Myotonometry and extended field-of-view ultrasound imaging allow reliable quantification of patellar tendon stiffness and length at rest and during maximal load, whereas several restrictions exist for the Achilles tendon.

Introduction: Stiffness and length are well-established tendon parameters in sports and medicine. Myotonometry and ultrasound imaging are the commonly used methods to quantify these parameters. However, further studies are needed to clarify the reliability of these methods, especially when assessing maximally loaded tendons and when conducted by different experienced investigators. This study aimed to determine the intra- and interrater reliabilities of measuring the stiffness and length of the patellar tendon (PT) and Achilles tendon (AT) using the myotonometry method and the extended field-of-view ultrasound (EFOV-US) technique at rest and maximal load performed by different experienced investigators. Methods: Twenty-seven participants were examined on three different days by one experienced investigator and one novice investigator. Primary outcomes were the intraclass correlation coefficient (ICC) and associated 95% confidence interval (95% CI), coefficient of variation (CV), standard error of measurement (SEM), and minimal detectable change (MDC) across the measurement days and investigators. Results: For PT measurements at rest and maximal load, the estimated ICCs for stiffness and length were ≥.867 and ≥.970, respectively, with 95% CIs ranging from poor (.306) to excellent (.973) and good (.897) to excellent (.999). The CV, SEM, and MDC for PT stiffness and length were ≤5.2% and ≤2.0%, ≤39.3 N/m and ≤0.9 mm, and ≤108.9 N/m and ≤2.6 mm, respectively. For AT measurements, some restrictions were evident for stiffness at rest and both parameters at maximal load. However, regarding AT length at rest, the estimated ICC was ≥.996, with an excellent 95% CI (.987-.999). The CV, SEM, and MDC for AT length at rest were 2.8%, ≤1.1 mm, and ≤2.9 mm, respectively. Conclusion: The estimated ICCs show good to excellent reliability for the myotonometry method and the EFOV-US technique for measuring PT stiffness and length at rest and maximal load for experienced and novice investigators. However, some restrictions are evident for the AT, especially for measurements at maximal load.

Age, sex, endurance capacity, and chronic heart failure affect central and peripheral factors of oxygen uptake measured by non-invasive and continuous technologies: support of pioneer work using invasive or non-continuous measures.

Introduction: It is known that maximum oxygen uptake depends on age, sex, endurance capacity, and chronic heart failure. However, due to the required invasive or often applied non-continuous approaches, less is known on underlying central and peripheral factors. Thus, this study aimed to investigate the effects of age, sex, endurance capacity, and chronic heart failure on non-invasively and continuously measured central and peripheral factors of oxygen uptake. Methods: 15 male children (11 ± 1 years), 15 male (24 ± 3 years) and 14 female recreationally active adults (23 ± 2 years), 12 male highly trained endurance athletes (24 ± 3 years), and 10 male elders (59 ± 6 years) and 10 chronic heart failure patients (62 ± 7 years) were tested during a cardiopulmonary exercise test on a cycling ergometer until exhaustion for: blood pressure, heart rate, stroke volume, cardiac output, cardiac power output, vastus lateralis muscle oxygen saturation, and (calculated) arterio-venous oxygen difference. For the non-invasive and continuous measurement of stroke volume and muscle oxygen saturation, bioreactance analysis and near-infrared spectroscopy were used, respectively. A two-factor repeated measure ANOVA and partial eta-squared effect sizes (ηp2) were applied for statistical analyses at rest, 80, and 100% of oxygen uptake. Results: For the age effect, there were statistically significant group differences for all factors (p ≤ .033; ηp2≥.169). Concerning sex, there were group differences for all factors (p ≤ .010; ηp2≥.223), except diastolic blood pressure and heart rate (p ≥ .698; ηp2≤.006). For the effect of endurance capacity, there were no group differences for any of the factors (p ≥ .065; ηp2≤.129). Regarding chronic heart failure, there were group differences for the heart rate and arterio-venous oxygen difference (p ≤ .037; ηp2≥.220). Discussion: Age, sex, endurance capacity, and chronic heart failure affect central and peripheral factors of oxygen uptake measured by non-invasive and continuous technologies. Since most of our findings support pioneer work using invasive or non-continuous measures, the validity of our applied technologies is indirectly confirmed. Our outcomes allow direct comparison between different groups serving as reference data and framework for subsequent studies in sport science and medicine aiming to optimise diagnostics and interventions in athletes and patients.

