1
|
Chen L, Qu W, Yan R, Deng B, Sun J, Wang Y, Duan X, Li D. Timing is everything: the age-related impact of plyometric training on lower limb explosive strength in male adolescents and its general effectiveness in female adolescents. Eur J Appl Physiol 2025; 125:1665-1685. [PMID: 39751817 DOI: 10.1007/s00421-024-05683-0] [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: 08/20/2024] [Accepted: 11/30/2024] [Indexed: 01/04/2025]
Abstract
OBJECTIVE This study investigates the impact of plyometric training on age-related lower limb explosive strength in male adolescents and its effectiveness in female adolescents. METHODS A thorough search was conducted across five databases from their inception until September 20, 2024. Study quality was assessed using the Cochrane Risk Assessment Tool, and data analysis was performed with Stata 15 software. RESULTS Plyometric training positively affected countermovement jump (CMJ) (MD = 2.90 cm, 95% CI (2.35, 3.45)), squat jump (SJ) (MD = 2.57 cm, 95% CI (1.69, 3.44)), and 20-m sprint performance (MD = - 0.09 s, 95% CI (- 0.14, - 0.05)). Subgroup analysis revealed varying improvements across age stages. In CMJ, the early adolescence (EA) group (MD = 2.57 cm, 95% CI (1.74, 3.40)), mid-adolescence (MA) group (MD = 3.04 cm, 95% CI (2.30, 3.79)), and post-adolescence (PA) group (MD = 3.89 cm, 95% CI (1.96, 5.81)) showed progressive enhancement. The MA group exhibited superior improvements in SJ (MD = 3.78 cm, 95% CI (2.19, 5.36)) and 20-m sprint (MD = - 0.11 s, 95% CI (- 0.18, - 0.05)) compared to the EA group (SJ: MD = 2.10 cm, 95% CI (1.43, 2.77); sprint: MD = - 0.06 s, 95% CI (- 0.11, - 0.01)). The PA group showed no significant improvements (SJ: MD = 1.31 cm, 95% CI (- 1.05, 3.67); sprint: MD = - 0.27 s, 95% CI (- 0.61, 0.07)). For female adolescents, plyometric training effectively improved CMJ (MD = 2.55 cm, 95% CI (1.43, 3.66)), SJ (MD = 2.33 cm, 95% CI (1.36, 3.31)), and 20-m sprint performance (MD = - 0.22 s, 95% CI (- 0.33, - 0.12)). CONCLUSION Plyometric training significantly enhances lower limb explosive strength in both male and female adolescents, with age-dependent effects for male adolescents. The greatest improvement in CMJ was observed in the PA stage, followed by the MA stage, while the EA stage showed the least. The MA stage exhibited the best improvements in SJ and sprint performance. TRAIL REGISTRY The study has been registered in the International Prospective Register of Systematic Reviews (PROSPERO: CRD42023406914).
Collapse
Affiliation(s)
- Lunxin Chen
- School of Physical Education and Sports, Central China Normal University, Wuhan, China
| | - Wenhao Qu
- Digital Physical Training Laboratory, Guangzhou Sport University, Guangzhou, China
| | - Ruixiang Yan
- Digital Physical Training Laboratory, Guangzhou Sport University, Guangzhou, China
| | - Beiwang Deng
- Digital Physical Training Laboratory, Guangzhou Sport University, Guangzhou, China
| | - Jian Sun
- Sports Training Institute, Guangzhou Sport University, Guangzhou, China
| | - Yan Wang
- School of Physical Education, Guangdong University of Technology, Guangzhou, China.
| | - Xiaoping Duan
- Guangdong Provincial Institute of Sports Science, Guangzhou, China.
| | - Duanying Li
- Sports Training Institute, Guangzhou Sport University, Guangzhou, China.
| |
Collapse
|
2
|
Elst T, Weidner S, Tomalka A, Hahn D, Paternoster FK, Seiberl W, Siebert T. Consecutive SSCs increase the SSC effect in skinned rat muscle fibres. Pflugers Arch 2025; 477:873-888. [PMID: 40338284 DOI: 10.1007/s00424-025-03088-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2024] [Revised: 04/03/2025] [Accepted: 04/22/2025] [Indexed: 05/09/2025]
Abstract
Muscle function is essential for generating force and movement, with stretch-shortening cycles (SSCs) playing a fundamental role in the economy of everyday locomotion. Compared with pure shortening contractions, the SSC effect is characterised by increased force, work, and power output during the SSC shortening phase. Few studies have investigated whether SSC effects transfer across consecutive SSCs. Therefore, we investigated SSC effects over three consecutive SSCs in skinned rat muscle fibres by analysing the isometric force immediately before stretch onset (Fonset), the peak force at the end of stretching (Fpeak), and the minimum force at the end of shortening (Fmin), along with mechanical (WorkSSC) and shortening work (WorkSHO) at different activation levels (20%, 60%, and 100%). Each SSC was followed by an isometric hold phase, allowing force to return to a steady state. Results indicated an increase in both Fpeak (20.3%) and WorkSSC (60.9%) from SSC1 to SSC3 across all activation levels tested. At 20% and 60% activation, Fonset, Fmin, and WorkSHO increased (range: 4.5-28.5%) from SSC1 to SSC3. However, at 100% activation, Fonset and WorkSHO remained unchanged, while Fmin decreased (- 8.5%) from SSC1 to SSC3. These results suggest that the increase in SSC effects at submaximal activation may be primarily due to increased cross-bridge forces. The absence of increases in Fonset, Fmin, and WorkSHO at 100% activation suggests that increases in Fpeak and WorkSSC may not be attributed to increased cross-bridge force but could instead be caused by additional effects, possibly involving modulation of non-cross-bridge structures, likely titin, and their stiffness.
Collapse
Affiliation(s)
- Tobias Elst
- Motion and Exercise Science, University of Stuttgart, Stuttgart, Germany.
| | - Sven Weidner
- Motion and Exercise Science, University of Stuttgart, Stuttgart, Germany
| | - André Tomalka
- Motion and Exercise Science, University of Stuttgart, Stuttgart, Germany
| | - Daniel Hahn
- Human Movement Science, Faculty of Sports Science, Ruhr University Bochum, Bochum, Germany
- School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, QLD, Australia
| | - Florian Kurt Paternoster
- Biomechanics in Sports, Department of Sport and Health Sciences, Technical University of Munich, Munich, Germany
| | - Wolfgang Seiberl
- Human Movement Science, University of the Bundeswehr Munich, Neubiberg, Germany
| | - Tobias Siebert
- Motion and Exercise Science, University of Stuttgart, Stuttgart, Germany
- Stuttgart Center for Simulation Science, University of Stuttgart, Stuttgart, Germany
| |
Collapse
|
3
|
Wilk KE, Arrigo CA, Ivey M. Rehabilitation of the Shoulder and Elbow in the Throwing Athlete. Clin Sports Med 2025; 44:249-272. [PMID: 40021255 DOI: 10.1016/j.csm.2024.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2025]
Abstract
The overhead throwing athlete possesses distinct physical traits and undergoes adaptive changes due to the repetitive nature of throwing, often resulting in significant injury to the shoulder or elbow joint. An effective rehabilitation program for the throwing athlete is dependent upon an accurate evaluation that identifies the causative factors contributing to the athlete's condition. In this article, we outline the unique physiology of the thrower's shoulder and elbow, the injuries associated with these athletes and a multiphased rehabilitation approach that allows for the restoration of strength, mobility, endurance, and power essential to return to unrestricted overhead sporting activity.
Collapse
Affiliation(s)
- Kevin E Wilk
- Physical Therapy and Rehabilitation, Champion Sports Medicine: A Select Medicine Facility, Birmingham, AL, USA; American Sports Medicine Institute, Birmingham, AL, USA
| | | | - Morgan Ivey
- Champion Sports Medicine: A Select Medicine Facility, Birmingham, AL, USA.
| |
Collapse
|
4
|
Da Silva AZ, Connelly JW, Chalmers PN. Return to Play Throwing Programs. Clin Sports Med 2025; 44:273-289. [PMID: 40021256 DOI: 10.1016/j.csm.2024.05.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2025]
Abstract
Injuries in overhead throwers are common, and there are limited data on return to throw programs in the literature. This article outlines the criteria that baseball players should meet before initiating throwing and further describes an evidence-based throwing program that can be utilized to aid in the rehabilitation of overhead athletes and optimize chances of returning to same level of throwing. These guidelines may be used for rehabilitation after injury is treated operatively or nonoperatively.
Collapse
Affiliation(s)
- Adrik Z Da Silva
- Department of Orthopaedics, University of Utah, Salt Lake City, UT, USA
| | - James W Connelly
- Department of Orthopaedics, University of Utah, Salt Lake City, UT, USA
| | - Peter N Chalmers
- Department of Orthopaedics, University of Utah, Salt Lake City, UT, USA.
| |
Collapse
|
5
|
Chen Y, Tulhongjiang M, Ling T, Feng X, Mi J, Liu R. The optimal training intervention for improving the change of direction performance of adolescent team-sport athletes: a systematic review and network meta-analysis. PeerJ 2025; 13:e18971. [PMID: 39995993 PMCID: PMC11849509 DOI: 10.7717/peerj.18971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2024] [Accepted: 01/21/2025] [Indexed: 02/26/2025] Open
Abstract
Background Due to the influence of growth, adolescent team-sport athletes have the need to improve their change of direction (COD) performance and reduce the risk of anterior cruciate ligament (ACL) injuries during COD. However, the optimal intervention for improving COD performance has not yet been determined. Objective To quantitatively assess the effects of diverse training interventions on COD performance. Methods A systematic search of five databases was conducted, adhering to the PRISMA guidelines. Randomized controlled trials that examined 10 distinct training interventions for COD performance in adolescent team-sport athletes were emphasized. Effect sizes were represented as standardized mean differences (SMD) with 95% credible intervals (CI). The Cochrane study risk assessment tool evaluated the risk of bias in the selected studies. Results Of the 36 studies analyzed, involving 1,125 participants. Eccentric overload training (EOT) (SMD = -2.06, 95% CI [-2.83 to -1.29]) emerged as the most effective training method for overall COD performance. Subgroup analysis shows that combined training (COM) (SMD = -2.14, 95% CI [-3.54 to -0.74]) was the best training intervention for COD performance with angles less than 90°. EOT (SMD = -2.84, 95% CI [-4.62 to -1.07]) also was two best training intervention for COD performance with angles greater than 90°. Conclusions The choice of training intervention should be determined based on the COD angle. When the COD angle exceeds 90° or is not restricted, EOT is the optimal intervention; however, this is not the case for angles below 90°. Further high-quality studies are needed in the future to validate these findings. Systematic review registration: PROSPERO CRD42024501819.
