The influence of age and sex on speed-strength performance in children between 10 and 14 years of age.

Introduction: Speed-strength performance is important during human movements such as jumping, sprinting, and change of direction (COD) tasks, which are a substantial part of sports practice. Sex and age seem to influence performance output in young persons; however, few studies have focused on the influence of sex and age measured via standard protocols of performance diagnostics. Method: Therefore, the aim of this study was to investigate the influence of age and sex on linear sprint (LS), COD sprint, countermovement jump (CMJ) height, squat-jump (SJ) height, and drop-jump (DJ) height performance in untrained children and adolescents via a cross-sectional analysis. This study comprised 141 untrained male and female participants 10-14 years of age. Results: The results showed the influence of age in male participants on speed-strength performance, while in female participants, age did not significantly influence performance parameters. Moderate to high correlations between sprint and jump performance (r = 0.69-0.72), sprint and COD sprint performance (r = 0.58-0.72), and jump and COD sprint performance (r = 0.56-0.58) were found. Discussion: Based on the data from this study, it appears that the growth phase of age 10-14 does not necessarily lead to improvements in athletic performance. To ensure holistic motor development, female subjects in particular should be provided with specific training interventions with a focus on strength and power.

Integrated antibiotic clinical decision support system (CDSS) for appropriate choice and dosage: an analysis of retrospective data.

Introduction: Decision-making for inpatient antibiotic prescribing is complex due to many considerations to be taken. So far, clinical decision support systems (CDSS) have been rarely used in antibiotic stewardship (ABS) and even less integrated in computerized physician order entry systems (CPOE). Methods: We developed a guideline-based, CPOE-integrated CDSS (ID ANTIBIOTICS) to support antibiotic selection and dosing. We compared routine antibiotic inpatient prescribing data with CDSS-generated recommendations in the initial antibiotic selection, the duration of therapies, and costs. Finally, we assessed possible benefits of the CDSS by its performance in German ABS-guideline quality indicators (ABS-QIs). Results: The requirements of several ABS-QIs can be supported with ID ANTIBIOTICS: electronic local guidelines, electronic decision-support, renal dosage adjustments, local guideline-based initial selection (all not quantified), and therapy durations for the treatment of pneumonia (significantly) without increasing costs. Performance in ABS-QIs for extensive therapies for community-acquired pneumonia could be improved with the CDSS by 20.2% (OR 0.134; 95% CI: 0.101-0.178); for hospital-acquired pneumonia by 3.7% (OR 0.742; 95% CI: 0.629-0.877). There was no difference in median daily drug costs between real-world prescriptions and CDSS recommendations (both: € 4.78, p=0.081). Conclusions: In retrospective analyses, antibiotic CDSS can show possible performance in antibiotic stewardship through quality indicators (ABS-QIs). Further research and pilot testing of the software are needed to provide more insights into ABS-QI evaluation, user acceptance, and real-world effectiveness. Deep integration of antibiotic CDSS into existing medication processes without using multiple systems could contribute to the necessary acceptance of clinical practitioners.

The Influence of Maximum Squatting Strength on Jump and Sprint Performance: A Cross-Sectional Analysis of 492 Youth Soccer Players.

This study aims to analyze the influence of relative strength performance, determined by parallel back squats (REL SQ), on 30 m sprinting (LS) and on jumping performance (squat [SJ], countermovement [CMJ]) in a large sample (n = 492) of elite youth soccer players. The soccer players were divided into subgroups based on their strength performance: strength level 1 (0.0−0.5 REL SQ), strength level 2 (>0.5−1.0 REL SQ), strength level 3 (>1.0 to 1.5 REL SQ), strength level 4 (>1.5 to 2.0 REL SQ), and strength level 5 (>2.0 REL SQ). The results of this study show that REL SQ explains 45−53% (r = |0.67−0.73|) of the variance of SJ, CMJ, and LS for the total sample. Strength levels 2−4 showed similar coefficients of correlation in jumping performance (r = |0.42−0.55|) and strength levels 2 and 3 in sprint performance (r = |0.41|). The respective extreme strength levels showed lower coefficients of correlation with the sprinting and jumping performance variables (r = |0.11−0.29|). No coefficients could be calculated for strength level 5 because no athlete achieved an appropriate strength level (>2.0 REL SQ). The data from this study show a clear influence of REL SQ on sprint and jump performance, even in a large sample.

