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This article includes four separate experiments. In the first experiment male beach handball players (n = 24) were randomly assigned to regular training (n = 12) or plyometric and sprint training (n = 12). In the second experiment, male players were assigned to a handball practice only (n = 12), a plyometric training (n = 12), or an eccentric-overload (e.g., versa-pulley machine) training group (n = 12). In the third experiment, participants were assigned to padel training (n = 12) or specific on-court neuromuscular technical actions (n = 12). In the fourth experiment, females between 50–59 years (n = 25), 60–64 years (n = 25), and 65–70 years (n = 25) completed 10 weeks of bench stepping training involving jumps, and were compared to age-matched controls (n = 45). The COD ability was assessed with the 10-m COD ability test (experiments one and two), the COD ability test with 90º and 180º turns (third experiment), and with the timed-up-and-go test (fourth experiment). In experiment one, greater COD improvement was noted in the experimental group compared to the control group (p < 0.05). In experiment two, both intervention groups similarly improved COD when compared to the control group (p < 0.05). In experiment three, although no significant group-time interactions were observed for COD, the experimental group improved all COD measures pre-post-training (p < 0.05), with a larger effect size for COD with 180° turn to the right compared to the control group (effect size = 0.8 vs. 0.3). In experiment four, the three training groups improved COD ability compared to the control group (p < 0.05). In conclusion, COD is a sensitive marker of adaptation to different training configurations in these diverse groups.

Byrne, PJ, Moody, JA, Cooper, SM, and Kinsella, S. Acute effects of "composite" training on neuromuscular and fast stretch-shortening cycle drop jump performance in hurling players. J Strength Cond Res 35(12): 3474-3481, 2021-"Composite" training is a term developed by the authors and defined as the combination of a plyometric exercise with an explosive activity such as a sprint run, performed as a "combined repetition"/session. The purposes of this study were to investigate the acute effect of a "composite" training session on neuromuscular and fast stretch-shortening cycle bounce drop jumps (BDJs) in hurling players' immediately, after session, and after 7 days of recovery. Eight hurling players first completed a drop jump test to identify individual BDJ drop height, followed 72 hours later with a single "composite" training session. Three repetition maximum (3RM) back squat strength, BDJ, countermovement jump (CMJ), and sprint performance testing were performed 10 minutes before and immediately after session and 7 days after session. An analysis of variance reported a significant decrease in CMJ measures (height, velocity, and eccentric rate of force development) and sprint performance from presession to postsession (p ≤ 0.05). Moreover, a significant increase was evident for CMJ performance (height and power), sprint performance (5 and 20 m), 3RM back squat strength, and BDJ performance (reactive strength index and height) from postsession to post-7-day recovery (p ≤ 0.05). Pairwise comparisons indicated that absolute and relative 3RM strength significantly increased from presession to post-7 days (absolute 3RM: p = 0.0001; relative 3RM: p = 0.01). The findings indicate that "composite" training results in an immediate decline in CMJ measures after session possibly due to acute muscle fatigue, and supercompensation augments maximum lower-limb strength after 7 days of recovery.

Byrne, PJ, Moody, JA, Cooper, S-M, Farrell, E, and Kinsella, S. Short-term effects of "composite training" on strength, jump, and sprint performance in hurling players. J Strength Cond Res 36(8): 2253-2261, 2022-The purpose of this study was to compare the short-term effects of "composite" training to sprint training on strength, jump, and sprint acceleration performance in hurling players. A randomized counterbalanced group design with baseline test, pretest and post-test measures was used. Twenty-five hurling players volunteered to participate and 21 completed the study. Subjects were divided into a "composite" (COMP group, n = 10) or a sprint training (SPRINT group, n = 11) group. Both groups trained twice per week for 7 weeks with the SPRINT group performing 6 repetitions of 20 m sprints and the COMP group completing 6 repetitions (1 repetition = 3 bounce drop jumps [BDJs] with a 20 m sprint after 15 seconds recovery). Significant differences existed pretraining to post-training for the COMP group for BDJ contact time (-7.25%; p = 0.05) and countermovement jump (CMJ) variables (height: 7.43%, p = 0.006; force: 5.24%, p = 0.05; power: 15.11%, p = 0.001). No significant differences were found between groups at baseline and for group by time interactions. Significant improvements were observed pretraining to post-training in both groups for the following: absolute 3 repetition maximum (3RM) back squat strength (12.73-17.62%, p = 0.01), 5 m (5.74-9.49%, p = 0.006-0.04), 10 m (4.27-5.59%, p = 0.007-0.02), and 20 m (3.35-3.98%, p = 0.003-0.01). In conclusion, "composite" training is effective in enhancing fast stretch-shortening cycle efficiency inducing CMJ force and power augmentation. However, "composite" and sprint training are effective training approaches for enhancing maximal strength and sprint performance in a time efficient manner in hurling players.

