Decreased neural drive affects the early rate of force development after repeated burst-like isometric contractions.

The neural drive to the muscle is the primary determinant of the rate of force development (RFD) in the first 50 ms of a rapid contraction. It is still unproven if repetitive rapid contractions specifically impair the net neural drive to the muscles. To isolate the fatiguing effect of contraction rapidity, 17 male adult volunteers performed 100 burst-like (i.e., brief force pulses) isometric contractions of the knee extensors. The response to electrically-evoked single and octet femoral nerve stimulation was measured with high-density surface electromyography (HD-sEMG) from the vastus lateralis and medialis muscles. Root mean square (RMS) of each channel of HD-sEMG was normalized to the corresponding M-wave peak-to-peak amplitude, while muscle fiber conduction velocity (MFCV) was normalized to M-wave conduction velocity to compensate for changes in sarcolemma properties. Voluntary RFD 0-50 ms decreased (d = -0.56, p < 0.001) while time to peak force (d = 0.90, p < 0.001) and time to RFDpeak increased (d = 0.56, p = 0.034). Relative RMS (d = -1.10, p = 0.006) and MFCV (d = -0.53, p = 0.007) also decreased in the first 50 ms of voluntary contractions. Evoked octet RFD 0-50 ms (d = 0.60, p = 0.020), M-wave amplitude (d = 0.77, p = 0.009) and conduction velocity (d = 1.75, p < 0.001) all increased. Neural efficacy, i.e., voluntary/octet force ratio, largely decreased (d = -1.50, p < 0.001). We isolated the fatiguing impact of contraction rapidity and found that the decrement in RFD, particularly when calculated in the first 50 ms of muscle contraction, can mainly be explained by a decrease in the net neural drive.

Neural and contractile determinants of burst-like explosive isometric contractions of the knee extensors.

Walking and running are based on rapid burst-like muscle contractions. Burst-like contractions generate a Gaussian-shaped force profile, in which neuromuscular determinants have never been assessed. We investigated the neural and contractile determinants of the rate of force development (RFD) in burst-like isometric knee extensions. Together with maximal voluntary force (MVF), voluntary and electrically evoked (8 stimuli at 300 Hz, octets) forces were measured in the first 50, 100, and 150 ms of burst-like quadriceps contractions in 24 adults. High-density surface electromyography (HDsEMG) was adopted to measure the root mean square (RMS) and muscle fiber conduction velocity (MFCV) from the vastus lateralis and medialis. The determinants of voluntary force at 50, 100, and 150 ms were assessed by stepwise multiple regression analysis. Force at 50 ms was explained by RMS (R2  = 0.361); force at 100 ms was explained by octet (R2  = 0.646); force at 150 ms was explained by MVF (R2  = 0.711) and octet (R2  = 0.061). Peak RFD (which occurred at 60 ± 10 ms from contraction onset) was explained by MVF (R2  = 0.518) and by RMS50 (R2  = 0.074). MFCV did not emerge as a determinant of RFD. Muscle excitation was the sole determinant of early RFD (50 ms), while contractile characteristics were more relevant for late RFD (≥100 ms). As peak RFD is mostly determined by MVF, it may not be more informative than MVF itself. Therefore, a time-locked analysis of RFD provides more insights into the neuromuscular characteristics of explosive contractions.

Relative age effect reversal on the junior-to-senior transition in world-class athletics.

The relative age effect (RAE) is a selection bias resulting from the interaction between the selected dates and birthdates. Nevertheless, the impact of birthdate on the junior-to-senior transition in international track and field is unclear. This study aimed to quantify the RAE's magnitude and test if birthdate affects the junior-to-senior transition rate. The birthdate and performances of 5,766 sprinters (female: 51.0%) and 5,863 jumpers (female: 45.9%) were collected. Elite athletes (operationally defined as the World's all-time Top 200, 100 and 50 athletes) were identified according to Under 18 and Senior categories. Skewed quartile distributions were observed in the Under 18 (effect size ranged = 0.15-0.10) but not in the Senior category. RAE magnitude increased according to performance level (i.e., from Top 200 to Top 50) and was higher in males than females. Relatively younger athletes showed significantly higher transition rates with a higher chance of maintaining top level in the senior category (odds ratio (OR) ~ 1.64). The probability of maintaining success was lower for sprinters than jumpers (OR ~ 0.70), influenced by decade of birth and continental place but similar for male and female athletes. Data corroborate that relatively younger athletes are disadvantaged in the junior category but advantaged when transitioning to the senior category.

