Influence of playing surface on match injury risk in men's professional rugby union in England (2013-2019).

The use of artificial playing surfaces in professional rugby union is growing, but their effect on the injury risk profile remains unclear. The aim of this study was to examine the effect of playing surface on match injury risk in men's professional rugby in England. Six seasons of injury data (2013/14-2018/19) were collected from 15 professional English, men's rugby teams participating in domestic and European competition. The incidence, severity, and burden of match injuries were compared across playing surfaces. The dataset included 3351 injuries from a combined European and domestic data set (separated in to 2 categories; artificial and natural/hybrid surfaces) and 2675 injuries from a domestic only dataset (separated into 3 categories; artificial, hybrid, and natural surfaces). There were no differences in incidence rates between surface types on combined European and domestic match data, but injury burden was significantly greater on artificial (3082 days/1000 h, 95% CI 2847-3337) in comparison with natural/hybrid surfaces (2364 days/1000 h, 95% CI 2277-2454, p < 0.001). These differences were primarily driven by a significantly greater mean severity of hip/groin, and foot/toe injuries on artificial surfaces. This is the largest study to date to examine the relationship between surface type and injury risk in rugby union. The average severity and burden of injuries sustained on artificial surfaces was significantly greater compared with those sustained on hybrid/natural grass surfaces. This study can inform those involved in selection of surface for elite sport, weighing up the positive and negative elements of the varying surface types.

Individual Adaptation Kinetics Following Heavy Resisted Sprint Training.

ABSTRACT: Morin, JB, Capelo-Ramirez, F, Rodriguez-Pérez, MA, Cross, MR, and Jimenez-Reyes, P. Individual adaptation kinetics following heavy resisted sprint training. J Strength Cond Res 36(4): 1158-1161, 2022-The aim of this study was to test individual adaptation kinetics to a high-resistance sprint training program designed to improve maximal horizontal power (Pmax), and compare the group and individual results of a classical "pre-post" analysis, and a "pre-peak" approach. Thirteen male and 9 female trained sprinters had their 30-m sprint performance and mechanical outputs assessed 1 week before (PRE), and one (POST, W1), 2 (W2), 3 (W3) and 4 (W4) weeks after a 10-week training block (10 repetitions of 20-m resisted sprints at the load associated to the apex of their velocity-power relationship: i.e., 90 ± 10% body mass on average (range: 75-112%). We observed clearly different outcomes on all variables for the PRE-POST vs. PRE-PEAK analyses. The PRE-PEAK analysis showed a larger (almost double) increase in Pmax (9.98 ± 5.27% on average, p < 0.01) than the PRE-POST (5.39 ± 5.87%, p < 0.01). Individual kinetics of post-training adaptations show that peak values were not captured in the POST (W1) assessment (generally observed at W3 and W4). Finally, the week of greatest Pmax output differed strongly among subjects, with most subjects (7/22) peaking at W4. In conclusion, after a 10-week high-resistance sprint training block, a classical 1-week-PRE to 1-week-POST assessment could not capture peak adaptation, which differed among athletes. Adopting a similar approach in practice or research should improve insight into the true effects of training stimuli on athletic capabilities.

The effect of countermovement on force production capacity depends on extension velocity: A study of alpine skiers and sprinters.

In jumping, countermovement increases net propulsive force and improves performance. We aimed to test whether this countermovement effect is velocity specific and examine the degree to which this varies between athletes, sports or performance levels. Force-velocity profiles were compiled in high-level skiers (N= 23) and sprinters (N= 30), with their performance represented in their overall world ranking and season-best 100 m time, respectively. Different ratios between force-velocity variables were computed from squat and countermovement jumps (smaller = less effect): jump height (CRh), maximum power (CRP), force (CRF), and velocity (CRv). Countermovement effect differed per velocity (inverse relationship between CRF and CRv, rs = -0.74, p< .001), and variation force-velocity profiles with countermovement. Skiers exhibited smaller CRF (rrb = -0.675, p< .001), sprinters smaller CRv (rrb = 0.426, p= .008), and "moderate" velocity conditions did not differentiate groups (CRP or CRh, p> .05). 33% of the variance in skiers' performance level was explained by greater maximum force and a lower CRF (i.e., high explosiveness at low-velocities without countermovement), without an association for sprinters. Countermovement effect appears specific to movement velocity, sport and athlete level. Consequently, we advise sports-specific assessment, and potentially training to reduce the countermovement effect per the relevant velocity.