Collapse
Affiliation(s)
- Yonghui Chen
- Sports Coaching College, Beijing Sport University, Beijing, Beijing, China
| | | | - Tianpeng Ling
- Sports Coaching College, Beijing Sport University, Beijing, Beijing, China
| | - Xinmiao Feng
- Sports Coaching College, Beijing Sport University, Beijing, Beijing, China
| | - Jing Mi
- Sports Coaching College, Beijing Sport University, Beijing, Beijing, China
| | - Ruidong Liu
- Sports Coaching College, Beijing Sport University, Beijing, Beijing, China
| |
Collapse
|
6
|
Dhote S, Eon P, Grosprêtre S. A Comparison of the Plyometric Performance of Upper Limbs between Experienced and Non-Experienced Athletes. Sports (Basel) 2024; 12:217. [PMID: 39195593 PMCID: PMC11359796 DOI: 10.3390/sports12080217] [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: 06/04/2024] [Revised: 07/04/2024] [Accepted: 07/31/2024] [Indexed: 08/29/2024] Open
Abstract
Although explosive upper-limb movements are far less studied than the equivalent lower-limb movements, they are important in many sports activities. The goal of this study was to explore, for the first time, the performance of street workout (SW) athletes who primarily focus on explosive and isometric strength in the upper limbs and to examine the effect of the contraction type on performance during a classical upper-body movement. Eighteen men took part in this study (age: 22.6 ± 2.1 years, height: 179.6 ± 7.1 cm, bodyweight: 71.9 ± 6.6 kg). Of these, nine practiced SW and nine practiced various team and individual sports-the latter serving as the control group. The athletes performed three different types of push-ups-one in a concentric way and two others in a plyometric way-and a fatigue-inducing push-up set. Jump heights, myoelectrical activities (through electromyography), muscle architecture, and hypertrophy (through ultrasonography) were measured. The results show no significant differences in jump height between the push-up types. Both groups confounded, but the SW athletes jumped on average 66 ± 21% higher than the control athletes (p < 0.05). There was no major difference in EMG between groups, regardless of the push-up type, but the SW athletes had a greater pectoralis major and anterior deltoid thickness as well as a greater pennation angle of the pectoralis major. The results suggest that the plyometric performance of the upper limbs does not follow the same pattern as that of the lower limbs. The SW group's greater capacity in performing explosive push-ups could be attributed to greater upper-body muscle hypertrophy and more efficient execution of the movement.
Collapse
Affiliation(s)
- Sylvain Dhote
- Laboratory of C3S (Culture, Sport, Santé, Société) (EA4660), 25000 Besançon, France (S.G.)
| | - Pauline Eon
- Laboratory of C3S (Culture, Sport, Santé, Société) (EA4660), 25000 Besançon, France (S.G.)
| | - Sidney Grosprêtre
- Laboratory of C3S (Culture, Sport, Santé, Société) (EA4660), 25000 Besançon, France (S.G.)
- Institut Universitaire de France (IUF), 92073 Paris, France
| |
Collapse
|
7
|
Esposito G, Altavilla G, Giardullo G, Ceruso R, D’Isanto T. The Effects of the Use of Plyometric Exercises with and without the Ball in the Development of Explosive Strength in Volleyball. J Funct Morphol Kinesiol 2024; 9:126. [PMID: 39051287 PMCID: PMC11270292 DOI: 10.3390/jfmk9030126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2024] [Revised: 07/17/2024] [Accepted: 07/18/2024] [Indexed: 07/27/2024] Open
Abstract
Volleyball primarily focuses on technical and tactical training with a ball. However, there is growing interest in integrating fitness training into volleyball practice, particularly to enhance explosive strength through plyometric methods, but there is a lack of a direct scientific comparison between training with and without the ball. This study aimed to compare the effects of two training protocols on volleyball players. One protocol combined plyometric exercises with technical gestures (wall drills) using the ball, while the other protocol excluded the ball during plyometric exercises. Twenty male volleyball players (aged 18.6 ± 0.3 years, height 189.8 ± 2.2 cm, weight 79.4 ± 1.6 kg) were divided into experimental (with ball) and control (without ball) groups. The analysis of the results highlights significant improvements in both the squat jumps (SJs) and the countermovement jumps with arm swing (CMJas) for both groups. While there were no significant differences between the groups for SJ, significant differences emerged in CMJas, indicating varied training effects. Specifically, the interaction effect was significant (p = 0.004), demonstrating a meaningful distinction in performance improvements between the two groups. The effect size of the interaction is moderate (ηp2 = 0.37, 95% CI: 0; 0.91). These results suggest that incorporating a ball into plyometric training can be beneficial for developing explosive strength in a different way, thereby improving performance due to the motivational stimulus provided. However, given the specificity of the sample and the training protocols used, further studies are needed to confirm these results and evaluate their applicability to a larger sample of volleyball players.
Collapse
Affiliation(s)
- Giovanni Esposito
- Research Centre of Physical Education and Exercise, Pegaso University, 80143 Napoli, Italy; (G.E.); (G.A.); (G.G.); (T.D.)
- Department of Human, Philosophical and Education, University of Salerno, 84084 Fisciano, Italy
| | - Gaetano Altavilla
- Research Centre of Physical Education and Exercise, Pegaso University, 80143 Napoli, Italy; (G.E.); (G.A.); (G.G.); (T.D.)
| | - Giuseppe Giardullo
- Research Centre of Physical Education and Exercise, Pegaso University, 80143 Napoli, Italy; (G.E.); (G.A.); (G.G.); (T.D.)
| | - Rosario Ceruso
- Research Centre of Physical Education and Exercise, Pegaso University, 80143 Napoli, Italy; (G.E.); (G.A.); (G.G.); (T.D.)
- Department of Neuroscience, Biomedicine and Movement, University of Verona, 37129 Verona, Italy
| | - Tiziana D’Isanto
- Research Centre of Physical Education and Exercise, Pegaso University, 80143 Napoli, Italy; (G.E.); (G.A.); (G.G.); (T.D.)
| |
Collapse
|
8
|
Li W, Liu Y, Deng J, Wang T. Basketball specific agility: A narrative review of execution plans and implementation effects. Medicine (Baltimore) 2024; 103:e37124. [PMID: 38335413 PMCID: PMC10860980 DOI: 10.1097/md.0000000000037124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 01/05/2024] [Accepted: 01/10/2024] [Indexed: 02/12/2024] Open
Abstract
This systematic review and evaluation aim to comprehensively overview current international advanced basketball specialized agility training methods. The primary objective is to analyze and synthesize existing literature, offering insights and guidance to enhance agility training levels specifically tailored for basketball players. Methods involved a systematic literature search using keywords like "Basketball," "Agility," and "Training" in major databases (PubMed, Web of Science, and EBSCO), covering studies from 2010 to 2022. Inclusion criteria focused on studies addressing advanced agility training methods for basketball players. Data extraction and analysis were conducted to identify key trends and outcomes. A total of 563 articles were initially identified, and after reviewing titles, abstracts, and full texts, 20 articles were ultimately selected, excluding those with inconsistent outcome measures or unavailable full texts. The findings suggest that plyometric training, comprehensive speed training, and equipment-assisted training methods (SSG, TRX, Bulgarian ball, etc) have demonstrated effectiveness in improving agility indicators in basketball players.
Collapse
Affiliation(s)
- Weicheng Li
- School of Sports Training, Chengdu Sport University, Chengdu, Sichuan, China
| | - Yongfeng Liu
- School of Sports Training, Chengdu Sport University, Chengdu, Sichuan, China
| | - Jiaxin Deng
- School of Sports Training, Chengdu Sport University, Chengdu, Sichuan, China
| | - Tong Wang
- School of Sports Training, Chengdu Sport University, Chengdu, Sichuan, China
| |
Collapse
|
9
|
Deng N, Soh KG, Abdullah B, Huang D. Effects of plyometric training on measures of physical fitness in racket sport athletes: a systematic review and meta-analysis. PeerJ 2023; 11:e16638. [PMID: 38111665 PMCID: PMC10726777 DOI: 10.7717/peerj.16638] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 11/19/2023] [Indexed: 12/20/2023] Open
Abstract
Background Over the past decade, the popularity of racket sports has surged. Plyometric training (PT) has been the focus of extensive research because of the proven benefits it provides to athletes. However, there is a lack of systematic reviews and meta-analyses specifically evaluating the impact of PT on physical fitness metrics in racket sport athletes. This study aimed to conduct a comprehensive review and analysis of evidence derived from randomized controlled trials (RCTs) to evaluate the effects of PT on measures of physical fitness among racket sports athletes. Methods The electronic databases PubMed, Web of Science, SCOPUS, and SPORTDiscus were systematically searched up to June 2023 without placing any restrictions on the publication dates. The PICOS method was adopted to establish the inclusion criteria: (a) healthy athletes who participate in racket sports; (b) a PT program; (c) a control group; (d) assessment of physical fitness components pre- and post-PT; and (e) RCTs. The records' methodological quality was assessed utilizing the Physiotherapy Evidence Database (PEDro) scale. The certainty in the evidence related to each outcome was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) assessment. A random-effects model was used to calculate effect sizes (ES; Hedges' g) between experimental and control groups. Results There were 14 eligible studies of moderate-to-high-quality, involving 746 athletes in total. The results revealed small-to-moderate effects (p < 0.05) of PT on muscle power (ES = 0.46), muscle strength (ES = 0.50), sprint speed (ES = 0.45), change of direction ability (ES = 0.76), and reaction time (ES = 0.67), while no clear evidence was found on balance and flexibility. The training-induced changes in muscle power showed no significant difference (p > 0.05) between youth (ES = 0.72) and adults (ES = 0.40). There were also similar muscle power improvements (ES = 0.36-0.54 vs 0.38-0.56, all p > 0.05) for a length of ≤7 weeks with ≤14 total PT sessions vs >7 weeks with >14 total PT sessions, and ≤2 weekly sessions vs >2 sessions. No adverse effects were reported in the included studies regarding the PT intervention. The certainty of evidence varied from very low to moderate. Conclusions: Our findings demonstrated that PT has positive effects on important indices of physical fitness among athletes participating in racket sports. Future studies are required to clarify the optimal doses and examine interactions among training variables to further promote the physical fitness of this specific population.
Collapse
Affiliation(s)
- Nuannuan Deng
- Faculty of Educational Studies, Universiti Putra Malaysia, Selangor, Malaysia
| | - Kim Geok Soh
- Faculty of Educational Studies, Universiti Putra Malaysia, Selangor, Malaysia
| | | | - Dandan Huang
- College of Physical Education, Chongqing University, Chongqing, China
| |
Collapse
|
10
|
Song JH, Yim JE. The Synergetic Effect of Plyometric Compound Exercises and Transcranial Direct Current Stimulation on Balance and Physical Function. Healthcare (Basel) 2023; 11:2774. [PMID: 37893849 PMCID: PMC10606722 DOI: 10.3390/healthcare11202774] [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: 09/05/2023] [Revised: 10/16/2023] [Accepted: 10/17/2023] [Indexed: 10/29/2023] Open
Abstract
This study aimed to investigate the effects of plyometric compound exercises and Transcranial Direct Current Stimulation (tDCS) on balance and body function in healthy adults. Forty-five students enrolled at Noryangjin Y Academy in Seoul who met the research criteria were equally and randomly divided into the following groups: the Experimental Group I, Experimental Group II, and Control Group. Experimental Groups I and II received tDCS and sham tDCS for 20 min, respectively; both groups performed plyometric compound exercises for 30 min twice weekly for four weeks. The Control Group received sham tDCS for 20 min twice weekly for four weeks. Tests such as the static balance test (Functional Reach Test, FRT), dynamic balance test (Y-Balance Test, Y-BT), power test (vertical jump test and long jump test), and agility test (t-test and side-step test) were conducted on the day of the experiment, before and after the intervention. Experimental Groups I and II significantly improved in static balance, dynamic balance, power, and agility (p < 0.001), whereas the Control Group did not. Experimental Group I showed greater effects on static balance, dynamic balance, power, and agility than Experimental Group II and the Control Group (p < 0.001). In conclusion, plyometric compound exercises + tDCS intervention can be effective for an ordinary person who trains balance and body functions (power and agility); in particular, to improve exercise performance.
