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Acute Pain Impairs Retention of Locomotor Learning, Regardless of the Context of Retention Testing

Journal of neurophysiology 2025年第6期133卷 2025 May 14页

作者： Samuel R Jackson Ryan T Pohlig Susanne M Morton Department of Physical Therapy University of Delaware Newark DE USA. Interdisciplinary Graduate Program in Biomechanics & Movement Science University of Delaware Newark DE USA. Department of Epidemiology University of Delaware Newark DE USA.

Our group and others have shown that the presence of an acute painful stimulus may interfere with retention of motor learning. Conversely, other evidence suggests this effect may not be truly due to pain, but due to a change in context when testing retention; i.e., testing retention in a non-painful context when learning occurred in a painful context. Yet to our knowledge, no study has directly compared retention of learning acquired under painful conditions with versus without a context change. To answer this question, we tested 30 young healthy adults on a locomotor learning and retention paradigm. All participants walked on a treadmill with a monitor displaying distorted real-time visual feedback of step lengths to induce learning of an asymmetric stepping pattern. Retention was assessed 24 hours later. Participants were randomized into one of three groups: one received no intervention; one received a painful stimulus during learning on day 1 only; and one received the same painful stimulus during both learning on day 1 and retention testing on day 2. Pain was induced by applying a combination of topical capsaicin cream and superficial heat to the skin of one leg. We found that while all groups successfully learned the asymmetric pattern, retention was reduced in both groups that experienced pain during learning, regardless of the pain context during retention testing. These findings indicate that pain experienced during acquisition of a motor skill has a unique and deleterious effect on retention of that motor skill, which could negatively impact rehabilitation efforts.

关键词： Motor learning consolidation gait locomotion pain interference walking

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Effects of contact/collision sport history on gait in early-to mid-adulthood

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Journal of Sport and Health science 2023年第3期12卷 398-405页

作者： Katherine J.Hunzinger Jaclyn B.Caccese Rebekah Mannix William P.MeehanⅢ Jocelyn F.Hafer C.Buz Swanik Thomas A.Buckley Department of Biostatistics Epidemiologyand InformaticsUniversity of Pennsylvania Perelman School of MedicinePhiladelphiaPA 19104USA Penn Injury Science Center University of PennsylvaniaPhiladelphiaPA 19104USA School of Health and Rehabilitation Sciences The Ohio State University College of MedicineColumbusOH 43210USA Division of Emergency Medicine Boston Children's HospitalBostonMA 02115USA Departments of Pediatrics and Emergency Medicine Harvard Medical SchoolBostonMA 02115USA The Micheli Center for Sports Injury Prevention WalthamMA 02453USA Division of Sports Medicine Department of OrthopedicsBoston Children's HospitalBostonMA 02453USA Department of Pediatrics and Orthopedics Harvard Medical SchoolBostonMA 02453USA Department of Kinesiology and Applied Physiology University of DelawareNewarkDE 02453USA Interdisciplinary Program in Biomechanics and Movement Science University of DelawareNewarkDE 02453USA

Background:To determine the effect of contact/collision sport participation on measures of single-task(ST)and dual-task(DT)gait among early-to middle-aged ***:The study recruited 113 adults(34.88±11.80 years,(mean±SD);53.0%female)representing 4 *** included(a)former non-contact/collision athletes and non-athletes who are not physically active(n=28);(b)former non-contact/collision athletes who are physically active(n=29);(c)former contact/collision sport athletes who participated in high-risk sports and are physically active(n=29);and(d)former rugby players with prolonged repetitive head impact exposure history who are physically active(n=27).Gait parameters were collected using inertial measurement units during ST and DT *** cost was calculated for all gait parameters(double support,gait speed,and stride length).Groups were compared first using one-way analysis of *** a multiple regression was performed for participants in the highrisk sport athletes and repetitive head impact exposure athletes groups only to predict gait outcomes from contact/collision sport career ***:There were no significant differences between groups on any ST,DT,or DT cost outcomes(p>0.05).Contact/collision sport duration did not predict any ST,DT,or DT cost gait ***:Years and history of contact/collision sport participation does not appear to negatively affect or predict neurobehavioral function in early-to mid-adulthood among physically active individuals.

