Journal of Functional Morphology and Kinesiology

Background: Distal tibial fractures (DTFs) are a major cause of post-traumatic osteoarthritis (PTOA). The risk of conversion to total ankle arthroplasty (TAA) or ankle fusion (AF) after DTFs remains unclear, and the current literature provides heterogeneous and often incomplete data. The aim of this systematic review was to evaluate the incidence of TAA and AF following DTF-related PTOA and to explore potential predictors of conversion, including initial treatment strategy. Methods: A systematic review was conducted according to PRISMA guidelines. The PICO framework was applied during the study design and literature search phase to define the research question and eligibility criteria. Studies reporting adult patients with a history of DTFs who later developed PTOA and underwent TAA or AF were included. Descriptive statistics were performed. Study-level proportions of conversion to TAA, AF, or both were analyzed using random-effects meta-analysis with logit transformation. Results: Eight studies comprising 190,383 fractures met the inclusion criteria. Overall, 31,269 patients underwent TAA or AF, corresponding to a conversion rate of 16.4%. The pooled conversion incidence from the random-effects model was 5.6%, with considerable heterogeneity (I² ≈ 100%). When procedures were analyzed separately, the pooled incidence was 0.25% for TAA and 0.76% for AF. Conclusions: The risk of conversion to TAA or AF after DTFs appears to be relatively low, despite the high prevalence of PTOA. The higher conversion rate observed in surgically treated fractures likely reflects the complexity of the initial fracture rather than the failure of surgical management itself. Level IV, systematic review of retrospective studies. Full article

Background: Pacing critically influences swimming performance. In master swimmers, aging leads to performance decline, but the age at which pacing becomes unstable, and whether this precedes performance loss, remains unclear. Objective: This cross-sectional retrospective study analyzed sex, distance and stroke-specific age-related breakpoints in pacing variability (CV) and performance (RT) in master swimmers. Methods: A total of 13,822 swimmers (7417 men and 6405 women; age 25–99 years) competing at the World Aquatics Masters Championships (2023–2025) were included. Results: CV showed the strongest association with RT (r = 0.173, p < 0.001). Overall, CV worsened significantly earlier (52 years, +2.82%/year) than RT (82 years, +0.51%/year; p < 0.001). In women, CV deterioration began at ~50 years, while RT was maintained until ~85 years; this was particularly pronounced in short-distance events (pacing breakpoint at 35 years). Men displayed more synchronized decline patterns. Age breakpoints of CV and RT were coincident in freestyle and breaststroke (82 years). Backstroke and butterfly demonstrated RT breakpoints at 47 and 67 years, respectively, with CV occurring at 72 years. Conclusions: These findings indicate that CV generally deteriorates years before RT and represents a stroke, sex and distance-specific marker of accelerated functional decline in elite master swimmers. Monitoring CV may provide early warning of impending performance deterioration informing timely, targeted training interventions to extend athletic longevity. Full article

Anterior cruciate ligament (ACL) reconstruction is a common orthopedic procedure, but graft failure remains a significant complication, particularly in young and active individuals. Understanding the multifactorial etiology of failure and optimizing revision strategies are crucial for improving outcomes. A structured narrative review of the literature was conducted, including studies published from January 2000 to May 2024. Databases searched included PubMed/MEDLINE, Embase, and Google Scholar. Eligible studies addressed definitions, etiology, classification, and surgical management of ACL reconstruction failure. Data were synthesized qualitatively, integrating evidence on technical, biological, and traumatic causes, as well as neuromuscular and psychosocial factors influencing functional outcomes. ACL reconstruction failure is primarily caused by technical errors, particularly tunnel malposition (60–70% of cases), followed by traumatic (15–25%) and biological (10–15%) mechanisms. Failure timing provides diagnostic clues: early (<3 months) failures often relate to fixation or infection, mid-term (3–12 months) to technical errors, and late (>12 months) to trauma or degeneration. Revision strategies include individualized graft selection, anatomical tunnel placement, repair of associated lesions, and consideration of biomechanical abnormalities. Overall success rates of revision procedures average 70–75%, with lower outcomes in adolescents and high-demand athletes. Emerging techniques, including lateral extra-articular tenodesis and biologic augmentation, may enhance revision outcomes, although long-term evidence remains limited. ACL reconstruction failure is a multifactorial event requiring thorough preoperative assessment, precise surgical planning, and individualized management. Addressing technical, biological, and neuromuscular factors, alongside patient-specific considerations, is essential to optimize functional outcomes and reduce failure rates. Future research should focus on standardized reporting, multicenter prospective studies, and advanced surgical planning tools to further improve revision success. Full article

