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This paper provides a kinetic observation of both core and skin temperatures in 108 elite athletes, during various outdoor competition events, adding to the very limited data so far available in the literature taken during elite competitions. The field skin temperature findings contrast previous laboratory findings, likely due to differences in relative air velocity and its impact on the evaporation of sweat. The rapid rise in skin temperature following cessation of exercise highlights the importance of infrared thermography measurements being taken during motion, not during breaks, when being used as a measurement of skin temperature during exercise.

Purpose: This study investigated (1) the transition rate of elite world-class throwers, (2) the age of peak performance in either elite junior and/or elite senior athletes, and (3) if relative age effect (RAE) influences the chance of being considered elite in junior and/or senior category. Methods: The career performance trajectories of 5108 throwers (49.9% females) were extracted from the World Athletics database. The authors identified throwers who had reached the elite level (operationally defined as the World all-time top 50 ranked for each age category) in either junior and/or senior category and calculated the junior-to-senior transition rate. The age of peak performance and the RAE were also investigated. Results: The transition rate at 16 and 18 years of age was 6% and 12% in males and 16% and 24% in females, respectively. Furthermore, elite senior throwers reached their personal best later in life than elite junior throwers. The athletes of both genders considered elite in the junior category showed a large RAE. Interestingly, male athletes who reached the elite level in senior category also showed appreciable RAE. Conclusions: Only a few of the athletes who reach the top 50 in the world at 16 or 18 years of age manage to become elite senior athletes, underlining that success at the beginning of an athletic career does not predict success in the athlete’s senior career. Moreover, data suggest that being relatively older may confer a benefit across the whole career of male throwers.

PURPOSE To provide the first scrutiny of adult height prediction protocols based on automated Greulich-Pyle and Tanner-Whitehouse (TW) skeletal ages applied to elite youth soccer players from the Middle East. METHODS We examined the application of modified Bayley-Pinneau (BoneXpert®), TW-II, and TW-III protocols using mixed-longitudinal data available for 103 subjects (chronological age range, 19.4 to 27.9 yr) previously enrolled as academy student-athletes (annual screening range, one to six visits). Random-effects generalized additive models quantified the presence of systematic mean differences between actual versus predicted adult height. Effects were deemed practically equivalent based on the location of the confidence interval (95% CI) against a realistic difference value of Δ = ± 1 cm. Each model pooled residual standard deviation described the actual precision of height predictions and was used to calculate a 95% prediction interval. RESULTS The BoneXpert® method overpredicted adult height systematically at chronological ages in the range of approximately 13.5 to 14.5 yr (95% CI range, -1.9 to -1 cm) and Greulich-Pyle skeletal ages between 13.5 and 15 yr (95% CI range, -3.1 to -1 cm). Effects based on TW-II were practically equivalent across the chronological and skeletal age measurement ranges, with this protocol yielding adult height predictions with a precision (standard deviation) of approximately ±2.6 cm. The mean TW-III effects indicated systematic adult height overpredictions until the attainment of 14.5 and 15 yr of chronological age (95% CI range, -3.8 to -1.1 cm) and TW-III skeletal age (95% CI range: -5.2 to -2.3 cm), respectively. CONCLUSIONS Tanner-Whitehouse-II adult height prediction method provided more consistent estimates and can be considered the method of choice for talent development purposes in youth soccer players from the Middle East.

PurposeTo characterise hydration, cooling, body mass loss, and core (Tcore) and skin (Tsk) temperatures during World Athletics Championships in hot-humid conditions.MethodsMarathon and race-walk (20 km and 50 km) athletes (n=83, 36 women) completed a pre-race questionnaire. Pre-race and post-race body weight (n=74), Tcore (n=56) and Tsk (n=49; thermography) were measured.ResultsMost athletes (93%) had a pre-planned drinking strategy (electrolytes (83%), carbohydrates (81%)) while ice slurry was less common (11%; pcore was lower in athletes using ice vests (37.5°C±0.4°C vs 37.8°C±0.3°C, p=0.024). Tcore (pre-race 37.7°C±0.3°C, post-race 39.6°C±0.6°C) was independent of event, ranking or performance (p≥0.225). Pre-race Tsk was correlated with faster race completion (r=0.32, p=0.046) and was higher in non-finishers (did not finish (DNF); 33.8°C±0.9°C vs 32.6°C±1.4°C, p=0.017). Body mass loss was higher in men than women (−2.8±1.5% vs −1.3±1.6%, pConclusionMost athletes’ hydration strategies were pre-planned based on personal experience. Ice vests were the most adopted pre-cooling strategy and the only one minimising Tcore, suggesting that event organisers should be cognisant of logistics (ie, freezers). Dehydration was moderate and unrelated to performance. Pre-race Tsk was related to performance and DNF, suggesting that Tsk modulation should be incorporated into pre-race strategies.