Moderate evidence exists for four microRNAs as potential biomarkers for tendinopathies and degenerative tendon ruptures at the upper extremity in elderly patients: conclusion of a systematic review with best-evidence synthesis.

PURPOSE: The aim of this systematic review was to investigate tendon-specific microRNAs (miRNAs) as biomarkers for the detection of tendinopathies or degenerative tendon ruptures. Also, their regulatory mechanisms within the tendon pathophysiology were summarized. METHODS: A systematic literature research was performed using the PRISMA guidelines. The search was conducted in the Pubmed database. The SIGN checklist was used to assess the study quality of the included original studies. To determine the evidence and direction of the miRNA expression rates, a best-evidence synthesis was carried out, whereby only studies with at least a borderline methodological quality were considered for validity purposes. RESULTS: Three thousand three hundred seventy studies were reviewed from which 22 fulfilled the inclusion criteria. Moderate evidence was found for miR-140-3p and miR-425-5p as potential biomarkers for tendinopathies as well as for miR-25-3p, miR-29a-3p, miR-140-3p, and miR-425-5p for the detection of degenerative tendon ruptures. This evidence applies to tendons at the upper extremity in elderly patients. All miRNAs were associated with inflammatory cytokines as interleukin-6 or interleukin-1ß and tumor necrosis factor alpha. CONCLUSIONS: Moderate evidence exists for four miRNAs as potential biomarkers for tendinopathies and degenerative tendon ruptures at the upper extremity in elderly patients. The identified miRNAs are associated with inflammatory processes.

Physical match demands of four LIQUI-MOLY Handball-Bundesliga teams from 2019-2022: effects of season, team, match outcome, playing position, and halftime.

Introduction: Due to the development in team handball, there is a need to optimize the physical capacities of team handball players for which knowledge of the physical match demands is essential. The aim of this study was to investigate the physical match demands of four LIQUI-MOLY Handball-Bundesliga (HBL) teams across three seasons with respect to the effects of season, team, match outcome, playing position, and halftime. Methods: A fixed installed local positioning system (Kinexon) was used, collecting 2D positional and 3D inertial measurement unit data at 20 and 100 Hz, respectively. The physical match demands were operationalized by basic (e.g., distance, speed, and acceleration) and more advanced variables (e.g., jumps, throws, impacts, acceleration load, and metabolic power). A total of 347 matches (213 with an additional ball tracking) were analyzed from four teams (one top, two middle, and one lower ranked) during three consecutive seasons (2019-2022). One-way ANOVAs were calculated to estimate differences between more than two groups (e.g., season, team, match outcome, playing position). Mean differences between halftimes were estimated using Yuen's test for paired samples. Results: Large effects were detected for the season (0.6≤ξ^≤0.86), team (0.56≤ξ^≤0.72), and playing position (0.64≤ξ^≤0.98). Medium effects were found for match outcome (ξ^≤0.36) and halftime (ξ^≤0.47). Conclusion: For the first time, we provide a comprehensive analysis of physical match demands in handball players competing in the LIQUI-MOLY Handball-Bundesliga. We found that physical match demands differ on that top-level with up to large effect sizes concerning the season, team, match outcome, playing position, and halftime. Our outcomes can help practitioners and researchers to develop team and player profiles as well as to optimize talent identification, training, regeneration, prevention, and rehabilitation procedures.

Effects of Different Orthoses on Neuromuscular Activity of Superficial and Deep Shoulder Muscles during Activities of Daily Living and Physiotherapeutic Exercises in Healthy Participants.

