@article{GranacherPrieskeMajewskietal.2015, author = {Granacher, Urs and Prieske, Olaf and Majewski, M. and B{\"u}sch, Dirk and M{\"u}hlbauer, Thomas}, title = {The Role of Instability with Plyometric Training in Sub-elite Adolescent Soccer Players}, series = {International journal of sports medicine}, volume = {36}, journal = {International journal of sports medicine}, number = {5}, publisher = {Thieme}, address = {Stuttgart}, issn = {0172-4622}, doi = {10.1055/s-0034-1395519}, pages = {386 -- 394}, year = {2015}, abstract = {The purpose of this study was to investigate the effects of plyometric training on stable (SPT) vs. highly unstable surfaces (IPT) on athletic performance in adolescent soccer players. 24 male sub-elite soccer players (age: 15 +/- 1 years) were assigned to 2 groups performing plyometric training for 8 weeks (2 sessions/week, 90min each). The SPT group conducted plyometrics on stable and the IPT group on unstable surfaces. Tests included jump performance (countermovement jump [CMJ] height, drop jump [DJ] height, DJ performance index), sprint time, agility and balance. Statistical analysis revealed significant main effects of time for CMJ height (p<0.01, f=1.44), DJ height (p<0.01, f=0.62), DJ performance index (p<0.05, f=0.60), 0-10-m sprint time (p<0.05, f=0.58), agility (p<0.01, f=1.15) and balance (p<0.05, 0.46f1.36). Additionally, a Training groupxTime interaction was found for CMJ height (p<0.01, f=0.66) in favor of the SPT group. Following 8 weeks of training, similar improvements in speed, agility and balance were observed in the IPT and SPT groups. However, the performance of IPT appears to be less effective for increasing CMJ height compared to SPT. It is thus recommended that coaches use SPT if the goal is to improve jump performance.}, language = {en} } @article{RamachandranSinghRamirezCampilloetal.2021, author = {Ramachandran, Akhilesh Kumar and Singh, Utkarsh and Ramirez-Campillo, Rodrigo and Clemente, Filipe Manuel and Afonso, Jos{\´e} and Granacher, Urs}, title = {Effects of Plyometric Jump Training on Balance Performance in Healthy Participants: A Systematic Review With Meta-Analysis / Effects of plyometric-jump training on balance performance in healthy individuals across the lifespan: A systematic review with meta-analysisist}, series = {Frontiers in Physiology}, volume = {12}, journal = {Frontiers in Physiology}, publisher = {Frontiers Research Foundation}, address = {Lausanne}, issn = {1664-042X}, pages = {22}, year = {2021}, abstract = {Postural balance represents a fundamental movement skill for the successful performance of everyday and sport-related activities. There is ample evidence on the effectiveness of balance training on balance performance in athletic and non-athletic population. However, less is known on potential transfer effects of other training types, such as plyometric jump training (PJT) on measures of balance. Given that PJT is a highly dynamic exercise mode with various forms of jump-landing tasks, high levels of postural control are needed to successfully perform PJT exercises. Accordingly, PJT has the potential to not only improve measures of muscle strength and power but also balance. To systematically review and synthetize evidence from randomized and non-randomized controlled trials regarding the effects of PJT on measures of balance in apparently healthy participants. Systematic literature searches were performed in the electronic databases PubMed, Web of Science, and SCOPUS. A PICOS approach was applied to define inclusion criteria, (i) apparently healthy participants, with no restrictions on their fitness level, sex, or age, (ii) a PJT program, (iii) active controls (any sport-related activity) or specific active controls (a specific exercise type such as balance training), (iv) assessment of dynamic, static balance pre- and post-PJT, (v) randomized controlled trials and controlled trials. The methodological quality of studies was assessed using the Physiotherapy Evidence Database (PEDro) scale. This meta-analysis was computed using the inverse variance random-effects model. The significance level was set at p <0.05. The initial search retrieved 8,251 plus 23 records identified through other sources. Forty-two articles met our inclusion criteria for qualitative and 38 for quantitative analysis (1,806 participants [990 males, 816 females], age range 9-63 years). PJT interventions lasted between 4 and 36 weeks. The median PEDro score was 6 and no study had low methodological quality (≤3). The analysis revealed significant small effects of PJT on overall (dynamic and static) balance (ES = 0.46; 95\% CI = 0.32-0.61; p < 0.001), dynamic (e.g., Y-balance test) balance (ES = 0.50; 95\% CI = 0.30-0.71; p < 0.001), and static (e.g., flamingo balance test) balance (ES = 0.49; 95\% CI = 0.31-0.67; p < 0.001). The moderator analyses revealed that sex and/or age did not moderate balance performance outcomes. When PJT was compared to specific active controls (i.e., participants undergoing balance training, whole body vibration training, resistance training), both PJT and alternative training methods showed similar effects on overall (dynamic and static) balance (p = 0.534). Specifically, when PJT was compared to balance training, both training types showed similar effects on overall (dynamic and static) balance (p = 0.514). Conclusion: Compared to active controls, PJT showed small effects on overall balance, dynamic and static balance. Additionally, PJT produced similar balance improvements compared to other training types (i.e., balance training). Although PJT is widely used in athletic and recreational sport settings to improve athletes' physical fitness (e.g., jumping; sprinting), our systematic review with meta-analysis is novel in as much as it indicates that PJT also improves balance performance. The observed PJT-related balance enhancements were irrespective of sex and participants' age. Therefore, PJT appears to be an adequate training regime to improve balance in both, athletic and recreational settings.}, language = {en} } @article{GranacherBorde2017, author = {Granacher, Urs and Borde, Ron}, title = {Effects of Sport-Specific Training during the Early Stages of Long-Term Athlete Development on Physical Fitness, Body Composition, Cognitive, and Academic Performances}, series = {Frontiers in physiology}, volume = {8}, journal = {Frontiers in physiology}, publisher = {Frontiers}, address = {Lausanne}, issn = {1664-042X}, doi = {10.3389/fphys.2017.00810}, pages = {1 -- 11}, year = {2017}, abstract = {Introduction: Several sports demand an early start into long-term athlete development (LTAD) because peak performances are achieved at a relatively young age (e.g., gymnastics). However, the challenging combination of high training volumes and academic demands may impede youth athletes' cognitive and academic performances. Thus, the aims of this study were to examine the effects of a 1-year sport-specific training and/or physical education on physical fitness, body composition, cognitive and academic performances in youth athletes and their non-athletic peers. Methods: Overall, 45 prepubertal fourth graders from a German elite sport school were enrolled in this study. Participating children were either youth athletes from an elite sports class (n = 20, age 9.5 ± 0.5 years) or age-matched peers from a regular class (n = 25, age 9.6 ± 0.6 years). Over the 1-year intervention period, the elite sports class conducted physical education and sport-specific training (i.e., gymnastics, swimming, soccer, bicycle motocross [BMX]) during school time while the regular class attended physical education only. Of note, BMX is a specialized form of cycling that is performed on motocross tracks and affords high technical skills. Before and after intervention, tests were performed for the assessment of physical fitness (speed [20-m sprint], agility [star agility run], muscle power [standing long jump], flexibility [stand-and-reach], endurance [6-min-run], balance [single-leg stance]), body composition (e.g., muscle mass), cognitive (d2-test) and academic performance (reading [ELFE 1-6], writing [HSP 4-5], calculating [DEMAT 4]). In addition, grades in German, English, Mathematics, and physical education were documented. Results: At baseline, youth athletes showed better physical fitness performances (p < 0.05; d = 0.70-2.16), less relative body fat mass, more relative skeletal muscle mass (p < 0.01; d = 1.62-1.84), and similar cognitive and academic achievements compared to their non-athletic peers. Athletes' training volume amounted to 620 min/week over the 1-year period while their peers performed 155 min/week. After the intervention, significant differences were found in 6 out of 7 physical fitness tests (p < 0.05; d = 0.75-1.40) and in the physical education grades (p < 0.01; d = 2.36) in favor of the elite sports class. No significant between-group differences were found after the intervention in measures of body composition (p > 0.05; d = 0.66-0.67), cognition and academics (p > 0.05; d = 0.40-0.64). Our findings revealed no significant between-group differences in growth rate (deltas of pre-post-changes in body height and leg length). Discussion: Our results revealed that a school-based 1-year sport-specific training in combination with physical education improved physical fitness but did not negatively affect cognitive and academic performances of youth athletes compared to their non-athletic peers. It is concluded that sport-specific training in combination with physical education promotes youth athletes' physical fitness development during LTAD and does not impede their cognitive and academic development.}, language = {en} } @article{GebelLuederGranacher2019, author = {Gebel, Arnd and L{\"u}der, Benjamin and Granacher, Urs}, title = {Effects of Increasing Balance Task Difficulty on Postural Sway and Muscle Activity in Healthy Adolescents}, series = {Frontiers in Physiology}, volume = {10}, journal = {Frontiers in Physiology}, number = {9}, publisher = {Frontiers Research Foundation}, address = {Lausanne}, issn = {1664-042X}, doi = {10.3389/fphys.2019.01135}, pages = {13}, year = {2019}, abstract = {Evidence-based prescriptions for balance training in youth have recently been established. However, there is currently no standardized means available to assess and quantify balance task difficulty (BTD). Therefore, the objectives of this study were to examine the effects of graded BTD on postural sway, lower limb muscle activity and coactivation in adolescents. Thirteen healthy high-school students aged 16 to 17 volunteered to participate in this cross-sectional study. Testing involved participants to stand on a commercially available balance board with an adjustable pivot that allowed six levels of increasing task difficulty. Postural sway [i.e., total center of pressure (CoP) displacements] and lower limb muscle activity were recorded simultaneously during each trial. Surface electromyography (EMG) was applied in muscles encompassing the ankle (m. tibialis anterior, medial gastrocnemius, peroneus longus) and knee joint (m. vastus medialis, biceps femoris). The coactivation index (CAI) was calculated for ankle and thigh muscles. Repeated measures analyses of variance revealed a significant main effect of BTD with increasing task difficulty for postural sway (p < 0.001; d = 6.36), muscle activity (p < 0.001; 2.19 < d < 4.88), and CAI (p < 0.001; 1.32 < d < 1.41). Multiple regression analyses showed that m. tibialis anterior activity best explained overall CoP displacements with 32.5\% explained variance (p < 0.001). The observed increases in postural sway, lower limb muscle activity, and coactivation indicate increasing postural demands while standing on the balance board. Thus, the examined board can be implemented in balance training to progressively increase BTD in healthy adolescents.}, language = {en} } @article{GschwindKressigLacroixetal.2013, author = {Gschwind, Yves J. and Kressig, Reto W. and Lacroix, Andre and M{\"u}hlbauer, Thomas and Pfenninger, Barbara and Granacher, Urs}, title = {A best practice fall prevention exercise program to improve balance, strength/power, and psychosocial health in older adults - study protocol for a randomized controlled trial}, series = {BMC geriatrics}, volume = {13}, journal = {BMC geriatrics}, number = {4}, publisher = {BioMed Central}, address = {London}, issn = {1471-2318}, doi = {10.1186/1471-2318-13-105}, pages = {13}, year = {2013}, abstract = {Background: With increasing age neuromuscular deficits (e.g., sarcopenia) may result in impaired physical performance and an increased risk for falls. Prominent intrinsic fall-risk factors are age-related decreases in balance and strength / power performance as well as cognitive decline. Additional studies are needed to develop specifically tailored exercise programs for older adults that can easily be implemented into clinical practice. Thus, the objective of the present trial is to assess the effects of a fall prevention program that was developed by an interdisciplinary expert panel on measures of balance, strength / power, body composition, cognition, psychosocial well-being, and falls self-efficacy in healthy older adults. Additionally, the time-related effects of detraining are tested. Methods/Design: Healthy old people (n = 54) between the age of 65 to 80 years will participate in this trial. The testing protocol comprises tests for the assessment of static / dynamic steady-state balance (i.e., Sharpened Romberg Test, instrumented gait analysis), proactive balance (i.e., Functional Reach Test; Timed Up and Go Test), reactive balance (i.e., perturbation test during bipedal stance; Push and Release Test), strength (i.e., hand grip strength test; Chair Stand Test), and power (i.e., Stair Climb Power Test; countermovement jump). Further, body composition will be analysed using a bioelectrical impedance analysis system. In addition, questionnaires for the assessment of psychosocial (i.e., World Health Organisation Quality of Life Assessment-Bref), cognitive (i.e., Mini Mental State Examination), and fall risk determinants (i.e., Fall Efficacy Scale -International) will be included in the study protocol. Participants will be randomized into two intervention groups or the control / waiting group. After baseline measures, participants in the intervention groups will conduct a 12-week balance and strength / power exercise intervention 3 times per week, with each training session lasting 30 min. (actual training time). One intervention group will complete an extensive supervised training program, while the other intervention group will complete a short version (` 3 times 3') that is home-based and controlled by weekly phone calls. Post-tests will be conducted right after the intervention period. Additionally, detraining effects will be measured 12 weeks after program cessation. The control group / waiting group will not participate in any specific intervention during the experimental period, but will receive the extensive supervised program after the experimental period. Discussion: It is expected that particularly the supervised combination of balance and strength / power training will improve performance in variables of balance, strength / power, body composition, cognitive function, psychosocial well-being, and falls self-efficacy of older adults. In addition, information regarding fall risk assessment, dose-response-relations, detraining effects, and supervision of training will be provided. Further, training-induced health-relevant changes, such as improved performance in activities of daily living, cognitive function, and quality of life, as well as a reduced risk for falls may help to lower costs in the health care system. Finally, practitioners, therapists, and instructors will be provided with a scientifically evaluated feasible, safe, and easy-to-administer exercise program for fall prevention.