TY - JOUR A1 - Hortobágyi, Tibor A1 - Lesinski, Melanie A1 - Gäbler, Martijn A1 - VanSwearingen, Jessie M. A1 - Malatesta, Davide A1 - Granacher, Urs T1 - Effects of three types of exercise interventions on healthy old adults’ gait speed BT - a systematic review and meta-analysis JF - Sports medicine N2 - Background: Habitual walking speed predicts many clinical conditions later in life, but it declines with age. However, which particular exercise intervention can minimize the age-related gait speed loss is unclear. Purpose: Our objective was to determine the effects of strength, power, coordination, and multimodal exercise training on healthy old adults' habitual and fast gait speed. Methods: We performed a computerized systematic literature search in PubMed and Web of Knowledge from January 1984 up to December 2014. Search terms included 'Resistance training', 'power training', 'coordination training', 'multimodal training', and 'gait speed (outcome term). Inclusion criteria were articles available in full text, publication period over past 30 years, human species, journal articles, clinical trials, randomized controlled trials, English as publication language, and subject age C65 years. The methodological quality of all eligible intervention studies was assessed using the Physiotherapy Evidence Database (PEDro) scale. We computed weighted average standardized mean differences of the intervention-induced adaptations in gait speed using a random-effects model and tested for overall and individual intervention effects relative to no-exercise controls. Results: A total of 42 studies (mean PEDro score of 5.0 +/- 1.2) were included in the analyses (2495 healthy old adults; age 74.2 years [64.4-82.7]; body mass 69.9 +/- 4.9 kg, height 1.64 +/- 0.05 m, body mass index 26.4 +/- 1.9 kg/m(2), and gait speed 1.22 +/- 0.18 m/s). The search identified only one power training study, therefore the subsequent analyses focused only on the effects of resistance, coordination, and multimodal training on gait speed. The three types of intervention improved gait speed in the three experimental groups combined (n = 1297) by 0.10 m/s (+/- 0.12) or 8.4 % (+/- 9.7), with a large effect size (ES) of 0.84. Resistance (24 studies; n = 613; 0.11 m/s; 9.3 %; ES: 0.84), coordination (eight studies, n = 198; 0.09 m/s; 7.6 %; ES: 0.76), and multimodal training (19 studies; n = 486; 0.09 m/s; 8.4 %, ES: 0.86) increased gait speed statistically and similarly. Conclusions: Commonly used exercise interventions can functionally and clinically increase habitual and fast gait speed and help slow the loss of gait speed or delay its onset. KW - resistance training KW - exercise intervention KW - gait speed KW - power training KW - mobility disability Y1 - 2015 U6 - https://doi.org/10.1007/s40279-015-0371-2 SN - 1179-2035 SN - 0112-1642 N1 - Erratum in: Sports Med. 2016 Mar;46(3):453. doi: 10.1007/s40279-016-0498-9. VL - 45 SP - 1627 EP - 1643 PB - Springer CY - Berlin ER - TY - JOUR A1 - Lesinski, Melanie A1 - Prieske, Olaf A1 - Beurskens, Rainer A1 - Behm, David George A1 - Granacher, Urs T1 - Effects of Drop-height and Surface Instability on Jump Performance and Knee Kinematics JF - International journal of sports medicine N2 - The purpose of this study was to examine the combined effects of drop-height and surface condition on drop jump (DJ) performance and knee joint kinematics. DJ performance, sagittal and frontal plane knee joint kinematics were measured in jump experienced young male and female adults during DJs on stable, unstable and highly unstable surfaces using different drop-heights (20, 40, 60 cm). Findings revealed impaired DJ performance (Δ5–16%; p<0.05; 1.43≤d≤2.82), reduced knee valgus motion (Δ33–52%; p<0.001; 2.70≤d≤3.59), and larger maximum knee flexion angles (Δ13–19%; p<0.01; 1.74≤d≤1.75) when using higher (60 cm) compared to lower drop-heights (≤40 cm). Further, lower knee flexion angles and velocity were found (Δ8-16%; p<0.01; 1.49≤d≤2.38) with increasing surface instability. When performing DJs from high (60 cm) compared to moderate drop-heights (40 cm) on highly unstable surfaces, higher knee flexion velocity and maximum knee valgus angles were found (Δ15–19%; p<0.01; 1.50≤d≤1.53). No significant main and/or interaction effects were observed for the factor sex. In conclusion, knee motion strategies were modified by the factors ‘drop-height’ and/or ‘surface instability’. The combination of high drop-heights (>40 cm) together with highly unstable surfaces should be used cautiously during plyometrics because this may increase the risk of injury due to higher knee valgus stress. KW - drop jump KW - knee flexion angle KW - knee valgus angle KW - knee valgus motion Y1 - 2017 U6 - https://doi.org/10.1055/s-0043-117610 SN - 0172-4622 SN - 1439-3964 VL - 39 