Effects of 10 Months of Speed, Functional, and Traditional Strength Training on Strength, Linear Sprint, Change of Direction, and Jump Performance in Trained Adolescent Soccer Players.

ABSTRACT: Keiner, M, Kadlubowski, B, Sander, A, Hartmann, H, and Wirth, K. Effects of 10 months of speed, functional, and traditional strength training on strength, linear sprint, change of direction, and jump performance in trained adolescent soccer players. J Strength Cond Res 36(8): 2236-2246, 2022-The current study aimed to compare the effects of plyometric and sprint vs. functional vs. strength training on linear sprint (LS 20 m), change of direction (COD; i.e., turning right and left), jump (squat jump [SJ]), and maximum strength (1 repetition maximum [1RM] for a squat) performance in elite adolescent soccer players. A longitudinal design was chosen, and 48 elite male youth were recruited. The athletes were divided into 4 groups (a traditional strength training group [STG], a plyometric and sprint training group [PSTG], a functional training group [FTG], and a control group [CG]). The intervention groups trained for 10 months with additional sessions added to their regular soccer training (4-5 sessions per week); the additional training (2 sessions a week [each about 60 minutes]) consisted of plyometric and sprint training, functional training, and traditional strength training for the PSTG, FTG, and STG, respectively. Data were analyzed using analysis of variance with repeated measurements. The effect sizes were calculated using Hedges g . This study showed significantly superior performance increases with traditional strength training compared with sprint and jump training and functional training for maximum strength (compared with all other groups g = 0.98-1.61), SJ ( g = 0.52-0.87 compared with FGT and CG; not significantly different from PSTG), COD (direction of rotation right: compared with all other groups g = 1.58-2.12; direction of rotation left: no significant differences), and 20-m LS (compared with all other groups g = 0.86-1.39) performance over time. Traditional strength training is recommended to increase strength and speed-strength variables and should therefore be given high priority in athletic training programs for elite youth soccer players.

TLR4 Transactivates CD8+ T Lymphocytes upon Acute Sterile Tissue Injury.

Acute major tissue injury induces immune dysregulation that is characterized by the development of systemic sterile inflammation and an increased risk for opportunistic infections. Although the contribution of the innate immune system has been examined in detail, research on the impact of acute sterile tissue damage on the T cell compartment remains limited. In the current study, we used a clinically relevant mouse model for traumatic skeletal muscle injury to investigate the impact of sterile tissue damage on diverse subpopulations of CD4+ Th and CD8+ cytotoxic T cells in systemic and local lymphoid organs. For the first time, to our knowledge, we provide evidence that injury selectively induced the expression of the activation marker CD69 on naive and central/virtual memory CD8+ T cells in the lymph nodes but not in the spleen of male mice. CD4+ Th cells remained unaffected in both organs. The activation of CD8+ T cells was dependent on signaling through TLR4. Within a few hours, injury triggered the expression of IL-12 in the lymph nodes in a TLR4-dependent manner. Blocking of IL-12 prevented the activation of naive and central memory CD8+ T cells after injury. Thus, early after traumatic tissue damage, TLR4 transactivates naive and central/virtual memory CD8+ T cells through innate cytokines in local lymph nodes, where they might modulate forthcoming local immune responses.

Knowledge-based best of breed approach for automated detection of clinical events based on German free text digital hospital discharge letters.

OBJECTIVES: The secondary use of medical data contained in electronic medical records, such as hospital discharge letters, is a valuable resource for the improvement of clinical care (e.g. in terms of medication safety) or for research purposes. However, the automated processing and analysis of medical free text still poses a huge challenge to available natural language processing (NLP) systems. The aim of this study was to implement a knowledge-based best of breed approach, combining a terminology server with integrated ontology, a NLP pipeline and a rules engine. METHODS: We tested the performance of this approach in a use case. The clinical event of interest was the particular drug-disease interaction "proton-pump inhibitor [PPI] use and osteoporosis". Cases were to be identified based on free text digital discharge letters as source of information. Automated detection was validated against a gold standard. RESULTS: Precision of recognition of osteoporosis was 94.19%, and recall was 97.45%. PPIs were detected with 100% precision and 97.97% recall. The F-score for the detection of the given drug-disease-interaction was 96,13%. CONCLUSION: We could show that our approach of combining a NLP pipeline, a terminology server, and a rules engine for the purpose of automated detection of clinical events such as drug-disease interactions from free text digital hospital discharge letters was effective. There is huge potential for the implementation in clinical and research contexts, as this approach enables analyses of very high numbers of medical free text documents within a short time period.