Sled-Push Load-Velocity Profiling and Implications for Sprint Training Prescription in Young Athletes.

ABSTRACT: Cahill, MJ, Oliver, JL, Cronin, JB, Clark, KP, Cross, MR, and Lloyd, RS. Sled-push load-velocity profiling and implications for sprint training prescription in young athletes. J Strength Cond Res 35(11): 3084-3089, 2021-Resisted sled pushing is a popular method of sprint-specific training; however, little evidence exists to support the prescription of resistive loads in young athletes. The purpose of this study was to determine the reliability and linearity of the force-velocity relationship during sled pushing, as well as the amount of between-athlete variation in the load required to cause a decrement in maximal velocity (Vdec) of 25, 50, and 75%. Ninety (n = 90) high school, male athletes (age 16.9 ± 0.9 years) were recruited for the study. All subjects performed 1 unresisted and 3 sled-push sprints with increasing resistance. Maximal velocity was measured with a radar gun during each sprint and the load-velocity (LV) relationship established for each subject. A subset of 16 subjects examined the reliability of sled pushing on 3 separate occasions. For all individual subjects, the LV relationship was highly linear (r > 0.96). The slope of the LV relationship was found to be reliable (coefficient of variation [CV] = 3.1%), with the loads that cause a decrement in velocity of 25, 50, and 75% also found to be reliable (CVs = <5%). However, there was large between-subject variation (95% confidence interval) in the load that caused a given Vdec, with loads of 23-42% body mass (%BM) causing a Vdec of 25%, 45-85 %BM causing a Vdec of 50%, and 69-131 %BM causing a Vdec of 75%. The Vdec method can be reliably used to prescribe sled-push loads in young athletes, but practitioners should be aware that the load required to cause a given Vdec is highly individualized.

Influence of resisted sled-push training on the sprint force-velocity profile of male high school athletes.

Sled pushing is a commonly used form of resisted sprint training; however, little empirical evidence exists, especially in youth populations. The aim of this study was to assess the effectiveness of unresisted and resisted sled pushing across multiple loads. Fifty high school athletes were assigned to an unresisted (n = 12), or 3 resisted groups; light (n = 14), moderate (n = 13), and heavy (n = 11) resistance that caused a 25%, 50%, and 75% velocity decrement in maximum sprint speed, respectively. All participants performed two sled-push training sessions twice weekly for 8 weeks. Before and after the training intervention, the participants performed a series of jump, strength, and sprint testing to assess athletic performance. Split times between 5 and 20 m improved significantly across all resisted groups (all P < .05, d = 0.34-1.16) but did not improve significantly with unresisted sprinting. For all resisted groups, gains were greatest over the first 5 m (d = 0.67-0.84) and then diminished over each subsequent 5 m split (d = 0.08-0.57). The magnitude of gains in split times was greatest within the heavy group. Small but non-significant within-group effects were found in pre to post force-velocity profiles. There was a main effect of time but no interaction effects as all groups increased force and power, although the greatest increases were observed with the heavy load (d = 0.50-0.51). The results of this study suggest that resisted sled pushing with any load was superior to unresisted sprint training and that heavy loads may elicit the greatest gains in sprint performance over short distances.

Defining the Phases of Boxing Punches: A Mixed-Method Approach.