IS - 1 SP - 50 EP - 57 PB - Thieme CY - Stuttgart ER - TY - JOUR A1 - Lesinski, Melanie A1 - Prieske, Olaf A1 - Chaabene, Helmi A1 - Granacher, Urs T1 - Seasonal effects of strength endurance vs. power training in young female soccer athletes JF - Journal of strength and conditioning research : the research journal of the NSCA N2 - Lesinski, M, Prieske, O, Chaabene, H, and Granacher, U. Seasonal effects of strength endurance vs. power training in young female soccer athletes. J Strength Cond Res 35(12S): S90-S96, 2021-This study examined the seasonal effects of strength endurance training (SET) vs. power training (PT) on physical fitness and body composition in young female soccer players. Thirty-six young female elite soccer players (15 +/- 1 years; maturity offset +3 +/- 1 years) were allocated to progressive SET (n = 19) or PT (n = 17). Over the course of one soccer season, SET performed slow movement velocity, moderate intensity (50-60% of the 1 repetition maximum [1RM]; 20-40 repetitions) strength exercises while PT performed moderate-to-high intensity (50-95% of the 1RM; 3-8 repetitions), high movement velocity strength exercises (2 sessions center dot wk(-1)). Before and after training, tests were performed for the assessment of muscle strength (1RM leg press), jump performance (countermovement jump [CMJ], drop jump [DJ]), muscular endurance (ventral Bourban test), linear speed (10 m, 20 m), change-of-direction (CoD) speed (T-test), dynamic balance (Y-balance test), sport-specific performance (kicking velocity), and body composition (lean body mass and fat mass). An analysis of covariance was used to test for between-group differences at post-test with baseline values as covariate. No significant between-group differences were observed in terms of total training volume over the respective soccer seasons (p = 0.069; d = 0.68). At post-test, SET showed significantly better ventral Bourban and T-test performances (d = 1.28-2.28; p = 0.000-0.001) compared with PT. However, PT resulted in significantly better 1RM leg press, DJ, 10-m, and 20-m sprint performances (d = 0.85-1.44; p = 0.000-0.026). No significant between-group differences were observed at post-test for CMJ, Y-balance test, kicking performance, and body composition (d = 0.20-0.74, p = 0.051-0.594). Our findings are mainly in accordance with the principle of training specificity. Both SET and PT are recommended to be implemented in young female elite soccer players according to the respective training period. KW - strength training KW - elite KW - training specificity KW - soccer players KW - muscle KW - endurance KW - periodization Y1 - 2021 U6 - https://doi.org/10.1519/JSC.0000000000003564 SN - 1064-8011 SN - 1533-4287 VL - 35 IS - Supplement 12 SP - S90 EP - S96 PB - Lippincott Williams & Wilkins CY - Philadelphia ER - TY - JOUR A1 - Weber, Stephanie A1 - Puta, Christian A1 - Lesinski, Melanie A1 - Gabriel, Brunhild A1 - Steidten, Thomas A1 - Bär, Karl-Jürgen A1 - Herbsleb, Marco A1 - Granacher, Urs A1 - Gabriel, Holger H. W. T1 - Symptoms of anxiety and depression in young athletes using the hospital anxiety and depression scale JF - Frontiers in physiology N2 - Elite young athletes have to cope with multiple psychological demands such as training volume, mental and physical fatigue, spatial separation of family and friends or time management problems may lead to reduced mental and physical recovery. While normative data regarding symptoms of anxiety and depression for the general population is available (Hinz and Brahler, 2011), hardly any information exists for adolescents in general and young athletes in particular. Therefore, the aim of this study was to assess overall symptoms of anxiety and depression in young athletes as well as possible sex differences. The survey was carried out within the scope of the study "Resistance Training in Young Athletes" (KINGS-Study). Between August 2015 and September 2016, 326 young athletes aged (mean +/- SD) 14.3 +/- 1.6 years completed the Hospital Anxiety and Depression Scale (HAD Scale). Regarding the analysis of age on the anxiety and depression subscales, age groups were classified as follows: late childhood (12-14 years) and late adolescence (15-18 years). The participating young athletes were recruited from Olympic weight lifting, handball, judo, track and field athletics, boxing, soccer, gymnastics, ice speed skating, volleyball, and rowing. Anxiety and depression scores were (mean +/- SD) 4.3 +/- 3.0 and 2.8 +/- 2.9, respectively. In the subscale anxiety, 22 cases (6.7%) showed subclinical scores and 11 cases (3.4%) showed clinical relevant score values. When analyzing the depression subscale, 31 cases (9.5%) showed subclinical score values and 12 cases (3.7%) showed clinically important values. No significant differences