Effects of eccentric overload bout on change of direction and performance in soccer players

Accentuated eccentric resistance training: Effects on physical performance in male and female athletes

This study aimed to compare the effects of an accentuated eccentric training programme on physical performance between men and women. Distributed in two groups by gender, 21 male and 21 female athletes performed four sets of seven repetitions of the half-squat exercise twice per week for 6 weeks. Both groups lifted the same absolute load using a rotary inertial device. To accentuate the eccentric action, the eccentric load was twice as heavy as the concentric load. Vertical jump, sprint, and change of direction (COD) performances were measured pre- and post-intervention. To measure strength gains, vertical ground reaction forces were measured for each repetition of the entire training programme. Vertical jump improved post-intervention (MG: 33.88 ± 4.94 to 35.41 ± 4.86; FG: 20.60 ± 4.62 to 22.12 ± 4.32; p < 0.001; η2p = 0.42), while sprint (MG: 3.08 ± 0.11 to 3.07 ± 0.13; FG: 3.66 ± 0.23 to 3.64 ± 0.23) and COD (MG: 7.77 ± 0.42 to 7.61 ± 0.47; FG: 8.44 ± 0.58 to 8.38 ± 0.57) remained unchanged. Concentric and eccentric forces increased for both groups from session 1 to 4 (p < 0.001; η2p >0.39), while only peak eccentric forces increased until session 12 (p = 0.009; η2p = 0.21). In conclusion, even when men are able to produce greater forces with similar loads, accentuated eccentric RT produces similar strength and strength-related adaptations in male and female athletes.

Dose-Response Effect of an Inertia Flywheel Postactivation Performance Enhancement Protocol on Countermovement Jump Performance

The purpose of this study was to investigate the dose-response effect of a high-load, 6-repetition, maximum effort inertial flywheel (IFw) squat postactivation performance enhancement (PAPE) protocol on countermovement jump (CMJ) performance metrics. Thirteen subjects completed 5 squat testing sessions: 1 session to determine back-squat 6-repetition maximum, 1 session to determine 6-repetition maximum IFw load, and 3 sessions to investigate the dose-response effect of an IFw PAPE protocol set at the load determined in the second session. In the IFw PAPE sessions, subjects completed either 1, 2, or 3 sets of IFw squats, then performed 5 CMJs over 12 minutes (1, 3, 6, 9, and 12 min post-IFw). All CMJ tests were conducted on a force platform where CMJ performance outcomes and impulse variables were calculated. There was no main time or volume effect for jump height, contact time, reactive strength index, peak force, or any of the impulse variables. A main time effect was identified for flight time (P = .006, effect size = 0.24) and peak power (P = .001, effect size = 0.28). The lack of change in jump height may indicate that too much fatigue was generated following this near-maximal IFw squat protocol, thereby reducing the PAPE effect.

Stable vs. variable eccentric load. Do they induce different training and physical performance outcomes?

Since most movements on the field require athletes to produce forces in variable and unpredictable contexts, the use of training programs based on identical repetitions of an exercise may not be optimal for movement transference. Therefore, the aim of this study was to analyse the effects of unexpected eccentric load variability during resistance training in team sport players. Sixty-three men were randomly allocated to two experimental groups (Variable (VTG) and stable (STG) training group) and control group: (CG) volunteered to participate in this study. Experimental groups trained with the same average load of half-squat exercise twice a week for six weeks using rotary inertial devices (RIDs) with (VTG) and without (STG) an unexpected variability of the load. The squat force was measured for every session with force plates. Counter-movement jump (CMJ), sprint, and change of direction performances were measured pre and post-test. CMJ performance improved for VTG (p = .014; ES = 0.7) and STG (p = .005; ES = 0.79) but not for CG. Exposure to high eccentric forces with RIDs lead athletes to improve physical performance in the trained force vector but, since RIDs induce in high levels of variability per se, increasing the level of variability of the exercise will not add benefits to physical performance and training outcomes.HIGHLIGHTSThe relevance of the study is to analyse if increasing the variability of the load will improve the athlete output to different physical performance tests.The exposure to eccentric overload with RIDs during the squat exercise allows to greater CMJ height improvements than those seen in the literature with RIDs without overloading the eccentric contraction.RIDs induce in high level of variability per se. Therefore, increasing the level of variability of the exercise will not add benefits to physical performance and training outcomes.

Stojanović MD, Bird SP, Calleja-González J. Effectiveness of Eccentric Overload Training in Basketball Players: A Systematic Review

Several studies have confirmed the efficacy of flywheel eccentric overload training in order to improve or increase muscle volume and strength, as well as several performance-related fitness attributes, but to date, there are no studies that have reviewed the effects of these training methods in basketball. Therefore, the present systematic review aimed to collect the updated information about the influence of flywheel training on performance of basketball players. A search in four electronic databases (PubMed, SCOPUS, Web of Science, and Google Scholar) was conducted up to November 20, 2022. Articles were selected as valid for review if: (i) they were an experimental trial published in English; (ii) participants were basketball players without illnesses or injuries, and (iii) a rotational inertial overload method was used as a performance-dependent variable. A total of 93 articles were found. After filtering procedures, only seven studies were considered in this systematic review. In the selected studies, 203 participants were included, 58 females and 145 males. Focusing on basketball related performance variables, all the studies included the countermovement jump (CMJ), while five included sprinting and a change of direction test (COD). The results showed an improvement in performance-related variables associated with basketball (sprint, CMJ, and COD) through the use of inertial methods. Improvements were reported in professional, semi-professional and amateur players as well as both male and female players. However, given the low number of studies, additional investigations on this topic are warranted before a "clear picture" can be drawn concerning the effects of flywheel eccentric overload training in basketball players.

A Systematic Review of Flywheel Training Effectiveness and Application on Sport Specific Performances

The objective of this systematic review was to examine the effectiveness of flywheel training, which allows for the replication of specific sports movements, overloading both the concentric and eccentric phases. Inclusion criteria were injury prevention outcomes; ability in terms of strength, power, sprinting, jumping and change of direction; competitive athletes; and RCTs. Exclusion criteria were a lack of a control group and lack of baseline and/or follow-up data. The databases used were Web of Science, Scopus, PubMed, Cochrane Library, and Sage. The revised Cochrane risk-of-bias tool was used to assess the quality of the selected RCTs. The Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence was used. A PICOS (participants, intervention, comparators, study outcomes, and study design) approach was used to evaluate eligibility. A total of 21 RCTs with 8 to 54 participants in each study analyzed flywheel technology and its application in nine sports. The results showed that flywheel training is a good strategy to improve sports performance, providing variation in training methodologies and athletes’ adherence. Further studies are needed to define guidelines on training modality, weekly frequency, volume, and inertia load. Only a few studies have applied the flywheel device directly to overload specific multidirectional movements at different joint angles. This method is not exempt from criticalities, such as the cost and the ability to carry out only individual training.

