Non-reporting of sport-related concussion symptoms: a cross-sectional study of community rugby league players in the UK.

Recognising and removing players with suspected sport-related concussions is crucial for community sports. OBJECTIVES: Quantify rates and factors associated with non-reporting of concussion symptoms in community rugby league. METHODS: Overall, 484 community rugby league players aged ≥18 years and 965 parents of rugby league players aged <18 years completed an online survey, regarding concussion history, knowledge, prevalence and reasons for non-reporting of concussion, long-term implications and perceptions of concussion. RESULTS: Thirty-five percent of players aged ≥18 years and 22% of parents of players aged <18 years reported at least one concussion in the last two seasons. Forty-three percent of players aged ≥18 years and 5% of parents of players aged<18 years surveyed stated they did not report concussion-related symptoms sustained during 2020 and 2021 seasons. The two most common reasons for non-reporting of concussion symptoms were 'didn't want to be ruled out of a match' and 'didn't want to let down the team'. Players aged ≥18 years who received external coaching pressures around concussion were more likely to not report concussion symptoms. Over 40% of parents and players were concerned about the potential long-term implications. Ten percent of players aged ≥18 years and 7% of parents of players aged <18 years would encourage their family members/children to not play rugby league. CONCLUSIONS: Non-reporting rates of suspected concussion symptoms in adult community players were twice as high as in professional rugby league, with similar reasons (wanting to play and not letting the team down). Engaging coaches to prioritise brain health and providing broader and appropriate education on concussion should be focused on, given the concerns reported by community players and parents.

Short term air pollution exposure during pregnancy and associations with maternal immune markers.

BACKGROUND: Air pollution exposure during pregnancy has been associated with numerous adverse pregnancy, birth, and child health outcomes. One proposed mechanism underlying these associations is maternal immune activation and dysregulation. We examined associations between PM2.5 and NO2 exposure during pregnancy and immune markers within immune function groups (TH1, TH2, TH17, Innate/Early Activation, Regulatory, Homeostatic, and Proinflammatory), and examined whether those associations changed across pregnancy. METHODS: In a pregnancy cohort study (n = 290) in Rochester, New York, we measured immune markers (using Luminex) in maternal plasma up to 3 times during pregnancy. We estimated ambient PM2.5 and NO2 concentrations at participants' home addresses using a spatial-temporal model. Using mixed effects models, we estimated changes in immune marker concentrations associated with interquartile range increases in PM2.5 (2.88 µg/m3) and NO2 (7.82 ppb) 0-6 days before blood collection, and assessed whether associations were different in early, mid, and late pregnancy. RESULTS: Increased NO2 concentrations were associated with higher maternal immune markers, with associations observed across TH1, TH2, TH17, Regulatory, and Homeostatic groups of immune markers. Furthermore, the largest increases in immune markers associated with each 7.82 ppb increase in NO2 concentration were in late pregnancy (e.g., IL-23 = 0.26 pg/ml, 95% CI = 0.07, 0.46) compared to early pregnancy (e.g., IL-23 = 0.08 pg/ml, 95% CI = -0.11, 0.26). CONCLUSIONS: Results were suggestive of NO2-related immune activation. Increases in effect sizes from early to mid to late pregnancy may be due to changes in immune function over the course of pregnancy. These findings provide a basis for immune activation as a mechanism for previously observed associations between air pollution exposure during pregnancy and reduced birthweight, fetal growth restriction, and pregnancy complications.

Menstrual-Cycle Symptoms and Sleep Characteristics in Elite Soccer Players.

PURPOSE: To determine whether menstrual-cycle symptoms are associated with sleep in elite female athletes. METHODS: Sleep was assessed for a minimum of 25 nights (range = 25-31) using activity monitoring and sleep diaries. Menstrual-cycle symptoms were collected over the same duration in 12 elite female professional soccer players. Generalized estimating equations were used to examine the relationship between the day of the menstrual cycle (from day 1) and total menstrual-cycle symptoms on sleep characteristics. RESULTS: There was a significant relationship between sleep duration and the day of the menstrual cycle (P = .042) and total symptoms reported that day (P < .001), with sleep duration increasing by 21 minutes for every symptom reported. There was a negative day × symptom interaction on sleep duration (P = .004), indicating that with increased symptoms, the day of the menstrual cycle had a smaller relationship with sleep duration. Sleep efficiency (P = .950), wake after sleep onset (P = .217), and subjective sleep quality (P = .080) were not related to the day of the menstrual cycle. The total symptoms reported had no relationship with sleep efficiency (P = .220), subjective sleep quality (P = .502), or sleep latency (P = .740) but did significantly relate to wake after sleep onset (P < .001), with a significant day × symptom interaction (P < .001). CONCLUSIONS: Sleep duration increased from day 1 of the menstrual cycle and was associated with the number of menstrual-cycle symptoms reported. All other sleep metrics remained unchanged; however, total symptoms reported were related to wake after sleep onset. Monitoring and managing menstrual-cycle symptoms should be encouraged due to a potential relationship with sleep characteristics.

