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Sports, Volume 13, Issue 12 (December 2025) – 45 articles

Cover Story (view full-size image): This systematic review and network meta‑analysis evaluated the effects of different exercise modalities on cortisol levels in adults with psychological distress. The review included 44 randomized controlled trials and found that yoga showed the greatest effect, followed by qigong. Dose‑response analysis revealed an inverted U‑shaped relationship, with optimal cortisol reduction observed at approximately 530 MET‑min/week and greater benefits from longer intervention durations. These findings suggest that exercise, particularly mind–body practices, can help regulate hypothalamic–pituitary–adrenal activity in individuals with psychological distress, supporting its role as a non‑pharmacological strategy for stress modulation. View this paper
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20 pages, 351 KB  
Review
Yoga for Neurodegenerative Disorders: Therapeutic Effects, Mechanisms, and Applications in Alzheimer’s and Parkinson’s Disease
by Federico Zoila, Maria Ida de Stefano, Alessia Sgobbio, Maria Antonietta Panaro, Angela Bruna Maffione, Laura Antonucci, Tarek Benameur, Michele Massaro, Socorro Vanesca Frota Gaban, Francesca Martina Filannino and Chiara Porro
Sports 2025, 13(12), 458; https://doi.org/10.3390/sports13120458 - 18 Dec 2025
Viewed by 771
Abstract
Neurodegenerative diseases (NDs) such as Alzheimer’s disease (AD) and Parkinson’s disease (PD) represent a growing global health concern with no definitive cure. Increasing evidence suggests that mind–body practices like yoga may offer neuroprotective benefits by modulating stress, neuroinflammation, and neuroplasticity. This narrative review [...] Read more.
Neurodegenerative diseases (NDs) such as Alzheimer’s disease (AD) and Parkinson’s disease (PD) represent a growing global health concern with no definitive cure. Increasing evidence suggests that mind–body practices like yoga may offer neuroprotective benefits by modulating stress, neuroinflammation, and neuroplasticity. This narrative review explores the clinical outcomes, mechanistic insights, and biomarker evidence supporting yoga as a therapeutic intervention for AD and PD. Different studies indicate that regular yoga improves motor and cognitive functions, mood, and quality of life in affected individuals. At the molecular level, yoga enhances neurotrophic factors such as brain-derived neurotrophic factor (BDNF), reduces pro-inflammatory cytokines (e.g., IL-6, TNF-α), mitigates oxidative stress, and may preserve gray matter volume in key brain regions. These findings support the hypothesis that yoga induces favorable neuroplastic adaptations that may slow neurodegeneration. Despite encouraging early results, heterogeneity in study design, intervention duration, and sample size issues have limited the incorporation of neuroimaging and biomarker endpoints, which means further studies are warranted to clarify yoga’s therapeutic potential and mechanism in ND management. Full article
16 pages, 2034 KB  
Article
Differential Balance Enhancements Associated with Conventional Balance Training and Portable Slackline Board Training: A Randomized Controlled Trial
by Trent Yamamoto, Joshua A. Kidwell, Vishruth Shatagopam, Kyle J. Hetherton, Eric V. Neufeld and Brett A. Dolezal
Sports 2025, 13(12), 457; https://doi.org/10.3390/sports13120457 - 18 Dec 2025
Viewed by 374
Abstract
Compromised balance is implicated with increased injury risk in athletes. Although multiple modalities are available to improve balance, investigation into slackline balance training (SLT) has remained limited, especially in regard to elite athletes. The primary aim of this study was to determine the [...] Read more.
Compromised balance is implicated with increased injury risk in athletes. Although multiple modalities are available to improve balance, investigation into slackline balance training (SLT) has remained limited, especially in regard to elite athletes. The primary aim of this study was to determine the effects of SLT, using a novel portable slacklining board, on static and dynamic balance. Thirty male NCAA Division I American football athletes were randomized into one of three groups: a control group (CON) who received no balance training, a group undergoing conventional balance training (CBT), or SLT. Each group trained thrice weekly for eight weeks. Body mass, in addition to sway path length on three surfaces and the modified Star Excursion Balance Test (mSEBT), was assessed before and after the training period. Improvements in static and dynamic balance were observed in CBT and SLT compared to CON (p < 0.05). Notably, superior balance enhancements were observed in SLT relative to CBT in wobble board sway path length (p < 0.031), posteromedial mSEBT performance (p < 0.05), and composite mSEBT scores (p = 0.033). These results are the first to suggest that SLT may confer balance benefits in elite American football players that are comparable and, in some conditions, superior to those associated with CBT. Full article
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10 pages, 470 KB  
Article
Between-Session Reliability of Portable Isometric Mid-Thigh Pull and Countermovement Jump Tests in Elite Male Ice Hockey Players from the Swedish Hockey League
by Manne Godhe, Sebastian Bergman and Henrik Petré
Sports 2025, 13(12), 456; https://doi.org/10.3390/sports13120456 - 18 Dec 2025
Viewed by 451
Abstract
This study investigated the test–retest reliability of strength and power-related measures assessed with a portable IMTP set-up and with CMJ in elite ice hockey players from the Swedish Hockey League. Twenty-two male ice hockey players (age: 26.8 ± 5.1 yr; height: 184.5 ± [...] Read more.
This study investigated the test–retest reliability of strength and power-related measures assessed with a portable IMTP set-up and with CMJ in elite ice hockey players from the Swedish Hockey League. Twenty-two male ice hockey players (age: 26.8 ± 5.1 yr; height: 184.5 ± 3.9 cm; body mass: 88.6 ± 5.7 kg) participated in this study. The participants performed three maximal IMTP and CMJ trials on two separate occasions. Absolute and relative variables from the portable IMTP (force and rate of force development) and CMJ (force, power, velocity, impulse, jump height, time to peak force, time to peak power, concentric duration and eccentric duration) were obtained using force plates. Excellent reliability (ICC > 0.90; CV < 5%) was observed for multiple CMJ parameters, such as peak force (ICC = 0.94; CV = 2.7%), concentric and eccentric impulse (ICC = 0.96; CV = 1.4% resp. ICC = 0.95; CV = 2.9%) and CMJ peak power (ICC = 0.93; CV = 2.3%). IMTP peak force also demonstrated excellent reliability (ICC = 0.95; CV = 2.4%). IMTP rate of force development variables yielded reliability ranging from poor to moderate (CV = 12.9–54.6%). CMJ and portable IMTP provide highly reliable assessments of most strength and power-related variables in elite male ice hockey players. While absolute peak impulse, velocity and force, power and concentric duration displayed the highest reliability and should be prioritized, RFD variables require cautious interpretation due to high variability. Full article
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12 pages, 818 KB  
Systematic Review
“All Hands on Deck”: A Systematic Review of Concussion Guidelines Across All Sailing Sports and a Call to Action
by Isabelle Graham, Ffion Taylor and Neil Heron
Sports 2025, 13(12), 455; https://doi.org/10.3390/sports13120455 - 18 Dec 2025
Viewed by 287
Abstract
Background: Sports-related concussions are complex, traumatic brain injuries as a result of a sporting accident. Prompt diagnosis and assessment with the use of diagnostic protocols help provide athletes with the appropriate management to minimise acute and chronic implications. Objective: The objective of this [...] Read more.
