Adrian Midgley

Edge Hill University · Department of Sport and Physical Activity

Background and aim: Attempts at personalisation of exercise programmes in head and neck cancer (HaNC) have been limited. The main aim of the present study is to investigate the feasibility and acceptability of introducing a remotely delivered, fully personalised, collaborative, and flexible approach to prescribing and delivering exercise programme...

Purpose Physical activity can improve health outcomes for cancer patients; however, only 30% of patients are physically active. This review explored barriers to and facilitators of physical activity promotion and participation in patients living with and beyond cancer. Secondary aims were to (1) explore similarities and differences in barriers and...

Purpose: To investigate whether mixed circuit training (MCT) elicits the recommended exercise intensity and energy expenditure in people after stroke, and to establish the between-day reproducibility for the percentages of heart rate reserve (%HRR), oxygen uptake reserve (%VO2R), and energy expenditure elicited during two bouts of MCT. Methods:...

Purpose: Assess safety and feasibility of the cardiopulmonary exercise test (CPET) for evaluating head and neck cancer (HaNC) survivors. Also compare their cardiorespiratory fitness to age and sex-matched norms and establish current physical activity levels METHODS: Fifty HaNC survivors [29 male; mean (SD) age, 62 (8) years], who had completed tre...

PurposeInvestigate whether a single bout of mixed circuit training (MCT) can elicit changes in arterial stiffness in patients with chronic stroke. Second, to assess the between-day reproducibility of post-MCT arterial stiffness measurements.Methods Seven participants (58 ± 12 years) performed a non-exercise control session (CTL) and two bouts of MC...

Objectives: To investigate whether a single bout of mixed circuit training (MCT) can elicit acute blood pressure (BP) reduction in chronic hemiparetic stroke patients, a phenomenon also known as post-exercise hypotension (PEH). Methods: Seven participants (58 ± 12 years) performed a non-exercise control session (CTL) and a single bout of MCT on sep...

This study explores healthcare professionals’ experiences of using behavior change interventions in clinical practice. Semi-structured qualitative interviews were conducted with 11 healthcare professionals working in a cardiac and pulmonary rehabilitation National Health Service Trust in the United Kingdom. Interviews were transcribed and analyzed...

Purpose: The main aim of this study was to investigate the effects of circuit resistance training (CRT) on post-exercise appetite and energy intake in chronic hemiparetic stroke patients. A secondary aim was to evaluate the reproducibility of these effects. Methods: Seven participants met the eligibility criteria and, in a randomized order, part...

Exercise is an important component of recovery following cancer. Head and neck cancer (HNC) patients typically report low levels of engagement in exercise initiatives. The aim of this study was to give insight into HNC patients’ reflections on how and why they would be interested in participating in an exercise programme. A stratified sample of 51...

Background The ‘verification phase’ has emerged as a supplementary procedure to traditional maximal oxygen uptake (VO 2max ) criteria to confirm that the highest possible VO 2 has been attained during a cardiopulmonary exercise test (CPET). Objective To compare the highest VO 2 responses observed in different verification phase procedures with the...

Objective: This study investigated pulse wave analysis in normotensive and hypertensive men after cycling bouts with different intensities and amounts of energy expended. Methods: Twenty-four men were assigned into normotensive (n = 14; age: 40.7 ± 2.8 years; 24-h ambulatory SBP/DBP:121 ± 2/74 ± 1 mmHg) and hypertensive (n = 10; age: 39.2 ± 2.3...

PurposeTo investigate the effect of heat stress on postexercise hypotension.Methods Seven untrained men, aged 21–33 years, performed two cycling bouts at 60% of oxygen uptake reserve expending 300 kcal in environmental temperatures of 21 °C (TEMP) and 35 °C (HOT) in a randomized, counter-balanced order. Physiological responses were monitored for 10...

The ability of patients to participate in recreational activities is an important facet of health-related quality of life (HRQoL) after treatment for cancer of the head and neck. The aim of this study was to analyse patients’ responses to the activity and recreation domains of the University of Washington quality of life questionnaire (UW-QoL), and...