关键词： Exercise Neurodegenerative disease Postural control Rugby Subconcussive impacts

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Reproducible biomarkers: Leveraging nonlinear descriptors in the face of non-ergodicity

arXiv

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arXiv 2023年

作者： Mangalam, Madhur Sadri, Arash Hayano, Junichiro Watanabe, Eiichi Kiyono, Ken Kelty-Stephen, Damian G. Division of Biomechanics and Research Development Department of Biomechanics Center for Research in Human Movement Variability University of Nebraska at Omaha OmahaNE68182 United States Lyceum Scientific Charity Tehran Iran Interdisciplinary Neuroscience Research Program Students’ Scientific Research Center Tehran University of Medical Sciences TehranP94V+8MF Iran Graduate School of Medicine Nagoya City University Aichi Nagoya467-8601 Japan Division of Cardiology Department of Internal Medicine Fujita Health University Bantane Hospital Aichi Nagoya454-0012 Japan Graduate School of Engineering Science Osaka University Osaka560-8531 Japan Department of Psychology State University of New York at New Paltz New PaltzNY12561 United States

Any reliable biomarker has to be specific, generalizable, and reproducible across individuals and contexts. The exact values of such a biomarker must represent similar health states in different individuals and at different times within the same individual to result in the minimum possible false-positive and false-negative rates. The application of standard cut-off points and risk scores across populations hinges upon the assumption of such generalizability. Such generalizability, in turn, hinges upon this condition that the phenomenon investigated by current statistical methods is ergodic, i.e., its statistical measures converge over individuals and time within the finite limit of observations. However, emerging evidence indicates that biological processes abound with non-ergodicity, threatening this generalizability. Here, we present a solution for how to make generalizable inferences by deriving ergodic descriptions of non-ergodic phenomena. For this aim, we proposed capturing the origin of ergodicity-breaking in many biological processes: cascade dynamics. To assess our hypotheses, we embraced the challenge of identifying reliable biomarkers for heart disease and stroke, which, despite being the leading cause of death worldwide and decades of research, lacks reliable biomarkers and risk stratification tools. We showed that raw R-R interval data and its common descriptors based on mean and variance are non-ergodic and non-specific. On the other hand, the cascade-dynamical descriptors, the Hurst exponent encoding linear temporal correlations, and multifractal nonlinearity encoding nonlinear interactions across scales described the non-ergodic heart rate variability ergodically and were specific. This study inaugurates applying the critical concept of ergodicity in discovering and applying digital biomarkers of health and disease. © 2023, CC BY-NC-ND.

关键词： Risk perception

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Factors associated with pain resolution in those with knee pain: the MOST study

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Osteoarthritis and Cartilage 2021年第12期29卷 1666-1672页

作者： Felson, D. Rabasa, G. Jafarzadeh, S.R. Nevitt, M. Lewis, C.E. Segal, N. White, D.K. Section of Rheumatology Boston University School of Medicine Boston MA United States University of Manchester and the NIHR Manchester Musculoskeletal Biomedical Research Centre Manchester University Hospitals NHS Foundation Trust Manchester United Kingdom University of California at San Francisco San Francisco CA United States University of Alabama at Birmingham Birmingham AL United States University of Kansas Medical Center Kansas City KS United States Department of Physical Therapy College of Health Sciences University of Delaware Newark DE United States Biomechanics and Movement Science Interdisciplinary Program University of Delaware Newark DE United States

Objectives: To determine how many persons with knee pain have subsequent pain resolution and what factors are associated with resolution, focusing especially on types of physical activity. Methods: Using data from MOST, an NIH funded longitudinal cohort study of persons with or at risk of knee osteoarthritis, we studied participants who at baseline reported knee pain on most days at both a telephone interview and clinic visit. We defined pain resolution if at 30 and 60 month exams, they reported no knee pain on most days and compared these participants to those who reported persistent pain later. In logistic regression analyses, we examined the association of baseline risk factors including demographic factors, BMI, depressive symptoms, isokinetic quadriceps strength and both overall physical activity (using the PASE survey) and specific activities including walking, gardening, and different intensities of recreational activities with pain resolution. Results: Of 1,304 participants with knee pain on most days at baseline, 265 (20.3%) reported no knee pain at 30 and 60 months. Lower BMI and stronger quadriceps were associated with higher odds of pain resolution while overall physical activity was not. Of activities, walking decreased the odds of pain resolution (adjOR = 0.86 (95% CI 0.76, 0.98)), but gardening (adjOR = 1.59 (1.16, 2.18)) and moderate intensity recreational activities ((adjOR = 1.24 (1.05, 1.46)) increased it. Conclusion: Pain resolution is common in those with knee pain. Factors increasing the odds of pain resolution include lower BMI, greater quadriceps strength and gardening and moderately intensive recreational activities. © 2021

关键词： Knee pain Obesity Physical activity Quadriceps strength

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A Mechanized Pediatric Elbow Joint Powered by a De-Based Artificial Skeletal Muscle*

A Mechanized Pediatric Elbow Joint Powered by a De-Based Art...