Hohlraum fields with monoenergetic proton radiography at OMEGA.

A more complete understanding of laser-driven hohlraum plasmas is critical for the continued development and improvement of ICF experiments. In these hohlraums, self-generated electric and magnetic fields can play an important role in modifying plasma properties such as heat transport; however, the strength and distribution of electromagnetic fields in such hohlraums remain largely uncertain. To explore this question, we conducted experiments at the OMEGA laser facility, using monoenergetic proton radiography to probe laser-driven vacuum hohlraums. We then utilized reconstructive methods to recover information about proton deflections. To interpret these reconstructions, a new technique for detangling the contributions of electric and magnetic fields to proton deflections was developed. This work was supported in part by the U.S. Department of Energy, the National Laser Users' Facility, and the Laboratory for Laser Energetics.

The validity of raw custom-processed global navigation satellite systems data during straight-line sprinting across multiple days.

OBJECTIVES: (1) Determine the validity of instantaneous speed and acceleration and (2) the variation in validity over time (multiple sessions) for global navigation satellite systems (GNSS) devices. DESIGN: Repeated measures. METHODS: 10-Hz GNSS devices from Statsports (n = 2, Apex Pro) and Catapult (n = 2, Vector S7) were examined, whilst a speed laser manufactured by MuscleLab (n = 1, LaserSpeed) was the criterion measure, sampling at 2.56 kHz, with data exported at 1000 Hz. Ten participants completed 40 m sprinting and changes of pace on three separate days. Root mean square error (RMSE) was used to assess the magnitude and direction of the difference between GNSS and criterion measures (instantaneous speed, instantaneous acceleration). Linear mixed models were built to assess the difference in validity across days. RESULTS: RMSE ranged from 0.14 to 0.21 m·s-1 and 0.22 to 0.47 m·s-2 for speed and acceleration, respectively showing strong agreement. There were small variations in the agreement to criterion between days for both devices for speed (Catapult RMSE = 0.12 to 21 m·s-1; Statsports RMSE = 0.14 to 0.17 m·s-1) and for acceleration (Catapult RMSE = 0.26 to 0.47 m·s-2; Statsports RMSE = 0.22 to 0.43 m·s-2) across all movements. There was a negative linear relationship between speed and acceleration error as speed increased. CONCLUSIONS: Wearable microtechnology devices from Catapult (Vector S7) and Statsports (Apex Pro) have suitable validity when measuring instantaneous speed and acceleration across multiple days. There may be small variations during different sessions and over the speed spectrum.

The Effects and Reproducibility of 10, 20, and 30% Velocity Loss Thresholds on Acute and Short-Term Fatigue and Recovery Responses.

