Methodological considerations in assessing countermovement jumps with handheld accentuated eccentric loading.

This study aimed to compare the agreement between three-dimensional motion capture and vertical ground reaction force (vGRF) in identifying the point of dumbbell (DB) release during a countermovement jump with accentuated eccentric loading (CMJAEL), and to examine the influence of the vGRF analysis method on the reliability and magnitude of CMJAEL variables. Twenty participants (10 male, 10 female) completed five maximal effort CMJAEL at 20% and 30% of body mass (CMJAEL20 and CMJAEL30, respectively) using DBs. There was large variability between methods in both loading conditions, as indicated by the wide limits of agreement (CMJAEL20 = -0.22 to 0.07 s; CMJAEL30 = -0.29 to 0.14 s). Variables were calculated from the vGRF data, and compared between four methods (forward integration (FI), backward integration (BI), FI adjusted at bottom position (BP), FI adjusted at DB release point (DR)). Greater absolute reliability was observed for variables from DR (CV% ≤ 7.28) compared to BP (CV% ≤ 13.74), although relative reliability was superior following the BP method (ICC ≥ 0.781 vs ≥ 0.606, respectively). The vGRF method shows promise in pinpointing the DB release point when only force platforms are accessible, and a combination of FI and BI analyses is advised to understand CMJAEL dynamics.

Relative strength explains the differences in multi-joint rapid force production between sexes.

The primary aim of this study was to determine whether relative strength explains the differences in the rapid force production (force developed during first 150-, 200-, and 250 ms) of females and males, and to evaluate the relationships between peak force and rapid force production. Sixty-three team sport athletes (females: n = 25, age = 21.5 ± 1.3 years, stature = 166 ± 5 cm, body mass = 60.65 ± 10.04 kg; males: n = 38, age = 21.9 ± 1.1 years, stature = 178 ± 7 cm, body mass = 76.55 ± 12.88 kg) performed a series of isometric mid-thigh pull (IMTP) trials, with all participants' data used for correlational analysis. After testing, females and males were divided into 20 strength-matched pairs, based on their relative peak force (peak force ∙ body mass). There were no meaningful differences between sexes for relative force at 150 ms (g = 0.007 [95% CI -0.627, 0.648]), 200 ms (g = -0.059 [95% CI -0.695, 0.588]) and 250 ms (g = -0.156 [95% CI -0.778, 0.473]). Similarly, when expressed as a percentage of peak force there were no meaningful differences in force at 150 ms (g = -0.015 [95.0%CI -0.650, 0.680]), 200 ms (g = -0.099 [95.0%CI -0.714, 0.559]) or 250 ms (g = -0.272 [95.0%CI -0.856, 0.328]) between strength-matched females and males. Based on the correlations, there were very large to nearly perfect relationships (r = 0.77-0.94, p <0.001) between peak force and rapid force production, with peak force explaining 59%, 77% and 89% of the variance in force at 150-, 200- and 250 ms, respectively. When comparing females and males, relative strength (based on body weight or a percentage of peak force) should be considered, and practitioners should be aware of the role of peak force in rapid force production.

Effects of 56-Kilogram Kettlebell Swing Endpoint on Total Body Mechanics.

ABSTRACT: Ross, JA, Keogh, JWL, Lorenzen, C, and Lake, J. Effects of 56-kilogram kettlebell swing endpoint on total body mechanics. J Strength Cond Res 37(12): 2333-2338, 2023-In the past 2 decades, kettlebell training popularity has increased and the range of kettlebells has expanded to 2-92 kg. However, commercially available kettlebells above 56 kg have 12 kg increments, so alternatives to load are required to provide a suitable way of increasing training stimulus until the athlete is strong enough for a load increase. This study aimed to determine the differences in the force plate-derived biomechanical characteristics of heavy kettlebell swings to 3 different heights, as altering the height of the kettlebell swing may be one way to alter the mechanical demands with the same kettlebell mass. Fifteen resistance-trained men performed the kettlebell swing to acromion process height (AH), acromion process height + 20% (AH+20), and acromion process height-20% (AH-20). Swing height significantly affected vertical braking and propulsion phase net impulse and displacement, vertical braking velocity, and braking and propulsion work but not braking and propulsion duration. Altering kettlebell swing trajectory endpoint is a method to regress/progress the demands of kettlebell training. Coaches may be able to alter the acute demands and likely chronic adaptations of kettlebell training by prescribing different swing heights and kettlebell masses to their athletes.

