Effect of Sand on Knee Load During a Single-Leg Jump Task: Implications for Injury Prevention and Rehabilitation Programs.

Richardson, MC, Murphy, S, Macpherson, T, English, B, Spears, I, and Chesterton, P. Effect of sand on knee load during a single-leg jump task: implications for injury prevention and rehabilitation programs. J Strength Cond Res 34(11): 3164-3172, 2020-The purpose of the study was to determine potential differences in landing strategies and subsequent joint loads at the knee (knee abduction moment [KAM], anterior-posterior [AP] tibial translation, and total knee shear force) when jumping onto sand and firm ground from both a level surface and a 30-cm height. Firm ground would act as the control for the study. Seventeen subjects (age: 23.6 ± 3.7 years; body mass: 67.7 ± 10.3 kg; height: 168.5 ± 7.4 cm) performed 3 single-leg jumps on their dominant leg for each of the 4 conditions tested (ground level, sand level, ground height, and sand height). A repeated-measures design investigated the effect of sand on KAM, AP tibial translation, and total knee shear force. Data were analyzed using magnitude-based inferences and presented as percentage change with 90% confidence limits. Results indicated that sand had a clear beneficial effect on KAM, which was possibly moderate during a drop jump (30 cm) and possibly small from a level jump. Sand also had a possibly moderate beneficial effect on AP tibial translation from a level jump. The effect of sand on total knee shear force was unclear. These results suggest that sand may provide a safer alternative to firm ground when performing jump tasks commonly used in anterior cruciate ligament and patellofemoral joint injury prevention and rehabilitation programs. Sand may also allow for an accelerated rehabilitation program because jumping activities could potentially be implemented more safely at an earlier stage in the process.

Systematic Reductions in Differential Ratings of Perceived Exertion Across a 2-Week Repeated-Sprint-Training Intervention That Improved Soccer Players' High-Speed-Running Abilities.

PURPOSE: To quantify changes in differential ratings of perceived exertion (dRPE) across a 2-wk repeated-sprint-training intervention that improved high-intensity intermittent-running ability and linear speed of semiprofessional soccer players. METHODS: Thirteen players completed 3 (sessions 1-3) or 4 (sessions 4-6) sets of 7 sprints (group 1 [n = 7]: 30-m straight; group 2 [n = 6]: 2 × 10-m shuttle), with 20 s and 4 min of recovery between sprints and sets, respectively. Postset perceptions of breathlessness (RPE-B) and leg-muscle exertion (RPE-L) were rated using the CR100 scale. RESULTS: Overall, RPE-B (mean [SD]: 46 [13] arbitrary units [AU], "hard") was most likely higher than RPE-L (39 [13] AU, "somewhat hard," mean difference: 8 AU; 90% confidence limits [CLs]: ±2). Set-to-set increases in dRPE (in AU; 90% CL: approximately ±2) were large in session 1 (RPE-B: 15; RPE-L: 14), moderate in sessions 2-5 (RPE-B: 7-10; RPE-L: 7-8), and small (RPE-B: 6) to moderate (RPE-L: 7) in session 6. Across the intervention, RPE-B reduced moderately in sets 3 (-13; 90% CL: ±4) and 4 (-12; 90% CL: ±12) and RPE-L reduced by a small magnitude in set 3 (-5; 90% CL: ±6). The set 4 change in RPE-L was unclear (-11; 90% CL: ±13). CONCLUSIONS: The authors observed systematic intrasession and intersession changes in dRPE across a 2-wk repeated-sprint-training intervention, with a fixed prescription of external load that improved semiprofessional soccer players' high-speed-running abilities. These findings could support dRPE as a measure of internal load and highlight its usefulness in evaluating repeated-sprint-training dose-response.

Topical and Ingested Cooling Methodologies for Endurance Exercise Performance in the Heat.

