Inter-limb asymmetry during rehabilitation understanding formulas and monitoring the "magnitude" and "direction"

This article outlines how asymmetry can be used during the rehabilitation process for practitioners, and the importance of both the magnitude and direction of an inter-limb asymmetry

Effects of combined strength and power training on physical performance and interlimb asymmetries in adolescent female soccer players

Purpose: This study examined the effects of an 8-week combined strength and power training (CSPT) intervention on physical performance and inter-limb asymmetries in adolescent female soccer players. Methods: Thirty-seven adolescent female soccer players (age: 16.1±1.1 yrs) were randomly assigned to a control (CG, n = 18) and experimental group (EG, n = 19). EG performed CSPT twice a week, which consisted of strength and power exercises that trained the major muscles of the lower body and trunk musculature. Pre- and post-intervention tests included unilateral and bilateral horizontal and countermovement jump tests, a 40-m sprint test (10 and 30-m split times), a 10-m sprint with a 180º change of direction (COD) test and a multiple COD test (V-cut test). Asymmetries were also analyzed in the unilateral tests. Results: Significant group by time interaction of the improvement between pre and post-tests were observed for speed (Effect size (ES): -1.30 to -1.16) and COD tests (ES: -0.62 to -0.61) but not in jumping (ES: -0.09 to 0.28) and inter-limb asymmetries tests (ES: -0.13 to 0.57). Conclusions: The short-term in-season CSPT program induced greater speed and COD performance improvements compared to soccer training alone in adolescent female soccer players

Comparison of bilateral vs. unilateral-biased strength and power training interventions on measures of physical performance in elite youth soccer players

The aim of the present study was to compare the effects of bilateral and unilateral-biased strength and power training programs on measures of physical performance in male youth soccer players. Twenty-three elite youth players (age: 17.6 1.2 years) were randomly assigned to either a unilateral (n = 11) or a bilateral (n = 12) group, who completed a strength and power intervention, twice per week for 6-weeks. The unilateral group completed rear foot elevated split squats (RFESS), single leg countermovement jumps (SLCMJ), single leg drop jumps (SLDJ) and single leg broad jumps (SLBJ). The bilateral group intervention performed back squats, countermovement jumps (CMJ), drop jumps (DJ) and broad jumps (BJ). A 2 x 2 repeated measures ANOVA showed no between-group differences. However, within-group differences were evident. The bilateral training group showed significant (p < 0.05) improvements in back squat strength (d = 1.27; %Δ = 26.01), RFESS strength (d = 1.64; %Δ = 23.34), BJ (d = 0.76; %Δ = 5.12), 10 m (d = -1.17; %Δ = 4.29) and 30 m (d = -0.88; %Δ = 2.10) performance. The unilateral group showed significant (p < 0.05) improvements in RFESS strength (d = 1.40; %Δ = 33.29), SLCMJ on the left leg (d = 0.76; %Δ = 9.84), SLBJ on the left leg (d = 0.97; %Δ = 6.50), 10 m (d = -1.50; %Δ = 5.20), and 505 on the right leg (d = -0.78; %Δ = 2.80). Standardised mean differences showed that bilateral training favoured improvements in back squat strength and unilateral training favoured improvements in RFESS strength, SLDJ on the right leg and 505 on the right leg. These results show that although both training interventions demonstrated trivial to large improvements in physical performance, the notion of training specificity was evident with unilateral training showing greater improvements in unilateral test measures

Assessing the reliability and validity of agility testing in team sports: a systematic review

The aims of this systematic review were to: 1) examine the reliability of the reactive agility tests and, 2) analyse the discriminatory validity of the agility tests. A literature search was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We explored PubMed, SPORTDiscus and Cochrane Plus databases looking for articles about agility in team sports. After filtering for article relevance, only 42 studies met the inclusion criteria; 37 of which assessed the reliability of agility tests and 22 assessing their validity. Reliability showed a high ICC in almost all studies (range 0.79-0.99) with the exception of two studies. In addition, other studies also assessed the reliability of decision time (ICC=0.95), movement time (ICC=0.92) and decision accuracy (ICC=0.74-0.93), all of which exhibited acceptable reliability. Furthermore, these data show high discriminatory validity, with higher performance players being faster than lower performance level players (mean = 6.4%, range = 2.1-25.3%), with a faster decision time (mean = 23.2%, range = 10.2-48.0%) with the exception of one study, and better decision accuracy (mean = 9.3%, range = 2.5-21.0%). Thus, it can be concluded that reactive agility tests show good reliability and discriminatory validity. However, most agility tests occur in simple contexts whereby only two possible responses are possible. Therefore, future research should consider creating more specific and complex environments which challenge the cognitive process of high-level athletes

Rotational flywheel training in youth female team sport athletes: could inter-repetition movement variability be beneficial?