BACKGROUND: This study aimed to investigate the effects of different shoulder orthoses on the neuromuscular activity of superficial and deep shoulder muscles during activities of daily living (ADL) and physiotherapeutic exercises. METHODS: Ten participants with healthy shoulders (31 ± 3 years, 23.1 ± 3.8 kg/m2) were randomized to receive a "shoulder sling", an "abduction pillow" and a "variably adjustable orthosis" on the dominant side. With each orthosis, they completed seven ADL with and four physiotherapeutic exercises without wearing the orthoses. An electromyographic system was used to record the neuromuscular activity of three superficial (trapezius, deltoid, pectoralis major) and two deep shoulder muscles (infraspinatus, supraspinatus) using surface and intramuscular fine-wire electrodes. RESULTS: The neuromuscular activity differs between the orthoses during ADL (p ≤ 0.045), whereby the "variably adjustable orthosis" mostly showed the highest activation levels associated with the worst subjective wearing comfort rated on a visual analog scale. In addition, differences exist between the physiotherapeutic exercises (p ≤ 0.006) demonstrating the highest activations of the infra- and supraspinatus muscles for assistive elevation and wipe across a table, middle for pendulum and lowest for continuous passive motion exercises. CONCLUSIONS: The neuromuscular activity of superficial and deep shoulder muscles differs between the orthoses during ADL and also between the physiotherapeutic exercises.

Spirometry has added value over electrodermal activity as a physiological marker of mental load in male subjects.

The objective distinction of different types of mental demands as well as their intensity is relevant for research and practical application but poses a challenge for established physiological methods. We investigated whether respiratory gases (oxygen uptake and carbon dioxide output) are suitable to distinguish between emotional stress and cognitive load. To this end, we compared the application of spirometry with an established procedure, namely electrodermal activity (EDA). Our results indicate that electrodermal activity shows a strong responsivity to emotional stress induction, which was highly correlated with its responsivity to cognitive load. Respiratory gases were both sensitive and specific to cognitive load and had the advantage of being predictive for cognitive performance as well as self-reported emotional state. These results support the notion that respiratory gases are a valuable complement to common physiological procedures in the detection and discrimination of different mental demands.

Expert Consensus on the Contraindications and Cautions of Foam Rolling-An International Delphi Study.

BACKGROUND: Foam rolling is a type of self-massage using tools such as foam or roller sticks. However, to date, there is no consensus on contraindications and cautions of foam rolling. A methodological approach to narrow that research gap is to obtain reliable opinions of expert groups. The aim of the study was to develop experts' consensus on contraindications and cautions of foam rolling by means of a Delphi process. METHODS: An international three-round Delphi study was conducted. Academic experts, defined as having (co-) authored at least one PubMed-listed paper on foam rolling, were invited to participate. Rounds 1 and 2 involved generation and rating of a list of possible contraindications and cautions of foam rolling. In round 3, participants indicated their agreement on contraindications and cautions for a final set of conditions. Consensus was evaluated using a priori defined criteria. Consensus on contraindications and cautions was considered as reached if more than 70% of participating experts labeled the respective item as contraindication and contraindication or caution, respectively, in round 3. RESULTS: In the final Delphi process round, responses were received from 37 participants. Panel participants were predominantly sports scientists (n = 21), physiotherapists (n = 6), and medical professionals (n = 5). Consensus on contraindications was reached for open wounds (73% agreement) and bone fractures (84%). Consensus on cautions was achieved for local tissue inflammation (97%), deep vein thrombosis (97%), osteomyelitis (94%), and myositis ossificans (92%). The highest impact/severity of an adverse event caused by contraindication/cautions was estimated for bone fractures, deep vein thrombosis, and osteomyelitis. DISCUSSION: The mechanical forces applied through foam rolling can be considered as potential threats leading to adverse events in the context of the identified contraindications and cautions. Further evaluations by medical professionals as well as the collection of clinical data are needed to assess the risks of foam rolling and to generate guidance for different applications and professional backgrounds.

Validity of a Local Positioning System during Outdoor and Indoor Conditions for Team Sports.

