The association between unilateral and bilateral performance-related measures in elite female soccer players: a multifaceted investigation.

Purpose: The present study aimed to investigate a) the associations between bilateral performance utilizing countermovement jump (CMJ), squat jump (SJ), speed and unilateral CMJ, isokinetic peak torque in knee extension and flexion with angular velocities of 60°/s and 180°/s and tensiomyography (TMG) parameters; b) whether the asymmetries derived from unilateral tests are associated with bilateral CMJ, SJ and speed in elite female soccer players. Methods: Thirty-five elite female soccer players (average age: 20 ± 5 years) completed CMJ, SJ, speed, isokinetic muscle strength and TMG tests. Results: Compared to the non-dominant leg, the dominant leg demonstrated greater peak torque output in both knee flexion (7.4%) and knee extension (5.6%) isokinetic tasks, as well as m. vastus medialis contraction time (7.6%), and soccer-specific agility test (4.1%). Conversely, the hamstring to quadriceps peak torque ratio at 180°/s (8.5%) was significantly greater in the non-dominant leg. The associations between CMJ, SJ and speed performance were positive and ranged from weak (r = 0.350) to high (r = 0.710). For speed and TMG-derived variables, correlations were negative and ranged from weak (r = -0.345, p = 0.042, for vastus medialis contraction time) to moderate (r = -0.530, p = 0.001, for biceps femoris contraction time). Furthermore, both bilateral CMJ and SJ negatively correlated with TMG-derived variables, ranging from weak (r = -0.350, p = 0.039, for vastus lateralis contraction time) to moderate (r = -0.537, p = 0.003, for rectus femoris contraction time). Conclusion: The overall significant, albeit inconsistent, correlations between the diverse performance scores obtained highlight the necessity for a multifaceted and thorough diagnostic strategy in female soccer players.

Hip adduction and abduction strength in different test positions and their relationship to previous groin injuries in women footballers.

Hip strength has been shown to influence the incidence of injury in women's football. The first objective of our study was to examine the differences in isometric strength of the adductors and abductors between two test positions (0° vs. 45° hip angle). Our second objective was to verify the sensitivity of the two test positions in discriminating between women footballers with and without a history of groin pain in the last twelve months. One hundred and one elite players from the Slovenian women's football league were tested. The isometric strength of the adductors, abductors, and the ratio between hip abductor and adductor strength in two different test positions were assessed. We found statistically significant differences (p < 0.05; effect size range 0.12-0.13) between the two test positions in hip adduction, abduction strength, and abductor/adductor strength ratio. The ROC analysis showed that only the abductor/adductor strength ratio at the 0° hip angle position can differentiate between players with and without a history of groin pain, with an optimal cut-off point of ≤ 1.01 (p < 0.05; AUC = 0.734). The results should help practitioners plan hip strength training for returning to sport or preventing groin pain among women football players.

Differences in Force-Velocity Profiles During Countermovement Jump and Flywheel Squats and Associations With a Different Change of Direction Tests in Elite Karatekas.

