On the basis of the results of the SOAP study,3 which showed a rate of death of 43% among patients receiving dopamine and a rate of 36% among patients receiving norepinephrine, we estimated that with 765 patients in each group, the study would have 80% power to show a 15% relative difference in the rate of death at 28 days, at a two-sided alpha level of 0.05.
If anything came to surprise me about this journey, it was the sheer volume of physical pain involved. I had taken on impressive physical feats before. I had run a sub-3:30 marathon back in 2003 (my first and only attempt) after putting in the hundreds of training miles required. I’d done some of the most grueling weight training on offer, most of it either on the beach or at The Yard, a nearby temple of athletic performance where Maria Sharapova, Kobe Bryant and Tom Brady, among many others, have kneeled with exhaustion. But the physical toll of trying to dunk made the marathon and the semipro football and the parenting and everything else I’d ever attempted seem like mere rubber band snaps to the wrist. The lifting didn’t hurt as much as the jumping, the banging of my quadragenarian appendages into the ground, taking off and landing 50 to 200 times a day. My legs never got used to this bludgeoning, never got better at recovering from it, despite my daily foam-rollering, stretching, icing and hydrating. Even on my off days, a quick game of tag with my kids or a bike ride to the park meant daggers in my thighs and a gait like Fred Sanford’s.
The dose was determined according to the patient's body weight. Doses of dopamine could be increased or decreased by 2 μg per kilogram per minute and doses of norepinephrine by 0.02 μg per kilogram per minute (or more in emergency cases) (see Figure 1 and Figure 2 in the Supplementary Appendix, available with the full text of this article at NEJM.org). An example of the dose-escalation table is provided in Table 1 in the Supplementary Appendix. The target blood pressure was determined by the doctor in charge for each individual patient. If the patient was still hypotensive after the maximum dose of either agent had been administered (20 μg per kilogram per minute for dopamine or 0.19 μg per kilogram per minute for norepinephrine — doses that have been shown to have similar effects on mean arterial blood pressure12,13), open-label norepinephrine was added. The dose of 20 μg per kilogram per minute for dopamine was selected as the maximal dose because this upper limit was the standard of care in the participating ICUs, in line with expert recommendations14 and international guidelines.15
One morning a week later, the gym at the Y was empty. I picked up the same mini-ball and unsuccessfully tried to throw it down. I found the more relad I was, the higher I could jump. So I loosened my shoulders, took a depth breath, and approached the rim. I held the ball for a beat longer this time, and easily popped it over the rim. It felt incredible. I did it a few more times, each easier than the last, pulling down on the rim with unnecessary force for maximum satisfaction. But as exhilarating as it was to dunk again, I was only using a mini-ball—I hadn’t completely reached my goal.
The vertical jump involves coordinated spine, hip, knee, and ankle extension to produce force in a vertical direction very quickly, while the muscles are shortening through to a very short muscle length. Since the time available for producing force is long compared to other athletic movements, this reduces the importance of rate of force development. Yet, the force-velocity relationship is the primary determinant of the amount of force that can be exerted at a given movement speed. Therefore, maximum force, velocity, and the force-velocity gradient all affect vertical jump height.
This phase begins with the athlete at the bottom of the jump, just as he begins exploding upwards towards the takeoff. The force-time graph shows that the athlete reaches peak forces shortly after reaching the lowest point of the jump. He then further accelerates until his feet leave the ground and there are no more ground reaction forces measurable.
A more accurate method would be to use a Jump Tester (like these here.) The problem with these, obviously, is that they are way too expensive. In fact, the only scenario in which I recommend using one of these is if you’re a coach, trainer, or athletic director who is purchasing it to test a large number of athletes over time and who needs as accurate of a number as possible for scouting purposes.
Toe Raises – stand with your feet shoulder width apart, typically on stairs or any sort of ground you can stand on that allows your heel to dip down. Then raise up on the tips of your toes. Continue this process until your complete your reps. Don’t rock up and down – or go to fast. For the exercise to work, you have to use correct form and go at a steady pace.
My son asked me to get book to help improve his jump and was thrilled with the terrific tips it gave him. According to him, this book covers all the important basics and is a must-read for anyone looking to increase their athletic performance. The exercises are described in a clear, easy to follow manner...and now that I've read it as well I'm happy to say, I understand more of what my son is always going on about! ;)
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I followed the Jump Attack program to the letter, and my training in December, January and February looked and felt nothing like what had preceded it. I spent a month doing those nonsensical lunge holds (and squat holds, push-up holds, chin-up holds). I trusted those holds, and the tendon-testing leg workouts that lasted 2 ½ hours and left me tasting my own broken down muscle in my mouth. I trusted all of it because I was living in that moment, as Carter put it, when the hammering of Carter’s “muscle memory” into my body finally would bear fruit and I’d pitch the ball downward into a 10-foot hoop like a cafeteria customer dunking a roll in coffee.
Four times a week, from April through October, I embarked on 90-minute explosive weightlifting sessions based on the years I’d spent working as a strength coach to club, college and professional volleyball players. Squats, squat jumps, deadlifts, lunges, box jumps, cleans, sprints. . . . Three or four days a week I visited one of my local blacktops, where I tried to dunk tennis balls on 10-foot rims or throw down basketballs and volleyballs on lower ones. By May 3—one month in—I could dunk a tennis ball on a 9' 10" rim. I considered this a better-than-good start, not realizing that compared to dunking a basketball, this tennis-ball jam was akin to a child scrawling the diagonal line that begins a capital A on his first day of learning the alphabet.
Go between the legs. While he wasn't the first player to complete it, Vince Carter wowed crowds at the 2000 NBA dunk contest by passing the ball under one leg while in the air and slamming it with authority. It didn't hurt that his forehead was almost touching the rim. If you've worked your ups to that height, try passing it under one leg and dunking it.
The record for the most WNBA dunks belongs to Brittney Griner. As a high school senior, she dunked 52 times in 32 games and set a single-game record of seven dunks. As a standout at Baylor University, Griner became the seventh player to dunk during a women's college basketball game and the second woman to dunk twice in a single college game. In her WNBA debut on May 27, 2013, Griner dunked twice, and as of 2014, has five WNBA dunks, including the first in a playoff game (August 25, 2014).
Overall, 309 patients (18.4%) had an arrhythmia; the most common type of arrhythmia was atrial fibrillation, which occurred in 266 patients (86.1%). More patients had an arrhythmia, especially atrial fibrillation, in the dopamine group than in the norepinephrine group (Table 3). The study drug was discontinued in 65 patients owing to severe arrhythmias — 52 patients (6.1%) in the dopamine group and 13 patients (1.6%) in the norepinephrine group (P<0.001). These patients were included in the intention-to-treat analysis. There were no significant differences between the groups in the incidences of other adverse events.
When performing a vertical jump, the athlete exerts force at the low back, hip, knee, and ankle joints. The spine flexes as the athlete squats downwards, and then is extended by the spinal erectors over the course of the jump. The hip extensors (gluteus maximus, hamstrings, and adductor magnus) work to move the trunk and the thigh apart, which pushes the torso up and backwards. Meanwhile, the knee extensors (quadriceps) contract to extend the knee, and the calf muscles contract to move the shin backwards, towards the vertical.
But you know what? Because these help with your jumping, you will become an amazing rebounder, blocker, and, well, dunker! In 2016, according to MaxPreps, I was 14 in the country in average blocks per game (National Basketball (2016-17) Blocks Stat Leaders, I’m 14th ;P). I had two triple-doubles. No, not points, rebounds, and assists, but points, rebounds, and BLOCKS.