Introduction: Anterior cruciate ligament (ACL) injuries are among the most severe and frequent injuries in alpine skiing, often occurring in non-contact situations during high-demand turns. Various instrumental techniques were used to assess susceptibility to anterior cruciate ligament (ACL) injuries in alpine ski racers and recreational skiers. This cross-sectional exploratory study aimed to identify key factors contributing to ACL injury susceptibility, comparing lab-based and on-snow tests. Materials and Methods: We examined nine elite ski racers and nine recreational skiers with strong athletic backgrounds. Skiing technique was analyzed using an instrumented insole system (CARV) to measure body position, pressure symmetry, and edge angle. Dynamic Q-angle symmetry during single-leg squats were assessed with an optical system (DynaKnee), while balance, strength, and agility were evaluated through ACL-specific lab tests (CoRehab). Group comparisons were performed using the nonparametric Mann–Whitney U test. Results: No significant differences were found between groups in ACL-specific lab tests, including balance, agility, and jump performance. However, ski racers exhibited 34.9% higher asymmetry in the Q-angle symmetry index during the one-leg squat. In contrast, ski technique differences were significant: ski racers achieved 16.3% higher Edge Similarity, 48% better Pressure Symmetry, and 5.8% better Fore-Aft Balance compared to recreational skiers. Conclusions: Despite similar general athletic abilities, elite skiers showed higher Q-angle asymmetry, which has been previously associated with ACL injury risk. However, their advanced skiing technique may partially mitigate the functional consequences of this asymmetry during on-snow tests. This suggests that refined skiing skills may influence functional performance in racing conditions, while pronounced one-sided dominance could indicate potential injury risk. Full article

