TENDINopathy Severity assessment-Achilles (TENDINS-A): evaluation of reliability and validity in accordance with COSMIN recommendations

OBJECTIVE

To evaluate the construct validity (structural validity and hypothesis testing), reliability (test-retest reliability, measurement error and internal consistency) and minimal important change (MIC) of the 13-item TENDINopathy Severity assessment-Achilles (TENDINS-A).

METHODS

Participants with Achilles pain completed an online survey including: demographics, TENDINS-A, Foot and Ankle Outcome Score (FAOS) and Victorian Institute of Sport Assessment-Achilles (VISA-A). Exploratory factor analysis (EFA) assessed dimensionality. Confirmatory factor analysis (CFA) assessed structural validity (root mean square error of approximation (RMSEA); Comparative Fit Index (CFI); Tucker-Lewis Index (TLI); standardised root measure square (SRMS)). Correlations between TENDINS-A and the FAOS or VISA-A assessed hypothesis testing. Intraclass correlation (ICC) assessed test-retest reliability. Cronbach's alpha assessed internal consistency. SE of the measurement (SEM) assessed measurement error. A distribution-based approach assessed MIC.

RESULTS

79 participants (51% female) with a mean (SD) age=42.6 (13.0) years, height=175.0 (11.7) cm and body mass=82.0 (19.1) kg were included. EFA identified three meaningful factors, proposed as pain, symptoms and function. The best model identified using CFA for TENDINS-A had structural validity (RMSEA=0.101, CFI=0.959, TLI=0.947, SRMS=0.068), which included three factors (pain, symptoms and function), but excluded three items from the original TENDINS-A. TENDINS-A exhibited moderate positive correlation with FAOS (r=0.598, p<0.001) and a moderate negative correlation with VISA-A (r=-0.639, p<0.001). Reliability of the TENDINS-A was excellent (ICC=0.930; Cronbach's α=0.808; SEM=6.54 units), with an MIC of 12 units.

CONCLUSIONS

Our evaluation of the revised 10-item TENDINS-A determined it has construct validity and excellent reliability, compared with the VISA-A and FAOS which lack content and construct validity. The TENDINS-A is recommended as the preferred patient-reported outcome measure to assess disability in people with Achilles tendinopathy.

Validity of Global Positioning System Technology to Measure Maximum Velocity Sprinting in Elite Sprinters

ABSTRACT

Thome, M, Thorpe, RT, Jordan, MJ, and Nimphius, S. Validity of global positioning system (GPS) technology to measure maximum velocity sprinting in elite sprinters. J Strength Cond Res 37(12): 2438-2442, 2023-The objective of this study was to assess the concurrent validity of 10-Hz wearable Global Positioning System (GPS) technology to measure maximum velocity sprinting (Vmax) relative to Doppler radar in elite sprinters. Data were collected from a single training session performed by elite 100 and 200 m sprinters (males: n = 5; 100 m best times: 10.02 ± 0.07 seconds, range: 9.94-10.10 seconds; 200 m best times: 20.29 ± 0.42 seconds, range: 19.85-20.80 seconds; females: n = 2; age: 28.0 ± 4.2 years; body mass: 65.8 ± 4.6 kg; 100 m best times: 11.18 ± 0.34 seconds; 200 m best times: 22.53 ± 0.04 seconds). Velocity and time data from 16 maximal, 60-m sprint efforts were recorded simultaneously with 10 Hz GPS and 47 Hz radar. Validity was assessed using Bland-Altman 95% limits of agreement (LOA) and intraclass correlation coefficient (ICC), each with respective 95% confidence intervals (CI). Vmax measured with 10 Hz GPS demonstrated a LOA of -0.11 m·s-1 (-0.17, -0.05) and an ICC of 0.99 (0.98, 1.0) relative to the radar device.10 Hz GPS overestimated Vmax by 0.11 m·s-1 relative to the radar but could still be considered a suitable tool for monitoring external load in elite sprinters. However, the much smaller average annual improvement in this population (∼0.1-0.2%) in comparison with the ∼1% overestimation reduces the utility of 10 Hz GPS to detect meaningful performance changes in maximum velocity.

Female athlete health domains: a supplement to the International Olympic Committee consensus statement on methods for recording and reporting epidemiological data on injury and illness in sport

The IOC made recommendations for recording and reporting epidemiological data on injuries and illness in sports in 2020, but with little, if any, focus on female athletes. Therefore, the aims of this supplement to the IOC consensus statement are to (i) propose a taxonomy for categorisation of female athlete health problems across the lifespan; (ii) make recommendations for data capture to inform consistent recording and reporting of symptoms, injuries, illnesses and other health outcomes in sports injury epidemiology and (iii) make recommendations for specifications when applying the Strengthening the Reporting of Observational Studies in Epidemiology-Sport Injury and Illness Surveillance (STROBE-SIIS) to female athlete health data.In May 2021, five researchers and clinicians with expertise in sports medicine, epidemiology and female athlete health convened to form a consensus working group, which identified key themes. Twenty additional experts were invited and an iterative process involving all authors was then used to extend the IOC consensus statement, to include issues which affect female athletes.Ten domains of female health for categorising health problems according to biological, life stage or environmental factors that affect females in sport were identified: menstrual and gynaecological health; preconception and assisted reproduction; pregnancy; postpartum; menopause; breast health; pelvic floor health; breast feeding, parenting and caregiving; mental health and sport environments.This paper extends the IOC consensus statement to include 10 domains of female health, which may affect female athletes across the lifespan, from adolescence through young adulthood, to mid-age and older age. Our recommendations for data capture relating to female athlete population characteristics, and injuries, illnesses and other health consequences, will improve the quality of epidemiological studies, to inform better injury and illness prevention strategies.

Training for "Worst-Case" Scenarios in Sidestepping: Unifying Strength and Conditioning and Perception-Action Approaches

Sidesteps can impose high demands on the knee joint and lead to non-contact anterior cruciate ligament (ACL) injuries. Understanding how different constraints shape an athlete's movement strategy and the associated joint demands can help design training interventions to increase injury resilience. Motor capacities, such as muscular strength and power, act as boundaries for the safe execution of perceptual-motor skills and co-determine the emergence of unique movement strategies. Increasing single- and multi-joint strength enables a broader solution space for movement strategies and increases load tolerance. Manipulating task constraints during sidesteps can be used in the training process to systematically expose athletes to increasing demands (on the knee joint or any joint or structure) in preparation for "worst-case" scenarios. In particular, the type and timing of information available influence the preparation time, subsequently affecting the movement strategy and the associated magnitude of external knee joint loading (e.g., knee valgus moment). While an athlete's perceptual-cognitive skills contribute to the preparation time during in situ scenarios, attempts to further improve those skills with the aim of increasing athlete preparation time prior to "worst-case" scenarios are yet to demonstrate conclusive evidence of transfer to on-field situations. Therefore, in the current article, we reflect on the impact of different interacting constraints that influence the execution of sidesteps during in situ scenarios and impose high demands on the knee joint. Subsequently, we discuss how an integrated perspective, drawing on knowledge and perspectives from strength and conditioning and perception-action, may enhance an athlete's ability to withstand "worst-case" scenarios and adapt to perform varied movement executions when sidestepping.