Article published in Strength and Conditioning Journal, available at https://doi.org/10.1519/SSC.0000000000000599

Article published in Strength & Conditioning Journal available at https://doi.org/10.1519/SSC.0000000000000577

Byrne, PJ, Moody, JA, Cooper, SM, Callanan, D, and Kinsella, S. Potentiating response to drop-jump protocols on sprint acceleration: drop-jump volume and intrarepetition recovery duration. J Strength Cond Res 34(3): 717-727, 2020-The purpose of this study was to investigate the postactivation potentiation response first to bounce drop jump (BDJ) volume; second, BDJ intrarepetition recovery duration and recovery duration between BDJs and 20-meter (including 5- and 10-m split times) sprint performance. The study was undertaken in 2 parts, the first part compared different volumes of BDJs and the second part compared different BDJ intrarepetition recovery periods. The effect of recovery periods between the BDJs and the subsequent 20-m sprints was examined in both parts 1 and 2 (15 seconds, 4, 8, and 12 minutes). Fourteen (mean ± SD: age = 20.83 ± 1.26 years; height = 1.77 ± 0.04 m; and mass = 74.89 ± 6.07 kg) (part 1) and 15 (mean ± SD: age = 20.64 ± 1.00 years; height = 1.78 ± 0.06 m; and mass = 75.67 ± 6.28 kg) (part 2) male collegiate and club hurling players volunteered to participate. A randomized cross-over design was used to compare BDJ volumes (1, 2, and 3 sets of 3 repetitions) and BDJ intrarepetition recovery time (15 vs. 60 seconds) after a warm-up followed by 2 baseline 20-m sprints. The results in part 1 reported a significant improvement in 5- and 10-m sprint time for 1 set of 3 BDJs between baseline and 4 minutes (5 m: -2.34%, p = 0.04, effect size [ES] = -0.043; 10 m: -1.42%, p = 0.03, ES = -0.35), and baseline and 12 minutes (5 m: -3.33%, p = 0.03, ES = -0.57; 10 m: -2.13%, p = 0.01, ES = -0.52). Part 2 reported a significant improvement in 5-m sprint time between baseline and 15 seconds (5 m: -3.38%, p = 0.01, ES = -0.83; 10 m: -2.07%, p = 0.02, ES = -0.58) after the BDJs. The findings support the use of 1 set of 3 BDJs using a 15-second intrarepetition recovery period to maximize 5-, 10-, and 20-m sprint performance after 15 seconds of recovery after the final BDJ in hurling players. The acute response to this BDJ protocol proves to be time efficient and effective in acutely improving sprint acceleration.

Byrne, LM, Byrne, PJ, Byrne, EK, Byrne, AP, and Coyle, C. Cross-sectional study of the physical fitness and anthropometric profiles of adolescent hurling, camogie, and Gaelic football players. J Strength Cond Res XX(X): 000-000, 2021-The primary aim of this study was to identify the physical fitness profile of Irish adolescents playing hurling, camogie, and Gaelic football according to age and gender. To establish relationships between the physical fitness tests and anthropometry for these male and female adolescents. This cross-sectional study design included 311 adolescents between age of 13-18 years. Subjects completed a physical fitness test battery of 9 tests which included the following: height, body mass, modified sit and reach (SR), seated medicine ball throw (MBT), countermovement jump (CMJ), standing long jump (SLJ), 15-m sprint, 505 agility, and a 6-minute modified Cooper test (m-CT). Female subjects scored significantly higher in the SR than males, and older adolescents scored significantly higher than younger adolescents (p < 0.05). In the remaining fitness tests (MBT, SLJ, CMJ, 15-m sprint, agility, and m-CT), males outperformed females, males had greater anthropometry scores than females, and older adolescents outperformed and had higher changes in anthropometry than younger counterparts (p < 0.05). Normative data for gender and age-specific percentile values (5th, 10th, 25th, 50th, 75th, 90th, and 95th) for these tests in these adolescent players are provided. These data are useful for clubs, parents, coaches, clinicians, and secondary schools in monitoring adolescents and to provide training programs that develop athletic performance.