Background: Sports-related concussions are complex, traumatic brain injuries as a result of a sporting accident. Prompt diagnosis and assessment with the use of diagnostic protocols help provide athletes with the appropriate management to minimise acute and chronic implications. Objective: The objective of this systematic review is to review the current sailing concussion assessment and diagnostic guidelines and consequently propose a sailing concussion assessment and diagnostic protocol to use. Methods: Sailing organisations such as “World Sailing” were used to find current guidelines used in the sailing community. Electronic databases such as Google Scholar, Springer Link, and PubMed were used to identify relevant scientific papers. Keywords included “sailing”, “concussion”, “guidelines”, “sailing legislation”, and “sports-related concussion”. This systematic review is not limited to a specific sailing subtype. We included papers discussing concussion guidelines and excluded studies with no relevance to sports related concussions and without relevant guideline use. Findings were summarised in in text and tables. Results: While there is much research discussing head injuries in sailing, there is no literature specifically discussing protocols and guidance for concussion diagnosis and management in sailing-related concussions. Six concussion protocol papers are discussed. The World Sailing website advises individuals to use the CRT5 guidelines to assess a suspected concussion, which have been outdated by CRT6. While there are currently no standardised sailing-specific concussion assessment tools available, this review proposes a possible approach, introducing the concussion protocol used in the professional sailing league, SailGP. A sport-specific protocol is vital in addressing the specific risks associated with a sailing-related concussion. Conclusions: Concussions are a considerable risk in sailing due to the unique nature of the sport. Due to the lack of standardised concussion guidelines within the sailing community, a standardised, sport-specific concussion assessment tool, such as the one described for SailGP, should be developed through collaboration between medical professionals and sailing organisations. Full article
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10 pages, 616 KB  
Article
Competition Stress Prolongs Exercise Recovery in Female Division I Collegiate Soccer Players
by Courtney D. Jensen, Ryann L. Martinez, Nathaniel J. Holmgren and Alexis C. King
Sports 2025, 13(12), 454; https://doi.org/10.3390/sports13120454 - 16 Dec 2025
Viewed by 371
Abstract
This study examined the effect of competition stress on recovery time in female collegiate soccer players. Thirty NCAA Division I athletes were monitored over 35 consecutive days using Polar Team Pro wearable devices, which captured exercise duration, distance covered, energy expenditure, sprint count, [...] Read more.
This study examined the effect of competition stress on recovery time in female collegiate soccer players. Thirty NCAA Division I athletes were monitored over 35 consecutive days using Polar Team Pro wearable devices, which captured exercise duration, distance covered, energy expenditure, sprint count, speed, heart rate, training load, and recovery duration. Data were collected across 20 practices and 7 competitions, totaling 845 observations. Linear regression was used to assess whether formal competition independently influenced recovery duration, controlling for time of day and workload variables. Athletes averaged 20.1 ± 1.1 years of age. Across all sessions, the mean exercise duration was 59.5 ± 38.7 min, with an average distance of 2.6 ± 2.1 km, and energy expenditure of 387.2 ± 283.5 kcals. Recovery duration was significantly longer after competition (51.3 ± 59.6 h) compared to practice (13.0 ± 15.8 h, p < 0.001). The regression model indicated that formal competition predicted an additional 51 h of recovery time (β = 50.540; p < 0.001), independent of physical workload. Recovery following formal competition is significantly prolonged, holding multiple components of workload constant. These findings offer novel insights into female athlete recovery and highlight the importance of sex-specific approaches in sports science. Full article
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29 pages, 994 KB  
Systematic Review
Pharmacological vs. Non-Pharmacological Treatment in the Management of Relative Energy Deficiency in Sport (REDs): A Systematic Review and Meta-Analysis
by Aimee Nicole Wood and Andrew Soundy
Sports 2025, 13(12), 453; https://doi.org/10.3390/sports13120453 - 15 Dec 2025
Viewed by 667
Abstract
Objective: The purpose of the study was to conduct a systematic review assessing the impact of pharmacological and non-pharmacological interventions on Relative Energy Deficiency in Sport (REDs). The study design follows a systematic review and meta-analysis. The data sources are CINAHL, MEDLINE, SportDiscus, [...] Read more.
Objective: The purpose of the study was to conduct a systematic review assessing the impact of pharmacological and non-pharmacological interventions on Relative Energy Deficiency in Sport (REDs). The study design follows a systematic review and meta-analysis. The data sources are CINAHL, MEDLINE, SportDiscus, ERIC, and Embase from inception until July 2025. Eligibility criteria for selecting the studies include the experimental, quasi-experimental, and pre-experimental literature that investigated interventions designed to support the symptoms of REDs. Results: A total of nineteen studies (fifteen non-pharmacological interventions, four pharmacological interventions), with a total of 759 females, were included in the review. Non-pharmacological interventions demonstrated positive benefits on menstrual function recovery, energy availability, fat mass, and body fat percentage. Meta-analyses quantified nutrition intervention benefits on an individual’s fat mass (kg), 1.36 (95% CI 0.68, 2.04), and body percentage fat (%), 2.21 (95% CI 1.34, 3.08). It was also possible to identify the impact of non-pharmacological interventions on total triiodothyronine (T3) biomarkers (nmol/L), −2.37 (95% CI −5.57, 0.83). It should be noted, however, that non-pharmacological interventions were limited by quality and certainty assessment, identifying included evidence as low to moderate. Pharmacological interventions demonstrated some positive (at times very strong effect sizes) results for impact on bone mineral density, but conclusions are currently limited by well-powered experimental studies. Conclusions: The current evidence base favors non-pharmacological management as an initial response for managing REDs. Initial pharmacological management appears to identify limited but potentially (depending on the drug) promising evidence for the impact on bone mineral density; further evidence is required to be more certain about the impact on hormonal profiling and menstrual recovery function. Further research is needed to help develop a greater understanding. Full article
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13 pages, 2216 KB  
Article
Warming Up for Basketball: Comparing Traditional vs. Small-Sided Game Approaches in Youth Players
by Pierpaolo Sansone, Massimiliano Vanacore, Jorge Lorenzo-Calvo, Álvaro Bustamante-Sánchez, Alejandro Vaquera and Daniele Conte
Sports 2025, 13(12), 452; https://doi.org/10.3390/sports13120452 - 15 Dec 2025
Viewed by 486
Abstract
This study compared the external [movement load (ML)] and internal [rating of perceived exertion (RPE), mean and peak heart rate (HRmean, HRpeak)] loads, performance and enjoyment between time-matched (~12 min) traditional (TRAD) and small-sided game (SSG) warm-ups in youth basketball players. Using a [...] Read more.
This study compared the external [movement load (ML)] and internal [rating of perceived exertion (RPE), mean and peak heart rate (HRmean, HRpeak)] loads, performance and enjoyment between time-matched (~12 min) traditional (TRAD) and small-sided game (SSG) warm-ups in youth basketball players. Using a counterbalanced crossover design, 24 male players (16.0 ± 0.1 years) performed both warm-up types after reporting fatigue (ROF) and completing an 8 min standardized pre-warm-up. Before and after each warm-up, players completed 20 m sprint and countermovement jump (CMJ) tests; enjoyment (ENJ) was assessed post-warm-up. No significant differences were found between warm-ups for ROF (p = 0.053), RPE (p = 0.259), or HRmean (p = 0.053). However, SSG induced a higher HRpeak than TRAD (p = 0.001), while ML was greater in TRAD (p < 0.001). No interaction, time effect, or typology effect emerged for performance in sprinting and change of direction, although CMJ was higher after TRAD (p = 0.047). Enjoyment did not differ significantly (p = 0.066), although with a large effect size (r = 0.612). The greater ML in TRAD may reflect more dynamic basketball actions compared with SSG, which emphasized static tasks (e.g., screening, boxing out) yet produced higher HRpeak. Coaches may consider SSG warm-ups to replicate game-specific conditions while controlling the external load and maintaining adequate physiological preparation. Full article
(This article belongs to the Special Issue Sport-Specific Testing and Training Methods in Youth)
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17 pages, 694 KB  
Article
Molecular, Systemic, and Physiological Adaptations to High-Intensity Interval Training in Flatwater Kayak Athletes
by Apostolos Papandreou, Georgios Tzanis, Athanasios Moustogiannis, Evangelos Zevolis, Elias Zacharogiannis, Maria Maridaki, Serafim Nanas, Michael Koutsilieris and Anastassios Philippou
Sports 2025, 13(12), 451; https://doi.org/10.3390/sports13120451 - 12 Dec 2025
Viewed by 493
Abstract
Purpose: High-intensity interval training (HIIT) has emerged as a time-efficient alternative to traditional endurance training. This study investigated the molecular, systemic, and physiological adaptations induced by an 8-week HIIT program in national-level flatwater kayak athletes. Methods: Six trained male kayakers completed an 8-week [...] Read more.
