Journal of Functional Morphology and Kinesiology

Background and Objectives: Strength deficits are extremely common following anterior cruciate ligament reconstruction (ACLR). These deficits may be further impacted by concomitant meniscus repair during ACLR. However, there remains limited evidence investigating the effect of meniscus repair on lower-limb strength after ACLR, and particularly if there are between-sex differences in strength after ACLR with and without meniscus repair. Therefore, the purpose of this study was to investigate sex-specific differences in meniscus repair during ACLR on quadriceps and hamstring isometric strength. Methods: Eighty-five (37 females; 19.0 ± 6.6 years old) patient charts were retrospectively evaluated after undergoing ACLR. Variables documented included meniscal status, maximal isometric quadriceps and hamstring strength of the operative (OP) and non-operative (NOP) legs. Three separate 3-way [leg (OP vs. NOP) × sex (males vs. females) × meniscus repair status (yes vs. no)] mixed-factorial analyses of variance (ANOVA) assessed differences in quadriceps and hamstring strength, and the hamstring-to-quadriceps strength ratio (H:Q), at an alpha level of p ≤ 0.05. Results: For H:Q there was a sex by meniscus repair status interaction (p = 0.007). Females who underwent meniscus repair had lower H:Q (18.2%) than those without. Females without meniscus repair had a 20.3% greater H:Q than males without meniscus repair. Males had greater quadriceps strength than females (mean difference ± standard error; 0.58 ± 0.28 N∙kg⁻¹) and the NOP leg was stronger than OP for quadriceps (0.34 ± 0.08 N∙kg⁻¹) and hamstring (0.14 ± 0.04 N∙kg⁻¹) strength across sex. Conclusions: These findings suggest that the H:Q ratio differed according to sex and meniscus repair status. Further, there was a between-limb difference for strength in the quadriceps and hamstrings along with sex-related differences in strength. However, meniscus repair status did not influence raw strength values. Full article

Background: Tibial bone stress injury (TBSI) with associated bone marrow edema (BME) is a common and clinically challenging condition in athletes, often requiring prolonged load restriction and delayed return to sport. Evidence for adjunctive interventions that improve both symptoms and MRI-derived recovery remains limited. The aim of this study was to investigate whether adding Functional Magnetic Stimulation (FMS) to standardized rehabilitation improves pain, function, and MRI-derived outcomes over 16 weeks in athletes with MRI-confirmed TBSI. Materials and Methods: Forty athletes with Fredericson grade 2–3 TBSI were randomized to FMS plus rehabilitation (n = 20) or rehabilitation alone (n = 20). Both groups completed a 4-week load-based rehabilitation program, while the FMS group additionally received eight 30 min FMS sessions at 40 Hz. Outcomes were assessed at baseline, 4 weeks, and 16 weeks. The primary outcome was activity-related pain (NPRS), while secondary outcomes included lower-limb function (LEFS-GR), BME extent, and Fredericson grade. Continuous outcomes were analyzed using two-way mixed ANOVA, whereas Fredericson grade was analyzed using an ordinal generalized estimating equation model. The level of statistical significance was set at p < 0.05. Results: Groups were comparable at baseline. Significant group × time interactions favored FMS for NPRS, F(2, 76) = 12.46, p < 0.001, η²p = 0.247; LEFS-GR, F(1.08, 41.09) = 81.56, p < 0.001, η²p = 0.682; and BME extent, F(1.44, 54.85) = 49.33, p < 0.001, η²p = 0.565. At 16 weeks, the FMS group showed lower NPRS scores, higher LEFS-GR scores, and lower BME extent than controls. Fredericson grade also showed a significant group × time effect, Wald χ²(2) = 20.38, p < 0.001. The FMS group had significantly lower cumulative odds of classification in a higher Fredericson grade at 4 weeks (OR = 0.045, 95% CI: 0.012–0.163, p < 0.001), whereas the corresponding difference at 16 weeks remained directionally favorable but did not reach statistical significance (OR = 0.033, 95% CI: 0.001–1.029, p = 0.052). Conclusions: The addition of FMS to load-based rehabilitation was associated with greater clinical and functional improvements, greater reductions in BME extent, and a more favorable longitudinal trajectory in MRI severity classification than rehabilitation alone in athletes with TBSI. However, because the study did not include a sham-FMS condition and participants could not be blinded, the self-reported pain and functional outcomes should be interpreted cautiously. FMS may represent a useful adjunct to structured rehabilitation, although sham-controlled and longer-term studies should determine its effects on return-to-sport progression and recurrence risk. Full article