Advancing feminist innovation in sport studies: A transdisciplinary dialogue on gender, health and wellbeing

Athlete health and wellbeing requires a holistic, multidimensional approach to understanding, supporting, and treating individual athletes. Building more supportive, inclusive, and equitable environments for the health and wellbeing of women and gender expansive people further requires gender-responsive approaches that promote broader cultural change. Feminist sport and exercise medicine practitioners, sports scientists, and social science researchers are increasingly coming together in their efforts to do this work. However, working across disciplines inevitably includes an array of ontological, epistemological, and political challenges. In this paper, we offer a curated 'dialogue' with a group of feminist scholars engaged in research and practice across disciplines, bringing them together to discuss some of the most pressing gendered issues in sport today (i.e., ACL injury, concussion, menstruation in sport, mental health, gender categories). In so doing, we amplify the voices of those working (empirically and clinically) at the disciplinary intersections of gender, sport and health, and learn about some of the current and future possibilities for transdisciplinary innovations and strategies for building (responsiveness to) cultural change.

With Great Power Comes Great Responsibility: Common Errors in Meta-Analyses and Meta-Regressions in Strength & Conditioning Research

BACKGROUND AND OBJECTIVE

Meta-analysis and meta-regression are often highly cited and may influence practice. Unfortunately, statistical errors in meta-analyses are widespread and can lead to flawed conclusions. The purpose of this article was to review common statistical errors in meta-analyses and to document their frequency in highly cited meta-analyses from strength and conditioning research.

METHODS

We identified five errors in one highly cited meta-regression from strength and conditioning research: implausible outliers; overestimated effect sizes that arise from confusing standard deviation with standard error; failure to account for correlated observations; failure to account for within-study variance; and a focus on within-group rather than between-group results. We then quantified the frequency of these errors in 20 of the most highly cited meta-analyses in the field of strength and conditioning research from the past 20 years.

RESULTS

We found that 85% of the 20 most highly cited meta-analyses in strength and conditioning research contained statistical errors. Almost half (45%) contained at least one effect size that was mistakenly calculated using standard error rather than standard deviation. In several cases, this resulted in obviously wrong effect sizes, for example, effect sizes of 11 or 14 standard deviations. Additionally, 45% failed to account for correlated observations despite including numerous effect sizes from the same study and often from the same group within the same study.

CONCLUSIONS

Statistical errors in meta-analysis and meta-regression are common in strength and conditioning research. We highlight five errors that authors, editors, and readers should check for when preparing or critically reviewing meta-analyses.

Ankle Proprioception in Male and Female Surfers and the Implications of Motor Experience and Lower-Body Strength

ABSTRACT

Dowse, RA, Secomb, JL, Bruton, M, Parsonage, J, Ferrier, B, Waddington, G, and Nimphius, S. Ankle proprioception in male and female surfers and the implications of motor experience and lower-body strength. J Strength Cond Res 36(12): 3497-3504, 2022-The primary objectives were to evaluate if the active movement extent discrimination apparatus (AMEDA) condition (i.e., front foot and back foot plantarflexion, dorsiflexion, inversion, and eversion) and the level of competition explained ankle movement discrimination scores and, thereafter, examined the contribution of surf experience, physical capacity, and ability to proprioception. It was also considered important to re-evaluate the surf experience, anthropometric characteristics, physical capacities, and abilities of male and female surfers. Twenty-six male ( n = 12, surf experience = 18 ± 8 years) and female surfers ( n = 14, surf experience = 9 ± 6 years) completed a pre-exercise medical questionnaire, anthropometric assessment, 8 AMEDA assessments, countermovement jump, squat jump, and isometric midthigh pull assessment. The AMEDA condition and level of competition did not have a statistically significant main effect on ankle movement discrimination scores; however, the effect of the gender/sex was significant ( p = 0.044). Surf experience ( p = 0.029) and lower-body isometric strength ( p = 0.029) had a statistically significant but small main effect on ankle movement discrimination scores. The results also confirmed that there were significant differences in surf experience, anthropometric characteristics, physical capacity, and jumping ability between male and female surfers. As surf experience and physical capacity were only able to explain a small magnitude of ankle movement discrimination scores, it is suggested that ankle proprioception in surfers may be related to both the volume and quality of the motor experience attained, which may be augmented by environmental and sociocultural factors.

Countermovement Jump and Squat Jump Force-Time Curve Analysis in Control and Fatigue Conditions

ABSTRACT

Hughes, S, Warmenhoven, J, Haff, GG, Chapman, DW, and Nimphius, S. Countermovement jump and squat jump force-time curve analysis in control and fatigue conditions. J Strength Cond Res 36(10): 2752-2761, 2022-This study aimed to reanalyze previously published discrete force data from countermovement jumps (CMJs) and squat jumps (SJs) using statistical parametric mapping (SPM), a statistical method that enables analysis of data in its native, complete state. Statistical parametric mapping analysis of 1-dimensional (1D) force-time curves was compared with previous zero-dimensional (0D) analysis of peak force to assess sensitivity of 1D analysis. Thirty-two subjects completed CMJs and SJs at baseline, 15 minutes, 1, 24, and 48 hours following fatigue and control conditions in a pseudo random cross-over design. Absolute (CMJ ABS /SJ ABS ) and time-normalized (CMJ NORM /SJ NORM ) force-time data were analyzed using SPM 2-way repeated measures analysis of variance with significance accepted at α = 0.05. The SPM indicated a magnitude of difference between force-time data with main effects for time ( p < 0.001) and interaction ( p < 0.001) observed in CMJ ABS , SJ ABS, and SJ NORM, whereas previously published 0D analysis reported no 2-way interaction in CMJ and SJ peak force. This exploratory research demonstrates the strength of SPM to identify changes between entire movement force-time curves. Continued development and use of SPM analysis techniques could present the opportunity for refined assessment of athlete fatigue and readiness with the analysis of complete force-time curves.

A Proposed Framework to Describe Movement Variability within Sporting Tasks: A Scoping Review

Movement variability is defined as the normal variations in motor performance across multiple repetitions of a task. However, the term "movement variability" can mean different things depending on context, and when used by itself does not capture the specifics of what has been investigated. Within sport, complex movements are performed repeatedly under a variety of different constraints (e.g. different situations, presence of defenders, time pressure). Movement variability has implications for sport performance and injury risk management. Given the importance of movement variability, it is important to understand the terms used to measure and describe it. This broad term of "movement variability" does not specify the different types of movement variability that are currently being assessed in the sporting literature. We conducted a scoping review (1) to assess the current terms and definitions used to describe movement variability within sporting tasks and (2) to utilise the results of the review for a proposed framework that distinguishes and defines the different types of movement variability within sporting tasks. To be considered eligible, sources must have assessed a sporting movement or skill and had at least one quantifiable measure of movement variability. A total of 43 peer-reviewed journal article sources were included in the scoping review. A total of 280 terms relating to movement variability terminology were extracted using a data-charting form jointly developed by two reviewers. One source out of 43 (2%) supplied definitions for all types of movement variability discussed. Moreover, 169 of 280 terms (60%) were undefined in the source material. Our proposed theoretical framework explains three types of movement variability: strategic, execution, and outcome. Strategic variability describes the different approaches or methods of movement used to complete a task. Execution variability describes the intentional and unintentional adjustments of the body between repetitions within the same strategy. Outcome variability describes the differences in the result or product of a movement. These types emerged from broader frameworks in motor control and were adapted to fit the movement variability needs in sports literature. By providing specific terms with explicit definitions, our proposed framework can ensure like-to-like comparisons of previous terms used in the literature. The practical goal of this framework is to aid athletes, coaches, and support staff to gain a better understanding of how the different types of movement variability within sporting tasks contribute to performance. The framework may allow training methods to be tailored to optimise the specific aspects of movement variability that contribute to success. This review was retrospectively registered using the Open Science Framework (OSF) Registries ( https://osf.io/q73fd ).