Predicting Weight Category-Specific Performance Zones for Olympic, World, and European Weightlifting Competitions.

ABSTRACT: Chavda, S, Comfort, P, Lake, JP, Bishop, C, and Turner, AN. Predicting weight category-specific performance zones for Olympic, World, and European weightlifting competitions. J Strength Cond Res 37(10): 2038-2045, 2023-Understanding the total likely required weight category to achieve a specific rank within a specific competition can aid in the long-term and short-term preparation and tactics for performance teams. The primary objective of this investigation was to develop a set of predictive models for new weight categories across 5 performance zones for 3 major weightlifting competitions. Performance total (Ptot) data for top 15 male athletes were obtained from the International Weightlifting Federation website from 1998 to 2020 across the Olympics, and World and European Championships. A second-order polynomial regression was conducted with 95% confidence, and predictive intervals were calculated. The average of the newly contested body mass was then used as the intercept. Predictions were compared against current performances of the new weight categories up to the 2020 Olympics. Results revealed that the models for all competition types varied in their predictive ability for each performance zone, across each new weight category. On average, predicted Ptot displayed a difference from actual Ptot of 3.65 ± 2.51% (12.46 ± 9.16 kg), 0.78 ± 3.29% (2.26 ± 10.08 kg), and -1.13 ± 3.46% (-4.32 ± 11.10 kg) for the Olympics, and World and European Championships, respectively. The results suggest that the predictive models may be a good indicator of future performances; however, the models may have greater efficacy in some weight categories and performance zones than others.

The Validity of Hawkin Dynamics Wireless Dual Force Plates for Measuring Countermovement Jump and Drop Jump Variables.

Force plate testing is becoming more commonplace in sport due to the advent of commercially available, portable, and affordable force plate systems (i.e., hardware and software). Following the validation of the Hawkin Dynamics Inc. (HD) proprietary software in recent literature, the aim of this study was to determine the concurrent validity of the HD wireless dual force plate hardware for assessing vertical jumps. During a single testing session, the HD force plates were placed directly atop two adjacent Advanced Mechanical Technology Inc. in-ground force plates (the "gold standard") to simultaneously collect vertical ground reaction forces produced by 20 participants (27 ± 6 years, 85 ± 14 kg, 176.5 ± 9.23 cm) during the countermovement jump (CMJ) and drop jump (DJ) tests (1000 Hz). Agreement between force plate systems was determined via ordinary least products regression using bootstrapped 95% confidence intervals. No bias was present between the two force plate systems for any of the CMJ and DJ variables, except DJ peak braking force (proportional bias) and DJ peak braking power (fixed and proportional bias). The HD system may be considered a valid alternative to the industry gold standard for assessing vertical jumps because fixed or proportional bias was identified for none of the CMJ variables (n = 17) and only 2 out of 18 DJ variables.

Agreement in Squat Jump Force-Time Characteristics Between Smith Machine and Free-Weight Squat Jump Force-Time Characteristics.

ABSTRACT: Kotani, Y, Lake, J, Guppy, SN, Poon, W, Nosaka, K, and Haff, GG. Agreement in squat jump force-time characteristics between Smith machine and free-weight squat jump force-time characteristics. J Strength Cond Res 37(10): 1955-1962, 2023-The purpose of this study was to determine whether squat jump (SJ) force-velocity (FV) and load-velocity (LV) profiles created using free-weights agree with profiles created with a Smith machine. Fifteen resistance-trained male subjects (age = 26.4 ± 2.5 years; height = 1.75 ± 0.09 m; body mass = 82.6 ± 13.4 kg) participated in this study. All subjects completed 2 familiarization and 2 experimental sessions using both the Smith machine and free-weight SJs each separated by 48 hours. During the experimental trials, progressively loaded SJs were performed in a quasi-randomized block order with loads between 21 kg and 100% of the subject's body mass. Agreement between exercise mode was determined with a weighted least products regression analysis. No fixed or proportional bias was noted between exercise modes when using peak velocity (PV) and mean velocity (MV) to create an FV profile. There was no fixed and proportional bias present for the LV profile when the profile was created with PV. When the LV profile was calculated from MV, fixed and proportional bias were present, indicating that MVs were significantly different between exercise modes. In addition, the free-weight FV and LV profiles exhibited poor to good relative and good to poor absolute reliability. Furthermore, when created using the Smith machine, both profiles exhibited poor to moderate relative and absolute reliability. Based on these data, caution should be used when interpreting LV and FV profiles created with these 2 methods.