PurposeTo determine associations between thermal responses, medical events, performance, heat acclimation and health status during a World Athletics Championships in hot-humid conditions.MethodsFrom 305 marathon and race-walk starters, 83 completed a preparticipation questionnaire on health and acclimation. Core (Tcore; ingestible pill) and skin (Tskin; thermal camera) temperatures were measured in-competition in 56 and 107 athletes, respectively. 70 in-race medical events were analysed retrospectively. Performance (% personal best) and did not finish (DNF) were extracted from official results.ResultsPeak Tcore during competition reached 39.6°C±0.6°C (maximum 41.1°C). Tskin decreased from 32.2°C±1.3°C to 31.0°C±1.4°C during the races (pcore was not related to DNF (25% of starters) or medical events (p≥0.150), whereas Tskin, Tskin rate of decrease and Tcore-to-Tskin gradient were (p≤0.029). A third of the athletes reported symptoms in the 10 days preceding the event, mainly insomnia, diarrhoea and stomach pain, with diarrhoea (9% of athletes) increasing the risk of in-race medical events (71% vs 17%, pcore (39.4°C±0.4°C vs 39.8°C±0.7°C, p=0.044) and larger in-race decrease in Tskin (−1.4°C±1.0°C vs −0.9°C±1.2°C, p=0.060), than non-acclimated athletes. Although not significant, they also showed lower DNF (19% vs 30%, p=0.273) and medical events (19% vs 32%, p=0.179).ConclusionTskin, Tskin rate of decrease and Tcore-to-Tskin gradient were important indicators of heat tolerance. While heat-acclimated athletes ranked better, recent diarrhoea represented a significant risk factor for DNF and in-race medical events.

Purpose: This study aimed to describe the career performance progression of elite early- and later-success international swimmers competing in sprint events (ie, 50 and 100 m). Methods: The career performance trajectories of 6003 swimmers (50.9% females; 58,760 unique records) competing in the 4 swimming strokes were evaluated. Swimmers with early and later success were identified. The authors identified the top 50 all-time swimmers competing in junior career who did not reach the top 50 rankings in their senior career, and vice versa, and successful swimmers in both junior and senior career. Results: Early-success swimmers mainly achieved their peak performance before the age of 20 years and approximately 5–6 years before successful senior swimmers or approximately 3–4 years before successful swimmers both in junior and senior careers. The annual performance improvements of later-success swimmers were higher (about 1%–2%) until the age of 20 to 24 years, whereas early-success swimmers showed a performance stagnation at about 16 to 18 years in females and 19 to 20 years in males. Conclusions: Early-success swimmers who achieved peak performance at a young age were unable to maintain the same level of competitiveness in adulthood as they experienced a plateau in performance from the age of 20 years. The procedure of considering early performances solely for talent identification (and not the current rate of progression) might represent a limited approach for selecting future elite swimmers. Our results indicate that performance progression in the transition toward adult careers might be a strong indicator of performance potential.

Purpose: To quantify how many of the top 50 under-18 (U18) sprinters in the world managed to become top 50 ranked as adult competitors. The authors also described the career trajectory of athletes ranked in the top 50 during either U18 or senior category. Methods: A total of 4924 male and female athletes competing in sprint races and ranked in the International Association of Athletics Federations (now World Athletics) lists in any of the seasons between the 2000 and 2018 were included in the study. The athletes ranked in the top 50 positions of all-time lists during U18, senior, or both categories were analyzed. Results: Only 17% of the male and 21% of the female top 50 ranked U18 managed to become top 50 ranked senior athletes. The top 50 ranked senior athletes consistently produced yearly larger improvements during late adolescence and early adulthood compared with those who ranked in the top 50 at U18. Furthermore, top 50 ranked senior athletes reached their peak performance later compared with the top 50 ranked only in U18. Conclusions: This study confirms that early success in track and field is not a good predictor of success at senior level in sprinting events. The yearly performance improvements and their tracking provide the most suitable approach to identify athletes more likely to succeed as elite performers in adulthood. The authors hope that the results of this study can provide useful comparative data and reference criteria for talent-identification and -development programs.

This study aimed (a) to estimate the transition rate for top 50 ranked track and field jumpers, (b) to compare the performance progression of top 50 ranked senior jumpers (top50 senior) to those who failed to be top 50 ranked in the senior category despite being top 50 ranked in the under 18 category (only U18), and (c) to verify whether relative age effect may at least partially explain the differences in the two above-mentioned subgroups. The career performance trajectories of 5981 athletes (2837 females) competing in jump events from 2000 to 2019 were extracted from the World Athletics database. The all-time top 50 ranked athletes for each age from 16 years to senior category were identified. Performance progression characteristics were compared using linear mixed-effects model. Only 8% of males and 16% of females top 50 ranked at the age of 16 years managed to be included among the top50 senior. Only U18subgroup made the first appearance in the database (at 15-16 years) and reached the peak performance (at 20 years) earlier than top50 senior (17-18 and 26-27 years, respectively). The relative age effect was largely present in Only U18 but not in top50 senior subgroups. Most of the early-successful U18 world-class jumpers did not manage to maintain the same level of competitiveness in adulthood since they experienced a plateau in performance from 20 years of age. Conversely, top 50 ranked senior jumpers continued to produce consistent performance improvement up to 26-27 years of age.

