Performance and healthcare analysis in elite sports teams using artificial intelligence: a scoping review

Introduction

In competitive sports, teams are increasingly relying on advanced systems for improved performance and results. This study reviews the literature on the role of artificial intelligence (AI) in managing these complexities and encouraging a system thinking shift. It found various AI applications, including performance enhancement, healthcare, technical and tactical support, talent identification, game prediction, business growth, and AI testing innovations. The main goal of the study was to assess research supporting performance and healthcare.

Methods

Systematic searches were conducted on databases such as Pubmed, Web of Sciences, and Scopus to find articles using AI to understand or improve sports team performance. Thirty-two studies were selected for review.

Results

The analysis shows that, of the thirty-two articles reviewed, fifteen focused on performance and seventeen on healthcare. Football (Soccer) was the most researched sport, making up 67% of studies. The revised studies comprised 2,823 professional athletes, with a gender split of 65.36% male and 34.64% female. Identified AI and non-AI methods mainly included Tree-based techniques (36%), Ada/XGBoost (19%), Neural Networks (9%), K-Nearest Neighbours (9%), Classical Regression Techniques (9%), and Support Vector Machines (6%).

Conclusions

This study highlights the increasing use of AI in managing sports-related healthcare and performance complexities. These findings aim to assist researchers, practitioners, and policymakers in developing practical applications and exploring future complex systems dynamics.

Effects of anodic transcranial direct current stimulation combined with physical training on the performance of elite swimmers

Objective

Anodal transcranial direct current stimulation (a-tDCS) has been used to improve athletic performance in various populations; however, its role in improving performance in elite athletes is unclear. This study aimed to investigate the effects of a-tDCS on athletic performance in elite athletes.

Methods

We used a single-blind, randomized controlled experimental design and recruited 24 national-level freestyle swimmers from China. All athletes were randomly divided into two groups; the experimental group underwent a-tDCS (current 2 mA for 20 min) combined with physical training, and the control group underwent a-tDCS sham stimulation combined with physical training. The physical training program was identical in the experimental and control groups. The intervention period was 6 weeks, with five weekly sessions of 110 min each, consisting of 20 min of a-tDCS and 90 min of physical training. Base strength, explosive strength, aerobic endurance, and anaerobic endurance were measured in the athletes before and after the intervention.

Results

The results were as follows. 1) Basic strength: There was a significant improvement in 5RM pull-ups in the experimental and control groups before and after the intervention (p < 0.05). 2) Explosive strength: There was a significant improvement in vertical jump and swimming start distance into the water in the experimental and control groups before and after the intervention (p < 0.05). 3) Aerobic endurance: There was no significant improvement in the experimental and control groups before and after the intervention. 4) Anaerobic endurance: There was a significant improvement in 400 m running performance in the experimental and control groups before and after the intervention (p < 0.05).

Conclusion

Compared to physical training alone, a-tDCS combined with physical training can better improve the athletic performance of high-level swimmers, especially in basic strength, explosive strength, and aerobic endurance.

Effects of self-efficacy on frontal midline theta power and golf putting performance

Introduction

Self-efficacy (SE), defined as an individual's belief in their ability to complete a task, is linked to top-down attentional control, influencing motor performance in sports. Although the behavioral effects of SE are well-documented, there is a lack of research on the mechanisms through which SE affects sports performance. Our research aims to elucidate the neurophysiological mechanisms that underlie the impact of self-efficacy on sports performance. Specifically, we intend to explore the effects of low and high SE on frontal midline theta (Fmθ) activity, associated with sustained top-down attention, and on motor performance.

Methods

We recruited thirty-four professional golfers to perform 60 putts, during which their electroencephalographic activity was monitored. SE levels were assessed using a visual analog scale from 0 to 10 before each putt, with scores categorized into higher or lower SE based on each golfer's individual average score.

Results

Paired t-tests indicated that trials with higher SE scores had a higher putting success rate than those with lower SE scores (53.3% vs. 46.7%). Furthermore, trials associated with higher SE scores exhibited lower Fmθ activity compared to those with lower SE scores (4.49 vs. 5.18).

Discussion

Our results suggest that higher SE is associated with reduced top-down attentional control, leading to improved putting performance. These findings support Bandura's theory of SE, which suggests that the effects of efficacy beliefs are mediated by cognitive, motivational, emotional, and decision-making processes. This study sheds light on the intermediate processes of SE by examining its impact on the anticipation of outcomes, sports performance, and attentional control prior to putting.

