Applications of transcranial magnetic stimulation in migraine: evidence from a scoping review.

Transcranial magnetic stimulation (TMS), a non-invasive brain stimulation method, is trying to emerge as a migraine management strategy for both attack treatment and prevention. This scoping review presents 16 among single-pulse (to manage episodic and chronic migraine) and repetitive TMS randomized clinical trials (to manage chronic migraine). The works we reviewed suggest that TMS may be adopted as add-on therapy in those patients who are refractory to pharmacological therapy only with special arrangements for individualized treatment strategies or research. There are still limited clinical research programs and metaanalysis to promote routinely TMS employment, as TMS has been shown either to have no significant effects for any outcome or to be effective for migraine. These diverging conclusions depend on several biasing factors, including the lack of reliable, large, sham-controlled clinical trials, the dyshomogeneity in study designs (including the area of stimulation, the frequency of stimulation, the number of pulses, pulse intensity, and the number of sessions), patient selection criteria (migraine w/o aura, episodic and chronic migraine; TMS contraindication), and the lack of outcomes homogeneity and long-term real-world efficacy data. Therefore, in the future, it will be important to conduct larger randomized trials to confirm TMS usefulness in migraine management (acute attack and prophylactic treatment), identify those patients who may benefit from TMS, maybe independently of pharmacological treatments (i.e., using TMS as an alternative and not only as an add-on treatment). Otherwise, TMS will play a role in treating migraine only with special arrangements for individualized management strategies or research.

Training load responses to football game profile-based training (GPBT) formats: effects of locomotive demands manipulation.

The aim of this study was to compare internal and external load profiles of different game profile-based training (GPBT) formats among elite young football players. Twenty-one participants (age: 18.7 ± 0.6 years) performed three sessions of three GPBT formats, which were matched for training volume but structured with different high-speed running and sprint demands: i) performed along linear paths (GPBT-L); ii) performed as repetitive actions of short distance including many multi-directional changes of direction (GPBT-S) and, iii) a combination of the other two protocols, that is linear high-speed runs and sprint efforts with a single change of direction (GPBT-M). External load outputs were collected using GPS units, physiological and perceptual responses were monitored with heart rate (HR) monitors, and ratings of perceived exertion (RPE), respectively. While no differences were found between formats for HR and RPE, distinct external load profiles were observed for high-speed running (HSD) and sprint distances (SD), (GPBT-L > GPBT-M > GBPT-S, all p < 0.05), and high-intensity acceleration and deceleration efforts (HIE), (GPBT-S > GPBT-M > GPBT-L, all p < 0.05). Moreover, the GPBT-S format was characterized by greater intra-session variability for HSD, SD, and HIE (CV% = 24.2%, 16.5% and 20.4%, respectively) and inter-session variability for HSD and SD (CV% = 10% and 15.7%, respectively) compared to the other two formats. Considering their load profiles and the associated reliability scores, football practitioners can implement GPBT formats interchangeably to elicit necessary internal load responses and selectively to prioritize specific external load outputs.

The isometric horizontal push test correlates with jumping and sprinting performance among athletes and recreationally active controls.

The aim of this study was two-fold: (i) to examine the relationships between force outputs measured in the isometric horizontal push test (IHPT) and athletic performances; (ii) to compare IHPT outputs between football players and recreationally active controls. Thirty-two male subjects (football players, n = 16; university students, n = 16) completed the IHPT, countermovement jump (CMJ), standing long jump (SLJ), 5 m, 10 m and 20 m sprint tests, randomly across two testing sessions. Multivariate linear regression analysis was used to examine the relationships between IHPT outputs and athletic performances by accounting for the subjects' athletic background. An independent sample t-test was used to compare the IHPT outputs between groups. Moderate to very strong linear relationships (r2 range: 0.16-0.56) were found between the IHPT and all athletic performances (all p < .026). Percent variance explained by the IHPT outputs after accounting for groups difference was 16%, 56%, 54%, 48% and 40% for CMJ height, SLJ distance, 5 m, 10 m and 20 m sprint performances, respectively. Compared to controls (6.18 ± 0.89 N/kg), football players (10.09 ± 1.57 N/kg) achieved greater IHPT force outputs (p < .001, Hedges' g = 3.2, large ES). The IHPT is clearly correlated to horizontal and vertical athletic performances and can adequately distinguish between athletes and recreationally active controls based on their IHPT results. Future studies should examine the usefulness of the IHPT as a testing tool informing training prescription and performance monitoring practices.