Circulating growth/differentiation factor 15 is associated with human CD56bright natural killer cell dysfunction and nosocomial infection in severe systemic inflammation.

BACKGROUND: Systemic inflammation induced by sterile or infectious insults is associated with an enhanced susceptibility to life-threatening opportunistic, mostly bacterial, infections due to unknown pathogenesis. Natural killer (NK) cells contribute to the defence against bacterial infections through the release of Interferon (IFN) γ in response to Interleukin (IL) 12. Considering the relevance of NK cells in the immune defence we investigated whether the function of NK cells is disturbed in patients suffering from serious systemic inflammation. METHODS: NK cells from severely injured patients were analysed from the first day after the initial inflammatory insult until the day of discharge in terms of IL-12 receptor signalling and IFN-γ synthesis. FINDINGS: During systemic inflammation, the expression of the IL-12 receptor ß2 chain, phosphorylation of signal transducer and activation 4, and IFN-γ production on/in NK cells was impaired upon exposure to Staphylococcus aureus. The profound suppression of NK cells developed within 24 h after the initial insult and persisted for several weeks. NK cells displayed signs of exhaustion. Extrinsic changes were mediated by the early and long-lasting presence of growth/differentiation factor (GDF) 15 in the circulation that signalled through the transforming growth factor ß receptor I and activated Smad1/5. Moreover, the concentration of GDF-15 in the serum inversely correlated with the IL-12 receptor ß2 expression on NK cells and was enhanced in patients who later acquired septic complications. INTERPRETATION: GDF-15 is associated with the development of NK cell dysfunction during systemic inflammation and might represent a novel target to prevent nosocomial infections. FUND: The study was supported by the Department of Orthopaedics and Trauma Surgery, University Hospital Essen.

Integrating terminologies into standard SQL: a new approach for research on routine data.

BACKGROUND: Most electronic medical records still contain large amounts of free-text data. Semantic evaluation of such data requires the data to be encoded with sufficient classifications or transformed into a knowledge-based database. METHODS: We present an approach that allows databases accessible via SQL (Structured Query Language) to be searched directly through semantic queries without the need for further transformations. Therefore, we developed I) an extension to SQL named Ontology-SQL (O-SQL) that allows to use semantic expressions, II) a framework that uses a standard terminology server to annotate free-text containing database tables and III) a parser that rewrites O-SQL to SQL, so that such queries can be passed to the database server. RESULTS: I) We compared several semantic queries published to date and were able to reproduce them in a reduced, highly condensed form. II) The quality of the annotation process was measured against manual annotation, and we found a sensitivity of 97.62% and a specificity of 100.00%. III) Different semantic queries were analyzed, and measured with F-scores between 0.91 and 0.98. CONCLUSIONS: We showed that systematic analysis of free-text-containing medical records is possible with standard tools. The seamless connection of ontologies and standard technologies from the database field represents an important constituent of unstructured data analysis. The developed technology can be readily applied to relationally organized data and supports the increasingly important field of translational research.

Towards automatic encoding of medical procedures using convolutional neural networks and autoencoders.

Classification systems such as ICD-10 for diagnoses or the Swiss Operation Classification System (CHOP) for procedure classification in the clinical treatment are essential for clinical management and information exchange. Traditionally, classification codes are assigned manually or by systems that rely upon concept-based or rule-based classification methods. Such methods can reach their limit easily due to the restricted coverage of handcrafted rules and of the vocabulary in underlying terminological systems. Conventional machine learning approaches normally depend on selected features within a human annotated training set. However, it is quite laborious to obtain a well labeled data set and its generation can easily be influenced by accumulative errors caused by human factors. To overcome this, we will present our processing pipeline for query matching realized through neural networks within the task of medical procedure classification. The pipeline is built upon convolutional neural networks (CNN) and autoencoder with logistic regression. On the task of relevance determination between query and category text, the autoencoder based method has achieved a micro F1 score of 70.29%, while the convolutional based method has reached a micro F1 score of 60.86% with high efficiency. These two algorithms are compared in experiments with different configurations and baselines (SVM, logistic regression) with respect to their suitability for the task of automatic encoding. Advantages and limitations are discussed.