Wearable device for continuous sweat lactate monitoring in sports: a narrative review

In sports science, the use of wearable technology has facilitated the development of new approaches for tracking and assessing athletes' performance. This narrative review rigorously explores the evolution and contemporary state of wearable devices specifically engineered for continuously monitoring lactate levels in sweat, an essential biomarker for appraising endurance performance. Lactate threshold tests have traditionally been integral in tailoring training intensity for athletes, but these tests have relied on invasive blood tests that are impractical outside a laboratory setting. The transition to noninvasive, real-time monitoring through wearable technology introduces an innovative approach, facilitating continuous assessment without the constraints inherent in traditional methodologies. We selected 34 products from a pool of 246 articles found through a meticulous search of articles published up to January 2024 in renowned databases: PubMed, Web of Science, and ScienceDirect. We used keywords such as "sweat lactate monitoring," "continuous lactate monitoring," and "wearable devices." The findings underscore the capabilities of noninvasive sweat lactate monitoring technologies to conduct long-term assessments over a broad range of 0-100 mM, providing a safer alternative with minimal infection risks. By enabling real-time evaluations of the lactate threshold (LT) and maximal lactate steady state (MLSS), these technologies offer athletes various device options tailored to their specific sports and preferences. This review explores the mechanisms of currently available lactate monitoring technologies, focusing on electrochemical sensors that have undergone extensive research and show promise for commercialization. These sensors employ amperometric reactions to quantify lactate levels and detect changes resulting from enzymatic activities. In contrast, colorimetric sensors offer a more straightforward and user-friendly approach by displaying lactate concentrations through color alterations. Despite significant advancements, the relationship between sweat lactate and blood lactate levels remains intricate owing to various factors such as environmental conditions and the lag between exercise initiation and sweating. Furthermore, there is a marked gap in research on sweat lactate compared to blood lactate across various sports disciplines. This review highlights the need for further research to address these shortcomings and substantiate the performance of lactate sweat monitoring technologies in a broader spectrum of sports environments. The tremendous potential of these technologies to supplant invasive blood lactate tests and pioneer new avenues for athlete management and performance optimization in real-world settings heralds a promising future for integrating sports science and wearable technology.

Enhancing Skills, Mood, and Performance in Overweight Handball Players: Exploring Individual vs. Collective Verbal Encouragement Strategies

This comparative study investigates the effectiveness of two teaching methods, individual verbal encouragement and collective verbal encouragement, in enhancing the technical-tactical skills and mood state of obese students during handball matches. This study employs a randomized controlled design and involves 28 overweight students (50% females), age: 17.4 ± 2.08 years and BMI: 26.8 ± 1.5 for females and 27.3 ± 2.1 for males. Technical-tactical skills are assessed through performance metrics (individual evaluation proposal by Gréhaigne) such as Ball Played (BP), Conquered Ball (CB), Lost Ball (LB), Shoots/Goals, Conservation index, and defensive index, while mood states are evaluated using pre- and post-tests (BRUMS Scale). Results reveal that individual verbal encouragement significantly enhances technical-tactical skills and positively influences the mood state of overweight students compared to collective verbal encouragement. Boys in Session 1 with VEI displayed a significantly higher number of ball plays (mean difference = 0.94 standard deviations, p = 0.004) and conquered balls (mean difference = 0.78 standard deviations, p = 0.006) compared to VEC. They also had a lower number of Lost Balls (mean difference = -0.62 standard deviations, p = 0.018) and a higher shooting efficiency (Shoots/Goals ratio, mean difference = 0.67 standard deviations; p = 0.013). Similar trends were observed in Session 2, with VEI, again, demonstrating advantages. Girls exhibited analogous improvements with VEI in both sessions. Notably, these performance enhancements coincided with positive emotional changes, with VEI leading to a greater decrease in depression and fatigue scores for both boys and girls. The study highlights the importance of tailoring teaching methods to the specific needs of overweight students in the context of handball, emphasizing the effectiveness of individualized verbal encouragement for skill development and emotional well-being. These findings offer practical implications for educators and coaches involved in physical education, advocating for personalized approaches to optimize learning experiences for overweight students in sports settings.

Investigation of motor unit behavior in exercise and sports physiology: challenges and perspectives

Several methods are in use to record and analyze neuronal activation, each with specific advantages and challenges. New developments like the decomposition of high-density surface electromyography (HDsEMG) have enabled novel insights into discharge characteristics noninvasively in laboratory settings but face certain challenges to be applied in sports physiology in a broader scope. Several challenges can be accounted for by methodological considerations, others require further technological developments to allow this technology to be used in more applied settings. This paper aims to describe the developments of surface electromyography and identify the challenges and perspectives of HDsEMG in the context of an application in sports physiology. We further discuss methodological possibilities to overcome some of the challenges to investigate specific research questions and identify areas that require further advancements.