Implementing High-speed Running and Sprinting Training in Professional Soccer.

High-speed running and sprinting training play an important role in the development of physical capabilities, sport-specific performance and injury prevention among soccer players. This commentary aims to summarize the current evidence regarding high-speed running and sprinting training in professional soccer and to inform its implementation in research and applied settings. It is structured into four sections: 1) Evidence-based high-speed running and sprinting conditioning methodologies; 2) Monitoring of high-speed running and sprinting performance in soccer 3) Recommendations for effective implementation of high-speed running and sprinting training in applied soccer settings; 4) Limitations and future directions. The contemporary literature provides preliminary methodological guidelines for coaches and practitioners. The recommended methods to ensure high-speed running and sprinting exposure for both conditioning purposes and injury prevention strategies among soccer players are: high-intensity running training, field-based drills and ball-drills in the form of medium- and large-sided games. Global navigation satellite systems are valid and reliable technologies for high-speed running and sprinting monitoring practice. Future research is required to refine, and advance training practices aimed at optimizing individual high-speed running and sprinting training responses and associated long-term effects.

Validity and reliability of a flywheel squat test in sport.

The aims of this study were to examine the test-retest reliability and construct validity of the flywheel (FW)-squat test. Twenty male amateur team sports athletes (mean±SD: age 23±3 years) completed one familiarization session and two testing sessions including: FW-squat test with an inertial load of 0.061 kg.m2, standing long jump (SLJ), countermovement jump (CMJ) and 5-m change of direction (COD-5m) tests, and isokinetic strength assessments of the knee extensor and flexor muscles. Test-retest reliability was assessed with intraclass correlation coefficient (ICC) and coefficient of variation (CV) of data collected. Construct validity was determined as the degree of relationships between the FW-squat test outputs and both athletic tests and isokinetic assessments scores computed with Pearson's correlation coefficients. Excellent relative (ICC=0.94-0.95) and acceptable absolute (CV=5.9%-6.8%) reliability scores were found for both concentric and eccentric power outputs collected during the FW-squat test. The same outputs showed moderate to large positive correlations with concentric and eccentric knee extensor and flexor muscle peak force values (r range: 0.465-0.566) measured during the isokinetic test. The FW-squat test is a valid and reliable test to assess lower limb performance given its correlation with isokinetic test, as well as its excellent relative and acceptable absolute reliability.

Comparative Effects of Game Profile-Based Training and Small-Sided Games on Physical Performance of Elite Young Soccer Players.

ABSTRACT: Dello Iacono, A, Beato, M, and Unnithan, V. Comparative effects of game profile-based training and small-sided games on physical performance of elite young soccer players. J Strength Cond Res 35(10): 2810-2817, 2021-This study was designed to investigate and compare the effects of game profile-based training (GPBT) and small-sided game (SSG) training on physical performances of elite youth soccer players during the in-season period. Twenty young soccer players (18.6 ± 0.6) were randomly assigned to either GPBT or SSG protocols performed twice a week for 8 weeks. The GPBT consisted of 2 sets of 6-10 minutes of intermittent soccer-specific circuits. The SSG training consisted of 3-5 sets of 5 vs. 5 SSGs played on a 42 × 30-m pitch. Before and after the training program, the following physical performances were assessed: repeated sprint ability, change of direction (COD), linear sprinting on 10 m and 20 m, countermovement jump, and intermittent running (YYIRL1). Significant improvements were found in all the assessed variables after both training interventions (p < 0.05). The GPBT group improved more than the SSG group in the 10-m and 20-m sprint tests by 2.4% (g = 0.4; small effect) and 4% (g = 0.9; large effect), respectively. Conversely, the SSG group jumped 4% higher (g = 0.4; small effect) and resulted 6.7% quicker than the GPBT (g = 1.5; large effect) in completing the COD task. These results suggest both GPBT and SSGs to be effective for fitness development among elite young soccer players during the competitive season. More importantly, these 2 conditioning methodologies may be considered in terms of specificity for selectively improving or maintaining specific soccer fitness-related performances in the latter phase of the season.

Barbell Hip-Thrust Exercise: Test-Retest Reliability and Correlation With Isokinetic Performance.