Motoric performance variation from morning to evening: 80% intensity post-activation potentiation protocol impacts performance and its diurnal amplitude in basketball players

Introduction

Post-activation potentiation (PAP) can be defined as the acute enhancement in muscle performance after preload stimulation that occurs during strength exercises or warm-up protocols, and the contractile history of any muscle group can directly influence the presented performance. The purpose of this study was to compare the results of motoric performance tests carried out at two different times of the day using three different PAP protocols.

Methods

Thirty-two male basketball players with at least 2 years of training experience and who competed at the national level were recruited for this study [age: 21.80 ± 1.91 years; body height: 178.40 ± 6.85 cm; body mass: 72.50 ± 7.16 kg; body mass index (BMI): 22.81 ± 2.28]. After control and experimental-specific warm-up (SWU) sessions, participants completed a countermovement jump (CMJ) and seated medicine ball throw (SMBT). The SWU protocol was developed based on the athlete's typical warm-up routine. The experimental warm-ups included the same exercises as the SWU, with one set of bench presses for five repetitions at 80% (80% PAP) and one repetition at 100% of 1 RM (100% PAP). Each of the protocols consists of 15 min. The SWU and experimental warm-up sessions were completed in a random, counterbalanced order, completed in a period of 3-weeks.

Results

According to the research findings, carrying out the protocols in the evening led to a larger improvement in SMBT than in the morning (F = 35.94, p < 0.001, η ² _p = 0.537). Additionally, the SMBT results were statistically more significant in the group that received 80% PAP compared to the SWU (p = 0.034), and the SMBT results were also higher in the group that received 100% PAP compared to the SWU (p = 0.002). Furthermore, the interaction effect (time × PAP) was statistically significant in SMBT (F = 6.39, p = 0.003, η ² _p = 0.17).

Discussion

These results may provide more particular recommendations than previously thought to basketball coaches for the planning of basketball-specific PAP exercises prior to the start of training programs.

The effect of flywheel training on strength and physical capacities in sporting and healthy populations: An umbrella review

The aim of this umbrella review was to provide a detailed summary of how flywheel training enhances strength and physical capacities in healthy and athletic populations. The eleven reviews included were analyzed for methodological quality according to the Assessing the Methodological Quality of Systematic Review 2 (AMSTAR 2) and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria. Two were systematic reviews, six were systematic reviews with meta-analyses and three were narrative reviews. Although the included reviews support use of flywheel training with athletic and healthy populations, the umbrella review highlights disparity in methodological quality and over-reporting of studies (38 studies were included overall). Flywheel post-activation performance enhancement protocols can effectively enhance strength and physical capacities acutely with athletes and healthy populations. All relevant reviews support flywheel training as a valid alternative to traditional resistance training for enhancing muscular strength, power, and jump performance with untrained and trained populations alike. Similarly, reviews included report flywheel training enhances change of direction performance-although conclusions are based on a limited number of investigations. However, the reviews investigating the effect of flywheel training on sprint performance highlight some inconsistency in attained improvements with elite athletes (e.g., soccer players). To optimize training outcomes, it is recommended practitioners individualize (i.e., create inertia-power or inertia-velocity profiles) and periodize flywheel training using the latest guidelines. This umbrella review provides an analysis of the literature's strengths and limitations, creating a clear scope for future investigations.

Acute effects from the half-squat performed using a repetition versus differential approach in youth soccer players

Background

Over the last years there have been a wide body of research exploring the best strategies to promote acute enhancements in players’ performance. Despite that, most studies have been focused on adult and elite players, and different results may be identified when considering players from lower levels of performance and belonging to youth categories. In addition, most studies conducted in this domain focused in repetitive movement patterns, and while adding variability has been considered as a useful approach to enhance players’ performance at short and long-term perspectives, less is known regarding it applicability to acute enhance players physical performance. Therefore, this study aimed to compare the acute enhancement effects of performing the half-squat in a flywheel ergometer between a more-repetitive approach (low noise) and a more variable approach (differential learning, high noise) in youth soccer players.

Methods

A total of sixteen players (age = 16.2 ± 0.6 years) was exposed to four conditions in a randomized order: (1) repetitive intervention for 30 s; (2) repetitive intervention for 10-min; (3) differential learning intervention for 30 s; (4) differential learning intervention for 10-min. Each condition consisted in 3 sets of 6 repetitions of eccentric half squats performed in a flywheel ergometer. Countermovement jump, 10 m and 30 m linear sprint, and change-of-direction ability were measured every session at baseline (pre-test) and after each protocol (post-test).

Results

No potentiation effect was observed overall with any of the interventions. In addition, no differences between protocols were found for sprinting. However, the repetitive intervention impaired jumping performance for both 30 s (small effects, p ≤ .05) and 10-min intervals (small effects, p ≤ .05), as well as in the change-of-direction task for 30 s (p ≤ .05).

Conclusions

These results may be due to the players’ low experience in eccentric flywheel training. Despite these findings, individual potentiation responses emerged from both protocols when considering the individual responses, reinforcing the need to establish more personalized approaches.

The effect of pre-exercise Nordic hamstring exercise on hamstring neuromuscular response during soccer-specific activity

Background: The Nordic hamstring exercise (NHE) has emerged as a popular intervention for improving eccentric hamstring strength, however recent literature suggests there is a potential for an increase in injury risk during subsequent exercise.Methods: To quantify the influence of pre-exercise NHE on the electromyographical response of the hamstrings, 10 male soccer players completed an experimental trial comprising 6 sets x 5 repetitions of NHE prior to the completion of a 45 minute soccer-specific protocol. Post-exercise NHE were performed in the experimental and control (no pre-exercise NHE) trials. Electromyographic (EMG) response (integrated, mean and peak amplitude) of the biceps femoris to the pre- and post-exercise NHE and the soccer-specific exercise protocol was quantified.Results: Integrated (P= 0.025) and mean (P= 0.020) EMG elicited a significant main effect for time in the soccer-specific protocol with higher values during the first 15 mins indicative of a fatigue effect. However, there was no trial x time interaction (P ≥ 0.78). There was no difference between trials in the EMG response to pre-exercise (P≥ 0.30) or post-exercise (P≥ 0.16) NHE trials.Conclusions: Therefore, although previous studies suggest performing pre-exercise NHE might impair maximal strength metrics, the current study's results suggest that it does not impair the electromyographical response to subsequent soccer-specific exercise or NHE repetitions.