Objectives COPD is a debilitating lung condition that affects lives in the UK. One of the main aims of pulmonary rehabilitation (PR) is to improve the quality of life for patients who have been diagnosed with COPD. The challenge for PR is that many patients do not complete or engage with the programme. Healthcare professionals delivering PR believe...

Background: Less than 50% of adults meet the minimum recommended levels of PA, with this figure even further reduced amongst patient groups. Despite being recognised as a goal-standard non-pharmacological treatment for CVD and COPD patients, completion rates of cardiac and pulmonary rehabilitation programmes, where PA is a central component, remain...

Abstract: A plethora of studies apply Self-Determination Theory to explain Physical Activity (PA) behaviour and to inform interventions that aim to change PA behaviour. There is, however, a lack of clarity regarding how SDT-derived interventions to promote PA are developed. Although the EQUATOR Network has provided a standardised method of reportin...

Background Chronic obstructive pulmonary disease (COPD) is a degenerative condition that can impair health-related quality of life (HRQoL). A number of self-management interventions, employing a variety of behavioural change techniques (BCTs), have been adopted to improve HRQoL for COPD patients. However, a lack of attention has been given to group...

The present study aimed to establish exercise preferences, barriers, and perceived benefits among head and neck cancer survivors, as well as their level of interest in participating in an exercise program. Patients treated for primary squamous cell carcinoma of the head and neck between 2010 and 2014 were identified from the hospital database and s...

ABSTRACT Aims: Extrinsic factors of subacromial impingement of the shoulder can be potentially characterised by the angle between the acromion and coracoacromial ligament. A retrospective study was designed to explore it. Patients and Methods: The landmarks and outcome measures were determined on sagittal cuts of default 1.5 T MRI scans. Two inde...

To examine the reproducibility of three measurement techniques used to determine creatine kinase, interleukin-6 and high-sensitivity C-reactive protein, 50 participants had blood samples taken on two occasions. Fingertip plasma samples were analysed using the Reflotron for CK determination. Venous blood samples collected into serum separator tubes...

Fonseca, GF, Farinatti, PTV, Midgley, AW, Ferreira, A, de Paula, T, Monteiro, WD, and Cunha, FA. Continuous and accumulated bouts of cycling matched by intensity and energy expenditure elicit similar acute blood pressure reductions in prehypertensive men. J Strength Cond Res XX(X): 000-000, 2017-This study investigated differences in postexercise h...

Presenting an overview and rationale for the IPAiR clinical trial, where I am Chief Investigator.

The main purpose of the present study was to compare the reference metabolic equivalent (MET) value and observed resting oxygen uptake (VO2) for defining cardiorespiratory fitness (VO2max) and characterizing the energy cost of treadmill running. A heterogeneous cohort of 114 healthy men volunteered to participate. In Part 1 of the study, 114 men [m...

Fifty-nine men completed a VO2max test and a questionnaire to establish reasons for test termination, perceived exercise reserve (difference between actual test duration and the duration the individual perceived could have been achieved if continued until physical limitation), and perception of verbal encouragement. Participants gave between 1 and...

By definition, maximal exercise testing inherently requires participants to give a maximal effort. This is an important practical issue as submaximal efforts can produce invalid test results. Verbal encouragement is commonly used to motivate participants to maintain or increase effort investment during maximal exercise testing. Accordingly, studies...

The leukocyte heat shock response (HSR) is used to determine individual’s thermotolerance. The HSR and thermotolerance are enhanced following interventions such as preconditioning and/or acclimation/acclimatisation. However, it is unclear whether the leukocyte HSR is an appropriate surrogate for the HSR in other tissues implicated within the pathop...

The present study investigated the relationship between percentages of heart rate reserve (%HRR) and oxygen uptake reserve (%VO2R) during a cardiopulmonary exercise test (CPET) and discrete bouts of isocaloric cycling and treadmill running. Thirty men visited the laboratory three times for anthropometrical and resting VO2 assessments, and perform c...

Purpose: To examine whether exercise induced muscle damage (EIMD) and muscle soreness reduce treadmill maximal incremental exercise (MIE) test duration, and true maximal physiological performance as a consequence of exercise induced pain (EIP) and perceived effort. Methods: Fifty (14 female), apparently healthy participants randomly allocated into...

