Proficiency Barrier in Track and Field: Adaptation and Generalization Processes.

The literature on motor development and training assumes a hierarchy for learning skills-learning the "fundamentals"-that has yet to be empirically demonstrated. The present study addressed this issue by verifying (1) whether this strong hierarchy (i.e., the proficiency barrier) holds between three fundamental skills and three sport skills and (2) considering different transfer processes (generalization/adaptation) that would occur as a result of the existence of this strong hierarchy. Twenty-seven children/adolescents participated in performing the countermovement jump, standing long jump, leap, high jump, long jump, and hurdle transposition. We identified the proficiency barrier in two pairs of tasks (between the countermovement jump and high jump and between the standing long jump and long jump). Nonetheless, the transfer processes were not related to the proficiency barrier. We conclude that the proposed learning hierarchy holds for some tasks. The underlying reason for this is still unknown.

Kinetic and Kinematic Characteristics Underpinning Change of Direction Performance in Basketball: A Comparative Study Between Sexes and Tests.

ABSTRACT: Baena-Raya, A, Díez-Fernández, DM, Martínez-Rubio, C, Conceição, F, and López-Sagarra, A. Kinetic and kinematic characteristics underpinning change of direction performance in basketball: A comparative study between sexes and tests. J Strength Cond Res 38(4): e182-e188, 2024-This study (a) evaluated the sex-specific kinetic and kinematic outcomes underpinning change of direction (COD) performance, (b) compared these outcomes across 3 different COD tests, and (c) examined the sex-specific and test-specific outcome most strongly related to COD performance in basketball players. Thirty young basketball players (17 males and 13 females) competing at the national level were assessed for the modified 505 test, modified T test, and V-cut test. The Local Positioning System technology (WIMU PRO, Realtrack Systems S.L., Almería, Spain) was used to measure the maximum values of acceleration (ACC max ), deceleration (DEC max ), velocity (VEL max ), and centripetal force (CentF max ) in each COD test. Male players displayed greater ACC max , VEL max , DEC max , and CentF max outputs for each section of the 505 test, T test, and V-cut test (all p < 0.05), resulting in a faster COD performance than females across tests (all ES > -1.42; 95% CI = -3.45 to -0.57). The 505 test demanded significantly greater kinematic outputs than T test and V-cut test for both sexes ( p < 0.01). The ACC max explained ∼26-58% of the variability in COD time for males across tests ( p < 0.05) and 40% in females' modified 505-test time ( p < 0.05). Likewise, in females, DEC max explained 38% of the modified T -test time variability, whereas VEL max explained 53% in the V-cut test time (both p < 0.05). These findings suggest that (a) COD data should not be used interchangeably across sexes, (b) test specificities should be considered for designing COD training, and (c) the kinematic outcomes explaining COD performance might vary across sexes.

Extreme blood lactate rising after very short efforts in top-level track and field male sprinters.

Two top-level (10"04 and 10"13 in 100-m dash) and 2 sub-elite (10"97 and 11"44 in 100-m dash) male sprinters completed, after a standardised warm-up, various jump, sprint and weightlifting exercises in two consecutive days at the start of pre-season. Before and 30 s after the tests, the [La-] were measured with a portable lactate analyser. The top-level sprinters exhibited much larger [La-] than the sub-elite sprinters (< 5 mmol·L-1) after all the exercise tests. The maximum values recorded were 20.4 mmol·L-1 after the 20-m sprint tests for Athlete 1, and 22.4 mmol·L-1 after CMJ testing for Athlete 2. The greater Δ% were recorded after CMJ testing for Athlete 1 (from 1.9 to 13.6 mmol·L-1), and after the power clean test for Athlete 2 (from 1.4 to 17.6 mmol·L-1). These results suggest a different metabolic response to very short efforts (≤3 s) in top-level track and field sprinters. These findings reinforce the need to include lactate assessments, during training and evaluation sessions, to better understand the acute and chronic adaptations to training of sprinters of different levels.

