Fascicle Behavior and Muscle Activity of The Biceps Femoris Long Head during Running at Increasing Speeds.

Hamstring strain injuries (HSIs) are prevalent in sports involving high-speed running and most of the HSIs are biceps femoris long head (BFlh) injuries. The primary cause for HSIs during high-speed running remains controversial due to the lack of in vivo measurement of the BFlh muscle behavior during running. Therefore, the purpose of this study was to quantify the muscle-tendon unit (MTU) and fascicle behavior of BFlh during running. Seven college male sprinters (22.14 ± 1.8 years; 177.7 ± 2.5 cm; 70.57 ± 5.1 kg; personal bests in 100m: 11.1 ± 0.2 s) were tested on a motorized treadmill instrumented with two force plate for running at 4, 5, 6m/s. The ground reaction force (GRF), 3D lower limb kinematics, EMG, and ultrasound images of biceps femoris long head (BFlh) in the middle region were recorded simultaneously. BFlh fascicles undergo little length change (about 1 cm) in the late swing phase during running at three submaximal speeds. BFlh fascicle lengthening accounted for about 30% of MTU length change during the late swing phase. BFlh was most active during the late swing and early stance phases, ranging from 83%MVC at a running speed of 4 m/s to 116%MVC at 6 m/s. Muscle fascicles in the middle region of BFlh undergo relatively little lengthening relative to the MTU in the late swing phase during running in comparison to results from simulation studies. These results suggest that there is a decoupling between the fascicle in the middle region and MTU length changes during the late swing phase of running.

Preseason and In-Season High-Speed Running Demands of 2 Professional Australian Rules Football Teams.

BACKGROUND: Australian Rules Football athletes complete long preseasons, yet injuries occur frequently at early stages of the competitive season. Little is known about the high-speed running (HSR) prescription during a preseason or whether players are adequately prepared for competition. This study described absolute and relative preseason and in-season HSR demands of 2 professional Australian football teams. HYPOTHESIS: HSR and sprinting volumes are significantly lower in elite Australian Rules football athletes during in-season compared with preseason. STUDY DESIGN: Cohort study. LEVEL OF EVIDENCE: Level 3. METHODS: During the 2019 season, HSR volume was collected for 2 professional Australian football teams (n = 55). Individual maximum speeds (Vmax) were captured to calculate relative running speed thresholds, as reported in 5% increments from 70%Vmax to 100%Vmax. RESULTS: Weekly volume of running above 70%Vmax (P = 0.01; r = 0.56) and 80%Vmax (P = 0.01; r = 0.58) was significantly greater in the preseason than the in-season. The weekly volume completed above 90%Vmax was not significantly greater in the preseason than the in-season (P = 0.10; r = 0.22). Individual variation in the distance completed at specific percentages of Vmax expressed as a coefficient of variation was reported as 51% at 71% to 80%Vmax, 39% at 81% to 90%Vmax, and 41% at 91% to 100%Vmax. CONCLUSION: The volume of HSR completed by athletes is far greater in the initial 4 weeks of the preseason than in any other point in preseason or competitive phases. At the individual level, there is substantial variation in the distance covered. This supports the concept of a heavily individualized approach to high-speed prescription and monitoring. CLINICAL RELEVANCE: Practitioners should carefully consider individual variation regarding sprinting volume during both preseason and in-season when prescribing and monitoring training to improve on-field performance and reduce the risk of injury.

Cardiorespiratory and muscle oxygenation responses to voluntary hypoventilation at low lung volume in upper body repeated sprints.

PURPOSE: To investigate the impact of voluntary hypoventilation at low lung volumes (VHL) during upper body repeated sprints (RS) on performance, metabolic markers and muscle oxygenation in Brazilian Jiu-Jitsu (BJJ) athletes. METHODS: Eighteen male well-trained athletes performed two randomized RS sessions, one with normal breathing (RSN) and another with VHL (RS-VHL), on an arm cycle ergometer, consisting of two sets of eight all-out 6-s sprints performed every 30 s. Peak (PPO), mean power output (MPO), and RS percentage decrement score were calculated. Arterial oxygen saturation (SpO2), heart rate (HR), gas exchange, and muscle oxygenation of the long head of the triceps brachii were continuously recorded. Blood lactate concentration ([La]) was measured at the end of each set. Bench press throw peak power (BPPP) was recorded before and after the RS protocol. RESULTS: Although SpO2 was not different between conditions, PPO and MPO were significantly lower in RS-VHL. V ˙ E, HR, [La], and RER were lower in RS-VHL, and VO2 was higher in RS-VLH than in RSN. Muscle oxygenation was not different between conditions nor was its pattern of change across the RS protocol influenced by condition. [La] was lower in RS-VHL than in RSN after both sets. CONCLUSION: Performance was significantly lower in RS-VHL, even though SPO2 was not consistent with hypoxemia. However, the fatigue index was not significantly affected by VHL, nor was the neuromuscular upper body power after the RS-VHL protocol. Additionally, [La] was lower, and oxygen consumption was higher in RS-VHL, suggesting a higher aerobic contribution in this condition.

