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Hamstring Injuries, From the Clinic to the Field: A Narrative Review Discussing Exercise Transfer

Jordi Vicens-Bordas, Ali Parvaneh Sarand, Marco Beato, and Robert Buhmann

Purpose: The optimal approach to hamstring training is heavily debated. Eccentric exercises reduce injury risk; however, it is argued that these exercises transfer poorly to improved hamstring function during sprinting. Some argue that other exercises, such as isometric exercises, result in better transfer to running gait and should be used when training to improve performance and reduce injury risk. Given the performance requirements of the hamstrings during the terminal swing phase, where they are exposed to high strain, exercises should aim to improve the torque production during this phase. This should improve the hamstrings’ ability to resist overlengthening consequently, improving performance and limiting strain injury. Most hamstring training studies fail to assess running kinematics postintervention. Of the limited evidence available, only eccentric exercises demonstrate changes in swing-phase kinematics following training. Studies of other exercise modalities investigate effects on markers of performance and injury risk but do not investigate changes in running kinematics. Conclusions: Despite being inconsistent with principles of transfer, current evidence suggests that eccentric exercises result in transfer to swing-phase kinematics. Other exercise modalities may be effective, but the effect of these exercises on running kinematics is unknown.

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How Can We Make Research More Relevant for Sport Practice?

Thomas Haugen

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Intraday Variation of Ankle Dorsiflexion in Short-Track Speed Skaters

Jules Claudel, Émilie Turner, and Julien Clément

Purpose: Optimal ankle dorsiflexion range of motion plays a vital role in attaining the essential crouched posture necessary for excelling in speed skating. The purpose of this study was to determine how the ankle dorsiflexion angle evolves throughout a day of training and to identify the factors that influence this angle. Methods: Thirty short-track speed skaters, from 2 teams, participated in this study. The maximum ankle dorsiflexion angle was obtained in a lunge position facing a wall, using a digital inclinometer. All measures were obtained 3 times per side, 6 times per day, on 2 training days separated by at least a week. We conducted multiple tests to study the impact of repetition, day, side, team level, sex, and moment on the ankle dorsiflexion angle. Results: The 3 times repeated measures and the 2 days of training did not have a significant influence on the results. There was a statistically significant difference between the first time point of the day and the 5 other time points for both ankles. Moreover, the influence of sex and team level was not statistically significant. Conclusions: The results indicate that there are significant changes in ankle dorsiflexion range of motion but only after the first warm-up of the day. Such findings could enable team staff to enhance athletes’ precompetition preparation and tailor ankle mobility training regimens more effectively.

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Defining Worst-Case-Scenario Thresholds in Soccer: Intensity Versus Volume

Mauro Mandorino and Mathieu Lacome

Purpose: This study aimed to enhance the understanding of soccer match peak demands by describing worst-case scenario (WCS) and time spent above 80% and 90% of the WCS for total distance (TD) and high-speed running (HSR). The investigation considered playing level (first team vs under-19 [U19] team) and playing position (center backs, fullbacks, midfielders, and forwards) to assess how WCS and the time spent above specific thresholds vary across different populations. Methods: Data from 31 players in a professional Italian soccer club were collected during the 2022–23 season. Microtechnology devices tracked physical activity during matches. Players were categorized by position, and WCS was determined using rolling averages over a 1-minute period. Time spent above 80% and 90% of WCS for TD and HSR was calculated. Results: The U19 team exhibited higher HSR WCS compared with the first team (∼63 m·min−1 vs ∼56 m·min−1). Midfielders recorded the highest TD WCS (∼208 m·min−1), and forwards exhibited the highest HSR WCS (∼70 m·min−1). The first team spent significantly more time above 80% (∼6 min) and 90% (∼1 min) of TD WCS. Midfielders spent significantly more time above the 80% (∼7 min) of TD WCS, while forwards above the 80% (∼2 min) of HSR WCS. Conclusions: The study emphasizes that WCS used alone may not sufficiently capture real match intensity. Considering the time spent above specific thresholds provides additional insights (ie, between-levels differences and position). Practitioners should consider both WCS and time spent above thresholds for individualized training prescriptions, reflecting differences in playing roles.