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Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC)

作者： A. Behboodi C. DeSantis J. Lubsen S.C.K. Lee Venture Development Center University of Delaware Newark DE USA Mechanical Engineering Department University of Delaware Newark DE USA Departments of Physical Therapy Biomedical Engineering and Interdisciplinary Graduate Program in Biomechanics and Movement Science University of Delaware Newark DE USA

ISBN: (数字)9781728119908

ISBN: (纸本)9781728119915

To increase the acceptability of exoskeletons, there is growing attention toward finding an alternative soft actuator that can safely perform at close vicinity of the human body. In this study, we investigated the capability of the dielectric elastomer actuators (DEAs), for muscle-like actuation of rehabilitation robots. First, an artificial skeletal muscle was configured using commercially available stacked DEAs arranged in a 3×4 array of three parallel fibers consisting of four DEAs connected in series. The shortening and force generation capabilities of this artificial muscle were then measured. An alternate 3×5 version of this muscle was mounted on the forearm of an upper extremity phantom model to actuate its elbow joint. The actuation capability of this muscle was then tested under various tensile loads, 1 N to 4 N, placed at the center of mass of the forearm+hand of the phantom model. The active range of motion and angular velocity of the phantom model's tip of the hand were measured using a motion capture system. The 3×4 artificial muscle produced 30.47 N of force and 5.3 mm of maximum shortening. The 3×5 artificial muscle was capable of actuating the elbow flexion 19.5 o with 16.2 o /s angular velocity in the sagittal plane, under a 1 N tensile load. The active range of motion was substantially reduced as the tensile loads increased, which limits the capability of these muscles in the current upper extremity exoskeleton design.

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State of the Prescription Process for Dynamic Ankle-Foot Orthoses

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Current Physical Medicine and Rehabilitation Reports 2018年第1期6卷 55-61页

作者： Koller, Corey Arch, Elisa S. Biomechanics and Movement Science Interdisciplinary Program University of Delaware Newark DE United States Department of Kinesiology and Applied Physiology University of Delaware Newark DE United States

Purpose of Review: Dynamic ankle-foot orthoses (AFOs) are assistive devices that can be prescribed to individuals with mobility limitations to support and align joints. Dynamic AFOs are a category of passive AFOs that can control ankle motion to address both ankle joint range of motion limitations and ankle muscle weakness. This control of motion is achieved through the dynamic AFO’s functional characteristics, namely bending stiffness, which need to be customized to each individual’s needs. However, current conventions for customizing dynamic AFOs for each individual are variable and often not clearly documented. The purpose of this review was to synthesize the current state of customizing functional characteristics of dynamic AFOs to provide a foundation for ultimately optimizing the prescription of AFOs. Recent Findings: Dynamic AFO bending stiffness, bending axis, alignment, and footplate design were identified as key functional characteristics that can be customized. Studies showed that customizing these dynamic AFO functional characteristics has the ability to alter gait, and customizing multiple functional characteristics at once is key to improving individual outcomes. Summary: Researchers have continued to expand their knowledge on how dynamic AFO functional characteristics can impact individual outcomes. Continued research should work towards developing guidelines for prescribing dynamic AFO functional characteristics based on individuals’ level of needs. Additionally, researchers and clinicians need to work together to ultimately translate these scientific findings into clinical practice. © 2018, Springer science+Business Media, LLC, part of Springer Nature.

关键词： Alignment Ankle-foot orthosis Axis Footplate Stiffness

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Postural control deficits identify lingering post-concussion neurological deficits

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Journal of Sport and Health science 2016年第1期5卷 61-69页

作者： Thomas A.Buckley Jessie R.Oldham Jaclyn B.Caccese Department of Kinesiology andApplied Physiology Interdisciplinary Program in Biomechanics and Movement Science 150 Human Performance Laboratory University of Delaware Newark DE 19716 USA Interdisciplinary program in Biomechanics and Movement Science University of Delaware Newark DE 19716 USA