Isometric resistance training (IRT) has emerged as a promising non-pharmacological intervention for blood pressure (BP) management. Although current hypertension guidelines primarily recommend aerobic and dynamic resistance exercise, growing evidence indicates that IRT is an effective, feasible, and time-efficient alternative. This narrative review summarizes the current evidence on the efficacy, physiological mechanisms, and clinical applications of IRT. We reviewed randomized controlled trials, systematic reviews, and meta-analyses evaluating the effects of different IRT modalities, including isometric handgrip (IHG), isometric wall squat (IWS), and isometric leg extension (ILE), on BP in normotensive individuals, patients with hypertension, and those with cardiovascular disease. IRT consistently reduces resting systolic BP by approximately 5–8 mmHg and diastolic BP by 3–4 mmHg; these effects may approach those reported with first-line antihypertensive therapy and potentially be equivalent to those of other exercise modalities. These benefits have been demonstrated across normotensive and hypertensive populations and appear largely independent of age, sex, medication use, and the muscle groups involved. Preliminary evidence also supports the feasibility and safety of appropriately prescribed IRT in selected patients with ischemic heart disease and heart failure with preserved ejection fraction. Proposed mechanisms include improvements in endothelial function, nitric oxide bioavailability, autonomic regulation, oxidative stress, arterial baroreflex sensitivity, and myocardial efficiency. IRT has emerged as an effective, safe, and practical adjunct to lifestyle modification for BP control, particularly in older adults and individuals with limited ability to perform conventional exercise. However, current evidence derives from relatively small studies with limited follow-up; further large-scale randomized trials are needed to define the optimal exercise prescription, clarify the underlying mechanisms, and establish the role of IRT in patients with cardiovascular disease. Full article

Background: The latissimus dorsi (LD) is a primary muscle involved in pulling exercises used in resistance training, contributing to shoulder extension, adduction and internal rotation, with relevance to athletic performance, injury prevention and rehabilitation as well as to upper-body aesthetics. Aim: to identify which exercise configurations are most consistently associated with greater latissimus dorsi electromyographic (EMG) amplitude. Methods: This SANRA-informed narrative review synthesized surface and high-density EMG evidence across major pulling exercises, for the lat pull-down, pullover, seated row, barbell row, bent-over row and pull-up. Twenty-three eligible studies were included and appraised using a six-criterion methodological checklist. Results: In the lat pull-down, an anterior bar path was the configuration most consistently associated with greater LD EMG amplitude, whereas the effects of grip width were inconsistent. In the seated row, a narrower grip and a lower shoulder-abduction angle were each associated with greater LD amplitude in separate studies; these two variables have not been tested in combination and should not be read as a single validated configuration. Among rowing variants, the inverted row produced the highest LD amplitude in a single, small preliminary study that requires replication. Pull-up variations showed broadly similar LD activation across grip configurations, while the pullover appeared to preferentially activate the pectoralis major rather than selectively target the LD. Conclusions: Current evidence tentatively supports the anterior lat pull-down and, within the seated row, a narrower grip and a lower shoulder-abduction angle (evaluated independently) as the configurations most consistently associated with greater LD EMG amplitude; these findings reflect acute EMG amplitude rather than longitudinal training outcomes and should be treated as an evidence-informed starting point rather than a definitive exercise prescription. Across pulling exercises, the humerus-to-trunk relationship may be a key biomechanical determinant of muscular load distribution. Full article

