A 6-week randomized-controlled field study: effect of isokinetic eccentric resistance training on strength, flexibility and muscle structure of the shoulder external rotators in male junior handball players

Background: Team handball involves a tremendous amount of shoulder motion with high forces during repeated extended external range of motion. This causes shoulder complaints and overuse injuries. While eccentric training for the lower extremity shows preventive effects by improving strength, range of motion and fascicle length, there is a research gap for the shoulder joint and for advanced tissue characterization using diffusion tensor imaging. Objectives: To investigate the effects of 6-week eccentric isokinetic resistance training on strength, flexibility, and fiber architecture characteristics of the external rotators compared to an active control group in junior male handball players. Methods: 15 subjects were randomly assigned to the eccentric training group and 14 subjects to the active control group (conventional preventive training). Primary outcome measures were eccentric and concentric isokinetic strength of the external rotators, range of motion, and muscle fascicle length and fascicle volume. Results: The intervention group, showed significant changes in eccentric strength (+15%). The supraspinatus and infraspinatus muscles showed significant increases in fascicle length (+13% and +8%), and in fractional anisotropy (+9% and +6%), which were significantly different from the control group. Conclusion: Eccentric isokinetic training has a significant effect on the function and macroscopic structure of the shoulder external rotators in male junior handball players. While strength parameters and muscle structure improved, range of motion did not change. This research helps understanding the physiology of muscle and the role of eccentric training on shoulder function and muscle structure. Furthermore, DTI was found to be a promising tool for advanced tissue characterization, and the in vivo derived data can also serve as model input variables and as a possibility to extend existing ex-vivo muscle models. Future research is needed for functional and structural changes following convenient eccentric field exercises.

Training drills in high performance badminton-effects of interval duration on internal and external loads

Purpose: The aim of the present study was to analyze the impact of interval duration on training loads and technical skill performance in high performance badminton drills. Methods: On three experimental days, 19 internationally ranked players (13 male: 22.7 ± 3.8 years, 180 ± 6 cm, 71.5 ± 6.1 kg; 6 females: 20.4 ± 2.5 years, 168 ± 4 cm, 59.8 ± 6.0 kg) completed one of three protocols (T₁₀, T₃₀, and T₅₀) of a typical badminton specific drill, the so-called "Multifeeding" (the coach feeds shuttlecock without break in a random order) in a counterbalanced order. The protocols varied in interval duration (10, 30, and 50 s) but were matched for the rally-to-rest-ratio (1:1) and active playing time (600 s). Cardiorespiratory responses (portable spirometry, chest belt), energy metabolism (levels of blood lactate, La), rate of perceived exertion (RPE), player's kinematics (Local Positioning System), and technical skill performance (video analysis) were measured. Results: Average oxygen consumption (T₁₀ 45 ± 6; T₃₀ 46 ± 7; T₅₀ 44 ± 6 mL min^-1·kg^-1), Energy expenditure (886 ± 209; 919 ± 176; 870 ± 206 kcal h^-1), heart rate (164 ± 13; 165 ± 11; 165 ± 10 bpm) and RPE (16 ± 2; 17 ± 2; 17 ± 2) did not differ between the protocols. Respiratory exchange ratio (RER) and La significantly increased depending on interval duration (RER: 0.90 ± 0.05; 0.93 ± 0.03; 0.96 ± 0.04 and La: 3.6 ± 2.0; 5.6 ± 3.0; 7.3 ± 2.3 mmol l^-1). Stroke frequency (SF; 0.58 ± 0.05; 0.57 ± 0.05; 0.55 ± 0.06 strokes·s^-1) was similar while distance covered, and average running velocity were significantly lower for T₅₀ compared to T₁₀ (76 ± 17; 70 ± 13; 65 ± 11 m min^-1). Moreover, jump frequency in T₃₀ was higher than in T₁₀ (6.7 ± 3.1; 8.8 ± 3.8; 8.5 ± 4.2 jumps·min^-1), whereas differences in internal and external loads were not associated with changes in stroke precision (errors: 16 ± 6; 19 ± 4; 18 ± 4%; accuracy: 22 ± 6; 24 ± 8; 23 ± 8%). Conclusion: Anaerobic metabolic stimulus increases while running distance and velocity decrease, in case of longer interval durations. Even though there was no impact on stroke precision, extending the intervals beyond 30 s might impair external training load and skill performance. Consequently, interval duration should be defined carefully depending on the training goals.

The effectiveness of traditional vs. velocity-based strength training on explosive and maximal strength performance: A network meta-analysis

This network meta-analysis aimed at evaluating the effectiveness of different velocity-based (VBT) and traditional 1RM-based resistance training (TRT) interventions on strength and power indices in healthy participants. The research was conducted until December 2021 using the online electronic databases PubMed, Web of Science, PsycNet, and SPORTDiscus for studies with the following inclusion criteria: 1) controlled VBT trials, 2) strength and/or jump and/or sprint parameters as outcomes (c), participants aged between 18 and 40 years, and 4) peer-reviewed and published in English. Standardized mean differences (SMD) using a random effects models were calculated. Fourteen studies with 311 healthy participants were selected and 3 networks (strength, jump, and sprint) were achieved. VBT, TRT, repetitions in reserve (RIR), low velocity loss (lowVL), and high velocity loss (highVL) were ranked for each network. Based on P-score rankings, lowVL (P-score ≥ 0.59; SMD ≥ 0.33) and highVL (P-score ≥ 0.50; SMD ≥ 0.12) revealed favorable effects on strength, jump, and sprint performance compared to VBT (P-score ≤ 0.47; SMD ≤0.01), TRT (P-score ≤0.46; SMD ≤ 0.00), and RIR (P-score ≤ 0.46; SMD ≤ 0.12). In conclusion, lowVL and highVL showed notable effects on strength, jump, and sprint performance. In particular for jump performance, lowVL induced favorable improvements compared to all other resistance training approaches.

COVID-19 in German Competitive Sports: Protocol for a Prospective Multicenter Cohort Study (CoSmo-S)

Objective: It is unclear whether and to what extent COVID-19 infection poses health risks and a chronic impairment of performance in athletes. Identification of individual health risk is an important decision-making basis for managing the pandemic risk of infection with SARS-CoV-2 in sports and return to play (RTP).

Methods: This study aims 1) to analyze the longitudinal rate of seroprevalence of SARS-CoV-2 in German athletes, 2) to assess health-related consequences in athletes infected with SARS-CoV-2, and 3) to reveal effects of the COVID-19 pandemic in general and of a cleared SARS-CoV-2 infection on exercise performance. CoSmo-S is a prospective observational multicenter study establishing two cohorts: 1) athletes diagnosed positive for COVID-19 (cohort 1) and 2) federal squad athletes who perform their annual sports medical preparticipation screening (cohort 2). Comprehensive diagnostics including physical examination, laboratory blood analyses and blood biobanking, resting and exercise electrocardiogram (ECG), echocardiography, spirometry and exercise testing added by questionnaires are conducted at baseline and follow-up.

Results and Conclusion: We expect that the results obtained, will allow us to formulate recommendations regarding RTP on a more evidence-based level.