Building for the Future: A Systematic Review of the Effects of Eccentric Resistance Training on Measures of Physical Performance in Youth Athletes.

BACKGROUND: Eccentric resistance training is recognised as an effective stimulus for enhancing measures of muscular strength and power in adult populations; however, its value in youth athletes is currently not well understood. OBJECTIVE: The aim of this systematic review was to critically appraise the effects of eccentric resistance training on measures of physical performance (i.e. muscular strength, jump, sprint and change of direction) in youth athletes 18 years of age and under. METHODS: Original journal articles published between 1950 and June 2022 were retrieved from electronic search engines of PubMed, SPORTDiscus and Google Scholar's advanced search option. Full journal articles investigating the acute and chronic effects of eccentric resistance training on measures of physical performance in youth athletes (i.e. a person 18 years of age or under who competes in sport) were included. The methodological quality and bias of each study were assessed prior to data extraction using a modified Downs and Black checklist. RESULTS: The search yielded 749 studies, of which 436 were duplicates. Three-hundred studies were excluded based upon title and abstract review and a further 5 studies were removed following the modified Downs and Black checklist. An additional 14 studies were identified during backward screening. Accordingly, 22 studies were included in our systematic review. The Nordic hamstring exercise and flywheel inertial training were the most frequently used eccentric resistance training methods in youth athletes. Improvements in physical performance following the Nordic hamstring exercise are dependent upon an increase in the breakpoint angle, rather than training volume (sets and repetitions), and are further elevated with the addition of hip extension exercises or high-speed running. A minimum of 3 familiarisation trials is necessary to elicit meaningful adaptations following flywheel inertial training. Furthermore, an emphasis should be placed upon decelerating the rotating flywheel during the final one to two thirds of the eccentric phase, rather than gradually throughout the entire eccentric phase. CONCLUSIONS: The findings of this systematic review support the inclusion of eccentric resistance training in youth athletes to improve measures of muscular strength, jump, sprint and change of direction performance. The current eccentric resistance training methods are predominantly limited to the Nordic hamstring exercise and flywheel inertial training; however, the efficacy of accentuated eccentric loading to improve jump performance warrants attention in future investigations.

Mechanical power production assessment during weightlifting exercises. A systematic review.

The assessment of the mechanical power production is of great importance for researchers and practitioners. The purpose of this review was to compare the differences in ground reaction force (GRF), kinematic, and combined (bar velocity x GRF) methods to assess mechanical power production during weightlifting exercises. A search of electronic databases was conducted to identify all publications up to 31 May 2019. The peak power output (PPO) was selected as the key variable. The exercises included in this review were clean variations, which includes the hang power clean (HPC), power clean (PC) and clean. A total of 26 articles met the inclusion criteria with 53.9% using the GRF, 38.5% combined, and 30.8% the kinematic method. Articles were evaluated and descriptively analysed to enable comparison between methods. The three methods have inherent methodological differences in the data analysis and measurement systems, which suggests that these methods should not be used interchangeably to assess PPO in Watts during weightlifting exercises. In addition, this review provides evidence and rationale for the use of the GRF to assess power production applied to the system mass while the kinematic method may be more appropriate when looking to assess only the power applied to the barbell.

Exploring unintended consequences of adult antimicrobial stewardship programs: An Emerging Infections Network survey.

We performed a survey of adult infectious diseases (ID) physicians to explore unintended consequences of antimicrobial stewardship programs (ASP). ID physicians worried about disagreement with colleagues, provider autonomy, and remote recommendations. Non-ASP ID physicians expressed more concern regarding ASPs focus on costs, provider efficiency, and unintended consequences of ASP guidance.