The Development of Fast, Fit, and Fatigue Resistant Youth Field and Court Sport Athletes: A Narrative Review.

Humans are fascinated by the bipedal locomotor capacities at both ends of the athletic spectrum-sprinting speed and endurance. Some of the more popular field (eg, soccer, rugby, and lacrosse) and court (eg, basketball, tennis, and netball) sports utilize mixed energy systems requiring an interplay of both maximal sprinting speed (MSS) and maximal aerobic speed (MAS) to meet the high-intensity running demands of varying frequency, duration, intensity, and recovery. Recently, these locomotor capacities have been considered in combination to produce what is called the anaerobic speed reserve (ASR) as part of the locomotor profile concept (MSS, MAS, and ASR). The purpose of this narrative review is to (1) provide an overview of the locomotor profile concept; (2) review the assessment methods for estimating MSS, MAS, and ASR; (3) examine the age-, sex-, and maturity-associated variations in MSS, MAS, and ASR; (4) examine the trainability of MSS, MAS, and ASR in youth athletes; and (5) conclude with the practical applications using principles of long-term athlete development for training the locomotor profile in youth field and court sport athletes. Based on the available data in young male athletes, MSS, MAS, and ASR generally increase with age and across maturity groups and are trainable. Overall, decisions on training need to consider the sport demands, current fitness and maturity status, and targeted training adaptation sought.

Reliability and validity of sprint performance using the Alex7 motorized device.

Introduction: Advancements in technology have recently made it possible to implement effective training solutions across different environmental conditions. This study evaluated the reliability and validity of measures obtained from the innovative motorized device, Alex7 (Inosportas, Lithuania), and differences in speed and kinematic characteristics between resisted and assisted sprinting in young football players. Methods: Twenty-seven male athletes (mean age: 16.5 ± 0.8 years; height: 179.5 ± 6.9 cm; body weight: 67.7 ± 8.3 kg) each performed 30-m sprints twice under three different conditions: regular, resisted, and assisted sprinting. The Alex7 device provided the assistance and resistance during sprints. Results were compared with those from Witty timing gates. Ground contact time, flight time, stride length, and pace were measured using the OptoJump system. Reliability was assessed using two-way mixed intraclass correlation coefficients (ICCs) for single measures, the standard error of the mean (SEM), and the coefficient of variation (CV). Pearson's correlation coefficient determined the associations between Alex7 and Witty timing systems. Criterion-referenced validity was based on the mean difference and CV. Systematic bias was determined by limits of agreement using Bland-Altman analysis. Results: Running times obtained using the Alex7 equipment exhibited good to excellent test-retest reliability between sessions (ICC, 0.83-0.94) and good to excellent correlation (Pearson's r = 0.88-0.98) between the Alex7 and Witty systems in both assisted and resisted running conditions. However, the Alex7 device consistently produced longer running times than the Witty device (up to 0.16 s difference, p < 0.001). The different running conditions produced substantial variations in kinematic variables, such as stride length, ground contact time, and running speed (p < 0.001 for all), but the effects on flight time and running pace were smaller. Discussion: The Alex7 device shows high reliability for creating resisted and assisted running conditions for young football players. However, it tends to overestimate running time, necessitating caution when assessing the time parameters.

A comparison of morning priming exercise using traditional-set and cluster-set configurations on afternoon explosive performance.

