Jaweria Shakeel, Syeda Mulaika Afaq, Aftab Ahmed Mirza Baig
The most common reason for decreased function and impairment is low back pain (LBP). According to National Institutes of Health epidemiology research, lower back pain affects 60-80% of adults at some point in their lifespan.1 There is a wide range of methods used to treat chronic low back pain (CLBP), and one of them is the "Graston Technique (GT)" or "Instrument-assisted soft tissue mobilization (IASTM)." It is an innovative, proof-based type of instrument-helped delicate tissue activation. GT is a manual therapy that uses specialized instruments with bevelled edges to find and treat soft tissue disorders. GT has slowly started to dominate, using direct compressive stroke techniques to manipulate muscles, myofascial, tendons, and skin. The ground of GT that "James Cryriax '' developed is deep cross-friction massage. Although GT or IASTM originates from Gua sha, a traditional Chinese medicine approach, their rationale, objectives, and application strategies differ. This strategy is the best quality level of myofascial discharge.2 Despite its indications and limitations, the GT has gained popularity due to its efficiency and effectiveness while remaining completely noninvasive.
Graston Method involves applying pressure and manipulation to the affected areas with specialized tools for incrementing blood supply and breakage of scar tissue.3 In addition, these changes demonstrate that this method can improve the restoration of nearby morphological microvasculature; hence injured soft tissue blood supply increases. Studies indicate the clinical interest of this method in the treatment-related restoration of pain perception, strength, and joint ranges. The instrument's surface maximizes the force delivered to the tissues while minimizing the energy and force the practitioner uses and therefore, it is possible to stimulate the points adhered in deep areas. The technique assists in changing soft tissue injury to sound working tissue.4
The GT is especially beneficial for patients suffering from CLBP. Physical therapists, chiropractors, and sports medicine professionals frequently employ this method to treat LBP, as it mobilizes scar tissue and myofascial adhesions. Increased vibration sensitivity may aid the clinician's capacity to detect tissue adhesions. Furthermore, the instrument's use provides a mechanical advantage, reducing the imposed strain on the therapist's hand.2 The GT helps with better healing by using the method of vasodilation. It also aids in the better flexibility of the back muscles. When utilized alongside stretching exercises, the approach helps alleviate pain and discomfort, increase muscular flexibility, and increase range of motion (ROM) after a few weeks of treatment.3
GT is a safe and effective way to treat soft tissue areas affected by chronic low back pain. More research studies have confirmed GT's efficacy. The treatment may vary, but all follow Graston's method, proving with evidence-based practice that physiotherapists should use the Graston technique in their practice. Combined with other physical exercises, it creates a practical treatment approach for CLBP.
Abstract Objective To evaluate the effects of neuromuscular training (NT) on tennis performance metrics and determine the influence of age, training variables, and NT modalities. Methods This systematic review and meta-analysis involved a comprehensive search of PubMed, MEDLINE, Embase, Google Scholar, and Web of Science from inception to October 2024. Randomized controlled trials comparing neuromuscular training (NT) modalities—plyometric training (PT), resistance training (RT), and core stability training (CT)—with conventional training in tennis players were included, focusing on outcomes such as service velocity, service precision, agility, sprint performance, muscular strength, and power. Study quality was assessed with ROB2 tool, and evidence certainty graded through GRADE framework. Statistical synthesis was performed using R software (Version 4.4.1) with ‘metafor’ and ‘gemtc’ package, calculating Hedges' g effect sizes for outcomes. Results Twenty-three studies involving 743 participants demonstrated that NT significantly improved service velocity (standardized mean difference [SMD] = 0.72; 95% CI, 0.47 to 0.99), agility (SMD = –0.64; 95% CI, –0.92 to –0.35), sprint performance (SMD = –0.33; 95% CI, –0.60 to –0.07), muscular strength (SMD = 0.57; 95% CI, 0.35 to 0.80), and power (SMD = 0.74; 95% CI, 0.41 to 1.08). However, no significant improvement was observed in service precision (SMD = 0.36; 95% CI, –0.13 to 0.86; p = 0.1126). Furthermore, age appeared to play a role, as players over 18 years showed greater gains in service velocity and power compared to their younger counterparts. Regarding training duration, interventions lasting over 12 weeks (> 24 sessions) did not provide additional benefits in agility and sprint performance. Interestingly, a training frequency of twice per week proved more effective than three times per week for improving sprint performance. When analyzing training modalities, PT emerged as the most effective for enhancing service velocity, sprint performance, and power. On the other hand, CT was found to be optimal for improving agility, while RT yielded the greatest gains in muscular strength. Conclusion NT effectively enhances key performance metrics in tennis players, with outcomes influenced by age, training variables, and NT modality. Coaches should tailor NT programs to the athlete's age and specific performance goals, emphasizing PT for explosive actions, CT for agility, and RT for strength.