were found between male and female athletes (p >= 0.05). No statistically significant differences in the HADS scores were found between male athletes of late childhood and late adolescents (p >= 0.05). To the best of our knowledge, this is the first report describing questionnaire based indicators of symptoms of anxiety and depression in young athletes. Our data implies the need for sports medical as well as sports psychiatric support for young athletes. In addition, our results demonstrated that the chronological classification concerning age did not influence HAD Scale outcomes. Future research should focus on sports medical and sports psychiatric interventional approaches with the goal to prevent anxiety and depression as well as teaching coping strategies to young athletes. KW - youth athletes KW - anxiety KW - depression KW - gender differences KW - late childhood KW - adolescents Y1 - 2018 U6 - https://doi.org/10.3389/fphys.2018.00182 SN - 1664-042X VL - 9 PB - Frontiers Research Foundation CY - Lausanne ER - TY - JOUR A1 - Chaabene, Helmi A1 - Lesinski, Melanie A1 - Behm, David George A1 - Granacher, Urs T1 - Performance- and healthrelated benefits of youth resistance training T1 - Leistungs- und gesundheitsbezogene Wirkungen von Krafttraining mit Heranwachsenden JF - Sports Orthopaedics and Traumatology N2 - Performance- and healthrelated benefits of yoThere is ample evidence that youth resistance training (RT) is safe, joyful, and effective for different markers of performance (e.g., muscle strength, power, linear sprint speed) and health (e.g., injury prevention). Accordingly, the first aim of this narrative review is to present and discuss the relevance of muscle strength for youth physical development. The second purpose is to report evidence on the effectiveness of RT on muscular fitness (muscle strength, power, muscle endurance), on movement skill performance and injury prevention in youth. There is evidence that RT is effective in enhancing measures of muscle fitness in children and adolescents, irrespective of sex. Additionally, numerous studies indicate that RT has positive effects on fundamental movement skills (e.g., jumping, running, throwing) in youth regardless of age, maturity, training status, and sex. Further, irrespective of age, sex, and training status, regular exposure to RT (e.g., plyometric training) decreases the risk of sustaining injuries in youth. This implies that RT should be a meaningful element of youths’ exercise programming. This has been acknowledged by global (e.g., World Health Organization) and national (e.g., National Strength and Conditioning Association) health- and performance-related organizations which is why they recommended to perform RT as an integral part of weekly exercise programs to promote muscular strength, fundamental movement skills, and to resist injuries in youth.uth resistance training N2 - Die aktuelle Literatur zum Krafttraining mit Kindern und Jugendlichen zeigt eindrücklich, dass ein altersgerechtes und fachlich angeleitetes Krafttraining eine sichere, freudvolle und effektive Maßnahme für die Leistungsentwicklung (z. B. Muskelkraft, Schnellkraft, Sprintgeschwindigkeit) und Gesundheitserhaltung (z. B. Verletzungsprävention) von Heranwachsenden darstellt. Einerseits ist es das Ziel dieses narrativen Übersichtsartikels, die Relevanz der Muskelkraft für die körperliche Entwicklung von Heranwachsenden zu diskutieren. Andererseits sollen aktuelle Befunde zur Effektivität von Krafttraining auf die muskuläre Fitness (Maximal-/Schnellkraft, Kraftausdauer), elementare Bewegungsfertigkeiten (z.B. Springen, Rennen, Werfen) sowie die Verletzungsprävention bei Kindern und Jugendlichen beschrieben werden. Die aktuelle Literatur belegt, dass Krafttraining die Muskelkraft, die Schnellkraft und die Kraftausdauer von Kindern und Jugendlichen unabhängig vom Geschlecht verbessern kann. Weiterhin zeigen Studien, dass trainingsbedingte Verbesserungen der muskulären Fitness auf elementare Bewegungsfertigkeiten transferieren. Diese Wirkungen sind unabhängig vom Alter, der biologischen Reife, dem Trainingsstatus und dem Geschlecht der Trainierenden. Zudem verringert regelmäßiges Krafttraining das Verletzungsrisiko der Heranwachsenden unabhängig von Alter, Geschlecht und Trainingsstatus. Aufgrund dieses breiten Wirkungsspektrums sollte Krafttraining ein elementarer Bestandteil des Trainings von Heranwachsenden darstellen. Nationale (National Strength and Conditioning Association) sowie internationale (Weltgesundheitsorganisation) gesundheits- und leistungsorientierte Standesgesellschaften haben die positiven Wirkungen von Krafttraining erkannt und in ihre Bewegungsempfehlungen für Kinder und Jugendliche übernommen. KW - muscle strength KW - muscle power KW - strength training KW - children