Parkinson’s disease (PD) is a heterogeneous clinical syndrome representing the final stage of a complex and long-lasting neurodegenerative process that involves not only dysfunction of the dopaminergic system but also impairments in other neurotransmitter systems. The diversity of the clinical presentation of PD, together with the existence of Parkinsonian syndromes and atypical Parkinsonism—such as multiple system atrophy (MSA), progressive supranuclear palsy (PSP), and dementia with Lewy bodies (DLB)—has important implications for rehabilitation outcomes and underscores the need for individualized, stage-dependent therapeutic approaches. Juggling is a complex motor activity that integrates cognitive, visuomotor, and balance processes, requiring a high level of concentration, precision, and motor adaptation. In recent years, there has been growing interest in this form of activity as a potential tool for supporting neuroplasticity, cognitive functions, and neurological rehabilitation. The aim of this review was to summarize current scientific evidence on the effects of juggling training on cognitive functions, visuomotor coordination, and balance, as well as to discuss the potential benefits of combining it with controlled hypoxia in patients with Parkinson’s disease (PD). This narrative review additionally considers how disease heterogeneity and stage of progression may influence the effectiveness of such multimodal interventions. This paper reviews the literature concerning the neurophysiological basis of learning to juggle and the mechanisms of brain plasticity, including increases in gray matter volume, improvements in white matter integrity, and reorganization of neuronal networks in motor and associative regions. Attention is drawn to the synergistic potential of combining juggling training with exposure to moderate, controlled hypoxia, which may induce an adaptive response involving the transcription factor HIF-1α, enhance the expression of brain-derived neurotrophic factor (BDNF), and promote angiogenesis and mitochondrial biogenesis. Although juggling and hypoxia are not directly related to training stimuli, both interventions activate overlapping and complementary neuroplastic pathways, providing a conceptual rationale for their parallel consideration and potential integration within future rehabilitation protocols. Juggling delivers task-specific motor–cognitive learning, whereas hypoxia may amplify molecular plasticity signaling, potentially enhancing responsiveness to motor interventions, particularly in patients at early stages of PD when compensatory mechanisms and neuroplastic capacity are relatively preserved. Findings from existing studies suggest that juggling under controlled hypoxic conditions may represent an innovative, safe, and multimodal form of training that supports both cognitive and motor components. Such effects may be particularly relevant in patients at early stages of PD, when compensatory mechanisms and neuroplastic potential are relatively preserved. Such an intervention may contribute to improvements in balance, attention, executive functions, and cognitive flexibility, which is particularly relevant in the context of rehabilitation for patients with neurodegenerative diseases. Importantly, to date, no randomized clinical trials have directly examined juggling performed under controlled hypoxic conditions in PD. Therefore, the present concept should be regarded as translational and exploratory, integrating evidence from juggling-induced neuroplasticity and hypoxia-related physiological adaptations. In this context, the proposed approach represents a proof-of-concept framework for future multimodal interventions rather than an established therapeutic strategy. Available evidence suggests that combining complex sensorimotor skill training with physiological modulation of the internal environment may constitute a novel direction in PD rehabilitation, extending beyond conventional exercise-based models. Despite promising reports, further well-designed clinical studies are needed to determine the optimal training parameters (frequency, intensity, duration, and degree of hypoxia), to evaluate the long-term sustainability of therapeutic effects, and to account for the heterogeneity of PD and related Parkinsonian disorders. Full article

Objectives: Few studies have previously shown an interaction between feet and gaze in postural control. The aim of the current study is to more specifically examine how vertical heterophoria (VH) varies with stimulation of the mechanoreceptors in the foot sole. A new method is proposed for fast assessment of minimum VH, especially when values are less than 1/2 diopter (pD). Methods: The Maddox rod test was used to assess VH with a new device made of a small point source of light located in the center of a circular box that enables the measurement of minimum VH. The VH assessment was based on a group of 95 adults in upright posture on different subtle plantar stimulations (with and without pins and on foam). Results: Almost half of the subjects exhibited minimum heterophoria with vertical deviations less than 1 pD, most of them (96%) with a VH ≤ 1/2 pD (small heterophoria). For the latter, a subtle plantar foot change induced by pins (1 mm high) or foam (4 mm high) can have different effects on ortho- and heterophoria. Orthophoric subjects became heterophoric with foam and pins, while heterophoric subjects became orthophoric with foam and pins, which can increase or decrease their phorias depending on the foam or pins and the type of HV. Using the new circular box makes it fast and easy to highlight even the smallest of heterophorias. We suggest that clinicians use this device to assess the effects of postural interventions, even though it has not yet proven its validity. The findings of the current study highlight the interrelation between gaze and foot systems, while the importance of the plantar mechanoreceptors is demonstrated. Full article

Background: This study aims to characterize the musculoskeletal injury landscape among Italian adolescent and adult breakdancers, specifically evaluating the correlation between technical execution and various risk factors. We conducted a cross-sectional analysis on a cohort of 97 practitioners (68 professionals and 29 amateurs). Data were retrieved using the “Breakdance Injury Questionnaire” (BIQ), a specialized 28-item tool covering training volume, clinical history, and technical specialization. Results: The data reveal a striking injury burden, with an overall prevalence rate of 94.84%. The most frequent sites of injury were the knee (63.9%), shoulder (60.8%), and wrist (57.7%). A significant statistical disparity in injury risk was observed between professionals and amateurs (p = 0.037), with amateurs exhibiting a higher vulnerability to acute trauma. Of clinical note is the significant correlation between intensive powermoves practice and shoulder pathology (p = 0.029). Conversely, generic preventive measures, including standard warm-ups (p = 0.168) and protective equipment (p = 0.164), showed no significant efficacy in reducing trauma incidence. Conclusions: Breakdancing is a high-demand discipline with a traumatic profile comparable to elite gymnastics. The functional inversion of the upper limbs predisposes athletes to specific overuse syndromes. Future prevention strategies must focus on specific conditioning protocols and qualified coaching rather than generic warm-up routines. Full article