The impact of two priming exercise protocols using traditional (TS) or cluster-set (CS) arrangements on explosive performance 6 hours later were examined. Sixteen male collegiate athletes performed three testing sessions (one baseline without any prior exercise in the morning and two experimental sessions) separated by 72 hours. Participants completed two morning (9-11 am) priming protocols in a randomized order, either using a TS (no rest between repetitions) or CS (30 seconds of rest between repetitions) configuration. The protocols consisted of 3 sets × 3 repetitions of barbell back squat at 85% of 1 repetition maximum, with 4 minutes of rest between sets. In the afternoon (3-5 pm) of each trial, after a 6-hour rest period, a physical test battery was conducted that replicated baseline testing, including countermovement jump, 20-meter straight-line sprint, and T-test abilities. Across both conditions, participants exhibited increased countermovement jump height, 20-meter sprint time and T-test time compared to baseline (P < 0.05). Improvements in countermovement jump height (+4.4 ± 5.4%; P = 0.008) and 20-meter sprint time (+1.3 ± 1.7%; P = 0.022), but not T-test time (+1.1 ± 3.3%; P = 0.585), were significantly greater for CS than TS. In conclusion, compared to a traditional set arrangement, a morning-based priming protocol using a cluster-set configuration led to superior explosive performance benefits in the afternoon.

The effect of weighted vest use during in-season, small-sided games training on young soccer players' performance.

The aim of the present study was to investigate the effect of weighted vest on-field small-sided games (SSG) soccer training, during the in-season period, on body composition and soccer-specific performances, in young, trained soccer players. A counterbalance study design was adopted, in which the fourteen well-trained players (age: 19.1 ± 0.5 yrs, body mass: 70.3 ± 5.3 kg, body height: 180.3 ± 3.0 cm, body fat: 9.2 ± 4.1%) performed both the Interventional (Vest) and Control (Con) training routines (6 weeks/season; 5 training sessions/week; 1 match/week), in different occasions (winter/spring period). Con group followed a regular weekly training plan. When the Con group performed their intense training sessions, Vest group performed only the on-field SSGs training wearing a vest (12.5% of athletes' body mass). All the evaluations were performed one week before and after each training period. Statistical analyses include repeated ANOVA and T-test (p < 0.05). Significant increases in sprinting, jumping, change of direction (COD), aerobic and anaerobic performances were observed only after Vest intervention (-4.7 ± 2.2% to 11.2 ± 4.2%; p < 0.05). Significant changes were observed only after Vest training, compared to Cont (p < 0.05). These results suggest that using a weighted vest, during the in-season, onfield SSG training two times/week induces greater increases in young soccer players' sprinting, jumping, COD, aerobic and anaerobic performances.

Match running performance preceding scoring and conceding a goal in men's professional soccer.

This study aimed to investigate the potential differences in the match running performance of professional soccer players 5 min. before scoring and conceding a goal in the Polish Ekstraklasa. The sample consisted of 278 matches with 570 goals scored during official matches of the 2022/23 Polish Ekstraklasa season. All data was collected utilising the computerised multiple-camera optical tracking system TRACAB. Total distance covered (TD), standing distance (StD; < 0.72 km h-1), walking distance (WD; 0.73-7.2 km h-1), jogging distance (JG; 7.21-14.4 km h-1), running distance (RD; 14.41-19.8 km h-1), high-speed running distance (HSR; 19.81-25.2 km h-1) and sprinting distance (SprD; > 25.2 km h-1) were analysed in 5-min intervals prior to a goal scored for both teams. The employed linear mixed models showed that all examined match-running performance metrics were higher in teams that scored a goal compared to teams that conceded a goal. Within 5 min before scoring a goal in Polish Ekstraklasa matches, the scoring team produced significantly greater TD (∆ 95%CI 256.8-300.4 m; p = 0.001), WD (∆ 95%CI 52.3-95.8 m; p = 0.001), JG (∆ 95%CI 100.5-144.1 m; p = 0.001) and RD (∆ 95%CI 16.2-59.8 m; p = 0.001) compared to the conceding team, although no differences were found for HSR and SprD. These results demonstrate the enhanced identification potential of key physical performance factors influencing goal scoring in the Polish Ekstraklasa, thereby optimising the training process and improving overall performance. To enhance the effectiveness of soccer training, coaching and performance staff should consider this study's findings, that indicate an increase in the volume of medium- and low-intensity running efforts preceding a goal.

Hamstring Injuries, From the Clinic to the Field: A Narrative Review Discussing Exercise Transfer.