Background: The aim of this study was to analyse the effects of an inter-repetition variable rotational flywheel training program (Variable) over standard rotational flywheel training (Standard). Methods: Twenty-four youth female team-sports players were randomly assigned to both training groups (Variable, n = 12; Standard, n = 12), which consisted of 1 set of 3 rotational flywheel exercises x 10-12 repetitions, biweekly for a period of 6-weeks. The participants included in Variable group were instructed to perform the movement randomly in one of the three directions (0º, 45º right, and 45º left). Measurements included reactive strength, jumping, change of direction, and sprinting tests; patellar tendon condition was also assessed. Results: Substantial improvements were found in vertical jump with left leg (16.9%), lateral jump with right leg (13.6%), and patellar condition in left leg (4.1%) for Standard group, but also in reactive strength index in right leg landing (33.9%), vertical jump with right (10.1%) and left leg (12.0%) for Variable group. A significant interaction effect (group x time) was observed on patellar condition in right leg (F = 10.02, p < 0.01, η 2 = 0.37), favoring Variable group. Conclusions: Rotational flywheel training programs were beneficial for youth-female team-sports athletes, although the movement variability may play a key role to develop different and specific physical adaptations

Enhancing high-intensity actions during a basketball game after a strength training program with random recovery times between sets

To examine the effects of a strength training program with random recovery times between sets in consideration of several physical parameters, high-intensity actions (HIA), and spatial exploration index during a simulated basketball game. Twenty male basketball players (age: 19.45 ± 4.36 years) were assigned randomly, either to strength training group (n = 10), or a control group (n = 10). The strength training included: parallel back squat and bench press exercises, twice a week for the duration of 10 weeks, with two blocks of 5 sets × 5 repetitions interspersed with variable passive recovery (range = 15–35 sec.) between sets, and constant passive recovery (3-min) between blocks with the load that maximized propulsive power output. The pre- and post-test assessments included jumping (bilateral and unilateral), change-of-direction, straight sprinting, and a 5-on-5 full-court situation. The external training load was assessed using the local positioning system, and the internal load was recorded with the use of individual heart rate monitors. A significant interaction effect (group x time) was observed on countermovement jump (CMJ), unilateral right hops, high-intensity accelerations and decelerations, and peak accelerations and decelerations in the 5-on-5 full-court situation. Relative improvements observed and recorded in the training group on unilateral right hops, accelerations, and decelerations were correlated. Similar results were observed on 0–25m sprints, high-intensity decelerations, peak accelerations, and decelerations. Strength training paired with random recovery times enhanced physical and game-related aspects in the observed basketball players

Determining the reliability and usability of change of direction speed tests in adolescent female soccer players: a systematic review

INTRODUCTION: This review aimed 1) to describe the most common tests used for assessing change of direction (COD) performance; 2) to detail the reliability of current COD tests; 3) to provide an overview of current intervention strategies used to improve COD performance in adolescent female soccer players. EVIDENCE ACQUISITION: A computerized search was conducted in the PubMed, Cochrane Plus and Web of Science (from 1995 to January 2020) for English and Spanish language and peer-reviewed investigations. EVIDENCE SYNTHESIS: A total of 221 studies were identified, with only 16 meeting the specific search criteria. The main findings were that eleven different tests have been used to assess COD performance with intraclass correlation coefficient and coefficient of variation values between 0.72-0.99 and 1-10.6%, respectively. The number of CODs performed during each test ranged from 1 to 9 within a range of 45º to 180º and with a duration 10 s. CONCLUSIONS: Findings indicate that the reliability of the COD tests seems to depend on: the equipment used, the surface tested on and the technical level of the soccer player. These results should be interpreted with caution as they may be influenced by the period of growth and maturation, the playing position of the player and the period of the soccer season. Finally, strength and power drills could be considered as appropriate to improve COD performance