Technical Sprinting in the Early Phase of Hamstring Injury Rehabilitation to Accelerate Return to Full Participation in Track and Field Athletes: A Comparative Study of Two Rehabilitation Strategies

INTRODUCTION

Hamstring injuries are common in track and field athletes with a higher incidence in males than females. It causes a significant loss in training time and a decline in performance. This study evaluated rehabilitation strategies to accelerate return to full participation following hamstring injury.

METHODS

Thirty-three athletes (22 males; 11 females) were screened from November 2021 to October 2023 until their final major competition. Out of these, 17 athletes with hamstring injuries were included in this study which were further divided into two groups, A (n=8) and B (n=9), using stratified random sampling with single blinding. Group A received technical sprints using mini hurdles as part of their training from the early stages of rehabilitation, while Group B underwent high-volume low-intensity rehabilitation before progressing to sprints. The progress of each group was monitored on a weekly basis. The average time loss was calculated using Microsoft Excel (Microsoft® Corp., Redmond, WA) and Google Forms (Google, Inc., Mountain View, CA) with built-in validation.

RESULTS

 The two groups demonstrated a significant difference in recovery times. In group A, the length of hamstring tenderness (LHT) improved from 9 ± 2.7 (95% CI 2.27) to 0.15 ± 0.3 (95% CI 0.62), active total knee extension (ATKE) from 161.8 ± 7.1 (95% CI 5.95) to 175.4 ± 2 (95% CI 2.3), and Numeric Pain Rating Scale (NPRS) in the isometric test from 5.6 ± 1.09 (95% CI 0.88) to 0.6 ± 0.5 (95% CI 0.63) with p<0.05, and in Group B, LHT improved from 6.8 ± 2.1 (95% CI 1.62) to 0.6 ± 0.7 (95% CI 0.55), ATKE improved from 168.7 ± 8.2 (95% CI 6.3) to 178.7 ± 2.7 (95% CI 2.06) and NPRS with resisted isometric test improved from 6 ± 1.4 (95% CI 1.08) to 0.8 ± 0.7 (95% CI 0.51) with p<0.05. However, Group A took an average of 3.55 weeks (1.22 SD 95% CI 1.08) and Group B took an average of 4.53 weeks (1.98 SD, 95% CI 1.52) to resume full participation. Three athletes from Group A and six athletes from Group B experienced hamstring tightness during the competition, two athletes from Group B were forced to withdraw from the competition due to hamstring reinjury.

CONCLUSIONS

The findings indicate that an early technical sprint program can facilitate an early return to full participation. This research can be a guide toward accelerated and integrated hamstring injury rehabilitation among track and field athletes.

Investigation of Factors Related to Sport-Specific Compulsory Element Execution in Artistic Swimming

Artistic swimming is an Olympic sport requiring a high level of fitness, as well as technical skills, artistry, flexibility, a good sense of rhythm, remarkable lung capacity and physical strength. The artistic swimming of adolescents has been largely untouched by the scientific community, so training this group based on scientific data is difficult. Due to the gap between theoretical knowledge and practical application, this study aimed to measure the technical elements, strength parameters, and swimming performance of young artistic swimmers and to compare swimming performance and strength with the quality of artistic element performances. Hungarian female junior artistic swimmers (14.36 ± 1.01 year) participated in this study. Swimming tests were performed, and three basic elements (body boost, barracuda, and vertical position) were scored. A negative correlation was found between 100 m freestyle swimming times and vertical position scores, as well as between 50 m breaststroke leg swimming times and body boost scores. Moreover, three months of breaststroke leg swim training resulted in improvements in body boost performance. In addition, a positive correlation was found between mean hand grip strength and barracuda scores, as well as between vertical position scores. According to the results of three months of breaststroke leg training, swimming practice improves artistic swimming performance by itself. A correlation was found between strength parameters and the execution of synchro elements, showing the importance of complex training strategies in this sport.