Impact of a Surgical Wound Infection Prevention Bundle in Pediatric Cardiothoracic Surgery.

BACKGROUND: The aim of this project was to decrease the incidence of surgical wound infection (SWI) to <1.5% in our pediatric cardiothoracic surgery patients using a prevention bundle and quality improvement process. METHODS: An SWI prevention bundle addressing preoperative, intraoperative, and postoperative risks was implemented. The primary outcome was SWI based on Society of Thoracic Surgeons criteria (superficial, deep, or mediastinitis). Novel aspects of the bundle included standardization of surgical closure and wound coverage for 14 days with a negative pressure dressing or a silicone dressing. Data were collected from January 2017 to November 2021; bundle intervention began in December 2019. SWIs were tracked using a g-chart. Preintervention and postintervention cohorts were compared by standard descriptive statistics. There were no changes in SWI tracking methods during the study. RESULTS: During the study, 1159 individuals underwent 1768 surgical interventions. Preintervention (n = 931) and postintervention (n = 837) groups were clinically similar, with fewer neonatal surgeries in the postintervention group. SWI decreased in all patients (preintervention period: 1 SWI per 22 surgeries; postintervention period: 1 SWI per 62.6 surgeries) and in neonates (preintervention period: 1 SWI per 12 surgeries; postintervention period: 1 SWI per 26.7 surgeries). Special cause variation was achieved in the entire cohort by March 2021 and in neonates by April 2021. Decreases in SWI occurred in superficial and deep wounds but not in mediastinitis. Annual rate of total SWIs decreased from 2.83% in 2019 to 1.15% in 2021. Intensive care unit and hospital length of stay did not change. CONCLUSIONS: We demonstrated a reduction in SWI rates after implementing an SWI prevention bundle including standardized surgical closure and prolonged wound protection.

Kinetics and Kinematics of the Free-Weight Back Squat and Loaded Jump Squat.

ABSTRACT: Thompson, SW, Lake, JP, Rogerson, D, Ruddock, A, and Barnes, A. Kinetics and kinematics of the free-weight back squat and loaded jump squat. J Strength Cond Res 37(1): 1-8, 2023-The aim of this study was to compare kinetics and kinematics of 2 lower-body free-weight exercises, calculated from concentric and propulsion subphases, across multiple loads. Sixteen strength-trained men performed back squat 1 repetition maximum (1RM) tests (visit 1), followed by 2 incremental back squat and jump squat protocols (visit 2) (loads = 0% and 30-60%, back squat 1RM). Concentric phase and propulsion phase force-time-displacement characteristics were derived from force plate data and compared using analysis of variance and Hedges' g effect sizes. Intrasession reliability was calculated using intraclass correlation coefficient (ICC) and coefficient of variation (CV). All dependent variables met acceptable reliability (ICC >0.7; CV < 10%). Statistically significant 3-way interactions (load × phase × exercise) and 2-way main effects (phase × exercise) were observed for mean force, velocity (30-60% 1RM), power, work, displacement, and duration (0%, 30-50% 1RM) ( p < 0.05). A significant 2-way interaction (load × exercise) was observed for impulse ( p < 0.001). Jump squat velocity ( g = 0.94-3.80), impulse ( g = 1.98-3.21), power ( g = 0.84-2.93), and work ( g = 1.09-3.56) were significantly larger across concentric and propulsion phases, as well as mean propulsion force ( g = 0.30-1.06) performed over all loads ( p < 0.001). No statistically significant differences were observed for mean concentric force. Statistically longer durations ( g = 0.38-1.54) and larger displacements ( g = 2.03-4.40) were evident for all loads and both subphases ( p < 0.05). Ballistic, lower-body exercise produces greater kinetic and kinematic outputs than nonballistic equivalents, irrespective of phase determination. Practitioners should therefore use ballistic methods when prescribing or testing lower-body exercises to maximize athlete's force-time-displacement characteristics.

Pediatric infectious disease physician perceptions of antimicrobial stewardship programs.