}, language = {en} } @article{JafarnezhadgeroNorooziFakhrietal.2022, author = {Jafarnezhadgero, Amir Ali and Noroozi, Raha and Fakhri, Ehsan and Granacher, Urs and Oliveira, Anderson Souza}, title = {The Impact of COVID-19 and muscle fatigue on cardiorespiratory fitness and running kinetics in female recreational runners}, series = {Frontiers in physiology}, volume = {13}, journal = {Frontiers in physiology}, publisher = {Frontiers Media}, address = {Lausanne}, issn = {1664-042X}, doi = {10.3389/fphys.2022.942589}, pages = {10}, year = {2022}, abstract = {Background: There is evidence that fully recovered COVID-19 patients usually resume physical exercise, but do not perform at the same intensity level performed prior to infection. The aim of this study was to evaluate the impact of COVID-19 infection and recovery as well as muscle fatigue on cardiorespiratory fitness and running biomechanics in female recreational runners. Methods: Twenty-eight females were divided into a group of hospitalized and recovered COVID-19 patients (COV, n = 14, at least 14 days following recovery) and a group of healthy age-matched controls (CTR, n = 14). Ground reaction forces from stepping on a force plate while barefoot overground running at 3.3 m/s was measured before and after a fatiguing protocol. The fatigue protocol consisted of incrementally increasing running speed until reaching a score of 13 on the 6-20 Borg scale, followed by steady-state running until exhaustion. The effects of group and fatigue were assessed for steady-state running duration, steady-state running speed, ground contact time, vertical instantaneous loading rate and peak propulsion force. Results: COV runners completed only 56\% of the running time achieved by the CTR (p < 0.0001), and at a 26\% slower steady-state running speed (p < 0.0001). There were fatigue-related reductions in loading rate (p = 0.004) without group differences. Increased ground contact time (p = 0.002) and reduced peak propulsion force (p = 0.005) were found for COV when compared to CTR. Conclusion: Our results suggest that female runners who recovered from COVID-19 showed compromised running endurance and altered running kinetics in the form of longer stance periods and weaker propulsion forces. More research is needed in this area using larger sample sizes to confirm our study findings.}, language = {en} } @article{VoelzkeStutzigThorhaueretal.2012, author = {Voelzke, Mathias and Stutzig, Norman and Thorhauer, Hans-Alexander and Granacher, Urs}, title = {Promoting lower extremity strength in elite volleyball players: Effects of two combined training methods}, series = {JOURNAL OF SCIENCE AND MEDICINE IN SPORT}, volume = {15}, journal = {JOURNAL OF SCIENCE AND MEDICINE IN SPORT}, number = {5}, publisher = {ELSEVIER SCI LTD}, address = {OXFORD}, issn = {1440-2440}, doi = {10.1016/j.jsams.2012.02.004}, pages = {457 -- 462}, year = {2012}, abstract = {Objectives: To compare the impact of short term training with resistance plus plyometric training (RT+P) or electromyostimulation plus plyometric training (EMS+P) on explosive force production in elite volleyball players. Design: Sixteen elite volleyball players of the first German division participated in a training study. Methods: The participants were randomly assigned to either the RT+P training group (n = 8) or the EMS+P training group (n= 8). Both groups participated in a 5-week lower extremity exercise program. Pre and post tests included squat jumps (Si), countermovement jumps (CMJ), and drop jumps (DJ) on a force plate. The three-step reach height (RH) was assessed using a custom-made vertec apparatus. Fifteen m straight and lateral sprint (S15s and S15l) were assessed using photoelectric cells with interims at 5 m and 10 m. Results: RT+P training resulted in significant improvements in Si (+2.3\%) and RH (+0.4\%) performance. The EMS+P training group showed significant increases in performance of CMJ (+3.8\%), DJ (+6.4\%), RH (+1.6\%), S15l (-3.8\%) and after 5 m and 10 m of the S15s (-2.6\%; -0.5\%). The comparison of training-induced changes between the two intervention groups revealed significant differences for the Si (p = 0.023) in favor of RT+P and for the S15s after 5 m (p = 0.006) in favor of EMS+P. Conclusions: The results indicate that RT+P training is effective in promoting jump performances and EMS+P training increases jump, speed and agility performances of elite volleyball players. (c) 2012 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.}, language = {en} } @article{MuehlbauerStuerchlerGranacher2012, author = {M{\"u}hlbauer, Thomas and St{\"u}rchler, M. and Granacher, Urs}, title = {Effects of climbing on core strength and mobility in adults}, series = {International journal of sports medicine}, volume = {33}, journal = {International journal of sports medicine}, number = {6}, publisher = {Thieme}, address = {Stuttgart}, issn = {0172-4622}, doi = {10.1055/s-0031-1301312}, pages = {445 -- 451}, year = {2012}, abstract = {The objective of this study was to examine the impact of an indoor climbing training and detraining program on core/handgrip strength and trunk mobility in men and women. 28 young sedentary adults participated in this study and were assigned to an intervention (30+/-3 years) or a control (29+/-2 years) group. The intervention group participated in 8 weeks (2 times/week) of indoor climbing training, followed by 8 weeks of detraining. Tests included the measurement of maximal isometric strength (MIS) of the trunk flexors/extensors, the assessment of trunk mobility in the sagittal (SAP) and the coronal (CRP) plane as well as testing of handgrip strength. After training, significant improvements were observed in MIS of the trunk flexors/extensors (similar to 19-22 \%, all p<0.01), in trunk mobility in SAP/CRP (similar to 14-19 \%, all p<0.01), and in handgrip strength (similar to 5 \%, p<0.01). During detraining, MIS (similar to 12-13 \%, all p<0.01) and trunk mobility (similar to 7-10\%, all p<0.01) deteriorated significantly, whereas handgrip strength remained. This indoor climbing training program conducted in sedentary adults proved to be feasible (i.e., attendance rate of 89.4\%) and effective. It is suggested that indoor climbing should be permanently conducted to maintain the observed improvements in core muscle strength and trunk mobility.}, language = {en} } @article{MuehlbauerGollhoferGranacher2012, author = {M{\"u}hlbauer, Thomas and Gollhofer, Albert and Granacher, Urs}, title = {Sex-related effects in strength training during adolescence a pilot study}, series = {Perceptual \& motor skills}, volume = {115}, journal = {Perceptual \& motor skills}, number = {3}, publisher = {Sage Publ.}, address = {Missoula}, issn = {0031-5125}, doi = {10.2466/06.10.30.PMS.115.6.953-968}, pages = {953 -- 968}, year = {2012}, abstract = {The objective was to investigate the effects of high-velocity strength training on isometric strength of the leg extensors and jump height in female and male adolescents. Twenty-eight students (13 boys, 15 girls) ages 16 to 17 years participated in this study and were assigned to either a strength training group or a control group. Strength training was conducted over 8 weeks (2 times per week). Pre- and post-training tests included the measurements of maximal isometric force and rate of force development of the leg extensors as well as countermovement jump height. Both girls (effect size = 1.37) and boys (effect size = 0.61) showed significant improvements in jump height. However, significant increases in maximal isometric force (effect size = 1.85) and rate of force development (effect size = 2.23) were found only in girls. In female and male adolescents, high-velocity strength training is an effective training regimen that produced improvements in countermovement jump height in both sexes but higher gains in maximal isometric force and rate of force development in girls.}, language = {en} } @article{LesinskiMuehlbauerBueschetal.2013, author = {Lesinski, Melanie and M{\"u}hlbauer, Thomas and Buesch, Dirk and Granacher, Urs}, title = {Acute Effects of Postactivation Potentiation on Strength and Speed Performance in Athletes}, series = {Sportverletzung, Sportschaden : Grundlagen, Pr{\"a}vention, Rehabilitation}, volume = {27}, journal = {Sportverletzung, Sportschaden : Grundlagen, Pr{\"a}vention, Rehabilitation}, number = {3}, publisher = {Thieme}, address = {Stuttgart}, issn = {0932-0555}, doi = {10.1055/s-0033-1335414}, pages = {147 -- 155}, year = {2013}, abstract = {Background: The contractile history of a muscle or a muscle group can result in an acute enhancement of subsequent muscle force output. This phenomenon is referred to as postactivation potentiation (PAP) and it was frequently substantiated in original research manuscripts, systematic literature reviews, and meta-analyses. However, there is a lack in the literature regarding precise dose-response relations. This literature review describes the main determinants of PAP effects and additionally presents the state of the art regarding the acute effects of PAP protocols on measures of strength, power, and speed in subelite and elite athletes of different sport disciplines. Furthermore, an attempt is made to demonstrate evidence-based information concerning the design of effective PAP protocols. Methods: Our literature search included the electronic databases Pubmed, SportDiscus, and Google Scholar (1995 - March 2013). In total, 23 studies met the inclusionary criteria for review. Results: Findings from our literature review indicate that various conditioning activities produce acute PAP effects in subelite and particularly elite athletes. More specifically, conditioning activities that are characterised by multiple sets, moderate to high intensities (60 - 84 \% of the one repetition maximum), and rest intervals of 7 - 10 min. following the conditioning activity have the potential to induce short-term improvements in muscle force output and sports performance. Conclusion: It is recommended that subelite and particularly elite athletes from strength, power, and speed disciplines apply specifically tailored conditioning activities during the acute preparation process for competition to induce performance enhancing PAP effects.}, language = {de} } @article{MuehlbauerGollhoferGranacher2013, author = {M{\"u}hlbauer, Thomas and Gollhofer, Albert and Granacher, Urs}, title = {Association of balance, strength, and power measures in young adults}, series = {Journal of strength and conditioning research : the research journal of the NSCA}, volume = {27}, journal = {Journal of strength and conditioning research : the research journal of the NSCA}, number = {3}, publisher = {Lippincott Williams \& Wilkins}, address = {Philadelphia}, issn = {1064-8011}, doi = {10.1097/JSC.0b013e31825c2bab}, pages = {582 -- 589}, year = {2013}, abstract = {Muehlbauer, T, Gollhofer, A, and Granacher, U. Association of balance, strength, and power measures in young adults. J Strength Cond Res 27(3): 582-589, 2013-The purpose of this study was to investigate the relationship between variables of static/dynamic balance, isometric strength, and power. Twenty-seven young healthy adults (mean age: 23 6 4 years) performed measurements of static (unperturbed)/dynamic (perturbed) balance, isometric strength (i.e., maximal isometric torque [MIT]; rate of torque development [RTD] of the plantar flexor), and power (i.e., countermovement jump [CMJ] height and power). No significant associations were found between variables of static and dynamic balance (r = -0.090 to + 0.329, p > 0.05) and between measures of static/dynamic balance and isometric strength (r = +0.041 to +0.387, p > 0.05) and static/dynamic balance and power (r = -0.076 to + 0.218, p > 0.05). Significant positive correlations (r) were detected between variables of power and isometric strength ranging from +0.458 to +0.689 (p, 0.05). Furthermore, simple regression analyses revealed that a 10\% increase in mean CMJ height (4.1 cm) was associated with 22.9 N.m and 128.4 N.m.s(-1) better MIT and RTD, respectively. The nonsignificant correlation between static and dynamic balance measures and between static/dynamic balance, isometric strength, and power variables implies that these capacities may be independent of each other and may have to be tested and trained complementarily.}, language = {en} } @article{MuehlbauerKuehnenGranacher2013, author = {M{\"u}hlbauer, Thomas and K{\"u}hnen, Matthias and Granacher, Urs}, title = {Inline skating for balance and strength promotion in children during physical education}, series = {Perceptual \& motor skills}, volume = {117}, journal = {Perceptual \& motor skills}, number = {3}, publisher = {Sage Publ.}, address = {Missoula}, issn = {0031-5125}, doi = {10.2466/30.06.PMS.117x29z9}, pages = {665 -- 681}, year = {2013}, abstract = {Deficiencies in balance and strength are common in children and they may lead to injuries. This study investigated the effects of inline skating exercise on balance and strength performance in healthy children. Twenty 11-12-year-old children (8 girls, 12 boys) were assigned to an intervention (n = 10) or a control (n = 10) group. Participants in the intervention group underwent a 4-week inline skating program (2 times/week, 90 min. each) integrated in their physical education lessons. Balance and strength were measured using the Star Excursion Balance test and the countermovement jump test. As compared to the control group, the intervention group significantly improved balance (17-48\%, Cohen's d = 0.00-1.49) and jump height (8\%, Cohen's d = 0.48). In children, inline skating is a safe, feasible (90\% adherence rate), and effective program that can be integrated in physical education lessons to promote balance and strength.