Impact of Melatonin Supplementation on Sports Performance and Circulating Biomarkers in Highly Trained Athletes: A Systematic Review of Randomized Controlled Trials

Melatonin (N-acetyl-5 methoxytryptamine) is an indolic neurohormone that modulates a variety of physiological functions due to its antioxidant, anti-inflammatory, and immunoregulatory properties. Therefore, the purpose of this study was to critically review the effects of melatonin supplementation in sports performance and circulating biomarkers related to the health status of highly trained athletes. Data were obtained by performing searches in the following three bibliography databases: Web of Science, PubMed, and Scopus. The terms used were "Highly Trained Athletes", "Melatonin", and "Sports Performance", "Health Biomarkers" using "Humans" as a filter. The search update was carried out in February 2024 from original articles published with a controlled trial design. The PRISMA rules, the modified McMaster critical review form for quantitative studies, the PEDro scale, and the Cochrane risk of bias were applied. According to the inclusion and exclusion criteria, 21 articles were selected out of 294 references. The dose of melatonin supplemented in the trials ranged between 5 mg to 100 mg administered before or after exercise. The outcomes showed improvements in antioxidant status and inflammatory response and reversed liver damage and muscle damage. Moderate effects on modulating glycemia, total cholesterol, triglycerides, and creatinine were reported. Promising data were found regarding the potential benefits of melatonin in hematological biomarkers, hormonal responses, and sports performance. Therefore, the true efficiency of melatonin to directly improve sports performance remains to be assessed. Nevertheless, an indirect effect of melatonin supplementation in sports performance could be evaluated through improvements in health biomarkers.

Does Deep Squat Quality Affect the Propulsion of Baseball Throwing?

This study investigates the influence of the quality of the "deep squat" movement, adapted from the Functional Movement Screen (FMS) system, on the lower extremity movement pattern during baseball throwing, and its potential impact on throwing performance and propulsion efficiency. Twenty-two baseball players were recruited and categorized into two groups: 13 in the high-score squat group (HSS) and 9 in the low-score squat group (LSS), based on their deep squat screening results. This research explored disparities in ball velocity, propulsion efficiency, propulsion ground reaction force (GRF) characteristics, and throwing kinematics between these two groups. The findings revealed no significant difference in ball velocity between the groups. However, the LSS group demonstrated a lower propulsion GRF efficiency (p < 0.030, ES = 0.46), along with a higher vertical peak GRF (p < 0.002, ES = 0.66). In the pivot leg, the HSS group exhibited significantly lower impulse forces in the Impulse Fresultant (p < 0.035, ES = 0.45), throwing direction (p < 0.049, ES = 0.42), and vertical direction (p < 0.048, ES = 0.42). Additionally, the contribution to the ball velocity of the pivot leg was significantly greater in the HSS group, along with significantly better efficiency in Impulse Fresultant (p < 0.035, ES = 0.45), throwing direction (p < 0.053, ES = 0.41), and vertical direction (p < 0.032, ES = 0.46). In the leading leg, the HSS group demonstrated significantly lower impulse forces in the Impulse Fresultant (p < 0.001, ES = 0.69), throwing direction (p < 0.007, ES = 0.58), and vertical direction (p < 0.001, ES = 0.70). Moreover, the contribution to the ball velocity of the leading leg was significantly greater in the HSS group, accompanied by significantly better efficiency in Impulse Fresultant (p < 0.003, ES = 0.63), throwing direction (p < 0.005, ES = 0.60), and vertical direction (p < 0.021, ES = 0.49). In conclusion, this study suggests that squat screening is a valuable tool for assessing propulsion efficiency. Coaches and trainers should be mindful of players with low squat quality but high throwing performance, as they may face increased impact and injury risks in the future.

Effects of Caffeinated Coffee on Cross-Country Cycling Performance in Recreational Cyclists

The ergogenic effects of acute caffeine intake on endurance cycling performance lasting ~1 h have been well documented in controlled laboratory studies. However, the potential benefits of caffeine supplementation in cycling disciplines such as cross-country/mountain biking have been rarely studied. In cross-country cycling, performance is dependent on endurance capacity, which may be enhanced by caffeine, but also on the technical ability of the cyclist to overcome the obstacles of the course. So, it is possible that the potential benefits of caffeine are not translated to cross-country cycling. The main objective of this study was to investigate the effects of acute caffeine intake, in the form of coffee, on endurance performance during a cross-country cycling time trial. Eleven recreational cross-country cyclists (mean ± SD: age: 22 ± 3 years; nine males and two females) participated in a single-blinded, randomised, counterbalanced and crossover experiment. After familiarisation with the cross-country course, participants completed two identical experimental trials after the ingestion of: (a) 3.00 mg/kg of caffeine in the form of soluble coffee or (b) 0.04 mg/kg of caffeine in the form of decaffeinated soluble coffee as a placebo. Drinks were ingested 60 min before performing a 13.90 km cross-country time trial over a course with eight sectors of varying technical difficulty. The time to complete the trial and the mean and the maximum speed were measured through Global Positioning System (GPS) technology. Heart rate was obtained through a heart rate monitor. At the end of the time trial, participants indicated their perceived level of fatigue using the traditional Borg scale. In comparison to the placebo, caffeine intake in the form of coffee significantly reduced the time to complete the trial by 4.93 ± 4.39% (43.20 ± 7.35 vs. 41.17 ± 6.18 min; p = 0.011; effect size [ES] = 0.300). Caffeine intake reduced the time to complete four out of eight sectors with different categories of technical difficulty (p ≤ 0.010; ES = 0.386 to 0.701). Mean heart rate was higher with caffeine (169 ± 6 vs. 162 ± 13 bpm; p = 0.046; ES = 0.788) but the rating of perceived exertion at the end of the trial was similar with caffeinated coffee than with the placebo (16 ± 1 vs. 16 ± 2 a.u.; p = 0.676; ES = 0.061). In conclusion, the intake of 3 mg/kg of caffeine delivered via soluble coffee reduced the time to complete a cross-country cycling trial in recreational cyclists. These results suggest that caffeine ingested as coffee may be an ergogenic substance for cross-country cycling.