Background: The acromiohumeral distance (AHD) is a widely used imaging parameter for evaluating the subacromial region and shoulder function. Traditionally, it has been interpreted as a static anatomical measurement reflecting the available subacromial space and associated with rotator cuff pathology, superior humeral migration, and subacromial impingement. However, inconsistent relationships between AHD, symptoms, and function suggest that purely structural interpretations may be insufficient. Objectives: To propose a systems-based functional morphology framework that reinterprets AHD as an emergent functional state variable reflecting the instantaneous state of the glenohumeral system. Methods: A conceptual synthesis integrated evidence from shoulder biomechanics, functional morphology, movement science, connective tissue research, systems theory, and personalized neuromusculoskeletal modelling. Structural, connective tissue, neuromuscular, and mechanical determinants of AHD were integrated within a multilevel systems perspective. Results: The proposed framework conceptualizes AHD as emerging from the dynamic interaction of four organizational domains: structural constraints, connective tissue properties, neuromuscular regulation, and mechanical context. Rather than representing a fixed anatomical space, AHD is interpreted as a potential systems-level functional biomarker whose value varies according to the functional state of the glenohumeral system. This perspective explains the variability observed across imaging studies and the frequent discordance between structural findings, symptoms, and functional outcomes. Conclusions: Reframing AHD as an emergent functional state variable provides a theoretical basis for integrating anatomy, biomechanics, movement behavior, and neuromuscular control within personalized shoulder assessment. This systems-based perspective may help bridge the traditional gap between structural imaging and clinical presentation while supporting future developments in precision rehabilitation and subject-specific computational modelling. Full article

Background: Rugby union and rugby league are among the most physically demanding contact team sports, in which playing positions impose distinct physical requirements. The aim of the review was to collect and synthesize available data on positional differences in physical fitness between forwards and backs in adult male rugby players. Methods: The systematic review was conducted in accordance with PRISMA 2020 and SWiM guidelines and was prospectively registered in the OSF database (10.17605/OSF.IO/E4Y37). Four electronic databases were searched: PubMed, SPORTDiscus, Web of Science, and Scopus up to June 2026. The search identified 3058 records, which were reduced to 1343 after language and document-type limits and then screened. Eligibility criteria were applied within the PICOs framework. Methodological quality was assessed using JBI Critical Appraisal Checklists and the AXIS tool as a validation instrument. Due to considerable methodological heterogeneity, narrative synthesis with directional meta-synthesis was applied. Results: Thirty-seven studies were included (n > 2000 players; 15 countries; 1996–2025). Forwards achieved higher values of absolute muscular strength and power, body mass, and sprint momentum, whereas backs performed better in sprint tests (10–50 m), maximum sprint velocity, aerobic fitness (VO₂max, Yo-Yo IRTL1), CMJ height, and relative power. Following normalization to body mass, positional differences in strength and power were attenuated or reversed. In the only study that isolated the change in direction deficit, no clear positional difference was observed. Conclusions: Body mass appears to be the principal explanatory factor underlying positional differences in absolute strength and power. Position-specific fitness profiles are observable as early as the U20 category and become more pronounced with increasing competitive level. Strength and conditioning coaches should compare positional groups using body mass normalized ratio or, where justified, allometrically scaled measures rather than absolute values. Full article

Background and Objectives: Efficient landing shock attenuation is important for both athletic performance and lower-extremity injury prevention in youth soccer players. Although landing biomechanics and change-of-direction (COD) performance have been widely investigated, the relationship between field-based COD performance and landing impact characteristics remains unclear. This study aimed to examine the relationships between linear sprint performance, COD performance, and landing impact during a standardized single-leg forward drop jump landing task in junior soccer players. Methods: Thirty-six junior soccer players (22 boys and 14 girls; 10–12 years) participated in this cross-sectional study. Linear sprint performance and COD performance were assessed using a 30 m sprint test and a 30 m zigzag run test, respectively. Landing impact was evaluated during a standardized single-leg forward drop jump landing task using a force plate. Body weight-normalized peak vertical ground reaction force (peak vGRF, %BW) was calculated for each trial, and the average of the final five successful trials was used for analysis. Relationships between performance measures and body weight-normalized peak vGRF were examined using Spearman’s rank correlation coefficients and partial Spearman correlation analyses adjusted for sex. Results: No significant correlation was observed between 30 m sprint performance and body weight-normalized peak vGRF (ρ = 0.106, p = 0.537). In contrast, 30 m zigzag run performance showed a moderate positive correlation with body weight-normalized peak vGRF (ρ = 0.401, p = 0.015), indicating that poorer COD performance was associated with greater landing impact. This association remained significant after adjustment for sex (partial ρ = 0.474, p = 0.004). Conclusions: These findings suggest that landing impact characteristics may represent one biomechanical factor associated with COD performance. Although the observed association was moderate, field-based COD assessments may provide practical information regarding landing impact characteristics. Future studies should incorporate biological maturation, COD deficit, and additional biomechanical variables to further clarify these relationships. Full article