Background: Full versus partial range of motion (ROM) bench press (BP) training has only been investigated at submaximal loads with discrete joint angles during training. The aim of this study was to compare the effects of a 4-week supramaximal progressive partial ROM (pROM) BP program to a traditional submaximal full range of motion (fROM) program on 1-RM strength and bar kinematics. Methods: Sixteen resistance-trained males (22.2 ± 1.4 years, 180.1 ± 6.3 cm, 88.5 ± 8.6 kgs, 1RM ≥ 1.25× body mass, 6 years’ experience) were randomized into pROM (n = 7) or fROM (n = 9). The pROM group performed BP at 105% 1RM using Bench Blokz to decrease the distance from the bar to the sternum by 1″ increments each week (5″ to 2″). The fROM group followed a strength oriented linear periodization model (80–87.5% 1RM). Both 1RM strength and 3D kinematics were assessed pre- and post-intervention using a 2 × 2 (Group × Time) ANOVA with Bonferroni corrected pairwise comparisons. Results: Both groups significantly increased 1RM strength (F = 45.82, p < 0.001), with no significant differences between groups. Pairwise comparisons revealed that only the fROM group experienced significant increases in 1st peak velocity (p = 0.023), eccentric velocity (p = 0.009), mean concentric force (p = 0.04) and quartile 2 mean concentric force (p = 0.01). Conclusions: Supramaximal pROM training is an effective strategy for increasing 1RM strength in experienced lifters, yielding results comparable to traditional fROM training over the course of a 4-week strength block. However, there are notable changes in bar kinematics surrounding the eccentric-concentric phase change that were only observed after fROM training. Full article

Background: Exercise oncology research supports multicomponent interventions as complementary therapies to improve quality of life in breast cancer (BC) survivors. Nonetheless, evidence on sport-specific, engaging approaches, such as boxing-based concurrent training, remains scarce. Method: This case study aimed to evaluate the feasibility and safety, and to explore the effects of a 16-week adapted boxing protocol. Two BC survivors with a history of triple-negative BC in treatment were enrolled. The protocol integrated aerobic, strength/power, coordination, balance and boxing-specific exercises through individually adapted, progressive sessions performed twice a week. Outcomes were assessed pre- and post-intervention and included: (I) compliance and adverse event related to the protocol, (II) functional tests (handgrip, single leg stance, 30 s sit-to-stand, trunk/shoulder mobility tests, VO₂max); (III) body composition parameters (fat mass, fat-free mass,); and (IV) validated questionnaires (EORTC QLQ-C30, FA12, PSQI, BIS, HADS, IPAQ). Results: Compliance was high and no serious adverse events were detected. Sit-to-stand performance, as well as VO₂max and mobility/balance, improved in both patients after the intervention. Participant A showed a favorable body modulation. Participant B, on the other hand, reported a stable weight. Participant A reported large improvements across QLQ-C30 domains, while participant B exhibited mixed results, with improved emotional functioning and pain but declines in cognitive/social functioning. Conclusions: The boxing-based concurrent training protocol was feasible, safe, and well-tolerated. Despite the limitation of the case study, the observed functional and psychosocial positive changes highlight the need for adequately larger controlled trials to clarify the training protocol efficacy in order to optimize this exercise approach in BC survivors. Full article