}, language = {en} } @article{ChaabenePrieskeNegraetal.2018, author = {Chaabene, Helmi and Prieske, Olaf and Negra, Yassine and Granacher, Urs}, title = {Change of direction speed}, series = {Sports medicine}, volume = {48}, journal = {Sports medicine}, number = {8}, publisher = {Springer}, address = {Northcote}, issn = {0112-1642}, doi = {10.1007/s40279-018-0907-3}, pages = {1773 -- 1779}, year = {2018}, abstract = {There is growing evidence that eccentric strength training appears to have benefits over traditional strength training (i.e., strength training with combined concentric and eccentric muscle actions) from muscular, neuromuscular, tendinous, and metabolic perspectives. Eccentric muscle strength is particularly needed to decelerate and stabilize the body during the braking phase of a jump exercise or during rapid changes of direction (CoD) tasks. However, surprisingly little research has been conducted to elucidate the effects of eccentric strength training or strength training with accentuated eccentric muscle actions on CoD speed performance. In this current opinion article, we present findings from cross-sectional studies on the relationship between measures of eccentric muscle strength and CoD speed performance. In addition, we summarize the few available studies on the effects of strength training with accentuated eccentric muscle actions on CoD speed performance in athletic populations. Finally, we propose strength training with accentuated eccentric muscle actions as a promising element in strength and conditioning programs of sports with high CoD speed demands. Our findings from five cross-sectional studies revealed statistically significant moderate-to large-sized correlations (r = 0.45-0.89) between measures of eccentric muscle strength and CoD speed performance in athletic populations. The identified three intervention studies were of limited methodological quality and reported small-to large-sized effects (d = 0.46-1.31) of strength training with accentuated eccentric muscle actions on CoD speed performance in athletes. With reference to the available but preliminary literature and from a performance-related point of view, we recommend strength and conditioning coaches to include strength training with accentuated eccentric muscle actions in training routines of sports with high CoD speed demands (e.g., soccer, handball, basketball, hockey) to enhance sport-specific performance. Future comparative studies are needed to deepen our knowledge of the effects of strength training with accentuated eccentric muscle actions on CoD speed performance in athletes.}, language = {en} } @article{HelmPrieskeMuehlbaueretal.2020, author = {Helm, Norman and Prieske, Olaf and M{\"u}hlbauer, Thomas and Kr{\"u}ger, Tom and Retzlaff, Matthias and Granacher, Urs}, title = {Associations between trunk muscle strength and judo-specific pulling performances in judo athletes}, series = {Sportverletzung, Sportschaden : Grundlagen, Pr{\"a}vention, Rehabilitation}, volume = {34}, journal = {Sportverletzung, Sportschaden : Grundlagen, Pr{\"a}vention, Rehabilitation}, number = {1}, publisher = {Thieme}, address = {Stuttgart}, issn = {0932-0555}, doi = {10.1055/a-0677-9608}, pages = {18 -- 27}, year = {2020}, abstract = {Background: Good trunk stability is an important prerequisite for the mobility of the upper and lower limbs during sport-specific movements. Therefore, trunk muscle strength may represent an important performance determinant for judo-specific movements. This study aimed at evaluating statistical correlations between trunk muscle strength and kinetic parameters during judo-specific pulling movements in judo players. Method: Twenty-one male sub-elite judo players aged 22 +/- 4 years with a mean training volume of 15 +/- 4 hours per week participated in this study. Peak isokinetic torque (PIT) of the trunk flexors (PITFlex), extensors (PITEx) and rotators (PITRot) was tested using an isokinetic dynamometer (IsoMed 2000). In addition, two kinetic parameters (mechanical work [W], maximal force [F-max]) were analysed using the judo-specific measurement and information system JERGo (c). For this purpose, athletes were asked to do their judo-specific pulling movements while standing and with a dynamic change of position (i.e. Morote-seoi-nage). Results: Regarding pulling movements while standing, significant correlations (0.62 <= r(P) <= 0.72) were found between isokinetic tests (PITFlex, PITEx, PITRot) and mechanical work during judo-specific movement. Further, significant correlations (0.59 <= r(P) <= 0.65) were detected between isokinetic tests (PITEx, PITRot) and judo-specific pulling movements (Fmax). Regarding pulling movements with a change of position, significant correlations (0.47 <= r(P) <= 0.88) were observed between isokinetics (PITFlex, PITEx, PITRot) and the kinetic pulling parameters (W, Fmax), irrespective of the examined arm. No significant differences in magnitude of correlation coefficients were found between PIT of the trunk flexors, extensors, and rotators and judo-specific movements. Further, the regression analysis indicated that PIT of the trunk extensors is the single best predictor for mechanical work during pulling movements while standing (46.9 \%). Trunk rotator PIT is the single best predictor for mechanical work during pulling movements with a change of position (69.4 \%). Conclusions: Findings from this study indicate that trunk muscle strength, particularly trunk rotator PIT is associated with kinetic pulling variables during pulling movements with a change of position. This implies that the development of trunk rotator strength could have an impact on pulling movements with a change of position (i.e. Morote-seoi-nage) in judo athletes.}, language = {de} } @article{ThielePrieskeLesinskietal.2020, author = {Thiele, Dirk and Prieske, Olaf and Lesinski, Melanie and Granacher, Urs}, title = {Effects of Equal Volume Heavy-Resistance Strength Training Versus Strength Endurance Training on Physical Fitness and Sport-Specific Performance in Young Elite Female Rowers}, series = {Frontiers in Physiology}, volume = {11}, journal = {Frontiers in Physiology}, publisher = {Frontiers Research Foundation}, address = {Lausanne}, issn = {1664-042X}, doi = {10.3389/fphys.2020.00888}, pages = {12}, year = {2020}, abstract = {Strength training is an important means for performance development in young rowers. The purpose of this study was to examine the effects of a 9-week equal volume heavy-resistance strength training (HRST) versus strength endurance training (SET) in addition to regular rowing training on primary (e.g., maximal strength/power) and secondary outcomes (e.g., balance) in young rowers. Twenty-six female elite adolescent rowers were assigned to an HRST (n = 12; age: 13.2 ± 0.5 yrs; maturity-offset: +2.0 ± 0.5 yrs) or a SET group (n = 14; age: 13.1 ± 0.5 yrs; maturity-offset: +2.1 ± 0.5 yrs). HRST and SET comprised lower- (i.e., leg press/knee flexion/extension), upper-limbs (i.e., bench press/pull; lat-pull down), and complex exercises (i.e., rowing ergometer). HRST performed four sets with 12 repetitions per set at an intensity of 75-95\% of the one-repetition maximum (1-RM). SET conducted four sets with 30 repetitions per set at 50-60\% of the 1-RM. Training volume was matched for overall repetitions × intensity × training per week. Pre-post training, tests were performed for the assessment of primary [i.e., maximal strength (e.g., bench pull/knee flexion/extension 1-RM/isometric handgrip test), muscle power (e.g., medicine-ball push test, triple hop, drop jump, and countermovement jump), anaerobic endurance (400-m run), sport-specific performance (700-m rowing ergometer trial)] and secondary outcomes [dynamic balance (Y-balance test), change-of-direction (CoD) speed (multistage shuttle-run test)]. Adherence rate was >87\% and one athlete of each group dropped out. Overall, 24 athletes completed the study and no test or training-related injuries occurred. Significant group × time interactions were observed for maximal strength, muscle power, anaerobic endurance, CoD speed, and sport-specific performance (p ≤ 0.05; 0.45 ≤ d ≤ 1.11). Post hoc analyses indicated larger gains in maximal strength and muscle power following HRST (p ≤ 0.05; 1.81 ≤ d ≤ 3.58) compared with SET (p ≤ 0.05; 1.04 ≤ d ≤ 2.30). Furthermore, SET (p ≤ 0.01; d = 2.08) resulted in larger gains in sport-specific performance compared with HRST (p < 0.05; d = 1.3). Only HRST produced significant pre-post improvements for anaerobic endurance and CoD speed (p ≤ 0.05; 1.84 ≤ d ≤ 4.76). In conclusion, HRST in addition to regular rowing training was more effective than SET to improve selected measures of physical fitness (i.e., maximal strength, muscle power, anaerobic endurance, and CoD speed) and SET was more effective than HRST to enhance sport-specific performance gains in female elite young rowers.}, language = {en} } @article{ChaabeneLesinskiBehmetal.2020, author = {Chaabene, Helmi and Lesinski, Melanie and Behm, David George and Granacher, Urs}, title = {Performance- and healthrelated benefits of youth resistance training}, series = {Sports Orthopaedics and Traumatology}, volume = {36}, journal = {Sports Orthopaedics and Traumatology}, number = {3}, publisher = {Elsevier}, address = {Amsterdam}, pages = {10}, year = {2020}, abstract = {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}, language = {en} } @article{SlimaniParavlicGranacher2018, author = {Slimani, Maamer and Paravlic, Armin and Granacher, Urs}, title = {A Meta-Analysis to Determine Strength Training Related Dose-Response Relationships for Lower-Limb Muscle Power Development in Young Athletes}, series = {Frontiers in Physiology}, volume = {9}, journal = {Frontiers in Physiology}, publisher = {Frontiers Research Foundation}, address = {Lausanne}, issn = {1664-042X}, doi = {10.3389/fphys.2018.01155}, pages = {1 -- 14}, year = {2018}, abstract = {It is well-documented that strength training (ST) improves measures of muscle strength in young athletes. Less is known on transfer effects of ST on proxies of muscle power and the underlying dose-response relationships. The objectives of this meta-analysis were to quantify the effects of ST on lower limb muscle power in young athletes and to provide dose-response relationships for ST modalities such as frequency, intensity, and volume. A systematic literature search of electronic databases identified 895 records. Studies were eligible for inclusion if (i) healthy trained children (girls aged 6-11 y, boys aged 6-13 y) or adolescents (girls aged 12-18 y, boys aged 14-18 y) were examined, (ii) ST was compared with an active control, and (iii) at least one proxy of muscle power [squat jump (SJ) and countermovement jump height (CMJ)] was reported. Weighted mean standardized mean differences (SMDwm) between subjects were calculated. Based on the findings from 15 statistically aggregated studies, ST produced significant but small effects on CMJ height (SMDwm = 0.65; 95\% CI 0.34-0.96) and moderate effects on SJ height (SMDwm = 0.80; 95\% CI 0.23-1.37). The sub-analyses revealed that the moderating variable expertise level (CMJ height: p = 0.06; SJ height: N/A) did not significantly influence ST-related effects on proxies of muscle power. "Age" and "sex" moderated ST effects on SJ (p = 0.005) and CMJ height (p = 0.03), respectively. With regard to the dose-response relationships, findings from the meta-regression showed that none of the included training modalities predicted ST effects on CMJ height. For SJ height, the meta-regression indicated that the training modality "training duration" significantly predicted the observed gains (p = 0.02), with longer training durations (>8 weeks) showing larger improvements. This meta-analysis clearly proved the general effectiveness of ST on lower-limb muscle power in young athletes, irrespective of the moderating variables. Dose-response analyses revealed that longer training durations (>8 weeks) are more effective to improve SJ height. No such training modalities were found for CMJ height. Thus, there appear to be other training modalities besides the ones that were included in our analyses that may have an effect on SJ and particularly CMJ height. ST monitoring through rating of perceived exertion, movement velocity or force-velocity profile could be promising monitoring tools for lower-limb muscle power development in young athletes.}, language = {en} } @article{ChaabeneBehmNegraetal.2019, author = {Chaabene, Helmi and Behm, David George and Negra, Yassine and Granacher, Urs}, title = {Acute Effects of Static Stretching on Muscle Strength and Power}, series = {Frontiers in Physiology}, volume = {10}, journal = {Frontiers in Physiology}, publisher = {Frontiers Research Foundation}, address = {Lausanne}, issn = {1664-042X}, doi = {10.3389/fphys.2019.01468}, pages = {8}, year = {2019}, abstract = {The effects of static stretching (StS) on subsequent strength and power activities has been one of the most debated topics in sport science literature over the past decades. The aim of this review is (1) to summarize previous and current findings on the acute effects of StS on muscle strength and power performances; (2) to update readers' knowledge related to previous caveats; and (3) to discuss the underlying physiological mechanisms of short-duration StS when performed as single-mode treatment or when integrated into a full warm-up routine. Over the last two decades, StS has been considered harmful to subsequent strength and power performances. Accordingly, it has been recommended not to apply StS before strength- and power-related activities. More recent evidence suggests that when performed as a single-mode treatment or when integrated within a full warm-up routine including aerobic activity, dynamic-stretching, and sport-specific activities, short-duration StS (≤60 s per muscle group) trivially impairs subsequent strength and power activities (∆1-2\%). Yet, longer StS durations (>60 s per muscle group) appear to induce substantial and practically relevant declines in strength and power performances (∆4.0-7.5\%). Moreover, recent evidence suggests that when included in a full warm-up routine, short-duration StS may even contribute to lower the risk of sustaining musculotendinous injuries especially with high-intensity activities (e.g., sprint running and change of direction speed). It seems that during short-duration StS, neuromuscular activation and musculotendinous stiffness appear not to be affected compared with long-duration StS. Among other factors, this could be due to an elevated muscle temperature induced by a dynamic warm-up program. More specifically, elevated muscle temperature leads to increased muscle fiber conduction-velocity and improved binding of contractile proteins (actin, myosin). Therefore, our previous understanding of harmful StS effects on subsequent strength and power activities has to be updated. In fact, short-duration StS should be included as an important warm-up component before the uptake of recreational sports activities due to its potential positive effect on flexibility and musculotendinous injury prevention. However, in high-performance athletes, short-duration StS has to be applied with caution due to its negligible but still prevalent negative effects on subsequent strength and power performances, which could have an impact on performance during competition.