Acute effect of repeated sprints on inter-limb asymmetries during unilateral jumping

The aim of the present study was to investigate the effects of multiple repeated sprints on unilateral jump performance and inter-limb asymmetries. Eighteen recreationally active males performed three single leg countermovement jumps (SLCMJ) as baseline data. The repeated sprint protocol was 6 x 40 m with 20 seconds of passive rest between each sprint. This protocol was conducted four times, each set separated by four minutes of rest. Within that rest period, subjects performed one SLCMJ on each limb after two minutes of rest. A one-way ANOVA showed significant reductions (p < 0.05; ES = -0.52 to -0.99) in jump height on both limbs after each set relative to baseline. Inter-limb asymmetries increased at each time point and ranged from 7.62-14.67%, with significant increases in asymmetry seen after sets three (p = 0.046) and four (p = 0.002). Significant increases in sprint time were shown between sprints one and six in each set (p ≤ 0.01). A fatigue index (%) was also calculated and showed an exponential increase from 5.74% (set one) to 13.50% (set four), with significant differences between all sets (p < 0.001) with the exception of sets three and four. Results from this study show that a 6 x 40 m repeated sprint protocol is a sufficient dose for implementing acute fatigue in recreationally active subjects. This was manifested by reductions in jump height at all time points and jump height asymmetries after the third and fourth sets. These findings indicate that jump height from unilateral jump testing may be a useful metric to use during the monitoring process in recreationally trained athletes

A comparison of 3 different unilateral strength training strategies to enhance jumping performance and decrease interlimb asymmetries in soccer players

Purpose: This study compared the effects of performing different unilateral strength training interventions on unilateral and bilateral jumping performance and their related asymmetries in young soccer players. Methods: Forty-five male young (U-17) soccer players were randomly assigned to three eccentric overload training programs: The first group executed the same volume with both legs starting with the weaker leg (SVW, n=15), the second group carried out the double volume with the weaker leg and also starting with the weaker leg (DVW, n=15), and the third group performed the same volume with both legs starting with the stronger leg (SVS, n=15). Jumping performance assessment included a single-leg horizontal jump test, a triple single-leg horizontal jump test, a bilateral countermovement (CMJ) jump test and unilateral countermovement jump test. Asymmetries were also analyzed in the unilateral jumping tests. Results: CMJ was improved (effect size [ES]: 0.27-0.48) and CMJ asymmetry was possibly reduced (ES: 0.08-0.24) in all groups. Substantial improvements were found in triple hop (ES: 0.52-0.71) in SVW and DVW, and triple hop asymmetry was substantially decreased (ES: 0.88) in DVW. Between-group analysis showed a substantial better performance in triple hop and horizontal hop with right leg in SVW and DVW compared to SVS. Conclusions: Unilateral strength training programs were shown to substantially improve bilateral jumping performance, while unilateral jumping was substantially enhanced in those groups that started the training session with the weaker leg. Finally, between-limbs asymmetries in the triple hop were mainly reduced through performing the double volume with the weaker leg

Comparison of three eccentric overload training strategies on power output and interlimb asymmetry in youth soccer players

Background: The present study compared the effects of performing the lateral squat exercise in three different formats from eccentric overload training on concentric/eccentric peak/mean power and inter-limb asymmetries in young soccer players. Methods: Forty-five young male (U-17) soccer players were distributed into three groups. Two groups performed the same training volume with both legs, beginning with the weaker leg (SVW, n = 15) or with the stronger leg (SVS, n = 15). The third group executed double volume with the weaker leg and also commenced with such leg (DVW, n = 15) in the lateral squat during a 10-week period. Pre- and post-intervention metrics included concentric and eccentric peak/mean power during the lateral squat test and their corresponding asymmetries. Results: All groups improved all power variables. Concentric mean and peak power asymmetry were substantially reduced in the SVW (ES: 0.89), DVW (ES: 0.43), and in SVW (ES: 1.60). Eccentric mean and peak power asymmetry were also substantially decreased in SVW (ES: 0.81) and in DVW (ES: 0.68). Between-group analyses showed substantially better performance in concentric and eccentric variables with stronger and weaker legs in SVW and DVW groups compared with SVS. Conclusions: Those groups which started with the weaker leg showed greater both power enhancements and reductions on inter-limb asymmetries