Changes in anthropometric and fitness profile of Italian regional academy rugby union players.

In rugby union, physical characteristics may partially contribute to long-term career progression, especially during adolescence. Therefore, the primary purpose of the study was to evaluate Italian regional rugby union academy players' (i.e., under-18) anthropometric and physical characteristics during a competitive season. Body mass, height, upper- and lower-body maximal strength, sprint, and high-intensity running ability were assessed in 29 elite players (backs, n = 13, forwards, n = 16). A mixed-design analysis of variance (ANOVA) for repeated measures showed that backs were shorter (ES = 0.59), lighter (ES = 0.94), stronger relative to body mass (bench press; ES = 0.60; deadlift; ES = 0.63; clean ES = 0.63; rowing ES = 0.67), and fitter (shuttle run max; ES = 0.38; shuttle run tot; ES = 0.79) than forwards. However, the forwards achieved greater sprint momentum (initial sprint momentum; ES = 0.97; maximal sprint momentum; ES = 0.98). During the season, players changed in stature, upper-body maximal strength, jumping, and high intensity running (p < 0.05), but not in body weight or lower-body maximal strength (p > 0.05). Maximal strength improved in the first part of the season, whereas jumping and sprinting performances increased in the last part of the season. Therefore, these findings highlight the importance of regularly monitoring the physical development in a long-term perspective, even suggesting that physiological adaptations are heterochronic between positional roles.

Performance progression of elite jumpers: Early performances do not predict later success.

This study aimed (a) to estimate the transition rate for top 50 ranked track and field jumpers, (b) to compare the performance progression of top 50 ranked senior jumpers (top50 senior) to those who failed to be top 50 ranked in the senior category despite being top 50 ranked in the under 18 category (only U18), and (c) to verify whether relative age effect may at least partially explain the differences in the two above-mentioned subgroups. The career performance trajectories of 5981 athletes (2837 females) competing in jump events from 2000 to 2019 were extracted from the World Athletics database. The all-time top 50 ranked athletes for each age from 16 years to senior category were identified. Performance progression characteristics were compared using linear mixed-effects model. Only 8% of males and 16% of females top 50 ranked at the age of 16 years managed to be included among the top50 senior. Only U18subgroup made the first appearance in the database (at 15-16 years) and reached the peak performance (at 20 years) earlier than top50 senior (17-18 and 26-27 years, respectively). The relative age effect was largely present in Only U18 but not in top50 senior subgroups. Most of the early-successful U18 world-class jumpers did not manage to maintain the same level of competitiveness in adulthood since they experienced a plateau in performance from 20 years of age. Conversely, top 50 ranked senior jumpers continued to produce consistent performance improvement up to 26-27 years of age.

Corrective procedures remove relative age effect from world-class junior sprinters.

This retrospective study investigated whether corrective adjustment procedures can remove the relative age effect (RAE) from world-class junior sprinters at the beginning of their career. A total of 2,918 male and 3,029 female athletes competing in sprint races (100 m, 200 m, and 400 m) of the World Athletics lists between 2000 and 2018 were considered. Longitudinal quadratic trendline equations across ages 16-25 yrs were calculated considering athletes' exact age and respective performance. Corrective adjustment calculations from the estimated longitudinal quadratic equations were applied at 16 yrs and 17 yrs. RAE was investigated for the whole sample and top-level athletes (i.e., first Top50 and Top100) considering the uncorrected and corrected performance. Moderate to large RAE was observed in Top50 and Top100 at 16 yrs. Differently, a lower RAE was observed at 17 yrs. When re-examining the data using the corrective adjustment calculations, the RAE disappeared in all sprint events and both genders at 16 yrs, while a more equal distribution was observed at 17 yrs. Corrective adjustment procedures can remove or at least reduce the RAE in world-class sprinters. Applying simple equations based on exact age might improve the accuracy of performance evaluation and talent identification in international track and field sprint competitions.