KW - adolescents KW - Maximalkraft KW - Schnellkraft KW - Widerstandstraining KW - Kinder KW - Jugendliche Y1 - 2020 VL - 36 IS - 3 PB - Elsevier CY - Amsterdam ER - TY - JOUR A1 - Lesinski, Melanie A1 - Herz, Michael A1 - Schmelcher, Alina A1 - Granacher, Urs T1 - Effects of resistance training on physical fitness in healthy children and adolescents BT - an umbrella review JF - Sports medicine N2 - Background Over the past decades, an exponential growth has occurred with regards to the number of scientific publications including meta-analyses on youth resistance training (RT). Accordingly, it is timely to summarize findings from meta-analyses in the form of an umbrella review. Objectives To systematically review and summarise the findings of published meta-analyses that investigated the effects of RT on physical fitness in children and adolescents. Design Systematic umbrella review of meta-analyses. Data Sources Meta-analyses were identified using systematic literature searches in the databases PubMed, Web of Science, and Cochrane Library. Eligibility Criteria for Selecting Meta-analyses Meta-analyses that examined the effects of RT on physical fitness (e.g., muscle strength, muscle power) in healthy youth (<= 18 years). Results Fourteen meta-analyses were included in this umbrella review. Eleven of these meta-analyses reported between-subject effect sizes which are important to eliminate bias due to growth and maturation. RT produced medium-to-large effects on muscle strength, small-to-large effects on muscle power, small-to-medium effects on linear sprint, a medium effect on agility/change-of-direction speed, small-to-large effects on throwing performance, and a medium effect on sport-specific enhancement. There were few consistent moderating effects of maturation, age, sex, expertise level, or RT type on muscle strength and muscle power across the included meta-analyses. The analysed meta-analyses showed low-to-moderate methodological quality (AMSTAR2) as well as presented evidence of low-to-very low quality (GRADE). Conclusion This umbrella review proved the effectiveness of RT in youth on a high evidence level. The magnitude of effects varies according to the respective outcome measure and it appears to follow the principle of training specificity. Larger effect sizes were found for strength-related outcome measures. Future studies should consistently report data on participants' maturational status. More research is needed with prepubertal children and girls, irrespective of their maturational status. Y1 - 2020 U6 - https://doi.org/10.1007/s40279-020-01327-3 SN - 0112-1642 SN - 1179-2035 VL - 50 IS - 11 SP - 1901 EP - 1928 PB - Springer CY - Northcote ER - TY - GEN A1 - Lesinski, Melanie A1 - Hortobagyi, Tibor A1 - Mühlbauer, Thomas A1 - Gollhofer, Albert A1 - Granacher, Urs T1 - Effects of Balance Training on Balance Performance in Healthy Older Adults: A Systematic Review and Meta-analysis (vol 45, pg 1721, 2015) T2 - Sports medicine Y1 - 2016 U6 - https://doi.org/10.1007/s40279-016-0500-6 SN - 0112-1642 SN - 1179-2035 VL - 46 SP - 457 EP - 457 PB - Springer CY - Northcote ER - TY - GEN A1 - Weber, Stephanie A1 - Puta, Christian A1 - Lesinski, Melanie A1 - Gabriel, Brunhild A1 - Steidten, Thomas A1 - Bär, Karl-Jürgen A1 - Herbsleb, Marco A1 - Granacher, Urs A1 - Gabriel, Holger H. W. T1 - Symptoms of anxiety and depression in young athletes using the Hospital Anxiety and Depression Scale T2 - Postprints der Universität Potsdam : Humanwissenschaftliche Reihe N2 - Elite young athletes have to cope with multiple psychological demands such as training volume, mental and physical fatigue, spatial separation of family and friends or time management problems may lead to reduced mental and physical recovery. While normative data regarding symptoms of anxiety and depression for the general population is available (Hinz and Brahler, 2011), hardly any information exists for adolescents in general and young athletes in particular. Therefore, the aim of this study was to assess overall symptoms of anxiety and depression in young athletes as well as possible sex differences. The survey was carried out within the scope of the study "Resistance Training in Young Athletes" (KINGS-Study). Between August 2015 and September 2016, 326 young athletes aged (mean +/- SD) 14.3 +/- 1.6 years completed the Hospital Anxiety and Depression Scale (HAD Scale). Regarding the analysis of age on the anxiety and depression subscales, age groups were classified as follows: late childhood (12-14 years) and late adolescence (15-18 years). The participating young athletes were recruited from Olympic weight lifting, handball, judo, track and field athletics, boxing, soccer, gymnastics, ice speed skating, volleyball, and rowing. Anxiety and depression scores were (mean +/- SD) 4.3 +/- 3.0 and 2.8 +/- 2.9, respectively. In the subscale anxiety, 22 cases (6.7%) showed subclinical scores and 11 cases (3.4%) showed clinical relevant score values. When analyzing the depression subscale, 31 cases (9.5%) showed subclinical score values and 12 cases (3.7%) showed clinically important values. No significant differences were found between male and female athletes (p >= 0.05). No statistically significant differences in the HADS scores were found between male athletes of late childhood and late adolescents (p >= 0.05). To the best of our knowledge, this is the first report describing questionnaire based indicators of symptoms of anxiety and depression in young athletes. Our data implies the need for sports medical as well as sports psychiatric support for young athletes. In addition, our results demonstrated that the chronological classification concerning age did not influence HAD Scale outcomes. Future research should focus on sports medical and sports psychiatric interventional approaches with the goal to prevent anxiety and depression as well as teaching coping strategies to young athletes. T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 638 KW - youth athletes KW - anxiety KW - depression KW - gender differences KW - late childhood KW - adolescents Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-445602 SN - 1866-8364 IS - 638 ER - TY - JOUR A1 - Lesinski, Melanie A1 - Prieske, Olaf A1 - Demps, Marie A1 - Granacher, Urs T1 - Effects of fatigue and surface instability on neuromuscular performance during jumping JF - Der Schmerz : Organ der Deutschen Gesellschaft zum Studium des Schmerzes, der Österreichischen Schmerzgesellschaft und der Deutschen Interdisziplinären Vereinigung für Schmerztherapie N2 - It has previously been shown that fatigue and unstable surfaces affect jump performance. However, the combination thereof is unresolved. Thus, the purpose of this study was to examine the effects of fatigue and surface instability on jump performance and leg muscle activity. Twenty elite volleyball players (18 +/- 2 years) performed repetitive vertical double-leg box jumps until failure. Before and after a fatigue protocol, jump performance (i.e., jump height) and electromyographic activity of selected lower limb muscles were recorded during drop jumps (DJs) and countermovement jumps (CMJs) on a force plate on stable and unstable surfaces (i.e., balance pad on top of force plate). Jump performance (3-7%; P < 0.05; 1.14 <= d <= 2.82), and muscle activity (2-27%; P < 0.05; 0.59 <= d <= 3.13) were lower following fatigue during DJs and CMJs, and on unstable compared with stable surfaces during DJs only (jump performance: 8%; P < 0.01; d = 1.90; muscle activity: 9-25%; P < 0.05; 1.08 <= d <= 2.54). No statistically significant interactions of fatigue by surface condition were observed. Our findings revealed that fatigue impairs neuromuscular performance during DJs and CMJs in elite volleyball players, whereas surface instability affects neuromuscular DJ performance only. Absent fatigue x surface interactions indicate that fatigue-induced changes in jump performance are similar on stable and unstable surfaces in jump-trained athletes. KW - Exhaustion KW - stretch-shortening cycle KW - jump height KW - EMG KW - athlete. Y1 - 2016 U6 - https://doi.org/10.1111/sms.12548 SN - 0905-7188 SN - 1600-0838 VL - 26 SP - 1140 EP - 1150 PB - Wiley-Blackwell CY - Hoboken ER - TY - JOUR A1 - Gebel, Arnd A1 - Lesinski, Melanie A1 - Behm, David George A1 - Granacher, Urs T1 - Effects and dose-response relationship of balance training on balance performance in Youth BT - a systematic review and meta-analysis JF - Sports medicine N2 - Background Effects and dose-response relationships of balance training on measures of balance are well-documented for healthy young and old adults. However, this has not been systematically studied in youth. Objectives The objectives of this systematic review and meta-analysis were to quantify effects of balance training (BT) on measures of static and dynamic balance in healthy children and adolescents. Additionally, dose-response relations for BT modalities (e.g. training period, frequency, volume) were quantified through the analysis of controlled trials. Data Sources A computerized systematic literature search was conducted in the electronic databases PubMed and Web of Science from January 1986 until June 2017 to identify articles related to BT in healthy trained and untrained children and adolescents. Study Eligibility Criteria A systematic approach was used to evaluate articles that examined the effects of BT on balance outcomes in youth. Controlled trials with pre- and post-measures were included if they examined healthy youth with a mean age of 6-19 years and assessed at least one