Maximal aerobic capacity (VO_2max) is a well-established predictor of cardiovascular health, morbidity, and all-cause mortality. While many systematic reviews and meta-analyses have characterized the effects of aerobic exercise training on VO_2max, they fail to capture the state of the literature as a whole. This scoping review aims to summarize the populations and training protocols used in the current literature and highlight gaps in our current understanding of the VO_2max response to aerobic training. A total of 617 studies were selected and analyzed in this review. The majority of exercise protocols used were moderate intensity continuous training (MICT; n = 363). Few studies employed high-intensity interval training (HIIT; n = 102), sprint interval training (SIT; n = 70), or a combination of exercise modalities (n = 82). A large number of studies only included male participants (n = 264), while a few studies only included female participants (n = 83). The majority of training interventions were shorter than three months (n = 399). Many studies failed to report information regarding participant health (n = 169) and physical activity status (n = 290). Exercise modality, sex representation, the effects of long-term training, and reporting practices represent key gaps within the literature that should be further explored in the future. Full article

This review summarizes the existing literature to investigate the role of excessive dynamic genu valgum (DGV) upon landing on subsequent movement performance in athletes. General systems theory and kinetic chain theory comprise the underlying theoretical frameworks, with an emphasis on regional interdependency in the context of lower-limb kinematics. Using a snowballing methodology, information was obtained from PubMed, CINAHL, Wiley Online Library, ProQuest, and Scopus databases, as well as through the utilization of Google Scholar and relevant biomechanics and movement analysis textbooks. Limitations include a paucity of research in the absence of injury and on DGV and subsequent performance post landing. Numerous factors, such as strength deficits of the predominant stabilizers of the knee in the frontal plane, fatigue, presence of dual tasks, and ingrained motor control, may influence medial knee excursion upon landing. Increased medial knee excursion during the transition from force attenuation to control is theorized to reduce the mechanical advantage of the quadriceps, impairing the efficiency of the stretch–shortening cycle for subsequent athletic movement performance. Mechanical and cognitive factors may influence knee biomechanics during landing and subsequent movement efficiency; however, the existing literature would benefit from further exploration of the differences in movement mechanics (e.g., acceleration) post landing in excessive DGV and the role of the trunk and subtalar joint on knee kinematics through the context of regional interdependency. This review is novel in investigating DGV from the perspective of movement performance rather than injury. Full article

Background: Brace adherence is a key determinant of treatment success in adolescents with idiopathic scoliosis. However, adherence is influenced by multiple clinical, psychological, and social factors, and reported wear times vary widely across studies. This systematic review and meta-analysis aimed to identify determinants of brace adherence and assess their quantitative impact on real wear. Methods: A comprehensive search was conducted in PubMed/MEDLINE, Scopus, Web of Science, Embase, and Google Scholar from database inception to November 2025. A total of 1040 records were identified, 620 were screened, and 45 full-text articles were assessed for eligibility. In total, 17 studies met the inclusion criteria and were included in the qualitative synthesis, and 10 provided extractable quantitative data and were included in the meta-analysis. A random-effects model was used to calculate pooled mean differences for identified determinants, including sex, age, early adherence, and sensor-based monitoring. Results: In total, 17 studies involving 1716 adolescents were included, and 10 provided extractable quantitative data for meta-analysis. Objective sensor-based monitoring was consistently associated with higher adherence, with a pooled mean difference of 25.6 percent compared with non-sensor methods. Early adherence significantly predicted long-term compliance, with a mean difference of 9.6 percent. Younger adolescents demonstrated greater adherence than older patients, with a mean difference of 19.1 percent, while sex differences favored females but did not reach statistical significance. Psychosocial determinants such as body image perception, stress, family dynamics, and religious environment played an important role in modulating adherence. Higher body mass index (BMI) and reduced quality of life were associated with poorer compliance. Overall, studies evaluating positive determinants reported a pooled mean adherence of 89.6 percent compared with 67.7 percent in studies characterized by negative determinants. Conclusions: Brace adherence is determined by a combination of clinical and psychosocial factors. Sensor-based monitoring, strong early adherence, and supportive environments consistently enhance compliance, whereas stress, poor body image, and higher BMI hinder wear. Targeted interventions, early counseling, and standardized adherence metrics are needed to improve outcomes in brace-treated scoliosis. Full article

