Cluster analysis of multiple impairment measures in evidence-based classification for para-alpine sit skiers.

The International Paralympic Committee has been promoting the development of evidence-based classification to reduce the subjectivity in current decision-making systems. The current study aimed to evaluate the validity of the impairment and performance tests for para-alpine sit skiing classification, and whether cluster analysis of the measures would produce a valid classification structure. Thirty-eight para-alpine sit skiers with different disabilities completed seven tests. During these tests, isometric trunk strength, trunk muscle excitation, trunk range of movement (ROM), and simulated skiing performance (board tilt angle) were assessed. Correlations between the measures and the board tilt angle were calculated. To group athletes, K-means cluster analysis was performed according to how much the impairment measures affected the board tilting. There were significant correlations between all measures and the maximal board tilt angle (r = 0.35-0.81, p < 0.05). The cluster analysis revealed that the introduction of ROM and muscle excitation was an effective supplement to strength measures in improving the classification accuracy (53%-79%). It produced four clusters with strong structures (mean silhouette coefficient = 0.81) and large and significant inter-cluster differences in most measures and performance between clusters (p < 0.05). The cluster analysis produced classes comprising athletes with similar degrees of activity limitation. All tests reported can help establish a more transparent classification system for para-alpine sit skiers. This study also provides a reference for evidence-based classification systems in other Para sports.

IMU Data-Driven and PCA-Based Approach to Establish Quantifiable and Practically Applicable Measures for V2 Technique Elements in Cross-Country Skiing.

Quantifying movement coordination in cross-country (XC) skiing, specifically the technique with its elemental forms, is challenging. Particularly, this applies when trying to establish a bidirectional transfer between scientific theory and practical experts' knowledge as expressed, for example, in ski instruction curricula. The objective of this study was to translate 14 curricula-informed distinct elements of the V2 ski-skating technique (horizontal and vertical posture, lateral tilt, head position, upper body rotation, arm swing, shoulder abduction, elbow flexion, hand and leg distance, plantar flexion, ski set-down, leg push-off, and gliding phase) into plausible, valid and applicable measures to make the technique training process more quantifiable and scientifically grounded. Inertial measurement unit (IMU) data of 10 highly experienced XC skiers who demonstrated the technique elements by two extreme forms each (e.g., anterior versus posterior positioning for the horizontal posture) were recorded. Element-specific principal component analyses (PCAs)-driven by the variance produced by the technique extremes-resulted in movement components that express quantifiable measures of the underlying technique elements. Ten measures were found to be sensitive in distinguishing between the inputted extreme variations using statistical parametric mapping (SPM), whereas for four elements the SPM did not detect differences (lateral tilt, plantar flexion, ski set-down, and leg push-off). Applicability of the established technique measures was determined based on quantifying individual techniques through them. The study introduces a novel approach to quantitatively assess V2 ski-skating technique, which might help to enhance technique feedback and bridge the communication gap that often exists between practitioners and scientists.

Non-specific and ski-specific performance development in peri-pubertal cross-country skiers.

PURPOSE: To evaluate non-specific and ski-specific performance development in male (M) and female (F) peri-pubertal cross-country skiers and to evaluate their relationship with cross-country skiing (XCS) performance and biological maturation within each age category and sex. METHODS: Twenty-one and 19 athletes under 14 and 16 years old, respectively (U14 and U16), were tested for biological maturation; non-specific speed, agility, strength, endurance, and balance; ski-specific speed, agility, and endurance. XCS index was considered as average percentage time-gap from the winner in four official races. Sex and age-category effects were verified and a model predicting XCS index was extrapolated for each group. RESULTS: Performance capacities raised across age categories (p < 0.05) except for non-specific speed, agility, balance, and relative arm strength (p > 0.05). F showed advanced biological maturation and greater balance than M (p < 0.05), while M showed higher performance capacities (p < 0.05). XCS index was not related to biological maturation within each group (p > 0.05); its variance was explained by non-specific speed and ski-specific upper-body endurance in M-U14 (p = 0.014), lower-limb strength and ski-specific agility in M-U16 and F-U14 (both p = 0.001), ski-specific upper-body endurance in F-U16 (p = 0.002). CONCLUSION: Ski-specific performance capacities still develop during peri-puberty, with peri-pubertal M overperforming with respect to F of comparable performance level. XCS index was not influenced by biological maturation withing each age category, but it was rather explained by specific parameters that commonly undergo the "adolescent spurts", accordingly to the average biological maturation level of M and F athletes of each age category.