She'll Be ‘Right… but Are They? An Australian Perspective on Women in High Performance Sport Coaching

Participation and media coverage of women in high-performance sport has been steadily increasing in recent years throughout the world. While this increase in interest has led to many young women and girls becoming involved in grassroots sport, there has yet to be a significant change in the number of women in coaching roles, particularly at the high-performance level. This paper synthesizes and summarizes the current challenges facing women sport coaches in Australia, drawing from existing research, media and government reports to understand the barriers for women entering and progressing in these roles. We also present some of the more recent initiatives to increase opportunities for women in high performance coaching. Within Australia, there is a need to (1) understand the pipeline for women coaches, (2) examine the interacting contexts and constraints that women are subject to within sporting organizations, and (3) create a preliminary framework for future research, outreach, and education to address gender inequity within Australian sport coaching.

Erratum: In vivo PS-OCT needle probe scan of human skeletal muscle: publisher's note

[This corrects the article on p. 1386 in vol. 13, PMID: 35414965.].

Attenuated Lower Limb Stretch-Shorten-Cycle Capacity in ACL Injured vs. Non-Injured Female Alpine Ski Racers: Not Just a Matter of Between-Limb Asymmetry

A retrospective analysis of routine countermovement jump (CMJ) testing, a coupled eccentric-concentric (stretch-shorten-cycle: SSC) movement, was performed in female elite alpine skiers with anterior cruciate ligament (ACL) reconstruction (ACLR) and without ACLR. A total of 567 tests obtained from the daily training environment were analyzed in 41 elite female athletes (non-injured control: n = 30, ACLR: n = 17), including n = 6 athletes with pre-injury data, between 16 and 32 years of age from alpine ski racing (n = 32) and skier cross (n = 9). Bilateral CMJ testing was conducted on a dual force plate system, and the limb-specific vertical ground reaction force (Fz) was analyzed to obtain the net eccentric deceleration impulse (Ecc), lower limb stiffness (Stiff), maximal vertical jump height (JH), peak external mechanical power (PP) exerted on the body center of mass (BCM), modified-reactive-strength-index (RSImod), and the loss in BCM velocity during the final phase of the takeoff Δ(Vmax-Vtakeoff). Eccentric and concentric phase-specific between-limb asymmetry indexes (AIs) were also calculated. Additive mixed effects models (AMMs) were used to compare the age-dependent and post-injury time course change between groups. The mean values for non-injured controls >25 years of age were used as a comparative benchmark for recovery given the absence of pre-injury data. Net eccentric deceleration impulse increased and Δ(Vmax-Vtakeoff) decreased with age for the non-injured control group (p < 0.001) while between-limb AI (mean ± SD) fell between 1 ± 5% for the concentric phase and 3 ± 7% for the eccentric deceleration phase. Between-limb asymmetry became smaller in ACLR skiers with time-from-surgery to reach non-injured control values by 2 years, but SSC function, such as JH and PP, remained depressed up to 5 years post-surgery (p < 0.01), indicating impairments in SSC function. This highlights the importance of evaluating SSC performance capacity alongside vertical jump force-time asymmetries in female ACLR alpine skiers.

In vivo PS-OCT needle probe scan of human skeletal muscle

Polarization-sensitive optical coherence tomography (PS-OCT) derived birefringence values effectively identify skeletal muscle structural disruption due to muscular dystrophy and exercise-related muscle damage in animal models in ex vivo tissue. The purpose of this investigation was to determine if a PS-OCT needle probe inserted into the leg of a human subject could accurately identify various anatomical structures with implications for use as a diagnostic tool for the determination of skeletal muscle pathology. A healthy middle-aged subject participated in this study. A custom-built PS-OCT system was interfaced with a side-viewing fiber-optic needle probe inserted into the subject's vastus lateralis muscle via a motorized stage for 3D data acquisition via rotation and stepwise pullback. The deepest recorded PS-OCT images correspond to a depth of 6 mm beneath the dermis with structural images showing uniform, striated muscle tissue. Multiple highly birefringent band-like structures with definite orientation representing connective tissue of the superficial aponeurosis appeared as the depth of the needle decreased. Superficial to these structures the dominating appearance was that of adipose tissue and low birefringent but homogeneous scattering tissue. The data indicate that a PS-OCT needle probe can be inserted into live human skeletal muscle for the identification of relevant anatomical structures that could be utilized to diagnose significant skeletal muscle pathology.

Micro-biopsies: a less invasive technique for investigating human muscle fiber mechanics

The purpose of this investigation was to demonstrate that muscle fiber mechanics can be assessed on micro-biopsies obtained from human medial gastrocnemii. Three micro-biopsy samples were collected from female dancers (n=15). Single fibers and fiber bundles were isolated and passively stretched from 2.4 µm to 3.0 µm at 0.015 µm•s−1 and 0.04 µm•s−1 (n=50 fibers total) and in five increments at 0.12 µm•s−1 (n=42 fibers total). Muscle fibers were then activated isometrically at 2.4 µm (n=4 fibers total) and 3.0 µm (n=3 fibers total). Peak stress and steady state stress were significantly greater (p&lt;0.0001) after stretching at 0.04 µm•s−1 than 0.015 µm•s−1. Furthermore, peak stresses and steady state stresses increased non-linearly with fiber length (p&lt;0.0001). We conclude that active and passive muscle fiber mechanics can be investigated using tissue from micro-biopsies.

Isolated Joint Block Progression Training Improves Leaping Performance in Dancers

The purpose of this study was to investigate the effect of a 12-week ankle-specific block progression training program on saut de chat leaping performance [leap height, peak power (PP), joint kinetics and kinematics], maximal voluntary isometric plantar flexion (MVIP) strength, and Achilles tendon (AT) stiffness. Dancers (training group n = 7, control group n = 7) performed MVIP at plantarflexed (10◦) and neutral ankle positions (0◦) followed by ramping isometric contractions equipped with ultrasound to assess strength and AT stiffness, respectively. Dancers also performed saut de chat leaps surrounded by 3-D motion capture atop force platforms to determine center of mass and joint kinematics and kinetics. The training group then followed a 12-week ankle-focused program including isometric, dynamic constant external resistance, accentuated eccentric loading, and plyometric training modalities, while the control group continued dancing normally. We found that the training group's saut de chat ankle PP (59.8%), braking ankle stiffness (69.6%), center of mass PP (11.4%), and leap height (12.1%) significantly increased following training. We further found that the training group's MVIP significantly increased at 10◦ (17.0%) and 0◦ (12.2%) along with AT stiffness (29.6%), while aesthetic leaping measures were unchanged (peak split angle, mean trunk angle, trunk angle range). Ankle-specific block progression training appears to benefit saut de chat leaping performance, PP output, ankle-joint kinetics, maximal strength, and AT stiffness, while not affecting kinematic aesthetic measures. We speculate that the combined training blocks elicited physiological changes and enhanced neuromuscular synchronization for increased saut de chat leaping performance in this cohort of dancers.