The force-velocity (F-v) relationship has been proposed as a biomechanical characteristic to comprehensively evaluate neuromuscular capabilities within different tasks such as vertical jumping, sprinting and bench pressing. F-v relationship during flywheel (FW) squats was already validated, however, it was never compared to F-v profile of vertical jumps or associated with change of direction (CoD) performance. The aims of our study were (1) to compare F-v profiles measured during counter movement jumps (CMJs) and FW squats, (2) to determine correlations of F-v mechanical capacities with different CoD tests, (3) to investigate the portion of explained variance in CoD tests with the F-v outcome measures. A cross-sectional study was conducted on 39 elite karatekas. They performed CMJs and FW squats using progressive loads to calculate F-v profile outcome variables and different CoD tests (CoD at 90°, CoD at 180°, t-test, short karate specific test (KST) and long KST). Our results showed significantly higher values in all F-v outcome variables (F0-theoretical maximal force, V0-maximal unloaded velocity, Pmax-maximal power output, F-vslope-the slope of F-v relationship) calculated from CMJs compared to FW squats (all p < 0.01). Significant positive moderate correlations between the tasks were found for F0 and Pmax (r = 0.323-0.378, p = 0.018-0.045). In comparison to F-v outcome variables obtained in FW squats, higher correlations were found between F-v outcome variables calculated from CMJs and CoD tests. The only significant correlation in F-v outcome variables calculated from FW squats was found between Pmax and short KST time. For all CoD tests, only one F-v predictor was included; more specifically-CMJ-F0 for CoD 90°, CoD 180° and t-test, and FW-Pmax for short KST performance. To conclude, our results showed that F-v relationship between CMJs and FW squats differed significantly and cannot be used interchangeably for F-v profiling. Moreover, we confirmed that high force and power production is important for the successful performance of general and karate specific CoD tasks.

The muscle contractile properties in female soccer players: inter-limb comparison using tensiomyography.

OBJECTIVE: The present study aimed to: i) determine the contractile properties of the major lower limb muscles in female soccer players using tensiomyography; ii) investigate inter-limb differences; and iii) compare inter-limb differences between different selections and playing positions. METHODS: A total of 52 female soccer players (A team; U19 and U17) were recruited. The vastus lateralis (VL), vastus medialis (VM), rectus femoris (RF), biceps femoris (BF), gastrocnemius medialis (GM), lateralis (GL) and tibialis anterior (TA) of both lower limbs were evaluated. RESULTS: When the entire sample was assessed regardless of selection or playing position, there were significant inter-limb differences in all measured muscles except BF. Compared to the non-dominant limb, the dominant limb had higher delay time in VL (p=0.008), while showing lower values in VM (p=0.023), GL (p=0.043) and GM (p=0.006). Contraction time was lower in the RF of the dominant limb (p=0.005) and VM (p=0.047), while showing higher values in VL (p=0.036) and TA (p<0.001) as compared to the non-dominant limb. CONCLUSION: Given the differences found between the limbs in the whole sample studied, it is necessary to examine both limbs to gather a more in-depth understanding of underlying mechanisms related to neuromuscular functions in female soccer players. LEVEL OF EVIDENCE: Prognostic study, Level II.

Isometric Trunk Strength Assessment of Athletes: Effects of Sex, Sport, and Low Back Pain History.

CONTEXT: The importance of isometric trunk strength (ITS) among sport science professionals is higher than its actual reported effect size on either performance or low back pain (LBP) occurrence. OBJECTIVE: To provide normative values of ITS and strength ratios, and to evaluate the effect of sex, sports discipline, and LBP status. DESIGN: Crossover study. SETTING: University research laboratory. PARTICIPANTS: Five hundred and sixty-seven elite athletes (186 females) with and without a history of LBP from different sports. MAIN OUTCOME MEASURE: Participants underwent ITS testing for trunk flexors, extensors, and lateral flexors. Normalized maximal strength (in newton meter per kilogram) and strength ratios were calculated. Differences between sex, LBP, and sport disciplines were assessed with 3-way analysis of variance (sex × LBP status × 7 sport categories) and partial eta-squared (ηp2) effect size. The predictive validity of ITS for LBP was checked with receiver operating characteristics (area under the curve). RESULTS: The authors found significant differences in extensor and flexor ITS in favor of male athletes (medium ηp2, P < .05), while sex differences in lateral flexion ITS had a low size effect (P < .05). A low size effect was also observed for the differences in strength ratios extensors/flexors (mean 1.47; 95% confidence interval, 1.45-1.50) and left flexors/right flexors (mean 0.99; 95% confidence interval, 0.98-1.01) among sexes. The sport discipline-related differences generally had a low size effect. No significant differences in ITS were found between LBP and LBP-free athletes. Only 50% to 58% of athletes (area under the curve, 0.501-0.582) were correctly classified as LBP or LBP-free using different ITS and strength ratio variables. CONCLUSIONS: ITS and strength ratios have low predictive validity for LBP history but may discriminate between sex and sport disciplines. Our data are a useful reference point for meaningful individual results interpretation when athletes are evaluated during training or rehabilitation.