Collapse
Affiliation(s)
| | - Jong-Eun Yim
- Department of Physical Therapy, The Graduate School of Sahmyook University, Seoul 01795, Republic of Korea;
| |
Collapse
|
11
|
Chen L, Zhang Z, Huang Z, Yang Q, Gao C, Ji H, Sun J, Li D. Meta-Analysis of the Effects of Plyometric Training on Lower Limb Explosive Strength in Adolescent Athletes. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1849. [PMID: 36767213 PMCID: PMC9915200 DOI: 10.3390/ijerph20031849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 01/10/2023] [Accepted: 01/13/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Plyometric training is an effective training method to improve explosive strength. However, the ability to perform plyometric training in the adolescent population is still controversial, with insufficient meta-analyses about plyometric training on lower limb explosive strength in adolescent athletes. OBJECTIVE To investigate the influence of plyometric training on the explosive strength of lower limbs in adolescent athletes. METHODS We performed a search of six databases (Web of Science, PubMed, Scopus, ProQuest databases, China National Knowledge Infrastructure (CNKI), and Wan-fang database) from the starting year of inclusion in each database to April 4, 2022. The quality of the included literature was assessed using the Cochrane risk assessment tool, and data were analyzed using the Review Manager 5.4 software. RESULT Plyometric training had significant effects on the performance of adolescent athletes in countermovement jump (MD = 2.74, 95% CI: 1.62, 3.85, p < 0.01), squat jump (MD = 4.37, 95% CI: 2.85, 5.90, p < 0.01), standing long jump (MD = 6.50, 95% CI: 4.62, 8.38, p < 0.01), 10-m sprint (MD = -0.04, 95% CI: -0.08, -0.00, p = 0.03), and 20-m sprint (MD = -0.12, 95% CI: -0.20, -0.04, p = 0.03); all had positive and statistically significant effects (p < 0.05). CONCLUSION Plyometric training can significantly enhance the explosive strength of lower limbs in adolescent athletes.
Collapse
Affiliation(s)
- Lunxin Chen
- Digitalized Performance Training Laboratory, Guangzhou Sport University, Guangzhou 510500, China
| | - Zhiyong Zhang
- Digitalized Performance Training Laboratory, Guangzhou Sport University, Guangzhou 510500, China
| | - Zijing Huang
- Digitalized Performance Training Laboratory, Guangzhou Sport University, Guangzhou 510500, China
| | - Qun Yang
- Sports Training Institute, Guangzhou Sport University, Guangzhou 510500, China
| | - Chong Gao
- Sports Training Institute, Guangzhou Sport University, Guangzhou 510500, China
| | - Hongshen Ji
- Sports Training Institute, Guangzhou Sport University, Guangzhou 510500, China
| | - Jian Sun
- Sports Training Institute, Guangzhou Sport University, Guangzhou 510500, China
| | - Duanying Li
- Sports Training Institute, Guangzhou Sport University, Guangzhou 510500, China
| |
Collapse
|
12
|
Deng N, Soh KG, Huang D, Abdullah B, Luo S, Rattanakoses W. Effects of plyometric training on skill and physical performance in healthy tennis players: A systematic review and meta-analysis. Front Physiol 2022; 13:1024418. [PMID: 36505069 PMCID: PMC9729950 DOI: 10.3389/fphys.2022.1024418] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2022] [Accepted: 11/14/2022] [Indexed: 11/25/2022] Open
Abstract
Background: Plyometric training (PT) has been researched extensively in athletic populations. However, the effects of PT on tennis players are less clear. Methods: We aim to consolidate the existing research on the effects of PT on healthy tennis players' skill and physical performance. On 30th May 2022, a comprehensive search of SCOPUS, PubMed, Web of Science, and SPORTDiscus (via EBSCOhost) databases was performed. PICOS was employed to define the inclusion criteria: 1) healthy tennis players; 2) a PT program; 3) compared a plyometric intervention to a control group or another exercise group, and single-group trials; 4) tested at least one measures of tennis skill or physical performance; and 5) non-randomized study trials and randomized control designs. Individual studies' methodological quality was evaluated by using the Cochrane RoB-2 and ROBINS-I instruments. Using Grading of Recommendations Assessment, Development, and Evaluation (GRADE), the certainty of the body of evidence for each outcome was assessed, and Comprehensive Meta-Analysis software was employed for the meta-analysis. Results: Twelve studies comprising 443 tennis players aged 12.5-25 years were eligible for inclusion. The PT lasted from 3 to 9 weeks. Eight studies provided data to allow for the pooling of results in a meta-analysis. A moderate positive effect was detected for PT programs on maximal serve velocity (ES = 0.75; p < 0.0001). In terms of measures of physical performance, small to moderate (ES = 0.43-0.88; p = 0.046 to < 0.001) effects were noted for sprint speed, lower extremity muscle power, and agility. While no significant and small effect was noted for lower extremity muscle strength (ES = 0.30; p = 0.115). We found no definitive evidence that PT changed other parameters (i.e., serve accuracy, upper extremity power and strength, reaction time, and aerobic endurance). Based on GRADE, the certainty of evidence across the included studies varied from very low to moderate. Conclusion: PT may improve maximal serve velocity and physical performance components (sprint speed, lower extremity muscular power, and agility) for healthy tennis players; however, more high-quality evidence about the effects of PT on the skill and physical performance of tennis players merits further investigation. Systematic Review Registration: [https://inplasy.com/], identifier [INPLASY202250146].
Collapse
Affiliation(s)
- Nuannuan Deng
- Faculty of Educational Studies, Department of Sports Studies, Universiti Putra Malaysia, Selangor, Malaysia
| | - Kim Geok Soh
- Faculty of Educational Studies, Department of Sports Studies, Universiti Putra Malaysia, Selangor, Malaysia
| | - Dandan Huang
- College of Physical Education, Chong Qing University, Chongqing, China
| | - Borhannudin Abdullah
- Faculty of Educational Studies, Department of Sports Studies, Universiti Putra Malaysia, Selangor, Malaysia
| | - Shengyao Luo
- Faculty of Educational Studies, Department of Sports Studies, Universiti Putra Malaysia, Selangor, Malaysia
| | - Watnawat Rattanakoses
- Department of Khon Kaen Sport School, Thailand National Sport University, Bueng Nam Rak, Thailand
| |
Collapse
|
13
|
Eihara Y, Takao K, Sugiyama T, Maeo S, Terada M, Kanehisa H, Isaka T. Heavy Resistance Training Versus Plyometric Training for Improving Running Economy and Running Time Trial Performance: A Systematic Review and Meta-analysis. SPORTS MEDICINE - OPEN 2022; 8:138. [PMID: 36370207 PMCID: PMC9653533 DOI: 10.1186/s40798-022-00511-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Accepted: 08/21/2022] [Indexed: 11/13/2022]
Abstract
BACKGROUND As an adjunct to running training, heavy resistance and plyometric training have recently drawn attention as potential training modalities that improve running economy and running time trial performance. However, the comparative effectiveness is unknown. The present systematic review and meta-analysis aimed to determine if there are different effects of heavy resistance training versus plyometric training as an adjunct to running training on running economy and running time trial performance in long-distance runners. METHODS Electronic databases of PubMed, Web of Science, and SPORTDiscus were searched. Twenty-two studies completely satisfied the selection criteria. Data on running economy and running time trial performance were extracted for the meta-analysis. Subgroup analyses were performed with selected potential moderators. RESULTS The pooled effect size for running economy in heavy resistance training was greater (g = - 0.32 [95% confidence intervals [CIs] - 0.55 to - 0.10]: effect size = small) than that in plyometric training (g = -0.13 [95% CIs - 0.47 to 0.21]: trivial). The effect on running time trial performance was also larger in heavy resistance training (g = - 0.24 [95% CIs - 1.04 to - 0.55]: small) than that in plyometric training (g = - 0.17 [95% CIs - 0.27 to - 0.06]: trivial). Heavy resistance training with nearly maximal loads (≥ 90% of 1 repetition maximum [1RM], g = - 0.31 [95% CIs - 0.61 to - 0.02]: small) provided greater effects than those with lower loads (< 90% 1RM, g = - 0.17 [95% CIs - 1.05 to 0.70]: trivial). Greater effects were evident when training was performed for a longer period in both heavy resistance (10-14 weeks, g = - 0.45 [95% CIs - 0.83 to - 0.08]: small vs. 6-8 weeks, g = - 0.21 [95% CIs - 0.56 to 0.15]: small) and plyometric training (8-10 weeks, g = 0.26 [95% CIs - 0.67 to 0.15]: small vs. 4-6 weeks, g = - 0.06 [95% CIs 0.67 to 0.55]: trivial). CONCLUSIONS Heavy resistance training, especially with nearly maximal loads, may be superior to plyometric training in improving running economy and running time trial performance. In addition, running economy appears to be improved better when training is performed for a longer period in both heavy resistance and plyometric training.
Collapse
Affiliation(s)
- Yuuri Eihara
- Faculty of Sport and Health Science, Ritsumeikan University, Shiga, Japan.
| | - Kenji Takao
- Faculty of Sport and Health Science, Ritsumeikan University, Shiga, Japan
| | - Takashi Sugiyama
- Faculty of Sport and Health Science, Ritsumeikan University, Shiga, Japan
| | - Sumiaki Maeo
- Faculty of Sport and Health Science, Ritsumeikan University, Shiga, Japan
| | - Masafumi Terada
- Faculty of Sport and Health Science, Ritsumeikan University, Shiga, Japan
| | - Hiroaki Kanehisa
- Faculty of Sport and Health Science, Ritsumeikan University, Shiga, Japan
| | - Tadao Isaka
- Faculty of Sport and Health Science, Ritsumeikan University, Shiga, Japan
| |
Collapse
|
14
|
Shang XD, Zhang EM, Chen ZL, Zhang L, Qian JH. Correlation analysis of national elite Chinese male table tennis players’ shoulder proprioception and muscle strength. World J Clin Cases 2022; 10:8514-8524. [PMID: 36157833 PMCID: PMC9453366 DOI: 10.12998/wjcc.v10.i24.8514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Revised: 03/28/2022] [Accepted: 07/18/2022] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Shoulder is the most injured part in table tennis players, and it takes multiple roles in transmitting power and striking the center of the ball during the stroke. Proprioception is strongly correlated with high level of athletic performance. It is customary to assume that there is a correlation between proprioception and muscle strength and therefore proprioceptive assessment and rehabilitation is often neglected.