This study aimed to compare the validity of a local positioning system (LPS) during outdoor and indoor conditions for team sports. The impact of different filtering techniques was also investigated. Five male team sport athletes (age: 27 ± 2 years; maximum oxygen uptake: 48.4 ± 5.1 mL/min/kg) performed 10 trials on a team sport-specific circuit on an artificial turf and in a sports hall. During the circuit, athletes wore two devices of a recent 20-Hz LPS. From the reported raw and differently filtered velocity data, distances covered during different walking, jogging, and sprinting sections within the circuit were computed for which the circuit was equipped with double-light timing gates as criterion measures. The validity was determined by comparing the known and measured distances via the relative typical error of estimate (TEE). The LPS validity for measuring distances covered was good to moderate during both environments (TEE: 0.9-7.1%), whereby the outdoor validity (TEE: 0.9-6.4%) was superior than indoor validity (TEE: 1.2-7.1%). During both environments, validity outcomes of an unknown manufacturer filter were superior (TEE: 0.9-6.2%) compared to those of a standard Butterworth filter (TEE: 0.9-6.4%) and to unprocessed raw data (TEE: 1.0-7.1%). Our findings show that the evaluated LPS can be considered as a good to moderately valid tracking technology to assess running-based movement patterns in team sports during outdoor and indoor conditions. However, outdoor was superior to indoor validity, and also impacted by the applied filtering technique. Our outcomes should be considered for practical purposes like match and training analyses in team sport environments.

Effects of passive, active, and mixed playing strategies on external and internal loads in female tennis players.

This study aimed to investigate the effects of different playing strategies on external and internal loads in female tennis players during match play. Also, the underlying effects on the technical-tactical actions and activity profiles were examined. Twelve well-trained female players (age: 25±5 years; maximum oxygen uptake: 40.9±4.3 ml/kg/min) played points against an opponent of similar ability outdoors on red-clay courts. The players played points over five playing conditions. Before each condition, the players were instructed to apply either a passive, an active, or their own playing strategy (free play) to succeed. The five conditions were played in a randomized order, whereas the condition with the own strategy was always played first and served as control. During play, the external and internal loads were investigated by 10 Hz global positioning system, 100 Hz inertial measurement unit, short-range telemetry, capillary blood, and visual analog scale procedures. A 25 Hz video camera was used to examine the technical-tactical actions and activity profiles. Compared to the control condition, the passive, active, and mixed playing strategy conditions induce up to large effects on the external loads (running distances with high acceleration and deceleration), up to moderate effects on the internal loads (energy expenditures spent with high metabolic power, lactate concentration, and rating of effort), and up to very large effects on the technical-tactical actions (number of ground strokes and errors) and activity profiles (strokes per rally, rally duration, work to rest ratio, and effective playing time). Our study shows that passive, active, and mixed playing strategies have an impact on the external and internal loads, technical-tactical actions, and activity profiles of female tennis players during match play. This finding should be considered for practical purposes like match analyses and training procedures in the tennis environment.

Ankle flossing alters periarticular stiffness and arterial blood flow in asymptomatic athletes.

BACKGROUND: Tissue flossing has been introduced to increase impaired range of motion (ROM) and flexibility, to enhance prevention and rehabilitation, as well as to improve athletic performance; however, limited evidence exists for its efficacy. The aim of the present study was to evaluate the effects of ankle flossing on periarticular stiffness and perfusion via Acoustic Radiation Force Impulse (ARFI) elastography and Power Doppler Sonography (PDS). METHODS: Twenty-one healthy students (age: 24±2 years, BMI: 22±3 kg/m2) were recruited as participants. ARFI was performed to evaluate periarticular ankle stiffness involving the anterior ankle capsule (AC), the anterior talofibular ligament (ATFL) and the peroneus brevis muscle (PBM). Arterial blood flow was assessed in the dorsal pedal artery. Measurements were taken under resting conditions (T0) and twice after standardized ankle flossing (T1: 0 min., T2: 60 min. postintervention). RESULTS: The connective tissue stiffness decreased significantly after ankle flossing compared to baseline (T1, AC: -12%, P=0.009, ATFL: -12%, P=0.003; T2, AC: -8%, P=0.002, ATFL: -9%, P=0.015). The PBM stiffness decreased by 3% (T1, P=0.304) and 4% (T2, P=0.029). The perfusion measures significantly increased by 30% at T1 compared to baseline (P=0.001); no significant changes were observed at T2 (P=0.492). CONCLUSIONS: This is the first study demonstrating decreased AC and ATFL stiffness and reactive hyperemia to be key mechanisms of ankle flossing. Additional studies must be conducted to determine whether changes in biomechanical properties influence dynamic ankle stability.

