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Article

Match Analysis, Physical Training, Risk of Injury and Rehabilitation in Padel: Overview of the Literature

by
Andrea Demeco
1,
Alessandro de Sire
2,*,
Nicola Marotta
2,
Riccardo Spanò
2,
Lorenzo Lippi
3,
Arrigo Palumbo
2,
Teresa Iona
2,
Vera Gramigna
4,
Stefano Palermi
5,
Massimiliano Leigheb
6,
Marco Invernizzi
3,7 and
Antonio Ammendolia
2
1
S. Anna Institute, Via Siris, 11, 88900 Crotone, Italy
2
Department of Medical and Surgical Sciences, University of Catanzaro “Magna Graecia”, 88100 Catanzaro, Italy
3
Physical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern Piedmont, 28100 Novara, Italy
4
Neuroscience Research Center, Magna Græcia University, 88100 Catanzaro, Italy
5
Department of Public Health, University Federico II of Naples, 80131 Naples, Italy
6
Orthopaedics and Traumatology Unit, “Maggiore della Carità” Hospital, Department of Health Sciences, University of Eastern Piedmont, 28100 Novara, Italy
7
Translational Medicine, Dipartimento Attività Integrate Ricerca e Innovazione (DAIRI), Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo Alessandria, 15121 Alessandria, Italy
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2022, 19(7), 4153; https://doi.org/10.3390/ijerph19074153
Submission received: 7 March 2022 / Revised: 29 March 2022 / Accepted: 30 March 2022 / Published: 31 March 2022
(This article belongs to the Special Issue Contemporary Physical Therapy and Rehabilitation: Issues and Challenges)
Browse Figures
Versions Notes

Abstract

:
Padel is a racket sport that has been gaining great popularity and scientific interest in recent years. It could be considered to be a high-intensity intermittent sport with valuable cardiovascular and neuromuscular benefits; however, the risk of injury cannot be neglected. To date, there is still a gap of knowledge in the scientific literature on this emergent sport. Therefore, the present review aims to synthetize the current knowledge on padel game dynamics to better characterize the main risk factors, the injury rate and characteristics, and the most effective rehabilitative treatment strategies. PubMed, Scopus, Cochrane, and PEDro were screened up to January 2022 to identify eligible studies focusing on padel players as participants. Out of 160 records, we included 19 studies, which were focused on match analysis, anthropometric and physical training, the risk of injury, and rehabilitative interventions. The results showed that the high action velocity and the sudden changes in direction during a padel match could represent a risk factor for injuries, especially in untrained players. However, the high heterogeneity of the studies in the literature hinders our ability to draw any strong conclusions, and the results should be carefully considered. Future research should address the lack of knowledge on injury mechanisms and type to implement a tailored rehabilitation program.

1. Introduction

Padel is a racket sport played in a grass court of 20 × 10 m, divided by a central net, and delimited by glass and gratings where the ball bounces on [1]. It has a Mexican origin (1969), adapting a squash court with elements of tennis [2]. Recently, an increasing number of players and courts have emerged in more than 40 countries [3]. Although similar to tennis, a padel court is about a third smaller than a tennis court, composed of a plexiglass wall at both end zones and completed by a metal mesh, which not only prevents the rise, but also reduces the effective playing area, and two openings at the outer side of the net; the padel ball also provides less bounce than a tennis ball [4]. Additionally, while tennis uses a stringed racket with a longer handle, padel provides a short-handled pad (racket) that has a foam core and a fiberglass or carbon fiber outer shell. Furthermore, in padel, the serve is performed by bouncing the ball and then hitting it while it is lower than the height of the hip, which is a less technical gesture than in tennis [5]. Finally, padel was conceived from the beginning as a doubles game, unlike tennis [6].
In this scenario, the key to this success is that high levels of technical ability could not be considered to be essential to begin practicing, it is usually played outdoors, and its equipment is inexpensive [7].
Throughout the game, similarly to other sports, players continuously solve their problems, collaborating to complete individual and cooperative activities to disturb the opponents and protect their side [8]. Therefore, the performance is the result of technical, tactical, and mental abilities. Thus, data on rally lengths might improve our understanding of match dynamics and athletes’ tactics and performance [9].
Moreover, this growth has also been reflected in an increase in scientific research, considering that half of the total number of the articles have been published in the last year. Existing literature addressed several research topics, such as athletes’ actions and distance covered during a game, match dynamics, the risk of injury, and physical fitness [7].
Padel has been defined as a high-intensity intermittent sport, combining high-frequency and low-intensity athletic gesture [10]. Apart from the dynamics of the game and the technical–tactical requirements, padel performances are influenced by the physical fitness and kinematic patterns of the athletes, especially in non-professional and recreational contexts with less demanding competitive requirements, but which can hide the risk of injury (e.g., microtrauma and overload disorders) [11].
Knowledge of the loads of competition within the match would potentially improve the approach to the sports [12,13]. However, to the best of our knowledge, there is very little evidence on play patterns, athlete training, amateur–professional differences in performance, and the control of forces and energy expenditure, as well as the role of movement patterns and kinematics of the athletic gestures in padel players (see Figure 1).
Furthermore, no previous reviews have investigated the impact of padel on the musculoskeletal system to provide clinically relevant data to guide physicians in effective and safe therapeutic strategies to prevent or manage sport-specific injuries.
Therefore, the aim of this overview was to focus on the state-of-the-art research on padel in terms of match analysis, physical and anthropometric fitness, the risk of injury, and rehabilitation in players of this emerging sport.

2. Materials and Methods

2.1. Data Search

Two authors examined four online databases: PubMed, Scopus, Cochrane, and PEDro. The articles’ selection was conducted throughout the search string: “Padel” (all fields). Furthermore, we analyzed the list of references of the papers included. The criteria utilized for the database analysis were: papers published up to January 2022; original articles, reviews, and commentaries; only articles in the English language. The selection was determined considering padel players as the study population. A third author solved the disagreements between the investigators regarding the study selections.

2.2. Data Extraction

Data extraction was conducted following the Cochrane Review Group guidelines. We used an Excel sheet to evaluate inclusion requirements. The full text was analyzed, and the records were collected in the sheet. We extracted from the included articles the following data: authors; publication year; participant characteristics; design of studies; outcomes; main results.

2.3. Methodological Assessment

A modified version of the STROBE criteria [14] was utilized for conducting the methodological assessment. The papers were analyzed through ten criteria. Disagreements were examined and resolved by consensus. The items were assessed with a numerical categorization (assigning 1 if present, and 0 if non-present). The studies were classified with a high bias risk with a total score of <7; were considered to be low risk of bias if the score was >7. To conduct the clinical review, we considered previous guidelines, the research questions, appropriate evidence, the studies’ qualities, results synthesis, and their correct interpretation.

3. Results

3.1. Study Selection

A total of 386 records were identified after the database search, which are detailed in the PRISMA flow diagram in Figure 2.
After duplication deletion, and the assessment of 386 studies for title and abstract, we considered 18 studies to be eligible. Lastly, one article was excluded for inconsistency with the eligibility criteria. As a result, 17 articles were elected for a deep analysis and included in the qualitative synthesis.

