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Biomedical subjects

C Tourny-Chollet

Publications and source records attributed to C Tourny-Chollet.

11 recordsLinked to original sources

Intra-cyclic distance per stroke phase, velocity fluctuations and acceleration time ratio of a breaststroker's hip: a comparison between elite and nonelite swimmers at different race paces.

The aim of this study was to compare the intra-cyclic velocity graphs of breaststroke swimmers at two skill levels in relation to their movement phases. Two groups of nine male swimmers were videotaped underwater at three swimming race paces corresponding to their actual competitive times for the 200-m, 100-m and 50-m breaststroke. Their forward intra-cyclic hip velocity was recorded with a velocity-meter. The breaststroke cycle was divided into four phases: leg propulsion, leg-arm lag phase, arm propulsion, and arm and leg recovery. From the velocity-time data, the following parameters were computed: an index of velocity fluctuations (IVF), the distance covered during each stroke phase, and an acceleration-deceleration time ratio (ADTR). The main results showed that in both groups of swimmers, when the race pace increased, the distance covered during the leg-arm lag phase decreased, while the other swimming phases remained stable. When expressed in relative values, the percentage of distance covered during the leg-arm lag phase decreased. In nonelite swimmers, the percentage of distance covered in the other stroke phases increased significantly, while only a tendency was noted in the elite group. Elite swimmers demonstrated a higher ADTR at the 50-m pace than at their 100-m and 200-m paces. An inter-group comparison showed that elite swimmers had higher values for the IVF and ADTR, which indicated their capacity to accelerate to boost the swim and highlighted the relevancy of these factors to discriminate skill level.

Acceleration↗

Pulmonary function in children after a single scuba dive.

This study evaluated the respiratory effects of a single dive in children. Eighteen young divers and 18 controls participated in our study (age range: 9 - 13 years). Volumes and expiratory flow rates were measured 20 minutes before and 10 minutes after one air dive (3 meters, 25 minutes). Before the dive, no differences were noted regarding pulmonary parameters. Ten minutes after the dive, decreases were noted in forced expiratory volume in 1 s (FEV1) and maximal voluntary ventilation (- 8 %, - 5.3 %, respectively; p < 0.01), peak expiratory flow, maximal expiratory flow rates at 50 % of FVC (MEF(50 %)) and MEF(25 %), forced mid-expiratory flow rate (FEF(25 - 75 %)), and FEV1/FVC(- 5.9 %, - 14.3 %, - 21.4 %, - 4.2 %, - 3.5 %, respectively; p < 0.05). The respiratory pattern observed 10 minutes after a single dive to three meters indicated airway narrowing. However, no association between diving experience and lung function was obtained.

Age Factors↗

Ventilatory function in experienced recreational scuba divers: Evidence of small airways disease?

Diving has shown long-term effects on respiratory function in trained professional divers, indicating the development of small airways disease. The results are more controversial in trained recreational divers because of the different degrees of exposure and training. The aim of this study was to investigate the effects of recreational diving on respiratory function in highly experienced divers. Volumes and expiratory flow rates were measured in 32 older recreational divers (51.6 +/- 7.4 years). The forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV1) were higher (+ 4.9 % and + 6 %, respectively; p < 0.01) than the theoretical standards (ERS 93). These values tended to decrease more rapidly as the age advanced (age range: 43 - 73 years) (p < 0.05). Moreover, the mid-expiratory flows at 50 %, 25 % and 25 - 75 % of vital capacity (MEF(50 %), MEF(25 %) and MEF(25 - 75 %)) were significantly decreased. These early signs of decrease suggest slight small airways disease in older experienced recreational divers.

Adult↗

Articular cartilage, degenerative process, and repair: current progress.

The aim of this paper is to review the current knowledge about degenerative and repair process of articular cartilage, and relationship between osteoarthritis and physical activities. Data Pubmed, ScienceDirect data base are interrogated for the period 1994 - 2003. Key words are: cartilage, osteoarthritis, exercise, rehabilitation. The mechanical biology of the cartilage and the chondrocytes, the effects of physical activity on the cartilage, the main studies on clinical trials on rehabilitation are reviewed. Chondrocyte and cartilage structure and function change with mechanical stresses. Mechanical loads can modulate cartilage matrix turnover. Joint injury increases the risk of osteoarthritis, and sports that subjects joints to repetitive high levels of impact loading increase the risk of injury and degeneration. In human, intensive physical exercises seem associated with osteoarthritis development. None of the current procedures for repairing articular cartilage restores a normal articular zone, however, selected procedures can predictably benefit selected subjects. This article presents the biology and discusses the alteration of cartilage as well as the osteoarthritis process which is not yet well understood. Current medical approaches to the treatment of osteoarthritis also are presented. Rehabilitation programme could be beneficial in the therapeutic management of osteoarthritis.