Effects of Direction-Specific Training Interventions on Physical Performance and Inter-Limb Asymmetries

This study analyzed the effects of two different training programs on functional performance and inter-limb asymmetries in basketball players. Twenty-four elite youth basketball players were randomly assigned to a training program including variable unilateral horizontal movements (VUH, n = 12) or unilateral lateral movements (VUL, n = 12). Eccentric-overload training (EOT) was performed twice a week for a six-week period. Functional performance assessment included a countermovement jump test, unilateral multidirectional jumping tests (i.e., lateral, horizontal, and vertical), a rebound jump test, a limb symmetry index, a 25 m linear sprint test, and several change of direction (COD) tests. Within-group analysis showed substantial improvements in almost all functional tests in both groups (ES = 0.35–0.89). Furthermore, almost all jumping asymmetries were improved in both groups (ES = 0.38–0.69) except for vertical jumping asymmetry in VUL (ES = −0.04). Between-group analyses showed a substantial and possibly better performance in vertical jumping asymmetry and 5 m in VUH compared to that of VUL, respectively. In contrast, lateral jumping with left (ES = 1.22) and right leg (ES = 0.49) were substantially greater in VUL than in VUH. Specific force-vector training programs induced substantial improvements in both functional performance tests and inter-limb asymmetries, although greater improvements of lateral and horizontal variables may depend on the specific force vector targeted.

The use of real-time monitoring during flywheel resistance training programmes: how can we measure eccentric overload? A systematic review and meta-analysis

This systematic review and meta-analysis aimed to analyse the technologies and main training variables used in the literature to monitor flywheel training devices in real time. In addition, as the main research question, we investigated how eccentric overload can be effectively monitored in relation to the training variable, flywheel shaft type device and the moment of inertia selected. The initial search resulted in 11,621 articles that were filtered to twenty-eight and seventeen articles that met the inclusion criteria for the systematic review and meta-analysis, respectively. The main technologies used included force sensors and rotary/linear encoders, mainly to monitor peak or mean force, power or speed. An eccentric overload was not always achieved using flywheel devices. The eccentric overload measurement was related to the main outcome selected. While mean force (p = 0.011, ES = -0.84) and mean power (p < 0.001, ES = -0.30) favoured the concentric phase, peak power (p < 0.001, ES = 0.78) and peak speed (p < 0.001, ES = 0.37) favoured the eccentric phase. In addition, the lower moments of inertia (i.e., from 0.01 to 0.2 kg·m²) and a cylindrical shaft type (i.e., vs conical pulley) showed higher possibilities to achieve eccentric overload. A wide variety of technologies can be used to monitor flywheel devices, but to achieve eccentric overload, a flywheel cylindrical shaft type with low moments of inertia is advised to be used.

The Maximum Flywheel Load: A Novel Index to Monitor Loading Intensity of Flywheel Devices

BACKGROUND

The main aim of this study was (1) to find an index to monitor the loading intensity of flywheel resistance training, and (2) to study the differences in the relative intensity workload spectrum between the FW-load and ISO-load.

METHODS

twenty-one males participated in the study. Subjects executed an incremental loading test in the squat exercise using a Smith machine (ISO-load) or a flywheel device (FW-load). We studied different association models between speed, power, acceleration, and force, and each moment of inertia was used to find an index for FW-load. In addition, we tested the differences between relative workloads among load conditions using a two-way repeated-measures test.

RESULTS

the highest r2 was observed using a logarithmic fitting model between the mean angular acceleration and moment of inertia. The intersection with the x-axis resulted in an index (maximum flywheel load, MFL) that represents a theoretical individual maximal load that can be used. The ISO-load showed greater speed, acceleration, and power outcomes at any relative workload (%MFL vs. % maximum repetition). However, from 45% of the relative workload, FW-load showed higher vertical forces.

CONCLUSIONS

MFL can be easily computed using a logarithmic model between the mean angular acceleration and moment of inertia to characterize the maximum theoretical loading intensity in the flywheel squat.

The Potentiating Response to Accentuated Eccentric Loading in Professional Football Players

The purpose of this study was to assess the acute effect of Accentuated Eccentric Loading (AEL) on countermovement jump (CMJ) height, peak power output (PPO) and peak velocity in male professional footballers using loads of 20% or 40% of body mass (AEL20 or AEL40, respectively). Twenty-three male professional football players (age 24 ± 4.5 years, range 18–34 years; body mass 80.21 ± 8.4 kg; height 178.26 ± 7.62 cm) took part in a randomised, cross-over design to test the potentiating responses of two AEL conditions (AEL20 and AEL40) versus a body weight control group (CON). Mean loads for the two conditions were 15.84 ± 1.70 kg (AEL20) and 31.67 ± 3.40 kg (AEL40). There was no significant difference between the three conditions for jump height (p = 0.507, η²_G = 0.022). There were significant differences in peak power between the groups (p = 0.001, η²_G = 0.154). Post hoc analysis with Bonferroni adjustment showed significantly higher peak power for both AEL conditions compared to the control group, but no significant differences between AEL conditions (CON vs. AEL20, p = 0.029, 95% CI −1016.735, −41.815, Cohen’s d = −0.56; CON vs. AEL40, p = 0.001, 95% CI −1244.995, −270.075, Cohen’s d = −0.81; AEL20 vs. AEL40, p = 0.75, 95% CI −715.720, 259.201, Cohen’s d = −0.24). There was no significant difference between the three conditions for peak velocity (p = 0.269, η²_G = 0.046). AEL using either 20% or 40% of body mass may be used to increase peak power in the countermovement jump in well-trained professional football players.