3.2. Main Characteristics of the Studies

Table 1 summarizes the main characteristics of the studies. A total of 479 padel players with a different level of experience were included in the studies and 1098 matches were also analyzed. Most of the studies are cross-sectional (n = 3) [7,10,15] and observational (n = 12) [3,7,9,12,16,17,18,19,20,21,22,23]; studies on match analysis utilized the systematic observation of padel match videos from official channels. The current literature argues over four different aspects of padel: match analysis, anthropometric and physical fitness, the biological effects of padel matches on athletes, and the risk of injury and rehabilitative approaches. Almost all the study included were from Spain (n = 16) [3,7,9,10,12,15,16,17,18,19,20,21,22,23,24,25]; only one was from Sweden [26]. Ten of the included studies investigated game dynamics [3,9,12,16,17,18,19,20,21], of which one [12] analyzed the court zone involved in the attacking and defensive phase of the match; six studies [3,16,17,19,20,21] investigated padel strokes, highlighting that the smash is one of the most effective strokes with which to stop the rally; on the other hand, the lob is the most valid in a defensive position [20].
However, the athletes during match prefer performing groundstrokes (15.48%) and volleys (25.09%) (see Figure 3).
Three studies [9,18,28] considered how the length of the rally changes based on experience [18] and the seconds from the serves [9]. The physical analysis conducted in two studies [10,15] revealed that padel players presented a healthy body composition and professional players had considerably lower levels of body fat and thigh fat area when compared to the general population, and significantly greater lumbar isometric strength. Padel athletes can be qualified as endo-mesomorphic [15]. Quesada et al. [24] examined the risk factors in padel players through a retrospective questionnaire, revealing that 40% of the players sustained on injury in the last year; in addition, the unpredictable trajectory and the velocity of the ball could be responsible for eye injuries [26]. As reported in three studies, a padel match has both biochemical and psychological effects. In detail, a simulated padel match caused a rise in brain-derived neurotrophic factor (BDNF) level from 1531.12 ± 269.09 to 1768.56 ± 410.75 ng/mL in female players [25]; moreover, there is an increase in urinary-specific gravity for male players, in contrast to female players, and a significant increase in microalbuminuria from 47.25 ± 18.81 to 207.51 ± 147.11 (g/L); furthermore, players self-reported a significant increase in mental fatigue after a padel game that worsened after the second consecutive match.

3.3. Methodological Quality

Table 2 describes the studies’ methodological quality scores [29]. Eleven studies [7,10,15,16,17,19,21,22,23,25,28] had 10 points; three studies [9,18,24] had 9 points, two studies had 8 points [12,20], and one [26] had 5 points.

4. Discussion

The aim of this comprehensive review was to provide an overview of match analysis, physical and anthropometric fitness, injury risk, and rehabilitation approach in padel players. Unfortunately, little evidence is present in the literature, and the few studies reviewed provide heterogeneous results in terms of injury mechanism descriptions, injury rates, and rehabilitation interventions. However, we found promising considerations regarding match analysis and kinematic evaluation. Considering the growing number of paddle players in the world and its rapid spread in different countries, this review could be a starting point to promote better knowledge of the mechanisms underpinning padel-related injuries to implement both preventive and rehabilitative strategies.

4.1. Match Analysis

4.1.1. Court Zone

The court is a rectangle 10 m wide by 20 m long (interior measurements) with a 0.5% tolerance [4]. The region of the court (net, middle, and baseline) greatly influences the dynamics of the game. Herein, 46.6% of the activity takes place in the baseline area, while the 27.7% occurs in the middle area and 25.6% near the net. At the baseline, side corners gain great importance, whereas the center is significant in the middle and net part of the court [9].
Most of the winning points are scored from the middle and net region of the court (respectively, 76.3% and 41.2%) through two strategies. The first involves sending the ball to the side-corners, at the baseline near the walls, through lobs, keeping the opponents away from the offensive areas; the second is to use volleys to protect the central space between players and to prevent deep balls that could cause the loss of the advantage position. Therefore, in the defense phase, the baseline corners acquire greater importance, while the central line is crucial when attacking (25% of the game) [9].
The net position significantly increases the efficiency of winner points thanks to the advantageous position of the attackers (low error rates), and a minor time of reaction for the defending couple [17]. There is a continuous movement of the players, whose purpose is to conquer the position near the net, which is considered to be more advantageous, whilst the defensive pair attempt to recuperate it [17,30].
In addition, the strategy to approach the net in the central region has two aims: to protect the court between players and to control a larger angle, increasing the possibilities of a winning point; consequently, the capacity of volleying in the central region lets athletes spend more time near the net, increasing the probability of scoring [9].

4.1.2. Padel Strokes

Volleys, serves, and groundstrokes are the most frequent strokes [16]. The type of shot depends on the phase of the game, in particular, whether one is in a defensive position, wherein lob or passing shot are performed, with variable height and directions, in order to displace the attacking pair [17,20]; the most efficacious strokes during a game are the overhead strokes (smash and tray); in particular, 8.6–7.2% of trays and 33.3–51.8% of flat smashes are winning shots [17]. The smash has a great influence on the outcome of the game and its success is related to the court area, direction, and the speed and precision with which it is performed [17].
Escudero-Tena et al. [20] reported that the lob is the most frequent (85.4%) and effective shot in a defensive position, especially for women, to overcome the position of the opponents at the net. Though it is not a closing shot, it allows the continuity of the game, increasing the length of the rally. Therefore, in unfavorable situations, the lob is the recommended shot to contrast the opponent’s attacks, gain the net, and obtain an advantage in the rally [20].
Ramón-Llin et al. [21] focused on the importance of two aspects of padel strokes: direction and effectiveness. The use of cross-court shots bounces the ball on the railing or wall, increasing opponent’s uncertainty and the possibility of making a mistake.
Focusing on the effectiveness of a stroke, the winning couple presented a greater percentage of break points won and a lower percentage of errors (7.5%) [3]. In detail, the winning players executed a higher number (85% of the score) of attacking strokes in a game, executed with flat hits and topspin [3].
Even the experience influences the type of strokes in a padel match, with beginners utilizing, as a percentage, more stroke-like serves (21.46), groundstrokes (23.98), and lobs (11.40), and professional players utilizing volley (25.09%), wall strokes (22.85%), and smashes (4.84%) [16], probably due to the particular attention of an experienced athlete on their positioning and movement approaching the net, and during the time spent at the net.
Usually, the left player takes more hits than the right player, playing more offensively. This is due to the fact that in right-hand-dominant couples, the left-side player performs the stronger smash, as they can execute the stroke with the dominant limb in the center of the court. However, a left-hander on the right part of the court defends the center line more effectively [31].