ABSTRACT: Dello Iacono, A, Padulo, J, Beslija, T, and Halperin, I. Barbell hip-thrust exercise: Test-retest reliability and correlation with isokinetic performance. J Strength Cond Res 35(3): 659-667, 2021-The barbell hip-thrust (BHT) exercise is growing in popularity as evident by the large increase in research outputs investigating its utility as a training intervention and a testing tool. The aim of this study was to examine the test-retest reliability of the BHT and its correlation with isokinetic performance. Test-retest reliability was established by correlating the peak force and power outcomes measured with the BHT force-velocity profile test of 20 handball athletes on 2 separate days. The peak force and power measured with the BHT force-velocity profile test of 49 handball athletes were correlated with peak concentric force of the knee flexors and hip extensors measured with an isokinetic device at 2 different velocities (60-180°·s-1). The correlation between the isokinetic testing scores and the BHT force-velocity profile tests were moderate to large (Pearson r ranges: 0.45-0.86, all p values <0.001). Test-retest reliability of the BHT force-velocity profile was very high as shown with intraclass correlations of 0.94 and 0.99 for peak force and 0.97 and 0.99 for peak power measures. The BHT force-velocity profile can serve as a tentative substitute in cases that athletes do not have access to an isokinetic device, given the moderate to large correlations between them. Moreover, the BHT force-velocity profile was shown to be very reliable, thus providing coaches and scientists a range of day-to-day performance variability in this exercise.

Beneficial Effects of Small-Sided Games as a Conclusive Part of Warm-up Routines in Young Elite Handball Players.

ABSTRACT: Iacono, AD, Vigotsky, AD, Laver, L, and Halperin, I. Beneficial effects of small-sided games as a conclusive part of warm-up routines in young elite handball players. J Strength Cond Res 35(6): 1724-1731, 2021-The aim of this study was to compare the effects of small-sided games (SSGs) and traditional warm-up strategies on the mechanical, physiological, and perceptional responses of handball players. Using a randomized and counterbalanced design, 12 elite male handball players completed a general 8-minute warm-up, which was concluded with an 8-minute section of either specific handball shooting drills or 3 × 2 minutes of 3 vs. 3 SSG with a passive recovery of 1 minute between bouts. Countermovement jumps (CMJs) and plyometric press-ups (PPs) were assessed before and immediately after the warm-up regimens using a force plate. Heart rate (HR) was assessed during the warm-up regimens, and rating of perceived exertion (RPE) was assessed after the regimens. Meaningful differences favoring SSG were observed in most of the kinetic variables in the CMJs and PPs (|Hedges g| = 0.26-1.42). Conversely, no meaningful differences were found between warm-up regimens in RPE or HR responses (z-scores = 0.45 and 1.88, respectively). These results indicate that concluding warm-ups with SSGs offer greater benefits compared with a more traditional warm-up routine, despite similar HR and RPE responses even when matched for duration among elite-level handball players.

Reliability, Sensitivity, and Minimal Detectable Change of a New Specific Climbing Test for Assessing Asymmetry in Reach Technique.

ABSTRACT: Cular, D, Dhahbi, W, Kolak, I, Iacono, AD, Beslija, T, Laffaye, G, and Padulo, J. Reliability, sensitivity, and minimal detectable change of a new specific climbing test for assessing asymmetry in reach technique. J Strength Cond Res 35(2): 527-534, 2021-The aims of this study were to establish intertrial and intersession reliability, sensitivity, and minimal detectable change of a new climbing test specifically for assessing asymmetry in reach technique (TEST). Twenty-four young climbers (16 males and 8 females) participated in this study. The protocol consisted of performing, in counterbalanced random order, 3 tests; TEST, maximum handgrip force, and squat on the bench, in 2 sessions (with 3 trials for each session). TEST performance was expressed as: TEST performance for left hand (TESTL), TEST performance for right hand (TESTR), and absolute symmetry index (ASI). For intertrial and intersession reliability assessment, TESTL and TESTR showed excellent reliability (intraclass correlation coefficients ranged: 0.96-1.00; SEM% ranged: 0.07-1.23; and coefficient of variation-CV%: 1.28-2.53). In addition, SEMs were smaller than the smallest worthwhile change (SWC) values (SWC% = 1.07 and 0.99 for TESTL and TESTR, respectively), and the minimal detectable change (MDC95) for both sides was small (<4.36 cm). An exception was ASI, which showed low absolute reliability and marginal sensitivity (SEM% = 15.13 > SWC% = 8.40 and CV% = 41.98). Pairwise test comparisons revealed no difference between sides. Considering the high reliability and the satisfactory sensitivity, TEST can be used to define individual asymmetry in the performance of the reach technique to the left or the right body side in climbers. However, interpreting data using the ASI index requires caution because it had poor absolute reliability and marginal sensitivity.

