1
|
Xu K, Blazevich AJ, Boullosa D, Ramirez-Campillo R, Yin M, Zhong Y, Tian Y, Finlay M, Byrne PJ, Cuenca-Fernández F, Wang R. Optimizing Post-activation Performance Enhancement in Athletic Tasks: A Systematic Review with Meta-analysis for Prescription Variables and Research Methods. Sports Med 2025; 55:977-1008. [PMID: 39853660 DOI: 10.1007/s40279-024-02170-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/13/2024] [Indexed: 01/26/2025]
Abstract
BACKGROUND Post-activation performance enhancement (PAPE) has demonstrated efficacy in acutely improving athletic performance. However, its distinction from general warm-up (GW) effects remains ambiguous, and experimental designs adopted in most PAPE studies exhibit important limitations. OBJECTIVES The aims of this work are to (i) examine the effects of research methodology on PAPE outcomes, (ii) explore PAPE outcomes in relation to comparison methods, performance measures, GW comprehensiveness, recovery duration, participants' characteristics, conditioning activity (CA) parameters, and (iii) make recommendations for future PAPE experimental designs on the basis of the results of the meta-analysis. METHODS Four databases were searched for peer-reviewed English-language literature. Risk of bias was assessed using a modified Cochrane Collaboration's tool and PEDro scale. PAPE groups were compared with control groups, pre-conditioning activity (pre-CA) performances were compared with post-conditioning activity (post-CA) performances throughout a verification test in PAPE groups, and control groups were compared before and after the "rest" period using a three-level meta-analysis. Further analyses, including subgroup analysis and both linear and nonlinear meta-regression methods, were used to explore the effect of different moderating factors on PAPE magnitude. A subgroup analysis of GW comprehensiveness was conducted using four classification methods. One method classified GW as non-comprehensive (stretching or jogging only), partially comprehensive (stretching, jogging, and low-intensity self-weighted dynamic exercises), and comprehensive (adding maximal or near-maximal intensity CAs to a partially comprehensive GW). The other three classifications were adjusted according to the type and number of GW exercises. Certainty of evidence was assessed using the GRADE approach. RESULTS The final analysis included 62 PAPE studies (1039 participants, male: n = 857, female: n = 182) with a high risk of bias and low certainty of pooled evidence. A trivial PAPE effect was observed from pre- to post-CA (effect size [ES] = 0.12, 95% CI [0.06 to 0.19], prediction intervals [PI] = - 0.29 to 0.54); a small PAPE effect was observed when compared with a control group (ES = 0.30, 95% CI [0.20 to 0.40], PI [- 0.38 to 0.97]). The slightly greater effect against control resulted from a small decrease in performance in control groups (ES = - 0.08, 95% CI [- 0.13 to - 0.03], PI [- 0.30 to 0.14]), but there was no relationship with between PAPE recovery time (β = - 0.005, p = 0.149). Subgroup analyses showed that PAPE magnitude was greater for non-comprehensive GWs (ES = 0.16) than comprehensive (ES = 0.01) and partially comprehensive GWs (ES = 0.11). In contrast, the control group showed a decline in performance after comprehensive GW (ES = - 0.20). An inverted U-shaped PAPE was noted as a function of recovery time. In some cases, PAPE appeared to manifest at < 1 min post CA. Additionally, participants with longer training experience (ES = 0.36) and higher training levels (ES = 0.38) had larger PAPE magnitudes. PAPE effect was higher in females (ES = 0.51) than males (ES = 0.32) and mixed groups (ES = 0.16) but did not reach a significant difference (p > 0.05). Plyometric exercise (ES = 0.42) induced greater PAPE amplitude than traditional resistance exercise (ES = 0.23), maximal isometric voluntary contraction (ES = 0.31) and other CA types (ES = 0.24). CONCLUSIONS Although the overall pooled results for both PAPE pre- versus post-CA and PAPE versus control group comparisons showed significant improvement, the wider and past-zero prediction intervals indicate that future studies are still likely to produce negative results. The comprehensiveness of the GW, the time between GW and the pre-CA test, participant sex, training level, training experience, type of CA, number of CA sets, and recovery time after CA all influence the PAPE magnitude. The PAPE magnitude was trivial after comprehensive GW, but it was greater in studies with a control group (i.e., no CA) because performance decreased over the control period, inflating the PAPE effect. Finally, two theoretical models of PAPE experimental design and suggestions for methodological issues are subsequently presented. Future studies can build on this to further explore the effects of PAPE. PROTOCOL REGISTRATION The original protocol was prospectively registered (osf.io/v7sbt) with the Open Science Framework.