Lenetsky, S, Brughelli, M, Nates, RJ, Neville, JG, Cross, MR, and Lormier, AV. Defining the phases of boxing punches: A mixed-method approach. J Strength Cond Res 34(4): 1040-1051, 2020-Current research on punching in boxing has explored both kinematic and kinetic variables; however, there is no shared structure in the literature to describe these findings. A common method used to provide a shared structure in other sporting tasks is the definition of movement phases. To define the phases of 4 punches used in boxing (lead punches and rear straight and hook punches), 10 experienced and competitive boxers (age = 25.6 ± 5.97 years, height = 179.5 ± 7.72 cm, body mass = 95.66 ± 21.82 kg, and years training = 10.3 ± 5.97 years) were tested while performing maximal-effort punches. Ground reaction forces (GRFs), electromyographic, high-speed video (HSV), and striking dynamometry data were collected during all punches. A mixed-method approach was used to define the phases for each punch type based on the GRF measurements and impact timing from the striking dynamometer. Electromyographic and HSV data were then used to develop a more holistic understanding of punching actions by elaborating on the description of each phase. The final outcome of this approach has produced definitions for the phases of straight and hook punches, a greater qualitative understanding of said punches, and most importantly, a structure for current and future punching-related research, and a context to improve coach/sport scientist communication.

Influence of Resisted Sled-Pull Training on the Sprint Force-Velocity Profile of Male High-School Athletes.

Cahill, MJ, Oliver, JL, Cronin, JB, Clark, K, Cross, MR, Lloyd, RS, and Lee, JE. Influence of resisted sled-pull training on the sprint force-velocity profile of male high-school athletes. J Strength Cond Res 34(10): 2751-2759, 2020-Although resisted sled towing is a commonly used method of sprint-specific training, little uniformity exists around training guidelines for practitioners. The aim of this study was to assess the effectiveness of unresisted and resisted sled-pull training across multiple loads. Fifty-three male high-school athletes were assigned to an unresisted (n = 12) or 1 of 3 resisted groups: light (n = 15), moderate (n = 14), and heavy (n = 12) corresponding to loads of 44 ± 4 %BM, 89 ± 8 %BM, and 133 ± 12 %BM that caused a 25, 50, and 75% velocity decrement in maximum sprint speed, respectively. All subjects performed 2 sled-pull training sessions twice weekly for 8 weeks. Split times of 5, 10, and 20 m improved across all resisted groups (d = 0.40-1.04, p < 0.01) but did not improve with unresisted sprinting. However, the magnitude of the gains increased most within the heavy group, with the greatest improvement observed over the first 10 m (d ≥ 1.04). Changes in preintervention to postintervention force-velocity profiles were specific to the loading prescribed during training. Specifically, F0 increased most in moderate to heavy groups (d = 1.08-1.19); Vmax significantly decreased in the heavy group but increased in the unresisted group (d = 012-0.44); whereas, Pmax increased across all resisted groups (d = 0.39-1.03). The results of this study suggest that the greatest gains in short distance sprint performance, especially initial acceleration, are achieved using much heavier sled loads than previously studied in young athletes.

A comparison between the force-velocity relationships of unloaded and sled-resisted sprinting: single vs. multiple trial methods.

PURPOSE: We sought to compare force-velocity relationships developed from unloaded sprinting acceleration to that compiled from multiple sled-resisted sprints. METHODS: Twenty-seven mixed-code athletes performed six to seven maximal sprints, unloaded and towing a sled (20-120% of body-mass), while measured using a sports radar. Two methods were used to draw force-velocity relationships for each athlete: A multiple trial method compiling kinetic data using pre-determined friction coefficients and aerodynamic drag at maximum velocity from each sprint; and a validated single trial method plotting external force due to acceleration and aerodynamic drag and velocity throughout an acceleration phase of an unloaded sprint (only). Maximal theoretical force, velocity and power were determined from each force-velocity relationship and compared using regression analysis and absolute bias (± 90% confidence intervals), Pearson correlations and typical error of the estimate (TEE). RESULTS: The average bias between the methods was between - 6.4 and - 0.4%. Power and maximal force showed strong correlations (r = 0.71 to 0.86), but large error (TEE = 0.53 to 0.71). Theoretical maximal velocity was nearly identical between the methods (r = 0.99), with little bias (- 0.04 to 0.00 m s-1) and error (TEE = 0.12). CONCLUSIONS: When horizontal force or power output is considered for a given speed, resisted sprinting is similar to its associated phase during an unloaded sprint acceleration [e.g. first steps (~ 3 m s-1) = heavy resistance]. Error associated with increasing loading could be resultant of error, fatigue, or technique, and more research is needed. This research provides a basis for simplified assessment of optimal loading from a single unloaded sprint.