Purpose: High-intensity interval training (HIIT) has emerged as a time-efficient alternative to traditional endurance training. This study investigated the molecular, systemic, and physiological adaptations induced by an 8-week HIIT program in national-level flatwater kayak athletes. Methods: Six trained male kayakers completed an 8-week HIIT intervention. Skeletal muscle biopsies and venous blood samples were collected before and after training to assess markers related to endocrine function, growth and remodeling, angiogenesis, and inflammation. Physiological and performance measures were evaluated using a maximal oxygen uptake (VO2max) test and kayak ergometer trials. Results: HIIT elicited significant improvements across molecular, systemic, and performance parameters. Post-training analyses showed increased expression of IGF-1R, MMP-4, MMP-9, and TNF-α (p < 0.05), along with elevated serum testosterone concentrations (p < 0.05). Notable performance gains were observed in paddling speed at the second ventilatory threshold (PSVT2; p < 0.05) and in 1000 m (p < 0.01) and 200 m (p < 0.001) time-trial performances. Conclusions: An 8-week HIIT program effectively enhanced molecular signaling, systemic adaptation, and sport-specific performance in elite flatwater kayak athletes. The concurrent upregulation of anabolic, remodeling, and inflammatory pathways suggests that HIIT facilitates coordinated muscular and systemic adaptations beneficial for kayak performance. Full article
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13 pages, 521 KB  
Article
Maximal and Explosive Strength of High-Level Alpine Skiers After Severe Lower Extremity Injury: A Retrospective Comparison with Non-Injured Skiers
by Simon Trachsel, Micah Gross, Björn Bruhin, Heiner Baur and Klaus Hübner
Sports 2025, 13(12), 450; https://doi.org/10.3390/sports13120450 - 11 Dec 2025
Viewed by 417
Abstract
Before returning to sport (RTS) following lower extremity injury, competitive alpine skiers’ performance strength profiles should be verified. This study examined whether differences in maximal isometric (Fmax) and explosive strength (Pmax) exist between non-injured (n_INJ) and post-injured (p_INJ) elite [...] Read more.
Before returning to sport (RTS) following lower extremity injury, competitive alpine skiers’ performance strength profiles should be verified. This study examined whether differences in maximal isometric (Fmax) and explosive strength (Pmax) exist between non-injured (n_INJ) and post-injured (p_INJ) elite skiers (n = 56) after RTS. It also explored whether Fmax and Pmax values recover differently over time and whether restoration rates differ between males and females. An explorative analysis was conducted to determine differences in back-squat Fmax and Pmax during squat (SJ) and countermovement jumps (CMJ) without and with additional load. Data were available from before injury and after athletes’ RTS for p_INJ or twice across a comparable time span for n_INJ. While differences between n_INJ and p_INJ after rehabilitation are not significant for Fmax, p_INJ generally display significantly lower Pmax (r = 0.34–0.40). Additionally, results suggest that Fmax is restored first, followed by Pmax without eccentric component (SJ), and that Pmax (CMJ) with eccentric component is restored slowest. Further, p_INJ showed lower Pmax in loaded jumps even before injury (p = 0.035–0.047, r = 0.36–0.39). Finally, females display generally lower Pmax for a given Fmax. Overall, these results contribute to improving rehabilitation and prevention. Full article
(This article belongs to the Special Issue Physical Profile and Injury Prevalence in Sports)
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18 pages, 294 KB  
Review
Research Progress on Common Sports Injuries Among Youth Ice Hockey Players and Prevention Strategies: A Narrative Review
by Yalin Zheng, Yawen Liu, Yimei Chen, Jie Cao, Enyuan Chen, Hongjing Pan and Peng Huang
Sports 2025, 13(12), 449; https://doi.org/10.3390/sports13120449 - 11 Dec 2025
Viewed by 743
Abstract
Background: Ice hockey is a high-intensity collision sport with one of the highest injury rates among youth team sports. Despite advanced protective equipment, youth athletes remain particularly vulnerable due to their unique physiological and psychological characteristics. Objective: This narrative review aims to synthesise [...] Read more.
Background: Ice hockey is a high-intensity collision sport with one of the highest injury rates among youth team sports. Despite advanced protective equipment, youth athletes remain particularly vulnerable due to their unique physiological and psychological characteristics. Objective: This narrative review aims to synthesise the current evidence on the epidemiology, risk factors, and prevention strategies for common sports injuries in youth ice hockey players. Methods: We conducted a comprehensive literature search across PubMed, Web of Science, Scopus, and the Cochrane Library for publications between August 2015 and August 2025 using an iterative process and manual reference screening to identify relevant studies. Result: The evidence indicates that injury rates are notably high, ranging from 11.7 to 34.4 per 1000 athlete-hours. Concussions and upper/lower limb injuries are most prevalent. Body checking is the most significant modifiable risk factor associated with a threefold increase in concussion incidence. Policy interventions prohibiting body checking have demonstrated substantial benefits, leading to a 50–70% reduction in injury rates and a 57–60% reduction in concussions. Furthermore, the use of full-face protection was associated with a fourfold reduction in the risk of facial and dental injuries. Specialised preparatory activities and neuromuscular training, as well as comprehensive safety and rules training for players and coaches, can reduce the risk of injury in youth hockey players. Conclusion: This review underscores that effective injury prevention in youth ice hockey requires multi-faceted strategies focused on policy changes and proper equipment. Future work should focus on developing personalised prevention models, establishing youth-specific equipment standards, and enhancing safety awareness. Full article
(This article belongs to the Special Issue Sports Injury Prevention in Young Athletes)
11 pages, 239 KB  
Article
The Relationship Between Neurocognitive Function and Concussion in Women Professional Football Players: A Cross-Sectional Study
by Freja Fredrika Lähteenmäki, Steve den Hollander, Dina Christa Janse van Rensburg, Tuomas Brinck, Gino Kerkhoffs and Vincent Gouttebarge
Sports 2025, 13(12), 448; https://doi.org/10.3390/sports13120448 - 11 Dec 2025
Viewed by 356
Abstract
Objective: To determine the neurocognitive functions of women professional football players and explore their potential connection to concussions. Methods: An observational cross-sectional study was conducted via electronic questionnaires. Neurocognitive function was assessed with the “CNS Vital Signs” testing tool. Results: In total, 68 [...] Read more.
Objective: To determine the neurocognitive functions of women professional football players and explore their potential connection to concussions. Methods: An observational cross-sectional study was conducted via electronic questionnaires. Neurocognitive function was assessed with the “CNS Vital Signs” testing tool. Results: In total, 68 participants performed the neurocognitive function testing. Compared with the reference population, players scored within the average range (≥90) for 11 of 12 neurocognitive domains. Motor speed was above average (SS = 111.7). Overall, no significant neurocognitive deficits were observed. Thirty-two participants (43%) reported one or more concussions, with defenders being most affected (50%). Among defenders, 64% (n = 16) have a history of one or multiple concussions. Players with a history of three concussions showed significant deficits in the simple attention domain. Conclusion: Professional women footballers did not show significant signs of neurocognitive function deficits. However, a history of three concussions was significantly associated with lower standard scores for the simple attention neurocognitive domain. Full article
11 pages, 762 KB  
Article
Sufficient Standardization? Evaluating the Reliability of an Inertial Sensor (BeyondTM) for Ankle Dorsiflexion After a Brief Familiarization Period
by Giacomo Belmonte, Alberto Canzone, Marco Gervasi, Eneko Fernández-Peña, Angelo Iovane, Antonino Bianco and Antonino Patti
Sports 2025, 13(12), 447; https://doi.org/10.3390/sports13120447 - 11 Dec 2025
Viewed by 375
Abstract
(1) Background: Ankle joint range of motion is recognized as abnormal in individuals with ankle sprains and Chronic ankle instability (CAI), especially in the dorsiflexion movement. This research investigated the test–retest and inter-rater reliability of the Motustech Beyond IMU for dorsiflexion movement following [...] Read more.