Collapse
Affiliation(s)
- Kai Xu
- School of Athletic Performance, Shanghai University of Sport, No. 200, Henren Road, Shanghai, 200438, China
| | - Anthony J Blazevich
- School of Medical and Health Sciences, Centre for Human Performance, Edith Cowan University, Joondalup, Australia
| | - Daniel Boullosa
- Faculty of Physical Activity and Sports Sciences, Universidad de León, León, Spain
- Integrated Institute of Health, Federal University of Mato Grosso do Sul, Campo Grande, Brazil
- College of Healthcare Sciences, James Cook University, Townsville, Australia
| | - Rodrigo Ramirez-Campillo
- Faculty of Rehabilitation Sciences, Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Universidad Andres Bello, 7591538, Santiago, Chile
| | - MingYue Yin
- School of Athletic Performance, Shanghai University of Sport, No. 200, Henren Road, Shanghai, 200438, China
| | - YuMing Zhong
- School of Athletic Performance, Shanghai University of Sport, No. 200, Henren Road, Shanghai, 200438, China
| | - YuHang Tian
- School of Athletic Performance, Shanghai University of Sport, No. 200, Henren Road, Shanghai, 200438, China
| | - Mitchell Finlay
- Sport Department, University Academy 92, Old Trafford, Manchester, UK
| | - Paul J Byrne
- Department of Health and Sport Sciences, Southeast Technological University, Kilkenny Road Campus, Carlow, Ireland
| | - Francisco Cuenca-Fernández
- Department of Sports and Computer Sciences, Universidad Pablo de Olavide, Seville, Spain
- Aquatics Lab, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Ctra. Alfacar SN, 18071, Granada, Spain
| | - Ran Wang
- School of Athletic Performance, Shanghai University of Sport, No. 200, Henren Road, Shanghai, 200438, China.
| |
Collapse
|
2
|
Perenc D, Stastny P, Urbański R, Krzysztofik M. Acute effects of supramaximal loaded back squat activation on countermovement jump performance, muscle mechanical properties, and skin surface temperature in powerlifters. Eur J Sport Sci 2025; 25:e12245. [PMID: 39739437 DOI: 10.1002/ejsc.12245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Revised: 11/28/2024] [Accepted: 12/16/2024] [Indexed: 01/02/2025]
Abstract
This study aimed to investigate the effects of performing either eccentric-only (ECC) or eccentric-concentric (ECC-CON) back squats (BS) with a supramaximal load on countermovement jump (CMJ) performance. Changes in front thigh skin surface temperature and mechanical properties (oscillation frequency and stiffness) of the vastus lateralis were also examined. Fourteen male powerlifters participated in this study (age: 22.5 ± 2.3 years, body weight: 84.2 ± 11.1 kg, height: 178 ± 7 cm, training experience: 5.4 ± 1.6 years, BS one-repetition maximum [1RM]: 177 ± 22.8 kg). The experimental sessions included 2 sets of 2 BS at 110% 1RM of either ECC-CON (load distributed by half on the barbell [55%] and on weight releasers [55%]) or ECC (only eccentric phase of BS) and CTRL with no CA applied. CMJ performance, mechanical properties, and skin surface temperature were measured before and at the third, sixth, ninth, and 12th min. After each protocol, only the ECC-CON condition led to a significant increase in CMJ height after individual optimal rest time compared to pre-CA (38.1 ± 5.2 vs. 39.8 ± 5.0 cm; p = 0.003; effect size [ES] = 0.32; Δ = 4.9 ± 5.0%) with a significant rise in skin surface temperature (32.98 ± 1.24 vs. 33.69 ± 0.96°C; p = 0.006; ES = 0.62; Δ = 2.2 ± 2.6%) and no significant changes in mechanical properties of the vastus lateralis. The ECC-CON condition led to a significant acute improvement in CMJ height and an increase in front thigh skin surface temperature among powerlifters. The ECC-CON supramaximal lower limb PAPE protocol should be effectively used among males representing high levels of lower limb muscle strength (>2 × body mass).