Pediatric antimicrobial stewardship programs (ASPs) improve antibiotic use for hospitalized children. Prescriber surveys indicate acceptance of ASPs, but data on infectious diseases (ID) physician opinions of ASPs are lacking. We conducted a survey of pediatric ID physicians, ASP and non-ASP, and their perceptions of ASP practices and outcomes.

The Agreement Between a Portable Contact-Mat and Force-Plates During Bilateral Vertical Jumps.

Force plates are commonly used when assessing vertical jumping performance but are not always affordable or practical tools for all testing situations. Twenty-four participants volunteered to take part in a study investigating the agreement between bilateral force plates and a new commercially available contact mat that records jump height, flight-time (FT), and FT of individual limbs during both countermovement (CMJ) and squat (SJ) jumps. Each participant performed six jumps of each type while standing on a contact mat placed upon a pair of in-ground force plates. When compared to the force plate via ordinary least products regression, the contact mat agreed with force plate CMJ and SJ jump height, individual limb FT during CMJs, and left-leg FT during SJs. The bilateral contact mat provided valid assessment of individual limb FT during CMJs, but not SJs. Practitioners can therefore use a bilateral contact mat interchangeably with bilateral force plates to measure SJ and CMJ performance.

The Need for Eccentric Speed: A Narrative Review of the Effects of Accelerated Eccentric Actions During Resistance-Based Training.

Eccentric training as a method to enhance athletic performance is a topic of increasing interest to both practitioners and researchers. However, data regarding the effects of performing the eccentric actions of an exercise at increased velocities are limited. This narrative review aimed to provide greater clarity for eccentric methods and classification with regard to temporal phases of exercises. Between March and April 2021, we used key terms to search the PubMed, SPORTDiscus, and Google Scholar databases within the years 1950-2021. Search terms included 'fast eccentric', 'fast velocity eccentric', 'dynamic eccentric', 'accentuated eccentric loading', and 'isokinetic eccentric', analysing both the acute and the chronic effects of accelerated eccentric training in human participants. Review of the 26 studies that met the inclusion criteria identified that completing eccentric tempos of < 2 s increased subsequent concentric one repetition maximum performance, velocity, and power compared with > 4 s tempos. Tempos of > 4 s duration increased time under tension (TUT), whereas reduced tempos allowed for greater volume to be completed. Greater TUT led to larger accumulation of blood lactate, growth hormone, and testosterone when volume was matched to that of the reduced tempos. Overall, evidence supports eccentric actions of < 2 s duration to improve subsequent concentric performance. There is no clear difference between using eccentric tempos of 2-6 s if the aim is to increase hypertrophic response and strength. Future research should analyse the performance of eccentric actions at greater velocities or reduced time durations to determine more factors such as strength response. Tempo studies should aim to complete the same TUT for protocols to determine measures for hypertrophic response.

Bilateral vs. Unilateral Countermovement Jumps: Comparing the Magnitude and Direction of Asymmetry in Elite Academy Soccer Players.

ABSTRACT: Bishop, C, Abbott, W, Brashill, C, Turner, A, Lake, J, and Read, P. Bilateral vs. unilateral countermovement jumps: comparing the magnitude and direction of asymmetry in elite academy soccer players. J Strength Cond Res 36(6): 1660-1666, 2022-The aims of this study were to compare the magnitude and direction of asymmetry in comparable bilateral and unilateral countermovement jumps (CMJs). Forty-five elite academy soccer players from under-23 (n = 15), under-18 (n = 16), and under-16 (n = 14) age groups performed bilateral and unilateral CMJs as part of their routine preseason fitness testing. For the magnitude of asymmetry, no significant differences were evident for any metric between tests. However, the eccentric impulse asymmetry was significantly greater than mean force and concentric impulse in both bilateral and unilateral tests (p < 0.01). For the direction of asymmetry, Kappa coefficients showed poor levels of agreement between test measures for all metrics (mean force = -0.15, concentric impulse = -0.07, and eccentric impulse = -0.13). The mean jump data were also presented relative to the body mass for each group. For the bilateral CMJ, significant differences were evident between groups but showed little consistency in the same group performing better or worse across metrics. For the unilateral CMJ, eccentric impulse was the only metric to show meaningful differences between groups, with the under-18 group performing significantly worse than under-23 and under-16 players. This study highlights that despite the magnitude of asymmetry being similar for each metric between comparable bilateral and unilateral CMJs, consistency in the direction of asymmetry was poor. In essence, if the right limb produced the larger force or impulse during a bilateral CMJ, it was rare for the same limb to perform superior during the unilateral task. Thus, practitioners should be aware that bilateral and unilateral CMJs present different limb dominance characteristics and should not use 1 test to represent the other when measuring between-limb asymmetries.