Countermovement Jump and Drop Jump Performances Are Related to Grand Jeté Leap Performance in Dancers With Different Skill Levels

ABSTRACT

Blanco, P, Nimphius, S, Seitz, LB, Spiteri, T, and Haff, GG. Countermovement jump and drop jump performances are related to grand jeté leap performance in dancers with different skill levels. J Strength Cond Res 35(12): 3386-3393, 2021-Thirty-five classical ballet dancers were chosen to investigate relationships between the grand jeté leap, countermovement jump (CMJ), and drop jump (DJ) and establish whether the magnitude of the relationship between these tests differed across 3 skill levels. Subjects (male: n = 11 and female: n = 24) were divided into 3 groups: novice (n = 12; age: 16.6 ± 1.5 years; height: 1.7 ± 0.1 m; body mass: 58.0 ± 13.0 kg), semiprofessional (n = 13; age: 20.0 ± 1.6 years; height: 1.7 ± 0.1 m; body mass: 64.1 ± 10.5 kg), and professional (n = 10; age: 23.8 ± 3.5 years; height: 1.8 ± 1.2 m; body mass: 63.3 ± 14.7 kg). Grand jeté leap height, followed by CMJ and DJ vertical displacement, was assessed. Significant relationships were found between the grand jeté, CMJ (r = 0.77, p = 0.001) and DJ (r = 0.76, p = 0.001). After a Fisher's r-z transformation, professional dancers and novice dancers showed greater r-value differences in CMJ (r2 - r1 = 0.27) compared with novice (r2 - r1 = 0.17) and semiprofessional dancers (r2 - r1 = 0.11), indicating larger strength of CMJ to grand jeté relationship in professionals. The grand jeté leap showed large to very large correlations with CMJ and DJ within groups. These common performance tests were determined to be practical and efficient methods for assessing the jumping ability of dancers. As dance skill increased, larger correlations were observed, suggesting that dancers with superior ballet skills may be more likely to use their underpinning physical capacities to jump higher within the context of ballet-specific jumping.

Importance of Joint Angle-Specific Hip Strength for Skating Performance in Semiprofessional Ice Hockey Athletes

ABSTRACT

Secomb, JL, Dascombe, BJ, and Nimphius, S. Importance of joint angle-specific hip strength for skating performance in semiprofessional ice hockey athletes. J Strength Cond Res 35(9): 2599-2603, 2021-Ice hockey athletes with faster sprint acceleration and change-of-direction (COD) skating performance possess a competitive advantage. However, it is unknown whether joint angle-specific hip strength, in combination with measures known to relate to skating performance (e.g., countermovement jump [CMJ]), better explains skating performance. The purpose of this research was to determine whether hip strength in joint angles specific to skating positions and CMJ performance explains sprint skating acceleration and COD performance. Thirteen semiprofessional male hockey (26.7 ± 6.7 years; 88.4 ± 18.1 kg; 181.9 ± 5.4 cm) athletes were assessed for CMJ performance, hip abduction and adduction strength, 10-m sprint skating acceleration, and COD (505) performance. Linear multiple regressions to predict skating acceleration and COD performance were calculated with variables chosen based on functional justification and magnitude of correlation. Hip abductor relative peak force (rPF) at 25° of hip abduction and CMJ rPF explained 46.0% (adjusted) of variance in sprint acceleration performance (F[2,12] = 6.18, p = 0.02). Countermovement jump peak eccentric velocity, adductor rPF at 50° of hip abduction, and difference in abductor rPF between 50° and 25° of hip abduction explained 85.0% (adjusted) of the variance in 505 time (F[3,12] = 22.8, p < 0.001). Hip strength at joint angles functionally relevant to skating (e.g., at 25° and 50°), in combination with relevant CMJ variables, explained large and very large amounts of variance in sprint skating acceleration and COD performance in this cohort. The inclusion of joint angle-specific hip strength profiling to a physical performance testing battery may provide practitioners with more specific knowledge on the strength of the hip through abduction range of motion, which may affect skating performance.

Predicting Loading Intensity Measuring Velocity in Barbell Hip Thrust Exercise

ABSTRACT

de Hoyo, M, Núñez, FJ, Sañudo, B, Gonzalo-Skok, O, Muñoz-López, A, Romero-Boza, S, Otero-Esquina, C, Sánchez, H, and Nimphius, S. Predicting loading intensity measuring velocity in barbell hip thrust exercise. J Strength Cond Res 35(8): 2075-2081, 2021-The barbell hip thrust is an increasingly used exercise to target the hip extensors. Direct and indirect measurement of 1 repetition maximum (1RM) to determine the relative load of each exercise is time-consuming; therefore, practitioners may be more in favor of monitoring velocity and determining relative load through velocity-based prediction models for an exercise. This study aimed to assess the relationship between mean velocity (MV) and mean propulsive velocity (MPV) at different relative training loads (%1RM) in the barbell hip thrust exercise. One hundred two male sport science students performed an incremental 1RM testing protocol for the barbell hip thrust exercise, and a linear position transducer measured MV and MPV of the barbell. The 1RM was reached at 0.25 ± 0.03 m·s-1, and the regression model generated to estimate a relative load showed an acceptable standard error of estimate (7.01 ± 1.05% 1RM and 7.36 ± 1.05% 1RM for MV and MPV, respectively) with a very large explained variance (R2 = 0.94). These results may have important practical applications for the prescription and monitoring of the accessory exercise of the hip thrust for monitoring training load and predicting 1RM without undertaking a RM test.

The effects of strength training upon front foot contact ground reaction forces and ball release speed among high-level cricket pace bowlers

The effects of an eight-week off-season strength training program upon lower-body strength, power, eccentric capacity, front foot contact (FFC) kinetics, and ball release speed (BRS) in pace bowlers were investigated. Ten elite-academy pace bowlers completed the intervention, and pre- and post-testing. Pre- and post-testing included: double (DLDL) and single leg (SLDL) drop landings; isometric mid-thigh pull (IMTP); countermovement jump; and pace bowling performance (two-over bowling spell measuring BRS and FFC kinetics). Changes from pre- to post-testing were assessed with paired sample t tests (p≤ 0.01), effects sizes and statistical parametrical mapping. Post-testing revealed a significant decrease in peak normalised vertical force during DLDL and SLDL with large effects and a significant, moderate effect increase in IMTP. There was no significant changes in BRS. Concomitantly, neither discrete scalar (p= 0.15-0.58) nor vector field analysis kinetics during FFC indicated significant changes. No significant alterations in FFC kinetics may explain the lack of improvement in BRS (pre = 31.55 ± 1.44 m/s; post = 31.79 ± 1.33 m/s). This study indicated an eight-week strength training program can improve strength and eccentric capacity in pace bowlers, and these changes when developed in the absence of skills training neither improved nor decreased pace bowling performance.

Strength and power capabilities predict weighted parameter ranking of saut de chat leaping performance in dancers

Limited research exists on the relationship between aesthetic saut de chat performance and muscle-tendon unit (MTU) characteristics of dancers. We developed a weighted parameter ranking (WPR) tool to incorporate aesthetic leaping aspects (i.e., height, peak split angle, average trunk angle and trunk angle range) for correlation with MTU properties. The purpose was to identify the relationship of saut de chat WPR and leap height with maximal plantarflexion strength, medial gastrocnemius (MG) stiffness, Achilles tendon (AT) stiffness and relative peak power (PP). Dancers (n = 18) performed maximal plantarflexion, short-range stretches and isometric ramping contractions on a dynamometer equipped with ultrasound to determine strength, MG stiffness and AT stiffness, respectively. Subjects then performed saut de chat leaps atop force platforms surrounded by motion capture cameras. A principal component analysis (PCA) was performed to compare WPR variable weightings with PCA results and rankings. Moderate-strong relationships were identified among WPR, maximal plantarflexion strength, MG stiffness and PP. Strong-very strong relationships were also identified between leap height and maximal plantarflexion strength, MG stiffness, AT stiffness, peak split angle and PP. A very strong correlation existed between PCA rankings and WPRs. Practitioners may consider developing strength and power capabilities in dancers to improve leaping.