PURPOSE: The optimal approach to hamstring training is heavily debated. Eccentric exercises reduce injury risk; however, it is argued that these exercises transfer poorly to improved hamstring function during sprinting. Some argue that other exercises, such as isometric exercises, result in better transfer to running gait and should be used when training to improve performance and reduce injury risk. Given the performance requirements of the hamstrings during the terminal swing phase, where they are exposed to high strain, exercises should aim to improve the torque production during this phase. This should improve the hamstrings' ability to resist overlengthening consequently, improving performance and limiting strain injury. Most hamstring training studies fail to assess running kinematics postintervention. Of the limited evidence available, only eccentric exercises demonstrate changes in swing-phase kinematics following training. Studies of other exercise modalities investigate effects on markers of performance and injury risk but do not investigate changes in running kinematics. CONCLUSIONS: Despite being inconsistent with principles of transfer, current evidence suggests that eccentric exercises result in transfer to swing-phase kinematics. Other exercise modalities may be effective, but the effect of these exercises on running kinematics is unknown.

Does anaerobic speed reserve influence post-activation performance enhancement in endurance runners?

We investigated the influence of anaerobic speed reserve (ASR) on post-activation performance enhancement (PAPE). Twenty-two endurance runners and triathletes were evaluated for maximum sprinting speed (MSS) and countermovement jump (CMJ) before (non-fatigued) and after (fatigued) an incremental running test. They were allocated in LASR (low-ASR) and HASR (high-ASR) groups for comparisons between conditions. HASR showed greater CMJ and MSS (both p ≤ 0.005) performances, with enhanced CMJ in fatigued condition (p ≤ 0.008). Significant correlations were found between ASR, CMJ, and MSS in both conditions (p ≤ 0.01) for the entire sample, and between ∆CMJ and ∆MSS (p ≤ 0.001) in LASR. Our results show that ASR profile influences PAPE.

Changes of Anaerobic Power and Lactate Concentration following Intense Glycolytic Efforts in Elite and Sub-Elite 400-meter Sprinters.

400-m races are based on anaerobic energy metabolism, they induce significant muscle fatigue, muscle fiber damage, and high blood lactate (LA) concentration. Despite extensive research on sprint training, our understanding of the training process that leads to world-class sprint performance is rather limited. This study aimed to determine differences in LA concentration and anaerobic power using jumping tests after an intense glycolytic effort in a group of elite and sub-elite 400-m runners. One hundred thirty male runners were divided into two groups: elite (n = 66, body mass = 73.4 ± 7.8 kg, body height = 182.1 ± 6.2 cm, age = 20.8 ± 4.0 y) running the 400-m dash below 50 s and sub-elite (n = 64, body mass = 72.0 ± 7.1 kg, body height = 182.1 ± 5.2 cm, age = 20.8 ± 4.0 y) with a 400-m personal best above 50 s. The power of the countermovement and the sequential squat jumps was measured in two sets after a warm-up, followed by two intermittent 30-s Wingate tests. LA concentration was measured eight times. It was observed that elite athletes achieved significantly higher power in both types of jumps. The maximum post-exercise LA concentration was significantly lower in the sub-elite group after the 3rd, the 6th, the 9th, and the 20th min after the cessation of two Wingate tests (p < 0.001). The rate of LA accumulation after exercise and the rate of LA utilization did not differ between the groups. It can be concluded that elite and non-elite runners differ in higher LA production but not in LA utilization. Anaerobic power and LA concentration seem to differentiate between 400 elite and sub-elite performance.

If You Want to Prevent Hamstring Injuries in Soccer, Run Fast: A Narrative Review about Practical Considerations of Sprint Training.

Hamstring strain injuries (HSIs) are one of the most common injuries in sprint-based sports. In soccer, the ability to sprint is key, not only because of its relation to performance but also due to its possible protective effect against HSIs. Although many authors have focused on the "how", "when", and "what" training load should be implemented, there is a lack of practical proposals for sprint training in a high-level professional environment. The objective of this narrative review is, after a deep review of the scientific literature, to present a practical approach for sprint training, trying to answer some of the questions that most strength and conditioning coaches ask themselves when including it in soccer. Once the literature published on this topic was reviewed and combined with the practical experience of the authors, it was concluded that sprint training in soccer, although it presents an obvious need, is not something about which there is methodological unanimity. However, following the practical recommendations from this narrative review, strength and conditioning coaches can have a reference model that serves as a starting point for optimal management of the internal and external training load when they wish to introduce sprint training in the competitive microcycle in professional soccer players, with the aim of reducing HSIs.