(1) Background: Ankle joint range of motion is recognized as abnormal in individuals with ankle sprains and Chronic ankle instability (CAI), especially in the dorsiflexion movement. This research investigated the test–retest and inter-rater reliability of the Motustech Beyond IMU for dorsiflexion movement following only one hour of rater training and familiarization. (2) Methods: In total, 62 subjects were evaluated for the inter-rater reliability and test–retest with a one-week interval. The intraclass correlation coefficient (ICC), along with the Concordance Correlation Coefficient (CCC), was determined for each test of reliability. Standard error of measurement, coefficients of variation, limits of agreement (LoA) and minimal detectable change (MDC) were used for the measurement error analysis. (3) Results: Test–retest reliability was ranked excellent (ICC = 0.949) and very high (CCC = 0.897) for both ankle dorsiflexion measurements. On the other hand, Inter-Rater reliability was evaluated as good (ICC = 0.881–0.906) and very high (CCC = 0.783–0.811). However, the measurement error analysis showed poor absolute agreement (LoA), indicating that the resulting measurement variability is considered clinically unacceptable for high-precision applications. (4) Conclusions: Beyond Inertial demonstrated excellent test–retest reliability for ankle dorsiflexion movements, although measurement error analysis showed considerable absolute error. Consequently, it may be considered a reliable tool for single-rater monitoring of ankle dorsiflexion ROM in non-clinical settings such as general physical activity and amateur sports. Future research should investigate its potential role in injury prevention contexts. Full article
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23 pages, 4348 KB  
Article
Acute Decrease in Glenohumeral Internal Rotation During Repetitive Baseball Pitching Is Associated with Transient Structural Changes in Medial Longitudinal Arch of Stride Leg: Pilot Study Using Mixed Model
by Takeru Abekura, Noriaki Maeda, Tsubasa Tashiro, Satoshi Arima, Ryosuke Kaizuka, Madoka Koyanagi, Koshi Iwata, Haruka Yoshida, Ginji Ito, Mayu Ueda and Takashi Yamada
Sports 2025, 13(12), 446; https://doi.org/10.3390/sports13120446 - 10 Dec 2025
Viewed by 343
Abstract
Pitching requires effective transfer of ground reaction force (GRF), and structural breakdown of the medial longitudinal arch (MLA) may influence glenohumeral internal rotation (IR) deficits. This study investigated whether changes in foot morphology of the stride leg and soft tissue characteristics are associated [...] Read more.
Pitching requires effective transfer of ground reaction force (GRF), and structural breakdown of the medial longitudinal arch (MLA) may influence glenohumeral internal rotation (IR) deficits. This study investigated whether changes in foot morphology of the stride leg and soft tissue characteristics are associated with loss of IR during repeated pitching. Fifteen male college pitchers completed 60 pitches in a simulated game. IR range of motion (IRROM) was assessed before and after pitching. The navicular height, mechanical properties of the abductor hallucis (AbH) and plantar fascia, and GRF were measured at multiple time points. Correlation analysis and a linear mixed model were used to identify predictors of IRROM change. The mean change in shoulder IRROM during pitching was −21.9° ± 8.4°. IRROM and navicular height decreased significantly over time. The AbH elasticity increased throughout the pitching sequence. Greater reductions in IRROM appeared related to a higher vertical GRF (p = 0.021) and increased AbH elasticity (p = 0.046). Vertical GRF was unrelated to fastball velocity (p = 0.260), whereas anteroposterior GRF correlated with fastball velocity (p = 0.038). Morphological and mechanical changes in the stride leg, particularly within the support of the MLA, can influence IRROM. Reducing vertical GRF and stress on the AbH may help preserve the IRROM without compromising performance. Full article
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25 pages, 993 KB  
Article
Effect of Linear Sprints and Change-of-Direction Training Versus Small-Sided Soccer Games on Physical Performance in Highly Trained Young Female Soccer Players: A Randomized Cross-Over Study
by Abdelwahid Aboulfaraj, Fatiha Laziri, Salah Eddine Haddou, Salah Lahlou, Mohamed Aghrouch, Ali Belamjahad, Juan Del Coso, Luca Paolo Ardigò and Hassane Zouhal
Sports 2025, 13(12), 445; https://doi.org/10.3390/sports13120445 - 10 Dec 2025
Viewed by 1010
Abstract
Background: This study aimed to compare the effects of linear sprint training with changes of direction (LSCD) versus small-sided games (SSSG) on physical performance, agility, and soccer-specific skills in young elite female players. Methods: In a randomized crossover study, 27 players aged 15 [...] Read more.
Background: This study aimed to compare the effects of linear sprint training with changes of direction (LSCD) versus small-sided games (SSSG) on physical performance, agility, and soccer-specific skills in young elite female players. Methods: In a randomized crossover study, 27 players aged 15 to 17 were divided into two groups (G1 = 14, G2 = 13). After a two-week baseline period, each group completed a four-week training mesocycle (three sessions per week) consisting of either LSCD or SSG. After a two-week washout period, participants switched interventions and completed the alternate four-week mesocycle. Performance assessments were conducted before and after each mesocycle to evaluate training effects. Results: Both types of training improved physical performance, with different magnitudes. LSCD induced larger gains in sprint speed (5, 10, 20 m; p < 0.05), agility without the ball (t-test; p = 0.05), and explosive power (countermovement jump, repeated jumps over 15 s; p = 0.02 and p = 0.004). In contrast, SSSG led to larger improvements in aerobic endurance (Yo-Yo IR1 test; p = 0.03) and agility with the ball (t-test with ball; p = 0.05). No transfer effect between cycles was observed. Conclusions: In young elite female players, LSCD training was more effective in improving speed, agility, and power, while SSSG was more effective for aerobic endurance and ball agility. Full article
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20 pages, 550 KB  
Review
Exercise-Induced Biomarker Modulation in Sarcopenia: From Inflamm-Aging to Muscle Regeneration
by Federica Marmondi, Vittoria Ferrando, Luca Filipas, Roberto Codella, Piero Ruggeri, Antonio La Torre, Emanuela Luisa Faelli and Matteo Bonato
Sports 2025, 13(12), 444; https://doi.org/10.3390/sports13120444 - 9 Dec 2025
Viewed by 726
Abstract
Sarcopenia is a progressive, age-related loss of skeletal muscle mass, strength, and function, strongly associated with frailty, disability, and chronic disease. Its pathogenesis involves chronic low-grade inflammation, hormonal imbalance, and impaired anabolic signaling, making biomarkers essential for diagnosis, prognosis, and intervention monitoring. This [...] Read more.