Objectives To quantify the junior-to-senior successful transition rate in sprint swimming events in elite European performers. Design Retrospective analysis of publicly available competition data collected between 2004 and 2019. Methods The yearly performance of 6631 European swimmers (females = 41.8% of the sample) competing in 50 and 100 m freestyle, backstroke, breaststroke, and butterfly were included in the analysis. The junior-to-senior transition rate was determined as the number of elite junior athletes who maintained their elite status in adulthood. To investigate how the definition of elite may affect the calculation of the transition rate, we operationally defined elite athletes as those ranked in the all-time top 10, 25, 50, and 100 in their category. We also calculated the correlation between junior and senior performances. Results The average transition rates ranged, depending on the age of reference, from 10 to 26% in males and from 23 to 33% in females. The transition rate for the top 100 junior swimmers was greater than that for the top 10 swimmers. In general, swimmers who swam 50 m showed a slightly lower transition rate compared with those that swam 100 m. Depending on the age of reference, low-to-moderate correlations were observed between junior and senior peak performances. Conclusions Most elite junior athletes did not maintain the elite level in adulthood. Except for athletes in the last year of the junior category (18 years for males and 17 years for females), junior performances were poorly correlated with senior performances.

Context: The application of infrared thermography to assess the effects of athletic training is increasing. It is not known if changes in skin temperature (Tsk) as assessed by infrared thermography are affected by the training load or the muscle soreness experienced by the athlete. Purpose: To describe the variations in Tsk in body areas affected by running training and examine any relationships with subjective ratings of muscle soreness. The secondary aim was to assess the feasibility of using infrared thermography for assessing training load in 2 junior male middle-distance athletes. Methods: Data were collected over a 42-d observational period with Tsk of the quadriceps, knees, shins, lateral hamstrings, biceps femoris, and Achilles tendons, and the subjective ratings of muscle soreness were taken each morning prior to any training. All training load was quantified through heart rate, running speed, and distance covered. Changes in Tsk outside the typical error were identified. Relationships between Tsk and subjective ratings of muscle soreness were also examined. Results: Over the 42-d observational period, mean Tsk of the regions of interest was reported outside the typical error on day 31 and day 22 for athletes 1 and 2, respectively. These changes in Tsk did not follow trends similar to those of to training loadings. No significant relationships were observed between Tsk of any regions of interest and muscle soreness. Conclusions: Although Tsk changed outside the typical error throughout the 42-d observational period, these changes were not reflective of training load quantified through cardiovascular strain or subjective ratings of muscle soreness.

High volume power training (HVPT) involves high volumes of high-velocity resistance training, with the aim to improve repeated high-intensity efforts (RHIEs). Repeat power ability (RPA) is the ability to repeatedly produce maximal or near maximal efforts. Assessments of RPA using external loading may determine the ability to perform repeat RHIEs typical of many sports and, therefore, provide useful information on the effectiveness of training. (1) Identify the different HVPT protocols; (2) examine the acute responses and chronic adaptations to different HVPT protocols; (3) identify different lower body RPA assessment protocols and highlight similarities, differences and potential limitations between each protocol, and; (4) describe the reliability and validity of RPA assessments. An electronic search was performed using SPORTDiscus, PubMed, CINAHL and Embase for studies utilising HVPT protocols and assessments of RPA. Eligible studies included peer-reviewed journal articles published in English. Twenty studies met the inclusion criteria of the final review. Of the eight longitudinal studies, three were rated as fair and five were rated as poor methodological quality, respectively. In contrast, all 12 cross-sectional studies were considered to have a low risk of bias. Preliminary evidence suggests that HVPT can enhance RHIE, RPA, anaerobic capacity, anaerobic power and aerobic performance. HVPT generally consists of 2–3 sessions per week, utilising loads of 30–40% 1 repetition maximum (RM), for 3–5 sets of 10–20 repetitions, with inter-set rest periods of 2–3 min. RPA assessments can be valid and reliable and may provide useful information on an athlete’s ability to perform RHIE and the success of HVPT programmes. HVPT can be used to improve a number of physical qualities including RPA and RHIE; while a variety of RPA assessments provide valid and reliable information regarding the athlete’s ability to perform RHIEs. Considering the heterogeneity in the HVPT protocols currently used and the relatively low volume and quality of longitudinal publications in this area, further studies are needed to identify the effects of a variety of HVPT methods on RPA, RHIE and other performance outcomes and to identify the most valid and reliable RPA outcomes to use in such studies.

Vibration exercise (VE) has been suggested as an effective training for improving muscle strength and coordination. However, the underlying physiological adaptation processes are not yet fully understood, limiting the development of safe and effective exercise protocols. To better understand the neuromuscular responses elicited by VE, we aimed at investigating the acute effects of superimposed vibration on the Hoffmann reflex (H-reflex), measured after fatiguing exercise. Twenty-five volunteers performed four isometric contractions of the right Flexor Carpi Radialis (FCR) with baseline load at 80% of their maximal voluntary contraction (MVC), both with no vibration and with superimposed vibration at 15, 30, and 45 Hz. Fatigue was estimated by MVC test and estimation of electromyographic spectral compression. H-reflex suppression was estimated as the relative decrease after exercise. Our results show that fatiguing exercise determined a decrease in H-reflex amplitude compared to rest condition while vibration determined a lower H-reflex suppression as compared to no vibration. The superimposition of 30-Hz vibration determined the largest acute reduction in force generating capacity (36 N, p < 0.05) and the lowest H-reflex suppression (20%, p < 0.05). These results suggest VE to be particularly suitable in rehabilitation programs for rapid restoration of muscle form and function after immobilization periods.

