Influences of the Stretch-Shortening Cycle and Arm Swing on Vertical Jump Performance in Children and Adolescents.

ABSTRACT: Gillen, ZM, Shoemaker, ME, McKay, BD, Bohannon, NA, Gibson, SM, and Cramer, JT. Influences of the stretch-shortening cycle and arm swing on vertical jump performance in children and adolescents. J Strength Cond Res 36(5): 1245-1256, 2022-This study compared the influences of the stretch-shortening cycle and arm swing on vertical jump performance during static jumps (SJs), counter-movement jumps (CMJs), and CMJs with arm swing (CMJAs) in young male and female athletes. Twenty-one boys (age = 12.1 ± 1.1 years) and 21 girls (age = 12.1 ± 1.1 years) performed SJs, CMJs, and CMJAs on force plates that sampled at 1 kHz. Measurements included peak force, rate of force development, peak power (PP), eccentric impulse (ECC), concentric impulse (CON), estimated jump height (JH), and changes in PP and JH across vertical jumps. Measurements of growth included age, maturity offset, height, body mass, fat-free mass, and thigh muscle cross-sectional area. Analyses of variance were used to analyze growth measurements across sex, as well as vertical jump outcome measures. Pearson product moment correlation coefficients were used to determine the relationships between changes in PP and JH across vertical jumps and growth measurements. There were differences in PP and JH such that SJ < CMJ < CMJA (p < 0.001), and ECC such that SJ < CMJA < CMJ (p ≤ 0.048). Changes in PP were greater from the SJ to CMJ than CMJ to CMJA (p ≤ 0.001). The change in PP from the SJ to CMJ exhibited moderate-to-high relationships with growth measurements for boys and girls (r = 0.543-0.803). Because young children may not have the skeletal musculature or strength necessary to absorb and reapply large eccentric preloading forces, future studies should consider using the CMJA, rather than the CMJ, to maximize vertical jump performance and minimize ECC. Coaches and practitioners can expect approximately 27-33% greater PP and 15-17% greater estimated JH when an arm swing is included during the CMJ.

Comparing the torque- and power-velocity relationships between children and adolescents during isokinetic leg extension muscle actions.

The purpose of this study was to use polynomial regression analyses to examine the torque- and power-velocity relationships and calculate and compare the vertices of these nonlinear models, and how they relate to measurements of muscle size and maximal strength, between male and female children and adolescents during maximal isokinetic leg extension muscle actions. Sixteen children (n = 8 males, n = 8 females) and 22 adolescents (n = 11 males, n = 11 females) participated in this study. Measurements of growth included age, maturity offset, height, body mass, fat-free mass, and quadriceps femoris muscle cross-sectional area (CSA). Participants completed maximal voluntary isometric contractions (MVICs) of the leg extensors and maximal voluntary isokinetic leg extensions at 60, 120, 180, 240, and 300°·s-1. Variables calculated during all leg extension muscle actions included peak torque (PT, Nm) and mean power (MP, W). Polynomial regression analyses determined the model of best fit for the PT- and MP-velocity relationships. For each participant, the vertex from the PT- and MP-velocity quadratic models were quantified as the predicted maximum velocity of last measurable torque (VPT) and the predicted velocity of maximum mean power (VMP), respectively. Measurements of growth, PT and MP at all velocities, VPT, and VMP were greater in the adolescents than children. When normalized to CSA, VPT and VMP remained greater for adolescents than children, and exhibited low to very high relationships with measurements of growth. When normalized to MVIC strength, VPT and VMP were no longer different between children and adolescents and exhibited negligible to low relationships with measurements of growth. The results of the present study suggest that the ability to produce torque and power at high velocities may be more dependent on muscle strength than muscle size, which suggests that mechanisms other than muscular hypertrophy affect torque and power production at high velocities in young males and females.

Neuraxial and regional anesthesia in surgical patients with osteogenesis imperfecta: a narrative review of literature.

BACKGROUND AND OBJECTIVES: Regional and neuraxial anesthesia techniques have become instrumental in the perioperative period yet have not been well described in patients with osteogenesis imperfecta (OI), a congenital connective tissue disorder characterized by skeletal dysplasia and fragility. Patients with skeletal dysplasia present unique perioperative challenges that warrant consideration of these techniques despite their relative contraindication in this population due to reports of increased bleeding with surgery, skeletal fragility concerns with positioning, and risk of spinal cord injury with continuous neuraxial catheters. The aim of this narrative review was to evaluate literature describing the use of regional and neuraxial techniques in patients with OI and any associated clinical outcomes. METHODS: All available literature from inception to July 2020 was retrieved, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, from MEDLINE, Embase, Google Scholar and The Cochrane Library. Three authors reviewed all references for eligibility, abstracted data, and appraised quality. RESULTS: Of 412 articles initially identified, 42 met our inclusion criteria, yielding 161 cases with regional and/or neuraxial techniques described. In 117 (72.6%) of the 161 cases, neuraxial technique was performed, including 76 (64.9%) epidural, 7 (5.9%) caudal, 5 (4.2%) combined spinal epidural, and 29 (24.7%) spinal procedures. In 44 (27.4%) of the 161 cases, the use of regional anesthesia was described. Our review was confounded by incomplete data reporting and small sample sizes, as most were case reports. There were no randomized controlled trials, and the two single-center retrospective data reviews lacked sufficient data to perform meta-analysis. While complications or negative outcomes related to these techniques were not reported in any of the cases, less than half specifically discuss outcomes beyond placement and immediate postoperative course. CONCLUSIONS: There is insufficient evidence to validate or refute the potential risks associated with the use of regional and neuraxial techniques in patients with OI. This review did not uncover any reports of negative sequelae related to the use of these modalities to support relative contraindication in this population; however, further research is needed to adequately assess clinically relevant outcomes such as complications and opioid-sparing effect.