AIM To investigate the correlation between isokinetic muscle strength and proprioception in the internal and external rotation muscle groups of elite Chinese male table tennis players, to provide reference for physical training and rehabilitation of elite table tennis players.
METHODS A total of 19 national elite table tennis players from the Chinese National Table Tennis Team were recruited in this research. All of them had more than 10 years training experience and had participated major competitions such as the National Games and World Youth Championships. IsoMed 2000 was used to test the peak torque of internal and external rotation isokinetic concentric contraction of the athletes' bilateral shoulder joints at low speed (60°/s) and high speed (180°/s) respectively; IsoMed 2000 was used to conduct the Joint Position Reproduction test to evaluate the athletes' proprioceptive ability capacity at low speed (60°/s) and high speed (180°/s) respectively. If the data satisfied the normal distribution, the correlation between the differences in peak torque s and angles in different directions was analyzed using a Pearson simple linear model; otherwise, Spearman correlation analysis was used. The comparison of proprioceptive ability between the table tennis racket-holding hand and non-racket-holding hands was performed using independent samples t-test if the data satisfied a normal distribution; otherwise, the Mann-Whitney U test was used.
RESULTS There was no direct linear correlation between the strength and proprioceptive correlation analysis at slow speed (60°/s) and fast speed (180°/s) in the racket-holding hand; At the slow speed (60°/s) and fast speed (180°/s), there was no correlation between muscle strength and proprioception in the non-racket-holding hand except for the internal rotation variable error (VE) and external rotation relative peak torque, which showed a moderate positive correlation (r = 0.477, P < 0.05), (r = 0.554, P < 0.05). The internal rotation’s constant error (CE) and VE were 1.06 ± 3.99 and 2.94 ± 2.16, respectively, for the racket-holding hand, and -3.36 ± 2.39 and 1.22 ± 0.93, respectively, for the non-racket-holding hand; the internal rotation’s CE, VE of the racket-holding hand was lower than that of the non-racket-holding hand, and there was a highly significant difference (P < 0.01).
CONCLUSION There was no correlation between muscle strength and proprioceptive function in the internal and external rotation of the racket-holding hand’s shoulder in elite Chinese male table tennis players. These results may be useful for interventions for shoulder injuries and for the inclusion of proprioceptive training in rehabilitation programs.
Collapse
Affiliation(s)
- Xue-Dong Shang
- Institute of Sport Medicine, National Research Institute of Sports Medicine, Beijing 100061, China
| | - En-Ming Zhang
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing 100084, China
| | - Zhen-Lei Chen
- School of Physical Education, Hubei University of Education, Wuhan 430205, Hubei Province, China
| | - Lei Zhang
- Graduate School, Shandong Sport University, Jinan 250102, Shandong Province, China
| | - Jing-Hua Qian
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing 100084, China
| |
Collapse
|
15
|
Low-Volume Squat Jump Training Improves Functional Performance Independent of Myofibre Changes in Inactive Young Male Individuals. Healthcare (Basel) 2022; 10:healthcare10071217. [PMID: 35885744 PMCID: PMC9321048 DOI: 10.3390/healthcare10071217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 06/22/2022] [Accepted: 06/23/2022] [Indexed: 12/03/2022] Open
Abstract
An investigation into the histological changes in skeletal muscle fibres and jump performance indicators after 8 weeks of plyometric squat jump training was conducted. Healthy inactive participants (n = 13; age: 21.5 ± 1.7 year.; height: 173.6 ± 10.7 cm; weight: 68.5 ± 18.4 kg; BMI 22.4 ± 3.8 kg/m2) were recruited, where eight participants completed plyometric squat jump training and five control participants refrained from performing any jumping activities. Blood samples, vastus lateralis muscle biopsies and functional testing (peak and average power, peak and average velocity, maximal jump height) were collected/recorded 10 days prior to and 3 days after the training/rest period. Participants completed 1644 squat jumps over an 8-week training period of 24 sessions with a progressive increase in the number of squat jumps. The trained group significantly increased their jumping average and peak power (mean increases in average power: 16.7 ± 1.2% and peak power: 8.2% ± 0.1) and velocity (mean increases in average velocity: 13.7 ± 0.1% and peak velocity: 5.2% ± 0.03), resulting in a 25% improvement in vertical jump height. No muscle morphological changes in terms of the cross-sectional area (CSA) or muscle-fibre-type transition were observed after the plyometric training. Improvements in the functional performance indicators following training may more likely be explained by sarcomere ultrastructural adaptation, which did not directly affect myosin heavy chain or CSA.
Collapse
|
16
|
Ju YY, Chu WT, Shieh WY, Cheng HYK. Sensors for Wheelchair Tennis: Measuring Trunk and Shoulder Biomechanics and Upper Extremity Vibration during Backhand Stroke. SENSORS 2021; 21:s21196576. [PMID: 34640896 PMCID: PMC8511982 DOI: 10.3390/s21196576] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Revised: 09/21/2021] [Accepted: 09/27/2021] [Indexed: 11/23/2022]
Abstract
This study was the first to compare the differences in trunk/shoulder kinematics and impact vibration of the upper extremity during backhand strokes in wheelchair tennis players and the able-bodied players relative to standing and sitting positions, adopting an electromagnetic system along with wearable tri-axial accelerometers upon target body segments. A total of 15 wheelchair tennis players and 15 able-bodied tennis players enrolled. Compared to players in standing positions, wheelchair players demonstrated significant larger forward trunk rotation in the pre-preparation, acceleration, and deceleration phase. Significant higher trunk angular velocity/acceleration and shoulder flexion/internal rotation angular velocity/acceleration were also found. When able-bodied players changed from standing to sitting positions, significant changes were observed in the degree of forward rotation of the trunk and shoulder external rotation. These indicated that when the functions of the lower limbs and trunk are lacking or cannot be used effectively, “biomechanical solutions” such as considerable reinforcing movements need to be made before the hitting movement. The differences between wheelchair tennis players and able-bodied players in sitting positions could represent the progress made as the wheelchair players evolve from novices to experts. Knowledge about how sport biomechanics change regarding specific disabilities can facilitate safe and inclusive participation in disability sports such as wheelchair tennis.
Collapse
Affiliation(s)
- Yan-Ying Ju
- Department of Adapted Physical Education, National Taiwan Sport University, No. 250, Wen-Hwa 1st Road, Kwei-Shan, Taoyuan 333, Taiwan;
| | - Wan-Ting Chu
- Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei 112, Taiwan;
| | - Wann-Yun Shieh
- Department of Computer Science and Information Engineering, College of Engineering, Chang Gung University, No. 259, Wen-Hwa 1st Road, Kwei-Shan, Taoyuan 333, Taiwan;
- Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, 5 Fu-Hsing Street, Kwei-Shan, Taoyuan 333, Taiwan
| | - Hsin-Yi Kathy Cheng
- Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, 5 Fu-Hsing Street, Kwei-Shan, Taoyuan 333, Taiwan
- Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, No. 259, Wen-Hwa 1st Road, Kwei-Shan, Taoyuan 333, Taiwan
- Correspondence: ; Tel.: +886-3-211-8800 (ext. 3667)
| |
Collapse
|
17
|
Werin MB, Maenhout AG, Icket J, Jacxsens N, Kempkes E, Cools AM. Does the Activity in Scapular Muscles During Plyometric Exercises Change When the Kinetic Chain Is Challenged?-An EMG Study. J Strength Cond Res 2020; 36:1793-1800. [PMID: 33065707 DOI: 10.1519/jsc.0000000000003747] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Werin, MB, Maenhout, AG, Icket, J, Jacxsens, N, Kempkes, E, and Cools, AM. Does the activity in scapular muscles during plyometric exercises change when the kinetic chain is challenged?-An EMG study. J Strength Cond Res XX(X): 000-000, 2020-Plyometric exercises for the shoulder are used in rehabilitation and in workout regime when the sport demands high speed power training. The aim of this clinical laboratory electromyography (EMG) study was to determine whether scapular muscle performance differs during plyometric shoulder exercises when changing the demand on the kinetic chain. Thirty healthy overhead athletes, with a mean age of 22.7 years (±2.2), performed 6 exercises, with both a low and a high demand on the kinetic chain, in prone, side and standing in positions. The EMG activity of the upper trapezius (UT), middle trapezius (MT), lower trapezius (LT), and serratus anterior (SA) on the tested side and bilateral of gluteus maximus (GM) and abdominal oblique externus (OE) was registered with wireless surface EMG. Intermuscular muscle ratios UT/SA, UT/MT, and UT/LT were also calculated. The level of significance set for the study was alpha = 0.05. The muscle ratio UT/SA was significantly lower (p < 0.05) when high demand on the kinetic chain compared with low. SA muscle activity showed significantly (<0.001) higher values in the prone position with high demand on the kinetic chain compared with low. All 3 trapezius muscle parts had significantly higher values (p < 0.001) in the prone compared with side and standing positions. The GM and OE showed significantly higher (p ≤ 0.01) activity in positions more demanding for the kinetic chain. When composing a strengthening or a rehabilitation program for athletes, the knowledge of how scapular and trunk muscles interact can be used to amplify the strengthening effect.
Collapse
Affiliation(s)
- Maria B Werin
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Gent, Belgium
| | | | | | | | | | | |
Collapse
|
18
|
Adaptations of the Upper Body to Plyometric Training in Cricket Players of Different Age Groups. J Sport Rehabil 2020; 29:697-706. [PMID: 31141445 DOI: 10.1123/jsr.2018-0469] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Revised: 03/23/2019] [Accepted: 05/12/2019] [Indexed: 11/18/2022]
Abstract
CONTEXT Neuromuscular adaptations following exercise training are believed to enhance sports performance. While abundant research is available on adaptations of the lower body to plyometric training, little is known about adaptations of the upper body to plyometric training. OBJECTIVE To examine the effect of plyometric training on neuromuscular adaptations in cricket players of different age groups. DESIGN Randomized parallel group active-controlled trial. SETTING Research laboratory, school cricket ground, and sports complex field. PARTICIPANTS Fifty-nine cricket players were randomly assigned to either the experimental group or the control group. INTERVENTIONS The experimental group was subjected to 8 weeks of medicine ball plyometric training held thrice per week. Neuromuscular adaptations were analyzed pretraining and posttraining in 3 age groups: <18, 18-25, and >25 years. Analysis of variance was used to ascertain the training effects between and within the 6 subgroups, that is, age group <18 years (control and experimental), age group 18-25 years (control and experimental), and age group >25 years (control and experimental). MAIN OUTCOME MEASURES Muscle activation, upper body balance, upper body power, and muscle strength. RESULTS Out of 59, 55 participants completed the study. Subjects aged <18 years (adolescents) showed significantly greater improvements than those from the groups 18-25 years and >25 years (adults) on upper body balance and upper body power. Significant improvements were observed in the experimental subjects of all age groups on their muscle activity of biceps brachii, upper body balance, and upper body power following medicine ball plyometric training. CONCLUSIONS Though adolescent subjects were found to be more adaptive than adult subjects, experimental subjects showed significantly greater neuromuscular adaptations to medicine ball plyometric training than controls. These findings emphasize the need for coaches and athletic trainers to inculcate medicine ball plyometric exercises in training regimes of cricket players so as to improve their upper body performance.
