each subject underwent the same functional evaluation performed at time 0. RESULTS After 8 months of training, peak power output increased (118 ±11 to 136±10 Watt), as well as the anaerobic ventilatory threshold and the corresponding heart rate (110±5 to 120±4); τ decreased significantly from 50.6±3.2 to 43.2±3.1 seconds. Finally, a decrease in perceived exertion (Borg scale) was found. CONCLUSIONS These results suggest that a correct training program based on a specific functional evaluation in patients with metabolic syndrome improve the efficiency of the exercise as well as the velocity of metabolic adaptation to increased energy expenditure. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title PRELIMINARY RESULTS OF THE PROJECT: “TRANSPLANTATION AND SPORT” Authors 1 1 1 1 E. Brugin , V. Pescatore , D. Noventa , F. Giada Affiliations 1 Sports Medicine Unit, Cardiovascular Department, Pf Calvi Hospital, Noale (venice), ITALY Body BACKGROUND: Solid organ transplant recipients (SOTR) show a long-term high risk of cardiovascular (CV) events due to the effects of underlying disease causing transplantation, anti-rejection drugs and sedentary lifestyle. Regular physical exercise (PE) can reduce CV risk and improve survival and quality of life. The aim of the study is to confirm that supervised PE helps to improve general condition in SOTR and to evaluate an organizational model to permit out of hospital safe training. METHODS: Sedentary adult SOTR are referred to Sport Medicine Units where are submitted to: maximal cardiopulmonary exercise and muscles strength tests, body composition analysis, quality of life questionnaire. A personalized prescription, aerobic exercise and strength training at least 3 times a week, is planned for each patient. A re-evaluation is performed after 6 and 12 months of supervised training in certified fitness facilities. RESULTS:14 of 43 SOTR selected by transplant centers have been excluded after evaluation tests (8 for CV, 3 for metabolic and 3 for orthopedic causes); 29 were enrolled for supervised training program. Basal evaluation showed: 6 liver, 23 kidney SOTR; age 48±10yrs; 2.5±1.4yrs from transplantation; fat mass 21±9%; maximal workload on exercise test 98±34 W, VO2 peak 22.4±7.2 ml/kg/min. After a mean follow-up period of 5 months there were no significant adverse events related to exercise and patient compliance is 93%. CONCLUSIONS: Coronary artery disease is prevalent in this population and maximal exercise test should be mandatory for all SOTR; supervised PE training appear to be an useful, safe and well-accepted intervention. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title CARDIOVASCULAR EFFECTS OF RESISTANCE TRAINING IN THE ERDERLY Authors 1 1 1 1 1 1 E. Ciminelli , S. Crudo , R. Beltran Valls , F. Quaranta , E. Guerra , E. Tranchita , F. 1 1 1 Fagnani , A. Parisi , D. Caporossi Affiliations 1 Department Of Health Sciences-university Of Rome Foro Italico, Rome, ITALY Body Objective: Recent recommendations for exercise training in adults include resistance training components. This trial evaluated the effects of low frequency short duration moderate resistance training on cardiovascular fitness in untrained elderly. Design and Methods: 20 older adults (72±4 years) were randomly allocated to experimental (N=10) and to control group (N=10). The study group exercised 2 times per week for 3 months (resistance training with incremental load up to 70% of 1 repetition maximum). Pre and post training maximal stress test was performed to evaluate cardiovascular parameters. Results: The training protocol resulted in a reduction by 7 mmHg (p=0,01) of resting systolic blood pressure and by 6,5 mmHg (p=0,04) of maximal diastolic blood pressure, an increase of 15% in both maximal exercise time and maximal work load (p=0,01). METs increased of 12% (p=0,02). At 1 minute after maximal test, heart rate recovery increased of 26% (p=0,02). No significant changes occurred in the control group. Conclusions: Moderate resistance training improved cardiovascular fitness and exercise capacity and reduced some cardiovascular risk factors. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title SHORT TERM EFFECT OF AN AEROBIC EXERCISE PROGRAM IN A PATIENT WITH NEUROACANTHOCYTOSIS SYNDROMES: A CASE REPORT. Authors 1 C. Clemente Polán , J.G. Olcina Camacho Affiliations 1 2 University Of Extremadura, Cáceres, SPAIN, University Of Extremadura, Cáceres, SPAIN Body Introduction and objective - The term Neuroacanthocytosis describes a heterogeneous group of molecularly-defined disorders which result in progressive neurodegeneration, predominantly of the basal ganglia and erythrocyte acanthocytosis, their pathogenesis is still unknown. The clinical presentation of neuroacanthocytosis syndromes typically involves chorea and dystonia. The aim of the present study was to investigate the ambulatory functionality and the importance of physical activity in a subject with neuroacanthocytosis syndrome, and its relationship to static-dynamic balance and postural control. Material and methods - Prospective, longitudinal and descriptive study. A male patient with neuroacanthocytosis syndrome and degree of disability 50 in functional scale MYERS was studied. The following tests were performed: Timed Up and Go (TUG); hand-grip strength; Berg Balance Scale (BBS); 10 Meter Agility Shuttle Test (MAST); and exercise tolerance the 6-Minute Walk. Also Borg Perceived Exertion and Fatigue Severity Scale (FSS) were used. The supervised intervention had duration of 6 weeks, with a frequency of 2 days per week with training session of 45 minutes in treadmill. Results - The results of this study suggest a significant improvement in 10MAST (1.250 seconds), TUG (1.800 seconds), exercise tolerance (56 meters in 6MWT), static strength (near to 10 % in the upper extremity) and static-dynamic balance (BBS 42-48). Conclusion - The results of this study suggest that an aerobic exercise program of 6 weeks have significant influence on improvement of static and dynamic balance, and on increasing muscular strength in a patient with Neuroacanthocytosis. Not appear have an important influence in exercise tolerance. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title EFFECTS OF A DOMICILIARY PHYSICAL EXERCISE PROGRAM ON FUNCTIONAL CAPACITY IN ADULT WITH CYSTIC FIBROSIS. PRELIMINARY STUDY. Authors 1 2 C. Clemente Polán , J.M. Lavado García Affiliations 1 2 Extremadura University. Department Of Physiology., Cáceres, SPAIN, Extremadura University. Department Of Physiotherapy And Nursing., Cáceres, SPAIN Body Introduction and objective - Cystic fibrosis (CF) is an autosomal recessive disease mainly characterised by the production and accumulation of viscous mucus, which generally affects the respiratory system, resulting in a decrease in the lung function reserve and effort capacity. To this effect, a supervised physical exercise (SPE) programme was developed, with the aim of determining its effect on the different effort parameters, cardiorespiratory fitness and body composition, in adult CF patients. Materials and methods - Twelve subjects took part: 8 men and 4 women (mean age: 23±6.28 years; FEV160.01%pred.). Information was recorded for the maximum oxygen consumption (VO2max), peak expiratory flow (PEF), muscular strength and body composition. The programme lasted 8 weeks, with an aerobic capacity volume of ± 60 min/week, building it up to ± 90 min/week and an intensity of 45-60% of the heart rate reserve (HRR). As for the muscular strength training, this started at 10 min/week increasing to the 30 min/week, combining dynamic, reactive and isometric methods. Results - The preliminary information obtained showed a significant improvement in the static strength, about 10% in the upper limbs and 20% in the strength resistance in the lower limbs. A moderate increase was observed in the VO2max and the PEF. There were no significant changes in the percentage fat mass. Conclusion - The results obtained would suggest that a domiciliary SPE program might improve the functional capacity by increasing muscular strength, lung function and cardiorespiratory fitness in adult CF patients. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title PHYSICAL ACTIVITY IN PREVENTING HYPERTENSION-WHICH IS THE MOST EFFECTIVE DOSE Authors 1 1 1 1 E. Csajági , Z. Kneffel , Z. Major , G. Pavlik Affiliations 1 Semmelweis University - Department Of Health Sciences And Spor Medicine, Budapest, HUNGARY Body Physical acticity is an important factor in prevention of hypertension, principally in genetically predisposed patients. Aim of study was to examine differences between normotonic patients with postive and negativ family background for hypertension at different levels of exercise. We searched for increased sympathetic activity in H+ patients. We examined 1680 patients (612 with (H+), 1068 without (H-) hypertensive family background) at 6 different levels of physical activity with physical examination, family history and echocardiography. 2D-Doppler-TDI images were taken to determine the lenghts of the heart cycles, and show exercise-adaptation. There was no difference in blood pressure of the athletes of different level of physical activity. Top H- athletes had lower systolic blood pressure and longer systole, isovolumetric relaxation time and E-Acclereation time. In national 1st and 2nd class atheletes there were no differences in the length of heart cycles. H+ leisure time athletes had higher diastolic pressure, shorter left ventricle ejection time, and lower E/A. Mild physical activity results in lower mean arterial pressure and longer diastole when family background is negativ. When no physical activity is present, there were no differences between the two groups. Characteristics of the athlete's heart seems to be more prominent when the family background is free of hypertension. Differences between the 2 groups at different levels of physical activity show the importance of the genetic background in developing hypertension, and the usefullness of physical activity in maintaining optimal blood pressure and compensating the increased sympathetic activity with increased parasympathetic activity as a result of longterm sport. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title PHYSICAL ACTIVITY AS ADJUNCT TREATMENT FOR PEOPLE WITH SCHIZOPHRENIA Authors 1 1 1 1 1 D. Curcic , N. Radivojevic , N. Dikic , M. Vukasinovic-vesic , M. Andjelkovic Affiliations 1 Sports Medicine Association Of Serbia, Belgrade, SERBIA Body Introductions - The purpose of this study is to examine the effects of 3 months of prescribed physical exercise on mental states, quality of life and side effects of drugs on individuals with schizophrenia. Methods - Pilot study involved 10 patients. For one group (5 patients) we made individual, three months program, of physical activity (4 times per week). Target heart rates (HR) were controlled by Polar F4 monitors (65-75% of maxHR). We had control group (5 not exercised patients). There were no personal differences between groups. Functional ability (VO2max) has been obtained by ergospirometric test on a treadmill. Mental state data were collected by using Positive and Negative Symptoms Scale (PANSS) and World Health Organization Quality of life Scale (WHOQOL-BREF). Side effects of drugs were measured by Clinical Global Impession Scale (CGI). Results - Patients in exercise group showed significantly increases of VO2max (p=0,005), and significantly higher level of VO2 max compared to the control group (p=0,029). The results showed significant difference between two groups in scores on PANSS (p=0,048) and WHOQOL-BREF Scale (p=0,036). CGI score was significantly higher in exercise group (p=0,038), which means that index of treatment efficacy was better in subjects who exercised. Discussion - Prescribed physical exercise improves aerobic capacity. It’s effective adjunct treatment for patients with schizophrenia (effective for decreasing psychiatric symptoms and side effects of drugs, and for increasing quality of life in people with schizophrenia). These are just a preliminary results, and total number of patients will be much bigger at the end of study. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title PHYSICAL ACTIVITY INTENSITY AND FIBRINOGEN BLOOD LEVEL IN POST-MENOPAUSAL WOMEN. Authors 1 2 2 2 2 E. D'angelo , A. Di Blasio , F. Di Donato , P. Izzicupo , G. Napolitano , A. Di 2 1 Baldassarre , S. Gallina Affiliations 1 Department Of Neuroscience And Imaging Of G. D Annunzio University, Chieti, ITALY, 2 Department Of Medicine And Sciences Of Aging G. D Annunzio University, Chieti, ITALY Body Objective - Several studies support, during menopause, an impact of endogenous sex hormone levels on thrombotic potential parameters. Fibrinogen plays several key roles in the maintenance of hemostasis and its levels seem to be a marker or mediator of CVD. The aim of our study was to assess the role of intensity of physical activity on fibrinogen levels in post-menopause women. Design and Methods - Forty-five post-menopausal (57.88±5.15) non-obese healthy women without history of physical exercise and pharmacological treatment were recruited. Expert researchers assessed anthropometry, blood samples and weekly physical activity of participants. After 12 hour overnight fasting body composition were assessed by Electrical Bioimpedance (BIA) Tanita BC-418. Fibrinogen concentration (mg/dl) in plasma was measured with Human Fibrinogen ELISA quantification kit. Physical activity characteristics and mean intensity of daily physical activities (METs) assessed by SenseWear Pro 3 Armband. Results - Cluster analysis on basal values of Fibrinogen showed the presence of two sub-groups: Group+ (n=18) and Group- (n=27). Group- (339.48±29 mg/dl) showed higher Fibrinogen values respect to Group+ (263.33±26 mg/dl). Student’s t-Test evidentiated that sub-groups were significantly different in (METs) (p=0.05), Waist Circumference (WC) (p=0.003), Waist to Hip ratio (W/H) (p=0.027) and Body Mass Index (BMI) (p=0.05) Logistic regression, showed that METs was the only significant predictor of sub-group membership (p=0.013) Conclusion - In post-menopause, METs has a relationship with Fibrinogen plasma level. Beneficial effects of physical exercise on the prognosis are undoubtedly attributable to several factors even if spontaneous physical activity could be the first step to oppose high fibrinogen plasma level after menopause. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title COMBINED EXERCISE THERAPY AND NUTRITIONAL SUPPLEMENTATION TO FACIOSCAPULOHUMERAL DYSTROPHY: A CASE STUDY Authors 1 1 1 1 1 1 S. Pasotti , B. Magnani , G. Giovanetti , P. Gandolfi , M. Longa , M. Macchi , F. 1 1 1 1 2 1 1 Chiofalo , A. Moda , C. Quaglieri , L. Castelli , R. Tupler , A. Rossi , G. D'antona Affiliations 1 2 University Of Pavia, Lusammr Voghera, Voghera, ITALY, University Of Modena And Reggio Emilia, Modena, ITALY Body Here we present the effect of 12wk of combined endurance (EST) and resistance (RST) and NS program in a single case study of male young (28y) facioscapulohumeral dystrophy (FSHD) patient scored 0 according to recently standardized FSHD clinical score (Lamberti 2010, Muscle and Nerve 42:213-217). Clinically the patient suffered from weakness and atrophy predominantly of the right scapular girdle. Initially, the oxygen consumption per unit time (VO2) and the VO2max were calculated by indirect calorimetry and Bruce treadmill test. 1 RM of muscular districts was calculated by force-velocity curves obtained during unilateral arm curl, arm abduction, leg extension and bilateral triceps extension. To adjust NS to fat free mass (FFM), body composition was analyzed by bioelectrical impedance analysis (BIA). Moderate EST was set up to 75% VO2max (treadmill, 1% inclination, 3 times/wk from 15 to 45 min) and up to 55% of 1RM for the muscular district considered (3 series, 8 repetitions). RST was set up to 75% of 1RM for each muscular district (2 times/wk, 3 series of 10 repetitions). NS included a balanced essential amino acids mixture (daily 0.1 gr/kg FFM), conjugated linoleic acid (CLA, 2.4gr) combined with creatine monohydrate (0.1 gr/kg FFM) the day of RST. As the combined protocol is ongoing it will be shortly evaluated by the analysis of VO2 and muscle workload. Creatine kinase and indexes of liver and kidney functionality will be measured. The study will give indications on safety and efficacy of ST and NS in a case of initial FSHD. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title EFFECTS OF A 16 WEEKS TRAINING PROGRAM IN PATIENTS WITH COPD: PRELIMINARY DATA Authors 1 1 1 1 1 A. Delussu , C. Pisicchio , S. Lubich , C. Pizzoli , F. Di Meo , M. Traballesi Affiliations 1 Fondazione Santa Lucia I.r.c.c.s., Roma, ITALY Body BACKGROUND - There are no univocal indications about training program to be prescribed to COPD patients. The effects of training programs in COPD patients remain to be investigated. OBJECTIVE - To evaluate the effects of a training program 16 weeks lasting (endurance+strength) on cardiovascular (basal and under effort heart rate, systolic and diastolic arterial pressures) and respiratory parameters (FVC%, FEV1%, FEV1/FVC%), exercise capacity (V'O2 peak), muscle strength (quadriceps femori MVC) and functional exercise capacity. METHODS - COPD patients underwent 3 sessions per week for 16 weeks. As upper intensity training limits were considered 40-50% heart rate reserve and 50% 1RM. Before and after training program, patients underwent: clinical assessment, respiratory functionality tests, maximal cardiopulmonary test. MVC and functional exercise capacity (6 min walk test, repeated chair stands and timed up and go test) were assessed. RESULTS - Twelve patients (6M/6F; age 77±5 y; FEV1 58 ± 14% of predicted) completed the training program. Apart maximal diastolic arterial pressure significant improvement (89±10 vs 85±12 mmHg, p=0,03), the other cardiovascular and respiratory parameters showed a trend toward improvement. Quadriceps femori MVC, 6 min walk test, repeated chair stands and timed up and go test significantly improved (17±6 vs 21±5 kg, p < 0,001; 382±54 vs 424±45 m, p=0,02; 14±2 vs 10±2 s, p < 0,001; 8,6±1 vs 6,2±1 s, p < 0,001 respectively). CONCLUSIONS - The significant improvement of only one among the cardiovascular parameters, of muscle strength and functional exercise capacity suggest that the training program had its main effect on muscle strength. The research was supported by the Ministero della Salute, Project Code: GR-2009-1596137. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title PSYCHOMETRIC PROPERTIES OF ACHILLES TENDON LENGTH AND SOLEUS FIBER INSERTION ANGLE MEASURES OBTAINED BY QUANTITATIVE ULTRASOUND IMAGING Authors M.-. Nadeau, D. Gagnon, A. Desrochers, M. Lamontagne Affiliations 1 Laboratoire De Pathokinésiologie, Institut De Réadaptation Gingras-lindsay De 2 Laboratoire De Pathokinésiologie, Institut De Montréal, Montréal, CANADA, 3 Réadaptation Gingras-lindsay De Montréal, Montréal, CANADA, Laboratoire De Pathokinésiologie, Institut De Réadaptation Gingras-lindsay De Montréal, Montréal, 4 CANADA, Laboratoire De Pathokinésiologie, Institut De Réadaptation Gingras-lindsay De Montréal, Montréal, CANADA Body AIM OF THE STUDY: To determine reliability and minimal detectable changes (MDC) of Achilles tendon (AT) length and soleus fiber insertion angle obtained by quantitative musculoskeletal ultrasound imaging. MATERIALS & METHODS: A physiatrist and a physiotherapist captured ultrasound images of AT length and soleus fiber insertions among persons with clinical symptoms of Achilles tendinopathy (N=14) and healthy controls (N=14). Each examiner captured three images of overall AT length using reference marker placement and of soleus fiber insertion into the AT. The AT length reflects the distance between the distal part of its insertion on the calcaneus and the distal musculotendinous junction of the soleus. The soleus muscle insertion angle reflects the mean angle formed between the longitudinal axis of the AT and the axis formed by three identifiable soleus muscle striations. The generalizability theory was applied to compute reliability using the coefficient of dependability for a random study design protocol. RESULTS: The AT length was 7.5±1.4cm (range:3.9-10.6cm) whereas the soleus fiber insertion angle was 13.7°±4.9° (range:3.1-34.3°). Averaging the measures obtained from three images taken by a single evaluator yielded reliability coefficients of 0.96 and 0.72 and relative MDCs of 8.6% and 51.0% for AT length and soleus fiber insertion angle, respectively. CONCLUSIONS: Reliable and precise AT length measures are obtained using quantitative ultrasound imaging. Measures of the soleus fiber insertion angles, that demonstrate poor reliability and precision, may be improved if images were recorded under different conditions. Hence, using AT length as a measure in research protocol is indicated. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title HEART RATE RECOVERY AS A MEASURE OF IMPROVEMENT IN EXERCISE TOLERANCE IN HEART PATIENTS UNDERGOING AEROBIC TRAINING Authors 1 1 2 2 2 2 D. Fugazzotto , R. Herberg , F. Speciale , D. Di Mauro , M. Righi , L. Magaudda Affiliations 1 2 Cardiovascular Rehabilitation - Institute Of Clinical Medicine, Cot, Messina, ITALY, Department Of Biomorphology And Biotechnology. Postgraduate School Of Sports Medicine. University Of Messina, Messina, ITALY Body Objectives: The aim of this study is to evaluate the heart rate recovery as a parameter to evaluate the improvement of exercise tolerance in heart patients undergoing aerobic exercise, comparing it with the VO 2 peak and ventilatory anaerobic threshold. Methods: We evaluated 20 patients (mean age 60 + -8) suffering from different heart diseases (heart failure, coronary artery disease, which is revascularized whether surgically or by angioplasty) by cardiopulmonary exercise testing (CPET) before aerobic training. We evaluated the VO2 peak, ventilatory anaerobic threshold and heart rate recovery to first minute of recovery tests (such as 12 beats or less cut off for pathology). The above patients were then subjected to 12 weeks of aerobic exercise on the basis of the initial test cardiopulmonary. After 12 weeks of training, patients were reassessed using the same type of test (CPET), and the heart rate recovery was calculated at 1 min after the end of the test through the 12-lead ECG. Results: The results suggest that there is a clear correlation between the increase of the ventilatory anaerobic threshold and VO2 peak, compared to heart rate recovery (15% after training) Conclusions: which shows an improvement of exercise tolerance in heart patients undergoing aerobic training , secondary to an adaptation to physical exercise and thus changes the response of the autonomic nervous system. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title ANTIOXIDATIVE CAPACITY IN HEALTHY MAN SUBJECTED TO SERIES OF WHOLE-BODY CRYOSTIMULATIONS, POTENTIAL BENEFICIAL EFFECT. Authors 1 2 A. Lubkowska , B. Dolegowska Affiliations 1 Szczecin University, Department Of Physiology; Pomeranian Medical University, 2 Department Of Biochemistry, Szczecin, POLAND, Pomeranian Medical University, Department Of Laboratory Diagnostics And Molecular Medicine, Szczecin, POLAND Body Whole body cryostimulation (WBC) is increasingly often used to enhance the resistance of the human body, also thanks the beneficial effect on the antioxidant system. Accordingly, this research aimed to evaluate the effect of a series of whole-body cryostimulations on the level of non-enzymatic antioxidants and the activity of antioxidant enzymes in healthy men. The study was carried out on 30 young and healthy men aged 27.8 years with average body mass index and peak oxygen consumption (46.34 ml kg-¹ min-¹). The participants were exposed twenty times to cryogenic temperatures (-130C). Blood samples were obtained in the morning before cryostimulation, again 30 min after exposure and the following day in the morning, during the 1st, 10th and 20th session. Analysis concerned changes in plasma concentrations of total protein, albumin, glucose, uric acid and ceruloplasmin, and the most important components of the antioxidant system in red blood cells: superoxide dismutase, catalase, glutathione peroxidase, glutathione reductase, reduced and oxidized glutathione. To access the oxidative stress level the 8-isoprostane concentration in plasma was measured. The obtained results indicate that cryogenic temperatures in repeated daily treatments result in changes in the prooxidant and antioxidant status. These changes seem to depend on the number of cryostimulations. After 20 daily treatments there was an increase in SOD, SOD:CAT ratio, a decrease in the concentration of reduced and oxidized glutathione and in the activity of GPx. Differences in the activity of GSSG-R after 20 treatments depended on the body mass index of participants. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title FOUNDATION OF A COMPUTER SOFTWARE FOR EXERCISE PRESCRIPTION IN CHRONIC DISEASE TREATMENT Authors 1 2 2 A. Safar Cherati , A. Mardany Chaharlang , M. Taghipour Affiliations 1 2 Tehran University Of Medical Science Rasoul Akram Hospital, Tehran, IRAN, Shahid Beheshti University Of Medical Science , Haftetir Hospital, Tehran, IRAN Body Background: although Exercise programs have been emphasized in promoting a healthy lifestyle and treating chronic disease, lack of skills and knowledge of guidelines are the main obstacles in appropriately exercise prescription. As a reference, American College of Sports Medicine (ACSM) issues Guidelines of comprehensive exercise programs for healthy adults and chronic disease patients. Professional exercise prescription software can help integrate all of Guidelines into a simple plan that can be followed and adjusted as needed. The main objective of this study was designing specific computer software for exercise prescriptions based on ACSM Guidelines regarding to frequency, intensity, time and type (FITT) in Parkinson, Multiple sclerosis, Epilepsy , Osteoporosis, Fibromyalgia , Chronic Fatigue Syndrome , Cancer , kidney Transplant , Obesity , Hyperlipidemia , Renal Failure , Diabetes , Asthma , COPD, Coronary Artery Bypass Graft , Angioplasty and Myocardial Infarction to optimize specific kinds of exercise for most clinical conditions. Additionally computerized designing of exercise protocols for common musculoskeletal injuries like Cervical strain , ACL injury, Lateral Epicondylitis, Shoulder impingement , Piriformis syndrome and Low back pain have been structured. Nine functional tables are considered for patient information, medical history, laboratory test, screening and risk stratification based on Physical Activity Readiness Questionnaire (PAR-Q), exercise test , exercise program, protocols, forms and history .physicians can improve their skills and confidence of exercise prescription by using a tailored exercise software .Future study should determine the impact of using this program with enhancing favorable effects in chronic disease patients. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title SPORTING ACTIVITY AFTER MYOCARDIAL INFARCTION (MI) AND PERCUTANEOUS CORONAROPLASTYC (PCI). A CASE-REPORT. Authors 1 C. Sinno Affiliations 1 Associazione Medico Sportiva Dilettantistica Matera, Matera, ITALY Body We describe the case of a young man (47 yr), his sporting training program and next competition (1/2 marathon ), after myocardial infarction and percutaneous coronary . The training program was planned after clinical evaluation and absence of absolute contraindication sport activity, was planned for strenght lenght frequency and progression of muscular work. Strenght was measured by theoretical maximal heart rate and during training by anaerobic threshold using Conconi test. To increase safely sport activity were: linear increase of heart rate during muscular work, monitoring heart rate (HR) , reported fatigue, adherence to clinical evaluation skedule. Frequency of training was 5 times a week; in first 60 days planned for fitwalking, training were twice a day, time of fitwalking were 20' to 60'; when ready for running, time of training depended by different lenght of km. DESCRITTION PHASE: May 16 2004 MI, may 25 PCI; June 6 2004 fitwalking (initial speed 4,2 km/hr to 8,4 km/hr) august 2004 progressive increase of muscular working: “very long distance” max 25 km run speed 20% less anaerobic threshold; “long distance” max 18 km run speed 15% less anaerobic threshold; “medium distance” max 10 km run speed 10% less anaerobic threshold. RESULTS: march 2005 competition 10 km, time 48’ 11”; october 2005: ½ marathon, time 1 h 42’ 49”. CONCLUSIONS: groups of selected patients affected by cardiac ischaemic disease are not at higher risk during sport activity than groups of non selected people with same age and same basal generic risk. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title EVALUATION OF THE IMPACT OF SOME RISK FACTORS AND PHYSICAL ACTIVITY OF 270 CANCERS Authors 1 A. Sterpini Affiliations 1 Delegato Provinciale Fmsi, Brindisi, ITALY Body Introduction. Were examined several scientific studies on physical activity which showed undoubted benefits on most human disease incidents.In particular on overweight-obesity,hypeinsulinemia-insulinoresistance. type 2 diabetes and various types of cancer,evaluating the action of physical activity. These studies have demonstrated a convincing action in both primary and secondary prevention. Methods The purpose of this study was to evaluate,in a population of 63.500 inhabitants,cases of cancer collected in a database consisting of Patients seen by the Committee of Invalidds of the District of Mesagne(ASL BR1).Took into account the work done,the physical activity praticed and the risk factors. Results Of 994 Patient seen were 271 confirmed malignant neoplasms.Of these Breast cancer Patients presented 66 cases with 37,87% obese,40,90 overwheight,16,66 type 2 diabetes and sedentary 84,84. Colon cancer 25 cases with 20% obese,64% overwheight,8% type 2 diabetes and sedentary 88%. Prostate cancer 18 cases with 11,11% obese,77,78% overweight,16,66 type 2 diabetes and sedentary 94,44%.The study has affected other malignant and various neoplasms Conclusions With appreciating the importance of genetic factors,individual predispositions and the presence of oncogenes related to work performed,we belive that the physical activity can intervene effectively in primary and in secondary prevention as Therapeutic exesercise because our Ptients with cancer were sedentary.Finally we found the importance of activation of vitamin D by ultraviolet B lights for those who practise out doors physical activity(effect of Apoptosis and reduction of cells proliferation). XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title PRELIMINARY REPORT ON A PROSPECTIVE STUDY OF SPORTS EFFECTS ON PLANTAR VAULT DEVELOPMENT Authors 1 1 1 1 1 1 A. Tiloca , G. Monteleone , G. Paci , R. Sorge , M. Marzella , M. De Iacovo Affiliations 1 Department Of Preventive Medicine, Diagnostics And Integrated Therapy, Roma, ITALY Body Objective The plantar vault is flat at birth and develops spontaneously during the first decade of life. Sport practice at school age can play an important role for the proper or abnormal foot growth.The aim of this investigation is to correlate the vault shape evolution with the practice of different sport activities during the school age. The first session of the study observations will be shown thereafter. Materials and methods. 450 primary/secondary school children aged 6 to 14 years, of both sexes, enrolled in the province of Rome will be considered; any subject treated for vault correction has not been included. Data about sport practice and anthropometric measurements are collected in two different sessions; all subjects are evaluated by taking foot images in specific photo projections. Using a polarized light plantoscope the vault shapes have been discriminated and the footprint isthmus measured. Normal, cavus, flexible/rigid flatfoot has been identified. Data will be analysed using Statistical Program for Social Sciences version 13.0. Results Standard vaults were 77%, flatfoot 9%, cavus foot 14%. Dance or Artistic gymnastics are associated to a higher percentage of cavus vault. Conclusions The first session of the study showed prevailings of plantar vault shapes similar to those expressed in literature. References Abolarin TO et al: Relationship between selected anthropometric variables and prevalence of flatfoot among urban and rural school children in south west Nigeria. Nig Q J Hosp Med,21,135-40,2011 Muller S et al: Static and dynamic foot characteristics in children aged 1–13 years: A cross-sectional study. Gait Posture, doi:10.1016/j.gaitpost..10.357,2011 XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title EFFECT OF INTERVAL TRAINING VERSUS AEROBIC TRAINING ON FAT PERCENTAGE OF OBESE ADULTS Authors 1 2 3 4 L. Tiznado Peña , H. Martinez Meléndez , A. Pegueros Perez , G. Franco Sánchez Affiliations 1 2 3 National Sports Comition, 1, MEXICO, National Sports Comition, 2, MEXICO, 4 National Institute Of Rehabilitation, 3, MEXICO, National Institute Of Rehabilitation, 4, MEXICO Body OBJECTIVE Compare the effect of aerobic interval training versus continuous training on the fat percentage of obese adults. DESIGN AND METHODS A clinical study, longitudinal and prospective. Forty-three subjects with overweight or obese, randomly assigned to two groups: Group 1 continuous program (n = 20) performed 5 sessions per week to 65% of maximum heart rate during 30 min. Group 2 interval training program (n = 23): 5 sessions per week for 15 minutes divided into intervals of 30 seconds at 75% of the maximum heart rate by 2.5 minutes of active recovery at 60% of maximum heart rate; for 3 weeks in both groups. Dosed according to results of the maximal exercise test. ANOVA two-way was used considering the type of exercise intervention and time as factors. T tests for independent samples T tests for paired samples to determine changes in variables within groups. RESULTS No significant difference was found after three weeks of the program between groups. However, in Group 2 there was significant difference (p <0.05) between baseline and final percentage of fat; that was lower. CONCLUSIONS Interval trining represents an effective therapeutic strategy to reduce cardiovascular risk in obese patients over a period of 3 weeks. As for the decrease of fat percentage, proved as effective as continuous exercise, but unlike this, it requires less execution time per session, and uses predominantly lipids as energy substrate, consequently there is a low accumulation lactic acid and thus delay the onset of fatigue that promotes increased exercise tolerance. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: EXERCISE, GENDER, SEXUAL HEALTH AND REPRODUCTION Title PHYSICAL AND SEXUAL ACTIVITY Authors 1 A. Calligaris , S. Bermon Affiliations 1 2 Centro Medicina Dello Sport E Educazione Fisica, San Pellegrino Terme (bg), ITALY, Istituto Monegasque Medicine Chirurgie Du Sport, Monaco, MONACO Body The sexual activiti is a normal form of cardio-respiratory and muscular solicitation that we can compare with 100 m. run. From the Masters & Johnson report in the 60 years in USA not too musch scientific research has been made on the matter. Certenly is not possible to consider sexual exercise activity like fitmess training, but it's obvious that a good physical condition is favorable to improve the oerformance. Negativ effects on sport performance are possibly reversible anomalies on the male fertility an female menstrual cycles. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: GENETIC IMPLICATIONS FOR HEALTH AND PERFORMANCE Title MODULATION OF THE ALA16VAL GENE POLYMORPHISM ON MNSOD GENE EXPRESSION AND PROTEIN CONTENT BEFORE AND AFTER EXERCISE Authors 1,2 1 2 1 1 G. Bresciani , J. González-gallego , I. Da Cruz , J. De Paz , M. Cuevas Affiliations 1 2 Institute Of Biomedicine (ibiomed), León, SPAIN, Programa De Pós-graduação Em Ciências Biológicas: Bioquímica Toxicológica, Universidade Federal De Santa Maria, Santa Maria, BRAZIL Body It is well known that manganese superoxide dismutase (MnSOD) plays a key role on the redox status maintenance in exercise outcomes. The Ala16Val gene polymorphism was described for the MnSOD gene presenting three genotypes: AA, AV, and VV. The aim of this study was to investigate the influence of the Ala16Val gene polymorphism on the MnSOD gene expression and protein content after a moderate intensity exercise bout. 60 sport sciences students were firstly genotyped for the Ala16Val MnSOD gene polymorphism. From this sample, 10 healthy subjects per genotype (n=30, 20.6±1.8 years old) were randomly recruited to performed an exercise bout at 75% of the maximal oxygen uptake (VO2max) during 40 minutes on a cycloergometer. Blood samples were drawn before and 1 h after the exercise bout. Peripheral blood mononuclear cells (PBMC) were separated for biological assays. Initial genotyped sample respected Hardy-Weinberg equilibrium (P=0.273). No differences were found on gene expression and protein content at baseline among genotypes. MnSOD gene expression increased significantly after the exercise bout for the AA participants (P=0.038). Protein content showed no exercise effect for all genotypes, although homozygote genotypes showed increased AA protein content when compared to VV after the exercise bout (P=0.044). The results herein described point out that the Ala16Val gene polymorphism influences MnSOD gene expression and protein content after a moderate exercise bout on young healthy participants. Furthermore, these data indicate a clear role for the AA genotype on MnSOD modulation, indicating that gene variants may partially explain differences on exercise-induced ROS production. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: GENETIC IMPLICATIONS FOR HEALTH AND PERFORMANCE Title VDR POLYMORPPHISMS AND MUSCLE INJURIES IN TOP-LEVEL SOCCER PLAYERS. Authors 1 1 1 1 2 2 2 M. Massidda , C. Calo' , L. Corrias , V. Bachis , P. Cugia , R. Mura , F. Piras , M. 2 Scorcu Affiliations 1 2 Dept. Life And Environmental Sciences, University Of Cagliari, Cagliari, ITALY, Fmsi Cr Sardegna And Cagliari Calcio Spa, Cagliari, ITALY Body AIM OF THE STUDY. The purpose of the present study was to explore the relationships between VDR ApaI, BsmI, FokI polymorphisms and indirect muscle injuries in a group of top-level soccer players. MATERIAL AND METHODS. A sample of 23 male soccer players were analyzed during the 2010-2011 season, while 9 of them were followed longitudinally from 2009-2010 season till 2011-2012 season. The combined influence of the VDR ApaI, BsmI, FokI polymorphisms was examined using the Total Genotype Score (TGS, Williams and Folland, 2008). Indirect muscle injuries were considered as the number of the full recovery days (NFRD) required to return to play a match. The relationships between each single polymorphism and indirect muscle injuries were analyzed by Spearman’s correlation, while the relationship between TGS and muscle injuries was analyzed by multiple regression analysis. RESULTS. A significant relationship between TGS and NFRD during the 2010-2011 season (R2=.1728, F=4.387, p=0.04) was found. Soccer players with low TGS showed high NFRD. Moreover, a significant correlation was found between ApaI (r=0.61; p<0.05) and BsmI polymorphism (r=0.70; p<0.05) and mean NFRD during the 3 seasons. Athletes with aa and bb genotypes showed the lowest NFRD. CONCLUSION. Our results showed that there could be an effect of VDR polymorphisms on the individual predisposition of top-level soccer players to develop muscle injuries. These results suggested that athletes with particular VDR genotypes could need a special adapted training process that keeps under control the possibility of developing indirect muscle injuries. Further future analysis are require to confirm our data. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: GENETIC IMPLICATIONS FOR HEALTH AND PERFORMANCE Title THE EFFECT OF ETHNICITY ON THE DISTRIBUTION OF SINGLE NUCLEOTIDE POLYMORPHISMS (SNPS) IN GENES RELATED TO TISSUE DAMAGE, REPAIR AND RECOVERY IN SPORT Authors 1 2 3 4 5 2 J. Ribas I Fernández , R. Artells , R. Pruna , B. Montoro , F. Cos , C. Muñoz , G. 3 2 Rodas , M. Monzo Affiliations 1 Unitat D'anatomia I Embriologia Humana I Escola De Medicina De L'esport-fac. 2 Unitat D'anatomia I Embriologia Humana-fac. Medicina-ub, Barcelona, SPAIN, 3 4 Medicina-ub, Barcelona, SPAIN, Serveis Mèdics Del Fcbarcelona, Barcelona, SPAIN, 5 Dpt. De Farmàcia I Tecnologia Farmacèutica-fac. Farmacia-ub, Barcelona, SPAIN, Inef-ub, Barcelona, SPAIN Body Introduction: The interaction between extrinsic and intrinsic variables, including genetic factors, can have an important effect on non-contact tissue injuries. We have analyzed for the first time the frequency of SNPs in genes related to tissue repair and regeneration and compared the frequencies observed in different ethnic groups. Material and Methods: SNPs in the following 8 genes were analyzed in blood extracted from 73 professional elite football players: Elastin (Eln); Titin (TTN); SRY-related HMG-box (SOX15); Insulin-like growth factor 2 (IGF2); Chemokine, CC motif, ligand 2 (CCL2); Collagen type 1 alpha 1(COL1A1); Collagen type 5 alpha 1 (COL5A1) and Tenascin C (TNC). SNP analysis was performed using a real-time polymerase chain reaction (PCR) Allelic Discrimination TaqMan Assay. Results: The subjects included 43 Caucasians, 11 Subsaharan-africans and 9 Hispanics. Significant (P<0.001) inter-racial differences were observed in the frequencies of the SNPs of each of the 8 genes. Conclusion: Epidemiological data have demonstrated the existence of interindividual differences both in the degree of injury and in recovery time. The significant inter-racial differences for the 8 genes observed in the present study should be considered when studying these interindividual differences. Further studies with a larger sample size are warranted to correlate these inter-racial differences with degree of injury and recovery time. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title ACUTE CARDIOVASCULAR RESPONSE TO MUD-PACK TREATMENT IN HYPERTENSIVE SUBJECTS UNDER THERAPY Authors 1 1 2 1 L. Agnello , M.A. Maggioni , A. Dattilo , G. Merati Affiliations 1 2 1university Of Milan, Milan, ITALY, Errmitage Medical Hotel, Abano, ITALY Body Hypertensive subjects, even when trained as master athletes, often develop a blunted cardio-vagal baroreflex sensitivity and an imbalance between sympathetic and parasympathetic tone; this may reduce the adaptation of cardiac output and peripheral resistances to warm environments, particularly when under treatment with anti-hypertensive drugs, especially those inhibiting the angiotensin II-mediated vasoconstriction. Therefore, the immersion in hot mud typical of SPA treatment used in rehabilitation programmes after sport injures may cause hypotension in these patients. PURPOSE: To evaluate the acute cardiovascular effects of mud-pack treatment in pharmacologically treated hypertensive patients. METHODS: 28 subjects (M/F 10/18; 67±11 yrs, m±SD) were divided in 2 groups, matched for age and anthropometric characteristics: normotensive (N) and hypertensive (H) subjects, treated with beta-blockers, ACE-inhibitors or angiotensin II receptor antagonists (no diuretics). Beat-by-beat systolic (SBP) and diastolic blood pressure (DBP)(finger pletismography), and heart rate (HR) were recorded before, in supine position (10 min), and during mud-pack treatment (mud temperature 42°C, 15 min). Cardiac output and total peripheral resistance were calculated from the computed aortic-flow waveform; HR variability by spectral indexes of sympathovagal balance (HF, High Frequency; LF, Low Frequency and LF/HF ratio) were finally calculated. RESULTS: Compared to basal (pre-treatment) conditions, mud treatment tended to decrease SBP (difference between mud immersion and basal condition; H: -6±16 mmHg; N: -3±5 mmHg), whereas DBP did not differ (H: -2±7 mmHg; N: 7±5 mmHg) in both groups. HR significantly increased (p<0.05) in both groups (H: 7±6 bpm; N: 8±4 bpm). Cardiac output decreased significantly (p<0.01) in H subjects only (H: -1.5±2.0 l/min; N: -0.5±1.6 l/min), whereas total peripheral resistances decreased in H and increased in N subjects (H: -160±237 l/min; N: 97±124 dyn.s/cm5)(p<0.05). LF/HF ratio slightly but not significantly increased in both groups (H: 0.1±1.5; N: 0.7±1.6), as a results of an increase in LF and a reduction of HF, the latter being significant (p<0.05) in H subjects only. CONCLUSIONS: Mud-pack treatment seems to be safe even in pharmacologically treated hypertensive subjects. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title ANATOMICAL ADAPTATIONS OF THE LOWER LIMB IN HABITUALLY BAREFOOT VERSUS SHOD CHILDREN IN RURAL KENYA Authors 1 2 2 2 2 2 3 H. Aibast , T. Sigei , P. Okutoyi , W. Adero , D. Chemjor , N. Ongaro , N. Fuku , K. 1 4 2,5 Konstabel , D.E. Lieberman , Y. Pitsiladis Affiliations 1 2 3 University Of Tartu, Tartu, ESTONIA, Moi University, Eldoret, KENYA, Tokyo 4 Metropolitan Institute Of Gerontology, Tokyo, JAPAN, Harvard University, Cambridge, 5 USA, University Of Glasgow, Glasgow, UNITED KINGDOM Body We have recently shown habitually barefoot children in rural Kenya to have a greater ankle range of motion, higher and more flexible medial longitudinal foot arch, comparative stronger toe intrinsic foot muscle strength and a lower incidence of injury than matched shod controls. AIM: This study investigated heel bone stiffness, achilles tendon moment arm length and physical activity in 31 habitually barefoot (HB) (age 15.5 ± 1.2 yrs (mean ± SD)) children and age, gender and weight-matched controls in rural Kenya. METHODS: Heel bone stiffness was measured using bone ultrasonometry. The moment arm length of the achilles tendon was estimated from photographs of the ankle, using the position of anatomical landmarks on both feet. Physical activity levels and patterns were objectively measured for 6 consecutive days (including weekdays and at least one weekend day) using uni-axial accelerometry. RESULTS: Calcaneus stiffness index was greater (right 110 ± 16 vs 102 ± 19, p=0.03; left 113 ± 17 vs 101 ± 17, p=0.002) and achilles tendon moment arm shorter in HB (right 3.4 ± 0.5 vs 3.7 ± 0.4 cm, p=0.007; left 3.4 ± 0.4 vs 3.6 ± 0.4 cm, p=0.02). HB children were significantly more physically active as reflected by the greater accelerometer counts per minute (780 ± 240 vs 311 ± 66 counts per minute, respectively, p<0.001). Moderate to vigorous physical activity was also significantly greater in HB (98 ± 37 min/day vs 34 ± 12 min/day; p<0.001). CONCLUSION: HB children possessed significantly greater bone stiffness and a shorter achilles tendon moment arm. The extent to which these adaptations are a response to being habitually barefoot and/or the much higher and more intense levels of daily physical activity, remains to be determined. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title THE LIFE STYLE LIKE PROCESS AGAINST AGEING Authors 1 A. Calligaris Affiliations 1 2 Centro Medicina Educazione Fisica E Dello Sport, San Pellegrino Terme (bg), ITALY, Institu Monegasque De Medicineet Chirurgie Du Sport, Monaco, MONACO Body Scientific research and derived knowledge applications have determined the realisation s for rhe civilisation and culture which we are living today. We hope or think the human sciences have the possibility to offer the completely utlizations of the brain capacity and finally understand the correct essence of the homo sapien life style XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title HIGH SCHOOL STUDENTS’ BODY WEIGHT CONTROL: DIFFERENCES BETWEEN ATHLETES AND NON-ATHLETES Authors 1 2 R. Mikulán , B. Pikó Affiliations 1 University Of Szeged, »juhász Gyula« Faculty Of Education, Institute Of Physical 2 Education And Sports Sciences, Szeged, HUNGARY, University Of Szeged, Faculty Of Medicine, Department Of Behavioural Sciences, Szeged, HUNGARY Body Objective: Due to chronic dissatisfaction with body weight in youth, efforts to lose weight often lead to pathological dietary behaviours. Regular and heavy sports activity may contribute to the optimization of body weight, not only by elevating the energy utilization but also by increasing the health consciousness and the tendency to self-monitor. Research generally finds a beneficial role of extracurricular sports activity in body weight control. Therefore, we aim to analyze how regular,heavy sports activity (more precisely, competitive sports) may contribute to body weight control among two groups of youth: athletes and non-athletes. Design and method: Our study was carried out using 347 adolescents; among them there were 91 athletes and 259 controls. The subjects completed self-administered questionnaires concerning their body weight control and dietary habits. Results: We found that girls were less satisfied with their body weight and reported dieting more frequently with a greater emphasis on healthy dieting than boys. Sport influenced these strong gender differences only regarding healthy dieting, young male athletes laid a larger emphasis on healthy diets than their non-athlete counterparts, therefore their attitude became similar to that of female athletes and non-athletes. We conclude that despite the normal weight in high school students, episodes of dieting that might contribute to eating disorders were quite frequent. This was not influenced by the students’ extracurricular sports activity. Conclusion: A greater monitoring of male athletes’ and their friend’s diet draw attention to the need for developing health education programs specific to boys. Key words: athletes, healthy diet, body weight control XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title THE INFLUENCES OF THE LOWER-EXTREMITY FUNCTION IN THE AGED PERSON’S QUALITY OF LIFE Authors 1 1 1 1 1 1 B. Oh , H.C. Choi , D.W. Shin , K.Y. Son , J.H. Park , B. Cho Affiliations 1 2 Seoul National University Hospital, Seoul, SOUTH KOREA, Seoul National University 3 Hospital, Seoul, SOUTH KOREA, Seoul National University Hospital, Seoul, SOUTH 4 5 KOREA, Seoul National University Hospital, Seoul, SOUTH KOREA, Seoul National 6 University Hospital, Seoul, SOUTH KOREA, Seoul National University Hospital, Seoul, SOUTH KOREA Body Background: If association between the decline in physical performance and the subjective quality of life is confirmed, the SPPB could be used as a predictor for decline in quality of life in aged people. Objective: This study aimed to elucidate the association of the short physical performance battery (SPPB) with the quality of life (EQ-5D) to determine the usefulness of the SPPB as a predictor of decline in quality of life. Methods: The SPPB and EQ-5D were performed on random sample nested in the KLoSA panel. Comparisons of adjusted means of EQ-5D index between normal and abnormal SPPB groups were performed using a t-test. The association between EQ-5D and SPPB abnormality was examined using logistic regression analysis. Additionally, the associations of gait speed and chair stand time with EQ-5D index were examined using logistic regression analysis. Results: Four hundred and twenty two subjects were included in the analysis. Adjusted means of EQ-5D index were significantly lower when SPPB score was abnormal. (p=0.022 for men, p=0.047 for women) Abnormal SPPB score was significantly associated with abnormal EQ-5D especially for men (adjusted OR 2.46, 95% CI 1.03–5.87 for men, adjusted OR 1.76, 95% CI 0.94–3.33 for women). Gait speed was significantly associated with EQ-5D index in participants regardless of sex. Conclusions: Abnormal SPPB score was associated with decline in quality of life. Thus, the SPPB has the potential to be used as an early predictor of decline in quality of life in clinical settings and epidemiological study. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title WEEKLY VIGOROUS PHYSICAL ACTIVITY AND DIETARY HABITS IN SEDENTARY UNIVERSITY STUDENTS. GENDER-RELATED DIFFERENCES Authors 1 2 1 1 1 1 A. Sablone , A. Di Blasio , M.G. Taglieri , G. Di Giacanto , D. Di Renzo , A. Colozzi , 1 12 M. Scalisi , P. Ripari Affiliations 1 2 University Of Study G.d'annunzio Chieti-pescara, Chieti, ITALY, Department Of 3 Sciences Biomedical, Chieti, ITALY, Department Of Medecine And Aging Sciences, 4 Chieti, ITALY, Amsd Chieti, Chieti, ITALY Body Introduction The finding that women seem to compensate the increased exercise-related energy expenditure, through high lipid-dense foods, suggested us to verify if this is due to the intensity of daily body movement and energy expenditure or to exercise program participation. The aim of this study was to investigate the interaction between the amount of weekly vigorous physical activity and gender on dietary habits of non-exercising university students. Methods We recruited 30 university students: 15 women and 15 men without participation in a controlled diet and physical exercise programs during the last 2 years. Qualitative and quantitative characteristics of dietary habits and daily physical activity were assessed together with body composition. We created 2 sub-samples according to the 50th percentile of weekly min of vigorous physical activity: LOW (<30 min) and HIGH (>30 min). Results. Men had worse values than women of both daily intake of percentage of lipids (p=0.027) and carbohydrates (p=0.05) and that of satured fat (p=0.04). The interaction between gender and weekly min of vigorous physical activity showed that men and women differed in lipid (p=0.05) and satured fat intake (p=0.016) trend. Men showed a worse tendency than women. Discussion Our results show that, if non-exercising women have a correct distribution of daily energy intake among macronutrients, independently from weekly min of vigorous physical activity, both lipid and satured fat intake of non-exercising men are linked with weekly min of vigorous physical activity. In fact, more active men had high lipidic diet. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title THE COMPARISON OF THE EFFECT TYPE OF MUSIC ON PERFORMANCE PHYSICAL FITNESS FACTORS OF ADOLESCENCE BOYS Authors 1 2 3 F. Torabi , K. Ranjbar , Z. Soori Affiliations 1 2 Physical Education Departmen, Payame Noor University, Tehran, IRAN, Department Of Exercise Physiology, Faculty Of Sports And Exercise Sciences, University Of Tehran, 3 Faculty Of Sports And Exercise Sciences, University Of Razi, Tehran, IRAN, Kermanshah, IRAN Body The aim of this research was to study the effect of external intervention factor (types of music) in physical fitness factors on adolescence boys.In order to do this study, 30 healthy adolescence boys (9-12 years), were randomly allocated in 3 testing stage, fast music, slow music, control with Counter Balance method. In each stage of research program the muscular endurance, coordination, agility and muscular power tests were perform. In the stage of fast music: the rhythm of 135-140 bpm and slow music: the rhythms of 115-120 bpm were used and control received no musical intervention.Data analysis showed that in each stage the difference of muscular endurance tests include sit up, push up and pull up were significant (P<0.05). there were significant differences between musical stage with control stage in push up, sit up and endurance strength . In each stage the difference of coordination tests were significant . The coordination test result in the control and slow music stages were improved (P<0.05). The agility test results in the stge of intervention were not significant .The explosive power result in the fast music stages were significantly improved . Finally listening to the music during strength and endurance performance , cause to increase efficiency of performance, and fast music maybe is more effective in avoiding from central fatigue. On the other hand, , every kind of music has the negative effect on performance of coordination test and has no effect on performance of the agility test . Key words: slow, fast music, young boy XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title THE EFFECT OF AROUSAL FACTOR (MUSIC) ON LEARNING AND PERFORMANCE OF THE CONTINUOUS MOTOR SKILLS Authors 1 F. Torabi Affiliations 1 Department Of Physical Education, Payame Noor University, Tehran, IRAN Body Introduction Arousal and condition of it is one of the major environmental factors that is influence performance and learning of motor skills through motivating subjects. Methods 24 healthy and non-athlete girls that were divided into two groups of music (n=12) and control (n=12) randomly. The subjects in the exercise protocol participated in the acquisition stage performing the Harrison dribbling basketball Test for 6 weeks, 3 sessions per week for 30 a duration of seconds in each session. The music group performed the learning task while listening to music. The basketball dribbling test was recorded at the start of the training protocol and again at the end of the 6th week of the acquisition trials. Results Data analysis showed that two groups improved significantly at the acquisition stage (p=0.001). However, there was only a significant difference in retention and transfer scores of music motivation induced condition compared to the control group. Music induced conditions significantly demonstrated higher scores on retention and transfer tests in contrast to the control group (p=0.001). Discussion Presenting the arousing components has no positive effects on the primary phase of acquisition and learning of a continuous skill such as basketball dribbling skill. However, following a detraining period, the results reversed. They demonstrated their influence in such a way that the arousal effect of music was considerable in both learning and transfer (1). References 1. Crust L. Clough PJ. (2006). The influence of rhythm and personality in the Endurance response to motivational asynchronous music. Journal sport science, Feb, 24(2); 95-187. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title DETERMINATION OF MAXIMAL FAT OXIDATION FOR PRESCRIBING EXERCISE IN HEALTHY SEDENTARY SUBJECTS Authors 1 1 1 1 1 1 A. Cataldo , G. Russo , D. Zangla , V. Giglio , D. Bellavia , M. Traina Affiliations 1 University Of Palermo - Department Of Sports Science (dismot), Palermo, ITALY Body PURPOSE: Physical activity is recommended as a component of weight management. Exercise intensity has been showed to be one of the most important factors in determining substrate utilization. Purpose of our study was to determine the level at which physical exercise elicits maximal fat oxidation. METHODS: Fifteen healthy sedentary subjects, 8 men and 7 women, mean age 53 (range 37 – 71), BMI 26,6±1,33, performed an incremental exercise test to exhaustion on treadmill, using Bruce protocol. Breath-by-breath measurements of VO2 (ml/Kg/min) were detected throughout exercise and FAT rate (mg/Kg/min) was determined using indirect calorimetry (Cosmed, Quark CPET). The data is shown as mean values ± standard error of the mean. For the statistical analysis of the data, linear regression analysis was used. RESULTS: The average VO2max was 28,63±2,03 ml/Kg/min (men 30,91±3,27; women 26,03±2,08 ml/Kg/min). FATmax of 7,19±0,77 mg/Kg/min (men 0,80±1,22; women 6,26±0,84 mg/Kg/min) was reached at VO2 of 18,23±1,28 ml/Kg/min (men 18,85±2,03; women 17,51±1,59 ml/Kg/min) and it was located at 64±2,05 %VO2max (men 61±2,06; women 68±4,96 %VO2max). A positive linear correlation between FATmax and VO2 at FATmax (r=0,85, p<0,0001) has been found. CONCLUSIONS: Our data demonstrate that in healthy sedentary subjects the maximal fat oxidation rate was located at 64 %VO2max (range of intensity 55-75 %VO2max). In addition, our results showed that women utilize fat acid substrate on a wider range of exercise intensity (55-80 %VO2max) than men (55-67 %VO2max), suggesting that this difference must be taken into account when prescribing exercise for weight management in healthy sedentary subjects. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MISCELLANEA Title SURGICAL TREATMENT OF CARPAL TUNNEL SYNDROME IN ATHLETES Authors 1 N. Syrmos Affiliations 1 . Neurosurgery Department, Venizeleio General Hospital,heraklion,crete,greece, Heraklion,crete,greece, GREECE Body SURGICAL TREATMENT OF CARPAL TUNNEL SYNDROME IN ATHLETES N. Syrmos1,3, V. Giannouli 2 ,A.Mylonas3 ,G. Gavridakis4 , K. Grigoriou1, V.Valadakis1,C. Iliadis1,D.Arvanitakis1 1. Neurosurgery Department, Venizeleio General Hospital,Heraklion,Crete,Greece 2. Psychologist, MSc Cognitive Psychology and Neuropsychology, Aristotle University of Thessaloniki, Macedonia, Greece 3 Department of Anatomy, School of Sports Science,. Aristotle University of Thessaloniki, Macedonia,Greece . 4.CT –scan Department, Venizeleio General Hospital,Heraklion,Crete,Greece BACKGROUND: The carpal tunnel syndrome is a situation that prevents the normal use of the hands, which causes a lot of problems in athletic activity . Very often, athletes participating in sport activity with repetitive wrist motion may be affected. Sports like tennis and golf are often associated with carpal tunnel syndrome AIM: We intend to present our surgical experience, with the hope that it will alleviate suffering. METHODS: In our clinic we faced 20 patients surgically. 20 patients, 5 female -25% 15 male -75%-, mean age 35years, range 25-45 years.In all cases the clinical picture had also laboratory confirmation. RESULTS: The results were satisfactory, except in a few cases of reappearance of the syndrome CONCLUSIONS: The surgical treatment is considered as most effective, mainly in individuals with chronic and advanced sympomatology XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MISCELLANEA Title EFFECTS OF WATER EXERCISE ON FALLING RISK AND POSTURAL CONTROL OF ELDERLY PATIENTS WITH KNEE OA Authors 1 2 F. Zamanian , M. Vesalinaseh Affiliations 1 Department Of Physical Education, Islamic Azad University, Najafabad Branch, 2 Najafabad, IRAN, Department Of Sport Science, Tehran University, Tehran, IRAN Body Introduction: Osteoarthritis is a degenerative joint process prevalent in the older adult population. The symptoms of OA, such as pain and stiffness of the joints, restrict ability to move and control the balance in which consequently results in increased falling accidents. Several reviews have concluded that exercise therapy can benefit patients with OA of the knee and hip. Aim: The aim of this study was to investigate the effects of water exercise on falling risk and postural control patients with knee OA. Methods: 30 elderly women with knee OA (age: 70.4 ± 9.8, height: 145.6 ± 12.2 and weight: 53.1 ± 10.6) voluntarily participated in present study. Their static balance was evaluated by Romberg tests. Using Berg questionnaire, the falling risk were evaluated. Then the subjects were divided into experimental and control groups randomly. Experimental group underwent an 12weeks (three sessions per week) water exercise program. The RPE scale was used to evaluate the exercise intensity after each water exercise session. The control groups did not participate in any training program. The evaluations were repeated after the treatment sessions. Analysis of Variance (ANOVA) was used for statistical analysis. Results: After water exercise the ability of subjects in controlling of balance on one leg (P= 0.002) were significantly improved. Also exercise reduced the falling risk significantly (P=0.000). Conclusions: water exercise improved postural control and reduced risk of fall in patients with knee OA. This water exercise program is recommended for rehabilitation of patients with knee OA. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MOLECULAR BIOLOGY AND SPORT Title LIVER MITOCHONDRIA TRAINING ADAPTATIONS TO EXERCISE-INDUCED OXIDATIVE STRESS Authors 1 1 1 2 4 1 G. Bresciani , F. Lima , D. Stamm , I. Della-pace , M. De Castro , F. Dobrachinski , N. 1 3 1 1,2 De Carvalho , M. Fighera , F. Soares , L. Royes Affiliations 1 Programa De Pós-graduação Em Ciências Biológicas: Bioquímica Toxicológica, 2 Programa De Universidade Federal De Santa Maria, Santa Maria, BRAZIL, Pós-graduação Em Farmacologia, Universidade Federal De Santa Maria, Santa Maria, 3 BRAZIL, Departamento De Neuroolgia, Hospital Universitário De Santa Maria, Santa 4 Maria, BRAZIL, Undergraduate Student At Centro De Educação Física E Desportos, Universidade Federal De Santa Maria, Santa Maria, BRAZIL Body Although acute exhaustive exercise is known to increase liver reactive oxygen species (ROS) production, and moderate aerobic training has been shown to improve the antioxidant status in the liver, little is known about mitochondria adaptations to aerobic training. The main objective of this study was to investigate the effects of a moderate aerobic training on oxidative stress markers and antioxidant defense in liver mitochondria both after training and after three consecutive exhaustive swimming bouts. Wistar rats were divided into training, sedentary and sedentary-acute groups. Training group performed a 6-week swimming training protocol. Subsets of training and sedentary groups were sacrificed to verify liver mitochondria training adaptation. 72 h later, group subsets performed three consecutive swimming bouts with 72 h rest in between. Oxidative stress biomarkers, antioxidant activity and status were assessed. Lactate threshold test was also performed in order to confirm training adaptation. Training group showed decreased protein carbonilation, with higher mitochondrial superoxide dismutase (MnSOD), higher reduced glutathione (GSH) concentration, decreased oxidized glutathione (GSSG) and higher GSH/GSSG rate after training. Statistical analysis revealed that previous aerobic training protects against exhaustive swimming ROS production herein characterized by decreased oxidative stress markers, and higher antioxidant defenses when compared to sedentary groups. Training group also presented higher time-to-exhaustion. Concluding, training induced positive adaptations in rat liver mitochondria. Increased antioxidant defense after swimming training cope well with exercise-produced ROS, indicating a protective role on mitochondria functionality. Therefore, liver mitochondria adapt to exercise-induced oxidative stress and may play an important role on exercise outcomes. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MOLECULAR BIOLOGY AND SPORT Title THE EFFECTS OF POWER BAND HOLOGRAM ON REDOX STATE OF YOUNG SOCCER PLAYERS Authors 1 D. Djordjevic , V. Puzovic, N. Barudzic, V. Zivkovic, M. Vuletic, D. Stefanovic, M. Djurovic, V. Jakovljevic Affiliations 1 Department Of Physiology, Faculty Of Medicine,university Of Kragujevac, Kragujevac, 2 SERBIA, Fc Red Star, Belgrade, SERBIA Body Objective According to the manufacturer’s assertion, Power Band bracelet contains thin polyester hologram (made from oxygen ions, infrared rays, germanium electrons and magnetic waves), which broadcasts the natural frequencies associated with the energy field of the human body and contributes to the establishment of ionic balance by balancing the energy field. Recent investigations have shown that exposure to low frequency magnetic fields may increase the half-life of free radicals which affects cell signaling and may weaken the antioxidative defence system of the body (1, 2). Thus the aim of our investigation was to assess if wearing Power Band bracelet affects redox state of football players. Design and method Football players (n=48, age: 17.4±1.1) were subjected to 3 successive blood samplings in different conditions: 1) with no bracelet, 2) with placebo bracelet and 3) with Power Band bracelet. Redox state analysis included measurement of levels of: superoxide anion radical, hydrogen peroxide, nitrites as markers of nitric oxide, thiobarbituric acid reactive substances as index of lipid peroxidation, reduced glutathione, superoxide dismutase and catalase activity. Results Wearing placebo or Power Band bracelet had no statistically significant effect on any investigated parameter of subjects’ redox state. Conclusions The results of our study showed that wearing Power Band hologram had no negative effect on redox state of football players. References Lee BC, Jong H-M, Lim JK, et al. (2004). J Photochem Photobiol B,73, 43-48. Yokus B, Cakir DU, Akdag MZ, et al. (2005). Free Radic Res, 39, 317-323. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MOLECULAR BIOLOGY AND SPORT Title DISUSE AND AGING: MODIFICATIONS IN FUNCTIONAL PARAMETERS AND MYOSIN CONCENTRATION. Authors 1 1 2 2 2 2 1 E. Longa , L. Brocca , E. Cambell , O. Seynnes , J. Mcphee , M. Narici , R. Bottinelli Affiliations 1 2 University Of Pavia, Department Of Molecular Medicine, Pavia, ITALY, Institute For Biomedical Research Into Human Movement And Health, Manchester Metropolitan University, Manchester, UNITED KINGDOM Body It has been shown that, consistently with the observed loss of specific force in vivo in the elderly, specific force (Po/CSA) of identified types of atrophic muscle fibers of sedentary and immobilized elderly subjects (EL) is lower than that of young (YO) healthy subjects and that a major determinant of such loss could be a lower myosin concentration within individual muscle fibers and a retraining could change this condition. We performed two studies in which torque and muscle volume of the quadriceps muscle were determined in vivo; cross sectional area (CSA), Po/CSA and myosin concentration of isolated muscle fibers from biopsy samples of vastus lateralis were determined in vitro. Study 1: 4 YO subjects were subjected to 4 weeks unilateral lower limb suspension (ULLS); isometric torque and muscle volume by MRI were lower (21% and 10% respectively) post-ULLS compared to pre-ULLS and increased (32% and 15%) post-2 weeks recovery. CSA and Po/CSA of muscle fibers were lower post-ULLS compared to pre-ULLS and Po/CSA interestingly increase after recovery. Study 2: specific force and volume by MRI were lower (18% and 27%) in normally active EL subjects compared to YO controls; muscle fibers from EL subjects had a 14% in CSA and a 25% of Po/CSA decrease compared to YO subjects. In ULLS subjects myosin concentration is decrease post suspension with an almost complete recover after 3 weeks retraining. Our data indicate that, in disuse exercise could overcome atrophy and maybe ameliorate subjects condition. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MOLECULAR BIOLOGY AND SPORT Title TESTOSTERONE TREATMENT–INDUCED CHANGES IN THE BLOOD ANTIOXIDANT STATUS OF SEDENTARY AND ENDURANCE TRAINED RATS Authors 1 E. Sadowska-krepa , A. Wanke, K. Kempa, B. Klapcinska Affiliations 1 Jerzy Kukuczka Academy Of Physical Education-department Of Physiological & Medical Sciences, Katowice, POLAND Body Objective: This study was aimed at the investigation of the effect of endurance training and/or testosterone treatment on the activity of antioxidant enzymes (superoxide dismutase, catalase, glutathione peroxidase and glutathione reductase), concentrations of nonenzymatic antioxidants (glutathione and uric acid) and plasma malondialdehyde as a biomarker of oxidative damage to lipids. Design and method: Male Wistar rats were randomly assigned into four groups of sedentary or exercise trained (1 h daily, 5 days a week for 6 weeks) animals receiving, or not receiving, intramuscular injections of testosterone enanthate (8mg/kg body weight) once a week for 6 weeks. Results: As compared to sedentary controls, the activities of antioxidant enzymes (except for glutathione reductase) and concentrations of nonenzymatic antioxidants tended towards higher values in response to training, which was accompanied by a significant increase in malondialdehyde level. A significant rise (p<0.05) in the activity of superoxide dismutase and a trend towards higher activity of glutathione peroxidase and uric acid level in response to testosterone treatment was observed in sedentary animals, as compared to untreated sedentary controls. There was a slight tendency to lower activities of superoxide dismutase, glutathione peroxidase, glutathione reductase and plasma uric acid content and a significant increase (p<0.01) in malondialdehyde level after testosterone treatment combined with training. Conclusions:These results suggest that endurance training alone induced improvement in the antioxidant defense, but combined stressors, such as chronic exercise and administration of anabolic-androgenic steroid led to a moderate impairment of the pro-oxidant/antioxidant balance in the blood of rats. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title BLOOD PRESSURE AND CARDIAC OUTPUT REGULATION IN CYCLISTS DURING MAXIMUM AEROBIC POWER TEST Authors 1 1 1 P.M. Casali , L. Ricciardi , M.I. Sturla Affiliations 1 A.s.d. Associazione Medico Sportiva, Pavia, ITALY Body BACKGROUND Power to heart rate ratio (W/HR) is a measure of anaerobic threshold among endurance athletes. W/HR can be determined through the Heart Rate Deflection method, HRD. OBJECTIVES To determine trend of arterial pressure (AP), systolic volume (SV), cardiac output (CO) and their regulation METHODS 12 cyclists performed a maximum aerobic power test on cyclosimulator starting from 100watt and increasing 10watt stepwise each 30 seconds untill muscular exhaustion occured. HR data have been collected with a Polar® heart rate monitor and AP data with Portapres®. Further data analysis has been done with Protrainer 5®, BeatScope® and ModelFlow® in order to determine HR, SV and CO RESULTS For each subject the heart rate deflection point (HRDP) and, therefore, the anaerobic threshold, have been identified. For each subject systolic AP value decrease significantly in conjunction with the HRDP and, in turn, to increase after an average time of 72 m”. Analysis with ModelFlow® shows for all the subjects a reduction of SV (average = 8%; min = 6%, max = 13%), while the trend of CO seems to be more unclear. CONCLUSIONS This study shows for the first time a reduction of AP values in healthy athletes during an incremental maximum aerobic power test. The decrease of AP values is time-locked to the HRDP and, consequently, to anaerobic threshold. At the same time, significant reduction of the SV can be observed. It seems reasonable to hypothesize that the HRDP can be closely related to SV regulation. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title PERIPHERAL ADAPTATIONS ASSESSED BY NEAR-INFRARED SPECTROSCOPY FOLLOWING EXERCISE TRAINING IN PATIENTS WITH INTERMITTENT CLAUDICATION Authors 1 1 1 2 1 1 A.M. Malagoni , M. Felisatti , F. Mascoli , N. Basaglia , R. Manfredini , N. Lamberti , 1 1 1 1,2 E. Pozzato , S. Mandini , P. Zamboni , F. Manfredini Affiliations 1 2 University Of Ferrara-vascular Diseases Center, Ferrara, ITALY, S. Anna Hospital-department Of Rehabilitation Medicine, Ferrara, ITALY Body Aim - Near-infrared spectroscopy allows noninvasive static and dynamic muscle evaluation in peripheral arterial disease. We studied the exercise-induced changes of selected near-infrared spectroscopy parameters in patients with peripheral arterial disease. Materials and Methods - Forty-five patients (39M, age=71.3±6.6y) with peripheral arterial disease, for a total of 75 diseased legs, were studied at entry and at 34±2 weeks. Patients walked 20 min/day performing two different home-based programs: 1) Structured at prescribed pace below pain threshold speed (S-pre, n=31); 2) Unstructured at free pace to pain tolerance (U-free, n=14). Fifteen healthy subjects (7M, age=38.3±15.3y), studied as reference group, performed their usual activities. Outcome measures: Ankle-Brachial Index; calf oxygen consumption at rest and muscle oxygenated hemoglobin (area under curve) during an incremental test by near-infrared spectroscopy, and initial/absolute claudication distances. Results - Baseline oxygenated hemoglobin, which was lower in patients compared with healthy subjects, significantly increased after training, approaching the stable values of untrained healthy subjects. Within the diseased population, the U-free group failed to exhibit significant variations in any outcome parameter while in the S-pre group, significant functional improvement was accompanied by increased near-infrared spectroscopy parameters (calf oxygen consumption, P=.05; oxygenated hemoglobin, P=.006), and Ankle-Brachial Index (P<.0001). Individually near-infrared spectroscopy parameters adaptations in the worse legs according to the Ankle-Brachial Index changes were observed. Conclusions - Selected near-infrared spectroscopy parameters showed exercise-induced changes and, in combination with traditional parameters, outlined local adaptations following rehabilitation in patients affected by peripheral arterial disease. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title PLATELET-RICH-PLASMA – THE STATE OF THE ART IN SPORTS MEDICINE Authors 1 1 1 1 2 C. Miguel , F. Monteiro , R. Sales Marques , C. Machado , R. Aido. Affiliations 1 2 Service Of Physical And Rehabilitation Medicine Of Faro, Faro, PORTUGAL, Service Of Orthopaedicas And Traumatology Of Centro Hospitalar Do Porto, Porto, PORTUGAL Body objective : The aim of the study is to discuss the state of the art regarding the use of PRP in Sports Medicine pathology as well as future expectations with regard to your application. design and method : The authors set out to review the literature, based on texts of the databases PubMed and Lilacs published from 1995 to 2011. results : There is extensive documentation of both animal and human studies, with widespread applications, demonstrating the safety and efficacy of PRP for 20 years. However, most studies are pilot studies with small sample sizes. conclusions: The increasing use of platelet-rich plasma (PRP) in Sports Medicine presents significant opportunities—as well as significant questions—about appropriate clinical applications for this developing therapy. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title ENDOTHERAPY AND TRANSDERMAL INFILTRATION SYSTEM FOR TREATMENT OF INTERNAL GASTROCNEMIUS TRAUMA IN SOCCER PLAYERS Authors 1 A. Pastore Affiliations 1 2 Medical Center Avicenna, Venice, ITALY, Association Sports Medicine, Venice, ITALY Body Aim: evaluate through ultrasound scanning, the anatomic-tissutal repair with a prevalence of regeneration phenomena than on cicatricial, on a sample of lesions from indirect trauma treated with endothermy and transdermal vehiculation. 30 male patients (18-40 years) amateur soccer players/semi-professional with traumatic indirect lesion at distal internal gastrocnemius myo-tendinous junction (22 left legs – 8 right legs) procured during the game or training on turf. Period: January September 2010. Diagnoses: ultrasound scanning, symptoms evaluated with VAS(0-10). First ultrasound scanning control: 12 patients presented first degree lesion, 10 patients second degree lesion, 8 patients third degree. Cycle of therapy: Endotherapy in the first 24 hours (edema resorption). First, second week: 2 consecutive sessions of Winform Transdermal Infiltration System (aceclofenac 200 mg, EDTA 10%). 2 sessions of Winform Endotherapy (alternate days). Thirds, fourth week: 2 Endotherapy sessions spaced at least 48 hours. Second control, end of therapies: all patients showed initial or partial hematoma resorption, appearance of fibers and beginning of cicatricial phenomena. All patients reported an improvement in pain that has increased from a medium average VAS 5.69±2.27 (DS) to 2.40±1.84 (DS) at discharge, medium improvement of 3.29±0.76 (DS) (T- test p<0.05). In conclusion, these associated methods are effective for quality of anatomic-tissutal repair, hematoma resorption rather than on recovery time. No association with other techniques. P.Mondardini et al.Nuove metodologie nel trattamento della patologia muscolare traumatica dell’atleta Minerva Medica2003 S.Colaiuda et al.Trattamento non invasivo del melasma,utilizzo di un sistema di veicolazione transdermica a rilascio rapido,HiTechDermo2010 XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title FROM CRYOTHERAPY TO NEUROCRYOSTIMULATION: A STRIKING EVOLUTION Authors 1,2,3 1 1 1 P. Paulin , J.L. Fortin , F. Nicod , F.X. Lagre Affiliations 1 2 Emergency Medical Service, Doubs Fire Department, Besançon, FRANCE, 3 Franche-comté Regional Olympic Comittee, Besançon, FRANCE, French Handball Federation, Medical Services, Gentilly, FRANCE Body Objective:: Cryotherapy is known since ages. It is now experiencing renewed interest thanks to a better knowledge of its action on the human body. A newly developed technique, the neurocryostimulation, appears to be promising. Design and method: The thermic shock seems to be the scientific rationale of this newly developed technology. Physiologic effects of cryotherapy recently published identify four main mechanism of action: Analgesics, anti-inflammatory, vasomotor and myorelaxant. Results: Several techniques for cryotherapy are known and used. For each technique, a physico-chemical phenomenon occurs when in contact with the skin, and thus conditions a specific physiologic effect on the body. Three main phenomena are identified: Conduction, convection and sublimation. Only neurocryostimulation allows to date to obtain some tangible expected physiological effects. Medical and paramedical indications seem to be promising in humans as well as in animals. Conclusions: Cryotherapy is making a tremendous comeback. Better understanding of the mechanisms of action and the development of neurocryostimulation reinforce this interest. More clinical and fundamental studies are needed to definitely lay the basis of this ancestral practice. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title BODY COMPOSITION ASSESSED BY SEGMENTAL BIOIMPEDANCE ANALYSIS (BIA) AND REPEATED SPRINT PERFORMANCE IN RUGBYMEN. Authors 1 1 1 2 2 1 J. Brun , M. Guiraudou , J. Dumas , I. Raingeard , A. Chalançon , A. Avignon , J. 1 Mercier Affiliations 1 2 Inserm U1046, Montpellier, FRANCE, Département D'endocrinologie Chu Montpellier, Montpellier, FRANCE Body We previously reported highly significant correlations between body cell mass (BCM) measured by BIA and aerobic capacity in rugbymen. However BIA loses precision in slim or heavy athletes due to limitations of the model that are overcome with segmental BIA. We tested a new device using this approach, the RX4000 Biacorpus (Healthnesslink, France), that we validated first against DEXA and then applied to a team of rugbymen. Validation in 36 subjects covering a range of BMI 13-48 kg / m², showed for fat mass (MG) a remarkable agreement (r=0.988; average error 0.532 [95% confidence interval CI:-0.495;1.56]) with DEXA. The composition of each segment is accurately predicted (r=0.823 to 0.958). In a team of 29 rugbymen (age:18-31 yr; mean body mass index 29 (ranging from 21 to 41 kg/m²) we found an average % of fat mass of 18,46 % and muscle mass was on the average two-fold bigger than fat mass. However neither muscle mass not BCM measured with BIA were predictor of measurements of sprint performance, while the time of 10m sprint was strongly correlated to fat mass (r=0.738 p<0.01 )and to %fat mass (r=0.750, p<0.01) as did the time to perform Gacon's 45-15 repeated sprint test (FM r=0.783 p<0.01; %FM r=0.693 p<0.01). Thus this new segmental BIA technique provides a markedly improved determination of fat and fat free mass in lean and obese subjects and provides measurements strongly correlated with sprint and repeated test performance in rugbymen, emphasizing the negative effect of excess fat mass on this performance. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title RESTING METABOLIC DEMAND OF ELITE BOXING IN BRAZIL Authors 1 2 3 1 4 4 F. Burini , L. Viveiros , O. Teixeira , R. Manda , C. Abad , I. Loturco , T. Pessoa Junior 5 6 3 1 , M. Aoki , L. Cameron , R. Burini Affiliations 1 1. exercise And Nutrition Metabolism Center Unesp Medical School, Botucatu, 2 brazilian Olympic Committee Sports Science Department, Rio De BRAZIL, 2. 3 protein Metabolism Laboratory Unirio, Rio De Janeiro, Janeiro, BRAZIL, 3. 4 5 pão De Açúcar High Performance Center, Sao Paulo, BRAZIL, 5. BRAZIL, 4. 6 parana Federal State University, Curitiba, BRAZIL, 6. each São Paulo State University, Sao Paulo, BRAZIL Body Weight-based categories sports, such as boxing, demands specific evaluations criteria regarding training, competition and nutritional patterns. Applied behaviors, such as dehydration and malnutrition, leads to decrease in performance, despite health issues (eg. Rabdhomyolisis). OBJECTIVE: The aim of the study was to evaluate the metabolic demand (resting metabolic rate - RMR) of national elite boxing athletes, and analyse the nutritional pattern individually. DESIGN/METHODS: For RMR evaluation, a portable analyzer (FITMATE PRO COSMED®) were used in 11 athletes (7 males/ 4 females; 25,5±3yrs); nutritional pattern was analyzed using daily 24h records, with specific software for qualitative datas (NUTWIN®). For statistical analysis, t student test and ANOVA two-way was used when appropriated, adopting p<0.05 for statistical significance. RESULTS: All athletes were above the category weight. RMR was 1341,2±423,2, higher in males (1496,7±109,2 vs 1069,2±646,4). Caloric intake was 2038,6±575,2, higher in females (2323,2±786,8 vs 1874,78±394,6). Qualitative analysis showed lower carbohydrate intake (91% of the athletes). 36% showed high protein intake; branched-chain-aminoacid leucine were under dietary recommended intake (DRI) in 36%. Eletrolytes intake, such as sodium, pottasium and magnesium were abnormal in 100% of the athletes. CONCLUSIONS: The present study evidences abnormalities that should be focused on the multidisciplinary matter, avoiding deleterious atitudes such as dehydration and malnutrition, wich could lead to decrease in performance, despite health risks, and such evaluations that permits improvements on body composition of the athletes should be encouraged. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title METABOLIC PROFILE OF BRAZILIAN ELITE BOXING ATHLETES Authors 1 2 3 1 4 4 F. Burini , L. Viveiros , O. Teixeira , R. Manda , C. Abad , I. Loturco , T. Pessoa Junior 5 6 3 1 , M. Aoki , L. Cameron , R. Burini Affiliations 1 1. exercise And Nutrition Metabolism Center Unesp Medical School, Botucatu, 2 brazilian Olympic Committee Sports Science Department, Rio De BRAZIL, 2. 3 protein Metabolism Laboratory Unirio, Rio De Janeiro, Janeiro, BRAZIL, 3. 4 5 pão De Açúcar High Performance Center, Sao Paulo, BRAZIL, 5. BRAZIL, 4. 