ABSTRACT: Weakley, J, Johnston, RD, Cowley, N, Wood, T, Ramirez-Lopez, C, McMahon, E, and García-Ramos, A. The effects and reproducibility of 10, 20, and 30% velocity loss thresholds on acute and short-term fatigue and recovery responses. J Strength Cond Res 38(3): 465-473, 2024-This study aimed to establish the effects and reproducibility of implementing 10, 20, and 30% velocity loss thresholds (VLTs) during the free-weight barbell back squat on acute and short-term perceived soreness, neuromuscular fatigue, and physical performance. Using a repeated, counterbalanced, crossover design, 12 team-sport athletes completed on separate sessions 5 sets of the free-weight barbell back-squat until reaching VLTs of either 10, 20, or 30%. Outcomes were measured immediately postexercise and 24 hours after each session. To assess reproducibility, the same sessions were repeated after 4 weeks. Immediately postexercise, small differences in countermovement jump (CMJ) and 10-m sprint performance were observed between VLT conditions, whereas small to moderate differences in differential ratings of perceived exertion were reported (10% < 20% < 30%). At 24 hours, trivial differences in CMJ outcomes were found but small differences in 10-m sprint performance were detected between conditions (10% < 20% < 30%). In addition, at 24 hours, a single small difference in radial deformation using tensiomyography was found between 10 and 30% conditions, whereas large to very large differences in perceived soreness were reported between conditions (10% < 20% < 30%). Finally, the standard error of measurement of all outcome measures at 24 hours were of a similar magnitude to those reported in tightly controlled, short-term studies. Collectively, these findings demonstrate that VLTs help control the fatigue outcomes that occur as a response to resistance training and that they are reproducible. Therefore, for practitioners who wish to prescribe resistance training and be confident in the subsequent fatigue response, it is strongly advised that VLTs are implemented.

Thoracic-Worn Accelerometers Detect Fatigue-Related Changes in Vertical Stiffness During Sprinting.

ABSTRACT: Horsley, BJ, Tofari, PJ, Halson, SL, Kemp, JG, Johnston, RD, and Cormack, SJ. Thoracic-worn accelerometers detect fatigue-related changes in vertical stiffness during sprinting. J Strength Cond Res 38(2): 283-289, 2024-Thoracic-mounted accelerometers are valid and reliable for analyzing gait characteristics and may provide the opportunity to assess running-related neuromuscular fatigue (NMF) during training and competition without the need for additional tests, such as a countermovement jump (CMJ). However, their sensitivity for detecting fatigue-related changes in gait across different speeds is unclear. We, therefore, assessed the changes in accelerometer-derived gait characteristics, including vertical stiffness (K vert ), following a repeated sprint protocol (RSP). Sixteen recreationally active subjects performed single and repeated CMJs on a force plate and 40 m run throughs overground at 3-4, 5-6, and 7-8 m·s -1 pre-post a 12 × 40 m RSP. Gait characteristics (contact time, step frequency, step length, K vert , etc.) were derived from an accelerometer contained within a global navigation satellite system unit on the thoracic spine using a validated algorithm. Changes in running gait and CMJ performance were assessed using a linear mixed-effects model (95% confidence interval [95% CI]; effect size [ES]). Significance was set at p < 0.05. A significant reduction in K vert occurred at 7-8 m·s -1 following the RSP (-8.51 kN·m -1 [-13.9, -3.11]; p = 0.007; ES [95% CI] = -0.39 [-0.62, -0.15]) which coincided with a decreased jump height (-0.03 m [-0.04, -0.01]; p = 0.002; ES [95% CI] = -0.87 [-1.41, -0.30]). However, all other gait characteristics were not significantly different irrespective of speed. Thoracic-worn accelerometers can detect changes in K vert at 7-8 m·s -1 which may be useful for monitoring NMF during sprinting. However, a RSP does not result in altered gait mechanics in subsequent running at lower speeds.

Validity and Reliability of Thoracic-Mounted Inertial Measurement Units to Derive Gait Characteristics During Running.

ABSTRACT: Horsley, BJ, Tofari, PJ, Halson, SL, Kemp, JG, Chalkley, D, Cole, MH, Johnston, RD, and Cormack, SJ. Validity and reliability of thoracic-mounted inertial measurement units to derive gait characteristics during running. J Strength Cond Res 38(2): 274-282, 2024-Inertial measurement units (IMUs) attached to the tibia or lumbar spine can be used to analyze running gait but, with team-sports, are often contained in global navigation satellite system (GNSS) units worn on the thoracic spine. We assessed the validity and reliability of thoracic-mounted IMUs to derive gait characteristics, including peak vertical ground reaction force (vGRF peak ) and vertical stiffness (K vert ). Sixteen recreationally active subjects performed 40 m run throughs at 3-4, 5-6, and 7-8 m·s -1 . Inertial measurement units were attached to the tibia, lumbar, and thoracic spine, whereas 2 GNSS units were also worn on the thoracic spine. Initial contact (IC) from a validated algorithm was evaluated with F1 score and agreement (mean difference ± SD ) of gait data with the tibia and lumbar spine using nonparametric limits of agreement (LoA). Test-retest error {coefficient of variation, CV (95% confidence interval [CI])} established reliability. Thoracic IMUs detected a nearly perfect proportion (F1 ≥ 0.95) of IC events compared with tibia and lumbar sites. Step length had the strongest agreement (0 ± 0.04 m) at 3-4 m·s -1 , whereas contact time improved from 3 to 4 (-0.028 ± 0.018 second) to 7-8 m·s -1 (-0.004 ± 0.013 second). All values for K vert fell within the LoA at 7-8 m·s -1 . Test-retest error was ≤12.8% for all gait characteristics obtained from GNSS units, where K vert was most reliable at 3-4 m·s -1 (6.8% [5.2, 9.6]) and vGRF peak at 7-8 m·s -1 (3.7% [2.5, 5.2]). The thoracic-spine site is suitable to derive gait characteristics, including K vert , from IMUs within GNSS units, eliminating the need for additional sensors to analyze running gait.