Robot-Assisted Gait Training in Patients with Multiple Sclerosis: A Randomized Controlled Crossover Trial.

Background and Objectives: Gait disorders represent one of the most disabling aspects in multiple sclerosis (MS) that strongly influence patient quality of life. The improvement of walking ability is a primary goal for rehabilitation treatment. The aim of this study is to evaluate the effectiveness of robot-assisted gait training (RAGT) in association with physiotherapy treatment in patients affected by MS in comparison with ground conventional gait training. Study design: Randomized controlled crossover trial. Materials and Methods: Twenty-seven participants affected by MS with EDSS scores between 3.5 and 7 were enrolled, of whom seventeen completed the study. They received five training sessions per week over five weeks of conventional gait training with (experimental group) or without (control group) the inclusion of RAGT. The patients were prospectively evaluated before and after the first treatment session and, after the crossover phase, before and after the second treatment session. The evaluation was based on the 25-foot walk test (25FW, main outcome), 6 min walk test (6MWT), Tinetti Test, Modified Ashworth Scale, and modified Motricity Index for lower limbs. We also measured disability parameters using Functional Independence Measure and Quality of Life Index, and instrumental kinematic and gait parameters: knee extensor strength, double-time support, step length ratio; 17 patients reached the final evaluation. Results: Both groups significantly improved on gait parameters, motor abilities, and autonomy recovery in daily living activities with generally better results of RAGT over control treatment. In particular, the RAGT group improved more than control group in the 25FW (p = 0.004) and the 6MWT (p = 0.022). Conclusions: RAGT is a valid treatment option that in association with physiotherapy could induce positive effects in MS-correlated gait disorders. Our results showed greater effectiveness in recovering gait speed and resistance than conventional gait training.

Training sessions with tackles impair upper-limb neuromuscular function in elite rugby union.

The aim of this study was to investigate the response to non-tackle and tackle field-based training on upper- and lower-limb neuromuscular function in elite rugby union players. Nine elite senior elite rugby union players (mean age = 21 ± 2 years; height = 184 ± 7 cm; body mass 91.0 ± 9 kg) were evaluated before and immediately following 17 training sessions. A total of 306 assessments were performed. Data on neuromuscular function of plyometric push-up and countermovement jump were calculated from force signals using inverse dynamics. The change from pre- to post-session was investigated across non-tackle and tackle training using a linear mixed model. Considering upper-limb neuromuscular function, peak concentric power [P = 0.024; ES = 0.33 95%CI (0.04, 0.62)] was significantly lower after tackle compared to non-tackle training. In addition, peak countermovement jump eccentric power was significantly lower after non-tackle compared to tackle training [P = 0.044; ES = -0.4 95%CI (-0.69, -0.1)] in lower-limb neuromuscular function. Overall, the results indicated that the type of training influences upper- and lower-limb neuromuscular function differently immediately after training. Indeed, due to physical contact, the upper-body neuromuscular function increased during tackle training. In contrast, lower-body neuromuscular function emerged only in non-tackle training, due to the greater distance covered during this type of training session. Coaches and practitioners should plan adequate weekly training sessions according to this information.

Neuromuscular efficiency in fibromyalgia is improved by hyperbaric oxygen therapy: looking inside muscles by means of surface electromyography.