Julia C. Blumkaitis, Natalia Nunes, Tilmann Strepp
et al.
This study examined the acute effects of exercise testing on immunology markers, established blood-based biomarkers, and questionnaires in endurance athletes, with a focus on biological sex differences. Twenty-four healthy endurance-trained participants (16 men, age: 29.2±7.6 years, maximal oxygen uptake (V̇ O 2max ): 59.4±7.5 ml·min −1 · kg −1 ; 8 women, age: 26.8±6.1 years, V̇ O 2max : 52.9±3.1 ml·min −1 · kg −1 ) completed an incremental submaximal exercise test and a ramp test. The study employed exploratory bioinformatics analysis: mixed ANOVA, k-means clustering, and uniform manifold approximation and projection, to assess the effects of exhaustive exercise on biomarkers and questionnaires. Significant increases in biomarkers (lymphocytes, platelets, procalcitonin, hemoglobin, hematocrit, red blood cells, cell-free DNA (cfDNA)) and fatigue were observed post-exercise. Furthermore, differences pre- to post-exercise were observed in cytokines, cfDNA, and other blood biomarkers between male and female participants. Three distinct groups of athletes with differing proportions of females (Cluster 1: 100% female, Cluster 2: 85% male, Cluster 3: 37.5% female and 65.5% male) were identified with k-means clustering. Specific biomarkers (e.g., interleukin-2 (IL-2), IL-10, and IL-13, as well as cfDNA) served as primary markers for each cluster, potentially informing individualized exercise responses. In conclusion, our study identified exercise-sensitive biomarkers and provides valuable insights into the relationships between biological sex and biomarker responses.
Małgorzata Bagińska, Łukasz Marcin Tota, Małgorzata Morawska-Tota
et al.
Background Physical activity is an important factor in modelling the remodelling and metabolism of bone tissue. The aim of the study was to evaluate the changes in indices demonstrating bone turnover in men under the influence of maximum-intensity exercise. Methods The study involved 33 men aged 20–25, divided into two groups: experimental (n = 15) and control (n = 18). People training medium- and long-distance running were assigned to the experimental group, and non-training individuals to the control. Selected somatic, physiological and biochemical indices were measured. The level of aerobic fitness was determined using a progressively increasing graded test (treadmill test for subjective fatigue). Blood samples for determinations were taken before the test and 60 minutes after its completion. The concentration of selected bone turnover markers was assessed: bone fraction of alkaline phosphatase (b-ALP), osteoclacin (OC), N-terminal cross-linked telopeptide of the alpha chain of type I collagen (NTx1), N-terminal propeptide of type I progolagen (PINP), osteoprotegerin (OPG). In addition, the concentration of 25(OH)D3 prior to the stress test was determined. Additionally, pre and post exercise, the concentration of lactates in the capillary blood was determined. Results When comparing the two groups, significant statistical differences were found for the mean level of: 25(OH)D3 (p = 0.025), b-ALP (p < 0.001), OC (p = 0.004) and PINP (p = 0.029) prior to the test. On the other hand, within individual groups, between the values pre and post the stress test, there were statistically significant differences for the average level of: b-ALP (p < 0.001), NTx1 (p < 0.001), OPG (p = 0.001) and PINP (p = 0.002). Conclusion A single-session maximum physical effort can become an effective tool to initiate positive changes in bone turnover markers.
Erick Guilherme Peixoto de Lucena, José Maurício Magraner Paixão do Santos, Alex José Sabino
et al.
Este ensaio têm como objetivo apresentar e discutir a percepção subjetiva de esforço (PSE) como instrumento de monitoramento individual do treinamento de força. No contexto do planejamento e organização do treinamento, observa-se na literatura científica uma discussão referente a utilização da PSE tanto na prescrição quanto no acompanhamento do desenvolvimento do desempenho, o que permite monitorar os estímulos e as adaptações provenientes do treinamento físico. Nota-se que estudos recentes apresentam possibilidades de aplicações da PSE voltadas ao treinamento de força e suas especificidades: sessão, séries, número de repetições e carga de treinamento; permitindo maior acessibilidade aos praticantes quanto à sua prática e experiência no treinamento de força.