Contrary to endurance, power associated capacities differ between different aged and starting-nonstarting elite junior soccer players.

This study aimed to investigate differences in anthropometric characteristics and physical capacities (1) between under (U) 17, 19, and 21 years old elite junior soccer players, and also (2) between starting and nonstarting players within each age group. Ninety-two male elite German junior field players were tested for height, mass, fat, and fat-free mass as well as aerobic endurance, squat (SJ) and counter movement jump (CMJ), linear sprint, core strength-endurance, and one repetition maximum (1RM) bench press performance. According to their age and competitive match playing times, the players were divided into the mentioned different groups. Magnitude-based inferences and effect sizes (ES) were computed for statistical analyses. The fat-free mass, SJ and CMJ, 1RM bench press, and linear sprinting performances increased likely to most likely from U17 to U21 players (ES: moderate to large), whereas the body fat, core strength-endurance, and aerobic endurance performances remain constant. The fat-free mass, 1RM bench press, and linear sprinting performances were likely to most likely higher in U21 starting compared to nonstarting players (ES: moderate to large). Our study shows that contrary to endurance, power associated capacities differ between different aged and starting-nonstarting elite junior soccer players. This outcome should be considered for training, testing, and talent selection procedures in elite junior soccer players.

Relative Age Effect in Elite German Soccer: Influence of Gender and Competition Level.

The relative age effect (RAE) is associated with (dis)advantages in competitive sports. While the RAE in elite male soccer reveals a skewed birthdate distribution in relation to a certain cut-off date, research of RAE in elite female soccer is affected by small number of samples and conflicting results. The purpose of this study was to investigate the RAE in elite adult German soccer regarding gender and competition level. The sample comprised 680 female and 1,083 male players of the two top German leagues during the 2019/20 season and German national teams (A-Team to Under 19). Differences between the observed and expected birthdate distributions were analyzed using chi-square statistics and effect sizes followed by calculating odds ratios. Results showed a statistically significant RAE with small effect size across all players included for both genders (female players: P < 0.001, W = 0.16, male players: P < 0.001, W = 0.23). The identified RAE was based on an over-representation of players born at the beginning of the year. According to gender and competition level, RAEs were more pronounced in German male soccer. While significant RAEs were found among males in the first two leagues (first league: P < 0.001, W = 0.19, second league: P < 0.001, W = 0.26), the RAE of females was more pronounced in the second league (first league: P = 0.080, W = 0.16, second league: P = 0.002, W = 0.20). The analysis of RAE regarding the national teams revealed a statistically significant RAE with large effect size for only the youngest investigated age group of male players (Under 19: P = 0.022, W = 0.52). Our data show an RAE in female and male German adult soccer, which could be accompanied by a loss of valuable elite players during the youth phase of the career. Consequently, the pool of talented players at the adult level would be limited.

[Effectiveness of Upper Body Compression Garments Under Competitive Conditions: A Randomised Crossover Study with Elite Canoeists with an Additional Case Study]. / Effektivität von Oberkörperkompressionsbekleidung unter Wettkampfbedingungen. Eine randomisierte Crossover-Studie an Elite-Kanusportlern mit einer zusätzlichen Einzelfallanalyse.