4.1.3. Rally

The length of time between the serve and the point is called a rally. The length of the rally is related to the experience of the players. In addition, winning pairs play longer (+20%) rallies. Overall, most points are scored between the fifth and eleventh second of the rally. The probability of making an error following an unforced hit is maximum (40%) in the first 4 s of the rally; on the other hand, the chance of an error following a forced hit increases after the eleventh second of the rally (30%). Therefore, the ability of an elite player lies in avoiding unforced errors in the first seconds of playing the rally [9].
As regards the male and female padel players in the Under 16 (U16) and Under 18 (U18) groups of the 2014 Spanish National Youth Championship, the activity of padel matches in young people was characterized by a longer duration of rallies, more shots per rally, and longer rest times than other racquet sports [18]. Specifically, the main results showed that U18 athletes, in relation to U16s, showed better physical conditions and higher technical qualities. The increase in age and experience is correlated, in both women and men, with an increase in the effort index and, consequently, in the physiological needs during physical activity, suggesting that balance and response time are fundamental characteristics of the elite player. Moreover special attention should be given to physical padel training, as well as psychological skills and execution behavior [9].

4.2. Physical Fitness

Body dynamics and anthropometric characteristics are linked with higher results in several sports, but most importantly in racket sports [10,32].
The height and arm span of a player are crucial, and high power is essential to complete the exchanges, taking advantage of the most powerful shots, which are those performed overhead [12]. In this context, taller padel players with higher muscle weights could execute very powerful strokes (which can sometimes take the ball out of the court, scoring a direct point) [10]. Height seems to be crucial in the effectiveness of a smash. Male players show a significantly higher height compared with female players (1.80 ± 0.06 m vs. 1.67 ± 0.06) [33].
Padel athletes usually shift their stance quickly and require high leg power to shift upper body weight quickly. For example, mid-range smashing skills (which occur in less than 10% of the match, but which are performed at high velocity) or volleys near the net (which occur in more than 30% of the match) are essential to increase the score. Consequently, an higher “core” strength is essential to execute potent shots [10].
Moreover, the presence of walls and gratings that surround the field that can be hit by the ball extends rally duration, and, therefore, the amount of actions and strokes is greater than other racket sports, such as badminton and tennis [9]. For these reasons, padel is considered to be an intermittent high-intensity sport, which alternates between high-frequency and low-intensity activities, interspersed with 1020 s rest in between [10,34].
While at non-professional levels, physical conditioning has low influence on the performance of the padel player, the increasing intensity of elite competitions makes strength and conditioning training a priority for success [10]. In more detail, a study conducted by Courel-Ibanez [35] on middle-aged adult women who play padel regularly reported an improved physical conditioning and body health compared with sedentary women, with a higher proprioception, strength, and cardiorespiratory endurance. Furthermore, they reported minor abdomen, hip circumference, and leg skinfold differences to sedentary women, lowering the risk of cardiac disorders, osteopenia, and back pain [35].
Male professional padel players are shown to have high levels of cardiopulmonary capability, upper body and grip strength, and rapidity, highlighting the role of padel in improving favorable adaptations in the cardiovascular system similarly to other sports [36,37]. Conversely, the players presented a low value of dynamical stability in the rear and front directions [7].
In detail, professional athletes train about 23.5 h a week, have an average height of 177.9 (4.0) and weight of 78.2 (8.5), with a fat mass percentage of 12.53 (4.83)%; furthermore, they have a VO2 max (mL/kg/min) of 55.43 (7.04) and a hand dynamometer power of 51.14 for the dominant hand [7].
The values of fat mass are comparable to the results of other racquet sports, where the range obtained was between 12% and 15%, and the energy expenditure is similar for tennis [7]. Significant differences between the sexes are reported in approximately all fitness indexes, particularly for the arm, both in maximum dynamical and explosive power.
Moreover, male padel players have greater explosive power than women, in line with competition requirements, in which there are quicker rallies and more powerful shots (smash). Since individualization represents an essential principle in training, coaches should consider the cardiorespiratory, strength, and agility values to optimize preparation and test procedures for the athletes [7].
Considering young players, both sexes showed comparable performance in the analyses, except for jumps [15]. Young padel players have a BMI (kg/m2) of 22.6 (3.4), with a % of fat mass (kg) of 19.7 (7.2). The strength values of the upper and lower limbs are lower than in other racquet sports [15,38], which is probably caused by the playing actions that are different to other racquet sports [18]. On the other hand, even in young players, padel may play a key role in improving body composition and mitigating the worrying level of obesity in young people [15,39].

4.3. Biochemical and Psychological Effects of a Padel Match

The biochemical and psychological impact of padel on health status have been recently investigated by Pradas et al. [25], who suggest that there is a positive influence of padel on brain health. In more detail, they found a significant increase in BDNF in a blood sample taken after a simulated padel match. BDNF is a fiber-derived peptide (myokine) produced by skeletal muscles and regulated by physical exercise [40] that plays a key role in neuroplasticity and can also influence the regulation of muscle metabolism, enhancing glucose consumption and fat oxidation, highlighting the biological neuroprotective and regenerative properties of sport in the central and peripheric nervous system.
On the other hand, intensive padel training can cause neuromuscular fatigue in handgrip strength tests, especially in women [23]. However, the data reported highlight that a simulated padel match did not raise the levels of neuromuscular fatigue in the lower limbs thanks to frequent pauses, highlighting the importance of recovery in reducing fatigue in high-intensity intermittent sports, including padel [41].
Pradas et al. reported a modification in urinary values after a padel match; specifically, they found a worsening of the urine-specific gravity, which is considered to be a valuable index for sports people’s hydration status, particularly in men [23]. The gender difference found could be due to an higher percentage of hypohydration in men [42] and the tendency of less sweating of female players (due to anthropometric and metabolic characteristics). Moreover, the same study reported an increment in microalbuminuria excretion in both genders, a parameter that normally increases after intense physical exercise [43], and which is caused by a reduction of lumen in the kidney arteries, slowing renal plasma flow throughout intense activity [44].
Alongside this, it is equally important for elite athletes to investigate mental fatigue. This state was defined by Van Custem et al. [45] as a psychobiological impairment caused by significant mental efforts that require a high cognitive and emotional commitment. This aspect is particularly relevant in padel, considering the significant amount of cognitive effort in seeking appropriate solutions in an unpredictable and high-speed environment [9]. The use of railings and walls raises the entropy and the variability of the technical–strategic reactions related to the highest increases in mental fatigue. Díaz-García et al. [22] demonstrated an increase in mental fatigue specifically if there were more consecutive games, confirming how adequate recovery time remains a cornerstone for preventing both neuromuscular and mental fatigue. Motivation, which during exercise increases the contribution of the facilitation system (improving the capacity of the athlete to tolerate exertion and improving physical performances), might decrease after a padel match, with negative emotions caused by performance dissatisfaction. Even reaction time, which according to Le Mansec et al. [46] consists of a cognitive part (attentiveness to feel the stimulus) and a neuromuscular part (quicker reaction), is reduced after a game due to the psychophysical effort required during the game. Filipas et al. [47] suggest that a specific conditioning regime improved athletes’ mental fatigue endurance in sports, and the intake of caffeine and creatine could have a positive effect [48], improving the availability of the extracellular adenosine in the brain [49]. However, mental fatigue improves in the following days due to the positive intervention of rest or sleep [49].