This systematic review and meta-analysis aimed to assess studies which have investigated cooling methodologies, their timing and effects, on endurance exercise performance in trained athletes (Category 3; VO2max ≥ 55 mL·kg·min-1) in hot environmental conditions (≥28 °C). Meta-analyses were performed to quantify the effects of timings and methods of application, with a narrative review of the evidence also provided. A computer-assisted database search was performed for articles investigating the effects of cooling on endurance performance and accompanying physiological and perceptual responses. A total of 4129 results were screened by title, abstract, and full text, resulting in 10 articles being included for subsequent analyses. A total of 101 participants and 310 observations from 10 studies measuring the effects of differing cooling strategies on endurance exercise performance and accompanying physiological and perceptual responses were included. With respect to time trial performance, cooling was shown to result in small beneficial effects when applied before and throughout the exercise bout (Effect Size: -0.44; -0.69 to -0.18), especially when ingested (-0.39; -0.60 to -0.18). Current evidence suggests that whilst other strategies ameliorate physiological or perceptual responses throughout endurance exercise in hot conditions, ingesting cooling aids before and during exercise provides a small benefit, which is of practical significance to athletes' time trial performance.

The Influence of Playing Position and Contextual Factors on Soccer Players' Match Differential Ratings of Perceived Exertion: A Preliminary Investigation.

(1) Background: Differential RPE (dRPE) separates scores for breathlessness (RPE-B), leg muscle exertion (RPE-L) and technical/cognitive exertion (RPE-T). Limited information for dRPE is available in soccer match play, yet these measurements may help inform practitioners training and recovery strategies. This preliminary study investigated the effects of playing position and contextual factors on elite soccer players' dRPE. (2) Methods: Thirty-two male English Premier League players recorded dRPE scores 15⁻30 min post-match for RPE-B, RPE-L, and RPE-T. Data were analysed using linear mixed models, with magnitude-based inferences subsequently applied. (3) Results: Overall, the mean ± SD for the dRPE were 63 ± 23 arbitrary units (au) (RPE-B), 67 ± 22 au (RPE-L), and 60 ± 24 au (RPE-T). Full Backs reported substantially higher RPE-B, RPE-L and RPE-T when compared to all other positions. Substantially higher RPE-T scores were reported for matches played against Top teams compared to Bottom (10 au; 90% Confidence Interval 5 to 15 au) and Middle (10 au; 4 to 15 au) ranked teams. The effects of match result and location on dRPE were not substantial. (4) Conclusions: Positional differences were observed following soccer match play for RPE-B, RPE-L and RPE-T. Full backs had substantially higher dRPE then any other position, with all players reporting increased RPE-T when playing teams at the Top of the league. These findings can help practitioners monitor internal load responses and support the prescription of training and recovery sessions.

Differential training loads and individual fitness responses to pre-season in professional rugby union players.

We aimed to compare differentiated training loads (TL) between fitness responders and non-responders to an eight-week pre-season training period in a squad of thirty-five professional rugby union players. Differential TL were calculated by multiplying player's perceptions of breathlessness (sRPE-B) and leg muscle exertion (sRPE-L) with training duration for each completed session. Performance-based fitness measures included the Yo-Yo Intermittent Recovery Test Level 1 (YYIRTL1), 10-, 20-, and 30-m linear sprint times, countermovement jump height (CMJ) and predicted one-repetition maximum back squat (P1RM Squat). The proportion of responders (≥ 75% chance that the observed change in fitness was > typical error and smallest worthwhile change) were 37%, 50%, 52%, 82% and 70% for YYIRTL1, 20/30-m, 10-m, CMJ and P1RM Squat, respectively. Weekly sRPE-B-TL was very likely higher in YYIRTL1 responders (mean difference = 18%; ±90% confidence limits 11%), likely lower in 20/30-m (19%; ±20%) and 10-m (18%; ±17%) responders, and likely higher in CMJ responders (15%; ±16%). All other comparisons were unclear. Weekly sRPE-B discriminate between rugby union players who respond to pre-season training when compared with players who do not. Our findings support the collection of differential ratings of perceived exertion and the use of individual response analysis in team-sport athletes.

Development of an Exergame to Deliver a Sustained Dose of High-Intensity Training: Formative Pilot Randomized Trial.