Effect of Postactivation Potentiation After Medium vs. High Inertia Eccentric Overload Exercise on Standing Long Jump, Countermovement Jump, and Change of Direction Performance

ABSTRACT

Beato, M, De Keijzer, KL, Leskauskas, Z, Allen, WJ, Dello Iacono, A, and McErlain-Naylor, SA. Effect of postactivation potentiation after medium vs. high inertia eccentric overload exercise on standing long jump, countermovement jump, and change of direction performance. J Strength Cond Res 35(9): 2616-2621, 2021-This study aimed to evaluate the postactivation potentiation (PAP) effects of an eccentric overload (EOL) exercise on vertical and horizontal jumps and change of direction (COD) performance. Twelve healthy physically active male subjects were involved in a crossover study. The subjects performed 3 sets of 6 repetitions of EOL half squats for maximal power using a flywheel ergometer. Postactivation potentiation using an EOL exercise was compared between a medium (M-EOL) vs. high inertia (H-EOL) experimental condition. Long jump (LJ) was recorded at 30 seconds, 3, and 6 minutes after both EOL exercises and compared with baseline values (control). The same procedure was used to assess countermovement jump (CMJ) height and peak power and 5-m COD test (COD-5m). A fully Bayesian statistical approach to provide probabilistic statements was used in this study. Long jump performance reported improvements after M-EOL and H-EOL exercise (Bayes factor [BF10] = 32.7, strong; BF10 = 9.2, moderate), respectively. Countermovement jump height (BF10 = 135.6, extreme; BF10 > 200, extreme), CMJ peak power (BF10 > 200, extreme; BF10 = 56.1, very strong), and COD-5m (BF10 = 55.7, very strong; BF10 = 16.4, strong) reported improvements after M-EOL and H-EOL exercise, respectively. Between analysis did not report meaningful differences in performance between M-EOL and H-EOL exercises. The present outcomes highlight that PAP using an EOL (M-EOL and H-EOL) improves LJ, CMJ height, CMJ peak power, and COD-5m in male athletes. The optimal time window for the PAP effect was found for both EOL conditions from 3 to 6 minutes. However, M-EOL and H-EOL produce similar PAP effect on LJ, CMJ, and COD-5m tasks.

Effects of Postactivation Potentiation After an Eccentric Overload Bout on Countermovement Jump and Lower-Limb Muscle Strength

ABSTRACT

Beato, M, Stiff, A, and Coratella, G. Effects of postactivation potentiation after an eccentric overload bout on countermovement jump and lower-limb muscle strength. J Strength Cond Res 35(7): 1825-1832, 2021-This study aimed to evaluate the postactivation potentiation (PAP) effects of an eccentric overload (EOL) exercise on countermovement jump (CMJ) performance and isokinetic lower-limb muscle strength. Eighteen active men (mean ± SD, age 20.2 ± 1.4 years, body mass 71.6 ± 8 kg, and height 178 ± 7 cm) were involved in a randomized, crossover study. The subjects performed 3 sets per 6 repetitions of EOL half squats at maximal power using a flywheel ergometer. Postactivation potentiation using an EOL exercise was compared with a control condition (10-minute cycling at 1 W·kg-1). Countermovement jump height, peak power, impulse, and force were recorded at 15 seconds, 1, 3, 5, 7, and 9 minutes after an EOL exercise or control. Furthermore, quadriceps and hamstrings isokinetic strength were performed. Postactivation potentiation vs. control reported a meaningful difference for CMJ height after 3 minutes (effect size [ES] = 0.68, p = 0.002), 5 minutes (ES = 0.58, p = 0.008), 7 minutes (ES = 0.57, p = 0.022), and 9 minutes (ES = 0.61, p = 0.002), peak power after 1 minute (ES = 0.22, p = 0.040), 3 minutes (ES = 0.44, p = 0.009), 5 minutes (ES = 0.40, p = 0.002), 7 minutes (ES = 0.29, p = 0.011), and 9 minutes (ES = 0.30, p = 0.008), as well as quadriceps concentric, hamstrings concentric, and hamstrings eccentric peak torque (ES = 0.13, p = 0.001, ES = 0.24, p = 0.003, and ES = 0.22, p = 003, respectively) after 3-9 minutes of rest. In conclusion, the present outcomes highlight that PAP using an EOL bout improves height, peak power, impulse, and peak force during CMJ, as well as quadriceps and hamstrings isokinetic strength in male athletes. Moreover, the optimal time window for the PAP was found from 3 to 9 minutes.

Implementing Strength Training Strategies for Injury Prevention in Soccer: Scientific Rationale and Methodological Recommendations

Due to the negative effects that injuries have on performance, club finances, and long-term player health (permanent disability after a severe injury), prevention strategies are an essential part of both sports medicine and performance. Purpose: To summarize the current evidence regarding strength training for injury prevention in soccer and to inform its evidence-based implementation in research and applied settings. Conclusions: The contemporary literature suggests that strength training, proposed as traditional resistance, eccentric, and flywheel training, may be a valid method to reduce injury risk in soccer players. Training strategies involving multiple components (eg, a combination of strength, balance, plyometrics) that include strength exercises are effective at reducing noncontact injuries in female soccer players. In addition, the body of research currently published supports the use of eccentric training in sports, which offers unique physiological responses compared with other resistance exercise modalities. It seems that the Nordic hamstring exercise, in particular, is a viable option for the reduction of hamstring injuries in soccer players. Moreover, flywheel training has specific training peculiarities and advantages that are related to the combination of both concentric and eccentric contraction, which may play an important role in injury prevention. It is the authors’ opinion that strength and conditioning coaches should integrate the strength training methods proposed here in their weekly training routine to reduce the likelihood of injuries in their players; however, further research is needed to verify the advantages and disadvantages of these training methods to injury prevention using specific cohorts of soccer players.

Effects of Flywheel Resistance Training on Sport Actions. A Systematic Review and Meta-Analysis

The purpose of the present meta-analysis was to examine the effect of flywheel resistance training (FRT) on main sport action (i.e., jumping performance, sprinting time and change of direction performance) improvements in athletes and healthy active people. A Boolean search strategy adapted for each of the databases employed was conducted to identify all studies measuring change in sport actions performance after FRT interventions up to July 2019. Outcomes were analysed using an average effect size (D₊) and a 95% confidence interval (CI), which was calculated assuming a random-effects model. A total of 9 studies with 283 participants met the inclusion criteria and were selected for the analysis. The mean quality score (PEDro scale) of the articles included in the meta-analysis was 5.67. The meta-analysis showed significant positive effects on jumping performance (SMC 0.65; 95% CI, 0.11-1.19; p = 0.02), sprinting time (SMC 1.33; 95% CI, 0.39-2.28; p < 0.01) and change of direction performance (SMC 1.36; 95% CI, 0.58-2.14; p < 0.01) after FRT interventions compared to control/traditional resistance training groups. The results of the present meta-analysis provide evidence of the usefulness of FRT to improve variables related to sport performance in both athletes and healthy population.

