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- PublicationThe Effect of an 8-Week Low- or High-Volume Protocol of the Adductor Strengthening Programme on Hip Adduction Strength in Female Football Players-A Randomized Trial.2025-02-28T23:00:00Z
;Thorarinsdottir, S ;Isaksen Johansen, S ;Ruud Askim Elvestad, T ;Amundsen, R ;Bache-Mathiesen, L K ;Bahr, R ;Møller, MThe aim of this study was to investigate if an 8-week high-volume protocol of the Adductor Strengthening Programme was more effective than a low-volume protocol in increasing and maintaining isometric hip adduction strength in female football players. We randomized 52 players from the Norwegian women's 1st and 2nd division to a low-volume (220 reps/side) or high-volume (394 reps/side) group. Both groups performed an 8-week protocol of the Adductor Strengthening Programme and a 10-week maintenance protocol with 1 session/week (16 reps/side/session). We measured isometric hip adductor torque (Nm/kg) in a long-lever squeeze test (at 0° and 15° hip abduction) using the ForceFrame at baseline, weeks 4, 6, 8, and 18. Both groups increased their isometric hip adduction strength over the 8-week period (low-volume 0°: 0.13 [95% CI: 0.07-0.20] Nm/kg, 15°: 0.22 [95% CI: 0.07-0.36] Nm/kg; high-volume 0°: 0.13 [95% CI: 0.04-0.22] Nm/kg, 15°: 0.31 [95% CI: 0.18-0.45] Nm/kg), with no between-group difference in either test position (0°: -0.01 [95% CI: -0.11-0.01] Nm/kg; 15°: 0.10 [95% CI: -0.09-0.29] Nm/kg). Also, both groups maintained their strength throughout the 10-week maintenance period, with no between-groups difference in either test position (0°: 0.12 [95% CI: -0.01-0.24] Nm/kg; 15°: 0.06 [95% CI: -0.11-0.23] Nm/kg). Our results indicate that an 8-week high-volume protocol of the Adductor Strengthening Programme was not more effective in increasing isometric adductor strength in female football players than a low-volume protocol. Both groups increased their strength over the 8-week training period and maintained their strength during the 10-week maintenance period. Trial registration: The study protocol was uploaded to Open Science Framework before unblinding and analyzing the data (https://osf.io/7xfw4/). - PublicationTest - embargo2024Marciniak, Sylwia
- PublicationScience education and affect2003
;Mike Watts ;Steve Alsop ;Nowak, Jan - PublicationManagement of Ureters Involved in Inguinal Hernias2018
;Sarah Perz ;Timothy Suttle ;Nowak, Jan ;Puneet SindhwaniKasia KowalskaBackground: The presence of a ureter in a hernia sac presents a unique surgical challenge and can increase the likelihood of ureteral injury at the time of surgery as they are often not identified pre-operatively. Here we present our institutional experience and thorough systematic review in order to provide guidance on the urologist’s role in this situation.Materials and Methods: A PubMed and Medline search was conducted to identify relevant literature published in the year 2000 or later. Case reports and case series in the English language were included using terms “ureter and hernia”, “herniated ureter”, “ureteral hernia”, inguinal hernia and ureter”.Results: The presence of a ureter in an inguinal hernia sac is an uncommon finding. When present, many are not identified pre-operatively, which places the patient at risk for ureteral injury during herniorrhaphy.Patients with ureters contained in their inguinal hernias, that were identified pre-operatively or intra-operatively and not injured, recovered well. Post-operative imaging, when performed, showed stabilization or improvement of hydronephrosis and a more normal course of the ureter. One case reported the identification of ureteral involvement post-operatively after injury, which resulted in worsened renal function and required a re-operation.Conclusions:The presence of a ureter in an inguinal hernia can be differently managed. The primary goal should be avoidance of injury intra-operatively.