I won't let you down; why 20% of Men's and Women's Super League players underreported suspected concussions.

OBJECTIVES: Quantify and identify factors associated with concussion underreporting in Super League rugby league players. DESIGN: Cross sectional survey. METHODS: During the 2022 season preseason, 422 Men's and Women's Super League players completed an online survey quantifying player demographics, rugby playing history, concussion history, prevalence of, and reasons for underreporting concussion, concussion knowledge and long-term implications and perceptions of concussion. RESULTS: Overall, 20% of respondents stated they did not report concussion-related symptoms to medical staff during the 2020 and 2021 seasons. The two most common reasons for underreporting concussion were 'didn't want to be ruled out of a match' (35%) and 'didn't want to let down team' (24%). 65% of players reported an appropriate level of knowledge about concussion and potential long-term implications at the start of their senior rugby career, versus 89% now. In relation to concussion knowledge, symptoms were correctly identified on 74% of occasions. 57% of players surveyed were concerned about the potential long-term implications from concussion, and 11% of players would encourage their/family members' children to not play rugby league. CONCLUSIONS: The proportion of Super League players who did not report concussion symptoms was similar to rugby league players in Australia. The main reasons for not reporting concussion appeared to be due to perceptions of what is beneficial for the team, suggesting both performance and medical staff should collectively encourage players to report concussion. A player's attitude towards concussion is potentially an individual modifiable risk factor and should be considered within the concussion management of players.

Incidence of concussion in men's Super League, Championship, and Academy rugby league matches between 2016 and 2022.

OBJECTIVES: To quantify the incidence of concussion and compare between playing levels in male rugby league. DESIGN: Retrospective cohort. METHODS: Between 2016 and 2022, medically diagnosed concussions in Super League, Championship, and Academy competitions were reported to the Rugby Football League via club medical staff. Anonymised data were analysed using generalised linear mixed-effects models by season, month, and between competitions. RESULTS: Overall, 1403 concussions were identified from 104,209 player-match hours. Concussion incidence for Super League, Championship, and Academy was 15.5, 10.5, and 14.3 per 1000 player-match hours, respectively. Championship concussion incidence was significantly lower than the Super League (p < 0.001) and Academy (p < 0.001). No significant differences were identified between years for Super League (range: 13.3 to 18.8 per 1000 player-match hours) and Championship (range: 8.4 to 12.1 per 1000 player-match hours). In Academy (range: 9.6 to 20.5 per 1000 player-match hours), concussion incidence was significantly greater in 2021 compared to earlier years (2016, p = 0.01 and 2017, p = 0.03). No significant differences were identified between months for any competition. CONCLUSIONS: The incidence of concussion is greater in Super League and Academy compared to the Championship. Academy concussion incidence has increased over time. Different factors between and within competitions, such as changes to medical standards and knowledge, could have influenced the identification and diagnosis of concussion.

Validity and Reliability of Methods to Assess Movement Deficiencies Following Concussion: A COSMIN Systematic Review.