Post Flywheel Squat Potentiation of Vertical and Horizontal Ground Reaction Force Parameters during Jumps and Changes of Direction

(1) Background: The aim of the study was to determine the post-activation performance enhancement (PAPE) of vertical and horizontal ground reaction force parameters during jumps and change of direction following flywheel squat exercise using two different flywheel inertias. (2) Methods: Eleven male athletes performed a countermovement jump (CMJ), standing broad jump (SBJ), and “modified 505” change of direction (COD) in a control condition and 6 minutes following three sets of six repetitions of flywheel half squats at one of two inertias (0.029 kg·m² and 0.061 kg·m²). Peak directional ground reaction force, power, and rate of force development were calculated for each test. (3) Results: Higher inertia flywheel squats were able to acutely enhance CMJ peak vertical force (Bayes Factor (BF₁₀) = 33.5, very strong; δ = 1.66; CI: 0.67, 2.70), whereas lower inertia flywheel squats were able to acutely enhance CMJ peak vertical power (BF₁₀ = 3.65, moderate; δ = 0.93; CI: 0.11, 1.88). The vertical squat exercise induced no PAPE effect on resultant SBJ or horizontal COD ground reaction force parameters, nor were any differences observed between the inertias. (4) Conclusions: Researchers and practitioners should consider the kinetic and kinematic correspondence of a pre-load stimulus to the subsequent sport-specific activity (i.e., flywheel squat to CMJ).

Post-activation performance enhancement (PAPE) after a single bout of high-intensity flywheel resistance training

This study investigated the post-activation performance enhancements (PAPE) induced by a high-intensity single set of accentuated eccentric isoinertial resistance exercise on vertical jump performance. Twenty physically active male university students performed, in randomized counterbalanced order, two different conditioning activities (CA) after a general preestablished warm-up: a conditioning set of 6 maximum repetitions at high intensity (i.e., individualized optimal moment of inertia [0.083 ± 0.03 kg·m^-2]) of the flywheel half-squat exercise in the experimental condition, or a set of 6 maximal countermovement jumps (CMJ) instead of the flywheel exercise in the control condition. CMJ height, CMJ concentric peak power and CMJ concentric peak velocity were assessed at baseline (i.e., 3 minutes after the warm-up) and 4, 8, 12, 16 and 20 minutes after the CA in both experimental and control protocols. Only after the experimental protocol were significant gains in vertical jump performance (p < 0.05, ES range 0.10–1.34) at 4, 8, 12, 16 and 20 minutes after the CA observed. In fact, the experimental protocol showed greater (p < 0.05) CMJ height, concentric peak power and concentric peak velocity enhancements compared to the control condition. In conclusion, a single set of high-intensity flywheel training led to PAPE in CMJ performance after 4, 8, 12, 16 and 20 minutes in physically active young men.

Influence of Strength Level on the Acute Post-Activation Performance Enhancement Following Flywheel and Free Weight Resistance Training

This study aimed to compare the post-activation potentiation performance enhancement (PAPE) response to the acute inertial flywheel (FW) and free weight resistance training (TRA) on subsequent countermovement jump (CMJ) and sprint performance (10 m sprint). This study used a randomized crossover design including twenty-eight healthy males that were divided into strong (relative one-repetition maximum (1RM) back squat > 2.0 × body mass) and weak (relative 1RM back squat < 2.0 × body mass) groups. All participants performed the following: (a) three reps at 90% of their 1RM back squat (TRA) and (b) three reps on an inertial FW (plus one repetition to initiate flywheel movement) with an intensity that generated a mean propulsive velocity equal to that achieved with 90% of the 1RM back squat. Before and after the conditioning activity, participants performed two CMJs and two 10 m sprints. Within-group analyses showed significantly greater CMJ (d > 0.9, p < 0.001) and sprint performance (d > 0.5, p < 0.05) in the FW and the TRA group. Between-group analysis showed that sprint changes were significantly greater in the FW-strong group when compared with the TRA (F_1,18 = 5.11, p = 0.036, η²_p = 0.221-large) group. These results suggest that using a squat activation protocol on a FW may lead to an acute positive effect on jump and sprint performance, especially in stronger individuals.

Relationship between Inter-Limb Asymmetries and Physical Performance in Rink Hockey Players

The magnitude of inter-limb asymmetries has been reported in several studies in different team sports but only some of them have analysed their effects on sports performance. The main purpose of this cross-sectional study was to determine inter-limb asymmetries and examine their relationship with different physical performance tests in rink hockey players. Nineteen rink hockey players (age: 23.37 ± 4.82 years; body height: 1.75 ± 0.06 cm; body mass: 73.16 ± 9.87 kg) performed a mid-season battery of fitness tests consisting of 30 m sprint, countermovement jump (CMJ), and half back squat. Inter-limb asymmetries were assessed using the single leg vertical countermovement jump test (SLCJ-V), single leg horizontal countermovement jump test (SLCJ-H), and 180° change of direction test (COD). Results show a significant relationship between asymmetry in the SLCJ-H test, 30 m sprint (r = 0.63, p < 0.01) and CMJ performances (r = −0.52, p < 0.05). Additionally, asymmetry in the SLCJ-V showed a significant relationship with CMJ performance (r = −0.46, p < 0.05). These findings suggest that training programs should aim to reduce the inter-limb asymmetries in rink hockey players to improve their performance. Practitioners and coaches can use this information to assess the potential impact of asymmetries on physical performance in rink hockey players.

Effects of Different Inertial Load Settings on Power Output using a Flywheel Leg Curl Exercise and its Inter-Session Reliability

This study aimed to analyze the influence of the inertial load on both concentric and eccentric power output production during the flywheel leg curl exercise, and to assess the reliability of power output variables. Sixteen participants (8 males, 8 females) attended 4 testing sessions. During testing, participants performed one set of eight repetitions using a specific inertial load (0.083, 0.132, 0.182, 0.266 and 0.350 kg·m²) with a flywheel leg curl exercise. Concentric (CON) power, eccentric (ECC) power and the ECC/CON ratio were analyzed. The reliability analysis between sessions was performed. A significant interaction of inertia load x gender was found in CON power (p < 0.001) and in ECC power (p = 0.004), but not in the ECC/CON ratio (p = 0.731). A significant with-in (inertia loads) effect was found in CON power (p < 0.001) and in ECC power (p < 0.001), but not in the ECC/CON ratio (p = 0.096). CON power showed very high reliability scores, ECC power showed high to very high reliability scores, while the ECC/CON ratio ranged from poor to moderate. A significant between gender effect was found in CON power (p < 0.001) and in ECC power (p < 0.001), but not in the ECC/CON ratio (p = 0.752). This study is the first to report that power output in the flywheel leg curl exercise is altered by the inertia load used, as well as power output is different according to gender. CON and ECC power output presents high to very high reliability scores, and the ECC/CON ratio should not be used instead. These results can have important practical implications for testing and training prescription in sports.