From single-case analysis of neonatal deaths toward a further reduction of the neonatal mortality rate.

Background The infant mortality rate (IMR), a key indicator of the quality of a healthcare system, has remained at approximately 3.5‰ for the past 10 years in Germany. Generic quality indicators (QIs), as used in Germany since 2010, greatly help in ensuring such a good value but do not seem to be able to further reduce the IMR. The neonatal mortality rate (NMR) contributes to 65-70% of the IMR. We therefore propose single-case analysis of neonatal deaths as an additional method and show an efficient way to implement this approach. Methods We used the Nordic-Baltic classification (NBC) to detect avoidable neonatal deaths. We applied this classification to a sample of 1968 neonatal death records, which represent over 90% of all neonatal deaths in East Berlin from 1973 to 1989. All cases were analyzed as to their preventability based on the complete perinatal and clinical data by a special commission of different experts. The NBC was automatically applied through natural language processing and an ontology-based terminology server. Results The NBC was used to select the group of cases that had a high potential of avoidance. The selected group represented 6.0% of all cases, and 60.4% of the cases within that group were judged avoidable or conditionally avoidable. The automatic detection of malformations showed an F1 score of 0.94. Conclusion The results show that our method can be applied automatically and is a powerful and highly specific tool for selecting potentially avoidable neonatal deaths and thus for supporting efficient single-case analysis.

Core Stability in Athletes: A Critical Analysis of Current Guidelines.

Over the last two decades, exercise of the core muscles has gained major interest in professional sports. Research has focused on injury prevention and increasing athletic performance. We analyzed the guidelines for so-called functional strength training for back pain prevention and found that programs were similar to those for back pain rehabilitation; even the arguments were identical. Surprisingly, most exercise specifications have neither been tested for their effectiveness nor compared with the load specifications normally used for strength training. Analysis of the scientific literature on core stability exercises shows that adaptations in the central nervous system (voluntary activation of trunk muscles) have been used to justify exercise guidelines. Adaptations of morphological structures, important for the stability of the trunk and therefore the athlete's health, have not been adequately addressed in experimental studies or in reviews. In this article, we explain why the guidelines created for back pain rehabilitation are insufficient for strength training in professional athletes. We critically analyze common concepts such as 'selective activation' and training on unstable surfaces.

The Impact of Back Squat and Leg-Press Exercises on Maximal Strength and Speed-Strength Parameters.

Strength training-induced increases in speed strength seem indisputable. For trainers and athletes, the most efficient exercise selection in the phase of preparation is of interest. Therefore, this study determined how the selection of training exercise influences the development of speed strength and maximal strength during an 8-week training intervention. Seventy-eight students participated in this study (39 in the training group and 39 as controls). Both groups were divided into 2 subgroups. The first training group (squat training group [SQ]) completed an 8-week strength training protocol using the parallel squat. The second training group (leg-press training group [LP]) used the same training protocol using the leg press (45° leg press). The control group was divided in 2 subgroups as controls for the SQ or the LP. Two-factorial analyses of variance were performed using a repeated measures model for all group comparisons and comparisons between pretest and posttest results. The SQ exhibited a statistically significant (p ≤ 0.05) increase in jump performance in squat jump (SJ, 12.4%) and countermovement jump (CMJ, 12.0%). Whereas, the changes in the LP did not reach statistical significance and amounted to improvements in SJ of 3.5% and CMJ 0.5%. The differences between groups were statistically significant (p ≤ 0.05). There are also indications that the squat exercise is more effective to increase drop jump performance. Therefore, the squat exercise increased the performance in SJ, CMJ, and reactive strength index more effectively compared with the leg-press in a short-term intervention. Consequently, if the strength training aims at improving jump performance, the squat should be preferred because of the better transfer effects.

Effect of 8 weeks of free-weight and machine-based strength training on strength and power performance.