© 2017 Human Kinetics, Inc. Monitoring the load placed on athletes in both training and competition has become a very hot topic in sport science. Both scientists and coaches routinely monitor training loads using multidisciplinary approaches, and the pursuit of the best methodologies to capture and interpret data has produced an exponential increase in empirical and applied research. Indeed, the field has developed with such speed in recent years that it has given rise to industries aimed at developing new and novel paradigms to allow us to precisely quantify the internal and external loads placed on athletes and to help protect them from injury and ill health. In February 2016, a conference on "Monitoring Athlete Training Loads-The Hows and the Whys" was convened in Doha, Qatar, which brought together experts from around the world to share their applied research and contemporary practices in this rapidly growing field and also to investigate where it may branch to in the future. This consensus statement brings together the key findings and recommendations from this conference in a shared conceptual framework for use by coaches, sport-science and-medicine staff, and other related professionals who have an interest in monitoring athlete training loads and serves to provide an outline on what athlete-load monitoring is and how it is being applied in research and practice, why load monitoring is important and what the underlying rationale and prospective goals of monitoring are, and where athlete-load monitoring is heading in the future.

Vibration stimulation as an exercise intervention has been studied increasingly for its potential benefits and applications in sports and rehabilitation. Vibratory exercise devices should be capable of generating highly precise and repeatable vibrations and should be capable of generating a range of vibration amplitudes and frequencies in order to provide different training protocols. Many devices used to exercise the upper body provide limited variations to exercise regimes mostly due to the fact that only vibration frequency can be controlled. The authors present an upper limb vibration exercise device with a novel actuator system and design which attempts to address these limitations. Preliminary results show that this device is capable of generating highly precise and repeatable vibrations with independent control over amplitude and frequency. Furthermore, the results also show that this solution provides a higher neuromuscular stimulation (i.e. electromyography activity) when compared with a control condition. The portability of this device is an advantage, and though in its current configuration it may not be suitable for applications requiring higher amplitude levels the technology is scalable.

Purpose:An extensive battery of physical tests is typically employed to evaluate athletic status and/or development, often resulting in a multitude of output variables. The authors aimed to identify independent physical predictors of elite skeleton start performance to overcome the general problem of practitioners employing multiple tests with little knowledge of their predictive utility.Methods:Multiple 2-d testing sessions were undertaken by 13 high-level skeleton athletes across a 24-wk training season and consisted of flexibility, dry-land push-track, sprint, countermovement-jump, and leg-press tests. To reduce the large number of output variables to independent factors, principal-component analysis (PCA) was conducted. The variable most strongly correlated to each component was entered into a stepwise multiple-regression analysis, and K-fold validation assessed model stability.Results:PCA revealed 3 components underlying the physical variables: sprint ability, lower-limb power, and strength–power characteristics. Three variables that represented these components (unresisted 15-m sprint time, 0-kg jump height, and leg-press force at peak power, respectively) significantly contributed (P < .01) to the prediction (R2 = .86, 1.52% standard error of estimate) of start performance (15-m sled velocity). Finally, the K-fold validation revealed the model to be stable (predicted vs actual R2 = .77; 1.97% standard error of estimate).Conclusions:Only 3 physical-test scores were needed to obtain a valid and stable prediction of skeleton start ability. This method of isolating independent physical variables underlying performance could improve the validity and efficiency of athlete monitoring, potentially benefitting sport scientists, coaches, and athletes alike.

Jones, TW, Shillabeer, BC, Ryu, JH, and Cardinale, M. Development in adolescent middle-distance athletes: a study of training loadings, physical qualities, and competition performance. J Strength Cond Res XX(X): 000-000, 2019-The purpose of this study was to examine changes in running performance and physical qualities related to middle-distance performance over a training season. The study also examined relationships between training loading and changes in physical qualities as assessed by laboratory and field measures. Relationships between laboratory and field measures were also analyzed. This was a 9-month observational study of 10 highly trained adolescent middle-distance athletes. Training intensity distribution was similar over the observational period, whereas accumulated and mean distance and training time and accumulated load varied monthly. Statistically significant (p 0.80) were observed for improvements in: body mass (5.6%), 600-m (4.6%), 1,200-m (8.7%), and 1,800-m (6.1%) time trial performance, critical speed (7.1%), V[Combining Dot Above]O2max (5.5%), running economy (10.1%), vertical stiffness (2.6%), reactive index (3.8%), and countermovement jump power output relative to body mass (7.9%). Improvements in 1,800 m TT performance were correlated with increases in V[Combining Dot Above]O2max (r = 0.810, p = 0.015) and critical speed (r = 0.918, p = 0.001). Increases in V[Combining Dot Above]O2max and critical speed were also correlated (r = 0.895, p = 0.003). Data presented here indicate that improvements in critical speed may be reflective of changes in aerobic capacity in adolescent middle-distance athletes.

Athletes who merit the title ‘elite’ are rare and differ both quantitatively and qualitatively from athletes of lower qualifications. Serving and studying elite athletes may demand non-traditional approaches. Research involving elite athletes suffers because of the typical nomothetic requirements for large sample sizes and other statistical assumptions that do not apply to this population. Ideographic research uses single-athlete study designs, trend analyses, and statistical process control. Single-athlete designs seek to measure differences in repeated measurements under prescribed conditions, and trend analyses may permit systematic monitoring and prediction of future outcomes. Statistical process control uses control charting and other methods from management systems to assess and modify training processes in near real-time. These methods bring assessment and process control into the real world of elite athletics.