OBJECTIVES: Neuromuscular efficiency (NME) is impaired in fibromyalgia (FM). Hyperbaric oxygen therapy (HBOT) is a medical treatment using 100% of oxygen through an oxygen mask. HBOT in FM induces changes in cortical excitability and a secondary reduction in pain and muscle fatigue. However, there are still no direct data indicating changes in muscle fatigue. The aim of this study was to assess whether the reduction in muscle fatigue so far attributed to a central effect of HBOT can be directly detected by means of non-invasive sEMG as a change in NME. METHODS: The study was an observational longitudinal study on changes in NME induced by 20 sessions of HBOT at 2.4 atmosphere, in 22 patients with FM (3M; 19F) (age 49.8±9.5; height 164.7±7.5; weight 63.8±12.7). sEMG was recorded in single differential configuration from the biceps brachii muscle during the 30-second fatiguing contractions using linear arrays of eight adhesive electrodes. RESULTS: Evaluations made before and immediately after the first session showed that maximal strength did not change (T0 49±20 N, T1 49±19 N, p=0.792), thus suggesting that HBOT did not induce muscle fatigue or potentiation. After 20 sessions of HBOT, NME increased from 1.6±1.1 to 2.1±0.8 (p=0.050), whereas maximal strength, EMG amplitude and muscle fibre CV did not change. CONCLUSIONS: HBOT did not improve muscle strength or change muscle fibre content, but improved the ability of the central motor command to generate the same effort (MVC) with fewer recruited fibres. Our sEMG findings underlined a modified central mechanism related to fibre type recruitment order, thus suggesting that muscle fatigue is not primarily a muscular problem, as also demonstrated by other authors with different methods.

Effects of Flywheel Strength Training on the Running Economy of Recreational Endurance Runners.

Festa, L, Tarperi, C, Skroce, K, Boccia, G, Lippi, G, La Torre, A, and Schena, F. Effects of flywheel strength training on the running economy of recreational endurance runners. J Strength Cond Res 33(3): 684-690, 2019-Running economy (RE) has been defined as the most important determining factor in endurance performance in both elite and recreational runners. The purpose of this study was to evaluate the effect of flywheel strength training (FST) and high-intensity training (HIT) protocols on RE and strength parameters in a group of recreational runners. Twenty-nine recreational runners were recruited to take part in the study and were randomly assigned to FST (n = 9; 44.5 ± 6.0 years; V[Combining Dot Above]O2max 48.8 ± 5.2 ml·min·kg), HIT (n = 9; 42.2 ± 8.6 years; V[Combining Dot Above]O2max 50.3 ± 3.7 ml·min·kg), or low-intensity training (LIT) (n = 11; 45.4 ± 8.0 years; V[Combining Dot Above]O2max 50.2 ± 6.8 ml min kg) groups. Before and after 8 weeks of an experimental period, maximal oxygen uptake (V[Combining Dot Above]O2max), ventilatory thresholds (VTs), maximal dynamic force (1 repetition maximum [1RM]), and anthropometric data were evaluated. The FST group showed significant increases (p < 0.05) in 1RM and RE. No differences were found in the other groups. Significative changes are found for all groups on average speed on 2 and 10 km (p < 0.05). Anthropometric data were unchanged after the training period. The results of this study indicate that in recreational runners, FST seems able to obtain improvements in RE and neuromuscular adaptation.

Delayed parasympathetic reactivation and sympathetic withdrawal following maximal cardiopulmonary exercise testing (CPET) in hypoxia.

PURPOSE: This study investigated the effects of acute hypoxic exposure on post-exercise cardiac autonomic modulation following maximal cardiopulmonary exercise testing (CPET). METHODS: Thirteen healthy men performed CPET and recovery in normoxia (N) and normobaric hypoxia (H) (FiO2 = 13.4%, ≈ 3500 m). Post-exercise cardiac autonomic modulation was assessed during recovery (300 s) through the analysis of fast-phase and slow-phase heart rate recovery (HRR) and heart rate variability (HRV) indices. RESULTS: Both short-term, T30 (mean difference (MD) 60.0 s, 95% CI 18.2-101.8, p = 0.009, ES 1.01), and long-term, HRRt (MD 21.7 s, 95% CI 4.1-39.3, p = 0.020, ES 0.64), time constants of HRR were higher in H. Fast-phase (30 and 60 s) and slow-phase (300 s) HRR indices were reduced in H either when expressed in bpm or in percentage of HRpeak (p < 0.05). Chronotropic reserve recovery was lower in H than in N at 30 s (MD - 3.77%, 95% CI - 7.06 to - 0.49, p = 0.028, ES - 0.80) and at 60 s (MD - 7.23%, 95% CI - 11.45 to - 3.01, p = 0.003, ES - 0.81), but not at 300 s (p = 0.436). Concurrently, Ln-RMSSD was reduced in H at 60 and 90 s (p < 0.01) but not at other time points during recovery (p > 0.05). CONCLUSIONS: Affected fast-phase, slow-phase HRR and HRV indices suggested delayed parasympathetic reactivation and sympathetic withdrawal after maximal exercise in hypoxia. However, a similar cardiac autonomic recovery was re-established within 5 min after exercise cessation. These findings have several implications in cardiac autonomic recovery interpretation and in HR assessment in response to high-intensity hypoxic exercise.

