TY - JOUR A1 - Gebel, Arnd A1 - Lüder, Benjamin A1 - Granacher, Urs T1 - Effects of Increasing Balance Task Difficulty on Postural Sway and Muscle Activity in Healthy Adolescents JF - Frontiers in Physiology N2 - 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. KW - balance training KW - balance strategy KW - muscle coactivation KW - youth KW - training intensity Y1 - 2019 U6 - https://doi.org/10.3389/fphys.2019.01135 SN - 1664-042X VL - 10 IS - 9 PB - Frontiers Research Foundation CY - Lausanne ER - TY - JOUR A1 - Gschwind, Yves J. A1 - Kressig, Reto W. A1 - Lacroix, Andre A1 - Mühlbauer, Thomas A1 - Pfenninger, Barbara A1 - Granacher, Urs T1 - 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 JF - BMC geriatrics N2 - 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. KW - Seniors KW - Fall risk assessment KW - Resistance training KW - Postural stability Y1 - 2013 U6 - https://doi.org/10.1186/1471-2318-13-105 SN - 1471-2318 VL - 13 IS - 4 PB - BioMed Central CY - London ER - TY - JOUR A1 - Jafarnezhadgero, Amir Ali A1 - Noroozi, Raha A1 - Fakhri, Ehsan A1 - Granacher, Urs A1 - Oliveira, Anderson Souza T1 - The Impact of COVID-19 and muscle fatigue on cardiorespiratory fitness and running kinetics in female recreational runners JF - Frontiers in physiology N2 - 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. KW - hospitalization KW - running mechanics KW - ground reaction forces KW - virus KW - infection KW - COVID-19 Y1 - 2022 U6 - https://doi.org/10.3389/fphys.2022.942589 SN - 1664-042X VL - 13 PB - Frontiers Media CY - Lausanne ER - TY - JOUR A1 - Voelzke, Mathias A1 - Stutzig, Norman A1 - Thorhauer, Hans-Alexander A1 - Granacher, Urs T1 - Promoting lower extremity strength in elite volleyball players: Effects of two combined training methods JF - JOURNAL OF SCIENCE AND MEDICINE IN SPORT N2 - 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. KW - Muscle contraction KW - Quadriceps muscle KW - Explosive force production KW - Exercise KW - Electric stimulation KW - Plyometrics Y1 - 2012 U6 - https://doi.org/10.1016/j.jsams.2012.02.004 SN - 1440-2440 VL - 15 IS - 5 SP - 457 EP - 462 PB - ELSEVIER SCI LTD CY - OXFORD ER - TY - JOUR A1 - Mühlbauer, Thomas A1 - Stürchler, M. A1 - Granacher, Urs T1 - Effects of climbing on core strength and mobility in adults JF - International journal of sports medicine N2 - 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. KW - intervention KW - detraining KW - young adults KW - sedentary Y1 - 2012 U6 - https://doi.org/10.1055/s-0031-1301312 SN - 0172-4622 VL - 33 IS - 6 SP - 445 EP - 451 PB - Thieme CY - Stuttgart ER - TY - JOUR A1 - Mühlbauer, Thomas A1 - Gollhofer, Albert A1 - Granacher, Urs T1 - Sex-related effects in strength training during adolescence a pilot study JF - Perceptual & motor skills N2 - 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. Y1 - 2012 U6 - https://doi.org/10.2466/06.10.30.PMS.115.6.953-968 SN - 0031-5125 VL - 115 IS - 3 SP - 953 EP - 968 PB - Sage Publ. CY - Missoula ER - TY - JOUR A1 - Lesinski, Melanie A1 - Mühlbauer, Thomas A1 - Buesch, Dirk A1 - Granacher, Urs T1 - Acute Effects of Postactivation Potentiation on Strength and Speed Performance in Athletes JF - Sportverletzung, Sportschaden : Grundlagen, Prävention, Rehabilitation N2 - 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. KW - conditioning stimulus KW - dose-response relationship KW - athletic performance Y1 - 2013 U6 - https://doi.org/10.1055/s-0033-1335414 SN - 0932-0555 SN - 1439-1236 VL - 27 IS - 3 SP - 147 EP - 155 PB - Thieme CY - Stuttgart ER - TY - JOUR A1 - Mühlbauer, Thomas A1 - Gollhofer, Albert A1 - Granacher, Urs T1 - Association of balance, strength, and