This study aimed to investigate the effects of upper body compression garments on performance changes in elite canoeists. A total of 23 elite athletes from the German Canoe Federation (6 women and 17 men) were recruited. On a regatta lake, the athletes completed a 1650-m test track with their competition or training boats and paddles. The athletes were randomised into two groups and performed the test track with and without upper body compression garments. Besides split and end times, capillary blood lactate concentrations were assessed. For statistical analysis, an effect-based approach ("Magnitude-Based Inferences") and an additional case study were conducted. For this purpose, the mean and individual effects were examined in relation to the smallest worthwhile changes. On average, the effect-based approach shows that upper body compression garments do not lead to clear changes in performance. The changes in lactate concentrations were clear, but were considered trivial. In contrast to the average statistical analysis, the results of the case study demonstrate that upper body compression garments lead to an improved performance in 13.0 % and a worsened performance in 4.4 % of athletes. Additionally, a decreased lactate concentration was found in 4.4 % and an increased lactate concentration in 17.4 % of athletes. Our study shows that, on average, upper body compression garments have no effects on the performance and lactate concentration of highly trained elite canoeists. In individual cases, however, there are beneficial as well as harmful effects that may have practical relevant consequences for elite athletes.

Sex Differences in Physical Capacities of German Bundesliga Soccer Players.

Cardoso de Araújo, M, Baumgart, C, Jansen, CT, Freiwald, J, and Hoppe, MW. Sex differences in physical capacities of German Bundesliga soccer players. J Strength Cond Res 34(8): 2329-2337, 2020-Sex differences in physical capacities of elite soccer players have received limited attention. Therefore, this study investigated sex differences in linear and nonlinear sprint, squat and countermovement jump, core endurance, as well as incremental and intermittent endurance capacities in German Bundesliga soccer players. A total of 76 field players (29 women) were tested for the mentioned anaerobic- and aerobic-related physical capacities in a noninterventional cross-sectional design. The largest sex differences were evident in the explosive- and intermittent endurance-related capacities, with women presenting largely to extremely largely lower values in sprints, jumps, and intermittent endurance (effect size [ES] ≥1.77, p < 0.01). The differences in the total core endurance, running velocity at 2 and 4 mmol·L capillary blood lactate (v2 and v4), maximal heart rate (HR) (ES ≤ 0.72, p ≥ 0.06), and distance covered during the incremental endurance test (ES = 1.09, p = 0.01) were trivially to moderately lower for women. However, women had small to moderately higher ventral and dorsal core endurance (ES ≤ 0.69, p ≥ 0.07) and largely higher relative HR at the lactate thresholds (ES ≥ 1.54, p < 0.01). The individual data of female players showed more variability. Some individual data of women overlapped those of men, most evident in the total core endurance and v2. The findings indicate that there are sex differences in physical capacities according to the underlying amount of anaerobic and aerobic energy supply. The sex specificities should be considered to optimize training and testing procedures for soccer players.

Different Effects of Foam Rolling on Passive Tissue Stiffness in Experienced and Nonexperienced Athletes.

CONTEXT: Foam rolling (FR) has been developed into a popular intervention and has been established in various sports disciplines. However, its effects on target tissue, including changes in stiffness properties, are still poorly understood. OBJECTIVE: To investigate muscle-specific and connective tissue-specific responses after FR in recreational athletes with different FR experience. DESIGN: Case series. SETTING: Laboratory environment. PARTICIPANTS: The study was conducted with 40 participants, consisting of 20 experienced (EA) and 20 nonexperienced athletes (NEA). INTERVENTION: The FR intervention included 5 trials per 45 seconds of FR of the lateral thigh in the sagittal plane with 20 seconds of rest between each trial. MAIN OUTCOME MEASURES: Acoustic radiation force impulse elastosonography values, represented as shear wave velocity, were obtained under resting conditions (t0) and several times after FR exercise (0 min [t1], 30 min [t2], 6 h [t3], and 24 h [t4]). Data were assessed in superficial and deep muscle (vastus lateralis muscle; vastus intermedius muscle) and in connective tissue (iliotibial band). RESULTS: In EA, tissue stiffness of the iliotibial band revealed a significant decrease of 13.2% at t1 (P ≤ .01) and 12.1% at t3 (P = .02). In NEA, a 6.2% increase of stiffness was found at t1, which was not significantly different to baseline (P = .16). For both groups, no significant iliotibial band stiffness changes were found at further time points. Also, regarding muscle stiffness, no significant changes were detected at any time for EA and NEA (P > .05). CONCLUSIONS: This study demonstrates a significant short-term decrease of connective tissue stiffness in EA, which may have an impact on the biomechanical output of the connective tissue. Thus, FR effects on tissue stiffness depend on the athletes' experience in FR, and existing studies have to be interpreted cautiously in the context of the enrolled participants.