Advances in Understanding the Interplay between Dietary Practices, Body Composition, and Sports Performance in Athletes

The dietary practices of athletes play a crucial role in shaping their body composition, influencing sports performance, training adaptations, and overall health. However, despite the widely acknowledged significance of dietary intake in athletic success, there exists a gap in our understanding of the intricate relationships between nutrition, body composition, and performance. Furthermore, emerging evidence suggests that many athletes fail to adopt optimal nutritional practices, which can impede their potential achievements. In response, this Special Issue seeks to gather research papers that delve into athletes' dietary practices and their potential impacts on body composition and sports performance. Additionally, studies focusing on interventions aimed at optimizing dietary habits are encouraged. This paper outlines the key aspects and points that will be developed in the ensuing articles of this Special Issue.

The Acute and Long-Term Effects of Olympic Karate Kata Training on Structural and Functional Changes in the Body Posture of Polish National Team Athletes

The aim of this study was to assess the acute and long-term effects of karate kata training on body posture (range of motion (ROM)) and musculoskeletal pain in elite karate athletes. Twelve kata athletes from the Polish national team participated in the study. A cross-sectional study protocol was used, with direct participatory observation (NMQ-7/6 questionnaire, spinal curvatures and spinal ROM testing, ROM of joints) and natural experiment (225 min of kata training) methods of assessment. Age and number of weekly kata sessions were found to correlate with ROM of the lumbar spine (R = (-0.6), p < 0.05). High increase in the prevalence of lumbar hypolordosis and posterior pelvic tilt was noted after karate training sessions. ROM of the inclination in the sagittal plane differed significantly between the first and second trials, by 10.0 degrees on average. Kata stances and their movement pattern seem to be related to the occurrence of disturbances in the ROM of the internal and external rotations of the hip joints and decreased depth of the lumbar lordosis, pelvic tilt, and their ROM. The locations of the long-term musculoskeletal complaints (NMQ-6) seem to result from compensatory changes that occur in the musculoskeletal structures as a result of elite-level kata training.

A Preliminary Investigation about the Influence of WIMU PROTM Location on Heart Rate Accuracy: A Comparative Study in Cycle Ergometer

Technological development has boosted the use of multi-sensor devices to monitor athletes' performance, but the location and connectivity between devices have been shown to affect data reliability. This preliminary study aimed to determine whether the placement of a multi-sensor device (WIMU PROTM) could affect the heart rate signal reception (GARMINTM chest strap) and, therefore, data accuracy. Thirty-two physical education students (20 men and 12 women) performed 20 min of exercise in a cycle ergometer based on the warm-up of the Function Threshold Power 20 test in laboratory conditions, carrying two WIMU PROTM devices (Back: inter-scapula; Bicycle: bicycle's handlebar-20 cm from the chest) and two GARMINTM chest straps. A one-dimensional statistical parametric mapping test found full agreement between the two situations (inter-scapula vs. bicycle's handlebar). Excellent intra-class correlation values were obtained during the warm-up (ICC = 0.99, [1.00-1.00], p < 0.001), the time trial test (ICC = 0.99, [1.00-1.00], p < 0.001) and the cool-down (ICC = 0.99, [1.00-1.00], p < 0.001). The Bland-Altman plots confirmed the total agreement with a bias value of 0.00 ± 0.1 bpm. The interscapular back placement of the WIMU PROTM device does not affect heart rate measurement accuracy with a GARMINTM chest strap during cycling exercise in laboratory conditions.