Training for Muscular Strength: Methods for Monitoring and Adjusting Training Intensity

Linear loading, the two-for-two rule, percent of one repetition maximum (1RM), RM zones, rate of perceived exertion (RPE), repetitions in reserve, set-repetition best, autoregulatory progressive resistance exercise (APRE), and velocity-based training (VBT) are all methods of adjusting resistance training intensity. Each method has advantages and disadvantages that strength and conditioning practitioners should be aware of when measuring and monitoring strength characteristics. The linear loading and 2-for-2 methods may be beneficial for novice athletes; however, they may be limited in their capacity to provide athletes with variation and detrimental if used exclusively for long periods of time. The percent of 1RM and RM zone methods may provide athletes with more variation and greater potential for strength-power adaptations; however, they fail to account for daily changes in athlete's performance capabilities. An athlete's daily readiness can be addressed to various extents by both subjective (e.g., RPE, repetitions in reserve, set-repetition best, and APRE) and objective (e.g., VBT) load adjustment methods. Future resistance training monitoring may aim to include a combination of measures that quantify outcome (e.g., velocity, load, time, etc.) with process (e.g., variability, coordination, efficiency, etc.) relevant to the stage of learning or the task being performed. Load adjustment and monitoring methods should be used to supplement and guide the practitioner, quantify what the practitioner 'sees', and provide longitudinal data to assist in reviewing athlete development and providing baselines for the rate of expected development in resistance training when an athlete returns to sport from injury or large training load reductions.

Not as simple as it seems: Front foot contact kinetics, muscle function and ball release speed in cricket pace bowlers

This study investigated the relationship between front foot contact (FFC) ground reaction forces (GRF) during the delivery stride, lower-limb strength, eccentric dexterity and power, and ball release speed (BRS) among pace bowlers. Thirteen high-level male pace bowlers performed double and single leg drop landings; isometric mid-thigh pull; countermovement jump; and pace bowling (two-over bowling spell measuring BRS and FFC GRF). The relationship between assessed variables and BRS was determined via frequentist and Bayesian multiple linear regression. The model including peak braking force was the most probable given the data (Bayes Factor=1.713) but provided only weak evidence in comparison to the null model. The results of frequentist and Bayesian modelling were comparable with peak braking force explaining 23.3% of the variance in BRS (F_{(1, 11)}=4.64, P=0.054). Results indicate pace bowlers with greater peak braking GRF during FFC generally elicit higher BRS. However, the weak relationship between peak braking force and BRS, and the lack of a linear relationship between BRS and other variables, highlights the complexities and inter-individual variability inherent to pace bowling at a high-level. A more individual-focused analysis revealed varied strategies within pace bowlers to deliver the outcome (e.g., BRS) and should be considered in future study designs.

Test Re-test Reliability of Single and Multijoint Strength Properties in Female Australian Footballers

Purpose

To examine the test re-test reliability of isometric maximal voluntary contractions (MVC) of hip adduction (ADD_ISO), hip abduction (ABD_ISO), and multijoint leg extension (SQUAT_ISO) in sub-elite female Australian footballers.

Methods

Data were collected from 24 sub-elite female Australian footballers (age 22.6 ± 4.5 years; height 169.4 ± 5.5 cm; body mass 66.6 ± 8.0 kg; 4.5 ± 4.4 years sport-specific training; 2.5 ± 2.0 years unstructured resistance training) from the same club on two non-consecutive days. Participants performed three isometric MVCs of ADD_ISO, ABD_ISO, and SQUAT_ISO. The SQUAT_ISO was performed at 140° knee flexion with a vertical trunk position and ADD_ISO and ABD_ISO measures were performed in a supine position at 60° of knee flexion and 60° hip flexion. Reliability was assessed using paired t tests and the intraclass correlation coefficient (ICC) with 95% confidence intervals (CI), typical error (TE), and coefficient of variation (CV%) with 95% CI.

Results

SQUAT_ISO peak force (ICC .95; CV% 4.1), ABD_ISO for left, right, and sum (ICC .90–.92; CV% 5.0–5.7), and ADD_ISO for left, right, and sum (ICC .86–.91; CV% 6.2–6.9) were deemed acceptably reliable based on predetermined criteria (ICC ≥ .8 and CV% ≤ 10).

Conclusion

SQUAT_ISO, ABD_ISO, and ADD_ISO tests demonstrated acceptable reliability for the assessment of peak force in sub-elite female Australian footballers, suggesting these assessments are suitable for muscle strength testing and monitoring adaptations to training.

Supplementary Information

The online version contains supplementary material available at 10.1186/s40798-020-00292-5.

Ankle proprioception, range of motion and drop landing ability differentiates competitive and non-competitive surfers

OBJECTIVES

To determine whether ankle proprioception differs by competitive level and is related to years of surf-specific experience. A secondary objective of this study is to further compare the physical capacities and abilities that may differentiate between the competitive levels of surfing.

DESIGN

Cross-sectional.

METHODS

Twelve junior-elite (currently competing at a state level or higher and 12-18 years of age), twelve senior-elite (currently competing at a national level and/or the World Qualifying Series and over 16 years of age), and twelve recreational surfers (minimum of two years surfing experience; actively surfing at least once a week and over 18 years of age) were recruited for this study. All participants completed a pre-exercise medical questionnaire, anthropometric assessment, ankle dorsiflexion range of motion assessment, medial-lateral ankle proprioception assessment, countermovement jump, squat jump, isometric mid-thigh pull and drop-and-stick.

RESULTS

Senior-elite surfers had large and significantly better ankle proprioception and range of motion than junior-elite and recreational surfers. However, the relationship between years of surf-specific experience and ankle proprioception was small and non-significant. Better drop-and-stick performance, indicated by lower relative peak force, was present in the senior-elite compared to the junior-elite and recreational groups.

CONCLUSIONS

The results indicate that medial-lateral ankle proprioception is a distinguishing characteristic of senior-elite surfers and therefore, may be a critical ability for competitive success. Greater ankle range of motion and the ability to attenuate energy to reduce landing force may be developed through long-term training commensurate with competitive surfing.

Biological basis of bone strength: anatomy, physiology and measurement

Understanding how bones are innately designed, robustly developed and delicately maintained through intricate anatomical features and physiological processes across the lifespan is vital to inform our assessment of normal bone health, and essential to aid our interpretation of adverse clinical outcomes affecting bone through primary or secondary causes. Accordingly this review serves to introduce new researchers and clinicians engaging with bone and mineral metabolism, and provide a contemporary update for established researchers or clinicians. Specifically, we describe the mechanical and non-mechanical functions of the skeleton; its multidimensional and hierarchical anatomy (macroscopic, microscopic, organic, inorganic, woven and lamellar features); its cellular and hormonal physiology (deterministic and homeostatic processes that govern and regulate bone); and processes of mechanotransduction, modelling, remodelling and degradation that underpin bone adaptation or maladaptation. In addition, we also explore commonly used methods for measuring bone metabolic activity or material features (imaging or biochemical markers) together with their limitations.