Cartilage, Articular↗

Hip passive range of motion and frequency of radiographic hip osteoarthritis in former elite handball players.

OBJECTIVE: To establish the relation between handball playing, passive hip range of motion (ROM), and the development of radiological hip osteoarthritis (OA) in former elite handball players. Two related issues are addressed: (a) the relation between long term elite handball playing and the incidence of hip OA; (b) the relations between hip ROM, OA, and pain. METHODS: Data on 20 former elite handball players and 39 control subjects were collected. A questionnaire yielded personal details, loading patterns during physical activity, and previous lower limb joint injury. Bilateral radiographs were analysed to diagnose and classify hip OA. Passive hip ROM was measured bilaterally with a goniometer. RESULTS: A close relation was found between long term elite handball practice and the incidence of hip OA: 60% of the handball players were diagnosed with OA in at least one of the hip joints compared with 13% of the control subjects. Passive ROM measured in the handball players was significantly lower for hip flexion and medial rotation and higher for abduction, extension, and lateral rotation than the control values. The handball players with OA reported less pain in the hip joints during daily activities than the control subjects with OA. CONCLUSION: The risk of developing premature hip OA seems high for retired handball players and significantly greater than for the general population. Pain and discomfort represent two difficult diagnostic challenges to the sports physician, as the repetitive nature of movements that are specific to handball can lead to alterations that are rarely seen in the general population.

Adult↗

Arterial oxygen saturation and heart rate variation during breath-holding: comparison between breath-hold divers and controls.

Breath-holding induces cardiovascular responses, notably bradycardia and peripheral vasoconstriction, which are known collectively as the diving response. This response is oxygen-conserving, i.e. an augmented response attenuates arterial oxygen desaturation, and is enhanced by apnoea training. To test this hypothesis, we compared heart rate (HR) and arterial oxygen saturation (SaO (2)) in breath-hold divers (BHD) and non-divers (ND). Nine BHD and nine healthy ND performed two static apnoeas (for 30 s and 45 s) and two dynamic apnoeas (for 30 s and 45 s) while swimming underwater at 0.7 m . s (-1). The pool temperature was 26 degrees C. The apnoeas were performed at 60 % of forced vital capacity. Heart rate (HR) and SaO (2) were recorded before breath-holding and at its end and are expressed in % change from rest values (DeltaHR and DeltaSaO (2)). Comparisons between BHD and ND showed that DeltaSaO (2) were lower in divers after both static apnoeas for 30 s and 45 s (- 2.8 % vs. - 5.5 %; - 3.2 % vs. 6.3 %; p < 0.05, respectively) and dynamic apnoeas (- 6 % vs. - 10.1 %; - 7.2 % vs. - 12.3 %; p < 0.05, respectively). The change in HR did not differ between the two groups and negative linear relations were found between DeltaHR and DeltaSaO (2) in both divers and ND (r = 0.66 and 0.61, respectively; p < 0.001). Moreover, the slope was lower for the divers (- 0.785 vs. - 0.1429; p < 0.001). Our results suggest that apnoea training explained the greater oxygen conservation seen in the divers in both static and dynamic conditions.

Adult↗

Kinematic analysis of butterfly turns of international and national swimmers.

The aims of this study were (1) to evaluate the different turn phases of 200 m butterfly during competition in a 50 m pool, (2) to determine if wall contact times are related to swim speed and (3) to compare the turn variables of a European Champion with other swimmers. In the first part of the study, we assessed the turns of 22 swimmers ranked in three groups according to 200 m butterfly swim performance (fast group = 121.73+/-3.03 s, intermediate group = 126.25+/-0.55 s, slow group = 129.24+/-2.30 s). Two turn times were recorded: the first before the turn (i.e. the time it takes the swimmer's head to reach the wall from 7.5 m away) and the second after the turn (i.e. the time from the wall to the point at which the swimmer's head passes 7.5 m away). The third turn was performed significantly faster by the fast group than by the slow group, both before (P< 0.01) and after (P< 0.02) the turn. In the second part of the study, objectives (2) and (3) were evaluated among 15 swimmers based on a specific protocol. Three cameras (50 Hz) simultaneously recorded the turn; these were placed above the water 10 m before the wall, 5 m before and just above the wall. Longer contact times of the feet on the wall were associated with a faster push-off speed (P < 0. 02). The European Champion achieved an improved contact time while performing a rapid pull-out speed.

Analysis of Variance↗

[Ventilatory adaptations for breath holding in divers].