power measures in young adults JF - Journal of strength and conditioning research : the research journal of the NSCA N2 - 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. KW - static/dynamic postural control KW - maximal isometric torque KW - rate of torque development KW - jump height/power Y1 - 2013 U6 - https://doi.org/10.1097/JSC.0b013e31825c2bab SN - 1064-8011 VL - 27 IS - 3 SP - 582 EP - 589 PB - Lippincott Williams & Wilkins CY - Philadelphia ER - TY - JOUR A1 - Mühlbauer, Thomas A1 - Kühnen, Matthias A1 - Granacher, Urs T1 - Inline skating for balance and strength promotion in children during physical education JF - Perceptual & motor skills N2 - 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. Y1 - 2013 U6 - https://doi.org/10.2466/30.06.PMS.117x29z9 SN - 0031-5125 VL - 117 IS - 3 SP - 665 EP - 681 PB - Sage Publ. CY - Missoula ER - TY - JOUR A1 - Chaabene, Helmi A1 - Prieske, Olaf A1 - Negra, Yassine A1 - Granacher, Urs T1 - Change of direction speed BT - toward a strength training approach with accentuated eccentric muscle actions JF - Sports medicine N2 - 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. Y1 - 2018 U6 - https://doi.org/10.1007/s40279-018-0907-3 SN - 0112-1642 SN - 1179-2035 VL - 48 IS - 8 SP - 1773 EP - 1779 PB - Springer CY - Northcote ER - TY - JOUR A1 - Helm, Norman A1 - Prieske, Olaf A1 - Mühlbauer, Thomas A1 - Krüger, Tom A1 - Retzlaff, Matthias A1 - Granacher, Urs T1 - Associations between trunk muscle strength and judo-specific pulling performances in judo athletes T1 - Assoziationen zwischen der Rumpfkraft und judospezifischen Anriss-Leistungen von Judoka JF - Sportverletzung, Sportschaden : Grundlagen, Prävention, Rehabilitation N2 - 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. N2 - Hintergrund: Eine gut ausgeprägte Rumpfstabilität ist eine wichtige Voraussetzung für die Mobilität der oberen und unteren Extremitäten während des sportlichen Bewegungsvollzugs. Vor diesem Hintergrund könnte die Rumpfkraft ein leistungsdeterminierender Faktor bei der Ausführung judospezifischer Bewegungen darstellen. Das Ziel der vorliegenden Studie war es, statistische Zusammenhänge zwischen der Rumpfkraft und kinetischen Parametern bei Anriss-Bewegungen von Judoka zu untersuchen. Methode: An der Untersuchung nahmen 21 leistungsorientierte Judoka mit einem mittleren Alter von 22 ± 4 Jahre und einem Trainingsumfang von 15 ± 4 Stunden pro Woche teil. Das maximale isokinetische Drehmoment (PIT) der Rumpfflexoren (PITFlex), -extensoren (PITEx) und -rotatoren (PITRot) wurde unter Verwendung eines isokinetischen Dynamometers (IsoMed 2000) erfasst. Zusätzlich wurden kinetische Parameter (mechanische Arbeit [W], dynamisch-realisierte Maximalkraft [Fmax]) bei Anriss-Bewegung im Stand und bei Anriss- mit Eindrehbewegung (d. h. Morote-seoi-nage) mithilfe eines judospezifischen Mess- und Informationssystems (JERGo©) erhoben. Ergebnisse: Die statistische Analyse zeigte signifikante Korrelationen (0,62 ≤ r P ≤ 0,72) zwischen den maximalen isokinetischen Drehmomenten (PITFlex, PITEx, PITRot) und der Anriss-Bewegung im Stand (W). Zudem konnten signifikante Zusammenhänge (0,59 ≤ r P ≤ 0,65) zwischen den isokinetischen Tests (PITEx, PITRot) und Fmax auf der Hubarmseite bei der Anriss-Bewegung im Stand gefunden werden. Für die Anriss- mit Eindrehbewegung ergaben sich signifikante Korrelationen (0,47 ≤ r P ≤ 0,88) zwischen den isokinetischen Tests (PITFlex, PITEx, PITRot) und Leistungskennwerten der judospezifischen Bewegung (W und Fmax), unabhängig von der untersuchten Armseite. Es wurden vergleichbare Korrelationskoeffizienten zwischen PIT der Rumpfflexoren, -extensoren und -rotatoren und