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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.

Background and study objectives Adequate sleep is essential to support preparation and recovery processes for training and competition in athletes. A limited number of studies have examined whether adolescents from the Middle-East meet the minimum age-specific recommendations ranging from 8 to 9 h of night sleep based on objective measurements. This study aimed to provide an objective description of routine sleep habits in elite youth football players from the Middle-East. Methods Using wrist-worn actigraphy, we examined objective measures of sleep over a 14-day surveillance period from fifty-nine, male, Middle-Eastern elite youth football players (age range: 12.1 to 16 years). Results The observed median sleep duration was approximately 5.5 to 6 h during weekdays and 6.5 to 7.5 h over weekend days. Sleep intermissions resulting in two or more periods of sleep accounted for 8% and 17% of the data during weekdays and weekends, respectively. Conclusions For the first time, we reported an objective quantification of sleep measures indicating that elite youth athletes from the Middle-East do not meet the age-specific sleep recommendations. Integration of sleep tracking into the routine training monitoring process can be valuable to inform decisions relevant to the adoption of potential multidisciplinary interventions to address sleep insufficiency and disorders in youth athletes.

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.

ObjectivesTo describe the injury characteristics of male youth athletes exposed to year-round athletics programmes.MethodsInjury surveillance data were prospectively collected by medical staff in a cohort of youth athletics athletes participating in a full-time sports academy from 2014–2015 to 2018–2019. Time-loss injuries (>1 day) were recorded following consensus procedures for athletics. Athletes were clustered into five event groups (sprints, jumps, endurance, throws and non-specialised) and the number of completed training and competition sessions (athletics exposures (AE)) were calculated for each athlete per completed season (one athlete season). Injury characteristics were reported overall and by event groups as injury incidence (injuries per 1000 AE) and injury burden (days lost per 1000 AE).ResultsOne-hundred and seventy-eight boys (14.9±1.8 years old) completed 391 athlete seasons, sustaining 290 injuries. The overall incidence was 4.0 injuries per 1000 AE and the overall burden was 79.1 days lost per 1000 AE. The thigh was the most common injury location (19%). Muscle strains (0.7 injuries per 1000 AE) and bone stress injuries (0.5 injuries per 1000 AE) presented the highest incidence and stress fractures the highest burden (17.6 days lost per 1000 AE). The most burdensome injury types by event group were: bone stress injuries for endurance, hamstring strains for sprints, stress fractures for jumps, lesion of meniscus/cartilage for throws and growth plate injuries for non-specialised athletes.ConclusionAcute muscle strains, stress fractures and bone stress injuries were identified as the main injury concerns in this cohort of young male athletics athletes. The injury characteristics differed between event groups.

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.

Orbital data from the Messenger spacecraft (1) reveal that part of the Mercury surface is covered by smooth plains, which are interpreted to be flood volcanic material across the planetary surface (2). In this work, we present a detailed geo-structural map of the northern smooth plains between latitudes 29°N and 65°N. Our 1:100.000-scale map is obtained semi-automatically, using an algorithm to map all scarps from a DEM (3,4) followed by visual inspection and classification in ArcGIS. We created a DEM using the raw MLA (Mercury Laser Altimeter) data (1) ,with 500 m/pix, and we used the Mercury Messenger MDIS (Mercury Dual Imaging System) (1,2) base map with 166m per pixel for the classification stage. With this approach, we mapped and characterized 51664 features on Mercury, creating a database with several morphometric attributes (e.g. length, azimuth, scarp height) which we will use to study the tectonic evolution of the smooth plains. In this way, we classified wrinkle ridges’s scarps, ghost craters, rim craters and central peaks. The morphometric parameters of the wrinkle ridges will be quantitatively analyzed, in order to characterizer the possible tectonic process that could have formed them. This map can be considered an enhancement for the north pole of the global geological map of Mercury (1, 5). References Hawkins, S. E., III, et al. (2007), The Mercury Dual Imaging System on the MESSENGER spacecraft, Space Sci. Rev., 131, 247–338.. Denevi, B. W., et al. (2013), The distribution and origin of smooth plains on Mercury, J. Geophys. Res. Planets, 118, 891–907, doi:10.1002/jgre.20075. Alegre Vaz, D. (2011). Analysis of a Thaumasia Planum rift through automatic mapping and strain characterization of normal faults. Planetary and Space Science, 59(11-12), 1210–1221. doi:10.1016/j.pss.2010.07.008 . Vaz, D. A., Spagnuolo, M. G., & Silvestro, S. (2014). Morphometric and geometric characterization of normal faults on Mars. Earth and Planetary Science Letters, 401, 83–94. doi:10.1016/j.epsl.2014.05.022. Kinczyk, M. J., Prockter, L., Byrne, P., Denevi, B., Buczkowski, D., Ostrach, L., & Miller, E. (2019, September). The First Global Geological Map of Mercury. In EPSC-DPS Joint Meeting 2019 (Vol. 2019, pp. EPSC-DPS2019).

Severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) is the virus causing Coronavirus disease 2019 (COVID-19). Since the World Health Organization declared the outbreak of pandemic on March 11, 2020, cases have been increasing around the World with more than 3-million deaths recorded and a daily number of COVID-19 cases 20 times higher than when the Olympics were postponed, at the time of writing. Governments adopted various lockdown measures forcing isolation for many weeks/months depending on the evolution of the disease in each country. The rapid transmission of the disease forced the Tokyo 2020 Olympics to be postponed for one year. Travel restrictions, quarantine requirements and isolation have been the norm for many athletes in preparation for the Olympic Games. Also, due to the measures put in place to reduce the spread of the disease, sporting facilities have been closed and competitions cancelled forcing athletes and their staff to find alternative solutions to maintain performance and continue preparing for the Olympics. This unique challenge is affecting the whole World, and while vaccination programs start to be deployed, in a few months the world will see the first Olympic Games' edition during a pandemic. The aim of this special paper was to consider the various challenges posed by the COVID pandemic and to provide information for coaching support staff to improve the preparation for Tokyo Olympics as well as consider the possible performance implications of this unique Olympic edition.

ZusammenfassungVerletzungen spielen eine gravierende Rolle im Hochleistungssport und treten sowohl im Training als auch im Wettbewerb auf. Handball ist ein Mannschaftssport mit hohen physischen Anforderungen und die Messung spezifischer Belastungen hat das Potenzial, Risikofaktoren für Verletzungen zu identifizieren. Nur wenige Studien haben dies im Handball während einer Weltmeisterschaft getan. Das Ziel dieser Studie ist die Erfassung von Schulterverletzungen, die während der 88 Spiele der Männer-Weltmeisterschaft 2015 auftraten, und positionsspezifische Unterschiede zu erörtern. Spieler aus 24 Nationalmannschaften wurden mithilfe eines Kamerasystems und einer speziellen Software (Prozone Handball V. 1.2, Prozone, Leeds, UK) analysiert. Insgesamt wurden 9 Schulterverletzungen erfasst. Für 3 dieser 9 Verletzungen konnte keine Fremdeinwirkung dokumentiert werden. Die Anzahl der Pässe und Würfe ist von der Spielposition abhängig und die höchste diesbezügliche Belastung weisen Rückraumspieler auf. Die beiden Rückraumspieler, die eine Non-Kontaktverletzung erlitten, weisen im Vergleich eine erhöhte Spielzeit und eine erhöhte Anzahl an Würfen auf. Es scheint, dass es einen Zusammenhang zwischen erhöhter Spielzeit und Verletzungen gibt. Um das Risiko einer Verletzung zu senken sollte sowohl die Belastung gemessen (während des Trainings und des Turniers) als auch eine gezielte Verletzungsprävention durchgeführt werden, um die Spieler auf die Anforderungen des Spiels/Turniers vorzubereiten.

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.