Addictive behaviours are associated with substantial neurobiological, psychological, and behavioural impairments. Exercise training has emerged as a potential complementary strategy in addiction treatment; however, the characteristics of exercise interventions and their associated outcomes remain insufficiently characterized. This scoping review (ScR) was conducted according to the Joanna Briggs Institute methodology and reported in accordance with the PRISMA-ScR guidelines. Searches were conducted across three electronic databases for studies published between January 2015 and March 2025. Eligible studies investigated structured exercise training interventions in individuals with substance-related or behavioural addictions. Data were extracted regarding study characteristics, addiction type, exercise modality, FITT parameters, and neurobiological, biochemical, psychological, behavioural, and addiction-related outcomes. Five human intervention studies met the inclusion criteria, all addressing substance-related addictions, including alcohol use disorder, methamphetamine use disorder, and polysubstance dependence. Three studies evaluated acute exercise interventions, whereas two investigated structured exercise programmes lasting 8–12 weeks. Aerobic exercise was the most frequently investigated modality, although combined aerobic and resistance training, yoga, cycling, soccer-based exercise, circuit training, and functional exercise were also identified. Exercise intensity ranged from moderate to vigorous, with substantial variability in frequency, session duration, intervention period, and reporting of progression, supervision, and adherence. Reported outcomes included dopamine-related measures, mood, anxiety, depressive symptoms, self-esteem, affect, and craving. The available evidence suggests potentially relevant effects of exercise across neurobiological, psychological, and addiction-related domains, but the limited number and heterogeneity of studies preclude conclusions regarding the effectiveness of specific exercise prescriptions. The current evidence base on structured exercise training in addictive behaviours remains limited and heterogeneous and is restricted, among the eligible intervention studies identified, to substance-related addictions. Exercise may represent a promising complementary approach, but evidence is insufficient to establish optimal exercise modalities, FITT prescriptions, or sustained clinical benefits. Future research should prioritize adequately powered longitudinal randomized controlled trials, standardized reporting of exercise prescription and adherence, and comprehensive assessment of clinically relevant addiction-related outcomes. Full article

Objective: This article reports the prespecified boxing-specific component of a randomized controlled trial comparing velocity-based resistance training (VBT) with percentage-based training (PBT) in collegiate boxers. Boxing-specific performance was specified as a parallel primary outcome domain in the original ethics-approved protocol, although no single boxing-specific measure was designated as the sole primary endpoint; the five measures are therefore reported as prespecified exploratory outcomes. Methods: The trial was designed before participant recruitment to address two parallel research objectives: changes in general lower-limb performance and changes in boxing-specific performance. Twenty-eight male collegiate boxers were randomly allocated to VBT (n = 14) or PBT (n = 14). Results for lower-limb strength, jumping, and sprinting from the same trial have been reported previously. The present report focuses on lead and rear straight-punch (LSP and RSP) force and continuous-punch (CP) frequency over 10 s, 30 s, and 1 min. Both groups were prescribed the back squat, Bulgarian split-squat, and deadlift twice weekly for eight weeks. PBT participants completed four sets of five repetitions at 70% of one-repetition maximum (1RM), whereas VBT participants were prescribed four sets using the velocity associated with 70% 1RM and ended each set at 10% velocity loss. Results: The between-group differences in mean change, calculated as VBT minus PBT, were 6.97 kg for lead straight-punch force (95% CI: 0.40 to 13.54), 7.21 kg for rear straight-punch force (95% CI: 3.56 to 10.86), 4.47 punches·10 s⁻¹ for 10 s continuous-punch frequency (95% CI: 0.33 to 8.62), 5.05 punches·30 s⁻¹ for 30 s continuous-punch frequency (95% CI: 0.14 to 9.96), and −2.65 punches·min⁻¹ for 1 min continuous-punch frequency (95% CI: −13.97 to 8.67). Conclusions: Greater mean improvements in straight-punch force and short-duration continuous-punch performance were observed in the VBT group, although the precision of several estimates was limited and the findings should be interpreted cautiously because multiple exploratory outcomes were analyzed without formal multiplicity adjustment. For the 1 min test, there was no statistically conclusive evidence of a between-group difference. Registration: The trial was retrospectively registered with the Chinese Clinical Trial Registry (ChiCTR2500111377), and the study materials were subsequently registered on the Open Science Framework (OSF; DOI: 10.17605/OSF.IO/VY6TS). Full article