Comprehensive analysis of performance, physiological, and perceptual responses during an entire sprint cross-country skiing competition.

PURPOSE: To investigate performance, physiological, and perceptual responses of an entire sprint cross-country skiing competition in the skating style. METHODS: Eighteen national-level male junior skiers participated in a simulated competition comprising an individual time trial (TT), followed by three heats (quarterfinals [QF], semifinals [SF], and final [F]). Participants' heart rate (HR) was continuously monitored while perceived readiness (RED, 1-10), rating of perceived exertion (RPE, 6-20), and blood lactate [La-] were assessed at standardized time points. RESULTS: The total duration and distance covered were 03:30 ± 00:06 h and 25.2 ± 2.9 km, respectively. The participants spent 02:19 ± 00:27 h > 60% of their maximal HR (HRmax) and 00:16 ± 00:04 h > 85% of HRmax. Average HR decreased from TT to F (89.3 ± 2.0% vs. 86.9 ± 3.0% of HRmax, P < 0.01). [La-] levels were highest before (4.6 ± 2.0 vs. 2.9 ± 1.2, 3.2 ± 2.0 and 2.5 ± 1.3 mmol·L-1, all P < 0.01) and after (10.8 ± 1.4 vs. 9.8 ± 1.6, 9.1 ± 1.8 and 8.7 ± 1.7 mmol·L-1, all P < 0.05) F compared to TT, QF, and SF, respectively. RED was lowest before F compared to TT, QF, and SF (6.6 ± 1.4 vs. 7.9 ± 1.1, 7.6 ± 1.1, and 7.4 ± 1.4, respectively, all P < 0.05) while RPE was highest after TT compared to QF, SF, and F (17.8 ± 0.9 vs. 15.1 ± 2.0, 16.5 ± 1.2 and 16.6 ± 1.8, respectively, all P < 0.01). The six best-performing skiers demonstrated higher RED before F (7.2 ± 0.9 vs. 5.3 ± 1.2, P < 0.05) and higher [La-] after F (11.2 ± 0.2 vs. 10.2 ± 0.3, mmol·L-1, P < 0.05) than lower-performing competitors. CONCLUSION: This study provides novel insights into physiological demands of an entire sprint cross-country skiing competition, which involves repeated 3-min high-intensity efforts interspersed with > 2 h (25 km) of low- to moderate-intensity exercise.

Effect of exercise intensity and apnea on splenic contraction and hemoglobin increase in well-trained cross-country skiers.

The human spleen acts as a reservoir for red blood cells, which is mobilized into the systemic circulation during various conditions such as hypoxia and physical exertion. Cross-country (XC) skiers, renowned for their exceptional aerobic capacity, are regularly exposed to high-intensity exercise and local oxygen deficits. We investigated a putative dose-dependent relationship between splenic contraction and concomitant hemoglobin concentration ([Hb]) elevation across four exercise intensities in well-trained XC skiers. Fourteen male XC skiers voluntarily participated in a 2-day protocol, encompassing a serial apnea test and a V ˙ O2max test (day 1), followed by three submaximal exercise intensities on a roller skiing treadmill corresponding to 55, 70, and 85% of V ˙ O2max (day 2). Spleen volume was measured via ultrasonic imaging, and venous blood samples were used to determine [Hb] levels. Baseline spleen volume was similar (266(35) mL) for all conditions (NS). Notably, all conditions induced significant splenic contractions and transient [Hb] elevations. The V ˙ O2max test exhibited the most pronounced splenic contraction (35.8%, p < 0.001) and a [Hb] increase of 8.1%, while the 85% exercise intensity led to 27.1% contraction and the greatest [Hb] increase (8.3%, < 0.001) compared to baseline. The apnea test induced relatively smaller responses (splenic contraction: 20.4%, [Hb] = 3.3%, p < 0.001), akin to the response observed at the 70% exercise intensity (splenic contraction = 23%, [Hb] = 6.4%, p < 0,001) and 55% (splenic contraction = 20.0%, [Hb] = 4.8%, p < 0.001). This study shows a discernible dose-dependent relationship between splenic contraction and [Hb] increase with levels of exercise, effectively distinguishing between submaximal and maximal exercise intensity.

