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Biomedical subjects

N T Cable

Publications and source records attributed to N T Cable.

At least 19 recordsLinked to original sources

Reliability of repeated sprint exercise in non-motorised treadmill ergometry.

Although repeated sprint tests are relatively common, there have been few investigations of repeated sprint exercise using non-motorised treadmill ergometry. The purpose of this study was to determine the reliability of a repeated sprint procedure using this apparatus. Ten healthy, active males, performed three repeated sprint tests (six repetitions of 6 s sprints with 30 s recovery) on three separate occasions. Performance as determined by maximal speed, average force production, and fatigue were compared across the three trials. Maximal speed and average force were not significantly different between visits (p < 0.05) and a variety of reliability measures suggested good agreement (e.g., coefficient of variations no more than 5 %). The fatigue indices for maximal speed and for average force were generally less reliable (coefficients of variation around 30 % in both cases). In conclusion, measures of performance (maximal speed and average force) can provide reliable results in a repeated sprint protocol but the reliability of fatigue measures appears to be low.

Adult↗

The influence of pre-warming on the physiological responses to prolonged intermittent exercise.

To examine the influence of pre-warming on the physiological responses to prolonged intermittent exercise in ambient temperatures of 21.5 +/- 0.6 degrees C and relative humidities of 35.7 +/- 5.4% (mean +/- s), six healthy men performed intermittent treadmill running (30-s bouts at 90% of maximal oxygen uptake separated by 30-s static recovery periods) to exhaustion after active pre-warming, passive pre-warming and pre-exercise rest (control). Exercise time to exhaustion was significantly different between all conditions (active, 51.8 +/- 7.2 min; passive, 38.5 +/- 11.1 min; control, 72.0 +/- 17.2 min; P < 0.05). These changes in performance time were closely associated with a significant decline in both the rate of heat storage and heat storage capacity (P < 0.05). Rectal temperature, heart rate and ratings of perceived exertion were significantly higher during exercise in the two pre-warming conditions than in the control condition (P < 0.05). Ratings of perceived exertion were also significantly higher during exercise following passive pre-warming compared with active pre-warming (P < 0.05). During exercise there were no significant differences in serum prolactin, plasma norepinephrine and plasma free fatty acid concentrations between conditions. We conclude that both active and passive pre-warming promote a reduction in prolonged intermittent exercise capacity in environmental temperatures of 21 degrees C compared with pre-exercise rest. These performance decrements were dependent upon the mode of pre-warming and closely reflected alterations in body heat content.

Adult↗

Does oral contraceptive use affect maximum force production in women?

OBJECTIVE: To examine the effects of oral contraceptive use on maximum force production in young women. METHODS: In the study, 21 female subjects (14 pill users and seven eumenorrheic controls) took part. All pill using subjects had been taking a combined, monophasic oral contraceptive pill for at least 6 months. Maximum dynamic and isometric leg strength, maximum isometric strength of the first dorsal interosseus (FDI) muscle, and plasma concentrations of oestradiol and progesterone were measured on days 7 and 14 of pill consumption and day 5 of pill withdrawal. The eumenorrheic group was tested (FDI strength and hormone concentrations) on days 2 and 21 of the menstrual cycle. RESULTS: There were no significant changes in the concentration of endogenous oestradiol or progesterone or any measure of muscle strength between pill phases (p<0.05). The pill group did not significantly differ from the eumenorrheic group (p<0.05), despite a significant increase in the concentration of progesterone and oestradiol on day 21 of the menstrual cycle compared with day 2 of the menstrual cycle and pill consumption and withdrawal (p<0.05). CONCLUSIONS: These data suggest that oral contraceptive use does not significantly affect muscle strength. Moreover, oral contraceptive users were not stronger or weaker than their eumenorrheic counterparts.

Adult↗

Physical activity and older adults: a review of health benefits and the effectiveness of interventions.

The purpose of this multidisciplinary review paper is to critically review evidence from descriptive, efficacy and effectiveness studies concerned with physical activity and older people. Both levels of fitness (aerobic power, strength, flexibility and functional capability) and measures of physical activity involvement decline with age, and the extent to which this is due to a biological ageing processes or disuse (physical inactivity) is critically examined. The review will consider the evidence for a causal relationship between sedentary behaviour/physical activity programmes and cardiovascular, musculoskeletal and psycho-social health, independent living and health-related quality of life into old age. The review also considers the effectiveness of different physical activity interventions for older people and issues relating to cost-effectiveness. The implications for future policy in terms of research, health care services, and education and training are briefly discussed.