Effect of a single session of sensorimotor rhythm neurofeedback training on the putting performance of professional golfers

Sensorimotor rhythm (SMR) activity has been associated with automaticity and flow in motor execution. Studies have revealed that neurofeedback training (NFT) of the SMR can improve sports performance; however, few studies have adequately explored the effects of a single session of such NFT or examined the possible mechanisms underlying these effects on sports performance. This study recruited 44 professional golfers to address these gaps in the literature. A crossover design was employed to determine the order of the participation in the NFT and no-training control conditions. The participants were asked to perform 60 10-foot putts while electroencephalograms (EEGs) were recorded before and after the tasks. In pre-and post-tests, visual analog scales were used to assess the psychological states associated with SMR activities including the levels of attention engagement, conscious motor control, and physical relaxation. The results revealed that a single NFT session effectively increased SMR power and improved putting performance compared with the control condition. The subjective assessments also revealed that the participants reported lower attention engagement, less conscious control of the motor details and were more relaxed in the putting task, suggesting that SMR NFT promoted effortless and quiescent mental states during motor preparation for a putting task. This study aligns with theoretical hypotheses and extends current knowledge by revealing that a single session of SMR NFT can effectively enhance SMR power and improve putting performance in professional golfers. It also provides preliminary evidence of the possible underlying mechanisms that drive the effect of SMR NFT on putting performances.

Advanced biomechanical analytics: Wearable technologies for precision health monitoring in sports performance

Objective

This study investigated the impact of wearable technologies, particularly advanced biomechanical analytics and machine learning, on sports performance monitoring and intervention strategies within the realm of physiotherapy. The primary aims were to evaluate key performance metrics, individual athlete variations and the efficacy of machine learning-driven adaptive interventions.

Methods

The research employed an observational cross-sectional design, focusing on the collection and analysis of real-world biomechanical data from athletes engaged in sports physiotherapy. A representative sample of athletes from Bahawalpur participated, utilizing Dring Stadium as the primary data collection venue. Wearable devices, including inertial sensors (MPU6050, MPU9250), electromyography (EMG) sensors (MyoWare Muscle Sensor), pressure sensors (FlexiForce sensor) and haptic feedback sensors, were strategically chosen for their ability to capture diverse biomechanical parameters.

Results

Key performance metrics, such as heart rate (mean: 76.5 bpm, SD: 3.2, min: 72, max: 80), joint angles (mean: 112.3 degrees, SD: 6.8, min: 105, max: 120), muscle activation (mean: 43.2%, SD: 4.5, min: 38, max: 48) and stress and strain features (mean: [112.3 ], SD: [6.5 ]), were analyzed and presented in summary tables. Individual athlete analyses highlighted variations in performance metrics, emphasizing the need for personalized monitoring and intervention strategies. The impact of wearable technologies on athletic performance was quantified through a comparison of metrics recorded with and without sensors. Results consistently demonstrated improvements in monitored parameters, affirming the significance of wearable technologies.

Conclusions

The study suggests that wearable technologies, when combined with advanced biomechanical analytics and machine learning, can enhance athletic performance in sports physiotherapy. Real-time monitoring allows for precise intervention adjustments, demonstrating the potential of machine learning-driven adaptive interventions.

Menstrual cycle characteristics, perceived impact on performance, and barriers to communication: Perspectives of high-performance adolescent athletes in Singapore

The purpose of this study was to examine the menstrual cycle (MC) characteristics, explore the impact on performance, and identify barriers to and facilitators of MC-related communication among high-performance female adolescent athletes in Singapore. Ninety athletes (15.4 ± 1.8 years) from multiple sports completed an online questionnaire. Eighty-four athletes were postmenarcheal (menarcheal age 11.9 ± 1.3 years), including two who were using an oral contraceptive pill (OCP). Secondary amenorrhea, current or history of, was self-reported in 16% of athletes. Sixty-two percent and 67% of non-OCP athletes perceived that the MC affected their ability to train and compete, respectively. Athletes preferred speaking to a parent (85%) and a female figure (67%) about MC-related concerns. Through thematic analysis, three barriers to communication were constructed: (1) pervasive menstrual stigma, (2) constraints of the training environment, and (3) the low value placed on MC-related conversations. Two facilitators of communication were constructed: (1) respect athletes' individual experiences as menstruating girls and (2) foster a safe space for MC-related conversations. Findings demonstrated that menstrual irregularities are common in adolescent athletes and screening for MC disorders, particularly primary amenorrhea should be undertaken in this population, with clear support pathways for management including symptom mitigation. To support athletes in raising MC-related concerns when needed, structured communication pathways that consider individual preferences and involve a (female) point of contact should be established within the training environment. Improving menstrual health literacy among adolescent athletes before any misinformation or negative perceptions are firmly established may contribute to longevity in their athletic careers.