Cost effectiveness of outpatient lumbar discectomy.

BACKGROUND: Microdiscectomy is the most commonly performed spine surgery and the first transitioning for outpatient settings. However, this transition was never studied, in what comes to cost-utility assessment. Accordingly, this economic study aims to access the cost-effectiveness of outpatient lumbar microdiscectomy when compared with the inpatient procedure. METHODS: This is a cost utility study, adopting the hospital perspective. Direct medical costs were retrieved from the assessment of 20 patients undergoing outpatient lumbar microdiscectomy and 20 undergoing inpatient lumbar microdiscectomy Quality-adjusted life-years were calculated from Oswestry Disability Index values (ODI). ODI was prospectively assessed in outpatients in pre and 3- and 6-month post-operative evaluations. Inpatient ODI data were estimated from a meta-analysis. A probabilistic sensitivity analysis was performed and incremental cost-effectiveness ratio (ICER) calculated. RESULTS: Outpatient procedure was cost-saving in all models tested. At 3-month assessment ICER ranged from €135,753 to €345,755/QALY, higher than the predefined threshold of €60,000/QALY gained. At 6-month costs were lower and utilities were higher in outpatient, overpowering the inpatient procedure. Probabilistic sensitivity analysis showed that in 65% to 73% of simulations outpatient was the better option. The savings with outpatient were about 55% of inpatient values, with similar utility scores. No 30-day readmissions were recorded in either group. CONCLUSION: This is the first economic study on cost-effectiveness of outpatient lumbar microdiscectomy, showing a significant reduction in costs, with a similar clinical outcome, proving it cost-effective.

Muscle Co-Activation around the Knee during Different Walking Speeds in Healthy Females.

The purpose of this study was to examine the changes in co-activation around the knee joint during different walking speeds in healthy females using the co-activation index. Ten healthy females (age: 21.20 ± 7.21 years, height: 164.00 ± 4.00 cm, mass: 60.60 ± 4.99 kg) participated in this study and performed three walking speeds (slow, normal, and fast). A Qualisys 11-camera motion analysis system sampling at a frequency of 200 Hz was synchronized with a Trigno EMG Wireless system operating at a 2000 Hz sampling frequency. A significant decrease in the co-activation index of thigh muscles was observed between the slow and fast, and between the normal and fast, walking speeds during all walking phases. A non-significant difference was observed between the slow and normal walking speeds during most walking phases, except the second double support phase, during which the difference was significant. A negative relationship was found between walking speed and the co-activation index of thigh muscles in all speeds during walking phases: first double support (r = -0.3386, p < 0.001), single support (r = -0.2144, p < 0.01), second double support (r = -0.4949, p < 0.001), and Swing (r = -0.1639, p < 0.05). In conclusion, the results indicated high variability of thigh muscle co-activation in healthy females during the different walking speeds, and a decrease in the co-activation of the thigh muscles with the increase of speed.

Movement velocity as a measure of exercise intensity in three lower limb exercises.