Sarcopenia is a progressive, age-related loss of skeletal muscle mass, strength, and function, strongly associated with frailty, disability, and chronic disease. Its pathogenesis involves chronic low-grade inflammation, hormonal imbalance, and impaired anabolic signaling, making biomarkers essential for diagnosis, prognosis, and intervention monitoring. This review systematically analyzes randomized controlled trials (RCTs) evaluating the impact of physical exercise on biomarkers relevant to sarcopenia. Exercise modulates both pro-inflammatory markers (e.g., IL-6, TNF-α, CRP) and anti-inflammatory cytokines (e.g., IL-10, IL-15), while also affecting growth factors like IGF-1, myostatin, and follistatin. These changes support muscle anabolism, reduce catabolic signaling, and improve physical performance. In addition, we highlight a growing class of emerging exerkines, including irisin, apelin, beta-aminoisobutyric acid (BAIBA), decorin, brain-derived neurotrophic factor (BDNF), and meteorin-like factor (Metrnl). These molecules exhibit promising roles in mitochondrial health, lipid metabolism, muscle regeneration, and immune modulation, key processes in combating inflamm-aging and sarcopenic decline. Despite encouraging findings, biomarker responses remain heterogeneous across studies, limiting translational application. The integration of biomarker profiling with exercise prescription holds the potential to personalize interventions and guide precision medicine approaches in sarcopenia management. Future large-scale, standardized trials are needed to validate these biomarkers and optimize exercise protocols for aging populations. Full article
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11 pages, 847 KB  
Article
Skin Temperature as a Marker of Physical Fitness Profile: The Impact of High-Speed Running in Professional Soccer Players
by Victor-Luis Escamilla-Galindo, Armiche Vega-Ramos, Jose Luis Felipe, Antonio Alonso-Callejo and Ismael Fernandez-Cuevas
Sports 2025, 13(12), 443; https://doi.org/10.3390/sports13120443 - 9 Dec 2025
Viewed by 406
Abstract
High-speed running (HSR) has the greatest physiological impact on soccer players. It is closely linked to neuromuscular fatigue and muscle damage post-match, emphasizing the role that load monitoring plays in both performance and recovery. The aim of this study was to examine the [...] Read more.
High-speed running (HSR) has the greatest physiological impact on soccer players. It is closely linked to neuromuscular fatigue and muscle damage post-match, emphasizing the role that load monitoring plays in both performance and recovery. The aim of this study was to examine the relationship between match locomotor demands and the relative change in skin temperature (%ΔT) following official matches. A professional soccer team was analyzed during 14 regular-season matches. Infrared thermography (IRT) assessments were conducted before the match and up to 36 h after the match. The analyzed regions included posterior protocols of the lower limb. The kinematic variables of the match were obtained through a GPS device. Players were classified into high- and low-load groups based on the median values of HSR distance (372 m) and total distance (9675 m). Linear mixed-effects models showed that players in the high HSR group (≥372 m) demonstrated greater post-match decreases in %ΔT, particularly in the hamstring region (β = −1.79 ± 0.54 °C, 95% CI: −2.87 to −0.72, p = 0.001, R2 = 0.18), with a moderate-to-large effect size (ES = 0.67). Total distance also explained temperature change in the hamstrings (β = −1.46 ± 0.73 °C, p = 0.04). These findings suggest that post-match skin temperature reduction is sensitive to high-intensity running exposure, supporting IRT as a complementary internal load monitoring tool. Full article
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11 pages, 640 KB  
Article
Sex Differences in the Metabolic Cost of a Military Load Carriage Task: A Field Based Study
by Ben Schram, Jacques Rosseau, Elisa F. D. Canetti and Robin Orr
Sports 2025, 13(12), 442; https://doi.org/10.3390/sports13120442 - 9 Dec 2025
Viewed by 1496
Abstract
Occupational demands, such as load carriage in tactical professions, do not discriminate based on sex. The aim of this study was to explore the differences in metabolic cost of a loaded pack march between the sexes in both absolute and relative terms. Twelve [...] Read more.
Occupational demands, such as load carriage in tactical professions, do not discriminate based on sex. The aim of this study was to explore the differences in metabolic cost of a loaded pack march between the sexes in both absolute and relative terms. Twelve Army personnel (six males and six females) volunteered to complete three identical load carriage marches (5 km at 5.5 km/h, carrying 30 kg), across flat (on road) and undulating (gravelled path) terrain as part of a larger equipment trial. Heart rate (HR) response (HR average and maximum) was monitored with a Polar Team Pro unit and oxygen consumption with VO Master Pro (VO2 average and maximum) with the level of significance set at 0.05. There were no significant differences in age, years of experience, absolute loads carried, or completion time for each of the three events. Male soldiers were significantly taller (182.3 ± 6.2 cm vs. 167.4 ± 6.9 cm), heavier (88.2 ± 8.7 kg vs. 70.9 ± 10.6 kg), carried significantly less relative load (34.3 ± 3.4% vs. 43.2 ± 7.5%), and had significantly greater predicted VO2max (56.7 ± 6.1 mL/kg/min vs. 45.0 ± 2.9 mL/kg/min). A linear mixed model identified a significant main effect of sex on both average HR (β = −1.10) and peak HR (β = −1.27), and on average VO2 (β = −0.68), but not peak VO2. While the study was not powered to detect sex differences, the large effect sizes observed suggest meaningful physiological differences warranting further investigation. Female soldiers faced significantly greater metabolic costs when carrying the same loads and moving at the same speed and across the same terrain as their male counterparts. Adequate recovery and pacing strategies should be considered for these events, especially during training. Full article
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17 pages, 1525 KB  
Article
Exercise Heart Rate During Training and Competitive Matches in Elite Soccer: More Questions than Answers
by Iwen Diouron, Cédric Leduc, Guilhem Escudier and Stéphane Perrey
Sports 2025, 13(12), 441; https://doi.org/10.3390/sports13120441 - 8 Dec 2025
Viewed by 639
Abstract
Monitoring the training load of elite soccer players is a common practice for clubs. However, limited information exists about the internal load experienced by elite soccer players. The heart rate (HR) exposure of 51 French elite soccer players was monitored using conductive vests [...] Read more.
Monitoring the training load of elite soccer players is a common practice for clubs. However, limited information exists about the internal load experienced by elite soccer players. The heart rate (HR) exposure of 51 French elite soccer players was monitored using conductive vests incorporating ECG bands during two consecutive seasons using a three-zone intensity model. HR exposure was broken down into volume (i.e., total time in the three zones) and intensity (i.e., relative time in the three zones). The effect of playing position, as well as the period (monthly or daily), was assessed. Regarding seasonal exposure, a significant difference was observed between key periods of the season (i.e., preseason, in season, end-of-season) for both volume and intensity (p < 0.05). Noteworthily, monthly HR exposure was relatively constant across competitive period. For weekly exposure, a significant difference in HR volume and intensity was observed between matches and training sessions (p < 0.001) potentially highlighting gaps in players’ readiness. Note that there were small variations in terms of HR exposure between the three first training days (p < 0.05), especially for time and relative time over 90% of maximal HR (not significant). This study not only provides insight into typical HR exposure in elite football but also questions the current training periodisation. Full article
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27 pages, 704 KB  
Review
Barriers and Facilitators in the Junior-to-Senior Transition in Male Football—A Scoping Review
by João Tomás, Duarte Araújo, Diogo Martinho, João Ribeiro, Honorato Sousa, Adam Field and Hugo Sarmento
Sports 2025, 13(12), 440; https://doi.org/10.3390/sports13120440 - 5 Dec 2025
Viewed by 930
Abstract
Background: Despite many young players showing strong potential, only a small fraction succeeds in the critical transition from youth to elite senior football. This scoping review synthesizes research on the junior-to-senior transition in men’s football, identifying main topics related with barriers and facilitators [...] Read more.