Background: There is a shortage of longitudinal surveys in highly trained adolescent table tennis athletes reporting typical changes in performance related, hematological, and biochemical parameters. Objectives: The purpose of the study was to: (1) examine yearly variations of performance related parameters, and (2) report the variability of selected hematological and biochemical markers utilized to ascertain health status, and training influences in a group of young Arab table tennis athletes. Methods: Data were collected from ten male adolescent players with a mean age of 14.2 ± 1.3 years and a mean table tennis training experience of 6 years. Physical and biochemical measures were carried out at three important time points throughout the training season: a baseline measure (PRE - September); a mid-season (transition) measure (MID - February); an end of season measure (END - May). Results: Performance related parameters tended to significantly improve over time (P = 0.05), with lowest values displayed during PRE-measure. Hematocrit (P = 0.05), serum testosterone (P = 0.01), mean cell volume (MCV) (P = 0.001) and reticulocytes (RET) (P = 0.017) significantly increased at the END training period compared to PRE. Moreover, 25(OH)D levels (P = 0.001) showed a drop during MID to then significantly increase at the END whilst sex hormone binding globulin (SHBG; P = 0.005) decreased at the END period compared to MID. Conclusions: In conclusion, based on our findings, changes in certain physical parameters and, hematological and biochemical markers, take place during the training period. Therefore, coaches, sports scientists and nutritionists should take into consideration these fluctuations and plan and alter their training programs accordingly.

Background: It has been established that injury incidence data and training load in table tennis is somewhat limited. Objectives: The purpose of this study was to analyze and report training load and injury incidence. This was established over a full season in highly trained youth table tennis athletes. We further aimed to establish what variables related to training load have a statistically significant effect on injury in youth table tennis. Methods: Data was collected from eight male adolescent table tennis players of Arabic origin. Training and game time were monitored continuously throughout each training session and match. Heart rate was measured throughout and then subsequently analyzed to quantify internal training load. Results: Players were subjected to an average of 1901 h 33 min ± 44 h 30 min of training time and 140 h 0 min ± 11 h 29 min of game time over the season. Overall injury incidence was 8.3 (95% CI: 4.6 - 12.0), time-loss injuries 4.4 (95% CI: 1.9 - 6.9) and growth conditions 2.0 (95% CI: 0.6 - 3.3) per 1000 hours. Internal training loads quantified via the Edwards training impulse equation were significantly different between training weeks (P = 0.001), with lowest values around competition periods (P < 0.05). For every extra auxiliary unit of relative training load per minute during training, a significant increase (P = 0.014) in injury occurrence was present. Conclusions: Most of the injuries occurred during the first quarter of the year (65%), when training loads were highest. In conclusion, the results of this preliminary study showed that training loads increase during a season until competition period, with relative training load per minute being linked to the likelihood of injuries. The rate of overuse injuries and growth-related conditions were higher than previously reported in adolescents in other racket sports.

Objectives The aim of this study was to describe and analyse the performance career trajectories for Italian athletes that participated in sprint, hurdles, discus throw, and shot-put athletics events. Design Retrospective study, data collected between 1994 and 2014. Methods A total of 5929 athletes (female: n = 2977, 50.2%) were included in the study. The age of entering competition and personal best performance was identified in the official competition records. Personal best performances were ranked in percentiles and top-level athletes were considered those in the highest 4% of the performance distribution. Results Overall, when controlling for the age of entering competition, top-level athletes reached their personal best later (i.e., around 23–25 years old) for all events compared to the rest of the athletes. Moreover, regression analysis showed that entering competitions later was linked to better performances during adulthood. Also, only 17%–26% [90% CI] of the top-level adult athletes were considered as such when they were 14–17 years old. Conclusions Together, these findings suggest that early sport success is not a strong predictor of top-level performance at senior level. Entering sport-specific competitions later and lengthening the sports career at beyond 23–25 years of age may be important factors to reach top-level performance in sprint and throwing events.

Squash is a sport characterised by complex physical, technical and tactical demands. Despite its increased popularity, there is presently no synthesis of the literature pertaining to the performance requirements of squash. As such, it is difficult to generate evidence-based guidelines for applied practitioners working with squash athletes. The purposes of this review were to a) identify the most important aspects of squash performance with reference to junior and senior athletes, b) identify and discuss the available methods of assessment of squash performance and c) identify areas where further research efforts are needed so that the performance requirements of the squash game are understood. Critical analysis of literature pertaining to movement characteristics and time motion analyses, physiological demands, methods of assessing physical qualities, psychological demands and injury epidemiology were conducted. A summary of the physical characteristics of squash athletes of varying ages and playing standards is presented. Time motion analysis studies present consistent information on the game demands. There are limited data on game demands evolution from youth to senior. There appears to be usable testing protocols available for practitioners supporting squash athletes, although further work is needed to determine the applicability of these measures in junior athletes. Furthermore, better controlled studies are required to establish the injury risks associated with squash.