Background: Balance is an essential motor skill that enables individuals to maintain a stable posture and perform daily activities safely. Dual-task assessments are widely used to evaluate the integration of motor and cognitive functions in paediatric populations, but their effects on postural control in children with haemophilia (CwH) remain poorly understood. The objective was to analyse and compare static balance performance under single-task and cognitive dual-task conditions between CwH and age-matched healthy controls (HC). Methods: This comparative cross-sectional study included 34 CwH and 32 HC aged 8–12 years. Balance was assessed using the Wii Balance Board^® under six conditions: bipedal, bipedal with cognitive task, and dominant and non-dominant unipedal (with and without cognitive task). Primary outcome variables included overall stability index, total velocity, and sway area. Physical activity habits were also recorded in both groups with an ad hoc questionnaire. Among CwH, joint health was measured with the Haemophilia Joint Health Score (v2.0), and joint effusion/synovial hypertrophy was evaluated by ultrasound. Results: CwH showed significantly poorer performance in all variables, primarily under unipedal dominant/non-dominant dual-task conditions (p < 0.05) with percentage differences ranging from approximately 15% to over 60%. CwH reported lower-intensity and shorter-duration physical activity than HC. Conclusions: CwH demonstrates impaired balance, especially under unipedal and cognitive demands. Assessment of balance alongside dual-task performance may help detect subtle deficits not captured by only static balance assessment. These findings may suggest the incorporation of dual-task training into balance training programmes for this population. Full article

Background: Parkinson’s disease (PD) is a progressive neurodegenerative disorder characterised by motor and non-motor symptoms. Several studies have reported varying prevalence of Carpal Tunnel Syndrome (CTS) among individuals with PD. Objective: This study aimed to estimate the pooled prevalence of CTS in people with PD and explore any potential association between the two conditions. Methods: This systematic review and meta-analysis was conducted and reported in accordance with the PRISMA 2020 guidelines. A systematic search was performed across PubMed, the Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science (WoS), Scopus, and EMBASE from inception to April 2024. Studies reporting CTS prevalence data in individuals with PD were included. Methodological quality was assessed using the National Institutes of Health (NIH) quality assessment tool. Pooled prevalence estimates were calculated using a random-effects model. Risk difference (RD) and risk ratio (RR) were calculated to assess the association between PD and CTS compared with control groups. Results: A total of 7 studies involving 411 participants (343 with PD and 68 controls) met the inclusion criteria, with 679 wrists assessed. The pooled prevalence of CTS in PD was estimated at 15% (95% CI: 0.07–0.28) with significant heterogeneity (p < 0.001, I² = 91%). The RD was 10% (95% CI: 0.04–0.16, p = 0.002), with low heterogeneity (p = 0.29, I² = 19%). The RR of CTS in PD compared with controls was 3.31 (95% CI: 0.60–18.42, p = 0.17), with moderate heterogeneity (p = 0.13, I² = 52%). Conclusions: This meta-analysis provides preliminary pooled estimates indicating a potentially increased prevalence of carpal tunnel syndrome in individuals with PD. Although the findings suggest a possible association, clinicians should maintain increased vigilance for CTS symptoms in patients with PD presenting with upper-limb sensory or motor complaints. From a biomechanical and functional perspective, these findings highlight the importance of routine upper-limb screening and the implementation of rehabilitation strategies targeting hand use, dexterity, and sensorimotor control within physiotherapy practice. Further high-quality studies with larger, well-characterised samples are required to confirm this relationship and clarify its clinical and functional implications. Full article