Collapse
Affiliation(s)
- Dawid Perenc
- Nutrition and Sports Performance Research Group, The Jerzy Kukuczka Academy of Physical Education in Katowice, Katowice, Poland
| | - Petr Stastny
- Department of Sport Games, Faculty of Physical Education and Sport, Charles University in Prague, Prague, Czech Republic
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, Katowice, Poland
| | - Robert Urbański
- Department of Biomechanics and Sports Engineering, Gdansk University of Physical Education and Sport, Gdańsk, Poland
| | - Michał Krzysztofik
- Nutrition and Sports Performance Research Group, The Jerzy Kukuczka Academy of Physical Education in Katowice, Katowice, Poland
- Department of Sport Games, Faculty of Physical Education and Sport, Charles University in Prague, Prague, Czech Republic
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, Katowice, Poland
| |
Collapse
|
3
|
Stastny P, Kolinger D, Pisz A, Wilk M, Petruzela J, Krzysztofik M. Effects of Eccentric Speed during Front Squat Conditioning Activity on Post-activation Performance Enhancement of Hip and Thigh Muscles. J Hum Kinet 2024; 91:5-18. [PMID: 38689578 PMCID: PMC11057616 DOI: 10.5114/jhk/183917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2023] [Accepted: 02/10/2024] [Indexed: 05/02/2024] Open
Abstract
The phenomenon of post-activation performance enhancement plays an unidentified role in movement eccentric speed and individual muscle group responses. Therefore, this study aimed to determine whether the loaded front squat (FSq) speed of the eccentric phase would influence the post-activation performance enhancement effect and whether the FSq would elicit similar performance enhancement of knee flexion, knee extension, hip flexion, and hip extension muscles. Twenty resistance-trained handball players performed the FSq under maximum eccentric-concentric speed and 2-s eccentric speed (only the eccentric phase performed), while pre- and post-front squat countermovement jump, knee, and hip isokinetic flexion/extension performance were tested. The FSq conditioning activity was performed in a single set of three repetitions with either 90% (maximum eccentric-concentric speed) or 120% (2-s eccentric speed) of one repetition maximum, and post-performance was measured 4-12 min after the FSq. Athletes randomly changed the FSq eccentric speed and tested the hip or knee isokinetic flexion/extension strength at 180°/s. ANOVA showed that the rate of force development during the jump increased (Cohen d = 0.59-0.77) with no differences between 2-s eccentric and maximum speed eccentric protocols. Isokinetic strength increased after the 2-s eccentric FSq in hip extension (d = 0.76-0.86), knee flexion (d = 0.74-0.88), and hip flexion (d = 0.82), with no differences in knee extension strength. After maximum eccentric-concentric speed, isokinetic strength increased in hip extension (d = 1.25). In conclusion, the FSq conditioning activity enhances hip extensors' performance more than knee extensors' performance. Different eccentric types of muscle action during a conditioning activity alter the level of local muscle enhancement.