Inducing low energy availability in trained endurance male athletes results in poorer explosive power.

PURPOSE: Low energy availability in males needs more original research to understand its health and performance consequences. The aim of the study was to induce low energy availability in previously healthy male endurance athletes by reducing energy availability by 25% for 14 consecutive days and measure any potential changes in performance, health, mental state or energy markers. METHODS: Energy availability was reduced in 12 trained, well-trained and elite endurance athletes by increasing energy expenditure and controlling energy intake. After intervention, health was assessed by blood draw, body composition was measured, energy markers by measuring resting energy expenditure, performance with three specific tests (measuring endurance, agility and explosive power) and two questionnaires were used for psychological assessment (the Three Factor Eating Questionnaire and Well-being questionnaire). RESULTS: Reduced energy availability (22.4 ± 6.3 kcal/kg FFM/day) caused significantly lower haemoglobin values (t(12) = 2.652, p = 0.022), there was a tendency for lower iron and IGF-1 (p = 0.066 and p = 0.077, respectively). Explosive power was reduced (t(12) = 4.570, p = 0.001), lactate metabolism was altered and athletes reported poorer well-being (t(12) = 2.385, p = 0.036). Cognitive restriction was correlated with energy availability (r = 0.528, p = 0.039). CONCLUSION: This is the first research providing direct evidence that suboptimal energy availability negatively impacts explosive power before hormonal changes occur in male endurance athletes. It is also the first to show direct association of low energy availability and higher cognitive restriction. We also observed worse well-being and lower haemoglobin values. 25% of energy availability reduction as not enough to elicit changes in resting energy expenditure.

Muscle Activation Sequence in Flywheel Squats.

BACKGROUND: Muscle coordination is important for rational and effective planning of therapeutic and exercise interventions using equipment that mimics functional movements. Our study was the first to assess muscle coordination during flywheel (FW) squats. METHODS: Time-of-peak electromyographic activation order was assessed separately for 8, 4, and 3 leg muscles under four FW loads. A sequential rank agreement permutations tests (SRA) were conducted to assess activation order and Kendall's tau was used to assess the concordance of activation order across subjects, loads and expected order of activation. RESULTS: SRA revealed a latent muscle activation order at loads 0.05, 0.075, and 0.1, but not at 0.025 kg·m2. Kendall's tau showed moderate-to-strong concordance between the expected (proximal-to-distal) and the observed muscle activation order only at a load 0.025 kg·m2, regardless of the number of muscles analyzed. Muscle activation order was highly concordant between loads 0.05, 0.075, and 0.1 kg·m2. CONCLUSIONS: The results show a specific role of each muscle during the FW squat that is load-dependent. While the lowest load follows the proximal-to-distal principle of muscle activation, higher loads lead to a reorganization of the underlying muscle coordination mechanisms. They require a specific and stable muscle coordination pattern that is not proximal-to-distal.

Relationship between energy availability, energy conservation and cognitive restraint with performance measures in male endurance athletes.