Aged↗

The isolated and combined effects of menstrual cycle phase and time-of-day on muscle strength of eumenorrheic females.

Diurnal variation in muscle performance has been well documented in the past few years, but almost exclusively in the male population. The possible effects of the menstrual cycle on human circadian rhythms have remained equivocal, particularly in the context of muscle strength. The purpose of the study was to analyze the isolated and combined effects of circamensal variation and diurnal changes on muscle strength. Eight eumenorrheic females (age 30 +/- 5 yrs, height 1.63 +/- 0.06m and body mass 66.26 +/- 4.6kg: mean +/- SD) participated in this investigation. Isokinetic peak torque of knee extensors and flexors of the dominant leg were measured at 1.05, 3.14rad.s(-1) (through 90 degrees ROM) at two times-of-day (06:00, 18:00 h) and five time points of the menstrual cycle (menses, mid-follicular, ovulation, mid-luteal, late luteal). In addition, maximum voluntary isometric contraction of knee extensors and flexors and electrically stimulated isometric contraction of the knee extensors were measured at 60 degrees of knee flexion. Rectal temperature was measured during 30min before the tests. There was a significant time-of-day effect on peak torque values for isometric contraction of knee extensors under electrical stimulation (P< 0.05). At 18:00 h, muscle force was 2.6% greater than at 06:00 h. The time-of-day effect was not significant when the tests were performed voluntarily without stimulation: effect size calculations indicated small differences between morning and evening for maximal voluntary isometric contraction and peak torque (at 1.05rad.s(-1) for the knee extensors. A circamensal variation was observed for peak torque of knee flexors at 1.05rad.s(-1), extensors at 3.14rad.s(-1), and also isometric contraction of knee flexors, values being greatest at the ovulation phase. Interaction effects between time-of-day and menstrual cycle phase were not observed in any of the indices of muscle strength studied. The phase of the menstrual cycle seemed to have a greater effect than did the time-of-day on female muscle strength in this group of subjects. The present results suggest that peripheral rather than central mechanisms (e.g., motivation) are implicated in the diurnal variation of maximal isometric strength of women.

Adult↗

Effect of menstrual cycle phase on the concentration of bioavailable 17-beta oestradiol and testosterone and muscle strength.

To investigate the effect of changes in sex hormone concentration on muscle strength and the bioavailability of 17-beta oestradiol (oestradiol) and testosterone, seven eumenorrheic females were tested during two phases of the menstrual cycle. Maximum voluntary isometric strength of the first dorsal interosseus muscle was measured during the early follicular and mid-luteal phases of the menstrual cycle. These phases were chosen for testing as the concentration of total oestradiol is significantly different in these two phases. Total oestradiol has been repeatedly associated with changes in muscle strength in females, whereas the effects of bioavailable oestradiol are unknown. The concentrations of total and bioavailable oestradiol and testosterone were measured in addition to the concentration of total progesterone. Concentrations of total progesterone and oestradiol were significantly different between the early follicular and mid-luteal phases of the menstrual cycle (P <0.05 and P <0.001 respectively). The concentration of total testosterone (0.7+/-0.2 and 0.8+/-0.1 nmol.l(-1) respectively) and the ratio of total oestradiol to progesterone (153.0+/-251.2 and 108.5+/-27.8 respectively) did not change significantly between the early follicular and mid-luteal phases. Bioavailable testosterone (102.2+/-66.3 and 105.0+/-90.2 pmol.l(-1) respectively) and bioavailable oestradiol (90.5+/-35.5 and 120.0+/-60.6 pmol.l(-1) respectively) did not differ significantly between phases. There were no significant differences in muscle strength during the menstrual cycle (P =0.1). Mean maximum voluntary isometric force of the first dorsal interosseus muscle did not correlate significantly with the mean concentration of any reproductive hormone measured. These results indicate that cyclical variation in endogenous reproductive hormones does not affect muscle strength.

Adult↗

The physiology of deep-water running.