This study assessed the contribution of relative age, anthropometry, maturation, and physical fitness characteristics on soccer playing position (goalkeeper [GK], central-defender [CD], lateral-defender [LD], central-midfield [CM], lateral-midfielder [LM], and forward [FWD]) for 465 elite-youth players (U13-U18`s). U13-14 CD were relatively older t...

Little is currently known regarding competitor influence on pacing at the start of an event and in particular the subsequent effect on the remaining distance. The purpose of the present study was to investigate the influence of starting pace on the physiological and psychological responses during cycling time trials (TT) utilizing an innovative app...

Pretest guidelines typically stipulate that no exercise should be performed 48 h prior to a maximal incremental exercise [Formula: see text] test. However, no study has specifically investigated if this timescale alters key outcome variables associated with [Formula: see text]. Twenty apparently healthy males split into two equal groups performed [...

Objectives: Feedback deception is used to explore the importance of expectations on pacing strategy and performance in self-paced exercise. The deception of feedback from a previous performance explores the importance of experience knowledge on exercise behaviour. This study aimed to explore the acute and residual effects of the deception of previo...

The provision of performance-related feedback during exercise is acknowledged as an influential external cue used to inform pacing decisions. The provision of this feedback in a challenging or deceptive context allows research to explore how feedback can be used to improve performance and influence perceptual responses. However, the effects of dece...

Evidence indicates that chronic reductions in blood pressure (BP) due to aerobic exercise depend on the ability to induce post-exercise hypotension (PEH) after each training bout. The purpose of this study was to investigate PEH after isocaloric bouts of continuous and accumulated running. 10 healthy pre-hypertensive men (aged 27.6±3.5 years) perfo...

Post-stroke patients usually exhibit reduced peak muscular torque (PT) and/or force steadiness during submaximal exercise. Brain stimulation techniques have been proposed to improve neural plasticity and help to restore motor performance in post-stroke patients. The present study compared the effects of bihemispheric motor cortex transcranial direc...

This study determined the effectiveness of antioxidant supplementation on high-intensity exercise-heat stress. Six males completed a high-intensity running protocol twice in temperate conditions (TEMP; 20.4°C), and twice in hot conditions (HOT; 34.7°C). Trials were completed following7 days supplementation with 70 ml·day(-1) effective microorganism...

The main purpose of this study was to investigate parasympathetic reactivation of the heart [evaluated through heart rate recovery (HRR) and HR variability (HRV)] after maximal cardiopulmonary exercise testing (CPET) using three different exercise modalities. Twenty healthy men, aged 17 to 28 yr, performed three maximal CPETs (cycling, walking, and...

Objectives: The principle aim of the current study was to examine within-match patterns of locomotor efficiency in professional soccer, determined as the ratio between tri-axial accelerometer data (PlayerLoad™) and locomotor activities. Between match variability and determinants of PlayerLoad™ during match play were also assessed. Design: A sing...

The principle aim of the study was to assess the acute alterations in tri-axial accelerometry (PlayerLoad™; PLVM) and its individual axial-planes (anterior-posterior-PlayerLoad™ [PLAP], medial-lateral-PlayerLoad™ [PLML] and vertical-PlayerLoadTM [PLV]) during a standardised 90-min soccer match-play simulation (SAFT90). Secondary aims of the study w...

This study investigated the validity of determining the final work rates of cycling and walking ramp-incremented maximal cardiopulmonary exercise tests (CPETs) using a non-exercise model to predict maximal oxygen uptake VO2max and the American College of Sports Medicine ACSM's metabolic equations. The validity of using this methodology to elicit th...

Playing Position Characteristics of Elite Youth (13-18 years) Soccer Players in England Authors: Christopher Towlson1, 2, Adrian Midgley3, Andrew Garrett1, Guy Parkin2, Ric Lovell4 1Department of Sport, Health and Exercise Science, University of Hull, UK, Tel: +44 1482 466047, E-mail: c.towlson@hull.ac.uk 2Pro Football Support, Huddersfield, UK 3...

Deceptive manipulations of performance intensity have previously been investigated in cycling time trials (TT), but used different magnitudes, methods and task durations. This study examines previously employed magnitudes of deception, during 16.1 km TT and explores as yet unexamined psychological responses. Fifteen trained cyclists completed five...