Physiological intensity profile, exercise load and performance predictors of a 65-km mountain ultra-marathon.

The aims of the study were to describe the physiological profile of a 65-km (4000-m cumulative elevation gain) running mountain ultra-marathon (MUM) and to identify predictors of MUM performance. Twenty-three amateur trail-runners performed anthropometric evaluations and an uphill graded exercise test (GXT) for VO2max, ventilatory thresholds (VTs), power outputs (PMax, PVTs) and heart rate response (HRmax, HR@VTs). Heart rate (HR) was monitored during the race and intensity was expressed as: Zone I (VT2) for exercise load calculation (training impulse, TRIMP). Mean race intensity was 77.1%±4.4% of HRmax distributed as: 85.7%±19.4% Zone I, 13.9%±18.6% Zone II, 0.4%±0.9% Zone III. Exercise load was 766±110 TRIMP units. Race time (11.8±1.6h) was negatively correlated with VO2max (r = -0.66, P <0.001) and PMax (r = -0.73, P <0.001), resulting these variables determinant in predicting MUM performance, whereas exercise thresholds did not improve performance prediction. Laboratory variables explained only 59% of race time variance, underlining the multi-factorial character of MUM performance. Our results support the idea that VT1 represents a boundary of tolerable intensity in this kind of events, where exercise load is extremely high. This information can be helpful in identifying optimal pacing strategies to complete such extremely demanding MUMs.

Physiological and anthropometric characteristics of top-level youth cross-country cyclists.

In the literature there is a lack of data about the development of top level athletes in cross-country mountain biking (XCO). The purpose of this study was to analyze anthropometric and physiological characteristics of some of the best XCO bikers aged between 13 and 16. The study involved 45 bikers (26 males and 19 females) belonging to a youth national team. The evaluations, consisting of anthropometric measures, incremental cycling tests (VO2max, PPO, P@RCP), and 30 s Wingate Tests (PMax, PMean), were conducted over a lapse of 4 years. Our findings showed in bikers, already at young age, a specific athletic profile advantageous for XCO performance. At the age of 16, just before entering the junior category and competing at international level, male and female bikers showed physiological values normalized to the body mass comparable to those reported in literature for high level athletes (VO2max>70 and >60 ml/kg/min, PPO >6.5 and >5.5 W/kg, respectively in males and females). The production of high power-to-weight ratios and high peaks of anaerobic power attests the presence of highly developed aerobic and anaerobic systems in young XCO cyclists reflecting the high physiological demand of this sport.

Functional significance of extent and timing of muscle activation during double poling on-snow with increasing speed.

PURPOSE: To evaluate the level of activation and timing of upper- and lower-body muscles during double poling at different speeds on snow. METHODS: Nineteen well-trained cross-country skiers volunteered to double pole on a flat snowy track at different speeds (15, 18, 21 km h-1). The target speeds could be maintained by the skiers thanks to the use of an audio-pace system in combination with cones spaced equally alongside the track. Only 11 subjects were finally included in the analysis, since their actual speeds, calculated through a photocell system, were within ±0.5 km h-1 from those requested. Cycle and poling durations were measured from the recordings of an accelerometer attached to a wrist, while the pattern and the level of muscle activation were evaluated from electromyographyc signals. RESULTS: Double poling speed did not alter the sequence of muscle activation that started with hip flexors, continued with trunk flexors, shoulder, elbow and trunk extensors and ended with ankle plantar-flexors. However, higher speeds required an increasing involvement of thigh, trunk and shoulder muscles (P < 0.05) as well as an anticipation of their activation before pole plant (P < 0.05). CONCLUSIONS: A progressively earlier activation of trunk and lower limb muscles is a coordinative strategy that allows rapid achievement of optimal body posture prior to the exertion of poling phase. Moreover, earlier activation of these muscles as the speed increases provides adequate muscle stiffness in the shoulder and core regions for the acceptance of the poling load.