Are the ground reaction forces altered by the curve and with the increasing sprinting velocity?

In 200- and 400-m races, 58% of the total distance to cover is in the curve. In the curve, the sprinting performance is decreased in comparison to the straight. However, the reasons for this decreased performance is not well understood. Thus, the aim of this study was to identify the kinetic parameters underpinning the sprinting performance in the curve in comparison to the straight. Nineteen experienced-to-elite curve specialists performed five sprints in the straight and in the curve (radius 41.58 m): 10, 15, 20, 30, and 40 m. The left and the right vertical, anterior-posterior, medial-lateral, and resultant ground reaction forces (respectively F V $$ {F}_{\mathrm{V}} $$ , F A - P $$ {F}_{\mathrm{A}-\mathrm{P}} $$ , F M - L $$ {F}_{\mathrm{M}-\mathrm{L}} $$ , and F TOT $$ {F}_{\mathrm{TOT}} $$ ), the associated impulses (respectively IMP V $$ {IMP}_{\mathrm{V}} $$ , IMP A - P $$ {IMP}_{\mathrm{A}-\mathrm{P}} $$ , IMP M - L $$ {IMP}_{\mathrm{M}-\mathrm{L}} $$ , and IMP TOT $$ {IMP}_{\mathrm{TOT}} $$ ) and the stance times of each side were averaged over each distance. In the curve, the time to cover the 40-m sprint was longer than in the straight (5.52 ± 0.25 vs. 5.47 ± 0.23 s, respectively). Additionally, the left and the right F A - P $$ {F}_{\mathrm{A}-\mathrm{P}} $$ and IMP A - P $$ {IMP}_{\mathrm{A}-\mathrm{P}} $$ were lower than in the straight while the left and the right F M - L $$ {F}_{\mathrm{M}-\mathrm{L}} $$ increased, meaning that the F M - L $$ {F}_{\mathrm{M}-\mathrm{L}} $$ was more medial. The left F V $$ {F}_{\mathrm{V}} $$ was also lower than in the straight while the left stance times increased to keep the left IMP V $$ {IMP}_{\mathrm{V}} $$ similar to the straight to maintain the subsequent swing time. Overall, the sprinting performance was reduced in the curve due to a reduction in the left and the right F A - P $$ {F}_{\mathrm{A}-\mathrm{P}} $$ and IMP A - P $$ {IMP}_{\mathrm{A}-\mathrm{P}} $$ , that were likely attributed to the concomitant increased F M - L $$ {F}_{\mathrm{M}-\mathrm{L}} $$ to adopt a curvilinear motion.

Effect of Combined Training With Balance, Strength, and Plyometrics on Physical Performance in Male Sprint Athletes With Intellectual Disabilities.

Individuals with intellectual disabilities often face unique challenges in physical capabilities, making traditional training methods less effective for their specific needs. This study aimed to investigate the effect of combining balance, plyometric, and strength (CBPS) training with sprint training on physical performance in male athletes with intellectual disabilities. Twenty-seven participants were randomly assigned to either a CBPS group or a control group that only maintained their regular sprint training. Participants underwent pre- and posttraining tests, including measures of balance, jumping, agility, and sprinting ability. The results showed that the CBPS group demonstrated significant improvements (p < .05) in one-leg stance, crossover-hop jump, squat jump, countermovement jump, and 10- and 30-m sprint at posttraining compared with pretraining. CBPS training combined with sprinting significantly improves physical performance in male athletes with intellectual disabilities, suggesting implications for tailored training programs to enhance their physical fitness and overall health.

Does Advanced Footwear Technology Improve Track and Road Racing Performance? An Explorative Analysis Based on the 100 Best Yearly Performances in the World Between 2010 and 2022.