Collapse
|
19
|
Courseault J, Labbe A, Mercer C, Moran A, Weldy J. Rehabilitation of the Throwing Athlete—How to Get Them Back to Sport. OPER TECHN SPORT MED 2020. [DOI: 10.1016/j.otsm.2020.150737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
20
|
Werin M, Maenhout A, Smet S, Van Holder L, Cools A. Muscle recruitment during plyometric exercises in overhead athletes with and without shoulder pain. Phys Ther Sport 2020; 43:19-26. [DOI: 10.1016/j.ptsp.2020.01.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2019] [Revised: 01/27/2020] [Accepted: 01/28/2020] [Indexed: 10/25/2022]
|
21
|
Abstract
Athletes are subject to traumatic and repetitive stress injuries at the elbow joint as a result of high levels of forces imparted across the elbow. Injuries can be acute to the point of tissue failure, or chronic as a result of repetitive overuse. Complete restoration of elbow function must be achieved to allow the athlete to return to their prior level of function. Systematic and progressive rehabilitation programs can help avoid overstressing healing tissues. Treatment programs are designed to restore full motion, muscular strength, endurance, and neuromuscular control. Multiphased rehabilitation programs are designed to restore function in the athlete's elbow.
Collapse
Affiliation(s)
- Kevin E Wilk
- Champion Sports Medicine-Physiotherapy Associates, Birmingham, AL, USA; American Sports Medicine Institute, 805 St. Vincent's Drive, Suite G100, Birmingham, AL, USA.
| | - Christopher A Arrigo
- Advanced Rehabilitation, 4539 South Dale Mabry, Suite 100, Tampa, FL 33611, USA; MedStar Sports Medicine, Washington, DC, USA
| |
Collapse
|
22
|
Janicijevic D, González-Hernández JM, Gu Y, Garcia-Ramos A. Differences in the magnitude and reliability of velocity variables collected during 3 variants of the bench press exercise. J Sports Sci 2020; 38:759-766. [PMID: 32100628 DOI: 10.1080/02640414.2020.1734299] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
This study aimed to compare the reliability and magnitude of velocity variables between 3 variants of the bench press (BP) exercise in participants with and without BP training experience. Thirty males, 15 with and 15 without BP experience, randomly performed 3 variants of the BP on separate sessions: (I) concentric-only, (II) fast-eccentric and (III) controlled-eccentric. The mean velocity (MV) and maximum velocity (Vmax) of the concentric phase were collected against 3 loads (≈30%1RM, 50%1RM, and 75%1RM) with a linear velocity transducer. Reliability was high regardless of the variable, BP variant, and load (coefficient of variation [CV] ≤ 4.47%, intraclass correlation coefficient [ICC] ≥ 0.87). The comparison of the CVs suggested a higher reliability for the fast-eccentric BP (8 out of 12 comparisons), followed by the concentric-only BP (5 out of 12 comparisons), and finally the controlled-eccentric BP (never provided a higher reliability). No differences in reliability were observed between experienced (CV ≤ 4.71%; ICC ≥ 0.79) and non-experienced (CV ≤ 6.29%; ICC ≥ 0.76) participants. The fast-eccentric BP provided the highest MV (p < 0.05) and no differences were observed for Vmax. These results support the assessment of movement velocity during the fast-eccentric BP even in participants without experience.
Collapse
Affiliation(s)
- Danica Janicijevic
- University of Belgrade, Faculty of Sport and Physical Education, The Research Centre, Belgrade, Serbia
| | | | - Yaodong Gu
- Faculty of Sports Science, Ningbo University, Ningbo, China
| | - Amador Garcia-Ramos
- Faculty of Sport Sciences, Department of Physical Education and Sport, University of Granada, Granada, Spain.,Department of Sports Sciences and Physical Conditioning, Faculty of Education,Universidad Católica de la Santísima Concepción, Concepción, Chile
| |
Collapse
|
23
|
Oates DC, Needle AR, Kaminski TW, Royer TD, Swanik CB. Reactive knee stiffening strategies between various conditioning histories. Eur J Sport Sci 2020; 20:191-201. [DOI: 10.1080/17461391.2019.1627421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- D Craig Oates
- Department of Athletics, University of Virginia, Charlottesville, VA, USA
| | - Alan R. Needle
- Department of Health & Exercise Science, Appalachian State University, Boone, NC, USA
| | - Thomas W. Kaminski
- Department of Kinesiology & Applied Physiology, University of Delaware, Newark, DE, USA
| | - Todd D. Royer
- Department of Kinesiology & Applied Physiology, University of Delaware, Newark, DE, USA
| | - C Buz Swanik
- Department of Kinesiology & Applied Physiology, University of Delaware, Newark, DE, USA
| |
Collapse
|
24
|
Zaremski JL, Zeppieri G, Tripp BL. Sport Specialization and Overuse Injuries in Adolescent Throwing Athletes: A Narrative Review. J Athl Train 2020; 54:1030-1039. [PMID: 31633409 DOI: 10.4085/1062-6050-333-18] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
A significant number of adolescent athletes throughout the world participate in various throwing-dominant sports, including but not limited to baseball, cricket, handball, softball, track and field throwing events, and water polo. Due to the unique stresses placed on the throwing arm and entire body in these sports, a robust volume of literature has highlighted concerns about sport specialization in these athletes and an associated increased risk of injury, particularly to the dominant shoulder and elbow, with sport specialization. This review will highlight the evidence-based literature for this athletic niche, focusing on risk factors for injury, national and international organizations' recommendations for limiting overuse injuries, principles of conditioning and rehabilitative programs, and potential future areas of research to curb the growing incidence of throwing-related injuries among adolescent throwing athletes.
Collapse
Affiliation(s)
- Jason L Zaremski
- Department of Orthopaedics and Rehabilitation, Divisions of Physical Medicine and Rehabilitation, Sports Medicine, & Research, College of Health and Human Performance, University of Florida, Gainesville
| | - Giorgio Zeppieri
- Orthopaedics and Sports Medicine Institute, Physical Therapy, College of Health and Human Performance, University of Florida, Gainesville
| | - Brady L Tripp
- Department of Applied Physiology and Kinesiology, College of Health and Human Performance, University of Florida, Gainesville
| |
Collapse
|
25
|
Singla D, Shareef M, Hussain M. Blood lactate responses to plyometric training in cricket players of different maturity level: a randomised controlled trial. COMPARATIVE EXERCISE PHYSIOLOGY 2019. [DOI: 10.3920/cep180054] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Previous studies commonly examined the acute effect of plyometric exercise on blood lactate. To the best of our knowledge, no study has examined the effect of short-term plyometric training on blood lactate levels of cricket players. To investigate the effect of an 8 week plyometric training program on blood lactate concentration in cricket players of different maturity level. 55 healthy male cricket players (aged 14-35 years) were categorised into 14-17, 18-25 and 26-35 groups. Blood lactate concentration (BLAC) was assessed before and after 8 weeks of the intervention period. Regardless of the maturity level, a significant reduction in BLAC was observed in the experimental cricketers (P<0.05) in response to 8 weeks of training. Blood lactate responses did not vary significantly in 14-17, 18-25 and 26-35 groups of cricket players following plyometric training. Plyometric training significantly reduced BLAC in cricket players despite non-significant differences amongst 14-17, 18-25 and 26-35 groups. Plyometric training could be recommended for adolescent (14-17) and adult cricketers (18-25 and 26-35) for improving their physiological capacities so as to develop optimal performance.
Collapse
Affiliation(s)
- D. Singla
- Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia, Jamia Nagar, New Delhi 110025, India
| | - M.Y. Shareef
- Faculty of Dentistry, Jamia Millia Islamia, Jamia Nagar, New Delhi 110025, New Delhi, India
| | - M.E. Hussain
- Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia, Jamia Nagar, New Delhi 110025, India
| |
Collapse
|
26
|
Repair of the Ulnar Collateral Ligament of the Elbow: Rehabilitation Following Internal Brace Surgery. J Orthop Sports Phys Ther 2019; 49:253-261. [PMID: 30862273 DOI: 10.2519/jospt.2019.8215] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Injuries to the elbow in athletes who play overhead sports, especially in baseball pitchers, continue to increase in frequency. The anterior band of the ulnar collateral ligament (UCL), the primary restraint to valgus stress, is commonly injured from throwing. Historically, such injuries have been treated with surgical reconstruction techniques, using a tendon autograft. A recently developed UCL repair procedure with an internal brace, utilizing collagen tape, is gaining popularity. The primary goal of this surgery is to enhance elbow joint stability while the ligament is healing and to allow earlier return to sport after UCL reconstruction. The rehabilitation program following UCL repair with internal brace progresses through a different time frame than after UCL reconstruction. The purpose of this commentary, based on our experience with more than 350 cases, including 79 patients with at least a 1-year postsurgical follow-up, was to describe and provide the rationale for the rehabilitation process following UCL repair with internal brace. J Orthop Sports Phys Ther 2019;49(4):253-261. doi:10.2519/jospt.2019.8215.
Collapse
|
27
|
Tubez F, Schwartz C, Croisier JL, Brüls O, Denoël V, Paulus J, Forthomme B. Evolution of the trophy position along the tennis serve player's development. Sports Biomech 2019; 20:431-443. [PMID: 30689538 DOI: 10.1080/14763141.2018.1560493] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
The trophy position is a coaching cue for the tennis serve that usually corresponds to the racquet high point (RHP) during the preparatory action for the stroke. Mastering this position and its time of occurrence seems essential in overarm movements like in the tennis serve. Clinicians and coaches have a real interest in understanding the trophy position and its evolution during the development of the elite players at different ages. A 3D motion system was used to measure the kinematics of the serve. A group of high-level tennis players were selected for three different age groups: 8 adults (ITN 1), 8 teenagers (ITN 3) and 8 children (ITN 5-6). Results show a modified pattern sequence of the tennis serve between children and adult players. RHP appears earlier relative to impact for children (-0.54 ± 0.10 s) than for adults (-0.36 ± 0.11 s) and teenagers (-0.33 ± 0.05 s) (p = 0.007). At RHP, children present lower trunk transverse plane rotation (p < 0.003) and higher shoulder external rotation (p < 0.003). These positions for the child players may represent an increased risk of shoulder and trunk injury than for older players and contribute to a lower racquet resultant velocity at impact.