The purpose of this study was to investigate the relationship between movement velocity and relative load in three lower limbs exercises commonly used to develop strength: leg press, full squat and half squat. The percentage of one repetition maximum (%1RM) has typically been used as the main parameter to control resistance training; however, more recent research has proposed movement velocity as an alternative. Fifteen participants performed a load progression with a range of loads until they reached their 1RM. Maximum instantaneous velocity (Vmax) and mean propulsive velocity (MPV) of the knee extension phase of each exercise were assessed. For all exercises, a strong relationship between Vmax and the %1RM was found: leg press (r(2)adj = 0.96; 95% CI for slope is [-0.0244, -0.0258], P < 0.0001), full squat (r(2)adj = 0.94; 95% CI for slope is [-0.0144, -0.0139], P < 0.0001) and half squat (r(2)adj = 0.97; 95% CI for slope is [-0.0135, -0.00143], P < 0.0001); for MPV, leg press (r(2)adj = 0.96; 95% CI for slope is [-0.0169, -0.0175], P < 0.0001, full squat (r(2)adj = 0.95; 95% CI for slope is [-0.0136, -0.0128], P < 0.0001) and half squat (r(2)adj = 0.96; 95% CI for slope is [-0.0116, 0.0124], P < 0.0001). The 1RM was attained with a MPV and Vmax of 0.21 ± 0.06 m s(-1) and 0.63 ± 0.15 m s(-1), 0.29 ± 0.05 m s(-1) and 0.89 ± 0.17 m s(-1), 0.33 ± 0.05 m s(-1) and 0.95 ± 0.13 m s(-1) for leg press, full squat and half squat, respectively. Results indicate that it is possible to determine an exercise-specific %1RM by measuring movement velocity for that exercise.

Validation study of the European Portuguese version of the Confusion Assessment Method (CAM).

BACKGROUND: The Confusion Assessment Method (CAM) is the most widely used delirium screening instrument. The aim of this study was to evaluate the reliability and validity of the European Portuguese version of CAM. METHODS: The sample included elderly patients (≥65 years), admitted for at least 48 h, into two intermediate care units (ICMU) of Intensive Medicine and Surgical Services in a university hospital. Exclusion criteria were: score ≤11 on the Glasgow Coma Scale (GCS), blindness/deafness, inability to communicate and to speak Portuguese. For concurrent validity, a blinded assessment was conducted by a psychiatrist (DSM-IV-TR, as a reference standard) and by a trained researcher (CAM). This instrument was also compared with other cognitive measures to evaluate convergent validity. Inter-rater reliability was also assessed. RESULTS: In this sample (n = 208), 25% (n = 53) of the patients had delirium, according to DSM-IV-TR. Using this reference standard, the CAM had a moderate sensitivity of 79% and an excellent specificity of 99%. The positive predictive value was 95%, indicating a strong ability to confirm delirium with a positive test result, and the negative predictive value was lower (93%). Good convergent validity was also found, in particular with Mini-Mental State Examination (MMSE) (rs = -0.676; p ≤0.01) and Digit Span Test (DST) forward (rs = -0.605; p ≤0.01), as well as a high inter-rater reliability (diagnostic k = 1.00; single items' k between 0.65 and 1.00). CONCLUSION: Robust results on concurrent and convergent validity and good reliability were achieved. This version was shown to be a valid and reliable instrument for delirium detection in elderly patients hospitalized in intermediate care units.

Effect of countermovement on power-force-velocity profile.

PURPOSE: To study the effect of a countermovement on the lower limb force-velocity (F-v) mechanical profile and to experimentally test the influence of F-v mechanical profile on countermovement jump (CMJ) performance, independently from the effect of maximal power output (P max). METHODS: Fifty-four high-level sprinters and jumpers performed vertical maximal CMJ and squat jump (SJ) against five to eight additional loads ranging from 17 to 87 kg. Vertical ground reaction force data were recorded (1,000 Hz) and used to compute center of mass vertical displacement. For each condition, mean force, velocity, and power output were determined over the entire push-off phase of the best trial, and used to determine individual linear F-v relationships and P max. From a previously validated biomechanical model, the optimal F-v profile maximizing jumping performance was determined for each subject and used to compute the individual mechanical F-v imbalance (Fv IMB) as the difference between actual and optimal F-v profiles. RESULTS: A multiple regression analysis clearly showed (r(2) = 0.952, P < 0.001, SEE 0.011 m) that P max, Fv IMB and lower limb extension range (h PO) explained a significant part of the interindividual differences in CMJ performance (P < 0.001) with positive regression coefficients for P max and h PO and a negative one for Fv IMB. CONCLUSION: Compared to SJ, F-v relationships were shifted to the right in CMJ, with higher P max, maximal theoretical force and velocity (+35.8, 20.6 and 13.3%, respectively). As in SJ, CMJ performance depends on Fv IMB, independently from the effect of P max, with the existence of an individual optimal F-v profile (Fv IMB having an even larger influence in CMJ).

