Background: This study investigated whether diaphragmatic breathing intervention could lead to acute improvements in trunk and shoulder mobility and pulmonary function in healthy young adults. Methods: Twenty-six physically active males (aged 24.3 ± 2.0 years, body height of 182.9 ± 6.4 cm, and body weight of 82.8 ± 10.4 kg) were randomly assigned to either an experimental or a control group. The experimental group underwent a 22 min diaphragmatic breathing intervention in a lying position. The control group lay passively, breathing naturally. Mobility assessments (chest expansion, thoracic spine rotation, lateral trunk flexion, and shoulder girdle mobility) and pulmonary function tests (forced vital capacity, forced expiratory volume in one second and their ratio) were conducted before and after the intervention. Results: Only experimental group showed significant improvements after the intervention (p ≤ 0.01) in the chest expansion (+22.2%, ES = 0.62), thoracic spine rotation (+21.7%, ES = 0.76 on the left and +23.3%, ES = 0.84 on the right side), lateral trunk flexion (+11.7%, ES = 0.62 on the left and +15.4%, ES = 1 on the right side), shoulder girdle mobility (+20.2%, ES = 0.44 on the left and +21.5%, ES = 0.38 on the right side), forced vital capacity (+4.7%, ES = 0.39) and reduction (p ≤ 0.01) in ratio between forced expiratory volume in one second and forced vital capacity (−4.6%, ES = 0.47). Conclusion: The results revealed that a 22 min diaphragmatic breathing intervention could immediately improve trunk and shoulder mobility and pulmonary function, likely due to anatomical relationships and more efficient use of respiratory muscles, especially the diaphragm.

Background: Cerebral palsy (CP) is a group of permanent disorders affecting movement, posture, and balance. Spasticity is the most common movement disorder in CP, and muscle weakness is its primary impairment. There is a lack of studies that have examined the effects of short-term, moderate-intensity strength training (ST) in adults with CP, whereas recommendations suggest that long-term interventions are necessary for substantial improvements in strength in the CP population. This study investigated the effects of a 5-week, moderate-intensity ST intervention, that targets various upper and lower extremity muscles, on multiple morphological characteristics (MC) and motor abilities (MA) in a sedentary 30-year-old adult male with asymmetrical bilateral spastic CP level II. Methods: Body composition, maximal knee strength, maximal squat strength, leg explosive strength, and hip mobility were assessed before and after the ST intervention. Results: Changes in body composition were modest (0.6–6.4%). Maximal knee strength increased moderately on the less spastic side (40.7–65.9%) and substantially on the more spastic side (118.5–130.6%). Hip mobility showed a similar pattern, with small to moderate improvements (11.4–30.0%), while maximal squat strength and leg explosive strength increased moderately (29.5–46.3%). Conclusions: A short-term, moderate-intensity ST intervention produced meaningful improvements in MC and MA in this subject, especially on the more spastic side. The applied ST program was feasible and potentially efficient, and the results of this single-case study support its approach and methodology in necessary future studies on larger trials in an attempt to generalize these preliminary findings. This in turn may encourage practitioners to promote increased participation in physical activity among individuals with CP, given the short-term period of adaptations. The study discusses the potential of further refinement of the existing CP-specific ST guidelines and load programming aspects.

An essential aspect of jumping performance is the ability to control impact forces. One of the key measures of this ability is the damping ratio, a dimensionless parameter that quantifies the rate at which oscillations decay following a disturbance. This study aims to assess the intra-session and inter-session reliability of damping ratios at different lower-limb anatomical landmarks and evaluate their sensitivity in detecting differences between various repetitive jumping forms, with an emphasis on establishing a specific methodological approach. Twenty-three physically active male and female students performed maximal countermovement jumps (CMJs) and bilateral (BL) and unilateral (UL) hopping (HOP). Ten wireless inertial measurement units recorded inertial data of five bilateral lower-limb anatomical landmarks. Results showed that the damping ratios during CMJ and HOPUL demonstrated good reliability, whereas in HOPBL were moderately reliable. The damping ratios of nearly all the anatomical landmarks differed between the jumping forms. CMJ had the highest values, HOPBL the lowest, and HOPUL values in between, likely due to variations in joint stiffness and amplitude displacement, as well as stretch‒shortening cycle reliance. Methodologically, using 20 repetitions in an intra-session trial and averaging left and right sides for inter-session reliability and inter-jump sensitivity, damping ratios are acceptably reliable and sufficiently sensitive for biomechanical analysis of different repetitive jumping forms. This metric could potentially be a valuable tool in developing theoretical nonlinear multibody mass‒spring‒damper models and could enhance biomechanical analysis with practical applications in sports training and rehabilitation.