Collapse
Affiliation(s)
- Petr Stastny
- Department of Sport Games, Faculty of Physical Education and Sport, Charles University in Prague, Prague, Czech Republic
| | - Dominik Kolinger
- Department of Sport Games, Faculty of Physical Education and Sport, Charles University in Prague, Prague, Czech Republic
| | - Anna Pisz
- Department of Sport Games, Faculty of Physical Education and Sport, Charles University in Prague, Prague, Czech Republic
| | - Michał Wilk
- Department of Sport Games, Faculty of Physical Education and Sport, Charles University in Prague, Prague, Czech Republic
- Institute of Sports Science, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
| | - Jan Petruzela
- Department of Sport Games, Faculty of Physical Education and Sport, Charles University in Prague, Prague, Czech Republic
| | - Michał Krzysztofik
- Institute of Sports Science, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
| |
Collapse
|
4
|
Krzysztofik M, Wilk M, Kolinger D, Pisz A, Świtała K, Petruzela J, Stastny P. Acute Effects of Supra- and High-Loaded Front Squats on Mechanical Properties of Lower-Limb Muscles. Sports (Basel) 2023; 11:148. [PMID: 37624128 PMCID: PMC10459263 DOI: 10.3390/sports11080148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Revised: 07/29/2023] [Accepted: 08/01/2023] [Indexed: 08/26/2023] Open
Abstract
Knowledge about the acute effects of supramaximal-loaded resistance exercises on muscle mechanical properties is scarce. Therefore, this study aimed to examine changes in dominant limb biceps femoris and vastus lateralis oscillation frequency and stiffness before and after high- and supramaximal-loaded front squats. Nineteen male handball players participated in the experimental session with a barbell front squat 1RM. The first set was performed at 70% of the 1RM for four repetitions, and the second and third sets were performed at 90%1RM in an eccentric-concentric or an eccentric-only manner at 120% of the 1RM for three repetitions. The handheld myometer was used for the measurement of the biceps femoris and vastus lateralis stiffness and the oscillation frequency of the dominant limb 5 min before and at the 5th and 10th min after front squats. A two-way ANOVA neither indicated a statistically significant interaction (p = 0.335; η2 = 0.059 and p = 0.103; η2 = 0.118), the main effect of a condition (p = 0.124; η2 = 0.126 and p = 0.197; η2 = 0.091), nor the main effect of the time point (p = 0.314; η2 = 0.06 and p = 0.196; η2 = 0.089) for vastus lateralis and biceps femoris stiffness. However, there was a statistically significant interaction (F = 3.516; p = 0.04; η2 = 0.163) for vastus lateralis oscillation frequency. The post hoc analysis showed a significantly higher vastus lateralis oscillation frequency at POST (p = 0.037; d = 0.29) and POST_10 (p = 0.02; d = 0.29) compared to PRE during the SUPRA condition. Moreover, Friedman's test indicated statistically significant differences in biceps femoris oscillation frequency (test = 15.482; p = 0.008; Kendall's W = 0.163). Pairwise comparison showed a significantly lower biceps femoris oscillation frequency in POST (p = 0.042; d = 0.31) and POST_10 (p = 0.015; d = 0.2) during the HIGH condition compared to that in the corresponding time points during the SUPRA condition. The results of this study indicate that the SUPRA front squats, compared to the high-loaded ones, cause a significant increase in biceps femoris and vastus lateralis oscillation frequency.
Collapse
Affiliation(s)
- Michal Krzysztofik
- Department of Sport Games, Faculty of Physical Education and Sport, Charles University in Prague, 110 00 Prague, Czech Republic; (M.W.)
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education, 40-065 Katowice, Poland
| | - Michal Wilk
- Department of Sport Games, Faculty of Physical Education and Sport, Charles University in Prague, 110 00 Prague, Czech Republic; (M.W.)