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Erratum. Injury Prediction in Competitive Runners With Machine Learning

International Journal of Sports Physiology and Performance

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Intensity Gradients: A Novel Method for Interpreting External Loads in Football

Ruairidh McGregor, Liam Anderson, Matthew Weston, Thomas Brownlee, and Barry Drust

Purpose: Global navigation satellite system device–derived metrics are commonly represented by discrete zones with intensity often measured by standardizing volume to per-minute of activity duration. This approach is sensitive to imprecision in duration measurement and can lead to highly variable outcomes—transforming data from zones to a gradient may overcome this problem. The purpose of this study was to critically evaluate this approach for measuring team-sport activity demands. Methods: Data were collected from 129 first-team and 73 academy matches from a Scottish Premiership football club. Gradients were calculated for velocity, acceleration, and deceleration zones, along with per-minute values for several commonly used metrics. Means and 95% CIs were calculated for playing level, as well as first-team positional groups. Within-subject coefficients of variation were also calculated for match level, position, and individual groups. Results: The gradient approach showed consistency with per-minute metrics when measuring playing level and position groups. With coefficients of variation of 10.8% to 26.9%, the gradients demonstrated lower variability than most per-minute variables, which ranged from 10.7% to 84.5%. Conclusions: Gradients are a potentially useful way of describing intensity in team sports and compare favorably to existing intensity variables in their ability to distinguish between match types and position groups, providing evidence that gradient variables can be used to monitor match and training intensity in team sports.

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Reliability and Validity of Predicted Performance in the Severe-Intensity Domain From the 3-Minute All-Out Running Test

Thierry Busso, Jaume Lloria-Varella, and Frederic Sabater-Pastor

Purpose: The aim of this study was to analyze the reliability and validity of the predicted distance–time relationship in the severe-intensity domain from a 3-minute all-out running test (3MT). Methods: Twelve runners performed two 3MTs (test #1 and test #2) on an outdoor 400-m track after familiarization. Eighteen-hertz Global Positioning System data were used to estimate critical speed (CS) and distance covered above CS (D′). Time to cover 1200 and 3600 m (T1200 and T3600, respectively) was predicted using CS and D′ estimates from each 3MT. Eight runners performed 2 time trials in a single visit to assess real T1200 and T3600. Intraclass correlation coefficients (ICCs) and standard errors of measurement were calculated for reliability analysis. Results: Good to excellent reliability was found for CS, T1200, and T3600 estimates from 3MT (ICC  > .95, standard error of measurement between 1.3% and 2.2%), and poor reliability was found for D′ (ICC = .55, standard error of measurement = 27%). Predictions from 3MT were significantly correlated to actual T1200 (r = .87 and .85 for test #1 and test #2, respectively) and T3600 (r = .91 and .82 for test #1 and test #2, respectively). The calculation of error prediction showed a systematic error between predicted and real T3600 (6.4% and 7.8% for test #1 and test #2, respectively, P < .01) contrary to T1200 (P > .1). Random error was between 4.4% and 6.1% for both distances. Conclusions: Despite low reliability of D′, 3MT yielded a reliable predicted distance–time relationship allowing repeated measures to evidence change with training adaptation. However, caution should be taken with prediction of performance potential of a single individual because of substantial random error and significant underestimation of T3600.

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Understanding the Kinematic Profile of 2 Underwater Pullout Breaststroke Techniques

Catarina C. Santos, Francisco A. Ferreira, Susana Soares, Ricardo J. Fernandes, João Paulo Vilas-Boas, and Mário J. Costa