Stressors within humans and other species activate Hsp72 and Hsp90α mRNA transcription though it is unclear which environmental temperature or treadmill gradient induces the largest increase. To determine the optimal stressor for priming the Hsp system, physically active but non heat acclimated participants (19.8 ± 1.9 and 20.9 ± 3.6 yrs) exercised...

The purpose of this study was to investigate excess postexercise oxygen consumption (EPOC) induced by isocaloric bouts of continuous and intermittent running and cycling exercise. This was a counterbalanced randomized cross-over study. Ten healthy men, aged 23-34yr, performed six bouts of exercise: (a) two maximal cardiopulmonary exercise tests for...

This study investigated postexercise hypotension (PEH) after maximal cardiopulmonary exercise testing (CPET) performed using different exercise modalities. Twenty healthy men (aged 23±3 yr) performed three maximal CPETs (cycling, walking, and running), separated by 72 h in a randomized, counter-balanced order. Systolic (SBP) and diastolic blood pre...

Context: Successful training involves structured overload but must avoid the combination of excessive overload and inadequate recovery. Objective: The aim of this study was to determine the incidence of functional overreaching (FOR), nonfunctional overreaching (NFOR), and overtraining syndrome in elite female wrestlers during their normal traini...

Goal line officials (GLO) are exposed to extreme environmental conditions when employed to officiate in professional European soccer cup competitions. The present study aimed to investigate the effect of such environments on GLO decision-making ability. Thirteen male participants were exposed to three conditions: cold (-5°C, 50% relative humidity (...

The difference between Apolipoprotein E ε4 carriers and non-carriers in response to single exercise sessions was tested. Stroop and Posner tasks were administered to young untrained women immediately after walking sessions or moderately heavy exercise. Exercise had a significantly more profound impact on the Stroop effect than on the Posner effect,...

The psychological construct of affect is proposed to significantly contribute to pacing decisions during exercise. Borg's Ratings of Perceived Exertion (RPE) scale, another important regulator of work-rate, is criticised as an inadequate measure of the multiple perceptual responses experienced. This study aimed to examine power output distribution...

Purpose: The present study compared the efficacy of ramp incremented and ratings of perceived exertion (RPE)-clamped test protocols for eliciting maximal oxygen uptake (VO2max). Methods: Sixteen trained cyclists (age 34 ± 7 years) performed a ramp-incremented protocol and an RPE-clamped protocol 1 week apart in a randomized, counterbalanced orde...

The main purpose of this study was to investigate the level of agreement between the gas exchange threshold (GET) and heart rate variability threshold (HRVT) during maximal cardiopulmonary exercise testing (CPET) using three different exercise modalities. A further aim was to establish whether there was a 1:1 relationship between the percentage hea...

Objectives Whilst the presence of a competitor has been found to improve performance, the mechanisms influencing the change in selected work rates during direct competition have been suggested but not specifically assessed. The aim was to investigate the physiological and psychological influences of a visual avatar competitor during a 16.1-km cycli...

Unlabelled: Power meters have traditionally been integrated into the crank set, but several manufacturers have designed new systems located elsewhere on the bike, such as inside the pedals. Purpose: This study aimed to determine the validity and reliability of the Keo power pedals during several laboratory cycling tasks. Methods: Ten active ma...

Soccer referees enforce the laws of the game and the decisions they make can directly affect match results. Fixtures within European competitions take place in climatic conditions that are often challenging (e.g., Moscow ~ -5°C, Madrid ~30°C). Effects of these temperatures on player performance are well-documented; however, little is known how this...

Abstract This study is the first empirical investigation that has explored levels of athletic identity in elite-level English professional football. The importance of understanding athletes' psychological well-being within professional sport has been well documented. This is especially important within the professional football industry, given the...

The study aimed to establish the test-retest reliability and convergent validity of PlayerLoad™ (tri-axial accelerometer data) during a standardized bout of treadmill running. Forty-four team-sports players performed two standardized incremental treadmill running tests (7-16 km·h-1) 7 d apart. Players' VO2 (n=20), heart rate (n=44), and tri-axial a...