Effect of Sampling Frequency on Isometric Midthigh-Pull Kinetics

Elastic band resistance for shoulder rehabilitation: Clinical applications and practical exercises

With a paradigm shift towards objectivity, measurements and treatments that prioritize numerical values have become more important to the rehabilitative process for medical practitioners. This objectivity is important for assessing musculoskeletal status as well as informing exercise prescription, the shoulder being the focus of this paper. Previously many physiotherapeutic tests and training interventions have been performed with little thought given to load quantification. For example, elastic band resistance is a commonly employed method of applying load to injured tissue, however, the overload provided by this type of resistance difficult to quantify. The implementation of a novel strain gauge device in-line with elastic-based resistance allows for the ability to measure and determine musculoskeletal loads, enabling better monitoring and measurement of loading parameters for the optimization of treatment and client outcomes. In this Masterclass, we discuss the clinical applications of strain gauge implementation in elastic based resistance training for the physical therapist with a focus on practical exercises for shoulder strengthening.

Validity of inertial measurement units for tracking human motion: a systematic review

Human motion is often tracked using three-dimensional video motion tracking systems, which have demonstrated high levels of validity. More recently, inertial measurement units (IMUs) have been used to measure human movement due to their ease of access and application. The purpose of this study was to systematically review the literature regarding the validity of inertial sensor systems when being used to track human motion. Four electronic databases were used for the search, and eleven studies were included in the final review. IMUs have a high level of agreement with motion capture systems in the frontal and sagittal planes, measured with root mean square error (RMSE), intraclass correlation coefficient, and Pearson's correlation. However, the transverse or rotational planes began to show large discrepancies in joint angles between systems. Furthermore, as the intensity of the task being measured increased, the RMSE values began to get much larger. Currently, the use of accelerometers and inertial sensor systems has limited application in the assessment of human motion, but if the precision and processing of IMU devices improves further, it could provide researchers an opportunity to collect data in less synthetic environments, as well as improve ease of access to biomechanically analyse human movement.

Test-retest reliability of lower limb muscle strength, jump and sprint performance tests in elite female team handball players

PURPOSE

This study aimed to assess the reliability of lower limb muscle function (knee extensor/flexor peak torque, rate of torque development (RTD), impulse, and countermovement jump (CMJ) performance) and sprint performance (acceleration capacity).

METHODS

CMJ performance was evaluated on a force plate. MVIC, RTD and impulse variables were investigated using a portable isometric dynamometer and sprint performance was assessed with dual-beam photocells in elite female athletes.

RESULTS

CMJ test variables maximal vertical jump height, peak and mean power, concentric work, and body center of mass displacement demonstrated good-to-excellent test-retest correlations between Test 1 and Test 2 (ICC ≥ 0.70, CWw-s = 3.4-11.0%). Peak MVIC torque for the knee extensors and flexors demonstrated excellent test-retest correlations (both ICC = 0.84) along with CVw-s values of 6.8 and 6.0%, respectively. Late-phase (0-100 ms, 0-200 ms) RTD for the knee flexors demonstrated excellent test-retest correlations (ICC = 0.89-0.91, CVw-s = 4.8-8.5%). Sprint times at 10- and 20-m demonstrated excellent test-retest reproducibility (ICC = 0.83 and ICC = 0.90, respectively) with CVw-s values of 1.9 and 1.5%. For 5-m sprint times, test-retest reproducibility was good (ICC = 0.71) with CVw-s of 2.8%. Sprint testing performed while dribbling a handball improved (p < 0.05) from test to retest at 5-, 10- and 20-m.

CONCLUSION

In conclusion, the force plate, the mobile isometric dynamometer, and dual-beam photocells provide reproducible tools for field-based testing of countermovement jump performance, knee extensor and flexor strength and sprint performance.