BACKGROUND: There is an increased risk of subsequent concussion and musculoskeletal injury upon return to play following a sports-related concussion. Whilst there are numerous assessments available for clinicians for diagnosis and during return to play following concussion, many may lack the ability to detect these subclinical changes in function. Currently, there is no consensus or collated sources on the reliability, validity and feasibility of these assessments, which makes it difficult for clinicians and practitioners to select the most appropriate assessment for their needs. OBJECTIVES: This systematic review aims to (1) consolidate the reliability and validity of motor function assessments across the time course of concussion management and (2) summarise their feasibility for clinicians and other end-users. METHODS: A systematic search of five databases was conducted. Eligible studies were: (1) original research; (2) full-text English language; (3) peer-reviewed with level III evidence or higher; (4) assessed the validity of lower-limb motor assessments used to diagnose or determine readiness for athletes or military personnel who had sustained a concussion or; (5) assessed the test-retest reliability of lower-limb motor assessments used for concussion management amongst healthy athletes. Acceptable lower-limb motor assessments were dichotomised into instrumented and non-instrumented and then classified into static (stable around a fixed point), dynamic (movement around a fixed point), gait, and other categories. Each study was assessed using the COSMIN checklist to establish methodological and measurement quality. RESULTS: A total of 1270 records were identified, with 637 duplicates removed. Titles and abstracts of 633 records were analysed, with 158 being retained for full-text review. A total of 67 records were included in this review; 37 records assessed reliability, and 35 records assessed the validity of lower-limb motor assessments. There were 42 different assessments included in the review, with 43% being non-instrumented, subjective assessments. Consistent evidence supported the use of instrumented assessments over non-instrumented, with gait-based assessments demonstrating sufficient reliability and validity compared to static or dynamic assessments. CONCLUSION: These findings suggest that instrumented, gait-based assessments should be prioritised over static or dynamic balance assessments. The use of laboratory equipment (i.e. 3D motion capture, pressure sensitive walkways) on average exhibited sufficient reliability and validity, yet demonstrate poor feasibility. Further high-quality studies evaluating the reliability and validity of more readily available devices (i.e. inertial measurement units) are needed to fill the gap in current concussion management protocols. Practitioners can use this resource to understand the accuracy and precision of the assessments they have at their disposal to make informed decisions regarding the management of concussion. TRAIL REGISTRATION: This systematic review was registered on PROSPERO (reg no. CRD42021256298).

Development of complex executive function over childhood: Longitudinal growth curve modeling of performance on the Groton Maze Learning Task.

This longitudinal study modeled children's complex executive function (EF) development using the Groton Maze Learning Task (GMLT). Using a cohort-sequential design, 147 children (61 males, 5.5-11 years) were recruited from six multicultural primary schools in Melbourne and Perth, Australia. Race/ethnicity data were not available. Children were assessed on the GMLT at 6-month intervals over 2-years between 2010 and 2012. Growth curve models describe age-related change from 5.5 to 12.5 years old. Results showed a quadratic growth trajectory on each measure of error-that is, those that reflect visuospatial memory, executive control (or the ability to apply rules for action), and complex EF. The ability to apply rules for action, while a rate-limiting factor in complex EF, develops rapidly over early-to-mid childhood.

Sleep Regularity and Predictors of Sleep Efficiency and Sleep Duration in Elite Team Sport Athletes.

BACKGROUND: Many elite athletes have suboptimal sleep duration and efficiency, potentially due to factors that may impact sleep onset and offset times. Variability in sleep onset and offset may negatively influence sleep. The sleep regularity index (SRI) is a novel metric for sleep regularity, however there are no published descriptions of SRI in elite athletes. Further, contributors to sleep efficiency and duration in elite athletes using objective measures have not been explored. METHODS: Sleep was monitored over a minimum of seven consecutive days (7 to 43)-in 203 elite team sport athletes (age range = 19-36 years; female, n = 79; male, n = 124, total sleep nights = 1975) using activity monitoring and sleep diaries. The sleep regularity index (SRI) was calculated to reflect the night-to-night shifts in sleep by accounting for changes in sleep onset and sleep offset. Sleep characteristics were compared between regular and irregular sleepers and important contributors to sleep efficiency and total sleep time were assessed using multiple linear regression models. RESULTS: The median sleep regularity index and interquartile range were 85.1 (81.4 to 88.8). When compared to irregular sleepers, regular sleepers demonstrated (1) significantly greater sleep efficiency (p = 0.006; 0.31 medium effect size [ES]), (2) significantly less variability in total sleep time (- p ≤ 0.001; - 0.69, large ES) and sleep efficiency (- 0.34, small ES), (3) similar total sleep time and (4) significantly less variation in sleep onset (p ≤ 0.001; - 0.73, large ES) and offset (p ≤ 0.001; - 0.74, large ES) times. Sleep characteristics explained 73% and 22% of the variance in total sleep time and sleep efficiency, respectively. The most important contributor to total sleep time was a later sleep offset time, while the most important contributors to sleep efficiency were an earlier bedtime and less variable sleep onset times. CONCLUSIONS: Bedtime and a consistent sleep onset time are important factors associated with sleep efficiency in athletes, while sleep offset is an important factor for total sleep time. Coaches and staff can assist their athletes by providing training schedules that allow for both regularity and sufficiency of time in bed where possible.