Effect of Postactivation Potentiation After Medium vs. High Inertia Eccentric Overload Exercise on Standing Long Jump, Countermovement Jump, and Change of Direction Performance.

ABSTRACT: Beato, M, De Keijzer, KL, Leskauskas, Z, Allen, WJ, Dello Iacono, A, and McErlain-Naylor, SA. Effect of postactivation potentiation after medium vs. high inertia eccentric overload exercise on standing long jump, countermovement jump, and change of direction performance. J Strength Cond Res 35(9): 2616-2621, 2021-This study aimed to evaluate the postactivation potentiation (PAP) effects of an eccentric overload (EOL) exercise on vertical and horizontal jumps and change of direction (COD) performance. Twelve healthy physically active male subjects were involved in a crossover study. The subjects performed 3 sets of 6 repetitions of EOL half squats for maximal power using a flywheel ergometer. Postactivation potentiation using an EOL exercise was compared between a medium (M-EOL) vs. high inertia (H-EOL) experimental condition. Long jump (LJ) was recorded at 30 seconds, 3, and 6 minutes after both EOL exercises and compared with baseline values (control). The same procedure was used to assess countermovement jump (CMJ) height and peak power and 5-m COD test (COD-5m). A fully Bayesian statistical approach to provide probabilistic statements was used in this study. Long jump performance reported improvements after M-EOL and H-EOL exercise (Bayes factor [BF10] = 32.7, strong; BF10 = 9.2, moderate), respectively. Countermovement jump height (BF10 = 135.6, extreme; BF10 > 200, extreme), CMJ peak power (BF10 > 200, extreme; BF10 = 56.1, very strong), and COD-5m (BF10 = 55.7, very strong; BF10 = 16.4, strong) reported improvements after M-EOL and H-EOL exercise, respectively. Between analysis did not report meaningful differences in performance between M-EOL and H-EOL exercises. The present outcomes highlight that PAP using an EOL (M-EOL and H-EOL) improves LJ, CMJ height, CMJ peak power, and COD-5m in male athletes. The optimal time window for the PAP effect was found for both EOL conditions from 3 to 6 minutes. However, M-EOL and H-EOL produce similar PAP effect on LJ, CMJ, and COD-5m tasks.

Acute mechanical, physiological and perceptual responses in older men to traditional-set or different cluster-set configuration resistance training protocols.

PURPOSE: The aims of this study were to compare mechanical outputs (i.e. power and impulse), physiological (i.e. heart rate) and perceptual (i.e. effort and fatigue) responses in older men to traditional-set or different cluster-set configuration resistance training protocols. METHODS: In a randomized cross-over design, 20 healthy old men (aged 67.2 ± 2.1 years) completed four resistance training sessions using the back squat exercise loaded with optimal power loads. Training configurations were: traditional (TRA), three sets of six repetitions with 120-s rest between each set; Cluster-set 1 (CLU1), 24 single-repetition clusters with 10 s of rest after every cluster; Cluster-set 2 (CLU2), 12 double-repetition clusters with 20-s rest after every cluster; and Cluster-set 4 (CLU4), 6 quadruple-repetition clusters with 40-s rest after every cluster. RESULTS: Cluster-set configurations resulted in greater power outputs compared to traditional-set configuration (range 2.6-9.2%, all p [Formula: see text] 0.07 for main effect and protocol [Formula: see text] set interactions). CLU1 and CLU2 induced higher heart rate (range 7.1-10.5%, all p < 0.001 for main effect and protocol [Formula: see text] set interactions), lower rating of perceived exertion (range - 1.3 to - 3.2 AU, all p [Formula: see text] 0.006 for pairwise comparisons) and lower ratings of fatigue (range - 0.15 to - 4 AU, all p [Formula: see text] 0.012 for pairwise comparisons) compared to TRA and CLU4. Finally, an absolute preference for CLU2 was reported. CONCLUSIONS: Findings presented here support the prescription of CLU2 as an optimal resistance training configuration for trained older men using the back squat.