Collapse
Affiliation(s)
- François Tubez
- Laboratory of Human Motion Analysis, University of Liège, Liège, Belgium.,Department of Sciences and Motor Skills, University of Liège, Liège, Belgium.,Physiotherapy Department, Robert Schuman University College, Libramont, Belgium
| | - Cédric Schwartz
- Laboratory of Human Motion Analysis, University of Liège, Liège, Belgium
| | - Jean-Louis Croisier
- Laboratory of Human Motion Analysis, University of Liège, Liège, Belgium.,Department of Sciences and Motor Skills, University of Liège, Liège, Belgium
| | - Olivier Brüls
- Department of Aerospace and Mechanical Engineering, University of Liège, Liège, Belgium
| | - Vincent Denoël
- Department of Applied Sciences, University of Liège, Liège, Belgium
| | - Julien Paulus
- Laboratory of Human Motion Analysis, University of Liège, Liège, Belgium
| | - Bénédicte Forthomme
- Laboratory of Human Motion Analysis, University of Liège, Liège, Belgium.,Department of Sciences and Motor Skills, University of Liège, Liège, Belgium
| |
Collapse
|
28
|
Hasan N, Nuhmani S, Kachanathu SJ, Muaidi QI. Efficacy of complex training on angular velocity of shoulder in collegiate basketball players. J Back Musculoskelet Rehabil 2019; 31:859-865. [PMID: 29889055 DOI: 10.3233/bmr-170907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Shoulder internal rotation angular velocity at the time of ball release is a crucial factor deciding the ball velocity in throwing. Even though there are some studies conducted regarding the effectiveness of complex training on the lower limb, the researchers has not given much attention to the upper limb. OBJECTIVE To investigate the efficacy of a complex training program combining plyometric and weight training on the angular velocity of shoulder with a program composed of only plyometric training or only weight training. METHODS It was a pre-test - post-test experimental study. Thirty healthy male collegiate basketball players were randomly divided into three groups: Plyometric training group (n= 10), weight training group (n= 10), complex training group which includes both plyometric training and weight training (n= 10). The training was given for six weeks with a frequency of two days per week. Subjects were measured for angular velocity of shoulder before and after the training period by using Biodex upper body cycle. All the three groups were compared by using one way ANOVA. Post-hoc fisher least significant difference (LSD) test was used to find out the difference between groups. RESULTS All the groups showed a significant gain in angular velocity after the six-week training period (p< 0.05). However, the improvement attained in complex training group were significantly greater than other training groups (p< 0.05). CONCLUSION The study concluded that a combination of plyometric and weight training (complex training) can improve the angular velocity of shoulder in male collegiate basketball players more than plyometric or weight training alone.
Collapse
Affiliation(s)
- Nezam Hasan
- Department of Rehabilitation Science, Jamia Hamdard University, New Delhi, India
| | - Shibili Nuhmani
- Department of Physical Therapy, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Shaji J Kachanathu
- Department of Physical Therapy, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Qassim I Muaidi
- Department of Physical Therapy, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| |
Collapse
|
29
|
Heinke LN, Knicker AJ, Albracht K. Evaluation of passively induced shoulder stretch reflex using an isokinetic dynamometer in male overhead athletes. ISOKINET EXERC SCI 2018. [DOI: 10.3233/ies-184111] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Lars N. Heinke
- Institute of Movement and Neuroscience, German Sports University, Cologne, Germany
| | - Axel J. Knicker
- Institute of Movement and Neuroscience, German Sports University, Cologne, Germany
- Sports Performance Research Institute of New Zealand, Auckland University of Technology, Auckland, New Zealand
| | - Kirsten Albracht
- Institute of Biomechanics and Orthopaedics, German Sports University, Cologne, Germany
- Faculty of Medical Engineering and Technomathematics, Aachen University of Applied Science, Jülich, Germany
| |
Collapse
|
30
|
Lipinski CL, Donovan L, McLoughlin TJ, Armstrong CW, Norte GE. Surface electromyography of the forearm musculature during an overhead throwing rehabilitation progression program. Phys Ther Sport 2018; 33:109-116. [DOI: 10.1016/j.ptsp.2018.07.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2017] [Revised: 07/10/2018] [Accepted: 07/11/2018] [Indexed: 01/26/2023]
|
31
|
Vitale JA, La Torre A, Banfi G, Bonato M. Effects of an 8-Week Body-Weight Neuromuscular Training on Dynamic Balance and Vertical Jump Performances in Elite Junior Skiing Athletes: A Randomized Controlled Trial. J Strength Cond Res 2018; 32:911-920. [PMID: 29401197 DOI: 10.1519/jsc.0000000000002478] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
Vitale, JA, La Torre, A, Banfi, G, and Bonato, M. Effects of an 8-week body-weight neuromuscular training on dynamic balance and vertical jump performances in elite junior skiing athletes: a randomized controlled trial. J Strength Cond Res 32(4): 911-920, 2018-The aim of the present randomized controlled trial was to evaluate the effects of an 8-week neuromuscular training program focused on core stability, plyometric, and body-weight strengthening exercises on dynamic postural control and vertical jump performance in elite junior skiers. Twenty-four Italian elite junior male skiers were recruited and randomized to either an experimental group (EG), performing neuromuscular warm-up exercises, (EG; n = 12; age 18 ± 1 years; body mass 66 ± 21 kg; height 1.70 ± 0.1 m) or a control group (CG) involved in a standard warm-up (CG; n = 12; age 18 ± 1 years; body mass 62 ± 14 kg; height 1.73 ± 0.1 m). lower quarter Y-Balance Test (YBT), countermovement jump (CMJ), and drop jump (DJ) at baseline (PRE) and at the end (POST) of the experimental procedures were performed. No significant differences between EG and CG were observed at baseline. Results showed that EG achieved positive effects from PRE to POST measures in the anterior, posteromedial, posterolateral directions, and composite score of YBT for both lower limbs, whereas no significant differences were detected for CG. Furthermore, 2-way analysis of variance with Bonferroni's multiple comparisons test did not reveal any significant differences in CMJ and DJ for both EG and CG. The inclusion of an 8-week neuromuscular warm-up program led to positive effects in dynamic balance ability but not in vertical jump performance in elite junior skiers. Neuromuscular training may be an effective intervention to specifically increase lower limb joint awareness and postural control.
Collapse
Affiliation(s)
- Jacopo A Vitale
- Laboratory of Biological Structure Mechanics, IRCCS Galeazzi Orthopedic Institute, Milano, Italy
| | - Antonio La Torre
- Laboratory of Biological Structure Mechanics, IRCCS Galeazzi Orthopedic Institute, Milano, Italy.,Department of Biomedical Sciences for Health, University of Milan, Milano, Italy
| | - Giuseppe Banfi
- Vita-Salute San Raffaele University, Milano, Italy.,Laboratory of Experimental Biochemistry & Molecular Biology, IRCCS Galeazzi Orthopedic Institute, Milano, Italy
| | - Matteo Bonato
- Department of Biomedical Sciences for Health, University of Milan, Milano, Italy
| |
Collapse
|
32
|
Abstract
PURPOSE OF REVIEW Throwing places high demands on the human body, and specific characteristics are developed over time unique to these athletes. When returning to throw after injury, it is important to follow a criterion-based progression that allows the body to be prepared appropriately for the stresses that throwing will require. There is currently a void in the literature for criteria-based progression that helps these athletes return to the highest level of play. RECENT FINDINGS As injury rates continue to rise in baseball, there is increased evidence showing contributions of the core and lower extremity to the baseball pitch. There is also additional data showing pitcher specific characteristics such as range of motion and scapular position in this unique population. The rehab professional should take into account every phase of the pitch starting from balance through ball release when designing a comprehensive return-to-throwing program. Returning an athlete back to a throwing sport can be an overwhelming task. The rehabilitation specialist must have a sound understanding of the throwing motion as well as any biomechanical implications on the body, contributions throughout the kinetic chain, range of motion, and strength characteristics specific to the thrower as well as proper tissue loading principles. It is important that these athletes are not progressed too quickly through their programs and that a criteria-based progression is followed. They should have normalized range of motion, strength, and scapular mechanics, followed by a sound plyometric progression. Once this is achieved, they are advanced to an interval throwing program with increasing distance, effort, and volume which should be tracked for workload, making sure they do not throw more than their body is prepared for.
Collapse
Affiliation(s)
- Terrance A Sgroi
- Hospital for Special Surgery, Sports Rehabilitation and Performance, 525 E 71st St., New York, NY, USA.
| | | |
Collapse
|
33
|
Effect of upper body plyometric training on physical performance in healthy individuals: A systematic review. Phys Ther Sport 2017; 29:51-60. [PMID: 29174999 DOI: 10.1016/j.ptsp.2017.11.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2017] [Revised: 09/06/2017] [Accepted: 11/10/2017] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To determine the impact of upper body plyometric training (UBPT) on physical performance parameters such as strength, ball throwing speed, ball throw distance and power in healthy individuals. METHODS PubMed, Scopus, ResearchGate and ERIC databases were searched up to August 2017. Selection of articles was done if they described the outcomes of an upper body plyometric exercise intervention; included measures of strength, ball throwing speed, ball throw distance, or power; included healthy individuals; used a randomized control trial; and had full text available in English language. The exclusion criteria were unpublished research work and clubbing of UBPT with some other type(s) of training apart from routine sports training. PEDro scale was used to rate the quality of studies eligible for this review. RESULTS Initially 264 records were identified and out of them only 11 articles met the eligibility criteria and were selected (PEDro score = 4 to 6). Though large to very small effects observed in improving ball throwing velocity, ball throwing distance, power and strength of upper limb muscles after UBPT, the results should be implemented with caution. CONCLUSION Inconclusive results obtained preclude any strong conclusion regarding the efficacy of UBPT on physical performance in healthy individuals.
Collapse
|
34
|
Byrne DJ, Browne DT, Byrne PJ, Richardson N. Interday Reliability of the Reactive Strength Index and Optimal Drop Height. J Strength Cond Res 2017; 31:721-726. [PMID: 27379959 DOI: 10.1519/jsc.0000000000001534] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Byrne, DJ, Browne, DT, Byrne, PJ, and Richardson, N. Interday reliability of the reactive strength index and optimal drop height. J Strength Cond Res 31(3): 721-726, 2017-The purpose of this study was to investigate the interday reliability of the reactive strength index (RSI) and optimal drop height (ODH) identification from multiple drop heights. Nineteen male trained hurling players (23.1 ± 2.9 years, 83.1 ± 15.5 kg, and 182.5 ± 4.89 cm) completed 2 maximal depth jumps from 4 incremental drop heights (30, 40, 50, and 60 cm), over 2 separate testing sessions 48 hours apart. The RSI and ODH were analyzed for reliability using intraclass correlation coefficient (ICC) and coefficient of variation (CV). The RSI and ODH both demonstrated good reliability with ICC ≥0.80 (0.87 and 0.81) and CV ≤10% (4.2 and 2.98), respectively. The results of this study support the use of an incremental depth jump protocol to find the RSI and ODH in trained hurlers. It is recommended that the incremental depth jump protocol be used when assessing an athlete's reactive strength, as it allows a reactive strength profile, maximum RSI, and an ODH to be determined, all of which can provide vital information when determining an athletes training intensity and load.