BACKGROUND: Sport science can play a critical role in reducing health inequalities. The inverse relationship between life expectancy, cardiorespiratory fitness, and socioeconomic status could be addressed by performing high-intensity training (HIT), delivered in a class salient and accessible approach. Commercially available exergames have shown encouraging compliance rates but are primarily designed for entertainment purposes rather than focusing on health-related outcomes. A serious game tailored toward delivering an exercise stimulus, while reducing the aversive protocols associated with HIT, could be beneficial to engage and improve health outcomes in socially deprived males. OBJECTIVE: The aims of this study were to develop an exergame capable of delivering HIT and evaluate the effect on selected health outcomes in men recruited in regions of socioeconomic deprivation. METHODS: We conducted an exploratory trial in our target population, and participants were allocated to intervention (n=14) or control groups (n=10) by third-party minimization. The intervention was a 6-week training program consisting of three sessions of exergaming per week. The sessions involved a structured warm-up, then brief intermittent repetitions in the form of boxing rounds (10 s, 20 s, and 30 s) against their peers with a work/rest ratio of 0.25. RESULTS: Retention to the intervention was 87.5% (21/24). Over the duration of the intervention, session attendance was 67.5% (170/252); repetition mean and peak heart rates (% of maximal) and session ratings of perceived exertion (AU, arbitrary units) were 86.3 (5.4%), 89.9 (6.1%), and 7.5 (2.2 AU), respectively. The effect of the intervention, when compared with the control, was a likely small beneficial improvement in predicted maximum oxygen consumption (VO2 max, 3.0; 90% confidence limits ±2.6%). Effects on body mass, waist circumference, and blood pressure were either trivial or unclear. CONCLUSIONS: Over the 6-week intervention, the exergame delivered a consistent and sustained dose of HIT, with some beneficial effects on aerobic fitness in the target population. TRIAL REGISTRATION: ClinicalTrials.gov NCT03477773; https://clinicaltrials.gov/ct2/show/NCT03477773 (Archived by WebCite at http://www.webcitation.org/6yDLgVs35).

The Relationships Between Internal and External Measures of Training Load and Intensity in Team Sports: A Meta-Analysis.

BACKGROUND: The associations between internal and external measures of training load and intensity are important in understanding the training process and the validity of specific internal measures. OBJECTIVES: We aimed to provide meta-analytic estimates of the relationships, as determined by a correlation coefficient, between internal and external measures of load and intensity during team-sport training and competition. A further aim was to examine the moderating effects of training mode on these relationships. METHODS: We searched six electronic databases (Scopus, Web of Science, PubMed, MEDLINE, SPORTDiscus, CINAHL) for original research articles published up to September 2017. A Boolean search phrase was created to include search terms relevant to team-sport athletes (population; 37 keywords), internal load (dependent variable; 35 keywords), and external load (independent variable; 81 keywords). Articles were considered for meta-analysis when a correlation coefficient describing the association between at least one internal and one external measure of session load or intensity, measured in the time or frequency domain, was obtained from team-sport athletes during normal training or match-play (i.e., unstructured observational study). The final data sample included 122 estimates from 13 independent studies describing 15 unique relationships between three internal and nine external measures of load and intensity. This sample included 295 athletes and 10,418 individual session observations. Internal measures were session ratings of perceived exertion (sRPE), sRPE training load (sRPE-TL), and heart-rate-derived training impulse (TRIMP). External measures were total distance (TD), the distance covered at high and very high speeds (HSRD ≥ 13.1-15.0 km h-1 and VHSRD ≥ 16.9-19.8 km h-1, respectively), accelerometer load (AL), and the number of sustained impacts (Impacts > 2-5 G). Distinct training modes were identified as either mixed (reference condition), skills, metabolic, or neuromuscular. Separate random effects meta-analyses were conducted for each dataset (n = 15) to determine the pooled relationships between internal and external measures of load and intensity. The moderating effects of training mode were examined using random-effects meta-regression for datasets with at least ten estimates (n = 4). Magnitude-based inferences were used to interpret analyses outcomes. RESULTS: During all training modes combined, the external load relationships for sRPE-TL were possibly very large with TD [r = 0.79; 90% confidence interval (CI) 0.74 to 0.83], possibly large with AL (r = 0.63; 90% CI 0.54 to 0.70) and Impacts (r = 0.57; 90% CI 0.47 to 0.64), and likely moderate with HSRD (r = 0.47; 90% CI 0.32 to 0.59). The relationship between TRIMP and AL was possibly large (r = 0.54; 90% CI 0.40 to 0.66). All other relationships were unclear or not possible to infer (r range 0.17-0.74, n = 10 datasets). Between-estimate heterogeneity [standard deviations (SDs) representing unexplained variation; τ] in the pooled internal-external relationships were trivial to extremely large for sRPE (τ range = 0.00-0.47), small to large for sRPE-TL (τ range = 0.07-0.31), and trivial to moderate for TRIMP (τ range= 0.00-0.17). The internal-external load relationships during mixed training were possibly very large for sRPE-TL with TD (r = 0.82; 90% CI 0.75 to 0.87) and AL (r = 0.81; 90% CI 0.74 to 0.86), and TRIMP with AL (r = 0.72; 90% CI 0.55 to 0.84), and possibly large for sRPE-TL with HSRD (r = 0.65; 90% CI 0.44 to 0.80). A reduction in these correlation magnitudes was evident for all other training modes (range of the change in r when compared with mixed training - 0.08 to - 0.58), with these differences being unclear to possibly large. Training mode explained 24-100% of the between-estimate variance in the internal-external load relationships. CONCLUSION: Measures of internal load derived from perceived exertion and heart rate show consistently positive associations with running- and accelerometer-derived external loads and intensity during team-sport training and competition, but the magnitude and uncertainty of these relationships are measure and training mode dependent.