Quantifying the Movement Characteristics of Australian Football League Women's Competition.

ABSTRACT: Thornton, HR, Armstrong, CR, Gamble, T, Rigby, A, Johnston, RD, and Duthie, GM. Quantifying the movement characteristics of Australian Football League Women's competition. J Strength Cond Res 36(12): 3415-3421, 2022-The purpose is to provide an overview of the externally measured movement characteristics of Australian Football League Women's (AFLW) competition, and the variability in this between matches. A range of movement variables were measured from 28 athletes who wore 10-Hz global positioning system devices during games and were summarized according to positional groups. The variance in each athlete's match loads for each round were expressed using standardized scores ( z -scores), and the change compared with the first game played was calculated and expressed as a standard deviation. Furthermore, using the raw export, moving means (1-10 minutes) of speed (m·min -1 ) and acceleration (m·s -2 ) were calculated. Following log transformation of the maximal means, intercept and slopes were calculated. Linear mixed models identified differences between positional groups for match loads, and intercept and slopes. Effects were described using standardized effect sizes (ESs) and magnitude-based decisions. There were no substantial and unclear differences between positional groups for match loads (ES range; ±confidence limits = 0.10-0.80; ±0.30-4.30) and for intercept and slopes (ES range; 0.04-0.44; ±0.52-2.11). Large within-athlete variation in match demands between rounds was observed ( z -score up to -1.8 SD for distance), and the maximal means for speed and acceleration demonstrate the extensive physical demands of AFLW competition. These data describe the intense and variable physical demands of AFLW competition, and further provide novel information regarding the maximal mean intensities and intercept and slopes, which should assist practitioners in planning and prescribing training in preparation for competition.

The Distribution of Match Activities Relative to the Maximal Mean Intensities in Professional Rugby League and Australian Football.

ABSTRACT: Johnston, RD, Thornton, HR, Wade, JA, Devlin, P, and Duthie, GM. The distribution of match activities relative to the maximal mean intensities in professional rugby league and Australian football. J Strength Cond Res 36(5): 1360-1366, 2022-This study determined the distribution of distance, impulse, and accelerometer load accumulated at intensities relative to the maximal mean 1-minute peak intensity within professional rugby league and Australian football. Within 26 rugby league (n = 24 athletes) and 18 Australian football (n = 38 athletes) games, athletes wore global navigation satellite system devices (n = 608 match files). One-minute maximal mean values were calculated for each athlete per game for speed (m·minP-1P), accelerometer load (AU·minP-1P), and acceleration (m·sP-2P). Volumes for each parameter were calculated by multiplying by time, specifying total distance, accelerometer load, and impulse. The distribution of intensity of which these variables were performed relative to the maximal mean was calculated, with percentages ranging from 0-110%, separated into 10% thresholds. Linear mixed models determined whether the distribution of activities within each threshold varied, and positional differences. Effects were described using standardized effect sizes (ESs), and magnitude-based decisions. Across both sports, the distribution of activity (%) largely reduced the closer to the maximal mean 1-minute peak and was highest at ∼60% of the maximal mean peak. When compared with Australian football, a higher percentage of total distance was accumulated at higher intensities (70-80% and 100-110%) for rugby league (ES range = 0.82-0.87), with similar, yet larger differences for accelerometer load >80% (0.78-1.07) and impulse >60% (1.00-2.26). These findings provide information of the volume of activities performed relative to the mean maximal 1-minute peak period, which may assist in the prescription of training.

Relationship Between Preseason Training Load, Match Performance, and Match Activities in Professional Rugby League.