Collapse
Affiliation(s)
- Damien J Byrne
- Department of Science and Health, Institute of Technology Carlow, Carlow, Ireland
| | | | | | | |
Collapse
|
35
|
Wilk KE, Arrigo CA. Rehabilitation Principles of the Anterior Cruciate Ligament Reconstructed Knee: Twelve Steps for Successful Progression and Return to Play. Clin Sports Med 2017; 36:189-232. [PMID: 27871658 DOI: 10.1016/j.csm.2016.08.012] [Citation(s) in RCA: 77] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
The rehabilitation process begins immediately after injury to the anterior cruciate ligament (ACL). The goal of preoperative rehabilitation is to prepare the patient for surgery. Current rehabilitation programs focus on strengthening exercises and proprioceptive and neuromuscular control drills to provide a neurologic stimulus. It is also important to address preexisting factors, especially for the female athlete, that may predispose to future injury, such as hip and hamstring weakness. Our goal in the rehabilitation program is to restore full, unrestricted function and to assist the patient to return to 100% of the preinjury level while achieving excellent long-term outcomes.
Collapse
Affiliation(s)
- Kevin E Wilk
- Champion Sports Medicine, 805 Saint Vincent's Drive, Suite G100, Birmingham, AL 35205, USA; American Sports Medicine Institute, Birmingham, AL, USA.
| | | |
Collapse
|
36
|
Abstract
The approach to rehabilitation of upper extremity injuries in athletes differs from traditional rehabilitation protocols. In general, athletes have higher functional demands and wish to return to competitive sport in a timely manner. Comprehensive rehabilitation must therefore be balanced with a timely and safe return to sport. Several rehabilitation programs and adjunctive therapies are available to hasten convalescence while minimizing the athlete's risks of reinjury. Here, we review techniques for soft tissue mobilization and strength training in athletic populations. We also discuss orthotics, taping, and alternative therapies used in rehabilitation and evaluate the evidence in support of these modalities.
Collapse
Affiliation(s)
- Michael S Gart
- Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, 675 North St Clair Street, Suite 19-250, Galter Pavilion, Chicago, IL 60611, USA.
| | - Thomas A Wiedrich
- Department of Orthopedic Surgery, Chicago Center for Surgery of the Hand, Northwestern University Feinberg School of Medicine, 737 North Michigan Avenue, Suite 700, Chicago, IL 60611, USA
| |
Collapse
|
37
|
Specific physical trainability in elite young soccer players: efficiency over 6 weeks' in-season training. Biol Sport 2017; 34:137-148. [PMID: 28566807 PMCID: PMC5424453 DOI: 10.5114/biolsport.2017.64587] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2016] [Revised: 07/21/2016] [Accepted: 10/01/2016] [Indexed: 11/17/2022] Open
Abstract
The aim of the present study was to compare the effects of 3 training protocols (plyometric [PLYO], agility [AG], or repeated shuttle sprints [RS]) on physical performance in the same population of young soccer players. Forty-two youth-level male players (13.6±0.3-years; 1.65±0.07 m; 54.1±6.5 kg; body fat: 12.8±2.6%) participated in a short-term (6-week) randomized parallel fully controlled training study (pre-to-post measurements): PLYO group, n=10; AG group, n=10; RS group, n=12; and control group [CON] n=10. PLYO training = 9 lower limb exercises (2-3 sets of 8-12 repetitions). The AG group performed planned AG drills and direction changes. RS training consisted of 2-4 sets of 5-6x 20 to 30 m shuttle sprints (20 seconds recovery in between). Progressive overload principles were incorporated into the programme by increasing the number of foot contacts and varying the complexity of the exercises. Pre/post-training tests were: bilateral standing horizontal jump, and unilateral horizontal jumps, sprint (30 m with 10 m lap time), agility (20 m zigzag), and repeated sprint ability (RSA) (i.e. 6x30 m shuttle sprints: 2x15 m with 180° turns). Significant main effects for time (i.e. training application) and group (training type) were detected. Improvements in horizontal jumping were higher (p<0.01: ES=large) in PLYO. The RS group improved significantly more (p<0.01; ES=large) than other groups: 30 m sprint, RSAbest and RSAmean performances. Significantly greater increases in 20 m zigzag performance were observed following AG and RS training (4.0 and 3.8%, respectively) compared with PLYO (2.0%) and CON training (0.8%). No significant differences were reported in the RSAdec between groups. Elite young male soccer players’ physical performances can be significantly and specifically improved either using PLYO or AG or RSA training over short-term in-season training.
Collapse
|
38
|
Benis R, Bonato M, La Torre AL. Elite Female Basketball Players' Body-Weight Neuromuscular Training and Performance on the Y-Balance Test. J Athl Train 2016; 51:688-695. [PMID: 27824252 DOI: 10.4085/1062-6050-51.12.03] [Citation(s) in RCA: 53] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
CONTEXT Neuromuscular training enhances unconscious motor responses by stimulating both the afferent signals and central mechanisms responsible for dynamic joint control. Dynamic joint-control training is a vital component of injury-prevention programs. OBJECTIVE To investigate the effects of body-weight neuromuscular training on Y-Balance Test (YBT) performance and postural control in female basketball players. DESIGN Randomized controlled clinical trial. SETTING Basketball practice sessions. PATIENTS OR OTHER PARTICIPANTS A total of 28 healthy elite female basketball players were randomly assigned to an experimental (n = 14) or a control group (n = 14). INTERVENTION(S) Before their regular practice sessions, the experimental group warmed up with body-weight neuromuscular exercises and the control group with standard tactical-technical exercises twice weekly for 8 weeks. MAIN OUTCOME MEASURE(S) Anterior-, posteromedial-, and posterolateral-reach and composite YBT scores were measured before and after 8 weeks of training. RESULTS Improvement over baseline scores was noted in the posteromedial (right = 86.5 ± 4.5 cm versus 89.6 ± 2.2 cm, +3.5%, P = .049; left = 85.5 ± 4.3 cm versus 90.2 ± 2.7 cm, +5.5%, P = .038)- and posterolateral (right = 90.7 ± 3.6 cm versus 94.0 ± 2.7 cm, +3.6%, P = .016; left = 90.9 ± 3.5 cm versus 94.2 ± 2.6 cm, +3.6%, P = .011)-reach directions and in the composite YBT scores (right = 88.6% ± 3.2% versus 94.0% ± 1.8%, +5.4%, P = .0004; left = 89.2% ± 3.2% versus 94.5% ± 3.0%, +5.8%, P = .001) of the experimental group. No differences in anterior reach were detected in either group. Differences were noted in postintervention scores for posteromedial reach (right = 89.6 ± 2.2 cm versus 84.3 ± 4.4 cm, +4.1%, P = .005; left = 94.2 ± 2.6 cm versus 84.8 ± 4.4 cm, +10%, P = .003) and composite scores (right = 94.0% ± 1.8% versus 87.3% ± 2.0%, +7.1%, P = .003; left = 94.8% ± 3.0% versus 87.9% ± 3.4%, +7.3%, P < .0001) between the experimental and control groups. CONCLUSIONS Body-weight neuromuscular training improved postural control and lower limb stability in female basketball players as assessed with the YBT. Incorporating neuromuscular training into the workout routines for basketball players may enhance joint awareness and reduce the risk of lower extremity injury.
Collapse
Affiliation(s)
- Roberto Benis
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Italy
| | - Matteo Bonato
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Italy
| | - Antonio La La Torre
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, Italy
| |
Collapse
|
39
|
Wilk KE, Williams RA, Dugas JR, Cain EL, Andrews JR. Current Concepts in the Assessment and Rehabilitation of the Thrower’s Shoulder. OPER TECHN SPORT MED 2016. [DOI: 10.1053/j.otsm.2016.04.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
40
|
Wang YC, Zhang N. Effects of plyometric training on soccer players. Exp Ther Med 2016; 12:550-554. [PMID: 27446242 PMCID: PMC4950532 DOI: 10.3892/etm.2016.3419] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2016] [Accepted: 06/03/2016] [Indexed: 11/29/2022] Open
Abstract
Plyometric training (PT) is a technique used to increase strength and explosiveness. It consists of physical exercises in which muscles exert maximum force at short intervals to increase dynamic performances. In such a training, muscles undergo a rapid elongation followed by an immediate shortening (stretch-shortening contraction), utilizing the elastic energy stored during the stretching phase. There is consensus on the fact that when used, PT contributes to improvement in vertical jump performance, acceleration, leg strength, muscular power, increase of joint awareness and overall sport-specific skills. Consequently, PT which was primarily used by martial artists, sprinters and high jumpers to improve performances has gained in popularity and has been used by athletes in all types of sports. However, although PT has been shown to increase performance variables in many sports, little scientific information is currently available to determine whether PT actually enhances skill performance in soccer players, considering that soccer is an extremely demanding sport. Soccer players require dynamic muscular performance for fighting at all levels of training status, including rapid movements such as acceleration and deceleration of the body, change of direction, vertical and horizontal jumps, endurance, speed as well as power for kicking and tackling. In this review we discussed the effects of PT on soccer players by considering gender and age categories.
Collapse
Affiliation(s)
- Ying-Chun Wang
- Zhejiang Dongfang Vocational and Technological College, Wenzhou, Zhejiang 325011, P.R. China
| | - Na Zhang
- Wenzhou Medical University, Wenzhou, Zhejiang 325015, P.R. China
| |
Collapse
|
41
|
Structural and biomechanical changes in shoulders of junior javelin throwers: a comprehensive evaluation as a proof of concept for a preventive exercise protocol. Knee Surg Sports Traumatol Arthrosc 2016; 24:1931-42. [PMID: 25152936 DOI: 10.1007/s00167-014-3223-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2014] [Accepted: 07/28/2014] [Indexed: 10/24/2022]
Abstract
PURPOSE The purpose of this study was to develop a preventive exercise protocol based on structural and functional changes present in shoulder joints of young throwing athletes. As a proof of concept, these changes were previously evaluated in a cross-section of high-performance junior javelin throwers. METHODS Thirteen members of the German and Bavarian junior javelin squad (mean age 17.5 ± 0.8 years) completed a systematic clinical examination, shoulder range of motion (ROM) measurement, and were scored with standardized clinical tools. 3.0 tesla magnetic resonance imaging (MRI) was conducted on both shoulders. Bilateral three-dimensional analysis of the scapulothoracic motion during multiplanar humeral elevation and isokinetic strength testing of the shoulder internal and external rotators was accomplished. Based on the findings, a preventive exercise protocol was confirmed. RESULTS Dominant internal ROM was significantly decreased (dominant 48° ± 20° vs. non-dominant 57° ± 19°; P = 0.006) and dominant external ROM increased (dominant 117° ± 15° vs. non-dominant 107° ± 10°; P = 0.008). MRI revealed posterosuperior intraosseous cysts of the humeral head with a size larger than >3 mm in 69 % of the dominant shoulders and only in 15 % in the non-dominant shoulders. Motion analysis of the static scapular resting position was significantly different between dominant and non-dominant sides regarding anterior tilt (dominant > non-dominant, mean difference 4.2°, P = 0.010) and retraction (dominant > non-dominant, mean difference 2.4°, P = 0.038). Dominant scapular anterior tilt during flexion and abduction was significantly increased (-4.3°, P = 0.006; -3.4°, P = 0.046). Dominant retraction was significantly increased during abduction (-2.3°, P = 0.040). Isokinetic outcome parameters presented nonsignificant bilateral differences. CONCLUSIONS Elite junior javelin throwers already present structural (humeral intraosseous cysts) and biomechanical changes (ROM deficits and asymmetric scapulothoracic motion patterns), even if they have no history of major shoulder pain or injury. A novel exercise protocol was developed in order to address the complex of alterations in a comprehensive way. Preventive diagnostics in combination with a systematic all-year preventive exercise intervention might be one option to detect and control risk factors of a symptomatic throwing shoulder at an early stage. LEVEL OF EVIDENCE IV.