Background and Objectives: Achilles tendon rupture (ATR) incidence has increased across sport populations, and, given its impact on elite performance, the purpose of this systematic review was to synthesize the available video analysis evidence describing the biomechanics of ATR in sport. Methods: Four databases were searched to June 2026 for video analysis studies reporting the mechanics of ATR in athletes. Eleven studies (2019–2026) reporting overlapping samples of ATR events in professional basketball, soccer, and American football were included and synthesized at the study level to avoid double counting. Study quality was appraised using the QA-SIVAS scale. Results: Non-contact mechanisms predominated in all studies reporting injury dynamics (64–100%). Acceleration from a stationary or near-stationary position was the most common movement context, with the “false step” frequently described as a recurrent initiating action rather than a singular cause. Ankle dorsiflexion at the injury frame was present across all studies (25.3–47.9°). A recurrent injury-frame configuration was observed, comprising trunk flexion, hip extension, knee extension or early flexion, ankle dorsiflexion, and a flat foot, reached through a progression from initial contact. Conclusions: ATR was predominantly a non-contact injury, most often during acceleration from a near-stationary position, reaching a broadly convergent injury-frame configuration. A rearward preparatory step recurred across studies and movement categories, but inconsistent definitions and incomplete reporting mean its overall frequency cannot be established. It remains a candidate movement feature for controlled biomechanical investigation, and future work should compare successful and injurious steps within athletes. Full article

Background: Thumb pain frequently arises from multiple conditions—de Quervain’s tenosynovitis, carpometacarpal (CMC) osteoarthritis, carpal tunnel syndrome, intersection syndrome, and myofascial pain syndrome—that often coexist yet are traditionally managed as separate entities. Fascial abnormalities, including hyaluronic acid-related densification and impaired interlayer gliding, have been proposed to constitute a shared pathological substrate underlying these conditions. Ultrasound-guided fascia hydrorelease (US-FHR) targeting fascial pathology has been used clinically for thumb–wrist pain; however, the anatomical targets and treatment regions have not been systematically described. Aim: This article presents a fifteen-point US-FHR clinical protocol for five converging thumb pain conditions, based on shared fascial abnormalities—densification and impaired interlayer gliding—that these conditions may have in common. It further provides a shared practical framework for pain physicians, orthopedic specialists, hand therapists, and acupuncturists. Methods: The protocol was organized based on a focused literature review on fascial biology, thumb–wrist anatomy, and the five converging conditions, combined with long-term clinical experience at Kimura Pain Clinic. For each POINT, the anatomical rationale, associated pain pattern, procedural concept, and major safety considerations were summarized. A four-direction screening test (thumb flexion, extension, abduction, and adduction) assessed in three modes (active contraction, resistance loading, and passive stretch), combined with nine established clinical tests, was integrated to identify the affected fascial structures. A diagnostic ultrasound finding characterized by multi-layered hyperechoic bands with reduced interlayer gliding—the sonographic appearance termed “stacking fascia” (a hyperechoic, stripe-shaped lesion), a previously described morphological sign that may reflect fascial densification—is described. Results: The protocol comprises 15 POINTs distributed across two approaches: nine POINTs via a dorsal approach and six POINTs via a palmar approach. The dorsal approach (9 POINTs) covers the first and third extensor compartments, their intersections (1st–2nd and 2nd–3rd), the two radial-artery crossing points (Points 5 and 6, where the radial artery passes deep to the first-compartment and EPL/ECRB–ECRL tendons, respectively), Gokoku (Hegu), the adductor pollicis, and the deep palmar arch. The palmar approach (6 POINTs) covers the thenar muscles, transverse carpal ligament, paraneural sheath and interfascicular epineurium of the median nerve, the median-nerve/FPL/FCR interface, the median nerve within the carpal tunnel, and the deeper palmar ligamentous structures adjacent to the median nerve. Periarterial release around the radial artery is proposed as a hypothesis-generating approach to CMC osteoarthritis, in which fascial constriction of periarterial tissue may contribute to subchondral vascular compromise. For each POINT, the anatomical rationale, associated pain patterns, procedural concept, and safety considerations are integrated and described. Conclusions: The proposed fifteen-point protocol represents an expanded, structured, and clinical-experience-based framework for US-FHR in five converging thumb pain conditions sharing common fascial abnormalities. It may serve as a practical basis for the standardization, education, and broader dissemination of US-FHR in this population. Prospective observational studies, randomized controlled trials, and imaging validation studies are needed to evaluate its clinical effectiveness and to test the underlying mechanistic hypotheses, including potential periarterial vascular contributions to CMC osteoarthritis. Full article