ABSTRACT: Crang, ZL, Hewitt, A, Scott, TJ, Kelly, VG, and Johnston, RD. Relationship between pre-season training load, match performance and match activities in professional rugby league. J Strength Cond Res 36(9): 2581-2588, 2022-This study aimed to establish the relationship between preseason training loads, technical match performance, and physical match activities in rugby league. Twenty-two professional rugby league players (age: 24.7 ± 4.0 years; height: 184.3 ± 4.7 cm; and body mass: 101.1 ± 9.9 kg) participated in the study. Training loads and physical match activities were monitored using global positioning systems. Total distance (m), high-speed running distance (VT 1IFT ; distance covered above estimated first ventilatory threshold [≥68% of 30-15 intermittent fitness test]) and total session rating of perceived exertion from all field-based (32.5 ± 8.5) and gym-based sessions (39.1 ± 12.5) were used to quantify preseason loads. Physical match activities were measured as total and high-speed running distance relative to individual playing time, whereas technical match activities and performance scores were used to evaluate individual match performance. To examine the relationship between physical match activities, technical performance, and preseason load, Pearson's correlation coefficients were quantified for each in-season game before performing a Fisher Z Transformation. Preseason high-speed running distance was positively associated with high-speed match activities ( r = 0.34-0.51), whereas negatively associated with technical performance scores ( r = -0.51 to -0.35) and hit up m·min -1 of match-play ( r = -0.30 to -0.17). It seems high speed running performed in the preseason period positively influences in-season physical match activity profiles, however, are unlikely to positively impact technical match performance.

Sleep Quality in Elite Athletes: Normative Values, Reliability and Understanding Contributors to Poor Sleep.

BACKGROUND: The aims of this retrospective study were to (i) provide a description of sleep quality in elite athletes as measured by the Pittsburgh Sleep Quality Index (PSQI), (ii) provide normative PSQI data, (iii) identify differences across sex and sport, (iv) identify components that contribute to high PSQI scores and (v) assess PSQI test-retest reliability. METHODS: The PSQI was completed by 479 athletes (371 female and 108 male) across 20 Olympic team and individual sports. For ordinal and categorical variables, the Wilcoxon rank sum test and Chi Squared tests were used, respectively. A random forest regression was built to determine the importance of each PSQI component. Test-retest reliability was assessed using two-way mixed effects intraclass correlation coefficients. RESULTS: Fifty-two percent of athletes had a global PSQI score ≥ 5. Team sport athletes reported significantly longer sleep onset latency times but longer sleep durations compared with individual sport athletes. Sleep onset latency and sleep quality made the greatest contribution to the global PSQI scores. The PSQI demonstrated variability over periods of 2 months or more, with a minimal detectable change of 3 arbitrary units (AU). CONCLUSION: Long sleep onset latency and poor perceived sleep quality made the greatest contribution to the high PSQI scores observed in approximately half of elite athletes investigated. The PSQI should be administered at regular intervals due to variability within individuals over periods of 2 months or more. Individual questionnaire items or component scores of the PSQI may be useful for practitioners in guiding decision-making regarding sleep interventions in athletes.

The inter-device reliability of global navigation satellite systems during team sport movement across multiple days.

OBJECTIVES: (1) Determine the inter-device and inter-manufacturer reliability; and (2) investigate the variation in reliability over time for common global navigation satellite systems. DESIGN: Repeated measures. METHODS: A total of twenty 10-Hz devices manufactured by StatSports (n = 10, Apex Pro; StatSports, Newry, Ireland) and Catapult Sports (n = 10, Vector S7; Catapult Sports, Melbourne, Australia) were towed on a sprint sled during 8 × 40-minute team sport movement protocol over a 4-week period. The coefficient of variations for distance, velocity and acceleration/deceleration metrics were calculated to show dispersion of the data relative to the mean or median for each manufacturer and interpreted as good, ≤5%; moderate, <10%; and poor, coefficient of variation ≥10%. The coefficient of variation range described the variation in reliability and was interpreted as small, ≤5%; moderate, <10% and large, ≥10%. Inter-manufacturer agreement was represented as a Cohen d (±95% confidence interval) standardised effect size. RESULTS: Inter-device reliability for distance, peak velocity and average acceleration was good (coefficient of variation = 0.1 to 3.9%) for both manufacturers, with small variation across sessions. For most threshold-based acceleration and deceleration counts, StatSports devices showed good to moderate reliability, with moderate variation across sessions; Catapult showed good to poor reliability, with large variation across sessions. Inter-manufacturer agreement demonstrated moderate to very large effect sizes reported for most metrics. CONCLUSIONS: Reliability was suitable and consistent for measures of distance, velocity, and average acceleration. StatSports devices generally possessed suitable reliability and consistency for threshold-based accelerations and decelerations, though Catapult devices did not. Most metrics should not be compared between manufacturers.