Performance and micro-pacing in sprint cross-country skiing: A comparison of individual time-trial and head-to-head race formats.

This study compared performance strategies and sub-technique selection in cross-country skate skiing sprint races, specifically individual time-trial (ITT) and head-to-head (H2H) formats. Fourteen male cross-country skiers from the Chinese national team participated in the FIS-sanctioned sprint race day. GNSS and heart rate sensors recorded positioning, skiing speeds, heart rate, sub-technique usage, and skiing kinematics. Statistical parametric mapping (SPM) was used to determine the course positions (clusters) where instantaneous skiing speed was significantly associated with section time. One-way analyses of variance were used to examine differences between the ITT and H2H. H2H race speeds were 2.4 ± 0.2% faster than the ITT race (p < 0.05).Variations in sub-technique and skiing kinematics were observed between race formats, indicating different strategies and tactics employed by athletes. SPM identified specific clusters (primarily uphill) where the fastest athlete gained significant time over the slowest. The greatest time gains were associated with higher G3 sub-technique usage and longer G3 cycle length on steep uphill terrain (9-13% gradients). Integrating SPM analyses and sub-technique assessments can help optimise performance and tactics in sprint races. This study enhances our understanding of cross-country skiing dynamics and performance variations among elite competitors.

SnowMotion: A Wearable Sensor-Based Mobile Platform for Alpine Skiing Technique Assistance.

Skiing technique and performance improvements are crucial for athletes and enthusiasts alike. This study presents SnowMotion, a digital human motion training assistance platform that addresses the key challenges of reliability, real-time analysis, usability, and cost in current motion monitoring techniques for skiing. SnowMotion utilizes wearable sensors fixed at five key positions on the skier's body to achieve high-precision kinematic data monitoring. The monitored data are processed and analyzed in real time through the SnowMotion app, generating a panoramic digital human image and reproducing the skiing motion. Validation tests demonstrated high motion capture accuracy (cc > 0.95) and reliability compared to the Vicon system, with a mean error of 5.033 and a root-mean-square error of less than 12.50 for typical skiing movements. SnowMotion provides new ideas for technical advancement and training innovation in alpine skiing, enabling coaches and athletes to analyze movement details, identify deficiencies, and develop targeted training plans. The system is expected to contribute to popularization, training, and competition in alpine skiing, injecting new vitality into this challenging sport.

Muscle function during cross-country skiing at different speed and incline conditions.

The human musculoskeletal system is well adapted to use energy-efficient muscle-tendon mechanics during walking and running, but muscle behaviour during on-snow locomotion is unknown. Here, we examined muscle and muscle-tendon unit behaviour during diagonal-style cross-country roller skiing at three speed and incline conditions to examine whether skiers can exploit energy-saving mechanisms of the muscle-tendon unit. We assessed lower leg muscle and muscle-tendon unit mechanics and muscle activity in 13 high-level skiers during treadmill roller skiing using synchronised ultrasound, motion capture, electromyography and ski-binding force measurements. Participants skied using diagonal style at 2.5 and 3.5 m s-1 up 5 deg, and at 2.5 m s-1 up 10 deg. We found an uncoupling of muscle and joint behaviour during most parts of the propulsive kick phase in all conditions (P<0.01). Gastrocnemius muscle fascicles actively shortened ∼0.9 cm during the kick phase, while the muscle-tendon unit went through a stretch-shortening cycle. Peak muscle-tendon unit shortening velocity was 5 times faster than fascicle velocity (37.5 versus 7.4 cm s-1, P<0.01). Steeper incline skiing was achieved by greater muscle activity (24%, P=0.04) and slower fascicle shortening velocity (3.4 versus 4.5 cm s-1, P<0.01). Faster speed was achieved by greater peak muscle activity (23%, P<0.01) and no change in fascicle shortening velocity. Our data show that, during diagonal-style cross-county skiing, muscle behaviour is uncoupled from the joint movement, which enables beneficial contractile conditions and energy utilisation with different slopes and speeds. Active preloading at the end of the glide phase may facilitate these mechanisms.