The cerebellum plays a key role in regulating movement, coordination, and certain cognitive functions. Purkinje cells are the principal neurons of the cerebellum, essential for integrating information and modulating output to other parts of the central nervous system. Physical exercise is crucial for maintaining psychophysical well-being and improving quality of life. Moreover, its beneficial effects on brain health are well established. After a brief overview of cerebellar anatomy, this narrative review aims to summarize current experimental evidence on the effects of physical activity on Purkinje cells, particularly in the context of neuronal plasticity and neuroprotection. Special attention is given to structural and functional adaptations under both physiological and pathological conditions, including neurodegenerative diseases, neurodevelopmental disorders, traumatic brain injury, and aging. Overall, the available findings suggest that Purkinje cells represent a key cellular target of exercise-induced cerebellar plasticity. Physical activity may therefore contribute to preserving cerebellar function and promoting neuroprotection through mechanisms involving structural remodeling and synaptic adaptation of Purkinje cells. Full article

Objectives: Sided games are commonly used to condition players for the demands of official games (OGs). Therefore, this study aimed to evaluate if different sided games match position-specific locomotor and mechanical OG demands of professional football players. Methods: Twenty-one male professional football players from a second team of a professional football club were monitored during the second half of the 2024/25 season. External load was assessed during OGs and sided games. The latter were categorized by area per player (ApP) as small- (SSG, ApP < 100 m²), medium- (MSG, ApP 100–200 m²) and large-sided games (LSG, ApP > 200 m²). External load was analyzed for total distance (TD), high-speed running (HSR), sprint distance (SPD), and the number of accelerations (ACC) and decelerations (DEC). Players were grouped by position: center backs (CBs), full backs (FBs), central midfielders (CMs), wide midfielders (WMs), and strikers (STs). Results: Across all playing positions (CB, FB, CM, WM, ST), SSGs, MSGs and LSGs elicited significantly higher TD than the OG, except for CM, where no significant differences were observed during SSGs and LSGs. All positions displayed similar HSR during LSGs than OG demands, and some positions also during MSGs (CB, CM, FB) and SSGs (CB). SPD was similar across all positions only during LSGs. ACC and DEC were significantly higher for all positions in SSGs and MSGs than OGs and similar in LSGs. Conclusions: Position-specific OG demands were not statistically from different sided-game formats. ACC, DEC and TD in LSGs met OG demands; however, smaller formats (SSGs, MSGs) overload those variables. In contrast, HSR and SPR load in SSGs and MSGs did not meet OG demands for most positions. For that, coaches should use LSGs, knowing that TD may be overloaded, or supplement SSGs/MSGs with running-based drills for more accurate programming. Full article