}, language = {en} } @article{NobariMahmoudzadehKhaliliDencheZamoranoetal.2022, author = {Nobari, Hadi and Mahmoudzadeh Khalili, Sara and Denche Zamorano, Angel Manuel and Bowman, ‪Thomas G. and Granacher, Urs}, title = {Workload is associated with the occurrence of non-contact injuries in professional male soccer players: A pilot study}, series = {Frontiers in Psychology}, journal = {Frontiers in Psychology}, publisher = {Frontiers}, address = {Lausanne, Schweiz}, issn = {1664-1078}, doi = {10.3389/fpsyg.2022.925722}, pages = {1 -- 9}, year = {2022}, abstract = {Injuries in professional soccer are a significant concern for teams, and they are caused amongst others by high training load. This cohort study describes the relationship between workload parameters and the occurrence of non-contact injuries, during weeks with high and low workload in professional soccer players throughout the season. Twenty-one professional soccer players aged 28.3 ± 3.9 yrs. who competed in the Iranian Persian Gulf Pro League participated in this 48-week study. The external load was monitored using global positioning system (GPS, GPSPORTS Systems Pty Ltd) and the type of injury was documented daily by the team's medical staff. Odds ratio (OR) and relative risk (RR) were calculated for non-contact injuries for high- and low-load weeks according to acute (AW), chronic (CW), acute to chronic workload ratio (ACWR), and AW variation (Δ-Acute) values. By using Poisson distribution, the interval between previous and new injuries were estimated. Overall, 12 non-contact injuries occurred during high load and 9 during low load weeks. Based on the variables ACWR and Δ-AW, there was a significantly increased risk of sustaining non-contact injuries (p < 0.05) during high-load weeks for ACWR (OR: 4.67), and Δ-AW (OR: 4.07). Finally, the expected time between injuries was significantly shorter in high load weeks for ACWR [1.25 vs. 3.33, rate ratio time (RRT)] and Δ-AW (1.33 vs. 3.45, RRT) respectively, compared to low load weeks. The risk of sustaining injuries was significantly larger during high workload weeks for ACWR, and Δ-AW compared with low workload weeks. The observed high OR in high load weeks indicate that there is a significant relationship between workload and occurrence of non-contact injuries. The predicted time to new injuries is shorter in high load weeks compared to low load weeks. Therefore, the frequency of injuries is higher during high load weeks for ACWR and Δ-AW. ACWR and Δ-AW appear to be good indicators for estimating the injury risk, and the time interval between injuries.}, language = {en} } @article{PrieskeMuehlbauerBordeetal.2016, author = {Prieske, Olaf and M{\"u}hlbauer, Thomas and Borde, Ron and Gube, M. and Bruhn, S. and Behm, David George and Granacher, Urs}, title = {Neuromuscular and athletic performance following core strength training in elite youth soccer: Role of instability}, series = {Learning and individual differences}, volume = {26}, journal = {Learning and individual differences}, publisher = {Wiley-Blackwell}, address = {Hoboken}, issn = {0905-7188}, doi = {10.1111/sms.12403}, pages = {48 -- 56}, year = {2016}, abstract = {Cross-sectional studies revealed that inclusion of unstable elements in core-strengthening exercises produced increases in trunk muscle activity and thus potential extra stimuli to induce more pronounced performance enhancements in youth athletes. Thus, the purpose of the study was to investigate changes in neuromuscular and athletic performance following core strength training performed on unstable (CSTU) compared with stable surfaces (CSTS) in youth soccer players. Thirty-nine male elite soccer players (age: 17 +/- 1 years) were assigned to two groups performing a progressive core strength-training program for 9 weeks (2-3 times/week) in addition to regular in-season soccer training. CSTS group conducted core exercises on stable (i.e., floor, bench) and CSTU group on unstable (e.g., Thera-Band (R) Stability Trainer, Togu (c) Swiss ball) surfaces. Measurements included tests for assessing trunk muscle strength/activation, countermovement jump height, sprint time, agility time, and kicking performance. Statistical analysis revealed significant main effects of test (pre vs post) for trunk extensor strength (5\%, P<0.05, d=0.86), 10-20-m sprint time (3\%, P<0.05, d=2.56), and kicking performance (1\%, P<0.01, d=1.28). No significant Groupxtest interactions were observed for any variable. In conclusion, trunk muscle strength, sprint, and kicking performance improved following CSTU and CSTS when conducted in combination with regular soccer training.}, language = {en} } @article{GranacherGruberGollhofer2009, author = {Granacher, Urs and Gruber, Markus and Gollhofer, Albert}, title = {Resistance training and neuromuscular performance in seniors}, issn = {0172-4622}, doi = {10.1055/s-0029-1224178}, year = {2009}, abstract = {Age-related processes in the neuromuscular and the somatosensory system are responsible for decreases in maximal and explosive force production capacity and deficits in postural control. Thus, the objectives of this study were to investigate the effects of resistance training on strength performance and on postural control in seniors. Forty healthy seniors (67 +/- 1 yrs) participated in this study. Subjects were randomly assigned to a resistance training (n = 20) and a control group (n = 20). Resistance training for the lower extremities lasted for 13 weeks at 80\% of the one repetition maximum. Pre and post tests included the measurement of maximal isometric leg extension force with special emphasis on the early part of the force-time-curve and the assessment of static (functional reach test) and dynamic (tandem walk test, platform perturbation) postural control. Resistance training resulted I in an enhanced strength performance with increases I in explosive force exceeding those in maximal strength. Improved performances in the functional reach and in the tandem walk test were observed. Resistance training did not have an effect: on the compensation of platform perturbations. Increases in strength performance can primarily be explained by an improved neural drive of the agonist muscles. The inconsistent effect of resistance training on postural control may be explained by heterogeneity of testing methodology or by the incapability of isolated resisiance training to improve postural control.}, language = {en} } @article{WallentaGranacherLesinskietal.2016, author = {Wallenta, Christopher and Granacher, Urs and Lesinski, Melanie and Schuenemann, C. and M{\"u}hlbauer, Thomas}, title = {Effects of Complex Versus Block Strength Training on the Athletic Performance of Elite Youth Soccer Players}, series = {Sportverletzung, Sportschaden : Grundlagen, Pr{\~A}\ivention, Rehabilitation}, volume = {30}, journal = {Sportverletzung, Sportschaden : Grundlagen, Pr{\~A}\ivention, Rehabilitation}, publisher = {Thieme}, address = {Stuttgart}, issn = {0932-0555}, doi = {10.1055/s-0041-106949}, pages = {31 -- 37}, year = {2016}, abstract = {Hintergrund: Kraft und Schnelligkeit stellen bedeutsame leistungsdeterminierende Faktoren im Fußball dar. Durch Komplextraining (Kombination aus Kraft- und plyometrischen {\"U}bungen in einer Trainingseinheit) lassen sich Kraft- und Schnelligkeitswerte von Athleten steigern. Unklar ist jedoch, ob ein Komplextraining (KT) gegen{\"u}ber einem herk{\"o}mmlichen blockweisen Krafttraining (BT) zu gr{\"o}ßeren sportmotorischen Leistungssteigerungen f{\"u}hrt. Das Ziel der Studie war es, die Effekte von KT versus BT auf Variablen der Kraft, Schnelligkeit und Gewandtheit von Nachwuchsleistungsfußballern zu untersuchen. Methode: Zus{\"a}tzlich zum regul{\"a}ren Fußballtraining (ca. 6 × pro Woche, je 60 - 90 min.) f{\"u}hrten 18 m{\"a}nnliche Nachwuchsleistungsfußballer {\"u}ber sechs Wochen (2 × pro Woche, je 30 min.) entweder ein progressives KT (n = 10, Alter: 18,5 ± 2,2 Jahre) oder BT (n = 8, Alter: 18,1 ± 1,6 Jahre) durch. Vor und nach dem Training wurden Tests zur Erfassung der Kraft (Einer-Wiederholungs-Maximum [EWM] Kniebeuge), der Sprungkraft (Hockstrecksprung [HSS]), der Schnelligkeit (30-m-Sprint) und der Gewandtheit (T-Test) durchgef{\"u}hrt. Es wurden parameterfreie Verfahren zur Bestimmung von Unterschieden innerhalb (Wilcoxon-Test) und zwischen (Mann-Whitney-U-Test) den beiden Gruppen gerechnet. Ergebnisse: Sowohl KT als auch BT sind sichere (keine trainings- aber sechs spielbedingte Verletzungen) und geeignete (Trainingsteilnahme in KT und BT: \&\#8805; 80 \%) Trainingsmaßnahmen in Erg{\"a}nzung zum regul{\"a}ren Fußballtraining. Die statistische Analyse ergab signifikante Verbesserungen vom Pr{\"a}- zum Posttest f{\"u}r die KT-Gruppe im EWM (p = 0,043) und im HSS (p = 0,046) sowie f{\"u}r die BT-Gruppe in der Sprintzeit {\"u}ber 5 m (p = 0,039) und 10 m (p = 0,026). Zudem zeigten sich f{\"u}r beide Gruppen signifikante Verbesserungen im T-Test (KT: p = 0,046; BT: p = 0,027). Der Gruppenvergleich (KT vs. BT) {\"u}ber die Zeit (Post- minus Pr{\"a}test) offenbarte keine bedeutsamen Unterschiede. Schlussfolgerung: Sowohl sechsw{\"o}chiges KT als auch BT f{\"u}hrten zu signifikanten Verbesserungen sportmotorischer Leistungen bei Nachwuchsleistungsfußballern. Allerdings konnten keine zus{\"a}tzlich leistungssteigernden Effekte von KT im Vergleich zu BT ermittelt werden. In zuk{\"u}nftigen Studien sollte gepr{\"u}ft werden, ob die beobachteten testspezifischen Ver{\"a}nderungen, d. h. Verbesserung der Kraft/Sprungkraft in der KT-Gruppe und Verbesserung der Schnelligkeit in der BT-Gruppe der gew{\"a}hlten {\"U}bungsanordnung geschuldet sind oder einen generellen Effekt darstellen. Background: Muscle strength and speed are important determinants of soccer performance. It has previously been shown that complex training (CT, combination of strength and plyometric exercises within a single training session) is effective to enhance strength and speed performance in athletes. However, it is unresolved whether CT is more effective than conventional strength training that is delivered in one single block (BT) to increase proxies of athletic performance. Thus, the aim of the present study was to investigate the effects of CT versus BT on measures of muscle strength/power, speed, and agility in elite youth soccer players. Methods: Eighteen male elite youth soccer players conducted six weeks (2 sessions/week, 30 min, each) of progressive CT (n = 10, age: 18,5 +/- 2.2 years) or BT (n=8, age: 18.1 +/- 1.6 years) in addition to their regular soccer training (approx. 6 sessions/week, 60-90 min, each). Before and after training, tests were conducted for the assessment of strength (one -repetition maximum [1RM] squat), power (countermovement jump [CMJ]), speed (30-m linear sprint), and agility (T test). Non-parametric analyses were used to calculate differences within (Wilcoxon test) and between (Mann-Whitney-U test) groups. Results: Both CT and BT proved to be safe (i.e. no training-related, but six match -related injuries reported) and feasible (i.e. attendance rate of 80\% in both groups) training regimens when implemented in addition to regular soccer training. The statistical analysis revealed significant improvements from pre-training to post-training tests for the CT group in 1 RM squat (p =0.043) and CMJ height (p =0,046). For the BT -group, significantly enhanced sprint times were observed over 5 m (p = 0.039) and 10 m (p = 0.026), Furthermore, both groups significantly improved their t test time (CT: p =0.046; BT: p =0.027). However, group comparisons (CT vs. BT) over time (post-training minus pre-training test) did not show any significant differences. Conclusion: Six weeks of CT and BT resulted in significant improvements in proxies of athletic performance. Yet CT did not produce any additional effects compared to BT. Future research is needed to examine whether the observed test-specific changes, i.e. improvements in strength/power for the CT-group and improvements in speed for the BT-group, are due to the applied configuration of strength, plyometric, and sprint exercises or if they rather indicate a general training response.}, language = {de} } @article{HaileFuehnerGranacheretal.2021, author = {Haile, Sarah R. and F{\"u}hner, Thea Heidi and Granacher, Urs and Stocker, Julien and Radtke, Thomas and Kriemler, Susi}, title = {Reference values and validation of the 1-minute sit-to-stand test in healthy 5-16-year-old youth}, series = {BMJ open}, volume = {11}, journal = {BMJ open}, number = {5}, publisher = {BMJ Publishing Group}, address = {London}, issn = {2044-6055}, doi = {10.1136/bmjopen-2021-049143}, pages = {7}, year = {2021}, abstract = {Objectives: It is essential to have simple, reliable and valid tests to measure children's functional capacity in schools or medical practice. The 1-minute sit-to-stand (STS) test is a quick fitness test requiring little equipment or space that is increasingly used in both healthy populations and those with chronic disease. We aimed to provide age-specific and sex-specific reference values of STS test in healthy children and adolescents and to evaluate its short-term reliability and construct validity. Design setting and participants: Cross-sectional convenience sample from six public schools and one science fair in central Europe. Overall, 587 healthy participants aged 5-16 years were recruited and divided into age groups of 3 years each. Outcomes: 1-minute STS. To evaluate short-term reliability, some children performed the STS test twice. To evaluate construct validity, some children also performed a standing long jump (SLJ) and a maximal incremental exercise test. Results: Data from 547 youth aged 5-16 years were finally included in the analyses. The median number of repetitions in 1 min in males (females) ranged from 55 [95\% CI: 38 to 72] (53 [95\% CI: 35 to 76]) in 14-16-year olds to 59 [95\% CI: 41 to 77] (60 [95\% CI: 38 to 77]) in 8-10-year olds. Children who repeated STS showed a learning effect of on average 4.8 repetitions more than the first test (95\% limits of agreement: -6.7 to 16.4). Moderate correlations were observed between the STS and the SLJ (r=0.48) tests and the maximal exercise test (r=0.43). Conclusions: The reported STS reference values can be used to interpret STS test performance in children and adolescents. The STS appears to have good test- retest reliability, but a learning effect of about 10\%. The association of STS with other measures of physical fitness should be further explored in a larger study and technical standards for its conduct are needed.}, language = {en} } @article{JafarnezhadgeroGhorbanlooFatollahietal.2021, author = {Jafarnezhadgero, AmirAli and Ghorbanloo, Farshad and Fatollahi, Amir and Dionisio, Valdeci Carlos and Granacher, Urs}, title = {Effects of an elastic resistance band exercise program on kinetics and muscle activities during walking in young adults with genu valgus}, series = {Clinical biomechanics : a journal affiliated to the International Society of Biomechanics and the American Society of Biomechanics}, volume = {81}, journal = {Clinical biomechanics : a journal affiliated to the International Society of Biomechanics and the American Society of Biomechanics}, publisher = {Elsevier Science}, address = {Amsterdam [u.a.]