Background Indirect vibration stimulation, i.e., whole body vibration or upper limb vibration, has been investigated increasingly as an exercise intervention for rehabilitation applications. However, there is a lack of evidence regarding the effects of graded isometric contractions superimposed on whole body vibration stimulation. Hence, the objective of this study was to quantify and analyse the effects of variations in the vibration parameters and contraction levels on the neuromuscular responses to isometric exercise superimposed on whole body vibration stimulation. Methods In this study, we assessed the ‘neuromuscular effects’ of graded isometric contractions, of 20%, 40%, 60%, 80% and 100% of maximum voluntary contraction, superimposed on whole body vibration stimulation (V) and control (C), i.e., no-vibration in 12 healthy volunteers. Vibration stimuli tested were 30 Hz and 50 Hz frequencies and 0.5 mm and 1.5 mm amplitude. Surface electromyographic activity of the vastus lateralis, vastus medialis and biceps femoris were measured during V and C conditions with electromyographic root mean square and electromyographic mean frequency values used to quantify muscle activity and their fatigue levels, respectively. Results Both the prime mover (vastus lateralis) and the antagonist (biceps femoris) displayed significantly higher (P Conclusions These results show that the isometric contraction superimposed on vibration stimulation leads to higher neuromuscular activity compared to isometric contraction alone in the lower limbs. The combination of the vibration frequency with the amplitude and the muscle tension together grades the final neuromuscular output.

Although the role of vitamin D in calcium and bone metabolism is well documented, there is little clarity regarding the implications of low vitamin D status for inflammation, endothelial function, and antioxidant status in adolescent athletes. A prospective cohort study was conducted, and 44 male adolescent athletes, training at a sports academy in the Middle East, were assigned to either the intervention group (VitDs), consisting of vitamin D deficient athletes [twenty-five hydroxyvitamin D (25(OH)D) 30 ng/ml ; n = 22]. Vitamin D status, inflammatory cytokines, endothelium-related variables, and antioxidant enzymes were measured twice during a nine-week training period. At the baseline, the athletes in the VitDs group had significantly lower concentrations of 25(OH)D, vascular endothelial growth factor (VEGF), and glutathione peroxidase (GPx), and higher levels of parathyroid hormone (PTH), interleukin-6 (IL-6), interleukin-1 receptor antagonist (IL-1ra), and nitrite (NO2) (p < 0.05), in comparison to the athletes in the sufficient group. After vitamin D supplementation for the VitDs group, the two cohorts differed considerably in vitamin D binding protein (VDBP) and PTH concentrations (p < 0.05). Our data suggest that the low levels of vitamin D possibly induced alterations in the investigated biochemical parameters of athletes in the VitDs group at the beginning of the monitoring period. Furthermore, while the vitamin D supplementation was effective in increasing 25(OH)D status, it may have concurrently positively influenced variables that are related to inflammation, endothelial function, and enzymatic antioxidants.

BackgroundIndirect vibration stimulation i.e. whole body vibration or upper limb vibration, has been suggested increasingly as an effective exercise intervention for sports and rehabilitation applications. However, there is a lack of evidence regarding the effects of whole body vibration (WBV) stimulation superimposed to graded isometric contractions superimposed on. For this scope, we investigated the effects of WBV superimposed to graded isometric contractions in the lower limbs on muscle activation. We also assessed the agonist-antagonist co-activation during this type of exercise.Twelve healthy volunteers were exposed to WBV superimposed to graded isometric contractions, at 20, 40, 60, 80 and 100% of the maximum voluntary contractions (V) or just isometric contractions performed on a custom designed horizontal leg press Control (C). Tested stimulation consisted of 30Hzand 50Hz frequencies and 0.5mm and 1.5mm amplitudes. Surface electromyographic activity of Vastus Lateralis (VL), Vastus Medialis (VM) and Biceps Femoris (BF) were measured during V and C conditions. Co-contraction activity of agonist-antagonist muscles was also quantified. The trials were performed in random order.ResultsBoth the prime mover, (VL) and the antagonist, (BF) displayed significantly higher (P < 0.05) EMG activity with the V than the C condition. For both the VL and BF, the increase in mean EMGrms values depended on the frequency, amplitude and muscle contraction level with 50Hz-0.5mm stimulation inducing the largest neuromuscular activity. 50Hz-0.5mm V condition also led to co-activation ratios significantly (P< 0.05) higher at 40, 80 and 100% of MVC than the C condition.ConclusionsOur results show that the isometric contraction superimposed on vibration stimulation leads to higher neuromuscular activity compared to isometric contraction alone in the lower limbs. Compared to the control condition, the vibratory stimulation leads to higher agonist-antagonist co-activation of the muscles around the knee joint in all vibration conditions and effort levels. The combination of vibration magnitude (frequency and amplitude) and the level of muscle contraction affect neuromuscular activity rather than vibration frequency alone. Results of this study suggest that more parameters need to be taken into consideration when designing vibration exercise programs for sports and rehabilitation purposes.

The purpose of the present work was to present a case study on the influence of implementing a structured strength training intervention in adolescent middle distance athletes. An 8 wk strength training intervention was implemented concurrent to the group’s middle distance training. Prior to and following the intervention a testing battery was implemented and the following physical qualities were assessed: aerobic capacity, lactate threshold, economy, time trial performance, lower body power and vertical stiffness. The concurrent strength and endurance training intervention was an effective training paradigm for improving economy, running performance and strength phenotypes in elite adolescent middle distance athletes.