The aim of this study was to evaluate the effectiveness of free-weight and machine-based exercises to increase different strength and speed-strength variables. One hundred twenty male participants (age: 23.8 ± 2.5 years; body height: 181.0 ± 6.8 cm; body mass: 80.2 ± 8.9 kg) joined the study. The 2 experimental groups completed an 8 week periodized strength training program that included 2 training sessions per week. The exercises that were used in the strength training programs were the parallel barbell squat and the leg press. Before and after the training period, the 1-repetition-maximum in the barbell squat and the leg press, the squat jump, the countermovement jump and unilateral isometric force (maximal isometric force and the rate of force development) were evaluated. To compare each group pre vs. post-intervention, analysis of variance with repeated measures and Scheffé post-hoc tests were used. The leg press group increased their 1-repetition-maximum significantly (p < 0.001), while in the squat group such variables as 1-repetition-maximum, the squat jump and the countermovement jump increased significantly (p < 0.001). The maximal isometric force showed no statistically significant result for the repeated measures factor, while the rate of force development of the squat group even showed a statistically significant decrease. Differences between the 2 experimental groups were detected for the squat jump and the countermovement jump. In comparison with the leg press, the squat might be a better strength training exercise for the development of jump performance.

Short-term Periodization Models: Effects on Strength and Speed-strength Performance.

Dividing training objectives into consecutive phases to gain morphological adaptations (hypertrophy phase) and neural adaptations (strength and power phases) is called strength-power periodization (SPP). These phases differ in program variables (volume, intensity, and exercise choice or type) and use stepwise intensity progression and concomitant decreasing volume, converging to peak intensity (peaking phase). Undulating periodization strategies rotate these program variables in a bi-weekly, weekly, or daily fashion. The following review addresses the effects of different short-term periodization models on strength and speed-strength both with subjects of different performance levels and with competitive athletes from different sports who use a particular periodization model during off-season, pre-season, and in-season conditioning. In most periodization studies, it is obvious that the strength endurance sessions are characterized by repetition zones (12-15 repetitions) that induce muscle hypertrophy in persons with a low performance level. Strictly speaking, when examining subjects with a low training level, many periodization studies include mainly hypertrophy sessions interspersed with heavy strength/power sessions. Studies have demonstrated equal or statistically significant higher gains in maximal strength for daily undulating periodization compared with SPP in subjects with a low to moderate performance level. The relatively short intervention period and the lack of concomitant sports conditioning call into question the practical value of these findings for competitive athletes. Possibly owing to differences in mesocycle length, conditioning programs, and program variables, competitive athletes either maintained or improved strength and/or speed-strength performance by integrating daily undulating periodization and SPP during off-season, pre-season and in-season conditioning. In high-performance sports, high-repetition strength training (>15) should be avoided because it does not provide an adequate training stimulus for gains in muscle cross-sectional area and strength performance. High-volume circuit strength training performed over 2 years negatively affected the development of the power output and maximal strength of the upper extremities in professional rugby players. Indeed, meta-analyses and results with weightlifters, American Football players, and throwers confirm the necessity of the habitual use of ≥80% 1 RM: (1) to improve maximal strength during the off-season and in-season in American Football, (2) to reach peak performance in maximal strength and vertical jump power during tapering in track-and-field, and (3) to produce hypertrophy and strength improvements in advanced athletes. The integration and extent of hypertrophy strength training in in-season conditioning depend on the duration of the contest period, the frequency of the contests, and the proportion of the conditioning program. Based on the literature, 72 h between hypertrophy strength training and strength-power training should be provided to allow for adequate regeneration times and therefore maximal stimulus intensities in training. This conclusion is only valid if the muscle is not trained otherwise during this regeneration phase. Thus, rotating hypertrophy and strength-power sessions in a microcycle during the season is a viable option. Comparative studies in competitive athletes who integrated strength training during pre-season conditioning confirm a tendency for gains in explosive strength and statistically significant improvements in medicine ball throw through SPP but not through daily undulating periodization. These findings indicate that to maximize the speed-strength in the short term (peaking), elite athletes should perform strength-power training twice per week. It is possible to perform a single strength-power session with the method of maximum explosive strength actions moving high-weight loads (90% 1 repetition maximum [RM]) at least 1-2 days before competition because of the shorter regeneration times and potentiation effects. Compared with ballistic strength training (30% 1 RM), this method has been shown to provide statistically superior gains in maximal strength, peak power, impulse size, and explosive strength during tapering in track-and-field throwers. The speed-strength performance in drop jumps of strength-trained subjects showed potentiation effects 48-148 h after a single strength-power training session. Regarding neuromuscular performance, plyometric exercises can even be performed after strength-power training on the same day if a minimum rest period of 3 h is provided.

Effects of Eccentric Strength Training on Different Maximal Strength and Speed-Strength Parameters of the Lower Extremity.