What is the optimal classical style sub-technique during uphill roller skiing in elite male cross-country skiers?

PURPOSE: To compare performance, physiological and biomechanical responses between double poling (DP) and diagonal stride (DIA) during treadmill roller skiing in elite male cross-country skiers. METHOD: Twelve skiers (VO2peak DIAup; 74.7 ± 3.7 ml kg-1 min-1) performed two DP conditions at 1° (DPflat) and 8° (DPup) incline, and one DIA condition, 8° (DIAup). Submaximal gross efficiency (GE) and maximal 3.5 min time-trial (TT) performance, including measurements of VO2peak and maximal accumulated O2-deficit (MAOD), were determined. Temporal patterns and kinematics were assessed using 2D video, while pole kinetics were obtained from pole force. RESULTS: DIAup induced (mean, [95% confidence interval]) 13% [4, 22] better 3.5-min TT performance, 7%, [5, 10]) higher VO2peak and 3% points [1, 5] higher GE compared to DPup (all P < 0.05). DPup induced 120% higher MAOD compared to DPflat, while no significant differences were observed for VO2peak or GE between DPflat and DPup. There was a large correlation between performance and GE in DP and a large correlation between performance and VO2peak for DIAup (all r = 0.7-0.8, P < 0.05). No correlations were found between performance and VO2peak for any of the DP conditions, nor between performance and GE for DIAup (r = 0.0-0.2, P > 0.1). CONCLUSION: At 8º uphill roller skiing, DIAup induce higher VO2peak, GE, and superior time-trial performance than DPup in elite male skiers. There was no difference between VO2peak or GE between DPflat and DPup. A large correlation was observed between DIAup performance and DIAup VO2peak, while DP performance was best correlated to submaximal GE.

Physiological responses and performance factors for double-poling and diagonal-stride treadmill roller-skiing time-trial exercise.

PURPOSE: To compare physiological responses between a self-paced 4-min double-poling (DP) time-trial (TTDP) versus a 4-min diagonal-stride (DS) time-trial (TTDS). The relative importance of peak oxygen uptake ([Formula: see text]O2peak), anaerobic capacity, and gross efficiency (GE) for projection of 4-min TTDP and TTDS roller-skiing performances were also examined. METHODS: Sixteen highly trained male cross-country skiers performed, in each sub-technique on separate occasions, an 8 × 4-min incremental submaximal protocol, to assess individual metabolic rate (MR) versus power output (PO) relationships, followed by a 10-min passive break and then the TTDP or TTDS, with a randomized order between sub-techniques. RESULTS: In comparison to TTDS, the TTDP resulted in 10 ± 7% lower total MR, 5 ± 4% lower aerobic MR, 30 ± 37% lower anaerobic MR, and 4.7 ± 1.2 percentage points lower GE, which resulted in a 32 ± 4% lower PO (all P < 0.01). The [Formula: see text]O2peak and anaerobic capacity were 4 ± 4% and 30 ± 37% lower, respectively, in DP than DS (both P < 0.01). The PO for the two time-trial (TT) performances were not significantly correlated (R2 = 0.044). Similar parabolic pacing strategies were used during both TTs. Multivariate data analysis projected TT performance using [Formula: see text]O2peak, anaerobic capacity, and GE (TTDP, R2 = 0.974; TTDS, R2 = 0.848). The variable influence on projection values for [Formula: see text]O2peak, anaerobic capacity, and GE were for TTDP, 1.12 ± 0.60, 1.01 ± 0.72, and 0.83 ± 0.38, respectively, and TTDS, 1.22 ± 0.35, 0.93 ± 0.44, and 0.75 ± 0.19, respectively. CONCLUSIONS: The results show that a cross-country skier's "metabolic profile" and performance capability are highly sub-technique specific and that 4-min TT performance is differentiated by physiological factors, such as [Formula: see text]O2peak, anaerobic capacity, and GE.