}, issn = {0268-0033}, doi = {10.1016/j.clinbiomech.2020.105215}, pages = {10}, year = {2021}, abstract = {Background: This double-blinded randomized-controlled-trial aimed to identify the effects of an elastic band resistance training on walking kinetics and muscle activities in young adults with genu valgus. Methods: Forty-two male young adults aged 22.5(2.7) years with genu valgus were randomly allocated to two experimental groups. The intervention group (n = 21) conducted a 14-weeks elastic band resistance training. The control group was passive during the intervention period and received the same treatment after the post-tests. Pre and post training, ground reaction forces and lower limb muscle activities were recorded during walking. Findings: Results revealed significant group-by-time interactions for peak medial ground reaction force and timeto-peak for posterior ground reaction force in favor of the intervention group (p < 0.012; d = 0.83-3.76). Resistance training with elastic bands resulted in significantly larger peak medial ground reaction force (p < 0.001; d = 1.45) and longer time-to-peak for posterior ground reaction force (p < 0.001; d = 1.85). Finding showed significant group-by-time interactions for peak positive free moment amplitudes in favor of the intervention group (p < 0.001; d = 1.18-2.02). Resistance training resulted in a lower peak positive free moment amplitude (p = 0.001; d = 1.46). With regards to muscle activities, the analysis revealed significant group-by time interactions for rectus femoris and gluteus medius activities during the push-off phase in favor of the intervention group (p < 0.038; d = 0.68-0.89). Resistance training induced higher rectus femoris (p = 0.038; d = 0.84) and gluteus medius (p = 0.007; d = 0.54) activities. Interpretation: This study proved the effectiveness of resistance training using elastic bands on kinetics and muscle activities during walking in male adults with genu valgus disorder. Given that this training regime is low cost, effective, and easy-to-administer, we suggest that it should be implemented as a rehabilitative or preventive means for young adults with genu valgus.}, language = {en} } @article{WickKriemlerGranacher2021, author = {Wick, Kristin and Kriemler, Susi and Granacher, Urs}, title = {Effects of a strength-dominated exercise program on physical fitness and cognitive performance in preschool children}, series = {Journal of strength and conditioning research : the research journal of the NSCA}, volume = {35}, journal = {Journal of strength and conditioning research : the research journal of the NSCA}, number = {4}, publisher = {Lippincott Williams \& Wilkins}, address = {Philadelphia}, issn = {1064-8011}, doi = {10.1519/JSC.0000000000003942}, pages = {983 -- 990}, year = {2021}, abstract = {Wick, K, Kriemler, S, and Granacher, U. Effects of a strength-dominated exercise program on physical fitness and cognitive performance in preschool children. J Strength Cond Res 35(4): 983-990, 2021-Childhood is characterized by high neuroplasticity that affords qualitative rather than quantitative components of physical activity to maximize the potential to sufficiently develop motor skills and foster long-term engagement in regular physical activity. This study examined the effects of an integrative strength-dominated exercise program on measures of physical fitness and cognitive performance in preschool children. Children aged 4-6 years from 3 kindergartens were randomized into an intervention (INT) group (n = 32) or a control group (n = 22). The 10-week intervention period was conducted 3 times per week (each session lasted 30 minutes) and included exercises for the promotion of muscle strength and power, coordination, and balance. Pre and post training, tests were conducted for the assessment of muscle strength (i.e., handgrip strength), muscle power (i.e., standing long jump), balance (i.e., timed single-leg stand), coordination (hopping on right/left leg), and attentional span (i.e., "Konzentrations-Handlungsverfahren fur Vorschulkinder" [concentration-action procedure for preschoolers]). Results from 2 x 2 repeated-measures analysis of covariance revealed a significant (p <= 0.05) and near significant (p = 0.051) group x time interaction for the standing long jump test and the Konzentrations-Handlungsverfahren. Post hoc tests showed significant pre-post changes for the INT (p < 0.001; d = 1.53) but not the CON (p = 0.72; d = 0.83). Our results indicate that a 10-week strength-dominated exercise program increased jump performance with a concomitant trend toward improvements in attentional capacity of preschool children. Thus, we recommend implementing this type of exercise program for preschoolers.}, language = {en} } @article{ChaouachiGranacherMakhloufetal.2017, author = {Chaouachi, Mehdi and Granacher, Urs and Makhlouf, Issam and Hammami, Raouf and Behm, David G. and Chaouachi, Anis}, title = {Within Session Sequence of Balance and Plyometric Exercises Does Not Affect Training Adaptations with Youth Soccer Athletes}, series = {Journal of sports science \& medicine}, volume = {16}, journal = {Journal of sports science \& medicine}, publisher = {Department of Sports Medicine, Medical Faculty of Uludag University}, address = {Bursa}, issn = {1303-2968}, pages = {125 -- 136}, year = {2017}, abstract = {The integration of balance and plyometric training has been shown to provide significant improvements in sprint, jump, agility, and other performance measures in young athletes. It is not known if a specific within session balance and plyometric exercise sequence provides more effective training adaptations. The objective of the present study was to investigate the effects of using a sequence of alternating pairs of exercises versus a block (series) of all balance exercises followed by a block of plyometric exercises on components of physical fitness such as muscle strength, power, speed, agility, and balance. Twenty-six male adolescent soccer players ( 13.9 +/- 0.3 years) participated in an 8-week training program that either alternated individual balance (e. g., exercises on unstable surfaces) and plyometric (e. g., jumps, hops, rebounds) exercises or performed a block of balance exercises prior to a block of plyometric exercises within each training session. Pre- and post-training measures included proxies of strength, power, agility, sprint, and balance such as countermovement jumps, isometric back and knee extension strength, standing long jump, 10 and 30-m sprints, agility, standing stork, and Y-balance tests. Both groups exhibited significant, generally large magnitude (effect sizes) training improvements for all measures with mean performance increases of approximately > 30\%. There were no significant differences between the training groups over time. The results demonstrate the effectiveness of combining balance and plyometric exercises within a training session on components of physical fitness with young adolescents. The improved performance outcomes were not significantly influenced by the within session exercise sequence.}, language = {en} } @article{BeurskensSteinbergAntoniewiczetal.2016, author = {Beurskens, Rainer and Steinberg, Fabian and Antoniewicz, Franziska and Wolff, Wanja and Granacher, Urs}, title = {Neural Correlates of Dual-Task Walking: Effects of Cognitive versus Motor Interference in Young Adults}, series = {Neural plasticity}, journal = {Neural plasticity}, publisher = {Hindawi}, address = {London}, issn = {2090-5904}, doi = {10.1155/2016/8032180}, pages = {9}, year = {2016}, abstract = {Walking while concurrently performing cognitive and/or motor interference tasks is the norm rather than the exception during everyday life and there is evidence from behavioral studies that it negatively affects human locomotion. However, there is hardly any information available regarding the underlying neural correlates of single-and dual-task walking. We had 12 young adults (23.8 +/- 2.8 years) walk while concurrently performing a cognitive interference (CI) or a motor interference (MI) task. Simultaneously, neural activation in frontal, central, and parietal brain areas was registered using a mobile EEG system. Results showed that the MI task but not the CI task affected walking performance in terms of significantly decreased gait velocity and stride length and significantly increased stride time and tempo-spatial variability. Average activity in alpha and beta frequencies was significantly modulated during both CI and MI walking conditions in frontal and central brain regions, indicating an increased cognitive load during dual-task walking. Our results suggest that impaired motor performance during dual-task walking is mirrored in neural activation patterns of the brain. This finding is in line with established cognitive theories arguing that dual-task situations overstrain cognitive capabilities resulting in motor performance decrements.}, language = {en} } @article{PrieskeAboodardaSierraetal.2017, author = {Prieske, Olaf and Aboodarda, Saied J. and Sierra, Jose A. Benitez and Behm, David G. and Granacher, Urs}, title = {Slower but not faster unilateral fatiguing knee extensions alter contralateral limb performance without impairment of maximal torque output}, series = {European journal of applied physiology}, volume = {117}, journal = {European journal of applied physiology}, publisher = {Springer}, address = {New York}, issn = {1439-6319}, doi = {10.1007/s00421-016-3524-6}, pages = {323 -- 334}, year = {2017}, abstract = {The purpose of the present study was to examine the effects of unilateral fatigue of the knee extensors at different movement velocities on neuromuscular performance in the fatigued and non-fatigued leg. Unilateral fatigue of the knee extensors was induced in 11 healthy young men (23.7 +/- 3.8 years) at slower (60A degrees/s; FAT60) and faster movement velocities (240A degrees/s; FAT240) using an isokinetic dynamometer. A resting control (CON) condition was included. The fatigue protocols consisted of five sets of 15 maximal concentric knee extensions using the dominant leg. Before and after fatigue, peak isokinetic torque (PIT) and time to PIT (TTP) of the knee extensors as well as electromyographic (EMG) activity of vastus medialis, vastus lateralis, and biceps femoris muscles were assessed at 60 and 240A degrees/s movement velocities in the fatigued and non-fatigued leg. In the fatigued leg, significantly greater PIT decrements were observed following FAT60 and FAT240 (11-19\%) compared to CON (3-4\%, p = .002, d = 2.3). Further, EMG activity increased in vastus lateralis and biceps femoris muscle following FAT240 only (8-28\%, 0.018 <= p <=.024, d = 1.8). In the non-fatigued leg, shorter TTP values were found after the FAT60 protocol (11-15\%, p = .023, d = 2.4). No significant changes were found for EMG data in the non-fatigued leg. The present study revealed that both slower and faster velocity fatiguing contractions failed to show any evidence of cross-over fatigue on PIT. However, unilateral knee extensor fatigue protocols conducted at slower movement velocities (i.e., 60A degrees/s) appear to modulate torque production on the non-fatigued side (evident in shorter TTP values).}, language = {en} } @article{JafarnezhadgeroFatollahiGranacher2022, author = {Jafarnezhadgero, Amir Ali and Fatollahi, Amir and Granacher, Urs}, title = {Eight weeks of exercising on sand has positive effects on biomechanics of walking and muscle activities in individuals with pronated feet}, series = {Sports : open access journal}, volume = {10}, journal = {Sports : open access journal}, number = {5}, publisher = {MDPI}, address = {Basel}, issn = {2075-4663}, doi = {10.3390/sports10050070}, pages = {16}, year = {2022}, abstract = {This study aimed to investigate the effects of eight weeks of barefoot running exercise on sand versus control on measures of walking kinetics and muscle activities in individuals with diagnosed pronated feet. Sixty physically active male adults with pronated feet were randomly allocated into an intervention or a waiting control group. The intervention group conducted an 8-weeks progressive barefoot running exercise program on sand (e.g., short sprints) with three weekly sessions. Pre and post intervention, participants walked at a constant speed of 1.3 m/s +/- 5\% on a 18 m walkway with a force plate embedded in the middle of the walkway. Results showed significant group-by-time interactions for peak impact vertical and lateral ground reaction forces. Training but not control resulted in significantly lower peak impact vertical and lateral ground reaction forces. Significant group-by-time interactions were observed for vastus lateralis activity during the loading phase. Training-induced increases were found for the vastus lateralis in the intervention but not in the control group. This study revealed that the applied exercise program is a suitable means to absorb ground reaction forces (e.g., lower impact vertical and lateral peaks) and increase activities of selected lower limb muscles (e.g., vastus lateralis) when walking on stable ground.}, language = {en} } @article{BeijersbergenHortobagyiBeurskensetal.2016, author = {Beijersbergen, Chantal M. I. and Hortobagyi, Tibor and Beurskens, Rainer and Lenzen-Grossimlinghaus, Romana and Gabler, Martijn and Granacher, Urs}, title = {Effects of Power Training on Mobility and Gait Biomechanics in Old Adults with Moderate Mobility Disability: Protocol and Design of the Potsdam Gait Study (POGS)}, series = {Gerontology}, volume = {62}, journal = {Gerontology}, publisher = {Karger}, address = {Basel}, issn = {0304-324X}, doi = {10.1159/000444752}, pages = {597 -- 603}, year = {2016}, abstract = {Background: Walking speed decreases in old age. Even though old adults regularly participate in exercise interventions, we do not know how the intervention-induced changes in physical abilities produce faster walking. The Potsdam Gait Study (POGS) will examine the effects of 10 weeks of power training and detraining on leg muscle power and, for the first time, on complete gait biomechanics, including joint kinematics, kinetics, and muscle activation in old adults with moderate mobility disability. Methods/Design: POGS is a randomized controlled trial with two arms, each crossed over, without blinding. Arm 1 starts with a 10-week control period to assess the reliability of the tests and is then crossed over to complete 25-30 training sessions over 10 weeks. Arm 2 completes 25-30 exercise sessions over 10 weeks, followed by a 10-week follow-up (detraining) period. The exercise program is designed to improve lower extremity muscle power. Main outcome measures are: muscle power, gait speed, and gait biomechanics measured at baseline and after 10 weeks of training and 10 weeks of detraining. Discussion: It is expected that power training will increase leg muscle power measured by the weight lifted and by dynamometry, and these increased abilities become expressed in joint powers measured during gait. Such favorably modified powers will underlie the increase in step length, leading ultimately to a faster walking speed. POGS will increase our basic understanding of the biomechanical mechanisms of how power training improves gait speed in old adults with moderate levels of mobility disabilities. (C) 2016 S. Karger AG, Basel}, language = {en} } @article{BenOthmanChaouachiChaouachietal.2019, author = {Ben Othman, Aymen and Chaouachi, Anis and Chaouachi, Mehdi and Makhlouf, Issam and Farthing, Jonathan P. and Granacher, Urs and Behm, David George}, title = {Dominant and nondominant leg press training induce similar contralateral and ipsilateral limb training adaptations with children}, series = {Applied Physiology, Nutrition, and Metabolism}, volume = {44}, journal = {Applied Physiology, Nutrition, and Metabolism}, number = {9}, publisher = {NRC Research Press}, address = {Ottawa}, issn = {1715-5312}, doi = {10.1139/apnm-2018-0766}, pages = {973 -- 984}, year = {2019}, abstract = {Cross-education has been extensively investigated with adults. Adult studies report asymmetrical cross-education adaptations predominately after dominant limb training. The objective of the study was to examine unilateral leg press (LP) training of the dominant or nondominant leg on contralateral and ipsilateral strength and balance measures. Forty-two youth (10-13 years) were placed (random allocation) into a dominant (n = 15) or nondominant (n = 14) leg press training group or nontraining control (n = 13). Experimental groups trained 3 times per week for 8 weeks and were tested pre-/post-training for ipsilateral and contralateral 1-repetition maximum (RM) horizontal LP, maximum voluntary isometric contraction (MVIC) of knee extensors (KE) and flexors (KF), countermovement jump (CMJ), triple hop test (THT), MVIC strength of elbow flexors (EF) and handgrip, as well as the stork and Y balance tests. Both dominant and nondominant LP training significantly (p < 0.05) increased both ipsilateral and contralateral lower body strength (LP 1RM (dominant: 59.6\%-81.8\%; nondominant: 59.5\%-96.3\%), KE MVIC (dominant: 12.4\%-18.3\%; nondominant: 8.6\%-18.6\%), KF MVIC (dominant: 7.9\%-22.3\%; nondominant: nonsignificant-3.8\%), and power (CMJ: dominant: 11.1\%-18.1\%; nondominant: 7.7\%-16.6\%)). The exception was that nondominant LP training demonstrated a nonsignificant change with the contralateral KF MVIC. Other significant improvements were with nondominant LP training on ipsilateral EF 1RM (6.2\%) and THT (9.6\%). There were no significant changes with EF and handgrip MVIC. The contralateral leg stork balance test was impaired following dominant LP training. KF MVIC exhibited the only significant relative post-training to pretraining (post-test/pre-test) ratio differences between dominant versus nondominant LP cross-education training effects. In conclusion, children exhibit symmetrical cross-education or global training adaptations with unilateral training of dominant or nondominant upper leg.