Influence of the Strap Rewind Height During a Conical Pulley Exercise

The use of flywheel devices has increased in popularity within resistance training programs. However, little is known about modifiable variables which may affect power output responses, as the rope length and the height level used in a conical pulley device. The aim of this study was to assess the influence of using three different rope lengths (1.5, 2.5 and 3.5 meters) and four different height levels (L1, L2, L3 and L4) on concentric peak power (PPconc), eccentric peak power (PPecc) and eccentric overload (eccentric/concentric PP ratio; EO) during conical pulley exercises (i.e. seated and stand-up row). A total of 29 recreationally trained subjects (25.3±7.1 years; 1.74±0.06 m; 72.5±8.3 kg) took part in the study. Testing sessions consisted of 1 set of 10 repetitions under each condition; experiment 1: seated row exercise using the three different rope lengths; experiment 2: stand-up row exercise using four different height levels of the conical pulley. Results from experiment 1 did not show differences between rope lengths, although a trend for greater PPecc (ES=0.36-0.38) and EO (ES=0.40-0.41) was found when using longer rope lengths (2.5 and 3.5). Experiment 2 showed significant increases in both PPconc and PPecc as the height level used was closer to the cone base (L4). In contrast, EO values were significantly greater when using upper height levels (L1). These results suggest that the height level used during conical pulley exercises highly influences power output responses. Therefore, this variable should be carefully managed depending on the training goal (e.g. power vs hypertrophy).

Relationships between Change of Direction, Sprint, Jump, and Squat Power Performance

The aim of the study was to investigate the relationships between countermovement jump (CMJ) height and inertial power in squat and sprint variables with change of direction (COD) performance. Fifty young healthy active males participated in the study. To determine these relationships, we carried out a 10-m linear sprint test (T 10 m), vertical jump tests (CMJ and CMJ Abalakov), an assessment of power relative to bodyweight in a flywheel squat (P_bw), and 10-m COD sprints with two different turn types (COD-90° and COD-180°). T10 m showed statistically large and moderate correlations with T10 m COD-180° (r = 0.55) and T10-m COD-90° (r = 0.41), respectively. Moderate to large correlations between jumping height, linear sprinting, and sprints with COD were found (r = −0.43 to r = −0.59), and there were unclear correlations between jumping height and the loss of speed caused by executing COD (DEC-COD). P_bw showed a large correlation with CMJ Abalakov and CMJ jump height (r = 0.65 and r = 0.57, respectively), and a moderate and large correlation with T 10 m, T 10 m COD-180°, and T10 m COD-90° (r = −0.33, r = −0.38, and r = −0.54, respectively). Despite the existence of substantial correlations between variables, straight linear sprinting, jumping performance, CODs and squat power were, for the most part, separate motor qualities (R² from 14% to 34%), suggesting that all of them should be specifically assessed and trained.

Eccentric Resistance Training in Youth: Perspectives for Long-Term Athletic Development

The purpose of this narrative review is to discuss the role of eccentric resistance training in youth and how this training modality can be utilized within long-term physical development. Current literature on responses to eccentric exercise in youth has demonstrated that potential concerns, such as fatigue and muscle damage, compared to adults are not supported. Considering the importance of resistance training for youth athletes and the benefits of eccentric training in enhancing strength, power, speed, and resistance to injury, its inclusion throughout youth may be warranted. In this review we provide a brief overview of the physiological responses to exercise in youth with specific reference to the different responses to eccentric resistance training between children, adolescents, and adults. Thereafter, we discuss the importance of ensuring that force absorption qualities are trained throughout youth and how these may be influenced by growth and maturation. In particular, we propose practical methods on how eccentric resistance training methods can be implemented in youth via the inclusion of efficient landing mechanics, eccentric hamstrings strengthening and flywheel inertia training. This article proposes that the use of eccentric resistance training in youth should be considered a necessity to help develop both physical qualities that underpin sporting performance, as well as reducing injury risk. However, as with any other training modality implemented within youth, careful consideration should be given in accordance with an individual's maturity status, training history and technical competency as well as being underpinned by current long-term physical development guidelines.

Current Evidence and Practical Applications of Flywheel Eccentric Overload Exercises as Postactivation Potentiation Protocols: A Brief Review

PURPOSE

To summarize the evidence on postactivation potentiation (PAP) protocols using flywheel eccentric overload (EOL) exercises.

METHODS

Studies were searched using the electronic databases PubMed, Scopus, and Institute for Scientific Information Web of Knowledge.

RESULTS

In total, 7 eligible studies were identified based on the following results: First, practitioners can use different inertia intensities (eg, 0.03-0.88 kg·m2), based on the exercise selected, to enhance sport-specific performance. Second, the PAP time window following EOL exercise seems to be consistent with traditional PAP literature, where acute fatigue is dominant in the early part of the recovery period (eg, 30 s), and PAP is dominant in the second part (eg, 3 and 6 min). Third, as EOL exercises require large force and power outputs, a volume of 3 sets with the conditioning activity (eg, half-squat or lunge) seems to be a sensible approach. This could reduce the transitory muscle fatigue and thereby allow for a stronger potentiation effect compared with larger exercise volumes. Fourth, athletes should gain experience by performing EOL exercises before using the tool as part of a PAP protocol (3 or 4 sessions of familiarization). Finally, the dimensions of common flywheel devices offer useful and practical solutions to induce PAP effects outside of normal training environments and prior to competitions.

CONCLUSIONS

EOL exercise can be used to stimulate PAP responses to obtain performance advantages in various sports. However, future research is needed to determine which EOL exercise modalities among intensity, volume, and rest intervals optimally induce the PAP phenomenon and facilitate transfer effects on athletic performances.