judospezifischen Leistungskennwerten festgestellt. Weiterhin identifizierte die Regressionsanalyse den Kennwert PIT bei Rumpfextension als besten Prädiktor für die mechanische Arbeit bei Anriss-Bewegung im Stand (46,9 %). Bei der Anriss- mit Eindrehbewegung konnte PIT der Rumpfrotatoren auf die Hubarmseite als bester Prädiktor für die mechanische Arbeit (69,4 %) ermittelt werden. Schlussfolgerung: Die Ergebnisse zeigen, dass die Rumpfkraft, insbesondere bei der Rumpfrotationsbewegung, mit Variablen der judospezifischen Leistungskennwerte bei der Anriss- mit Eindrehbewegung assoziiert ist. Dies impliziert, dass vor allem durch rumpfrotationskräftigende Übungen Einfluss auf die Anriss- mit Eindrehbewegung (d. h. Morote-seoi-nage) genommen werden könnte. KW - combat sport KW - athletic performance KW - Morote-seoi-nage KW - Kampfsport KW - sportliche Leistung Y1 - 2020 U6 - https://doi.org/10.1055/a-0677-9608 SN - 0932-0555 SN - 1439-1236 VL - 34 IS - 1 SP - 18 EP - 27 PB - Thieme CY - Stuttgart ER - TY - JOUR A1 - Thiele, Dirk A1 - Prieske, Olaf A1 - Lesinski, Melanie A1 - Granacher, Urs T1 - Effects of Equal Volume Heavy-Resistance Strength Training Versus Strength Endurance Training on Physical Fitness and Sport-Specific Performance in Young Elite Female Rowers JF - Frontiers in Physiology N2 - 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. KW - concurrent training KW - plyometric training KW - on-water performance KW - race time KW - oarsmen Y1 - 2020 U6 - https://doi.org/10.3389/fphys.2020.00888 SN - 1664-042X VL - 11 PB - Frontiers Research Foundation CY - Lausanne ER - TY - JOUR A1 - Chaabene, Helmi A1 - Lesinski, Melanie A1 - Behm, David George A1 - Granacher, Urs T1 - Performance- and healthrelated benefits of youth resistance training T1 - Leistungs- und gesundheitsbezogene Wirkungen von Krafttraining mit Heranwachsenden JF - Sports Orthopaedics and Traumatology N2 - Performance- and healthrelated benefits of yoThere is ample evidence that youth resistance training (RT) is safe, joyful, and effective for different markers of performance (e.g., muscle strength, power, linear sprint speed) and health (e.g., injury prevention). Accordingly, the first aim of this narrative review is to present and discuss the relevance of muscle strength for youth physical development. The second purpose is to report evidence on the effectiveness of RT on muscular fitness (muscle strength, power, muscle endurance), on movement skill performance and injury prevention in youth. There is evidence that RT is effective in enhancing measures of muscle fitness in children and adolescents, irrespective of sex. Additionally, numerous studies indicate that RT has positive effects on fundamental movement skills (e.g., jumping, running, throwing) in youth regardless of age, maturity, training status, and sex. Further, irrespective of age, sex, and training status, regular exposure to RT (e.g., plyometric training) decreases the risk of sustaining injuries in youth. This implies that RT should be a meaningful element of youths’ exercise programming. This has been acknowledged by global (e.g., World Health Organization) and national (e.g., National Strength and Conditioning Association) health- and performance-related organizations which is why they recommended to perform RT as an integral part of weekly exercise programs to promote muscular strength, fundamental movement skills, and to resist injuries in youth.uth resistance training N2 - Die aktuelle Literatur zum Krafttraining mit Kindern und Jugendlichen zeigt eindrücklich, dass ein altersgerechtes und fachlich angeleitetes Krafttraining eine sichere, freudvolle und effektive Maßnahme für die