Advances in Delayed-Onset Muscle Soreness (DOMS) - Part II: Treatment and Prevention.

Delayed-onset muscle soreness (DOMS) describes an entity of ultrastructural muscle damage. The manifestation of DOMS is caused by eccentric muscle contractions or unaccustomed forms of exercise. Clinical signs include impaired muscular force capacities, painful restriction of movement, stiffness, swelling, and altered biomechanics in adjacent joints. Although DOMS is categorised as a mild type of muscle damage, it is one of the most common reasons for compromised sportive performance. In the last decade, many hypotheses have been developed to explain the aetiology of DOMS, and there are a wide range of different interventions aiming to prevent or alleviate the symptoms. Many studies have evaluated various types of cold or heat therapy, compression, massage, physical therapy or nutritional interventions. Treatment considerations focus on the primary prevention of ultrastructural lesions during exercise, the treatment of the inflammatory response that leads to DOMS, and recovery strategies for manifest DOMS. This narrative review aims to present an overview of the current treatment and preventive strategies in the field of DOMS.

Metabolic Power: A Step in the Right Direction for Team Sports.

The ability of the "metabolic power" model to assess the demands of team-sport activity has been the subject of some interest-and much controversy-in team-sport research. Because the cost of acceleration depends on the initial speed and the costs of acceleration and deceleration are not "equal and opposite," changes in speed must be accounted for when evaluating variable-speed locomotion. The purpose of this commentary is to address some of the misconceptions regarding "metabolic power," acknowledge its limitations, and highlight some of the benefits that energetic analysis offers over alternative approaches to quantifying the demands of team sports.

Contrasts in intermittent endurance performance and heart rate response between female and male soccer players of different playing levels.

This study compared intermittent endurance performance and heart rate (HR) response, as well as their relationship, by sex and competitive level in soccer. A total of 68 outfield (18 elite and 16 sub-elite female, 17 elite and 17 sub-elite male) soccer players performed the Interval Shuttle Run Test (ISRT) with monitored HR. Sex and level effects were evaluated by two-way analysis of variance (ANOVA) and the relationships between parameters using Pearson's correlation coefficient. Female players presented lower performance (effect sizes [ES]: 2.12-4.71, p < 0.01) and higher submaximal HR during the ISRT (ES: 1.66-3.40, p < 0.01). Elite players showed higher performance and reduced submaximal HR compared with their sub-elite counterparts, with a large level effect only evident between the female groups (ES: 1.22-1.56, p < 0.01). The maximum and the HR recovery 1 min after the ISRT (HRR) did not differ among all groups (ES: 0.01-0.51, p ≥ 0.18). The HRR was slightly related to the test performance for all groups (r = 0.20, p = 0.12). Large to very large negative correlations were verified between HR at 6 and 9 min during the ISRT and the test performance for each group (r = -0.54 to -0.84, p ≤ 0.04). However, 16 (3 elite and 13 sub-elite) female players did not reach the 9th minute of the test. The gap between competitive levels among female soccer players is greater than that observed for male players in intermittent endurance performance and submaximal HR response. The HRR had only a minor impact on performance and was influenced neither by sex nor by level.

Angle-specific analysis of isokinetic quadriceps and hamstring torques and ratios in patients after ACL-reconstruction.