The Influence of Trunk Impairment Level on the Kinematic Characteristics of Alpine Sit-Skiing: A Case Study of Paralympic Medalists.

This study aimed to examine the relationship between the trunk impairment level and the trunk kinematic characteristics during alpine sit-skiing from a classification perspective. Three Paralympic medalists in sitting classes (LW10-2, LW11, and LW12-2) participated in the present study. To simulate the racing conditions, giant slalom gates were set. To measure the kinematics of the skier and sit-ski during skiing, a motion capture method with inertial measurement units was used. The muscle activities of the trunk muscles were evaluated using electromyography. Chest lateral flexion, chest flexion, and hip flexion/extension angle during sit-skiing were reduced due to impairment. Additionally, the insufficient lateral flexion (angulation) caused a decrease in edging angle, and that the insufficient chest and hip flexion/extension caused a lower loading in the latter half of the turn through smaller vertical movement. Since edging angle and loading are key factors in ski control, the three joint motions could be measures of sport-specific activity limitation in sit-skiing classification. Between the LW10-2 and LW11 skiers, no distinct differences in trunk kinematics were found. Assuming the scaling factor of race time as a measure of skiing performance, one possible reason is that the difference in skiing performance the LW10-2 and LW11 skiers is considerably smaller relative to differences between the LW11 and LW12-2 skiers. There were no distinct differences among classes in the results of muscle activity, and therefore, this information appears to play a minimal role for classification.

Lower limb force-production capacities in alpine skiing disciplines.

Specific force capacities might be a limiting factor for alpine skiing performance, yet there is little consensus on the capabilities in question, and whether they differ between disciplines. We aimed to test discipline (speed and technical) and performance (event-specific world standing) effects on lower limb force-production qualities. National-level skiers (N = 31) performed loaded squat jumps and isometric mid-thigh pulls to detect dynamic force output at extremely low and high velocities and maximum isometric force and rate of force development, respectively. Discipline differences were assessed via a general linear model including performance and allowing for interaction effects, with performance associations further characterized via distinct Pearson's correlations. Jump height did not differentiate disciplines, with absolute power slightly higher in speed athletes (F(1,27)  = 4.42, P = .045, ω2  = 0.10), and neither variables were related to performance. Speed athletes possessed greater dynamic force at low velocities (F0 ; F(1,27)  = 13.8, P < .001, ω2  = 0.17), and greater relative and absolute maximum isometric force (F(1,25)  = 11.19-20.70, ω2  = 0.16-0.22, P < .003). Overall, higher ranked athletes possessed more force-dominant profiles (F(1,27)  = 16.28, ω2  = 0.34; r = 0.60 to 0.67, P < .001) and increased rate of force development characteristics (average and maximum, r = -0.50 to -0.82, P < .048). Very robust associations existed between maximum isometric force and speed performance (r = -0.88, P < .001), but only a trend for higher absolute isometric force in technical athletes (r = -0.49, P = .052). Alpine skiers display a preponderance for dynamic force output at low velocities, and isometric force for speed athletes, which highlights the interest in specific assessment and conditioning practices for ski athletes.

Biomechanical agreement between different imitation jumps and hill jumps in ski jumping.