4.4. Risk of Injury and Rehabilitative Strategies

There is still little evidence in the current literature on this topic. The largest contribution has been provided by the study of Priego Quesada et al. [24], who investigated the injury rate in a regular season and the features of the injuries in a population of recreational padel players. The authors found no clear correlations between gender, age, frequency of paddle sessions, and athletes’ experience with the risk of sustaining an injury. Furthermore, there are conflicting results regarding the association between padel shoes and injury risk, and the topic requires further examination.
Two out of five padel players have suffered at least one injury during the last year. Among non-professional players, 53.1% of all injuries required more than a month of recovery.
The majority of padel injuries target the lower limbs (53.1%), and sprains were the most common lesions, classically consequent to an abrupt internal inversion and rotation when the player executes a change in direction. Such movements occur with a high frequency in padel.
Moreover, padel players reported a large percentage of upper limb injuries (37.5%). Considering that padel commonly implies overhead strokes (e.g., smashes), the majority of the padel injuries affect the shoulder and elbow, causing rotator cuff syndrome, subacromial impingement, bursitis, and epicondylitis. The difference in the proportion of upper extremity injuries in padel and other racquet sports may be due to the court being smaller than in tennis, which can increase the frequency of shots taken. This potential for greater repetition of the abduction–external rotation movements of the arm during these strikes could explain the higher rate of upper extremity injuries particularly in case of shoulder instability [50,51]. Thus, it could be considered mandatory an early diagnosis of the kinematic alterations to plan a global rehabilitative approach to the injury [51,52].
In addition, a Swedish study points out that the small area of the court, the proximity of the players, the size and speed of the ball, and the risk of unpredictable ball bounces represent risk factors for eye injuries, and propose the use of protective eyewear to reduce the number of eye injuries [26].
Therefore, figures such as the coach or the athletic trainer should introduce a prevention program of exercises for avoiding performance decreases or a stop in training caused by a lesion, mainly when the player is approaching sport periods [12]. The smaller court size in padel, as well as the quicker pace of play, may also lead to faster and more intense gameplay, which may contribute to injury risk [52,53,54], mostly if fatigue is coupled with improper technique [41,55]. In addition, the high intensity of running and jumping may affect the ability to control landings, and may consequently be associated with non-contact injury [56]. Furthermore, excessive training or exercise load may also be associated with injury risk, highlighting the need to focus on proper technique, rest, and recovery [54,57].
Complementary postural exercises and trunk “core” strength seems to be essential for avoiding injuries with long-term consequences [35], since the unilateral overhead sport nature of padel means that athletes are specialized in playing in a specific part of the field, which has a strong influence on game movements [30,35].
In this context, pre-season screening plays a key role, with pre-season tests, both clinical and instrumental (e.g., surface electromyography and inertial measurement unit), that could identify athletes’ deficits (e.g., neuromuscular or movement deficit) to target them with a rehabilitative strategy [58,59].
In summary, two out of five padel players experienced an injury in the past year and most of the injuries affected the lower limb, wherein ankle sprains were the most common injuries [24]. Moreover, rotator cuff diseases, subacromial impingement, bursitis, and epicondylitis are also common due to the nature of overhead play. The difference in the proportion of upper limb injuries in padel and other racket sports may be due to the court being smaller than in tennis, which can increase the frequency of shots taken [24]. Furthermore, the proximity of the players, the size and speed of the ball, and the risk of unpredictable ball bounces are risk factors for eye injuries, suggesting the use of protective eyewear.

4.5. Study Limitations

The present study is not free from limitations: firstly, we considered a small number of articles due to the low availability of scientific evidence; secondly, there is a lack of data on padel injuries and the correct rehabilitation strategy for these patients; lastly, considering that padel is a sport with a widespread practice in Latin American countries, we are aware that papers published only in the Spanish language have not been included in the present overview and could be considered for further studies.

5. Conclusions

Taken together, the results of this literature overview revealed that the intermittent high-intensity physical activity and continuous neuromuscular stimuli during padel matches might have relevant cardiovascular and psychological benefits for padel players. A player’s height and arm span play a crucial role in padel; furthermore, players typically need to change positions quickly and require high leg power to shift their upper body weight quickly. In this sense, a more powerful “core” is essential to perform effective shots. The biochemical and psychological effects of padel on one’s health have been reported, with a significant increase in BDNF. On the other hand, padel requires a considerable amount of cognitive effort and appropriate solutions in an unpredictable and high-speed environment. Despite the low evidence on injuries, special attention should be given to the ankle, shoulder, and elbow.
However, we should underline the high degree of heterogeneity in the studies and outcomes in the literature, despite the popularity gained in the recent years by this sport. This issue should be adequately addressed, considering that padel, given its attractiveness, could be considered to be an important health promoter with relevant implications in terms of active lifestyle and global health implementation. Thus, future studies should focus on the mechanisms of injury, prevention programs, and rehabilitation strategies for a better management of padel players.

Author Contributions

Conceptualization, A.D., A.d.S. and A.A.; methodology, A.d.S. and T.I.; formal analysis, A.D.; investigation, A.D. and R.S.; data curation, A.d.S. and N.M.; writing—original draft preparation, A.D. and A.d.S.; writing—review and editing, M.I. and A.A.; visualization, N.M., R.S., L.L., A.P., T.I., V.G., S.P. and M.L.; supervision, A.d.S. and A.A. All authors have read and agreed to the published version of the manuscript.

Funding

This research received no external funding.

Institutional Review Board Statement

Not applicable.

Informed Consent Statement

Not applicable.

Data Availability Statement

Not applicable.

Acknowledgments

We acknowledge the kind support of Andrea Rosario Lucisano and Samuel Claudio Fazio.

Conflicts of Interest

The authors declare no conflict of interest.