}, language = {en} } @article{NegraChaabeneSammoudetal.2017, author = {Negra, Yassine and Chaabene, Helmi and Sammoud, Senda and Bouguezzi, Raja and Abbes, Mohamed Aymen and Hachana, Younes and Granacher, Urs}, title = {Effects of Plyometric Training on Physical Fitness in Prepuberal Soccer Athletes}, series = {International journal of sports medicine}, volume = {38}, journal = {International journal of sports medicine}, publisher = {Thieme}, address = {Stuttgart}, issn = {0172-4622}, doi = {10.1055/s-0042-122337}, pages = {370 -- 377}, year = {2017}, abstract = {This study aimed at examining the effects of plyometric training on stable (SPT) vs. unstable (UPT) surfaces on physical fitness in prepuberal soccer players. Male athletes were randomly assigned to SPT (n = 18; age = 12.7 +/- 0.2 years) or UPT (n = 16; age = 12.2 +/- 0.5 years). Both groups conducted 3 regular soccer training sessions per week combined with either 2 SPT or UPT sessions. Assessment of jumping ability (countermovement jump [CMJ], and standing long jump [SLJ]), speed (10-m, 20-m, 30-m sprint), agility (Illinois agility test [IAT]), and balance (stable [SSBT], unstable [USBT] stork balance test; stable [SYBT], unstable [UYBT] Y balance test) was conducted pre-and post-training. An ANCO-VA model was used to test for between-group differences (SPT vs. UPT) at post-test using baseline values as covariates. No significant differences were found for CMJ height (p > 0.05, d = 0.54), SLJ (p > 0.05; d = 0.81), 10-m, 20-m, and 30-m sprint performances (p > 0.05, d = 0.00-0.24), IAT (p > 0.05, d = 0.48), and dynamic balance (SYBT and UYBT, both p > 0.05, d = 0.39, 0.08, respectively). Statistically significant between-group differences were detected for the USBT (p < 0.01, d = 1.86) and the SSBT (p < 0.01, d = 1.75) in favor of UPT. Following 8 weeks of SPT or UPT in prepuberal athletes, similar performance levels were observed in both groups for measures of jumping ability, speed, dynamic balance, and agility. However, if the goal is to additionally enhance static balance, UPT has an advantage over SPT.}, language = {en} } @article{WiesmeierDalinWehrleetal.2017, author = {Wiesmeier, Isabella K. and Dalin, Daniela and Wehrle, Anja and Granacher, Urs and Muehlbauer, Thomas and Dietterle, J{\"o}rg and Weiller, Cornelius and Gollhofer, Albert and Maurer, Christoph}, title = {Balance training enhances vestibular function and reduces overactive proprioceptive feedback in elderly}, series = {Frontiers in aging neuroscience}, volume = {9}, journal = {Frontiers in aging neuroscience}, publisher = {Frontiers Research Foundation}, address = {Lausanne}, issn = {1663-4365}, doi = {10.3389/fnagi.2017.00273}, pages = {13}, year = {2017}, abstract = {Objectives: Postural control in elderly people is impaired by degradations of sensory, motor, and higher-level adaptive mechanisms. Here, we characterize the effects of a progressive balance training programon these postural control impairments using a brain network model based on system identification techniques. Methods and Material: We analyzed postural control of 35 healthy elderly subjects and compared findings to data from 35 healthy young volunteers. Eighteen elderly subjects performed a 10 week balance training conducted twice per week. Balance training was carried out in static and dynamic movement states, on support surfaces with different elastic compliances, under different visual conditions and motor tasks. Postural control was characterized by spontaneous sway and postural reactions to pseudorandom anterior-posterior tilts of the support surface. Data were interpreted using a parameter identification procedure based on a brain network model. Conclusion: Balance training reduced overactive proprioceptive feedback and restored vestibular orientation in elderly. Based on the assumption of a linear deterioration of postural control across the life span, the training effect can be extrapolated as a juvenescence of 10 years. This study points to a considerable benefit of a continuous balance training in elderly, even without any sensorimotor deficits.}, language = {en} } @article{PrieskeDempsLesinskietal.2017, author = {Prieske, Olaf and Demps, Marie and Lesinski, Melanie and Granacher, Urs}, title = {Combined Effects of Fatigue and Surface Instability on Jump Biomechanics in Elite Athletes}, series = {International journal of sports medicine}, volume = {38}, journal = {International journal of sports medicine}, publisher = {Thieme}, address = {Stuttgart}, issn = {0172-4622}, doi = {10.1055/s-0043-111894}, pages = {781 -- 790}, year = {2017}, abstract = {The present study aimed to examine the effects of fatigue and surface instability on kinetic and kinematic jump performance measures. Ten female and 10 male elite volleyball players (18 +/- 2 years) performed repetitive vertical double-leg box jumps until failure. Pre and post fatigue, jump height/performance index, ground reaction force and knee flexion/valgus angles were assessed during drop and countermovement jumps on stable and unstable surfaces. Fatigue, surface condition, and sex resulted in significantly lower drop jump performance and ground reaction force (p0.031, 1.1d3.5). Additionally, drop jump knee flexion angles were significantly lower following fatigue (p=0.006, d=1.5). A significant fatiguexsurfacexsex interaction (p=0.020, d=1.2) revealed fatigue-related decrements in drop jump peak knee flexion angles under unstable conditions and in men only. Knee valgus angles were higher on unstable compared to stable surfaces during drop jumps and in females compared to males during drop and countermovement jumps (p0.054, 1.0d1.1). Significant surfacexsex interactions during countermovement jumps (p=0.002, d=1.9) indicated that knee valgus angles at onset of ground contact were significantly lower on unstable compared to stable surfaces in males but higher in females. Our findings revealed that fatigue and surface instability resulted in sex-specific knee motion strategies during jumping in elite volleyball players.}, language = {en} } @article{GschwindBridenbaughReinhardetal.2017, author = {Gschwind, Yves J. and Bridenbaugh, Stephanie A. and Reinhard, Sarah and Granacher, Urs and Monsch, Andreas U. and Kressig, Reto W.}, title = {Ginkgo biloba special extract LI 1370 improves dual-task walking in patients with MCI: a randomised, double-blind, placebo-controlled exploratory study}, series = {Aging clinical and experimental research}, volume = {29}, journal = {Aging clinical and experimental research}, publisher = {Springer}, address = {New York}, issn = {1594-0667}, doi = {10.1007/s40520-016-0699-y}, pages = {609 -- 619}, year = {2017}, abstract = {Background In patients with mild cognitive impairment (MCI), gait instability, particularly in dual-task situations, has been associated with impaired executive function and an increased fall risk. Ginkgo biloba extract (GBE) could be an effective mean to improve gait stability. Aims This study investigated the effect of GBE on spatiotemporal gait parameters of MCI patients while walking under single and dual-task conditions. Methods Fifty patients aged 50-85 years with MCI and associated dual-task-related gait impairment participated in this randomised, double-blind, placebo-controlled, exploratory phase IV drug trial. Intervention group (IG) patients received GBE (Symfona (R) forte 120 mg) twice-daily for 6 months while control group (CG) patients received placebo capsules. A 6-month open-label phase with identical GBE dosage followed. Gait was quantified at months 0, 3, 6 and 12. Results After 6 months, dual-task-related cadence increased in the IG compared to the CG (p = 0.019, d = 0.71). No significant changes, but GBE-associated numerical non-significant trends were found after 6-month treatment for dual-task-related gait velocity and stride time variability. Discussion Findings suggest that 120 mg of GBE twice-daily for at least 6 months may improve dual-task-related gait performance in patients with MCI. Conclusions The observed gait improvements add to the understanding of the self-reported unspecified improvements among MCI patients when treated with standardised GBE.}, language = {en} } @article{NegraChaabeneHammamietal.2016, author = {Negra, Yassine and Chaabene, Helmi and Hammami, Mehrez and Hachana, Younes and Granacher, Urs}, title = {EFFECTS OF HIGH-VELOCITY RESISTANCE TRAINING ON ATHLETIC PERFORMANCE IN PREPUBERAL MALE SOCCER ATHLETES}, series = {Journal of strength and conditioning research : the research journal of the NSCA}, volume = {30}, journal = {Journal of strength and conditioning research : the research journal of the NSCA}, publisher = {Wiley-Blackwell}, address = {Philadelphia}, issn = {1064-8011}, doi = {10.1519/JSC.0000000000001433}, pages = {3290 -- 3297}, year = {2016}, abstract = {The aim of this study was to assess the effectiveness of a 12-week in-season low-to-moderate load high-velocity resistance training (HVRT) in addition to soccer training as compared with soccer training only on proxies of athletic performance in prepubertal soccer players. Twenty-four male soccer players performed 2 different protocols: (a) regular soccer training with 5 sessions per week (n = 11; age = 12.7 +/- 0.3 years) and (b) regular soccer training with 3 sessions per week and HVRT with 2 sessions per week (n = 13; age = 12.8 +/- 0.2 years). The outcome measures included tests for the assessment of muscle strength (e.g., 1 repetition maximum [1RM] half-squat tests), jump ability (e.g., countermovement jump, squat jump [SJ], standing long jump [SLJ], and multiple 5-bound tests [MB5s]), linear speed (e.g., 5-, 10-, 20-, and 30-m sprint tests), and change of direction (e.g., T-test and Illinois change of direction test). Results revealed significant group 3 test interactions for the SJ test (p <= 0.05, d = 0.59) and the SLJ test (p < 0.01, d = 0.83). Post hoc tests illustrated significant pre-post changes in the HVRT group (SJ: Delta 22\%, p < 0.001, d = 1.26; SLJ: Delta 15\%, p < 0.001, d = 1.30) but not in the control group. In addition, tendencies toward significant interaction effects were found for the 1RM half-squat (p = 0.08, d = 0.54) and the 10-m sprint test (p = 0.06, d = 0.57). Significant pre-post changes were found for both parameters in the HVRT group only (1RM: Delta 25\%, p < 0.001, d = 1.23; 10-m sprint: Delta 7\%, p < 0.0001, d = 1.47). In summary, in-season low-to-moderate load HVRT conducted in combination with regular soccer training is a safe and feasible intervention that has positive effects on maximal strength, vertical and horizontal jump and sprint performance as compared with soccer training only.}, language = {en} } @article{GrabowYoungByrneetal.2017, author = {Grabow, Lena and Young, James D. and Byrne, Jeannette M. and Granacher, Urs and Behm, David George}, title = {Unilateral Rolling of the Foot did not Affect Non-Local Range of Motion or Balance}, series = {Journal of sports science \& medicine}, volume = {16}, journal = {Journal of sports science \& medicine}, publisher = {Department of Sports Medicine, Medical Faculty of Uludag University}, address = {Bursa}, issn = {1303-2968}, pages = {209 -- 218}, year = {2017}, abstract = {Non-local or crossover (contralateral and non-stretched muscles) increases in range-of-motion (ROM) and balance have been reported following rolling of quadriceps, hamstrings and plantar flexors. Since there is limited information regarding plantar sole (foot) rolling effects, the objectives of this study were to determine if unilateral foot rolling would affect ipsilateral and contralateral measures of ROM and balance in young healthy adults. A randomized within-subject design was to examine non-local effects of unilateral foot rolling on ipsilateral and contralateral limb ankle dorsiflexion ROM and a modified sit-and-reachtest (SRT). Static balance was also tested during a 30 s single leg stance test. Twelve participants performed three bouts of 60 s unilateral plantar sole rolling using a roller on the dominant foot with 60 s rest intervals between sets. ROM and balance measures were assessed in separate sessions at pre-intervention, immediately and 10 minutes post-intervention. To evaluate repeated measures effects, two SRT pre-tests were implemented. Results demonstrated that the second pre-test SRT was 6.6\% higher than the first pre-test (p = 0.009, d = 1.91). There were no statistically significant effects of foot rolling on any measures immediately or 10 min post-test. To conclude, unilateral foot rolling did not produce statistically significant increases in ipsilateral or contralateral dorsiflexion or SRT ROM nor did it affect postural sway. Our statistically non-significant findings might be attributed to a lower degree of roller-induced afferent stimulation due to the smaller volume of myofascia and muscle compared to prior studies. Furthermore, ROM results from studies utilizing a single pre-test without a sufficient warm-up should be viewed critically.