The aim of this investigation was to analyze the effects of an eccentric strength training protocol using supramaximal loads (>1 repetition maximum [1RM]) on different maximal and explosive strength parameters of the lower extremity. The eccentric maximal strength (EX max), maximal isometric strength ("maximal voluntary contraction" [MVC]), 1RM, explosive strength ("rate of force development" [RFD]), countermovement jump, and squat jump height were tested before and after a training period of 6 weeks. The training group was composed of 15 individuals with low-weight training experience and a control group of 13 subjects, also with a low-weight training experience. The lower extremities were trained 3 days per week using a 45° leg press. Each training session comprised 5 sets of 3 repetitions with a 6-minute rest between each set. The training weights were adjusted continuously during each training session and between training sessions. In each case, a load was chosen that could be lowered unilaterally in a controlled manner by the subjects. For the concentric part of the exercise, 2 investigators lifted the weight to the starting position. After 6 weeks, strength training with supramaximal loads showed a significant increase in EX max (28.2%, p < 0.001) and 1RM (31.1%, p < 0.001). The increases observed in the control group were not significant. Changes in MVC, RFD, and vertical jump heights were not significant in both groups. The results of this study suggest that in untrained subjects, unilateral eccentric strength training in the leg press generates equal and significant improvements in unilateral eccentric and bilateral eccentric-concentric maximal strength, with a nonsignificant transfer to vertical jump performances and unilateral isometric force production.

Long-term strength training effects on change-of-direction sprint performance.

The requirement profiles for sports such as soccer, football, tennis, and rugby demonstrate the importance of strength and speed-strength abilities, in addition to other conditional characteristics. During a game, the athletes complete a large number of strength and speed-strength actions. In addition to the linear sprints, athletes perform sprints while changing the direction (change-of-direction sprint [COD]). Therefore, this study aims to clarify the extent to which there is a strength training intervention effect on COD. Further, this investigation analyzes the possible correlations between the 1-Repetition Maximum/body mass (SREL) in the front and back squats and COD. The subjects (n = 112) were at pretest between 13 and 18 years of age and were divided into 2 groups with 4 subgroups (A = under 19 years of age, B = under 17 years of age, and C = under 15 years of age). For approximately 2 years, 1 group (control group [CG]) only participated in routine soccer training, and the other group (strength training group [STG]) participated in an additional strength training program with the routine soccer training. Additionally, the performances in the COD of 34 professional soccer players of the first and second divisions in Germany were measured as a standard of high-level COD. For the analysis of the performance development within a group and pairwise comparisons between 2 groups, an analysis of variance with repeated measures was calculated with the factors group and time. Relationships between the COD and SREL were calculated for the normal distributed data using a plurality of bivariate correlations by Pearson. Our data show that additional strength training over a period of 2 years significantly affects the performance in the COD. The STG in all subcohorts reached significantly (p < 0.05) faster times in the COD than did the CG. The STG amounted up to 5% to nearly 10% better improvements in the 10-m sprint times compared with that of the CG. Furthermore, our data show significant (p < 0.05) moderate to high correlations (r = -0.388 to -0.697) between the SREL and COD. Our data show that a long-term strength training improves the performance of the COD. Therefore, a long-term resistance training is recommended as early as in childhood and adolescence.

Influence of a 2-year strength training programme on power performance in elite youth soccer players.

In soccer, strength, power and speed are very important because of the large number of power actions performed during the game. Therefore, the aim of this study was to examine the influence of periodised strength training for power performance more than 2 years. In this study, 134 elite youth soccer players were recruited from two youth training centres. The cohorts were arranged as follows: A (under 19 years), B (under 17 years) and C (under 15 years). The participants in each cohort were divided into two groups. One group (Strength training group [STG]) was subjected to regular soccer training in addition to strength training twice a week for 2 years. The other group (Control group [CG]) completed only the regular soccer training. The strength training was periodised with hypertrophy and intramuscular coordination blocks. For strength training, both the front squat and the back squat were performed once a week. The subjects were tested on the one-repetition maximum (1RM) of the front and back squat and a linear sprint over 30 m. There was significantly better performance from the STG on 1RM (p <0.001). In the sprint, the STG displayed significantly better improvements (p <0.05 to p <0.001) of up to 6%. The effects of strength training are reflected in the sprint performance. Therefore, it seems beneficial for youth to perform strength training to exploit the reserve capacity in sprint performances.

Strength performance in youth: trainability of adolescents and children in the back and front squats.