Severe COPD Alters Muscle Fiber Conduction Velocity During Knee Extensors Fatiguing Contraction.

The aim of this study was to assess the changes in muscle fiber conduction velocity (CV), as a sign of fatigue during knee extensor contraction in patients with chronic obstructive pulmonary disease (COPD) as compared with healthy controls. Eleven male patients (5 with severe and 6 with moderate COPD; age 67 ± 5 years) and 11 age-matched healthy male controls (age 65 ± 4 years) volunteered for the study. CV was obtained by multichannel surface electromyography (EMG) from the vastus lateralis (VL) and medialis (VM) of the quadriceps muscle during isometric, 30-second duration knee extension at 70% of maximal voluntary contraction. The decline in CV in both the VL and VM was steeper in the severe COPD patients than in healthy controls (for VL: severe COPD vs. controls -0.45 ± 0.07%/s; p < 0.001, and for VM: severe COPD vs. controls -0.54 ± 0.09%/s, p < 0.001). No difference in CV decline was found between the moderate COPD patients and the healthy controls. These findings suggest that severe COPD may impair muscle functions, leading to greater muscular fatigue, as expressed by CV changes. The results may be due to a greater involvement of anaerobic metabolism and a shift towards fatigable type II fibers in the muscle composition of the severe COPD patients.

The Application of sEMG in Aging: A Mini Review.

The aim of this mini-review is to describe the potential application of surface electromyography (sEMG) techniques in aging studies. Aging is characterized by multiple changes of the musculoskeletal system physiology and function. This paper will examine some of the innovative methods used to monitor age-related alterations of the neuromuscular system from sEMG signals. A description of critical assumptions which underlie some of these approaches is emphasized. The first part focuses on the evolution of the recording techniques and describes some methodological issues. The second part focuses on how to use the following techniques to characterize aging: amplitude and spectral sEMG signal analysis, muscle fiber conduction velocity estimation, and myoelectric fatigue assessment. The last part describes a number of advanced sEMG approaches which seem promising in the geriatric population to estimate motor unit number, size, recruitment thresholds, and firing rates.

Innervation zone locations in 43 superficial muscles: toward a standardization of electrode positioning.

INTRODUCTION: We describe the innervation zone (IZ) location in 43 muscles to provide information for appropriate positioning of bipolar electrodes for clinical and research applications. METHODS: The IZ was studied in 40 subjects (20 men and 20 women) using multichannel surface electromyography (sEMG). Signal quality was checked visually to identify motor unit action potentials and estimate muscle fiber conduction velocity. RESULTS: Results in 33 muscles were classified as excellent or good, because it was possible to identify an area which is favorable for appropriate positioning of an electrode pair without the need to previously determine the IZ location. CONCLUSIONS: Knowledge of IZ location will increase standardization and repeatability of sEMG measures.

Mitigating against relative age effects in youth Track & Field: Validating corrective adjustment procedures across multiple events.