Effectiveness of Field-Based Resistance Training Protocols on Hip Muscle Strength Among Young Elite Football Players.

OBJECTIVE: The objective of this study was to examine the effects of an 8-week progressive resistance training program on hip joint muscles' strength measures, using the Copenhagen adduction (CA) and the sliding hip (SH) exercises. DESIGN: Prospective randomized controlled trial. SETTING: Sport training and medical centers. PARTICIPANTS: Forty-two young male football athletes (age 17.5 ± 1.1 years; height 178.3 ± 3.2 cm; body mass 66.1 ± 8.6 kg) allocated to a CA, SH, and matched control (C) group. INTERVENTIONS: Two weekly sessions of CA and SH. MAIN OUTCOME MEASURES: Maximal eccentric strength test for the hip adductor (EHAD) and maximal eccentric strength test for the hip abductor (EHAB) muscles, and the relative EHAD/EHAB ratio assessed through a break test in the side-lying position. RESULTS: No significant differences between groups were found at baseline for any of the assessed variables (all P > 0.053). The CA group had a significant strength increase in the right and left leg (d = 2.11, d = 1.9, respectively). The SH group also had a significant strength increase in the right and left leg (d = 1.68 and d = 1.67, respectively). The CA group presented EHAD/EHAB improvements in the right and left leg (d = 0.84 and d = 1.14, respectively). The SH group also presented EHAD/EHAB improvements in the right and left leg (d = 1.34 and d = 1.44, respectively). CONCLUSIONS: Both exercises' protocols were effective in inducing significant increases on EHAD, EHAB, and EHAD/EHAB ratio when compared with the control group. Practitioners should be aware of the training effectiveness of both protocols.

Validity and reliability of a standalone low-end 50-Hz GNSS receiver during running.

The aim of the investigation was to verify the validity and reliability of a low-end 50-Hz Global Navigation Satellite System receiver (GNSSr) for different soccer-specific run distances and average speed assessments. Six soccer players were assessed on two different days while performing eight different running paths with changes of direction for a final total of 44 runs. During the runs, each participant was equipped with the GNSSr, while the time for each single run was recorded using a photocell gate. Reference vs. receiver assessment correspondences for distance and average speed were evaluated by calculating the standard error of the estimate (SEE), coefficient of variation (CV), and mean bias. Residual vs. predicted value comparison was performed by means of Bland-Altman plots. Finally, calculating the intra-class correlations coefficient (ICC) assessed the test-retest reliability of the measurement. Receiver distance assessment showed an SEE of 0.52 m (0.73%), and mean bias of 0.06 m. Receiver average speed assessment showed an SEE of 0.02 m·s-1 (0.74%) and mean bias of 0.001 m·s-1. The Bland-Altman plot showed a small difference between the two assessments with the 95% limits of agreement=±1.08 m/0.046 m·s-1. Receiver distance/speed assessment was found to be reliable, with ICC=0.999. In spite of its low cost, the new low-end GNSSr provides valid and reliable assessments of distance and average speed for young adults performing several standardized running actions of differing lengths within delimited setup spaces.

Hip thrust-based PAP effects on sprint performance of soccer players: heavy-loaded versus optimum-power development protocols.

This study aimed to investigate the acute effects of two barbell hip thrust-based post-activation potentiation (PAP) protocols on subsequent sprint performance. Using a crossover design, eighteen soccer athletes performed 5 m, 10 m, and 20 m sprints before and 15 s, 4 min, and 8 min after two PAP protocols. The PAP conditioning activities consisted of hip thrust exercises loaded with either 85% 1RM or a load for optimum power development. The resulting 5 m and 10 m sprint performances were impaired at 15 s following both protocols. At 4 min and 8 min, meaningful improvements were observed for the three sprint distances following both of the protocols. Meaningful differences were found when comparing the two PAPs over time: greater impairments in 5 m and 10 m following the 85% of 1 RM protocol after 15 s, and greater improvements in all sprint distances after 4 min and 8 min following the optimum power development protocol. Positive correlations between the hip thrust's 1RM and power values and the overall individual PAP responses were found. This investigation showed that both heavy-loaded and optimum-power hip thrust exercises can induce a PAP response, with the optimum-power development protocol preferred due its higher efficiency.

Loaded hip thrust-based PAP protocol effects on acceleration and sprint performance of handball players.