measure of balance (i.e. static/dynamic steady-state balance, reactive balance, proactive balance) with behavioural (e.g. time during single-leg stance) or biomechanical (e.g. centre of pressure displacements during single-leg stance) test methods. Study Appraisal and Synthesis Methods The included studies were coded for the following criteria: training modalities (i.e. training period, frequency, volume), balance outcomes (i.e. static and dynamic balance) as well as chronological age, sex (male vs. female), training status (trained vs. untrained), setting (school vs. club), and testing method (biomechanical vs. physical fitness test). Weighted mean standardized mean differences (SMDwm) were calculated using a random-effects model to compute overall intervention effects relative to active and passive control groups. Between-study heterogeneity was assessed using I 2 and chi(2) statistics. A multivariate random effects meta-regression was computed to explain the influence of key training modalities (i.e. training period, training frequency, total number of training sessions, duration of training sessions, and total duration of training per week) on the effectiveness of BT on measures of balance performance. Further, subgroup univariate analyses were computed for each training modality. Additionally, dose-response relationships were characterized independently by interpreting the modality specific magnitude of effect sizes. Methodological quality of the included studies was rated with the help of the Physiotherapy Evidence Database (PEDro) Scale. Results Overall, our literature search revealed 198 hits of which 17 studies were eligible for inclusion in this systematic review and meta-analysis. Irrespective of age, sex, training status, sport discipline and training method, moderate to large BT-related effects were found for measures of static (SMDwm = 0.71) and dynamic (SMDwm = 1.03) balance in youth. However, our subgroup analyses did not reveal any statistically significant effects of the moderator variables age, sex, training status, setting and testing method on overall balance (i.e. aggregation of static and dynamic balance). BT-related effects in adolescents were moderate to large for measures of static (SMDwm = 0.61) and dynamic (SMDwm = 0.86) balance. With regard to the dose-response relationships, findings from the multivariate random effects meta-regression revealed that none of the examined training modalities predicted the effects of BT on balance performance in adolescents (R-2 = 0.00). In addition, results from univariate analysis have to be interpreted with caution because training modalities were computed as single factors irrespective of potential between-modality interactions. For training period, 12 weeks of training achieved the largest effect (SMDwm = 1.40). For training frequency, the largest effect was found for two sessions per week (SMDwm = 1.29). For total number of training sessions, the largest effect was observed for 24-36 sessions (SMDwm = 1.58). For the modality duration of a single training session, 4-15 min reached the largest effect (SMDwm = 1.03). Finally, for the modality training per week, a total duration of 31-60 min per week (SMDwm = 1.33) provided the largest effects on overall balance in adolescents. Methodological quality of the studies was rated as moderate with a median PEDro score of 6.0. Limitations Dose-response relationships were calculated independently for training modalities (i.e. modality specific) and not interdependently. Training intensity was not considered for the calculation of dose-response relationships because the included studies did not report this training modality. Further, the number of included studies allowed the characterization of dose-response relationships in adolescents for overall balance only. In addition, our analyses revealed a considerable between-study heterogeneity (I-2 = 66-83%). The results of this meta-analysis have to be interpreted with caution due to their preliminary status. Conclusions BT is a highly effective means to improve balance performance with moderate to large effects on static and dynamic balance in healthy youth irrespective of age, sex, training status, setting and testing method. The examined training modalities did not have a moderating effect on balance performance in healthy adolescents. Thus, we conclude that an additional but so far unidentified training modality may have a major effect on balance performance that was not assessed in our analysis. Training intensity could be a promising candidate. However, future studies are needed to find appropriate methods to assess BT intensity. Y1 - 2018 U6 - https://doi.org/10.1007/s40279-018-0926-0 SN - 0112-1642 SN - 1179-2035 VL - 48 IS - 9 SP - 2067 EP - 2089 PB - Springer CY - Northcote ER -