Post-activation potentiation effect of eccentric overload and traditional weightlifting exercise on jumping and sprinting performance in male athletes

The aim of this study was to evaluate the post-activation potentiation (PAP) effects following eccentric overload (EOL) and traditional weightlifting (TW) exercise on standing long jump (SLJ), countermovement jump (CMJ), and 5 m sprint acceleration performance. Ten male athletes were involved in a randomized, crossover study. The subjects performed 3 sets of 6 repetitions of EOL or TW half squat exercise followed by SLJ, CMJ, and 5 m sprint tests at 1 min, 3 min and 7 min, in separate sessions using a randomized order. Bayes factor (BF10) was reported to show the strength of the evidence. Differences were found using EOL for SLJ distance at 3 min (BF10 = 7.24, +8%), and 7 min (BF10 = 19.5, +7%), for CMJ at 3 min (BF10 = 3.25, +9%), and 7 min (BF10 = 4.12, +10.5%). Differences were found using TW exercise for SLJ at 3 min (BF10 = 3.88, +9%), and 7 min (BF10 = 12.4, +9%), CMJ at 3 min (BF10 = 7.42, +9.5%), and 7 min (BF10 = 12.4, +12%). No meaningful differences were found between EOL and TW exercises for SLJ (BF10 = 0.33), CMJ (BF10 = 0.27), and 5 m sprint (BF10 = 0.22). In conclusion, EOL and TW exercises acutely increase SLJ and CMJ, but not 5 m sprint performance. The PAP time window was found between 3 min and 7 min using both protocols. This study did not find differences between EOL and TW exercises, and so both methodologies can be used to stimulate a PAP response.

Eccentric Overload Flywheel Training in Older Adults

Age-related reductions in muscle strength and muscle power can have significant adverse effects on functional performance in older adults. Exercise training has been shown to be a potent stimulus for improvements in strength and power. However, investigation into how to best optimize training-related adaptations, as well as the accessibility of training methods, is needed. Traditional (TR) methods using gravity-dependent free-weights or weight machines can improve and maintain strength and power but are limited in their ability to provide constant muscle tension and high levels of muscle activation throughout the lowering (eccentric) phase of lifting. Eccentric overload (EO) training may overcome these limitations and has been shown to result in potent adaptations in both young and older adults. Methods of producing EO are significantly limited from a practical perspective. The addition of whole-body flywheel training equipment provides a practical method of producing EO and may be appropriate for older adults wanting to optimize training outcomes. Our review provides limited evidence of the use of eccentric overload flywheel training as a novel training method in seniors. Through the review of literature, EO training overcame some of the limitations set forth by traditional resistance training and demonstrated to have key benefits when combating age-related changes affecting muscle strength and muscle power. It can be concluded that EO training is an important addition to the training arsenal for older adults. Flywheel training provides a practical method of achieving EO, increasing strength and power, combating age-related adaptations, and overall improving quality of life in older adults.

Comparison of the musculoskeletal effects of different iso-inertial resistance training modalities: Flywheel vs. electric-motor

This study aimed to analyse whether increasing the eccentric overload (EO) during resistance training, in terms of range of motion and/or velocity using an electric-motor device, would induce different muscle adaptations than conventional flywheel-EO resistance training. Forty physically active university students (21.7 ± 3.4 years) were randomly placed into one of the three training groups (EX1, EX2, FW) and a control group without training (n = 10 per group). Participants in the training groups completed 12 sessions (4 sets of 7 repetitions) of iso-inertial single-leg squat training over 6 weeks for the dominant leg. Resistance was generated either by an electric-motor device at two different velocities for the eccentric phase; 100% (EX1) or 150% (EX2) of concentric speed, or by a conventional flywheel device (FW). Thigh lean tissue mass, unilateral leg press one-repetition maximum (1-RM), unilateral muscle power at different percentages of the 1-RM and bilateral/unilateral vertical jump were assessed before and after the 6-week training. There were significant (p < 0.05-0.001) main effects of time in the 3 training groups, indicating increased thigh lean tissue mass (2.5-5.8%), 1-RM load (22.4-30.2%), vertical jump performance (9.1-32.9%) and muscle power (8.8-21.7%), without differences across experimental groups. Participants in the control group did not improve any of the variables measured. In addition, EX2 showed greater gains in eccentric average peak power during training than EX1 and FW (p < 0.001). Despite the different EO offered, 6 weeks of resistance training using flywheel or electric-motor devices induced similar significant gains in muscle mass, strength, muscle power and vertical jump.

Effects of Flywheel Training on Strength-Related Variables: a Meta-analysis

BACKGROUND

Strength and power development are abilities important for athletic performance in many sports. Generally, resistance training based on gravity is used to improve these qualities. Flywheel training instead utilizes kinetic energy transferred to a flywheel. This allows for eccentric overload and variable resistance throughout the movement. The aim of this review was to identify the effects of flywheel training on multiple strength-related variables affecting athletic performance. The meta-analysis investigates the effects on (1) muscle growth (cross-sectional area (CSA) and volume/mass), (2) maximum dynamic strength, (3) development of power, (4) development of horizontal movement, and (5) development of vertical movement.

METHODS

The meta-analysis includes 20 experimental studies that met the inclusion criteria. The quality of included studies was ranked according to the PEDro scale. Possible bias was identified in Funnel plot analyses. To enable the compilation of all results analyses, the random effect model was carried out using the software Review Manager Version 5.3 and presented with Forest plots.

RESULTS

Flywheel training for a period of 4-24 weeks shows statistically significant increases in all strength aspects. Effect sizes were for hypertrophy, CSA 0.59; volume/mass 0.59; maximum strength 1.33; power 1.19; horizontal 1.01 and vertical movement 0.85. The evidence is particularly strong for beneficial effects from flywheel training in the development of maximal strength and power in trained younger individuals, and utilization of this training modality in shorter more intensive blocks.

CONCLUSIONS

Flywheel training is an effective method for improving several aspects of strength and power with importance for sports performance.

In-season eccentric-overload training in elite soccer players: Effects on body composition, strength and sprint performance

The aim of this study was to describe the changes in body composition, strength and sprint performance in response to an entire competitive season of football training supplemented with 2 inertial eccentric-overload training sessions a week in young male professional soccer players. Whole body and regional composition (assessed using dual-energy X-ray absorptiometry), power output in half-squat and 40-m sprinting performance were evaluated in fourteen players. The eccentric-overload training consisted of training sessions a week of 1–2 sets of 10 exercises of upper-body and core (Day 1) and lower-body (Day 2), during the entire competitive season (27 weeks). Whole body fat mass decreased (-6.3 ± 3.6%, ES = -0.99 ± 0.54) substantially while lean mass increased (2.5 ± 0.8%, ES = 0.25 ± 0.09), with some regional differences. There was a substantial increase in half-squat power output (from 3% to 14%, ES from 0.45 to 1.73) and sprint performance (from 1.1% to 1.8%, ES from -0.33 to -0.44), however performance changes were not correlated with changes in body composition. A combined soccer and eccentric-overload training program was able to promote positive changes in body composition and physical factors relevant to both on-field performance and injury prevention in elite soccer players.