The dynamic strength index is a reliable and feasible tool to assess neuromuscular performance in male and female handball players

The aim of this study was to explore the reliability and feasibility of the isometric mid-thigh pull (IMTP) and dynamic strength index (DSI) in semi-professional handball players (seventeen male and eighteen female). A cross-sectional design was used to determine the test-retest reliability of several kinetic metrics registered with a force plates. The peak force, peak relative force, rate of force development (RFD 0-250 ms), and impulse 0-250 ms were selected from the IMTP test, whereas the peak propulsive force was chosen from the countermovement jump test to obtain the DSI. The intraclass correlation coefficient (ICC), coefficient of variation (CV), standard error of the measurement (SEM) and smallest detectable difference (SDD) were calculated. A paired sample t-test was also performed. No significant differences were found between the testing sessions for all variables, except for peak propulsive force for all players (p = 0.036) and DSI for female players (p = 0.037). Reliability for all kinetic metrics was good to excellent (ICC = 0.78-0.97), with low variability (CV ≤ 8.64%), being the SEM scores lower than SDD. In conclusion, the IMTP test and DSI are highly reliable and feasible tools for assessing neuromuscular performance in semi-professional handball players.

Evaluation of force-time curve analysis methods in the isometric mid-thigh pull test

The purpose of this study was to evaluate the manual and automatic analysis methods for force-time curve analysis of the isometric mid-thigh pull (IMTP) test. The visual analysis, first derivative analysis and threshold analysis methods were used to analyse onset time and time-specific forces at 50 ms, 90 ms, 200 ms and 250 ms on the force-time curve. Ninety-three collegiate sports athletes' trials were selected and analysed by each method. The visual analysis method was set as the reference method for paired comparisons with the first derivative analysis method and threshold analysis method. Onset time comparisons revealed that the first derivative analysis method was comparable with the visual analysis method with average difference at about 30 ms. Results from the weighted least products regression analysis and the Bland-Altman analysis showed that large fixed bias confounded by proportional bias existed in the threshold analysis method, and time-specific force variables obtained from the first derivative analysis method were closer to those from the visual analysis method when compared with the threshold analysis method. These findings suggest that the first derivative analysis method could be an effective tool for force-time curve analysis of the IMTP test.

Sprint Kayaking Performance Enhancement by Isometric Strength Training Inclusion: A Randomized Controlled Trial

Performing isometric strength training (IST) can enhance various sports performance. This study compared the effects of including IST on sprint kayaking performance as compared to traditional strength training. Twenty sprint kayaking athletes (age 22 ± 4 year, stature 1.71 ± 0.09 m, body mass 72.0 ± 11.4 kg) performed a 200-m kayak ergometer time trial (200mTT), isometric squat (IsoSqT), isometric bench press (IsoPress) and isometric prone bench pull (IsoPull) during the pre- and post-tests. Athletes were randomly assigned to either traditional strength training (TRAD) or IST group. Both groups performed a similar strength training program twice a week for six weeks. However, half the volume for squat, bench press and prone bench pull were replaced by IsoSqT, IsoPress and IsoPull, respectively, for the IST group. IsoSqT was performed at 90° knee angle, while IsoPress and IsoPull were performed at 90° and 120° elbow angles, respectively. Each isometric contraction was performed with maximum intensity and sustained for three seconds. A significant main time effect was observed for 200mTT (p < 0.001, ƞ²_p = 0.68) and all isometric strength measures (p = 0.001–0.032, ƞ²_p = 0.24–0.76) except rate of force development at 0–90 ms (RFD90) obtained from IsoSqT120 and IsoPress90. A group main effect was observed in RFD90 obtained from IsoSqT120 and IsoPull120 (p = 0.003–0.004, ƞ²_p = 0.37–0.39). Time x Group interaction was observed for 200mTT (p = 0.027, ƞ²_p = 0.68), peak force obtained from IsoSqT90, IsoPress90, and IsoPull120 (p = 0.004–0.006, ƞ²_p = 0.36–0.38) and RFD90 obtained from IsoSqT120 and IsoPull120 (p = 0.012–0.015, ƞ²_p = 0.28–0.30). Inclusion of IST resulted in greater improvement for sprint kayaking and strength performances then TRAD alone.