Background: SARS-CoV-2 infection may impair functional capacity in athletes, while prior vaccination status may be associated with post-infection functional status. However, evidence comparing objective post-infection exercise responses according to vaccination status in elite athletes remains limited. Methods: This study included a total of 220 male athletes with PCR-confirmed SARS-CoV-2 infections: 101 unvaccinated and 119 vaccinated with two doses prior to infection. Cardiopulmonary exercise testing (CPET) was performed 14 ± 1 days after confirmation of SARS-CoV-2 infection and before the athletes returned to full training. A two-way ANOVA was conducted for each CPET variable, using vaccination status and sport as fixed factors. Results: After accounting for the type of sport, vaccinated athletes showed significantly higher VO₂max, VO₂ at VT1, oxygen pulse, heart rate at VT1, and heart rate at VT2, as well as lower VE/VCO₂ values. No significant differences were found for VEmax, HRmax, or heart rate during recovery. The interaction between vaccination status and sport was not significant for the main CPET outcomes, indicating a similar pattern in both sports. Conclusions: These findings suggest that prior vaccination is associated with a more favorable early post-infection physiological profile in professional team-sport players. Full article

Heart rate variability (HRV) monitoring is commonly used in sport and exercise science to assess recovery, training adaptation, and performance readiness. However, the routine reporting of numerous HRV metrics with substantial conceptual and physiological overlap has created inconsistency regarding which indices should be prioritized for applied monitoring. This narrative review synthesizes the contemporary literature to provide practical recommendations regarding HRV metric selection in applied monitoring, with particular emphasis on whether the root mean square of successive differences between adjacent normal-to-normal intervals (RMSSD) may serve as the primary metric for routine HRV monitoring in many healthy sport and exercise populations. RMSSD demonstrates several characteristics favorable for applied monitoring, including strong physiological relevance, favorable reliability, compatibility with ultra-short recording durations, relative robustness during spontaneous breathing, computational simplicity, and suitability for longitudinal monitoring frameworks. Although additional HRV metrics remain valuable for addressing specific physiological, mechanistic, or research questions, the current evidence supports RMSSD as the primary metric for routine HRV monitoring in many sport and exercise settings. Full article

Background: Motor competence is an important basis for early childhood motor development and for the acquisition of new motor skills. Previous work from this research perspective showed that structured kindergarten kinesiology programs and overall BOT-2 motor proficiency are associated with phase-based motor learning outcomes. However, it remains unclear whether individual motor competence components are related differently to distinct phases of early motor learning. The aim of this study was to examine associations between selected BOT-2 motor competence components and phase-based motor learning outcomes in preschool children. Methods: A total of 161 preschool children participated in the study. Selected BOT-2 components were used to describe baseline motor competence. Motor learning was assessed using a standardized 7-week protocol involving previously unfamiliar kinesiology tasks and was operationalized through time to initial acquisition (F1), time to early refinement (F2), and final performance quality (K). Correlation analyses and hierarchical regression models were used, controlling for age, sex, and previous participation experience. Results: Motor competence components were positively interrelated and were significantly associated with learning outcomes. Higher baseline motor competence was generally associated with shorter F1 and F2 times and higher K scores. Participation experience showed the largest and most consistent associations across outcomes. Fine motor precision was independently associated with F1 and F2, while running speed and agility was retained as a predictor of F2. Conclusions: The findings indicate that previous structured movement experience and selected motor competence components are associated with phase-based motor learning outcomes in preschool children. These results should be interpreted as associative rather than causal and support the use of assessment-informed approaches in early childhood kinesiology programs. Full article