References

  1. Padel. Available online: https://en.wikipedia.org/wiki/Padel_(sport) (accessed on 6 March 2022).
  2. History of Padel—Padel Academy. Available online: https://www.padel.ac/history-of-padel/ (accessed on 6 March 2022).
  3. Escudero-Tena, A.; Sánchez-Alcaraz, B.J.; García-Rubio, J.; Ibáñez, S.J. Analysis of Game Performance Indicators during 2015–2019 World Padel Tour Seasons and Their Influence on Match Outcome. Int. J. Environ. Res. Public Health 2021, 18, 4904. [Google Scholar] [CrossRef] [PubMed]
  4. PadelFip—International Padel Federation. Available online: https://www.padelfip.com/ (accessed on 1 February 2022).
  5. Ramón-Llin, J.; Guzmán, J.F.; Llana, S.; Martínez-Gallego, R.; James, N.; Vučković, G. The Effect of the Return of Serve on the Server Pair’s Movement Parameters and Rally Outcome in Padel Using Cluster Analysis. Front. Psychol. 2019, 10, 1194. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  6. Javadiha, M.; Andujar, C.; Lacasa, E.; Ric, A.; Susin, A. Estimating Player Positions from Padel High-Angle Videos: Accuracy Comparison of Recent Computer Vision Methods. Sensors 2021, 21, 3368. [Google Scholar] [CrossRef] [PubMed]
  7. Pradas, F.; Sánchez-Pay, A.; Muñoz, D.; Sánchez-Alcaraz, B.J. Gender Differences in Physical Fitness Characteristics in Professional Padel Players. Int. J. Environ. Res. Public Health 2021, 18, 5967. [Google Scholar] [CrossRef] [PubMed]
  8. McGarry, T.; Anderson, D.I.; Wallace, S.A.; Hughes, M.D.; Franks, I.M. Sport Competition as a Dynamical Self-Organizing System. J. Sports Sci. 2002, 20, 771–781. [Google Scholar] [CrossRef]
  9. Courel-Ibáñez, J.; Sánchez-Alcaraz Martínez, B.J.; Cañas, J. Game Performance and Length of Rally in Professional Padel Players. J. Hum. Kinet. 2017, 55, 161–169. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  10. Sánchez-Muñoz, C.; Muros, J.J.; Cañas, J.; Courel-Ibáñez, J.; Sánchez-Alcaraz, B.J.; Zabala, M. Anthropometric and Physical Fitness Profiles of World-Class Male Padel Players. Int. J. Environ. Res. Public Health 2020, 17, 508. [Google Scholar] [CrossRef] [Green Version]
  11. Courel-Ibáñez, J.; Herrera-Gálvez, J.J. Fitness Testing in Padel: Performance Differences according to Players’ Competitive Level. Sci. Sports 2020, 35, e11–e19. [Google Scholar] [CrossRef]
  12. Courel-Ibáñez, J.; Sánchez-Alcaraz Martinez, B.J.; Muñoz Marín, D. Exploring Game Dynamics in Padel: Implications for Assessment and Training. J. Strength Cond. Res. 2019, 33, 1971–1977. [Google Scholar] [CrossRef]
  13. Petway, A.J.; Freitas, T.T.; Calleja-González, J.; Medina Leal, D.; Alcaraz, P.E. Training load and match-play demands in basketball based on competition level: A systematic review. PLoS ONE 2020, 15, e0229212. [Google Scholar] [CrossRef] [Green Version]
  14. von Elm, E.; Altman, D.G.; Egger, M.; Pocock, S.J.; Gøtzsche, P.C.; Vandenbroucke, J.P. STROBE Initiative The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for Reporting Observational Studies. J. Clin. Epidemiol. 2008, 61, 344–349. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  15. Courel-Ibáñez, J.; Llorca-Miralles, J. Physical Fitness in Young Padel Players: A Cross-Sectional Study. Int. J. Environ. Res. Public Health 2021, 18, 2658. [Google Scholar] [CrossRef]
  16. Sánchez-Alcaraz, B.J.; Martínez-Gallego, R.; Llana, S.; Vučković, G.; Muñoz, D.; Courel-Ibáñez, J.; Sánchez-Pay, A.; Ramón-Llin, J. Ball Impact Position in Recreational Male Padel Players: Implications for Training and Injury Management. Int. J. Environ. Res. Public Health 2021, 18, 435. [Google Scholar] [CrossRef] [PubMed]
  17. Sánchez-Alcaraz, B.J.; Perez-Puche, D.T.; Pradas, F.; Ramón-Llín, J.; Sánchez-Pay, A.; Muñoz, D. Analysis of Performance Parameters of the Smash in Male and Female Professional Padel. Int. J. Environ. Res. Public Health 2020, 17, 7027. [Google Scholar] [CrossRef] [PubMed]
  18. García-Benítez, S.; Courel-Ibáñez, J.; Pérez-Bilbao, T.; Felipe, J.L. Game Responses during Young Padel Match Play: Age and Sex Comparisons. J. Strength Cond. Res. 2018, 32, 1144–1149. [Google Scholar] [CrossRef]
  19. Ramón-Llin, J.; Guzmán, J.; Martínez-Gallego, R.; Vučković, G.; Muñoz, D.; Sánchez-Alcaraz, B.J. Comparison of Service Tactic Formation on Players’ Movements and Point Outcome between National and Beginner Level Padel. PLoS ONE 2021, 16, e0250225. [Google Scholar] [CrossRef] [PubMed]
  20. Escudero-Tena, A.; Fernández-Cortes, J.; García-Rubio, J.; Ibáñez, S.J. Use and Efficacy of the Lob to Achieve the Offensive Position in Women’s Professional Padel. Analysis of the 2018 WPT Finals. Int. J. Environ. Res. Public Health 2020, 17, 4061. [Google Scholar] [CrossRef] [PubMed]
  21. Ramón-Llin, J.; Guzmán, J.; Martínez-Gallego, R.; Muñoz, D.; Sánchez-Pay, A.; Sánchez-Alcaraz, B.J. Stroke Analysis in Padel according to Match Outcome and Game Side on Court. Int. J. Environ. Res. Public Health 2020, 17, 7838. [Google Scholar] [CrossRef]
  22. Díaz-García, J.; González-Ponce, I.; López-Gajardo, M.Á.; Van Cutsem, J.; Roelands, B.; García-Calvo, T. How Mentally Fatiguing Are Consecutive World Padel Tour Matches? Int. J. Environ. Res. Public Health 2021, 18, 9059. [Google Scholar] [CrossRef]
  23. Pradas, F.; García-Giménez, A.; Toro-Román, V.; Ochiana, N.; Castellar, C. Gender Differences in Neuromuscular, Haematological and Urinary Responses during Padel Matches. Int. J. Environ. Res. Public Health 2021, 18, 5864. [Google Scholar] [CrossRef] [PubMed]
  24. Priego Quesada, J.I.; Sanchís Almenara, M.; Kerr, Z.Y.; Alcantara, E. Examination of the Risk Factors Associated with Injured Recreational Padel Players in Spain. J. Sports Med. Phys. Fit. 2018, 58, 98–105. [Google Scholar] [CrossRef]
  25. Pradas, F.; Cádiz, M.P.; Nestares, M.T.; Martínez-Díaz, I.C.; Carrasco, L. Effects of Padel Competition on Brain Health-Related Myokines. Int. J. Environ. Res. Public Health 2021, 18, 6042. [Google Scholar] [CrossRef]
  26. Thörnland, C.; Jakobsson, G. Eye injuries related to padel. Lakartidningen 2021, 118, 21001. [Google Scholar] [PubMed]
  27. Gabin, B.; Camerino, O.; Anguera, M.T.; Castañer, M. Lince: Multiplatform Sport Analysis Software. Procedia-Soc. Behav. Sci. 2012, 46, 4692–4694. [Google Scholar] [CrossRef]
  28. Silva, R.; Rico-González, M.; Lima, R.; Akyildiz, Z.; Pino-Ortega, J.; Clemente, F.M. Validity and Reliability of Mobile Applications for Assessing Strength, Power, Velocity, and Change-of-Direction: A Systematic Review. Sensors 2021, 21, 2623. [Google Scholar] [CrossRef]
  29. Courel-Ibáñez, J.; Sánchez-Alcaraz, J.B.; Cañas, J. Effectiveness at the Net as a Predictor of Final Match Outcome in Professional Padel Players. Null 2015, 15, 632–640. [Google Scholar] [CrossRef]