Although handball is a contact sport with a high risk of acute match injuries, their mechanisms have not yet been investigated. We aimed to describe the mechanisms of acute match injuries in elite male handball and evaluate referee performance in injury situations. Based on injury surveillance from the 24th Men's Handball World Championship 2015 in Qatar, injury situations and the referee decisions were identified on video footage. A total of 55 injury situations and 37 referee decisions were included for analysis. The injury situations were analyzed individually by five handball experts, followed by a consensus meeting. An expert referee panel performed individual blinded evaluation of the referee decisions, followed by an online consensus meeting. Injuries were evenly distributed among attackers (n = 29) and defenders (n = 26). The most frequent injury cause was contact trauma due to a tackle (n = 27). At the time of injury, attackers were most frequently performing a jump shot (n = 9), while defenders were completing a tackle (n = 10). Defenders most commonly tackled the throwing arm (n = 7) or toward the head/face region (n = 6) of injured attackers, while attackers most frequently hit injured defenders with the knee during jump shots (n = 5). Agreement between the referees and the expert panel was weak (kappa: 0.22, 95% CI 0.07 to 0.36), with substantially more lenient rule interpretation by the referees. Our results suggest that stricter refereeing and rule amendments should be considered to prevent acute match injuries in elite handball, especially in relation to tackling episodes when an attacker is performing a jump shot.

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.

Injuries are common in elite adolescent athletics, but few studies have addressed risk factors for injury. Growth and maturation are potential risk factors in this population; however, the current body of literature is both inconclusive and considered at high risk of bias. The aim of this study was therefore to examine whether growth rate, maturity status, and maturity tempo are associated with injury risk in an elite sports academy. Anthropometric, skeletal maturity and injury data collected prospectively over four seasons (117 athlete-seasons) were included in the analyses. Growth rate for stature was associated with greater risk of bone (incidence rate ratio (IRR): 1.5 per one standard deviation increase above the mean; 95% CI: 1.1-1.9) and growth plate injuries (IRR: 2.1; 1.5-3.1). Growth rate for leg length was associated with greater overall injury risk (IRR: 1.3; 1.0-1.7) as well as the risk of bone (IRR: 1.4; 1.0-1.9) and growth plate injuries (IRR: 2.1; 1.4-3.0). Athletes with greater skeletal maturity, expressed as skeletal age (IRR: 0.6 per year; 0.5-0.9) and percentage of predicted mature height (IRR: 0.8 per percent increase; 0.7-1.0), were less prone to growth plate injuries. Rate of change in skeletal age was associated with an increased risk of bone injuries (IRR: 1.5; 1.0-2.3). The results of this study suggest that rapid growth in stature and leg length, skeletal maturity status, and maturity tempo represent risk factors for certain injury types in adolescent athletics.

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.

Injuries play a major role in high-performance sports and occur in training and competition. Handball is a team sport with high physical demands, and the measurement of specific loads has the potential to identify risk factors for injuries. Few studies have identified this in handball during a World Cup. This study aims to record shoulder injuries that occurred during the 88 games of the 2015 Men's World Cup and to discuss position-specific differences. Players from 24 national teams were analysed using a camera system and special software (Prozone Handball V. 1.2, Prozone, Leeds, UK). In total, nine shoulder injuries were recorded. Three out of these nine injuries were non-contact injuries. The number of passes and throws is position-dependent, and the highest load was documented for the back players. The two back players who suffered a non-contact injury have an increased play time and an increased number of throws compared to their peers. To reduce the risk of injury, the load should be monitored (during training and tournament), and a targeted injury prevention should be performed to prepare the players for the requirements of the game/tournament.Verletzungen spielen eine gravierende Rolle im Hochleistungssport und treten sowohl im Training als auch im Wettbewerb auf. Handball ist ein Mannschaftssport mit hohen physischen Anforderungen und die Messung spezifischer Belastungen hat das Potenzial, Risikofaktoren für Verletzungen zu identifizieren. Nur wenige Studien haben dies im Handball während einer Weltmeisterschaft getan. Das Ziel dieser Studie ist die Erfassung von Schulterverletzungen, die während der 88 Spiele der Männer-Weltmeisterschaft 2015 auftraten, und positionsspezifische Unterschiede zu erörtern. Spieler aus 24 Nationalmannschaften wurden mithilfe eines Kamerasystems und einer speziellen Software (Prozone Handball V. 1.2, Prozone, Leeds, UK) analysiert. Insgesamt wurden 9 Schulterverletzungen erfasst. Für 3 dieser 9 Verletzungen konnte keine Fremdeinwirkung dokumentiert werden. Die Anzahl der Pässe und Würfe ist von der Spielposition abhängig und die höchste diesbezügliche Belastung weisen Rückraumspieler auf. Die beiden Rückraumspieler, die eine Non-Kontaktverletzung erlitten, weisen im Vergleich eine erhöhte Spielzeit und eine erhöhte Anzahl an Würfen auf. Es scheint, dass es einen Zusammenhang zwischen erhöhter Spielzeit und Verletzungen gibt. Um das Risiko einer Verletzung zu senken sollte sowohl die Belastung gemessen (während des Trainings und des Turniers) als auch eine gezielte Verletzungsprävention durchgeführt werden, um die Spieler auf die Anforderungen des Spiels/Turniers vorzubereiten.