Concussion,or mild traumatic brain injury,incidence rates have reached epidemic levels and impaired postural control is a cardinal *** purpose of this review is to provide an overview of the linear and non-linear assessments of post-concussion postural *** current acute evaluation for concussion utilizes the subjective balance error scoring system(BESS) to assess postural *** the sensitivity of the overall test battery is high,the sensitivity of the BESS is unacceptably low and,with repeat administration,is unable to accurately identify *** measures of postural control,utilizing traditional linear assessments,have identified impairments in postural control well beyond BESS *** assessments of quiet stance and gait have identified lingering impairments for at least 1 month ***,the application of non-linear metrics to concussion recovery have begun to receive limited attention with the most commonly utilized metric being approximate entropy(Ap En).Ap En,most commonly in the medial-lateral plane,has successfully identified impaired postural control in the acute post-concussion timeframe even when linear assessments of instrumented measures are equivalent to healthy pre-injury values;unfortunately these studies have not gone beyond the acute phase of *** study has identified lingering deficits in postural control,utilizing Shannon and Renyi entropy metrics,which persist at least through clinical recovery and return to ***,limited evidence from two studies suggest that individuals with a previous history of a single concussion,even months or years prior,may display altered Ap En ***,non-linear metrics provide a fertile area for future study to further the understanding of postural control impairments acutely post-concussion and address the current challenge of sensitive identification of recovery.

关键词： Balance Concussion Mild traumatic brain injury Postural control Variability

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Commentaries on Viewpoint: Physiology and fast marathons

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Journal of applied physiology (Bethesda, Md. : 1985) 2020年第4期128卷 1069-1085页

作者： Jordan Santos-Concejero Fernando González-Mohíno José María González-Ravé Stephane Perrey Arthur H. Dewolf Brandon A. Yates Anton Ušaj Tadej Debevec José Manuel González-Rayas Ana Lilia Rayas-Gómez José Manuel González-Yáñez Romuald Lepers Paul Stapley Julien Louis Felix Proessl P T Nikolaidis B Knechtle D Muniz-Pumares B Hunter L Bottoms Bastien Bontemps Pedro L. Valenzuela Daniel Boullosa Juan Del Coso Richard C. Blagrove Philip R. Hayes Gregoire P. Millet Davide Malatesta Yuri de Almeida Costa Campos Miller Pereira Guimarães Jeferson Macedo Vianna Sandro Fernandes da Silva Paulo Henrique Silva Marques de Azevedo Hunter L. Paris Margaret A. Leist Mast T. Lige William Malysa Alicia S. Oumsang Erin C. Sinai Rasmus K. Hansen Niels H. Secher Stefanos Volianitis Laura Hottenrott Kuno Hottenrott Thomas Gronwald Jonathon W. Senefeld Ricardo J. Fernandes João Paulo Vilas-Boas Alain Riveros-Rivera Dieter Böning Daniel H. Craighead Shalaya Kipp Rodger Kram Christoph Zinner Billy Sperlich Hans-Christer Holmberg Borja Muniz-Pardos Shaun Sutehall Konstantinos Angeloudis Fergus M. Guppy Andrew Bosch Yannis Pitsiladis David C. Andrade Rodrigo Del Rio Rodrigo Ramirez-Campillo Thiago Ribeiro Lopes Bruno Moreira Silva Stephen J. Ives Peter G. Weyand Cayque Brietzke Paulo Estevão Franco-Alvarenga Tony Meireles dos Santos Flávio Oliveira Pires Gwenael Layec Wouter Hoogkamer Christopher S. Balestrini Curtis S. Goss Mikaela C. Gabler Albaro Escalera Shane A. Bielko Robert F. Chapman Department of Physical Education and Sport University of the Basque Country UPV/EHU Vitoria-Gasteiz Spain University of Castilla-La Mancha Sport Training Lab Toledo Spain Facultad de Lenguas y Educación Universidad Nebrija Madrid Spain EuroMov Digital Health in Motion University of Montpellier IMT Mines Ales Montpellier France Department of Systems Medicine and Center of Space Biomedicine University of Rome Tor Vergata Rome Italy Department of Kinesiology Indiana University-Purdue University of Indianapolis Indianapolis Indiana Indiana Center for Musculoskeletal Health Indiana University School of Medicine Indianapolis Indiana Faculty of Sport University of Ljubljana Ljubljana Slovenia Department of Automation Biocybernetics and Robotics Jozef Stefan Institute Ljubljana Slovenia School of Medicine and Health Sciences Monterrey Institute of Technology and Higher Education Monterrey México Hospital San José de Querétaro Querétaro México INSERM UMR1093-CAPS UFR des Sciences du Sport Université Bourgogne Franche-Comté Dijon France Neural Control of Movement Laboratory School of Medicine Faculty of Science Medicine and Health Illawarra Health and Medical Research Institute University of Wollongong New South Wales Australia Research Institute for Sport and Exercise Sciences Liverpool John Moores University Liverpool United Kingdom Neuromuscular Research Laboratory University of Pittsburgh Pittsburgh Pennsylvania School of Health and Caring Sciences University of West Attica Athens Greece Institute of Primary Care University of Zurich Zurich Switzerland Department of Psychology and Sport Sciences School of Life and Medical Sciences University of Hertfordshire Hatfield United Kingdom Unité de recherche Impact de l’Activité Physique sur la Santé (UR IAPS Number 201723207F) University of Toulon Toulon France Department of Systems Biology University of Alcalá Madrid Spain Department of Sport and Health Spanish Agency for Health Protection in Sport (AEPSAD)