Test-Retest Reliability of Static and Countermovement Power Push-Up Tests in Young Male Athletes.

Bohannon, NA, Gillen, ZM, Shoemaker, ME, McKay, BD, Gibson, SM, Cramer, JT. Test-Retest Reliability of Static and Counter-Movement Power Push-Up Tests in Young Male Athletes. J Strength Cond Res 34(9): 2456-2464, 2020-The primary purpose of this study was to evaluate test-retest reliability of the static (SP) and countermovement (CMP) power push-up test in young male athletes. The secondary purpose was to compare the reliability of vertical ground reaction forces versus torque measurements during the power push-up tests. Twenty boys (age = 11.60 ± 1.15 years) performed SPs and CMPs on force plates with the knees as the fulcrum on 2 laboratory visits separated by 2-7 days. Performance measurements included peak force (PF), peak rate of force development (pRFD), peak torque (PT), peak rate of torque development (pRTD), peak power (PP), average power (AP), eccentric impulse (ECC), and concentric impulse (CON) for both power push-up techniques. Age, maturity offset, height, body mass, fat-free mass, and estimated arm cross sectional area were obtained as measurements of growth. Intraclass correlation coefficients (ICC), SEM, coefficients of variation, and minimum detectable changes (MDC) were reported. Only PF (ICC = 0.87-0.88, SEM = 59-84 N) and PT (ICC = 0.89-0.90, SEM = 60-88 N·m) showed acceptable reliability. Neither pRFD, pRTD, PP, AP, ECC, or CON were reliable outcomes. There were no meaningful differences between force-time and torque-time curve measurements. The SP showed slightly lower CVs (33-34%) than the CMP (CVs = 39-40%). Coaches and practitioners would need to see 58-71% increases in upper-body strength measurements evaluated via power push-up on force plates to be 95% confident that the improvements exceeded the measurement variability.

Peak Torque Explains More Unique Variability in Growth Measurements than Rate of Torque Development in Young Boys and Girls.

Gillen, ZM, Shoemaker, ME, McKay, BD, Bohannon, NA, Gibson, SM, and Cramer, JT. Peak torque explains more unique variability in growth measurements than rate of torque development in young boys and girls. J Strength Cond Res 34(9): 2507-2514, 2020-This study reported test-retest reliability and evaluated collinearity for isometric leg extension and flexion peak torque (PT) and rate of torque development (RTD) in young boys and girls. Measurements of growth included height, body mass, fat-free mass, maturity offset, and leg extensor and flexor muscle cross-sectional area. Maximal isometric contractions quantified PT and RTD. Intraclass correlation coefficients (ICCs), SEM, coefficients of variation, and minimum detectable changes quantified test-retest reliability. Zero-order correlations and first-order partial correlations evaluated collinearity. Peak torque from leg extension and flexion exhibited ICCs ≥ 0.90, RTD from leg extension and flexion exhibited ICCs ≥ 0.38. Partialing out leg flexion PT reduced the relationships between leg extension PT and growth (rPText, growth.PTflex = 0.392-0.605). Partialing out leg extension PT eliminated the relationships between leg flexion PT and growth (rPTflex, growth.PText = 0.098-0.263). Partialing out leg extension RTD reduced the relationships between PT and growth (rPText, growth.RTDext = 0.516-0.775). Partialing out leg extension PT eliminated the relationships between RTD and growth (|rRTDext, growth.PText| = 0.001-0.148). Leg extension PT was more reliable and explained the most unique variability in growth among young boys and girls. In contrast, RTD was less reliable and was fully accounted for by PT, indicating that RTD may be an unnecessary measurement in studies of young boys and girls.

Sex-specific relationships among iron status biomarkers, athletic performance, maturity, and dietary intakes in pre-adolescent and adolescent athletes.