Background: Despite many young players showing strong potential, only a small fraction succeeds in the critical transition from youth to elite senior football. This scoping review synthesizes research on the junior-to-senior transition in men’s football, identifying main topics related with barriers and facilitators in the transition. Methods: Searches were performed in four databases (PubMed, Scopus, SPORTDiscus, and Web of Science) according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA, 2020) guidelines, using the following keywords: “football*” OR football AND talent* OR “talent identification” OR “talent development” OR expert* OR gift* AND “junior-to-senior” OR “transition career” or “athlete career transition” OR “transition phase”. Original articles in English focused on the junior-to-senior process in male footballers were included. Results: From 5307 titles, 35 studies met eligibility criteria. The most examined themes were psychosocial factors, including social support, stressors, and resilience. The reviewed studies identified organizational structure and effective club communication as facilitators and emphasized the importance of physical attributes to meet senior-level demands. Conclusions: Overall, the junior-to-senior transition is multifaceted, shaped by psychosocial, organizational, and physical factors. Despite robust research, gaps remain; future longitudinal and interdisciplinary studies should inform evidence-based strategies for optimizing player development and retention. Full article
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26 pages, 2323 KB  
Article
Interpretable Machine Learning on Simulation-Derived Biomechanical Features for Hamstrings–Quadriceps Imbalance Detection in Running
by Andreea Maria Mănescu, Andrei Claudiu Tudor, Corina Claudia Dinciu, Simona Ștefania Hangu, Iulius Radulian Mărgărit, Virgil Tudor, Cătălin Octavian Mănescu, Rela Valentina Ciomag, Mihaela Loredana Rădulescu, Cristian Hangu, Neluța Smîdu, Victor Dulceață, Ioana Cosmina Barac, Sorin Cristian Niță, Carmen Grigoroiu and Dan Cristian Mănescu
Sports 2025, 13(12), 439; https://doi.org/10.3390/sports13120439 - 5 Dec 2025
Viewed by 418
Abstract
Hamstrings–quadriceps (H–Q) imbalance represents a biomechanical marker of knee instability and injury risk in running. This in silico (simulation-based) study introduces a digital machine learning framework designed to estimate H–Q imbalance using biomechanical features derived entirely from synthetic running trials and conceptually mappable [...] Read more.
Hamstrings–quadriceps (H–Q) imbalance represents a biomechanical marker of knee instability and injury risk in running. This in silico (simulation-based) study introduces a digital machine learning framework designed to estimate H–Q imbalance using biomechanical features derived entirely from synthetic running trials and conceptually mappable to inertial-sensor domains. Key biomechanical predictors included the dynamic hamstrings-to-quadriceps ratio (H:Qdyn), the knee moment limb symmetry index (LSI), and the early-stance co-contraction index (CCI), all standard indicators of muscular balance and coordination in sports medicine. A reduced musculoskeletal framework emulating flexor–extensor balance, limb symmetry, and co-contraction patterns generated 573 synthetic running trials for 160 virtual subjects across three speeds. These interpretable features trained a calibrated gradient-boosting classifier evaluated via ROC-AUC, PR-AUC, balanced accuracy, F1, and Brier score. Across all conditions, the model achieved ROC-AUC 0.933 (95% CI 0.908–0.958), balanced accuracy 0.943 (95% CI 0.924–0.962), PR-AUC 0.918 (95% CI 0.892–0.943), F1 0.940 (95% CI 0.919–0.958), and Brier 0.056 (95% CI 0.041–0.072), outperforming the logistic baseline. Dynamic H:Q ratio and knee moment symmetry were the dominant predictors, while co-contraction provided complementary biomechanical nuance. These results demonstrate that simulation-derived frameworks can reproduce IMU-relevant biomechanical variability, enabling interpretable machine learning for transparent assessment of muscular balance in sports medicine. Full article
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27 pages, 832 KB  
Systematic Review
Sustainable Career Transitions and Mental Health Support in Elite Sport: A Systematic Review of Evidence and Practices
by Francesca Di Rocco, Cristian Romagnoli, Simone Ciaccioni, Laura Capranica, Elvira Padua and Flavia Guidotti
Sports 2025, 13(12), 438; https://doi.org/10.3390/sports13120438 - 5 Dec 2025
Viewed by 1085
Abstract
The present systematic review aims to provide a comprehensive synthesis of evidence and practices regarding sustainable career transitions in elite sport. Following PRISMA guidelines, an extensive literature search was conducted in SPORTDiscus (EBSCOhost), PsycINFO, Scopus, Web of Science, and Google Scholar databases, resulting [...] Read more.
The present systematic review aims to provide a comprehensive synthesis of evidence and practices regarding sustainable career transitions in elite sport. Following PRISMA guidelines, an extensive literature search was conducted in SPORTDiscus (EBSCOhost), PsycINFO, Scopus, Web of Science, and Google Scholar databases, resulting in 117 manuscripts, published from January 2015 to May 2025, and meeting the defined inclusion criteria. The review focused on mental health, dual-career pathways, transition readiness, and identity-related issues among elite athletes, Olympians, and Paralympians. Methodologies included qualitative, quantitative, and mixed-methods designs, with multisport and mixed-gender samples prevailing. The most commonly used instruments were semi-structured interviews and surveys. The main findings highlighted the centrality of mental health support, the role of dual-career planning, and the importance of proactive identity negotiation. Despite growing research interest, significant gaps persist in access to psychological support, structured transition planning, and dual-career strategies, with notable inconsistencies across countries and sports. The review emphasizes the necessity for integrated, multidimensional guidance, culturally sensitive psychological services, and flexible educational pathways to promote athlete well-being and sustainable post-sport careers. These insights are intended to inform the implementation of the ERASMUS+ funded PORTAL project, supporting evidence-based interventions and the development of resources such as an online platform and Real-Life Transition Officers to enhance the transition experiences of elite athletes. Full article
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11 pages, 1037 KB  
Article
The Impact of Jump Type on Muscle Contractile Behavior: Fatigue or Potentiation After Countermovement and Stiffness Jumps?
by Vedran Dukarić, Ivan Bon and Marijo Baković
Sports 2025, 13(12), 437; https://doi.org/10.3390/sports13120437 - 4 Dec 2025
Viewed by 439
Abstract
Jumping exercises are widely applied in sport performance and conditioning due to their crucial role in enhancing neuromuscular function and lower-limb power. Acute effects related to contractile properties measured by tensiomyography (TMG) remain insufficiently explored. This study aimed to examine the acute effects [...] Read more.
Jumping exercises are widely applied in sport performance and conditioning due to their crucial role in enhancing neuromuscular function and lower-limb power. Acute effects related to contractile properties measured by tensiomyography (TMG) remain insufficiently explored. This study aimed to examine the acute effects of two jump types—bilateral countermovement jumps (CMJs) and stiffness jumps (STs)—on the contractile properties of the vastus medialis (VM) and medial gastrocnemius (GM) muscles. Twenty-nine kinesiology students (fourteen males, fifteen females; age 19.4 ± 0.7 years) performed CMJ and ST protocols in a randomized order. Muscle contractile characteristics were measured before and immediately after each protocol and analyzed using a mixed-model repeated-measures ANOVA. Significant pre–post changes were found in both muscles. In the VM, contraction (Tc) and delay (Td) times decreased (p < 0.01), indicating faster responses, whereas relaxation time (Tr) increased and sustain time (Ts) decreased (p < 0.05), suggesting temporary fatigue. Maximal displacement (Dm) increased (p < 0.01), indicating reduced stiffness. In contrast, the GM showed greater responsiveness after stiffness jumps, characterized by shorter Tc and Td (p < 0.01), and reduced endurance after CMJs. These findings highlight muscle specific neuromuscular adaptations and provide practical insights for optimizing warm-up, training, and rehabilitation protocols through targeted jump selection. Full article
(This article belongs to the Special Issue Muscle Strength Testing in Sports and Rehabilitation)
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13 pages, 1481 KB  
Case Report
Accelerating an Olympic Decathlete’s Return to Competition Using High-Frequency Blood Flow Restriction Training: A Case Report
by Chris Gaviglio and Stephen P. Bird
Sports 2025, 13(12), 436; https://doi.org/10.3390/sports13120436 - 4 Dec 2025
Viewed by 573
Abstract
This case report describes the acceleration of an Olympic decathlete’s return to competition induced via high-frequency Blood Flow Restriction (BFR) training. BFR has gained popularity as an innovative rehabilitation method for promoting muscle repair and adaptation through anabolic and regenerative pathways when high [...] Read more.