Variability and Reliability of Punching Impact Kinetics in Untrained Participants and Experienced Boxers.

Lenetsky, S, Brughelli, M, Nates, RJ, Cross, MR, and Lormier, AV. Variability and reliability of punching impact kinetics in untrained participants and experienced boxers. J Strength Cond Res 32(7): 1838-1842, 2017-Striking impact kinetics are central to performance in combat sports. Despite a multitude of assessment, few in the literature have explored the variability and reliability of punching force assessment. Consequently, this study assessed the variability and reliability of measured punching impact kinetics in untrained and experienced boxers using a recently developed and validated method of striking dynamometry. Intrasession (both cohorts) and intersession (untrained only) measures of impulse, peak, and mean force were determined across 4 punch types (jabs, crosses, lead, and rear hand hooks) using coefficient of variation (CV), intraclass correlation coefficients (ICCs), and typical error of measurement (TEM). Moderate (ICC <0.67 or CV >10%) to small (ICC >0.67 and CV <10%) variability was found for intrasession results of both groups, the majority having small variability. Intersession findings of the untrained cohort had a similar spread of variability, but with the majority exhibiting moderate variability. All variables except for mean force of the cross in the experienced boxer cohort were found to exhibit a "moderated" magnitude of reliability determined by standardized TEM scores (TEM = 0.60-1.19) during intrasession testing. All variables had moderate reliability during intersession. This method was found to have acceptable variability and reliability when monitoring punching impact kinetics.

Rating of Perceived Exertion as a Method of Volume Autoregulation Within a Periodized Program.

Helms, ER, Cross, MR, Brown, SR, Storey, A, Cronin, J, and Zourdos, MC. Rating of perceived exertion as a method of volume autoregulation within a periodized program. J Strength Cond Res 32(6): 1627-1636, 2018-The purpose of this investigation was to observe how a rating of perceived exertion (RPE)-based autoregulation strategy impacted volume performed by powerlifters. Twelve (26 ± 7 years, n = 9 men, n = 3 women) nationally qualified powerlifters performed the back squat, bench press, and deadlift 3x per week on nonconsecutive days in a session order of hypertrophy, power, and then strength; for 3 weeks. Each session subjects performed an initial top set for a prescribed number of repetitions at a target RPE. A second top set was performed if the RPE score was too low, then subsequent back-off sets at a reduced load were performed for the same number of repetitions. When the prescribed RPE was reached or exceeded, sets stopped; known as an "RPE stop." The percentage load reduction for back-off sets changed weekly: there were 2, 4, or 6% RPE stop reductions from the top set. The order in which RPE stop weeks were performed was counterbalanced among subjects. Weekly combined relative volume load (squat + bench press + deadlift), expressed as sets x repetitions x percentage 1-repetition maximum was different between weeks (p < 0.001): 2% = 74.6 ± 22.3; 4% = 88.4 ± 23.8; 6% = 114.4 ± 33.4. Combined weekly bench press volume (hypertrophy + power + strength) was significantly higher in accordance with load reduction magnitude (2% > 4% > 6%; p ≤ 0.05), combined squat volume was greater in 6 vs. 2% (p ≤ 0.05), and combined deadlift volume was greater in 6 vs. 2% and 4% (p ≤ 0.05). Therefore, it does seem that volume can be effectively autoregulated using RPE stops as a method to dictate number of sets performed.

Kinetic Sprint Asymmetries on a non-motorised Treadmill in Rugby Union Athletes.