6 parana Federal State University, Curitiba, BRAZIL, 6. each São Paulo State University, Sao Paulo, BRAZIL Body Elite athletes present a peculiar profile that demands specific performance assessment, including training, dietary recommendations and metabolic stress repercussion. High intensity training can induce a wide range of metabolic responses and associated with inadequate resting and nutritional intake might be a trigger for adverse outcomes in performance. OBJECTIVE: This study aimed to assess the metabolic stress responses of Brazilian elite boxing athletes mimicking a typical Olympic championship framework. DESIGN/METHOD: 11 elite athletes (7 males/ 4 females; 25,5±3yrs) were submitted to a performance assessments on a maximal specific test preceded and proceeded by a blood analyses of acute and chronic biochemical markers of stress associated with anabolic and catabolic responses (CK, CKMB, AST, ALT, Gama GT, Glucose, Insulin, Hematocrit, Hemoglobin, Albumin, Sodium, Potassium, Calcium, Total and Free Testosterone, Cortisol). Testosterone and Cortisol ratio was utilized to check the performance status. Student’s t test or Wilcoxon test was utilized for statistical analyses according data distribution (p<0.05) RESULTS: The maximal test induces metabolic responses of exertion, observed by increase on muscle damage (CK and AST), hemoconcentration (hematocrit, hemoglobin, albumin and electrolytes), anabolic hormones (total and free testosterone), glucose metabolism (glucose and insulin) without alterations on cardiac (CKMB), hepatic (ALT, Gama GT) and catabolic (cortisol) biomarkers. Testosterone/Cortisol ratio was elevated after maximal test, indicating that deleterious effects are not expected in these athletes. CONCLUSION: This study shows that specific metabolic approach on Brazilian’s elite boxing athletes may lead to adequately characterization and specifically ways to improve high performance fitness. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title LIPID PEROXIDATION / NITRIC OXIDE METABOLITE RATIO IN TRAINED SUBJECTS BEFORE AND AFTER A CARDIOPULMONARY TEST Authors 1 1 1 1 B. Canino , R. Lo Presti , F. Stassi , G. Caimi Affiliations 1 University Of Palermo, Palermo, ITALY Body OBJECTIVE Our aim was to investigate the effects of an exercise test on the oxidative status and endothelial function, in trained and untrained subjects, before and after a cardiopulmonary test. DESIGN AND METHOD We enrolled 60 male trained subjects (mean age 32.1 ± 9.2 yrs; VO2max 34.0 ± 12.0 ml/min/Kg), subdivided in two subgroups of 30 subjects each, according to the median value of VO2max (30.75 ml/min/Kg). The low VO2max group had mean age 32.4 ± 8.0 yrs and VO2max 24.9 ± 4.0 ml/min/Kg. The high VO2max group had mean age 31.9 ± 10.4 yrs and VO2max 43.1 ± 10.8 ml/min/Kg. The control group included 19 male sedentary controls (mean age 32.9 ± 5.3 yrs; VO2max 20.9 ± 5.5 ml/min/Kg). Lipid peroxidation was evaluated by detection of the thiobarbituric acid-reactive substances (TBARS); the NOx were evaluated employing the Griess reagent. RESULTS At rest, in comparison with sedentary controls, an increase in TBARS, NOx and TBARS/NOx ratio was found in the whole group but also in the two subgroups of trained subjects. After the cardiopulmonary test, the increase of TBARS and TBARS/NOx ratio was significantly more evident in sedentary controls than in trained subjects. No variation was observed for NOx in any group. There was no significant difference between the two subgroups of trained subjects. CONCLUSIONS Our data suggest that trained subjects are protected against the acute oxidative stress induced by an exercise test, and this protection is not strictly dependent on the aerobic fitness. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title OXIDATIVE STRESS, ANTIRADICAL POWER AND HORMONAL PROFILE IN PLASMA AND SALIVA: APPLICATION IN SPORT PERFORMANCE Authors 1 1 2,3 2 2 2 E. Doria , D. Buonocore , F. Angelini , A. Bonuccelli , A. Causarano , G. D'urbano , 2 1,2,3 S. Catanese , F. Marzatico Affiliations 1 2 Dip Biologia E Biotecnologie, Pavia, ITALY, Ac Siena Robur Tech (siena), Siena, ITALY, 3 Italian Society Of Sport Nutrition And Wellness (sinseb), Empoli, ITALY Body Oxidative stress, a condition defined as unbalancing between production of free radicals and antioxidant defences, is an important index of health status to monitor wellness and sport performance. Oxidative stress and inflammation are traditionally associated with fatigue and impaired recovery from exercise and antioxidant could play a positive role to reduced inflammation markers and cortisol response. Total Antioxidant Capacity (TAC) is significantly correlated with total testosterone in male subjects. Aim of this work is to obtain preliminary data which correlate plasmatic oxidative stress (dROMs) with levels of testosterone and cortisol (T/C) in saliva, recommended as good markers of training stress during season of a team of the Italian Soccer League (Serie A). Saliva, in fact, as a diagnostic blood mirror, represents a useful non-invasive analysis method in replacement of the sample serum. Furthermore, during the same sport season we assessed the antioxidant capacity in saliva samples from each player using a set-up DPPH method. Obtained results were correlated with salivate acid uric level measured by HPLC analysis. Moreover, we monitored also the immune function and the inflammatory status of the examined players, analysing the secreted immunoglobulins and pro-inflammatory cytochins. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title DHA- RICH FISH OIL IMPROVES COMPLEX REACTION TIME IN FEMALE ELITE SOCCER PLAYERS Authors 1 1 1 2 2 1 3 H. Esteve , A. Pablos , L. Elvira , F. Guzmán , C. Pablos , C. Blasco , J.A. Villegas Affiliations 1 2 Universidad Católica De Valenca, Torrent, SPAIN, Universidad De Valencia, Valencia, 3 SPAIN, Universidad Católica De Murcia, Murcia, SPAIN Body ESTEVE, H., PABLOS, A., ELVIRA, L., PABLOS, C., GUZMÁN, F., BLASCO, C., VILLEGAS, J.A. UNIVERSIDAD CATÓLICA DE VALENCIA, ESPAÑA. OBJETIVE: The aim of this study was to analyze the effects of the Omega-3 docosahexaenoic acid (DHA) supplementation on perceptual-motor processes, such as complex reaction time, accuracy, and efficiency in elite female soccer players. The second objective was to analyze possible differences in DHA effects when supplementation is offered at the beginning versus the end of the soccer season. DESIGN AND METHOD: The sample was composed of 34 elite professional female soccer players, selected from two teams of the female soccer Spanish Super league. A 4-week, double-blind study was performed. The participants were administered a supplementation of either DHA or a placebo. In each team, the participants were randomly assigned to the experimental and control groups. Athletes from the experimental group received a 3.5 g·day-1 of DHA nutritional supplement, while participants from the control group received only the placebo (olive oil), which did not contain any Omega-3 fatty acids.To measure complex reaction efficiency we employed a computerized task named “multiple reaction times” that presented visual and auditory stimuli and registered responses accordingly. RESULTS:Univariate contrast analysis showed effects of nutritional supplementation on accuracy, efficiency and the interaction between the nutritional supplement and experimental group on complex reaction time and efficiency. CONLCUSIONS: The study suggest that supplementation with DHA produced perceptual-motor benefits in female elite athletes, and that DHA could be a beneficial supplement in sports where decision making and reaction time efficiency are of importance. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title THE EFFECT OF CITRULLINE/MALATE ON PLASMA LACTATE LEVELS IN INTENSIVE TRAINING Authors 1 2 1 1 1 F. Kiyici , H. Eroglu , N. Kishali , A. Erzurumluoglu , G. Burmaoglu Affiliations 1 1department Of Physical Education And Sports School Of Sport Sciences, Atatürk 2 Department Of Physical Education And Sport University, Erzurum, TURKEY, Kahramanmaras Sütcü Imam University, Kahramanmaras, TURKEY Body Twenty–two athletes were divided into two separate groups as placebo group (n = 11) [age: 18.00 ± 2.00 years] and Stimol group (n = 11) [age: 21.57 ± 4.58 years]. The athletes were subjected to intense training for 4 weeks, 4 days a week, mainly pre-season strength and technique training. In this training period, stimol group athletes were given stimol 3 times a day as 1 g for breakfast, 1 g for lunch, and 1 g for dinner while the placebo group athletes were given only placebo in the same dosage and the same color at the same time. Blood lactate levels in athletes were measured prior to and after a one-month program as: rest (R), immediately after the training (IAT), rest for 5 minutes (R 5m), and rest for 20 min (R 20m). In intra-group comparison, no change was observed in plasma lactate levels in placebo group while a significant difference was found in the levels of stimol group as p<0.05 with a 49.8% decrease in plasma lactate level. In the measurements between groups, in the post-test measurements made after the training period, significant differences as p <0.05 were found with a 60.7% decrease in plasma lactate level immediately after exercise.As a result, considerable decline was seen especially immediately after exercise in plasma lactate levels of the athletes being given stimol supplement. In this case, we can say that Citrulline/Malate supplementation may contribute positively to the performance of athletes. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title NUTRITIONAL SUPPLEMENTS USE IN IRANIAN PROFESSIONAL PLAYERS Authors 1 1 1 2 T. Seifbarghi , F. Halabchi , R. Mazaheri , K. Djafarian Affiliations 1 Assistant Professor, Sports Medicine Research Center, Faculty Of Medicine, Tehran 2 University Of Medical Sciences, Tehran, IRAN, Assistant Professor, Department Of Nutrition And Bioch. , School Of Public Health, Tehran University Of Medical Sciences, Tehran, IRAN Body Objective: Many athletes consume a considerable quantity of nutritional supplements prior to a match; however there are extremely limited data available for Iranian professional soccer players. The aim of current study was to assess the use of nutritional supplements among Iranian top-level soccer players. Design and method: Data were collected from 19 Iranian professional football clubs in the two divisions during the first six matches of the season 2010-2011. Each team physician was asked to document the type and frequency of vitamins, minerals and nutritional supplements taken by team players in the 72 h prior to each match. Results: 414 soccer players participated in the study. 81.6% of them used some form of nutritional supplements. Multivitamins (52.4%) were the most popular supplements among the players. Taking CarboMax was reported for 41.5% and Isostar for 34.8% of players. Vitamin E, C and B complex were taken by 30%, 27.8% and 19.8% of soccer players, respectively. Relatively few players were taking Creatine (4.3%). conclusions: The use of nutritional supplements is very high among Iranian professional soccer players. However, it is clear that for most of athletes with adequate diet, consuming nutritional supplements is unnecessary. Therefore, the regular use of nutritional supplements by Iranian professional soccer players merit further investigations. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title NOVEL NATURAL COMPOUNDS WITH POTENTIAL TO PREVENT AND TREAT SKELETAL MUSCLE ATROPHY Authors 1 1 1 2 2 2 A. Torrent , P. Dalmau , R. Ruhi , K. Swiderski , J.E. Church , D.M. Baum , G.S. Lynch 2 Affiliations 1 2 Pharmaceutical & Nutraceutical R & D Dept., Bioiberica S.a., Barcelona, SPAIN, Basic And Clinical Myology Laboratory, Department Of Physiology, The University Of Melbourne, Victoria, AUSTRALIA Body OBJECTIVE - Chronic muscle inactivity and mechanical unloading (e.g. bed rest and cast immobilization) result in skeletal wasting and weakness. The loss of muscle function requires extensive and time-consuming physical rehabilitation. There is a profound need to develop novel therapeutic strategies because current treatments are ineffective. The aim of this study was to investigate the therapeutic potential of two natural substances to combat muscle atrophy: an extract from rooster comb; IB0004 that contains mainly hyaluronic acid; and BIX003, another extract from porcine cartilage, rich in bioactive substances. DESIGN AND METHOD - An assay was performed to evaluate the potential to stimulate proliferation of murine C2C12 muscle cells. Two different conditions were evaluated: cells cultured with growth media (10%FBS) and cells cultured with low-serum media (2%FBS). In another experiment, we evaluated whether IB0004 or BIX003 could prevent muscle atrophy (i.e. myotube thickness) during serum starvation conditions. RESULTS - IB0004 and BIX003 exerted little effect on cell proliferation in 10%FBS growth serum, but they significantly stimulated proliferation in low-serum media after 48 hours treatment (131% and 48% increase, respectively). In addition, treatments with either extract were able to counteract myotube atrophy compared with the 0% control, as evident from a 20% reduction in myotube width. CONCLUSIONS - The results indicate that BIX003 and IB0004 have potential anabolic effects on muscle that could counteract cell atrophy under adverse conditions. Both preparations may have therapeutic potential for preventing atrophy in muscle wasting conditions such as disuse atrophy, sarcopenia, and other disorders. Studies in animal models will be performed to confirm these promising in vitro findings. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title ECHOCARDIOGRAPHIC ASPECTS AND ANOMALIES DETECTED DURING THE MEDICAL EXAMINATION OF NONCOUNTER-INDICATIONS TO THE PRACTICE OF THE HIGH LEVEL SPORT: RESULT OF A SYSTEMATIC EVALUATION. Authors 1 1 1 1 1 H. Adala , D. Koubaa , I. Fradi , A. Ben Halima , F. Azzouzi Affiliations 1 Center National Medicine And Sciences Of The Sport, TUNISIA Body Introduction: The cardiovascular assessment during the first medical examination of of noncounter-indications to the practice of the high level sport has systematically a heart Doppler ultrasound according to the consensus of National Center for Sport's Medicine and Science(NCSMS). The objective: to study the data of the transthoracic echocardiography (TTE) performed between 1998 and 2009 and to identify anomalies that having challenged the sports activity. In light of these results, we discuss the need for a systematic prescription of the TTE. Materials and Methods: We retrospectively studied the data of all the TTE carried out in the NCSMS from 1998 to 2009 (4254 heart Doppler ultrasound performed). The study population was composed of 2253 sportsmen including 586 girls (26.1%) and 1667 boys (73.9%). They are of average age of 20.58 ± 4. 2 years. It is composed of national team's members (31.5%), professional players (9.23%), sporting pupils (50.19%) and arbitrators (9.23%). Results: The unfitness from cardiac causes represents 68.7% of total unfitness. Twenty-three cases (69.7%) of cardiac abnormalities incompatible with sport were detected by systematic TTE. They represent 9.3% of all TTE and 1.02% of the explored sporting population. The average age of detection of heart disease was 20.2 ± 5.34 years. These are 9 student athletes, 7 national team members and 7 professional players. The sports are football, handball, athletics, basketball, wrestling, swimming, taekwondo and judo. 52.1% of the sports played in Class IIC of Bethesda. Heart diseases observed in inables athletes were : mitral and / or aortic advanced degree valvular disease (11 cases), hypertrophic cardiomyopathy (6 cases ), congenital heart disease (5 cases) and arrhythmogenic dysplasia of right ventricular (1 case) The TTE has also detect cardiac abnormalities compatible with the practice of the sport. They were mainly valvular anomalies (133 minimal mitral regurgitation, 126 rheumatic aortic regurgitation, 117 mitral valve ballooning, 36 cases of minimal to moderate aortic regurgitation, 17 mitroaortiques leaks, 86 left ventricular hypertrophy and 6 small left-rights shunts). All these anomalies were without impact on left ventricular function. The systematic control of the ETT performed in 88 cases after more than 30 months showed no significant differences in echocardiographic parameters. Conclusion: The ETT seems to have main place in the assessment of noncounter-indication to the practice of the competitive sports, particularly in average to strong of the BETHESDA dynamic and static classes. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title PULSE CURVE OBTAINED DURING BRUCE TREADMILL TEST IN SENIOR SOCCER PLAYERS Authors V. Antevska, J. Pluncevic Gligoroska, S. Petrovska, B. Dejanova, S. Nikolic, S. Mancevska Affiliations 1 2 Feps, Odense, DENMARK, Macedonian Physiology And Anthropology Society, Skopje, FORMER YUGOSLAV REPUBLIC OF MACEDONIA Body Introduction: Physical fitness in soccer players is related to a wide range of individual abilities and consists of numerous motoric, physiological, psychomotor and psychological parameters. High levels of these factors are necessary for the soccer players to be able to fulfill all demands of the soccer game. Physical fitness of the players is mostly dependent off their cardiovascular function. Material and method: In this investigation we analyzed the results of the cardiovascular stress test in a group of 150 male soccer players with a mean age of 24.03±4.45years. Method: The Bruce protocol was used as standardized protocol for the monitoring of cardiovascular function in exercising subjects. The object of analyzes was the heart rate (HR) which is typically taken every minute during this protocol. Results: The heart rate curve during Bruce protocol treadmill test is composed of heart beats per minute at the rest, during each minutes of the test and during the recovery period. The mean values of the constituting points of this curve for the investigated group of soccer players were: 0min=70,38; 1min=95,46; 2min=95,6; 3min=96,21; 4min=107,46; 5min=108,87; 6min=110,2; 7min= 121,86; 8min=123,64; 9min=126,15; 10min= 125,89, SF (recovery)= 125,89. The mean value of exercise time (ET) was 13,41 minutes. Conclusion: The data obtained from this study offers age appropriate normal data of this cardiovascular parameter in active young adult soccer players and may be used as reference values during treadmill exercise. Reff: Strudwick A, Reilly T, Doran D. Anthropometric and fitness profiles of elite players in two football codes. J Sports Med Phys Fitness 2002;42(2):239-42. Coh M, Tomazin K, Rausavljevic N. Differences in morphological and biodynamic characteristics. Biol Sport 2007, 24(2):115-121 XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title CARNITINE PALMITOYLTRANSFERASE II DEFICIENCY AND PHYSICAL ACTIVITY Authors 1 2 3 4 5 6 7 E. Assisi , A. Nigro , F. Caretta , F. Quaranta , S. Livrieri , E. Ciminelli , F. Sperandii , 8 9 F. Pigozzi , P. Borrione Affiliations 1 2 Department Of Health Sciences,university Of Rome, Foro Italico, Rome, ITALY, Sport Medicine Institute Of Rome,villa Stuart Sport Clinic, Rome, ITALY Body Introduction: Carnitine palmitoyl-transferase II deficiency is an autosomal recessive and rare disorder of the fatty acid beta-oxidation cycle. The best known is the muscular form with episodic muscle necrosis, and paroxysmal myoglobinuria after prolonged and strenuous exercise; it was rarely reported sudden cardiac death during sport. Case report: We report a case of a 34-year old male amateur soccer referee evaluated for the annual pre-participation screening. He described a severe sense of myalgia, after sport activities. Maximal exercise stress test, 24-hours electrocardiogram monitoring and haematochemical exam (haemachrome, inflammatory parameters, electrolytes) were normal. For this reason he was referred for a neurological evaluation and successively for a muscle biopsy of the left deltoid that showed carnitine palmitoyl-transferase II deficiency. This deficit could be associated with episodes of cardiac arrhythmias and rhabdomyolysis in particular conditions that increase the requirement for fatty acid oxidation, such as low-carbohydrate, fasting, excessive cold, lack of sleep and prolonged exercise. Conclusions: The athlete was considered not eligible for competitive sports. References: Bonnefont JP et al. Carnitin Palmitoyl transferase Deficiencies. Mol Genet Metab 1999 Simmons Z et al. Muscle biopsy in the evaluation of patients with modestly elevated creatine kinase levels. Muscle Nerve 2003 Warren JD et al. Rhabdomyolysis: A review. Muscle Nerve 2002 XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title CORRELATION BETWEEN HEMODYNAMIC INDICES AND SPORTS CLASSIFICATION FOR ITALIAN ORGANIZING CARDIOLOGICAL COMMITTEE ON SPORTS ELIGIBILITY (COCIS). Authors 1 2 3 A. Castagna , C. Ruberto , G. Attisani Affiliations 1 2 Ausl Di Modena - Uo Cure Primarie, Pavullo Nel Frignano, ITALY, Università Degli 3 Studi Magna Graecia, Catanzaro, ITALY, Centro Medico Fisios, Ravenna, ITALY Body The need to classify sports activities for scientific purposes has always been counteracted by the difficulty in identifying criteria which have to be clear enough as to providing a handy, simple and at the same time analytical classification, close to the physiologic adaptations to each sport. The present investigation found in a unselected population of athletes a relation of hemodynamic indices with sports classification for COCIS. We assessed a population of 500 subjects [100 for group; 82 %males, age 34,82±9,6 years, BMI 24,83±2,61 Kg/m²], prospectively examined in Sport Medicine clinics, matched for age, BMI and gender. The types of sports can be divided into five groups in according to COCIS 2009. For all the variables, standard statistical indices were calculated and distribution of frequencies of variables was assessed. ANCOVA was used to compare the hemodynamic indices between groups. In our population, Pulse Pressure were significantly greater among group D 2 ( 49,55±8,41 mmHg; P=0,000) . Moreover, Pulse Pressure were significantly different between groups (P=0,001), but not so SBP, DBP, MBP and HR. The main finding of our study indicated a significant association between PP and Sport Classification. The relation was independent of age, IMC and gender. An increase in PP reflects arterial stiffening as a result of structural and functional change of vascular tree. The results confirmed that both forms of training cause specific morphological changes in the heart, dependent on the type of sport and that Pulse Pressure should discriminate to more precisely characterize arterial function in athletes. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title TRASLAVAL MARATHON: ASSESSMENT OF CARDIOVASCULAR FUNCTION DURING A FOOT RACE IN FIVE STAGES AT HIGH ALTITUDE. Authors 1 2 1 1 3 A. Cialfi , D. Di Mattia , S. Colombo , M. Viecca , C. Antona Affiliations 1 Università Degli Studi Di Milano-ospedale Luigi Sacco-divisione Di Cardiologia, Milano, 2 ITALY, Fmsi-istituto Di Medicina Dello Sport.università Degli Studi Di Milano-ospedale 3 Luigi Sacco-divisione Di Cardiochirurgia, Milano, ITALY, Università Degli Studi Di Milano-ospedale Luigi Sacco-divisione Di Cardiochirurgia, Milano, ITALY Body We considered the classic Dolomitic Marathon Traslaval, a foot race in five stages at high altitude in Val di Fassa (Italy) that poses a hard challenge to Athletes, to assess cardiac function during competition. The aim of the study was to evaluate the modification of cardiac function during prolonged maximal workload. We decided to perform three successive echocardiograms before and during the race breaks on 26 athletes who joined the study. All parameters collected over the three surveys performed during the six competition days were similar and well distributed (first control day 1: the day before the competition; second control day 4: rest after third stage; third control day 6: the day after the fifth stage.). In that way the Athletes were studied at maximal workload. The echocardiographic examinations showed a perfect effort tolerance in all categories of Athletes. There were no abnormalities in cardiac chambers and valves function. 2 Elite Athletes showed an echocardiographic evidence of athlete’s heart. The data obtained emphasize the validity of the tests performed during the annual medical evaluation in competitive Athletes. Even if the periodic medical evaluation does not include a routine echocardiographic investigation it well fits to the eligibility criteria of normal cardiac function and competitive sport. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title PHYSIOLOGY OF SOME POSSIBLE SERUM MARKERS FOR SPORT MEDICINE MONITORING Authors 1 1 2 3 1 1 B. Dejanova , S. Petrovska , V. Filipce , P. Dejanov , J. Pluncevic , S. Mancevska , V. 1 Antevska Affiliations 1 Institute Of Physiology, Medical Faculty, Skopje, FORMER YUGOSLAV REPUBLIC OF 2 Clinical Laboratory, Medical Faculty, Skopje, FORMER YUGOSLAV MACEDONIA, 3 REPUBLIC OF MACEDONIA, Clinic Of Internal Medicine, Medical Faculty, Skopje, FORMER YUGOSLAV REPUBLIC OF MACEDONIA Body Serum markers monitoring is important for well being of sport players during training process. The aim of the study was to clarify possible parameters which may be implemented as routine monitoring markers in sport medicine. A number of 28 male subjects (sport amateurs) were examined at age of 25±4 years who were exposed to 10 minute treadmill exercise (TE). The blood samples were taken before and after TE, and after 24 hours of rest period (RP). None of the subjects used nutritional supplements. Besides routine hematological parameters (RHP), creatine kinase (CK), potassium (P), free radicals (D-rom) and lipid peroxidation (MDA) were examined. Increased value of CK was found after TE of 342±160 U/L compared to the value before TE of 299±133 U/L (p<0.01). The value of D-rom was also found to be increased from 252±36 UCarr before TE to 274±66 UCarr after TE (p<0.01). Both values were found to be decreased after the RP: CK (310±153 U/L) and D-rom (230±48 UCarr). No significant differences were found in values of RHP, P and MDA before and after TE, and after RP. Due to obtained results, we may conclude that higher CK level may correlate with physical training condition and possible skeletal muscle damage. Higher D-rom expressed increased free radical production during TE, which is not related to oxidative stress. Unchanged P value is probably due to re-uptake mechanism kinetics. All examined serum markers may give useful contribution in monitoring physiological responses to achieve safer training programs and good health outcome. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title WOLFF-PARKINSON-WHITE SYNDROME AND SPORT: INCIDENCE, FOLLOW-UP AND ECG IN PRE-ADOLESCENTS Authors 1,2 1,2 1,2 1,2 F. Faiola , U. Luciani , G. Bianchi , M. Casasco Affiliations 1 2 Italian Federation Of Sports Medicine, Fmsi, Rome, ITALY, Panathleticon, Sports Medicine, Brescia, ITALY Body AIM: to analyze Wolff-Parkinson-White syndrome (WPW) incidence and evolution in 37202 subjects checked for competition eligibility. METHODS: basal-ECG; stress-ECG; Holter-ECG; Electrophysiologic Testing (EP: to assess arrhythmic vulnerability); annual follow-up. INCIDENCE: 37 subjects with WPW (0.099%); 24 WPW at first visit, 13 WPW diagnosis during follow-up (WPW onset: 15,7±2,2years); 10 constant-WPW, 27 intermittent-WPW (3 symptomatic for SVPT, 2 for VEB). POPULATION: 24 subjects (13 abandoned); 9 c-WPW, 15 i-WPW; divided in 2 groups: Group-A: 13 first visit WPW (5 i-WPW, 8 c-WPW; 15,8±5,3y), 1 with VEB; Group-B: 11 WPW during follow-up (after 2,4±1,4y; 4 i-WPW, 7 c-WPW; WPW onset: 15,6±2,3y), 2 with SVPT, 1 with VEB. EP (16,3±5,6y): 16 with low arrhythmic risk, not ablated (16,8±3,9y); 8 ablated (15,9±5,6y; 3 Group-A, 5 Group-B; 3 c-WPW, 5 i-WPW; 3 with SVPT, 1 with VEB). FOLLOW-UP (5,5±2,0y after diagnosis, 3-10y): 1 low risk subject showed SVPT after stress-test, required EP (4y after first, 22y) and ablation. ECG COMPARISON: pre-diagnosis (Group-B, normal ECG: basalHR=69±10bpm; bPQ=0,13±0,01s); diagnosis (bHR=73±13bpm; bPQ=0,10±0,03s); end follow-up (12 normal ECG: bHR=75±12bpm; bPQ=0,14±0,01s; 9 ablated, 3 ECG normalization 18,75%; 12 WPW low risk: bHR=72±13bpm; bPQ=0,09±0,02s). CONCLUSIONS: WPW can be absent in pre-adolescent subjects, onset appears around 14-16 years; subjects can become symptomatic before and after arrhythmic valuation; ECG could normalized in long period; ablation is not necessary or not suitable in all subjects, usually it was performed in post-adolescent age. It seems important to carry out an Holter-ECG annually to ascertain competition eligibility, since intense sport activity can overstimulate anomaly conduction. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title ROLE OF THE TRANSTHORACIC ECHOCARDIOGRAPHY IN THE EARLY DIAGNOSIS OF ISOLATED CONGENITAL CORONARY ARTERY ANOMALIES IN PAEDIATRIC PATIENTS Authors 1 2 2 A. Ferrazza , A. Ammirati , F. Gimigliano Affiliations 1 2 Cmph Cardiovascular Rehabilitation Centre, Rome, ITALY, Opbg Paediatric Hospital Bambino Gesù, Rome, ITALY Body PURPOSE: the aim of our study is to evaluate the role of the trans thoracic echocardiography (TTE) in the early diagnosis of the isolated congenital coronary artery anomalies (ICCAA). METHODS: from January 2000 to October 2008, in about 38.000 consecutive children, TTE was performed. In order to diagnose ICCAA, were evaluated: size of the ostium, presence of abnormal vessel inserting or continuous shunt both into pulmonary artery, visualization of collaterals signals within the inter-ventricular septum. The patients were divided into two groups; patients in group 1 had minor coronary artery anomalies. Patients in group 2 had major coronary artery anomalies. All these patients had to undergo to coronary angiography, before surgery or coil trans-catheter embolization. RESULTS: the diagnosis of ICCAA occurred in 18 patients: 11 males and 7 females ranging in age from 6 months to 14 years mean 8.50. Only one patient, had symptoms. Patients in group 1 (n. = 14), had little coronary artery fistula (CAF), in pulmonary artery. Patients in group 2 (n. = 4), had major coronary artery anomalies: 2 cases with anomalous left coronary artery from the pulmonary artery; 1 case with large CAF in right ventricle; 1 case with large CAF between left coronary artery and pulmonary artery. CONCLUSIONS: TTE, enables to perform the early diagnosis of coronary artery anomalies, as well severe, but still clinically silent, in paediatric patients. The routine TTE, primary in young athletes, can to have a basic role in the primary prevention of ischemic heart disease. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title PREVALENCE AND SIGNIFICANCE OF NEGATIVE T WAVES IN YOUNG SOCCER PLAYERS’ BASAL ELECTROCARDIOGRAMS. Authors 1 2,3 2 1,3 2 2 E. Guerra , F. Sperandii , A. Martino , F. Quaranta , E. Cavarretta , F. Guarracini , 2 2 1 1,2 E. De Ruvo , L. Sciarra , F. Pigozzi , L. Calo' Affiliations 1 2 Università Degli Studi Di Roma Foro Italico, Roma, ITALY, Policlinico Casilino, Dept. 3 Of Cardiology, Roma, ITALY, Villa Stuard Sport Clinic, Roma, ITALY Body Background: Pre-participation screening of athletes can reveal bizarre electrocardiograms overlapping cardiac disease. Discerning the significance of these findings is essential to prevent sudden death or diseases future to be. We wanted to determine the prevalence and significance of T wave inversion in young athletes. Methods: We evaluated 2261 athletes (mean age 12,4±2,5 years,range 8-18) competing at regional level. All subjects were submitted to basal 12 leads electrocardiogram and color Doppler echocardiogram. Results T wave inversion was recorded in 134 subjects (5,9 %). In right precordial leads it was present in 128 athletes (5,6 %). In leads V1 to V2 in 89 athletes (3,9%) , 2 subjects showed Mitral valve prolapse, 2 patent foramen ovale. In leads V1 to V3 in 37 athletes (1,6%) ,1 subject showed Bicuspid aortic valve, 1 patent foramen ovale. In leads V1 to V4 in 2 athletes (0,08 % : age 15 and 12 years old), with no evidence of cardiac disease. In inferior leads DII-DIII-AVF in 2 or more adjacent leads T inversions were present in 6 subjects (0,26 %), in 2 of them there was extention to lateral leads V4 to V6 (0,08%). Of these, one with lateral extension (13 years old), presented hypertrophic cardiomyopathy. Conclusions T wave inversion is an extremely rare finding in subjects > 12 years old. The coexistence in inferior and lateral leads is exceptional and can be the epiphenomena of underlying cardiomyopathies requiring follow up for the possible development of pathological phenotypes also in subjects apparently cardiomyopathy free. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title DILATED CARDIOMYOPATHY AFTER ASSUMPTION CLOZAPINE Authors 1 A. Nigro , F. Quaranta, F. Sperandii, E. Cimenelli, E. Assisi, S. Livrieri, F. Caretta, P. Borrione, F. Pigozzi Affiliations 1 2 Department Of Health Sciences- University Of Rome Foro Italico, Rome, ITALY, Sport Medicine Institute Of Rome- Villa Stuart Sport Clinic, Rome, ITALY Body Introduction: It’s quite difficult to observe important ventricle dilatation in athletes, especially in the presence of normal electrocardiogram. Case report: We report a case of a 24 years old soccer player, evaluated during the annual pre participation screening, with negative family history. He suffered from mood disorder (therapy with Clozapine, considered cardiotoxic). For this reason he underwent echocardiogram showing a mild left ventricle dilatation with decreased ejection fraction (49%). According to Italian guidelines for cardiologic eligibility we performed stress test, 24-hours electrocardiogram which resulted normal. Cardiac magnetic resonance confirmed the echocardiogram results. Echo stress demonstrated a sufficient increasing of ejection fraction during exercise (from 45% to 65%). He was suspended from activity asking the psychiatrist to replace clozapine with another drug. During the years ejection fraction improved up to 55%, therefore we allowed him to practice mild, non competitive sport. Conclusion: We emphasize the importance of medical history and echocardiogram to implement pre participation screening at the first evaluation. References: CESI ed. Cardiologic Protocols for Competitive Sport’s Qualification of the Italian Committee for the Competitive Sport’s Qualification. 2009 Merrill DB et al Adverse cardiac effects associated with clozapine. J Clin Psychopharmacol 2005 ;25:32-41 Suttmann I et al Clozapine and sudden death Lancet 2000;355:842-843 XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title ISOLATED LEFT VENTRICULAR NON-COMPACTION: IS IT ALWAYS A CARDIOMYOPATHY? Authors 1 1 1 1 1 1 B. Poscolieri , T. Vessella , F. Moretti , M. Bianco , V. Palmieri , P. Zeppilli Affiliations 1 Sports Medicine Unit - Catholic University, Rome, ITALY Body Introduction Isolated left ventricular non-compaction (IVNC) is a rare primary cardiomyopathy, characterized by prominent left ventricular trabeculations and deep intratrabecular recesses in continuity with the cavity. The diagnosis is mainly made using Jenni’s echocardiographic criteria. Since these criteria have been defined, a lot of incidental findings of IVNC were identified in young asymptomatic athletes, causing troubles for sport eligibility. Materials and methods We present 14 young asymptomatic athletes with incidental finding of IVNC during echocardiogram performed for different reasons. Diagnosis was confirmed by Magnetic Resonance Imaging. According to Italian Guidelines for competitive sports participation in athletes with cardiovascular diseases, this condition is enough to make them not eligible for competitive sports. Results and conclusions The eligibility was not accorded to 9/14: 4 had left ventricular dilatation with reduction of ejection fraction (<50%); 4, ventricular arrhythmias; 1, left bundle branch block and paroxysmal atrial fibrillation. The other 5 patients, instead, did not show any ECG/echocardiographic alteration, except a limited non-compaction zone. They had normal left ventricular dimensions, ejection fraction and diastolic function. Moreover, they did not present any arrhythmias or symptoms. Are they really cardiopathic? We think not, because the IVNC diagnostic criteria are based only on morphological ventricular alterations but do not consider clinical and functional parameters. Therefore, we have allowed them to play at competitive levels and we have started a three-month follow-up. Further studies are needed to determine if these cases are a preclinical stage of IVNC, an IVNC “benign” pattern or healthy hearts with prominent trabeculations. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title SYMPTOMATIC AND ASYMPTOMATIC CHILDREN WITH VENTRICULAR PREEXCITATION: SAME RISK FOR SPORT PARTECIPATION Authors 1 1 1 1 1 1 C. Di Mambro , M.S. Russo , D. Righi , M.S. Silvetti , M. Prosperi , F. Gimigliano , F. 1 Drago Affiliations 1 Ospedale Pediatrico Bambino Gesù - U.o.c. Di Aritmologia, Palidoro (roma), ITALY Body The optimum management of children with ventricular preexcitation is not known, but evaluation by an electrophysiological study before allowing participation in moderate-to-severe high intensity competitive sport is recommended. OBJECTIVES. To compare the electrophysiological characteristics of children with WPW syndrome and children with asymptomatic ventricular preexcitation. MATERIALS AND METHODS. Transesophageal atrial pacing, both at baseline condition and during isoproterenol infusion or exercise testing, was performed in 44 symptomatic (mean age 10.5 years) and 57 asymptomatic (mean age 12.3 years, P <0.001) consecutive children with ventricular preexcitation .RESULTS. In baseline conditions, atrioventricular reentrant tachycardia was induced in 9 (20.5%) symptomatic and in 6 asymptomatic patients (10.5%, p NS); atrial fibrillation was induced in 12 (27.3%) symptomatic and in 12 (21%, p NS) asymptomatic patients. A minimum preexcited RR interval <250 ms during atrial fibrillation was present in 2 symptomatic (16.6%) and in 4 asymptomatic patients (33.3%, p NS). During isoproterenol infusion/exercise test, atrioventricular reentrant tachycardia was induced in 28 symptomatic (73.7%) and in 20 (37% of the 54 patients studied, p <0.001) asymptomatic patients; atrial fibrillation was induced in 9 symptomatic (23.7%) in 18 asymptomatic (33.3%, p NS). A minimum preexcited RR interval <210 ms was present in 5 symptomatic (55.5 %) and in 6 (33.3 %, p NS) asymptomatic patients. CONCLUSION. Atrioventricular reentrant tachycardia is more inducible in symptomatic children with ventricular preexcitation than in asymptomatic ones, but, between these two groups, there is no difference in term of atrial vulnerability and parameters related to the risk of sudden death XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title BONE MINERAL DENSITY CHANGES IN YOUNG MALE ATHLETES AFTER STRENUOUS ACTIVITY Authors 1 1 2 3 1 E. Stefas , K. Manavis , D. Alaseirlis , V. Panoutsakopoulos , M. Kotzamanidou , K. 4 Natsis Affiliations 1 2 Greek Handball Federation, Athens, GREECE, General Hospital Of Giannitsa, 3 Giannitsa, GREECE, Department Of Physical Education & Sport Science, Aristotle 4 University Of Thessaloniki, Thessaloniki, GREECE, Medical School, Aristotle University Of Thessaloniki, Thessaloniki, GREECE Body Objective: To determine the effect of intensive sports activity on Bone Mineral Density of young male handball athletes. Design and methods: 16 male athletes all members of the Hellenic Handball National Junior Team aged from 17 to 21. BMD was measured by dual energy X-ray absorptiometry (DEXA) using Hologic QDR-instrument at the lumbar spines (L1-L4). First measurement was made one day before the beginning of the preseason training camp and the second a day after the last preseason training. All athletes followed the same training program. Results: At the first measurement the athletes had a BMD mean value 1.344 ± 0.451 while at the second 1.361 ± 0.386. Conclusions: The majority of the athletes (68.75%) had an increase of their BMD value proving that the characteristics of handball have high positive osteogenic effects. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title FOCUSED TRANSTHORACIC ECHOCARDIOGRAPHY BY SPORTS MEDICINE PHYSICIANS TO DETECT HYPERTROPHIC CARDIOMYOPATHY IN ATHLETES Authors 1 1 2 E. Yim , G. Corrado , F. Basilico Affiliations 1 2 Children's Hospital Boston - Division Of Sports Medicine, Boston, USA, New England Baptist Hospital - Division Of Cardiology, Boston, USA Body OBJECTIVE: To investigate whether sports medicine physicians can be taught to use focused echocardiography to obtain measurements pertinent to hypertrophic cardiomyopathy. DESIGN AND METHOD: Thirty male collegiate athletes, aged 18-21, were prospectively enrolled. Focused, portable echocardiography was performed by a sports medicine physician and a physician in training, followed by formal echocardiography within two weeks by a registered sonographer. A left parasternal long-axis view was acquired to measure three dimensions in end-diastole: 1) interventricular septal wall, 2) left ventricular internal diameter, and 3) left ventricular posterior wall. RESULTS: Intraclass correlation coefficients between the sports medicine physician and the sonographer were strong: 0.77 for interventricular septal wall, 0.73 for left ventricular internal diameter, and 0.64 for left ventricular posterior wall. These correlation coefficients were comparable to those found in studies comparing portable and formal echocardiography between sonographers. Correlation coefficients between measurements by the physician in training and sonographer were strong-to-moderate: 0.61 for interventricular septal wall, 0.62 for left ventricular internal diameter, and 0.63 for left ventricular posterior wall. Across all three readers, intraclass correlation coefficients calculations were 0.77 for interventricular septal wall, 0.81 for left ventricular internal diameter, and 0.75 for left ventricular posterior wall. This indicated strong interrater agreement. CONCLUSION: With appropriate training, sports medicine physicians can obtain measurements through focused echocardiography that are relevant to hypertrophic cardiomyopathy and close to the gold standard. With further research and validation, a focused echocardiography protocol could serve as the basis for a novel screening approach to detect hypertrophic cardiomyopathy in athletes. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: RETURN TO COMPETITION: ADVANCES IN DIAGNOSIS AND REHABILITATION Title PREOPERATIVE PHYSIOTHERAPY RELATED TO FASTER RETURN TO PLAY AFTER SHOULDER ARTHROSCOPY IN OVERHEAD ATHLETES Authors 1 2 1 3 1 D. Alaseirlis , L. Nakou , L. Stefas , K. Manavis , T. Moumtzidelis , N. Malliaropoulos 4 Affiliations 1 2 General Hospital Of Giannitsa, Dept Of Orthopaedic Surgery, Giannitsa, GREECE, 3 General Hospital Papanikolaou, Dept Of Neurosurgery, Thessaloniki, GREECE, 4 Handball Hellenic Federation, Thessaloniki, GREECE, National Track And Field Center, Thessaloniki, GREECE Body Aim: To present the impact of preoperative physiotherapy on returning to play after shoulder arthroscopy in overhead athletes. Materials and Methods: Thirty two overhead athletes (mean age: 27 years old) received arthroscopic surgery for rotator cuff tear. Patients were divided in two subgroups of sixteen patients each. Patients in both groups received a common postoperative rehabilitation of intermediate mobilization, while patients in group A received preoperative physiotherapy for improving range of motion and strengthening.. There were no significant differences concerning various parameters, between the two groups. Results: A painful stiffness was present in two patients of group A and in five patients of group B on 6th postoperative month, and in none and two patients respectively on 12th postoperative month. In the same period, patients of group A presented a mean UCLA score of 31 and a mean Constant Shoulder score of 88, where as patients of group B presented mean scores of 29 and 74 respectively. Twelve patients (75%) of group A and eight patients (50%) of group B were able to return to the previous level of vigorous sports activities on the 6th postoperative month. On the 12th postoperative month, there were no significant differences between groups A and B, concerning outcome scores and returning to pre-injury level of sports activities. Conclusions: Preoperative physiotherapy resulted in faster recovery and return to play after arthroscopic rotator cuff repair in overhead athletes on 6th postoperative month. There was no significant impact on longer postoperative periods. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: RETURN TO COMPETITION: ADVANCES IN DIAGNOSIS AND REHABILITATION Title AYURVEDIC COMBINATION ADVANCED INTEGRATED TREATMENT APPROACH IN MANGEMENT AND REHABILITATION OF ACUTE AND CHRONIC SPORTS INJURIES Authors 1 1 P. Arshad , N. Sabna Affiliations 1 Daisman Ayurkendra, Integrated Sports Medicine & Nutrition Research Centre, Kondotty, Kerala, INDIA Body Objective Recurrent injuries and repeated surgical intervention may take long time to recover and athletes may lose one or two season taken as serious fact. Unique approach of management of sports injuries with combined approach of Ayurveda (Indian system of medicine), physiotherapy and Yoga has attained excellent results within shorter span of time compared to modern surgical interventions in various cases. Research in Ayurvedic sports medicine has concreted the results with evidence for more than 2000 cases. Materials & Method Treatment methodology consists of Ayurvedic medication, manipulation treatment (Marma therapy), Oil massage, ROM exercises, Strength training, PNF, along with physiotherapy modalities, muscle stimulators, various Deep heat therapies (oil heat, stone heat, herbal leaves bundle heat, dried herbal powder heat, sand and salt bag heat), bandaging with herbal combinations. Patient selected from both sporting field and general public and period of treatment was varying in different cases. Result Study of 27 rotator cuff tear, 35 meniscus tears grade 2 & 3, 25 Groin injuries, 46 tennis elbows, 34 plantar fasciitis remarkably recovered with this treatment and recurrence was very less compared to other treatment protocol. Cases like acute and chronic Ankle sprain, low back ache, groin injuries, fractures. Conclusion This method found very effective in management of many chronic sports injuries unanswered by all kinds of system even after surgery. Post traumatic stiffness was very negligible. Treatment and external massage with various ‘oils’ found to be improving strength, tone, endurance and power of the muscle group. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: RETURN TO COMPETITION: ADVANCES IN DIAGNOSIS AND REHABILITATION Title BACK TO SPORT AFTER CARDIAC SURGERY. Authors 1 2 3 2 2 2 D. Di Mattia , A. Mangini , A. Cialfi , M. Contino , C. Romagnoni , C. Antona Affiliations 1 Fmsi-istituto Di Medicina Dello Sport.università Degli Studi Di Milano-ospedale Luigi 2 Università Degli Studi Di Sacco-divisione Di Cardiochirurgia, Milano, ITALY, 3 Milano-ospedale Luigi Sacco-divisione Di Cardiochirurgia, Milano, ITALY, Università Degli Studi Di Milano-ospedale Luigi Sacco-divisione Di Cardiologia, Milano, ITALY Body Nowadays sporting activity accompanies most people during all ages of life. Athletes who previously underwent cardiac surgery almost always lose the opportunity to regain eligibility for competitive sports and even for sporting activities. In our study we have considered subjects, aged between 16 and 82 years, who required reparative or substitutive heart surgery between January 2001 and December 2011. In particular we have considered the patients who have undergone reparative surgery of the aortic valve with no prosthetic valve implant, a gold standard surgery in our division. All subjects underwent preoperative echocardiography and most of them hemodynamic study. Three months after surgery all of them were studied with an ECG, an Echocardiogram, a Holter, an Exercise ECG Test and had clinical evaluation. None of the subjects took prohibited drugs according to WADA rules, or oral anticoagulant therapy. Among 211 patients between 17 and 79 years who underwent reparative aortic procedures, 32 were non-competitive and 4 were competitive Athletes. In this group 159 subjects had clinical and instrumental criteria for practice of a competitive sports (in accordance with Italian COCIS protocols).The current heart surgery and especially aortic valve reparative surgery return to sport a huge number of cardiac patients that in the early past were not able to meet the standard criteria of eligibility for sporting competitive and non-competitive activities. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: RETURN TO COMPETITION: ADVANCES IN DIAGNOSIS AND REHABILITATION Title POST-SURGICAL EVOLUTION AND PERFORMANCE OF THE VENEZUELAN NATIONAL GYMNASTS TEAM 2010-2012 Authors 1 A. Escobar , T. Pena, L. Bustamante, R. Alvarenga Affiliations 1 2 Unidad De Rehabilitacion, Maracay, VENEZUELA, Mindeporte, Caracas, VENEZUELA, 3 4 Mindeporte, Caracas, VENEZUELA, Mindeporte, Caracas, VENEZUELA Body We performed the evaluation and management of gymnasts from the Venezuelan National Team who had sports injuries that merited surgical treatment 2010-2012. Objective: To describe the clinical course of post-surgery gymnasts sports injuries and to determine their performance and efficiency with post-surgical rehabilitation. Material and Methods: Field study, prospective of 5 gymnasts that had sports injuries during competition and / or training, and who were treated by means of surgical techniques. Evaluation Scores (Score of Lysholm-knee and Score of AOFAS-ankle) were applied and a pain analog scale for the follow up and evolution of the cases. Recovery program, physiotherapy, return to training, results, and time to reach performance after surgery. Results: N: 5 athletes: 3 females and 2 males. Knee injures: 4 (3 rightknee, 1 left-knee). Achilles tendon ruptures: 1. Meniscopathy 3. Ruptures of anterior cruciate ligament: 2. Medial collateral ligament: 1. Bicep femoris tendonitis: 1. Syndrome of iliotibial band: 1. Complete rupture of Achilles tendon: 1. Surgical techniques: Arthroscopy: 4. Reconstruction of anterior cruciate ligament with selftransplant: 1. With allo- transplant: 1. With LARS artificial transplant: 1. Meniscopathy surgery: 3. Thermal chondroplasty: 4. Shockwave biosurgery: 2. implant with plasma rich in PRGF growth factors: 3. The athlete with Achilles tendon repair classified to the Olympic Games at 1 year two months post-surgery. Return to training and/or competitions were possible in 100% of the cases. Conclusion: procedures and surgical techniques used on gymnasts, together with rehabilitation proved effective to make athletes return effectively to both training and competitions XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: RETURN TO COMPETITION: ADVANCES IN DIAGNOSIS AND REHABILITATION Title FUNCTIONAL AND NATURAL THERAPY IN REHABILITATION Authors 1 G. Iachelli Affiliations 1 Asp, Ragusa, ITALY Body Aim: In the absence of shared international guidelines of rehabilitation in the muscle-skeletal field, the present work intends demonstrating the utility of employing in muscle-skeletal pathologies, natural substances and functional methods . Materials and Methods: Two groups of athletes with muscle-skeletal pathologies have been followed and both of them underwent case history, functional clinical examination and ultrasound scan. A traditional pharmacological-rehabilitation path was prescribed to the first group, whereas the second group was prescribed a collagen local injection along with some stretching. After the therapy ultrasound monitoring was made. Results: The monitoring underscored a clinical recovery faster than the one of the examination group, a quicker sport recovery and less relapses. Conclusions: The rational association of natural methods can be taken into consideration for the purposes of rehabilitation paths both in the sports and other fields, avoiding medicines side effects on the one hand and achieving better results on the other. Bibliography: 1.Mackey A.L. etAl. – Changes in human muscle collagen content following exercise. Muscle Res Cell Motil, 2002; 23-9. 2.MILANI L.– Un nuovo e raffinato trattamento iniettivo delle patologie algiche dell’Apparato locomotore. Le proprietà bio-scaffolddel collagene e suo utilizzo clinico. La Med. Biol., 2010/3; 3-15. 3.Bandy WD, Irion JM, Briggler M: The effect of static stretch and dynamic range of motion training on the flexibility of the hamstring muscles. J Orthop Sports Phys Ther 1998;27(4):295-300. 4.Osternig LR, Robertson RN, Troxel RK, et al: Differential responses to proprioceptive neuromuscular facilitation (PNF) stretch techniques. Med Sci Sports Exerc 1990;22(1):106 -111 XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title ASSOCIATION BETWEEN RISK FACTOR WITH BLOOD PRESSURE IN YOUNG ATHLETES OF BOTH SEXES Authors 1 C. Cavina Varela , G. Cointry, C. Cuesta Affiliations 1 Meds Sports Medicine, Rosario, ARGENTINA Body Cavina C, Cointry G, Cuesta C. MEDS Sports Medicine, Department of Physical Fitness Tests. Rosario, Santa Fe Argentina. Objectives Study association between body fat percentages, waist-hip index, body mass index, with high normal blood pressure and determining the incidence of Risk Factors on the high normal pressure and normal pressure in adolescent athletes of both sexes. Methods Study was conducted observational, cross-adolescent athletes of both sexes (n = 929). In 156 women divided into groups of 12-15 years (n = 94) and 16-20 years (n = 62) and in 773 men aged 12-15 years (n = 421) and 16-20 years (n = 352) to which he took anthropometric measures: percentage of body fat by bioelectrical impedance method, body mass index (BMI), waist-hip ratio (ICICA), and systolic and diastolic sitting in three opportunities separated by two minute intervals. Normal blood pressure was considered below the values of 120/80 mmHg, and high normal blood pressure between 120/80 to 139/89 mmHg. (JNC VII). Results In the group of male and female athletes 12 to 20 years, have found association between body mas index and blood pressure (p = 0.001). Also the percentage of body fat association, with high normal blood pressure in athletes male between sixteen and twenty years (p = 0.002). Conclusions: We conclude that high normal blood pressure is present significantly in adolescent athletes of both genders, with elevated body mass index, waist-hip index and percent body fat. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title AUTONOMIC NERVOUS SYSTEM ALTERATIONS AND INCREASED SEDENTARY TIME IN YOUNG OVERWEIGHT SOCCER PLAYERS Authors 1 2 3 4 5 6 7 G. De Giacomi , F. Tosi , F. Gervasi , R. Sala , A. Solbiati , C. Vigo , M. Malacarne , S. 8 9 10 Respizzi , M. Pagani , D. Lucini Affiliations 1 2 Rehabilitation Department, Irccs, Istituto Clinico Humanitas, Milan, ITALY, Centro 3 Terapia Neurovegetativa University Of Milan, Milan, ITALY, School Of Sport Medicine , University Of Milan, Milan, ITALY Body Exercise counters the increase risk for chronic cardio-metabolic diseases produced by obesity. The related mechanisms are multifarious and among them the autonomic nervous system may play a role. We address the hypothesis that overweight might influence autonomic nervous system performance even in physically active children. We study a group of 103 (age 11.2±1yrs) young male soccer players ,( soccer time: 5.5 hours/week). Autonomic nervous system is evaluated by autoregressive spectral analysis of HR and SAP variabilities. We also quantify the week time spent walking or doing moderate or vigorous exercise and estimate accumulated METs and week time spent in sedentary activities. We subdivide the total population in two groups as per BMI centiles (normal weight: n=92, age 11.1±1yrs; overweight: n= 11, age 10.7±1yrs). Results show that young overweight soccer players are characterized, as compared to normoweight players, by increased systolic arterial pressure (113±4 vs 100±1 mmHg), increased marker of sympathetic modulation to the vasculature (12±3 vs 4.5±1 mmHg2) and a reduced gain of overall baroreflex mechanisms (19±3 vs 33±3 msec/mmHg) (all reported differences are significant p<0.02), suggesting an altered autonomic control of the circulation. We observe a significant (r=0.486, p<0.001) correlation between total sedentary time and body weight. These findings suggest that playing soccer alone is not sufficient to counteract the harmful autonomic effects of overweight in young soccer players, and that a more integrated approach, focused on reducing sedentary time and healthy nutrition, should be introduced in routine training in order to improve the well-known beneficial effect of structured exercise. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title BIOCHEMICAL MARKERS IN OPEN WATER MEXICAN SWIMMERS Authors 1 A. Del Villar Morales , A. Pegueros Perez Affiliations 1 Instituto Nacional De Rehabilitacion, Mexico, MEXICO Body Open-water swimming is an endurance sport that requires continuous disposable energy; so it is important to clarify the metabolic substrates utilized in open water swim to determinate the most optimal feeding during competition. The aim of this study is to identify the biochemical changes during long time training in Mexican swimmers that were trained for attempting to swim the English Channel. Three well-trained open-water swimmers participate in 8-hour training in a cold-water lake (18ºC). Blood samples were taken from central vessels at the beginning, 2, 4, 6 and 8 hours during the training. They had a drink with the same feeding compose containing carbohydrates and protein with a 4:1 ratio. The blood samples were centrifuged immediately and glucose, urea, CK, creatinine, triglycerides, cholesterol, HDL cholesterol and uric acid were measure in a Reflotron Plus by Roche. There was an association between glucose and triglycerides levels vs. time that permits to estimate the energy substrate used during the swimming. The protein metabolism markers (urea, ck) were increased but they did not reach levels that indicate their use as an energy substrate; one of the swimmers was a higher responder of CK. The aerobic characteristic of this sport is evident since HDL cholesterol levels reach the higher range that the instrument can measure (100 mg/dL). XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title INCIDENCE OF INJURY IN POWER-LIFTERS AND STRONGMEN Authors 1 2 2 E. Hodzovic , B. Hickey , P. Hak Affiliations 1 2 Royal Glamorgan Hospital, Cardiff, UNITED KINGDOM, Morriston Hospial, Swansea, UNITED KINGDOM Body Objective Both powerlifting and strongman as sports involve lifting heavy weights and often awkward implements very different to normal weight-training. These unique circumstances can lead to common and potentially serious injury. Despite this, the data on injuries sustained during training and competing is lacking. We aimed to define the type of injury and injury rate to allow comparisons to be drawn with different sports. Design and method An anonymous online short survey was distributed on a popular online strongman/power-lifting forum viewed by lifters varying from amateur to international athletes. Results 106 responses were obtained with a mean age of 27.6 years. A large majority (72.8%) had competed at either sport. The mean time spent training was 35.9 months for a mean of 7.7hours per week. A total 166 injuries, defined as causing time off training, work or competition, were sustained. Only 18.9% (n=20) of the responders remained totally injury free. The injuries sustained equated to 10.3 per 1000 hours trained although when minor injuries (only requiring adjustment to training rather than time off) such as tendonitis, minor muscle pulls and strains were removed this was reduced to 4.5 injuries per 1000 hours. Performance enhancing drug use was 26% among respondents. Conclusions The results show the injury rate is extremely high in the sport, which is previously undocumented. There are a number of factors that could cause this and they include the nature of the sports (heavy and awkward equipment), lack of supervision/instruction during training and a relatively high proportion of PED use. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title DOES THE AEROBIC TRAINING AND THE EXPERIENCE IN HARNESS USE INFLUENCE THE ONSET OF SUSPENSION TRAUMA? Authors 1 1 1 1 1 1 F. Lanfranconi , L. Pollastri , M. Bartesaghi , V. Scotti , M. Novarina , C. Molteni , H. 1 1 Vergani , G. Miserocchi Affiliations 1 1department Of Experimental Medicine, Laboratory Of Clinical Physiology And Sport Medicine, University Of Milano-bicocca, Monza, ITALY Body Introduction: following a fall, the subject hanging on the harness and waiting for rescue may incur into the risk of a lethal multivisceral hypoxia distress due to orthostatic stasis named “suspension trauma”. To this condition are exposed all the workers involved in work at height. Purpose: evaluate by non-invasive methods if the aerobic fitness and/or experience in harness use relate to the risk of developing suspension trauma. Methods: forty adults (mean±st.dev: age 39.1±8.2; body mass index 24.2±3.03; 85% males, 15% females) were enrolled: 16 were regular users of harness, 14 regularly involved in physical training but were not users of harness and 10 controls. Each subjects underwent: a) an incremental exercise test on treadmill until exhaustion; b) a motionless suspension test until medical signs of orthostatic intolerance appeared or extreme subject discomfort was reported (suspension time recorded). Oxygen uptake, heart rate and blood pressure were measured, as well as brain oxygenation status by near-infrared spectroscopy. Results: No difference in the mean suspension time was found in the 3 groups (average of all participants 28.7±11.4 min (range 8-56), coefficient of variation 40%). No correlation was found between the level of aerobic fitness and suspension time. A decrease in brain oxygenation was evident in all participants before the development of signs of pre-syncope. Conclusion: the experience in use of harness and the aerobic fitness do not correlate with the suspension time and thus the onset of developing suspension trauma. Reference: Seddon P. Harness suspension: review of existing information. Contract research report 451/2002. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title DETERMINATION AND COMPARISON OF BODY FAT PERCENTAGE AND BODY MASS INDEX IN TWO MEXICAN SCHOOL POPULATIONS WITH DIFFERENT LEVEL OF PHYSICAL ACTIVITY Authors 1 2 3 H. Martinez Melendez , L. Tiznado Peña , A. Pegueros Pérez , C. Ibarra Ponce De Leon 4 Affiliations 1 2 3 Mexican Sports Comition, 1, MEXICO, Mexican Sports Comition, 2, MEXICO, 4 National Institute Of Rehabilitation, 3, MEXICO, National Institute Of Rehabilitation, 4, MEXICO Body OBJECTIVE Determine and describe the behavior of fat percentage and Body Mass Index in two school populations, with different level of physical activity. DESIGN AND METHODS A study, observational, descriptive, cross-sectional, which consisted of an anthropometric assessment to determine the fat percentage and body mass index at school athletes and nonathletes, aged between 7 and 17. Estimating the percentage of body fat with the main equations used in the age range described. Comparison of percent body fat was performed using T tests for independent samples, considering difference between groups when p <0.05. RESULTS The sample consisted of 252 school athletes and 67 non-athletes. The comparison of percent body fat between groups by age and sex, shows significant difference (<0.005) in group age of 10 and 12 years, with most affected males. Stratification by body mass index percentile presented no significant difference between groups, but the group of non-athletes had the highest number of subjects at risk of obesity and obesity. CONCLUSIONS The results obtained demonstrate that physical activity aimed at a high level of competition is an important factor to maintain a body mass index in percentiles and percentage of fat normally. Was determined that there is also significant difference in fat percentage between male athletes and nonathletes, this results infers that physical activity provided by the basic education system in Mexico is insufficient to maintain a healthy body fat percentage and body mass index percentile in normal range. The high body fat in childhood increases the cardiovascular disease and metabolic diseasesin adulthood. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title NITTOLI SKIP TEST Authors 1 C. Nittoli Affiliations 1 Centro Fisiosport, Macerata, ITALY Body Definition Rapid submaximal cardiovascular motor skills test for adolescent athletes. Procedure Subjects are required to perform a strenuous exercise for 1 minute 20 seconds by running on the spot, raising the knees bringing the thigh up to a horizontal position at each step, at a rate of 2 steps per second. Evaluation Heart rate is measured after the test and is then assessed using the IRI index of physical fitness. After 1 minute the heartbeat is measured for 30 seconds. The following calculation is applied: 12000/(5.5 × number of beats counted) Advantages - The Nittoli Skip Test can be conducted much more quickly than the conventional step test, with consequent significant time saving. If we compare the 5-minute total procedure time of the Nittoli Skip Test to the 30-minute total procedure time for the conventional step test we observe an extraordinary time saving of about 83%. - The test is simple to administer. - No equipment is required. Research Proof - Results from the Nittoli Skip Test have been demonstrated to be identical to those from similar fitness tests (e.g. step test). E.g. In a controlled comparison between Step and Skip tests: BP 140/90; HB at rest 85; Step 130: IRI 56.4 (58); Skip 135: IRI 54.4 (60). Note - The Nittoli Skip Test elderly. is only suitable for adolescents – not for young children or the Carlo Alberto Nittoli Via E. Ricci 52 - 62100 Macerata (MC) - Italy XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title NASAL CARRIER OF STAPHYLOCOCCUS AUREUS IN AMERICAN FOOTBALL, RUGBY, JUDO ATHLETES Authors 1 2 3 4 5 3 K. Suzuki , K. Gouchi , T. Shimazaki , S. Kiryu , T. Masuchi , T. Furukawa , K. Masuchi 4 2 4 4 3 4 1 , T. Matsumoto , H. Okada , K. Yamaguchi , A. Nakagawa , K. Komata , K. Tagami Affiliations 1 Laboratory Of Exercise And Environmental Health, Faculty Of Health And Sports 2 Sciences, University Of Tsukuba, Tsukuba, JAPAN, Laboratory Of Coaching Study 3 Faculty Of Health And Sports Sciences, University Of Tsukuba, Tsukuba, JAPAN, Laboratory Of Rugby Coaching Study, Faculty Of Health And Sports Sciences, University 4 Of Tsukuba, Tsukuba, JAPAN, Laboratory Of Judo Coaching Study, Faculty Of Health 5 And Sports Sciences, University Of Tsukuba, Tsukuba, JAPAN, Sports Research And Development Division Core, University Of Tsukuba, Tsukuba, JAPAN Body Introduction: Contact sports provide players more opportunity Staphylococcus aureus (SA) for infections due to skin trauma from turf burns, shaving, and contact with secretions and body fluids. SA is spread via direct contact with persons and contact via environmental surfaces. However, there are some variations in risk of SA infections among the contact sports. In this study, we clearly defined American football and other contact sports based on nasal carrier of SA. Methods: Athletes participating in the Tsukuba University American football (N = 43), rugby (N= 69) and Judo (N = 57) were invited to participate in the study. we obtained swab specimens from the anterior nares of all athletes and environmental surface at each month. Rotaed the swab in the anterior nares, placing the swabs in PBS, and promptly delivering them to the laboratory. An aliquot was plated onto paired mannitol Compact Dry X-SA (CD-XSA; Nissui Pharmaceutical). Each sample were cultured on CD-XSA for 24h at 35C. Results and Conclusions: From July 2011 through December 2011, a total of 555 nasal swabs from 148 athletes were positive for SA. At any one time, SA nasal colonization rate ranged from 34-56% (American football), 10-25% (Rugby football), 17-20% (Judo). These results demonstrated as follow: 1) Rate of nasal colonization of SA was differ among contact sports athletes. 2) During the athletic season, there is considerable burden of SA colonization in American football and Rugby athletes. 3) Strengthening and conditioning equipments of proper disinfection may have contributed to SA infection. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title THE EFFECTS OF TRAINING, DETRAINING AND RETRAINING ON BLOOD PARAOXONASE AND ARYLESTERASE ACTIVITIES IN CHILD SWIMMERS Authors 1 2 3 F. Turgay , M. Ongun , M. Colakoglu Affiliations 1 2 Ege University, School Of Physical Education And Sports, Sports, Izmir, TURKEY, Ege 3 University, School Of Physical Education And Sports, Sports, Izmir, TURKEY, Ege University, School Of Physical Education And Sports, Sports, Izmir, TURKEY Body Aim: Paraoxonase is an antioxidant enzyme, occurring in high density lypoprotein (HDL), has both paraoxonase (PON1) and arylesterase (AE) activities. It is unclear the effects of long term swimming season on these enzyme activities. We aimed to investigate the effects of training (TP), detraining (DTP) and retraining periods (RTP) of one complete swimming season on PON1 and AE activities in swimmers. Materials and Methods: 19 trained, healthy and 10-12 years old male swimmers are joined the study. Three measurements sessions were planned. The initial measurement session (TP) was realized 4 days after Turkish National Swimming Championship which is held at the end of swimming season, following measurement session was conducted after two months of detraining period (DTP) and the last measurement was done after the first 8 weeks training period subsequent swimming season (RTP). Blood PON1, salt-stimulated PON1 (SSPON1) and AE activities and HDL-C levels as biochemical parameters were analyzed after an overnight starvation at the end of TP, DTP and RTP. The statistics (p<0,05) value was accepted as a signifance level. Results: Blood PON1 and SSPON1 activities did not changed from TP to RTP, while AE activity deacreased by DTP and recovered to TP values after RTP. These undulations in AE activity were independent from HDL cholesterol. Blood HDL-C was not changed by DTP, but significantly decreased by RTP. There was no correlation between HDL-C with PON1 and AE activities. Conclusions: PON1 and SSPON1 enzyme activities seems unaffected from training status. Detraining may diminish AE enzyme activity while retraining seems to have a recovering effect, HDL-C levels was decreased by retraining period. An unindependency in AE activity and HDL-C levels variations were observed. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title INCIDENCE AND PROGNOSTICATORS FOR INJURIES IN BELGIAN SOCCER PLAYERS: EVOLUTION OVER THE PAST DECADE Authors 1 1 1 1 1 L. Vanlommel , P. Bollars , S. Claes , J. Bellemans , K. Corten Affiliations 1 University Pellenberg, Leuven, BELGIUM Body This nation-wide study evaluated whether the incidence of football injuries in Belgium have changed over the past ten-year period as well the influence of possible prognosticators for football injuries. The database of the national Belgian Football Association, representing 416,000 football players was searched for all injury reports. The injury data from season 99-00 and season 09-10 were recorded and compared for incidence of injuries, type of injury, and timing of injury. In season 99-00 there were 417,462 players and a total of 31,493 injuries were reported, with an average of 0.075 injuries per player per. In season 09-10, 415,934 players were member, with a total of 24,280 injuries . The average number of injuries per player per season was significantly lower in 09-10 (0.058), a reduction of 23% compared to the first season. Gender was an important risk factor with a significantly lower relative risk in female players and top level players in the National competition had a significantly lower relative risk compared to amateur level players. The mean age of all players was 21.8 years, with a significantly lower risk for youth players compared to adult players. The vast majority (65%) of injuries occurred during competition, whereas 35% occurred during training activities. Despite the proposed increase in sportive and financial pressure, contemporary football inflicts fewer injuries in Belgian football compared to one decade ago. Possible explanations for this positive trend are a good prevention program (the FIFA 11+ program), better medical care and renewed postponement policy by the football association XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SUBSTANCE ABUSE AND MISUSE Title ANABOLIC STEROIDS AND ILLICIT DRUG ABUSE AMONG MALE BODYBUILDERS IN TEHRAN GYMS Authors 1 H. Angoorani Affiliations 1 Tehran University Of Medical Sciences, Department Of Sports And Exercise Medicine, Tehran, IRAN Body Objective This study was designed to evaluate the prevalence of Anabolic Steroids (A.S) and illicit drug abuse among male bodybuilders in Tehran gyms and to assess the effect of different factors such as demographic situation of the gyms, socio-economic situations, psychological well being and body image of bodybuilders on the substance abuse. Design and Method The results of a preliminary observational study, researcher`s experience and literature review, all helped to outline the theories and questions of this study. Based on random sampling, 930 bodybuilders were selected. The data is gathered based on a designated questionnaire and two other ones prepared to assess the body image and mental health .Data analysis is done by SPSS software. Results A.S and illicit drug abuse were reported in 16/7% and 26/5% of bodybuilders respectively. Amphetamine was reported as the most commonly abused illicit drug. Based on the results of this study, illicit drug abuse is related to education, income, number of family members, motivation, and lack of self confidence. A.S abusers are more prone to illicit drug abuse. Monthly income and length of going to a gym, having a job and motivations affect A.S abuse. Conclusions This study shows a high prevalence of A.S and illicit drug abuse among bodybuilders in Tehran. It seems that poor knowledge about the side effects of these drugs, incorrect propaganda on their positive effects and the availability of different kinds of supplements are among the effective factors for growing rate of A.S and illicit drug abuse in the gyms. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SUBSTANCE ABUSE AND MISUSE Title RISK FACTOR ASSOCIATE WITH DRUG ABUSE AMONG UNIVERSITY STUDENTS Authors 1 2 3 3 3 4 A. Kashi , Z. Sarlak , H. Sadeghian , M. Akbarpour , K. Alavi , M. Sarlak Affiliations 1 Sport Sciences Research Institude Of Ministry Of Science, Research & Technology Of 2 Iran, Tehran, IRAN, Islamic Azad University Of Khodabandeh Branch, Khodabandeh, 3 4 IRAN, University Of Gom, Gom, IRAN, Islamic Azad University Ahwaz Branch, Ahwaz, IRAN Body Introduction: The use of different banned substances such as narcotic, psychoactive and ergogenic drugs as a social problem has created different levels of concern in many societies (1, 2). The aim of this study was to determine risk factor associate with drug abuse (ergogenic aid, narcotics and psychoactive drugs) among university students. Materials and Methods: The statistical of this descriptive survey that was performed by financial support of Governor's office in Qom was all university students of Ghom city. By the help of cluster sampling we distributed 870 self reported questionnaires between Statistical population, that after eliminating incomplete questionnaires the number of 720 questionnaires were coded and analyzed by SPSS software at two levels of descriptive (mean and std) and inferential (X2 tests, analysis of variance and stepwise regression analysis) statistics. Results: analysis of survey results showed that drug abuse has significant relationship with sex, use of ergogenic substances, father job, student life along with the family, prior knowledge of the drug, parent education level and unemployment for individual. Conclusion: This study showed that using drug abuse among university students is an undeniable fact, and if not paid attention by the authorities and managers in this field, it can impose increasing harms on Iranian students. Keywords: psychoactive drug, narcotics, prevalence, use References: 1Cheatham, S.A., Hosey, R.G., Johnson, D.L., 2008. Performance-enhancing drugs and today's athlete: A growing concern. Orthopedic. 31(10), 1014-1017. 2Casavant, M.J., 2007. Consequences of use of anabolic androgenic steroids. (review). Pediatr clin N Am. 54(4), 677-690. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SUBSTANCE ABUSE AND MISUSE Title TADALAFIL AND PITUITARY-ADRENAL ADAPTATION TO EXERCISE Authors 1 1 1 1 2 1 P. Sgro' , L. Guidetti , C. Baldari , M.C. Gallotta , A. Lenzi , L. Di Luigi Affiliations 1 2 Department Of Health Sciences - University Of Rome Foro Italico, Rome, ITALY, Department Of Experimental Medicine - University Of Rome Sapienza, Rome, ITALY Body Objective: Phosphodiesterase type 5 (PDE5) inhibitors may influence human physiology, health and performance by also modulating endocrine pathways. We evaluated the effects of a two-days tadalafil administration on adenohypophyseal and adrenal hormones adaptation to exercise in humans. Design and Methods: 14 males were included in a double blind crossover trial. Each volunteer randomly received two tablets of placebo or tadalafil (20 mg/die with 36 h of interval) before a maximal exercise was performed. After a two-week washout, the volunteers were crossed over. Blood samples were collected -30, -15 min and immediately before exercise, immediately after, and during recovery (+15, +30, +60 and +90 min) for adrenocorticotropin (ACTH), growth hormone (GH), prolactin (PRL), cortisol (C), cortisol binding globulin (CBG) and testosterone assays. C/CBG (free cortisol index, FCI) ratio was calculated. Exercise intensity, perceived exertion rate, O2 consumption, CO2 and blood lactate concentration were evaluated. Results: ACTH, GH, C, CBG and testosterone absolute concentrations and/or areas under curve (AUC) increased after exercise after both placebo and tadalafil. Compared to placebo, tadalafil administration reduced the ACTH, C and FCI responses to exercise without influencing cardio-respiratory and performance parameters. Conclusion: Tadalafil reduced the activation of the hypothalamus-pituitary-adrenal axis during exercise by probably influencing brain’s nitric oxide-cyclic guanosine monophosphate mediated pathways. Moreover, because of testosterone decrease more rapidly after tadalafil than after placebo administration, tadalafil seemed to influence testosterone utilization in peripheral tissues. Further studies are necessary to confirm our results and to identify the involved mechanisms, possible health risks and potential clinical uses. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SUBSTANCE ABUSE AND MISUSE Title DOPING BETWEEN BODY AND MIND: TWO STUDIES OF SUBSTANCE ABUSE IN ITALIAN ATHLETES Authors 1 1 1 C. Villosio , F.E. Cerutti , F. Candela Affiliations 1 Centro Provinciale Di Medicina Dello Sport Città Di Cuneo, Cuneo, ITALY Body Substance abuse represents a phenomenon widely studied by the scientific community and contrasted by the Institutions. In a biopsychosocial perspective, this event is the result of medical, psychological and social factors. These studies integrated medical and psychosocial investigations about the substance abuse in an Italian population of athletes. In the first study 299 athletes that came at the Center of Sport Medicine for the visit of sport eligibility were analyzed to identify traces of prohibited substances. Athletes were analyzed in terms of age, gender and sport. In the second study, 150 athletes completed a questionnaire about doping attitude and individual characteristics (level of perfectionism, life satisfaction, motivation). The scores of doping attitude were correlated to psychosocial variables. Considering the first study, 7% of athletes (N=22) was positive to prohibited substances. Cycling (N=6) represented the sport with more athletes with traces of substances. Benzodiazepines (N=10) and cannabinoids (N=10) were the most frequent substances. The majority of positive athletes were males (82%): athletes between 20-30 and 40-50 years were the most frequent consumers. Data of the second study showed a relation between doping attitude and perfectionism (r =.46 p<.001): male athletes have more aptitude to substance consumption than female (F=6,4 p<.05). Agonistics athletes have also more tolerance to behaviors of substance consumption (F=6,8 p<.05). No differences were found among athletes of different sports. Typology of sport, age, gender, traits of perfectionism, involvement in agonistic activities represent variables related to the consumption or the attitude toward the consumption of prohibited substances. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: THE PROTECTION OF THE SPORTS PHYSICIAN: MEDICAL AND LEGAL ISSUES Title MYOCARDIAL BRIDGING IN A MALE PROFESSIONAL ATHLETE Authors 1 1 2 2 3 3 V. Di Legge , C. Graci , F. Burchi , M. Magli , S. Pierotti , D. Faraggiana Affiliations 1 2 3 Fmsi - Ac Pisa 1909, Pisa, ITALY, Ac Pisa 1909, Pisa, ITALY, Fmsi, Pisa, ITALY Body Myocardial bridging, a congenital coronary anomaly, is a clinical condition with several possible manifestations, and its clinical relevance is debated; because myocardial bridging is a common finding at autopsy of normal subjects, it had been thought to be a benign anatomic variation; because myocardial perfusion occurs in diastole, myocardial bridging with systolic milking should therefore not impair myocardial perfusion. However, this physiology-based evidence is contradicted by a small minority of cases of cardiac events, in individuals with pathological findings none other than a myocardial bridging. Here we present a case of a 30 year-old male professional athlete who underwent invasive coronary angiography because of chest pain and ST-segment elevation in the right chest leads with normal systolic function by two-dimensional echocardiography; invasive coronary angiography showed an epicardial coronary tree free from significant disease but was able to identify myocardial bridging in the proximal segment of the left anterior descending artery We considered that heavy sports might be a potential trigger for cardiac events in a professional athlete without any risk factors for coronary artery disease; therefore special attention should be paid to this kind of athlete who commonly takes part in intensive physical and skill training in his daily work. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title ROLE OF LACTATE INCREASE IN GRADED TREADMILL TEST OF HIGHLY TRAINED SUBJECTS Authors 1 1 1 C. Ahlgrim , S. Prettin , K. Röcker Affiliations 1 Medical Clinic, Department Of Rehabilitative And Preventive Sports Medicine, University Of Freiburg, Freiburg, GERMANY Body Various approaches are used for performance prediction from laboratory based exercise testing. Lactate threshold analyses aim to describe aerobic exercise capacity and can predict mean competition speed in runners. Maximal lactate increase (MLI) in exercise tests is commonly attributed to motivational aspects and anaerobic capacity. The present study intends to display whether MLI can independently contribute to predict peak velocity (Vpeak) in a graded treadmill exercise test. We retrospectively analyzed 5557 graded exercise treadmill tests (initial load 6 km/h, increment 2 km/h, interval 3 min) with lactate analysis (EBioplus, Eppendorf, Germany) conducted in our laboratory from 2002-2008. 121 male subjects with Vpeak of at least 20 km/h were identified. Vpeak cut-off was chosen to limit motivational bias. Lactate kinetics (lactate-, 4mmol- and individual anaerobic thresholds (IAT)) and respective power outputs (P4mmol, PIAT) were calculated. MLI was calculated as the difference between maximal lactate value and lactate at the LT. Linear regression was used for statistical analysis (alpha level=0.05). Solely, MLI did not predict Vpeak (R²=0.02, p=0.16). Together with PIAT or P4mmol, MLI improved prediction of Vpeak (R²Vpeak|PIAT=0.21; R²Vpeak|PIAT,MLI=0.48) whilst being negatively associated with PIAT (R²=0.38, p<0.01) and p4mmol (R²=0.44, p<0.01). MLI does not independently predict Vpeak in a highly trained collective. Together with indicators of aerobic capacity, MLI improves Vpeak prediction remarkably. In highly trained subjects, there appears a dichotomy between those who feature high aerobic capacity but are unable to generate high lactate levels and those who are able to produce higher lactate through anaerobic metabolism whilst featuring less aerobic capacity. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title INVESTIGATION OF DIFFERENT PERFORMANCE RELATED VARIABLES AND METHODS IN ROWERS Authors 1 2 1 F. Akca , K. Gokdemir , C. Akalan Affiliations 1 Ankara University, Health Sciences Institute, School Of Physical Education And Sport, 2 Ankara, TURKEY, Gazi University, Health Sciences Institute, School Of Physical Education And Sport, Ankara, TURKEY Body Objective The aim of this study was to demonstrate and compare physiological performance and different anaerobic threshold determination methods in elite junior rowers. 18 rowers participated in this study voluntarily (age 17.38±0.6 years). Design and Method Besides the measurements of height and weight, subjects performed 2000 meter maximal rowing ergometer test and incremental rowing ergometer test, rowing specific anerobic power and back, leg and arm strength tests. The incremental test consists of 7 progressive stages of 4 minutes with 1 minute rest intervals. Blood samples for lactate analysis were collected at rest. Oxygen uptake kinetics also measured via ergospirometer during the test. Results Results of Pearson product moment correlations indicated that significant relationships between the values of r=0.85 and r=0.99 were determined in absolute and relative VO2, power and workload at ventilatory threshold and 4 mmol/L anaerobic threshold (p<0.01). Conclusions As a conclusion workload, power, strength and oxygen consumption at 4 mmol/L anaerobic and ventilatory thresholds seemed to share an important part in rowing ergometer performance; besides given into consideration of the high relationship between different anaerobic threshold determination methods, noninvasive determination of anaerobic threshold with the use of gas exchange parameters seems to be valid and useful alternative to determination of anaerobic threshold in junior rowers. When a significant relationship between anaerobic power, strength and performance is taken into consideration, it seems clear that physiological determinants which affected by anaerobic energy pathways should also get involve in the determination of performance and talent identification processes for rowing. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title IDENTIFICATION OF A VO2 DEFLECTION POINT COINCIDING WITH THE HEART RATE DEFLECTION POINT IN PROFESSIONAL RUGBY PLAYERS. Authors 1 1 1 1 1 E. Bernardi , G. Grossi , F. Terranova , G. Mazzoni , S. Uliari , G. Grazzi Affiliations 1 Biomedical Sport Studies Center, Univeristy Of Ferrara, Ferrara, ITALY Body Aim: To compare the patterns of the speed/oxygen consumption (S/VO2) and speed/heart rate (S/HR) relationship during maximal incremental running test in rugby players, and to evaluate the occurrence of an oxygen consumption deflection point (VO2def) coinciding with the heart rate deflection point (HRdef). Subjects and methods: Eighteen professional male rugby players performed a maximal incremental treadmill cardiopulmonary test. The oxygen uptake as a function of speed was determined and the S/VO2 as well as the S/HR relationships were mathematically analyzed. Results: The S/VO2 relationships obtained were linear up to submaximal exercise intensity and curvilinear thereafter and thus describing a VO2 flattening (VO2def). In 11 of 18 athletes a VO2def and a HRdef were determined. The slope of the VO2/S relationship up to VO2def was significantly higher than that above VO2def (341±52 ml/min/km/h vs 242±69 ml/min/km/h, P<0.0001). The S values at VO2def (12.3±1.0 km/h) and HRdef (12.4 ± 0.9 km/h) were strongly correlated (R=0.92, P<0.0001) and in good concordance (limits of agreement from -0.7 to 0.8 km/h, Bland-Altman analysis). Conclusion: A VO2def coinciding with HRdef was shown in the most part of cases. These results demonstrate that exercise intensity above HRdef is at least partially independent by the aerobic mechanism of ATP re-synthesis, providing evidence that the determination of the S/HR relationship and HRdef could be a practical and non-invasive means of identifying the transition to anaerobic mechanisms in rugby players. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title RESPIRATORY MUSCLE ENDURANCE TRAINING (RMET) WITH NORMOCAPNIC HYPERPNEA (NH) IMPROVES VENTILATORY FUNCTION AND EXERCISE PERFORMANCE IN TRIATHLETES. Authors 1 1 1 1 1 E. Bernardi , E. Melloni , M. Mandolesi , L. Pomidori , A. Cogo Affiliations 1 Biomedical Sport Studies Center, Ferrara, ITALY Body Objective: To evaluate the effect of 5 weeks of RMET by means of Spirotiger® on respiratory function and exercise performance in triathletes. Design and Method: 15 male (M) triathletes were allocated in 2 groups: RMET (10M) and Control (5M) group. At baseline (T0), and after 5 weeks (T1), athletes underwent maximal inspiratory pressure (MIP), maximal voluntary ventilation (MVV) and exercise tests (maximal incremental and endurance cardiopulmonary tests performed with both cycle ergometer and treadmill). RMET group trained at home 5 weeks: 20 min daily at the same ventilation level measured at the respiratory compensation point during incremental test. Between T0-T1 subjects maintained the same level of daily physical activity. Result: No change was found in control group (data not reported). In RMET group MIP (T0: 93±29; T1: 97±25 cmH2O*) and MVV (T0: 213±17; T1: 231±18 l/min*) increased. Incremental test: maximum watt on cycle ergometer (T0: 389±106; T1: 429±119 watt*) and maximum speed on treadmill (T0: 18±2; T1: 19±2 Km/h*) increased. The trend of oxygen consumption (VO2), ventilation (VE) and respiratory rate (RR) showed values lower after RMET. The dyspnea Borg score during endurance tests on treadmill (T0: 7,2/10; T1: 6,5/10*) and on cycle ergometer (T0: 7,3/10; T1: 6,7/10*) showed a lower score; VE no change. (*p<0,05; ANOVA and T test) Conclusion: RMET significantly improves MIP and MVV in triathletes and increases exercise performance. Furthermore the VE becomes more efficient as shown by the reduction of VE, RR, the dyspnea Borg score and by a lower trend of VO2 during incremental test. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title ENERGY COST OF ELITE SOCCER PLAYERS BEFORE AND DURING SEASON Authors 1,2 3 A. Buglione , P.E. Di Prampero Affiliations 1 Università Di Roma Tor Vergata, Facoltà Di Medicina E Chirurgia, Corso Di Laurea In 2 Scienze Motorie, Italia, Roma, ITALY, Università Telematica San Raffaele, Facoltà 3 Scienze Motorie, Roma, Italia, Roma, ITALY, Dipartimento Di Scienze E Tecnologie Biomediche, Università Di Udine, Italia, Udine, ITALY Body PURPOSE The acceleration phases during a soccer match lead to an increase of the energy cost of running of about 20% on average over that observed at constant speed (C. Osgnach et al. Med Sci Sports Exerc. 2010). Nevertheless, this last represents an important baseline setting the overall energy expenditure during the match. Therefore, the aim of this study was to measure of the energy cost of running (Cr) on flat terrain in professional soccer players before (July) and during (December) a competitive season. METHODS Cr was measured during a 6 minutes run at constant speed on a treadmill (10 km/h) by a portable metabolimeter (K4b2, Cosmed, Italy) on 40 professional soccer (serie A) players: 17 senior (27±4 yr, 75.8±5.0 kg, 1.80±0.06 m) and 23 young (17.7±0.6 yr, 71.4±6.3 kg, 1.75±0.06 m) before and during the season. RESULTS Cr in senior players was 4.31±0.38 J/kg/m before and 5.12±0.43 J/kg/m during the season with an increase of 13.46%; in young players it was 4.22±0.4 J/kg/m before and 4.48±0.31 J/kg/m during the season with an increase of 7.06%. CONCLUSIONS Cr in professional soccer players is higher than that reported by various authors in medium and long-distance runners and increases significantly during the season. This increase is probably due to the continuous accelerations and decelerations occurring during the matches. This causes a worse running economy at constant speed because the latter is unspecific for soccer players performance. REFERENCES The Energy Cost of Human Locomotion on Land and in Water P.E. di Prampero Int. J. Sports. Med.1986 XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title PHYSIOLOGICAL AND BIOMECHANICAL PROFILES OF ELITE AND SUB ELITE ITALIAN HOCKEY PLAYERS Authors 1,2 2,3 4 1 1 1,2 A. Buglione , R. Milia , G.M. Migliaccio , G. Granatelli , S. D'ottavio , B. Ruscello Affiliations 1 Università Degli Studi Di Roma Tor Vergata, Facoltà Di Medicina E Chirurgia, Corso Di 2 3 Laurea In Scienze Motorie, Roma, ITALY, Federazione Italiana Hockey, Roma, ITALY, Università Degli Studi Di Cagliari, Facoltà Di Medicina E Chirurgia, Corso Di Laurea In 4 Scienze Delle Attività Motorie, Cagliari, ITALY, Coni Sardegna, Cagliari, ITALY Body PURPOSE The purpose of this study was to determine the physiological and biomechanical profiles of elite and sub elite Italian male field hockey players. METHODS Twelve elite and ten sub elite male hockey players (age: 25.1±3.8 and 22.1 ±3.4 years, mass: 70.3±2.6 and 66.7 ±5.6 kg, height: 1.74±5.2 and 1.72 ±1.8 m respectively) participated to the study. Six matches performed at international (3) and national level (3) were analyzed by the means of GPS SPI Elite device and Polar cardio frequency meters. RESULTS The mean total distance covered by each individual player was 7062±1015m (elite players) and 6186±997m. (sub elite players); the estimated mean total distance covered for 70 min was 8553±419m and 8067±609m respectively. The acceleration (n=256±21 and 231±26) and deceleration events (n=256±20 and 233±27) were also computed. Mean maximal heart rate (%HRmax) was 84.5±3.7% HRmax and 83.1±4.3% HRmax respectively. CONCLUSIONS Comparisons made between elite and sub elite Italian hockey players and other international elite players showed slight differences (p=ns) both in running demands and in heart rates. The results suggest that modern elite field hockey is a physically demanding team sport, although the difference of qualification rely probably more on the technical and tactical sides of the performance than the physiological one. REFERENCES Physical Demands and Physiological Responses during Elite Field Hockey Lythe J, Kilding AE. Int J Sports Med 2011 XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title ATHLETE’S HEART AND ATHLETE'S ARTERY Authors 1 2 3 A. Castagna , C. Ruberto , G. Attisani Affiliations 1 2 Ausl Di Modena Uo Cure Primarie, Pavullo Nel Frignano (mo), ITALY, Università Degli 3 Studi Magna Graecia, Catanzaro, ITALY, Centro Medico Fisios, Ravenna, ITALY Body Physical conditioning in competitive athletes induces cardiovascular adaptation including lower resting heart rate (increased vagal tone) and increased cardiac mass and volume as a consequence of increased demand on the cardiovascular system, called ‘‘athlete’s heart’’, a physiological compensatory mechanism that reverses in most cases following the termination of sports activities. The Pulse pressure, surrogate measures of arterial stiffness, is simply the difference between systolic and diastolic pressures, and depends on the cardiac output, large-artery stiffness and wave reflection. We investigated a relation of Hearth Rate with Pulse Pressure in a unselected population of athletes. We assessed a population of 2.608 subjects [2.133 (81 %) males, age 28,74±7,76 years, BMI 23,68±2,3 Kg/m²], prospectively examined in Sport Medicine Clinics. In our study we find that Hearth Rate (HR) is inversely correlated with Pulse Pressure (r= - 0,479, P=0,000). We divided our population into two groups: HR < 60 min (n=990) and HR > 60 min (n= 1.618). There was no significant difference in BMI, age and gender. Pulse Pressure were significantly greater among athletes with HR<60 min, than among controls (52,02±4,29 mmHg vs 44,41±5,52 mmHg; P<0,000). Certainly our results need confirmation with prospective studies, but this study could open the way to perform other investigations to better explore the correlation between arterial stiffness and athlete’s hearth. Athlete's Heart, effect of age, sex, ethnicity and sporting discipline. Sharma S. , Exp Physiol. 2003 Sep;88(5):665-9. PMID:12955167 Pulse Pressure - a review of mechanisms and clinical relevance. Dart AM, Kingwell BA. J Am Coll Cardiol. 2001 Mar 15;37(4):975-84. PMID:11263624 XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title ONE-LEGGED (DOMINANT AND NONDOMINANT ) POSTURAL CONTROL IN YOUNG AND EXPERT FOOTBALLERS Authors 1 2 1 1 A. Cattozzo , E. Castellini , G. Mascherini , G. Galanti Affiliations 1 2 Sports Medicine Center, University Of Florence, Florence, ITALY, Football Training And Biomechanics Lab, Italian Football Federation (figc), Technical Department, Florence, ITALY Body Description: Soccer requires a monopodalic posture to perform different technical movements, therefore, footballers' postural control should be evaluated in a unipedal stance to respect the specific conditions of soccer¹. The main purpose is to compare balance control in one-legged between the dominant and nondominant limb of soccer players and to analyse if there are different values between experts and young footballers in balance control in one-legged. Material and Methods: 38 soccer players were tested. 20 Experts Players (25±2 years) 18 Young Players (16±1 years). All subjects underwent a postural balance control measurement through the Lizard® platform. Dependent variable was the surface area center-of-pressure. The measurements were taken in in monopodalic stance (dominant and nondominant limb) lasting 10 seconds. Every test with Open Eyes and with Closed Eyes. Results: In monopodalic some meaningful differences were found (P<0.05) between Open Eyes and Closed Eyes conditions for all footballers; besides, in this case, no differences were registered between dominant and nondominant limb (P>0.05). Furthermore, Expert Players present Area values that are lower than those showed by Young Players, no matter if in Open or in Closed Eyes conditions (P<0.05). Conclusions: Expert Players in comparison to Young Players are less dependent on the visual system. Due to a more developed proprioceptive system, have better control. In all footballers the results revealed no differencces between dominant and nondominant limb in balance ability in one-legged¹. (1) Paillard T. et al.,”Postural performance and strategy in the unipedal stance of soccer players at different levels of competition” J.Athl Train. 41;172-176 ;2006 XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title INFLUENCES OF THE VISUAL SYSTEM ON POSTURAL BALANCE CONTROL IN ELITE ITALIAN SOCCER PLAYERS Authors 1 2 1 A. Cattozzo , E. Castellini , G. Galanti Affiliations 1 2 Sports Medicine Center, University Of Florence, Florence, ITALY, Football Training And Biomechanics Lab, Italian Football Federation (figc), Technical Department, Florence, ITALY Body Description: Sport training seems to help the athlete to select those strategies of postural balance control that result more effective. This aspect explains how football modifies the strategies of postural balance control. The purpose is to find out if there are differences in postural control between young and old footballers. Material and Methods: 318 soccer players were tested. 176 Young Players (16±1 years) and 141 Professional Players (27±5 years), all playing in the Italian First Division teams. All subjects underwent a postural balance control measurement through the Lizard® platform. Dependent variable was the surface area center-of-pressure. The measurements were taken in bipodalic stance lasting 51,2 seconds. Every test was taken with Open Eyes and with Closed Eyes. Results: Young Players showed, in bipodalic, a significant difference between Open Eyes (144±88 mm²) and Closed Eyes (202± 115 mm²) (P<0.01), while among Professionals no difference was shown. Comparing Young Players and Professionals in Open Eyes conditions, no differences were found, while in Eyes Closed condition, Professionals showed a smaller Area (148± 75 mm²) than the one registered in Young Players (202± 115 mm²) (P<0.05). Conclusions: Professionals in comparison to Young Players are less dependent on the visual system for postural balance control. Probably due to a more developed proprioceptive system. They use instead their eyesight to process all the other information about the game they are playing¹. ¹ Paillard, T. and Noé, F., “Effect of expertise and visual contribution on postural control in soccer” .Scandinavian Journal of Medicine & Science in Sports, 345-348, 2006 XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title PHYSIOLOGICAL PERFORMANCE PREDICTORS OF ONE-HOUR RUNNING PERFORMANCE Authors 1 1 1 2 1 C. Chryssanthopoulos , E. Zacharogiannis , G. Paradisis , A. Travlos , C. Ziaras , C. 1 1 1 Tsolakis , V. Ioannidi , M. Maridaki Affiliations 1 University Of Athens, Department Of Physical Education And Sports Science, Athens, 2 GREECE, University Of Peloponnese, Department Of Sport Management, Sparti, GREECE Body Objective This study examined the relationship between 60-min running performance and several physiological parameters [VO2max, speeds at VO2max and at ventilatory threshold (VT), running economy, and heart rate at VT]. Design and Method Twenty four recreational endurance runners (38.9±1.8 years, 175±1 cm, 76.1±1.4 Kg; mean ± SE) performed a 60-min run in an attempt to cover as much distance as possible. The race was performed after an overnight fast in an indoor circuit flat surface of 216 m long under stable environmental conditions (Temperature 20 oC and Humidity 52 %). Four days before the race subjects performed a graded exercise test on a level motorized treadmill during which every two minutes the speed was increased by 1 Km/h to volitional fatigue starting from an initial speed of 8 Km/h. Results Pearson product moment correlations were significant (p<0.01) between running performance (12546.3±217 m) and speed at VO2max (0.85), speed at VT (0.79), VO2max (ml/Kg/min) (0.72), and slope from speed-percentage VO2max regression equation for each runner as an indicator of running economy (-0.55), whereas no significant correlations were observed between performance and heart rate at VT (0.37), percent heart rate at VT (0.10), or percent VO2max at VT (0.02). Stepwise multiple regression analysis indicated that speed at VT (R²=.62), VO2max (R²=.69) and slope from speed-percentage VO2max regression equation for each runner (R²=.75) were significant predictors (p<0.05) of running performance. Conclusions These findings demonstrated that, among the selected parameters, speed at VT, VO2max and running economy were better predictors of running performance. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title THE INTRODUCTION OF PROFESSIONALISM IN PORTUGUESE RUGBY TEAMS – FIRST STEPS? Authors 1 2 A. Cruz Ferreira , C.A. Fontes Ribeiro Affiliations 1 2 Ucspm, Mealhada, PORTUGAL, Fmuc, Coimbra, PORTUGAL Body Objective Professionalism was adopted by the international rugby board(IRB) in 1995. Professional players have had to adapt to the demands of increased physical and mental robustness as well as the training workload. Despite being common in countries where rugby is more popular, in Portugal there are no professional rugby teams, only semi-professionals. We intend to known which is the level of professionalism of these teams and the differences between them and the amateur teams, in terms of training workload. Design and Method We assessed 46 rugby players from two teams competing in different layers of the portuguese men's senior national championships (24 semi-professional and 22 amateur players). All athletes filled a questionaire indicating the number of weakly field and gym training sessions, as well as their ages. Statistical analysis was performed using the SPSS®v.19 and a significance level of 5% was considered. Results We found that semi-professional athletes performed a higher number of gym and field training sessions that those of the amateur team. Regarding the age of the athletes, we also found important differences, being the amateurs significantly older than the semi-professionals. Conclusions The data obtained allow us to believe that the change in mentality and work load is being processed in the upper layers of the Portuguese rugby, however, there is still a long way to go to reach the professionalism level of other countries. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title ANTHROPOMETRIC AND PHYSIOLOGICAL EVALUATION OF PORTUGUESE RUGBY PLAYERS Authors 1 2 A. Cruz Ferreira , C.A. Fontes Ribeiro Affiliations 1 2 Ucsp Mealhada, Mealhada, PORTUGAL, Faculdade De Medicina Da Universidade De Coimbra, Coimbra, PORTUGAL Body Objective In rugby union, each position has very specific and unique requirements and several studies have documented it. However, despite being common in countries where rugby is more popular, no studies seeking to investigate the anthropometric and physiological characteristics of the Portuguese rugby players have yet been published. With this study we sought to evaluate the physiological and anthropometric characteristics of the Portuguese rugby player. Design and Method We assessed 46 rugby players from two teams competing in the senior male national championships. They were separated into two groups, taking into account the positions occupied on the field. All the athletes underwent an anthropometric assessment, where stature, body mass and skin folds were determined. Forty also underwent an assessment of their physical capabilities which consisted in determining their maximum aerobic capacities, speed and acceleration through field tests. Results Forwards were significantly taller, heavier and had a higher percentage of body fat that the backs. They were also slower and had a lower maximal aerobic capacity in function of their body masses. However, they had a higher maximal aerobic capacity in absolute value and produced a greater momentum. Conclusions Regarding the differences between forwards and backs, the results of this study were consistent with the literature. Regardless that the athletes studied were non-professionals, the differences recorded between forwards and backs in this paper as well as in the literature, indicates that, in rugby union, the possession of certain anthropometric and physiological characteristics allows the best performance of the athletes playing in each field position. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title THE EFFECTS OF INTENSIVE TRAINING ON LEFT VENTRICULAR MASS AND ON FAT-FREE MASS IN PROFESSIONAL FOOTBALL PLAYERS Authors 1 1 1 1 1 2 2 F. D'ascenzi , M. Cameli , M. Lisi , B.M. Natali , V. Zaca' , A. Giorgi , G. D'urbano , S. 2 2 3 2 1 Catanese , F. Angelini , M. Bonifazi , A. Causarano , S. Mondillo Affiliations 1 2 Department Of Cardiovacular Diseases, University Of Siena, Siena, ITALY, Staff Siena 3 Department Of Neurological, Neurosurgical And Football Club, Siena, ITALY, Behavioural Sciences, University Of Siena, Siena, ITALY Body Objective. Left ventricular mass (LVM) is increased in athletes; however, the difference in LVM between athletes and controls was due not only to training but also to body composition. Previous researches had a cross-sectional design without the ability to detect the dynamic cardiac adaptation occurring within the training season. The aim of this study was to investigate the longitudinal variations of LVM and fat-free mass (FFM) occurring in professional football players during the season. Methods. Twenty-three male top-level football players were recruited. LVM was assessed by echocardiography and body composition by DXA. Measurements were performed at the beginning of the season, after 1, 4, and 8 months, and after detraining. Results. LVM significantly increased after 4 months and a significant difference was demonstrated between baseline and 8-month measurement (195.04±25.84vs213.51±22.86 g, p<0.05). The change in LVM was confirmed also when LVM was indexed to BSA or to FFM (p< 0.05). FFM increased during the season with a significant difference between baseline and 8-month measurement (64.3±5.97vs66.27±4.96,p<0.05). Also heart rate, stroke volume (SV), and left ventricular end-diastolic volume significantly increased during the season. Interestingly, after the detraining period, no significant differences in echocardiographic parameters were demonstrated between the beginning of the season and the end of detraining. FFM and SV were independent predictors of LVM. Conclusions. The present study reported for the first time the longitudinal variations of LVM and FFM in top-level athletes, demonstrating that athletes exhibit a significant remodelling of left ventricle and of body mass during the regular season. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title RELATIONSHIP BETWEEN TRAINING AND PERFORMANCE IS MEDIATED BY PSYCHOBIOSOCIAL STATES Authors 1,2 1,3 2,4 S. Di Fronso , M. Bertollo , P. Ripari Affiliations 1 2 Behavioral Imaging And Neural Dinamics Center, Chieti, ITALY, Dipartimento Di 3 Dipartimento Di Medicina E Scienze Scienze Biomediche, Chieti, ITALY, 4 Dell'invecchiamento, Chieti, ITALY, Centro Universitario Di Medicina Dello Sport, Chieti, ITALY Body OBJECTIVE: Our purpose was to investigate the relationship among perceived exertion, psychobiosocial states, stress-recovery-profile, heart rate variability and performance in 11 basketball players during play off phase. METHOD: We collected session rating of perceived exertion, recovery-stress state and psychobiosocial states. Heart rate variability was computed from the electrocardiogram recorded via BioHarness. RESULTS: Analysis of results, adopting an idiographic approach focused on an in-depth understanding of individual athletes, showed dynamic and individual specific relationships among training load, psychobiosocial states and performance, highlighted also in recovery stress profile and reflected in the heart rate variability parameters. CONCLUSIONS: Session rating of perceived exertion and heart rate variability are reliable markers of internal load and psychobiosocial states may mediate the relationship between training and performance. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title STRATEGIES OF NEUROMUSCULAR CONTROL IN SUBJECTS ESPECIALLY TRAINED TO THE ISOMETRIC CONTRACTIONS - THE PHYSIOLOGY OF HIKING Authors 1,2 1 1 1 F. Faiola , L. Fattorini , M. Bernardi , M. Marchetti Affiliations 1 2 School Of Specialization In Sports Medicine, La Sapienza, Rome, ITALY, Italian Federation Of Sports Medicine, Fmsi, Rome, ITALY Body Dinghy-Sailor must to project body outside to stabilize boat so performing an intense isometric effort of knee, hip and lumbar muscles (hiking). Present research aimed to study neuromuscular adaptations induced by long term sailing activity. Neuromuscular Femoral Quadriceps properties were analyzed by evaluation of: Maximum-Voluntary-Contraction (MVC); Exhaustion-Time (ET); mioelectrical muscular fatigue indices (sEMG: %DET and MDF values and slopes). 12 subjects was recruited: 4 elite Dinghy-Sailor (DS, specific-trained athletes), 4 elite Rowes (R, generic-trained athletes) and 4 Sedentary subjects (S, no-trained). Subject has been seated and bound on an “Hiking-position-simulator” that allowed MVC measure and measures of ET and sEMG during 2 isometric exhaustion contractions (50% and 80% of MVC). No MVC differences among groups were obtained (DS=688±99N; R=670±64N; S=664±72N). Whilst, at 50%MVC trained subjects have ET longer to no-trained (DS=134±29s; R=142±33s; S=70±24s), at 80%MVC DS obtained a longer ET then others (DS=53±7s; R=39±11s; S=32±8s). %DET increased and MDF decreased constantly, confirming their relationship with neuromuscular fatigue. DS show %DETstart-values at 80%MVC greater (33±5%) and a lower increment (0,4±0,2%/s) than R (24±5%; 0,7±0,2%/s) and S (21±8%; 0,7±0,1%/s), determining similar %DETexhaustion-values (DS=50±6%; R=46±9%; S=49±13%). Even if, trained subjects supported a longer time a low isometric contraction than sedentary, during sub-maximal contractions, when all Motor-Unit are recruited, DS resulted more resistant than others. In conclusion hiking and the specific sailing activity seems to induce neuromuscular adaptations useful to decrease fatiguing during sub-maximal isometric effort. A possible physiological explanation could be a synchronized Motor-Unit activation in DS group than others since beginning effort. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title THE INFLUENCE OF SOMATHOTYPE ON THE CHANGES OF BODY COMPOSITION, STRENGHT OF LEGS AND ANAEROBIC TRESHOLD OF SOCCER PLAYERS AGED 15-17 YEARS Authors 1 2 2 E. Handziska , Z. Handziski , M. Milenkova Affiliations 1 Institute Oh Physiology, Medical Faculty, Un.st. Kiril And Metodij, Skopje, FORMER 2 YUGOSLAV REPUBLIC OF MACEDONIA, Pzu Kineticus-sports Medicine And Exercise Science, Skopje, FORMER YUGOSLAV REPUBLIC OF MACEDONIA Body The aims of this study are to determine the somathotype and its influence on the changes of body composition, anaerobic threshold and strength of leg of soccer players aged 15-17 years. Material and methods: 46 soccer players, aged 15-17 years, were included is this study. During a training and competition process of 4 months, three times (at the beginning, in the middle and after the finishing of this process), we measured: anaerobic threshold (AnT, km/h) with Conconi protocol on treadmill and maximal treadmill speed (km/h); body composition by bioelectrical impendence (relative muscle and fat mass, BMI and muscle and total surface of upper arm-cm2) and peak force and time of both quadriceps and hamstrings. With heath-Carter anthropometric somathotype model, we determined 13 categories of somathotype. Results: Body composition, AnT (12,3±1.09; 12,43±1,35; 12.15±1.09) and maximal treadmill speed changed insignificantly during this training and competition process. Except Peak Force of right quadriceps and Peak Force of left hamstring, other strength parameters changed significantly (p<0.05) during this process. The most frequent somathotype was mesomorph-ectomorph (45%), balanced mesomorph (17%), balanced ectomorph (15%) and others. Some somathotypes influenced significantly on changes of body composition and stranght parameters of legs. Discussion: These results suggested that determination of somathotype could help in selection and evaluation of effects of soccer training process. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title THE ROLE OF SITUATIONAL VARIABLES IN ANALYSING PHYSICAL PERFORMANCE IN ELITE SOCCER Authors 1 C. Lago Peñas Affiliations 1 University Of Vigo, Pontevedra, SPAIN Body THE ROLE OF SITUATIONAL VARIABLES IN ANALYSING PHYSICAL PERFORMANCE IN ELITE SOCCER OBJECTIVE The aim of this study was to examine the effect of match location, quality of opposition, and match status on distance covered at various speeds in elite soccer. DESIGN AND METHOD Twenty-seven Spanish Premier League matches played by a professional soccer team were monitored in the 2005–2006 season using a multiple-camera match analysis system. The dependent variables were the distance covered by players at different intensities. Data were analysed using a linear regression analysis with three independent variables: match status (i.e. whether the team was winning, losing or drawing), match location (i.e. playing at home or away), and quality of the opponents (strong or weak). RESULTS The top-class players performed less high-intensity activity (>19.1 km · h) when winning than when they losing, but more distance was covered by walking and jogging when winning. For each minute winning, the distance covered at submaximal or maximal intensities decreased by 1 m (P<0.05) compared with each minute losing. For each minute winning, the distance covered by walking and jogging increased by 2.1 m (P<0.05) compared with each minute losing. The home teams covered a greater distance than away teams during low-intensity activity (<14.1 km · h) (P<0.01). Finally, the better the quality of the opponent, the higher the distance covered by walking and jogging. CONCLUSIONS Our findings emphasize the need for match analysts and coaches to consider the independent and interactive effects of situational variables during assessment of the physical component of football performance. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title COMPARISON TO THE SPECIFICATION OF OFFICIAL BASEBALL AMONG DIFFERENT AGE LEAGUES Authors 1 1 C. Liu , W. Yang Affiliations 1 Graduate Institute Of Sports Equipment Technology, Taipei Physical Education College, Taipei, TAIWAN Body According to the age of participant, baseball divided into elementary (9-12yr), junior-high (13-15yr), senior-high (16-18yr) and college (above 18yr) leagues. Previous studies showed that anthropometric, physical fitness, technique and pitching mechanics significant differences among leagues. The high injury rate occurred at all youth leagues. However, the official game balls among leagues are similar the specification addressing in official baseball rule. The hypothesis of this study was that the specification of official game ball concerned with injury occurrence. Therefore, this study was to compare the specification of official game ball among leagues. The samples of game ball for different leagues were provided by official organization in Taiwan, and were stored at 22±2ºC and 50% relative humidity for at least two weeks prior to measurement. The weigh, circumference, diameter and coefficient of restitution (COR) were measured in conditioned lab. The result revealed that weigh, circumference, diameter and COR were no significant difference among different leagues game ball (p<.05). It reflected that the current game ball may too heavier and larger for youth player. It caused larger loading on elbow and shoulder during pitching. The finding suggested that the standard of official game ball might a potential factor to injury occurrence at all youth leagues. Furthermore, the appropriated game ball for different leagues should be established. (NSC100-2627-B-154-001) XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title MAXIMAL OXIGEN CONSUMPTION(V'O2MAX)IN PROFESSIONAL FOOTBALL PLAYERS: A 10 YEARS OBSERVATION Authors 1 D. Manari , D. Ancelotti, G. Venturati, R. Casellato, N. Prandelli, D. Morelli, A. Anedda 2 , M. Manara Affiliations 1 2 Sport Monitoring Service, Reggio Emilia, ITALY, University Of Parma, Parma, ITALY Body Football is a sport with intermittent high-intensity alternate with recovery, where good aerobic conditioning has positive effect on performance. Direct VO2 measurement with breath-by-breath metabolimeter allows to define aerobic capacity and how it changes over time.MATERIALS AND METHODS During last 13 competitive seasons, 608 professional players were tested by Cosmed K4b2, running from 2 to 4 evaluations/season for total of 1738 tests. An incremental maximal test in a route drawn on the football field was used.This parameters were recorded: V'O2max, V’O2 at anaerobic threshold (V'O2AT), speed (kmh) at I and II ventilatory thres., speed (kmh) at V'O2max (VAM), heart rate. Data were subjected to statistical analysis both as a whole by age (<22y, 22-27y, 27-32 y,> 32y) and role (goalkeepers,defenders, strikers, midfielders, laterals)RESULTS: V’O2max overall average 56.56 ml/K/min V’O2AToverall average 87.4%, first 3 seasons V’O2max average:55.43 ml/k/min, last 3 seasons VO2max average:58.83 ml/k /min (+6,1%, p>0.01);in season V’O2max average increase:+9%; in season ATspd average increase:+5.5%; ATspd overall average:14,34kmh; I vent. thres. spd overall average:12,08kmh; VAM overall average:16,1kmh. Data analyzed by age and role show an increasing heterogeneity among roles with age advancing(st. dev. V'O2max 90 th percentile <22yo: 1.24;> 32y.o.: 4.05). Although the seasonal pattern differs according to the role: metabolic parameters show a stable trend for attackers and defenders while increasing in other roles. CONCLUSIONS: The magnitude of the sample and the length of the observation period were allowed to obtain accurate reference data on football players aerobic capacity and his behavior over time and according to different roles. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title RELIABILITY OF FUNCTIONAL EVALUATION TESTS TO PREDICT PERFORMANCE DURING IRONMAN COMPETITION Authors 1 1 1 1 1 E. Marongiu , F. Tocco , M. Pinna , A. Crisafulli , A. Concu Affiliations 1 Sport Physiology Lab., University Of Cagliari, Cagliari, ITALY Body Introduction: Ironman is a triathlon competition characterized by 3,8 Km of swimming, 180 Km of cycling, and 42,2 Km of running. The physical capacity in each of these three different sports needs specific evaluation tests. The aim of the study was to discover the most predictive pre-competition test of athlete’s performance during competition. Materials and Methods: 8 triathletes (1 female and 7 males, Age: 42,4 ± 3 years) were studied by three tests. Test A: cycling test on athletics track; Test B: Ciclomulino’s test in Laboratory; Test C: Conconi’s test on athletics track. Heart rate, Aerobic and Anaerobic Thresholds, Maximum Oxygen Uptake and Energetic Cost were calculated by means of a gas analyzer. Data were processed by non parametric statistics (Spearman test) to evaluate their correlation with mean speeds during the three parts of a real race. Results: Test A: athletes with the highest values of maximum oxygen uptake, oxygen pulse and pulmonary ventilation showed the highest mean speed during the cycling session. Test B: athletes with the highest values of Watt/kg at the aerobic threshold had the highest mean speed during the cycling session. Test C: statistics analysis did not show any correlation between data and the mean speed during the run session. Conclusions: Both test A and B are reliable to predict the outcome in the cycling part of Ironman race whereas test C failed in to this task. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title THE COMPARISON OF SOCCER PERFORMANCE AFTER A REGULAR SEASON Authors G. Mascherini, L. Stefani, A. Cattozzo, G. Galanti Affiliations 1 Agenzia Di Medicina Dello Sport E Dell'esercizio, Firenze, ITALY Body Aim: Physiological and match analysis have demonstrated modern football is an high energetic demanding sport and the ability to perform repeated high-intensity work is very important. The Yo-Yo Intermittent Recovery Test (Yo-Yo IRT) is an incremental and sensitive method to asses the soccer performance. The aim was to verify the efficacy of Yo-Yo IRT for training in soccer players. Methods: 14 professional soccer players (age 22.4±3.4, height 181.2±6.9, weight 74.9±6.7) were enrolled. During the first training session (T0), after a short warm up, Yo-Yo IRT was performed. The type and amount of training was based on the technical, tactical, and physical demands imposed by the game. After 30 days (1 month) and at the end of the regular season (T9) Yo-Yo IRT was perform too. Maximum Heart Rate (HR Max) and the distance (Mt Yo-Yo) in the last steps were recorded. Anova Test was used to evaluate the statistical differences. Results: During the first Yo-Yo IRT, HR Max=190.63±8.37, mt Yo-Yo=1928.57±407.97were obtained. In the second test HR Max=187.79±8.85, mt Yo-Yo=2308.57±509.22 during the last one HR Max=188.91±8.35, mt Yo-Yo=2390.00±489.06. None statistical difference were observed in HR Max values, however Mt Yo-Yo resulted to be statistically increase (p = 0.03) after soccer training. Conclusion: The study confirm that HR Max qualified the intensity of the physical exercise, while the distance reached can represent the main parameters to verify the effective athletes performance during the training. Both aerobic and speed-endurance training can be used to improve high-intensity intermittent exercise performance also in non-agonistic period. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title VARIATIONS OF MAXIMUN VO2 AND OF CARDIAC RECOVERY OF FEMALE VENEZUELAN SOFTBALL PLAYERS Authors 1 2 3 T. Peña Delgado , J. Siret Alfonso , L. Aquino Affiliations 1 2 Ministerio Del Poder Popular Para El Deporte, Caracas, VENEZUELA, Instituto De 3 Medicina Del Deporte, Matanza, CUBA, Ministerio Del Poder Popular Para El Deporte, Caracas, VENEZUELA Body 16 females from the national softball team were studied to determine the variations in maximum Oxygen Consumption (V02) and of cardiac recovery in two macrocycles previous to the Bolivarian Games Bolivia 2009. Material and Method: The 1000-metre race test was appliedand the VO2 maximum was calculated using the Leger and Tokmakidis formula. It was recorded the heart rate at rest and at post effort as well as at the end, first, third and fifth minutes of recovery. Results: the percentage of recovery of the average heart rate of the athletes within the first (167 and 165 l/min), third (133 and 131 l/min) and fifth (119 and 108 l/min) minutes ending the test in the two macrocycles; the variations among these were calculated, showing a significant difference (t < 0,05) in the fifth minute with lower heart rates and a higher percentage (62% and 72%) of recovery in the second test. The average relative maximum VO2 in the first macrocycle (38 ml/kg/min) was higher than in the second macrocycle (36 ml/kg/min) and the racing speed was superior in the first, without any meaningful difference relative to the second evaluation. When comparing these results with other studies it is evidenced very low values of max VO2 in the Softball players, comparable with sedentary people (1). Conclusions: The regimen of physical and nutritional preparation was not adequate between macrocycles I and II above mentioned and displayed a low aerobic potential. (1) A. Pancorbo, 2008 XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title EVALUATION OF RELATIONSHIP BETWEEN TRUNK MUSCLES ENDURANCE AND STATIC BALANCE IN MALE STUDENTS OF TEHRAN UNIVERSITY Authors 1 2 2 2 A. Safar Cherati , A. Barati , A. Aghayari , F. Azizi Affiliations 1 Sports Medicine Department Rasoul Akram Hospital ,tehran University Of Medical 2 Science, Tehran, IRAN, Shahid Rajaee Physical Education University, Tehran, IRAN Body Objective: The purpose of this study was to examine the relationship of a trunk muscles endurance and static balance. Trunk muscles provide an integrated functional unit, whereby the main kinetic chain begins from. It also distributes weight and transfers forces and movements to upper and lower segments. Fatigue of trunk muscles contributes to spinal instability over strenuous and prolonged physical tasks and therefore may lead to injury, however from a performance perspective, relation between endurance efficient core muscles and optimal balance control has not been well-known. Method: Fifty male students inhabitant of Tehran university dormitory (age 22±3, height 171±5 weight 70±6) took part in the study. Trunk endurance muscles were assessed using Sørensen test of trunk extensor endurance, trunk flexor endurance test, side bridge endurance test and static balance was measured using single-limb stance test. Pearson correlation coefficient (r) was calculated to examine the relationship between variables. Result: significant correlation was revealed in trunk flexor, extensor, lateral flexor endurance and static balance variables (p < 0.05). Interestingly, Pearson r correlation coefficient for aforementioned variables were 0.80, 071,083 respectively. Conclusion: there is a significant relationship between trunk muscles endurance and static balance. The challenge in addressing trunk endurance is to apply our knowledge and skills to design exercise programs that improve endurance and subsequently balance as an integrated part in optimal performance of athletes. Key words: static balance, trunk muscle endurance XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title ESTIMATE OF THE MAXIMUM BLOOD LACTATE FROM THE RESULT IN THE WINGATE TEST Authors 1 1 1 J. Subiela , R. Uribe , J. Rojas Affiliations 1 Instituto Nacional De Deporte, Caracas, VENEZUELA Body The aim of this study was to estimate the maximum levels of blood lactate, according to the power developed in the average performance of the Wingate test. Materials and methods - Subjects included were 108 men and 90 women, members of various sports teams of Venezuela. We applied twice the Wingate test on a Monark cycle ergometer model 894 Ea, with an interval of 48 hours between the two measurements. The best result was taken for calculation. The estimation of lactate (mmol.l-1) was carried out from average yield in the Wingate test (Wa) and the heat equivalent of lactate (0,222 Kcal.gr-1), according the following formula: La (mmol.l-1) = [(Wa x 0,06 x 50,045) / (Wt x 0,7)] / 2 Results and conclusions - A direct correlation (r>0,8) was found between the maximum blood lactate measured in the field and the value calculated with the formula for sprinters, cyclist and skates track. In this way the formula offers the possibility of estimating the maximum value of lactate, transforming the average power obtained Wingate test (Wa) into blood lactate concentration (mmol.l-1). References 1. Inbar O, Bar Or O, Skinner S. The Wingate anaerobic test. Champaing, IL: Human Kinetics,1996. 2. Popadic J, Barack o, Grujic N. Maximal anaerobic power test of different sport disciplines. J Strength Cond Res. 2009; 23: 751-755. 3. Margaria R, Edwards H, Dill D. The possible mechanism of contracting and paying the oxygen debt and the role of lactic acid in muscular contraction. Am J Physiol 1933; 106: 689-714. 4. Margaria R, Aghemo P, Sassi G. Lactic acid production in supramaximal exercise. Pflug Arch 1971; 326: 152-161. 5. di Prampero P, Ferretti G. The energetics of anaerobic muscle metabolism: reappraisal of older and recent concepts. Respiration Physiology 1999; 118: 103-115. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title SPORT-SPECIFIC DIFFERENCES IN PHYSIOLOGICAL CHARACTERISTICS OF PREPUBESCENT BOYS Authors 1 1 1 1 1 A. Theos , A. Moustogiannis , G. Tsigganos , C. Chryssanthopoulos , M. Maridaki Affiliations 1 Department Of Physical Education And Sports Science, University Of Athens, Athens, GREECE Body Introduction The purpose of the present study was to examine the differences in physiological characteristics of prepubescent boys participating in different sports. Methods Ninety two prepubescent boys (age: 12.1 ± 0.4 yrs, height: 155.7 ± 0.7 cm, body mass: 49.3 ± 0.9 kg; mean ± SE) with at least two years training experience were divided into three groups according to the sport they participated (Swimmers n=35, Handball players n=21 & Soccer players n=36). Maximum handgrip strength in hands, 20m shuttle run test (for VO2max prediction) and 30m sprint running were measured. Data were analyzed using ANOVA and Tukey’s post-hoc tests. Results Swimmers produced more force with the dominant hand than soccer players (29.5 ± 0.5 vs. 25.7 ± 0.9 kg, p<0.01) while handball players did not differ (26.1 ± 1.3 kg, p=0.06). Force produced with the non-dominant hand was more (p<0.01) in swimmers (27.5 ± 0.6 kg) compared to soccer (23.8 ± 1.0 kg) and handball (23.7 ± 1.2 kg) players. In 30m sprint, and VO2max tests soccer players (4.9 ± 0.02 sec & 53.6 ± 0.5 ml/kg/min) performed better (p<0.01) compared to swimmers (5.7± 0.09 sec & 49.2 ± 0.8 ml/kg/min) and handball players (5.5 ± 0.08 sec & 47.9 ± 0.8 ml/kg/min). Conclusion The data indicate that specificity of training, as reflected by higher grip strength in non-dominant hand in swimmers and higher 30 m sprint and VO2max values in soccer players, is evident in prepubescent boys who have at least two years of training experience. This work was supported by funds from COSMOTE Mobile Telecommunications XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title INSPIRATORY MUSCLE TRAINING IN YOUNG BASKETBALL PLAYERS: PRELIMINARY EVALUATION Authors 1,2 1 1,2 1 1,2 1 E. Tranchita , F. Quaranta , F. Desantis , L. Musumeci , M. Squeo , V. De Luca , 1 1 C. Cerulli , A. Parisi Affiliations 1 2 University Of Rome Foro Italico - Department Of Health Sciences, Rome, ITALY, University Of Rome La Sapienza - School Of Specialization In Sport Medicine, Rome, ITALY Body Objective: the aim of the present study was to investigate whether Inspiratory Muscle Training might improve respiratory function indexes, respiratory muscle strength as well as affect exercise performance in young athletes. Design and Method: 16 athletes practicing Inspiratory Muscle Training with a resistive device for 4 weeks were recruited. The load of training was 60% of Maximal Inspiratory Pressure. We performed a submaximal stress test before and after the training in order to evaluate performance. Results: We found a significant improvement of Maximal Inspiratory Pressure, in Peak Inspiratory Flow and enhancement of all respiratory muscle strength parameters (p<0,05). There were no significative changes in oxygen consumption. There was a little reduction in the perception of respiratory fatigue. Conclusions: 4 weeks of resistive Inspiratory Muscle Training can increase inspiratory muscle strength, without improving exercise performance. Therefore it will be useful considering the effect of training for more time (8 weeks), or trying to practice training sessions at 80% of maximal inspiratory pressure. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title ACUTE EFFECTS OF TWO DIFFERENT WARM-UP PROTOCOLS ON FLEXIBILITY AND LOWER LIMB EXPLOSIVE PERFORMANCE IN ELITE FENCERS. Authors 1 1 C. Tsolakis , G.C. Bogdanis Affiliations 1 University Of Athens, Faculty Of Physical Education And Sport Science, Athens, GREECE Body This study examined the effects of two different warm-up protocols on lower limb power and flexibility in elite fencers. Sixteen international level fencers (8 males-8 females) performed two warmup protocols that included 5-min light jogging and either short (15s) or long (45s) static stretching exercises for each of the main leg muscle groups (quadriceps, hamstrings and triceps surae), followed by either 3 sets of 3 (short stretching treatment), or 3 sets of 5 tuck jumps (long stretching treatment), in a randomized crossover design with one week between treatments. Hip joint flexion was measured with a Lafayette goniometer before and after the 5-min warmup, after stretching and 8 min after the tuck jumps, while counter movement jump (CMJ) performance was evaluated by an Ergojump contact platform, before and after the stretching treatment, as well as immediately after and 8 minutes after the tuck jumps. Three way ANOVA (condition, time, gender) revealed significant time main effects for flexibility (p<0.001), with no interaction between factors. Flexibility increased by 6.2±1.1% (p<0.01) after warmup and by another 5.8±1.5% (p<0.01) after stretching, while it remained increased 8 min after the tuck jumps. CMJ performance remained unchanged throughout the short stretching protocol, while it decreased after stretching in the long stretching protocol, with no between-gender differences (-5.8±1.1%, p<0.01). However, 8 min after the tuck jumps, CMJ performance was not different from the baseline value (p=0.075). In conclusion, lower limb power may be decreased after long periods of stretching, but performance of explosive exercises may reverse this phenomenon. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title OXIDATIVE STRESS RESPONSE TO EQUAL CONTINUOUS MODERATE-INTENSITY VS HIGH-INTENSITY INTERVAL TRAINING LOAD IN MASTER ATHLETES Authors 1 1 1,2 3 1 A. Vezzoli , M. Marzorati , S. Porcelli , L. Pugliese , P. Cerretelli Affiliations 1 2 Institute Of Bioimaging And Molecular Physiology, Cnr, Segrate, ITALY, San Raffaele 3 Telematic University, Roma, ITALY, Department Of Sport, Nutrition And Health Sciences, University Of Milan, Milano, ITALY Body There is growing evidence that equal amounts of alternate high/low intensity (~80-40% of V’O2 max) training loads (HIT) are an effective option to continuous (~60%) exercise (CON), leading to improved performance in athletes and cardio-respiratory fitness in patients. Since oxidative stress is known to increase disproportionally to exercise intensity, HIT would therefore be expected to lead to a greater ROS accumulation. Aim. This study shows differential data of the oxidative stress response in master athletes undergoing HIT or CON protocols, compared on a matched-workload basis. Methods. Twenty healthy subjects (47.2 ± 7.4 yr) were assigned to CON (n = 10) or HIT (n = 10). Each group undertook 8 weeks of training running three times a week over the same total distance (9-13 km/day). Before (PRE-) and after (POST-) training resting levels of thiobarbituric acid-reactive substances (TBARS) and protein carbonyls (PC), were assessed in venous blood. In addition, 8-OH-2-deoxyguanosine (8-OH-dG), a marker of DNA oxidative damage, was determined in the urine. Standard immuno-enzymatic assays were adopted. Results. The main findings on oxidative response were: 1) TBARS levels in plasma were significantly reduced POST- vs. PRE- in both groups. 2) 8-OH-dG values were significantly reduced in POST- vs. PRE-, both in HIT and CON. 3) No significant changes in PC resting values were observed in both CON and HIT. Conclusions. Considering that the 5-km time performance improved in both groups, the present findings suggest that HIT, compared to CON, induces similar lower levels of oxidative stress. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title PERFORMANCE IN FORMULA ONE Authors 1 1 1 D. Zaccaria , R. Ceccarelli , E. Ungaro Affiliations 1 Scuderia Toro Rosso - F1 Professional Racing Team Medical Staff, Faenza (ra), ITALY Body OBJECTIVE: Despite Formula One (F1) is the pinnacle of motorsports there’s still a lack about research. That’s due to the fact that people who train drivers and are involved in their medical support have never been professional drivers themselves nor they have ever driven a F1 car. This means they don’t have first hand experience of physiological and psychological demands of these sports. This is why a little more research in F1 racing aimed to investigate driver’s effort during their performance is needed. DESIGN AND METHOD: In order to asses heart rate (HR) zones three lactate tests (cycling, running and hand bike) were performed on a Professional F1 Driver (21 years,176 cm,63.6 kg) Gran Prix , Free Practice and Qualifying session HR recordings (Polar® Sport Performance) were acquired during F1 season. RESULTS: Blood lactate and HR laboratory values are comparable to other professional athletes. Surprisingly the average driving HR is equal or higher than threshold values for the whole performance. HR pattern is different according to tack and weather conditions. When the Driver jumps out from the cockpit there’s evidence of a temporary shift towards parasympathetic dominance followed by a prompt resumption of sympathetic tone. CONCLUSIONS: The HR dynamics analysis: -provides more detailed and precise data at certain stages and actions during the race (turn, straights, braking, acceleration, pit-stops, overtaking). -describes cardiovascular adaptation to multiple G-force and parasympathetic withdrawal. We can postulate that there’s an important psychological involvement and give professionals involved in F1 the basis to develop an intensive athletic and mental training. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title LACTATE TEST VALUE IN YOUNG MALE ROAD CYCLISTS Authors 1 1 D. Zaccaria , M. Tornaghi Affiliations 1 Sports Medicine And Exercise - Cab Polidiagnostico, Barzanò (lc), ITALY Body OBJECTIVE : In Italy “Allievi” category is the link between youth sector and the first Union Cycliste Internationale category. The purpose of this study was to evaluate the development of descriptive physiological parameters as a control tool for training monitoring in a group of young cyclists (age 14.7±0.7 years, weight 61.7±0.6 kg, height 173.1±8.6 cm) during one season. DESIGN AND METHOD: 20 athletes performed an incremental test (100W + 30W/4 minutes) in preseason (PRE) and during the season (IN) on a Computrainer Racermate® Cyclosimulator. Heart Rate (bpm), Lactate (mMol) and Power Output (PO Watts) and Relative Power (RP Watts/Kg) were recorded. Onset of Blood Lactate Accumulation (OBLA) has been calculated. RESULTS: PO and RP are significantly higher at 2 mMol Lactate and 4 mMol Lactate value in IN than in PRE (156.4±21.6vs197.7±25.6 and 198.6±32.0vs239.1±34.3 Watts ; 2.5±0.3vs3.2±0.5 and 3.2±0.4vs3.9±0.5 Watts/Kg – p<0.01). IN Power at OBLA shows significantly higher value than in PRE (4.0±0.5 vs 3.5±0.4 Watts/Kg – p<0.01) Training induces lower mean heart rates under 4 mMol in IN than in PRE. CONCLUSIONS: Lactate test, representing the adaptation response, could be a reliable mean to plan training in young cyclists who get used to heart rate monitoring, . Moreover changes in lactate production and the heart rate response in a cycling season could be assumed as markers of external and internal load in youth cycling. XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title FORCE-VELOCITY AND POWER-VELOCITY RELATIONSHIP DURING CHEST PRESSES ON STABLE AND UNSTABLE SURFACE Authors 1 1 E. Zemkova , D. Hamar Affiliations 1 Faculty Of Physical Education And Sport, Department Of Sports Kinanthropology, Comenius University, Bratislava, SLOVAK REPUBLIC Body The study analyses force-velocity and power-velocity curves during chest presses at different weights with back supported by either stable bench or unstable Swiss ball. A group of 26 fit men (age 21.7±1.6 y, height 182.7±10.6 cm, weight 79.8±9.5 kg) performed in random order 3 reps of barbell chest presses on the bench and Swiss ball. Initial weight of 20 kg was increased by 10 kg up to at least 80% of previously established 1RM under stable conditions. A system FiTRO Dyne Premium was used to monitor force and velocity and to calculate power. Results showed significantly higher peak force under stable than unstable conditions, however, only at lower velocities of 0.8 m/s (324.2 N; p<.01), 1.0 m/s (287.5 N; p<.01), 1.2 m/s (232.8 N; p<.05), 1.4 m/s (212.2 N; p<.05). Also peak power was significantly higher during stable than unstable chest presses at lower velocities of 0.8 m/s (275.7 W; p<.01), 1.0 m/s (258.7 W; p<.01), 1.2 m/s (241.6 W; p<.01), 1.4 m/s (226.7 W; p<.05). On the other hand, there was a tendency to produce greater power at higher velocities under unstable than stable conditions. This may be ascribed so-called rebound effect of Swiss ball contributing to greater power potentiation when lifting lower weights. However, subjects were not able to utilize the elasticity of the ball and enhance power at higher weights. These findings indicate that significant differences exist in the ability to produce force and power at lower velocities during chest presses on the bench and Swiss ball. POSTER SESSIONS 28 SEPTEMBER Poster Sessions 28 September Poster Session 1 • Chairmen: R.A. Robles Cabrera (GUATEMALA); A. Bonetti (ITALY) Poster Session 2 • Chairmen: L. Magaudda (ITALY); L. Spigolon (ITALY) Poster Session 3 • Chairmen: G. Li (CHINA); F. Agrusti (ITALY) Poster Session 4 • Chairmen: M. Leglise (FRANCE); G. Ganzit (ITALY) 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ADAPTED PHYSICAL ACTIVITY AND DISABILITY Title EFFECT OF SPORT-THERAPY: SNOW-ADAPTED PHISICAL ACTIVITY IN WHELL-CHAIR INVALIDS Authors 1 D. Carlucci , B. Visconti, F. Bonaccorso, A. Damiolini, L. Vitali, M. Vitale, V. Coiro Affiliations 1 Graduate School In Physical Exercise And Sport Sciences-university Of Parma, Parma, 2 3 4 5 ITALY, Inail, Brescia, ITALY, Inail, Brescia, ITALY, Inail, Brescia, ITALY, Inail, Bresca, 6 ITALY, Graduate School In Physical Exercise And Sport Sciences-university Of Parma, 7 Parma, ITALY, Graduate School In Physical Exercise And Sport Sciences-university Of Parma, Parma, ITALY Body INTRODUCTION. Sport-therapy represents a useful tool to reach not only a whole physical and psychical well-being, but also a self-evaluation of the patient. In wheel-chair invalids, reduced catabolism may increase body weight, and thus risks of cardiovascular diseases. If physical activity is not enough, the independence of the patient decreases and can make the invalid unable to overcame even slight obstacles, such as sidewalk steps or slopes. PURPOSE (object). To establish whether a program of snow-adapted motor activity can improve physical and psychological capability. MATERIALS AND METHODS: Forty invalids were randomly divided in two groups: Group A followed a program of snow-adapted motor activity for 3 months, whereas Group C was without physical activity (control). Before and after this period, both groups underwent anthropometric, physical functional tests and psychological evaluations. Statistical analysis was performed with the Student T tests for paired and unpaired data. RESULTS AND CONCLUSIONS. In Group A, both physical and psychological tests showed significant positive changes either when compared to the pre-training period (P<0.001) or when compared to Group C. The response to small entity and intensity training was positive in subjects of Group A, and increased individual physical autonomy, socialization and affective life. BIBLIOGRAPHY Cooper RA et alii. J Rehabil Res Dev – 1999 ; 36 : 142-54 Noreau L et alii. Sports Med – 1995 ; 20 : 226- 50 Guttmann L. Handbook of clinical neurology – 1976 : Cap. 29 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ADAPTED PHYSICAL ACTIVITY AND DISABILITY Title THE “MUOVITI” PROJECT: CARDIO-PULMONARY AND STRENGHT TRAINING IN ELDERLY BASED ON INDIVIDUAL HEALTH STATUS. Authors 1 1 1 1 1 1 G. Corna , F. Lanfranconi , D. Tenderini , M. Ronchi , L. Pollastri , M. Bartesaghi , M. 1 1 Novarina , G. Miserocchi Affiliations 1 1department Of Experimental Medicine, Laboratory Of Clinical Physiology And Sport Medicine, Monza, ITALY Body Introduction: muscle weakness is considered an important co-factor/resultant in frail elders representing a major cause of morbidity and mortality following recurrent falls. Given the great variability of physical fitness in aging, we aimed at developing a training program tailored to individual health status. Purpose: project “MUOVITI” was intended to evaluate the feasibility and sustainability of individual training program in a groups of residents hosted in a sanitary structure with impaired cognitive status and/or decreased ability for daily life activities. Methods: thirteen elderly (4 males, 9 females); aged (mean±st.dev: 85.7±5.1 years) and weight (mean±st.dev: 62.2±14.3 kg) were submitted to an incremental exercise on cycle-ergometer until exhaustion to measure peak oxygen uptake. The maximum strength of the knee extensors was measured using a leg extension weight loaded system. The one repetition maximum load was defined as the highest weight the seated subject could lift one time from 90° of knee flexion to maximal knee extension. Results: the maximum oxygen uptake averaged 8.91 mL/min/kg with a coefficient of variation as high as 34%. The maximum strength for one repetition averaged 22.5 kg with a coefficient of variation also as high as 51%. No correlation was found by plotting the ratio of maximum oxygen uptake to maximum strength vs age. The results support a great variability in the functional parameters considering that are essentially dependent from health status more than inter-individual difference in age. We therefore set specific individual training programs to improve: endurance, resistance, flexibility, balance with the aid of sport scientists. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ADAPTED PHYSICAL ACTIVITY AND DISABILITY Title COMPARATIVE ANALYSIS OF FEMALE ATHLETES BODY COMPOSITION OF COMBAT SKILLS IN VENEZUELAN. Authors 1 M. Marelia E Guillen Mujica Affiliations 1 Ministerio Del Deporte De Venezuela, Caracas, VENEZUELA Body The evaluation of an athlete's weight alone is not sufficient in combat sports, it is essential to characterize the values of the components of body composition. Study Objectives: To determine the body composition of Venezuelan combat athletes for two core competencies. Materials and Methods: A descriptive study comparing the body composition variables in two-stage competitive sport of judo, karate and taekwondo. We studied 33 athletes battle being: 8 female judokas, 14 and 11 athletes from taekwondo karate team members who represented Venezuela in international competitions. We calculated the indicators of body composition by Withers et al, 1987 for females to be specific to high performance athletes. Results: We applied a Student test for independent samples to the results of both competitions with no significant differences between the groups analyzed, were found higher values of% fat to those of other authors the average was 15.7% -. An analysis of variance one-way (ANOVA) between the mean values found for sport and competition and there were no significant differences. Conclusions: The obtained results allow evaluating the components of body composition in athletes of both light and medium divisions and heavy in the competitive period in an objective as the proposed scales was obtained experimentally and serve as a reference in previous stages of the training. References: 1. K.Chan1 y cols. Kinathropometric profile of recreational taekwondo athletes Biology of Sport, Vol. 20 No3, 177. 2003. 2. Kazemi M y cols. Profile of Olympic Taekwondo ISSN 1667-4030 Site of Scientific Publications Group on Training. 2009 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title EFFECT OF ALCOHOL ON QT INTERVAL IN YOUNG ITALIAN SOCCER PLAYERS Authors 1 2 3 4 5 G. Attisani , I. Attisani , T. Di Gregorio , C. Ruberto , A. Castagna Affiliations 1 2 3 Centro Medico Fisios Srl, Ravenna, ITALY, Studio Medico Attisani, Locri, ITALY, 4 Azienda Ospedaliera Per L' Emergenza Cannizzaro, Catania, ITALY, Università Degli 5 Studi Magna Graecia, Catanzaro, ITALY, Ausl Di Modena - Uo Cure Primarie, Pavullo Nel Frignano, ITALY Body INTRODUCTION: The alcohol assumption create some changes in cardiac electrophysiological properties, The study aimed at exploring the correlation between the alcohol assumption and QT interval in young soccer players. METHODS: Electrocardiographic analysis of 1080 male athletes (Mean age 14,36, Std. Deviation 1,69, from 12 to 17 yr old) was performed. Subjects were classified as abstemious (739, 68,4%), and alcohol consumption ( 341, 31,6%). We have analyzed the HR and QT interval in basal ecg during pre-partecipation cardiovascular screening. RESULTS: the average QT interval in abstemious are 36,08 msec (st.dev 1,92) and in alcohol consumption are 38,42 (st dev. 2,08). We made a Levene’s Test for Equality of Variances (Sig: 0,00) we made a T test equal variances in order to verify the difference between means (alpha 0,05). The results are p=0,000. CONCLUSION: Since there is an interrelation between long QTc and risk of arrhythmias, our results and the young age of the soccer players suggest that the development of prevention programs that are specifically designed to meet the unique needs of the young athletes may be beneficial. Key words: ECG, soccer,QT interval 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title CORRELATION BETWEEN PULSE PRESSURE VALUES AND YEARS OF PRACTICE IN COMPETITIVE SOCCER Authors 1 2 G. Attisani , A. Castagna Affiliations 1 2 Centro Medico Fisios, Ravenna, ITALY, Ausl Di Modena - Uo Cure Primarie, Pavullo Nel Frignano, ITALY Body Aim of the study: The goal of this study was to evaluate the variation of the vascular stiffness related to the years of practice of soccer. We know that pulse pressure is the simplest surrogate measure of arterial stiffness and elevated values are increasingly being recognized as a risk factor for cardiovascular disease, particularly coronary disease. PP arises from the interaction of cardiac ejection (stroke volume) and the properties of the arterial circulation. Materials and Methods: We assessed a population of 226 male subjects who practiced soccer, prospectively examined in a Sport Medicine clinic. The athletes were selected by the age (from 30 to 40) and by number of years of playing soccer. Group A (n=109): athletes at first annual clinical examination for sport eligibility; group B (n=117) athletes who have made six or more consecutive annual visits. Systolic and diastolic blood pressure was measured, in according of COCIS 2009. Result: The average values of ulse pressure in A was 45,69 mmHg (SD= 12,28), the average values of pulse pressure in B was 39,88 mmHg (SD=17,96). T test for independent samples was: T=2.819, CI 95% from 1.75 to 9.87; p= 0.005 Conclusions: We observe a lower average value of pulse pressure amounted to 5.88 mmHg. We conclude that this lower pulse pressure is a indicator of hemodynamic adaptations, sports induced. It is conceivable that the measurement of arterial stiffness could become an important part of the routine assessment of athletes, both in sport medical practice. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title IMPACT OF RULES CHANGES ON KIND OF VERDICTS IN THE LAST 60 YEARS OF AMATEUR BOXING Authors 1 1 1 1 2 1 M. Bianco , G. Daniele , F. Giorgiano , V. Palmieri , M. Faina , P. Zeppilli Affiliations 1 Institute Of Internal Medicine And Geriatrics, Sports Medicine Unit, Catholic 2 University, Rome, ITALY, Study And Research Commission, Italian Boxing Federation, Rome, ITALY Body Introduction:in the last 60ys, several rules’ changes occurred in amateur-boxing (AB). Our aim is to evaluate their impact on kind of verdicts and possible implications on boxers’ health. Methods:from a web-research, the results of AB tournaments from 1952 to 2011 were reviewed. For each event, we collected the rate of knockout(KO), referee-stop-contest(RSC), RSC-Head(RSCH), RSC-Injury(RSCI), RSC-Overscore(RSCO, since 2000), abandon, disqualification and points verdicts. Our analysis investigates the changes occurred after the introduction of standing-count rule(1964), mandatory helmets (1984) and modification of bout formula (3x3, till 1997, 4x2 till 2008, 3x3 from 2009). Results:complete results were available in 198/269 tournaments(29357 bouts). With the standing-count rule, a RSCI rate increase (p<.03) was observed (0.72 to 2.42%). With mandatory helmets, there was a reduction of RSCI(2.04 to 0.60%,p<.001) and KO(6.31 to 3.78%,p<.03) rates, counterbalanced by higher RSCH(1.31 to 4.92%,p<.001) and RSC(9.71 to 13.05%,p<.03) rate and an increase in the sum of RSC,RSCH and KO rate (17.33 to 21.75%,p<.04). When bout formula was analysed, from 3x3 to 4x2, a rate reduction of KO(2.09 to 0.95%,p<.05),RSCH (3.71 to 1.41%,p<.001),RSC (14.79 to 5.91%,p<.001) verdicts and of their sum (20.59 to 8.27%,p<.001) was observed. After 2009 (back to 3x3), no differences occurred. Conclusions:changes in AB have been associated with modifications of the kind of verdicts, with possible implications on boxers’ health. The main impact of mandatory helmets was RSCI reduction. Bout formula changes had a key-effect on KO rate fall. However, other factors played a role: back to 3x3, the expected re-increase of bouts ended before time limits wasn’t observed. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title A CASE REPORT OF ACUTE MYOPERICARDITIS MIMICKING A STEMI IN ÈLITE CYCLIST: PITFALLS IN DIAGNOSIS AND TREATMENT Authors 1 M. Bolognesi , D. Bolognesi Affiliations 1 Sports Cardiology Center Medicine, Cesena, ITALY Body An emerging and fascinating aspect of sports medicine and cardiology are the diseases, which were widely reported in the literature, such as myocarditis and / or myopericarditis simulating acute myocardial infarction in particular, has created large implications of medical, psychological and prognosis in relation to the sports careers of elite athletes competitive. This case report describes and documents the clinical and instrumental procedures evolved a cyclist (MTB) of 58 years once again the importance of differential diagnosis in patients presenting with signs and symptoms of suspected or probable AMI in the absence of significant atherosclerotic disease of the vessels coronary, especially if athletes or individuals at a young age, with no particular cardiovascular risk factors and with a history suggestive of recent flu-like illness. No coincidence that the literature contains numerous reports of cases of people affected by myo(peri) carditis acute, which is able to simulate a clinically-based myocardial ischemic necrosis, and is widely known as the clinical presentation of myocarditis is quite variable. This case emphasizes the usefulness of magnetic resonance to distinguish heart and then confirm with some certainty the diagnosis of acute myocarditis in patients with symptoms, signs, biochemical, electrocardiographic and echocardiographic also suggestive of an acute myocardial infarction in the absence of coronary artery disease angiographically documented significant. The recommendations include some key aspects of the use of magnetic resonance imaging These recommendations then promote the MRI as the most reliable and non invasive diagnostic tool for multifocal myocarditis overcomign the endomyocardial biopsy which effective alternative. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title SPORT’S RELATED ANTERIOR ILIAC SPINES FRACTURES IN THE ADOLESCENT: SURGICAL AND CONSERVATIVE TREATMENT Authors 1 1 1 1 1 F. Calderazzi , F. Pogliacomi , M. Paterlini , T. Corsini , F. Ceccarelli Affiliations 1 Orthopaedic Clinic Parma University-hospital, Parma, ITALY Body Aim of the study: Iliac spines are apophysis of the pelvic ring that might be involved in avulsion traumas in adolescent in many sport activities due to a sudden and forceful contraction of the muscles where they take origin. Soccer players, gymnast and high jumpers are commonly affected. Treatment could be conservative or surgical according to the size and the amount of the dislocation of the fragment. The aim of this study is to define the correct approach to these lesions in adolescent athletes by evaluating the outcomes in our series of cases. Materials and methods: Between 1988 and 2009 we treated 28 patients with a mean age of 16 years. 20 cases were treated surgically and 8 conservatively. All patients were evaluated clinically and radiographically after an average follow-up of 75 months. Patients were assessed with the Non-arthritic Hip Score. Return to sport performance was always recorded. Results: Mean Non-arthritc Hip Score was 97,2 points and return to full sport activity averaged 81 days. In 9 cases radiographs showed heterotopic bone formation. Three out of the 20 patients operated developed a postoperative transitory lateral femoral cutaneous nerve impairment which resolved spontaneously after a mean period of 6 months. Conclusion: The incidence of these fractures is steadily increasing in young population due to the earlier and more intensive sports activity. Primarily, in order to avoid surgery-related complications such as meralgia paresthetica and infections, we prefer conservative treatment. When fragment size is more than 2 cm and is dislocated more than 2 cm surgical treatment is indicated and we recommend a fixation with screws for a more stable fixation and an earlier recovery. KEYWORDS: fractures iliac spines - avulsion fractures - apophysis fractures - young pelvic 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title INFLAMMATORY MYOPATHY AS AN UNUSUAL CASE OF BICEPS BRACHII SHORT HEAD RUPTURE Authors 1 2 M. Chung , S. Im Affiliations 1 2 The Catholic University Of Korea, St. Paul's Hospital, Seoul, SOUTH KOREA, The Catholic University Of Korea, Bucheon St. Mary's Hospital, Bucheon-si, SOUTH KOREA Body Introduction Rupture of the short head of the biceps brachii is rare and is most often associated with trauma. Case A 49-year-old woman was referred to our clinic for right chronic shoulder pain, which had failed to show any relief after months of physical therapy and analgesics. Physical examination showed full range of motion with no impingement sign except for mild proximal weakness of MRC 4 in all four extremities. Of interest, the medial muscle bulk of the right biceps was palpated at the lower arm with a positive Popeye’s sign. Plain images from the biceps muscle showed discontinuation of the biceps short head muscle fiber with surrounding fluid collection. The patient underwent magnetic resonance imaging (MRI) studies for further evaluation. MRI images showed rupture of the right biceps brachii at the the short head myotendinous junction with surrounding signal intensity changes. However, these signal changes were also observed in the coracobrachialis, brachialis, and the lateral and long head of triceps muscles, raising the possibility of myopathy. Laboratory tests revealed elevated serum CPK, LDH, AST, and ALT levels. Nerve conduction studies were normal but electromyographic findings showed denervation potentials in all limbs with small amplitudes, short duration motor unit action potentials with increased polyphasities in all tested extremities, suggesting inflammatory myopathy. Conclusion This case draws attention to the fact that although rupture of the biceps short head is most often associated with trauma and sports-related injuries, it can be rarely associated with inflammatory myopathy. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title VARIATION IN THE STEP LENGTH DURING BACKWARD WALKING AFTER ANTERIOR CRUCIATE LIGAMENT DEFICIENCY Authors 1 K. Corona , D. Viggiano, S. Cerciello, M. Vasso, A. Schiavone Panni Affiliations 1 Department Of Health Sciences, Università Del Molise, Campobasso, ITALY Body Introduction. The Anterior Cruciate Ligament (ACL) has a pivotal role for the stability of the knee. However, it also plays a proprioceptive role in static and dynamic conditions, such as walking. Surgical ACL reconstruction can restore the biomechanical asset of the knee, whereas the proprioception may remain abnormal. In the present paper we exploit the use of a testing procedure based on backward walking, which requires the integration of both proprioceptive and vestibular informations. Materials and methods. Patients with complete untreated ACL tear (n=6), with reconstructed ACL (n=15) and control subjects (n=15) were enrolled in the study. Healthy subjects and patients were comparable for age, weight and height. All subjects were soccer athletes. Knee proprioception was tested using the threshold for passive knee motion. Subjects were then asked to walk on a level treadmill at increasing speed from 1 to 5 km/h in forward and then in backward directions, wearing passive reflective markers to study body kinematics. Results. Patients with ACL reconstruction showed a restoration of knee proprioception, to a level similar to the healthy subjects. At variance, subjects with ACL deficiency showed a decrease in their knee proprioception. Moreover, using the backward walking test we found a longer step size in non-operated subjects, particularly at higher speed, whereas operated subjects showed a performance similar to control subjects. Conclusion. ACL deficiency leads to sensory deficits and variation in the step size during backward walking as compared to healthy individuals and operated patients. This is the consequence of the change of proprioceptive information and could lead to diminished functional responsiveness to the environment demands. Therefore, the backward walking test might be used as a simple tool to indirectly test proper knee proprioception. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title FEATURES NEUROLOGICAL SYMPTOMS IN BOXERS WITH TRAUMATIC BRAIN INJURY Authors 1 I. Dekhtiarov , A. Muravskiy, S. Kolossovskiy Affiliations 1 2 Ukrainian Center Of Sport Medicine, Kyiv, UKRAINE, National Medical Academy Of 3 Postgraduate Education Named P.l.shupik, Kyiv, UKRAINE, Boxing Federation Of Ukraine, Kyiv, UKRAINE Body The aim: to study the clinical symptoms of neurological syndromes in the selection of boxers who had a history of repeated traumatic brain injury (TBI). Material and methods. Under supervision there were 158 boxers amateur level qualifications, who had a history of repeated TBI. The number of boxing matches ranged from 25 to 375, the total number of TBI in the form of knockdown (knockout) ranged from 1 to 15. Boxers were in training camp. In boxers studied complaints, analyzed clinical symptoms to the selection of neurological syndromes. Results. Most of our study made boxers-men - 129 (81.65%), women were 29 (18.35%). Among male dominated two age groups 21-25 years (41.09%) and 16-20 years (36.43%). The most frequently diagnosed autonomic dysfunction syndrome (49.37%), cephalgic (46.20%) and cerebrastenic (33.54%) syndromes. Among the boxers male dominated autonomic dysfunction syndrome and cephalgic syndrome, among boxers women - cephalgic and cerebrastenic syndromes. If men liquor hypertensive syndrome occurred in 22.48% of cases, the women - not met even once. Extrapyramidal syndrome in women met four times more often and dyssomnia three times more often than men. Describing the frequency of neurological syndromes, depending on the amount of spent matches, can be concluded that the group of boxers who had over 200 fights often met all neurological syndromes except cerebrastenic. Conclusions. In boxers with repeated mild TBI found a number of neurological syndromes. Among them was dominated autonomic dysfunction syndrome, cephalgic and cerebrastenic syndromes. Most neurological syndromes occur in boxers who have spent more than 200 matches. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title TREATMENT OF HIP OSTEOARTHRITIS WITH ULTRASOUND-GUIDED INJECTION OF A NEW HYALURONIC ACID (HYMOVIS-HYADD4): OUR EXPERIENCE AND PRELIMINARY RESULTS Authors 1 G. Francavilla Affiliations 1 2 Policlinico Paolo Giaccone, Palermo, ITALY, Ospedale S.antonio Abate, Trapani, ITALY Body AIM OF THE STUDY: To evaluate the effectiveness of treatment with platelet-rich plasma (PRP) of partial tears of the posterior cruciate ligament in young athletes. MATERIALS AND METHODS: We enrolled nine patients (6 men and 4 women, age range: 18-39 years, mean age: 27 years) who had suffered a partial tear of posterior cruciate ligament diagnosed by MRI and ultrasound. We performed a single ultrasound-guided injection of PRP. The clinical outcome was assessed using a visual-analogue scale (VAS) of pain on the day of injection (T0), after three weeks (T1), after six weeks (T2); in addition, to assess the structure of the ligament, we repeated ultrasound at T1 and T2, and MRI at T2. RESULTS: A statistically significant improvement in pain index and a reduced recovery time in sporting activities has been observed in all patients already at T1. The ultrasound images confirmed a marked reduction of inhomogeneities of fibrillar architecture at T1 and a complete recovery at T2, confirmed by MRI. CONCLUSIONS: The first clinical results are encouraging, indicating that the PRP injections have the potential to accelerate the return to sport activity in young athletes who have suffered a partial tear of posterior cruciate ligament. REFERENCES: Mishra A, et al. Treatment of tendon and muscle using platelet-rich plasma. Clin Sports Med 2009; 28:113-125. Sampson S, et al. Platelet rich plasma injection grafts for musculoskeletal injuries: a review. Curr Rev Musculoskeletal Med 2008; 1:165-174. Owens RF Jr, et al. Clinical and magnetic resonance imaging outcomes following platelet rich plasma injection for chronic midsubstance Achilles tendinopathy. Foot Ankle Int 2011; 32(11):1032-9 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title INTRATENDINOUS DISTRIBUTION OF ACHILLES TENDINOSIS Authors 1 2 3 L. Geukens , M. Bultheel , K. Peers Affiliations 1 2 3 Uz Leuven, Leuven, BELGIUM, Uz Leuven, Leuven, BELGIUM, Uz Leuven, Leuven, BELGIUM Body Objective To describe the variation in the location of the intratendinous zone of tendinosis in the Achilles tendon. Design Retrospective Methods The ankle ultrasound scans of all patients who presented during 2010 in the University Hospital of Leuven with pain in the Achilles region were retrospectively analysed and classified. Classification occured into the following three categories: tendinosis, reactive tendinopathy or other (e.g. normal scan, peritendinopathy, bursitis,...). The tendinosis group was subdivided according to the location of the tendinosis zone into proximal or insertional, which were further subdivided into anterior, posterior or both. Results The ultrasound scans from 395 tendons. In 55,5% of the patients with pain in the Achilles region tendinosis was seen, in 18,8% reactive tendinopathy and in 25,7% something else. The results showed that in 68,2% the tendinosis zone was proximal, whereas in 31,8 % it was insertional. The proximal tendinosis zone was mostly found right across the width of the tendon (57%), but also anteriorly (15,2%) and posteriorly (27,8%). The insertional tendinosis zone however was mostly found posteriorly (49,3%), followed by anteriorly (27,3%) and then across the width of the tendon (23,4%). Conclusions This study provides a better view on the relative distribution of the tendinosis zone in Achilles tendinopathy. However, further research is needed to determine whether a difference in treatment approach according to the location of the tendinosis zone is necessary. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title CHRONIC EXERTIONAL COMPARTMENT SYNDROME OF THE FOREARM Authors 1 M. Henriques Affiliations 1 Centro Hospitalar Lisboa Norte - Department Of Physical And Rehabilitation Medicine, Lisboa, PORTUGAL Body Objective: Recognize the chronic exertional compartment syndrome of the forearm as a common and underestimated cause of disabling pain among manual workers and athletes across a variety of sports. Design and Method: Review of the literature available on Pubmed data-base and Google Scholar after searching for “exertional compartment syndrome” and “forearm”. Results: The chronic exertional compartment syndrome is defined as an intermittent and reversible pathologic elevation of compartment pressures following exertion. There are few reports where the forearm is affected; its typically benign presentation difficult the diagnosis, but it can significantly affect both athletic performance and quality of life. Anatomically, forearm can be described as containing three muscular compartments in addition to the osseous compartments. This pathology diagnosis is based on a characteristic clinical history and intra-compartmental pressures measurement. Treatment can be conservative or surgical, but only the last one is definitive. Conclusions: Forearm complaints during exercise that resolve at rest shouldn’t be ignored. An early diagnosis and treatment ensure the capacity of performing any activity and prevent future complications. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title LABORATORY PARAMETERS RELATED TO DIFFERENT SPORTS IN YOUNG SPORT PLAYERS Authors 1 1 1 1 1 1 I. Karagjozova , B. Dejanova , J. Pluncevic , S. Petrovska , N. Nikolovska , S. Nikolic Affiliations 1 Institute Of Physiology, Medical Faculty, University Ss. Cyril And Methodius, Skopje, FORMER YUGOSLAV REPUBLIC OF MACEDONIA Body The aim of the study was to evaluate laboratory parameters in different sports concerning influence of exercise intensity to total energy expenditure. Three groups of sport players at age of 14.8±1.5 years were examined: soccer players (SP) - intermittent high intensity sport with moderate to high dynamic and low static demands (n=21); water polo players (WP) - high intensity with moderate to high dynamic and static demands (n=19); and karate players (KP) - skill based sport with low dynamic and moderate to high static demands (n=20). The following parameters were investigated: body weight (BW) and body height (BH), body mass index (BMI), muscle mass (MM) and bone mass (BM), maximal oxygen uptake (VO2), heart rate during 10 minute treadmill exercise; and hematological parameters. While BW and BH did not show any difference among the groups, the highest BMI, 24±3.8kg/m² (p<0.001) and MM 54±3.2% (p<0.05) with the lowest BM 17±1.9% were found in WP. The highest VO2 of 42.4±4.5 ml/kg/min was found in SP v.s. the lowest one in WP of 37.25±7.9ml/kg/min (p<0.01). Heart rate at 10th min. exercise: in SP-156±10/min, in KP-161±12/min. and in WP-162±12/min. No differences were found for hematological parameters among the sport player groups. Due to obtained results, we may conclude that SP have the highest performances regarding to the specific requirements. These findings show that much more strength and endurance are related to high intensity sport with high dynamic demand such as soccer than moderate intensity and low dynamic sports such as water polo and karate, respectively. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title INDIRECT ULTRASOUND GUIDANCE INCREASED ACCURACY OF THE GLENOHUMERAL JOINT INJECTION USING THE SUPERIOR APPROACH Authors 1 2 3 D. Park , J. Kim , M. Kim Affiliations 1 2 The Catholic University Of Korea, Seoul, SOUTH KOREA, The Catholic University Of 3 Korea, Seoul, SOUTH KOREA, The Catholic University Of Korea, Seoul, SOUTH KOREA Body Objective: We reported the accuracy of the superior glenohumeral joint injection and side effects of biceps tendon penetration. The aim of this study was to investigate whether or not indirect ultrasound guidance could increase accuracy of the glenohumeral joint injection using the superior approach. Design and Method: Twelve shoulders from 7 adult cadavers were anatomically dissected after a dye injection had been performed, with cadavers in the supine position. Before the injection, a clinician determined the injection point using the ultrasound and more internal axial arm rotation compared previous study was positioned. Injection confidence scores and injection accuracy scores were rated. Results: The clinician’s confidence score were high in 92% (11 of 12 shoulders) and injection accuracy scores were 100% (12 of 12 shoulders). The long heads of biceps tendons were not penetrated at all. Conclusions: Indirect ultrasound guidance and positioning shoulder internally rotated at 60-70 degree during the superior glenohumeral joint injection would be very effective way to avoid damage to the long head of biceps tendons and to get high accuracy of injection. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title CYCLOPS SYNDROME Authors 1 1 1 1 1 2 2 L. Lima , I. Popik , P. Casalta , M.I. Simões , V. Ermida , F. Agostinho , J. Cardoso , J. 1 Caldas Affiliations 1 2 Centro Hospitalar Tondela Viseu - Department Of Pmr, Viseu, PORTUGAL, Centro Hospitalar Tondela Viseu - Department Of Orthopedics, Viseu, PORTUGAL Body CYCLOPS SYNDROME Lima. L., Popik I., Casalta P., Simões M.I., Ermida V., Agostinho F., Cardoso J., Caldas J. Objectives: We pretend to describe the surgery and rehabilitation program targeted for two active individuals with cyclops syndrome. Methods: We describe two case reports of young male athletes who developed symptoms and nodule in the anterior cruciate ligament after reconstruction surgery. Results: The cruciate ligaments are a crucial intra-articular structure essential for the normal function of the knee. They are frequently injured during complex movements in sports and is a common debilitating condition that may keep the athlete away from competition for long periods of time. One of the most used treatments for the pathological laxity of the anterior cruciate ligament is the endoscopic reconstruction with patellar tendon autograft, although not without its complications. One of them is the cyclops syndrome, which is the formation of a fibrous nodule (termed cyclops nodule). This complication has been reported in the last years mainly as a result of anterior cruciate ligament reconstruction and, not so commonly, after partial lesion without surgical intervention. Conclusion: The rehabilitation program, along with the surgical technique, is of paramount importance in the prevention and treatment of the Cyclops syndrome. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title AVOIDING CHRONIC COMPLICATIONS OF THE ANKLE SPRAIN – DESCRIPTION OF AN EVIDENCE-BASED REHABILITATION PROGRAM Authors 1 1 1 1 1 1 L. Lima , I. Popik , P. Casalta , M.I. Simões , V. Ermida , F. Agostinho, J. Caldas Affiliations 1 2 Centro Hospitalar Tondela Viseu - Department Of Pmr, Viseu, PORTUGAL, Centro Hospitalar Tondela Viseu - Department Of Orthopedics, Viseu, PORTUGAL Body AVOIDING CHRONIC COMPLICATIONS OF THE ANKLE SPRAIN – DESCRIPTION OF AN EVIDENCE-BASED REHABILITATION PROGRAM Lima L., Popik I., Casalta P., Simões M.I., Ermida V., Agostinho F., Caldas J. Objectives: We pretend to create a simple, easy to apply and evidence based rehabilitation program, taking into account the severity of the ligamentous disruption in cases of ankle sprain. Design and Method: We searched databases from MEDLINE and Cochrane Library in order to develop a systematic review of the latest randomized controlled trials available. Results: The ankle sprain is one of the most common sport related injuries and may include lateral and medial ankle sprain and also syndesmotic sprain. It is well known that the risk of subsequent ankle sprain in the active athlete is very high. The recurrence of this problem is related to the possibility of developing chronic ankle instability. Conclusion: A good rehabilitation program is essential in order to avoid the recurrence of the sprain and its chronification. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title ACUTE ORBITAL COMPARTMENT SYNDROME: A RARE BUT THREATENING SEQUELAE OF SPORT INJURY Authors 1 2 3 3 1 E. Magaudda , I. Varley , A. Kanatas , L.M. Carter , F.S. De Ponte Affiliations 1 2 Department Of Maxillofacial Surgery, University Of Messina, Messina, ITALY, Department Of Oral & Maxillofacial Surgery, Bradford Teaching Hospital, Bradford, 3 UNITED KINGDOM, Department Of Oral & Maxillofacial Surgery, Leeds Dental Institute, Leeds, UNITED KINGDOM Body OBJECTIVE: Acute orbital compartment syndrome is a rare but treatable complication of increased pressure within the confined orbital space. The condition presents with recognizable physical findings and progressive visual deficit. We present clinical cases that illustrates the concept of acute orbital compartment syndrome, each different aetiology and their outcome following emergency intervention. METHODS: Orbital compartment syndrome can occur in fractures of the zigomatico-orbital complex following sports injuries. We present clinical examples of this syndrome with varying aetiology, describing their management and outcomes, RESULTS: the emergency procedure of choice for acute acute visual acuity loss assosieted with acute orbital compartment syndrome is dissection of the lateral canthus and disinsertion of canthal tendon, wich allows complete mobility of the lower eyelid. CONCLUSION: the rapid diagnosis and management of sight threatening acute orbital compartment syndrome are the treatment of choice. Although the mechanism of causation was different in each of the presented cases, all presented with similar discernible physical signs and symptoms indicating impending irreversible visual deterioration: all that reinforces the need for early intervention. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title THE USE OF THE ORCHARD SPORTS INJURY CLASSIFICATION SYSTEM (OSICS) VERSION 10.1 WITHIN A MILITARY SPORTS MEDICINE CLINIC Authors 1 K. Micallef Stafrace , T. Loney, M. Al Shehhi Affiliations 1 2 Institute For Physical Education & Sport, University Of Malta, Msida, MALTA, Department Of Community Medicine, Faculty Of Medicine And Health Sciences, United 3 Arab Emirates University, Al Ain, UNITED ARAB EMIRATES, Sheikha Fatima Women Sports Academy, Abu Dhabi, UNITED ARAB EMIRATES Body The Orchard Sports Injury Classification System is one of the world’s most commonly used systems for coding injury diagnosis in sports injury surveillance systems. It was developed in 1992 and is available for free. The OSICS-10.1 was released in 2010 and is a slightly updated version of OSICS-10. Like the OSICS-10, OSICS-10.1 uses a 4 character system and by virtue of a greater number of codes, is able to give more comprehensive diagnostic differentiation. The aim of this research was to review the practicality of the OSICS 10.1 within the Military. Data was collected from a twice weekly sports medicine clinic that was held within a regional military base in the Middle East. Over a 12 month period spanning 2010 and 2011, 1944 visits were registered, of which 630 were new cases. The new cases were classified utilizing the 4 character system of the OSICS 10.1. The findings indicated an injury distribution that was similar to the findings in other military studies with preponderance for lower limb injuries (53%) and torso injuries (21%). This study further emphasized that the OSICS 10.1 is an efficient and practical classification for sporting injuries. Its utilization within the military setting carries merit. However, the introduction of certain parameters pertinent to the military scenario, such as recruitment findings, would possible make this system a more encompassing one. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title ACUTE BRIEF HIGH-INTENSITY INTERMITTENT EXERCISE INCREASES QTC INTERVAL IN OBESE ADULTS Authors 1 1 1 J. Nie , Q. Shi , C.K. Lao Affiliations 1 School Of Physical Education And Sports, Macao Polytechnic Institute, Macao, MACAU Body Low-volume high-intensity intermittent training has been shown to produce substantial improvements in aerobic exercise capacity and glycemic homeostasis. Thus, this novel time-efficient training paradigm has been suggested to use as a strategy to reduce metabolic risk factors in sedentary populations. However, whether an acute low-volume high-intensity intermittent exercise (LHIE) would affect QTc interval, an index of ventricular depolarization/repolarization, is not known. The purpose of this study was to examine QT interval before and after an acute LHIE bout. Eleven obese sedentary adults (age: 25.3 ±4.8yr; BMI: 32.4 ± 3.9) performed a LHIE session consisted of four “all-out” 30-s Wingate tests with 4 min of recovery. QT interval (corrected by heart rate, QTc) was measured pre-exercise, immediately post-exercise and at 30-min intervals thereafter within 180 min. QTc length increased (vs. pre-exercise: 419±14 ms, p<0.05) immediately (462±11), 30min (447±15 ms) and 60min (438±17 ms) after HIE, with an incomplete return at 90min (426±17ms, p=0.06) post-exercise. QTc length had returned to baseline by 120 min (421±20ms) post exercise. Thus, during recovery from acute HIE, there is prolongation of depolarization and repolarization of the ventricles. Given drugs that produce mild QT prolongation (i.e., 5–10ms) in healthy individuals have been found to induce much greater and clinically relevant prolongation in susceptible populations (Indik et al. 2006), it is reasonable to speculate that risk of untoward cardiovascular events is increased following such exercise, especially in at-risk populations. Reference Indik JH, et al. Heart Rhythm 2006; 3: 1003-7 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title FAST-ECHO METHOD FOR SCREENING AORTIC BICUSPID VALVE IN COMPETITIVE ATHLETES: OBSERVATIONS OF A SPORTS MEDICINE CENTRE Authors 1 1 G. Saba , G. Boni Affiliations 1 2 Sports Medicine Center, Foligno, ITALY, Sports Medicine Center, Foligno, ITALY Body From January 2008 to January 2012 the echocardiographic method (FAST-ECHO) was used for routine testing of athletes. 996 asymptomatic athletes were observed consecutively. Echocardiography allowed us to identify 11 athletes (1.1%) with bicuspid aortic valve (BAV). These subjects underwent a complete cardiological check-up and in all eleven athletes the diagnosis of bicuspidia was confirmed. Of these 11 athletes, 10 (90.9%) presented the most frequent phenotype, ie. antero-posterior (R-L) and 1 the right-left (R-N) phenotype. In 2 subjects (18.18%) an ectasia (<45mm) of the aortic ascendant was observed. One of these subjects presented an association with the right-left phenotype. Of those remaining , 5 (45.45%) had no valvular problems, 3 (27.27%) presented a mild and hemodynamically irrelevant aortic insufficiency , 1 subject (9.09%) presented a mild-moderate regurgitation and 1 subject (9.09%) presented a mild valvular steno-insufficiency. All subjects continue in physical activity and follow-up – no drop-outs reported. Conclusions The addition of the echocardiographic method FAST ECHO in sports medicine testing allowed for the diagnosis of a congenital cardiopathy such as bicuspid aortic valve (often misdiagnosed) in asymptomatic athletes, in which the pathology was not yet known. Given that only a brief training period is necessary in M and B-Mode and Color Doppler echocardiography with a cardiologist as tutor the benefits are clear. Hence, FAST-ECHO should become an integral part of routine screening of both amateur and competitive athletes. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title BLOOD PRESSURE RESPONSE TO PHYSICAL EXERCISE IN CHILDREN PARTICIPATING IN DIFFERENT SPORT DISCIPLINES. Authors 1 2 1 K. Szmigielska , A. Szmigielska-kaplon , A. Jegier Affiliations 1 2 Departament Of Sports Medicine, Medical University Of Lodz, Lodz, POLAND, Departament Of Hematology, Medical University Of Lodz, Lodz, POLAND Body Introduction: The aim of this study was to characterize the blood pressure response to physical exercise in young athletes. Material and method: We studied 711 young athletes (457 boys, 254 girls) between the ages of 10 to 18 years (mean age 13,41 ± 3,12 years) training different sports disciplines. Studied subjects trained for 1 hours to 24 hours per week, an average of 7,62 hours ± 4,2 hours. They have been training for 1 year to 15 years, an average of 4,01 ± 2,5 years. All of studied subjects underwent physical examination and submaximal, symptom-limited, multistage protocol exercise test on cycloergometr. Blood pressure measurements were performed at rest, in the third minute of each stage of the exercise test and during the restitution. Results: Mean systolic blood pressure measured at the peak of exercise was significantly higher in boys than in girls (181,8 ± 29,39 mmHg and 165,1 ± 23,1 respectively) while mean diastolic blood pressure measured at the peak of exercise was 77,6 ± 7,7 mmHg in boys and 75,1 ± 8,35 mmHg in girls. These values did not differ significantly between children training various sport disciplines, but were dependent on age. Relation between blood pressure, the load during exercise test and the age of young athletes was shown by the linear regression model. Conclusions: Analysis of the results enabled to describe the reference values of blood pressure measurements during exercise which in practice will be helpful in early diagnosis of hypertension or white coat hypertension in young athletes. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title THE MEDICAL AND PSYCHOSOCIAL NEEDS OF HAITIAN PAN AMERICAN AND OLYMPIC ATHLETES: AN OPPORTUNITY TO SUPPORT RESILIENCE AFTER A DISASTER Authors 1 2 E. Yim , G. Ciottone Affiliations 1 Beth Israel Deaconess Medical Center - Department Of Emergency Medicine, Boston, 2 USA, Harvard Medical School - Section Of Disaster Medicine, Boston, USA Body OBJECTIVE: We describe the burden of medical and psychosocial distress affecting elite athletes relative to the general population of Haiti after the 2010 earthquake. DESIGN AND METHOD: The study group comprised 111 athletes, aged 12-18 years, training for the Pan American and Olympic games. The control group comprised an equal number of age- and gender- matched children from the general population. Medical teams assessed subjects using history and physical examination, while psychosocial teams employed the Child Psychosocial Distress Screener. A p-value < 0.05 was statistically significant. RESULTS: The most prevalent medical complaint in athletes was musculoskeletal pain, which was significantly more common than in the controls (49.0% versus 2.9%). All other medical complaints were significantly more common in the controls than athletes: abdominal pain (28.8% versus 4.8%), headache (22.1% versus 5.8%), fever (15.4% versus 1.0%), and malnutrition (18.3% versus 1.9%). In contrast, there was no significant difference in mean psychosocial scores and the proportion of scores indicating treatment between athletes and controls. CONCLUSIONS: Haitian athletes have a low prevalence of most medical complaints after the disaster, suggesting that they may be protected from risk factors affecting the general population. However, athletes have a high prevalence of musculoskeletal ailments and were not protected from psychosocial distress. This presents an opportunity for sports medicine physicians and mental health providers to engage in efforts to rebuild Haiti on an individual level by providing targeted care to athletes and on a larger scale by supporting international sports competition, which enhances human capital and facilitates public diplomacy. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title THE KINEMATICS OF ANATOMICAL SINGLE-BUNDLE AND DOUBLE-BUNDLE ACL RECONSTRUCTION IN MEDIAL MENISCUS-DEFICIENT KNEES Authors 1 2 2 2 1 J. Zhou , M. Linde-rosen , P. Somolinski , G. Li , F.H. Fu Affiliations 1 2 National Insititute Of Sports Medicine, Beijing, CHINA, 1university Of Pittsburgh, Department Of Orthopaedic Surgery, Pittsburgh, USA Body Objective: To investigate the effect of SB and DB ACL reconstruction in the medial meniscus-deficient knee. Methods: Sixteen fresh frozen knees were divided into single-bundle and double –bundle reconstructed groups. A robot/universal force moment system (UFS) testing system was used to test anterior tibial translation (ATT), internal rotation (IR) and external rotation (ER) . Test was performed on the intact knee, medial meniscus-deficient knee, after ACL resection and single-bundle or double bundle anatomical ACL reconstruction.All the ACL reconstructions were done by three-portal technique. For DB group, the AM and PL tunnel positions were selected in the middle of AM and PL insertion sites on both femur and tibia. For the SB group, the tibial and femoral tunnels were drilled between the center of AM and PL insertion sites of the tibia and femur. Results: There is significant difference for IR and ER degree between the medial meniscus deficiency status and ACL deficiency status. (P<0.01) Anatomic double-bundle reconstruction group reduced ATT more than anatomic single-bundle group in 30 and 60 degree knee flexion(P<0.05) especially in 60 degree(P<0.01). Anatomic double-bundle reconstruction can decrease more IR angle than anatomic single-bundle. Conclusion: Medial meniscectomy showed some effects on internal and external rotation in 30 and 60 flexion degrees. Anatomic double-bundle ACL reconstruction could reduce internal rotation laxity compared with the anatomic single-bundle ACL reconstruciton in medial meniscus deficient model. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title NON INVASIVE CARDIOVASCULAR SCREENING OF COMPETITIVE ATHLETES BY AUTOMATED MEASUREMENT OF CAROTID ARTERIAL WALLS CHANGES Authors 1 M. Mokhtari Dizaji Affiliations 1 Tarbiat Modares University, Tehran, IRAN Body Sudden death in athletes is due to cardiovascular diseases. In young athletes, the leading causes are congenital cardiac diseases. But most of deaths in older athletes are due to coronary artery disease. Therefore, in order to prevent sudden death, it is better that the athletes were screened for the cardiovascular diseases before competition. Functional disturbances of the vascular wall may occur early in the atherosclerotic process even before the anatomical changes of intima-media thickening become perceptible. Therefore the study of dynamic arterial wall properties in major arteries is becoming more common. This study focuses on a computerized analyzing method for the detecting the instantaneous changes of the far and the near walls of the common carotid artery in sequential ultrasound images by applying the maximum gradient algorithm. The algorithm was evaluated in in-vivo study on the common carotid artery of 10 healthy volunteers. Local measurements of vessel intensity, intensity gradient and boundary continuity are extracted for all of the sequential ultrasonic frames throughout three cycles. We extracted the instantaneous changes of the far the near arterial walls and so the lumen diameter. The manual measurements were applied and compared for validation of automatic method. Then peak systolic, end diastolic and mean diameters extracted by automated method were compared with the same parameters measured by manual method throughout three cycles. It is proposed that by extraction of the instantaneous movement of arterial walls, we can detect atherosclerosis in the early stages of disease process 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title MUSCULOSKELETAL DISORDERS AND ERGONOMIC STATUS IN ISFAHAN’S TEACHERS Authors 1 1 2 M. Afzalpour , S. Ilbeigi , G. Ghasemi Affiliations 1 University Of Birjand, Department Of Physical Education And Sport Sciences, Birjand, 2 IRAN, University Of Isfahan, Department Of Physical Education And Sport Sciences, Isfahan, IRAN Body Objective: The aim of research is determine musculoskeletal disorders prevalence and ergonomic status in Isfahan’s teachers and effects of selected corrective exercises on work-related musculoskeletal problems. Design and Method: Statistical society were elementary school theachers(N=650) of Isfahan city. Nordic questionnaire was distributed among 230 teachers and 30 out of whom suffering from musculoskeletal disorders were identified samples. Nordic questionnaire was used for study of work-related musculoskeletal disorders of prevalence. In the present study it is determined 4 occupational tasks for teachers and Quick Exposure Check and photography were applied for collecting data. It is applied 8 weeks corrective exercises and ergonomic intervention for reduction of musculoskeletal problems. Results: Results showed that the prevalence rate of musculoskeletal disorders was as follows: in lumbar(62.2%), neck(47.4%), shoulder(45.2%), knee(42.2%) and wrist/hand(36.1%) respectively. According to the results of Quick Exposure Check, 75% tasks of the studied teachers were in high level. Following 8 weeks corrective exercises and ergonomic intervention significant improvements were observed in the rate of lumbar disorders, shoulder, neck and wrist/hand(p<0.05) so that neck(70%), lumbar(66.66%), shoulder(53.33%) and wrist(50%) pains. Conclusion: According to the results, the prevalence rate of musculoskeletal disorders in the studied teachers was rather high and the corrective exercises and ergonomic intervention reduced musculoskeletal disorders in teachers, therefore correction of body posture during teaching is recommended. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title ADHERENCE TO CARDIAC REHABILITATION Authors 1 1,2 1 1 1 F. Albuquerque Drummond , G. Rosito , M. Vanoni , H. Pinheiro , D. Soares , T. 1 1 Theves , L. Dias Affiliations 1 2 Integrated Center Of Exercise Medicine - Hosp. Mãe De Deus, Porto Alegre, BRAZIL, Universidade Das Ciências Da Saúde - Ufcspa, Porto Alegre, BRAZIL Body INTRODUCTION Cardiac Rehabilitation is associated with a reduction between 20% and 30% in mortality in patients recovering from heart disease. Adherence to rehabilitation programs is a key component to evaluate the effectiveness in cardiac secondary prevention and improvement in life quality. The aim of this study is to verify patient characteristics associated to adherence in a Multiprofessional Cardiac Rehabilitation Program. METHODS The study involved a review of medical records of patients that entered CIME cardiac rehabilitation program within the period of January 2008 and July 2011. The reasons for abandonments were actively monitored. Adherence was measured by the ratio of the number of abandonments and the total of patients who started the program during the period. Statistical analyses for the frequencies of abandonments in different categories were measured through the chi-square test with a significance level of 5%. RESULTS The average age of the 101 patients who agreed to participate was 66 years. The main reason for abandoning the program was health problems (29.4%), followed by personal reasons (23.5%), factors associated with the programs (22.1%) unknown reasons (13.2%) and other kinds of exercises or locals to practice them (11.8%). There were significant associations of individuals who remained in Cardiac Rehabilitation with Coronary Artery Bypass Graft (31.2% vs. 17.7%, p = 0.02), Heart Failure (7.8% vs. 1.6%, p = 0.04), Arrhythmias (16.9% vs. 4.8%, p = 0.01) and dyslipidemia (74.0% vs. 56.5%, p = 0.02). CONCLUSIONS Adherence in cardiac rehabilitation programs is associated with disease severity and deterioration of health status can compromise it. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title ACUTE EFFECTS ON CHANGE OF HEART RATE OF A GROUP OF PRE-DIABETIC SUBJECTS UNDERWENT OF A COMBINED STRENGTH AND AEROBIC TRAINING PROGRAM* Authors 1 2 2 2 3 1 1 G. Attene , G. Satta , G.C. Steri , S. Santus , F. Velluzzi , L. Cugusi , M. Massidda Affiliations 1 2 3 University Of Cagliari, Cagliari, ITALY, Sisp Asl8, Cagliari, ITALY, Uo Obesità Dipartimento Scienze Mediche Mario Aresu Università Di Cagliari, Cagliari, ITALY Body AIM: The aim of this study was to evaluate the cardiovascular response of a group of pre-diabetic subjects underwent of a combined strength and aerobic training program. MATERIALS AND METHODS: A sample of thirty-three overweight and pre-diabetic subjects (25 female, 8 men, 55.6 ± 5.38, years, BMI: 35.57 ± 6.05) completed the training program as follows: 5 minutes of continuous running at 5 km/h for 4 sets interspersed by 4 minutes of upper limbs counter-resistance exercises. Heart rate was monitorized during the entire training session by mean of Polar RS 400 RESULTS: During the 5 km/h running the subjects worked at 71.0 ± 7.7% of Fmax T, while during the 4 periods of 4 minutes counter-resistance exercise the heart rate has amounted at 65.1 ± 7.1% of Fmax T. There was a significant difference between the heart rate measured during the 5 minutes of 4 series of gear vs. 4 minutes for 4 series of exercises against resistance for the upper limbs (p <0.03). The average heart rate measured during the 36 minutes of exercise was 67.8 ± 7.7% of Fmax T. CONCLUSIONS: Our results demonstrate that the proposed training protocol combined by aerobic-strength exercises is in line with the main international guidelines on the prescription of exercise intensity in pre-diabetic and obese population. *The study is a part of the Project ”Movimento è Vita” financed by PPR Sardegna 2010-12, Servizio Prevenzione. Ass. To Sanità. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title A COUPLED INDIRECT CALORIMETRY TO ERGOMETRIS TEST FOR OPTIMAL EXERCISE PRESCRIPTION IN SEVERE OBESITY WITH ASSOCIATED CARDIAC DISEASE Authors 1 G. Battistini Affiliations 1 Villa Igiea Hospital, Forli', ITALY Body Key words: obesity, physical activity,Those patients affected by obesity and associated cardiac disease represent a challenge for rehabilitation. Medical literature does not offer indications with respect to the optimal elaboration of programmes for physical rehabilitation, which hold account of both the cardiac aspects and also the metabolic ones tied to the high-grade obesity. The association of indirect calorimetry to the ergometric test could represent a useful instrument in this respect In a group of obese patients (n= 57, M=48, F =9, medium age 55,1 ± 12,0), hospitalized for multidisciplinary assessment and rehabilitation in the metabolic ward or day-care ward for obesity with associated cardiac diseases, the rehabilitation program was set up after ecg stress test with indirect calorimetry for the appraisal of the VO2 max. Regarding to the formula traditional used for the training calculation of the cardiac frequency (i.e. 220 - age in years), the value of training cardiac frequency (CF) evaluated in the subjects with cardiac disease on the basis of the result of the coupled ergometric test and indirect calorimetry, turned out to be significantly lower than the theoretical value, which therefore resulted to overestimate the optimal training cardiac frequency. During the rehabilitation period, no adverse events occurred during - or immediately after - the prescribed aerobic physical exercise at the training CF set the base of the coupled indirect calorimetry-ergometric test. Conclusions: indirect calorimetry to ergometric ECG test represents a useful tool in the optimization of the programming of the physical rehabilitation in obese patients with associated cardiac disease. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title FAIR STABILITY OVER TIME OF THE LEVEL OF MAXIMAL LIPID OXIDATION AT EXERCISE. Authors 1 1 1 1 1 J. Brun , A. Romain , M. Guiraudou , C. Fedou , J. Mercier Affiliations 1 Inserm U1046, Montpellier, FRANCE Body The level of maximal lipid oxidation at exercise (LIPOXmax or FATmax) is an exercise intensity, variable among individuals, at which a steady state exercise performed over 45-60 minutes uses the greatest lipid/carbohydrate ratio and thus minimizes carbohydrate waste. This level has been demonstrated to be highly reproducible if tested in standardized conditions and is modified by a host of physiological or pathological situations. Whether it is stable over long periods of time remained unknown. We had the possibility to measure this stability in a database of 1600 exercise calorimetries performed in our unit since 1998 and including several patients that did not modify their exercise or eating habits and re-tested after a mean interval of 30 months. Patients (n=11) represented a wide range of age (28- 74 years), body mass index (22 to 46.7 kg/m²) and aerobic capacity, their LIPOXmax ranged between a power of 18 to 123 watts and their maximal fat oxidation rate (MFO) ranged between 75 and 423 mg/min. There was a remarkable stability of the LIPOXmax expressed in crude power (r=0.993 p<0.001; Bland Altman plots: mean difference -2.36 CI: [-3.33 to 8.06]. MFO was less reproducible over those long periods of time (r=0.694 p<0.02 ; mean difference 4 CI: [-53 to 61]). Therefore, the power at which lipid oxidation reaches a maximal during exercise remains stable over a mean period of 30 months if diet and exercise habits are not modified. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title IMPAIRED ENERGY EXPENDITURE DESPITE NORMAL CARDIOVASCULAR CAPACITY IN TYPE 1 DIABETES PREPUBERTAL CHILDREN Authors 1 1 2 1 1 3 G. Cafiero , D. Fintini , B. Di Giacinto , A. Turchetta , U. Giordano , M. Cappa , A. 2 1 Pelliccia , A. Calzolari , . Affiliations 1 Cardiorespiratory And Sport Medicine Unit,bambino Gesù Children Hospital, Irccs, 2 3 Rome, ITALY, Institute Of Sport Medicine And Science, Rome, ITALY, Endocrinology And Diabetes Unit,bambino Gesù Children Hospital, Irccs, Rome, ITALY Body Background: Benefit of fitness on children affected by Type 1 Diabetes (T1DM) is still debated. Aim: to evaluate the influence of regular physical activity on metabolic balance and exercise tolerance in prepubertal children affected by T1DM. Methods: We analyzed 35 prepubertal T1DM children compared with 31 matched controls using activity monitor (SenseWear Armbad, SWA) and physical activity questionnaire (PAQ) to assess energy expenditure, total and active (EE), self-reported and measured sedentary and physical activities. Maximal cardiopulmonary exercise test (CPET) was also performed. Results: Total physical activities and total and active EE (>3 Mets) resulted higher in controls than T1DM patients and that self reported perception of physical and sedentary activities was altered in T1DM children as well in controls and different from measured data. No difference were found in CPET parameters with exception than a higher maximal blood pressure in T1DM children. In multivariate analysis HbA1c negatively correlated with VO2. Conclusion: Prepubertal T1DM children seem to have lower level of physical activity and EE and a probable altered feeling of physical and sedentary activities. On the other hand T1DM children do not show alteration of cardiovascular performance, although the glycemic control (HbA1c) may play a role in cardiovascular performance. 1.Patterson CC, et al. Incidence trends for childhood type 1 diabetes in Europe during 1989-2003 and predicted new cases 2005-20: a multicentre prospective registration study. Lancet. 2009 2.Calabró MA,et al. Validation of the SenseWear Pro Armband algorithms in children. Med Sci Sports Exerc 2009. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title THE RHEUMATIC PATIENT : TO PLAY FOOTBALL WITH SPONDYLOATRHRITIS Authors 1 M. Conforti Affiliations 1 Inail, Milano, ITALY Body SaS arises from the 20th to the 40th year of age, the typical age for competitive sport activity. It is known that the delay between onset of the illness and diagnosis is over 5 years.Such physician specialized in sport medicine should be able to certify, the psychophysical integrity of the athlete and to advise the patient on the cardio, trauma and psychological risks that may be caused by the practice of the specific sport. There are no scientific works on the suitability evaluation related to rheumatic illnesses. There are only indications related to permanent or temporary orthopedic pathologies. Rheumatic patients should find a balance between rest and activity.We remember that SaS arises in very different ways and this makes difficult the functional evaluation, the monitoring of the curse and the prognosis,therefore also the prescription of the exercise. Sport physician when confronted with a rheumatic patient has to answer the following questions:1)Is the suitability of competitive practice going to worsen the curse of the illness?2)Which sport activity, competitive or non competitive, is going to improve the curse of the illness?3)Is it possible to SUSPECT an initial stage of SA during the suitability evaluation?4)Can the use of cortisone-based medicines, or oother medicines included in the list of doping substances, be suspended and which are the effects of such medicines on performance?5)Which criteria are to be used for granting a suitability declaration?6)Suitability declaration can be given for a 1 year or 6 months? The aim of this presentation is to answer to these questions. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title THE RHEUMATIC PATIENT AND AGONISTIC CERTIFICATE Authors 1 M. Conforti , F. Poggioli Affiliations 1 Istituto G Pini, Milano, ITALY Body SaS arises from the 20th to the 40th year of age, the typical age for competitive sport activity. It is known that the delay between onset of the illness and diagnosis is over 5 years.Such physician specialized in sport medicine should be able to certify, the psychophysical integrity of the athlete and to advise the patient on the cardio, trauma and psychological risks that may be caused by the practice of the specific sport. There are no scientific works on the suitability evaluation related to rheumatic illnesses. There are only indications related to permanent or temporary orthopedic pathologies. Rheumatic patients should find a balance between rest and activity.We remember that SaS arises in very different ways and this makes difficult the functional evaluation, the monitoring of the curse and the prognosis,therefore also the prescription of the exercise. Sport physician when confronted with a rheumatic patient has to answer the following questions:1)Is the suitability of competitive practice going to worsen the curse of the illness?2)Which sport activity, competitive or non competitive, is going to improve the curse of the illness?3)Is it possible to SUSPECT an initial stage of SA during the suitability evaluation?4)Can the use of cortisone-based medicines, or oother medicines included in the list of doping substances, be suspended and which are the effects of such medicines on performance?5)Which criteria are to be used for granting a suitability declaration?6)Suitability declaration can be given for a 1 year or 6 months? The aim of this presentation is to answer to these questions. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title EFFECTIVENESS OF EXERCISE PROGRAM FOR PATIENTS WITH EARLY KNEE OSTEOARTHRITIS Authors 1 1 2 K. Corona , G. Calcagnile , C. Dentizzi Affiliations 1 2 Comitato Provinciale Coni Campobasso, Campobasso, ITALY, Azienda Sanitaria Regionale Del Molise, Campobasso, ITALY Body Introduction. Knee osteoarthritis (OA) is a degenerative pathology of the cartilage. Its prevalence increases with age, causing pain and articular impairment. The aim of this study is to determine the effectiveness of an exercise program on pain and physical function for patients with early knee OA. Material and methods. Twenty subjects over 50 with early knee OA (grade 1 and 2 of Ahlback classification) were enrolled in the study. They agreed to participate in a 16 weeks exercise program based on improvement of aerobic fitness, range of motion and lower limb muscle strength and stretching. Exercise program differs in dosage (frequency, intensity and duration). All participants completed the following questionnaires: SF-36 and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) at baseline and after 16 weeks. Moreover they performed physical test: Six-minute Walking test (6MWT). After walking test, patients were asked to fill a visual analog scale. Results. The results of 6MWT test increased from the baseline to the last follow-up. Patients reported reduced pain during the follow-up period, indicating a trend toward better walking capacity. In the same way, patients showed significant improvement in SF-36 and WOMAC scores at final follow-up. Conclusion: Physical activity is considered to be an important non-pharmacologic treatment approach in the management of early knee OA. The goal of exercise therapy in OA patient is to reduce pain and disability. Therefore, a good exercise program aiming at improvement of knee muscle strength, stretching, joint stability, range of motion and aerobic fitness can be proposed. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title TYPE 2 DIABETES INCIDENCE, PHYSICAL ACTIVITY LEVELS AND HRQOL IN A GROUP OF PRE-DIABETIC AND OVERWEIGHT SUBJECTS Authors 1 2 2 2 3 1 1 L. Cugusi , G. Satta , G.C. Steri , E. Santus , F. Velluzzi , G. Attene , M. Massidda Affiliations 1 2 University Of Cagliari, Cagliari, ITALY, Hygiene And Public Health Service - Asl8 3 Cagliari, Cagliari, ITALY, Obesity Center - Aou Cagliari, Cagliari, ITALY Body OBJECTIVE: The aim of the study was to evaluated the relationships between Physical Activity Levels, Quality of life and risk to develop the Type 2 Diabetes in a group of overweight and pre-diabetic subjects. DESIGN AND METHOD: thirty-three overweight and pre-diabetic subjects (25 female, 8 men; 55,6±5,38, years, Body Mass Index: 35,57±6,05) were investigated. The short version of International Physical Activity Questionnaire (IPAQ) and Short-form Health Survey 36 (SF-36) were used to assess the different levels of Physical Activity (PA), time spent sitting (S), and Health Related Quality of Life (HRQoL), respectively. The risk to develop type 2 diabetes was calculated using a non-invasive model. The relationships between PA levels, HRQoL components, Mental (MSC) and Physical Summary Component (PSC) and Type 2 Diabetes risk score (T2DRS) were analyzed by Pearson’s correlation. RESULTS: A significant correlation was found between energy expenditure during PA (kcal/week) and both MSC (r=0.48;p<0.05) and PSC (r=0.56;p<0.005). Moreover, the T2DRS was inversely associated with PSC (r=-0,60;p<0.005) and MSC (r=-0,46;p<0.05). CONCLUSIONS: Our results demonstrated that the high risk to develop the Type 2 diabetes was associated with low levels of HRQoL in pre-diabetic subjects. Based on these findings, it seems to be important emphasize the usefulness of HRQoL questionnaire during the baseline assessment and also to keep under control the variations produced by the physical training process. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title A STUDY OF MEDICAL STUDENTS' KNOWLEDGE OF UNITED KINGDOM PHYSICAL ACTIVITY GUIDELINES Authors 1 2 3 M. Dunlop , A. Murray , S. Hillis Affiliations 1 2 Victoria Infirmary, Glasgow, UNITED KINGDOM, Scottish Government Sport And 3 Physical Activity Policy Team, Edinburgh, UNITED KINGDOM, University Of Glasgow, Glasgow, UNITED KINGDOM Body Objective: Evidence of the benefits of physical activity to an individual, the economy and society are indisputable.¹ Training of medical professionals is a key strategy that must be adopted to address current low physical activity levels.¹ No study to date has assessed medical students' knowledge of physical activity guidelines. The aim of the current study was to assess final year Scottish Medical Student’s knowledge of the risk of physical inactivity and of the current United Kingdom’s physical activity guidelines. Design and method: Questionnaires were completed (n=177) by a non-selected group of final year medical students in two Scottish Universities prior to and after a presentation on the current guidelines. Results: Physical inactivity was perceived the least important risk factor to global mortality, ranked behind tobacco, diabetes, obesity and hypertension. 40% stated they were aware of current guidelines but 68% were able to correctly identify them for adults. In comparison, 97% correctly identified the United Kingdom’s alcohol guidelines. 52% stated they felt inadequately trained to give physical activity to the general public. Conclusions: This study indicates that: medical students underestimate the risk of physical inactivity; that physical activity guidelines are not as well-known as other health promotion guidelines; and that, medical students are unconfident giving physical activity advice. Further education of this health professional group is essential if future Doctors are to play the key role in physical activity promotion. 1. World Health Organization. Global Recommendations on Physical Activity for Health.2010 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title EFFECTS OF PHYSICAL TRAINING ON HEART RATE TURBULENCE AFTER CORONARY BYPASS GRAFTING Authors 1 L. Fallavollita , V. Biasini, S. Castelli, E. Santillo, L. Marini, F. Balestrini Affiliations 1 2 Istituto Di Ricerca A Carattere Scientifico - Inrca, Fermo, ITALY, Federazione 3 Medicina Dello Sport - L'aquila, L'aquila, ITALY, Istituto Di Ricerca A Carattere 4 Scientifico - Inrca, Fermo, ITALY, Istituto Di Ricerca A Carattere Scientifico - Inrca, 5 6 Fermo, ITALY, Istituto Di Ricerca A Carattere Scientifico - Inrca, Fermo, ITALY, Istituto Di Ricerca A Carattere Scientifico - Inrca, Fermo, ITALY Body Introduction. Heart Rate Turbulence (HRT) is an indipendent predictor of cardiovascular mortality in patients after myiocardial infarction.The HRT is a measure of autonomic response to perturbations of arterial blood pressure after single Ventricular Premature Contraction(VPC)1.The present study aimed at investigating the effects of physical training on HRT in patients post-CABG.Materials and methods.The study enrolled 7 male patients with ischaemic heart disease undergoing coronary artery bypass grafting and left ventriculare ejection fraction>50%.Each subject performed an eight-week cardiac rehabilitation aerobic program consisting of 40 min.daily session of cycle ergometry.At baseline and after training program a 24-h ambulatory ECG registrations were performed to assess HRT. We investigated the same morphology of VPC Before and after training. HRT was determined among subjects with single ventricular VPC.The data were processed with software Misha (Mortara-Rangoni Instrument[R]-Italy).Two parameters,Turbulence Onset (TO) and Turbulence Slope (TS),were calculated.Particularly,TO describes the early acceleration phase of HR following a VPC and TS describes the dynamics of late deceleration of HR after a VPC.Significance level was set at p<0,05.Results. We observed changes for both HRT indices after training program. The average values for TO decreased from –0,32% to –0,49%;TS increased from 3,53 to 7,66 ms/RR intervall. Conclusions.The results indicate a favourable effect of aerobic training on cardiac autonomic functioning in post-CABG subjects. It is possible that physical exercise modulates cardiac autonomic control by lessening sympathetic influence and enhancing vagal tone.HRT should be considered as good tool to evaluate this shift. References.1)Heart Rate Turbulence:standard of measurement,physiological interpretation and clinical use.J.Am Coll Cardiolo2008;52:1353-65. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title SPORT THERAPY PRESCRIPTION IN SUBJECTS AFFECTED BY MULTIPLE SCLEROSIS Authors 1 1 1 E. Guerra , P. Mancini , F. Pigozzi Affiliations 1 2 3 Università Degli Studi Di Roma Foro Italico, Roma, ITALY, ITALY, ITALY Body Background: In last decades it has been more common to prescribe sport therapy in subjects affected by Multiple Sclerosis. Patients and physicians sometimes don’t trust benefits and worry about worsening symptoms. We wanted to measure training effects in this population.. Methods: 5 subjects, mean age 51±6,3 years, were submitted to basal electrocardiogram, EDSS Expanded disability status scale, Six minute walking test, Balance BERG Scale, MFIS Fatigue assessment-, muscle strength dynamometry % side difference. Sport Therapy prescribed: 2 session/week: 45 minutes yoga, 45 min soft gymnastic, amount 70 hours in 8 months. Controls: 2 subjects, mean age 54±15 years, not training. Results: All subjects had normal electrocardiogram. Pre training : EDSS: 3,4±1,9; six min walk test 330±153m, exertion BORG 4,8±1,9; MFIS 30,8±21; BERG 44±11. % difference strength: handgrip 16,5±8%, Shoulder elevators 18±17%, leg extension 17,6±17,2%. Controls EDSS: 30±0; six min walk test 443±33m, exertion BORG 5,5±0,7; MFIS 43±21;BERG 50,2±2,2. Delta strength values were: handgrip 11,8±5%, Shoulder elevators 29±23%, leg extension 33,4±21%. Post training : EDSS: 3,3±2; six minute walk test 376±161m, exertion BORG 4,8±2,8; MFIS 20,2±15,06; BERG 50,2±9,1. Delta strength: handgrip 20,7±20%, Shoulder elevators 29±23%, leg extension 33,4±21%. Controls EDSS 3,0±0 ; six min walk test 401±33,2 m, exertion BORG 6±1,4; MFIS 41,5±27; BERG 52±5. Delta strength: handgrip 10±14%, Shoulder elevators 4±12%, leg extension 28±8%. Conclusions: Training increased walking ability, balance, reduced fatigue. Control subjects, not training, had reduction in walking ability and grater fatigue. Strength test showed increase in % side difference with no decreased functional ability.Training improves functional ability in this population. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title IMPLEMENTATION OF A PHYSICAL ACTIVITY VITAL SIGN Authors 1 1 E. Joy , M. Briesacher Affiliations 1 Intermountain Healthcare, Salt Lake City, USA Body Physical inactivity and low cardiorespiratory fitness are major risk factors for chronic disease and premature mortality. In the US, only a third of patients are advised to exercise or continue being physically active by their physician. Tools and strategies are needed to support clinicians taking a meaningful role in promoting physical activity with patients. Objective: Using a quality improvement approach, develop and implement a clinical process that supports assessment and promotion of physical activity in adult patients within a primary care setting. Design & Methods: A multidisciplinary team was recruited including physicians, clinical assistants, clinic receptionists, and clinic management. Key elements in support of change were identified, including: 1) motivation of key stakeholders to achieve the target for change; 2) resources necessary for change; and 3) motivators for change outside the clinical practice. Results: The clinical practice implemented a physical activity vital sign to promote assessment of physical activity at every clinical encounter. Patient education materials were developed and distributed to patients. Medical records from 565 clinic visits were reviewed. Mean patient age was 61.4 years (18-98). Females represented 54% of visits, males 46%. Physical activity assessment and counseling increased from a mean of 44% (22-69) of visits at baseline to 78% (57-93) of visits. Conclusions: Assessment and counseling for physical activity during office visits increased. The tools, process and documentation of physical activity assessment and counseling evolved based on the experiences of the quality improvement team. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title A CASE OF HEART PATHOLOGY IN A CYCLIST Authors 1 1 2 3 3 4 G. Boni , G. Saba , S. Notaristefano , S. Giannini , M.L. Iocca , S. Grego Affiliations 1 2 Ambulatorio Medicina Dello Sport - Fmsi Umbria, Foligno, ITALY, U.o. Cardiologia 3 4 Osp. S. M. Della Misericordia, Perugia, ITALY, Casa Di Cura Villa Stuart, Roma, ITALY, 5 Casa Di Cura Villa Stuart, Roma, ITALY, U.o.c. Cardiochirurgia Policlinico Tor Vergata, 6 Roma, ITALY, ITALY Body AIM OF THE STUDY When to use MRI to integrate transthoracic echocardiography in order to permit sports activity in patients with heart disease? MATERIALS AND METHODS 44-year old patient, insulin dependent diabetic, surgically treated for Fallot tetralogy with thoracic aorta of 55 mm. Patient underwent sports medicine and cardiological check-up every year, and was also studied with transthoracic echocardiography to define cardiac output and general situation. He underwent an ecg stress test and a test of maximal oxygen consumption to define cardiac output during exercise and increase in thickness of heart valves during stress phase. High magnetic field cardiac MRI with contrast performed to confirm echocardiography results and to determine the significance of the aortic regurgitation. RESULTS MRI confirmed the ultrasound diagnosis of a dilation of the aortic bulb and allowed to better define the size of the left ventricle and right atrium (both increased), with preserved systolic function. MRI better defines and quantifies the jet of aortic valve regurgitation toward the anterior leaflet of the mitral valve, and hence defines it as acceptable for non-competitive sports activity. CONCLUSIONS Thanks to improved definition of morphological and functional aspects, cardiac MRI allows to better define condition and performance of an athlete’s heart after surgery, with a more precise definition of modification of valves and flows. The present case study demonstrates how physical activity, even in subjects with complex organic cardiopathy operated as adults is clearly positive in that it allows for higher-level results in terms of cardiac and overall physical performance. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title JUGULAR FORAMEN SYNDROME BY VARICELLA ZOSTER VIRUS INFECTION-A CASE REPORTAuthors 1 1 1 1 1 1 H. Park , J. Lee , Y. Kim , Y. Ko , H. Kim , S. Hong Affiliations 1 Uijeongbu St.mary's Hospital-department Of Rehabilitation Medicine, Uijeongbu, 2 SOUTH KOREA, Uijeongbu St.mary's Hospital-department Of Rehabilitation Medicine, 3 Uijeongbu St.mary's Hospital-department Of Uijeongbu, SOUTH KOREA, 4 Uijeongbu St.mary's Rehabilitation Medicine, Uijeongbu, SOUTH KOREA, 5 Hospital-department Of Rehabilitation Medicine, Uijeongbu, SOUTH KOREA, Uijeongbu St.mary's Hospital-department Of Rehabilitation Medicine, Uijeongbu, 6 SOUTH KOREA, Uijeongbu St.mary's Hospital-department Of Rehabilitation Medicine, Uijeongbu, SOUTH KOREA Body Jugular foramen syndrome is unilateral involvement of IX, X and XI cranial nerves. It is usually due to malignancy, aneurysm or fracture. Although there have been several reports about jugular foramen syndrome by fracture and inflammation, cases by varicella zoster virus are rare. A 32-year-old man, who complained of left ear pain, hoarse voice, swallowing difficulty for 5 days, presented at the emergency room. There were vesicular skin lesions in the left auricle. On neurologic examination, his uvula was deviated to the right side and left vocal cord palsy was noted on laryngoscopy. The paresis of left shoulder was seen. The electrodiagnostic examination showed the abnormalities compatible with left spinal accessory neuropathy. Considering mentioned above, he had a multicranial neuritis affecting IX, X, and XI left cranial nerves with herpes zoster infection. We report a case of jugular foramen syndrome by varicella zoster virus infection with ipsilateral hypoplasia of the jugular foramen, which has been rarely reported in Korea. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title MOVEMENT IS LIFE INTERVENTION TO INCREMENT PHYSICAL ACTIVITY IN THE PREDIABETIC, OVERWEIGHT AN OBESE POPULATION° Authors 4 4 4 2 2 2 D. Campus , E.Fogarizzu , R.Masala , M.Massidda , G.Attene , L.Cugusi , A.Loviselli 2 3 3 3 3 3 3 , G.Satta , M.Pellicano , I.Murtas , P.Marras , A.Molari , M.Scorcu , M.Massenti 3 1 1 ,S.Santus , G.C.Steri Affiliations 1 2 Servizio Igiene Sanità Pubblica Asl Cagliari, Cagliari, ITALY, Università Di Cagliari, 3 4 Cagliari, ITALY, MV Group Sport Med Serv Prev Ass.to Sanità, ITALY, Servizio Prevenzione Ass.to Sanità Body AIM The Movement is Life Regional Prevention Plan 2010-12 project, was created to prevent complications and disability caused by chronic degenerative diseases with particular reference to the prediabetic, overweight and obese population. MATERIAL AND METHODS To prevent the onset of diabetes mellitus type 2 (DM2) the centers for diabetes care will recruit 1500 (600 in ASLCagliari) prediabetic, overweight, obese and then will be activated the control group. The team of Sports Medicine's Hygiene Service ASL8 formed by the sports doctor, the diabetologist, the nutritionist, graduates in physical education and psychologist, will detect BMI, abdominal circumference and body composition, will administer the IPAQ questionnaires, Doi, SF -36, Thuomilehto and will propose functional assessment test to VO2max, lactate, muscle strength and flexibility. We will prepare appropriate physical activity programs as suggested by the American College of Sports Medicine, adequate recovery cardiometabolic useful to prevent progression to type 2 diabetes and improve the quality of life. RESULTS The prescription of physical activity in all age groups in the general population is considered strategic by the Sardinia Region because of the obvious positive impact in terms of reduced morbidity and mortality and the undisputed preventive effect CONCLUSIONS Physical inactivity is a condition that determines whether a staggering number of deaths and is the common denominator of obesity and DM2 closely related to the risk of cardiovascular disease, reduction in life expectancy and increased risk of cancer. ° Regional Prevention Plan 2010-12. Funded by the Prevention Department of Health 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title MODIFICATION IN BODY WATER BALANCE DURING THE EXERCISE AS PRESCRIPTION PROGRAM. Authors 1 L. Stefani , G. Mascherini, I. Scacciati, G. Galanti Affiliations 1 Sports Medicine Center - University Of Florence, Florence, ITALY Body Aim: Epidemiological studies provided many evidences on the relevance of a correct hydration during Physical Exercise (PE). An incorrect body composition and hydration can also enhance cardiovascular risks. This study is aimed to investigate this concern in a small group of hypertensive patients following an Exercise as Prescription program. Methods: Thirteen patients were submitted to an individual exercise training at moderate effort (3-4 METS). The Bioimpedance analysis (BIA) was carried out at the beginning (T0) and after 5 months (T5) of physical exercise. In the same session an Echocardiographyc exam was performed in order to evaluate the morphological and functional myocardial parameters. Results: After 5 months of PE the bioelectrical data have shown an evident increase of Intra Cellular Water (T0: 21,79±5,29 L, T5: 22,70±5,28 L) values with a parallel decrease of the Extra Cellular Water (T0: 18,44±3,60 L, T5: 17,67±3,33 L) resulting both in none substantial change of the Total Body Water. Similarly there was an evident reduction of body weight (T0: 77,25±14,80 kg, T5: 75,31±14,97 kg) due to the Fat Mass values (T0: 23,99±9,89 kg, T5: 21,86±8,34 kg). The Echocardiographyc systo-diastolic parameter didn’t show any statistical differences after 5 months of PE. Conclusion: the results are suggestive for an early physiological improvement of the water distribution after a short period of regular exercise as prescription therapy inducing an enhancement of water into the active (Intra cellular) compartment. The BIA exam can timely identify this behaviour not evaluable by the anthropometrics parameters. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title FUNCTIONAL ASSESSMENT OF CARDIOVASCULAR PERFORMANCE AFTER A SHORT PERIOD OF EXERCISE AS PRESCRIPTION: EVALUATION BY 6 MINUTE WALKING TEST Authors 1 L. Stefani , G. Mascherini, I. Scacciati, G. Galanti Affiliations 1 Sports Medicine Center - University Of Florence, Florence, ITALY Body Aim: Exercise as Prescription represents a therapy in many chronic diseases. More recently the employment of the 6 Minute Walking Test (6MWT) for a regular evaluation has been spread. The study is aimed to verify the role of the 6MWT in predicting the progressive improvement of the heart performance. Methods: Eleven hypertensive patients, were enrolled for this study. At the beginning (T0) and after 5 months (T5) of exercise program, at least three times a week at moderate intensity, a 6MWT was carried out to evaluate: meters (m), Peak Heart Rate (PHR), Peak Respiratory Rate (PRR), Systolic and Diastolic blood pressure (SBP, DBP). In the same session an Echocardiographyc exam was performed. Results: After 5 months there was a trend: the distance in 6 minutes was in T0: 567,27±66,65 m in T5: 599,09±81,42 m. The PHR was in T0:134,36±12,13 b/min in T5:136,00±10,30 b/min, PRR resulted in T0:30,00±4,38 r/min in T5:31,45±4,95 r/min. The SBP was in T0:137,73±14,89 mmHg in T5:143,64±12,67 mmHg, while the DBP mean values were in T0:75,27±7,80 mmHg in T5:70,91±5,84 mmHg. The Echocardiographyc parameters didn’t show any statistical differences. Conclusion: A short period of exercise as prescription improves the effort tolerance showed by the HR response at the peak of the exercise. The 6 MWT seems to be a sensible test much more than echo parameters whose modifications need a longer period of observation. Otherwise the lung’s response to the exercise does not seem to be apparently easy estimated in presence of exercise program at moderate intensity. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title THE IMPORTANCE OF PHYSICAL EXERCISE IN ARTERIOPATHIC PATIENTS Authors 1 1 1 1 1 F. Stio , A. Pulcini , F. Safoue , G. Patrizi , R. Verna Affiliations 1 Sapienza Università Di Roma, Viale Regina Elena, 324 00161, Rome, ITALY Body Aim Regularly scheduled physical activity leads to clinical (claudicatio intermittens) and instrumental (postural reflexes) improvement in patients suffering from chronic occluding arteriopathy. Materials and methods 300 patients (40 women) with chronic occluding arteriopathy, 250 subjects at Leriche stage IIa and 50 subjects stage IIb were studied. Mean age was 62.5 years with a range 55-71. For the assessment of our study, walking endurance with the treadmill test and study of postural reflexes were considered. These evaluations were made at time 0 and after 6, 12 and 24 months and studied by Doppler, Winsor index and treadmill test. Patients performed physical activity 1 hour a day, three times a week. Results and Discussion Doppler control, postural reflexes and Winsor index at the programmed steps evidenced a continuous improvement of walking endurance at controls on the treadmill. Over 10 years, we observed that the patients who continued practicing physical activity (80%) improved walking endurance by 40% versus the starting values. References 1) Thijssen DH, Cable NT, Green DJ: Impact of exercise training on arterial wall thickness in humans. Clin Sci (Lond). 2012 Apr;122(7):311-22. Review. 2) Cousin A, Popielarz S, Wieczorek V, Tiffreau V, Mounier-Vehier C, Thevenon A: Impact of a rehabilitation program on muscular strength and endurance in peripheral arterial occlusive disease patients. Ann Phys Rehabil Med. 2011 Oct;54(7):429-42. 3) Stwart KJ, Hiatt WR, Hirsch AT: Exercise training for claudicatio. N.Engl.J.Med. 2002,347,1941-51 4) Stio F,Pulcini A, Caggiati A: Modificazioni velocimetriche e tensiometriche indotte negli arteriopatici dalle variazioni posturali. Atti Congresso Angiologia Firenze Maggio1985. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title THE EFFECT OF HYDRAULIC RESISTANCE CIRCUIT TRAINING WITH CARDIOVASCULAR ELDERLY IN NEW TAIPEI CITY: A PRELIMINARY INVESTIGATION Authors 1 2 3 4 5 6 L. Tsung-ching , T.Y. Shiang , C.C. Hong , M.F. Hsu , H.L. Chou , J.Y. Jiang Affiliations 1 Department Of Physical Medicine And Rehabilitation, Far Eastern Memorial Hospital, 2 Taipei, TAIWAN, Graduate Institute Of Exercise Science, National Taiwan Normal 3 University, Taipei, TAIWAN, Department Of Physical Medicine And Rehabilitation, Far 4 Eastern Memorial Hospital, Taipei, TAIWAN, Department Of Nursing , Oriental 5 Institute Of Technology, Taipei, TAIWAN, Department Of Nuring, Taipei Veterans 6 Division Of Endocrinology And General Hospital, Taipei, TAIWAN, Metabolism,department Of Internal Medicine,far Eastern Memorial Hospital, Taipei, TAIWAN Body Aim of the study : How to decrease the health care costs in elderly becomes a critical issue.Previous studies suggested that exercise might be beneficial for the elderly. Hydraulic resistance circuit training is an effective and safety exercise for the elderly. Materials and methods: Ten cardiovascular disorder participants (7 male and 3 female, Age: 71.91±5.47 year-old) were recruited from the metabolic clinics. They participate in a 36-hour (3 times per week for 3 month) exercise program in a classroom of college with seven hydraulic resistance training equipment: chest press, leg abduction, arm curls, deltoid press, leg press, back press, and knee extension . Between each resistance training session, there was a stepping for subject to do aerobic stepping. The outcome measurements including: body composition and senior fitness tests. After six-week intervention, the mid-term evaluation was performed and using paired t-test to compare the difference and significant level was 0.05. Results: Before the exercise intervention, there was no significant in body composition and items of senior fitness tests. In the mid-term assessment, the aerobic performance (stepping in two-minute) had a significant improvement (t=1.465, p=.007), and the circumference of waist and hip were both decreased (decreased 2.71cm and 0.96cm respectively). Conclusion: After six-week intervention, the physical fitness performance in aerobic fitness and body composition both had a significant improvement. After completing the whole exercise protocol, these elderly were expected to gain more health physical fitness performance. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: EXERCISE, GENDER, SEXUAL HEALTH AND REPRODUCTION Title THE RELATION BETWEEN BONE MINERAL DENSITY AND CARDIOVASCULAR FACTORS AMONG IRANIAN FEMALE ATHLETES WITH AMENORRHEA/OLIGOMENORRHEA Authors 1 2 3 4 5 H. Dadgostar , G. Soleimany , E. Dadgostar , S. Lotfian , M. Moradi Lakeh , S. 6 Movaseghi Affiliations 1 Sports And Exercise Medicine Research Center , Tehran University Of Medical 2 Sciences,, Tehran, IRAN, Sports Medicine Department, Rasoule Akram Hospital, 3 Tehran University Of Medical Sciences, Tehran, IRAN, Sports Medicine Federation Of 4 5 Islamic Republic Of Iran, Tehran, IRAN, 2, Tehran, IRAN, Department Of Community 6 Medicine, Tehran University Of Medical Sciences,, Tehran, IRAN, Rhematology Research Center, Tehran University Of Medical Sciences, Tehran, IRAN Body Oligomenorrhea has adverse effects on the athlete' s bone mineral density and cardiovascular system. Hypoestrogenism as a result of energy imbalance is the possible cause of the Female Athlete Triad. The aim of this study was to clarify the effects of hormone therapy on bone mineral density and cardiovascular factors. Method: A 9-month randomized clinical trial in the first part of which 22 female athletes with a history of at least 2 years of oligo/amenorrhea, bone mineral densitometry and some of the cardiovascular factors were measured. In the second part of the study 18 athletes were randomized in two groups of OCP (n=10) and control (n=8). After 9 months densitometry and cardiovascular lab study were repeated. Results: In the first assessment, BMD of athletes did not change significantly after 25.5 months of oligomenorrhea. Mean of all cardiovascular factors was in the normal range except for HDL. Inverse relationship between the increase in the BMD of spine and total cholesterol, Apo A, and VLDL and also positive correlation between BMD of spine and HbA1C. In the second part, VLDL and Apo B reduced significantly in the OCP group. Increase of Apo A was observed in control group. Conclusion: There may be a common factor affecting both skeletal and cardiovascular systems, as with the increase of the BMD of spine, there is a decrease in the amount of lipid profile.. This study implys that although estrogen administration may not increase bone density, it could have positive effects cardiovascular system, especially lipid profile 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: EXERCISE, GENDER, SEXUAL HEALTH AND REPRODUCTION Title A NEW MEMBER OF THE BRAZILIAN MEDICAL TEAM Authors 1 2,3 3 3 4 1 T. Parmigiano , A. Lopes , G. Campos , J. Grangeiro , C. Guindalini , C. Moreno , R. 5 5 1 Castro , M. Girao , M. Cohen Affiliations 1 Department Of Sports Medicine - Federal University Of Sao Paulo, Sao Paulo, BRAZIL, 2 3 University Of The City Of Sao Paulo, Sao Paulo, BRAZIL, Brazilian Olympic Comittee, 4 Rio De Janeiro, BRAZIL, Department Of Psychobiology - Federal University Of Sao 5 Paulo, Sao P Aulo, BRAZIL, Department Of Gynecology - Federal University Of Sao Paulo, Sao Paulo, BRAZIL Body Purpose: To present the results of a pioneer gynecological medical program during the Pan American Games in Guadalajara 2011. Methods: A qualified gynecologist, with expertise in Sports Medicine, and used to take care of female athletes, was invited to be a member of the Brazilian Medical Group during the Pan American Games in Guadalajara, 2011. Participants with gynecological complaints were assigned to the doctors’ orientation and care. The appointments were registered and recorded with relevant clinical information. Results: Thirty three athletes (16,5%) received a medical consultation. Twenty eight percent sought information regarding contraception methods, 17,9% complained about dysmenorrhea and other 17,9% mentioned menstrual disturbances as amenorrhea and metrorrhagia. One athlete mentioned to be bulimic and three breast nodules were diagnosed. Additional complaints were related to vaginal discharge and dyspareunia. All patients mentioned they would not talk about these questions to any other member of the medical group. Conclusion: Female athletes have singular needs and demand special care. Although cardiologic and orthopedic follow-up are routinely undertaken, the lack of attention to the gynecological aspects is a major issue. The participation of a gynecologist during official Games was an original initiative in Brazil. We believe that this attitude help the athletes to feel more comfortable to share their doubts, certainly stimulating them to search for specific help. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: EXERCISE, GENDER, SEXUAL HEALTH AND REPRODUCTION Title PRELIMINARY STUDY OF THE EFFECT OF EXERCISE IN QUALITY SEMEN Authors 1 2 2 2,3 M. Gomis Bataller , P. Ibañez , N. Campillo , A. Brotons Affiliations 1 2 Centro De Investigación Del Deporte. Universidad Miguel Hernandez, Elche, SPAIN, 3 Clinica In Vitam Centro De Medicina Reproductiva, Elche, SPAIN, Instituto De Electroquímica. Universidad De Alicante, Alicante, SPAIN Body Objective There are not many studies on the hormonal regulation of male athletes, but some evidence suggest that endurance athletes have decreased testosterone levels compared to more sedentary control groups (Wheeler at al, 1984). It is known that there is a relation between testosterone levels and sperm quality (Safarinejad et al, 2009). The main objective of this study was to determine how affect exercise in semen quality. Design and method The study group consisted of 20 males between 18 and 36 years old, who volunteered participate in the project anonymously. The population was divided into three groups: the first one did not practice any exercise, the second group practiced an exercise from 1 to 3 times per week, and finally the latter group performed an exercise with a frequency greater than 3 times per week and in some cases the intensity was higher. The semen samples were analyzed following the World Health Organization (WHO) criteria for quality sperm. For the statistical study was performed an ANOVA test. Results We have not found significant differences in the percentage of progressive motile sperm, total production of progressive sperm, percentage of abnormal sperm morphology and concentration, among the three groups studied, but we observed subtle differences. We found an improvement in mobility in the exercise groups compared with the sedentary group, but a decrease of concentration. Conclusions Although we do not have significant differences, there is a tendency which suggests that moderate sport improves semen quality. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: GENETIC IMPLICATIONS FOR HEALTH AND PERFORMANCE Title SINGLE NUCLEOTIDE POLYMORPHISMS (SNPS) IN NON-CONTACT SOFT-TISSUE INJURIES: INFLUENCE ON DEGREE OF INJURY AND RECOVERY TIME Authors 1 2 3 4 5 1 2 R. Artells , R. Pruna , J. Ribas , B. Montoro , F. Cos , C. Muñoz , G. Rodas , M. 1 Monzo Affiliations 1 2 Unitat D'anatomia I Embriologia Humana. Fac. Medicina-ub, Barcelona, SPAIN, 3 Serveis Mèdics Del Fcbarcelona, Barcelona, SPAIN, Unitat D'anatomia I Embriologia 4 Humana I Escola De Medicina De L'esport. Fac. Medicina-ub, Barcelona, SPAIN, Dpt. 5 De Farmacia I Tecnologia Farmacèutica. Fac. Farmacia-ub, Barcelona, SPAIN, Inef-ub, Barcelona, SPAIN Body Introduction: In recent years, studies have highlighted the importance of genetic factors in the pathogenesis of non-contact soft tissue injuries. We have analyzed the relationship between SNPs in genes related to tissue repair and regeneration and the frequency and recovery time of non-contact tissue injuries. Material and Methods: Data was collected on injuries (type, degree and recovery time) in 73 elite football players. In blood, SNPs in the following 8 genes were analyzed: Elastin (Eln); Titin; SRY-related HMG-box; Insulin-like growth factor 2 (IGF2); Chemokine, CC motif, ligand 2 (CCL2); Collagen type 1 alpha 1; Collagen type 5 alpha 1 (COL5A1) and Tenascin C. SNP analysis was performed using a real-time polymerase chain reaction (PCR) Allelic Discrimination TaqMan Assay. Results: 242 injuries were recorded (203 were muscle, 24 were joint, and 15 were tendon). The degree of muscle injury was related to IGF2 (P=0.032). Moreover, we observed a close but non-significant relation between degree of muscle injury and CCL2 (P=0.1) and COL5A1 (P=0.07) and between Eln and degree (P=0.09) and recovery time (P=0.089) of joint injuries. Non-significant relation was observed between genes and degree or recovery time for tendon. Conclusion: These results may be due to several factors. Eln is a major source of tissue elasticity, and IGF plays an important role in mitogenesis and myogenesis during muscular development, regeneration and hypertrophy and in readaptation processes. COL5A1 modulates fibrillogenesis, and CCL2 expression is known to increase after muscle injury, indicating a key role in inflammatory processes. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: GENETIC IMPLICATIONS FOR HEALTH AND PERFORMANCE Title THE INVESTIGATION OF RELATION BETWEEN ALPINE SKIING SUCCESS AND ACE, NOS3, HBB GENE POLYMORPHISMS AND EXPRESSION LEVELS Authors 1 2 3 3 M. Polat , B. Coksevim , S. Taheri , M. Dundar Affiliations 1 2 Nigde University Department Of Phsical Education And Sport, Nigde, TURKEY, 3 Erciyes University Faculty Of Medicine Department Of Physiology, Kayseri, TURKEY, Erciyes University Faculty Of Medicine Department Of Medical Genetic, Kayseri, TURKEY Body Aim: The aim of this study was the evaluation of relation between alpine skiing success and ACE, NOS3, HBB gene polymorphisms. Methods: The athletes were classified according to their alpine skiing performance as Elite National Group, National Group, Divisional Group and Control Group. Also all volunteer groups divided into gender groups. Totally 91 volunteers participated in this study. ACE I/D polymorphism, NOS3 -786 T/C polymorphism, HBB -551 C/T polymorphism and expression levels were analyzed from blood samples by using PCR methods. Polymorphism results were analyzed chi-square test. Also Mann-Whitney U test was used for expression analysis. Results: ACE D/D genotype was found significantly higher in the Elite National Male Group and the National Female Group (p<0.05). Although NOS3 -786 T/C polymorphism results didn’t differ in groups significantly, C/C genotype was found at lower level in the all skier groups. HBB -551 C/T genotype had no significant difference in the voluntary groups. Expression results of ACE gene were significantly lower in the all skier groups than Control Female Group. Control Female Group’s expression results of NOS3 gene were significantly higher than Divisional Female Group(p<0.05). HBB gene expression levels had no significant differences in the all groups. Conclusions: These results show that the presence of ACE I/D and particularly D/D genotype, also the lack of NOS3 C/C genotype is strongly correlated with alpine skiing performance. ACE and NOS3 gene expression results might be affected by athletic skill factors. We thought that ACE and NOS3 gene was associated with elite alpine skiing performance. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: GENETIC IMPLICATIONS FOR HEALTH AND PERFORMANCE Title PPAR ALPHA GENE VARIATION AND PHISYCAL PERFORMANCE IN ITALIAN SOCCER PLAYERS Authors 1 2 2 1 1 1 1 P. Proia , P. Saladino , G. Schiera , V. Contrò , A. Bianco , A. Palma , M. Traina Affiliations 1 2 University Of Palermo - Department Of Sports Science (dismot), Palermo, ITALY, University Of Palermo - Department Of Biotechnology And Molecolar Biology (stembio), Palermo, ITALY Body PURPOSE: One of the genes of the health-related fitness phenotype is a PPARα coding for peroxisome proliferator activator receptor alpha, a central regulator of expression of genes involved in fatty acid metabolism. The aim of our research was to study the role of polymorphism of PPARα gene in performance enhancing in Italian soccer players. METHODS: Sixty professional soccer players and thirty sedentary volunteers were enrolled in the study. Samples of venous blood were obtained at rest in the morning by conventional clinical procedures. Serum was collected and lipid profile was measured by using a commercial kit. An aliquote of anticoagulant-treated blood was used to prepare genomic DNA from mononuclear cells. The polymorphic site in PPARα intron 7 was scanned by using PCR-RFLP protocol with Taq I enzyme. RESULTS: We found variations among genotype distribution of PPARα in professional soccer players versus sedentary volunteers. To enphatyzed this correlation, we also investigated lipidic profile variation. CONCLUSIONS: Our results evidenced an high expression of G allele as well as GG genotype in accordance with other studies that associate this genotype with endurance performance. So PPARα G allele may be considered an endurance relates allele. We can explain this one because PPARα is an important factor that regulate the balance between fatty acid and glucose metabolism. Moreover, we analyzed the correlation between G allele distribution and athletes lipid profile but we didn’t find any correlation. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title MOTIVATE PEOPLE WITH CHRONIC DISEASES TO PERFORM PHYSICAL ACTIVITY: WORK IN PARTNERSHIP Authors 1 1 1 2 P. Patroni , L. Girelli , M. Calvetti , P. Rumi Affiliations 1 2 Kinetik Centro Scienze Motorie, Rogno, ITALY, Istituto Di Medicina Dello Sport, Coni/fmsi Milano, Milano, ITALY Body The aim of this project is to promote practice of physical activity in patients with metabolic diseases. In order to motivate people, the program was made free for the attenders, the costs were borne by private and public agencies in partnership. The sample was formed by 68 subjects, 24 men and 44 women, age 65 ± 8, weight 79,9 ± 15,1 kg, height 164,4 ± 7,8 cm, Body Mass Index 29,4±4,5. Anthropometric measurements, blood test, Bioimpedentiometry were measured and physical fitness test were performedbefore and after the project. The protocol consisted in 16 weeks, 2 weekly meetings 1 hour each. 56 subjects, 20 men and 36 women, completed the program;12 drop-out. A statistically significant reduction of weight (77.13 Kg vs 79,08); BMI (28.5 vs 29; p<0.01); waist circumference (103.3 vs 106.6 p<0.01); Fat Body Mass (31.5 vs 32.6, p<0.01) and a significant HDL cholesterol increased (57 vs 61,7; p<0.001) were recorded. The physical fitness parameters increased with statistical significance: 6 Minute Walking Test (m) 622,3 vs 551,2, 30” arm curl (reps) 27.1 vs 22.4, chair test (reps) 24.6 vs 19.7, stand and reach (cm) 8.7 vs 11,6. P<0.001. This study confirms the gain in health due to practice physical activity in people with metabolic diseases. This project involved public and private agencies, who had motivated the patients and the population to practice physical activity. This model could be replicate in widest contexts, maybe with the collaboration of Sport Medicine Doctors to optimize the prescription of physical exercise. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title MASTER ATHLETES AND CAROTID INTIMA-MEDIA THICKNESS Authors 1 N. Gori , A. Bartolini, G. Tempesti, G. Anania, G. Galanti, L. Stefani Affiliations 1 Azienda Universitaria Ospedaliera Careggi, Agenzia Di Medicina Dello Sport, Florence, ITALY Body PURPOSE:Physical activity has effects in cardiac remodelling,not well determinated are effects on vascular districts.Study want to evaluate relationships between carotid intima-media thickness(IMT)and peak systolic blood pressure(SBP),mean arterial pressure (MAP),body mass index (BMI),age and weekly hours of sport in master athletes. METHODS:case-control study with100masters athletes(mean age50.0±6.7y)and51sedentary subjects(mean age51.1±5.7y),subjects were cardiovascular risk factors free.BMI was calculated and sport activity recordered by questionnaire(7.0 ±2.6hours/week).The subjects were subjected to detection left and right common carotid IMT with B-mode ultrasonography and Doppler ultrasound cardiac;later played in treadmill test with modified Bruce protocol(gradual increase in workload every2minutes and detection rate and blood pressure at rest,at peak and at4minute of recovery time) and MAPcalculation. RESULTS:left IMT values are greater in both groups,athletes(635±104 leftIMT,614±104 rightIMT,624±92 averageIMT)and sedentaries(leftIMT622±90;rightIMT633 ±78;averageIMT627±78).There are relationships between IMT and peak systolic blood pressure in both groups(sport R0.28p <0.01;sedentaryR0.32p0.02),IMT and mean arterial pressure in the group of athletes(restR0.25p 0.01;peak R0.23p0.02)and IMT and age in both groups(sportR0.30p<0.01,sedentaryR0.30p0.03). No significant correlations between IMT and BMI in either group,nor between IMT and weekly hours of sport activity. CONCLUSION:study confirme role of aging in processes of wall carotid thickening.It show a correlation between carotid IMT and blood pressure at the peak of the effort that confirms the effects of high blood pressure on enlargement of carotid wall and so mutual that high IMT values induce a minor vascular compliance under stress with consequent increase in blood pressure values.Our data show there are no effects of exercise in reducing IMT in subjects of similar age without vascular risk factors. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title PROTOCOL OF TELEMATIC MONITORING TO EVALUATE THE APPLICABILITY OF SPECIFIC PROGRAM OF PHYSICAL ACIVITY IN A SCHOLAR POPULATION TO REDUCE OBESITY Authors 1 1 1 1 1 1 L. Grasso , Z. Lazarevic , C. Sabatini , S. Razzicchia , F. Quaranta , F. Pigozzi , P. 1 Borrione Affiliations 1 Department Of Health Sciences-university Of Rome Foro Italico, Roma, ITALY Body Childhood obesity is reaching epidemic proportions and requires intervention. OBJECTIVE. The aim of the present study is to evaluate the effectiveness of a structured program of physical activity developed by specialists, complied for monitoring of trend for specific parameters as weight, blood pressure, ECG, SPO2, in children in primary school, using telematics applications for the remote monitoring of the results. DESIGN AND METHOD. The study population is composed by students of both sexes attending the primary school. Two groups of students were identified: Group A, submitted to the specific physical activity and Group B, engaged in a normal school activity. Both groups are periodically remote monitored using ECG that was recorded by “Resting ECG system” installed directly on PC and sent by mail to other PC with the same analysis software. RESULTS. At the time of writing, students finalized the first phase of remote testing and started the protocol of physical activity. Actually, no differences in the monitored parameters were present between the two groups. CONCLUSIONS. This study will provide valuable information for planning a preventive action for the treatment of obesity, metabolic and cardiovascular risk factors in children. The use of telematics control will allow to manage/control/monitor the activity in remote with the potential of immediate interventions. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title EFFECTIVENESS OF PHYSICAL EXERCISES FOR REGULATION OF THE FUNCTIONAL STATE OF ANXIOUS CHILDREN IN AN INITIAL STAGE OF ADAPTATION TO SCHOOL Authors 1 I. Krivolapchuck Affiliations 1 Institute Of Developmental Physiology Of Russian Academy Of Education Department Of Physiology Of Muscular Activity, Moscow, RUSSIA Body Objective. The aim of this work was to optimize the functional state (FS) of anxious sixto eight-year-old schoolchildren on the basis of the use of physical exercises and the set of means of self-regulation. Design and method. Children aged six to eight years assigned to the basic medical group (n=214) based on the state of health participated in the study. The personality features were studied using Amen’s projective school-related anxiety test, the SMAS overt anxiety scale, and the incomplete sentences method. Results. The study aimed at optimizing the FS of anxious six- to eight-year-old children showed that integrated use of physical exercises of a mainly aerobic character, relaxation training, respiratory exercises, and functional music is more effective in the long-term aspect than selective use of these means. Only physical exercises exert a marked influence in the FS of anxious children under a stressful informational load. Conclusions. Apparently, long-term adaptation to an adequate muscular activity ensures improved functioning of, and a better interaction between, the activating and inactivating structures of the modulating brain system located at different levels of the CNS, in particular, in the frontal cortical areas. It is emphasized that the peculiarities of the influence of different means of regulation of the FS on the body of anxious elementary school children are, largely determined by the immaturity of the frontothalamic regulatory system and the specifics of the functional organization of the limbic brain structures. This study was supported by the Russian Foundation for the Humanities (no.11-06-00182a). 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title FOOD AND EXERCISE AT SCHOOL Authors 1 1 1 N. Lombini , L. Zambelli , G. Battistini Affiliations 1 2 Ams (sports Physicians Association), Forli', ITALY, Ams (sports Physicians 3 Association), Forli', ITALY, Coni (italian National Olympic Committee), Forli', ITALY Body The group, consisting of 936 students Forlì schools, was subjected to an epidemiological survey related to observation and collection of anthropometric parameters Two one-hour meetings were scheduled in a two-weeks time frame in each of the participating schools. The epidemiological investigation consisted of the submission of a pre-test and post-test anonymous questionnaire, to investigate the students eating and exercise behaviors, their awareness regarding foods nutritional values, the accessibility to sports clubs . Following the pre-test questionnaire, interactive lectures were provided to the students. The questionnaire was made by 39 items broken down into 3 sections: personal identifying data:1) age, sex, BMI. 2) Lifestyle and sport activity. 3) Food behaviour and food awareness. The decision to submit the pre-test leads to estimate the student’s awareness and interest regarding the survey topic and to recognize the effectiveness of our communication procedure. The post-test pointed out the following statements: - Non-answer percentage increased (lack of interest for a discussed topic?) - 56% of males and 68% of females’ students had a W.N.L BMI - Most of the students has an healthy lifestyle, and respects the meal routine - Correct answers percentage increased - Sports clubs trainers do not provide education regarding nutrition during competitions and training sessions - Students show unfamiliarity with food nutrients The survey shows the importance to introduce nutrition concepts to students, starting to manage their diet buying food independently. It is crucial for students to became familiar with food nutrients such as proteins, carbohydrates, fibers, fats, sugars, salt and minerals and with nutrition facts labels. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title THE ASSOCIATION BETWEEN PHYSICAL ACTIVITY LEVEL WITH AGE AND GENDER IN PREPUBESCENT CHILDREN Authors 1 1,2 1,2 1 1 1 O. Mazzardo , I. Balen , E. Legnani , R.F.S. Legnani , R. Guimaraes , W. Campos Affiliations 1 Federal University Of Parana - Department Of Physical Education/capes, Curitiba, 2 BRAZIL, Federal University Of Technology - Department Of Physical Education, Curitiba, BRAZIL Body Objective: To verify the association between physical activity level with age and gender in prepubescent children. Materials and Methods: Participated in the study a sample of 1182 children, 612 boys (51.8%), with mean age of 8.4 years (SD=1.2), and mean body mass index of 17.8 Kg/m2 (SD=3.01). The classification of nutritional status followed the guidelines proposed by Cole et al (2000). The web-based questionnaire ‘WEBDAFA’, with 11 physical activity images and three categories (slow, fast and very fast) was answered resulting in a general physical activity score, which was stratified by quartiles (Q1= Insufficiently active; Q2= Moderately active; Q3= Active; Q4= Highly active). Descriptive statistics and the Qui-square test were used to identify the associations between the variables. Results: There was an association between physical activity level and gender (x2= 26.22, p= 0,001). The percentage of girls (31.2%) classified in the lower quartile of physical activity level was higher than boys (21.1%), while frequencies in the highly active quartile was more elevated for boys (29.7%) than girls (19.1%). A significant association between physical activity level and age was found (x2= 63.88, p = 0.001). Six and seven-year-old children demonstrated to be less active (44.9% and 38.1%) than eight and nine year olds (24.5% and 18.4%). Conclusions: Boys are more physically active than girls, and both gender reached the highest levels of physical activity at nine years of age. Reference: Cole TJ, Bellizzi MG, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide. BMJ. 2000; 320:1-16. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title PREVALENCE IN OVERWEIGHT/OBESITY AND PHYSICAL ACTIVITY HABITS IN CHILDREN. Authors 1 1 1 1 1 G. Grazzi , E. Bernardi , F. Terranova , G. Grossi , G. Mazzoni Affiliations 1 Biomedical Sport Studies Center, University Of Ferrara, Ferrara, ITALY Body Aim: To evaluate the prevalence in overweight/obesity children attended the primary school [2007-08, (T1) in Ferrara, Italy] and the variation in prevalence by sex and lifestyle. Materials and Methods: 2.151 children [1.133 males (M), 1.018 females (F)] were measured height, weight, Body Mass Index (BMI). Eating and physical activity habits were evaluated by the compilation of a questionnaire. To evaluate the trend of BMI we compared this study with a previous one performed in 2003-04 (T0). Results: 22% were overweight and 9% were obesity. 74% engaged in regular physical activity. Children’s parents: 56% both were sedentary, 29% only one was active, 15% both were active. 10 years old children were allocated into 2 groups: active and not active. The mean BMI was lower* in active group, M (T0: 19, T1: 18.8) and F (T0: 18.8, T1: 18.1). The prevalence of overweight and obesity is lower* in active population (M: 28.9% vs 39.1%; F: 26.6% vs 31.9%). The prevalence of active children is higher* even if the parents were active (91% vs 73%). We found a lower BMI, M: from (T0) 18.9 to (T1) 18.5, F: form (T0) 18.7 to (T1) 17.1. Even the prevalence of overweight and obesity detected in the T1 study was lower*, M: 38.3% (T0) vs 30.8% (T1), F: 38.1% (T0) vs 28% (T1). (*T-test, P<0.05) Conclusion: An active lifestyle has positive effect on body mass composition in primary school children and the parents lifestyle influence children’s one, consequently one of the prior educational effort should start from school. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title METABOLIC SYNDROME PREVALENCE IN AGONISCTIC TEENAGERS Authors 1 1 1 1 1 1 M. Piseri , A. Giacometti , A. Anedda , M. Vanelli , G. Pela' , A. Bonetti Affiliations 1 University Of Parma - Chair Of Sport Medicine - Clinical Science Department, Parma, ITALY Body OBJECTIVE To evidence Metabolic Syndrome prevalence in obese agonistic teenagers. DESIGN AND METHOD 50 obese subjects, out of 4.757 agonistic teenagers, aged between 12 and 17, examined at AUSL Parma Center of Sport Medicine from 2008 to 2011, underwent to evaluation, to determine Metabolic Syndrome presence according to the Adult Treatment Panel III and to the International Diabetes Federation criteria for children and adolescents. Anthropometric, clinical, laboratory, and medical history data were evaluated. Sex and age percentiles in Italian population, aged between 2 and 20, were used to analyze waist circumference, weight, height, body mass index, systolic and diastolic blood pressure. RESULTS 22 out of 50 subjects (44%) met diagnostic criteria of Metabolic Syndrome (42% according to the International Diabetes Federation classification): 5 with 4 risk factors and 17 with 3 risk factors. 40 had insulin-resistance, based on Homeostasis Model Assessment values. Total and low-density lipoprotein cholesterol were respectively increased in 5 (10%) and in 22 (44%), triglycerides in 8 (16%), and the high-density lipoprotein levels were lower in 32 (64%) subjects. 20 teenagers (40%) showed blood hypertension. Although in this population family history of obesity was present, birth weight didn’t seem to represent a risk factor for the development of obesity later in adolescence. CONCLUSION Our data confirm that Metabolic Syndrome is found also in adolescence. Prevalence is in agreement with epidemiological reliefs about obese subjects in pediatric age, and sport, also at agonistic level, don’t seem to counteract or diminish the metabolic risk related to weight excess. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title MOVEMENT IS LIFE INTERVENTIONS ON THE SCHOLASTIC POPULATION OF MIDDLE SCHOOL Authors 2 2 2 1 1 1 1 D. Campus ,R.Masala , E. Fogarizzu , S. Santus , F.Loy , A.Pintore , A.Puddu , M.A. 1 3 4 4 4 4 4 Ziccheddu , A. Loviselli ,G. Satta , M. Pellicano , I. Murtas , P. Marras , A. Molari , 4 4 1 M,Scorcu , M.Massenti ,G.C.Steri Affiliations 2 3 4 ASL 8 Servizio Igiene Sanità, Servizio Prevenzione Ass.to Sanità, AOU CA, MV Group Sport Med Ser Prev Ass.to Sanità.,ITALY 1 Body AIM: The Movement is Life project is part of the Regional Prevention Plan 2010-12. It has been activated in Sardinia to encourage students to increase their levels of physical activity and reduce the sedentary lifestyle. MATERIAL AND METHODS The intervention will take place in 66 schools, 23 in the ASL 8 of Cagliari, for a total of 1200 students (cluster-sampling). The 25% between 6 and 9 years is overweight and 30% do not exercise enough (Okkio 2009). The prevalence of overweight and obesity among 11 and 15 years old is of 14.9% and 3.7%. The 2009 HBSC data shows that only 25% of 15 years old girls do physical activity. The guys of the 1st class of middle school will do physical activities for another 3 hours a week, aspect highly recommended by the Task Force on Community Preventive Services. The team of Sports Medicine's Hygiene Service ASL8 will detect BMI, abdominal circumference and body composition and will involve School Directorates, teachers and parents using brochures. RESULTS This project intends to pursue an intensive prevention and surveillance of habits, behaviors, unhealthy lifestyles where the overall goal of health is the increase in motor extracurricular activity CONCLUSIONS It is indispensable an integrated initiative with the school through stable promotions and protections of health: a moderate-vigorous intensities physical activity among teenagers, combined with proper nutrition, is among the most effective tools for control of overweight, obesity and reduction of cardiovascular risk in adulthood. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MISCELLANEA Title OBESITY AND CLINICAL EXERCISE Authors 1 G. Battistini , M.L. Petroni, S. Biondi, S. Battistini Affiliations 1 Villa Igiea Hospital, Forli', ITALY Body Words key: obesity, physical activity The subject with obesity and cardiac pathology is a special patient in terms of rehabilitation. The literature, does not offer indications with respect to the optimal elaboration of the program of motor overhauling, that it holds account is of problematic the cardiological ones that of those metabolic ones tied to the obesity of high degree. The associated indirect calorimetry to the ergometric test could represent a useful instrument. In a group of obese patients (n= 57, M=48, F =9, medium age 55,1 ± 12,0), hospitalized in government of multidisciplinary assesment in Hospital or Day Hospital for obesity with cardiac diseases, the rehabilitation program is set up after ecg stress test with indirect calorimetry for the appraisal of the VO2 max. Regarding the formula traditional used for the training calculation of the cardiac frequency (220 - ages in years), the value of training F.C., advised in the subjects with cardiac disease to us in study on the base of the result of the bound together ergometric test to indirect calorimetry, turns out inferior and therefore an over evaluation shows of the theoretical calculation. During the period of rehabilitation, in no patient they have been marked adverse events in cardiological within during - or immediately after - the prescribed aerobic physical exercise on the base of the indirect calorimetry Conclusions: the associated indirect calorimetry to ecg stress test represents a useful instrument in the optimization of the programming of the motor overhauling in obese patients with cardiac pathology. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MISCELLANEA Title PREDICTION OF SPORTS INJURIES BY FERNANDEZ-DELA CRUZ'S INDEX MODELS Authors 1 1 1 1 J. De La Cruz-márquez , J. De La Cruz-campos , A. De La Cruz-campos , M. Figueroa , 1 1 1 1 S. Rodriguez-ruiz , B. Cueto-martin , M. Campos.blasco , M. García-jimenez , E. 1 2 Garcia-marmol , A. Fernandez-martínez Affiliations 1 2 University Of Granada, Granada, SPAIN, University Pablo De Olavide, Sevilla, SPAIN Body OBJETIVE: To determine the efficacy of a logistic regression equation predicting sports injuries. DESIGN: Participants: 335 volleyball, basketball and football players from 17 to 32 years of mean age 24 ± 3.5) We determine the sports injuries for three seasons, and relate to the time of training and competition. FERNANDEZ-DE LA CRUZ’ INJURY PROBABILITY SCORE = 1/ 1+ e- (0.757 + LQA-0,647*TTD2) Where LQA is the left knee Q angle and TTD2 is the squared value of the difference in thigh thickness, demonstrating a 72.9% success rate for injury prediction (positive prediction at 75.68%; negative prediction at 70.73%). This equation is applicable to men as well as to women. The overall percentage of correct classification was 68.6%. The cutoff point (0.5) indicates that the subjects with values equal to or greater than 0.5 would be placed in the “at risk” category, while a value less than the cutoff point would place them in the “reduced risk for injury” category. CONCLUSIONS: Logistic regression equations allow injury prediction for athletes, risk calculation, and the opportunity for establishing the most effective and appropriate measures to be taken. Its versatility and capacity for being applied to specific sports groups allows personalized attention for each group. The logistic regression analysis can be used as a valid method in determining anthropometric parameters related to sports injuries, while providing a reliable and simple method that can be used in the common practice of sports medicine. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MISCELLANEA Title PHYSICAL, CARDIOVASCULAR AND PSYCHOLOGICAL ASSESSMENT IN ADOLESCENTS: MECHANISMS OF RISK AND PROTECTION Authors 1 1 1 1 J. De La Cruz-márquez , J. De La Cruz-campos , A. De La Cruz-campos , M. Figueroa , 1 1 1 1 S. Rodriguez-ruiz , B. Cueto-martin , M. Campos.blasco , M. García-jimenez , E. 1 Garcia-marmol Affiliations 1 University Of Granada, Granada, SPAIN Body OBJETIVE: The aim of the present investigation is, to develop a Standardized Assessment Protocol including (1) physical evaluation (measures of anthropometry, dinamometry, reaction time, and resitance), (2) physiological evaluation (measures of arterial blood pressure, heart rate, and electrocardiogram), (3) behavioral evaluation (measures of physical and sport activity, eating behavior, and drug consumption), and (4) psychological evaluation (measures of impulsivity, attentional capacity, and decision making) and to apply this Protocol to a large sample of Andalucian adolescents (2400), aged between 12 and 18 years. Second, to examine in a sub-group (624) of this sample the correlations between the non-linear measures of heart rate variability and the four types of measures included in the Standardized Assessment Protocol in order to better understand the fractal properties of heart rate fluctuations and justify their use as an index of cardiovascular and psychological health. DESIGN AND METHOD: 2400 adolescents (14-18 years; of Andalusia (Spain) (mean: 16.75 ± 2.4). 1275 men, 1125 women. We determined statistical measures of central tendency and dispersion (statistical package SPSS 12.0). RESULTS: Physical hazard: 12.3 ± 3.65 % Sedentary: 35.5 ± 1.77. Overweight: 11.0 ± 2.70. Hipertension (HPT) : 08.5 ± 3.30 overweight + HPT: 85.1 ± 2.61 (145.3 ± 12.76 mmhg) Psychological risk: 18.5 ± 4.10 (women: 75.9 ± 3.22 16-17 years: 77.5 ± 3.41) CONCLUSIONS: In this adolescents there are serious risk factors associated with physical inactivity, impulsivity and eating behavior disorders. Is important to prevent physical activity and implementing healthy habits at home and at school. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MISCELLANEA Title THE ACUTE EFFECTS OF STATIC AND DYNAMIC STRETCHING EXERCISES ON DYNAMIC BALANCE PERFORMANCE Authors 1 1 1 1 1 1 N. Denerel , M. Ergun , C. Islegen , O. Karamizrak , C. Ozgurbuz , O. Yuksel Affiliations 1 Ege University School Of Medicine, Sports Medicine Department, Izmir, TURKEY Body Objective: to investigate the acute effects of static and dynamic stretching exercises and the role of gender on dynamic balance. Design and Methods: 67 recreational athletes; 33 males (age: 20.5 ± 2.3 years) and 34 females (age: 21.4 ± 3 years) were tested in three different protocols including the control condition, static stretching and dynamic stretching exercises on 3 seperate days, 48 - 72 hours apart. Before and after each protocol the double foot dynamic balance were measured based on the isokinetic balance system. Each protocol involved warm up for 5 minutes using the bicycle ergometer at 50 - 60 rpm 70 W. Stretching exercises were applied on the four different bilateral lower extremity muscle groups. For control condition after warm-up subjects were made to rest for 11 minutes and 45 seconds. The time period between the two dynamic balance measurements was equal for each protocol. Statistical results were analysed using the SPSS program (version 15.0). Statistical significance was reported at the level of p<0.05. Results: All three of the control, static stretching and dynamic stretching protocols positively affect dynamic balance performance (p<0.01), that gender does not cause a significant difference (p>0.05) and that the three exercise protocols do not have a significantly different effect (p>0.05) was found. Conclusions: These results showed that in the acute phase warm-up, static stretching and dynamic stretching exercises affect dynamic balance performance positively for both men and women, and that neither is significantly superior to the other in the effect on dynamic balance performance. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MISCELLANEA Title INVASTIGATION OF KNEE PAIN AND RANGE OF MOTION BEFORE AND AFTER SHALLOW WATER EXERCISE IN WOMEN WITH KNEE OA Authors 1 2 M. Vesalinaseh , F. Zamanian Affiliations 1 2 Faculty Of Physical Education And Sport Science, Tehran University, Tehran, IRAN, Department Of Physical Education And Sport Science, Islamic Azad University, Najafabad Branch, Najafabad, IRAN Body Objective: Knee Osteoarthritis (OA) is the most common form of arthritis in the old adults especially in women. Knee OA associated with pain and stiffness of the joint and decreased range of motion. The aim of this study was investigation the effects of shallow water exercise on ROM and knee pain in elderly women with knee OA. Methods: 30 elderly women with knee OA over 60 years old voluntarily participated in present study. Knee pain was evaluated by KOOS questionnaire. Using Berg questionnaire, the falling risk was evaluated. Range of motion (ROM) of the knee joint was actively assessed using a standard goniometer. Then the subjects were divided into experimental and control groups randomly. Experimental group underwent a 12weeks (three sessions per week) water exercise program. The control groups did not participate in any training program. The evaluations were repeated after the treatment sessions. Analysis of Variance (ANOVA) was used for statistical analysis. Results: After water exercise ROM Improved significantly (p=0.03). Also water exercise reduced the knee pain (P= 0.008). Conclusions: exercise in the water, where it declines weight bearing and stress on the joints, due to increase ROM, decline the knee OA pain. it allows elderly with knee OA to participate in this crucial way of staying healthy. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MISCELLANEA Title PHYSICAL ACTIVITY IN BREAST CANCER SURVIVORS: PRELIMINARY DATA OF THE IMPLEMENTATION OF A SUPERVISED TAILORED EXERCISE PROGRAM ON PATIENT’S EXERCISE CAPACITY AND QUALITY OF LIFE Authors 1 2 3 3 4 4 S.M. Molinari , G. Gallucci , M. Sangregorio , M. De Lisa , F. Miele , M. Canadeo , I. 4 5 Cantore , S. Laurita Affiliations 1 Istituto Di Ricovero E Cura A Carattere Scientifico (irccs), Centro Di Riferimento 2 Oncologico Della Basilicata (crob), Rionero In Vulture (pz), ITALY, U.o.s. Cardiologia 3 Irccs Crob, Rionero In Vulture (pz), ITALY, Fmsi Potenza, U.o. Medicina Dello Sport, 4 5 Asp Basilicata, Potenza, ITALY, U.o. Medicina Dello Sport Fmsi, Potenza, ITALY, Fmsi, Basilicata, Potenza, ITALY Body Background. The link between physical activity (PA) and cancer is undoubtedly recognized. Physically active patients have been associated to a lower all-cause mortality than non active. Moreover, recent studies have shown that PA reduces the sequelae related to cancer and the side effects of cancer therapy, modifies biomarkers associated with cancer development such as estrogen and adinopectin and improves quality of life. Aim of the study is to evaluate the effects of a 12- week training program on exercise capacity and health related quality of life (HRQOL) of breast cancer survivors. These results will provide more evidence on the importance of a planned exercise therapy in breast cancer patients. Methods. We recruited female disease-free patients (aged 40 - 80) after traditional treatment (surgery, and/or chemotherapy and/or radiotherapy). Inclusion criteria were: an history of early stage breast cancer and a low physical activity level. On phase 1, at the hospital, the patients performed a stress test in order to measure peak oxygen uptake (VO2 peak) and exclude silent coronary artery disease. On phase 2, outside the hospital, the patients performed 12 weeks (3 times/wk) of supervised tailored training. The training consisted of both resistance exercises, involving major muscle groups, and aerobic exercises, walking or running on a treadmill. Every session of training lasted 60 minutes. After the 12 weeks of training, patients performed another stress test. Before and after training a HRQOL questionnaire was required. Conclusion. Tailored supervised training program should become a cornerstone of therapy in breast cancer patients, reducing the risk of recurrences, decreasing the burden of cardiovascular diseases and improving quality of life. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MOLECULAR BIOLOGY AND SPORT Title EFFECTS OF AN ACUTE RESISTANCE AND AEROBIC EXERCISE SESSION ON THE ANTIOXIDANT DEFENCE SYSTEM IN HEALTHY MEN Authors 1 1 2 1 M. Afzalpour , M. Saghebjoo , A. Zarban , M. Jani Affiliations 1 University Of Birjand, Department Of Physiacal Education And Sport Sciences, Birjand, 2 IRAN, Birjand University Of Medical Sciences, Department Of Biochemistry, Birjand, IRAN Body Objective: The aim of this study is to examine the serum total antioxidant capacity, bilirubin and malondialdehyde levels after an acute resistance and aerobic exercise in healthy men. This study is a semi-experimental research. Design and Method: 29 healtyh men participanted in the study and they were randomly divided into three groups including acute resistance exercise group(N=10), acute aerobic exercise group(N=10) and a control group(N=9). Participants had no any choronic diseases, smoking and supplement foods. Total antioxidative capacity, bilirubin and malondialdehyde were measured as dependent variables. When the normal distribution of the data is approved by Kolmogorov-Smirnov test, we applied the independent t-test, dependent t-test and analysis of variance for extraction of results. Significance level was considered if p<0/05. Results: Results showed that levels of bilirubin(p<0.006 and p<0.005 respectively) and total antioxidative capacity(p<0.001 and p<0.02 respectively) significantly increased after both acute resistance and aerobic exercises; but there was no significant changes in malondialdehyde(p>0.05) levels. In addition, it is observed that mean changes of antioxidant defence indices of serum had no any significant(P>0.05) differences between groups. Conclusion: Beased on the findings, performing of an acute resistance or aerobic exercise may enhance antioxidative defense system of the body similarly and consideration to the type and mode of exercise training, it could not make any differences about induced responses to exercise. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MOLECULAR BIOLOGY AND SPORT Title EXPLOSIVE-TYPE OF MODERATE-RESISTANCE TRAINING IN THE ELDERLY: BIOLOGICAL AND FUNCTIONAL EFFECTS Authors 1 M. Beltran Valls , A. Brunelli, I. Di Mauro, P. Caserotti, V. Disalvo, E. Ciminelli, F. Quaranta, E. Tranchita, A. Parisi, D. Caporossi Affiliations 1 2 3 University Of Rome Foro Italico- Department Of Health Sciences, Rome, ITALY, 1, 1, 4 University Of Southern Denmark -department Of Sports Sciences And Clinical 5 6 7 8 9 10 Biomechanics, Odense, DENMARK, 1, 1, 1, 1, 1, 1 Body Objective The aim of the study was to analyse the effects of 12 weeks low frequency (2days/week) explosive-type moderate-resistance training (EMRT) at 70% of 1RM on cardiovascular fitness, functional capacity and on molecular markers. Methods Twenty-one medically stable men and women (72±3 yrs) were divided into training (n=13) and control group (n=8). Cardiovascular fitness (ECG, hearth rate, blood pressure) was assessed by maximal graded exercise stress test (GXT). Muscle power was assessed with standardized countermovement jump (CMJ) and during leg extension, leg curl, low row and chest press devices with load at 70% of 1RM recorded at baseline (FreePower, Sensorize). Functional performance was measured by 6-m walking (6MW) and stairs climbing (SC) tests. HSP70 and HSP27 were analyzed by western blot. MPO and BNP were quantified by ELISA. Results Training increased maximum GXT load 16% (p <0.05) while heart rate and blood pressure for the same relative work intensity did not change. Peak power recorded on the 4 devices and during the CMJ increased by 20-30% (p<0.05) along with increase in the 6MW and SC speed (p<0.05). HSP70 and HSP27 decreased 28%-31% respectively (p<0.05). MPO diminished 11% (p<0.05) while BNP remained unchanged (p>0.05). Conclusion The trend to reduced heart rate and blood pressure and the unchanged BNP values indicate that EMRT may not be hazardous for this age population. The reduced basal levels of HSP and MPO show an adaptation to the acute exercise stimuli during training attributable to higher tolerance and reduction of cellular stress. Grant 2009 of Foro Italico University 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MOLECULAR BIOLOGY AND SPORT Title PLIN2 EXPRESSION IN HUMAN SKELETAL MUSCLE IS ASSOCIATED WITH INACTIVITY AND AGING Authors 1 2 3 1 1 2 M. Conte , F. Vasuri , G. Trisolino , E. Bellavista , A. Santoro , A. Degiovanni , E. 3 2 4 5 1 1 Martucci , A. D'errico-grigioni , A.B. Mayer , M. Narici , S. Salvioli , C. Franceschi Affiliations 1 Dept. Of Experimental Pathology And Cig, Interdepartmental Center L. Galvani, 2 University Of Bologna, Bologna, ITALY, Pathology Unit Of The F. Addarii Institute Of 3 Oncology, S.orsola-malpighi Hospital, University Of Bologna, Bologna, ITALY, Reconstructive Hip And Knee Joint Surgery, Istituto Ortopedico Rizzoli, Bologna, ITALY, 4 Dept. Of Gerontology And Geriatrics, Leiden University Medical Center, Leiden, 5 School Of Graduate Entry Medicine And Health, University Of NETHERLANDS, Nottingham, Nottingham, UNITED KINGDOM Body Background: fat infiltration in skeletal muscle is associated with aging and physical inactivity. Low levels of physical activity cause an increase of fat mass between skeletal muscles in older adults as well as in sedentary healthy young individuals. High levels of inter-muscular adipose tissue contribute to muscle quality decline, predict sarcopenia and increase risk of mobility impairment. Much less is known about lipid deposition within muscle fibres and muscle function. Intracellular lipid droplets are associated with a number of proteins, among which Perilipins (Plins) play a critical role in regulating intracellular lipid storage and mobilization. In particular, Plin2 is expressed in human skeletal muscle. Methods: this study aimed at investigating the different expression level of Plin2 in skeletal muscle from healthy or affected by mobility-limitating pathologies subjects. In the framework of the EU 7th Program Project MYOAGE, we analysed muscle samples from active and sedentary individuals and from hip-surgery patients of different age. Plin2 expression and distribution in muscle Vastus lateralis were investigated with Real-Time PCR, WB and IHC. Results: Plin2 expression is associated with age. This phenomenon is more evident in patients with decreased limb mobility. Furthermore, among old patients, an inverse association is present between muscle strength and Plin2 expression. Conclusions: these results suggest that lipid deposition occurs with age not only as fat infiltration of the muscle fascicle but also within the muscle cells. This phenomenon is exhacerbated by inactivity. Therefore a maintained physical activity can preserve skeletal muscle from intra-fibre lipid deposition even in old age. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MOLECULAR BIOLOGY AND SPORT Title DELAYED ONSET MUSCLE SORENESS INDUCED BY ECCENTRIC EXERCISE IS NOT RELATED WITH MUSCLE FIBER SWELLING OR INFLAMMATION Authors 1 2 2 2 2 J. Yu , J. Liu , L. Carlsson , L. Thornell , P. Stål Affiliations 1 Depart. Surgical And Perioperative Sciences, Sports Medicine Unit, Umeå University, 2 Umeå, SWEDEN, Depart. Integrative Medical Biology, Section For Anatomy, Umeå University, Umeå, SWEDEN Body The so-called Z-band streaming appeared in muscles with delayed onset muscle soreness (DOMS) after eccentric exercise (Friden et al., 1984) has recently been proved to be actually a sign of myofibrillar remodeling (Yu et al, 2003; Carlsson et al., 2007; Malm and Yu, 2012). Despite that, the etiology of DOMS is still unclear. 14 healthy medical studies were recruited and randomly distributed into control (CON = 5) or eccentric exercise group (ECC = 9). The ECC performed eccentric exercise on soleus muscle and experienced DOMS which peaked at 2-3d post exercise. CON did not perform any exercise. Soleues muscle biopsy was taken from both CON and ECC at 1h, 2-3d and 7-8d post exercise. The biopsy was evaluated for sarcolemma integrity, fiber size and inflammatory cells using enzyme- and immunohistochemistry. No visible sarcolema injury was observed in any fiber despite intracellular fibrinogen was observed in some fibers. No difference in fiber size was observed between CON and ECC groups; however, fiber size was larger at 7-8d than at 2-3d (p<0.05). A few (<0.1%) new fibers of small size and macrophages/monocytes were observed mostly at 2-3d. We concluded that DOMS induced by voluntary eccentric exercise is not due to either fiber inflammation/necrosis or fiber swelling. Referens: 1. Fridén J, Kjörell U, Thornell LE. Delayed muscle soreness and cytoskeletal alterations: an immunocytological study in man. Int J Sports Med. 1984: 5: 15-18 2. Yu JG, Fürst DO, Thornell LE. The mode of myofibril remodelling in human skeletal muscle affected by DOMS induced by eccentric contractions. Histochem Cell Biol 2003: 119: 383-393 3. Carlsson L, Yu JG, Moza M, Carpén O, Thornell LE. Myotilin: a prominent marker of myofibrillar remodelling. Neuromuscul Disord 2007: 17: 61-68. 4. Malm C, Yu JG. 2012 (Apr 10). Exercise-induced muscle damage and inflammation: re-evaluation by proteomics. Histochem Cell Biol 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MOLECULAR BIOLOGY AND SPORT Title BEHAVIOR OF BLOOD CREATINFOSFOKINASA LEVELS IN ULTRAENDURANCE RACING Authors 1 1 1 1 1 1 F. Ramognino , C. Valenti , A. Marincola , A. Mohni , M. Gonzalez , F. Cillo , G. 1 1 1 1 Fantuzzi , K. Galvan , M. Romano , C. Yche Affiliations 1 Hospital General De Agudos J. A. Penna - Consultorio De Actividad Física, Deporte Y Salud, Buenos Aires, ARGENTINA Body Objective: assess levels of blood Creatinfosfokinasa (CPK) in ultraendurance racing. Design and methods: were evaluated eleven male runners between 40 and 56 years old (mean 45,88; SD 4,91), by performing a blood CPK measurement immediately before and immediately after an ultraendurance race. It consisted of running 24 or 48 hours on running track, trying to run the greatest distance. The average distance run in the race for 48 hours was 211,81 km (max 262,90 km; min 170,11 km). The average distance run in the race for 24 hours was 163,26 km (170,58 km and 155,95 km). Both races were analyzed together. To compare the means of CPK prior to the start with CPK post-race, t Student Test for paired samples was used. Results: The mean of CPK prior to the start was 174,18 UI/l (SD 104,60 UI/l). The mean of CPK post-race was 4933,91 UI/l (SD 3979,02 UI/l), signifying an increase of 2732,62 % of CPK compare to baseline (p = 0,003). The mean of the difference between CPK post-race and CPK before the start was 4759,72 UI/l (CI 2087,97 – 7431,48). Conclusion: CPK serum levels rise up to 27 times after ultraendurance racing. Future studies will determinate the usefull of this data. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title VIBRATION ENERGY AND ISOTONIC EXERCISE:APPROACH TO FUNCTIONAL RECOVERY AND MUSCLE STRENGTHENING Authors 1 1 1 G. Battistini , E. Galtieri , F. Fontana Affiliations 1 2 Ass. Sports Medicine, Forli', ITALY, Private Sport Traumatology Centre, Cesena, 3 ITALY, Medicina Ravenna Sport Traumatology Centre, Ravenna, ITALY Body The work described here consists in using controlled-frequency vibration, associated with an isotonic machine for the upper and lower limbs. The systems consist in two different machines; the first for the treatment of upper limbs, who consist in a cable system with two arms whose height with respect to the ground can be adjusted, to which weights ranging between 5 and 80 Kg can be connected; the treatment of lower extremity, is possible by a leg press machine. The vibration is controlled by means of a switchboard allowing for the production of a vibration which may be simultaneous or not, but also, more importantly, it is possible to select its frequency (from 25 to 70 Hz). The effects of the vibration therefore result in: 1)Greater muscular power 2)Greater tendon elasticity 3)Greater joint flexibility 4)Improvement of vascular and lymphatic drainage 5)Improvement of proprioceptiveness Our experiment, aimed at proving the efficiency of isotonic exercise associated with controlled vibration, consisted in carrying out an Isokinetic Test on several individuals before and after the treatment. Intra/extra rotation was used for the shoulder, prono/ supination for the TT joint and flex/extension for the knee, because it was showed the most stable movements whose compensation did not affect the muscle performance. Conclusion The rehabilitation of a joint and the strengthening of the muscles involved in the movement, undoubtedly shows substantial advantages from being associated with controlled vibration in terms of reduction of the weight applied (more safety), early increase of joint excursion, reduction in the number of sessions; in conclusion this means shorter recovery times. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title PROCESS CAPABILITY IN ARTERIAL OXYHEMOGBLOBIN SATURATION MEASUREMENT BY PULSE OXIMETRY Authors 1 2 2 1 J. Beckert , R. Minhalma , F. Alves , N. Neuparth Affiliations 1 Cedoc, Faculdade De Ciencias Medicas, Universidade Nova De Lisboa, Lisboa, 2 PORTUGAL, Ciper, Faculdade De Motricidade Humana, Universidade Tecnica De Lisboa, Lisboa, PORTUGAL Body Artificial altitude training is now a common methodology used by elite athletes to improve performance. World Anti Doping Agency recommends medical supervision for artificial altitude use. Arterial oxygenation is a crucial parameter and the gold standard measurement method is by co-oximetry saturation. Although precise, the method requires arterial blood samples. Continuous noninvasive measurement of arterial oxyhemoglobin saturation by pulse oximetry should be an alternative but only some oximeters have been validated. The objective of this study is to evaluate the reliability of the pulse oximeters used in our laboratory. We perform a methodological study with two different subjects, submitted to eight successive hypoxic expositions (at altitude equivalent of 5000m) until pulse oximetry drops below 85%. During each exposure, six digital pulse oximeters from the same manufacturer were used simultaneously. The protocol selected is intentionally similar to an Hypoxic Exposition Test we are implementing. The variance of the measurement process in each hypoxic exposition was calculated with mixed model ANOVA-based reliability statistics, expressing the equipment discrepancies. The significance level and the specified precision are parameters chosen by the quality control responsible. The measurement process capability is good (larger then 1.3) until a 1% precision, with a 95% level of significance. The typical error approach represents the noise of measurement process. As sometime the signal is not very large, we use 3 oximeters and average the data to obtain a smaller noise. This study supports the construction of control charts for quality assessment and the methodology is extensible to other relevant biometrical parameters. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title ECG POCKET: A WEARABLE DEVICE TO FIND OUT ECG ARRHYTHMIAS DURING SPORTING ACTIVITIES. Authors 1 2 3 4 D. Di Mattia , F. Fincati , M. Audrito , M.L. Costantino Affiliations 1 Fmsi-istituto Di Medicina Dello Sport.università Degli Studi Di Milano-ospedale Luigi 2 Sacco-divisione Di Cardiochirurgia, Milano, ITALY, Gruppo Multimedica. Centro Di 3 Medicina Dello Sport Larix., Milano, ITALY, A.b. Biomedical Engineering., Carmagnola 4 (to), ITALY, Politecnico Di Milano - Dipartimento Di Ingegneria Strutturale., Milano, ITALY Body ECG Pocket is a portable device corresponding in size to a standard credit card. ECG Pocket measures and stores the electrical activity of the human heart during a physiological condition or at the onset of a subjective feeling of arrhythmia or other heart rhythm abnormalities. Characteristics of these alterations are extemporaneousness, unpredictability and variability during a period of time which is usually relatively short. These unpredictable changes of the electrical heart rhythm make alterations hardly detectable and measurable during a planned clinical instrumental control like that of a Holter Monitor. The device, called ECG Pocket, is provided with a memory for recording the electric signal that will be later downloaded and read on any type of Personal Computer, Netbook, Notebook, Tablet or Smartphone.You can also record the ECG signal on a SIM card in a Mobile and send captured data to a Service Center for instant reading and prompt evaluation. Unlike traditional portable heart rate devices that measure only the heart rate, ECG Pocket is able to detect any abnormalities of cardiac rhythm. It can be worn during daily or sporting activities and it is suitable for sudden and impromptu use, requiring no professional personnel to record the ECG signal. The device can be quickly and easily employed by everyone, even non-expert, to record the heart's electrical activity with no preparation for the traditional ECG recording. The user has only to grasp ECG Pocket between thumb and forefinger of each hand to allow recording the electrocardiogram in a D2 derivation. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title ULTRASOUND (US)-GUIDED INTRATENDINOUS INJECTION OF PRP IN PATELLAR TENDON (PT): PRELIMINARY RESULTS Authors 1 2 1 1 1 1 2 G. Ferrero , F. Lacelli , D. Orlandi , E. Fabbro , C. Martini , V. Prono , G. Serafini Affiliations 1 2 Di.m.i., Genova, ITALY, Ospedale Santa Corona, Pietra Ligure, ITALY Body OBJECTIVE To evaluate the effectiveness of US-guided intratendinous injection of PRP in chronic pathology of patellar tendon. DESIGN AND METHOD We evaluated 28 patellar tendons of 24 patients practicing sport(14M,mean age 37.4years)with clinical diagnosis of patellar tendinopathy and US or magnetic resonance imaging evidence of tendon degeneration.Clinical scores were assessed before treatment using the VISA scale questionnaire.In all patients was performed an US-guided scarification with a 21G needle of the preinsertional and insertional regions of the PT and were introduced,under US guidance,6 ml of autologous PRP from previous sampling,in the areas of tendinosis.In all patients,two treatments were performed at a distance of 3 weeks.For all patients a clinical evaluation was carried out,a VISA questionnaire was filled in and an US examination was executed at 20 days after second treatment.The clinical and ultrasound follow-up at 6 months was obtained in 13 patients. RESULTS The VISA score had an average improvement of 21/100 at 20 days and 32/100 in the follow-up at 6 months. The US evaluation at 20 days showed a reduction in tendon thickness and of tendinosis areas in 22 patients(92%).In 20 patients(83%),in the follow at 20 days from the second treatment,it was observed an increase in the intratendinous vascular signals at power-Doppler evaluation.The vascularity increase was absent in the 13 follow-up at 6 months. CONCLUSIONS US-guided injection of autologous blood associated with dry needling showed to be able to modify the local tendinous reparative response with a statistically significant improvement of the VISA scale at 20 days after the second treatment and at 6 months follow-up. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title MATCH ANALYSIS AND POSSIBLE IMPLICATIONS ON INJURIES IN BASKETBALL Authors 1 1 2 1 1 4 G. Mennelli , P. Benelli , D. Sisti , M. Gervasi , F. Lucertini , M. Marcolini , R. 3 Venerandi Affiliations 1 Dipartimento Di Scienze Biomolecolari Sezione Scienze Motorie E Della Salute 2 Università Degli Studi Di Urbino Carlo Bo, Urbino, ITALY, Dipartimento Disteva, 3 Università Degli Studi Di Urbino Carlo Bo, Urbino, ITALY, Società Scavolini Siviglia 4 Basket, Pesaro, ITALY, Società K-sport, Montelabbate, Pesaro, ITALY Body Video match analysis is used to assess physical performance of basketball players. 15 matches of a Italian 'Serie-A' team were video analyzed during the 2010-2011 season. The aims of this study were i) to analyze player performances and differences among roles, and ii) correlating movement patterns with injuries. The movements on the basket pitch of 2 Plays, 3 Guards, 4 Forwards and 2 Centers were monitored throughout all matches using a semiautomatic system (K-Sport, Italy). Both time spent accelerating (>1m•s-2 for positive, <-1m•s-2 for and negative accelerations; >3m•s-2 for positive, <-3m•s-2 for negative high intensity accelerations) and number of changes of direction (CdD) were calculated and averaged (±DS). A Multivariate Analysis of Variance was performed to compare role differences. On average, players spent 22.8±0.7% of the game time accelerating with Plays performing significantly more accelerations (23.8%) than other roles. Average number of CdD were 1063±48 each match, with Guards performing significantly more CdD than other roles. Therefore, Plays and Guards are the most demanding roles; this could partly explain the higher number of injuries occurred to these players compared to the players of other roles. The analysis of the time spent accelerating at high intensity by a single Guard who incurred in a muscular injury revealed it was about 300% higher than the rest of the team. This suggests the possible correlation between specific movement patterns and risk of injuries. In conclusion, identifying movement patterns may be essential in prescribing specific training for each role and reducing the injury risk. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title PATELLO-FEMORAL CHONDROPATHY TREATED WITH MD-KNEE TRANSMITTED WITH O2 VS CHONDROITIN SULPHATE Authors 1 G. Posabella Affiliations 1 European Medical Center, Pieve Di Cento, ITALY Body The aim of this study was to evaluate the effectiveness of a physiotherapy treatment, using a new method, the propulsion of high pressure oxygen, 2.5 atm, transmitting collagen in patients with patellofemoral chondropathy, compared with controls receiving condrointinsolfato. For the number of twenty patients per group was administered a questionnaire to record the degree of disability resulting from the chondropathy, has taken the index WOMAC (Western Ontario McMaster) for the pain scale, function and stiffness of lower limbs and that of the Lequesne functional limitation. This evaluation was performed before treatment and after 1, 2, 3, 6 and 12 weeks. Statistical analysis was performed with the Student test. The conveyance of the drug KNEE MD and collagen was performed with the propulsion of pure oxygen up to 98% and a pressure of 2.5 ATM, supported by a handful of the skin, once a week for 12 weeks for a total of 12 doses against oral administration of chondroitin daily. Patients were also assessed by an anthropometric point of view, resulting in fat mass and body mass index (BMI). The results were evaluated with T Student and the results are statistically significant at p <0.0001 both with the scale WOMAC index of pain, stiffness and joint function both as a scale that assesses a Lequesne algo-functional index. It’s important to note the absolute lack of side effects in the group treated with oxygen infusion, in addition to the low cost of treatment than the group treated with oral medications. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title MUSCULAR ENERGETIC METABOLISM IN HEALTHY AND DIABETIC SUBJECTS DURING THE VISIT TO ASSESS ELIGIBILITY TO COMPETITIVE SPORT: A MICRODIALYSIS STUDY Authors 1 1 2 3 4 5 G. Puggioni , M. Pellicano , A. Pacifico , M. Scorcu , S. Suelzu , P.A. Serra Affiliations 1 2 Fisiokons, Centro Di Medicina Sportiva, Sassari, ITALY, Servizio Di Diabetologia, 3 Azienda Ospedaliera Universitaria, Sassari, ITALY, Servizio Di Medicina Dello Sport Asl 4 6, Sanluri, ITALY, Dipartimento Di Scienze Chirurgiche, Microchirurgiche E Mediche, 5 Università Di Sassari, Sassari, ITALY, Dipartimento Di Medicina Clinica E Sperimentale, Università Di Sassari, Sassari, ITALY Body Microdialysis is a minimally-invasive sampling technique that allows the recovery of low molecular weight analytes from interstitial fluids. Using this technique, the metabolic status of anterior tibialis muscle has been studied in healthy (control) and diabetic subjects during the visits to assess eligibility to competitive sport using maximal exercise testing. Eleven healthy and ten diabetic young subjects were selected for the study. A microdialysis catheter was inserted in the anterior tibialis muscle under local aneasthesia and left in place for 3 hours. Muscular tissue metabolism (glucose, lactate, pyruvate, glycerol, lactate/pyruvate (L/P) and lactate/glucose (L/G) ratios) was assessed before, during and after the cycloergometric test. Baseline levels of lactate, pyruvate and glycerol were not significantly different in both groups while glucose was higher in diabetic subjects and, on the contrary, L/P and L/G ratios were higher in healthy subjects. During the test, extracellular levels of glucose and lactate increased in both groups while glycerol increased significantly only in diabetic subjects. After the cycloergometric test, pyruvate increased in both groups but in diabetic subjects its absolute value was about two times higher than in controls. Only in healthy subjects L/P ratio increased during test while L/G ratio increased in both groups, much more in controls. By associating microdialysis and incremental exercise test up to exhaustion, performed during the visit to assess eligibility to competitive sport, intramuscular metabolic differences between healthy and diabetic subjects were highlighted. Overall, these changes suggest an accumulation of pyruvate and an increased availability of glycerol in diabetic subjects. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title NEED FOR A TOOL: HANDLING PROFESSIONAL SOCCER PLAYERS BIOCHEMICAL DATA Authors 1 1 1 2 3 1 G. Tempesti , A. Bartolini , N. Gori , G. Romagnoli , P. Pezzati , L. Stefani , G. 1 Galanti Affiliations 1 2 3 Sports Medicine, Florence, ITALY, Engineering Informatic Faculty, Florence, ITALY, General Laboratory Diagnostic Department, Florence, ITALY Body Objective: According to Italian regulation, professional athletes undergo to a periodical biochemical parameters evaluation addressed to maintain health. A software analyzes biochemical parameters focused on monitoring of Least Significant Change (LSC) for hematological variables. Design and Method: Since January 2008 to July 2011, 81 professional soccer players blood samples were collected. According to quality standard reference Clinical Laboratory, a dedicated software allows the user retrieving LSC in the team’s athletes. LSC = 2.77(CVi2 + CVa2)1/2 equation, including every athlete’s data, derived from soccer seasonal training period. The software identifies hematological values exceeded the LSC values. Results: Standard hematological mean team values (2009/2010), were within the normal range (Hb 15.2 ± 0.6 g/dL, min 13.9, max 16.6; HcT 43.0 ± 1.9 %, min 41.0, max 49.0; MCV 87.3 ± 3.0 fL, min 82.0, max 93.5; reticulocytes number 0.0433 ± 0.0128 x 1012/L, min 0.0186, max 0.0732). The LSC for Hb (5.80%), HT (8.20%) and MCV (2.41%) and reticulocytes count (17.96%) resulted to be normal, with the exclusion of soccer players data exceed LSC value in consequence of the training period at the same work load. In the 6.2% of the all samples investigated for each athlete, the hematological variation was over the LSC. Conclusion: The software retrieves epidemiological information based on the physiological changes of the hematological parameters occurring during the seasonal competitions. It can therefore be propose to clarify several clinical questions related to regular training or to risk factors particularly if in presence of different work load or recurrent injuries. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title NUTRITIONAL AND PHYSIOLOGICAL STATUS OF SYNCHRONIZED SWIMMERS Authors 1 1 1 1 1 1 M. Andjelkovic , I. Baralic , T. Antic , N. Dikic , M. Vukasinovic Vesic , D. Curcic Affiliations 1 Sport Medicine Association Of Serbia, Belgrade, SERBIA Body Objectives The aim was to present national team of synchronized swimmers who are started preparation for Olympic Games in Rio 2016. Materials/Methods Anthropometric measurements, spirometry, blood samples, flexibility tests, ergospirometry test and hand grip strength test were conducted. They completed three-day diet records, BES, EAT-26, PDS and SCOOF questionnaire. Results The subjects were 14 trained female synchronized swimmers with mean age, height, weight and F% of 15.2±1.3years, 167.3±6.3cm, 53.8±4.2kg and 21.8±3.6. Average BMI was 19.2±0.9 kg/m2 which reflected lowest weight category. Daily energy intake of 2364.8±531 kcal and fluid intake of 1782.3±555 ml were significant lower (p<0,001) then those obtained by the formula. Macronutrient ratio with high intake of fat (34%), low CHO (49%) and normal proteins (17%) were not in desirable range. The mean intakes of Mg, fiber, Ca, Fe, K, Vit.C, Vit.B6 and Vit.B6 were below DRI with higher intakes of Na and P. Subnormal serum ferritin was found in 3 swimmers. VO2max of 38.9 ml/min/kg and results of spirometry, flexibility and strength tests showed average results. All girls were in postmenarchal period. Three swimmers reported negative feelings about their appearance with risk of eating disorder. Conclusion Dietary practices and eating behaviors of synchronized swimmers indicates a need for continuous screening and dietary intervention with aim to maintain adequate nutrition, improve health status and reduce risk of eating disorder, as long term strategy for high sport performance before Olympic Games. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title BODY COMPOSITION IN ITALIAN PREMIER LEAGUE OUTFIELD SOCCER PLAYERS: INFLUENCE OF PLAYING POSITION Authors 1 1 1 2 2 2 P. Ferrari , G. Corradini , F. De Vita , F. Zamboni , M. Meneghello , P. Bruzzone , C. 3 2 Milanese , M. Ferrari Affiliations 1 2 Chievo Verona Football Club, Verona, ITALY, School Of Sports Medicine, University 3 Of Verona, Verona, ITALY, Faculty Of Motor Sciences, University Of Verona, Verona, ITALY Body OBJECTIVE: Body composition is a key consideration in the physical make-up of professional soccer players. The aim of the study was to evaluate total and segmental body composition in elite outfield soccer players divided in five roles (central defenders, lateral defenders, central midfielders, lateral midfielders, strikers), by utilizing dual energy Xray-absorptiometry (DEXA). METHODS: We enrolled 163 soccer players (age 27.3±4.5) from the first division of the Italian championship. All of them underwent DEXA, before the beginning of the championship. Measured variables included bone mineral density (BMC), lean (LM) and fat mass (FM). RESULTS: The lateral midfielders had the highest total FM. This was due to a higher leg fat, whereas there was no difference in fat trunk between the roles. The strikers and the lateral midfielders had an higher total LM, statistically significant in respect to central midfielders and lateral defenders. As for the FM, there were no differences in trunk lean between the different roles, while the strikers and the lateral midfielders had significant higher leg LM than the others. The central midfielders had significantly higher BMC in the trunk than the other roles. The central defenders had the less quantity of total BMC, due to minor BMC in the leg. CONCLUSION: 1)Elite soccer players divided in five different roles are not a homogenous population as previously described; 2)when evaluating soccer players, segmental body composition, other than the whole body composition, must be take into account; 3)a three compartment model in which also BMC is considered, must be used. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title ALOE VERA EXTRACT COMPLEX REDUCES BODY FAT MASS AND INCREASES LEAN BODY MASS Authors 1 1 1 1 1 1 M. Han , H. Choi , S. Kim , B. Cho , K. Son , B. Oh Affiliations 1 Seoul National University Hospital, Department Of Family Medicine, Seoul, SOUTH KOREA Body Background: The metabolic effects of Aloe vera extract complex (Aloe QDM complex) on prediabetes and early diabetes mellitus (DM) in human are unknown. Objective: We aimed to evaluate the effects of Aloe QDM complex on body weight, body fat mass (BFM), lean body mass (LBM), fasting blood glucose (FBG), insulin, and HOMA-IR in obese patients with prediabetes or early DM. Design: Obese 122 subjects with prediabetes or early DM without diabetes medication were randomly assigned to intervention or control group and took medications for 8 weeks. Results: Body weight and BFM were significantly decreased in the intervention group at 8 weeks (P = 0.020, P = 0.028, respectively). LBM increase was significant in the intervention group at 8 weeks (P = 0.041) but not significant between two groups. Insulin and HOMA-IR were lower in the intervention group at 4 weeks (P = 0.042, P = 0.047, respectively), and showed borderline significance at 8 weeks (P = 0.094, P = 0.075, respectively). FBG showed a lowering tendency in the intervention group in respect to time (P = 0.024 at 8 weeks), but did not differ significantly between groups (P = 0.157 at 8 weeks). Conclusion: In obese subjects with prediabetes or early DM without diabetes medication, Aloe QDM complex has an effect on reducing body weight and BFM and can improve insulin resistance. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title CADETS’ PERCEPTION OF EXERCISE AND RECOVERY UNDER RAMADAN FASTING CONDITIONS Authors 1 K. Havenetidis Affiliations 1 Hellenic Army Academy-faculty Of Physical And Cultural Education, Vari, GREECE Body Aim of the study: To examine the effects of Ramadan fasting on endurance running performance and recovery. Materials and methods: Twenty male cadets randomly assigned to fasting and non-fasting group, performed a multistage run test (MRT) pre and post periodized training. Various training loads (flat running, cross country running, strength training), Ratings of Perceived Exertions (RPE), Total Quality Recovery (TQR) and heart rates (maximum, average) were daily monitored for a four-week period. Results: No significant differences existed in MRT performance parameters (VO2max, stage velocity, heart rates) for fasting versus non-fasting group, whilst both groups showed a significant performance improvement following the training program. Compared with pre training values, VO2max values were higher for fasting (59.8 ± 2.5 versus 62.1 ± 1.6 mL . kg-¹ . min-¹ ; p<0.01) and non-fasting subjects (59.3 ± 2.1 versus 62.6 ± 2.0 mL . kg-¹ . min-¹ ; p<0.001). No significant differences were found in various training loads, heart rates and RPE between groups. In contrast, TQR values were lower (p<0.05) in fasting (14.6 ± 1.3) versus the non-fasting group (15.7 ± 1.1). A strong relationship (r=0.88; p<0.01) was also evident between TQR values and recovery actions (stretching, cool down, swimming and sauna) for fasting cadets. Conclusions: Ramadan fasting does not lead to heart rate differences or/and impaired training volume and incremental endurance running performance. However, as subjective readings of recovery are significantly reduced for fasting cadets, the use of specific recovery interventions may help them to manage more efficiently inelastic military programs. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title DEVELOPMENT OF A SPORTS DRINK WITH JOINT PROTECTING INGREDIENTS Authors 1 1 1 M. Konrad , M. Schmidt , E. Pail Affiliations 1 Fh Joanneum; Degree Program In Dietetics And Nutrition, Bad Gleichenberg, 2 3 AUSTRIA, 1, 1 Body Introduction Little is known about joint-protecting ingredients in sports drinks. Our aim was to develop a sports drink respecting the recommendations on carbohydrate for maximal oxidation and performance, furthermore osmolality, ph-value, sodium and joint-protecting and pain-relieving ingredients like chondroidin and glucosamine (1) and a good taste. Methods All the ingredients (maltodextrin, glucose, fructose, natriumhydrogencarbonat, citric acid, chondroitin sulfate, glucosamine, water) were prepared and measured with a scale (Kern & Sohn; type 510-33), mixed and controlled with the freezing point osmometer (OSMOMAT 030- D). To quantify the ph- value oekopharm stripes were used. We mixed 9 different types of drinks in order to have different flavors and different values of osmolarity to compare. 24 experienced runners trained with the drink and gave detailed feedback on the combinations. Results There were only very few combinations fulfilling all of our criteria. The one with the best flavor and a stable profile contains 42 g maltodextrin 6, 12 g glucose, 6 g fructose (gluc:fruc ration 2:1) (2), 2 g natriumhydrogencarbonat, 1 g citric acid (to stabalise ph and help taste), 500 mg chondroitin sulfate, 600 mg Glucosamine-HCl and 750 ml of water. We did archive an osmolaltiy of 244 mosm/kg and a ph of 7.2. All the other mixtures where excluded due to taste, ph or osmolality. Discussion A properly formulated sports drink has a valuable role to play in the diet of all athletes. The combination of carbohydrates and chrondroitin sulfate/glucosamine is a way to have both, energy and the joint supporting and pain relieving impact at the same time, as this is often an issue in runners. We succeeded only one combination with a stable formula and a good taste. (1) J Pain Palliat Care Pharmacother, 2008 (2) Currel & Jeukendrup, Med Sci Sports Exerc, 2008 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title COMBINATION WITH INTAKE OF HEME-IRON SUPPLEMENT AND NUTRITIONAL COUNSELLING ENHANCES IMPROVEMENT OF SPORTS ANEMIA ON FEMALE ATHLETE Authors 1 2 3 4 5 M. Matsumoto , J. Suzuki , M. Katsumata , T. Hasegawa , T. Noguchi Affiliations 1 2 3 Nihon University, Tokyo, JAPAN, Nihon University, Tokyo, JAPAN, Ils Inc., Tokyo, 4 5 JAPAN, Ils Inc., Tokyo, JAPAN, Nihon University, Tokyo, JAPAN Body Athletes frequently undergo anemia due to rigorous training, reducing food intake for weight control and destruction of erythrocyte by repeated sole impulse. In addition, menses make it difficult for females to improve anemia. In this study, to investigate effect of combination with supplementation and nutritional counseling, intervention trial for female athletes appealing anemia symptoms was performed. Capsules containing heme-iron were used as supplement (14 mg/day of Fe). Nutritional counseling was based on iron status (blood hemoglobin (Hb), serum ferritin (Fer), soluble transferrin), nutrient status and energy expenditure (records of food intake, activity logs and training load). Thirty female subjects (20.2±1.3 years old, Hb: 12.4±0.7 mg/dL, Fer: 17.8±13.7 ng/mL) from the fencing, the running long jump, the handball and the volleyball players took test capsules every day for 2 months without nutritional counseling. Subjects whom initial values of Hb and Fer were respectively above 11.5 mg/dL and 10 ng/mL (n=20) improved their iron status, but not remained subjects (n=10). Next, these 10 subjects who trained excessively and showed low Hb and Fer level took test capsules for further 2 months with nutritional counseling. Supplementation of heme-iron with increasing of food-derived mineral and protein intake by nutritional counseling significantly increased blood Hb and Fer levels. Furthermore this combination decreased body fat, increased muscle mass without constipation. In conclusion, the supplementation of heme-iron is available for sports anemia of female athletes. Combination with long-term supplementation of heme-iron and nutritional counseling could enhance effect of improving sport anemia of the highly-trained athletes. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title PLASMA METABOLIC PROFILING IN RATS AFTER EXHAUSTIVE PHYSICAL EXERCISE AND SEVERE INFECTION Authors 1 1 1 2 M. Sossdorf , S. Meyer , J. Fischer , G.P. Otto Affiliations 1 Center For Sepsis Control And Care, Department Of Anesthesiology And Intensive 2 Care, Jena University Hospital, Jena, GERMANY, Department For Internal Medicine Iii, Jena University Hospital, Jena, GERMANY Body Objective Prolonged or exhaustive physical exercise is able to provoke widespread systemic changes in the host which are comparable to pathogenic-induced systemic disturbances during infection. While mechanisms of the inflammatory response have been extensively investigated, little is known about the comparability of metabolic changes under both conditions. In the present study we measured plasma metabolites from several compound classes to detect similarities and differences between exhaustive physical exercise-induced and sepsis-associated metabolic changes. Design and Methods Rats performed a single bout of exhaustive physical exercise on a motorized treadmill. After one week of recovery, polymicrobial sepsis was induced by intraperitoneal application of a microbiological characterized human faeces suspension. Plasma samples were analyzed before, immediately post exercise, 1 hour post exercise as well as after sepsis induction by mass spectrometry. A panel of 186 metabolites from different compound classes was measured including acylcarnitines, amino acids, biogenic amines, glycerophospholipids, sphingolipids and hexose. Results We found time point-specific clusters of either down- or up-regulated metabolites discriminating between exercise, recovery and sepsis. Most important difference between exercise-induced and sepsis-associated metabolic changes in the host was the large increase of plasma phospholipids in septic animals as a consequence of a higher inflammatory response caused by cell activation, apoptosis and necrosis. Conclusions Similar and different clusters of metabolic changes exist following a single bout of physical exhaustive exercise in comparison to polymicrobial septic state. Exhaustive exercise might serve as a suitable model to investigate mechanisms of metabolic disturbances and restoration of the equilibrium during severe infection. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title RELATIONSHIP BETWEEN PERCENTAGE OF DEHYDRATION AND BASKETBALL PERFORMANCE Authors 1 1 1 1 1 M. Vukasinovic-vesic , N. Dikic , M. Andjelkovic , N. Radivojevic , D. Curcic , T. Antic 1 2 2 2 , R. Turner , R. Stokes , H. Gunter Affiliations 1 2 Sports Medicine Association Of Serbia, Belgrade, SERBIA, Fiba Europe, Munich, GERMANY Body Introduction Some studies results suggest that inadequate hydration in basketball is correlated with overall basketball performance, jumps, shooting and number of shots that were attempted and made. The aim of our study was to analyze the influence of dehydration on basketball performance. Method Ninety-six basketball players of eight national teams have assessed during official FIBA Europe U20 Championship Men 2011 - Division B held in Sarajevo in July 2011. In order to detect a correlation between hydration and basketball performance we measured body mass of all players before and after one game. This correlation was evaluated by percentage of dehydration. Results Players age was 19±0,79 years. After the game body mass loss was 0,9±0,7 kg, percentage of dehydration 0,99±0,7% (-1,25-2,95%). We found statistically significant correlation between percentage of dehydration and: most valuable player index (MVP) (p< 0,01), points scored (p< 0,01), total rebounds (p< 0,01), shooting percentage for 3 points (p< 0,05), shooting percentage for 1 points (p< 0,05), assists (p< 0,05) Discussion We have found that dehydration considerably impaired basketball performance. Dehydration significantly impaired most valuable player index, points scored, total rebounds, shooting percentage for 3 points, shooting percentage for 1 point, assists, except steals balls, turnovers and shooting percentage for 2 points. The result of this study showed that dehydration is not only a physiological state, but also a very important factor for the total performance, which requires sports personnel to be educated in order to be able to help contribute to a better overall sports performance. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title SWEAT RATE AND FLUID TURNOVER OF BASKETBALL PLAYERS DURING FIBA EUROPE U20 EUROPEAN CHAMPIONSHIP MEN 2011- DIVISION B Authors 1 1 1 1 1 M. Vukasinovic-vesic , N. Dikic , M. Andjelkovic , N. Radivojevic , D. Curcic , T. Antic 1 2 2 2 , R. Turner , R. Stokes , H. Gunter Affiliations 1 2 Sports Medicine Association Of Serbia, Belgrade, SERBIA, Fiba Europe, Munich, GERMANY Body Introduction Sweat rates depend principally on factors such as the environmental conditions, choice of clothing or exercise intensity and they also vary greatly between individuals. Exercise can elicit high sweat rates and substantial water and electrolyte losses during sustained exercise, particularly in warm-hot weather. Method Ninety-six basketball players of eight national teams were assessed during the official FIBA Europe U20 Championship Men 2011 - Division B held in Sarajevo in July 2011. In order to determine sweat rate and fluid intake we measured body mass of all players before and after one game, the quantity of consumed fluid and urine output during the game, as well as temperature and humidity in the sports hall. Results Players age was 19±0,79 years. After the game body mass loss was 0,9±0,7 kg, percentage of dehydration 0,99±0,7%, total fluid intake 1868±816 ml (range 435 – 3987) and sweat rate 2,7±0,9 L/h (range 5,54 - 1.16). Urine output during the game was 55±61 ml. Ambient temperature was 30±2°C and humidity 55±4% on average. We found statistically significant correlation between sweat rate and: Usg (p<0,05), Uosmol (p<0,01), body mass loss (p <0,01), FI (p <0,01), BSA (p<0,01) and percentage of dehydration (p<0,01). Discussion Most athletes did not intake enough fluids to match sweat losses during the game and they were significantly dehydrated. Recommendations for fluid and electrolyte replacement must be carefully considered and monitored in basketball players to promote safe hydration. Players should receive encouragement and educational information about suitable hydration strategies. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title URINE SPECIFIC GRAVITY IN LONG DISTANCE RACES AND ITS RELATIONSHIP WITH THE SENSATION OF THIRST Authors 1 1 1 1 1 1 F. Ramognino , C. Valenti , A. Marincola , A. Mohni , M. Gonzalez , F. Cillo , G. 1 1 1 1 Fantuzzi , K. Galvan , M. Romano , C. Yche Affiliations 1 Hospital General De Agudos J. A. Penna - Consultorio De Actividad Fisica, Deporte Y Salud, Buenos Aires, ARGENTINA Body Objective: assess urine specific gravity (USG) post-race in long distance running and its relationship with the sensation of thirst during the competition. Design and methods: were evaluated 130 runners between 22 and 60 years old (mean 40,24; SD 8,46), 95 male, through an urine test strips, at three different distances: 21km, 42km and 100km. Defines a USG less than or equal to 1015 as a parameter of appropiate hydration. 78 of the 130 riders tested, 54 male , answered a questionnaire about the sensation of thirst during the race. Chi Square test was used. Results: 71,5% presented USG post- race greater than or equal to 1020. In 21km, this incidence was 43%. In 42km, this incidence rose 72%, meaning an increase of 66,9% compared to 21km (p<0,025; OR 3,39; CI 1,2–0,53). In 100km, that incidence rose to 98%, meaning an increase of 36,3% compared to 42km (p<0,001; OR 20,6; CI 2,37–179,15) and an increase of 127,5% compared to 21km (p<0,001; OR 69,86; CI 8,95–545,14). 74,2% in USG<=1015 group reported a mild sensation of thirst; in USG>=1020 group that incidence fell to 66% (p>0,05). Conclusions: a inadequate state of hydration occurs in 71,5% of runners in long distance races, demonstrating an increase statistically significant in its incidence when larger distances are evaluated. The sensation of thirst during the race was not significantly associated with the USG post-race. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title SNELLEN CHART- DETERMINING CLEARANCE DURING THE PREPARTICIPATION EVALUATION Authors 1 1 1 J. Carneiro , E. Brandão , B. Ribeiro Affiliations 1 2 Centro Hospitalar De Vila Nova De Gaia/espinho, Vila Nova De Gaia, PORTUGAL, 3 Centro Hospitalar De São João, Porto, PORTUGAL, Centro Hospitalar De Vila Nova De Gaia/espinho, Vila Nova De Gaia, PORTUGAL Body The purpose of preparticipation physical evaluation is to detect conditions that put the athlete at risk for injury or illness and includes a comprehensive medical history, appropriate physical examination, chest x-ray and electrocardiogram. Fifteen years old female futsal athlete arrives in the office for her annually medical evaluation. Its has no known medical conditions, past surgeries or history of fractures or head traumas; irrelevant family history. The physical examination was normal for vital signs , respiratory, cardiovascular, abdominal and musculoskeletal systems. She presented a diminuished visual acuity test in the Snellen chart: right eye- 2/10, left eye- 1/10; the neurological examination was normal including other cranial nerves and reflexes. The athelete was refered to eye care specialist and after a battery of examinations it was diagnosed a hereditary retinal dystrophy. Her best corrected acuity is 3/10 for RE and 2/10 for LE. Her coach considers she is technically the best player of the national futsal female team. A visual acuity test using a Snellen chart should be performed routinely for athletes who are undergoing a sports physical. Determining clearance is an important and sometimes difficult decision. Current sports participation guidelines recommend that an athlete with a best corrected acuity of less than 20/40 in one eye should be considered functionally one-eyed and wear eye protection during sports that carry a high risk of ocular injuries. Currently science offers no cures or therapies for inherited retinal dystrophies. Adolescents with retinal dystrophies can benefit from a definitive diagnosis and attentive follow-up. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title HYPERINSULINISM-HYPERAMMONEMIA SYNDROME (HHS) AND SPORTS ELIGIBILITY: A CASE REPORT Authors 1 1 2 G. Ciccarone , M. Ismael , G. Martelli Affiliations 1 2 Sports Medicine Service, Ospedale Santa Maria Del Prato, Feltre, ITALY, Sports 3 Medicine Service, Ospedale Santa Maria Del Prato, Feltre, ITALY, Department Of Physiology, University Of Siena, Siena, ITALY Body The hyperinsulinism–hyperammonemia syndrome (HHS) is a recently identified genetic disorder characterized by hyperinsulemic hypoglycemia with concomitant hyperammonemia, caused by mutations in the GLUD1 gene. Symptoms and signs include shakiness, weakness, seizure, rapid pulse and confusion: the maintain of normoglycemia is essential to prevent neurologic damage. Case Report The 12-year-old male examined was at his first medical evaluation for sports eligibility (horse-riding). His family history was negative for cardiovascular and metabolic disease; the young athlete had a medical report of a Pediatric Department, University of Padua, with previous diagnosis of HHS. Physical examination was negative for cardio-respiratory, neurologic and orthopaedic abnormalities, as were clinical instrumental examinations, spirometry, including the maximal exercise test (Godfrey-adapted protocol, increments of 25 watt/minute interrupted at 150 watt for muscular fatigue). Echocardiography and haemato-chemical values were all within the normal range; only magnetic resonance imaging (MRI) showed a slight herniation of cerebellar tonsils through foramen magnum. The athlete was judged eligible for competitive sport only for 6 months with re-evaluation clinical instrumental ; hypoglycemia in our athlete was well controlled with diazoxide and dietary leucine-restricted treatment. Conclusions The Italian Federation of Sports Medicine guidelines1, played a decisive role in the final evaluation of the athlete utilizing the scheme proposed for diabetic athletes : the 6 months re-evaluation for HHS patients should also contain the measures of all main hemato-chemical parameters and the continous 24-hours monitoring of glycemia. References 1. Guidelines for the eligibility to sport activities and the monitoring of athletes with endocrine disease. Medicina dello Sport. 2007: 60(3):337-353. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title ADULT ONSET STILL’S DISEASE (AOSD) AND SPORTS ELIGIBILITY: A CASE REPORT Authors 1 2 1 3 1 G. Ciccarone , G. Martelli , M. Ismael , V. Lamberti , A. Gioffredi Affiliations 1 2 Sports Medicine Service, Ospedale Santa Maria Del Prato, Feltre, ITALY, Department 3 Of Physiology, University Of Siena, Siena, ITALY, Istituto Di Medicina Dello Sport, Vittorio Veneto, ITALY Body AOSD is a rare systemic inflammatory disease, affecting young adults and characterized by spiking fever with evanescent rashes and multiorgan involvements. Nowadays the most utilized criteria are those defined by Yamaguchi and by Fautrel for their sensitivity and their specificity. Case report A 17-year old male athlete has been visited for competitive sports eligibility with medical reports of previous hospitalizations with diagnosis of AOSD and intercurrent mononucleosic syndrome from CMV infection. Patient symptoms: fever, myalgia, arthralgia, hepato-spleno-megalia and hyperferritinemia. The athlete has been widely studied by bio-humoral ( virus serology, HLA test, pharyngeal tampon) and instrumental tests (echocardiogram, thoracic and abdominal CT, brain and cervical MRI, bone marrow biopsy). The athlete has been treated with methotrexate and corticosteroids, but had another rise of fever, pharyngitis, transitory leucopenia with lymphocytosis: since doctors suspected a new CMV infection, the patient has been treated with Acyclovir for 15 days. With the clinical improvement and the normalization of all inflammation indexes, steroids and immuno-suppressors have been gradually reduced until the normalization of all clinical and instrumental parameters. Conclusions An athlete with AOSD is difficult to evaluate: the correct diagnosis could be performed by clinical and instrumental investigations in the acute phase, and we must maintain the correct medical treatment for a long period until complete remission. In our case the absence of cardiovascular complications in the acute phase and the negativity of biological and instrumental investigations had a decisive role to reach the competitive sports eligibility after about 6 months from the first medical evaluation. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title SCREENING ATHLETES FOR CARDIOVASCULAR DISEASE IN AFRICA: A FEASIBLE BUT CHALLENGING EXPERIENCE Authors 1 F. Di Paolo , C. Schmied, J. Dvorak, F. Quattrini, Y. Zerguini, A. Pelliccia Affiliations 1 2 Institute Of Sport Medicine And Science. Coni., Rome, ITALY, Cardiovascular 3 Center/sports Cardiology, University Hospital, Zurich, SWITZERLAND, Fédération Internationale De Football Association (fifa), And Schulthess Clinic, Zurich, 4 5 SWITZERLAND, Institute Of Sport Medicine And Science. Coni., Rome, ITALY, 6 Clinique Chahrazed. Fifa Medical Center Of Excellence, Cheraga, Alger, ALGERIA, Institute Of Sport Medicine And Science. Coni., Rome, ITALY Body Aims. Pre-participation cardiovascular (CV) screening has been advocated as efficient strategy to reduce sudden cardiac death in Caucasian athletes. At present, uncertainty remains if such strategy is practicable and efficient in African athletes. To this scope, we performed a CV screening in an African country. Methods. Two-hundred-ten male Gabonian football-players were examined with history, physical exam, ECG and echocardiography. Results. History revealed only unspecific symptoms (19 players, 9%). Familial sudden death was referred by 36 (17%). No anomalies were detected at physical examination. The ECG showed large proportion of training-related abnormalities, i.e., ST-segment elevation in precordial leads in 150 (71.4%), and isolated increase in R/S-wave voltage in 116 (55.2%). A substantial subset (13.8%) showed training-unrelated abnormalities, i.e., inverted T-waves in 10 (4.8%), left atrial enlargement in 8 (4%), deep Q-waves in 3 (1.4%). On echocardiography, 1 athlete had probable HCM; none had definite evidence for ARVC or DCM. Other abnormalities included mitral valve prolapse in 3, atrial septal defect in 2, and pulmonary hypertension in one. Conclusion. Our experience demonstrates that pre-participation CV screening is feasible even in the most difficult scenario, such as a developing African country, but challenging for conclusive identification of cardiac diseases. About 14% of athletes showed ECG changes potentially expression of cardiac diseases, requiring periodical follow-up. Structural cardiac abnormalities were found in a minority (5%), and were largely unrelated to ECG abnormalities. Therefore, novel criteria for appropriate ECG interpretation according to the ethnicity are needed to implement CV screening to African athletes. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title COMMUNITY CARDIOVASCULAR SCREENING TO IDENTIFY MIDDLE SCHOOL CHILDREN AT RISK OF SUDDEN CARDIAC DEATH: HOUSTON EARLY AGE RISK TESTING &SCREENING STUDY Authors 1 2 1 1 1 1 J. Higgins , G. Biliciler-denktas , S. Laing , J. Samuels , A. Rajmane , A. Ali , D. 1 Mcpherson Affiliations 1 The University Of Texas Health Science Center At Houston, Deparment Of Medicine, 2 Houston, USA, The University Of Texas Health Science Center At Houston, Deparment Of Pediatrics, Houston, USA Body Aim: We tested the feasibility and efficacy of an onsite four-point 15-minute screening of school children to improve detection of cardiac abnormalities, especially those associated with sudden cardiac arrest. Materials and Methods: 254 sixth-grade students were screened at their schools by onsite focused history, cardiovascular physical, 12-lead electrocardiogram, and limited echocardiogram. Results: The screened subjects were primarily African American and Hispanic; 54.7% were girls. We identified 103 (40.6%) subjects with abnormalities on history and physical exam, 50 (19.7%) with hypertension, 80 (31.5%) with electrocardiographic abnormalities, and 32 (13.0%) with echocardiographic abnormalities. The ability to detect abnormalities increased 36.0% with addition of electrocardiograms and 40.0% with addition of echocardiograms. Our system also identified as false-positive by history, physical, and electrocardiogram the results in many cases, thus minimizing further workup. Based on these findings, 25 subjects (9.8%) were advised not to participate in rigorous exercise pending further evaluation. In most cases, further workup clarified that the conditions were not life threatening. However, several cases of conditions associated with sudden cardiac arrest were confirmed and underwent urgent treatment. Conclusions: Our onsite four-point screening system is feasible and effective in detecting undiagnosed cardiac abnormalities and identifying false-positive results. Both athletic and non-athletic children had undiagnosed cardiac abnormalities, suggesting the utility of screening all schoolchildren. Given that sudden cardiac arrest in school children is often associated with an underlying occult cardiac abnormality and can be triggered by athletic activity, further research is needed to identify what is the best way to screen for such abnormalities. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title BASKETBALL INJURIES AMONG CHILDREN. A PROSPECTIVE STUDY WITH 7 YEARS FOLLOW-UP. SPAGAKOS G.1, KONTOPOULOU E.2 - 1ORTHOPAEDIC SURGEON, 2PHYSIATRIST Authors 1 2 G. Spagakos , E. Kontopoulou Affiliations 1 2 Spagakos Georgios Orthopaedic Surgeon, Athens, GREECE, Kontopoulou Eirini Physiatrist, Athens, GREECE Body Objective: The purpose of this study two-fold: first to evaluate the incidence and mechanisms of injury in basketball and second, to recommend prophylactic measures. Several studies have evaluated sports injury frequency as compared with total emergency department visits. Materials and Methods We undertook a prospective study to determine the type and distribution of basketball injuries. During the 7-year period 1998-2004, 7134 injuries were collected by the Emergency Department Injury Surveillance System from Aglaia Kyriakou Children's Hospital. The data were collected and recorded on a pre-coded questionnaire. Cross-tabulations and multiple logistic regression were performed to analyze the data. Results By the elements of study it is accounted that 1 in 100 children aged 5 to 14 years old in Greece, visits each year the Emergency Department of a hospital after an injury in basketball. The 44% of injuries happened during school activity, 22% in a game or training of team and 34% during leisure. The majority of injuries are reported was result of being struck by the ball 44%. Although the most frequent injury were strains 46% the percentages of fractures and sprains were particularly high. The commonest injuries among players 42% concerned fingers of hand. Injuries in ankle and knee were increased in organised basketball 21% and 6% respectively. Injuries during the game or training were very serious by 50% needed extra medical care. The percentage of hospitalisations was 2%. Conclusions The following safety precautions as warming up, good technique and use of protective equipment can help prevent basketball injuries. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title BONE MINERAL DENSITY IN RHYTHMIC GYMNASTIC ATHLETES. COMPARISON WITH CONTROLS. SPAGAKOS G., KONTOPOULOU E. - ORTHOPAEDIC SURGEON, PHYSIATRIST Authors 1 2 G. Spagakos , E. Kontopoulou Affiliations 1 2 Spagakos Georgios Orthopaedic Surgeon, Athens, GREECE, Kontopoulou Eirini Physiatrist, Athens, GREECE Body Purpose: The purpose of the present study is to test the hypothesis that long-term elite rhythmic gymnastics in premenarceal females exerts positive effects on BMD and to examine whether exercise–included bone adaptation is associated with increased periosteal bone formation or medullary contraction. Materials and methods: Participants were recruited from eight gymnastics centers and schools of Attika. Inclusion criterion was premenarcheal females aged 9–13 years. Elite rhythmic gymnasts were included if they had been training for at least 2 years. The parents of 53 gymnasts were approached, and 30 consented to participate. Controls were female premenarcheal school children, having only physical education-related activity, and matched with the athletes by age and height. Controls participating in other athletic activities, assessed by questionnaire, were excluded from the study. All participants were clinically healthy and were not receiving medication known to affect bone metabolism. Results: The two groups were comparable according to chronological age, height, height SD score (height SDS), calcium, vitamin daily intake, and recreational daily physical activity. There was a no significant trend for lower bone age in rhythmic gymnastic. Athletes had significantly lower weight, BMI, BMISDS and skinfold sum (P0.001). Thus, differences in bone density and geometry parameters were adjusted for weight. Conclusions: Rhythmic gymnastic in premenarcheal girls may induce positive adaptations on the skeleton, especially in cortical bone. Increased duration of exercise is associated with a positive response of bone geometry. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title ABOUT THE CASE OF A CHIARI 1 MALFORMATION DISCOVERED AFTER SEVERAL SYNCOPE ON A SPORT GROUND Authors 1 2 3 J. Laffond , M. Bouvard , C. Hugo Affiliations 1 2 Bordeaux Segalen University, Bordeaux, FRANCE, Biology And Sport Medecine 3 Center, Pau, FRANCE, Medical Imaging Pau Hospital, Pau, FRANCE Body In February 2011, a 22 year-old man came to see us to recover his ability to practice rugby as an amateur 3rd line. During the interrogation our patient reported atypical neurological events: one history of cardio circulatory arrest during a position change in the surgical unit, positional dizziness, an unusual fainting fit during a rugby practice in which the patient experienced a scapular contact. A brain MRI discovered a Chiari 1 malformation. A disappearance of the peri- bulbar liquid spaces related to the filling of the posterior part of the occipital hole by the cerebellar tonsils was noticed in the foramen magnum shot. The cerebellar tonsils are abnormally in low position. He was directed to a neurosurgical team specialized in this pathology. This malformation, discovered in 1891 by Hans Chiari, is due to an insufficient development of the posterior fossa, inducing a protrusion of the cerebellar tonsils and of the brain stem through the occipital hole in the cervical canal. It favours the formation of syringomyelic cavities, including very distal ones. The examination led for participation in sports activities must try to look into the significant signs of this malformation. When this malformation is suspected, we must stop the practice of sports and make the reference imaging: brain and medullar MRI. The discovery of a Chiari 1 malformation on a pauci – or asymptomatic subject requires a neurosurgical advice. This malformation constitutes an absolute and permanent contraindication to a contact sports practice, or to sports which might cause falls or collisions. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title MORPHOLOGICAL CARDIAC MODIFICATIONS IN ADOLESCENT SOCCER PLAYERS Authors 1 1 1 G. Milicia , G. Galanti , L. Stefani Affiliations 1 Agenzia Di Medicina Dello Sport, Università Degli Studi Di Firenze, Firenze, ITALY Body Background: Almost all the study on athlete's heart have been carried out on adult players and few data about cardiac adaptations to exercise in adolescent is available. The study aims to describe the modification of cardiac morphology in adolescent athletes compared to controls. Methods: from the age of 12 to 17 years old, 40 highly trained male soccer players and 47 less trained controls, have been yearly studied by a 2D echocardiography evaluating the left ventricle systolic and diastolic dimensions, inter ventricular septum, posterior wall thickness and cardiac mass index. This last parameter was compared to body surface area value for both groups, to evaluate a possible relationship. Results: A significant increase of all the echocardiographic parameters in highly trained soccer players was found if compared to less trained controls (p<0,05) especially for cardiac mass index. No correlations between cardiac mass index and body surface area has been discovered. Conclusion: Our data are suggestive for an early cardiac remodeling especially in highly trained athletes. Intensive traing does not seem to have any influence on body surface area growth while it is a decisive factor for cardiac mass growth. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title APPLICATION OF FIFA 11+ PROTOCOL IN YOUNG ITALIAN PROFESSIONAL FOOTBALLERS Authors 1,2 1,2,4 1,2 2,3 3 F. Piras , P. Cugia , M. Scorcu , R. Mura , L. Angius Affiliations 1 2 3 F.m.s.i., Sardinia, Cagliari, ITALY, Cagliari Calcio S.p.a., Cagliari, ITALY, Laboratory Of 4 Sport Physiology, University Of Cagliari, Cagliari, ITALY, Kinesis Rehabilitation Center, Cagliari, ITALY Body Introduction and aims: Soccer requires the ability to perform a high intensity intermittent exercise. Especially for young players, staffs have to guarantee an optimal maturation of biological and technical aspects1,2. Our aim is to verify the application of FIFA 11+ protocol in a young professional football academy. Methods: a sample of 760 young-players aged between 10-20 years, was monitored during four Italian championship seasons (from 2007/08 to 2010/11). Each injury was examined by the medical staff and subsequently classified according to: type of pathology and role of player. A one-way analysis of variance (ANOVA) were used to check differences between each seasons. Significance was set at p<0,05. Results: the number of injuries throughout the four seasons were 289 (81, 80, 75 and 53). Absolute values are expressed in mean±SD. Tendinopathies were the most frequent pathology (24.50±12.12), followed by muscular injuries (17.50±6.56), sprains (14.75±7.09) and contusions (9.00±2.58). The case report shows a greater incidence in defenders compared to midfielders, strikers and goalkeepers (33.75±6.95, 18.25±4,57, 13.50±2.08 and 6.75±2.36). Conclusions: our analysis indicates that tendon and muscular injuries on lower limbs are the most common cause of injuries, as previously reported by literature3. Defenders and midfielders were the most affected roles because of the higher density of players in those areas of the pitch. The reduction in the number of injuries in the last season is probably related to the introduction of prevention program 11+ proposed by the FIFA F-Marc. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title EFFECT OF INTENSIVE TRAINING ON THE CARDIOVASCULAR SYSTEM OF PROFESSIONAL WATER POLO AND SOCCER PLAYERS Authors 1 1 1 1 2 1,2 J. Plavsic , N. Antic , S. Djordjevic-saranovic , M. Antic , R. Conic , S. Mazic Affiliations 1 2 National Institute Of Sport, Department Of Sports Medicine, Belgrade, SERBIA, Belgrade University School Of Medicine, Belgrade, SERBIA Body Intensive long-term training induces structural and functional changes of the heart, with left ventricle (LV) hypertrophy being the most common. Different type of training (endurance vs. combination of endurance and power) leads to difference changes in the body. Aim: The aim of this study was to compare anthropometric and echocardiographic parameters between two selected group of professional water polo (endurance/power training) and soccer (endurance) players. Methods: Water polo (n1=15, aged 22.28±3.65 yrs) and soccer players (n2=17, aged 23.31±2.37 yrs) that trained >20hrs per week were studied. Subjects underwent physical exam, body fat assessment, echocardiography and maximal ergospirometry treadmill test. Student’s T-test was used. Results: Water polo (W) and soccer (S) players differed in body height(W 194.13±4.50cm vs. S 182.12±5.26cm),body weight(W 99.77±11.15kg vs. S 79.85±5.05kg),BMI(W 26.47±2.61kg/m2 vs. S 24.09±1.06kg/m2),body fat %(W 16.75±2.77% vs. S 11.14±2.68%), VO2max /kg(W 46.04±2.70ml/min/kg vs. S 58.21±7.41ml/min/kg), and aortic root diameter(W 36.07±2.54mm vs. S 31.18±2.31mm)(p<0.01 for all). They also differed in LV end-diastolic diameter(W 56.92±2.55mm vs. S 54.23±3.80mm), ejection fraction(W 68.04±5.18% vs. S 61.41±9.44%), and early LV inflow velocity(W 0.83±0.12m/s vs. S 0.74±0.08m/s)(p<0.05 for all), with trend toward difference in left atrium diameter(W 37.53±2.58mm vs. S 34.97±4.56 mm), and late LV inflow velocity(W 0.53±0.15m/s vs. S 0.45±0.06m/s). After indexing for BSA, water polo players had smaller aorta root diameter(W 15.61±1.27mm/m2 vs. S 17.94±1.61mm/m2), LV end-diastolic diameter(W 24.66±1.82mm/m2 vs. S 27.02±1.93mm/m2), and left atrium diameter(W 16.26±1.52mm/m2 vs. S 18.88±1.77mm/m2)(p<0.01 for all). Conclusion: Water polo players have lower peak oxygen consumption than soccer players. Both sports induce changes in heart structure with increase of left ventricular volumes to the upper limits of normal. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title PERSISTENT LEFT SUPERIOR VENA CAVA IN A YOUNG PROFESSIONAL ATHLETE Authors 1 1 G. Ricci , P. Ripari Affiliations 1 University Centre Of Sports Medicine, G. D Annunzio University, Chieti, ITALY Body Background: Persistent left superior vena cava is the most common thoracic venous anomaly, but its diagnosis remains almost casual because of its frequent asymptomatic presentation leading to an increased risk of cardiovascular accidents, especially in sport practitioners. In this case report we describe a persistent left superior vena cava and its clinical significance in sports medicine assessment. Methods: A 20-year-old male professional footballer underwent a clinical evaluation for sports eligibility through physical examination, body composition analysis, spirometry and resting electrocardiogram. Then he was subjected to an echocardiography, a cardiac magnetic resonance and finally to an exercise stress test. Results: While other physical assessment showed no significant abnormalities for a high-level athlete, trans-thoracic echocardiography revealed a dilated left coronary sinus of not univocal interpretation. The subsequent cardiac magnetic resonance imaging highlighted a double superior caval system, with the persistent left superior vena cava draining into the coronary sinus. The absence of other concomitant defects allowed us first to safely perform a maximal exercise stress test granting sports eligibility. Conclusion: The survey of echocardiographic dilatation of the coronary sinus in an asymptomatic subject should always raise the suspicion of a persistent left superior vena cava, which, in the absence of significant hemodynamic alterations, does not contraindicate the practice of high cardiovascular impact sports. Since in 40% of cases the persistent left superior vena cava can be associated with other important congenital defects, the sports physician should thoroughly investigate in order to prevent serious additional risks for the health. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title THE RELATIONSHIP BETWEEN LOWER-LIMB STRENGTH ASYMMETRY AND PERFORMANCE IN SPRINT/AGILITY TESTS. A PRELIMINARY STUDY IN NON-SPORTING STUDENTS. Authors 1 1 1 1 I. Sannicandro , G. Cofano , A. Violante , R.A. Rosa Affiliations 1 Msc In Preventive And Adapted Physical Activity, Faculty Of Medicine And Surgery, University Of Foggia, Foggia, ITALY Body Aims. To determine the percentage asymmetry in lower-limb strength and correlate it with performance in a sprint/agility test with a change of direction in the dominant leg test and a change of direction in the alternate leg test. Materials and Methods. A sample of N=200 non-sporting students (M=108;F=92; mean age 12.01±1.1) were assessed for asymmetry in muscle strength using the formula suggest by Yamamoto(1), the One-Leg-Hop-Test(2) and the One-Leg-Lateral-Hop-Test(3); the change-of-direction time was assessed for both a change of direction in the dominant leg test and alternate leg test(4). Pearson correlations (divided by gender) were used to assess relationships between the degree of asymmetry and sprint/agility performance. Results. The percentage of females presenting asymmetries >15% was greater than in males for both the One-Leg-Hop-Test and One-Leg-Lateral-Hop-Test (M: 26.00%;46.30%;F:40.21%; 51.09%). In the female group significantly correlated with performance in the change of direction in the dominant leg test (r=0.20, N=92;p<0.05). Conclusions. The weak correlation between lower-limb strength and performance in the change of direction in the dominant leg test in female students (a stronger correlation is seen sporting subjects of both sexes (4) can be explained by the fact that a change in running direction requires the execution of a lateral jump (5), which depends upon lower-limb strength, which in turn correlates with gender. Compensation strategies need to be implemented to tackle strength asymmetries in female subjects. References 1 Yamamoto,(1993),J. Sports Med. Phys. Fitness,33:194–199 2 Noyes et al.,(1991),Am J Sports Med,19:513–518 3 Vandermeulen et al.,(2000) Physiotherapy Canada,52(1):50-55 4 Meylan et al.,(2009),JSCR, 23(4):1140-1147 5 Sassi, Morosi, (2011),Scienza & Sport,9:56-63 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title MYOCARDIAL BRIDGE AN OLD STORY, A NOVEL DIAGNOSTIC CHALLENGE FOR SPORT MEDICINE Authors 1 1,2 1 1 1 3 F. Sperandii , E. Guerra , A. Martino , C. Lanzillo , M. Di Roma , E. Cavaretta , E. De 1 1 2 3 3 1 1 Ruvo , L. Sciarra , F. Quaranta , E. Assisi , A. Nigro , F. Guarracini , V. Castelli , C. 3 2,3 1,2 Albanese , F. Pigozzi , L. Calo' Affiliations 1 2 Policlinico Casilino Dept Of Cardiology, Roma, ITALY, Università Degli Studi Di Roma 3 Foro Italico, Roma, ITALY, Villa Stuart Sport Clinic, Roma, ITALY Body Background Myocardial bridge is a congenital coronary abnormality present when an epicardial vessel runs deep inside the myocardium wall. Estimated frequency has been reported 0,8 to 4.9 % by coronary angiography, in autopsy series as high as 80%. The main concern about myocardial bridge is its reported association with sudden death, but it is known that it can also be an abnormality never giving a sign or symptom all over life. Aim of the study We wanted to investigate if myocardial bridge was present in a group of athletes showing electrocardiographic stress test abnormalities. Methods We investigated through Coronary TC cardiac scan 16 athletes presenting ascending/orizzontal ST segment depression during stress test, doubtful for ischemia. All subjects were asymptomatic, had structurally normal hearts, absence of arrhythmias, excellent stress tolerance. Results We found 7 athletes presenting myocardial bridges on Left anterior descending coronary, one showing critical stenosis in one vessel which was confirmed at conventional angiography, eight unremarkable examinations. Conclusion TC scan of the Coronary vessels has revealed in our population a surprising high prevalence of isolated asymptomatic Myocardial bridges. In our experience this coronary abnormality should be kept more in consideration as a possible cause of doubtful ST abnormalities, even if asymptomatic and in presence of excellent workload capacities. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: PRE-PARTICIPATION SCREENING, SPORT ELIGIBILITY AND PREVENTION Title ST-T SEGMENT ANOMALIES ON RESTING ECG IN YOUNG ATHLETES Authors 1 2 2 1 1 G. Speranza , C. De Gregorio , D. Zagari , E. Magaudda , D. Di Mauro , M. Bonaiuto 1 1 , L. Magaudda Affiliations 1 Department Of Biomorphology And Biotechnology. Postgraduate School Of Sports 2 Clinical And Experimental Medicine. University Of Messina, Messina, ITALY, Department Of Medicine And Pharmacology, University Of Messina, Messina, ITALY Body AIM. Left ventricular (LV) hypertrophy is the most common adaptation to intense training, and ECG can detect such early signs. Some difficulty is experienced to discriminate between athlete’s heart and pathological hypertrophy, especially in young athletes with negative T-waves, because these can be due to juvenile-patterns. In this study, we assessed LV morphofunctional characteristics in adolescent athletes presenting with resting ST-T segment anomalies. MATERIALS AND METHODS. Among 495 athletes undergoing pre-participation screening, we selected 121 athletes, aged 16.1+3.3 years, 108_M, regularly trained for at least 5 hours/week, with full puberty characteristics. Physical examination, ECG and echocardiography were performed in everybody. Uncommon ST-segment and T-wave findings were identified as follows: 0.1-mV ST segment depression and/or T-wave inversion on at least 2 leads. Indexed LV mass was calculated on echocardiography according to ASE criteria. Hypertrophy was also coded for wall thickness >12mm in atypical LV segments. RESULTS. Seven athletes (5.8% of study population), 6_M, showed repolarization anomalies, consisting of isolated negative/flattering T-waves in everyone, combined with ST depression in 2. Four athletes(3.3%) met criteria for LV hypertrophy at echocardiography, likely to be pathological in 2 cases(1.6%) and on the gray area in the other 2. Normal findings were found in the remaining 3 athletes. CONCLUSIONS. ST-T segment anomalies were confirmed to be uncommon (<6%) in our study population. LV hypertrophy was found in >50% of cases and in 2(28%) it was likely to be hypertrophic cardiomyopathy. Therefore, the recognition of such repolarization anomalies requires ruling out the presence of pathological hypertrophy. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: RETURN TO COMPETITION: ADVANCES IN DIAGNOSIS AND REHABILITATION Title CO-RELATION BETWEEN AMYOTROPHIC LATERAL SCLEROSIS AND VARIOUS SPORTS: CHARACTERISTICS OF PHYSIOKINESITHERAPY. Authors 1 1 1-2-3 1 4 M. Amendola , V. Amendola , F. Amendola , M. Ribatti , R. Marvulli , D. Accettura 3 Affiliations 1 2 F.i.g.c.lega Dilettanti-comitato Regionale Puglia, Bari, ITALY, A.s.bari Calcio-settore 3 4 Giovanile, Bari, ITALY, F.m.s.i.. Istituto Di Medicina Dello Sport-coni, Bari, ITALY, Specialista In Medicina Fisica E Riabilitazione, Bari, ITALY Body The Amyotrophic lateral sclerosis(SLA) or Maladie de Charcot or Lou Gehrig’s diseas represents the pathology which is more common primitive disease of motor neuron among the adults. There’s an important co-relation between sport (especially football) and SLA. Even though there aren’t scientific proofs about a direct co-relation between SLA and football. The project for the rehabilitation is based on evaluation of the patient, to determine short, medium and long term objectives with a remedy accepted globally, and individually chosen rehabilitation strategy. It’s an holistic approach which takes into consideration the rehabilitation plan for the quality of patient’s life in the context of his family and society. It has to be a multi-disciplinary approach wherein, each one gives the best. The rehabilitation medicine in this kind of pathology is defined as: a process of solution for the problems and education during the course in which a handicapped could reach the best possible level of life regarding physical, functional, social and emotional, with least possible restrictions on their choice, even though there may be some limitations regarding his ability and availability of quantity and quality of resources. In this process the family of the handicapped also has to be involved, the closer he is to the environment around him, the better gets his life.Guide-line of the Ministry of Health for the rehabilitation. Official Italian Gazette n. 124,1998. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: RETURN TO COMPETITION: ADVANCES IN DIAGNOSIS AND REHABILITATION Title IMPORTANCE OF PLANTAR RECEPTOR IN PREVENTION OF LESIONS DUE TO OVERUSE IN FOOTBALL: NEW ACQUISITIONS IN PHYSIOKINESITHERAPY. Authors 1 1 1-2-3 1 4 M. Amendola , V. Amendola , F. Amendola , G. De Sario , R. Marvulli , D. 3 Accettura Affiliations 1 2 F.i.g.c.lega Dilettanti-comitato Regionale Puglia, Bari, ITALY, A.s.bari Calcio-settore 3 4 Giovanile, Bari, ITALY, F.i.m.s. Istituto Di Medicina Dello Sport-coni, Bari, ITALY, Specialista In Medicina Fisica E Riabilitazione, Bari, ITALY Body Every sport's activity generates a microtrauma to the muscular skeleton apparatus, the consequence is the repeated stress to the arteries and muscular structures. The human body is capable of compensating this stress by appropriate posture. The Podalic Receptor and the System of Tonic Posture through the interaction of other apparatus consent the development of an adequate control of the posture. In football, a great attention is paid to the football ground. One of the methods that is frequently used for the treatment of altered postures among the football players is the Global Postural Re-education (gpr). We have taken a case study of a male patient of 22 years suffering with pubalgy. The painful symptoms mainly surfaced during the initial phases of warming up, not while practising sport during the months. From the first week, he suffered pain even while taking rest. The patient was treated with the following rehabilitation protocol: the manual techniques of normalising the ileum and the symphysis pubis, the gpr and help for stimulating the plantar receptors. The treatment that was repeated for four consecutive weeks has shown an important reduction of clinical symptoms. After the three months of treatment, the patient had regained the training with the use of adequate aid for the stimulation of podalic receptor. The study demonstrates that the way the alteration of the podalic receptors compromised with the tonic postural system, not only with the execution of the athletic gestures. However, before practising any sport, becoming body conscious is a preliminary obligatory task. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: RETURN TO COMPETITION: ADVANCES IN DIAGNOSIS AND REHABILITATION Title DELAYED ONSET MUSCLE SORENESS : LITTERATURE REVIEW Authors 1 J. Coudreuse , C. Nicol Affiliations 1 2 University Hospital, Marseille, FRANCE, Staps Luminy, Marseille Body DOMS (Delayed Onset Muscle Soreness) occurs frequently in sport. DOMS usually develops 12-48h after intensive and/or unusual eccentric muscle action. They can be associated with decreased proprioception and range of motion, as well as maximal strength. DOMS disappears 2-10 days before complete functional recovery. Inflammation appears to be the most common explanation. DOMS should not be considered as an indicator of muscle damage but, rather, a sign of the regenerative process, which is well known to contribute to be increase muscle mass. If some treatments are well known to attenuate DOMS, none has been demonstrated to accelerate either structural or functional recovery. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: RETURN TO COMPETITION: ADVANCES IN DIAGNOSIS AND REHABILITATION Title INFILTRATIVE PERITENDINOUS TREATMENT, ULTRASOUND GUIDED, WITH LOW MOLECULAR WEIGHT HYALURONIC ACID. Authors G. Mazzoni, E. Bernardi, M. Fogli Affiliations 1 Biomedical Sport Studies Center, Univeristy Of Ferrara, Ferrara, ITALY Body Aim: To evaluate the effect of infiltrative treatment with low molecular weight (500-700 kDalton) hyaluronic acid (HA) in athletes with tendinopathy. Subjects and methods: 30 athletes (5F, 25M; 16-64 years) with 2° and 3° grade tendinopathy and degenerative tendinosis: 18 Achilles, 11 patellar, 9 lateral elbow and 1 tibialis anterior. Ultrasounds were made Esaote® myLab 25 X-view with a linear array (15-18 mhz ) and a power doppler software. Treatment: 39 tendinopathy (9 bilateral) with a cycle of 5 peritendinous infiltration. With injections of 1.2 to 2 cc of HA uniformly distributed in 2-6 points on the lateral and medial portions of the tendon to be treated. The first infiltration was made immediately after the first ultrasound analysis (T0). Infiltrations were repeated with the same procedure after 2, 3, 5 and 8 weeks. Ultrasound analyses were repeated at T0, at week 5 (T1) and at weeks 9 (T2). Results: Reductions of the pain scale score [from 10 (T0) to 3 (T2)*] and of tendon thickness (average reduction of 20-25%* from T0 to T2) were observed. Dissolution of power doppler were also observed at T2. Athletes restarted training after T1 (eccentric exercises). (*T-test, P<0.05) Conclusion: No contraindications with this technique were found. This treatment is cheaper than physiokinesis therapy and permits to determine the gradual training loads recovery by means of the ultrasound check carried out for static and dynamic follow-up. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: RETURN TO COMPETITION: ADVANCES IN DIAGNOSIS AND REHABILITATION Title SENCONDARY ULNAR NERVE PALSY IN ADULT AFTER RANGE OF MOTION EXERCISE. CASE REPORT Authors 1 1 J. Jun , W.I. Rhee Affiliations 1 Department Of Rehabilitation Medicine, College Of Medicine, The Catholic University Of Korea, Seoul, SOUTH KOREA Body Ulnar nerve palsy after elbow trauma were reported earlier in the literature. But, secondary ulnar nerve palsy in which the onset of ulnar nurve dysfunction occurs 1 to 3 months after elbow trauma, is unusual. And the cause of secondary ulnar nerve palsy is not clear. Here, we report a secondary ulnar nerve palsy in adult after nondisplaced olecranon linear fracture treated non-surgically. In this case, the trauma did not induce translocation of ulnar nerves, and there were no definite evidence of ulnar nerve swelling in initial ultrasonographic finding. And ulnar nerve palsy symptoms occur after progressive range of motion exercise. This may be the evidence of that an elbow trauma can lower motion threshold of nerve irritation or produce minor fibrosis around ulnar nerves. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: RETURN TO COMPETITION: ADVANCES IN DIAGNOSIS AND REHABILITATION Title EVALUATION OF DXA BODY COMPOSITION DURING REHABILITATION PROGRAMS AFTER ACL SURGERY IN SOCCER PLAYERS Authors 1 1 1 1 1 1 G. Martelli , A. Causarano , R. Palazzi , L. Santini , I. Martelli , F. Merlo Affiliations 1 Performance Medical And Rehabilitation Center, Siena, ITALY Body In soccer players ACL ruptures are the most common accidents, always repairable by surgery; techniques mostly used are: patellar tendon (P) and quadruple semitendinosus (S). Dual Energy-X Ray Absorptiometry (DXA) is a diagnostic device used in sports medicine to monitor bone, fat and muscle mass modifications in athletes during the season and to detect these parameters after prolonged training stops. The aim of the present study was to monitor body composition variations during rehabilitation programs after P and S surgery. Methods 30 semi-professional soccer players were tested during rehabilitation programs after ACL surgery (15 P and 15 S) by serial body composition tests on DXA Lunar Prodigy Advance (General Electric, Milano), with this schedule: pre-surgery test; after 20, 60, 120 days after P or S surgery. We evaluated only muscle mass (MM, g) parameters in two ways: 1) standard test, comparing healthy and operated legs and 2) thigh evaluation, tracing in each leg a square from inferior pubic branches to femoral condyles. Results 1) Both in operated and in healthy legs, MM was significantly reduced after 20 days with both techniques; all S values were lower than P at 20,60 and 120. 2) Both in operated and in healthy thighs there was a reduction of MM values, both for P and S, until 120 days. Discussion Our results show the importance of DXA measurements during ACL rehabilitation programs to monitor the decrease and the gradual recovery of muscle mass in affected and unaffected legs before competition return in soccer players. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title INDIVIDUAL DIFFERENCES IN THE PULMONARY RESPONSE TO HYPOBARIC HYPOXIA (3300M): A POTENTIAL CAUSE IN THE PRONENESS TO DEVELOP INTERSTITIAL LUNG EDEMA Authors 1 1 1 1 2 2 M. Bartesaghi , F. Lanfranconi , L. Pollastri , V. Scotti , G. Mandolesi , E. Bernardi , 1 G. Miserocchi Affiliations 1 Department Of Experimental Medicine, Laboratory Of Clinical Physiology And Sport 2 Biomedical Sport Studies Center, Department Of Medicine, Monza, ITALY, Experimental Medicine, Ferrara, ITALY Body Introduction: High altitude pulmonary edema is a largely unpredictable event though many aspects regarding its physio-pathogenesis still need to be clarified. Purpose: to relate inter-individual differences in the cardiopulmonary response to work load in normoxia and in hypobaric hypoxia to the perturbation in lung water balance. Methods: twenty-tree subjects (mean±st.dev: age 37,4±7,2 years, body mass index 22,4±2,8; 22%Females, 78%Males) were submitted to an incremental exercise test until exhaustion on cyclo-ergometer at sea level and after 6h of staying at the altitude of 3300m. Gas exchanges, pulmonary ventilation and heart rate were measured as well as respiratory reactance by high frequency oscillatory method that potentially detect early indexes of interstitial lung edema (Dellacà RL et al. Respir Res. 2008 Jun 12;9:51). Results: inter-individual differences in the ventilatory response when the hypoxic stimulus was added to the increase in oxidative metabolism were found: in particular, the increase in the ventilation/carbon dioxide output ratio correlated positively with the increase in respiratory reactance (y=27.5x+22.0, p=0.003). Conclusion: we conclude that participants having a greater ventilatory response to exercise in hypoxia probably are more exposed to the development of interstitial lung edema functionally related to a decreased efficiency of the oxygen diffusive-uptake process. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title KINEMATIC CHANGES BETWEEN FASTBALL AND CURVEBALL IN TAIWANESE BASEBALL PITCHERS Authors 1 2 2 1 1 1 3 2 P. Chou , S. Chang , Y. Huang , T. Fan , W. Lin , S. Chen , C. Liu , Y. Chou Affiliations 1 2 Department Of Sports Medicine, Kaohsiung Medical University, Kaohsiung, TAIWAN, Institute Of Biomedical Engineering, National Cheng-kung University, Tainan, TAIWAN, 3 Graduate Institute Of Sports Equipment Technology, Taipei Physical Education College, Taipei, TAIWAN Body Literature indicated that curveball pitching may produce more stress on the shoulder joint, and further increase the risk of shoulder pain and shoulder injury. The purpose of this study is to investigate the kinematic changes between fast ball and curve ball in baseball pitching. Ten professional pitchers participated in this study during Spring Training. They were asked to throw 15 fastball and curveball pitches on the outdoor throwing mound at a distance of 18.4 m. Motion Raptor E (Motion Analysis Inc., U.S.A.) was used to capture the throwing motion at a sampling rate of 300Hz. Kinematic data between the two different pitches were calculated for comparison. A repeated-measure analysis of variance was used for statistical analysis. At the instant of foot contact, more stride length was required for the curveball. During the acceleration phase, there was significantly more forearm pronation in fastball(31.3±16.7) than curveball (14.0±18.6)(p=0.01). There was more shoulder internal rotation angular velocity ( deg/s) in fastball(5714.9±1333.5) than curveball (5426.4±872.5)(p=0.015). At the instant of ball release, there were significant differences in shoulder horizontal adduction angle (p=0.003), elbow flexion angle (p=0.001), elbow valgus angle (p=0.026), and forearm pronation (p=0.001). Fastball velocity (34.5±2.0 m/s) was fasterr than curvball (28.1±0.9 m/s) (p=0.001). This outdoor throwing analysis was setup to simulate the bullpen pitching scenario. There were several kinematic differences between fastball and curveball, and the most of the changes occurred during the acceleration phase. This database can be helpful for the young players to improve their throwing techniques, and decrease the risk of upper extremity injuries. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title MARKERS ELETTROCARDIOGRAFICI DI RIPOLARIZZAZIONE VENTRICOLARE IN ATLETI CON PROLASSO MITRALICO. Authors 1 G. Francavilla Affiliations 1 Ospedale S.antonio Abate, Trapani, ITALY Body Scopo del lavoro: Le aritmie cardiache risultano di comune riscontro in pazienti affetti da prolasso valvolare mitralico. Scopo del presente studio è quello di valutare in atleti con pvm isolato i seguenti parametri: la dispersione del QT-end, del QT-apex, del Tpe, il valore massimo del Tpe a livello precordiale ed il rapporto Tpe/QT. Metodi: Sono stati valutati 50 atleti: 25 (5 donne e 20 uomini, età compresa tra 15 e 40 anni, età media 26.56±9.49 anni) con evidenza ecocardiografica di prolasso mitralico non associato ad insufficienza mitralica significativa e F.E. nella norma ed altrettanti atleti di controllo non portatoti di pvm (7 donne e 18 uomini, età compresa tra 14 e 40 anni, età media 24.76±9.81 anni). Tutti sono stati sottoposti ad un elettrocardiogramma a 12 derivazioni L’intervallo QT è stato misurato in tutte le derivazioni dall’inizio del QRS alla fine dell’onda T. Risultati: Tutti i soggetti erano in ritmo sinusale regolare. All’ECG di base la dispersione del QT-end, del QT-apex, del Tpe precordiale, il QT. Conclusioni: In conclusione, il prolasso mitralico, quando non accompagnato da un’insufficienza mitralica significativa e deficit della frazione di eiezione, non è associato ad eterogeneità della ripolarizzazione ventricolare. Gli atleti portatori di pvm isolato non complicato possono praticare attività sportive ad alta intensità ed anche a livello agonistico in quanto non presentano alcuna alterazione della ripolarizzazione ventricolare, che li renderebbe, se presente, inclini allo sviluppo di tachiaritmie ventricolari. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title SOCCER INJURIES AMONG IRANIAN PLAYERS Authors 1 1 M. Hassabi , T. Seif Barghi Affiliations 1 2 Shahid Beheshti University Of Medical Sciences, Tehran, IRAN, Iranian Association Of Sports And Exercise Medicine, Tehran, IRAN Body Objectives: The main purpose of research was evaluating the incidence rate of physical injuries, also, we considered some special characteristics of the injuries, such as location, type, severity, etc. Materials and Method: In this study, we evaluated the injuries occurred among the players of two professional soccer teams participated in Iranian premier leagues, both in training and competition sessions. 52 male adult professional soccer players (age: 24±3), were followed for half of a season. The injury characteristics and exposure times were recorded in previously designed profiles by the team physician, who was present in all matches and training sessions. Results: The sum of exposure times is 9296 playing hours (8202 h training V.S. 1094 h competition). The incidence rates of the acute injuries were 9.5 (CI: 7.5-11.5) per 1000 hr exposure, 5.5 (CI: 4.1-7.3) per 1000 hr of training, and 39.3 (CI: 29-53) per 1000 hr of competition. The most common types of injuries were contusions followed by strains. Lower extremities were involved in the majority of the cases (78%); among them, one third, occurred in thigh and groin. Approximately, half of the cases happened following contact. Less than 10% of injures, required more than 4 weeks to be treated; and the average loss of competition time was about 16 days following injury. Conclusion: The incidence rate of injury is generally similar to those that are seen in most of the other events. Contusion and strains are the two most common types of injuries. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title RISK FACTORS AND INJURY MECHANISMS IN TRIATHLON. S.MIGLIORINI ITU MEDICAL COMMITTEE CHAIR, FITRI MEDICAL COMMITTEE CHAIR Authors 1 S. Migliorini Affiliations 1 2 International Triathlon Union Itu Medical Committee, Vancouver, CANADA, Federazione Italiana Triathlon Fitri Commissione Medica, Roma, ITALY Body Introduction. In the triathlon the combined practice of swimming, cycling and running permits the reduction of overuse injuries compared to the practice of running alone. Nonetheless, like other endurance sports, 80-85% of triathlon injuries can be ascribed to overuse. Method. From an etiopathogenetic point of view the overuse injuries must be studied in relation to the triathlon's technical characteristics, to the transition phases between the disciplines, to the different load of training of the various distances. Results. Injuries are seen more during the training and during the first years of triathlon practice. Most of the injuries are caused by running and and athletes most at risk are former swimmers and cyclists, since they lack of running experience and muscle elasticity. The cycle-run transition is a period of particular risk for knee and lower back injuries. Ileotibial band syndrome is common in age groupers whereas Achilles tendon injuries and stress fractures occur more in elite athletes. Previous injuries are correlated with injuries occurrence and the sudden changes in training intensity or volume, hill training and the insufficient development of running technical ability are injuries extrinsic factors. The episodes of rhabdomiolysis are frequent, associated or not to exertional heat/idratation injuries. Hyphotermia is not rare in cool and wet conditions. Conclusion. Injury prevention is based on the learning of the correct technique of the three disciplines and of the transition phases. Before the event it is essential to assess the risk specific to each race in relation to the enviromental conditions. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title SAFEST EXERCISE HOURS IN TEHRAN BASED ON AIR QUALITY INDEX VALUES Authors 1 2 3 4 5 S. Mohaghegh , R. Kordi , M. Younesian , M. Hajian , B. Mohaghegh Affiliations 1 Shahid Beheshti University Of Medical Sciences,sports And Exercise Medicine 2 Tehran University Of Medical Sciences,sports And Department, Tehran, IRAN, 3 Tehran University Of Medical Exercise Medicine Department, Tehran, IRAN, 4 Sciences,public Health Department, Tehran, IRAN, Shahid Beheshti University Of 5 Medical Sciences, Preventive Medicine Department, Tehran, IRAN, Geological Survey Of Iran,gis Department, Tehran, IRAN Body Aim of study-Due to air pollution problem in Tehran(capital of Iran), to find the major air pollutants in Tehran City and determine the trend of their changes in all hours of day and night. Methods- Getting data from 7 air pollutant monitoring stations, the hourly means of air pollutant concentrations from years 2004 to 2008 in places of stations were measured and converted to Air Quality index (AQI) values. To find the cleanest and the most polluted hours in exercise places (parks and stadiums), map of Tehran air pollution using data from monitoring stations and Arc GIS software was created. Results- Fine particles less than 10 micrometer (PM10), carbon monoxide (CO) and ozone (O3) were major air pollutants in Tehran. Totally, the cleanest hours were 4to6 and then 17to 18. Peak hours for PM10 were 23 to 1, for CO 8 and 21, and for Ozone 13 to 15. Conclutions-Regarding the PM10 was the major air pollutant in Tehran and its hourly concentration changes were minimal, It is advised that in all hours of night and day, unusually sensitive people should consider reducing prolonged or heavy exertion. Also it is advised that in peak hours of PM10, people with heart or lung disease, older adults, and children should reduce prolonged or heavy exertion. Also according to this study, It is better to perform physical activities and conduct competitions in middle of Tehran city in early hours of morning (before 7 am) and in 17 to 18 at afternoon. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title SPONTANEOUS FRACTURE IN BIPARTITE PATELLA AFTER ACL BPTB AUTOGRAFT RECONSTRUCTION Authors 1 1 1 R. Orlandi , G. Zappala' , D. Mazzoleni Affiliations 1 Usc Ortopedia Traumatologia, Bergamo, ITALY Body THE AIM OF THIS POSTER IS TO REPORT THE CLINIC CASE OF A PROFESSIONAL SOCCER PLAYER OF ITALIAN PREMIER LEAGUE WHO SUFFERED A SPONTANEOUS PLURIFRAGMENTARY FRACTURE OF BIPARTITE PATELLA AFTER ACL RECONSTRUCTION WITH BPTB AUTOGRAFT. WE SHOW THE CLINICAL CASE (ALSO WITH INTRAOPERATIVE PHOTOS OF THE FRACTURE'S SYNTHESIS) AND LITERATURE'S REVIEW OF THE AGGRESSIVE REHABILITATION WITH POTENTIAL DAMAGES. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title AEROBIC EXERCISE AND LIFE QUALITY ABOARD A SUBMARINE Authors 1 2 3 3 L. Ricciardi , R. Belloni , M. Davino , C. Rinaldi Affiliations 1 2 Associazione Medico Sportiva Dilettantistica, Pavia, ITALY, Formerly Ospedale Di 3 Circolo, Varese, ITALY, Comando Forze Subacquee Marina Militare Italiana, Taranto, ITALY Body A cycling training protocol based on heart rate was administered to 6 + 6 crew members of a Sauro Class submarine, after discovering a lack of physical activity and general fitness in this personnel (Body Mass Index > 25). They were confronted, prior to and after training, with an even matching group of untrained boat-mates, by means of an incremental cycling step-test. Training would consist of a daily 30 min session: warm-up, steady-state workload and recovery. Workload would be between 70 and 80 % of maximum heart rate, as measured during the first test. Results obtained, very preliminary and rather scattered though, show that training enhances performance, while fitness is reduced if no training at all takes place. In fact test subjects improved their efficiency, as measured by final distance over a given time span, by 15 %, whereas controls decreased their efficiency by 5 %. Results suggest that a medium workload might increase exercise endurance, improve general fitness and mood and, consequently, quality of life. At present a deeper insight into this research is about to be given by the use of plicometry, in order to better assess fat free mass, before and after training. As to the training itself and the two cycling step-tests, ArmBand® recording of caloric output will be performed in test and control subjects, and shall result in a more accurate estimate of energy costs. Overall final results would help to establish a training protocol to be adopted by submarine crews during long-range navigation. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title EFFECTIVENESS OF A MONITORING PROGRAM OF PHYSICAL CONDITIONING CAMERAMEN FROM A TV COMPANY IN SÃO PAULO. Authors 1 1 1 1 1 1 1 P. Silva , R. Nahas , D. Silva , A. Silva , R. Evers , T. Rodrigues , R. Ciconelli Affiliations 1 Grupo Fleury, Sao Paulo, BRAZIL Body Introduction: The cameramen have a high energy demand overloaded shoulders, knees and lumbar spine increased risk of musculoskeletal injuries (MI) and absenteeism. The practice of physical activity (PA) assists in the least well-focused physical and injury prevention. Objectives: To assess change in lifestyle and physical conditioning of cameramen subjected to a personalized program of motivation and physical activity. Patients and methods: A prospective study with 58 cameramen monitored during 12 months.They were supervised weekly by a physical educator and sports physician by telephone contact, e-mails and regular visits to their workplace. Periodically, there were orientation about flexibility, changes in lifestyle and physical conditioning. They underwent periodic evaluations of general health, body posture, lumbar flexibility (Wells), physical performance, body mass index (BMI), waist circumference size (WC) and answering quality of life questionnaires (QOL). For comparison between groups were performed non-parametric statistical tests such as Wilcoxon-Mann-Whitney test. Results: There were three stratified groups: G1: practitioners of PA at the gym (n = 21), G2: practitioners of PA not at the gym (n = 19), G3: reporters who haven´t joined the program (18 eligible ). G1 had significantly reduced average WC (96.2 to 92.9 cm), BMI (26.9 to 26.4 kg / m²), the rate of absenteeism (45%) and increased lumbar flexibility (21.3 to 26.3 cm) and improved the perception of QOL. Conclusions: The good results of the program are related to the frequent monitoring of activities, customized employee motivation, proper choice of health indicators and the interaction between health staff and the company 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SPORT AND ENVIRONMENT: ASSESSMENT AND PREVENTION OF RISK FACTORS Title INCIDENCE AND PROGNOSTICATORS OF LOWER EXTREMITY FRACTURES IN BELGIAN FOOTBALL PLAYERS Authors 1 1 1 L. Vanlommel , P. Bollars , J. Bellemans Affiliations 1 University Pellenberg, Leuven, BELGIUM Body Football is the world’s most popular sport with approximately 265 million active players. As in every sport, there is also a risk for injuries in playing football. This large retrospective nation-wide study evaluated the incidence and type of lower extremity fractures (ankle, foot, tibial) , as well the influence of gender, age and level of performance in Belgian football players over 2 seasons . In season ‘99-’00 (417,462 football players) a total of 713 lower extremity fractures were reported, with an average of 0.031 fracture per 100 players compared to 752 fractures (415,934 football players) in season ‘09-‘10, with an average of 0.03 fractures*. For all type of fractures the incidence was significantly higher in adult players compared to youth players and in amateur level players compared to top level players. Only tibial fractures were significantly higher in male players. Ankle and foot fractures had a similar incidence in male and female players. For every type of fracture the vast majority occurred during a game. This retrospective study shows that adult players are at higher risk for these fractures. A Lower bone quality could be an explanation. There is also a higher incidence of fractures when performing on amateur level. The more aggressive way of playing on amateur level and average younger aged players on top level, could be possible explanations here. The competitive spirit and pressure to win a game might be the reason for the vast majority of fractures (73%) during competition games. *injuries per 100 football players 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SUBSTANCE ABUSE AND MISUSE Title EFFECTS OF ANABOLIC ANDROGENIC STEROIDS ON RENAL WEIGHT AND MORPHOLOGY Authors 1,2 1,2 3 4 1 1 V. Aparicio , D. Camiletti-moirón , R. Casuso , M. Tassi , E. Nebot , L. Bustos , J. 1 1 Porres , P. Aranda Affiliations 1 Department Of Physiology, School Of Pharmacy And Institute Of Nutrition And Food 2 Department Of Physical Technology. University Of Granada, Granada, SPAIN, Education And Sport. School Of Sports Sciences. University Of Granada, Granada, 3 4 SPAIN, Department Of Health Sciences. University Of Jaen, Jaén, SPAIN, Department Of Pathologic Anatomy And Institute Of Regenerative Biomedicine. School Of Medicine. University Of Granada, Granada, SPAIN Body OBJECTIVE: We aimed to examine the effects of anabolic androgenic steroids on renal weight and morphology in rats. DESIGN AND METHODS: One hundred twenty Wistar rats were randomly distributed in 2 experimental groups with or without anabolic androgenic steroids. The animal received 10mg/kg body weight of Nandrolone Decanoate once a week by intramuscular injection in the gluteus for 12 weeks. Kidney weight as well as renal and tubular fibrosis, kidney mesangiums, floculus and glomerular areas were measured. RESULTS: Kidney wet weight was higher for the groups injected with anabolic androgenic steroids when compared to the control group (1.06±0.12 versus 1.01±0.16 g, respectively, p=0.008). Among all the morphological parameters analyzed, we have observed differences on the glomerular area, which was higher in the groups injected with anabolic androgenic steroids when compared to the control group (45232±456 versus 43441±640 µm², respectively, p=0.010). CONCLUSIONS: The group injected with anabolic androgenic steroids showed, in general, a worse renal profile, with heavier kidneys and higher glomerular area. However, no differences on renal and tubular fibrosis were observed. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SUBSTANCE ABUSE AND MISUSE Title CORTISONE AND SPORT Authors 1 T. Henne Affiliations 1 Kreiskrankenhaus Osterholz-scharmbeck, Chirurgie, Osterholz-scharmbeck, GERMANY Body Cortisone, 1936 identified by EC Kendall at Mayo Clinic, is a glucocorticoid hormone formed in the zona fasciculata of the adrenal glands. In 1948 P Hench used cortisone in a patient with rheumatism with complete pain relief. Due to its extended field of effects various diseases ( asthma, inflammatory bowel diseases, multiple sclerosis and others ) were treated with cortisone. In 1975 cortisone was prohibited by the IOC as doping because of its euphorising effect. Since 1.01.2010 all glucocorticoids are prohibited when administered oral, rectal, intravenous or intramuscular by World Anti Doping Agency. Local und inhalative applications require the declaration of a therapeutic use exemption. Looking at the single effects of cortisone - beside the euphorising potential - the value of cortisone as doping is not evident and an increase of physical power has never been proved. But for the cyclists of the Tour de France with extremly high physical stress over 3 weeks cortisone prepares to fight or flight and reducing the physiological reactions the those burdens. And increased blood glucose levels, more erythrocytes, a positive inotrope cardial effect combined with the euphorising compound seem to be good arguments for the use of cortisone during Tour de France. So up to 40 % of the Tour cyclists are therapy requirung asthmatics with a therapeutic use exemption. Due to this there exist no problem in proving the use of cortisone in athlets, but a problem of sport physicians, who testify the certificates of health, necessary for a therapeutic ude exemption. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: SUBSTANCE ABUSE AND MISUSE Title THE PREDISPOSITION TO DOPING IN SPORT: THE EFFECTIVENESS OF AN EDUCATIONAL PROJECT ON RISK PREVENTION Authors 1 1,2,3 2 2 1,2,4 R. Mura , M. Scorcu , P. De Angelis , R. Uccheddu , F. Piras Affiliations 1 2 3 F.m.s.i. Sardegna, Cagliari, ITALY, School Of Sport - Coni Sardegna, Cagliari, ITALY, 4 A.s.l. 6, Sanluri, ITALY, A.s.l. 7, Carbonia - Iglesias, ITALY Body Objectives: educational course for health protection and doping prevention. The learning level during the course was assessed. Methods: A sample of 2,341 Sardinian students, aged 13 - 21, underwent a test consisting of 17 multiple-choice item, applying the McNemar Exact Sig 2-sided test (alfa 0,05). Results: The percentage in favour of taking performance-enhancing drugs dropped from 7.5% (61 in 813) to 3.7% (30 in 813) post-course; among those who pre-test claimed to be likely to make use of drugs it fell from 14.8% (120 in 812) to 4.3% (35 in 812); the rate of dubious opinion fell from 9.4% (76 in 810) to 4.4% (36 in 810). The negative opinion on doping rose from 68.3% (554 in 811) to 87.8% (811 in 712) (McNemarTest, Sig 0.00). Before the course the percentage of who claimed that steroid hormones are used to reduce strenght dropped from 6.3% (51 in 813) to 1.8% (15 in 813) post-course; who stated a weight- reduction dropped from 8.4% (68 in 812) to 4.6% (37 in 812); who stated an increased vigilance decreased from 12.4% (101 in 813) to 2.7% (22 on 813); who declared their utility in increasing the muscle mass rose from 73.6% (595 in 808) to 86.8% (701 in 808) (McNemarTest, Sig 0.00). Conclusions: the research allows to consider the training project as a valid result since it affected the skills of the sample. Bibliography Lippi G, Mattiuzzi C, Guidi G. Prevention of doping in sports: epidemiological issues and ethical implications. Epidemiol Prev 2004 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title BUCCAL AND SALIVARY PROFILE OF YOUNG SOCCER PLAYERS Authors 1,5 2,3 3 3 4 P. Amaddeo , S. D'ercole , D. Martinelli , D. Tripodi , F. Ristoldo Affiliations 1 2 Atalanta B.c. Medical Team, Bergamo, ITALY, D.to Scienze Biomediche Università 3 D.to Scienze Orali, Nano E Degli Studi G. D'annunzio, Chieti-pescara, ITALY, 4 Biotecnologie Università Degli Studi G. D'annunzio, Chieti-pescara, ITALY, Azienda 5 Ospedaliera Ospedali Riuniti U.s.c. Odontostomatologia, Bergamo, ITALY, Azienda Ospedaliera Ospedali Riuniti U.s.s.d. Ch. Maxillo-facciale, Bergamo, ITALY Body Objectives: The aim of this study was to evaluate influence of physical exercise on the oral ecosystem. Methods: 16 Atalanta players, mean age 13 years, and 40 sedentary individuals (control), mean age 12.5, were selected. A self-administered questionnaire was used to obtain data concerning a pathological complete history, a history of oral hard and soft tissues, a family history, oral hygiene practices and snacking habits. Before training sessions (T1), a clinical monitoring was performed and on each patient were recorded: DMFT, Plaque Index (PlI), Gingival Index (GI). At T1 and after training (T2), stimulated saliva was collected and subjected to microbiological and immunological analysis. Results: The players shown a greater PlI (0,85; ctr 0,08), an increase of dental stains (42.85%; ctr 2%), increased frequency of atypical swallowing (71.42%; ctr 17%) and nail biting (57.14%; ctr 0%) and lower frequency of daily brushing (3/die: 0%; ctr 33%) compared to controls. The young players had a statistically higher microbial load than controls, both T1 and T2. At T1, 31.25% of the players presented S. mutans >106 and the percentage rises to 68.75% at T2. Regard to Lactobacillus spp only 12.5% of athletes had the count >106 and the percentage rises to 31.25% at T2. The training period decreased significantly the concentration of SIgA. Conclusions: Young professional players have increased risk of oral diseases compared to sedentary subjects, caused either by a lack of attention to the oral health that from the effects of both immunological and microbiological changes that occur in training time. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title CONTRIBUTION OF BIOMECHANICAL PARAMETERS OF COUNTERMOVEMENT JUMP PERFORMANCE AND STANDING LONG JUMP PERFORMANCE IN BASKETBALL PLAYERS Authors 1 1 1 1 1 1 R. Andrade , J. Claudino , B. Mezêncio , A. Azevedo , J. Pinho , A. Amadio , A. 2 1 Moreira , J. Serrão Affiliations 1 Department Of Biodynamic Of Human Movement, Biomechanics Laboratory Of 2 School Of Physical Education And Sport, Usp, São Paulo, BRAZIL, Department Of Sport, School Of Physical Education And Sport, Usp, São Paulo, BRAZIL Body OBJECTIVE: The aim of the present study was to investigate the contribution of biomechanical parameters to countermovement jump and standing long jump performance. DESIGN AND METHOD: Fourteen male basketball players volunteered for this study (17.64±0.79 years; 1.97±0.10 m; 96±16 kg). All players belonged to an Under-19 team ranked first in the State championship during the monitoring period. Vertical (countermovement jump and standing long jump) and horizontal (to standing long jump) force vectors, for eccentric and concentric phases were analyzed by kinect and kinematic analysis. Biomechanical parameters considered were: peak passive and propulsion force, time to peak passive and propulsion force, load rate, rate of force development, eccentric and concentric phase duration. RESULTS: The principal component analysis showed that in eccentric phase, 63-79% of jump performance was explained by time to peak passive force and eccentric phase duration, and 17-36% by peak passive force and load rate, regardless of which jump and force vector considered. During concentric phase, 53% of performance in countermovement jump was explained by peak propulsion force, rate of force development and concentric phase duration, and 26% by peak propulsion force. To standing long jump, 64-89% of performance was explained by peak propulsion force and rate of force development, and 7-22% by peak propulsion force and concentric phase duration. CONCLUSION: These findings suggest that vertical and horizontal jumps are not related to the same biomechanical parameters. This result need to be take into account by coaches and researchers aiming to understand the biomechanical parameters that could explain jump performance. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title IS THERE A RELATIONSHIP BETWEEN MULTIPLE CHANGE OF DIRECTION ABILITY AND BIOMECHANICAL PARAMETERS IN PROFESSIONAL FEMALE BASKETBALL PLAYERS? Authors 1 1 2 1 2 R. Andrade , J. Serrão , M. Kiss , A. Amadio , A. Moreira Affiliations 1 Department Of Biodynamic Of Human Movement, Biomechanics Laboratory Of 2 School Of Physical Education And Sport, Usp, São Paulo, BRAZIL, Department Of Sport, School Of Physical Education And Sport, Usp, São Paulo, BRAZIL Body OBJECTIVE: The aim of the study was to investigate the relationship between the multiple directional change test performance (t-test) and biomechanical parameters from two types of jumps. DESIGN AND METHOD: Nineteen professional female basketball players from the Brazilian National Basketball Team performed the t-test, the countermovement jump, and the countermovement jump after a maximal two-meter run. The jumps were assessed using a force platform. The biomechanical parameters measured from countermovement jump were: peak propulsion force, time to peak propulsion force, impulse, rate of force development, time to the concentric phase, and from countermovement jump after a maximal two-meter run, mean velocity, peak propulsion force, time to peak propulsion force, time to support phase and rate of force development. RESULTS: Significant correlation (p<.05) was verified between time to complete the t-test and time to the concentric phase (.55) in countermovement jump; significant inverse correlations observed between the t-test and peak propulsion force of countermovement jump after a maximal two-meter run (-.49) and the t-test and mean velocity (-.54). CONCLUSION: Although it should be considered the limitations about the relationship of causality, the results indicate that the ability to produce greater peak propulsion force and reduced time to concentric phase could be lead to a reduction in the time to complete the t-test, thus coaches aiming to improve the outcomes of multiple changes of direction actions could consider these purposes during the program of exercise. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title INFLUENCE OF BURNOUT SYNDROME ON PERFORMANCE AMONG BASKETBALL REFEREES Authors 1 2 3 4 5 T. Antic , D. Curcic , N. Dikic , N. Radivojevic , M. Vesic Vukasinovic , M. Andjelkovic 6 Affiliations 1 2 Sports Medicine Association Of Serbia, Belgrade, SERBIA, Sports Medicine 3 Association Of Serbia, Belgrade, SERBIA, Sports Medicine Association Of Serbia, 4 5 Belgrade, SERBIA, Sports Medicine Association Of Serbia, Belgrade, SERBIA, Sports 6 Medicine Association Of Serbia, Belgrade, SERBIA, Sports Medicine Association Of Serbia, Belgrade, SERBIA Body Introductions In this study we evaluated the level of stress in basketball referees and their performance in the court in terms of how much time they spent in running, walking and standing during the games. We used these parameters to evaluate correlation between performance during the game and level of stress and burnout syndrome. Methods The study included 30 referees on FIBA Eurochallenge men and FIBA Euroleague women competition. Two inventories were used: Self-assessment scale for stress level and Maslach Burnout Inventory (MBI) adapted for workers in the sport. MBI scale consists of three subscales: Emotional Exhaustion, Depersonalization and Personal Accomplishment subscale. The other part of this study visualized and analyzed the referee’s movements in the court which was possible thanks to the use of E-analyze Software (Ankara Technology Development). Results The obtained parameters showed intermediate level of stress in referees. On Depersonalization subscale 15 referees had moderate level and even 8 referees had high level of depersonalization. Referees with higher level of depersonalization were performing at a lower level during the game. We used Independent sample T test and found statistically significant difference in level of depersonalization among referees who had highest and lowest level of running. There was no statistically significant difference in terms of level of stress and performance. Conclusions Since depersonalization is defined as sense of alienation, loss of empathy and idealism in the work it can be concluded that this mental condition can affect performance in the court in terms of less running during the game. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title UPHILL TRAINING IN SOCCER PLAYERS: SPRINT VS. INTERMITTENT Authors 1 2 2 3 4 G. Attene , G. Ibba , M. Scorcu , F. Pizzolato , J. Padulo Affiliations 1 2 3 University Of Cagliari, Cagliari, ITALY, Cagliari Calcio S.p.a., Cagliari, ITALY, Cagliari 4 5 Calcio S.p.a., Cagliari, ITALY, University Of Verona, Verona, ITALY, University Of Tor Vergata, Roma, ITALY Body AIM: We investigated the changes of Heart Rate (HR) and Lactate (BL), during two different uphill (10%) training: Sprint (ST) vs. Intermittent (IT) training. MATERIALS AND METHODS:Twelve soccer players (Age 15.8±0.4 yrs, height 175.1±4.7 cm, weight 62.9±4.8 kg, BMI 20.5±0.9 kg/m2) participated at this study. The participants, after warm-up (running), were randomly assigned to ST or IT and inverted after three days. In SP the participants performed three sets of eight sprints of 20m with 90s of recovery and 8’ between sets. In IT the participants performed 13’ with 5s of sprint and 15s of walking (downhill). One week before, the maximum HR (HRmax) was evaluated with an incremental test. During ST and IT the HR was evaluated and normalized with HRmax. The BL was sampled at the end of IT and at each sets for ST. RESULTS: Two-way ANOVA (Bonferroni post-hoc) showed differences between ST vs. IT (p<0.0001). The %HRmax between ST and IT was: 76.7±4.4 vs. 86.1±3.1 respectively (p<0.0001) and the BL showed an opposite trend between ST and IT: 5.6±2.5 vs. 2.9±1.2 mmol•L-1 respectively (p<0.0001). CONCLUSIONS: This study showed different response of HR and BL between ST and IT at 10% training slope. The HR increased between IT vs. ST maybe because internal work increased and the ground reaction force decreased as well as in the BL. Therefore, if the aim of the training is to improve the metabolic factors we can choose the IT while, for increasing the muscle strength is necessary to choose ST. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title RELATIONSHIP BETWEEN KNEE EXTENSION STRENGTH AND QUADRICEPS TO HAMSTRINGS IMBALANCES IN PROFESSIONAL SOCCER PLAYERS Authors 1 G. Bogdanis , V. Kalapotharakos Affiliations 1 University Of Athens, Athens, GREECE Body Isokinetic dynamometry is commonly used to evaluate strength and imbalances between knee flexors and extensors in soccer players. This study examined the relationship between quadriceps to hamstrings strength ratio (Q/H) and relative strength of the knee extension. Eighteen professional soccer players took part in the present study. Peak torque was recorded during maximal isokinetic knee extension/flexion at angular velocities of 60, 180 and 300o/s. Players were then divided into two groups, depending on their Q/H strength ratio of their preferred kicking leg. Players in the low Q/H group (n=7) had significantly lower Q/H ratios at all angular velocities, compared with the high Q/H group (n=11; 60o/s: 59.5±0.9% vs. 50.0±1.6%, p<0.01; 180o/s: 66.5±1.4% vs. 60.2±2.2%, p<0.02; 360o/s: 73.8±2.6% vs. 66.7±2.9%, p<0.05). Interestingly, players in the low Q/H group had greater strength of the knee extensors relative to body mass, compared with the high H/Q group (3.98±0.19 vs. 3.48±0.10 N.m/kg body mass, p<0.02), without any differences in strength of the hamstrings (1.98±0.09 vs. 2.07±0.06 N.m/kg body mass, NS). There was also a negative correlation (r=-0.66, p<0.01) between quadriceps strength of the preferred kicking leg relative to body mass and the ratio of Q/H at the angular velocity of 60o/s. In conclusion, this study showed that Q/H imbalances measured during isokinetic strength testing in professional soccer players occur mainly in players with strong quadriceps muscles, while players with relatively low quadriceps strength have Q/H ratios at or close to the recommended values. These results may have implications for hamstring muscle injuries. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title PHYSIOLOGICAL CHARACTERISTICS OF THE SPORT OF BMX Authors 1 1 1 1 2 G. Boni , F. Mattiacci , A. Capodicasa , S. Spaccapanico Proietti , L. Laurent , F. 2 Gargaglia Affiliations 1 2 Cr Umbria Fmsi - Surgery Of Sport Medicine - Foligno - Pg, Foligno, ITALY, Coach Italian Bmx National Team, Milano, ITALY Body Aim: To define the physiological profile of elite athletes from the sport of BMX, bicycle motocross. The BMX bikes are single speed, small, light and with sturdy wheels which have a diameter of 20 inches (24 in the Cruiser model). The race track is 300 to 400 metres long with average journey times between 35 and 50 seconds, characterised by bumps, parabolic curves and other obstacles. Methods: We took 16 athletes from the Italian National BMX Team of the Italian Cycling Federation and subjected them to a battery of tests from October 2010 and February 2011 to evaluate the functional characteristics of the extensor muscle of the legs and the efficiency of the neuromuscular system:basal ecg, echocardiogram, test of body composition, postural orthostatic test and 90° squat test, SJ, CMJ, CMJ 15’’; Drop Jump, Wingate Test, Kinesiography. Results: We showed that comparing the BMX Athletes with other athletes in individual sports, the average value of SJ (39,3 cm), appears to be similar to that of body builders (39 cm), midway between that of cross country skiers (24 cm) and that of slalom skiers (48 cm). The value of CMJ (42,4 cm) is similar to that of a fighter or a gymnast (42 cm), midway between that of cross country skiers (29 cm) and that of slalom skiers (58 cm). Discussion: BMX athletes require: maximum force for gate starting, a high percentage of white muscular fibres, resisting force, inter and intramuscular coordination, moderate aerobic training, lean mass under 18%. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title EFFECT OF HIIT HYDROBIKE TRAINING ON PARAMETERS OF AEROBIC CAPACITY IN TRIATHLETES VS DETRAINING EFFECTS Authors 1 G. Collu , S. Roberto, M. Pinna, R. Milia, G. Migliaccio, A. Concu, A. Crisafulli Affiliations 1 Labfs,dipartimento Di Scienze Mediche, Laboratorio Fisiologia Della Sport, Università 2 Degli Studi Di Cagliari, Cagliari, ITALY, Labfs,dipartimento Di Scienze Mediche, 3 Laboratorio Fisiologia Della Sport, Università Degli Studi Di Cagliari, Cagliari, ITALY, Labfs,dipartimento Di Scienze Mediche, Laboratorio Fisiologia Della Sport, Università 4 Degli Studi Di Cagliari, Cagliari, ITALY, Labfs,dipartimento Di Scienze Mediche, 5 Laboratorio Fisiologia Della Sport, Università Degli Studi Di Cagliari, Cagliari, ITALY, 6 Coni Sardegna, Laboratorio Dello Sport., Cagliari, ITALY, Labfs,dipartimento Di Scienze Mediche, Laboratorio Fisiologia Della Sport, Università Degli Studi Di Cagliari, Cagliari, 7 ITALY, Labfs,dipartimento Di Scienze Mediche, Laboratorio Fisiologia Della Sport, Università Degli Studi Di Cagliari, Cagliari, ITALY Body Keywords:Triathletes, Aqua Cycling,Detraining Aim this study was set to assess the effect of hydrobike training on the aerobic capacity of triathletes during 4 weeks of detraining period preceding the competitive season. Methods a study group of 8 males triathletes (age37.2±2.9,height 170±4.9cm,weight 68.5±5.9 kg) and 8 matched control triathletes took part in the study. At the beginning of the study their maximal values of oxygen uptake, heart rate and oxygen pulse were assessed during an incremental test to exhaustion on a hydrobike (Hydrorider,Italy) by using a portable metabolimeter (VO2000MedGraphics,USA).Then, the study group performed 12 sessions (3times/week) of hydrobike interval training lasting 30 minutes each1 whereas the control group was not involved in any structured training protocol; then both groups repeated the incremental test on the hydrobike. Results the main result was that the control group significantly decreased maximal oxygen uptake (46.4±4.3vs.42.7±4.2 ml/kg/min,p<0.05) whereas the study group did not show any significant decrement (47.9±5.6 vs. 51±3.5 ml/kg/min).Maximal heart rate of the study group significantly increased after hydrobike training (169.3±5.9vs.173.1±6.6 bpm, p<0.05),while the control group did not exhibit any change.Oxygen pulse2 was significantly impaired in the control group (20.9±2.6vs19,2±3.1 ml/bpm,p<0.05) while this parameter kept constant value in the study group. Conclusions: it was concluded that hydrobike HIIT was effective in maintaining training status of triathletes during a period of reduced activity and to counteract some detraining (3) effects. Reference 1-ImpellizzeriF.M et al.Int.J.Sports Med2006,27(6):483-92 2-Volkov NI et al.EurJAppl Physiol Occup Physiol.1975Apr4;34(2):121-30 3-MujikaI et al.MedSciSports 2001Mar;33(3):413 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title REPEATED BOUT EFFECT INDUCED BY ISOKINETIC VS ISOTONIC ECCENTRIC CONTRACTION Authors 1 2 1,2 G. Coratella , F.M. Impellizzeri , F. Schena Affiliations 1 Department Of Neurological, Neurophisiological, Morphological And Movement 2 Science, Verona, ITALY, Researc Center For Sport, Mountain And Health, Rovereto, ITALY Body Lengthening contraction induces muscle injury and it confers protection to subsequent eccentric sessions. (Nosaka 2001). It can be performed resisting to external load (e.g.: isotonic) or using isokinetic device. Aim of the study is to measure muscle damage induced after both eccentric modalities. Thirty males were assigned to isokinetic(IK) or isotonic(IT). They were tested at baseline, and up to 4 days after 60eccentric contractions. CK activity, strength loss and muscle soreness were measured. Same protocol was repeated after 4 weeks. Compared to baseline, IK and IT resulted in augmented injury symptoms after first bout. Compared to first bout, second bout resulted in significantly lower muscle damage both in IK and IT. After first bout, compared to IK, IT showed increased CK activity (+30±13%), strength loss(+40±14%) soreness (+34±8%), p<0,05 for all parameters. After second bout, compared to IK, IT showed similar CK activity (+12±4%, n.s.),soreness (+10%±5%, n.s.), higher strength loss (+24±4%, p<0,05). Both IK and IT induced damage after first bout and i decreased after second . IT induced significantly greater damage compared to IK, but it confers more protection after second bout. It is concluded that neural and mechanical factor influenced difference between IK and IT eccentric induce damage. (Guilhem, 2011) Nosaka K, Sakamoto K, Newton M, Sacco P: How long does the protective effect on eccentric exercise-induced muscle damage last? Med Sci Sports Exerc. 2001 Sep;33(9):1490-5. Guilhem G, Cornu C, Guével A: Muscle architecture and EMG activity changes during isotonic and isokinetic eccentric exercises. Eur J Appl Physiol. 2011 Nov;111(11):2723-33. Epub 2011 Mar 12. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title LONGITUDINAL STUDY IN ELITE MALE SWIMMERS: A HIERACHICAL MODELING OF ENERGETIC AND BIOMECHANICAL RELATIVE CONTRIBUTION FOR PERFORMANCE Authors 1,4 1,4 2,4 1,4 3,4 1,4 M. Costa , J. Bragada , D. Marinho , V. Lopes , A. Silva , T. Barbosa , J.E. 3,4 Morais Affiliations 1 2 Polytechnic Institute Of Bragança, Bragança, PORTUGAL, University Of Beira Interior, 3 University Of Trás-os-montes And Alto Douro, Vila Real, Covilhã, PORTUGAL, 4 PORTUGAL, Research Centre In Sports, Health And Human Development, Vila Real, PORTUGAL Body The aim of this study was to characterize the changes in elite swimmers’ energetic and biomechanical profiles, and quantify their contribution for the 200 m freestyle performance with hierarchical modeling. Nine elite male swimmers were evaluated on six occasions over two training seasons. An incremental test was applied to obtain measurements of: (i) swimming velocity at 4 mmol L-1 of blood lactate concentration and the peak blood lactate after exercise as energetic; (ii) stroke frequency, stroke length, stroke index and propelling efficiency as biomechanical variables. Performance was determined based on official time’s lists. Friedman Test and the Wilcoxon Test were used to analyze the annual changes. Hierarchical linear modelling was computed to model the performance changes, having the selected variables as time changing predictors. Despite a slight annual improvement in performance, the energetic and biomechanical variables presented no significant changes during the study period. Hierarchic linear modeling showed the velocity at 4 mmol L-1 of blood lactate, the stroke frequency and the stroke length as the best longitudinal performance predictors. Each unit of change in velocity at 4 mmol L-1 of blood lactate, stroke frequency and the stroke length represented a positive effect on performance of 0.10 s, 1.20 s and 0.36 s, respectively. Slight changes in performance, energetic and biomechanical profiles should be expected for elite swimmers within and between seasons. Additional improvements in competition can be accomplished by manipulating the swimming velocity at 4 mmol L-1 of blood lactate concentration, stroke frequency and the stroke length during training. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title AN FMRI INVESTIGATION ON THE FUNCTIONAL CORRELATES OF NEURAL EFFICIENCY IN PROFESSIONAL FORMULA 1 CAR DRIVERS Authors 1 2 2 1 2 3 F. Franzoni , G. Bernardi , E. Ricciardi , E. Guidotti , L. Sani , R. Ceccarelli , R. Goebel 4 1 2 1 , F. Galetta , P. Pietrini , G. Santoro Affiliations 1 2 University Of Pisa - Department Of Internal Medicine, Pisa, ITALY, University Of Pisa 3 - Department Of Laboratory Medicine And Molecular Diagnostics, Pisa, ITALY, 4 Formula Medicine, Viareggio, ITALY, University Of Maastricht - Department Of Cognitive Neuroscience, Maastricht, NETHERLANDS Body Objective. The present study focused on a particular group of elite athletes that are professional Formula 1 racing car drivers, as these subjects represent an exceptional sample to study the effects of extreme psycho-physical conditions on the brain functional organizations. Design and method. We used functional magnetic resonance imaging to examine neural activity in 11 professional (mean age 24±4 yrs) and 11 age-matched naïve healthy male drivers while performing two relatively simple visuo-motor tasks chosen to minimize potential differences in performance. Different analysis approaches were used to characterize functional brain organization of these two groups in terms of brain response, functional networks organization and blood oxygenation level dependent signal variability. Results. Our results showed that, despite similar performance levels, professional drivers recruited task-related brain regions with reduced extension and magnitude, as compared to non-expert drivers. On the other hand, the observation of reinforced connections between brain areas highlighted using a multivariate auto-regressive approach, and the increased system complexity indicated that professional drivers brain can elaborate information in a more efficient way. Conclusions. Our results demonstrated in Formula 1 race car drivers a brain functional reorganization that is consistent with so called ‘neural efficiency’ hypothesis, which postulates that expertise and superior skills are associated with both a reduction in the use of energy resources and an increased efficiency in their utilization. These findings suggest that neural efficiency may be a matter of ‘quality’ of brain recruitment rather than ’quantity’. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title EFFECTS OF LONG TERM WHOLE- BODY VIBRATION TRAINING WITH DIFFERENT AMPLITUDES ON PERFORMANCE Authors 1 2 2 3 2 F. Ghazalian , L. Hakemi , L. Pourkazemi , M. Akhoond , M. Ahmadi Affiliations 1 Department Of Physical Education, Science & Research Branch, Islamic Azad 2 University, Tehran, Iran, Tehran, IRAN, Sports Medicine Federation Of I.r.iran, Tehran, 3 IRAN, Department Of Statistics, Shahid Chamran University, Ahwaz, IRAN Body The use of whole body vibration (WBV) as an exercise method has rapidly increased over the last decade. The aim of this study was to evaluate long term effects of different amplitudes of whole- body vibration training with progressive frequencies on flexibility, vertical jump height, anaerobic power and agility. Twenty six healthy male students were randomly divided in three groups: high amplitude vibration group (n=9), low amplitude vibration group (n=9), and control group (n=8). The vibration training consisted of 5 week whole-body vibration 3 times a week with amplitudes of 4 and 2mm and progressive frequencies from 25Hz with increments of 5Hz weekly. As outcome measures flexibility, vertical jump height, anaerobic power, and agility tests performed initially and after 5 weeks were considered. Statistical analysis was done using one way analysis of variance. P<0.05 was considered statistically significant. The 5week low or high amplitude vibration training programs with progressive frequencies did not show any significant effect on flexibility (p=o.22), vertical jump height (p=o.11) and anaerobic power (p=0.14) but showed a significant improvement in agility only in the high vibration group (p=0.02). It is concluded that the long term effects of different amplitudes of whole- body vibration training did not enhance performance globally and just improvement of agility can be expected in the high vibration group. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title IMPACT OF RECOVERY MODALITIES ON PERFORMANCE IN VOLLEYBALL PLAYERS IN HIGH ENVIRONMENTAL TEMPERATURES Authors 1 1 2 N. Ghoul , M. L'hermette , R. Sioud , C. Tourny-chollet Affiliations 1 2 Cetaps Ea 3832, Rouen, FRANCE, Ncmss, Tunis, TUNISIA Body This study investigated the impact of different recovery strategies on physical performance, body temperature and perceptual leg fatigue of elite volleyball players performed in warm environment. During 3 test sessions ten volleyball players completed a 60 min simulated match play in a hot conditions, each randomly followed by 1 of 3 recovery modalities for 14 minutes: (a) Contrast temperature water therapy consisted of alternating cold and hot water immersion, (b) Cold shower, and (c) Passive recovery (ambient temperature). Vertical jump, agility and speed performance, body temperature and perceptual measures were determined before each match, and immediately after each recovery method. There was significant (p < 0.05) attenuation in perceived leg fatigue for all groups, although the greatest difference was between contrast water therapy and passive group. However body temperature was significantly lower (- 0, 58°C) in cold shower conditions compared with contrast water and passive strategies. There was a significantly (p < 0.05) decrease in Counter mouvement jump power and 5m sprint time performance after cold shower compared with other groups. In contrast water immersion there was a significant increase in Squat jump height performance. In conclusion, there was not a substantial effect on vertical jump agility and speed performance, when compared between the different modalities of recovery. However the observed positive effect on perceived leg fatigue and temperature suggest that cold and contrast water therapy may be effective for players performing in the heat. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title FOR A BETTER BONE QUALITY AND REDUCED CARDIOVASCULAR RISK FACTORS: DOWNHILL SKIING, ICE HOCKEY OR SWIMMING? Authors 1 1 2 3 4 S. Grossgasteiger , S. Frizzera , F. Egger , M.C. Tappa , G. Radetti Affiliations 1 2 Department Of Sports Medicine, Regional Hospital, Fmsi, Bolzano, ITALY, 3 Department Of Internal Medicine, Regional Hospital, Bolzano, ITALY, Department Of 4 Department Of Peditrics, Nuclear Medicine, Regional Hospital, Bolzano, ITALY, Regional Hospital, Bolzano, ITALY Body Introduction: Sports can positively influence bone mineralization and exert positive cardiac and vascular effects. Aim of the study: To evaluate the effects of different sports on bone health and mineralization, lipid profile,insulin sensitivity and cardiovascular function. Material and Methods: We evaluated 60 athletes (12.2±1.2 yrs) practicing downhill skiing, ice-hockey and swimming. Bone mineralization was evaluated by DEXA and bone health [SOS(speed-of-sound)- and BTT(bone-transmission-time)-SDS] by ultrasound. Lipid profile, insulin sensitivity HOMAr(Homeostasis-Model-Assessment-for-insulin-resistance) and QUICKI (quantitative-insulin-sensitivity-check-index)] were evaluated. Endothelial function was evaluated by flow mediated dilation of the brachial artery (FMD) and the intima-media thickness(IMT) by B-mode ultrasound at the level of the common carotid artery. Results: Swimmers show higher triglyceride values (mg/dl): 87.9±41.9 vs skiers 53.3±15.1 and ice-hockey players 60.1±28.4.Skiers show higher bone mineralization than ice-hockey players(1.01±0.1 vs 0.94±0.05) and higher bone quality than ice-hockey players and swimmers (BTT 0.55±0.84 vs -0.18±0.6 and -0.18±1.16). Ice-hockey players have a significantly better FMD than swimmers (15,4±4,9 vs 11,3±2,4).Swimmers show an increased insulin resistance(HOMAr) compared to ice-hockey players(2,33±0,74 vs 1,54±0,7) and a decreased insulin sensitivity(QUICKI) compared to skiers and ice-hockey players(0,31±0,03 vs 0,35±0,02 and 0,36±0,03). A positive correlation between BMD-SDS and BMI-SDS, lean body mass and weekly exercise time was found. There is also a correlation between QUICKI, lean body mass and weekly exercise time. Conclusion: Each sport exerts different effects on bone, cardiovascular system and metabolism, depending from the modalities of the physical activity. Swimmers, due to the higher triglyceride values and decreased insulin sensitivity seem to be at risk for future metabolic derangement. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title IS THERE ANY CORRELATION BETWEEN SELECTED PARAMETERS OF FITNESS AND ACQUIRED SCORES OF REFEREES IN IRANIAN PREMIER FOOTBALL LEAGUE? Authors 1 1 1 1 F. Halabchi , R. Mazaheri , M.A. Mansournia , T. Seif Barghi Affiliations 1 Sports Medicine Research Center, Department Of Sports And Exercise Medicine, Tehran University Of Medical Sciences, Tehran, IRAN Body Objective: There are more than 840,000 registered referees. Football refereeing is a physically challenging job. Fitness of football referees is a major concern due to older ages and significance of performance. The aim of this study was to assess the potential correlation between selected parameters of fitness and assessed performance of all 78 referees (32 center referee and 46 assistant) of Premier League during season 2009-2010. Design and Method: In a cross- sectional study, all referees selected for the competitions were enrolled. All paticipants underwent exercise stress test (Bruce Ramp Protocol), Pulmonary function test (using digital spirometry) and body compostion assessment (using electrical bio-empedence).Then the weekly scores of each referee, assessed by qualified supervisors of national federation using FIFA assessor form, were obtaind throughout the season (34 weeks) and registered. Results: Mean and standard deviation of referee scores were 85.8±0.25 [CI95%:85.30-86.29]. Correlation between referees’ mean score and parameters such as age, weight, body mass index, body fat percent, resting heart rate, maximal heart rate, aerobic capacity (VO2max), Forced expiratory volume in 1 second (FEV1) and Forced vital capacity (FVC) were analysed. No statistical correlation (P<0.05) were found. Conclusion: It seems that the laboratory findings of cardiopulmonary fitness and body composition may not correlate well to the acquired scores of each top-class referee. It may be partly explained by the fact that performance of a football referee may be influenced more by cognitive, psychological and experiential factors. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title THE YO-YO INTERMITTENT RECOVERY TEST OF PROFESSIONAL SOCCER PLAYERS Authors 1 1 1 H. Hayrettin /gümüsdag , Çisem Ünlu , Güner Çiçek Affiliations 1 Hitit University & Physical Education And Sports High School, Çorum, TURKEY Body The Yo-yo intermittent recovery (IR) tests evaluate an individual’s ability to perform repeatedly intensive exercise. The Yo-yo IR level 1 (Yo-Yo IR1) test focuses on the capacity to carry out intermittent exercise leading to maximal activation of the aerobic system. Yo-yo tests are very popular in soccer; however, there is no study addressed the details of their relation to canonical aspects of aerobic fitness. The aim of this study was to examine the physiological correlates of the Yo-Yo intermittent recovery test level 1 (Yo-Yo IR1) in professional soccer play¬ers. Twenty-five male soccer players (means., body mass 68.24 kg, height 181.14cm, age 26.73 years) performed a battery of fitness test to asses VO2max, aerobic endurance performance (Yo-Yo intermittent endurance test), soccer dribbling endurance performance and power performance (Maximal vertical jump, 30m sprint with 10m split time). The same test battery was replicated after an experimental soccer game in order to assess selective effect of fatigue on physical performance. Result showed that the Yo-Yo IR1 performances (m) were significantly related (r=0.77, p = 0.0001) to VO2max and CMJ (r= 0.57; p= 0.003). CMJ (50.2) and 30mSR (4.28 s) performances were not significantly different (p >0.05). The Yo-Yo intermittent test had significantly higher VO2max (P<0.001), and better soccer dribbling endurance (Hoff test) (P<0.001) and 30m sprint times (P<0.05). These findings show that Yo—Yo IR1 may be considered as a valid soccer-specific field test for the assessment of well-developed aerobic-anaerobic fitness and game-related endurance. Key words: Yo-Yo intermittent test, shuttle running, soccer, aerobic 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title FUNCTIONAL STATE OF CHILDREN WITH THE INFORMATION STRESS DEPENDING ON THE LEVEL OF THE AEROBIC FITNESS Authors 1 I. Krivolapchuck Affiliations 1 Institute Of Developmental Physiology Of Russian Academy Of Education Department Of Physiology Of Muscular Activity, Moscow, RUSSIA Body Objective. The work purpose was study of a functional state (FS) in children with the information stress in the dependence on the level of aerobic fitness (LAF). Design and method. In the study healthy children of 5-14 years in a quantity of 612 people were participated. For the analysis of a FS the complex of physiological, psychological and behavioural indicators was used. Aerobic possibilities were evaluated on the basis of the determination of the value of the maximal oxygen uptake (VO2max) and power loading with the heart rate 170 beats/min (PWC–170). In children and adolescents with the high and low LAF was conducted the analysis of differences FS. Results. The obtained information indicates that the specific features of the aerobic fitness for work of subjects determine the level of nospecific activation in the state of rest and the specific character of psychophysiological changes FS in the conditions of the test loads. Conclusion. In the majority the case, the trained children and adolescents were characterized by high speed and quality of work, low degree of activation in the state of rest and less expressed psychophysiological changes FS with the information load, realized at the optimum and maximum rate, by the low 'psychophysiological price' of intellectual activity. The greatest quantity of between-group differences is revealed in the children of 7-8 years, and minimum - in schoolboys 5-6 and 9-10 years. This study was supported by the Russian Foundation for the Humanities (no. 10–06–00053a; no. 12-06-00037a). 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title SHOULDER EVALUATION OF VOLLEYBALL ATHLETES BY AN ISOMETRIC TEST ON A NEW DEVICE. Authors 1 1 2 2 2 G. Martelli , G. Ciccarone , M. Signorini , G. Grazzini , S. Urgelli Affiliations 1 2 Department Of Physiology, University Of Siena, Siena, ITALY, Performance Valdelsa, Medical Rehabiltation Center, Poggibonsi (si), ITALY Body In overhead athletes, with repeated shoulder movements in extra-rotation and abduction, rotator cuff pathologies could frequently occur in the dominant shoulder. In volleyball the continuous spike and serve overhead gestures could induce a progressive posterior capsular retraction. The aim of the present study was to evaluate, in a group of asymptomatic semi-professional volleyball players, rotator cuff muscles function with a new specific device. Methods. 30 volleyball players, 15 females and 15 males, all right handed central or lateral spikers were evaluated by some common clinical tests, to detect bilateral shoulder range of motion (ROM) and rotator cuff muscles strength; athletes were also submitted to an isometric bilateral shoulder strength test, with a specific upper limb dynamometer (Dynatorq, Florence, Italy), in three different positions: 1) arm 0° adducted ; 2) arm 90° abducted, to reproduce the spike gesture; 3) arm behind the thorax, similar to the clinical lift-off, to test subscapularis muscles. All clinical and instrumental data were collected in male and female groups and, in each group, dominant and non dominant shoulders were compared. Results. Our data show in all athletes an initial postero-superior impingement in the dominant shoulder, with significant ROM modification (increase of extra- and decrease of intra-rotation), and with significant weakness of the subscapularis muscle. Conclusion. In volleyball athletes a pre-clinical diagnosis of lack of strength of subscapularis muscles in the dominant shoulder, before the occurrence of pain or clinical signs, could be an important diagnostic target to delay the posterior capsular retraction by specific training modifications. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title MODIFICATION IN BODY HYDRATION AFTER TWO MONTHS OF SOCCER TRAINING Authors 1 G. Mascherini , L. Stefani, G. Galanti Affiliations 1 Medicina Dello Sport E Dell'esercizio - Università Di Firenze, Firenze, ITALY Body Aim: Athletes body composition analysis normally evaluates either body hydration or the efficacy of the physical training both derived from the soft tissue mass adaptation. Bioelectrical Impedance Analysis (BIA) is a non-invasive and field method for the body hydration analysis. Soccer training includes both aerobic and anaerobic effort. The study is aimed to verify the body hydration level after a period of strenuous physical exercise. Methods: 15 professional soccer players were enrolled. BIA measurements at rest condition and without physical activity in the previous 12 h were obtained (BIA 101 Sport Edition, Akern, Florence, Italy) following the standard tetrapolar method at the beginning of the regular season and after 1 (T1) and 2 (T2) months of soccer training. Statistical analysis was perform by Anova test. Results: After 2 months of soccer training the weight resulted to be unchanged. The resistance (Rz) to the transition of an alternating current was slightly decreased, while the reactance (Xc) was significantly lower (p<0.05). Body Water and soft tissue didn’t show any statistical differences among the three evaluation, however a reduction of Fat Mass (FM) and a little improve of water in Extra Cellular Compartment (ECW) were observed. Conclusion: The results show a peculiar trend toward in modification of the body composition measures and suggesting for extra cellular component an important role in athletes. The difference in reactance measurement suggest an additional role of vector analysis for athletes subjects. Therefore the weight is not sufficient and exclusive to better evaluate the high level performance in sports. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title DIFFERENCE IN AEROBIC CAPACTY IN RUGBY PLAYERS. Authors 1 1 1 1 1 1 G. Mazzoni , E. Bernardi , G. Grossi , F. Terranova , S. Uliari , G. Grazzi Affiliations 1 Biomedical Sport Studies Center, University Of Ferrara, Ferrara, ITALY Body Aim:To evaluate the difference in aerobic capacity of rugby player (backs and forward). Subjects and methods: 18 professional rugby players (6 backs, 12 forwards). Each subject performed a maximal incremental treadmill test with gas exchange measurements for the evaluation of VO2max and anaerobic threshold (AT). Results: Mean age, weight, height, Body Mass Index ± standard deviation (SD) were respectively: 25±3.2, 101±12.2 kg, 185±7.1 cm, 29±2.9 kg/m². Mean ± SD values of AT speed (ATS), speed max, AT heart rate (HR) and HRmax were respectively: 13.3±0.8 (range12.2-14.7km/h), 21.9±2 km/h (range17.5-24.3 km/h), 177.7±7.7 bpm (range 166-193 bpm), 188.1±7.12bpm (range 176-205 bpm). The ATS was significantly greater in backs (13.8±0,4vs 13.1±0.7 km/h; T-test, P<0.05) instead forward.The VO2max was significantly greater in forwards (5.7±0,6vs 4.6±0,5 L/min,; T-test, P<0,05).The mean value of VO2max/kg for backs was 54.2ml/kg/min and 52.5ml/kg/min for forwards (T-test, P>0,05). Conclusion: In rugby, different roles may require different levels of aerobic capacity that are more important for backs because they had cover greater total distances walking and running during the match; on the opposite the forwards had more strength and muscle power for the static steps (maul, ruck, scrum, touche and tackling). VO2max was significant higher in forwards while there are no significant differences in VO2max/kg. These results could be due to the two groups different body structure indeed the forwards have a higher percentage body fat. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title LINKING SELECTED VARIABLES WITH DIRECT AND INDIRECT EFFECT ON YOUNG SWIMMER'S PERFORMANCE Authors 1,2 2,3 2,3 2,4 2,3 1,2 J. Morais , N.D. Garrido , V. Lopes , D.A. Marinho , A.J. Silva , T.M. Barbosa Affiliations 1 Polytechnic Institute Of Bragança - Department Of Sport Sciences, Bragança, 2 PORTUGAL, Research Centre In Sports, Health And Human Development, Vila Real, 3 PORTUGAL, University Of Trás-os-montes And Alto Douro - Department Of Sport 4 Sciences, Vila Real, PORTUGAL, University Of Beira Interior - Department Of Sport Sciences, Covilhã, PORTUGAL Body The aim of this study was to develop a structural equation model for young swimmer´s performance based on some selected anthropometric, hydrodynamic and kinematical variables. A total of 114 subjects (73 boys and 41 girls with a mean age of 12.31 ± 1.09 years old; 47.91 ± 10.81 kg of body mass; 156.57 ± 10.90 cm of height and Tanner stages 1-2) were evaluated. A theoretical model to predict swimming performance was adopted based on selected anthropometric, hydrodynamic and kinematical variables. The variables assessed were the: (i) performance; (ii) stroke index; (iii) speed fluctuation; (iv) stroke distance; (v) active drag; (vi) arm span and; (vii) hand’s surface area. All links were significant (p < 0.05). However, deleting the path between the hand’s surface area and the stroke index the model's good-of-fit improved meaningfully. Overall confirmatory model explained 50% of the young swimmer’s performance. The model’s good-of-fit was good (x2/df = 1.908; CFI = 0.940). Swimming performance in young swimmers seems to be dependent of swimming efficiency (i.e., stroke index), which is determined by the remaining variables assessed, except for the hand’s surface area. Therefore, young swimmers coaches and practitioners should design training programs with a focus in specific training sets regarding technique enhancement (i.e., improving the swimming efficiency). 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title THE EFFECTS OF THE PERIOD OF COMPETITION ON ELITE ATHLETES’ BODY COMPOSITION, SERUM LIPIDS AND LIPOPROTEINS Authors 1 N. Necip Fazil Kishali , Ozturk Agirbas, Mergul Colak, Fatih Kiyici, Guleda Can Burmaoglu Affiliations 1 2 Ataturk University Physical Education And Sports School, Erzurum, TURKEY, Physical Education And Sport Part Of Erzincan University Faculty Of Education, Erzincan, 3 Physical Education And Sport Part Of Erzincan University Faculty Of TURKEY, 4 Education, Erzincan, TURKEY, Ataturk University Physical Education And Sports 5 School, Erzurum, TURKEY, Ataturk University Physical Education And Sports School, Erzurum, TURKEY Body The aim of this study is to analyze the changes which the competition period in elite athletes have affected over body compositions and blood fats (serum lipids). This study has been applied to totally 22 players, (age avarage 21,73 ± 1,19 years old and high avarage 185,1± 9,46 cm), who haven’t got any health problems and have similar age and physical features. Body compositions were measured twice for the first time before competition period and the second time just after competition period using BIA machine, TANITA (TBF 300). By making measurements, the effects of competition period in basketball and handball on body mass index, BM, FM, BFP, FFM, BLM and BLP were investigated. And blood measurements were made twice just after body composition measurements. In blood samples taken, the effects of elite athletes competition periods on TG, cholesterol, HDL-C, LDL-C and VLDL were researched. Also examined the relationship between body composition and serum lipids. In our study, when the values of elite athletes’ pre-tests and post-tests were compared, there were statistically significant differences in the elite athletes’ results of body weight, body mass index, fat free mass and body liquid rate (p<0,01). There was not statistically significant correlation between body composition and serum lipids. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title LACK OF CORRELATION BETWEEN LABORATORY INDEXES OF AEROBIC AND ANAEROBIC LACTIC CAPACITIES AND REPEATED SPRINT ABILITY IN YOUNG PROFESSIONAL SOCCER PLA Authors 1 1 3 3 3 3 2 1 S. Olla , L. Angius , F. Piras , R. Mura , G. Ibba , F. Todde , M. Cominu , M. Pinna , 1 1 1 F. Tocco , A. Concu , A. Crisafulli Affiliations 1 2 Sport Physiology Lab, University Of Cagliari, Cagliari, ITALY, Regional School Of Sport 3 Of Sardinia, Italian Olympic Committee, Cagliari, ITALY, Cagliari Calcio Medical Staff, Cagliari, ITALY Body Aim: Repeated sprint ability is one of the most important skills for team sports but there are not studies on its relationship with aerobic and lactic anaerobic capacity in young soccer players. Methods: 14 young elite soccer players from a professional team were recruited. They underwent two laboratory tests: an incremental exercise test and an all-out test to asses aerobic capacity and lactic anaerobic capacity respectively. Athletes also performed a repeated sprint ability test on the field. During the laboratory tests heart rate, oxygen uptake, carbon dioxide production, and pulmonary ventilation were assessed by a portable gas analyser. Velocity and fatigue indices were measured during the test on the field. Blood lactate was also measured after the all-out test and the repeated sprint ability test . Results: No correlation between aerobic capacity and lactic anaerobic capacity indices and measures from repeated sprint ability test was found, even though the all-out test appeared to fully recruit the lactic anaerobic capacity. Conclusions: It was concluded that there are no correlation between the aerobic capacity and the lactic anaerobic capacity obtained in the laboratory setting and the velocity and the fatigue measured from repeated sprint ability test. This finding should be taken in consideration when testing young soccer players. References Ekblom B. Sports Med. 1986; 3:50-60. Rampinini E et al. Appl Physiol Nutr Metab 2009; 34: 1048-54. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title ASSOCIATION OF REACTION TIME AND PERFORMANCE IN 60 M SPRINT RUNNING Authors 1 1 1 1 G. Paradisis , E. Zacharogiannis , A. Smirniotou , S. Tziortzis Affiliations 1 University Of Athens, Athletic Sector, Athens, GREECE Body Reaction time has been defined as the time that elapses between the firing of the starter’s gun and the moment that the athlete is exerting a pre-determined amount of pressure on the starting blocks. There is a controversy regarding the extent that a short reaction time could provide an advantage in the performance in sprint running especially in 60 mm which is the shortest distance in track and field competitions. The aim of this study was to test the relationship of reaction time with time performance in the 60 m. Five hundred and sixty five athletes (334 male and 231 female) who participated in the 60 m of the World indoor championships in Birmingham (2003), Budapest (2004), Moscow (2006), Valencia (2008), Doha (2010) and Istanbul (2012) were analyzed. Data for time of 60 m and reaction time were the official results of the electronic timing system in the corresponding organizations, where the best performance of each athlete was included for analysis. A Pearson correlation coefficient was used to establish any significant association between the time performance and reaction time with significance level set at P < 0.05. The results showed significant correlation between the reaction time and the final time performance in the 60 m in Budapest for men r = 0.312, n = 58, in Moscow for men (r = 0.462, n = 54) and women (r = 0.459, n = 33), in Valencia for men (r = 0.646, n = 57) and women (r = 0.637, n = 35) in Doha for men (r = 0.445, n = 52) and for women (r = 0.702, n = 34) and in Istanbul for men (r = 0.615, n = 57) and for women (r = 0.597, n = 62). No significant correlations were observed in Birmingham for men and women and in Budapest for women. It could be concluded that there were significant associations between reaction time and 60 m performance in sprint indoor running, and it can be proposed that reaction time plays a significant role to the final performance. ~ 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title DOES FATIGUE INFLUENCE BALANCE OF YOUNG SOCCER PLAYERS? Authors 1 2 3 M. Pau , G. Ibba , G. Attene Affiliations 1 University Of Cagliari - Dept. Of Mechanical, Chemical And Materials Engineering, 2 3 Cagliari, ITALY, Cagliari Calcio, Cagliari, ITALY, School Of Sport, Italian National Olympic Committee (coni), Sardinian Regional Committee, Cagliari, ITALY Body Background: soccer is a discipline that relies much on single-leg support under unstable conditions; thus it appears very important for players to have excellent balance skills, especially for the unipedal stance. Nevertheless, the link between balance capabilities and functional performance remains mostly unexplored, especially in young subjects. Methods: this study investigated the changes in balance for uni- and bipedal stances in 21 soccer players (age 14.5±0.2) induced by fatigue subsequent to a Repeated Sprint Ability (RSA) test. Postural sway was assessed on the basis of center-of-pressure (COP) time series collected before and after RSA (2 x 15 m shuttle sprint interspersed with 20 s of passive recovery). Data was processed to calculate: sway area, COP path length and maximum displacement in mediolateral (ML) and anteroposterior (AP) directions, and COP velocity. Two-way ANOVA was used to evaluate the effect of fatigue and visual input on sway parameters. The relationship between fatigue (i.e. percentage decrement score in RSA) and postural sway modifications was assessed using Pearson product moment correlation analysis. Results: our analysis revealed a significant effect of fatigue on most sway parameters and a moderate correlation between fatigue and the ratio post-/pre-fatigue of COP path length and velocity in both ML and AP direction for single-leg stance. Conclusions: as reduced performance of the postural control system may increase the risk of lower limb injuries, it is desirable to include specific balance training protocols in the training programs to reduce both the impact of fatigue on performance and risk of injuries. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title NO EFFECT OF 7 WEEKS INTERVAL TRAINING PROGRAM ON PLASMA VOLUME, HEMATOCRIT AND HEMOGLOBIN RESPONSES TO MAXIMAL EXERCISE IN ADULT MALE SUBJECTS Authors 1 2 3 4 5 6 B. Abderraouf , J. Prioux , O. Ben Ounis , K. Chamari , Z. Tabka , H. Zouhal Affiliations 1 2 Laboratory M2s, University Rennes 2, France., Rennes, FRANCE, Laboratory Of 3 National Center Of Medicine & Science In Sport, Tunis, TUNISIA, Issep De Tunis, Ksar 4 Saîd. University Of Manouba, Tunisia, Manouba, TUNISIA, Laboratoire De Physiologie, Faculté De Médecine De Sousse, Tunisia., Sousse, TUNISIA Body Purpose - The aim of this work was to study the effect of 7 weeks interval training (IT) program on Ht, Hb and PV variations (PVV) in response to maximal exercise. Methods - Twenty male subjects (21.1±1.1 years) were assigned in randomized order to a control group (CG, n=10) or to IE trained group (TG n=10). TG participated to an IT program 2 to 3 times a week during 7 weeks. Each session training consisted to run 2 times 10 x 30s/30s at 110% of their maximal aerobic speed (MAS) with 30s active recovery at 50% of MAS. 5 minutes recovery was allowed between each 10 x 30s/30s. To measure Ht, Hb and lacate (La) 3 mL blood was collected at rest, at the end of the maximal test (Htex, Hbex, Laex) and after 10 (Ht10, Hb10, La10) and 30 minutes (Ht30, Hb30, La30) of recovery. To determine delta PV the formula proposed by Greenleaf et al. (1979) was used. Results - Both for CG and TG the anthropometric parameters didn’t change significantly after the 7 weeks. MAS increased significantly only in TG after training (16±1vs.17±1 km/h, p<0.05) without any significant change in VO2max in both groups. In both CG and TG, Ht increased significantly at the end of maximal exercise before and after IET but without any training effect on Ht and Hb in CG. On the same way, in CG %delta PV didn’t change significantly in response to IET. In TG there was no training effect on %delta PV in response to maximal exercise (-0.3±2.4% vs.-3.4±7.3%), after 10 min. recovery training (-2.2±1.7% vs. -3.4±4.3%) and after 30 min. recovery (-2.1±2.5% vs. -4.5±4.1%). Conclusion In conclusion these results suggest that, in male adult subjects, 7 weeks of IT program induced a significant increase in MAS without any change in VO2max. However, this training program had no effect on Ht, Hb and delta PV in response to maximal exercise. This lack of changes can be explained, at least in part, by the duration and/or the intensity of the training program used in our study. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title IBUPROFEN AND TRAINING EFFECTS IN RATS MUSCLE AFTER EXAUSTIVE EXERCISE SECTIONS Authors 1 1 1 1 1 1 L. Ribeiro , D. Stamm , R. Gerbatin , F. Fiorin , G. Busanello , M. De Castro , F. 1 1 1 1 Rodrigues , M. Souza , L.F. Royes , M. Fighera Affiliations 1 Universidade Federal De Santa Maria - Laboratório De Bioquímica Do Exercício, Santa Maria - Rs, BRAZIL Body The ibuprofen is used by athletes to relieve both acute pain and muscular damage caused by exercise. Our objective was to evaluate its effect on the physical performance of rats in exhaustive exercise, the muscle levels of nitric oxide, pro-inflammatory cytokines and oxidative stress parameters. Wistar male rats were submitted to 6 weeks of swimming (1 hour/day, 5 days/week, 5% of body overweight). Thereafter, a test was performed to determine the lactate threshold; there was an increase on the control group (7 and 9% of body overweight) [F(1,12)=23.41; P<0.05]. Besides that, the sedentary group presented a bigger body weight [F(1,12)=20.58; P<0.05]. Subsequently, the animals received daily ibuprofen (15 mg/kg, p.o.). On the 3rd, 6th and 9th days went through exhaustive exercises tests (13% of body overweight until being submersed 10 seconds). The training and the training+ibuprofen increased the time of exhaustion on the 3rd [F(3,26)=24.31; P<0.01] and 6th day [F(3,26)=7.03; P<0.05]. On the 9th day, the sedentary+ibuprofen and the trained ones presented a higher latency in comparison to the sedentary group; and the trained+ibuprofen showed latency even higher [F(3,26)=8.07; P<0.05]. The statistical analysis did not show any level difference of IL-1beta, TNF-alpha, protein carbonilation and lipid peroxidation; however, there was an increase on nitric oxide [F(3,32)=5.23; P<0.05] in the soleus muscle of groups in which ibuprofen was administered. The increase on nitric oxide levels in the ibuprofen groups may have partially contributed to a better performance of them, due to the fact that it is a vasodilator that raises the blood supply. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title ASSESSMENT OF CIRCULATORY ADJUSTMENTS DURING REAL UNDERWATER APNOEA Authors 1 1 1 1 1 1 S. Roberto , F. Tocco , E. Marongiu , M. Pinna , M. Pusceddu , L. Angius , G. 2 1 1 1 Migliaccio , R. Milia , A. Concu , A. Crisafulli Affiliations 1 2 Sports Physiology Lab.,university Of Cagliari, Cagliari, ITALY, Regional School Of Sport Olympic Committee Sardegna, Cagliari, ITALY Body Aim:Cardiovascular measurements have never been performed during real underwater dynamic apnoea (DA), thus, hemodynamic adjustments to DA has been studied only during simulations. Methods:Twelve skilled elite divers (11male and 1 female) were recruited. All hemodynamic measurements were performed by means of an impedance cardiograph adapted to the underwater environment. Heart rate (HR), stroke volume (SV), and cardiac output (CO) during static apnoea (SA) and DA were gathered. Mean arterial pressure (MBP), systemic vascular resistance (SVR), and arterial oxygen saturation (SaO2) were also assessed. The following 5 trials were performed by the divers: head-out immersion during normal breathing (test A); 3 minutes of SA immersed at the surface (B) and at 3m depth (C); and DA till exhaustion immersed at the surface (D) and at 3m depth (E). Results:Both B and C conditions led to bradycardia (-17%) compared to A, and also induced a decrement in SV (-8%) and in CO (- 25%), while MBP was maintained due to an increase in SVR. A significant MBP increment (+ 11%) was detected only during tests D and E, when a SaO2 drop was also present, whereas HR, SV and CO remained substantially unchanged. Conclusion:We concluded that typical diving response was present only during SA, while sympathetic activation was induced by exercise during DA, which partially obscured the effects of the diving response. We hypothesised that the exercise pressor reflex and the central command were responsible for the phenomenon. Lindholm et al. J Appl Physiol 2009;106:284-292. Tocco et al. Eur J Appl Physiol 2011;112:543–554. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title LONGITUDINAL EVALUATION OF THE AEROBIC CAPACITIES OF YOUNG ELITE ATHLETES PRACTICING WINTER SPORTS Authors 1 1 1 1 1 F. Scarzella , C. Milanese , G. Micheletti , G.P. Ganzit , F. Verzini Affiliations 1 Istituto Di Medicina Dello Sport, Torino, ITALY Body Objective. The goal of this research is the evaluation of aerobic modifications in young athletes in relation to years and agonistic season. Design and method. We analyze 8 cross-country skiing/biathlon athletes and 9 hockey/ice-skating athletes. Subjects, males and females, have an average age of 15,7 at the first check. The athletes are chosen for their promising performance. They are evaluated two times in a year at the beginning and at the end of the summer preparation season from 2009 to 2011. Anthropometric parameters, corporal composition, functional evaluation of the pulmonary ventilation with maximal test and oxygen consumption are estimated by cardiopulmonary exercise test (Quark CPET-Cosmed). Results. VO2max is not statistically different over the time neither in absolute value nor in relative value depending on the weight. In both the groups we notice a statistically significant decrease of maximum heart rate with the age. We evaluated on all subjects the variation of the aerobic parameters between the beginning and the end of the summer training sessions, showing significant differences only in endurance group. Conclusions. Enduring athletes show a seasonal increase of the aerobic function, despite the fact that no significant improvements are noticed in the years. This is in disagreement with the results reported in literature, showing better performance up to 20 years old. On the other hand, during the overall period the athletes maintain high performance, although they do not become of national level. The registered VO2 max values suggest a modification of training methodology and training intensity distribution to enhance the performance. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title POOR RELIABILITY OF HEART RATE TO ESTIMATE ENERGY EXPENDITURE DURING INTERVAL TRAINING IN RUNNERS Authors 1 1 1 1 1 2 F. Tocco , A. Crisafulli , E. Marongiu , F. Melis , N. Degortes , G.M. Migliaccio , R. 1 2 2 1 Mura , P. Sanna , C. Ciuti , A. Concu Affiliations 1 2 Sport Physiology Lab., University Of Cagliari, Cagliari, ITALY, Regional School Of Sport Of Sardinia, Italian Olympic Committee, Cagliari, ITALY Body Introduction: The aim of this study was to quantify the reliability of heart rate monitoring to assess energy expenditure during recovery after moderate and high-intensity exercise in prolonged sprint and middle distance runners. Materials and methods: Twenty-two runners underwent two different sessions of interval training during which they performed six bouts of running at two different intensities: three bouts at 80% and three bouts at 120% of anaerobic threshold previously assessed . Bouts were spaced by a recovery period of three minutes. Throughout both sessions, heart rate, oxygen uptake, carbon dioxide production and pulmonary ventilation were measured by means of a portable gas analyzer. The excess in carbon dioxide production was also estimated to test the hypothesis that a cardiac drift, occurring during recovery between repetitions of interval training, was related to carbon dioxide accumulation. Results: Both workloads led to a cardiac drift in heart rate, which showed a progressive increase of the same extent during recovery periods between bouts, whereas oxygen uptake and carbon dioxide excess were unmodified. Conclusions: On the basis of our research, the use of heart rate as a parameter to evaluate energy expenditure is inaccurate and unfit for training. Moreover, carbon dioxide excess is unrelated to cardiac drift. References Crisafulli et al. Int. J. Sport Med. 2006, 27: 55-59. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title THE EFFECT OF CIRCUIT HYDRAULIC RESISTANCE EXERCISE ON SUPER-OLD MAN Authors 1 2 4 6 5 3 L. Tsung-ching , C.C. Hong , T.H. Han , H.L. Chou , M.F. Hsu , L.Y. Chang , T.Y. Shiang 7 Affiliations 1 Department Of Physical Medicine And Rehabilitation, Far Eastern Memorial Hospital, 2 Taipei, TAIWAN, Department Of Physical Medicine And Rehabilitation, Far Eastern 3 Memorial Hospital, Taipei, TAIWAN, Graduate Institute Of Exercise And Sport Science 4 , National Taiwan Normal University, Taipei, TAIWAN, Exercise And Healthy Science, 5 National Taipei University Of Nursing And Healthy Science, Taipei, TAIWAN, 6 Department Of Nursing, Oriental Institute Of Technology, Taipei, TAIWAN, 7 Department Of Nursing, Taipei Veterans General Hospital, Taipei, TAIWAN, Graduate Institute Of Exercise And Sport Science , National Taiwan Normal University, Taipei, TAIWAN Body Aim of the study: Previous studies suggested that exercise might be beneficial for the elderly; especially the type of exercise program combines resistance and aerobic exercise. Circuit hydraulic resistance exercise(CHRE) is an economical protocol for improving physical fitness in the elderly. The purpose of present study was to investigate the effect of CHRE on a super-old man. Materials and Methods : The subject was an 89-year-old, a super-old male and he participate in a 36-hour exercise program which contained twelve weeks, three times a week, and each time for one hour in a classroom of college, there were six resistance training equipment: chest press, leg abduction, arm curls, leg press, back press, and knee extension. Outcome measurements were including: isometric muscle strength, senior fitness test, and ultrasonography for measuring the muscle thickness of thigh. Results: This 89 years old man had finished this exercise program. After CHRE training, the ultrasonography data show the muscle thickness of rectus femoris muscle was increased from 1.46 to 2.38 (cm). The hand grip strength also showed improvement (20.9 to 24.3 kg). Besides, the present subject was showed improvement in other test items from senior fitness test. The family members of subject were satisfied with present training effect. Conclusions: The present study suggested that CHRE could have positive effect on the super-old elderly in an economic way; however, there still need some special consideration about the subject over 80 year-old . Such as: the health condition, prevent sudden unconsciousness. Besides, prevention of falling could be the first priority. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title EFFECTS OF WARM-UP DURATION ON VERTICAL JUMP PERFORMANCE Authors 1 1 1 P. Veligekas , G. Bogdanis , A. Tsoukos Affiliations 1 University Of Athens, Athens, GREECE Body Warm-up is essential for optimizing performance of explosive movements such as the vertical jump. In most studies examining vertical jump performance after acute interventions a 5 min submaximal warm-up is commonly used. However, it is not known if a longer warm-up would increase baseline jump performance and therefore affect the conclusions drawn. The aim of this study was to examine whether doubling the warm-up time could increase vertical jump performance. Twenty two male athletes performed two standardized warm-ups, one week apart, consisting of either 5min or 10min of running at a submaximal intensity (heart rate: 110-120 bpm), followed by 5 min of dynamic stretching. Before and 3 min after of each warm-up routine, subjects performed three maximal countermovement jumps with free arm motion, and the best jump at each time point was recorded using a Vertec apparatus. Two-way ANOVA with repeated measures showed significant main effect for warm-up duration (p<0.018) and duration x pre-post interaction (p<0.018). Tukey post hoc test revealed that a 5 min warm-up increased vertical jump performance by 4.0±0.7% (p<0.01), while increasing the running duration during warm-up from 5 to 10 min resulted in a significantly greater increase of performance by an additional 1.7±0.8% (p<0.01). The greater increase of vertical jump performance after the 10 min warm-up may be due to a higher muscle temperature. The findings of the present study must be taken into account when studying the effects of different interventions on vertical jump, since the duration of the warm-up may alter the baseline performance. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title PHYSIOLOGICAL MATCH ANALYSIS OF AMATEUR HANDBALL PLAYERS Authors 1 M. Weippert , C. Pohle, S. Kreuzfeld, A. Rieger, R. Stoll Affiliations 1 2 University Of Rostock, Rostock, GERMANY, University Of Rostock, Rostock, 3 4 GERMANY, University Of Rostock, Rostock, GERMANY, University Of Rostock, 5 Rostock, GERMANY, University Of Rostock, Rostock, GERMANY Body Introduction: Despite the great popularity of the handball game only few publications on the physiological strain of handball players during competitive matches are available. Aim of this study was an objectification of physiological strain during amateur handball matches. Methods: Subjects of investigation were 9 male experienced amateur handball players (age: 22.8 ± 3.7 yrs, height: 183.3 ± 8 cm, weight: 81 ± 6.5 kg), engaged in regular competitive handball. Heart rate during five regular matches was measured using a breast belt system (Suunto Smart Belt, Suunto Finland). Blood lactate concentration was measured after each half, substitutions and penalties (LactateScout, SensLab Germany). Results: Average active match time was 40.4 ± 11.8 min. The mean heart rate of all field players during the matches was 162.1 ± 11.1 bpm, which corresponded to 85.1 ± 3.6 % of the individual maximal heart rate. The average concentration of blood lactate measured immediately after the playing halfs and substitutions was 3.3 ± 1.8 mmol/l with a maximum value of 11.9 mmol/l. Conclusions: Compared to studies investigating elite handball players, average active match time was about 30% longer. Average blood lactate concentration was lower, which might be owed to the prolonged active time and/or implicating a lower anaerobic capacity and/or volitive qualities. On the other hand, cardiac strain was comparable to measurements obtained in elite handball players. In general it can be concluded, that physiological strain of the amateur players during handball matches is high. A high cardio-respiratory fitness is obligatory and may improve match performance. 28 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: TRAINING, SPORTS EQUIPMENT, HEALTH AND PERFORMANCE Title EVALUATION OF TRAINING LOAD IN PROFESSIONAL HANDBALL PLAYERS USING CREATINE KINASE AND HEART RATE VARIABILITY DATA Authors 1 M. Weippert , S. Kreuzfeld, A. Rieger, K. Behrens, R. Stoll Affiliations 1 2 University Of Rostock, Rostock, GERMANY, University Of Rostock, Rostock, 3 4 GERMANY, University Of Rostock, Rostock, GERMANY, University Of Rostock, 5 Rostock, GERMANY, University Of Rostock, Rostock, GERMANY Body Aims: Aims of this study were firstly, to assess training load in elite handball players by creatine kinase (CK) and secondly, to evaluate the potential of heart rate variability (HRV) for the estimation of training loads in elite team athletes. Therefore the association of the individual CK-level and HRV-measures at rest was investigated. We hypothesized, that a greater HRV at morning rest – indicating an improved adaptability and recovery state – is associated with a lower CK-level and vice versa. Methods: Eight male elite handball players were examined during a regular handball season in the morning hours one and three days after a competitive match, respectively. Inter-beat intervals were recorded in a sitting position to calculate heart rate (HR) and HRV (SDNN). CK was determined from capillary blood samples using a spectrophotometrical device. Results: Average CK-value was 325 ± 162 U/L, which is markedly increased above reference values used in clinical practice (~200 U/L). The distribution of individual high and low SDNN-values differed significantly for high and low muscular damage (p = 0.005), whereas HR was not different. Conclusions: It is concluded that, firstly, muscular damage and activity during the regular season do not indicate overreaching in the investigated handball athletes, as CK-values fit well within reference limits of athletic population. Secondly, HRV at rest has the potential to contribute to an individual estimation of training load, as the results are in accordance with the hypothesis that a greater HRV at rest is associated with an individually lower CK-level and vice versa. POSTER SESSIONS 29 SEPTEMBER Poster Sessions 29 September Poster Session 1 • Chairmen: J. Gielen (BELGIUM); G. Boni (ITALY) Poster Session 2 • Chairmen: C. Pecci (ITALY); M. Ripani (ITALY) Poster Session 3 • Chairmen: R. Cantore (ITALY); A. Marciano (ITALY) Poster Session 4 • Chairmen: A. Calligaris (ITALY); F. Santelli (ITALY) 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ADAPTED PHYSICAL ACTIVITY AND DISABILITY Title THE EFFECTS OF PHYSICAL ACTIVITY ON THE BIOELECTRICAL IMPEDANCE PHASE ANGLE (PH. A.) IN BREAST CANCER PATIENTS Authors 1 1, 3 1 1, 3 1, 3 1, 3 V. De Luca , P. Borrione , E. Grazioli , E. Ciminelli , E. Guerra , F. Quaranta , C. 1 1, 2 1, 3 Cerulli , F. Desantis , A. Parisi Affiliations 1 2 Health Sciences Department University Of Rome Foro Italico, Rome, ITALY, School 3 Of Specialization In Sport Medicine, Sapienza University Of Rome, Rome, ITALY, Italian Federation Of Sport Medicine, Rome, ITALY Body Objective: Evaluate the effects of a resistance training protocol on Phase Angle (PhA) in breast cancer survivors. Design and methods: 18 patients (mean age 49,3±10,1), surgically treated for breast cancer with therapeutic treatment concluded at least six month previously, volunteered to exercise 2 days/week for 6 months. At the beginning the workload was 40% of 1RM and was progressively increased every month. The training session was structured: 5 minutes warm-up; 2 exercises for leg extensor (leg press and leg extension), 1 for knee flexors (leg curl), 2 for lower extremities (adduction and abduction) and 2 exercises for upper body (shoulder press and vertical traction); a final phase with stretching exercises. In order to evaluate the exercise effect on PhA (PhA could represent an important tool for evaluating the clinical outcome or for monitoring the disease progression and may be superior to other serum or anthropometric nutritional indicators), all patients were tested for Body Impedance Analyse (BIA) using a 3000 Handy DS Medica (50 kHz and 100 kHz). Total Water (TBW), Intracellular Water (ICW), Extracellular Water (ECW), Free Fat Mass (FFM), Fat Mass (FM), Basal Metabolism Rate (BMR) and Body Cell Mass (BCM) were evaluated too. BIA was performed every fifteen days. Results: At the time of writing results show an increase in PhA values (from 5,46±0,44 to 5,56±0,41 at 50 kHz and from 5,39±0,45 to 5,48±0,48 at 100 kHz) and a decrease of FM from 28,47±4,9% to 27,08±4,4%. Conclusions: These findings seem to confirm that physical activity improves PhA values. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ADAPTED PHYSICAL ACTIVITY AND DISABILITY Title CLIMBING FOR ALL Authors 1 2 3 P.V. Gigliotti , F. Coscia , A. Piratinskij Affiliations 1 2 International Federation Sport Climbing, Bern, SWITZERLAND, Sport Science 3 University, Perugia, ITALY, Ural State Technical University, Ekaterinburg, RUSSIA Body Introduction: The first natural human movement is floating and swimming. The second is crawling on hands and knees. Climbing is a similar movement when the child can stand upright. Swimming and climbing are sports that require an instinctive movement; the others require different physical capacities in accordance with auxology. Aim :We propose a spontaneous and funny movement to disable people to give them the opportunity to practice a sport for top level or for all, to improve the relationship with their own environment (World Health Organization 2001)and to decrease the risk of pathology related with sedentary life-style. Materials and method: We monitored the athletes of world championships from Ekaterinburg 2006 to Arco 2011, 15 women and 50 men from 12 countries (age 18-50) with different types of physical disabilities (medical,blood examination,ECG,fitness test). Results: During six years all the athletes were in healthy conditions. Their fitness tests were between fit and optimum. The integration of climbers and paraclimbers was very good, also because the competition areas are the same. We achieved the maximum in Arco 2011 (same areas and same moments). Conclusions: Sport climbing is in the “short list” for Olympic Games 2020. The International Federation manages climbing and paraclimbing. The number of paraclimbers is increasing also in Youth and School competitions. We achieved a good relationship between people with disability and their own environment. Many disable people increased their work opportunity. References: 1 Gigliotti,Coscia, Health Sport Environment World Sport for All Jyvaskyla 2010 2 Piratinskij, Actual question of physical education and sport training Ekaterimburg University 2011 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ADAPTED PHYSICAL ACTIVITY AND DISABILITY Title AEROBIC FITNESS PREDICTION IN ATHLETES WITH A LOCOMOTOR IMPAIRMENT Authors 1 1 1 1 1 1,2 M. Squeo , A. D Alessio , P.E. Adami , R. Lanzano , F. Parisi , M. Bernardi Affiliations 1 2 Physiology And Pharmacology Dept., Sapienza, University Of Rome, Rome, ITALY, Italian Paralympic Committee, Rome, ITALY Body OBJECTIVE Aerobic Fitness (AF), quantified measuring oxygen uptake peak (V’O2peak) during a graded maximal exercise test (GXT), is a key requisite of a successful locomotor impaired athlete (LIA), in individual and team sports. AF depends on motor function (MF) and hours of training per week (TH). We found a strict correlation (R=0.92) between AF and the energy expenditure (MET). This study is aimed at investigating the hypothesis that sport MET, has a main impact on AF. METHODS In 32 informed LIA (19 paraplegics, 9 amputees, 4 with poliomyelitis) competing in Fencing (F) N=6, in Wheelchair Basketball (WB) N=13, in Wheelchair Tennis (WT) N=4, in Nordic Skiing (NS) N=5 and in 1000 m Track Events (TE) N=5, VO2peak, MF and TH were evaluated. V’O2peak was assessed during a GXT, MF was assessed based on the International WB Federation classification scores (from 1 to 4.5, each 0.5). Athletes answered a questionnaire to verify the amount of training hours per week. Based on sVO2 we defined a value (sMET) specific of each sport (6 in FE, 7 in WT, 8 in WB, 10 in TE, 11 in NS). A correlation matrix was created using age, body mass, height, body mass index, relative exercise intensity (%sVO2/VO2peak), sMET, TH, MF and VO2peak. A multiple regression analysis was used to build a model to predict V’O2peak based on the correlation parameters: VO2peak = 6.07+2.47sMet +0.800TH+2.05MF. RESULTS Prediction model was applied to a larger group of athletes (N=63) who underwent a GXT. Loads were established using the following equation: P=0.06028* VO 2peak-4.829, in order to reach the peak value in approx 10 min. Mean VO2peak measured during the GXT was equal to 39±9.2 ml*Kg-1 while the predicted value through our equation was equal to 40±7.1 ml*Kg-1. CONCLUSIONS GXT is a key tool to monitor the subject fitness status. Using the prediction formula we can establish the VO2peak without the cardiopulmonary test and define the correct protocol to avoid an early peripheral muscular fatigue. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title CARDIAC MODIFICATION DURING A CHAMPIONSHIP IN PROFESSIONAL SOCCER PLAYERS Authors R. Maio, A. Ammendolia, S. Miceli, I. Carè, T. Iona, M. Quero, L. Greco, F. Perticone Affiliations 1 University Of Catanzaro Magna Grecia Department Of Medical And Surgical Sciences, Catanzaro, ITALY Body Atrial adaptations in a soccer players professional team were evaluated in the beginning of the season (T0), after anaerobic work out (T1) and after the aerobic/anaerobic work out (T2). Twenty-four healthy athletes (21.7±5.4 y; 70.3±6.6 Kg) were enrolled. Anthropometric data, BP and HR, left atrial volume indexed by body surface (AVI), mitral functional area, atrial ejection force, wave peak A and E, left ventricular mass (LVM) according to Devereux’s formula (LMVI) were evaluated. In phase T1 we observed: an increase of systolic BP (25%; P=0.004) and of pulse pressure (9%; P=0.003) versus phase T0; a significant increase of PWd (0.95+0.10 cm T1 vs 0.88+0.11 cm T0; P=0,000) and IVSd (1.09±0.09 cm T1 vs 0.93±0.11 cm T0 vs; P<0.000) and a not significant increase of the LVTDd, which determined an increase of the LMVI (115.70±12.76 g/m2 T1 vs 101.29±13.98 g/m2 T0; P=0.0001) and of stroke work +8% in T1 and +23% in T2, P=0.010. In T1 we noted a significant increase of the AVI (35.27±10,88 ml/m2 T1 vs 28.08±6.36 ml/m2 T0 P=0.058), mitral functional area (4.13+0.44 cm2 T1 vs 3.91+0.49 cm2 T0; P=0.001) and atrial ejection force +43% (P=0.001). There was an apparent worsening of the diastolic function (E/A 1.90+0.41 T1 vs 2.27+0.42 T0; P<0.0001), determined by an increase tardive ventricular filling (wave A, 0.47+0.08 m/sec T1 vs 0.41+0.06 m/sec T0; P=0.003). In T2 we noted an improvement of the diastolic function. The cardiac changes during an agonistic season are dynamic and strictly correlated to the different training ways. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title RELATIONSHIP BETWEEN WORK-OUT AND VASCULAR FUNCTION IN PROFESSIONAL SOCCER PLAYERS Authors R. Maio, A. Ammendolia, S. Miceli, I. Carè, T. Iona, M. Quero, A. Pascale, F. Perticone Affiliations 1 University Of Catanzaro Magna Grecia Department Of Medical And Surgical Sciences, Catanzaro, ITALY Body To study the of some vascular parameters changes in different work-out modalities, we evaluated the vascular adaptation in a professional soccer players team at the beginning of the season (T0), after the predominantly anaerobic work out (T1) and after the aerobic/anaerobic work out (T2). Twenty-four healthy professional soccer players (age 21.7±5.4 y; weight 70.3±6.6 Kg) were enrolled. Vascular function was evaluated by Pulse wave analysis (PWV), used to generate a corresponding central waveform with a generalized transfer function and RHI as measured with a semi-pletismographic method that, using the principle of peripheral arterial tonometry. Brachial artery function as vascular strain (VS), compliance (VC) and stiffness index β were evaluated too. A value of P<0.05 was considered statistically significant and calculated with a standard statistical package. In phase T1 we observed an increase of the systolic blood pressure (25%; P=0.004) and of the pulse pressure (9%; P=0.003) versus phase T0 associated with the appearance of vascular disfunction like demonstrated by the significant increase of the stiffness β (0.35±0.13 T1 vs 0.26±0.08 T0; P=0.004), decrease of the VS (5.12+1.24% T1 vs 6.81+2.27% T0; P=0.044) and of the VC (46.4±12.5 mmHg -1/cm T1 vs 57.5±15.1 mmHg-1/cm T0; P=0.130). Always in phase T1 we noted, not significant, increase of the PWV and a decrease of the RHI. In phase T2 we observed a return to the basal vascular data. These results demonstrate that in a professional sport team different training methods induce different cardio-vascular adaptations, in particular the anaerobic/aerobic work-out improves the vascular function. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title LUNG FUNCTION AND EXERCISE TEST IN ASTHMATIC CHILDREN: INFLUENCE OF PHYSICAL ACTIVITY Authors 1 S. Crudo , V. D'addio, I. Ernesti, C. Putotto, M. Unolt, G. Ragusa, C. Celani, G. Tancredi Affiliations 1 Servizio Di Medicina Dello Sport. Dipartimento Di Pediatria E Neuropsichiatria Infantile Sapienza Università Di Roma, Roma, ITALY Body Aim of the study. This study investigated the influence of physical activity levels on lung function tests, exercise test and differences of preparticipation screening (noncompetitive or competitive) in asthmatic children and controls. Methods. We compared functional respiratory testing in 72 asthmatic children (mean age 11.4±2.6 years) and in 70 healthy subjects (mean age 12.5±2.5 years). Each group was divided in 2 subgroups using a physical activity level cut-off (< 2 or > 3 hours spent for week), that way generating 4 study groups. We investigated type of preparticipation screening (noncompetitive or competitive) and possible therapy. All subjects underwent a maximal treadmill exercise test, determining maximal oxygen uptake by indirect method, metabolic equivalents and exercise time, and performed spirometry pre and post exercise. Results. No significant differences were found on spirometry between asthmatic subjects and controls. Exercise testing showed, respectively for controls and asthmatic subjects, metabolic equivalents 15.2±2.7; 13.0±2.7(p<0.0001); maximal oxygen uptake 52.2±9.9; 44.6±8.7 ml/kg/min (p<0.0001); exercise time 12.1±2.2; 10.5±2.4 min(p<0.0001). Competitive screening preparticipation was performed in 45.7% of controls and 22.2% of asthmatic subjects, noncompetitive screening in 54.3% of controls and 77.8% of asthmatic children(p<0.003). Conclusions. Physical activity influence exercise parameters (exercise time, METS, VO2max) in asthmatic children. An exercise prescription should be part of the treatment for all cases of asthma. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title HEART RATE RECOVERY IN HEALTHY CHILDREN: INFLUENCE OF AGE, BODY MASS INDEX AND PHYSICAL ACTIVITY Authors 1 V. D'addio , S. Crudo, I. Ernesti, C. Putotto, M. Unolt, V. Martucci, G. Tancredi Affiliations 1 Department Of Pediatrics, Sport Medicine, Sapienza University Of Rome, Rome, ITALY Body Heart rate recovery is predominantly modulated by reactivation of vagal tone; it has been reported to be faster in children than in adults. Objective. To assess the relationship between heart rate recovery and age in children and to evaluate the effect of physical activity and Body Mass Index on heart rate response in the same subjects. Methods. Heart rate recovery after cessation of a maximal treadmill exercise test (Bruce protocol) was assessed in 142 healthy children (mean age 11.9±2.6 years) who underwent an exercise test during their clinical evaluation, over 2 years period. 1-minute heart rate recovery was calculated for all subjects. Heart rate recovery performance was analyzed depending on age, gender, physical activity level cut-off (< or > 2 hours spent for week), Body Mass Index. Results. One-minute heart rate recovery was correlated inversely with age (r: - 0.404; p<0.0001) and Body Mass Index (r: - 0.381; p<0.001) in both boys and girls. The mean value of 1-minute heart rate recovery was greater in boys (39.5±11.7) than in girls (32.0±10.5; p<0.001), but there was no correlation with hours spent on physical activity per week. Conclusions. One-minute heart rate recovery after exercise is attenuated with age in children and slower in subjects with higher Body Mass Index. These data suggest that the greater central cholinergic modulation of HR in children than in young adults may be responsible in part for children's faster heart recovery after exercise; the body mass index could affect central modulation of heart rate in children. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title SPINAL SHRINKAGE AND DEHYDRATION IN ELITE MALE JUNIOR FIELD HOCKEYPLAYERS Authors 1 T. Devreker , T. Decraene, T. Mertens, M. Vercammen, Y. Vandenplas Affiliations 1 2 Universitair Kinderziekenhuis, Brussel, BELGIUM, Universitair Kinderziekenhuis, 3 4 Koninklijke Belgische Hockey Bond, Brussel, BELGIUM, Brussel, BELGIUM, 5 Universitair Ziekenhuis, Brussel, BELGIUM, Universitair Kinderziekenhuis, Brussel, BELGIUM Body Spinal shrinkage is influenced by circadian variation and by the type and magnitude of load. Unique requirements of field hockey include dribbling the ball and moving quickly in a semi crouched posture STUDY: We analyzed a possible relation between spinal shrinkage and hydration status, water loss and salt loss during exercise in twenty elite male junior hockey players, born in 1992 or 1993 METHODS: All players were measured with a precision stadiometer by the same investigator. Water loss was calculated by weight loss, urine loss and perspiration. Hydration status was estimated by urinary osmolality. RESULTS: Mean length was before training 178.3 + 5.5 cm and was after training was 177.26 + 5.21 cm Shrinkage represented a mean of 0.58 + 0.51%. Water loss during exercise represented 1.08 + 0.53 % ( 0.30 % - 2.60%). Sodium loss was 33.50 + 26.06 mmol/training (4.79 - 85.95). Chloride loss was 35.30 + 33.03 mmol/training (4.26 - 127.84). Urinary osmolality was 868 + 170 mOsm/l (305 - 1028) and 737 + 263 mOsm/l ( 315 - 1028 mOsm/l). We did not find any correlation between spinal shrinkage and parameters of hydration or salt loss. DISCUSSION : There is a considerable spinal shrinkage of 0.51 % during an intensive hockey training. The peculiar postural requirements of field hockey cause physiological strain and spinal loading in excess of orthodox motion. We could find no relation between spinal shrinkage and hydration status before and after training, and between water, sodium or chloride loss during training. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title EVALUATION OF HIP PAIN WITH ULTRASOUND GUIDED INJECTIONS Authors 1 1 1 1 P. D'hemecourt , M. Yen , M. Kocher , A. Stacciolini Affiliations 1 Boston Children's Hospital, Boston, USA Body Ultrasound guided injections into the hip joint and in the bursa may be helpful in sorting out the diagnosis. The purpose of this study is to retrospectively review our injections about the hip to see if they are helpful in making the diagnosis of hip pain. Our secondary goal is to determine how sensitive and specific the exam maneuvers are for detecting labral tears and psoas bursitis. Methods: Thirty three charts of patients receiving hip intra articular and/or psoas bursa injections were reviewed. The clinical signs were noted pre and post injections by visual analogue scales. Results: Number of psoas distinctly =12 ⋅ Number of psoas dx with positive passive hip flexion (PHF) better with PI= 7 (58%) ⋅ Number of psoas dx with positive Scour’s better with PI=7 (58%) ⋅ Number of psoas dx with positive Impingement better with PI=11 (91.6%) ⋅ Number of psoas dx with positive Stinchfield better with PI=6 (50%) ⋅ Number of psoas dx with positive extension and internal rotation (EIR) better with PI=7 (58%) ⋅ Number of IA distinctly=12 ⋅ Number of IA dx with positive PHF better with IA=12 (100%) ⋅ Number of IA dx with positive Scour’s better with IA=8 (66%) ⋅ Number of IA dx with positive Impingement better with IA=12 (100%) ⋅ Number of injections separately into both the hip joint and psoas bursa and sequentially scored=6 ⋅ Number that dual injections clearly made the distinction=4 Conclusion: The data would suggest that ultrasound guided injections can help in determining the etiology of hip pain. I is also suggested that the provocative tests for both psoas and hip labral tears have a lot of crossover. The impingement test is highly sensitive but very non specific. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title SONOELASTOSONOGRAPHY IN ACHILLES CALCANEAL PLANTAR AXIS DISEASE Authors 1 2 3 4 S. Giannini , E.R. Faloni , A. Parrella , M.L. Iocca , E.P. Assako Ondo Affiliations 1 2 3 Villa Stuart Sport Clinic, Rome, ITALY, Villa Stuart Sport Clinic, Rome, ITALY, Villa 4 5 Stuart Sport Clinic, Rome, ITALY, Villa Stuart Sport Clinic, Rome, ITALY, Villa Stuart Sport Clinic, Rome, ITALY Body Real-time sonoelastography is a new ultrasound-based technique able to assess tissue elasticity. The aim of this study was to assess the performance of real-time sonoelastography in depicting the Achilles tendons and the plantar fascia in healthy volunteers and in painful athletes to compare sonoelastography findings with usual conventional ultrasound findings. After the first diagnostic ultrasound and comparative study of the feet, the study is completed using sonoelastography and the images were evaluated by reviewers using an experimentally proven color grading system (blue as hard and red as soft, trough green-yellow color). In patients healthy, the Achilles tendons and plantar fascia showed mainly a hard structured pattern on sonoelastography (blue-green color). In painful athletes in heel region, distinct softening (red color) corresponding to the macroscopically alterations found on normal ultrasound study (thickening and ipoecogenicity). We found also a distinct softening (red color) also in normal ultrasound appearance tendons dut painfully. This suggests a subclinical changes in tendons structure that the normal study may not view even if macroscopically change happens (tendinosis). Sonoelastography of achilles calcaneal plantar axis disease may able to find a preclinical macroscopically changes of tendons in painful athletes but is well related with the ultrasonography imaging when the change are happened . More investigation should be performed to prove the value of real-time sonoelastography 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title THE PATTERN OF SELECTED CORE MUSCLES ACTIVITY DURING OVERGROUND AND TREADMILL WALKING USING SURFACE ELECTROMYOGRAPHY Authors 1 1 2 1 R. Mazaheri , G. Radmehr , M.A. Sanjari , M.A. Mansournia Affiliations 1 Sports Medicine Research Center, School Of Medicine, Tehran University Of Medical 2 Sciences, Tehran, Iran, Tehran, IRAN, Rehabilitation Research Center, Faculty Of Rehabilitation, Tehran University Of Medical Sciences, Tehran, Iran, Tehran, IRAN Body Aim: Given the biomechanical differences between overground and treadmill walking [1, 2], it’s expected that muscle activity pattern be also different. So exercise training in each of these two modes may have various loads on muscles. The aim of the study was to survey differences between the patterns of core muscles contraction in these situations. Methods: Nineteen healthy male were selected via simple sampling. After initial examination, they were asked to walk with self-selected speed overground. The same pace set on treadmill while surface electromyography of core muscles recorded. To specify each phase of gait cycle, foot switch was placed under heel and toe. The analysis of difference was done by wilcoxon test. Results: The time of core muscles contraction on treadmill and overground based on the percentage of activation in each gait cycle weren’t statistically different. Muscle activity amplitude in millivolt was as follows; Rectus Abdominis (Ground=3(1.6), Treadmill=4.1(5.1), Pvalue=0.005), External Oblique (Ground=6.5(1.9), Treadmill=8.2(5), Pvalue=0.136), Longissimus (Ground=10.2(4.8), Treadmill=14.5(10.4), Pvalue=0.018) and Multifidus (Ground=11.4(7.6), Treadmill=17(7.9), Pvalue=0.044). Conclusions: The timing of muscle activity is similar in both environments and core muscles are active in most parts of the gait cycle. It seems that stabilizing role of core muscles causes them to be active throughout the entire gait. Greater amplitude of core muscles contraction on treadmill could mean that more motor units may be involved during contraction and there is a greater load on the muscles. This can be helpful in prescribing the proper mode of exercise for patients who have core muscle weakness. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title COMPARISON OF THE STATIC AND DYNAMIC JOINT STABILITY OF ATHLETES FROM DIFFERENT SPORTS Authors 1 2 1 1 T. Mintál , B. Molics , E. Szebeni , Á. Horváth Affiliations 1 2 Dept. Of Sport Medicine, University Pécs, Pécs, HUNGARY, Dept. Of Physiotherapy, University Pécs, Pécs, HUNGARY Body Objective: There is a strong relationship between the ability to maintain balance and the incidence of knee and ankle injuries. The sensorimotor system can be effectively trained and the risk of sport injuries can be reduced. Therefore, we assessed the athletes’ ability to maintain balance, involved in different types of hobby or professional sport activities. Design and methods: We used Bretz-stabilometer to measure joint stability. Members of professional league men’s and women’s basketball team, women’s handball and men’s swim team participated in the study. Students of our University represented the group of hobby athletes. The data were analyzed with either ANOVA or unpaired Student’s t-test, using SPSS 19 software package. Results: We found no significant differences in the results of the different ball game players. However, there is a significant difference comparing the professional and hobby athletes’ joint stability. Although both groups consisted of professional athletes, a significant difference was found between the ball game players and swimmers; the swimmer’s results were found closer to hobby athletes’. Discussion: Based on these results, the professional ball players’ performance was found to be the best, however, these athletes are subjected to the highest level of strain. Since professional athletes form an easily defined target group, it is considerable to focus on their primary prevention. In case of hobby athletes the secondary prevention is suggested, since this population usually gets involved after suffering sport injuries. For professional swimmers, an additional sport activity should be selected, providing necessary safety for this secondary sport activity. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title PAINFUL OS PERONEUM SYNDROME PRESENTING AS LATERAL PLANTAR FOOT PAIN – A CASE REPORT Authors 1 S. Oh Affiliations 1 Seoul St. Mary's Hospital, Seoul, SOUTH KOREA Body The accessory ossicles are common findings in foot radiography, sometimes causing painful conditions. Os peroneum is an ossicle within the substance of peroneus longus tendon near the cuboid bone, rarely causing painful lateral foot pain. We report a case of 69-year-old female who suffered from lateral plantar foot pain for a month. Through physical examination, radiography, ultrasound and magnetic resonance image, she was diagnosed as painful os peroneum syndrome with os peroneum fracture and peroneus longus tenosynovitis. She was referred to an orthopaedic surgeon and underwent an operation. This article is aimed to emphasize that painful os peroneum syndrome should be included in the differential diagnosis of lateral plantar foot pain and to review the anatomy and pathophysiology of os peroneum. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title MECHANICAL VIBRATIONS IN JUDOISTS BODY DURING FALLS Authors 1 1 T. Piucco , S.G. Santos Affiliations 1 Universidade Federal De Santa Catarina, Florianópolis, BRAZIL Body According to Mansfield and Griffin (2000), mechanical impacts comprise vibration levels dangerous to the human organism. Transient vibrations containing different frequencies components occur frequently during judo throws when the athlete hit the ground, in a variety of different throw techniques. When resonance occurs, the vibration energy is absorbed throw the body, attenuated by the tissues and organs, what increase the destructive power of vibration. This study aimed to analyze the power density (PSD) spectrum of vibrations generated in different body portions of different weight categories judoists during falls. Four black belt judoist, with at least 14 years of experience, participated in this study: three uke (one half-lightweight, one half-middleweight and one half-heavyweight category) were thrown by a tori with 77 kg (half-middleweight category) performing ippon-seoi-nage technique. A triaxial Brüel-Kjaer accelerometer was alternately fastened with straps on the uke wrist, hip and ankle, and 10 throws were performed for each joint analyzed. Descriptive statistics, ANOVA one way and Tukey test were applied, with p<0,05. The PSD analysis showed that the greater energy concentration was establish between 17.57-31.25 Hz on wrist, 1.95-9.76 Hz on hip, and 25.39-50.78 Hz on ankle. The local vibrations found in this study contain the resonance frequencies of the specific body tissues and organs investigated, cited in literature, what can be extremely dangerous to the judoist organism during long term exposure. MANSFIELD, N. J.; GRIFFIN, M. J. Non-linearities in apparent mass and transmissibility during exposure to whole-body vertical vibration. Journal of Biomechanics, v. 33, n 8, 2000. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title ATHLETIC PUBALGIA. EVALUATION AND TREATMENT IN 1450 CASES. Authors 1 2 3 4 5 O. Santilli , N. Nardelli , J. Batista , H. Santilli , R. Maestu Affiliations 1 Trinidad San Isidro, San Isidro, ARGENTINA Body Objective: Chronic groin pain is an athletes frequent complain as they have to stop sport activity for a long period of time. The main causes of chronic groin pain are adductor longus tendinopathy, trasversalis fascia disruption or ¨sport hernia¨, femoroacetabular impingement syndrome and labral tears. According to current hypothesis, these injuries would be caused by imbalances predisposing functional on a structure. The aim of this paper is the systematic result of a multidisciplinary working group in athletes with athletic pubalgia. Design and Methods: Retrospective analysis of 1450 patients in our specializing sports medicine center, in the period 2004-2011. The patients were studied systematically by physical therapist, orthopedic surgeons, abdominal wall surgeons and ultrasound medical specialist. Results: Of the 1450 patients evaluated the ultrasound was the method of choice for confirming suspected lesions. Tendinopathies, which occurred in 802 patients (55,3%) were treated initially with physical therapy successfully in 738 (92%) cases, 14 patients required treatment with complete tenotomy of adductors (2%). Sports hernias were diagnosed 592 (40,8%). All of them underwent preperitoneal transabdominal laparoscopic hernioplasty. Ninety six percent returned to sports within 30 days of surgery. Labral pathology was found as the main cause in 56 (3,8%) patients. Conclusions: Tendinopathies, sports hernia and labral pathology represent the most common causes of chronic groin pain in athletes. The multidisciplinary evaluation is essential for proper diagnosis and treatment. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title MECHANICAL IMPACTS IN JUDOISTS BODY DURING FALLS Authors 1 1 S. Santos , T. Piucco Affiliations 1 Universidade Federal De Santa Catarina, Florianópolis, BRAZIL Body Although the agreement in literature that mechanical impacts comprise vibration levels dangerous to the organism, there are no criteria that elucidate the limits and the risks of human exposure to transient vibrations during sports performance. Transient vibrations occur frequently in judokas during damping falls (ukemi) of different throw techniques. This study aimed to analyze the mechanicals impacts produced in different body regions of judoists during judo falls cushioning. Four black belt judoist of different categories, with at least 14 years of experience, participated in this study: three ukes (one half-light, one half-middle and one half-heavy) were thrown by a tori with 77 kg (half-middleweight) performing ippon-seoi-nage technique. A triaxial Brüel-Kjaer accelerometer was alternately fastened with straps on the uke wrist, hip and ankle. Descriptive statistics, ANOVA one way and Tukey test were applied, with p<0.05. The greater impact magnitudes occurred on the vertical axis on the wrist (351 g) and ankle (242 g), both for the half-middleweight athlete; the impact duration was larger (0.6s) on the hip for all athletes on the vertical axis. According to Macaulay criterion, the impact values founded represents severe injury risks on wrist and ankle regions and moderate injury risk on judoists hip. On the other hand, this criterion does not mention the number of impact events that the body can withstand during a specified period of time, neither the minimum interval required between impact repetitions. Consequently, initiatives should be taken to reduce chronic damages due to impact during judo training and competitions. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title AUTONOMIC RECOVERY FOLLOWING BRIEF HIGH-INTENSITY INTERMITTENT EXERCISE IN OBESE ADULTS Authors 1 1 1 1 Q. Shi , J. Nie , K.W. Lei , U.H. Cheang Affiliations 1 School Of Physical Education And Sports, Macao Polytechnic Institute, Macao, MACAU Body Low-volume high-intensity intermittent training has been shown to produce substantial improvements in aerobic exercise capacity and glycemic homeostasis. Thus, this novel time-efficient training paradigm has been suggested to use as a strategy to reduce metabolic risk factors in sedentary populations. However, the risk of sudden death is higher during intensive exercise (Albert et al. 2000). Thus, assessment of the cardiovascular and autonomic nervous system responses to this type of exercise is necessary to facilitate informed exercise prescriptions. Eleven obese sedentary adults (age: 25.3 ±4.8yr; BMI: 32.4 ± 3.9) performed a low-volume high-intensity intermittent exercise bout consisted of four 'all-out' 30-s Wingate tests with 4 min of recovery. The beat-to-beat heart rate was recorded, and thus the autonomic nervous activity was assessed pre-exercise, immediately post-exercise and at 30-min intervals thereafter within 180 min. Identical measures were obtained in a non-exercise condition, separated by one week, based on a randomized crossover design. Exercise resulted in decreased high-frequency component, increased low-frequency component, and consequently an increase in the ratio of low-frequency to high-frequency component compared with the non-exercise condition or pre-exercise. The effect lasted for up to 60 min post-exercise. We concluded that autonomic balance is shifted to a greater sympathetic and less parasympathetic activation following such exercise. These results indicate that supramaximal exercise poses significant stress to the autonomic nervous system and that the risk of cardiac events may be increased during recovery of such exercise, especially in at-risk populations. Reference Albert,C.M. N Engl J Med. 2000; 343:1355-61 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title GLYCOGEN PHOSPHORYLASE ISOENZYME BB - MARKER OF MYOCARDIAL STUNNING IN WATER POLO PLAYERS Authors 1 2 1 3 4 V. Slavic , B. Kamenov , M. Delic , S. Bukilica , M. Cirkovic Affiliations 1 2 3 Institute Dr Simo Milosevic, Igalo, MONTENEGRO, Pediatric Clinic, Nis, SERBIA, 4 Private Health Facility, Meljine, MONTENEGRO, Military Medical Academy, Beograd, SERBIA Body Background: In the past years several studies have suggested myocardial damage after extreme exercise due to increased post exercise levels of cardiac markers which return to baseline levels within 24 hours. Recently, emphasizes the importance of the process labeled as myocardial “stunning” caused by ischemia or coronary vasospasm which is transient in nature and does not result in necrosis and permanent cellular damage. This study was performed to test if this extremely strenuous sport is hazardous to cardiovascular health of adolescent male water polo players. In order to perform this we measured serum concentration of the early marker of myocardial ischemia glycogen phosphorylase isoenzyme BB (GP-BB). Methods: Total of 20 water polo players was studied. They were randomly divided in two groups: exercise group and non-exercise served as a control group. GP-BB concentration was measured at the following time points: baseline, 1, 30 and 60 minutes by ELISA technique. Results: Increased GP-BB concentration had 40% of water polo players in 1 and 30 minutes post exercise, but only 10% one hour later. Obtained concentration 1 and 30 minutes following exercise significantly positively correlated (r=0.895;p<0.001) as well as concentrations at 30 and 60 minutes (r=0.697; p<0.03). Conclusion: Glycogen phosphorylase isoenzyme BB could be a good marker of myocardial stunning caused by ischemia or coronary vasospasm which is transient in nature and does not result in necrosis and permanent cellular damage in water polo players. Key words: glycogen phosphorylase BB, water polo, myocardial stunning 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title INFLUENCE OF INERVAL TRAINING ON LEVELS OF LEPTIN AND HORMONES AFFECTING LIPID MEATBOLISM IN YOUNG OVERWEIGHT MEN Authors 1 2 R. Soori , N. Rezaeian Affiliations 1 Department Of Exercise Physiology, Faculty Of Sports And Exercise Sciences, 2 University Of Tehran, Tehran, IRAN, Department Of Exercise Physiology, Faculty Of Sports And Exercise Sciences, University Of Tehran, Tehran, IRAN Body Introduction: Interval training is described as repeated bouts of high-intensity exercise of variable length interspersed with recovery periods (light exercise or rest) (1). This study examined the influence of interval training on serum levels of leptin, cortisol, testosterone, growth hormone and insulin resistance index (HOMA-IR) in young overweight men. Materials and Methods: 18 sedentary overweight men (BMI=31.2 3.33 Kg/m2, mean aged 20.3) in two experimental and control groups participated in 16 weeks of moderate to high intensity interval training (8-10 × 4 minutes sets of running at 60-90% of Reserve Heart Rate and 2 minutes rest interval at 40-50% of Reserve Heart Rate), three days per week. Serum levels of leptin, cortisol, testosterone, insulin, growth hormone and HOMA-IR, were measured before and 48 hours after last training session. Results: Interval training resulted in decreases in levels of leptin (P=0.007) and anthropometric indices (P<0.05); and testosterone and cortisol levels increased following interval training (P<0/05). However, any significant correlation did not exist between pre and post training levels of leptin and none of anthropometric indices assessed (P>0.05). Conclusion: Moderate to high intensity interval training induces fat loss by increasing exercise and post training fat oxidation and decreasing appetite via facilitating the release of corticotrophin releasing factor (CRF), a potent anorectic peptide (1). Decreases in body fat stores and improvement of adipocyte function modulate leptin secretion, insulin resistance and inflammation. Keywords: Interval Training, Leptin, Cortisol, Testosterone, Obesity References 1.Boutcher SH. High-Intensity Intermittent Exercise and Fat Loss. J Obesity 2011; 2011:868305. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title POST-OPERATIVE PSYCHIATRIC ASSESSMENT OF ATHLETES WITH ANTERIOR CRUCIATE LIGAMENT INJURY Authors M.M. Celebi, B. Baskak, H. Devrimci Ozguven, E. Atalar, B. Ulkar, T. Saka, E. Ergen Affiliations 1 Ankara University Faculty Of Medicine Department Of Sports Medicine, Ankara, 2 TURKEY, Ankara University Faculty Of Medicine Department Of Psychiatry, Ankara, 3 TURKEY, Ataturk Education And Research Hospital Of Chest Diseases And Surgery, 4 Ankara, TURKEY, Erciyes University Faculty Of Medicine Department Of Sports Medicine, Kayseri, TURKEY Body Although commonly disregarded, psychiatric symptoms are thought to be a crucial predictor of rehabilitation outcome. We aimed to evaluate and follow the depression and anxiety symptoms and explore any relationship with functional improvement in postoperative Anterior Cruciate Ligament (ACL) injury patients. 38 (35 male, 3 female) postoperative ACL injury patients participated in this study who admitted to Sports Medicine Department for postoperative rehabilitation program. All the patients were evaluated twice by Lysholm Knee Scoring Scale (LKSS) and Hospital Anxiety and Depression Scale (HADS) at; the admission and the end of the 6th week of rehabilitation, respectively. The change in total LKSS scores from the time of admission (56.4±20.2) to the end of the 6th week (78.7±13.8) were significant (t=-8.21, P<0.001). Neither the HADS-depression nor the HADS-anxiety scores were above the cut off values in the two assessments. Nevertheless we found a significant difference in HADS-anxiety scores between the time of admission (6.21±3.50) and at 6th week (5.33±3.33) (t=2.02, P=0.05). However, HADS-depression scores were not statistically different between the two evaluations (5.95±3.68 and 5.35±3.50 at admission and the 6th week respectively, t=1.07, P=0,29). The amount of change between the two LKSS and HADS-anxiety assessments were negatively correlated (r=-0.49, P=0.002). Contrary to what we expected, the subjects were not at risk for depression or anxiety both on admission time and at 6th week of rehabilitation. However, the anxiety symptoms declined during rehabilitation which was correlated with the functional improvement. Effective rehabilitation program without additional psychiatric care alleviates mild levels of anxiety. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title EFFECTS OF A PLATELET GEL ON EARLY GRAFT REVASCULARIZATION AND KNEE STABILITY AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION Authors MD, PhD MD , R. Kelc M. Vogrin Affiliations 1 University Clinical Center Maribor, Department For Orthopaedic Surgery, Maribor, SLOVENIA Body Long rehabilitation after arthroscopic anterior cruciate ligament (ACL) reconstruction represents big problem for mainly due to a slow process of ligamentization. The purpose of the study was to determine if the use of platelet gel (PG) accelerates graft revascularisation after anterior cruciate ligament (ACL) reconstruction, and whether it has any morphological and clinical relevance for the operation outcome. Platelet gel was produced from the platelet rich plasma (PRPin a standard procedure. Fifty patients were included, 25 treated with PRP and 25 in a control group. We quantitatively evaluated the process of revascularization in the zone of the osteoligamentous interface in the bone tunnels and in the intra-articular part of the graft. Contrast enhanced MRI studies were carried out at 4-6, 10-12 and 25-27 weeks post-surgery. Patients treated with PG demonstrated a significantly higher level of vascularization in the osteoligamentous interface at the first control. At the second control, the level of vascularisation decreased in the PG group and increased in the control group. In the intra-articular part of the graft we found minimal levels of revascularization but no differences among the groups. At third control the level of vascularisation decreased in both groups. The amount of new sclerotic bone formation was significantly higher in group treated with PRP as well as the anteroposterior knee stability. The PG enhances early revascularization of the graft in the zone of the osteoligamentous interface after anterior cruciate ligament reconstruction. Enhancement of this early postoperative biological process is demonstrated in late morphological and clinical manifestations. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title THE VESTIBULAR CHALLENGE IN ICE SPORTS Authors 1 2 3 1 D. Alpini , D. Tornese , M. Botta , V. Mattei Affiliations 1 2 Scientific Institute S. Maria Nascente Don Carlo Gnocchi Foundation, Milan, ITALY, Scientific Institute Galeazzi Orthopedics Institute Center For Sports Rehabilitation, 3 Milan, ITALY, Medical Committee Ice Sports Italian Federation, Rome, ITALY Body Ice sports requires a particular combination of postural control of the body and visual control of the environment in order to optimize dynamic equilibrium control at high velocity on a slippery surface. Tthe objective is to investigate the Vestibular System (VS) controls posture, dynamic head stabilization and dynamic visual field stabilization ice athletes. VS control on posture and head stabilization was investigated in ice hockey players comparing elite hockey players with amateur players through 3 tests: posturographic sensory organization test, head-to-trunk stabilization during stance and stepping . The effect of specialized trainings on postural control adaptation as happens in ballet group dancers, was investigated through posturography in 18 Senior synchronized skaters, a form of figure skating in which a team skate together, from the Italian National Skating Team comparing them with a control group of physically fit individuals not specialized in balance training. Vestibule-ocular reflexes involved in visual field stabilization were investigated in 25 athletes from the Italian National Figure Skating Team ( 8 dancers, 13 singles and 4 pairs) by bitemporal DC-coupled electro-oculography. Both Postural control and Vestibule-ocular adaptation were investigated also under the point of view of the age and further 23 athletes from the Junior Italian National Figure Skating Team were investigated: 17 synchro; 8 dancers, 15 singles. Results support the idea that ice-sports, under VS point of view, are strongly adaptative and mainly disclipine-dependent rather than age-dependent. In particular, we state that vestibular adaptation represents a “dynamic internal model” of movement control. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: ATHLETE CARE AND CLINICAL MEDICINE Title THE STRENGTH EFFECTIVENESS OF INTERNAL TIBIAL ROTATION AFTER THE USE OF HAMSTRING TENDONS FOR ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION Authors 1 2 3 4 Y. Yildiz , A. Ada , I. Yanmis , T. Aydin Affiliations 1 2 Department Of Sports Medicine, Gulhane Military Medical Faculty,, Ankara, TURKEY, 3 Department Of Sports Medicine, Gulhane Military Medical Faculty,, Ankara, TURKEY, 4 Department Of Orthopedics, Gulhane Military Medical Faculty,, Ankara, TURKEY, Department Of Sports Medicine, Gulhane Military Medical Faculty,, Ankara, TURKEY Body OBJECTIVE The strength effectiveness of the muscle strength is very important to stabilization during motion. The effectiveness of the muscle strength parameters is determined as measurement of the peak torque/body weight ratio, the time to peak torque, and time peak torque held. The aim of this study was to evaluate the strength effectiveness of internal tibial rotation after the use of semitendinosus and gracilis tendons for anterior cruciate ligament reconstruction. DESIGN AND METHOD 15 recreational athletes with unilateral anterior cruciate ligament reconstruction, at least one years previously, participated in this study, aged between 25 and 40 years (mean age 34±6 years). In an attempt to minimize unwanted subtalar joint motion, subjects were immobilized using an ankle brace. Participants were tested at angular velocities of 60 deg/sec and 180 deg/sec at knee flexion angle of 90 degrees. RESULTS The peak torque/body weight ratio, the time to peak torque, and time peak torque held measurements for internal tibial rotation of the operative limb and non operative limb were found to be 0.2±0.06 Nm, 0.2±0.08 Nm; 0.5±0.1 second, 0.4±0.04 second; 0.02±0.01 second, 0.04±0.02 second at 60 deg/sec and 0.16±0.06 Nm, 0.2±0.06 Nm; 0.3±0.07 second, 0.25±0.04 second; 0.01±0.005 second, 0.02±0.014 second at 180 deg/sec respectively. The strength effectiveness parameters for internal tibial rotation of the operative limb at 60 and 180 deg/sec were statistically different compared to the non-operated limb p<0.01) CONCLUSIONS This study has shown that the strength effectiveness of internal tibial rotation is weaker after the use of semitendinosus and gracilis tendons for anterior cruciate ligament reconstruction. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title CARDIOVASCULAR PROTECTION INDUCED BY DAILY PHYSICAL ACTIVITY IN HIV+ SUBJECTS Authors 1 1 1 1 2 1 P. Adami , A. D'alessio , M.R. Squeo , R. Lanzano , G. D'ettorre , M. Bernardi Affiliations 1 2 Physiology And Pharmacology Dept., Sapienza, University Of Rome, Rome, ITALY, Infectious Diseases Dept., Policlinico Umberto I, Sapienza, University Of Rome, Rome, ITALY Body OBJECTIVE Human Immunodeficiency Virus (HIV) infection is an independent cardiovascular (CV) risk factor that can be reduced by regular physical activity (PA). Exercise is sought as a tool to minimize the disability associated with HIV disease, combat side effects from highly active antiretroviral therapy (HAART), improve strength, endurance, body composition and psychological status. The study, carried out on a population of physically active HIV+ subjects with no AIDS symptoms, aims at evaluating the effects of regular PA on CV risk associated with HIV infection. METHODS Thirty-three HIV+ subjects were evaluated during the past 12 months to assess their health status and progression of infection. The visit included an interview with daily and physical activity collection (3 day diary), lean and fat body mass (FBM) evaluation through skinfold measurement (Jackson-Pollock method), rest energy expenditure (REE) measurement (COSMED FitMate Med, Rome, Italy) and Rockport Fitness Walking Test. Moreover, subject underwent a dietary evaluation with daily energy intake measurement and a check for the progress of the disease. RESULTS Among the subjects two groups were formed with same age and sex, considering the CD4+ count with a cut-off of 500 as a clinical biomarker. Age was equal to 43±8,3 in subjects with a high lymphocyte CD4+ count (HL) and 49±10,5 in those with a low count (LL). Daily REE was equal to 77,8±34,55 Kjoule·kg in HL and 95,7±30,81 Kjoule·kg in LL. DEE was 146±35,6 Kjoule·kg and 144±28,2 Kjoule·kg in HL and LL respectively. VO2peak was 34,9±7,48 ml·kg·min-1 in HL and 36,1±6,99 ml·kg·min-1 in LL. FBM% was 17±5,4% and 17±6,3 in HL and LL respectively. CONCLUSIONS Despite the progression of the disease no significant differences are shown between the two groups confirming that physical activity can minimize the disability associated with the infection. The CV risk can therefore be reduced by an increase in VO2peak and energy expenditure. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title UNDERWATER WALKING ON NON-MOTORIZED TREADMILL AS A 'FITNESS TOOL' FOR BOTH HEALTY AND FRAILTY SUBJECTS Authors 1 1 2 3 1 1 P. Benelli , F. Colasanti , A. Cuesta , M. Ditroilo , M. Gervasi , F. Lucertini Affiliations 1 Dipartimento Di Scienze Biomolecolari, Sezione Scienze Motorie E Della Salute, 2 Università Degli Studi Di Urbino Carlo Bo, Urbino, ITALY, Department Of Physical 3 Therapy, School Of Medicine, University Of Málaga, Málaga, SPAIN, Department Of Sport, Health & Exercise Science, Faculty Of Science, University Of Hull, Hull, UNITED KINGDOM Body Underwater walking on non-motorized treadmill is one of the most popular aquatic fitness activity, but little data is available about its metabolic demands. 15 healthy women (age 43±3.7y, height 1.64±0.05m, weight 54±6.6kg, BMI 22.1±2.3kg/m-2, fat mass 25.4±3.4%) performed an incremental underwater walking exercise (100, 110, 120, 130 step per minute) on a non-motorized treadmill (Aqquatix S.r.l., Limena, Italy) at 2 different water heights (iliac crest - xiphoid process). Water heights and exercise intensities were chosen according to the most used among this fitness classes. A dry-land incremental exercise test to exhaustion was also performed on a motorized treadmill. Breath-by-breath oxygen consumption (V'O2) and heart rate (HR) were recorded continuously throughout both the underwater and the dry-land exercises. Compared to dry-land maximal V'O2 and maximal HR, underwater V'O2 and HR ranged from 64% to 85% and from 71% to 90%, respectively. Both relative intensity ranges fall within the 'moderate' or 'vigorous' intensity described in the current guidelines of the American College of Sports Medicine. Same ranges are also advised to the population in order to improve physical fitness status by several internationally recognized organization in the field of exercise sciences. Water is a 'low impact' environment of exercise providing non-weight-bearing conditions that makes exercise suitable for both pathologic and healthy subjects. This indubitable advantage plus the results obtained in this study provide the evidence for prescribing underwater walking exercise on non-motorized treadmills to both healthy and frailty subjects that could benefit exercising at moderate to vigorous intensities. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title INTENSE EXERCISE REGIMEN IN ISLET TRASPLANT RECIPIENT MIGHT PROLONG GRAFT FUNCTION DESPITE PROGRESSIVE INSULIN RESISTANCE. Authors 1,2 1 1,2 1 2 1 V. Delmonte , E.M.L. Peixoto , L. Luzi , C. Ricordi , A. Veicsteinas , R. Alejandro Affiliations 1 2 Diabetes Research Institute, Miami, USA, Università Degli Studi, Milano, ITALY Body In this case report we evaluate the effect of exercise on islet function and insulin resistance in a 46 years old islet transplant recipient under intense exercise regimen (fireman + voluntary exercise). MATERIALS AND METHODS: Retrospective evaluation using exercise reports, body composition, Mixed Meal Tolerance Test, HOMA score and triglycerides was done. RESULTS: Subject received three islet infusions at 10/2001, 11/2001 and 05/2003. He remained off insulin for 470 days after 2nd infusion and 1722 days after 3rd. During follow up physical activity was more than 6h/day including job and voluntary exercise. The estimated energy expenditure was 5033±155Kcal/day. Body composition, immunosuppressive and triglyceride remained stable. In 2002, 2006, 2011 the Stimulation index was 0.59±0.04, 0.73±0.06 (P<0.5) and 0.65±0.05(NS). C-peptide/glucose ratio was 1.2±0.2, 1.9±1.2 and 1.36±0.3 (NS). HbA1c was 6.1±0.2, 6.2±.3 and 6.9±0.1 (P<0.05). In 2006 and 2011 HOMA%IR was 0.9±0.2 and 3.8±0.6 (P<0.05), HOMA%S was 116±27 and 26±4 (P<0.05), HOMA%β was 616±73 and 565±134(NS). CONCLUSION: Despite stable graft function, active life style and athletic body composition, the insulin resistance has increased. This might be a consequence of progressive undetectable loss of graft function and/or direct side effect of the immunosuppression therapy. The benefits of exercise cannot be discarded, since the prolonged graft survival (9 years), insulin independence(5 years) and current low dose of insulin(12u/day) were probably achieved by the combination of the treatment + healthy habits. However exercise in this case, was not able to prevent completely the progressive insulin resistance. Insights about the mechanism responsible for progression of insulin resistance are needed. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title PHYSICAL ACTIVITY IN ELDERLY Authors 1 M. Henriques Affiliations 1 Centro Hospitalar Lisboa Norte - Department Of Physical Medicine And Rehabilitation, Lisboa, PORTUGAL Body Objective: To identify the minimum levels of physical activity recommended for the elderly with the purpose of obtaining health benefits on a preventive point of view. Design and Method: Review and integration of the latest recommendations issued by multinational entities of recognized value in the physical activity field. Results: To ensure good standards of health, the elderly must maintain a physically active lifestyle. The physical activity should develop four skills: endurance (30 minutes of moderate-intensity aerobic activity, 5 days/week, or 20 minutes of high intensity aerobic activity, 3 days/week), strength (activities that maintain or increase strength and endurance, 2 days/week), flexibility (exercises that maintain or increase flexibility, 2 days/week) and balance (activities that maintain or increase the balance, 2 days/week). Conclusions: The benefits of being physically active far outweigh any negative aspect that may arise. As a growing segment of the population where the prevalence of physical inactivity is high, promoting an active lifestyle among the elderly is very important. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title REAL-TIME VISUALIZATION OF ULTRASONOGRAPHY GUIDED CUBITAL TUNNEL INJECTION: A CADAVERIC STUDY Authors 1 H. Oh Affiliations 1 St. Mary's Hospital, Catholic University, Seoul, SOUTH KOREA Body Objective: To describe a ultrasonography-guided technique for cubital tunnel injection. Design & Method: In the 12 elbows from 6 adult cadavers, ulnar nerves were scanned, and the cross-sectional areas of the ulnar nerves, cubital tunnel inlets and outlets were measured by using ultrasonography. All the elbows were dissected after ultrasonography-guided dye injection at the inlet of the cubital tunnel. The dissectors evaluated the spread of dye and the coloration of the nerve and remeasured the cross-sectional areas of the cubital tunnel inlets and outlets. Results: After real-time visualization of ultrasonography-guided injection, the ulnar nerves were seperated from the medial groove for the ulnar nerve. All the ulnar nerves of the cadavers were successfully colored with the dye, from inlet to oulet of the cubital tunnel. The post-injection cross-sectional areas were significantly larger than the pre-injection cross-sectional areas. No significant differences were detected in the post-injection cross-sectional areas of the cubital tunnel outlet and the ulnar nerve compared with that of pre-injection. Conclusions: Clinicians should consider real-time visualization of ultrasonography for guided injection around the ulnar nerve at the inlet of the cubital tunnel. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title THE EFFECT OF AEROBIC EXERCISE ON BODY FAT COMPONENTS AND RESPIRATORY PARAMETERS OF MEN WITH METABOLIC SYNDROME Authors 1 2 3 4 S. Ibis , S. Hazar , A. Keskin , Z. Degirmencioglu Affiliations 1 2 Phsical Education And Sport, Nigde, TURKEY, Phsical Education And Sport, Nigde, 3 4 TURKEY, Phsical Education And Sport, Nigde, TURKEY, The State Hospital, Nigde, TURKEY Body Background: With its multiple components, metabolic syndrome is a serious problem that adversely affects the quality of life. Exercise programs have proven to be quite effective alternatives to drug treatments with regard to preventive medicine. Objective: We investigated the effects of personal exercises that do not require a professional using body fat components and respiratory parameters and OMNI scale. Methods: Adult 12 males performed aerobic exercise with an intensity ranging between easy and somewhat hard on OMNI scale for 12 weeks. Body fat components parameters, including weight, BMI, FAT %, free fat mass, visceral fat rate and respiratory parameters including Fev1, Fvc, Pef1, Mvv, VC levels before and after exercise were recorded. Wilcoxon Signed Ranks test were used to examine the relationships between parameters in dependent groups. Results: There were significant differences in all body fat components parameters except free fat mass (p<0.01). Respiratory parameters showed similar significant changes (p<0.01). Conclusion: Metabolic syndrome is a result of modern day and presents itself with problems that are costly and difficult to correct. Exercise programs serve not only as alternatives to treatment with medications but also as part of preventive medicine. The results of this study suggest that the most significant handicaps of such programs, namely the need for a professional instructor or trainer and the perceived exertion issue, can be overcome by using the OMNI scale. Performing the most comfortable personal exercise program for him/herself will enable the person to get rid of improve the quality of life. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title PHYSICAL ACTIVITY PRESCRIPTION IN MENOPAUSE Authors 1 2 3 4 5 6 M. Ilardi , C. Conti Puorger , A. Grossi , S. Lello , R. Lista , R. Manno Affiliations 1 2 Sport Medicine Specialist, Rome, ITALY, Gynecology And Obstetrics Specialist, Rome, 3 ITALY, U.o.c. Endocrinology And Diabetology, Bambino Gesù Hospital, I.r.c.c.s., Rome, 4 Gynecological Endocrinology, Pathophysiology Of Menopause And ITALY, 5 6 Osteoporosis, Idi-irccs, Rome, ITALY, U.o.s.d.sports Medicine Rm E, Rome, ITALY, Imss Antonio Venerando Coni Servizi, Rome, ITALY Body Worldwide the woman median age at menopause is 50yy. Although for many women menopause is asymptomatic, many others experience symptoms that considerably affect their quality of life. Nowadays, in Western countries, women who reach menopause have a life expectancy of nearly 30 more years, with a high probability of developing various chronic diseases. Among the endocrino-metabolic changes occurring in menopause, insulin resistance is one of the most relevant. Regular physical exercise has been shown to be an essential milestone in insulin resistance treatment and weight control. Furthermore, there are clear scientific evidences proving the benefit of regular physical activity on both the primary and secondary prevention of many diseases. Even if menopausal women are individuals in the peak of their active life (work, household chores, care of family), physicians and women need to clearly understand that menopause represents the moment to change lifestyle. Exercise has to be considered as a medicine in menopause and it has to be prescribed exactly as a therapy, with indications, contraindications, dosage and administration, warning and precautions, risk of over dosage, and monitoring of compliance. This important and indispensable goal can be achieved with a coalition of different experts and a differentiate plan of action. A workgroup of several specialists has been created with the objectives to increase knowledge about the effect of physical activity in menopause, to instruct physicians about the prescription of exercise and to inform population about the benefits of physical activity in order to counteract the endocrine-metabolic changes due to menopause. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title COURSE OF TREATMENT AFTER SUBLUXATIO TEMPOROMANDIBULAR JOINT Authors 1 2 S. Kevic , S. Gutman Affiliations 1 Clinical Centre Vojvodina, Novi Sad, SERBIA Body OBJECTIVE :The aim of the study is to show the complex structure of temporomandibular joint, to show one of the reasons which might cause TM disfunction as well as to show the possibilities and outcome of the physical therapy that can reduce the subjective symptoms and improve functional status. MATERIAL/METHODS:Case study: Patient, 25 years old, suffered from TM joint subluxation, during the basketball training got hit in hos jaw by the elbow of his teammate. After diagnosis, treatment implied the reposition, immobilization of joint for 48 hours, pureed food through a straw and application of physical proceedings afterwards and local infiltration of glucocorticoids. During the 6 months period of treatment we observed the following parameters: pain by VAS (0-10cm). Size of maximal mouth opening was measured in cm (the distance between the upper and lower teeth) for 4 weeks. The quality of chewing was observed every 4 weeks at the control examination of the patient by the answers to the given questions, the ability of chewing the soft, semisolid and solid food. RESULTS : After 6 months of treatment pain in the joint at the phase of rest was significantly reduced (p<0,025), there was no statistically significant reduction in pain when chewing, the size of maximal mouth opening was increased (p<0.002), while analyzing the answers to the solid food chewing ability was no statistically significant improvement. CONCLUSION: The physicl activities have been limited by the pain intensity thus affecting sport activites. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title DO HEALTHY BEHAVIORS IMPROVE ARTERIAL STIFFNESS? Authors 1 1 1 M. Kim , H. Park , S. Choi Affiliations 1 Division Of Cardiology, Department Of Internal Medicine, Healthcare System Gangnam Center, Seoul National University Hos, Seoul, SOUTH KOREA Body Background: Healthy behaviors including non-smoking, healthy alcohol consumption, and regular exercise were known to be able to slow down the progression of atherosclerosis. We designed a study to prove the effect of healthy behaviors on the development of atherosclerosis, represented with the ‘cardio-ankle vascular stiffness index (CAVI)’, which is a well-known marker of atherosclerosis. Methods: Target population consisted of 45-59 years old men, who don’t have documented diabetes, hypertension, dyslipidemia, or any other vascular diseases including stroke, coronary artery disease, and peripheral artery disease. We analyzed the correlation between the mean CAVI and the healthy behavior score. Healthy behavior score was defined as a sum of the following three component: 1) non-smoker or ex-smoker = 1, current smoker = 0; 2) don’t drink alcohol, or drink less than twice in a week = 1, drink more than twice a week = 0; 3) exercise more than 120 minutes a week regularly = 1, exercise less than 120 minutes a week = 0. Results: 111 men were included in the analysis. Mean CAVI was correlated with the healthy behavior score negatively (Spearman’s rho = -0.210, p = 0.027). In the non-smokers and healthy drinkers, subjects who exercise regularly had lower mean CAVI than the subjects who don’t exercise (p = 0.031). Conclusion: Higher healthy behavior score seem to correlate with lower CAVI, which means less stiff artery. Non-smoking, healthy drinking, and regular exercise can help slow down the development of atherosclerosis even in apparently healthy subjects. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title ENERGY EXPENDITURE DURING TRAINING SESSION WITH PILATES EXERCISES IN OBESE PRE-DIABETIC WOMEN*. Authors 1 2 2 2 3 1 1 M. Massidda , G. Satta , G. Steri , S. Santus , A. Loviselli , G. Attene , L. Cugusi Affiliations 1 University Of Cagliari And Hygiene And Public Health Service, Asl8 Cagliari, Cagliari, 2 3 ITALY, Hygiene And Public Health Service, Asl8 Cagliari, Cagliari, ITALY, Obesity Centre, A.o.u., Cagliari, ITALY Body AIM OF THE STUDY. To estimate the energy expenditure (EE) and the intensity of physical activity (PA) during different phases of a training session (TS) in a group of deconditioned obese pre-diabetic individuals. MATERIAL AND METHODS. A sample of 10 obese (class 1) pre-diabetic women (56.3±6.7 years; Body Mass Index, 33.1±2.0 kg/m2) completed the acute training protocol (TP) as follows: 20 minutes (min) of walking (W) activity (50%HRmax), 7 min of flexibility exercise (FE) and 15 min of Pilates Circuit Training (PCT) on mat. The PCT was composed by 10 sets of Pilates exercises (3 static and 7 dynamic sets performed for 15 seconds) separated by 1 min of W (30%HRmax). The EE (kcal) and the intensity of PA (METs) were estimated during the different phases using the SenseWear Pro Armband (SWA). RESULTS. The total EE was 291.2±75.4 kcal and the intensity of PA during the TS ranged from light (2 to 3 METs) for FE to vigorous (6 to 9 METs) for W. The PA during the PCT phase was moderate for 87% of its time, while the W activity was vigorous for the 37% of its time. Among all the TS phases, the W (20.5±0.5 min; 5.6±0.8 METs; 153.8±45.7 kcal) and the PCT (15.1 min; 4.1±0.6 METs; 84.9±25.1 kcal) showed the highest MET and EE values. CONCLUSION. The adopted TP with Pilates exercises seems to be adequate to produce good training load, in line with the ACSM’s Guideline. * Project “Movimento è Vita” financed by PPR Sardegna 2010-12. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title ACUTE EFFECTS OF A COMMUNITY EXERCISE SESSION ON BLOOD PRESSURE OF YOUNG ADULT WOMEN Authors 1 2 1 1 1 R. Mendes , J. Moutinho , C. Abrantes , V. Reis , N. Sousa Affiliations 1 University Of Trás-os-montes And Alto Douro; Cidesd - Research Center In Sports, 2 Health Sciences And Human Development, Vila Real, PORTUGAL, University Of Trás-os-montes And Alto Douro, Vila Real, PORTUGAL Body Objective This study aimed to determine the acute effects of a community exercise session on blood pressure of young adult women. Design and method Study´s sample comprised 23 women (age 31,57 ± 7,87 years; body mass index 23,35 ± 4,67 kg/m²; waist circumference 80,26 ± 8,16 cm; clinical systolic blood pressure 109,23 ± 12,02 mmHg; clinical diastolic blood pressure 71,21 ± 9,82 mmHg) that underwent in two experimental conditions (exercise and control) with a subsequent blood pressure monitoring for 30 minutes divided in 3 periods of 10 minutes. The exercise session has taken 50 minutes and comprised 4 phases: warm up (5 minutes), cardiovascular (30 minutes), muscular strength and endurance (10 minutes) and cool down / flexibility (5 minutes). Results A Student’s t test for paired samples identified significant differences in variation of systolic blood pressure from baseline and 10 (-10,83 ± 9,25 vs. -2,61 ± 11,06 mmHg), 20 (-11,26 ± 9,05 vs. -3,04 ± 11,25 mmHg) and 30 (-10,87 ± 9,02 vs. -0,48 ± 13,50 mmHg) minutes of recovery, between the two experimental conditions (exercise and control). Conclusions The results of this study suggest that a community exercise session that combines various forms of exercise in order to improve several aspects of physical fitness, was effective in acutely reduce resting blood pressure levels in normotensive young adult women. This type of exercise sessions seem to have sufficient intensity to trigger benefits in cardiovascular health and its regular practice may have an important role in the prevention of hypertension and in health promotion. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title AMBULATORY BLOOD PRESSURE AFTER AEROBIC EXERCISE: A PILOT STUDY IN INSTITUTIONALIZED AND SEDENTARY ELDERLY Authors 1 1 1 1 2 R. Mendes , N. Sousa , J. Sampaio , V. Reis , J. Oliveira Affiliations 1 University Of Trás-os-montes And Alto Douro; Cidesd - Research Center In Sports, 2 Health Sciences And Human Development, Vila Real, PORTUGAL, University Of Porto; Faculty Of Sport; Ciafel - Research Center In Physical Activity, Health And Leisure, Porto, PORTUGAL Body Objective This study aimed to determine the acute effect of a single session of aerobic exercise on ambulatory blood pressure in institutionalized and sedentary elderly. Design and method Eight elderly males, institutionalized and sedentary, were selected to undergo two ambulatory blood pressure monitoring for a period of 8h. One of the monitoring was accomplished after a session of aerobic exercise and the other after a control session of rest. Exercise session was constituted by two periods of 10 minutes of walking on treadmill at moderate intensity (40 to 59% of heart rate reserve). These two periods were interspersed with 5 minutes recovery, preceded by a 5-minute specific warm-up and followed by a cool down of 5 minutes, on a total of 35 minutes per session. Results Significant differences were not found in the values of systolic blood pressure (118 ± 10 vs. 119 ± 13 mmHg), diastolic blood pressure (73 ± 6 vs. 73 ± 8 mmHg) and mean arterial pressure (88 ± 6 vs. 88 ± 9 mmHg) during the 8 hours of ambulatory recording between the two experimental conditions (control vs. exercise). The analysis of individual data revealed a great variability in ambulatory blood pressure response to an aerobic exercise session. Conclusions Aerobic exercise can be safely applied in institutionalized and sedentary elderly. However, a single session of exercise was not effective to induce a decrease in ambulatory blood pressure values of normotensive subjects. There seems to be an individual variability in ambulatory blood pressure response to a single bout of aerobic exercise. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title PHYSICAL ACTIVITY PROGRAMS FOR CHILDREN WITH JUVENILE IDIOPATHIC ARTHRITIS Authors 1 1 1 M. Monteiro , D. Queiroga , A.L. Costa Affiliations 1 Universidade Federal Do Rio Grande Do Norte, Natal, BRAZIL Body AIMS: The main aim was to review scientific reports on juvenile idiopathic arthritis involving physical activity/exercise as a tool for preventing/ treating symptoms of the disease. The main questions were: what are the type of physical activities and characteristics of respective programs for JIA? Are there differences on type of physical activities intervention outcomes? DESIGN AND METHODS: Using a systematic review approach, we searched on the main international libraries (Journals Ovid Full Text, Scopus, Science Direct, Web of Science, Springer Link, JAMA, Wiley Online Library, SportDiscus and Medline) using the “juvenile idiopathic arthritis” combined with “physical activity” and/ or “physical exercise” terms, between 2001 and 2011. Abstracts were visually scanned searching for interventional studies. RESULTS: From the 422 found articles, only 17 attended the selection criterion. Aquatic fitness, aerobic-anaerobic training, resistance and power, and internet-based program were the main activities. All studies reported efficiency of their intervention programs, but most of them were individualized and emphasized only one type of activity. CONCLUSIONS: Although it seems that any kind of physical activity may contribute to improve disease outcomes, we discuss these results and advocate that physical activities for children with JIA must be multilateral, aiming inclusive for psychosocial benefits. Keeping appropriate specificity such as low impact games and safety measure, children with JIA must be, as much as possible, included in regular physical education (PE). This may be possible if lessons are planned on the basis of Adapted Physical Activities principles. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title PHYSICAL ACTIVITIES FOR OVERWEIGHT AND OBESE CHILDREN: THE RELATIONSHIP BETWEEN PSYCHOSOCIAL BENEFITS AND CHANGES ON OBESOGENIC HABITS Authors 1 1 1 1 1 1 M. Monteiro , A.C. Teixeira , E. Silva , K. Da Costa , P.V. Pereira , T. Aggeo , R. 1 1 Andrade , A. Souza Affiliations 1 Universidade Federal Do Rio Grande Do Norte, Natal, BRAZIL Body Aims: We aimed to test a motor activities program for overweight and obese children based on their preferences and needs. The program goal was to raise their health related quality of life based on active living rather than weight control. Design and methods: Eleven overweight, 8-16 years old children were involved in a motor activity program planned according to their preferences and choices of motor activities, combined with some other activities based on negotiation of our suggestions. One hour long physical education sessions occurred twice a week, including sports, indoor and outdoor recreational games, dance, as well as monthly meetings. Health related quality of life variables, using parents as a proxy, were the outcomes measures, but BMI and other anthropometric measures were also calculated. This is a longitudinal study. Results: Partial results indicated that parents reported relevant improvement on variables such as general health, participation, emotional and motor functioning as well as on autonomy. Changes on BMI were not significant. Conclusions: We discuss key impacts of a well oriented physical activity program on quality of life. We argue that this may be a sustaining factor for short and long term changes on obesogenic habits. Also that for child health and development weight control may contribute to improve disease outcomes but should not be the focus of programs. Improvement on the design includes a randomised control trial, increasing the sample, following up drop off cases, including a quality of life instrument for children. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title CONCENTRIC AND ECCENTRIC TORQUE IN COPD PATIENTS Authors 1 1 2 1 3 1 1 N. Rinaldo , G. Coratella , R. Depedri , C. Milanese , A. Rossi , F. Schena , M. Lanza Affiliations 1 Department Of Neurological, Neuropsychological, Morphological And Movement 2 Sciences, University Of Verona, Verona, ITALY, Faculty Of Exercise And Sport Science, 3 Cardiovascular And Thoracic Deparment, University Of Verona, Verona, ITALY, Pneumology, Ulss 20, Verona, ITALY Body Objective It has been shown that skeletal muscle strength of COPD patients is reduced and eccentric contraction resulted greater compared to control subjects, when normalized for lean body mass. The aim of the study is to access if eccentric and concentric peaks torque are correlated with disease severity. Design and method Thirty-four males with COPD (mean FEV1=66.9±19.1% of predicted and FEV1/FVC=55.4±14.1% of predicted, age 66.35±4.6 years, lean body mass at DXA 55.54±9.55 Kg) performed an isokinetic concentric and eccentric torque of the knee extensors on dynamometer at 30 and 210 deg/s. Pearson coefficient was used to detect correlation between independent and dependent variables. Results Both concentric and eccentric peak torque at 30 deg/s were correlated with FEV1 (0.470 p<0.01; 0.391 p<0.05) and FEV1/FVC (0.518 p<0.01; 0.424 p<0.05). Same results were observed at 210 deg/s: both concentric and eccentric peak torque were correlated with FEV1 (0.380 p<0.05 and 0.391 p<0.05) and FEV1/FVC (0.409 p<0.05 and 0.360 p<0.05). The ratio between eccentric and concentric peak torque was significantly correlated with FEV1 (-0.366 p<0.05) and FEV1/FVC (-0.436 p<0.05). Conclusions Our results confirm that muscle strength in COPD is correlated with severity disease both in concentric and eccentric torque at different angular velocities. Moreover, the eccentric peak torque showed less decrease than concentric one. Eccentric contraction is characterized by unique neural mechanisms, involving fast twitch motor units. Also, it has been shown that COPD hypoxemic condition leads fiber type shift towards fast twitch fibers. In conclusion, COPD patients seem to develop favorable profile to minimize strength loss. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title PROMOTING PHYSICAL ACTIVITY IN OLDER MALAYS WITH DIABETES: A RANDOMIZED CONTROLLED TRIAL Authors 1 2 1 S. Sazlina , C. Browning , S. Yasin Affiliations 1 Monash University Sunway Campus, Jeffrey Cheah School Of Medicine And Health 2 Sciences, Bandar Sunway, MALAYSIA, Monash University, School Of Primary Health Care, Notting Hill, AUSTRALIA Body Objective: This study aimed to evaluate the effectiveness of personalized feedback on physical activity pattern alone or together with peer support in promoting and maintaining physical activity. Designs and methods: A randomized controlled trial was conducted among sedentary adults aged 60 years and above with type 2 diabetes attending a primary health care clinic in Malaysia. A total of 69 participants were randomly allocated into 3 groups (23 in each group) for a 12-week intervention with a follow-up at 24 and 36 weeks to assess adherence. Group 1 is the control receiving usual care. Group 2 received personalized feedback on physical activity pattern and usual care. The participants in Group 3 received usual care, personalized feedback and peer support. A peer mentor has diabetes and provided social support to the participants. The primary outcome is pedometer-determined physical activity. The cardio respitory fitness, balance, glycosylated hemoglobin, cardiovascular risk factors, health related quality of life, general well-being, social support, and self-efficacy for exercise are the secondary measures. Results: At enrollment, there were no difference between the three groups except feedback group had higher cardio respiratory fitness than the controls. Preliminary results showed intervention groups had higher levels of physical activity than the control group. Conclusion: The outcomes of this study will be used to inform the development of physical activity interventions for older people in primary care and community settings. Trial registration: ISRCTN71447000 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title PHYSICAL TRAINING IMPROVES SURVIVAL RATE IN SEPSIS BY MODULATING HOST RESPONSE AND ATTENUATING RENAL TUBULAR INJURY Authors 1 1 2 3 4 5 M. Sossdorf , S. Meyer , K. Dahlke , A. Schrepper , C. Bockmeyer , A. Lupp , M. 6 7 1 8 Kiehntopf , J. Roedel , R.A. Claus , G.P. Otto Affiliations 1 Center For Sepsis Control And Care, Department Of Anesthesiology And Intensive 2 Department Of Experimental Care, Jena University Hospital, Jena, GERMANY, Radiology, Institute For Diagnostic And Interventional Radiology, Jena University 3 Hospital, Jena, GERMANY, Department Of Cardiothoracic Surgery, Jena University 4 Institute Of Pathology, Hannover Medical School, Hospital, Jena, GERMANY, 5 Hannover, GERMANY, Department Of Pharmacology And Toxicology, Jena University 6 Hospital, Jena, GERMANY, Institute Of Clinical Chemistry And Laboratory Diagnostics, 7 Centralized Diagnostic Laboratory Services, Jena University, Jena, GERMANY, Institute 8 Of Medical Microbiology, Jena University Hospital, Jena, GERMANY, Department For Internal Medicine Iii, Jena University Hospital, Jena, GERMANY Body Objective - Physical training is strongly associated with wide-ranging health benefits as well as overall reduced risk in all-cause mortality. This indicates that training-induced physiological adaptations may also influence the host response and outcome in severe infectious diseases. Therefore, we investigated the effect of 6 weeks endurance training on the host response and mortality rate in an experimental model of polymicrobial sepsis in mice. Design and Methods - C57BL/6N mice were either trained for 6 weeks on a motorized treadmill and by voluntary wheel running or housed normally. Polymicrobial sepsis was induced by intraperitoneal injection of a human faeces suspension. Kaplan-Meier survival analysis was performed for up to 192 hours. Blood and organ samples from mice were collected at baseline and after sepsis induction. To investigate the host response during sepsis we used different methods and we measured several parameters for example cytokines, oxidative stress markers, and bacterial organ load as well as plasma metabolic changes. Organ morphology and damage was characterized by immunohistological staining. Results - Physical training improved the survival rate in sepsis. Cytokine concentrations and several parameters reflecting organ damage were reduced in trained mice. Renal tubular injury was attenuated in trained compared to untrained mice. Metabolomic measurements revealed different inflammatory metabolic clusters between both groups. Conclusions - Physical training improves survival rate after severe infection by modulating the inflammatory response and attenuating the severity of organ injury in sepsis. These observations offer prospects for further research on the relationship between physical performance and outcome in severe infectious diseases. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title IMPACT OF PHYSICAL EXERCISE ON LIPID PROFILE AND ENDOTHELIAL FUNCTION AT OBESE SUBJECTS Authors 1 2 3 1 3 M. Vasilescu , A. Ionescu , G. Cosma , O. Neamtu , R. Dumitru Affiliations 1 Kinesiology And Sports Medicine Department, University Of Craiova, Craiova, 2 3 ROMANIA, University Of Medicine Carol Davila, Bucharest, ROMANIA, Physical Education And Sports Department, University Of Craiova, Craiova, ROMANIA Body The aim of our study was to research the effect of physical exercise intervention on lipid profile and arterial stiffness at young subjects diagnosed with obesity. Material and Methods. This research has been developed during 24 weeks and included 30 subjects with obesity (BMI=33±2.1), aged between 20-23 years (22±2.4years). Following the medical screening to rule out any conditions that might have precluded their participation, all subjects provided written informed consent. The subjects were instructed to maintain their accustomed dietary habits throughout the research. All subjects performed three daily sessions of maximal exercise (10 minutes of exercise, at 85-100%MHR intensity). Each exercise session was preceded by 3 minutes of warm up at 60-70% MRH. Results. After 25 weeks, the parameters value have shown significant improvements for all anthropometric and biochemical results. The statistical significance of parameters variation was: p=0.001 for the body weight, p=0.01 for body mass index, p=0.05 for waist circumference. P value was <0.001 for serum total cholesterol, LDL cholesterol, HDL cholesterol, and <0.05 for serum triglycerides. All investigated parameters showed significant evolution of arterial stiffness: p<0.05 for Diastolic Blood Pressure, Pulse Wave Velocity in the aorta and Systolic Blood Pressure in central aorta from emerging; p<0,001 for Augmentation Index and Systolic Blood Pressure. Conclusion. The results confirm that there is a major effect of daily multiple session of maximal exercise on lipid profile and arterial stiffness at obese subjects. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: DISEASE PREVENTION AND THERAPY: THE PRESCRIPTION OF PHYSICAL ACTIVITY Title SITE SPECIFIC RESISTANCE TRAINING CAN INCREASE BALP, TALP AND SEMI-DYNAMIC BALANCE IN OSTEOPOROTIC WOMEN Authors 1 G. Torkaman , N. Rezaei, S. Movasseghe, M. Hedayati, N. Bayat Affiliations 1 2 Tarbiat Modares University, Tehran, IRAN, Tarbiat Modares University, Tehran, 3 4 IRAN, Theran University Of Medical Sciences, Tehran, IRAN, Shahid Beheshti 5 University Of Medical Sciences, Tehran, IRAN, Baqiyatallah University Of Medical Sciences, Tehran, IRAN Body Object: Aging caused the decrease of the number and cross-sectional area of both type I and especially type II muscle fibers. So the loss of stimulation by postural muscles, may lead to bone loss, decrease of balance, and limitation of daily activities and quality of life. The current investigation was done to determine the effect of short-term site specific resistance training to promote bone formation and semi- dynamic balance in postmenopausal women with osteoporosis (OP). Design and Method: Twenty two volunteer postmenopausal women with OP were randomly divided into two groups: resistance training (RT), and control. RT consisted of 18 sessions of performing trunk, upper and lower body resistance exercises that progressed during 6 weeks from 50% to 85% 1RM. Body composition, bone-specific alkaline phosphatase (BALP), total alkaline phosphatase (tALP), and semi-dynamic balance (total stability index, TSI) were measured before and after the 6-week exercise program. Results: Fat mass decreased significantly (p=0.00) but fat-free mass changes was not significant in RT versus control group. BALP and tALP increased significantly in RT group. After 6 weeks of RT, TSI improved significantly in the exercise group. Conclusion: Results showed that the resistive exercise program stimulates bone synthesis and improving balance status on semi-dynamic condition in postmenopausal women with OP but, it seems that 6 week of doing RT is not enough for altering the fat-free mass. Key words: postmenopausal osteoporosis; resistance training; BALP; total ALP; semi-dynamic Balance. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: GENETIC IMPLICATIONS FOR HEALTH AND PERFORMANCE Title QUERCETIN SUPPLEMENTATION HAMPERS BRAIN SIRT1 EXPRESSION INDUCED BY EXERCISE Authors 1 2 3 3 R. Casuso , E. Martínez-lópez , D. Camiletti-moirón , V. Aparicio , R. 4 1 1 Martínez-romero , F. Hita-contreras , A. Martínez-amat Affiliations 1 2 Department Of Health Sciences, University Of Jaén, Jaén, SPAIN, Department Of 3 Music, Plastical Expression And Body Language, University Of Jaén, Jaén, SPAIN, Department Of Physiology, School Of Pharmacy And Institute Of Nutrition And Food 4 Technology, University Of Granada, Granada, SPAIN, Department Of Experimental Biology, University Of Jaén, Jaén, SPAIN Body Introduction: In times of energy demand, when there is an increase in NAD+/NADH ratio, SIRT1 expression is activated. SIRT1 protects against neurodegeneration and induces neurogenesis. Flavonoid quercetin increases SIRT1 expression in brain. We aimed to analyze the effect of quercetin on SIRT1 mRNA expression in the brain of trained rats. Methods: Three-weeks-old male rats were classified as: quercetin+training (n=9), placebo+training (n=8), quercetin+sedentary (n=8), placebo+sedentary (n=8). Exercise was conducted 5 days a week for 6 weeks in a rodent treadmill at a constant speed of 44cm/s with a 10% inclination. The first two days rats were ran during 20 minutes per day. Resistance training duration was increased by 5 min every two days. Until last week animals were required to run for a full 80min. Quercetin (25mg/kg on alternative days) was administered via gavage diluted in methylcellulose, placebo groups were also daily handled but they received only methylcellulose. Forty-eight hours after any exercise brain was removed and SIRT1 gene expression (RT-PCR) was performed. Results: Sedentary quercetin groups increased SIRT1 brain expression (P<0.001). However, trained quercetin groups showed that this flavonoid diminished SIRT1 expression (P<0.01). Placebo trained groups showed an increase in SIRT1 (P<0.001). Conclusion: Quercetin supplementation hampers training-induced SIRT1 expression in brain. These results could be due to the antioxidant effect of quercetin. Antioxidants are known to decrease PGC-1α, the main SIRT1 downstream target. Future research must focus on quercetin effects on neurodegenerative diseases and the role of exercise. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: GENETIC IMPLICATIONS FOR HEALTH AND PERFORMANCE Title QUERCETIN SUPPLEMENTATION HAMPERS BRAIN PGC-1<ALPHA> EXPRESSION INDUCED BY EXERCISE Authors 1 2 3 3 R. Casuso , E. Martínez-lópez , D. Camiletti-moirón , V. Aparicio , R. 4 1 1 Martínez-romero , F. Hita-contreras , A. Martínez-amat Affiliations 1 2 Department Of Health Sciences, University Of Jaén, Jaén, SPAIN, Department Of 3 Music, Plastical Expression And Body Language, University Of Jaén, Jaén, SPAIN, Department Of Physiology, School Of Pharmacy And Institute Of Nutrition And Food 4 Technology, University Of Granada, Granada, SPAIN, Department Of Experimental Biology, University Of Jaén, Jaén, SPAIN Body Introduction: PGC-1α is a transcriptional coactivator, which has been shown to be a master regulator of mitochondrial biogenesis and cellular energy metabolism. Flavonoid quercetin increases PGC-1α and mitochondrial biogenesis in brain. We aimed to analyze the effect of quercetin supplementation during training on brain PGC-1α mRNA expression. Methods: Three-weeks-old male rats were classified as: quercetin+training (n=9), placebo+training (n=8), quercetin+sedentary (n=8), placebo+sedentary (n=8). Exercise was conducted 5 days a week for 6 weeks in a rodent treadmill at a constant speed of 44cm/s with a 10% inclination. The first two days rats were ran during 20 minutes per day. Resistance training duration was increased by 5 min every two days. Until last week animals were required to run for a full 80min. Quercetin (25mg/kg on alternative days) was administered via gavage diluted in methylcellulose, placebo groups were also daily handled but they received only methylcellulose. Forty-eight hours after any exercise brain was removed and PGC-1α gene expression (RT-PCR) was performed. Results: PGC-1α brain expression was increased in sedentary quercetin groups (P=0.030). However, trained groups showed that quercetin diminished PGC-1α expression (P=0.008). PGC-1α was increased in placebo-trained groups (P=0.012). Conclusion: Quercetin supplementation hampers training-induced PGC-1α expression in brain. Results could be due to the affinity of quercetin for brain tissue where may exert its antioxidant effect. Antioxidants are known to decrease exercise-induced muscle mitochondria biogenesis. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title CHANGES OVER IMPAIRMENT OF COGNITIVE FUNCTIONS IN OLDER PEOPLE DIAGNOSED WITH ALZHEIMER'S DEMENTIA WHO RECEIVED A SPECIFIC PHYSICAL ACTIVITY PROGRAM Authors 1 2 3 D. Bartolomé De La Rosa , S. Sarmiento Montesdeoca , Y. Henríquez Del Pino , L. 4 5 6 Álvarez Piñera , D. Rodríguez Ruíz , J.M. García Manso Affiliations 1 2 European University Of Madrid, Madrid, SPAIN, University Of Las Palmas De Gran 3 Canaria, Las Palmas De Gran Canaria, SPAIN, Alzheimer Canarias Association, Las 4 Palmas De Gran Canaria, SPAIN, Alzheimer Canarias Association, Las Palmas De Gran 5 Canaria, SPAIN, University Of Las Palmas De Gran Canaria, Las Palmas De Gran 6 Canaria, SPAIN, University Of Las Palmas De Gran Canaria, Las Palmas De Gran Canaria, SPAIN Body People with Alzheimer dementia suffer a decline over their cognitive functions. This study evaluated changes over impairment of cognitive functions in older people with Alzheimer's dementia who received a specific physical activity program. Were evaluated 24 older people (21 women & 3 men) diagnosed with Alzheimer´s dementia (Mini Mental State Examination score: 15,88 ± 4,98), divided into an experimental group (9 women & 3 men, aged: 73,25 ± 6,66 years old) and a control group (12 women, aged: 82,50 ± 4,06 years old). Experimental group participated in a specific physical activity program and cognitive stimulation activities during 4 months, 5 days per week and in sessions of 50 minutes each one. At the same time, control group did not specific physical activity program but received cognitive stimulation. Mini Mental State Evaluation test evaluated impairment of cognitive functions at three different times, pre-intervention, post-intervention and post-intervention II (2 months later), for both groups. Statistics significant differences were found between post-intervention and post-intervention II (p=0,001; effect size: 0,48), and between pre-intervention y post-intervention II in experimental group (p=0,026; effect size: 0,42). We suggest physical activity can slow the impairment of cognitive functions in people with Alzheimer dementia. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title BMI TREND IN A COHORT OF CHILD BETWEEN 8 TO 13 YEARS OLD Authors 1 S. Bartoletti , V. Cupertino Affiliations 1 2 Azienda Sanitaria Provinciale, Cosenza, ITALY, Azienda Sanitaria Provinciale, Cosenza, ITALY Body The aim of this study is to follow the trend of BMI in a cohort of child between 8 to 14 years of age. Survey has been performed in 04/05, 08/09, and 09/10 academic years: 576 child (257F, 319M, 8 years and 5 months mean age); 523 (234F, 289M, 12 years and 5 months mean age); and 401 (169F, 232M, 13 years and 6 months mean age). Weight, height, and BMI calculation have been assessed. Data have been processed by statistical package SPSS. The ponderal excess is decreased: 39.8% (22.9% overweight,16.8% obese) at 8 year old (yo); 37.4% (27.1% overweight,10.3% obese) at 12yo; 37.5% (27.1% overweight, 10.3% obese) at 13yo. Obesity decreasing is observed more in females (15.9%, 6.8%, and 3.6) than males (17.5%, 13.1%, and 8.6%). Overweight increased in both cases. 382 child of this cohort underwent follow-up at 12yo (268 also at 13yo). The BMI trend is similar to that observed in the main cohort. In the follow-up, the 50% of obese at 8yo became overweight at 12yo (18% remained obese at the end). The 33% and 55% of obese in the two surveys became overweight but the 64% remained obese from 8 to 12yo, and the 35% from 12 to 13yo. Normal-weight were almost the same in the two surveys and slightly increased between the second and the third. Correlation index obtained by comparing BMI values at 8 and 12yo is 0.84 indicating that the weight/height ratio of 12yo child does not change. The overweight increasing causes a higher metabolic complication risk and it confirm that the prevention must be made earlier. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title DEVELOPMENT OF REMOTE SUPPORTING SYSTEM FOR ELDERLY TO CONTINUE SQUARE-STEPPING EXERCISE Authors 1 M. Nakagaichi Affiliations 1 Graduate School Of Health Sciences, Nagasaki Univesity, Nagasaki, JAPAN Body Background and aims: We have been developing the remote supporting system for elderly to continue square-stepping exercise that improve lower-extremity functional fitness. The purpose of this investigation was to evaluate the effects of long-term square-stepping exercise by using remote supporting system. Methods: Thirteen individuals aged 65-79 participated in square-stepping exercise program for 90 min, once a week, for 12 weeks. After this program, they have being continued square-stepping exercise by using remote supporting system by oneself. Prior to and after the program, we obtained information on 5 physical performance tests to calculate physical fitness age. After the program, progress of square-stepping exercise was followed-up for 6 months. Results and conclusions: After the program, significant improvements observed in leg power, locomotion speed. Additionally, physical fitness age decreased significantly after the program (3.7 yr). Among 6 month after the program, more than 70% of participants had continued to square-stepping exercise at least a once a week. These results suggest that, square-stepping exercise is effective improved to physical fitness age, further, easy to continue to using the remote supporting system. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title EFFECTS OF DIFFERENT EDUCATION PROGRAMS ON PHYSICAL ACTIVITY OF PRESCHOOL CHILDREN Authors 1 1 1 1 1 R. Roettger Katrin , E. Grimminger , F. Kreuser , L. Asslaender , A. Gollhofer , U. 2 Korsten-reck Affiliations 1 2 Institute Of Sport And Sport Science, University Of Freiburg, Freiburg, GERMANY, Department Of Rehabilitative And Preventive Sports Medicine, University Medical Center, University Of Freiburg, Freiburg, GERMANY Body Introduction: Physical Activity-Participation (PA) at preschool-ages is vital to establish lifelong physical activity habits. Due to the increasing out-of-home care for preschoolers these settings are of emerging interest. Therefore we investigated the influence of country-specific education-programs on physical activity of preschoolers. Comparing the three countries France, Germany and Switzerland we aimed to identify parameters to enhance and promote PA in early childhood. Methods: The pilot-study measurements were conducted in three cities of the tri-national region with similar population. N= 60 children (age: 5,6±0,59 years) of randomized chosen nursery schools in each city were measured by direct accelerometry for 7 consecutive days. Proxy-report diary and physical-activity questionnaire were completed by parents and caregivers. Anthropometrical data (weight, height, skinfold thickness) and socioeconomic data were obtained. Country-specific timetables and curricula were analysed. Results: Median daily activity was lower in French versus German and Swiss children (p < .01). In the forenoon (9-12.00) French children were significantly more passive than German or Swiss children (p < .01). In the afternoon Swiss children are significantly more active than French or German Children (p < .01). Direct accelerometry revealed no significant differences for physical activity between the children at the weekend but PA was lower at the weekend compared to weekdays (p < .05). Conclusion: Compared to the more unstructured system in Switzerland and Germany the regimented and highly structured French system leads to more inactivity in preschoolers on weekday especially in the forenoon. In conclusion, “open concepts” should be preferred for enhancing physical activity in contrast to desk-based teaching 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title PRACTICE OF PHYSICAL ACTIVITY, ANTHROPOMETRIC PROFILE, DIET AND METABOLIC PARAMETERS IN EXECUTIVES CHECK-UP Authors 1 1 1 1 1 1 1 P. Silva , K. Sarkis , C. Yamashita , A. Oliveira , C. Yabuta , A. Silva , A. Hayashi , A. 1 1 1 1 1 Carreiro , C. Kuperszmidt , R. Nahas , T. Rodrigues , R. Ciconelli Affiliations 1 Grupo Fleury, Sao Paulo, BRAZIL Body Objective: Compare the dietary profile, anthropometric and metabolic parameters in eligible executives check-up, according to the practice of Physical Activity. Methodology: 2551 customers who filled out the questionnaires about the practice of physical activity between 2010 and 2011. Were classified into active and sedentary (ACSM) and divided into two groups. Evaluated Body Mass Index (BMI), Waist Circumference (WC) and biochemical parameters. Statistical analysis used Student t-tests and Mann Whitney test. Significance p <0.05. Results: Mean age was 43.5 (± 8.9) years. 57.6% of subjects reported practicing regular physical activity, but according to ACSM, only 27.1% are active (p <0.001). The Active Group (AG) had a mean BMI and AC lower than Sedentary Group (SG) (26.2 kg/m2 vs. 27.3 kg/m2, 90.3 cm vs. 94.5 cm, respectively, p <0.001). Median AG was higher HDL-cholesterol (53 [45, 62] mg / dL vs. 48 [41.58] mg / dL, p <0.001) and lower in triglycerides (90 [68, 130] mg / dL vs. 110 [79, 154] mg / dL, p <0.001). In the food profile, there were differences in all variables (p <0.05), less for legumes. 61.6% of sedentary performed fewer than 4 meals / day vs. 43% of AG. Vegetables and fruits, at least 5x/week is higher in the AG (74% vs. 64%, 59% vs. 43% respectively). 47.3% of active individuals consume more than 500g of meat / week (vs. 37.7%). Conclusion: The lipid profile, anthropometric and food is the best active managers. It´s necessary pay particular attention to sedentary executives who consider themselves active. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title HEALTH-RELATED QUALITY OF LIFE: A 3 YEARS STUDY IN TRANSPLANTED ATHLETES Authors 1 V. Totti , M. Zancanaro, A. Nanni Costa, G.S. Roi Affiliations 1 2 Isokinetic Medical Group, Fitot, Bologna, Padova, ITALY, Isokinetic Medical Group, 3 4 Bologna, ITALY, Italian National Transplant Centre, Roma, ITALY, Isokinetic Medical Group, Bologna, ITALY Body Introduction Health-related quality of life is a marker in chronic diseases, allowing the quantification of the subjective perception of physical, emotional and social needs. The aim of this preliminary study was to evaluate longitudinal changes in the health-related quality of life in transplanted athletes, with a 3 years follow-up, through administration of the SF36 questionnaire. Methods The SF36 was completed by 11 transplanted athletes (39±12 yrs; 70±13 kg; 170±9 cm; 24.2±3.8 kg/m²) who received heart (1), liver (2), bone marrow (4), kidney (4) transplant. They had a mean age from transplant of 12.9±6.8 yrs and participated in competitions during 3 subsequent editions (2010-2011 and 2012) of the National Transplant Games. Results In the 3 years follow up the transplanted athletes showed non significant differences (ANOVA) in 7 scales of SF36: physical functioning (95±8, 97±5 and 96±5 in 2010, 2011 and 2012 respectively), body pain (92±11, 91±18, 87±20), general health (77±18, 76±19, 80±19), vitality (80±13, 80±11, 78±13), social functioning (91±13, 90±10, 91±15), role limitations due to emotional problems (95±11, 94±14, 94±20) and mental health (84±7, 83±12, 84±15). The scale of role limitations due to physical problems significantly increased (P<0.05) in 2012 compared to 2010 (91±13, 98±8, 100±0). Conclusions Transplanted athletes are able to maintain an unchanged perception of their state of physical and mental health in the observed period. Despite these transplanted athletes are not representative of the general transplant population, our preliminary data suggest that near-normal level of health-related quality of life is possible after transplantation, and that practicing sport activities can maintain a good quality of life. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title RUNNING SCHOOLS: A NEW CONCEPT FOR INTEGRATION OF HEALTHY AND ACTIVE LIFESTYLE IN CROATIA Authors 1 2 1 P. Vlahek , V. Matijevic-mikelic , P. Kisicek Affiliations 1 Special Rehabilitation Hospital Varazdinske Toplice, Spinal Unit, Varazdinske Toplice, 2 CROATIA, Clinical Hospital Center Sisters Of Mercy, Rheumatology Department, 3 Zagreb, CROATIA, University Of Kinesiology, Zagreb, CROATIA Body OBJECTIVE:Running is physical activity which was hundred years ago a dominant way of transportation from point A to point B in whole world and in underdeveloped countries today, still is. In last 100 years with increment of machines utilisation for transport, our bodies forgot to run and running and race participation is considered as a grueling and exhaustive sport, especially long distance running. Decreased physical activity produces variety of diseases with a great portion of overall morbidity and mortality. Physical exercise is proven to be a good preventive method and running is one of them. Aim of this study was to investigate if Running School Concept is good way to achieve this. DESIGN AND METHODS: We present a concept of Running Schools, where adult sedentary healthy people, with no experience in running, are led from absolute beginner to halfmarathon (21.1km) finisher in 5 months, training 3-5 times a week, supervised by trainers and a medical doctor. Participants took the questionnaire after finishing the halfmarathon. RESULTS: More than 100 individuals out of 110 who entered The School in 2011., finished halfmarathon, and 72 took the questionnaire. On average participant lost 3 kilograms, average BMI fell from 23.17 kg/m2 to 22.56, kg/m2, average halfmarathon time was 1 hour 55 minutes. Other parameters were measured, too. The participants continued running after The School. CONCLUSION: We conclude that Running School Concept is a good way in introducing and maintaining active and healthy lifestyle as a disease prevention. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: LIFESTYLE-INTEGRATED PHYSICAL ACTIVITY Title SPORTS MEDICINE KNOWLEDGE AND ETHICAL CHALLENGES OF OLYMPIC EDUCATION Authors 1 2 C. Hadjistephanou-papaellina , E. Isidori Affiliations 1 2 Department Of Education, University Of Cyprus, Cyprus, CYPRUS, Department Of Educational Sciences, University Of Rome "foro Italico", Rome, ITALY Body OBJECTIVE: The aim of this study is to demonstrate that modern sports medicine, often accused of scientific reductionism in its approaches to the problems of sport, is both a human and a pedagogical knowledge that can contribute to the development of Olympic Education. DESIGN AND METHOD: This research, divided in two parts and developed by studying ancient literary and philosophical sources, will focus on the concept of therapeia, which will be analyzed using a historical method (first part) and a hermeneutical method (second part and conclusions). RESULTS: The hermeneutical analysis of Olympic sport in ancient times, summed up in the practice of therapeia, showed a unified medical knowledge. A knowledge of the body and of the mind at the same time, which was not divided between a philosophical, educational, and a religious theoresis, on one hand, and an experimental practice, on the other hand, because it was embodied in the physician-therapist who was at the same time teacher, priest and keeper of the agonal/sport knowledge. Contemporary Olympic education, now secularized, has lost its religious component, replaced by a secular ethics of sport and a secular paideia, and has forgotten the fundamental role that medical knowledge has historically played in its genesis. CONCLUSIONS: This study has shown that sports medicine, a holistic knowledge not dichotomized and centered on the concept of therapeia, can help to reaffirm the centrality of the person - seen in its unity of body and mind - in the Olympic sport, contributing through an exhortatory ethical methodology rather than a prescriptive one to the development of the Olympic values. References: De Coubertin P. (2000). Olympism. Selected Writings, ed. N. Müller, IOC. Lausanne Donghi P., Preta L. (1995), Eds. In principio era la cura. Fondazione Sigma-Tau/Laterza. Roma-Bari Longrigg J. (1998). Greek Medicine. From the heroic to the Hellenistic Age. A source book. Routledge. London-New York. Miller, S. G. (2004). Arete. Greek sport from ancient sources. University of California Press. Los Angeles: CA. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MISCELLANEA Title THE EFFECT OF SELECTED DIET ON SOME PHYSIOLOGICAL CHARACTERISTICS OF PROFESSIONAL ARCHERS, WOMEN IN LUTEAL PERIOD. Authors 1 1 1 1 S. Ghasempour , F. Ghasempour , K. Ebrahim , H. Ahmadi Affiliations 1 Archery Fedration Ofiran, Tehran, IRAN Body [email protected] The purpose of this study is the investigate the effect of selected diet on some physiological characteristics of professional archer,s women in luteal period.For this purpose,20 women of Iran archery national team(compound and recurve)with difference levels(level A and level B) were selected.They were categorized into two groups(experimental and control group). The physical characteristics for experimental group were:age:26/3 ±2/36yr,weight:60/2 ±3/39kg,height:166/4 ±4/38cm and for controle group were:age:24/6 ± 2/12 yr,weight:61 ±4/92kg,height:165/9 ±4/33cm.All participants were asked to fill in questionnaire about their periods .furthermore, their heart beats,blood pressure and the Vo2max were measured in pre-test and after-test.For both test a record was taken from athletes.Participants had to shoot 36arrows to target with 122×122cm with distance a 70m. The sum of scores for each participants, With spss17 :Statistical analysis by using descriptive statistics,Levin test for confirming or refuting variance,t-student test for comparing the means of pre-test and after-test,independent t-student test for comparing the difference between experimental and control group.The result of this study shows that there are a meaningful relationship between the selected diet (include 50gr soy nuts and soy milk Everyday)and some physiological charctristics such as heart beats,blood pressure,Vo2max and also archers records(shooting36 arrows) .To summarize the result of study proposed that a phytoestrogen diet can prevent the decrease of archers record in luteal period. Keywords: selected diet, physiological characteristics, professional archers, women in, luteal 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MISCELLANEA Title ASSESSMENT OF QUADRICEPS STRETCHING IN PFPS Authors 1 2 3 F. Graziani , J. Coudreuse , S. Mesure Affiliations 1 2 Sport Medical University Marseille, Marseille, FRANCE, Sport Medical University 3 Marseille, Marseille, FRANCE, Staps University Marseille, Marseille, FRANCE Body background : In Patellofemoral pain syndrome (PFPS) many authors (1) found a weakness in eccentric muscle strength,. It could represent a runway for treatment of PFPS. But Eccentric muscular work is maybe not the more efficiency. So what can be expected with stretching Quadriceps on the PFPS? Objectives : To compare the knee pain and the quadriceps strength before and after Quadriceps Stretching. Material and Methods : For each patients the two knees were selected to make comparison between healthy and not healthy knee. EVA method was used to assess the pain and that before and after stretching . Isokinetic Test was practiced always in the same chronology: Training the test with the healthy knee at three speeds. Then, assessment of the injured knee at the three same speeds followed by Quadriceps stretching (3x 20 sec) and a last isokinetic evaluation . Results : With 20 patients evaluated 10 improved their strength upper 20% .We also assess a diminution of the pain 2.3 in average with 14 patients Conclusions: Upper strength and decrease of pain after stretching were notified. Quadriceps stretching in PFPS should be an alternative at the muscular eccentric work . References (1) Clark DI and al Physiotherapy for anterior knee pain : A randomised controlled trial ,Ann Rheum Dis 2000;59:700-4 (2) Folwes JR and al .Reduced strength after passive stretch of the human plantar flexors . J Appl Physiol 2000; 89:1179-88 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MISCELLANEA Title MELOXICAM AS A TREATMENT FOR LOW BACK PAIN IN ATHLETES Authors 1 N. Syrmos Affiliations 1 . Neurosurgery Department, Venizeleio General Hospital,heraklion,crete,greece, Heraklion,crete,greece, GREECE Body Meloxicam as a treatment for low back pain in athletes N. Syrmos1,3, V. Giannouli 2 ,A.Mylonas3 , G. Gavridakis4 ,K. Grigoriou1, V.Valadakis1,C. Iliadis1,D.Arvanitakis1 1. Neurosurgery Department, Venizeleio General Hospital,Heraklion,Crete,Greece 2. Psychologist, MSc Cognitive Psychology and Neuropsychology, Aristotle University of Thessaloniki, Macedonia, Greece 3 Department of Anatomy, School of Sports Science,. Aristotle University of Thessaloniki, Macedonia,Greece . 4.CT –scan Department, Venizeleio General Hospital,Heraklion,Crete,Greece Aim - The aim of the study was to investigate and to evaluate the clinical effects , the safety and the efficacy , of meloxicam administrated for low back pain in athletes Material-Methods - This retrospective study included 20 athlets suffering from low back pain , without any previous treatment, and who did not need surgery. 20 patients, 5 female -25% - 15 male -75%-, mean age 33years, range 20-40 years Meloxicam therapy was conducted using intramuscular injections of 15 mg daily during 7 days with following oral drug intake -1 tablet daily- during other 7 days . Total treatment duration was 2 weeks. This treatment regime proved to be effective. The subjective meloxicam efficacy was the following: moderate- 5 cases ,25% . good-5 cases , 25% very good 10 cases,50% Conclusion - This study therefore demonstrates that meloxicam 15 mg i.v. followed by oral therapy seems to be safe, well tolerated and efficacious in the treatment of . low back pain in athletes .Further studies were warranted 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MISCELLANEA Title GROWTH, PUBERTAL DEVELOPMENT, MENSTRUAL FUNCTION, BONE ACQUISITION AND HORMONAL HOMEOSTASIS IN ELITE RHYTHMIC GYMNASTS Authors 1 2 M. Leglise , N.A. Georgopoulos Affiliations 1 Vice President Of International Federation Of Gymnastics (fig) President Of 2 International Federation Of Gymnastics Medic, Lausanne, SWITZERLAND, University Of Patras Medical School, University Hospital Division Of Reproductive Endocrinology, Department Of Obstetric, Rio Patras, GREECE Body 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MISCELLANEA Title STRATEGIES AND RECOMMENDATIONS FOR MANAGING ATHLETE BEHAVIOUR Authors 1 2 3 B. Harris-reeves , J. Skinner , P. Milburn Affiliations 1 2 Griffith University, Gold Coast, AUSTRALIA, Griffth University, Gold Coast, 3 AUSTRALIA, Griffth University, Gold Coast, AUSTRALIA Body This study investigated the behaviour management practices used by beginning coaches. It is recognised that a well-managed coaching environment can provide a dynamic and engaging learning experience for athletes. Despite this, the behaviour of athletes can often interfere with the coaching process. Coaches can have a profound effect on the athletes they train, and it is for this reason coaches need to ensure they create positive training environments. This study identified the limited literature surrounding strategies for managing athlete behaviour, highlighting the importance of developing a behaviour management approach applicable to the coaching context that caters to the needs of both coaches and athletes. The research investigated behaviour theories designed for the school environment, and explored how these theories may be adapted to a sporting context. Data collection focussed on seven beginning coaches with little or no prior coaching experience. The objective of the data collection was to investigate whether beginning coaches implement behaviour management into their coaching practice. The research findings indicate the strategies employed by beginning coaches were limited. The majority of strategies used were verbal, intrinsic and consequent when responding to inappropriate athlete behaviour. This is despite many behavioural theorists recognising the effectiveness of non-verbal and extrinsic motivators, and the establishment of rules and expectations known as antecedent strategies. The literature and data collected in this study enabled the researcher to develop behaviour management recommendations for coaches. The main objective of these strategies was to provide coaches with a set of guidelines for managing athlete behaviour. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MOLECULAR BIOLOGY AND SPORT Title EXERCISE-INDUCED HEMORHEOLOGY EFFECTS IN YOUNG SUBJECTS Authors 1 1 1 2 R. Alis , M. Romagnoli , S. Ibañez , A. Vaya Affiliations 1 2 Catholic University Valencia (valencia, Spain)., Valencia, SPAIN, Hemorheology And Thrombosis Unit, La Fe University Hospital, Valencia, SPAIN Body Introduction: There is little information regarding the effect of acute exercise on blood rheological parameters in young subject [1]. We aimed to analyze the whole rheological profile in young subjects after acute exercise. Methods: Ten young subjects aged (12 to 16) performed an incremental maximal treadmill test. Blood samples were collected before and after cessation of exercise. Erythrocyte deformability at 12, 30 and 60 Pa, erythrocyte aggregation, fibrinogen, native blood viscosity and at 45% corrected hematocrit, plasma viscosity and basic hematological parameters were analyzed according to previous studies of our group [2]. Differences between pre and post measures were assessed using an ANOVA test. P values <0.05 were considered statistically significant. Results: Erythrocyte deformability indexes decreased at all the shear stresses tested (p<0.001). Hematocrit augmented (pre: 40,40±2,84 %, post: 41,84±2,85 %, p<0,05). Plasma viscosity increased (pre: 1,22±0,04 mPa•s, post: 1,27±0,05 mPa•s, p<0,05). Native blood viscosity increased but not significantly (pre: 4,02±0,66 mPa•s, post: 4,20±0,47 mPa•s, p=0,378). Discussion The results of the present study indicate that acute exercise modifies blood rheological behavior, increasing hematocrit, plasma viscosity and decreasing erythrocyte deformability. However the magnitude of these changes is not relevant enough to modify blood viscosity. References 1. Brun, J.-F., et al., Hemorheological alterations related to training and overtraining. Biorheology, 2010. 47(2): p. 95-115. 2. Vayá, A., et al., Metabolic alterations in morbid obesity. Influence on the haemorheological profile. Clinical hemorheology and microcirculation, 2011. 48(4): p. 247-255. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MOLECULAR BIOLOGY AND SPORT Title THE ELASTIN AND FIBRILLIN2 GENES AND THE RISK OF ACHILLES TENDON PATHOLOGY Authors 1 2 2, 3 4 5 1 L. El Khoury , M. Posthumus , M. Collins , C. Handley , J. Cook , S. Raleigh Affiliations 1 The Division Of Health And Life Sciences, University Of Northampton, Northampton, 2 UNITED KINGDOM, Uct/ Mrc Research Unit For Exercise Science And Sports Medicine, 3 Faculty Of Health Sciences, University Of Cape Town, Cape Town, SOUTH AFRICA, 4 South African Medical Research Council, Cape Town, SOUTH AFRICA, School Of Human Biosciences And The Musculoskeletal Research Centre, La Trobe University, 5 Melbourne, AUSTRALIA, Centre Of Physical Activity And Nutritional Research, School Of Exercise And Nutrition Sciences, Deakin University, Melbourne, AUSTRALIA Body Objective: Achilles tendon pathology (ATP) is a multifactorial condition for which genetic risk factors have been identified. Variants within the COL5A1, MMP3 and GDF-5 genes have been associated with this condition. The Elastin (ELN) proteins give elasticity to tendons, allowing them to stretch and return to their original state. The Fibrillin-2 (FBN2) glycoproteins play important roles in the formation of microfibril filaments, providing strength and flexibility to tendons. Mutations within the ELN and FBN2 genes have been linked to Marfan’s syndrome and contractual congenital arachnodactyly respectively. Furthermore, the ELN rs2071307 and the FBN2 rs331079 variants have been found to associate with aortic and intracranial aneurysm respectively; therefore disrupting the extracellular matrix. The aim of this study was to determine whether these polymorphisms were associated with the risk of ATP in two independent populations. Design and Method: 213 (115 ATP cases and 98 asymptomatic controls) South African Caucasian participants and 209 (60 ATP cases and 149 asymptomatic controls) Australian Caucasian participants were recruited for this case-control genetic association study. All participants were genotyped using TaqMan technology for the ELN G/A rs2071307 and FBN2 G/C rs331079 polymorphisms. Results: The genotype frequency of FBN2 rs331079 was significantly different (P=0.043) between the ATP (GG, 86.2%; GC, 13.2%; CC, 0.6%) and CON (GG, 76.9%; GC, 21.0%; CC, 2.1%) groups. There was no significant association between ELN rs2071307 (P=0.804) and risk of ATP. Conclusion: This study shows for the first time that variation within the FBN2 gene is associated with ATP in Caucasian cohorts. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: MOLECULAR BIOLOGY AND SPORT Title PLATELET-RICH PLASMA AND TGF-BETA ANTAGONISTS AS NEW POTENT THERAPEUTICS FOR MUSCLE INJURIES REPAIR Authors 1 2 2 3 3 2 R. Kelc , M. Trapecar , L. Gradisnik , R. Mlakar , M.S. Rupnik , A. Cencic , M. Vogrin 1 Affiliations 1 Department Of Orthopaedic Surgery, University Clinical Center Maribor, Maribor, 2 Department Of Biochemistry And Nutrition, Faculty Of Medicine, SLOVENIA, 3 University Of Maribor, Maribor, SLOVENIA, Institute Of Physiology, Faculty Of Medicine, University Of Maribor, Maribor, SLOVENIA Body Injured skeletal muscle repairs spontaneously via regeneration; however, this process is often incomplete because of fibrotic tissue formation. Growth factors from platelet-rich plasma (PRP) with proven effects in tendinous and ligamentous healing have not yet been studied in skeletal muscles mainly due to the concern that exogenous TGF-β application could lead to even greater fibrosis development in an injured muscle. Therefore, only some TGF-β antagonists like decorin have shown their positive role in muscle repair so far. Therefore in our study, we investigated and compared the effects of PRP and decorin in skeletal muscle regeneration. A novel myoblast cell culture, developed in our laboratory was used for evaluation of potential bioactivity of PRP and decorin. The influence on cells mitochondrial activity, TGF-β level and myostatin (MSTN) was studied in parallel with cell proliferation assay. Our results clearly showed that PRP treated myoblasts have a significant increase in the mitochondrial activity and in the cell proliferation rate as compared to those treated with decorin and control cells. At the same time lower expression of TGF-β and MSTN was evident in PRP treated myoblasts, although PRP itself contains some amount of TGF-β. Despite concerns about promoting fibrosis developement, PRP inhibits the TGF-β and MSTN activity to even greater extent than decorin. We can conclude that PRP can be a highly potential therapeutic agent for skeletal muscle regeneration and repair. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title ORIGINAL METHOD TO CALCULATE SUBJECT MAXIMUM FAT OXIDATION ( S.FATMAX ) WITH INDIRECT CALORIMETRY Authors 1 P. Azzolini Affiliations 1 Institute Of Sport Medicine Fmsi University Of Bologna, Bologna, ITALY Body Objective: Determine the subjective maximum fat oxidation ( FATMAX ) using Indirect calorimetry Design and method: It becames clear that the value of FatMax can not be predicted on the basis of a percentage of VO2max but must be calculated directly on the subject. The distribution of lipid-carbohydrate oxidation depending on the RER is calculated using two stoichiometric formulas: Fat (g / min) = 1.67 * VO2 - 1.67 * VCO2 CHO (g / min) = 4.55 * VCO2 - 3.21 * VO2 Subjects completed a progressive exercise test on a cycloergometer and RER and VO2 were registered using Ergospirometer ( Breeze). Workload was increased by 35 watt at 3 min intervals. The FatMax will match the step at which occurs the most high fat consumption in absolute terms. The FatMax will be expressed in terms of workload (watts ) and heart rate recorded at steady state. Through our software implementation (Polimedicus by P.L.Azzolini) the calculation of FatMax can be completely automated. Results: fatmax does not coincide with the minimum value of Rer recorded during the test. From a point of view the percentage of lipid are greater the more lower the RER, but the absolute values also depend on the intensity of the effort, that is, the energy requirements (VO2). Conclusions: Confronting fat oxidation at each work load, we can take the maximum value obtained as the actual fatmax for the subject.As we may suspect the workload for Fatmax may change slightly or more strongly in the same subject depending on his/her sedentary or training state. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title TREATMENT OF THE ACHILLE'S TENDINOSIS WITH PLATELET RICH PLASMA (PRP) Authors 1 1 1 1 M. Gelfi , F. Caroli , R. Griner , D. Mazzoleni , E. Agostinelli Affiliations 1 2 Italian Federation Of Sport Medicine, Bergamo, ITALY, Italian Federation Of Sport 3 4 Medicine, Bergamo, ITALY, Italian Federation Of Sport Medicine, Bergamo, ITALY, 5 Italian Federation Of Sport Medicine, Bergamo, ITALY, A.o Treviglio, Bergamo, ITALY Body AIM - The aim of this study is to illustrate a case report of treatment with PRP of overuse Achille's tendinopathy presents for 2 years in a runner and resistant to conventional therapeutic approaches and with indication to surgical treatment. MATERIALS AND METHODS - Preparation of the prp 450 ml of whole blood are fractionated through a simple centrifugation, thereby obtaining a buffy coat that is placed under stirring for 24 h; a second centrifugation then allows to obtain 50-60 ml of prp aliquotted in 5/6 samples of 8-10ml. At the time of 'infiltration 6 ml of prp are mixed with 1 ml of calcium gluconate and 1 ml of autologous thrombin,also obtained by venipuncture. Infiltration technique After local anesthetic,a 21 gauge needle is placed at 2 cm from the calcaneal inserction. Pushed the needle in the depth direction is oriented parallel to the tendon and pushed up to 4 cm along a considerable portion of the tendon body. By pulling back the needle the growth factors are injected in the most uniform way as possible. This operation is repeated three times,by changing the trajectory of a few degrees in ascent of the needle thus achieving a uniform distribution throughout the body of the tendon. RESULTS - The patient, that received 3 infiltration(one each 7 days),at the first visit, showed at the MRI images, a tendinosis degeneration of the tendon body and a VISA-A score of 29. The follow up at 30,90 and 180 days showed a progressive regression of symptoms confirmed by the improvement of the VISA-A score 45,51,97. MRI images at six months showed a normalization of tendon in line with the complete disappearance of symptoms. CONCLUSION - In light of the clinical outcomes,the minimum impediment to the patient and the safety and low cost of treatment,we believe the PRP is a valuable therapeutic option for patients that do not respond to conventional therapy before addressing them to surgery. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title INFLUENCE OF A CUSTOM MADE MAXILLARY MOUTHGUARD ON EXERCISE PERFORMANCE OF AMATEUR ROAD CYCLISTS Authors 1 1 1 1 1 1 P. Malpezzi , S. Uliari , M. Spiridonova , G. Grossi , F. Terranova , G. Collini , G. 1 1 1 Mazzoni , L. Amabile , G. Grazzi Affiliations 1 Center Of Biomedical Studies Applied To Sport, University Of Ferrara, Ferrara, ITALY Body Aim: To evaluate the influence of a custom made maxillary mouthguard (Parabite Malpezzi®, PM) on submaximal and maximal physiological parameters determining performance in road cycling. Methods: Ten well-trained amateur road cyclists (35±5 yr.) performed an incremental cardiopulmonary test until exhaustion on a frictional braked cycle ergometer, with work rate (WR) increase of 15 watts per minute at a freely chosen pedaling cadence. WR, heart rate, oxygen consumption (VO2), carbon dioxide production, and ventilation at Lactate Threshold (LT), at Respiratory Compensation Point (RCP) and at maximal exercise (MAX) were determined in normal condition (C) and wearing PM, made with an original method based on gnathological and anthropometric parameters. Cycling economy was also evaluated by analyzing the slope of the VO2/WR (δVO2/δWR, mL/watt/min) relationship during the test in the two experimental conditions. Results: Wearing PM compared to C resulted in an average significant 6% and 4% increases of WR at RCP (281±32 vs 266±19 watts, P=0.04) and at MAX (353±44 vs 339±38 watts, P=0.004) respectively. Wearing PM also resulted in a 8% lower δVO2/δWR (9.5±1.1 vs 10.3±1.1 mL/watt/min, P=0.06) while did not significantly alter any of the other measured parameters at LT, RCP and MAX. Conclusion: Wearing individually fitted maxillary mouthguard enhanced cycling economy and exercise performance above Lactate Threshold, while did not affect other parameters generally associated with cycling performance. These preliminary results provide support to encourage athletes to correct jaw posture and occlusal clench in order to improve exercise performance. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title MRI APPLIED TO THE CYCLE OF KNEE JOINT INJURIES REHABILITATION OF SOCCER PLAYERS: IS IT USEFUL? Authors 1 2 3 M. Miceli , M. Ridolfi , P. Zunarelli Affiliations 1 2 U.o, Radiologia S. Giovanni In Persiceto E Ospedale Maggiore, Bologna, ITALY, U.o. 3 Radiologia D' Urgenza Ospedale S. Orsola, Bologna, ITALY, Centro Di Riabilitazione Isokinetic, Bologna, ITALY Body Introduction Aim of our work is to demonstrate that the use of MRI applied to soccer players with knee pathologies can influence diagnosis and treatment, and can be useful for a better management of patient’s rehabilitation. Materials and Methods With a low-field MR scanner (Esaote S-scan, 0,25 T) 1153 examinations were performed during a period of 16 months (9/10 – 5/12), of which 434 knee joint examinations, mostly of soccer players. The main clinical queries were the evaluation of the menisci and the cruciate, the collateral and the alar ligaments, the articular cartilage, subchondral bone and marrow diseases, in particular the evaluation of bone bruise, the characterization of osteonecrosis and postoperative evaluation. Results MRI can decrease both morbidity and costs associated with negative arthroscopic examinations. MRI has also proved valuable in the selection of surgical candidates and in preoperative planning. New 3D volume techniques performed for the specific study of articular cartilage can reduce the gap between high and low-field systems. Additional advantages of MRI are multiplanar and thin-section capabilities and the ability to evaluate subchondral bone and marrow. Conclusions The evident advantage of high-field MR scanners is their higher signal-to-noise ratio, which results in improved imaging. On the other hand, the cost savings associated with low-field MRI hardware are obvious. In our recent experience, according to many authors, the use of MRI applied to sports knee injuries can influence diagnosis and treatment, re-enforcing the pre-imaging diagnosis and increasing post-imaging diagnostic confidence, and can lead to a better management of the cycle of patient’s rehabilitation. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title THE EFFECT OF SINGLE WHOLE-BODY CRYOSTIMULATION ON OXIDANT-ANTIOXIDANT BALANCE AND INFLAMMATORY PROCESS IN FOOTBALL PLAYERS Authors 1 2 1 3 3 C. Mila-kierzenkowska , A. Jurecka , A. Wozniak , A. Araszkiewicz , B. Augustynska , 1 1 R. Wesolowski , P. Sutkowy Affiliations 1 Collegium Medicum Of Nicolaus Copernicus University - The Chair Of Medical Biology, 2 Bydgoszcz, POLAND, Collegium Medicum Of Jagiellonian University - Department Of 3 Collegium Orthopaedics And Musculoskeletal Traumatology, Krakow, POLAND, Medicum Of Nicolaus Copernicus University - Department Of Psychiatry, Bydgoszcz, POLAND Body Objective - Whole-body cryostimulation performed as a series of 10 sessions reduces oxidative stress due to training, however such exposure to low temperatures stimulates free radicals generation. The aim of the study was to determine the effect of single whole-body cryostimulation prior exercise on markers of oxidative stress and inflammatory process in blood of football players. Design and Method - Blood samples were taken form basilic vein of 10 football players (mean age 24.3±3.83) four times: before the experiment, right after 3 min whole-body cryostimulation at temp. -130 centigrade, after 40 min aerobic exercise preceded by cryostimulation and after comparable exercise, but without cryostimulation. In blood of subjects the activity of superoxide dismutase, glutathione peroxidase, catalase and creatine kinase, the level of thiobarbituric acid reactive substances, conjugated dienes, vitamins A, E, total lipid peroxides, IL-1β, IL-6, TNF-α and TGF-β was assayed. Results - In studied group no changes in antioxidant enzymes activity and level of lipid peroxidation products, vitamins, and total lipid peroxides were found. We have observed 55% decrease (p<0.001) of IL-1β level after exercise with cryostimulation versus value before the study. Moreover, after exercise with cryostimulation IL-6 was 142% higher (p<0.01), while after exercise without exposure to low temperatures 174% higher (p<0.001) than after single session in cryochamber. There were no differences in TNF-α and TGF-1β, and creatine kinase activity. Conclusions -Single whole-body cryostimulation has no impact on parameters of oxidative stress. Nonetheless, it seems to affect some cytokines what suggest that stimulation with extremely low temperatures prior to exercise regulates the local inflammatory reaction 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title THE EFFECT OF WHOLE-BODY CRYOSTIMULATION DURING TRAINING ON HEMATOLOGICAL AND BIOCHEMICAL PARAMETERS IN BLOOD OF KAYAKERS Authors 1 2 2 3 4 R. Wesolowski , A. Wozniak , C. Mila-kierzenkowska , A. Rakowski , P. Rajewski , T. 5 Boraczynski Affiliations 1 Student Scientific Group Of Medical Biology, Collegium Medicum Of Nicolaus 2 Copernicus University, Bydgoszcz, POLAND, The Chair Of Medical Biology, Collegium 3 Medicum Of Nicolaus Copernicus University, Bydgoszcz, POLAND, Zawisza Civilian 4 And Military Sports Union, Bydgoszcz, POLAND, Department Of Nephrology And 5 Internal Medicine, City Hospital, Bydgoszcz, POLAND, Central Research Laboratory, Jozef Rusiecki Olsztyn University, Olsztyn, POLAND Body Objective - Actual research in sports medicine often focuses on importance of recovery strategies, including cryostimulation, in the course of training. The purpose of this study was to determine the effects of whole-body cryostimulation applied during training on selected morphological and biochemical parameters in kayakers’ blood. Design and Methods - The studied group consisted of 11 kayakers subjected to twenty sessions of whole-body cryostimulation during typical training cycle. The blood samples were obtained before and after 10-days training cycle with cryostimulation. The count of white blood cells, neutrophils, lymphocytes, monocytes, eosinophyls, basophyls, red blood cells, and platelet, and the value of hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin and mean corpuscular hemoglobin concentration were measured in hematological analyzer. The level of cortisol, testosterone, follicle-stimulating hormone, free tri-iodothyronine and free thyroxine was also estimated in blood. Results - No changes in hematological parameters were found comparing the values before and after training cycle with cryostimulation. However, higher than reference red blood cells count was noticed before and after training. After training with cryostimulation about 10% increase (p<0.05) of free thyroxine was found, but it was still within reference value. In case of cortisol and testosterone higher than reference values were observed both before and after training cycle. Conclusions - The results demonstrate that training with cryostimulation affects concentration of free thyroxine what may be due to intensified metabolism. Higher than reference values of red blood cells count, cortisol and testosterone observed in kayakers are probably the result of adaptive changes to intense exercise. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title HYALURONAN BEFORE OSTEOARTHRITIS. : ABOUT 339 SPORTSMEN Authors 1 2 J. Volante , M. Bouvard Affiliations 1 2 Institut National Du Sport, Paris, FRANCE, Centre De Biologie Et De Médecine Du Sport, Pau, FRANCE Body Introduction: Hyaluronic acid is commonly used as treatment of knee osteoarthritis. Runner the postulate that the mechanisms that underlie its effectiveness are applicable to other joints and before osteoarthritis or for traumatic cartilage lesions, we use it in these indications for more than ten years. Method: Retrospective study analysing the effectiveness of the viscosupplementation through a questionnaire assessing pain, athletic/professional level, pain relief on a daily basis and satisfaction. All of the lesions have been classified Kellgren 0 and staging of the ICRS for the knee. Definition of the criteriae for response on the sedation of pain, and the maintenance of the sport/professional level. We also searched prognostics factors for the knee, only joint with sufficient sample size expected.Results: 339 protocols have been realized (279 knees with single cartilaginous injury, 61 patients with associated treated meniscal tear, 29 hips, 31 ankles) and 7 painful aftereffects of osteochondritis. Overall effectiveness was 49,85% (single chondral injury : 46.26%,chondral injury plus meniscal tear both treated : 60,66%, 44,82% for hip and 57.14% for the ankle). In the knee, the stage lesion did not impact on efficiency (p = 0, 17), neither the presence of an associated meniscal tear non treated (p = 0, 15); the pursuit of a support activity is correlated with a loss of efficiency (p = 0. 039). Discussion: This study is interesting as far as no study in vivo exists regarding the use of hyaluronic acid in support of isolated micro traumatic or traumatic chondral lesions. Efficiency appears interesting, almost equal to that found in the available studies on arthritis in these joints. Conclusion: The use of hyaluronic acid for the treatment of the pain of single traumatic or microtraumatic cartilage injury appears safe, with an interesting efficiency to be confirmed by studies of high level of evidence. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NEW TECHNOLOGIES IN SPORTS MEDICINE Title VISCOSUPPLEMENTATION OF SMALL JOINTS: ABOUT 84 PATIENTS Authors 1 2 J. Volante , M. Bouvard Affiliations 1 2 Insep, Paris, FRANCE, Centre De Medecine Du Sport De Pau, Pau, FRANCE Body Introduction: sport is regularly subjected to high joint stresses leading to articular cartilage diseases either traumatic or micro traumatic even early osteoarthritis, whose site is based on the type of solicitation. Starting from the premise that the mechanisms underlying the efficacy of viscosupplementation for osteoarthritis of the knee are applicable to other joint sites, we have expanded our indications, certainly at the ankle and hip joints but also less traditional: shoulder, elbow, acromioclavicular, subtalar, wrist, trapeziometacarpal. We tried to evaluate the efficacy of hyaluronic acid through a study covering 10 years of practice in our unit. Method: Retrospective descriptive analysis of the efficacy of viscosupplementation with a questionnaire assessing pain, sport / professional level, daily relief and satisfaction. Definition of response criteria on pain relief, and maintaining the earlier sport / professional levels. Results: 84 protocols were performed, distributed as follows: 17 shoulders, 19 acromioclavicular, 15 elbows, 12 trapeziometacarpal, 12 subtalar and 9 wrists. 75 patients had a traumatic or microtraumatic cartilage injury, 5 a distal lysis of the clavicle, 2 a painful sequelae of osteochondritis of the elbow, two an osteochondromatosis of the elbow. No radiological staging has been established. The average age of patients was 39.32 years (+ / 14.38), 70% male, 67.9% had a athlete profile with high joint solicitation. The overall efficiency was 60.71% for all sites (shoulder 58.82%, acromioclavicular 68.42%, elbow 53.33%, trapeziometacarpal 91.67%, subtalar 41.67%, 44, wrist 44%). All patients who were treated for lysis of the distal clavicle was relieved, none of the patients with painful sequelae of osteochondritis and only one out of two cases of osteochondromatosis. Only two minor adverse events (3%) were identified, represented by persistent pain at the puncture site. In the shoulder and elbow only joint where analysis was possible, the continuation of an activity using painful joint causes a loss of efficacy (p = 0.0595, p = 0.028). Discussion: This study provides encouraging results despite its low level of evidence and its low number of patient. In the acromioclavicular joint, the subtalar and wrist it is a unique contribution in the literature. Our results support those of the literature on shoulder and trapeziometacarpal but are in stark contrast to the only study available to the elbow. Conclusion: This study is an initial assessment of a possible scope of viscosupplementation in the small joints in response to thin existing armamentarium. The results seem interesting and should be confirmed by studies of the highest level of evidence and the wider population. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title RELATIONSHIP BETWEEN PLASMA LIPID PROFILE AND MAXIMAL EXERCISE CAPACITY IN RATS Authors 1 1 2 1 1 D. Camiletti-moirón , V.A. Aparicio , R.A. Casuso , E. Nebot , S. Martín , G. 1 1 1 Kapravelou , J.M. Porres , P. Aranda Affiliations 1 Department Of Physiology, School Of Pharmacy And Institute Of Nutrition And Food 2 Technology, University Of Granada, Granada, SPAIN, Department Of Health Sciences, University Of Jaén, Jaén, SPAIN Body Objective: We aimed to analyze the relationship between plasma lipid profile and maximal exercise capacity in rats. Design and method: We analysed the relationship between plasma lipid profile and exercise capacity in a maximal treadmill test on 20 male wistar rats.. Spearman correlations were performed between triglycerides, total cholesterol, LDL-cholesterol, HDL-cholesterol and some maximal exercise capacity parameters: blood lactate after test, test time duration, final speed and maximum oxygen consumption during the test. Results: Among all the plasma parameters analyzed plasma triglycerides was the most correlated with plasma lipid profile. We have observed a moderate to good relationship between plasma triglycerides and blood lactate and test time duration in the incremental treadmill test (r= -0.515 and -0.530, respectively, all <0.05). Plas triglycerides also showed a fair relationship with final speed and maximum oxygen consumption (r= -0.498, -0.489, respectively, both p<0.05). No noticeable relationships were observed between total cholesterol, LDL-cholesterol and HDL-cholesterol and plasma lipid profile. Cocnclusions: Plasma triglycerides were very significantly correlated with maximal exercise capacity. These findings could indicate that plasma tryglicerides are especially sensitive to the maximal exercise capacity. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title ANTIOXIDANT QUERCETIN EFFECTS ON BRAIN NITRIC OXIDE PRODUCTION IN TRAINED RATS Authors 1 2 2 3 D. Camiletti-moirón , R.A. Casuso , A. Martínez-amat , R. Martínez-romero , D. 2 1 4 Hita-contreras , V.A. Aparicio , E. Martínez-lópez Affiliations 1 Department Of Physiology, School Of Pharmacy And Institute Of Nutrition And Food 2 Technology, University Of Granada, Granada, SPAIN, Department Of Health Sciences, 3 University Of Jaén, Jaén, SPAIN, Department Of Experimental Biology, University Of 4 Jaén, Jaén, SPAIN, Department Of Music, Plastical Expression And Body Language, University Of Jaén, Jaén, SPAIN Body Objective: We aimed to analyze the antioxidant quercetin effects on brain nitric oxide (NO) production. Design and method: Three-weeks-old male rats were classified as: quercetin+training (n=9), placebo+training (n=8), quercetin+sedentary (n=8), placebo+sedentary (n=8). Exercise was conducted 5 days/week during 6 weeks in a rodent treadmill at a constant speed of 44cm/s with a 10% inclination. The first two days rats were ran during 20 min/day. Resistance training duration was increased by 5 min every two days. Last week animals were required to run for 80min. Quercetin (25mg/kg on alternative days) was administered via gavage diluted in methylcellulose in quercetin groups. Forty-eight hours after any exercise brain was removed and NO production was indirectly quantified by determining nitrate/nitrite and S-nitroso compounds, using an ozone chemiluminescence-based method. Results: There was a main effect for quercetin by reducing NO end-metabolites (P<0.001). Although, there was no main effect for exercise (P=0.846). Sedentary placebo group obtained an increase of 798% more than sedentary quercetin group P<0.001). No differences were found in trained groups with or without quercetin supplementation (P>0.05). Quercetin groups showed an increase of NO production with exercise (P<0.001). NO was decreased in placebo-trained groups (P=0.015). Conclusion: Information corroborates previous data, which suggests a diminished production of final metabolites of NO with quercetin. Our study goes beyond because quercetin beneficial effects are partially inhibited with exercise. 29 September XXXII WORLD CONGRESS OF SPORTS MEDICINE Rome, 27 - 30 September 2012 Topic: NUTRITION, METABOLISM AND SPORTS Title YOUNG ELITE MALE FIELD HOCKEY PLAYERS START EXERISE HYPOHYDRATED Authors 1 T. Devreker , T. Decraene, T. Mertens, M. Vercammen, Y. Vandenplas Affiliations 1 2 Universitair Kinderziekenhuis, Brussel, BELGIUM, Universitair Kinderziekenhuis, 3 4 Koninklijke Belgische Hockey Bond, Brussel, BELGIUM, Brussel, BELGIUM, 5 Universitair Ziekenhuis, Brussel, BELGIUM, Universitair Kinderziekenhuis, Brussel, BELGIUM Body Introduction: For elite athletes competing in team sports, appropriate hydration is an important but often overlooked aspect of proper training and competition. Despite ongoing efforts to educate athletes about the harmful effects of dehydration, some athletes still commonly begin practice or competition (or both) in a hypohydrated condition, increasing the risk of developing severe dehydration. Hydration status can be estimated by urinary color and measured by urinary specific gravity and serum or urinary osmolality. Study: 20 elite male junior field hockey players, from the national team U18, preparing their participation to the first Youth Olympic Games in Singapore, were included in a study about hydration and its physiologic effects during intensive training. We investigated their hydration status before and after training. Training took place in exterior temperature of 11°C and relative humidity of 35%. Methods: All players were weight with a precision balance by the same examinator. Water loss was calculated by weight loss, urine lo