  30. Courel-Ibáñez, J.; Alcaraz-Martínez, B.J.S. The Role of Hand Dominance in Padel: Performance Profiles of Professional Players. Motricidade 2018, 14, 33–41. [Google Scholar] [CrossRef]
  31. Söğüt, M. Stature: Does It Really Make a Difference in Match-Play Outcomes among Professional Tennis Players? Int. J. Perform. Anal. Sport 2018, 18, 255–261. [Google Scholar] [CrossRef]
  32. Muñoz, D.; Ibáñez, J.C.; Pay, A.S.; Martínez, b.j.s.a. La altura como factor de rendimiento en pádel profesional: Diferencias entre géneros. Acción Mot. 2022, 29, 93–103. [Google Scholar]
  33. Carrasco, L.; Romero, S.; Sañudo, B.; de Hoyo, M. Game Analysis and Energy Requirements of Paddle Tennis Competition. Sci. Sports 2011, 26, 338–344. [Google Scholar] [CrossRef] [Green Version]
  34. Courel-Ibáñez, J.; Cordero, J.C.; Muñoz, D.; Sánchez-Alcaraz, B.J.; Grijota, F.J.; Robles, M.C. Fitness Benefits of Padel Practice in Middle-Aged Adult Women. Sci. Sports 2018, 33, 291–298. [Google Scholar] [CrossRef]
  35. Sarmento, H.; Manuel Clemente, F.; Marques, A.; Milanovic, Z.; David Harper, L.; Figueiredo, A. Recreational Football Is Medicine against Non-Communicable Diseases: A Systematic Review. Scand. J. Med. Sci. Sports 2020, 30, 618–637. [Google Scholar] [CrossRef] [PubMed]
  36. Bangsbo, J.; Hansen, P.R.; Dvorak, J.; Krustrup, P. Recreational Football for Disease Prevention and Treatment in Untrained Men: A Narrative Review Examining Cardiovascular Health, Lipid Profile, Body Composition, Muscle Strength and Functional Capacity. Br. J. Sports Med. 2015, 49, 568–576. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  37. Fernandez-Fernandez, J.; Nakamura, F.Y.; Moreno-Perez, V.; Lopez-Valenciano, A.; Del Coso, J.; Gallo-Salazar, C.; Barbado, D.; Ruiz-Perez, I.; Sanz-Rivas, D. Age and Sex-Related Upper Body Performance Differences in Competitive Young Tennis Players. PLoS ONE 2019, 14, e0221761. [Google Scholar] [CrossRef] [Green Version]
  38. Kercher, V.M.; Kercher, K.; Bennion, T.; Yates, B.A.; Feito, Y.; Alexander, C.; Amaral, P.C.; Soares, W.; Li, Y.-M.; Han, J.; et al. Fitness Trends From Around the Globe. ACSM’s Health Fit. J. 2021, 25, 20–31. [Google Scholar] [CrossRef]
  39. Knaepen, K.; Goekint, M.; Heyman, E.M.; Meeusen, R. Neuroplasticity—Exercise-Induced Response of Peripheral Brain-Derived Neurotrophic Factor: A Systematic Review of Experimental Studies in Human Subjects. Sports Med. 2010, 40, 765–801. [Google Scholar] [CrossRef]
  40. Girard, O.; Lattier, G.; Maffiuletti, N.A.; Micallef, J.-P.; Millet, G.P. Neuromuscular Fatigue during a Prolonged Intermittent Exercise: Application to Tennis. J. Electromyogr. Kinesiol. 2008, 18, 1038–1046. [Google Scholar] [CrossRef]
  41. Volpe, S.L.; Poule, K.A.; Bland, E.G. Estimation of Prepractice Hydration Status of National Collegiate Athletic Association Division I Athletes. J. Athl. Train. 2009, 44, 624–629. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  42. Poortmans, J.R.; Rampaer, L.; Wolfs, J.C. Renal Protein Excretion after Exercise in Man. Eur. J. Appl. Physiol. Occup. Physiol. 1989, 58, 476–480. [Google Scholar] [CrossRef]
  43. Holmes, F.C.; Hunt, J.J.; Sevier, T.L. Renal Injury in Sport. Curr. Sports Med. Rep. 2003, 2, 103–109. [Google Scholar] [CrossRef] [PubMed]
  44. Van Cutsem, J.; Marcora, S.; De Pauw, K.; Bailey, S.; Meeusen, R.; Roelands, B. The Effects of Mental Fatigue on Physical Performance: A Systematic Review. Sports Med. 2017, 47, 1569–1588. [Google Scholar] [CrossRef] [Green Version]
  45. Le Mansec, Y.; Dorel, S.; Nordez, A.; Jubeau, M. Is Reaction Time Altered by Mental or Physical Exertion? Eur. J. Appl. Physiol. 2019, 119, 1323–1335. [Google Scholar] [CrossRef] [PubMed]
  46. Filipas, L.; Martin, K.; Northey, J.M.; La Torre, A.; Keegan, R.; Rattray, B. A 4-Week Endurance Training Program Improves Tolerance to Mental Exertion in Untrained Individuals. J. Sci. Med. Sport 2020, 23, 1215–1219. [Google Scholar] [CrossRef] [PubMed]
  47. Van Cutsem, J.; De Pauw, K.; Marcora, S.; Meeusen, R.; Roelands, B. A Caffeine-Maltodextrin Mouth Rinse Counters Mental Fatigue. Psychopharmacology 2018, 235, 947–958. [Google Scholar] [CrossRef] [Green Version]
  48. Martin, K.; Meeusen, R.; Thompson, K.G.; Keegan, R.; Rattray, B. Mental Fatigue Impairs Endurance Performance: A Physiological Explanation. Sports Med. 2018, 48, 2041–2051. [Google Scholar] [CrossRef]
  49. Pageaux, B.; Lepers, R. The Effects of Mental Fatigue on Sport-Related Performance. Prog. Brain Res. 2018, 240, 291–315. [Google Scholar] [CrossRef] [PubMed]
  50. Riccio, I.; de Sire, A.; Latte, C.; Pascarella, F.; Gimigliano, F. Conservative treatment of traumatic shoulder instability: A case series study. Musculoskelet Surg. 2015, 99, 133–137. [Google Scholar] [CrossRef] [PubMed]
  51. van der Hoeven, H.; Kibler, W.B. Shoulder Injuries in Tennis Players. Br. J. Sports Med. 2006, 40, 435–440. [Google Scholar] [CrossRef]
  52. Demeco, A.; de Sire, A.; Marotta, N.; Palumbo, A.; Fragomeni, G.; Gramigna, V.; Pellegrino, R.; Moggio, L.; Petraroli, A.; Iona, T.; et al. Effectiveness of Rehabilitation through Kinematic Analysis of Upper Limb Functioning in Wheelchair Basketball Athletes: A Pilot Study. Appl. Sci. 2022, 12, 2929. [Google Scholar] [CrossRef]
  53. Genevois, C.; Reid, M.; Rogowski, I.; Crespo, M. Performance Factors Related to the Different Tennis Backhand Groundstrokes: A Review. J. Sports Sci. Med. 2015, 14, 194–202. [Google Scholar]
  54. de Sire, A.; Marotta, N.; Lippi, L.; Scaturro, D.; Farì, G.; Liccardi, A.; Moggio, L.; Letizia Mauro, G.; Ammendolia, A.; Invernizzi, M. Pharmacological Treatment for Acute Traumatic Musculoskeletal Pain in Athletes. Medicina 2021, 57, 1208. [Google Scholar] [CrossRef] [PubMed]
  55. McCall, A.; Carling, C.; Nedelec, M.; Davison, M.; Le Gall, F.; Berthoin, S.; Dupont, G. Risk Factors, Testing and Preventative Strategies for Non-Contact Injuries in Professional Football: Current Perceptions and Practices of 44 Teams from Various Premier Leagues. Br. J. Sports Med. 2014, 48, 1352–1357. [Google Scholar] [CrossRef] [PubMed]
  56. Jacobsson, J.; Timpka, T.; Kowalski, J.; Nilsson, S.; Ekberg, J.; Dahlström, Ö.; Renström, P.A. Injury Patterns in Swedish Elite Athletics: Annual Incidence, Injury Types and Risk Factors. Br. J. Sports Med. 2013, 47, 941–952. [Google Scholar] [CrossRef] [PubMed]
  57. García-Pérez, J.A.; Pérez-Soriano, P.; Llana Belloch, S.; Lucas-Cuevas, A.G.; Sánchez-Zuriaga, D. Effects of Treadmill Running and Fatigue on Impact Acceleration in Distance Running. Sports Biomech. 2014, 13, 259–266. [Google Scholar] [CrossRef] [PubMed]