Even though the take-off in ski jumping is decisive, athletes only have a very limited number of training trials on the actual ski jump to practice under real ski jump conditions. Hence, various imitation jumps aiming to mimic the hill jump are performed during daily training. These imitation jumps should therefore mimic the kinematic pattern of hill jumps appropriately. This study aimed to identify imitation jumps that resemble hill jumps regarding four performance-related biomechanical criteria: maximal vertical take-off velocity, maximal knee extension velocity, maximal forward-directed angular momentum and anterior shift of the center of mass. Therefore, a three-dimensional analysis of the take-off during six different modalities of imitation jumps as well as hill jumps for validation was carried out in nine professional ski jumpers. Imitation jumps from a rolling platform show better agreement than stationary jumps and three out of the four parameters were best resembled via an imitation jump that included ski jumping boots. Thus, non-hill take-off training should be performed with complex imitation jumps to mimic the actual ski jump. Except for the vertical take-off velocity, we could identify one imitation jump type that is not statistically different to the hill. Consequently, the individual deficiencies of the athletes can be addressed and specifically trained using the appropriate imitation jump. These information about the similarity between imitation jumps and real hill jumps are highly relevant for trainers and athletes in order to effectively design their training programs.

Aiming strategy affects performance-related factors in biathlon standing shooting.

This study focused on investigating differences in shooting performance and performance-related factors between two different aiming strategies (HOLD, low radial velocity during the approach 0.4-0.2 seconds before triggering, and TIMING, high radial velocity) in biathlon standing shooting. A total of 23 biathletes fired 8 × 5 standing shots at rest (REST) and 2 × 5 shots during a race simulation (RACE). Shooting performance (hit point distance from the center of the target), aiming point trajectory and postural balance were measured from each shot. Shooting performance was similar both at REST (HOLD 33 ± 5 mm vs TIMING 38 ± 8 mm, P = .111) and in RACE (40 ± 11 mm vs 47 ± 12 mm, P = .194). Better shooting performance was related to smaller distance of the aiming point mean location (REST r = 0.93, P < .001, RACE r = 0.72, P = .018) and higher time spent within ⅔ of the distance of the hit area edge from the center 0.6-0.0 seconds before triggering (REST r=-0.88, P = .001, RACE r=-0.73, P = .016) in HOLD, and to lower aiming point total velocity 0.6-0.0 seconds before triggering (REST r = 0.77, P = .009, RACE r = 0.88, P = .001) and less aiming point movement 0.2-0.0 seconds before triggering (REST r = 0.82, P = .003, RACE r = 0.72, P = .012) in TIMING. Postural balance was related to shooting performance at REST in both groups and in RACE in TIMING. Biathletes using the hold strategy should focus on stabilizing the aiming point before triggering and aiming at the center, whereas biathletes using the timing strategy benefit of decreasing the total velocity during the final approach as well as minimizing the aiming point movement right before triggering.

Observational vs coaching feedback on non-dominant whole-body motor skill performance - application to technique training.

We studied the effect of peer- and self-observational feedback versus coaching feedback during technique training on performance in competitive adolescent cross-country skiers. Fifty-four skiers (14.3 ± 0.6 years) were divided into a control group and three intervention groups (dyad practice, video, or coaching feedback), which practiced in the asymmetrical uphill sub-technique G2 on one side (non-dominant side), but not the other (dominant side) for 6 × 30 min over a 5 weeks period, on roller skis outdoors. High-speed performance and skiing economy were assessed on a roller ski treadmill before and after the intervention, and a questionnaire was answered post-intervention. The video feedback (p = .025, d = .65) and coaching feedback (p = .007, d = .89) groups improved high-speed performance during the intervention and an ANCOVA showed a tendency for different change scores between interventions (F3,49  = 2.5, p = .068, η p 2  = .134), with a difference between the coaching feedback and dyad practice (p = .05). No change was seen in skiing economy in any group. Coaching feedback ranked higher on enjoyment compared with dyad practice (p < .001) and led to higher self-perception of improved technique compared with the control group (p = .038). Overall, feedback from a competent coach seems better than observation for improving performance in young athletes, although self-observation through video with attentional cues seems a promising tool for increasing individual feedback when coaching large groups.

Differences in pacing pattern and sub-technique selection between young and adult competitive cross-country skiers.

