Transcranial Direct Current Stimulation (tDCS) is a non-invasive technique used to modulate neural tissue. Neuromodulation apparently improves cognitive functions in several neurologic diseases treatment and sports performance. In this study, we present a comprehensive, integrative review of tDCS for motor rehabilitation and motor learning in healthy individuals, athletes and multiple neurologic and neuropsychiatric conditions. We also report on neuromodulation mechanisms, main applications, current knowledge including areas such as language, embodied cognition, functional and social aspects, and future directions. We present the use and perspectives of new developments in tDCS technology, namely high-definition tDCS (HD-tDCS) which promises to overcome one of the main tDCS limitation (i.e., low focality) and its application for neurological disease, pain relief, and motor learning/rehabilitation. Finally, we provided information regarding the Transcutaneous Spinal Direct Current Stimulation (tsDCS) in clinical applications, Cerebellar tDCS (ctDCS) and its influence on motor learning, and TMS combined with electroencephalography (EEG) as a tool to evaluate tDCS effects on brain function.

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Beyond the target area: an integrative view of tDCS-induced motor cortex modulation in patients and athletes

An exhaustive review has been made to filter the studies that have analyzed muscle function though tensiomyography (TMG) with elite or well-trained athletes. The results of this review indicate that the several protocols used in athletes to find the displacement-time curve with greater maximum radial muscle displacement showed a good-excellent reliability. TMG has been used to characterize athletes' muscles contractile properties from specific sports disciplines, although there are very few sports that have been deeply analyzed. TMG seems to be useful to determine changes in muscles contractile properties after stimuli of competition, training or recovery. These changes have been strongly related with the fatigue produced after an effort. In addition, TMG parameters could be used to control training effects during a specific period or throughout the season being also a very useful tool to individualize athletes training loads. In this sense, it also seems to provide sports performance information in cyclic sports by relating some TMG parameters with performance indicators. On the other hand, the TMG-BCM algorithm has been used as a lateral and functional symmetry measure and as a monitoring tool for injury prevention and recovery. However, it seems to be no clear criterion that determines asymmetry degree, nor established contractile properties values as a reference to prevent or recover sports injuries. Despite the utility shown in these fields, there are still very few sports analyzed and it is really necessary to continue advancing in the knowledge of the contractile properties behavior, such as the effects of athletes' training, competitions and injuries and even in the parameters interpretation obtained with the TMG.

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Clinical utility of tensiomyography for muscle function analysis in athletes.

Bi-hemispheric anodal transcranial direct current stimulation worsens taekwondo-related performance.

Background Blood flow restriction exercise has increasingly broad applications among healthy and clinical populations. Ensuring the technique is applied in a safe, controlled, and beneficial way for target populations is essential. Individualized cuff pressures are a favored method for achieving this. However, there remains marked inconsistency in how individualized cuff pressures are applied. Objectives To quantify the cuff pressures used in the broader blood flow restriction exercise literature, and determine whether there is clear justification for the choice of pressure prescribed. Methods Studies were included in this review from database searches if they employed an experimental design using original data, involved either acute or chronic exercise using blood flow restriction, and they assessed limb or arterial occlusion pressure to determine an individualized cuff pressure. Methodologies of the studies were evaluated using a bespoke quality assessment tool. Results Fifty-one studies met the inclusion criteria. Individualized cuff pressures ranged from 30% to 100% arterial occlusion pressure. Only 7 out of 52 studies attempted to justify the individualized cuff pressure applied during exercise. The mean quality rating for all studies was 11.1 ± 1.2 out of 13. Conclusions The broader blood flow restriction exercise literature uses markedly heterogeneous prescription variables despite using individualized cuff pressures. This is problematic in the absence of any clear justification for the individualized cuff pressures selected. Systematically measuring and reporting all relevant acute responses and training adaptations to the full spectrum of BFR pressures alongside increased clarity around the methodology used during blood flow restriction exercise is paramount.

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Is there rationale for the cuff pressures prescribed for blood flow restriction exercise? A systematic review.

Sella, FS, McMaster, DT, Beaven, CM, Gill, ND, and Hebert-Losier, K. Match demands, anthropometric characteristics, and physical qualities of female rugby sevens athletes: A systematic review. J Strength Cond Res 33(12): 3463-3474, 2019-Since the inclusion of rugby sevens in the 2016 Olympic Games, the popularity of women's rugby sevens has grown rapidly worldwide. This systematic review aimed to summarize the scientific literature addressing the match demands, anthropometric characteristics, and physical qualities of female rugby sevens athletes and to highlight differences between competition levels and playing positions. Four electronic databases were searched, as were the reference lists and key journals. Hedges' g effect sizes with 95% confidence intervals were calculated to evaluate differences between elite and nonelite athletes, and backs and forwards. Twenty-seven studies met inclusion criteria and scored 68 ± 13% upon quality assessment. Comparisons between groups were restricted to variables where data were available. Greater running demands and intensities, number of sprints and accelerations, but lower physiological responses characterized international matches compared with nationals. At international level, backs demonstrated greater running demands and intensities, number of sprints, and physiological responses than forwards. Elite athletes were leaner, taller, and displayed superior physical qualities (e.g., maximal speed, power, upper-body strength, and aerobic capacity) compared with nonelite athletes. At elite level, forwards were heavier and displayed greater upper-body strength, whereas backs showed greater acceleration and maximal speed abilities. The specific match demands and physical requirements of female rugby sevens athletes competing at different playing levels and playing positions must be considered for developing effective training programs.

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Match Demands, Anthropometric Characteristics, and Physical Qualities of Female Rugby Sevens Athletes: A Systematic Review

This letter, its reply and the parent article available at doi: https://doi.org/10.1007/s40279-018-0912-6 .

Guillermo Sánchez-Martínez

Papers

Comment on: "Assessment of Skeletal Muscle Contractile Properties by Radial Displacement: The Case for Tensiomyography".