Pilot study on the European Portuguese version of the Confusion Assessment Method.

OBJECTIVE: To present the pilot study on the European Portuguese validation of the Confusion Assessment Method (CAM). METHODS: The translation process was carried out according to International Society Pharmacoeconomics and Outcomes Research guidelines with trained researchers and inter-rater reliability assessment. The study included 50 elderly patients, admitted (≥24 h) to two intermediate care units. Exclusion criteria were: Glasgow Coma Scale (total score ≤11), blindness/deafness, inability to communicate and not able to speak Portuguese. The sensitivity and specificity of CAM were assessed, with DSM-IV-TR criteria of delirium used as a reference standard. RESULTS: Findings revealed excellent inter-rater reliability (k>0.81), moderate sensitivity (73%) and excellent specificity (95%). CONCLUSION: These preliminary results suggested that this version emerges as a promising diagnostic instrument for delirium.

Optimizing exercise prescription during breast cancer rehabilitation in women: Analysis of the load-velocity relationship in the box squat exercise.

The aims of this study were to assess (i) the load-velocity relationship during the box squat exercise in women survivors of breast cancer, (ii) which velocity variable (mean velocity [MV], mean propulsive velocity [MPV], or peak velocity [PV]) shows stronger relationship with the relative load (%1RM), and (iii) which regression model (linear [LA] or polynomic [PA]) provides a greater fit for predicting the velocities associated with each %1RM. Nineteen women survivors of breast cancer (age: 53.2 ± 6.9 years, weight: 70.9 ± 13.1 kg, and height: 163.5 ± 7.4 cm) completed an incremental load test up to one-repetition maximum in the box squat exercise. The MV, MPV, and the PV were measured during the concentric phase of each repetition with a linear velocity transducer. These measurements were analyzed by regression models using LA and PA. Strong correlations of MV with %1RM (R2 = 0.903/0.904; the standard error of the estimate (SEE) = 0.05 m.s-1 by LA/PA) and MPV (R2 = 0.900; SEE = 0.06 m.s-1 by LA and PA) were observed. In contrast, PV showed a weaker association with %1RM (R2 = 0.704; SEE = 0.15 m.s-1 by LA and PA). The MV and MPV of 1RM was 0.22 ± 0.04 m·s-1, whereas the PV at 1RM was 0.63 ± 0.18 m.s-1. These findings suggest that the use of MV to prescribe relative loads during resistance training, as well as LA and PA regression models, accurately predicted velocities for each %1RM. Assessing and prescribing resistance exercises during breast cancer rehabilitation can be facilitated through the monitoring of movement velocity.

An exploration of muscle co-activation during different walking speeds and the association with lower limb joint stiffness.

The aim of this study was to determine the muscle co-activations and joint stiffnesses around the hip, knee, and ankle during different walking speeds and to define the relationships between muscle co-activation and joint stiffness. Twenty-seven healthy subjects (age: 19.6 ± 2.2 years, height: 176.0 ± 6.0 cm, mass: 69.7 ± 8.9 kg) were recruited. Muscle co-activations (CoI) and lower limb joints stiffnesses were investigated during stance phase at different walking speeds using Repeated Measures ANOVA with Sidak post-hoc tests. Correlations between muscle co-activations, joints stiffnesses, and walking speeds were also investigated using Pearson Product Moment correlations. The results indicated that the hip and ankle joints stiffness increased with walking speed (p < 0.001) during the weight acceptance phase, and positive correlations were seen between walking speed and Rectus Femoris (RF) and Biceps Femoris (BF) CoI (p < 0.001), and a negative correlation was seen between walking speed and tibialis anterior (TA) and lateral gastrocnemius (LG) CoI (p < 0.001) during the weight acceptance phase, and the RF/BF CoI during pre-swing. These results provide new information on the variations in muscle co-activation around the hip, knee and ankle joints and their association with joint stiffness, and on the responses of stiffness and muscle co-activation to walking speed. The techniques presented could have further application and help our understanding of the effects of gait retraining and injury mechanisms.