  58. de Sire, A.; Marotta, N.; Demeco, A.; Moggio, L.; Paola, P.; Marotta, M.; Iona, T.; Invernizzi, M.; Leigheb, M.; Ammendolia, A. Electromyographic Assessment of Anterior Cruciate Ligament Injury Risk in Male Tennis Players: Which Role for Visual Input? A Proof-of-Concept Study. Diagnostics 2021, 11, 997. [Google Scholar] [CrossRef] [PubMed]
  59. de Sire, A.; Demeco, A.; Marotta, N.; Moggio, L.; Palumbo, A.; Iona, T.; Ammendolia, A. Anterior Cruciate Ligament Injury Prevention Exercises: Could a Neuromuscular Warm-Up Improve Muscle Pre-Activation before a Soccer Game? A Proof-of-Principle Study on Professional Football Players. Appl. Sci. 2021, 11, 4958. [Google Scholar] [CrossRef]
Ijerph 19 04153 g001 550
Figure 1. Smash is one of the most used and effective overhead strokes.
Figure 1. Smash is one of the most used and effective overhead strokes.
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Figure 2. PRISMA flow diagram.
Figure 2. PRISMA flow diagram.
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Figure 3. Game stroke strategies during a Padel match based on game dynamics.
Figure 3. Game stroke strategies during a Padel match based on game dynamics.
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Table
Table 1. Main characteristics of the included studies.
Table 1. Main characteristics of the included studies.
ArticleNationality DesignParticipants AimProcedureMain Outcomes
Sánchez-Alcaraz et al., 2021 [16]SpainSystematic observationMale padel players (n = 48; 24
trained and 24 novice).		To determine the differences in ball impact positions regarding nine stroke typesType of stroke and ball impact position were registered using a computerized motion racking video systemResults showed that trained players hit the ball in a more backward position in serve and offensive shots but used more forward strokes in defensive shots.
Sánchez-Alcaraz et al., 2020 [17]SpainSystematic observationProfessional padel players (n = 20)To analyze the distribution and effectiveness of the different types of smashes Identification of the variables (type of smash, shot effectiveness, hitting zone, and shot direction) through use of observational instrument softwareThe tray was the most commonly used smash. Female players used more tray and fewer flat and topspin smashes than male players. Men executed a significantly higher percentage of winning smashes than women. Flat smashes and off the wall smashes were predominantly down the line strokes and women performed significantly more cross-court topspin smashes than men.
Courel-Ibáñez et al., 2019 [12]SpainSystematic observationMale professional padel players (n = 4)To assess emerging players’ responses within a natural competitive environmentGame dynamics were analyzed regarding the technical (groundstroke type, swing, and height), spatial (depth and laterality), and effectiveness indicators through Lince video analysis softwareThe results revealed three main game styles influenced by the court zone (net, middle, and baseline). In net and middle areas (offence) stood the use of volleys and overhead strokes on the center lane to keep a positional advantage and solve the point. Conversely, in the baseline (defense), the use of corner side walls and the domain of lobs showed to be relevant.
García-Benítez et al., 2018 [18]SpainSystematic observationYoung padel players (n = 32)To assess match activity profile and temporal structure The activity profile was determined by filming each match with two video cameras positioned 2 m from the back of the court Young athletes playing longer rallies had a longer resting interval time resulting in a lower effort index. Results revealed an increment on match requirements in under 18 players compared with under 16 s.
Escudero-Tena et al., 2021 [3]SpainObservational study1070 sets from 532 matchesTo analyze performance indicators and their influence on match outcomes regarding sex, tournament round, and set numberThe matches were downloaded from the official channel of the World Padel Tour and analyzed through Lince video analysis softwareWinning couples showed a significantly higher number of break points won, total break points, smash winners, total smashes, total winners, volley winners, and significantly fewer errors in both men and women.
Ramón-Llin et al., 2021 [19]SpainSystematic observationPadel players (n = 72) To analyze the influence of service tactic formation on players’ movements and point outcome at two different performance levelsTwo digital videocameras were used to film the matches; players and ball coordinates were analysed using a computerized motion tracking system (SAGIT/Squash)Elite players had a significantly higher usgae share of the Australian formation compared with novices. Servers were significantly closer to the net and the side wall using a conventional formation when the returner hit the ball. Furthermore, servers had to move quicker when they used the Australian formation.
Courel-Ibáñez et al., 2017 [9]SpainSystematic observation1527 rallies from 10 male matches To analyze differences in rally length considering attack effectiveness, players’ locations and game outcomesThe matches were analyzed from the official YouTube channel of the World Padel Tour; data were collected through systematic observationWinning pairs played longer rallies than losers. In detail, most winners’ errors were made at the net, while most points were scored at the baseline. Winners played longer rallies compared to losers, resulting in better performance.
Escudero-Tena et al., 2020 [20]SpainObservational studyWomen players in the 2018 World Padel Tour (WPT) (n = 10) To analyze game dynamics considering padel strokesThe instruments and materials used in the research were an “ad hoc” observation sheet; the LINCE software was used for video analysis [27]The lob is the most frequently utilized and valid shot of women in the defensive position, who use it to pass the offensive position of the opponents.
Ramón-Llin et al., 2020 [21]SpainSystematic observationPadel players (n = 24) performed 8441 shots from 9 matches To analyze the distribution of padel strokes, their effectiveness, direction, and court zoneTwo digital video cameras were used to film the matches; the data were recorded, using specific software for video analysis: LINCE softwareWinning couples made a significantly higher number of winning and cross-court smashes and volleys from the offensive zone. Furthermore, players on the left side executed a higher percentage of cross-court and winning shots than the players on the right side.
Priego Quesada et al., 2018 [24]SpainRetrospective studyRecreational padel players (n = 80)To examine the association between intrinsic/extrinsic factors and injury in recreational padel players.Retrospective self-administered questionnaire40.0% of the players suffered at least one injury during the past year. Sex, age, frequency of padel sessions/week, and years of padel experience were not correlated with injuries.