The present study describes differences in pacing patterns and sub-technique selection in young compared to adult competitive cross-country skiers. Eleven young male skiers (YOS) (14.4 ± 0.5 years, V ˙ O2peak 63.9 ± 2.8 mL∙kg-1 ∙min-1 ) and eight adult male skiers (ADS) (22.6 ± 4.3 years, V ˙ O2peak 77.4 ± 4.4 mL∙kg-1 ∙min-1 ) performed a free technique rollerski time trial (TT) over a distance of 4.3 km (YOS) and 13.1 km (ADS) to simulate normal racing distances. A GNSS/IMU system was used to track position, speed, and classify sub-techniques. Skiing economy and V ˙ O2peak were measured on an additional day to calculate the relative oxygen demand ( V ˙ O2dem ) in 13 segments of the TT. YOS were slower than ADS in all types of terrain (mean speed difference of 13%), with differences for uphills of 19%, undulating terrain of 11% and downhills of 8% (all P < .05). The mean relative V ˙ O2dem tended to be higher for YOS compared to ADS (120% vs 112% of V ˙ O2peak , P = .09), and the difference was more pronounced in the initial four segments of the race (130% vs 110% of V ˙ O2peak , P < .01). YOS used more of the sub-technique Gear 2 (23 ± 7 vs 14 ± 4%), less Gear 3 (36 ± 7 vs 45 ± 5%), and had more frequent transitions between sub-techniques (18 ± 2 vs 15 ± 3 km-1 ) (all P < .05) than ADS. Over an age-related distance, young skiers tend to exhibit higher mean exercise intensity than adult elite skiers, with a more pronounced positive pacing pattern. Differences in physical ability affect speed and sub-technique selections, implying a need for differentiating technical training for different ages and levels.

Higher prevalence but later age at onset of asthma in cross-country skiers compared with general population.

Cross-country skiing causes strain in the airways because skiers train and compete in cold air. The aim of this survey was to investigate the prevalence and age at onset of asthma, asthma control, and use of asthma medication in Finnish competitive cross-country skiers. All cross-country skiers who were enrolled in the largest national competitions in winter 2019 (n = 1282) were invited to the study via the Finnish Ski Association. A control group (n = 1733) was matched for the responding skiers by age, gender, and region. The response rate was 27.4% (n = 351) for skiers and 19.5% (n = 338) for the controls. The prevalence of asthma was 25.9% in skiers and 9.2% in the controls (p < 0.001). Median (IQR) age at first asthma-related symptoms was higher in skiers than in the controls (13.0 (8.25-16.0) vs. 8.0 (2.25-11.75) years, p < 0.001), and the difference in asthma prevalence was evident only after the start of skiing career. Median (IQR) Asthma Control Test (ACT) score in skiers and controls with asthma was 22.0 (21-24) vs. 22.0 (19-24) (p = 0.611), and 89.0% of skiers and 77.4% of controls had well-controlled asthma (ACT score ≥20). In skiers with asthma, 82.4% used regular inhaled corticosteroids (ICS), and 80.2% used bronchodilators. A fixed combination of ICS +long-acting ß2-agonist was regularly used by 47.3% of the skiers and 22.6% of the controls with asthma (p = 0.016). In conclusion, asthma prevalence is about 2.5 times higher, and age at onset of asthma is later in skiers compared with the controls. Asthma in cross-country skiers is mostly well controlled and on regular maintenance treatment.

Effect of sub-technique transitions on energy expenditure and physiological load in the classical-style technique among elite male cross-country skiers.

PURPOSE: To investigate whether sub-technique transitions in the classical-style technique are associated with increased energy expenditure and/or metabolic stress among elite male cross-country skiers. METHODS: Fifteen elite male skiers completed three 10-min treadmill roller-skiing tests, each of which consisted of 5 min using the diagonal-stride technique (DS) and 5 min using the double-poling technique (DP), combined in three various modes all ensuring comparable mechanical workload, at an inclination of 2.5° and a speed of 13 km/h. In the first and third tests, the participants used 5 min continuous DS followed by 5 min continuous DP, or vice versa (no transition (NT) test), whereas in the second test, they made transitions between DS and DP every 6 s (repeated transition (RT) test). The last 3 min of each 5-min stage was used to calculate the mean values of oxygen uptake ([Formula: see text]), respiratory exchange ratio (RER), metabolic rate (MR), mechanical work rate (MWR), and gross efficiency (GE). In addition, the pre-post-difference in blood lactate concentration (Ladiff) was determined for each test. Paired-samples t tests were used to investigate differences between tests. RESULTS: There were no significant differences between NT and RT tests regarding V̇O2, MR, MWR, or GE. Conversely, significant differences were found in RER and Ladiff, where the NT test was associated with higher RER and Ladiff values. CONCLUSIONS: Roller skiing with repeated sub-technique transitions is not associated with an additional aerobic energy contribution; instead, the anaerobic energy contribution was lower compared to that under continuous use of DS and DP.