Leistungsentwicklung (z. B. Muskelkraft, Schnellkraft, Sprintgeschwindigkeit) und Gesundheitserhaltung (z. B. Verletzungsprävention) von Heranwachsenden darstellt. Einerseits ist es das Ziel dieses narrativen Übersichtsartikels, die Relevanz der Muskelkraft für die körperliche Entwicklung von Heranwachsenden zu diskutieren. Andererseits sollen aktuelle Befunde zur Effektivität von Krafttraining auf die muskuläre Fitness (Maximal-/Schnellkraft, Kraftausdauer), elementare Bewegungsfertigkeiten (z.B. Springen, Rennen, Werfen) sowie die Verletzungsprävention bei Kindern und Jugendlichen beschrieben werden. Die aktuelle Literatur belegt, dass Krafttraining die Muskelkraft, die Schnellkraft und die Kraftausdauer von Kindern und Jugendlichen unabhängig vom Geschlecht verbessern kann. Weiterhin zeigen Studien, dass trainingsbedingte Verbesserungen der muskulären Fitness auf elementare Bewegungsfertigkeiten transferieren. Diese Wirkungen sind unabhängig vom Alter, der biologischen Reife, dem Trainingsstatus und dem Geschlecht der Trainierenden. Zudem verringert regelmäßiges Krafttraining das Verletzungsrisiko der Heranwachsenden unabhängig von Alter, Geschlecht und Trainingsstatus. Aufgrund dieses breiten Wirkungsspektrums sollte Krafttraining ein elementarer Bestandteil des Trainings von Heranwachsenden darstellen. Nationale (National Strength and Conditioning Association) sowie internationale (Weltgesundheitsorganisation) gesundheits- und leistungsorientierte Standesgesellschaften haben die positiven Wirkungen von Krafttraining erkannt und in ihre Bewegungsempfehlungen für Kinder und Jugendliche übernommen. KW - muscle strength KW - muscle power KW - strength training KW - children KW - adolescents KW - Maximalkraft KW - Schnellkraft KW - Widerstandstraining KW - Kinder KW - Jugendliche Y1 - 2020 VL - 36 IS - 3 PB - Elsevier CY - Amsterdam ER - TY - JOUR A1 - Slimani, Maamer A1 - Paravlic, Armin A1 - Granacher, Urs T1 - A Meta-Analysis to Determine Strength Training Related Dose-Response Relationships for Lower-Limb Muscle Power Development in Young Athletes JF - Frontiers in Physiology N2 - 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. KW - resistance training KW - muscle fitness KW - youth KW - meta-analysis KW - jump performance Y1 - 2018 U6 - https://doi.org/10.3389/fphys.2018.01155 SN - 1664-042X VL - 9 SP - 1 EP - 14 PB - Frontiers Research Foundation CY - Lausanne ER - TY - JOUR A1 - Chaabene, Helmi A1 - Behm, David George A1 - Negra, Yassine A1 - Granacher, Urs T1 - Acute Effects of Static Stretching on Muscle Strength and Power BT - An Attempt to Clarify Previous Caveats JF - Frontiers in Physiology N2 - 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. KW - passive stretching KW - physical fitness KW - physiology KW - range of motion KW - injury Y1 - 2019 U6 - https://doi.org/10.3389/fphys.2019.01468 SN - 1664-042X VL - 10 PB - Frontiers Research Foundation CY - Lausanne ER - TY - JOUR A1 - Nobari, Hadi A1 - Mahmoudzadeh Khalili, Sara A1 - Denche Zamorano, Angel Manuel A1 - Bowman, ‪Thomas G. A1 - Granacher, Urs T1 - Workload is associated with the occurrence of non-contact injuries in professional male soccer players: A pilot study JF - Frontiers in Psychology N2 - 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. KW - ACWR KW - external load KW - football KW - prevention KW - performance KW - injury risk Y1 - 2022 U6 - https://doi.org/10.3389/fpsyg.2022.925722 SN - 1664-1078 SP - 1 EP - 9 PB - Frontiers CY - Lausanne, Schweiz ER - TY - JOUR A1 - Prieske, Olaf A1 - Mühlbauer, Thomas A1 - Borde, Ron A1 - Gube, M. A1 - Bruhn, S. A1 - Behm, David George A1 - Granacher, Urs T1 - Neuromuscular and athletic