IntroductionThe Concept 2 (C2) rowing ergometer is used worldwide for home-based training, official competitions, and performance assessment in sports and science. Previous studies reported a disparate underestimation of mechanical power output positively related to an unclearly defined stroke variability. The aim of this study was to quantify the accuracy of the C2 while controlling for the potentially influencing variables of the rowing stroke by using a test rig for air-braked rowing ergometers and thus excluding biological variability.MethodsA unique motorized test rig for rowing ergometers was employed. Accuracy was assessed as the difference in mechanical power output between C2 and a reference system during steady (i.e., minimal variations of stroke power within a series of 50 spacemark, no -strokes) and unsteady simulated rowing (i.e., persistent variations during measurement series) while manipulating the stroke variables shape, force, or rate.ResultsDuring steady simulated rowing, differences between C2 and the reference system ranged 2.9–4.3%. Differences were not significantly affected by stroke shapes (P = 0.153), but by stroke rates ranging 22–28 min−1 (P < 0.001). During unsteady simulated rowing with alterations of stroke force and rate, mean differences of 2.5–3.9% were similar as during steady simulated rowing, but the random error increased up to 18-fold. C2 underestimated mechanical power output of the first five strokes by 10–70%. Their exclusion reduced mean differences to 0.2–1.9%.ConclusionDue to the enormous underestimation of the start strokes, the nominal accuracy of the C2 depends on the total number of strokes considered. It ranges 0.2–1.9%, once the flywheel has been sufficiently accelerated. Inaccuracy increases with uneven rowing, but the stroke shape has a marginal impact. Hence, rowers should row as even as possible and prefer higher stroke rates to optimize C2 readings. We recommend external reference systems for scientific and high-performance assessments, especially for short tests designs where the start strokes will have a major impact.
Iranmanesh Hamideh, Kakhki Alireza Saberi, Taheri Hamidreza
et al.
Study aim: The purpose of this study was to investigate the role of sleep and awareness on consolidation of general and Sequence-Specific learning in children.
Naoto Watanabe, Kazumasa Miyatake, Ryohei Takada
et al.
AimsOsteoporosis is common in total hip arthroplasty (THA) patients. It plays a substantial factor in the surgery’s outcome, and previous studies have revealed that pharmacological treatment for osteoporosis influences implant survival rate. The purpose of this study was to examine the prevalence of and treatment rates for osteoporosis prior to THA, and to explore differences in osteoporosis-related biomarkers between patients treated and untreated for osteoporosis.MethodsThis single-centre retrospective study included 398 hip joints of patients who underwent THA. Using medical records, we examined preoperative bone mineral density measures of the hip and lumbar spine using dual energy X-ray absorptiometry (DXA) scans and the medications used to treat osteoporosis at the time of admission. We also assessed the following osteoporosis-related biomarkers: tartrate-resistant acid phosphatase 5b (TRACP-5b); total procollagen type 1 amino-terminal propeptide (total P1NP); intact parathyroid hormone; and homocysteine.ResultsThe prevalence of DXA-proven hip osteoporosis (T-score ≤ -2.5) among THA patients was 8.8% (35 of 398). The spinal osteoporosis prevalence rate was 4.5% (18 of 398), and 244 patients (61.3%; 244 of 398) had osteopenia (-2.5 < T-score ≤ -1) or osteoporosis of either the hip or spine. The rate of pharmacological osteoporosis treatment was 22.1% (88 of 398). TRACP-5b was significantly lower in the osteoporosis-treated group than in the untreated group (p < 0.001).ConclusionOsteoporosis is common in patients undergoing THA, but the diagnosis and treatment for osteoporosis were insufficient. The lower TRACP-5b levels in the osteoporosis-treated group — that is, osteoclast suppression — may contribute to the reduction of the postoperative revision rate after THA.Cite this article: Bone Joint Res 2022;11(12):873–880.
Introduction: Acute Myocardial Infarction with ST-Segment Elevation (STEMI) is one of the major causes of morbidity and mortality all over the world. Pulmonary hypertension (LH) occurs in various clinical conditions, including diseases of the left half of the heart.