The purpose of this study was to present a potential link between sprint kinetic (vertical [F V] and horizontal force [F H]) asymmetries and athletic performance during acceleration and maximal velocity (v max) sprinting. Thirty un-injured male rugby athletes performed 8-s sprints on a non-motorised treadmill. Kinetic data were divided into 'strong' and 'weak' legs based on individually averaged peak values observed during sprinting and were analysed to evaluate asymmetry. Large differences were found between the strong and weak legs in F H during acceleration (4.3 vs. 3.5 N·kg-1) and v max (3.7 vs. 2.8 N·kg-1) sprinting (both ES=1.2), but not in F V (21.8 vs. 20.8 N·kg-1, ES=- 0.6 for acceleration; 23.9 vs. 22.8 N·kg-1, ES=- 0.5 for v max, respectively). Group mean asymmetry was lower in F V compared to F H during acceleration (1.6 vs. 6.8%) and v max (1.6 vs. 8.2%). The range of asymmetry was much lower in F V (0.03-4.3%) compared to F H (0.2-28%). In un-injured rugby athletes, the magnitude and range of asymmetry scores in F H, occurring during acceleration and v max phases, where much greater than those found in F V. These findings highlight the potential for some un-injured athletes to possess kinetic asymmetries known as crucial components for acceleration performance in sprinting.

Determining friction and effective loading for sled sprinting.

Understanding the impact of friction in sled sprinting allows the quantification of kinetic outputs and the effective loading experienced by the athlete. This study assessed changes in the coefficient of friction (µk) of a sled sprint-training device with changing mass and speed to provide a means of quantifying effective loading for athletes. A common sled equipped with a load cell was towed across an athletics track using a motorised winch under variable sled mass (33.1-99.6 kg) with constant speeds (0.1 and 0.3 m · s-1), and with constant sled mass (55.6 kg) and varying speeds (0.1-6.0 m · s-1). Mean force data were analysed, with five trials performed for each condition to assess the reliability of measures. Variables were determined as reliable (ICC > 0.99, CV < 4.3%), with normal-force/friction-force and speed/coefficient of friction relationships well fitted with linear (R2 = 0.994-0.995) and quadratic regressions (R2 = 0.999), respectively (P < 0.001). The linearity of composite friction values determined at two speeds, and the range in values from the quadratic fit (µk = 0.35-0.47) suggested µk and effective loading were dependent on instantaneous speed on athletics track surfaces. This research provides a proof-of-concept for the assessment of friction characteristics during sled towing, with a practical example of its application in determining effective loading and sled-sprinting kinetics. The results clarify effects of friction during sled sprinting and improve the accuracy of loading applications in practice and transparency of reporting in research.

Self-Rated Accuracy of Rating of Perceived Exertion-Based Load Prescription in Powerlifters.

This study assessed male (n = 9) and female (n = 3) powerlifters' (18-49 years) ability to select loads using the repetitions in reserve-based rating of perceived exertion (RPE) scale for a single set for squat, bench press, and deadlift. Subjects trained 3× per week. For 3 weeks on nonconsecutive days in the weekly order of hypertrophy (8 repetitions at 8 RPE), power (2 repetitions at 8 RPE), and strength (3 repetitions at 9 RPE), using subject-selected loads intended to match the target RPE. Bench press and squat were performed every session and deadlift during strength and power only. Mean absolute RPE differences (|reported RPE-target RPE|) ranged from 0.22-0.44, with a mean of 0.33 ± 0.28 RPE. There were no significant RPE differences within lifts between sessions for squat or deadlift. However, bench press was closer to the target RPE for strength (0.15 ± 0.42 RPE) vs. power (-0.21 ± 0.35 RPE, p = 0.05). There were no significant differences within session between lifts for power and strength. However, bench press was closer (0.14 ± 0.44 RPE) to the target RPE than squat (-0.19 ± 0.21 RPE) during hypertrophy (p = 0.02). Squat power was closer to the target RPE in week 3 (0.08 ± 0.29 RPE) vs. 1 (-0.46 ± 0.69 RPE, p = 0.03). It seems that powerlifters can accurately select loads to reach a prescribed RPE. However, accuracy for 8-repetition sets at 8 RPE may be better for bench press compared with squat. Rating squat power-type training may take 3 weeks to reach peak accuracy. Finally, bench press RPE accuracy seems better closer rather than further from failure (i.e., 3-repetition 9 RPE sets vs. 2-repetition 8 RPE sets).