A detailed quantification of differential ratings of perceived exertion during team-sport training.

OBJECTIVES: To investigate the application of differential ratings of perceived exertion (dRPE) to team-sport training. DESIGN: Single cohort, observational study. METHODS: Twenty-nine professional rugby union players were monitored over a six-week intensified training period. Training sessions were classified as: high-intensity intervals, repeated high-intensity efforts, speed, skill-based conditioning, skills, whole-body resistance, or upper-body resistance. After each session, players recorded a session rating of perceived exertion (sRPE; CR100®), along with differential session ratings for breathlessness (sRPE-B), leg muscle exertion (sRPE-L), upper-body muscle exertion (sRPE-U), and cognitive/technical demands (sRPE-T). Each score was multiplied by the session duration to calculate session training loads. Data were analysed using mixed linear modelling and multiple linear regression, with magnitude-based inferences subsequently applied. RESULTS: Between-session differences in dRPE scores ranged from very likely trivial to most likely extremely large and within-session differences amongst dRPE scores ranged from unclear to most likely very large. Differential RPE training loads combined to explain 66-91% of the variance in sRPE training loads, and the strongest associations with sRPE training load were with sRPE-L for high-intensity intervals (r=0.67; 90% confidence limits ±0.22), sRPE-B for repeated high-intensity efforts (0.89; ±0.08) and skill-based conditioning (0.67; ±0.19), sRPE-T for Speed (0.63; ±0.17) and Skills (0.51; ±0.28), and sRPE-U for resistance training (whole-body: 0.61; ±0.21, upper-body: 0.92; ±0.07). CONCLUSIONS: Differential RPE can provide a detailed quantification of internal load during training activities commonplace in team sports. Knowledge of the relationships between dRPE and sRPE can isolate the specific perceptual demands of different training modes.

Repeated Sprints: An Independent Not Dependent Variable.

The ability to repeatedly perform sprints has traditionally been viewed as a key performance measure in team sports, and the relationship between repeated-sprint ability (RSA) and performance has been explored extensively. However, when reviewing the repeated-sprint profile of team-sports match play it appears that the occurrence of repeated-sprint bouts is sparse, indicating that RSA is not as important to performance as commonly believed. Repeated sprints are, however, a potent and time-efficient training strategy, effective in developing acceleration, speed, explosive leg power, aerobic power, and high-intensity-running performance--all of which are crucial to team-sport performance. As such, we propose that repeated-sprint exercise in team sports should be viewed as an independent variable (eg, a means of developing fitness) as opposed to a dependent variable (eg, a means of assessing fitness/performance).

Two Weeks of Repeated-Sprint Training in Soccer: To Turn or Not to Turn?