BACKGROUND: The aim of study was to examine the acute physiological responses and their relationship with physiological characteristics of preadolescent male handball players. METHODS: Laboratory testing included anthropometric measurements and spiroergometry. Time motion analysis data were obtained through recording of player’s game activities and later analyzed with a bespoke software package developed with Matlab. Heart Rate data was recorded with chest straps. Blood samples were collected at 5 predetermined time points over the course of 2 matches. RESULTS: T-test and Pearson product moment correlation coefficient was used to examine the differences and the relationship between variables collected in the study. Time motion analysis did not show significant differences between the total distance covered by players in the first (2220.50±162.85 meters) and in the second (2131.42±239.80 meters ; Cohen’s d=0.43) half of the match ; however the effect size was small to moderate. A significant moderate relationship between blood lactate at the end of the second half and the difference in the distance covered between 2nd and 1st half (r=0.50, P

Little data exists on drinking behavior, sweat loss, and exercise intensity across a competitive handball tournament in elite female athletes. Heart rate (HR), fluid balance and sweat electrolyte content were assessed on 17 international players across a 6-day tournament involving 5 games and 2 training sessions played indoors (23 ± 2 °C, 30 ± 2% relative humidity). Active play (effective) mean HR was 155 ± 14 bpm (80 ± 7.5% HRmax) with the majority of time (64%) spent exercising at intensities >80% HRmax. Mean (SD) sweat rates during games were 1.02 ± 0.07 L · h-1 and on 56% of occasions fluid intake matched or exceeded sweat loss. A significant relationship was observed between estimated sweat loss and fluid intake during exercise (r2 = .121, p = .001). Mean sweat sodium concentration was 38 ± 10 mmol · L-1, with significant associations observed between player sweat rates and time spent exercising at intensities >90% HRmax (r2 = .181, p = .001). Fluid and electrolyte loss appear to be work rate dependent in elite female handball players, whom appear well capable of replacing fluids lost within a tournament environment. Due to large between-athlete variations, a targeted approach may be warranted for certain players only.

Purpose:Running performance is influenced by the interaction of biomechanical and physiological factors. Miniaturized accelerometers worn by athletes can be used to quantify mechanical aspects of running and as a noninvasive tool to assess training status and progression. The aim of this study was to define and validate a method to assess running regularity and allow the estimation of an individual’s oxygen uptake (V̇O2) and/or blood lactate—[La]b—based on data collected with accelerometers and heart rate.Methods:Male adolescent endurance athletes completed an incremental submaximal aerobic stage test where V̇O2 and [La]b were measured. The test was terminated when [La]b concentration at the end of the stage exceeded 4 mmol/L. Two wireless triaxial accelerometers were placed on participants’ right shank and lower back throughout the test. The root mean square (RMS) and sample entropy (SampEn) were calculated for the vertical, mediolateral, and anteroposterior components of acceleration.Results:There were significant positive correlations of acceleration and entropy variables with [La]b and V̇O2, with moderate to high coefficients (r = .43–.87). RMS of the shank acceleration was the most highly related with both physiological variables. When the accelerometer was attached on the trunk, SampEn of the vertical acceleration had the strongest relationship with V̇O2 (r = .76, P < .01).Conclusions:The described method analyzing running complexity may allow an assessment of gait variability, which noninvasively tracks V̇O2 and/or [La]b, allowing monitoring of fatigue or training readiness for trained adolescent individuals.

INTRODUCTION: The idea that early sport success can be detrimental for long-term sport performance is still under debate. Therefore, the aims of this study were to examine the career trajectories of Italian high and long jumpers to provide a better understanding of performance development in jumping events. METHODS: The official long-jump and high-jump rankings of the Italian Track and Field Federation were collected from the age of 12 to career termination, for both genders from the year 1994 to 2014. Top-level athletes were identified as those with a percentile of their personal best performance between 97 and 100. RESULTS: The age of entering competitions of top-level athletes was not different than the rest of the athletic population, whereas top-level athletes performed their personal best later than the rest of the athletes. Top-level athletes showed an overall higher rate of improvement in performance from the age of 13 to the age of 18 years when compared to all other individuals. Only 10–25% of the top-level adult athletes were top-level at the age of 16. Around 60% of the top-level young at the age of 16 did not maintain the same level of performance in adulthood. Female high-jump represented an exception from this trend since in this group most top-level young become top-level adult athletes. CONCLUSIONS: These findings suggest that performance before the age of 16 is not a good predictor of adult performance in long and high jump. The annual rate of improvements from 13 to 18 years should be included as a predictor of success rather than performance per se. Coaches should be careful about predicting future success based on performances obtained during youth in jumping events.

Refereed/Peer-reviewed

Purpose:To examine the training and concomitant changes in laboratory- and field-test performance of highly trained endurance runners.Methods:Fourteen highly trained male endurance runners (mean ± SD maximal oxygen uptake [VO2max] 69.8 ± 6.3 mL · kg−1 · min−1) completed this 1-y training study commencing in April. During the study the runners undertook 5 laboratory tests of VO2max, lactate threshold (LT), and running economy and 9 field tests to determine critical speed (CS) and the modeled maximum distance performed above CS (D′). The data for different periods of the year were compared using repeated-measures ANOVA. The influence of training on laboratory- and field-test changes was analyzed by multiple regression.Results:Total training distance varied during the year and was lower in May–July (333 ± 206 km, P = .01) and July–August (339 ± 206 km, P = .02) than in the subsequent January–February period (474 ± 188 km). VO2max increased from the April baseline (4.7 ± 0.4 L/min) in October and January periods (5.0 ± 0.4 L/min, P ≤ .01). Other laboratory measures did not change. Runners’ CS was lowest in August (4.90 ± 0.32 m/s) and highest in February (4.99 ± 0.30 m/s, P = .02). Total training distance and the percentage of training time spent above LT velocity explained 33% of the variation in CS.Conclusion:Highly trained endurance runners achieve small but significant changes in VO2max and CS in a year. Increases in training distance and time above LT velocity were related to increases in CS.