Objective: To evaluate the structural and functional features of the heart in ST-elevated myocardial infarction (STEMI) of the left ventricular wall (LV) in the presence of pulmonary hypertension (PH).
Materials and Methods: The study involved 87 patients (48 men and 37 women) with STEMI who were treated in intensive care and emergency cardiology department of the "City hospital and emergency ambulance" Zaporizhia city council. Patients were divided into two groups: 51 patients with STEMI in the presence of PH (mean age 69,30 ± 2,34 years), 36 patients with STEMI without PH (mean age 65,20 ± 2,02 years).
Results: Evaluation of the structural and functional features of LV showed that in patients with STEMI with PH compared to patients with STEMI without PH there was a significant decrease in EF (by 25.6%; p <0.05), increase in MMILV by 17.6%; p <0.05) and LVDs (by 13.3%; p <0.05). In patients with PH, the diameter of LA was 12.9% higher than in patients without PH (p <0.05).
In the study of LV diastolic function using pulsed Doppler revealed that in patients with STEMI with PH there is a significant acceleration of MVE (by 32,3%; p <0.05) and increasing in the ratio of MV E/A (by 63,4%, p <0,05) compared with patients without PH.
Conclusions: In patients with STEMI pulmonary hypertension develops against the background of dilatation of the left ventricles of the heart with the formation of eccentric hypertrophy and systolic LV dysfunction. In patients with STEMI and PH we found an overload of the right ventricles of the heart with increasing size of the right ventricle and right atrium.
Abstract Background Improving the quality of functional movements in athletes generally requires additional training targeting specific functional deficiencies. However, well-rounded, traditional strength and conditioning program should also improve player’s movement quality. Therefore, the primary aim of this study was to compare the effect of two different six-week interventions on the functional score of female netball players. Methods In a randomized controlled study, players were divided into control and intervention group. Both groups completed identical six-week strength and conditioning program, with the intervention group also completing additional corrective exercises three sessions per week during the same period. Results The FMS® score was significantly higher in the intervention group after 6-week program (f = 9.85, p = 0.004). However, the differences in total score may be attributed mainly to differences between groups in active straight leg raise (p = 0.004) and trunk stability push-up test (p = 0.02), as other individual tests demonstrated similar time and group effect. Conclusion These results indicate that although FMS® based intervention may improve overall functional movement score, the athletes in both groups have demonstrated similar improvements in most of the individual tests. Hence, a well-rounded strength and conditioning program incorporating athlete-specific exercises based on limitations identified in the functional movement screen, may result in a balanced training strategy and reduce the need for supplementary functional training sessions.
During the recent years, more often sports specialist are focusing on improving the content of sports
curriculum at the schools of higher education. The PURPOSE of the training program is to improve and
develop the physical characteristic of strength in students / men /. The METHODS used to achieve the goal
in the research are: theoretical analysis, sports-pedagogical testing, pedagogical experiment, pedagogical
observation, graphic analysis, comparative analysis. The experiment was conducted in the academic year
2019, with the first and second year students of the Faculty of Veterinary Medicine, Faculty of Agriculture,
Faculty of Economics at the Thracian University. The number of the observed students was 70, who
were randomly divided into experimental and control groups. When analyzing the RESULTS obtained from
the performed tests, it was found an increase in some indicators. The used training program proved its
effectiveness with the results from the study. CONCLUSION: This program can be successfully applied in
the classes of physical education and sports at the Higher Schools.
Sprain, is an injury to a joint that results in a torn ligament that functions as a binding between bones and as a stabilizer for the joint that occurs due to excessive pressure and sudden movements repeatedly. It is estimated that nearly 1,6 million injuries occur in connection with basketball in Indonesia. The epidemiology of injuries to male basketball players during training is 4,3 per 1000 while the competition is 9,9 per 1000. This study is an experimental study with a Two Group Pre-Test and Post-Test Design. The research subjects were 30 permanent members of the Bangau Basketball Club which were divided into 2 groups: O1 group was a group that was given cold therapy before training alone, O2 group was a group that was given cold therapy after exercise alone. The study was conducted in October-November 2018. There was a difference between pain intensity and the degree of ankle sprain O1 group before and after exercise with the pain intensity difference test value of 0,000 and the value of the ankle sprain degree difference test result of 0,029 (p <0,05). There was a difference between the intensity of pain and the degree of ankle sprain in the O2 group before and after exercise with the test value of the pain intensity difference of 0,024 and the value of the test result of the degree of ankle sprain difference of 0,047 (p <0,05). Wilcoxon test results showed that there was an effect of cold therapy to reduce ankle sprain pain with p <0,05.