Deep-water running is performed in the deep end of a swimming pool, normally with the aid of a flotation vest. The method is used for purposes of preventing injury and promoting recovery from strenuous exercise and as a form of supplementary training for cardiovascular fitness. Both stroke volume and cardiac output increase during water immersion: an increase in blood volume largely offsets the cardiac decelerating reflex at rest. At submaximal exercise intensities, blood lactate responses to exercise during deep-water running are elevated in comparison to treadmill running at a given oxygen uptake (VO2). While VO2, minute ventilation and heart rate are decreased under maximal exercise conditions in the water, deep-water running nevertheless can be justified as providing an adequate stimulus for cardiovascular training. Responses to training programmes have confirmed the efficacy of deep-water running, although positive responses are most evident when measured in a water-based test. Aerobic performance is maintained with deep-water running for up to 6 weeks in trained endurance athletes; sedentary individuals benefit more than athletes in improving maximal oxygen uptake. There is some limited evidence of improvement in anaerobic measures and in upper body strength in individuals engaging in deep-water running. A reduction in spinal loading constitutes a role for deep-water running in the prevention of injury, while an alleviation of muscle soreness confirms its value in recovery training. Further research into the applications of deep-water running to exercise therapy and athletes' training is recommended.

Biomechanical Phenomena↗

The effects of pre-warming on the metabolic and thermoregulatory responses to prolonged submaximal exercise in moderate ambient temperatures.

To determine the effects of pre-warming on the human metabolic and thermoregulatory responses to prolonged steady-rate exercise in moderate ambient temperatures and relative humidities [means (SD) 21.7 (2.1) degrees C and 36.7 (5.4)%, respectively], six healthy men each ran at a steady-rate (70% maximal oxygen uptake) on a treadmill until exhausted after being actively pre-warmed (AH), passively pre-warmed (PH), and rested (Cont). Exercise time to exhaustion was significantly reduced following both AH and PH compared to Cont [AH 47.8 (14.0) min, PH 39.6 (16.0) min, Cont 62.0 (8.8) min; P<0.05]. During exercise there were no significant differences in oxygen uptake, total sweat loss, mean skin temperature (T(sk)) and the thermal gradient ( T(re)-T(sk), where T(re) is rectal temperature) following the three conditions. Serum prolactin, plasma catecholamine and plasma free fatty acid concentrations were also similar between all three trials. In contrast, T(re), mean body temperature, heart rate and ratings of perceived exertion were significantly greater during the initial 25 min of exercise following both AH and PH, compared with Cont ( P<0.05). At exhaustion, there were no significant differences in the metabolic and thermoregulatory responses to exercise between the trials. The current findings demonstrate that AH and PH promote a reduction in prolonged submaximal endurance performance under moderate environmental temperatures compared with pre-exercise rest. Such observations appear likely to have been mediated through mechanisms associated with the earlier development of high internal body temperature which resulted in changes in the capacity for heat storage.

Adult↗

Effects of resistance training and detraining on muscle strength and blood lipid profiles in postmenopausal women.

OBJECTIVES: To study the effects of eight weeks of supervised, low intensity resistance training (80% of 10 repetition maximum (10RM)) and eight weeks of detraining on muscle strength and blood lipid profiles in healthy, sedentary postmenopausal women. SUBJECTS: Fifteen postmenopausal women, aged 49-62 years, took part in the study. Subjects were assigned to either a control (n = 7) or training (n = 8) group. The training regimen consisted of three sets of eight repetitions of leg press, bench press, knee extension, knee flexion, and lat pull-down, three days a week at 80% of 10RM. Dynamic leg strength, 10RM, and blood lipid profiles (total cholesterol (TC), low and high density lipoprotein cholesterol (LDL-C, HDL-C), triglycerides, and very low density lipoprotein cholesterol (VLDL-C)) were measured at baseline, after eight weeks of training, and after a further eight weeks of detraining. RESULTS: Eight weeks of resistance training produced significant increases in knee extension (F(1,13) = 12.60; p<0.01), bench press (F(1,13) = 13.79; p<0.01), leg press (F(1,13) = 15.65; p<0.01), and lat pull-down (F(1,13) = 16.60; p<0.005) 10RM strength tests. Although 10RM strength decreased after eight weeks of detraining, the results remained significantly elevated from baseline measures. Eight weeks of training did not result in any significant alterations in blood lipid profiles, body composition, or dynamic isokinetic leg strength. There were no significant differences in any of the variables investigated over the 16 week period in the control group. CONCLUSIONS: These data suggest that a short, low intensity resistance training programme produces substantial improvements in muscle strength. Training of this intensity and duration was not sufficient to produce significant alterations in blood lipid concentrations.