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Author Correction: The power of genetic diversity in genome-wide association studies of lipids

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Nature 2023年第7965期618卷 E19-E20页

作者： Sarah E Graham Shoa L Clarke Kuan-Han H Wu Stavroula Kanoni Greg J M Zajac Shweta Ramdas Ida Surakka Ioanna Ntalla Sailaja Vedantam Thomas W Winkler Adam E Locke Eirini Marouli Mi Yeong Hwang Sohee Han Akira Narita Ananyo Choudhury Amy R Bentley Kenneth Ekoru Anurag Verma Bhavi Trivedi Hilary C Martin Karen A Hunt Qin Hui Derek Klarin Xiang Zhu Gudmar Thorleifsson Anna Helgadottir Daniel F Gudbjartsson Hilma Holm Isleifur Olafsson Masato Akiyama Saori Sakaue Chikashi Terao Masahiro Kanai Wei Zhou Ben M Brumpton Humaira Rasheed Sanni E Ruotsalainen Aki S Havulinna Yogasudha Veturi QiPing Feng Elisabeth A Rosenthal Todd Lingren Jennifer Allen Pacheco Sarah A Pendergrass Jeffrey Haessler Franco Giulianini Yuki Bradford Jason E Miller Archie Campbell Kuang Lin Iona Y Millwood George Hindy Asif Rasheed Jessica D Faul Wei Zhao David R Weir Constance Turman Hongyan Huang Mariaelisa Graff Anubha Mahajan Michael R Brown Weihua Zhang Ketian Yu Ellen M Schmidt Anita Pandit Stefan Gustafsson Xianyong Yin Jian'an Luan Jing-Hua Zhao Fumihiko Matsuda Hye-Mi Jang Kyungheon Yoon Carolina Medina-Gomez Achilleas Pitsillides Jouke Jan Hottenga Gonneke Willemsen Andrew R Wood Yingji Ji Zishan Gao Simon Haworth Ruth E Mitchell Jin Fang Chai Mette Aadahl Jie Yao Ani Manichaikul Helen R Warren Julia Ramirez Jette Bork-Jensen Line L Kårhus Anuj Goel Maria Sabater-Lleal Raymond Noordam Carlo Sidore Edoardo Fiorillo Aaron F McDaid Pedro Marques-Vidal Matthias Wielscher Stella Trompet Naveed Sattar Line T Møllehave Betina H Thuesen Matthias Munz Lingyao Zeng Jianfeng Huang Bin Yang Alaitz Poveda Azra Kurbasic Claudia Lamina Lukas Forer Markus Scholz Tessel E Galesloot Jonathan P Bradfield E Warwick Daw Joseph M Zmuda Jonathan S Mitchell Christian Fuchsberger Henry Christensen Jennifer A Brody Mary F Feitosa Mary K Wojczynski Michael Preuss Massimo Mangino Paraskevi Christofidou Niek Verweij Jan W Benjamins Jorgen Engmann Rachel L Kember Roderick C Slieker Ken Sin Lo Nuno R Zilhao Phuong Le Marcus E Kleber Graciela E Delgado Shaofeng Huo Dai Department of Internal Medicine Division of Cardiology University of Michigan Ann Arbor MI USA. VA Palo Alto Health Care System Palo Alto CA USA. Department of Medicine Division of Cardiovascular Medicine Stanford University School of Medicine Stanford CA USA. Department of Computational Medicine and Bioinformatics University of Michigan Ann Arbor MI USA. William Harvey Research Institute Barts and the London School of Medicine and Dentistry Queen Mary University of London London UK. Department of Biostatistics and Center for Statistics Genetics University of Michigan Ann Arbor MI USA. Department of Genetics Perelman School of Medicine University of Pennsylvania Philadelphia PA USA. Clinical Pharmacology William Harvey Research Institute Barts and The London School of Medicine and Dentistry Queen Mary University of London London UK. Endocrinology Boston Children's Hospital Boston MA USA. Medical and Population Genetics Broad Institute Cambridge MA USA. Department of Genetic Epidemiology University of Regensburg Regensburg Germany. McDonnell Genome Institute and Department of Medicine Washington University St Louis MO USA. Department of Precision Medicine Division of Genome Science National Institute of Health Cheongju-si South Korea. Tohoku Medical Megabank Organization Tohoku University Sendai Japan. Sydney Brenner Institute for Molecular Bioscience Faculty of Health Sciences University of the Witwatersrand Johannesburg South Africa. Center for Research on Genomics and Global Health National Human Genome Research Institute National Institutes of Health Bethesda MD USA. Blizard Institute Barts and the London School of Medicine and Dentistry Queen Mary University of London London UK. Wellcome Sanger Institute Hinxton UK. Department of Epidemiology Emory University Rollins School of Public Health Atlanta GA USA. Atlanta VA Health Care System Decatur GA USA. Malcolm Randall VA Medical Center Gainesville FL USA. Division of Vascular Sur