This study aimed to investigate the acute effects of two barbell hip thrust-based (BHT) post-activation potentiation (PAP) protocols on subsequent sprint performance. Using a crossover design, eighteen handball athletes performed maximal 15-m sprints before and 15s, 4min and 8min after two experimental protocols consisting of BHT loaded with either 50% or 85% 1RM (50PAP and 85PAP, respectively), in order to profile the transient PAP effects. The resulting sprint performances were significantly impaired at 15s only after the 85PAP protocol, which induced likely and very likely greater decreases compared to the 50PAP. At 4min and 8min, significant improvements and very likely beneficial effects were observed in the 10m and 15m performances following both protocols. Significant differences were found when comparing the two PAPs over time; the results suggested very likely greater performance improvements in 10m following the 85PAP after 4min and 8min, and possible greater performance improvements in 15m after 4min. Positive correlations between BHT 1RMs values and the greatest individual PAP responses on sprint performance were found. This investigation showed that both moderate and intensive BHT exercises can induce a PAP response, but the effects may differ according to the recovery following the potentiating stimulus and the individual`s strength level.

Effect of contact and no-contact small-sided games on elite handball players.

This study aimed to investigate the effect of contact (C-SSG) and no-contact (NC-SSG) handball small-sided games (SSGs) on motion patterns and physiological responses of elite handball players. Twelve male handball players performed 10 C-SSG and 10 NC-SSG while being monitored through the heart rate (HR) and rate of perceived exertion (RPE) as physiological responses and time-motion activities profile using video-match analysis. Both game conditions resulted in similar HR responses (P > 0.05), but the NC-SSG led to a higher RPE scores. The time-motion activity analysis featured NC-SSG with a greater amount of walking (855.6 ± 25.1 vs. 690.6 ± 35.2 m) and backward movements (187.5 ± 12.3 vs. 142.5 ± 8.7 m) combined with fast running (232.3 ± 8.5 vs. 159.7 ± 5.7 m) and sprinting (79.5 ± 4.7 vs. 39.7 ± 3.7 m) activities (P < 0.001). Conversely, C-SSG had a higher percentage of jogging and sideway movements associated with greater frequency of jumping (0.87 ± 0.09 vs. 0.31 ± 0.06 nr) and physical contact (1.82 ± 0.55 vs. 0.25 ± 0.03 nr) events (P < 0.001). No between-regimen differences were found for the number of throws (P = 0.745). In addition, the RPE was significantly correlated with fast running relative distances (r = 0.909, P < 0.001) and sprinting relative distances (r = 0.939, P < 0.001). In conclusion, this investigation showed that both C-SSG and NC-SSG in team handball can effectively represent specifically oriented exercises, according to the sport-task and the performance demands.

Isokinetic moment curve abnormalities are associated with articular knee lesions.

The aim of this study was to test whether lesions of the medial meniscus (MM) and of the anterior cruciate ligament (ACL) are associated with specific abnormalities of isokinetic moment curves (IMCs). Fifty-four young adults (20 active healthy people, and 34 patients with unilateral knee injuries) were assessed through knee extensor and flexor isokinetic tests at 60°/s. Qualitative IMC analysis was performed using a novel classification system which identified three distinct abnormal shapes. The chi-squared (χ2) test was used to determine the inter-individual and intra-individual differences between the groups. Quantitative IMC inter-group comparisons were performed by a one-way analysis of variance (ANOVA). Knees with MM and ACL lesions were consistently associated with IMC shape irregularities (p<0.001) and with abnormal quantitative scores (p<0.001). More specifically, knees with isolated ACL lesions and knees with combined ACL and MM lesions presented similar distribution of knee extensor and flexor IMC irregularities, which was not present in knees with isolated MM lesions. A possible association between specific knee pathologies and IMC irregularities was identified (all p<0.05). In conclusion, different knee pathologies may be associated with different qualitative IMCs, which could be used as an additional presentation tool in clinical settings.

Vibration effect on ball score test in international vs. national level table tennis.

In table tennis, motor skills are crucial for discriminating player level. However, there is a dearth of studies exploring the impact of a vibrational stimulus on performance. Thirty-four male players (age 25±2 years; body mass index, BMI 23.4±1.2 kg·m -2 ) participated in the study. Seventeen played at international level (IL), while the remaining 17 played at national level (NL). The participants underwent a ball-handling test, the ball score, before (PRE) and after (POST) a vibrational stimulus. Intra-class correlation (ICC) for the ball score result showed good reliability (ICC 0.87 for IL and 0.80 for NL). Repeated measures ANOVA showed differences between groups for ball score (p=0.000) and a significant group×time interaction (p=0.004). Better performances were observed for the IL group than for the NL group, significantly only for POST. Vibration produced positive and negative effects in IL and NL groups, respectively.