Jakub Husejko, Mateusz Porada, Daria Bieniek
et al.
Background: This article is devoted to the topic of breast cancer, which is a very important and overlooked problem by many women. This cancer is the most common malignancy in women in developed countries. It also creates an increasing problem in developing countries and causes high mortality. Early diagnoses of neoplastic lesions and rapid implementation of therapy in most cases allow for successful treatment its prognosis . Self-control is very important, women should examine their breasts by palpation. Further research to diagnose breast cancer are: mammography (MMG), ultrasonography (USG), magnetic resonance (MR), positron emission tomography (PET) and microscopic examination.
Material and Methods: In this article, it was analyzed by the latest literature on risk factors, epidemiology, diagnosis and treatment of breast cancer. Articles were searched from PubMed and Google Scholar.
Results: Breast cancer risk factors have been shown to be early menstruation, high women's height, high body mass (especially fat content) and hyperinsulinaemia. In addition, genetic factors play an important role. Research also confirms that highly-used cleaners, and at their head, DDP (dichlorodiphenyltrichloroethane) affect the formation of breast cancer. This is the third most common cause of death in women aged 60-85. In treatment, an individual approach to each patient is important. Older women individually discuss the methods of treatment with the doctor, because it gives beneficial results of therapy.
Conclusions: Breast cancer has become a very important medical and social problem in older women. Mass media are needed to disseminate knowledge, topics related to treatment and to support the sick. In older women, treatment is more aggressive, and in addition to radiotherapy, a partial mastectomy is performed. Breast cancer is a tought term for woman’s in all age. It is related with fear and loss of self—confidence.
According Sebire, Standage and Vansteenkiste (2008), goals contents (motives) are the major drivers of behavior, giving rise to the goal content theory, which is in the basis of Goal Content for Exercise Questionnaire (GCEQ: Sebire et al., 2008) development. So, the main goal of present study was to conduct the validation of GCEQ for a sample of Portuguese elderly (n = 311), with equal or higher ages than 60 years old (M = 68.53; DP = 6.69). The main results show us that CGEQ measurement model (5 factors, 20 items) only present adequate fit to data after the elimination of 3 items: S-Bχ²=219.9, df=109, p=.001, SRMR=.049, TLI=.916, CFI=.934, RMSEA=.057, RMSEA 90% CI=.046-.068, PCFI=.747). Besides that, the 5 factors show us acceptable values of composite reliability: between .76 and .88. Those findings allow us to conclude that GCEQ with 5 factors and 17 items can be used to measure goal content in a population of elderly Portuguese people in physical activity domain.
Petr Reich, Zdeněk Rechtik, Ludmila Miklánková
et al.
Life-style is an important part of human health. It is an essential part of physical, psychological and social health. In this part of the research are presented the results obtained in the Czech Republic: the volume and intensity of physical aktivity.
Purpose:
The aim of the research is comparison of the physical activity in the daily program between youth basketball players and regular adolescents in the Czech republic. The project " Health, Fitness and education in Visegrad Countries and neighboring Countries " is focused on mapping and comparison of selected aspects of lifestyle and somatic characteristics of adolescents from Visegrad and other European countries (Poland, Czech Republic, Hungary, Slovakia and Ukraine).
Methods:
The Czech Republic participated in the project with 227 probands (144 boys, 83 girls), basketball players were 137 (93 boys, 44 girls) and 90 pupils from high-schools in the Czech Republic (51 boys, 39 girls). There was „Mezinárodní dotazník pohybové aktivity“ (IPAQ – International Physical Activity Questionnaire, short version) used to collect datas about physical activities.
Results:
There were not found significant differences between sexes in the number of days spent with physical activities. There were also not found significant differences between sexes in the level of physical activity per day.
Conclusion:
The results of the project will help not only to compare data on physical activity of adolescents in individual countries, but also to examine it in the context of the effectiveness of preventive measures in the participating countries.
Valerie J. Silfee, Milagros C. Rosal, Meera Sreedhara
et al.