}, language = {en} } @article{JafamezhadgeroShadMajlesietal.2017, author = {Jafamezhadgero, Amir Ali and Shad, Morteza Madadi and Majlesi, Mahdi and Granacher, Urs}, title = {A comparison of running kinetics in children with and without genu varus: A cross sectional study}, series = {PLoS one}, volume = {12}, journal = {PLoS one}, publisher = {PLoS}, address = {San Fransisco}, issn = {1932-6203}, doi = {10.1371/journal.pone.0185057}, pages = {15}, year = {2017}, abstract = {Introduction Varus knee alignment has been identified as a risk factor for the progression of medial knee osteoarthritis. However, the underlying mechanisms have not been elucidated yet in children. Thus, the aims of the present study were to examine differences in ground reaction forces, loading rate, impulses, and free moment values during running in children with and without genu varus. Methods Thirty-six boys aged 9-14 volunteered to participate in this study. They were divided in two age-matched groups (genu varus versus healthy controls). Body weight adjusted three dimensional kinetic data (Fx, Fy, Fz) were collected during running at preferred speed using two Kistler force plates for the dominant and non-dominant limb. Results Individuals with knee genu varus produced significantly higher (p = .01; d = 1.09; 95\%) body weight adjusted ground reaction forces in the lateral direction (Fx) of the dominant limb compared to controls. On the non-dominant limb, genu varus patients showed significantly higher body weight adjusted ground reaction forces values in the lateral (p = .01; d = 1.08; 86\%) and medial (p < .001; d = 1.55; 102\%) directions (Fx). Further, genu varus patients demonstrated 55\% and 36\% greater body weight adjusted loading rates in the dominant (p < .001; d = 2.09) and non-dominant (p < .001; d = 1.02) leg, respectively. No significant between-group differences were observed for adjusted free moment values (p>.05). Discussion Higher mediolateral ground reaction forces and vertical loading rate amplitudes in boys with genu varus during running at preferred running speed may accelerate the development of progressive joint degeneration in terms of the age at knee osteoarthritis onset. Therefore, practitioners and therapists are advised to conduct balance and strength training programs to improve lower limb alignment and mediolateral control during dynamic movements.}, language = {en} } @article{LesinskiPrieskeBeurskensetal.2017, author = {Lesinski, Melanie and Prieske, Olaf and Beurskens, Rainer and Behm, David George and Granacher, Urs}, title = {Effects of drop height and surface instability on neuromuscular activation during drop jumps}, series = {Scandinavian journal of medicine \& science in sports}, volume = {27}, journal = {Scandinavian journal of medicine \& science in sports}, publisher = {Wiley}, address = {Hoboken}, issn = {0905-7188}, doi = {10.1111/sms.12732}, pages = {1090 -- 1098}, year = {2017}, abstract = {The purpose of this study was to examine whether drop height-induced changes in leg muscle activity during drop jumps (DJ) are additionally modulated by surface condition. Twenty-four healthy participants (23.7 +/- 1.8years) performed DJs on a force plate on stable, unstable, and highly unstable surfaces using different drop heights (i.e., 20cm, 40cm, 60cm). Electromyographic (EMG) activity of soleus (SOL), gastrocnemius (GM), tibialis anterior (TA) muscles and coactivation of TA/SOL and TA/GM were analyzed for time intervals 100ms prior to ground contact (preactivation) and 30-60ms after ground contact [short latency response (SLR)]. Increasing drop heights resulted in progressively increased SOL and GM activity during preactivation and SLR (P<0.01; 1.01 d 5.34) while TA/SOL coactivation decreased (P<0.05; 0.51 d 3.01). Increasing surface instability produced decreased activities during preactivation (GM) and SLR (GM, SOL) (P<0.05; 1.36 d 4.30). Coactivation increased during SLR (P<0.05; 1.50 d 2.58). A significant drop heightxsurface interaction was observed for SOL during SLR. Lower SOL activity was found on unstable compared to stable surfaces for drop heights 40cm (P<0.05; 1.25 d 2.12). Findings revealed that instability-related changes in activity of selected leg muscles are minimally affected by drop height.}, language = {en} } @article{HammamiGranacherMakhloufetal.2016, author = {Hammami, Raouf and Granacher, Urs and Makhlouf, Issam and Behm, David George and Chaouachi, Anis}, title = {SEQUENCING EFFECTS OF BALANCE AND PLYOMETRIC TRAINING ON PHYSICAL PERFORMANCE IN YOUTH SOCCER ATHLETES}, series = {Journal of strength and conditioning research : the research journal of the NSCA}, volume = {30}, journal = {Journal of strength and conditioning research : the research journal of the NSCA}, publisher = {Elsevier}, address = {Philadelphia}, issn = {1064-8011}, doi = {10.1519/JSC.0000000000001425}, pages = {3278 -- 3289}, year = {2016}, abstract = {Balance training may have a preconditioning effect on subsequent power training with youth. There are no studies examining whether the sequencing of balance and plyometric training has additional training benefits. The objective was to examine the effect of sequencing balance and plyometric training on the performance of 12- to 13-year-old athletes. Twenty-four young elite soccer players trained twice per week for 8 weeks either with an initial 4 weeks of balance training followed by 4 weeks of plyometric training (BPT) or 4 weeks of plyometric training proceeded by 4 weeks of balance training (PBT). Testing was conducted pre- and posttraining and included medicine ball throw; horizontal and vertical jumps; reactive strength; leg stiffness; agility; 10-, 20-, and 30-m sprints; Standing Stork balance test; and Y-Balance test. Results indicated that BPT provided significantly greater improvements with reactive strength index, absolute and relative leg stiffness, triple hop test, and a trend for the Y-Balance test (p = 0.054) compared with PBT. Although all other measures had similar changes for both groups, the average relative improvement for the BPT was 22.4\% (d = 1.5) vs. 15.0\% (d = 1.1) for the PBT. BPT effect sizes were greater with 8 of 13 measures. In conclusion, although either sequence of BPT or PBT improved jumping, hopping, sprint acceleration, and Standing Stork and Y-Balance, BPT initiated greater training improvements in reactive strength index, absolute and relative leg stiffness, triple hop test, and the Y-Balance test. BPT may provide either similar or superior performance enhancements compared with PBT.}, language = {en} } @article{PrieskeMuehlbauerKruegeretal.2015, author = {Prieske, Olaf and M{\"u}hlbauer, Thomas and Kr{\"u}ger, Tom and Kibele, Armin and Behm, David George and Granacher, Urs}, title = {Role of the trunk during drop jumps on stable and unstable surfaces}, series = {European journal of applied physiology}, volume = {115}, journal = {European journal of applied physiology}, number = {1}, publisher = {Springer}, address = {New York}, issn = {1439-6319}, doi = {10.1007/s00421-014-3004-9}, pages = {139 -- 146}, year = {2015}, abstract = {The present study investigated associations between trunk muscle strength, jump performance, and lower limb kinematics during drop jumps on stable and unstable surfaces. Next to this behavioral approach, correlations were also computed on a neuromuscular level between trunk and leg muscle activity during the same test conditions. Twenty-nine healthy and physically active subjects (age 23 +/- A 3 years) were enrolled in this study. Peak isokinetic torque (PIT) of the trunk flexors and extensors was assessed separately on an isokinetic device. In addition, tests included drop jumps (DJ) on a force plate under stable and unstable (i.e., balance pad on top of the force plate) surfaces. Lower limb kinematics as well as electromyographic activity of selected trunk and leg muscles were analyzed. Significant positive but small correlations (0.50 a parts per thousand currency sign r a parts per thousand currency sign 0.66, p < 0.05) were detected between trunk extensor PIT and athletic performance measures (i.e., DJ height, DJ performance index), irrespective of surface condition. Further, significant negative but small correlation coefficients were examined between trunk extensor PIT and knee valgus motion under stable and unstable surface conditions (-0.48 a parts per thousand currency sign r a parts per thousand currency sign -0.45, p < 0.05). In addition, significant positive but small correlations (0.45 a parts per thousand currency sign r a parts per thousand currency sign 0.68, p < 0.05) were found between trunk and leg muscle activity, irrespective of surface condition. Behavioral and neuromuscular data from this study indicate that, irrespective of the surface condition (i.e., jumping on stable or unstable ground), the trunk plays a minor role for leg muscle performance/activity during DJ. This implies only limited effects of trunk muscle strengthening on jump performance in the stretch-shortening cycle.}, language = {en} } @article{MuehlbauerPabstGranacheretal.2017, author = {M{\"u}hlbauer, Thomas and Pabst, Jan and Granacher, Urs and Buesch, Dirk}, title = {Validity of the jump-and-reach test in subelite adolescent handball players}, series = {Journal of strength and conditioning research : the research journal of the NSCA}, volume = {31}, journal = {Journal of strength and conditioning research : the research journal of the NSCA}, publisher = {Lippincott Williams \& Wilkins}, address = {Philadelphia}, issn = {1064-8011}, doi = {10.1519/JSC.0000000000001607}, pages = {1282 -- 1289}, year = {2017}, language = {en} } @article{SaeterbakkenStienAndersenetal.2022, author = {Saeterbakken, Atle H. and Stien, Nicolay and Andersen, Vidar and Scott, Suzanne and Cumming, Kristoffer T. and Behm, David G. and Granacher, Urs and Prieske, Olaf}, title = {The effects of trunk muscle training on physical fitness and sport-specific performance in young and adult athletes}, series = {Sports medicine}, volume = {52}, journal = {Sports medicine}, number = {7}, publisher = {Springer}, address = {Northcote}, issn = {0112-1642}, doi = {10.1007/s40279-021-01637-0}, pages = {1599 -- 1622}, year = {2022}, abstract = {Background The role of trunk muscle training (TMT) for physical fitness (e.g., muscle power) and sport-specific performance measures (e.g., swimming time) in athletic populations has been extensively examined over the last decades. However, a recent systematic review and meta-analysis on the effects of TMT on measures of physical fitness and sport-specific performance in young and adult athletes is lacking. Objective To aggregate the effects of TMT on measures of physical fitness and sport-specific performance in young and adult athletes and identify potential subject-related moderator variables (e.g., age, sex, expertise level) and training-related programming parameters (e.g., frequency, study length, session duration, and number of training sessions) for TMT effects. Data Sources A systematic literature search was conducted with PubMed, Web of Science, and SPORTDiscus, with no date restrictions, up to June 2021. Study Eligibility Criteria Only controlled trials with baseline and follow-up measures were included if they examined the effects of TMT on at least one measure of physical fitness (e.g., maximal muscle strength, change-of-direction speed (CODS)/agility, linear sprint speed) and sport-specific performance (e.g., throwing velocity, swimming time) in young or adult competitive athletes at a regional, national, or international level. The expertise level was classified as either elite (competing at national and/or international level) or regional (i.e., recreational and sub-elite). Study Appraisal and Synthesis Methods The methodological quality of TMT studies was assessed using the Physiotherapy Evidence Database (PEDro) scale. A random-effects model was used to calculate weighted standardized mean differences (SMDs) between intervention and active control groups. Additionally, univariate sub-group analyses were independently computed for subject-related moderator variables and training-related programming parameters. Results Overall, 31 studies with 693 participants aged 11-37 years were eligible for inclusion. The methodological quality of the included studies was 5 on the PEDro scale. In terms of physical fitness, there were significant, small-to-large effects of TMT on maximal muscle strength (SMD = 0.39), local muscular endurance (SMD = 1.29), lower limb muscle power (SMD = 0.30), linear sprint speed (SMD = 0.66), and CODS/agility (SMD = 0.70). Furthermore, a significant and moderate TMT effect was found for sport-specific performance (SMD = 0.64). Univariate sub-group analyses for subject-related moderator variables revealed significant effects of age on CODS/agility (p = 0.04), with significantly large effects for children (SMD = 1.53, p = 0.002). Further, there was a significant effect of number of training sessions on muscle power and linear sprint speed (p <= 0.03), with significant, small-to-large effects of TMT for > 18 sessions compared to <= 18 sessions (0.45 <= SMD <= 0.84, p <= 0.003). Additionally, session duration significantly modulated TMT effects on linear sprint speed, CODS/agility, and sport-specific performance (p <= 0.05). TMT with session durations <= 30 min resulted in significant, large effects on linear sprint speed and CODS/agility (1.66 <= SMD <= 2.42, p <= 0.002), whereas session durations > 30 min resulted in significant, large effects on sport-specific performance (SMD = 1.22, p = 0.008). Conclusions Our findings indicate that TMT is an effective means to improve selected measures of physical fitness and sport-specific performance in young and adult athletes.
Independent sub-group analyses suggest that TMT has the potential to improve CODS/agility, but only in children. Additionally, more (> 18) and/or shorter duration (<= 30 min) TMT sessions appear to be more effective for improving lower limb muscle power, linear sprint speed, and CODS/agility in young or adult competitive athletes.}, language = {en} } @article{LesinskiPrieskeDempsetal.2016, author = {Lesinski, Melanie and Prieske, Olaf and Demps, Marie and Granacher, Urs}, title = {Effects of fatigue and surface instability on neuromuscular performance during jumping}, series = {Der Schmerz : Organ der Deutschen Gesellschaft zum Studium des Schmerzes, der {\~A}-sterreichischen Schmerzgesellschaft und der Deutschen Interdisziplin{\~A}\iren Vereinigung f{\~A}¼r Schmerztherapie}, volume = {26}, journal = {Der Schmerz : Organ der Deutschen Gesellschaft zum Studium des Schmerzes, der {\~A}-sterreichischen Schmerzgesellschaft und der Deutschen Interdisziplin{\~A}\iren Vereinigung f{\~A}¼r Schmerztherapie}, publisher = {Wiley-Blackwell}, address = {Hoboken}, issn = {0905-7188}, doi = {10.1111/sms.12548}, pages = {1140 -- 1150}, year = {2016}, abstract = {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.}, language = {en} } @article{BeurskensSteinbergAntoniewiczetal.2016, author = {Beurskens, Rainer and Steinberg, Fabian and Antoniewicz, Franziska and Wolff, Wanja and Granacher, Urs}, title = {Neural Correlates of Dual-Task Walking}, series = {Neural plasticity}, volume = {2016}, journal = {Neural plasticity}, publisher = {Hindawi}, address = {New York}, doi = {10.1155/2016/8032180}, pages = {1 -- 9}, year = {2016}, abstract = {Walking while concurrently performing cognitive and/or motor interference tasks is the norm rather than the exception during everyday life and there is evidence from behavioral studies that it negatively affects human locomotion. However, there is hardly any information available regarding the underlying neural correlates of single- and dual-task walking. We had 12 young adults (23.8 ± 2.8 years) walk while concurrently performing a cognitive interference (CI) or a motor interference (MI) task. Simultaneously, neural activation in frontal, central, and parietal brain areas was registered using a mobile EEG system. Results showed that the MI task but not the CI task affected walking performance in terms of significantly decreased gait velocity and stride length and significantly increased stride time and tempo-spatial variability. Average activity in alpha and beta frequencies was significantly modulated during both CI and MI walking conditions in frontal and central brain regions, indicating an increased cognitive load during dual-task walking. Our results suggest that impaired motor performance during dual-task walking is mirrored in neural activation patterns of the brain. This finding is in line with established cognitive theories arguing that dual-task situations overstrain cognitive capabilities resulting in motor performance decrements.