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education, 40-065 Katowice, Poland
| | - Dominik Kolinger
- Department of Sport Games, Faculty of Physical Education and Sport, Charles University in Prague, 110 00 Prague, Czech Republic; (M.W.)
| | - Anna Pisz
- Department of Sport Games, Faculty of Physical Education and Sport, Charles University in Prague, 110 00 Prague, Czech Republic; (M.W.)
| | - Katarzyna Świtała
- Faculty of Physical Education, Gdansk University of Physical Education and Sport, 80-336 Gdańsk, Poland;
| | - Jan Petruzela
- Department of Sport Games, Faculty of Physical Education and Sport, Charles University in Prague, 110 00 Prague, Czech Republic; (M.W.)
| | - Petr Stastny
- Department of Sport Games, Faculty of Physical Education and Sport, Charles University in Prague, 110 00 Prague, Czech Republic; (M.W.)
| |
Collapse
|
5
|
Accentuated Eccentric Loading is Superior to Traditional Loading for Improving Acute Countermovement Jump Performance in Adult, Resistance-Trained Males. J Sport Rehabil 2021; 30:956-960. [PMID: 33785656 DOI: 10.1123/jsr.2020-0411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Revised: 12/20/2020] [Accepted: 12/28/2020] [Indexed: 11/18/2022]
Abstract
Clinical Scenario: Traditional loading (TL) is a common technique to employ when engaging in countermovement jumps (CMJ). Accentuated eccentric loading (AEL) is a newer modality that is being explored for acute CMJ performance. Focused Clinical Question: In adult, resistance-trained males, will AEL have a superior impact on acute CMJ performance compared to TL? Summary of Key Findings: The literature was searched for studies that examined the influence of AEL on acute CMJ performance compared to a TL protocol. TL was defined as any loading condition that utilized an equivalent resistance during both the eccentric and concentric contractions. Three studies met the inclusion and exclusion criteria, and were identified and included in the critically appraised topic. Each of the 3 studies found that various AEL conditions were either equal to or better than TL when examining subsequent CMJ performance. In no specific CMJ outcome measure was TL deemed to have a greater impact than AEL. Clinical Bottom Line: AEL provides more favorable acute CMJ performance than TL in adult, resistance-trained males. Strength of Recommendation: Consistent findings from 2 randomized crossover studies and one repeated-measured design investigation suggest level 2b evidence to support AEL as an ideal protocol for acute CMJ performance.
Collapse
|
6
|
Krzysztofik M, Wilk M, Lockie RG, Golas A, Zajac A, Bogdanis GC. Postactivation Performance Enhancement of Concentric Bench Press Throw After Eccentric-Only Conditioning Exercise. J Strength Cond Res 2020; 36:2077-2081. [PMID: 32826834 DOI: 10.1519/jsc.0000000000003802] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Krzysztofik, M, Wilk, M, Lockie, RG, Golas, A, Zajac, A, and Bogdanis, GC. Postactivation performance enhancement of concentric bench press throw after eccentric-only conditioning exercise. J Strength Cond Res XX(X): 000-000, 2020-This study examined changes in power output and bar velocity in the concentric-only bench press throw (CONONLY) after a sets of eccentric-only bench press exercises (ECCONLY) at 2 supramaximal loads. Thirteen strength-trained men participated in this study (age = 25.7 ± 1.9 years, body mass = 94.8 ± 8 kg, 1 repetition maximum [1RM] = 147 ± 14.2 kg, and strength training experience = 6.5 ± 2.2 years). The subjects performed 2 conditioning sets of the bench press exercise of 2 repetitions each, with a 5 minutes rest interval between sets, using the ECCONLY mode against 110% or 130% of concentric 1RM load. The 1 repetition of the CONONLY bench press throw with a load of 30% 1RM was performed before and 5 minutes after the conditioning activity (CA) to assess changes in peak power (PP) and peak velocity (PV). The differences between the analyzed variables before and after the CA were determined using a 2-way repeated measures analysis of variance. There was an increase of PP by 10.5 ± 6.0% (effect size [ES] = 0.34) and 9.9 ± 8.1% (ES = 0.33) for the 110 and 130% of concentric 1RM conditions, respectively, with no difference between the 2 conditions (p < 0.01 main effect time, no interaction). Similarly, PV increased by 5.9 ± 5.5% (ES = 0.40) and 6.1 ± 6.1% (ES = 0.43) for the 110 and 130% of concentric 1RM conditions, respectively, with no difference between the 2 conditions (p < 0.01 main effect time, no interaction). Activation with an ECCONLY contraction and loads exceeding 1RM are effective at improving power output and bar velocity during the CONONLY bench press throw.