Isometric Mid-Thigh Pull Performance in Rugby Players: A Systematic Literature Review

The isometric mid-thigh pull (IMTP) is a multi-joint test of whole-body force production relevant to rugby players. "Rugby AND (mid-thigh pull OR midthigh pull OR mid thigh pull" were searched in PubMed, Sportdiscus, Academic Search Premier, CINAHL Plus with Full Text, and Google Scholar; the final date of search was 24 January 2018. Data extraction from 24 articles included subject characteristics, force data, and IMTP testing procedures. Select ranges of peak forces reported were: Youth: 1162-2374 N; Academy: 1855-3104 N; Professional: 2254-3851 N. Rate of force development (RFD) at 100 and 200 ms ranged from 5521 to 11,892 N and 5403 to 8405 N, respectively, among professional rugby players. Studies' research design were of moderate quality, but most studies lacked detailed reporting of IMTP procedures. Variability of force characteristics derived from the IMTP within similar populations (e.g., approximately 200% difference in peak force between samples of professional rugby league players) as well as large and unexpected overlaps between dissimilar populations, limit conclusions about force production capabilities relative to playing level, likely due to limitations and lack of standardization of IMTP procedures. Greater uniformity in IMTP testing procedures and reporting is needed. This manuscript provides a guide for reporting needs when presenting results from an IMTP in research.

The relationship between isometric mid-thigh pull variables and athletic performance measures: empirical study of English professional soccer players and meta-analysis of extant literature

BACKGROUND

There is currently limited evidence available to support the use of the isometric mid-thigh pull (IMTP) within professional soccer. The aim of this study was to analyze the association between IMTP variables, with common markers of athletic performance capability.

METHODS

Eleven professional development soccer players (age: 20±2 years, stature: 1.82±0.10 m, mass: 76.4±12.8 kg) performed IMTP, 5 m and 10 m accelerations, maximal sprint speed (MSS), countermovement jump (CMJ), and the 505 change of direction test (COD).

RESULTS

Relative and absolute peak force (PF) and force at 50, 100, 150 and 200 ms values were measured during the IMTP. Relative F150, F200, PF displayed large to very large correlations with MSS (r=0.51, r=0.66, and r=0.76 respectively), while absolute PF also displayed a large correlation with MSS (r=0.57). Relative and absolute PF showed large correlations with CMJ height (r=0.54 and r=0.55 respectively). Relative F150 and F200 highlighted large correlations with COD ability (r=-0.68 and r=-0.60 respectively). Relative F200 and PF had a large negative correlation with 10 m acceleration (r=-0.55 and r=-0.53 respectively).

CONCLUSIONS

This study provides an important contribution to knowledge within the area of IMTP testing in professional soccer by evidencing the prominence of the isometric force generating capacity as an underpinning factor in relation to athletic capability.

Neuromuscular predictors of competition performance in advanced international female weightlifters: a cross-sectional and longitudinal analysis

The aim of this study was to investigate the physical determinants of weightlifting competition performance based on Isometric Mid-Thigh Pull (IMTP) and Countermovement Jump (CMJ) force-time variables, in a cross-sectional and longitudinal analysis. Ten British advanced international female weightlifters' competition results and neuromuscular assessment data collected as part of the British Weight Lifting World Class Programme were utilised for the purpose of this study. All data were averaged for two consecutive 1-year periods. The cross-sectional analysis utilised the second year of data, whereas the longitudinal analysis assessed the mean change between the two years. The cross-sectional analysis results reveal IMTP Net Isometric Peak Force (PF) and CMJ Peak Power (PP) predict 94.2%, 95.1% and 91.8% of the variance in Total, Snatch and Clean & Jerk competition performance, respectively (p = <0.5). The longitudinal analysis results revealed that ∆IMTP PF was the only predicting factor of longitudinal change in weightlifting competition performance predicting 41.5%, 41.7% and 42.5% of ∆Total, ∆Snatch and ∆Clean & Jerk, respectively (p = <0.5). The assessments and equations may be utilised by coaches or sports scientists to inform the prescription of training and help predict competition performance.