Background: The four-compartment (4C) model is a criterion method for evaluating body composition tools like bioelectrical impedance analysis (BIA). This systematic review assessed the clinical equivalence of BIA devices compared to the 4C model and explored limitations in using the 4C model as a criterion method. Methods: Twelve cross-sectional and baseline longitudinal studies involving healthy, weight-stable, non-athlete, non-pregnant adults were included. The primary outcome was a Bland–Altman analysis, with bias, limits of agreement, and proportional bias extracted from each paper. The study quality was evaluated using the AXIS tool. Due to the high variability across studies, a meta-analysis was not performed. Results: BIA devices generally performed poorly against the 4C model estimates of percentage body fat and fat-free mass. Across the 12 studies, mean bias for percentage body fat between BIA and the 4C model ranged from −3.5% to +4.4%, with limits of agreement typically spanning 15 to 20 percentage points. For fat-free mass, mean bias ranged from −3.9 kg to +1.8 kg, with limits of agreement often exceeding ±6 kg. These wide limits indicate non-equivalence at the individual level despite small mean differences. Differences in both BIA device design and variations in 4C methodology across studies may have contributed to these discrepancies. Conclusions: BIA estimates of percentage body fat and fat-free mass were overall not equivalent to the 4C model. Alternative criterion methods, such as MRI, and use of raw BIA data are recommended. Standardization of BIA devices is also needed for improved clinical and research use. Full article

Background: The diaphragm is the primary respiratory muscle, and its proper function is essential for efficient breathing. Respiratory muscle weakness is a common complication that can hinder the withdrawal of mechanical ventilation. This weakness not only negatively affects patients’ quality of life but also represents an economic challenge for healthcare systems, as it significantly increases medical costs due to prolonged hospitalization and the need for additional procedures to manage associated complications. Ultrasonography has emerged as a precise technique for assessing diaphragmatic function through measurements such as diaphragmatic excursion and thickening fraction, with the right hemidiaphragm being the most suitable for evaluation. However, several studies have shown that diaphragmatic ultrasound measurements vary considerably in both healthy individuals and patients, mainly due to the lack of standardization of body position during assessment. Therefore, it is necessary to investigate how patient posture influences diaphragmatic ultrasound measurements in order to standardize protocols, improve diagnostic accuracy, and support reliable clinical decision-making. We employed ultrasonography to determine the influence of changes in body position on diaphragmatic excursion in a healthy population from the city of Cali. Methods: A descriptive cross-sectional study was conducted in 36 healthy adults aged 18 to 65 years, distributed into sex and age groups. Diaphragmatic excursion was assessed using a 3.5–5 MHz ultrasound transducer. Participants were evaluated in five body positions: supine at 0°, and head-of-bed inclinations of 30°, 45°, 70°, and 90°. Results: A progressive increase in diaphragmatic excursion was observed from the supine position (0°) up to 70° inclination. The 70° inclination showed the greatest diaphragmatic mobility as measured by ultrasonography. This finding suggests the existence of an optimal intermediate position in which biomechanical conditions and intra-abdominal pressure allow more efficient diaphragmatic contraction. Conclusions: The results of this study demonstrate that changes in body position significantly influence diaphragmatic excursion in healthy individuals, with a trunk inclination of 70° yielding the greatest diaphragmatic mobility. These findings support the importance of considering body posture as a key determinant in the functional assessment of the diaphragm using ultrasonography. Full article