RPE and Velocity Relationships for the Back Squat, Bench Press, and Deadlift in Powerlifters.

Helms, ER, Storey, A, Cross, MR, Browm, SR, Lenetsky, S, Ramsay, H, Dillen, C, and Zourdos, MC. RPE and velocity relationships for the back squat, bench press, and deadlift in powerlifters. J Strength Cond Res 31(2): 292-297, 2017-The purpose of this study was to compare average concentric velocity (ACV) and rating of perceived exertion (RPE) based on repetitions in reserve on the squat, bench press, and deadlift. Fifteen powerlifters (3 women and 12 men, mean age 28.4 ± 8.5 years) worked up to a one repetition maximum (1RM) on each lift. Rating of perceived exertion was recorded on all sets, and the ACV was recorded for all sets performed at 80% of estimated 1RM and higher, up to 1RM. Rating of perceived exertion at 1RM on squat, bench press, and deadlift was 9.6 ± 0.5, 9.7 ± 0.4, and 9.6 ± 0.5, respectively and was not significantly different (p > 0.05). The ACV at 1RM on squat, bench press and deadlift was 0.23 ± 0.05, 0.10 ± 0.04, and 0.14 ± 0.05 m·second, respectively. Squat was faster than both bench press and deadlift (p > 0.001), and deadlift was faster than bench press (p = 0.05). Very strong relationships (r = 0.88-0.91) between percentage 1RM and RPE were observed on each lift. The ACV showed strong (r = -0.79 to -0.87) and very strong (r = -0.90 to 92) inverse relationships with RPE and percentage 1RM on each lift, respectively. We conclude that RPE may be a useful tool for prescribing intensity for squat, bench press, and deadlift in powerlifters, in addition to traditional methods such as percentage of 1RM. Despite high correlations between percentage 1RM and ACV, a "velocity load profile" should be developed to prescribe intensity on an individual basis with appropriate accuracy.

Effects of vest loading on sprint kinetics and kinematics.

The effects of vest loading on sprint kinetics and kinematics during the acceleration and maximum velocity phases of sprinting are relatively unknown. A repeated measures analysis of variance with post hoc contrasts was used to determine whether performing 6-second maximal exertion sprints on a nonmotorized force treadmill, under 2 weighted vest loading conditions (9 and 18 kg) and an unloaded baseline condition, affected the sprint mechanics of 13 males from varying sporting backgrounds. Neither vest load promoted significant change in peak vertical ground reaction force (GRF-z) outputs compared with baseline during acceleration, and only 18-kg loading increased GRF-z at the maximum velocity (8.8%; effect size [ES] = 0.70). The mean GRF-z significantly increased with 18-kg loading during acceleration and maximum velocity (11.8-12.4%; ES = 1.17-1.33). Horizontal force output was unaffected, although horizontal power was decreased with the 18-kg vest during maximum velocity (-14.3%; ES = -0.48). Kinematic analysis revealed decreasing velocity (-3.6 to -5.6%; ES = -0.38 to -0.61), decreasing step length (-4.2%; ES = -0.33 to -0.34), increasing contact time (5.9-10.0%; ES = 1.01-1.71), and decreasing flight time (-17.4 to -26.7%; ES = -0.89 to -1.50) with increased loading. As a vertical vector-training stimulus, it seems that vest loading decreases flight time, which in turn reduces GRF-z. Furthermore, it seems that heavier loads than that are traditionally recommended are needed to promote increases in the GRF-z output during maximum velocity sprinting. Finally, vest loading offers little as a horizontal vector-training stimulus and actually compromises horizontal power output.

Peak Week Carbohydrate Manipulation Practices in Physique Athletes: A Narrative Review.