Antagonist static-stretching and dynamic-stretching are both effective at improving muscular performance. The purpose of this study was to investigate responses to a dynamic stretching warm-up protocol, a static-stretching warm-up protocol and a combined dynamic-stretching and antagonist static stretching warm-up protocol on isokinetic leg extension performance. Twelve participants completed a baseline (PRE) isokinetic knee-extension test at 60°.s-1 and 300°.s-1, following a 5 min warm-up on a cycle ergometer. Subsequently, participants completed the following warm-up protocols randomly over a three-week period: dynamic-stretching (DS); antagonist muscle static-stretching (AMSS) and dynamic followed by antagonist muscle static-stretching (DS-AMSS). A repeated measures analysis of variance (ANOVA) was conducted to determine where significant differences existed for peak torque, total work, average power, time-to-peak-torque and relative peak torque between warm-up protocols. DS-AMSS facilitated a significantly higher peak torque and total work compared to PRE, DS and AMSS at 60°.s-1 and 300°.s-1P

The effect of head positioning is often not accounted for when optimising performance in the back squat exercise. The primary aim of the study was to identify the most advantageous head position for peak power (PP), peak velocity (PV) and peak force (PF) performance in the back squat exercise. A secondary aim was to identify the most favourable head position. Twenty male rugby union players performed 1x3 repetitions at 75% one repetition maximum (1RM) to determine their preferred pre-intervention head position, followed by 1x3 at 75% 1RM in a flexed (FP), extended (EP) and neutral (NP) neck position, performed in a counterbalanced and randomised order. PP, PV, PF and comfort level (CL) were measured during each repetition. FP resulted in significantly higher PP (3147.50 ± 464.70 W; p

The purposes of this study were to a) compare a 4-min to an 8-min rest interval between composite training (jump-sprint combination) repetitions in a single session to allow for the recovery of neuromuscular and bounce drop-jump (BDJ) performance and b) investigate if super compensation would occur after 168hrs of rest. Twelve players were randomly assigned to either a 4-min or an 8-min rest interval group. Participants first completed a BDJ test to identify individual BDJ drop heights followed by a 20m sprint test. Seventy-two hours later, a composite training session of two repetitions (three BDJs followed by a 20m sprint after a 15s rest) with either a 4-min or an 8-min rest interval was performed. A three repetition maximum (3RM) back squat strength test, a BDJ, countermovement jump (CMJ) and a sprint performance test were completed 10-mins pre- and immediately post-session, and 168 hrs post-session. CMJ force (8-min group) and BDJ (height and reactive strength index (RSI)) measures decreased significantly post-session (4-min and 8-min groups; P ≤ 0.05). Pre-session to 168 hrs post-session, relative 3RM back squat strength and 20m sprint performance increased significantly for the 4-min group only (P ≤ 0.05). In conclusion, a 4-min composite training inter-repetition rest interval leads to a significant decline in BDJ measures (RSI and jump height) which may act as fatigue markers for monitoring. However, 4-mins provides sufficient recovery during the session which, in conjunction with 168 hrs of recovery, causes super compensation in neuromuscular performance in hurling players.

The aim of this study was to investigate the game-related statistics that discriminate winning and losing teams, and examine the influence of technical performance markers on final score margin in ...