Enhancing Volleyball Athlete Performance: A Comprehensive Review of Training Interventions and Their Impact on Agility, Explosive Power, and Strength

Volleyball is one of the most globally renowned sports in terms of global popularity. The game is a team sport that both men and women can participate in. The gameplay relies heavily on physical activities such as jumping, landing, and quick movements, often causing strain on the musculoskeletal system and leading to injuries. For this reason, agility training is crucial to improving a player's ability to change direction swiftly as and when required by the gameplay. Although it is relatively safer than other team sports, actions like jumping, blocking, and spiking can lead to potential injuries. Properly monitoring the training loads and injury prevention during training should be the major focus in formulating a holistic training methodology in volleyball training. The main goal of this literature study is to evaluate the impact of various training interventions on agility and other performance parameters specific to volleyball players. The range of research approaches and interventions described in this literature review highlights the significance of agility in volleyball training. In many studies, the use of tailored training programs for volleyball has been shown to have positive effects on agility, strength, and jump performance. Although there are limitations to the study design and sample size, the findings from this review necessitate the need for better scientifically informed training programs to reduce injury risk while enhancing player's overall performance potential. To conclude, the current literature review highlights the importance of agility training in volleyball, providing insights into effective training strategies and highlighting the low quality of evidence, suggesting the need for well-structured research on the topic.

Effect of Probiotic Supplementation on Gut Microbiota and Sport Performance in Athletes and Physically Active Individuals: A Systematic Review

The present systematic review aimed to evaluate the effect of probiotic supplementation on gut microbiota and sport performance in athletes and physically active individuals. This review followed the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (P RISMA). The search had no time limits and included the following databases: MEDLINE, LILACS, Scopus, Web of Science, Cochrane, and SP ORT Discus. The risk of bias was assessed through the updated version of the Cochrane tool for assessing the risk of bias in randomized trials (RoB 2). Nine randomized clinical trials (RCTs) were included, accounting for 216 participants. Of these, seven studies found positive results on sport performance. Additionally, some studies showed significant decrease in biochemical parameters linked to inflammation. It was also observed direct results in the microbiota composition of the participants, such as an increase in the abundance of probiotics and a decrease in certain pathogenic bacteria. Therefore, the use of probiotics showed improvement in inflammatory biomarkers and oxidative stress, which indirectly may contribute to the improvement of sport performance. However, the majority of the studies presented a high risk of bias, which impair the reproducibility of the results. While the field of probiotic supplementation and sport performance is emerging, the promising results from this systematic review suggest that further investigation through larger and more robust randomized clinical trials can provide valuable insights for athletes and their performance.

Bayesian analysis of Formula One race results: disentangling driver skill and constructor advantage

Successful performance in Formula One is determined by combination of both the driver's skill and race-car constructor advantage. This makes key performance questions in the sport difficult to answer. For example, who is the best Formula One driver, which is the best constructor, and what is their relative contribution to success? In this paper, we answer these questions based on data from the hybrid era in Formula One (2014-2021 seasons). We present a novel Bayesian multilevel rank-ordered logit regression method to model individual race finishing positions. We show that our modelling approach describes our data well, which allows for precise inferences about driver skill and constructor advantage. We conclude that Hamilton and Verstappen are the best drivers in the hybrid era, the top-three teams (Mercedes, Ferrari, and Red Bull) clearly outperform other constructors, and approximately 88 % of the variance in race results is explained by the constructor. We argue that this modelling approach may prove useful for sports beyond Formula One, as it creates performance ratings for independent components contributing to success.

Muscle Oxidative Capacity in Vivo Is Associated With Physiological Parameters in Trained Rowers

Purpose: The muscle oxygen uptake (m V ˙ O 2 ) kinetics following exercise, measured by near-infrared spectroscopy, has been used as a functional evaluation of muscle oxidative metabolism. This study aimed to determine the m V ˙ O 2 off-kinetics and verify the relationship of the recovery rate of m V ˙ O 2 (k) with time-trial performance and different aerobic parameters in trained rowers. Methods: Eleven male rowers (age: 20 ± 3 years; V ˙ O 2 m a x : 4.28 ± 0.35 L·min-1) used a rowing ergometer to perform (I) an incremental test to determine the maximal oxygen uptake (V ˙ O 2 m a x ) and peak power output (Ppeak); (II) several visits to determine maximal lactate steady state (MLSS); and (III) a 2000-m rowing ergometer performance test. Also, one test to determine m V ˙ O 2 off-kinetics of the vastus lateralis muscle using a repeated arterial occlusions protocol. Results: The m V ˙ O 2 generated a good monoexponential fit (R2 = 0.960 ± 0.030; SEE = 0.041 ± 0.018%.s-1). The k of m V ˙ O 2 (2.06 ± 0.58 min-1) was associated with relative V ˙ O 2 m a x (r = 0.79), power output at MLSS (r = 0.76), and Ppeak (r = 0.83); however, it was not related with 2000-m rowing performance (r = -0.38 to 0.52; p > .152). Conclusion: These findings suggest that although not associated with rowing performance, the m V ˙ O 2 off-kinetics determined after a submaximal isometric knee extension may be a practical and less-exhaustive approach than invasive responses and incremental tests to assess the muscle oxidative metabolism during a training program.