Effects of short-term increases in personal and ambient pollutant concentrations on pulmonary and cardiovascular function: A panel study analysis of the Multicenter Ozone Study in oldEr subjects (MOSES 2).

BACKGROUND: The cardiovascular effects of ozone exposure are unclear. Using measurements from the 87 participants in the Multicenter Ozone Study of oldEr Subjects (MOSES), we examined whether personal and ambient pollutant exposures before the controlled exposure sessions would be associated with adverse changes in pulmonary and cardiovascular function. METHODS: We used mixed effects linear regression to evaluate associations between increased personal exposures and ambient pollutant concentrations in the 96 h before the pre-exposure visit, and 1) biomarkers measured at pre-exposure, and 2) changes in biomarkers from pre-to post-exposure. RESULTS: Decreases in pre-exposure forced expiratory volume in 1 s (FEV1) were associated with interquartile-range increases in concentrations of particulate matter ≤2.5 µm (PM2.5) 1 h before the pre-exposure visit (-0.022 L; 95% CI -0.037 to -0.006; p = 0.007), carbon monoxide (CO) in the prior 3 h (-0.046 L; 95% CI -0.076 to -0.016; p = 0.003), and nitrogen dioxide (NO2) in the prior 72 h (-0.030 L; 95% CI -0.052 to -0.008; p = 0.007). From pre-to post-exposure, increases in FEV1 were marginally significantly associated with increases in personal ozone exposure (0.010 L; 95% CI 0.004 to 0.026; p = 0.010), and ambient PM2.5 and CO at all lag times. Ambient ozone concentrations in the prior 96 h were associated with both decreased pre-exposure high frequency (HF) heart rate variability (HRV) and increases in HF HRV from pre-to post-exposure. CONCLUSIONS: We observed associations between increased ambient PM2.5, NO2, and CO levels and reduced pulmonary function, and increased ambient ozone concentrations and reduced HRV. Pulmonary function and HRV increased across the exposure sessions in association with these same pollutant increases, suggesting a "recovery" during the exposure sessions. These findings support an association between short term increases in ambient PM2.5, NO2, and CO and decreased pulmonary function, and increased ambient ozone and decreased HRV.

The Validity and Reliability of Wearable Microtechnology for Intermittent Team Sports: A Systematic Review.

BACKGROUND: Technology has long been used to track player movements in team sports, with initial tracking via manual coding of video footage. Since then, wearable microtechnology in the form of global and local positioning systems has provided a less labour-intensive way of monitoring movements. As such, there has been a proliferation in research pertaining to these devices. OBJECTIVE: A systematic review of studies that investigate the validity and/or reliability of wearable microtechnology to quantify movement and specific actions common to intermittent team sports. METHODS: A systematic search of CINAHL, MEDLINE, and SPORTDiscus was performed; studies included must have been (1) original research investigations; (2) full-text articles written in English; (3) published in a peer-reviewed academic journal; and (4) assessed the validity and/or reliability of wearable microtechnology to quantify movements or specific actions common to intermittent team sports. RESULTS: A total of 384 studies were retrieved and 187 were duplicates. The titles and abstracts of 197 studies were screened and the full texts of 88 manuscripts were assessed. A total of 62 studies met the inclusion criteria. Additional 10 studies, identified via reference list assessment, were included. Therefore, a total of 72 studies were included in this review. CONCLUSION: There are many studies investigating the validity and reliability of wearable microtechnology to track movement and detect sport-specific actions. It is evident that for the majority of metrics, validity and reliability are multi-factorial, in that it is dependent upon a wide variety of factors including wearable technology brand and model, sampling rate, type of movement performed (e.g., straight line, change of direction) and intensity of movement (e.g., walk, sprint). Practitioners should be mindful of the accuracy and repeatability of the devices they are using when making decisions on player training loads.