BACKGROUND: The purpose of this study was to examine relationships among biomarkers of iron status, athletic performance, growth and development, and dietary intakes in pre-adolescent and adolescent male and female athletes. METHODS: Two-hundred and forty-nine male (n = 179) (mean ± standard deviation for age = 12.0 ± 2.1 years, height = 156.3 ± 13.9 cm, and weight = 49.1 ± 16.5 kg) and female (n = 70) (12.0 ± 2.2 years, 152.4 ± 12.3 cm, 45.3 ± 14.5 kg) athletes volunteered for capillary blood sample, anthropometric, athletic performance, and dietary intake assessments. Outcomes included maturity offset from peak height velocity, percent body fat, estimated muscle cross-sectional areas, vertical jump height (VJ), broad jump distance (BJ), pro-agility time (PA), L-cone time, 20-yard dash time (20YD), power push up (PPU) force, dietary intakes, and ferritin, soluble transferrin receptor (sTfR), and hemoglobin (Hb) concentrations. RESULTS: Athletic performance was consistently correlated with Hb in males (r = .237-.375, p < 0.001-0.05) and with sTfR (r = .521-.649, p < 0.001-0.004) and iron intake (r = .397-.568, p = 0.001-0.027) in females. There were no relationships between dietary intakes and ferritin, sTfR, or Hb (p > 0.05). After partialing out age and height, VJ, PA, LC, and 20YD remained correlated with Hb in males (|rHb,y.Age| = .208-.322, p = 0.001-0.041; |rHb,y.Height| = .211-.321, p = 0.001-0.038). After partialing out iron intake, PA and LC remained correlated with sTfR in females (|rsTfR,y.ironintake| = .516-.569, p = 0.014-0.028). CONCLUSIONS: Iron status biomarkers demonstrated sex-specific relationships with anaerobic exercise performance in youth athletes, which may be more dependent on maturity status and dietary intake than age. Moderate relationships between sTfR and athletic performance in adolescent female athletes emphasizes the importance of iron intake in this demographic.

Effects of Eccentric Preloading on Concentric Vertical Jump Performance in Youth Athletes.

This study measured peak force (PF), peak rate of force development (PRFD), peak power (PP), concentric impulse, and eccentric impulse during static jump (SJ), countermovement jump (CMJ), and drop jump (DJ) in youth athletes to examine changes in vertical jump power with progressively greater eccentric preloading in relation to age, maturity, and muscle mass. Twenty-one males ranging from 6 to 16 years old performed the following vertical jumps in a random order: SJ, CMJ, and DJ from drop heights of 20, 30, and 40 cm (DJ20, DJ30, and DJ40, respectively). Measurements included PF, PRFD, PP, eccentric impulse, and concentric impulse for each vertical jump condition. Maturity offset was calculated, while ultrasound images quantified thigh muscle cross-sectional area (CSA). PF and PRFD increased from CMJ to DJ20. PP increased from SJ to CMJ. Concentric impulse remained unchanged, but eccentric impulse increased systematically from across jumps. The change in PP from SJ to CMJ was correlated with age, height, weight, maturity offset, and CSA. The CMJ resulted in the greatest concentric PP with the least amount of eccentric preloading. The inability of young athletes to translate the energy absorbed during the eccentric phase of the stretch-shortening cycle of DJs may be influenced by growth and development.

Muscle strength, size, and neuromuscular function before and during adolescence.

PURPOSE: To compare measurements of muscle strength, size, and neuromuscular function among pre-adolescent and adolescent boys and girls with distinctly different strength capabilities. METHODS: Fifteen boys (mean age ± confidence interval: 13.0 ± 1.0 years) and 13 girls (12.9 ± 1.1 years) were categorized as low strength (LS, n = 14) or high strength (HS, n = 14) based on isometric maximal voluntary contraction strength of the leg extensors. Height (HT), seated height, and weight (WT) determined maturity offset, while percent body fat and fat-free mass (FFM) were estimated from skinfold measurements. Quadriceps femoris muscle cross-sectional area (CSA) was assessed from ultrasound images. Isometric ramp contractions of the leg extensors were performed while surface electromyographic amplitude (EMGRMS) and mechanomyographic amplitude (MMGRMS) were recorded for the vastus lateralis (VL). Neuromuscular efficiency from the EMG and MMG signals (NMEEMG and NMEMMG, respectively) and log-transformed EMG and MMG vs. torque relationships were also used to examine neuromuscular responses. RESULTS: HS was 99-117% stronger, 2.3-2.8  years older, 14.0-15.7 cm taller, 20.9-22.3 kg heavier, 2.3-2.4 years more biologically mature, and exhibited 39-43% greater CSA than LS (p ≤ 0.001). HS exhibited 74-81% higher NMEEMG than LS (p ≤ 0.022), while HS girls exhibited the highest NMEMMG (p ≤ 0.045). Even after scaling for HT, WT, CSA, and FFM, strength was still 36-90% greater for HS than LS (p ≤ 0.031). The MMGRMS patterns in the LS group displayed more type I motor unit characteristics. CONCLUSIONS: Neuromuscular adaptations likely influence strength increases from pre-adolescence to adolescence, particularly when examining large, force-producing muscles and large strength differences explained by biological maturity, rather than simply age.