This case report describes the acceleration of an Olympic decathlete’s return to competition induced via high-frequency Blood Flow Restriction (BFR) training. BFR has gained popularity as an innovative rehabilitation method for promoting muscle repair and adaptation through anabolic and regenerative pathways when high mechanical loading is not possible. A 26-year-old elite decathlete with nine years of international experience sustained a Grade 2b strain of the semimembranosus and semitendinosus (a 9 mm central tendon tear) during a hurdle sprint. The injury was confirmed via MRI two days post-injury. Grade 2b hamstring injuries with intramuscular tendon involvement commonly require up to 4 weeks of rehabilitation before full training can be resumed. With the athlete due to complete in an Olympic Games competition 17 days post-injury, an intensive BFR-assisted rehabilitation program was initiated. Over 12 consecutive days, the athlete completed 3–6 BFR sessions per day (20–30 min each) at 50% limb occlusion pressure, along with physiotherapy and pain-limited functional testing. BFR was applied passively for recovery, during conditioning, and in low-load strength sessions. By day 12, sprint velocity reached 95% maximum, and the athlete successfully completed the decathlon, with no adverse effects or reinjury. This case illustrates how high-frequency BFR-assisted rehabilitation may facilitate accelerated recovery from a hamstring injury, enabling an effective return to elite competition within condensed timelines. Full article
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13 pages, 1473 KB  
Article
Youth Soccer Development After a Forced Training Interruption: A Retrospective Analysis of Prepubertal Players
by Federico Abate Daga, Italo Sannicandro, Alice Tanturli and Samuel Agostino
Sports 2025, 13(12), 435; https://doi.org/10.3390/sports13120435 - 4 Dec 2025
Viewed by 623
Abstract
This retrospective, non-interventional study investigated the impact of a forced training interruption, such as the COVID-19 nationwide lockdown, on the physical efficiency, performance, and technical-agility skills of prepubertal soccer players by comparing pre- and post-interruption cohorts within the same youth academy and at [...] Read more.
This retrospective, non-interventional study investigated the impact of a forced training interruption, such as the COVID-19 nationwide lockdown, on the physical efficiency, performance, and technical-agility skills of prepubertal soccer players by comparing pre- and post-interruption cohorts within the same youth academy and at the same chronological age. Anonymised data collected across multiple competitive seasons included anthropometric measures and motor performance tests: Standing Long Jump, Shuttle Run, Shuttle Dribble, and Mini Cooper. Between-group differences were analysed using Mann–Whitney U tests, with p < 0.05 as the level of significance. The post-training interruption cohort showed significantly higher values in the Standing Long Jump (+11.2%, p < 0.001) and the Shuttle Run (+8.0%, p = 0.011), indicating improved explosive power and agility-speed. Conversely, performance on the Shuttle Dribble test declined by 13.4% (p < 0.001), while Mini Cooper results and BMI did not differ significantly. These findings suggest that modifications to compulsory training and children’s natural adaptability may have enhanced physical abilities, whereas the lack of contextual and interactive practice negatively affected technical-agility skills. Coaches should incorporate alternative workouts to maintain motor performance and emphasise ball-related and decision-making drills within ecological and dynamic environments to maximise developmental outcomes. This study offers new insights into the adaptive responses of young athletes and provides practical lessons for future youth soccer development, particularly during periods of forced training interruption. Full article
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16 pages, 308 KB  
Article
A Preliminary Investigation of a Conceptual Framework of Performance Enhancement Across Different Life Domains
by Lida Skoufa, Despoina Ourda, Vassilis Barkoukis and Haralambos Tsorbatzoudis
Sports 2025, 13(12), 434; https://doi.org/10.3390/sports13120434 - 4 Dec 2025
Viewed by 254
Abstract
The use of chemically assisted performance enhancement (CAPE) substances has become a prominent trend in today’s competitive societies. Although evidence suggests that CAPE behaviors across different life domains share common characteristics, no consistent theoretical framework exists for understanding the decision to engage in [...] Read more.
The use of chemically assisted performance enhancement (CAPE) substances has become a prominent trend in today’s competitive societies. Although evidence suggests that CAPE behaviors across different life domains share common characteristics, no consistent theoretical framework exists for understanding the decision to engage in such behaviors. The aim of the present study was to examine a unified conceptualization of CAPE behaviors in four life domains. A total of 254 participants (64 competitive athletes, 40 recreational exercisers, 67 students, and 83 professionals) completed a survey assessing distal and proximal associations of CAPE behaviors (adapted for each domain). Path analysis used to evaluate the proposed model demonstrated an adequate fit. Results indicated that proximal associations of intentions (i.e., attitudes, norms, and situational temptation) were predicted by distal variables (i.e., social norms and cultural values). Intentions to engage in CAPE behaviors were predicted by attitudes and situational temptation. Goal commitment predicted only the mean of working, studying, or training. Finally, the mean of supplement use was predicted by norms. These findings provide preliminary evidence for a conceptual framework to understand CAPE behaviors across life domains, which may serve as a basis for designing intervention programs aimed at helping individuals make informed decisions about CAPE. Full article
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12 pages, 1766 KB  
Article
Comparative Effects of Core Versus Forearm Training on Pull-Up Repetition Performance in Physically Inactive Males
by Hamidreza Sepehri Rahnama, Sayyedarmin Ganji, Kitty Vadasz and Judit Prokai
Sports 2025, 13(12), 433; https://doi.org/10.3390/sports13120433 - 4 Dec 2025
Viewed by 1327
Abstract
Pull-ups are a widely recognized exercise for training and assessing upper-body strength and muscular endurance, requiring coordinated activation of the latissimus dorsi, biceps brachii, forearm flexors, and core stabilizers. However, many individuals experience difficulty performing pull-ups due to inadequate grip strength or core [...] Read more.
Pull-ups are a widely recognized exercise for training and assessing upper-body strength and muscular endurance, requiring coordinated activation of the latissimus dorsi, biceps brachii, forearm flexors, and core stabilizers. However, many individuals experience difficulty performing pull-ups due to inadequate grip strength or core stability. This study aimed to investigate the comparative effects of forearm-specific and core-specific training, combined with standardized pull-up routines, on upper-body performance indicators in physically inactive male students. Thirty participants (age = 21 ± 1.58 years) were randomly assigned to three groups (n = 10): pull-up plus interval training (PIT), pull-up plus forearm training (PFT), and pull-up plus core training (PCT). All groups performed identical pull-up-based programs for eight weeks, differing only in the supplemental exercises. Before and after the intervention, participants were tested for maximum pull-up repetitions, grip strength (both hands), and dead-hanging time. Significant improvements were found in all variables (p ≤ 0.009), with group differences in pull-up repetitions (p < 0.001) and right-hand grip strength (p = 0.004). The PFT group achieved the greatest gains, with a 222.5% increase in repetitions, 12% and 14.0% increases in right- and left-hand grip strength, and a 55.3% increase in hanging time. The PCT group showed moderate progress, while PIT yielded the smallest improvement. Forearm-specific training proved the most effective strategy for enhancing pull-up performance, grip strength, and endurance. Full article
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13 pages, 230 KB  
Article
Gender Differences in Anti-Doping Rule Violations Based on a 19-Year Data Analysis from the Serbian Anti-Doping Agency: National Study
by Gorica Milovanovic, Jelena Rasic Ozegovic, Dejan Jovicic, Nenad Radivojevic, Nemanja Rancic, Jelena Stojicevic, Sonja Marjanović, Zoran Vesic and Milica Vukasinovic-Vesic
Sports 2025, 13(12), 432; https://doi.org/10.3390/sports13120432 - 4 Dec 2025
Viewed by 479
Abstract
Background: Gender differences in anti-doping rule violations (ADRVs) have been noted in international research, yet systematic analyses are rare. This study addresses that gap by providing the first comprehensive evaluation of the doping prevalence by gender in Serbia. Methods: A 19-year retrospective quantitative [...] Read more.