A scientometrics analysis of physical activity and transcranial stimulation research

BACKGROUND

The search for alternatives to improve physical performance is rising, and in recent years has been focused on the brain. No bibliometric study analyzing research on physical activity (PA) and transcranial stimulation has been found in the scientific literature. Aims: To provide an overview of the existing scientific research on PA and transcranial brain stimulation in healthy and sports participants, using a bibliometric analysis and graphic mapping of the references in the field. To do this, we analyze annual publication trends in this area, identifying the most productive and cited authors, journals and countries with the highest number of publications, and the most cited documents and keywords.

METHODS

Those publications related to this area, published in journals indexed in the web of science main collection were retrieved and analyzed using the traditional laws of bibliometrics.

RESULTS

A total of 305 documents were found. Annual publications followed an exponential growth trend (R2 = 94.2%); with A. J. Pearce (9 documents) is the most productive coauthor and M.C. Ridding, H. Theoret and M. Lassonde as the most prominent (with 5 most cited papers). The USA (67 papers) and the journal Frontiers in Human Neuroscience (12 papers) were the most productive country and journal respectively. The paper "Action anticipation and motor resonance in elite basketball players" was the most cited paper and "transcranial magnetic stimulation" was the most used keyword.

CONCLUSION

There are extensive research networks throughout the world, with the USA leading the production. Publications on the issue are of high interest in the scientific community as an exponential increase in publications over the last few years was found. The contribution of these findings is to offer a complete picture of the relationship between PA and transcranial brain stimulation in healthy individuals and athletes. Therefore, this comprehensive analysis provides fruitful information for sports researchers and policymakers to make future correct decisions about how to better design and implement training interventions in these groups of individuals.

Longitudinal development of physical, perceptual-cognitive and skill predictors of talent in academy and professional female football players

Existing literature on talent development predominantly focuses on male athletes, with limited representation of female athletes. This study aims to address this gap by examining the long-term development of female football players in an elite club. Routine lab-based assessments were conducted on 238 athletes across six teams for 7 years to determine how physical, perceptual-cognitive, and skill performance predictors fluctuated with player age and developmental stage (sampling 9-11y, specializing 12-14y, investment 15-18y, and performance +18y). The developmental stage was a significant predictor of improved performance for each talent indicator (p < .001), with each consecutive stage significantly outperforming the previous stage in all domains with moderate to large effect sizes (0.07-0.40 ηp2). Improvement rate was higher in young adolescence (<15) and slower approaching adulthood (>18y). Playing position influenced performance scores on several physical and technical skill predictors (p ≤ .001), but not perceptual-cognitive ones (p ≥ .11). Players progressed continuously from the sampling to the performance stage, contradicting previously reported plateaus observed when athletes reached the investment stage. Benchmark data are provided across age and playing position to better understand what is required for successful participation at an elite level at varying age groups in female soccer.

Skewed performance distributions as evidence of motor constraint in sports and animal displays

Animal displays (i.e. movement-based signals) often involve extreme behaviours that seem to push signallers to the limits of their abilities. If motor constraints limit display performance, signal evolution will be constrained, and displays can function as honest signals of quality. Existing approaches for measuring constraint, however, require multiple kinds of behavioural data. A method that requires only one kind could open up new research directions. We propose a conceptual model of performance under constraint, which predicts that the distribution of constrained performance will skew away from the constraint. We tested this prediction with sports data, because we know a priori that athletic performance is constrained and that athletes attempt to maximize performance. Performance consistently skewed in the predicted direction in a variety of sports. We then used statistical models based on the skew normal distribution to estimate the constraints on athletes and displaying animals while controlling for potential confounds and clustered data. We concluded that motor constraints tend to generate skewed behaviour and that skew normal models are useful tools to estimate constraints from a single axis of behavioural data. This study expands the toolkit for identifying, characterizing, and comparing performance constraints for applications in animal behaviour, physiology and sports.