Blood Pressure↗

The influence of recovery posture on post-exercise hypotension in normotensive men.

PURPOSE: Postexercise hypotension may be the result of an impaired vasoconstrictor response. This hypothesis was investigated by examining the central and peripheral hemodynamic responses during supine and seated recovery after maximal upright exercise. METHODS: After supine or seated baseline measurements, seven normotensive male volunteers completed a graded upright cycling protocol to volitional exhaustion. This was immediately followed by either supine or seated recovery. Measurements of pulsatile arterial blood pressure and central and peripheral hemodynamic variables recorded 30 min before exercise were compared with those taken throughout 60 min of recovery. RESULTS: Compared with baseline, mean arterial pressure (MAP) was reduced after exercise (P < 0.05) although the degree of change was not different between the supine (-9 +/- 4 mm Hg) and seated positions (-6 +/- 2 mm Hg). This change in MAP was associated with a reduction in diastolic blood pressure (DBP) (P < 0.05) and arterial pulse pressure (APP) (P < 0.01) for the supine and seated positions, respectively. The reduction in APP during seated recovery was accompanied by a decline in stroke volume (SV) (P < 0.05), not seen in the supine position, that limited the contribution of cardiac output (CO) to the maintenance of MAP. This effect of seated recovery was compensated by greater systemic (SVR) and regional vascular resistances in the forearm (FVR) and the forearm skin (SkVRA). There was also evidence of an augmented return of FVR and SkVRA to resting levels in the seated position after exercise. CONCLUSION: The lower peripheral resistance in the supine compared with seated recovery position suggests there is potential for greater vasoconstriction, although this is not evoked to increase blood pressure. This further suggests that the arterial baroreceptor reflex is reset to a lower operating pressure after exercise.

Adult↗

Investigation of the effects of the pre-cooling on the physiological responses to soccer-specific intermittent exercise.

Whole-body cooling prior to activity has the potential to reduce thermal strain and fatigue during subsequent endurance exercise. Intermittent activity is associated with greater increases in rectal temperature compared with continuous exercise. Thus, the effect of pre-cooling on thermoregulatory responses was examined during an intermittent test under "normal" environmental conditions. Six male university soccer players [mean (SD) age 27 (2) years; height 1.77 (0.3) m; mass 72.2 (1.5) kg; maximal oxygen consumption 58.9 (3.5) ml x kg(-1) x min(-1)] completed a 90-minute soccer-specific intermittent exercise protocol on a non-motorized treadmill. The run was completed with and without pre-cooling under normal laboratory conditions (20 degrees C) and without pre-cooling in a heated laboratory (26 degrees C). The pre-cooling strategy involved exposure to a cold shower (26 degrees C) for 60 min. The pre-cooling manipulation lowered rectal temperature prior to exercise [-0.6 (0.6) degrees C, range -1.5 degrees C; P < 0.05]. The rectal temperature response to exercise was significantly lower following pre-cooling than in the heated condition [pre-cooled 38.1 (0.6) degrees C, heated 38.6 (0.3) degrees C]. The increase in rectal temperature during the second half of the protocol following pre-cooling was significantly greater than the increase observed under normal or heated conditions (P < 0.05). No significant differences were observed between the three conditions for oxygen consumption, heart rate, minute ventilation, rating of perceived exertion and plasma lactate, glucose or free fatty acid concentrations. Based on the current investigation, it can be concluded that there is no evidence for the beneficial effects of pre-cooling on the physiological responses to soccer-specific intermittent exercise under normal environmental conditions.

Adult↗

The effects of phase control materials on hand skin temperature within gloves of soccer goalkeepers.

In soccer, goalkeepers routinely wear gloves that may restrict heat loss from the hands and cause thermal discomfort. In order to alleviate this problem phase control materials (PCMs) have been incorporated into gloves to reduce heat load inside the glove, thereby maintaining a comfortable temperature. The aim of this study was to assess the efficacy of these materials during a simulation of goalkeeping activities. Seven subjects carried out two sessions of goalkeeper-specific exercise on a non-motorized treadmill, one session with a PCM glove and one session with a normal foam material glove (NFM). All sites of skin temperature measurement, except mean whole-body skin temperature, showed uniformly that the PCM glove caused a greater increase in skin temperature of the hand compared to the NFM glove. These results suggest that this particular specification of PCM promotes heat gain rather than heat loss and is therefore inappropriate to enhance thermal comfort in this setting.