PURPOSE: To compare the effects of 2 repeated-sprint training programs on fitness in soccer. METHODS: Fifteen semiprofessional soccer players (age: 24 ± 4 y; body mass: 77 ± 8 kg) completed 6 repeated-sprint training sessions over a 2-week period. Players were assigned to a straight-line (STR) (n = 8; 3-4 sets of 7 × 30 m) or change of direction (CoD) (n = 7; 3-4 sets of 7 × 20-m) repeated-sprint training group. Performance measures included 5-, 10-, and 20-m sprints, countermovement jump, Illinois agility, and Yo-Yo Intermittent Recovery Test level 1 (YYIRTL1) performance. Internal (heart rate) and external (global positioning system-derived measures) training loads were monitored throughout. Data were analyzed using magnitude-based inferences. RESULTS: Internal and external loads were higher in the STR group than in the CoD group with large differences in maximum velocity (28.7%; ±90% confidence limits, 3.3%), moderate differences in mean heart rates (7.0%; ±1.4%) and PlayerLoad (17.6%; ±8.6%), and small differences in peak heart rates (3.0%; ±1.6%). Large improvements in 5-m (STR: 9.6%; ±7.0% and CoD: 9.4%; ±3.3%), 10-m (STR: 6.6%; ±4.6% and CoD: 6.7%; ±2.2%), and 20-m (STR: 3.6; ±4.0% and CoD: 4.0; ±1.7%) sprints were observed. Large and moderate improvements in YYIRTL1 performance were observed in the STR (24.0%; ±9.3%) and CoD (31.0%; ±7.5%), respectively. Between-groups differences in outcome measures were unclear. CONCLUSIONS: Two weeks of repeated-sprint training stimulates improvements in acceleration, speed, and high-intensity running performance in soccer players. Despite STR inducing higher internal and external training loads, training adaptations were unclear between training modes, indicating a need for further research.

Real-time measurement of pelvis and trunk kinematics during treadmill locomotion using a low-cost depth-sensing camera: A concurrent validity study.

There is currently no suitable kinematic system for a large-scale prospective trial assessing risk factors of musculoskeletal disorders. A practical kinematic system is described which involves the use of a single low-cost depth-sensing camera for the real-time measurement of 3-dimensional linear and angular pelvic and trunk range-of-movement (ROM). The method is based on the creation and processing of dynamic point clouds taken from the posterior surface of the pelvis and trunk. Nine healthy participants performed 3 trials of treadmill locomotion when walking at self-selected speed (3.6-5.6 km/h), running at 70% (10.9-14.0 km/h) and 90% of maximal speed (14.0-18.0 km/h). Stride-by-stride linear and angular ROM data were captured concurrently using the single depth-sensing camera running at 30 Hz (Kinect(TM) for Windows, Microsoft, USA) and a six-camera motion capture system at 100 Hz (Vicon MX13, Vicon Motion Systems, United Kingdom). Within subject correlation coefficients between the practical and criterion method ranged from very large to nearly perfect (r=0.87-1.00) for the linear ROM. Correlation coefficients for the angular ROM ranged from moderate to very large (r=0.41-0.80). The limits of agreement between the two systems for linear movements were ≤ 9.9 mm at all velocities of gait and ≤ 4.6° at all velocities of gait. The single camera system using depth-sensing technology is capable of capturing linear pelvic and trunk ROM during treadmill locomotion with reasonable precision when compared to the criterion method. Further improvements to the measurement of angles and validation across a wider population are recommended.

The Sensitivity of Differential Ratings of Perceived Exertion as Measures of Internal Load.

PURPOSE: To investigate the sensitivity of differential ratings of perceived exertion (dRPE) as measures of internal load. METHODS: Twenty-two male university soccer players performed 2 maximal incremental-exercise protocols (cycle, treadmill) on separate days. Maximal oxygen uptake (VO2max), maximal heart rate (HRmax), peak blood lactate concentration (B[La]peak), and the preprotocol-to-postprotocol change in countermovement-jump height (ΔCMJH) were measured for each protocol. Players provided dRPE (CR100) for breathlessness (RPE-B) and leg-muscle exertion (RPE-L) immediately on exercise termination (RPE-B0, RPE-L0) and 30 min postexercise (RPE-B30, RPE-L30). Data were analyzed using magnitude-based inferences. RESULTS: There were clear between-protocols differences for VO2max (cycle 46.5 ± 6.3 vs treadmill 51.0 ± 5.1 mL · kg-1 · min-1, mean difference -9.2%; ±90% confidence limits 3.7%), HRmax (184.7 ± 12.7 vs 196.7 ± 7.8 beats/min, -6.0%; ±1.7%), B[La]peak (9.7 ± 2.1 vs 8.5 ± 2.0 mmol/L, 15%; ± 10%), and ΔCMJH (-7.1 ± 4.2 vs 0.6 ± 3.6 cm, -23.2%; ± 5.4%). Clear between-protocols differences were recorded for RPE-B0 (78.0 ± 11.7 vs 94.7 ± 9.5 AU, -18.1%; ± 4.5%), RPE-L0 (92.6 ± 9.7 vs 81.3 ± 14.1 AU, 15.3%; ± 7.6%), RPE-B30 (70 ± 11 vs 82 ± 13 AU, -13.8%; ± 7.3%), and RPE-L30 (86 ± 12 vs 65 ± 19 AU, 37%; ±17%). A substantial timing effect was observed for dRPE, with moderate to large reductions in all scores 30 min postexercise compared with scores collected on exercise termination. CONCLUSION: dRPE enhance the precision of internal-load measurement and therefore represent a worthwhile addition to training-load-monitoring procedures.