When Task Constraints Delimit Movement Strategy: Implications for Isolated Joint Training in Dancers

Athletic performance is determined by numerous variables that cannot always be controlled or modified. Due to aesthetic requirements during sports such as dance, body alignment constrains possible movement solutions. Increased power transference around the ankle-joint, coupled with lower hip-joint power, has become a preferential strategy in dancers during leaps and may be considered a dance-specific stretch-shortening cycle (SSC) demand. Newell's theoretical model of interacting constraints includes organismic (or individual), environmental, and task constraints describing the different endogenous and exogenous constraints individuals must overcome for movement and athletic performance. The unique task constraints imposed during dance will be used as a model to justify an isolated joint, single-targeted block progression training to improve physical capacity within the context of motor behavior to enhance dance-specific SSC performance. The suggested ankle-specific block progression consists of isometrics, dynamic constant external resistance, accentuated eccentrics, and plyometrics. Such programming tactics intend to collectively induce tendon remodeling, muscle hypertrophy, greater maximal strength, improved rate of force development, increased motor unit firing rates, and enhanced dynamic movement performance. The current perspective provides a dualistic approach and justification (physiological and motor behavioral) for specific strength and conditioning programming strategies. We propose implementation of a single-targeted block progression program, inspired by Newell's theoretical model of interacting constraints, may elicit positive training adaptations in a directed manner in this population. The application of Newell's theoretical model in the context of a strength and conditioning supports development of musculoskeletal properties and control and is conceptually applicable to a range of athletes.

Anterior cruciate ligament injuries in Australian football: should women and girls be playing? You're asking the wrong question

Anterior cruciate ligament (ACL) injuries have been a rising concern in the early years of the women’s Australian Football League (AFLW), eliciting headlines of a ‘knee crisis’ surrounding the league. There has been a focus on female biology as the primary factor driving the high rate of ACL injuries in the AFLW. Emphasising Australian football (AF) as being dangerous predominantly due to female biology may be misrepresenting a root cause of the ACL injury problem, perpetuating gender stereotypes that can restrict physical development and participation of women and girls in the sport. We propose that an approach addressing environmental and sociocultural factors, along with biological determinants, is required to truly challenge the ACL injury problem in the AFLW. Sports science and medicine must therefore strive to understand the whole system of women in AF, and question how to address inequities for the benefit of the athletes.

Change of Direction Performance in Elite Players From Different Team Sports

Loturco, I, Pereira, LA, Reis, VP, Abad, CCC, Freitas, TT, Azevedo, PHSM and Nimphius, S. Change of direction performance in elite players from different team sports. J Strength Cond Res XX(X): 000-000, 2020-The primary aim of this study was to examine the differences in change of direction (COD) deficit between elite futsal, soccer, handball, and rugby players. A secondary aim was to compare the performance in both COD and linear speed tests among these athletes. One-hundred sixty-one elite male players from 4 team sports performed a 20-m linear sprint speed and a Zigzag COD speed test. The COD deficit was calculated as the difference between linear and Zigzag test velocities. Differences in COD speed, COD deficit, and sprint velocity were assessed via 1-way analysis of variance. The significance level was set at p < 0.05. Soccer players displayed significantly lower performance than the remaining team sports, and rugby players performed better than all the other groups in the Zigzag COD test. Moreover, the COD deficit was significantly higher in soccer players in comparison with the other disciplines (p < 0.05). No differences were observed in the COD deficit among rugby, futsal, and handball players (p > 0.05). In summary, soccer players were slower than futsal, handball, and rugby players to change direction and presented the greatest COD deficit magnitude. By contrast, the fastest athletes in the COD speed test (rugby players) were not more effective than futsal and handball players at changing direction (as they exhibited similar levels of COD deficit). Coaches should be aware of this evidence, which reinforces previous findings, indicating that very specialized training strategies might be required to improve COD performance in professional athletes.

Characterisation of peripheral bone mineral density in youth at risk of secondary osteoporosis - a preliminary insight

OBJECTIVES

To describe peripheral long bone material and structural differences in youth at risk of secondary osteoporosis across disease-specific profiles.

METHODS

Upper- and lower limbs of children and adolescents were scanned at 4% distal and 66% mid-shaft sites using peripheral Quantitative Computed Tomography sub-categorised as (1) increased risk of secondary osteoporosis (neuromuscular disorders; chronic diseases; endocrine diseases; inborn errors of metabolism; iatrogenic conditions), (2) low motor competence and (3) non-affected controls.

RESULTS

Children with disease-specific profiles showed a range of bone deficits compared to the control group with these predominantly indicated for neuromuscular disorders, chronic diseases and low motor competence. Deficits between upper arm and lower leg long bone parameters were different for disease-specific profiles compared to the control group. Endocortical radius, muscle area, and mid-cortical ring density were not significantly different for any disease-specific profile compared to the control group for any bone sites.

CONCLUSIONS

Neuromuscular disorders, chronic diseases and low motor competence have a strong correlation to bone health for appendicular bone parameters in youth, suggesting a critical mechanical loading influence which may differ specific to disease profile. As mechanical loading effects are observed in regional bone analyses, targeted exercise interventions to improve bone strength should be implemented to examine if this is effective in reducing the risk of secondary osteoporosis in youth.

The Effects of an Eight over Cricket Bowling Spell upon Pace Bowling Biomechanics and Performance within Different Delivery Lengths

Pace bowlers must often perform extended bowling spells with maximal ball release speed (BRS) while targeting different delivery lengths when playing a multi-day match. This study investigated the effect of an eight over spell upon pace bowling biomechanics and performance at different delivery lengths. Nine male bowlers (age = 18.8 ± 1.7 years) completed an eight over spell, while targeting different lengths (short: 7-10 m, good: 4-7 m, full: 0-4 m from the batter's stumps, respectively) in a randomized order. Trunk, knee and shoulder kinematics and ground reaction forces at front foot contact (FFC), as well as run-up velocity and BRS were measured. Paired sample t-tests (p ≤ 0.01), Hedges' g effect sizes, and statistical parametrical mapping were used to assess differences between mean variables from the first and last three overs. No significant differences (p = 0.05-0.98) were found in any discrete or continuous variables, with the magnitude of difference being trivial-to-medium (g = 0.00-0.73) across all variables. Results suggest pace bowlers sustain BRS through a single eight over spell while tolerating the repeatedly high whole-body biomechanical loads as suggested by maintaining the kinematics or technique at the assessed joints during FFC. Practically, the findings are advantageous for bowling performance and support current bowling load monitoring practices.

Comparison of Quadriceps and Hamstring Muscle Activity during an Isometric Squat between Strength-Matched Men and Women

The primary purpose of this investigation was to determine whether strength-matched men and women exhibit a different magnitude and ratio of leg muscle activity during a maximal voluntary isometric squat. The secondary purpose was to assess the effect of normalization method on differences in strength between men and women. Thirty-two men (n = 16) and women (n = 16) were successfully strength-matched (≤10% difference) by maximal force produced during an isometric squat (IS) when normalized to body weight. Subjects first performed a maximal isometric knee extension (IKE) and knee flexion (IKF) followed by the IS and muscle activity (EMG_max) was recorded for the vastus medialis (VMO), vastus lateralis (VL), semitendinosus (ST) and biceps femoris (BF). Muscle activity during the IS was expressed relative to the maximums observed during the IKE and IKF (%EMG_max). The results indicate that VMO, VL, ST and BF %EMG_max were not significantly different (p > 0.05) between men and women during the IS (Men VMO = 136.7 ± 24.9%, Women VMO = 157.1 ± 59.8%, Men VL = 126.2 ± 38.2%, Women VL = 128.1 ± 35.5%, Men ST = 25.5 ± 13.6%, Women ST = 25.2 ± 21.8%, Men BF = 46.1 ± 26.0%, Women BF = 42.2 ± 24.8%). Furthermore, the VMO:VL and hamstring to quadriceps (H:Q) %EMG_max ratio were not significantly different between groups in the IS (Men VMO:VL = 1.15 ± 0.28, Women VMO:VL = 1.22 ± 0.26, Men H:Q = 0.28 ± 0.14, Women H:Q = 0.24 ± 0.20). This investigation indicates that the magnitude of muscle activity and the ratios examined are not significantly different between men and women in a maximal voluntary isometric squat when matched for normalized strength. Future investigations should consider subject strength and normalization procedures in the experimental design to elucidate possible sex differences in neuromuscular performance capabilities.

