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Biomedical subjects

Andrew M Stewart

Publications and source records attributed to Andrew M Stewart.

8 recordsLinked to original sources
PubMed2006

Aerobic and anaerobic correlates of multiple sprint cycling performance.

The aims of this study were to examine (a) the relationship between maximal oxygen uptake (VO(2)max) and several performance indices of multiple sprint cycling; (b) the relationship between maximal accumulated oxygen deficit (MAOD) and those same performance indices; and (c) the influence of recovery duration on the magnitude of those relationships. Twenty-five physically active men completed a VO(2)max test, a MAOD test, and 2 maximal intermittent (20 x 5 seconds) sprint cycling tests with contrasting recovery periods (10 seconds or 30 seconds). Mean +/- SD for age, height, and body mass were 20.6 +/- 1.5 years, 177.2 +/- 5.4 cm, and 78.2 +/- 8.2 kg, respectively. All tests were conducted on a friction-braked cycle ergometer with subsequent data normalized for body mass. Moderate (0.3 < or = r < 0.5) positive correlations were observed between power output data and MAOD (range, 0.31-0.46; 95% confidence limits, -0.10 to 0.72). Moderate to large positive correlations also were observed between power output data and VO(2)max, the magnitude of which increased as values were averaged across all sprints (range, 0.45-0.67; 95% confidence limits 0.07-0.84). Correlations between fatigue and VO(2)max were greater in the intermittent protocol with 30-second recovery periods (r = -0.34; 95% confidence limits, 0.06 to -0.65). The results of this study reflect the complex energetics associated with multiple sprint work. Though the findings add support to the idea that multiple sprint sports demand a combination of speed and endurance, further longitudinal research is required to confirm the relative importance of these parameters.

Adult↗
PubMed2005

Tendon-bone interface motion in transosseous suture and suture anchor rotator cuff repair techniques.

BACKGROUND: Although many studies involving rotator cuff repair fixation have focused on ultimate fixation strength and ability to restore the tendon's native footprint, no studies have characterized the stability of the repair with regard to motion between the tendon and repair site footprint. HYPOTHESIS: Suture anchor fixation for rotator cuff repair has greater interface motion between tendon and bone than does transosseous suture fixation. STUDY DESIGN: Controlled laboratory study. METHODS: Twelve fresh-frozen human cadaveric shoulders were tested in a custom device to position the shoulder in internal and external rotations with simulated supraspinatus muscle loading. Tendon motion relative to the insertional footprint on the greater tuberosity was determined optically using a digital camera rigidly connected to the humerus, with the humerus positioned at 60 degrees of internal rotation and 60 degrees of external rotation. Testing was performed for the intact tendon, a complete supraspinatus tear, a suture anchor repair, and a transosseous tunnel repair. RESULTS: Difference in tendon-bone interface motion when compared with the intact tendon was 7.14 +/- 3.72 mm for the torn rotator cuff condition, 2.35 +/- 1.26 mm for the suture anchor repair, and 0.02 +/- 1.18 mm for the transosseous suture repair. The transosseous suture repair demonstrated significantly less motion when compared with the torn rotator cuff and suture anchor repair conditions (P < .05). CONCLUSION: Transosseous suture repair compared with suture anchor repair demonstrated superior tendon fixation with reduced motion at the tendon-to-tuberosity interface. CLINICAL RELEVANCE: Development of new fixation techniques for arthroscopic and open rotator cuff repairs should attempt to minimize interface motion of the tendon relative to the tuberosity.

Arthroscopy↗
PubMed2005

The influence of recovery duration on multiple sprint cycling performance.

The purpose of this study was to examine the influence of recovery duration on various measures of multiple sprint cycling performance. Twenty-five physically active men completed 2 maximal multiple sprint (20 x 5 seconds) cycling tests with contrasting recovery periods (10 or 30 seconds). The mean +/- SD values for age, height, and body mass were 20.6 +/- 1.5 years, 177.2 +/- 5.4 cm, and 78.2 +/- 8.2 kg, respectively. All tests were conducted on a friction-braked cycle ergometer. Longer (30 seconds) recovery periods resulted in significantly (p < 0.05) higher measures of maximum (approximately 4%) and mean (approximately 26%) power output, the former appearing to result from a potentiation effect during the first few sprints. Thirty-second recovery periods also corresponded with significantly lower measures of fatigue (absolute difference: 16.1%; 95% likely range: 14.1-18.2%), heart rate, respiratory exchange ratio, and oxygen uptake. Blood lactate and ratings of perceived exertion (6-20 scale) increased progressively throughout both protocols and were significantly lower with 30-second recovery periods. The results of this study illustrate the considerable influence of recovery duration on various measures of multiple sprint work. Although the precise mechanisms of this response require further investigation, coaches and sport scientists should consider these findings when attempting to develop or evaluate the performance capabilities of athletes involved in multiple sprint sports.

Adult↗
PubMed2004

The reliability and validity of fatigue measures during short-duration maximal-intensity intermittent cycling.

The purpose of the present study was to assess the reliability and validity of fatigue measures, as derived from 4 separate formulae, during tests of repeat sprint ability. On separate days over a 3-week period, 2 groups of 7 recreationally active men completed 6 trials of 1 of 2 maximal (20 x 5 seconds) intermittent cycling tests with contrasting recovery periods (10 or 30 seconds). All trials were conducted on a friction-braked cycle ergometer, and fatigue scores were derived from measures of mean power output for each sprint. Apart from formula 1, which calculated fatigue from the percentage difference in mean power output between the first and last sprint, all remaining formulae produced fatigue scores that showed a reasonably good level of test-retest reliability in both intermittent test protocols (intraclass correlation range: 0.78-0.86; 95% likely range of true values: 0.54-0.97). Although between-protocol differences in the magnitude of the fatigue scores suggested good construct validity, within-protocol differences highlighted limitations with each formula. Overall, the results support the use of the percentage decrement score as the most valid and reliable measure of fatigue during brief maximal intermittent work.

Adult↗
PubMed2003

Deriving service costs for a clubhouse psychosocial rehabilitation program.

This article (a) discusses "function cost," a concept to estimate costs where consumers are involved both in delivery and receipt of services; (b) develops a methodology for costing service units for psychosocial rehabilitation clubhouses; and (c) presents a case study of a clubhouse program. Using function cost to estimate the value of member time leads to costs being on average about 10% higher than when using opportunity cost. Because the case-study clubhouse is typical in key dimensions, the methods used here appear generalizable to other programs and should have utility for other rehabilitation-based services for individuals with mental illness.

Adult↗
PubMed2003

Reliability of power output during short-duration maximal-intensity intermittent cycling.

The aims of the present study were: (a) to determine the number of familiarization trials required to establish a high degree of reliability in measures of power output during maximal intermittent cycling; and (b) to examine the reliability of those same measures after familiarization had been established. On separate days over a 3-week period, 2 groups of 7 recreationally active men completed 8 trials of 1 of 2 maximal (20 x 5-second) intermittent cycling tests with contrasting recovery periods (10-seconds or 30-seconds). Significant (p < 0.05) between-trial differences were detected in post-hoc tests involving trials 1 and 2 only. Within-subject test-retest reliability was therefore assessed across trials 3-8. Apart from values of maximum power output in Protocol 1 (10-second recovery periods), all remaining measures of power output showed high degrees of within-subject test-retest reliability (coefficient of variation: 2.4-3.7%). The results of the present study indicate that in subjects unfamiliar with maximal intermittent cycling, high degrees of reliability in many performance measures can be achieved following the completion of 2 familiarization trials.

Adult↗