The effects of unilateral and bilateral eccentric overload training on hypertrophy, muscle power and COD performance, and its determinants, in team sport players

The study aimed to compare the chronic eccentric-overload training effects of unilateral (lateral lunge) vs bilateral (half-squat) using an inertial device, on hypertrophy and physical performance. Twenty-seven young team sports male players performed a 4 sets of 7 repetitions of inertial eccentric overload training, biweekly for 6 weeks, distributed in unilateral lunge group (UG: age: 22.8 ± 2.9 years; body mass: 75.3 ± 8.8 kg; height: 177.3 ± 3.7 cm) and bilateral squat group (BG: age: 22.6 ± 2.7 years; body mass: 79.5 ± 12.8 kg; height: 164.2 ± 7 cm). Lower limb muscle volume, counter movement jump (CMJ), power with both (POWER), dominant (POWERd) and no-dominant leg (POWERnd), change of direction turn of 90° with dominant (COD90d) and no-dominant leg (COD90nd) and 180° (COD180d and COD180nd), and 10m sprint time (T-10m) were measured pre and post-intervention. The UG obtained an increase of adductor major (+11.1%) and vastus medialis (+12.6%) higher than BG. The BG obtained an increase of vastus lateralis (+9.9%) and lateral gastrocnemius (+9.1%) higher than UG. Both groups improved CMJ, POWER, POWERd, POWERnd, COD90 and DEC-COD90, without changes in T-10m. The UG decrease DEC-COD90nd (-21.1%) and BG increase POWER (+38.6%) substantially more than the other group. Six-weeks of unilateral / bilateral EO training induce substantial improvements in lower limbs muscle volume and functional performance, although unilateral training seems to be more effective in improving COD90 performance.

Functional and Muscle-Size Effects of Flywheel Resistance Training with Eccentric-Overload in Professional Handball Players

The aim of the study was to analyse the effects of 6 week (15 sessions) flywheel resistance training with eccentric-overload (FRTEO) on different functional and anatomical variables in professional handball players. Twenty-nine athletes were recruited and randomly divided into two groups. The experimental group (EXP, n = 15) carried out 15 sessions of FRTEO in the leg-press exercise, with 4 sets of 7 repetitions at a maximum-concentric effort. The control group (CON, n = 14) performed the same number of training sessions including 4 sets of 7 maximum repetitions (7RM) using a weight-stack leg-press machine. The results which were measured included maximal dynamic strength (1RM), muscle power at different submaximal loads (PO), vertical jump height (CMJ and SJ), 20 m sprint time (20 m), T-test time (T-test), and Vastus-Lateralis muscle (VL) thickness. The results of the EXP group showed a substantially better improvement (p < 0.05-0.001) in PO, CMJ, 20 m, T-test and VL, compared to the CON group. Moreover, athletes from the EXP group showed significant improvements concerning all the variables measured: 1RM (ES = 0.72), PO (ES = 0.42 - 0.83), CMJ (ES = 0.61), SJ (ES = 0.54), 20 m (ES = 1.45), T-test (ES = 1.44), and VL (ES = 0.63 - 1.64). Since handball requires repeated short, explosive effort such as accelerations and decelerations during sprints with changes of direction, these results suggest that FRTEO affects functional and anatomical changes in a way which improves performance in well-trained professional handball players.

Effects of a Six-Week Strength Training Programme on Change of Direction Performance in Youth Team Sport Athletes

This study investigated the effects of eccentric phase-emphasis strength training (EPE) on unilateral strength and performance in 180- and 45-degree change of direction (COD) tasks in rugby union players. A 12-week cross-over design was used to compare the efficacy of resistance training executed with 3 s eccentric duration (EPE, n = 12) against conventional strength training, with no constraints on tempo (CON, n = 6). Players in each condition were categorised as ‘fast’ (FAST) or ‘slow’ (SLOW) using median trial times from baseline testing. Players recorded greater isometric strength improvements following EPE (ES = −0.54 to 1.80). Whilst these changes were not immediate, players improved in strength following cessation. Improvements in 180-degree COD performance was recorded at all test-points following EPE (ES = −1.32 to −0.15). Improvements in 45-degree COD performance were apparent for FAST following CON (ES = −0.96 to 0.10), but CON was deleterious for SLOW (ES = −0.60 to 1.53). Eccentric phase-emphasis strength training shows potential for sustained strength enhancement. Positive performance changes in COD tasks were category- and condition-specific. The data indicate the greatest improvement occurred at nine weeks following resistance training in these players. Performance benefits may also be specific to COD task, player category, and relative to emphasis on eccentric phase activity.

Is inertial flywheel resistance training superior to gravity-dependent resistance training in improving muscle strength? A systematic review with meta-analyses

OBJECTIVE

The primary aim of this systematic review was to determine if inertial flywheel resistance training is superior to gravity-dependent resistance training in improving muscle strength. The secondary aim was to determine whether inertial flywheel resistance training is superior to gravity-dependent resistance training in improving other muscular adaptations.

DESIGN

A systematic review with meta-analyses of randomised and non-randomised controlled trials.

METHODS

We searched MEDLINE, Scopus, SPORTDiscus, Web of Science and Cochrane Central Register of Controlled Trials with no publication date restrictions until November 2016. We performed meta-analyses on randomised and non-randomised controlled trials to determine the standardized mean difference between the effects of inertial flywheel and gravity-dependent resistance training on muscle strength. A total of 76 and 71 participants were included in the primary and secondary analyses, respectively.

RESULTS

After systematic review, we included three randomised and four non-randomised controlled trials. In the primary analysis for the primary outcome muscle strength, the pooled results from randomised controlled trials showed no difference (SMD=-0.05; 95%CI -0.51 to 0.40; p=0.82; I²=0%). In the secondary analyses of the primary outcome, the pooled results from non-randomised controlled trials showed no difference (SMD=0.02; 95%CI -0.45 to 0.49; p=0.93; I²=0%; and SMD=0.03; 95%CI -0.43 to 0.50; p=0.88; I²=0%). Meta-analysis on secondary outcomes could not be performed.

CONCLUSION

Based on the available data, inertial flywheel resistance training was not superior to gravity-dependent resistance training in enhancing muscle strength. Data for other strength variables and other muscular adaptations was insufficient to draw firm conclusions from.