Lumbar disc herniation, a growing condition, significantly impacts work productivity, mental health, and quality of life. It alters functional movement patterns and causes improper compensatory body positioning, leading to muscle dysfunction. Physical exercise is a key treatment for chronic cases. This case study examined a 37-year-old male with moderate triple lumbar disc herniation and degenerative disc changes at L3-L4, L4-L5, and L5-S1. The subject followed a 10-week home-based exercise program performed 4 to 5 times weekly for 45 minutes per session. The program consisted of variations of body-weight exercises, supplemented with additional equipment, and progressively increased in intensity and volume, targeting hip joint mobility and strengthening of deep back, abdominal, and thigh muscles. Initial and final assessments included the Pain Detect test, the Short Form Health Survey-36 on quality of life, Manual Muscle Testing (MMT), Functional Movement Screen (FMS), and body composition analysis. Questionnaires indicated significant pain reduction and improvements in physical condition and psychosocial well-being. MMT improved from 4 to 5, FMS from 2 to 3, and body composition showed positive changes: weight (+1.5%), body water (+3.4%), skeletal muscle (+2.8%), and body fat (-6.6%). The subject reported substantial pain reduction, improved physical condition and psychosocial well-being, as well as enhanced muscle strength, functional movement patterns, and body composition. This case study highlights the program’s effectiveness in treating lumbar disc herniation and enhancing quality of life. Additionally, the program is suitable for preventing lumbar disc herniation and improving overall quality of life in the broader population.

Background: Previous research has identified center of mass vertical oscillation and leg stiffness as the most common variables differentiating Natural and Groucho running techniques. The aim was to assess the inter-session reliability and inter-technique sensitivity of synchronized inertial measurement units and contact grids in quantifying kinematic and kinetic differences between Natural and Groucho running techniques. Methods: Eleven physically active and healthy males ran at a speed 50% higher than transition speed. Two sessions for Natural and two for Groucho running were performed, each lasting 1 min. Results: Most variables exhibited a similar inter-session reliability across running techniques, except contact time and center of mass vertical displacement, ranging from moderate to good (ICC = 0.538–0.897). A statistically significant difference between running techniques was found for all variables (p < 0.05), except for contact time and center of mass vertical oscillation (p > 0.05), likely due to inconsistency in reliability depending on the running technique, which may have covered the underlying differences. Conclusions: We can conclude that the combination of synchronized inertial measurement units and contact grids showed potentially acceptable reliability and sufficient sensitivity to recognize and differentiate between Natural and Groucho running techniques. The results may contribute to a broader understanding of the differences between these two running techniques and encourage the increased use of these devices within therapeutic, recreational, and sports running contexts.

Lumbar disc herniation, a growing condition, significantly impacts work productivity, mental health, and quality of life. It alters functional movement patterns and causes improper compensatory body positioning, leading to muscle dysfunction. Physical exercise is a key treatment for chronic cases. This case study examined a 37-year-old male with moderate triple lumbar disc herniation and degenerative disc changes at L3-L4, L4-L5, and L5-S1. The subject followed a 10-week home-based exercise program performed 4 to 5 times weekly for 45 minutes per session. The program consisted of variations of body-weight exercises, supplemented with additional equipment, and progressively increased in intensity and volume, targeting hip joint mobility and strengthening of deep back, abdominal, and thigh muscles. Initial and final assessments included the Pain Detect test, the Short Form Health Survey-36 on quality of life, Manual Muscle Testing (MMT), Functional Movement Screen (FMS), and body composition analysis. Questionnaires indicated significant pain reduction and improvements in physical condition and psychosocial well-being. MMT improved from 4 to 5, FMS from 2 to 3, and body composition showed positive changes: weight (+1.5%), body water (+3.4%), skeletal muscle (+2.8%), and body fat (-6.6%). The subject reported substantial pain reduction, improved physical condition and psychosocial well-being, as well as enhanced muscle strength, functional movement patterns, and body composition. This case study highlights the program’s effectiveness in treating lumbar disc herniation and enhancing quality of life. Additionally, the program is suitable for preventing lumbar disc herniation and improving overall quality of life in the broader population. How to cite: Randow de Almeida, K., Kapeleti, M., Stevanović, V., Mrdaković, V., & Macura, M. Enhancing quality of life through physical exercise in a patient with triple lumbar disc herniation: A longitudinal case study. Exercise and Quality of Life. Advance online publication. https://doi.org/10.31382/preprint.000009