Abstract Background U.S. Latinos experience high rates of cardio-metabolic diseases and have high rates of physical inactivity and sedentary behavior. Understanding the environmental factors associated with physical activity and sedentary behaviors among Latinos could inform future interventions. The purpose of this study is to explore the neighborhood environment correlates of physical activity and sedentary behavior in a sample of U.S. Latino adults. Methods Cross-sectional study of 602 Latino adults in Lawrence, MA. Survey assessments of physical activity, sedentary behavior, and neighborhood environment were verbally administered. The neighborhood environment scale assessed violence, safety, aesthetic quality, walkability, availability of healthy foods, social cohesion, and activities with neighbors. Results After controlling forage, gender, education, body mass index (BMI), and smoking status, two variables were associated with the outcomes of interest. Living in more walkable neighborhoods was associated with an increased likelihood of engaging in adequate levels of physical activity (>150 min per week, as recommended by the American College of Sports Medicine (ACSM)) (OR = 1.403, p = .018); and greater frequency of activities with neighbors was associated with greater sedentary behavior (β = .072, p = .05). Conclusions There were different neighborhood environment correlates of physical activity and sedentary behavior in this Latino community. Focusing on a greater understanding of the distinct social and physical environmental correlates of physical activity and sedentary behavior may provide important insights for reducing CVD risk and health disparities among Latinos.
André Luiz Zanella, Mauro Lúcio Mazini Filho, Dihogo Gama Matos
et al.
A avaliação da capacidade cardiorrespiratória nos esportes é uma prática muito comum para estabelecer níveis de condicionamento e poder melhorá-los. Avaliação essa que deve ser realizada através de testes específicos das modalidades onde possam refletir as adaptações ocorridas durante o treinamento permitindo ajustes nos programas de treino. Assim este estudo teve como objetivo avaliar o consumo máximo de oxigênio em jogadores de voleibol profissionais comparando com as diferentes posições de jogo dos atletas. Para o estudo foram analisados 25 atletas (idade = 23,13 ± 5,33 anos, peso = 83,3 ± 4,9 kg, altura = 1,93 ± 6,3 cm e gordura = 8,13 ± 3,17 % de gordura corporal). Os atletas foram divididos em 5 grupos separados por posição: (LI) líbero, (L) levantador, (OP) oposto de rede, (M) meio de rede, (P) ponta de rede. O Vo2 máx dos atletas foi determinado em esteira ergométrica através de análise direta. Para análise dos dados foi utilizada uma ANOVA, com posterior aplicação de teste complementar de Bonferroni t-teste. Para toda a análise estatística foi adotado o coeficiente de significância p < 0,05. Os resultados demonstraram que não se apresentou diferenças significativas de VO2 máx entre os grupos de atletas e suas posições especificas de jogo (L) Levantador, (LI) Líbero, (OP) Oposto de rede, (M) Meio de rede e os jogadores de (P) Ponta. Acreditamos que isso se deve por não existir treinamento aeróbio diferenciado entre as posições dos jogadores e por estes realizarem ações parecidas no decorrer de jogo não havendo grandes diferenças na movimentação destes atletas no terreno de jogo durante as partidas ou treinamentos.
ABSTRACT
Maximal oxygen uptake volleyball players: Comparison between playing positions
The evaluation of cardiorespiratory fitness in sports is a very common practice to establish fitness levels and can improve them. Which assessment should be carried out through specific testing modalities where they can reflect the adaptations that occur during training allowing adjustments in training programs. So this study was to evaluate the maximum oxygen uptake in professional volleyball players compared to the different playing positions of athletes. For the study were analyzed 25 athletes (age = 23.13 ± 5.33 years, weight = 83.3 ± 4.9 kg, height = 1.93 ± 6.3 cm and 8.13 ± 3.17 = fat % body fat). The subjects were divided into 5 groups separated by position: (S) sweeper (L) lifter (L) opposite network (OP), (NM) network medium (NE) network edge. The VO2 max of athletes was determined on a treadmill by direct analysis. For data analysis ANOVA was used, with subsequent test application supplementary Bonferroni t -test. For all statistical analysis was adopted the significance coefficient p < 0.05. The results showed that no significant differences in VO2 max between groups of athletes and their specific positions set (S) Setter, (L) Lifter (NO) Network Opposite, Defender and players Tip. We believe that this is due not exist different aerobic training between the positions of players and perform actions like these in the course of the game there are no great differences in the handling of these athletes on the pitch during matches or training.