Thörnland et al., 2021 [26]SwedenCase reportsPadel players (n = 3)To describe three cases of blunt eye trauma Three cases of eye injuries during padel games were described and subsequently examined and treated surgicallyThe size and velocity of the ball, the risk of unpredictable bounces of the ball, and the relatively close distance between the players are important risk factors. The most effective method of reducing the amount of eye injuries is the use of protective eyewear.
Pradas–Sánchez-Pay A, et al., 2021 [7]SpainCross-sectional studyProfessional padel players (n = 30)To examine the fitness characteristics of professional padel players and to determine differences in physical performance regarding players’ genderThe analysis was conducted on data collected during a national players’ meeting using a series of standard anthropometric and physical performance testsMale players showed better values in terms of weight, height, one repetition maximum, jump test, and VO2 max test than the women. By contrast, the women had higher levels for fat mass. Males have higher explosive strength and more explosive shots than the females players.
Pradas–Cádiz et al., 2021 [25]SpainObservational studyTrained padel players (n = 24)To evaluate the responses of brain-derived neurotrophic factor (BDNF), leukemia inhibitory factor (LIF), and irisin (IR) to padel competition in trained playersCirculating levels of BDNF, LIF, and IR were measured before and after simulated padel competitionThe results suggest that competitive padel practice induces a slight but significant response of BDNF in female players. However, padel competition did not influence the release of LIF and IR.
Díaz-García et al., 2021 [22]SpainObservational studyProfessional padel player (n = 14) To quantify the evolution of mental fatigue, motivation and reaction time during a WPT competitionMental fatigue and motivation and reaction time, with a 3 min Psychomotor Vigilance Test, were assessed at two time intervalsA rise in mental fatigue after the match was detected, with an accumulation of mental fatigue between matches played on day 1, maximizing the mental fatigue perceived during match 2.
Pradas et al., 2021 [23]SpainObservational studyHigh-level padel players (n = 28)To evaluate neuromuscular, urinary, and hematological responses after simulated padel competition and analyze possible gender differencesNeuromuscular, hematological, and urinary parameters were analyzed before and after a simulated gameSignificant gender differences were found in neuromuscular and hematological responses, with men showing higher values. After a simulated game, ABK and microalbuminuria levels changed. The impairment in hand grip strength, SJ, CMJ, and ABK was higher for men than women. The simulated game negatively affected the neuromuscular parameters.
Sánchez-Muñoz et al., 2020 [10]SpainCross-sectional studyMale padel players (n = 60)To describe and compare the anthropometric and physical fitness of male padel players according to their competitive levelAnthropometric variables, hand grip and lumbar isometric strength, flexibility, and lower-body muscular strength were analyzedElite athletes presented lower levels than subelite players for thigh and calf skinfolds. Elite players show significantly lower levels of body fat and thigh fat area, and significantly higher lumbar isometric strength. Endo-mesomorphic is the somatotype of the elite padel athletes.
Courel-Ibáñez et al., 2021 [15]SpainCross-sectional studyPadel players (n = 34)To examine the fitness characteristics and to identify the influence of gender and practice experience between young amateur padel playersBody composition was measured through bioimpedance; change in direction and agility were assessed by two padel-adapted testsMale and female young padel players showed a healthy body composition and comparable results in all fitness analyses excepting for jumps.
Table
Table 2. Methodological assessment of the included studies.
Table 2. Methodological assessment of the included studies.
ArticlesCriteria for the Quality ScoringScore
12345678910
Sánchez-Alcaraz et al., 2021111111111110
Sánchez-Alcaraz et al., 2020111111111110
Courel-Ibáñez et al., 201711111011108
García-Benítez et al., 201711111111109
Ramón-Llin et al., 2021111111111110
Courel-Ibáñez et al., 201711111111109
Escudero-Tena et al., 202011111010118
Escudero-Tena et al., 2021111111111110
Ramón-Llin et al., 2020111111111110
Priego Quesa et al., 201611111111109
Thörnland et al., 202111100010105
Pradas–Sánchez-Pay A et al., 2021111111111110
Pradas–Cádiz et al., 2021111111111110
Díaz-García et al., 2021111111111110
Pradas et al., 2021111111111110
Sánchez-Muñoz et al., 2020111111111110
Courel-Ibáñez et al., 2021111111111110
The abstract is informative and balanced (1); presence of specific objectives, including any prespecified hypotheses (2); presence of the eligibility criteria (3); for the variables of interest, presence of sources of data and characteristic of measurement methods, and description of equivalence of methods when there are two or more groups (4); explains if variables were quantitative (5); outlines characteristics of study population (6); highlights key results based on study aim (7); presence of limitations of the study (8); careful interpretation of results, reflecting objectives, similar articles, and other relevant evidence (9); funding statement (10).
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Demeco, A.; de Sire, A.; Marotta, N.; Spanò, R.; Lippi, L.; Palumbo, A.; Iona, T.; Gramigna, V.; Palermi, S.; Leigheb, M.; et al. Match Analysis, Physical Training, Risk of Injury and Rehabilitation in Padel: Overview of the Literature. Int. J. Environ. Res. Public Health 2022, 19, 4153. https://doi.org/10.3390/ijerph19074153

AMA Style

Demeco A, de Sire A, Marotta N, Spanò R, Lippi L, Palumbo A, Iona T, Gramigna V, Palermi S, Leigheb M, et al. Match Analysis, Physical Training, Risk of Injury and Rehabilitation in Padel: Overview of the Literature. International Journal of Environmental Research and Public Health. 2022; 19(7):4153. https://doi.org/10.3390/ijerph19074153

Chicago/Turabian Style

Demeco, Andrea, Alessandro de Sire, Nicola Marotta, Riccardo Spanò, Lorenzo Lippi, Arrigo Palumbo, Teresa Iona, Vera Gramigna, Stefano Palermi, Massimiliano Leigheb, and et al. 2022. "Match Analysis, Physical Training, Risk of Injury and Rehabilitation in Padel: Overview of the Literature" International Journal of Environmental Research and Public Health 19, no. 7: 4153. https://doi.org/10.3390/ijerph19074153

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