Are joint torque models limited by an assumption of monoarticularity?

This study determines whether maximal voluntary ankle plantar flexor torque could be more accurately represented using a torque generator that is a function of both knee and ankle kinematics. Isovelocity and isometric ankle plantar flexor torques were measured on a single participant for knee joint angles of 111° to 169° (approximately full extension) using a Contrex MJ dynamometer. Maximal voluntary torque was represented by a 19-parameter two-joint function of ankle and knee joint angles and angular velocities with the parameters determined by minimizing a weighted root mean square difference between measured torques and the two-joint function. The weighted root mean square difference between the two-joint function and the measured torques was 10 N-m or 3% of maximum torque. The two-joint function was a more accurate representation of maximal voluntary ankle plantar flexor torques than an existing single-joint function where differences of 19% of maximum torque were found. It is concluded that when the knee is flexed by more than 40°, a two-joint representation is necessary.

An isovelocity dynamometer method to determine monoarticular and biarticular muscle parameters.

This study aimed to determine whether subject-specific individual muscle models for the ankle plantar flexors could be obtained from single joint isometric and isovelocity maximum torque measurements in combination with a model of plantar flexion. Maximum plantar flexion torque measurements were taken on one subject at six knee angles spanning full flexion to full extension. A planar three-segment (foot, shank and thigh), two-muscle (soleus and gastrocnemius) model of plantar flexion was developed. Seven parameters per muscle were determined by minimizing a weighted root mean square difference (wRMSD) between the model output and the experimental torque data. Valid individual muscle models were obtained using experimental data from only two knee angles giving a wRMSD score of 16 N m, with values ranging from 11 to 17 N m for each of the six knee angles. The robustness of the methodology was confirmed through repeating the optimization with perturbed experimental torques (± 20%) and segment lengths (± 10%) resulting in wRMSD scores of between 13 and 20 N m. Hence, good representations of maximum torque can be achieved from subject-specific individual muscle models determined from single joint maximum torque measurements. The proposed methodology could be applied to muscle-driven models of human movement with the potential to improve their validity.

Effect of Supplementary Physical Training on Vertical Jump Height in Professional Ballet Dancers.

Dancers require many specific dance skills of a ballistic nature. The design of supplementary training to improve the strength of the lower limbs and jump height is a relevant area of research. The purpose of this study was (1) to compare the effect of plyometric training versus combined training on countermovement jump (CMJ), squat jump (SJ), and sauté in first position (sauté) height and (2) to observe whether changes in CMJ and SJ were associated with changes in sauté in female and male dancers. Eighty-one classical professional ballet dancers (41 women and 40 men, age = 22.9 [3.7] y, body mass = 59.7 [8.6] kg, height = 167.4 [7.3] cm) were divided into a control group and 2 experimental groups: plyometric training and combined training. All groups followed their common routine of training regarding classes and rehearsal practice, whereas the experimental groups added 2 sessions (1 h per session) for 9 weeks of supplementary training. Significant increases (medium to large effect size) in CMJ, SJ, and sauté height were found in the pretest versus posttest comparisons for both experimental groups. Significant, very large correlations were found between the magnitude of improvement in sauté and the magnitude of improvement in CMJ and SJ. Plyometric and combined training programs are effective ways to improve jumping ability in professional dancers. The improvement in CMJ and SJ has a good transference on sauté `performance. These findings support the use of traditional training methods to improve jump height in specific and nonspecific ballet jumping ability.

Patellofemoral Pain Syndrome Risk Associated with Squats: A Systematic Review.