Musculoskeletal injuries in British Army recruits: a prospective study of diagnosis-specific incidence and rehabilitation times.

BACKGROUND: Musculoskeletal injuries during initial military training are a significant medical problem facing military organisations globally. In order to develop an injury management programme, this study aims to quantify the incidence and rehabilitation times for injury specific diagnoses. METHODS: This was a prospective follow-up study of musculoskeletal injuries in 6608 British Army recruits during a 26-week initial military training programme over a 2-year period. Incidence and rehabilitation times for injury specific diagnoses were recorded and analysed. RESULTS: During the study period the overall incidence of musculoskeletal injuries was 48.6%, and the most common diagnosis was iliotibial band syndrome (6.2%). A significant proportion of the injuries occurred during the first 11 weeks of the programme. The longest rehabilitation times were for stress fractures of the femur, calcaneus and tibia (116 ± 17 days, 92 ± 12 days, and 85 ± 11 days, respectively). The combination of high incidence and lengthy rehabilitation indicates that medial tibial stress syndrome had the greatest impact on training, accounting for almost 20% of all days spent in rehabilitation. CONCLUSION: When setting prevention priorities consideration should be given to both the incidence of specific injury diagnoses and their associated time to recovery.

The effects of repeated-sprint training on field-based fitness measures: a meta-analysis of controlled and non-controlled trials.

BACKGROUND: Repeated-sprint training appears to be an efficient and practical means for the simultaneous development of different components of fitness relevant to team sports. OBJECTIVE: Our objective was to systematically review the literature and meta-analyse the effect of repeated-sprint training on a selection of field-based measures of athletic performance, i.e. counter-movement jump, 10 m sprint, 20 m sprint, 30 m sprint, repeated-sprint ability and high-intensity intermittent running performance. DATA SOURCES: The SPORTDiscus, PubMed, MEDLINE and Web of Science databases were searched for original research articles. Search terms included 'repeated-sprint training', 'sprint training', 'aerobic endurance', 'repeated-sprint ability', 'counter-movement jump' and 'sprint performance'. STUDY SELECTION: Inclusion criteria included intervention consisting of a series of ≤10 s sprints with ≤60 s recovery; trained participants; intervention duration of 2-12 weeks; field-based fitness measures; running- or cycling-based intervention; published up to, and including, February 2014. DATA EXTRACTION: Our final dataset included six trials for counter-movement jump (two controlled trials), eight trials for 10 m sprint, four trials for 20 m sprint (three controlled trials), two trials for 30 m sprint, eight trials for repeated-sprint ability and three trials for high-intensity intermittent running performance. Analyses were conducted using comprehensive meta-analysis software. Uncertainty in the meta-analysed effect of repeated-sprint training was expressed as 95% confidence limits (CL), along with the probability that the true value of the effect was trivial, beneficial or harmful. Magnitude-based inferences were based on standardised thresholds for small, moderate and large changes of 0.2, 0.6 and 1.2 standard deviations, respectively. RESULTS: Repeated-sprint training had a likely small beneficial effect in non-controlled counter-movement jump trials (effect size 0.33; 95% CL ±0.30), with a possibly moderate beneficial effect in controlled trials (0.63; 95% CL ±0.44). There was a very likely small beneficial effect on 10 m sprint time in non-controlled trials (-0.42; 95% CL ±0.24), with a possibly moderate beneficial effect on 20 m sprint time in non-controlled (-0.49; 95% CL ±0.46) and controlled (-0.65; 95% CL ±0.61) trials. Repeated-sprint training had a possibly large beneficial effect on 30 m sprint performance in non-controlled trials (-1.01; 95% CL ±0.93), with possibly moderate beneficial effects on repeated-sprint ability (-0.62; 95% CL ±0.25) and high-intensity intermittent running performance (-0.61; 95% CL ±0.54). CONCLUSIONS: Repeated-sprint training can induce small to large improvements in power, speed, repeated-sprint ability and endurance, and may have relevance for training in team sports.