BACKGROUND: Strength deficits, muscle imbalances, and quadriceps inhibition are common after the surgical reconstruction of the anterior cruciate ligament (ACL), even after the patient's returned-to-sport. Typically, asymmetries between the operated and non-operated leg as well as the hamstring/quadriceps (HQ) ratio are calculated using maximum isokinetic torque values. Moreover, the knee flexion angles, which correspond to the measured torque values, were not considered. Therefore, the aim of the study was to evaluate the usage of an angle-specific approach for the analysis of isokinetic data in patients after an ACL-reconstruction. METHODS: A cross-sectional laboratory study design was used to investigate the influence of leg (operated vs. non-operated) and two velocities on angle-specific isokinetic data. Concentric quadriceps and hamstring torques and ratios of 38 patients were assessed 6.6 months after ACL-reconstruction with a hamstring tendon graft. At a velocity of 60°/s and 180°/s, angle-specific torques and HQ-ratios were analyzed with conventional discrete parameters and a Statistical Parametric Mapping procedure, which evaluates continuous data. The relationship between angle-specific and conventional HQ-ratios was evaluated with Pearson correlation coefficients. RESULTS: Angle-specific torques and HQ-ratios were different between the operated and non-operated leg and between velocities. In the operated leg, the quadriceps deficit was higher at 60°/s in knee flexion angles > 50°. The HQ-ratios decreased with greater knee flexion at both velocities, but with a different magnitude. Around 30°, the HQ-ratios reached 1.0 and did not differ between the velocities, while leg differences were present from 40 to 60°. At the higher testing velocity, the maximum flexion torque occurred at greater knee flexion, whereas the maximum extension torque were present at a similar joint angle. The correlation coefficients between conventional and angle-specific HQ-ratios were low in knee angles < 35° and > 65° and varied according to leg and velocity. CONCLUSIONS: The angle specific approach is recommended for future ACL-research, as it reveals strength deficits and imbalances, which were not captured by conventional parameters. The results provide a rationale for more specific joint angle and/or velocity based training and may help for return-to-sport decisions.

Validity and reliability of GPS and LPS for measuring distances covered and sprint mechanical properties in team sports.

This study aimed to investigate the validity and reliability of global (GPS) and local (LPS) positioning systems for measuring distances covered and sprint mechanical properties in team sports. Here, we evaluated two recently released 18 Hz GPS and 20 Hz LPS technologies together with one established 10 Hz GPS technology. Six male athletes (age: 27±2 years; VO2max: 48.8±4.7 ml/min/kg) performed outdoors on 10 trials of a team sport-specific circuit that was equipped with double-light timing gates. The circuit included various walking, jogging, and sprinting sections that were performed either in straight-lines or with changes of direction. During the circuit, athletes wore two devices of each positioning system. From the reported and filtered velocity data, the distances covered and sprint mechanical properties (i.e., the theoretical maximal horizontal velocity, force, and power output) were computed. The sprint mechanical properties were modeled via an inverse dynamic approach applied to the center of mass. The validity was determined by comparing the measured and criterion data via the typical error of estimate (TEE), whereas the reliability was examined by comparing the two devices of each technology (i.e., the between-device reliability) via the coefficient of variation (CV). Outliers due to measurement errors were statistically identified and excluded from validity and reliability analyses. The 18 Hz GPS showed better validity and reliability for determining the distances covered (TEE: 1.6-8.0%; CV: 1.1-5.1%) and sprint mechanical properties (TEE: 4.5-14.3%; CV: 3.1-7.5%) than the 10 Hz GPS (TEE: 3.0-12.9%; CV: 2.5-13.0% and TEE: 4.1-23.1%; CV: 3.3-20.0%). However, the 20 Hz LPS demonstrated superior validity and reliability overall (TEE: 1.0-6.0%; CV: 0.7-5.0% and TEE: 2.1-9.2%; CV: 1.6-7.3%). For the 10 Hz GPS, 18 Hz GPS, and 20 Hz LPS, the relative loss of data sets due to measurement errors was 10.0%, 20.0%, and 15.8%, respectively. This study shows that 18 Hz GPS has enhanced validity and reliability for determining movement patterns in team sports compared to 10 Hz GPS, whereas 20 Hz LPS had superior validity and reliability overall. However, compared to 10 Hz GPS, 18 Hz GPS and 20 Hz LPS technologies had more outliers due to measurement errors, which limits their practical applications at this time.