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Topic Review Peer Reviewed
Pyramidal Systems in Resistance Training
Pyramidal systems refer to a particular type of resistance training in which sets are performed with increasing (or decreasing) weight, in such a way that the number of repetitions is low when the weight is high (and vice versa). Multiple implementations exist such as the light-to-heavy, triangle or asymmetric triangle system. They are similar to traditional training, but with slightly different impact on training volume, endurance or power outcome. Therefore, pyramidal systems are ideal candidates for practitioners willing to tune their training routine. 
  • 912
  • 18 Apr 2022
Topic Review
Paroxysmal Movement Disorders
Paroxysmal movement disorders (PMDs) are rare neurological diseases typically manifesting with intermittent attacks of abnormal involuntary movements.
  • 938
  • 06 Nov 2020
Topic Review Peer Reviewed
Painful Legs and Moving Toes
Painful Legs and Moving Toes syndrome (PLMT) is a rare neurological movement disorder characterized by involuntary and irregular movements of one or more toes, often together, with moderate to severe diffuse pain at the foot and leg. It can appear on one or both sides and in the upper limbs as well as lower limbs. The etiology of PLMT is still unclear; therefore, the main symptoms of PLMT, including pain in limbs as well as involuntary movements of toes, can be treated only symptomatically, and the outcomes are often unsatisfactory. Central or peripheral nerve injuries have been assumed to be the possible causes of irregular involuntary movements, often accompanied by chronic pain; however, its etiology is unknown in most cases. The management of PLMT is very difficult because of its rare prevalence and obscure pathogenesis, and there have been no clear guidelines for the treatment of PLMT. Oral medications (e.g., GABAergic agents, benzodiazepines, antiepileptics, antidepressants, atypical antipsychotics, beta-blockers, corticosteroids, cannabis, calcitonin, and analgesics) and several therapeutic interventions (e.g., local botulinum neurotoxin-A injection, spinal cord stimulation, anesthetic, and surgical interventions) have been recommended, based on individual experiences from several cases. Its etiology, pathogenesis, and effective treatments should be further discussed.
  • 846
  • 13 Apr 2022
Topic Review
Exercise Prescriptions for Parkinson’s Disease
Parkinson’s disease (PD) is a prevalent neurodegenerative disorder, which relates to not only motor symptoms, but also cognitive, autonomic, and mood impairments. The literature suggests that pharmacological or surgical treatment has a limited effect on providing relief of the symptoms and also restricting its progression. Recently, research on non-pharmacological interventions for people living with PD (pwPD) that alleviate their motor and non-motor features has shown a new aspect in treating this complex disease. Numerous studies are supporting exercise intervention as being effective in both motor and non-motor facets of PD, such as physical functioning, strength, balance, gait speed, and cognitive impairment. Via the lens of the physical profession, this paper strives to provide another perspective for PD treatment by presenting exercise modes categorized by motor and non-motor PD symptoms, along with its effects and mechanisms. Acknowledging that there is no “one size fits all” exercise prescription for such a variable and progressive disease, this review is to outline tailored physical activities as a credible approach in treating pwPD, conceivably enhancing overall physical capacity, ameliorating the symptoms, reducing the risk of falls and injuries, and, eventually, elevating the quality of life. It also provides references and practical prescription applications for the clinician.
  • 864
  • 30 Oct 2020
Topic Review
Non-Pharmacological Options in Atherosclerosis
Atherosclerosis remains the leading cause of mortality and morbidity worldwide characterized by the deposition of lipids and fibrous elements in the form of atheroma plaques in vascular areas which are hemodynamically overloaded. Atherosclerotic cardiovascular disease is the leading cause of death and disability. Prolonged survival with chronic disease explains why the prevalence, burden, and costs of the disease remain high. Given these issues, aggressive treatment should be started at the first indication and continued over several years, along with the reduction in disease risk factors such as visceral adiposity, dyslipidemia, hypertension, and diabetes.
  • 817
  • 04 Oct 2022
Topic Review
Acute Fatigue and Cognitive Performance in Team Sports
Fatigue caused by exercise or mentally demanding tasks can lead to an alteration in the cognitive functioning of athletes. I is important to investigate whether and to what extent fatigue influences athletes cognitive performance in sports with high cognitive demands. Prolonged exercise causes a decline in the decision-making, attention, and perception abilities of players. Accuracy of sport-specific tasks with cognitive components included rather deteriorated after both exercise and mental fatigue inducement. However, alteration of players cognitive performance depends on the intensity and duration of fatigue-inducing tasks. 
  • 785
  • 24 Mar 2022
Topic Review
Exercise-Associated Hyponatremia and Dehydration
During the last few years, the numbers of competitors in endurance and ultra-endurance sports modalities have increased significantly. This type of competition is an extreme challenge for athletes. Therefore, they have an increased the risk of developing medical and nutritional problems like exercise-associated hyponatremia (EAH), dehydration (DH); the provision of misinformation to athletes about nutrient intake and hydration during competition was identified as the main cause. These problems can affect the performance and health status of the athlete during and post-competition. Several nutritional guidelines have been suggested that can prevent these adverse outcomes, and it is essential to individualize and adjust the nutritional intake and hydration status according to the characteristics of each competition.
  • 782
  • 05 Nov 2020
Topic Review
Physiology of the Endocannabinoid System
The endocannabinoid system (ECS) is involved in various processes, including brain plasticity, learning and memory, neuronal development, nociception, inflammation, appetite regulation, digestion, metabolism, energy balance, motility, and regulation of stress and emotions.
  • 738
  • 10 Feb 2023
Topic Review
Indirect Structural Muscle Injuries
Indirect structural muscle injuries (commonly referred as “muscle tears”) are the more commonly found in everyday clinical practice and represent the biggest challenge in rehabilitation, since these lack a precise therapeutic strategy. Structural muscle injuries classification is shown in.
  • 669
  • 27 Oct 2021
Topic Review
Strength-Training in Intellectual Disability
The practice of physical exercise (PE), especially strength training (ST), has health benefits in the healthy population; however, the literature is scarce in the recommendations related to the population with intellectual disability (ID). This study represents the first analysis on the topic and aims to examine the structure and efficacy of ST experimental intervention programs in individuals with ID. This systematic review was carried out between January and April 2021, using the PubMed, Web of Science, Scopus, and SPORTDiscus databases, according to the PRISMA guidelines.
  • 656
  • 18 Sep 2021
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