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Commentaries on Viewpoint: V̇o2peak is an acceptable estimate of cardiorespiratory fitness but not V̇o2max

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Journal of applied physiology (Bethesda, Md. : 1985) 2018年第1期125卷 233-240页

作者： Paulo Azevedo Dharini M. Bhammar Tony G. Babb T. Scott Bowen Klaus K. Witte Harry B. Rossiter Julien V. Brugniaux Ben D. Perry Ricardo Dantas de Lucas Tiago Turnes Jeann L. Sabino-Carvalho Thiago Ribeiro Lopes Rodrigo Zacca Ricardo J. Fernandes Greg L. McKie Tom J. Hazell Lucas Helal Anderson Donelli da Silveira Craig Ryan McNulty Robert Andrew Roberg Tom E. Nightingale Abdullah A. Alrashidi Evgeny Mashkovskiy Andrei Krassioukov Pierre Clos Davy Laroche Benjamin Pageaux David C. Poole Andrew M. Jones Gustavo Z. Schaun Diego Santos de Souza Tatiane de Oliveira Barreto Lopes Mary Vagula Li Zuo Tingyang Zhao Exercise Physiology Studies and Research Group (GEPEFEX) Federal University of São Paulo Santos São Paulo Brazil Kinesiology and Nutrition Sciences School of Allied Health Sciences University of Nevada-Las Vegas Las Vegas NV Institute for Exercise and Environmental Medicine Texas Health Presbyterian Hospital Dallas and UT Southwestern Medical Center Dallas TX Faculty of Biological Sciences University of Leeds Leeds UK Faculty of Medicine University of Leeds Leeds UK Rehabilitation Clinical Trials Center Division of Respiratory and Critical Care Physiology and Medicine Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center Torrance CA School of Science & Health Western Sydney University Australia Physical Effort Laboratory Sports Centre Federal University of Santa Catarina Brazil NeuroVASQ – Integrative Physiology Laboratory Faculty of Physical Education University of Brasília Brasília DF Brazil Federal University of São Paulo São Paulo SP Brazil Centre of Research Education Innovation and Intervention in Sport Faculty of Sport University of Porto Porto Portugal Porto Biomechanics Laboratory University of Porto Porto Portugal CAPES Foundation Ministry of Education of Brazil Brasília Brazil Department of Kinesiology and Physical Education Faculty of Science Wilfrid Laurier University Waterloo Ontario Canada Graduate Program in Cardiology and Cardiovascular Sciences School of Medicine Hospital de Clinicas de Porto Alegre Universidade Federal do Rio Grande do Sul Exercise Pathophysiology Laboratory Hospital de Clinicas de Porto Alegre Exercise Cardiology Laboratory Hospital de Clinicas de Porto Alegre Queensland University of Technology Brisbane QLD Australia International Collaboration on Repair Discoveries Vancouver British Columbia Canada Faculty of Medicine Division of Physical Medicine and Rehabilitation University of British Columbia Vancouver British Columbia Canada Faculty of Medicine Experimental Medicine University of Brit

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