The length of breath-hold duration in divers is dependant on a number of interacting variables which include mechanical factors (lung volumes), chemical factors (sensitivity to hypoxia and hypercapnia), non-chemical factors (involuntary muscular contractions), psychological factors (motivation, stress, competition) and various extrinsic factors (training, muscular exercise). These stimulus provoke the unpleasant sensation of an urge to breathe at the termination point of the breath hold. Training and experience produces adaptations in divers which decreases sensitivity to CO(2) and which delays and minimises the involuntary contractions of respiratory muscles provoked by the absence of respiratory movements. These adaptations modify the breaking point of, and increase the duration of breath holding. Godfrey & Campbell's model (1968), modified by Courteix et coll. (1993) and Delapille (2000), attempts to explain the control of breathing in the context of apnea and to define the effects of each of these stimulus on the respiratory activity of divers and non-divers.

Adaptation, Physiological↗

Ventilatory responses to hypercapnia in divers and non-divers: effects of posture and immersion.

The aim of this study was to determine the effects on respiratory drive of two factors, one mechanical (lung volume) and one chemical (sensitivity to hypercapnia), that are involved in determining the breath-hold duration (BHD). Functional residual capacity was measured by helium dilution with the subject seated in air, seated in water and in the prone position in water. Hyperoxic hypercapnia rebreathing (Read's method) was carried out under identical environmental conditions to assess the effects of CO2 pressure on respiratory centre output by measuring ventilation, mean inspiratory flow and occlusion pressure. Sixteen healthy volunteers were tested. 8 trained divers and 8 non-divers. Functional residual capacity decreased for the postures seated in water (30.8%-34.8%) and for prone position in water (20.3%-20.9%) when compared to the posture seated in air (P<0.0001), all subjects pooled. No difference was found between groups. The slopes of the linear regression, which characterised the sensitivity to CO2 and were determined with the rebreathing tests, revealed differences between the two populations (ventilation: P < 0.0001; mean inspiratory flow: P < 0.05). No difference was found for occlusion pressure or between the different postures. These results confirmed a lower sensitivity to CO2 for trained divers. This adaptation was shown to decrease respiratory centre activity at the origin of the breath-hold breaking point. The immersion, did not influence respiratory drive, despite a decrease in lung volumes. The authors suggest that these findings may be explained by a specific apnoea training and a pronounced bradycardia in immersion.

Adaptation, Physiological↗

Breath-holding time: effects of non-chemical factors in divers and non-divers.

Two main factors (chemical and non-chemical factors) are involved in the determination of breath-holding time (BHT). Earlier studies have shown that chemical factors can be modified by training. The aim of this study was to establish whether BHT can be lengthened or shortened by changes in non-chemical factors according to the degree of training of the divers. Hyperoxic hypercapnic rebreathing challenges interrupted by different periods of voluntary apnoea (20, 40 and 50 s) were performed by divers (n=8) and non-divers (n=6). The relationships between ventilation (VE) and end-tidal PCO2 and mean inspiratory flow (VT/TI) where VT is the tidal volume and TI the inspiration time) and end-tidal PCO2 were measured before (pre) and after (post) apnoea for each population. The slopes of these linear regressions (VEs and VT/TI,s, respectively) reflected respiratory centre activity. VFs-post and VT/TIs-post increased with BHT and were higher in the non-divers than in divers. There were no significant differences between VFs-pre and VFs-post or between VT/TIs,-pre and VT/TIs-post in divers for all BHT. However, in non-divers, significant differences between pre and post values appeared at 20, 40 and 50 s for VT/TI,s and at 40 and 50 s for VEs. Non-chemical factorswere obtained by calculating the differences between pre and post values and were different at 20 and 40 s for VEs (P<0.05) and for all BHT for VT/TI,s (P<0.05). The non-chemical factors increased significantly with BHT and were higher in the non-divers. These adaptations in divers may modify the breath-hold breaking point and consequently increase BHT.

Adaptation, Physiological↗

Spatial and temporal gait variable differences between basketball, swimming and soccer players.

The gait variables of 10 swimmers, 10 basketball players, and 16 soccer players were compared. They were all male and right-handed. There was no statistical difference between the three groups in age, weight and height. Spatial and temporal gait variables were measured with the Bessou gait analyzer. In the swimmers group, the gait variables of the right side were not statistically different from those of the left side. The right propulsion double support duration, right cycle duration, and right late swing phase duration were respectively longer than those on the left side for the basketball players. The right propulsion double support duration, right step length, and right late swing phase duration were higher than those on the left side for the soccer players. Moreover, a discriminant analysis performed with the gait variables permitted significant differentiation between the three groups. In conclusion, both basketball and soccer players presented asymmetrical gait variables, that have never been previously reported in normal subjects, or in swimmers. These results suggest that the anticipatory postural adjustments programmed to be used just before a jump or a shoot influence the motor program of the spontaneous locomotion. These gait asymmetries could also be due to asymmetric muscle development.

Adult↗