Change-of-direction, speed and jump performance in soccer players: a comparison across different age-categories

This study examined the age-specific development of vertical jump height, straight and change-of-direction (COD) speed, and COD deficit in one-hundred and eighty-two elite soccer players from different age-categories (U15, U17, U20, and Senior). All participants were players of two distinct clubs and were undertaking different training routines, as planned by their technical staff members. For this purpose, the soccer players performed: (1) squat and countermovement jumps; (2) a maximal 20-m linear sprint speed test, and (3) the Zigzag COD test. The magnitude-based inference approach and standardized differences were used to compare the age-groups. Sprint speed at longer distances (20-m) increased progressively across the age-ranges. In contrast, speed and acceleration performances at shorter distances (5-m) were better in U15 than in the other age-categories. The COD speed did not change throughout the younger categories but presented a meaningful decrease in the Senior category. Surprisingly, despite the progressive increase in volume and intensity of neuromuscular training from younger to older categories, the COD deficit presented a gradual increase across the age-groups. It is possible that simple modulation of the strength-power training program during the maturation process is not sufficient to produce faster adult players with enhanced ability to change direction. Therefore, coaches are strongly encouraged to implement specific COD training practices to tolerate braking at increasing running speeds and appropriate volume and intensity of soccer specific training throughout the players' specialization process.

Relationship Between Change of Direction, Speed, and Power in Male and Female National Olympic Team Handball Athletes

Pereira, LA, Nimphius, S, Kobal, R, Kitamura, K, Turisco, LAL, Orsi, RC, Cal Abad, CC, and Loturco, I. Relationship between change of direction, speed, and power in male and female National Olympic Team handball athletes. J Strength Cond Res 32(10): 2987-2994, 2018-The aims of this study were to (a) assess the relationship between selected speed- and power-related abilities (determined by 20-m sprint, unloaded countermovement jump [CMJ] and squat jump [SJ], and loaded jump squat [JS]) and performance in 2 distinct change of direction (COD) protocols (Zigzag test and T-test) and (b) determine the magnitude of difference between female and male Brazilian National Olympic Team handball athletes. Fifteen male and 23 female elite handball athletes volunteered to perform the following assessments: SJ and CMJ; Zigzag test and T-test; 20-m sprint with 5-, 10-, and 20-m splits; and mean propulsive power in JS. Pearson's product-moment correlation (p ≤ 0.05) was performed to determine the relationship between the COD tests (Zigzag test and T-test) and speed-power measures (sprint, SJ, CMJ, and JS). The differences between male and female performances were determined using the magnitude-based inference. Moderate to very large significant correlations were observed between both COD tests and the speed-power abilities. Furthermore, male athletes demonstrated likely to almost certainly higher performances than female athletes in all assessed variables. The results of the current study suggest that different speed-power qualities are strongly correlated to the performance obtained in various COD assessments (r values varying from 0.38 to 0.84 and from 0.34 to 0.84 for correlations between speed and power tests with Zigzag test and T-test, respectively). However, the level of these associations can vary greatly, according to the mechanical demands of each respective COD task. Although COD tests may be difficult to implement during competitive seasons, because of the strong correlations presented herein, the regular use of vertical jump tests with these athletes seems to be an effective and applied alternative. Furthermore, it might be inferred that the proper development of loaded and unloaded jump abilities has potential for improving the physical qualities related to COD performance in handball athletes.

Suboptimal bone status for adolescents with low motor competence and developmental coordination disorder-It's sex specific

BACKGROUND

Australian adolescents with low motor competence (LMC) have higher fracture rates and poorer bone health compared to European normative data, but currently no normative data exists for Australians.

AIMS

To examine whether there were bone health differences in Australian adolescents with LMC or Developmental Coordination Disorder (DCD) when compared to typically developing age-matched Australian adolescents.

METHODS AND PROCEDURES

Australian adolescents aged 12-18 years with LMC/DCD (n = 39; male = 27; female = 12) and an Australian comparison sample (n = 188; boys = 101; girls = 87) undertook radial and tibial peripheral Quantitative Computed Tomography (pQCT) scans. Stress Strain Index (SSI (mm³)), Total Bone Area (TBA (mm²)), Muscle Density (MuD [mgcm³]), Muscle Area (MuA [cm²]), Subcutaneous Fat Area (ScFA [cm²]), Cortical Density (CoD [mgcm³]), Cortical Area (CoD [mm²]), cortical concentric ring volumetric densities, Functional Muscle Bone Unit Index (FMBU: (SSI/bone length)) and Robustness Index (SSI/bone length^3), group and sex differences were examined.

OUTCOME AND RESULTS

The main finding was a significant sex-x-group interaction for Tibial FMBU (p = .021), Radial MuD (p = .036), and radial ScFA (p = .002). Boys with LMC/DCD had lower tibial FMBU scores, radial MuD and higher ScFA than the typically developing age-matched sample.

CONCLUSION AND IMPLICATIONS

Comparisons of bone measures with Australian comparative data are similar to European findings however sex differences were found in the present study. Australian adolescent boys with LMC/DCD had less robust bones compared to their well-coordinated Australian peers, whereas there were no differences between groups for girls. These differences may be due to lower levels of habitual weight-bearing physical activity, which may be more distinct in adolescent boys with LMC/DCD compared to girls.

The Current State of Subjective Training Load Monitoring-a Practical Perspective and Call to Action

This commentary delivers a practical perspective on the current state of subjective training load (TL) monitoring, and in particular sessional ratings of perceived exertion, for performance enhancement and injury prevention. Subjective measures may be able to reflect mental fatigue, effort, stress, and motivation. These factors appear to be important moderators of the relationship TL has with performance and injury, and they also seem to differ between open and closed skill sports. As such, mental factors may affect the interaction between TL, performance, and injury in different sports. Further, modeling these interactions may be limited due to the assumption that an independent signal can adequately account for the performance or injury outcomes. An independent signal model does not accurately reflect training environments where multiple stressors (e.g., mechanical, emotional, nutritional) impact adaptations. Common issues with using subjective TL monitoring, including a lack of differentiation between biomechanical, physiological, and cognitive load, may be overcome by considering psychometric measurement best practices, finer graded scales, and differential ratings of perceived exertion. Methods of calculating TL, including different acute and chronic time periods, may also need to be individualized to different sports and potentially different individuals within the same sport. As TL monitoring is predominately a "chronic" decision-making tool, "acute" decision-making tools, e.g., subjective wellness and autonomic nervous system measures, should be combined in a bespoke multivariate model to aid sports coaches. A call to action is presented for future research on key issues associated with TL monitoring that will have relevance for practitioners in an applied setting.

Reliability of upper-limb diaphyseal mineral and soft-tissue measurements using peripheral Quantitative Computed Tomography (pQCT)

OBJECTIVES

To quantify between-day reliability of upper-body diaphyseal measurements (radius, ulna, humerus) using peripheral Quantitative Computed Tomography (pQCT).