BACKGROUND: Physique athletes are ranked by a panel of judges against the judging criteria of the corresponding division. To enhance on-stage presentation and performance, competitors in certain categories (i.e. bodybuilding and classic physique) achieve extreme muscle size and definition aided by implementing acute "peaking protocols" in the days before competition. Such practices can involve manipulating nutrition and training variables to increase intramuscular glycogen and water while minimising the thickness of the subcutaneous layer. Carbohydrate manipulation is a prevalent strategy utilised to plausibly induce muscle glycogen supercompensation and subsequently increase muscle size. The relationship between carbohydrate intake and muscle glycogen saturation was first examined in endurance event performance and similar strategies have been adopted by physique athletes despite the distinct physiological dissimilarities and aims between the sports. OBJECTIVES: The aim of this narrative review is to (1) critically examine and appraise the existing scientific literature relating to carbohydrate manipulation practices in physique athletes prior to competition; (2) identify research gaps and provide direction for future studies; and (3) provide broad practical applications based on the findings and physiological reasoning for coaches and competitors. FINDINGS: The findings of this review indicate that carbohydrate manipulation practices are prevalent amongst physique athletes despite a paucity of experimental evidence demonstrating the efficacy of such strategies on physique performance. Competitors have also been observed to manipulate water and electrolytes in conjunction with carbohydrate predicated on speculative physiological mechanisms which may be detrimental for performance. CONCLUSIONS: Further experimental evidence which closely replicates the nutritional and training practices of physique athletes during peak week is required to make conclusions on the efficacy of carbohydrate manipulation strategies. Quasi-experimental designs may be a feasible alternative to randomised controlled trials to examine such strategies due to the difficulty in recruiting the population of interest. Finally, we recommend that coaches and competitors manipulate as few variables as possible, and experiment with different magnitudes of carbohydrate loads in advance of competition if implementing a peaking strategy.

Skating into the Unknown: Scoping the Physical, Technical, and Tactical Demands of Competitive Skateboarding.

BACKGROUND: The inclusion of skateboarding in the Olympics suggests that athletes and coaches are seeking ways to enhance their chances of succeeding on the world stage. Understanding what constitutes performance, and what physical, neuromuscular, and biomechanical capacities underlie it, is likely critical to success. OBJECTIVE: The aim was to overview the current literature and identify knowledge gaps related to competitive skateboarding performance and associated physical, technical, and tactical demands of Olympic skateboarding disciplines. METHODS: A systematic scoping review was performed considering the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (Extension for Scoping Reviews) guidelines. Data sources were MEDLINE (Ovid), Scopus, SPORTDiscus, and PubMed. We included all peer-reviewed literature after 1970 describing the physiological, neuromuscular, biomechanical, and/or tactical aspects of skateboarding. RESULTS: Nineteen original articles explored the physiological (n = 9), biomechanical (n = 8), and technical (n = 10) demands of skateboarding. No research explored the tactical demands of competition. Moreover, although competitive males (n = 2 studies) and females (n = 1 study) were recruited as participants, no research directly related skateboarding demands to performance success in competitive environments. CONCLUSIONS: Ultimately, what constitutes and distinguishes competitive skateboarding is unexplored. There is some evidence indicating aspects of the sport require flexibility and elevated and fast force output of the lower limbs, which may be valuable when attempting to maximise ollie height. Nonetheless, a lack of ecological validity, such as using static ollie tests as opposed to rolling, restricted our ability to provide practical recommendations, and inconsistency of terminology complicated delineating discipline-specific outcomes. Future researchers should first look to objectively identify what skaters do in competition before assessing what qualities enable their performance.

Symptom presentation and evolution in the first 48 hours after injury are associated with return to play after concussion in elite Rugby Union.