Purpose: To compare the kinematic profile of 2 underwater pullout breaststroke techniques. Methods: Sixteen swimmers (9 men, 20.67 [2.71] y old; 7 women, 18.86 [0.83] y old) performed 3 × 25-m breaststroke using 2 pullout breaststroke techniques: Fly-Kick first and Combined. A speedometer was used to assess the peak and the mean velocity during the glide, propulsion, and recovery phases of both techniques, as well as for the total underwater sequence. The underwater distance was retrieved from video footage and was considered for each pullout technique. The range of motion of the knee during the fly-kick was also retrieved, and the time to complete the 25 m was considered the performance outcome, accompanied by the mean velocity, stroke rate, stroke length, and stroke index. Results: Velocity–time series showed different profiles between pullout techniques (P ≤ .05) mostly in the glide and propulsion phases for males and females, respectively. The mean velocity of 25 m was shown to be greater in females when using the Fly-Kick first technique (P = .05, d = 0.36). Greater values in total underwater distance and knee range of motion were also observed for this technique in both cohorts.  Conclusions: Female swimmers presented a higher performance when using the Fly-Kick first technique. Different kinematic profiles arise when swimmers use different underwater pullout techniques where the Fly-Kick first may allow them to reach higher kinematical standard.

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In Situ Power–Cadence Relationship for 2-, 5-, and 20-Minute Duration: A Proof of Concept in Under-19 Cyclists

Yann Bertron, Maximilien Bowen, Pierre Samozino, Peter Leo, Alexandre Pacot, Jean-Baptiste Quiclet, Frédérique Hintzy, and Baptiste Morel

Background: The force–velocity relationship suggests that maximal power (P max) can only be produced in optimal torque (T opt) and cadence (C opt). However, the cadence at which mean maximal power (MMP) is produced has never been studied. This study aimed to determine the individual MMP–cadence relationship from in situ data. Method: We analyzed 1 year of data from 14 under-19 cyclists and calculated the MMP for each cadence between 50 and 120 rpm for 2-, 5-, and 20-minute durations. The MMP–cadence relationship was fit with a second-order polynomial function. The goodness of fit (r 2) and odd-day–even-day absolute and relative reliability were evaluated, respectively, for P max, T opt, and C opt. Results: The goodness of fit was very high for every duration studied. T opt and P max, but not C opt, were significantly higher for shorter durations. P max was significantly correlated only with T opt for the 3 durations (r 2 = .63, .71, and .64 for 2, 5, and 20 min, respectively). Discussion: Evaluation of the MMP–cadence relationship from in situ data is feasible and reliable for 2-, 5-, and 20-minute durations. This profiling approach would enable better detection of the strengths and weaknesses of cyclists and make it possible to design more effective training interventions. Practical Applications: The analysis makes it possible to identify the torque versus cadence component that individually limits power production. Knowing the C opt for a given duration of maximal effort could help athletes choose the right gear ratio and regulate cadence during a race in order to maximize performance.

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Durability and Underlying Physiological Factors: How Do They Change Throughout a Cycling Season in Semiprofessional Cyclists?

Jens G. Voet, Robert P. Lamberts, Aitor Viribay, Jos J. de Koning, and Teun van Erp

Purpose: To investigate how cycling time-trial (TT) performance changes over a cycling season, both in a “fresh” state and in a “fatigued” state (durability). Additionally, the aim was to explore whether these changes are related to changes in underlying physiological factors such as gross efficiency, energy expenditure (EE), and substrate oxidation (fat oxidation [FatOx] and carbohydrate oxidation [CarbOx]). Methods: Sixteen male semiprofessional cyclists visited the laboratory on 3 occasions during a cycling season (PRE, START, and IN) and underwent a performance test in both fresh and fatigued states (after 38.1 [4.9] kJ/kg), containing a submaximal warm-up for the measurement of gross efficiency, EE, FatOx, and CarbOx and a maximal TT of 1 (TT1min) and 10 minutes (TT10min). Results were compared across states (fresh vs fatigued) and periods (PRE, START, and IN). Results: The average power output (PO) in TT1min decreased (P < .05) from fresh to fatigued state across all observed periods, whereas there was no change in the PO in TT10min. Over the course of the season, the PO in TT1min in the fatigued state improved more compared with the PO in TT1min in the fresh state. Furthermore, while EE did not significantly change, there was an increase in FatOx and a decrease in CarbOx toward the fatigued state. These changes diminished during the cycling season (IN), indicating a greater contribution of CarbOx in the fatigued state. Conclusions: TT1min performance is more sensitive to fatigue compared with TT10min. Also, during a cycling season, durability improves more when compared with fresh maximal POs, which is also observed in the changes in substrate oxidation.