OBJECTIVES: With the aim to better identify talented Track & Field performance development, this study estimated the relationships between chronological (decimal) age with 60-m sprint, high jump, triple jump, and pole vault performance. Then, to mitigate against expected Relative Age Effects (RAEs), Corrective Adjustment Procedures (CAPs) were applied to an independent sample. DESIGN: Mixed-longitudinal design examining public data between 2005 and 2019. METHODS: The performances of 5339 Italian sprinters and jumpers (53.1 %) spanning 11.01-17.99 years of age were examined, with trendlines between chronological age and performance established. Related to an independent sample (N = 40,306; female 45.5 %), trendlines were then utilised to apply CAPs and adjust individual performance. Considering raw and adjusted performance data, RAE distributions were examined for the top 25 % and 10 % performers. RESULTS: For all male and female events, quadratic models best summarised the relationships between chronological age and performance (R2 = 0.74-0.89). When examining independent athletes in similar event, RAEs were more pronounced in males (Cramer's V = 0.35-0.14) than females (Cramer's V = 0.29-0.07). For both sexes, RAE magnitude decreased with age and increased according to performance level (i.e., Top25%-Top10%). However, following CAP applications, RAEs were reduced or removed within annual age groups and performance levels. CONCLUSIONS: With RAEs prevalent across Italian youth Track & Field events, findings validate CAPs as a strategy to account for the influence of relative age differences on athletic performance. CAPs help establish a more equitable strategy for performance evaluation and could help improve the efficacy of long-term athlete development programming.

Performance pathways in elite middle- and long-distance track and field athletes: The influence of a successful youth.

OBJECTIVES: There is limited information on the performance progression of athletics endurance athletes from junior-to-senior status and the determinants of success in adulthood. This study aimed to quantify the youth-to-senior transition rate, the likelihood of success and the relationship between youth and senior performance amongst world-class athletes competing in middle- and long-distance disciplines. DESIGN: Retrospective design examining public data between 2000 and 2019. METHODS: The performances of 4678 international athletes (45.3 % female) were analysed. World's all-time top 50 athletes were identified for U18 and Senior categories (age ≥ 20 years). Youth-to-senior transition rate and transition probabilities were calculated. Correlations between best U18 and Senior performances were determined to assess the stability of the performance. RESULTS: The youth-to-senior transition rate for top U18 athletes was low for males and females (~19 % and 21 %). Nevertheless, the probability of transition to a top senior was ~7 times higher for top U18 athletes than for non-top U18 athletes. The correlations between youth and senior best performances were low-to-high. CONCLUSIONS: Few top U18 athletes maintained top world ranking status during their senior careers. Still, they are more likely to become top senior athletes than those who did not perform at the top level in U18. The association between youth and senior performance is stronger when comparing the same discipline or when athletes competed over longer distances in their senior compared to U18 career. Being a successful youth athlete may represent a small advantage for future success, however, it does not guarantee advancement to the senior top level.

Upper-Limb Muscle Fatigability in Para-Athletes Quantified as the Rate of Force Development in Rapid Contractions of Submaximal Amplitude.

This study aimed to compare neuromuscular fatigability of the elbow flexors and extensors between athletes with amputation (AMP) and athletes with spinal cord injury (SCI) for maximum voluntary force (MVF) and rate of force development (RFD). We recruited 20 para-athletes among those participating at two training camps (2022) for Italian Paralympic veterans. Ten athletes with SCI (two with tetraplegia and eight with paraplegia) were compared to 10 athletes with amputation (above the knee, N = 3; below the knee, N = 6; forearm, N = 1). We quantified MVF, RFD at 50, 100, and 150 ms, and maximal RFD (RFDpeak) of elbow flexors and extensors before and after an incremental arm cranking to voluntary fatigue. We also measured the RFD scaling factor (RFD-SF), which is the linear relationship between peak force and peak RFD quantified in a series of ballistic contractions of submaximal amplitude. SCI showed lower levels of MVF and RFD in both muscle groups (all p values ≤ 0.045). Despite this, the decrease in MVF (Cohen's d = 0.425, p < 0.001) and RFDpeak (d = 0.424, p = 0.003) after the incremental test did not show any difference between pathological conditions. Overall, RFD at 50 ms showed the greatest decrease (d = 0.741, p < 0.001), RFD at 100 ms showed a small decrease (d = 0.382, p = 0.020), and RFD at 150 ms did not decrease (p = 0.272). The RFD-SF decreased more in SCI than AMP (p < 0.0001). Muscle fatigability impacted not only maximal force expressions but also the quickness of ballistic contractions of submaximal amplitude, particularly in SCI. This may affect various sports and daily living activities of wheelchair users. Early RFD (i.e., ≤50 ms) was notably affected by muscle fatigability.