Patellofemoral pain syndrome (PFPS) is highly prevalent; it can cause severe pain and evolve into progressive functional loss, leading to difficulties performing daily tasks such as climbing and descending stairs and squatting. This systematic review aimed to find evidence, in the literature, of squat movements that can cause or worsen PFPS. This work was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, and its protocol was registered in PROSPERO (CRD42019128711). From the 6570 collected records, 37 were included. From these 37 articles, 27 present a causal relationship between knee flexion and PFPS, 8 describe a relationship, considering the greater existence of muscle contractions, and one article did not describe this relationship in its results. The main limitations stem from the fact that different studies used different evaluation parameters to compare the force exerted on the patellofemoral joint. Furthermore, most studies are focused on sports populations. After analysing the included works, it was concluded that all squat exercises can cause tension overload in the knee, especially with a knee flexion between 60° and 90° degrees. The main causal/worsening factors of PFPS symptoms are the knee translocation forward the toes (on the same body side) when flexing the knee, and the muscle imbalance between the thigh muscles.

Hepatic Glycogenosis: An Underdiagnosed Entity?

Hepatic glycogenosis (HG) is a rare complication of long-standing poorly controlled type 1 diabetes mellitus (T1DM), which is often misdiagnosed as non-alcoholic fatty liver disease (NAFLD). Despite the existence of several reports in the literature, it still is underrecognized, even among gastroenterologists. Differential diagnosis between these entities is essential since they have different prognoses. We report a case of an 18-year-old female, with a medical history of poorly controlled T1DM, admitted to an intensive care unit with severe diabetic ketoacidosis (DKA). Upon admission, aminotransferases were significantly elevated; bilirubin and coagulation tests were normal. Despite adequate DKA treatment, she had persistently elevated aminotransferases and hyperlactacidemia. Imaging studies showed hepatomegaly and bright liver parenchyma. Extensive laboratory workup was negative for other causes of liver disease. So, a liver biopsy was performed, which was consistent with the diagnosis of HG. Under strict metabolic control, she had progressive improvement, achieving biochemical normalization within 6 months. This case highlights the need for clinicians to be aware of this condition due to non-negligible differences between HG and NAFLD, with the latter progressing to fibrosis, and ultimately cirrhosis and hepatocarcinoma. On the opposite, HG is considered a benign condition, associated with an excellent prognosis that can be reversible after adequate metabolic control. Liver biopsy remains the gold standard method for HG diagnosis since it can distinguish it from NAFLD.

Paddling time parameters and paddling efficiency with the increase in stroke rate in kayaking.

The paddling stroke rate (SR) is one of the key determinants of flat water kayak performance. The aim of this study was to analyse the way in which the kayak paddler changes the duration of the water and aerial phases due to the increase in stroke rate. Ten elite kayak paddlers (five males and five females) were analysed performing 200 m on-water trials in an individual kayak (K1), at four different stroke rates (60, 80, 100 strokes per minute and race pace). The duration of the water and aerial phases, SR and impulse were computed based on the data collected using the FPaddle system. Results corroborate the importance of reaching higher SR to increase kayak velocity (r = 0.904, p < 0.001). Both water and aerial phase durations correlated negatively with SR (r = -0.929, p < 0.001; R = -0.909, p < 0.001, respectively). However, with the first, the correlation was linear (r2 = 0.883), and for the second, the trend of relationship was curvilinear (r2 = 0.893). Due to differences in correlation, the results suggest that at high SR (above 120 strokes per minute) to continue increasing SR it will be more productive to reduce the duration of the water phase.

Can We Modify Maximal Speed Running Posture? Implications for Performance and Hamstring Injury Management.