performance following core strength training in elite youth soccer: Role of instability JF - Learning and individual differences N2 - 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. KW - Elite sports KW - jumping KW - agility KW - sprint KW - ball speed KW - electromyography Y1 - 2016 U6 - https://doi.org/10.1111/sms.12403 SN - 0905-7188 SN - 1600-0838 VL - 26 SP - 48 EP - 56 PB - Wiley-Blackwell CY - Hoboken ER - TY - JOUR A1 - Granacher, Urs A1 - Gruber, Markus A1 - Gollhofer, Albert T1 - Resistance training and neuromuscular performance in seniors N2 - 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. Y1 - 2009 UR - http://www.thieme-connect.de/ejournals/toc/sportsmed U6 - https://doi.org/10.1055/s-0029-1224178 SN - 0172-4622 ER - TY - JOUR A1 - Wallenta, Christopher A1 - Granacher, Urs A1 - Lesinski, Melanie A1 - Schuenemann, C. A1 - Mühlbauer, Thomas T1 - Effects of Complex Versus Block Strength Training on the Athletic Performance of Elite Youth Soccer Players JF - Sportverletzung, Sportschaden : Grundlagen, Prävention, Rehabilitation N2 - Hintergrund: Kraft und Schnelligkeit stellen bedeutsame leistungsdeterminierende Faktoren im Fußball dar. Durch Komplextraining (Kombination aus Kraft- und plyometrischen Übungen in einer Trainingseinheit) lassen sich Kraft- und Schnelligkeitswerte von Athleten steigern. Unklar ist jedoch, ob ein Komplextraining (KT) gegenüber einem herkömmlichen blockweisen Krafttraining (BT) zu größeren sportmotorischen Leistungssteigerungen führt. Das Ziel der Studie war es, die Effekte von KT versus BT auf Variablen der Kraft, Schnelligkeit und Gewandtheit von Nachwuchsleistungsfußballern zu untersuchen. Methode: Zusätzlich zum regulären Fußballtraining (ca. 6 × pro Woche, je 60 – 90 min.) führten 18 männliche Nachwuchsleistungsfußballer über 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) durchgeführt. 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: ≥ 80 %) Trainingsmaßnahmen in Ergänzung zum regulären Fußballtraining. Die statistische Analyse ergab signifikante Verbesserungen vom Prä- zum Posttest für die KT-Gruppe im EWM (p = 0,043) und im HSS (p = 0,046) sowie für die BT-Gruppe in der Sprintzeit über 5 m (p = 0,039) und 10 m (p = 0,026). Zudem zeigten sich für beide Gruppen signifikante Verbesserungen im T-Test (KT: p = 0,046; BT: p = 0,027). Der Gruppenvergleich (KT vs. BT) über die Zeit (Post- minus Prätest) offenbarte keine bedeutsamen Unterschiede. Schlussfolgerung: Sowohl sechswöchiges KT als auch BT führten zu signifikanten Verbesserungen sportmotorischer Leistungen bei Nachwuchsleistungsfußballern. Allerdings konnten keine zusätzlich leistungssteigernden Effekte von KT im Vergleich zu BT ermittelt werden. In zukünftigen Studien sollte geprüft werden, ob die beobachteten testspezifischen Veränderungen, d. h. Verbesserung der Kraft/Sprungkraft in der KT-Gruppe und Verbesserung der Schnelligkeit in der BT-Gruppe der gewählten Übungsanordnung 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. KW - strength training KW - jump/sprint exercises KW - youth athletes Y1 - 2016 U6 - https://doi.org/10.1055/s-0041-106949 SN - 0932-0555 SN - 1439-1236 VL - 30 SP - 31 EP - 37 PB - Thieme CY - Stuttgart ER - TY - JOUR A1 - Haile, Sarah R. A1 - Fühner, Thea Heidi A1 - Granacher, Urs A1 - Stocker, Julien A1 - Radtke, Thomas A1 - Kriemler, Susi T1 - Reference values and validation of the 1-minute sit-to-stand test in healthy 5-16-year-old youth BT - a cross-sectional study JF - BMJ open N2 - 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. Y1 - 2021 U6 - https://doi.org/10.1136/bmjopen-2021-049143 SN - 2044-6055 VL - 11 IS - 5 PB - BMJ Publishing Group CY - London ER -