Background: Gender differences in anti-doping rule violations (ADRVs) have been noted in international research, yet systematic analyses are rare. This study addresses that gap by providing the first comprehensive evaluation of the doping prevalence by gender in Serbia. Methods: A 19-year retrospective quantitative analysis was conducted on data collected by the Anti-Doping Agency of Serbia (ADAS) between 2006 and 2024. In total, 14,919 doping controls were performed, including 10,912 (73.11%) on male athletes and 4007 (26.89%) on female athletes. Results: Across this period, 146 ADRVs were identified, with a clear gender imbalance: 128 (87.32%) cases involved male athletes and 18 (12.68%) female athletes. A Chi-Square test confirmed a significant association between gender and ADRVs, χ2(1, N = 14,919) = 15.11, p < 0.001, indicating that male athletes were more likely to violate anti-doping rules. Substance profiles also differed: anabolic agents (S1) dominated overall, while stimulants (S6) and cannabinoids (S8) were more frequent in males, and diuretics (S5) and hormone modulators (S4) in females. Conclusions: These findings reveal a pronounced gender disparity in doping behavior and substance choice, providing a foundation for further research and emphasizing the need for gender-sensitive anti-doping education and policy. Full article
15 pages, 12996 KB  
Article
The Impact of Landing Complexity and Knee Taping on Stability: A Continuous Kinetics and Kinematics Analysis
by Kendra Taryn Szeles and Andrew Green
Sports 2025, 13(12), 431; https://doi.org/10.3390/sports13120431 - 3 Dec 2025
Viewed by 341
Abstract
Landing biomechanics are strongly influenced by task complexity, yet the combine effects of different landing demands and taping on stability, kinetics, and kinematics remain unclear. Nineteen female athletes performed 40 cm drop landings (DL), drop jump landings (DJL), and countermovement jumps (CMJ) under [...] Read more.
Landing biomechanics are strongly influenced by task complexity, yet the combine effects of different landing demands and taping on stability, kinetics, and kinematics remain unclear. Nineteen female athletes performed 40 cm drop landings (DL), drop jump landings (DJL), and countermovement jumps (CMJ) under four knee taping conditions: no tape (NT), rigid tape (RT), dynamic tape (DT), and kinesio tape (KT). Stability indices were compared across tasks and taping conditions. Continuous landing-phase biomechanics were analysed using SPM1d repeated measures ANOVA (p < 0.05). SPM1d revealed significant GRF differences between landing tasks (0–3%, p = 0.026; 15–25%, p < 0.001), with DT (p = 0.02) and KT (p = 0.03) reducing peak landing forces in the DJL compared to DL. The DL showed greater biomechanical stability overall, with better dynamic postural stability index (DPSI) across all taping conditions. However, TTS was significantly shorter in the DJL than the DL in RT (p = 0.005), DT and KT (p = 0.037). Significant joint kinematic differences were found between tasks and taping, particularly at the ankle, knee, and hip. Landing complexity influences joint loading and stability. Knee taping may attenuate impact forces and improve stabilisation during complex tasks, suggesting a potential role in enhancing movement efficiency and supporting injury-prevention. Full article
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13 pages, 434 KB  
Article
Cardiovascular Responses to a Full Resistance Training Session Performed with and Without Blood Flow Restriction
by Anderson Geremias Macedo, Gabriel de Souza Zanini, Danilo Alexandre Massini, Tiago André Freire Almeida, David Michel de Oliveria, Cátia Caldeira Ferreira, Ricardo Monteiro Robalo, Mário Cunha Espada and Dalton Muller Pessôa Filho
Sports 2025, 13(12), 430; https://doi.org/10.3390/sports13120430 - 3 Dec 2025
Viewed by 811
Abstract
Resistance training (RT) can induce cardiovascular overload, especially at high intensities. Blood flow restriction (BFR) has emerged as a low-load alternative that is potentially effective and safe, although its hemodynamic and respiratory effects remain controversial. Background/Objectives: The aim of this study was to [...] Read more.
Resistance training (RT) can induce cardiovascular overload, especially at high intensities. Blood flow restriction (BFR) has emerged as a low-load alternative that is potentially effective and safe, although its hemodynamic and respiratory effects remain controversial. Background/Objectives: The aim of this study was to compare cardiovascular responses between a high-load RT session (RT_HL; 70% of one repetition maximum—1RM) and a low-load session combined with BFR (RT_LL+BFR; 30% 1RM). Methods: Nineteen trained men (24.3 ± 3.9 years; 177.7 ± 6.3 cm; 84.7 ± 13.0 kg) performed the RT_HL and RT_LL+BFR protocols, with eight exercises for each protocol. The following variables–heart rate (HR), percentage of maximum heart rate (%HRmax), systolic blood pressure (SBP), diastolic blood pressure (DBP), and rate pressure product (RPP)–were assessed during the protocols. Results: Both protocols significantly increased HR (pre: 74 ± 8 bpm; post: RT_HL = 142 ± 9 bpm; RT_LL+BFR = 133 ± 6 bpm; p < 0.01), %HRmax (RT_HL = 72 ± 5%; RT_LL+BFR = 69 ± 4%; p < 0.01), SBP (RT_HL = 144 ± 6 mmHg; RT_LL+BFR = 140 ± 6 mmHg; p < 0.05), and RPP (RT_HL = 20,469 ± 1620; RT_LL+BFR = 18,637 ± 1253; p < 0.01) compared to resting values. No variable exceeded safety thresholds for RPP (<30,000; %HRmax < 75%), and DPB showed a slight elevation in both conditions (p < 0.05), but without differences between protocols (p = 0.28). Conclusions: Exercise load intensity was an important determinant of hemodynamic responses, but BFR elicited comparable stimuli with low load, thereby emphasizing improved safety to traditional high-load-intensity training. Full article
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20 pages, 3531 KB  
Article
Cognition, Physical Performance, and Fall-Related Mobility Outcomes in Healthy Older Adults: A Cross-Sectional Study
by Federica Marmondi, Vittoria Ferrando, Roberto Codella, Luca Filipas, Piero Ruggeri, Antonio La Torre, Emanuela Luisa Faelli and Matteo Bonato
Sports 2025, 13(12), 429; https://doi.org/10.3390/sports13120429 - 3 Dec 2025
Viewed by 311
Abstract
Aging entails concurrent declines in physical and cognitive domains, contributing to reduced independence, higher fall risk, and lower quality of life. Understanding how motor performance relates to cognition is crucial for prevention in community-dwelling older adults. This cross-sectional study investigated associations between physical [...] Read more.
Aging entails concurrent declines in physical and cognitive domains, contributing to reduced independence, higher fall risk, and lower quality of life. Understanding how motor performance relates to cognition is crucial for prevention in community-dwelling older adults. This cross-sectional study investigated associations between physical fitness—including strength, endurance, balance, and aerobic capacity—and cognitive outcomes assessed by Trail Making Tests (TMT-A, TMT-B), the Digit Symbol Substitution Test (DSST), and dual-task cost in the Timed Up & Go Test (TUG_DTC). Thirty-four sedentary but cognitively healthy adults aged ≥60 years were evaluated. Quadriceps strength was significantly related to TUG_DTC and executive function (TMT-B), while upper-limb endurance correlated with both attentional and executive measures. Dynamic balance, particularly in posterior directions, was linked to DSST and TMT-B, and 6-min walk test performance was associated with executive functioning and processing speed. TUG_DTC itself showed strong correlations with cognitive outcomes, underscoring its sensitivity to motor–cognitive interference. These findings highlight selective motor–cognitive relationships and suggest that simple, field-based tests may serve as early markers of cognitive vulnerability. Targeting lower-limb strength, balance, and aerobic capacity could represent cost-effective strategies to promote mobility and cognitive resilience in aging populations. Full article
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