PURPOSE: Sprint kinematics have been linked to hamstring injury and performance. This study aimed to examine if a specific 6-week multimodal intervention, combining lumbopelvic control and unning technique exercises, induced changes in pelvis and lower-limb kinematics at maximal speed and improved sprint performance. METHODS: Healthy amateur athletes were assigned to a control or intervention group (IG). A sprint test with 3-dimensional kinematic measurements was performed before (PRE) and after (POST) 6 weeks of training. The IG program included 3 weekly sessions integrating coaching, strength and conditioning, and physical therapy approaches (eg, manual therapy, mobility, lumbopelvic control, strength and sprint "front-side mechanics"-oriented drills). RESULTS: Analyses of variance showed no between-group differences at PRE. At POST, intragroup analyses showed PRE-POST differences for the pelvic (sagittal and frontal planes) and thigh kinematics and improved sprint performance (split times) for the IG only. Specifically, IG showed (1) a lower anterior pelvic tilt during the late swing phase, (2) greater pelvic obliquity on the free-leg side during the early swing phase, (3) higher vertical position of the front-leg knee, (4) an increase in thigh angular velocity and thigh retraction velocity, (5) lower between-knees distance at initial contact, and (6) a shorter ground contact duration. The intergroup analysis revealed disparate effects (possibly to very likely) in the most relevant variables investigated. CONCLUSION: The 6-week multimodal training program induced clear pelvic and lower-limb kinematic changes during maximal speed sprinting. These alterations may collectively be associated with reduced risk of muscle strain and were concomitant with significant sprint performance improvement.

Reference Values of Spatial and Temporal Gait Parameters in a Contemporary Sample of Spanish Preschool Children: A Cross-Sectional Study.

The aim of this study was to analyze the influence of age and sex on kinematic gait parameters in preschool children, and derive reference values for this population. A total of 383 preschool children (age 3-5 years; 207 girls, 176 boys) participated in this study. We used the OptoGait system to assess the kinematics of gait at a comfortable and self-determined speed. No significant differences between the sexes were found for the main gait parameters. Among the participants, there was a significant increase in double support, reductions in absolute cadence and the coefficient of variation (CV) of cadence, an increase in absolute step length (SL), and an increase in the walk ratio (WR) from 3 to 5 years of age. However, the normalized SL and normalized WR displayed a significant reduction in both sexes. Partial correlation indicated a significant association of age with SL and normalized SL, and WR. Additionally, WR showed a significant correlation with the CV of cadence. To summarize, no relevant differences in gait performance were found according to sex; however, age was found to influence gait maturation. The normative values established for Spanish preschool children can be used to monitor healthy gait development.

The Effect of 16 Weeks of Lower-Limb Strength Training in Jumping Performance of Ballet Dancers.

Jumping ability is considered a determinant of performance success. It is identified as one of the predictors and talent identification in many sports and dance. This study aimed to investigate the effect of 16 weeks of lower-limb strength training on the jumping performance of ballet dancers. A total of 24 participants from the same dance school were randomly selected in the control group [CG; n = 10; aged 13.00 (1.49) years; 43.09 (9.48) kg and 1.53 (0.11) m] and the intervention group [IG; n = 14; aged 12.43 (1.45) years; 38.21 (4.38) kg and 1.51 (0.07) m], evaluated before and after the applied strength training program mainly using the body weight of each participant. Jump performance was assessed using MyJump2, a scientifically validated mobile phone app. Intergroup and intragroup comparisons were assessed, and the magnitude of change was calculated using the effect size (ES). While CG significantly decreased the relative power over time (p < 0.001, ES = -0.29: small), results from the intragroup comparisons suggest that IG significantly increased the countermovement jump (CMJ) height (p < 0.001, ES = 1.21: large), the relative force (p < 0.001, ES = 0.86: moderate), maximal velocity (p < 0.001, ES = 1.15: moderate), and relative power (p < 0.001, ES = 1.37: large). We concluded that a 16-week strength training program of lower limbs is an effective way to improve CMJ height in young dancers. Supplementary strength training appears to be the determinant for the improvement of the jumping performance of ballet dancers.