METHODS

Fourteen males (age: 25.8±2.3 years,) underwent repeat pQCT scans (one to two days apart) at mid-shaft ulna (60%), mid-shaft radius (60%) and mid-shaft humerus (50%) cross-sections of the non-dominant limb. Intraclass correlation coefficients (ICC) and coefficients of variation (CV) were determined for musculoskeletal morphology variables.

RESULTS

Reliability was excellent (ICC: 0.76-0.99; CV: 1.3-7.3) at all sites for bone mass, stress-strain index, endocortical and pericortical radius, endocortical volumetric bone mineral density (vBMD), muscle area, total area, non-cortical area, and cortical area. Reliability was good to excellent (ICC: 0.58-0.80; CV: 0.6-3.7) for polar vBMD and mid-cortical vBMD; fair to excellent (ICC: 0.30-0.88; CV: 0.5-8.0) for muscle density and cortical density; and fair to good (ICC: 0.25-0.60; CV: 3.4-7.6) for pericortical vBMD. Average reliability across the three sites was excellent (ICC ≥0.77; CV ≤8.0).

CONCLUSIONS

Overall between-day reliability of pQCT was excellent for the mid-shaft ulna, radius and humerus. pQCT provides a reliable and feasible body composition and skeletal morphology assessment tool for upper limb longitudinal investigations in scientific and clinic settings.

Functional Basis of Asymmetrical Lower-Body Skeletal Morphology in Professional Australian Rules Footballers

Hart, NH, Newton, RU, Weber, J, Spiteri, T, Rantalainen, T, Dobbin, M, Chivers, P, and Nimphius, S. Functional basis of asymmetrical lower-body skeletal morphology in elite Australian footballers. J Strength Cond Res 34(3): 791-799, 2020-Bone strength is a product of its material and structural properties and is highly responsive to mechanical load. Given the measureable and adaptable features of bone, and thus relevance to medical screening, injury prevention, and injury management in athletes, this study describes the lower-body skeletal morphology of professional Australian rules footballers. Using a cross-sectional and quantitative study design, 54 professional Australian rules football players (n = 54; age: 22.4 ± 3.8 years; height: 189.0 ± 7.5 cm; body mass: 86.0 ± 8.6 kg; tibial length: 436.1 ± 29.2 mm; and body fat: 9.9 ± 1.7%) underwent tibiofibular peripheral quantitative computed tomography scans for the kicking and support limbs, and a whole-body dual-energy X-ray absorptiometry scans. The support leg was significantly stronger than the kicking leg (bone strength: p ≤ 0.001; d = 0.47) with significantly greater bone mass (p < 0.001; d = 0.28), cross-sectional areas (p ≤ 0.002; d = 0.20), and greater cortex thickness (p = 0.017; d = 0.20), owing to significantly greater periosteal apposition (p ≤ 0.001; d = 0.29) and endocortical expansion (p = 0.019; d = 0.13), despite significantly lower cortical density (p = 0.002; d = -0.25). Disparate skeletal morphology between limbs highlights context-specific adaptive responses to mechanical loads experienced during game-based tasks. Practitioners should concomitantly measure material and structural properties of musculoskeletal tissue when examining fragility or resilience to better inform medical screening, monitoring, and injury risk stratification. Support leg axial loading highlights a potential avenue for interventions aiming to remediate or optimize bone cross-sectional area.

Scaling isometric mid-thigh pull maximum strength in division I Athletes: are we meeting the assumptions?

This study examined the validity of various scaling methods, isometric mid-thigh pull (IMTP) peak force using various scaling methods, and the relationships between IMTP peak force and countermovement jump height.  Fifty-one collegiate baseball and soccer athletes performed two maximal IMTPs.  Absolute peak force was compared between teams and when data were scaled using ratio (RS), traditional allometric (ALLO_Trad), and fitted allometric (ALLO_Fit) scaling.  ALLO_Trad and ALLO_Fit validity was violated because different derived exponents existed for baseball (b = 0.20) and soccer (b = 1.20).  Soccer athletes produced greater RS peak force compared to baseball (p = 0.012), while no difference existed with absolute, ALLO_Trad or ALLO_Fit (all p > 0.05) peak force.  Moderate relationships existed between body mass and absolute (r = 0.402, p = 0.003) and RS (r = -0.328, p = 0.019) peak force, while trivial relationships existed with ALLO_Trad and ALLO_Fit (both r < -0.10, p > 0.05).  Trivial relationships existed between countermovement jump height and absolute, RS, ALLO_Trad, and ALLO_Fit (all r < 0.20, p > 0.05) peak force.  The current dataset violated allometric scaling assumptions, making it inappropriate to use ALLO_Trad and ALLO_Fit scaling.  Practitioners must understand the assumptions, limitations, and purpose of scaling methods.

The Assessment of Isometric, Dynamic, and Sports-Specific Upper-Body Strength in Male and Female Competitive Surfers

The primary purpose of this study was to investigate gender differences in the dynamic strength index (DSI): an assessment of upper-body dynamic strength relative to maximal isometric strength. The secondary purpose was to investigate gender differences in the dynamic skill deficit (DSD): an assessment of sports-specific dynamic strength relative to maximal isometric strength, and its association with a sports-specific performance measure in surfers. Nine male (age = 30.3 ± 7.3 yrs) and eight female (age = 25.5 ± 5.2 yrs) surfers undertook three upper-body assessments: isometric push-up, dynamic push-up, and a force plate pop-up to determine the DSI and DSD. The performance measure of time taken to pop-up (TTP) was recorded. No gender differences for the DSI (d = 0.48, p = 0.33) or DSD (d = 0.69, p = 0.32) were observed. Normalized peak force (PF) of the isometric push-up, dynamic push-up, and force plate pop-up were significantly greater in males (p ≤ 0.05), with males recording significantly quicker TTP (d = 1.35, p < 0.05). The results suggest that male and female surfers apply a similar proportion of their maximal strength in sports-specific movements. However, greater normalized isometric and dynamic strength in males resulted in greater sports-specific PF application and a faster TTP. It would appear favorable that female surfers improve their maximal strength to facilitate sports-specific pop-up performance.

Please Don't Move-Evaluating Motion Artifact From Peripheral Quantitative Computed Tomography Scans Using Textural Features

Most imaging methods, including peripheral quantitative computed tomography (pQCT), are susceptible to motion artifacts particularly in fidgety pediatric populations. Methods currently used to address motion artifact include manual screening (visual inspection) and objective assessments of the scans. However, previously reported objective methods either cannot be applied on the reconstructed image or have not been tested for distal bone sites. Therefore, the purpose of the present study was to develop and validate motion artifact classifiers to quantify motion artifact in pQCT scans. Whether textural features could provide adequate motion artifact classification performance in 2 adolescent datasets with pQCT scans from tibial and radial diaphyses and epiphyses was tested. The first dataset was split into training (66% of sample) and validation (33% of sample) datasets. Visual classification was used as the ground truth. Moderate to substantial classification performance (J48 classifier, kappa coefficients from 0.57 to 0.80) was observed in the validation dataset with the novel texture-based classifier. In applying the same classifier to the second cross-sectional dataset, a slight-to-fair (κ = 0.01-0.39) classification performance was observed. Overall, this novel textural analysis-based classifier provided a moderate-to-substantial classification of motion artifact when the classifier was specifically trained for the measurement device and population. Classification based on textural features may be used to prescreen obviously acceptable and unacceptable scans, with a subsequent human-operated visual classification of any remaining scans.