Objectives: External load demands (ELD) for junior basketball players have primarily been investigated in senior championships, although the competition level influences the players’ performance. The purpose of this study was to determine the between-quarter and between-position differences for U19 basketball players in their age-related championship throughout a whole competitive season. Methods: Data were collected from fifteen Hungarian U19 basketball players across eight home games via the WIMU PRO^TM local positioning system (Hudl, Nebraska, United States of America). Linear mixed models were used to evaluate omnibus main effects and position × quarter interactions for high-intensity accelerations (HIA), decelerations (HID), Player Load (PL), and vertical jumps (JUM), using Bonferroni adjustments and exploratory simple comparisons (p < 0.05). Moreover, model-based mean differences (MBMM) were also calculated with 95% confidence intervals (CI). Results: Significant game quarter omnibus main effect (F = 2.836, p = 0.043) and a borderline position × quarter interaction (F = 2.184, p = 0.050) were found in the JUM metric, with exploratory analyses revealing significant differences for centers between the second and third quarters and between the third and fourth quarters (p = 0.004, Mean Difference = −0.196, 95% CI = −0.345 to −0.046; p = 0.003, Mean Difference = 0.194, 95% CI = 0.049 to 0.338, respectively). A significant positional omnibus main effect (F = 4.917, p = 0.025) and a non-significant position × quarter interaction (F = 0.570, p = 0.753) was found for HID, with a significant difference between guards and forwards in the second quarter (p = 0.036, Mean Difference = 0.389, 95% CI = 0.019 to 0.742). PL and HIA did not show any significant differences. Conclusions: It is concluded that for the investigated sample, certain positional external load demands fluctuate between-quarter and between-position indicating that specific drills should be designed to maximize players’ performance and minimize their risk of injury. However, our results cannot be generalized due to the specificity of our dataset. Full article

Objective: To investigate the effects of short-term ginger supplementation on physical performance, perceived exertion, and neuromuscular fatigue in CrossFit^® practitioners. Methods: Thirty-two CrossFit^® practitioners were randomly assigned to a Ginger group (n = 17) or a Placebo group (n = 15) in a randomized, double-blind, placebo-controlled trial. Participants consumed 2 g·day⁻¹ of ginger or placebo for 9 days. Performance was assessed using a 10 min As Many Repetitions As Possible (AMRAP) test. Ratings of perceived exertion (RPE) and countermovement jump (CMJ) variables were evaluated before and after exercise. Results: Ginger supplementation significantly improved AMRAP performance compared with placebo (241.6 ± 18.2 vs. 225.9 ± 17.5 repetitions; F_1,29 = 5.95, p = 0.021, ηp² = 0.17). Participants in the Ginger group also reported lower RPE values (F_1,29 = 24.11, p ≤ 0.001, ηp² = 0.45). Regarding neuromuscular fatigue, ginger attenuated the decline in CMJ peak force following exercise (F_1,29 = 6.62, p = 0.015, ηp² = 0.18). No significant between-group differences were found for peak power and center of mass displacement. Conclusions: Short-term ginger supplementation improved AMRAP performance, reduced perceived exertion, and attenuated the decline in peak force following exercise in CrossFit^® practitioners. These findings suggest that ginger supplementation may have potential as a natural ergogenic strategy for high-intensity functional exercise; however, further studies with larger samples are needed to confirm these effects. Full article

Background: Pre-season physical monitoring may help coaches understand short-term changes in youth soccer players and examine whether physical indicators are associated with early squad inclusion. This study aimed to analyze changes in physical performance during the pre-season period and to examine whether pre- and post-assessment physical performance differed between squad-included and non-included under-15 male soccer players in the first five official matches of the main competition. Methods: Thirty-seven male outfield players were assessed using the Squat Jump (SJ), Countermovement Jump (CMJ), 20 m linear sprint (Sprint-20 m), 20 m change-in-direction test (COD-20m), and Yo-Yo Intermittent Recovery Test Level 1 (Yo-Yo IRL1). Squad-included players were those listed in at least one of the first five official match reports, whereas non-included players were not listed in these reports but remained part of the broader under-15 program. Results: Significant increases were observed in SJ (+1.44 cm, p = 0.007), CMJ (+1.36 cm, p = 0.006), and COD-20m (+0.38 km·h⁻¹, p = 0.002), whereas Sprint-20 m and Yo-Yo IRL1 did not change significantly. Fourteen players were squad-included and 23 were non-included. Squad-included players presented higher pre-assessment values for SJ, CMJ, COD-20m, and the exploratory composite physical score, and higher post-assessment values for SJ, CMJ, Sprint-20 m, COD-20m, and the exploratory composite physical score. The largest between-group difference was observed for post-assessment COD-20m (14.19 ± 0.49 vs. 13.40 ± 0.74 km·h⁻¹, p < 0.001, d = 1.25). Conclusions: Early squad inclusion was associated with higher absolute physical performance, particularly post-assessment COD-20m, whereas the magnitude of pre-to-post changes was not clearly associated with squad inclusion. Full article