Can a Repeated Sprint Ability Test Help Clear a Previously Injured Soccer Player for Fully Functional Return to Activity? A Pilot Study.

OBJECTIVE: To investigate the effects of fatigue induced by a repeated sprint ability (RSA) test on the neuromuscular responses of soccer players with a recent history of lower limb injuries (CH) and a matched control group in good fitness condition (GH). DESIGN: This was a case-control study. PARTICIPANTS: Nine CH and 9 GH. INDEPENDENT VARIABLE: Allocation to CH or GH. MAIN OUTCOME MEASURES: Each player was assessed for blood lactate concentration and jumping performance [squat jump (SJ) and countermovement jump (CMJ)] before/after RSA. Post-RSA rate of perceived exertion (RPE) was obtained. Receiver operating characteristic analysis was performed to calculate RSA sensitivity and specificity in distinguishing between CH and GH. Intraclass correlation coefficient was used to assess reliability. RESULTS: No baseline differences were found for any variable. ΔSJ before/after RSA was -14 ± 2% and -5 ± 2% in CH and GH, respectively (P < 0.05). ΔCMJ before/after RSA was -15 ± 2% and -7 ± 2% in CH and GH, respectively (P < 0.05). ΔSJ-based and ΔCMJ-based (before/after RSA) area under curve (AUC) resulted in 0.90 ± 0.07 and 0.86 ± 0.09, respectively, with both AUCs differentiating between CH and GH with 77.78% sensitivity and 88.89% specificity. Pooled AUC resulted in 0.88 ± 0.06. Intraclass correlation coefficient was high (0.85/0.97). CONCLUSIONS: Repeated sprint ability is a simple, low-cost field test potentially able to assist in clinical decision making for return to sport.

Vertical- vs. Horizontal-Oriented Drop Jump Training: Chronic Effects on Explosive Performances of Elite Handball Players.

Dello Iacono, A, Martone, D, Milic, M, and Padulo, J. Vertical- vs. horizontal-oriented drop jump training: chronic effects on explosive performances of elite handball players. J Strength Cond Res 31(4): 921-931, 2017-This study aimed to assess the chronic effects of vertical drop jump (VDJ)- and horizontal drop jump (HDJ)-based protocols on neuromuscular explosive abilities, such as jumping, sprinting, and changes of direction (COD). Eighteen elite male handball players (age 23.4 ± 4.6 years, height 192.5 ± 3.7 cm, weight 87.8 ± 7.4 kg) were assigned to either VDJ or HDJ group training twice a week for 10 weeks. Participants performed 5-8 sets × 6-10 repetitions of vertical alternate (VDJ) or horizontal alternate (HDJ) 1-leg drop jumps, landing from the top of a platform 25 cm in height. Before and after training, several performance, kinetic, and kinematic variables were assessed. The HDJ led to greater improvement of the sprint time (-8.5% vs. -4%, p ≤ 0.05) and COD performance in comparison with the VDJ (-7.9% vs. -1.1%, p ≤ 0.05), whereas the VDJ caused greater improvement in the vertical jump compared with the HDJ (+8.6% vs. +4.1%, p ≤ 0.05). Moreover, the VDJ regimen compared with the HDJ induced greater changes in the kinetic variables associated with vertical jumping performance, such as peak ground reaction forces (+10.3% vs. +4.3%), relative impulse (+12.4% vs. +5.7%), leg spring stiffness (+17.6% vs. +4.6%), contact time (CT) (-10.1% vs. -1.5%), and reactive strength index (+7.2% vs. +2.1%); all comparisons with p ≤ 0.05. Conversely, the HDJ regimen was able to improve the short-distance and COD performances by increasing the step length (+3.5% vs. +1.5% with p ≤ 0.05) and reducing the CT on COD (-12.1% vs. -2.1% with p ≤ 0.05) more than the VDJ. This investigation showed the crucial role that specific plyometric regimens play in optimizing similar biomechanical featured functional performances, such as jumping, sprinting, and COD.