Advanced footwear technology (AFT) is currently being debated in sports. There is a direct evidence that distance running in AFT improves running economy. In addition, there is indirect evidence from competition performance for improved running performance from using AFTs in middle- and long-distance running and sprinting events. However, the extent to which world-class performance is affected across the full range of track and road racing events between genders has not been systematically analyzed. This study examined publicly available performance datasets of annual best track and road performances for evidence of potential systematic performance effects following the introduction of AFT. The analysis was based on the 100 best performances per year for men and women in outdoor events from 2010 to 2022, provided by the world governing body of athletics (World Athletics). We found evidence of progressing improvements in track and road running performances after the introduction of AFT for road races in 2016 and AFT for track racing in 2019. This evidence is more pronounced for distances longer than 1500 m in women and longer than 5000 m in men. Women seem to benefit more from AFT in distance running events than men. For the sprint events (100 m to 400 m hurdles), the peak performance gains in 2021 and 2022 compared to the pre-AFT period ranged from 0.6 to 1.1% and from 0.4 to 0.7% for women and men, respectively. For middle-distance events (400 m to 3000 m steeplechase), peak performance gains ranged from 0.6 to 1.9% and from 0.6 to 0.7% for women and men, respectively. For distances from 5000 m to the marathon, performance gains ranged from 2.2% to 3.5% and 0.7% to 1.4% for women and men, respectively. While the observational study design limits causal inference, this study provides a database on potential systematic performance effects after introducing advanced shoes/spikes in track and road running events in world-class athletes. Further research is needed to examine the underlying mechanisms and, in particular, potential gender differences in the performance effects of AFT.

The Relationship between Dynamic Balance, Jumping Ability, and Agility with 100 m Sprinting Performance in Athletes with Intellectual Disabilities.

Sprinting is a competitive event in athletics that requires a combination of speed, power, agility, and balance. This study investigated the relationship between dynamic balance, jumping ability, and agility with 100 m sprinting performance in athletes with intellectual disabilities, addressing an underexplored connection. A sample of 27 sprinters with intellectual disabilities participated in this study and completed 100 m sprint and various tests, including the Y Balance Test (YBT), the Crossover hop test, squat jump (SJ), countermovement jump (CMJ), and t-test to evaluate their dynamic balance, jumping ability, and agility, respectively. The findings revealed significant negative correlations between the YBT, Crossover hop test, SJ, and CMJ and 100 m sprint performance (r range: -0.41 to -0.79, p < 0.05). Regression analysis identified these variables as significant predictors (R2 = 0.69; p < 0.01). SJ exhibited the strongest association with 100 m sprint performance, (R2 = 0.62, p < 0.01). The agility t-test did not show a significant association. The combination of the YBT ANT and SJ demonstrated a predictive capability for 100 m sprint performance (R2 = 0.67, p < 0.001). In conclusion, this study revealed predictive capabilities between dynamic balance, jumping ability, and 100 m sprint performance in sprinters with intellectual disabilities.

Effects of Static Hamstring Stretching on Maximal Sprint Speed and Relationship With Nordic Hamstring Strength.

This study aimed to determine the acute effects of static stretching of the hamstrings on maximal sprint speed and its spatiotemporal variables and lower-limb kinematics during the late swing phase, as well as the relationship with Nordic hamstring strength. The study had a within-participant experimental design. Sixteen healthy male college sprinters were asked to sprint 80 m without static stretching and with static stretching of the hamstrings for 4 × 30 s per leg before the sprint; both conditions were counterbalanced. The knee flexion peak torque was measured using the Nordic hamstring. The differences between no static stretching and static stretching as well as their relationship with Nordic hamstring strength were investigated. The results showed that the touchdown distance (p = .036) significantly increased following static stretching. Although not significant, maximal sprint speed decreased (p = .086), and the theoretical hamstring length (difference between knee angle and hip angle) at ipsilateral touchdown was greater (p = .069) following static stretching. In addition, a lower peak torque of the Nordic hamstring resulted in a more significant decrease in maximal sprint speed following static stretching. Therefore, static stretching of the hamstring just before sprinting may increase the theoretical hamstring length during the late swing phase at maximal sprint speed and induce kinematics that increases the hamstring strain injury risk. Moreover, it is suggested that improving the Nordic hamstring strength may help minimize the negative effects of static stretching on the hamstrings.

Hamstring muscle injuries in athletics.

