Title: Determination energy costingness and means of it's cover in complex outdoor performance in special physical training Objektive of work: Objektive of this work was to found the level of the stress and it's energetic severity of the Komplex drill in Special physical education as a komplex and so the each Themis, which are in the Komplex drill contained. Consequently energy costingness compare with options of energy cover which are availiable for soldiers of Czech army Metod: Master thesis was processed as a empiric kvantitative research with method of shared watching proband in the Komplex drill in nature. In the first part of the thesis there was found the level of the minute lungs ventilation with the spiroergometric test. In the second part there was a observation with seven participants of the Komplex drill. After that we did analysis of all possibilities which have soldiers of Czech army availiable. Results: There was the observation of the heart beat frequence, in duration 27 hours. The highest depletion of the energy was observed in theme of the movements in the nature, concretely in orienteering run. Average heart beat frequence was 161 beats per minute. The lowest heart beat frequence in the themes of the Special physical education was observed in surfoval drills where it was 105...

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In order to address the long-term complications that arise from poor venous return, a hallmark of the Fontan physiology, we assessed the feasibility of a non-invasive, home therapy that will improve the health of the patient during the heart transplant waiting period and ameliorate the quality of life. In order to achieve this goal we tested a device that applies pressure to the lower extremities of the body (legs and abdomen) in a pulsating fashion with the goal of augmenting systemic blood flow to the pulmonary arteries. This treatment will enhance flow from the great veins and through the lungs and serve as adjunctive clinical treatment of single ventricle physiology. The specific aim of this study was to show improvements in cardiorespiratory measurements after applying external pressure as a proxy for improved health in the Fontan patient. Various studies have shown the impaired exercise capacity of post-operative Fontan patients, but very little data exists focusing on a period much later after the surgery. Our results among the two subjects completed so far have shown a moderately beneficial improvement in exercise capacity after the compression therapy. Subjects performed a treadmill exercise stress test at VCU that was followed by six days of applied external pressure treatment and finished with a final post-treatment stress test. Cardiorespiratory data was collected and analyzed for improvements from base level. Overall an improvement in exercise duration time, VO2 peak, ventilatory threshold, and OUES was observed, with only VE / VCO2 slope having mixed results. Both subjects seem to be relatively healthy Fontan patients, as indicated by their VO2 peak, VE/VCO2 slope and OUES. As a result, benefits of treatment may vary among a cohort of Fontan patients with poor health condition; a failing Fontan physiology for instance. The improvement in exercise capacity suggests that this therapy could be very beneficial to Fontan patients. These results warrants follow up studies to explore the extent of the clinical benefits of compression treatment among the Fontan population.

Implication de l'oxygénation cérébrale dans les limitations à l'exercice musculaire des personnes non-entraînées et sportifs d'endurance. L'objectif général de ce travail était de déterminer si l'oxygénation cérébrale était un facteur de la limitation à l'exercice de type aérobie. Dans un premier temps, nous nous sommes attachés à étudier le rôle de l'oxygénation cérébrale mesurée par la Spectroscopie dans le proche Infra-Rouge (NIRS) dans la limitation de l'exercice progressif maximal en rampe. Nous avons montré l'existence d'un seuil de déclin de l'oxygénation cérébrale associé au point de compensation respiratoire (RCP). L'amélioration de la performance avec une supplémentation d'O2 était liée au décalage de ce seuil à de plus hautes intensités d'exercice chez des sujets actifs (étude 1). Dans un second temps, nous avons montré que ce seuil de déclin de l'oxygénation, retrouvé aussi chez des sportifs entraînés en endurance apparaîssait à de plus hautes intensités d'exercice que chez des sujets non-entraînés (étude 2). Enfin, nous avons déterminé l'impact de l'hypoxémie artérielle induite par l'exercice (HIE) des sportifs d'endurance sur l'oxygénation cérébrale au cours d'un exercice maximal en rampe et d'un exercice de temps limite à charge constante. Nous avons ainsi montré que l'oxygénation cérébrale était augmentée avec la HIE suggérant un effet compensatoire à l'hypoxémie artérielle au cours de l'exercice progressif maximal en rampe. Ceci, n'existait pas au cours de l'exercice de temps limite ne supportant pas l'implication de l'oxygénation cérébrale dans ce type d'exercice (étude 3). Ces travaux ont donc mis en évidence l'implication de l'oxygénation cérébrale dans la limitation de l'exercice maximal en rampe chez des sujets actifs et des sportifs entraînés en endurance présentant ou pas une HIE. Toutefois, elle ne semble pas être un facteur majeur de limitation de l'exercice de temps limite.

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