Physiological responses and cycle characteristics during double-poling versus diagonal-stride roller-skiing in junior cross-country skiers.

PURPOSE: This study aimed to compare physiological factors and cycle characteristics during cross-country (XC) roller-skiing at matched inclines and speeds using the double-poling (DP) and diagonal-stride (DS) sub-techniques in junior female and male XC skiers. METHODS: Twenty-three well-trained junior XC skiers (11 women, 12 men; age 18.2 ± 1.2 yr.) completed two treadmill roller-skiing tests in a randomized order using either DP or DS. The exercise protocols were identical and included a 5 min warm-up, 4 × 5 min submaximal stages, and an incremental test to exhaustion, all performed at a 5° incline. RESULTS: No significant three-way interactions were observed between sex, submaximal exercise intensity, and sub-technique. For the pooled sample, higher values were observed for DP versus DS during submaximal exercise for the mean oxygen uptake kinetics response time (33%), energy cost (18%), heart rate (HR) (9%), blood lactate concentration (5.1 versus 2.1 mmol·L-1), rating of perceived exertion (12%), and cycle rate (25%), while cycle length was lower (19%) (all P < 0.001). During the time-to-exhaustion (TTE) test, peak oxygen uptake ([Formula: see text]O2peak), peak HR, and peak oxygen pulse were 8%, 2%, and 6% lower, respectively, for DP than DS, with a 29% shorter TTE during DP (pooled data, all P < 0.001). CONCLUSION: In well-trained junior XC skiers, DP was found to exert a greater physiological load than DS during uphill XC roller-skiing at submaximal intensities. During the TTE test, both female and male athletes were able to ski for longer and reached markedly higher [Formula: see text]O2peak values when using DS compared to DP.

Can Exercise Targeting Mid-Thoracic Spine Segmental Movement Reduce Back Pain and Improve Sensory Perception in Cross-Country Skiers?

OBJECTIVE: To assess the role of exercise targeting proper trunk stabilization and segmental spinal movement in back pain and sensory perception among cross-country skiers. DESIGN: Randomized, controlled trial with blinded outcome assessors. SETTING: University Hospital, Department of Rehabilitation and Sports Medicine. PARTICIPANTS: Twenty elite cross-country skiers aged 17 to 27 years. INTERVENTIONS: Ten cross-country skiers integrated 3 types of exercise targeting segmental motion in mid-thoracic spine into their routine training practice for 2 months. The 10 controls performed routine athletic training. MAIN OUTCOME MEASURES: The Young Spine Questionnaire to measure intensity and frequency of back pain was completed at the start and end of study. Tactile sensory perception using 10-g Semmes-Weinstein monofilament, thermic perception using TIP THERM device, graphesthesia assessed by a touch monitor pencil, 2-point discrimination assessed by a digital caliper, and vibration perception assessed by a 128-Hz tuning fork measured in mid-thoracic spine 5 times. RESULTS: No significant group differences in pain and sensory perception were identified at baseline. Over the 2-month study interval, repeated-measures analysis of variance revealed that the experimental group improved significantly relative to the control group on pain intensity (P = 0.005 for cervical, P = 0.004 for thoracic, and P = 0.014 for lumbar) and frequency of pain in the thoracic area only (P = 0.011). Improvements were also observed in the experimental relative to control group on graphesthesia (P < 0.001), vibration perception (P = 0.002), and 2-point discrimination (P < 0.001). CONCLUSIONS: Exercise targeting the mid-thoracic spine may decrease back pain and improve sensory perception in cross-country skiers. LEVEL OF EVIDENCE: Original research, level I.