Hamstring muscle injuries (HMI) are a common and recurrent issue in the sport of athletics, particularly in sprinting and jumping disciplines. This review summarizes the latest literature on hamstring muscle injuries in athletics from a clinical perspective. The considerable heterogeneity in injury definitions and reporting methodologies among studies still needs to be addressed for greater clarity. Expert teams have recently developed evidence-based muscle injury classification systems whose application could guide clinical decision-making; however, no system has been adopted universally in clinical practice, yet.The most common risk factor for HMI is a previously sustained injury, particularly early after return-to-sport. Other modifiable (e.g. weakness of thigh muscles, high-speed running exposure) and non-modifiable (e.g. older age) risk factors have limited evidence linking them to injury. Reducing injury may be achieved through exercise-based programs, but their specific components and their practical applicability remain unclear.Post-injury management follows similar recommendations to other soft tissue injuries, with a graded progression through stages of rehabilitation to full return to training and then competition, based on symptoms and clinical signs to guide the individual speed of the recovery journey. Evidence favoring surgical repair is conflicting and limited to specific injury sub-types (e.g. proximal avulsions). Further research is needed on specific rehabilitation components and progression criteria, where more individualized approaches could address the high rates of recurrent HMI. Prognostically, a combination of physical examination and magnetic resonance imaging (MRI) seems superior to imaging alone when predicting 'recovery duration,' particularly at the individual level.

Inhaled beta2 -agonist, formoterol, enhances intense exercise performance, and sprint ability in elite cyclists.

PURPOSE: Many athletes use long-acting beta2 -agonist formoterol in treatment of asthma. However, studies in non-athlete cohorts demonstrate that inhaled formoterol can enhance sprint performance calling into question whether its use in competitive sports should be restricted. We investigated whether formoterol at upper recommended inhaled doses (54 µg) would enhance sprint ability and intense exercise performance in elite cyclists. METHODS: Twenty-one male cyclists (V̇O2max : 70.4 ± 4.3 mL × min-1 × kg-1 , mean ± SD) completed two 6-s all-out sprints followed by 4-min all-out cycling after inhaling either 54 µg formoterol or placebo. We also assessed cyclists' leg muscle mass by dual-energy X-ray absorptiometry and muscle fiber type distribution of vastus lateralis biopsies. RESULTS: Peak and mean power output during the 6-s sprint was 32 W (95% CI, 19-44 W, p < 0.001) and 36 W (95% CI, 24-48 W, p < 0.001) higher with formoterol than placebo, corresponding to an enhancing effect of around 3%. Power output during 4-min all-out cycling was 9 W (95% CI, 2-16 W, p = 0.01) greater with formoterol than placebo, corresponding to an enhancing effect of 2.3%. Performance changes in response to formoterol were unrelated to cyclists' VO2max and leg lean mass, whereas muscle fiber Type I distribution correlated with change in sprinting peak power in response to formoterol (r2 = 0.314, p = 0.012). CONCLUSION: Our findings demonstrate that an inhaled one-off dose of 54 µg formoterol has a performance-enhancing potential on sprint ability and short intense performance in elite male cyclists, which is irrespective of training status but partly related to muscle fiber type distribution for sprint ability.

Effects of Resistance Training with Blood Flow Restriction on Explosive Power of Lower Limbs: A Systematic Review and Meta-Analysis.

The purpose of this systematic review and meta-analysis was to compare changes in explosive power between blood flow restriction training and traditional resistance training protocols. Searches of PubMed, Scopus, Web of Science, and OVID Medline were conducted for studies. Inclusion criteria were: (a) healthy people; (b) randomized controlled or controlled trials; (c) outcome measures of explosive performance (peak power, rate of force development, jump performance, sprint performance, etc.); (d) involving a comparison between blood flow restriction training and traditional resistance training. Quality assessment was conducted using the Physiotherapy Evidence Database (PEDro) scale. A total of 12 studies (262 subjects) were finally included for analysis. The PEDro scale score had a median of 5 of 10 points (range: 3-6 points). Significant small to moderate improvements were observed in blood flow restriction training [jump: standard mean difference (SMD) of 0.36 (95% CI: 0.02; 0.69); sprint: SMD of 0.54 (95% CI: 0.00; 1.07); power: SMD of 0.72 (95% CI: 0.17; 1.27)] when compared to traditional resistance training. The findings indicate that blood flow restriction training is more effective in improving explosive power of lower limbs compared to traditional resistance training in healthy people. In addition, blood flow restriction with a wide cuff (≥ 10 cm) during training improved explosive power better than with a narrow cuff or during the rest interval. Blood flow restriction training is very suitable for athletes in short competitive seasons and those who are not able to tolerate high loads (i.e., rehabilitators and the elderly).