BackgroundIndirect vibration stimulation i.e. whole body vibration and upper limb vibration (ULV), are gaining popularity as exercise intervention for sports and rehabilitation applications. However, the fatiguing effects of indirect vibration stimulation are not yet fully understood. In addition, current vibration stimulation devices have a series of limitations. For this scope, we investigated the effects of ULV superimposed on fatiguing graded isometric contractions using a newly, purpose developed upper limb stimulation device. Twelve healthy volunteers were exposed to both ULV superimposed to fatiguing isometric contractions, at 80% of the maximum voluntary contractions (V) and just isometric contractions performed on a custom designed arm curl/flexion device- Control (C). The stimulation used consisted of 30Hz frequency of 0.4mm amplitude. Surface electromyographic (EMG) activity of the Biceps Brachii (BB), Triceps Brachii (TB), and Flexor Carpi Radialis (Forearm- FCR) were measured during both V and C conditions. EMG amplitude (EMGrms) and mean frequency (MEF) were computed to quantify muscle activity and fatigue levels respectively.ResultsAll three muscles BB, TB and FCR displayed significantly higher reduction in MEFs and corresponding significant increase in EMGrms with the V than the C, during fatiguing contractions (P < 0.05). Post vibration treatment, all muscles showed higher levels of MEFs after recovery compared to the control.ConclusionsOur results show that near maximal (80% of MVC) isometric fatiguing contractions superimposed on vibration stimulation lead to a higher rate of fatigue development compared to the isometric contraction alone in the upper limb muscles. Results also show, higher manifestation of mechanical fatigue post treatment with vibration compared to the control. Vibration superimposed on isometric contraction not only seems to alter the neuromuscular function during fatiguing efforts by inducing higher neuromuscular load but also post vibration treatment, potentially through the augmentation of stretch reflex and/or higher central motor command excitability.

AB Purpose: Previous work identified an asymmetry in tissue desaturation changes in the left and right quadriceps muscles during on-ice skating at maximal speed in males. The effect of changing race distance on the magnitude of desaturation or leg asymmetry is unknown. Methods: Six elite male skaters (age = 23 +/- 1.8 yr, height = 1.8 +/- 0.1 m, mass = 80.1 +/- 5.7 kg, midthigh skinfold thickness = 7 +/- 2 mm) and four elite female skaters (age = 21 +/- 4 yr, height = 1.6 +/- 0.1 m, mass = 65.2 +/- 4.3 kg, midthigh skinfold thickness = 10 +/- 1 mm) were studied. Subjects completed time trials over three race distances. Blood lactate concentration and O2 uptake measurements were combined with near-infrared spectroscopy measures of muscle oxygenation (TSI) and blood volume (tHb) in the right and left vastus lateralis. Results: Neither race distance nor gender had a significant effect on the magnitude of maximal muscle desaturation ([DELTA]TSImax). Pattern of local changes in tHb during individual laps was dependent upon subtle differences in skating technique used for the different race distances. Linear regression analysis revealed asymmetry between the right and left leg desaturation in males during the final stages of each race distance, but not in females. At all race distances, local muscle desaturation reached maximal values much more quickly than global V[spacing dot above]O2peak. Conclusion: The use of wearable near-infrared spectroscopy devices enabled measurement of muscle oxygenation during competitive race simulation, thus providing unique insight into the effects of velocity and technique changes on local muscle oxygenation. This may have implications for training and race pacing in speed skating

Objectives: Assess current practice and attitudes towards recovery in adolescent athletes.Design: Questionnaires were administered either via print or online questionnaire.Participants: Athletes and coaches from within Asia were surveyed (n = 112 & 53), with a comparative sample in the UK (n = 53 & 8).Main Outcome Measures: The approaches and attitudes to recovery in both training and competition.Results: Adolescent athletes perceive a variety of recovery modalities as important, though prioritise active recovery, nutrition and sleep. Attitudes towards recovery differed between athletes in Asia and the UK with respect to the perceived benefits of: sleep (96% believe in it in the UK v 69% in Asia, p < 0.01); nutrition (92 v 58%, p < 0.01); and active recovery (70 v 52%, p = 0.03). The number of recovery techniques used with Asian athletes was higher after training (p = 0.009) and competition (p < 0.01). Asian athletes rely more on ‘feel’ to justify interventions.Conclusions: There was a major disconnect amongst athletes’ belief in particular strategies and their behaviours. The results of this study show the need for educating coaches and athletes.

Many sports require fine spatiotemporal resolution for optimal performance. Previous studies have compared anticipatory skills and the decision-making process in athletes; however, there is little information on visual skills of elite athletes, particularly hockey players. To assess visual skills of Olympic hockey players and analyze differences by playing position, and to analyze improvement of visual skills after training, 21 Olympic field hockey players were pre- and post-tested on 11 visual tasks following a 10-wk. visual training program consisting of computer-based visual exercises. There were no mean differences at pre-test between players of different positions, suggesting that performance on these visual skills was independent of playing position. However, after training, an improvement was seen in all players (when scores were averaged across all 11 visual tasks) with goalkeepers improving significantly more than any other position. This suggests the possibility of improving visual skills even in an elite population.