Isolated core training improves sprint performance in national-level junior swimmers.

PURPOSE: To quantify the effects of a 12-wk isolated core-training program on 50-m front-crawl swim time and measures of core musculature functionally relevant to swimming. METHODS: Twenty national-level junior swimmers (10 male and 10 female, 16±1 y, 171±5 cm, 63±4 kg) participated in the study. Group allocation (intervention [n=10], control [n=10]) was based on 2 preexisting swim-training groups who were part of the same swimming club but trained in different groups. The intervention group completed the core training, incorporating exercises targeting the lumbopelvic complex and upper region extending to the scapula, 3 times/wk for 12 wk. While the training was performed in addition to the normal pool-based swimming program, the control group maintained their usual pool-based swimming program. The authors made probabilistic magnitude-based inferences about the effect of the core training on 50-m swim time and functionally relevant measures of core function. RESULTS: Compared with the control group, the core-training intervention group had a possibly large beneficial effect on 50-m swim time (-2.0%; 90% confidence interval -3.8 to -0.2%). Moreover, it showed small to moderate improvements on a timed prone-bridge test (9.0%; 2.1-16.4%) and asymmetric straight-arm pull-down test (23.1%; 13.7-33.4%), and there were moderate to large increases in peak EMG activity of core musculature during isolated tests of maximal voluntary contraction. CONCLUSION: This is the first study to demonstrate a clear beneficial effect of isolated core training on 50-m front-crawl swim performance.

Gait retraining and incidence of medial tibial stress syndrome in army recruits.

PURPOSE: Gait retraining, comprising biofeedback and/or an exercise intervention, might reduce the risk of musculoskeletal conditions. The purpose was to examine the effect of a gait-retraining program on medial tibial stress syndrome incidence during a 26-wk basic military training regimen. METHODS: A total of 450 British Army recruits volunteered. On the basis of a baseline plantar pressure variable (mean foot balance during the first 10% of stance), participants classified as at risk of developing medial tibial stress syndrome (n = 166) were randomly allocated to an intervention (n = 83) or control (n = 83) group. The intervention involved supervised gait retraining, including exercises to increase neuromuscular control and flexibility (three sessions per week) and biofeedback enabling internalization of the foot balance variable (one session per week). Both groups continued with the usual military training regimen. Diagnoses of medial tibial stress syndrome over the 26-wk regimen were made by physicians blinded to the group assignment. Data were modeled in a survival analysis using Cox regression, adjusting for baseline foot balance and time to peak heel rotation. RESULTS: The intervention was associated with a substantially reduced instantaneous relative risk of medial tibial stress syndrome versus control, with an adjusted HR of 0.25 (95% confidence interval, 0.05-0.53). The number needed to treat to observe one additional injury-free recruit in intervention versus control at 20 wk was 14 (11 to 23) participants. Baseline foot balance was a nonspecific predictor of injury, with an HR per 2 SD increment of 5.2 (1.6 to 53.6). CONCLUSIONS: The intervention was effective in reducing incidence of medial tibial stress syndrome in an at-risk military sample.

The effect of isolated core training on selected measures of golf swing performance.

PURPOSE: This study aimed to quantify the effect of an 8-wk isolated core training program on selected ball and club parameters during the golf swing and also the variability of these measures. METHODS: Thirty-six club-level golfers were randomly assigned to an exercise (n = 18) or control (n =18) group. The exercise group participated in an 8-wk core training program, which included eight basic exercises. Both groups continued with their normal activity levels including golf. Baseline and postintervention measurements included club-head speed, backspin, sidespin, and timed core endurance. RESULTS: Baseline measures for club-head speed, backspin, sidespin, and core endurance test were 79.9 ± 8.4 mph, 3930 ± 780 rpm, 1410 ± 610 rpm, and 91 ± 56 s for the intervention group and 77.6 ± 8.8 mph, 3740 ± 910 rpm, 1290 ± 730 rpm, and 69 ± 55 s for the control group (mean ± SD). The effect of our core training, when compared with control, was a likely small improvement in club-head speed (3.6%; 90% confidence limits = ±2.7%) and a very likely small improvement in muscular endurance (61%; ±33%). The effect on backspin (5%; ±10%) and sidespin (-6%; ±20%) was unclear. Baseline variability for club-head speed, backspin, and sidespin (based on 10 swings per golfer) was 5.7% ± 5.3%, 43% ± 19%, and 140% ± 180% for the intervention group and 6.5% ± 5.3%, 53% ± 53%, and 170% ± 130% for control group. The effect of the intervention on within-subject variability was a moderate decrease for club-head speed, a small decrease for backspin, and a small increase for sidespin when compared with control. CONCLUSION: The benefits achieved from our isolated core training program are comparable with those from other studies.