Adult↗

Physiological responses to laboratory-based soccer-specific intermittent and continuous exercise.

The aim of this study was to devise a laboratory-based protocol for a motorized treadmill that was representative of work rates observed during soccer match-play. Selected physiological responses to this soccer-specific intermittent exercise protocol were then compared with steady-rate exercise performed at the same average speed. Seven male university soccer players (mean +/- s: age 24 +/- 2 years, height 1.78 +/- 0.1 m, mass 72.2 +/- 5.0 kg, VO2max 57.8 +/- 4 ml x kg(-1) x min(-1)) completed a 45-min soccer-specific intermittent exercise protocol on a motorized treadmill. They also completed a continuous steady-rate exercise session for an identical period at the same average speed. The physiological responses to the laboratory-based soccer-specific protocol were similar to values previously observed for soccer match-play (oxygen consumption approximately 68% of maximum, heart rate 168 +/- 10 beats x min(-1)). No significant differences were observed in oxygen consumption, heart rate, rectal temperature or sweat production rate between the two conditions. Average minute ventilation was greater (P < 0.05) in intermittent exercise (81.3 +/- 0.2 l x min(-1)) than steady-rate exercise (72.4 +/- 11.4 l x min(-1)). The rating of perceived exertion for the session as a whole was 15 +/- 2 during soccer-specific intermittent exercise and 12 +/- 1 for continuous exercise (P < 0.05). The physiological strain associated with the laboratory-based soccer-specific intermittent protocol was similar to that associated with 45 min of soccer match-play, based on the variables measured, indicating the relevance of the simulation as a model of match-play work rates. Soccer-specific intermittent exercise did not increase the demands placed on the aerobic energy systems compared to continuous exercise performed at the same average speed, although the results indicate that anaerobic energy provision is more important during intermittent than during continuous exercise at the same average speed.

Adult↗

Maximal physiological responses to deep and shallow water running.

The maximal physiological responses to treadmill running (TMR), shallow water running (SWR) and deep water running (DWR) while wearing a buoyancy vest were compared in 15 trained male runners. Measurements included oxygen consumption (VO2 max), respiratory exchange ratio (RER) and heart rate (HR). Treadmill running elicited VO2 max and HRmax, which were higher than the peaks attained in both water tests (p < 0.01). VO2 peak averaged 83.7 and 75.3% of VO2 max for SWR and DWR respectively. Peak HR for SWR and DWR were 94.1 and 87.2% of the HRmax reached in the TMR. RER responses were similar between the three modalities. The observations suggest that the training stimulus provided by water is still adequate for supplementary training. While SWR is potentially an efficient method of maintaining cardiovascular fitness, it needs to be investigated further to establish if it is a viable technique for the injured athlete to employ.

Adult↗

A simplified paired neck chamber for the demonstration of baroreflex blood pressure regulation.

In this investigation a simplified variable-pressure paired neck chamber was developed as a practical alternative to traditional neck collar designs used to study the arterial baroreceptor reflex in humans. The purpose of this new design was to extend the use of the noninvasive neck chamber method of baroreceptor investigation to teachers of physiology. Performance tests indicate that these new chambers are capable of delineating the stimulus-response relationship for both the blood pressure baroreflex [sensitivity = 0.425 +/- 0.13 mmHg mean arterial pressure (MAP)/mmHg neck chamber pressure (NCP); range = 24.9 +/- 4.6 mmHg MAP] and the heart rate baroreflex (sensitivity 0.273 +/- 0.12 beats.min-1.mmHg NCP-1; range = 16.7 +/- 6.8 beats/min). This was achieved by applying localized positive and negative air pressures to the carotid sinuses throughout the range from +60 to -60 mmHg in steps of 20 mmHg. This simplified neck chamber method offers distinct methodological advantages over traditional neck collars, making it a valuable tool for demonstrating baroreflex regulation of the circulation.

Animals↗

Changes in muscle strength in women following the menopause: a longitudinal assessment of the efficacy of hormone replacement therapy.