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.

Cunniffe, B, Papageorgiou, M, O'Brien, B, Davies, NA, Grimble, GK, and Cardinale, M. Acute citrulline-malate supplementation and high-intensity cycling performance. J Strength Cond Res 30(9): 2638-2647, 2016-Dietary L-citrulline-malate (CM) consumption has been suggested to improve skeletal muscle metabolism and contractile efficiency, which would be expected to predispose exercising individuals to greater fatigue resistance. The purpose of this study was to examine the effects of CM supplementation on acid-base balance and high-intensity exercise performance. In a double-blind, placebo-controlled, crossover study, 10 well-trained males consumed either 12 g of CM (in 400 ml) or lemon sugar-free cordial (placebo [PL]) 60 minutes before completion of 2 exercise trials. Each trial consisted of subjects performing 10 (×15 seconds) maximal cycle sprints (with 30-second rest intervals) followed by 5 minutes recovery before completing a cycle time-to-exhaustion test (TTE) at 100% of individual peak power (PP). Significant increases in plasma concentrations of citrulline (8.8-fold), ornithine (3.9-fold), and glutamine (1.3-fold) were observed 60 minutes after supplementation in the CM trial only (p ≤ 0.05) and none of the subjects experienced gastrointestinal side-effects during testing. Significantly higher exercise heart rates were observed in CM condition (vs. PL) although no between trial differences in performance related variables (TTE: [120 ± 61 seconds CM vs. 113 ± 50 seconds PL]), PP or mean power, ([power fatigue index: 36 ± 16% CM vs. 28 ± 18% PL]), subjective rating of perceived exertion or measures of acid-base balance (pH, lactate, bicarbonate, base-excess) were observed (p > 0.05). This study demonstrated that acute supplementation of 12 g CM does not provide acute ergogenic benefits using the protocol implemented in this study in well-trained males.

Vibration exercise (VE) has been suggested as an effective method to improve strength and power capabilities. However, the underlying mechanisms in response to VE are still unclear. A pulley-like VE system, characterized by sinusoidal force applications has been developed and tested for proof of concept in a previous study. The aim of this study was to evaluate the effects of such force modulation on elbow flexors strength and compare it with conventional methods. Forty subjects were randomly divided into 4 groups of 10: the vibration group (VG), the no-vibration group (NVG), the dumbbell group (DG), and the control group (CG). Biceps curl exercises were used to train the elbow flexors 2 times a week for 8 weeks. Subjects in the VG were trained using a ramp-up baseline with superimposed 30 Hz sinusoidal vibration whereas the subjects in the NVG were trained using the same baseline but without vibration. Subjects in the DG were trained using dumbbells, and the subjects in the CG were not trained. The isometric break force (IBF) and 1 repetition maximum (1RM) of the subject's dominant arm were assessed before and after the 8-week training period. The VG achieved 1RM improvement (22.7%) larger than the NVG (10.8%) and comparable with the DG (22.3%). Differences in IBF gains following the training period among the training groups were found to be not significant. Our results support the inclusion of the proposed VE in strength training programs aimed at improving dynamic strength on the elbow flexors.

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.