Countermovement Jump Standards in Rugby League: What is a "Good" Performance?

ABSTRACT: McMahon, JJ, Lake, JP, Dos'Santos, T, Jones, PA, Thomasson, ML, and Comfort, P. Countermovement jump standards in rugby league: what is a "good" performance? J Strength Cond Res 36(6): 1691-1698, 2022-The countermovement jump (CMJ) is considered an important test in rugby league, and the force platform is the recommended tool for assessing CMJ performance in this cohort. Because of inconsistent methods applied across previous studies, there is currently a lack of understanding of what constitutes a "good" CMJ performance, with respect to the typical CMJ metrics that are reported for rugby league players. The purpose of this study was, therefore, to produce a scale of reference values for the jump height (JH), reactive strength index modified (RSImod), and mean (PPmean) and peak (PPpeak) propulsion power (relative to body mass) for top-level senior rugby league players competing in the global "forward" and "back" positional groups. One hundred four players (55 forwards and 49 backs) from the top 2 tiers of English rugby league performed 3 CMJs on a force platform at the beginning of pre-season training. The JH, RSImod, PPmean, and PPpeak were calculated using criterion methods, and a scale of norm-referenced values (percentiles) was produced for each positional group. The backs outperformed the forwards for each CMJ metric reported, thus supporting the production of position-specific norm-referenced values. When each positional group was separated into quartile subgroups, the respective JH, RSImod, PPmean, and PPpeak values were mostly largely and significantly different both within and between positions. The presented scale of reference values can, therefore, be used to determine the performance standards of rugby league forwards and backs with respect to the most commonly reported CMJ-derived variables for this cohort.

Identifying and reporting position-specific countermovement jump outcome and phase characteristics within rugby league.

The countermovement jump (CMJ) has been suggested to be an important test of neuromuscular performance for rugby league (RL) players. Identifying force platform-derived CMJ variables that may be more applicable to RL positions (e.g., forwards and backs) has yet to be fully explored in the scientific literature. The aim of this study was to identify RL position-specific CMJ force-time variables. Specifically, we aimed to compare select force-time variables from the countermovement (i.e., the combination of unweighting and braking) and propulsion phases of the CMJ between the global forwards and backs positional groups. We also aimed to compare typical (i.e., jump height) and alternative (i.e., take-off momentum) outcome CMJ variables between positional groups. Finally, we sought to visually present each individual player's CMJ performance alongside the average data to facilitate the interpretation and reporting of the CMJ performances of RL athletes. Twenty-seven forwards and twenty-seven backs who competed in the senior men's English RL Championship, performed three CMJs on a force platform at the beginning of the pre-season training period. There were no significant differences in any countermovement or propulsion phase variable between positions with just small effect sizes noted (P ≥0.09, d ≤0.46). Jump height (and so take-off velocity) was significantly greater for backs with moderate effects displayed (P = 0.03, d = 0.60). Take-off momentum (take-off velocity × body mass) was largely and significantly greater for forwards (P<0.01, d = 1.01). There was considerable overlap of individual player's body mass and CMJ outcome variables across positions, despite significant differences in the mean values attained by each positional group. The results suggest that it may be beneficial for RL practitioners to identify player-specific, or at least position-specific, variables. As a minimum, it may be worthwhile selecting CMJ force-time variables based on what is considered important to individual player's or small clusters of similar players' projected successes during RL competition.

Intra- and Interday Reliability of Weightlifting Variables and Correlation to Performance During Cleans.