Collapse
|
42
|
Rehabilitation of the Overhead Throwing Athlete: There Is More to It Than Just External Rotation/Internal Rotation Strengthening. PM R 2016; 8:S78-90. [DOI: 10.1016/j.pmrj.2015.12.005] [Citation(s) in RCA: 48] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2015] [Revised: 12/10/2015] [Accepted: 12/12/2015] [Indexed: 11/21/2022]
|
43
|
Alizadehkhaiyat O, Hawkes DH, Kemp GJ, Frostick SP. Electromyographic Analysis of the Shoulder Girdle Musculature During External Rotation Exercises. Orthop J Sports Med 2015; 3:2325967115613988. [PMID: 26740950 PMCID: PMC4687830 DOI: 10.1177/2325967115613988] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background: Implementation of overhead activity, a key component of many professional sports, requires an effective and balanced activation of the shoulder girdle muscles, particularly during forceful external rotation (ER) motions. Purpose: To identify activation strategies of 16 shoulder girdle muscles/muscle segments during common shoulder ER exercises. Study Design: Descriptive laboratory study. Method: Thirty healthy subjects were included in this study, and 16 shoulder girdle muscles/muscle segments were investigated (surface electrode: anterior, middle, and posterior deltoid; upper, middle, and lower trapezius; serratus anterior; teres major; upper and lower latissimus dorsi; and upper and lower pectoralis major; fine wire electrodes: supraspinatus, infraspinatus, subscapularis, and rhomboid major) using a telemetric electromyography (EMG) system. Five ER exercises (standing ER at 0° and 90° of abduction, with underarm towel roll, prone ER at 90° of abduction, side-lying ER with underarm towel) were studied. Exercise EMG amplitudes were normalized to EMG at maximum ER force in a standard position. Univariate analysis of variance and post hoc analysis applied on EMG activity of each muscle were used to assess the main effect of the exercise condition. Results: Muscular activity differed significantly among the ER exercises (P < .05 to P < .001). The greatest activation for anterior and middle deltoid, supraspinatus, upper trapezius, and serratus anterior occurred during standing ER at 90° of abduction; for posterior deltoid, middle trapezius, and rhomboid during side-lying ER with underarm towel; for lower trapezius, upper and lower latissimus dorsi, subscapularis, and teres major during prone ER at 90° of abduction; and for the clavicular and sternal part of the pectoralis major during standing ER with underarm towel. Conclusion: Key glenohumeral and scapular muscles can be optimally activated during specific ER exercises, particularly in positions that stimulate athletic overhead motions. Clinical Relevance: These results enable sports medicine professionals to target specific muscles during shoulder rehabilitation protocols while minimizing the effect of others, providing a foundation for optimal evidence-based exercise prescription. They also provide information for tailored muscle training and injury prevention in overhead sports.
Collapse
Affiliation(s)
| | - David H Hawkes
- Musculoskeletal Science Research Group, Institute of Translational Medicine, University of Liverpool, Liverpool, UK
| | - Graham J Kemp
- Department of Musculoskeletal Biology II, Institute of Ageing & Chronic Disease, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK
| | - Simon P Frostick
- Musculoskeletal Science Research Group, Institute of Translational Medicine, University of Liverpool, Liverpool, UK
| |
Collapse
|
44
|
Abstract
Synopsis Clear guidelines for the clinical management of individuals with lateral elbow tendinopathy (LET) are hampered by many proposed interventions and the condition's prognosis, ranging from immediate resolution of symptoms following simple advice in some patients to long-lasting problems, regardless of treatment, in others. This is compounded by our lack of understanding of the complexity of the underlying pathophysiology of LET. In this article, we collate evidence and expert opinion on the pathophysiology, clinical presentation, and differential diagnosis of LET. Factors that might provide prognostic value or direction for physical rehabilitation, such as the presence of neck pain, tendon tears, or central sensitization, are canvassed. Clinical recommendations for physical rehabilitation are provided, including the prescription of exercise and adjunctive physical therapy and pharmacotherapy. A preliminary algorithm, including targeted interventions, for the management of subgroups of patients with LET based on identified prognostic factors is proposed. Further research is needed to evaluate whether such an approach may lead to improved outcomes and more efficient resource allocation. J Orthop Sports Phys Ther 2015;45(11):938-949. Epub 17 Sep 2015. doi:10.2519/jospt.2015.5841.
Collapse
|
45
|
Asadi A, Saez de Villarreal E, Arazi H. The Effects of Plyometric Type Neuromuscular Training on Postural Control Performance of Male Team Basketball Players. J Strength Cond Res 2015; 29:1870-5. [DOI: 10.1519/jsc.0000000000000832] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
|
46
|
|
47
|
|
48
|
Ellenbecker TS, Sueyoshi T, Bailie DS. Muscular activation during plyometric exercises in 90° of glenohumeral joint abduction. Sports Health 2015; 7:75-9. [PMID: 25553216 PMCID: PMC4272695 DOI: 10.1177/1941738114553165] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Plyometric exercises are frequently used to increase posterior rotator cuff and periscapular muscle strength and simulate demands and positional stresses in overhead athletes. The purpose of this study was to provide descriptive data on posterior rotator cuff and scapular muscle activation during upper extremity plyometric exercises in 90° of glenohumeral joint abduction. HYPOTHESIS Levels of muscular activity in the posterior rotator cuff and scapular stabilizers will be high during plyometric shoulder exercises similar to previously reported electromyographic (EMG) levels of shoulder rehabilitation exercises. STUDY DESIGN Descriptive laboratory study. METHODS Twenty healthy subjects were tested using surface EMG during the performance of 2 plyometric shoulder exercises: prone external rotation (PERP) and reverse catch external rotation (RCP) using a handheld medicine ball. Electrode application included the upper and lower trapezius (UT and LT, respectively), serratus anterior (SA), infraspinatus (IN), and the middle and posterior deltoid (MD and PD, respectively) muscles. A 10-second interval of repetitive plyometric exercise (PERP) and 3 repetitions of RCP were sampled. Peak and average normalized EMG data were generated. RESULTS Normalized peak and average IN activity ranged between 73% and 102% and between 28% and 52% during the plyometric exercises, respectively, with peak and average LT activity measured between 79% and 131% and between 31% and 61%. SA activity ranged between 76% and 86% for peak and between 35% and 37% for average activity. Muscular activity levels in the MD and PD ranged between 49% and 72% and between 12% and 33% for peak and average, respectively. CONCLUSION Moderate to high levels of muscular activity were measured in the rotator cuff and scapular stabilizers during these plyometric exercises with the glenohumeral joint abducted 90°.
Collapse
Affiliation(s)
| | - Tetsuro Sueyoshi
- Physiotherapy Associates Scottsdale Sports Clinic, Scottsdale, Arizona
| | - David S Bailie
- The Orthopaedic Clinic Association (TOCA), Scottsdale, Arizona
| |
Collapse
|
49
|
Wilk KE, Macrina LC. Nonoperative and postoperative rehabilitation for glenohumeral instability. Clin Sports Med 2014; 32:865-914. [PMID: 24079440 DOI: 10.1016/j.csm.2013.07.017] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
The glenohumeral joint is an inherently unstable joint that relies on the interaction of the dynamic and static stabilizers to maintain stability. Disruption of this interplay or poor development of any of these factors may result in instability, pain, and a loss of function. Rehabilitation will vary based on the type of instability present and the key principles described. Whether a course of nonoperative rehabilitation is followed or the patient presents postoperatively, a comprehensive program designed to establish full ROM and balance capsular mobility, in addition to maximizing muscular strength, endurance, proprioception, dynamic stability, and neuromuscular control is essential. A functional approach to rehabilitation using movement patterns and sport-specific positions along with an interval sport program will allow a gradual return to athletics. The focus of the program should minimize the risk of recurrence and ensure that the patient can safely return to functional activities.
Collapse
Affiliation(s)
- Kevin E Wilk
- Champion Sports Medicine, A Physiotherapy Associates Clinic, Birmingham, AL, USA; Tampa Bay Rays Baseball Team, Tampa Bay, FL, USA; American Sports Medicine Institute, Birmingham, AL, USA.
| | | |
Collapse
|
50
|
Zemková E, Jeleň MN, Kováčiková ZC, Ollé G, Vilman TS, Hamar DS. Enhancement of peak and mean power in concentric phase of resistance exercises. J Strength Cond Res 2014; 28:2919-26. [PMID: 24787676 DOI: 10.1519/jsc.0000000000000517] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The study compares the differences in peak and mean power of concentric-only and countermovement resistance exercises (ΔP) with different weights. A group of 27 fit men randomly performed 3 repetitions of either barbell bench presses or barbell squats on different days. The initial weight of 20 kg was increased by 10 or 5 kg (at higher loads) up to at least 85% of a previously established 1 repetition maximum (1RM). A computer-based system FiTRO Dyne Premium was used to monitor force and velocity and to calculate power. The peak values and mean values of power during the entire concentric phase of lifting and during the acceleration phase were analyzed. Results showed that maximal ΔP calculated from the peak and mean values in the acceleration phase of bench presses was achieved at lower weights (118.4 ± 19.0 W at 47% of 1RM and 116.2 ± 15.3 W at 48% of 1RM, respectively) than the one calculated from mean values in the entire concentric phase of lifting (114.8 ± 14.8 W at 57% 1RM). Likewise, maximal ΔP calculated from the peak and mean values in the acceleration phase of squats was achieved at lower weights (127.7 ± 20.4 W at 67% of 1RM and 124.3 ± 22.1 W at 69% of 1RM, respectively) than the one calculated from the mean values in the entire concentric phase of lifting (125.0 ± 19.2 W at 77% of 1RM). This fact has to be taken into account when training efficiency is evaluated, namely, in sports requiring the production of maximal force in a short time.
Collapse
Affiliation(s)
- Erika Zemková
- 1Department of Sports Kinanthropology, Faculty of Physical Education and Sports, Comenius University Bratislava, Slovakia; and 2Department of Natural Sciences in Kinanthropology, Faculty of Physical Culture, Palacký University, Olomouc, Czech Republic
| | | | | | | | | | | |
Collapse
|