Athlete monitoring enables sports science practitioners to collect information to determine how athletes respond to training loads (TL) and the demands of competition. To date, recommendations for females are often adapted from their male counterparts. There is currently limited information available on TL monitoring in female Gaelic team sports in Ireland. The collection and analysis of female athlete monitoring data can provide valuable information to support the development of female team sports. Athletic monitoring can also support practitioners to help minimize risk of excessive TL and optimize potential athletic performance. The aims of this narrative review are to provide: (i) an overview of TL athlete monitoring in female team sports, (ii) a discussion of the potential metrics and tools used to monitor external TL and internal TL, (iii) the advantages and disadvantages of TL modalities for use in Gaelic team sports, and (iv) practical considerations on how to monitor TL to aid in the determination of meaningful change with female Gaelic team sports athletes.

Article published (open access) in Journal of Physical Fitness, Medicine and Treatment in Sport on 21 June 2018 available at https://doi.org/10.19080/JPFMTS.2018.04.555642

The purpose of this investigation was to determine whether the addition of 3 depth jumps to a dynamic warm-up (DYNDJ) protocol would significantly improve 20-m sprint performance when compared with a cardiovascular (C) warm-up protocol or a dynamic (DYN) stretching protocol alone. The first part of the study identified optimal drop height for all subjects using the maximum jump height method. The identified optimal drop heights were later used during the DYNDJ protocol. The second part compared the 3 warm-up protocols above to determine their effect on 20-m sprint performance. Twenty-nine subjects (age, 20.8 ± 4.4 years; weight, 82.6 ± 9.9 kg; height, 180.3 ± 6.2 cm) performed 3 protocols of a C protocol, a DYN protocol, and a DYNDJ protocol in a randomized order. A 20-m sprint was performed 1 minute after the completion of each of the 3 protocols. Results displayed significant differences between each of the 3 protocols. A significant improvement (p = 0.001) of 2.2% was obtained in sprint time between the C protocol (3.300 ± 0.105 seconds) and the DYN protocol (3.227 ± 0.116 seconds), a further significant improvement of 5.01% was attained between the C and the DYNDJ protocols (3.300 ± 0.10 vs. 3.132 ± 0.120 seconds; p = 0.001). In addition, a significant improvement (p = 0.001) of 2.93% was observed between the DYN protocol (3.227 ± 0.116 seconds) and the DYNDJ protocol (3.132 ± 0.116 seconds). The data from this study advocate the use of DYNDJ protocol as a means of significantly improving 20-m sprint performance 1 minute after the DYNDJ protocol.

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.

The incidence of complications was recorded for 269 consecutive neonatal endotracheal intubations after instituting a routine policy of premedication. Two hundred and fifty-three of the intubations were premedicated with a combination of atropine, fentanyl and succinylcholine, 194 were without incident, 28 required two attempts, 22 required more than two attempts, and 9 required a second attempt with a smaller endotracheal tube. All infants were successfully intubated. We conclude that a policy of routine neonatal premedication for intubation is safe, feasible, and humane.

Objectives. To assess the efficacy of Doppler echocardiography (DE) in the quantification of patent ductus arteriosus (PDA) shunt volume and to correlate PDA shunt volume with clinical outcome in infants with hyaline membrane disease. Methods. Ninety-eight DE studies were performed in 30 preterm ventilated infants with hyaline membrane disease within the first 24 hours of age and then at 48-hour intervals to a maximum of three studies while ventilated with a final study after extubation. Right and left ventricular outputs (QRV and QLV, respectively) and PDA flow were calculated using cross-sectional area and flow velocity integrals. Left atrial-to-aortic root diameter measurements were also taken. Clinical outcomes were correlated with the shunt fraction (QLV/QRV). Results. QLV/QRV demonstrated a linear relationship with the left atrial-to-aortic root diameter ratio (n = 92; r = .79). In the absence of a PDA (n = 33 studies), QRV versus QLV demonstrated a linear relationship (r = .88). In the presence of a PDA (n = 64 studies) the mean QLV (334 ± 133 ml/kg per minute) was significantly greater than the mean QRV (237 ± 84 ml/kg per minute). There was a linear relationship between QLV - QRV (PDA shunt volume) and PDA flow (n = 60; r = .84). In studies with exclusive left-to-right shunting at the PDA (n = 48), the mean QLV - QRV (112 ± 83 ml/kg per minute) was significantly higher than in those with bidirectional shunting (n = 16; mean QLV - QRV = 50 ± 27 ml/kg per minute). Two infants with severe intraventricular hemorrhage (IVH grade 3) and two infants with periventricular leukomalacia (PVL) had significantly higher QLV/QRV (2.09 ± 0.36 and 1.67 ± 0.02 respectively) than those with no IVH (n = 6; QLV/QRV = 1.31 ± 0.18) or those with IVH grades 1 and 2 (n = 8; QLV/QRV = 1.48 ± 0.27). There was no difference in QLV/QRV in infants with or without bronchopulmonary dysplasia retinopathy of prematurity. Necrotizing enterocolitis did not develop in any of the 30 infants. Conclusion. PDA shunt volume can be quantified by DE. Larger studies are needed to correlate clinical outcome with QLV/QRV.