Biomechanical and lifestyle risk factors for medial tibia stress syndrome in army recruits: a prospective study.

Medial tibial stress syndrome (MTSS) is a common injury in active populations and has been suggested to be a result of both biomechanical and lifestyle factors. The main aim of this study was to determine prospectively whether gait biomechanics and lifestyle factors can be used as a predictor of MTSS development. British infantry male recruits (n=468) were selected for the study. Plantar pressure variables, lifestyle factors comprising smoking habit and aerobic fitness as measured by a 1.5 mile timed-run were collected on the first day of training. Injury data were collected during the 26 week training period and incidence rate was 7.9% (n=37). A logistic regression model for membership of the MTSS and non-MTSS groups was developed. An imbalance in foot pressure with greater pressure on the medial side than on the lateral side was the primary risk factor. Low aerobic fitness, as deduced from a 1.5 mile timed-run and smoking habit were also important, but were additive risk factors for MTSS. In conclusion, "poor" biomechanics were the strongest predictors of MTSS development but lifestyle factors were also important. The logistic regression model combining all three risk factors was capable of predicting 96.9% of the non-injured group and 67.5% of the MTSS group with an overall accuracy of 87.7%. While the model has yet to be validated against an external sample and limitations exist with regards to the quality of the data collected, it is nonetheless suggested that the combined analysis of biomechanical and lifestyle factors has the potential to improve the prediction of MTSS.

An exploratory study on the combined effects of external and internal morphology on load dissipation in primate capitates: its potential for an understanding of the positional and locomotor repertoire of early hominins.

This pilot study explored whether the redirection of stress through trabeculae within morphologically constrained capitates provides information about habitual/positional behaviours unavailable from the study of external morphology alone. To assess this possibility, an experimental finite element approach was taken, whereby no attempt was made to reconstruct the actual magnitudes and loading conditions experienced by the capitates in vivo. Rather, this work addressed fundamental biological questions relating to bone plasticity, i.e. internal versus external bone morphology. The capitates of 7 species with different and - in the case of fossils - inferred locomotor behaviours were selected. Virtual models of capitates were created, scaled to the same size and subjected to the same theoretical load. In the first set of analyses, models were assigned the material properties of bone throughout, whereas in the second set, models were assigned 11 different material properties representing the trabecular architecture derived from high-resolution CT. Species with arboreal behaviours consistently redirected loads towards the ulnar aspect of the capitate when trabeculae were introduced, while terrestrial species, and the bipedal Homo, redirected stress towards the radial side. From these preliminary analyses, it is tentatively concluded that Australopithecus anamensis habitually engaged in arboreal behaviours, whereas Australopithecus afarensis did not.

Optimizing performance by improving core stability and core strength.

Core stability and core strength have been subject to research since the early 1980s. Research has highlighted benefits of training these processes for people with back pain and for carrying out everyday activities. However, less research has been performed on the benefits of core training for elite athletes and how this training should be carried out to optimize sporting performance. Many elite athletes undertake core stability and core strength training as part of their training programme, despite contradictory findings and conclusions as to their efficacy. This is mainly due to the lack of a gold standard method for measuring core stability and strength when performing everyday tasks and sporting movements. A further confounding factor is that because of the differing demands on the core musculature during everyday activities (low load, slow movements) and sporting activities (high load, resisted, dynamic movements), research performed in the rehabilitation sector cannot be applied to the sporting environment and, subsequently, data regarding core training programmes and their effectiveness on sporting performance are lacking. There are many articles in the literature that promote core training programmes and exercises for performance enhancement without providing a strong scientific rationale of their effectiveness, especially in the sporting sector. In the rehabilitation sector, improvements in lower back injuries have been reported by improving core stability. Few studies have observed any performance enhancement in sporting activities despite observing improvements in core stability and core strength following a core training programme. A clearer understanding of the roles that specific muscles have during core stability and core strength exercises would enable more functional training programmes to be implemented, which may result in a more effective transfer of these skills to actual sporting activities.