The effects of hormone deficiency at the menopause on muscle strength was examined in 10 healthy middle-aged women (1-3 years post-menopause) in a longitudinal trial over 39 weeks. Performance was compared with that of age-matched females (n=11) taking a course of hormone replacement therapy (HRT). Muscle strength of the quadriceps was measured isometrically at 90 degrees of knee flexion and at angular velocities of 1.05, 2.09 and 3.13 rad/s using an isokinetic dynamometer. Hand grip strength was assessed by means of a portable dynamometer. Measurements were taken every 13 weeks for 39 weeks. Significant decreases in isometric strength (-10%) and dynamic leg strength at 1.05 rad/s (-9%) were found in the post-menopausal women over 39 weeks. There was no change in strength in the HRT group. There were also no changes in leg strength at higher angular velocities or in grip strength for either the post-menopausal group or those taking HRT. While HRT preserved muscle strength, there was no evidence of a strengthening effect on skeletal muscle within this short period of treatment. A rapid loss of leg strength occurs post-menopausally in hormone-depleted women. HRT may offer protection against muscle weakness, although the hormone responsible for regulating strength is not evident using this model.

Exercise↗

Exercise intensity and metabolic response in singles tennis.

The aim of this study was to determine exercise intensity and metabolic response during singles tennis play. Techniques for assessment of exercise intensity were studied on-court and in the laboratory. The on-court study required eight State-level tennis players to complete a competitive singles tennis match. During the laboratory study, a separate group of seven male subjects performed an intermittent and a continuous treadmill run. During tennis play, heart rate (HR) and relative exercise intensity (72 +/- 1.9% VO2max; estimated from measurement of heart rate) remained constant (83.4 +/- 0.9% HRmax; mean +/- s(x)) after the second change of end. The peak value for estimated play intensity (1.25 +/- 0.11 steps x s(-1); from video analysis) occurred after the fourth change of end (P< 0.005). Plasma lactate concentration, measured at rest and at the change of ends, increased 175% from 2.13 +/- 0.32 mmol x l(-1) at rest to a peak 5.86 +/- 1.33 mmol x l(-1) after the sixth change of end (P < 0.001). A linear regression model, which included significant terms for %HRmax (P< 0.001), estimated play intensity (P < 0.001) and subject (P < 0.00), as well as a %HRmax subject interaction (P < 0.05), accounted for 82% of the variation in plasma lactate concentration. During intermittent laboratory treadmill running, % VO2peak estimated from heart rate was 17% higher than the value derived from the measured VO2 (79.7 +/- 2.2% and 69.0 +/- 2.5% VO2peak respectively; P< 0.001). The %VO2peak was estimated with reasonable accuracy during continuous treadmill running (5% error). We conclude that changes in exercise intensity based on measurements of heart rate and a time-motion analysis of court movement patterns explain the variation in lactate concentration observed during singles tennis, and that measuring heart rate during play, in association with preliminary fitness tests to estimate VO2, will overestimate the aerobic response.

Adult↗

Effects of deep and shallow water running on spinal shrinkage.

OBJECTIVES: Running in water has the potential to decrease the compressive forces on the spine as the body is supported. The aim of the study was to determine the magnitude of this loss in stature compared with running on land. METHODS: Fourteen runners completed three 30 minute runs on separate days in deep water, shallow water, and on a motor driven treadmill. During the three conditions, runners exercised at 80% of their exercise mode specific peak oxygen consumption. Subjects rested in the Fowler position for 20 minutes before and after exercise. Measurements of changes in stature were taken before resting, before running, after 15 minutes of running, after 30 minutes of running, and after the post-exercise rest in the Fowler position. Changes in stature were recorded using a stadiometer accurate to 0.01 mm. RESULTS: Loss of stature values were 4.59 (1.48), 5.51 (2.18), and 2.92 (1.7) mm (means (SD)) for running on the treadmill, and in shallow and deep water respectively. Running in deep water caused significantly lower creep than in the other trials (p<0.05), with no difference between the shallow water and treadmill conditions. Loss of stature was greater in the first half of the run for all conditions (p<0.05). Ratings of perceived exertion did not differ between the three exercise conditions. CONCLUSION: Results support the use of deep water running for decreasing the compressive load on the spine.

Adult↗