A basic question for many athletic coaches pertains to the maximum attainable strength level for youth athletes. The aim of this investigation was to establish reference values for the strength performance in the front and back squats in youth athletes. The strength performance in front and back squats of 141 elite youth soccer players was tested by a 1 repetition maximum (1RM) and 1RM related to bodyweight (SREL). The subjects aged between 11 and 19 years and were divided into 2 groups and 4 subgroups (A = younger than 19 years, B = younger than 17 years, C = younger than 15 years, and D = younger than 13 years). For approximately 2 years, one group (control group [CG]) only participated in routine soccer training and the other group (strength training group [STG]) participated in an additional strength training program along with the routine soccer training. Additionally, the strength performance in a 5RM in both squat variants of 105 young elite weightlifters (National Weightlifting Organization Baden Württemberg, [BWG]) was examined to show the high level of trainability of children and adolescents and to determine the reference strength values for young athletes. The STG performed in the parallel front squat SREL in the subgroups A 1.7 +/- 0.2, B 1.6 +/- 0.2, C 1.4 +/-0.2 and D 0.9 +/- 0.3. The STG had significantly (p < 0.001) higher strength values in 1RM and SREL than CG. The BWG had higher strength values than STG, but the BWG was not part of the statistical analysis because of the different test protocols (1RM vs. 5RM). Our data show that the SREL in parallel squat for young elite athletes with long-term training experience should be a minimum of 2.0 for 16- to 19-year-olds, 1.5 for 13- to 15-year-olds, and 0.7 for 11- to 12-year-olds.

Is there a difference between active and less active children and adolescents in jump performance?

Training and activity level are important predictors of motor development. At present, many children and adolescents do not participate in any sport activity in their leisure time. In this investigation, we analyzed the level of performance of the stretch and shortening cycle (SSC) in childhood and youth. Data of 801 participants were recorded for 2 separate groups, those in elite soccer associations and those who were less active in their leisure time. All the participants completed the following performance tests: the squat jump, the countermovement jump and the drop jump from varying heights. All the participants answered a questionnaire to determine their level of activity. Comparisons of performance were made across the 2 groups. The data showed a significant (p < 0.05) advantage for soccer players in nearly every variable involved in the performance of the SSC. The analysis of the questionnaire highlights the fact that approximately a quarter of students are inactive in their leisure time, which means they do not participate in any sport activity except for school sports. The data show that many children and adolescents do not participate in sport activities in their leisure time. Furthermore, many of these children and adolescents have a body mass index >25. The results of this investigation support the fact that inactivity is correlated with a low training level in children and youth.

Effects of functional exercises in the warm-up on sprint performances.

The process of warming up prepares athletes for subsequent stress and increases their level of performance. Functional exercises are often included in warm-up programs for power sports, although a positive effect of functional exercises has not been confirmed. The aim of this study was to measure a possible effect of functional exercises on sprint performance included in a warm-up program. A total of 121 elite youth soccer players between 13 and 18 years of age participated in this study and performed 2 different warm-up programs. The first program (NWP) consisted of 5 minutes of nonspecific running, coordination exercises, stretching, and acceleration runs. The second program (WPS) was the same with additional functional exercises. The subjects were tested performing linear sprints of approximately 30 m and change-of-direction sprints of approximately 10 m. The t-test for dependent samples showed significant differences between the groups for each segment of the linear sprint (p < 0.01 for 5 m; p < 0.001 for 10, 15, 20, 25, and 30 m); however, the effect sizes are small. Also, in the change-of-direction sprint, the t-test showed significant differences between the groups (p < 0.01 for 10 m left, 10 m right; p < 0.001 for 5 m right). These effect sizes are also small. In the change-of-direction sprint time for 5 m left, the data showed no significant differences between the groups. The results show no effects of functional exercises on sprint performance that are implemented in addition to a general warm-up. It appears that a general warm-up program, such as the NWP, generates sufficient activation of the performance-limiting muscles for sprint performance. Functional exercises did not lead to a supplemental activation with a positive effect on sprint performance. Therefore, a warm-up for sprint performance should contain nonspecific running, coordination exercises, stretching exercises, and acceleration runs. These components lead to sufficient activation of the muscles involved in sprint performance. Coaches should use the limited time available for warm-up to work efficiently. The recommendation for warm-up is to pass on functional exercises that have no additional effect in enhancing performance.