Collapse
Affiliation(s)
- Michal Krzysztofik
- Institute of Sport Sciences, Jerzy Kukuczka Academy of Physical Education in Katowice, Poland
| | - Michal Wilk
- Institute of Sport Sciences, Jerzy Kukuczka Academy of Physical Education in Katowice, Poland
| | - Robert G Lockie
- Department of Kinesiology, Center for Sports Performance, California State University, Fullerton, Fullerton, California
| | - Artur Golas
- Institute of Sport Sciences, Jerzy Kukuczka Academy of Physical Education in Katowice, Poland
| | - Adam Zajac
- Institute of Sport Sciences, Jerzy Kukuczka Academy of Physical Education in Katowice, Poland
| | - Gregory C Bogdanis
- School of P.E. and Sport Science, National & Kapodistrian University of Athens, Athens, Greece
| |
Collapse
|
7
|
Drury B, Ratel S, Clark CC, Fernandes JF, Moran J, Behm DG. Eccentric Resistance Training in Youth: Perspectives for Long-Term Athletic Development. J Funct Morphol Kinesiol 2019; 4:E70. [PMID: 33467385 PMCID: PMC7739302 DOI: 10.3390/jfmk4040070] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2019] [Revised: 11/21/2019] [Accepted: 11/25/2019] [Indexed: 02/07/2023] Open
Abstract
The purpose of this narrative review is to discuss the role of eccentric resistance training in youth and how this training modality can be utilized within long-term physical development. Current literature on responses to eccentric exercise in youth has demonstrated that potential concerns, such as fatigue and muscle damage, compared to adults are not supported. Considering the importance of resistance training for youth athletes and the benefits of eccentric training in enhancing strength, power, speed, and resistance to injury, its inclusion throughout youth may be warranted. In this review we provide a brief overview of the physiological responses to exercise in youth with specific reference to the different responses to eccentric resistance training between children, adolescents, and adults. Thereafter, we discuss the importance of ensuring that force absorption qualities are trained throughout youth and how these may be influenced by growth and maturation. In particular, we propose practical methods on how eccentric resistance training methods can be implemented in youth via the inclusion of efficient landing mechanics, eccentric hamstrings strengthening and flywheel inertia training. This article proposes that the use of eccentric resistance training in youth should be considered a necessity to help develop both physical qualities that underpin sporting performance, as well as reducing injury risk. However, as with any other training modality implemented within youth, careful consideration should be given in accordance with an individual's maturity status, training history and technical competency as well as being underpinned by current long-term physical development guidelines.
Collapse
Affiliation(s)
- Benjamin Drury
- Department of Applied Sport Sciences, Hartpury University, Gloucestershire GL19 3BE, England, UK;
| | - Sébastien Ratel
- Laboratoire des Adaptations Métaboliques à l’Exercice en conditions Physiologiques et Pathologiques (AME2P, EA 3533), Université Clermont Auvergne, F-63000 Clermont-Ferrand, France;
| | - Cain C.T. Clark
- Faculty of Health and Life Sciences, Coventry University, Coventry CV1 5RW, England, UK;
| | - John F.T. Fernandes
- Department of Applied Sport Sciences, Hartpury University, Gloucestershire GL19 3BE, England, UK;
| | - Jason Moran
- School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester CO4 3WA, UK;
| | - David G Behm
- School of Human Kinetics and Recreation, Memorial University of Newfoundland, St. John’s Newfoundland and Labrador, A1C 5S7C, Canada;
| |
Collapse
|