The purpose of this study was to compare 2 methods of identifying an appropriate drop height for bounce depth jump (DJ) training, which aimed to improve reactive strength and countermovement jump (CMJ) performance. The maximum jump height (MJH) method was compared to the reactive strength index (RSI) method. The first part of the study identified each participant's drop height for both methods and determined the extent to which both methods differed. The subsequent part of the study used an 8-week bounce DJ training program to compare the effectiveness of the MJH and RSI methods. Twenty-two male participants volunteered. There was a significant difference between the MJH and the RSI methods in the optimal drop height they identified (median = 0.40 and 0.30 m, respectively), with 19 participants exhibiting a difference of 0.10 m or more. These 19 participants were assigned to 1 of 3 training groups: a control, an MJH method, and an RSI method group. The results demonstrated a significant increase in pre to posttraining in reactive strength (MJH: 27.3 +/- 18.7%, p = 0.025; RSI: 11.8 +/- 10.1%, p = 0.019) and CMJ performance (MJH: 9.9 +/- 5.2%, p = 0.009; RSI: 9.2 +/- 4.8%, p = 0.006) in both the MJH and RSI groups, respectively, with no change in the control group. The study concluded that either method can be used to identify the optimal drop height in bounce DJ training to increase CMJ performance, but the MJH method should be used to improve reactive strength.

We present an ethical analysis from the perspective of shared decision-making and informed consent of a change in clinical management of infants born with hypoplastic left heart syndrome (HLHS). We reported a change in treatment of HLHS at the University of Alberta away from comfort care to life-saving surgery (LST) between 1987 and 1998. In a second review (1996-2001), 49/62 infants received LST, with 81% survival from the NICU and 58% at 35 mo. Eleven infants died preoperatively of non-cardiac conditions and two received elective comfort care. Sixteen infants had 18-mo Bayley Mental Development Index, mean score 84+/-19, but five scored70. Although we continue to present the comfort care option to parents, since 2001 LST use for HLHS at our center is almost universal despite serious complications.We conclude that these findings are inconsistent with an open, shared decision-making model of informed consent and we suggest that comfort care should remain an ethically valid choice until the rate of serious long-term complications of LST decreases.

A term, 2500 g infant was circumcised at 2 days of age. The circumcision was uneventful, with no excessive bleeding. Analgesia was provided by prilocaine, 0.5 cc, and subsequently, the neonate developed methemoglobinemia. Alternatives to analgesia with prilocaine are discussed.

BackgroundFor a newborn requiring positive-pressure ventilation (PPV), the American Heart Association recommends bag-and-mask ventilation, a challenging procedure for those inexperienced in neonatal resuscitation. The objective of this prospective study was to evaluate the laryngeal mask airway (LMA

BackgroundFor a newborn requiring positive-pressure ventilation (PPV), the American Heart Association recommends bag-and-mask ventilation, a challenging procedure for those inexperienced in neonatal resuscitation. The objective of this prospective study was to evaluate the laryngeal mask airway (LMA

We describe the first documented association of congenital cytomegalovirus (CMV) infection and cyclopia. A previous report has suggested that any infant with congenital ocular defects should be investigated for CMV infection [Frenkel et al, 1980]. Our case underlines this suggestion and questions a teratogenic role for CMV in cyclopiaholoprosencephaly. More documented cases may help clarify the relationship of transplacental CMV infection to the holoprosencephaly developmental field defect, including cyclopia.