ABSTRACT: Sorensen, AM, Chavda, S, Comfort, P, Lake, J, and Turner, AN. Intra- and interday reliability of weightlifting variables and correlation to performance during cleans. J Strength Cond Res 36(11): 3008-3014, 2022-The purpose of this investigation was to examine intra- and interday reliability of kinetic and kinematic variables assessed during the clean, assess their relationship to clean performance, and determine their suitability in weightlifting performance analysis. Eight competitive weightlifters performed 3 sets of single repetition cleans with 90% of their 1-repetition maximum (1RM). Force-time data were collected via dual force plates with displacement-time data collected via 3-dimensional motion capture, on 3 separate occasions under the same testing conditions. Seventy kinetic and kinematic variables were analyzed for intra- and interday reliability using intraclass correlation coefficients (ICCs) and the coefficient of variation (CV). Pearson's correlation coefficients were calculated to determine relationships between barbell and body kinematics and ground reaction forces, and for correlations to be deemed as statistically significant, an alpha-level of p ≤ 0.005 was set. Eleven variables were found to have "good" to "excellent" intra- and interday ICC (0.779-0.994 and 0.974-0.996, respectively) and CV (0.64-6.89% and 1.14-6.37%, respectively), with strong correlations ( r = 0.880-0.988) to cleans performed at 90% 1RM. Average resultant force of the weighting 1 (W1) phase demonstrated the best intra- and interday reliability (ICC = 0.994 and 0.996, respectively) and very strong correlation ( r = 0.981) to clean performance. Average bar power from point of lift off to peak bar height exhibited the highest correlation ( r = 0.988) to clean performance. Additional reliable variables with strong correlations to clean performance were found, many of these occurred during or included the W1 phase, which suggests that coaches should pay particular attention to the performance of the W1 phase.

Implant-Associated Spinal Infections in Children: How Can We Improve Diagnosis and Management?

Implant-associated spinal infection affects up to 10% of all pediatric instrumented spinal fixation surgeries and is associated with patient morbidity and significant impact on the health care system. Children with neuromuscular scoliosis are at increased risk compared with those with idiopathic scoliosis. Early infections (≤90 days from index surgery) are caused by virulent pathogens such as Staphylococcus aureus; more indolent pathogens cause late infections. Early infections are treated with debridement and implant retention with prolonged antibiotics, but implant removal is often needed to treat late infections. Antibiofilm agents and pathogen-specific imaging may improve future outcomes.

Reliability of the Squat Jump Force-Velocity and Load-Velocity Profiles.

ABSTRACT: Kotani, Y, Lake, J, Guppy, SN, Poon, W, Nosaka, K, Hori, N, and Haff, GG. The reliability of the squat jump force-velocity and load-velocity profiles. J Strength Cond Res 36(11): 3000-3007, 2022-The purpose of this study was to investigate the between-session reliability of the squat jump force-velocity (FV) and load-velocity (LV) profiles. Eighteen subjects (age = 28.1 ± 4.8 years; height = 1.7 ± 9.7; body mass = 74.7 ± 12.8) who could back squat >1.5 times body mass participated in this study. Each subject completed a familiarization session, followed by 2 experimental sessions each separated by 72 hours. Subjects performed a series of squat jumps on a force plate against external loads between 0 and 100% of their body mass in a quasi-randomized block order. Intraclass correlation coefficient (ICC) and coefficient of variation (CV) were used to examine the between-session reliability. Peak velocity (PV) and mean velocity (MV) at each load were highly reliable (ICC >0.80, CV% <7.41, SEM <0.13 m·s -1 , smallest detectable difference [SDD] <0.31 m·s -1 , ES <0.21). Force-velocity profiles created with peak force and relative peak force resulted in poor to excellent reliability (ICC = 0.34-0.92, CV% = 11.9-26.3). When mean and relative mean forces were used to create FV profiles, there was poor to good reliability (ICC = 0.03-0.85, CV% = 18.1-39.4). When the LV profile was calculated with PV (ICC = 0.60-0.90, CV% = 7.9-16.9) or MV (ICC = 0.49-0.91, CV% = 11.1-23.4), there was poor to excellent reliability. There was no time effect found between sessions for both FV and LV profiles. The squat jump FV and LV profiles established with a force plate are not reliable. Therefore, these profiles are not recommended to be used to inform programming decisions.