Objective: This study compared the effects of submaximal and supramaximal accentuated eccentric loading (AEL) on lean mass and function in the trained (TL) and contralateral non-trained (NTL) legs of women. Methods: Twenty recreationally trained women were randomly assigned to submaximal (90% 1-RM) or supramaximal (120% 1-RM) AEL leg press training (2/week, 10 weeks, 4 sets of 8 repetitions) with 30% 1-RM concentric loading. Total thigh lean mass (TTLM), unilateral leg press 1-RM, mechanical power at 40% (P40), 60% (P60), and 80% (P80) of 1-RM, unilateral countermovement (CMJ) and drop jump (DJ) height, and muscle endurance (XRM) were assessed for each leg before and after intervention. Results: Regarding the TL, the submaximal group showed significant (p < 0.05) increases in 1-RM, P40, CMJ, and DJ, while the supramaximal group showed increased TTLM, 1-RM, P40, P60, and XRM. No significant differences were observed between groups. In the NTL, both groups showed significant increases in 1-RM and P40. Additionally, the submaximal group demonstrated improvements in P60, while the supramaximal group showed significant increases in both P60 and P80, and in TTLM. TL and NTL changes correlated significantly for 1-RM, CMJ, and TTLM. However, TL and NTL changes differed significantly for 1-RM and P40 in the submaximal group and for TTLM in the supramaximal group. Conclusions: Submaximal and supramaximal AEL resulted in similar neuromuscular improvements in both TL and NTL in women. Supramaximal loading provided additional benefits in mechanical power lean mass, while submaximal loading improved explosive performance. Supramaximal loading may not be necessary for active women. Full article

Soccer is the most widely practiced sport globally, but is also associated with a high incidence of lower limb injuries. Among multiple risk factors, soccer footwear represents a crucial biomechanical interface affecting traction, proprioception, and joint loading. This narrative review aims to explore how each component of modern soccer footwear impacts performance and injury risk, with a focus on evidence-based functional customization. A comprehensive narrative review of available literature was conducted across PubMed, Scopus, and Web of Science, integrating biomechanical, clinical, and materials science studies. We included studies concerning the structures composing soccer technical footwear. Conical studs were associated with reduced rotational stiffness and lower joint torque, while bladed studs enhanced linear traction but increased ACL strain risk. Upper materials, such as knitted fabrics and engineered mesh, improve proprioception and thermal regulation but show trade-offs in durability and protection. Soleplate stiffness influenced load distribution and performance: increased stiffness improves sprinting but compromises multidirectional agility. Fatigue and proprioception were modulated by insole and soleplate synergy. Soccer footwear should be seen as a clinical and performance tool requiring evidence-based customization. Advances in material technology, 4D foot scanning, and plantar pressure mapping enable functional matching between footwear and athlete characteristics. Translating these insights into player-specific footwear designs may reduce injury rates and enhance on-field performance. Full article

Background: The athletic potential of young athletes is shaped by individual and environmental factors. Objectives: This study examines the physical growth, body composition, biological maturation, motivation, perseverance, physical performance and contextual factors of young male and female track and field athletes. Methods: A total of 425 (224 girls) track and field athletes were recruited and divided into five age cohorts (10, 11, 12, 13, and 14 years respectively). Measurements were assessed across (i) individual (anthropometry, body composition, biological maturation, motivation, and perseverance), (ii) performance (motor performance), and (iii) club context domains. Data analysis used descriptive statistics for clubs’ characteristics, a two-factor ANOVA for anthropometry, body composition, biological maturation, and performance and an ANCOVA for motivation and perseverance. All analyses used STATA 18.0. Results: Sex-related differences were identified in physical growth, maturation, psychological, and performance variables during adolescence. Girls reached their peak height velocity (PHV) around 12 years of age, compared to 14 years in boys. At all ages (except at age 11), girls had higher body fat, and at age 12 were taller and outperformed boys in right-handgrip strength and in sprint (30 m and 40 m). From age 13 years onwards, boys became taller, with greater leg length, greater fat-free mass, and superior results (p < 0.05) in most performance tests. Psychologically, girls reported higher levels of interest–enjoyment, effort–importance, relatedness, and perceived choice; no sex differences were found in perseverance. The clubs involved were of small size, with developing, yet qualified, coaches, with limited support staff and infrastructure. Conclusions: Clear sex differences in physical growth, psychological, and performance variables emerged during adolescence, and were related in part to earlier maturation in girls. Further, there was variation in clubs’ infrastructure and staff that may potentially influence track and field athletes’ growth and development. Full article