BACKGROUND: Low energy availability in male athletes has gained a lot of attention in recent years, but direct evidence of its effects on health and performance is lacking. The aim of this research was to objectively measure energy availability (EA) in healthy male endurance athletes without pre-existing relative energy deficiency signs during pre-race season. METHODS: Twelve trained endurance athletes (performance level 3, 4, and 5) participated in the cross-sectional controlled laboratory study. Fat-free mass, exercise energy expenditure, and energy intake were measured to calculate EA. Resting energy expenditure was measured and estimated to assess energy conservation. Three specific performance tests were used to assess endurance, agility, and explosive strength performance. For psychological evaluation, the Three Factor Eating Questionnaire and a short Well-being questionnaire were completed. RESULTS: Mean EA was 29.5 kcal/kg FFM/day. The majority (66.6%) had EA under the threshold for low EA in females. Critical cognitive restraint (≥13) was reported by 75% of participants. There were no differences in performance, blood values, or psychological evaluation when subjects were divided into two groups divided by EA = 30 kcal/kg FFM/day. Cognitive restraint was negatively associated with measured resting energy expenditure and energy conservation (r = -.578, p = .025 and r = -.549, p = .032, respectively). CONCLUSIONS: The mean EA measured in this study supports the theory that the threshold for low EA in endurance male athletes might be under the threshold for females. In addition, we confirmed cognitive restraint could be useful for early detection of energy conservation. The high cognitive restraint as measured in our sample stressed the need of eating behavior screening in endurance athletes in order to reduce risk of any disordered eating patterns.

Intra-session reliability of electromyographic measurements in flywheel squats.

Although the popularity of flywheel (FW) devices in sports research is increasing, to date, no study has been designed to test the reliability of electromyographic (EMG) variables during FW squats as a basic lower-body FW resistance exercise. At the primary level, our study was conducted to determine the minimum number of the consecutive flywheel (FW) squat repetitions that need to be averaged in a single set to obtain excellent reliability of peak, mean and three position-specific EMG variables. At the secondary level, comprehensive analysis for peak and mean EMG variables was done. Intra-set reliability was investigated using the minimum number of repetitions determined from the primary level of the study. Twenty-six participants performed five sets of seven squats with three FW loads (0.05, 0.125, 0.225 kg∙m2). EMG signals were collected from eight leg muscles. By averaging twelve consecutive repetitions, we obtained ICC2.k > 0.95 for mean and peak EMGRMS regardless of the muscle, load or phase of the squat (concentric vs. eccentric). Due to the heterogeneity of the results at the primary level, position-specific variables were excluded from the inter-set reliability analysis at the secondary level. Trustworthy mean and peak EMG variables from the primary level showed good to excellent inter-set reliability. We suggest averaging twelve consecutive squat repetitions to achieve good to excellent intra-session reliability of EMG variables. By following the proposed protocol, activation of leg muscles can be confidently studied in intra-session repeated-measures study designs.

Validity and reliability of force-velocity outcome parameters in flywheel squats.

Our study was designed to check the reliability of force-velocity (F-v) relationship outcome measures using flywheel (FW) squats. The main objectives at the primary level were to test intra-session reliability of mechanical parameters for ten equidistant FW loads, and at the secondary level, to test reliability and validity of the F-v relationship outcome measures in case any possible reduction in used loads and number of loads - compared to the 10-load method as a reference - is administered. Twenty-six subjects performed two sets of five squats with FW loads in the range 0.025-0.25 kg∙m2. Averaging six consecutive repetitions obtained ICC2.k > 0.9 for mean force and mean velocity results. Consecutively averaged parameters at the primary level showed excellent inter-set reliability (ICC2.1 > 0.9). The inverse F-v relationship was strong (R2 = 0.96). At the secondary level, Bland-Altman statistics showed decreasing bias and limits of agreement in combination with more loads. Theoretical maximal force and power showed smaller bias as F-v slope and theoretical maximal velocity for three loads or more. Four loads (0.025, 0.075, 0.225 and 0.25 kg∙m2) lowered bias to a 5% in relation to the reference F-v slope. In conclusion, six repetitions are required to obtain trustworthy force and velocity results. The results will contribute to standardising the methodology for assessing the mechanical capacities of leg muscles using FW resistance. Moreover, assessing individual F-v profile with reduced protocol may be a less fatiguing tool for prescribing exercise intensity and for assessing training adaptations.