}, language = {en} } @article{WerfelliHammamiSelmietal.2021, author = {Werfelli, Hanen and Hammami, Raouf and Selmi, Mohamed Amine and Selmi, Walid and Gabrilo, Goran and Clark, Cain C. T. and Duncan, Michael and Sekulic, Damir and Granacher, Urs and Rebai, Haithem}, title = {Acute Effects of Different Plyometric and Strength Exercises on Balance Performance in Youth Weightlifters}, series = {Frontiers in Physiology}, volume = {12}, journal = {Frontiers in Physiology}, publisher = {Frontiers Research Foundation}, address = {Lausanne}, issn = {1664-042X}, doi = {10.3389/fphys.2021.716981}, pages = {9}, year = {2021}, abstract = {Background: High-intensity muscle actions have the potential to temporarily improve the performance which has been denoted as postactivation performance enhancement. Objectives: This study determined the acute effects of different stretch-shortening (fast vs. low) and strength (dynamic vs. isometric) exercises executed during one training session on subsequent balance performance in youth weightlifters. Materials and Methods: Sixteen male and female young weightlifters, aged 11.3±0.6years, performed four strength exercise conditions in randomized order, including dynamic strength (DYN; 3 sets of 3 repetitions of 10 RM) and isometric strength exercises (ISOM; 3 sets of maintaining 3s of 10 RM of back-squat), as well as fast (FSSC; 3 sets of 3 repetitions of 20-cm drop-jumps) and slow (SSSC; 3 sets of 3 hurdle jumps over a 20-cm obstacle) stretch-shortening cycle protocols. Balance performance was tested before and after each of the four exercise conditions in bipedal stance on an unstable surface (i.e., BOSU ball with flat side facing up) using two dependent variables, i.e., center of pressure surface area (CoP SA) and velocity (CoP V). Results: There was a significant effect of time on CoP SA and CoP V [F(1,60)=54.37, d=1.88, p<0.0001; F(1,60)=9.07, d=0.77, p=0.003]. In addition, a statistically significant effect of condition on CoP SA and CoP V [F(3,60)=11.81, d=1.53, p<0.0001; F(3,60)=7.36, d=1.21, p=0.0003] was observed. Statistically significant condition-by-time interactions were found for the balance parameters CoP SA (p<0.003, d=0.54) and CoP V (p<0.002, d=0.70). Specific to contrast analysis, all specified hypotheses were tested and demonstrated that FSSC yielded significantly greater improvements than all other conditions in CoP SA and CoP V [p<0.0001 (d=1.55); p=0.0004 (d=1.19), respectively]. In addition, FSSC yielded significantly greater improvements compared with the two conditions for both balance parameters [p<0.0001 (d=2.03); p<0.0001 (d=1.45)]. Conclusion: Fast stretch-shortening cycle exercises appear to be more effective to improve short-term balance performance in young weightlifters. Due to the importance of balance for overall competitive achievement in weightlifting, it is recommended that young weightlifters implement dynamic plyometric exercises in the fast stretch-shortening cycle during the warm-up to improve their balance performance.}, language = {en} } @article{BeurskensMuehlbauerGranacher2015, author = {Beurskens, Rainer and M{\"u}hlbauer, Thomas and Granacher, Urs}, title = {Association of dual-task walking performance and leg muscle quality in healthy children}, series = {BMC pediatrics}, volume = {15}, journal = {BMC pediatrics}, number = {2}, publisher = {BioMed Central}, address = {London}, issn = {1471-2431}, doi = {10.1186/s12887-015-0317-8}, year = {2015}, abstract = {Background Previous literature mainly introduced cognitive functions to explain performance decrements in dual-task walking, i.e., changes in dual-task locomotion are attributed to limited cognitive information processing capacities. In this study, we enlarge existing literature and investigate whether leg muscular capacity plays an additional role in children's dual-task walking performance. Methods To this end, we had prepubescent children (mean age: 8.7 ± 0.5 years, age range: 7-9 years) walk in single task (ST) and while concurrently conducting an arithmetic subtraction task (DT). Additionally, leg lean tissue mass was assessed. Results Findings show that both, boys and girls, significantly decrease their gait velocity (f = 0.73), stride length (f = 0.62) and cadence (f = 0.68) and increase the variability thereof (f = 0.20-0.63) during DT compared to ST. Furthermore, stepwise regressions indicate that leg lean tissue mass is closely associated with step time and the variability thereof during DT (R2 = 0.44, p = 0.009). These associations between gait measures and leg lean tissue mass could not be observed for ST (R2 = 0.17, p = 0.19). Conclusion We were able to show a potential link between leg muscular capacities and DT walking performance in children. We interpret these findings as evidence that higher leg muscle mass in children may mitigate the impact of a cognitive interference task on DT walking performance by inducing enhanced gait stability.}, language = {en} } @article{BehmAlizadehDruryetal.2021, author = {Behm, David G. and Alizadeh, Shahab and Drury, Ben and Granacher, Urs and Moran, Jason}, title = {Non-local acute stretching effects on strength performance in healthy young adults}, series = {European journal of applied physiology}, volume = {121}, journal = {European journal of applied physiology}, number = {6}, publisher = {Springer}, address = {Berlin ; Heidelberg}, issn = {1439-6319}, doi = {10.1007/s00421-021-04657-w}, pages = {1517 -- 1529}, year = {2021}, abstract = {Background Static stretching (SS) can impair performance and increase range of motion of a non-exercised or non-stretched muscle, respectively. An underdeveloped research area is the effect of unilateral stretching on non-local force output. Objective The objective of this review was to describe the effects of unilateral SS on contralateral, non-stretched, muscle force and identify gaps in the literature. Methods A systematic literature search following preferred reporting items for systematic review and meta-analyses Protocols guidelines was performed according to prescribed inclusion and exclusion criteria. Weighted means and ranges highlighted the non-local force output response to unilateral stretching. The physiotherapy evidence database scale was used to assess study risk of bias and methodological quality. Results Unilateral stretching protocols from six studies involved 6.3 +/- 2 repetitions of 36.3 +/- 7.4 s with 19.3 +/- 5.7 s recovery between stretches. The mean stretch-induced force deficits exhibited small magnitude effect sizes for both the stretched (-6.7 +/- 7.1\%, d = -0.35: 0.01 to -1.8) and contralateral, non-stretched, muscles (-4.0 +/- 4.9\%, d = , 0.22: 0.08 to 1.1). Control measures exhibited trivial deficits. Conclusion The limited literature examining non-local effects of prolonged SS revealed that both the stretched and contralateral, non-stretched, limbs of young adults demonstrate small magnitude force deficits. However, the frequency of studies with these effects were similar with three measures demonstrating deficits, and four measures showing trivial changes. These results highlight the possible global (non-local) effects of prolonged SS. Further research should investigate effects of lower intensity stretching, upper versus lower body stretching, different age groups, incorporate full warm-ups, and identify predominant mechanisms among others.}, language = {en} } @article{JafarnezhadgeroFatollahiAmirzadehetal.2019, author = {Jafarnezhadgero, Amir Ali and Fatollahi, Amir and Amirzadeh, Nasrin and Siahkouhian, Marefat and Granacher, Urs}, title = {Ground Reaction Forces and Muscle Activity While Walking on Sand versus Stable Ground in Individuals with Pronated Feet Compared with Healthy Controls}, series = {PloS ONe}, volume = {9}, journal = {PloS ONe}, number = {14}, publisher = {PloS ONe}, address = {San Francisco, California}, issn = {1932-6203}, doi = {10.1371/journal.pone.0223219}, pages = {15}, year = {2019}, abstract = {Background Sand is an easy-to-access, cost-free resource that can be used to treat pronated feet (PF). Therefore, the aims of this study were to contrast the effects of walking on stable ground versus walking on sand on ground reaction forces (GRFs) and electromyographic (EMG) activity of selected lower limb muscles in PF individuals compared with healthy controls. Methods Twenty-nine controls aged 22.2±2.5 years and 30 PF individuals aged 22.2±1.9 years were enrolled in this study. Participants walked at preferred speed and in randomized order over level ground and sand. A force plate was included in the walkway to collect GRFs. Muscle activities were recorded using EMG system. Results No statistically significant between-group differences were found in preferred walking speed when walking on stable ground (PF: 1.33±0.12 m/s; controls: 1.35±0.14 m/s; p = 0.575; d = 0.15) and sand (PF: 1.19±0.11 m/s; controls: 1.23±0.18 m/s; p = 0.416; d = 0.27). Irrespective of the group, walking on sand (1.21±0.15 m/s) resulted in significantly lower gait speed compared with stable ground walking (1.34±0.13 m/s) (p<0.001; d = 0.93). Significant main effects of "surface" were found for peak posterior GRFs at heel contact, time to peak for peak lateral GRFs at heel contact, and peak anterior GRFs during push-off (p<0.044; d = 0.27-0.94). Pair-wise comparisons revealed significantly smaller peak posterior GRFs at heel contact (p = 0.005; d = 1.17), smaller peak anterior GRFs during push-off (p = 0.001; d = 1.14), and time to peak for peak lateral GRFs (p = 0.044; d = 0.28) when walking on sand. No significant main effects of "group" were observed for peak GRFs and their time to peak (p>0.05; d = 0.06-1.60). We could not find any significant group by surface interactions for peak GRFs and their time to peak. Significant main effects of "surface" were detected for anterior-posterior impulse and peak positive free moment amplitude (p<0.048; d = 0.54-0.71). Pair-wise comparisons revealed a significantly larger peak positive free moment amplitude (p = 0.010; d = 0.71) and a lower anterior-posterior impulse (p = 0.048; d = 0.38) when walking on sand. We observed significant main effects of "group" for the variable loading rate (p<0.030; d = 0.59). Pair-wise comparisons revealed significantly lower loading rates in PF compared with controls (p = 0.030; d = 0.61). Significant group by surface interactions were observed for the parameter peak positive free moment amplitude (p<0.030; d = 0.59). PF individuals exhibited a significantly lower peak positive free moment amplitude (p = 0.030, d = 0.41) when walking on sand. With regards to EMG, no significant main effects of "surface", main effects of "group", and group by surface interactions were observed for the recorded muscles during the loading and push-off phases (p>0.05; d = 0.00-0.53). Conclusions The observed lower velocities during walking on sand compared with stable ground were accompanied by lower peak positive free moments during the push-off phase and loading rates during the loading phase. Our findings of similar lower limb muscle activities during walking on sand compared with stable ground in PF together with lower free moment amplitudes, vertical loading rates, and lower walking velocities on sand may indicate more relative muscle activity on sand compared with stable ground. This needs to be verified in future studies.}, language = {en} } @article{GolleMuehlbauerWicketal.2015, author = {Golle, Kathleen and M{\"u}hlbauer, Thomas and Wick, Ditmar and Granacher, Urs}, title = {Physical Fitness Percentiles of German Children Aged 9-12 Years}, series = {PLoS ONE}, volume = {10}, journal = {PLoS ONE}, number = {11}, publisher = {Public Library of Science}, address = {Lawrence, Kan.}, issn = {1932-6203}, doi = {10.1371/journal.pone.0142393}, year = {2015}, abstract = {Background Generating percentile values is helpful for the identification of children with specific fitness characteristics (i.e., low or high fitness level) to set appropriate fitness goals (i.e., fitness/health promotion and/or long-term youth athlete development). Thus, the aim of this longitudinal study was to assess physical fitness development in healthy children aged 9-12 years and to compute sex- and age-specific percentile values. Methods Two-hundred and forty children (88 girls, 152 boys) participated in this study and were tested for their physical fitness. Physical fitness was assessed using the 50-m sprint test (i.e., speed), the 1-kg ball push test, the triple hop test (i.e., upper- and lower- extremity muscular power), the stand-and-reach test (i.e., flexibility), the star run test (i.e., agility), and the 9-min run test (i.e., endurance). Age- and sex-specific percentile values (i.e., P10 to P90) were generated using the Lambda, Mu, and Sigma method. Adjusted (for change in body weight, height, and baseline performance) age- and sex-differences as well as the interactions thereof were expressed by calculating effect sizes (Cohen's d). Results Significant main effects of Age were detected for all physical fitness tests (d = 0.40-1.34), whereas significant main effects of Sex were found for upper-extremity muscular power (d = 0.55), flexibility (d = 0.81), agility (d = 0.44), and endurance (d = 0.32) only. Further, significant Sex by Age interactions were observed for upper-extremity muscular power (d = 0.36), flexibility (d = 0.61), and agility (d = 0.27) in favor of girls. Both, linear and curvilinear shaped curves were found for percentile values across the fitness tests. Accelerated (curvilinear) improvements were observed for upper-extremity muscular power (boys: 10-11 yrs; girls: 9-11 yrs), agility (boys: 9-10 yrs; girls: 9-11 yrs), and endurance (boys: 9-10 yrs; girls: 9-10 yrs). Tabulated percentiles for the 9-min run test indicated that running distances between 1,407-1,507 m, 1,479-1,597 m, 1,423-1,654 m, and 1,433-1,666 m in 9- to 12-year-old boys and 1,262-1,362 m, 1,329-1,434 m, 1,392-1,501 m, and 1,415-1,526 m in 9- to 12-year-old girls correspond to a "medium" fitness level (i.e., P40 to P60) in this population. Conclusions The observed differences in physical fitness development between boys and girls illustrate that age- and sex-specific maturational processes might have an impact on the fitness status of healthy children. Our statistical analyses revealed linear (e.g., lower-extremity muscular power) and curvilinear (e.g., agility) models of fitness improvement with age which is indicative of timed and capacity-specific fitness development pattern during childhood. Lastly, the provided age- and sex-specific percentile values can be used by coaches for talent identification and by teachers for rating/grading of children's motor performance.}, language = {en} }