BACKGROUND: Return to play (RTP) in elite rugby is managed using a 6-stage graduated RTP protocol, which can result in clearance to play within 1 week of injury. We aimed to explore how symptom, cognitive, and balance presentation and evolution during concussion screens 2 h (head injury assessment (HIA) 2) and 48 h (HIA3) after injury were associated with time to RTP) to identify whether a more conservative graduated RTP may be appropriate. METHODS: A retrospective cohort study was conducted in 380 concussed rugby players from elite men's rugby over 3 consecutive seasons. Players were classified as shorter or longer returns, depending on whether RTP occurred within 7 days (allowing them to be considered to play the match 1 week after injury) or longer than 8 days, respectively. Symptom, cognitive, and balance performance during screens was assessed relative to baseline (normal or abnormal) and to the preceding screen (improving or worsening). Associations between sub-test abnormalities and RTP time were explored using odds ratios (OR, longer vs. shorter). Median day absence was compared between players with abnormal or worsening results and those whose results were normal or improving. RESULTS: Abnormal symptom results during screens 2 h and 48 h after concussion were associated with longer return time (HIA2: OR = 2.21, 95% confidence interval (95%CI): 1.39-3.50; HIA3: OR = 3.30, 95%CI: 1.89-5.75). Worsening symptom number or severity from the time of injury to 2 h and 48 h post-injury was associated with longer return (HIA2: OR = 2.49, 95%CI: 1.36-4.58; HIA3: OR = 3.34, 95%CI: 1.10-10.15. Median days absence was greater in players with abnormal symptom results at both HIA2 and HIA3. Cognitive and balance performance were not associated with longer return and did not affect median days absence. CONCLUSION: Symptom presentation and evolution within 48 h of concussion were associated with longer RTP times. This may guide a more conservative approach to RTP, while still adhering to individualized concussion management principles.

Embracing the impact from instrumented mouthguards (iMGs): A survey of iMG managers' perceptions of staff and player interest into the technology, data and barriers to use.

Instrumented mouthguards (iMGs) are a novel technology being used within rugby to quantify head acceleration events. Understanding practitioners' perceptions of the barriers and facilitators to their use is important to support implementation and adoption. This study assessed men's and women's rugby union and league iMG managers' perceptions of staff and player interest in the technology, data and barriers to use. Forty-six iMG managers (men's rugby union and league n = 20 and n = 9 and women's rugby union and league n = 7 and n = 10) completed an 18-question survey. Perceived interest in data varied across staff roles with medical staff being reported as having the most interest. The iMG devices were perceived as easy to use but uncomfortable. Several uses of data were identified, including medical applications, player monitoring and player welfare. The comfort, size and fit of the iMG were reported as the major barriers to player use. Time constraints and a lack of understanding of data were barriers to engagement with the data. Continued education on how iMG data can be used is required to increase player and staff buy-in, alongside improving comfort of the devices. Studies undertaken with iMGs investigating player performance and welfare outcomes will make data more useful and increase engagement.

The Incidence and Propensity of Head Acceleration Events in a Season of Men's and Women's English Elite-Level Club Rugby Union Matches.

OBJECTIVES: To describe and compare the incidence and propensity of head acceleration events (HAEs) using instrumented mouthguards (iMG) by playing position in a season of English elite-level men's and women's rugby union matches. METHODS: iMG data were collected for 255 men and 133 women from 1,865 and 807 player-matches, respectively, and synchronised to video-coded match footage. Head peak resultant linear acceleration (PLA) and peak resultant angular acceleration (PAA) were extracted from each HAE. Mean incidence and propensity values were calculated across different recording thresholds for forwards and backs in addition to positional groups (front row, second row, back row, half backs, centres, back three) with 95% confidence intervals (CI) estimated. Significance was determined based on 95% CI not overlapping across recording thresholds. RESULTS: For both men and women, HAE incidence was twice as high for forwards than backs across the majority of recording thresholds. HAE incidence and propensity were significantly lower in the women's game compared to the men's game. Back-row and front-row players had the highest incidence across all HAE thresholds for men's forwards, while women's forward positional groups and men's and women's back positional groups were similar. Tackles and carries exhibited a greater propensity to result in HAE for forward positional groups and the back three in the men's game, and back row in the women's game. CONCLUSION: These data offer valuable benchmark and comparative data for future research, HAE mitigation strategies, and management of HAE exposure in elite rugby players. Positional-specific differences in HAE incidence and propensity should be considered in future mitigation strategies.